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00:00Previously on Doc.
00:01I lost a lot of my memory.
00:02You saved Charlie after everything they did to you.
00:05Chief Resident is up soon.
00:07Consider throwing your hat in the ring?
00:08I should at least be considered.
00:10I heard you had the chance to saw me down the river.
00:12Jake is sick of us fighting.
00:14Frankly, so am I.
00:15I like you, Liz.
00:16A workplace relationship can really twist things up.
00:18All I care about is, do you want to be with me?
00:20She's had to grow up fast.
00:21Sometimes she thinks she can handle too much.
00:23Some maniac sends you a recording
00:25of what my ex-wife's therapist says,
00:27and off of that, you're leaving me?
00:30I'm hoping you're going to change your mind.
00:33Thank you so, so much.
00:34It's an important vote.
00:35Thank you very much.
00:36Say yes, and we're good.
00:38Fine.
00:39We're even.
00:40But don't ask me for anything else.
00:41Ever.
00:43Well...
00:44We still don't have the votes.
00:46Tell Connor to bring in the cavalry.
00:51Ready?
00:52Action.
00:56Oh, seriously, Will?
00:58That's how you're going to play this?
00:59Uh, Representative Troy Willis here, folks.
01:02Just outside the city council chambers.
01:04My good friend, Will Archer, doesn't want to help me
01:06pass a law that would allow me to get up these stairs
01:09to talk to him.
01:10The same law, which means people with disabilities
01:13don't die inside a burning building
01:16because a ramp was too expensive.
01:18which actually only goes to prove my point.
01:21Good thing, I brought some friends with me.
01:24Full rights!
01:26Full access!
01:27Full rights!
01:29Full rights!
01:30Full rights!
01:31Full rights!
01:32Full access!
01:33Full rights!
01:34Full access!
01:35Full rights!
01:36Full access!
01:37Full rights!
01:38Dad?
01:43Dad?
01:44Dad?
01:45Dad?
01:55Hey, good morning.
01:58What is this?
01:59Nightmare's over, baby.
02:02And I get French toast?
02:04Yeah, your French toast, there's your coffee,
02:06I got you turkey bacon, extra crispy.
02:09So just sit down, enjoy,
02:11focus on becoming the next chief resident at Westside.
02:13Next? Not best?
02:16I don't know what to tell you. Best is already taken.
02:23I advised you when I found you the job
02:25that working with your ex-wife would be complicated.
02:27This isn't just about Amy.
02:29Well, you've only been there eight months.
02:31The scandal in your hospital, this doctor getting arrested,
02:34it's not a great look.
02:35I understand. What's out there?
02:37Are you willing to take a pay cut?
02:42Excuse me.
02:44Hey, Dad, everything okay?
02:45Michael!
02:46Where's our ride?
02:47Tell him there's no car here.
02:49I told him, Samira.
02:50He says he's there, the driver's name is Dwayne.
02:53How does that help?
02:54Just wave your hand.
02:56Who are you waving at?
02:58Dwayne, the driver.
02:59Where is he?
03:00No idea.
03:01Then why are you waving at you?
03:03I don't know, Samira.
03:04Just wait there.
03:05He's coming to you.
03:06All right.
03:07All right.
03:08We'll wait. We've been waiting.
03:09Tell him to let Nora know we're excited to see her.
03:12She knows that, Samira.
03:14Of course she knows that.
03:16My God, they're looking at serious jail time.
03:18Well, yeah, after what they did?
03:20It's crazy.
03:21She seems so nice.
03:22That's what people always say about the serial killer next door.
03:25TJ's patient from yesterday needs to be discharged.
03:28Can you handle?
03:30Sure.
03:31Where is he?
03:32Cousin's wedding.
03:33Ooh, eligible doctor.
03:35All those desperate bridesmaids.
03:37Candy from a baby.
03:38Classy as always, Peter.
03:42Nurses station, this is Julie.
03:46Yeah, she's right here.
03:48Yeah.
03:59I'll tell her.
04:00Okay.
04:01Sonia?
04:02Dr. Ridley wants to see you in her office.
04:06I need to properly assess you both
04:08to determine who's better suited to be chief resident.
04:10Part of that job requires giving constructive feedback to your colleagues.
04:14Clearly you can't do that while you're working together.
04:16So, today you will each have your own cases
04:20and we will meet back here at the end of the day,
04:23go over the details,
04:24and you'll critique each other's work.
04:27Sounds great to me.
04:32Good.
04:33Time to get on with it.
04:39Give me the skinny.
04:40Female, 44.
04:41Mild pancreatitis.
04:42She mentioned having a glass of wine most nights,
04:44which usually means a bottle.
04:45Right?
04:46So, that's our likely culprit.
04:47All right.
04:48Thanks.
04:49I'll admit her.
04:50Just a heads up.
04:51She's a frequent flyer with vague abdominal pain.
04:53Over 20 CTs past few years in.
04:55Nothing.
04:56You're saying drug-seeking behavior?
04:58You said it.
04:59Not me.
05:00Separation point.
05:03Whenever I come, damn ER gives me the same meds,
05:06and they don't work.
05:08I'm sorry, J-Lo.
05:09How long have you had the pain?
05:11It's on my chart.
05:12I have to ask anyway.
05:15On and off for six years.
05:17Okay.
05:18Um, and are you still ovulating?
05:20Oh my God.
05:21Read the chart.
05:22Y'all ask me that every time I come.
05:23We have a system of checks and balances,
05:25so nothing falls through the cracks.
05:27I think you need a new system.
05:29Been in menopause two years.
05:31All right.
05:32We'll start you off with fluids
05:34and pancreatic enzyme replacement.
05:36And for the pain?
05:37Probably Toradol.
05:38That doesn't work for me.
05:39I need something stronger.
05:45Have you ever used anything outside the hospital
05:47for your pain?
05:48So I'm a druggie?
05:49A druggie looking for a fix, huh?
05:51I'm just trying to get all the information
05:52so I can help you.
05:53You want to help?
05:54Tell me why I have pancreatitis.
05:56Well, the wine you drink at night could explain it.
06:00It's one glass to ease the pain.
06:03One glass?
06:05If you can't help me, find me somebody who will.
06:08I am not going to pass you along, Jayla.
06:10But I would like to bring in a neuropsychiatrist.
06:12A shrink.
06:13Because you think I'm crazy.
06:15No.
06:16No.
06:17But your mental health has been neglected,
06:19and I want to break the cycle,
06:21so I will be right back.
06:23So he has a T2 spinal cord injury from a skiing accident?
06:32Three years ago.
06:33He developed a cystic cavity in his spinal cord.
06:36We've been managing it best we can,
06:38but obviously it's flaring up.
06:40The mucus plug blocked his airway,
06:43and that's why he turned blue.
06:45That's never happened before.
06:47Does that mean it's getting worse?
06:49Mr. Willis.
06:51Oh, okay.
06:52Hey, try not to fight it.
06:54There's still some fluid in your airway.
06:55Let's see if I can clear it.
06:57Great.
07:00Take this off.
07:06Good.
07:13What's happening to me?
07:14Unfortunately, the imaging shows that the syrinx has progressed,
07:20and it's pressing on the nerves that control your diaphragm,
07:23so that's what caused the lung damage.
07:25So what do we do about it?
07:27I spoke to your neurologist at Eastside,
07:30and he agrees that we manage the symptoms,
07:32and we support your breathing to make you comfortable.
07:35So the damage is permanent?
07:38Depending on how today goes,
07:40I think we're looking at a few weeks to a month
07:44before he's on a ventilator.
07:46On a ventilator.
07:50For good.
07:53I'm sorry, yes.
07:57Connor?
07:58Connor?
07:59Connor?
08:00Connor?
08:01Honey?
08:03We knew this day would come.
08:05I'll do everything I can to get you as much time as possible.
08:10Hey.
08:12I'm gonna take time off work,
08:13and we still got four things left on my bucket list.
08:18Come here, Connor, please.
08:20Connor, honey, come.
08:22Come on.
08:24Come on.
08:25Bring it in.
08:26It's okay.
08:27I'm gonna get some medication to help clear the fluid.
08:36Dr. Larson,
08:38I need to be out of here in a few hours.
08:42Uh, he's a legislator.
08:43He's been working on a bill, the votes today,
08:45and without him...
08:46It'll never happen.
08:48He has to be at City Hall by 5 p.m. somehow.
08:52Can't someone else do that?
08:54He sponsored the bill, and without him,
08:56it doesn't have a chance.
08:58He's been working on it for nine months.
09:00I have too.
09:04Whatever you need to do.
09:06Please.
09:12Being early won't help with her.
09:14I'm always early.
09:16Will it hurt?
09:17Probably somehow.
09:20Dr. Larson,
09:21I'm Sonia Matra, the med student assigned to you today.
09:25I've listened to you in grand rounds.
09:26You have so many med students,
09:27you probably have no idea who I am.
09:29Uh, I know who you are.
09:30Really?
09:32Uh, I just wanna say what an honor it is
09:33to get to work with you,
09:34and I hear you're gonna be chiefs.
09:36Are you done?
09:38Good.
09:39Because we have a patient.
09:45Hi, Jayla.
09:46I'm Dr. Walker.
09:47Nice to meet you, Doc.
09:50But no offense.
09:52I ain't crazy.
09:53I wanna describe most of my patients as crazy.
09:55Yeah, cause you can't say that.
09:57Oh, no, I'll say it.
09:58Some of them are completely out of their minds.
10:00Says here you've had pain for six years in your stomach,
10:03and whatever they give you doesn't seem to work.
10:07Huh.
10:08You're the first doctor who actually read the damn chart.
10:11You've had a lot of conflict with doctors?
10:13Cause it's like...
10:15It's like they blame me for my pain,
10:16you know what I'm saying?
10:21Well, that doesn't feel good.
10:22So, let's talk about the pain.
10:26Uh, it comes and goes.
10:28Does it keep you up at night?
10:29Sometimes.
10:30And what are you doing for it?
10:32I've tried everything.
10:33They got cold compress, heating pad,
10:36acupuncture, hypnosis.
10:38And all of that doesn't work.
10:40No.
10:41Any medications?
10:42Advil, usually.
10:43Nothing stronger?
10:45Oh.
10:50Alright, I'm gonna tell you something, okay?
10:53When I was 16, I took my mom to the hospital.
10:57She was in excruciating pain.
11:00And they sent her home.
11:03A few hours later, her appendix burst,
11:05and she almost died.
11:07I know what it's like to be ignored by the healthcare system.
11:10You can tell me anything, Jayla.
11:12There's no judgment here.
11:18My girl, Cheryl, gave me her old Vicodin.
11:21And for a while, that helped.
11:23And that was how many times?
11:25She got me a refill, so twice?
11:27Or three times, maybe?
11:29And is there any history of addiction in your family?
11:32Doc, come on, man.
11:34I don't want pain meds.
11:39I want the pain to go away.
11:43I called the treatment center.
11:45They have a spot for her.
11:47She's not an addict, Sonya.
11:49You rushed to judgment, and you're still doing it now.
11:51I'm sorry, what are you implying here?
11:53I'm raising the possibility that your biases are affecting how you approach this patient.
11:57She had every indicated test, and there was nothing there.
12:00Do you know how often black women are dismissed when they enter the hospital?
12:03Why do you think I referred her to you?
12:06I saw the ER doc had some pretty strong opinions.
12:11It looks like he set the expectations, and you followed, possibly based on your own biases.
12:16I think maybe you're the one who's biased, or maybe your best friend clouded your judgment about me.
12:20Dr. Matro, you're missing something, medically.
12:23So what are you going to do about it?
12:30An artificial cough can feel strange.
12:33Are you ready?
12:34Let's try it.
12:49That was weird.
12:50I may have undersold how weird.
12:54I think I'm good now.
12:57Give me my chair.
13:04Your oxygen is dropping.
13:08I just, I'm good.
13:09Just give me a second.
13:10I don't think you're ready.
13:11I got it. I got it.
13:20What's happening?
13:21His breathing muscles are spent.
13:23Why does it only happen when he sits up?
13:24His lower lung is collapsed, and when he sits up, it forces the blood to that area, but there's no air there.
13:31Can't they postpone this vote?
13:33I don't know. I don't think so.
13:34We're about to go into recess.
13:36I'll be dead by the time they're back in session.
13:39What is this bill that it's so important?
13:42About three years ago, right after my accident, Connor was rehearsing for the school play, and he started feeling sick.
13:49And he called me to come get him.
13:51I got there fast.
13:52And he was walking out to me, and he fainted.
13:58He hit his head.
13:59He broke his nose.
14:01He was right there.
14:03He was bleeding.
14:05He was scared.
14:07But that part of the school had no ramp.
14:09It had no elevator.
14:11And I couldn't get to him.
14:12It was three steps, and I couldn't get to my son when he needed me.
14:16And it's not just that. Floods, fires, people get left behind not because they can't move, but because no one built a way out.
14:22The new law would require hundreds of buildings like that to do the right thing.
14:26Any building before 1992 is grandfathered in, and they don't have to do anything.
14:30It's wrong.
14:33And we can fix it.
14:38Can I get you a coffee or something?
14:40No, we want to say hello first.
14:42Where's Nora and the baby?
14:44I wanted to talk to you first.
14:47Can you have a seat?
14:49I don't like the sound of this.
14:52I'd hoped to sort things out before you came, but...
14:56Nora's been staying at her mother's house.
15:01For how long?
15:03A few weeks.
15:04With Simon?
15:06Michael, what did you do?
15:08It's not something I'm gonna talk about.
15:10But I can handle this.
15:12You didn't with Amy.
15:13Okay, let's not go there, Umi.
15:15Well, we don't want you making the same mistake twice, Michael.
15:18I didn't make any mistakes with Amy.
15:20She lost her son.
15:21Your job was to support her.
15:23I said I'm not doing this.
15:25Fine.
15:26How are we going to see our grandson?
15:29Nora's bringing him over in a few minutes.
15:31Please, don't make this difficult.
15:42I need a really smart sounding board.
15:45Okay, what's the case?
15:47High spinal cord injury, syrinx, progressive respiratory failure.
15:51Lung scarring, bronchiectasis, I mean, end stage.
15:56Yeah, and I need him up.
15:59Uh, okay.
16:01Drake in full vent.
16:02He needs to speak.
16:03Neural assisted ventilation would allow for that.
16:05Plus bronchodilators.
16:06And drying agents for the secretions.
16:08Those would kill his speech.
16:10What about Botox with the salivary glands?
16:12That'll buy him some time.
16:13How much do you think?
16:14After a couple days to stabilize him.
16:17Uh, maybe a month.
16:19He wants up today.
16:20Today?
16:21I...
16:22We can't help every patient the way they want.
16:28That's odd.
16:29Good?
16:30Odd?
16:32Do you have a memory?
16:33Yeah, an old case.
16:35The details are hazy, but I know how my brain works now.
16:38It must be relevant to this situation.
16:40Another spinal patient?
16:41Uh, I'm not sure, but I saw an unusual EMG reading.
16:46Low amplitude, but high diaphragmatic pressure.
16:49Yeah, that would be unusual.
16:51Something's gotta be driving the muscle contraction.
16:53Yeah, but what?
16:54A drug, maybe.
16:55I mean, I can't think of one.
16:57What else?
16:58Uh, something about the patient, or something in the room?
17:03Um...
17:08Yes.
17:11Sonia was there.
17:15This is a new calcium-sensitizing agent for heart failure.
17:18I want you to monitor his cardiac output.
17:21So, it improves output without risking an arrhythmia.
17:25How?
17:26You need to read the REVIVE trial.
17:28I did.
17:29It...it was complicated.
17:31We need calcium to stimulate muscle contraction.
17:34Drugs that spike it also cause arrhythmia,
17:36so this drug utilizes the calcium that's already in the body.
17:39Stronger contractions, same calcium.
17:42Right.
17:43Heart rate's steady.
17:44Okay.
17:45Now we just wait and see if his heart improves enough to get off the ventilator.
17:49That's odd.
17:51Good?
17:52Odd?
17:53Must be.
17:54His cardiac output's improving.
17:55No, Sonia, it's not.
17:57But his heart's getting stronger.
17:59He must be fighting the ventilator.
18:01Maybe we should remove the tube?
18:02Oh, that's good.
18:03Right?
18:04No.
18:05It's not.
18:06Don't listen to her.
18:07She doesn't know what she's talking about.
18:08I need you out of here.
18:10Now!
18:18Yeah, I was a med student.
18:20I remember.
18:21I'm surprised.
18:22That was five years ago.
18:24Yeah, well, you kicked me off the case, so it kind of stuck with me.
18:27We were using a brand new drug you were studying, lobosomendin.
18:32I've never heard of it.
18:33It's an orphan drug.
18:34Expensive, esoteric, low efficacy, didn't justify mass production.
18:39You coming or what?
18:40It's been over an hour.
18:42I'll be right there.
18:43What was the patient's problem?
18:45Cardiac issues.
18:46The problem with the drug was that it helped the heart, but drove the diaphragm too far.
18:50That's exactly what I need.
18:52Do you know the patient's name?
18:53I need to see their file.
18:54I don't, but I have to get back to my own patient.
18:59So, she's back.
19:00I am.
19:01I wanted to start again.
19:03Oh, good.
19:05All right, then.
19:06Ask your questions.
19:11Hey.
19:12Thanks for doing this.
19:14He's their grandson.
19:20I fed him in the car, and there's enough milk here for two more feedings.
19:24And he's due for a nap in an hour.
19:26Don't worry, Nora.
19:27I remembered.
19:28Well, I should go.
19:31It was so nice to see you both.
19:33You don't have to rush out, Nora.
19:35Thanks, but I should really go.
19:37So, when are you moving back home?
19:39Don't do this.
19:42Farouk and I had our tough times, too, you know.
19:44Every family does, but we worked through it.
19:46What we didn't do was give up.
19:49Mom, you're here to see Simon.
19:51Farouk and I have been married 52 years.
19:53I know, Samira.
19:54We threw your anniversary party.
19:56Then you know I know what I'm talking about.
19:58These days, everybody wants things to be easy.
20:01All due respect, you have no idea what you're talking about.
20:04Well, nobody seems to want to explain it to us.
20:08I don't think that Katie really needs to be a part of this, do you?
20:14Oh, he's still hungry.
20:16It's okay.
20:17We can feed him with the bottle.
20:18I've got this, Samira.
20:19Thanks.
20:20Okay.
20:21Um, any specific foods trigger the abdominal pain?
20:36Not that I can think of.
20:38Sometimes fast food can...
20:39Uh-uh.
20:40I don't eat fast food.
20:41I eat healthy.
20:42Sorry.
20:43Okay.
20:44How about exercise?
20:45Oh.
20:46It hurts on the days I run.
20:48Hurts on the days I don't.
20:49Oh!
20:50Jayla?
20:51It's my foot!
20:52What is that?
20:55What's happening to me?
20:57Hey!
20:58Call radiology.
20:59I need a stat doppler and an angio.
21:03I need a patient transport now!
21:05I need your sign off on a thrombolysis for my patient.
21:11Angio showed a clot in the popliteal arteries playing her foot.
21:15Diagnosis?
21:16I haven't sorted that out yet, but I need to restore blood flow.
21:20How many of these have you done?
21:2228.
21:23But never so low.
21:25Until now.
21:26Great.
21:27Thanks.
21:28Oh.
21:29Whoa.
21:30Uh, are you okay?
21:33Yeah.
21:34I skipped.
21:36I skipped breakfast and lunch.
21:39I need to eat.
21:43Yeah.
21:44It's, uh, Sonia, right?
21:52Yeah, uh, Dr. Heller.
21:54I've seen you around.
21:55Uh, just call me Jake.
21:57So I hear you're, uh, applying to the program.
22:00Who isn't?
22:01Westside's the tertiary referral center for the upper Midwest.
22:05And, uh, how's your rotation going?
22:08Uh, great.
22:10Really?
22:11Okay, not great.
22:13Yeah, yeah.
22:14I saw you working with Dr. Larson today.
22:16I was.
22:17And I'm hoping to turn that around.
22:19With Dr. Larson?
22:20Uh, she is the last person to throw anybody a lifeline.
22:23I know her reputation, but honestly, she's a big part of why I want to come here.
22:27I mean, she is a total badass.
22:30I'm pretty sure she thinks I'm just bad.
22:33Well, I hear she's gonna be the new chief.
22:35I'm not looking forward to that.
22:37Uh, sorry I overstepped, Dr. Larson, but I reread the REVIVE trial and it led me to a JAMA article.
22:44Emerson used a guanylate cyclase stimulator on his heart patients.
22:49Got more kick out of the myocardium without diaphragm cross-reactivity.
22:53Hmm.
22:54Okay.
22:55I'll take a look at it.
22:56So the first thing you did was call in a psych consult?
23:00She checked a lot of boxes.
23:01We're prepping her now for a thrombolysis, but I'm thinking Ray knows.
23:02Ray knows?
23:03With this presentation?
23:04Well, I'm running auto-antibodies, too.
23:05So, you ordered the Lavazamendin.
23:06Yeah, it'll be here within the hour.
23:07And you're seriously considering using it on a patient with a perfectly healthy heart?
23:08He needs to be able to sit up.
23:09Have you investigated the side effects?
23:10Yeah.
23:11Yeah.
23:12Yeah.
23:13Yeah.
23:14Yeah.
23:15Yeah.
23:16Yeah.
23:17Yeah.
23:18Yeah.
23:19Yeah.
23:20Yeah.
23:21Yeah.
23:22Yeah.
23:23Yeah.
23:24Yeah.
23:25Yeah.
23:26He needs to be able to sit up.
23:28Have you investigated the side effects?
23:30I just got off the phone with a lead researcher in Barcelona.
23:33It'll burn out his diaphragm in six hours.
23:36I don't see how this is a course of action you can even present.
23:40He has his reasons.
23:42I've got to respect them.
23:43What does his family think?
23:45I don't know yet.
23:47So what?
23:48It's like steroids for my diaphragm?
23:51It would get you what you need for today.
23:53But if we push the muscle that hard, it's going to burn it out completely.
23:58What does that mean?
24:00Most likely he would be on a ventilator by tonight.
24:06Then why are we even discussing this?
24:09I am obligated as his physician to present all the options and you all seemed pretty determined.
24:16No.
24:17Not it means we only have a few more hours with him.
24:20And there's no other way to get me there tonight.
24:24I'm afraid not.
24:33No, Troy.
24:37No way.
24:38We need to think about this.
24:49Sure.
24:57Okay.
24:58Okay.
24:59All right.
25:00Okay.
25:01There we go.
25:02Oh, you're you.
25:03I'm sorry about my mother.
25:06I didn't think you'd want her to know the details.
25:08Well, you have no idea what I want, clearly.
25:11Well, I've been talking to a headhunter.
25:14Because you have to get away from her?
25:16Because the situation there has been nothing but a mess.
25:19I am not a consolation prize.
25:21It's not like that.
25:23I want our family back.
25:24I know you think you do.
25:27Nora.
25:28Nora.
25:28Hey, Mom.
25:36Hey, how's the visit so far? Is it okay?
25:39Honestly, it's all pretty intense.
25:42I really wish you didn't have to be there.
25:44You know how Gato and Tate are.
25:47And Dad needs a backup.
25:48That's not your role, sweetheart.
25:52Gato asked about you. He sends his love.
25:55He does?
25:55I would have thought they hated me after the way things ended.
25:58Actually, no.
26:00They blame Dad.
26:02And they're blaming him now.
26:04Well, they are pretty traditional that way.
26:07I should get back.
26:09Okay, call me later. Let me know how it goes.
26:11I will.
26:12Bye.
26:24Where's your family?
26:26Connor stormed out.
26:28Maya went after him.
26:30It's going to be hard to do this without their support.
26:35I spent my career playing politics.
26:39Chasing donors.
26:41Power.
26:43I turned on friends.
26:46I lied to people who trusted me.
26:48I killed legislation that I believed in to get endorsements.
26:54I was an arrogant jackass.
26:58Concerned more with winning than helping people.
27:02It's hard to picture you like that.
27:07Spinal cord injury was the worst thing that ever happened to me.
27:10But it also gave me clarity.
27:19I've always loved my family.
27:21But this is...
27:22But I wasted my life chasing the wrong things.
27:33And this is my last chance to make up for it.
27:36To do something that actually matters.
27:39But I need them.
27:41And I need them to understand.
27:43I understand.
27:48I understand.
27:51Could you talk to them?
27:52Please?
28:00Hey, Connor.
28:01Where's your mom?
28:03Call my uncle.
28:03See if you can get here in time to say goodbye.
28:08You want to talk about it?
28:12You don't know anything about me.
28:14I know that you've been through a lot.
28:16For someone your age.
28:17My daughter has too.
28:18She's 18.
28:19Just a little younger than you.
28:21So what?
28:23Are you trying to bond with me now?
28:24No, I'm just trying to help.
28:26You want to help?
28:26Tell my dad not to do it.
28:30That's not my role.
28:31But maybe I can help you understand.
28:35I understand.
28:37That he's obsessed with his legacy.
28:38It's not that simple, Connor.
28:41I think you know that.
28:43Oh, yeah?
28:47He told me you took a leave from Georgetown
28:49to spend the year with him.
28:51I'm sure that makes it even harder
28:53to understand why he would give up any time with you.
28:57I think he's trying to show you
28:59how to live with purpose,
29:01even when it costs you.
29:03How to be brave when it counts.
29:09Noble.
29:11Yeah.
29:15Well, I think that's easy for you to say.
29:17Because he's not your father.
29:19Last one's down to Jeff Alden and Sonia Matra.
29:28Matra's solid, but she doesn't have much research published,
29:31and I'm not excited about her pedigree.
29:33She got into Yale and Hopkins.
29:35She just didn't want to take her parents' money.
29:37She took a financial aid package from the U of M.
29:39I admire her principles,
29:41but Hilton actually trained Yale.
29:43And she's relentless.
29:45She takes a hit.
29:46She learns from it.
29:48She comes back fighting.
29:49You can't teach that kind of grit.
29:51I think I might want to run this one by Numeroff.
29:53Numeroff's out the door.
29:55I'm going to lead to his department.
29:56That's why we're here, right?
29:59You better push her.
30:01I will.
30:04There's the clot.
30:05Pop was to your artery.
30:06So, you actually found something.
30:09Yes, you did.
30:11She's tachycardic.
30:12Could be a contrast reaction.
30:14No, it's too late in the procedure for that.
30:16What?
30:16What's happening?
30:17Your heart rate's spiking.
30:18And you don't know why.
30:19Got to bring it down, Dr. Matra.
30:21I'm giving her 15 milligrams ketamine.
30:24Her rate's spiking more BP-strapping O2-sats.
30:27Can't be.
30:27This is the opposite of what should be happening.
30:28The ketamine's making her worse.
30:30Why would that be?
30:30It induces P450 enzymes.
30:32Your chart said you had a history of anemia.
30:35How long ago was that?
30:35It stopped when I went into menopause.
30:40Show me the urine fully back.
30:44Her urine's purple.
30:46She has porphyria.
30:47The anemia masked it.
30:48The ketamine's bringing on an acute attack.
30:50Start IV heme and glucose.
30:52Order a confirmatory porphyrin panel.
30:53Am I all right?
30:55We got this.
30:57Okay.
31:00Please.
31:01Please go get him.
31:02I'm running out of time.
31:03He's not coming, Troy.
31:04I tried.
31:07He listened.
31:08I'm not sure he heard.
31:10You have nothing else to prove.
31:13I promised all those people, Maya,
31:16that I'd fight for them.
31:17And you did.
31:18So my last decision in life will be to quit on the five-yard line?
31:29You're really going through with this?
31:32You know I want to.
31:33But I won't.
31:35If it's going to hurt you this much.
31:37That's not fair.
31:39Because now I'm hurting you.
31:41That's what life's about, son.
31:43Hard choices and sacrifices.
31:47Accomplishing anything that matters always comes with a price.
31:51No, don't do that.
31:52Don't put this on him.
31:53This is his life.
31:54No matter when you lose him, it's going to be unbearable.
32:04But believe me, you don't want to add guilt to your grief.
32:09Because guilt is what you're going to feel if you don't let him live his last moments the way he wants to.
32:15Hey, these past nine months, all that campaigning we did, the flyers, those posters, all those meetings and the speeches, were you proud of me?
32:31Yeah.
32:33Were you proud of yourself?
32:34Then let's finish what we started.
32:46Do it.
32:49Yeah.
32:51Yeah.
33:04Well, we all want access for people in need, but we have to choose our priorities.
33:10We just can't afford to spend this much money to help such a small group of people.
33:15Don't let me interrupt.
33:17Uh, no, please.
33:20Councilman, the floor is yours.
33:29You all know me.
33:31Who I am.
33:34Who I was.
33:38One.
33:41One in nine people have some kind of mobility challenge.
33:46One in nine.
33:48People see.
33:51People see ramps.
33:52People see parking spots.
33:54And assume that accessibility is a done deal.
33:58I used to.
34:02But when you live it.
34:04I can't.
34:06I can't.
34:07I can't.
34:09Let's try it off.
34:10I can't.
34:10I can't.
34:20I can't.
34:24I can't.
34:25I can't.
34:26I can't.
34:28It's...
34:29Sorry. Sorry.
34:34I can do it, Mom.
34:38My son would love to say something.
34:49Our world changed.
34:51The day of my father's accident.
34:53So many of the things we took for granted were gone.
34:58A couple steps or a narrow doorway.
35:02That's all it takes to shut him out.
35:05And to keep him from me.
35:12My father chose to give up his last few weeks of his life.
35:16His final moments with the people he loves to be here today
35:20because he knows we can do better.
35:22Imagine that was you.
35:28And your kid.
35:32What would you do to fix that?
35:34Seems like the right time to call a vote.
35:47Those in favor?
35:48Looks like the eyes have it.
36:02Looks like the eyes have it.
36:04Looks like the eyes have it.
36:06Looks like the eyes have it.
36:08So, your menopause started two years ago, but you were in perimenopause for several years before that.
36:14Which is?
36:15Well, my pain started.
36:16Less bleeding means you lose less iron.
36:20And it built up in your body and triggered your porphyria.
36:30Porphyria.
36:31It's an inherited condition and it's invisible on all imaging and labs and to anyone who doesn't look close enough.
36:40How is she tolerating the new meds?
36:41So far, so good.
36:42Pain's so much better.
36:43Thanks to both of you.
36:44This was a rough one and you found a way to turn it around.
36:48I'm sorry, Dr.
37:07this was a rough one and you found a way to turn it around thank you for pushing me
37:15may have learned something about you too that i'm not judgmental and biased i hate to break
37:21it to you but you are judgmental and of course you have biases we all do what do you do with
37:27yours try to be aware of them keep an open mind and then every so often take my foot out of my
37:35mouth and i will tell dr vitalee how well you did today thank you
37:44dr larson hi sonia i don't know if you know but
38:05i got in congratulations uh i just wanted to tell you how excited i am to come here and
38:14learn from you well you have two months before residency starts so use it wisely
38:18you barely made the cut you have a lot to prove
38:24i get it and i will you did thrombolysis that was to avoid the bypass why post-op plavix aspirin allergy
38:36and no post-op stress echo stress is a trigger for porphyria i'm doing a prosantene in the morning
38:44vague symptoms atypical presentation i hate to admit it but this is excellent work
38:53uh it's a little bit harder for me to evaluate yours he did a lot of good for a lot of people today
39:02but i guess you can't really put that in a chart
39:05so feels like we fought to a draw
39:09you're waiting for dr ridley yeah yeah she left early
39:14oh did she say why no sorry okay
39:20i guess it's definitely a draw then
39:27you're leaving your job
39:53yeah dad maybe i thought you liked it i do
40:00you're lucky i hated my job but i did it it's what you do
40:06just say what you want to say
40:13you need to fight for your wife because that's also what you do
40:18i appreciate your advice she doesn't care where you work she cares you love her
40:22what do you know about love you and mom spent years barely talking
40:25at least i stayed you're walking away mister
40:28i'm not the one leaving what do you want from me
40:31convince nora you love her
40:33i can't because i don't
40:35not the way she needs
40:37i thought i did but then amy came back
40:41oh please michael life isn't some fairy tale
40:44stop it just stop fighting
40:47honey it's katie it's okay
40:49no it isn't
40:51i need to
40:53katie katie
40:56so how'd it go
41:03city hall
41:04he passed the bill
41:05yeah
41:06it was something to see
41:07yeah i bet
41:08so how long before he's gonna get back on the ventilator
41:11tomorrow morning
41:12yeah they have one more night together as a family
41:16i guess that puts the whole battle royale with sonia in your perspective doesn't it
41:21yeah
41:22she's actually giving me a run for my money
41:25huh
41:26i guess somebody wants to thought her woke
41:29hi
41:36katie wants to come to your place
41:37yeah okay send her over
41:39no i think i should bring her
41:41is everything okay
41:42i'm not sure
41:44uh okay
41:45uh yeah bring her over
41:47seriously
41:48what's going on
41:50i don't know
41:51something with katie
41:52i think i gotta go
41:54um
41:55yeah yeah yeah of course
41:57just uh
41:59just
41:59keep me posted
42:01yeah
42:02yeah
42:02hey
42:11mama what's going on
42:14you okay
42:15uh let's sit down
42:17no no i can't
42:18i
42:18what is it honey
42:20what's going on
42:23i don't need something fun
42:30i feel like i'm dying
42:33it's a panic attack
42:35try to slow your movement
42:36mom
42:38stop
42:42Congratulations.
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