The Mob Doctor (2012) s01e05 Episode Script

When I was little, my mom had to leave town for my aunt's funeral.
I thought it would be awful with my dad.
But my father didn't take a single drink that weekend.
First-class passenger! He made pancakes, and he took us to the zoo.
He even made me fly.
Come on.
Come on.
Okay.
Come on! Here we go! And for the first time in my life, I hoped things wouldn't change.
Faster, daddy! Faster! Here we go! Okay, Sara.
One last deep breath.
It's okay.
Breathing shouldn't be this hard.
You're gonna be breathing easier in no time.
They just put the transplant heart on the helicopter.
It's gonna be here in an hour.
You're sure the heart's for me? What if somebody in worse shape pops up last minute and gets ahead of me on the list? That is not gonna happen.
As soon as you wake up from surgery, you're gonna have a whole new life ahead of you.
What you looking at? Abdomen-pelvis C.
T.
for a 16-year-old.
It looks like an intestinal obstruction.
Yeah, the problem is I can't figure out what's causing it.
Well, it's a chronic issue, right? What about intussusception? How do you even know my patient's history? I was going over the surgical admits, and it caught my eye.
You're case-fishing.
I have some downtime, so I figured I'd try to make myself useful.
Chief put you on surgical leave because you screwed up, and now you're trying to wow him with your diagnostic skills.
I was just trying to help.
I'm good.
Thank you.
Sara's new heart is on its way down.
Dr.
Devlin, begin with a midline incision.
Scalpel.
She's spiked a fever 101.
We have to do a septic workup.
We can't transplant into a septic patient.
She's not septic.
Pre-op labs, X-Ray, urine were all normal.
Why isn't the chest open? The patient spiked a fever.
Dr.
White, if you can't use the heart, I need to know now.
She needs this heart.
This might be her last chance.
What's our post-op protocol, Dr.
Devlin? Beta blockers, anticoagulants, a cocktail of immunosuppressives to ward off organ rejection.
And how will a patient do fighting an acute infection while on massive doses of immunosuppressives? Until we rule out infection, we can't move ahead with this surgery.
Fine.
Let's move the patient back to the I.
C.
U.
I will order the septic workup.
I'll tell Medivac One to stand by for rerouting.
Grace I'm sorry.
How you feeling, Will? Is the tube helping with the pain at all? Uh, yeah, maybe a little.
Last time it was this bad, they had to operate.
Before that, they treated him with stents, and the cramps were so bad he could barely stand up.
Crohn's disease was ruled out? Along with I.
B.
S.
And diverticulitis.
What about Intussusception? Well, they checked for that, but it was negative.
Mom, my batteries are out of juice.
Do you have the charger? Okay, just check my purse, honey.
We're gonna have to operate to relieve the intestinal blockage.
Another operation? A-are you sure? With adhesions this tight, surgery really is the best option.
Mom! Oh, my God! Ethan! Are you all right? Does anything hurt? - Yeah, I'm okay.
It's just my finger.
- What happened? Let me see.
Let me see.
Were you playing with something? Hey, it's just this cord.
This cord was frayed.
You okay there, pal? Ethan, that was a pretty serious jolt.
Dr.
Wilcox.
Ethan, this is Dr.
Wilcox.
She's really good at dealing with burned fingers.
You stay here with Will, okay? I'm gonna go with Ethan.
Dr.
Devlin.
Hi.
I didn't get the heart, did I? No.
I'm so sorry, Sara.
What happened? You're running a fever, and we don't know why, so until we figure it out it's too risky.
Yep.
I get it.
We'll find you another heart.
Get some sleep.
Grace.
What do you need? I got a friend of mine I want you to go see.
He's got a unique medical situation.
I'm gonna let him fill you in on the details.
All right, where am I going? What's he in for? Multi-count bank robbery.
Killed two security guards on his last job.
Got life, no chance of parole.
Eddie Nolan, meet Dr.
Devlin.
Play nice.
He croaks, it's your ass, not mine.
So, you're Daniella's girl, huh? You know my mother? Well, I never met her, but I was Constantine's cellmate.
You spend 15 years in a box with someone, you got plenty of time for details.
I remember when you got the scholarship to med school.
He was puffed up like a rooster.
Really? Yeah.
I know everything about everyone in the neighborhood.
You'd be surprised the crap I know.
Will you lean forward, please? Look, there's no need.
You can put that away.
See, faking chest pains is how I got transferred to the infirmary.
Okay, I'm out of here.
No, wait, wait, wait.
I-I'm not explaining myself.
You and I have someone in common.
A Sara Anderson? She has a bad heart, waiting for transplant? You're her doc, right? I don't discuss patients.
So unless you have a medical issue I'm her father.
Sara didn't mention me, did she? I don't blame her.
She hates me.
But her ma died last year, and I'm all she's got, which is why I filled out this directed donation form.
It says on my death Sara gets my heart.
Sara needs a heart now.
Well, that's where you come in.
I need you to kill me.
Look just do what Eddie wants.
Why are you fighting me on this? Because I am not a killer, okay? I made that very clear to Moretti.
Moretti wanted you to kill someone in cold blood.
Eddie wants you to save his daughter.
Not this way.
Any way, Grace.
Now, look I know your old man He wasn't much of a dad to you, but you take a walk down Michigan Avenue, ask any father what he would do in the same situation.
Fine, but we have other options medical options.
I am not resorting to murder.
Keep Eddie's kid alive, and everybody wins.
So, what's, like, the grossest thing you've ever seen? I'm a doctor.
I'm used to gross.
Come on.
When you're staring at blood and guts and dead people, you never want to hurl? No, I never want to hurl.
Thanks.
Oh, good news No muscle damage.
How's your finger? Awesome.
All right, then you are good to go.
Hey, hold on.
What's wrong with your leg? I'm fine.
Well, the shock may have caused some nerve damage.
I don't think so.
My leg's been weird for awhile.
Have you seen a doctor? Two.
Neither of them found anything.
So my mom she thinks maybe it's in my head.
Well, how about I ask your folks if we can do some tests on your leg? Sure.
Hey.
So, guess whose septic workup is negative.
You're back on top of the UNOS list.
So, what's up with the new meds? That is a dopamine drip.
Unfortunately, your B.
P.
isn't, you know, where we'd like it.
My heart failure is accelerating Which happens when you reach the end stage.
Well, we do have some good news.
There's a bridge-to-transplant option.
It's called an "LVAD.
" It stands for Left ventricular assist device.
And it helps my heart pump more effectively.
Right.
You can live for months on an lvad.
When a heart is available, we'll replace it with the real thing.
I know it's not perfect, but, um It's our last best option.
Sara, is there someone I can call? My parents are both dead.
Okay.
All right, buddy, it's time to get you on the C.
T.
table.
Sorry, Ethan, but everything has to come off.
No! Please, don't.
My foot's killing me.
When you touch it, it hurts more.
When did that start? W-when I got zapped.
All right, I'm gonna take a look, okay? I promise I will be gentle.
Just pull it off fast.
Okay.
Oh, my God.
You've been working for me for over a month now, Nate.
How's it going? Good.
Did I do something wrong? 'Cause whatever you think I did No, kid.
You didn't do anything wrong.
It's time for you to step up.
You see, the City of Chicago's about to pass an ordinance that's gonna legalize video poker machines, and I'm gonna make a fortune distributing them.
You ready to get your hands dirty? We're gonna start with the old neighborhood.
Remember what I showed you? You need me to supervise deliveries? I get a crew? First, we get the bars on board.
- What bar doesn't want poker? - Everybody wants it.
The question is from who? Me, I've been away a long time, kid.
Not everybody's glad to see me back.
What do you want me to do? Should I get a gun? Let me tell you something, kid.
A gun a gun will get a man's attention.
But there are better ways of doing business.
You see, everybody has a past, Nate, and on Pilsen Street, that past belongs to me.
We got to remind them the way things used to be.
All right, we have a new patient Lifer from Stateville, Eddie Nolan.
Oddly, his chart lists you as his P.
M.
D.
Yeah, there's this program at my church.
We send volunteers to prisons.
My mom guilted me into it.
We're Catholic.
Well, Sister Grace, thanks to your charity, Eddie was brought special delivery to you.
He's presenting with radiating chest pains, nausea, dizziness.
Start by ruling out M.
I.
and dissecting aneurysm.
Do you mind stepping out while I give him a physical exam? - I'll be right outside.
- Thank you.
What the hell are you doing here? Having a heart attack.
Mm-hmm.
And you realize the stupidity of faking a heart attack when you want to donate your heart? I did some research.
I found a drug called etomidate.
Am I saying it right? Look, never mind.
The point is Etomidate has no adverse cardiac effects.
All's you have to do is slip me some and a syringe, and I'll do the rest.
Right, and just lose my medical license, not to mention aiding and abetting a suicide? No one will know.
I can't do it without you.
You have to keep my heart beating after I die so it's good for transplant.
Okay, this discussion is over.
Constantine wants you to do this.
And word is you owe him.
I have real patients to see.
Please.
The kind of dad I was, Sara could have been a mess, but she was in college getting straight A's.
I was a screwup, but I kept track of her.
I don't have a life, not really, but I can give Sara one.
Let go of my hand now.
Be careful, Dr.
Devlin.
Watch the aorta.
Years of chronic disease.
LVAD is ready to activate.
- Start de-airing.
- Here you go, doctor.
Confirm with T.
E.
E.
- T.
E.
E.
Normal.
- Mm-hmm.
Got it.
It looks good in there.
Not as good as a new heart.
If you have something to say, please do so.
I don't appreciate passive-aggressive behavior.
I'm sorry.
I just, um I wish we had gone ahead with the transplant yesterday.
I wish you had trusted my judgment.
There's judgment and there's science.
Don't confuse the two.
She's ready to come off the pump.
Did you Nick something? No.
There, the aorta tore.
I need side-biting clamps to control the hemorrhage.
- Here, doctor.
- The aorta won't hold sutures.
We need to bolster it.
She's crashing.
We need to go back on bypass.
No, wait.
What about the pericardium graft? Do it now.
Hey.
What are you having? Uh, I'll have a Bauhaus.
It's a nice place.
You've been here for awhile, huh, Yuri? What? Like 20 years? Do we know each other? No, I'm here on behalf of an old friend.
He helped you open this place.
You know who I mean.
He's back, and he brings gifts Video poker, the legal kind.
Hmm.
What's the split? I think I'll take my chances on the open market.
You ain't gonna find a better deal.
I have respect for your friend, but his time here is done.
I don't think you really mean that.
Yeah.
I do.
Fine.
I'll go.
But I-it's not right, you know? Not after everything he's done for you.
And it's not just the loan shark he called off or the deferred interest on this place.
It's the relationship.
I mean, it would kill him to have to call in your debts.
But, I mean, if you can't move these machines How many did you say you want? Was it two? No, it was three.
You said three.
Yeah.
There's been a steady drop in Sara's main arterial pressure, rise in her C.
V.
P.
B.
P.
Is 80 over 50, pulse 122.
Blood from her left ventricle is overwhelming the right, causing a backup of fluid in the lungs.
Yeah, we're maxed out on vasopressors.
We can try inhaled nitrous.
Maybe piggyback a right V.
A.
D.
, buy us some time to get another donor heart.
But it's doubtful the patient will survive another thoracotomy.
I agree.
Is there anything else you would like to order? A P.
C.
A.
Pump.
She can self-medicate during the end stage.
You've done everything possible to help your patient, Dr.
Devlin.
I have to examine him.
I was hoping I'd see you again.
Your daughter is dying, and I can't stop it.
So do something about it.
I killed two people, watched them take their last breaths, calling out to God to save them.
He never showed.
He's not showing up for Sara, either.
So I should step in? Why not? Sara deserves to live.
Yeah, I know that.
But if I start deciding who lives and who dies, if I If if I play God, then I'm no different than you, am I? Don't kid yourself, doc.
You play God every day.
When Sara didn't get that heart, that's exactly what you were doing.
No, that was not a choice.
You've got all the choices in the world.
You just got to take 'em.
I'm sorry.
All right, doctor, well, maybe there's one thing you can do.
Tomorrow, they're taking me back to prison.
I Haven't seen Sara in years.
If I could just get a minute I'm begging you.
Let me see my little girl.
Sorry.
I thought you could use this.
- It gets cold at night.
- Thank you.
He finally fell asleep.
Let's talk over here.
Ethan's test results are all negative.
Oh, that's good, isn't it? Well, it means that we still don't know what's causing the issues with his foot.
Well, I-is there any chance that it it could be from stress? I mean, I know what's happining to Ethan is extreme, but but it could be, maybe.
Mom! Mom! Mom, what's happening to me?! We need some help in here! Mom, what's happening?! I don't know, baby.
Mom.
I'm right here with you.
I am right here.
I got you.
Mom, mom, mom, what's happening? Can I get you anything else? No, just the check.
It's on the house.
Thanks.
It's a classy joint.
I heard it almost closed a few years back.
Yeah.
Lucky for you someone talked sense into him.
So, about the poker machines, how many do you want? I'll take four.
Your boss did a lot of good for the neighborhood.
I'm happy he's back.
Hey, Missy.
What can I do for you, Mikey? Why don't you show Nate out, uh, through the Captain's Quarters, will you? I'd love to.
Don't be afraid.
Come on.
I think you'll like it.
What is that? Your pulse ox is falling.
I need to go up in the O2.
I don't think the LVAD is working.
Well, the next step would be to put you on a vent.
For how long? Sara, after the ventilator, we're out of options.
How long do I have left? It's hard to say.
A few a few days, maybe.
This right here is a patient-controlled analgesia pump.
It delivers a controlled amount of morphine when you push this button.
You can self-medicate for pain.
I set a stop point so you can't overmedicate and sedate yourself.
All this time, no matter how bad it got I never really thought I was gonna die.
Can I ask you something? You told me your father was dead, and I know that he's not.
He's in this hospital.
He was transferred here for medical care, and he would like to see you.
No.
He can't be here.
I think I might understand how you feel.
My father was not a good man, either.
He, uh he hurt me.
He hurt my family.
Then you know I can't see him.
He died before he could apologize for the things he did, but if he could I mean if he would say that he was sorry I'd want to hear that.
Okay.
I'll see him.
You've been here all night? Yeah, I'm working on Ethan's case.
I have reviewed every differential for muscle spasms Electrolyte abnormality, toxin exposure, endocrine dysfunction, CNS infection.
His symptoms don't correlate with any of them.
You don't earn brownie points with the chief if you don't figure this out.
Ethan's a good kid.
Is it that much of a surprise to you that I care about my patients? Yeah.
Is that what everyone thinks? Pretty much.
I ran a post-op G.
I.
series on will Jamison.
There's still no mechanical obstructions.
Look at these weird peristaltic movements.
Wait.
Zoom in.
His intestines are twisting.
Yeah, they are.
I need to show you something.
They're both twisting.
Will's symptoms are gastrointestinal.
Ethan's are musculoskeletal.
But whatever is wrong with them, they're somehow related.
When did Will's symptoms start? When he was 12.
Maybe it's a genetic defect that manifests at puberty.
We need a full chromosomal map on both these kids.
- Good call.
- Thanks.
We're closed.
We start serving at noon.
It's a nice place.
You know, it looks like a good place to put a couple gaming machines.
Video poker's not my thing.
Really? 'Cause I got reason to believe that you're a big fan of gambling.
Oh, yeah? Who told you that? An old friend of yours.
He's got fond memories of a truck heist that you pulled on the Dominicans.
Hey, Taveras, you hearing this? This kid's trying to shake me down.
Meet Sergeant Taveras.
Uh I think you misunderstood me, so I'm I'm gonna get out of your hair.
No, no.
How about you and I step out back? I know who put you up to this, Constantine Alexander.
Never heard of him.
Cut the crap, kid.
I'm not interested in you.
I want him.
See, with him being on probation, all it takes is one bust, and he goes back inside.
So just say Constantine sent you.
How about now? Ready to talk now? We can do this as long as it takes for you to talk.
His name, that's all I need.
Just one name! I should clear this.
If he has a pulmonary embolus and we don't do the C.
T.
angiogram, he could die on your watch.
You can wait right there.
No, I can't leave him alone with you.
Oh, thank you.
Hmm.
Do you have kids? Not yet.
Why? Well, it's just that I'm gonna blast that room with radiation equivalent to like 100 x-rays, so if you want to be a dad, you might want to wait out here.
Okay.
Hi, there, honey.
It's been so long.
I'll just be right outside.
Look how beautiful you are.
Look, Sara, I-I don't know what to say.
I made a lot of mistakes.
If I could trade places with you right now, I would.
I mean that.
You went to prison When I was 9.
Before that, I saw you twice.
I remember both times.
Do you? The first time, I was up early watching cartoons.
You snuck into the house, went straight to the basement, grabbed a bag, and left.
You deserved better.
If I could The second time Mom said that you were coming for Christmas.
You showed up drunk.
And you never even looked at me.
Do you know what it's like having to lie to people about your father? I didn't want anything special.
I just wanted a dad.
I'm sorry, Sara.
I am so sorry.
No.
No? Don't ask me for forgiveness.
I don't have any to give.
Sara.
I don't even know you.
Take him away, please.
Dr.
White.
We need to talk to you about the Jamison family.
I operated on their son Will.
Oh, of course your patient with the, um, chronic intestinal blockages, etiology unknown.
I wasn't aware you were consulting on the case, Dr.
Wilcox.
I'm on Ethan Jamison's case, Will's younger brother.
He was admitted for severe muscle spasms.
We ran karyotypes on both Ethan and Will.
These are their PCR maps.
May I? The DYT1 gene Is mutated in both boys.
We believe they have early-onset generalized dystonia.
Well, that's autosomal-dominant, but the parents aren't symptomatic.
There's variable penetrance.
One of the parents must carry the gene.
And we'd like to treat the boys with dopamine antagonists to combat the symptoms.
Do it.
Keep me updated.
Good job both of you.
- Hello.
- Grace.
I want you to meet me in the ambulance bay right now.
Is something wrong? I'm not feeling well.
Got a shooter! Stay down! Stay down! I need all available C.
P.
D.
to Roosevelt Medical.
Prisoner down.
Go back inside! - Get me a gurney! - Stay back, stay back.
Get away, please! Get a gurney now! Stay back! Folks, back up! G.
S.
W.
to head.
Let's get him to trauma.
There's brain matter in his hair.
What are you doing? He's dead.
His organs aren't.
Ventilate.
Come on.
We're gonna get him prepped for transplant.
Come on.
Constantine Alexander.
Haven't seen you in a while.
Place wasn't the same while you were away, boss.
How'd my young associate do out there? Kid's got a lot to learn, but he didn't break.
You ask me, you found yourself a warrior.
Yeah.
Well, you can never be too careful.
You didn't hurt him too bad, did you? Looking forward to lots more business.
Eddie's C.
T.
results show catastrophic brain injury.
I ran the apnea test nothing.
He is officially brain-dead.
- Pat.
- Yes.
Page the anesthesiologist and put a rush on Sara Anderson's pre-op orders.
Right away, doctor.
Did you know Eddie is Sara's father? She told me.
And do you find it at all odd that he just happened to be shot right outside our hospital? I don't know.
He was on his way back to prison.
Sara has declined the heart.
What? I was explaining the directed-donation process.
But when I told her who the heart was from, she said she didn't want it.
I'm gonna go talk to her.
Sara, you need to keep that on.
I know why you're here.
You want me to take my father's heart.
Sara, it doesn't mean you forgive him.
It just means you get to live.
With a piece of him inside me.
A heart is just a muscle.
Sara, if you don't do this, you are going to die.
I can't.
Sorry.
I think I maxed out my morphine.
Okay, I can up your dose.
Thank you.
She just lost consciousness, but I got a verbal consent.
We have to operate now.
Well done.
Let's go.
Will's intestinal spasms have gone way down since we started the new meds.
But, unfortunately, the dopamine antagonists aren't working on Ethan.
Well, why are they working on Will but not Ethan? Ethan's electric shock caused his symptoms to go from 0 to 60 overnight, making his case more severe than Will's.
Okay, so, now what? We'd like to implant a device that sends electrical impulses to the part of Ethan's brain that controls movement.
Brain surgery? Dr.
White has performed this procedure in the past with great success.
We wouldn't recommend it unless it was the best option for Ethan.
There's some paperwork you'll need to sign.
Dr.
Robinson, will you help them with that? Thank you for helping my sons.
I can breathe.
That's what it feels like to have a healthy heart.
My father's heart? I told you no.
I told you I could turn you in for this.
Yes, you could.
And if you do, I will accept the consequences.
Why? Why didn't you listen to me? I didn't want any of this.
I know.
Look, I know your father was an awful man.
But at the end of the day, he came through for you.
And you can hate me for the rest of your life.
But you are alive.
You need stitches.
Do I at least get a painkiller? You remember when I wiped out playing bike tag with Mikey D.
, skinned both my knees bare? You pulled out your little doctor kit, and you patched me up with pretend band-aids.
Yeah, and I also bought you a "feel better" froggie.
And Grace forgot and put him through the wash, killed him.
I killed the frog? - Dead.
- Okay.
Of course, that was before med school.
I'm gonna go make some chicken soup.
That always makes you feel better, right? You scared her pretty bad.
She called me freaking out.
Don't suppose there's any point in asking you how this happened.
Guy jumped me out of nowhere.
You know I appreciate you more than words can say.
But this is my business, and you getting involved it's only gonna make it worse.
Hold still.
When my mom came home from her weekend away, my dad started drinking again.
Nate wanted to play, but I knew better.
It was one thing to believe he couldn't be a good father.
It was another to learn he chose not to be.
But as much as I hated the man, I never stopped wishing he would reach down, pick me up, and let me fly.
Faster, daddy! What do you need, Grace? You missed our meeting today.
Guess I'm feeling better.
You set up Eddie's shooting, didn't you? I did what he asked me to do.
I needed you there to save his heart.
- How's his kid? - Angry.
I can relate.
Look, I know I put you in a spot, and I'm sorry.
But it's a solution that worked out for everybody.
- Especially for you.
- What are you talking about? I did a good deed for a friend.
A friend who spent 15 years listening to you talk.
I bet he had a lot of dirt on you, didn't he? You got quite the imagination there, kid.
Let's just accept the fact that this ended well, and that's all there is to it.
I was about to have dinner.
You want to join me? No, I got to get back to my brother.
He got pretty beat up today.
I'm sorry to hear that.
Why don't I believe you?