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