- 17 hours ago
Doc - Season 2 (2025) - Episode 17: Good Hands
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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.
11:10We've.
11:20clas?
11:30Be she's rising.
11:34That was amazing.
11:36Piece of cake.
11:37Piece of cake.
12:00Yeah, we're here with Amy now.
12:02She's checking his lungs.
12:03Stop, stop.
12:04I can't hear anything you're saying.
12:06I said you have to find someone with a better seat.
12:09Mom?
12:10Mom?
12:16So, the albuterol is working, but his oxygen is still low.
12:21If it drops any more...
12:23Don't tell me you have to intubate.
12:24Oh, my God.
12:25No, we're not there yet.
12:26Let'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 defend her, Amy.
12:47Alright, please.
13:07John?
13:08Yeah?
13:09You okay?
13:10I'm fine.
13:13I 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.
13:32And can you have Dr. Park give me a call on labs?
13:35Come back on the 6-12.
13:36Okay.
13:37Thanks.
13:38Thanks.
13:39Thanks.
14:08All handled?
14:09Yeah.
14:10Nick, I think they can survive without me.
14:12Apparently, I can't.
14:13Hey, it's fine.
14:15Okay?
14:16I'm not going anywhere until the labs come back.
14:19What is this?
14:20This is the Mia treatment.
14:22And you thought this would distract me from my impending doom?
14:24I've seen you around a Sunday.
14:33I want primary custody for as long as I'm breastfeeding.
14:36Absolutely.
14:37I'll take regular visitation rights for the first year.
14:40And after this first period, we'll transition to the 50-50 custody?
14:46Yes.
14:46Agreed.
14:47Now on to assets.
14:49First, the family home.
14:51It's in Michael's name.
14:52I'm prepared to sell it and give Nora half the proceeds.
14:55I can't let you do that, Michael.
14:57Why not?
14:57I know what it means to you.
14:59And what about Katie?
15:00She's fine with it.
15:01She's off to college soon, and I think it's the least I can-
15:04Oh, God.
15:05Don't you dare be kind to me right now.
15:09What else would I-
15:13I need to hate you, Michael, and you need to let me.
15:22Hey.
15:22Hey.
15:23How's our patient?
15:24Well, strong vitals.
15:26No sign of infection.
15:27Emptied his drains.
15:29Hung post-op antibiotics.
15:31Wow.
15:31Could've put our nurses out of business.
15:34I can handle post-op if you just want to sit with him.
15:39That's a hell of a bedside manner you've got there.
15:42Yeah.
15:44You all right?
15:45Amy.
15:47Hey.
15:49I'm good.
15:51I-
15:52I have another patient I should check on.
15:55But Hari needs post-op lights and hourly labs.
15:59I'll take care of it.
16:05We talked about this.
16:07I don't want you back in that chair until we have-
16:09I know.
16:09Until I've had two months of normal EEGs.
16:12I know.
16:13But I've had four clean studies and I need this memory now.
16:17Look, I know you're going for chief resident and recovering your medical knowledge is important.
16:20No, it's not that.
16:21When my brain does this, it's because it's trying to tell me something.
16:26My friend needs help and this memory may be the only way that I can help her.
16:32Any headaches or nosebleeds and I'm pulling the plug?
16:35Of course.
16:37I want to be clear that the treatment protocol that I'm proposing will be risky and painful.
16:42Pain is irrelevant.
16:43Will it work?
16:43I found one successful case.
16:45But as your team will tell you, cancer involves many mutations.
16:48The treatment has to be as unique as a disease.
16:51That is where CAR-T comes in.
16:53We take your own T cells and re-engineer them to target the specific markers of your illness.
16:58Which antigen will you use?
16:59His cancer cells exhibit a large number of DLL3 surface proteins.
17:03And which viral vector for delivery?
17:05The case I'm referencing used a lentivirus model.
17:08The case he's referencing was so much less aggressive, it shouldn't even be considered a comp.
17:12Mr. Voight's immuno response will almost certainly be catastrophic.
17:16There's a very good chance this treatment will kill you.
17:19By tomorrow.
17:20Or it could add years to his life.
17:22Team, some feedback would be nice.
17:25Give us a moment, please.
17:27I thought you were getting on the same page.
17:28So did I.
17:31Okay. The only other option we can see here is Ludo's team in Zurich.
17:35They have a vaccine model that's had some limited success in mice.
17:39Limited? And only with mice? No. That's out. What else?
17:42I'm sorry, but there's nothing we can stand behind.
17:44So Dr. Coleman's idea is the best option?
17:47It would be, yes.
17:48Elise?
17:49With more time, we could dig deeper, but...
17:52Big things don't happen overnight in the cancer game.
17:55Okay, so...
17:56We have no choice.
17:58Okay then, let's get the ball rolling with whatever we need to do next.
18:02I'm sorry, but clearly these people on your payroll don't know how to say no to you.
18:07Dr. Miller...
18:08If you were anyone else, this hospital wouldn't even be considering this course of treatment.
18:12Mr. Voigt has an appetite for risk.
18:14An appetite for 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.
18:31Right, Dr. Coleman?
18:34Well, I sincerely hope this works.
18:37But respectfully, I won't be a part of it.
18:53I, uh...
18:54I didn't mean what I said before.
18:57I mean...
19:00I don't want to hate you.
19:01I wouldn't blame you if you did.
19:06I hope that selling the house will be a fresh start for you.
19:12I 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.
19:39Okay, let it rip.
19:52So there's a good chance it'll turn into leukemia.
20:00What is it, Amy?
20:01I have to go.
20:08You can't perform surgery anymore.
20:18Place a vast cath. Prepping for temporary human dialysis.
20:21What happened?
20:22BP spike.
20:24Acute renal failure.
20:26But that makes no sense.
20:27Addison should prevent BP spikes.
20:29And his renal function was normal pre-op.
20:32Well, clearly we're missing something.
20:34Blood 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.
20:40Where were you?
20:43I was in TMS.
20:45I love your sense of timing.
20:47I remembered.
20:49You were diagnosed months ago, and the disease certainly wasn't indolent.
20:53So you're off chasing unreliable memories while our patient's life hangs in the balance?
20:57You're gonna look me in the eye and tell me that was a false memory?
21:00It was a bad day. I was emotional, and I'm fine now.
21:04You took this job knowing that you couldn't handle it.
21:08I am handling it.
21:09Really? Where did you get this bruise?
21:11And what about the edema in your wrist?
21:13How much prednisone does it take to get you through a shift?
21:16You know what? Dr. Matra and I will take it from here.
21:22I would never do anything to jeopardize a patient.
21:25And I don't need you to tell me that.
21:51Let me ask you something.
21:53When you went up against Dr. Miller, was that for my sake, or were you just pandering to your CEO?
21:59Come on. Don't pretend you don't have a lot riding on this, too.
22:03I don't do anything I don't believe in.
22:05Man of conviction. I guess I'm not surprised.
22:08Four years in Afghanistan. Took a bullet during that hostage crisis.
22:12Okay, you guys gotta ease up on the background checks. It's getting weird.
22:16Honest, too.
22:17Look. This idea is out of the box.
22:21But you push boundaries for a living.
22:23Controversial, but necessary to a society.
22:28I've just...
22:31I've never been in the lab rat before.
22:33Yeah.
22:50Dr. Ridley, he has tuberculosis.
22:54I saw some non-specific areas lighting up on CT, figured they were artifact.
22:58But his sed rate was up, so I ordered an ultrasound with Doppler.
23:03And found a cavitus lesion in his hepatic artery.
23:06Add that to his chronic inflammation, milky drain fluid, travel exposure.
23:11Extrapulmonary TB explains it all.
23:13Even the Addison's. He must have a lesion on his adrenal gland.
23:16And who knows where else?
23:17We need a full body MRI with contrast and surgery to remove infection.
23:22Good. I'll take him to radiology.
23:25You can grab a few protein bars, Dr. Maitre. We're going back in.
23:32Feeling okay?
23:34I feel like crap.
23:36I guess that's what we want, all right?
23:39It means it's working.
23:41Yeah. Well, your BP's a little low. I'm going to start your oppressors.
23:46Mr. Voight?
23:47Mr. Voight?
23:49Two milligrams IV lorazepam.
23:51Stat.
23:52When did you inject the CAR T-cells?
23:53An hour ago.
23:55It's a cytokine storm.
23:56It's a cytokine storm.
23:56But I premedicated with Minotril and Methopeniculum.
23:58Well, it wasn't enough!
24:22You can't help them if you can't stand.
24:24Ridley, eat.
24:32can we talk about the real reason you won't slow down have you had terry's moambe
24:36your 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
24:56be the doting wife and mother and have 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
25:17well it makes two of us
25:26hello it's me albuterol and high full oxygen are keeping his numbers in the 80s
25:32so no no need to intubate no he's stabilized but they've got an intense recovery ahead of them
25:38if you could come home i would
25:44i'm trying to do my job
25:46at what cost joe 60 milligrams at that rate you will flame out in weeks
25:51that's my choice
25:52does javi know what you're doing
25:54i'm not killing myself amy
25:56i am trying to make the most of the time i have left
25:59and he would respect that
26:01well what does ethan think
26:03i don't know
26:06he doesn't know
26:07he doesn't return my calls
26:08what
26:09how long have things been like that
26:11you know what i think you've dredged up enough bad memories for one day
26:14and if you'll excuse me i have a patient who needs me
26:20what do we got
26:22granulomas in the liver kidney adrenals bowel
26:31they're everywhere
26:32tell the on-call surgeons to drop what they're doing and meet us in the o.r
26:36we're gonna need all the hands we can get
26:38i commend you my dear brother to almighty god
26:42and entrust you to your creator may you return to him who made you from the dust of the earth
26:49may holy mary the angels and all the saints come to greet you
26:53i am so sorry mrs voight
26:56hey christ he was crucified
26:58i never should have let him go through with this
27:03excuse me
27:17you care to explain how this went so wrong
27:21we tried car t
27:23i read the report i know what was attempted i'm wondering how that was allowed to happen
27:26you'd have to ask the ceo about that
27:29he was pushing medical decisions
27:31we could have used you here
27:36so what are you proposing now
27:37i'm thinking il-6 blockers
27:40the covid treatment
27:42car t triggers a similar inflammatory cascade
27:45and i don't think that the standard protocol will get the inflammation under control
27:50he's been right all along
27:54we should follow his lead
28:00your patient your call
28:04okay okay okay
28:06our thailand trip you got boot off the karaoke stage
28:08bohemian rhapsody
28:09yes and for the record it wasn't my performance that people hated it was just that that song is too
28:17long
28:30okay
28:30day in
28:33i can't like you do it
28:45it's negative
28:47i don't have cancer
28:49don't have cancer
29:04saddle up everyone
29:05for the next 11 hours we're doing an ex vivo
29:10that's right
29:11the thing you learned about in med school but never thought you'd actually do
29:14we're removing every damaged organ repairing it
29:17and then putting it back where we found it
29:21we'll run two full operating fields side by side
29:24my team will be the one removing organs and keeping javi alive
29:27that means controlling bleeding managing perfusion oxygenating his heart and brain
29:33team two is on ex vivo work when we pass off an organ you strip the granulomas and adhesions
29:41repair what you can then it comes straight back to us in working order
29:46precision is everything we lose focus we lose an organ we lose an organ we lose the man
29:56no mistakes
29:57no mistakes let's go
29:59god i cannot believe i'm seeing this
30:02god i brought nourishments
30:03all right i brought nourishments
30:03yeah great thank you
30:05thanks
30:07did she just do a rapid artery reconstruct on the fly
30:11yeah it's unreal she's a freaking rock star she's something that's for sure
30:17you 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
30:27i can't believe what she's doing to herself
30:30i know that you don't want to go behind her back but i don't think she's really leaving as many
30:33options here
30:35just 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 in
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 and why
32:21is it
32:21you feel a greater sense of responsibility to a group of strangers than your own family
32:26robbie was fine he didn't need no i needed you
32:31you know for once i actually let myself believe that you'd be here
32:35i was on my way and and what then we got the call fighting broke out in sake we were
32:40inundated
32:42it's always something mom
32:47and what would you have me do let those people die so i can come and hold your hand
32:52no you're right no you had to do what you thought was right and now i have to do the
32:56same so
32:57you know what i'm i'm done what does that mean you're done that means i'm just i'm done you know
33:03at some point i 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
33:42it 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
34:17that was a career making surgery you begged me i'm gonna live forever in these halls
34:24so um when can i get back out there well in the last 12 hours most of your organs have
34:32been outside
34:33your body so maybe you want to give it a few weeks hey we go where we're needed right
34:44i don't know
35:02hi stranger
35:04the ginger?
35:07No.
35:26Unfortunately, the car T hit you harder than your cancer.
35:30We've retested your blood, and your small cell tumor markers only dropped 3%.
35:35Meaning it didn't make a dent.
35:38Right.
35:40Well then, what's next?
35:43We're back where we started.
35:46Chemo and molecular therapy.
35:48So you're right. My yes-men almost killed me for nothing.
35:53I'm just glad you're still here.
35:55I'll be dead by the end of the year.
35:57I'm sorry, but there's plenty you can do with the time you have left.
36:01No, I won't slowly degenerate. If you can't cure me, I will wait.
36:06Xander, no.
36:07What better time to do it than now?
36:08I'm sorry, what are we talking about?
36:10There's a Swiss cryogenics company that will freeze me until further notice.
36:13When there's a cure for this in 10, 20, 30 years, I'll be first in line.
36:17If they find a way to reverse the freezing process.
36:21We can do it with embryos.
36:23It's only a matter of time, and I won't exactly be in a rush.
36:35She 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.
36:45On what grounds?
36:46He's not depressed or pathological. He's got a God complex.
36:51And I flew too close to the sun.
36:54CEO's watching. You got a billionaire setting you up to be a hero. You got carried away.
36:59You're right. Sorry.
37:03I know you think I don't have a leg to stand on here, but what happened with Mr. Voight was
37:08unethical.
37:09And there isn't always going to be someone more senior around to push back.
37:12You're not a rookie anymore, T.J. Time to start acting like it.
37:25Hey.
37:27Oh, hey.
37:31So, I need to tell you where it was yesterday.
37:35Okay.
37:37Rachel had a mammogram, and they found a mass.
37:40Oh, no. Is she okay?
37:42Yeah, yeah. She's fine now. The biopsy results finally came back negative.
37:46But the past week has been kind of tough, so I just wanted to be there for her.
37:51So, that's why you left early?
37:54Yeah, yeah. She was spiraling.
37:57And that patient you were with in radiology last week, when you didn't want to talk to her, that was
38:04her?
38:05She asked me not to tell anyone.
38:10When I see the look on your face, clearly I went about this all wrong.
38:14No, you were in a tough spot. I'm just glad she's okay.
38:19Yeah?
38:20Yeah.
38:21Yeah.
38:25Yeah.
38:28Okay.
38:31It was pretty sneaky, you calling Ethan.
38:36Dare I ask how it went?
38:39Well, uh, we have a lot to clean up, but he's here, so thank you.
38:49There's one thing this year has taught me. It's that family finds a way to forgive.
38:56Let's hope.
38:59He certainly thinks I have a lot to answer for.
39:06We need to figure out what you're going to do, Joan.
39:10Oh, I know what I'm going to do.
39:14I didn't think it could get any worse than being schooled by Richard Miller and knowing he was right.
39:20Try this.
39:21I spent all of last week trying to sideline Dr. Ridley, and the second she asked me to scrub in
39:26for 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?
39:44Dinner?
39:47That Italian place on the corner?
39:49Or we could just go to mine.
39:51For dinner?
39:53That too.
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?
40:22Uh, no, no idea, but I guess we're about to find out.
40:36Wow.
40:37That was fast.
40:39Am I that scary?
40:40Yes!
40:44This is 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.
41:03And it turns out it was warranted.
41:08I have MDS.
41:09It's advanced.
41:11And it's time for me to accept that...
41:15It's not something I can outrun.
41:20So...
41:23Last night...
41:25Will be my final surgery.
41:29And next week will be my last as your chief.
41:37I've spoken to Dr. Hamda, and he has agreed to facilitate a smooth transition.
41:43And never fear.
41:45You will all receive your long-awaited evaluations before I go.
41:50I like to think that I still have some wisdom to impart on the next generation.
42:02Even you, Peter.
42:07So, um...
42:08As my friend reminded me today...
42:11Uh...
42:12We go where we're needed.
42:14And right now...
42:16There are more important places for me to be than inside an OR or behind a desk.
42:24Being a doctor...
42:28Has been the privilege of my life.
42:33Being your chief...
42:37Has meant more to me than I expected.
42:47All of you.
42:53And I'll see you tomorrow.
43:00Bye.
43:10Bye.
43:10Bye.
43:11Bye.
43:12I love you.
43:42I love you.
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