- 6 hours ago
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00:10It's been a long road, but I think we're there.
00:13You have a viable embryo.
00:15Are you sure?
00:17I'm about as sure as I can be.
00:18We've ruled out any major chromosomal abnormalities
00:22and the single-gene conditions we can screen.
00:25As long as the implantation is successful,
00:27you can have a viable pregnancy.
00:29Oh.
00:32Well, that is, uh...
00:40I need to call my husband and tell him the good news?
00:43Of course.
00:45You're very welcome.
00:59Huh.
01:00Identical twins.
01:01Do you just do everything together?
01:03I applied here first.
01:04We have different specialties.
01:06Something tells me Dr. Watson's going to have a field day with you, too.
01:10Well, I'm not sure what that means.
01:12But I'm hoping to utilize Dr. Watson's work on immune pathways to fight infections.
01:16I was thinking of something similar.
01:17Are you an immunologist?
01:18Me, too.
01:19In rheumatology, I'm double-boarded.
01:20I'm infectious disease, actually.
01:22Oh.
01:23Interesting.
01:24Maybe we can work on a project together.
01:28Everybody says that Watson is good and fair.
01:31Clearly into competition.
01:33Should we make a bet about who gets cut first?
01:36Why would he hire all of us just to turn around and cut one?
01:39Oh, let me guess.
01:40Family medicine.
01:41Not far off.
01:43Functional medicine.
01:44Oh.
01:45Okay.
01:47Let me help you understand.
01:49Watson either has one too few desks or one too many fellows, and he's had ample time to get another
01:58desk.
01:58Or maybe it's a hot desk situation.
02:02So your glass half full type?
02:03Got it.
02:05Ready for our first official day, Gover?
02:08I am.
02:10So I'll do a little decorating first.
02:12Holmes is violent.
02:14Feels like he could just walk in, play us a tune, solve a mystery or two.
02:20Yeah, I wish he could.
02:22We'll just have to honor his memory with our work.
02:25Fellows here yet?
02:27Down in the bullpen.
02:29One concern.
02:30You asked me to order four desks.
02:32There are five fellows.
02:39Seems like this desk has already been claimed.
02:42It's mine.
02:43I've been here for a week working on our first case.
02:46Thought I'd make myself at home.
02:49I'm sure you four can make the other three desks work.
02:51You're the one who cuts, aren't you?
02:53Paola Perrajas, surgical specialist and gradarian neurologist.
02:57My bet is Ms. Gloss Heffel is the first to go.
03:01Nobody's going anywhere.
03:03And don't underestimate me.
03:06Fellows, good morning, happy first day, welcome, et cetera, et cetera.
03:13Why don't we meet in the conference room?
03:18Kyron Garner, 16.
03:21He has been my patient since before his birth.
03:24I worked with his parents during my genetics fellowship to help him conceive.
03:29So what's his deal?
03:30I just assumed there must be a rare genetic condition at play if we're here discussing him 16 years later.
03:35That's correct, Dr. Darian.
03:36You're half right.
03:37Kyron has bacterial association.
03:40Vactoral patients have multiple anomalies.
03:43The name is an acronym.
03:44It's a disorder that really means a bunch of disorders.
03:47Each letter stands for a different body part that can be affected.
03:49But it's not genetic.
03:50There's no clear cause, and since he can't test for it, it's hard to diagnose prenatally.
03:54Correct.
03:55We knew Kyron had a VSD from a sonogram.
03:58So you knew he had a heart condition, but you needed three of these anomalies to be diagnosed with Vactoral.
04:02It was at his birth that we learned Kyron had two more.
04:06A tracheal esophageal fistula and a malformation of his lower GI tract.
04:11That gives him Vactoral.
04:13Poor kid.
04:15That means he had several surgeries soon after he was born.
04:18Yes, he did.
04:19Kyron learned to walk in the Peds ward after a G-tube revision.
04:25And then he celebrated his seventh birthday here at UHOP once we readmitted him for one of his chronic UTIs.
04:30He and his family must have spent more nights in the hospital than at home.
04:33No, it's just mostly he and his mother now.
04:37His medical needs were a lot for his father.
04:40Kyron has had over 12 surgeries just to simply rebuild his body.
04:45And even so, at 16, he was accepted to Penn State Robotics, though he had to defer.
04:51But tomorrow, I'll perform his final surgery to fuse the spine and correct his severe scoliosis.
04:56Because we'll get Kyron to college sooner rather than later, but I'd like you all to acquaint yourselves with this
05:04case.
05:05Dr. Barajas and I are going to meet with Kyron and his mother, but they were my first patients when
05:10I was a fellow.
05:11Now they're yours.
05:14Sorry, Dr. Watson, I couldn't help but notice there are only four desks.
05:18Hmm.
05:19I'll have to look into that.
05:27Well, thank you.
05:28Mm-hmm.
05:31Wow, this is definitely an improvement over that tiny office on there, too, Wayne.
05:35I know.
05:36Yeah, you're really coming up in the world.
05:38They built this entire clinic for you?
05:39Well, for the advancement of genetics and for the education of a select group of fellows.
05:46Dr. Paola Barajas.
05:48Hi.
05:48I'll be doing Kyron's final fusion.
05:50Nice to meet you.
05:50Yeah.
05:51You know, I'm going to have my own robotics clinic one day.
05:54Just like this.
05:55Better than this, maybe.
05:57Well, if anyone has the brains of perseverance to accomplish their dreams, it's you, Kyron.
06:01Yeah.
06:02Now I just need the body.
06:03Kyron.
06:05What?
06:05Dr. Watson understands my need for bodily improvement.
06:08Our plan will do just that.
06:10We'll use metal rods to hold your spine straight and bone grafts to fuse the vertebrae.
06:14Once it's fused, your spine will never curve again.
06:17It's a very successful technique.
06:19We do it all the time.
06:20Really?
06:22And when do I get to Penn State?
06:25After about a year of PT.
06:27Now, the recovery is intense.
06:28But once you're through, I mean, you'll be done with all of the major issues associated with Bactero.
06:33Right.
06:35I don't know.
06:36What I do, it kind of feels like I'll never be done with this Dr. Watson.
06:40I know it feels that way, Kyron, but you're almost there.
06:43And I promise you, you will be done.
06:46Now, remember, I don't...
06:47Yeah, yeah, yeah.
06:48You don't make promises you can't keep.
06:50I know.
06:54All done.
06:56It's been a long road, but it's official.
06:59You cleared for college.
07:01Oh, my gosh.
07:03Yes?
07:04Yes, yes.
07:04Finally.
07:06Wow.
07:07Mom, orientations next week.
07:09We've got to choose our teams and get into our rover designs for the challenge.
07:11Now, make sure that you stick to the diet that Dr. Croft designed for you.
07:15Yeah, yeah.
07:16And don't be a stranger, okay?
07:17Yeah.
07:18Oh, man.
07:19It is so crazy to think I'm not going to be seeing you in a couple weeks for checkup.
07:23Well, you're at the finish line now, Kyron.
07:25The most serious challenges of the Bactero behind you now.
07:30Thank you for everything you've done, Dr. Watson.
07:32Of course.
07:34Come on, Mom.
07:35Don't get mushy.
07:35You're going to give him the egg.
07:37I'm sorry.
07:41Bless you.
07:45I think...
07:46What's that?
07:49Kyron.
07:50Kyron.
07:51My back.
07:51What's happening?
07:52My back.
07:53My back hurts.
07:55Shinwell.
07:57What's wrong with his back?
07:58What's happening?
07:59What's happening?
07:59It looks like one of your rods broke and it's tinting your skin.
08:01Oh, my God.
08:02We need to get a gurney for Kyron to ask Dr. Morrison to meet us in the OR.
08:05Wait, wait, wait, wait, wait, wait, wait.
08:06Kyron, we have to get you to the OR before this rod breaks through your skin.
08:10I can't go do another procedure.
08:12Okay?
08:13You promised this was the last surgery.
08:16You promised.
08:18You've talked to Watson.
08:19You never break your promises.
08:21You lied to me.
08:48Mary, what do you think?
08:50No corrosion here, either.
08:52Well, there's no visible signs of infection, but we've taken cultures.
08:59Wait.
09:01Kyron's final fusion was two years ago when your clinic opened, right?
09:06Yeah, that's right.
09:07Why?
09:08Well, I mean, it didn't show up on imaging, but now that I'm in here, I can see why his
09:15rod broke.
09:16His bones didn't fuse.
09:20Two years ago, we did a surgery to fuse Kyron's spine, but his bones didn't fuse, which caused the rod
09:29to fracture from too much tension.
09:32Our job today is to figure out why his surgery failed.
09:38Infection is the obvious answer.
09:40Cultures from the OR are pending, but we do know that Kyron didn't have any fever or other symptoms before
09:45his rod broke.
09:46Could be hardware.
09:47Maybe the screws or rods were faulty in some way.
09:49I can check for recalls.
09:51Or Kyron could have a metal hypersensitivity.
09:54He could be rejecting the hardware.
09:55Ingrid, Adam, look into all the hardware.
09:57He still has one rod and all the screws in his back.
10:00If there is a problem...
10:04If there's a problem, we need to know.
10:07Sasha and Stevens, look through all of his medical records.
10:09See if there's anything in his history that we could have missed.
10:13We're on it, but...
10:15Watson, are you okay?
10:24I won't be once we get answers.
10:27I want an update in the morning.
10:33Didn't Paola do his spinal fusion?
10:37Well, Paola, I forgot we once were five.
10:39Should we reach out to her?
10:41Ask her about the case.
10:42Maybe she has some insights.
10:43Why would we do that?
10:44Her surgery failed.
10:46If you need a refresher, Watson fired her.
10:49We don't know if she was actually fired.
10:50Watson never told us.
10:52What'd he tell us?
10:53I mean, he told us about Ingrid, but...
10:55He never tried to replace Paola.
10:59Well, we've established that's not Watson's strong suit.
11:03It's kind of wild.
11:04All that's happened since she was with us.
11:09When did you know?
11:10Kyron, we didn't know.
11:12You had him do genetic testing.
11:14Yeah, Dr. Watson, thank God.
11:16Kyron, Kyron wants to know when we do.
11:20Did you know how sick I was going to be before I was born?
11:26Did you tell my mom that she decided to have me anyway?
11:29No, we couldn't know, Kyron.
11:30She said you knew about my heart condition.
11:32But, honey, it's not important.
11:34Yes, it is.
11:34It's my life.
11:36You knew about how much pain I was going to go through.
11:40And you decided to have me anyway.
11:43Kyron, please don't talk like that.
11:45I wouldn't trade you for anything.
11:46You know that.
11:47You need to tell me exactly what you knew.
11:50I deserve to know.
11:59Kyron, when your mother was five months pregnant, she did an ultrasound.
12:03Dr. Watson, I need your help.
12:05My OB says there's a hole in my baby's heart?
12:09Yes, it's called a VSD.
12:11It's the hole in the wall that divides the lower chambers of his heart.
12:16I don't understand.
12:17Why didn't you say, why didn't you tell me that he would have a VSD before?
12:21But there's no way we could have known that from the genetic screening.
12:24And sometimes VSDs just, they just go away on their own.
12:27Well, what if it doesn't?
12:28There are a lot of good treatment options if it doesn't.
12:33Hey, well, that's encouraging.
12:37My husband and I, we just made partner at our law firms.
12:41We want a child.
12:43But he's afraid of having a sick child.
12:46Do you see anything else on the sonogram?
12:52No.
12:53I don't see anything else concerning.
12:58What if I...
13:00If I terminate it?
13:03I'm going to still be able to have another baby.
13:08With an egg donor or maybe adoption.
13:13I'm sorry, but your body's no longer producing eggs, so we can't make more embryos.
13:22I had eight miscarriages before I even met you, and I was afraid the universe was telling me I wasn't
13:29meant to be a mother.
13:30And then I got pregnant with my son, and now you're...
13:34Marlisa, I can see that you already love your son.
13:37I can see it.
13:38Yeah.
13:39Whatever challenges life throws at you, you will face them.
13:43And I'm going to help you.
13:45I promise, okay?
13:50Okay.
13:52So you didn't tell her it could be Vactora?
13:55No, we didn't know for sure.
13:57Not until you were born.
13:58And then once we did, I put together the best possible care.
14:01But you wouldn't have had to do all that.
14:04If I wasn't here in the first place, she could have saved me from a lifetime of pain.
14:13My dad wouldn't have left.
14:17Kyron, I'm sorry.
14:18No, I'm sorry.
14:21I'm sorry you didn't get a choice.
14:23Because if you knew everything that would happen, all this pain...
14:33Maybe...
14:34You would have made a different decision.
14:39I know I would have.
14:58I've never seen him so disheartened.
15:03Even...
15:03Even on his worst days, he hasn't talked about wishing he had been born.
15:07He's processing.
15:09He's...
15:10It's the first time he's learned something new, and he's just...
15:13taking it in.
15:16We've always known what the next treatment was.
15:17This is the first time we didn't have a plan.
15:19I'm scared as more than that.
15:22He didn't think we knew anything.
15:23The fact that we did.
15:25And now this is his life.
15:27He...
15:28He's mad.
15:30He...
15:31He's hurt.
15:33And I don't blame him.
15:39Honestly, I blame you.
15:54Where are we with Kyron?
15:56Uh, Adam's not here yet.
15:58Then we're gonna proceed with Adam.
15:59Look, Kyron is okay physically, but emotionally, he's struggling.
16:04We need to present him with a plan as soon as possible.
16:07The cultures Dr. Morrison took came back negative, as did his mental allergy test.
16:11He doesn't have an infection or mental hypersensitivity.
16:13I looked over the OR notes.
16:15There are no obvious concerns reported during surgery.
16:16I checked with the hardware manufacturers.
16:18No reported issues with the screws or rods.
16:21Okay, okay.
16:22So, who has any suggestions about what we should do next?
16:29Nothing?
16:30Nobody?
16:30Okay, this is unacceptable.
16:32Okay, you guys aren't new fellows anymore.
16:34You need to be searching for possibilities always.
16:37Not waiting for me to ask.
16:39Now, one of you two, you guys call Paola Barajas and...
16:42Excuse me.
16:42Are you Dr. John Watson?
16:44Yes.
16:44Yes, I am.
16:48You've been served.
16:50For what?
16:51The wrongful life of Kyron Garner.
16:55The wrongful life?
16:56What the hell does that even mean?
17:01Kyron said he shouldn't be here.
17:04He saw me because he thinks he never should have been born.
17:13Wrongful life sounds wrong.
17:17It is wrong.
17:19I can be iffy on existence as a whole, but even I don't think that life is wrongful.
17:24There are a few people whose lives I think might be wrongful.
17:28But that's not what this case is about.
17:32It's Lauren.
17:34She says these cases are rare.
17:36Many states don't allow them.
17:37The child has to prove their parents would have terminated the pregnancy if the doctor had given them all of
17:42the information.
17:42So what the suit is basically saying is that if Marlise knew that Vactor was a possibility, she would have
17:47terminated the pregnancy.
17:48And by extension that Kyron wishes that were the case.
17:50Kyron is angry and in pain.
17:52It seems like he's just lashing out.
17:54Or he truly wishes he didn't exist.
17:56But Kyron does exist.
17:58I don't understand how a court can debate whether that should have happened or not.
18:01Or pay out money for what?
18:03The curse of being alive?
18:04And Lauren says if Kyron wins, the damages amount is based on an aggregate of their medical expenses over his
18:10lifetime.
18:11My God.
18:12Kyron's had so much medical care, that must be tens of millions of dollars.
18:16His story is heartbreaking.
18:18I don't know if any jury would side against him.
18:20What will this mean for Watson?
18:22For the clinic?
18:25How is he?
18:26Well, you know, just as you'd expect if one of your closest patients decides to sue you.
18:32Dr. Mawston's up there trying to talk him down.
18:35How can we help?
18:39Focus on your work.
18:41Mawston's worried that we might have disappointed a patient.
18:44Last thing he wants is for us to disappoint anymore.
18:49How can Kyron believe he shouldn't exist?
18:52We shouldn't even be entertained in this lawsuit because he does exist.
18:55Entertain?
18:56That's not up to us.
18:58A lawsuit like this is serious.
19:00We definitely need to end this before it turns into clickbait and damages your reputation.
19:05I'm not worried about clickbait on my reputation.
19:08But the board is.
19:09They're not exactly happy about this, especially given everything with Mycroft Holmes.
19:14This must be putting a lot of pressure on you, and I'm sorry for that.
19:17Okay?
19:17But we shouldn't be talking about a lawsuit with a failed fusion.
19:21It's just a matter of time before the second rod breaks.
19:23John.
19:23What we need to do is figure out what went wrong and fix it.
19:27Actually, we don't.
19:30After he served you, Kyron transferred hospitals.
19:33What?
19:33He's not your patient anymore.
19:43They took you ten minutes ago, Gubber.
19:47I didn't think about blocking the door, but...
19:49Mary told you that Kyron was transferring before she told me?
19:52Not once a rat on the vosh, Gubber.
19:55Oh, so you work for Mary now?
19:56Ooh.
19:58Technically speaking, we all work for Dr. Morstan, Gubber.
20:02Well, it's very true.
20:05I guess blocking the door certainly wouldn't help the lawsuit.
20:08No.
20:10So how was he?
20:11How was Kyron?
20:13He was okay.
20:16Purring.
20:18But okay.
20:19Talking about selling the lawsuit.
20:21That might be a way to convince him to come back to you, Hop.
20:26And how do you feel about that, Gubber?
20:29Well, all I want is what's best for Kyron.
20:33And if...
20:34If he needs this, then...
20:36Look, Arvith, there's one thing I know about you.
20:39It's that you're always going to put your patient first.
20:42That's all you're doing.
20:45Appreciate you.
20:49Seems like Paula's doing some cutting-edge work.
20:51Using 3D printing to customize components for joint replacements.
20:55I think it's worth having a conversation to see if any of it can help Kyron, but she hasn't returned
20:59my call.
21:00You were calling her when we thought she was the reason the bone didn't fuse.
21:03Let me reach out to her.
21:04Really?
21:05From what I recall, the two of you weren't exactly friendly.
21:08Which is why I'm sure she won't be able to refuse Surgeon Explaining all her fancy tech and gadgets to
21:13me.
21:15Why would you volunteer for that?
21:17Kyron?
21:19Okay, look.
21:20I know you're in therapy now and have changed some of your ways,
21:24but there's something you're not telling me.
21:30I just know I'd probably owe her an apology.
21:33Okay.
21:35What'd you do?
21:39Saved by the ding.
21:40Hmm.
21:41Convenient.
21:42Make contact.
21:42She can meet in the morning.
21:44I'll let you know how it goes.
21:55The board wanted me to remind you.
21:57No surprises in there?
21:59I understood.
21:59I'll stick to the script.
22:00This is serious, Dr. Watson.
22:02If we don't play our cards right in there.
22:04You've got it, Charles.
22:05Thanks.
22:07This will all be over soon.
22:12We appreciate you all moving to a settlement so quickly.
22:15Well, Dr. Watson and you, Hop, care about Kyron
22:18and want the outcome that best sets him up for success.
22:21Kyron.
22:22Are you all right?
22:23You look flushed.
22:24John?
22:24No, it's okay.
22:26Old habits, right?
22:27He's fine, Dr. Watson.
22:29I mean, Kyron just had a minor UTI, and he's taking antibiotics, so we caught it early.
22:36Apologies.
22:36Before we move further, we have one addition to the settlement.
22:40And what is it, Ms. Tenerman?
22:42My client would like an apology from Dr. Watson.
22:45The excruciating pain my client has felt his entire life could have been avoided if Dr. Watson
22:49had given Marlise all of the information when she brought in the sonogram 18 years ago.
22:53Okay, I'm sorry.
22:54You want me to apologize for Kyron's existence?
22:59I...
22:59Wait.
23:01Kyron.
23:02Is that what you really want?
23:03Yes.
23:12That's what I want.
23:14I'll give you a bit on antibiotics.
23:15I told you he would never apologize.
23:17No, it's not about that, Kyron.
23:19You are sick.
23:19John, is this some kind of stunt?
23:21I've been working hard to try to figure out why your bones didn't fuse.
23:23Now, now, just right now, I've got the clue that I needed to understand what's going on.
23:26Watson, I advise against you getting involved.
23:28Wait, what is it?
23:28What's wrong with Kyron?
23:29I believe you have an exception.
23:32Stop!
23:34Stop.
23:35Anything that's wrong with me is your fault.
23:42You made me.
23:47And you let me live just to be in hospitals like some freak.
23:52Kyron, please, let me treat you, okay?
23:56Treat me?
23:57Why?
23:58I'm not even supposed to be alive.
24:00Go, go, go.
24:02Call Amos, Georgia.
24:04Please, help him.
24:05Dr. Watson, please help my son.
24:07Mary, let us take him to you, Hop.
24:08He should be with us.
24:09If this lawsuit isn't settled, you shouldn't get involved.
24:11Please, Dr. Worsten.
24:12The board won't be happy.
24:13Then let them take that up with me.
24:15Marlies gives permission so you, Hop, will treat Kyron.
24:19Stay with us.
24:20It's okay.
24:21Stay with us.
24:21Just stay with us.
24:22You're going to be okay.
24:23Just stay with us.
24:31There.
24:33You were right.
24:34I don't know how you knew the infection was deep in his spine.
24:38The initial wound cultures were negative.
24:39Well, Kyron had a fever and the new doctors assumed that it was UTI and that tracks, but
24:44the antibiotics weren't working, so it had to be something else.
24:47An occult spinal infection explains everything.
24:50Why his bones didn't fuse.
24:52And there it is.
24:54So now we have a plan.
24:55We remove the infection.
24:56We do, but it's tough, John.
25:00Kyron can do tough.
25:01To treat the infection, I'll need to remove the remaining rod and all of his hardware.
25:05He'll be hospitalized for IV until we can perform the revision surgery.
25:08Is Kyron prepared for that?
25:10No, he's too sick to make that decision.
25:12Then we'll need Marlies to sign a consent on his behalf.
25:15We don't need this to complicate the lawsuit.
25:18Mary, thank you for letting Kyron come back to U.H.
25:21I'm sure the board went too happy.
25:23Oh, they weren't.
25:25And you're welcome.
25:34Nice write-up in the Beachview Journal.
25:37Yeah, you know how it is.
25:38Those publicity things are silly, but they're fun to send home to the parents.
25:46So what are you working on right now?
25:48Do you remember Kyron Garner?
25:50The first patient we had at the Holmes Clinic?
25:52Of course.
25:53How's he doing with his new spine?
25:54Actually, his spine didn't fuse.
25:56I know Sasha tried to reach out to you.
25:58I've been busy.
26:02Why are we here?
26:03I've been looking into the best redo surgeries for Kyron.
26:07I thought his anatomy might benefit from the precision cages.
26:11Can I see his chart in labs?
26:21I think he's an ideal candidate.
26:23Have him transferred to Beachview and my team will take the case.
26:28I know it's important for Watson that he stay at UHOP.
26:31Dr. Morrison taking the lead in the surgery.
26:34Would you consider a collaboration?
26:38You're different now.
26:39I can't imagine the Ingrid I knew asking me if I would consider collaborating.
26:44You're right.
26:45I wouldn't have.
26:48Paula, I'm the one who reached out to Beachview about you.
26:54What do you mean?
26:56It was the desk.
26:58I was pissed about you claiming the desk I wanted, so I sent Beachview your resume.
27:06I wanted you gone.
27:09Sorry.
27:11Let me get this straight.
27:13You were pissed.
27:15So you told a rival hospital I'd be a great fit for their new state-of-the-art lab.
27:19I just wanted you gone.
27:21I didn't want patients not to have you as a surgeon.
27:24Just somewhere else.
27:27Somewhere not at that desk.
27:30I can't tell if that makes me like you, more or less.
27:36Have Dr. Morstan reach out to me if she wants to move forward.
27:52Good morning.
27:54How was Kyron?
27:56Okay.
27:57The CT scan went well.
27:59Watson was able to figure out what's wrong.
28:01That's good.
28:02I'm just glad that he's back here at U-Hop.
28:05I'm not sure Watson can handle knowing he was in trouble somewhere else.
28:10Hey.
28:12What's going on?
28:15That kid's going to wake up to learn that he's stuck at U-Hop for months.
28:19He was already struggling.
28:21I don't know how this won't devastate him.
28:23But then he'll get better.
28:25Watson is dedicated to coming up with the best plan for him.
28:28I know, but...
28:30The plan doesn't really make up for what Kyron's losing.
28:33He doesn't really acknowledge it.
28:35I don't know.
28:36It just feels like he needs something more.
28:41Like what?
28:46Tori, uh...
28:47Dr. Morstan has something she wants to show you in skies.
28:53During the washout, Dr. Morstan took measurements
28:55and combined them with Kyron's scans
28:57to create this virtual replica of his spine.
28:59You can see here a haemovertebra at T8 and cleft through T9.
29:04A malformation like that could also contribute to why the fusion didn't tick.
29:08That plus an occult infection.
29:09Exactly.
29:10It's a perfect storm.
29:11So how do we make sure his bones fuse this time?
29:17This might potentially be a good time to mention that I met with Paula Barajas.
29:21She finally got back to someone?
29:23She did.
29:24Looks like some of the innovations she's been working on
29:26at the Beachview Medical Institute can help Kyron.
29:28It was a shame to lose Paula,
29:30but I knew she would be a better fit at Beachview.
29:33So you didn't fire her?
29:35On the contrary, I asked her to stay.
29:36Oh, interesting.
29:40Well, looks like Paula's doing quite well where she is.
29:43She suggests we use a custom cage printed to Kyron's specifications.
29:47That would make sense.
29:48Something Taylor made would prevent infection
29:50and increase his chances of a successful fusion.
29:53She also said she may be willing to collaborate.
29:55That would be great.
29:56I'll reach out to her and see if we can put together a specific surgical plan.
30:00We could share the broad strokes with Kyron and Marlise.
30:02Yeah, I mean, let's do it.
30:04I'm sure they could use some good news.
30:08Good news.
30:09How's removing every rod and every screw?
30:12Good news.
30:13I know it sounds daunting, Kyron,
30:15but this is the best way to treat the infection
30:17that prevented your bones from fusing.
30:20So, I have the pleasure of lying down on my back for...
30:26who knows how long?
30:28We'll give you IV antibiotics for a month.
30:31Once we're certain it's gone,
30:33we can prepare for your revision surgery.
30:35A month?
30:38So, I'm just as bad off as when my back was deformed.
30:42Worse off, actually, because back then I was going to go to school.
30:49And I was going to start my life.
30:51Well, I guess I'm realizing that's never going to happen now.
30:55I'm sure you can defer, Kyron.
30:57Again?
30:58I'm most disappointed in deferring if new problems just going to pop up every time I get close.
31:02Because there's no reason to believe that something like this is going to happen again.
31:05Oh, you haven't heard?
31:06I have a one-in-a-million association.
31:10I had to be rebuilt starting an hour after birth.
31:13And then my back broke because of some occult infection that hid from even the world's greatest diagnostician for years.
31:26You're a fighter, Kyron.
31:28You're a fighter, Kyron.
31:28What don't you understand, doctor?
31:33Fighting is useless.
31:36Something is always going to come up.
31:40Kyron, we are on the verge of having a plan to rebuild your spine so something like that will never
31:46happen again.
31:48You can't quit on us now.
31:49I'm not quitting on you.
31:53I'm firing you.
31:56Kyron, that is no way to talk to the man who was trying to save your life.
31:59I didn't ask him to.
32:01You did.
32:02I sued him because I realized something you could never accept.
32:10My life is not worth saving.
32:17Just leave.
32:19Okay?
32:22Get out of here.
32:24All of you.
32:26I said everybody.
32:51Yes?
32:53Do you have a moment?
32:54I just need to finish reviewing these titanium cages.
32:57For Kyron?
32:59Mm-hmm.
33:00I was under the impression that he's no longer a patient.
33:02Which is exactly why I have to present him with a flawless plan.
33:05I see.
33:10Actually, I don't see.
33:12With all due respect, Watson, I think your judgment is compromised.
33:18I'm listening?
33:21That's the thing.
33:23I don't think you are listening.
33:25To Kyron, which is unlike you.
33:27And it makes me wonder if the personal nature of this case and your connection to the patient is clouding
33:33your judgment.
33:35And how is my judgment being clouded?
33:38You keep focusing on alternative treatment plans.
33:41Pitching solutions.
33:42Kyron doesn't believe his life is worth fighting for.
33:45Okay?
33:46Now, it's my job to convince him otherwise.
33:48No, it's not.
33:50I'm sorry.
33:51But I can speak with confidence that reassurances and promises don't always help.
33:56In fact, those words, as well-intentioned as they may be, often represent their own kind of pressure.
34:02And added up, it can be another burden on someone who's already struggling.
34:13I hear your diagnosis, Dr. Croft.
34:19What's your recommendation?
34:25Empathy.
34:28Compassion.
34:28Truly listening.
34:31Making sure the patient knows he's not alone.
34:35That's my recommendation.
34:44Wait.
34:45I have to ask.
34:46Where's Clyde?
34:47I expected to see him zipping around back there.
34:49It's a long story.
34:51You were saying, Dr. Morrison?
34:53The lower model, it's too loose.
34:55There's a millimeter gap at the posterior wall.
34:57Yeah, I see that.
34:58It's collapsing from the deformity.
35:00Is there any way we could model it from the healthy vertebrae above it?
35:04That's a great idea.
35:05We could match the curvature.
35:07But what if it's still not quite right?
35:09It's titanium.
35:10There's no adjustments in the OR.
35:12Well, actually, with 3D printing, I could model a flexible lattice.
35:19Build it with just enough give for alignment.
35:21That is ideal.
35:23Amazing what you all can do with this new tech.
35:25Well, not to be a jerk, Dr. Morstan, but you're an orthopedic surgeon and the director of the hospital.
35:31I'm a little surprised U-HOP doesn't have a more robust ortho program.
35:36You know, you might be on to something.
35:39I'm late for a meeting.
35:41You two wrap up here, and Sasha, you can fill me in.
35:47Are you enjoying your fellowship?
35:48Honestly, more than I hoped I would.
35:51It's been life-changing.
35:54Life-changing?
35:55I'd expect you to use a word like that to describe your wedding, too.
35:59Oh, you mean Zach.
36:01I actually ended it with him a while ago.
36:04And, uh, I'm dating Stevens now.
36:07Stevens?
36:11Now that's the bet I should have made with Ingrid.
36:15Speaking of Ingrid, she apologizes now?
36:17Apparently she does.
36:18And sometimes she even means it.
36:26I told you to go away.
36:29You're still fired.
36:31I'm not here as your doctor.
36:33I'm here as someone who's known you for 18 years.
36:36As a...
36:37I don't know.
36:39A friend?
36:41I don't know if I call you a friend.
36:43It's fair.
36:45I haven't always acted like one.
36:48A friend would have listened to you, Kyron.
36:51All these years you've been trying to tell me how much pain you were in.
36:55How hard life was for you.
36:57Yeah.
36:59You wanted me to fight.
37:02Be positive.
37:08Kyron, I...
37:10I thought that I was helping when I came at you with all those plans and promises.
37:17I realize now that that was...
37:20That was wrong.
37:22And I'm truly sorry for that.
37:26Life is hard for everybody.
37:29But your life, it's a whole other level.
37:33I see that.
37:35I see you.
37:39I wanted to make it different, Kyron.
37:41I wanted to make it better.
37:45Sometimes medicine fails.
37:48I'm sorry for that.
37:51But I'm not sorry that you exist.
37:55No matter what you do.
37:56No matter what you think of me.
37:59I'm sorry for what I did.
38:02But I'm glad you're here.
38:20Settlement is in.
38:23The lawyers negotiated, and all of this explains where we got.
38:27Kyron said you satisfied the apology requirement.
38:35Everybody's good with this number?
38:37It's toward the further reaches of what they think a jury might have awarded.
38:40But spares us court expenses and potential negative press.
38:46At least Kyron and Marlies have a financial safety net, no matter what happens next.
38:52You're good with this, too.
38:53That's not ruining you, Hopper, or anything, is it?
38:55I'm good with it.
38:59Where do I sign?
39:24What are you doing in scrubs?
39:26Well, Kyron asked me to be in the bar with him.
39:30I'm glad the two of you made up.
39:32It's better for the both of you.
39:35Well, it was your surgical plan that sealed the deal.
39:39Thank you for taking so much interest in him in this case.
39:43I gotta say, I find what we're about to do with the 3D cages fascinating.
39:49It's a shame we had to go to Beachview Medical Institute to get them.
39:52We should be working with that kind of tech here at UHA.
39:55I agree, but why aren't we?
39:56I asked myself the same question and got started on an answer.
40:00An ortho 3D printing program is starting right here under this roof.
40:04Mm-hmm.
40:06What?
40:06Well, during residency, you chose ortho because it exists in the space between tradition and innovation.
40:11The traditional piece keeps patients safe, but the innovation comes with such potential.
40:16Mm-hmm.
40:17Yeah.
40:17I remember.
40:18You invested so much time in me and in the Holmes Clinic.
40:22Maybe it's time we return the favor.
40:24How about a collaboration on the cutting edge of orthopedics?
40:29Mm-hmm.
40:30An intriguing idea.
40:32Mm-hmm.
40:33But I know you just want access to my new tech lab.
40:36Maybe.
40:43See you out there.
40:45I'll see you out there.
40:58All right.
40:59How you doing?
41:00You nervous?
41:01Always a little nervous before surgery.
41:04I get it.
41:05Thank you for being here.
41:07I told you I'd be here for you.
41:09I really hope it goes better than the last time.
41:10Yeah, me too.
41:12I will be there with you.
41:13And so will all those people rooting for you.
41:20I'm yours, baby.
41:22You're mine.
41:24That's automatically sunshine.
41:28It's better than being alone.
41:30That's for sure.
41:31All right.
41:32So you ready?
41:37All right.
41:39Count backwards from 100.
41:40You're mine and I'm yours.
41:44So who cares if when it rains, it pours?
41:48I'm yours.
41:50And you're mine.
41:52It's automatically sunshine.
41:56You're mine.
41:57Yeah, yeah.
41:58I'm yours.
42:00So who cares if when it rains, it pours?
42:04I'm yours.
42:05Yeah.
42:06You're mine.
42:07And you're mine.
42:07It's automatically sunshine.
42:10Sunshine.
42:11Yeah, sunshine.
42:12Ooh, baby.
42:13Sunshine.
42:14You're mine.
42:15Yeah, yeah.
42:15Sunshine.
42:17Sunshine.
42:21Yeah.
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