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Doc 2025 S02E17 SYNCOPY Episode 17 Engsub
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00:00Previously on Doc.
00:01He's back.
00:02I made mistakes.
00:04Actually, you leveraged an incredibly painful situation to your advantage.
00:07And how are things with Nora now?
00:10Over.
00:10I found a lump.
00:12Please don't tell anyone about this.
00:13Do you have a minute?
00:14I'm in radiology right now with a patient.
00:16What if she's sick?
00:17I guess she's trying to hide it.
00:18It's progressing quickly.
00:20I suggest you reach out to Ethan.
00:22Get a support system in place.
00:23You went into her desk?
00:24We had no other choice.
00:26I'm afraid that you might be sick.
00:27We gotta talk about John.
00:43Dr. Ridley.
00:44Oh, they're here?
00:45Heading up now.
00:46OR3 is clear and the blood banks on standby.
00:48Good.
00:49Then we are ready.
00:52Bay 4.
00:53Breathe me in.
00:54Penetrating abdominal wound.
00:55Initial stabilizing surgery on site, but multiple retained foreign bodies cannot be removed.
00:59Open wound pack for transport.
01:00How do you do on the flight?
01:01Hypertensive and tacky.
01:02Sardin norepi and fluid resource en route.
01:04Conscious?
01:05In and out.
01:05I'm asking for you.
01:07On my count.
01:09Three, two, one.
01:12Hang TXA to a bone egg.
01:14I want him on the table in half an hour.
01:16Ridley?
01:18Is that you?
01:18If you missed me this much, you could have just called.
01:23You know I left to make an entrance.
01:26Well, you are here now, Javi, and I am gonna take care of you.
01:38I thought you were coming in later.
01:41Yeah, well, so did I.
01:43But I gotta review all of Amy's cases by end of day.
01:46Is she doing the same for yours?
01:47She handed hers in already.
01:48Not that it matters anymore.
01:50Okay, why do you say that?
01:51Don't you think Joan's gonna figure out we were the ones who told Jake about her?
01:54She was hazing me yesterday as if she already knew.
01:57I'm pretty sure Jake passed that baton to Amy today, so I'm sure you're on equal footing now.
02:01I heard she's prepping another surgery, and clearly she hasn't invited you to audit.
02:07We did the right thing.
02:09Can't overthink the consequences.
02:13This should hold him for now, but prep the team for massive transfusion protocol.
02:18Damn generator exploded.
02:20We worked medical missions together for 22 years,
02:23but why don't you go ahead and say what you need to say?
02:26Uh, I thought maybe we could step away.
02:31Is your boyfriend hiding out there somewhere to double-team me?
02:34Joan.
02:35It's MDS.
02:38Oh, God.
02:39Please, don't.
02:41I was diagnosed a few weeks ago.
02:43It's mostly indolent.
02:45I haven't had a chance to tell Michael yet,
02:47so I'd appreciate if you let me do that.
02:49Yeah, of course.
02:50And before you ask, Javi knows he came here anyway.
02:53He has Addison's.
02:54He needed a surgeon he could trust.
02:59Does he know that your hand's been shaking?
03:05That happened once, Amy, after a very difficult surgery.
03:08Which this will be.
03:16I'm medicated and I'm fine.
03:20You could use an extra set of hands to manage his cortisol and electrolyte levels.
03:24Is that you offering?
03:27I'll get him started on a TTE.
03:33Thank you, Ray.
03:35Mr. Voight.
03:36Who are you?
03:36Supposed to be seeing Dr. Ridley.
03:38Dr. Ridley had an emergency, but I can assure you-
03:40And Dr. Humda was supposed to be joining us as well.
03:43Uh, his whereabouts I can't speak to.
03:45But I'm Dr. Miller.
03:46First name?
03:47Uh, Richard.
03:49And you are-
03:50Fiona, Xander's COO.
03:51And my wife.
03:52You're an internist?
03:53Board-certified in oncology as well.
03:54Pulmonary subspecialty.
03:56Where?
03:56St. Egericus.
03:57And he used to be chief of internal medicine here for just two months.
04:00I didn't love the admin, so I took a little hiatus and I came back to work with patients,
04:05which is what I do love.
04:07Okay.
04:08Continue.
04:08I understand you have a suspicious mass in your right lung.
04:11I get regular full body scans in Palo Alto, but I was here at a conference when the
04:15Apollo DX flagged it.
04:17It's an AI diagnostic program.
04:1817% better than humans at early cancer detection.
04:21It's also far more likely to give you a false positive.
04:24Well, that's the hope, but I won't wait to get home to find out.
04:28Hi, I'm Dr. Coleman.
04:29I'll be assisting Dr. Miller.
04:31Uh, yeah.
04:31That's, uh, Theodore Coleman.
04:33He's an intern, Columbia Med School, Army Ranger Medic.
04:36He is highly skilled, very ambitious, and an extremely hard worker.
04:41Are we being interviewed?
04:43Vetted.
04:43It's gonna be on him anyway.
04:44Steiner vouches.
04:45Oh, I'm flattered.
04:46Great.
04:46I want the, uh, tissue removed and studied, so how'd you do that, Dr. Coleman?
04:51Uh, bronchoscopic biopsy in a PET scan.
04:54Is that correct?
04:55It is.
04:56Then let's do that, huh?
04:58Stat.
05:00I want to thank you both for being here today.
05:03My role is not to judge or to take sides, but to facilitate a productive, respectful conversation.
05:11I'm so sorry. It's Max.
05:13Fine, Michael.
05:16I told you I had a personal matter to attend to today.
05:19You also told me Joan would be taking care of Xander Voight.
05:22Well, she has a patient who has a higher priority.
05:25Than a tech tycoon who can fund our entire capital campaign with what he makes while brushing his teeth?
05:30Well, Dr. Miller's on the case. I hear he's excellent. Why else would you have hired him back?
05:34Not funny, Michael.
05:36No, it's not. I'll deal with this in a few hours when I get back to the hospital. Goodbye, Max.
05:41So she took this job and she didn't tell Michael?
05:44No, she was diagnosed after she was offered the job.
05:49And she still hasn't told him?
05:50She's getting her head around it.
05:52And in the meantime, what, you're aiding and abetting, risking a patient?
05:54The patient knows, and he chose her anyway.
05:57Besides, there's no time to move him.
05:59I don't know. Something doesn't feel right. She's working you.
06:02No, she isn't. You... you just don't know her the way I do.
06:06Yeah, you don't know her either. Not in the last eight years.
06:12I'm sorry, but that's the truth.
06:15And you know you can't justify any of this.
06:23How long has it been like this?
06:25Mom says a week. They thought it would heal on its own, but...
06:27No, no, she's too malnourished.
06:29Fighting Ngoma cut off the food supply.
06:34We're going to dry you a little bit and find something to eat.
06:38That's it?
06:39Yeah.
06:40So, I got saline, degreedment kit, McPearson.
06:45Please, trade with me.
06:46What's wrong with your case?
06:48Oh, Marcus keeps sending me lumps, bumps, and dumps.
06:50That's what you get for sleeping with him and not calling him back.
06:54Dr. Ridley.
06:55Mm-hmm.
06:55It's your son.
06:56What?
06:58It's... it's 2am in Minneapolis.
07:02Ethan?
07:03Hey, what's wrong?
07:07No, no, no.
07:08Uh, forget the pediatrician.
07:09Get to Westside.
07:10Ask for Amy.
07:10I'll... I'll make sure she's waiting for you.
07:19Thank you for doing this.
07:21I'm here for you.
07:22But keeping this a secret won't do you or our patients any favors.
07:26You giving me an ultimatum?
07:28I'm asking you to tell Michael today.
07:31We both know that this disease will take things from you.
07:35Your legacy shouldn't be one of them.
07:43We'll see you in there.
07:51I can't do dinner.
07:52I'm too tired.
07:57But we're still facing resistance from regulators on the new build.
08:00So find a new country or grease the wheels.
08:02I don't care which.
08:03Look, I gotta go.
08:04But one way or another, I want movement by next week.
08:06Hi, Mr. Voight, Max Garner, CEO of the hospital.
08:09Just wanted to say that we will do everything in our power to give you what you need today.
08:14My test results would be nice.
08:20Unfortunately, I'm going to have to eat my words.
08:23The biopsy confirmed you have small cell lung cancer.
08:27Lung cancer?
08:28Yes.
08:29He hasn't smoked a day in his life.
08:30And he's meticulous about his health.
08:32Fiona, we're not going to argue this away.
08:35But I'm sure if you couldn't see the mass, we caught it early, right?
08:39Yes.
08:40But genetic sequencing indicates it's an aggressive variant.
08:45And the PET scan shows micrometastases in your brain, abdomen, and bones.
08:50So it's already spread?
08:52So what now?
08:53Well, we can try chemo and molecular therapy, but those treatments are very painful.
08:59And even then...
08:59So, how long do I have?
09:02Best guess, we can get you four to six months.
09:07Personally, I'd consider palliative care.
09:10I'm getting Dr. Steiner.
09:11We'd be happy to interface with any of your own specialists.
09:14Well, we've already conferred with our chief of oncology, and he agrees with our assessment.
09:18Well, of course he does.
09:19He works in a bureaucracy and can't think out of the box.
09:22I wish we could do more.
09:23We could try CAR-T.
09:26No, we cannot.
09:28What is CAR-T?
09:29Chimeric antigen receptor T-cell therapy.
09:31It reprograms your white cells.
09:33And has absolutely no efficacy on this type of cancer.
09:36I don't think anyone knows that for sure. There's not enough data.
09:38Steiner is fielding second opinions and wants to teleconference in an hour.
09:42The plane will be ready to take you to Sloan or Hutch or Oxford if we have to.
09:46Wait a minute.
09:46Anything any of those places can do, we can do, and we'll be completely transparent with your team.
09:52Your team is not even on the same page.
09:54We will get there, I assure you.
09:56Then come back to me with a plan.
09:58If I'm still here, I'm all ears.
10:03One centimeter fragment in segment six.
10:06Two-suture repair.
10:12Hey, any news?
10:14No.
10:15I'm freaking out.
10:16Listen, I told you just because they're taking longer to get the results, that doesn't mean anything.
10:20I know, I know.
10:21I thought I'd be okay with this, but I am really not.
10:24Maybe stay away from work today and just try and distract yourself.
10:27Funny you should say that.
10:28Because I'm kind of at the cafe around the corner.
10:31Uh, from the hospital right now?
10:34Look, is there any way you can come down for a minute?
10:36I'm really not handling this well.
10:37Yeah, yeah.
10:37Be right there.
10:41BP's dropping, 91 over 59.
10:43Amy?
10:43Pushing 100, high to cortisone.
10:45Normal saline, wide open.
10:47What's this, sodium?
10:48It's fine, 134.
10:49It's not me.
10:50You have a bleeder.
10:52My field is clear.
10:53Unless...
10:54Dammit.
10:55Suction.
10:56Glenn, this season's lost already.
10:58You're counting?
11:00I can't clear the field fast enough.
11:01Want another clamp for a Pringle maneuver?
11:03No time.
11:04I'll do it blind.
11:05Microw suture on a needle driver.
11:19I'll do it blind.
11:21I'll do it blind.
11:25I'll do it blind.
11:27I'll do it blind.
11:28BP's rising.
11:32That was amazing.
11:34Piece of cake.
11:55Yeah, yeah, no, we're here with Amy now.
11:57She's checking his lungs.
11:59Stop, stop.
12:00I can't, I can't hear anything you're saying.
12:02Robbie feels rising.
12:03You have to find someone with a better seat.
12:05Mom?
12:06Mom?
12:11So, the albuterol is working,
12:14but his oxygen is still low.
12:17If it drops anymore...
12:18Don't tell me you have to intubate.
12:20Oh, my God.
12:20No, we're not there yet.
12:22Let's, let's just try to stay calm.
12:25I never thought I'd say this,
12:27but I wish my mother were here.
12:28There's nothing she would do
12:29that I'm not already doing.
12:31You think I want her here for medical expertise?
12:34No.
12:35You know, when I had meningitis in college,
12:37she at least offered to fly home.
12:40Ethan, she's doing the best.
12:41Don't, don't defend her, Amy.
12:43All right, please.
13:02John?
13:04Yeah?
13:05You okay?
13:06I'm fine.
13:08I just had to splash a little water on my face.
13:12I'll be right out.
13:25Okay, let's bump his methamazole up to 20,
13:27and then recheck his TSH.
13:28And can you have Dr. Park give me a call on labs?
13:31Come back on 6-12?
13:31Okay, thanks.
14:04All handled?
14:05Yeah.
14:06They, I think they can survive without me.
14:07Apparently, I can't.
14:09Hey, it's fine.
14:11Okay?
14:12I'm not going anywhere until the labs come back.
14:15What is this?
14:16This is the Mia treatment.
14:18And you thought this would distract me
14:19from my impending doom?
14:20I've seen you around a Sunday.
14:29I want primary custody for as long as I'm breastfeeding.
14:32Absolutely.
14:33I'll take regular visitation rights for the first year.
14:36And after this first period, we'll transition to the 50-50 custody?
14:41Yes.
14:42Agreed.
14:43Now on to assets.
14:45First, the family home.
14:46It's in Michael's name.
14:47I'm prepared to sell it and give Nora half the proceeds.
14:50I can't let you do that, Michael.
14:52Why not?
14:53I know what it means to you.
14:55And what about Katie?
14:56She's fine with it.
14:57She's off to college soon.
14:58And I think it's the least I can-
15:00Oh, God.
15:00Don't you dare be kind to me right now.
15:04What else would I-
15:09I need to hate you, Michael.
15:10And you need to let me.
15:17Hey.
15:18Hi.
15:18How's our patient?
15:20Strong vitals.
15:21Strong vitals.
15:21No sign of infection.
15:23Emptied his drains.
15:24Hung post-op antibiotics.
15:26Wow.
15:27Could've put our nurses out of business.
15:29I can handle post-op if you just want to sit with him.
15:35That's a hell of a bedside manner you've got there.
15:40You all right?
15:41Amy.
15:43Hey.
15:45I'm good.
15:46I'm good.
15:47I-
15:47I-
15:48I have another patient I should check on.
15:51But Javi needs post-op lights and hourly labs.
15:55I'll take care of it.
16:01We talked about this.
16:03I don't want you back in that chair until we have-
16:04I know.
16:05Until I've had two months of normal EEGs.
16:07I know.
16:08But I've had four clean studies and I need this memory now.
16:12Look, I know you're going for chief resident and recovering your medical knowledge is important.
16:16No, it's not that.
16:17When my brain does this, it's because it's trying to tell me something.
16:22My friend needs help and this memory may be the only way that I can help her.
16:27Any headaches or nosebleeds and I'm pulling the plug?
16:30Of course.
16:33I want to be clear that the treatment protocol that I'm proposing will be risky and painful.
16:37Pain is irrelevant.
16:38Will it work?
16:39I found one successful case.
16:40But as your team will tell you, cancer involves many mutations.
16:44The treatment has to be as unique as a disease.
16:47That is where CAR-T comes in.
16:49We take your own T cells and re-engineer them to target the specific markers of your illness.
16:54Which antigen will you use?
16:55His cancer cells exhibit a large number of DLL3 surface proteins.
16:59And which viral vector for delivery?
17:01The case I'm referencing used a lentivirus model.
17:03The case he's referencing was so much less aggressive, it shouldn't even be considered a comp.
17:07Mr. Voight's immuno response will almost certainly be catastrophic.
17:11There's a very good chance this treatment will kill you.
17:15By tomorrow.
17:16Or it could add years to his life.
17:18Team, some feedback would be nice.
17:20Give us a moment, please.
17:22I thought you were getting on the same page.
17:24So did I.
17:26Okay.
17:27The only other option we can see here is Ludo's team in Zurich.
17:31They have a vaccine model that's had some limited success in mice.
17:34Limited?
17:35And only with mice?
17:35No.
17:36That's out.
17:37What else?
17:37I'm sorry, but there's nothing we can stand behind.
17:40So Dr. Coleman's idea is the best option?
17:42It would be, yes.
17:44Elise?
17:45With more time, we could dig deeper, but...
17:48Big things don't happen overnight in the cancer game.
17:51Okay.
17:51So, we have no choice.
17:54Okay, then.
17:55Let's get the ball rolling with whatever we need to do next.
17:58I'm sorry, but clearly these people on your payroll don't know how to say no to you.
18:02Dr. Miller.
18:03And I gotta say, if you were anyone else, this hospital wouldn't even be considering this course of treatment.
18:08Mr. Voigt has an appetite for risk.
18:10An appetite for risk is one thing.
18:11This is trying to kill a lion with a toothpick.
18:20Look, sometimes we fly too close to the sun, but we get nowhere if we don't try to fly.
18:27Right, Dr. Coleman?
18:30Well, I sincerely hope this works.
18:33But respectfully, I won't be a part of it.
18:46I, uh, I didn't mean what I said before.
18:51I mean, I don't want to hate you.
18:55I wouldn't blame you if you did.
18:59I hope that selling the house will be a fresh start for you.
19:05I think you really need that.
19:09Okay, I've drafted an agreement.
19:11Why don't we give it a once-over?
19:17And focus.
19:19Ground yourself in the memory.
19:21What can you smell?
19:23Hear?
19:24See?
19:30Okay, let it rip.
19:41So just stay out of it.
19:43What are you not telling me?
19:45It's, it's home to us.
19:46So there's a good chance it'll turn into leukemia.
19:53What is it, Amy?
19:54I have to go.
20:02You can't perform surgery anymore.
20:11Place a vast cath, prepping for temporary human dialysis.
20:15What happened?
20:16BP spike, acute renal failure.
20:19But that makes no sense.
20:21Addison should prevent BP spikes.
20:22And his renal function was normal pre-op.
20:25Well, clearly we're missing something.
20:27Blood cultures, auto-antibodies, and a PAN-CT scan.
20:30That's a good idea.
20:31It was even better when Dr. Matra had it five minutes ago.
20:34Where were you?
20:37I was in TMS.
20:39I love your sense of timing.
20:41I remembered.
20:43You were diagnosed months ago, and the disease certainly wasn't indolent.
20:46So you're off chasing unreliable memories while our patient's life hangs in the balance?
20:50You're gonna look me in the eye and tell me that was a false memory?
20:54It was a bad day.
20:55I was emotional, and I'm fine now.
20:58You took this job knowing that you couldn't handle it.
21:02I am handling it.
21:03Really?
21:03Where did you get this bruise?
21:05And what about the edema in your wrist?
21:07How much prednisone does it take to get you through a shift?
21:10You know what?
21:10Dr. Matra and I will take it from here.
21:15I would never do anything to jeopardize a patient, and I don't need you to tell me that.
21:44Let me ask you something.
21:46When you went up against Dr. Miller, was that for my sake, or were you just pandering to your CEO?
21:53Oh, come on.
21:54Don't pretend you don't have a lot riding on this, too.
21:57I don't do anything I don't believe in.
21:59Man of conviction.
22:00Guess I'm not surprised.
22:02Four years in Afghanistan.
22:04Took a bullet during that hostage crisis, right?
22:06Okay, you guys gotta ease up on the background checks.
22:08It's getting weird.
22:10Honest, too, huh?
22:12Look, this idea is out of the box, but you push boundaries for a living.
22:16Controversial, but necessary to a society.
22:21I've just...
22:25I've never been the lab rat before.
22:44Dr. Ridley, he has tuberculosis.
22:48I saw some non-specific areas lighting up on CT, figured they were artifact, but his sed rate was up,
22:54so I ordered an ultrasound with Doppler.
22:56And found a cavitus lesion in his hepatic artery.
23:00Add that to his chronic inflammation, milky drain fluid, travel exposure, extra pulmonary TB explains it all.
23:06Even the Addison's.
23:08He must have a lesion on his adrenal gland.
23:10And who knows where else?
23:11We need a full body MRI with contrast and surgery to remove infection.
23:16Good.
23:17I'll take him to radiology.
23:19You can grab a few protein bars, Dr. Nature.
23:20We're going back in.
23:26Feeling okay?
23:27I feel like crap.
23:29I guess that's what we want, though, right?
23:33It means it's working.
23:34Yeah.
23:35Well, your BP's a little low.
23:36I'm going to start your oppressors.
23:39Mr. Voight?
23:41Mr. Voight?
23:43Two milligrams of iverazepam.
23:45Stat.
23:45When did you inject the CAR T-cells?
23:47An hour ago.
23:48It's a cytokine storm.
23:50But I premedicated with Vinatril and menthol penicillin.
23:52Well, it wasn't enough!
23:58Prenez le medicament deux fois par jour, d'accord?
24:02Et faites bien un beau diolo pour éviter réinfection.
24:05C'est très important.
24:07Oui?
24:08Oui, oui.
24:09Au revoir.
24:10What else we got?
24:12Dinner.
24:12Oh, no.
24:13I'm going to eat later.
24:14You can't help them if you can't stand.
24:16Ridley, eat.
24:24Can we talk about the real reason you won't slow down?
24:26Have you had Terry's mwambi?
24:30Your grandson's going to be fine.
24:32From everything you said about Amy, he's in the best possible hands.
24:37Not mine, though.
24:39You can't be everywhere.
24:43When Harry and I were first married,
24:45I tried to stay put,
24:48be the doting wife and mother,
24:50and have a regular nine-to-five.
24:54The truth is I just wasn't cut out for it.
25:00Maybe you were right to never settle down.
25:04Or maybe I just never found a man who could put up with me.
25:09Well, it makes two of us.
25:17Hello.
25:18It's me.
25:20Albuterol and high full oxygen are keeping his numbers in the 80s.
25:24So no need to intubate?
25:25No, he's stabilized.
25:27But they've got an intense recovery ahead of them.
25:30If you could come home, I would.
25:36I'm trying to do my job.
25:38At what cost?
25:39Joan, 60 milligrams.
25:41At that rate, you will flame out in weeks.
25:43That's my choice.
25:44Does Javi know what you're doing?
25:45I'm not killing myself, Amy.
25:47I am trying to make the most of the time I have left.
25:51And he would respect that.
25:54Well, what does Ethan think?
25:56I don't know.
25:58He doesn't know?
25:58He doesn't return my calls.
26:00What?
26:01How long have things been like that?
26:03You know what?
26:03I think you've dredged up enough bad memories for one day,
26:06and if you'll excuse me, I have a patient who needs me.
26:10Just...
26:12What do we got?
26:14Granulomas in the liver, kidney, adrenals, bowel.
26:17They're everywhere.
26:24Tell the on-call surgeons to drop what they're doing
26:26and meet us in the OR.
26:27We're gonna need all the hands we can get.
26:30I commend you, my dear brother,
26:32to almighty God,
26:34and entrust you to your creator.
26:36May you return to him who made you from the dust of the earth.
26:41May Holy Mary, the angels, and all the saints come to greet you...
26:45I am...
26:47so sorry, Mrs. Voight.
26:48May Christ, who was crucified for you...
26:51I never should have let him go through with this.
26:54May Christ who died...
26:55Excuse me.
26:59May Christ, who was crucified for you...
27:03May Christ, don't worship me...
27:14We tried CAR-T.
27:15I read the report. I know it was attempted.
27:17I'm wondering how that was allowed to happen.
27:18You'd have to ask the CEO about that.
27:21He was pushing medical decisions.
27:24We could have used you here.
27:28So what are you proposing now?
27:29I'm thinking IL-6 blockers.
27:32The COVID treatment?
27:34CAR-T triggers a similar inflammatory cascade,
27:37and I don't think that the standard protocol
27:40will get the inflammation under control.
27:42He's been right all along.
27:46We should follow his lead.
27:52Your patient, your call.
27:56Okay, okay, okay.
27:58Our Thailand trip, you got booted off the karaoke stage.
28:00Bohemian Rhapsody.
28:01Yes, it's...
28:05For the record, it wasn't my performance that people hated.
28:08It was just that that song is too long.
28:21Diane?
28:24I can't let you do it.
28:37It's negative.
28:39I don't have cancer.
28:40You don't have cancer?
28:56Saddle up, everyone.
28:58For the next 11 hours, we're doing an ex vivo.
29:02That's right, the thing you learned about in med school
29:05but never thought you'd actually do.
29:06We're removing every damaged organ, repairing it,
29:09and then putting it back where we found it.
29:12We'll run two full operating fields side by side.
29:16My team will be the one removing organs and keeping Javi alive.
29:19That means controlling bleeding, managing perfusion,
29:23oxygenating his heart and brain.
29:24Team two is on ex vivo work.
29:27When we pass off an organ,
29:29you strip the granulomas and adhesions,
29:33repair what you can,
29:34then it comes straight back to us in working order.
29:38Precision is everything.
29:39We lose focus.
29:40We lose an organ.
29:42We lose an organ.
29:43We lose the man.
29:48No mistakes.
29:50Let's go.
29:51God, I cannot believe I'm seeing this.
29:53All right, I brought nourishments.
29:55Yeah, great.
29:57Thanks.
29:59Did she just do a rapid artery reconstruct on the fly?
30:02Yeah, it's unreal.
30:04She's a friggin' rock star.
30:06She's something, that's for sure.
30:09You wonder why I didn't want to tell you.
30:11Look, the way she's managing everyone,
30:12she's like a maestro.
30:15Okay, so what exactly is her endgame here?
30:17Is she just gonna keep operating until she drops?
30:19I can't believe what she's doing to herself.
30:21I know that you don't want to go behind her back,
30:24but I don't think she's really leaving as many options here.
30:27Just give me a couple hours.
30:29Till the end of the day.
30:39Ethan, it's Amy.
30:41Uh, give me a call back when you can.
30:44There's something going on with your mom.
30:47Okay, liver's coming out.
30:50Subhepetic space is clear.
30:51Put a retractor in there, Carol.
30:53Sponge.
30:56Okay.
31:00That granuloma's wrapped around the inferior vena cava.
31:03We can clamp, take it out, then reconstruct with Dacron graft?
31:06No, we've made enough compromises today.
31:08I'll dissect it off the wall, leave the vein intact, scalpel.
31:11Uh, isn't it safer to do a graft?
31:14One slip and he could bleed out in seconds.
31:16I know.
31:17I wrote that chapter in your vascular surgery textbook.
31:21Suction, Dr. Matra.
31:24Clamp ready in case it goes south.
31:38Mets.
31:41I'm securing the vena cava now.
31:43Dr. Matra, get that lump out of my hair, please.
31:50You know what they say about me.
31:53Hands of stone.
31:58Hi.
31:59Hi.
32:00What are you doing here, Mom?
32:01I wanted to check on Robbie.
32:03I came as soon as I could.
32:05Well, we both know that's not true.
32:06Okay, okay.
32:08I came as soon as I could responsibly leave.
32:10And why is it you feel a greater sense of responsibility
32:13to a group of strangers than your own family?
32:16Robbie was fine.
32:17He didn't need me.
32:18No, I needed you.
32:22You know, for once,
32:23I actually let myself believe that you'd be here.
32:25I was on my way.
32:27And then we got the call.
32:28Fighting broke out in sake.
32:30We were inundated.
32:32It's always something, Mom.
32:37And what would you have me do?
32:39Let those people die so I can come and hold your hand?
32:42No, you're right.
32:42No, you had to do what you thought was right.
32:44And now I have to do the same.
32:46So, you know what?
32:48I'm done.
32:49What does that mean?
32:50You're done?
32:51That means I'm just...
32:52I'm done.
32:53You know, at some point,
32:53I only have myself to blame
32:55for letting you disappoint me.
33:01If you can't see,
33:03I made the only choice I could in that moment,
33:06then I didn't raise the man I fought.
33:12You barely raised me at all.
33:30Welcome back.
33:33Must have been a close one.
33:35Turns out your Addison's
33:38was a symptom of indolent TB.
33:41You had a lesion on your adrenal gland.
33:44Along with 14 others,
33:45but we cleared the damage
33:46and you'll make a full recovery.
33:50What's the...
33:51No more Addison's?
33:54No more Addison's.
34:00You saved my life.
34:03I wish there were more I could do for you.
34:05Are you kidding?
34:07That was a career-making surgery.
34:09You begged me.
34:10I'm gonna live forever in these halls.
34:17When can I get back out there?
34:19Well, in the last 12 hours,
34:21most of your organs have been outside your body,
34:23so maybe you want to give it a few weeks.
34:27Hey,
34:28we go where we're needed, right?
34:30And you don't know who the hell
34:31of you are a disaster.
34:35I try not to paint.
34:39In the mirror I'm fine for the side,
34:41all the glass in me shattered.
34:43You know what kills me the most.
34:45I still got nothing but love for you.
34:48Love for you.
34:50Love for you.
34:52You know what kills me the most.
34:54Hi, stranger.
34:55I still got nothing but love for you.
34:58Love for you.
35:17Unfortunately, the CAR T hit you harder than your cancer.
35:20We've retested your blood, and your small cell tumor markers only dropped 3%.
35:25Meaning it didn't make a dent.
35:27Right.
35:30Well, then, what's next?
35:33We're back where we started.
35:36Chemo and molecular therapy.
35:38So you're right.
35:39My yes-men almost killed me for nothing.
35:43I'm just glad you're still here.
35:45I'll be dead by the end of the year.
35:47I'm sorry, but there's plenty you can do with the time you have left.
35:51No, I won't slowly degenerate.
35:53If you can't cure me, I will wait.
35:56Xander, no.
35:57What better time to do it than now?
35:58I'm sorry, what are we talking about?
36:00There's a Swiss cryogenics company that will freeze me until further notice.
36:03When there's a cure for this in 10, 20, 30 years, I'll be first in line.
36:07If they find a way to reverse the freezing process.
36:11We can do it with embryos.
36:25She knew who she married, and I still have way too much to do in this world.
36:31The man needs a psych consult.
36:33We should put him on a 72-hour hold.
36:34On what grounds?
36:36He's not depressed or pathological.
36:38He's got a God complex.
36:41And I flew too close to the sun.
36:44The CEO's watching.
36:45You got a billionaire setting you up to be a hero.
36:48You got carried away.
36:49You're right.
36:51Sorry.
36:53I know you think I don't have a leg to stand on here.
36:56But what happened with Mr. Voight was unethical.
36:59And there isn't always going to be someone more senior around to push back.
37:02You're not a rookie anymore, TJ.
37:05Time to start acting like you.
37:15Hey.
37:16Oh, hey.
37:20So, I need to tell you where I was yesterday.
37:25Okay.
37:27Rachel had a mammogram, and they found a mass.
37:30Oh, no.
37:31Is she okay?
37:32Yeah, yeah.
37:33She's fine now.
37:34The biopsy results finally came back negative.
37:36But the past week has been kind of tough.
37:39So, I just wanted to be there for her.
37:41So, that's why you left early?
37:44Yeah.
37:44Yeah.
37:44She was spiraling.
37:47And that patient you were with in radiology last week,
37:52when you didn't want to talk to that, that was her?
37:55She asked me not to tell anyone.
37:57Um, when I see the look on your face, and clearly I went about this all wrong.
38:04No, you were in a tough spot.
38:06I'm just glad she's okay.
38:09Yeah?
38:10Yeah.
38:15Yeah.
38:18Okay.
38:21It was pretty sneaky, you calling Ethan.
38:26Dare I ask how it went?
38:29Well, uh, we have a lot to clean up.
38:32But, he's here, so thank you.
38:39There's one thing this year has taught me.
38:42It's that family finds a way to forgive.
38:46Let's hope.
38:49He certainly thinks I have a lot to answer for.
38:56We need to figure out what you're going to do, Joan.
39:00Oh, I know what I'm going to do.
39:04I didn't think it could get any worse than being schooled by Richard Miller
39:07and knowing he was right.
39:10Try this.
39:10I spent all of last week trying to sideline Dr. Ridley,
39:13and the second she asked me to scrub in for a big operation,
39:18I leap at the chance.
39:20So, we're hypocrites.
39:21Or, maybe we're just doing the best we can
39:24in a job that has a lot of gray areas.
39:28Maybe we are.
39:30So?
39:32Want to give our date another shot?
39:34Dinner?
39:36That.
39:37Italian place on the corner?
39:39Or, we could just go to mine.
39:41For dinner?
39:42That too.
39:57Dr. Ridley would like all of internal medicine
40:00to report to the office for an all-hands.
40:06Excuse me.
40:10Any idea what this is about?
40:12Uh, no, no idea, but
40:14I guess we're about to find out.
40:26Wow.
40:27That was fast.
40:29Am I that scary?
40:30Yes!
40:34Uh, this is, uh, not a conversation
40:37I ever wanted to have, so
40:41forgive me if I'm not exactly sure where to start.
40:46I know there's been
40:48concern
40:49about my health,
40:50and I truly appreciate it.
40:53And it turns out it was warranted.
40:57I have MDS.
40:59It's advanced,
41:00and it's time for me to accept that
41:05it's not something I can outrun.
41:08So,
41:13last night
41:16will be my final surgery,
41:19and next week will be my last
41:22as your chief.
41:27I've spoken to Dr. Hamda,
41:29and he has agreed to facilitate
41:31a smooth transition.
41:33And never fear,
41:34you will all receive
41:36your long-awaited evaluations
41:38before I go.
41:41I like to think, um,
41:43that I,
41:44I still have some wisdom
41:48to impart on the next generation.
41:52Even you, Peter.
41:56So, um,
41:58as my friend reminded me today,
42:00uh,
42:02we go where we're needed.
42:04and right now
42:05there are more important places
42:07for me to be
42:08than inside an OR
42:09or behind a desk.
42:14Being a doctor
42:18has been the privilege of my life.
42:23Being your chief
42:27has meant more to me
42:28than I expected.
42:37All of you.
42:43And I'll see you tomorrow.
42:56Thank you so much.
42:58Well,
42:58you should have
42:58take a break.
42:59I hope so.
43:00Good.
43:01Good.
43:02Good.
43:04Good.
43:05Good.
43:05Good.
43:06Good.
43:06Good.
43:07Good.
43:07Good.
43:08Good.
43:37Transcription by CastingWords
43:46CastingWords
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