1 00:00:02,670 --> 00:00:04,738 Wes Keeler, 49, 2 00:00:04,772 --> 00:00:07,341 pricked in the upper right arm by a cactus four days ago. 3 00:00:07,375 --> 00:00:08,942 Temp 102.5. 4 00:00:08,976 --> 00:00:11,579 Wound is seriously infected. 5 00:00:11,612 --> 00:00:13,447 FEMALE EMT: He was leading a camping trip on Mount Thayer. 6 00:00:13,481 --> 00:00:15,116 We couldn't leave 'em up there alone. 7 00:00:15,149 --> 00:00:17,218 BP's 86/51. Tachycardic. 8 00:00:17,251 --> 00:00:18,386 Rapid, shallow breathing. 9 00:00:18,419 --> 00:00:19,787 Signs of sepsis. 10 00:00:19,820 --> 00:00:20,921 You gonna have to cut his arm off? 11 00:00:20,954 --> 00:00:22,056 I'll be fine! 12 00:00:22,090 --> 00:00:23,824 We need to debride the wound stat! 13 00:00:23,857 --> 00:00:25,993 ** 14 00:00:34,168 --> 00:00:36,937 Shaun, I've been looking all over for you. 15 00:00:36,970 --> 00:00:39,807 Hey, uh, h-how about getting some breakfast? Some pancakes? 16 00:00:39,840 --> 00:00:41,375 No. I'm not hungry. 17 00:00:41,409 --> 00:00:42,843 (SIGHS) Okay. 18 00:00:42,876 --> 00:00:45,313 Um, how about coming over for dinner tonight? 19 00:00:45,346 --> 00:00:46,980 Is Debbie making lasagna? 20 00:00:47,014 --> 00:00:48,082 She could. 21 00:00:48,116 --> 00:00:49,850 No, thank you. 22 00:00:49,883 --> 00:00:51,519 Okay, Shaun. 23 00:00:51,552 --> 00:00:53,387 Um, can we just stop and... 24 00:00:53,421 --> 00:00:55,656 And talk for just a minute? 25 00:00:55,689 --> 00:00:57,091 (SCOFFS) 26 00:00:57,125 --> 00:01:00,328 Why are... Aren't you, uh, responding to my texts? 27 00:01:00,361 --> 00:01:01,529 Are you upset? 28 00:01:01,562 --> 00:01:03,264 Are you sad because of Lea? Yes. Yes. 29 00:01:03,297 --> 00:01:05,833 I am very sad. 30 00:01:05,866 --> 00:01:07,401 But it will be okay. 31 00:01:08,536 --> 00:01:10,104 Yeah, of course it'll be okay. 32 00:01:10,138 --> 00:01:12,206 I'm still going to be with Lea. 33 00:01:12,240 --> 00:01:13,274 Wait. What? 34 00:01:14,108 --> 00:01:16,744 She said she loves me. 35 00:01:16,777 --> 00:01:18,546 She also gave you a hundred reasons 36 00:01:18,579 --> 00:01:20,248 why she can't be with you, Shaun. Yes. Yes. 37 00:01:20,281 --> 00:01:22,216 She gave me very specific reasons 38 00:01:22,250 --> 00:01:23,684 why we can't be together, 39 00:01:23,717 --> 00:01:25,919 but I've overcome other challenges... 40 00:01:25,953 --> 00:01:28,256 No, Shaun, it's not... ...to become a good doctor, a good friend. 41 00:01:28,289 --> 00:01:30,824 It's not about overcoming challenges. 42 00:01:30,858 --> 00:01:32,226 It's not about you. 43 00:01:32,260 --> 00:01:33,627 It's about Lea. 44 00:01:33,661 --> 00:01:35,763 ** 45 00:01:37,598 --> 00:01:40,434 ALICE: I can't take two steps without falling down. 46 00:01:40,468 --> 00:01:41,735 Is the issue balance or weakness? 47 00:01:41,769 --> 00:01:42,836 All of the above. 48 00:01:42,870 --> 00:01:45,105 Fatigue, dizziness, light-headedness, headaches, 49 00:01:45,139 --> 00:01:46,540 occasional bouts of nausea. 50 00:01:46,574 --> 00:01:47,708 And when d... 51 00:01:47,741 --> 00:01:50,311 Five years ago, just after the birth of my daughter. 52 00:01:50,344 --> 00:01:51,645 And there's no discernible fluctuation 53 00:01:51,679 --> 00:01:53,647 based on time of day or time of the month. 54 00:01:53,681 --> 00:01:56,116 Temp 98.2. BP 111/78. 55 00:01:56,150 --> 00:01:59,119 That'll drop to 80/50 when I'm upright. 56 00:01:59,153 --> 00:02:01,222 I don't drink, smoke, or take drugs. 57 00:02:01,255 --> 00:02:02,856 I haven't traveled outside of the country 58 00:02:02,890 --> 00:02:04,091 in the last ten years. 59 00:02:04,124 --> 00:02:06,160 And there's no family history of a similar condition. 60 00:02:07,461 --> 00:02:08,829 You've been through this before. 61 00:02:08,862 --> 00:02:11,799 Seventeen times. Eighteen if you count the naturopath in Seattle. 62 00:02:11,832 --> 00:02:13,301 Which I don't. 63 00:02:13,334 --> 00:02:16,069 No one has been able to give me a diagnosis. 64 00:02:17,505 --> 00:02:20,040 We need to do an EKG and stress test, 65 00:02:20,073 --> 00:02:22,443 get a CT of your chest, abdomen, and pelvis. 66 00:02:22,476 --> 00:02:23,911 Let me save you some time. 67 00:02:23,944 --> 00:02:27,781 Five years' worth of tests, labs, scans, reports... 68 00:02:29,317 --> 00:02:30,851 My entire medical odyssey. 69 00:02:33,254 --> 00:02:34,655 Fun. 70 00:02:35,623 --> 00:02:37,625 (THEME MUSIC PLAYING) 71 00:02:49,203 --> 00:02:50,771 Set up in the lounge 72 00:02:50,804 --> 00:02:52,005 and get me copies of each of those... 73 00:02:52,039 --> 00:02:53,374 MAN: Claire! 74 00:02:53,407 --> 00:02:55,809 Dash. Oh, my God! 75 00:02:55,843 --> 00:02:56,944 Why are you here? 76 00:02:56,977 --> 00:02:58,712 Uh, you changed your number. 77 00:02:58,746 --> 00:03:01,114 Right. Um, it's a long story. 78 00:03:01,148 --> 00:03:04,318 Uh, Dash, you remember Dr. Melendez, Dr. Murphy? 79 00:03:04,352 --> 00:03:05,386 Yeah, of course. 80 00:03:05,419 --> 00:03:07,788 Uh, you gave my wife six more good months. 81 00:03:07,821 --> 00:03:11,091 We considered renaming our cat after you. 82 00:03:11,124 --> 00:03:13,994 That would have been foolish. Cats remember their names. 83 00:03:15,128 --> 00:03:17,665 Sorry for your loss. Wish we could've done more. 84 00:03:18,399 --> 00:03:19,733 Let you two catch up. 85 00:03:21,735 --> 00:03:22,803 (SIGHS) 86 00:03:22,836 --> 00:03:24,171 (CHUCKLES) 87 00:03:24,204 --> 00:03:25,573 (CHUCKLES) Hi. 88 00:03:27,541 --> 00:03:28,976 (CHUCKLES) 89 00:03:32,746 --> 00:03:34,648 (BEEP) I think the infection spread quickly 90 00:03:34,682 --> 00:03:36,950 because of the underlying damage to your liver and kidney. 91 00:03:36,984 --> 00:03:39,152 We'll need to keep you on a prolonged course of IV antibiotics. 92 00:03:39,186 --> 00:03:40,988 Hey, you hear that, guys? 93 00:03:41,021 --> 00:03:44,558 Hep C and heroin aren't as much fun as they sound. 94 00:03:44,592 --> 00:03:46,026 Although one was more fun than the other... 95 00:03:46,059 --> 00:03:47,127 For a while. 96 00:03:47,160 --> 00:03:49,129 Don't they have somewhere else to go? 97 00:03:49,162 --> 00:03:50,731 Not likely. 98 00:03:50,764 --> 00:03:54,234 Most of them haven't seen their parents in years, so they're with me... 99 00:03:54,268 --> 00:03:56,770 Survivalist training program for at-risk youth. 100 00:03:56,804 --> 00:04:00,674 We prefer "young adults with unrealized potential." 101 00:04:00,708 --> 00:04:02,776 I'm supposed to be teaching these yahoos responsibility 102 00:04:02,810 --> 00:04:06,380 and good decision-making. (EXHALES SHAKILY) 103 00:04:06,414 --> 00:04:07,681 ** 104 00:04:07,715 --> 00:04:09,383 Hell of an example. 105 00:04:11,118 --> 00:04:12,920 Oof. 106 00:04:15,656 --> 00:04:16,724 He's got a new murmur. 107 00:04:16,757 --> 00:04:18,258 (MONITOR ALARM) BP's dropping. 108 00:04:18,292 --> 00:04:19,927 Wes, we need to take a look at your heart. 109 00:04:19,960 --> 00:04:21,529 (WES GROANS SOFTLY) 110 00:04:24,532 --> 00:04:26,033 Wes, the infection's spread. 111 00:04:26,066 --> 00:04:27,635 It's damaged your aortic valve. 112 00:04:27,668 --> 00:04:29,870 You need emergency surgery. 113 00:04:29,903 --> 00:04:33,040 ** 114 00:04:33,073 --> 00:04:34,408 (GROANS) 115 00:04:42,416 --> 00:04:45,586 Mm... What about vasculitis? 116 00:04:45,619 --> 00:04:46,887 Or dysautonomia? 117 00:04:46,920 --> 00:04:49,423 Both are consistent with weakness and fatigue. 118 00:04:49,457 --> 00:04:50,991 Her temporal artery biopsy was negative. 119 00:04:51,024 --> 00:04:52,926 That rules out vasculitis. Mm. 120 00:04:52,960 --> 00:04:55,429 And I thought I saw something about dysautonomia in here. 121 00:04:55,463 --> 00:04:58,231 There are 15 different causes of dysautonomia. 122 00:04:58,265 --> 00:04:59,600 Seven have been ruled out. 123 00:04:59,633 --> 00:05:02,135 The rest are inconsistent with Alice's symptoms 124 00:05:02,169 --> 00:05:04,472 or have no definitive diagnostic test. 125 00:05:04,505 --> 00:05:06,740 How did you make Dr. Lim fall in love with you 126 00:05:06,774 --> 00:05:08,609 after you had been friends for so long? 127 00:05:14,047 --> 00:05:16,216 I assume that's directed at you. 128 00:05:16,249 --> 00:05:17,518 (CHUCKLES SOFTLY) 129 00:05:19,853 --> 00:05:21,855 I don't think you make anyone 130 00:05:21,889 --> 00:05:23,256 fall in love with you, Shaun. 131 00:05:23,290 --> 00:05:25,225 It unfolds naturally over time. 132 00:05:25,258 --> 00:05:28,028 That's not true. 133 00:05:28,061 --> 00:05:30,564 Everyone starts off not loving you. 134 00:05:30,598 --> 00:05:33,033 Then you say and do things that make them love you. 135 00:05:33,066 --> 00:05:35,068 Or not. That's the point of romance. 136 00:05:35,703 --> 00:05:36,937 But romance is harder 137 00:05:36,970 --> 00:05:39,807 if you're already friends with the person. 138 00:05:39,840 --> 00:05:43,611 You can't hide the less attractive parts of yourself. 139 00:05:43,644 --> 00:05:45,979 It can be an advantage. 140 00:05:46,013 --> 00:05:47,615 You already know what pisses them off. 141 00:05:47,648 --> 00:05:49,450 ** 142 00:05:49,483 --> 00:05:51,985 That's very true. 143 00:05:55,756 --> 00:05:57,625 Shaun... 144 00:05:57,658 --> 00:06:00,494 Did Carly tell you she just wants to be friends? 145 00:06:01,995 --> 00:06:04,898 Or are you talking about someone else? 146 00:06:04,932 --> 00:06:06,934 (CELL PHONE KEYBOARD CLICKING) 147 00:06:09,336 --> 00:06:10,638 KELLAN: Hey, sorry to interrupt. 148 00:06:10,671 --> 00:06:12,205 I'm... I'm looking for my dad. Mm. 149 00:06:12,239 --> 00:06:14,074 I just... I'm here visiting, and I locked mys... Yes. Okay. 150 00:06:14,107 --> 00:06:15,809 Dr. Park is not here, 151 00:06:15,843 --> 00:06:17,745 and we're discussing something important. 152 00:06:17,778 --> 00:06:19,747 Right. Sorry. 153 00:06:20,548 --> 00:06:22,516 Kellan, your dad's in surgery. 154 00:06:22,550 --> 00:06:23,717 It could be a couple hours. 155 00:06:24,652 --> 00:06:25,753 Thanks. 156 00:06:28,589 --> 00:06:30,524 Shaun. 157 00:06:30,558 --> 00:06:31,725 That was a little harsh. 158 00:06:31,759 --> 00:06:32,893 We're talking about your love life. 159 00:06:32,926 --> 00:06:36,497 Talking about my love life is important. 160 00:06:36,530 --> 00:06:38,065 It helps clear my head 161 00:06:38,098 --> 00:06:39,767 so I can focus on the medicine. 162 00:06:44,404 --> 00:06:46,273 Intracranial hypotension. 163 00:06:47,941 --> 00:06:51,211 It is consistent with Alice's headaches 164 00:06:51,244 --> 00:06:53,714 and dizziness getting worse when she's upright. 165 00:06:53,747 --> 00:06:56,183 And a leak in spinal fluid can be triggered 166 00:06:56,216 --> 00:06:58,418 by severe intracranial pressure during childbirth. 167 00:06:58,452 --> 00:06:59,753 To confirm I'm right, 168 00:06:59,787 --> 00:07:02,255 we need to insert a lumbar drain into Alice's spine, 169 00:07:02,289 --> 00:07:05,526 infuse her with fluid, and see if her symptoms improve. 170 00:07:05,559 --> 00:07:06,594 But if you're wrong, 171 00:07:06,627 --> 00:07:08,962 she'll have an excruciating headache, 172 00:07:08,996 --> 00:07:11,499 massive brain pressure, temporary vision loss... 173 00:07:11,532 --> 00:07:12,866 She'll give her consent. 174 00:07:13,467 --> 00:07:15,669 It's a reasonable diagnosis, 175 00:07:15,703 --> 00:07:18,706 and the patient's desperate for an answer. 176 00:07:18,739 --> 00:07:21,609 ** 177 00:07:26,547 --> 00:07:29,116 Can you do the procedure alone? 178 00:07:29,149 --> 00:07:32,252 Only one doctor is needed to insert a lumbar drain, 179 00:07:32,285 --> 00:07:35,188 and I have a time-sensitive matter to take care of. 180 00:07:36,890 --> 00:07:38,058 Sure. 181 00:07:38,091 --> 00:07:40,628 ** 182 00:07:44,732 --> 00:07:46,466 You okay? You look okay. 183 00:07:46,500 --> 00:07:47,801 I'm fine. 184 00:07:49,302 --> 00:07:50,638 Your text said it was urgent, a... 185 00:07:50,671 --> 00:07:52,906 My text said it was "time sensitive." 186 00:07:52,940 --> 00:07:54,307 I have to get back to work 187 00:07:54,341 --> 00:07:56,810 before my lunch break is over. 188 00:07:56,844 --> 00:07:58,278 I was at work, too, Shaun. 189 00:08:00,147 --> 00:08:02,550 I know we left things in a weird place, 190 00:08:02,583 --> 00:08:04,952 but now is not a good time. 191 00:08:09,823 --> 00:08:11,792 The pinto beans are next to the tomatoes. 192 00:08:13,026 --> 00:08:16,129 That is not in alphabetical order. 193 00:08:16,163 --> 00:08:17,998 ** 194 00:08:20,367 --> 00:08:21,368 There's more. 195 00:08:23,170 --> 00:08:25,338 The toilet paper is in the wrong direction. 196 00:08:25,372 --> 00:08:26,774 The way you like it. 197 00:08:29,076 --> 00:08:31,511 You got angry when we were roommates 198 00:08:31,545 --> 00:08:33,013 because I sometimes couldn't accept 199 00:08:33,046 --> 00:08:35,015 your way of doing things. 200 00:08:36,216 --> 00:08:38,652 But I can learn to accept things 201 00:08:38,686 --> 00:08:41,021 I'm not comfortable with. 202 00:08:41,054 --> 00:08:43,857 This is not bothering me at all. 203 00:08:43,891 --> 00:08:46,927 ** 204 00:08:46,960 --> 00:08:50,197 I can deal with your messiness 205 00:08:50,230 --> 00:08:52,532 and neediness 206 00:08:52,566 --> 00:08:54,067 and selfishness... 207 00:08:54,101 --> 00:08:55,202 Stop. 208 00:08:56,369 --> 00:08:57,971 Your way of proving 209 00:08:58,005 --> 00:09:01,308 that you're flexible and attentive to my needs 210 00:09:01,341 --> 00:09:03,176 is to pull me away from work 211 00:09:03,210 --> 00:09:04,411 with no notice, 212 00:09:04,444 --> 00:09:07,080 make me drive all the way across town, 213 00:09:07,114 --> 00:09:10,550 just so you can show me you un-alphabetized your beans? 214 00:09:12,753 --> 00:09:15,088 Doesn't that seem a little... 215 00:09:15,122 --> 00:09:16,824 Inconsistent? 216 00:09:16,857 --> 00:09:19,259 ** 217 00:09:19,292 --> 00:09:20,594 Oh. 218 00:09:23,530 --> 00:09:24,898 That is a good point. 219 00:09:24,932 --> 00:09:26,734 I should have waited until evening, 220 00:09:26,767 --> 00:09:29,703 when you are done with work. 221 00:09:29,737 --> 00:09:31,071 We can discuss this later. 222 00:09:31,104 --> 00:09:32,840 I have to get back to the hospital. 223 00:09:34,007 --> 00:09:35,743 (SIGHS) 224 00:09:38,846 --> 00:09:41,581 DR. ANDREWS: Resecting necrotic tissue around the annulus. 225 00:09:41,615 --> 00:09:43,884 Dr. Reznick, trim down the patch from the pericardium. 226 00:09:46,754 --> 00:09:48,622 (SIGHS) 227 00:09:48,656 --> 00:09:50,290 The infection caused a fistula, 228 00:09:50,323 --> 00:09:51,458 and we need to remove it. 229 00:09:51,491 --> 00:09:53,794 Repair the annular defect with a pericardial patch. 230 00:09:55,062 --> 00:09:56,329 He's gonna have permanent heart damage. 231 00:09:58,598 --> 00:10:01,935 The guy survives IV drugs, Hep C, hard time 232 00:10:01,969 --> 00:10:03,937 and gets taken down by a cactus spike 233 00:10:03,971 --> 00:10:06,106 on his road to redemption. 234 00:10:06,139 --> 00:10:07,941 That's...ironic. 235 00:10:07,975 --> 00:10:09,076 Predictable. 236 00:10:09,109 --> 00:10:10,577 He ignored dangerous symptoms 237 00:10:10,610 --> 00:10:13,246 because he wanted to be a tough guy for those kids. 238 00:10:13,280 --> 00:10:15,182 He's trying to keep them from repeating his mistakes. 239 00:10:15,215 --> 00:10:16,316 It's admirable. 240 00:10:16,349 --> 00:10:18,085 Narcissistic waste of time. 241 00:10:18,118 --> 00:10:20,287 You can't undo a lifetime of abandonment 242 00:10:20,320 --> 00:10:22,189 with a couple weeks in the woods. 243 00:10:22,222 --> 00:10:24,858 The kids are all still here, aren't they? 244 00:10:24,892 --> 00:10:26,426 Finish the closure of the fistula tract 245 00:10:26,459 --> 00:10:27,961 with pledgeted sutures. 246 00:10:30,163 --> 00:10:31,298 Park. 247 00:10:31,331 --> 00:10:32,599 I need you to come with me. 248 00:10:32,632 --> 00:10:33,667 Now? 249 00:10:33,701 --> 00:10:35,102 Go. We got this. 250 00:10:35,135 --> 00:10:37,170 ** 251 00:10:44,011 --> 00:10:46,079 Security agreed to let us keep this between us. 252 00:10:46,113 --> 00:10:48,248 No need to call the cops. 253 00:10:48,281 --> 00:10:50,450 ** 254 00:10:53,721 --> 00:10:55,889 Everyone needs to chill. 255 00:10:55,923 --> 00:10:58,658 We weren't cooking meth in the dumpster. 256 00:10:58,692 --> 00:11:01,494 You have any idea how many people die from vaping pot? 257 00:11:01,528 --> 00:11:02,996 What were you thinking? 258 00:11:06,333 --> 00:11:08,135 We'll give you two some space. 259 00:11:08,168 --> 00:11:09,737 You. With me. 260 00:11:16,676 --> 00:11:17,711 (DOOR CLOSES) 261 00:11:18,278 --> 00:11:21,014 You have asthma, Kellan. 262 00:11:21,048 --> 00:11:22,916 I know you're not this stupid. 263 00:11:22,950 --> 00:11:25,185 ** 264 00:11:30,724 --> 00:11:31,925 (MONITOR BEEPING RAPIDLY) 265 00:11:31,959 --> 00:11:34,494 Heart rate's tachy at 148. Systolic's in the 200s. 266 00:11:34,527 --> 00:11:36,396 I removed the drain a half-hour ago. 267 00:11:36,429 --> 00:11:39,299 I was wrong. My idea made things worse. 268 00:11:39,332 --> 00:11:41,501 We need to do a lumbar puncture to relieve the built-up fluid. 269 00:11:41,534 --> 00:11:42,936 SHAUN: But it didn't make her worse 270 00:11:42,970 --> 00:11:44,304 the way it should have made her worse. 271 00:11:44,337 --> 00:11:46,573 She should have a headache or upward brain herniation. 272 00:11:46,606 --> 00:11:48,008 Heart rate should be low. 273 00:11:48,041 --> 00:11:51,311 Something is causing her heart to beat too hard, too fast. 274 00:11:51,344 --> 00:11:53,046 Mm. I missed something... 275 00:11:53,080 --> 00:11:54,281 Shaun, you need to give her 276 00:11:54,314 --> 00:11:55,749 a 10-milligram bolus of labetalol now, 277 00:11:55,783 --> 00:11:57,484 or she is going to die. 278 00:11:57,517 --> 00:11:58,819 I missed something. 279 00:11:58,852 --> 00:12:00,053 Shaun! 280 00:12:02,055 --> 00:12:03,757 RUBY: Mommy? 281 00:12:03,791 --> 00:12:05,192 Alice? 282 00:12:05,225 --> 00:12:07,394 ** 283 00:12:10,798 --> 00:12:13,066 There was significant tissue damage from the infection, 284 00:12:13,100 --> 00:12:15,135 but it should be manageable with medication 285 00:12:15,168 --> 00:12:16,870 and some modifications to your diet. 286 00:12:18,939 --> 00:12:21,842 So...no more Flamin' Hot Cheetos? 287 00:12:21,875 --> 00:12:24,344 That's not a thing any self-respecting adult should eat. 288 00:12:26,113 --> 00:12:28,248 You'll need long-term follow-up with a cardiologist, 289 00:12:28,281 --> 00:12:30,250 beta-blockers, ACE inhibitors... 290 00:12:33,086 --> 00:12:34,087 What'd you do? 291 00:12:36,223 --> 00:12:39,759 Mr. Reed was found vaping THC on hospital grounds. 292 00:12:39,793 --> 00:12:42,395 I'm emancipated, so I'm basically an adult. 293 00:12:42,429 --> 00:12:43,864 WES: (GROANING) You're only emancipated 294 00:12:43,897 --> 00:12:47,400 'cause your parents do even dumber stuff than you do. 295 00:12:47,434 --> 00:12:49,036 Thanks for letting me know. 296 00:12:49,069 --> 00:12:51,504 There'll be consequences for his behavior. 297 00:12:51,538 --> 00:12:53,173 Starting with an apology. 298 00:12:53,206 --> 00:12:54,808 And not some smartass one, either. 299 00:12:54,842 --> 00:12:57,544 Uh, Mr. Keeler, your hand is swollen. 300 00:12:57,577 --> 00:12:58,812 I need to take a look at your feet. 301 00:13:00,113 --> 00:13:01,581 Less than a hundred milliliters. 302 00:13:01,614 --> 00:13:02,816 What's wrong with his piss? 303 00:13:02,850 --> 00:13:03,984 Max. 304 00:13:04,017 --> 00:13:05,418 What's going on? 305 00:13:05,452 --> 00:13:07,620 We're gonna need to run some additional tests. 306 00:13:07,654 --> 00:13:10,757 We've done a lumbar puncture to remove the excess fluid 307 00:13:10,790 --> 00:13:12,525 and bring your spinal pressure back to normal. 308 00:13:12,559 --> 00:13:14,261 When will she be able to go home? 309 00:13:14,294 --> 00:13:15,829 ALICE: I'm not going home. 310 00:13:19,833 --> 00:13:22,135 Honey, their test just about killed you. 311 00:13:22,169 --> 00:13:24,271 In front of your daughter. 312 00:13:24,304 --> 00:13:26,473 She wasn't supposed to be here. 313 00:13:26,506 --> 00:13:28,708 That's because you told me you were visiting your sister. 314 00:13:30,978 --> 00:13:33,013 Since when do we lie to each other, Alice? 315 00:13:38,485 --> 00:13:40,954 You have to stop doing this to yourself. 316 00:13:40,988 --> 00:13:42,755 They're only gonna confirm the same diagnosis 317 00:13:42,789 --> 00:13:44,257 you've already been given. 318 00:13:45,725 --> 00:13:47,794 You said you don't have a diagnosis. 319 00:13:47,827 --> 00:13:49,529 ** 320 00:13:52,065 --> 00:13:54,034 They told her she has idiopathic dysautonomia 321 00:13:54,067 --> 00:13:55,869 six months ago. 322 00:13:55,903 --> 00:13:58,305 It was confirmed by two other doctors. 323 00:13:58,338 --> 00:13:59,639 You left it out of your medical records? 324 00:13:59,672 --> 00:14:01,674 "Idiopathic" is just a doctor's fancy way 325 00:14:01,708 --> 00:14:03,710 of saying that they don't know why I'm sick or how to fix it. 326 00:14:03,743 --> 00:14:05,946 You haven't given the treatments a chance. 327 00:14:05,979 --> 00:14:09,249 Because even on them, I can barely sit up most of the time. 328 00:14:09,282 --> 00:14:12,252 ** 329 00:14:12,285 --> 00:14:13,853 Ruby deserves a mother 330 00:14:13,887 --> 00:14:16,156 who can teach her how to do a cartwheel... 331 00:14:17,690 --> 00:14:19,893 ...and scoop her up when she's having a nightmare. 332 00:14:19,927 --> 00:14:21,528 She deserves a mother who's around. 333 00:14:29,502 --> 00:14:30,971 Ruby... 334 00:14:31,004 --> 00:14:33,073 (CHUCKLES LIGHTLY) 335 00:14:33,106 --> 00:14:35,708 ...doesn't need to learn how to do a cartwheel. 336 00:14:35,742 --> 00:14:38,478 She needs you to watch her, cheer her on. 337 00:14:38,511 --> 00:14:42,082 And lay down next to her when she's scared. 338 00:14:42,115 --> 00:14:45,352 And eat the cookies she bakes and pretend to be enjoying them. 339 00:14:45,385 --> 00:14:46,719 (SIGHS) 340 00:14:48,055 --> 00:14:50,190 You're a great mother. 341 00:14:50,223 --> 00:14:52,892 And... 342 00:14:52,926 --> 00:14:56,229 There's good in the life we have. 343 00:14:56,263 --> 00:14:57,330 And you're missing it 344 00:14:58,365 --> 00:15:00,767 by constantly searching for something better. 345 00:15:00,800 --> 00:15:02,202 Something that may not exist. 346 00:15:11,144 --> 00:15:13,146 Are you feeling overheated? 347 00:15:14,714 --> 00:15:15,782 No. 348 00:15:18,685 --> 00:15:19,686 Scared? 349 00:15:21,288 --> 00:15:23,523 No, I'm feeling sad that my husband thinks there's no hope. 350 00:15:23,556 --> 00:15:24,591 You are sweating. 351 00:15:24,624 --> 00:15:27,727 Sweat is a response to fear, not sadness. 352 00:15:29,129 --> 00:15:31,431 Your temperature is normal. 353 00:15:33,433 --> 00:15:36,103 You may have an adrenal tumor. 354 00:15:37,470 --> 00:15:38,938 Is that good? Yes. 355 00:15:38,972 --> 00:15:40,473 Tumors can be removed. 356 00:15:44,111 --> 00:15:45,979 (ENGINE IDLING) 357 00:15:50,750 --> 00:15:53,420 (ENGINE SHUTS OFF) 358 00:15:53,453 --> 00:15:54,754 I'm not mad. 359 00:15:54,787 --> 00:15:56,056 (SCOFFS) 360 00:15:56,089 --> 00:15:57,124 I'm a little mad. 361 00:15:57,157 --> 00:15:59,326 But I want to understand what's going on. 362 00:15:59,359 --> 00:16:00,727 Dad, not now. 363 00:16:00,760 --> 00:16:02,729 I mean, it's not like you to be this reckless 364 00:16:02,762 --> 00:16:04,631 with your health, your future. 365 00:16:04,664 --> 00:16:06,066 (BREATHING SHAKILY) 366 00:16:06,099 --> 00:16:07,100 I can't... 367 00:16:08,568 --> 00:16:10,070 Kel, are you having an asthma attack? 368 00:16:10,103 --> 00:16:11,171 Where's your inhaler? 369 00:16:11,204 --> 00:16:12,572 I don't... It's... 370 00:16:12,605 --> 00:16:14,007 It's not the asthma. 371 00:16:14,041 --> 00:16:15,108 What is it? 372 00:16:15,142 --> 00:16:16,776 (SHAKY BREATHING CONTINUES) 373 00:16:16,809 --> 00:16:18,011 Tell me what you're feeling. 374 00:16:18,045 --> 00:16:19,846 My heart's... Beating fast. 375 00:16:20,747 --> 00:16:21,781 (SIGHS) 376 00:16:21,814 --> 00:16:23,350 Do you feel dizzy? 377 00:16:23,383 --> 00:16:26,019 Like the walls are closing in? 378 00:16:26,053 --> 00:16:27,587 I think you're having a panic attack. 379 00:16:28,588 --> 00:16:29,622 Take a deep breath. 380 00:16:29,656 --> 00:16:32,625 One, two, three... (INHALES DEEPLY) 381 00:16:32,659 --> 00:16:34,694 Now out. (EXHALES DEEPLY) 382 00:16:35,662 --> 00:16:37,597 Keep breathing. 383 00:16:37,630 --> 00:16:39,532 (BREATHING DEEPLY) 384 00:16:42,969 --> 00:16:44,204 Good. 385 00:16:44,237 --> 00:16:46,473 ** 386 00:16:47,507 --> 00:16:48,708 Does this happen a lot? 387 00:16:54,314 --> 00:16:57,284 I know vaping is stupid, but... 388 00:16:57,317 --> 00:16:58,751 (SCOFFS) 389 00:16:58,785 --> 00:17:01,020 (BREATHES SHAKILY) 390 00:17:01,054 --> 00:17:02,789 It helps this feeling go away. 391 00:17:11,198 --> 00:17:12,832 Hey, give it back, asshat! 392 00:17:12,865 --> 00:17:13,966 Victor, Max! 393 00:17:14,000 --> 00:17:15,302 Cut it out. 394 00:17:15,335 --> 00:17:16,869 Mr. Keeler. 395 00:17:16,903 --> 00:17:18,838 We have some test results we need to discuss. 396 00:17:18,871 --> 00:17:20,307 In private. 397 00:17:20,340 --> 00:17:22,509 Whatever you have to say to him, you can say to us. 398 00:17:22,542 --> 00:17:23,776 Oh, wish you could. 399 00:17:23,810 --> 00:17:26,012 Would love your input. 400 00:17:26,045 --> 00:17:28,681 But, clearly, you're far too busy watching... 401 00:17:28,715 --> 00:17:29,916 Pimple-popping videos. 402 00:17:32,185 --> 00:17:33,186 Go away. 403 00:17:45,098 --> 00:17:46,533 The damage to your heart 404 00:17:46,566 --> 00:17:49,102 temporarily cut off blood flow to your kidneys. 405 00:17:49,136 --> 00:17:51,771 They were already weak and couldn't handle the stress. 406 00:17:52,872 --> 00:17:55,375 You've progressed to complete renal failure. 407 00:17:55,408 --> 00:17:57,177 I'm sorry. 408 00:17:57,210 --> 00:17:58,578 DR. REZNICK: You'll need a transplant. 409 00:17:58,611 --> 00:18:01,581 But dialysis can keep you going until a matching donor is found. 410 00:18:03,616 --> 00:18:07,053 I'm guessing a guy with a bad heart 411 00:18:07,086 --> 00:18:10,423 and damaged liver, history of hepatitis 412 00:18:10,457 --> 00:18:12,024 isn't first up. 413 00:18:13,893 --> 00:18:16,863 Your best bet is to find a living donor, 414 00:18:16,896 --> 00:18:18,465 most likely, a family member. 415 00:18:18,498 --> 00:18:19,632 (SIGHS) 416 00:18:19,666 --> 00:18:22,569 I'm an addict... 417 00:18:22,602 --> 00:18:27,174 Who stole and lied like one and then went to prison. 418 00:18:27,207 --> 00:18:29,276 My Christmas card list is pretty short. 419 00:18:31,511 --> 00:18:33,913 DR. ANDREWS: We'll connect you with our transplant coordinator. 420 00:18:33,946 --> 00:18:35,848 She'll help you reach out to family 421 00:18:35,882 --> 00:18:37,917 and answer any questions they may have. 422 00:18:37,950 --> 00:18:41,254 ** 423 00:18:41,288 --> 00:18:43,356 Should've taken those twerps sailing. 424 00:18:45,091 --> 00:18:46,593 (SCOFFS) 425 00:18:49,262 --> 00:18:50,797 (MRI MACHINE HUMMING) 426 00:18:50,830 --> 00:18:51,831 (MOUSE CLICKS) 427 00:18:53,600 --> 00:18:56,135 Her husband's not wrong, Shaun. 428 00:18:56,169 --> 00:18:58,405 Sometimes, people need to accept 429 00:18:58,438 --> 00:19:00,106 that things are as good as they're gonna get 430 00:19:00,139 --> 00:19:01,441 and make peace with it. 431 00:19:02,542 --> 00:19:05,278 Wanting more can only lead 432 00:19:05,312 --> 00:19:07,514 to disappointment and heartbreak. 433 00:19:07,547 --> 00:19:09,782 ** 434 00:19:12,519 --> 00:19:15,087 What good does it do to give up 435 00:19:15,121 --> 00:19:17,490 if you're already heartbroken? 436 00:19:18,858 --> 00:19:20,660 ** 437 00:19:24,464 --> 00:19:25,965 Hmm. 438 00:19:25,998 --> 00:19:27,867 You were right. No tumor. 439 00:19:31,404 --> 00:19:33,005 Well, you were also right. 440 00:19:35,642 --> 00:19:36,676 The bright color. 441 00:19:36,709 --> 00:19:38,945 It means there is an increase in the uptake 442 00:19:38,978 --> 00:19:41,381 of radioactive material in the medullary space. 443 00:19:41,414 --> 00:19:44,351 Which is enlarged and overproducing adrenaline, 444 00:19:44,384 --> 00:19:46,686 so the gland itself is acting like a tumor. 445 00:19:46,719 --> 00:19:48,855 ** 446 00:19:48,888 --> 00:19:50,523 We have a new diagnosis. 447 00:19:52,124 --> 00:19:53,660 (CHUCKLES SOFTLY) 448 00:19:58,998 --> 00:20:00,900 The quiet is a nice change of pace. 449 00:20:02,335 --> 00:20:04,404 I told the boys to get some air, 450 00:20:04,437 --> 00:20:07,607 try to avoid committing more criminal offenses on hospital grounds. 451 00:20:10,042 --> 00:20:12,111 I know they can be annoying and loud 452 00:20:12,144 --> 00:20:13,580 and constantly in the way, 453 00:20:13,613 --> 00:20:16,115 but I can't make them leave. 454 00:20:16,148 --> 00:20:17,417 Want me to give it a shot? 455 00:20:17,450 --> 00:20:18,551 (CHUCKLES) 456 00:20:18,585 --> 00:20:19,852 I'd like to see that, actually. 457 00:20:19,886 --> 00:20:21,053 (CHUCKLES) 458 00:20:21,087 --> 00:20:23,290 Nah, they just scared. 459 00:20:23,323 --> 00:20:26,493 They think if they leave, then... 460 00:20:26,526 --> 00:20:28,495 I'll be the latest in a long line of people 461 00:20:28,528 --> 00:20:30,263 they didn't have a chance to say goodbye to. 462 00:20:33,232 --> 00:20:34,534 (INHALES SHARPLY) Wes? 463 00:20:34,567 --> 00:20:35,602 (GROANS) 464 00:20:35,635 --> 00:20:36,836 Code blue! 465 00:20:36,869 --> 00:20:38,671 (MONITOR ALARM) 466 00:20:38,705 --> 00:20:41,073 ** 467 00:20:45,578 --> 00:20:48,080 You do not have idiopathic dysautonomia. 468 00:20:48,114 --> 00:20:49,316 You have a rare condition 469 00:20:49,349 --> 00:20:52,151 called bilateral adrenal medullary hyperplasia. 470 00:20:52,184 --> 00:20:55,087 Unfortunately, Alice, there's only one cure for this condition, 471 00:20:55,121 --> 00:20:57,324 and that's to remove your adrenal glands. 472 00:20:57,357 --> 00:20:59,091 You would need to be on steroid replacement therapy 473 00:20:59,125 --> 00:21:00,192 for the rest of your life. 474 00:21:00,226 --> 00:21:02,161 And that comes with a whole new set of symptoms. 475 00:21:02,194 --> 00:21:04,196 Fragile bones, high blood pressure, 476 00:21:04,230 --> 00:21:06,265 G.I. issues, mood disorders, 477 00:21:06,299 --> 00:21:08,801 increased chance of diabetes, serious infections. 478 00:21:10,102 --> 00:21:12,372 I-I understand. I want to do it. 479 00:21:12,405 --> 00:21:16,208 Medullary hyperplasia is not terminal or progressive. 480 00:21:16,242 --> 00:21:18,645 You could have a normal life expectancy 481 00:21:18,678 --> 00:21:19,946 in your current condition. 482 00:21:19,979 --> 00:21:22,181 My "current condition" is pathetic. 483 00:21:22,214 --> 00:21:23,450 I'm having the surgery. 484 00:21:23,483 --> 00:21:24,751 OWEN: Alice. 485 00:21:24,784 --> 00:21:26,586 This could kill you. 486 00:21:26,619 --> 00:21:29,989 ** 487 00:21:30,022 --> 00:21:31,991 I love you. 488 00:21:32,024 --> 00:21:33,860 I won't risk your life. 489 00:21:37,163 --> 00:21:39,231 If you insist on going through with this... 490 00:21:42,702 --> 00:21:44,270 Ruby and I are leaving. 491 00:21:44,303 --> 00:21:47,440 ** 492 00:21:50,877 --> 00:21:54,747 If you love her, you shouldn't leave her. 493 00:21:54,781 --> 00:21:56,949 It's not her fault she's sick. 494 00:21:56,983 --> 00:21:59,318 And she just wants to make things better. 495 00:21:59,352 --> 00:22:01,020 It isn't fair. DR. MELENDEZ: Shaun. 496 00:22:01,053 --> 00:22:03,790 There is nothing worse than losing the person you love. 497 00:22:03,823 --> 00:22:05,392 (SIGHS) 498 00:22:05,425 --> 00:22:07,794 DR. MELENDEZ: I'm sorry. This isn't Dr. Murphy's call. 499 00:22:07,827 --> 00:22:09,496 Nor is it mine. 500 00:22:09,529 --> 00:22:11,631 We'll give you two some time. 501 00:22:11,664 --> 00:22:14,133 ** 502 00:22:16,503 --> 00:22:17,870 He's right. 503 00:22:20,440 --> 00:22:23,009 I-I can't lose you and Ruby. 504 00:22:23,042 --> 00:22:25,044 I won't do it. I won't... I won't do the surgery. 505 00:22:25,077 --> 00:22:28,681 ** 506 00:22:36,055 --> 00:22:38,825 Wes suffered major cardiac damage. 507 00:22:38,858 --> 00:22:40,593 We can't solve one problem with this guy 508 00:22:40,627 --> 00:22:41,861 before the next one hits. 509 00:22:41,894 --> 00:22:44,631 He's stable now, but his heart can't handle 510 00:22:44,664 --> 00:22:46,733 the fluid volume shifts of standard dialysis. 511 00:22:46,766 --> 00:22:48,801 So the only thing keeping him alive will also kill him. 512 00:22:48,835 --> 00:22:50,603 We could put him on low-flow dialysis. 513 00:22:50,637 --> 00:22:52,204 Keep him in the ICU 'round the clock. 514 00:22:52,238 --> 00:22:53,706 That'll buy him a little time. 515 00:22:53,740 --> 00:22:55,608 Very little. 516 00:22:55,642 --> 00:22:57,610 Call UNOS. See if they'll move him up the list. 517 00:22:57,644 --> 00:22:58,911 Where are we with family members? 518 00:22:58,945 --> 00:23:00,813 Two of Wes' cousins agreed to be tested. 519 00:23:00,847 --> 00:23:02,515 We're waiting on the results. Good. 520 00:23:02,549 --> 00:23:05,384 Get on the phone with any other family you can find. 521 00:23:05,418 --> 00:23:07,820 Tell them if their man doesn't get a kidney in the next couple days, 522 00:23:07,854 --> 00:23:10,490 they should make arrangements to say their goodbyes. 523 00:23:10,523 --> 00:23:13,493 ** 524 00:23:23,903 --> 00:23:26,305 New kicks won't help you outrun me. 525 00:23:26,338 --> 00:23:27,406 (LAUGHS) 526 00:23:27,440 --> 00:23:30,743 Um, they're recipes. 527 00:23:30,777 --> 00:23:31,844 From Dash. 528 00:23:31,878 --> 00:23:34,113 Well, from Kayla. 529 00:23:34,146 --> 00:23:35,915 Kayla by way of Dash. 530 00:23:35,948 --> 00:23:37,116 It's complicated. 531 00:23:37,149 --> 00:23:38,918 (BREATHES DEEPLY) 532 00:23:41,988 --> 00:23:43,456 He asked me on a date. 533 00:23:47,927 --> 00:23:49,428 (CHUCKLES) 534 00:23:52,565 --> 00:23:53,600 What did you say? 535 00:23:53,633 --> 00:23:56,102 Nothing. I stammered, and then I fled. 536 00:23:56,135 --> 00:23:57,136 (LAUGHS) 537 00:23:59,171 --> 00:24:00,573 (CLAIRE CHUCKLES) 538 00:24:02,441 --> 00:24:03,710 What did you want to say? 539 00:24:03,743 --> 00:24:06,312 Ohh. I don't know. 540 00:24:06,345 --> 00:24:08,347 ** 541 00:24:10,016 --> 00:24:11,350 Shaun was right. 542 00:24:13,152 --> 00:24:15,354 Coming home to an empty apartment really sucks. 543 00:24:19,325 --> 00:24:20,993 I... 544 00:24:21,027 --> 00:24:23,730 Used men to make me feel better. 545 00:24:23,763 --> 00:24:25,798 Most of them didn't mind. 546 00:24:25,832 --> 00:24:27,734 But... 547 00:24:27,767 --> 00:24:30,402 I... 548 00:24:30,436 --> 00:24:34,106 Don't trust myself not to hurt someone I care about. 549 00:24:38,645 --> 00:24:40,913 Claire, it's not that complicated. 550 00:24:42,281 --> 00:24:45,151 You lit up this morning when you saw him. 551 00:24:46,919 --> 00:24:48,655 He seems to make you happy. 552 00:24:52,625 --> 00:24:54,293 You deserve to be happy. 553 00:25:03,135 --> 00:25:04,771 (GROANS) 554 00:25:14,380 --> 00:25:15,381 Mmm. 555 00:25:17,850 --> 00:25:19,018 How you feeling? 556 00:25:20,419 --> 00:25:22,689 I'm not high, if that's what you're asking. 557 00:25:22,722 --> 00:25:24,090 It's not. 558 00:25:26,425 --> 00:25:29,495 You know, earlier in the car, 559 00:25:29,528 --> 00:25:31,230 I pushed too hard, 560 00:25:32,198 --> 00:25:34,400 made you feel cornered. 561 00:25:34,433 --> 00:25:35,668 I'm sorry. 562 00:25:37,236 --> 00:25:38,504 You didn't know. 563 00:25:42,809 --> 00:25:44,343 I, uh... 564 00:25:44,376 --> 00:25:46,012 I talked to your mom. 565 00:25:47,714 --> 00:25:49,015 Is she totally freaking out? 566 00:25:49,048 --> 00:25:50,182 She's concerned. 567 00:25:50,216 --> 00:25:54,520 And we talked about finding a therapist in Phoenix 568 00:25:54,553 --> 00:25:58,090 who specializes in treating anxiety. 569 00:25:59,659 --> 00:26:02,328 So you're pawning me off on a total stranger? 570 00:26:02,361 --> 00:26:03,896 No. No. I... 571 00:26:07,133 --> 00:26:08,801 I thought you'd be more comfortable 572 00:26:08,835 --> 00:26:10,269 talking to someone who's not... 573 00:26:11,270 --> 00:26:14,140 She said you've been pretty withdrawn lately. 574 00:26:19,411 --> 00:26:23,549 I know things between your mom and I are a little... 575 00:26:23,582 --> 00:26:24,751 Screwed up? 576 00:26:24,784 --> 00:26:27,754 ** 577 00:26:27,787 --> 00:26:28,788 Unsettled. 578 00:26:30,389 --> 00:26:32,558 Is that making you feel anxious? 579 00:26:32,591 --> 00:26:34,727 No. 580 00:26:34,761 --> 00:26:35,895 It's not you. 581 00:26:38,330 --> 00:26:39,899 It's nothing. It's... It's okay. 582 00:26:39,932 --> 00:26:41,868 No, it's obviously not. 583 00:26:43,936 --> 00:26:46,105 Some of this is on you. 584 00:26:46,138 --> 00:26:47,874 You know, every time we talk, 585 00:26:47,907 --> 00:26:49,742 you don't tell me anything about your life. 586 00:26:49,776 --> 00:26:51,243 That's because you don't want to know anything. 587 00:26:51,277 --> 00:26:52,578 That's not true! 588 00:26:54,747 --> 00:26:57,516 You're busy saving patients a hundred hours a week. 589 00:26:59,085 --> 00:27:01,320 You don't want to feel guilty about being a thousand miles away. 590 00:27:01,353 --> 00:27:04,757 You just want to know that I'm okay. 591 00:27:04,791 --> 00:27:06,893 So I say I'm okay. 592 00:27:06,926 --> 00:27:09,428 ** 593 00:27:16,168 --> 00:27:18,237 DR. REZNICK: Ew! 594 00:27:18,270 --> 00:27:19,305 That's annoying. 595 00:27:21,107 --> 00:27:22,742 Can you do that someplace else? 596 00:27:22,775 --> 00:27:26,345 I'm trying to find a better solution for my patient. 597 00:27:26,378 --> 00:27:28,114 Your patient is being discharged. 598 00:27:28,147 --> 00:27:29,882 I'm trying to get a kidney for a dying guy. 599 00:27:29,916 --> 00:27:31,818 You're watching gross videos. 600 00:27:31,851 --> 00:27:33,385 I'm waiting to hear back from UNOS. 601 00:27:35,321 --> 00:27:36,522 Ew! 602 00:27:41,694 --> 00:27:43,996 Do you prefer being called or texted? 603 00:27:44,030 --> 00:27:45,597 Neither. 604 00:27:45,631 --> 00:27:48,768 Do you like surprises or do you find them irritating? 605 00:27:48,801 --> 00:27:50,669 I find this irritating. 606 00:27:50,703 --> 00:27:52,071 It's research. 607 00:27:52,104 --> 00:27:53,639 Lea said we can't be together 608 00:27:53,672 --> 00:27:56,608 because she is too needy and selfish to deal with my issues. 609 00:27:56,642 --> 00:27:58,144 You are the most selfish person I know, 610 00:27:58,177 --> 00:27:59,812 so you are a good subject. 611 00:28:00,713 --> 00:28:02,048 (CHUCKLES SOFTLY) 612 00:28:04,884 --> 00:28:08,254 Lea's right. She is needy and selfish. 613 00:28:08,287 --> 00:28:10,156 Find someone who loves you the way you are. 614 00:28:12,191 --> 00:28:15,261 People always say that, but shouldn't we be with someone 615 00:28:15,294 --> 00:28:18,130 who makes us a better version of ourselves? 616 00:28:18,164 --> 00:28:20,232 ** 617 00:28:22,701 --> 00:28:23,702 Maybe. 618 00:28:26,172 --> 00:28:28,440 But trying not to be autistic won't make you better. 619 00:28:30,176 --> 00:28:33,379 ** 620 00:28:45,057 --> 00:28:47,359 I'm sorry you still don't feel good, Mommy. 621 00:28:47,393 --> 00:28:49,361 Well, I'll feel better when I'm home. 622 00:28:49,395 --> 00:28:51,697 Eating those delicious cookies that you make for me. 623 00:28:51,730 --> 00:28:54,733 You don't have to go home. 624 00:28:54,767 --> 00:28:56,402 I invented a better surgery. 625 00:28:56,435 --> 00:28:58,871 Instead of removing both your adrenal glands, 626 00:28:58,905 --> 00:29:02,541 we can just squeeze out the hyperplastic medullary part... 627 00:29:02,574 --> 00:29:03,910 Like popping a pimple. 628 00:29:04,944 --> 00:29:06,846 You "invented" a surgery? 629 00:29:06,879 --> 00:29:09,015 Dr. Murphy's come up with a surgical plan 630 00:29:09,048 --> 00:29:11,483 that could curb overproduction of your hormones 631 00:29:11,517 --> 00:29:13,152 while leaving you some adrenal function. 632 00:29:13,185 --> 00:29:14,253 What are the chances it'll work? 633 00:29:14,286 --> 00:29:16,355 Oh, we don't know. 634 00:29:16,388 --> 00:29:17,890 DR. MELENDEZ: Since it's never been done before, 635 00:29:17,924 --> 00:29:19,491 it's difficult to predict the outcome, 636 00:29:19,525 --> 00:29:22,694 but it is a safe and viable treatment option. 637 00:29:22,728 --> 00:29:25,197 ** 638 00:29:37,609 --> 00:29:38,978 MAX: Is Wes dying? 639 00:29:47,987 --> 00:29:49,956 We're doing everything we can to help him. 640 00:29:49,989 --> 00:29:52,391 I snuck a look at his chart when no one was around. 641 00:29:52,424 --> 00:29:54,126 You know that's a crime, right? 642 00:29:54,160 --> 00:29:55,294 Only a misdemeanor. 643 00:29:58,797 --> 00:30:00,199 You should talk to Wes. 644 00:30:00,232 --> 00:30:02,268 (SIGHS) 645 00:30:02,301 --> 00:30:05,204 ** 646 00:30:05,237 --> 00:30:06,839 We all got tested. 647 00:30:08,507 --> 00:30:09,508 I'm a match. 648 00:30:11,477 --> 00:30:12,879 I'm gonna give Wes my kidney. 649 00:30:14,280 --> 00:30:16,115 ** 650 00:30:26,192 --> 00:30:28,794 We've discussed your offer at length, Max. 651 00:30:28,827 --> 00:30:33,099 It's incredibly admirable and generous. 652 00:30:33,132 --> 00:30:34,500 But you're 16. 653 00:30:34,533 --> 00:30:37,136 Living donors have to be 18 years old. 654 00:30:37,169 --> 00:30:38,938 I'm emancipated. 655 00:30:38,971 --> 00:30:40,672 I can give consent for myself. 656 00:30:40,706 --> 00:30:42,308 But it's still up to the hospital 657 00:30:42,341 --> 00:30:44,243 to decide if this is a good idea. 658 00:30:44,276 --> 00:30:47,379 We don't feel this is in your best interest. 659 00:30:49,048 --> 00:30:50,716 DR. ANDREWS: Max. 660 00:30:50,749 --> 00:30:54,520 The surgery's much harder on the donor than the recipient. 661 00:30:54,553 --> 00:30:57,023 You could have postoperative bleeding or infection. 662 00:30:57,056 --> 00:30:58,824 And it's incredibly painful. 663 00:30:58,857 --> 00:31:01,427 I've been through more crap than any of you. 664 00:31:01,460 --> 00:31:02,828 I can handle it. 665 00:31:02,861 --> 00:31:04,530 There are also long-term consequences... 666 00:31:04,563 --> 00:31:06,432 High blood pressure, renal failure. 667 00:31:06,465 --> 00:31:08,600 If something happens to your other kidney, you don't have a spare. 668 00:31:08,634 --> 00:31:11,003 I know how to subtract. I'm cool with it. 669 00:31:11,037 --> 00:31:13,039 DR. REZNICK: And the recovery is long and hard. 670 00:31:13,072 --> 00:31:16,142 You would need someone to help you get dressed and bathe 671 00:31:16,175 --> 00:31:17,876 and make sure you take all your medications. 672 00:31:17,910 --> 00:31:20,947 I've been taking care of myself just fine for a long time. 673 00:31:22,414 --> 00:31:24,283 ** 674 00:31:24,316 --> 00:31:26,618 Actually, Max, 675 00:31:26,652 --> 00:31:29,855 you've been in juvie and on drugs. 676 00:31:29,888 --> 00:31:32,258 You're not taking care of yourself. 677 00:31:35,594 --> 00:31:38,464 Okay, I get it. 678 00:31:38,497 --> 00:31:39,498 I'm a screw-up. 679 00:31:40,532 --> 00:31:42,401 But Wes isn't. 680 00:31:42,434 --> 00:31:46,205 He's bailed me out of jail. 681 00:31:46,238 --> 00:31:47,706 He's picked me up in the middle of the night 682 00:31:47,739 --> 00:31:49,775 when I was too messed up to drive. 683 00:31:49,808 --> 00:31:51,843 He's cleaned me up after fights. 684 00:31:51,877 --> 00:31:54,180 ** 685 00:31:54,213 --> 00:31:57,583 (VOICE BREAKING) He came with me to my sister's funeral. 686 00:31:59,285 --> 00:32:02,054 If I manage to stay out of jail, 687 00:32:02,088 --> 00:32:04,223 it's because of Wes. 688 00:32:04,256 --> 00:32:07,426 If I'm a halfway decent father someday, 689 00:32:09,228 --> 00:32:11,063 if I'm not a lost cause, 690 00:32:12,631 --> 00:32:15,567 it's because Wes never gave up on me. 691 00:32:15,601 --> 00:32:17,736 ** 692 00:32:19,271 --> 00:32:20,606 He shouldn't die 693 00:32:20,639 --> 00:32:23,409 because I made dumbass decisions. 694 00:32:24,343 --> 00:32:27,746 ** 695 00:32:31,350 --> 00:32:33,085 (MONITOR BEEPING) 696 00:32:43,195 --> 00:32:44,796 DR. MELENDEZ: It's your surgery. 697 00:32:44,830 --> 00:32:47,866 And we have the exact same amount of experience with this. 698 00:32:47,899 --> 00:32:50,669 ** 699 00:32:54,906 --> 00:32:58,410 Free up the medulla along the inner cortical surface. 700 00:32:58,444 --> 00:33:00,346 Careful not to penetrate the cortex. 701 00:33:05,151 --> 00:33:07,286 SHAUN: Mm. 702 00:33:07,319 --> 00:33:08,920 Nothing's coming out. 703 00:33:08,954 --> 00:33:11,357 Try using your fingers to pinch the gland. 704 00:33:11,390 --> 00:33:13,225 Use a circular motion to coax it out. 705 00:33:16,195 --> 00:33:17,763 I've popped my share of pimples. 706 00:33:20,166 --> 00:33:22,801 (SIGHS) 707 00:33:22,834 --> 00:33:26,305 ** 708 00:33:45,324 --> 00:33:47,593 That's cool. 709 00:33:47,626 --> 00:33:49,328 ** 710 00:33:49,361 --> 00:33:50,962 One down, one to go. 711 00:33:54,500 --> 00:33:56,602 Wes is like a father to Max. 712 00:33:56,635 --> 00:33:57,703 If he were his actual father, 713 00:33:57,736 --> 00:33:59,205 we wouldn't hesitate to let him do it. 714 00:33:59,238 --> 00:34:00,372 I think we should. 715 00:34:02,174 --> 00:34:04,009 Me, too. 716 00:34:04,042 --> 00:34:05,511 The little punk got to me. 717 00:34:08,280 --> 00:34:10,549 We've explained all the risks. 718 00:34:10,582 --> 00:34:12,384 Max was unwavering. 719 00:34:14,353 --> 00:34:15,754 I vote yes. 720 00:34:16,522 --> 00:34:18,990 ** 721 00:34:21,693 --> 00:34:23,195 One admirable decision 722 00:34:23,229 --> 00:34:25,297 doesn't wipe away a lifetime of bad ones. 723 00:34:29,368 --> 00:34:31,002 It's three against one. 724 00:34:35,441 --> 00:34:37,376 This isn't a democracy. 725 00:34:41,947 --> 00:34:43,415 I'll tell the patient. 726 00:34:43,449 --> 00:34:46,718 ** 727 00:34:52,891 --> 00:34:54,960 (MONITOR BEEPING) 728 00:34:59,030 --> 00:35:00,566 One of the boys get into trouble again? 729 00:35:00,599 --> 00:35:02,434 (CHUCKLES) No. 730 00:35:02,468 --> 00:35:04,270 No, they've given you a reason to be proud. 731 00:35:06,338 --> 00:35:08,940 They all got tested to see if they were a match. 732 00:35:08,974 --> 00:35:10,276 Max is. 733 00:35:10,309 --> 00:35:11,977 He wants to give you his kidney. 734 00:35:16,448 --> 00:35:18,950 That little turd is full of surprises. (CHUCKLES) 735 00:35:34,700 --> 00:35:37,703 I can't approve the transplant, Wes. 736 00:35:39,471 --> 00:35:40,772 I'm sorry. 737 00:35:43,675 --> 00:35:46,478 Max is a good kid. 738 00:35:46,512 --> 00:35:50,216 He's gonna make a good man one day, thanks to you. 739 00:35:50,249 --> 00:35:52,150 But, for now, 740 00:35:52,184 --> 00:35:54,620 he still needs grown-ups to have his back. 741 00:35:54,653 --> 00:35:55,887 The risks to his health... 742 00:35:55,921 --> 00:35:56,955 It's okay. 743 00:35:56,988 --> 00:36:00,492 ** 744 00:36:02,994 --> 00:36:04,630 It... 745 00:36:04,663 --> 00:36:06,465 It's the right call. 746 00:36:12,404 --> 00:36:15,974 It's my job to save those kids. 747 00:36:16,007 --> 00:36:17,576 Not the other way around. 748 00:36:21,046 --> 00:36:22,481 You're still on the UNOS list. 749 00:36:24,115 --> 00:36:26,184 We'll keep reaching out to your family. 750 00:36:26,218 --> 00:36:27,686 We're not giving up. 751 00:36:27,719 --> 00:36:30,356 ** 752 00:36:34,660 --> 00:36:39,498 I need you to do one other thing for me. 753 00:36:39,531 --> 00:36:41,767 ** 754 00:36:45,337 --> 00:36:47,172 (DOOR OPENS) 755 00:36:57,416 --> 00:36:59,117 Sorry to interrupt. 756 00:36:59,150 --> 00:37:00,519 It's okay. 757 00:37:00,552 --> 00:37:02,888 No one's probably listening anyway. 758 00:37:02,921 --> 00:37:04,590 (CHUCKLES SOFTLY) 759 00:37:06,425 --> 00:37:09,461 ** 760 00:37:11,330 --> 00:37:13,064 (DOOR CLOSES) 761 00:37:15,066 --> 00:37:16,535 Your kidney's not a match. 762 00:37:18,937 --> 00:37:21,139 They said I was. 763 00:37:21,172 --> 00:37:23,775 Your blood and tissue type were good. 764 00:37:23,809 --> 00:37:25,777 But the serum crossmatch showed 765 00:37:25,811 --> 00:37:29,915 that Wes produces antibodies in reaction to your cells. 766 00:37:29,948 --> 00:37:32,050 His body would reject your kidney. 767 00:37:34,553 --> 00:37:36,288 I'm sorry. 768 00:37:39,425 --> 00:37:41,793 Figures. 769 00:37:41,827 --> 00:37:43,495 I can't do one stupid thing right. 770 00:37:43,529 --> 00:37:45,096 That's not true. 771 00:37:46,532 --> 00:37:48,300 You did everything you could. 772 00:37:50,902 --> 00:37:52,270 Wes is so proud of you. 773 00:37:52,304 --> 00:37:54,940 ** 774 00:38:01,447 --> 00:38:03,449 (CRYING) 775 00:38:03,482 --> 00:38:06,284 ** 776 00:38:23,034 --> 00:38:24,470 Any dizziness or nausea? 777 00:38:24,503 --> 00:38:26,805 No. No headaches, either. 778 00:38:26,838 --> 00:38:28,840 You need to try getting out of bed 779 00:38:28,874 --> 00:38:30,742 to see if your symptoms return. 780 00:38:30,776 --> 00:38:31,810 She ready for that? 781 00:38:31,843 --> 00:38:33,679 No cartwheels yet, but hopefully. 782 00:38:33,712 --> 00:38:35,246 (CHUCKLES) 783 00:38:40,486 --> 00:38:43,321 ** 784 00:38:52,998 --> 00:38:54,032 How's it feel? 785 00:38:57,536 --> 00:38:58,604 Room's not spinning. 786 00:38:58,637 --> 00:39:00,439 Mommy! You're all better! 787 00:39:00,472 --> 00:39:03,041 Whoa! Careful, sweet pea. 788 00:39:03,074 --> 00:39:05,143 Mama's still recovering. 789 00:39:05,176 --> 00:39:07,646 ** 790 00:39:07,679 --> 00:39:09,381 I'm okay. 791 00:39:11,883 --> 00:39:12,984 Ooh! 792 00:39:13,018 --> 00:39:16,888 ** 793 00:39:25,864 --> 00:39:28,066 Here's the Big Dipper. 794 00:39:28,099 --> 00:39:30,135 If you extend a straight line through these two, 795 00:39:30,168 --> 00:39:33,204 this bright star is Polaris. 796 00:39:33,238 --> 00:39:34,706 All of our phones have compass apps. 797 00:39:34,740 --> 00:39:37,342 Hey, just shut up and listen. 798 00:39:37,375 --> 00:39:38,544 This crap's important. 799 00:39:40,111 --> 00:39:42,548 Polaris is your true north. 800 00:39:44,249 --> 00:39:47,318 You keep your eye on that, you're gonna find your way out 801 00:39:47,352 --> 00:39:48,887 of whatever mess you've gotten into. 802 00:39:48,920 --> 00:39:52,558 (TO LOVE SOMEBODY PLAYS) 803 00:39:52,591 --> 00:39:55,427 ** 804 00:40:08,907 --> 00:40:11,076 * There's a light 805 00:40:12,511 --> 00:40:13,712 (CHUCKLES) 806 00:40:13,745 --> 00:40:15,481 (CLEARS THROAT) 807 00:40:15,514 --> 00:40:17,215 * Certain kind of light 808 00:40:17,248 --> 00:40:19,184 O...kay. 809 00:40:19,217 --> 00:40:20,486 All right. Mm. 810 00:40:20,519 --> 00:40:21,953 * Never shone on me 811 00:40:21,987 --> 00:40:24,623 ** 812 00:40:26,291 --> 00:40:27,826 * Want my life to be 813 00:40:27,859 --> 00:40:29,294 (CHUCKLES) (CLEARS THROAT) That's, uh... 814 00:40:29,327 --> 00:40:30,762 Even worse than it looks. 815 00:40:30,796 --> 00:40:32,698 (LAUGHS) 816 00:40:32,731 --> 00:40:34,566 It's so bad. It's so bad! 817 00:40:34,600 --> 00:40:35,967 (LAUGHS) 818 00:40:36,001 --> 00:40:37,769 Mm. Cooks, we are not. 819 00:40:37,803 --> 00:40:38,937 (LAUGHS) 820 00:40:40,105 --> 00:40:42,608 * And there's a way 821 00:40:42,641 --> 00:40:45,711 ** 822 00:40:45,744 --> 00:40:47,045 * Everybody say 823 00:40:47,078 --> 00:40:48,847 I think we should go on a date. 824 00:40:48,880 --> 00:40:49,881 A real date. 825 00:40:51,182 --> 00:40:53,752 Shaun, I already said no. 826 00:40:53,785 --> 00:40:57,088 Yes, because you think there are problems that can't be fixed. 827 00:40:57,122 --> 00:40:59,090 But I am very good at solving problems. 828 00:40:59,124 --> 00:41:01,893 I saved a woman today who nobody thought I could save. 829 00:41:01,927 --> 00:41:03,562 I don't need saving, Shaun. 830 00:41:03,595 --> 00:41:05,430 Okay. I understand. 831 00:41:05,463 --> 00:41:07,132 I can fix this. (SIGHS) 832 00:41:07,165 --> 00:41:10,301 Yes. You have to give me a chance. 833 00:41:10,335 --> 00:41:12,003 You need to let me try. 834 00:41:12,037 --> 00:41:13,605 No. I don't need to do anything. 835 00:41:13,639 --> 00:41:14,973 You need to listen to me. 836 00:41:15,006 --> 00:41:16,407 No. No... This is only proving my point. 837 00:41:16,441 --> 00:41:17,876 I have... I have a plan. 838 00:41:17,909 --> 00:41:19,410 I can fix it! 839 00:41:19,444 --> 00:41:21,146 I-I will fix it! 840 00:41:21,179 --> 00:41:23,815 Shaun, you're autistic. You can't fix that. 841 00:41:23,849 --> 00:41:26,652 ** 842 00:41:26,685 --> 00:41:29,220 * To love somebody 843 00:41:31,356 --> 00:41:33,592 You are who you are. 844 00:41:33,625 --> 00:41:35,160 And I am who I am. 845 00:41:35,193 --> 00:41:39,164 And the two of us will never work. 846 00:41:39,197 --> 00:41:40,999 * I love you 847 00:41:41,032 --> 00:41:43,569 * I love you 848 00:41:43,602 --> 00:41:47,606 * You don't know what it's like 849 00:41:49,140 --> 00:41:51,109 * You never, you never 850 00:41:51,142 --> 00:41:53,044 * You don't know what it's like 851 00:41:53,078 --> 00:41:55,947 * You never know what it's like 852 00:41:55,981 --> 00:41:59,017 ** 853 00:41:59,050 --> 00:42:02,554 * You don't know what it's like 854 00:42:04,522 --> 00:42:06,692 * You never, you never 855 00:42:06,725 --> 00:42:08,359 * You don't know what it's like 856 00:42:08,393 --> 00:42:10,862 * You never know what it's like 857 00:42:13,732 --> 00:42:16,802 * To love somebody 858 00:42:16,835 --> 00:42:21,807 * Ooh, to love somebody 859 00:42:21,840 --> 00:42:25,644 * The way I love you * 860 00:42:28,680 --> 00:42:31,182 **