Royal Pains s03e08 Episode Script
Run, Hank, Run
Previously on Royal Pains Evan it was really nice to meet you.
Hope to see you again real soon.
- Absolutely.
- Why didn't you tell Hank that you're doing shifts at the hospital? The only way out of this is for me to pay back Raj's parents.
You thought I missed the ascites, didn't you? I wasn't trying to flout your authority.
Turns out you probably saved his life.
I'd like to say thank you by buying you dinner.
Would you care for a drink? Yeah, maybe after So your theory then is that these persons created an accident to get to Marisa? - Yes.
- Find Marisa, find my son, and get me Galil.
I'm gonna propose to Paige.
Before you give her mom's ring, make sure you really know her.
Excuse me.
Are you okay? I'm okay, I'm okay.
It's a cramp.
Finish your run.
I just have to work out the gastroc.
- Not like that.
- Oh.
You got to go with the contraction or you'll tear the muscle fiber or, worse, wreck your achilles.
All right.
Thank you.
Yeah, it hurts like a mother.
Yeah.
It's not your gastrocnemius.
It's your soleus.
- Oh, cool.
- Okay, the second time isn't as bad.
Breathe.
Okay.
Oh! - Mm-hmm.
Yeah.
- Oh! That really helps.
I thought I was keeping hydrated, but this heat, my electrolytes must have been out of whack.
Actually, science has cooled on the whole cramping-hydration-electrolyte connection.
The latest hype is that it's fatigued nerve signals run amok that cause cramping.
- Really? - Mm-hmm.
- Are you are you a doctor? - No, no.
I'm just a seasoned runner.
But this cramp, it was from basic runner error.
Never sprint after distance.
Even if you are being outpaced by a girl.
Oh! Here you go.
You can put some weight on it now.
Okay.
Ahh.
Okay.
Aahh.
- How's that? - Better.
- Thanks.
- Good.
- I'm Hank.
- Jane.
Jane Cameron.
Hang on.
Jane Cameron? Two-time world champion Jane Cameron? Jane Cameron who just won the Boston marathon? Oh, my God, you almost broke the course record.
Eh, next time.
And then you carried your baby into the winners' circle.
- Yeah.
- That was very cute.
Okay, so you're a seasoned runner too.
Nope, just a doctor.
Really? I actually I need a doctor.
Are you a GP? The only thing is I need someone right away.
I may be able to help.
- Is it sports-related? - Mama! No.
Sorry.
Hi, sweetie.
Hi.
Where'd you come from? This is Mary.
- Hi, Mary.
- This is Dr.
Hank.
- And this is Mary's nana Riza.
- Hi.
- Hi.
- What happened? You never take so long for a 10k.
That was your 10k pace? I'll stick to my day job where I'm sure I can work you in.
Fantastic.
Paige? What are you doing? Sorry.
I didn't mean to wake you.
You just look so sweet.
I know.
And you didn't actually.
It was the heat that woke me up.
Yeah.
I like it hot.
Gah.
All right.
Let me see it.
Come on.
Let me see it.
Kate Winslet, eat your heart out.
It's not finished.
No, come on.
Paige.
Come on.
It's of me.
You're really not gonna show it to me? Whoa.
When did you start doing abstracts? Paige, this is amazing.
This is me cleaning my brush.
Okay.
I don't know art.
I do know what I like, though.
Oh, which piece did you choose? For the Hamptons Art Festival.
It starts tomorrow, right? Yeah, um, I actually missed the deadline with daddy's campaign and all.
But you were so excited about it.
I got excited.
Come on.
Amateurs' paintings hung side by side with famous artists.
That sounds like it's got Paige Collins written all over it.
Well, not really, since it's anonymous.
All the artists' identities are kept secret.
- You know what I mean.
- And we'll still go - and support them.
- No, but you should be in it.
Come on, you're Paige, you're really good.
You're really, really good.
Thank you.
Yeah.
And you can paint too.
What? You can.
You can paint.
You're amazing.
You are amazing.
Good one, Carlos.
Hi, Divya.
Tell us about your date.
Okay, it is not a date.
Do not listen to Jill.
It is a colleague's thank you, and, in any case, I have not accepted yet.
Divya, look in the mirror.
It's a date.
You should go.
No, no, no, no, no, it's okay to be scared to go.
He is a doctor.
I am a doctor, and I am telling you you do not want to date a doctor.
Okay, it's not a date.
Aye-yi-yi-yi-yi.
What's so funny? Nothing.
Carlos is just so cute.
So cute.
Uh, it's Boris.
No.
No, no, no.
Don't say a word.
Oh, okay, okay.
Coming.
- Hey.
Hi.
- Hank.
Oh, you brought the whole team.
- What's up? - Is Marisa not here? Uh, no, gee, I haven't seen her.
She hasn't been here? She didn't bring the baby? Not that I - Dieter! - Alert the team.
Tell them they never arrived, for God's sake.
Ya, ya, ya, ya.
Boris.
You can call off the red alert.
I swear I felt more freedom under Fidel.
Don't disappear like that.
- She wanted to surprise you.
- Which is impossible.
All right.
Well, it's spoiled now, but you may as well pick your gift.
Querida.
Are you okay? Boris, you should sit down.
Let me let me get you a glass of water.
I was concerned she hadn't returned, so Boris, come cool off.
This heat is brutal.
Damn it.
It's just a spill.
I got it.
It's okay.
You've been having muscle weakness? - Yeah.
- I need to examine you.
Not now.
Not now.
Royal Pains 3x08 - Run, Hank, Run Original air date August 17, 2011 Tell me more about your symptoms.
Well, it's only been since I arrived and it's been so hot.
I was great training through the winter.
But, um, now even after a recovery run, I get weak and feverish.
If I try and push past it and play with Mary, I get a headache.
And nothing really helps except a cool bath and some rest.
And then you feel fine? Yeah, I think maybe it's heatstroke.
Something's changed about my core temp regulation - since giving birth.
- Not likely.
Core temp changes take place within weeks, not months.
Have you been training extra hard? Not even.
I'm on easy splits, intervals, 5, 10ks.
Huh, well, heat could be a factor, but you're also anemic.
I am? I've never been before.
I eat meat.
Well, it may not be a diet-related iron deficiency.
I'll have the lab run a full panel.
- Thank you.
- Yeah.
Hey, Paige? Paige, you here, babe? No.
Yes.
Hey, Evan.
I didn't know you were here.
I wasn't.
I mean, I didn't know you were here, Mrs.
Collins.
How are you? How's the campaign trail trailing? Paige isn't with you? Paige is not at the moment, she's not.
Usually she is, though.
Because I don't just wander around your house when no one's here.
Is that her portfolio? Yes.
She's so gifted.
I know.
I know.
She's, like, the best artist I've ever met.
I'm glad you noticed.
That's more than I can say for her other boyfriends.
By other you meant previous, right, Mrs.
Collins? Did you not receive my message? I got it.
I didn't think we should wait.
What does medicine say about the irony of one's incurable disease commencing just as one has something to live for? It says, "don't jump to conclusions.
" Not every change signals the start of your illness.
It's extremely hot and humid.
You have a new baby.
It could be exhaustion, or you could have a summer flu.
Miss Katdare, do I have a fever? No.
I believe we've ruled out flu.
Even if your myopathy is an early symptom, it will most likely be a very slow and gradual process.
You mean decline.
It could take years for the muscle atrophy to be debilitating.
And even longer before you experience bone deterioration.
Thank you both for failing to list the dementia that will surely follow.
We should include Marisa.
She is an expert in VCP mutations.
Once my blood results are back, all right? I'm sorry.
Why are you still here? I said no.
It's too late.
Submissions were finalized last week.
I know.
That's the rule, right? But isn't art about the exception, if you think about it? Just please take a quick look.
My friend's got talent.
Everyone has a friend with talent.
Is everyone's friend a Collins, though? As in General Collins.
Ellen Collins is painting again? No.
No, her daughter Paige Collins.
But the family has been very generous to the art festival over the years.
Of course I support any serious student, but Just look, okay? This is huh.
This is impressive.
Look, every artist needed that first person, that one person who saw something in their work and gave 'em a break.
Every Leonardo, Michelangelo, Raphael.
If you say Donatello, I am going to know you're citing Ninja Turtles.
Who also needed a break.
Come on.
Those are part of the show.
You're letting rubber duckies in, but you're not gonna consider There was that painter that did withdraw this morning.
I'll take this one.
James, catalog this and hang it at 29.
And be careful when you cover the signature.
Very good eye, by the way.
I love I I could stare at that for hours.
It's not easy to capture that kind of perfection, you know.
Does it have a title? Um, is Nature's Bounty too obvious? Nature's Bounty.
Great.
Mm-hmm.
Thank you.
Marisa, where are you going? You must talk to Boris.
Boris.
This is crazy.
This is exactly what we agreed shouldn't happen.
What is it you think has happened, Hank? I think Marisa's being sent away without being told you might be symptomatic.
This is true.
It's a drastic overreaction.
At the first hint of symptoms, you're shutting out someone who loves you and can help.
I mean, you can't allow yourself to be isolated and terrorized by your illness.
I'm not afraid of my illness, Hank.
I'm afraid someone is after my son.
When I visited Kleinwalsertal this winter, certain cousins of mine were not thrilled to hear I would father an heir.
You think your relatives are capable of harming your child? The hit on my car, which Ms.
Casey deduced correctly was not an accident, suggests my adversaries might attempt a kidnapping to leverage their position, no? That's incredible.
Unfortunately, Hank, in my position, it is all too credible.
After today's false alarm, I realized I could not shield Marisa from the truth anymore.
She's agreed to take Carlos to a safe haven.
I'll join them when I can.
Boris, you've been under extreme pressure.
I'm sorry I accused you of hiding symptoms.
If Marisa were aware of the onset, do you think she would have agreed to go? Given these stressors, your physical reactions may not be symptoms at all.
I'm afraid evidence is developing to the contrary.
What do you mean? I've begun to have pain in my feet and legs.
On a scale of one to ten? Deep pain, Hank.
Deep.
In the bone.
I can remember my father describing just this type of pain.
I can't believe it would spread to your bones so rapidly, but I'll give you anti-inflammatories, and let's get you to the hospital for an MRI - and a bone scan.
- No.
No hospitals.
That's why you're here.
You want me to order everything in? Tell Dieter what you need.
All right? So my anemia isn't diet-related? The iron studies show a hemolytic anemia, meaning your red blood cells are being destroyed faster than they can be replaced.
Why would that happen? Your blood smear will help us answer that.
Unfortunately, the lab doesn't have those results yet.
But you have a theory.
There's a microangiopathic condition called runner's, or marcher's, anemia.
It occurs in infantry and long-distance runners.
The repetitive pounding of one's feet compresses the capillaries and leads to the fragmentation of red blood cells.
But I only run a few miles on asphalt.
Mostly I'm on sand.
Still, if your foot strike is too heavy, it causes the excretion of hemoglobin.
My foot strike is flawless.
My heel never lands ahead of my center of gravity, I shock-absorb mid-sole, springing to my toes, every stride is calibrated.
Look, as you said, it's a theory.
- Okay? - Mm-hmm.
Let's do a stress test.
I will admire your flawless foot strike and monitor your heart rate and core temp at the same time.
And you want me to run on that thing? I was that's what I was thinking.
Why, is it is it sacrilege? Like eating sugar-free carob in a world of Belgian chocolate.
Besides, it's when I'm in the sun that my core temp goes kaphooey.
Lucky for you I happen to have a gizmo that will measure your kaphooey level.
Well, great.
Bring it.
We'll run together later.
It's nice, huh? Mm-hmm.
Um, yeah, sure.
You're better.
Shh, stop saying that.
It's true.
Why don't we mosey on into the tent? Unless you lost interest after you didn't submit, that is? No, I am so relieved I didn't apply.
I'd have been too nervous to enjoy myself.
You should be proud of your work.
I am, but sharing it is such a personal thing.
So exposing.
You know, like being naked in public.
Right.
But naked in a good way, right? 'Cause I'm just not ready.
You can respect that, right? Totally.
Yeah.
Of course, respect can be shown in many ways.
Evan.
Doesn't art really belong to the public? Evan, you didn't.
Did you? Tell me you didn't.
I didn't.
I did.
I just wanted to support you.
That's all.
What possessed you? Oh, no.
What did you give them? A really good one.
It's one of my favorites.
It's look, I didn't mean to expose you.
I just Well, at least you exposed yourself too.
What do you mean by Oh, good Nelly.
Oh, my God.
And somebody's looking at it.
Yeah, he yeah, he really is.
Still? Yeah, he's really drinking it in.
Yeah, move on, buddy.
This is really one of your favorites? It is hard to choose which one is my favorite.
You're not embarrassed to be on the wall like that? No.
Not for you.
It's not even that obvious.
Come on.
Like, if you didn't know me - Look, it's the naked guy.
- Come on.
That's good.
I'm sorry, okay.
I'm sorry if I overstepped.
I'm I just believe in you.
That's all.
I know you're upset.
I'm not upset.
I mean, yeah, it's weird being here with all these real artists, but Thank you for believing in me.
And at least it is anonymous.
Excuse me.
Excuse me, excuse me, excuse me, excuse me.
What? Excuse me, ladies and gentlemen.
We have another sale.
Oh.
That's great.
Yeah.
Your MRI was clear.
Your bone scan shows synchronized remodeling with no disturbance.
No bowing or bending.
No brittle areas.
No misshaped joints.
None at all.
We are still waiting on your blood work, which will tell us more.
How's the pain? The anti-inflammatories you gave me have greatly reduced it.
Perhaps I was jumping the gun.
I feel almost up to swimming a few laps today.
Don't overdo it.
You are still having some muscle weakness.
As soon as I get your blood work, I'll report back.
Very good.
There it is.
Wow.
There is really a thermometer inside this thing? Yup.
So you swallow it.
Here.
It monitors your core temp, which I read with this.
- Cool.
- I told you I had gizmos.
Here.
All right.
Let's do it.
Nice.
I like to cool down out here.
Once Mary sees I'm home, it's mommy time.
Mm-hmm.
How do you feel? Strong.
Maybe a little warm.
Your core temp has been stable at 102 for the last 20 minutes.
Normal.
Guess a watched pot doesn't boil.
Hey.
Right on cue.
Oh.
This may be your results.
Yeah, Hank here.
Right.
Okay, what about the smear? Still? I put a rush on that.
All right.
Okay.
Never mind.
So there was hemoglobin in your urine consistent with a hemolytic anemia.
I'm gonna have to do my own Jane, are you okay? Here, here, give me Mary.
Hi, Mary.
Sit with your head down.
Right now.
Whoa.
Riza, I need your help.
It's okay.
Here you go.
Here you go, Mary.
Your core temp has spiked.
I'm gonna give you acetaminophen.
Do you think riza could draw a cool bath? That usually helps.
Yeah, it won't hurt.
I'm gonna draw blood and do my own smear, see if we can get you some answers.
Mary feels warm.
Have her join you in the tub.
Mary's temperature's back to normal.
Good.
Glad to hear it.
Here, I'm just gonna And so is yours.
Great.
But your blood smear showed an abnormality called Heinz bodies.
That's just you don't have runner's anemia You have another hemolytic anemia called G6PD.
And what is that? It's an enzyme deficiency that makes it hard to process iron.
I don't understand.
Why did that start right now? It didn't.
You were born with it.
But it takes one of several possible triggers to activate the condition.
Have you started any new medicines that you failed to mention? No.
Well, then we need to get you an appointment with a hematologist to confirm and to identify your trigger.
Do you need any help there? Okay.
And since it's inherited, Mary needs to be tested too.
Wait, Mary could be sick? Like you, she could be sensitive to a trigger.
But you've already escaped the worst scenario for an infant.
I mean, if a child goes undiagnosed and is suddenly ill for no reason, it can become critical.
Look, Mary should be fine, okay? I'll get you both appointments, and, once they identify the substance that's your trigger, there's no reason you can't both live like champions.
Champions.
But until then, no running.
Yeah.
Wow, this is amazing.
Oh, there's Evan.
- Uh, hey.
- Oh, hey.
What the hell you guys you guys came.
Yeah, of course we did.
You said Paige had a picture in the show.
Yes, I did.
Where is it? Um, her painting has been sold already.
So you missed that part of it.
So I'll show it to you later, though, if you can f Oh, my God.
Oh, my God.
Oh, my God.
Wait, wait.
Someone bought this? Oh, wow, that is really detailed.
Like an accident.
You want to look away, but you can't.
You can mock it if you must, but this sketch was just purchased by none other than Eric Kassabian of Kassabian Galleries, Manhattan, Rome, Madrid.
He just basically cherry-picked all the famous painters here.
The only unknown artist he bought was Paige.
Um, question.
Do you call that forced perspective or wishful thinking? Hey, you're all here.
- Hi.
- Hi.
- Congrats on the sale.
- Thank you.
And this is the man who bought it.
Eric, please meet everyone.
This is Divya, Jill, Hank, and Evan.
This is Eric Kassabian.
Eric Kassabian.
Cool.
Nice to meet you.
I'm Evan.
You probably recognize me from the We're tight.
That's all I can say.
You know what really caught my eye? Was this line.
- So Degas, you know? - I love Degas.
Oh, it shows.
Your warmth is what rescued the subject from cliche.
Paige, you know, her warmth rescued me Did you say cliche? I'd actually love to see more of your work.
- Do you have a booth? - I don't.
- You don't? - Yeah, but her portfolio's in my car, so we should grab it.
Oh, would you? Thanks, Evan.
And there's an artist that I want you to meet, someone that actually I collect.
Do you know Damien Hirst? - Is he here? - Yeah.
I met him at an opening in Soho, but I don't think he would remember.
Oh, I'm sure he remembers you.
- You're not very forgettable.
- Aw.
Katdare.
You just coming on? I worked all night.
Hematology.
Oh, tell me you didn't second-guess any hematologists.
I'm the jealous type.
So Friday, Nick and Toni's.
Going once, going twice, it's a date.
He said it's a date.
He also called me Katdare.
He calls the rest of us "hey, you.
" Okay, well, I'm glad you got it confirmed.
How'd Mary do with the tests? Okay, well, I'm coming by the hospital, so if you're still there, I'll get a full update then.
All right.
See you soon, Jane.
Ah! I didn't know you were here.
Yup.
Hello.
Divya called.
She's gonna be a little late this morning.
She's actually been taking her days off more lately.
Have you noticed that? No.
Paige here? No, she's she's beat, she said, and her mom just got home, so I think the whole thing was pretty overwhelming for her.
Sorry, am I am I boring you? No, no, no, I just got Boris's blood results.
These numbers make no sense.
No sense at all.
Could it be a mistake or something? Either that, or Boris is headed into kidney failure.
- He asked not to be disturbed.
- Don't worry.
It'll be my neck.
Boris? It's Hank.
I need you to wake up.
Did he take anything to sleep? No.
I'm checking your heart rate.
Uh! That hurts? Hyperesthesia to touch.
Okay, do you have other pain? My legs.
The soles of my feet are burning.
Stomach cramps.
Do you have nausea, any tingling - or numbness? - Yeah, in my arms.
Hank.
Okay, Boris, I need to draw more blood.
Your last results showed elevated creatinine, B.
U.
N.
, and liver enzymes, but your potassium was in the cellar, and other minerals were all over the map.
Okay, here we go.
- Boris! - Ah.
All right.
Okay, okay.
What just happened? Why did you pull away? I couldn't see.
What's wrong with your eyesight? There's a black spot in the middle of in the middle of Boris, does it hurt to move your eyes from side to side? Try it right now.
Yes.
Yes.
Retrobulbar neuritis? Are you kidding me? What is that? An inflammation of the optic nerve.
But why none of these symptoms line up with your illness.
The differential is ex What? Paresthesia.
My fingertips are tingling from touching your blood.
Why would that be? These aren't symptoms of your disease.
You've been poisoned.
They need to test for toxins and heavy metals, and it needs to happen now.
Okay, thanks, Jill.
Good timing.
Come right in.
Okay, you can set it up right over here, guys.
Thank you.
Boris, please roll over a little.
Good.
That's it.
Boris, I'm giving you a little sedation.
I'll start a central line so we can hemoperfuse, draw out your blood and pass it over absorbent charcoal to remove toxins.
Do you understand me? Okay, guys, I may need your help.
Boris, listen to me, I need you to stay very still while I find the subclavian vein.
If you move, I will have to restrain you.
- Yeah, I understand it.
- Thank you.
Okay, here we go.
Okay.
Okay, guys, let's remove the pillows to get him flat and start detoxifying.
Like the hematologist explained, your deficiency is activated by specific triggers.
These questions will help identify what that sensitivity is for you and your daughter.
Okay, I understand.
Okay, when did you arrive in the Hamptons? Ten days ago.
We're renting a cottage on covey court.
The one with the blue shutters? Across from that amazing garden? Yes.
My daughter always wants to pick their tomatoes.
When I was in the market, I was looking at that cottage.
In my dreams.
We love it there.
But we're brand-new, so we got really lucky finding a doctor.
You certainly did.
G6PD is a great catch.
Yeah, Dr.
Lawson's amazing.
Do you know him? Uh, he has an excellent reputation.
Well, he may be stopping by.
He said he was on his way.
Okay, we should get going then.
So have you started any new medications? No, and I've taken no antimalarials, and I don't eat beans.
Hank asked me all those questions.
Of course he did.
Those are the likely culprits.
No anti-inflammatories? - Nope.
- No quinine? - Nope.
- Okay, well, then I will share these with Jane, your neighbor's garden, do you do any gardening there? I have the opposite of a green thumb.
No, no, no, the closest I come to that garden is cooling down there after my daily run.
Do you know, are there any legumes, beans of any kind at all, growing in that garden? Maybe, yeah.
Why? We may have found your trigger.
We're setting up a lab across the hall to monitor your blood chemistry.
You're still tachycardic, so I'm pushing fluids.
Yeah.
I don't want to start forced diuresis until we know what toxin we're dealing with.
Here, here, here, let me help you.
Easy.
Just try to relax.
That's it.
Polyneuropathy, gastroenteritis, alopecia, dystrophy of the nails.
Yeah, Jill, have your lab test for thallium.
Thallium? That's a lethal toxicant.
He's still making urine.
I'm hoping we can reverse it before permanent liver or kidney damage.
Hank, this must be criminal.
Thallium isn't found naturally in the U.
S.
Yeah.
We're setting up a lab here, but for now I'm dependent on your guys to confirm.
Done.
I will notify the authorities and mobilize poison control.
Okay, does your pharmacy stock the antidote prussian blue? I'll check and call you right back.
Okay, and, Jill, see if you can find Divya.
I could use her help.
Um I'm on it.
Thank you.
- Where are they? - Boris' bedroom.
Hank.
What can I do? Double glove first and gown up.
Take precautions with all output fluids.
We're dealing with a highly toxic substance here.
Okay.
Poison control's trying to locate prussian blue.
They're an hour, maybe two away, best case.
Well, are they the only source? I mean, every minute counts now.
I read that prussian blue is used in industrial dyes, so, as a backup plan, I put feelers out to the community.
But, so far, no luck.
Okay.
Okay.
Ah.
Dr.
Lawson.
Prussian blue? - Yes.
- Great.
Oh.
Okay.
- Thank you very much.
- Good luck.
Boris, I'm gonna lean you forward a little bit so we can give you the antidote.
Good.
Here it is.
Okay.
Hey.
You needed me? Agent McCarthy does.
And how's Boris doing? On his last draw, his numbers seemed to be turning around.
Looks like he escaped permanent kidney damage, and he reports less burning in his feet, so that's a good sign.
The agents are testing all the food and drink in the house, as well as lotions, shampoos.
Excuse me.
I need to know food, drinking, drugs.
Dieter, his personal assistant, is the man to talk to.
I do know Boris smokes cigars, but that's about it.
- Deb.
Humidor? - Yeah? In his office.
Upstairs.
Check that out.
Hank, the agents need to test you as well.
As soon as Boris is stable, yeah, sure.
I heard you got some blood on you.
Yeah, it was a brief exposure.
My hands only went numb for a moment.
I wasn't immersed in it.
Hold on.
Thallium can be absorbed through the skin.
Absolutely.
Have your team check the pool.
Marisa was relieved to hear about your progress.
She wanted me to reassure you that she and Carlos are safe and looking forward to talking to you later.
And she was happy to hear that this was delivered.
Thank you.
You take care, Boris.
So prussian blue combined with hemoperfusion is reducing the thallium's half-life to a few days.
You can expect a full recovery.
That's good news.
Thank you, Hank.
Even better news is none of your symptoms were connected to your genetic mutation.
The attempted homicide is still a bit sobering, though.
Boris, there's a phenomenon with the VCP gene that I want to discuss with Marisa.
But certain changes can occur known as VOUS mutations.
V-O-U-S Variance Of Unknown Significance.
These mutations may not be harmful or signal a disease.
What are you saying? Thallium is an age-old poison odorless, tasteless.
It's been used to sicken victims for generations, maybe as long as your family's been divided.
A conspiracy? Huh.
Are you suggesting that I may have inherited a mutation but not a disease? It's worth considering.
For now, rest.
No more questions.
I have one question.
Where's Dieter? Thank you.
- Hey.
- Hey.
His creatinine level is almost high normal.
Good.
Okay.
You should go home, get some rest.
You first.
I've gotten a second wind.
And once I'm down, I may be out for the count.
All right.
I'll take you up on that.
Thank you.
Oh, I wanted to tell you, I got a message.
The marathon runner, the new patient I mentioned, turns out she has a G6PD anemia, and she got this amazing diagnosis.
Guess what the trigger is? Fava beans.
Favism.
And get this, she didn't have to eat the beans.
She just ran through a field where they were growing, and the pollen provoked the hemolytic event.
Wow.
Wow, that's amazing.
I know.
Have you even heard of such a thing? Jane said some nurse at Hamptons Heritage figured it out.
Oh, I wouldn't have guessed that.
I feel like sending that nurse some flowers.
Maybe Jill can ask who was on duty You know what, I'll take care of it.
Yeah.
You go get some sleep.
Okay.
Hey, Ev.
Are you loving this cool breeze? Huh? Hey, how's the modeling career? A little career advice don't sell yourself short, okay? Listen to me now.
You don't get out of bed for less than $10,000 a day.
Hello? Ev? You're not moving.
This concerns me.
What's wrong? I texted.
I called.
I left voice mails.
For Paige? Yeah.
And then when I finally talked to her last night, she said she was hanging with her parents.
Okay, well, they are close.
Except the general just called, looking for her.
Annoyed that I was monopolizing her.
He thinks she's been with me.
Maybe you were right, Henry.
Maybe I don't know her.
Maybe I don't know her at all.
Hope to see you again real soon.
- Absolutely.
- Why didn't you tell Hank that you're doing shifts at the hospital? The only way out of this is for me to pay back Raj's parents.
You thought I missed the ascites, didn't you? I wasn't trying to flout your authority.
Turns out you probably saved his life.
I'd like to say thank you by buying you dinner.
Would you care for a drink? Yeah, maybe after So your theory then is that these persons created an accident to get to Marisa? - Yes.
- Find Marisa, find my son, and get me Galil.
I'm gonna propose to Paige.
Before you give her mom's ring, make sure you really know her.
Excuse me.
Are you okay? I'm okay, I'm okay.
It's a cramp.
Finish your run.
I just have to work out the gastroc.
- Not like that.
- Oh.
You got to go with the contraction or you'll tear the muscle fiber or, worse, wreck your achilles.
All right.
Thank you.
Yeah, it hurts like a mother.
Yeah.
It's not your gastrocnemius.
It's your soleus.
- Oh, cool.
- Okay, the second time isn't as bad.
Breathe.
Okay.
Oh! - Mm-hmm.
Yeah.
- Oh! That really helps.
I thought I was keeping hydrated, but this heat, my electrolytes must have been out of whack.
Actually, science has cooled on the whole cramping-hydration-electrolyte connection.
The latest hype is that it's fatigued nerve signals run amok that cause cramping.
- Really? - Mm-hmm.
- Are you are you a doctor? - No, no.
I'm just a seasoned runner.
But this cramp, it was from basic runner error.
Never sprint after distance.
Even if you are being outpaced by a girl.
Oh! Here you go.
You can put some weight on it now.
Okay.
Ahh.
Okay.
Aahh.
- How's that? - Better.
- Thanks.
- Good.
- I'm Hank.
- Jane.
Jane Cameron.
Hang on.
Jane Cameron? Two-time world champion Jane Cameron? Jane Cameron who just won the Boston marathon? Oh, my God, you almost broke the course record.
Eh, next time.
And then you carried your baby into the winners' circle.
- Yeah.
- That was very cute.
Okay, so you're a seasoned runner too.
Nope, just a doctor.
Really? I actually I need a doctor.
Are you a GP? The only thing is I need someone right away.
I may be able to help.
- Is it sports-related? - Mama! No.
Sorry.
Hi, sweetie.
Hi.
Where'd you come from? This is Mary.
- Hi, Mary.
- This is Dr.
Hank.
- And this is Mary's nana Riza.
- Hi.
- Hi.
- What happened? You never take so long for a 10k.
That was your 10k pace? I'll stick to my day job where I'm sure I can work you in.
Fantastic.
Paige? What are you doing? Sorry.
I didn't mean to wake you.
You just look so sweet.
I know.
And you didn't actually.
It was the heat that woke me up.
Yeah.
I like it hot.
Gah.
All right.
Let me see it.
Come on.
Let me see it.
Kate Winslet, eat your heart out.
It's not finished.
No, come on.
Paige.
Come on.
It's of me.
You're really not gonna show it to me? Whoa.
When did you start doing abstracts? Paige, this is amazing.
This is me cleaning my brush.
Okay.
I don't know art.
I do know what I like, though.
Oh, which piece did you choose? For the Hamptons Art Festival.
It starts tomorrow, right? Yeah, um, I actually missed the deadline with daddy's campaign and all.
But you were so excited about it.
I got excited.
Come on.
Amateurs' paintings hung side by side with famous artists.
That sounds like it's got Paige Collins written all over it.
Well, not really, since it's anonymous.
All the artists' identities are kept secret.
- You know what I mean.
- And we'll still go - and support them.
- No, but you should be in it.
Come on, you're Paige, you're really good.
You're really, really good.
Thank you.
Yeah.
And you can paint too.
What? You can.
You can paint.
You're amazing.
You are amazing.
Good one, Carlos.
Hi, Divya.
Tell us about your date.
Okay, it is not a date.
Do not listen to Jill.
It is a colleague's thank you, and, in any case, I have not accepted yet.
Divya, look in the mirror.
It's a date.
You should go.
No, no, no, no, no, it's okay to be scared to go.
He is a doctor.
I am a doctor, and I am telling you you do not want to date a doctor.
Okay, it's not a date.
Aye-yi-yi-yi-yi.
What's so funny? Nothing.
Carlos is just so cute.
So cute.
Uh, it's Boris.
No.
No, no, no.
Don't say a word.
Oh, okay, okay.
Coming.
- Hey.
Hi.
- Hank.
Oh, you brought the whole team.
- What's up? - Is Marisa not here? Uh, no, gee, I haven't seen her.
She hasn't been here? She didn't bring the baby? Not that I - Dieter! - Alert the team.
Tell them they never arrived, for God's sake.
Ya, ya, ya, ya.
Boris.
You can call off the red alert.
I swear I felt more freedom under Fidel.
Don't disappear like that.
- She wanted to surprise you.
- Which is impossible.
All right.
Well, it's spoiled now, but you may as well pick your gift.
Querida.
Are you okay? Boris, you should sit down.
Let me let me get you a glass of water.
I was concerned she hadn't returned, so Boris, come cool off.
This heat is brutal.
Damn it.
It's just a spill.
I got it.
It's okay.
You've been having muscle weakness? - Yeah.
- I need to examine you.
Not now.
Not now.
Royal Pains 3x08 - Run, Hank, Run Original air date August 17, 2011 Tell me more about your symptoms.
Well, it's only been since I arrived and it's been so hot.
I was great training through the winter.
But, um, now even after a recovery run, I get weak and feverish.
If I try and push past it and play with Mary, I get a headache.
And nothing really helps except a cool bath and some rest.
And then you feel fine? Yeah, I think maybe it's heatstroke.
Something's changed about my core temp regulation - since giving birth.
- Not likely.
Core temp changes take place within weeks, not months.
Have you been training extra hard? Not even.
I'm on easy splits, intervals, 5, 10ks.
Huh, well, heat could be a factor, but you're also anemic.
I am? I've never been before.
I eat meat.
Well, it may not be a diet-related iron deficiency.
I'll have the lab run a full panel.
- Thank you.
- Yeah.
Hey, Paige? Paige, you here, babe? No.
Yes.
Hey, Evan.
I didn't know you were here.
I wasn't.
I mean, I didn't know you were here, Mrs.
Collins.
How are you? How's the campaign trail trailing? Paige isn't with you? Paige is not at the moment, she's not.
Usually she is, though.
Because I don't just wander around your house when no one's here.
Is that her portfolio? Yes.
She's so gifted.
I know.
I know.
She's, like, the best artist I've ever met.
I'm glad you noticed.
That's more than I can say for her other boyfriends.
By other you meant previous, right, Mrs.
Collins? Did you not receive my message? I got it.
I didn't think we should wait.
What does medicine say about the irony of one's incurable disease commencing just as one has something to live for? It says, "don't jump to conclusions.
" Not every change signals the start of your illness.
It's extremely hot and humid.
You have a new baby.
It could be exhaustion, or you could have a summer flu.
Miss Katdare, do I have a fever? No.
I believe we've ruled out flu.
Even if your myopathy is an early symptom, it will most likely be a very slow and gradual process.
You mean decline.
It could take years for the muscle atrophy to be debilitating.
And even longer before you experience bone deterioration.
Thank you both for failing to list the dementia that will surely follow.
We should include Marisa.
She is an expert in VCP mutations.
Once my blood results are back, all right? I'm sorry.
Why are you still here? I said no.
It's too late.
Submissions were finalized last week.
I know.
That's the rule, right? But isn't art about the exception, if you think about it? Just please take a quick look.
My friend's got talent.
Everyone has a friend with talent.
Is everyone's friend a Collins, though? As in General Collins.
Ellen Collins is painting again? No.
No, her daughter Paige Collins.
But the family has been very generous to the art festival over the years.
Of course I support any serious student, but Just look, okay? This is huh.
This is impressive.
Look, every artist needed that first person, that one person who saw something in their work and gave 'em a break.
Every Leonardo, Michelangelo, Raphael.
If you say Donatello, I am going to know you're citing Ninja Turtles.
Who also needed a break.
Come on.
Those are part of the show.
You're letting rubber duckies in, but you're not gonna consider There was that painter that did withdraw this morning.
I'll take this one.
James, catalog this and hang it at 29.
And be careful when you cover the signature.
Very good eye, by the way.
I love I I could stare at that for hours.
It's not easy to capture that kind of perfection, you know.
Does it have a title? Um, is Nature's Bounty too obvious? Nature's Bounty.
Great.
Mm-hmm.
Thank you.
Marisa, where are you going? You must talk to Boris.
Boris.
This is crazy.
This is exactly what we agreed shouldn't happen.
What is it you think has happened, Hank? I think Marisa's being sent away without being told you might be symptomatic.
This is true.
It's a drastic overreaction.
At the first hint of symptoms, you're shutting out someone who loves you and can help.
I mean, you can't allow yourself to be isolated and terrorized by your illness.
I'm not afraid of my illness, Hank.
I'm afraid someone is after my son.
When I visited Kleinwalsertal this winter, certain cousins of mine were not thrilled to hear I would father an heir.
You think your relatives are capable of harming your child? The hit on my car, which Ms.
Casey deduced correctly was not an accident, suggests my adversaries might attempt a kidnapping to leverage their position, no? That's incredible.
Unfortunately, Hank, in my position, it is all too credible.
After today's false alarm, I realized I could not shield Marisa from the truth anymore.
She's agreed to take Carlos to a safe haven.
I'll join them when I can.
Boris, you've been under extreme pressure.
I'm sorry I accused you of hiding symptoms.
If Marisa were aware of the onset, do you think she would have agreed to go? Given these stressors, your physical reactions may not be symptoms at all.
I'm afraid evidence is developing to the contrary.
What do you mean? I've begun to have pain in my feet and legs.
On a scale of one to ten? Deep pain, Hank.
Deep.
In the bone.
I can remember my father describing just this type of pain.
I can't believe it would spread to your bones so rapidly, but I'll give you anti-inflammatories, and let's get you to the hospital for an MRI - and a bone scan.
- No.
No hospitals.
That's why you're here.
You want me to order everything in? Tell Dieter what you need.
All right? So my anemia isn't diet-related? The iron studies show a hemolytic anemia, meaning your red blood cells are being destroyed faster than they can be replaced.
Why would that happen? Your blood smear will help us answer that.
Unfortunately, the lab doesn't have those results yet.
But you have a theory.
There's a microangiopathic condition called runner's, or marcher's, anemia.
It occurs in infantry and long-distance runners.
The repetitive pounding of one's feet compresses the capillaries and leads to the fragmentation of red blood cells.
But I only run a few miles on asphalt.
Mostly I'm on sand.
Still, if your foot strike is too heavy, it causes the excretion of hemoglobin.
My foot strike is flawless.
My heel never lands ahead of my center of gravity, I shock-absorb mid-sole, springing to my toes, every stride is calibrated.
Look, as you said, it's a theory.
- Okay? - Mm-hmm.
Let's do a stress test.
I will admire your flawless foot strike and monitor your heart rate and core temp at the same time.
And you want me to run on that thing? I was that's what I was thinking.
Why, is it is it sacrilege? Like eating sugar-free carob in a world of Belgian chocolate.
Besides, it's when I'm in the sun that my core temp goes kaphooey.
Lucky for you I happen to have a gizmo that will measure your kaphooey level.
Well, great.
Bring it.
We'll run together later.
It's nice, huh? Mm-hmm.
Um, yeah, sure.
You're better.
Shh, stop saying that.
It's true.
Why don't we mosey on into the tent? Unless you lost interest after you didn't submit, that is? No, I am so relieved I didn't apply.
I'd have been too nervous to enjoy myself.
You should be proud of your work.
I am, but sharing it is such a personal thing.
So exposing.
You know, like being naked in public.
Right.
But naked in a good way, right? 'Cause I'm just not ready.
You can respect that, right? Totally.
Yeah.
Of course, respect can be shown in many ways.
Evan.
Doesn't art really belong to the public? Evan, you didn't.
Did you? Tell me you didn't.
I didn't.
I did.
I just wanted to support you.
That's all.
What possessed you? Oh, no.
What did you give them? A really good one.
It's one of my favorites.
It's look, I didn't mean to expose you.
I just Well, at least you exposed yourself too.
What do you mean by Oh, good Nelly.
Oh, my God.
And somebody's looking at it.
Yeah, he yeah, he really is.
Still? Yeah, he's really drinking it in.
Yeah, move on, buddy.
This is really one of your favorites? It is hard to choose which one is my favorite.
You're not embarrassed to be on the wall like that? No.
Not for you.
It's not even that obvious.
Come on.
Like, if you didn't know me - Look, it's the naked guy.
- Come on.
That's good.
I'm sorry, okay.
I'm sorry if I overstepped.
I'm I just believe in you.
That's all.
I know you're upset.
I'm not upset.
I mean, yeah, it's weird being here with all these real artists, but Thank you for believing in me.
And at least it is anonymous.
Excuse me.
Excuse me, excuse me, excuse me, excuse me.
What? Excuse me, ladies and gentlemen.
We have another sale.
Oh.
That's great.
Yeah.
Your MRI was clear.
Your bone scan shows synchronized remodeling with no disturbance.
No bowing or bending.
No brittle areas.
No misshaped joints.
None at all.
We are still waiting on your blood work, which will tell us more.
How's the pain? The anti-inflammatories you gave me have greatly reduced it.
Perhaps I was jumping the gun.
I feel almost up to swimming a few laps today.
Don't overdo it.
You are still having some muscle weakness.
As soon as I get your blood work, I'll report back.
Very good.
There it is.
Wow.
There is really a thermometer inside this thing? Yup.
So you swallow it.
Here.
It monitors your core temp, which I read with this.
- Cool.
- I told you I had gizmos.
Here.
All right.
Let's do it.
Nice.
I like to cool down out here.
Once Mary sees I'm home, it's mommy time.
Mm-hmm.
How do you feel? Strong.
Maybe a little warm.
Your core temp has been stable at 102 for the last 20 minutes.
Normal.
Guess a watched pot doesn't boil.
Hey.
Right on cue.
Oh.
This may be your results.
Yeah, Hank here.
Right.
Okay, what about the smear? Still? I put a rush on that.
All right.
Okay.
Never mind.
So there was hemoglobin in your urine consistent with a hemolytic anemia.
I'm gonna have to do my own Jane, are you okay? Here, here, give me Mary.
Hi, Mary.
Sit with your head down.
Right now.
Whoa.
Riza, I need your help.
It's okay.
Here you go.
Here you go, Mary.
Your core temp has spiked.
I'm gonna give you acetaminophen.
Do you think riza could draw a cool bath? That usually helps.
Yeah, it won't hurt.
I'm gonna draw blood and do my own smear, see if we can get you some answers.
Mary feels warm.
Have her join you in the tub.
Mary's temperature's back to normal.
Good.
Glad to hear it.
Here, I'm just gonna And so is yours.
Great.
But your blood smear showed an abnormality called Heinz bodies.
That's just you don't have runner's anemia You have another hemolytic anemia called G6PD.
And what is that? It's an enzyme deficiency that makes it hard to process iron.
I don't understand.
Why did that start right now? It didn't.
You were born with it.
But it takes one of several possible triggers to activate the condition.
Have you started any new medicines that you failed to mention? No.
Well, then we need to get you an appointment with a hematologist to confirm and to identify your trigger.
Do you need any help there? Okay.
And since it's inherited, Mary needs to be tested too.
Wait, Mary could be sick? Like you, she could be sensitive to a trigger.
But you've already escaped the worst scenario for an infant.
I mean, if a child goes undiagnosed and is suddenly ill for no reason, it can become critical.
Look, Mary should be fine, okay? I'll get you both appointments, and, once they identify the substance that's your trigger, there's no reason you can't both live like champions.
Champions.
But until then, no running.
Yeah.
Wow, this is amazing.
Oh, there's Evan.
- Uh, hey.
- Oh, hey.
What the hell you guys you guys came.
Yeah, of course we did.
You said Paige had a picture in the show.
Yes, I did.
Where is it? Um, her painting has been sold already.
So you missed that part of it.
So I'll show it to you later, though, if you can f Oh, my God.
Oh, my God.
Oh, my God.
Wait, wait.
Someone bought this? Oh, wow, that is really detailed.
Like an accident.
You want to look away, but you can't.
You can mock it if you must, but this sketch was just purchased by none other than Eric Kassabian of Kassabian Galleries, Manhattan, Rome, Madrid.
He just basically cherry-picked all the famous painters here.
The only unknown artist he bought was Paige.
Um, question.
Do you call that forced perspective or wishful thinking? Hey, you're all here.
- Hi.
- Hi.
- Congrats on the sale.
- Thank you.
And this is the man who bought it.
Eric, please meet everyone.
This is Divya, Jill, Hank, and Evan.
This is Eric Kassabian.
Eric Kassabian.
Cool.
Nice to meet you.
I'm Evan.
You probably recognize me from the We're tight.
That's all I can say.
You know what really caught my eye? Was this line.
- So Degas, you know? - I love Degas.
Oh, it shows.
Your warmth is what rescued the subject from cliche.
Paige, you know, her warmth rescued me Did you say cliche? I'd actually love to see more of your work.
- Do you have a booth? - I don't.
- You don't? - Yeah, but her portfolio's in my car, so we should grab it.
Oh, would you? Thanks, Evan.
And there's an artist that I want you to meet, someone that actually I collect.
Do you know Damien Hirst? - Is he here? - Yeah.
I met him at an opening in Soho, but I don't think he would remember.
Oh, I'm sure he remembers you.
- You're not very forgettable.
- Aw.
Katdare.
You just coming on? I worked all night.
Hematology.
Oh, tell me you didn't second-guess any hematologists.
I'm the jealous type.
So Friday, Nick and Toni's.
Going once, going twice, it's a date.
He said it's a date.
He also called me Katdare.
He calls the rest of us "hey, you.
" Okay, well, I'm glad you got it confirmed.
How'd Mary do with the tests? Okay, well, I'm coming by the hospital, so if you're still there, I'll get a full update then.
All right.
See you soon, Jane.
Ah! I didn't know you were here.
Yup.
Hello.
Divya called.
She's gonna be a little late this morning.
She's actually been taking her days off more lately.
Have you noticed that? No.
Paige here? No, she's she's beat, she said, and her mom just got home, so I think the whole thing was pretty overwhelming for her.
Sorry, am I am I boring you? No, no, no, I just got Boris's blood results.
These numbers make no sense.
No sense at all.
Could it be a mistake or something? Either that, or Boris is headed into kidney failure.
- He asked not to be disturbed.
- Don't worry.
It'll be my neck.
Boris? It's Hank.
I need you to wake up.
Did he take anything to sleep? No.
I'm checking your heart rate.
Uh! That hurts? Hyperesthesia to touch.
Okay, do you have other pain? My legs.
The soles of my feet are burning.
Stomach cramps.
Do you have nausea, any tingling - or numbness? - Yeah, in my arms.
Hank.
Okay, Boris, I need to draw more blood.
Your last results showed elevated creatinine, B.
U.
N.
, and liver enzymes, but your potassium was in the cellar, and other minerals were all over the map.
Okay, here we go.
- Boris! - Ah.
All right.
Okay, okay.
What just happened? Why did you pull away? I couldn't see.
What's wrong with your eyesight? There's a black spot in the middle of in the middle of Boris, does it hurt to move your eyes from side to side? Try it right now.
Yes.
Yes.
Retrobulbar neuritis? Are you kidding me? What is that? An inflammation of the optic nerve.
But why none of these symptoms line up with your illness.
The differential is ex What? Paresthesia.
My fingertips are tingling from touching your blood.
Why would that be? These aren't symptoms of your disease.
You've been poisoned.
They need to test for toxins and heavy metals, and it needs to happen now.
Okay, thanks, Jill.
Good timing.
Come right in.
Okay, you can set it up right over here, guys.
Thank you.
Boris, please roll over a little.
Good.
That's it.
Boris, I'm giving you a little sedation.
I'll start a central line so we can hemoperfuse, draw out your blood and pass it over absorbent charcoal to remove toxins.
Do you understand me? Okay, guys, I may need your help.
Boris, listen to me, I need you to stay very still while I find the subclavian vein.
If you move, I will have to restrain you.
- Yeah, I understand it.
- Thank you.
Okay, here we go.
Okay.
Okay, guys, let's remove the pillows to get him flat and start detoxifying.
Like the hematologist explained, your deficiency is activated by specific triggers.
These questions will help identify what that sensitivity is for you and your daughter.
Okay, I understand.
Okay, when did you arrive in the Hamptons? Ten days ago.
We're renting a cottage on covey court.
The one with the blue shutters? Across from that amazing garden? Yes.
My daughter always wants to pick their tomatoes.
When I was in the market, I was looking at that cottage.
In my dreams.
We love it there.
But we're brand-new, so we got really lucky finding a doctor.
You certainly did.
G6PD is a great catch.
Yeah, Dr.
Lawson's amazing.
Do you know him? Uh, he has an excellent reputation.
Well, he may be stopping by.
He said he was on his way.
Okay, we should get going then.
So have you started any new medications? No, and I've taken no antimalarials, and I don't eat beans.
Hank asked me all those questions.
Of course he did.
Those are the likely culprits.
No anti-inflammatories? - Nope.
- No quinine? - Nope.
- Okay, well, then I will share these with Jane, your neighbor's garden, do you do any gardening there? I have the opposite of a green thumb.
No, no, no, the closest I come to that garden is cooling down there after my daily run.
Do you know, are there any legumes, beans of any kind at all, growing in that garden? Maybe, yeah.
Why? We may have found your trigger.
We're setting up a lab across the hall to monitor your blood chemistry.
You're still tachycardic, so I'm pushing fluids.
Yeah.
I don't want to start forced diuresis until we know what toxin we're dealing with.
Here, here, here, let me help you.
Easy.
Just try to relax.
That's it.
Polyneuropathy, gastroenteritis, alopecia, dystrophy of the nails.
Yeah, Jill, have your lab test for thallium.
Thallium? That's a lethal toxicant.
He's still making urine.
I'm hoping we can reverse it before permanent liver or kidney damage.
Hank, this must be criminal.
Thallium isn't found naturally in the U.
S.
Yeah.
We're setting up a lab here, but for now I'm dependent on your guys to confirm.
Done.
I will notify the authorities and mobilize poison control.
Okay, does your pharmacy stock the antidote prussian blue? I'll check and call you right back.
Okay, and, Jill, see if you can find Divya.
I could use her help.
Um I'm on it.
Thank you.
- Where are they? - Boris' bedroom.
Hank.
What can I do? Double glove first and gown up.
Take precautions with all output fluids.
We're dealing with a highly toxic substance here.
Okay.
Poison control's trying to locate prussian blue.
They're an hour, maybe two away, best case.
Well, are they the only source? I mean, every minute counts now.
I read that prussian blue is used in industrial dyes, so, as a backup plan, I put feelers out to the community.
But, so far, no luck.
Okay.
Okay.
Ah.
Dr.
Lawson.
Prussian blue? - Yes.
- Great.
Oh.
Okay.
- Thank you very much.
- Good luck.
Boris, I'm gonna lean you forward a little bit so we can give you the antidote.
Good.
Here it is.
Okay.
Hey.
You needed me? Agent McCarthy does.
And how's Boris doing? On his last draw, his numbers seemed to be turning around.
Looks like he escaped permanent kidney damage, and he reports less burning in his feet, so that's a good sign.
The agents are testing all the food and drink in the house, as well as lotions, shampoos.
Excuse me.
I need to know food, drinking, drugs.
Dieter, his personal assistant, is the man to talk to.
I do know Boris smokes cigars, but that's about it.
- Deb.
Humidor? - Yeah? In his office.
Upstairs.
Check that out.
Hank, the agents need to test you as well.
As soon as Boris is stable, yeah, sure.
I heard you got some blood on you.
Yeah, it was a brief exposure.
My hands only went numb for a moment.
I wasn't immersed in it.
Hold on.
Thallium can be absorbed through the skin.
Absolutely.
Have your team check the pool.
Marisa was relieved to hear about your progress.
She wanted me to reassure you that she and Carlos are safe and looking forward to talking to you later.
And she was happy to hear that this was delivered.
Thank you.
You take care, Boris.
So prussian blue combined with hemoperfusion is reducing the thallium's half-life to a few days.
You can expect a full recovery.
That's good news.
Thank you, Hank.
Even better news is none of your symptoms were connected to your genetic mutation.
The attempted homicide is still a bit sobering, though.
Boris, there's a phenomenon with the VCP gene that I want to discuss with Marisa.
But certain changes can occur known as VOUS mutations.
V-O-U-S Variance Of Unknown Significance.
These mutations may not be harmful or signal a disease.
What are you saying? Thallium is an age-old poison odorless, tasteless.
It's been used to sicken victims for generations, maybe as long as your family's been divided.
A conspiracy? Huh.
Are you suggesting that I may have inherited a mutation but not a disease? It's worth considering.
For now, rest.
No more questions.
I have one question.
Where's Dieter? Thank you.
- Hey.
- Hey.
His creatinine level is almost high normal.
Good.
Okay.
You should go home, get some rest.
You first.
I've gotten a second wind.
And once I'm down, I may be out for the count.
All right.
I'll take you up on that.
Thank you.
Oh, I wanted to tell you, I got a message.
The marathon runner, the new patient I mentioned, turns out she has a G6PD anemia, and she got this amazing diagnosis.
Guess what the trigger is? Fava beans.
Favism.
And get this, she didn't have to eat the beans.
She just ran through a field where they were growing, and the pollen provoked the hemolytic event.
Wow.
Wow, that's amazing.
I know.
Have you even heard of such a thing? Jane said some nurse at Hamptons Heritage figured it out.
Oh, I wouldn't have guessed that.
I feel like sending that nurse some flowers.
Maybe Jill can ask who was on duty You know what, I'll take care of it.
Yeah.
You go get some sleep.
Okay.
Hey, Ev.
Are you loving this cool breeze? Huh? Hey, how's the modeling career? A little career advice don't sell yourself short, okay? Listen to me now.
You don't get out of bed for less than $10,000 a day.
Hello? Ev? You're not moving.
This concerns me.
What's wrong? I texted.
I called.
I left voice mails.
For Paige? Yeah.
And then when I finally talked to her last night, she said she was hanging with her parents.
Okay, well, they are close.
Except the general just called, looking for her.
Annoyed that I was monopolizing her.
He thinks she's been with me.
Maybe you were right, Henry.
Maybe I don't know her.
Maybe I don't know her at all.