1. It might sound extreme,
but I'm pretty sure
I'm in love.
Copy !req
2. I thought you had three more
nannies to interview.
Copy !req
3. I do, but Joelle walked
through the door,
Copy !req
4. and Steve immediately
stopped fussing.
Copy !req
5. She held him
the whole time.
Copy !req
6. - Plus, she speaks Spanish.
- Bilingual bonus.
Copy !req
7. Right? And it will be so much
easier to go back to work
Copy !req
8. if I know Steve is happy
without me.
Copy !req
9. But Shaun has reservations.
Copy !req
10. There's a whole
process involving
Copy !req
11. spreadsheets,
ranked voting.
Copy !req
12. Screw that. Good nannies
are hard to find.
Copy !req
13. You gotta pounce now.
Copy !req
14. I can't just make
that decision without Shaun.
Copy !req
15. Your body is no longer
tolerating the dialysis,
Copy !req
16. and it is putting you
at high risk for stroke
or cardiac damage.
Copy !req
17. We need to start you
on continuous renal
replacement therapy.
Copy !req
18. "Continuous" meaning...?
Copy !req
19. Your mom
has to stay here
Copy !req
20. until she receives
a kidney transplant.
Copy !req
21. I want you home, not living
in a hospital for years.
Copy !req
22. It won't be years.
Copy !req
23. CRRT is usually only effective
for about one week.
Copy !req
24. And then?
Copy !req
25. Complications will set in,
Copy !req
26. and without a transplant,
she will—
Copy !req
27. W-We're going to
find a kidney.
Copy !req
28. The last two donors
weren't compatible.
Copy !req
29. Suki.
Let's try to stay positive.
Copy !req
30. How? The video
I posted last night
Copy !req
31. asking for donors
only has a few hundred views.
Copy !req
32. I don't have
enough followers.
Copy !req
33. Come here, baby.
Copy !req
34. You have
such a good heart.
Copy !req
35. We will place a catheter
in your right jugular vein
Copy !req
36. and start CRRT.
Copy !req
37. Looking forward to
my internal medicine rotation
Copy !req
38. with you, Dr. Reznick.
I really—
Copy !req
39. Each of the urine samples
needs a dip test.
Copy !req
40. Each of the stool samples
in the poop fridge
Copy !req
41. needs a fecal occult
blood test.
Copy !req
42. Okay. I don't know
how to—
Copy !req
43. Dip the pee. Dab the poo.
Send to the lab.
Copy !req
44. It's not rocket science,
MacGyver.
Copy !req
45. But first, that little
blond girl, Zelda,
needs her TDAP vaccine.
Copy !req
46. And be careful.
She's a biter.
Copy !req
47. - Excuse me.
- Hey.
Copy !req
48. I saw a video post
about a patient here.
Copy !req
49. Where do I go
to donate my kidney?
Copy !req
50. I was supposed to raise
my legs and slide on my butt.
Copy !req
51. Did you hear
any cracking sounds?
Copy !req
52. No. I didn't realize my leg was
hurt until we were driving home
Copy !req
53. and the adrenaline
wore off.
Copy !req
54. Did that say
1.6 million views?
Copy !req
55. Turns out that when your
tech-savvy daughter helps you
Copy !req
56. with your bucket list,
you end up an influencer.
Copy !req
57. You've got a Grade 4
malignant spinal cord tumor.
Copy !req
58. How long
did they give you?
Copy !req
59. About a year.
10 months ago.
Copy !req
60. Which is why I took a break
from college.
Copy !req
61. Spend as much time with him
as possible.
Copy !req
62. Make videos.
Copy !req
63. And memories.
Copy !req
64. Let's get x-rays
and a CT of the femur.
Copy !req
65. Get you back on your feet
as quick as possible.
Copy !req
66. Okay, if you'll lie down,
we'll get you down
to radiology.
Copy !req
67. Jerome, do you mind
just unlocking that side?
Copy !req
68. Sorry. I need to leave.
Copy !req
69. Yes, hi. It's Aaron Glassman
checking in on those images.
Copy !req
70. Well, when...
Copy !req
71. They were supposed
to be ready today.
Copy !req
72. Fine. Can you have them
call me as soon asthey come in, please?
Copy !req
73. Thank you.
Copy !req
74. Hi.
Copy !req
75. I'm Dr. Glassman.
Copy !req
76. I can just tell you
what's in there.
Copy !req
77. World-stopping headaches.
Copy !req
78. Over and over
for the past three years.
Copy !req
79. The only thing
that helps is—
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80. Oxycodone 20s.
Copy !req
81. Yeah.
Copy !req
82. And then, like a total klutz,
this morning,
Copy !req
83. I knocked my pill bottle
off the sink,
Copy !req
84. and they all fell
into the toilet.
Copy !req
85. Uh-huh.
Copy !req
86. Your prescribing doctor
is unreachable,
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87. and it says here
you're drug-seeking.
Copy !req
88. After three years of oxy
and a revolving door
of doctors,
Copy !req
89. - that doesn't surprise me.
- Forget it.
Copy !req
90. I'll find another doctor.
Copy !req
91. Like I said, total klutz.
Copy !req
92. Hang on, hang on.
Copy !req
93. - Sit.
- I don't have to listen to you.
Copy !req
94. I know. You don't.
Please. Sit.
Copy !req
95. Follow my finger.
Look to your left.
Copy !req
96. All the way to the right.
Copy !req
97. You have a twitch in your eye.
Did you know that?
Copy !req
98. Is that a thing?
Copy !req
99. It might be a thing.
Tap your finger
Copy !req
100. and your thumb together.
Copy !req
101. There you go.
Copy !req
102. All the way to your pinky
and back.
Copy !req
103. How about a partial refill?
Copy !req
104. Tide me over?
Just until my doc gets back.
Copy !req
105. No pills, but I am
going to order you
Copy !req
106. a brain and spinal MRI.
Copy !req
107. Any family history
of kidney disease?
Copy !req
108. Not that I know of.
Mom's a saint,
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109. and I'm adopted
on my father's side.
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110. Under name,
you only put "Emmanuel."
Copy !req
111. Yeah, that's
what people call me.
Copy !req
112. Like Beyonce.
Copy !req
113. - Hmm. Okay.
Copy !req
114. If the blood and tissue type
match with our patient,
Copy !req
115. we'll do a crossmatch test
and we'll see—
Copy !req
116. Yeah, we'll match.
Copy !req
117. Whenever I donate, they
tell me I have golden blood.
Copy !req
118. Rhnull?
Copy !req
119. That's the rarest blood type
on Earth.
Copy !req
120. Only 100 cases.
Copy !req
121. That makes you
a universal blood donor.
Copy !req
122. Birthplace just says
Nazareth.
Copy !req
123. Is that in Pennsylvania?
Copy !req
124. No, the other one.
Copy !req
125. If the blood type tests out,
that's great news.
Copy !req
126. Almost done here.
Copy !req
127. Uh, you left
occupation blank.
Copy !req
128. I'm a carpenter by trade,
Copy !req
129. but I really consider
myself a teacher.
Copy !req
130. - Dear Lord.
- Yeah, I go by
many names.
Copy !req
131. Uh-huh.
This man thinks he's Jesus.
Copy !req
132. I've been sent here
to help.
Copy !req
133. EGFR and uACR are normal.
Copy !req
134. Both kidneys are
fully functional.
Copy !req
135. He is an ideal donor.
Copy !req
136. Except he's obviously crazy.
He thinks he's Jesus.
Copy !req
137. Technically,
we can't prove he isn't.
Copy !req
138. I mean, the Bible says Jesus
will return to Earth someday.
Copy !req
139. There's several examples
of ordinary people
Copy !req
140. becoming holy figures
later on in life.
Copy !req
141. Muhammed didn't receive
his first revelation from God
Copy !req
142. till he was 40.
Copy !req
143. I minored in theology.
Copy !req
144. He's certainly
your patient's savior.
Copy !req
145. Without him,
she's dead in a week.
Copy !req
146. It is possible we could find
another donor, but unlikely.
Copy !req
147. but that doesn't mean
we should allow
a delusional man
Copy !req
148. to make
life-altering decisions.
Copy !req
149. And the surgery poses
a bigger risk for him.
Copy !req
150. We can only give him blood
from another Rhnull donor,
Copy !req
151. which is nearly impossible
to find.
Copy !req
152. Regardless, we should
reach out to his family.
Copy !req
153. Parents are dead.
Copy !req
154. His emergency contact
is his landlord.
Copy !req
155. If he wants to save someone's
life, I say we let him.
Copy !req
156. UNOS policy says organ donation
is contraindicated
Copy !req
157. if there is inability
to give informed consent
Copy !req
158. due to impaired cognitive
or intellectual capacity.
Copy !req
159. That's not our call.
We need a psych consult.
Copy !req
160. Your patient is suffering
Copy !req
161. from delusional disorder
of grandiosity.
Copy !req
162. However, he can
reliably articulate
Copy !req
163. that he understands
the procedure.
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164. His driver's license
indicates
Copy !req
165. that he has been an organ donor
for at least a decade.
Copy !req
166. That suggests this decision is
consistent with his values.
Copy !req
167. He is completely competent
to donate.
Copy !req
168. Hallelujah.
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169. I don't know how
you live over half a century
Copy !req
170. without trying an oyster.
Copy !req
171. Well, I always wanted to.
I just... I don't know,
Copy !req
172. I chickened out because
they always look so goopy.
Copy !req
173. Well, no more fear.
Copy !req
174. Slurp away.
Copy !req
175. Mmm. Wow. Mmm.
Copy !req
176. Your femur's not fractured.
Copy !req
177. Oh. Good.
Copy !req
178. But the pain you're feeling
is called
Copy !req
179. referred neuropathic pain,
from a fracture in your spine.
Copy !req
180. It's compressing
your spinal cord.
Copy !req
181. Not good.
Copy !req
182. The tumor has infiltrated
and weakened
your spinal column.
Copy !req
183. It likely fractured when you
hit the ground after skydiving.
Copy !req
184. So how do we fix it?
Copy !req
185. Open spinal stabilization
and fusion surgery.
Copy !req
186. We replace your
fractured vertebrae with a cage
Copy !req
187. and add bone grafts, screws,
and rods for support.
Copy !req
188. You should be
back on your feet
in about six weeks.
Copy !req
189. That could be more than half
the time we have left.
Copy !req
190. There is another option
with simpler surgery.
Copy !req
191. No cage and no bone grafts,
much shorter recovery time,
Copy !req
192. but even a small bump
could break it again.
Copy !req
193. So I'll avoid small bumps.
Let's do it.
Copy !req
194. Dad, are you sure?
Copy !req
195. We have a mountain
to climb.
Copy !req
196. We'll go get prepped.
Copy !req
197. Come on,
get your camera rolling.
Copy !req
198. I got 11 more to go.
Copy !req
199. Dad, you're so old.
Copy !req
200. Cameras don't roll anymore.
Copy !req
201. We still need to run an MRI
on the potential donor
Copy !req
202. to evaluate
the kidney's structure.
Copy !req
203. But the labs show
he could be an excellent match.
Copy !req
204. Your video worked.
Copy !req
205. Turns out you don't need
a million followers.
Copy !req
206. Just one...
who thinks he's Jesus.
Copy !req
207. Hashtag blessed.
Copy !req
208. I would like to hire Joelle
as Steve's nanny.
Copy !req
209. I worked it out.
Copy !req
210. If we cut it down
to two streaming services
Copy !req
211. and I stop buying Steve
so many cute outfits
Copy !req
212. and we don't go on that trip
this summer,
Copy !req
213. we can afford her.
Copy !req
214. - Whew. This is a very
thorough spreadsheet.
- Mmm-hmm.
Copy !req
215. You clearly have
strong feelings about this.
Copy !req
216. We can hire Joelle.
Copy !req
217. - Shaun! Yeah!
- Okay.
Copy !req
218. Okay, we should call her.
Copy !req
219. Yes.
Copy !req
220. Hello?
Copy !req
221. Joelle, it's Lea and Shaun,
and we are so, so excited
Copy !req
222. because we would love
to hire you.
Copy !req
223. Oh.
Copy !req
224. - You stole my nanny?
- She wasn't your nanny.
Copy !req
225. Yet. And you knew
I wanted to hire her.
Copy !req
226. I encouraged you
to hire her on the spot.
Copy !req
227. But you hemmed you hawed
and you dilly-dallied
Copy !req
228. and you spreadsheeted,
so I took action.
Copy !req
229. And outbid me.
It's so gross.
Copy !req
230. I told you that good nannies
are hard to find.
Copy !req
231. My current one is late
half the time,
Copy !req
232. and she costs more
than Joelle.
Copy !req
233. I wanted to close the deal,
so I made an aggressive offer.
Copy !req
234. I feel like
I don't even know you.
Copy !req
235. I'm finished
with the perianal abscess.
Copy !req
236. Great.
Dressing change
Copy !req
237. for a diabetic foot ulcer
in 5 awaits.
Copy !req
238. Nobody said wound care
was glamorous.
Copy !req
239. Joelle has experience
with special-needs kids.
Copy !req
240. And she's bilingual.
Copy !req
241. I always wanted Eden
to be bilingual, so...
Copy !req
242. seriously, thanks.
Copy !req
243. You're trying to replace my
dream nanny with regifted wine?
Copy !req
244. - I'm not evil.
- Debatable.
Copy !req
245. You barely even
looked at it.
Copy !req
246. Enough to see there's
no tonsillar herniation,
Copy !req
247. which is the main criteria
for Chiari.
Copy !req
248. That's why I said
Chiari Zero.
Copy !req
249. That's not
a real diagnosis.
Copy !req
250. It is real.
It is controversial,
but it's real.
Copy !req
251. Moderate cervical syrinx,
Copy !req
252. plus occipital headaches,
plus dizziness,
Copy !req
253. plus clumsiness
with the finger tapping.
Copy !req
254. All symptoms
of Chiari malformation.
Copy !req
255. And also symptoms
of withdrawal.
Copy !req
256. Not the fluid
in her spinal cord.
Copy !req
257. Too many doctors have
just fed her pain medication
Copy !req
258. or shooed her away
altogether.
Copy !req
259. Because she's an addict.
Copy !req
260. And one who's around
your daughter's age
when she died.
Copy !req
261. Wow. Okay.
Copy !req
262. Hannah's pain is real.
She's in actual pain.
Copy !req
263. Or she's doctor-shopping
for a sucker.
Copy !req
264. Okay. So both can be true.
Copy !req
265. She's not gonna be able
to get over her addiction
Copy !req
266. unless somebody
addresses her pain.
Copy !req
267. All right, fine.
Copy !req
268. I don't know how
this is not worthwhile.
Copy !req
269. Leave the images.
Copy !req
270. Jerome bailed less than
an hour into his shift.
Copy !req
271. I'm worried about him.
Copy !req
272. He's going through it.
Copy !req
273. I was thinking you might go
talk to him after work?
Copy !req
274. I can't right now.
Copy !req
275. Yeah, no, of course.
Copy !req
276. Anything I can do for you?
Copy !req
277. Thanks.
I've got an MRI.
Copy !req
278. People are free to choose.
Copy !req
279. God is simply aware of
what those choices will be
Copy !req
280. because He lives outside
of time and space.
Copy !req
281. Isaiah 57.
Copy !req
282. Sorry to interrupt
your sermon.
Copy !req
283. Lie back.
Copy !req
284. I know we just met,
but I sense a...
Copy !req
285. Like, a weight on you.
Copy !req
286. A sadness.
I'm fine.
Copy !req
287. I'm guessing you were close
to the young man who died.
Copy !req
288. How do you know about him?
Copy !req
289. Dr. Allen,
he's tachycardic
Copy !req
290. and his blood pressure's
elevated, 178 over 112.
Copy !req
291. Go get 20 milligrams
labetalol.
Copy !req
292. People like
to tell me things.
Copy !req
293. I like to listen.
Copy !req
294. So you're nosy.
Copy !req
295. Mmm. I'm friendly.
Copy !req
296. Um, his vitals are
normal again.
Copy !req
297. Probably spiked due to anxiety,
maybe from the machine.
Copy !req
298. I'm not anxious.
I'm enjoying our conversation.
Copy !req
299. - Oh.
Copy !req
300. Apparently,
I'm the only one.
Copy !req
301. Try to keep still
and no talking during the MRI.
Copy !req
302. Hi.
Copy !req
303. Just checking in.
Copy !req
304. I was thinking I could
talk to Villanueva if you want,
Copy !req
305. about getting you
some more time off.
Copy !req
306. Thanks, but I don't think
a few more days or...
Copy !req
307. weeks will make
much of a difference.
Copy !req
308. I'm not sure I can
ever come back.
Copy !req
309. I'm sorry.
Copy !req
310. Rod is placed.
Lock it in with set screws.
Copy !req
311. Thank you.
Copy !req
312. Jerome's still
not back today?
Copy !req
313. No. He's not sure
he can come back at all.
Copy !req
314. Too many memories.
Copy !req
315. He's still in shock.
Now tighten
the instrumentation.
Copy !req
316. At least Paul gets to know
the end is coming and prepare,
Copy !req
317. say his goodbyes.
Copy !req
318. I don't think you can ever
really be prepared.
Copy !req
319. And I wouldn't want my
loved ones to watch me suffer.
Copy !req
320. Spine is stabilized.
Copy !req
321. Continue with
the endoscopic decompression.
Copy !req
322. So you'd rather not
know it's coming?
Copy !req
323. I'll go to sleep one night,
never wake up, cut to black.
Copy !req
324. Hold up.
Copy !req
325. There's a clean margin
in the spinal column
Copy !req
326. surrounding the entire length
of the tumor.
Copy !req
327. That wasn't visible
in his previous imaging.
Copy !req
328. The impact of his landing
must have
Copy !req
329. cut off blood flow to the tumor
at its perimeter,
Copy !req
330. caused it to shrink.
Copy !req
331. I think this gives us room
to do a cordectomy.
Copy !req
332. We could remove
his entire tumor.
Copy !req
333. And take out the majority
Copy !req
334. of his thoracic spinal cord
with it.
Copy !req
335. Would paralyze him
from the T3 down,
Copy !req
336. and his cancer
will probably come back.
Copy !req
337. But it'd give him
a lot more time.
Copy !req
338. Let's close him up,
see what he wants to do.
Copy !req
339. How much of his blood
have we banked so far?
Copy !req
340. Only two units,
and if we draw more,
Copy !req
341. he'll be too anemic
for surgery.
Copy !req
342. We found another
in Australia,
Copy !req
343. but it wouldn't get here
until the end of the week.
Copy !req
344. We can't
wait that long.
Copy !req
345. Naomi may be too unstable
to survive the transplant.
Copy !req
346. We'll have to make it work
with the patient's own blood.
Copy !req
347. We'll need to ligate every
vessel twice before cutting.
Copy !req
348. Be precise and meticulous.
Copy !req
349. I really don't want
Jesus' blood on my hands.
Copy !req
350. Luckily, we will be
double-gloved.
Copy !req
351. Give 7,000 units of Epogen
Copy !req
352. and 150 milligrams of iron
to increase RBCs.
Copy !req
353. Hi.
Copy !req
354. Are you entering
your baking era?
Copy !req
355. Nope. They're for Joelle.
Copy !req
356. But I have three reject batches
I could bring you.
Copy !req
357. - I'm good.
- Okay.
Copy !req
358. Why are you making muffins
for Park and Morgan's nanny?
Copy !req
359. Because soon
she'll be ours.
Copy !req
360. I've come up with some
additional cost-saving measures
Copy !req
361. so we can pay her
a little bit more.
Copy !req
362. Mmm. There were
other candidates,
Copy !req
363. many of them
very well qualified
and less expensive.
Copy !req
364. Morgan stole our son's nanny.
That cannot stand.
Copy !req
365. Out of principle.
Copy !req
366. What principle?
Copy !req
367. If we get all of the tumor,
which I think we can,
Copy !req
368. we could extend your life
by five to 10 years.
Copy !req
369. Maybe more.
Copy !req
370. But I'll be a quadriplegic.
Copy !req
371. It's likely you'll maintain
some use of your hands,
Copy !req
372. unless the edema
spreads upwards.
Copy !req
373. No, no, no, we're sticking with
our original plan.
Copy !req
374. Just get me back on my feet
again, okay?
Copy !req
375. Dad, they said years.
Copy !req
376. You'd still have
all your mental faculties.
Copy !req
377. And you'd have me to help.
Copy !req
378. Can you get me some ice chips?
My mouth is really dry.
Copy !req
379. Just think about it, please.
Copy !req
380. Eve drew this
in kindergarten.
Copy !req
381. I'm the tall one.
She's the one with the hair.
Copy !req
382. She told me that her dream
was touching the sky with me.
Copy !req
383. And I promised her
that we would do that one day.
Copy !req
384. And then her mom and me,
we got a divorce,
Copy !req
385. and I lost a lot of years
with my daughter.
Copy !req
386. Well, this surgery would
give you a lot of years back.
Copy !req
387. After all these years
of being absent,
Copy !req
388. I can't ask her to spend
her 20s taking care of me.
Copy !req
389. She should finish college,
start her own life.
Copy !req
390. Hi. This is
Dr. Aaron Glassman again.
Copy !req
391. No, okay.
I don't understand the delay.
Copy !req
392. Fine. Um, can you please have
them call me back either way?
Copy !req
393. Thank you.
Copy !req
394. How you feeling?
Copy !req
395. Mm. You gave me
the good stuff, so...
Copy !req
396. Yeah, well, guess what?
Copy !req
397. After the surgery, you're not
gonna need the good stuff,
Copy !req
398. nor are you going to need
to be telling stories
Copy !req
399. about spilling pills
into toilets.
Copy !req
400. - It wasn't—
- Don't bother.
Copy !req
401. You left the emergency contact
blank on your pre-op form.
Copy !req
402. You planning
to off me on the table?
Copy !req
403. Well, I'm not planning on it.
Copy !req
404. But if something were
to go wrong,
Copy !req
405. I'm gonna need to contact
your mom or your dad.
Copy !req
406. Good luck. They kicked me out
years ago, so...
Copy !req
407. if you want someone
who cares if I die,
guess again.
Copy !req
408. I'm gonna take the wild guess
that they still care.
Copy !req
409. You'd be wrong.
Copy !req
410. Father, thank you
for loving us so much,
Copy !req
411. and we ask that you heal
Ruth's back pain
Copy !req
412. so she can get back to
the pickleball court.
Copy !req
413. - Amen.
Amen.
Copy !req
414. The pain is gone!
Thank you.
Copy !req
415. I think that's your pain meds
kicking in, Mrs. Wyatt.
Copy !req
416. Let's go.
Copy !req
417. I don't have time
to be looking all over for you.
Copy !req
418. I'm sorry. Helping people
in pain is kind of my thing.
Copy !req
419. No, it's my thing.
I'm the doctor,
Copy !req
420. and my patients don't need
your snake oil.
Copy !req
421. - I'm giving them comfort.
- You're giving them
false hope.
Copy !req
422. It's okay if you're angry.
He gets that a lot.
Copy !req
423. I'm not angry.
I just need you to stay put.
Copy !req
424. - I didn't mean right now.
Copy !req
425. I just feel a little...
Copy !req
426. I need help!
Copy !req
427. We cannot do
the kidney transplant
Copy !req
428. until we know
why he collapsed.
Copy !req
429. He's hypertensive
and tachycardic one moment
Copy !req
430. and then stable
the next.
Copy !req
431. Could be carcinoid syndrome
or renovascular hypertension.
Copy !req
432. There are no suspicious
masses.
Copy !req
433. His renal arteries
look normal.
Copy !req
434. His labs rule out
hyperthyroidism.
Copy !req
435. Everything about this guy
is crazy.
Copy !req
436. Crazy is not a DSM-recognized
diagnosis, but you are correct.
Copy !req
437. His underlying condition
must have psychiatric
Copy !req
438. as well as
physical symptoms.
Copy !req
439. He has a pheochromocytoma.
Copy !req
440. We need to surgically
remove it.
Copy !req
441. It could not be seen
on the MRI,
Copy !req
442. but it has been flooding
his system with hormones.
Copy !req
443. Once the pheo's out,
we may find
Copy !req
444. Jesus has left the building,
taking both kidneys with him.
Copy !req
445. If that happens,
Naomi almost certainly dies.
Copy !req
446. We could remove the pheo
and the kidney
at the same time.
Copy !req
447. Given his blood type,
every surgery is dangerous
Copy !req
448. because of our limited supply
of Rhnull blood.
Copy !req
449. Ethically,
there's no debate here,
Copy !req
450. regardless
of medical issues.
Copy !req
451. We remove the pheo,
then ask Jesus
Copy !req
452. if he still wants to move
forward with the donation.
Copy !req
453. Prep him for surgery.
Copy !req
454. You're trying
to steal our nanny?
Copy !req
455. Oh, Lea is trying
to steal your nanny
Copy !req
456. because Morgan
stole her first.
Copy !req
457. She didn't mention
that part.
Copy !req
458. Although, Joelle was not
technically our nanny yet,
Copy !req
459. but Lea is very passionate
about this,
Copy !req
460. and I'm choosing
to support her.
Copy !req
461. Yeah. Me, too.
Copy !req
462. Oh, you're supporting Lea?
Copy !req
463. No. Morgan.
Copy !req
464. We need to do something
before this escalates
Copy !req
465. and we're ordered not
to talk to each other anymore.
Copy !req
466. We gotta sit down,
the four of us,
and work this out.
Copy !req
467. Atrium Cafe.
Tuesday, noon.
Copy !req
468. Me again.
Copy !req
469. You don't have to keep
checking in.
Copy !req
470. I, um...
Copy !req
471. I need a favor.
Copy !req
472. It's kind of a big one.
Copy !req
473. Due respect, Doctor,
the source of my divinity
Copy !req
474. isn't just a pheo-whatever-
you-call-it.
Copy !req
475. Your BP and heart rate
are stable.
Copy !req
476. Our connection to God
is not that easily severed.
Copy !req
477. I think you know that.
Copy !req
478. Why do you keep thinking
you know me?
Copy !req
479. You don't.
You didn't know my dead friend.
Copy !req
480. You don't even know
who you are.
Copy !req
481. I need to place
an arterial line.
Copy !req
482. I know you're grieving.
Copy !req
483. - I don't want
to talk about it.
- And you can't understand
Copy !req
484. how your friend's death
could be part of God's plan.
Copy !req
485. There is no plan.
Copy !req
486. It's a lie,
and it's cruel.
Copy !req
487. And I used to believe in it
so much.
Copy !req
488. Every time I lost a patient,
I would tell myself
Copy !req
489. it's all a part
of a bigger picture.
Copy !req
490. I took comfort in believing
you were watching out for us.
Copy !req
491. Even in the midst
of suffering,
Copy !req
492. you were working things out
for our good,
Copy !req
493. but it is all a lie.
Copy !req
494. My friend was murdered
defending one of your children.
Copy !req
495. You let him bleed out
on the sidewalk all alone,
Copy !req
496. and there was no one there to
tell him how much he was loved.
Copy !req
497. He knew.
Copy !req
498. I promise.
Copy !req
499. He knew.
Copy !req
500. Hey.
God will love you,
Copy !req
501. no matter what
you say to Him
Copy !req
502. or about Him.
Copy !req
503. You just need
to keep talking.
Copy !req
504. Okay, everyone, time to vote.
We need your help.
Copy !req
505. Which peak should we climb,
Mission Peak or Mount Umunhum?
Copy !req
506. Uh, Mission Peak is
an easier hike,
Copy !req
507. but Mount Umunhum has
a better view of the sunset.
Copy !req
508. I vote neither.
Copy !req
509. I hope that wasn't
a livestream.
Copy !req
510. You're
the disappearing nurse.
Copy !req
511. Jerome Martel.
Copy !req
512. I'm sorry about that.
I, uh...
Copy !req
513. I lost the love of my life
recently, very suddenly.
Copy !req
514. And seeing the two of you,
you know...
Copy !req
515. It must have struck
a little close to home.
Copy !req
516. I wish I had known my last day
with him was my last day.
Copy !req
517. Or my last month.
Copy !req
518. So we could have made
the most of that time.
Copy !req
519. Are you here to talk me
into the cordectomy?
Copy !req
520. Asher and I made a plan
Copy !req
521. to watch every Best Picture
winner since 1928.
Copy !req
522. We made it to
The Godfather Part II.
Copy !req
523. Asher fell asleep
halfway through, as usual.
Copy !req
524. He was snoring so loudly,
I could hardly hear what
Pacino was saying,
Copy !req
525. I don't know what
the right choice is
for you and your family.
Copy !req
526. But I know there is nothing
I wouldn't give
Copy !req
527. to sit by Asher's side
Copy !req
528. and listen to him snore
through The English Patient.
Copy !req
529. Dad. We could watch every one
Copy !req
530. of those 30 for 30
documentaries you like.
Copy !req
531. Even the ones
about hockey.
Copy !req
532. Or we could start
our own two-person
true-crime book club.
Copy !req
533. It wouldn't just be
fun and games, Eve.
Copy !req
534. You'd also be stuck.
Copy !req
535. Not stuck.
Copy !req
536. Honored.
Copy !req
537. Sure, I'd need help,
Copy !req
538. but I can't lose you
after just getting you back.
Copy !req
539. I want you to be there
when I graduate from college.
Copy !req
540. Maybe walk me down
the aisle someday.
Copy !req
541. Okay if I wheel you down?
Copy !req
542. I'd love that.
Copy !req
543. We removed
the pheochromocytoma.
Copy !req
544. Do you still believe
you are Jesus?
Copy !req
545. My name is, um...
Is Carl.
Copy !req
546. I remember
everything, but...
Copy !req
547. I know I'm not Jesus.
Copy !req
548. Are you still willing
to move forward
Copy !req
549. with donating your kidney?
Copy !req
550. I...
Copy !req
551. I have no idea
what to do.
Copy !req
552. We now only have one
remaining bag of Rhnull blood.
Copy !req
553. That makes another surgery
quite high-risk.
Copy !req
554. Donating your kidney to Naomi
Copy !req
555. would be a very kind
thing to do.
Copy !req
556. But as your surgeon,
it is not medically advisable.
Copy !req
557. I can't do it.
Copy !req
558. We've discussed
and would be willing...
Copy !req
559. Reluctantly willing.
Copy !req
560. to hire Joelle
as a part-time nanny
so we can all share her.
Copy !req
561. Returning half
of what you stole?
Copy !req
562. What a cop-out.
Copy !req
563. - Told you.
She's totally unreasonable.
- Excuse me?
Copy !req
564. If you want
to see unreasonable,
let me hold up a mirror.
Copy !req
565. Unless you already swiped that
from my bag.
Copy !req
566. I've seen you knock-off bag.
There's nothing worth taking.
Copy !req
567. Okay.
Would you be willing
to employ her
Copy !req
568. on Tuesdays and Thursdays?
Copy !req
569. And give you
a 60/40 advantage?
Copy !req
570. We're the ones
who found her.
Copy !req
571. We're the ones
who hired her.
Copy !req
572. You take
Tuesdays and Thursdays.
Copy !req
573. I'll throw in my wine.
Deal?
Copy !req
574. No deal, but I will give you
the stack of resumes
Copy !req
575. from the people
we didn't hire.
Copy !req
576. So we're supposed to just
pick through your leftovers?
Copy !req
577. You already did,
except we were
still eating her.
Copy !req
578. I did not mean that
the way it sounded.
Copy !req
579. How about a 50/50 split,
alternating weeks?
Copy !req
580. I have a better idea.
Copy !req
581. You're a genius.
Copy !req
582. Savant.
Copy !req
583. So,
St. Bon's is now
in the daycare business?
Copy !req
584. You agreed.
- No, I just didn't
contradict you
Copy !req
585. when you almost
immediately said yes.
Copy !req
586. I'll take more 4-0
for tackups.
Copy !req
587. You're opposed
to being family-friendly?
Copy !req
588. I just didn't realize
your mini strokes
had turned you into
Copy !req
589. such a softy.
Copy !req
590. Between the daycare...
and her.
Copy !req
591. What about her?
She's a patient,
Copy !req
592. who I happen to be
right about.
Copy !req
593. Let's find out.
Copy !req
594. Opening the arachnoid.
Copy !req
595. Significant adhesions,
Copy !req
596. fourth ventricular veil
restricting CSF flow.
Copy !req
597. You were right.
Chiari Zero.
Copy !req
598. This will only solve
one of Hannah's issues,
Copy !req
599. and arguably the easier one.
Copy !req
600. Her addiction will
still be a problem.
Copy !req
601. Doesn't have to be yours.
Copy !req
602. Watch your dissection.
Copy !req
603. I've got your discharge papers
and your ride.
Copy !req
604. My, uh, emergency contact
is my landlord.
Copy !req
605. You want me to call him?
Copy !req
606. I think my, um,
Copy !req
607. brain tricked me
into thinking I was
Copy !req
608. the most significant person
around because...
Copy !req
609. I don't really matter
to anyone.
Copy !req
610. Your friend,
what kind of man was he?
Copy !req
611. Clever.
Copy !req
612. Honest.
Copy !req
613. Would make you laugh
as much as he would
Copy !req
614. call you out
on your nonsense.
Copy !req
615. And really brave.
Copy !req
616. Maybe it wasn't a trick.
Copy !req
617. Maybe your brain
just showed you the type
of person you could be.
Copy !req
618. Maybe you came here
for a reason.
Copy !req
619. Yeah.
Copy !req
620. I'd like to think so.
Copy !req
621. Um, I'd like to
donate my kidney.
Copy !req
622. Sectioning the artery
with a vascular stapler.
Copy !req
623. Vitals holding steady.
Kidney looks great.
Copy !req
624. Ligating
the renal vein.
Copy !req
625. Removing the left kidney.
Copy !req
626. Let's get this over to Naomi.
Copy !req
627. The vein tore.
He's hemorrhaging.
Copy !req
628. Applying manual pressure.
Copy !req
629. We need suction
and Cooley clamp.
Copy !req
630. His renal vein must have
avulsed off the vena cava.
Copy !req
631. We need to get
vascular control.
Copy !req
632. 200 cc. That's the last
of his banked blood.
Copy !req
633. Very aware.
Copy !req
634. Please, please,
do not let this man die.
Copy !req
635. Sutures
aren't holding.
Copy !req
636. Less than 100 cc
of blood left.
Copy !req
637. - Can we ligate
the vena cava?
Tissue is too friable.
Copy !req
638. That could cause
complete renal failure.
Copy !req
639. We should put in a graft.
Copy !req
640. The walls are tearing.
Copy !req
641. We need something
to get vascular control now.
Copy !req
642. A double-balloon occlusion.
Copy !req
643. We can block it from above
and below at the same time.
Copy !req
644. And we could use
the existing
Copy !req
645. jugular central line
to get access.
Copy !req
646. Fluoroscopy.
Copy !req
647. I'll take the graft.
Copy !req
648. Lap sponges.
Copy !req
649. Advancing the catheter
to the SVC.
Copy !req
650. Call out
when he reaches the IVC.
Copy !req
651. A little further.
Copy !req
652. You're there.
Copy !req
653. Inflating the balloons.
Copy !req
654. BP and heart rate
are stabilizing.
Copy !req
655. Thank you.
Copy !req
656. I'm not here
to ask you to come back.
Copy !req
657. Promise.
Copy !req
658. I wrote a list.
Copy !req
659. Yeah, come in.
Copy !req
660. Anything anyone at St. Bon's
could remember Asher
Copy !req
661. ever saying
he wanted to do.
Copy !req
662. Save a cat in a tree.
Copy !req
663. Learn Dothraki.
Copy !req
664. Eat pasta in Italy.
Copy !req
665. If you want, I thought
maybe we could...
Copy !req
666. do some of it together.
Copy !req
667. Thanks.
Copy !req
668. But, uh...
Copy !req
669. well, these weren't
at the top of Asher's list.
Copy !req
670. He was really serious about
making me get
a matching tattoo.
Copy !req
671. A big spoon for me,
little spoon for him.
Copy !req
672. Tried to talk me into it
at least once a week.
Copy !req
673. I said it was too silly
for something so real.
Copy !req
674. Thanks for this.
Copy !req
675. - Hey!
Copy !req
676. Dr. Reznick around?
Copy !req
677. No! And don't sneak up
on people like that.
Copy !req
678. I'm sorry.
Copy !req
679. That lady is putting me
through my paces.
Copy !req
680. I almost miss surgery.
Copy !req
681. When I lost my mom,
Copy !req
682. my whole world stopped
making sense.
Copy !req
683. I looked to religion
for answers.
Copy !req
684. I'm still searching
for what feels right,
Copy !req
685. but I do know my mom's
not just gone.
Copy !req
686. And I try to find
little ways
Copy !req
687. to make her a part of my life
as much as I can.
Copy !req
688. There you are.
The poop fridge shorted out.
Copy !req
689. You've got 22 fecal samples
to relocate ASAP.
Copy !req
690. How big is your fridge at home?
Copy !req
691. - Hey.
Copy !req
692. Okay.
Copy !req
693. Follow this light.
Copy !req
694. No more twitch in the eye.
Copy !req
695. Let me see your hands.
Copy !req
696. That's good, right?
Copy !req
697. Yeah, just finger tapping.
Copy !req
698. Both.
Copy !req
699. Good.
Copy !req
700. Grab my hands
and make a nice, tight grip.
Copy !req
701. Really tight,
as hard as you can. Ow!
Copy !req
702. Okay.
Copy !req
703. Next you'll be
pitching for the A's.
Copy !req
704. God, no.
Copy !req
705. Cubs or bust.
Copy !req
706. Thank you
for believing me.
Copy !req
707. But, um...
Copy !req
708. I'm... I'm still a little...
Copy !req
709. Uncomfortable?
That's normal,
Copy !req
710. considering the surgery
you've just been through.
Copy !req
711. Could you give me
something?
Copy !req
712. Your morphine's maxed out.
Copy !req
713. But you know what
I can do?
Copy !req
714. I can hang out
for a little while,
Copy !req
715. keep your mind off things.
Copy !req
716. I can get a deck of cards.
Gin Rummy or Blackjack?
Copy !req
717. I don't wanna
take your money.
Copy !req
718. Ha.
Copy !req
719. We could turn on the TV.
Copy !req
720. Okay.
Copy !req
721. But I'm choosing
what we watch.
Copy !req
722. - Oh, I'm sorry.
Copy !req
723. Excuse me.
I'll be right back.
Copy !req
724. Yes, it's Dr. Glassman.
Copy !req
725. Yeah.
Copy !req
726. And... And they're conclusive?
Copy !req
727. Okay. Um, can you do me a favor
and send them over?
Copy !req
728. I'd like to take a look.
Copy !req
729. Yeah. Um, thank you.
Copy !req
730. Hey, guys, we are seconds away
from crossing off
Copy !req
731. our biggest
bucket-list item yet.
Copy !req
732. Thanks to the help
of our fantastic doctors
Copy !req
733. and a little bit
of teamwork,
Copy !req
734. we have arrived
at the peak of Mount Umunhum!
Copy !req
735. Okay. Everybody ready?
Copy !req
736. Okay, three, two, one!
Copy !req
737. We're touching the sky!
Copy !req
738. So, this patient I just had...
Copy !req
739. He thought he was Jesus,
Copy !req
740. real, actual Jesus.
Copy !req
741. You would have
loved it, or mocked it.
Copy !req
742. Probably both.
Copy !req
743. You know, when he said he was
a carpenter from Nazareth,
Copy !req
744. that's the thing...
Copy !req
745. Hi, Joelle.
Copy !req
746. - Hi!
- Oh, my gosh.
Copy !req
747. - I've missed you
so much!
Copy !req
748. You have done
a very nice job
Copy !req
749. making this not feel
like a conference room.
Copy !req
750. Thank you.
Copy !req
751. Steve was such a happy,
easy baby.
Copy !req
752. Oh, was he really?
Oh, I'm so glad.
Copy !req
753. No, he did great.
Copy !req
754. He was the only one
who didn't even cry
at drop-off.
Copy !req
755. - Really?
- Mmm-hmm.
Copy !req
756. Can't wait
to see you tomorrow.
Copy !req
757. - Okay, bye.
- Bye.
Copy !req
758. Oh, you did so good, peanut.
Copy !req
759. What's wrong?
Copy !req
760. She said Steve did not react
when his parent left the room.
Copy !req
761. Which means loves it here.
Copy !req
762. Or it could be
an early indication of autism.
Copy !req