1. The timing was good.Copy !req
2. I just got a job transfer, Gretchen
will start at a new school.Copy !req
3. We're gonna start
a whole new life.Copy !req
4. It's very exciting.Copy !req
5. In college, my dad
majored in cheerleading.Copy !req
6. That was a joke.Copy !req
7. Gretchen's got
a great sense of humor.Copy !req
8. I'm laughing on the inside.Copy !req
9. Soon you'll be laughing
on the outside, too.Copy !req
10. Dr. Park.Copy !req
11. Moebius syndromeCopy !req
12. is a paralysis of the sixth and
seventh pair of cranial nerves.Copy !req
13. The seventh pair
controls facial expression.Copy !req
14. Luckily, in Gretchen's case,Copy !req
15. we haven't found any
limitation to the sixth pair.Copy !req
16. I'm a lucky girl.Copy !req
17. We'll be taking two slivers
of muscle from your thighs,Copy !req
18. along with their nerves
and blood supply,Copy !req
19. and transplanting them
into your cheeks.Copy !req
20. There'll be considerable
recovery timeCopy !req
21. before you'll be able
to smile at will,Copy !req
22. maybe three months.Copy !req
23. So, what do you say?
Are you up for this?Copy !req
24. Can I sleep on it?Copy !req
25. See what
I have to live with?Copy !req
26. Nobody knows
when I'm joking.Copy !req
27. Sorry, Dr. Andrews.
Yes, I am very up for this.Copy !req
28. Okay, great. So unless
there are any other questions...Copy !req
29. Do you want to be
a comedian?Copy !req
30. People getting your jokes
must be very important to youCopy !req
31. if you think
it's worth the riskCopy !req
32. of dying
during elective surgery.Copy !req
33. I apologize for Dr. Murphy.Copy !req
34. He's still learning that
silence is the right choiceCopy !req
35. when you have nothing useful
to offer.Copy !req
36. We are required to have an
honest risk/benefit discussionCopy !req
37. with our patients.Copy !req
38. We are giving
a lovely young girl a smile.Copy !req
39. That's a simple equation.Copy !req
40. Well, it's more than
the smile or the jokes.Copy !req
41. She can't express
any emotions at all.Copy !req
42. No one can tell
if she's happy or sadCopy !req
43. or scared, anything.Copy !req
44. She's never had
much of a social life.Copy !req
45. Ever since her mother died,Copy !req
46. she's been completely withdrawn.Copy !req
47. All I want to do is bring my
baby girl back into the world.Copy !req
48. Don't worry, Mr. Milman, we're gonna
take great care of her, all right?Copy !req
49. Lucy has a post-op infection
of unknown origin.Copy !req
50. Infusing 900 milligrams
of clindamycin.Copy !req
51. It's terrible, isn't it?Copy !req
52. Yes, it is.Copy !req
53. Have you been changing
your dressing?Copy !req
54. Every day.Copy !req
55. Soaking it in clean, warm water?
Yes.Copy !req
56. Taking your antibiotics,
one pill, three times a day?Copy !req
57. That's a no.Copy !req
58. Lucy, I know I gave you
a scrip for antibiotics,Copy !req
59. along with one for pain meds.Copy !req
60. Why haven't you been
taking your antibiotics?Copy !req
61. Did you have a bad reaction
to them, or...Copy !req
62. I never filled my prescription.Copy !req
63. I didn't think it was necessary
until it got really bad,Copy !req
64. and then I was too weak
to go myself,Copy !req
65. and I didn't have anyone
to pick it up for me.Copy !req
66. Okay. Mystery solved.Copy !req
67. I'm sorry.
I know it was stupid.Copy !req
68. Very stupid.Copy !req
69. Okay.Copy !req
70. Hey, Shaun.Copy !req
71. Oh. Hello.Copy !req
72. I haven't seen you in ages.
What's... What's new?Copy !req
73. I'm buying an apple.Copy !req
74. I can see that.
Here, I'll get it for you.Copy !req
75. No, thank you.Copy !req
76. Thank you, Shaun.Copy !req
77. What else is new?Copy !req
78. You didn't want to be friends.Copy !req
79. Um, yeah, no, I... We... We...
We... We're colleagues.Copy !req
80. You know, we're...
Whatever we are,Copy !req
81. we can still talk.
We should talk.Copy !req
82. I have a new friend.
Kenny.Copy !req
83. Here you go.Copy !req
84. Thank you, Debbie.Copy !req
85. Kenny, huh?
That's, uh, that's great.Copy !req
86. Do you have a new friend?Copy !req
87. No.Copy !req
88. Okay.
Thank you.Copy !req
89. Thank you.Copy !req
90. We can talk.Copy !req
91. You know,
we can talk about sports,Copy !req
92. we can talk about weather,
we can talk about...Copy !req
93. Debbie?Copy !req
94. Why would you want
to talk about Debbie?Copy !req
95. Debbie was flirting with you.Copy !req
96. She was?Copy !req
97. Yes. I noticed her exhibiting
two typical signs.Copy !req
98. Not the trifecta, huh?
No, not the trifecta,Copy !req
99. and one atypical sign.Copy !req
100. I think she's just
trying to be friendly.Copy !req
101. She gave you
an extra dollar in change.Copy !req
102. And the fact that you didn't
notice means you like her, too.Copy !req
103. Maybe she's just bad at math.Copy !req
104. My dad said that
you're on the spectrum.Copy !req
105. That's why you said that about
people getting my jokes.Copy !req
106. People always get my jokes.Copy !req
107. Then you're very lucky.Copy !req
108. That was a joke.Copy !req
109. I see what you did there.Copy !req
110. Yes.Copy !req
111. They call me
"Resting Gretch Face."Copy !req
112. "Shaun the Moron."Copy !req
113. Not very witty.
I'm obviously quite smart.Copy !req
114. I drew this
to their attention.Copy !req
115. I'm on a spectrum, too.Copy !req
116. Somewhere between inscrutable,
unapproachable, and...Copy !req
117. Actively scorned.Copy !req
118. I don't want to be
more approachable,Copy !req
119. and I prefer people
not reading my emotions.Copy !req
120. They're mine.Copy !req
121. That's what you do with friends.Copy !req
122. You really think
this surgery's too risky?Copy !req
123. Possible complications
include embolism,Copy !req
124. hemorrhage,
collateral paralysis,Copy !req
125. asymmetry, brain damage,
and stroke.Copy !req
126. It's also expensive
and medically unnecessary.Copy !req
127. Okay, look straight ahead.Copy !req
128. There's a two-hour wait in the E.R.,
and what are we doing?Copy !req
129. Treating a woman because she
willfully ignored doctors' orders.Copy !req
130. I know what a parasite looks like,
and it's not Lucy.Copy !req
131. So this is
a Mom thing with you.Copy !req
132. Growing up with
a whack mother meansCopy !req
133. that you can identify any and
all problem personalities.Copy !req
134. And that is the sole upside to
my miserable childhood, thank you.Copy !req
135. Well, at least
you had a mom.Copy !req
136. Mine died
when I was six,Copy !req
137. and Dad instantly married
a child-hating bitchCopy !req
138. with a butt-load of debt.Copy !req
139. Morgan, I'm sorry.Copy !req
140. I didn't tell you
to get sympathy.Copy !req
141. Just that I know parasites, too.Copy !req
142. Got you booked
first thing tomorrow morning.Copy !req
143. Dad.Copy !req
144. What? Too soon?Copy !req
145. It's...Copy !req
146. You're nervous.
I get it.Copy !req
147. If you have any more questions,
feel free.Copy !req
148. I've changed my mind.Copy !req
149. I'm not having the surgery.Copy !req
150. Murphy.Copy !req
151. Hello.Copy !req
152. Gretchen's father is very upset.Copy !req
153. It seems you talked her
out of the surgery.Copy !req
154. No, I didn't talk her out
of it or talk her anywhere.Copy !req
155. I just gave her the list
of potential risks.Copy !req
156. Embolism, hemorrhage,
collateral paralysis,Copy !req
157. asymmetry, brain damage,
and stroke.Copy !req
158. Stroke?Copy !req
159. Yes, there was a case
in Brazil in 2004,Copy !req
160. and the patient suffer...Copy !req
161. It seems that you don't believeCopy !req
162. that restoring this girl's
smile is that important.Copy !req
163. Smiles are overvalued.Copy !req
164. There are studies
that support that.Copy !req
165. And there are studies
that don't.Copy !req
166. When we smile,
we produce endorphins.Copy !req
167. They make us happy.
They make other people happy.Copy !req
168. When we see smiles, our
basotemporal lobes are activated,Copy !req
169. and we duplicate
what we see.Copy !req
170. Murphy,
smiles are contagious.Copy !req
171. You see?Copy !req
172. I feel good,
you feel good.Copy !req
173. Everybody likes smiles.Copy !req
174. I don't.Copy !req
175. In any case,
your smile wasn't sincereCopy !req
176. since it didn't demonstrate
the Duchenne Marker.Copy !req
177. There was no involvement ofCopy !req
178. the orbicularis oculi
muscles around the eyes,Copy !req
179. which means you didn't
release endorphins.Copy !req
180. You know,
if you can talk herCopy !req
181. out of a surgery
she's wanted for years,Copy !req
182. I'm pretty sure a conversation
with someone objectiveCopy !req
183. can talk her back into it.Copy !req
184. Get Park, come with,
and keep quiet.Copy !req
185. Okay.Copy !req
186. Dr. Kalu.Copy !req
187. Remember me?Copy !req
188. "Fish girl"?Copy !req
189. Uh, hi. Celez. Hi.
Yeah.Copy !req
190. Yes, uh, of course I do.Copy !req
191. I hope it's okay
that I requested you.Copy !req
192. I'm glad you did.Copy !req
193. How are you doing?Copy !req
194. Oh, that's what
you're going to tell me.Copy !req
195. I've been wearing the, uh,
tilapia skins for five months.Copy !req
196. I'm getting really tired of being
followed home by stray cats.Copy !req
197. How's the pain?Copy !req
198. Compared to what it was?Copy !req
199. Nothing.Copy !req
200. Uh, any... any fever,
itchiness, or swelling?Copy !req
201. Nope.Copy !req
202. Well, it looks very good.Copy !req
203. But?Copy !req
204. How much longer?Copy !req
205. Um, how do you feel
about tomorrow?Copy !req
206. Seriously?Copy !req
207. I never joke about tilapia.Copy !req
208. What's the matter?Copy !req
209. I-I just wasn't expecting that.Copy !req
210. I...Copy !req
211. I'm afraid of how
I'm going to look.Copy !req
212. You're going to look beautiful.Copy !req
213. Tomorrow.Copy !req
214. I know Dr. Murphy informed youCopy !req
215. about the risks of this surgery,Copy !req
216. and some risks are significant
and some just aren't.Copy !req
217. This is as close to risk-free
surgery as we can get.Copy !req
218. It'll give you a smile,
it'll let you laugh.Copy !req
219. No.Copy !req
220. Dr. Murphy didn't
talk me out of it.Copy !req
221. He inspired me.Copy !req
222. He helped me realize that this
could actually make me stronger.Copy !req
223. I don't want to run from it anymore.Copy !req
224. Yeah, she's lying.Copy !req
225. She's a smart,
sarcastic young woman,Copy !req
226. not exactly someone who's prone
to inspirational stories.Copy !req
227. Why would she lie about
changing her mind?Copy !req
228. Well,
when I was a cop,Copy !req
229. I had a lot of people change their
minds about testifying in court,Copy !req
230. and it always came down
to one of three reasons.Copy !req
231. Fear, confusion,
or they were paid off.Copy !req
232. She doesn't seem confused.Copy !req
233. And I don't think
she's afraid.Copy !req
234. So Gretchen was paid off?Copy !req
235. I admit the analogy
isn't perfect.Copy !req
236. It's close enough.Copy !req
237. Guess who's back in the E.R.Copy !req
238. You're happy, so I'm guessing
it's a non-compliant patient.Copy !req
239. You misjudged Lucy.Copy !req
240. She made an honest mistake
forgetting her prescriptions.Copy !req
241. You called her, didn't you?Copy !req
242. She didn't spontaneously remember,
you had to remind her.Copy !req
243. Is that a Mom thing, too?Copy !req
244. Gretchen, are you worried that
your dad can't afford this surgery?Copy !req
245. The insurance company
is paying for it.Copy !req
246. Dad...Copy !req
247. I know it isn't.Copy !req
248. It's elective.Copy !req
249. It's medically unnecessary.Copy !req
250. No one can put a value
on your smile.Copy !req
251. Not bullies, not an insurance
company, not even Dr. Murphy.Copy !req
252. In my opinion, this surgery's
medically necessary.Copy !req
253. Gretchen, sweetie...Copy !req
254. My first memory of your motherCopy !req
255. was of her smiling at me
from across the room.Copy !req
256. And because of that smile,Copy !req
257. we ended up with you.Copy !req
258. And...
And my last memory of herCopy !req
259. is that radianceCopy !req
260. lighting up the world
one last time.Copy !req
261. I mean,
we never had much money,Copy !req
262. but as long as I had that smile,Copy !req
263. it didn't matter.Copy !req
264. I love you, Dad.Copy !req
265. And that's why I can't let you
give up everything for this.Copy !req
266. Lucy Callard?Copy !req
267. I'm here.Copy !req
268. Um,
Lucille Elizabeth Callard?Copy !req
269. Yes, that's me.Copy !req
270. A Dr. Browne called me
to pick up my prescriptions?Copy !req
271. You're the victim
of identity theft, Lucy.Copy !req
272. There's an impostor using your name
and medical ID to get benefits.Copy !req
273. Did you have your purse
stolen recently?Copy !req
274. Six weeks ago.Copy !req
275. And you had your driver's license
and credit cards replaced,Copy !req
276. but not your
health-insurance card?Copy !req
277. Is this why the pharmacy refuses
to fill my prescriptions?Copy !req
278. I'm on pain meds
for post-herpetic neuralgia.Copy !req
279. It's getting really bad.Copy !req
280. Once the impostor filled her
prescription for pain meds,Copy !req
281. the pharmacy must have thoughtCopy !req
282. you were overfilling opiates.Copy !req
283. Oh!Copy !req
284. It always flares up
when I get upset.Copy !req
285. Don't worry, Lucy,
we'll get you your meds.Copy !req
286. We... We can't.Copy !req
287. We're already treating
"Lucy Callard."Copy !req
288. Nice game, Tony.Copy !req
289. Hi, Jim.Copy !req
290. Marcus, hey. You coming or going?
Neither.Copy !req
291. 15-year-old girl
with Moebius Syndrome.Copy !req
292. Your company denied coverage.Copy !req
293. No respiratory issues, deformities,
pain, she doesn't even drool.Copy !req
294. She's fully functional.Copy !req
295. She can't smile.
That's a function.Copy !req
296. Marcus,
I think it's wonderfulCopy !req
297. you want to give
this little girl her smile,Copy !req
298. but if we pay for everything
wonderful, we'll go bankrupt, huh?Copy !req
299. And then
who are we helping?Copy !req
300. We all know doctors cheat
diagnoses to get coverage.Copy !req
301. "Deviated septum"
gets you a free nose job,Copy !req
302. "migraine"
gets you Botox.Copy !req
303. Do you really want me
to play that game?Copy !req
304. This isn't a game for me.Copy !req
305. We're a reputable company
with very high standards.Copy !req
306. Very high bonuses that get even
higher with your denial rate.Copy !req
307. I was gonna suggest
we end thisCopy !req
308. before we say something
we'll regret,Copy !req
309. but I believe that just happened.Copy !req
310. Gretchen's socially isolated,
depressed,Copy !req
311. and that's only gonna get worse.Copy !req
312. What if she slashes her wrists?Copy !req
313. You'd prefer to cover that?Copy !req
314. Are you threatening me
with a teenage girl's suicide?Copy !req
315. And God forbid
something does happen to her,Copy !req
316. 'cause I'll make sure that this...Copy !req
317. conversation's part of
the permanent record.Copy !req
318. Dr. Andrews said
smiles are contagious,Copy !req
319. and I'm testing that hypothesis.Copy !req
320. Well, I'm not sure your study
will prove anything.Copy !req
321. It might have something to doCopy !req
322. with the lack of
the Duchenne Marker.Copy !req
323. Oh, yes.Copy !req
324. But here you go.Copy !req
325. That wasn't a smile.Copy !req
326. Sure it was.Copy !req
327. I want to show you something.Copy !req
328. You need to follow me.Copy !req
329. Okay.Copy !req
330. The impostor has poisoned the
real Lucy's medical record.Copy !req
331. We have to go through
every medication,Copy !req
332. every notation, every test
to determine whose is whose.Copy !req
333. Doing that with zero tolerance for
errors could take six months.Copy !req
334. Well, the paperwork
is our problem, not hers.Copy !req
335. Not if the confusion results in...Copy !req
336. a harmful treatment
or incorrect diagnosis.Copy !req
337. Well, we have to do something.Copy !req
338. This woman
is in serious pain.Copy !req
339. So we treat her.
Just be clever about it.Copy !req
340. Shaun.Copy !req
341. Shaun, I've already had
two iced coffees...Copy !req
342. Debbie.
Hello, Debbie.Copy !req
343. Shaun...
You flirted with Dr. Glassman.Copy !req
344. Oh, my God.Copy !req
345. 'Cause I have a new friend,
and he needs one, too.Copy !req
346. - I'm so sorry.
- Okay. Look, Dr. Glassman,Copy !req
347. Debbie's facial proportions
are close to optimal, okay,Copy !req
348. .38 vertical and .48 horizontal...Copy !req
349. I'm so sorry.Copy !req
350. So you should find her attractive.Copy !req
351. Thank you?Copy !req
352. Shaun...
I'm so sorry.Copy !req
353. And I think
you're both Jewish.Copy !req
354. Tribal commonality is highly
conducive to social bonding.Copy !req
355. Shalom?Copy !req
356. Bullies can't put a value on
your smile, nor can Dr. Murphy,Copy !req
357. but it seems
the insurance company can.Copy !req
358. They've agreed to pay $43,750,Copy !req
359. about 85% of the entire cost.Copy !req
360. I can cover the rest of that.Copy !req
361. I swear.Copy !req
362. Oh, sweetie, please,
let me do this for you.Copy !req
363. Okay.Copy !req
364. Okay.Copy !req
365. "Jane Doe"?Copy !req
366. That's the only way that
we can treat you right now.Copy !req
367. Go home and get some rest.Copy !req
368. The records department will
call you to sort all this out.Copy !req
369. A year ago,
I was playing tennis.Copy !req
370. And then the shingles hit,Copy !req
371. and I was laid up for six weeks,Copy !req
372. and I've been
on pain meds ever since.Copy !req
373. I lost my job, my husband
treats me like I'm an old lady,Copy !req
374. and my daughter thinks
I'm too medicatedCopy !req
375. to be around the new baby.Copy !req
376. Maybe I'll be better off
as "Jane Doe."Copy !req
377. The impostor returns.Copy !req
378. Lucy?
Lucy, can you squeeze my fingers?Copy !req
379. "Lucy"?Copy !req
380. She's in septic shock.Copy !req
381. Order a lactate level,
blood cultures,Copy !req
382. and a broad-spectrum antibiotic.Copy !req
383. I'll tell Melendez we've
initiated Sepsis Protocol.Copy !req
384. We should report her.Copy !req
385. She's a criminal
and a flight risk.Copy !req
386. And very, very sick.Copy !req
387. We should put someone
outside her doorCopy !req
388. and arrest her
when she's stable.Copy !req
389. We don't report patients
we find with drugsCopy !req
390. or non-violent people with guns.Copy !req
391. We do report people
who steal from us.Copy !req
392. What would happen
if people who needed our helpCopy !req
393. thought they would be arrested?Copy !req
394. If they thought they would be
arrested for stealing an ID,Copy !req
395. maybe they wouldn't steal an ID.Copy !req
396. I don't remember anything
in the Hippocratic OathCopy !req
397. about checking payor sources
before treatment.Copy !req
398. Strongly suggesting there was...Copy !req
399. no health insurance in
4th century B.C., Greece.Copy !req
400. We have a duty to treat,Copy !req
401. and we have the right to get paid.Copy !req
402. But first things first.Copy !req
403. Oh, God, I really do not want
to be sued...Copy !req
404. by either one of these women.Copy !req
405. Maintain the pretense.Copy !req
406. And as soon as she's stabilized,
we're gonna press charges.Copy !req
407. Dr. Park,
pull the muscle, please.Copy !req
408. We don't want any excess
gathering in the suture line.Copy !req
409. Thank you.Copy !req
410. Okay, remove retractors.Copy !req
411. Ready?Copy !req
412. Are you sure you don't want
something for the pain?Copy !req
413. No. No, I'm good, as long as
you keep talking to me.Copy !req
414. Especially if you share
something, uh, very painful.Copy !req
415. Painful?
Mmm.Copy !req
416. Okay...Copy !req
417. Like the time
I mistook my biology teacherCopy !req
418. for my girlfriend and picked
her up in the hallway?Copy !req
419. Yeah, twirled her around
three timesCopy !req
420. before I realized my mistake.Copy !req
421. That kind of painful?Copy !req
422. You may have to dig
even deeper than that.Copy !req
423. How aboutCopy !req
424. the time I finally found myself
in the perfect situation?Copy !req
425. You know, work, friends, future,Copy !req
426. something
I never really had before.Copy !req
427. Maybe that's why
I screwed it up.Copy !req
428. You're not responding to the
antibiotics like we'd hoped...Copy !req
429. Lucy.Copy !req
430. You know, don't you?Copy !req
431. When the real Lucy Callard
showed up,Copy !req
432. it kind of gave you away.Copy !req
433. Is there anyone
we can contact?Copy !req
434. Do you have any children?Copy !req
435. A son.Copy !req
436. But he'd be so ashamed of me.Copy !req
437. Where is he?Copy !req
438. College...Copy !req
439. First one in our family.Copy !req
440. I had to choose between
premiums and tuition.Copy !req
441. Your son is very lucky
to have such a loving mother.Copy !req
442. I just wish
you got your antibioticsCopy !req
443. when you got your pain meds.Copy !req
444. I didn't get either medication.Copy !req
445. Are you sure?Copy !req
446. Because the real Lucy was having
problems with the pharmacy.Copy !req
447. I didn't want to risk
using the card again.Copy !req
448. Is she okay?Copy !req
449. Maybe it's time to move on,Copy !req
450. take the lesson with you,
find new friends.Copy !req
451. I went to Denver
for an interview last week.Copy !req
452. And?Copy !req
453. And... We're done.Copy !req
454. Really?Copy !req
455. Take a look.Copy !req
456. Hey, trust me.Copy !req
457. See?
Beautiful.Copy !req
458. The kid, college, it's just
a convenient sob story.Copy !req
459. Why would she lie
if she may be dying?Copy !req
460. Here's what we don't know
about fake Lucy,Copy !req
461. whether her story is true.Copy !req
462. Here's what we do know.Copy !req
463. She's a liar who just
found out she's busted.Copy !req
464. Speaking of lies,Copy !req
465. that shingles virus that
the real Lucy had last year?Copy !req
466. According to Dr. Spindler
at Santa Clara General,Copy !req
467. she had it the year before, too,Copy !req
468. and according to Dr. Millhouse
at SF Muni, the year before that.Copy !req
469. She wasn't denied the pain
meds because of our impostor.Copy !req
470. She was denied because
she is a garden-variety addict.Copy !req
471. Well-played, sir.Copy !req
472. Dr. Park says
the surgery went well.Copy !req
473. It's been too long.Copy !req
474. What has?Copy !req
475. She should be breathing
on her own by now.Copy !req
476. Even after prolonged anesthesia,Copy !req
477. it should only take
60 to 90 minutes.Copy !req
478. Is she okay?Copy !req
479. She should have
protective airway reflexes,Copy !req
480. motor activity,
and a return of consciousness.Copy !req
481. I need to page
Dr. Andrews, STAT.Copy !req
482. What's going on?Copy !req
483. Something bad.Copy !req
484. Gretchen's glucose is
within normal limitsCopy !req
485. and her electrolytes
are also normal.Copy !req
486. And we've ruled out hyper-
and hypothermia.Copy !req
487. It doesn't leave much.
What about hypoxia?Copy !req
488. Uh, she maintained
normal oxygen,Copy !req
489. as well as end tidal CO2
throughout the entire case,Copy !req
490. and we've given reversal agents,Copy !req
491. which we will repeat.Copy !req
492. Do you feel bad?Copy !req
493. It's okay.Copy !req
494. You told them
it was close to risk-free.Copy !req
495. They knew there were risks,
and I told them, too.Copy !req
496. Get a CT. Rule out clots,
hematoma, bleeding, and stroke.Copy !req
497. WBCs and lactate are rising,Copy !req
498. O2 sat and MAP are falling.Copy !req
499. The Sepsis Protocol isn't working.Copy !req
500. Multiple Organ Dysfunction Syndrome.
Medications?Copy !req
501. Another antibiotic,
ah, continue crystalloids,Copy !req
502. increase her vasopressors?
Low-dose steroids?Copy !req
503. Give 'em all at try, and
intubate her and insert a swan.Copy !req
504. And, yes, I understand
this is out of our own pocket.Copy !req
505. Um, do anything
exciting for Purim?Copy !req
506. Purim.
Uh, no.Copy !req
507. Yeah, you know, the usual.Copy !req
508. Mmm.Copy !req
509. Ate a little matzah,Copy !req
510. and celebrated our exodus
from slavery,Copy !req
511. which I think is Passover
and not Purim.Copy !req
512. The truth of the matter is,
I'm only half Jewish,Copy !req
513. so only half the knowledge.Copy !req
514. The truth is
I-I'm not Jewish at all.Copy !req
515. Ah.
Yeah.Copy !req
516. Yeah, my first husband was.Copy !req
517. So I guess we have our
lack of Jewishness in common.Copy !req
518. You know what, Debbie?
I think I-I should get going.Copy !req
519. Okay. Well, it was...Copy !req
520. It was nice, uh, finally
meeting you, officially.Copy !req
521. Same.Copy !req
522. Oh, no,
look at that!Copy !req
523. A 1975 300D,Copy !req
524. one of the most
perfect Mercedes everCopy !req
525. just got
a little less perfect.Copy !req
526. I beg to differ.
If you're looking for perfection,Copy !req
527. you look no further
than the 1967 280SE.Copy !req
528. Cabriolet or coupe?Copy !req
529. The coupe,
an all-time classic.Copy !req
530. Well, an owner of a 300SL
Gullwing might argue otherwise.Copy !req
531. A Gullwing?
Yeah.Copy !req
532. Can I get you another coffee?Copy !req
533. Yeah.Copy !req
534. Iced, large, black.Copy !req
535. That's it.
I know.Copy !req
536. That's a little bit
unsettling, Murphy.Copy !req
537. Okay.Copy !req
538. Why are you studying the current
of ions during electrolysis?Copy !req
539. Uh, it's not the chemical
kind of transference.Copy !req
540. It's the doctor-patient kind.Copy !req
541. I'm dealing with
a personal situation.Copy !req
542. I don't think
the Internet is very helpfulCopy !req
543. for solving personal situations.Copy !req
544. True.Copy !req
545. But I can't exactly ask Claire
for her advice,Copy !req
546. and I barely know Park,
and Morgan...Copy !req
547. Morgan would be bad.Copy !req
548. Very bad.Copy !req
549. I'm a person.Copy !req
550. Yeah. No, no.
Yeah, of course, Shaun.Copy !req
551. I'd, uh,
I'd love your advice.Copy !req
552. Okay.Copy !req
553. Uh, so I think Celez,
my burn patient,Copy !req
554. has feelings for me,
and I...Copy !req
555. may have feelings for her, too.Copy !req
556. But there's a good chance
her feelings aren't real,Copy !req
557. and if they are real, then
they may not be permanent.Copy !req
558. Uh, you know, it's kind of
textbook transference.Copy !req
559. She's grateful
and she's vulnerable.Copy !req
560. And all I've ever known in
my life is unrequited love...Copy !req
561. from Claire and from my parents.Copy !req
562. And that makes me vulnerable, too.Copy !req
563. You should call in sick.Copy !req
564. Lea says calling in sick
is all you needCopy !req
565. to gain superior wisdom
and knowledge.Copy !req
566. She was right.Copy !req
567. The CT showed
no abnormalities,Copy !req
568. and the reversal agents have
been repeated without effect.Copy !req
569. So what else could it be?Copy !req
570. Anoxic brain injury,
a complication of anesthesia.Copy !req
571. Unfortunately, we believe...Copy !req
572. your daughter is brain-dead.Copy !req
573. What?Copy !req
574. All for a smile.Copy !req
575. I made her think she wasn't
good enough the way she was.Copy !req
576. I should've listened to you.Copy !req
577. Yes.Copy !req
578. There's just no predicting how
individuals will react to anesthesia.Copy !req
579. Yeah.Copy !req
580. Park! You just walked out
on that man.Copy !req
581. The last thing
a grieving family member needsCopy !req
582. is to see
their doctor tap out.Copy !req
583. Maybe she's still
under anesthesia.Copy !req
584. Succinylcholine.Copy !req
585. It was one of the anesthetics
Gretchen was administered.Copy !req
586. Yeah.
Now, what if she hasCopy !req
587. a Plasma Cholinesterase
Deficiency?Copy !req
588. It'd mean her body couldn't
break down that specific drug.Copy !req
589. Complete deficiency
is extremely rare.Copy !req
590. I've never personally seen it,Copy !req
591. and I don't know anyone
who has.Copy !req
592. Yeah, but if she does have it,
she's just gonna wake up.Copy !req
593. Should I tell the father?Copy !req
594. No, not yet.Copy !req
595. No way we're letting him
grieve twice.Copy !req
596. Your labs are not improving.Copy !req
597. Your organs are shutting down.Copy !req
598. You're running out of time.Copy !req
599. I'd like to stop
calling you "Lucy."Copy !req
600. You're welcome...Copy !req
601. Beatrice.Copy !req
602. What are you doing?Copy !req
603. Corneal reflex.Copy !req
604. It's mediated by the nasociliary
branch of the ophthalmic branch.Copy !req
605. What does it mean?Copy !req
606. It means we were wrong.Copy !req
607. She's gonna be just fine.Copy !req
608. Thank you, Doctor.
Thank you.Copy !req
609. Thank you... Oh.Copy !req
610. Thank you, Dr. Murphy.Copy !req
611. Honey,
you're gonna be okay.Copy !req
612. You're gonna be just fine.Copy !req
613. I was drawing a bath, and I
leaned over to turn it off,Copy !req
614. and I dropped the pill bottle,Copy !req
615. and before
I could fish it out...Copy !req
616. All the pills were ruined.
So you need a refill.Copy !req
617. My pain has made me
so clumsy.Copy !req
618. Lucy, you're a liarCopy !req
619. and a cheat
and an addict.Copy !req
620. We know about
the frequent prescriptions,Copy !req
621. the multiple doctors, and the
ever-recurring shingles.Copy !req
622. You have
a serious medical problem.Copy !req
623. Let me help you.Copy !req
624. Three months?Copy !req
625. Hopefully.Copy !req
626. But we might be able to give youCopy !req
627. a pretty good idea of what
you're gonna look like.Copy !req
628. Those things by your ears
are neuro-stimulators.Copy !req
629. When we activate them,
instant smile.Copy !req
630. Sound good?Copy !req
631. Dr. Murphy.Copy !req
632. It's your mother's smile.Copy !req
633. She seemed like
a good template.Copy !req
634. There is no Duchenne Marker.Copy !req
635. Her smile is not real.Copy !req
636. Thank you.
Thank you.Copy !req
637. But all the other ones are.Copy !req
638. All the other ones are.Copy !req
639. I spoke with Jim Ransler,Copy !req
640. who made it very clear that
we owe him big time for this.Copy !req
641. Don't worry, Marcus,
I can handle him.Copy !req
642. I'm very impressed.Copy !req
643. It was all
very presidential of you.Copy !req
644. You really went above and beyond.Copy !req
645. Yes, I did.Copy !req
646. I thought
I was saving her life.Copy !req
647. Instead, I nearly ended it.Copy !req
648. Celez, hi.Copy !req
649. This is the brilliant Dr. Murphy.Copy !req
650. He'll be assuming your care
from here on,Copy !req
651. though I don't expect
you'll need much.Copy !req
652. I understand.Copy !req
653. I don't think you do.Copy !req
654. You see, doctors aren't allowed
to date their patients.Copy !req
655. What are you doing tomorrow?Copy !req
656. Uh, I'm calling in sick.Copy !req
657. I think you may still have
some friends here.Copy !req
658. I guess there is
one upside to all this.Copy !req
659. If she hadn't bought
the stolen insurance card,Copy !req
660. the real Lucy wouldn't be
in rehab right now.Copy !req
661. Surprisingly nice.Copy !req
662. I told her what she needed
to hear to get help.Copy !req
663. Trust me, I get it.Copy !req
664. Too soft, people take
advantage of you.Copy !req
665. But with your badass upbringing,Copy !req
666. no one messes with you.Copy !req
667. Upsides everywhere.Copy !req
668. You have way more street cred
than, say,Copy !req
669. someone whose mom's
a Johns Hopkins cardiologist,Copy !req
670. whose dad's
a pathologist,Copy !req
671. and whose parents have been
happily married for 37 years.Copy !req
672. Coming from privilege,
zero respect.Copy !req
673. Must be really hard
to overcome.Copy !req
674. I'll call a code.
No.Copy !req
675. There's nothing left to save.Copy !req
676. Time of death, 8:14 p.m.Copy !req
677. I'll notify her son.Copy !req
678. Oh, hey.Copy !req
679. Um, my homies decided to pop byCopy !req
680. and, uh,
play some Texas Hold'em,Copy !req
681. so I'm gonna have to take a
rain check on that pizza night.Copy !req
682. You got a 70-inch flat-screen, too.Copy !req
683. Uh, no.
I borrowed yours.Copy !req
684. Makes no sense for us both
to have one, right?Copy !req
685. Plus homies got to watch
March Madness.Copy !req
686. - Okay.
- Oh, um, sorry, amigo.Copy !req
687. It's four-player Texas Hold'em.Copy !req
688. I don't like poker anyway.Copy !req
689. Hey, Shaun.Copy !req
690. Look, you're a great guy,Copy !req
691. um, but you got a few,Copy !req
692. like, quirks, you know?Copy !req
693. And that...Copy !req
694. It doesn't really...Copy !req
695. jive with this kind of face time.Copy !req
696. You get what I'm saying, right?Copy !req
697. I love you, man.Copy !req
698. I once drove a 300SL...Copy !req
699. Thank you.
A 300SL Gullwing.Copy !req
700. On the road?Copy !req
701. No. For 200 feet
at the Concours d'Elegance.Copy !req
702. Oh, in Pebble Beach.
That's just as cool.Copy !req
703. The car show, you know it.Copy !req
704. Of course, yeah.Copy !req
705. This year, they're featuring
a Rollston Coachwork display.Copy !req
706. Including the Mercedes SS?Copy !req
707. I don't know.
Ah!Copy !req
708. But we should find out.Copy !req
709. Do you want to go?Copy !req
710. I couldn't.Copy !req
711. Yeah, no, I...Copy !req
712. Why?Copy !req
713. No reason.Copy !req
714. I just... I just thoughtCopy !req
715. that I should make that my first
response before I accepted.Copy !req
716. Can I get you anything else?Copy !req
717. No, thank you.
We'll just take the doorstop.Copy !req
718. I'm sorry. Um, well...Copy !req
719. Well, you can bring
the doorstop.Copy !req
720. Aaron?Copy !req
721. Sorry. Um...Copy !req
722. The thing...Copy !req
723. The thing... The thing...
The thing that... That...Copy !req
724. That t-tells you how much
to pay, the... The doorstop.Copy !req
725. Could you call a...Copy !req
726. Can you call
an ambulance, please?Copy !req
727. Mmm-hmm.
Thank you.Copy !req