Royal Pains s04e13 Episode Script

Something Fishy This Way Comes

Previously on Royal Pains - I didn't know you were adopted.
Neither did I.
- You've never gotten over Christina.
You set me up with her to prove to yourself and to her That's enough! I think we're done, Hank.
I couldn't agree more.
- I have to get back on the road with the polo team.
Of course.
When he calls, I get butterflies in my stomach.
When he leaves the room even for a moment, I miss him.
- Divya and I have a completely professional relationship.
Do you have feelings for her? - I've been thinking about what you said About who you wanted in your life.
I think I can be that guy.
- Are you looking for Paige? - Yes, yes.
- What's it regarding? I'm her fiance.
I'mHer mother.
"by moideen" I never saw my baby again.
It broke my heart.
- And then you saw her on the news? Yes.
And the details of Paige's adoption Match when and where I gave birth.
- A date and place that were widely reported.
- Evan, I understand why you're skeptical, And I would be too.
But I have hired private investigators, Attorneys, even psychics to try and help me find my daughter.
and all they've ever done is take my money.
- So this is the part where you say you need a loan, right? - The only reason I drove here from New Mexico Was to see Paige and find out if she's my daughter.
I don't want anything else.
But I'm impressed with how protective you are.
You must really love her.
I do.
- Well, I'm going to be in town for a while.
Although I may need to go back and bid for a job.
Oh, are you a contractor? - No.
I'm an artist.
Hmm.
- I have to say I find exercising with you Very rewarding.
- And I have always wanted a workout partner.
But I'm enjoying this too.
Coffee, view, small talk.
- I'm actually known for my small talk.
- Great.
Because I have tons Of unimportant things left to say, And I don't have to be at my office until noon.
- Ooh.
I have a staff meeting at 10:30.
But I am letting Evan know that I won't be there.
Sorry, ev.
Sorry, ev.
You know, they say a sign of a really healthy couple Is when you can just sit together and say nothing.
- That could also be the sign of a really unhealthy couple.
but I like your take on it.
Is that what's happening right now? - Shh, shh, shh! - 'cause I just why we Because that's why we're healthy.
Harper? How is my favorite doctor in the hamptons? If I see her, I'll ask.
smart, hot, and funny.
God, life is unfair.
Talia clarke.
So pleased to meet you.
- Hank Lawson.
Pleased to meet you, too.
Talia's a pharmaceutical rep.
- Still pleased? Don't answer that.
Just so you know, I'm not your average rep or your below average rep.
I do my research, I believe in my products, And I know Hankmed and I would work beautifully together.
You know I'm a doctor? - Told you.
I do my research.
So how would you like to be My new favorite doctor in the hamptons? - Just like that, I've been dethroned.
I've got a new drug.
Just came on the market, and it's a game changer.
It's perfect for you.
- It is? - Your clients jet all around the world, And what do the jet set need? - Jets? funny.
But not as funny as you, dear.
- Just give him time.
He grows on you.
They need their sleep.
My drug's called lullabrex and it's a sleep aid, But this one has fewer side effects Than everything else out there.
- You know who you should talk to - Evan r.
Lawson, the cfo of Hankmed.
Are you kidding me? That man should get a second job as a brick wall.
- Yeah.
Hankmed has a no-see policy With pharmaceutical reps, no offense.
No, none taken.
The only people dodged more often than pharma reps Are process servers.
Hank, I do what I do for the same reason you do what you do Because I love helping people.
- Can you be at my office at 10:30? - I promise, it will not be a waste of your time.
You are right about that.
- Excellent.
See you then.
- Mm-hmm.
- Bye, harp.
Bye, talia.
- I grow on you? - Mmm.
   my independence went away   I didn't listen when it said   rely on yourself   trusting someone else   is a path for the silent ghost  - Do you have any idea how many long-lost brothers, sisters, Moms, and dads have contacted my parents Since the story broke? - Yes, and I know there are a lot of opportunists out there.
- Within minutes, they all shift to some sob story About a desperate need for money or clemency Or a government appointment with a generous stipend.
I mean, who's to say this woman isn't just another one of them? - Nobody.
She may be, okay? I don't want you get your hopes up either, but There's just something about her, Like she seems really Real.
Okay.
What's her name again? Lou Hunter.
Good morning.
- Hey.
- Hi.
Bad time.
- No, I was just leaving so Bye.
Bye.
What up, Katdare? I thought you were driving fabio to the airport.
- Ha, ha, ha, ha.
It's Rafa.
And a couple of his teammates wanted to bum a ride.
He couldn't say no, and I don't have enough room To chauffeur the entire polo team.
- It's better that way, right? No melodramatic, tearful good-bye at the gate.
- Instead, a melodramatic tearful good-bye at his hotel In front of his whole team.
- Really? - Mm-hmm.
Wow.
You really like this guy.
- Yeah, I do.
I miss him already.
Hmm.
well, just so you know, If you ever wanna - Hey, Rafa.
- Talk about it - Rafa.
Rafa! Can you hear me? - Or something.
Rafa, can you Rafa.
- Ho! Oh.
- Maybe you should be known for more than just small talk.
So I do grow on you.
Yeah, you do.
Hmm.
- Usually the more time I spend with a guy, The less fond I am of him.
You've got high standards.
Or bad luck.
What's your excuse? Never found the right woman.
Or if I did, I don't know.
I couldn't seem to make it work.
Maybe your luck is changing.
Maybe.
Take now.
We're both on-call, But neither one of us has been called by a patient.
I'll be back.
You had to go and jinx it.
- My bad.
Can you see who it is? Yup.
It's an edgar pops.
- That's my dad.
Answer it.
- No.
What? No, the first conversation I have with your father Should not be while I'm naked.
- You do understand phone technology, right? You know he can't see you.
- Yeah, but I'll know and you'll know.
We'll know.
Just talk to him.
- All right.
All right.
Hi, dad.
I know.
I can't wait to see you guys either.
Dad, dad, dad, I'm sorry.
I actually, I can't talk right now.
I'm with somebody.
Yes, it's him.
Okay.
THanks, dad.
Love you.
Bye.
"him"? Him who? Him me? Yes, Tarzan.
I'm close with my parents.
Is that okay? That's totally okay.
Him like.
A Christina is calling.
Hello.
What? Where? I'm sorry, Harper.
I'll call you later.
- Its strength isn't just that it makes you Sleepy But that there aren't many side effects.
It just helps you get sleepy because One sec.
- Huh.
Medication mimics The stimulation of the cholinergic neurons On the pedunculopontine nucleus, And it stimulates the reticular activating systems Of one's brain.
- Right.
It's a super drug.
I'm not your average pharma rep or your below average rep.
I believe you were gonna tell us more about the drug.
- I must have left the rest of my presentation Back at my hotel.
- Wow.
I hate when that happens to me.
- I'll have to come back tomorrow and finish.
- You know what, you've done a wonderful job, And tHank you for coming.
We've we'll imagine the rest.
You did such a great job - Yes.
- We'll just imagine The end of it.
- Yes, yes, no need to return.
- Okay.
- Great.
THanks a lot.
Sayonara.
- Wha - why would Hank agree To see a pharma rep at all, Let alone a malfunctioning pharma bot? - I can't tell if she was selling the sleeping pills Or taking them.
- You two should really Keep your voices down.
- Why? We might wake her? - I think she's probably coming back.
Why would you think that? Because she left her laptop.
That's not that's a laptop.
- Christina told you this? - Yes.
And she said you would know where dmitry is And could arrange for me to get to him.
- He went in there, by himself.
- In where? - Not important.
THank you.
So that's it? - I thought you were done, Hank.
- I'm never done with a patient who needs my help.
Oh, of course, you're not.
Well, I'll look into what you've told me.
You'll look into it? Christina was confused, panicked about dmitry.
He needs medical help now.
I thought he was your friend.
- It's not your concern - oh, right, I'm sorry.
You don't have friends, do you? Just people who are useful to you, like me? - Did I not just say I would look into it? - Well, you better look into it fast, Because she thinks he may be dying.
Few days after I gave birth, I was on a bus heading home to kansas.
What about the baby's father? - I lost track of him a long time ago.
Oh, there she is.
One sec.
Hi.
- Hi.
- Everything all right? - Mm-hmm.
- You weren't home when I went to pick you up.
I was in a meeting.
Okay.
So Paige collins, meet Lou Hunter.
Hi, Paige.
I can't tell you how long I've waited for this moment.
I imagine you have a million questions for me.
I do.
Evan says you gave your baby up at birth.
- I never even got to hold her for a second.
It's my greatest regret.
Really? More than your drug arrest, your four bankruptcies, Or changing your name from Patty Louise stump to Lou Hunter? Look, I can explain this.
- Yeah, I had a background check done, And it's a good thing too, Because you are either deluded or you're just a bad liar.
- I'm not lying, and I never claimed to be perfect.
- But you did claim to be my mother.
And the one detail my parents were able to give me About my birth was that my birth mother not only held me But changed her mind about giving me up.
She wanted to keep me, But then a day later she changed her mind again.
So Patty or Lou or whoever you are, You are not my mother.
He's not gonna wait for us? He'd be a sitting duck.
Not exactly a neutral territory, Hank.
Ah, that's reassuring.
Okay.
So now what? - NowWe wait for a gentleman named amir.
He takes us to dmitry.
- Well, how do you know he'll show up? He'll show up.
Boris.
Salam aleikum.
- Who are you? - You speak english? - Yes.
Who are you? We are tourists.
I am amir.
Follow me.
This is amir.
Amir? Amir.
Amir, it's you? - Dima.
Dima, dima, dima, dima! Boris? IAl Almost killed you.
- It seems you've got yourself in quite a situation here.
Yeah.
The hamptons got too boring.
Well, I owe you one.
Yes, you do.
So dima Dr.
Lawson is here.
Oh! Dr.
Dolittle.
I'm closing my eyes now.
Okay? - How long has he been like this? - He came off the boat three days ago.
He became sick soon after.
Is it the diabetes? - I have been giving him his insulin.
He's almost out.
Well, I brought some more.
- Well, if it's not that, then what? - Do you know where he got these cuts and scrapes? - Yes, when we went with my dad and my uncle To make the delivery, he fell ill.
I brought him back to get better, But we couldn't always take roads and the terrain got rough.
- Uh-huh.
Deep breath in and out, dmitry.
- Your father and uncle where are they now? - They'll come back when it's safe for all of us.
Okay.
Has he been urinating? - Very little.
- He has a fever, tachycardia and tachypnea.
Without taking blood, I can't say for sure, But if his kidneys are starting to fail, He may be in septic shock.
Can you stop it? Salam aleikum.
- Alaykum as-salaam.
What are you doing? - I need to start an internal jugular line.
- So that you can give him drugs to make his heart pump harder.
That's right.
- Is that lidocaine? - Right again.
Okay.
Good.
We're inside the jugular.
How do you know so much about medicine? My uncle is a doctor.
He left me in charge of mr.
Dmitry.
My uncle teaches me.
One day, I will be a doctor too.
- How about right now? Come here.
Hold on to this, please? - You can do this outside of a hospital? - I don't recommend it, but I packed a lot in my bag.
- It's a magic bag? - Not necessarily.
If this goes wrong, dmitry will bleed out.
Okay.
Good.
Fill this with dopamine and infuse it slowly.
Too much too fast will cause a heart attack, And I'm gonna need oxygen.
Will you get me some towels? THank you.
- The boat returns for us at high tide.
We need to be on it.
- Well, first we get dmitry stable, Then we'll worry about getting out of here.
- Yeah, but he's not safe here.
Neither are we.
Nor is this family while we remain you understand? - I would be lying if I didn't say I was a bit concerned.
Oh, you should be.
I've left four detailed voice mails, None of which have been returned.
Jeremiah Are we here because talia was playing footsie with you? Because if we are, you should know That pharma reps always flirt with the doctors.
It's practically a job requirement.
She's not my type.
She could have narcolepsy, a neurological disorder, Or she could, as you speculated, Be addicted to her own products.
- So, you are worried about her health? Yes.
Oh.
- Uh, ms.
Clarke, it's dr.
Sacani.
Talia, are you there? Open up.
- I take it you believe my concerns are valid? Can I help you? Talia, it's me, divya.
And you remember dr.
Sacani.
How do you know my name? - You met us the other day.
We're from Hankmed.
You gave us a presentation.
- You don't know who we are, do you? Oh, we have your computer.
Well, doctor, how is he? - Amir found an oxygen tank for him, But he still has a fever.
And the antibiotics aren't working.
Without being able to run cultures, For all I know this could be viral or fungal Or something else.
- What could possibly be humorous about that? - OhWhen dima and I were younger, We used to talk to about how we wanted to die.
- Yeah.
Well, I'm sure it was nothing like this.
Oh, it was exactly like this.
Dying for something we believed in.
Of course, we were never the foot soldiers, Just naive and blessed with Family wealth that kept us out of the fight.
Why did dmitry come here? - There are people fighting for democracy here, Hank.
They need financial support.
- When we first got here, you told dmitry you owed him.
Yeah.
Why? - Without dima, marisa would've never gotten out of cuba.
I can never fully repay him for that.
Dinner is ready.
Yeah, - Amir, you also went with your uncle and father To deliver dmitry's package? Yes.
What dmitry is doing to help us, To help this country I want to be a part of it.
What did she say? - She tried to sell us goat milk for our guests.
I told her we didn't have any guests, But I do not think she believed me.
- Will she stay quiet? - I don't know.
- His central venous pressure's bottoming out.
He needs fluids wide open.
Dima? - Dmitry, did you eat any shellfish? With your hemochromatosis, you know you can't - I know.
You told me, it can kill me.
- Amir, have you given him any shellfish? Even in a broth.
No, we don't eat shellfish.
- Dmitry, did you arrive like we did by boat? Yeah.
- And did you jump out and swim to shore? - Why? - It's an infection, And the antibiotic I gave you won't treat it.
Dima.
- Doctor? - Yes? Is it too late? I hope not.
- No bumps, bruises, or signs of head injury of any kind.
- Why else would I sleep for two days? - Are you addicted to your drugs? Are you kidding? I know way too much about drugs.
They scare me.
- Will you look over my shoulder, please? That's it.
How about your vision any trouble? No.
Yes.
My eyesight got blurry a couple of days ago.
I stepped in front of a moving car.
I thought it happened because it was hot and I was overtired.
And last month when I was in riverhead, I missed a sales seminar because I had overslept An entire Monday.
- Talia, you're around doctors all the time.
Did you consult any of them? - I'm supposed to be the one healthy person The doctor sees all day.
I'm not gonna jeopardize that.
Look, I don't wanna go back to hawking cars or real estate Or selling meat door-to-door.
You have to help me.
And we will help you.
I think our first step should be A trip to the hospital for a head ct.
- Yes, and once we rule out a head injury, I think we need blood work and a sleep study.
I'd like to rule out hypothyroidism.
Ms.
Clarke? Talia.
She's asleep again.
Okay.
What do you think it could be? Maybe kleine-levin? sleeping beauty syndrome? - It's rare, I know, but the symptoms line up.
Unfortunately, the only way to diagnose it Is by exclusion, and there's no cure.
- Your oxygenation is adequate now for travel.
That's fantastic.
What made me so ill? Vibrio vulnificus.
Hank, english.
- It's a marine bacteria that can enter the body Through open wounds like diabetic insulin injection sites When swimming in waters with shellfish.
It thrives in iron-rich environments Like in people who have hemochromatosis.
Mm-hmm.
Your fever's finally broken.
Why do you look so worried? - Amir.
He went to the beach to check on the boat a while ago.
He should've been back by now.
Ah, buh, buh.
You look better.
- I will feel much better when we are gone.
Your drink.
THank you.
Listen, boris, Coming here, not telling you about it, I Oh.
I may have I'm sorry, you may I may have - You may have made - Why are you always pushing? Fine, I made a mistake.
- Mistake.
- Is that clear? Mistake.
- Oh, yes.
I got it.
- Happy? - I'm thrilled.
Yes.
- THank you very much for everything, both of you.
I will never forget it.
- What? Where's your brother? He's on the beach.
- Okay.
- We go now.
Here we go.
okay.
What's he yelling about? He would like us to hurry.
Believe me, he's not alone.
Easy, dmitry.
Bravo.
- Good-bye, amir.
- Good-bye, Hank.
- Hey, what's wrong with your leg? - Nothing.
Go.
- It's painful for you to walk, isn't it? That's why you sent your sister to run and get us.
We need to leave, Hank.
Amir, show me your leg now.
Come on, Hank.
How long have you had this? - I got scratched up when we fled the mountains, But it didn't look this way before.
It was barely a cut.
- Hank, he's a smart boy.
Just give him the medicine.
Let's go.
No, you don't understand.
If I don't address this wound quickly, The infection will spread.
He could - Let us take the boy to the yacht, yeah? You can take treat him there, And then we'll bring him back at low tide, yes? - No, I will not leave my family.
Hank, go! Get inside the boat, doctor.
- Dima.
- No.
I'm not dying here, boris.
Get inside the boat now.
Hank.
Come here.
THank you, sabeen.
- All right.
So amir, I'm gonna use some cool, sterilized water To clean the wound.
It's badly infected, isn't it? - I'm afraid you have flesh-eating bacteria.
From a scrape? - The bacteria can leave a toxin that will eat through muscle.
Will I lose my leg? Not if I can help it.
Come here.
Okay.
Amir, first I have to clean the wound.
Now I'm gonna numb it.
Okay.
You're gonna feel a few pinches.
- Yaqub is taking dmitry back to the yacht.
He'll return for us when he can.
So how will I help? - Okay.
Wherever you see bleeding, I want you to use this to cauterize it.
Yeah.
Okay.
Amir, I'm gonna make the incision now.
Just follow my blade.
That's it.
Get right in there.
Doing great.
Wherever it comes pouring out, okay? Good.
Good.
Okay.
Just spreading the flesh.
Yup.
That's good.
Now I'm gonna start removing the infected tissue.
There's a lot.
- You can't get it all, can you? - No, look, if we were in a hospital I could control the bleeding well enough To get every last bit of infected tissue, but here Here, what can you do? Where do you keep your trash? You shouldn't be here.
- There's something I didn't tell you.
Something you need to know.
The story that your parents told you is the truth.
After I gave birth, I did change my mind.
I held my daughter.
I'm sorry that I did that to you.
I shouldn't have lied to you and Evan.
I should have told you the truth, But I just couldn't.
- She said it wasn't about wanting to deceive anyone, It was about blocking out a painful memory, That same memory that made her make All kinds of bad decisions later.
- Most of which you found out about? Mm-hmm.
She said she was punishing herself Because she didn't know how to forgive herself.
But I just I don't know what to believe about Lou anymore.
- Well, you need to know the truth.
You need to know if she's your mother or not, right? I know one way we can find out.
UmYeah.
This will work.
THank you.
Okay.
This is safe, Hank? - Maggots will only eat dead flesh.
Cool, huh? THank you.
And That should do it.
In a couple of days after they're done eating, They'll die.
You'll need to clean and re-wrap the wound.
I'll leave you with some antibiotics Which you'll take twice a day for the next ten days.
Actually I'm just going to leave you the whole bag.
But it's your magic bag.
Now it's your magic bag.
- Please tell me that you have good news.
I've been up all night Trying to find an explanation for talia's symptoms.
- And if every explanation led to a diagnosis of kleine-levin, You would not be alone.
Now I understand why you don't look very happy.
- Talia's other tests all came back negative From the blood work to the ct.
Even the preliminary sleep lab results look normal.
- Talia suddenly looks very happy.
You haven't told her yet, have you? If she does have kleine-levin, And this episode is clearly over, All of her symptoms have been relieved.
- Yes, but they can come back at any time.
Will you tell her with me? Of course.
- Hey, guys.
- Hi.
I feel so much better.
- There is something that we should Dr.
Sacani.
Jeremiah, jeremiah, I was I was telling talia - How long have you had those on your legs? - What, these bruises? I don't know.
Five or six weeks.
- They're not bruises.
- Erythema nodosum.
It's an inflammatory disorder That causes red bumps under the skin.
- Which can be caused by sarcoidosis.
Which can cause granulomas.
- And a granuloma near the hypothalamus Can cause kleine-levin.
- Yes.
- And hip bone's connected to the leg bone.
Where is this headed? - We believe that your symptoms may be caused By a lesion on your brain.
It's called kleine-levin.
- Okay.
It's never good when they have two names.
- It's also known as sleeping beauty syndrome.
It's what made you sleep for two days.
- Yes.
And an mri with gadolinium contrast Can confirm this diagnosis.
- But the good news is You have the only type of the syndrome That is treatable with steroids.
- Steroids.
Good.
We make those.
Just tell me, am I going to be - Yes.
Um You'll be fine.
- Great.
Say no more.
Seriously.
- So there will be a plane waiting to take you home.
You're not coming with me? - No.
I'll stay with dmitry.
Make sure he's in able hands.
You're a good friend.
I'm glad I got to see it.
- May I assume then that we are not done with one another? You may.
I'm glad of that.
Me too.
But let's never do this again.
- No.
Ah.
Well, if you think this is bad, You should have been in turkmenistan.
- Really? - Yeah.
Compared with turkmenistan, it's like summer camp.
You went to summer camp? Gstaad, alpenschule.
Passaic, ymca.
I was sent to camp so that my parents could argue in private.
When my father fell ill.
- Passaic, ymca.
I hated camp.
Me also.
Oh, tHanks for the update.
Good-bye.
Everything okay? That was talia.
Mri confirmed the granuloma and she's been given prednisone, But there's a problem.
She feels so good that she wants to come over And finish her presentation.
What did you say? - I said to wait till tomorrow when Hank is here, Because I'm sure he wouldn't want to miss it.
Smart.
Very smart.
Remind me not to be here, all right? Well, I won't be here, So I'm not sure I'll be able to do that.
You know what, dr.
Sacani? When you first started at Hankmed, I did not think that you would last the first week.
Hmm.
You were not alone in that feeling.
I'm glad that you did.
You bring such a different perspective to Hankmed.
You totally won me over, dr.
Jeremiah sacani.
Rafa.
Hey, Rafa.
Rafa, Rafa! Not totally.
Surprise.
I hate surprises.
- Oh, cool.
Well, I'll be going.
No, not so fast.
Hey, you got some sun.
I like it.
- Yeah? - Were really working or just going to the beach without me? I was really working.
Although, there was beach.
Not a good beach.
I missed you.
I missed you too.
You know, they say the sign of a healthy couple is Shut up and kiss me already.
- THank you for agreeing to the dna test.
Of course.
This way there won't be any doubts about the results.
When do we get the results? - They'll be ready in three days.
- Well, I'll stick around the hamptons until then.
Oh, really? - Yes.
If there's a match, I'd like to be close In case you want to see me again.
You know what, Lou? I've got some patients to see Before I drop off both of your samples to the lab.
How about I walk you to the truck? Great.
Well, good-bye, Evan.
- Nice to see you again.
Paige.
THank you.
Bye.
Bye.
Are you okay? Mm-hmm.
Good or bad, I just I need the truth.
I need to know if she is my mother.
- Right.
Come on.
Where are we going? We're going out to lunch Then the beach then to dinner then the movies.
These three days are going to fly.
Stanley? Hey, what are you doing here? Hello, Hank.
- I thought you were staying with dmitry.
- Yeah.
I didn't like the way Dmitry's treatment was being handled, SoI decided he should stay here with me.
- That explains why his dog is here.
- Yeah, stanley, the little blood sugar k9.
So can you treat a man who has pulled a gun on you, Hank? I can treat him.
Just don't ask me to trust him.
Yeah.
I know dima far too well to ask that of either one of us.
"by moideen"
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