Monday Mornings (2013) s01e05 Episode Script

YOU KNOW, ON PAPER, THIS MIGH BE CONSIDERED THE SEX DATE.
WHAT? HAVE YOU ALWAYS BEEN SO SOCIALLY ASPERGER-Y? YOU WERE ABOUT TO SAY, "SOCIALLY RETARDED," AND YOU POLITICALLY CORRECTED YOURSELF.
WHY IS IT WE THROW AROUND THE WORD "ASPERGER'S" LIKE IT'S TRENDY? ASPERGER'S ACTUALLY IS TRENDY.
IN FACT, SINCE SO MANY FORMS OF AUTISM COINCIDE WITH HIGH INTELLIGENCE, PEOPLE ARE ACTUALLY GOING INTO THEIR DOCTORS' OFFICES TO INQUIRE, "HOW CAN I GET ME SOME?" I JUST READ A STUDY ON AUTISM.
RATES ARE SOARING.
AND IT'S NOT JUST BECAUSE OF INCREASED DIAGNOSES.
IN FACT, ONE ARTICLE I READ CLAIMS IT'S ENVIRONMENTALLY BASED.
I JUST HAD TO COME OVER AND THANK YOU AGAIN.
FRANK.
THIS MAN SAVED MY LIFE.
I'LL TAKE THAT WE'RE EATING IN THE SAME RESTAURAN AS EITHER A FORTUITOUS OPPORTUNITY OR A DIVINE HIN TO THANK YOU AGAIN, THOUGH, WHILE I HAVE YOU, I'M STILL FEELING FATIGUED.
YOU SAY THIS IS NORMAL? MM-HMM.
HE SAVED MY LIFE.
HMM.
FRANK VALENTE, PLEASE, MEET DR.
SYDNEY NAPUR.
PLEASURE.
OH.
I TELL HIM I'M EXPERIENCING CHEST PAINS JUST LITTLE ONES, YOU KNOW, WHEN I'VE BEEN EATING SPICY.
YOU KNOW, WITH MOST DOCTORS, IT'S LIKE, "TAKE TWO ALKA-SELTZER.
CALL ME IN THE MORNING.
" NOT THIS GUY.
NOT THIS GUY! HE HAS ME COME IN, PUTS ME THROUGH EVERY CONCEIVABLE TEST, DISCOVERS A SLIGHT BLOCKAGE, HAS A CARDIOLOGIST PUT IN A STENT, AND HERE I SIT, 10 DAYS LATER, HAPPY, GRATEFUL, AND ALIVE.
OH, MY GOSH! FRANK? FRANK? CALL 911.
CAN WE GET A LITTLE HELP HERE, PLEASE? FRANK?! GET HIM ON HIS BACK.
HELP ME GET HIM ON HIS BACK.
ON A SCALE OF 1 TO 10, PAIN-WISE, HOW WOULD YOU DESCRIBE THE HEADACHE? UH, RIGHT NOW IT'S LIKE A 5.
BEFORE IT WAS MORE LIKE A 9.
AND YOU'RE STILL FEELING NAUSEATED? A LITTLE.
HEY.
HEY.
EVERYTHING GETTING THERE.
THANKS.
I GOT TO YEAH, SURE.
TINA? I JUST WANT TO THANK YOU AGAIN FOR HELPING OUT.
UH, MUCH APPRECIATED.
YEAH, WE KNOW WHO'S HELPING WHO, GATO.
LET'S GET LAB, STAT! WHAT THE RESPIRATORY, COME GET GASSES, AND I WANT A 12 LEAD.
CAN YOU AT LEAST GO OUT ON A DATE AND NOT COME BACK HERE HUMPING ON SOMEBODY? YOU'RE REALLY FUNNY, GATO.
JUST KEEP PUSHING ME TO C.
C.
U.
DO NOT PASS "GO.
" MOVE IT! BACKBOARD! LET'S GET A GURNEY IN HERE NOW! I'LL GET IT.
HE CAME IN WITH NAUSEA AND A MIGRAINE.
10 MILLIGRAMS OF MIDAZOLAM I.
M.
OKAY.
WE'RE TAKING HIM INTO TRAUMA.
I NEED A GLUCOSE LEVEL, STAT.
YES, DOCTOR.
GOT HIS HEAD.
GET HIM ON.
GET HIM ON.
1, 2, 3.
LIFT.
PROTECT HIS AIRWAY.
HAS HE TAKEN ANY MEDICATION TODAY THAT YOU KNOW OF? HE SAID NO.
GIVE HIM DILANTIN.
AS SOON AS HE'S POSTICTAL, GET A C.
B.
C.
AND LYTES.
I'LL DO IT.
ALL RIGHT, ROLL HIM ON HIS OTHER SIDE.
SYRINGE.
CAREFUL.
GOOD.
ROLL HIM BACK.
SUCTION.
GLOVES.
DR.
WAYNE? SUCTION AND ROTUND FORCEP.
OKAY, THEN.
HOW ARE WE ALL DOING? WELL, I SEE YOU'RE ALL TRYING TO SAVE ME A LITTLE TIME.
UH, NOT TO WORRY MY MORNING IS REMARKABLY FREE TODAY.
WHAT DO? DR.
PARK! WHAT A PLEASURE.
UH, ARE YOU HERE TO ASSIS OR OR LEARN OR FROM THE RUMORS I'M HEARING, PERHAPS I SHOULD BE LEARNING FROM YOU.
WHAT DO HERE? UH, I BEG YOUR PARDON? WHAT DO? WHY HERE? WELL, I'M HERE TO, UH, REMOVE THIS MAN'S MENINGIOMA, MY GOOD MAN.
THAT'S WHY THEY PAY ME THE BIG BUCKS.
SCALPEL, PLEASE.
NOT MENINGIOMA.
ANEURYSM.
NOT MAN.
WOMAN.
NOT MORNING.
NIGHT.
NOT YOUR PATIENT.
MINE.
HONOR TO HAVE YOU, BUT ANEURYSM, WOMAN, NIGHT, MINE.
RIGHT.
WHAT THE HELL WAS THAT? QUIET.
RESPECT.
MAN LEGEND.
LOOK AT THAT.
THE VALVES ARE SHOT.
WHAT'S GOING ON? HE HAS SOME SERIOUS REGURGITATION.
HOW OLD IS HE? ONLY 48.
GOD, LOOK AT THAT.
THE INFECTION IS EVERYWHERE.
IT'S WIDESPREAD THROUGHOUT THE HEART.
THIS IS NOT GOOD.
JANEWAY LESIONS.
THIS MAN HAS BACTERIAL ENDOCARDITIS.
HMM.
BACTERIAL WHAT? ENDOCARDITIS.
IT'S AN INFECTION IN THE LINING OF THE HEART CHAMBERS AND VALVES.
WILL HE BE OKAY? WE THINK SO.
WE NEED TO PUMP HIM FULL OF ANTIBIOTICS AND THEN SURGICALLY REPLACE THE VALVES.
OH, MY GOD.
I MEAN, I KNEW HE WAS TIRED, BUT OTHER THAN THAT HAS YOUR HUSBAND BEEN TO A DENTIST RECENTLY? YES, A COUPLE WEEKS AGO.
HE HAD HIS TEETH CLEANED.
WHY? WELL, TEETH-CLEANING CAN SOMETIMES CAUSE BACTERIAL INFECTIONS.
MY BET IS THAT'S WHERE IT STARTED.
FROM GETTING HIS TEETH CLEANED? HIS VALVES CAN ROT? E.
E.
G.
's NORMAL.
ANY HISTORY OF EPILEPSY? NO.
YOU'VE NEVER SEIZED BEFORE? I'VE NEVER EVEN BEEN SICK.
RECENT HEAD TRAUMA? NO.
SPORTS? I SWIM COMPETITIVELY, BUT I'VE NEVER, LIKE, BANGED MY HEAD.
I HAVE BEEN PUSHING MYSELF.
I SWIM AT OREGON, AND OLYMPIC TRIALS ARE COMING UP.
HOW'S YOUR HYDRATION? I SPEND HALF THE DAY IN WATER.
YEAH, I KNOW, BUT YOU NEED TO DRINK IT.
WHEN DID YOU FIRST STAR TO FEEL NAUSEATED? UH, I THINK AROUND DINNERTIME.
AFTER YOU TRAINED? YEAH.
MM-HMM, ONSET SEIZURE.
NO APPARENT INFECTION.
HIGH HEMATOCRITS.
C.
T.
's CLEAN.
DO YOU TAKE STEROIDS, SON? WHAT? OLYMPIC HOPEFUL.
YOU WOULDN'T BE THE FIRST.
I DO NOT TAKE STEROIDS.
ARE YOU KIDDING ME? HARDING.
DR.
WAYNE NOT RIGHT.
I BEG YOUR PARDON? CAME INTO O.
R.
TO OPERATE ON MAN WITH TUMOR ON WOMAN WITH NO TUMOR.
WHAT ARE YOU TALKING ABOUT? WRONG ROOM, WRONG PATIENT, WRONG TIME, WRONG PROCEDURE.
NOT WELL.
SEEMED CONFUSED.
WELL, NOT TO TAKE SIDES, SUNG, BUT CONFUSION SEEMS TO BE SYSTEMIC WHEN IT'S YOU DOING THE EXPLAINING.
PLEASE, HARDING.
DR.
WAYNE NOT WELL.
HARDING, I COULDN'T HELP BUT OVERHEAR THAT.
YES, THAT'S ONE OF THE BY-PRODUCTS OF EAVESDROPPING, BUCK, ISN'T IT? I HAD A SIMILAR EXPERIENCE WITH DR.
WAYNE MYSELF LAST MONTH.
WE WERE DOING A PROCEDURE TOGETHER, AND HE JUST LEFT THE ROOM.
HE JUST WENT, "VA-VOOM.
" HE LEFT.
VA-VOOM.
VA-VOOM? HE'S A MERCURIAL MAN, AND A VERY BUSY ONE, AT THAT.
HE ROUTINELY LEAVES THE PROCEDURES, SOMETIMES TO LE THE RESIDENT CLOSE OR THIS WAS DIFFERENT.
IT WAS LIKE HE WAS OFF.
I'M SURE YOU'RE MISTAKEN.
I'M SURE I'M NOT.
YOU'RE SPEAKING OF ONE OF THE PRE-EMINEN NEUROSURGEONS IN THE WORLD.
YET I'M ALSO SPEAKING OF AN 85-YEAR-OLD MAN.
AND AS MUCH AS YOU LOVE HIM, HARDING, YOU HAVE A DUTY AS CHIEF OF STAFF NOW THIS IS WHERE I GO, "VA-VOOM.
" HOW ARE WE DOING? MUCH BETTER.
WHEN CAN I LEAVE? GRAB MY FINGERS.
SQUEEZE.
ALL RIGHT.
DID THE TESTS SHOW ANYTHING? UH, NOTHING BAD.
THAT'S THE GOOD.
SO, WHAT'S THE BAD? WE'RE A LITTLE STUMPED.
ARE YOU SURE YOU DIDN'T FALL OR HIT YOUR HEAD? I'M SURE.
AND I DO NOT TAKE STEROIDS.
AH.
HE HAD TO ASK.
DO YOU SMOKE? DO I SMOKE? YEAH, THAT'S HOW I WIN A 400-METER.
I SUCK ON AS MANY CIGARETTES AS POSSIBLE.
I HAVE TO ASK, TOO.
PUSH AGAINST MY HANDS.
NO WEED, NO BATH SALTS, NO VODKA-SOAKED GUMMY BEARS.
PULL.
NO GIRLFRIEND, EITHER, IF THAT WAS YOUR NEXT QUESTION.
IT WASN'T.
YEAH, SORRY.
MY MY DAD JUST ONCE SAID, "IF YOU EVER HAVE A BEAUTIFUL WOMAN STARING DEEP IN YOUR EYES, YOU KNOW, TAKE YOUR SHOT.
" EVEN IF SHE'S LOOKING FOR WHY YOU MIGHT HAVE EPILEPSY, HUH? YOU THINK I HAVE THAT? NO, NOT REALLY.
FOLLOW.
YOU'VE NEVER SEIZED BEFORE? PROMISE.
TOXICOLOGY SHOWED NOTHING.
AND HE FEELS FINE NOW? HE SAYS SO.
WANTS TO GET BACK IN THAT POOL.
SHOULD WE JUST DISCHARGE HIM? WELL, HEALTHY KIDS DON'T SEIZE FOR NO REASON.
THERE'S NO SIGN OF TRAUMATIC INJURY, NO TUMOR, NO FISTULA, NO ABSCESS.
MAYBE IT IS EPILEPSY.
WITH ONSET AT AGE 21? NO.
WE'RE MISSING SOMETHING, PEOPLE.
I DON'T KNOW WHAT IT IS, BUT WE'RE MISSING SOMETHING.
SHOULD WE CALL HOUSE? SORRY.
MY DENTIST DID THIS TO ME? I'M SAYING IT'S POSSIBLE.
THAT PUTZ! I DON'T UNDERSTAND WHAT HAPPENED.
HE HAD A STENT PUT IN.
THIS IS UNRELATED TO THE STENT.
OH, COME ON.
HE HAD HIS TEETH CLEANED.
THEN HE HAD A STENT.
YOU'RE SAYING IT'S THE FORMER THAT DAMAGED HIS HEART? BELIEVE IT OR NOT, TEETH-CLEANING IS AMONG THE LEADING CAUSES OF INFECTIVE ENDOCARDITIS.
BACTERIA CAN GET INTO THE BLOOD.
AND IF IT DOES, IT CAN MIGRATE.
I'LL TELL YOU THIS I AM VERY PISSED OFF HERE.
THE ONLY CONSOLATION IS I JUST GOT RICHER.
LET'S HOPE THAT PUTZ PAID HIS MALPRACTICE PREMIUM.
MAYBE WE CAN GET THAT BOAT NOW.
HMM.
DON'T LOOK NOW, BUT WE'RE BEING WATCHED.
ACTUALLY, I BELIEVE IT'S ME WHO'S UNDER OBSERVATION.
PERHAPS A FEW OF YOU COULD GIVE THE "OKAY" SIGNAL TO DR.
HOOTEN TO CONFIRM THAT I AM, IN FACT, REMOVING A MENINGIOMA FROM A MALE PATIENT WHO HAS ONE.
HE'S NOT ABOUT TO HAVE IT LONG, HOWEVER.
HERE WE GO.
A C.
T.
V.
? WHAT'S THE REASON NOT TO? WELL, IT EXPOSES THE KID TO MORE RADIATION, WHICH INCREASES THE RISK OF CANCER.
AS OPPOSED TO HIM CONVULSING AGAIN WHILE EITHER DRIVING OR IN A SWIMMING POOL? BUT, GATO, GOING INTO HIS CEREBRAL VEINS? HE COULD HAVE A REACTION TO THE DYE POSSIBLE ANAPHYLAXIS.
I LOVE IT.
I LOVE IT.
YOU TWO ARE ACTUALLY DOUBTING THE BIG CAT.
OH, I AM NOT DOUBTING YOU.
WHAT'S GOING ON? THEY'RE DOUBTING ME.
HE WANTS TO DO A VENOGRAPHY ON A KID WHO SEIZED.
SO, DO IT.
YOU GOT TWO SECONDS? YEAH.
FIRST IF GATO WANTS TO RUN A TEST, I'D RUN THE TEST.
THE GUY'S A DIAGNOSTIC SAVANT.
OKAY.
IS THAT WHY WE'RE IN A CLOSET? NO.
NO.
SECOND, I FEEL, I-I GUESS, A BIT PARALYZED.
OVER? YOU YOUR SITUATION.
AH.
WHEN I LOST QUINN McDANIELS, YOU HELD MY HAND THROUGH, AND NOW IT'S MY TURN.
I KNOW HOW MUCH YOU'RE HURTING OVER TINA, I SO WANT TO BE HERE FOR YOU, BUT BEING A CONTRIBUTOR INTO THE EQUATION, NOT TO MENTION PERHAPS THE CATALYST? AM I? THE CATALYST? NO.
WHATEVER YOU NEED IF YOU WANT TO TALK, IF YOU WANT ME TO BE GONE, TO HOLD YOU, TO JUMP OUT A WINDOW YOU'RE WORRIED ABOUT ME? THIS IS WHY YOU BROUGHT ME TO A ROOM WITH NO WINDOWS? WHATEVER YOU NEED.
THANK YOU.
RIGHT NOW I THINK I DO JUST NEED SOME TIME TO THINK, TO ARE YOU OKAY? I WILL BE.
BEING HELD SOUNDS NICE, THOUGH.
GOOD TO HAVE YOU BACK, ARVIN.
YOUR VACATION WAS SPLENDID, I HOPE? OH, NOT REALLY.
I NEVER DID UNDERSTAND VACATIONS.
YOU GET UP, YOU EAT, YOU DO NOTHING, YOU EAT, YOU DO MORE NOTHING, YOU EAT, YOU GO TO BED.
THREE WEEKS IS TOO LONG TO EAT, SLEEP, AND DO NOTHING.
UP OR DOWN? UH DOWN.
SO, I GE THE GREAT HARDING HOOTEN HOVERING OVER ME IN OBSERVATION.
I ASSUME DR.
PARK OR SOMEONE FROM HIS TEAM CAME RUNNING AFTER YOU.
WHAT HAPPENED? WELL, I'M AFRAID THE CULPRI WAS MY iPhone.
I UNWITTINGLY ENTERED THE PROCEDURE AS 8:30 P.
M.
TUESDAY INSTEAD OF 8:30 A.
M.
WEDNESDAY.
DR.
PARK SAID THAT YOU SEEMED A LITTLE DISORIENTED.
OH, BE BE HONEST.
I MEAN, IF YOU WALKED INTO AN O.
R.
TO REMOVE A BRAIN TUMOR FROM A 32-YEAR-OLD MALE ONLY TO DISCOVER AN ANEURYSM IN A 40-YEAR-OLD FEMALE, MIGHT YOU NOT TAKE A BEAT? HEY.
HEY.
WHAT YOU DOING? OH, I WAS JUST CHECKING A MAN'S ARTERY FOR CALCIUM DEPOSITS.
WHAT'S UP? HAVE YOU ME WITH SCOTT HENDERSON OVER THIS WHOLE ENDOCARDITIS FIASCO? THE LAWYER? I JUST THINK WE MIGHT HAVE A LITIGIOUS PATIENT ON OUR HANDS.
I MEAN, THE WAY HE WAS TALKING ABOUT GOING AFTER HIS DENTIST, HE COULD BE LOOKING AT YOU AS ANOTHER DEEP POCKET TO RUN DOWN.
I DIDN'T DO ANYTHING WRONG.
YEAH, BUT THAT DOESN'T MATTER THESE DAYS.
PEOPLE SUE TO SUE.
THERE'S NOTHING TO STOP HIM FROM FILING AND TRYING TO EXTORT A SETTLEMENT.
SYDNEY, MY BROTHER IS A LAWYER.
THIS GUY WOULD HAVE TO AT LEAST ALLEGE A COLORABLE CAUSE OF ACTION.
I KNOW THAT, BUT BUT WHAT? WELL, UM WHEN THE GUY CAME BACK AND COMPLAINED ABOUT FATIGUE, DID YOU ASK WHETHER HE'D BEEN TO A DENTIST? DID YOU CHECK HIS HANDS FOR SPOTS? I'M NOT SAYING YOU SHOULD HAVE.
BUT YWOULD HAVE.
ABSOLUTELY.
I MEAN, MAYBE YOU THINK THIS IS MY FAULT.
OF COURSE I DON'T.
TEETH-CLEANING I MEAN, WHO COULD SUSPECT THAT, REALLY? EVEN THOUGH THE MOUTH IS A BREEDING GROUND FOR BACTERIA AND THE LINK BETWEEN TEETH-CLEANING AND THE VALVE DISEASE NEVER MIND.
CRAP.
HEY, ARVIN.
HI.
UH IT'S BUCK BUCK TIERNEY.
YES, I KNOW.
I KNOW.
I'VE ALWAYS BEEN MEANING TO ASK, WHY DO THEY CALL YOU "BUCK"? IS THAT "BUCK" LIKE A DEER? 'CAUSE YOU ALWAYS SEEM TO BE IN SEASON AROUND HERE.
HOW 'BOU THEM TRAIL BLAZERS, HUH? HOW 'BOUT 'EM? JUST OUT OF CURIOSITY, WHO WHO WON THE NBA TITLE LAST YEAR? WELL, IT WOULD HAVE TO BE OUT OF YOUR CURIOSITY, BUCK, BECAUSE, FRANKLY, I COULDN'T GIVE A-A IS IT A RAT'S ASS? SOMEHOW, LOOKING AT YOU, I WANT TO SAY, "MOUSE.
" IT WAS THE MIAMI HEAT.
IS THERE ANYTHING ELSE I CAN HELP YOU WITH? I DON'T WANT TO SHOCK YOU, BUT I DO KNOW WHO THE PRESIDENT IS.
WHAT WAS THAT ABOUT? HE WALKED IN ON SUNG'S PROCEDURE LAST NIGH AND THOUGH HE WAS SOMEWHERE ELSE.
HE'S DONE SOMETHING SIMILAR WITH ME.
REALLY? YOU, TOO? TY, THE MAN HANDLES SHARP INSTRUMENTS INSIDE PEOPLE'S BRAINS, SO IF YOU KNOW SOMETHING DR.
WILSON, IF YOU KNOW SOMETHING LOOK AT THIS.
THERE'S NO BLOOD FLOW.
IT'S A CEREBRAL VENOUS THROMBOSIS.
WHAT ARE THE ODDS OF THAT? 5 OUT OF A MILLION.
LESS THAN 1% OF ALL STROKES.
HOW'D YOU GET THERE? HIGH HEMATOCRI AND GUT FEELING.
WELL, IT'S A CLOT.
WE NEED TO GET HIM INTO SURGERY BEFORE THE BRAIN REALLY STARTS TO SWELL.
WAIT HIGH HEMATOCRI AND YOU HUNT DOWN A CEREBRAL THROMBOSIS WHY? HE WANTS TO WIN.
A STROKE? I HAD A STROKE? YOU'RE HAVING ONE.
THE CLOT IS STILL INSIDE YOUR BRAIN.
YOU NEED SURGERY.
BRAIN SURGERY? TODAY NOW.
I GOT THE TRIALS IN TWO WEEKS.
NOT HAPPENING.
DANIEL, THIS IS VERY SERIOUS.
AM I GONNA DIE? NOT THE PLAN.
YOU DON'T NEED TO BE GOING TO GOD JUST YET.
BUT IT IS TIME TO COME TO JESUS.
WHAT DOES THAT MEAN? YOU'VE BEEN DOPING, SON.
NOT STEROIDS BLOOD DOPING.
YOU'VE BEEN REMOVING BLOOD FROM YOUR OWN BODY, SEPARATING THE RED CELLS FROM THE PLASMA, AND THEN REINJECTING THE GOOD STUFF.
BOOSTING PERFORMANCE, UNDETECTABLE I KNOW ALL ABOUT IT.
WHY WOULD THIS MAKE ME HAVE A STROKE? BY INCREASING YOUR HEMATOCRIT, YOU AREN'T JUST INCREASING THE AMOUNT OF OXYGEN YOU CARRY.
YOU'RE MAKING YOUR BLOOD THICKER.
AND NOW IT'S SO THICK THAT A CLOT HAS BUILT UP IN A VEIN INSIDE YOUR BRAIN.
SON WE NEED TO REMOVE THE CLO BEFORE MORE BRAIN CELLS DIE.
HE WAS ASKING FOR CERVICAL TRAYS DURING A LUMBAR FUSION, AND THEN HE ASKED ABOUT THE CUSA FOR A SPINE FUSION.
IT'S NOT INCONCEIVABLE.
WELL, HAS HE COMMITTED ANY MALPRACTICE? DO I HAVE ANY JUST CAUSE TO SUMMON HIM FOR A 311? WE ARE GIVING YOU THAT CAUSE RIGHT NOW.
NOW, HARDING, NOBODY APPRECIATES MORE THAN I DO THE ADVANTAGE OF HAVING ARVIN WAYNE ON STAFF.
HE'S GOOD FOR $1 MILLION, MINIMUM, EVERY TIME WE DO A CAPITAL CAMPAIGN, BUT IF HE IS LOSING HIS HE'S NOT LOSING ANYTHING.
I'VE SPOKEN TO HIM.
I'VE WATCHED HIM.
HE'S FINE.
WE KNOW HE WAS YOUR MENTOR, THAT HE HANDPICKED YOU TO BE CHIEF OF STAFF.
THAT'S NOT THE REASON.
THEN WHAT IS IT? YOU'LL GRILL TINA ABOUT HER PERSONAL LIFE, BUT DR.
WAYNE GOES IN TO OPERATE ON THE WRONG PATIEN AND THEN IT'S "HANDS OFF"? REALLY? I CHECKED ON HIS MORTALITY RATE.
IT IS HIGHER FOR COMPLICATED MORTALITY RATES ARE HIGHER FOR ALL SURGEONS OVER THE AGE OF 60.
THAT'S YOUR RESPONSE? YES.
YES, IT IS.
NOT GOOD ENOUGH.
WE'VE ALL LEARNED FROM HIM.
WE ALL ADMIRE HIM.
BUT I'M STANDING HERE NOW BECAUSE OF WHAT I'VE LEARNED FROM YOU SPECIFICALLY THAT THE STANDARDS OF THIS HOSPITAL WILL NEVER BE COMPROMISED, NOT BY ANYONE, NOT FOR ANYONE.
I'M, UH I'M REALLY EMBARRASSED AND SORRY.
DO YOU HAVE ANY SENSE OF HOW DANGEROUS BLOOD DOPING CAN BE? I CERTAINLY DO NOW.
I'M JUST I'M ESPECIALLY SORRY FOR DISAPPOINTING YOU.
DANIEL I'M A DOCTOR THAT TREATED YOU IN THE E.
R.
I KNOW.
I SUPPOSE IN MY CLOT-FILLED BRAIN I THOUGHT THAT, UH, AFTER I GOT OUT OF HERE I WOULD COME BACK, IMPRESS YOU WITH A GOLD MEDAL, MAYBE INVITE YOU TO DINNER.
A MEDAL THAT YOU WON BY CHEATING IS NOT LIKELY TO IMPRESS ANYBODY THAT YOU CARE ABOUT IMPRESSING.
ARE YOU GONNA BE DOING THE OPERATION? DR.
RIDGEWAY.
I'LL BE ASSISTING.
AND THIS IS IT A DIFFICULT PROCEDURE? VERY.
UM, SHOULD I BE CALLING MY PARENTS, LIKE, TO SAY GOODBYE? YOU SHOULD CALL THEM TO LET THEM KNOW WHAT'S GOING ON.
WHERE ARE THEY? EAST COAST.
MY MOTHER WON' BE ABLE TO HANDLE THIS.
YOU WANT ME TO CALL HER? THIS IS PRETTY SERIOUS, ISN'T IT? TRANSVENOUS THROMBOLYSIS IN A 21-YEAR-OLD.
WOW.
YEAH, I DON'T KNOW HOW LONG IT'S GONNA GO, BUT I COULD USE ANOTHER SET OF HANDS.
I'VE GOT MICHELLE'S, BUT I'M THINKING IT MIGHT BE GOOD TO HAVE YOURS, AS WELL.
OKAY.
YOU GOT ME.
OKAY.
EASY.
ALMOST THERE.
THERE'S THE OBSTRUCTION.
UROKINASE? THE DRUG SHOULD BREAK UP THE CLOT.
HERE IT COMES.
THERE'S NO RECANALIZATION.
GIVE IT TIME.
IT'S NOT DISSOLVING.
LET'S SWITCH OVER MANUAL ASPIRATION THROMBECTOMY.
WHY DON'T YOU JUST APOLOGIZE TO THE GUY? I DID! I WAS IN THE PROCESS OF APOLOGIZING WHEN I DUG MY OWN GRAVE! LOOK, LOOK, LOOK, LOOK.
I'M TIRED OF ALL OF THIS HIGH-SCHOOL CRAP.
THERE HE IS.
YOU! GET YOUR ASS IN HERE.
GATO, WHAT ARE YOU DOING? CLOSE THE DOOR.
SIT.
LOOK, YOU'VE BEEN SPENDING A LOT OF TIME WITH THIS WOMAN, SO YOU KNOW THAT SOMETIMES STUFF COMES OUT OF HER MOUTH SO FAST, IT DOESN'T MAKE SENSE, SO LET ME.
GATO! BE QUIET.
YOU COME OFF BETTER QUIET.
LOOK, MY WORDS, HER FEELINGS.
GOT IT? I REALLY LIKE YOU.
OH, MY GOD.
I THINK YOU'RE SPECIAL.
OH, YOU'RE SO SWEET AND TENDER.
I WANT TO BE WITH YOU.
YOU KNOW, BUT SOMETIMES I JUST GET SO OBSESSED WITH WORK THAT I LOSE MY MIND.
GOT IT? BEAT IT.
OH, MY GOD.
UGH! SCREW IT, THEN.
I TRIED.
MERCI RETRIEVER.
OKAY, LET'S GET THIS SUCKER OUT.
THE VEINS ARE SO THIN.
ONE WRONG MOVE AND PERFORATE THE VESSEL WALL, AND WE LOSE HIM.
OKAY, YOU'RE THERE.
THAT'S IT.
RELEASING THE HELIX.
THAT'S IT.
ALL I'VE GOT TO DO IS TRAP THE CLOT AND RETRACT IT.
GOT IT.
NICE.
REALLY NICE.
THAT WAS IMPRESSIVE.
SO, ARE WE REALLY HAVING AN ENJOYABLE LUNCH, OR ARE YOU SECRETLY TAKING INVENTORY OF MY MARBLES? WELL, IT'S A LITTLE BIT OF BOTH, ACTUALLY.
REMEMBER, I LIKE TO KEEP PEOPLE ON THEIR TOES.
WELL, YOU TAUGHT ME THAT.
INSTILL A LITTLE BIT OF DOUB WITH YOUR PREY FEAR.
OH, COME ON.
I WAS NEVER THE TERRORIS YOU'VE BECOME IN 311.
THE WAY YOU LIKE TO MAKE YOUR TARGETS SQUIRM ALMOST WORTH THE PRICE OF ADMISSION.
I'D COME MORE OFTEN IF I HADN' SEEN THE ACTION MANY TIMES.
NOW, YOU SEE THAT? THAT'S YOUR TELL.
I BEG YOUR PARDON? YEAH, THAT SIP OF WATER.
THAT'S YOUR SIGNAL THAT YOUR GUN IS LOADING.
YOU USED TO PINCH YOUR LOWER LIP.
YES, I REMEMBER.
THE FIRST TIME I WAS SUMMONED TO 311, STANDING UP THERE, YOU PERUSED A FILE RATHER CASUALLY, YOU PROFFERED A FEW BENIGN QUERIES, MADE ME FEEL SAFE.
THEN YOU PINCHED YOUR LOWER LIP, AND I KNEW I WAS IN YOUR CROSSHAIRS.
DO YOU REMEMBER YOUR INFRACTION? WELL, IF MEMORY SERVES, I I WALKED INTO THE WRONG O.
R.
FOR THE WRONG PROCEDURE.
IT HAPPENS.
WHEN YOU'RE 27, YOU THINK NOTHING OF IT.
SHOULD YOU BE 85, WELL, TIME TO PUT THE BASTARD OUT TO PASTURE.
NO.
NO ONE IS PUTTING YOU OUT TO PASTURE.
YOU CAN'T AVOID THIS ONE, MY FRIEND.
THE BELL TOLLS FOR THEE.
HARDING, THIS HOSPITAL IS MY LIFE.
I HAVE NO CHOICE.
THERE'S A BIT OF A SWELL, AND I CAN'T CONTAIN IT, BUT YOU CAN.
I'LL ASK YOU ABOUT YESTERDAY WITH DR.
PARK.
I'LL ASK YOU ABOUT A PROCEDURE WITH BUCK TIERNEY WHICH YOU ABRUPTLY WALKED OUT OF.
I'LL ASK ABOUT A LUMBAR FUSION WITH DR.
WILSON WHEN YOU ASKED FOR CERVICAL TRAYS.
YOU WILL GIVE AN ACCOUN OF ALL THESE INSTANCES, AND THEN WE'LL BE DONE.
YOU'RE TIPPING ME OFF ON THE EXAM? LOOK, I KNOW YOU'RE FINE, ARVIN.
BUT THE OTHERS THEY HAVE TO SEE IT.
LET'S JUST PUT THIS TO REST, SHALL WE? HEY.
HEY.
ALL RIGHT, LET'S GET STARTED, SHALL WE? DR.
PARK.
OH, YOU CAN STAY THERE.
TELL US BRIEFLY ABOUT THE ANEURYSM PROCEDURE PERFORMED ON KAITLIN McNAIR.
SUCCESS.
EXCELLENT.
THE OPERATION WENT ROUTINELY? YES.
ANYTHING UNUSUAL OCCUR? NO.
NO? EVERYTHING WEN ABSOLUTELY ROUTINELY? I ASKED YOU A QUESTION, DR.
PARK.
DR.
WAYNE MISTAKENLY CAME IN TO PERFORM MENINGIOMA.
AH.
AND DID THE PATIEN HAVE A MENINGIOMA? NO.
AND IF I'M QUOTING YOU CORRECTLY, "WRONG ROOM, WRONG PATIENT, WRONG TIME, WRONG PROCEDURE.
" DOES THAT ABOUT SUM IT UP? YES.
YOU MAY SIT.
DR.
WAYNE, HOW ABOUT JOINING US ONSTAGE, SIR? TELL US, DR.
WAYNE, HOW IT HAPPENS THAT YOU MARCHED INTO AN O.
R.
, REPORTEDLY TO REMOVE A BRAIN TUMOR FROM A WOMAN WHO WAS RATHER LACKING A TUMOR? CLERICAL ERROR.
AT MY AGE, I'M NOT GREAT WITH MY CALENDAR.
SOMETIMES I'M AT THE MERCY OF MY SMARTPHONE.
HMM.
YOU DON'T HAVE AN ASSISTAN OR A SECRETARY? YES, I DO, BUT THIS IS AMERICA.
IN APPLE WE TRUST.
I SEE.
SO, THIS WOULDN'T BE THE FIRST TIME YOU'VE WALKED INTO THE WRONG ROOM AT THE WRONG TIME TO OPERATE ON THE WRONG PATIENT? NO, AND IT PROBABLY WON'T BE THE LAST.
I'M A LITTLE BIT LIKE THE ABSENT-MINDED PROFESSOR WHEN I'M FOCUSED ON A SPECIFIC PROCEDURE.
IT CAN CAUSE ME TO WALK THROUGH THE WRONG DOOR ON OCCASION.
BUCK TIERNEY SAYS THAT A MONTH AGO YOU ABRUPTLY WALKED OU OF ONE OF HIS PROCEDURES.
YES.
WELL, THE OPERATION SEEMED TO BE WELL IN HAND.
AND WHEN THAT OCCURS, BUCK HAS A TENDENCY TO PUFF AND STRUT, AND I CAN'T WAIT TO GET OU OF THE ROOM FAST ENOUGH.
I WAS INFORMED BY DR.
WILSON THAT YOU ATTEMPTED TO USE CERVICAL TRAYS ON A LUMBAR FUSION.
DID I? WELL, THAT'S ODD.
DID YOU CALL ME ON THAT, DR.
WILSON? DR.
WILSON, DID YOU CALL ME ON THAT? AND IF NOT, WHY NOT? YOU'RE KNOWN TO HAVE PRETTY EXACTING STANDARDS.
THANK YOU, DR.
WAYNE.
I'LL ASK THE QUESTIONS.
RIGHT.
I'LL I'LL CONFINE MYSELF TO THE ANSWERS.
I ALWAYS CALL FOR CERVICAL TRAYS WHEN I'M DOING A LUMBAR FUSION.
WHY? BECAUSE ONE TIME DURING SUCH A PROCEDURE, I REALIZED THAT THERE WERE CERTAIN INSTRUMENTS I NEEDED WHICH CAN ONLY BE FOUND ON CERVICAL TRAYS.
AND GUESS WHAT.
WE HAD NO TRAYS.
AND IF THERE'S ONE THING I HAVE STRESSED TO ALL THE SURGEONS UNDER MY CHARGE, INCLUDING YOU, DR.
HOOTEN, PREPARATION BE PREPARED FOR ANYTHING AND EVERYTHING.
PREPARATION, PREPARATION, PREPARATION.
THE QUESTION IS DID I HARM DR.
PARK'S PATIENT? DID I HARM DR.
TIERNEY'S PATIENT? DID I HARM DR.
WILSON'S PATIENT? HAVE I HARMED ANY OF MY OWN PATIENTS? THE ANSWER IS "NO.
" NO.
QUESTION, D-DR.
HOOTEN? NO.
THANK YOU, DR.
WAYNE.
YOU'RE EXCUSED.
THANK YOU, EVERYONE.
THAT'S ALL.
WHAT THE HELL WAS THAT? YOU SERVED UP BATTING PRACTICE TO THAT MAN.
60-MILE-AN-HOUR FASTBALL, STRAIGH DOWN THE MIDDLE OF THE PLATE.
WELL, GATO, PERHAPS NEXT TIME YOU'D LIKE TO CONDUCT THE MEETING.
WHAT'S GOING ON? I SAID, "WHAT'S GOING ON?" WHAT'S GOING ON RIGHT NOW IS THAT YOU'RE BLOCKING MY PATH.
SEE, THE THING ABOUT YOU, ARVIN, IS WHEN YOU PONTIFICATE, TYPICALLY, YOU DO SO WITH GRAND GESTICULATION.
IT'S ONE OF YOUR TELLS.
ONCE YOU'VE GAINED DOMINION "PREPARATION, PREPARATION, PREPARATION.
" YOUR LEFT ARM HUNG LIMPLY BY YOUR SIDE BECAUSE IT'S CONTROLLED BY THE RIGHT SIDE OF YOUR BRAIN.
CAN WE TALK ABOUT THIS LATER? PLEASE, HARDING.
I-I-I'M BUSY NOW.
I ALSO DETECTED SOME FACIAL ASYMMETRY.
YOU SUFFERED A TRANSIEN ISCHEMIC ATTACK, HOWEVER BRIEF.
DON'T BE RIDICULOUS.
I SAW IT, ARVIN.
YOU KNOW I SAW IT.
AN ISCHEMIC ATTACK WOULD TYPICALLY LAST HOURS.
NOT ALWAYS.
IS THAT WHAT'S BEEN HAPPENING? YOU'VE BEEN HAVING THESE LITTLE EPISODES WHICH TEMPORARILY IF THESE ARE T.
I.
A.
s, POTENTIALLY, THIS COULD BE A SERIOUS SITUATION.
THESE COULD BE PRECURSORS TO A STROKE.
YOU WANT ME TO GET AN M.
R.
I.
? COME ON.
LET'S LET'S DO IT.
AN M.
R.
I.
WOULDN'T REVEAL IT.
YOU KNOW THAT.
MAYBE IT'S I WHO SHOULD BE QUESTIONING YOUR MEDICAL FITNESS.
A T.
I.
A.
? COME ON.
THE THE WHOLE WORLD WOULD NOTICE.
AGAIN, NOT ALWAYS.
IT COULD BE SO SLIGHT, ONLY THOSE WHO KNOW YOU BES MIGHT PICK UP ON IT.
ALL I CAN TELL YOU, HARDING, IS YOU'RE WRONG.
THERE IS ONE WAY TO FIND OUT.
IN FACT, YOU TAUGHT ME.
IF THE CAROTID ARTERY IS CLEAR, THERE'S NOTHING TO HEAR.
IF THERE'S A NARROWING, WE GE THAT WHOOSHING SOUND, A BRUIT.
NO HARM IN CHECKING, IS THERE? ABSOLUTELY NOT.
ABSOLUTELY NOTHING! ALL CLEAR.
MIGHT I HAVE A LISTEN? NO! AND, FRANKLY, I'M GETTING SICK OF ALL YOUR SECOND-GUESSING.
YOU'VE CROSSED THE LINE NOW! ARVIN.
I TRAINED YOU! DAMN IT, I GAVE YOU THIS JOB.
I GAVE YOU THIS LIFE.
NOW YOU'RE TRYING TO TAKE AWAY MINE? HOW DARE YOU? I DARE BECAUSE I'M CHIEF OF STAFF.
IF EVER I COMPROMISE A PATIENT'S HEALTH, THEN WE'LL TALK.
UNTIL THEN, GET THE HELL OUT.
AHH.
SUCKS BEING THE BOSS SOMETIMES, DON'T IT? YOU HAVE NO IDEA.
I CAN'T EVEN LEAVE THE ROOM WITHOUT BIG BLACK MEN ACCUSING ME OF THROWING SOFTBALLS.
AGAIN WITH THE STANDUP.
IS IT THE ALCOHOL? WHY IS IT THAT WHENEVER YOU MAKE A DIAGNOSIS, YOU'RE A SAVANT? WHEN I DO, I'M JUST AN ASSHOLE.
CHARISMA, BABY.
SOME GOT IT.
SOME DON'T.
HARDING, DON'T YOU WISH YOU COULD JUST GO BACK TO PRACTICING MEDICINE AND NOT HAVE TO DEAL WITH ALL OF THIS ADMINISTRATIVE CRAP? OH, GATO, WE'RE HEALERS.
MEDICINE IS NOTHING BU ADMINISTRATIVE, EVEN IN CANADA.
WELL, WELL, WELL.
GIRLS' NIGHT OUT.
SHE DRAGGED ME HERE.
YES, I DID.
THERAPY.
I HEAR YOU PULLED OFF A MANUAL ASPIRATION THROMBECTOMY TODAY.
I HAD HELP.
NO, NOT REALLY.
YES, REALLY.
AND OTHERWISE, EVERYTHING OKAY? I'M WORKING ON IT.
THANKS.
WHATEVER I'M HAVING.
DEFINITELY NOT WHAT HE'S HAVING.
HEY, I HEAR YOU SWEET-TALKED LIEBERMAN A LITTLE.
WHAT DID YOU SAY? I JUST TOLD HIM HE WAS SWEE AND TENDER.
MMM.
CHARISMA.
SOME GOT IT, SOME DON'T.