Chicago Med (2015) s08e09 Episode Script

1
I decided to not tell Ben
about the accident.
There's no benefit to him knowing.
I don't wanna make it any worse.
Mazel tov.
Congrats on your big news, buddy.
So happy for you guys!
I'm pretty excited.
Asking Dayton for $10 million
right after I helped rescue him
kind of feels like a quid pro quo.
I think you're setting
your sights too low.
I'm gonna do something
even better for Chicago Med.
The people who need us the most
never even make it through our doors.
When did we decide that's the way it is?
It can't be. I'm not gonna let it.
Ms. Goodwin.
Dr. Choi, I'm on my way to the cleaners
to pick up my dress for your wedding.
Ah. Can I walk you to your car?
Sure. What's on your mind?
Well, uh, April and I have always
talked about bringing health care
- to underserved communities.
- Mm-hmm?
And as you know, so many folks use
our ED for their primary care,
and we'd like to get to them
before they need to do that.
And one way, we thought, would
be to have a mobile clinic.
Oh, that's a great idea.
Yeah.
I got a small inheritance from my dad,
and April saved up some money.
So we bought a mobile eye clinic
we're refitting for general care.
Oh.
And this is something
you could do part-time?
Full-time.
Ms. Goodwin, after our honeymoon,
we'd like to start going out,
treating people.
[SOFT SENTIMENTAL MUSIC]
Dr. Choi, are you giving me notice?
Yes, ma'am.
Believe me, this wasn't
an easy decision.
Is your plan to put
my ED out of business?
I'm certainly gonna try.
Good for you.
[CHUCKLES]
[SINGING IN POLISH]
[GENTLE PIANO MUSIC]
♪
[APPLAUSE]
That was beautiful.
Really. So, so beautiful.
- Thank you.
- Thank you very much.
Can I ask you a question?
Have we have we met?
You seem so familiar to me.
Yes. From the hospital.
I'm Liliana. I clean your office.
Wha Liliana.
[LAUGHS]
Of course! Oh, my God, I'm so sorry.
Oh, no. Please, I understand.
You only see me in my uniform,
and most of the time,
you're not there when I clean.
Still, I'm very embarrassed.
No, please!
Um.
Anyway, you, Liliana,
are a wonderful singer.
- Thank you.
- Absolutely wonderful.
- Thank you so much.
- Okay. So thank you.
Maybe I I'll see you tomorrow.
At at the hospital. Okay.
- Good night.
- Good night.
♪
We are deeply grateful to Jack Dayton,
who has made a most generous
gift to our hospital
This advanced surgical suite,
which he calls O.R. 2.0.
Mr. Dayton?
Thank you, Ms. Goodwin.
O.R. 2.0 is the fruit
of years of development
by Dayton Corporation and partners.
I've entrusted it to this hospital
because, well, Chicago Med
has always been
on the cutting edge of medical care,
and it has the surgeons
with the talent and skill
to put O.R. 2.0 to good use,
doctors like Crockett Marcel here.
That's very kind, Mr. Dayton. Thank you.
Uh, with the help of Dr. Dupre,
who headed the beta-testing team,
I'm still learning all
the bells and whistles here,
so bear with me.
But, uh, I can tell you a few things.
Uh, the O.R. 2.0 platform
integrates robotics,
immersive computing,
advanced sensory detection,
artificial intelligence, all to make
the most challenging
and complex surgeries viable.
And the radiolucent table allows
for accurate imaging in any modality,
including X-ray and CT.
The numerous sensors
analyze every data point,
assisting the surgeon
in approach and technique,
even on the level of suggesting
what instrument to use.
And the surgeon wears
these gloves while operating.
The sensors assess
the surgeon's efficacy,
hand accuracy,
and risk of complications.
For instance please.
Okay. [LAUGHS]
There's a 10% chance
you'll have a major laceration
of the left anterior descending artery.
Consider another approach.
2.0, to help Dr. Marcel,
can you show him
a 3-D image of the patient's heart?
Loading.
[HEART BEATING]
Oh, wow.
[SOFT WONDROUS MUSIC]
[APPLAUSE]
♪
How much you think that setup cost?
Gotta be north of 50 mil.
Surgery on a whole other level.
Pretty soon, they won't be needing us.
Yeah, right.
What, not impressed, Dean?
Didn't you ever see
"2001: A Space Odyssey"?
I'm sorry, Dave.
Can't allow you to do that. Right?
So what are you, uh you
You're really doing this whole
mobile clinic thing, eh?
Yeah. I told Ms. Goodwin last night.
Hey, everybody, remember,
this afternoon in the doctors' lounge,
cupcake party for Ethan
and his bride-to-be.
- Mags, you don't have to
- None of that.
It's the least we could do.
Dr. Halstead, you and I are up.
All right.
[ALARM BLARES]
45-year-old male, Richard Evans.
Head laceration with retained glass.
You're going to treatment three.
Really, I'm fine.
You're bleeding like crazy, babe.
Vitals are normal.
GCS 15, no LOC.
We're gonna take good care
of you, all right?
Thank you.
Okay, on my count.
One, two, three.
[GROANS]
I was making a vacuum chamber
out of an old bell jar.
I wanted to show the kids how you can
boil water at room temperature.
Thank God I tried it at home first, huh?
Richard teaches fifth grade.
I hooked up the jar to my compressor,
and obviously, it was not rated for,
what, 6,000 pounds of force.
Boom! Ow!
The jar imploded.
So stupid on my part.
- Hold this for me, would you?
- Yeah.
Well, it doesn't look too serious.
A few stitches ought
to fix you right up.
We'll get a head CT just to make sure.
Thank you.
Prep and drape, and get me
a lac tray, please.
Right, um,
Mr. Evans has an extensive chart at Med.
Okay, thanks. Yes, he does.
Richard, you've, uh, been diagnosed
with pancreatic cancer.
Yeah.
My surgeons and the tumor board
ruled it inoperable.
And the tumor is inside the pancreas
and has invaded the duodenum
and surrounding tissues.
There's no way to get it all.
They're just gonna let him die.
Honey.
He's just such a wonderful person.
His students love him.
I love him.
[SOFT SENTIMENTAL MUSIC]
It's just not right.
I'm so sorry.
Thank you.
Page me when Mr. Evans is prepped.
Will do.
♪
Good morning.
I'm Dr. Archer.
Mr. Michaels, 65.
Took a spill coming down the stairs.
He really hurt himself.
He tore his pants, and his
hands are all scraped up.
Mr. Michaels is complaining of pain
in his ankle and right wrist.
Who's gonna rake the leaves?
I will, Dad.
This is the second time
he's fallen in a week.
I gave him Toradol, 15 milligram.
IV for his pain. There are his X-rays.
Doesn't look like he fractured anything.
I agree. What did you recommend?
Rest, ice, compression, and elevation.
Very good.
Who's gonna rake the leaves?
I told you, Dad. I will.
Dr. Archer, can I speak with you?
Yes, of course.
[APPREHENSIVE MUSIC]
This is just like my mom.
Uh, what do you mean?
She died of Alzheimer's.
♪
- Thank you.
- Dang.
Whole new O.R. suite?
- That's quite a gift.
- Yeah.
No strings?
Well, not that I can see so far.
I mean, that is really some, uh
Daniel?
You remember that piano bar
I was telling you about,
with the amateur night?
I actually finally
- I went last night.
- Really?
This one lady, she got up and she
sang this song in in Polish.
It was so beautiful.
- No kidding.
- Yeah.
And you know what the crazy thing is?
- Huh?
- She works here, at Med.
- Get out.
- Yeah.
What, nurse? Doctor?
Um, you know, it was a
It was a short conversation.
We didn't, uh
Uh-oh, uh-oh.
I got to, uh
I got to I got to get to the ED.
I'll I'll catch you later.
Your coffee.
We lost my mom, his wife,
to Alzheimer's a year ago.
And now Dad, with how he repeats things,
and his balance.
It's just the way it happened with her.
I'm gonna lose him, too.
Has he been evaluated?
No, I guess I haven't wanted to know.
I completely understand that.
How long were your mom
and dad married for?
Oh, gosh.
Right out of high school.
- Oh. Wow.
- Almost 50 years.
Well, then, that's gonna be
a huge loss for him, right?
Yeah. It was terrible.
You know, I've never seen him like that.
You know, it's entirely possible
that he's still Still grieving.
You know, he could be
suffering from depression,
not necessarily Alzheimer's,
and there are other possibilities too.
I mean, I'm happy to
have a chat with him
and see if I can get
a better sense what's going on.
Yes, please.
Go, go, go, go, go, go, go, go.
Good.
Very nice.
This rate, we might be able
to send you home in a week.
- Hey, how about that?
- Yeah.
You, uh, you getting out of bed?
- Moving a couple of times a day?
- Uh-huh.
Good. Yeah.
Okay. Hey, keep working.
Excuse me, Jack.
Inoperable pancreatic cancer.
- Inoperable.
- Was inoperable.
But not with that new O.R.
Oh, come on. No.
The image guidance? Real-time histology?
You could resect the whole tumor.
No way.
I'm still getting used
to the technology.
You expect me to dive in
on a surgery like this?
I think it's a great idea.
It's the perfect way to demonstrate
what O.R. 2.0 can do.
Not if the man dies on the table.
Guys, I I need some time
to familiarize myself
- with the platform.
- There isn't any.
He's already got lymph involvement.
We wait any longer, he dies anyways.
You can do this.
Besides the guidance
you get from the AI,
Dr. Dupre will be there to assist you.
She knows the system inside and out.
[SUSPENSEFUL MUSIC]
[CLEARS THROAT]
Crockett, this man has zero options.
Let's give him this one.
[ALARM BLARES]
Spontaneous hemorrhage, lower left leg.
Applied tourniquet in the field
to control the bleed.
BP 90/32 after 500 milliliters fluids.
Heart rate 120.
Maggie.
All right, on my count.
Ready, one, two, three.
[GRUNTING]
All right, let's get two
units whole blood in him.
On it.
He was in an accident a week ago.
He had a tibial pseudoaneurysm,
but it stopped bleeding.
- Loosen the tourniquet.
- Okay.
- It ruptured.
- Ah.
All right, call the O.R.
- Let them know we're coming up.
- Yeah.
All right.
Now, I have to emphasize,
this is an experimental,
high-risk surgery.
This is the first time the platform
is being used on a patient.
If this doesn't go well,
which is likely,
Richard will be robbed
of whatever time he has left.
That's true, Richard.
You'd be taking a big risk.
And if I don't?
What what do I have
to look forward to?
I get weaker and weaker, more pain,
debilitation, until I'm confined
to a bed with a morphine drip?
No.
I I don't want that.
I don't want to put Vicky through that.
It is not about me, Richard.
Dr. Marcel,
all my life, I have been a science geek.
[HEARTFELT MUSIC]
And here you are, offering me the chance
to be a part of
something groundbreaking,
that that science has made possible.
It's like being given the chance to be
the first person on the moon.
And and even if
the worst happens to me
Hopefully you'll learn
something from it.
That's that's how
science works, isn't it?
♪
Well, then, we just need your signature
on this consent form.
You're a courageous man, Richard.
No.
I'm gonna be asleep.
You're the courageous one.
♪
Yeah. That a picture of your wife?
Yeah.
Sarah.
We were in Maine.
Oh.
- Beautiful woman.
- Mm-hmm.
Jessica was telling me that she
She passed about a year ago?
Yes. She's gone.
Oh.
Sorry about that.
Hmm.
We went to school together.
Oh, wow.
Knew each other a long time, huh?
Yeah. Yeah.
There was this tree on her front lawn
that we used to go and sit
under and do all our homework.
She was a lot better at math than I was.
You know, I have a daughter too.
I think about Jessica's age.
What year was she born?
Um,
1985?
Okay.
And then, how old would that make her?
[EXHALES]
Um, let me think, now.
Um, '85 to
You know what, it's not important.
Look, I can't remember
what I had for breakfast.
You know, and my daughter,
she's actually always
giving me these, like,
memory quizzes, you know?
The other day she was,
"Hey, Dad, can you say
these random words
back to me in order?"
You know, like, cow, window, umbrella.
Can you do that?
- Say them back?
- Yeah, in order.
Cow, window, umbrella.
Cow.
Um
[APPREHENSIVE MUSIC]
Umbrella.
Not easy, right?
No.
♪
Ethan, April just brought in her father.
- Treatment five.
- Her father? What?
Chest pains.
He insists that you treat him.
It's crazy, right?
The day before your wedding.
- Ethan.
- Hey.
Thanks God.
Marcia, hi.
What's going on? Chest pains?
- When did they start?
- It's no big deal.
I saw him wince, rub his chest.
He didn't want to tell me what it was.
I had to pull it out of him.
They come and go.
I mean, so much trouble for nothing.
Papai, chest pains
are not nothing, okay?
He wouldn't even let me
call an ambulance,
but I gave him some aspirin
on the way over.
- Good.
- He never complains.
He went a year with that hernia.
[SPEAKING PORTUGUESE]
Well, your heart and chest sound good,
but April was right
about your chest pains.
We're gonna have to
give you a full workup.
- Oh!
- Yeah.
- Really?
- Yes, really.
Uh, let's start with an EKG.
Yeah.
- Ethan, can I talk to you?
- Yeah, sure.
Hey, we'll be right back, all right?
Excuse us.
Do you think we should
postpone the wedding?
Oh, I don't know.
We might, but let's see what
the tests show first, okay?
- Okay.
- Hey.
Yeah?
So your dad has excellent recall,
going back to talking about
your mom when they were kids.
So long-term memory is intact.
I did notice some
short-term memory issues,
and he's having a little
Little difficulty concentrating.
It's just like Mom all over again.
You know, she was such
a smart and funny person,
but eventually Alzheimer's
took everything away.
Just so you know, Jessica,
this is a cursory examination
that I gave him.
I'm not prepared to make
that diagnosis yet.
You said that what's happening to him
might be depression because my mom died.
And it very well might be.
Yeah, and I read that a lot of people
that have Alzheimer's have lost
a loved one, just like my dad.
Well, that hasn't been
established as a cause.
Many Alzheimer's patients
haven't lost loved ones.
I think you want your dad
to have a full workup
with his internist,
and a, uh, a neurologist
who specializes in dementia.
I've got a great list,
if you want a referral.
All right.
I'll get his discharge paperwork going.
- Hey.
- Hey.
Did you see?
You got a full house.
- What?
- The amphitheater.
[TENSE MUSIC]
♪
Hey.
What's going on?
Who are all those people,
and why are they here?
Some are doctors, some tech, some media.
- I invited them.
- Why?
For the launch, of course. 2.0.
No, no, no, no.
That surgery's hard enough
without having
a bunch of looky-loos.
- Now, get rid of them.
- Hey, Crockett. Relax.
They're friends, all right?
They're rooting for us.
For God's sakes, Jack.
Do you understand?
This is not a simulation.
There's a human being on that table.
I know. And you're gonna save his life.
And what if I don't?
What if he dies?
I'm not worried about that.
Well, you should be.
- I am.
- I know the tech.
I've been working on it for years.
I promise you, it won't let you down.
You know tech,
but you don't know surgery.
Send them away.
No, I'm not gonna do that.
Jack
Crockett, this is not who you are.
You're the man who ran into that tunnel,
who saved my life,
who saved Nathaniel's.
Now, come on.
Have a little faith in yourself.
♪
Here's those referrals
I was telling you about.
My cell number's on there too.
Please call me any time.
He's seizing.
- [GASPING]
- Dad!
Okay, let's get him back in the room.
Need some help here.
Two of Ativan.
All right, Paul.
Don't worry. We got you.
[TENSE MUSIC]
♪
Okay, Paul, we're just
gonna give you some medicine
to calm this down a little, all right?
[PANTING]
Okay, on the bed.
One, two, three.
Head CT, Dr. Charles?
Why?
Although there was nothing
about headaches or nausea
in your father's history,
we should rule out
a brain mass or a bleed.
Has he complained about
any of those symptoms,
or pins and needles of any kind?
No.
We should do the head CT.
If that comes back normal,
which I suspect it will,
we need to do a spinal tap.
♪
- Good to see you.
- Good to see you too.
April?
- Hey.
- Hey.
I'm sorry about your father.
That's some stress
you don't need right now.
Hey. Good news.
Uh, his troponins were normal.
There's no indication
he had a heart attack.
Oh, God.
That's such good news.
You two, congratulations.
There are big changes ahead.
- Thank you, Ms. Goodwin.
- Thank you.
So, wow.
So you think it was just stress-induced?
Uh, you mean a panic attack?
There were no other symptoms,
no dizziness
or difficulty breathing.
Well, weddings can be stressful.
Yeah.
But it's normal, though, right?
- Hmm?
- To have, like, anxiety.
You feeling anxious, April?
No!
I'm well not more than
anyone else would be, right?
I mean, it's a big step.
Marriage. Like
Yes. Yes.
Like Ms. Goodwin just said, big changes.
Wait, I you're not
having doubts, are you?
No.
Not not doubts.
I'm just Ethan, you've never
been married before.
I've never been married before.
When you asked if we should
postpone the wedding,
um, do you want to postpone the wedding?
Of course not. I'm so good.
So can you just get his
discharge papers going,
and I'll let Dad know the good news?
- Sure.
- Okay.
Okay.
[APPREHENSIVE MUSIC]
[MACHINERY BEEPING]
Okay, pancreas head
and proximal duodenum are out.
Can we have a real-time scan
side-by-side
with pre-op, please?
Loading.
Nice work.
Okay, uh, can I get a vivo
histology assessment
on the margins, please?
Margins are clear.
[APPLAUSE]
All right.
Time to start reconstruction.
[SUSPENSEFUL MUSIC]
♪
Caution.
Do not sacrifice venous
return to the small bowel.
You need to preserve
the proximal arcade.
Yes, I'm aware.
My line of sight is limited.
The robotic scanner can
transilluminate the branches.
Okay.
Uh, I need more views
of the small bowel vasculature.
Lucky break. We have enough length.
Yeah. Primary anastomosis is possible.
Assessment is correct.
Okay. Here we go.
♪
Suture.
[ALARM CHIRPS]
Suture spacing is too wide.
Risk for post-op anastomotic leak.
No I've done lots
of anastomoses this way,
without leak.
Risk for post-op anastomotic leak.
Suturing too close risks
tearing the tissues.
Risk assessment re-evaluated.
Continue suturing.
Thank you.
♪
Once I have exposure to Grant's artery,
- I'll have you
- Deflate the tourniquet?
Yeah.
And, uh, I'm gonna need to get proximal
and distal control of the, uh
Oh, God.
What?
You know what, uh
Why don't you just go ahead and start,
and, uh, I'll be in in a minute.
What? Where are you going?
- Call of nature.
- You all right?
You were just there.
I'm fine.
It looks good on you.
Yeah? [CHUCKLES]
Hey, you guys are all set.
Okay, great.
Uh, I got to head back to work.
- Bye.
- All right.
See you at the church tomorrow.
You got it.
You ready, Dad?
- [GASPS]
- Afonso!
- The pain.
- Dad?
It's back. It's worse. I'm sorry.
No, it's okay, Papai. It's okay.
Let's get you back in bed.
Okay. All right.
[SUSPENSEFUL MUSIC]
[PANTING]
What's wrong with him?
All his tests were normal,
but there's something else
I want to look into.
April, let's get a CT.
Okay.
I'll have Maggie let Radiology know.
[SOBBING]
We'll be back as soon
as we get the results, okay?
Dan, you know where Maggie is?
I got the cupcakes for the party.
Ah, she's up in surgery.
I'll take those.
Surgery?
Oh, not her.
Uh, the guy she was
in the accident with.
What accident?
Last week, when she got T-boned.
[TENSE MUSIC]
Oh.
Thanks.
♪
Auto accident?
Ben.
You never told me you
were in an accident.
- I wasn't hurt.
- That's not the point.
You never told me
you were in an accident.
I didn't want to upset you.
Upset me?
Who were you with?
Who's the guy in surgery? Was it Grant?
Is that why you didn't want to tell me?
- Was it?
- No.
He was just showing me his car and
Showing you his car. I go out of
town, he's showing you his car.
Ben, I know how it looks, but
Are you having an affair?
No! Never.
♪
How am I supposed to believe you?
Ben, wait.
Ben.
There's every indication
that we were able to entirely
remove the patient's tumor, and, uh,
we're optimistic for his future.
Now, bear in mind, the patient's tumor
was considered completely
inoperable before O.R. 2.0.
And thanks to Mr. Dayton's
generosity, Chicago Med
is able to provide our patients
with the best possible outcome
through a whole new level
of surgical intervention.
Thank you.
Dr. Dupre, a moment, please.
What the hell happened in there?
You had to override the AI.
- It wasn't 2.0's fault.
- It gave me bad advice.
That was because of me.
I was overly cautious.
I programmed 2.0 for someone
that was less proficient.
The risk threshold was too low.
But you are a very skilled
surgeon, Dr. Marcel.
The AI learns.
Believe me, you will not
have this problem again.
So Paul, we think that we have
a much better idea about
what's been going on with you.
- Is it what I thought?
- It's not.
The lumbar puncture showed
elevated protein levels,
which means there's
inflammation present.
The good news, there's
no sign of any infection.
So it looks like
inflammation is the cause
of your father's symptoms.
Inflammation from what?
The immune system attacking the brain.
It's a condition called
autoimmune encephalitis.
Why? Why would that happen?
We don't know.
It can be caused by a tumor,
but that's not the case
with your father.
And it's just one of those
medical mysteries
that just haven't been solved yet.
The good news is that
it's entirely treatable.
We're going to give your
father high-dose steroids,
and this will reduce
the brain inflammation
and lessen the immune response.
His balance? His memory loss?
We think that they're all gonna improve.
And, uh, hopefully pretty quickly too.
[SENTIMENTAL MUSIC]
Hear that, Dad?
They're gonna make you better.
♪
Thank you.
Hi.
We know what's causing your pain.
Okay.
You have a condition
called myocardial bridging.
That doesn't sound good.
Well, you actually were born with it.
It's a condition where one
of your coronary arteries
runs through your heart muscle,
instead of on top as it should.
Right, so when the heart compresses,
it reduces blood flow to that
artery, causing your pain.
Now, we can address it with
a procedure called unroofing.
It's where a surgeon cuts
through your heart muscle,
just to relieve the pressure.
Heart surgery?
So so I'm going to miss the wedding?
- No.
- No, no, no, no, no.
This isn't an emergency.
You should schedule the surgery soon,
but uh, we can wait
till after the wedding.
You're gonna be fine, Pai.
♪
All right, um, I'm gonna go
text Noah and tell Mai.
Okay.
Uh, I'll be right back, okay?
Hey, April.
Look.
I'm nervous too.
- You are?
- Yeah.
Here I am, asking you
to change your life,
leave your practice, and I worry one day
you'll say, "What have I done?
This whole thing is crazy."
I couldn't sleep last night.
I was just thinking, like, what if
I don't know, Ethan realizes
I'm not the person he thinks I am?
What if in a couple of years,
he's sorry he married me?
No, no. Hey.
I don't want to let you down.
I don't want to let you down, either.
Well, maybe that's
a good place to start.
♪
Hey, Maggie.
How's Grant?
Oh, he's fine. The surgery went well.
Oh, good.
Your your cupcake party's starting.
Right.
[APPREHENSIVE MUSIC]
What's the matter?
Ben.
He found out about the accident.
Oh, no.
There's nothing I could say.
He thinks that we need time apart.
Oh, Maggie.
I'm so sorry.
I don't know what to do.
♪
Hey, Sharon. You you got a second?
Yeah, sure.
So um, you remember
the the singer that I was
telling you about, who,
you know, I saw last night,
- who works here?
- Yeah, yeah.
Yeah, she's she's with
the housekeeping department.
Okay.
Yeah, and, um
I was thinking about asking her out.
Am I completely frigging crazy?
Daniel, you're being impulsive?
You know, life full of surprises?
I don't know what to tell you.
Well, tell me about her.
She, um, sings like a dream
and cleans my office.
That's all that's all I got.
It's it's a little awkward,
though, don't you think?
Well, there there is an
unequal power dynamic, but
Exactly, and I don't want her
to feel obligated.
Listen, Daniel, you're
It's not like you're her supervisor.
Sharon, I think it's too fraught.
It's too fraught. You know.
Thank you. Good talk.
I appreciate it. I'm gonna bag it.
Oh Okay.
Hey, uh, Grant's coming around.
He's doing well.
- That's good.
- Yeah.
Hey, Dean, have you seen a nephrologist?
Nephrologist?
What are you talking about?
Last week, you asked my
opinion on an ultrasound.
The renal artery was clearly stenotic.
Yeah, that was a a patient.
Yeah, and today,
all those trips to the loo.
Med-zone Nancy Drew.
Dean.
Tell me, what's going on?
Yeah, I I'm seeing a nephrologist.
And?
[SIGHS] Interstitial nephritis,
papillary necrosis.
There's more.
How? Why?
Hits those hits I took to my kidneys,
I've taken too many NSAIDS
for the busted ribs.
It's stupid.
Well, how are you being treated?
Uh, he's putting me on a renal diet.
If that doesn't turn
things around, then I'll
- Dialysis?
- Yes.
And then, well you know.
[APPREHENSIVE MUSIC]
I'm so sorry.
It's gonna resolve.
Is there anything I can do?
Yeah, you can keep it to yourself.
Of course.
♪
- Dr. Charles!
- Oh, hey, Liliana.
- How are you doing?
- Are you looking for me?
Did I miss something in your office?
- No, not at all.
- Oh.
Um, I was, uh
Hey, would you like to Would you like
to get some some coffee?
Get coffee? For you?
No, no, no, no. With me.
Would you like to have some coffee
Have some coffee with me?
You're asking me out?
Yeah.
Uh
Look, if I'm being
presumptuous, I'm so sorry.
I don't know anything about
you, your personal life.
You could be involved with
somebody, in which case
No, I'm not.
You're serious?
Yeah.
Uh, look, if I've gotten off on
the wrong foot here, I really
- [STAMMERS]
- No, no, no, no.
I'd like to have coffee with you.
When?
Any time you want. I mean
How about now?
[SOFT SENTIMENTAL MUSIC]
What a good That's a great idea.
[STAMMERING] Let's have some coffee now.
I just have to change.
Cool. Okay.
I'll I'll I'll just
I'll wait out here.
- Good.
- Good.
♪
Phew.
Since it is your intention
to enter the covenant
of holy matrimony,
join your hands and declare your consent
before God and this church.
♪
I, Ethan, take you, April,
to be my wife.
I promise to always be faithful to you,
in good times and in bad,
in sickness and in health, to love you,
and to honor you,
all the days of my life.
I, April, take you, Ethan,
to be my husband.
I promise to be faithful to you,
in good times and in bad,
in sickness and in health, to love you,
and to honor you,
for all the days of my life.
May I have the rings?
♪
[APPLAUSE]
["WEDDING MARCH" PLAYING]
♪
Oh, my God. Sharon.
What?
The board was just informed.
Jack Dayton has bought
controlling interest
in the Gaffney Medical Group.
What?
[SUSPENSEFUL MUSIC]
So I guess he's in charge now.
♪