Medical Investigation (2004) s01e04 Episode Script
Escape
Bimini Island, Bahamas Whoever thought vacationing with people you see all week was a good idea should be shot.
Oh, my god.
Have you seen Jerry landau in a speedo? Um you ladies okay? Just another day in paradise.
Where's your friend? Kim, is it? Actually, she's feeling kinda sick.
We thought it was too many tequila shots, but the resort doctor said there's a bug going around.
Well, don't worry.
I'm sure it's nothing.
I'll check on her for you.
What can I do? It's getting worse.
Get help now.
We'll land in Miami in 40.
From there it's an hour by chopper to the island.
Run down what we have, Dr.
Mccabe.
For whose benefit? Yours.
Right.
Okay.
We have half a dozen guests at the Costa bimini resort, a private island off the coast of Grand bahama, down with a variety of symptoms.
What's the chief complaint? Pleuritic chest pain and night sweats.
- And what does that tell you? - Could be the flu.
Or it could be the onset of hemorrhagic fever.
Have any of the guests been in Africa lately? You're overthinking this.
Forget Africa.
We're in the western hemisphere.
There's possible cavitation in the mid and lower lung fields.
Tuberculosis? That's what the local doctor thinks.
Then again, he probably went to med school in Grenada.
Homestead Air Force Base, Miami I need H&E stain, oxygen-activated charcoal, IV poles and saline.
Don't they have any supplies? What do they do when someone gets sick? You ever been sick on vacation, Miles? No.
/ Don't be.
No high-end resort is gonna set aside space for a clinic when they can book a room for $600 a night.
I just got off the phone with Bethesda.
Remember that mystery pneumonia in Dade county? Yeah, the case we passed on.
The first patient died.
Now there are three more cases.
If it turns out to be Tb on the island, we'll treat it and backtrack.
One of the patients, Raymond diaz, is the local director of health and human services here in Miami.
Never dis the man that signs your checks.
Mccabe, you're gonna stay here and monitor the pneumonia cases.
With all due respect, Dr.
Connor, I'm ready for more than palpating and intubating.
And I've never been to the Caribbean.
I'll stay.
Dr.
Mccabe is better suited for the kind of triage you'll need.
You and I can do everything we need by satellite phone and computer uplink.
Fine.
Eva, you stay here with Natalie, and help deal with the pneumonia case.
Powell, Mccabe, come with me.
Dr.
Stephen connor, NIH.
Jenny small.
I'm with the resort.
This is Gary riesen.
His company's here on retreat.
Thank god you guys are here.
My employees are dropping by the hour.
My VP went down this morning.
- How did it start? - Chest pains.
Thought he was having a heart attack.
Did you all come here directly from the mainland? No.
We first spent two days in st.
Thomas, but no one got sick until we got here.
We have an excellent record when it comes to health and safety, doctor.
Nothing like this has ever happened before.
Why didn't you transport the patients to a hospital? / We tried.
The island hospital is nothing more than a glorified clinic.
They just sent one of their doctors.
There've been some isolated cases of tuberculosis on the island.
Now they think we've got a situation and we're gonna spread it.
When three percent of your population is ill, it's no longer a situation.
It's an outbreak.
Oh, god.
Can we please not label this? I really don't want to scare the guests.
This is no longer about public relations, Ms.
Small.
It's about public health, and you have a little problem on your hands.
Make that a big one.
We were told you were stabilized at six patients.
That was yesterday.
Yeah, whatever is infecting them is spreading fast.
Look, if we're going to treat this, we need total disclosure from here on in.
Okay.
I'm sorry.
What can I do? I need a list of all the guests, who's sick, who's not, what rooms they're in, what they've been eating and drinking.
I need a record of every illness documented here in the last two years, as well as every suspected case of Tb on this island.
My god, that's gonna take time.
You strike me as competent.
So we have over a dozen guests with a systemic, debilitating illness.
Shouldn't we be taking precautions if we think it's Tb, like masks or? Why do you think I asked you about your BCG shots? We all received Tb vaccinations back in Washington.
I'll start a timeline and database for all the patients.
Document their every move from the moment they got here until now.
See if there's been any changes in the weather patterns or recent infestations, see if the place has been renovated or painted.
There are a mber of toxins that can cause acute respiratory distress and look like Tb.
Ammonia, smoke, hydrocarbons There's also a chance someone from the retreat was exposed earlier and brought the illness with them.
No.
I checked with the company's home office in Orlando.
No one back there has any of the same symptoms.
So, let's just assume for now the source is here.
Remember, there's enough fax machines and cell phones to create a panic.
Let's keep this thing quiet.
Okay? Okay.
/ Got it.
Miami, Florida Have you traveled outside the country recently, Mr.
Diaz? This isn't ordinary pneumonia, is it? The doctors said it's negative for bacteria.
I'm gonna have Ms.
Rossi take a detailed history.
Places you've been, things you've eaten, animals you've been in contact with.
I gave the doctors everything.
You more than anyone know what we do, Mr.
Diaz.
Trust us to take care of you.
It's a cruel way to find out if you people are as good as I've been told.
Doctor, this young woman has severe multiform.
What did you give her? A shot of antihistamine, but it didn't help.
It didn't help because she's not suffering from an allergy.
I'm only one person.
That's why my hospital called you.
Look, given the presenting symptoms, antihistamine was the right call, but now it's changing, spreading, isn't it? Significantly.
Nosebleeds, headaches, and enlargement of lymph nodes.
Mccabe, visiting hours are over.
Until we know what this is, no one healthy gets in, all right? Yes, sir.
Get blood, urine, mantoux scratch and full history.
Wait, you want me to? / Yeah.
Treat your patients, Miles.
I'll be right back, sweetie.
Excuse me, excuse me.
My husband is lying in there, and nobody is telling me what's wrong with him.
Can you please help him? As soon as we know what we're dealing with, we will.
All right, I'll start testing the food and water, then move on to the victims' rooms from there.
Get a chronology from the doctor.
See if we can figure out who came down with this first.
Got it.
We confirmed your doctor's diagnosis of endocarditis.
It's the swelling of the The valves around the heart? Yeah.
/ I learned a lot from my dad.
So you can treat it? The endocarditis is only a complication of the underlying condition.
And what's that? We don't know yet.
Were you one of the first to get sick? How are my friends? Oh, they're fine.
They said they're waiting to have another tequila shot with you.
Stick out your tongue for me.
Okay, Kim.
You're gonna be fine.
We're going to have you all back in a Miami hospital in just a few hours.
All right, this is east pavilion, west pavilion.
There's a small cluster in this structure right here, but it stops on the third floor.
That can indicate a source, but there are cases sprinkled all over the other buildings.
There's no pattern.
If it were spreading person-to-person, we'd see a more consistent plume.
So far, there's no link between food, drink, alcohol, nothing.
What's this one right here? That's the staff quarters.
And not one of them is sick? Nary a soul.
What are the guests doing that the staff isn't? - They're voting republican? - Playing.
Pools, hot tubs.
The spa, the gym, the game room.
They probably have different sheets on their beds, too.
Whatever disnguishes the guests from the staff, test it.
/ All right.
Did you know the Diazes was one of the first families to come here when Castro took power in '59? We had a long talk.
Were you able to talk to the other pneumonia patients? I had to show the chief of staff my special tattoo, but, yes, I was.
And? I can't find anything that links them, nothing that makes sense anyway.
There's a reason why they have an acute respiratory illness and thousands of others here don't.
Go back over everything.
The kinds of household chemicals they use, sports they enjoy, habits they have.
Uh, I'm not a doctor or a toxicolist.
I'm the press liaison.
Yeah, but you were an investigative journalist for four years before you became a PR person.
You know how to talk to anyone.
Ah, you want me to flex.
Okay.
Fine.
Just remember, unlike what you usually do, this isn't about spinning information to suit our purposes.
It's about sifting through and gathering evidence that objectively leads to a conclusion.
So how are things with that hockey player? - Excuse me? - That guy, Jeremy Joe Jordan.
It's over.
Why do you ask? You just don't see that many women who are brilliant and beautiful.
I would think men would be all over you.
Were you able to talk to a Mr.
Gerald borman? No, I've been at the hospital all morning.
Why? Mrs.
Borman died from endocarditis five days after showing symptoms.
Ray diaz has been sick for four.
Borman's wife may have been the first to contract the disease.
I'll go see if I can tie her to any of the other victims.
Now you're thinking like an epidemiologist.
25 and counting and I'm still in the dark.
- Maybe I can be your guide.
- What do you got? I can only tell so much without samples, but from what I'm seeing, that resort is a four-star petri dish.
You've got E.
coli, enterobacter, non-pathogenic staph, lactobacillus, candida.
Which explains why the symptoms are all over the map.
It's also going to make a clinical diagnosis difficult.
The scary thing is the people are getting sick, they're not old or immuno-suppressed.
They're healthy young adults.
And if we don't find and stop what they have, they're going to bring this back to the States.
Stephen? Are you there? Quarantine? Don't you think that's a little drastic? This thing isn't airborne.
The point is, we know the source is here.
If the patients disperse to the mainland and the infection spreads, we won't know where to look.
But I already told these people they'd be going home.
Doctor, can you please tell my husband the government's making arrangements for us to leave.
I'm afraid I can't.
Until we know more, no one's allowed off the island.
What? / Because of the unknown nature of this illness, I've issued a quarantine order.
This resort's under lockdown.
I've chartered a boat from Miami to pick up the patients.
I pulled every string I had to get it.
- Tell it to turn around.
- Why should I? The people who work for me, the people who I care for, are getting sicker.
I had two more employees go down this last hour.
That's my point exactly.
As bad as it may seem, at least we're in a closed, controllable environment.
One sick person were to reach the mainland, there's no stopping runaway infection.
You have no jurisdiction, Dr.
Connor.
Your team is here at the invitation of the local ministry of health.
You can't personally place the island under quarantine.
You're absolutely right, Ms.
Small.
I have no jurisdiction.
But what I do have is 15 years of experience all over the world, seeing firsthand what infectious disease can do, how fast it can spread, and how viciously it can kill.
So if closing this place down for a few days means saving thousands of lives, so be it.
I'm trying to understand, doctor, but you yourself said you don't know what this is.
- Maybe it's nothing.
- Suppose it's not.
Suppose we don't contain it here.
Do you want your company, or your company associated with the legal and financial liabilities of exposing hundreds of thousands of people? But it's your call, Mr.
Riesen.
Okay.
I'll tell the boat to hold.
For now.
Mccabe, have you identified the symptomatic? / Yes, sir.
We need to separate those most vulnerable.
No one in the company's older than 42.
I'm talking about the children.
You want me to isolate them? You know what you need to do.
Mrs.
Harring.
Can I see my husband? Ma'am I need to put your daughter in a clean environment.
What? We need to quarantine your daughter.
You want to take her away from me? Only temporarily.
Children can get very ill from the kinds of things we're looking into.
No, she's not sick.
I'm not sick.
- You could be a carrier.
- Of what? We don't know yet.
But if you start to show symptoms, it'll be too late.
She'll be infected.
Come on, sweetie.
/ No.
I've already been separated from my husband.
You can't expect me to give you my little girl.
/ Ma'am you don't have a choice.
It's for her own good.
I promise she'll be okay.
Mrs.
Harring, please.
It's okay, baby.
How was your wife's health, Mr.
Borman? Judy was never sick.
We used to joke about how much energy she had.
My mom's like that.
Run, run, run.
Concerts, benefits.
She had a list of all the exotic trips we needed to take.
Did you two go anywhere recently? I couldn't get away.
And what about the rest of her routine? Did it change at all? Tennis with her girlfriends, work at the museum.
She even read to the school kids in overtown before she realized how sick she was.
She sounds like a great lady.
Yeah.
Uh I, uh, I brought you her day planner.
Thought it would be helpful.
Every night we'd have a glass of wine, look out at this gorgeous view, and remind ourselves just how lucky we were.
Mr.
Harring, I'm Dr.
Connor.
The doctor here says, uh, you're having some pain in your chest.
It feels like a weight pressing down on it.
He's got reddening of the eyes.
Could be from a virus, and rales bilaterally.
Where's my wife and daughter? They're in good hands.
Trust me.
Look, I need you to focus here, Dan.
I know you're hurting, but there's something linking you with your sick co-workers, something you all may have done that others didn't.
Did you do anything ritualistic as a group, uh, swim in the reef, go hiking, eat berries anything, as insignificant as it might seem? No.
I just been content to sit in the whirlpool all day.
Oh, yeah? Why's that? The mist, you know? The sea air, it's replenishing.
Legionnaire's disease? Are you sure? This place is loaded with whirlpools and steamrooms, all of them whipping up an aerosolized mist of bacterial soup night and day.
Well, not everyone becomes symptomatic.
That explains why you have 25 down and not 125.
Are you sure you're right? Look, we can't wait for confirmation.
I'll start treating with what I have, but I need broad-spectrum antibiotics, cipro, erythromycin, loads of it, and fast.
Get me what you've sampled so far.
I'll turn it around as quickly as possible.
The '76 outbreak was linked to air conditioning, wasn't it? - It was never ruled out.
- I need access to the ducts.
I found something! They all went to the same art gallery.
/ Art? The big, chichi opening ten days ago.
A group show, progressive Latin-american artists.
The Kazerian gallery, south beach.
They were all there.
Did Mr.
Borman go? He stayed at home to watch monday night football.
A art gallery is a pretty fluid location.
We need to get there before someone moves or discards anything.
I've actually heard of this artist, Elli.
During one exhibit, he lay naked under a plexiglas bridge and did things to himself while the guests walked in.
I prefer landscapes myself.
First place I looked A pool of standing water under an evaporator.
Which tells you what? If the water's infected with legionnaire's, the fan could easily aerosolize it into a mist.
And from there spread the disease.
I only checked a portion of the ducts, but I think we're on the right track.
Shut down central air.
It's okay, baby.
It's okay.
Dr.
Mccabe please let me go in and see her.
I can't.
I'm sorry.
At least let me give her this blanket.
It's the only thing that keeps her calm.
Please, have a heart, please? Thank you.
Dr.
Connor, we need you now.
Damn it.
What's happening? Dan harring is collapsing.
I'm trying to intubate quickly.
Okay.
That's it.
BP? 60/20.
Miles, dopamine.
Five to ten milligrams now.
You got it.
/ Switch.
Let's go.
Let's go.
Switch.
All right.
Bag him fast.
Come on, let's go.
Miles, where's dopamine? I got it.
/ Let's go! Going in right now.
Go bag him.
- Dopamine's in.
- What's his pulse? Miles, what's his pulse? Not much there.
Dan, stay with us.
()(23ºÐ 21ÃÊ) Pulse is fading.
We're losing him.
The disease must have progressed too far.
Legionnaire's didn't kill him, Stephen.
The bacterial culture was negative.
We're back to square one.
We know almost nothing.
Not really.
Now you know it kills.
I ran into some red tape with Dan harring's body.
The coroner's just starting the autopsy.
I did notice small burns on his fingertips.
That could be something.
What about the samples from the property? Aside from the bacteria and staph I mentioned earlier, there's a pretty high concentration of mold spores.
Inside or out? Both, but that's not unusual, given all the plant life there.
I'll know what kind of fungus it is in a few hours.
Make sure the M.
E.
matches anything he finds with your list.
Whatever killed Harring isn't something we see every day.
I never thought that Dan would settle down.
He wasn't really the marrying type when we met.
But when Gracie was born, he really grew up.
He loved being a dad.
What was his daily routine? What'd he do the moment that he woke up, or right before bed? Why are you asking me all these questions? Because of the progression of your husband's illness, we think that he was the first one to become infected.
It helps us if we can put together a picture of his activities, prior.
Was he sick at all before you came to the resort? No, he was actually in the best mood I'd seen him in months.
He was working really hard on this IPO.
They all were.
He bought me this bracelet in st.
Thomas.
It was kind of his way of saying sorry.
Sorry? Sorry for what? For being distant, you know, not available.
You know, that kind of thing.
Your husband's a smoker, Mrs.
Harring? No.
Other than the bracelet, did he purchase anything else in st.
Thomas? No, I don't think so.
How about yourself? Did you bring anything over on the boat? Me? No.
- Smoke alarm was taped over.
- Yeah, I saw that, too.
- Why would she lie? - Maybe she didn't.
Maybe she thinks he quit.
Which makes you wonder what else she doesn't know about him.
/ Yeah.
How much longer will you be, ma'am? First off, she's a doctor.
Second of all, there's a lot of sick people depending on her for recovery so she'll take as long as she needs.
Um, here's the name of the caterer we use plus a list of the food and drink we ordered for the opening.
We'll also need to know who else was here for the week leading up to the event.
Did you have a service clean the place? I didn't want people sweating all night, so I had someone fine-tune the central air.
We'll need to take a look at that.
I'm sorry.
I'm not trying to be uncooperative.
It's just that this has been a very trying two weeks for me.
First Elli passes away, and now the NIH thinks I have something in my gallery that's killing people.
Wait.
Who passed away? Elli is the guy I was telling you about.
He spent so many years trying to be shown in a mainstream gallery like this and he dies two days after his opening.
How did he die? Was he sick? Elli had been battling HIV for a number of years, but I didn't know he was that sick.
I put some more painkiller and a muscle relaxant in your IV.
It should help your throat, Kim.
- Dr.
Mccabe? - See? Sounds better already.
Can you take a message to my friends? Yeah, of course.
Can you tell them, if I die, I want Jules to take my cat.
She's the responsible one.
Hey, Kim, you are not gonna die.
Dr.
Connor is the best.
I know you don't know him, but he's a brilliant man.
Dr.
Mccabe? I need you.
Either she was already sick or somebody compromised the area.
I never let anyone in.
What about the lady who gave you the blanket? Something you want to say, Mccabe? The mom was beside herself.
She couldn't stop crying.
It was the only thing that would help.
I took the blanket from the mom and gave it to her.
I never let the mom in.
Take the child to the nightclub with the others.
Let the parents know.
You know who that little girl is, don't you? That's Anne harring's daughter.
Where's the blanket? This leads us right back to Dan harring's room.
So it actually helped.
Don't act like your mistake was part of a master plan, Mccabe.
You let emotion cloud your better judgment, and you compromised that environment.
It was safer if I was to leave you in Miami.
While you've been looking at the big picture, I've been treating 25 patients and triaging over a hundred others.
I'm sorry if I messed up one time.
Hey, we can't afford to mess up, ever.
What the hell? Test it.
For what? Ms.
Small, where are they going? Home.
Arrangements have already been made.
I told you we haven't contained the situation yet.
We don't know what's making them sick or where it's coming from.
You're preaching to the wrong person, Dr.
Connor.
I didn't arrange anything.
Gary riesen did.
Elli's cause of death was officially listed as AIDS-related pneumonia.
Well, that's what you expected, isn't it? That's what everyone around him expected since he'd had a number of bouts with pneumonia.
I'm not following.
Because Elli had HIV, no one questioned how he died.
But maybe he didn't have AIDS-related pneumonia.
You think maybe he had whatever's making Diaz and the others sick? I think he had it first.
Oh, by the way, if anyone comes in, we're from century 21.
This guy is definitely in your face.
Doesn't do it for you? I'd rather sit through a hockey game.
My ex was into art.
Excuse me? Ex as in ex-husband? That kind of ex? What is that? Since when do maggots like paint? That's not just paint in there.
That's feces.
I gave you time, Dr.
Connor, but now one of my employees is dead.
What do you want me to do, sit around and watch half my company die? I did not get to where I am by passively taking orders.
Neither did I.
The healthy people are going home.
The sick people are going to the hospital.
As you said, it's my call.
- Your arrogance is impressive.
- Right back at you, doctor.
The M.
E.
in Miami's been trying to reach you.
- Autopsy's in on Dan harring.
- And? Acute histoplasmosis.
Acute disseminated histoplasmosis.
I already told Miles.
He said it's a fungus, right? Yeah, from contaminated soil.
All right, so what are we looking for? Muddy shoes? No.
Stomping through the dirt won't do it.
You need proximity to the spores in order for it to get into your lungs.
Has there been any disturbance of the grounds? Heavy winds? Construction? Anything? No, nothing.
What time's that boat gets here? Assuming it's going six knots, 40 minutes, max.
If everyone leaves the island before we find the source, we'll lose containment.
Yeah, and more people will get sick.
I checked with the Bimini ministry of health.
There's no documented cases of histoplasmosis on the island.
How rare is this thing? We have it in the States? Yeah.
We call it Ohio valley or Mississippi valley disease.
The fungus itself is pretty common in the soil.
Where's it come from? The birds contaminate the soil with their droppings.
We get sick from inhaling the spores.
Wait a minute.
First day here, a few of the patients went on a bird-watching tour.
Yeah, but not all of them.
Any other exposure to soil? Well, some of the patients went hiking north of the resort, but a bunch more went to the same place and didn't get sick.
Dan harring never left the grounds.
So we still have absolutely no explanation of how the soil became aerosolized, no common activity among the guests, no history of histo on the island, the source had to have been brought in.
So you're still thinking Dan harring was patient zero? Yeah, but the question is, how did a soil-based fungus kill a 37 year old vice president on vacation? You know, it's ironic that people from the city come here to get close to nature, and nature bites them in the ass.
Yeah, nature's funny that way.
Take the biggest animal on the planet, the blue whale, pit it against the tiniest, microscopic bacterium.
The bacterium kills the whale every time.
Contact the coast guard off Miami, tell them we haven't identified the mode of transmission yet.
See if they can arrange an escort into a quarantine station.
I'm on it.
/ Connor? - Dr.
Connor.
- What, Mccabe? Something curious about the blanket.
Because the source is from spores, I had a crazy idea and put it under a black light.
Chlorophyll? / All over it.
First it was soil, now it's plants? Are there any plants in Dan harring's room? We're gonna have to take down Elli's paintings.
Q fever? Are you people making this up? The scientific name is coxiella burnetii.
It's a bacteria found mostly in farm animals.
We found an abundance of it in Elli's paint.
I don't understand.
What's it doing there? Well, you mentioned Elli was out of the mainstream, but you didn't say that he added cow patties and placenta to his work.
I believe it's called shock art, radical art, outer art.
Google "art feces" sometime.
You'll be amazed how many hits you get.
It started as a movement to ridicule the idea that everything is art.
"Movement" being the key word.
So you knew his work was smeared with excrement? No, but I'm not surprised.
Elli was always taking risks.
Mr.
Kazerian, about that little matter of removing the work It's not the plants.
They're all silk.
Dan harring died of histoplasmosis spores originating from contaminated soil.
His illness was systemic, which means he received a massive spore load.
I told you I didn't want you smoking I'm sorry, I'm sorry.
Good.
His wife didn't want him to smoke, especially around the child.
But why would Anne lie about Dan's smoking? Her husband was dying.
Jasmine and rosemary.
I knew I smelled something earlier.
It's plant-based.
Any chance it contains live spores? Doubtful.
Unusual place for a freshener, though.
You mean, why isn't it in the bathroom? Well, maybe he was trying to cover up the cigarette smoke.
Or a certain aroma.
Durant.
Did you get a preliminary tox screen on Dan harring? I'll have to the check the M.
E.
's report.
What are you looking for? Harring had reddening of the eyes and burns on his fingertips.
Check for THC.
Marijuana? I'll see what I can find.
Dan, you told me you didn't smoke that anymore.
I'm putting together that whole public offering.
I been under a lot of stress.
When she said he didn't smoke, she was half-right.
He didn't smoke cigarettes, but he did smoke marijuana, especially when he was under the stress of taking a company public.
Well, answer me this.
Why the whole code of silence thing? If everyone who was sick lit up, someone would have mentioned it.
Well, pot's illegal, and I don't think everyone who was sick, did.
I think Harring partied with some of his colleagues, those on his team perhaps, but that was about it.
Yeah.
Harring's blood tested positive for THC.
- He tested positive.
- All right, look at this.
The people in the next four rooms along this corridor all got sick.
Nah, that can't be it.
The spores were too small.
The heat in the joint would have burned them up.
So how did the spores travel? How did they contaminate the others? The child's blanket could have been contaminated here in the room, which explains how the little girl got sick, What about the others? If he stashed the marijuana in the luggage or under the bed, it still doesn't explain how those in the other rooms got infected.
Smitty.
/ What? James peter smith.
My third year bunkmate in the navy.
Nice guy, okay sailor, but a major pothead.
Anyway every time the NCO came around, Ol' smitty would hide his stash up in the vent.
The vent.
If he stashed the marijuana in the vent, the flow of the air could have blown the spores along the corridor, at least far enough to reach the other victims, especially if the bag wasn't sealed.
Look at this.
Histoplasma capsulatum.
- This stuff's loaded with it.
- It's a nasty little fungus.
I can't believe that histoplasma capsulatum can get from the soil into the leaves like this.
There have been cases of pot tainted with salmonella, Hep A.
Yeah, but that's through ingestion.
This had to be inhaled.
Shows you almost anything's possible when you're dealing with organisms this small.
Marijuana.
Don't get too freaked, Mccabe.
It's rare.
Are you going to tell the guests? They're your patients.
You're a lucky man, Mr.
Diaz.
I could have died.
The tricky thing about Q fever is it often cultures negative.
But it is a bacteria.
A rickettsial bacteria, which requires a specific test, which we only ran after we found the animal parts in Elli's studio.
And only then we could give you the right antibiotics for that particular infection.
Like we said.
Lucky.
And all from standing close to a painting.
You're going to be okay, Mr.
Diaz.
The doctors here will monitor your heart and keep you on a steady dose of IV tetracycline.
Thank goodness I work for the government.
Yeah, we would've gotten around to you at some point.
Bye.
/ Bye.
Thank you, Dr.
Mccabe.
These people have a long road ahead.
- The sick ones? - Yeah.
Antifungals, chemo, it'll be months before they're back to normal.
If ever.
Cow feces in art.
Who would've thought? My dad always said modern art was crap.
And hello to you, too.
How we doing on the histo problem? The Bimini ministry of health is putting out a warning, plus they're re-examining all Tb cases, looking for anything that might actually be histoplasmosis.
The marijuana still circulating? With the information Mrs.
Harring gave us, the local police were able to find a few dealers and the contaminated field in st.
Thomas.
It's being destroyed as we speak.
Nice work.
We live to fight another day.
You're not gonna give me one of your "we may have won the battle, but not the war" speeches, are you? I'm too tired.
Good, because I think we did a damn good job and, I don't want to hear it.
Oh, my god.
Have you seen Jerry landau in a speedo? Um you ladies okay? Just another day in paradise.
Where's your friend? Kim, is it? Actually, she's feeling kinda sick.
We thought it was too many tequila shots, but the resort doctor said there's a bug going around.
Well, don't worry.
I'm sure it's nothing.
I'll check on her for you.
What can I do? It's getting worse.
Get help now.
We'll land in Miami in 40.
From there it's an hour by chopper to the island.
Run down what we have, Dr.
Mccabe.
For whose benefit? Yours.
Right.
Okay.
We have half a dozen guests at the Costa bimini resort, a private island off the coast of Grand bahama, down with a variety of symptoms.
What's the chief complaint? Pleuritic chest pain and night sweats.
- And what does that tell you? - Could be the flu.
Or it could be the onset of hemorrhagic fever.
Have any of the guests been in Africa lately? You're overthinking this.
Forget Africa.
We're in the western hemisphere.
There's possible cavitation in the mid and lower lung fields.
Tuberculosis? That's what the local doctor thinks.
Then again, he probably went to med school in Grenada.
Homestead Air Force Base, Miami I need H&E stain, oxygen-activated charcoal, IV poles and saline.
Don't they have any supplies? What do they do when someone gets sick? You ever been sick on vacation, Miles? No.
/ Don't be.
No high-end resort is gonna set aside space for a clinic when they can book a room for $600 a night.
I just got off the phone with Bethesda.
Remember that mystery pneumonia in Dade county? Yeah, the case we passed on.
The first patient died.
Now there are three more cases.
If it turns out to be Tb on the island, we'll treat it and backtrack.
One of the patients, Raymond diaz, is the local director of health and human services here in Miami.
Never dis the man that signs your checks.
Mccabe, you're gonna stay here and monitor the pneumonia cases.
With all due respect, Dr.
Connor, I'm ready for more than palpating and intubating.
And I've never been to the Caribbean.
I'll stay.
Dr.
Mccabe is better suited for the kind of triage you'll need.
You and I can do everything we need by satellite phone and computer uplink.
Fine.
Eva, you stay here with Natalie, and help deal with the pneumonia case.
Powell, Mccabe, come with me.
Dr.
Stephen connor, NIH.
Jenny small.
I'm with the resort.
This is Gary riesen.
His company's here on retreat.
Thank god you guys are here.
My employees are dropping by the hour.
My VP went down this morning.
- How did it start? - Chest pains.
Thought he was having a heart attack.
Did you all come here directly from the mainland? No.
We first spent two days in st.
Thomas, but no one got sick until we got here.
We have an excellent record when it comes to health and safety, doctor.
Nothing like this has ever happened before.
Why didn't you transport the patients to a hospital? / We tried.
The island hospital is nothing more than a glorified clinic.
They just sent one of their doctors.
There've been some isolated cases of tuberculosis on the island.
Now they think we've got a situation and we're gonna spread it.
When three percent of your population is ill, it's no longer a situation.
It's an outbreak.
Oh, god.
Can we please not label this? I really don't want to scare the guests.
This is no longer about public relations, Ms.
Small.
It's about public health, and you have a little problem on your hands.
Make that a big one.
We were told you were stabilized at six patients.
That was yesterday.
Yeah, whatever is infecting them is spreading fast.
Look, if we're going to treat this, we need total disclosure from here on in.
Okay.
I'm sorry.
What can I do? I need a list of all the guests, who's sick, who's not, what rooms they're in, what they've been eating and drinking.
I need a record of every illness documented here in the last two years, as well as every suspected case of Tb on this island.
My god, that's gonna take time.
You strike me as competent.
So we have over a dozen guests with a systemic, debilitating illness.
Shouldn't we be taking precautions if we think it's Tb, like masks or? Why do you think I asked you about your BCG shots? We all received Tb vaccinations back in Washington.
I'll start a timeline and database for all the patients.
Document their every move from the moment they got here until now.
See if there's been any changes in the weather patterns or recent infestations, see if the place has been renovated or painted.
There are a mber of toxins that can cause acute respiratory distress and look like Tb.
Ammonia, smoke, hydrocarbons There's also a chance someone from the retreat was exposed earlier and brought the illness with them.
No.
I checked with the company's home office in Orlando.
No one back there has any of the same symptoms.
So, let's just assume for now the source is here.
Remember, there's enough fax machines and cell phones to create a panic.
Let's keep this thing quiet.
Okay? Okay.
/ Got it.
Miami, Florida Have you traveled outside the country recently, Mr.
Diaz? This isn't ordinary pneumonia, is it? The doctors said it's negative for bacteria.
I'm gonna have Ms.
Rossi take a detailed history.
Places you've been, things you've eaten, animals you've been in contact with.
I gave the doctors everything.
You more than anyone know what we do, Mr.
Diaz.
Trust us to take care of you.
It's a cruel way to find out if you people are as good as I've been told.
Doctor, this young woman has severe multiform.
What did you give her? A shot of antihistamine, but it didn't help.
It didn't help because she's not suffering from an allergy.
I'm only one person.
That's why my hospital called you.
Look, given the presenting symptoms, antihistamine was the right call, but now it's changing, spreading, isn't it? Significantly.
Nosebleeds, headaches, and enlargement of lymph nodes.
Mccabe, visiting hours are over.
Until we know what this is, no one healthy gets in, all right? Yes, sir.
Get blood, urine, mantoux scratch and full history.
Wait, you want me to? / Yeah.
Treat your patients, Miles.
I'll be right back, sweetie.
Excuse me, excuse me.
My husband is lying in there, and nobody is telling me what's wrong with him.
Can you please help him? As soon as we know what we're dealing with, we will.
All right, I'll start testing the food and water, then move on to the victims' rooms from there.
Get a chronology from the doctor.
See if we can figure out who came down with this first.
Got it.
We confirmed your doctor's diagnosis of endocarditis.
It's the swelling of the The valves around the heart? Yeah.
/ I learned a lot from my dad.
So you can treat it? The endocarditis is only a complication of the underlying condition.
And what's that? We don't know yet.
Were you one of the first to get sick? How are my friends? Oh, they're fine.
They said they're waiting to have another tequila shot with you.
Stick out your tongue for me.
Okay, Kim.
You're gonna be fine.
We're going to have you all back in a Miami hospital in just a few hours.
All right, this is east pavilion, west pavilion.
There's a small cluster in this structure right here, but it stops on the third floor.
That can indicate a source, but there are cases sprinkled all over the other buildings.
There's no pattern.
If it were spreading person-to-person, we'd see a more consistent plume.
So far, there's no link between food, drink, alcohol, nothing.
What's this one right here? That's the staff quarters.
And not one of them is sick? Nary a soul.
What are the guests doing that the staff isn't? - They're voting republican? - Playing.
Pools, hot tubs.
The spa, the gym, the game room.
They probably have different sheets on their beds, too.
Whatever disnguishes the guests from the staff, test it.
/ All right.
Did you know the Diazes was one of the first families to come here when Castro took power in '59? We had a long talk.
Were you able to talk to the other pneumonia patients? I had to show the chief of staff my special tattoo, but, yes, I was.
And? I can't find anything that links them, nothing that makes sense anyway.
There's a reason why they have an acute respiratory illness and thousands of others here don't.
Go back over everything.
The kinds of household chemicals they use, sports they enjoy, habits they have.
Uh, I'm not a doctor or a toxicolist.
I'm the press liaison.
Yeah, but you were an investigative journalist for four years before you became a PR person.
You know how to talk to anyone.
Ah, you want me to flex.
Okay.
Fine.
Just remember, unlike what you usually do, this isn't about spinning information to suit our purposes.
It's about sifting through and gathering evidence that objectively leads to a conclusion.
So how are things with that hockey player? - Excuse me? - That guy, Jeremy Joe Jordan.
It's over.
Why do you ask? You just don't see that many women who are brilliant and beautiful.
I would think men would be all over you.
Were you able to talk to a Mr.
Gerald borman? No, I've been at the hospital all morning.
Why? Mrs.
Borman died from endocarditis five days after showing symptoms.
Ray diaz has been sick for four.
Borman's wife may have been the first to contract the disease.
I'll go see if I can tie her to any of the other victims.
Now you're thinking like an epidemiologist.
25 and counting and I'm still in the dark.
- Maybe I can be your guide.
- What do you got? I can only tell so much without samples, but from what I'm seeing, that resort is a four-star petri dish.
You've got E.
coli, enterobacter, non-pathogenic staph, lactobacillus, candida.
Which explains why the symptoms are all over the map.
It's also going to make a clinical diagnosis difficult.
The scary thing is the people are getting sick, they're not old or immuno-suppressed.
They're healthy young adults.
And if we don't find and stop what they have, they're going to bring this back to the States.
Stephen? Are you there? Quarantine? Don't you think that's a little drastic? This thing isn't airborne.
The point is, we know the source is here.
If the patients disperse to the mainland and the infection spreads, we won't know where to look.
But I already told these people they'd be going home.
Doctor, can you please tell my husband the government's making arrangements for us to leave.
I'm afraid I can't.
Until we know more, no one's allowed off the island.
What? / Because of the unknown nature of this illness, I've issued a quarantine order.
This resort's under lockdown.
I've chartered a boat from Miami to pick up the patients.
I pulled every string I had to get it.
- Tell it to turn around.
- Why should I? The people who work for me, the people who I care for, are getting sicker.
I had two more employees go down this last hour.
That's my point exactly.
As bad as it may seem, at least we're in a closed, controllable environment.
One sick person were to reach the mainland, there's no stopping runaway infection.
You have no jurisdiction, Dr.
Connor.
Your team is here at the invitation of the local ministry of health.
You can't personally place the island under quarantine.
You're absolutely right, Ms.
Small.
I have no jurisdiction.
But what I do have is 15 years of experience all over the world, seeing firsthand what infectious disease can do, how fast it can spread, and how viciously it can kill.
So if closing this place down for a few days means saving thousands of lives, so be it.
I'm trying to understand, doctor, but you yourself said you don't know what this is.
- Maybe it's nothing.
- Suppose it's not.
Suppose we don't contain it here.
Do you want your company, or your company associated with the legal and financial liabilities of exposing hundreds of thousands of people? But it's your call, Mr.
Riesen.
Okay.
I'll tell the boat to hold.
For now.
Mccabe, have you identified the symptomatic? / Yes, sir.
We need to separate those most vulnerable.
No one in the company's older than 42.
I'm talking about the children.
You want me to isolate them? You know what you need to do.
Mrs.
Harring.
Can I see my husband? Ma'am I need to put your daughter in a clean environment.
What? We need to quarantine your daughter.
You want to take her away from me? Only temporarily.
Children can get very ill from the kinds of things we're looking into.
No, she's not sick.
I'm not sick.
- You could be a carrier.
- Of what? We don't know yet.
But if you start to show symptoms, it'll be too late.
She'll be infected.
Come on, sweetie.
/ No.
I've already been separated from my husband.
You can't expect me to give you my little girl.
/ Ma'am you don't have a choice.
It's for her own good.
I promise she'll be okay.
Mrs.
Harring, please.
It's okay, baby.
How was your wife's health, Mr.
Borman? Judy was never sick.
We used to joke about how much energy she had.
My mom's like that.
Run, run, run.
Concerts, benefits.
She had a list of all the exotic trips we needed to take.
Did you two go anywhere recently? I couldn't get away.
And what about the rest of her routine? Did it change at all? Tennis with her girlfriends, work at the museum.
She even read to the school kids in overtown before she realized how sick she was.
She sounds like a great lady.
Yeah.
Uh I, uh, I brought you her day planner.
Thought it would be helpful.
Every night we'd have a glass of wine, look out at this gorgeous view, and remind ourselves just how lucky we were.
Mr.
Harring, I'm Dr.
Connor.
The doctor here says, uh, you're having some pain in your chest.
It feels like a weight pressing down on it.
He's got reddening of the eyes.
Could be from a virus, and rales bilaterally.
Where's my wife and daughter? They're in good hands.
Trust me.
Look, I need you to focus here, Dan.
I know you're hurting, but there's something linking you with your sick co-workers, something you all may have done that others didn't.
Did you do anything ritualistic as a group, uh, swim in the reef, go hiking, eat berries anything, as insignificant as it might seem? No.
I just been content to sit in the whirlpool all day.
Oh, yeah? Why's that? The mist, you know? The sea air, it's replenishing.
Legionnaire's disease? Are you sure? This place is loaded with whirlpools and steamrooms, all of them whipping up an aerosolized mist of bacterial soup night and day.
Well, not everyone becomes symptomatic.
That explains why you have 25 down and not 125.
Are you sure you're right? Look, we can't wait for confirmation.
I'll start treating with what I have, but I need broad-spectrum antibiotics, cipro, erythromycin, loads of it, and fast.
Get me what you've sampled so far.
I'll turn it around as quickly as possible.
The '76 outbreak was linked to air conditioning, wasn't it? - It was never ruled out.
- I need access to the ducts.
I found something! They all went to the same art gallery.
/ Art? The big, chichi opening ten days ago.
A group show, progressive Latin-american artists.
The Kazerian gallery, south beach.
They were all there.
Did Mr.
Borman go? He stayed at home to watch monday night football.
A art gallery is a pretty fluid location.
We need to get there before someone moves or discards anything.
I've actually heard of this artist, Elli.
During one exhibit, he lay naked under a plexiglas bridge and did things to himself while the guests walked in.
I prefer landscapes myself.
First place I looked A pool of standing water under an evaporator.
Which tells you what? If the water's infected with legionnaire's, the fan could easily aerosolize it into a mist.
And from there spread the disease.
I only checked a portion of the ducts, but I think we're on the right track.
Shut down central air.
It's okay, baby.
It's okay.
Dr.
Mccabe please let me go in and see her.
I can't.
I'm sorry.
At least let me give her this blanket.
It's the only thing that keeps her calm.
Please, have a heart, please? Thank you.
Dr.
Connor, we need you now.
Damn it.
What's happening? Dan harring is collapsing.
I'm trying to intubate quickly.
Okay.
That's it.
BP? 60/20.
Miles, dopamine.
Five to ten milligrams now.
You got it.
/ Switch.
Let's go.
Let's go.
Switch.
All right.
Bag him fast.
Come on, let's go.
Miles, where's dopamine? I got it.
/ Let's go! Going in right now.
Go bag him.
- Dopamine's in.
- What's his pulse? Miles, what's his pulse? Not much there.
Dan, stay with us.
()(23ºÐ 21ÃÊ) Pulse is fading.
We're losing him.
The disease must have progressed too far.
Legionnaire's didn't kill him, Stephen.
The bacterial culture was negative.
We're back to square one.
We know almost nothing.
Not really.
Now you know it kills.
I ran into some red tape with Dan harring's body.
The coroner's just starting the autopsy.
I did notice small burns on his fingertips.
That could be something.
What about the samples from the property? Aside from the bacteria and staph I mentioned earlier, there's a pretty high concentration of mold spores.
Inside or out? Both, but that's not unusual, given all the plant life there.
I'll know what kind of fungus it is in a few hours.
Make sure the M.
E.
matches anything he finds with your list.
Whatever killed Harring isn't something we see every day.
I never thought that Dan would settle down.
He wasn't really the marrying type when we met.
But when Gracie was born, he really grew up.
He loved being a dad.
What was his daily routine? What'd he do the moment that he woke up, or right before bed? Why are you asking me all these questions? Because of the progression of your husband's illness, we think that he was the first one to become infected.
It helps us if we can put together a picture of his activities, prior.
Was he sick at all before you came to the resort? No, he was actually in the best mood I'd seen him in months.
He was working really hard on this IPO.
They all were.
He bought me this bracelet in st.
Thomas.
It was kind of his way of saying sorry.
Sorry? Sorry for what? For being distant, you know, not available.
You know, that kind of thing.
Your husband's a smoker, Mrs.
Harring? No.
Other than the bracelet, did he purchase anything else in st.
Thomas? No, I don't think so.
How about yourself? Did you bring anything over on the boat? Me? No.
- Smoke alarm was taped over.
- Yeah, I saw that, too.
- Why would she lie? - Maybe she didn't.
Maybe she thinks he quit.
Which makes you wonder what else she doesn't know about him.
/ Yeah.
How much longer will you be, ma'am? First off, she's a doctor.
Second of all, there's a lot of sick people depending on her for recovery so she'll take as long as she needs.
Um, here's the name of the caterer we use plus a list of the food and drink we ordered for the opening.
We'll also need to know who else was here for the week leading up to the event.
Did you have a service clean the place? I didn't want people sweating all night, so I had someone fine-tune the central air.
We'll need to take a look at that.
I'm sorry.
I'm not trying to be uncooperative.
It's just that this has been a very trying two weeks for me.
First Elli passes away, and now the NIH thinks I have something in my gallery that's killing people.
Wait.
Who passed away? Elli is the guy I was telling you about.
He spent so many years trying to be shown in a mainstream gallery like this and he dies two days after his opening.
How did he die? Was he sick? Elli had been battling HIV for a number of years, but I didn't know he was that sick.
I put some more painkiller and a muscle relaxant in your IV.
It should help your throat, Kim.
- Dr.
Mccabe? - See? Sounds better already.
Can you take a message to my friends? Yeah, of course.
Can you tell them, if I die, I want Jules to take my cat.
She's the responsible one.
Hey, Kim, you are not gonna die.
Dr.
Connor is the best.
I know you don't know him, but he's a brilliant man.
Dr.
Mccabe? I need you.
Either she was already sick or somebody compromised the area.
I never let anyone in.
What about the lady who gave you the blanket? Something you want to say, Mccabe? The mom was beside herself.
She couldn't stop crying.
It was the only thing that would help.
I took the blanket from the mom and gave it to her.
I never let the mom in.
Take the child to the nightclub with the others.
Let the parents know.
You know who that little girl is, don't you? That's Anne harring's daughter.
Where's the blanket? This leads us right back to Dan harring's room.
So it actually helped.
Don't act like your mistake was part of a master plan, Mccabe.
You let emotion cloud your better judgment, and you compromised that environment.
It was safer if I was to leave you in Miami.
While you've been looking at the big picture, I've been treating 25 patients and triaging over a hundred others.
I'm sorry if I messed up one time.
Hey, we can't afford to mess up, ever.
What the hell? Test it.
For what? Ms.
Small, where are they going? Home.
Arrangements have already been made.
I told you we haven't contained the situation yet.
We don't know what's making them sick or where it's coming from.
You're preaching to the wrong person, Dr.
Connor.
I didn't arrange anything.
Gary riesen did.
Elli's cause of death was officially listed as AIDS-related pneumonia.
Well, that's what you expected, isn't it? That's what everyone around him expected since he'd had a number of bouts with pneumonia.
I'm not following.
Because Elli had HIV, no one questioned how he died.
But maybe he didn't have AIDS-related pneumonia.
You think maybe he had whatever's making Diaz and the others sick? I think he had it first.
Oh, by the way, if anyone comes in, we're from century 21.
This guy is definitely in your face.
Doesn't do it for you? I'd rather sit through a hockey game.
My ex was into art.
Excuse me? Ex as in ex-husband? That kind of ex? What is that? Since when do maggots like paint? That's not just paint in there.
That's feces.
I gave you time, Dr.
Connor, but now one of my employees is dead.
What do you want me to do, sit around and watch half my company die? I did not get to where I am by passively taking orders.
Neither did I.
The healthy people are going home.
The sick people are going to the hospital.
As you said, it's my call.
- Your arrogance is impressive.
- Right back at you, doctor.
The M.
E.
in Miami's been trying to reach you.
- Autopsy's in on Dan harring.
- And? Acute histoplasmosis.
Acute disseminated histoplasmosis.
I already told Miles.
He said it's a fungus, right? Yeah, from contaminated soil.
All right, so what are we looking for? Muddy shoes? No.
Stomping through the dirt won't do it.
You need proximity to the spores in order for it to get into your lungs.
Has there been any disturbance of the grounds? Heavy winds? Construction? Anything? No, nothing.
What time's that boat gets here? Assuming it's going six knots, 40 minutes, max.
If everyone leaves the island before we find the source, we'll lose containment.
Yeah, and more people will get sick.
I checked with the Bimini ministry of health.
There's no documented cases of histoplasmosis on the island.
How rare is this thing? We have it in the States? Yeah.
We call it Ohio valley or Mississippi valley disease.
The fungus itself is pretty common in the soil.
Where's it come from? The birds contaminate the soil with their droppings.
We get sick from inhaling the spores.
Wait a minute.
First day here, a few of the patients went on a bird-watching tour.
Yeah, but not all of them.
Any other exposure to soil? Well, some of the patients went hiking north of the resort, but a bunch more went to the same place and didn't get sick.
Dan harring never left the grounds.
So we still have absolutely no explanation of how the soil became aerosolized, no common activity among the guests, no history of histo on the island, the source had to have been brought in.
So you're still thinking Dan harring was patient zero? Yeah, but the question is, how did a soil-based fungus kill a 37 year old vice president on vacation? You know, it's ironic that people from the city come here to get close to nature, and nature bites them in the ass.
Yeah, nature's funny that way.
Take the biggest animal on the planet, the blue whale, pit it against the tiniest, microscopic bacterium.
The bacterium kills the whale every time.
Contact the coast guard off Miami, tell them we haven't identified the mode of transmission yet.
See if they can arrange an escort into a quarantine station.
I'm on it.
/ Connor? - Dr.
Connor.
- What, Mccabe? Something curious about the blanket.
Because the source is from spores, I had a crazy idea and put it under a black light.
Chlorophyll? / All over it.
First it was soil, now it's plants? Are there any plants in Dan harring's room? We're gonna have to take down Elli's paintings.
Q fever? Are you people making this up? The scientific name is coxiella burnetii.
It's a bacteria found mostly in farm animals.
We found an abundance of it in Elli's paint.
I don't understand.
What's it doing there? Well, you mentioned Elli was out of the mainstream, but you didn't say that he added cow patties and placenta to his work.
I believe it's called shock art, radical art, outer art.
Google "art feces" sometime.
You'll be amazed how many hits you get.
It started as a movement to ridicule the idea that everything is art.
"Movement" being the key word.
So you knew his work was smeared with excrement? No, but I'm not surprised.
Elli was always taking risks.
Mr.
Kazerian, about that little matter of removing the work It's not the plants.
They're all silk.
Dan harring died of histoplasmosis spores originating from contaminated soil.
His illness was systemic, which means he received a massive spore load.
I told you I didn't want you smoking I'm sorry, I'm sorry.
Good.
His wife didn't want him to smoke, especially around the child.
But why would Anne lie about Dan's smoking? Her husband was dying.
Jasmine and rosemary.
I knew I smelled something earlier.
It's plant-based.
Any chance it contains live spores? Doubtful.
Unusual place for a freshener, though.
You mean, why isn't it in the bathroom? Well, maybe he was trying to cover up the cigarette smoke.
Or a certain aroma.
Durant.
Did you get a preliminary tox screen on Dan harring? I'll have to the check the M.
E.
's report.
What are you looking for? Harring had reddening of the eyes and burns on his fingertips.
Check for THC.
Marijuana? I'll see what I can find.
Dan, you told me you didn't smoke that anymore.
I'm putting together that whole public offering.
I been under a lot of stress.
When she said he didn't smoke, she was half-right.
He didn't smoke cigarettes, but he did smoke marijuana, especially when he was under the stress of taking a company public.
Well, answer me this.
Why the whole code of silence thing? If everyone who was sick lit up, someone would have mentioned it.
Well, pot's illegal, and I don't think everyone who was sick, did.
I think Harring partied with some of his colleagues, those on his team perhaps, but that was about it.
Yeah.
Harring's blood tested positive for THC.
- He tested positive.
- All right, look at this.
The people in the next four rooms along this corridor all got sick.
Nah, that can't be it.
The spores were too small.
The heat in the joint would have burned them up.
So how did the spores travel? How did they contaminate the others? The child's blanket could have been contaminated here in the room, which explains how the little girl got sick, What about the others? If he stashed the marijuana in the luggage or under the bed, it still doesn't explain how those in the other rooms got infected.
Smitty.
/ What? James peter smith.
My third year bunkmate in the navy.
Nice guy, okay sailor, but a major pothead.
Anyway every time the NCO came around, Ol' smitty would hide his stash up in the vent.
The vent.
If he stashed the marijuana in the vent, the flow of the air could have blown the spores along the corridor, at least far enough to reach the other victims, especially if the bag wasn't sealed.
Look at this.
Histoplasma capsulatum.
- This stuff's loaded with it.
- It's a nasty little fungus.
I can't believe that histoplasma capsulatum can get from the soil into the leaves like this.
There have been cases of pot tainted with salmonella, Hep A.
Yeah, but that's through ingestion.
This had to be inhaled.
Shows you almost anything's possible when you're dealing with organisms this small.
Marijuana.
Don't get too freaked, Mccabe.
It's rare.
Are you going to tell the guests? They're your patients.
You're a lucky man, Mr.
Diaz.
I could have died.
The tricky thing about Q fever is it often cultures negative.
But it is a bacteria.
A rickettsial bacteria, which requires a specific test, which we only ran after we found the animal parts in Elli's studio.
And only then we could give you the right antibiotics for that particular infection.
Like we said.
Lucky.
And all from standing close to a painting.
You're going to be okay, Mr.
Diaz.
The doctors here will monitor your heart and keep you on a steady dose of IV tetracycline.
Thank goodness I work for the government.
Yeah, we would've gotten around to you at some point.
Bye.
/ Bye.
Thank you, Dr.
Mccabe.
These people have a long road ahead.
- The sick ones? - Yeah.
Antifungals, chemo, it'll be months before they're back to normal.
If ever.
Cow feces in art.
Who would've thought? My dad always said modern art was crap.
And hello to you, too.
How we doing on the histo problem? The Bimini ministry of health is putting out a warning, plus they're re-examining all Tb cases, looking for anything that might actually be histoplasmosis.
The marijuana still circulating? With the information Mrs.
Harring gave us, the local police were able to find a few dealers and the contaminated field in st.
Thomas.
It's being destroyed as we speak.
Nice work.
We live to fight another day.
You're not gonna give me one of your "we may have won the battle, but not the war" speeches, are you? I'm too tired.
Good, because I think we did a damn good job and, I don't want to hear it.