Doctor Odyssey (2024) s01e15 Episode Script

1
Hey, guys, I think we should
take a paternity test.
Part of the paternity test
is to analyze my blood
to identify the fetal DNA.
And there was none.
I'm not pregnant. And I never was.
- I was really hoping that
- That it was yours?
Yeah. Me too. It gave me hope
that maybe, if we were
raising a kid together,
y-you'd give our relationship a shot.
My dear Avery, loss is a long
and painful and lonely journey.
But it has this amazing ability
to also galvanize you into the present
and make you see more
and feel more and love more.
[VACUUM RUNNING]
♪♪
♪♪
Mnh. Strong.
I'm making up for lost time.
And before you say anything,
I finished my post-op antibiotics.
I'm feeling fine.
This is my first drink.
♪♪
Okay, so it's like
my third drink, but
[CLEARS THROAT] the guests are gone.
[BREATHES DEEPLY]
I love the quiet.
And there's nobody
but the crew this week.
Meaning you want to be alone?
Well, nobody comes into the
great room after dinner service,
and you came here looking for me, so
Yes, I did. Because, you know
I'm used to being
the guy with the answers.
It's kind of my job, right?
To have the answers or find the answers.
But I'll be honest with you.
I am really struggling with this.
Well, I'm not sure
that I can tell you anything.
Yeah, well, you know, we moved fast.
[CHUCKLES] Right?
Dancing, bed, threesome, family.
It's a lot. It was a lot.
And at the end of it all
I really like you, Avery.
I really like you, too.
♪♪
How well do we really know each other?
You know? We haven't spent
the kind of time that you do before
Thinking about
starting a family together.
[CHUCKLES] Yeah.
[CHUCKLES]
I never planned on having a child
or these feelings
or a threesome.
[BOTH CHUCKLE]
But I know one thing for certain.
I am leaving for medical school
in a month.
♪♪
Yeah.
I've been wondering if this
is the right place for me.
You know, if maybe
I should go someplace else
to seek joy at all costs.
♪♪
I'm gonna go home over the break,
spend a little time with my family.
See if I can't find some answers.
Hope you find them.
So do I.
♪♪
[BOTH BREATHING HEAVILY]
That was amazing. Ohh
- No, but wait!
- [SIGHS]
There's more.
[LAUGHS] Oh!
Okay.
We have short-rib empanadas,
mini crab cakes,
and a slice of prime rib.
Protein. For stamina.
I-I'm sorry. Have I been falling short?
- Not at all.
- I hope not.
There's also mini churros,
a triple chocolate brownie,
and a slice of tres leches
cake for energy.
Honestly, who knew
that dating a food professional
had so many added benefits?
Well, there's also oysters,
figs, and chili peppers
- also known as aphrodisiacs
- Aphrodisiacs. Hm.
just in case, for later.
Right. Well, actually, I'm sor
I think I'm ready to go now.
- [LAUGHS]
- Let's go again.
Don't you have to be up early?
Uh, yes. Yes, I do.
So I hope that you brought something
that helps induce sleep later.
Hm. I'm full of good ideas.
Hm
[VIVIAN LAUGHS]
♪♪
Well, Max, this is our little
break before the quiet run
and the Alaska segments.
We'll head north, pick up
a new bunch of crew,
drill, and test readiness.
Then, of course,
we get to enjoy some days
out on the open sea without
having passengers to serve.
Actually, Captain,
I was hoping to take this time
- to go home for a few days.
- Love it.
I like it when my crew gets to recharge
and see their people. Do it, but just
- Avery can be in charge.
- I can be in charge.
Why not me? Why do you think
I can't be in charge?
Because Avery's
a nurse practitioner, Tristan.
[CHUCKLES] The three of you are like
a pack of Jack Russell Terriers,
barking and sniping at each other.
I need two medics on board.
Figure it out.
- Aye aye, Captain.
- Aye, Captain.
♪♪
[DOOR CLOSES]
[CHATTER]
[DANCE MUSIC PLAYING]
Alright! Hello. Thank you.
You said you were gonna
be done with that by lunch!
You get 20 bucks. I like that.
It's looking unstable up there.
Hey! Whoa, whoa, whoa, whoa, whoa, whoa!
Oh, God!
[SCREAMS]
Get her on the monitor. Start a line.
Yep. On it.
[GROANS]
One. Two. Three.
[GROANS] Damn it!
Rosie, what's your pain level,
one to ten?
[GROANS] Ten!
It feels like it's gonna explode!
- Vitals up.
- [GROANS]
- Can you feel this?
- Mnh-mnh.
Alright. Numbness. Internal pressure.
Extreme pain. No cap refill.
I think this is pointing us
toward compartment syndrome.
Compartment syndrome?
That's a bit extreme, though.
It could just be severe swelling
from a fracture.
I need you to get me an X-ray
and prep her for a fasciotomy.
Alright, Rosie,
you might feel a couple of pokes
while I check the pressure in your foot.
What's compartment syndrome?
It's a very serious condition.
Usually the result of a crush injury
- [GROANS]
- a severe sprain
or a broken bone.
It's when pressure builds up
inside a muscle group.
If the pressure isn't relieved,
then it can effectively
kill the appendage.
I'm gonna need to make
a couple of incisions
to open up the area
and relieve the pressure.
- It's a very simple surgery.
- No surgery! Hold on! Hold on!
No, no, we don't even know
if this compartment thing
is what it is, right?
- Well, we don't
- Yes or no?
We don't know for sure.
[GROANS] Wait!
Avery, I love ya, but
Surgery? No. Not without
Big Daddy Max here.
I understand your concerns,
but I have performed
hundred of procedures
just like this one,
and I can assure you that a fasciotomy
is the most effective treatment
for acute compartment syndrome.
Listen, it sounds like
you read a lot of books,
but, bro, this is my foot!
And if you've never done it, mnh-mnh.
Look, Ros, if you decline
medical intervention
on this ship, then we can
medicate for the pain
and wait till you get to port.
We can monitor any changes
and report anything.
It is an option.
Well, then, yeah, I'm with Tristy.
Despite "Tristy," Rosie,
if this is what I think it is,
it is critical that we act now.
- You could lose your foot.
- Not without a doctor here.
Morphine. Lots of it.
Port. Hospital. Final answer.
[GROANS]
♪♪
We need to be a united front.
I know I'm not some suave,
handsome male doctor.
I don't think it's about
you being a woman.
I think it's that you haven't
done the procedure before
and that compartment syndrome
is an incredibly hard thing to diagnose.
The pressure was over 60
in two of the compartments of the foot.
That is a pretty good indicator,
Tristan.
Avery, our job is to give
the patients information.
That is not the whole job.
Patients are not qualified
to make their own diagnosis
or treatment plan.
You gave her all the info.
She wants to wait for a hospital.
It's not just informing.
It's also persuading.
It's knowing
what's best for your patient
and laying it all out.
I remember the first week that
you came to work on this ship.
You led us, a bunch of the crew,
on a hike in Puerto Del Sol,
which you clearly didn't know, either,
because we were totally lost.
And you kept making up
these bonkers stories
about the history of the area
and something about
alien agriculturalists
and maize.
- Yeah. The Skywalkers.
- Ah.
Famous for their
aquifer irrigation systems.
Oh, right.
And I thought
"Ohh.
This girl is so weird.
And thank God for bringing her to us."
I see what you're trying to do.
It's not gonna work.
♪♪
Rosie
it could be a very, very long time
until you're able to work
in the engine room again,
let alone lead a hike.
Probably a year or so
before you're fully adjusted.
And I know I speak for myself
and the entire crew
when I say that is
absolutely not an option.
I can't lose you, girl.
You can't lose your your damn foot.
[CHUCKLES]
Let me help you.
If not for yourself, do it for me.
For us.
♪♪
Yeah. Okay.
♪♪
That was good.
When we talk to our patients,
we tend to focus on
how the decision will impact only them,
but human nature means we have
more compassion and empathy
for the people around us
than we do for ourselves.
We have to paint the whole picture.
Well, it's a good thing you did
for Rosie does have
compartment syndrome.
If we waited any longer,
she would have lost her foot.
You were right.
Oh. I'm sorry. I can't hear you.
- What What did you say?
- Oh, I said you were right.
- Oh.
- But I can retract that.
Mhm. That is gonna leave a wicked scar.
She's gonna love it.
♪♪
♪♪
[CHILDREN SHOUTING PLAYFULLY]
♪♪
♪♪
[CELLPHONE DINGS]
♪♪
♪♪
♪♪
[DOORBELL RINGS]
♪♪
- Ah!
- Mer!
It's so good to see you.
♪♪
[DOOR CLOSES]
Hey, girls! Guess who's here!
- Uncle Maxy!
- Hey! Olive and Sofa-Loaf!
Oh, my goodness!
It's so good to see you!
Hello. Who is this man
who looks just like my husband
but tan and handsome
with a much better haircut?
All true. Hi, Danielle.
Can I crash your party?
Come on, girls. Leave your uncle alone.
Hey, girls. Very important question.
Are you driving yet?
- No.
- No.
No? Tattoos?
- No!
- No!
No?! What about piercings?
No. Mom won't let us
pierce ears till we're 12.
This girl we know has three,
plus a belly piercing.
- It's just holes, okay?
- Nice one, Max.
Not two steps in the door,
and you've already
kicked the lid off of Pandora's box.
Come on. Come. Eat.
♪♪
Rust spores. A fruit fly.
- Spirogyra. And Volvox.
- Insane.
And you let her play with this?
No bacteria at the table.
And, Soph. Game. Basket.
- You too, Merrill. Phone.
- [CELLPHONE BUZZES]
Why can't the stuff
ever hit the fan after lunch?
I swear they know
the second that I sit down.
Yeah. Sounds like my job.
- How is the insurance trade?
- Rain and shine.
Biggest problem is all
the big national firms
buying up the small
mom-and-pops statewide.
- You want that?
- Yeah.
- Mammal kidney.
- [HUSHED] What?
Olive. What did I just say?
[GROANS]
You know, Max,
I looked up that boat you're on.
It looks like heaven.
Remember Char and Barb?
They went on one of those
fancy island cruises last year.
Oh, my gosh.
We never heard the end of it.
Milo said they had a machine
you can get ice cream any time you want.
And you could put anything on it,
like Oreos, sprinkles, gummy bears,
and it's all for free.
Well, it's not for free, hon.
- It's included. That's different.
- [CHUCKLES]
Char said she got to swim
with a dolphin.
Is that for real?
Yeah, there are a couple of
ports that do that excursion.
You know, we were
thinking about saving up for it,
but the kids are already
signed up for summer camp.
It was just a bit too much, you know?
Please. Be my guests on the Odyssey.
Oh. I wasn't looking
for a handout, little bro.
- "Little bro."
- "By one minute!
He came out earlier by one minute!"
And I have never heard the end of it.
And you never will.
I have a whole family
access plan. Honestly.
If you can get yourself to a port,
I'll take care of the rest.
- Really?
- Yeah.
- Please, Daddy?!
- Please, Daddy?!
- Please! Please!
- Please! Please!
I'm sure you're already booked
up for spring break, right?
I will book you the suite
closest to the ice-cream machine.
- [GASPS]
- Yay!
[LAUGHS]
[CROWD CHEERING]
[WHISTLE BLOWS]
Holding onto the throne, I see.
Dad would be proud.
Was thinking about donating it.
Danielle wants it out of here,
says it's got some kind of funk.
Wants to sell the house, too.
Really?
It was tough on her
at the end, you know?
Dad got real short-tempered
with her and the girls, so
Yeah, it was tough, but I miss him.
Me too.
Old school.
[SNIFFLES]
♪♪
What are you doing here, Max?
Two-day visit.
It's not Christmas or Easter.
There's an opening at Stubbing-Lang.
Chief of Internal Medicine.
♪♪
I think it might be time
for me to stop running.
I've been running
for a very, very long time.
Unlike me, who has stayed
in exactly the same spot.
♪♪
How did we end up going
in such different directions?
When we were kids,
we were exactly alike.
Yeah, of course, we were, Max,
until you got sick.
You think that's what changed?
Getting mono at 17?
Well, yeah, it was that and
the complications afterwards.
The kidney thing. Anemia.
I mean, you were
on your back for months.
You missed a lot, Max.
Girls. School.
Entire season of baseball.
Once you got out of that bed,
you just started running,
and you never stopped.
It was like you thought
if you stop running,
you were gonna get sick again.
I think you got it in your head
that if you had a home
it was going to destroy you.
Thanks, Mer.
Five years of therapy in 30 seconds.
Max, I know you better
than you know yourself.
You said you're interviewing
at Stubbing-Lang?
You know who the president
of that hospital is?
Rodney Prescott.
Remember him? "Hot Roddy"?
Used to smash
the beer cans on his head?
Remember that guy?
Oh, my God. What a world.
[TELEVISION PLAYING]
[ELEVATOR BELL DINGS]
[CHATTER]
I said, "And what service
is Champers providing?
'Emotional support'
doesn't cut it no more.
It's got to be a trained service animal,
and I got to see some paperwork."
[CLEARS THROAT]
Check-ins on the tablet.
I'm here for a meeting
with Rodney Prescott
about the open
Internal Medicine position.
You sure picked a day for it.
What's the name?
Max Bankman.
I'll let him know you're here.
[CHATTER]
[MAN ON P.A. [SPEAKING INDISTINCTLY]
Hope you brought a book.
We've been here for two hours.
This is insane.
[BREATHING SHARPLY]
Go, Broncos. How we doing this year?
We're alright. [INHALES SHARPLY]
Bunch of guys graduated last year, so
lots of new talent.
[COUGHING]
But we have heart. [CHUCKLES]
Most important organ in the body.
You play Westfield yet?
No. This week.
- It's his first time starting.
- [COUGHING]
He's been training
his butt off all season
and then, four days before the
cross-town game, gets the flu.
Oh, baby. Your hands are like ice.
[INHALES SHARPLY]
[INHALES SHARPLY AND COUGHS]
- What position do you play?
- Running back.
Wow. Take a lot of hits out there.
Yeah, it's basically
the job description.
[COUGHING]
Excuse me for one sec.
Ma'am? Ma'am, this patient
sitting right behind me.
He needs to be admitted right away.
Patients experiencing flu-like symptoms
will be seen in the order
they were checked in.
He doesn't have the flu. He most
likely has a pulmonary contusion.
- He can't breathe.
- Sir, we have a process.
- Please take a seat.
- It's not "sir." It's "Doctor."
He's going into respiratory failure.
We need to get him on O2 now!
We don't need to do anything
because you are not authorized
to provide medical services
at this hospital.
Now, what you need to do
is go sit down, please.
Ohh! Help! Help! Please!
Nurse, call a code!
Bring me some oxygen now!
Hey, bud. Come on.
Okay. Just breathe for me, okay?
Just keep breathing.
You're gonna be fine.
♪♪
Sir, the situation is under control!
- Please remain in the lobby!
- Why don't you
remain in the lobby
where you can do less harm?
- I beg your pardon!
- He got us help!
He's not going anywhere!
♪♪
Watch your feet. Watch your feet.
♪♪
Somebody will be with you in a moment.
♪♪
Okay. Topher, you're gonna be alright.
I know you can't talk right now.
Can you click that pen for me?
Excellent. I'm gonna examine your ribs.
If you feel pain, just click it for me.
Alright? Here we go.
- [GROANS]
- [PEN CLICKING]
What's going on?
- Your son has broken ribs.
- My God.
I knew those boys were
tackling each other too hard.
It's possible that one of those
ribs has punctured the lungs.
That's why he's having
such a hard time breathing.
Sorry for the wait. It's a busy day.
Okay. Topher, is it?
Started feeling a little funky
yesterday. Thinking it's the flu?
No, we thought
it was the flu, but it's not.
- It's something else.
- He has a pulmonary contusion.
Multiple rib fractures
resulting in flail chest.
I know. It's real easy
to diagnose ourselves
these days on the Internet,
but don't you worry.
I'll get to the bottom of it, okay?
I'm just gonna start a line,
and then I'm gonna put in
an order for a quick COVID test.
Nurse, he does not have COVID.
I'm a doctor. I just examined him.
We need to get him in to a chest X-ray,
check for pneumothorax so
we can rule out pleural effusion.
Okay, but you're not a doctor here,
and his chart is telling me he's
displaying symptoms of COVID-19.
The chart is incorrect.
This patient is in critical condition.
- We need to act right now!
- Hey! Max!
- Is that you?
- Rodney. Hey. Thank God.
- Better not for right now.
- Hey, how did you get
better-looking since high school?
This kid's in critical condition.
I was in the lobby with him
when he collapsed.
We need to get him
in to a chest X-ray right now.
He's got multiple rib fractures.
Absent lung sounds on the left side.
- Possible tension pneumo.
- Okay, Becca.
Let's get him on a chest X-ray stat
and give him 4 milligrams of morphine.
You're gonna be okay, kid.
Alright? You're gonna be good.
I was hoping this would be
more of a sit down interview.
Yeah, you and me both.
I was looking forward to a cold beer,
a good catch-up, and a nice long lunch.
Yeah. Long lunch.
I almost remember what that is.
♪♪
[BUZZER]
- Hey. How's Mik? Pre-med?
- Uh, no.
Uh, in Oregon, spending 80K
to learn how to make wooden canoes.
- Help!
- What's going on?! Help him!
Tension pneumo.
Collapsed lung on the left side.
We need to get a chest tube
into him right now
- to relieve the tension.
- Okay, Becca.
Page the pediatric attending
to come take a quick look.
Rodney, Rodney.
We don't have time for that.
Oh, it's just it's just
protocol. It's a sign-off.
He's going into respiratory
right now. We need to act!
Hey, hey! Max! Max! Hang on!
Nurse, I need a scalpel, hemostats.
He's not picking up.
I'll have him paged.
If we wait any longer,
we could lose him.
Max, I am authorizing this
under Good Samaritan law
and our hospital's emergency protocols.
♪♪
Topher. We're right here with you.
This is gonna help you
breathe easier, I promise.
14-gauge needle. Decompressing first.
Topher, you're gonna feel some pressure.
Stay with me.
There you go.
Prepare for incision.
♪♪
Cutting through. Ribs are tight.
We need to be precise.
♪♪
Tube.
Now, this is gonna feel
a little strange.
Twisting. Almost done.
You're doing great.
♪♪
Tube's in. Let's get suction.
♪♪
Ready?
Okay. And breathe.
[AIR RUSHES]
[SOBS]
♪♪
[BREATHING DEEPLY]
You know, I was surprised
to get your call, Max.
Thrilled for sure, but surprised.
I mean, last I heard, you were
some big-shot East Coast doctor.
- [CHUCKLES]
- Now working on a cruise boat.
That must be nice.
They call it a ship, actually.
Oh, right. A ship.
I don't know how they do things
on your ship,
but, uh, here we have protocols.
[CHUCKLES] Yeah. Clearly. Lots of them.
Which only seem to dramatically
slow down the treatment process.
Well, they also keep people safe.
Really? Which people, Roddy?
'Cause when I look around,
I see a hospital
in need of radical changes
and some serious training.
[BREATHES DEEPLY]
I haven't been home for about 40 hours.
You saved that kid's life, Max.
I need more good doctors.
Good leaders, too. Right?
It's not paradise, but it's
These people deserve
you know, better.
Look, you'd be making a difference.
And I would be proud to have you here
to make all the changes you want.
♪♪
[BREATHES DEEPLY]
VIVIAN: It's been fun, right?
You're having fun?
Yeah. Lots. Are you?
Yeah. Yeah. Lots.
- Mm. Good.
- [CHUCKLES]
I'm glad.
I know this started
as a ship fling for both of us.
Especially you,
since you were all hung up on
I know things were
complicated with Avery,
- but now
- Now Now they're not.
So please just let me speak
before I lose my nerve.
Sorry.
You've changed a lot since we first met.
Between cutting back on drinking
and getting over Avery,
you've you've really grown.
♪♪
Thank you.
And I was thinking,
with all of these changes,
that maybe this could change.
Become something more serious.
Make a commitment.
What do you think?
♪♪
[EXHALES SHARPLY]
[CHUCKLES]
♪♪
Latest beach read?
"10 Women Medical Pioneers."
[CHUCKLES] Only you.
The first female doctor
applied to 10 medical schools
and was rejected by all of them,
and she was only admitted to one
after they polled the male students
who accepted her because
they thought it was a prank.
That was 1849.
Well, around the same time,
the head of the Navy
said the Navy could only be 5% Black.
Black men?
[CHUCKLES]
Black men. Yes.
Do you ever feel like maybe
they don't take you as seriously?
I used to, but now
they kind of have to.
But you're the head bitch
in charge this week.
How's that going?
Hm. About like that moment
Cap had a heart thing
and I had to be in charge
of the whole ship?
- About like that.
- Yeah?
I make it a point
not to fraternize on this ship.
Goes along with working twice
as hard, keeping up appearances,
et cetera, et cetera.
I only made an exception once.
Because I couldn't resist the
smartest woman I ever met
the most determined one
and also the hottest.
That was a long time ago.
Girl, if I would've known
you was gonna be a doctor,
I would have married you.
[LAUGHS]
Don't let anyone tell you
what you can and can't do.
Go to med school.
- Hey, Munroe.
- Yeah.
How's that shark bite treating ya?
Fine.
Hm. You aren't putting
any weight on that leg.
Been doing a lot of treadmill lately.
It's part of my recovery program.
Maybe I overdid it.
I'm sure it's nothing.
Okay. But do you mind
if we do a little workup?
Not at all.
Lead the way.
Alright. Your blood-test results
show elevated eosinophil levels.
- Is that good or bad?
- Neither.
It just means your body is having
an immune response to something.
Have you been experiencing
any nausea, diarrhea?
- [CHUCKLES]
- You're not gonna shock me.
Believe me. I've heard and seen it all.
Come on. Spill. What's up?
Things have been, uh, let's say
loose for a few weeks now.
Uh-oh. You, uh
got your bad-news face on.
Not at all, but I do want to do
a CT scan and an X-ray
just to be on the safe side.
♪♪
[BEEPING]
♪♪
♪♪
Now, that is a bad-news face.
What are they? Those white spots.
They are micro encysted larvae
embedded in your striated muscle tissue.
Spencer, listen. You have a very
serious parasitic infection.
I think it's Trichinella spiralis.
Trichinosis.
Larvae. Like worms?
Well, yes.
The larvae you ingested
went through the enteric phase.
They mate in your small intestine
and then go systemic
into the bloodstream,
into the striated muscle tissue,
as you can see here and here.
Ugh. I'm gonna be sick.
We need to treat this aggressively
so that it doesn't reach
your brain or your heart muscle.
Hey. We caught this.
You're gonna be okay. I promise.
How did I even How did I get it?
Trichinella spiralis is often acquired
by eating undercooked pork.
Can you think of anywhere
you might have eaten questionable pork?
I don't
I hardly ever eat off the ship.
Port Chiapas, Mexico, a few weeks ago?
We were out late.
We stopped at a roadside spot.
We had tacos.
[SIGHS] Pastor tacos.
"We"? Who were you with?
Uh, Tristan. I was with Tristan.
♪♪
We don't need to do anything
because you are not authorized
to provide medical services
at this hospital.
♪♪
He has a pulmonary contusion.
Multiple rib fractures
resulting in flail chest.
It's real easy to diagnose
ourselves these days on the Internet.
I'm a doctor. I just examined him.
Okay, but you're not a doctor here.
You saved that kid's life, Max.
I need more good doctors.
Good leaders, too.
♪♪
He's conscious.
Breath is rapid and irregular.
He aspirated a lot of water.
- Could be ARDS.
- Definitely ARDS.
She's in v-fib. Get the probe out now.
[RAPID BEEPING]
COVID antibodies in her blood work.
- BP is dropping. 93 over 54.
- Fluids are going.
Let's get her on corticosteroids.
Pulse weak.
Becoming some kind of team, huh?
[LAUGHTER]
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Ohhh ♪
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Thanks, Chris.
[CHATTER]
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Calcified cysts all over.
It's trichinosis.
What I'm saying is you were with him,
you had the same meal,
and I need to find a treatment
that makes the most sense
for both of you.
Let's just leave me out of it, please.
Just because you're okay now
doesn't mean you're in the clear.
I'm putting both of you on
corticosteroids and albendazole.
I will wait.
I'm not exhibiting any signs.
Plus, albendazole is a very nasty drug
with some rather horrible
side effects
like bleeding gums and hair loss.
Of the two, I can guess
which is scarier to you.
This can't be about your hair.
Max will be back soon,
so let's just, please,
with all possible respect, wait for him.
- Really?
- Mm-hmm.
No!
My circus, my pony,
or whatever the saying is.
Both of you could have little buggers
growing in your brain right now!
And if I start exhibiting
little buggers in my brain,
you'll be the first to know.
You two realize I'm right here.
[SIGHS]
Sorry. You need to go back to bed.
Come on, big guy.
♪♪
You may have several embedded
on the nerve tissue
on your spinal cord,
which could explain your heavy legs.
Your scans don't show
any larvae on the brain
or the myocardium yet,
but it may be too soon to tell.
Are these, like, what, tumors?
- No.
- No. No.
Tumors are uncontrolled cell growth.
This is far easier to deal with.
But, Munroe, we just got to port,
and it's my recommendation
that we get you off ship
and into a hospital
where you can be properly monitored.
Wait. Why Why can't I
just stay in my cabin?
Why do I have to go to a hospital?
Because if they
have made it to your brain,
you're at risk of seizure and stroke.
After that comes coma, meningitis,
and eventually death.
Question, have either of you
been barefoot in Mexico
in the last six weeks?
- Yeah.
- On the beach. Why?
Are you sure it's trichinosis?
- What if it's strongyloidiasis?
- It's not strongyloidiasis.
- What's strongyloidiasis?
- Strongyloidiasis
are a nasty little parasite
that make their way up
through cuts in your feet
and make condos in your brain.
I think we should put you both
on ivermectin. Let's do that.
Max, may I have a word?
♪♪
Bad pastor tacos two to three weeks ago.
Fits the timeline for encysted larvae.
It's T. spiralis.
Strongyloides have a longer life cycle.
And, either way,
ivermectin is broad spectrum.
It can be used to treat
most worm infections
- regardless of species.
- Let's lie down.
Are you going over my head?
Because ivermectin is no longer
considered the gold standard
and is proven to be less
effective against T. spiralis.
Ivermectin also can't cross
the blood brain barrier,
so if there are any parasites
on the brain tissue
or the central nervous system,
ivermectin won't work.
Good point. What do you recommend?
Albendazole. Combined with prednisone.
- [GRUNTING]
- Guys! Guys! He's seizing!
Get him on his side! And start blow by.
I'll push diazepam.
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Alright. The seizure definitely
supports your diagnosis.
And it's clearly made it
to his nervous system.
♪♪
You're still in charge here.
What are you waiting for?
Start barking out orders.
We need to get a CT scan
and an X-ray for Tristan,
as well as an EKG
to monitor cardiac involvement.
Start both of them on 400 milligrams
of albendazole twice daily
and a taper dose of prednisone.
- Yes, ma'am.
- Guys, guys.
- I-I really don't want help.
- There, there.
We're doing wonderful things
with toupées these days.
And plugs.
Too soon.
You'll be on these for a month.
- Thanks.
- Yeah.
- Hey, Aves
- Yeah.
Vivian and I,
well, we've been having fun
and she suggested
that we get more serious.
Ah, she said something
about being impressed with
how I stopped drinking and
She's right. It's really great.
- Thank you.
- Mm-hmm.
Um, and how I've gotten over you.
And [CHUCKLES]
Well, the second
that she said that, I, uh
I
I told her that it wasn't true.
I'm not over you, Avery.
And I don't want to get over you.
♪♪
Look, I understand
that these are my feelings,
and I don't need you to respond
in kind or even respond at all.
But I just want to be clear.
You know, I think it seems
you think my feelings for you
are childish and unserious
which makes sense.
I've been childish and unserious.
But if somebody felt for me
the way that I feel for you,
I-I'd want to know.
Especially if that person
knew me the way that I know you.
♪♪
My feelings for you are very real,
and they're very serious.
♪♪
I thought best to say all this
before my hair fell out.
So you are welcome.
♪♪
Ooh, la la la ♪
Ooh, la la la ♪
Ooh, la la la ♪
Strong.
How are you doing?
Oh, you know. Just a lot going on.
I owe you an apology.
Mm. Go on.
Well, you know that
little control freak in my brain
is a devil, and
when I walked into
the world of brain worms,
the card catalog in my head
just went a little berserk,
and I forgot that there is a world
in which you are just as good
at this as I am.
Maybe even better.
In this case, much better.
Max, I know what I'm doing.
I know.
I know. You're ten times
the medic I ever was.
And I'm sorry I doubted you.
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I had a job interview when I went home.
♪♪
So this is goodbye?
I just You know, I needed
to see if I belong there.
And
There is a lot for me.
You know, my brother's there.
My nieces.
A hospital that
desperately needs somebody
who knows what they're doing
and who cares.
But, you know, I spent a lot of
my life running up mountains,
hiking in the jungle,
sailing away at sea.
And I never really found
the one true thing
that gave it all meaning and purpose.
♪♪
Until I met you.
♪♪
You are that one true thing, Avery.
So that's why I came back.
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