Royal Pains s08e04 Episode Script
Doubt of Africa
1 Previously on "Royal Pains" Help! Someone please help my brother.
Hang in there, Ian.
I promise you'll get your foot back in a sec.
I'd like to speak to your folks anyway.
They're not around, but, uh, do you have, like, a card or something? I've actually been in a lot of pain since the bike accident.
It looks like pancreatitis, so I'll need to reexamine you at some point.
And I'd like to talk to your aunt so that she knows what's going Yeah, that's fine.
(UPBEAT MUSIC) All right, check with the ER in Riverhead then.
Just get back to me, ASAP though, okay? All right, bye.
(SIGHS) Really? Two phones? You know you're running a hospital, not a stock exchange, right? One for hospital business development, one for staffing.
And one for HankMed.
This one usually stays in the bag though 'cause three phones would look ridiculous.
Plus, you pretty much got the day-to-day handled over there anyway.
Well, not today.
The bookkeeper dropped off these spreadsheets.
I need you to decipher them, please.
(SIGHS) Looks like we're low on retainers.
Oh, my God.
What, business development emergency? No.
Emergency room emergency.
Most of the physicians have come down with this awful summer cold right when the head of ER is on vacation, so it's just causing a whole bunch of Oh, my God! Now Dr.
Roseman can't make it back till later today.
I gotta go.
I gotta find someone to cover the ER.
I could do it.
You? Yeah, I could cover the shift.
It took the threat of an international incident to make you an attending, and that was just on paper.
You're House Call Hank, not Hospital Hank.
For you, I can make an exception.
I'll even give you a family discount.
- Morning, Jeremiah.
- Yes, it is.
Any chance you can help me with appointments? It's just you and me today.
Of course, I've been working on these data tables for hours.
I could use a break.
What? You just called seeing patients a break.
You've come a long way since you were isolating yourself in here.
Why is it just the two of us today? - What do we got? - Male, 30s.
Syncope.
Full-thickness forehead laceration.
- Let's go, let's go, let's go.
- Clear the way.
Welcome to the ER, Dr.
Lawson.
But we usually just let the EMTs bring them in.
Oh, okay.
What's your name? - Barry.
- Hi, Barry, I'm Hank.
Let's take a look at this.
When is the doctor getting here? I am the doctor.
Oh, uh, call me Dr.
Lawson.
So what happened? I was chopping vegetables for a salad.
This new diet is more work than it's worth.
Suddenly I got dizzy.
Next thing I knew, I was on the floor bleeding.
I must have hit the counter on the way down.
Huh.
Do you have a history of heart disease? - Any shortness of breath? - No.
Okay, you said you're on a new diet.
Do you eat a lot of salad? I do now.
I just went vegetarian.
Dr.
Lawson, should I call plastics? No, I can stitch it myself.
I need a 4.
0 Vicryl, 6.
0 nylon.
My ER is short on physicians.
You need to delegate.
Uh, all right, call plastics.
But make sure Barry's hematocrit is over 30.
Let me know immediately if it's not.
Got it.
(SIGHS) Hi, Hank.
Jill.
(UPBEAT MUSIC) I can't believe it! Why didn't you tell me you were coming? Well, I was gonna call you, but then I saw your name on the ER board, and I just I thought it'd be more fun to surprise you.
Mission accomplished.
Oh, Hank, sorry.
This is Dr.
deGroot.
Oh, please, call me Hans.
Hans, nice to meet you.
So what are you doing here? Well, the foundation had a fundraiser in the city, and they flew us in at the last minute.
And, well, ever since they put a picture of Hans and me on the homepage, we've accidentally become the face of the clinic.
Ah.
And who wouldn't want to open up their checkbook after seeing a photo of this beautiful woman vaccinating a baby? Okay, look, I'm pretty sure that it's the shirtless shot of you in the rain that tends to seal the deal.
- Huh.
- I gave my shirt to that boy as a makeshift sling.
It was medically necessary.
- Okay.
- Huh.
Hey, so, uh, cancel your plans tonight.
I'm trying to get everyone together for a HankMed family reunion before we head off on the red-eye.
- I wouldn't miss it.
- Good.
And if it's not too much to ask, I wondered if you could help me with some antibiotics for the trip back.
I have a sore throat.
Probably strep.
Been getting it a lot.
Okay, let me take a look.
(THERMOMETER BEEPING) Yeah, you do have a low-grade temp 99.
9.
- Any other symptoms? - Just a sore throat.
Okay, I'm just gonna grab a quick culture.
Open up, please.
Great.
Wow.
I never thought I would see Hank Lawson back in the ER.
What brought you in from the cold? Ah, it's just for today.
Long story.
- I'll tell you tonight.
- Okay.
- Jill? Oh, my gosh! - Hey! Aww, my favorite ER taskmaster hi! Wow.
We need to catch up.
And, Dr.
Lawson, we've got an ingrown toenail with paronychia.
Okay, I'll be right there.
Um, here is a script for penicillin, and I will let you know the results of the strep test.
- Thank you.
- Okay.
So good to see you.
So yeah, I'll see you tonight, okay? All right, great.
- All right, bye.
- Bye.
Nice to meet you, Hans.
Bye.
Dr.
Lawson? - Dr.
Lawson! - Yes, right.
Coming.
Hello, Miss Green? I'm Dr.
Sacani from HankMed.
Oh, hi.
Sorry, I got buried in my work, and I forgot you were coming.
That's all right.
I'm familiar with the experience of being lost in one's work.
What can I do for you? Uh, I've been feeling well, it's my head, and I I just feel Is your headache sharp or a dull pain? Uh, dull at the temples.
Just on and off for a few weeks.
What else? You just feeling sort of, um, achy, tired, sore, weak? Weak that's it.
And my wrist started hurting this morning.
Okay, um, we'll start with an exam.
I'll get some vitals.
Dr.
Sacani? Uh, those bottles have scrolls in them, like the Message Tree from "The Chronicles of Zall.
" Are you a C.
G.
Leviathan fan? Well, I You're obviously familiar with the books.
Uh, very.
There's a book festival in town.
I was thinking of going.
They're gonna have a, uh, a panel on whether Jazwick is really dead.
Sacerdas saw his death in a vision, but the visions have been changeable in the past.
I saw that they were doing that panel.
Are you going? I-I considered it, but, uh It's crowds make me nervous.
Oh, me too.
But I was hoping I could find out whether Leviathan has finished writing the new installment.
He is as mysterious as his next book.
Even the Internet doesn't know who he really is.
Oh, um, your blood pressure is a bit high, so we should, uh, keep an eye on that.
In the meantime, I'd like to examine your wrist, and I'll draw some blood to check for thyroid irregularities or nutritional deficiencies.
Uh, Ms.
Green, what is your first name? Cindy.
Cin Wait oh.
Cindy Green.
C.
G.
You're C.
G.
Leviathan? Hey, Lena from the bike crash, right? - Yeah.
- How's your brother's foot? He's great.
Back to bouncing off the walls.
Well, you're not.
So what's going on? I keep throwing up.
Apparently, taco trucks that are Instagram famous can still give you food poisoning.
Okay, well, let's make sure it's not something worse than bad tacos.
Lie back, please.
Does that hurt? - Yeah, a little.
- Okay.
No, I just I think that it's just that I'm sore from all the throwing up.
Right, um, Margaret? We need a CBC, BMP, UPREG, and then start her on Zofran and IV fluids.
- Doctor? - Hey, um you're in good hands with Nurse Margaret here.
I'll come back soon to check up on you.
Hey, what are you doing here? Did you get an executive paper cut from all that business developing? Uh, no, I'm here 'cause, uh, your department's backed up.
Connecting with patients makes you an amazing concierge doctor, but you can't run the ER like HankMed.
So just just treat them and move on, okay? Wait, did you seriously just come down here to tell me to move the meat? No, I came down here to tell you to move the patients.
Huh.
Like that guy with the cut on his forehead.
- Barry? - Yes, Barry.
You know you spent 22% more time with him than our average for lacerations? 22% what happened during that 22%? Did you learn all his hopes and dreams? No, I learned that he's on a new vegetarian diet, which caused anemia.
That's why he fainted.
That's what I learned.
- Clear the way! Bed right here! - Male, late 40s.
He was found unconscious in his office.
He has no pulse and is not responding to chest compressions.
Okay, thank you.
Let's get him on the bed.
On three one, two, three.
Okay.
What's this? Who wears a fanny pack with a suit? This is not the time.
It's not a fanny pack.
It's a battery.
It's connected to something.
Whoa, whoa, whoa.
Stop, stop, stop.
He has a Left Ventricular Assist Device in his heart.
Compressions could kill him.
Um, call the cardiothoracic surgeon.
Tell her to prep the OR.
The wire from the battery pack to his pump has been cut.
The pump was the only thing perfusing his body.
Yeah, we don't have time to replace it.
Okay, um, get me a scalpel, electrical tape, a bunch of hemostats, and some cardboard.
We're gonna reconnect the battery.
Thank you.
His SpO2 is below 80.
Ground it.
(DRAMATIC MUSIC) Okay, good.
(MACHINE BEEPING) He's pinking up.
Nice work, Dr.
Lawson.
I've never seen that before.
You hired the right guy for the right day.
(UPBEAT MUSIC) I just stumbled into my desk.
Isn't an X-ray a bit overkill? No, it's an appropriate diagnostic tool given the amount of swelling and tenderness in your wrist.
I got that.
(SIGHS) It is fractured, which is surprising, given the low-impact nature of your injury.
Um, I'll splint the wrist for now, and we can put the cast on when the swelling subsides.
It broke so easily.
I I know I don't get out much, but I'm not frail.
We'll do some bone density tests to see if there's something else going on.
And your wrist will heal soon, so don't worry.
You'll be typing again in no time.
Wait, I won't be able to type? How much time is "no time"? Well, as you yourself wrote, "The Great Sea can be crossed quickly, but better to cross it safely.
" You're worried because you're on a deadline? Book six is due to my editor next month.
The fans are waiting.
Yes, we are.
What brought you to my books? Um, I have trouble picking up on unarticulated emotions sometimes, and my therapist recommended your fiction as an intermediary step 'cause the characters often tell you exactly what they're feeling.
But you read me though, just now.
You knew why I was worried.
I must be making progress.
I don't mean to brag.
I have trouble relating to people sometimes too.
They can be so loud and fast.
Everyone coming at you, wanting answers.
That's why I love writing.
My characters quiet down when I tell them to.
- I could type.
- What? You could dictate, and I could type.
According to Mavis Beacon, I'm above average in both speed and accuracy.
You should know, I am bound by doctor-patient confidentiality, not to divulge any secrets I may learn about Zall.
Is this you being nice or you wanting to know what happens in book six? Um, both.
So what else is new? - I miss caffeine.
- (LAUGHS) Well, on the plus side, you are the most beautiful pregnant woman ever.
(LAUGHS) Can you please come over every morning and tell me that when I can't fit into anything? Deal.
In a few weeks, I don't know where you're gonna be coming to.
Still no word from Johns Hopkins? Nope, nothing yet.
Well, be patient.
You'll end up where you're supposed to be.
What matters is that you're taking a leave.
Like you did.
Yeah, remember how terrified I was? But once I realized it was my dream, there was no turning back.
Hey I am so proud of you.
Sometimes I think I'm crazy for taking this on, Jill.
The Divya Katdare I know can handle it all.
- Hey! - BOTH: Hey.
Here you go.
Extra hot, extra shot.
- You remembered.
- I did.
So how's it going in the ER? Yeah, word is you pulled off this miraculous save with cardboard and duct tape? Oh, uh, actually, it was electrical tape.
Oh.
You do know the point of an ER is that they have all the equipment that you need that you don't need to build some crazy contraption like you do at HankMed? I had to rewire an LVAD on the fly.
I mean, they don't exactly have a tool for that lying around.
Some things don't change.
It is so good to all be together again.
You sure you can't stay awhile? I really wish I could, but we've got so much going on right now.
The foundation wants to send me to some of their other clinics to introduce our new health care training initiative.
Jill is being modest.
She designed the program herself, and because it's been so successful, they wanna put it in clinics all over the world.
Oh, my God.
That sounds incredible.
Thank you.
(RATTLING) Ugh, I'm all set for the trip back.
First-world medicine is amazing.
(LAUGHS) Hans, I'm so glad to finally meet you on this trip.
I've heard so much about you.
You have? Well, yeah, hello! The monsoon story? - The monsoon story.
- Oh, right, right, right.
When there was a puddle so big outside Jill's bungalow that people were actually fishing in it.
Yeah, no.
The other monsoon story.
When the village flooded and Hans improvised a rope bridge across the ravine.
He even saved the goat.
Ah.
I just knew the right knots to tie.
At last, my scouting days in Naaldenveld gave me something besides chigger bites.
(LAUGHS) And what did the grateful villagers call you? Dr.
Big One.
(LAUGHTER) - Dr.
Big One? - Mm.
His surname, deGroot, translates that way.
Oh, how nice for you.
Mine means "son of Lawrence.
" - (CHUCKLES) Hey, isn't that Lena Crawford? Is her pancreatitis acting up? Pancreatitis? She didn't mention that.
Excuse us a moment.
- Hey, Lena.
- You okay? Why didn't you tell me about your pancreatitis? Because I'm better now.
That was, like, forever ago.
Well, you may not be completely better.
Your vomiting could be caused by pancreatic pseudocysts.
I'm fine.
I'm sorry, I really need to get going.
No, you really need to stay here.
If you have pseudocysts, we have to drain them.
Otherwise they could rupture.
Please, come back with us.
- Hey.
- Hey.
Evan, thank you for sending so many supplies to the clinic.
Oh, of course.
Yeah, Hamptons Heritage is always happy to do what we can for the, uh, people of - Sierra Leone.
- Sierra Leone.
That's right, and all nations, really.
That's why I paused just then.
I was gonna list them all.
Uh, have you guys seen Hank yet? Yeah, uh, in the ER, of all places.
Mm-hmm.
And he helped me out with a much needed prescription.
Oh, I hope everything's okay.
Yeah, just running a slight fever.
And you were just in Sierra Leone? Right this way, please.
Ladies and gentlemen, nice and easy.
MAN OVER PA SYSTEM: Code quarantine, ER.
Code 529.
- Hey, what's going on? - Quarantine.
Down the hall to the right or left.
Keep calm.
Look the other way.
All right, this is clear.
Guys, guys, what's happening? I forgot about first-world bureaucracy.
We're activating quarantine protocol.
If a patient possibly has Ebola Ebola? He has strep.
He has a fever and was just in Sierra Leone.
Okay, okay.
Help me out here.
Was Hans in an area where there have been reported cases of Ebola? (EXHALES) There have been no recent cases.
Right, and he's showing no other symptoms.
If a patient presents with a fever and has just visited an outbreak region, I have to quarantine, okay, until we get the results of a blood test.
Ev, you're overreacting.
I'm following protocol.
Let's go, guys.
- Paper booties.
- Paper booties.
- Paper booties.
- (PHONE RINGING) Damn it.
"Dan's Papers" has it already.
Evan R.
Lawson.
No, no, no.
This is not a crisis.
Sanitize your hands thoroughly.
There's a chart on the wall.
Yeah, don't need a chart.
No, that's not true.
We're just covering our bases.
That's right.
I've notified the DOHMH.
Now we're just waiting for the LRN to finish EVD testing.
And, uh whoa, whoa, whoa, whoa, whoa! "Make sure to let the sanitizer dry completely before putting the gloves on.
" Yeah, why don't I take over the checklist? - No, it's - I know protocol.
(PHONE BUZZING) Thank you.
- Nitrile gloves.
- Nitrile gloves.
Well, no comment.
No, sorry, bye.
Evan R.
Lawson.
Yes, thank you for calling back.
Uh-huh, yes, this is definitely a crisis.
We need CDC backup, ASAP.
You know, Jill, I'm the Ebola lead here.
I need to ask if you traveled to Sierra Leone.
No.
Hans went alone.
Okay, disposable gown.
(CLEARS THROAT) What about your contact with Hans? I thought you weren't worried about Ebola.
I'm not, but I'm worried about you.
(CLEARS THROAT) Hans came straight from Sierra Leone, and we met up at the fundraiser, but he left early because he had a sore throat.
- Face mask.
- Face mask.
Well, I'm still gonna want to take your temperature when we're done here.
When will that be? It takes about 10 minutes to don, 20 to doff.
(BEEP) man over PA system: Trauma 100.
MVA.
Three non-critical.
They're gonna need you.
I can do the blood draw on Hans.
Hank, you can't do everything.
All right? We can handle this.
Okay.
Okay, let's go, Margaret.
- Paper booties.
- Paper booties.
- Hey whoa! You okay? - (GASPS) Yeah, I'm fine.
I'm good.
I just needed some fresh air.
All right, I need to talk to you about a patient.
Right.
Wait, wait.
(WHISPERS) Hey, come on.
Ix-nay on the arantine-quay.
(WHISPERS) What are you talking about? Oh, you don't know.
Um, so Hans Jill's Hans, he's under quarantine for possible Ebola.
But don't worry.
Even though we came in contact with him, we're not considered persons under investigation unless a positive blood test comes back.
And I acted really quickly, so I'm fully confident that you and your baby are totally What are his symptoms? Just a fever so far.
You know, Ebola's only contagious when someone is symptomatic and only through close and direct contact with infected bodily fluids.
You sound just like Hank.
We both studied medicine.
Oh, really? You did? Did you both study running a hospital? Did you? Let's just say for a second, okay, hypothetically let's just say I let this go, and it is Ebola.
What happens? First, Boris fires me, okay? Then the community goes into a panic, as Ebola spreads across the entire country until we're in a zombie apocalypse.
Hank disagreed with your zombie apocalypse theory? Yes.
(SIGHS) But I'm right, right? I had to call a quarantine.
I don't have all the facts.
Totally get that, but I am right.
While you're worrying about being right, I'm worried about Lena.
Who's Lena? She's a HankMed patient with traumatic pancreatitis, which caused pseudocysts.
She needs a laparoscopic procedure Are you coming up to a word I'll understand anytime soon? She's 17 years old, and her parents passed away.
Oh.
Um, well, her guardian will have to clear the surgery.
Her Aunt Rosanna returned my call from an out-of-state number.
She was very vague about where she was, so I'm starting to wonder if she's reliable.
Lena has two younger brothers.
I stopped by to check in on them, but they weren't home.
I just I don't know who's watching them.
I'll have a social worker look into it, okay? - Thank you.
- Yeah.
As airbag burns go, this one's pretty minor.
You can pick up your Bacitracin prescription on the way out.
No hurries.
My dad's just gonna lecture me about being a bad driver anyways.
Hey, you were in an accident.
And it wasn't even my fault.
It was the shoe's fault.
My heel got caught on the floor mat.
Well, maybe stick to flats for a while.
You know what, that may not be a bad idea after all, 'cause now I can go shopping.
You see? There's always a silver lining.
- Thank you.
- You got it.
(DOOR OPENS) (SIGHS) Ugh, I'm so sorry about all this.
Nah, don't be.
This is the best sleep Hans has had in years, thanks to the air conditioning.
It's very luxurious.
Another silver lining.
You know, Hank, you should cut Evan some slack.
Even though he's wrong? Protocols are designed to cover everything.
Including the hospital's ass.
You remember what it was like dealing with bureaucracy.
I do.
I guess it was just a little easier when you were the administrator.
I was never your boss.
And we didn't always see eye to eye.
I think we did pretty well together.
We did.
I'm so surprised to see you here, even as a favor to your brother.
Yeah, I don't know.
Maybe I wanted to see if I still had it in me.
The truth is, I forgot how much fun it is.
Well, mostly.
What about you? This make you miss the Hamptons? I miss it every day.
Especially the people, but I love being in Africa.
It's the best decision I've ever made.
I needed to challenge myself, and now I just I feel more alive.
It works for you.
You look happy.
Mm.
You look happy too.
Hans? (PHONE RINGING) Hey.
Are you okay? My fever has spiked.
102 degrees.
I didn't see that twist coming, but I did know Jazwick wasn't dead.
(SIGHS) I can't believe that I'm trusting you.
I gave you my word.
Okay.
So remember when Gompho discovered the mystery herbs? Right.
You mean Ocimum discovered them.
The herbalist.
Oh, I I mixed them up.
That's so odd.
Actually, sit down for a minute.
I should recheck your blood pressure.
(SIGHS) Something wrong? I'm putting myself into the world of my story.
It's not easy with you here.
I-I don't usually bring people in with me when I write.
Well, I wish I were more of a creative type, so I could keep up.
I don't think of it as creating.
I just follow the characters where they lead me.
I know it sounds strange to say about a fantasy kingdom, but it's very real to me.
I developed a virosome.
What's that? It's a synthetic vector that combines the carrying capacity and immune advantages of plasmids with the specificity and efficiency of a virus.
And that's what it felt like to me.
I-I followed the data and saw where it led me from the security of my lab, but I also find good things when I venture out into other worlds.
Um, uh, so when Oon proposes, - Astaria says yes.
- Right.
Oh, no, but, uh, he's evil and her brother.
Oh, I I don't know why I keep You all right? - Oh.
- Oh.
200 over 130.
That's too high.
Easy.
911.
This is Dr.
Jeremiah Sacani.
I have a patient in hypertensive crisis.
- What's your address? - 40 Timber Lane.
- We're on our way.
- Thank you.
I'm gonna give you Labetalol to temporize your BP.
Don't worry, I'll take care of you.
That's good.
He said the Tylenol you gave him helped his fever, but his eye is really swollen.
Okay, um, put him on speaker.
Hans, are you feeling nauseous at all? No.
But we all know that eye swelling is a late-stage Ebola symptom.
Hey, let's wait for the test results before you start talking like that.
Yeah, Jill's right.
Why would you have a late-stage symptom before any of the early ones? (DOOR OPENS) - Hey.
Dr.
Roseman just showed up for the evening shift, which means you're free.
Okay, good, good.
I wanna get a closer look at Hans' eye.
All right, I'll help with the PPE.
I just I can't figure out why it would only be one eye.
Wait a second.
Wait a second.
Hans, does your eye feel warm? My whole face feels warm.
Okay, have you ever had a blowout fracture? Yes.
Okay, I'm going in.
Whoa, you gotta get in your gear.
He has an infection that's clearly getting worse.
Okay, we have to start him on broad-spectrum antibiotics now, or he could go septic and die while we wait for the Ebola test.
Henry, you go in there without gear, you're quarantined too.
Henry.
So your eye swelling is unilateral, and you haven't had any nausea or vomiting? When I was 12, I hit my face on the ice and broke the floor of my eye socket.
I was saving my little brother when he fell through.
Of course you were.
And they put in a metal plate? Yes.
I think your strep throat bacteria spread to the plate, which is acting as a nidus for the bacteria to lodge and multiply.
Bacterial biofilms on the implant.
Exactly.
I hope you're right.
Well, let's prove I am.
Okay, I'm just gonna give you some numbing drops.
Okay, good.
And here we go.
Yep.
Sure looks like an infection.
Let's check it out.
Okay, I'm just gonna add some dye.
And now we just need Ah.
I guess I'll have to send it to the lab.
You're looking for a microscope? Yeah.
A microscope app.
Never know when I'm unable to get to a lab.
(CHUCKLES) I am definitely getting one of those.
Okay.
Yep, there it is.
Guys? There are white cells and bacteria in the fluid, which confirms infection.
That's why he has a fever.
- Boys, come on, please.
- Hey.
- (KNOCKING) - Give it back.
Hey, guys.
How are you? I'm Evan.
I'm the hospital administrator.
That means boss.
I'm Wes.
This is Ian.
- Hello.
- Hi.
That makes you Lena, right? So there's a guy refilling the vending machine at the end of the hall.
If you drop my name, Evan R.
Lawson, he'll give you a freebie.
Then you and I could talk.
Go ahead, guys.
- Yes! - Evan R.
Lawson.
Don't forget the R! So your doctor tells me you're checking out against medical advice? Yeah, because this stupid hospital, which I guess means you, decided to send a social worker to my house.
Right.
We were just worried about your brothers.
They were at the neighbors', but now there's gonna be a child services investigation and a hearing, so thank you very much for messing up our lives.
So your aunt is away? (SCOFFS) When's she coming home? Tomorrow.
I don't believe you.
Now I'm a liar.
No, you're a survivor.
I know 'cause I used to be one too.
Yeah, well, I don't believe you.
I lost my mom when I was, uh, I guess a little younger than you.
This is after my dad bailed, so then it was just me and my brother.
We bounced around, but mostly we just had each other.
Does that sound familiar? (SCOFFS) Just because you had to take care of your little brother doesn't mean you know anything No.
He had to take care of me.
I was the little brother.
So I know how much your brothers need you.
You can't really be there for them if you don't get well.
So can they stay at the neighbors' for a couple more days? Can you call off the investigation? No, but I can be on your side.
(SOFT ACOUSTIC MUSIC) - Hey.
- Hi.
Your blood pressure is stabilized.
Um, but your lab results show high sugar and low potassium.
So I ran your cortisol levels, and they confirm Cushing's disease.
What is that? Uh, an adenoma on your pituitary gland is causing it to release too much ACTH, which stimulates cortisol production.
Your headaches, weakness, bone loss, confusion, high blood pressure were all caused by too much cortisol.
Will I be okay? After a transsphenoidal adenomectomy, yes.
I love those words, but the only one I understood was "yes.
" Um, surgeons will remove the adenoma, through your nose, actually, which is minimally invasive.
You'll be back to work in a couple days.
And until your wrist heals, you can count on me as your stenographer.
Oh, thank you.
My editor thanks you too.
Speaking of Zall, I had a thought.
If I could get you out of the hospital for a few hours before the surgery, would you accompany me on a quest? Yes, I assure you the crisis is under control.
(PHONE BUZZES) Hold on for one second.
I told you there's no news story here, 'cause there was never a crisis.
It I'll call you back.
Don't worry, I'm not contagious.
Hans' Ebola test came back negative.
And his CT proved that he had strep bacteria on the metal plate in his face.
He'll be okay.
Thanks.
You're very welcome.
For the record though, I knew it.
I knew you would never be able to take directions from your little brother.
If Jill had told you to quarantine a patient, you would've done it.
You wouldn't have challenged her in front of the whole hospital.
It wasn't the whole hospital.
Besides, I was right about Hans.
Yeah, but you didn't know you were right.
I mean, what if it had been Ebola and not just face strep? Have you even thought about that? Regardless, at least at HankMed, you dismissed me in private, Henry.
Maybe I dismissed some of your crazy ideas, but I Crazy ideas? Oh, my God.
Crazy ideas? Crazy ideas that built a successful business, is that what you were gonna say? Not that you even noticed, actually, because apparently you thought I was just a bookkeeper, since that's all you replaced me with.
Just so you understand, I was the CEO, CFO, community outreach director, media director, and head of sales.
That's five things.
You replaced me with one thing.
Well, I'm one thing.
I'm a doctor.
So you probably should've talked to me before you ordered a medically unnecessary quarantine in the middle of the ER that I was trying to run, just to help you out.
(PHONE BUZZES) What are you doing? We're in the middle of a conversation.
And I'm in the middle of an important job.
Evan R.
Lawson.
Yeah, no, I got plenty of time to talk.
What's up? Wait a minute, what? Oh, my God.
Well, I thought the muffin selection in the cafeteria was pretty good.
I don't know who authorized that.
- Okay.
- Well, Cloris No, no, no, Cloris, absolutely.
Muffins are by far the most important thing I have going on right now, so - Okay, give it.
- No, I'm not gonna - Give it.
- Stop it.
Then hang up, so we can talk.
- No.
- Give it to me! - Give me your phone! - Oh, my Henry, are you really doing this? - I'm really doing this! - Hold on, Cloris! - Okay, okay, okay.
- I have your leg.
Give it, give it, give it! It's mine! (BOTH GRUNT) (ITEMS CRASHING) Are you happy now? Are you happy now? (GROANS) Ev.
Ev! (UPBEAT MUSIC) Hmm, yeah, it hurts.
Yep, you definitely scratched your cornea.
You mean you scratched my cornea.
So I'll give you some drops, and you'll have to wear an eye patch for a few days.
Like a pirate? My staff's gonna have a field day.
You know, technically you're not adhering to the call panel.
I mean, you should really be waiting for ophthalmology.
Oh, so now you wanna start following protocol? Well, I don't want to upset the administrator.
Oh, my you know what? This whole All right, look, look, look.
You were right.
I shouldn't have questioned your authority.
But for the record I didn't replace you with a bookkeeper.
I hired one because I didn't want anyone else to be HankMed's CFO, and I kinda hoped that once you'd settled into your job here, you'd have more time for HankMed.
Right.
So you could keep belittling me, right? No.
Because I miss you.
Huh? I miss you.
It's strange not having you there every day.
And I know sometimes we argue, like today, but I don't know, that's us, and I just miss us.
I miss us too.
(LAUGHS) All right, it's eye patch time.
This is great.
It's gonna be a good look for you.
Just hold that in place.
- Huh.
- What? What? Just, um, open wide.
My my mouth? Your mouth.
Open wide and say, "Ahh" - Ahh "Arrr, matey!" I hate you.
Yeah, I hate you too.
(UPBEAT MUSIC) (CROWD CHATTER) (POP MUSIC PLAYING) Your roots are showing.
Tree puns.
Clever.
It doesn't look that busy.
Well, the website did say that the panel would be at the back of the Wow.
They're all here for my books? - Whoa.
- Hey.
That's too many people.
Ugh, maybe we should go.
I I I can read about the panel online.
Astaria, we are on a quest.
Don't worry, we'll blend right in.
Just have to act like a couple of nerds.
I think we can do that.
Hey, thank you for your help with Lena.
Yeah.
Hopefully the social services investigation will light a fire under her aunt, but, uh, Lena's not too happy about it.
You did what you had to do.
Thanks.
- Hi.
- Hi.
Aw, I really wish we didn't have to catch this flight tonight.
It wasn't much of a reunion with the quarantine and all.
Yeah, sorry about that, even though I'd order it all over again.
- Oh, God, really? - No doubt.
Totally understand, Evan.
Yeah, nice to meet you.
And, Hank, thank you for everything.
Of course.
It was great to meet you, Hans.
- Nice to meet you.
- Nice to meet you.
Evan, I think you are doing a great job with my old job.
- Really? - Yes.
Thank you so much, Jill.
Big shoes to fill.
Divya, I want pictures of the new baby - and more pictures of Sashi and - Mm-hmm.
Mm-hmm.
Well, the whole family, just keep 'em coming, okay? - Promise? - Promise.
Oh, you're gonna be a fantastic doctor.
(SIGHS) Come back soon, please.
Yeah.
(SOFT MUSIC) (SIGHS) - Ah.
- (CHUCKLES) (LAUGHS) - It was so good to see you.
- You too.
I feel like we barely had a chance to talk.
I know.
- Maybe - Jill! - Good-bye, Jill.
- Good-bye, Hank.
Well, she found a great guy.
Huh? Hans.
(BOTH LAUGHING) Oh, God, you thought that What? What? Oh, Hank, Hans is gay.
- He is? - Yeah.
- So they're not - No.
We really need to get Hank on Facebook.
Or what, are you gonna make him walk the plank? Yeah.
Hang in there, Ian.
I promise you'll get your foot back in a sec.
I'd like to speak to your folks anyway.
They're not around, but, uh, do you have, like, a card or something? I've actually been in a lot of pain since the bike accident.
It looks like pancreatitis, so I'll need to reexamine you at some point.
And I'd like to talk to your aunt so that she knows what's going Yeah, that's fine.
(UPBEAT MUSIC) All right, check with the ER in Riverhead then.
Just get back to me, ASAP though, okay? All right, bye.
(SIGHS) Really? Two phones? You know you're running a hospital, not a stock exchange, right? One for hospital business development, one for staffing.
And one for HankMed.
This one usually stays in the bag though 'cause three phones would look ridiculous.
Plus, you pretty much got the day-to-day handled over there anyway.
Well, not today.
The bookkeeper dropped off these spreadsheets.
I need you to decipher them, please.
(SIGHS) Looks like we're low on retainers.
Oh, my God.
What, business development emergency? No.
Emergency room emergency.
Most of the physicians have come down with this awful summer cold right when the head of ER is on vacation, so it's just causing a whole bunch of Oh, my God! Now Dr.
Roseman can't make it back till later today.
I gotta go.
I gotta find someone to cover the ER.
I could do it.
You? Yeah, I could cover the shift.
It took the threat of an international incident to make you an attending, and that was just on paper.
You're House Call Hank, not Hospital Hank.
For you, I can make an exception.
I'll even give you a family discount.
- Morning, Jeremiah.
- Yes, it is.
Any chance you can help me with appointments? It's just you and me today.
Of course, I've been working on these data tables for hours.
I could use a break.
What? You just called seeing patients a break.
You've come a long way since you were isolating yourself in here.
Why is it just the two of us today? - What do we got? - Male, 30s.
Syncope.
Full-thickness forehead laceration.
- Let's go, let's go, let's go.
- Clear the way.
Welcome to the ER, Dr.
Lawson.
But we usually just let the EMTs bring them in.
Oh, okay.
What's your name? - Barry.
- Hi, Barry, I'm Hank.
Let's take a look at this.
When is the doctor getting here? I am the doctor.
Oh, uh, call me Dr.
Lawson.
So what happened? I was chopping vegetables for a salad.
This new diet is more work than it's worth.
Suddenly I got dizzy.
Next thing I knew, I was on the floor bleeding.
I must have hit the counter on the way down.
Huh.
Do you have a history of heart disease? - Any shortness of breath? - No.
Okay, you said you're on a new diet.
Do you eat a lot of salad? I do now.
I just went vegetarian.
Dr.
Lawson, should I call plastics? No, I can stitch it myself.
I need a 4.
0 Vicryl, 6.
0 nylon.
My ER is short on physicians.
You need to delegate.
Uh, all right, call plastics.
But make sure Barry's hematocrit is over 30.
Let me know immediately if it's not.
Got it.
(SIGHS) Hi, Hank.
Jill.
(UPBEAT MUSIC) I can't believe it! Why didn't you tell me you were coming? Well, I was gonna call you, but then I saw your name on the ER board, and I just I thought it'd be more fun to surprise you.
Mission accomplished.
Oh, Hank, sorry.
This is Dr.
deGroot.
Oh, please, call me Hans.
Hans, nice to meet you.
So what are you doing here? Well, the foundation had a fundraiser in the city, and they flew us in at the last minute.
And, well, ever since they put a picture of Hans and me on the homepage, we've accidentally become the face of the clinic.
Ah.
And who wouldn't want to open up their checkbook after seeing a photo of this beautiful woman vaccinating a baby? Okay, look, I'm pretty sure that it's the shirtless shot of you in the rain that tends to seal the deal.
- Huh.
- I gave my shirt to that boy as a makeshift sling.
It was medically necessary.
- Okay.
- Huh.
Hey, so, uh, cancel your plans tonight.
I'm trying to get everyone together for a HankMed family reunion before we head off on the red-eye.
- I wouldn't miss it.
- Good.
And if it's not too much to ask, I wondered if you could help me with some antibiotics for the trip back.
I have a sore throat.
Probably strep.
Been getting it a lot.
Okay, let me take a look.
(THERMOMETER BEEPING) Yeah, you do have a low-grade temp 99.
9.
- Any other symptoms? - Just a sore throat.
Okay, I'm just gonna grab a quick culture.
Open up, please.
Great.
Wow.
I never thought I would see Hank Lawson back in the ER.
What brought you in from the cold? Ah, it's just for today.
Long story.
- I'll tell you tonight.
- Okay.
- Jill? Oh, my gosh! - Hey! Aww, my favorite ER taskmaster hi! Wow.
We need to catch up.
And, Dr.
Lawson, we've got an ingrown toenail with paronychia.
Okay, I'll be right there.
Um, here is a script for penicillin, and I will let you know the results of the strep test.
- Thank you.
- Okay.
So good to see you.
So yeah, I'll see you tonight, okay? All right, great.
- All right, bye.
- Bye.
Nice to meet you, Hans.
Bye.
Dr.
Lawson? - Dr.
Lawson! - Yes, right.
Coming.
Hello, Miss Green? I'm Dr.
Sacani from HankMed.
Oh, hi.
Sorry, I got buried in my work, and I forgot you were coming.
That's all right.
I'm familiar with the experience of being lost in one's work.
What can I do for you? Uh, I've been feeling well, it's my head, and I I just feel Is your headache sharp or a dull pain? Uh, dull at the temples.
Just on and off for a few weeks.
What else? You just feeling sort of, um, achy, tired, sore, weak? Weak that's it.
And my wrist started hurting this morning.
Okay, um, we'll start with an exam.
I'll get some vitals.
Dr.
Sacani? Uh, those bottles have scrolls in them, like the Message Tree from "The Chronicles of Zall.
" Are you a C.
G.
Leviathan fan? Well, I You're obviously familiar with the books.
Uh, very.
There's a book festival in town.
I was thinking of going.
They're gonna have a, uh, a panel on whether Jazwick is really dead.
Sacerdas saw his death in a vision, but the visions have been changeable in the past.
I saw that they were doing that panel.
Are you going? I-I considered it, but, uh It's crowds make me nervous.
Oh, me too.
But I was hoping I could find out whether Leviathan has finished writing the new installment.
He is as mysterious as his next book.
Even the Internet doesn't know who he really is.
Oh, um, your blood pressure is a bit high, so we should, uh, keep an eye on that.
In the meantime, I'd like to examine your wrist, and I'll draw some blood to check for thyroid irregularities or nutritional deficiencies.
Uh, Ms.
Green, what is your first name? Cindy.
Cin Wait oh.
Cindy Green.
C.
G.
You're C.
G.
Leviathan? Hey, Lena from the bike crash, right? - Yeah.
- How's your brother's foot? He's great.
Back to bouncing off the walls.
Well, you're not.
So what's going on? I keep throwing up.
Apparently, taco trucks that are Instagram famous can still give you food poisoning.
Okay, well, let's make sure it's not something worse than bad tacos.
Lie back, please.
Does that hurt? - Yeah, a little.
- Okay.
No, I just I think that it's just that I'm sore from all the throwing up.
Right, um, Margaret? We need a CBC, BMP, UPREG, and then start her on Zofran and IV fluids.
- Doctor? - Hey, um you're in good hands with Nurse Margaret here.
I'll come back soon to check up on you.
Hey, what are you doing here? Did you get an executive paper cut from all that business developing? Uh, no, I'm here 'cause, uh, your department's backed up.
Connecting with patients makes you an amazing concierge doctor, but you can't run the ER like HankMed.
So just just treat them and move on, okay? Wait, did you seriously just come down here to tell me to move the meat? No, I came down here to tell you to move the patients.
Huh.
Like that guy with the cut on his forehead.
- Barry? - Yes, Barry.
You know you spent 22% more time with him than our average for lacerations? 22% what happened during that 22%? Did you learn all his hopes and dreams? No, I learned that he's on a new vegetarian diet, which caused anemia.
That's why he fainted.
That's what I learned.
- Clear the way! Bed right here! - Male, late 40s.
He was found unconscious in his office.
He has no pulse and is not responding to chest compressions.
Okay, thank you.
Let's get him on the bed.
On three one, two, three.
Okay.
What's this? Who wears a fanny pack with a suit? This is not the time.
It's not a fanny pack.
It's a battery.
It's connected to something.
Whoa, whoa, whoa.
Stop, stop, stop.
He has a Left Ventricular Assist Device in his heart.
Compressions could kill him.
Um, call the cardiothoracic surgeon.
Tell her to prep the OR.
The wire from the battery pack to his pump has been cut.
The pump was the only thing perfusing his body.
Yeah, we don't have time to replace it.
Okay, um, get me a scalpel, electrical tape, a bunch of hemostats, and some cardboard.
We're gonna reconnect the battery.
Thank you.
His SpO2 is below 80.
Ground it.
(DRAMATIC MUSIC) Okay, good.
(MACHINE BEEPING) He's pinking up.
Nice work, Dr.
Lawson.
I've never seen that before.
You hired the right guy for the right day.
(UPBEAT MUSIC) I just stumbled into my desk.
Isn't an X-ray a bit overkill? No, it's an appropriate diagnostic tool given the amount of swelling and tenderness in your wrist.
I got that.
(SIGHS) It is fractured, which is surprising, given the low-impact nature of your injury.
Um, I'll splint the wrist for now, and we can put the cast on when the swelling subsides.
It broke so easily.
I I know I don't get out much, but I'm not frail.
We'll do some bone density tests to see if there's something else going on.
And your wrist will heal soon, so don't worry.
You'll be typing again in no time.
Wait, I won't be able to type? How much time is "no time"? Well, as you yourself wrote, "The Great Sea can be crossed quickly, but better to cross it safely.
" You're worried because you're on a deadline? Book six is due to my editor next month.
The fans are waiting.
Yes, we are.
What brought you to my books? Um, I have trouble picking up on unarticulated emotions sometimes, and my therapist recommended your fiction as an intermediary step 'cause the characters often tell you exactly what they're feeling.
But you read me though, just now.
You knew why I was worried.
I must be making progress.
I don't mean to brag.
I have trouble relating to people sometimes too.
They can be so loud and fast.
Everyone coming at you, wanting answers.
That's why I love writing.
My characters quiet down when I tell them to.
- I could type.
- What? You could dictate, and I could type.
According to Mavis Beacon, I'm above average in both speed and accuracy.
You should know, I am bound by doctor-patient confidentiality, not to divulge any secrets I may learn about Zall.
Is this you being nice or you wanting to know what happens in book six? Um, both.
So what else is new? - I miss caffeine.
- (LAUGHS) Well, on the plus side, you are the most beautiful pregnant woman ever.
(LAUGHS) Can you please come over every morning and tell me that when I can't fit into anything? Deal.
In a few weeks, I don't know where you're gonna be coming to.
Still no word from Johns Hopkins? Nope, nothing yet.
Well, be patient.
You'll end up where you're supposed to be.
What matters is that you're taking a leave.
Like you did.
Yeah, remember how terrified I was? But once I realized it was my dream, there was no turning back.
Hey I am so proud of you.
Sometimes I think I'm crazy for taking this on, Jill.
The Divya Katdare I know can handle it all.
- Hey! - BOTH: Hey.
Here you go.
Extra hot, extra shot.
- You remembered.
- I did.
So how's it going in the ER? Yeah, word is you pulled off this miraculous save with cardboard and duct tape? Oh, uh, actually, it was electrical tape.
Oh.
You do know the point of an ER is that they have all the equipment that you need that you don't need to build some crazy contraption like you do at HankMed? I had to rewire an LVAD on the fly.
I mean, they don't exactly have a tool for that lying around.
Some things don't change.
It is so good to all be together again.
You sure you can't stay awhile? I really wish I could, but we've got so much going on right now.
The foundation wants to send me to some of their other clinics to introduce our new health care training initiative.
Jill is being modest.
She designed the program herself, and because it's been so successful, they wanna put it in clinics all over the world.
Oh, my God.
That sounds incredible.
Thank you.
(RATTLING) Ugh, I'm all set for the trip back.
First-world medicine is amazing.
(LAUGHS) Hans, I'm so glad to finally meet you on this trip.
I've heard so much about you.
You have? Well, yeah, hello! The monsoon story? - The monsoon story.
- Oh, right, right, right.
When there was a puddle so big outside Jill's bungalow that people were actually fishing in it.
Yeah, no.
The other monsoon story.
When the village flooded and Hans improvised a rope bridge across the ravine.
He even saved the goat.
Ah.
I just knew the right knots to tie.
At last, my scouting days in Naaldenveld gave me something besides chigger bites.
(LAUGHS) And what did the grateful villagers call you? Dr.
Big One.
(LAUGHTER) - Dr.
Big One? - Mm.
His surname, deGroot, translates that way.
Oh, how nice for you.
Mine means "son of Lawrence.
" - (CHUCKLES) Hey, isn't that Lena Crawford? Is her pancreatitis acting up? Pancreatitis? She didn't mention that.
Excuse us a moment.
- Hey, Lena.
- You okay? Why didn't you tell me about your pancreatitis? Because I'm better now.
That was, like, forever ago.
Well, you may not be completely better.
Your vomiting could be caused by pancreatic pseudocysts.
I'm fine.
I'm sorry, I really need to get going.
No, you really need to stay here.
If you have pseudocysts, we have to drain them.
Otherwise they could rupture.
Please, come back with us.
- Hey.
- Hey.
Evan, thank you for sending so many supplies to the clinic.
Oh, of course.
Yeah, Hamptons Heritage is always happy to do what we can for the, uh, people of - Sierra Leone.
- Sierra Leone.
That's right, and all nations, really.
That's why I paused just then.
I was gonna list them all.
Uh, have you guys seen Hank yet? Yeah, uh, in the ER, of all places.
Mm-hmm.
And he helped me out with a much needed prescription.
Oh, I hope everything's okay.
Yeah, just running a slight fever.
And you were just in Sierra Leone? Right this way, please.
Ladies and gentlemen, nice and easy.
MAN OVER PA SYSTEM: Code quarantine, ER.
Code 529.
- Hey, what's going on? - Quarantine.
Down the hall to the right or left.
Keep calm.
Look the other way.
All right, this is clear.
Guys, guys, what's happening? I forgot about first-world bureaucracy.
We're activating quarantine protocol.
If a patient possibly has Ebola Ebola? He has strep.
He has a fever and was just in Sierra Leone.
Okay, okay.
Help me out here.
Was Hans in an area where there have been reported cases of Ebola? (EXHALES) There have been no recent cases.
Right, and he's showing no other symptoms.
If a patient presents with a fever and has just visited an outbreak region, I have to quarantine, okay, until we get the results of a blood test.
Ev, you're overreacting.
I'm following protocol.
Let's go, guys.
- Paper booties.
- Paper booties.
- Paper booties.
- (PHONE RINGING) Damn it.
"Dan's Papers" has it already.
Evan R.
Lawson.
No, no, no.
This is not a crisis.
Sanitize your hands thoroughly.
There's a chart on the wall.
Yeah, don't need a chart.
No, that's not true.
We're just covering our bases.
That's right.
I've notified the DOHMH.
Now we're just waiting for the LRN to finish EVD testing.
And, uh whoa, whoa, whoa, whoa, whoa! "Make sure to let the sanitizer dry completely before putting the gloves on.
" Yeah, why don't I take over the checklist? - No, it's - I know protocol.
(PHONE BUZZING) Thank you.
- Nitrile gloves.
- Nitrile gloves.
Well, no comment.
No, sorry, bye.
Evan R.
Lawson.
Yes, thank you for calling back.
Uh-huh, yes, this is definitely a crisis.
We need CDC backup, ASAP.
You know, Jill, I'm the Ebola lead here.
I need to ask if you traveled to Sierra Leone.
No.
Hans went alone.
Okay, disposable gown.
(CLEARS THROAT) What about your contact with Hans? I thought you weren't worried about Ebola.
I'm not, but I'm worried about you.
(CLEARS THROAT) Hans came straight from Sierra Leone, and we met up at the fundraiser, but he left early because he had a sore throat.
- Face mask.
- Face mask.
Well, I'm still gonna want to take your temperature when we're done here.
When will that be? It takes about 10 minutes to don, 20 to doff.
(BEEP) man over PA system: Trauma 100.
MVA.
Three non-critical.
They're gonna need you.
I can do the blood draw on Hans.
Hank, you can't do everything.
All right? We can handle this.
Okay.
Okay, let's go, Margaret.
- Paper booties.
- Paper booties.
- Hey whoa! You okay? - (GASPS) Yeah, I'm fine.
I'm good.
I just needed some fresh air.
All right, I need to talk to you about a patient.
Right.
Wait, wait.
(WHISPERS) Hey, come on.
Ix-nay on the arantine-quay.
(WHISPERS) What are you talking about? Oh, you don't know.
Um, so Hans Jill's Hans, he's under quarantine for possible Ebola.
But don't worry.
Even though we came in contact with him, we're not considered persons under investigation unless a positive blood test comes back.
And I acted really quickly, so I'm fully confident that you and your baby are totally What are his symptoms? Just a fever so far.
You know, Ebola's only contagious when someone is symptomatic and only through close and direct contact with infected bodily fluids.
You sound just like Hank.
We both studied medicine.
Oh, really? You did? Did you both study running a hospital? Did you? Let's just say for a second, okay, hypothetically let's just say I let this go, and it is Ebola.
What happens? First, Boris fires me, okay? Then the community goes into a panic, as Ebola spreads across the entire country until we're in a zombie apocalypse.
Hank disagreed with your zombie apocalypse theory? Yes.
(SIGHS) But I'm right, right? I had to call a quarantine.
I don't have all the facts.
Totally get that, but I am right.
While you're worrying about being right, I'm worried about Lena.
Who's Lena? She's a HankMed patient with traumatic pancreatitis, which caused pseudocysts.
She needs a laparoscopic procedure Are you coming up to a word I'll understand anytime soon? She's 17 years old, and her parents passed away.
Oh.
Um, well, her guardian will have to clear the surgery.
Her Aunt Rosanna returned my call from an out-of-state number.
She was very vague about where she was, so I'm starting to wonder if she's reliable.
Lena has two younger brothers.
I stopped by to check in on them, but they weren't home.
I just I don't know who's watching them.
I'll have a social worker look into it, okay? - Thank you.
- Yeah.
As airbag burns go, this one's pretty minor.
You can pick up your Bacitracin prescription on the way out.
No hurries.
My dad's just gonna lecture me about being a bad driver anyways.
Hey, you were in an accident.
And it wasn't even my fault.
It was the shoe's fault.
My heel got caught on the floor mat.
Well, maybe stick to flats for a while.
You know what, that may not be a bad idea after all, 'cause now I can go shopping.
You see? There's always a silver lining.
- Thank you.
- You got it.
(DOOR OPENS) (SIGHS) Ugh, I'm so sorry about all this.
Nah, don't be.
This is the best sleep Hans has had in years, thanks to the air conditioning.
It's very luxurious.
Another silver lining.
You know, Hank, you should cut Evan some slack.
Even though he's wrong? Protocols are designed to cover everything.
Including the hospital's ass.
You remember what it was like dealing with bureaucracy.
I do.
I guess it was just a little easier when you were the administrator.
I was never your boss.
And we didn't always see eye to eye.
I think we did pretty well together.
We did.
I'm so surprised to see you here, even as a favor to your brother.
Yeah, I don't know.
Maybe I wanted to see if I still had it in me.
The truth is, I forgot how much fun it is.
Well, mostly.
What about you? This make you miss the Hamptons? I miss it every day.
Especially the people, but I love being in Africa.
It's the best decision I've ever made.
I needed to challenge myself, and now I just I feel more alive.
It works for you.
You look happy.
Mm.
You look happy too.
Hans? (PHONE RINGING) Hey.
Are you okay? My fever has spiked.
102 degrees.
I didn't see that twist coming, but I did know Jazwick wasn't dead.
(SIGHS) I can't believe that I'm trusting you.
I gave you my word.
Okay.
So remember when Gompho discovered the mystery herbs? Right.
You mean Ocimum discovered them.
The herbalist.
Oh, I I mixed them up.
That's so odd.
Actually, sit down for a minute.
I should recheck your blood pressure.
(SIGHS) Something wrong? I'm putting myself into the world of my story.
It's not easy with you here.
I-I don't usually bring people in with me when I write.
Well, I wish I were more of a creative type, so I could keep up.
I don't think of it as creating.
I just follow the characters where they lead me.
I know it sounds strange to say about a fantasy kingdom, but it's very real to me.
I developed a virosome.
What's that? It's a synthetic vector that combines the carrying capacity and immune advantages of plasmids with the specificity and efficiency of a virus.
And that's what it felt like to me.
I-I followed the data and saw where it led me from the security of my lab, but I also find good things when I venture out into other worlds.
Um, uh, so when Oon proposes, - Astaria says yes.
- Right.
Oh, no, but, uh, he's evil and her brother.
Oh, I I don't know why I keep You all right? - Oh.
- Oh.
200 over 130.
That's too high.
Easy.
911.
This is Dr.
Jeremiah Sacani.
I have a patient in hypertensive crisis.
- What's your address? - 40 Timber Lane.
- We're on our way.
- Thank you.
I'm gonna give you Labetalol to temporize your BP.
Don't worry, I'll take care of you.
That's good.
He said the Tylenol you gave him helped his fever, but his eye is really swollen.
Okay, um, put him on speaker.
Hans, are you feeling nauseous at all? No.
But we all know that eye swelling is a late-stage Ebola symptom.
Hey, let's wait for the test results before you start talking like that.
Yeah, Jill's right.
Why would you have a late-stage symptom before any of the early ones? (DOOR OPENS) - Hey.
Dr.
Roseman just showed up for the evening shift, which means you're free.
Okay, good, good.
I wanna get a closer look at Hans' eye.
All right, I'll help with the PPE.
I just I can't figure out why it would only be one eye.
Wait a second.
Wait a second.
Hans, does your eye feel warm? My whole face feels warm.
Okay, have you ever had a blowout fracture? Yes.
Okay, I'm going in.
Whoa, you gotta get in your gear.
He has an infection that's clearly getting worse.
Okay, we have to start him on broad-spectrum antibiotics now, or he could go septic and die while we wait for the Ebola test.
Henry, you go in there without gear, you're quarantined too.
Henry.
So your eye swelling is unilateral, and you haven't had any nausea or vomiting? When I was 12, I hit my face on the ice and broke the floor of my eye socket.
I was saving my little brother when he fell through.
Of course you were.
And they put in a metal plate? Yes.
I think your strep throat bacteria spread to the plate, which is acting as a nidus for the bacteria to lodge and multiply.
Bacterial biofilms on the implant.
Exactly.
I hope you're right.
Well, let's prove I am.
Okay, I'm just gonna give you some numbing drops.
Okay, good.
And here we go.
Yep.
Sure looks like an infection.
Let's check it out.
Okay, I'm just gonna add some dye.
And now we just need Ah.
I guess I'll have to send it to the lab.
You're looking for a microscope? Yeah.
A microscope app.
Never know when I'm unable to get to a lab.
(CHUCKLES) I am definitely getting one of those.
Okay.
Yep, there it is.
Guys? There are white cells and bacteria in the fluid, which confirms infection.
That's why he has a fever.
- Boys, come on, please.
- Hey.
- (KNOCKING) - Give it back.
Hey, guys.
How are you? I'm Evan.
I'm the hospital administrator.
That means boss.
I'm Wes.
This is Ian.
- Hello.
- Hi.
That makes you Lena, right? So there's a guy refilling the vending machine at the end of the hall.
If you drop my name, Evan R.
Lawson, he'll give you a freebie.
Then you and I could talk.
Go ahead, guys.
- Yes! - Evan R.
Lawson.
Don't forget the R! So your doctor tells me you're checking out against medical advice? Yeah, because this stupid hospital, which I guess means you, decided to send a social worker to my house.
Right.
We were just worried about your brothers.
They were at the neighbors', but now there's gonna be a child services investigation and a hearing, so thank you very much for messing up our lives.
So your aunt is away? (SCOFFS) When's she coming home? Tomorrow.
I don't believe you.
Now I'm a liar.
No, you're a survivor.
I know 'cause I used to be one too.
Yeah, well, I don't believe you.
I lost my mom when I was, uh, I guess a little younger than you.
This is after my dad bailed, so then it was just me and my brother.
We bounced around, but mostly we just had each other.
Does that sound familiar? (SCOFFS) Just because you had to take care of your little brother doesn't mean you know anything No.
He had to take care of me.
I was the little brother.
So I know how much your brothers need you.
You can't really be there for them if you don't get well.
So can they stay at the neighbors' for a couple more days? Can you call off the investigation? No, but I can be on your side.
(SOFT ACOUSTIC MUSIC) - Hey.
- Hi.
Your blood pressure is stabilized.
Um, but your lab results show high sugar and low potassium.
So I ran your cortisol levels, and they confirm Cushing's disease.
What is that? Uh, an adenoma on your pituitary gland is causing it to release too much ACTH, which stimulates cortisol production.
Your headaches, weakness, bone loss, confusion, high blood pressure were all caused by too much cortisol.
Will I be okay? After a transsphenoidal adenomectomy, yes.
I love those words, but the only one I understood was "yes.
" Um, surgeons will remove the adenoma, through your nose, actually, which is minimally invasive.
You'll be back to work in a couple days.
And until your wrist heals, you can count on me as your stenographer.
Oh, thank you.
My editor thanks you too.
Speaking of Zall, I had a thought.
If I could get you out of the hospital for a few hours before the surgery, would you accompany me on a quest? Yes, I assure you the crisis is under control.
(PHONE BUZZES) Hold on for one second.
I told you there's no news story here, 'cause there was never a crisis.
It I'll call you back.
Don't worry, I'm not contagious.
Hans' Ebola test came back negative.
And his CT proved that he had strep bacteria on the metal plate in his face.
He'll be okay.
Thanks.
You're very welcome.
For the record though, I knew it.
I knew you would never be able to take directions from your little brother.
If Jill had told you to quarantine a patient, you would've done it.
You wouldn't have challenged her in front of the whole hospital.
It wasn't the whole hospital.
Besides, I was right about Hans.
Yeah, but you didn't know you were right.
I mean, what if it had been Ebola and not just face strep? Have you even thought about that? Regardless, at least at HankMed, you dismissed me in private, Henry.
Maybe I dismissed some of your crazy ideas, but I Crazy ideas? Oh, my God.
Crazy ideas? Crazy ideas that built a successful business, is that what you were gonna say? Not that you even noticed, actually, because apparently you thought I was just a bookkeeper, since that's all you replaced me with.
Just so you understand, I was the CEO, CFO, community outreach director, media director, and head of sales.
That's five things.
You replaced me with one thing.
Well, I'm one thing.
I'm a doctor.
So you probably should've talked to me before you ordered a medically unnecessary quarantine in the middle of the ER that I was trying to run, just to help you out.
(PHONE BUZZES) What are you doing? We're in the middle of a conversation.
And I'm in the middle of an important job.
Evan R.
Lawson.
Yeah, no, I got plenty of time to talk.
What's up? Wait a minute, what? Oh, my God.
Well, I thought the muffin selection in the cafeteria was pretty good.
I don't know who authorized that.
- Okay.
- Well, Cloris No, no, no, Cloris, absolutely.
Muffins are by far the most important thing I have going on right now, so - Okay, give it.
- No, I'm not gonna - Give it.
- Stop it.
Then hang up, so we can talk.
- No.
- Give it to me! - Give me your phone! - Oh, my Henry, are you really doing this? - I'm really doing this! - Hold on, Cloris! - Okay, okay, okay.
- I have your leg.
Give it, give it, give it! It's mine! (BOTH GRUNT) (ITEMS CRASHING) Are you happy now? Are you happy now? (GROANS) Ev.
Ev! (UPBEAT MUSIC) Hmm, yeah, it hurts.
Yep, you definitely scratched your cornea.
You mean you scratched my cornea.
So I'll give you some drops, and you'll have to wear an eye patch for a few days.
Like a pirate? My staff's gonna have a field day.
You know, technically you're not adhering to the call panel.
I mean, you should really be waiting for ophthalmology.
Oh, so now you wanna start following protocol? Well, I don't want to upset the administrator.
Oh, my you know what? This whole All right, look, look, look.
You were right.
I shouldn't have questioned your authority.
But for the record I didn't replace you with a bookkeeper.
I hired one because I didn't want anyone else to be HankMed's CFO, and I kinda hoped that once you'd settled into your job here, you'd have more time for HankMed.
Right.
So you could keep belittling me, right? No.
Because I miss you.
Huh? I miss you.
It's strange not having you there every day.
And I know sometimes we argue, like today, but I don't know, that's us, and I just miss us.
I miss us too.
(LAUGHS) All right, it's eye patch time.
This is great.
It's gonna be a good look for you.
Just hold that in place.
- Huh.
- What? What? Just, um, open wide.
My my mouth? Your mouth.
Open wide and say, "Ahh" - Ahh "Arrr, matey!" I hate you.
Yeah, I hate you too.
(UPBEAT MUSIC) (CROWD CHATTER) (POP MUSIC PLAYING) Your roots are showing.
Tree puns.
Clever.
It doesn't look that busy.
Well, the website did say that the panel would be at the back of the Wow.
They're all here for my books? - Whoa.
- Hey.
That's too many people.
Ugh, maybe we should go.
I I I can read about the panel online.
Astaria, we are on a quest.
Don't worry, we'll blend right in.
Just have to act like a couple of nerds.
I think we can do that.
Hey, thank you for your help with Lena.
Yeah.
Hopefully the social services investigation will light a fire under her aunt, but, uh, Lena's not too happy about it.
You did what you had to do.
Thanks.
- Hi.
- Hi.
Aw, I really wish we didn't have to catch this flight tonight.
It wasn't much of a reunion with the quarantine and all.
Yeah, sorry about that, even though I'd order it all over again.
- Oh, God, really? - No doubt.
Totally understand, Evan.
Yeah, nice to meet you.
And, Hank, thank you for everything.
Of course.
It was great to meet you, Hans.
- Nice to meet you.
- Nice to meet you.
Evan, I think you are doing a great job with my old job.
- Really? - Yes.
Thank you so much, Jill.
Big shoes to fill.
Divya, I want pictures of the new baby - and more pictures of Sashi and - Mm-hmm.
Mm-hmm.
Well, the whole family, just keep 'em coming, okay? - Promise? - Promise.
Oh, you're gonna be a fantastic doctor.
(SIGHS) Come back soon, please.
Yeah.
(SOFT MUSIC) (SIGHS) - Ah.
- (CHUCKLES) (LAUGHS) - It was so good to see you.
- You too.
I feel like we barely had a chance to talk.
I know.
- Maybe - Jill! - Good-bye, Jill.
- Good-bye, Hank.
Well, she found a great guy.
Huh? Hans.
(BOTH LAUGHING) Oh, God, you thought that What? What? Oh, Hank, Hans is gay.
- He is? - Yeah.
- So they're not - No.
We really need to get Hank on Facebook.
Or what, are you gonna make him walk the plank? Yeah.