Emily Owens M.D. (2012) s01e10 Episode Script
Emily and... the Social Experiment
1 Hey.
Hi.
It's about Cassandra.
Just wanted to make sure you'd be okay if I asked her out.
Yeah, totally.
I need to ask if you have a thing for Emily Owens.
My brother has cystic fibrosis-- he was sick his whole life.
Decide if you want to kiss him.
Pea peanuts.
Are you allergic? As soon as I get out of here, how about we just brush your teeth, stay away from nuts? - I'm good to go.
- You gonna see that Scott guy again? He didn't seem like your type.
He's acting jealous.
Mr.
Peanut, 6:00.
Hey.
Hey.
Can I talk to you? Uh-huh, sure.
So, listen, uh, I really screwed up our date.
I don't know if it was the beer or the peanuts.
Or maybe it was the fact that I liked you.
I'm such a goofus when I like someone.
You weren't a goofus.
I We just don't have that much in common.
I don't even snowboard.
You could learn.
Dude, take a hint-- she's not into you.
Come on, Owens.
I was okay.
No, you're too nice.
You turn the guy down, you have to be firm.
Otherwise, he's just gonna convince you to go out with him again.
Would that be the worst thing in the world? Are you serious? He's not right for you.
Will, this is weird, but you're acting, um a little jealous.
Yeah, okay, yeah, maybe I am.
It's crazy-- I don't know what's going on, but seeing you with that guy made me realize you're the one that I want.
The ability to read men.
Some of us have it; some of us don't.
So, yes, it seemed like Will was jealous the other night, but I've been very, very wrong before.
What kind of experiment? A social experiment.
I swear, Tyra, Will seemed jealous.
Of that snowboarding goofus? Mm-hmm.
And if he was, then that means that I haven't been just imagining things all this time, that there is something between us deep down.
I just I have to prove my theory.
I have to see if it happens again.
Get the results to repeat.
Exactly.
I'm going to flirt with someone else, see how he reacts.
That actually sounds reasonable.
Hey.
Hey.
That esophagectomy yesterday was really cool.
Right? You know, I never thought we'd have to cut out so much proximal stomach.
Hey.
Hey.
Hey, do you know anything about Dr.
Siddah? Know, like He's kind of cute.
You like him? I mean I mean, the one thing that I know about him is that he's gay.
So Oh.
Cool-- that's good to know.
Please, universe, if you give me this, I'll volunteer more.
I mean, I'll start volunteering.
And I'll never kill spiders.
I'll bring them outside.
Oh, my God, I did it.
This is huge.
Congratulations, Cassandra.
No kidding-- way to go, Kopelson.
Let's celebrate tonight.
What should we do? Anyone coming on rounds? You owe me 50 bucks.
What are you doing here? Hey, buddy.
When'd you get back? A couple days ago.
So, you got the money you owe me? Yeah, right.
Come on.
Kansas won, remember? You picked Kentucky.
Okay, you disappear for a year, you forfeit your money.
I didn't disappear.
It was a two-week suspension.
You were gone a year.
I want to come back.
Do you think Bandari would go for it? It's not up to Bandari; it's up to the chief.
I got a meeting with him in a couple of minutes.
You know what, you can just write me a check if you want.
Oh, you're so kind.
You're not getting your money.
Henry, 24, past history significant for cystic fibrosis, multiple admissions for pneumonia and recurrent dyspnea.
How did he present, Dr.
Kopelson? Um, with severe tachypnea, wheezing, rales and hypoexemia to 84%.
Bilobar consolidations with sputum culture positive for klebsiella.
You okay? Yeah.
We'll continue piperacillin and tazobactam 4.
5 grams QID with respiratory therapy and albuterol nebs.
And order him some new lungs, all right? He's been on the waiting list too long.
It's very frustrating.
Trust me, I get it.
I don't like that Pa02-- he's decompensating.
Increase his oxygen and put that vest on him.
We're gonna help loosen that up for you, okay? Okay-- the fun part.
I don't know how any of this is fun.
It's been this bad before.
He always pulls through.
Yeah.
You know what they said to us when he was born? Six months.
Dad, really.
You can imagine, terrible, hearing something like that.
But that was before we knew Henry.
This kid is a fighter.
Even as a baby, he was a fighter.
Okay, okay, that's enough.
See? Fun part it's fun.
Stop it, Pits.
What? You know what.
So, does this mean you're back? Who's that? I don't know.
Hmm, he's trouble.
Trust me, I know men.
What? I know the type.
Come on, where's the faith? You should hope he comes back.
Bandari hates him more than she hates you.
She doesn't hate me.
She does she hate me? 'Cause I thought we were more, like, grudging respect.
Dr.
Aquino, two interns-- Dr.
Kopelson and the much beloved Dr.
Owens.
Dr.
Aquino and I were interns together.
Why does Bandari hate you? Oh, they had this epic fight in the halls.
I mean, I have never seen anyone ever talk to Well, it was a while ago.
See? Trouble.
Dr.
Owens, follow me.
Dr.
Mandevall's sick.
Coletti's still in Barbados.
I'm assigning out their nothing cases.
Hi, Mrs.
Duroux.
I'm Dr.
Owens.
What's going on? Oh, migraines, and my legs are so swollen.
Yeah, I see that.
Happens sometimes with diabetes.
Um, we're gonna start you on this sequential compression device.
Get the blood down to your feet.
Thank you, sweetheart.
You got something on your mind.
Problem you need to solve.
I'm a psychic.
And since you're taking care of me, it's on the house.
No, it's okay.
You don't believe in psychics.
It's just I'm a scientist, I'm into, you know, provable experiments.
Your romance house is about to be inhabited.
I mean, what does that even mean? My romance house is about to be inhabited.
What's a romance house? Nothing.
I'm treating this psychic.
She said a silly thing to me.
Oh, that you'll meet someone? I hope so.
Will and I were just talking about how much we want you to.
Okay, maybe Will was not jealous.
Roll over, GCS 3 on scene-- I need people now! Get me an airway, someone get me an airway.
And I want a FAST exam.
I tried to stop the bleeding, - but it just kept coming.
- Get her out of there.
Stop-- he's my husband! Free fluid and some in the right paracolic gutter.
I can't get a pulse on him.
We need a bicarb now.
Start compressions.
He's losing too much blood.
Two liters going in wide open.
Epi and bicarb in.
More compressions.
V-tach.
Clear.
We got a pressure of 80/50.
He's coming back.
Get him started on norepinephrine.
We need four units wide open-- got to get him straight to the scanner and then to the O.
R.
for an exlap.
Sir? He's going down again, and heart rate's dropping.
Compressions! Start compressions! Get me 50 of mannitol, one mig of atropine and an amp of epi.
I can't get a pulse.
Compress harder.
Mannitol, 50 grams.
Epi and atropine in.
Stop compressions.
He's not coming back.
Asystole.
Time of death-- 10:16.
Who wants to talk to her? Lisa.
I am so sorry for your loss.
Um, this may not feel like the right time, but, um, Mark was an organ donor Stop.
Not now.
I can't think about this now.
I know it's difficult, but, um, the decision has to be made quickly because there's just a very short window in the organ survival.
It's not organs; it's my husband.
I know but Mark signed up to donate, so it must have been important to him.
Dr.
Owens? Thank you.
We found lungs.
What? Oh Thank you.
The mind can play tricks, construct hope out of thin air.
So, Hawaii, huh? Hey.
Cheers.
Kept telling myself, if I got new lungs, I'd learn how to surf.
So I'm gonna learn how to surf.
Enjoy your party.
It's the law of averages, really.
With so many thoughts, something that you wanted or feared or predicted is bound to happen at some point.
How do you know that? You paged me? Yes, sorry.
She had some blood in her cath.
Probably a urinary tract infection.
Yeah.
Let's start her on antibiotics.
You got it.
Bye, Gail.
I'll come back later.
Bye.
Looks like the swelling's gone down.
Let's just see what's going on with my health.
Do you have a "diuretics put stress on my bladder" card? So did you think about what I said? About your romance house? I did.
And, um I appreciate it.
But it doesn't ring true? It's not that.
It's just, uh it felt a little general.
I'm sorry, Oh, I didn't mean to offend you.
No.
Mrs.
Duroux, are you okay? No.
What is it? What's going on? I'm going to die here.
No no, you're not.
A UTI, it's not serious.
The white steed.
That means quickly, within 24 hours.
You're not going to How does it just end like this? It's not ending.
You're not dying.
One day you're okay, and then suddenly No suddenly no death.
I'm sorry.
I just I just need a little time.
Could you come back later? I can, but I don't want to leave you here thinking that you're going to die.
Please.
I-I need some time alone.
Okay.
She thinks the white steed card means she's going to die.
I've had UTIs before.
I felt like I was gonna die.
How long is this going to take? 'Case I want to eat lunch.
Whoa, whoa, slow your roll.
You asked for my help.
If you want to make Will jealous, you need to learn how to flirt.
What? Um, I know how to flirt.
That debacle with Dr.
Siddah this morning? I said two words to him.
It was going to get all weird and awkward.
I could tell.
Hey, Molly.
Any movement on my path? It's on its way.
Oh Keep your phone on.
Cells are looking pretty regular.
Can I take a look? Are you sure? I don't want to get in your way.
Oh, I'm fine.
Okay.
Sorry.
Oh.
Sorry.
No, it's not a problem.
Hey, I'm off for lunch soon.
How long do you have? Just don't want to talk about this here.
Hi.
Dr.
Owens, this is my husband, Evan.
You're married? Oh.
That is I'm not, um I'm not surprised that you're married.
You make a very good couple.
It's time? I know you'll be fine.
I know you will.
Last hurdle.
After this, Hawaii.
Come in.
I met with the chief about coming back to work.
And he said first I have to clear things with you.
So I made a mistake.
I should not have opened up the patient without an attending.
And the way that I acted when you called me out Look, I've thought a lot about it over the last year.
I need to be in the O.
R.
It's the only time I'm sure about what I'm doing.
Which is the problem, Dr.
Aquino.
That you're so sure.
I meant with my life.
Maybe her brother actually had a lung transplant.
Stop it.
How does she keep doing that? Yes, this reminds me of my brother, and yes, it's painful.
So please stop looking at me and thinking about it.
I'm sorry.
Of course, I'm sorry.
Did you know Bandari was married? I heard that.
Thought it might be an urban legend.
It's not.
I met her husband.
I was shocked.
I guess 'cause, you know, she's always here, and she doesn't wear a ring.
What's going on? I'm not sure.
Looks like lymphadenopathy.
Damn.
They found something.
And they think it might be malignant.
I'm guessing it's in the lymph nodes.
Run this down to the lab for flash freezes and slides.
If it's cancer, he's not a candidate for the lungs.
He'll never survive chemo.
I'm aware, Dr.
Beal.
Well, that sucks.
Okay, let's close him up.
- He's not a candidate.
- No.
We finish.
These lungs are only viable for four to six hours; we're at four now.
We'll never get another candidate ready in time.
The odds are miniscule.
There's always a chance.
No kidding, the odds are against him, but he's here, the lungs are here There's always a chance.
We're wasting our time, Dr.
Barnes.
We're giving him these lungs.
Clamps.
Come on, I want details.
About what? Bandari's husband.
Heard you met him.
What was he like? I don't know, regular.
He seemed regular.
Oh, come on.
Like you don't wonder what that marriage is like.
"Mr.
Bandari, are you going to have sex with me, or do I have to take care of everything myself?" Dr.
Matson just the person I was looking for.
I'm sorry.
I was just You've been taken off the surgical rotation, and no need to tell HR-- I'll do it myself.
Hey, uh, my mother's here? Gail Duroux.
She left me a voice mail, said she was dying.
No.
I'm sorry.
I'm Dr.
Owens.
Um, she's not dying; she did a reading.
The cards.
This is about the cards? 542, right? Yeah, but You're here.
You came.
How could you leave me that message? Maybe you should come back later You know, you use those cards to manipulate people, and you just did it again.
No, I didn't.
Is my mother dying? No.
I'm so sick of this crap.
I was supposed to argue a big case in court today.
Someone else is taking credit for my work.
Because you told me you were dying.
Honey, I didn't know that.
He's getting married in a couple of months.
I haven't even met her.
It just doesn't seem real.
That after all this, I have cancer.
We can discuss different options, treatment strategies and a.
I'm on immunosuppressants.
Can I even beat this? I mean is it possible? It's definitely going to be an uphill battle.
It's gonna be okay.
Well, you got new lungs.
Huh? You'll fight this.
What if I don't want to fight anymore? Buddy.
You were supposed to live six months.
You're 24 now, and you got new lungs.
You'll beat it.
He's just in shock.
Can we have some time? Of course.
Experimental conditions are optimal.
Start flirting.
No.
Putnam's outside the range of normal.
I mean, no one would want their friend dating the hospital slut.
Of course Will's gonna be protective.
Exactly.
And you just smile and say you don't want to date Putnam.
You just want to find out what all the fuss is about.
All you have to do is imply that you want to sleep with someone.
If he's jealous, you'll know.
Perfect.
That was step one.
Uh-uh.
Will's looking upset.
He is, isn't he? Step two: eye contact plus touch.
Uh, Dr.
Putnam.
Um, I was wondering, did you ever get a path on that rash? Yep.
Neutrophils and lymphocytes.
Huh.
Steroids? Uh-huh.
Step three: accidently get too close.
Excuse me.
I just have to get a tissue.
Snot is not sexy.
Just to blot my face.
Dr.
Putnam? You have a phone call.
Hey.
Hey.
Listen, you got to be careful.
Putnam's a dog.
He's gonna think you're into him.
Into him? Like to date? No, I'm not into that.
I just I wouldn't mind seeing what all the fuss is about, though.
Hilarious.
That deadpan thing that you do, gets me every time.
Will? Hmm? Sorry.
Can I talk to you? Yeah.
Of course.
So, we should go out sometime.
I don't think that's a good idea.
Well, then why were you flirting with me? I wasn't flirting.
A game player, huh? I like a good chase.
No games.
Well, prepare to be caught.
How you feeling? Been better.
Yeah, I know.
It's not even the death thing.
I mean I've been sort of planning on that, you know? It's just that I got these new lungs.
My whole life, I've just been waiting to do things.
Like surfing? It always seemed like the farthest thing away.
Anyway Not in the cards, I guess.
Instead, chemo.
I'll do chemo.
You don't sound very convinced.
Surfing just sounds way better.
But my family, they need me to fight.
If I don't, I'll die, and they will always wonder, you know, if I could have had more time.
Maybe.
But it's your life.
What do you want? Long shift.
Yeah.
Tell me about it.
Got any plans tonight? Oh, yeah.
Big, exciting ones.
Putting together a bookcase.
How about you? You going to hang out with Kelly? Uh, we actually broke up.
Why? Just wanted different things.
Thank you.
Dr.
Bandari I'm feeling a little bit responsible for Matson being reassigned, because I had just mentioned that I saw you and your husband in the elevator Dr.
Matson was reassigned because he had the lowest in-service score.
I do not let personal factors affect my decisions at work.
Hi.
Hi.
Let's grab a drink.
Oh, I can't, uh, tonight.
I'm uh, I'm putting together a bookcase.
Cool.
I'll help.
You know what? I already said I would, uh, help her, so Okay.
Another time, then.
So, is there really a bookcase? Um, yeah.
You need help with it? 'Cause Cassandra just bailed.
She had to go in on a CABG.
Yeah.
Help would be great.
Okay.
So, we're on the same page, right? You're going to have him alone in your apartment.
Get beer.
Skip the whole "is he jealous" angle and go straight to the source.
Try out the technique.
Trust me, if he doesn't respond, you're DOA.
Hex bolt.
Weird tool thingy that came in the box.
Okay.
You could try one of the moves.
But wait-- what if he responds? If he responds, you will not act on it.
This is a private research project.
You don't intend to publish results.
What are these? Oh, those are the extras.
Yeah.
They, uh, always always give you extras.
Do you have any more beer? Mm-hmm.
They don't always give you extras.
Oh.
You're out of beer.
That's all right.
I'm almost done here anyway.
No.
I'll go get some.
And sandwiches.
Yeah? Yeah.
It's, you know, the least I can do for the guy that's putting together my bookcase so precariously.
I just don't understand why you came by the hospital.
I was frustrated, Gina.
I mean, you canceled dinner on me again last night.
A patient was critical.
This is critical.
Our marriage is critical.
I agree.
But we'll work on it.
We're not just going to separate.
It wasn't a question, and you don't get to decide.
Neither do you.
We've tried working on it.
I don't think that I should have to apologize for my career, the fact that I'm successful.
If I was a man, I wouldn't have to apologize.
No one is asking you to apologize.
You knew when we met that I love my job and that it was intense.
Today okay, today, one of your interns didn't even know you were married.
I don't talk about my personal life.
Because you don't have a personal life.
We don't have a personal life.
Look I could stay at my office all night if I wanted-- there's always more work-- but I don't.
Because your clients aren't dying; they're looking for tax loopholes.
I don't mean that it's not as important.
Gina, I don't stay at the office all night because I want a life outside of work.
Which we do not have.
Okay.
Okay, you're right.
I'll make changes.
Come on.
You've been saying that for years.
What's different? You never said you were going to leave before.
And she wouldn't do it? She said no and wished me well.
You apologized? Yeah, I apologized.
She still said no.
I'm surprised.
I really am.
Anyway, enough doom and gloom.
Talk to me about Dr.
Owens.
What about her? Come on.
Really? You like her.
It couldn't be more obvious.
It's not that obvious.
She has no idea.
Sorry.
I don't know how that happened.
Geez, I must have passed out there, huh? I-I have beer.
Yeah? I'm so exhausted.
You mind if I just crash on the couch? Be all right? No.
Sure.
Thank you.
Tyra, alone with me and he prefers sleep.
Hypothesis wrong.
Hooray for science.
Out of the blue, BP starts dropping.
She spiked a temp.
We did an echo.
It's endocarditis.
Yeah, I heard she damaged her mitral valve.
Good morning.
How are you feeling? I guess I've got a heart infection.
Endocarditis is a bacterial infection that travels to your heart.
It's very hard to diagnose, but, um you're going to be okay.
Dr.
Bandari is a wonderful surgeon.
Maybe.
In case things don't go my way, could you give this to my son? I need him to know how much I love him and how sorry I am I couldn't be the mom he wanted.
Why don't I call him? Just let him know that you're going into surgery.
I I called a couple of hours ago.
I realize that you might think it's a false alarm, so I just wanted to confirm that your mother is having open-heart surgery, if you wanted to come back to the hospital.
Okay.
Thank you.
Dr.
Owens? Hi.
Hi.
Um, Henry has decided to try chemo.
He's a fighter.
He's always been a fighter.
Okay.
I'll have the oncologist in to discuss the process with you.
Thanks.
Hey.
What's going on? Uh, Henry elected to do chemo.
Huh.
I actually didn't think he'd want to.
He doesn't.
He's doing it for them.
Great job.
I thought for sure we'd have to replace the entire valve.
Mmm.
Never replace if you can repair, Dr.
Barnes.
Doreen said this lady knew things about her marriage she'd never told anyone.
Yeah, well, she also predicted that she'd be dead in 24 hours, so 30 more minutes.
Not on my watch.
Removing the clamp from the aorta.
Let's kick the tires.
Paddles.
Start weaning off the bypass machine.
250 migs of protamine.
Close, Dr.
Barnes.
BP's dropping.
A bleed? Not a visible one.
A-fib? No.
What is it? A leak? What's going on? Sinus-tach.
Her blood pressure's 36/16.
Heart's not perfusing.
Looks like she's going into cardiogenic shock.
We need afterload to get this heart pumping properly.
Get me the intra-aortic balloon pump.
Get me the intra-aortic pump! We have an allergic reaction here.
Massive periorbital edema.
Eyes are swelling.
Hi there.
Dr.
Kopelson, hi.
Cassandra, please.
Um, I actually wanted to talk to you, not as a doctor, but, uh, as someone whose brother had cystic fibrosis.
Your son, he he reminds me of him a little, actually.
The whole fighter thing.
Is he still I was 19 when he passed away.
He was 14, so a kid.
We had this trip to Sequoia planned, and then he got sick so he went to the hospital, and they did a few stopgap things and he lasted another six months, which kind of bums me out because I think, if we had just asked him what he wanted, six more months in a hospital or one week at Sequoia, it wouldn't have been close.
Good, good.
Keep that rhythm.
All right, give her 500 mikes of phenyl, a gram of methylpred and an amp of epi.
What's she allergic to? It won't matter if her heart stops.
We have a visual.
We're getting resistance in the airway now, starting to have trouble ventilating.
I'm almost in position here.
PaO2 is 80.
One more second.
Okay, balloon set.
Let's hope this gets that blood flowing out faster.
Now.
She's perfusing.
BP's rising.
Well, who could have predicted that? She made it.
Good.
Great.
Thanks.
Oh, no, you can't go back there yet.
Not for another half an hour.
Oh, no, actually, I was, uh, going to head out.
I didn't want her to die, but you saw us.
It's like oil and water.
I get that.
Um, me and my mom are nothing alike.
Your mom's not a psychic.
You know why I won't let her meet my fiancée? 'Cause I had a girlfriend once that I was really into, and, uh, my mom reads the cards.
She told me it wouldn't last, and I, uh told myself I wouldn't let her in my head, but I couldn't help it.
I just kept looking at my girlfriend, waiting for her to screw up.
You think that's a psychic thing? I My mom gets in my head like you wouldn't believe.
She once mentioned casually that my college boyfriend was boring.
Completely doomed the relationship.
And he wasn't boring, by the way.
My mom is just eccentric, and by eccentric, I mean totally nuts.
Um she wanted you to have this if she died, but I think it's more important because she didn't.
You willing to work a few extra shifts next month? Evan and I want to take a vacation.
So, listen, I got to call you out on something.
Yesterday, you said you don't take things personally at the hospital, but that's a load of bull.
Dr.
Aquino, he screwed up, but to not let him back He did an unauthorized procedure.
And he was disciplined.
And he threw a fit, and he didn't return to work.
And you've never liked him.
For whatever reason, you've never liked him.
That's not personal.
That's not how it looks to everyone.
And you're sinking his career.
Well, it's been more than 24 hours.
I think the cards were officially wrong.
Not wrong, per se.
They were close.
I did have a near-death experience, right? I guess that's true.
At least it's hard reading things that are about yourself.
No distance.
That I can agree with.
I got your letter.
I'm sorry.
I just thought that Nah, I'm glad she gave it to me.
Look, Mom, I do love you.
You just hate that I'm a psychic.
No, look, it's not the fact that you read cards or that I was teased as a kid; it's it's that you went to them for every single little thing I did.
What if something was going to turn out badly? Then it would turn out badly.
I wanted to protect you.
I just needed you to be there, but you were so focused on the future, you you weren't really present.
You're right.
I didn't even know that you were teased.
Mom, you had a neon storefront with a silhouette of a gypsy.
You're making a mistake.
Your patient's intubated.
We're using waveform capnography.
What's the normal end-tidal CO2? 35 to 45 millimeters Hg.
The patient presents in PEA.
What are probable causes? H's and T's.
Hypoxia, tension pneumo, coronary or pulmonary thrombosis.
What about atropine? The 2010 AMA guidelines have removed the routine administration of atropine in the setting of PEA from the treatment algorithm due to its lack of therapeutic benefit.
Okay, you're back.
Wait, so that's it? We're not gonna talk about that other thing that happened right before I left? I'm married-- it was a mistake.
Still not straight.
You're very bossy.
She's very bossy.
If you're gonna do something, do it right.
So, Hawaii? Yeah, I'm gonna take these lungs out, see what they can do.
I'm glad you finally told them what you wanted.
They asked.
Out of the blue, they asked.
That was a really good thing you just did.
Yeah, okay, thanks.
What's up, guys? How you doing? Morning.
Hey, you.
Morning.
Hey, missed you.
The problem with scientific experiments: Sometimes you don't get the outcome you're looking for.
Sometimes you get something else entirely.
Hey.
Hey.
Uh, sorry.
I-I told Cassandra that I had an emergency with a patient because I sort of, uh sort of need to ask you for a a favor.
Kind of a stupid favor, but I figure you owe me a few stupid favors, so What is it? I need you to not let Cassandra know that I crashed at your place last night.
Why? Sort of crazy.
Um, remember the other night when we were out at the bar? You were with that snowboarding goofus? Yeah, uh, Cassandra sort of freaked out.
She thought I was jealous.
Cassandra thought he was jealous? Cassandra? Brilliant reader of men? Cassandra? I don't want to deal with it.
So, can we keep that between the two of us? Yeah, yeah.
No problem.
Anyway, maybe I should go down first, you know, just in case.
Yeah, that's a good idea.
Experiment unexpectedly confirmed from reputable, if hostile, source.
He likes me.
Hi.
It's about Cassandra.
Just wanted to make sure you'd be okay if I asked her out.
Yeah, totally.
I need to ask if you have a thing for Emily Owens.
My brother has cystic fibrosis-- he was sick his whole life.
Decide if you want to kiss him.
Pea peanuts.
Are you allergic? As soon as I get out of here, how about we just brush your teeth, stay away from nuts? - I'm good to go.
- You gonna see that Scott guy again? He didn't seem like your type.
He's acting jealous.
Mr.
Peanut, 6:00.
Hey.
Hey.
Can I talk to you? Uh-huh, sure.
So, listen, uh, I really screwed up our date.
I don't know if it was the beer or the peanuts.
Or maybe it was the fact that I liked you.
I'm such a goofus when I like someone.
You weren't a goofus.
I We just don't have that much in common.
I don't even snowboard.
You could learn.
Dude, take a hint-- she's not into you.
Come on, Owens.
I was okay.
No, you're too nice.
You turn the guy down, you have to be firm.
Otherwise, he's just gonna convince you to go out with him again.
Would that be the worst thing in the world? Are you serious? He's not right for you.
Will, this is weird, but you're acting, um a little jealous.
Yeah, okay, yeah, maybe I am.
It's crazy-- I don't know what's going on, but seeing you with that guy made me realize you're the one that I want.
The ability to read men.
Some of us have it; some of us don't.
So, yes, it seemed like Will was jealous the other night, but I've been very, very wrong before.
What kind of experiment? A social experiment.
I swear, Tyra, Will seemed jealous.
Of that snowboarding goofus? Mm-hmm.
And if he was, then that means that I haven't been just imagining things all this time, that there is something between us deep down.
I just I have to prove my theory.
I have to see if it happens again.
Get the results to repeat.
Exactly.
I'm going to flirt with someone else, see how he reacts.
That actually sounds reasonable.
Hey.
Hey.
That esophagectomy yesterday was really cool.
Right? You know, I never thought we'd have to cut out so much proximal stomach.
Hey.
Hey.
Hey, do you know anything about Dr.
Siddah? Know, like He's kind of cute.
You like him? I mean I mean, the one thing that I know about him is that he's gay.
So Oh.
Cool-- that's good to know.
Please, universe, if you give me this, I'll volunteer more.
I mean, I'll start volunteering.
And I'll never kill spiders.
I'll bring them outside.
Oh, my God, I did it.
This is huge.
Congratulations, Cassandra.
No kidding-- way to go, Kopelson.
Let's celebrate tonight.
What should we do? Anyone coming on rounds? You owe me 50 bucks.
What are you doing here? Hey, buddy.
When'd you get back? A couple days ago.
So, you got the money you owe me? Yeah, right.
Come on.
Kansas won, remember? You picked Kentucky.
Okay, you disappear for a year, you forfeit your money.
I didn't disappear.
It was a two-week suspension.
You were gone a year.
I want to come back.
Do you think Bandari would go for it? It's not up to Bandari; it's up to the chief.
I got a meeting with him in a couple of minutes.
You know what, you can just write me a check if you want.
Oh, you're so kind.
You're not getting your money.
Henry, 24, past history significant for cystic fibrosis, multiple admissions for pneumonia and recurrent dyspnea.
How did he present, Dr.
Kopelson? Um, with severe tachypnea, wheezing, rales and hypoexemia to 84%.
Bilobar consolidations with sputum culture positive for klebsiella.
You okay? Yeah.
We'll continue piperacillin and tazobactam 4.
5 grams QID with respiratory therapy and albuterol nebs.
And order him some new lungs, all right? He's been on the waiting list too long.
It's very frustrating.
Trust me, I get it.
I don't like that Pa02-- he's decompensating.
Increase his oxygen and put that vest on him.
We're gonna help loosen that up for you, okay? Okay-- the fun part.
I don't know how any of this is fun.
It's been this bad before.
He always pulls through.
Yeah.
You know what they said to us when he was born? Six months.
Dad, really.
You can imagine, terrible, hearing something like that.
But that was before we knew Henry.
This kid is a fighter.
Even as a baby, he was a fighter.
Okay, okay, that's enough.
See? Fun part it's fun.
Stop it, Pits.
What? You know what.
So, does this mean you're back? Who's that? I don't know.
Hmm, he's trouble.
Trust me, I know men.
What? I know the type.
Come on, where's the faith? You should hope he comes back.
Bandari hates him more than she hates you.
She doesn't hate me.
She does she hate me? 'Cause I thought we were more, like, grudging respect.
Dr.
Aquino, two interns-- Dr.
Kopelson and the much beloved Dr.
Owens.
Dr.
Aquino and I were interns together.
Why does Bandari hate you? Oh, they had this epic fight in the halls.
I mean, I have never seen anyone ever talk to Well, it was a while ago.
See? Trouble.
Dr.
Owens, follow me.
Dr.
Mandevall's sick.
Coletti's still in Barbados.
I'm assigning out their nothing cases.
Hi, Mrs.
Duroux.
I'm Dr.
Owens.
What's going on? Oh, migraines, and my legs are so swollen.
Yeah, I see that.
Happens sometimes with diabetes.
Um, we're gonna start you on this sequential compression device.
Get the blood down to your feet.
Thank you, sweetheart.
You got something on your mind.
Problem you need to solve.
I'm a psychic.
And since you're taking care of me, it's on the house.
No, it's okay.
You don't believe in psychics.
It's just I'm a scientist, I'm into, you know, provable experiments.
Your romance house is about to be inhabited.
I mean, what does that even mean? My romance house is about to be inhabited.
What's a romance house? Nothing.
I'm treating this psychic.
She said a silly thing to me.
Oh, that you'll meet someone? I hope so.
Will and I were just talking about how much we want you to.
Okay, maybe Will was not jealous.
Roll over, GCS 3 on scene-- I need people now! Get me an airway, someone get me an airway.
And I want a FAST exam.
I tried to stop the bleeding, - but it just kept coming.
- Get her out of there.
Stop-- he's my husband! Free fluid and some in the right paracolic gutter.
I can't get a pulse on him.
We need a bicarb now.
Start compressions.
He's losing too much blood.
Two liters going in wide open.
Epi and bicarb in.
More compressions.
V-tach.
Clear.
We got a pressure of 80/50.
He's coming back.
Get him started on norepinephrine.
We need four units wide open-- got to get him straight to the scanner and then to the O.
R.
for an exlap.
Sir? He's going down again, and heart rate's dropping.
Compressions! Start compressions! Get me 50 of mannitol, one mig of atropine and an amp of epi.
I can't get a pulse.
Compress harder.
Mannitol, 50 grams.
Epi and atropine in.
Stop compressions.
He's not coming back.
Asystole.
Time of death-- 10:16.
Who wants to talk to her? Lisa.
I am so sorry for your loss.
Um, this may not feel like the right time, but, um, Mark was an organ donor Stop.
Not now.
I can't think about this now.
I know it's difficult, but, um, the decision has to be made quickly because there's just a very short window in the organ survival.
It's not organs; it's my husband.
I know but Mark signed up to donate, so it must have been important to him.
Dr.
Owens? Thank you.
We found lungs.
What? Oh Thank you.
The mind can play tricks, construct hope out of thin air.
So, Hawaii, huh? Hey.
Cheers.
Kept telling myself, if I got new lungs, I'd learn how to surf.
So I'm gonna learn how to surf.
Enjoy your party.
It's the law of averages, really.
With so many thoughts, something that you wanted or feared or predicted is bound to happen at some point.
How do you know that? You paged me? Yes, sorry.
She had some blood in her cath.
Probably a urinary tract infection.
Yeah.
Let's start her on antibiotics.
You got it.
Bye, Gail.
I'll come back later.
Bye.
Looks like the swelling's gone down.
Let's just see what's going on with my health.
Do you have a "diuretics put stress on my bladder" card? So did you think about what I said? About your romance house? I did.
And, um I appreciate it.
But it doesn't ring true? It's not that.
It's just, uh it felt a little general.
I'm sorry, Oh, I didn't mean to offend you.
No.
Mrs.
Duroux, are you okay? No.
What is it? What's going on? I'm going to die here.
No no, you're not.
A UTI, it's not serious.
The white steed.
That means quickly, within 24 hours.
You're not going to How does it just end like this? It's not ending.
You're not dying.
One day you're okay, and then suddenly No suddenly no death.
I'm sorry.
I just I just need a little time.
Could you come back later? I can, but I don't want to leave you here thinking that you're going to die.
Please.
I-I need some time alone.
Okay.
She thinks the white steed card means she's going to die.
I've had UTIs before.
I felt like I was gonna die.
How long is this going to take? 'Case I want to eat lunch.
Whoa, whoa, slow your roll.
You asked for my help.
If you want to make Will jealous, you need to learn how to flirt.
What? Um, I know how to flirt.
That debacle with Dr.
Siddah this morning? I said two words to him.
It was going to get all weird and awkward.
I could tell.
Hey, Molly.
Any movement on my path? It's on its way.
Oh Keep your phone on.
Cells are looking pretty regular.
Can I take a look? Are you sure? I don't want to get in your way.
Oh, I'm fine.
Okay.
Sorry.
Oh.
Sorry.
No, it's not a problem.
Hey, I'm off for lunch soon.
How long do you have? Just don't want to talk about this here.
Hi.
Dr.
Owens, this is my husband, Evan.
You're married? Oh.
That is I'm not, um I'm not surprised that you're married.
You make a very good couple.
It's time? I know you'll be fine.
I know you will.
Last hurdle.
After this, Hawaii.
Come in.
I met with the chief about coming back to work.
And he said first I have to clear things with you.
So I made a mistake.
I should not have opened up the patient without an attending.
And the way that I acted when you called me out Look, I've thought a lot about it over the last year.
I need to be in the O.
R.
It's the only time I'm sure about what I'm doing.
Which is the problem, Dr.
Aquino.
That you're so sure.
I meant with my life.
Maybe her brother actually had a lung transplant.
Stop it.
How does she keep doing that? Yes, this reminds me of my brother, and yes, it's painful.
So please stop looking at me and thinking about it.
I'm sorry.
Of course, I'm sorry.
Did you know Bandari was married? I heard that.
Thought it might be an urban legend.
It's not.
I met her husband.
I was shocked.
I guess 'cause, you know, she's always here, and she doesn't wear a ring.
What's going on? I'm not sure.
Looks like lymphadenopathy.
Damn.
They found something.
And they think it might be malignant.
I'm guessing it's in the lymph nodes.
Run this down to the lab for flash freezes and slides.
If it's cancer, he's not a candidate for the lungs.
He'll never survive chemo.
I'm aware, Dr.
Beal.
Well, that sucks.
Okay, let's close him up.
- He's not a candidate.
- No.
We finish.
These lungs are only viable for four to six hours; we're at four now.
We'll never get another candidate ready in time.
The odds are miniscule.
There's always a chance.
No kidding, the odds are against him, but he's here, the lungs are here There's always a chance.
We're wasting our time, Dr.
Barnes.
We're giving him these lungs.
Clamps.
Come on, I want details.
About what? Bandari's husband.
Heard you met him.
What was he like? I don't know, regular.
He seemed regular.
Oh, come on.
Like you don't wonder what that marriage is like.
"Mr.
Bandari, are you going to have sex with me, or do I have to take care of everything myself?" Dr.
Matson just the person I was looking for.
I'm sorry.
I was just You've been taken off the surgical rotation, and no need to tell HR-- I'll do it myself.
Hey, uh, my mother's here? Gail Duroux.
She left me a voice mail, said she was dying.
No.
I'm sorry.
I'm Dr.
Owens.
Um, she's not dying; she did a reading.
The cards.
This is about the cards? 542, right? Yeah, but You're here.
You came.
How could you leave me that message? Maybe you should come back later You know, you use those cards to manipulate people, and you just did it again.
No, I didn't.
Is my mother dying? No.
I'm so sick of this crap.
I was supposed to argue a big case in court today.
Someone else is taking credit for my work.
Because you told me you were dying.
Honey, I didn't know that.
He's getting married in a couple of months.
I haven't even met her.
It just doesn't seem real.
That after all this, I have cancer.
We can discuss different options, treatment strategies and a.
I'm on immunosuppressants.
Can I even beat this? I mean is it possible? It's definitely going to be an uphill battle.
It's gonna be okay.
Well, you got new lungs.
Huh? You'll fight this.
What if I don't want to fight anymore? Buddy.
You were supposed to live six months.
You're 24 now, and you got new lungs.
You'll beat it.
He's just in shock.
Can we have some time? Of course.
Experimental conditions are optimal.
Start flirting.
No.
Putnam's outside the range of normal.
I mean, no one would want their friend dating the hospital slut.
Of course Will's gonna be protective.
Exactly.
And you just smile and say you don't want to date Putnam.
You just want to find out what all the fuss is about.
All you have to do is imply that you want to sleep with someone.
If he's jealous, you'll know.
Perfect.
That was step one.
Uh-uh.
Will's looking upset.
He is, isn't he? Step two: eye contact plus touch.
Uh, Dr.
Putnam.
Um, I was wondering, did you ever get a path on that rash? Yep.
Neutrophils and lymphocytes.
Huh.
Steroids? Uh-huh.
Step three: accidently get too close.
Excuse me.
I just have to get a tissue.
Snot is not sexy.
Just to blot my face.
Dr.
Putnam? You have a phone call.
Hey.
Hey.
Listen, you got to be careful.
Putnam's a dog.
He's gonna think you're into him.
Into him? Like to date? No, I'm not into that.
I just I wouldn't mind seeing what all the fuss is about, though.
Hilarious.
That deadpan thing that you do, gets me every time.
Will? Hmm? Sorry.
Can I talk to you? Yeah.
Of course.
So, we should go out sometime.
I don't think that's a good idea.
Well, then why were you flirting with me? I wasn't flirting.
A game player, huh? I like a good chase.
No games.
Well, prepare to be caught.
How you feeling? Been better.
Yeah, I know.
It's not even the death thing.
I mean I've been sort of planning on that, you know? It's just that I got these new lungs.
My whole life, I've just been waiting to do things.
Like surfing? It always seemed like the farthest thing away.
Anyway Not in the cards, I guess.
Instead, chemo.
I'll do chemo.
You don't sound very convinced.
Surfing just sounds way better.
But my family, they need me to fight.
If I don't, I'll die, and they will always wonder, you know, if I could have had more time.
Maybe.
But it's your life.
What do you want? Long shift.
Yeah.
Tell me about it.
Got any plans tonight? Oh, yeah.
Big, exciting ones.
Putting together a bookcase.
How about you? You going to hang out with Kelly? Uh, we actually broke up.
Why? Just wanted different things.
Thank you.
Dr.
Bandari I'm feeling a little bit responsible for Matson being reassigned, because I had just mentioned that I saw you and your husband in the elevator Dr.
Matson was reassigned because he had the lowest in-service score.
I do not let personal factors affect my decisions at work.
Hi.
Hi.
Let's grab a drink.
Oh, I can't, uh, tonight.
I'm uh, I'm putting together a bookcase.
Cool.
I'll help.
You know what? I already said I would, uh, help her, so Okay.
Another time, then.
So, is there really a bookcase? Um, yeah.
You need help with it? 'Cause Cassandra just bailed.
She had to go in on a CABG.
Yeah.
Help would be great.
Okay.
So, we're on the same page, right? You're going to have him alone in your apartment.
Get beer.
Skip the whole "is he jealous" angle and go straight to the source.
Try out the technique.
Trust me, if he doesn't respond, you're DOA.
Hex bolt.
Weird tool thingy that came in the box.
Okay.
You could try one of the moves.
But wait-- what if he responds? If he responds, you will not act on it.
This is a private research project.
You don't intend to publish results.
What are these? Oh, those are the extras.
Yeah.
They, uh, always always give you extras.
Do you have any more beer? Mm-hmm.
They don't always give you extras.
Oh.
You're out of beer.
That's all right.
I'm almost done here anyway.
No.
I'll go get some.
And sandwiches.
Yeah? Yeah.
It's, you know, the least I can do for the guy that's putting together my bookcase so precariously.
I just don't understand why you came by the hospital.
I was frustrated, Gina.
I mean, you canceled dinner on me again last night.
A patient was critical.
This is critical.
Our marriage is critical.
I agree.
But we'll work on it.
We're not just going to separate.
It wasn't a question, and you don't get to decide.
Neither do you.
We've tried working on it.
I don't think that I should have to apologize for my career, the fact that I'm successful.
If I was a man, I wouldn't have to apologize.
No one is asking you to apologize.
You knew when we met that I love my job and that it was intense.
Today okay, today, one of your interns didn't even know you were married.
I don't talk about my personal life.
Because you don't have a personal life.
We don't have a personal life.
Look I could stay at my office all night if I wanted-- there's always more work-- but I don't.
Because your clients aren't dying; they're looking for tax loopholes.
I don't mean that it's not as important.
Gina, I don't stay at the office all night because I want a life outside of work.
Which we do not have.
Okay.
Okay, you're right.
I'll make changes.
Come on.
You've been saying that for years.
What's different? You never said you were going to leave before.
And she wouldn't do it? She said no and wished me well.
You apologized? Yeah, I apologized.
She still said no.
I'm surprised.
I really am.
Anyway, enough doom and gloom.
Talk to me about Dr.
Owens.
What about her? Come on.
Really? You like her.
It couldn't be more obvious.
It's not that obvious.
She has no idea.
Sorry.
I don't know how that happened.
Geez, I must have passed out there, huh? I-I have beer.
Yeah? I'm so exhausted.
You mind if I just crash on the couch? Be all right? No.
Sure.
Thank you.
Tyra, alone with me and he prefers sleep.
Hypothesis wrong.
Hooray for science.
Out of the blue, BP starts dropping.
She spiked a temp.
We did an echo.
It's endocarditis.
Yeah, I heard she damaged her mitral valve.
Good morning.
How are you feeling? I guess I've got a heart infection.
Endocarditis is a bacterial infection that travels to your heart.
It's very hard to diagnose, but, um you're going to be okay.
Dr.
Bandari is a wonderful surgeon.
Maybe.
In case things don't go my way, could you give this to my son? I need him to know how much I love him and how sorry I am I couldn't be the mom he wanted.
Why don't I call him? Just let him know that you're going into surgery.
I I called a couple of hours ago.
I realize that you might think it's a false alarm, so I just wanted to confirm that your mother is having open-heart surgery, if you wanted to come back to the hospital.
Okay.
Thank you.
Dr.
Owens? Hi.
Hi.
Um, Henry has decided to try chemo.
He's a fighter.
He's always been a fighter.
Okay.
I'll have the oncologist in to discuss the process with you.
Thanks.
Hey.
What's going on? Uh, Henry elected to do chemo.
Huh.
I actually didn't think he'd want to.
He doesn't.
He's doing it for them.
Great job.
I thought for sure we'd have to replace the entire valve.
Mmm.
Never replace if you can repair, Dr.
Barnes.
Doreen said this lady knew things about her marriage she'd never told anyone.
Yeah, well, she also predicted that she'd be dead in 24 hours, so 30 more minutes.
Not on my watch.
Removing the clamp from the aorta.
Let's kick the tires.
Paddles.
Start weaning off the bypass machine.
250 migs of protamine.
Close, Dr.
Barnes.
BP's dropping.
A bleed? Not a visible one.
A-fib? No.
What is it? A leak? What's going on? Sinus-tach.
Her blood pressure's 36/16.
Heart's not perfusing.
Looks like she's going into cardiogenic shock.
We need afterload to get this heart pumping properly.
Get me the intra-aortic balloon pump.
Get me the intra-aortic pump! We have an allergic reaction here.
Massive periorbital edema.
Eyes are swelling.
Hi there.
Dr.
Kopelson, hi.
Cassandra, please.
Um, I actually wanted to talk to you, not as a doctor, but, uh, as someone whose brother had cystic fibrosis.
Your son, he he reminds me of him a little, actually.
The whole fighter thing.
Is he still I was 19 when he passed away.
He was 14, so a kid.
We had this trip to Sequoia planned, and then he got sick so he went to the hospital, and they did a few stopgap things and he lasted another six months, which kind of bums me out because I think, if we had just asked him what he wanted, six more months in a hospital or one week at Sequoia, it wouldn't have been close.
Good, good.
Keep that rhythm.
All right, give her 500 mikes of phenyl, a gram of methylpred and an amp of epi.
What's she allergic to? It won't matter if her heart stops.
We have a visual.
We're getting resistance in the airway now, starting to have trouble ventilating.
I'm almost in position here.
PaO2 is 80.
One more second.
Okay, balloon set.
Let's hope this gets that blood flowing out faster.
Now.
She's perfusing.
BP's rising.
Well, who could have predicted that? She made it.
Good.
Great.
Thanks.
Oh, no, you can't go back there yet.
Not for another half an hour.
Oh, no, actually, I was, uh, going to head out.
I didn't want her to die, but you saw us.
It's like oil and water.
I get that.
Um, me and my mom are nothing alike.
Your mom's not a psychic.
You know why I won't let her meet my fiancée? 'Cause I had a girlfriend once that I was really into, and, uh, my mom reads the cards.
She told me it wouldn't last, and I, uh told myself I wouldn't let her in my head, but I couldn't help it.
I just kept looking at my girlfriend, waiting for her to screw up.
You think that's a psychic thing? I My mom gets in my head like you wouldn't believe.
She once mentioned casually that my college boyfriend was boring.
Completely doomed the relationship.
And he wasn't boring, by the way.
My mom is just eccentric, and by eccentric, I mean totally nuts.
Um she wanted you to have this if she died, but I think it's more important because she didn't.
You willing to work a few extra shifts next month? Evan and I want to take a vacation.
So, listen, I got to call you out on something.
Yesterday, you said you don't take things personally at the hospital, but that's a load of bull.
Dr.
Aquino, he screwed up, but to not let him back He did an unauthorized procedure.
And he was disciplined.
And he threw a fit, and he didn't return to work.
And you've never liked him.
For whatever reason, you've never liked him.
That's not personal.
That's not how it looks to everyone.
And you're sinking his career.
Well, it's been more than 24 hours.
I think the cards were officially wrong.
Not wrong, per se.
They were close.
I did have a near-death experience, right? I guess that's true.
At least it's hard reading things that are about yourself.
No distance.
That I can agree with.
I got your letter.
I'm sorry.
I just thought that Nah, I'm glad she gave it to me.
Look, Mom, I do love you.
You just hate that I'm a psychic.
No, look, it's not the fact that you read cards or that I was teased as a kid; it's it's that you went to them for every single little thing I did.
What if something was going to turn out badly? Then it would turn out badly.
I wanted to protect you.
I just needed you to be there, but you were so focused on the future, you you weren't really present.
You're right.
I didn't even know that you were teased.
Mom, you had a neon storefront with a silhouette of a gypsy.
You're making a mistake.
Your patient's intubated.
We're using waveform capnography.
What's the normal end-tidal CO2? 35 to 45 millimeters Hg.
The patient presents in PEA.
What are probable causes? H's and T's.
Hypoxia, tension pneumo, coronary or pulmonary thrombosis.
What about atropine? The 2010 AMA guidelines have removed the routine administration of atropine in the setting of PEA from the treatment algorithm due to its lack of therapeutic benefit.
Okay, you're back.
Wait, so that's it? We're not gonna talk about that other thing that happened right before I left? I'm married-- it was a mistake.
Still not straight.
You're very bossy.
She's very bossy.
If you're gonna do something, do it right.
So, Hawaii? Yeah, I'm gonna take these lungs out, see what they can do.
I'm glad you finally told them what you wanted.
They asked.
Out of the blue, they asked.
That was a really good thing you just did.
Yeah, okay, thanks.
What's up, guys? How you doing? Morning.
Hey, you.
Morning.
Hey, missed you.
The problem with scientific experiments: Sometimes you don't get the outcome you're looking for.
Sometimes you get something else entirely.
Hey.
Hey.
Uh, sorry.
I-I told Cassandra that I had an emergency with a patient because I sort of, uh sort of need to ask you for a a favor.
Kind of a stupid favor, but I figure you owe me a few stupid favors, so What is it? I need you to not let Cassandra know that I crashed at your place last night.
Why? Sort of crazy.
Um, remember the other night when we were out at the bar? You were with that snowboarding goofus? Yeah, uh, Cassandra sort of freaked out.
She thought I was jealous.
Cassandra thought he was jealous? Cassandra? Brilliant reader of men? Cassandra? I don't want to deal with it.
So, can we keep that between the two of us? Yeah, yeah.
No problem.
Anyway, maybe I should go down first, you know, just in case.
Yeah, that's a good idea.
Experiment unexpectedly confirmed from reputable, if hostile, source.
He likes me.