The Knick (2014) s01e08 Episode Script
Working Late a Lot
Use it on me.
This is all I got here.
Please, please.
It feels so good when you do it.
Douse it.
Hurry.
My father was right.
The devil is in all of us.
My father preaches on weekends around the county.
He never met a person he didn't believe had a sinner inside them.
Oh, it must have been great fun growing up with that.
Guilty before you're even tried.
If he could see me here with you Men like that would rather be proven right than anything else on earth.
You know, my father is as devout as they come.
He prays, quotes scripture, never misses a Sunday.
He's also a drunkard.
A mean, violent son of a bitch.
After the war, he slaughtered Indians in the Colorado territory for a living.
He believes the former forgives the latter.
I believe the latter's all that matters.
That's the devil your father should be speaking of.
Sex, pleasure, immodesty us here now this is no sin.
Will you be there on Judgment Day to make my case, then? God's not watching.
He's too busy not saving sick children and letting people starve.
But if He does exist, He's the one that should be doing the atoning, not you.
Don't say things like that.
You're here with me now.
Do you want to be or not? I do.
Good.
Good morning, Nurse Elkins.
Good morning.
There's a new exhibit at the Metropolitan Museum that I think you might like.
I didn't know if you had any plans for this weekend, but I've really enjoyed our time together.
And I promise there'll be none of these lurid, naked French Polynesian women Nurse Elkins.
Dr.
Chickering.
- Good morning, Doctor.
- Doctor.
There'll be none of these lurid, naked French Polynesian women that they showed last year.
Strictly lily ponds and seascapes and the like.
I think the curators have duly learned their lessons.
Why is there no cocaine? Because of the war in the Philippines.
The guerillas have started attacking our cargo ships.
Some have been sunk, many have been not able to pass.
There are shortages of all sorts from chestnuts from Malay, teakwood from Siam, - coca leaves from Java.
- I'm not interested in chestnuts or Siamese teakwood.
We're a hospital.
We need cocaine to exist.
Well, then, our existence is in doubt because we used the last of it yesterday.
- Good morning.
- Good morning, Doctor.
Dr.
Thackery, a few final questions about our hernia paper presentation.
Fine, just bring it to my office after the board meeting.
Excuse me.
Excuse me.
That's unacceptable.
How can they refuse to pay? They're our insurer.
Don't they know how this will affect us financially? Our insurance is for flood damage and fire protection.
The riots would have had to fall into one of those categories or be an act of God.
And an act of godless doesn't qualify.
Then what are we paying $35 a year in insurance premiums for? Had there been a flood or a fire Seems we'd have been better off putting a torch to the place ourselves.
It certainly would make it easier to walk away from this wretched building.
I say we explore it.
Burn down the hospital? Is that legal? I was referring to a move uptown to a more hospitable location, Monsignor.
The riots were unfortunate, but They were a damned disgrace.
Attacked by the very people to whom we practically give our services away for free.
Is there any more proof needed that it's time to abandon this place? Perhaps if we better understood our losses, Mr.
Barrow.
Uh, yes.
Ahem.
I have compiled a partial list of what was damaged by the hooligans.
Seven lab kits, $4 each.
One upright cabinet, $2.
10.
One long cabinet, $5.
40.
One medium length cabinet And the list goes on and on.
What about the drugs? Drugs.
We're out of cocaine.
We're aware, Doctor.
It's a vital anesthetic.
Our patients need it.
Barrow? Short of launching a ship and stopping the attacks, there's little we can do.
There must be some supplies of it in the city.
I mean, it's your product.
You're only too happy to sell it to us.
Now we can't even get a lick of it.
There's just none to be had.
Someone must have some.
We supply all the hospitals, so I assure you, they're all out or critically low.
We can't make the drug without the leaves and we don't have the leaves.
We haven't made or shipped a bottle in weeks.
So there are no stores of it? - No supplies of any kind? - Whatever there was has been exhausted.
Nothing for the beverage makers, the elixir chemists, physicians or pharmacists.
For the foreseeable future, all institutions are going to have to work without cocaine.
- What is it? - That cow Mallon petitioned a judge to get herself removed from quarantine.
- He's gonna hear it.
- Why? The tests proved she was a carrier for typhoid.
She needs to be kept away.
Well, she got herself a lawyer to claim that she's been imprisoned without due process.
Hearing's on Tuesday.
Maybe we can get her to make some peach Melba for the judge.
See what happens.
Yes? I found them for you.
I have three, but I wanted to save one for us to share.
Come in.
Ah, good.
Dr.
Edwards.
Thanks for your help, Nurse Elkins.
Greatly appreciated.
Ahem.
Most of the changes I made are to the postoperative care section.
It's a good paper.
I only wish I were allowed in to hear it.
- Are you all right? - Fine.
What time is the conference? - At 3:00.
- Great.
I'll let you know how it goes.
She's beautiful.
And very healthy.
That combination can only mean she's of Irish stock.
And you think she's about six months? Give or take.
We named her Elisha.
And we've been going by her middle name Grace.
But you and Eleanor should make her your own.
I'm sure you have ones in mind.
No, Grace is perfect.
Let's hope Eleanor falls for her as quickly as I have.
Gentlemen, welcome to the 83rd meeting of the Metropolitan Surgical Society.
In past years, we have been privileged to learn of so many new, groundbreaking discoveries and I'm certain that this quarter's gathering will be no exception.
I want to remind you all that nominations for the Thessler honoree for breakthroughs in nephrology are due by the end of this month.
Our treasurer tells me that we have a surplus of $22.
07 in the general fund, most of which will be put toward our much needed chimney repair.
A reminder we will be sitting for the annual photograph directly following today's reception.
My coauthor Dr.
Edwards and I rebuild the canal's posterior wall using a three-layer repair approximating the medial tissues.
The transversalis fascia, the transversus abdominis muscle, and the internal oblique muscle to the edge of the inguinal ligament.
Once the wall is created, we suture the external oblique aponeurosis, thus recreating the canal and the external inguinal ring.
Now, failure rates for previous procedures ranged from 30 to 50%.
In our admittedly small sample, the Thackery-Edwards method has a reherniation rate of only 2%, and that is due to a patient not following proper postoperative instructions.
Our full paper will be available to you all and we believe you'll have great success with this new procedure, as it is probably the biggest advance in inguinal hernia surgery in the last 100 years.
Thank you, Dr.
Thackery.
Once again, you've come and impressed.
Would you be willing to take any questions? No.
Very well.
Our next presenter has recently arrived with great fanfare from the University of Chicago, lured here by none other than the esteemed Jacob Schiff of Kuhn & Loeb, to continue his groundbreaking surgical work at Mount Sinai Jews' Hospital, Dr.
Levi Zinberg.
I'm always nervous when it's mentioned that I was persuaded to come to New York by a banker.
Even my 10-year-old son asked if I was brought here to surgically remove people's wallets from their pockets.
Cutting people open is what we surgeons do.
But often, we haven't any idea if the site of the incision is even remotely correct.
The stone we are seeking may be nowhere near our first cut.
We might believe there is esophageal trouble, but until we lay the patient open and invade him, well, we have no idea if we are correct.
Pain and suffering caused by our indiscriminate scalpels is great indeed.
And I have endeavored to change that with this.
This is the Illuminating Intrascope.
Now, you may wonder why I didn't name my invention after myself as so many other surgeons do.
But the reality is that anything named after a Zinberg will always be at the end of the book.
With this device, I can make a small incision, place the Intrascope into the wound, turn on its built-in light source, and actually see inside the human body.
If the patient is sufficiently relaxed with opium, the Intrascope can be placed down a patient's throat to observe the esophagus or larynx.
Through an incision, it could be placed near a broken bone or in the urinary tract.
Or even to probe the intestines.
Gentlemen we are healers.
And the fewer incisions we make, the better our patients will heal.
With my Intrascope, we can stop being butchers and start truly being surgeons.
Dr.
Thackery.
I'm sorry I wasn't able to introduce myself before the proceedings began.
Oh, I think you introduced yourself quite well during them.
Thank you.
Levi Zinberg.
And you must either be Gallinger or Chickering.
By the age, I'd say Gallinger.
- Yes, Everett Gallinger.
- Dr.
Chickering Jr.
You've been doing your homework on the competition.
Nonsense.
We're all in this together.
Your team is well-known throughout the city.
I'm eager to read your hernia paper and put that discovery into practice.
And I'm eager to own one of your magic scopes, as I'm sure everyone here is.
Yes, well, it'll be a while before we reach that point.
But now that people know of its existence, I hope others will quickly surpass me.
I've never hoped that in my life.
I am presenting my new previa procedure at the next meeting.
I see you're also on the list of speakers.
May I ask what it is you'll be presenting? I'd rather not say.
It was nice meeting you all.
He'd rather not say.
- Can he do that? - He just did.
I suppose we're not as "all in this together" as he claims.
The arrogance is astonishing.
Rest assured that this will be the last time you were ever outshined by a Jew.
I must be going.
Sister Harriet is meeting me to bring home a little surprise to Eleanor.
We will drink a toast to your new family.
Cheers.
I'm starving.
- Is there no food again? - Through there.
- Oh, good.
- Scotch.
Thank you.
Dr.
Thackery.
Dr.
Chickering.
I was hoping for a word.
But by the looks of you, an examination might be more in order.
Are you unwell? Your color is terrible.
Just a bit too much work.
You wanted to speak about Bertie, I presume.
About Bertram Jr.
Yes.
You wish to commend me for my excellent mentorship of the young man and to show your gratitude for the influence I've had on him.
You have to let him go.
The boy is in your thrall.
It's no good for him.
- You need to send him off.
- To what? There's nothing out there that compares to what I'm giving him.
It's what you're taking from him that is at issue.
He's free to go anytime he wishes.
I hold no special power over him.
You hold enormous power.
He worships you.
- And that carnival you run.
- Circus.
Where his former surgical chief put a gun in his mouth and pulled the trigger.
It was his temple, actually.
It was over a procedure that your son helped me conquer.
A procedure that will save thousands of lives.
There are good surgeons everywhere.
Let him learn from one of them.
Good is not enough.
Good does not change the world.
But it can change his life.
He can get married, have a family and an excellent, lucrative practice away from the tumult of the Knick.
If the goal is money or ease, then, yes, I agree with you.
But I assumed our job was to heal and to save lives.
You are aware how false any sanctimony is coming from you, correct? Of course.
Perhaps with a word from both of us, we could place Bertram with someone like Dr.
Zinberg.
I knew you disliked me, but until now, I had no idea how much.
You would prefer your son to work at the Jewish hospital instead of with me? I would take him working for the czar over you.
Dr.
Chickering, your son is very talented.
I've invested a lot of time and energy into him, and I am telling you, he possesses real greatness.
Whatever you have invested in the boy, I can assure you, I have infinitely more.
Good afternoon.
Good evening, dear.
I didn't know you were bringing a guest.
I would have tidied up.
That's quite all right.
I won't be staying long.
This is Grace.
She's a healthy six-month-old baby abandoned at the Knick.
Oh, the poor thing.
Are you out for a walk with her? No, dear.
Sister Harriet is bringing Grace to us.
To us? Mmm.
Grace will be our daughter.
Oh, no.
I can't.
This could be exactly what we need.
I won't do that to Lillian.
Lillian is gone.
And we can't bring her back.
We must begin to look forward.
Isn't that right, Sister? God has placed this child here for a reason.
No, God has cursed us.
We have proven we are incapable of caring for a child.
And I won't be responsible for the death of another.
Please, take the baby out of here before we infect it.
- Eleanor.
- Go! Now! Of course.
I'm sorry, Mrs.
Gallinger.
Harriet.
- Give it to me.
- What are you doing? Give it to me.
Give it to me.
Come here.
Come here.
- Look at her.
- Get it away.
- Look at her! - I can't.
She needs a mother.
Stop, Everett.
Please.
Thank you, Jesse, but I'm gonna stay and work for several more hours.
Of course.
I'll be here waiting, then.
No, don't be silly.
It might be late.
You should go home and I'll find my own way back.
Find your own way, ma'am? I'll be fine here.
You take your time.
No, please.
I insist.
- You can head back.
- Yes, ma'am.
I'll see you at the house.
Diggs Hotel.
26th and 6th Avenue.
I'm not sure a woman like you should have any business in a place like that.
And I'm quite sure you have no business questioning me.
Now, please.
I said, you know, "You're gonna have to pay that rent for us.
" You know where she is? You seem to be working late a lot these past few weeks.
When I'm not out of the house for evenings at the opera, the ballet, and apparently, even a symposium at the Natural History Museum on dinosaur bones, which I'm sure would have been fascinating.
It's impossible to keep you at home at night at all anymore.
I just can't help myself.
I yearn for culture and thirst for entertainment.
You seem very passionate about it.
I am.
I hope I can continue to keep your curiosities satisfied.
Based on experience, I have no doubt you will.
Aren't you scared of what we're doing? I'm only scared we won't be able to stop.
Could you, uh, pass that vial, please? Are we gonna do it again? So soon? No, I have some work to do downstairs.
You're shaking.
Let me do it.
Thank you.
May I come in? I couldn't sleep.
Would you like me to make you a cup of tea? - John? - What? I just thought you might like a cup of tea.
No, thank you.
Will you please put that back? I think I'll go home.
Fine.
You're in early this morning.
I couldn't sleep.
I'm sorry to hear that.
What kept you up? Maybe I can help.
It's nothing you need to worry about.
You're right, I don't need to worry about it, but that doesn't prevent me from worrying about it, however.
Bertie, could you come and see me in my office? Of course.
- Morning, Nurse Elkins.
- Good morning, Doctor.
I'll write you a prescription for a large, hot cup of coffee.
You're very sweet.
You look worse this morning than you did at the conference.
I might have a touch of something.
I, uh I've reworked our previa papers.
I thought you were happy with it.
I was until I saw what Zinberg presented.
We can't be outdone by him.
We are at the forefront of discovery and technique.
Everything we do.
Everything, even the words we put on paper must be above and beyond expectation.
This is gonna make you, Bertie.
Now, your father will have a hard time arguing with that.
Yes, he will.
Is this the final draft before we print? Well, I don't see how we can make that any better.
I'm due back on the ward.
Just take your time.
Now, the Roosevelts' hospital's got their hands on some of the drug.
But the Hospital for the Ruptured and Crippled does, too, thanks to Mr.
Frick.
I wanted to give you the opportunity to do the same for us.
It seems I've had more than my fair share of opportunities recently.
The electrification, the new X-ray machine, covering the cost of cleaning up after the recent riots.
For which we are eternally grateful.
It's not writing a check that irks me.
It's the unceasing assumption that I always will.
I have done more than my fair share recently and you have come back to the well one too many times, Mr.
Barrow.
If I seem presumptuous, it is only because I have never met a man who's shown greater generosity than you have toward us.
And I will again, but today is not that day.
Those ships that are going down those are my ships.
That's my cargo.
Those are my customers who are demanding I pay them for their losses.
Two ships at the bottom of the sea already, another limping to the dock in Saipan.
I am supposed to be making money on this war, not losing it.
That's terrible, sir.
And I understand that the well is dry The well is far from dry.
It's simply you're the man with the bucket about whom I am least concerned right now.
It is only a few thousand dollars.
Then you should have no trouble finding it elsewhere.
Mr.
Tuttle, age 52.
No alcoholism or syphilis.
Swelling in his right jaw began approximately five weeks ago.
And just prior to that, Mr.
Tuttle had two teeth extracted.
And you believe they're linked.
It would appear so.
Swelling in the jaw has increased slowly and if you feel the location, the edges are quite hard.
Here's an X-ray of the jaw.
Conclusion? Actinomycosis.
Not uncommon in the wake of dental surgery.
- Treatment so far? - Iodide of potassium.
I think it's time we go in and remove the mass.
Will someone please shut that man up? You were saying? I believe it's too soon to operate.
I'd agree if there had been any improvements.
But quite to the contrary, Mr.
Tuttle's mass seems to have grown larger.
Well, let's prepare him for surgery.
Both of you assisting.
- Are you feeling all right? - I'm fine! Now if everyone would just stop asking me that and just take care of the people here who are actually ill.
I'm sorry about that, Mr.
Tuttle, and promise we will take excellent care of you.
He he's brusque, but he's a fine surgeon.
As long as it isn't you doing it, he can yell all he wants.
You do such a wonderful job aiding Sister Harriet with her work for the children of this blighted city.
But you can understand that the rest of our hospital is in need of the Lord's help as well.
Of course, Mr.
Barrow.
Our concern is always for everyone in need.
We treat so many of your people.
Italians.
Spanish.
Polacks.
And the Irish.
Regardless of the cost, we would never turn them away.
It's a godly thing you're doing.
I feel it every day, Archbishop.
But now we need supplies in a hurry and we just don't have the funds.
Well, with half million wretched immigrants coming into this city each year, the pinch is on everywhere.
It's a bind we understand completely.
I knew you would.
We fund so many Catholic hospitals of our own, do work in the poor neighborhoods with the immigrants, that the drain is enormous.
So much so that we really have nothing left to give.
I'm sorry, Mr.
Barrow, the Church can't spare another penny.
More tea? No.
Thank you.
Surely Dr.
Thackery or Dr.
Gallinger could have come to the hearing in your place.
I did many of the tests involved with Miss Mallon, so Thack thought well, Dr.
Thackery thought I should be the one to represent the hospital.
He's giving me more and more responsibility.
How is the previa paper coming? Still being worked on.
Bertram, I'd like you to reconsider my offer.
You can join my practice and I can guarantee you an excellent starting salary.
Father, I don't want to be disrespectful Well, if not me, then what about Dr.
Zinberg? He said he'd meet with you.
He's a fine man at a very good hospital.
Well, I already have all of that at the Knick.
And there's something else there that would make for a very rewarding life.
I'm in love with a girl there.
Really? - Nurse Lucy Elkins.
- A nurse.
Yes, we've been out several times.
She understands the life of a physician better than anyone.
In love.
Bertram, that is wonderful to hear.
I look forward to meeting the girl.
But if you wed, she won't be a nurse much longer, so you won't be able to use her as an excuse to keep you tethered to the Knick.
My offer will be difficult to refuse.
I should head inside now.
Miss Mallon has committed no crime.
She's been tried in no court and has had no due process under the law.
On the word of a few crusaders, she's been shut up in quarantine in a tiny cabin on North Brother Island against her will with the sick and the dying and the diseased, of which she's none of those things.
She wants her freedom.
And I'm here to make certain that she gets it.
Miss Mallon, would you take the stand, please? Place your hand here, please.
Do you swear to tell the truth, the whole truth, and nothing but the truth, so help you God? I do.
I'd toss out that Bible if I were you.
- Your Honor.
- Inspector Speight, please.
Miss Mallon, can you tell me how you came to be at this hearing today? I was kidnapped.
Not for ransom, but I was attacked.
Taken from me job and shut away by these awful people who think I'm some sort of monster.
A devil.
Those people.
Maligning me in the papers.
Calling me Typhoid Mary.
I didn't get no one sick 'cause I was never sick meself.
Me lawyer, Mr.
Bakerman, told me all about that habeas corpus you got in the law.
Produce a body, that says.
Well, here's me body.
And it's not got any disease.
I've never felt better.
Look at me.
I'm in the pink.
No cough, no cold, no fever.
Sick people get sick.
Do I look sick to you? Not a bit, Miss Mallon.
Hey, excuse me.
Hey.
Two of you are fired.
Well, which two? You for insubordination.
And you for being drunk on the job.
So don't expect to be paid for the week.
We run a respectable business.
Thank you very much.
Your Honor, simply because Miss Mallon isn't showing signs of the disease, it doesn't mean that she doesn't have it or that she can't give it to other people.
Her presence in all of the homes and businesses where the health inspector found out that she had worked produced at least 18 cases of typhoid fever and several verified deaths.
- That's hogwash.
- Miss Mallon.
Dr.
Chickering, how many other documented cases like Miss Mallon's with no symptoms? Admittedly, Miss Mallon is the first asymptomatic case of a disease we've ever found.
We were previously unaware that something like this could exist.
But, Your Honor, you must understand that even though Miss Mallon feels fine, she still carries the disease for others to catch.
Her bowel movements contained a pure culture of bacillus typhi.
She has the disease.
How many tests were done? She has had one a week for the last four months, so that's 16 in total.
You should ask him how many of those tests didn't have the disease in them.
Miss Mallon, please.
How many, Dr.
Chickering? There were five instances where the disease was not found in a sample.
Well, it makes one wonder if it is your test that might be ill and not Miss Mallon.
Though the fact that she has been on North Brother Island in close contact with so many other patients with typhoid fever and her health hasn't changed is more proof for the fact that she has the disease, but is impervious to its symptoms.
Perhaps it's proof of the opposite.
Perhaps Miss Mallon is as healthy as a horse and simply immune.
And perhaps if you had gone to medical school instead of law school, you would have some idea of what you were talking about.
You can step down now, Doctor.
It's times like this I wish I drank.
I'm sorry I lost my composure.
- It's not why we lost.
- The man is a fool.
It took 5,000 years for people to understand that germs can make a body sick.
It's gonna take some time for them to figure out that they can exist and not.
Sweet freedom! - Go fuck yourselves.
- Go wash yourself.
At least your fucking hand and your fetid ass when you take a shit so you don't kill someone with your shit-filled cooking! My apologies, Miss Robertson.
Don't apologize to me.
She's the filthy gash.
The gallery should take note that the abscess is located near the mental foramen.
I am going to curette the area and possibly remove some bone from the jaw.
There's quite a bit of pus in there.
This tissue is hard as gristle.
Perhaps it makes more sense to cut posteriorly No, this is fine.
It is critical not to puncture the mass during the removal.
If the if the what is it? - It's the ray fungus.
- The ray fungus is allowed to escape Thack, you all right? Do you need assistance? I, uh I have a bit of a headache.
Will you excuse me? Where are you going? Dowell's needle and silk.
Nurse Elkins.
Nurse Elkins, Dowell's needle and silk, please.
Quickly, thank you.
Hello? Eleanor? - What are you doing? - It's cold.
I'm knitting a hat for Lillian.
Grace hasn't been changed all day.
Who hasn't? Shh, shh, shh.
Do you have references? Oh, I certainly do, yes.
Is this your married name on your application? Yes, it's right there.
Corinne LaMere.
Well, as long as it's not "LaMary," you should be fine.
I don't understand, ma'am.
Oh, I'm sorry.
There was an outbreak, a woman named Mary.
- It was in all the papers.
- Oh, I don't read the papers, ma'am.
Do you think you'll be able to place me somewhere soon? I miss the kitchen and I could use a wage.
I'm sure I'll have no problem finding you something good.
I will add this to your bill.
If I'd have known you were gonna charge me, I would have gone back to sleep and let you choke.
I would not have died.
Nothing can kill me.
Of course not.
You're healing nicely.
I will not forget what you did for me.
You will always have a friend in Wu.
- I pack you a bowl, honey? - Three.
Price is a lot now.
Wu making everyone pay first now, even you.
No more opium from China.
- Lots of problems.
- But you have it? Yes, still have.
- I lie with you, too? - No.
I want to go out and stay out.
If I wake up, you shove this pipe in my mouth and you fire it up again and again and again.
You do want to wake up sometime, right, Johnny?
This is all I got here.
Please, please.
It feels so good when you do it.
Douse it.
Hurry.
My father was right.
The devil is in all of us.
My father preaches on weekends around the county.
He never met a person he didn't believe had a sinner inside them.
Oh, it must have been great fun growing up with that.
Guilty before you're even tried.
If he could see me here with you Men like that would rather be proven right than anything else on earth.
You know, my father is as devout as they come.
He prays, quotes scripture, never misses a Sunday.
He's also a drunkard.
A mean, violent son of a bitch.
After the war, he slaughtered Indians in the Colorado territory for a living.
He believes the former forgives the latter.
I believe the latter's all that matters.
That's the devil your father should be speaking of.
Sex, pleasure, immodesty us here now this is no sin.
Will you be there on Judgment Day to make my case, then? God's not watching.
He's too busy not saving sick children and letting people starve.
But if He does exist, He's the one that should be doing the atoning, not you.
Don't say things like that.
You're here with me now.
Do you want to be or not? I do.
Good.
Good morning, Nurse Elkins.
Good morning.
There's a new exhibit at the Metropolitan Museum that I think you might like.
I didn't know if you had any plans for this weekend, but I've really enjoyed our time together.
And I promise there'll be none of these lurid, naked French Polynesian women Nurse Elkins.
Dr.
Chickering.
- Good morning, Doctor.
- Doctor.
There'll be none of these lurid, naked French Polynesian women that they showed last year.
Strictly lily ponds and seascapes and the like.
I think the curators have duly learned their lessons.
Why is there no cocaine? Because of the war in the Philippines.
The guerillas have started attacking our cargo ships.
Some have been sunk, many have been not able to pass.
There are shortages of all sorts from chestnuts from Malay, teakwood from Siam, - coca leaves from Java.
- I'm not interested in chestnuts or Siamese teakwood.
We're a hospital.
We need cocaine to exist.
Well, then, our existence is in doubt because we used the last of it yesterday.
- Good morning.
- Good morning, Doctor.
Dr.
Thackery, a few final questions about our hernia paper presentation.
Fine, just bring it to my office after the board meeting.
Excuse me.
Excuse me.
That's unacceptable.
How can they refuse to pay? They're our insurer.
Don't they know how this will affect us financially? Our insurance is for flood damage and fire protection.
The riots would have had to fall into one of those categories or be an act of God.
And an act of godless doesn't qualify.
Then what are we paying $35 a year in insurance premiums for? Had there been a flood or a fire Seems we'd have been better off putting a torch to the place ourselves.
It certainly would make it easier to walk away from this wretched building.
I say we explore it.
Burn down the hospital? Is that legal? I was referring to a move uptown to a more hospitable location, Monsignor.
The riots were unfortunate, but They were a damned disgrace.
Attacked by the very people to whom we practically give our services away for free.
Is there any more proof needed that it's time to abandon this place? Perhaps if we better understood our losses, Mr.
Barrow.
Uh, yes.
Ahem.
I have compiled a partial list of what was damaged by the hooligans.
Seven lab kits, $4 each.
One upright cabinet, $2.
10.
One long cabinet, $5.
40.
One medium length cabinet And the list goes on and on.
What about the drugs? Drugs.
We're out of cocaine.
We're aware, Doctor.
It's a vital anesthetic.
Our patients need it.
Barrow? Short of launching a ship and stopping the attacks, there's little we can do.
There must be some supplies of it in the city.
I mean, it's your product.
You're only too happy to sell it to us.
Now we can't even get a lick of it.
There's just none to be had.
Someone must have some.
We supply all the hospitals, so I assure you, they're all out or critically low.
We can't make the drug without the leaves and we don't have the leaves.
We haven't made or shipped a bottle in weeks.
So there are no stores of it? - No supplies of any kind? - Whatever there was has been exhausted.
Nothing for the beverage makers, the elixir chemists, physicians or pharmacists.
For the foreseeable future, all institutions are going to have to work without cocaine.
- What is it? - That cow Mallon petitioned a judge to get herself removed from quarantine.
- He's gonna hear it.
- Why? The tests proved she was a carrier for typhoid.
She needs to be kept away.
Well, she got herself a lawyer to claim that she's been imprisoned without due process.
Hearing's on Tuesday.
Maybe we can get her to make some peach Melba for the judge.
See what happens.
Yes? I found them for you.
I have three, but I wanted to save one for us to share.
Come in.
Ah, good.
Dr.
Edwards.
Thanks for your help, Nurse Elkins.
Greatly appreciated.
Ahem.
Most of the changes I made are to the postoperative care section.
It's a good paper.
I only wish I were allowed in to hear it.
- Are you all right? - Fine.
What time is the conference? - At 3:00.
- Great.
I'll let you know how it goes.
She's beautiful.
And very healthy.
That combination can only mean she's of Irish stock.
And you think she's about six months? Give or take.
We named her Elisha.
And we've been going by her middle name Grace.
But you and Eleanor should make her your own.
I'm sure you have ones in mind.
No, Grace is perfect.
Let's hope Eleanor falls for her as quickly as I have.
Gentlemen, welcome to the 83rd meeting of the Metropolitan Surgical Society.
In past years, we have been privileged to learn of so many new, groundbreaking discoveries and I'm certain that this quarter's gathering will be no exception.
I want to remind you all that nominations for the Thessler honoree for breakthroughs in nephrology are due by the end of this month.
Our treasurer tells me that we have a surplus of $22.
07 in the general fund, most of which will be put toward our much needed chimney repair.
A reminder we will be sitting for the annual photograph directly following today's reception.
My coauthor Dr.
Edwards and I rebuild the canal's posterior wall using a three-layer repair approximating the medial tissues.
The transversalis fascia, the transversus abdominis muscle, and the internal oblique muscle to the edge of the inguinal ligament.
Once the wall is created, we suture the external oblique aponeurosis, thus recreating the canal and the external inguinal ring.
Now, failure rates for previous procedures ranged from 30 to 50%.
In our admittedly small sample, the Thackery-Edwards method has a reherniation rate of only 2%, and that is due to a patient not following proper postoperative instructions.
Our full paper will be available to you all and we believe you'll have great success with this new procedure, as it is probably the biggest advance in inguinal hernia surgery in the last 100 years.
Thank you, Dr.
Thackery.
Once again, you've come and impressed.
Would you be willing to take any questions? No.
Very well.
Our next presenter has recently arrived with great fanfare from the University of Chicago, lured here by none other than the esteemed Jacob Schiff of Kuhn & Loeb, to continue his groundbreaking surgical work at Mount Sinai Jews' Hospital, Dr.
Levi Zinberg.
I'm always nervous when it's mentioned that I was persuaded to come to New York by a banker.
Even my 10-year-old son asked if I was brought here to surgically remove people's wallets from their pockets.
Cutting people open is what we surgeons do.
But often, we haven't any idea if the site of the incision is even remotely correct.
The stone we are seeking may be nowhere near our first cut.
We might believe there is esophageal trouble, but until we lay the patient open and invade him, well, we have no idea if we are correct.
Pain and suffering caused by our indiscriminate scalpels is great indeed.
And I have endeavored to change that with this.
This is the Illuminating Intrascope.
Now, you may wonder why I didn't name my invention after myself as so many other surgeons do.
But the reality is that anything named after a Zinberg will always be at the end of the book.
With this device, I can make a small incision, place the Intrascope into the wound, turn on its built-in light source, and actually see inside the human body.
If the patient is sufficiently relaxed with opium, the Intrascope can be placed down a patient's throat to observe the esophagus or larynx.
Through an incision, it could be placed near a broken bone or in the urinary tract.
Or even to probe the intestines.
Gentlemen we are healers.
And the fewer incisions we make, the better our patients will heal.
With my Intrascope, we can stop being butchers and start truly being surgeons.
Dr.
Thackery.
I'm sorry I wasn't able to introduce myself before the proceedings began.
Oh, I think you introduced yourself quite well during them.
Thank you.
Levi Zinberg.
And you must either be Gallinger or Chickering.
By the age, I'd say Gallinger.
- Yes, Everett Gallinger.
- Dr.
Chickering Jr.
You've been doing your homework on the competition.
Nonsense.
We're all in this together.
Your team is well-known throughout the city.
I'm eager to read your hernia paper and put that discovery into practice.
And I'm eager to own one of your magic scopes, as I'm sure everyone here is.
Yes, well, it'll be a while before we reach that point.
But now that people know of its existence, I hope others will quickly surpass me.
I've never hoped that in my life.
I am presenting my new previa procedure at the next meeting.
I see you're also on the list of speakers.
May I ask what it is you'll be presenting? I'd rather not say.
It was nice meeting you all.
He'd rather not say.
- Can he do that? - He just did.
I suppose we're not as "all in this together" as he claims.
The arrogance is astonishing.
Rest assured that this will be the last time you were ever outshined by a Jew.
I must be going.
Sister Harriet is meeting me to bring home a little surprise to Eleanor.
We will drink a toast to your new family.
Cheers.
I'm starving.
- Is there no food again? - Through there.
- Oh, good.
- Scotch.
Thank you.
Dr.
Thackery.
Dr.
Chickering.
I was hoping for a word.
But by the looks of you, an examination might be more in order.
Are you unwell? Your color is terrible.
Just a bit too much work.
You wanted to speak about Bertie, I presume.
About Bertram Jr.
Yes.
You wish to commend me for my excellent mentorship of the young man and to show your gratitude for the influence I've had on him.
You have to let him go.
The boy is in your thrall.
It's no good for him.
- You need to send him off.
- To what? There's nothing out there that compares to what I'm giving him.
It's what you're taking from him that is at issue.
He's free to go anytime he wishes.
I hold no special power over him.
You hold enormous power.
He worships you.
- And that carnival you run.
- Circus.
Where his former surgical chief put a gun in his mouth and pulled the trigger.
It was his temple, actually.
It was over a procedure that your son helped me conquer.
A procedure that will save thousands of lives.
There are good surgeons everywhere.
Let him learn from one of them.
Good is not enough.
Good does not change the world.
But it can change his life.
He can get married, have a family and an excellent, lucrative practice away from the tumult of the Knick.
If the goal is money or ease, then, yes, I agree with you.
But I assumed our job was to heal and to save lives.
You are aware how false any sanctimony is coming from you, correct? Of course.
Perhaps with a word from both of us, we could place Bertram with someone like Dr.
Zinberg.
I knew you disliked me, but until now, I had no idea how much.
You would prefer your son to work at the Jewish hospital instead of with me? I would take him working for the czar over you.
Dr.
Chickering, your son is very talented.
I've invested a lot of time and energy into him, and I am telling you, he possesses real greatness.
Whatever you have invested in the boy, I can assure you, I have infinitely more.
Good afternoon.
Good evening, dear.
I didn't know you were bringing a guest.
I would have tidied up.
That's quite all right.
I won't be staying long.
This is Grace.
She's a healthy six-month-old baby abandoned at the Knick.
Oh, the poor thing.
Are you out for a walk with her? No, dear.
Sister Harriet is bringing Grace to us.
To us? Mmm.
Grace will be our daughter.
Oh, no.
I can't.
This could be exactly what we need.
I won't do that to Lillian.
Lillian is gone.
And we can't bring her back.
We must begin to look forward.
Isn't that right, Sister? God has placed this child here for a reason.
No, God has cursed us.
We have proven we are incapable of caring for a child.
And I won't be responsible for the death of another.
Please, take the baby out of here before we infect it.
- Eleanor.
- Go! Now! Of course.
I'm sorry, Mrs.
Gallinger.
Harriet.
- Give it to me.
- What are you doing? Give it to me.
Give it to me.
Come here.
Come here.
- Look at her.
- Get it away.
- Look at her! - I can't.
She needs a mother.
Stop, Everett.
Please.
Thank you, Jesse, but I'm gonna stay and work for several more hours.
Of course.
I'll be here waiting, then.
No, don't be silly.
It might be late.
You should go home and I'll find my own way back.
Find your own way, ma'am? I'll be fine here.
You take your time.
No, please.
I insist.
- You can head back.
- Yes, ma'am.
I'll see you at the house.
Diggs Hotel.
26th and 6th Avenue.
I'm not sure a woman like you should have any business in a place like that.
And I'm quite sure you have no business questioning me.
Now, please.
I said, you know, "You're gonna have to pay that rent for us.
" You know where she is? You seem to be working late a lot these past few weeks.
When I'm not out of the house for evenings at the opera, the ballet, and apparently, even a symposium at the Natural History Museum on dinosaur bones, which I'm sure would have been fascinating.
It's impossible to keep you at home at night at all anymore.
I just can't help myself.
I yearn for culture and thirst for entertainment.
You seem very passionate about it.
I am.
I hope I can continue to keep your curiosities satisfied.
Based on experience, I have no doubt you will.
Aren't you scared of what we're doing? I'm only scared we won't be able to stop.
Could you, uh, pass that vial, please? Are we gonna do it again? So soon? No, I have some work to do downstairs.
You're shaking.
Let me do it.
Thank you.
May I come in? I couldn't sleep.
Would you like me to make you a cup of tea? - John? - What? I just thought you might like a cup of tea.
No, thank you.
Will you please put that back? I think I'll go home.
Fine.
You're in early this morning.
I couldn't sleep.
I'm sorry to hear that.
What kept you up? Maybe I can help.
It's nothing you need to worry about.
You're right, I don't need to worry about it, but that doesn't prevent me from worrying about it, however.
Bertie, could you come and see me in my office? Of course.
- Morning, Nurse Elkins.
- Good morning, Doctor.
I'll write you a prescription for a large, hot cup of coffee.
You're very sweet.
You look worse this morning than you did at the conference.
I might have a touch of something.
I, uh I've reworked our previa papers.
I thought you were happy with it.
I was until I saw what Zinberg presented.
We can't be outdone by him.
We are at the forefront of discovery and technique.
Everything we do.
Everything, even the words we put on paper must be above and beyond expectation.
This is gonna make you, Bertie.
Now, your father will have a hard time arguing with that.
Yes, he will.
Is this the final draft before we print? Well, I don't see how we can make that any better.
I'm due back on the ward.
Just take your time.
Now, the Roosevelts' hospital's got their hands on some of the drug.
But the Hospital for the Ruptured and Crippled does, too, thanks to Mr.
Frick.
I wanted to give you the opportunity to do the same for us.
It seems I've had more than my fair share of opportunities recently.
The electrification, the new X-ray machine, covering the cost of cleaning up after the recent riots.
For which we are eternally grateful.
It's not writing a check that irks me.
It's the unceasing assumption that I always will.
I have done more than my fair share recently and you have come back to the well one too many times, Mr.
Barrow.
If I seem presumptuous, it is only because I have never met a man who's shown greater generosity than you have toward us.
And I will again, but today is not that day.
Those ships that are going down those are my ships.
That's my cargo.
Those are my customers who are demanding I pay them for their losses.
Two ships at the bottom of the sea already, another limping to the dock in Saipan.
I am supposed to be making money on this war, not losing it.
That's terrible, sir.
And I understand that the well is dry The well is far from dry.
It's simply you're the man with the bucket about whom I am least concerned right now.
It is only a few thousand dollars.
Then you should have no trouble finding it elsewhere.
Mr.
Tuttle, age 52.
No alcoholism or syphilis.
Swelling in his right jaw began approximately five weeks ago.
And just prior to that, Mr.
Tuttle had two teeth extracted.
And you believe they're linked.
It would appear so.
Swelling in the jaw has increased slowly and if you feel the location, the edges are quite hard.
Here's an X-ray of the jaw.
Conclusion? Actinomycosis.
Not uncommon in the wake of dental surgery.
- Treatment so far? - Iodide of potassium.
I think it's time we go in and remove the mass.
Will someone please shut that man up? You were saying? I believe it's too soon to operate.
I'd agree if there had been any improvements.
But quite to the contrary, Mr.
Tuttle's mass seems to have grown larger.
Well, let's prepare him for surgery.
Both of you assisting.
- Are you feeling all right? - I'm fine! Now if everyone would just stop asking me that and just take care of the people here who are actually ill.
I'm sorry about that, Mr.
Tuttle, and promise we will take excellent care of you.
He he's brusque, but he's a fine surgeon.
As long as it isn't you doing it, he can yell all he wants.
You do such a wonderful job aiding Sister Harriet with her work for the children of this blighted city.
But you can understand that the rest of our hospital is in need of the Lord's help as well.
Of course, Mr.
Barrow.
Our concern is always for everyone in need.
We treat so many of your people.
Italians.
Spanish.
Polacks.
And the Irish.
Regardless of the cost, we would never turn them away.
It's a godly thing you're doing.
I feel it every day, Archbishop.
But now we need supplies in a hurry and we just don't have the funds.
Well, with half million wretched immigrants coming into this city each year, the pinch is on everywhere.
It's a bind we understand completely.
I knew you would.
We fund so many Catholic hospitals of our own, do work in the poor neighborhoods with the immigrants, that the drain is enormous.
So much so that we really have nothing left to give.
I'm sorry, Mr.
Barrow, the Church can't spare another penny.
More tea? No.
Thank you.
Surely Dr.
Thackery or Dr.
Gallinger could have come to the hearing in your place.
I did many of the tests involved with Miss Mallon, so Thack thought well, Dr.
Thackery thought I should be the one to represent the hospital.
He's giving me more and more responsibility.
How is the previa paper coming? Still being worked on.
Bertram, I'd like you to reconsider my offer.
You can join my practice and I can guarantee you an excellent starting salary.
Father, I don't want to be disrespectful Well, if not me, then what about Dr.
Zinberg? He said he'd meet with you.
He's a fine man at a very good hospital.
Well, I already have all of that at the Knick.
And there's something else there that would make for a very rewarding life.
I'm in love with a girl there.
Really? - Nurse Lucy Elkins.
- A nurse.
Yes, we've been out several times.
She understands the life of a physician better than anyone.
In love.
Bertram, that is wonderful to hear.
I look forward to meeting the girl.
But if you wed, she won't be a nurse much longer, so you won't be able to use her as an excuse to keep you tethered to the Knick.
My offer will be difficult to refuse.
I should head inside now.
Miss Mallon has committed no crime.
She's been tried in no court and has had no due process under the law.
On the word of a few crusaders, she's been shut up in quarantine in a tiny cabin on North Brother Island against her will with the sick and the dying and the diseased, of which she's none of those things.
She wants her freedom.
And I'm here to make certain that she gets it.
Miss Mallon, would you take the stand, please? Place your hand here, please.
Do you swear to tell the truth, the whole truth, and nothing but the truth, so help you God? I do.
I'd toss out that Bible if I were you.
- Your Honor.
- Inspector Speight, please.
Miss Mallon, can you tell me how you came to be at this hearing today? I was kidnapped.
Not for ransom, but I was attacked.
Taken from me job and shut away by these awful people who think I'm some sort of monster.
A devil.
Those people.
Maligning me in the papers.
Calling me Typhoid Mary.
I didn't get no one sick 'cause I was never sick meself.
Me lawyer, Mr.
Bakerman, told me all about that habeas corpus you got in the law.
Produce a body, that says.
Well, here's me body.
And it's not got any disease.
I've never felt better.
Look at me.
I'm in the pink.
No cough, no cold, no fever.
Sick people get sick.
Do I look sick to you? Not a bit, Miss Mallon.
Hey, excuse me.
Hey.
Two of you are fired.
Well, which two? You for insubordination.
And you for being drunk on the job.
So don't expect to be paid for the week.
We run a respectable business.
Thank you very much.
Your Honor, simply because Miss Mallon isn't showing signs of the disease, it doesn't mean that she doesn't have it or that she can't give it to other people.
Her presence in all of the homes and businesses where the health inspector found out that she had worked produced at least 18 cases of typhoid fever and several verified deaths.
- That's hogwash.
- Miss Mallon.
Dr.
Chickering, how many other documented cases like Miss Mallon's with no symptoms? Admittedly, Miss Mallon is the first asymptomatic case of a disease we've ever found.
We were previously unaware that something like this could exist.
But, Your Honor, you must understand that even though Miss Mallon feels fine, she still carries the disease for others to catch.
Her bowel movements contained a pure culture of bacillus typhi.
She has the disease.
How many tests were done? She has had one a week for the last four months, so that's 16 in total.
You should ask him how many of those tests didn't have the disease in them.
Miss Mallon, please.
How many, Dr.
Chickering? There were five instances where the disease was not found in a sample.
Well, it makes one wonder if it is your test that might be ill and not Miss Mallon.
Though the fact that she has been on North Brother Island in close contact with so many other patients with typhoid fever and her health hasn't changed is more proof for the fact that she has the disease, but is impervious to its symptoms.
Perhaps it's proof of the opposite.
Perhaps Miss Mallon is as healthy as a horse and simply immune.
And perhaps if you had gone to medical school instead of law school, you would have some idea of what you were talking about.
You can step down now, Doctor.
It's times like this I wish I drank.
I'm sorry I lost my composure.
- It's not why we lost.
- The man is a fool.
It took 5,000 years for people to understand that germs can make a body sick.
It's gonna take some time for them to figure out that they can exist and not.
Sweet freedom! - Go fuck yourselves.
- Go wash yourself.
At least your fucking hand and your fetid ass when you take a shit so you don't kill someone with your shit-filled cooking! My apologies, Miss Robertson.
Don't apologize to me.
She's the filthy gash.
The gallery should take note that the abscess is located near the mental foramen.
I am going to curette the area and possibly remove some bone from the jaw.
There's quite a bit of pus in there.
This tissue is hard as gristle.
Perhaps it makes more sense to cut posteriorly No, this is fine.
It is critical not to puncture the mass during the removal.
If the if the what is it? - It's the ray fungus.
- The ray fungus is allowed to escape Thack, you all right? Do you need assistance? I, uh I have a bit of a headache.
Will you excuse me? Where are you going? Dowell's needle and silk.
Nurse Elkins.
Nurse Elkins, Dowell's needle and silk, please.
Quickly, thank you.
Hello? Eleanor? - What are you doing? - It's cold.
I'm knitting a hat for Lillian.
Grace hasn't been changed all day.
Who hasn't? Shh, shh, shh.
Do you have references? Oh, I certainly do, yes.
Is this your married name on your application? Yes, it's right there.
Corinne LaMere.
Well, as long as it's not "LaMary," you should be fine.
I don't understand, ma'am.
Oh, I'm sorry.
There was an outbreak, a woman named Mary.
- It was in all the papers.
- Oh, I don't read the papers, ma'am.
Do you think you'll be able to place me somewhere soon? I miss the kitchen and I could use a wage.
I'm sure I'll have no problem finding you something good.
I will add this to your bill.
If I'd have known you were gonna charge me, I would have gone back to sleep and let you choke.
I would not have died.
Nothing can kill me.
Of course not.
You're healing nicely.
I will not forget what you did for me.
You will always have a friend in Wu.
- I pack you a bowl, honey? - Three.
Price is a lot now.
Wu making everyone pay first now, even you.
No more opium from China.
- Lots of problems.
- But you have it? Yes, still have.
- I lie with you, too? - No.
I want to go out and stay out.
If I wake up, you shove this pipe in my mouth and you fire it up again and again and again.
You do want to wake up sometime, right, Johnny?