- il y a 7 heures
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Court métrageTranscription
08:24So I appreciate your cooperation
08:33Sir, I'm going to have to ask that you keep your voice down
08:36You are disturbing the patients here and my staff
08:39We're not disturbing Dr. Coleman, are we?
08:41Dr. Coleman felt the duty to call you and we needed access to her medical records
08:46But now you need to give us space to do our work
08:49I'm Dr. Michael Hamda, I run this hospital
08:51You are...
08:52Lieutenant Walter Branch, USMC
08:54We're here to transfer Major Luna Elliott to a military hospital forthwith
08:58I don't understand why we're meeting such resistance
09:01I thought you said you were inactive, what's going on here?
09:06I lied
09:07I'm sorry
09:08Respectfully, I understand your position
09:11But as I've already told you, until we ascertain the severity of her condition
09:16She should not be moved
09:17We have medical transport standing by and can have her at our facility within the hour
09:21I don't advise that
09:23I think it's best we have a word with Major Elliott
09:25I have been taking steroids just for the pain and recovery
09:28But they don't know and if they find out, I'm finished
09:31They're not going to kick you out of the Marines for that
09:32I don't understand
09:33I'm not just a Marine
09:34Uh, Major Elliott, they want to talk to you
09:37Tell them I can't, please
09:39Motosats are dipping
09:41Them being here isn't helping
09:49Look, I don't want to get into a pissing contest with you, but our patient is very...
09:53Let me be clear
09:53Your patient is a United States Marines test pilot
09:56Currently billeted to the Johnson Space Center
09:59She's an astronaut?
10:00She's in training for a space flight to the International Space Station
10:05Grant me access
10:07Or expect to hear from the Department of Defense
10:10I'll await that call
10:11Now, if you don't mind
10:13There's a waiting room over there for visitors
10:26Keep me posted
10:31Hey, where's Dr. Larson?
10:33As I understand it, she's not actually considered a doctor at the moment
10:35Come on, give me a break, Julie
10:36You don't know the rounding assignments?
10:38She's supposed to be shadowing Dr. Park
10:40But I haven't seen her today
10:43Oh, speak of the devil
10:47There you are
10:49I have got a mission for you
10:50Should you choose to accept it
10:53I'm intrigued
10:54Good
10:55How's your method acting?
11:01Hey, look who I found
11:03You want a gold star?
11:05You handing them out?
11:07Millennials
11:08Participation trophy just for showing up
11:10Yeah, okay, boomer
11:11At last
11:12Evidence of a backbone
11:14All right, let's get this show on the road
11:15I don't have all day
11:16Are you in any pain?
11:18Well, I have a headache
11:19Tell us about this fall
11:21No recollection
11:23Dizziness, migraines, blackouts
11:24I guess it's as good as mine
11:26Well, I think you know I don't guess
11:28Let's have you walk for us for a bit
11:39Looks like some right hip weakness
11:41I need to listen to your heart
11:45No murmurs were observed
11:46Are you really speaking while I'm trying to listen?
11:49Sorry, my bad
11:55And her meds?
11:56Just my manteen
11:56Ten milligrams twice a day for the Alzheimer's
11:59Any side effects?
12:00I didn't see anything in the charts
12:02Maybe you should contact her neurologist
12:04Before you drag me in here with incomplete information
12:07I'm so sorry
12:08Asking right now
12:12Good to have her back?
12:13Yes
12:16When I said follow my lead
12:18This wasn't what I had in mind to
12:20She lied about being in the reserves
12:21And she didn't have us call her commanding officer
12:24It's called failure to report
12:26And it's unacceptable
12:27Well, I hope you didn't tell them your theory
12:29That she's hopped up on corticosteroids
12:31I ran some more tests on her blood
12:33And they came back inconclusive
12:34So, no
12:35You ran unnecessary labs on your own
12:38Then called the defense department
12:39Without telling me?
12:41I guess we have different ideas about loyalty
12:44Well
12:45My loyalty is always to the patient
12:47Which is why I'm going to tell you the truth
12:50She has been taking medrol
12:52She experienced shortness of breath last week
12:54Assumed it was the meds
12:56Got a new script for hydrocortisone
12:58From her a la carte doctor
12:59Which is what caused the allergic reaction
13:01Very nice
13:03Sounds like she's been getting pretty banged up
13:04From all her training exercises
13:06She was just trying not to get herself balanced
13:08So she's been taking them for months
13:10Which is complicating her medical situation
13:13I spoke to Dr. Miller
13:14Until she's in custody
13:15There will be legal discussions
13:17At a much higher level than ours
13:18Which will determine whether we are compelled
13:20To reveal this
13:21So
13:22Mouth shut
13:23Got it?
13:25Yes, ma'am
13:51All right, last one, pal
13:52You're going to explode
13:55Hey, Katie
13:56Stop torturing your brother
13:58Kat, it's too much fun
14:00But munch
14:01Baby?
14:02Hey, hey, hey
14:02Knock it off
14:03Get ready for school
14:04Okay, that's it
14:11Why did we have kids again?
14:13Um, because you wanted them
14:15No
14:16No
14:16No, no, no
14:17It was all you
14:19We were at the lake
14:20And you said
14:22Don't you think we should start a family?
14:24And then you looked at me
14:25With the sexy eyes
14:27Oh, yeah
14:28No, I remember
14:29Do you?
14:30Mm-hmm
14:30Good, well, keep those happy thoughts in your mind
14:33While you agree to take my place on Danny's field trip today
14:37That was sneaky
14:38I know, but I have this extremely obstinate end-stage heart failure patient
14:44Who wants meds instead of the LVAB that he needs
14:47And let me guess
14:48Only you can convince him
14:50Well
14:52I mean, I am very convincing
14:56I guess I can move some things around
14:59For you
15:01Thank you
15:11Sorry, Dr. Hamda
15:13Uh, Bill Malden from the Department of Defense called again
15:15No, tell him I'm in a meeting
15:17And Dr. Walker is here to see you
15:28You have bent over backwards to help her
15:32And I know how painful all of this is
15:35So when you asked me and Katie
15:38To keep quiet about Nora's pregnancy
15:41I respected it
15:43I don't know what your plan is there
15:45But you asked, so I'm going with your flow
15:49But this
15:50She has a right to know what happened to her son
15:55And to her marriage
15:57And not the watered-down Cliff Notes version you've been selling her
16:02So I'm obligated to put myself through this again?
16:07That's what you walked in here to say
16:10Yes
16:13You here as her psychiatrist
16:15Or as her friend
16:17Because it feels like you're wearing too many hats
16:20You can't leave her in the dark forever
16:22And if you don't tell her
16:25Eventually
16:26I'll have to
16:37Some patchy areas of consolidation in the lower lobes
16:41Filling of the lymph node
16:42Small pleural effusion
16:44Looks like pulmonary edema too
16:45Likely from the med draw
16:46Maybe
16:48What happened with the PFTs?
16:50Recent insults
16:51Looks like another process likely preceded it
16:54We're thinking pneumonia
16:57Yeah, definitely pneumonia
16:59And we just got her labs
17:00Her white count's up to 19
17:02How's her fever?
17:04The last one was 101.8
17:05Cough's getting worse
17:06More productive
17:07Chills, sweating, headaches
17:08Start broad-spectrum antibiotics
17:10Chest physical therapy
17:11Lasix
17:12To diurese some of this fluid from the corticosteroids
17:16Well, I'm assuming they're no longer trying to move her
17:20Well, this definitely helps our case to keep her
17:26I'd very much like to go home now, please
17:28Unless you're enjoying the poke and prod clinic you've been doing with my body
17:33In which case, by all means, keep me here until I completely lose my mind
17:37And I mean that literally
17:40Unfortunately
17:42So, we think she had a TIA
17:44Mm-hmm
17:44Why?
17:45She has right hip flexion weakness on walking
17:48And no right hip weakness in her history
17:50Well, she's sore
17:51She just took a fall
17:52She's 62 with early onset
17:53A sudden fall seven months into her diagnosis
17:56And she has no memory of the moments right before
17:58Any history of coronary artery disease?
18:01No
18:02Valvular heart disease, arrhythmias?
18:04Nope
18:04And my cholesterol's fine, not even on statins
18:08Guess your hearing's fine, too
18:10And I'm not interested in any TIA
18:12Unless you're talking about that snappy number from a chorus line
18:15It can't hurt to do a brain MRI
18:18You want to put that woman through a 45-minute brain scan
18:21Based on an intuition that defies the rest of her history and exam findings?
18:26No
18:27No
18:27Get a hip x-ray, rule out a fracture, and send her home
18:38I'm sure you think that was about me not trusting your instincts
18:41But I need you to know something
18:44After Danny died, you changed
18:47In terms of how you practice medicine
18:50The simplest explanation for anything wasn't good enough
18:54You tested and over-tested
18:58And for every time you found that esoteric diagnosis
19:05There were 50 times it went the other way
19:07I knew it was that you didn't want to miss anything
19:11But it wasn't fair to the patients
19:13And that's not how I'm going to run this department
19:20Thank you, Richard
19:23Not everyone is willing to tell me what I need to hear
19:31Yeah
19:32I'm meeting her in the cafeteria
19:34Okay, that's news to me
19:36When was this planned?
19:38A couple days ago, why?
19:41I'm afraid she's going to ask you things you're not going to want to talk about
19:43About Danny, you mean?
19:46Exactly, yes
19:48So you want me to bail?
19:49She's already on her way down here
19:50No, I don't
19:52Just
19:54Look, if she starts to talk about that day
19:56Or
19:57If it feels like too much
19:59You can go
20:00Just take care of yourself
20:01I will
20:01I get it
20:03Okay
20:03Just
20:04Call me after, okay?
20:11Hi, Dr. Hamber
20:12I'm going in
20:20I've been summoned
20:22Guess you forgot how much federal funding we get
20:26Department of Defense threatened us
20:29You'd know if you'd bothered to take their calls
20:32Something more important going on today?
20:34No
20:35I, uh
20:36It's Amy, right?
20:37I heard that she has been stalking through the admin wing
20:41No idea why you stuck your neck out for her in the first place
20:45And she's been nothing but a pain in the ass
20:47Ever since you took the job
20:48Well, she's built an internal medicine department with a stellar reputation
20:53You can't buy at any price
20:54That's yesterday's news
20:56And you have burned all your political capital on this little experiment
21:00Which is why
21:02I've handed over the astronaut
21:04You're serious?
21:06Feel free to thank me for taking it off your plate
21:13I told you it's been decided
21:15She has severe pneumonia
21:17She's not remotely stable to transport
21:18Then maybe you're not doing your jobs
21:20And it's better we take a crack at it
21:21You can't take her now
21:22Her lab's going in the wrong direction
21:26She's seizing
21:27Towards you
21:27Turn, turn, turn, turn
21:28Get them out of here
21:30What's happening to her?
21:30Step back
21:31Now
21:32Okay
21:33Oxygen, please
21:34Oxygen, oxygen
21:34Okay, Luna, you're all right
21:36You're all right, Luna
21:41Yeah, no, it's going okay, I guess
21:43I mean, for a half-doctor
21:46Who doesn't remember anyone she works with
21:51So, uh, Dad said you might want to talk about
21:54What happened with Danny?
21:57What?
21:57No, no, I, not with you
22:00I, I figured I'd just throw it out there
22:03In case it's, like, the elephant in the room
22:05No, sweetheart
22:06That's, that's between
22:08Between me and your father
22:09The last thing I would want is to drag you into it
22:12Okay
22:13Yeah
22:15No, it must be so hard for you
22:17And I, I, I know you don't want to talk about
22:20Anything that's already happened
22:31I do have to ask you
22:33Because I have this feeling
22:34Because I have this feeling that
22:35I
22:37Did I forget about you?
22:40Katie did
22:46You haven't called me that in forever
22:50I just
22:51I just, everyone says that I put up walls
22:54And I
22:58Did I do that with you, too?
23:02Did I just stop seeing you?
23:12Oh, sweetheart
23:14I'm so sorry, Katie
23:18I'm gonna make it up to you
23:27Just not all at once, okay?
23:34What the hell are you doing?
23:36Nothing, I
23:37Katie, come on
23:38I'm taking you home
23:38No, I'm fine, Dad
23:39I can't believe you would do this to her
23:41We're not talking about Danny
23:43Stop this
23:45What
23:45Why were you crying?
23:48Because
23:50We were connecting
23:53So can you please
24:07You'll feel a slight pinch from the lidocaine
24:10And then
24:11I need you to stay very still
24:16Are you alright?
24:18Just shortness of breath
24:19Nothing I can't white knuckle through
24:22Unless it acts up
24:23While you're orbiting the Earth
24:25Please
24:25Don't move
24:26And Dr. Coleman
24:27Maybe don't provoke her
24:29Sorry
24:29He's just got me all wrong
24:33You know
24:33My dad taught me
24:34How to fly a plane
24:35When I was ten years old
24:36I may be a speed junkie
24:38But
24:38I got it from him
24:40He always wanted to be an astronaut
24:42Before my mom died
24:43And then
24:44He grounded himself
24:46And spent all his time teaching me
24:47Everything he knew
24:48About the constellations
24:50And galactic quadrants
24:51And
24:51Just the wonders of space
24:55He said
24:57The only thing better than reaching the stars
24:59Would be to
25:02Watch me do it for him
25:05So this time I was going to take his ashes
25:07With me
25:09And tell him that we finally made it
25:12Don't give up on that
25:14We're going to do everything we can
25:16To get you ready for it
25:22Coming out under lots of pressure
25:32It doesn't look cloudy
25:34We'll send some of it to the lab
25:36What does that mean
25:37We'll know when we see the MRI
25:42The bottom line is
25:43She is one of 42 people in America
25:45Who's even remotely capable of going into space
25:47We've invested 11 years into her training
25:50So we need control over her situation
25:52We understand your point of view on this, Lieutenant
25:55And of course
25:56You have orders from people very high up on your food chain
25:58But that seizure indicates a neurological issue
26:01On top of the pneumonia
26:02So we'd like you to consider the position we are in
26:05Now if we pull the plug on all these protocols
26:08And release her
26:08We'll have legal liabilities
26:09Yes, I understand
26:10And that's what this comes down to
26:12Right?
26:13CYA?
26:14CYA?
26:15This is a question of our medical ethics
26:17And protecting our patient
26:19As we've stated
26:20It's 45 minutes to Fort McCoy
26:22We can easily keep her stabilized on the med vac
26:25We'll sign a release
26:26Exempting you of any responsibility
26:29I'll say this
26:32If something happens to her on that helicopter
26:34Who's going to take the heat?
26:36The politicos filling up my phone sheet?
26:39Or the man with boots on the ground?
26:41Here
26:49You guys want to keep her here?
26:51Then we need to see your complete medical records
26:53From the time she landed in your ER
27:07Neurologist said to continue with the home meds
27:10And just try not to worry
27:12So-called neurologist
27:13I've done everything he's told me to do
27:16All these stupid exercises
27:17Nothing stops the...
27:20Everything just keeps fading away
27:22Like a tunnel of darkness
27:23I understand
27:25More than you know
27:26Oh, come on
27:28You're at the top of your...
27:32Top of the...
27:33Ms. Reinhold?
27:36Cece?
27:37Cece?
27:39I don't understand what's...
27:42It's okay
27:44We're going to figure out what's going on with you
27:47Promise
27:49She's stabilized now
27:50But it was definitely another TIA
27:53So, brain CT, CT perfusion
27:56And Doppler EKG
27:58We should do a chest CT while she's in the scanner
28:01If it shows it wasn't a major hemorrhagic stroke starter
28:04On aspirin and Plavix
28:05Of course
28:06Thank you
28:10Well
28:13Looks like maybe I made a mistake
28:14And I'm not here to make anyone's life harder
28:17It's an imperfect science
28:21It's an art
28:23Which makes it even messier
28:25And I'll keep in mind
28:27What you said before
28:32I'm Dr. Franco
28:35Pathology
28:45You didn't need to come all the way up here to find me
28:47Oh, no
28:48I like to leave the morgue every now and then
28:50Reminds me why I prefer dead people
29:06This may seem morbid
29:07But I was wondering if you had performed an autopsy on my son
29:13It would have been about seven years ago
29:15I don't know if you were even here then
29:17No, I was
29:18I just started
29:19But no, you and Dr. Hamda were pretty clear
29:22It was a sudden cardiac death
29:24From a pre-existing condition
29:26And I liked it not to
29:29Okay
29:30Nice to have you back
29:58Whoa, whoa, whoa, whoa
30:00Cool your jets, little man
30:00I got car sick, Daddy
30:02I ate seven pancakes
30:04Hey, hey, hey, hey, hey
30:06Come on, Danny
30:07We have to go
30:09Why do you and Mama
30:10Was treating me like a baby?
30:12Can I go now?
30:14Please?
30:15Yes, fine, go
30:16No
30:27Michael
30:34She wants to know
30:36What happened with Danny
30:40And why she blamed me for it
30:53You can't go back there again
30:57You can't
31:11Clamps
31:13Just don't give me a lobotomy, guys
31:30You want to tell me what happened?
31:32The infection from the pneumonia
31:33Made its way to the brain
31:35Which caused an abscess
31:36We barely caught it in time
31:40Unbelievable
31:41What is?
31:42If you had released her to us
31:43This would have been handled already
31:44You're not saying your doctors
31:45Could have done better
31:46I'm saying now that this has escalated
31:48To a major surgery
31:49It's on everyone's radar
31:51And if this was kept in-house
31:52Then maybe we could have handled it
31:55But now she's looking at a court-martial
31:58For a failure to report?
32:00And for lying to our doctors
32:01About the medication she was taking
32:04Yes, we know about that now
32:06And no one's going to sweep that under the rug
32:20Come on, Danny, we have to go
32:22Can I go?
32:23Please
32:25You agree to take my place
32:27On Danny's field trip today
32:29Come on, Danny, we have to go
32:31Can I go?
32:33Please
32:33You agree to take my place
32:35On Danny's field trip today
32:42Michael?
32:44Sweetie
32:46Hey
32:47It was a nightmare
32:50It was just a nightmare
32:57They've drained the abscess
32:59And we're injecting strong IV antibiotics
33:02Directly into your bloodstream
33:03You're going to need it for six weeks
33:05And then oral pills for months
33:07But you're going to be okay
33:09So is this going to be disqualifying for me?
33:13The infection to your brain was caused by the pneumonia
33:16The pneumonia was caused by your corticosteroid use
33:20How can that be?
33:22You compromised your immune system
33:24Invited it in
33:26And the corticosteroids probably made the abscess advance more rapidly than it should have
33:32So I did this to myself
33:34You were charging too hard, Luna
33:36I just wanted so badly to do it for my father
33:40I know
33:44And there's something else I need to tell you
33:48Is that lieutenant in there with Dr. Honda?
33:50Yeah, he's
33:52I'm sorry to interrupt
33:53But I want to confirm before her discharge papers are signed
33:56That her diagnosis is clarified
33:59Has there been a change?
34:02I've been studying Major Elliot's pulmonary test
34:04Turns out, based on the chronic nature of her condition
34:06It's far more likely that her respiratory issues
34:08Came from the oxygen deprivation training
34:10That NASA has been giving her the last three years
34:13You have no way of proving that
34:15No
34:16But it is a plausible scenario
34:17And one that will be discussed at great length
34:19During a court-martial
34:23Are you trying to leverage me?
34:24Absolutely not, sir
34:25But I served, and I believe in what you're doing
34:28So I would hate for there to be any suspicion
34:30That the program's been reckless
34:31But that somehow military doctors overlooked Major Elliot's condition
34:36Wow, that's not the kind of PR anybody needs
34:48Oh
34:50Multiple mobile cardiac thrombi
34:52That's what's causing her TIA
34:53She's been showering her brain with small emboli
34:57That explains the memory loss
34:59It explains the dementia
35:01So she doesn't have Alzheimer's?
35:03I don't think so
35:06Your memory issues stemmed from clots in your heart
35:10The TIA incidences, they didn't originate in your brain
35:13It was your heart all along
35:15Well, for most people, they're connected, I suppose
35:18The point is that now that your cardiac issues have been addressed
35:23Your memory loss should dissipate
35:24You're going to get your life back
35:35I think you're maybe not a hugger
35:38But I would be happy to provide one
35:46Thank you
35:48I think you're going to be happy to be happy to be happy to be happy to be happy to
35:52be happy to be happy to be happy to be happy to be happy to be happy to be happy
35:52to be happy to be happy to be happy to be happy to be happy to be happy to be
36:03happy to be happy to be happy to be happy to be happy to be happy to be happy to
36:05be happy to be happy to be happy to be happy to be happy to be happy to be happy
36:06to be happy to be happy to be happy to be happy to be happy to be happy to be
36:07happy to be happy to be happy to be happy to be happy to be happy to be happy to
36:07be happy to be happy to be happy to be happy to be happy to be happy to be happy
36:07to be happy to be happy to be happy to be happy to be happy to be happy to be
36:09happy to be happy to be happy to be happy to be happy to be happy to be happy to
36:09be happy to be happy to be happy to be happy to be happy to be happy to be happy
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