I made you blueberry pancakes. Would you prefer cauliflower?
No, Shaun. That's our baby. I'm 36 weeks.
The baby is the size of a head of cauliflower.
Our baby will not be this bumpy.
I am very... happy.
Me too.
We're having a baby,
I have an amazing job, you're an attending.
We have a new family car. Dr. Glassman has moved down the hall.
Jared is coming back to work at the hospital.
It is great that he's back.
But, you know, the dynamic might be a little different.
Research has shown that when working with friends,
you get more done in less time and have fun on the job.
But Jared will be working for you, not with you.
It can be different when you have to manage a friend.
Lines can get blurred, and that can be hard.
The lines are not blurred. They are very clear.
Hey there, lover boy. Give me the details.
Are you and Jerome exchanging keys or getting a new place together?
- He did not ask me to move in. - What did he want to talk to you about?
I don't want to talk about it.
Now I wanna know even more, and my interrogation will continue until--
You going to the club or work?
These early calls need some getting used to.
Kendrick is the perfect pick-me-up.
- Never mad at Kendrick. - Yes.
- Nice shirt. Tom Ford? - Yeah, my good luck charm.
Figured it couldn't hurt on my first day back.
For $700 it should give you more than luck.
On occasion it has. See you guys in there.
The car is a bit much but the fashion is lit.
Now, Mr. Grumpy, what's going on with you?
Goodbye.
Dr. Kalu is not your peer, not your friend.
He is your employee and you are his boss.
I am confident that Jared will do a good job.
That's what I mean. He's not "Jared," he's "Dr. Kalu."
I do not always call people by their titles.
- Sometimes I call Dr. Allen-- - Dr. Murphy.
An informal communication style with Dr. Kalu
could create a perception of special treatment.
I do not plan to give Jared special treatment.
That doesn't mean Dr. Kalu isn't expecting it.
And if I see it, it won't be good for either of you.
She has bruising and pain even with passive range of motion.
Some bullies at school chased her. She fell down the stairs.
That's not how it happened.
We should've stuck with home-schooling. She insisted. Look what happened.
You need to be still.
Your shoulder is fractured. Ultrasound the patient.
- Why are you laughing? - She can't help it.
Yara has Tourette's. It's why she had the fight--
Mom, he was asking me. You never let me speak for myself.
It wasn't a fight.
Some kids thought it would be funny to point and stare at me.
Thought it'd be funny to egg their lockers.
Then my stupid tics messed up my getaway.
There's significant tissue swelling
and massive hematoma at the proximal humerus.
The fracture has caused an acute compartment syndrome.
You need surgery right away.
What were you doing when you started getting dizzy?
I was sitting in gym class and then the room started to spin.
And then I threw up. But I wasn't doing it.
I just introduced Carter to the Wonder Woman comics.
- He's been trying to learn the twirl. - I don't blame you. The twirl is awesome.
- Where's my little guy? - Hey, Mama E.
Hey, Carter G.
- You should have called me immediately. - Elaine's my mom.
I don't need your permission to bring him here.
Actually, you do. I'm his legal guardian.
- What's wrong with him? - His heart rate is quite low.
What does that mean?
Carter has an abnormality of electrical signals controlling his heartbeat.
We need to run some tests. Echo and electrophysiology study.
- The prodigal resident returns. - Lovely to see you as well, Dr. Reznick.
Will the hospital be getting a new wing in the Kalu family name?
My family are doing well, thanks.
And I was recruited to return based on my training,
breadth of experience and willingness to take a demotion back to a first-year.
It's gonna be hellish being bossed around by newbies
and people who used to be your peers. Grab me that box on the top shelf.
I missed you too.
While I was away, I learned how to read emotional energy.
And snapping at people is your love language.
Happy to know you still care.
- Good luck, newbie. - Thanks.
I've got to get to surgery. Enjoy.
Your control of the shaft segment is very precise.
Thank you.
Brown retractor.
No brown retractor.
I thought I put it on your tray.
My tools must be individually selected, sterilized
and placed in my tray before I begin the surgery.
Understood. Got it.
That will do. Further expose the proximal humerus.
Place sutures in rotator cuff to mobilize humeral head.
Sorry for dropping the ball with your tools. Rookie mistake.
Don't sweat it. You're BFFs with the boss, right?
I treat every resident the same.
Dr. Allen, place Steinmann pins proximal to biceps tendon.
Dr. Kalu, you are on suction.
Catheter placed in axillary vein.
I feel bad for Carter's mom.
I can't imagine trying to raise a kid
with my mother backseat-driving my every move.
Well, maybe if Bianca told Elaine she was taking Carter to the hospital,
she would trust her more.
Pacing wire.
Bianca was probably doing what she thought was best.
Withholding information is never for the best.
Advancing to the right ventricle.
- Everything okay between you two? - We're fine.
That can't be right.
I need contrast to clear up what I'm seeing on fluoroscopy.
L-transposition of the great arteries.
The ventricles are... inverted.
His heart is... backward.
Your surgery went well.
We decompressed and released your compartment syndrome
and stabilize your humerus fracture.
- Great. When can I go back to school? - A few days. Be sure to wear your sling.
- You're not going back to school. - Why not?
It's not safe. I'm not sending you back so they can hurt you.
I'm not a baby. I can take care of myself.
I need to take your vitals.
If you could, we wouldn't have ended up in the hospital.
Going to school is literally the only thing I do that's normal.
I don't want to be--
I don't want to be stuck at home with you. You never let me do anything by--
- Yara. - She's having a seizure.
We need two milligrams of lorazepam and MRI, stat!
She's sleeping like a baby.
You should've used propofol instead of Versed to sedate her.
Versed is old-school. Same effects, none of the overshooting.
- Why are you changing my settings? - Peds case.
Shorter duration imaging sequences cuts the time in half.
It's your first day, remember?
You could probably use a refresher before trying a shortcut.
I'm a little out of practice, but I got a few tricks up my sleeve.
- Says the guy who has to repeat a year. - Ow.
Shaun will appreciate getting Yara's results back faster. Trust me.
You know him better than me.
Was the patient properly sedated before you began this MRI?
Yeah. I used the standard pediatric protocol with Versed.
Did Dr. Allen tell you about our revised propofol protocol?
Yeah. But in my experience Versed provides better--
- You should've listened to Dr. Allen. - I know how to perform an MRI, Shaun.
You apparently do not.
There is too much motion degradation. These images are unusable.
Dr. Allen, please go redo the MRI. Dr. Kalu, we need to speak privately.
You cannot take shortcuts.
You're right. Sorry.
You cannot expect special treatment because you are my friend.
I'm not expecting special treatment, Shaun.
But I don't appreciate being treated like an intern either.
Technically, I'm a first-year, but I've been a doctor for as long as you have.
We are not peers. I am your boss and you have a lot to learn.
Dr. Andrews said he is judging my performance off of your performance,
and it is not good.
Okay?
- Okay. - Good.
You need to go practice basic skills
and observe our current standardized MRI process.
Heart block plus inverted cardiac anatomy. What's your plan?
Intravenous pacemaker is out. We could place it surgically.
Doesn't address the anatomy issue.
It could lead to heart failure as he gets older.
It could. He might be fine with the pacemaker.
If he's developed arrhythmia, not a great sign.
I'd recommend the double switch reconstruction.
Redirect blood flow to the right ventricle.
- I have Carter's BMP and cardiac labs. - I received them digitally.
But the hard copies are always appreciated.
- Trouble in paradise? - Everything's fine.
They're in this passive-aggressive fight.
- We're not fighting. - That would require you talking to me.
You don't have to share.
But you do have two divorcees
with a sadly ample amount of experience between us.
Was one of you in contact with an ex?
Took an out-of-state job without including you?
Jerome lied to me about something important.
- I didn't. - Omission is still a lie.
- Not that simple. - Should've told me.
- I wanted to. - You didn't.
I was afraid of how you'd react.
But you're right.
It never should have been a secret. There's nothing to hide.
I'm HIV positive.
Thanks to my meds, my viral load has been undetectable for years.
I'm poz undetectable.
I can't transmit the virus.
You should go talk to him.
I have work to do.
Present the double switch surgery to the family.
- If they agree, I'll scrub in. - On it.
No. How did we get from a pacemaker to reconstructing his heart?
The procedure may sound drastic,
but it will reduce his risk of developing heart failure.
Can't we give him the pacemaker
and do the surgery if the problem gets worse?
When he shows signs of heart failure, it'll be too late for the reconstruction.
- We should fix it now. - This isn't your decision.
You're still making me pay for mistakes I made when I was 17?
- And eighteen, nineteen, twenty-- - I've been back for two years.
How can I be a mother when you won't give me a chance?
Mama? Mama E? I don't feel good.
- It's okay, baby. I'm here. - Honey, what's wrong?
- My chest hurts. - Heart rate is 40bpm. BP 73/45.
We need a decision soon before his condition deteriorates.
I wanted to apologize for earlier. It was unprofessional.
You have nothing to apologize for... and no duty to disclose.
Undetectable equals untransmittable.
I appreciate you saying that.
- Give Asher some time. - He's a doctor.
He knows there was never any risk to him.
What people know and how it makes them feel
are often two very different things.
You've had years to process your status. Allow Asher to process it too.
- Please do not say "I told you so." - I won't. But I'm gonna think it.
You seem a little spoiled.
You don't know me.
You come from money and you haven't had to work hard for anything.
You made it through med school. Bravo to that.
You got kicked out of this program,
but landed on your feet taking care of a billionaire.
And when you got tired of that, you were welcomed back here.
You come in with your fancy car and your old tricks
and think, "Ta-da. I'm a surgeon." But you're not. Yet.
You're the new kid. Shaun is the boss and I have seniority.
You should've listened to Kendrick. Be humble.
I just want to prove that I belong here... to Shaun, to everyone.
- But you're right. - I know.
The image is still not high enough resolution.
Have you finished redoing the imaging?
Yes, and I followed all the protocols, but the image still doesn't look clear.
The image is clear... but Yara's diagnosis was incorrect.
She does not have Tourette's. She has a brain tumor.
I don't have Tourette's?
No. You have a hypothalamic hamartoma. Your tics aren't tics.
They are gelastic seizures caused by the tumor in your brain.
- Tumor? Does that mean cancer? - The tumor is not cancerous.
But a Gamma Knife radiosurgery should stop it from growing and treat the seizures.
Will it stop this?
- Not immediately. - And possibly not at all.
There are other options you can consider if you don't see improvement.
Or we could consider them now.
A successful resection could stop the seizures immediately.
- That procedure is risky. - But that means I can go back to school.
I could learn how to drive, take care of myself.
Mommy, please. I just want to be normal.
Tumor resection can cause stroke,
partial paralysis, learning deficits, meningitis.
The Gamma Knife is much safer.
- Yara, I'm sorry. I can't-- - You can.
You just won't let me.
Please go ahead and schedule the Gamma Knife procedure.
Have you made a decision?
I'm afraid of exposing Carter to more trauma.
- What trauma? - He was left by his mother.
I left him with you.
And expected me to pick up the pieces, fix everything.
I knew he was safer with you than with me.
But I didn't know that.
I gave you too much freedom, wasn't involved enough. Look what happened.
My mistakes were mine, not yours.
I was supposed to protect you. And we lost you.
I have to do better for Carter.
The surgery is what's best for Carter, long-term.
That kid is my heart.
I'm gonna trust you to fix his.
- Lunchtime. I'm starved. - I am not hungry.
It's not good to deprive your pregnant wife her lunch.
I thought it'd be fun working with a friend.
It is not fun. It is difficult.
I do not want people to think I am giving Dr. Kalu special treatment,
because I am not.
In fact, I am being very firm because he has already made several errors
and I do not understand why.
He's a new resident on his first day.
There has to be a bit of a learning curve.
He is not acting like a new resident.
Well, he's your friend, and he knows you expect a lot of him.
No one can follow the rules if they don't know what they are.
Atrial septum excised. Starting venous reconstruction.
May not be enough tissue for redirection of flow to the tricuspid valve.
We can use pericardium to create a baffle. Metz.
- You make up with Jerome yet? - He betrayed my trust.
Securing edge to atrial septum.
- You've never hidden anything from him? - I'd never hide something like this.
Congratulations. You win the virtue contest.
Possible prizes include the end of your relationship.
Or you could just talk it out. Dividing the aorta.
He's the one who changed things. Why is it on me to figure that out?
The question is, do you love Jerome enough to change with him?
Suturing distal aorta to pulmonary valve.
Coronary arteries are patent. Anastomosis looks great.
I never met a teenager who wanted to go to school as much as you.
I hate school.
But I hate not being able to control anything in my life even more.
Egging those lockers made you feel in control?
Kinda. Those bullies messed with me, I messed with them back.
Like normal kids do.
I was bullied a lot in high school.
I was scrawny, with braces, a lisp. Basically a target on my back.
But my mum helped me. Gave me her credit card to buy them off with pizza and candy.
My mom is too helpful.
She won't even let me make my own PB
She thinks I'll tic out and hurt myself with the knife.
When my body isn't controlling me, she is.
When you said you can cut this tumor out of my head, for 30 seconds,
I could imagine only laughing when something was funny.
- I think I found a solution. - I have found a solution as well.
I have made a list of boundaries and rules to make our working relationship better.
You need to study them. What have you found a solution for?
I think I found a better resection technique.
Has a lower risk profile, closer to that of a Gamma Knife.
And offers a better outcome for Yara.
I presented the safest option to the patient, which she agreed to.
And you should not have presented the tumor resection without consulting me.
That is an important boundary. Number two on the list.
I thought you'd be happy I was thinking like you.
- You're not me. You're here to learn. - I'm here to help people like Yara.
You need to respect I'm your attending. Number six on the list.
Don't have to be an attending to know she's depressed.
We cannot make medical decisions based off of the patient's emotions.
Sometimes the emotions are just as important as medical.
You are making my job very hard.
Number ten,
at work, follow my instructions precisely.
If you cannot comply, you will be out of the program.
I really messed up.
I should have trusted you, been upfront about everything.
Yeah, you should have.
After my diagnosis, it took a long time for me to feel comfortable dating,
or being around people.
I spent so much time alone.
And when I put myself back out there, there was a lot of rejection.
Guys just didn't want to deal with my status.
So when this adorable, brilliant doctor popped into my life...
and I liked him so much...
I was too scared to tell him the truth.
I'm sorry.
- This doctor sounds pretty great. - He is.
I made sure we always used protection, encouraged you to stay on PrEP.
All to make sure that you were safe.
That was a decision that you made for the both of us.
You did those things to make yourself feel better,
while you took away my choice.
How could you have known me and loved me
and think that this is something I couldn't accept?
When I first had to make this decision, I didn't love you. I barely knew you.
And I'm not sure I know you now.
I made a mistake. That doesn't change who I am.
No, but maybe it changes how I feel.
I'm sorry that I put you through this,
but I'm still the one living with this disease, and it's not easy.
It's Carter. I have to go.
He woke up and was laughing about his comic book, then he turned blue.
Oxygen saturation at 80%.120 bpm. Blood pressure's dropping.
Administering oxygen and 250cc normal saline bolus.
Why can't he breathe? The surgery was supposed to prevent this.
Normal lead impedance. The pacemaker is functioning properly.
Something else is going on. We need a cardiac echo, stat.
A kink in Carter's reconstructed atria caused a clot in his heart.
He's stable. But he needs another operation to remove the clot
and repair the conduit.
Are there other alternatives?
We could use a catheter to dissolve the blockage with medication.
But that still leaves the risk of a clot forming again.
- I knew doing this was the wrong decision. - We both want what's best for Carter.
- I'm the one responsible for him. - And I'm sorry I put that on you.
I will never forgive myself for losing out on those years of Carter's life,
but I've realized that I need to try to let go of that, let go of my regret,
and focus on what I know.
That leaving him with you was the best decision for him.
That will never change.
And this surgery is the right decision for him too.
You're his mother.
You know what's best for Carter.
I want my son to have the surgery.
- You were right. - I usually am.
What was I right about, exactly?
I came out of the gate too hot,
annoyed Shaun, screwed things up for Yara.
Agree.
- I gotta figure out my next move. - Listen.
This whole case, you've been pitching and shortcutting
and trying to be Mr. Fix-it for everything.
Stop flexing... and listen.
Mom, let me try the tumor resection surgery. Please.
I'm sorry. No.
- We're ready for you. - All right, baby.
But first... I want you to tell your mum what you told me.
About what you're dealing with, what the surgery means to you.
- I know. I see it every day. - Have you listened to how it feels to her?
- She doesn't care. - Of course I do.
You just want to boss me around.
I'm just trying to help,
but no matter what I do, you're always so angry at me.
I'm angry--
I'm angry at everything.
I'm angry at my body for not doing what I want it to do.
I'm angry at other kids for being jerks.
And I'm angry at you...
for acting like the only way for me to survive is where you're protecting me.
I feel like I'm a puppet, and somebody else is constantly pulling the strings,
yanking me all around.
Getting this tumor removed is the only way for me to cut the strings.
Don't take her yet.
We need to talk.
I need you to scrub in on a hypothalamic hamartoma surgery.
Okay.
I had planned to use Gamma Knife radiation,
but Dr. Kalu violated rule number two and we have to do his tumor resection.
You're upset with Jared 'cause he changed your plan?
He overstepped with me and the patient and her mother.
Tumor resection seems like a pretty good idea.
Are you planning on letting Jared scrub in?
- Yes. He will be on suction. - That's an insult.
He has to learn to follow rules. He has made my job very difficult.
Shaun, sit down.
When you were a resident, you did things completely your own way.
You still do. You rubbed everybody the wrong way.
You made everybody's job more difficult, especially mine.
You were a pain in the ass.
But we gave you the space to learn, and we learned from you.
And you turned yourself into an asset. Give Jared the same opportunity.
Okay, he overstepped.
Give him a chance to learn and to prove himself to be an asset.
Even if you think he's a pain in the ass.
- I will take it into consideration. - Okay.
Please scrub in for that surgery.
Advance the catheter and endoscope gently into the ventricle.
Suction and irrigate more aggressively so she can see what she is doing.
Proceed along the midline posteroinferior floor of the third ventricle.
- There's the tumor. We can begin excision. - Bipolar scissors.
Forceps.
- I'll take the specimen to pathology. - No.
You are going to close.
You sure?
This was your surgical plan.
You will become a better surgeon by getting a fair shot to be an asset.
I will take the specimen. Dr. Glassman will supervise.
I'm hungry.
That's a very good sign.
I'll run to the cafe and grab him some food. Any restrictions?
He can have as many chicken nuggets as he wants.
I'll go down. I'll get something for you to eat too.
You haven't left his side since we got here.
- Comes with being a good mom. - I had a great teacher.
You know, a little birdie told me
that the giftshop just got in the latest volume of Wonder Woman.
- Really? Can we get it? - If your mom is okay with it.
- Of course. - But no twirling just yet. Okay?
Dr. Murphy was able to remove all of the tumor.
- Yara? - Dr. Kalu?
Memory is intact.
The light didn't provoke a seizure. And your tics are gone.
- Thank you, Dr. Kalu. - Thank you, Yara.
Dr. Andrews.
Heard about your work on the Fields case. Good job.
Thank you. I just came in to ask you for a favor.
- Please judge me for my work, not Shaun. - Shaun is part of the reason you're here.
I appreciate him for that. But I want to stand on my own.
If I sink, I don't want to take my friend with me.
I'm ready to prove myself as an asset to this hospital.
- I'll be watching. - Thank you.
I'm sorry for being such a jerk.
You opened yourself up and I shut down.
I should've trusted you, that we could figure this out together.
Yesterday you said you didn't know me.
That adorable doctor can be an ass sometimes.
I've never been in love before you.
When I was 16, I'm pretty sure I ran over a raccoon,
but I didn't stop to check because I was running late to a baseball game.
Also...
I love a pumpkin spice latte, even though I know it's basic.
The cufflinks I wore to Shaun and Lea's wedding--
Yeah.
I bought them for you but liked them so much I kept them for me.
That explains so much.
But you can totally borrow them sometime. Probably not.
I love you.
I need you to believe that.
Just came to say good night. And thank you.
Why are you thanking me?
For not going easy on me. I was wrong to expect that.
Even if we are friends.
You are a good doctor.
And I would like to continue to be your friend and your boss...
with boundaries.
You're right. And I'm studying your list.
There is one rule that is not on the list.
It is a rule for me.
I will refer to you... as Dr. Kalu
when I am being your boss and as Jared when we are in friend mode.
- Yeah. Works for me, Shaun. - Good.
Jared, I would like to take you out for drinks to celebrate you being back.
But, Dr. Kalu, when I checked on Yara post-operatively,
I noticed you only used eight sutures and she had a small bleed.
You should have used ten. You need to go work on your suturing technique.
Happy to practice.
But I only replaced the small bone flap. Dr. Glassman closed the galea and skin.
Dr. Glassman skipped two sutures?
Guess so.
- Meet you for drinks in an hour? - Okay.