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00:00Dr. Larson was in a car accident.
00:02She has no recollection of the last eight years.
00:05Previously on Doc.
00:06Let me run internal medicine.
00:08Back to your roots.
00:09When you need time to work out things with Michael, I accept it.
00:11But when the shoe's on the other foot...
00:12When the shoe's on the other foot, you have a hard time telling me the truth.
00:15Delayed decisions on his care have been hurting him a long time.
00:18You don't have to tell me the system's broken.
00:21How much prednisone does it take to get you through a shift?
00:23You will flame out in weeks.
00:25It's time for you to use your greatness to pull the greatness out of others.
00:28I'm going to miss you.
00:42Sorry.
00:43This guy loves his sleep.
00:45Oh, there he is.
00:47Hey, can I have a hug?
00:50Oh my goodness.
00:51This is yummy.
00:52Ethan was sorry to miss you.
00:54He had a really early meeting.
00:55Well, Robbie's the main event, right?
00:56What fabulous holiday have they canceled school for this time?
01:00It's Lunar New Year.
01:01Oh, well.
01:04Grandma's been all over the world.
01:06You know, she can probably teach you how to say hello in 50 different languages.
01:0967, but who's counting?
01:11I should be back around 6.
01:13Thanks so much for doing this.
01:14Are you kidding?
01:15The more time I get to spend with this little man, the better.
01:17Oh, I brought you donuts.
01:19Your dad said they're your favorite.
01:20Thanks, Grandma.
01:28Jonah, you okay?
01:30I'm fine.
01:35Robbie, why don't you go upstairs?
01:37Oh my God.
01:39Grandma!
01:40Jonah?
01:40Jonah?
02:07Good morning, everyone.
02:09Good morning.
02:10This is going to be an adjustment for all of us.
02:13Dr. Ridley certainly left some big shoes to fill.
02:15And I know all these leadership changes the past year have probably been unsteadying.
02:21There are a lot of reasons why I wanted to practice medicine again.
02:26But I want to be very clear about the reason I asked to sit in that chair.
02:31The past year, as your CMO, I have seen what every person standing in this room is capable of.
02:37Dr. Miller?
02:38Time and again, you have risen to the occasion.
02:41We have a 62-year-old female in respiratory failure, complications from chronic MDS.
02:46I'm on my way down.
02:47I'm not here just to lead you.
02:50I want to join you and help you do what you already do so well.
02:54An issue, a problem, a suggestion, my door will always be open.
03:00Before we go, some congratulations are in order.
03:03In two weeks, Dr. Matra and Dr. Larson will succeed Dr. Heller as chief resident.
03:09As we welcome our new class of interns.
03:16Now, if you both could hang back for a moment with Dr. Heller, the rest of you, do good work.
03:25I'd like our co-chiefs to shadow you before you start your pediatric fellowship.
03:30You can begin with Dr. Matra this morning and then alternate days.
03:33Yeah, sounds like a plan.
03:34Great.
03:39It's quite a move.
03:40Well, it was either this or a leather jacket and a motorcycle.
03:51Joan's in the ER.
03:53Paramedics said she was extremely short of breath, likely bilateral pleural effusions.
03:58So is she hypoxic?
04:00Oxygenation's improved on the mask, but she's hypotensive.
04:03Let's push norepimab goal above 65.
04:06No, Richard, that's not going to work.
04:07I'm sorry?
04:08She's on prednisone.
04:0930 milligrams and she's tapered off.
04:10I read her chart.
04:11No, her chart's wrong.
04:12She's on way more than that.
04:16I've been using it to get through a surgery.
04:20You knew about this.
04:23How much has she been taking?
04:26Double that.
04:31Turpol to get through the X.
04:32Vivo with Javi.
04:35My natural cortisone reduction's got me shot.
04:40Okay.
04:41Lucy, 100 milligram bolus of hydrocortisone before pressers and run a complete lab workup.
04:48We're all here, if you need anything, Joan.
04:54Should I call Ethan?
04:58He's on his way.
05:00Amy, I need you to remember where I am at the Anwar.
05:05Joan, no.
05:06We're nowhere near that.
05:19Good morning, Dr. Walker.
05:20Good morning to you, Walter.
05:22How's our rocket holding up?
05:24Can't wait to launch it.
05:25You think I can still leave today?
05:27Got to examine you first.
05:28Can't let you out of here until we're sure you're all better.
05:31I really want to show the rocket to the kids at the house.
05:34I bet.
05:35Looks like that thing might actually make it to space.
05:37Do you ever launch rockets with their kids?
05:39I don't have any.
05:41Really?
05:42I thought about it when I was younger, but decided to take a different path.
05:46What do you mean?
05:47Well, being a parent's a big commitment.
05:49But that's also true for being a friend, a sister, an aunt, especially a doctor.
05:55Eventually, I figured if I gave my best to all those other things, that'd be enough for me.
06:00You're a great doctor.
06:02That she is, buddy.
06:04Sorry I'm late.
06:05How's he doing?
06:06Well, breathing's much better.
06:07Let's look at those knees.
06:12Oh.
06:13How long has your leg been moving like that?
06:15It happens all the time with my RA.
06:16Shouldn't it be now with the medication you're on?
06:18Yeah, I'll order a CT.
06:20Well, that's bad.
06:20Just need to see what's going on.
06:22We'll get it sorted out, though.
06:24Time to find your social worker.
06:26Again?
06:29Atlanta actual instability this severe will progress fast.
06:32We have to operate now.
06:33We don't have to go ahead from his proxy.
06:34Well, his C1 and C2 are compressing his spinal cord.
06:37What's everybody waiting for?
06:38The social worker said he'd sign off on whatever we decide.
06:41But he doesn't want to get in the beads.
06:43Well, that makes things tricky, because we have two surgical routes.
06:46High risk, high reward.
06:48Open the neck, expose the vertebra, place the corrective hardware directly.
06:51But you're concerned about arterial or spinal cord trauma.
06:54Not to mention stroke, infection, ventral cord damage.
06:57Plus, he's still recovering from lung inflammation.
06:59Definitely a concern.
07:00And the second option is minimally invasive fusion.
07:02Far less trauma and easier recovery.
07:04But wouldn't we be relying on CT for navigation?
07:06Which means less precision with the hardware.
07:08Yeah, it may require going back in in six months or a year.
07:11And there's a higher chance for a screw misplacement.
07:13At the C1, C2 spinal cord, that could be severe.
07:16Both have risks.
07:19It's your call, Gina.
07:28Do the minimally invasive fusion.
07:30I'll go explain to Walter.
07:37So, I've got full-blown leukemia.
07:41Is he?
07:45My belief is that the steroids artificially raised your white blood cell count,
07:50hiding the degree of marrow infiltration.
07:53And I spoke to Dr. Rose, and he agrees.
07:56Now, if this goes unchecked, your decline will be rapid.
07:59So, we'd like to start induction chemotherapy,
08:01which could buy you a few extra months.
08:04This shows a pan-psychopenic picture without any sign of leukocytosis.
08:09Yes.
08:09As I just said, the steroids are complicating things.
08:12Her leukemia has an atypical presentation.
08:14But we need to act fast before it progresses.
08:17Or her presentation is atypical because it's not leukemia.
08:21Amy.
08:21Her counts are dropping across every line.
08:24That looks like marrow failure, not marrow takeover.
08:27You're reading too much into the blast count.
08:28No, I'm looking at the facts in front of us.
08:32She doesn't show cancer on the peripheral smear.
08:34If this is pan-psychopenia, we could give platelets and plasma to raise her levels.
08:38Blast proliferation and dysplasia are textbook signs of leukemia.
08:43And delaying treatment because of wishful thinking will cost you significant time.
08:48Or, if he's wrong, the chemo will damage all your organs.
08:52I believe this is Joan's decision.
08:59Start the chemo.
09:03I'll put the orders in.
09:10You're brilliant, Amy, and I know you don't want this to be true, but I can't.
09:17I can't lose any more time with my family.
09:23Yeah.
09:34Mom, any soreness in the incision?
09:36Oh, it was routine surgery.
09:37I'm fine.
09:39Where's John?
09:41He's here.
09:42Having a smoke.
09:43Surprised you didn't go with him.
09:45Believe me, if I thought I could get away with it.
09:48Not on my watch.
09:49Oh, I know.
09:50Dr. Larson.
09:52Not yet.
09:53Mom.
09:53Speaking of which, you should get back to Minneapolis.
09:56No, it's fine.
09:56But Dr. Ridley is away for a couple weeks, so I finally get a little bit of breathing room.
10:01Who's that?
10:01I've mentioned her, like, six times.
10:04Genius surgeon.
10:05Doctors without borders.
10:07Utterly terrifying.
10:08Oh, right.
10:09Her.
10:10Everyone wants her to be their mentor, but she travels around so much, I don't think she ever slows down
10:15enough to do that.
10:16What do you even need a mentor for?
10:17You want something, you get it.
10:19I've always been that way.
10:20Barely even needed to push you.
10:22Well, there were times I could have used some pushing.
10:28Amy.
10:29Hey.
10:30Hi.
10:31I got air spous as I could.
10:33She's stable now.
10:35Ooh.
10:36She's pretty drowsy from the chemo meds.
10:38Right.
10:40Okay.
10:43Amy.
10:45Joan's coag panels came back?
10:47Mm-hmm.
10:48She has DIC.
10:50If we pushed platelets like you wanted, the runaway cloning could have caused a massive stroke.
10:56I know how hard this is for you, but you're going to have to let me do my job.
11:06Ethan.
11:07And Dr. Miller.
11:08Hey.
11:09It's good to meet you.
11:15so rounds are done what's next uh well your partner in crimes sitting vigil for a friend
11:21in the icu you checked in on her i didn't want to invade her space it's always better to extend
11:26yourself trust me she's gonna let you know if it's unwanted i'm sure she will so as chief
11:32president you gotta be able to work with anyone is there anybody else anything you gotta get ahead
11:36of i don't know if you ever noticed but liz kind of had a thing for tj yeah she wasn't
11:41exactly
11:41subtle about it why what's the problem so you and tj wow okay um i guess i missed that how
11:52long
11:52has that been going on not very and you of all people don't get to judge i'm just not sure
11:57how
11:57everyone else will react well listen i mean you can't control how people feel about you okay all
12:02you can do is show everyone that you're going to be there for them when things get tough
12:08uh dr hamda do you have a minute of course yeah come in have a seat
12:16um i know i should have said something sooner i think i was just too afraid that no one was
12:22going to take me seriously it's okay liz what is it dr miller what he did to me everyone's just
12:32pretending like nothing happened but it was an abuse of power
12:38i appreciate your honesty and i understand how you feel not how i feel it's what happened
12:48nobody condones what dr miller did but an agreement was reached what agreement i'm afraid i can't
12:54discuss it so you won't tell me what happened
12:59it was a confidential settlement i'm sorry liz
13:05i guess this just proves why i never should have bothered coming forward in the first place
13:17ct confirms location we're clear of the vertebral artery advancing cannula into position
13:28hey babe okay so i nearly had to sell my body for it but spoon and stable finally called me
13:35back
13:36they had a cancellation i told them it was our anniversary and they said they could squeeze us
13:40in six can you make that work oh looks like i'm gonna have to no way we're missing out on
13:45those
13:46oysters though there's a chance i may need to swing back here oh no is it that boy you told
13:52me about
13:53found a pretty serious issue with his spine he's in surgery now oh honey that's terrible are the social
13:59workers being helpful not really i had to make the decision myself about what surgery he should have
14:04okay okay i know it's not my lane and i love you for being a person who cares this much
14:10but the last time you got this invested in a case he has no one wendy i have no choice
14:19oh she told me about the prednisone said i landed her here a lot sooner than she would have
14:23otherwise yeah she is strong-willed that's what we love about her she probably felt like she had no
14:32choice you know i uh after i told her i didn't want to see her what else did she have
14:38besides work
14:39and how robbie may never even get to know her she knew that making things right with you was on
14:45her
14:46not you all you can do now is be there for each other
15:16what did you do
15:20she was fine she was just fine an hour ago what did you do it's not their fault she had
15:26a heart
15:26attack nobody could have seen this coming
15:35amy uh how's joan doing oh she's still stable for now on chemo
15:43i'm sure this must be hard for you if there's anything i can do something's escalating in there
15:50your temperature's dropping yeah core temp can drop after starting chemotherapy it's normal
15:56but it can also be a sign of sepsis no all of her cultures were negative
16:02is that true yes of course that's true and you should know that dr larson recommended a course of
16:09treatment earlier that could have been catastrophic for your mother so i don't think
16:13that it is a good idea for friends to treat each other
16:20i admire your mom but i can be objective and that's what she needs
16:27he's right
16:29i'm sorry then
16:39hey hey do you have any of joe ridley's blood leftover yeah we should have some extra can you
16:44run a beta d glucan her cultures came back negative what are you looking for i want to rule out
16:49an
16:49invasive fungal infection something in the endothelial tissue you got it and uh when you're
16:55done could you get me the results directly says dr miller's a sign he is
17:03i need this karen please sure
17:10hey how's it going hey i'm at the school apparently nia got into a fight
17:17let me guess with logan i haven't had a chance to talk to her about it but figured we should
17:21do it
17:21together can i bring her by the hospital shouldn't take too long yeah yeah of course um yeah i'm here
17:33she killed herself gina all those times i begged her to quit smoking her blood pressure was
17:40through the roof it was only a matter of time you can't keep fixating on what could have gone
17:44differently okay all you can do now is start to process your pain what makes you think i haven't
17:50it's been a week and a half still haven't cried crying won't fix anything i'm not saying force it
17:57okay but just let yourself feel this is only going to get worse once you're an actual shrink
18:03isn't it that's neuropsychiatrist thank you very much i just need to focus on school
18:10and maybe that hot bartender from stanton i'm serious amy you're in grief and you're mad at your mom
18:18you can't just push all that away why not because when it comes to feelings the piper has to get
18:23paid one way or another
18:35hey just checking on you jones bp and o2 sets are improving chemo must be having an effect
18:40so i guess richard was right about the leukemia at least we have a diagnosis where are you
18:46um i'm in radiology with another patient i'll be back soon okay
18:54we won't be mad honey we just want you to tell us what happened look in those silly markers at
19:00me
19:01i thought we said when he did stuff like that you would tell the teacher it did but it didn't
19:06stop
19:06so i took my chocolate pudding and i jumped it on his head
19:14um so what happened you told the teacher and they didn't do anything about it they had him sit in
19:19the big chair what's the big chair it's a big comfy chair in the corner where you sit and think
19:25about what you did so like a time out okay but uh last week when you won the spelling bee
19:32you said
19:32you got to sit in a big comfy chair yeah you sit in it if you do something good but
19:37then sometimes
19:38you sit in it if you do something bad
19:43i want her out of that school rich okay there's the public school there's the hebrew school we
19:48toured i don't care which one i just think that she needs to be somewhere with more boundaries and
19:52grit and fewer participation trophies and big chairs okay okay what okay you're right
19:59i'm wrong let's move her but hold on did you just tell me i was right about something
20:06and if you play your cards right might even happen again
20:13i'll take her home yeah yeah
20:25are you all right
20:33i'm just realizing how little power i have here
20:41what happened
20:44there's nothing to be done about it sonia
20:47no no i'm gonna be chief resident which means i can advocate
21:01and this is unprofessional we're never going to test for this richard and it's positive
21:06you were not going to listen to me well that was my call make you you want to tell me
21:09what's going
21:10on here she ran a test behind my back that is hardly the headline here joan has a candida organ
21:15infection which he wouldn't have caught i'm assuming you're interested in treating this even though i was
21:21the one who found it all right all right that's enough clearly the chemo lowered her immune response
21:25decrease the dosage for now and treat the infection but we are still on the right path here
21:33you know i might be more inclined to hear you
21:36if you weren't so concerned with putting me in my place
21:42he was never going to order the panel out of spite if you needed backup which is it michael
21:48i'm supposed to come to you because you want to help or i'm not supposed to come to you because
21:53i put you in a tough position because i've heard it both ways i am chief now of your department
21:58that's a lot different than running two floors up to talk to the cmo
22:01by the way you lied told me you were in radiology on our first day working together
22:10you're right i'm sorry
22:13i'm i'm uh every time i look at joan in that bed all i see is
22:21your mom
22:22i wish you'd been there for that
22:28i'm here now
22:31i know
22:32try to hold on to that
22:39i think he's waking up
22:40walter can you hear me
22:42it hurts please it hurts
22:44blood pressure spiking
22:45walter try to breathe
22:46my neck it hurts so bad
22:48two milligrams IV morphine stats
22:49where in the neck
22:50why can't i move my hands
22:52what's happening
22:53it's okay walter that can sometimes happen with swelling
22:57he lost his babinski
23:00so the spinal cord's not sending a signal
23:02costa's running a ct to confirm
23:03but it seems the cord swelling is causing compression
23:06he's on morphine for the pain but he's got serious neurological deficits
23:09no movement below the neck
23:11the sooner we can get back in and operate the better
23:13but his lungs are still inflamed from the ra
23:15he may not be able to take another round of anesthesia
23:17dr costa's booked an offer first thing in the morning
23:20anything longer than that then he could have serious neurological issues permanently
23:23we should have been more aggressive
23:24we can't monday morning quarterback
23:26the surgeon gave you two choices
23:28and i picked the safer one because i was worried walter doesn't have the long-term support
23:31to go for what was really needed
23:33it was a coin toss gina
23:34no it wasn't
23:35you wanted to go for the other option
23:36but costa waffled
23:37it should not have been up to you
23:39no it shouldn't have been
23:40so let me take this off your plate now
23:42tell costa i want walter in reverse trendelenburg during the operation
23:46and to use lung protective ventilation with low tidal volume
23:52he may never walk again michael
23:58induction chemo did a number on me
24:02well you're almost through the first dose
24:04but we found an invasive fungal infection
24:06presumptive candida
24:07we're treating it with antifungals
24:10candida
24:11must have seeded in my liver
24:13no well not the liver
24:15it's likely diffuse endothelial
24:18given the high beta-d-glucan level
24:20did you finish your homework
24:23is your father
24:24is your father home yet
24:25mom
24:26joan look at me
24:27hey what's wrong with her
24:28ethan step back
24:31what's happening
24:32she sees him
24:33oxygen to 10 meters
24:35alternative status
24:37it's got to be neurological
24:38increased icp
24:39her brain is swelling
24:40if she had leukemia
24:41this wouldn't be happening
24:42not this fast
24:43you're right
24:44we're missing something
24:50look i know
24:51whatever decisions were made about bringing dr miller back are way above my pay grade but
24:56we can't just ask liz to forget what happened because it'll make life easier for everyone else
25:00i'm going to talk to richard once joan is stabilized i'm sure he'll be willing to apologize to liz
25:06his apology is going to be hollow and meaningless
25:09and you should know when dr miller was chief he tried to use me to find out mistakes amy was
25:15making
25:16look i'm sorry you ended up in the middle of that but um i know the board they'd rather find
25:23a way to get rid of liz than reopen this can of worms
25:25well they can try but if liz starts talking they're going to get blowback from the nurses and potentially the
25:31union
25:31is uh is that a threat
25:33it's a reality
25:35i'm just trying to do the right thing for her and protect the department which is part of my job
25:40now
25:41she bears responsibility for her own decisions sonia as you said she has a very strong union she could
25:46have gone to when all this happened i think maybe you're expecting too much or not understanding the
25:51dynamic between an older man with power and a young woman at the start of her career it's blaming the
25:57victim and i don't think it'll be appreciated i do hear you well good
26:03because you started the day by saying your door was open but now it seems like you're closing it on
26:09liz
26:16the mds is late stage but it's obscured by high steroid usage pancytopenia pleural effusions
26:23dic elevated beta-d-glucan and now cerebral edema and and she's getting worse hey just checked in on john
26:31how you holding up i've been going toe to toe with richard all day and now we're running out of
26:37time who's this um he's a doctor in madrid who has a a case study that might be relevant and
26:43this
26:43translation app keeps glitching um i mean i i minored in spanish we can see how rusty i am okay
26:52hello doctor este a ver si les puede echar la mano y traducir ah sà gracias estaba tratando de
26:58entender a su colega su paciente padece leucemia no no todavÃa no eso parecÃa pero solo tenÃa un edema
27:08cerebral entonces pues hay algo que no nos cuadra el caso que tratamos era un poco diferente de lo que
27:14ella explica pero la clave pues sarcoidosis latente todo lo demás eran pistas falsas entonces no sabÃan
27:21qué buscar exacto ese factor lo cambió todo gracias um so what he's saying is that the symptoms were
27:28similar but his patient had dormant sarcoidosis so that was complicating the clinical picture but once
27:33they found that everything else just fell into place so a patient with mds like john presented with
27:38these symptoms because of a different chronic issue and it went undetected for years okay okay
27:45thanks just remember you got to find a way to work with richard on this
27:52your spinal tap came back negative and a full neuropanel tube well her procalcitonin is low even
27:58though she just had an infection i need total protein c-reactive protein and complement levels how fast can you
28:04do that 20 minutes and if the results could go to me since i'm her doctor that'd be appreciated
28:12we've got a high complement protein level and the prednisone must have dropped her immune
28:17surveillance which means that we're looking for something that's been there possibly for years
28:21like you said but that's been hiding in plain sight when john woke up and i told her about the
28:26candidate she asked if it's seated in her liver well that wouldn't be uncommon but the beta d
28:31glucan is so high that the fungal load would be too large to be isolated to her liver okay we've
28:36been assuming that the elevated liver enzymes are caused by the mds and the prednisone but look at
28:42her blood work going back to 2016. higher range of normal but low enough that nobody would flag it 2016.
28:52that's a long time for her to be carrying something
28:55wait a minute one of my last memories of her 2016 she was in ecuador and she got sick and
29:02i told her
29:03that she should come back and she self-diagnosed she thought it was dysentery which means that she was
29:10drinking unfiltered water so if it was a parasite she could have been sick while she was digesting it
29:16but by the time it migrated to her liver she was fine and she could have been fighting this quietly
29:21for
29:21years and then the prednisone weakened her immune system and unleashed it on her
29:28i think we have a path now
29:34he's losing sympathetic tone surgery's set for 6am can we up the steroids i'm too worried about his
29:40blood pressure i think we just have to stay the course and hope that he's strong enough to hold on
29:46i appreciate what you said before trying to let me off the hook
29:51you religious at all from time to time depending on how i'm feeling about the world
29:58i remember going to this sermon once the minister was talking about how it can be a form of hubris
30:04to
30:04think that we can control things that are out of our control
30:10because that's somebody else's domain doesn't mean it's easy to accept it but i think that's the idea yeah
30:17i'll take that under advisement dr coleman good
30:25your wife's here
30:30oh it's my anniversary and i forgot you go i am all over this hourly exams i will not go
30:36home
30:42i've been downstairs 15 minutes tried calling you i'm sorry there were problems with walter's
30:48surgery he needs another one tomorrow why don't we have dinner in your office tonight
30:53in that way if anything happens you're close what did i do to deserve you i don't know
31:00i'm sure you'll find a way to make it up to me i'm thinking 400 milligrams i'll bend us all
31:08i'd go 300 given the alt ast and 20 of amphobee to balance it out and 100 milligrams
31:16simididine to cut the renal toxicity it's a tight rope any idea where liz is let's see
31:24code blue i see you code blue i see you joe's coding code blue i see you code blue i
31:33see you
31:34no pulse he's in v-fib push one milligram epi get the defibrillator
31:50ready clear
31:57restarting compressions
32:06danny danny someone call 9-1-1
32:11charge to 50 clear
32:20pushing another milligram of epi
32:29fine v-fib we're losing him going up to 100 give me the paddles
32:38ready
32:39clear
32:50looks like sinus we have a pulse he's back
32:54okay page dr costa we can't wait on the surgery
33:20core is decompressed screws are seated let's secure the rods
33:26hey
33:31that must have been really difficult for you
33:35yeah
33:37and the hell of a first day for michael
33:40oh i hit pretty close to home
33:44how's it going
33:45how's it going in there
33:45hardware is almost in place but
33:49even if it works no one's ever going to adopt him not when he needs this kind of support
33:58you're not thinking of doing something drastic
34:03you're not thinking of doing something drastic
34:24go be with joan
34:30but you're not thinking of doing something that's going to happen
34:31but you've got to quit smoking you know that's never going to happen honey
34:38i don't know how much more we can pump into her before she starts shutting down
34:43her body's so fragile
34:48chemo didn't help with that
34:51she was only on it for eight hours
34:55the parasite is causing this that and the prednisone it's not on you richard
35:05so
35:14so
35:37Hey, it's okay, buddy.
35:51Can I see?
35:56Oh, she's gonna love this.
36:01Is she gonna wake up soon?
36:03I really hope so.
36:21Hello?
36:22Hi, Amy.
36:23It's Dr. Ridley.
36:25Oh.
36:27Hi.
36:28I hope it's not 2 a.m. there.
36:29I stopped tracking time zone differences ages ago.
36:32Now it's noon.
36:33Is there a problem?
36:35I spoke with Dr. Kelly this morning.
36:36He told me about your mother.
36:39I'm just so sorry, Amy.
36:42Thank you, Dr. Ridley.
36:45I respect your tenacity already being back in the hospital, but I just wanted to make sure that you're taking
36:49care of yourself.
36:51I think so.
36:56It's been hard, obviously.
37:00Your world shifted on its axis, but you will come out the other side.
37:04I just didn't even think you liked me.
37:09Well, that's by design, my dear.
37:11And now you know the truth.
37:14Not only do I like you, I believe in you.
37:21So much.
37:22I...
37:22I know how bad this hurts right now.
37:24But the best way you can honor your mother is to live a life with purpose.
37:28You have greatness in you, Amy.
37:31And I'll be there to help you find it.
37:44Joan.
37:47Hey.
37:48Can you hear me?
37:50Can you get her son?
37:51He just went to get coffee.
37:54Hey.
37:55It's okay.
37:58Just go slow.
37:59Just breathe.
38:02What happened?
38:03You had cerebral edema.
38:07It's not leukemia.
38:10Not yet.
38:11You had a parasite in your liver from Ecuador.
38:15Do you remember that?
38:17You thought it was dysentery?
38:19Oh, my God.
38:22Is that the one time in my life I misdiagnosed?
38:33You haven't looked after yourself for a long time.
38:38I know.
38:40Promise me that stops now.
38:42Ah.
38:43Mom.
38:44Hey.
38:48Thanks so much, Amy.
38:52I'll order CBC and liver function tests.
38:58The fact that she's conscious.
39:00Yeah.
39:01We got her some more time.
39:04I appreciate you finding a way to trust me today.
39:08Yeah, it worked out today.
39:11But I'm never gonna trust you, Richard.
39:21Hey, Walter.
39:23Welcome back.
39:24Did you fix my spine?
39:26We'll need to run some tests over the next few days, but...
39:30Seems that way.
39:31And I'll be able to walk again?
39:32Well, it's gonna be a long recovery.
39:34Lots of physical therapy as your body adjusts to the hardware in your spine.
39:38But, yes, you will.
39:44And I'll have to miss the next adoption, Farrah?
39:48There'll be lots more.
39:50I promise.
39:51Thank you, Dr. Walker.
39:53Nobody ever killed the way you do.
39:59I am so sorry.
40:02It's okay.
40:03We'll do a rain check.
40:12Sometimes I wonder how you manage to leave it all here when you come home.
40:18It can be really hard.
40:21Yeah.
40:32Let's go get a drink, huh?
40:35Yeah.
40:45Hey.
40:46So, I spoke to Liz, told her if she wants to come forward to HR, we would both have her
40:52back.
40:54Oh, and I'm sorry if I was too...
40:56Sonia.
40:57Speaking truth to power takes courage.
41:00I should be thanking you.
41:03Sorry.
41:03I didn't mean to interrupt.
41:05Oh, no.
41:05I was just leaving.
41:07Actually, I was hoping to speak to you.
41:12I just wanted to thank you for checking in earlier.
41:15John's improving.
41:16I heard.
41:17That's great news.
41:20So, are we gonna do this thing together?
41:22Well, it's what she wants.
41:25She tends to get what she wants.
41:26Yeah.
41:32I saw Joan.
41:34She's spunky as ever.
41:36Can't keep that lady down.
41:39Amen to that.
41:41Good night, Jake.
41:43Hey, good night, man.
41:51Hey, did you know about her and Sonia?
41:53What about them?
41:56No.
41:57Yeah.
41:57No.
41:59I guess we set a good example.
42:07They heard your family was here today.
42:09Yeah.
42:10Um, Mia, she got in trouble at school.
42:13It was, I don't know, I don't know, it was ridiculous.
42:17Maybe you can tell me all about it on the way home.
42:22Yeah.
42:22What's your thing, Chief?
42:23I can do that.
42:26It's co-chief.
42:27Co-chief.
42:28I'm sorry.
42:29That's just so awkward to say.
42:30No.
42:31No.
42:32Tell me about it.
42:33Co-chief.
42:34Let's go on a walk.
42:36How have you been?
42:38Did that fancy college art school let you in?
42:44Well, damn it, they'd be crazy if they never saw in you.
42:50What I failed to see at 17, I must have missed it too.
42:55Oh, kiss me, kiss me slowly, like you did when we were young.
43:06And hold me, like you know me, like the old days take me home.
43:17Oh, kiss me, kiss me yeah.
43:21Oh, wings, kiss me.
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