1
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Good morning.

2
00:00:04,659 --> 00:00:06,109
Admissions percentages at top colleges

3
00:00:06,144 --> 00:00:07,662
have dropped to record lows.

4
00:00:07,697 --> 00:00:09,238
You thinking about going back to school?

5
00:00:09,273 --> 00:00:10,355
No. No.

6
00:00:10,389 --> 00:00:12,633
I'm thinking about our son's future.

7
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As in starting a college fund
for the Peanut?

8
00:00:15,532 --> 00:00:18,328
No, I have put the Peanut on a waitlist

9
00:00:18,363 --> 00:00:20,813
for pre-kindergarten at McLelland Hall.

10
00:00:20,848 --> 00:00:23,885
Isn't McLelland Hall that snobby
private school in Menlo Park?

11
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It is one of the top
three feeder schools

12
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for Stanford University.

13
00:00:27,958 --> 00:00:30,340
So, you've not only decided
he's going to college,

14
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you've also picked out which one.

15
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Given our son's genetic makeup,

16
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he will probably be very intelligent

17
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and will require a challenging
academic curriculum.

18
00:00:40,079 --> 00:00:42,461
Or he may not even enjoy academics.

19
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Whatever he ends up doing
will be his call, not ours.

20
00:00:44,773 --> 00:00:47,259
Whatever pre-kindergarten
he ends up attending

21
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will be our call, not his.

22
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Hmm.

23
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Oh. No coffee.

24
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Glassy still in his room?

25
00:00:55,750 --> 00:00:58,200
No, I heard him leave at 6:14.

26
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He's been so sad about losing his house.

27
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How can you tell he's sad?

28
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Have you noticed how quiet he's been?

29
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Yes. It's been nice.

30
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Guess he's just throwing
himself into his work.

31
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Hmm.

32
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Dr. Murphy, little help here?

33
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Hmm.

34
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Give tetanus booster, clean the wound

35
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- with Betadine, administer...
- No, we got that. It's...

36
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We wanted a second opinion.

37
00:01:39,407 --> 00:01:41,100
Uh, Victor did.

38
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Before these young pups
take a saw to our son's foot,

39
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I'd like to talk to a supervisor.

40
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The nail's bent.

41
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I am their supervisor,

42
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and we need the saw
to cut the nail, not his foot.

43
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Are you good, Ricky?

44
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You all know my angel
for the past 11 years,

45
00:02:16,859 --> 00:02:18,206
- Dr. Lim.
- Oh.

46
00:02:18,240 --> 00:02:20,967
Hey, Roses. And this is my resident,
Dr. Jordan Allen.

47
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Hi! Roses?

48
00:02:23,694 --> 00:02:26,283
My website's called
"More than 65 Roses."

49
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It's what I called it
when I was diagnosed at five.

50
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Sixty-five roses, cystic fibrosis.

51
00:02:31,667 --> 00:02:32,844
Okay.

52
00:02:32,878 --> 00:02:36,327
And welcome to vlog number 458,

53
00:02:36,362 --> 00:02:38,709
going out all around the world.

54
00:02:38,743 --> 00:02:40,718
And what does DLT stand for?

55
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Oh,
that would be "double lung transplant."

56
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Whoo! Whoo!

57
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Your new lungs just arrived.

58
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Oh.

59
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Synced & corrected by -robtor-
www.addic7ed.com

60
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I never should've agreed to let him go.

61
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You didn't. You just stopped
fighting with me about it.

62
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He's running a mild fever, 100.4.

63
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Go where?

64
00:03:20,509 --> 00:03:22,891
Church camping trip,
less than an hour away.

65
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Camping can be very dangerous.

66
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Thank you, Dr. Murphy.

67
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You know, I had my first
fire-roasted s'more last summer,

68
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so camping can also be very fun.

69
00:03:31,624 --> 00:03:34,213
Thank you, Dr. Wolke.

70
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Be careful, please.

71
00:03:36,042 --> 00:03:37,905
Victor, he's a doctor.

72
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Just try to trust...

73
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Trust that things will work out, yep.

74
00:03:41,220 --> 00:03:42,527
I know.

75
00:03:43,808 --> 00:03:45,569
You're a Warriors fan, huh?

76
00:03:45,602 --> 00:03:46,668
You like Steph Curry?

77
00:03:47,226 --> 00:03:48,744
I like Draymond.

78
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A rebel. I like it.

79
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Huh. Look at this beast.

80
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Nice job, Ricky.

81
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His temperature just jumped two degrees.

82
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Let's get a CBC, blood cultures,

83
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and a CT of his foot to check for
damage to the bones and muscles.

84
00:04:23,848 --> 00:04:26,610
Dr. Park, how kind of you to join me.

85
00:04:26,644 --> 00:04:27,783
You paged me.

86
00:04:27,818 --> 00:04:31,235
Have a seat. And, yes,
they're Herman Miller.

87
00:04:31,270 --> 00:04:34,549
Cappuccino, mochaccino, espresso, latte?

88
00:04:34,583 --> 00:04:35,964
None of those are for you.

89
00:04:38,245 --> 00:04:40,039
Okay, I was wrong.

90
00:04:40,175 --> 00:04:42,177
This is the perfect job for you.

91
00:04:42,211 --> 00:04:44,938
Your first study has,
what, 800 patients?

92
00:04:44,973 --> 00:04:47,424
But since you've had
four whole days to hire

93
00:04:47,458 --> 00:04:49,288
all the clinical trial nurses
you'll need,

94
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should be easy.

95
00:04:52,463 --> 00:04:54,672
I may be a little behind
and may already have

96
00:04:54,706 --> 00:04:56,571
thirteen patients waiting,
but I will handle it.

97
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With a lot of cappuccinos.

98
00:04:59,263 --> 00:05:00,659
Thanks for your support.

99
00:05:02,611 --> 00:05:04,538
Do you want me to give you a hand?

100
00:05:05,062 --> 00:05:07,749
I have 90 minutes
before my next surgery.

101
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In exchange for unlimited
use of your espresso machine.

102
00:05:12,759 --> 00:05:14,965
We'll see.

103
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Poor Ricky.

104
00:05:27,464 --> 00:05:30,639
He probably just has a minor infection.

105
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I meant the parents.

106
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They went to two very different
schools of thought on child rearing.

107
00:05:35,403 --> 00:05:38,716
It's hard on the marriage
but harder on the kid.

108
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Everyone has
different opinions, Dr. Wolke.

109
00:05:41,581 --> 00:05:44,826
Yeah, which they really need
to sort out before having kids.

110
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My college roommate, who was Jewish,

111
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married a wonderful Catholic woman.

112
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They had three children
in quick succession,

113
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started fighting about
how to parent them non-stop.

114
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See, my parents never fought about us

115
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because my dad didn't care,

116
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as long as my mom got
me and my brother dressed

117
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and out in time for chores.

118
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Well...

119
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No hematoma or abscess.

120
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No explanation for the fever.

121
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My neck, it really hurts.

122
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Okay.

123
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Hey. I got you.

124
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He has tick bites on his back.

125
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Pink, plump, and spongy.

126
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What's that?

127
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Pneumonia?

128
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In both lungs.

129
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She's lucky if she has another week.

130
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Ex vivo lung perfusion.

131
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Maybe we can make
the lungs heal themselves.

132
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That's usually used in cases
involving pulmonary edema.

133
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Get the lungs. Meet me
in the Procedure Room.

134
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Tick bites?

135
00:07:26,568 --> 00:07:28,570
His fever, vomiting, and sore neck...

136
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- which could be neurological...
- It's in his brain?

137
00:07:31,263 --> 00:07:33,748
Possibly, but the blood tests
were inconclusive,

138
00:07:33,782 --> 00:07:35,060
so we'd like to do a lumbar puncture

139
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to check Ricky's cerebrospinal fluid.

140
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This camp just keeps
getting better and better.

141
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Can we not do this right now?

142
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I just want to make sure
this never happens again.

143
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And I don't?

144
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I care about our son
every bit as much as you do.

145
00:07:47,727 --> 00:07:50,592
And yet, you keep prioritizing
fun over safety.

146
00:07:50,627 --> 00:07:52,801
Yes, I care about fun,

147
00:07:52,836 --> 00:07:55,077
and socialization,
self-esteem, self-expression...

148
00:07:55,111 --> 00:07:57,427
Yeah, none of which are
as important as his safety.

149
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I can't do this anymore.

150
00:08:01,707 --> 00:08:03,295
Wh...

151
00:08:18,206 --> 00:08:20,243
Got through six so far.
Only one with a minor reaction.

152
00:08:20,277 --> 00:08:21,623
- You?
- Me, too.

153
00:08:21,658 --> 00:08:24,902
So, we are 12 down, one to go.

154
00:08:26,939 --> 00:08:28,389
Mr. Riggs?

155
00:08:28,423 --> 00:08:29,976
Mr. Riggs?

156
00:08:33,462 --> 00:08:35,085
Sorry.

157
00:08:35,120 --> 00:08:36,983
I just drifted off.

158
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My fault for
keeping you waiting so long.

159
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So, how are you feeling?

160
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Aside from tired.

161
00:08:44,612 --> 00:08:46,648
Uh, just a bit achy.

162
00:08:46,683 --> 00:08:49,410
Especially my knees and elbows, hips.

163
00:08:49,444 --> 00:08:51,721
And some mild jaundice.

164
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Other than that, I feel pretty good.

165
00:09:00,352 --> 00:09:01,456
- Hello.
- Oh.

166
00:09:01,491 --> 00:09:04,632
We should sort out our
differences about child raising.

167
00:09:04,666 --> 00:09:05,978
If this is about McLelland Hall, Shaun,

168
00:09:06,012 --> 00:09:07,842
- it's not a big deal.
- Oh, no, I have made a list

169
00:09:07,876 --> 00:09:09,671
of 37 other potential differences.

170
00:09:09,706 --> 00:09:11,535
And I'd love to discuss them all,

171
00:09:11,570 --> 00:09:13,813
but Andrews just approved
new EMR software

172
00:09:13,848 --> 00:09:16,644
and wants me to run a beta test
on it in the next 24 hours.

173
00:09:16,678 --> 00:09:18,128
- Have you talked to Glassy?
- No.

174
00:09:18,163 --> 00:09:20,613
He didn't come to work today,
but I got a text.

175
00:09:20,648 --> 00:09:22,857
He says that he is okay.

176
00:09:22,891 --> 00:09:24,503
So where is he?

177
00:10:08,420 --> 00:10:10,227
It is not over yet.

178
00:10:10,261 --> 00:10:13,721
Lungs are remarkably resilient organs

179
00:10:13,755 --> 00:10:15,737
when they are in a body.

180
00:10:15,772 --> 00:10:19,051
Which is why we have to
convince them they still are.

181
00:10:19,085 --> 00:10:21,260
We give them a blood supply
by hooking them up

182
00:10:21,295 --> 00:10:23,089
to a perfusion machine,

183
00:10:23,124 --> 00:10:26,852
an air supply by hooking
them up to a ventilator,

184
00:10:26,886 --> 00:10:29,303
IV drips to feed them antibiotics,

185
00:10:29,337 --> 00:10:32,513
and we might just be able
to con them back into viability.

186
00:10:32,547 --> 00:10:34,740
The next six hours are crucial.

187
00:10:35,136 --> 00:10:37,518
How will you know if they're viable?

188
00:10:37,552 --> 00:10:40,762
Our main indicator is a
calculation called the P/F ratio.

189
00:10:40,797 --> 00:10:43,765
When that reaches at least
400 millimeters of mercury,

190
00:10:43,800 --> 00:10:45,584
those lungs are good to go.

191
00:10:48,425 --> 00:10:51,173
Mom, relax, it's Dr. L.

192
00:11:07,099 --> 00:11:10,171
Palpate to find the L3-4 interspace.

193
00:11:10,205 --> 00:11:13,485
Maybe Lea and I will not be
able to sort out our differences

194
00:11:13,519 --> 00:11:16,660
about child raising and become
angry like Victor and Shelley.

195
00:11:16,695 --> 00:11:19,422
You and Lea are nothing like
Victor and Shelley.

196
00:11:19,456 --> 00:11:21,380
They come from completely
different worlds,

197
00:11:21,414 --> 00:11:23,564
have vastly different outlooks...

198
00:11:23,598 --> 00:11:25,807
Lea and I are very different, too.

199
00:11:25,842 --> 00:11:27,809
Insert the spinal needle.

200
00:11:27,844 --> 00:11:29,432
And who knows
how much they love each other.

201
00:11:29,466 --> 00:11:31,951
You and Lea, on the other hand,
I know you do. A lot.

202
00:11:31,986 --> 00:11:33,643
And that's all that matters.

203
00:11:33,677 --> 00:11:35,759
At least, according to
the Hallmark Channel.

204
00:11:37,291 --> 00:11:38,293
I'm in.

205
00:11:41,513 --> 00:11:43,998
Whoa, whoa. Whoa, whoa, whoa.

206
00:11:44,032 --> 00:11:47,277
The infection has elevated
his intracranial pressure.

207
00:11:47,312 --> 00:11:50,016
Intubate and load him with
levetiracetam and dexamethasone

208
00:11:50,041 --> 00:11:51,663
before his brain herniates.

209
00:12:00,424 --> 00:12:02,287
CSF confirmed a very rare infection

210
00:12:02,322 --> 00:12:03,806
called Naegleria fowleri.

211
00:12:03,841 --> 00:12:06,913
It's a brain-eating amoeba that's
caused serious cerebral swelling.

212
00:12:06,947 --> 00:12:09,793
We need to put Ricky
in a barbiturate-induced coma

213
00:12:09,827 --> 00:12:12,984
and surgically place a port
into the center of his brain.

214
00:12:13,009 --> 00:12:14,493
Then we will flood it with antibiotics,

215
00:12:14,528 --> 00:12:16,668
which will hopefully reduce the edema.

216
00:12:16,703 --> 00:12:18,532
And he contracted this from a tick?

217
00:12:18,566 --> 00:12:22,709
Oh, no, it's contracted via
contaminated water through the nose.

218
00:12:22,743 --> 00:12:25,332
So... So he got it from
the swimming hole at camp?

219
00:12:25,366 --> 00:12:26,574
That's a good guess.

220
00:12:26,609 --> 00:12:28,404
But Ricky's way too anxious around water

221
00:12:28,438 --> 00:12:32,028
to ever put his head under,
let alone get water up his nose.

222
00:12:32,063 --> 00:12:33,927
Naegleria Fowleri has also been found

223
00:12:33,961 --> 00:12:35,273
in untreated swimming pools,

224
00:12:35,307 --> 00:12:37,102
- nasal rinses, water heaters...
- Nasal rinses?

225
00:12:38,448 --> 00:12:40,727
If unboiled tap water is used.

226
00:12:42,590 --> 00:12:45,352
I gave him a nasal rinse
the morning he left for camp.

227
00:12:46,130 --> 00:12:47,856
He had a runny nose.

228
00:12:48,804 --> 00:12:50,888
That is a better guess.

229
00:12:56,839 --> 00:12:58,479
Excuse me.

230
00:13:06,442 --> 00:13:08,099
Riggs has fatigue, joint pain,

231
00:13:08,133 --> 00:13:09,617
impaired mental acuity,

232
00:13:09,652 --> 00:13:12,482
tachycardia, and mild liver failure.

233
00:13:12,517 --> 00:13:14,899
- Thanks.
- Maybe he has a pre-existing condition.

234
00:13:14,933 --> 00:13:16,486
In which case he should've
been eliminated

235
00:13:16,521 --> 00:13:18,661
by any remotely competent
screening process.

236
00:13:18,695 --> 00:13:21,560
Those protocols were in place
before you came on board.

237
00:13:21,595 --> 00:13:24,874
I'll remind the CRO of that
when I tell them, on my first day...

238
00:13:24,909 --> 00:13:27,256
that their $4 million trial
needs to be trashed.

239
00:13:27,290 --> 00:13:28,809
How about you save
the doomsday predictions

240
00:13:28,844 --> 00:13:30,845
until after the blood panel results?

241
00:13:32,295 --> 00:13:33,973
Lab is on the way to the OR.

242
00:13:39,786 --> 00:13:41,480
It hasn't been six hours yet, has it?

243
00:13:42,098 --> 00:13:43,274
Six and a quarter.

244
00:14:10,817 --> 00:14:11,956
You want company?

245
00:14:15,096 --> 00:14:16,096
Thanks.

246
00:14:34,434 --> 00:14:37,195
Hello. Where is Victor?

247
00:14:37,671 --> 00:14:39,288
Beating himself up somewhere.

248
00:14:41,608 --> 00:14:44,627
I just wish that made a difference.

249
00:14:46,887 --> 00:14:48,756
Do you love each other?

250
00:14:51,823 --> 00:14:55,304
Yeah. Of course.

251
00:14:55,862 --> 00:14:58,416
We've always been oil and water.

252
00:14:58,450 --> 00:15:00,556
That's how my dad describes us.

253
00:15:00,590 --> 00:15:03,904
Victor grew up in Belgrade,
I grew up in Berkeley.

254
00:15:03,939 --> 00:15:06,182
Different religions, politics,

255
00:15:06,217 --> 00:15:07,858
socio-economic status.

256
00:15:09,185 --> 00:15:10,531
But when I got pregnant,

257
00:15:10,566 --> 00:15:14,190
we knew we had
a lot of issues to work out.

258
00:15:14,225 --> 00:15:15,866
And we did.

259
00:15:16,744 --> 00:15:19,328
And then Ricky was born, and...

260
00:15:20,576 --> 00:15:23,717
we suddenly started arguing over...

261
00:15:23,751 --> 00:15:26,210
when can he safely eat tree nuts?

262
00:15:27,031 --> 00:15:28,929
How high should he climb
on the jungle gym?

263
00:15:28,964 --> 00:15:31,069
When can he stay with a babysitter?

264
00:15:31,104 --> 00:15:33,761
Those little things were the ones

265
00:15:33,796 --> 00:15:35,427
we could never work out.

266
00:15:36,890 --> 00:15:39,163
But, yes, we still love each other.

267
00:15:39,197 --> 00:15:40,933
It's just that...

268
00:15:41,873 --> 00:15:44,061
I'm not sure love is enough anymore.

269
00:15:47,721 --> 00:15:51,277
Still waiting, still hoping.

270
00:15:52,095 --> 00:15:55,698
That's kinda what we do,
isn't it, Roses?

271
00:15:57,820 --> 00:16:00,202
And the wait is over.

272
00:16:12,248 --> 00:16:13,560
I'm sorry.

273
00:16:19,531 --> 00:16:21,098
We've put you back on the list.

274
00:16:23,259 --> 00:16:24,847
You're at the very top.

275
00:16:29,615 --> 00:16:31,062
I deserved this.

276
00:16:33,534 --> 00:16:35,112
I wanted those lungs.

277
00:16:37,549 --> 00:16:39,172
I wanted someone to die.

278
00:16:39,827 --> 00:16:40,967
Brecka.

279
00:16:55,666 --> 00:16:57,686
Honey, should we... Should we finish?

280
00:16:59,951 --> 00:17:00,987
No.

281
00:17:17,417 --> 00:17:20,032
- Hello, Dr. Glassman.
- Geez! Man!

282
00:17:22,146 --> 00:17:26,114
Shaun, you might try knocking next time,

283
00:17:26,150 --> 00:17:29,166
although, you know,
that might be a little tough.

284
00:17:33,536 --> 00:17:35,987
What are you looking for?

285
00:17:36,022 --> 00:17:37,989
Oh, you know...

286
00:17:38,024 --> 00:17:39,802
my life.

287
00:17:40,854 --> 00:17:42,511
Just my life.

288
00:17:59,513 --> 00:18:00,982
Not yet.

289
00:18:01,446 --> 00:18:03,517
I think I'm gonna keep at it for a bit.

290
00:18:08,114 --> 00:18:09,219
Okay.

291
00:18:09,244 --> 00:18:11,936
No. This is on me. You can head home.

292
00:18:13,602 --> 00:18:14,787
Thanks.

293
00:18:23,229 --> 00:18:27,337
I will miss your big-screen LED TV.

294
00:18:27,371 --> 00:18:28,683
It was old.

295
00:18:28,717 --> 00:18:31,548
It had a pixel line down the right side.

296
00:18:31,582 --> 00:18:33,515
Did you love Ilana?

297
00:18:34,413 --> 00:18:37,139
What? Did I love Ilana?

298
00:18:37,174 --> 00:18:38,520
Yeah, of course.

299
00:18:38,555 --> 00:18:41,105
Did you love Debbie?

300
00:18:42,731 --> 00:18:45,286
Yeah, I loved Debbie.
Where is this going, Shaun?

301
00:18:45,320 --> 00:18:48,496
That wasn't enough for you
to get over your differences.

302
00:18:48,530 --> 00:18:51,499
How do I know if love will be enough

303
00:18:51,533 --> 00:18:54,329
for me and Lea to get over
our differences?

304
00:18:54,364 --> 00:18:55,951
Well, you won't know.

305
00:18:55,986 --> 00:18:58,230
I mean, how can you know?
You can't know.

306
00:18:59,231 --> 00:19:02,061
I do not like worrying about this.

307
00:19:02,095 --> 00:19:03,718
Well, look, I mean,

308
00:19:03,752 --> 00:19:05,927
Lea had some doubts
a little while ago, right?

309
00:19:05,961 --> 00:19:07,411
And you both got over that.

310
00:19:07,446 --> 00:19:09,724
Yes, because I was very supportive.

311
00:19:09,758 --> 00:19:11,208
Okay, well, there you go.

312
00:19:11,243 --> 00:19:14,107
But differences about
child raising seem to be bigger

313
00:19:14,142 --> 00:19:16,178
- than normal differences.
- Well, yeah.

314
00:19:16,213 --> 00:19:18,111
I mean, having a child,
I mean, that's big.

315
00:19:18,146 --> 00:19:19,461
That's huge. That's a shift.

316
00:19:19,495 --> 00:19:21,632
It shifts everything,
marriage, everything.

317
00:19:21,667 --> 00:19:24,911
I do not want a shift in our marriage.

318
00:19:24,946 --> 00:19:26,859
Well, maybe it'll shift for the better.

319
00:19:34,438 --> 00:19:35,543
Aardy's eye.

320
00:19:36,406 --> 00:19:39,961
The first thing I ever bought
Maddie was a stuffed aardvark.

321
00:19:46,238 --> 00:19:49,517
Back in the day,
I performed a 21-hour surgery.

322
00:19:49,626 --> 00:19:53,008
I removed an astrocytoma
from the medulla of the brainstem.

323
00:19:53,043 --> 00:19:55,148
It was heroic. It put me on the map.

324
00:19:55,183 --> 00:19:57,283
My elective surgeries
were booked out for a year.

325
00:19:57,318 --> 00:20:01,120
I was in a zone,
like playing scratch golf.

326
00:20:01,154 --> 00:20:03,985
And then Ilana got pregnant.

327
00:20:05,987 --> 00:20:07,333
She didn't want to stop working.

328
00:20:07,368 --> 00:20:08,783
She had a real-estate thing.

329
00:20:08,817 --> 00:20:10,612
She was doing very well.
I didn't want to stop working.

330
00:20:10,647 --> 00:20:12,304
I wanted to stay on the map.

331
00:20:13,684 --> 00:20:15,099
And then we brought Maddie home.

332
00:20:15,134 --> 00:20:16,933
That first night...

333
00:20:19,000 --> 00:20:20,413
everything changed.

334
00:20:24,039 --> 00:20:25,543
Hmm.

335
00:20:26,525 --> 00:20:28,596
Go talk to Lea.

336
00:20:28,630 --> 00:20:30,673
I tried.

337
00:20:31,081 --> 00:20:35,016
She had to run a beta test
on new EMR software.

338
00:20:35,050 --> 00:20:37,555
Well, then, you'll have to wait
until she's done.

339
00:21:04,010 --> 00:21:07,393
All I had on my DVR
was a marathon of Shark Tank.

340
00:21:07,428 --> 00:21:09,015
Can't say I was in the mood
to be staring

341
00:21:09,050 --> 00:21:10,638
at Mr. Wonderful's bald head,

342
00:21:10,672 --> 00:21:12,812
so why not entertain myself

343
00:21:12,847 --> 00:21:15,815
by watching some
hot lung perfusion action?

344
00:21:15,850 --> 00:21:17,714
I'm not one to kink shame.

345
00:21:17,748 --> 00:21:20,682
Coffee and cronuts from Chaz's Bakery.

346
00:21:20,717 --> 00:21:22,512
I'm happy for the company.

347
00:21:22,546 --> 00:21:25,342
Noomie's not much
of a conversationalist.

348
00:21:25,377 --> 00:21:27,275
N-Noomie?-My pet name for them.

349
00:21:27,309 --> 00:21:29,242
From the Greek word
for lungs, pneumonas.

350
00:21:29,277 --> 00:21:31,728
I thought it was better than Lung-ie.

351
00:21:31,762 --> 00:21:33,350
Yeah, I may be losing it.

352
00:21:33,385 --> 00:21:35,421
Cronut.

353
00:21:38,044 --> 00:21:40,081
- Mmm.
- Any progress?

354
00:21:40,115 --> 00:21:42,083
Negligible.

355
00:21:42,117 --> 00:21:43,740
I keep doing the same thing
over and over,

356
00:21:43,774 --> 00:21:45,998
hoping for a different outcome.

357
00:21:46,398 --> 00:21:49,021
Yeah, I'm definitely losing it.

358
00:21:49,055 --> 00:21:50,586
Then do something different.

359
00:21:58,720 --> 00:22:00,204
Okay.

360
00:22:06,953 --> 00:22:10,267
Doubling up on antibiotics,
and we can add steroids.

361
00:22:10,422 --> 00:22:13,563
This will either
hammer out the infection...

362
00:22:14,115 --> 00:22:15,288
or the lungs.

363
00:22:24,815 --> 00:22:26,023
How's Glassy?

364
00:22:26,058 --> 00:22:28,923
Very sore and very sooty.

365
00:22:28,996 --> 00:22:30,515
Mmm.

366
00:22:34,929 --> 00:22:37,483
We need to talk.

367
00:22:37,518 --> 00:22:39,243
About our 37 differences?

368
00:22:39,278 --> 00:22:41,011
I thought of two more.

369
00:22:42,833 --> 00:22:45,457
Shaun, as you know,
I'm kinda busy right now,

370
00:22:45,491 --> 00:22:47,251
so you'll have to settle
for me agreeing that,

371
00:22:47,286 --> 00:22:49,288
yes, we'll have many, many differences,

372
00:22:49,322 --> 00:22:52,084
but in time, we'll be able
to work them out and...

373
00:22:52,118 --> 00:22:53,741
That's what Victor and Shelley thought,

374
00:22:53,775 --> 00:22:56,151
and now they are talking
about separating.

375
00:22:57,009 --> 00:22:59,583
I don't know who Victor and Shelley are.

376
00:23:00,205 --> 00:23:03,346
But in any event, I have at least
two more hours of work to do tonight.

377
00:23:05,373 --> 00:23:06,926
Okay.

378
00:23:15,659 --> 00:23:18,075
- You're waiting, aren't you?
- Yes.

379
00:23:18,110 --> 00:23:20,146
I am very patient.

380
00:23:20,181 --> 00:23:22,010
You are very patient

381
00:23:22,045 --> 00:23:23,356
and very understanding.

382
00:23:23,391 --> 00:23:25,289
And you were so good with me
on our babymoon.

383
00:23:25,324 --> 00:23:27,326
If you could just channel
some of that...

384
00:23:27,360 --> 00:23:30,363
On our babymoon,
I thought love was enough.

385
00:23:34,160 --> 00:23:35,666
That's...

386
00:23:36,237 --> 00:23:40,373
kind of a big thing to drop on me
this late at night.

387
00:23:40,408 --> 00:23:42,444
You were too busy to discuss it
in the morning,

388
00:23:42,479 --> 00:23:44,343
so I talked to Dr. Glassman about it,

389
00:23:44,377 --> 00:23:47,415
and he said having a child
will shift our dynamics.

390
00:23:47,449 --> 00:23:49,866
And if it does,
we can talk about it then.

391
00:23:49,900 --> 00:23:52,213
So if we can't talk
about our dynamics now,

392
00:23:52,247 --> 00:23:53,628
how about our differences?

393
00:23:53,663 --> 00:23:55,078
Apparently we have 39 of them,

394
00:23:55,112 --> 00:23:56,458
so we're gonna need
a serious chunk of time,

395
00:23:56,493 --> 00:23:57,977
and I'm pretty sure they'll keep,

396
00:23:58,012 --> 00:23:59,979
because we're kinda committed
to having a kid together,

397
00:24:00,014 --> 00:24:02,257
whether love is enough or not.

398
00:24:03,500 --> 00:24:06,503
Shaun, I'm just...
I'm way too tired to have

399
00:24:06,538 --> 00:24:10,196
a productive conversation
about this right now, okay?

400
00:24:10,714 --> 00:24:11,957
Okay.

401
00:24:41,309 --> 00:24:42,724
It's time to call it.

402
00:24:45,827 --> 00:24:47,406
I had a half an hour left on my call

403
00:24:47,440 --> 00:24:49,598
when she first came to the ER,

404
00:24:49,960 --> 00:24:52,135
coughing blood, vitals on the floor.

405
00:24:53,907 --> 00:24:55,529
When we opened her up,
her lungs looked like

406
00:24:55,564 --> 00:24:57,220
they belonged to a 70-year-old.

407
00:24:57,255 --> 00:24:59,464
Didn't think she'd make it
through the night.

408
00:24:59,499 --> 00:25:00,776
She was eight.

409
00:25:03,503 --> 00:25:05,539
I couldn't go home.

410
00:25:05,574 --> 00:25:07,438
I stayed with her that night.

411
00:25:08,956 --> 00:25:11,662
And then, the next morning, she just...

412
00:25:12,132 --> 00:25:13,823
opened her eyes, looked at me,

413
00:25:13,858 --> 00:25:15,958
and told me she liked my French braid.

414
00:25:19,864 --> 00:25:21,175
Once I call it...

415
00:25:23,384 --> 00:25:25,766
I have to go up there
and tell her I failed her.

416
00:25:35,051 --> 00:25:36,846
Got Riggs' latest test results.

417
00:25:36,881 --> 00:25:39,746
Turns out he did have
a pre-existing condition...

418
00:25:39,780 --> 00:25:41,817
hemochromatosis.

419
00:25:41,851 --> 00:25:43,861
So the jerk lied about it
to get into the study.

420
00:25:44,958 --> 00:25:46,684
That's your assumption?

421
00:25:46,718 --> 00:25:48,582
He got $3,500 to participate.

422
00:25:48,617 --> 00:25:50,515
I think it's a pretty sound assumption.

423
00:25:50,550 --> 00:25:51,965
But whether he lied or not,

424
00:25:51,999 --> 00:25:54,139
it means the screeners are incompetent.

425
00:25:54,174 --> 00:25:55,831
That's gotta take a toll.

426
00:25:56,797 --> 00:25:58,489
Expecting the worst of everybody.

427
00:25:58,523 --> 00:26:01,336
I'd rather be pleasantly surprised
than bitterly disappointed.

428
00:26:03,517 --> 00:26:06,300
And that's the worldview you
want to impart to your future child,

429
00:26:07,438 --> 00:26:09,060
"Assume the worst of everyone"?

430
00:26:17,853 --> 00:26:19,199
Help!

431
00:26:19,233 --> 00:26:21,201
We need help in here!

432
00:26:22,202 --> 00:26:23,824
What's happening?

433
00:26:23,859 --> 00:26:26,689
Add a milligram of lorazepam.
He's seizing.

434
00:26:26,724 --> 00:26:28,277
Because his ICPs are in the 40s.

435
00:26:28,311 --> 00:26:29,899
Cerebral edema's gotten worse.

436
00:26:29,934 --> 00:26:31,970
If we don't open up
Ricky's skull immediately,

437
00:26:32,005 --> 00:26:33,489
he will die.

438
00:26:40,643 --> 00:26:43,887
Removing large hemicrani skull flap.

439
00:26:43,922 --> 00:26:46,585
Performing wide dural opening.

440
00:26:52,068 --> 00:26:53,621
Look at the monitor.

441
00:26:53,656 --> 00:26:55,865
EEG's all over the place.
He's still seizing.

442
00:26:55,899 --> 00:26:57,497
Place an additional EVD

443
00:26:57,521 --> 00:26:59,662
and increase propofol to burst suppress.

444
00:26:59,696 --> 00:27:01,215
Eh, but he's maxed out.

445
00:27:01,249 --> 00:27:03,320
If we give him any more
propofol, we could kill him.

446
00:27:03,355 --> 00:27:06,146
If we don't, the seizures
will definitely kill him.

447
00:27:13,607 --> 00:27:15,505
Oh. We can remove the damaged cortex

448
00:27:15,540 --> 00:27:17,438
in the left anterior temporal lobe

449
00:27:17,472 --> 00:27:20,406
using ECoG and pre-op imaging
to guide us.

450
00:27:20,441 --> 00:27:22,685
Cut out part of his brain?
That's a little extreme.

451
00:27:22,719 --> 00:27:25,411
It is the area
that's causing the seizures.

452
00:27:25,446 --> 00:27:27,275
It'll just be a
tough sell to his parents.

453
00:27:27,310 --> 00:27:28,760
Which is why you will help.

454
00:27:28,794 --> 00:27:32,790
Okay, please keep him stabilized
with iced LR to the cortical surface.

455
00:27:33,178 --> 00:27:34,593
Uh...

456
00:27:39,322 --> 00:27:42,118
"The country flew past
as if they were seeing it

457
00:27:42,152 --> 00:27:44,845
from the windows of an express train.

458
00:27:44,879 --> 00:27:47,228
Faster and faster they raced,

459
00:27:48,158 --> 00:27:49,981
but no one got tired or out of breath."

460
00:27:52,956 --> 00:27:55,570
We can save the last chapter for later.

461
00:27:57,892 --> 00:27:59,532
There is no later.

462
00:28:08,627 --> 00:28:10,111
Where's Dr. L?

463
00:28:12,377 --> 00:28:15,173
She wasn't ready to give up
on your lungs.

464
00:28:16,014 --> 00:28:17,592
There's still a chance?

465
00:28:20,812 --> 00:28:22,722
Dr. Lim thinks so.

466
00:28:27,953 --> 00:28:29,479
Let's finish.

467
00:28:42,765 --> 00:28:44,629
"Chapter 16.

468
00:28:46,596 --> 00:28:49,457
Farewell to the Shadowlands."

469
00:28:50,565 --> 00:28:52,947
We would cut out
a small piece of his cortex.

470
00:28:52,982 --> 00:28:54,259
It's already been damaged
by the infection.

471
00:28:54,293 --> 00:28:58,717
Removing it may be the only way
to keep him alive.

472
00:28:59,195 --> 00:29:01,784
But how would that affect him?

473
00:29:01,818 --> 00:29:03,509
There are areas of the brain

474
00:29:03,544 --> 00:29:06,202
that are significantly
less essential than others.

475
00:29:06,236 --> 00:29:09,170
This part only impacts
his speech and memory,

476
00:29:09,205 --> 00:29:11,483
probably not long-term.

477
00:29:11,517 --> 00:29:15,970
So he might not be able
to talk or know who we are?

478
00:29:16,005 --> 00:29:18,528
We wouldn't be able to fully
assess him until he wakes up.

479
00:29:28,396 --> 00:29:31,166
Ricky's skull is open.

480
00:29:36,458 --> 00:29:37,735
We should do it.

481
00:29:40,201 --> 00:29:42,514
Uh, th-this is a very good hospital,

482
00:29:42,548 --> 00:29:44,205
these are very smart doctors.

483
00:29:45,517 --> 00:29:49,059
And someone very wise
once told me that, uh,

484
00:29:50,004 --> 00:29:52,729
"Sometimes you just have to
trust that things will work out."

485
00:29:58,875 --> 00:29:59,911
Okay.

486
00:30:23,935 --> 00:30:25,419
Hmm.

487
00:30:26,558 --> 00:30:28,249
Hemochromatosis?

488
00:30:28,284 --> 00:30:30,286
You never noticed
the symptoms until now?

489
00:30:30,320 --> 00:30:32,564
Joint pain, fatigue, mental fuzziness?

490
00:30:32,598 --> 00:30:34,290
Well, I turn 58 next week.

491
00:30:34,324 --> 00:30:36,773
I mean, I haven't felt
a day over 30 until now.

492
00:30:39,778 --> 00:30:42,608
It is very unlikely your hemochromatosis

493
00:30:42,643 --> 00:30:44,948
went from 0 to 60 in a week.

494
00:30:47,441 --> 00:30:50,787
Is it possible you gave the
screeners someone else's blood?

495
00:30:52,135 --> 00:30:54,137
You think I cheated? For the money?

496
00:30:54,172 --> 00:30:56,312
No, Mr. Riggs, I'm just trying to...

497
00:30:59,902 --> 00:31:02,697
You're a blood donor
in the 20-gallon club?

498
00:31:02,732 --> 00:31:04,976
Yeah, regular donor, last 30 years.

499
00:31:05,010 --> 00:31:06,736
When was the last time you donated?

500
00:31:06,771 --> 00:31:09,843
Two months ago, just before
I started this trial.

501
00:31:09,877 --> 00:31:12,328
And you're not allowed to
donate while you're in the trial.

502
00:31:12,362 --> 00:31:14,088
Well, see, that's the downside.

503
00:31:14,123 --> 00:31:15,434
I actually enjoy those cookies.

504
00:31:17,505 --> 00:31:20,163
I'll make sure you get all the
cookies you want, Mr. Riggs.

505
00:31:31,278 --> 00:31:33,163
Don't you think it's time to come home?

506
00:31:34,177 --> 00:31:35,489
No.

507
00:31:37,767 --> 00:31:39,734
Well, in that case...

508
00:31:39,769 --> 00:31:41,495
I wanted to make you something delicious

509
00:31:41,529 --> 00:31:42,841
like you've made us,

510
00:31:42,876 --> 00:31:45,948
but I'm not a very good cook,
and everything's closed.

511
00:31:45,982 --> 00:31:48,847
So, I hope you like

512
00:31:48,882 --> 00:31:51,091
hot-dog-flavored potato chips

513
00:31:51,125 --> 00:31:53,892
and Nutty Buddies.

514
00:31:54,574 --> 00:31:55,610
Mmm.

515
00:31:56,445 --> 00:31:57,618
Yeah.

516
00:32:00,169 --> 00:32:01,399
Nail polish?

517
00:32:02,205 --> 00:32:04,207
Father-daughter time.

518
00:32:04,242 --> 00:32:07,107
Maddie insisted that
she paint my fingernails

519
00:32:07,141 --> 00:32:08,907
a sparkly rainbow color.

520
00:32:11,352 --> 00:32:15,978
The next day, my first patient
was very uncomfortable.

521
00:32:16,012 --> 00:32:18,917
That's when I realized I
forgot to remove the nail polish.

522
00:32:20,223 --> 00:32:22,053
That's a nice memory.

523
00:32:23,261 --> 00:32:25,215
Oh, sit. No, sit, sit, sit.

524
00:32:31,407 --> 00:32:33,961
So many memories.

525
00:32:35,998 --> 00:32:38,414
The Halloween
Maddie wanted to go as a ham

526
00:32:38,448 --> 00:32:41,731
because we'd just seen
To Kill a Mockingbird.

527
00:32:42,073 --> 00:32:47,153
But she wanted the ham to
be made out of an actual ham.

528
00:32:48,044 --> 00:32:50,219
And then, one night,
the wind was blowing so hard,

529
00:32:50,253 --> 00:32:53,049
it blew her bedroom door shut.

530
00:32:53,084 --> 00:32:55,237
She was convinced that
her grandmother's ghost

531
00:32:55,271 --> 00:32:57,347
had come back to visit her.

532
00:32:58,192 --> 00:33:00,781
Wanted to sleep in our bed
for the next two weeks.

533
00:33:04,819 --> 00:33:08,508
You didn't come here just to
feed me junk food, did you?

534
00:33:09,824 --> 00:33:12,137
I thought you might need
someone to talk to.

535
00:33:12,538 --> 00:33:13,746
I'm fine.

536
00:33:14,795 --> 00:33:16,279
Hmm.

537
00:33:16,314 --> 00:33:18,059
I know someone you should talk to.

538
00:33:23,217 --> 00:33:24,391
I know.

539
00:33:25,599 --> 00:33:27,359
But this was easier.

540
00:33:35,057 --> 00:33:36,230
Mmm.

541
00:33:38,232 --> 00:33:40,039
Hot dogs should not be a flavor.

542
00:33:43,651 --> 00:33:45,101
"All their life in this world

543
00:33:45,136 --> 00:33:46,931
and all their adventures in Narnia

544
00:33:46,965 --> 00:33:49,726
had only been the cover
and the title page.

545
00:33:49,761 --> 00:33:52,695
Now, at last, they were
beginning chapter one

546
00:33:52,729 --> 00:33:54,490
of the great story

547
00:33:54,524 --> 00:33:57,631
which no one on earth has read,

548
00:33:57,665 --> 00:34:00,184
which goes on forever,

549
00:34:01,421 --> 00:34:06,398
in which every chapter is
better than the one before."

550
00:34:11,576 --> 00:34:13,210
Checking in.

551
00:34:13,246 --> 00:34:14,648
Need me to up your morphine?

552
00:34:15,158 --> 00:34:16,442
Couldn't hurt.

553
00:34:27,109 --> 00:34:30,663
Hey, I changed my mind.

554
00:34:31,131 --> 00:34:33,444
About the vlog.

555
00:34:33,978 --> 00:34:35,703
Wonderful.

556
00:34:45,334 --> 00:34:46,611
Go for it.

557
00:34:50,511 --> 00:34:52,653
Hey, Roses.

558
00:34:53,821 --> 00:34:55,823
I'm back.

559
00:34:56,862 --> 00:34:59,417
The DLT didn't really work out,

560
00:34:59,451 --> 00:35:01,371
so...

561
00:35:01,977 --> 00:35:06,042
this is gonna be my last update.

562
00:35:07,804 --> 00:35:09,875
I wasn't even gonna do this.

563
00:35:09,910 --> 00:35:11,808
I was gonna flip off Dylan Thomas

564
00:35:11,843 --> 00:35:14,759
and go gently into that good night.

565
00:35:16,256 --> 00:35:17,568
But...

566
00:35:18,884 --> 00:35:21,432
I couldn't leave without saying goodbye.

567
00:35:23,199 --> 00:35:24,852
And that...

568
00:35:25,167 --> 00:35:27,605
it's okay to be hurt...

569
00:35:28,239 --> 00:35:29,654
I am...

570
00:35:31,207 --> 00:35:33,694
that my life's been cut short.

571
00:35:34,908 --> 00:35:38,324
But the upside to all of this

572
00:35:38,697 --> 00:35:42,425
is that I feel something
I never thought I would.

573
00:35:42,460 --> 00:35:44,122
It's gratitude.

574
00:35:46,705 --> 00:35:50,086
I'm grateful to my sweet mother

575
00:35:51,883 --> 00:35:53,170
and

576
00:35:54,999 --> 00:35:58,027
to the people who keep hope alive.

577
00:36:00,892 --> 00:36:03,412
Like Dr. L and...

578
00:36:10,246 --> 00:36:11,592
Crash cart!

579
00:36:12,766 --> 00:36:14,699
She's in full respiratory failure.

580
00:36:15,769 --> 00:36:18,114
- We need to intubate her.
- No.

581
00:36:20,394 --> 00:36:22,189
We need to let her go.

582
00:37:12,120 --> 00:37:14,462
Noomie hit 402. Get Brecka to the OR.

583
00:37:16,711 --> 00:37:17,712
The lungs are good.

584
00:37:19,265 --> 00:37:20,370
We should intubate.

585
00:37:21,129 --> 00:37:22,268
Yes.

586
00:37:40,464 --> 00:37:42,824
- Ricky?
- Dr. Murphy!

587
00:37:44,808 --> 00:37:47,871
Ricky, can you hear us?

588
00:37:49,982 --> 00:37:51,225
Hello.

589
00:37:55,988 --> 00:37:58,991
Do you know where you are?

590
00:38:03,818 --> 00:38:06,473
Do you know your name?

591
00:38:22,414 --> 00:38:25,033
I'm Ricky Pavlovic.

592
00:38:25,952 --> 00:38:28,265
I'm in the hospital

593
00:38:28,300 --> 00:38:32,457
because I stepped
on a rusty nail at church camp.

594
00:38:35,745 --> 00:38:38,922
But I would still like to go
back there next year.

595
00:39:10,228 --> 00:39:12,091
Welcome home, Noomie.

596
00:39:19,714 --> 00:39:22,048
So Riggs is a lifelong blood donor.

597
00:39:23,413 --> 00:39:25,415
Which totally eliminated his symptoms.

598
00:39:25,450 --> 00:39:27,141
Until he started this trial.

599
00:39:27,175 --> 00:39:29,695
He's not allowed to donate
till it's over,

600
00:39:29,730 --> 00:39:31,697
so there was nothing wrong
with the protocols,

601
00:39:31,732 --> 00:39:33,216
nobody was incompetent,

602
00:39:33,251 --> 00:39:35,736
and Riggs isn't a big fat liar.

603
00:39:35,770 --> 00:39:38,690
In fact, he's a legit hero.

604
00:39:40,672 --> 00:39:43,261
Maybe my worldview does need
a little adjustment.

605
00:39:45,263 --> 00:39:46,712
I prefer Italian roast.

606
00:39:47,334 --> 00:39:48,533
Noted.

607
00:39:53,826 --> 00:39:56,207
Ready to take Noomie for a test run?

608
00:39:57,792 --> 00:39:59,932
That's what she named your lungs.

609
00:40:00,657 --> 00:40:02,088
It was a weird night.

610
00:40:06,200 --> 00:40:07,443
Start small.

611
00:41:03,168 --> 00:41:04,963
Thanks for coming.

612
00:41:05,791 --> 00:41:07,655
We should talk.

613
00:41:22,912 --> 00:41:25,004
Number 39,

614
00:41:26,297 --> 00:41:28,758
dietary restrictions.

615
00:41:29,505 --> 00:41:31,541
Other than breast milk...

616
00:41:33,509 --> 00:41:35,234
Oh, I felt a kick.

617
00:41:39,238 --> 00:41:42,172
Oh!

618
00:41:43,450 --> 00:41:44,865
This is very exciting.

619
00:41:47,557 --> 00:41:49,112
Come here.

620
00:41:54,656 --> 00:41:59,523
Think of all the new memories
waiting to be made.

621
00:42:03,746 --> 00:42:05,886
Hey, let's go home.

622
00:42:10,200 --> 00:42:13,549
Number 39, other than breast milk,

623
00:42:13,583 --> 00:42:15,240
I don't think that Peanut

624
00:42:15,274 --> 00:42:18,070
should have any dairy products
before six months.

625
00:42:18,105 --> 00:42:20,559
Easy peasy. Number 38?