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When Dr. Wolf (Zachary Quinto) treats a patient from his past, things get complicated — and Josh (Teddy Sears) starts to show signs of jealousy. Watch all-new episodes of Brilliant Minds on NBC and stream on Peacock.

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00:00On your way to Dr. Nichols' office?
00:04Yes, for a patient consult.
00:07Oh, consulting about the cute Brit in 311,
00:09who I hear is also your ex.
00:12I don't know how you got around like that, Wolf,
00:14but clearly this is an opportunity.
00:16Um, I don't follow?
00:18If I wanted to make my ex jealous,
00:20I might let them know that my other ex
00:23had specifically come to me about his seizures,
00:25especially if they're not British seizures.
00:29But that's just me.
00:31Yes, that is just you, because I would never.
00:34Okay.
00:39You have time for a consult?
00:40What's up?
00:41Patient with musical hallucinations presenting his seizures,
00:44EEG reveals left temporal lobe epilepsy.
00:47Musical epilepsy?
00:49Oh, interesting.
00:51Temporal lobe localized events have been known
00:53to activate musical memory traces in the cortex.
00:55How often are the seizures?
00:56Frequent.
00:57Are they responding to medication?
00:58I started a malevataracetam,
00:59but I thought maybe you'd want to meet him,
01:01because this could be a once-in-a-lifetime case.
01:03Yeah, sure.
01:08I should let you know,
01:09because I don't want it to be awkward
01:10that the patient is my ex.
01:11Oh, Tom.
01:24This is Dr. Nichols, our head of neurosurgery.
01:28And chief medical officer.
01:30And that.
01:31Pleasure.
01:32Oh, sorry for this state of undress when you walked in.
01:34I just had to freshen up after all those tests.
01:36Though I suppose it's nothing Oliver hasn't seen before.
01:40Right.
01:41Wolf, uh, mentioned you two used to date.
01:43It was just, uh, one kiss ages ago.
01:46One, one kiss.
01:47Well, one kiss ages ago.
01:48But it left quite the impression.
01:50With a coat blue every 11.
01:51All right.
01:52It's all right.
01:53I got you.
01:54Please have any progressive temporal lobe seizure straw,
01:55one milligram of Ativan stat.
01:56Tom?
01:57Tom?
01:58Tom?
01:59Hey, I need you to listen to me.
02:00Stop.
02:01You're gonna hurt yourself.
02:02Wolf.
02:03His ear.
02:04That was a life-threatening tonic chronic seizure.
02:18Normally I would keep trying meds.
02:21But this ictal event was clearly an escalation.
02:24The surgery has to be on the tape.
02:26I know this is presenting primarily as a musical hallucination, but...
02:30The next time he hears that song, it might be the last thing he ever hears.
02:34Unfortunately, your brain is not responding to any of the medications we've tried,
02:39and it appears your seizures are getting worse.
02:41We think you have drug-resistant epilepsy, meaning the normal course of medication won't work.
02:45One of the avenues we'd like to explore is a resection of the temporal lobe that's causing the seizures to occur.
02:50Brain surgery.
02:51With seizures that intense, the risk of permanent brain injury or worse is high.
02:56Yeah, we're not rushing straight to surgery.
02:58We will perform something called Iwata test.
03:00Where you shut down each side of the brain to figure out where language and memory are primarily stored.
03:05We know the source of your seizures is the left temporal lobe.
03:09We need to see how tied to these functions that area is in your particular brain.
03:12Dad?
03:13Dad?
03:14Dad?
03:15Guys.
03:16Oh, I'm so sorry.
03:18We got here as fast as we could.
03:21I can't believe that.
03:23This must be his good friend.
03:25Where are my manners?
03:27I'm Rashid.
03:28Tom's husband.
03:30Hmm.
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