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00:01Previously on Doc.
00:02He's back.
00:03I made mistakes.
00:04Actually, you leveraged an incredibly painful situation to your advantage.
00:08And how are things with Nora now?
00:11Over.
00:11I found a lump.
00:13Please don't tell anyone about this.
00:14Do you have a minute?
00:15I'm in radiology right now with a patient.
00:17What if she's sick?
00:18I guess she's trying to hide it.
00:19It's progressing quickly.
00:20I suggest you reach out to Ethan.
00:22Get a support system in place.
00:24You went into her desk?
00:25We had no other choice.
00:26I'm afraid that you might be sick.
00:28We gotta talk about Joan.
00:44Dr. Ridley.
00:45Oh, they're here?
00:46Heading up now.
00:47OR3 is clearing the blood banks on standby.
00:49Good.
00:50Then we are ready.
00:53Bay 4.
00:54Breathe me in.
00:54Penetrating abdominal wound.
00:55Initial stabilizing surgery on site, but multiple retained foreign bodies could not be removed.
01:00Open wound pack for transport.
01:01How do you do on the flight?
01:02Hypertensive and tacky.
01:03Started norepi and fluid recess en route.
01:05Conscious?
01:05In and out.
01:06I'm asking for you.
01:08On my count.
01:09Three, two, one.
01:13Hang TXA to a bone egg.
01:14I want him on the table in half an hour.
01:17Ridley?
01:19Is that you?
01:19If you missed me this much, you could have just called.
01:24You know I left to make an entrance.
01:27Well, you are here now, Javi, and I am gonna take care of you.
01:31I don't know.
01:39I thought you were coming in later.
01:42Well, so did I.
01:44But I gotta review all of Amy's cases by end of day.
01:47Is she doing the same for yours?
01:48She handed hers in already.
01:49Not that it matters anymore.
01:51Okay, why do you say that?
01:52Don't you think Joan's gonna figure out we were the ones who told Jake about her?
01:55She was hazing me yesterday as if she already knew.
01:58I'm pretty sure Jake passed that baton to Amy today, so I'm sure you're on equal footing now.
02:02I heard she's prepping another surgery, and clearly she hasn't invited you to audit.
02:08We did the right thing.
02:10Can't overthink the consequences.
02:14This should hold him for now, but prep the team for massive transfusion protocol.
02:19Damn generator exploded.
02:21We worked medical missions together for 22 years, but why don't you go ahead and say what you need to
02:26say?
02:27Uh, I thought maybe we could step away.
02:31Is your boyfriend hiding out there somewhere to double-team me?
02:34Joan.
02:36It's MDS.
02:39Oh, God.
02:40Please, don't.
02:42I was diagnosed a few weeks ago.
02:44It's mostly indolent.
02:46I haven't had a chance to tell Michael yet, so I'd appreciate it if you let me do that.
02:50Yeah, of course.
02:51And before you ask, Javi knows he came here anyway.
02:54He has Addison's.
02:55He needed a surgeon he could trust.
03:00Does he know that your hand's been shaking?
03:06That happened once, Amy, after a very difficult surgery.
03:09Which this will be.
03:17I'm medicated and I'm fine.
03:21You could use an extra set of hands to manage his cortisol and electrolyte levels.
03:25Is that you offering?
03:27I'll get him started on a TTE.
03:34Thank you, Ray.
03:36Mr. Boyd.
03:36Who are you?
03:37Supposed to be seeing Dr. Ridley.
03:38Dr. Ridley had an emergency, but I can assure you...
03:41And Dr. Humda was supposed to be joining us as well.
03:43Uh, his whereabouts I can't speak to.
03:46But I'm Dr. Miller.
03:47First name?
03:48Uh, Richard.
03:49And you are...
03:50Fiona, Xander's COO.
03:52And my wife.
03:53You're an internist?
03:54Ford certified in oncology as well.
03:55Pulmonary subspecialty.
03:57Where?
03:57St. Ejuricus.
03:58And he used to be chief of internal medicine here for just two months.
04:01I didn't love the admin.
04:03So I took a little hiatus and I came back to work with patients, which is what I do love.
04:08Okay. Continue.
04:09I understand you have a suspicious mass in your right lung.
04:12I get regular full body scans in Palo Alto, but I was here at a conference when the Apollo DX
04:16flagged it.
04:17It's an AI diagnostic program.
04:1917% better than humans at early cancer detection.
04:22It's also far more likely to give you a false positive.
04:25Well, that's the hope, but I won't wait to get home to find out.
04:29Hi, I'm Dr. Coleman. I'll be assisting Dr. Miller.
04:32Uh, yeah, that's, uh, Theodore Coleman.
04:34He's an intern, Columbia Med School, Army Ranger Medic.
04:38He is highly skilled, very ambitious, and an extremely hard worker.
04:42Are we being interviewed?
04:43Vetted.
04:44It's gonna be on him anyway.
04:45Steiner vouches.
04:46Oh, I'm flattered.
04:47Great. I want the, uh, tissue removed and studied.
04:49So, how'd you do that, Dr. Coleman?
04:52Uh, bronchoscopic biopsy and a PET scan.
04:55Is that correct?
04:56It is.
04:57Then let's do that, huh?
04:58Stat.
05:01I want to thank you both for being here today.
05:04My role is not to judge or to take sides, but to facilitate a productive, respectful conversation.
05:12I'm so sorry. It's Max.
05:14Fine, Michael.
05:17I told you I had a personal matter to attend to today.
05:20You also told me Joan would be taking care of Xander Voight.
05:23Well, she has a patient who is a higher priority.
05:25Than a tech tycoon who can fund our entire capital campaign with what he makes while brushing his teeth?
05:31Well, Dr. Miller's on the case. I hear he's excellent. Why else would you have hired him back?
05:35Not funny, Michael.
05:36No, it's not.
05:37I'll deal with this in a few hours when I get back to the hospital. Goodbye, Max.
05:42So she took this job and she didn't tell Michael?
05:45No, she was diagnosed after she was offered the job.
05:49And she still hasn't told him?
05:51She's getting her head around it.
05:52And in the meantime, what, you're aiding and abetting, risking a patient?
05:55The patient knows, and he chose her anyway.
05:58Besides, there's no time to move him.
06:00I don't know if something doesn't feel right. She's working you.
06:03No, she isn't. You just don't know her the way I do.
06:07Yeah, you don't know her either. Not in the last eight years.
06:12I'm sorry, but that's the truth. And you know you can't justify any of this.
06:26How long has it been like this?
06:27Mom says a week. They thought it would heal on its own, but...
06:30No, she's too malnourished.
06:32Fighting in Goma cut off the food supply.
06:37Yeah.
06:37We're going to clean you a little bit and find something to eat.
06:41That's it?
06:42Yeah.
06:43So I got saline, degreedment kit, McPearson.
06:47Please trade with me.
06:49What's wrong with your case?
06:51Oh, Marcus keeps sending me lumps, bumps and dumps.
06:53That's what you get for sleeping with him and not calling him back.
06:57Dr. Ridley.
06:58Mm-hmm.
06:58It's your son.
06:59What?
07:00It's...
07:01It's 2am in Minneapolis.
07:05Ethan?
07:06Hey, what's wrong?
07:09No.
07:10No, no, no.
07:11Uh, forget the pediatrician.
07:12Get to Westside.
07:13Ask for Amy.
07:13I'll...
07:14I'll make sure she's waiting for you.
07:22Thank you for doing this.
07:23I'm here for you.
07:24But keeping this a secret won't do you or our patients any favors.
07:29You're giving me an ultimatum?
07:30I'm asking you to tell Michael today.
07:33We both know that this disease will take things from you.
07:37Your legacy shouldn't be one of them.
07:45We'll see you in there.
07:53I can't do dinner.
07:55I'm too tired.
07:59But we're still facing resistance from regulators on the new build.
08:03So find a new country or grease the wheels.
08:05I don't care which.
08:06Look, I gotta go.
08:07But one way or another, I want movement by next week.
08:09Hi, Mr. Boyd.
08:10Max Garner, CEO of the hospital.
08:12Just wanted to say that we will do everything in our power
08:15to give you what you need today.
08:17My test results would be nice.
08:23Unfortunately, I'm going to have to eat my words.
08:25The biopsy confirmed you have small cell lung cancer.
08:30Lung cancer?
08:31Yes.
08:31He hasn't smoked a day in his life.
08:33And he's meticulous about his health.
08:35Fiona, we're not going to argue this away.
08:37But I'm sure if you couldn't see the mass, we caught it early.
08:40Right?
08:42Yes.
08:43But genetic sequencing indicates it's an aggressive variant.
08:47And the PET scan shows micrometastases in your brain, abdomen, and bones.
08:52So it's already spread?
08:55So what now?
08:56Well, we can try chemo and molecular therapy, but those treatments are very painful.
09:01And even then...
09:02So, how long do I have?
09:04Best guess, we can get you four to six months.
09:10Personally, I'd consider palliative care.
09:12I'm getting Dr. Steiner.
09:14We'd be happy to interface with any of your own specialists.
09:17Well, we've already conferred with our chief of oncology and he agrees with our assessment.
09:21Well, of course he does.
09:22He works in a bureaucracy and can't think out of the box.
09:25I wish we could do more.
09:26We could try CAR-T.
09:29No, we cannot.
09:30What is CAR-T?
09:32Chimeric antigen receptor T cell therapy.
09:34It reprograms your white cells.
09:36And has absolutely no efficacy on this type of cancer.
09:39I don't think anyone knows that for sure.
09:40There's not enough data.
09:41Steiner is fielding second opinions and wants to teleconference in an hour.
09:44The plane will be ready to take you to Sloan or Hutch or Oxford if we have to.
09:48Wait a minute.
09:49Anything any of those places can do, we can do and we'll be completely transparent with your team.
09:55Your team is not even on the same page.
09:57We will get there.
09:58I assure you.
09:59Then come back to me with a plan.
10:00Like, if I'm still here, I'm all ears.
10:05One centimeter fragment in segment six.
10:09Two suture repair.
10:15Hey, any news?
10:16No.
10:17I'm freaking out.
10:19Listen, I told you.
10:20Just because they're taking longer to get the results, that doesn't mean anything.
10:23I know, I know.
10:23I thought I'd be okay with this, but I am really not.
10:26Maybe stay away from work today and just try and distract yourself.
10:29Funny you should say that.
10:31Because I'm kind of at the cafe around the corner.
10:34Uh, from the hospital right now?
10:36Look, is there any way you can come down for a minute?
10:38I'm really not handling this well.
10:40Yeah, yeah.
10:40Be right there.
10:44BP's dropping.
10:4491 over 59.
10:45Amy.
10:46Imagine 100 had a cortisone.
10:48Normal saline, wide open.
10:49What's this?
10:50Sodium?
10:50It's fine, 134.
10:52It's not me.
10:53You have a bleeder.
10:54My field is clear.
10:56Unless...
10:57Damn it.
10:58Suction.
10:58Lender sees things lost already.
11:01You're counting?
11:02I can't clear the field fast enough.
11:04Want another clamp for a Pringle maneuver?
11:05No time.
11:06I'll do it blind.
11:07Micro switcher on a needle driver.
11:30B.P.'s rising.
11:32Yeah.
11:34That was amazing.
11:37Piece of cake.
12:00Yeah, yeah, no, we're here with Amy now.
12:02She's checking his lungs.
12:03Stop, stop, I can't, I can't hear anything you're saying.
12:06I said, you have to find someone with a better seat.
12:10Mom, mom.
12:16So, the albuterol is working, but his oxygen is still low.
12:21If it drops any more, don't tell me you have to intubate.
12:24Oh my God, no, we're not there yet.
12:26Let's, let's just try to stay calm.
12:30I never thought I'd say this, but I wish my mother were here.
12:33There's nothing she would do that I'm not already doing.
12:35You think I want her here for medical expertise?
12:38No.
12:40You know, when I had meningitis in college, she at least offered to fly home.
12:44Ethan, she's doing the best.
12:46Don't, don't defend her, Amy, all right?
12:47Please.
12:51Ethan, I just had to splash a little water on my face.
13:16I'll be right out.
13:29Okay, let's bump his methamazole up to 20 and then recheck his TSH.
13:33And can you have Dr. Park give me a call on labs?
13:35Come back on the 6-12.
13:36Okay, thanks.
13:38Thanks.
13:39Thanks.
13:52Thanks.
14:00Thanks.
14:08all handled yeah i think they can survive without me apparently i can't hey it's fine
14:16okay i'm not going anywhere till the labs come back thank you what is this this is the mia
14:21treatment and you thought this would distract me from my impending doom i've seen you around a
14:32sunday i want primary custody for as long as i'm breastfeeding absolutely i'll take regular
14:38visitation rights for the first year and after this first period we'll transition to the 50 50
14:44custody yes agreed now on to assets first the family home it's in michael's name i'm prepared
14:52to sell it and give nora half the proceeds i can't let you do that michael why not i i
14:58know what it
14:58means to you and what about katie she's fine with it she's off to college soon and i think it's
15:03the
15:04least i can oh god don't you dare be kind to me right now what what else would i
15:13i need to hate you michael and you need to let me
15:22hey hey how's our patient well strong vitals no sign of infection emptied his drains
15:28on post-op antibiotics wow could have put our nurses out of business
15:34i can handle post-op if you just want to sit with him that's a hell of a bedside manner
15:41you've got there
15:44you all right amy hey i'm good um i i have another patient i should check on
15:55but having needs post-op lights and hourly labs i'll take care of it
16:05we talked about this i don't want you back in that chair until we have i know until i've had
16:10two months of normal eegs i know but i've had four clean studies and i need this memory now look
16:17i
16:17know you're going for chief resident and recovering your medical knowledge is important no it's not
16:21that when my brain does this it's because it's trying to tell me something my friend needs help
16:27and this memory may be the only way that i can help her any headaches or nosebleeds and i'm pulling
16:34the plug of course i want to be clear that the treatment protocol that i'm proposing will be risky
16:41and painful pain is irrelevant will it work i found one successful case but as your team will tell you
16:46cancer involves many mutations the treatment has to be as unique as a disease that is where car t comes
16:52in we take your own t cells and re-engineer them to target the specific markers of your illness
16:58which antigen will you use his cancer cells exhibit a large number of dll3 surface proteins
17:03and which viral vector for delivery the case i'm referencing use the lentivirus model the case
17:08he's referencing was so much less aggressive it shouldn't even be considered a comp
17:11mr voight's immuno response will almost certainly be catastrophic there's a very good chance this
17:17treatment will kill you by tomorrow or it could add years to his life team some feedback would be nice
17:24give us a moment please i thought you were getting on the same page so did i okay the only
17:32other option
17:33we can see here is luto's team in zurich they have a vaccine model that's had some limited success in
17:38mice limited and only with mice no that's out what else i'm sorry but but there's nothing we can stand
17:44behind so dr coleman's idea is the best option it would be yes elise with more time we could dig
17:51deeper but big things don't happen overnight in the cancer game okay so we have no choice okay then
17:59let's get the ball rolling with whatever we need to do next i'm sorry but clearly these people on your
18:05payroll don't know how to say no to you dr and i gotta say if you were anyone else this
18:10hospital
18:10wouldn't even be considering this course of treatment mr void has an appetite for risk an appetite
18:15for risk is one thing this is trying to kill a lion with a toothpick
18:24sometimes we fly too close to the sun but we get nowhere if we don't try to fly right dr
18:32coleman
18:34well i sincerely hope this works but respectfully i won't be a part of it
18:52i uh i didn't mean what i said before i mean i don't want to hate you i wouldn't blame
19:02you if you did
19:06i hope that selling the house will be a fresh start for you i think you really need that
19:15okay i've drafted an agreement why don't we give it a once over
19:23and focus ground yourself in the memory what can you smell hear see
19:36okay let it rip
19:48so just stay out of it what are you not telling me it's it's mds so there's a good
19:54chance it'll turn into leukemia
20:00what is it amy i have to go
20:08you can't perform surgery anymore
20:17place a vast cath prepping for temporary human dialysis what happened bp spike acute renal failure
20:26but that makes no sense addison should prevent bp spikes and his renal function was normal pre-op
20:31well clearly we're missing something blood cultures auto antibodies and a pan ct scan
20:37that's a good idea it was even better when dr matra had it five minutes ago
20:41where were you i was in tms i love your sense of timing i remembered
20:49you were diagnosed months ago and the disease certainly wasn't indolent so you're off chasing
20:54unreliable memories while our patient's life hangs in the balance you're gonna look me in the eye and
20:58tell me that was a false memory it was a bad day i was emotional and i i'm fine now
21:04you took this job
21:06knowing that you couldn't handle it i am handling it really where did you get this bruise and what
21:12about the edema in your wrist how much prednisone does it take to get you through a shift you know
21:16what dr matron i will take it from here i would never do anything to jeopardize a patient and i
21:26don't need
21:27you to tell me that
21:51let me ask you something when you went up against dr miller was that for my sake or were you
21:55just
21:57pandering to your ceo come on don't pretend you don't have a lot riding on this too i don't do
22:04anything i don't believe in man of conviction i guess i'm not surprised four years in afghanistan
22:10took a bullet during that hostage crisis okay you guys got to ease up on the background checks it's
22:14getting weird honest too huh look this idea is out of the box but you push boundaries for a living
22:22controversial but necessary to a society
22:28i've just
22:31never been the lab rat before
22:50dr ridley he has tuberculosis i saw some non-specific areas lighting up on ct figured they
22:58were artifact but his sed rate was up so i ordered an ultrasound with doppler and found a cavities
23:04lesion in his hepatic artery add that to his chronic inflammation milky drain fluid travel exposure
23:10extra pulmonary tb explains it all even the addison's he must have a lesion on his adrenal gland and who
23:16knows where else we need a full body mri with contrast and surgery to remove infection good i'll take
23:24him to radiology you can grab a few protein bars dr major we're going back in
23:32you're feeling okay i feel like crap i guess that's what we want all right
23:39means it's working yeah well your bp's a little low i'm going to start your oppressors
23:46mr voigt mr voigt mr voigt two milligrams iv lorazepam stat when did you inject the car t-cells an
23:54hour ago
23:55it's a cytokine storm but i'm premedicated with benitrile and metropeniculum well it wasn't enough
24:18what else we got dinner oh no i'm gonna eat later you can't help them if you can't stand ridley
24:25eat
24:31let me talk about the real reason you won't slow down have you had terry's moambe
24:39your grandson's gonna be fine from everything you said about amy he's in the best possible hands
24:45not mine though you can't be everywhere
24:51when harry and i were first married i tried to stay put be the doting wife and mother and
24:58have a regular nine-to-five
25:02the truth is i just wasn't cut out for it
25:09maybe you were right to never settle down
25:12or maybe i just never found a man who could put up with me
25:18well it makes two of us
25:26hello it's me albuterol and high full oxygen are keeping his numbers in the 80s so no no need to
25:33intubate no he's stabilized but they've got an intense recovery ahead of them if you could come home
25:40i would
25:44i'm trying to do my job at what cost joan 60 milligrams at that rate you will flame out in
25:51weeks that's my choice does javi know what you're doing i'm not killing myself amy i am trying to
25:57make the most of the time i have left and he would respect that well what does ethan think
26:03go i don't know he doesn't know he doesn't return my calls what wait how long have you know what
26:11i
26:12think you've dredged up enough bad memories for one day and if you'll excuse me i have a patient who
26:16needs me
26:20what do we got uh granulomas in the liver kidney adrenals bowel they're everywhere
26:32tell the on-call surgeons to drop what they're doing and meet us in the o.r we're going to
26:36need
26:36all the hands we can get i commend you my dear brother to almighty god and entrust you to your
26:44creator may you return to him who made you from the dust of the earth may holy mary the angels
26:51and
26:51all the saints come to bring you i am so sorry mrs voigt he was crucified i never should have
27:00let
27:00him go through with this excuse me
27:17you care to explain how this went so wrong
27:22we tried cart i read the report i know what was attempted i'm wondering how that was allowed to
27:26happen you'd have to ask the ceo about that he was pushing medical decisions we could have used you here
27:36so what are you proposing now i'm thinking il-6 blockers the covid treatment car t triggers a
27:43similar inflammatory cascade and i don't think that the standard protocol will get the inflammation
27:49under control he's been right all along we should follow his lead
28:00you're patient your call
28:04okay okay okay our thailand trip you got boot off the karaoke stage bohemian rhapsody yes
28:13and for the record it wasn't my performance that people hated it was just that that song is too long
28:32i can't let you do it
28:46it's negative
28:46it's negative
28:47i don't have cancer don't have cancer
29:04saddle up everyone for the next 11 hours we're doing an ex vivo
29:10that's right the thing you learned about in med school but never thought you'd actually do
29:14we're removing every damaged organ repairing it and then putting it back where we found it
29:21we'll run two full operating fields side by side my team will be the one removing organs and
29:26keeping javi alive that means controlling bleeding managing profusion oxygenating his heart
29:32and brain team two is on ex vivo work when we pass off an organ you strip the granulomas and
29:40adhesions
29:41repair what you can then it comes straight back to us
29:44in working order precision is everything we lose focus we lose an organ we lose an organ we lose the
29:51man
29:56no mistakes let's go god i cannot believe i'm seeing this all right i brought nourishments
30:03great thank you thanks did she just do a rapid order to reconstruct on the fly yeah it's unreal
30:13she's a freaking rock star she's something that's for sure you wonder why i didn't want to tell you
30:18look the way she's managing everyone she's like a maestro
30:23okay so what exactly is her end game here is she just gonna keep operating until she drops i can't
30:28believe what she's doing to herself i know that you don't want to go behind her back but i don't
30:32think she's really leaving as many options here just give me a couple hours until the end of the day
30:48ethan it's amy uh give me a call back when you can there's there's something going on with your mom
30:55okay liver's coming out subhepetic space is clear put a retractor in there carol sponge
31:04okay
31:08that granuloma is wrapped around the inferior vena cava we can clamp take it out then reconstruct with
31:13dacron graft no we've made enough compromises today i'll dissect it off the wall leave the vein
31:18intact scalpel uh isn't it safer to do a graft one slip and he could bleed out and
31:24seconds i know i wrote that chapter in your vascular surgery textbook suction dr matra
31:32clamp ready in case it goes south
31:49meds i'm securing the vena cava now dr matra get that lump out of my hair please
31:58you know what they say about me hands of stone
32:09hi hi what are you doing here mom i wanted to check on robbie i came as soon as i
32:14could
32:15well we both know that's not true okay okay i came as soon as i could responsibly leave
32:20and why is it you feel a greater sense of responsibility to a group of strangers than
32:24your own family robbie was fine he didn't need no i needed you
32:32you know for once i actually let myself believe that you'd be here i was on my way and and
32:37then we got the
32:38call fighting broke out in sake we were inundated it's always something mom
32:47and what would you have me do let those people die so i can come and hold your hand
32:51no you're right no you had to do what you thought was right and now i have to do the
32:56same so you know
32:58what i'm i'm done what does that mean you're done that means i'm just i'm done you know at some
33:03point
33:03i only have myself to blame for letting you disappoint me
33:12if you can't see i made the only choice i could in that moment then i didn't raise the man
33:19i thought
33:22you barely raised me at all
33:40you're welcome back
33:42it must have been a close one turns out your addisons was a symptom of indolent tb you had a
33:51lesion on your adrenal gland along with 14 others but we cleared the damage and you'll make a full
33:57recovery but so no more addisons no more addisons
34:10you saved my life i wish there were more i could do for you are you kidding that was a
34:18career making
34:18surgery you begged me i'm gonna live forever in these halls so um
34:27when can i get back out there well in the last 12 hours most of your organs have been outside
34:33your
34:33body so maybe you want to give it a few weeks hey we go where we're needed right
35:03hi stranger
35:04You got nothing but love for you.
35:07Love for you.
35:09Love for you.
35:11Love for you.
35:12Kill me the most.
35:13I've got nothing but love for you.
35:17Love for you.
35:19Love for you.
35:20Yeah, they killed me the most.
35:26Unfortunately, the CAR-T hit you harder than your cancer.
35:31We've retested your blood, and your small-cell tumor
35:33markers only dropped three percent meaning it didn't make a dent right well then what's next
35:43we're back where we started chemo and molecular therapy so you're right my yes men almost killed
35:51me for nothing i'm just glad you're still here i'll be dead by the end of the year i'm sorry
35:58but there's plenty you can do with the time you have left no i won't slowly degenerate if
36:03you can't cure me i will wait sander no what better time to do it than now i'm sorry what
36:09are we
36:09talking about there's a swiss cryogenics company that will freeze me until further notice when
36:13there's a cure for this in 10 20 30 years i'll be first in line if they find a way
36:18to reverse
36:19the freezing process we can do it with embryos it's only a matter of time and i won't exactly be
36:27in a
36:35rush she knew who she married and i still have way too much to do in this world
36:41the man needs a psych consult we should put him on a 72-hour hold on what grounds he's not
36:46depressed
36:47or pathological he's got a god complex and i flew too close to the sun
36:54the ceo's watching you got a billionaire setting you up to be a hero you got carried away you're
37:00right sorry i know you think i don't have a leg to stand on here but what happened with mr
37:07voigt
37:08was unethical and there isn't always going to be someone more senior around the pushback
37:12you're not a rookie anymore tj time to start acting like it
37:26hey oh hey so i need to tell you where it was yesterday okay rachel had a mammogram and they
37:39found the mass oh no is she okay yeah yeah she's fine now the biopsy results finally came back negative
37:45but
37:46the past week has been kind of tough so i just i wanted to be there for her so that's
37:52why you left
37:53early yeah yeah she was spiraling and that patient you were with in radiology last week when you you
38:02didn't want to talk that that that was her she asked me not to tell anyone um
38:10when i see the look on your face and clearly i i went about this all wrong no you you
38:15were in a
38:15tough spot i'm i'm just glad she's okay yeah yeah
38:25yeah
38:28okay
38:31it was pretty sneaky you calling ethan dare i ask how it went
38:39well uh we have a lot to clean up but
38:45he's here so thank you there's one thing this year has taught me it's that family finds a way to
38:54forgive
38:56let's hope
38:59he certainly thinks i have a lot to answer for
39:06we need to figure out what you're gonna do joan
39:10oh i know what i'm gonna do
39:14i didn't think it could get any worse than being schooled by richard miller
39:18and knowing he was right
39:20try this i spent all of last week trying to sideline dr ridley and the second she asked me to
39:25scrub
39:26in for a big operation i leap at the chance
39:30so we're hypocrites
39:31or maybe we're just doing the best we can in a job that has a lot of gray areas
39:38maybe we are
39:40so
39:42want to give our date another shot
39:45dinner that italian place on the corner or we could just go to mine for dinner that too
39:55is
40:07dr ridley would like all of internal medicine to report to the office for an all-hands
40:16excuse me
40:20any idea what this is about uh nope no idea but i guess we'll both find out
40:37wow that was fast why that scary yes
40:44uh this is uh not a conversation i ever wanted to have so
40:51forgive me if i'm not exactly sure where to start
40:56i know there's been concern about my health and i truly appreciate it
41:03it turns out it was warranted
41:07i have mds it's advanced and it's time for me to accept that
41:15it's not something i can outrun so
41:23last night
41:26will be my final surgery
41:29and next week will be my last as your chief
41:37i've spoken to dr hamna and he has agreed to facilitate a smooth transition
41:43and never fear you will all receive your long-awaited evaluations before i go
41:50i like to think um that i i still have some wisdom
41:58to impart on the next generation
42:02even you peter
42:05so um as my friend reminded me today
42:10uh we go where we're needed and right now
42:16there are more important places for me to be than inside an or or behind a desk
42:25being a doctor
42:28has been the privilege of my life
42:33being your chief
42:37has meant more to me than i expected thank you
42:47all of you
42:52and i'll see you tomorrow
42:57so
43:00so
43:08so
43:10so
43:11so
43:25To be continued...
43:53To be continued...
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