Chicago Med (2015–…): Season 3, Episode 16 - An Inconvenient Truth - full transcript

Mornin' sunshine!

Ehi.

Look like you could use an aspirin.

What time did you make it
home from Molly's last night?

I didn't.

Walk of shame? I mean, I've been there.

Dr. Rhodes, I need you.

I'm not on Trauma today, Maggie.

Not a Trauma. Robert Haywood, Dr.
Reese's dad,

CFD just arrived with a STEMI alert.

Yeah.



Courtney, you're going to T Two.

Robert Haywood, 58-year-old male

with known history of heart
failure, CAD, and...

Ischemic cardiomyopathy.
Yeah, he's my patient.

Heart rate, 95. BP, 88 over 44.

New onset angina unrelieved

with nitro and aspirin in the field.

EKG shows ST elevations.

It feels like someone's squeezing.

I know, Bob, you're
having a heart attack.

Just try to stay calm, okay?

All right, everybody, on my count.

One, two, three. There we go.

Maggie, you paged.



It's your dad.

- The ambo just brought him in.
- What?

Irregular heartbeat. He's in a-fib.

Four of morphine,

esmolol drip, and an aspirin.

Rapid ventricular rate, 210.

He's in SVT and hypotensive.
We need to cardiovert.

Give me the paddles.

All right, 5 of valium.

- Charge to 75 joules.
- Charged.

Sync and clear.

Back to sinus rhythm. Rate, 88.

All right, Maggie, call the cath lab.

- Tell 'em we're on our way up.
- I got you.

- Ready?
- Wait.

All right. Let's go.

Come on, Sarah, you
can ride up with us.

Sarah?

We stented your right coronary artery,

and we placed a balloon pump.

Now, your ejection fraction is low,

so I'm afraid that you're gonna
have to stay in the ICU...

Until a heart becomes available.

It's just as I predicted.

Though, I'll admit, I didn't
expect to end up here so soon.

You are at the highest status
on the transplant list.

But only for 30 days.

If I don't get a heart by then...

We'll... we'll cross that
bridge when we get there?

Took the words right
out of my mouth, Bob.

I'll see you soon, all right?
All right.

Dr. Rhodes,

do you know if, Sarah's here today?

I'm not sure about that,

but I can check on it for you.

Hey. I heard about your dad.

I'm sorry. If you need to talk or...

I don't.

But thanks.

Dr. Sexton, heads up.

- This is Henry Lee.
- How are you doing, Mr. Lee?

You're going to Treatment Two.

Congestive heart failure
and metastatic stage four

non-small-cell lung cancer.

Stopped chemo last month.

All right, Mr. Lee.

Hey, Henry.

There's my girl.

You two know each other?

Old friends.

Henry used to come into
the ED once a month

for his heart meds.

Been missing you around here, man.

Okay, where does it hurt, Mr. Lee?

Faster to tell you
where it doesn't hurt.

Give 5 of morphine IV.

Bibasilar crackles.

Add 20 of Lasix and
order a chest X-ray.

Henry has a history of
malignant pleural effusions.

Every time they drain my lungs,

suckers just heal right back up.

Okay, well, we can put
in a drainage tube.

No, no, no more procedures.

No needles, no tubes.

I'm done with all that.

Yes, sir.

Henry's cancer's everywhere.

Hey, does he have any family?

Not that I know of.
His wife is deceased.

I'm pretty sure he lives alone.

Okay, well, we'll have to transfer him

to a hospice facility.

I'm sorry, April.

Choi, Halstead, walk with me.

CFD's inbound with two teenage boys

burned in a house fire,

one of which is Carter
Singleton the Third.

Singleton?

Yes, as in the soon-to-be-constructed.

Singleton Center for
Diagnostic Radiology.

Huge donors, and
Goodwin's godson, so...

- VIP. Yeah.
- Yeah.

You're going to Treatment Six. Desmond?

16-year-old male, 22%
second-degree burns.

BP, 120 over 82. Heart rate, 110.

- A friend's right behind.
- Bo? Where's Bo?

Bo Williams, 17 years old.

85% third degree burns.

Couldn't get a BP, but
palpable radial pulse of 112.

Kids a real hero. When we got there,

he was giving his buddy
CPR on the lawn.

Okay, gently, one, two, three.

- 100 of fentanyl for the pain.
- Yes.

- Thank you, Desmond.
- Yep.

All right, lungs are clear.

Where'd you learn to do CPR?

- Boy Scouts.
- Carter, I'm here.

Is Bo gonna be okay?

He's with Dr. Choi, one of the best.

He's taking very good care of him.

Groin line's in.

I'm having trouble bagging him.

- His chest is cooked.
- He needs a chest escharotomy.

- Scalpel?
- You're gonna do it here?

No choice. His chest can't expand.

Gotta release the skin tension.

Ms. Goodwin?

My God, Carter!

Lydia, careful.

Sharon, is he gonna be okay?

Carter suffered second-degree burns.

They're gonna be painful
to the touch for a while.

Dr. Halstead, Lydia and
Maurice Singleton.

Son, how... How did this happen?

Is Bo all right?

Were you with Bo?

That boy is nothing but trouble.

That's not true, Mom.

You know you are not allowed
to go over to his house.

Lydia, just lighten up
a little bit, please.

Maria, wash the burns
with soap and water,

apply Silvadene cream, and I'll
be back to help dress him.

Thank you, Dr. Halstead.

Here, please.

That kid's in pretty bad shape.

Have you notified his parents?

They were visiting some
friends over in Lake Geneva.

Driving back now.

That's terrible news to come home to.

Yeah.

All right.

- Hey.
- Hey.

So, sidelined for the
conjoined twins surgery,

and now you're doing procedures
before your morning coffee?

- I like the fight in you.
- I'm a glutton for punishment.

Latham made his choice clear.

You know, it's not over
until the first incision.

Start playing nice, maybe
you'll be holding the scalpel.

Are you all of a sudden
rooting for my success?

Not at all, I just hate
winning by default.

Bruce Hammond, 34.

Blunt trauma to the chest

following a high-speed car accident.

Negative echo, but a
small left hemothorax

and a sternal fracture.

CT's negative for aortic injury.

Yes, but Radiology read
that there might be

a small pericardial effusion.

Since he's got a hemothorax,
let's put a chest tube in

and see what comes out,

and if he needs surgery,

we can do a high left thoracotomy.

Hold on.

Is that a blush of contrast
over the right atrium?

If there's a hole in his heart,
he needs a median sternotomy.

Good eye, Dr. Bekker.

If it is a blush, we can't
afford to ignore it.

I don't know, opening him
up is highly aggressive,

and we don't know whether the contrast

is inside or outside of his heart.

If the majority is in
favor of sternotomy...

- I'll follow.
- Excellent.

Dr. Bekker, you'll lead. Dr.
Rhodes, you'll assist.

Don't look so pained.

I think you just earned
yourself some good will.

When did Emma's pain start?

About an hour ago, halfway
through ballet class.

I wasn't sure if I should bring her in,

but her mom would have my head
if something happened to her.

I was worried that it
might be appendicitis.

No, appendicitis would be
pain on her right side,

but I would like to get an ultrasound.

You know, when I was young,
I wanted to take ballet,

but unfortunately, I was
born with two left feet,

so I went with violin instead.

Well, I don't really like dance,

but my mommy did ballet
when she was young,

so she makes me go.

Right now, I'm gonna put
this on your stomach,

so I can see what's inside, okay?

All right.

Monique, can you increase the depth?

I can't see her uterus and ovaries.

It's already all the way up, Dr.
Manning.

All right, let's start a line.

Give her 1 milligram of
morphine for the pain.

And let me know as soon
as her mom gets here.

I'd like to speak with her.

Is Emma gonna be okay?

Yes, but it's a good thing
that you brought her in.

All right, Emma, I'm gonna
be back soon, okay?

- Okay.
- Okay.

- Thank you.
- Thank you.

Hey, Dr. Charles, you got a sec?

I've got a case I'd like to run by you.

- What you got?
- My patient, Emma, nine,

she presented with abdominal
pain on the left side,

so I did a quick bedside
scan to check her ovaries.

It's actually testicular torsion.

- Testicular torsion?
- Yes.

The ultrasound showed an
absence of uterus and ovaries,

but she has undescended testes.

Nothing about this in her chart?

No, I doubt the family has any idea.

Okay... page Pediatric Urology.

- We need to get a plan together.
- Okay, thank you.

I suspect Emma has
17-beta HSD3 deficiency.

It's caused by a genetic mutation.

Emma's testes aren't able to carry out

the final step of
testosterone synthesis.

So, just to be clear,
genetically, she's male?

She almost certainly has
XY chromosomes, yes.

As far as the testicular
torsion, what's required?

We need to untwist the testis

and then fixate it via orchiopexy.

So we'll be able to save the testicle?

With surgery, yes,

otherwise it'll die
from lack of blood flow

in six, maybe eight hours tops.

Okay, thank you, Dr. Rios.

We'll share the news with her mother

and get surgical consent.

This news could change Emma's
whole sense of identity.

It is a lot for this family to process.

You know, my experience
in situations like this

is that the children are often

surprisingly open-minded and resilient.

What's the story?

Well, Carter said that
Bo was cooking up BHL.

Butane hash oil.

You blast marijuana with enough butane,

and you get pure THC.

Lengths kids will go to
to get high these days.

Exactly.

Carter said he heard
screams from the other room,

so he ran in, he tried to
pat out the flames on Bo.

Then his sweatshirt caught fire,

but he dropped and rolled.

Guessing from Bo's burns,
he didn't do the same.

Yeah, Carter said Bo panicked and ran.

Can I talk to him?

He's nonresponsive and on a ventilator,

but I'll you know.

Hey, Will.

Dr. Frisch.

I think after last night,
you can call me Maia.

Lunch? I'm buying.

Pretty slammed today.

Another time.

I take it you and Nat
are on the outs still?

As far as I know.

Careful. She'll come around.

Mr. Lee, this stage in
your life can bring

a lot of painful emotions
and memories up.

I can help to talk about
what you're feeling,

any concerns you're having,

fears, regrets.

Henry, what is it? What's wrong?

Where's my shirt?

My boy...

Jackson.

You have a son?

When he was little,

he was my shadow...

but as he got older, we
started butting heads.

Didn't care too much for all my rules.

Rough neighborhood where we lived.

Sounds like you were just
trying to protect him.

But maybe I was too hard on him.

His mom passed about ten years ago.

After the funeral, we had words.

Said some ugly things to each other.

Haven't spoken since.

Do you have his phone number?
Any idea where he lives?

Last I heard,

he was up in Wilmette...

or maybe Skokie?

Can't remember.

Should've reached out sooner.

It's not too late. We'll find him.

We will do our best, Mr. Lee.

Don't you think you're overpromising?

How do you know we'll be
able to track this guy down?

I'm not letting Henry die alone.

Ruptured atrial appendage.

Median sternotomy was the right call.

It was a coin toss.
Could've gone the other way.

Still, pulling someone through

that kind of blunt
trauma, it's impressive.

You should write it up.

I know I said play nice,
but don't go soft on me.

- That's no fun.
- Hold on...

There are only 244 instruments here.

There are supposed to be 245.

Dr. Rhodes, stop closing.
Everyone search your areas.

Check your trays, the drape pockets,

- look in the basins, everywhere.
- It has to be here somewhere.

Somebody talk to me, anybody!

We counted three times already.

Instrument's in the chest.

Get a tech in here to
get a chest X-ray,

and page Dr. Latham now!

I don't understand.

How could her doctors have
missed this for so long?

Why don't we go somewhere more private?

Your daughter is in
excellent hands, trust me.

Here, right this way.

So, because Emma's genitals
are typically female,

there was no reason to suspect
that she had the condition.

If the testicular torsion

hadn't caused Emma's pain today,

it's very likely she
wouldn't have been diagnosed

until she reached puberty.

What happens during puberty?

When Emma turns 12 or 13,

the testes will start
to make testosterone.

She may develop typically
male attributes:

Um, body and facial
hair, an Adam's apple,

- her voice may deepen.
- What?

No, that can't happen. You
have to take them out.

The only thing that is
medically necessary right now

is to alleviate Emma's pain
by untwisting the testis.

But Emma would have to have

another surgery down the line, right?

I mean, she'd have to
have them taken out.

She's a girl.

Children with Emma's condition

often identify as male after puberty.

No, that's not... That's
not gonna happen.

I want you to take them out.

To perform an irreversible
procedure of this nature,

we would need to inform
Emma and get her assent.

Her assent? She's nine.

She won't understand,
and even if she does,

- it'll traumatize her.
- We fully appreciate

how completely overwhelming
this is right now.

Really, we do.

But the truth is is that
the evolving thinking

among medical ethicists

is that children should be
afforded gender autonomy,

regardless of their age.

You know what, I just wanna be
with my daughter right now.

Of course.

- What the hell is that?
- No idea.

Not an instrument I recognize.

But it is a foreign body,

and we can't pinpoint where it is.

It could be in the pleural
cavity, the pericardium.

We're going to have to
reopen the sternotomy.

Clearly.

How could a careless
oversight like this occur?

We use the same instruments,

the same routine every single time.

How could both of you miss it?

Is... is the patient's
skin fully closed?

No. A few staples away.

If the skin isn't closed,

then the incident isn't
a sentinel event.

Going back in won't be
considered a second operation.

You both narrowly escaped an
investigation by the hospital

and a report to IDPH.

I want you in my office

as soon as you retrieve
the foreign body,

and I wanna know who's responsible.

Don't beat yourself up. It's
only your second strike.

You know this could just as easily be

your instrument, right?

Lucky it's an easy fix.

You better not have
been smoking with Bo.

I wasn't, Mom. I told you already.

Bo almost ended up in juvie last year,

but the judge agreed to
give him another shot.

Now, you would've thought he
would've learned his lesson...

Mom, just shut up, okay?

- Whoa, whoa, whoa...
- Excuse me?

Don't talk to your mother like that.

What is with you?

What's going on?

- Sats are dropping.
- What's wrong with Bo?

Take him off the vent
and start bagging.

He's bradying down. Heart rate's 30.

Milligram of Epi.

- No pulse. PEA.
- Another milligram of Epi.

Asystole. He's gone.

No.

No! No! No!

- Son...
- Bo, please!

- Carter...
- Carter... Carter...

- No, just go save him, please!
- Sweetie...

Please, Bo, come on, man!

- Bo!
- Carter...

Bo, come on, man!

- That poor family.
- Yeah.

It's strange.

Bo's parents said he'd
been doing so well.

They'd been regularly drug-testing him.

He'd been clean for months.

Guess he just fell off the wagon.

Did you get a tox screen on Bo?

No, why?

Do me a favor and get one.
I'm gonna get one on Carter.

Jackson Lee.

No? Okay. All right, thank you, bye.

Hey, any news?

Not yet.

I think I found his
Linkedln profile, though.

Just trying to track down

a phone number or an email address.

I have a friend over at the DMV.

Send me what you have on Jackson.

- I'll see what he can do.
- Thanks, Maggie.

- Yeah.
- Need some help in here.

Okay.

Sats down to 90. CO2's
at 65 on the ABG.

Okay, Mr. Lee, you have DNI
and DNR orders on your chart.

Now, I need to confirm that you
do not want us to intubate you

or perform CPR should your heart stop.

Okay. Then we're gonna
make you feel comfortable.

Start a morphine drip
and give 4 of Ativan.

Okay.

No holes in the right pleura.

Or the left.

It must be in the pericardium.

Give me more suction.

Instrument's not there.

It's in the heart.

We're going to have to
reopen the atriotomy.

That's going to require
putting him back on bypass.

You're increasing his risk
of air embolism and stroke.

We're aware, Marty, but
we don't have a choice.

Your quick fix just got
a lot more complicated.

Hi.

You feeling better, Emma?

My mommy says I'll need an operation.

Yes, that's what my friend, Dr.
Charles, and I

- came to talk to you about.
- Hi, Emma.

So, you remember when I took a picture

of your belly earlier?

Well, it showed me that you
have something inside of you.

Something that only boys
have, honey, not girls.

That part inside of you,

it may cause you to change a little

on the outside in a few years.

It'll make you look like a boy.

Ms. Paulson, would you mind
giving us a moment to explain?

Please?

So, Emma...

most people who look like
girls on the outside

feel like girls on the inside,

but sometimes,

a person who looks like
a girl on the outside

feels like a boy on the
inside, and you know what...

O... okay, stop, stop, you...
You're just confusing her.

Of course Emma feels like a girl.

Sweetie, the part inside of you,

it's what's hurting you right now,

so Mommy wants the
doctors to take it out

so that you'll be safe.

- Mrs. Paulson...
- Wait, will it hurt?

No, not at all, sweetie.

You'll be asleep the whole time.

And when you wake up, we
can get chocolate sundaes.

So it's okay if they take them out?

Ms. Paulson, can we speak to
you outside for a moment?

Okay, you heard her.

You have her assent. Take them out.

It was not an informed decision.

Well, Emma's nine years old.

She didn't understand half
of what you were saying.

Again, regardless of her
age, it's very important

that we at least try and
explain the situation to Emma,

so we can give her a chance
to tell us how she feels.

I... I know how she feels.

I know my child, and I won't
let you manipulate her.

We were not trying to manipulate her.

Why don't we take a beat,

let Dr. Manning and I
put our heads together,

and see if we can come up
with a course of action

that everybody's
comfortable with, okay?

I take it things didn't go well.

Emma's mom coerced her into
having her testes removed.

Yeah, we gotta get Goodwin involved

to see if we can convene
an emergency ethics panel.

We have three hours tops
until the testicle dies.

We better move fast.

Given the placement and
orientation of the handprints

on Carter's back, there's
no way they're his own.

Okay? So?

So Carter told my brother, Jay,

that he tried to slap
out the flames on Bo.

I haven't said anything to Jay.

So, you think Carter may
have started the fire

and is blaming Bo?

Carter tested positive for THC.

Bo was clean.

Thank you, Dr. Halstead.

What you up to?

I'm trying to write a budget

for this research grant application,

but Excel formulas hate me.

Well, I don't know if you know this,

but I am kinda a math whiz.

I am, I can take a stab at it,
if you wanna go see your dad.

I don't.

I... I... I don't want
to talk about him,

and I don't wanna see him.

Okay?

Yeah.

Noah...

I know you Sextons are
as thick as thieves,

but not every family's like that.

April?

Your son is coming, Henry.

Jackson's coming.

Thank you.

My angel.

Metzenbaum and DeBakey Forceps.

Reopening the atriotomy now.

I'll need better visualization.
Suction.

Ha. There it is.

Stuck in the ostia of
the pulmonary vein.

What is it?

It's the tip of a suction catheter.

You were the only one on suction.

Then hold on.

Cardiac suction catheters

don't have detachable tips.

At one point, Dr. Bekker had
to suction an area herself.

I handed her a catheter
from a trauma tray.

I think it's yours.

Well, we're going to need
to take it out, aren't we?

Stone forceps. Forceps.

Got it.

His BP is dropping.

The vessel tore. He's bleeding out.

Quick, get me some 5-0 Prolene

and a long needle driver.

Careful you don't ligate the vein.

If you narrow it, he could
lose part of his lung.

Why don't you stop backseat driving

and help me save his life?

You okay?

Yes.

No.

My patient's mom is trying to force

an invasive surgery on her.

Unless the ethics committee intervenes,

I don't think I'm gonna
be able to stop it.

I mean, I know I shouldn't
be unloading on you.

I'm... I know we're... I'm sorry.

No, it's okay. Case sounds tough.

Sorry, Nat...

but I know you'll figure it out.

Yeah.

You look exhausted.

Are you okay?

Yeah.

Had a tough time...
sleeping last night.

Anyway, good luck.

Finished repairing the
pulmonary vein laceration.

BP any better, Marty? Talk to me.

Vitals are stable.

Dr. Rhodes, close the atriotomy,

take the patient off
bypass, and staple him up.

Wait a second,
you're the lead here.

You have to decide how
you want him closed.

Wires or plates and
screws for the sternum?

Don't you remember how
we closed him last time?

Do it again.

I don't know who the
hell you think you are,

but that stunt you just pulled,

leaving me there to clean up your mess?

I'm sorry. I'm sorry.

Come on, Ava, you don't have to worry

about your reputation, okay?

This isn't some reflection
of your surgical skill.

This is just... it... it's human error.

It could happen to anybody.

You really think it's my reputation

I'm worried about?

Bruce... Bruce almost died today,

because of my stupid mistake.

He didn't... Hey, listen to me.

Ava, he didn't.

He didn't, okay?

He's in recovery because
of what you did.

What if he has deficits?

I could never forgive myself.

Involuntary manslaughter's
a class three felony.

Carries a potential jail sentence.

It certainly doesn't help matters

if Carter lied during his statement.

Why are we discussing charges

when we should be
talking to the police?

I'm sorry...

but whatever the consequences are,

Carter needs to face them.

You're right.

Thank you, gentlemen,
for filling us in.

We'll handle it from here.

Look, Sharon...

CFD and CPD will conduct

their own very thorough investigation,

and it is in the hospital's
best interest and frankly yours

to not put yourself in the middle.

But I am in the middle, Peter.

Carter's my godson.

I've known this boy since
he was in diapers.

He's not some master manipulator.

If he lied, it's because he was scared.

Beside the fact that the
Singleton's are your friends,

they are also major
donors to this hospital,

and there is a multimillion
dollar relationship

at stake here.

So if the kid is gonna get in trouble,

please, let PD be the bad guys.

Any word from the ethics committee?

No way.

No way they're gonna allow this.

Because, technically,

they have both Judy and Emma's consent,

and because testicular torsion
is a medical emergency,

the hospital feels obligated to act.

But the assent was coerced.

Yeah, but coercion's
very difficult to prove,

and the truth is that in the
majority of these cases,

the court's do side with the parents.

The board's worried about
a negligence suit.

What?

No..

Help. Someone, help.

What... what... what... what's...
What's wrong with her?

The testicle must be more ischemic.

Not getting enough blood flow.

We can't wait any longer.

Prep this patient for surgery now.

Mommy, I'm scared. I don't
want them to hurt me.

No, no, no, honey, they
won't hurt you, I promise.

Judy, I know you love your daughter,

and I know you're afraid of
what the future might hold,

but Emma trusts you, she counts on you.

I just... I don't want anything
to happen to my little girl.

- She's all that I have.
- You're not gonna lose her.

No matter what gender
Emma identifies with,

she's still gonna be your child,

the same kid who loves
chocolate sundaes

- and hates ballet.
- She told you?

That's the exciting part:

Having our kids show us who
they are in their own time.

Mommy?

Mommy?

Don't take them out.

- Are you sure?
- Yes, I'm sure.

Hey, Maggie, any word from Henry's son?

I thought he was just
driving down from Wilmette.

His phone keeps on going to voicemail.

Maybe he changed his mind about coming.

How can he let his father die alone?

We don't know the whole story, April,

what went on between them.

Some things are hard to get over.

I never should have
gotten Henry's hopes up.

- I have to tell him.
- I'll go with you.

Henry?

Henry...

Jackson...

- Son...
- Henry, I'm sorry...

I'm here.

I'm right here.

You came?

Yeah.

My boy.

My boy.

The evidence is substantial,

and it's in Carter's best interest

to come clean to the police on his own.

A jury will look favorably on that.

A jury? God. No.

Sharon, I am begging you,

- please do not say anything.
- Lydia...

This will not bring Bo back,

and it will ruin Carter's life.

- Grace?
- I had to talk to you.

When we got here,

Dr. Choi told us what, Carter did.

Grace, I...

He said when the
paramedics found the boys,

that Carter...

was performing CPR on Bo.

I'm so sorry, Lydia.

I'm so sorry that Bo got
Carter into this mess.

I'm so sorry.

Hey, Will...

thank you for earlier.

I didn't do anything.

Well, that's the point.
You just listened.

I appreciate it.

All right.

Well, I'm always here to lend
an ear anytime you need.

How 'bout tonight?

Oysters at Shaw's?

- Sure.
- Okay.

Hey.

You know the last time

we were in a hospital room together?

The day you were born.

- You were there?
- Yeah.

I was holding you when
you opened your eyes

for the first time.

You know, they say it
takes about a week

for a newborn to focus on objects,

but I swear,

you looked right at me.

And that was it.

I was hooked.

You know, Carter, you're my godson.

I only want what's best for you.

And if there's anything else

you need to tell the police, baby,

now is the time.

You...

You're gonna carry this day with you

for the rest of your life,

and holding a secret on top of that...

it'll be too much, baby.

It'll break you, Carter.

It'll break you.

Yes, he's hanging in. Yeah, I'll...

Let... let... let me call you
back, Miles, thanks, bye.

What is he doing here?

Carter asked to speak with
Detective Halstead again.

What did you say to him?

I'm sorry, Lydia.

You're sorry?

That was the right thing to do, Ms.
Goodwin.

Yeah, I think that's debatable.

When the Singletons pull their funding,

which I imagine they're going to do,

you're gonna have to
answer to the board.

I'm prepared to do that.

Noah... what you did in there...

You think I was wrong

for letting him think
his son was there.

No. No, I don't. I think
it was really kind.

I'm sorry I snapped at you earlier.

No, you don't... you don't
have to apologize. That's...

No, I do. I do. You were
just being a friend.

When I said I didn't wanna see my dad,

the truth is I don't
want to want to see him.

Does that make sense?

- Um...
- It's okay.

It doesn't make sense to me either.

- Night, Noah.
- Night.

- How's the patient?
- Just waking up.

But his vitals are stable and
he's neurologically intact.

I suppose you know what
I'm going to ask next.

It was my instrument, Dr. Latham.

I take full responsibility.

No, it was my instrument. My fault.

- That's not true.
- Yes, it is.

My rabbi used to say,

"Klieg, Klieg, Klieg, du bist a nar."

"You are smart, smart, smart,

but, not so smart."

You both are my most promising fellows,

but now I am no longer
certain that either of you

should be my second for the
conjoined twins surgery.

I'll be watching you both
very closely going forward.

- You didn't have to do that.
- I know.

- I can take my lumps.
- Never said you couldn't.

I guess we're both in the doghouse now.

Plenty of room for two.

Don't worry, you get used to it.

Builds character.

Here you are, sir.

Hey.

I ordered us half a dozen
of Henderson Bay oysters.

What do you want to drink?

- Excuse me...
- Wait, Nat...

If there's any chance we're
moving forward here,

there's something I gotta tell you.

What is it?

Last night after work,
I grabbed a drink.

I met someone at the bar.

It was nothing. It was
just high school stuff.

- High school stuff?
- It didn't go beyond kissing.

Well, not much.

And I... I thought of you.
I put the brakes on.

I actually fell asleep on her couch.

Were you thinking of me when
you went home with her?

Nat, you've been so distant
the past two weeks,

I didn't know if things would
turn around between us...

You know, when I asked for a break,

it was never about wanting anyone else.

I don't want anyone else.

It meant nothing, I swear.
Nat, I'm so s...