Watson (2024) s01e04 Episode Script
Patient Question Mark
1
SHINWELL: Dr. Watson.
You were the best friend
- Sherlock Holmes ever had.
- Holmes!
- [GUNSHOT]
- SHINWELL: Three men
went over the waterfall.
Yourself, Sherlock Holmes
and the man we'd been chasing.
WATSON: James Moriarty.
SHINWELL: You've had
a knock on the head.
A traumatic brain injury.
Sherlock Holmes funded
a clinic for you to run.
We have a new case.
Who wants to amaze us
with their insights?
THE REP: Shinwell Johnson.
We're not to be ignored.
An order arrives, an order is executed.
MARY: You are a better doctor now, John.
But the "old us" is never coming back
WATSON: Dr. Lubbock, you have had
your left hand in the same
spot this entire meeting.
- Oh, my God!
- Why didn't you tell us?
ADAM: I can celebrate.
- SASHA: Sorry, I didn't mean to snoop.
- It's okay, babe.
Soon.
♪
The signal-to-noise exercise
is one of the most
important things we do.
Okay, so you keep saying,
except it always turns
out to be a waste of time.
That's exactly why it's so valuable.
There's more noise in the
world than there is signal.
Three cases with some very
interesting particulars
came into UHOP within the past 72 hours.
In the Signal-to-Noise Exercise,
we determine which of these
are of diagnostic interest
None. The answer, without fail, is none.
WATSON: So far, the answer has
always been none. Correct. So far.
Ellen Samuelson.
She came to visit her
newborn grandson yesterday
when she started feeling faint.
The nurse went to check her blood sugar
and realized Grandma
Samuelson had no fingerprints.
Closer inspection of
the grandson revealed
he shared the same condition.
They should be a cat burglar team.
WATSON: Hold that thought.
Consider Vaughn Timms.
Mr. Timms has been the victim
of frequent bone fractures.
Most recently, he fractured his wrist
opening a pickle jar.
What kind of pickles? Does it matter?
Let's table that issue for now.
There remains the matter
of William Betancourt.
At 11:29 last night,
he came into the ER
with an impaled tongue.
The patient was using a floss threader.
So, what's signal?
And what's noise?
SASHA: The presence of physical findings
in both the grandmother
and the grandson suggests
an inherited genetic trait.
WATSON: Yes, it is inherited;
however, it's also trivial.
Adermatoglyphia. Noise.
[QUIETLY]: Why are all
these markers green?
The recurring fractures are consistent
with Osteogenesis Imperfecta.
Yes, except Vaughn Timms
doesn't have blue sclera.
He has a dangerous exposure
that occurs with an alarming frequency
among men of his generation.
Pickleball.
All of his X-rays have been performed
within the hours of 9:00 and 11:00 a.m.
The first time that you can
reserve a public court is eight.
It's a stimulating workout.
SASHA: Okay, so then,
why didn't he just tell the truth?
Because he was playing with
a woman who isn't his wife.
WATSON: Very good, Dr. Derian.
Glad you decided to join in.
That leaves us with Mr. Betancourt.
Dr. Lubbock.
You've seen something like this before.
Maybe. I-I-I don't know.
It's the texture
WATSON: You're right to look closer.
The lesions are concerning
for Cowden Syndrome.
- Which is ?
- BOTH: A genetic predisposition to cancer.
WATSON: Not only is your
risk of getting cancer higher,
but you're more likely
to get it at a younger age
and more than one type.
This patient needs screening
that should be routine,
but nobody caught his Cowden's.
Who wants to handle this?
Adam and
Ingrid.
Track down the patient,
set up the screenings.
And you?
I'm on the Case of the Green Markers.
SHINWELL: No, I do, I
do see the problem, guv.
It's just the green ink.
It's it offends the senses.
As you've said. At length.
- You've made inquiries?
- Insistent inquiries.
It seems that the budget for
office supplies is covered
by the hospital itself,
and not the money
that Holmes set aside
to fund the clinic.
Someone in brass has put word out:
we're to have green ink only.
Now, I could buy new
ones with petty cash.
No.
I appreciate the initiative.
I'll work this case on my end.
Good to see you feeling
spicy again, guv.
INGRID: Wait
You're not Mr. Betancourt's assistant?
His second assistant, got it.
Um [CHUCKLES] Can I talk
to whichever one handles
important matters vital to his health?
Yes, I'll hold.
I think I'm on hold with Number One.
Earth to Sasha.
Oh. Hi, there.
Am I speaking with Mr.
Betancourt's first assistant?
- My name is Dr. Adam Croft.
- You good?
ADAM: Sure, I'll hold.
It's like that tongue
put you into a trance.
Do y'all ever think about your cadaver?
ADAM: You mean, from med school?
Sure.
You do not think about the cadaver
you dissected in anatomy lab.
ADAM: I do, too.
He donated his body to science.
It's the first person that you cut into.
- You tend to remember it.
- STEPHENS: No.
You want to be thought
of as the kind of person
who appreciates the sacrifice.
You don't actually appreciate it.
Tell us what he looked like, then.
That is private.
I will say he was a beautiful man.
INGRID: Mr. Betancourt.
We need to have a
conversation about your tongue.
Sorry. Now, how long is this gonna take?
- INGRID: Mr. Betancourt
- Oh, Call Me Bill.
- Bill
- No. [CHUCKLES]
"Call Me Bill." Like,
call me "Call Me Bill."
The lawyer from those
billboards. You're Call Me Bill.
INGRID: Mr. Betancourt,
we just informed you
that you have a genetic
predisposition to cancer.
A few hours for screenings
doesn't feel like a huge ask
- [PHONE RINGS]
- Wait, that Sorry.
This is the phone I
actually do have to answer.
Call Me Bill.
No, Margaret, that's not what I said.
I love the way you
work Watson, by the way.
He cooks up a training
exercise you think is silly,
and you just say, "No, thank you."
Look, I'm just protecting my time.
Stephens and Sasha don't
"protect their time."
You're his favorite. You
get to keep him on his toes.
CALL ME BILL: Okay, I'm here.
You have me for the day,
uh, but there's,
there's just one thing
- [PHONE RINGING]
- Oh.
Margaret, how did you get this number?
[CONTINUES INDISTINCTLY]
- I'm not Watson's favorite.
- Oh, yes, you are.
Um, you have me, I'm all yours, but, uh,
you can't put me under because
I'm gonna be rolling calls all day long.
Well, the first procedure
doesn't require sedation.
But most patients might
find it pretty uncomfortable.
- Oh, that, that [SIGHS]
- [PHONE RINGING]
[CHUCKLES]
Call Me Bill.
SASHA: William Betancourt stayed awake
during his own colonoscopy?
William Betancourt goes by
Call Me Bill.
From the billboards?
That's Call Me Bill's colon?
And not only did he stay awake,
I'm pretty sure he settled a case.
[SCOFFS] Are you seeing this?
SASHA: There is no way
these growths are benign.
[SIGHS]
WATSON: Schedule an OR.
♪
SURGEON: Tumor spread is worse
than it appeared on imaging.
We'll have to proceed with tender
dissection around the liver.
- [MONITOR BEEPING FASTER]
- NURSE: He's tachy at 150
and his BP's dropping.
SURGEON: I must've nicked the IVC.
I need more suction.
I can't see anything on the field.
[INDISTINCT, URGENT CHATTER]
[MONITOR BEEPING RAPIDLY]
[VOICES ECHOING]
ADMINISTRATOR: Lubbock,
you're gonna have
to get into that cadaver eventually.
NURSE: Time of death, 9:24.
WATSON: I spoke to his ex-wife.
She's gonna make sure
the family gets screened.
It's good that you care.
I don't want you to lose that.
You've seen a tongue like
Call Me Bill's before?
My cadaver from medical school.
I don't remember that much
about him, if I'm being honest.
But I do remember his tongue.
Cowden's?
[SNIFFLES]
Did anyone warn him?
Or his family?
How many of them went to get a checkup,
and died on the table the next day?
[INHALES SHAKILY]
His family's still out there.
Why don't you warn them?
Get them in for some early screenings
- and save some lives.
- That's impossible.
I have no idea who he was.
And they keep cadaver
donations anonymous.
Yeah, it doesn't sound
too impossible to me.
It sounds challenging.
It sounds like a mystery.
Mysteries are what we do.
♪
So, Sasha has maybe-memories
about her cadaver's tongue
They're not "maybe-memories."
They're memories.
I can tell you that, over time,
your brain changes what
you think you remember.
You write a story about the past,
and it's based on biases,
things you wish were true.
You say you can picture
this man's tongue.
What did his face look like?
What about the other students?
What do they look like?
You can't be positive
about anything that
happened in that room,
not after all this time.
WATSON: If Dr. Lubbock is is correct,
yes, this could be a
meaningful intervention
for multiple generations of patients.
Unless that family learned
about Cowden's a long time ago.
Sure, let's just assume somebody
else solved the problem for us.
Our patient is named Question Mark.
How do we find the identity of a cadaver
Dr. Lubbock dissected
more than a decade ago?
We need to bypass several layers
of confidentiality, find the right body
among hundreds of possibilities,
and locate family members that could be
anywhere in the world.
You can't boil the ocean, Dr. Derian.
One step at a time.
Sasha, turn your notes
from med school over
to Adam and Stephens.
They can scour them for clues.
What makes you think I still have those?
Oh, I don't know, maybe because
you're you?
You went to Pitt Med School, I did,
and Ingrid did, as well.
We'll appeal straight
to the anatomy lab.
And I'll meet you guys there in an hour.
What took you so long?
I told my lawyer
I want this to be peaceful, John.
That's what we both want.
That's why it's mediating.
Mediation requires two parties.
My lawyer has been
trying to get a session
on the books for months.
We've been busy at the clinic.
And I run the largest academic
health care system in
Western Pennsylvania.
I know, I know, I'm sorry.
Don't be sorry. Participate.
Give him the name of your lawyer.
Let's start there.
You do have a lawyer?
Schedule the session.
Text me a time and a
place and I'll be there.
Oh, and so I don't respond,
so your answer to that
is to flood my clinic with green ink?
I had to get your attention.
What?
It's a good move.
Game recognize game.
SASHA: Oh, that smell. I
thought I remembered how bad it was.
Your mind deluded you.
It's how memory works.
You seriously don't trust
your memory of your cadaver?
I mean, I believe she was dead.
What do you think you're doing?
What do you think you are doing?
INGRID: Brenda? You're still here?
You can just call me
Brenda the Battle-Ax.
I know everybody does.
I don't think you remember me, but
Oh, no, I remember you,
Mr. Handsome Goo-Goo Eyes.
I remember everybody
who's ever cut in my lab.
You're Girl Who Can't
Be Alone with a Cadaver.
And you're Late Night Party Monster.
[GRUNTS] They let
y'all practice medicine.
That's wild.
We're trying to track down a patient,
who just so happened to have been
a cadaver at this very lab a decade ago.
I hate to break it to you, Doctor,
but I don't think that
patient's gonna make it.
We're interested in his descendants.
You kept a ledger documenting
confidential information
about every donor body that's in here.
If we could maybe spend an hour with it?
[LAUGHS] An hour with
the confidential ledger?
We could save a lot of lives.
- And it's a good cause.
- You know what's also a good cause?
Me having a job.
Yeah, I was hoping that we could appeal
to your inherent good nature
or the university's ethics board.
But I did come prepared to have
a different kind of conversation.
You think you can bribe me?
I wouldn't call it a bribe.
More like an opportunity
to do your civic duty.
Those better not be
baseball tickets, Dr. Watson.
I may be easy, but I'm not a hussy.
[GASPS]
STEPHENS: Sasha's
projected class rankings,
goal lists for the next three,
five, and ten years.
I've got projected budgets
for wedding venues based
upon the profession of
Sasha's future groom.
Let me guess: doctor, lawyer, finance?
The holy trinity.
[CHUCKLES SOFTLY]
There are two pages missing.
She tore them out.
Age, weight, height,
date and time of arrival.
It's all here,
along with each entry's numerical code.
Brenda the Battle-Ax said the
lab processes 80 bodies a year.
The cadaver we're looking for
falls inside a two-year window.
Uh, take out women, and
that leave us with
Looks like more than 100 cadavers.
WATSON: Yeah, well, I gave away
my Steelers-Ravens
tickets to get this ledger.
There's got to be more you can tell us.
Start with who you were back then.
The mind tucks away clues.
Smells, sights, sounds.
They're like cairns on a hiking trail.
Pay attention,
they'll tell you exactly
where you need to go.
["COLD WORLD" BY ALGIERS
WITH NADAH EL SHAZLY PLAYING]
- That was my old station.
- Okay.
I sat on the stool by the wall
'cause my lab partner couldn't sit
without his knees brushing
up against the cadaver's feet.
- Uh-huh.
- Scott was kind of a giant.
- Or so you think.
- How tall?
At least six-two?
He played linebacker at Penn State.
Scott thought that our cadaver might
have been a football player, too.
They were about the same size.
Got it. Six-two or taller.
Kristina was pissed
when our T.A. chose our
group's heart for the practical.
She wanted to be a cardiologist,
but her cadaver showed signs
of age-related arteriosclerosis
and ours didn't.
100 million screaming
and nobody listening ♪
The world is different ♪
Cold world, cold world ♪
Everybody wants to
make or enslave you ♪
Inside of their vision ♪
Cold world ♪
Cold world ♪
And voilà.
There's only one entry
that fits the criteria.
INGRID: A coffee stain?
Oh, come on!
Human error.
The only antidote to human ingenuity.
[PHONE RINGS]
Hello?
We have a situation here.
The Conundrum of the Missing Pages.
SASHA: Excuse me?
Adam thought of that little
phrase all by himself.
Um, can you put us on speaker, please?
There are two pages that are
conspicuously missing from your notes.
They were probably sloppy.
- I took 'em out and recopied 'em.
- WATSON: Oh, stop it.
Your handwriting could
be on wedding invitations.
Fine. It was med school,
I was stressed, and I found
a way to blow off steam.
Micah, an art student.
He begged me to sneak him into the lab
so he could practice sketching.
I told him I would
if he made me a study aid
for my head and neck final.
INGRID: Mm, let me guess.
Brenda caught you guys?
Late Night Party Monster.
Couple years ago, Micah called
and asked about those sketches.
He wanted to go back to techniques
he used in his early works.
ADAM: Wow. He makes a living
as an artist? That's cool.
I mean, he did a couple years ago.
["STARBURSTER" BY
FONTAINES D.C. PLAYING]
INGRID: No way, these are all you.
WATSON: I know you said you
had a fling with this guy.
You didn't say you were his muse.
Not something I know how
to work into a conversation.
You see anything you like?
[BOTH LAUGH]
You actually came by.
I'm so sorry I couldn't
go to the opening.
I was out of town with my fiancé.
It's all right,
it's all right. You can see now,
after you gave me
those old drawings back,
I kind of went down a rabbit hole.
So, about those drawings.
Where the party at? ♪
Where the party at? ♪
Never mentioned he had a tattoo.
Where the party at? ♪
Where the party at? ♪
Well, that's unexpected.
Where the party at? ♪
Where the party at? ♪
Did I ever tell you
about the best summer of my life?
You tell us pretty much
nothing about yourself,
Mr. Handsome Goo-Goo Eyes.
I once spent six months
in Lancaster, Pennsylvania
studying genetic bottlenecks
in the local population.
It was great people,
it was great weather.
I even got engaged at the end of it.
And when I finally left,
the community made me a beautiful quilt
to thank me for all the work that I did.
And the quilt was emblazoned with
ADAM: The Amish star of Bethlehem.
WATSON: Sasha's cadaver had this tattoo.
Patient Question Mark was either Amish
or connected to the community.
It's time for a road trip.
- [HORSE NEIGHS]
- [INDISTINCT CHATTER]
[COW MOOS]
Watson's Amish Summer of Love.
Terrible movie. I wouldn't screen it.
- [CHUCKLES SOFTLY]
- [ROOSTER CROWS]
It's a nice place to
get engaged, though.
How's your wedding planning going?
I picture something like
the invasion of Normandy.
International cooperation,
efficient dispatch
of the opposition, some
tasteful use of flamethrowers.
[BOTH LAUGH]
Patient Question Mark's
name is Jacob Hochstetler.
Son to Melvin and Samantha.
Born in 1977.
You got all that from a
five-minute conversation?
I diagnosed Eli's son with
Maple Syrup Urine Disease
when I was here last.
Now he's 17 and thriving.
So he's no longer urinating maple syrup?
Eli trusts me.
He recognized this sketch
that Sasha's stalker did.
Micah is not a stalker.
He just remembers me fondly.
Jacob was in the right age range.
Would've been about 35 when he died.
Now, obviously, we
need to screen everyone
here we can for Cowden Syndrome.
We'll advise those with the condition
to get routine cancer screenings.
Jacob's immediate
family's gonna be trickier.
His father was accused
of embezzling money from
a charity that he ran.
The whole family left
Lancaster at the same time.
And nobody knows where they are?
These are the Amish.
Generally speaking, when you're out,
- you're out.
- Dr. Watson?
You don't recognize me, do you?
Benjamin Burkholder.
- Eli's son.
- Benjamin.
- Good to see you.
- Maple syrup?
BENJAMIN: It's good to see you, sir.
I wanted you to know that people
still do talk about those who've left.
There are rumors.
Jacob's sister Rachel.
I've heard she lives
near Harrisburg now.
She married a man named Smith.
WATSON: Rachel Smith.
Harrisburg.
I'm not getting a signal.
Most of the carriers don't
bother to put up towers here.
All right, is there a
computer that we could use?
Maybe a store with a landline?
Of course.
Or you could just use the phone shanty.
ADAM: Have you guys
tried the camel milk yet?
Uh, Lancaster County's
still in Pennsylvania, Adam.
Actually, Sasha, most
of the camels in the U.S.
live on Amish and Mennonite farms.
Cow's milk, as you know,
is hideously allergenic.
An immunological nightmare.
Camel milk, on the other hand, is
WATSON: We can discuss that later.
Or never. Never could also work!
WATSON: Right now I need you to
find Jacob Hochstetler's sister.
Get me an address in
Harrisburg, I'll go visit her,
Sasha and Stephens will run
the Cowden screenings here.
If we can get 'em to participate.
Rachel Smith?
She couldn't have married a
man with any other last name?
[LAUGHS]
ADAM: Four women named
Rachel Smith listed
in Dauphin County.
- Hey, everyone
- [LAUGHS] I'm guessing 16?
Also very un-Amish.
"Watson's favorite."
What does that mean?
Are the words themselves unclear?
I haven't noticed any special treatment.
Watson makes an effort to be impartial.
Rest in peace, Rachel Smith number two.
It's nothing that he
does. It's a tone thing.
You have to track his eyes,
where his attention goes first.
He puts you in a special category.
One that, as far as I can tell,
includes you, him and
Sherlock Holmes.
It drives Sasha and Stephens crazy.
I'm not saying that you're right.
But if Watson sees me as special,
why doesn't it drive you crazy?
I'm never going to win a
competition with the three of you,
unless it involves a
ten-meter diving platform.
I barely cracked a book
until I blew out my knee.
It's okay that you think
functional medicine is soft.
I believe in the field.
I'll add a helpful
perspective when I can,
and I will be a better
doctor when I leave.
Are you well-adjusted?
Maybe?
I thought you were just self-absorbed.
[LAUGHS]
Rachel Smith, part three.
No pictures, no social media.
Just an address on Hummel Street.
Not much for modern tech.
Could be our Rachel.
There's one more.
Hmm?
One more person Watson considers a peer.
Went over the waterfall, too.
James Moriarty.
- [PHONE CHIMES, BUZZES]
- I've heard it said, Clyde,
that a man is only ever as sick
as the secrets he is keeping.
Fair amount of wisdom there, Clyde.
Holmes had Watson to confide in.
Watson has me.
Who do I have?
As a conversationalist
and let us be honest with each other
no one's gonna mistake either
of us for Oscar Wilde, are they?
You see, Clyde
a man gets desperate
when he's trapped.
Man can't abide that state of affairs.
That is when
a man might consider
topping himself, Clyde.
But
if there's no move to make,
you get creative.
Don't you?
You make
a move to make.
Watson's feeling better.
I have a phone.
Looks just like this one.
That's precisely the point.
This phone contains new
programming for the lab's robot.
All you need do is work at your desk,
and it'll upload of its own accord.
Do not leave it lying about.
In addition to the samples you bring me,
the robot will be
passing along information
about the genomes of your patients.
Clyde.
What?
His name's Clyde.
Are you quite all right, Shinwell?
[ENGINE STARTS]
WOMAN: Buckle up, Amos.
WATSON: Rachel Smith?
Sorry to bother you
at home, ma'am. My name is John Watson.
I'm a geneticist and internist
at UHOP's home branch.
That's hours from here.
I need to talk to you
about your brother Jacob.
Jacob died ten years ago.
That's the thing.
We've recently come to believe
that your brother had
a genetic condition
called Cowden Syndrome.
Do you remember any
lesions on his tongue?
Uh, I do. I
That's indicative of Cowden Syndrome.
It runs in families.
We advise genetic testing
for anyone related to Jacob,
along with frequent screenings
to detect potential
cancers before they grow.
Oh, my God. No, I'm not
saying you have it, ma'am.
Just a precaution.
My-my son.
He's seen a doctor,
but I was told it would
go away on its own.
Are you saying Amos has cancer?
Rachel Smith was on her way
back to the ER when I got here.
Three weeks ago, doctors
diagnosed her son's growth
as an enlarged lymph node.
Could be cervical lymphadenitis.
With the mom's background,
the child may well be under-immunized.
I recommend we swab
for strep, test for TB,
send a CBC, viral panel,
and blood cultures.
ADAM: Go to a muffler
shop, get a muffler.
Go to an infectious disease
specialist, get an infection.
Your metaphor doesn't scan.
I'm not giving the patient an infection.
[QUIETLY]: Your metaphor doesn't scan.
Uh, this could be an acquired goiter
from Graves' Disease or hyperthyroidism.
I recommend TFTs.
WATSON: Or
it is cancer.
Children with Cowden
Syndrome can present
with thyroid cancer as young as seven.
So we need to work him
up for every possibility.
Sasha and Stephens, you
two stay in Lancaster
and finish up those screenings.
Ingrid and Adam, I'm sending you
Rachel's consent letter
to get Amos's records.
We'll draw labs today, rush the results.
We're gonna be back first
thing in the morning,
so be ready for us.
On it Goo-Goo Eyes.
TREYA: Dr. Lubbock?
My name is Treya Coblentz.
We tested you. I remember.
I forgot to say "thank you"
for what you're doing for us.
I'm-I'm grateful. We
are we are grateful.
Of course.
I appreciate you saying that.
The talk is that
all of this started
because of my cousin Jacob?
That one of you doctors
knew him before he died?
That was me. I
I never met Jacob exactly,
but I was familiar with him.
My family
the ones who left
you'll give them these same tests?
We are already in contact
with Rachel and her son,
and she's giving us the
information to find the others.
Rachel has a bobbin?
A-a baby?
His name's Amos. He's eight now.
Well, I'll pray for their well-being.
So will I.
As I said, my name is Treya Coblentz.
If you could keep me informed
with how they're doing,
- I'd be so grateful.
- Oh, of course.
[SIGHS]
We'll see who comes in tomorrow, but
I think that we can call it a day.
Everybody keeps thanking me.
I don't even know what we did here.
There might be an
eight-year-old with cancer
who's getting treatment
who otherwise wouldn't have.
That just makes me wish
we had gotten here sooner.
You're tired, so maybe you can't see it,
but these tests, what
we're doing here
it's going to make a difference.
I can't remember her.
My cadaver.
I know that we called her Amelie,
but I can't remember anything else.
Whoever she was it didn't matter.
What I needed, or what
I thought I needed,
was an "A" in anatomy.
People underestimate you.
But you are a remarkable person.
And you use that to make
yourself a remarkable doctor.
WATSON: We're about an hour away.
You get into the city often?
Not much since we lost Jacob.
It's been years.
And you've been to Fallingwater?
Too many times.
My husband was obsessed
with Frank Lloyd Wright.
Was? Didn't work out?
Uh, no, no.
He managed construction sites.
- [CARTOON SOUND EFFECTS]
- [AMOS LAUGHS]
He was on a demolition
project in Harrisburg
when a structural beam gave way.
He never made it to the hospital.
I'm sorry.
Suddenly single mother,
no community to support you.
You ever try to go back?
I don't think I could.
The way we left.
It was so unforgiving.
My dad never even told us
if it was because he chose it
or because it was chosen for us.
Doesn't matter, I suppose.
Amos and I are strangers to them now.
But I'll always carry
that place with me.
[PHONE BUZZING]
Excuse me.
Hello.
I'm cutting it close.
I got caught up on a
community outreach call,
but I should be there in ten.
How far away are you?
The mediation.
Yes. The mediation.
Please tell me you're on your way.
Well [SIGHS]
[SIGHS]
I'm calling my lawyer.
He's been telling me we should
be taking a different approach.
No, no, you don't have to do that.
- [CARTOON SOUND EFFECTS]
- Are you watching cartoons?
Well, I'm in a car,
driving with a sick
child and his mother.
Hey, I went to, uh, Lancaster.
Eli Burkholder says hi.
Eli. What were you doing out there?
[WHEEZING]: I don't feel good.
WATSON: Listen, I'm
sorry about the mediation,
but right now I need you
to get a room ready for me.
Eight-year-old patient, showing
signs of respiratory distress.
I've got my eye on him.
What's happening to my son?
MARY: Okay, where are you?
We're about 40 minutes out.
You said an hour.
Not if you pick up the pace.
WATSON: Patient is in respiratory
distress with new-onset fever.
Start oxygen at ten liters,
administer IV acetaminophen.
We have the labs in. Viral
PCRs are all negative.
Blood cultures are no growth to date.
There's nothing to explain
why he's getting worse.
The tumor on his neck is
pressing on his airway.
- ADAM: Watson.
- He's not gonna be able
to keep breathing like
this for too much longer.
We may need to intubate.
Watson, that kid doesn't have a tumor.
The Cowden screening came back negative.
I mean,
technically, he could have cancer.
Thyroid cancer in an eight-year-old?
Without Cowden Syndrome,
the chances are too slim.
We have to figure out what's wrong
with him right now or he could die.
Sasha and Stephens are
close to Rachel's house.
Have them turn that place upside down.
Anything at all might help.
SASHA: All right, you're
the infectious diseases guy.
Tell me what we're looking for.
Anything that's living,
anything that used to be living,
anything that's carrying
something living.
- So, anything?
- Anything.
We need data.
Pickles, filtered water,
what appears to be bologna.
In the trash I'm seeing
tissues, junk mail
Standing by to intubate, Dr. Watson.
Give me something I can use, Doctors.
- We don't know what we're looking for.
- Anomalies.
Find me something that
shouldn't be there.
SASHA: Is it weird that
only one flower is alive?
That's a lily. They
live longer in a vase.
[WHEEZING]
We can't wait any longer.
Amos has air hunger.
I need to place a breathing
tube to keep his airway open.
Whatever he needs, please.
Okay, we're gonna make
sure he's sleeping,
make sure he's
Okay, wait, wait.
Let me see that picture again.
Desert Dew.
Does your son drink camel milk?
Uh, yeah, I get it for
him at the farmers market
to give him a taste of home.
Okay, I need an ultrasound machine,
some gel, a large-bore
needle, and a syringe.
Unpasteurized camel milk had been linked
with outbreaks of brucellosis, which,
in rare occasions, manifests
as a thyroid abscess.
Okay, hold still, buddy.
It's gonna be okay.
Watson, you're recovering from two TBIs.
You've had seizures.
You've brought Amos this far.
One of us should take it from here.
[AMOS GASPING]
You're almost there, buddy.
You're doing great.
You're almost there, Amos.
[TAKES DEEP BREATH]
[RELIEVED LAUGHTER]
Good job, buddy.
We'll operate on the abscess.
He should be fine.
TREYA: Rachel?
Treya?
I've missed you.
Oh, for your son.
They say that he's recovering?
Yeah, the surgeons here
washed out the abscess.
Drained it completely.
Amos is going to be fine.
He's so beautiful.
He looks just like you.
RACHEL: You made this?
Amos, wake up.
Wake up.
I want you to meet your aunt.
Hi.
Actually, um, if the boy's up to it,
there's a bunch of us
who'd like to know him.
[LAUGHS]
[SPEAKS INDISTINCTLY]
[INDISTINCT CHATTER]
12 cases of Cowden Syndrome.
That's 12 people who know
to get early screenings.
I heard they already caught
one case of breast cancer?
A small tumor.
It should respond to treatment.
Hmm.
You made your own quilt.
I'm not much for sentiment,
but it might just be one of the most
beautiful things I've ever seen.
♪
♪
Why'd you want to meet me here?
The shading in your
hair is a little extra.
I get why you didn't want
to tell us about the artist.
Oh. Oh, Ingrid, it's-it's
not what you think.
That you're having an affair?
No, I know.
You'd never go after someone
who's actually into you.
The ring.
It's obviously fake.
I mean, it is a diamond, but
you're not engaged.
Bold move, wearing a bogus ring
into John Watson's office,
where he trains up four
human lie detectors.
It's my engagement ring.
It's
just not mine yet.
Okay, well, we're here because
you seem to be having a hard time
seeing yourself in the mirror.
So maybe you can see
yourself on these walls.
You got in to the best
fellowship in the country.
You saved like 12 people this week.
You crawled so far into your ex's head,
he's still drawing you a decade later.
I don't know your boyfriend,
but I do know that he's
stringing you along.
And I'm positive that
you're better than that.
Thank you.
I think.
How about
you don't force me to pretend
to be interested in
a pretend engagement?
That's the best thanks of all.
[KNOCKING ON DOOR]
Sorry to bother you so late at night.
Are you all right, John?
Yeah, everything's fine.
I'm not hiring a divorce lawyer.
[SIGHS]
It's not to delay things.
I'm just not contesting the divorce.
What made you change your mind?
I want you to have
the life that you want.
And if
that's without me, then
I want to help you get there.
I'll be at the next mediation alone.
How was it up there?
Lancaster.
How was it?
It's still the most beautiful
place I've ever seen.
I'll always carry it with me.
MARY: Can you believe
we're really about to do this?
Hi, I'm Mary Morstan.
I guess we're lab partners.
John Watson.
SHINWELL: Dr. Watson.
You were the best friend
- Sherlock Holmes ever had.
- Holmes!
- [GUNSHOT]
- SHINWELL: Three men
went over the waterfall.
Yourself, Sherlock Holmes
and the man we'd been chasing.
WATSON: James Moriarty.
SHINWELL: You've had
a knock on the head.
A traumatic brain injury.
Sherlock Holmes funded
a clinic for you to run.
We have a new case.
Who wants to amaze us
with their insights?
THE REP: Shinwell Johnson.
We're not to be ignored.
An order arrives, an order is executed.
MARY: You are a better doctor now, John.
But the "old us" is never coming back
WATSON: Dr. Lubbock, you have had
your left hand in the same
spot this entire meeting.
- Oh, my God!
- Why didn't you tell us?
ADAM: I can celebrate.
- SASHA: Sorry, I didn't mean to snoop.
- It's okay, babe.
Soon.
♪
The signal-to-noise exercise
is one of the most
important things we do.
Okay, so you keep saying,
except it always turns
out to be a waste of time.
That's exactly why it's so valuable.
There's more noise in the
world than there is signal.
Three cases with some very
interesting particulars
came into UHOP within the past 72 hours.
In the Signal-to-Noise Exercise,
we determine which of these
are of diagnostic interest
None. The answer, without fail, is none.
WATSON: So far, the answer has
always been none. Correct. So far.
Ellen Samuelson.
She came to visit her
newborn grandson yesterday
when she started feeling faint.
The nurse went to check her blood sugar
and realized Grandma
Samuelson had no fingerprints.
Closer inspection of
the grandson revealed
he shared the same condition.
They should be a cat burglar team.
WATSON: Hold that thought.
Consider Vaughn Timms.
Mr. Timms has been the victim
of frequent bone fractures.
Most recently, he fractured his wrist
opening a pickle jar.
What kind of pickles? Does it matter?
Let's table that issue for now.
There remains the matter
of William Betancourt.
At 11:29 last night,
he came into the ER
with an impaled tongue.
The patient was using a floss threader.
So, what's signal?
And what's noise?
SASHA: The presence of physical findings
in both the grandmother
and the grandson suggests
an inherited genetic trait.
WATSON: Yes, it is inherited;
however, it's also trivial.
Adermatoglyphia. Noise.
[QUIETLY]: Why are all
these markers green?
The recurring fractures are consistent
with Osteogenesis Imperfecta.
Yes, except Vaughn Timms
doesn't have blue sclera.
He has a dangerous exposure
that occurs with an alarming frequency
among men of his generation.
Pickleball.
All of his X-rays have been performed
within the hours of 9:00 and 11:00 a.m.
The first time that you can
reserve a public court is eight.
It's a stimulating workout.
SASHA: Okay, so then,
why didn't he just tell the truth?
Because he was playing with
a woman who isn't his wife.
WATSON: Very good, Dr. Derian.
Glad you decided to join in.
That leaves us with Mr. Betancourt.
Dr. Lubbock.
You've seen something like this before.
Maybe. I-I-I don't know.
It's the texture
WATSON: You're right to look closer.
The lesions are concerning
for Cowden Syndrome.
- Which is ?
- BOTH: A genetic predisposition to cancer.
WATSON: Not only is your
risk of getting cancer higher,
but you're more likely
to get it at a younger age
and more than one type.
This patient needs screening
that should be routine,
but nobody caught his Cowden's.
Who wants to handle this?
Adam and
Ingrid.
Track down the patient,
set up the screenings.
And you?
I'm on the Case of the Green Markers.
SHINWELL: No, I do, I
do see the problem, guv.
It's just the green ink.
It's it offends the senses.
As you've said. At length.
- You've made inquiries?
- Insistent inquiries.
It seems that the budget for
office supplies is covered
by the hospital itself,
and not the money
that Holmes set aside
to fund the clinic.
Someone in brass has put word out:
we're to have green ink only.
Now, I could buy new
ones with petty cash.
No.
I appreciate the initiative.
I'll work this case on my end.
Good to see you feeling
spicy again, guv.
INGRID: Wait
You're not Mr. Betancourt's assistant?
His second assistant, got it.
Um [CHUCKLES] Can I talk
to whichever one handles
important matters vital to his health?
Yes, I'll hold.
I think I'm on hold with Number One.
Earth to Sasha.
Oh. Hi, there.
Am I speaking with Mr.
Betancourt's first assistant?
- My name is Dr. Adam Croft.
- You good?
ADAM: Sure, I'll hold.
It's like that tongue
put you into a trance.
Do y'all ever think about your cadaver?
ADAM: You mean, from med school?
Sure.
You do not think about the cadaver
you dissected in anatomy lab.
ADAM: I do, too.
He donated his body to science.
It's the first person that you cut into.
- You tend to remember it.
- STEPHENS: No.
You want to be thought
of as the kind of person
who appreciates the sacrifice.
You don't actually appreciate it.
Tell us what he looked like, then.
That is private.
I will say he was a beautiful man.
INGRID: Mr. Betancourt.
We need to have a
conversation about your tongue.
Sorry. Now, how long is this gonna take?
- INGRID: Mr. Betancourt
- Oh, Call Me Bill.
- Bill
- No. [CHUCKLES]
"Call Me Bill." Like,
call me "Call Me Bill."
The lawyer from those
billboards. You're Call Me Bill.
INGRID: Mr. Betancourt,
we just informed you
that you have a genetic
predisposition to cancer.
A few hours for screenings
doesn't feel like a huge ask
- [PHONE RINGS]
- Wait, that Sorry.
This is the phone I
actually do have to answer.
Call Me Bill.
No, Margaret, that's not what I said.
I love the way you
work Watson, by the way.
He cooks up a training
exercise you think is silly,
and you just say, "No, thank you."
Look, I'm just protecting my time.
Stephens and Sasha don't
"protect their time."
You're his favorite. You
get to keep him on his toes.
CALL ME BILL: Okay, I'm here.
You have me for the day,
uh, but there's,
there's just one thing
- [PHONE RINGING]
- Oh.
Margaret, how did you get this number?
[CONTINUES INDISTINCTLY]
- I'm not Watson's favorite.
- Oh, yes, you are.
Um, you have me, I'm all yours, but, uh,
you can't put me under because
I'm gonna be rolling calls all day long.
Well, the first procedure
doesn't require sedation.
But most patients might
find it pretty uncomfortable.
- Oh, that, that [SIGHS]
- [PHONE RINGING]
[CHUCKLES]
Call Me Bill.
SASHA: William Betancourt stayed awake
during his own colonoscopy?
William Betancourt goes by
Call Me Bill.
From the billboards?
That's Call Me Bill's colon?
And not only did he stay awake,
I'm pretty sure he settled a case.
[SCOFFS] Are you seeing this?
SASHA: There is no way
these growths are benign.
[SIGHS]
WATSON: Schedule an OR.
♪
SURGEON: Tumor spread is worse
than it appeared on imaging.
We'll have to proceed with tender
dissection around the liver.
- [MONITOR BEEPING FASTER]
- NURSE: He's tachy at 150
and his BP's dropping.
SURGEON: I must've nicked the IVC.
I need more suction.
I can't see anything on the field.
[INDISTINCT, URGENT CHATTER]
[MONITOR BEEPING RAPIDLY]
[VOICES ECHOING]
ADMINISTRATOR: Lubbock,
you're gonna have
to get into that cadaver eventually.
NURSE: Time of death, 9:24.
WATSON: I spoke to his ex-wife.
She's gonna make sure
the family gets screened.
It's good that you care.
I don't want you to lose that.
You've seen a tongue like
Call Me Bill's before?
My cadaver from medical school.
I don't remember that much
about him, if I'm being honest.
But I do remember his tongue.
Cowden's?
[SNIFFLES]
Did anyone warn him?
Or his family?
How many of them went to get a checkup,
and died on the table the next day?
[INHALES SHAKILY]
His family's still out there.
Why don't you warn them?
Get them in for some early screenings
- and save some lives.
- That's impossible.
I have no idea who he was.
And they keep cadaver
donations anonymous.
Yeah, it doesn't sound
too impossible to me.
It sounds challenging.
It sounds like a mystery.
Mysteries are what we do.
♪
So, Sasha has maybe-memories
about her cadaver's tongue
They're not "maybe-memories."
They're memories.
I can tell you that, over time,
your brain changes what
you think you remember.
You write a story about the past,
and it's based on biases,
things you wish were true.
You say you can picture
this man's tongue.
What did his face look like?
What about the other students?
What do they look like?
You can't be positive
about anything that
happened in that room,
not after all this time.
WATSON: If Dr. Lubbock is is correct,
yes, this could be a
meaningful intervention
for multiple generations of patients.
Unless that family learned
about Cowden's a long time ago.
Sure, let's just assume somebody
else solved the problem for us.
Our patient is named Question Mark.
How do we find the identity of a cadaver
Dr. Lubbock dissected
more than a decade ago?
We need to bypass several layers
of confidentiality, find the right body
among hundreds of possibilities,
and locate family members that could be
anywhere in the world.
You can't boil the ocean, Dr. Derian.
One step at a time.
Sasha, turn your notes
from med school over
to Adam and Stephens.
They can scour them for clues.
What makes you think I still have those?
Oh, I don't know, maybe because
you're you?
You went to Pitt Med School, I did,
and Ingrid did, as well.
We'll appeal straight
to the anatomy lab.
And I'll meet you guys there in an hour.
What took you so long?
I told my lawyer
I want this to be peaceful, John.
That's what we both want.
That's why it's mediating.
Mediation requires two parties.
My lawyer has been
trying to get a session
on the books for months.
We've been busy at the clinic.
And I run the largest academic
health care system in
Western Pennsylvania.
I know, I know, I'm sorry.
Don't be sorry. Participate.
Give him the name of your lawyer.
Let's start there.
You do have a lawyer?
Schedule the session.
Text me a time and a
place and I'll be there.
Oh, and so I don't respond,
so your answer to that
is to flood my clinic with green ink?
I had to get your attention.
What?
It's a good move.
Game recognize game.
SASHA: Oh, that smell. I
thought I remembered how bad it was.
Your mind deluded you.
It's how memory works.
You seriously don't trust
your memory of your cadaver?
I mean, I believe she was dead.
What do you think you're doing?
What do you think you are doing?
INGRID: Brenda? You're still here?
You can just call me
Brenda the Battle-Ax.
I know everybody does.
I don't think you remember me, but
Oh, no, I remember you,
Mr. Handsome Goo-Goo Eyes.
I remember everybody
who's ever cut in my lab.
You're Girl Who Can't
Be Alone with a Cadaver.
And you're Late Night Party Monster.
[GRUNTS] They let
y'all practice medicine.
That's wild.
We're trying to track down a patient,
who just so happened to have been
a cadaver at this very lab a decade ago.
I hate to break it to you, Doctor,
but I don't think that
patient's gonna make it.
We're interested in his descendants.
You kept a ledger documenting
confidential information
about every donor body that's in here.
If we could maybe spend an hour with it?
[LAUGHS] An hour with
the confidential ledger?
We could save a lot of lives.
- And it's a good cause.
- You know what's also a good cause?
Me having a job.
Yeah, I was hoping that we could appeal
to your inherent good nature
or the university's ethics board.
But I did come prepared to have
a different kind of conversation.
You think you can bribe me?
I wouldn't call it a bribe.
More like an opportunity
to do your civic duty.
Those better not be
baseball tickets, Dr. Watson.
I may be easy, but I'm not a hussy.
[GASPS]
STEPHENS: Sasha's
projected class rankings,
goal lists for the next three,
five, and ten years.
I've got projected budgets
for wedding venues based
upon the profession of
Sasha's future groom.
Let me guess: doctor, lawyer, finance?
The holy trinity.
[CHUCKLES SOFTLY]
There are two pages missing.
She tore them out.
Age, weight, height,
date and time of arrival.
It's all here,
along with each entry's numerical code.
Brenda the Battle-Ax said the
lab processes 80 bodies a year.
The cadaver we're looking for
falls inside a two-year window.
Uh, take out women, and
that leave us with
Looks like more than 100 cadavers.
WATSON: Yeah, well, I gave away
my Steelers-Ravens
tickets to get this ledger.
There's got to be more you can tell us.
Start with who you were back then.
The mind tucks away clues.
Smells, sights, sounds.
They're like cairns on a hiking trail.
Pay attention,
they'll tell you exactly
where you need to go.
["COLD WORLD" BY ALGIERS
WITH NADAH EL SHAZLY PLAYING]
- That was my old station.
- Okay.
I sat on the stool by the wall
'cause my lab partner couldn't sit
without his knees brushing
up against the cadaver's feet.
- Uh-huh.
- Scott was kind of a giant.
- Or so you think.
- How tall?
At least six-two?
He played linebacker at Penn State.
Scott thought that our cadaver might
have been a football player, too.
They were about the same size.
Got it. Six-two or taller.
Kristina was pissed
when our T.A. chose our
group's heart for the practical.
She wanted to be a cardiologist,
but her cadaver showed signs
of age-related arteriosclerosis
and ours didn't.
100 million screaming
and nobody listening ♪
The world is different ♪
Cold world, cold world ♪
Everybody wants to
make or enslave you ♪
Inside of their vision ♪
Cold world ♪
Cold world ♪
And voilà.
There's only one entry
that fits the criteria.
INGRID: A coffee stain?
Oh, come on!
Human error.
The only antidote to human ingenuity.
[PHONE RINGS]
Hello?
We have a situation here.
The Conundrum of the Missing Pages.
SASHA: Excuse me?
Adam thought of that little
phrase all by himself.
Um, can you put us on speaker, please?
There are two pages that are
conspicuously missing from your notes.
They were probably sloppy.
- I took 'em out and recopied 'em.
- WATSON: Oh, stop it.
Your handwriting could
be on wedding invitations.
Fine. It was med school,
I was stressed, and I found
a way to blow off steam.
Micah, an art student.
He begged me to sneak him into the lab
so he could practice sketching.
I told him I would
if he made me a study aid
for my head and neck final.
INGRID: Mm, let me guess.
Brenda caught you guys?
Late Night Party Monster.
Couple years ago, Micah called
and asked about those sketches.
He wanted to go back to techniques
he used in his early works.
ADAM: Wow. He makes a living
as an artist? That's cool.
I mean, he did a couple years ago.
["STARBURSTER" BY
FONTAINES D.C. PLAYING]
INGRID: No way, these are all you.
WATSON: I know you said you
had a fling with this guy.
You didn't say you were his muse.
Not something I know how
to work into a conversation.
You see anything you like?
[BOTH LAUGH]
You actually came by.
I'm so sorry I couldn't
go to the opening.
I was out of town with my fiancé.
It's all right,
it's all right. You can see now,
after you gave me
those old drawings back,
I kind of went down a rabbit hole.
So, about those drawings.
Where the party at? ♪
Where the party at? ♪
Never mentioned he had a tattoo.
Where the party at? ♪
Where the party at? ♪
Well, that's unexpected.
Where the party at? ♪
Where the party at? ♪
Did I ever tell you
about the best summer of my life?
You tell us pretty much
nothing about yourself,
Mr. Handsome Goo-Goo Eyes.
I once spent six months
in Lancaster, Pennsylvania
studying genetic bottlenecks
in the local population.
It was great people,
it was great weather.
I even got engaged at the end of it.
And when I finally left,
the community made me a beautiful quilt
to thank me for all the work that I did.
And the quilt was emblazoned with
ADAM: The Amish star of Bethlehem.
WATSON: Sasha's cadaver had this tattoo.
Patient Question Mark was either Amish
or connected to the community.
It's time for a road trip.
- [HORSE NEIGHS]
- [INDISTINCT CHATTER]
[COW MOOS]
Watson's Amish Summer of Love.
Terrible movie. I wouldn't screen it.
- [CHUCKLES SOFTLY]
- [ROOSTER CROWS]
It's a nice place to
get engaged, though.
How's your wedding planning going?
I picture something like
the invasion of Normandy.
International cooperation,
efficient dispatch
of the opposition, some
tasteful use of flamethrowers.
[BOTH LAUGH]
Patient Question Mark's
name is Jacob Hochstetler.
Son to Melvin and Samantha.
Born in 1977.
You got all that from a
five-minute conversation?
I diagnosed Eli's son with
Maple Syrup Urine Disease
when I was here last.
Now he's 17 and thriving.
So he's no longer urinating maple syrup?
Eli trusts me.
He recognized this sketch
that Sasha's stalker did.
Micah is not a stalker.
He just remembers me fondly.
Jacob was in the right age range.
Would've been about 35 when he died.
Now, obviously, we
need to screen everyone
here we can for Cowden Syndrome.
We'll advise those with the condition
to get routine cancer screenings.
Jacob's immediate
family's gonna be trickier.
His father was accused
of embezzling money from
a charity that he ran.
The whole family left
Lancaster at the same time.
And nobody knows where they are?
These are the Amish.
Generally speaking, when you're out,
- you're out.
- Dr. Watson?
You don't recognize me, do you?
Benjamin Burkholder.
- Eli's son.
- Benjamin.
- Good to see you.
- Maple syrup?
BENJAMIN: It's good to see you, sir.
I wanted you to know that people
still do talk about those who've left.
There are rumors.
Jacob's sister Rachel.
I've heard she lives
near Harrisburg now.
She married a man named Smith.
WATSON: Rachel Smith.
Harrisburg.
I'm not getting a signal.
Most of the carriers don't
bother to put up towers here.
All right, is there a
computer that we could use?
Maybe a store with a landline?
Of course.
Or you could just use the phone shanty.
ADAM: Have you guys
tried the camel milk yet?
Uh, Lancaster County's
still in Pennsylvania, Adam.
Actually, Sasha, most
of the camels in the U.S.
live on Amish and Mennonite farms.
Cow's milk, as you know,
is hideously allergenic.
An immunological nightmare.
Camel milk, on the other hand, is
WATSON: We can discuss that later.
Or never. Never could also work!
WATSON: Right now I need you to
find Jacob Hochstetler's sister.
Get me an address in
Harrisburg, I'll go visit her,
Sasha and Stephens will run
the Cowden screenings here.
If we can get 'em to participate.
Rachel Smith?
She couldn't have married a
man with any other last name?
[LAUGHS]
ADAM: Four women named
Rachel Smith listed
in Dauphin County.
- Hey, everyone
- [LAUGHS] I'm guessing 16?
Also very un-Amish.
"Watson's favorite."
What does that mean?
Are the words themselves unclear?
I haven't noticed any special treatment.
Watson makes an effort to be impartial.
Rest in peace, Rachel Smith number two.
It's nothing that he
does. It's a tone thing.
You have to track his eyes,
where his attention goes first.
He puts you in a special category.
One that, as far as I can tell,
includes you, him and
Sherlock Holmes.
It drives Sasha and Stephens crazy.
I'm not saying that you're right.
But if Watson sees me as special,
why doesn't it drive you crazy?
I'm never going to win a
competition with the three of you,
unless it involves a
ten-meter diving platform.
I barely cracked a book
until I blew out my knee.
It's okay that you think
functional medicine is soft.
I believe in the field.
I'll add a helpful
perspective when I can,
and I will be a better
doctor when I leave.
Are you well-adjusted?
Maybe?
I thought you were just self-absorbed.
[LAUGHS]
Rachel Smith, part three.
No pictures, no social media.
Just an address on Hummel Street.
Not much for modern tech.
Could be our Rachel.
There's one more.
Hmm?
One more person Watson considers a peer.
Went over the waterfall, too.
James Moriarty.
- [PHONE CHIMES, BUZZES]
- I've heard it said, Clyde,
that a man is only ever as sick
as the secrets he is keeping.
Fair amount of wisdom there, Clyde.
Holmes had Watson to confide in.
Watson has me.
Who do I have?
As a conversationalist
and let us be honest with each other
no one's gonna mistake either
of us for Oscar Wilde, are they?
You see, Clyde
a man gets desperate
when he's trapped.
Man can't abide that state of affairs.
That is when
a man might consider
topping himself, Clyde.
But
if there's no move to make,
you get creative.
Don't you?
You make
a move to make.
Watson's feeling better.
I have a phone.
Looks just like this one.
That's precisely the point.
This phone contains new
programming for the lab's robot.
All you need do is work at your desk,
and it'll upload of its own accord.
Do not leave it lying about.
In addition to the samples you bring me,
the robot will be
passing along information
about the genomes of your patients.
Clyde.
What?
His name's Clyde.
Are you quite all right, Shinwell?
[ENGINE STARTS]
WOMAN: Buckle up, Amos.
WATSON: Rachel Smith?
Sorry to bother you
at home, ma'am. My name is John Watson.
I'm a geneticist and internist
at UHOP's home branch.
That's hours from here.
I need to talk to you
about your brother Jacob.
Jacob died ten years ago.
That's the thing.
We've recently come to believe
that your brother had
a genetic condition
called Cowden Syndrome.
Do you remember any
lesions on his tongue?
Uh, I do. I
That's indicative of Cowden Syndrome.
It runs in families.
We advise genetic testing
for anyone related to Jacob,
along with frequent screenings
to detect potential
cancers before they grow.
Oh, my God. No, I'm not
saying you have it, ma'am.
Just a precaution.
My-my son.
He's seen a doctor,
but I was told it would
go away on its own.
Are you saying Amos has cancer?
Rachel Smith was on her way
back to the ER when I got here.
Three weeks ago, doctors
diagnosed her son's growth
as an enlarged lymph node.
Could be cervical lymphadenitis.
With the mom's background,
the child may well be under-immunized.
I recommend we swab
for strep, test for TB,
send a CBC, viral panel,
and blood cultures.
ADAM: Go to a muffler
shop, get a muffler.
Go to an infectious disease
specialist, get an infection.
Your metaphor doesn't scan.
I'm not giving the patient an infection.
[QUIETLY]: Your metaphor doesn't scan.
Uh, this could be an acquired goiter
from Graves' Disease or hyperthyroidism.
I recommend TFTs.
WATSON: Or
it is cancer.
Children with Cowden
Syndrome can present
with thyroid cancer as young as seven.
So we need to work him
up for every possibility.
Sasha and Stephens, you
two stay in Lancaster
and finish up those screenings.
Ingrid and Adam, I'm sending you
Rachel's consent letter
to get Amos's records.
We'll draw labs today, rush the results.
We're gonna be back first
thing in the morning,
so be ready for us.
On it Goo-Goo Eyes.
TREYA: Dr. Lubbock?
My name is Treya Coblentz.
We tested you. I remember.
I forgot to say "thank you"
for what you're doing for us.
I'm-I'm grateful. We
are we are grateful.
Of course.
I appreciate you saying that.
The talk is that
all of this started
because of my cousin Jacob?
That one of you doctors
knew him before he died?
That was me. I
I never met Jacob exactly,
but I was familiar with him.
My family
the ones who left
you'll give them these same tests?
We are already in contact
with Rachel and her son,
and she's giving us the
information to find the others.
Rachel has a bobbin?
A-a baby?
His name's Amos. He's eight now.
Well, I'll pray for their well-being.
So will I.
As I said, my name is Treya Coblentz.
If you could keep me informed
with how they're doing,
- I'd be so grateful.
- Oh, of course.
[SIGHS]
We'll see who comes in tomorrow, but
I think that we can call it a day.
Everybody keeps thanking me.
I don't even know what we did here.
There might be an
eight-year-old with cancer
who's getting treatment
who otherwise wouldn't have.
That just makes me wish
we had gotten here sooner.
You're tired, so maybe you can't see it,
but these tests, what
we're doing here
it's going to make a difference.
I can't remember her.
My cadaver.
I know that we called her Amelie,
but I can't remember anything else.
Whoever she was it didn't matter.
What I needed, or what
I thought I needed,
was an "A" in anatomy.
People underestimate you.
But you are a remarkable person.
And you use that to make
yourself a remarkable doctor.
WATSON: We're about an hour away.
You get into the city often?
Not much since we lost Jacob.
It's been years.
And you've been to Fallingwater?
Too many times.
My husband was obsessed
with Frank Lloyd Wright.
Was? Didn't work out?
Uh, no, no.
He managed construction sites.
- [CARTOON SOUND EFFECTS]
- [AMOS LAUGHS]
He was on a demolition
project in Harrisburg
when a structural beam gave way.
He never made it to the hospital.
I'm sorry.
Suddenly single mother,
no community to support you.
You ever try to go back?
I don't think I could.
The way we left.
It was so unforgiving.
My dad never even told us
if it was because he chose it
or because it was chosen for us.
Doesn't matter, I suppose.
Amos and I are strangers to them now.
But I'll always carry
that place with me.
[PHONE BUZZING]
Excuse me.
Hello.
I'm cutting it close.
I got caught up on a
community outreach call,
but I should be there in ten.
How far away are you?
The mediation.
Yes. The mediation.
Please tell me you're on your way.
Well [SIGHS]
[SIGHS]
I'm calling my lawyer.
He's been telling me we should
be taking a different approach.
No, no, you don't have to do that.
- [CARTOON SOUND EFFECTS]
- Are you watching cartoons?
Well, I'm in a car,
driving with a sick
child and his mother.
Hey, I went to, uh, Lancaster.
Eli Burkholder says hi.
Eli. What were you doing out there?
[WHEEZING]: I don't feel good.
WATSON: Listen, I'm
sorry about the mediation,
but right now I need you
to get a room ready for me.
Eight-year-old patient, showing
signs of respiratory distress.
I've got my eye on him.
What's happening to my son?
MARY: Okay, where are you?
We're about 40 minutes out.
You said an hour.
Not if you pick up the pace.
WATSON: Patient is in respiratory
distress with new-onset fever.
Start oxygen at ten liters,
administer IV acetaminophen.
We have the labs in. Viral
PCRs are all negative.
Blood cultures are no growth to date.
There's nothing to explain
why he's getting worse.
The tumor on his neck is
pressing on his airway.
- ADAM: Watson.
- He's not gonna be able
to keep breathing like
this for too much longer.
We may need to intubate.
Watson, that kid doesn't have a tumor.
The Cowden screening came back negative.
I mean,
technically, he could have cancer.
Thyroid cancer in an eight-year-old?
Without Cowden Syndrome,
the chances are too slim.
We have to figure out what's wrong
with him right now or he could die.
Sasha and Stephens are
close to Rachel's house.
Have them turn that place upside down.
Anything at all might help.
SASHA: All right, you're
the infectious diseases guy.
Tell me what we're looking for.
Anything that's living,
anything that used to be living,
anything that's carrying
something living.
- So, anything?
- Anything.
We need data.
Pickles, filtered water,
what appears to be bologna.
In the trash I'm seeing
tissues, junk mail
Standing by to intubate, Dr. Watson.
Give me something I can use, Doctors.
- We don't know what we're looking for.
- Anomalies.
Find me something that
shouldn't be there.
SASHA: Is it weird that
only one flower is alive?
That's a lily. They
live longer in a vase.
[WHEEZING]
We can't wait any longer.
Amos has air hunger.
I need to place a breathing
tube to keep his airway open.
Whatever he needs, please.
Okay, we're gonna make
sure he's sleeping,
make sure he's
Okay, wait, wait.
Let me see that picture again.
Desert Dew.
Does your son drink camel milk?
Uh, yeah, I get it for
him at the farmers market
to give him a taste of home.
Okay, I need an ultrasound machine,
some gel, a large-bore
needle, and a syringe.
Unpasteurized camel milk had been linked
with outbreaks of brucellosis, which,
in rare occasions, manifests
as a thyroid abscess.
Okay, hold still, buddy.
It's gonna be okay.
Watson, you're recovering from two TBIs.
You've had seizures.
You've brought Amos this far.
One of us should take it from here.
[AMOS GASPING]
You're almost there, buddy.
You're doing great.
You're almost there, Amos.
[TAKES DEEP BREATH]
[RELIEVED LAUGHTER]
Good job, buddy.
We'll operate on the abscess.
He should be fine.
TREYA: Rachel?
Treya?
I've missed you.
Oh, for your son.
They say that he's recovering?
Yeah, the surgeons here
washed out the abscess.
Drained it completely.
Amos is going to be fine.
He's so beautiful.
He looks just like you.
RACHEL: You made this?
Amos, wake up.
Wake up.
I want you to meet your aunt.
Hi.
Actually, um, if the boy's up to it,
there's a bunch of us
who'd like to know him.
[LAUGHS]
[SPEAKS INDISTINCTLY]
[INDISTINCT CHATTER]
12 cases of Cowden Syndrome.
That's 12 people who know
to get early screenings.
I heard they already caught
one case of breast cancer?
A small tumor.
It should respond to treatment.
Hmm.
You made your own quilt.
I'm not much for sentiment,
but it might just be one of the most
beautiful things I've ever seen.
♪
♪
Why'd you want to meet me here?
The shading in your
hair is a little extra.
I get why you didn't want
to tell us about the artist.
Oh. Oh, Ingrid, it's-it's
not what you think.
That you're having an affair?
No, I know.
You'd never go after someone
who's actually into you.
The ring.
It's obviously fake.
I mean, it is a diamond, but
you're not engaged.
Bold move, wearing a bogus ring
into John Watson's office,
where he trains up four
human lie detectors.
It's my engagement ring.
It's
just not mine yet.
Okay, well, we're here because
you seem to be having a hard time
seeing yourself in the mirror.
So maybe you can see
yourself on these walls.
You got in to the best
fellowship in the country.
You saved like 12 people this week.
You crawled so far into your ex's head,
he's still drawing you a decade later.
I don't know your boyfriend,
but I do know that he's
stringing you along.
And I'm positive that
you're better than that.
Thank you.
I think.
How about
you don't force me to pretend
to be interested in
a pretend engagement?
That's the best thanks of all.
[KNOCKING ON DOOR]
Sorry to bother you so late at night.
Are you all right, John?
Yeah, everything's fine.
I'm not hiring a divorce lawyer.
[SIGHS]
It's not to delay things.
I'm just not contesting the divorce.
What made you change your mind?
I want you to have
the life that you want.
And if
that's without me, then
I want to help you get there.
I'll be at the next mediation alone.
How was it up there?
Lancaster.
How was it?
It's still the most beautiful
place I've ever seen.
I'll always carry it with me.
MARY: Can you believe
we're really about to do this?
Hi, I'm Mary Morstan.
I guess we're lab partners.
John Watson.