Emily Owens M.D. (2012) s01e07 Episode Script

1 In 8th grade, Cassandra Cobbleson threw a thirteen's birthday party.
Hey, Manuel.
Hi.
Is this the famous Randy.
Yeah.
No school today.
Oh, cool.
Nice to met you, we love your dad.
Cassandra rented a huge mansion, had a DJ, passed out virgin cocktails named after hit songs.
At least, that's what I heard.
I wasn't invited to the party.
But I didn't care.
In fact, I thought the whole thing was silly.
Oh, wait.
Sorry.
Thank you.
That's when I realized that there are two kinds of people in the world.
Birthday people and not birthday people.
Not birthday people don't make a big deal about their birthdays-- after all, it's not exactly an accomplishment-- but birthday people, birthday people are the exact opposite.
A whole outfit.
Well, it's my birthday.
Let's see it, let's see it.
Well, I guess I know where I'm going, hmm? Happy birthday, Cassandra.
Uh, you, too.
She's kidding, right? You guys don't really share a birthday.
You didn't know it was her birthday? No, he didn't.
She refused to tell anyone.
I'm not really a birthday person.
Understood, say no more.
Well, now that I know, Emily, happy birthday.
Do me a favor, don't tell anyone.
Absolutely.
We'll respect your wishes.
But you are coming out for drinks tonight.
I'm really tired.
Come on, really, what's the big deal? It's like I said, I'm just not a birthday person.
Joyce.
Oh! Hello, sweetheart.
How are you feeling? Oh, I'm okay.
Not too bad.
Petechiae around the eyes.
Usually caused by intractable vomiting.
How's the nausea? Hard.
That part's really hard.
I can't keep anything down.
Well, that's what I was I was coming up here to see My friend, Miranda, she says her oncologist gave her something, you know, to eat.
That usually you smoke? Oh, medical marijuana.
Miranda says it helps.
Yeah, it's a very effective tool to combat nausea, and it helps with appetite.
I think it's a great idea.
Could you talk to Micah about this? I spent so many years as a mom telling him drugs are gonna ruin his life.
Yeah, no problem.
You can consider me your hookup.
Stop it, you.
Hey.
Dupre just called a meeting in five; you should get changed.
I got to go.
No personal details, not your names, not names of family members, certainly not your address.
Remember, prisoners can take a normal household object, a pen, nametag, keys, and turn it into a weapon.
So approach him with caution.
Our only concern is his heart condition.
The prison's hospital is not equipped to handle it, so we're filling in.
Huh.
I wonder what he did.
Do not ask about his crime.
It doesn't matter what he did.
When you interface, enter the room in pairs, never alone.
Understood? Okay, Dr.
Owens and Dr.
Collins, history and physical and pre-op him.
Stay objective.
He's just a patient.
It doesn't matter that there's a guard outside his room.
With a gun.
I wonder who he'll eat first, you or me? Very funny.
Badges.
You will not be eaten.
Hey, I'm Blake.
Nice to meet you.
I'm, uh one of your doctors.
Nice to meet you as well.
Oh, I got you.
You can't tell prisoners your real names.
Right? That's okay; don't feel bad.
I'll just call you Heathcliff and Catherine.
It says here that you are having chest pains, palpitations, and that you've collapsed several times.
Yeah.
They finally decided I wasn't faking.
And you've experienced irregular heartbeat since you were a kid? Yeah, but I haven't had that in a while.
Anything else we should know? Uh, I feel short of breath sometimes, get tired a lot, but that happens when you have a lot of down time and not much to do.
Okay, well, we're gonna work you up.
We'll do a transthoracic echocardiogram.
It's basically an ultrasound, and we'll figure out what's going on.
Okay, sounds good.
Thanks.
You guys are way nicer than the people in the prison infirmary.
Anyway, thanks.
What do you think he did wrong? Forgot to put a collar on his dog? Seriously.
I don't know.
Trying not to think about it.
Taking Dr.
Bandari's advice.
Hey.
Hey.
What's wrong? Nothing.
Are you sure? You seem a little upset.
Careful, Will.
You're walking into a trap.
Fine, I might be a little.
Ooh, stepped right into it.
I just thought, since it's my birthday, you could've gotten me a little something.
Even a card.
We need a chest X-ray, EKG, and a TTE on 541.
I'm sorry.
I feel terrible.
Another delivery, Dr.
Cassandra.
Thank you, Manuel.
Mmm.
I guess some of my friends remembered I hate you.
No, you don't.
No, I don't.
Exception to the no kissing at work thing? Do not look away.
It's like a disease.
You have to expose yourself to acquire immunity.
Want me to put these in the lounge? Thank you, that would be great.
Did you get taller? You look taller.
Hi.
Your daughter hear about that job? She got it.
Thanks for asking, Manuel.
And you.
I'm buying you a birthday shot tonight.
Can't tonight.
Why's that? Cable guy's coming.
At night? Yeah.
Well, it's 'cause I can't ever be there during the window that they give you, so I called, and I made a big stink and I talked to the manager, and then the manager's manager.
I think it was like, a supervising manager.
Stop talking.
So, tonight's definitely scheduled.
Well no problem.
We'll do it at your place.
I'll order the pizza and the beer.
You won't have to do a thing.
Yeah, right.
Help! My dad! Help! Help! Come, please! Manuel? Can you hear me? What's happening? Call in a code.
Okay, you tell them.
No way.
They like you.
Exactly.
Chickens.
All right, time for you to go.
Oh, Dr.
Barnes, we Now.
We've got ice cream in the cafeteria, Randy.
I want to stay with you, Dad.
Go get some ice cream.
Then you can come right back.
Treat him good or you do your own disimpactions.
You've got quite the fan club.
They're nice.
So listen, Doctor, what happened was I was tired, but I'm feeling better now.
Do I really have to stay? Let us check you out, okay? The thing is, I got to get back to work.
I don't want to miss work.
Manuel, what's going on? I don't have insurance.
With rent and all of the things that Randy needs Listen, when you're admitted on an emergency basis, we treat you whether or not you have insurance.
Is there anyone that we can call to look after Randy while we run the tests? My cousin Lina.
Do I really have to do this? You really do.
All right.
They're gonna work you up.
Uh, I'm gonna run down and see my mom.
If you need me, page me.
Hang on a second.
Sorry.
Micah, wait.
I forgot to tell you.
I heard you're having a party.
Happy birthday, by the way.
What? No.
It's not your birthday? Well, no, it is, but, um, I'm not really a birthday person, and I'm not having a party, no.
Your mom wants to try medical marijuana, but I think she's a little embarrassed.
When I was 14, my mom told me if I ever smoked marijuana, I wouldn't go through puberty.
Fourteen? There-thereabouts, yeah.
I think it's a good idea.
But she's staying overnight.
I've seen her drunk once in my life.
She sang "Downtown" by Petula Clark very badly.
And I'm not either.
A, uh, a birthday person.
Party could be fun, though.
Oh, I assure you it will not be fun.
Look, I got carried away.
I'm sorry.
It's just, I've known this girl for four years, right? She won't even tell me her birthday? I find it odd, and I want to make her squirm, you know? She makes up this crazy story about a cable company.
She doesn't even own a TV.
It's crazy.
I'm glad you find it funny.
You invited like, a million people.
Yeah, this way she can't get out of it.
You know, the whole thing snowballs.
Uh, like I said, I-I, I got carried away.
Oh, come on.
Remember the flower thing? The thing that I did, that was cute, right? That I forgot I had roses delivered.
You thought, "What a great guy".
You think you're so charming.
A little bit.
You started composing the perfect thank-you card.
Hmm? Catherine, Heathcliff, you got my back? We're here.
Okay, I'm just a little nervous.
Nothing to be nervous about.
It's just images.
Thanks.
Don't spread it around that I'm such a wimp, okay? No problem.
Come on, you're not a little bit curious? Of course I am, but Come on, what did he do? - Will! - You can just go inside if you don't want to know.
He raped four women.
Choked the last one with a plastic bag and left her for dead.
After you.
Plumbers have it easy.
That's what my ethics professor told us.
They go from pipe to pipe, toilet to toilet, fixing the problem.
You think they have a favorite toilet? Or one toilet that makes them really mad? No.
A toilet's a toilet.
Professor Hanson told us to truly achieve objectivity, we'd have to think of people like toilets.
He also told us that was impossible because we make judgments all the time.
Small ones and big ones Oh, you heard.
We need a parasternal long axis view.
I mean, I know I sound like one of those you know, stereotypes, but I didn't do it.
Don't pay attention.
There wasn't DNA.
And one of the cops, he admitted to tampering with evidence, and there was this guy, this felon, who looks like me-- Be quiet while we do this, all right? We need to see the base of the mitral leaflet on the systolic closing.
It's the chief.
Go.
There's a tech here, Marty's here.
No broken rules.
Bye, Catherine.
A toilet's a toilet.
Thank you for coming.
Of course.
Pardon me.
Steeling my courage, so to speak.
While we talk, I ask that you think of me, not as the Chief of Staff, but rather as the father of the girl you're dating.
What? It's all right.
Tyra told me.
That we were dating? That she's gay.
I assumed Right, um nope.
We're just friends, so I'm probably not the person to come talk to Oh, well as a friend, then.
Could you ask her to at least hear me out? How can I make things right if she won't speak to me? Stay out of it.
Absolutely.
I said I'd ask, I asked.
I have nothing to say to my father.
He's not sorry-- he just doesn't want me to tell my mom.
Absolutely.
I said I'd try, and I tried.
You'll never hear about it ever again.
Okay, you know what? Fine, you tell him I will never forgive him for being a philandering asshat.
She's definitely a little angry.
And, um, I-I think that it's one of those things where she's just not sure where exactly your apology's coming from.
Like, she's not sure if you're sorry about what happened, or if you're sorry she found out, because you're worried she might tell your wife.
Is she planning on telling her? Oh, I don't know.
I made a mistake.
I love my wife.
Tell her that.
Um I really don't think I should get involved.
I understand.
It's just that I'm not sure how to rectify this, if she won't speak to me.
You could maybe write a letter.
A letter.
Yes.
That'll be all, Dr.
Owens.
What's happening to my dad? Papi? He's having trouble breathing-- he's de-satting.
All of a sudden, he got short of breath.
Wake up, Daddy, wake up! A tension pneumothorax-- I need a 16-gauge needle.
- What's going on? - His lung's collapsing.
Papi?! Take him out? No.
Let's get you up; come on.
Papi! Papi! He's gonna need a chest X-ray and a chest tube setup.
You got it.
Great work.
Your lung collapsed.
We have to figure out why.
So, it's serious? Could be, yeah.
I need to tell you Is it safe for me to go somewhere else? A clinic somewhere cheaper? No, you're in no condition to leave the hospital.
We have to find out what's wrong so we can treat you.
Okay.
Just the X-rays, then.
Hey, you.
How was the delivery? Very cute baby-- objectively cute.
Cute's not objective.
Aw, trust me, I've seen hundreds.
So, I, uh, heard your mom was admitted.
Yeah, yeah, don't worry, she's okay, but nauseous.
So, she wants to try medical marijuana.
Should I, I don't know, say hi? Uh, no, maybe not this time.
You know, just because she's not feeling so good.
Yeah, no, got it.
it's no problem.
Oh, by the way, you look cute today.
Objectively.
Hey! Turns out our inmate has tricuspid regurgitation.
Needs a new valve.
Yeah, he's gonna get one from a pig-- kind of fitting.
A toilet's a toilet, remember? And the party canceled.
What? This way you don't have to move your cable guy.
Tell me who you told.
Well, I tweeted to everyone "Party at Dr.
Owens' house tonight.
" But don't worry, I didn't tell anyone it was your birthday.
You tweeted? Everyone? Nice work with Manuel.
- Oh, thank you.
- Most interns freak their first needle thoracostomy.
It's funny, I-I didn't even think about it.
I just went for it.
For Dr.
Emily Owens.
Birthday flowers.
It's your birthday? No.
Yes, it I'm gonna kill my mom.
No, they're from us guys down at the flower shop.
For saving Manuel.
That's why you're having a party.
Thank you.
I'm not having a party.
Oh, you don't want nurses to come? No, of course I do Great.
We're there.
Just double down on the pizza.
You'll pay for this.
You'll pay.
Uh, Dr.
Owens? Manuel's results.
Thank you.
Yeah.
The chest X-ray showed a mass on your lung, and by the looks of it, it could be malignant.
The good news is that we can remove it.
It's an invasive surgery, but it's the best option and we have wonderful doctors No.
I'm going to check out and find a less-expensive place.
One perfect gentleman coming up.
Hola, mijo.
Papi, can we go home now? Soon, mijo, soon.
Can we have a moment, please? Of course.
Hey, who does pro bono work around here? My dad has a discretionary fund.
Do you think Manuel has a shot? It's worth a try.
Uh, hello? Please? Please! It hurts.
Has he been doing that for awhile? I can't it hurts.
What's, uh, what's wrong? Ah, feeling a little dizzy nauseous.
My heart's like skipping beats again.
It's beating a little fast.
I'll just get an EKG to confirm the rhythm.
You're scared of me.
No, I'm not.
Yes, you are.
You have one of those faces-- you can see everything.
Emily.
My name-- how does he know my name? Happy birthday.
I wish that I could give you a present.
Trust me, Emily, you'd really like it.
What are you doing in here alone? Um, I Get out of here.
He needs an EKG I got it.
You're fine.
You're totally fine.
That's your warning, I'm coming in.
What were you thinking going in there alone? I'm fine.
Emily! Hey.
I have to go get Manuel's surgery approved.
Dr.
Owens how can I help you? I in no way want this to seem like a quid pro quo.
I want to be very clear on that, but I-I think that if a truly objectively bad person can have access to free health care, then a truly objectively good person should have access as well, and Manuel You want me to use my discretionary fund for his surgery.
Yes, I do.
All right.
It's just like that? Manuel brought me flowers the day my mother died.
I'm not made of stone.
But you're in charge of all the paperwork.
I want every "i" dotted, every "t" crossed.
Thank you.
Look, I'm dancing! I know, Mom.
I thought it was funny, too, when it came out five years ago.
All right, take it easy, Cheech.
Yeah.
Listen, I need to get a birthday present-- do you have any suggestions? Wine.
It's not personal enough.
Mm.
You want something personal.
Is this birthday person perhaps the mystery woman you've been seeing? No, she's not.
Why won't you introduce me? Because I don't need you high telling her how badly you need grandchildren.
I do need them.
Mom.
All my friends have them.
Right, okay, show me the dancing thing.
Oh, my God! I am happy to see you're enjoying your medication.
You have no idea.
Emily, you have to see this.
So, help Micah with his birthday present dilemma.
I don't want a birthday present.
It wasn't It's your birthday? Yeah.
Okay, just tell me already.
What? That you two are dating.
Enough with the secrets.
I just want to celebrate.
Mom, um, so, the woman I'm dating is named Kelly.
And this is exactly why I didn't bring her here because I knew you'd be out of your mind.
Thank God it was just Emily She didn't traumatize you, did she? Momentarily.
I've recovered.
I'll see you soon.
Enjoy.
You Dr.
Owens? Mm-hmm.
I'm Didi from Records.
Found one more on Manuel Cuestas.
What is it? I just carry it, I don't read it.
You ran his Social, that came up.
Happy birthday.
See you tonight.
He just conked out.
Is he a sound sleeper? Like a log.
Since he was a baby.
So, Manuel This is the photocopy of your license from when you were admitted.
And this is a copy of the license of the real Manuel Cuestas; the same Social Security number.
He died six years ago in this hospital after a car accident.
I thought this might happen.
That's why I wanted to go someplace else, you know? Me and Manuel, we both grew up in Esquintla.
After the accident, his wife, she gave to me his driver's license.
Randy was born here, so he is a citizen.
And after his mom died, I just didn't want to risk being deported.
I understand.
I do.
But I have to Hospital protocol.
I have to report any illegal activity.
And I No, no, stop.
You have to.
You have no choice.
But there's nothing that says I can't wait till after the surgery to report it.
Really.
I have mounds of paperwork.
I maybe haven't seen it yet.
Randy needs you healthy.
I know.
But I will be deported and I don't want to take him back with me to Guatemala.
Here, he will have a good education.
He will have opportunities that I never had.
My cousin Lina will take him.
About ready? Okay, good.
Now advance.
All right.
That's the left mainstem bronchus there.
Okay, good.
Now you're gonna have to turn your tip a little anterior.
There's the mass.
Yeah, that's a lot of blood.
Try saline lavage.
We need to get a better field of vision.
I don't like it.
That's too much blood.
This thing's eroding the bronchus.
Get Bandari in here.
Dr.
Collins, as you can see, the pledgited horizontal mattress sutures are placed circumferential around the tricuspid annulus proceeding in clockwise fashion, starting at the nine o'clock position.
Ready for the valve, Dr.
Collins.
Dr.
Bandari? Dr.
Barnes says he needs you in the OR.
They have an eroded bronchus, and he's only ever assisted in a lobectomy.
Well, he's about to take the lead.
I'm in the middle of a procedure.
The porcine valve, Dr.
Collins? They're working on Manuel.
This guy's a rapist; he doesn't deserve you.
I'm gonna need you to leave my OR, Dr.
Collins.
Why? Now.
Nurse, the valve, please.
Dr.
Bandari can't leave the OR.
Prep his chest.
We're cutting this thing out.
Incision is made over the fifth rib.
Finochietto retract.
Sutures have all been placed in the tricuspid annulus.
Retractor in place.
Can you locate the mass? Yep, got it.
Bringing sutures up through the valve.
Ligamentous attachments are dissected.
Sliding valve into place.
Transecting left, upper lobe bronchus.
The mass is out.
Ready to close.
We're closing.
Good work, Dr.
Barnes.
Really good work.
It's going to be okay, mijo.
Dr.
Owens? I wasn't asleep when you were talking to my dad.
Oh.
What's gonna happen now? I don't know.
But I do know that your dad wants what's best for you.
What's best for me is to be with him.
¿Quieres ver, tu papa? My dad left a letter in my locker.
There's no way I'm reading it.
Okay, just stay out of this.
You should.
Read it.
Are you taking his side? No, I'm not taking it.
You should be on my side.
I am definitely on your side, as a friend.
But I just had to tell a little boy that he might be separated from his father.
And he would do anything to change that.
You don't get to just cure good people.
I'm sorry.
You're right.
I lost my objectivity.
I don't care about your objectivity.
I care that you compromised mine.
Because surgery, successful surgery, happens in moments.
So whatever the hell goes on in your head, you keep it out of mine.
Why? You know, I've been thinking all day about how I'd answer that question.
Because I knew you'd ask it.
But the fact is, that's between your mother and me.
I'm truly sorry that I did what I did.
I'm truly sorry that I hurt you.
I want my marriage to survive this, but I'm going to have to wait to see what your mother wants to do once I tell her.
I don't want you in the middle.
And now I'm going to pose the same question to you: Why? Why did you feel you couldn't tell me that you're a lesbian? I'm not a close-minded person.
I know.
But I couldn't be 100% sure what you'd think, so I couldn't risk it.
'Cause if you didn't accept it, it would be awful.
'Cause it's you.
You've never been one to seek my approval.
What do you mean? I am a doctor like you.
I work in your hospital.
Of course I want your approval.
All I want is your approval.
Well, you have it.
You wanted to see me? Um, Manuel's medical records-- since you're my attending, I have to give you some information that I don't want to give you, but it's protocol.
Big hospital-- we lose records all the time.
There's protocol, and then there are judgment calls.
You took an oath to heal the sick.
We're doctors, not policemen.
So, I pissed Dr.
Bandari off pretty royally today.
Mm, her bark's worse than her bite.
Look at you.
All upbeat.
You seem like a girl that's ready to party.
After the cable guy comes, of course.
Okay, there is no cable guy.
But you have to cancel that party.
I can't.
Yes, you can.
Tweet it, Twitter it, or move it to a bar.
Can't.
It's like in a half an hour.
People are probably already on their way.
To my apartment? Yeah.
Everything's out! What's out? Your meth lab? No I know you're tired.
Who cares? We're always tired.
It'll be fun.
I guess I want to talk to you, but I hate how it makes me feel.
How does it make you feel? Jealous.
Irrational I feel jealous, and I hope it's irrational, and at the risk of seeming desperate and clingy, both of which I-- as a feminist-- despise, I need to ask if you have a thing for Emily Owens.
Have a Thing.
Yeah, I said thing.
I I mean, no, don't don't answer right now.
Because you're just gonna say no because that's what we do in these situations, we say no, and I really need you to think about it.
'Cause I don't want to be a fool.
It was actually, like, the best talk we've had in forever.
I'm so glad.
Happy Birthday, Emily! Oh.
Thanks, Bobby.
I told him not to tell my mom.
He feels bad.
He wants to stay in the marriage, so what good would it do her to know? Yeah.
But it does suck, knowing something that someone else doesn't.
And that must have really sucked for you, too.
So I'm you know, sorry I was so hard on you.
It's-it's okay.
Cool.
Grab me a beer? I'll get it.
Yeah.
Sorry, the, uh party is actually in the living room, and not, uh, in my bed.
No problem.
Happy birthday.
Thanks, Matt.
What you doing? Oh, just havin' a good time.
You know, I'm starting to think you were serious about this whole hating your birthday thing.
Yeah.
You think? What's the deal, anyway? And don't just say it's 'cause you're not a birthday person, 'cause quite frankly, I don't really know what that means.
It means I don't like being the center of attention.
That's not true.
You were plenty happy being the center of attention after Manuel's lung decompression.
You lapped that up like a puppy.
I didn't lap it up That's different.
It's that's medical, that's a skill.
There's no skill in birthdays.
Well, since when are birthdays about celebrating skills? It's about celebrating you.
Yeah sorry, just I'm not comfortable with that.
What's Nothing.
Oh, you play the, uh Cello.
Yeah.
This is great.
You any good? Oh In the world of the West Wilton County Orchestra, yeah, I was pretty good.
Yeah? How good? I don't want to boast, but when I was in ninth grade my teacher asked me to audition for first chair.
No kidding.
You get it? I didn't.
Audition I didn't audition.
You had to do a solo, in front of everybody, judging you I know it's totally lame and I really regret it.
Owens, I'm going to say something here, and I want you to take this with a grain of alcohol, 'cause I am a little drunk.
No one's judging your flaws except you.
You are so critical of yourself, Emily, all the time.
You know, sometimes I wish you could just see yourself the way I see you.
How do you see me? I see, um a girl that would kick ass in a cello recital.
Hey, there.
Hey, uh, sorry to interrupt.
We are actually going to have a musical interlude this evening.
Connie, can you bring that-that chair over here, please? Okay.
That's perfect.
Okay, ladies and gentlemen, uh that sounded a little formal, but anyway: Emily Owens.
Oh So this is Cello Suite No.
1 in G Major.
It's a piece I was supposed to play a long time ago, so there might be a few bobbles.
Okay.
Sorry.
It was a long time ago.
Thanks.
That was Yeah.
Stupid, silly well.
Something I needed to do.
Just like now I need a drink.
Badly.
Hey, I'm sorry if that was awkward uh, what my mom said? Oh, my gosh, no.
I knew she was out of her mind.
I didn't take her seriously.
Hey, I should probably I'm gonna skip the drink.
Um, it's getting late.
I'm just gonna head out.
What? What's wrong? Nothing.
Why are you leaving? Not a birthday person.
I just stopped by to say hi, so But have fun, okay? Okay.
That cello thing was amazing! It's hard trying not to judge yourself.
Because we are aware of every mistake.
We know our inner doubts, our hidden motivations, our failings.
So my wish for next year Happy birthday! Happy birthday.
is to be easier on myself.
Focus less on the bad and more on the good.
Really, just give myself a break.
Make a wish! I hope I get my wish.