Royal Pains s01e04 Episode Script

TB or Not TB

I'm Hank.
I was your typical emergency room doctor.
Until I got fired.
You let a billionaire hospital trustee die to save some kid off the street.
I made a judgment call.
You made a mistake.
This is my brother.
I'm Evan R.
Lawson, CPA.
He took me away from my troubles and to the Hamptons.
And suddenly, I had a chance to become a whole new kind of doctor.
It turns out the wealthy and not so wealthy out here could use a guy who makes house calls.
So, I've got a second chance to do what I do best.
All right.
I've got half-naked plates here.
I've got brasato without bucatini, osso bucco without orzo.
Careful, Christopher.
Perfetto.
Allison? Pizza.
Get this pizza out.
Pizza? You asked for pasta.
Yeah, that's what I said.
Peppers.
Pickles.
Pie crusts.
Pasta.
Bucatini orzo.
What, is everybody on break? Come on.
Let's go.
Let's get back to work.
Valentina, the pappardelle.
Yeah? You're up early.
I know.
Well, I figure if I'm going to expand HankMed's clientele, I gotta join a country club.
Huh.
Because that's where they keep all the rich people out here.
And I can't join a club until I have a sport.
A, uh A networking milieu, if you will.
I won't.
Bam.
Ow! Did Boris say you could use his tennis equipment? You said I'm going to quote you right now.
You said that unless it's an emergency, leave Boris alone.
Yeah.
Including all of his property, facilities and leisure gear.
Interesting.
I must have tuned that part of the lecture out.
Fine.
Thank you.
All right.
Cover for me until I get back? Sure.
And don't change my ring tone to you rapping.
No crank calls.
No pizza deliveries.
Charitable donations? No.
Nothing.
Okay.
Whoa, whoa, whoa.
We have to discuss Sunday.
I Hankfest, man.
That's a working title, by the way.
It's a bad title.
And I don't want to discuss Sunday.
That's too bad.
I already made rezzies at the seven hottest clubs in the Hamptons with, like, cabanas and bottle service.
And I've rented us a limo with a scent machine in it.
I have no idea what that is, but I got a really good deal.
Evan, I'm serious.
My wedding was canceled.
Remember? What do you mean, do I Of course I remember.
It doesn't mean that any and all festivities associated with it have to be canceled.
Come on.
Hankapalooza.
Yes.
Hankapalooza.
That's perfect.
Wait.
How about Nothingpalooza? Honestly, Henry, and I mean this.
Yeah? I'm not going to let you spend your ex-wedding day moping around.
I'm not gonna do it.
So, you gotta do something.
I think I'll just take Sunday off.
You know, no moping.
Just some peace and quiet.
Oh, my God.
Ev.
You would have made a great best man.
It wants its shorts back.
I missed laundry day this week.
Cut me some slack! HankMed.
Good morning and how can we make you feel better today? Tuberculosis tests? Uh, yes, of course we can deal with that.
Uh, how many employees? Great.
How does How does 1:30 sound? Amazing.
Okay.
So, I just need to get, uh Your address.
Hey.
Thank you for coming on such short notice.
Of course.
This new requirement by the health department must have every restaurant scrambling.
You have no idea.
So, uh, what happens next? We'll come back in a couple of days to check the injection sites.
If anyone has TB, their forearms will turn red and flare up.
Hey.
So, uh, this soup is very provocative.
Do you embrace customer feedback? I'm sure she does.
From paying customers.
You, I like.
Can I talk to you in private? Yeah.
Sure.
You're done.
Thanks.
Hello.
Valentina.
Can you please push up your left sleeve? I don't speak English good.
Oh.
Um But you know about the TB shot? Wow.
You are really happy to be talking.
About everything.
Valentina Health department.
Ah-ha! Berlitz lessons.
I had a major crush on this Italian bartender once.
Mmm-hmm.
She was so hot.
Evan, I don't care right now.
All right.
It's never happened before.
And it hasn't happened since.
I'm sure it was scary.
Mmm-hmm.
Tell me.
Are you on any meds? Just birth control.
I'm really glad you could come on short notice because I wanted to know what happened to me and I don't need anyone else knowing.
Well.
If you were worried about privacy, I could have met you at your home.
This is my home.
I'm here from dawn to 2:00 a.
m.
Seven days a week.
So.
What do you think? Okay.
Well, it could be a lot of things.
Hypoglycemia, a seizure, Bell's palsy.
It could also be a complex migraine, a TIA.
What's that? Transient ischemic attack.
It's a ministroke.
Very quick.
No permanent damage.
What else? Well, it could be nothing at all.
Oh.
Nothing? I'll take that.
I'm sure you will.
So, listen.
You should get a full physical and a neurological exam.
I can help set it up.
After Labor Day, when things slow down.
Thank you so much for everything, Doc.
You have got a table on the house anytime.
Allison? You need for things to slow down now.
If you did have a TIA, and it remains untreated, you could be at risk for a major stroke.
It won't be quick.
And there will be permanent damage.
I started the last restaurant I had with my husband.
And one day he just walked out.
And he took the evening hostess with him.
And all of my recipes.
He took everything.
And now, finally, I have something again.
So So, protect it, Allison.
One day of routine tests.
It's very simple.
I leave this room when you say yes.
Yes.
Thank you.
You're lucky I like tough love.
All right.
So, I'll call you in a week.
Great.
Wow, this sauce! Valentina, per favore! Come on, people! This isn't a food court! Hey.
Spaghettini with filet mignon meatballs.
Here.
Take a bite, Divs.
The name is Divya.
Whoa, whoa.
That was cranky.
Does the doctor's little helper need a power nap or something? Doctor's little helper? Yeah.
While I may not have gone to medical school, I do hold a license as a certified physician assistant, which means I practice medicine.
I can prescribe drugs, perform exams and procedures, interpret diagnostic tests and assist in surgery.
You definitely need something.
You know what I need? I need some boundaries.
Boundaries? What is that supposed to mean? You set those TB tests at the most illogical time.
What? While the restaurant was serving, Evan.
And then you ran around like a little Yorkie, yapping at everyone.
Begging for treats.
Practically humping my leg while I'm trying to administer the shots.
Okay.
So, I'd also like some boundaries, starting with the kinds of animals you're allowed to compare me to.
And you know what? Since you brought it up, how do you see my role in HankMed? Why don't you just stay at Shadow Pond and crunch the numbers? In the field, you are simply a distraction.
Wow.
Well, Hank doesn't seem to think so.
He is probably numb to you by now.
Well, let's ask him.
He's right behind you.
Hey.
Everything okay? Terrific.
Terrific.
I set the follow-up for Sunday.
Only day you're free.
Actually, no, he's not free on Sunday.
He's taking a "me" day.
"Me" meaning him, not me.
Yeah, it's true.
You mind handling this one solo? I'd be happy to.
It's my job.
Great.
I'm going to grab some lunch.
Seeing your swan of spaghettini made me hungry.
Are we done? Yep.
Hey.
Hey.
How are you? Good.
Is the hospital coffee really that bad? Oh.
Officially speaking? No, it's delicious.
But off the record You could remove nail polish with it.
Exactly.
I only bought this to try out my new cup holders.
Wait, is this yours? Where's Yeah.
Yeah, after 12 years and 217,000 miles, Greta just stopped.
The mechanic found a "do not resuscitate" card in the glove box.
Well, that's just too bad.
I mean, now you can't cool down with the top down.
Well, you want cool? The solar panels on my roof actually cool down the car.
Yeah.
I like the wind in my hair.
But I'm old school.
Shall I walk you to work? All right, old school.
So, uh Did you get my message? Did you get my message? I did.
Nice outgoing message, by the way.
Yeah.
Yours, too.
Very hospital chic.
Oh, that is so not a compliment.
Right.
You're lucky if I go out with you now.
Any plans tonight? Late staff meeting.
Tomorrow? Uh, let me just check.
No, I have two NCMs.
That's Evan-speak for new client meetings.
How about Monday? Budget review.
Tuesday? Yeah.
No.
More NCMs.
How about Wednesday? Yet another staff meeting.
This Sunday looks good.
Sunday morning? Okay.
Um Yeah, I'm pretty open late in the week.
No, no.
Let's do it Sunday.
Are you sure? Yeah.
Hi.
I'm Divya Katdare.
With HankMed.
I'm here for the TB follow-up.
Oh, how are you doing? Lucas Gordon.
No reaction, see? Great.
I have some paperwork for Allison.
Can you tell me where she is? We should try to hurry.
And not just because it's freezing in here.
This was the only place we could have privacy in.
And you know what? Try not to hurry.
My shift starts at 11:00.
I've got to do my prep.
Consider this your prep.
You really are the best boss ever.
Oh, Christopher.
My arm.
My arm's numb.
Hey.
What's wrong? What are we doing in here? Allison, we always do it in here.
Hey, what's going on? Are you okay? Found your networking milieu, yet? Ooh.
Not yet, no.
Uh, have fun at Sunday brunch, by the way.
Oh.
You're bitter about Hankapalooza.
No.
No, I'm not bitter.
Not at all, man.
Hankarama.
Hankstock.
Stop doing bad things to my name.
Look, Jill and I are just getting together today because It's your only mutually available time slot for the next couple weeks.
I completely understand that.
But honestly, though, brunch? What's wrong with brunch? It's brunch.
You're wearing clothes, so it's not breakfast.
You're not even that hungry yet, so it's not lunch.
It's like It's the meal that won't commit.
It's the Come to think of it, it's the perfect meal for you and Jill.
So, enjoy a French toast salad or whatever.
I'm sorry.
Was there something else? We have a good thing going here, Evan.
Just remember that.
Me, me, me, me, me.
God, he's What the hell? Great.
Thank you.
Ava Litelli.
Yes.
I remember the nose ring.
I had one for a few hours while I was at university.
Too many margaritas.
Okay, thank you.
Uh, Valentina Rossi? Oh, wait, Miss Litelli.
Can you please tell me where I might find Valentina? I don't think she's working today.
Oh, really? I thought I saw you talking with her earlier.
You must have confused her with someone else.
In fact, I know I saw the two of you together.
What I don't know is why you're lying for her now.
And what you apparently don't know is that defrauding the health department in any way is a very big deal.
I have to finish my prep.
Tell me where Valentina went.
Tell me or I'll call the health department.
Yes.
Mrs.
Franklin? The farmers' market.
You should find her there.
Thank you.
I need to confirm my nail appointment.
What exactly is happening here? Our reservation was which is how long that table's been empty for.
Casareccio.
How may I help you? Phone call.
This close, huh? How far back do you and Allison go, exactly? A couple of days.
But long days.
Take it.
Okay.
Hello? Oh.
Uh Excuse me.
This really isn't a good time.
Can we talk later? I don't know exactly when.
What do you No, I'm okay.
Really good, actually.
Yes.
Of course I remember.
But honestly, Nikki, I'm trying to forget.
And maybe you should, too.
No, look, I can't do this.
I gotta go.
I gotta go.
Bye.
Bye.
Everything okay? Okay.
So, that was my ex-fiancée.
Okay.
When was the "ex" added? A few weeks ago.
And when was the wedding? Some time around right now.
Now? Wow.
Look, I was going to tell you all about it, which I will do over a drink if we ever get a table.
Oh, I'm sorry.
Excuse me one second.
Hey, Allison.
I stopped by for that table you offered me? I'm sorry.
Have we met? Yeah.
I'm Hank.
Dr.
Lawson? I'm sorry.
I don't recognize you.
Do you recognize her? Mmm-mmm.
Call 911.
I think she's had a stroke.
So, the stroke induced the amnesia.
A CT scan will tell us if it's hemorrhagic or thrombotic.
Well, what's the difference in treatment? If it's hemorrhagic, it will depend on how much brain damage she's already suffered.
And if it's thrombotic? There won't be any brain damage.
She can get thrombolytics, which will help break up the clot.
But there's a catch.
We'd only have a three-hour window to administer these meds.
But we don't know when the stroke occurred.
No.
So, even in the best-case scenario, we're already running out of time.
Gently.
Gently.
I'll see if I can find her a bed.
Whoa, whoa, whoa! Dr.
Dern.
And you are? My doctor.
Yeah.
Hank Lawson.
Look at me, please? Who are you? What are you doing? It's okay, Allison.
You're safe.
Allison Moore.
She presented to me about 20 minutes ago with confusion toward self, place and date.
Is this my room? Is this my room? I believe she's a candidate for stroke protocol.
I'll call for a neurology consult.
No, I think she needs a CT scan first.
What time was the stroke? I don't know.
I asked everyone I could before the EMTs showed up.
Radiology.
Okay.
You'll be fine.
Doctor.
I'm sorry.
You know the rules.
Unless you're family or have privileges here, this is as far as you go.
No, Hank! Hank! Please don't leave me! I'll be right here, Allison.
Excuse me! Valentina! I need to talk to you! What? He bought a mermaid? Whoa.
Hmm.
Holy shark.
I need to check your arm.
Valentina.
Excuse me.
This is serious.
It will just take a moment, okay? Oh, no.
All right.
Does anyone speak Italian? Valentina, wait! So, there's your A voracious eater and predator.
How long was your journey? She was in tonic immobility? Upside down.
Natural state of paralysis the entire time.
She'll do well here.
For your services, Mr.
Hogan.
And for your discretion.
Cheers.
Thank you.
Evening, mate.
You're satisfied with her? She's exactly what I need.
I should let Katie know.
Sure.
Hey.
Just got your message.
Sorry to bother you on your "me" day, but we may have a situation.
What kind of situation? One of the cooks had a rather large reaction to the TB test.
Did you get a sputum sample? I couldn't.
She ran away from me.
Well, she could start an epidemic, Divya.
Don't worry.
I have a plan.
I have to go.
Hank, wait.
Wait.
One question.
Do you know where Evan is? No.
No idea.
I've been at Hamptons Heritage.
Allison had a stroke.
Oh, my God.
Is she okay? I wish I knew.
Uh, talk soon.
Hey.
You work with Allison, right? There's a rumor she had a stroke.
It's more than a rumor.
Sorry.
Look, I don't have a lot of time.
Allison may not have a lot of time.
Do you have any information that can help her? Look, I'm only interested in what's medically relevant because the medicine that can help her must be given within a three-hour period.
Do you know when she started acting unusual? She definitely wouldn't want me talking about that.
Yeah, she would.
Because she could die if you don't.
We were in the walk-in.
It's where we always, um, you know Right afterward.
It was weird.
She was weird.
Okay.
When exactly was this? Sex can be a trigger for a stroke.
I need to know what time the clock started.
Right before my shift at 11:00.
Okay.
Thank you.
Note to self.
Get a car.
Preferably one with doors.
I've got a problem.
Meet me at 23 Foxtail Court as soon as possible.
Evan, please.
I need you.
To save this message, press 9.
Uh, not only did I save that message, I put it on my iPod as workout music.
So, uh, why don't you tell me a little bit more about these needs of yours? The needs that you seem to be experiencing.
Remember the woman from the restaurant? The one who speaks Italian? Yes.
Valentina.
She's totally hot.
I need you to translate.
Okay.
Yeah, I'd be I'd be happy to provide my aiuto.
That means "help" in Italian, by the way.
But in return, since you know everybody around here, you can give me the lowdown on Boris.
Divya, you do not know what I just saw.
Nor do I care.
Valentina may have TB.
Whoa.
Whoa, whoa, whoa.
Whoa, whoa, whoa.
I'm not getting a disease.
Are you kidding me? Especially one I didn't have any fun catching.
We'll talk through the door.
Or a window.
Okay? You'll be perfectly safe.
Oh, this is just Fine! I'll tell you everything.
Everything you want to know about Boris Kuester von Jurgens-Ratenicz.
Well Okey-doke.
One second.
Quick.
Evan, Evan.
Tell her she's done nothing wrong.
Oh, maybe something got lost in translation.
The radiologist said the CT scan confirmed a thrombotic stroke.
Well, we have until 2:00 p.
m.
To give her the meds, so That should be enough time.
Are you sure this is her room? Positive.
Where's the patient? You don't know? She was here Her street clothes are gone.
I'll see if anyone's seen her.
This is Jill Casey.
Dr.
Dern, can you get me some thrombolytics? Sure.
How much time do we have? Less than 30 minutes to find her and save her.
Search again.
Check the bathrooms.
Well, look, if she does show up, call me.
She's not in the hospital.
She's not at her restaurant.
We'll go to her house.
Okay.
And this is all she needs? Yeah, as long as she gets it in the next 25 minutes.
Whoa.
Quick.
Tell her I need to check her arm.
Okay.
Tell her it won't take long.
Ask her if this hurts and if she's noticed any blood or drainage coming from the area.
Okay.
Uh.
Okay.
What's she saying? She's Okay.
Now, she's Now, she's just showing off.
Okay.
Okay.
Now, she's talking about the things she loves the most.
Like cooking her kid? Oh, she's She loves cooking and her kid.
She has a little boy.
She's talking about him.
She really needs her job.
Okay.
Okay.
Ask her if her arm is tight.
Okay.
You know, if the skin won't stretch.
She's still talking.
Divya.
Divya.
Evan.
I can't work like this.
Evan, she reacted to the test.
I need samples.
Valentina Valentina She just keeps talking about Italy.
Of course.
Of course.
Of course.
It all makes sense now.
Yeah, maybe to you.
Allison! It's Hank! You there? Allison! I'll check the back door.
Don't bother.
She's not here.
She's never here.
Come on.
Wait.
How do you know? Because she told me.
Wait.
What did she tell you? Allison's home isn't her house.
Her home is where she really lives.
And where's that? Come on.
Okay.
So, now I'm really confused.
You're going to give her an X-ray? A chest X-ray, yes.
Tell her.
And I'll explain why to you later.
You're going to give her a chest X-ray on her arm? Like, how are you even going to do that? She's just going to lean out through the window? Of course not.
I'm going inside.
You're going to what? You're just going to risk infection? I have a hunch the risk is low.
I'll be back in five.
You have a hunch you're not going to get tuberculosis? Man, I should stay out of the field.
Evan! A little help, please.
Ah, ah, ah Okay.
Valentina.
I don't think I explained the chest X-ray thing very well.
Um Tell her the scar on her arm is from her BCG vaccine.
What is that? It's a TB inoculation done outside the U.
S.
, in places like Italy.
Okay.
So, when people come here and they have the BCG vaccine and they get the TB test, the results will almost always be a false positive.
Thus her arm.
That's what got lost in translation.
Tell her.
Mmm.
It's completely clear.
She's going to be fine.
Mmm-hmm.
Well, tell her everything she needs to know.
So, I'm not done with you.
About our deal.
Oh.
Now? Oh, yeah.
Okay, uh Boris.
Gosh, Evan.
He's very private.
Yeah, I know that.
And? Well, that's all I've got.
What do you mean, that's all you've got? You lying, manipulative Ponzi schemer! I thought you had details about Boris.
And I thought you knew Italian.
But her staff said she wasn't here.
She will be.
Dawn till 2:00, seven days a week.
And I think I know where.
I bet she went back to where the stroke began.
Excuse me.
Could you help me clear this table, please? Thank you.
Okay, I need tin foil, aluminum foil.
Rip them.
Let's go.
Big strips.
Blankets.
Okay.
Let's put them on.
I got your call.
Divya, hi.
Uh, Jill, Divya.
Divya, Jill.
Divya, I want you to take that bag.
I want you to put it in the hot water.
Can I borrow this, please? Her core temp must be below 89.
6.
Any luck with the hair dryer? Got it! Great.
Plug that into there.
Okay.
Turn it on.
Wow.
A homemade Bair Hugger.
Okay.
Let's start the IVs.
Saline's ready.
Do you have a pulse? Weak but steady.
Her temperature's rising.
Okay.
Let me see the thrombolytics.
Wait.
What are you doing? Getting them prepped.
You can't.
We're past the window.
What? It's been more than three hours? Yes.
But the cold slowed her metabolism and bought us some time.
She could have a major brain bleed if you use a blood thinner now.
Isn't the three-hour limit non-negotiable? At a hospital.
But we're not in a hospital.
If we were, we'd be required to sit back and do nothing.
But she needs this to save her life, and I'm giving it to her.
Should I have updated my will? Evan Richard Lawson.
Certified public accountant.
Yeah You know we've met, right? Are you an intelligent man, Mr.
Lawson? Well, I Hmm? I shouldn't have trespassed.
It was silly.
I wasn't thinking about it, and I'm really sorry.
It's only trespassing if you violated my privacy.
Was my privacy violated? It was.
Are you certain of that? Yeah.
Because I saw your Yes? You know, the What did you see? You know, the big Hmm.
It appears that Evan R.
Lawson, CFO, is quickly outshining Evan R.
Lawson, CPA.
I didn't see anything.
So, my privacy wasn't violated? No.
Not at all.
And nor will yours be.
Dieter? Going down.
So, I finally slowed down for you.
I'm glad you remember we talked about that.
Now you have to do it.
Okay.
Valentina, per favore.
Don't look that happy.
I'm going to be back soon.
Your ristorante is safe with me.
See you soon.
Okay, guys.
Talk to you later.
Good work, Divya.
Take care.
Nice meeting you.
You took a big risk to save that woman.
Well, maybe now we can get a decent table.
To Allison.
To Valentina.
And to two more checks in the mail.
Cheers.
Cheers.
So, we're going to start with the calamari and the hot pickled peppers.
No.
We decided on the prosciutto di Parma.
That's what you decided.
Actually, it's what we both decided.
Uh, but not me.
Hello.
Oh.
To thank you and tell everybody I am now sous-chef.
Oh.
Congratulations.
She's pretty.
Ah.
Thank you very much.
Whoa.
You're leaving? I have other plans.
You made this reservation.
Yeah.
For you guys.
Differences are always easier to settle over a good meal.
Buon appetito.
No Hank.
You're kidding me.
You know, Divya.
We did crack that TB case wide open.
We? Yeah.
Like a team.
Here's an idea.
Let's have dinner but absolutely no conversation.
Yeah.
Like we're married.
Hank! Don't panic.
I'm not here to work.
I'm here to eat.
You're lucky.
I hear the food is great.
I am lucky.
I'm very lucky.
Thank you.
You got it.
You know, back at the restaurant, after we found her in the freezer, it looked pretty grim there for a few moments.
I know.
I'm glad Allison's going to be okay.
Yeah, thanks to you.
Well What was she thinking? I don't think she was thinking about much.
She had a stroke.
No, I I meant Nikki.
Oh.
Yeah, I'm sorry.
I shouldn't have said that.
No, no.
It's cool.
I just I thought it was more of a "down the road" conversation.
You want to stall.
No, I don't want to stall.
I just want to be able to carefully articulate my Yeah, I want to stall.
But, look.
Now that it's out there, I should never have asked you out on my wedding day.
My ex-wedding day.
It's okay, Hank.
I know what it's like to be living your plan B.
You do? I was engaged once, too.
Wow.
So, you broke yours off, also? No, I I went through with it.
But, you know, it just didn't work out, so I started from scratch.
Okay.
I get it.
You don't want to talk about your ex.
No, no.
It's not that.
It's just No, it's Yeah.
No, you want to stall.
No, it's not that.
It's just that You and I We just started seeing each other and, well He, um It's It's just complicated and, you know Yeah, I want to stall.
Look.
I get it.
Relationships are all about timing.
No, I completely agree.
So, where does that leave us? I guess we just take things slow.
I could do slow.
Yeah.
Not rush into anything.
Absolutely.
We can stall.
Stall.
Good plan.

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