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00:00Previously on Doc.
00:01I lost Danny.
00:02And I blamed you for it.
00:04You're pretty impressive out there.
00:06It reminded me of my ER rotation.
00:08I miss it.
00:08How'd it go?
00:09You didn't really say much in your text.
00:10I'll tell you when I see you.
00:11There will be an official evaluation.
00:14Some of you will not survive it.
00:15I should at least be considered for chief resident.
00:18I was wondering how you feel you're lining up against Dr. Larson.
00:20She's prepping another surgery.
00:22And she hasn't invited you to audit.
00:23We did the right thing.
00:24There's been concern about my health.
00:26Next week will be my last as your chief.
00:30What's going on?
00:31What is this?
00:31What does that even mean?
00:32It means you can't just show up here unannounced
00:35and pretend I'm the one being unreasonable.
00:37What are you doing here?
00:38I'm here for our daughter.
00:39We have a schedule, Carl.
00:41You can't just show up whenever you want.
00:43Haley said she was ready.
00:44You always do this.
00:46You're being insane right now.
00:47I'm being insane?
00:49You're not supposed to take her until 9.
00:51You're early.
00:52It's an hour, Jocelyn.
00:53It's my hour.
00:54Guys, come on.
00:56Where were you yesterday?
00:57Are you kidding me right now?
00:58I was working, Carl.
01:00Somebody has to work.
01:01God, you are such a tough.
01:03Mom.
01:06Oh, Kate, leave.
01:07Oh, my God.
01:08It's right now.
01:09It's okay.
01:17I have transferred my surgical cases to my colleagues.
01:21Fellowships, rotations, and promotions will be finalized this afternoon.
01:26And the culling of the herd will be done judiciously and with grace.
01:30And you'll be naming chief resident?
01:32Normally below your pay grade.
01:33I understand Dr. Larson's in the running.
01:36Indeed.
01:38I don't even know what she's decided.
01:40Somehow I find that hard to believe.
01:42I'm assuming you'll start the search for my replacement immediately?
01:46We've already started a short list.
01:48Have several candidates coming in today.
01:49I'm sure you remember I have veto power over my successor.
01:52We remember that well, Joan.
01:55But that's not taking on too much.
01:57We're concerned about your health.
01:59I think I can make it through a day of paperwork and interviews.
02:05You're only on the right side?
02:06I had appendicitis when I was a teenager.
02:08I'm sure that's all this is.
02:10Why don't you just let the doctor figure it out?
02:12I'm just giving her some context.
02:14Thanks for that, Carl.
02:14Hi, I'm Dr. Heller.
02:15I'll be working with Dr. Larson today.
02:17Hi.
02:18Hey.
02:18This is Haley, 16.
02:20She's suffering from lower right abdominal pain.
02:23ER took blood, and we're just waiting on the labs.
02:25In the meantime, we need to ask her some sensitive questions,
02:28so you two might want to step out.
02:30No, it's okay.
02:31You can stay.
02:33I need honest answers from you, Haley.
02:36Of course.
02:38Okay.
02:38Um, any drugs in the last 24 hours?
02:41No.
02:42Alcohol?
02:43Are you sexually active?
02:45I have a boyfriend, but no.
02:47Not in the way you're talking about.
02:49Okay, then.
02:50As soon as we get the labs back,
02:52someone will come and take you to radiology.
02:54Shouldn't be too long.
02:59So you shadowing me today?
03:01Yeah.
03:02I figured it might be the last time
03:04before you succeed me as chief resident.
03:05Oh, you're getting this bossing me around, huh?
03:08Hey, so I heard Julie say something about you and Michael
03:11saving a couple in the woods.
03:12Yeah.
03:13It was intense.
03:15I was just a little surprised you didn't tell me about it.
03:17I know.
03:18I was so tired last night.
03:19But I'll fill you in later, okay?
03:21Yeah, yeah.
03:22Sure.
03:25Well, how was it nice to you?
03:26Nothing dramatic.
03:28I didn't get much sleep.
03:29You headed home?
03:29Yeah, it's going to be a glorious day of laundry
03:33and waiting for Dr. Ridley to name Amy chief resident.
03:37Stop that.
03:37Doesn't everyone want to spend their day off
03:39preparing to have their soul crushed?
03:41If you were out of consideration,
03:42they would have told you already.
03:43And you're going to hear about your surgical residency today?
03:47I think she has to talk to Dr. Costa first.
03:49Well, either way,
03:50we're going to celebrate or commiserate.
03:52Absolutely.
03:53And I will let you know if I hear anything.
03:54Yeah, I'll talk to you later.
03:57Bye.
04:04Hey there.
04:06I am Dr. Coleman.
04:08Walter Babbitt.
04:09Nice to meet you.
04:10Oh, nice to meet you.
04:11You have a parent around?
04:13I live in a group home.
04:15Oh.
04:15One of your counselors then?
04:17He dropped me off,
04:17but he had to do something else for Mrs. Thompson.
04:21She's along her own to the home.
04:23Okay.
04:24Any idea if she's allowed to make medical decisions for you?
04:27No.
04:27That's usually my social worker.
04:29The one I had last time quit,
04:31and I don't even know who my new one is.
04:33Mm.
04:34I have rheumatoid arthritis.
04:35It's a chronic condition that fires up sometimes.
04:38I'm familiar.
04:39You have it too?
04:41Oh.
04:42You mean this?
04:42No, this, um...
04:44It was a stupid accident.
04:46Well, I really can't miss the fair.
04:48It's next week.
04:49All right.
04:50What kind of fair is it?
04:51Science.
04:52I'm really into rockets,
04:54and I need to be able to walk.
04:56There's too much right now?
04:57It's even worse this morning.
04:58How long have you been here?
04:59Four hours.
05:01Four hours?
05:02And nobody's seen you?
05:04Hold on.
05:05I'll take care of it.
05:13We got your lab results back,
05:15and you were seven weeks pregnant.
05:18I know you said earlier
05:19that you weren't sexually active,
05:21so we just want to make sure
05:22that nobody's hurting you.
05:23No.
05:23No.
05:24Um...
05:25I'm sorry.
05:26I lied.
05:27They just don't know
05:28I'm having sex yet.
05:29It's understandable.
05:30That's why we wanted
05:31to get you in here
05:32so you could have some privacy.
05:34We still need to figure out
05:35what exactly is causing that pain,
05:36but since you're pregnant,
05:38we're going to run an ultrasound
05:39instead of a CT scan.
05:40And don't worry,
05:41it won't hurt.
05:41Dr. Larson's just going to run
05:43that wand over your belly, okay?
05:45Okay.
05:45And it's probably a good idea
05:47to include your parents in this,
05:50but in the state of Minnesota,
05:52discussing your sexual health
05:53is at your discretion,
05:54so you have the right
05:56to tell whoever you want
05:57or tell no one,
05:59and we will support you.
06:01Okay.
06:02Um...
06:03I just want to text my dad.
06:06Can I tell him what we're in?
06:07Yeah.
06:08It's Radiology 3, fourth floor.
06:10Mm-hmm.
06:14Okay.
06:15We've got an unusually busy day today,
06:17so preliminary assignments
06:18then circle back to me.
06:20Dr. Lee, 712, post-op Whipple.
06:22I want drain totals, hemoglobin trend,
06:24and a differential for why it dropped.
06:26Dr. Ramirez, 704,
06:29small bowel obstruction
06:30with rising lactate,
06:32full abdominal exam,
06:33repeat CBCs,
06:35and review the CT in real time.
06:37Dr. Haynes, 726, GI bleed.
06:40Two large-bore IVs,
06:41type and cross to four,
06:43start a proton pump inhibitor drip.
06:44Oh, and get GI to hold an endoscopy slot.
06:48Michael.
06:51I see your residents
06:52have been ordering head CTs
06:53on your migraine patients.
06:54I told you,
06:55I'm not doing that
06:56unless it's indicated clinically.
06:57The hospital's policy on headache management
06:59is clear.
06:59Clearly designed to maximize revenue.
07:02And until I get my day in court with admin,
07:03I'm not going along with it.
07:04I wish you luck with that.
07:05And just so you know,
07:06even if you replace me,
07:08you won't have the juice
07:09to do anything about it.
07:11Why do you think
07:11I'm moving into private practice?
07:17So you worked under Dr. Moynihan
07:18at UPMC?
07:19I did.
07:20He was a real mentor to me.
07:22Well, you certainly made
07:23quite the impression.
07:24That's not easy to do.
07:26I'd be interested to hear
07:27what you learned about leadership from him.
07:30He was great,
07:30but I learned that I do it differently.
07:33How so?
07:35I was on call one night in the ER.
07:38Mass casualty event,
07:40all hands on deck.
07:41And one of the interns freezes.
07:43My first thought was,
07:45Moynihan would eviscerate this kid.
07:47But when I turned to do that,
07:50I heard a voice coming out of me
07:52that was calm and reassuring.
07:55Gave him clear instructions
07:56to get him reoriented.
07:58Next thing I know,
07:59he's coming out of it.
08:01That sounds like Dr. Hamda style.
08:04Well, thank you for coming in.
08:06Thanks for letting us take your time.
08:08My pleasure.
08:09Great meeting you.
08:10Likewise.
08:12We've got plenty more,
08:14but I like him.
08:15I don't know.
08:16That story seemed a bit rehearsed.
08:19Oh, I found it to be sincere.
08:25Hey, buddy.
08:26This is Dr. Walker.
08:27She is awesome,
08:28and she's here to help you.
08:29Hi, Walter.
08:30What you got there?
08:31It's the solar system.
08:32Oh, yeah.
08:33That is Saturn, Jupiter,
08:36the asteroid belt.
08:37Asteroid belt's the best.
08:39You made all this?
08:40Mrs. Thompson gave me the stickers.
08:42This is Group Home Supervisor.
08:44So you take this everywhere you go?
08:46I know they're supposed to go on the wall,
08:47but I move around so much,
08:49so I put them on this,
08:50so I can take my sky with me.
08:52I wanted to be an astronaut when I was your age.
08:54I even went to space camp.
08:55And I met Mae Jemison.
08:57Oh, first black woman in space.
08:59No way.
09:00You are full of surprises.
09:02Yeah, my dad got me into model rockets.
09:04We would make them,
09:05and then we would launch them in the front yard.
09:10I'm really sorry you're in pain, Walter.
09:12And as soon as we...
09:13Wait.
09:15Speak of the devil,
09:16it's your social worker.
09:17Just give me a sec.
09:19I've been calling you for hours, Cliff.
09:21We need your approval to give Walter his medication.
09:24So now you have it, okay?
09:25How is he?
09:25In pain,
09:26which is keeping him from walking,
09:27and he's really worried he'll miss the science fair.
09:31Science fair?
09:32He said it was next week.
09:33Oh, no, that's an adoption fair.
09:35Foster kids mixed with prospective parents.
09:38Dog and pony show.
09:39Guess he was too embarrassed to admit that.
09:41All his medical issues.
09:42He's not a great candidate.
09:44Figures if he can walk,
09:45somebody might choose him.
09:47Well, I'm glad you're there, Whitman.
09:49You have my sign-off.
09:50Okay.
09:50But this delay has already increased
09:52his risks of an escalation.
09:54I need to be able to get you promptly
09:55the next time a decision needs to be made.
09:57You know how this goes, Gina.
09:59I've got 40 other kids
10:00who require just as much as Walter.
10:02We're all pretty busy, Cliff.
10:04Just keep your ringer on.
10:09I'm so sorry that we were using protection.
10:12I don't know how...
10:12Sweetheart, these things happen.
10:14I love you.
10:14It's gonna be okay.
10:15Ryan's gonna be so freaked.
10:16Don't worry about Ryan, okay?
10:18We'll talk to him when you're ready.
10:20What am I gonna do?
10:21We'll figure it out together, okay?
10:23It's gonna be all right.
10:26Okay, Haley.
10:28So typically, it's a corpus luteum cyst,
10:31which is a cyst on your ovary.
10:32It can cause pain in early pregnancy.
10:36Dr. Heller?
10:38Yeah, I see it.
10:39Is it the cyst?
10:40The embryo is implanted in the fallopian tubes.
10:42It's what we call an ectopic pregnancy.
10:44What does that mean?
10:45It means it's not viable.
10:47Oh, so I'm not having a baby?
10:49No.
10:51Oh, my God.
10:53The situation is more serious now, Haley.
10:56Do you want us to bring in your mom?
10:58I don't want her to know.
10:59I have a responsibility to ask,
11:01is there an abusive situation going on with your mother?
11:04No.
11:04No, it's nothing like that.
11:06She's just very judgmental.
11:08It's not what Haley needs right now.
11:10Okay, so should we go over the options?
11:12Sure.
11:12I would recommend surgery.
11:14Without it, the embryo could rupture.
11:16But rupture usually occurs when the pregnancy is further along,
11:19and surgery does pose its own risks.
11:21So you don't agree?
11:24Um, I mean, look, there's no guarantees either way,
11:27but I do think that with medication,
11:28we can monitor for what Dr. Larson is concerned about.
11:31Well, then why didn't you suggest that?
11:33Because if it were my daughter,
11:34I would want it dealt with as quickly and expeditiously as possible.
11:38And our surgeons are excellent.
11:39It's not black or white.
11:40It's a serious decision,
11:42which is why I think it's a mistake
11:45not to give your mom a chance to have...
11:47Look, please, don't pressure her
11:49when you don't know our family.
11:52Could you give us a few minutes so we could discuss it?
11:54Yeah, yeah, of course.
12:01Oh, hi.
12:02Excuse me.
12:03What's going on with my daughter?
12:06Um, we're still getting some imaging, running some tests.
12:08Okay, this is starting to feel weird.
12:10Her father says he's going for coffee.
12:11Now I haven't heard from him for an hour.
12:13That's because he's in there with Haley.
12:16Excuse me?
12:16She only wants to talk to him, and we have to respect that.
12:22He's turning her against me.
12:25And you're keeping me out of that room?
12:28What's wrong with her?
12:30Look, I'm sorry.
12:32And I know this is hard to hear,
12:33but legally we just can't disclose that right now.
12:35I can say that she's in good hands,
12:37and her life is not in danger.
12:40Okay?
12:41We'll let you know more as soon as we can.
12:42I'm just worried about her.
12:44I've changed my whole life.
12:46Dr. Larson?
12:50This is way beyond reproductive health now, Jake.
12:54No, it is not.
12:55This is a potentially life-threatening situation.
12:58It could rupture.
12:58She could die.
12:59And her mom wouldn't even know.
13:01Her condition started with sex,
13:03which means she retains those rights.
13:04Doesn't matter how you and me feel about it.
13:06End of story.
13:18So, um,
13:21I've been talking with Sanders
13:24about creating a pediatric cardiology unit
13:28at the hospital.
13:29Oh.
13:29When did that start?
13:31A couple months ago.
13:33I didn't think you'd want to engage
13:35unless it was real.
13:37Point is, it's something we'll be able to achieve.
13:39And it's going to be amazing for the hospital,
13:43help a lot of families.
13:44That's great, then.
13:45Yeah, it's also making me rethink some things.
13:48What things?
13:52I want to get an MBA
13:54and go into hospital administration.
13:57You're in line to run
13:58clinical medicine at St. Paul's.
14:01I know,
14:02but there are so many things in the system
14:04that need to be confronted.
14:05And you're
14:07going to change them?
14:08I can do my part.
14:10and
14:11so few administrators
14:13have the depth
14:13of medical experience I have.
14:15I think you're doubting yourself
14:17as a physician
14:17because of what happened
14:18at the museum.
14:23I can't believe
14:25you just said that.
14:27I'm sorry
14:28if I'm wrong.
14:30You are.
14:32In every way.
14:40This is not the guy.
14:42We haven't even met him.
14:43CV reads like an academic.
14:45Overemphasis on publishing,
14:47research.
14:48He's been awarded
14:49some highly coveted grants.
14:50Very little experience
14:51in management.
14:52Dealing with performance issues,
14:54staff conflicts.
14:55Questions we can ask him
14:56when we talk to him.
14:59Hey, Dr. Coleman.
15:01Sorry, I heard you wanted to see me.
15:02We're just about
15:03to conduct another interview.
15:05Do you mind coming back
15:06in an hour?
15:08Yeah, okay.
15:08Sure.
15:09Just tell him.
15:11I know you want to roll out
15:12the red carpet,
15:13but look at him.
15:16You were awarded
15:17the searchable residency
15:18you wanted.
15:19Are you serious?
15:21I don't joke about surgery.
15:24Congratulations, TJ.
15:28I can't thank you enough, Dr. Ely.
15:30It has truly been an honor.
15:32Yeah.
15:33All right, yeah,
15:34get out of here.
15:34I got to find the ass
15:36that's going to sit
15:36in this chair.
15:37Yes, ma'am.
15:38Yes, ma'am.
15:45Hey.
15:46Guess you can't sleep.
15:47It'd be easier
15:48if you were here.
15:49Don't I wish.
15:50Please tell me
15:51you heard something.
15:53Not about the big jobs,
15:54but I got some good news.
15:58You're going to be a surgeon.
15:59In like five years.
16:01Oh, my God.
16:01Oh, my God.
16:02How did she tell you?
16:04She just called me
16:05to her office.
16:06But before you panic,
16:07she has been in there
16:08all day with Dr. Hamda,
16:09interviewing people
16:10to succeed her.
16:11She squeezed me
16:11into like a 15-second slot,
16:12so I don't think
16:13she's getting to your gig
16:14until the end of the day.
16:15Well, whatever happens,
16:17we're going to celebrate
16:17you tonight,
16:18and I'm not going to think
16:20about Amy Larson
16:21for the rest of the day.
16:22Somehow I doubt that,
16:23but nice try.
16:31And?
16:33I don't know.
16:34It's kind of hard
16:35to watch this parade
16:36of pretenders to your throne.
16:37It was a short reign,
16:38but a worthy one,
16:39I hope.
16:40Anyone you like yet?
16:410 for 4 thus far.
16:43I think he's getting finicky
16:44in his old age.
16:46I'm just trying
16:46to top Dr. Miller.
16:49Please just pick somebody
16:50I don't have a history with.
16:51I'm offended by that.
16:53Oh, well,
16:53I'll be a little bit more docile
16:55if you name me
16:55chief resident.
16:57Cocky.
16:58Keep me out of this.
17:01I'm being summoned.
17:06So, Haley and her father
17:08chose the medication route,
17:09but went ahead
17:10and moved them
17:10to a procedure room
17:11so we could avoid
17:11a confrontation
17:12with the mother.
17:13You're really going
17:14above and beyond.
17:15Just respecting
17:16our patient's wishes.
17:17Yeah,
17:18I keep saying that.
17:21Okay,
17:21what's that supposed
17:22to mean?
17:23Would you do this
17:24to Rachel
17:25if you were
17:26in the same situation?
17:27If Mia asked me to,
17:28yeah.
17:29I guess you're
17:30really comfortable
17:30with secrets.
17:32Okay, come on.
17:32Is that what this is about?
17:33I don't know.
17:34I was surprised
17:35at how quickly
17:36you took the father's position
17:37without even trying
17:38to mediate.
17:39Listen,
17:40fathers and daughters
17:41are capable
17:41of having this kind
17:42of bond, okay?
17:43I know that might
17:43be triggering for you,
17:44but we have to listen.
17:45That's a low blow.
17:47What is this?
17:48What's going on here?
17:49You tell me.
17:50I don't like
17:51when you try
17:52and play by your own rules,
17:53but you just expect
17:54everyone else
17:54to go along.
17:55Is that what I do?
17:56Sometimes, yeah.
17:58Good to know.
18:00Should we go see
18:01our patient
18:02in witness protection?
18:08Houston,
18:09we're approaching
18:10the moons of Mars.
18:11Phobos on my right.
18:14And Deimos on your left.
18:16Dr. Walker.
18:18Aw,
18:19you feeling any better
18:20with the medications?
18:21Not yet.
18:22Feeling a little short of breath.
18:23I'll increase the dose
18:24of your pain meds then.
18:26Meantime,
18:27I came by
18:28to give you
18:29this.
18:31A rocket?
18:32You have to put it together.
18:35I know you have
18:36other patients,
18:37but would you by any chance
18:38have time
18:39to help me assemble it?
18:41I'd like nothing more.
18:45Your oxygen levels
18:46are holding.
18:47I just need to
18:48take a blood sample
18:49to make sure
18:49there's no internal bleeding.
18:52Internal bleeding?
18:53I warned you earlier
18:54about a potential rupture.
18:57And?
18:59Levels are a little low.
19:01So that's bad?
19:02No, you're not bleeding,
19:03but we need to continue
19:04to monitor.
19:05This is the unpredictability
19:07aspect that I was
19:08concerned about.
19:17She keeps calling me.
19:19I know.
19:20I turned my phone off.
19:21You really think
19:22that's a fair way
19:23to handle this?
19:24Look, I don't know
19:24what else to do.
19:25I mean, you explained
19:25the situation to her.
19:26Sounds like she won't
19:27take no for an answer,
19:28which is part of her problem.
19:29Right, well, imagine
19:30what it's like to be her
19:31and not know what's going
19:31on with her daughter.
19:35You're hiding
19:35my child from me?
19:36What procedure
19:37are you even doing?
19:38I'm sorry.
19:39Like we told you,
19:40I...
19:40This is insane.
19:41She's 16.
19:42She's my child.
19:43How can you do this?
19:43I'm pregnant.
19:45Okay?
19:46And it's stuck in my tube
19:47and they have to get it out.
19:49Do you want to tell me
19:50how irresponsible I am now?
19:52I'm sorry.
19:53Mrs. Sato,
19:54I told you you're not
19:54permitted to be in here.
19:55Is that why you came
19:56early today?
19:58Because you were
19:58taking her to the doctor?
20:00Are you crazy?
20:01I didn't know
20:02until they told me.
20:02Neither did she.
20:04I'm sorry you had
20:05to find out this way.
20:10It's okay.
20:21It's like Russian roulette
20:22in that office.
20:23Wait, she talked to you yet?
20:23Said I'm a schmuck
20:24but too good a doctor
20:25to let go.
20:26It's one of the nicest things
20:27anybody's said about me.
20:28So you're just hanging out
20:30watching the firing squad?
20:31Yeah.
20:32Oh, geez.
20:33Another one bites the dust.
20:38Nice working with y'all.
20:42Oh, God.
20:44Liz.
20:47Sorry, deep breaths.
20:48It's going to be fine.
20:50You've got this.
21:01Hi.
21:02Hi.
21:03You look terrified.
21:05I think everyone is.
21:07You're an excellent nurse, Liz.
21:09But you have a credibility problem.
21:12You don't know
21:13what I'm talking about?
21:14No.
21:15Not exactly.
21:17Remember that incident
21:18with the faulty dose
21:19of lorazepam
21:20that Dr. Larson
21:21supposedly prescribed?
21:22Oh, I've been through that
21:23with Dr. Hamda.
21:25Everyone knows
21:26that Hannah was manipulating me.
21:27Right.
21:27But it took some time
21:30for people to believe that
21:31because you lied
21:32for Dr. Miller
21:33when he tried to cover up
21:34the death of Bill Dixon.
21:36I don't need to remind you
21:37the impact of that lie.
21:39But that was...
21:40Not that long ago, Liz.
21:41And people will always
21:42remember it.
21:44That's the thing
21:44about your reputation.
21:45You only have one
21:47and once you lose it
21:48it's almost impossible
21:48to get it back.
21:53I understand.
21:54Question is
21:55does it bother you?
21:57Yeah.
21:58Of course it bothers me.
22:00And yet he's still here.
22:01A daily reminder
22:02of the damage
22:03he did to you.
22:04The hospital brought him back.
22:06Knowing everything.
22:09What can I do
22:10at this point?
22:12Find your voice.
22:16This is 16 years here.
22:18You're trying
22:18to make her hate me.
22:20It's that look on your face.
22:20You're always mad.
22:21Always disappointed.
22:22She knows I'll leave her alone.
22:24Yeah, you leave her alone.
22:25You've left her alone
22:25so much that she's pregnant.
22:27Right.
22:27Of course you blame it all
22:28on me.
22:29She is having an adverse
22:30reaction to the methotrexate.
22:32She's a renal failure.
22:33Put her on dialysis.
22:34It's not going to be
22:35that simple.
22:36I'm seeing some
22:37hemodynamic instability
22:38from the pregnancy.
22:39So what do you want to do?
22:41Let's see RRT
22:42and vasopressors.
22:44You're not concerned
22:45about cardiovascular collapse?
22:47Yeah, yeah.
22:47Of course I am,
22:48but surgery's a higher risk now.
22:50Well, that was exactly
22:51my point to begin with.
22:53I will go tell the parents.
22:55Yeah.
22:59Haley's reacting negatively
23:01to the drugs,
23:01so we are going to have
23:03to put her on
23:04a new course of treatment.
23:05Okay, is there some decision
23:06that needs to be made?
23:07Not anymore.
23:08That was this morning.
23:23Oh.
23:25Sonia, thanks for coming in.
23:27I know, you were on call
23:28last night.
23:28Oh, no, I'm glad
23:30I'll have a chance
23:30to say goodbye
23:31and to thank you.
23:33For what?
23:34For mentoring me
23:36and even considering me
23:38for chief resident.
23:39For the record,
23:41I understand why
23:42you brought your concerns
23:43about my health
23:43to Dr. Heller.
23:44You risked a great deal
23:46doing that.
23:47Most people would have
23:47looked the other way.
23:48Well, I appreciate
23:49you saying that.
23:50In any event,
23:51I wanted to give you
23:52one last chance
23:54to make your case
23:56for the coveted post.
24:02Well, I think I'm
24:03a very good doctor.
24:05I have compassion
24:06for my patients.
24:07I work well
24:08with my colleagues.
24:09I learn from my mistakes.
24:11And I think
24:13I can be a great teacher.
24:14And in terms of you
24:15and Dr. Larson?
24:18I read the transcript
24:19of your interrogation
24:20during that internal review
24:21about Dr. Clark.
24:23Yes.
24:23You could have put
24:24your foot on Amy's neck
24:25that day.
24:26Matter of fact,
24:28you lied to protect her.
24:30Let's say I had my reasons.
24:32You respect her?
24:33Everyone does.
24:34And if you were sitting
24:35in my chair,
24:36who would you choose?
24:37Well, that's kind of
24:38a trick question, right?
24:40To build my case,
24:41I'd have to disparage her.
24:43Which you fear
24:44is dangerous
24:45because of our
24:45long relationship?
24:48If I've earned it
24:49on my own merits,
24:50it'll be mine.
24:51If not,
24:52I'm sure she'd make
24:53an excellent
24:54chief resident
24:55and you'll make
24:57the best decision
24:57for the department.
25:01Our last patient
25:02took so long.
25:03How we doing?
25:04I'm good.
25:06You finished it
25:07without me.
25:09Should I launch it now?
25:12You need to get
25:14your breathing
25:14under control first.
25:16How long
25:17this been going on for?
25:18Maybe 20 minutes.
25:20Why didn't you
25:21call someone?
25:22You got that buzzer there.
25:23You know that, right?
25:25I figured they got machines.
25:26I could just see
25:27what's going on.
25:28Why don't you
25:29hit that button now?
25:32Okay.
25:33Take a deep breath
25:34for me.
25:36Yours.
25:38Sharp or dull pain?
25:39I would say sharp.
25:43Okay.
25:43Take a really deep
25:44breath for me now.
25:45Yours.
25:47Okay.
25:47Believe it or not,
25:48that's good news.
25:50It means the fluids
25:51around your lungs
25:51and not in your lungs.
25:53Plural effusion
25:54we need to tap.
25:57Just going to put a little
25:58oxygen mask on you, okay?
26:03It's Cliff.
26:03Leave a message.
26:05Cliff, it's Gina.
26:06Walter's in distress
26:07and we need your sign-off again.
26:09Call me back, please.
26:11Now.
26:12God knows when we'll hear back.
26:14We can't afford to wait.
26:15Get it set up.
26:16I'll take the responsibility.
26:23It's my understanding
26:24that you were in the running
26:25to become chief
26:26of internal medicine
26:27at St. Paul
26:28six years ago.
26:28I was.
26:29Then had a change of heart.
26:31So,
26:31an MBA,
26:32then chief administrator
26:33at Regency Clinic,
26:34two years VP
26:35of clinical medicine
26:36at Grace River.
26:37They were headed
26:38for bankruptcy.
26:39He turned that place around.
26:41Well, the thing
26:41I'm most proud of
26:42is our patient satisfaction scores.
26:44The open access
26:45outpatient system
26:46had a lot to do with that.
26:48Most institutions resist that.
26:50How'd you get it
26:51past their board?
26:52Passion
26:52and persistence.
26:54And you still kept your hand
26:56in clinical practice.
26:57I'm in the clinic
26:58at least once a week.
26:59I'm a better administrator
27:00if I stay connected
27:01to the medicine
27:02and our staff.
27:03Admirable.
27:04But you realize
27:05that we're too big
27:06a hospital
27:06to accommodate that.
27:07I do.
27:08And I'll miss it.
27:09But, um,
27:10it would be worth it
27:11to have the kind of impact
27:12I'm looking for.
27:14Thank you so much
27:15for coming in.
27:16Thank you, Dr. Ridley.
27:25Okay.
27:25What's wrong with this one?
27:27Nothing.
27:28He's great.
27:29Come on.
27:30Michael,
27:30this is starting
27:31to feel like Goldilocks.
27:32What is it?
27:33Spit it out.
27:33You're gonna think
27:34I'm crazy.
27:35Crazy is probably
27:37the last word
27:38anyone would use
27:38to describe you.
27:39I think maybe
27:43I'm the best person
27:45for that chair.
27:49You.
27:51Yes.
27:56So, you saved those two
27:57people in the woods
27:58and got a taste
27:59of the action again?
28:01I miss getting
28:02my hands dirty
28:04and the camaraderie
28:06with the other doctors
28:07and everything I went
28:07to med school for
28:08in the first place.
28:09And oh boy,
28:10wouldn't it be nice
28:10to get away from Max
28:11and those insipid suits?
28:13Definitely.
28:14Plus, you'd be
28:14even closer to Amy.
28:15That has nothing
28:16to do with it.
28:17No.
28:17I love her,
28:19but she's not
28:20taking me back
28:21anytime soon.
28:22So no,
28:22that's not a bonus.
28:23It's probably
28:24a downside.
28:26Okay.
28:28Now,
28:29tell me why
28:29you think it'd be
28:30good for the department.
28:31Well, for starters,
28:32I'm an excellent doctor.
28:33Who hasn't practiced
28:34in a year.
28:34Ten months.
28:35And I've maintained
28:36my board certification,
28:37so rust would not
28:38be a factor.
28:38And no one
28:39who could sit
28:39in that seat
28:40would have my
28:40administrative experience
28:41and leadership skills.
28:42And you left out
28:43that you could hit
28:44the ground running
28:44because you know
28:45all the players
28:45and help stabilize
28:46a department
28:47that's had a lot
28:47of turbulence.
28:48Well, it sounds
28:49like you could
28:49support this.
28:51Only one thing.
28:52You started this
28:53by saying you think
28:53you could be
28:54the best person
28:54for the job.
28:55If you're going
28:56to walk into Max's
28:56office with my
28:58endorsement,
28:59you better know
29:00you are.
29:02Okay, Walter.
29:03So Dr. Coleman's
29:04going to stick
29:05that needle into
29:06the space between
29:06your chest and your
29:07lung to relieve
29:08the pressure there.
29:09Now, you should be
29:10numb from the medication
29:11we gave you,
29:12but if you feel
29:12any pressure or
29:14more out of breath,
29:16then you just
29:17let us know.
29:18All right?
29:19Okay.
29:28Did I hurt?
29:29No.
29:30Good.
29:31That's because
29:32you're numb,
29:32like I said.
29:33So just try to relax,
29:35all right?
29:47Why does it look
29:48like milk?
29:49Is that okay?
29:53The counselor you
29:54sent him with
29:54left him alone in the
29:56ER, said he had
29:57something else to do?
29:58Well, he thought
29:59that the social worker
29:59was going to be there
30:00any minute, and we
30:01have eight kids
30:02with a flu, so he
30:03hustled back.
30:04Well, the social worker
30:04didn't come and was
30:05never even called.
30:06And I reprimanded him.
30:07But he's got a GED
30:08and he's getting paid
30:0912 bucks an hour.
30:10And you know what?
30:11I'm lucky to have him.
30:12He's one of the best
30:12people on my staff.
30:14I just looked at his
30:15medical file going
30:16all the way back.
30:17Delayed decisions
30:18on his care have been
30:19hurting him a long time.
30:21You don't have to tell
30:21me the system's broken.
30:24He seems like such
30:25a great kid.
30:26He's exceptional.
30:28I mean, we had his
30:29IQ tested.
30:30He was over 130.
30:32Kind, never complains.
30:35So much to give
30:36to the world.
30:37And he's fallen
30:38through the cracks.
30:46Battles are stable.
30:48It looks like this
30:48is starting to work.
30:50Starting?
30:51It'll be a couple more
30:52hours until we've
30:53cleared the toxins
30:54and we can see for sure
30:56that your kidney function
30:56is normalizing.
30:57And what if it's not?
30:59Then we'll figure it out.
31:01Obviously, this isn't
31:02how any of us wanted it.
31:04And I know you've had
31:07a very difficult day.
31:09I wish it was told
31:10my mom from the beginning.
31:12You know, my daughter
31:15was closer to her father
31:16for a long time.
31:17And I brought that
31:18on myself.
31:19But the thing that
31:20I am grateful for
31:22is that she let me know
31:25why and she gave me
31:26a chance to fix it.
31:28You don't know my mother.
31:29No, but hospitals
31:30have a way
31:31of humbling people.
31:34And I'm pretty sure
31:35your message to her
31:36was loud and clear.
31:38So maybe this is
31:39a place to start.
31:45I don't know
31:46how it all got to this.
31:48I think that winning
31:49became the most
31:50important thing
31:52instead of what was
31:52best for Hayley.
31:55It's not as simple
31:56as that.
31:57Come on, man.
31:57You can't tell me
31:58a part of you
31:58wasn't feeling pretty good
31:59about being the chosen
32:00parent today.
32:01Look, I get it.
32:02I'm a divorced dad.
32:03I know what things can be.
32:04Then why didn't you push
32:05the way Dr. Larson did?
32:07I mean, I wouldn't want
32:08some doctor who barely
32:10knows my daughter
32:10doing that.
32:11But listen, I do think
32:13that for Hayley's sake,
32:14you've got to try
32:15and repair things
32:15with your ex.
32:17Look, man,
32:18you're going to have
32:19birthdays and graduations
32:21and weddings,
32:22hopefully some grandkids,
32:23and you kind of need
32:25to coexist.
32:26Maybe even find a way
32:27to share some of the joy.
32:30Hey, did I miss something?
32:32I was in the restroom.
32:34She is turning a corner,
32:36but she's still going to
32:38need a lot of support.
32:55I've been offered
32:55the CMO job.
32:57Here?
32:57Yes.
32:58I work here.
33:00This is mine.
33:01They pursued me,
33:02and this is a huge opportunity.
33:04There are a hundred
33:05other jobs, Michael.
33:07Not in Minneapolis.
33:07Only other openings
33:09at this level
33:09are in St. Louis,
33:11New York,
33:11and Rhode Island,
33:12and I'm not missing
33:14Katie's senior year
33:15or moving her
33:15to one of those places.
33:16What about the
33:16conflict of interest?
33:17There is no conflict
33:18of interest.
33:20I'm going to be your boss.
33:25Ready to crown a winner?
33:29The candidates
33:30are all impressive.
33:33Speaking with them
33:34solidified my opinion
33:36of what and who
33:38is needed.
33:39Okay.
33:40I know how much
33:42you want to replace me,
33:43but I have three years
33:45left on my contract,
33:46so let me run
33:48internal medicine.
33:52Are you kidding me?
33:53You get to fill my position
33:55with someone who's
33:56more of a yes man.
33:56I think that's
33:57what you want.
33:58And you're willing
33:59to take the pay cut?
34:00Money's not the
34:00primary factor for me,
34:01but I do need
34:03Joan's contract terms.
34:04The ones you gave away
34:05to someone who should
34:06never have had the job.
34:08I've been here long
34:09enough to know
34:09where a lot of bodies
34:10are buried.
34:11I have a similar map.
34:13Let's go to
34:14our separate corners.
34:15You raise money
34:16and worry about
34:17the hospital's image.
34:18I'll go save patients
34:20and train great doctors
34:22in a culture people
34:23can believe it.
34:23Back to your roots,
34:24huh?
34:26I guess you could
34:27say that.
34:45I know you have
34:46some pretty strong
34:47feelings about me.
34:48I just wanted to tell you
34:49how much I've always
34:50respected you.
34:51And I am very sorry
34:53you're leaving,
34:54especially under
34:55these circumstances.
34:57You're right.
34:58I do have strong
34:59feelings about you.
35:13I need you to say
35:15Dr. Larson
35:17prescribed the wrong
35:19medication.
35:30Am I okay?
35:31You're stabilized,
35:32but we still need
35:32to do a few more tests.
35:34So I'm not going to
35:35make it to the
35:35science here?
35:36I really want to
35:37bring my rocket.
35:40I'm really sorry,
35:41Walter,
35:41but you're going to
35:42need at least
35:43a few days
35:44to recover.
35:45I really need
35:47to get there.
35:47I know you feel
35:48like you do,
35:49but there will be
35:50other chances.
35:52And Mrs. Thompson
35:54came by
35:54and left some
35:55of your clothes
35:56for you,
35:57wanted you to know
35:58how much everyone
35:59misses you.
36:02when I had to make
36:03the decision
36:03about my treatment
36:05because you couldn't
36:06find anyone else
36:07to do it.
36:08That's okay.
36:09I'm a doctor.
36:10But you could have
36:11gone in trouble,
36:12right?
36:13Well, I wasn't
36:14going to let you
36:14suffer anymore.
36:18So what happens
36:19next time
36:19if I don't get
36:20as nice a doctor?
36:22I don't know,
36:23Walter,
36:24but we'll figure
36:25it out.
36:26Okay?
36:38I'm glad to see
36:39you there
36:39in a better place.
36:42I didn't like
36:43how that went today.
36:46Yeah, yeah,
36:47no,
36:47me neither.
36:49We both said things.
36:52You've been different
36:53since you came
36:53back from Chicago.
36:56You've changed
36:57since this whole thing
36:58with Rachel.
37:00Seriously?
37:02Are you saying
37:03you haven't?
37:04I think when you
37:06need time to work
37:07out things with
37:07Michael,
37:08I just,
37:08I accept it.
37:09But when the shoe's
37:10on the other foot...
37:10When the shoe's
37:11on the other foot,
37:11you have a hard time
37:12telling me the truth.
37:14And then you expect
37:15me to accept that.
37:22I think we might
37:23need some space
37:23tonight.
37:24Yeah.
37:25We do.
37:38So you're really
37:40going for this
37:40suspense thing,
37:41huh?
37:42First order of
37:43business is my
37:44successor.
37:45You found someone
37:46already.
37:46It's going to be
37:47Michael.
37:50I know the whole
37:52thing in the woods
37:52really galvanized him,
37:54but I wasn't
37:55expecting this.
37:57It's a lot more
37:57than the woods,
37:58and I think it'll
37:59be stabilizing
37:59for the department.
38:02Yeah.
38:04Yeah, he's amazing.
38:05I mean, when I came
38:06out of my accident,
38:07I was surprised
38:09that he'd given it up
38:10in the first place.
38:11He rediscovered
38:12his calling.
38:13Okay, well,
38:14maybe it'll be fun
38:16having two chiefs
38:18in the family.
38:19Oh, I wouldn't,
38:20I wouldn't jump
38:21the gun there,
38:22kiddo.
38:23What are you
38:23talking about?
38:24I'm, I'm
38:27concerned that you
38:28grabbed for the
38:29chief residency
38:30because you hate
38:30being an intern
38:31and it's the next
38:32highest rung on
38:32the ladder.
38:33So you'd give it
38:34to somebody not
38:35as good as me?
38:36No, I'd give it
38:37to someone who
38:38understands the
38:38immensity of the
38:39responsibility.
38:39I understand
38:41the responsibility,
38:42gentlemen.
38:43So you want
38:43to teach and mentor
38:45and train and
38:46tolerate people
38:47of inferior
38:48intelligence and
38:49acumen?
38:49I don't think
38:50of them that way.
38:51No.
38:57I think you might
38:58actually be good
38:59at it.
38:59I saw glimpses
39:00of it with TJ
39:01and Hannah
39:01from time to time,
39:02but it can't
39:04just be people
39:04you're fond of.
39:05Oh, I wasn't
39:06that fond of Hannah.
39:08Don't be clever,
39:09Amy.
39:11This is an inflection
39:12point, so I need
39:14you to hear me.
39:15You've been focused
39:16on what you think
39:17you need, whether
39:17it's Michael or Jake
39:18or being a good
39:19doctor or finding
39:20your memories.
39:21I got news for you.
39:22Most people are
39:23a complete mystery
39:24to themselves,
39:25even when they
39:26have all their
39:26memories.
39:33Why did you
39:34become a doctor?
39:35To help people.
39:36Of course.
39:37others, but also
39:40also to validate
39:41your sense of
39:42worth in the world.
39:43And I know how
39:45those two things
39:46can get tangled up.
39:47I just did that
39:49to myself, so
39:50no, I say this
39:50with humility.
39:51It is time for you
39:53to put your own
39:53needs to the side,
39:55to use your
39:55greatness, to pull
39:57the greatness out
39:57of others, including
39:59Sonia.
40:00I don't understand.
40:03I looked back
40:05at the hiring notes
40:07on her, and you
40:10were the one that
40:12fought for her.
40:12You said she has
40:13grit and resilience,
40:15and she got back up
40:16every time you
40:17knocked her down.
40:18Now, that's the kind
40:19of gal I want leading
40:20the next generation.
40:22Great.
40:22And apparently
40:23you did too.
40:24How am I supposed
40:25to teach her
40:26if I'm two rungs
40:27below her?
40:28You won't be,
40:28because you'll be
40:29doing it together.
40:30Co-chiefs?
40:31It'll make you better
40:33in all the ways
40:34that really matter,
40:34because the question
40:36is, what are you
40:37going to do
40:38with the rest
40:39of your life?
40:40Self-development,
40:41self-fulfillment,
40:42or service to others?
40:47But I won't
40:48push it forward
40:49unless you tell me
40:51you can see the wisdom
40:51in it, and I've
40:54got to believe you.
41:04Come here.
41:09I'm going to miss you
41:10so much.
41:21Well?
41:24We're sharing it.
41:27Didn't see that coming.
41:29Neither did I.
41:30Did you guys kiss
41:31and make up?
41:32We texted,
41:33very polite.
41:35Guess we'll just see
41:37what tomorrow brings.
41:38Well, two of my
41:40favorite people.
41:42Let's go celebrate you.
41:44We are celebrating
41:45both of us,
41:46because I am taking
41:47you dancing.
41:48Dancing?
41:49What about your cane?
41:50What cane?
41:53What cane?
41:54What cane?
41:55What cane?
41:56What cane?
41:57What cane?
41:58My goodness.
41:59Yeah, it's going to be fun.
42:00Okay.
42:07Ah.
42:09All the I's dotted
42:11and the T's are crossed.
42:13I'm really glad I gave you
42:15the farm on your deal.
42:16I played you like a fiddle.
42:17How'd Amy take her news?
42:21She saw the merits
42:22of my idea.
42:24It'll be your job
42:25to keep her honest.
42:27Yeah, how'd she feel
42:27about that?
42:28You?
42:29You she loves.
42:38There's the chair.
42:40Try it.
42:41It's still yours.
42:46I'll sit tomorrow.
42:50To whatever comes next.
42:52My lonely heart, goodbye.
42:59My lonely heart, goodbye.
43:07Goodbye.
43:39Bye-bye.
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