Brilliant Minds (2024) s01e03 Episode Script
The Lost Biker
1
♪
Think back to an early memory.
What do you remember?
Was it something incredible you saw?
A distinct smell? A sound?
Or was it a feeling?
Joy? Sadness?
Fear?
[BIRDS CHIRPING]
Dad?
Where'd you go?
When we experience something,
neurons in our brains are activated.
The memory is recorded.
But if we don't reactivate the memory,
the synapses gradually weaken.
Over time, memories fade.
[SIGHS]
Just as easily as the brain remembers,
it also forgets.
♪
If we don't take the time
to revisit our memories,
write them down, care for them,
we might wake up one day
to find they've wilted away.
♪
[KNOCK ON DOOR]
[KNOCK ON DOOR]
Open up.
[KNOCKING CONTINUES]
Wyatt got shot.
♪
[SIGHS, GRUNTS]
Good to see you, Doc.
[CLASSICAL MUSIC PLAYS]
♪
Okay. Um hi.
[WYATT GROANS]
Well, it's a flesh wound.
So, um, uh, a few stitches,
and then you'll all be on your way.
[WYATT SIGHS]
How's the new carburetor on your bike?
The choke heating up
the engine fast enough?
Yeah. Uh, I do not have to
coax it to start anymore.
Good, good.
And your next tune-up's on me.
All right? Just bring in your bike.
I'll even throw in a new suspension.
Last time I checked, you
were due for an upgrade.
I appreciate it, Wyatt. I do.
I'm afraid to ask
How is the other guy?
It's not what you think.
[CHUCKLES]
I was cleaning my gun.
I sometimes get this tremor
and I accidentally pulled the trigger.
- Tell me about this tremor.
- It's nothing.
It's probably from
riding long distances.
I'm right as rain.
You're right. I mean, probably
there's nothing to worry about,
but I did just go on ahead and
pull your own bullet out of you.
So why don't you just
come in to Bronx General?
We'll run some tests.
We'll call it an abundance of caution.
No. I'm good.
You say "gunshot" in a hospital,
cops descend like vultures.
There's a reason we
come straight to you.
What gunshot? Look, when the engine
on my bike died, you
ran a full diagnostic.
You ordered a part and
you fixed it in a few days.
A neuro exam is my diagnostic.
It'll help us figure out
what, if anything, is going on.
No cops.
[MAN SLURPS]
This is good tea. Begonia?
Uh, it's rose hips, but
similar flavor profile.
♪
♪
[HORNS HONKING]
♪
I'm-a see what it do ♪
I'm-a see what it do ♪
♪
It can all go away ♪
♪
It can all go away ♪
- ♪
- [WAILING]
It can all go away ♪
♪
- ♪
- Van.
- Just shut your eyes ♪
- Van.
Oh, hey. Good morning, Ericka.
- Bad news.
- What?
- Emily's back.
- Who's Emily?
Emily. Hi. I'm Dr. Wolf.
Why are you holding a plant?
Oh, uh, this is Gertrude.
She is a resurrection fern.
She looks dead to me.
- [LAUGHS]
- She's not dead.
She's just a little sick.
Are you treating me or Gertrude?
Well, uh, lucky for
you, I can multitask.
And judging by your weight alone,
you seem perfectly healthy to me.
Well, most of the time she is.
But this morning, she was on her iPad,
and the next thing we know, she
was on the floor, not breathing.
Yeah. From what we've gathered,
it appears that when
she gets too excited,
- it triggers seizures.
- But not all the time.
We took her to Taylor
Swift and she was fine.
- Uh, Taylor?
- "Love Story."
- "Bad Blood."
- "Shake It Off."
Uh, you all need to calm down.
Also one of her songs.
Are you sure you're
not a secret Swiftie?
I don't know what that is.
And yet I'm certain I'm not one.
Uh, if you would excuse us. One second.
♪
We've treated Emily multiple times.
The episodes are
recurring. She collapses
EEGs, MRIs, every lab you can imagine.
- Everything's normal.
- We've tried her
on oxcarbazepine, carbamazepine,
topiramate. Nothing works.
Okay. Describe the
episodes for me in detail.
- Um
- Well
We haven't actually seen
one of Emily's seizures.
And yet you've prescribed medication?
- Well, Dr. Porter suggested
- Who? Oh, yes.
I remember. The attending who
left to go work for Big Pharma.
Seems like he was really
invested in his patients.
I think we've established that
I do things a bit differently.
So spend time with Emily,
provoke the episode,
evaluate, diagnose, treat
in that order.
- Yes, sir.
- Yes, sir.
- Good morning, Doctor.
- Oh. Doctor.
There's a group of
rather intimidating men
wearing leather jackets in the
waiting room looking for you.
- That must be Wyatt.
- Friend of yours?
Uh, no. My patient. And my mechanic.
Is he in a gang?
If by "gang," you mean a
group of distinguished gentleman
who share a passionate enthusiasm
for motorcycle riding,
then yes, he's in a gang.
- [GROANS]
- Called the Hudson Riders.
You know what? Don't worry about it.
Try misting that.
Usually does the trick.
I know. I took her into the
shower with me this morning.
Dad's tip.
That, and some quality time.
Speaking of which, I'd really
like to catch up outside of work.
How about a nice lunch?
Oh, it's a busy week.
- Many patients.
- Come on.
It's been months since
we've had one-on-one time.
I'll bring bagels and cream cheese
Russ & Daughters?
You just let me know when works.
How long have you noticed the tremor?
Tremor? Is that what he told you?
No.
Wyatt didn't shoot himself
because of a tremor.
He shot himself because he
forgot his gun was loaded.
Yeah. About a month ago,
he started repeating
stories, you know, jokes.
Then it got worse in the last two weeks.
So what? I forgot a few things.
By "a few things," you mean?
Well, let's just say we have
nine air fryers in our basement
because he keeps forgetting
he already ordered one.
I like to make chicken nuggets.
By the time the third
air fryer showed up,
I mean, I knew something was off.
Okay. Anything else unusual?
[SIGHS]
All right, I get these
headaches sometimes.
I'm more tired than usual.
Things that happen to everyone.
Babe, I don't get why you're so scared.
Because she's concerned
about you, Wyatt.
And she wants to make sure you're okay.
I'm sure you would do
the same thing for Rosie.
Uh, let's, uh, get you into a brain MRI
and we'll see what it reveals.
[KNOCKING]
Any chance you take walk-ins?
- Um, Maya forgot her soccer bag.
- Hm.
You're still taking her
to practice, remember?
Yep, I remember.
I assume this is a bad time
to resume our conversation.
Depends. Which one?
The one you've been avoiding.
Any decisions?
- Morris
- [KNOCKING]
Oh. Hey, Wolf. It's, uh
Morris. I'd recognize
that voice anywhere.
- How's the genomic testing?
- Yeah. Good.
Yeah, we just got funding
for testing on mice at Irving.
Amazing.
Well, if you ever clone your
wife successfully, let me know,
because the world definitely
could use multiple Carols.
[CHUCKLES] Sorry. This
cannot be replicated.
Yeah, she's one of one.
I'll let you guys get back to work.
Well, it's nice to see Morris.
Still not nice to see Morris?
- [SIGHS]
- This is upsetting for me.
- Couples counseling's not helping?
- Oh, psychiatrists make the worst patients.
You have been married for 15 years,
together for, what, 20?
- That has to mean more than one mistake.
- Mnh-mnh. Nope.
I'm not taking advice from
a man holding a dead plant.
- Okay, it's not dead and
- Code red. MRI. Third floor.
Code red. MRI. Third floor.
Wait! Wait! Wait! Wait!
- Get your hands off me!
- Hey, hey!
Whoa, whoa! Wyatt. Wyatt. Hey.
Hey, Wyatt, this is your doctor.
It's Dr. Nash. Hey,
hey, hey, look at me.
Look at me. You're okay. Breathe.
- Breathe.
- [BREATHES DEEPLY]
♪
What happened after the MRI?
I don't know. I got disoriented.
I thought the cops were shaking me
down with that flashlight in the eyes.
Hey, how's the kid doing?
Uh, nothing but a bruised ego.
Dr. Nash will be fine.
That's right, Mr. James.
you're our biggest concern.
What we detected here is a tumor
extending into and obstructing
your brain's third ventricle,
causing a buildup of cerebrospinal fluid
and growing into critical structures.
Fortunately, these types of tumors
are likely benign, not cancerous.
- I can remove it.
- So he'll get better?
Stop forgetting?
Unfortunately, it's more
complicated than that.
That's right.
The tumor is invading
areas of your brain
where memories are made.
That's why you've been so forgetful.
Resecting the tumor will
save your life, if I can get it all.
But it could also do greater
damage to those areas.
You may likely lose the
ability to form new memories.
It is a high-risk procedure.
Anterograde amnesia is the
best case scenario here.
Okay, will he still remember me?
Yes. The memories he already has,
the ones that make
him who he is today
They should be safe.
And if I don't want to get the
surgery, how long do I have?
As the tumor grows
and the pressure from
the fluid increases
could be weeks.
Months, if we're lucky.
How soon can he remove it?
- As soon as you're ready, Wyatt.
- Immediately would be my recommendation.
Wyatt
I know this comes as a complete shock,
and I know that it will
impact your day to day,
your livelihood,
but it does not have to
ruin your entire life.
You'll still be able to fix bikes.
And I can help you at the shop.
Are you not hearing the doctors?
- Mm.
- You're gonna be okay.
You can live. We can still do
all the things we wanted to do.
Go to the Grand Canyon. Northern lights.
- Tuscany.
- Oh, honey.
Why go to those places if
I can't even remember them?
I'll help you. be your memory.
Oh, and end up resenting me? No, thanks.
I don't want a babysitter
every second of every day
for the rest of my life.
I have no interest in living
a life that I can't remember.
He's refusing the surgery. For Wyatt,
losing the ability to form new memories
is a fate worse than death.
Well, it's a lot to digest.
I'm worried that his
tumor may be impeding him
from making a sound medical decision.
Well, say no more. I'll do a psych eval,
- make sure he has capacity.
- Thank you.
Dr. Wolf. Emily's
parents want to see you.
We're really trying to
get to the bottom of it.
Hi. You wanted to see me?
Your interns have been
trying to provoke our daughter
to have a seizure for hours.
They've done everything from
flashing lights into her face,
to doing backflips in front of her.
- The backflips were impressive.
- Thank you.
Yeah, uh, none of it is working.
Right. These things
are incredibly complex.
They take time.
Yeah, but these episodes are scary
and waiting around while
you try to cause one,
- it's traumatizing.
- I understand.
Um, nobody wants to see you scared,
but in order for us to better
understand her condition,
observing her brain's
uncontrolled electrical activity
while it's happening,
that's gonna give us the most insight
into how we can manage or
prevent any more seizures.
I am asking you to trust us
so that we can get to
the bottom of this and
and help your daughter feel better.
Can you tell us again exactly
what led up to her last episode?
Uh, it was early. Like,
7:15 in the morning?
Yeah. Emily was in her room
on her iPad doing her math homework.
Mm-hmm.
Really? Emily, were you
You were just up bright
and early doing homework?
I wasn't doing homework.
I was watching The Three Stooges.
My parents banned screen
time till my grades got up.
But what can I say? I'm
a sucker for slapstick.
- Me too.
- The Three who?
Larry, Curly, Moe. The
Nothing? Look who doesn't
know pop culture now.
Emily, what do you say we
show these dilettantes a thing
or two about classic comedy, huh?
[MONITOR BEEPING]
[LAUGHS]
Who's your favorite Stooge?
I'm partial to Curly myself.
Hands down. No one does
physical comedy better.
Just look at him. [LAUGHS]
Cotton!
[BOTH LAUGH]
♪
[LAUGHTER]
[MONITOR BEEPING RAPIDLY]
Emily? Emily.
- Emily?
- Van!
- [SUSTAINED BEEP ON MONITOR]
- Uh, she's not breathing.
Neither is Van. But I feel a pulse.
There's no pulse.
- I'm getting the pads.
- Wait, wait. Just wait.
Give it five seconds.
This will run its course.
It has before.
♪
We need to call a code.
♪
- [MONITOR BEEPING STEADILY]
- Emily?
- Van.
- Okay.
He's coming back.
Slowly. You okay?
Yeah.
♪
[BREATHES DEEPLY]
- How are your vitals?
- They're fine. I just
I didn't eat anything
today, so I was light-headed.
We're not done talking about this.
Um, Mr. and Mrs. Madden.
Um, I owe you an apology on behalf
of my predecessor, Dr. Porter.
He gave you a misdiagnosis.
It turns out Emily isn't
suffering from seizures
or reflexive epilepsy.
But when something makes
her laugh very hard,
her heart slows until it stops entirely.
It was never neurological.
She has laughter-induced heart block.
The good news is that this
gives us a much clearer idea
about what's causing her episodes,
and we can take actions
to prevent a collapse,
or, worse, a malignant arrhythmia.
We can focus on a
course of treatment now.
I'd like you to hang
tight for a little bit.
We'll keep Emily here for observation
until we can come up
with a reliable solution.
- Thank you.
- My pleasure.
I'll be back with you soon.
I don't want to tell Emily's parents
that she can't laugh
for the rest of her life.
So let's come up with
a permanent fix soon.
Dude, what the hell happened in there?
- Can we just not talk about it, Dana?
- Yeah, come on, Van.
You know you always
freak out with patience.
Meanwhile, I nearly
got choked out today,
barely flinched. It's cool, though.
- You're a delicate flower.
- You know, if you ask Wolf,
he would say that most
flora are very resilient.
[ELEVATOR BELL DINGS]
[ELEVATOR DOORS OPEN]
Hmm.
Are you familiar with the
concept of plant memory?
Yeah, I thought you'd never ask.
It's the mechanism by which
a plant can retain information
through experienced stimuli
through its roots, its
leaves, its flowers.
Helps them to adapt to new
environments and stay alive.
You think a 12-year-old
girl could do the same thing?
I see you've introduced
John Doe to your plant.
Thank you.
I did the psych eval on Wyatt James.
I didn't know you were
affiliated with a biker gang.
I'm not affiliated. Just
they fix my bike in exchange
for medical treatment.
- We barter.
- Barter?
Well, the man is well aware of
the risks of refusing surgery.
There's no signs of confusion.
Wolf, he has capacity
to make this decision.
I had to discharge him.
But we can save his life.
Well, maybe he doesn't want
the kind of life we can give him.
Imagine waking up every morning,
no idea what happened the day before,
let alone 10 minutes ago.
Does that sound like a life to you?
- Depends on the day.
- [CHUCKLES]
If you were in Wyatt's shoes,
what would you want
your last memory to be?
Mm. Easy.
Me, Morris, and Maya.
A mess of Italian food.
Good wine, good laughs.
Well, that sounds like a
memory worth fighting for.
You know, as much as it would hurt
to never make another memory with them,
at least they'd get to
make new memories with me.
♪
[KNOCKING]
Oh, look at you,
making house calls like
an old-timey doctor.
Well, except on my bike.
- Not a horse.
- [LAUGHS]
I'm purging.
Make things easier on
Rosie after I'm gone.
Hey, you want my copy
of "Zen and the Art of
Motorcycle Maintenance"?
No. You'll miss it.
Doc, I'm not letting
you cut open my head.
If I wake up tomorrow and
I can't remember a thing,
it's because I had too much of
a good time the night before.
[CHUCKLES]
I'm not here to convince you, Wyatt.
I'm just here to talk it out.
My mom had dementia.
Forgot everyone, including her own kids.
It's a terrible disease.
But this isn't that.
Well, some days it feels like it is.
These past few months,
it feels like I'm living
a game of Whac-A-Mole.
Things are there just one second,
and the next, they're gone.
I walk into a room and I have no idea
where I came from or even why I'm there.
It's not easy on me,
but it's way harder on Rosie.
♪
It's like a thick fog comes in at night.
I can't think clearly.
It feels like I could lose everything
and be left out on my own in limbo.
For a few seconds, I'm stuck.
♪
I don't want to be trapped
for the rest of my life.
I wouldn't want that either.
Then I guess we talked it out.
Do you mind if I ask the significance?
It's the date my daughter
was born Hailey.
Best damn day of my life.
I haven't seen her in years.
My fault, not hers.
Messy split with her mom.
God, I wish I could turn back the clock.
Don't we all.
But we can't move backwards.
We can't unmake every mistake.
We can only move forward.
Wyatt, getting this surgery will
mean the people who love you,
maybe even Hailey one day,
will still be able to
make memories with you.
♪
♪
Oliver. Moment of your time.
[SIGHS]
- You missed the staff meeting.
- I was with a patient.
Wyatt James, I'm assuming?
I saw he's scheduled for surgery.
You changed his mind. changed his mind.
And you just happened
to be at his house?
You want to give me a big speech now
and how house calls are
against hospital protocol?
I hadn't prepared one,
but I'm happy to improvise.
Or I'll just bite my tongue and say
that I'm glad your mechanic
made the right choice.
[UNENTHUSIASTICALLY] Yeah.
Didn't he?
Removing the tumor will prevent Wyatt
from making any new memories.
I came up with a plan to help him adapt.
But [SIGHS] what if
that's too great a cruelty?
What if it's a gift?
is when you choose to be an optimist?
Not all memories are worth revisiting.
♪
Oh, Olly, look at this.
It's a resurrection fern.
Oh! See?
It's dry. Feel it.
Without water, it can go dormant
until the rain returns,
and then it'll rise from
its little sedimentary grave.
They're survivors.
Just like us.
You know, in Japanese culture,
ferns represent family.
The leaves are stronger together,
protecting and supporting each other.
♪
Dana, how quickly can you
find someone on the Internet?
How quickly can you say the name?
Afternoon, Jenny. A
ready for a craniotomy?
Tell Randall to prep
the O.R. Scrubbing in 20.
- Doctor, the patient isn't
- How we doing, Mr. James?
I can't find him anywhere.
♪
When you said, "Let's
make one last memory,"
you didn't say we
were gonna get toasted.
- Best doctor I've ever had.
- Don't get too excited.
Your daughter tends bar here.
Are you serious? A heads-up
would have been nice.
It was a game time decision, Wyatt.
I figured before you lose the
ability to make new memories,
you might want to remember
a reunion with Hayley.
[CELLPHONE RINGS]
Yeah?
It's for you.
- Hello?
- You better have a damn good explanation
why you're within arm's
reach of a pre-op patient
who left the hospital
against medical advice
- and without authorization.
- I authorized it.
Wyatt has some things he needs
to take care of before the surgery.
So you took him without
notifying anyone?
Where the hell are you?!
Um, at a roadside establishment
called The Rock Pile Bar and Nightclub.
You took him to a bar?
Yeah, well, look, there's a
method to my madness, Carol.
Wolf, get Wyatt back here now!
I will, just as soon as
we take care of this thing.
Okay? I love you. Bye.
- Wolf?
- Where is he?
You guys seriously want to put
a 12-year-old on beta-blockers
- for the rest of her life?
- They're non-invasive.
They're also proven to
work in similar cases
by reducing the abnormal
neurocardiogenic reflex.
I take them for anxiety,
and I am thriving.
Along with increasing
her fluids and salt,
- could work.
- Van's got a point.
Parents just want
their kids to be happy.
I mean, imagine if
Emily was your daughter.
Would you want her to spend
the rest of her life on mute?
If it's between that or no life at all?
Ask any parent and
they'll say hard "yes."
I get that. Okay? I do.
But coming from someone
who blocks out as much
of the world as I can
because you're right, Jacob
I freak out around patients,
but I know firsthand that
that's no way to live, okay?
Especially not for a kid.
Wolf wouldn't want Emily's
only option to be diluting joy
just because her brain's different.
Technically, neurocardiogenic
syncope appears
to be a problem with the brain.
Okay, but we all know now
that this is more a
problem with Emily's heart.
We don't need to suppress her brain.
We need to support her heart.
[DOORS CLOSE, ROCK MUSIC PLAYS]
Whoa, whoa, whoa, whoa, whoa.
No pre-op whiskey for you.
- You expect me to do this sober?
- I do.
♪
[SCOFFS]
You gotta be kidding me.
What are you doing here?
- Hailey.
- [SIGHS]
Uh, I'm Wyatt's
neurologist. I'm Dr. Wolf.
Look, I know that our dropping
in may come as a bit of a shock,
but your dad is undergoing
lifesaving brain surgery today,
and he needed to see you
to speak to you before
I have nothing to say to him,
except best of luck with the lobotomy.
Can Can I do the talking, then?
I owe you that at least.
Hailey, I let a lot of years go by,
and, uh, I-I got scared
to make things right.
But, Hailey, I want you to
know that my one regret in life
is missing so much of yours.
And all I can say is,
it's not your fault.
I was selfish.
You deserved better.
You deserved a better dad.
And for what it's worth,
I love you, and I'm sorry.
Yeah, well, you're
about 10 years too late.
Hey, I know, I know. I'm with you.
I'm with you. He should have
done this a long time ago.
But that surgery that I mentioned,
it's gonna result in
permanent memory deficits.
Your dad is not gonna be
able to make any new memories
after the operation.
So he's risking his
well-being, his life,
everything to be here for you.
This will be Wyatt's last memory.
Right here, right now.
Well, in that case
♪
♪
I-I grew up without you
in any of my memories
um, recitals, birthdays,
holidays, prom, graduation.
I spent my entire life trying
to forget that you exist.
So here you go.
Your last memory of me is this
I will never, ever forgive you.
♪
You all right? You want to sit down?
No, it's nothing. Just give me a second.
[BREATHES DEEPLY]
I'm sorry about that. I'm
usually better at family reunions.
She said what she needed to say.
I needed to hear it.
I should remember that.
Wyatt. Hey. Here. Sit
down. I better examine you.
Okay? Come here.
Tell me, what are you What
are you feeling right now?
- What's going on?
- I don't know. Something's off.
My head is killing me,
and I feel like I have
- the shakes from a bender.
- [VEHICLE APPROACHING]
Unbelievable. Do you have
the opposite of a savior complex?
- You cannot go on a joyride with my patient!
- Not now. He's ataxic.
He's got worsening
headache and lethargy. Here.
His hydrocephalus is worsening.
We gotta get him to an O.R stat!
How fast can you drive?
What's happening?
Where are you taking him?
Bronx General.
♪
[VEHICLE DOOR CLOSES]
[SUSPENSEFUL MUSIC PLAYS]
Wyatt. Breathe. Breathe faster.
Sit him up more upright.
Get him to hyperventilate.
- Bring down his ICP.
- I am aware of how to manage
elevated intracranial pressure.
Thank you so much. Turn on the radio.
- What? Do you want the
- Yes. Radio. Music.
Boomshakalaka-laka ♪
- This is what you listen to?
- It's my workout mix.
Plus, we need something
fast to manage his ICP.
Wyatt, hey, I want you to
breathe to the beat of the music.
It's the only way we can bring
down the pressure in your brain.
Okay? Wyatt. Breathe in, out.
- [BLUETOOTH DINGS]
- New message
from Dustin Abs Class Equinox.
"Last night was so
hot. You free tonight?"
- What?
- Would you like to reply?
Boomshakalaka-laka-laka ♪
Wyatt, wake up! Wyatt,
breathe for me, huh?
He's obtunded. Can't
you drive any faster?
At this point, it wouldn't
make a difference. Unless
Take out a spinal needle.
We'll do a transorbital
ventricular puncture.
What? We're in a moving vehicle.
I could accidentally stab his eyeball.
Why do you have a spinal
needle in your car?
Why are you asking questions
that don't matter right now?
Look, if you do this correctly,
you're gonna go through
the orbit just above the eye
to remove cerebrospinal fluid
and decrease intracranial pressure.
- Now, take your needle.
- Maybe try to avoid potholes.
Carefully puncture at
the roof of the orbit
just medial to the midpupillary line
and aim 45 degrees horizontally.
Whatever you do, don't swerve.
♪
[AIR HISSING]
He lost consciousness
15 minutes ago. I lowered
his ICP with a transorbital
ventricular puncture.
He's arousable, but not coherent.
If I lose him, it's on you.
♪
[DOOR CLOSES]
- A pacemaker?
- We were discussing potential treatments,
and I started to
think Instead of trying
to keep Emily from laughing,
a pacemaker could override her heart's
inappropriate response to laughter.
And what did Dr. Wolf think?
He is your attending.
He insisted that I speak to you.
And he told me to show you these.
Thank you.
A pacemaker for laughter-induced
heart block is not unheard of.
But it's an unorthodox
procedure for someone her age.
Better than taking beta-blockers
for the rest of her life.
Respectfully, Chief.
I'll call cardiology and get
her on the cath lab schedule.
Strong work, Dr. Markus.
Thank you.
One more thing. Dr. Wolf
insisting that I weigh in?
Please. Next time, don't cover for him.
♪
I'll never forgive the
bastard if he dies on me.
Wyatt is in very capable hands.
Dr. Nichols is one of the
He's an excellent surgeon.
[FOOTSTEPS APPROACHING]
Your dad talks about you every day.
It'll mean everything
to him that you're here.
Let's hope he lives to see it.
[DOOR CLOSES]
♪
The delay in surgery meant
our work was more complicated,
but we were able to remove the tumor.
Due to the damage the tumor caused
to key structures responsible
for forming memory,
our predictions of memory
loss are likely accurate.
But he's alive.
He's alive and he's okay.
He's coming out of anesthesia now
Some days ♪
Memories are powerful
windows into the past.
They can fill us with joy
or overwhelm us with grief.
A moment in time we want
to keep to ourselves.
Other times, they're shared experiences.
And when we struggle to remember them,
it takes a village to fill in the gaps.
Hey, tough guy.
If you're watching this, it means your
stubborn ass went
through with the surgery.
And yes, you watched
this video yesterday
and probably the day before.
No shame in your game.
If you're wondering
what else is going on,
check the notebook next to your bed.
That's where you'll record all
of the riveting details of your day
to help future you remember.
I'm trying to understand ♪
For Wyatt, it was important to be
the keeper of his own memories.
But Wyatt also had to accept
the help from his village.
Where does it end? ♪
Where does it begin? ♪
Oh, I fear I'll never know ♪
In order to truly heal,
Wyatt had to make peace with his past
Everything comes all at once ♪
- Hey.
- Hmm?
I want you to know that I love you, Dad.
And I know it hasn't been
easy, but I do forgive you.
Ooh-ooh, ooh-ooh-ooh ♪
Can you remind me again tomorrow?
- Some days ♪
- Yeah, I'll try.
Some days ♪
but most importantly,
find joy in his present.
Pick one. Your choice.
Ah!
Because sometimes a life lived forwards
can't be understood backwards after all.
All right, Emily, you ready?
This time, we're gonna
monitor your heart rate.
The pacemaker should
keep your heart beating,
no matter how much
Curly makes you laugh.
No, schnapps.
Oh
- [LAUGHS]
- [MONITOR BEEPING STEADILY]
♪
[LAUGHING]
♪
[MONITOR BEEPING STEADILY]
♪
[LAUGHING]
♪
[LAUGHS]
[EMILY LAUGHING]
♪
♪
♪
Maya forget her soccer bag again?
You've been hard to pin down at home,
so I thought I'd try you
during billable hours.
What's the verdict?
Morris
as much as I want to tell myself
that I can move on from what happened
I don't think that I can.
- Carol, if I could take it all back
- You can't.
And I owe it to myself
We We owe it to each other
to see what our lives are like apart.
I think we should separate.
What about a trial basis?
[SIGHS]
Fine. We'll give it a few months.
♪
[SNIFFLES]
When do we tell Maya?
[BREATHES DEEPLY]
Don't ask me to decide.
♪
- [KNOCK ON DOOR]
- Dr. Wolf. You paged?
Dr. Markus, come on in.
I assume I'm getting fired.
Why would you say that?
I couldn't do the spinal tap.
collapsed in front of Emily.
Sure, you've had some stumbles,
but you've had wins, too.
Your pacemaker solve for Emily
gave her a chance to
live a full life again.
And
I think there may be
a neurological reason
why you stopped breathing when she did.
I think you may have a
neurological condition
called mirror-touch synesthesia.
People with mirror-touch
literally feel what the person
that they're talking to is feeling.
Right now, I'm feeling like
you're a little too excited about this.
No. I'm sorry. It It is
It's exciting. It's incredibly rare.
Does any of this resonate for you?
Yeah.
I mean, I see somebody
crying on the subway,
and I just lose it.
I see somebody eating a sandwich
and it's like they're literally
shoving food into my mouth.
But you also feel the good things, too.
What you see as a curse
could be a real asset.
We just need to figure out
how to use it to our advantage.
You took a real risk with Wyatt James.
- He could have died.
- That's right. But he didn't.
It was a gamble. Some risks pay off.
Sometimes you remind me
so much of your dad
willful, unapologetic,
idealistic to a fault.
Well, you just listed
my best qualities, so
[CHUCKLES]
Hm.
Resurrection ferns.
Without water, they go dormant
until the rain returns and they
rise from their little
sedimentary graves.
♪
Hey.
It's a resurrection fern.
They're survivors.
Just like us.
It was you
who brought me here.
Not Dad.
But all the times that I brought it up,
why didn't you ever say anything?
I wanted you to remember that day
the way that you wanted to remember it.
But where was Dad?
♪
[DOOR OPENS]
How about we water Gertrude
and just let your dad rest, Mugwump?
♪
♪
He never got off the couch that day.
♪
I blocked so much of it out.
Memories are subjective.
[SNIFFLES]
There's no mechanism in the brain
that can guarantee the truth of them.
But I can tell you, Oliver
the love you remember
feeling from your dad
♪
that was real.
Well
[SIGHS]
I guess I'll have
to take your word for it.
♪
♪
♪
♪
♪
♪
Think back to an early memory.
What do you remember?
Was it something incredible you saw?
A distinct smell? A sound?
Or was it a feeling?
Joy? Sadness?
Fear?
[BIRDS CHIRPING]
Dad?
Where'd you go?
When we experience something,
neurons in our brains are activated.
The memory is recorded.
But if we don't reactivate the memory,
the synapses gradually weaken.
Over time, memories fade.
[SIGHS]
Just as easily as the brain remembers,
it also forgets.
♪
If we don't take the time
to revisit our memories,
write them down, care for them,
we might wake up one day
to find they've wilted away.
♪
[KNOCK ON DOOR]
[KNOCK ON DOOR]
Open up.
[KNOCKING CONTINUES]
Wyatt got shot.
♪
[SIGHS, GRUNTS]
Good to see you, Doc.
[CLASSICAL MUSIC PLAYS]
♪
Okay. Um hi.
[WYATT GROANS]
Well, it's a flesh wound.
So, um, uh, a few stitches,
and then you'll all be on your way.
[WYATT SIGHS]
How's the new carburetor on your bike?
The choke heating up
the engine fast enough?
Yeah. Uh, I do not have to
coax it to start anymore.
Good, good.
And your next tune-up's on me.
All right? Just bring in your bike.
I'll even throw in a new suspension.
Last time I checked, you
were due for an upgrade.
I appreciate it, Wyatt. I do.
I'm afraid to ask
How is the other guy?
It's not what you think.
[CHUCKLES]
I was cleaning my gun.
I sometimes get this tremor
and I accidentally pulled the trigger.
- Tell me about this tremor.
- It's nothing.
It's probably from
riding long distances.
I'm right as rain.
You're right. I mean, probably
there's nothing to worry about,
but I did just go on ahead and
pull your own bullet out of you.
So why don't you just
come in to Bronx General?
We'll run some tests.
We'll call it an abundance of caution.
No. I'm good.
You say "gunshot" in a hospital,
cops descend like vultures.
There's a reason we
come straight to you.
What gunshot? Look, when the engine
on my bike died, you
ran a full diagnostic.
You ordered a part and
you fixed it in a few days.
A neuro exam is my diagnostic.
It'll help us figure out
what, if anything, is going on.
No cops.
[MAN SLURPS]
This is good tea. Begonia?
Uh, it's rose hips, but
similar flavor profile.
♪
♪
[HORNS HONKING]
♪
I'm-a see what it do ♪
I'm-a see what it do ♪
♪
It can all go away ♪
♪
It can all go away ♪
- ♪
- [WAILING]
It can all go away ♪
♪
- ♪
- Van.
- Just shut your eyes ♪
- Van.
Oh, hey. Good morning, Ericka.
- Bad news.
- What?
- Emily's back.
- Who's Emily?
Emily. Hi. I'm Dr. Wolf.
Why are you holding a plant?
Oh, uh, this is Gertrude.
She is a resurrection fern.
She looks dead to me.
- [LAUGHS]
- She's not dead.
She's just a little sick.
Are you treating me or Gertrude?
Well, uh, lucky for
you, I can multitask.
And judging by your weight alone,
you seem perfectly healthy to me.
Well, most of the time she is.
But this morning, she was on her iPad,
and the next thing we know, she
was on the floor, not breathing.
Yeah. From what we've gathered,
it appears that when
she gets too excited,
- it triggers seizures.
- But not all the time.
We took her to Taylor
Swift and she was fine.
- Uh, Taylor?
- "Love Story."
- "Bad Blood."
- "Shake It Off."
Uh, you all need to calm down.
Also one of her songs.
Are you sure you're
not a secret Swiftie?
I don't know what that is.
And yet I'm certain I'm not one.
Uh, if you would excuse us. One second.
♪
We've treated Emily multiple times.
The episodes are
recurring. She collapses
EEGs, MRIs, every lab you can imagine.
- Everything's normal.
- We've tried her
on oxcarbazepine, carbamazepine,
topiramate. Nothing works.
Okay. Describe the
episodes for me in detail.
- Um
- Well
We haven't actually seen
one of Emily's seizures.
And yet you've prescribed medication?
- Well, Dr. Porter suggested
- Who? Oh, yes.
I remember. The attending who
left to go work for Big Pharma.
Seems like he was really
invested in his patients.
I think we've established that
I do things a bit differently.
So spend time with Emily,
provoke the episode,
evaluate, diagnose, treat
in that order.
- Yes, sir.
- Yes, sir.
- Good morning, Doctor.
- Oh. Doctor.
There's a group of
rather intimidating men
wearing leather jackets in the
waiting room looking for you.
- That must be Wyatt.
- Friend of yours?
Uh, no. My patient. And my mechanic.
Is he in a gang?
If by "gang," you mean a
group of distinguished gentleman
who share a passionate enthusiasm
for motorcycle riding,
then yes, he's in a gang.
- [GROANS]
- Called the Hudson Riders.
You know what? Don't worry about it.
Try misting that.
Usually does the trick.
I know. I took her into the
shower with me this morning.
Dad's tip.
That, and some quality time.
Speaking of which, I'd really
like to catch up outside of work.
How about a nice lunch?
Oh, it's a busy week.
- Many patients.
- Come on.
It's been months since
we've had one-on-one time.
I'll bring bagels and cream cheese
Russ & Daughters?
You just let me know when works.
How long have you noticed the tremor?
Tremor? Is that what he told you?
No.
Wyatt didn't shoot himself
because of a tremor.
He shot himself because he
forgot his gun was loaded.
Yeah. About a month ago,
he started repeating
stories, you know, jokes.
Then it got worse in the last two weeks.
So what? I forgot a few things.
By "a few things," you mean?
Well, let's just say we have
nine air fryers in our basement
because he keeps forgetting
he already ordered one.
I like to make chicken nuggets.
By the time the third
air fryer showed up,
I mean, I knew something was off.
Okay. Anything else unusual?
[SIGHS]
All right, I get these
headaches sometimes.
I'm more tired than usual.
Things that happen to everyone.
Babe, I don't get why you're so scared.
Because she's concerned
about you, Wyatt.
And she wants to make sure you're okay.
I'm sure you would do
the same thing for Rosie.
Uh, let's, uh, get you into a brain MRI
and we'll see what it reveals.
[KNOCKING]
Any chance you take walk-ins?
- Um, Maya forgot her soccer bag.
- Hm.
You're still taking her
to practice, remember?
Yep, I remember.
I assume this is a bad time
to resume our conversation.
Depends. Which one?
The one you've been avoiding.
Any decisions?
- Morris
- [KNOCKING]
Oh. Hey, Wolf. It's, uh
Morris. I'd recognize
that voice anywhere.
- How's the genomic testing?
- Yeah. Good.
Yeah, we just got funding
for testing on mice at Irving.
Amazing.
Well, if you ever clone your
wife successfully, let me know,
because the world definitely
could use multiple Carols.
[CHUCKLES] Sorry. This
cannot be replicated.
Yeah, she's one of one.
I'll let you guys get back to work.
Well, it's nice to see Morris.
Still not nice to see Morris?
- [SIGHS]
- This is upsetting for me.
- Couples counseling's not helping?
- Oh, psychiatrists make the worst patients.
You have been married for 15 years,
together for, what, 20?
- That has to mean more than one mistake.
- Mnh-mnh. Nope.
I'm not taking advice from
a man holding a dead plant.
- Okay, it's not dead and
- Code red. MRI. Third floor.
Code red. MRI. Third floor.
Wait! Wait! Wait! Wait!
- Get your hands off me!
- Hey, hey!
Whoa, whoa! Wyatt. Wyatt. Hey.
Hey, Wyatt, this is your doctor.
It's Dr. Nash. Hey,
hey, hey, look at me.
Look at me. You're okay. Breathe.
- Breathe.
- [BREATHES DEEPLY]
♪
What happened after the MRI?
I don't know. I got disoriented.
I thought the cops were shaking me
down with that flashlight in the eyes.
Hey, how's the kid doing?
Uh, nothing but a bruised ego.
Dr. Nash will be fine.
That's right, Mr. James.
you're our biggest concern.
What we detected here is a tumor
extending into and obstructing
your brain's third ventricle,
causing a buildup of cerebrospinal fluid
and growing into critical structures.
Fortunately, these types of tumors
are likely benign, not cancerous.
- I can remove it.
- So he'll get better?
Stop forgetting?
Unfortunately, it's more
complicated than that.
That's right.
The tumor is invading
areas of your brain
where memories are made.
That's why you've been so forgetful.
Resecting the tumor will
save your life, if I can get it all.
But it could also do greater
damage to those areas.
You may likely lose the
ability to form new memories.
It is a high-risk procedure.
Anterograde amnesia is the
best case scenario here.
Okay, will he still remember me?
Yes. The memories he already has,
the ones that make
him who he is today
They should be safe.
And if I don't want to get the
surgery, how long do I have?
As the tumor grows
and the pressure from
the fluid increases
could be weeks.
Months, if we're lucky.
How soon can he remove it?
- As soon as you're ready, Wyatt.
- Immediately would be my recommendation.
Wyatt
I know this comes as a complete shock,
and I know that it will
impact your day to day,
your livelihood,
but it does not have to
ruin your entire life.
You'll still be able to fix bikes.
And I can help you at the shop.
Are you not hearing the doctors?
- Mm.
- You're gonna be okay.
You can live. We can still do
all the things we wanted to do.
Go to the Grand Canyon. Northern lights.
- Tuscany.
- Oh, honey.
Why go to those places if
I can't even remember them?
I'll help you. be your memory.
Oh, and end up resenting me? No, thanks.
I don't want a babysitter
every second of every day
for the rest of my life.
I have no interest in living
a life that I can't remember.
He's refusing the surgery. For Wyatt,
losing the ability to form new memories
is a fate worse than death.
Well, it's a lot to digest.
I'm worried that his
tumor may be impeding him
from making a sound medical decision.
Well, say no more. I'll do a psych eval,
- make sure he has capacity.
- Thank you.
Dr. Wolf. Emily's
parents want to see you.
We're really trying to
get to the bottom of it.
Hi. You wanted to see me?
Your interns have been
trying to provoke our daughter
to have a seizure for hours.
They've done everything from
flashing lights into her face,
to doing backflips in front of her.
- The backflips were impressive.
- Thank you.
Yeah, uh, none of it is working.
Right. These things
are incredibly complex.
They take time.
Yeah, but these episodes are scary
and waiting around while
you try to cause one,
- it's traumatizing.
- I understand.
Um, nobody wants to see you scared,
but in order for us to better
understand her condition,
observing her brain's
uncontrolled electrical activity
while it's happening,
that's gonna give us the most insight
into how we can manage or
prevent any more seizures.
I am asking you to trust us
so that we can get to
the bottom of this and
and help your daughter feel better.
Can you tell us again exactly
what led up to her last episode?
Uh, it was early. Like,
7:15 in the morning?
Yeah. Emily was in her room
on her iPad doing her math homework.
Mm-hmm.
Really? Emily, were you
You were just up bright
and early doing homework?
I wasn't doing homework.
I was watching The Three Stooges.
My parents banned screen
time till my grades got up.
But what can I say? I'm
a sucker for slapstick.
- Me too.
- The Three who?
Larry, Curly, Moe. The
Nothing? Look who doesn't
know pop culture now.
Emily, what do you say we
show these dilettantes a thing
or two about classic comedy, huh?
[MONITOR BEEPING]
[LAUGHS]
Who's your favorite Stooge?
I'm partial to Curly myself.
Hands down. No one does
physical comedy better.
Just look at him. [LAUGHS]
Cotton!
[BOTH LAUGH]
♪
[LAUGHTER]
[MONITOR BEEPING RAPIDLY]
Emily? Emily.
- Emily?
- Van!
- [SUSTAINED BEEP ON MONITOR]
- Uh, she's not breathing.
Neither is Van. But I feel a pulse.
There's no pulse.
- I'm getting the pads.
- Wait, wait. Just wait.
Give it five seconds.
This will run its course.
It has before.
♪
We need to call a code.
♪
- [MONITOR BEEPING STEADILY]
- Emily?
- Van.
- Okay.
He's coming back.
Slowly. You okay?
Yeah.
♪
[BREATHES DEEPLY]
- How are your vitals?
- They're fine. I just
I didn't eat anything
today, so I was light-headed.
We're not done talking about this.
Um, Mr. and Mrs. Madden.
Um, I owe you an apology on behalf
of my predecessor, Dr. Porter.
He gave you a misdiagnosis.
It turns out Emily isn't
suffering from seizures
or reflexive epilepsy.
But when something makes
her laugh very hard,
her heart slows until it stops entirely.
It was never neurological.
She has laughter-induced heart block.
The good news is that this
gives us a much clearer idea
about what's causing her episodes,
and we can take actions
to prevent a collapse,
or, worse, a malignant arrhythmia.
We can focus on a
course of treatment now.
I'd like you to hang
tight for a little bit.
We'll keep Emily here for observation
until we can come up
with a reliable solution.
- Thank you.
- My pleasure.
I'll be back with you soon.
I don't want to tell Emily's parents
that she can't laugh
for the rest of her life.
So let's come up with
a permanent fix soon.
Dude, what the hell happened in there?
- Can we just not talk about it, Dana?
- Yeah, come on, Van.
You know you always
freak out with patience.
Meanwhile, I nearly
got choked out today,
barely flinched. It's cool, though.
- You're a delicate flower.
- You know, if you ask Wolf,
he would say that most
flora are very resilient.
[ELEVATOR BELL DINGS]
[ELEVATOR DOORS OPEN]
Hmm.
Are you familiar with the
concept of plant memory?
Yeah, I thought you'd never ask.
It's the mechanism by which
a plant can retain information
through experienced stimuli
through its roots, its
leaves, its flowers.
Helps them to adapt to new
environments and stay alive.
You think a 12-year-old
girl could do the same thing?
I see you've introduced
John Doe to your plant.
Thank you.
I did the psych eval on Wyatt James.
I didn't know you were
affiliated with a biker gang.
I'm not affiliated. Just
they fix my bike in exchange
for medical treatment.
- We barter.
- Barter?
Well, the man is well aware of
the risks of refusing surgery.
There's no signs of confusion.
Wolf, he has capacity
to make this decision.
I had to discharge him.
But we can save his life.
Well, maybe he doesn't want
the kind of life we can give him.
Imagine waking up every morning,
no idea what happened the day before,
let alone 10 minutes ago.
Does that sound like a life to you?
- Depends on the day.
- [CHUCKLES]
If you were in Wyatt's shoes,
what would you want
your last memory to be?
Mm. Easy.
Me, Morris, and Maya.
A mess of Italian food.
Good wine, good laughs.
Well, that sounds like a
memory worth fighting for.
You know, as much as it would hurt
to never make another memory with them,
at least they'd get to
make new memories with me.
♪
[KNOCKING]
Oh, look at you,
making house calls like
an old-timey doctor.
Well, except on my bike.
- Not a horse.
- [LAUGHS]
I'm purging.
Make things easier on
Rosie after I'm gone.
Hey, you want my copy
of "Zen and the Art of
Motorcycle Maintenance"?
No. You'll miss it.
Doc, I'm not letting
you cut open my head.
If I wake up tomorrow and
I can't remember a thing,
it's because I had too much of
a good time the night before.
[CHUCKLES]
I'm not here to convince you, Wyatt.
I'm just here to talk it out.
My mom had dementia.
Forgot everyone, including her own kids.
It's a terrible disease.
But this isn't that.
Well, some days it feels like it is.
These past few months,
it feels like I'm living
a game of Whac-A-Mole.
Things are there just one second,
and the next, they're gone.
I walk into a room and I have no idea
where I came from or even why I'm there.
It's not easy on me,
but it's way harder on Rosie.
♪
It's like a thick fog comes in at night.
I can't think clearly.
It feels like I could lose everything
and be left out on my own in limbo.
For a few seconds, I'm stuck.
♪
I don't want to be trapped
for the rest of my life.
I wouldn't want that either.
Then I guess we talked it out.
Do you mind if I ask the significance?
It's the date my daughter
was born Hailey.
Best damn day of my life.
I haven't seen her in years.
My fault, not hers.
Messy split with her mom.
God, I wish I could turn back the clock.
Don't we all.
But we can't move backwards.
We can't unmake every mistake.
We can only move forward.
Wyatt, getting this surgery will
mean the people who love you,
maybe even Hailey one day,
will still be able to
make memories with you.
♪
♪
Oliver. Moment of your time.
[SIGHS]
- You missed the staff meeting.
- I was with a patient.
Wyatt James, I'm assuming?
I saw he's scheduled for surgery.
You changed his mind. changed his mind.
And you just happened
to be at his house?
You want to give me a big speech now
and how house calls are
against hospital protocol?
I hadn't prepared one,
but I'm happy to improvise.
Or I'll just bite my tongue and say
that I'm glad your mechanic
made the right choice.
[UNENTHUSIASTICALLY] Yeah.
Didn't he?
Removing the tumor will prevent Wyatt
from making any new memories.
I came up with a plan to help him adapt.
But [SIGHS] what if
that's too great a cruelty?
What if it's a gift?
is when you choose to be an optimist?
Not all memories are worth revisiting.
♪
Oh, Olly, look at this.
It's a resurrection fern.
Oh! See?
It's dry. Feel it.
Without water, it can go dormant
until the rain returns,
and then it'll rise from
its little sedimentary grave.
They're survivors.
Just like us.
You know, in Japanese culture,
ferns represent family.
The leaves are stronger together,
protecting and supporting each other.
♪
Dana, how quickly can you
find someone on the Internet?
How quickly can you say the name?
Afternoon, Jenny. A
ready for a craniotomy?
Tell Randall to prep
the O.R. Scrubbing in 20.
- Doctor, the patient isn't
- How we doing, Mr. James?
I can't find him anywhere.
♪
When you said, "Let's
make one last memory,"
you didn't say we
were gonna get toasted.
- Best doctor I've ever had.
- Don't get too excited.
Your daughter tends bar here.
Are you serious? A heads-up
would have been nice.
It was a game time decision, Wyatt.
I figured before you lose the
ability to make new memories,
you might want to remember
a reunion with Hayley.
[CELLPHONE RINGS]
Yeah?
It's for you.
- Hello?
- You better have a damn good explanation
why you're within arm's
reach of a pre-op patient
who left the hospital
against medical advice
- and without authorization.
- I authorized it.
Wyatt has some things he needs
to take care of before the surgery.
So you took him without
notifying anyone?
Where the hell are you?!
Um, at a roadside establishment
called The Rock Pile Bar and Nightclub.
You took him to a bar?
Yeah, well, look, there's a
method to my madness, Carol.
Wolf, get Wyatt back here now!
I will, just as soon as
we take care of this thing.
Okay? I love you. Bye.
- Wolf?
- Where is he?
You guys seriously want to put
a 12-year-old on beta-blockers
- for the rest of her life?
- They're non-invasive.
They're also proven to
work in similar cases
by reducing the abnormal
neurocardiogenic reflex.
I take them for anxiety,
and I am thriving.
Along with increasing
her fluids and salt,
- could work.
- Van's got a point.
Parents just want
their kids to be happy.
I mean, imagine if
Emily was your daughter.
Would you want her to spend
the rest of her life on mute?
If it's between that or no life at all?
Ask any parent and
they'll say hard "yes."
I get that. Okay? I do.
But coming from someone
who blocks out as much
of the world as I can
because you're right, Jacob
I freak out around patients,
but I know firsthand that
that's no way to live, okay?
Especially not for a kid.
Wolf wouldn't want Emily's
only option to be diluting joy
just because her brain's different.
Technically, neurocardiogenic
syncope appears
to be a problem with the brain.
Okay, but we all know now
that this is more a
problem with Emily's heart.
We don't need to suppress her brain.
We need to support her heart.
[DOORS CLOSE, ROCK MUSIC PLAYS]
Whoa, whoa, whoa, whoa, whoa.
No pre-op whiskey for you.
- You expect me to do this sober?
- I do.
♪
[SCOFFS]
You gotta be kidding me.
What are you doing here?
- Hailey.
- [SIGHS]
Uh, I'm Wyatt's
neurologist. I'm Dr. Wolf.
Look, I know that our dropping
in may come as a bit of a shock,
but your dad is undergoing
lifesaving brain surgery today,
and he needed to see you
to speak to you before
I have nothing to say to him,
except best of luck with the lobotomy.
Can Can I do the talking, then?
I owe you that at least.
Hailey, I let a lot of years go by,
and, uh, I-I got scared
to make things right.
But, Hailey, I want you to
know that my one regret in life
is missing so much of yours.
And all I can say is,
it's not your fault.
I was selfish.
You deserved better.
You deserved a better dad.
And for what it's worth,
I love you, and I'm sorry.
Yeah, well, you're
about 10 years too late.
Hey, I know, I know. I'm with you.
I'm with you. He should have
done this a long time ago.
But that surgery that I mentioned,
it's gonna result in
permanent memory deficits.
Your dad is not gonna be
able to make any new memories
after the operation.
So he's risking his
well-being, his life,
everything to be here for you.
This will be Wyatt's last memory.
Right here, right now.
Well, in that case
♪
♪
I-I grew up without you
in any of my memories
um, recitals, birthdays,
holidays, prom, graduation.
I spent my entire life trying
to forget that you exist.
So here you go.
Your last memory of me is this
I will never, ever forgive you.
♪
You all right? You want to sit down?
No, it's nothing. Just give me a second.
[BREATHES DEEPLY]
I'm sorry about that. I'm
usually better at family reunions.
She said what she needed to say.
I needed to hear it.
I should remember that.
Wyatt. Hey. Here. Sit
down. I better examine you.
Okay? Come here.
Tell me, what are you What
are you feeling right now?
- What's going on?
- I don't know. Something's off.
My head is killing me,
and I feel like I have
- the shakes from a bender.
- [VEHICLE APPROACHING]
Unbelievable. Do you have
the opposite of a savior complex?
- You cannot go on a joyride with my patient!
- Not now. He's ataxic.
He's got worsening
headache and lethargy. Here.
His hydrocephalus is worsening.
We gotta get him to an O.R stat!
How fast can you drive?
What's happening?
Where are you taking him?
Bronx General.
♪
[VEHICLE DOOR CLOSES]
[SUSPENSEFUL MUSIC PLAYS]
Wyatt. Breathe. Breathe faster.
Sit him up more upright.
Get him to hyperventilate.
- Bring down his ICP.
- I am aware of how to manage
elevated intracranial pressure.
Thank you so much. Turn on the radio.
- What? Do you want the
- Yes. Radio. Music.
Boomshakalaka-laka ♪
- This is what you listen to?
- It's my workout mix.
Plus, we need something
fast to manage his ICP.
Wyatt, hey, I want you to
breathe to the beat of the music.
It's the only way we can bring
down the pressure in your brain.
Okay? Wyatt. Breathe in, out.
- [BLUETOOTH DINGS]
- New message
from Dustin Abs Class Equinox.
"Last night was so
hot. You free tonight?"
- What?
- Would you like to reply?
Boomshakalaka-laka-laka ♪
Wyatt, wake up! Wyatt,
breathe for me, huh?
He's obtunded. Can't
you drive any faster?
At this point, it wouldn't
make a difference. Unless
Take out a spinal needle.
We'll do a transorbital
ventricular puncture.
What? We're in a moving vehicle.
I could accidentally stab his eyeball.
Why do you have a spinal
needle in your car?
Why are you asking questions
that don't matter right now?
Look, if you do this correctly,
you're gonna go through
the orbit just above the eye
to remove cerebrospinal fluid
and decrease intracranial pressure.
- Now, take your needle.
- Maybe try to avoid potholes.
Carefully puncture at
the roof of the orbit
just medial to the midpupillary line
and aim 45 degrees horizontally.
Whatever you do, don't swerve.
♪
[AIR HISSING]
He lost consciousness
15 minutes ago. I lowered
his ICP with a transorbital
ventricular puncture.
He's arousable, but not coherent.
If I lose him, it's on you.
♪
[DOOR CLOSES]
- A pacemaker?
- We were discussing potential treatments,
and I started to
think Instead of trying
to keep Emily from laughing,
a pacemaker could override her heart's
inappropriate response to laughter.
And what did Dr. Wolf think?
He is your attending.
He insisted that I speak to you.
And he told me to show you these.
Thank you.
A pacemaker for laughter-induced
heart block is not unheard of.
But it's an unorthodox
procedure for someone her age.
Better than taking beta-blockers
for the rest of her life.
Respectfully, Chief.
I'll call cardiology and get
her on the cath lab schedule.
Strong work, Dr. Markus.
Thank you.
One more thing. Dr. Wolf
insisting that I weigh in?
Please. Next time, don't cover for him.
♪
I'll never forgive the
bastard if he dies on me.
Wyatt is in very capable hands.
Dr. Nichols is one of the
He's an excellent surgeon.
[FOOTSTEPS APPROACHING]
Your dad talks about you every day.
It'll mean everything
to him that you're here.
Let's hope he lives to see it.
[DOOR CLOSES]
♪
The delay in surgery meant
our work was more complicated,
but we were able to remove the tumor.
Due to the damage the tumor caused
to key structures responsible
for forming memory,
our predictions of memory
loss are likely accurate.
But he's alive.
He's alive and he's okay.
He's coming out of anesthesia now
Some days ♪
Memories are powerful
windows into the past.
They can fill us with joy
or overwhelm us with grief.
A moment in time we want
to keep to ourselves.
Other times, they're shared experiences.
And when we struggle to remember them,
it takes a village to fill in the gaps.
Hey, tough guy.
If you're watching this, it means your
stubborn ass went
through with the surgery.
And yes, you watched
this video yesterday
and probably the day before.
No shame in your game.
If you're wondering
what else is going on,
check the notebook next to your bed.
That's where you'll record all
of the riveting details of your day
to help future you remember.
I'm trying to understand ♪
For Wyatt, it was important to be
the keeper of his own memories.
But Wyatt also had to accept
the help from his village.
Where does it end? ♪
Where does it begin? ♪
Oh, I fear I'll never know ♪
In order to truly heal,
Wyatt had to make peace with his past
Everything comes all at once ♪
- Hey.
- Hmm?
I want you to know that I love you, Dad.
And I know it hasn't been
easy, but I do forgive you.
Ooh-ooh, ooh-ooh-ooh ♪
Can you remind me again tomorrow?
- Some days ♪
- Yeah, I'll try.
Some days ♪
but most importantly,
find joy in his present.
Pick one. Your choice.
Ah!
Because sometimes a life lived forwards
can't be understood backwards after all.
All right, Emily, you ready?
This time, we're gonna
monitor your heart rate.
The pacemaker should
keep your heart beating,
no matter how much
Curly makes you laugh.
No, schnapps.
Oh
- [LAUGHS]
- [MONITOR BEEPING STEADILY]
♪
[LAUGHING]
♪
[MONITOR BEEPING STEADILY]
♪
[LAUGHING]
♪
[LAUGHS]
[EMILY LAUGHING]
♪
♪
♪
Maya forget her soccer bag again?
You've been hard to pin down at home,
so I thought I'd try you
during billable hours.
What's the verdict?
Morris
as much as I want to tell myself
that I can move on from what happened
I don't think that I can.
- Carol, if I could take it all back
- You can't.
And I owe it to myself
We We owe it to each other
to see what our lives are like apart.
I think we should separate.
What about a trial basis?
[SIGHS]
Fine. We'll give it a few months.
♪
[SNIFFLES]
When do we tell Maya?
[BREATHES DEEPLY]
Don't ask me to decide.
♪
- [KNOCK ON DOOR]
- Dr. Wolf. You paged?
Dr. Markus, come on in.
I assume I'm getting fired.
Why would you say that?
I couldn't do the spinal tap.
collapsed in front of Emily.
Sure, you've had some stumbles,
but you've had wins, too.
Your pacemaker solve for Emily
gave her a chance to
live a full life again.
And
I think there may be
a neurological reason
why you stopped breathing when she did.
I think you may have a
neurological condition
called mirror-touch synesthesia.
People with mirror-touch
literally feel what the person
that they're talking to is feeling.
Right now, I'm feeling like
you're a little too excited about this.
No. I'm sorry. It It is
It's exciting. It's incredibly rare.
Does any of this resonate for you?
Yeah.
I mean, I see somebody
crying on the subway,
and I just lose it.
I see somebody eating a sandwich
and it's like they're literally
shoving food into my mouth.
But you also feel the good things, too.
What you see as a curse
could be a real asset.
We just need to figure out
how to use it to our advantage.
You took a real risk with Wyatt James.
- He could have died.
- That's right. But he didn't.
It was a gamble. Some risks pay off.
Sometimes you remind me
so much of your dad
willful, unapologetic,
idealistic to a fault.
Well, you just listed
my best qualities, so
[CHUCKLES]
Hm.
Resurrection ferns.
Without water, they go dormant
until the rain returns and they
rise from their little
sedimentary graves.
♪
Hey.
It's a resurrection fern.
They're survivors.
Just like us.
It was you
who brought me here.
Not Dad.
But all the times that I brought it up,
why didn't you ever say anything?
I wanted you to remember that day
the way that you wanted to remember it.
But where was Dad?
♪
[DOOR OPENS]
How about we water Gertrude
and just let your dad rest, Mugwump?
♪
♪
He never got off the couch that day.
♪
I blocked so much of it out.
Memories are subjective.
[SNIFFLES]
There's no mechanism in the brain
that can guarantee the truth of them.
But I can tell you, Oliver
the love you remember
feeling from your dad
♪
that was real.
Well
[SIGHS]
I guess I'll have
to take your word for it.
♪
♪
♪
♪
♪