1. - Oh!
Copy !req
2. We can't both shower
at the same time, Lea.
Copy !req
3. One of us would
block the steam of water for the other.
Copy !req
4. Oh, Shaun, this is not
for the purpose of cleanliness.
Copy !req
5. This is for the purpose
of having sex with you.
Copy !req
6. Oh.
Copy !req
7. N… No. No.
Copy !req
8. It would be inconvenient,
possibly dangerous.
Copy !req
9. Soap might get into difficult places.
Copy !req
10. If we leaned against the shower handle,
Copy !req
11. we could scald ourselves.
Bottles could be disarranged.
Copy !req
12. It was just a thought.
Copy !req
13. It was a bad thought.
Copy !req
14. I'm surprised.
You're such an intelligent person.
Copy !req
15. I'll… Reset your alarm.
Copy !req
16. It's a three-day weekend
and a full moon.
Copy !req
17. People are gonna do stupid things.
Copy !req
18. I'm asking everyone
to take an extra trauma call in the ER.
Copy !req
19. Make yourselves available
if you're needed.
Copy !req
20. Questions?
Copy !req
21. How'd you get the bruise?
Copy !req
22. First casualty of the full moon.
Copy !req
23. I smacked my head on a cupboard door
while reaching for my coffee mug.
Copy !req
24. Any other questions?
Copy !req
25. Why is there a Subaru
in your parking space?
Copy !req
26. Because it's my car.
Copy !req
27. You have a car?
Copy !req
28. You're gonna be seeing a lot of it.
I sold the Ducati.
Copy !req
29. - What? No.
- It just wasn't practical.
Copy !req
30. Is it already gone? Because…
Copy !req
31. A guy from Craigslist snatched it up.
Copy !req
32. Any other questions…
Not dealing with the bike?
Copy !req
33. It wasn't that much of a bruise.
Copy !req
34. But the doctor at the ski resort told us
Copy !req
35. I might develop a hematoma?
Copy !req
36. It's not unusual,
but it'll need to be drained.
Copy !req
37. I see you were treated
for melanoma six years ago,
Copy !req
38. and, more recently, breast cancer.
Copy !req
39. Hence the ski trip.
Copy !req
40. A celebration.
Copy !req
41. One year cancer-free.
Also five years cancer-free.
Copy !req
42. I don't suppose a long needle
will be involved in this?
Copy !req
43. Your hematoma extends pretty deep,
Copy !req
44. so the needle will have to be long.
Copy !req
45. But it's over quickly.
Copy !req
46. Sorry, I have to intervene
before this deal goes south.
Copy !req
47. You don't mind if I step out?
Copy !req
48. Would you like us to wait
for your husband to come back?
Copy !req
49. No.
Copy !req
50. Let's go ahead.
Copy !req
51. How do you get
frostbite in San Jose?
Copy !req
52. Cryotherapy accident.
Copy !req
53. I stayed in the booth a little too long.
Copy !req
54. I was going to stand outside
for the full three minutes,
Copy !req
55. - but he said…
- I said, "No need."
Copy !req
56. I'd set the stopwatch on my phone,
Copy !req
57. after which, my thoughts
immediately drifted, and…
Copy !req
58. I came back to find him
frozen in carbonite.
Copy !req
59. You know, I'm more worried
about the fever.
Copy !req
60. Was the cryotherapy
meant to treat something?
Copy !req
61. No. Routine self-care.
Copy !req
62. We've made life extension
part of our health regime…
Copy !req
63. Supplements, meditation, exercise.
Copy !req
64. Three of my gaming apps have gone viral.
Copy !req
65. I'm lucky enough to afford
basically whatever I want,
Copy !req
66. so I spend it on my health.
Copy !req
67. No, I figure fever, must be an infection.
Copy !req
68. Well, I know that frostbite
can make you vulnerable.
Copy !req
69. It just… It didn't seem severe enough to…
Copy !req
70. Oh, sorry. I feel a little queasy.
Copy !req
71. Aah!
Copy !req
72. Wyatt.
Copy !req
73. Ow!
Copy !req
74. I need a medical transport team, stat.
Copy !req
75. Perforated bowel.
He needs immediate surgery.
Copy !req
76. No. No. Why do people hate wind farms?
Copy !req
77. Everyone thinks they're noisy.
Copy !req
78. This could make a turbine sound as quiet
Copy !req
79. as a page turning in a library.
Copy !req
80. That's not worth our investing in?
Copy !req
81. Did you even look… Hold on.
Copy !req
82. Anything I need to know?
Copy !req
83. Hematoma's drained.
Copy !req
84. We're sending a sample
to Pathology… Routine.
Copy !req
85. Should have it back sometime tomorrow.
Copy !req
86. - Thank you.
- Mm-hmm.
Copy !req
87. I couldn't help overhearing a little.
Copy !req
88. Are you a venture capitalist?
Copy !req
89. The only people who ask me if I'm a VC
Copy !req
90. are people who want a VC
to invest in their project.
Copy !req
91. Maybe, after we get your wife
healthy again, we could talk?
Copy !req
92. Call whenever you're ready.
My life is listening to ideas.
Copy !req
93. If it's good, I'll run it by
my two partners.
Copy !req
94. If it's really good, we'll take
a 30% equity position in your company.
Copy !req
95. Yeah.
Copy !req
96. You're the one who wanted us
to get into clean technology.
Copy !req
97. I think I've been asked out on a date.
Copy !req
98. Nice.
Copy !req
99. No, I work with him.
Copy !req
100. - Hasn't stopped you before.
- I supervise him.
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101. - Schedules can be changed.
- He's polyamorous.
Copy !req
102. Unless he also texted you
a ring, it's just a date.
Copy !req
103. And you need to get out more.
Copy !req
104. So do I.
Copy !req
105. You want to take down
the splenocolic ligament.
Copy !req
106. Just don't nick
the inferior mesenteric artery.
Copy !req
107. I feel the I.M.A. under my finger.
Copy !req
108. Placing the stapler.
Copy !req
109. And cutting.
Copy !req
110. I voted "approve."
Copy !req
111. Disapprove.
Copy !req
112. No opinion.
Copy !req
113. There's a poll?
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114. Yes… About shower sex.
Copy !req
115. I know it's wrong
to discuss shower sex at work,
Copy !req
116. so I did a poll instead.
Copy !req
117. Much better.
Copy !req
118. Dr. Murphy, do you really
want people knowing the details
Copy !req
119. of your personal life?
Copy !req
120. You don't think they took it
as an abstract question?
Copy !req
121. No. We all take it as something
that happened between you and Lea.
Copy !req
122. And that there was a fight.
Copy !req
123. Sometime before
00 a.m. today,
Copy !req
124. which was when the poll was sent out.
Copy !req
125. You are very astute.
Copy !req
126. I'm seeing diffuse dilation
of the large bowel here.
Copy !req
127. Is that normal?
Copy !req
128. Some calcified lesions.
Copy !req
129. Wall's thin, too.
Copy !req
130. Hirschsprung's.
Copy !req
131. I thought Hirschsprung's
was a disease only babies
Copy !req
132. - and young children got.
- It is.
Copy !req
133. But he has it.
Copy !req
134. We treated the Hirschsprung's by
removing the dilated part of your colon.
Copy !req
135. It won't impact your life,
Copy !req
136. but we would like an explanation.
Copy !req
137. Dr. Murphy doesn't mean
we expect you to be a diagnostician.
Copy !req
138. It's just…
Copy !req
139. This was kind of singular.
Copy !req
140. So, if you have any thoughts…
Copy !req
141. Did anyone in your family
suddenly develop these symptoms?
Copy !req
142. I did something singular to myself
about six months ago.
Copy !req
143. I modified my genetic code.
Copy !req
144. I did a CRISPR procedure
under the guidance of some researchers
Copy !req
145. I know in China through my work.
Copy !req
146. They put together a series of cocktails.
Copy !req
147. They FedExed them to be,
and Sophie helped me inject them
Copy !req
148. into my bone marrow.
Copy !req
149. Why?
Copy !req
150. If you know anything about CRISPR,
Copy !req
151. you know how risky it is
to tinker with your genome.
Copy !req
152. You have no idea what problems
you might let loose.
Copy !req
153. I needed to optimize
my telomerase activity.
Copy !req
154. It's the enzyme responsible for correcting
cell replication errors,
Copy !req
155. - the cause of aging.
- You can't stop aging
Copy !req
156. through changing your telomerase activity.
Copy !req
157. You might extend your life a little,
but exercise…
Copy !req
158. It does the same thing. Much less risky.
Copy !req
159. Your decision makes no sense.
Copy !req
160. Extending my life by a few years
is only my short-term goal.
Copy !req
161. Look, you know how fast
medicine is moving.
Copy !req
162. The day isn't that far away when cloning
Copy !req
163. will make transplants as easy
as switching out a light socket.
Copy !req
164. AI will start to make breakthroughs
Copy !req
165. that we can't predict or understand.
Copy !req
166. Medical knowledge will rise exponentially.
Copy !req
167. There are babies born now
who could live to see it,
Copy !req
168. could live to be 1,000 years old.
Copy !req
169. Maybe more. Maybe forever.
Copy !req
170. Or at least, as long as they want to.
Copy !req
171. So, our plan is to give my CRISPR a year
Copy !req
172. to make sure the telomerase change works,
Copy !req
173. and then we'll do her.
Copy !req
174. We'll aspirate a sample
of your bone marrow.
Copy !req
175. See if we can figure out
what the hell you did.
Copy !req
176. Hey.
Copy !req
177. Um… I don't think coffee's a good idea.
Copy !req
178. Entire civilizations rely on it.
But I don't think
Copy !req
179. you're referring to the beverage itself.
Copy !req
180. I don't think it's a good idea for
first-years and fourth-years to go out.
Copy !req
181. I am bound to supervise you
at some point in the future,
Copy !req
182. and it'd get complicated
trying to change dates out,
Copy !req
183. and the fact is…
Copy !req
184. Seeing somebody you work with
rarely ends happily.
Copy !req
185. So, I appreciate you
thinking of me, but I…
Copy !req
186. Oh, you thought it was a date.
Copy !req
187. I'm still new here,
and I thought it was
Copy !req
188. a good opportunity to get
to know each other.
Copy !req
189. Coffee's perfect because you're asking
Copy !req
190. the least amount of commitment
from another human being.
Copy !req
191. It's not even lunch.
Copy !req
192. If it's still a "no," it's still a "no,"
Copy !req
193. but I'll let you re-think your answer.
Copy !req
194. He only claimed
it wasn't a date to save face.
Copy !req
195. Or maybe I just assumed.
Copy !req
196. But why did I assume?
Copy !req
197. I don't think I'm some kind of narcissist
Copy !req
198. who thinks every man
wants to get close to me.
Copy !req
199. Or we both assumed it's a date
because it's a date.
Copy !req
200. This is fun. I like being your bestie.
Copy !req
201. Slumber party?
Copy !req
202. I made a poll to test
the popularity of shower sex.
Copy !req
203. I heard.
Copy !req
204. I fielded some questions about that.
Copy !req
205. "Approve" has won,
but don't get too excited, Lea.
Copy !req
206. It's only 58-38,
Copy !req
207. with several complicated noncommittals,
Copy !req
208. so clearly my attitude is reasonable.
Copy !req
209. We don't have room for a…
Copy !req
210. skier exercise thing.
Copy !req
211. I'm only putting it together
so I can take a picture
Copy !req
212. and sell it online.
Copy !req
213. Why do you have it if you don't want it?
Copy !req
214. My ex sent it.
Copy !req
215. "Ex"?
Copy !req
216. Husband.
Copy !req
217. I left this thing in the attic
Copy !req
218. until I got settled somewhere
with enough space.
Copy !req
219. And okay, that was 10 years ago,
Copy !req
220. but it's not like it was in his way.
Copy !req
221. We got married, not for long,
right out of high school.
Copy !req
222. Literally the boy next door.
Copy !req
223. We grew up together. People expected it.
Copy !req
224. It… was a big mistake.
Copy !req
225. We both realized it pretty quickly.
Copy !req
226. Why would you even
want to live forever?
Copy !req
227. - You'd be bored out of your mind.
Copy !req
228. The person I am now
Copy !req
229. is miles away from the person I was at 14.
Copy !req
230. I only get more distant every year.
Copy !req
231. You learn to understand,
Copy !req
232. love books that you once hated,
Copy !req
233. sometimes people you once hated.
Copy !req
234. Music that you didn't get
the point of becomes magical.
Copy !req
235. And a thousand new doors will open.
Copy !req
236. I look forward to the adventure.
Copy !req
237. - Ow.
Copy !req
238. Sorry. Adventure's not always
gonna be fun.
Copy !req
239. I figure it takes 40 or 50 years
Copy !req
240. just to get over the things
your parents did.
Copy !req
241. If only we lived long enough,
Copy !req
242. the human race might finally
have a chance to grow up.
Copy !req
243. What size shoes do you wear?
Copy !req
244. Seven and a half.
Copy !req
245. "Dr. Allen's Walking On Clouds Inserts."
Copy !req
246. "Doctor" in the name
is always good marketing strategy.
Copy !req
247. They're designed to reduce inflammation
Copy !req
248. that could lead to plantar fasciitis,
Copy !req
249. calluses, arthritis,
and they feel damn good.
Copy !req
250. Does this have anything
to do with our patient's
Copy !req
251. venture capitalist husband?
Copy !req
252. I need testimonials.
Copy !req
253. Labs and Path for Hannah Palmer.
Copy !req
254. Aren't we all busy enough
learning how to be surgeons?
Copy !req
255. Do you really want to divide your focus
onto something trivial?
Copy !req
256. Because wanting to make money
taints the purity of medicine?
Copy !req
257. I have five brothers.
Copy !req
258. I've been taking care of people
my whole life.
Copy !req
259. Someone got hurt,
they came to me to patch them up.
Copy !req
260. I became a doctor
so I could get paid for it,
Copy !req
261. but also because I'm good
at taking care of people.
Copy !req
262. It's possible to do something
for more than one reason.
Copy !req
263. The news is bad.
Copy !req
264. There's an abnormally healthy population
Copy !req
265. of hematopoietic progenitor stem cells.
Copy !req
266. - He did it?
- It's significant.
Copy !req
267. He's succeeded in optimizing
enough telomerase activity
Copy !req
268. to potentially add 10 years
to his natural life.
Copy !req
269. Well, assuming
it doesn't subtract about 50.
Copy !req
270. There's already an autoimmune reaction
that mimics Hirschsprung's.
Copy !req
271. Who knows what else he did?
Copy !req
272. What if this is the opposite
of an auto-immune condition?
Copy !req
273. What if he's done something
that lowers his resistance to infection?
Copy !req
274. Then we'd be seeing
more opportunistic infections
Copy !req
275. of the lungs and skin.
Copy !req
276. If you lived another 1,000 years,
Copy !req
277. would you be with the same person
at the end as at the beginning?
Copy !req
278. - No.
- No.
Copy !req
279. No, if you assume monogamy.
Copy !req
280. That puts too much strain
on a relationship.
Copy !req
281. Is one person supposed to
be everything to another,
Copy !req
282. all the time, for 1,000 years?
Copy !req
283. Apparently Jesus agrees.
On monogamy.
Copy !req
284. He said that, in Heaven,
there'll be no more marriages.
Copy !req
285. I guess humans can't sustain
a relationship that long.
Copy !req
286. You read the New Testament, too?
Copy !req
287. And the Qur'an. And other things.
Copy !req
288. It's like you're a stalker.
Copy !req
289. It's like you and God
had an acrimonious divorce.
Copy !req
290. What if he caused neurofibromatosis?
Copy !req
291. Microscopic tumors forming
on the nerve sheath?
Copy !req
292. Mm. Possible, but there'd have been
some evidence of Schwann cell growth
Copy !req
293. around his colon.
Copy !req
294. Would you still love your wife
in 1,000 years?
Copy !req
295. You have three answers.
That should be enough.
Copy !req
296. Park's marriage failed in far less time,
Copy !req
297. and Enrique doesn't even try.
Copy !req
298. Asher is an…
Copy !req
299. unknown quantity.
Copy !req
300. You're committed.
Copy !req
301. You've made promises.
Copy !req
302. I've made promises based on
Copy !req
303. an understood human life-span, Murphy.
Copy !req
304. Most likely diagnosis is
autoimmune polyneuropathy.
Copy !req
305. It damaged the enteral ganglion nerve
Copy !req
306. and led to the perforations.
Copy !req
307. Start him on steroids
and immunosuppressants.
Copy !req
308. Dr. Andrews.
Copy !req
309. So, you wouldn't have gotten married
Copy !req
310. if you thought it would be forever.
Copy !req
311. You expect all relationships
to fail over time.
Copy !req
312. It's just a question of how long?
Copy !req
313. I love her now.
Copy !req
314. I intend to love her as long as I live.
Copy !req
315. But, eventually, everything breaks.
Copy !req
316. I always go back to comfort reading
when I'm in the hospital.
Copy !req
317. Cozy mysteries in little English villages,
Copy !req
318. where nothing bad happens
to anyone we like.
Copy !req
319. We've gotten your results back.
Copy !req
320. - When will your husband be…
- Is it cancer?
Copy !req
321. Yes.
Copy !req
322. Thyroid carcinoma.
Copy !req
323. We're gonna do
a complete imaging series
Copy !req
324. to pinpoint just how advanced…
Copy !req
325. Treatment?
Copy !req
326. Surgery to remove some
or all of your thyroid
Copy !req
327. is usually the first line of defense.
Copy !req
328. Sometimes, we can wait,
but given the hematoma
Copy !req
329. was probably caused
by the tumor invading nearby vasculatures,
Copy !req
330. - we should do it in the next few days.
Copy !req
331. Later, there'll be radioactive
iodine treatment…
Copy !req
332. Panic attack?
Copy !req
333. Her trachea's deviated to the right.
Copy !req
334. The tumor's compressing it.
We're doing surgery now.
Copy !req
335. What happened?
The nurse just said "surgery."
Copy !req
336. Was it the hematoma?
Copy !req
337. It's more serious.
Copy !req
338. I… It's not cancer…
Copy !req
339. again.
Copy !req
340. Thyroid carcinoma.
Copy !req
341. We've removed her thyroid.
She's doing well.
Copy !req
342. We're looking into potential causes…
Copy !req
343. Genetic, environmental.
Copy !req
344. There may be a deeper issue
that we can find and address.
Copy !req
345. I can't do this.
Copy !req
346. You've done it before.
Copy !req
347. You'll do it this time.
Copy !req
348. Do you know what it's like…
Copy !req
349. to wake up every morning and know
your wife might not be here next year?
Copy !req
350. All those treatments…
Copy !req
351. they all… They all have this
little tag attached to them
Copy !req
352. that says, "Because she might die."
Copy !req
353. And you see them put those gloves on
Copy !req
354. before they hook up the chemo.
Copy !req
355. You know why they do that.
Copy !req
356. It's because it's poison.
Copy !req
357. And you sit there…
Copy !req
358. And you watch them
shove poison into the person you love.
Copy !req
359. And why?
Copy !req
360. Because she might die.
Copy !req
361. We're killing her because she might die.
Copy !req
362. Go for a run.
Copy !req
363. Go punch a wall.
Copy !req
364. You need to release some endorphins.
Copy !req
365. My release is my job.
Copy !req
366. That's why I love it.
Copy !req
367. My work requires total focus.
Copy !req
368. And every minute I'm working
Copy !req
369. is a minute I'm not thinking about…
Copy !req
370. losing her.
Copy !req
371. I have to go.
Copy !req
372. Your pain and weakness
are consistent with polyneuropathy,
Copy !req
373. treatable with steroids
and immunosuppressants.
Copy !req
374. If you live 1,000 years,
will you still love Sophie?
Copy !req
375. Yes.
Copy !req
376. How can you be sure?
Copy !req
377. People change. You expect to change.
Copy !req
378. Sophie and I will change together.
Copy !req
379. We'll go through the same adventures
and learn the same lessons.
Copy !req
380. What if you go through
the same adventures
Copy !req
381. and learn different lessons?
Copy !req
382. Even if we did, whoever,
whatever we become,
Copy !req
383. Sophie will always be beautiful.
Copy !req
384. I mean, she could turn into
a machine or a set of pixels
Copy !req
385. or a giant purple flower,
and she'll still be beautiful,
Copy !req
386. because it's part of
her essential nature.
Copy !req
387. But if you don't know
how you'll change,
Copy !req
388. you don't know how you'll change.
Copy !req
389. Shaun.
Copy !req
390. We'll let you get some rest.
Copy !req
391. The steroids should make you
feel a lot better.
Copy !req
392. Why didn't you ever mention
you had an ex-husband?
Copy !req
393. Shaun, I've barely
thought about him in years.
Copy !req
394. I didn't mention him
because he's not important.
Copy !req
395. I know. That's the problem.
Copy !req
396. At one time, you felt he was
important enough to your life
Copy !req
397. to marry him, and now
you barely think of him.
Copy !req
398. You make long-term plans,
you have expectations,
Copy !req
399. and then something happens to you,
Copy !req
400. and suddenly you're a different person.
Copy !req
401. I know you don't like change,
but it's not all bad.
Copy !req
402. After all, you are working
to change yourself all the time.
Copy !req
403. I'm working to be a better surgeon,
a better boyfriend,
Copy !req
404. better at the things I've chosen,
but this…
Copy !req
405. other change… It's unpredictable.
Copy !req
406. You don't choose it.
Copy !req
407. It just comes at you.
Copy !req
408. Oh, it's like hurricanes before 1873,
Copy !req
409. when the Army Signal Corps
first put up flags
Copy !req
410. to warn people storms were coming.
Copy !req
411. Before that, houses were flattened,
lives destroyed,
Copy !req
412. and there was no way to see
it was heading for you.
Copy !req
413. Shaun.
Copy !req
414. Our relationship will not end
in natural disaster.
Copy !req
415. It did begin in one.
Copy !req
416. I'm going to look in on my patient.
Copy !req
417. Okay.
Copy !req
418. Blood and saliva will tell us
if there's a genetic cause,
Copy !req
419. and the samples
we take from your house
Copy !req
420. will tell us if there's
something environmental.
Copy !req
421. I know it's… stupid.
Copy !req
422. I've almost felt guilty for my cancer,
Copy !req
423. like I arbitrarily decided
to be sick and burdensome.
Copy !req
424. Do the people you're close to
Copy !req
425. ever act like you're a burden to them?
Copy !req
426. You mean Alan.
Copy !req
427. He's scared.
Copy !req
428. He takes the exit he's got
and he turns to his work.
Copy !req
429. You're okay with that?
Copy !req
430. I accept this compromise.
Copy !req
431. That's not the hard part.
The hard part is…
Copy !req
432. not knowing.
Copy !req
433. Each new thing that happens,
I worry, "Is this it?
Copy !req
434. Is this where I lose him?
Copy !req
435. Is this where he breaks?"
Copy !req
436. So, this is boiled coffee.
Copy !req
437. Some people call it "Turkish coffee,"
Copy !req
438. or "Greek coffee," or "Egyptian coffee"…
Copy !req
439. Because we need to take ownership
and put things in categories.
Copy !req
440. Yeah.
Copy !req
441. You actually live in this thing,
Copy !req
442. in the hospital parking garage?
Copy !req
443. Why not?
Copy !req
444. Convenient for work.
Copy !req
445. When I want to spend
a few days off the beaten track,
Copy !req
446. it's convenient for that, too.
Copy !req
447. Ooh. I'm gonna get three sips in this.
Copy !req
448. But three really great sips.
Copy !req
449. That's how I try to live my life…
Copy !req
450. Try to appreciate, savor, not pass by.
Copy !req
451. Is that what the polyamory is about?
Copy !req
452. Does it really work,
or is it one of those theories about life
Copy !req
453. that people regret later?
Copy !req
454. No regrets so far.
Copy !req
455. Mm-hmm. No, I guess not.
Copy !req
456. Not while you're young and having fun.
Copy !req
457. It is fun,
Copy !req
458. but not for the reasons
that you're thinking.
Copy !req
459. It isn't about sex.
Copy !req
460. It's about commitment,
emotional connection.
Copy !req
461. The joy I'm sure you get
out of a relationship,
Copy !req
462. I get a little more.
Copy !req
463. Also, I have to give a little more.
Copy !req
464. But that's meaningful, too.
Copy !req
465. Hmm.
Copy !req
466. Do you mind if I ask you something,
Copy !req
467. since we're getting personal?
Copy !req
468. Sure.
Copy !req
469. What's your favorite misheard song lyric?
Copy !req
470. This is nice.
Copy !req
471. I'm glad it's not a date.
Copy !req
472. Me, too.
Copy !req
473. I don't believe in those categories.
Copy !req
474. - He reported widespread bilateral pain,
Copy !req
475. then he keeled over.
BP dropped to 80 over palp.
Copy !req
476. I'll order a vasopressor.
Copy !req
477. - Already did.
- Good.
Copy !req
478. We need an EKG, CBC, and chest images,
and a new diagnosis.
Copy !req
479. Whatever he caused with CRISPR,
it's not just neuropathy.
Copy !req
480. Something else is killing him.
Copy !req
481. What if he's caused something that mimics
carcinomatous autonomic neuropathy?
Copy !req
482. It explains the BP and bowel issue.
Copy !req
483. That doesn't explain the sensory issue
that led to the frostbite.
Copy !req
484. A connective tissue disorder?
Copy !req
485. That would have shown up on the scans.
His chest looks normal.
Copy !req
486. Maybe we can't think of the answer
because there is no answer.
Copy !req
487. We keep trying to jam it
into categories we know,
Copy !req
488. the diseases that we know.
Copy !req
489. But this never existed before.
Copy !req
490. He created a new combination
of genetic code.
Copy !req
491. That means a new combination of symptoms.
Copy !req
492. We shouldn't be looking at what fits
the picture, but at what's closest
Copy !req
493. to the picture, so we can at least
figure out a treatment.
Copy !req
494. And what it's closest to is amyloidosis.
Copy !req
495. This isn't an autoimmune neuropathy,
Copy !req
496. so the nerves must be under attack
by something else.
Copy !req
497. Something like amyloid disease
could leave deposits
Copy !req
498. along the nerves,
causing the symptoms we've seen.
Copy !req
499. Where do we look for those deposits?
Copy !req
500. The spleen.
Copy !req
501. Drink all 8 ounces.
Copy !req
502. We talked. We had a few laughs.
Copy !req
503. Well, sounds date-y to me.
Copy !req
504. I don't think Enrique's a player.
Copy !req
505. No, he's kind of the opposite of a player.
Copy !req
506. With him,
emotional connection is the point.
Copy !req
507. He's trying to live
some idealistic fantasy
Copy !req
508. where everyone is nice
and no one is jealous.
Copy !req
509. I am so staying away.
Copy !req
510. Well, of course.
Copy !req
511. Once I heard "emotional connection,"
I knew the game was over.
Copy !req
512. What does that mean?
Copy !req
513. I'm against emotion?
Copy !req
514. I'm not the one
with "cold-hearted bitch"
Copy !req
515. as my social media hashtag.
Copy !req
516. She's an excellent doctor.
Copy !req
517. Every time you've loved somebody,
Copy !req
518. it's ended in disappointment or death…
Copy !req
519. Sometimes both.
Copy !req
520. It's like a reflex now.
Copy !req
521. You just expect that
everything ends badly, so why start?
Copy !req
522. So, despite the many
practical reasons not to go out
Copy !req
523. with a first-year, this is all about me?
Copy !req
524. Is that a diamond ring?
Copy !req
525. I mean, it's pretty.
Copy !req
526. Our patient caught her fiancé cheating.
Copy !req
527. Big fight. He demanded the ring back.
Copy !req
528. She swallowed it.
Copy !req
529. I did.
Copy !req
530. You don't even know if this is
"going out," and that's the point.
Copy !req
531. It doesn't matter what Enrique's offering.
Copy !req
532. Whether it's friendship or romance,
you're not investing. You're risk-averse.
Copy !req
533. Your portfolio now
is entirely in T-Bills and money market.
Copy !req
534. No idea what that means.
Copy !req
535. It's too bad,
because a guy that can make you laugh
Copy !req
536. might be just what you need right now.
Copy !req
537. It's progressed to your large intestine.
Copy !req
538. Here's a plastic bag.
Put it over the toilet seat.
Copy !req
539. You'll have every opportunity
to recover your property.
Copy !req
540. Don't run away from a chance at love.
Copy !req
541. It's a date…
Copy !req
542. Maybe. I don't know.
Copy !req
543. Oh.
Copy !req
544. Her house is full of T.C.E.,
Copy !req
545. a side effect from chip-making
Copy !req
546. back in Silicon Valley's early days.
Copy !req
547. So, they move away
from their toxic home,
Copy !req
548. - and hopefully things get a little better.
- Probably not much.
Copy !req
549. She also has a genetic predisposition.
Copy !req
550. It's both?
Copy !req
551. She shouldn't go outside in a rainstorm.
Copy !req
552. How do you tell a woman
that her third cancer
Copy !req
553. likely won't be close to her last?
Copy !req
554. Unfortunately, this is a teaching moment.
Copy !req
555. Dr. Allen, after 12 hours on duty,
Copy !req
556. I can report that
your inserts came through.
Copy !req
557. Check your e-mail.
You'll find my testimonial.
Copy !req
558. Claire. Olivia.
Copy !req
559. And if you're right, what will you do?
Copy !req
560. We'll treat the symptoms
with targeted drug therapies.
Copy !req
561. There really isn't a disease, as such,
that we can address.
Copy !req
562. Ow.
Copy !req
563. The pain shifted?
Copy !req
564. Yeah. Oh.
Copy !req
565. Never mind about the ultrasound.
Copy !req
566. It's easier to check for deposits
after the organ's removed.
Copy !req
567. - After it's…
- Yeah.
Copy !req
568. His spleen's about to rupture.
Call a transport team.
Copy !req
569. It's called Li-Fraumeni Syndrome… LFS.
Copy !req
570. An inherited predisposition
Copy !req
571. to developing a wide range of cancers.
Copy !req
572. Yes, there was a toxin
in your environment
Copy !req
573. that likely played a role in this,
Copy !req
574. but there will be other triggers
in the future.
Copy !req
575. Your body is super sensitive
Copy !req
576. and will respond with tumors
for the rest of your life.
Copy !req
577. I know that's a shock,
Copy !req
578. but here's what you should know…
Copy !req
579. Most cancers are treatable
if found early enough.
Copy !req
580. We know the most common
associated with LFS,
Copy !req
581. and we can do surveillance,
Copy !req
582. nip anything in the bud
before it becomes a problem.
Copy !req
583. It may not seem this way now,
but this is good.
Copy !req
584. We know what we're dealing with.
Copy !req
585. We're warned, and we'll be ready.
Copy !req
586. He won't be able to handle this.
Copy !req
587. Liver, pancreas,
other organs look normal.
Copy !req
588. Ah.
Copy !req
589. But there are calcified lesions
along these nerves.
Copy !req
590. He's gonna be in pain like this
for the rest of his life.
Copy !req
591. No. There's a reasonable chance
it'll get worse as time goes on.
Copy !req
592. I need my sharp-blunt curved scissors.
Copy !req
593. What if we used CRISPR
to reverse CRISPR?
Copy !req
594. Researchers have identified
a protein in certain bacteria
Copy !req
595. that inhibits CRISPR.
Copy !req
596. What if we insert the DNA
that makes that protein
Copy !req
597. into our patient's genome?
Copy !req
598. That would deactivate the CRISPR gene.
Copy !req
599. CRISPR messed him up permanently,
and you think we should do more of it?
Copy !req
600. I don't know. Our patient is a risk-taker.
Copy !req
601. We'd need a delivery mechanism.
Copy !req
602. The code would have to be
introduced through a virus…
Copy !req
603. A virus that specifically targets nerves.
Copy !req
604. Polio targets nerves.
Copy !req
605. Because this isn't risky enough.
Copy !req
606. Polio is such a dangerous virus
Copy !req
607. because it's so good
at penetrating the nervous system.
Copy !req
608. Dr. Murphy?
Copy !req
609. She's going to be this way… forever.
Copy !req
610. She'll have good periods
and bad periods.
Copy !req
611. But she will always
have to be on her guard.
Copy !req
612. Is she always gonna have to be
on guard against you, too?
Copy !req
613. What does that mean?
Copy !req
614. Chronic illness puts strain
on relationships.
Copy !req
615. Statistically, it is more often
the man who can't handle it.
Copy !req
616. Our marriage is none of your business.
Copy !req
617. Her health is my business.
Copy !req
618. And your behavior adds to her stress.
Copy !req
619. You look at her, and you imagine
she's gone, and that is hard.
Copy !req
620. I get it.
Copy !req
621. She thinks the same thing
when she looks at you.
Copy !req
622. I never complain to her.
I know it's nobody's fault.
Copy !req
623. You don't think she knows
you have trouble with all this?
Copy !req
624. Every time something new happens,
Copy !req
625. she wonders, is this the straw
Copy !req
626. that is gonna break your marriage?
Copy !req
627. You've got her living
in a constant state of uncertainty.
Copy !req
628. That is practically
the definition of stress.
Copy !req
629. So, this is the "straighten up
and fly right" lecture.
Copy !req
630. No.
Copy !req
631. I am…
Copy !req
632. I'm telling you to consider
how best to time your divorce.
Copy !req
633. There are gonna be
a lot of new issues dropping on Hannah,
Copy !req
634. and if you're gonna end up
leaving anyway,
Copy !req
635. you should start planning now.
Copy !req
636. I don't want to leave my wife.
Copy !req
637. My best advice?
Copy !req
638. Help her through this next round
of treatment as best you can,
Copy !req
639. and then get out.
Copy !req
640. It's hard living with someone
who needs so much.
Copy !req
641. I know you feel there is a point
where you have nothing left,
Copy !req
642. where you're ready to break.
Copy !req
643. Just… don't break when she needs you most.
Copy !req
644. Get out before that happens.
Copy !req
645. Reading an article that's five years old?
Copy !req
646. Dr. Glassman was once involved
in an experimental attempt
Copy !req
647. to treat Parkinson's
with CRISPR technology.
Copy !req
648. It failed.
Copy !req
649. So, it's both old and it didn't work?
Copy !req
650. Dr. Glassman likes his failures
to be informative.
Copy !req
651. That's why his articles are longer.
Copy !req
652. Do you worry about losing
the people you love?
Copy !req
653. Because we can't stop ourselves
from changing,
Copy !req
654. which means we might
stop loving someone,
Copy !req
655. or they might stop loving us.
Copy !req
656. It is a very bad thing.
Copy !req
657. It is.
Copy !req
658. So, no one can ever feel… safe.
Copy !req
659. How can you keep going
if you never feel safe?
Copy !req
660. Well, sometimes,
not changing is just as dangerous.
Copy !req
661. So, how do you know when to do what?
Copy !req
662. If you find the answer to that,
let me know.
Copy !req
663. - I have it.
- You do?
Copy !req
664. Dr. Glassman used varicella zoster virus
Copy !req
665. as the delivery mechanism,
which didn't work.
Copy !req
666. His first choice was herpes simplex,
Copy !req
667. but the technology was not up
to putting their DNA package into it.
Copy !req
668. The technology has improved.
Copy !req
669. It can be done.
Copy !req
670. Using conventional treatments,
Copy !req
671. there's nothing more we can do for you.
Copy !req
672. The pain will be permanent,
and it could get worse.
Copy !req
673. Well, I've not been one to be
limited by the conventional.
Copy !req
674. We think we can reverse the CRISPR.
Copy !req
675. You want to reverse what I did?
My telomerase change?
Copy !req
676. They want to stop your pain.
Copy !req
677. Soph, it's temporary.
Copy !req
678. What is it, 40 years?
Copy !req
679. That's nothing.
Our real lives are ahead of us.
Copy !req
680. Hey, look, as long as
this doesn't kill me,
Copy !req
681. I've made the right choice,
no matter how bad things get.
Copy !req
682. No.
Copy !req
683. I was willing to exercise
for hours and fast,
Copy !req
684. to give up all sugar and alcohol
Copy !req
685. and do all the other things
that we needed to do
Copy !req
686. to get to a future
that I knew might never come.
Copy !req
687. But now, you're asking me
to watch you suffer
Copy !req
688. for the rest of your life.
Copy !req
689. You're the one who embraces change.
Copy !req
690. So, change to the person
who can be happy with me…
Copy !req
691. here and now.
Copy !req
692. Doctors, would you mind waiting outside?
Copy !req
693. Why did she want us to leave?
Copy !req
694. I think she's delivering an ultimatum.
Copy !req
695. Are you sure about this?
Copy !req
696. It seems there's always something else
Copy !req
697. that I have to give up.
Copy !req
698. But this isn't like sugar or cigarettes.
Copy !req
699. You won't get over this in a hurry.
Copy !req
700. No.
Copy !req
701. Not in 1,000 years.
Copy !req
702. Are you gonna be okay?
Copy !req
703. I'm fine.
Copy !req
704. Alan's at work,
but there should be a taxi waiting.
Copy !req
705. I won't say goodbye, Dr. Browne,
Copy !req
706. 'cause I'll probably be
seeing you again pretty soon.
Copy !req
707. I sent your cab away.
Copy !req
708. I'm sorry I wasn't here sooner.
Copy !req
709. I had to present a proposal
to my partners.
Copy !req
710. I'm selling them my share of the business.
Copy !req
711. Is… Is there something else
you want to do?
Copy !req
712. Yes.
Copy !req
713. I want to be your husband.
Copy !req
714. I realized I was so…
Copy !req
715. afraid of losing you in the future…
Copy !req
716. I was losing you now.
Copy !req
717. Sorry.
Copy !req
718. I hear your VC contact
decided to quit the business.
Copy !req
719. He did the right thing.
Copy !req
720. You know…
Copy !req
721. My feet are killing me.
Copy !req
722. I'm open. To being friends.
Copy !req
723. That's great.
Copy !req
724. I'm open, too, to wherever this goes.
Copy !req
725. It's going to friendship.
Copy !req
726. Understood.
Copy !req
727. But life is about change, which means,
one day, you might change your mind.
Copy !req
728. And if you did, I'd be open to that, too.
Copy !req
729. It's not gonna happen.
Copy !req
730. Okay.
Copy !req
731. First, there should be no soap involved.
Copy !req
732. Also, we need to stay
at one end of the shower,
Copy !req
733. so we don't accidentally knock
into the temperature control.
Copy !req
734. What changed your mind?
Copy !req
735. I've been thinking about change over time.
Copy !req
736. I spoke with people and also graphed
Copy !req
737. several possibilities for us,
Copy !req
738. using time as the horizontal axis
Copy !req
739. and change as the vertical.
Copy !req
740. I realized that the problem
isn't really change.
Copy !req
741. It's whether two people change
in the same direction.
Copy !req
742. We want to keep
our coordinates close to each other
Copy !req
743. for the rest of our lives.
Copy !req
744. We certainly do.
Copy !req
745. But people sometimes do drift apart.
Copy !req
746. Yes.
Copy !req
747. You need a warning
when you and your partner
Copy !req
748. might be starting to veer off,
Copy !req
749. so you can both change course a little.
Copy !req
750. You don't want a surprise realization
when it's too late.
Copy !req
751. Surprises are awful.
Copy !req
752. The U.S. Army Signal Corps
used flags to warn of hurricanes.
Copy !req
753. I brought us this.
Copy !req
754. A cowbell?
Copy !req
755. If you see us heading
in different directions,
Copy !req
756. you ring it.
Copy !req
757. Do we really need a bell?
Can't I just tell you?
Copy !req
758. Oh! When you ring it,
I'll pay attention.
Copy !req
759. I really hate the sound.
Copy !req
760. Only in emergencies.
Copy !req
761. I've already moved the shampoo bottles.
Copy !req
762. What?
Copy !req
763. Oh.
Copy !req
764. You mean now?
Copy !req
765. Don't worry about putting
the bottles back.
Copy !req
766. I'll do it later.
Copy !req
767. I love you.
Copy !req
768. It's no trouble.
I remember where they all go.
Copy !req