Elementary (2012–…): Season 1, Episode 5 - Lesser Evils - full transcript

WATSON:
How do you know this guy again?

It's the first time we've met, actually.

Bit odd, I know.

Postmortem bruising experiments
are more of a third-date activity.

No, I meant the attendant.
You said he was a friend of yours.

HOLMES: We frequent the same
beekeeping chat room.

He has an impressive collection
of Caucasians.

Species of bee.

- Of course it is.
HOLMES: Unh.

This is important work, Watson.

It's crucial to my work
as an investigator.

These nameless individuals agree,

which is why they have donated
their bodies to science.

Now, help me roll this one over
so I can try a choke hold.

I did say you were free not to join me
for these experiments.

I know.

HOLMES:
It's hardly surprising

that being in a hospital
makes you uncomfortable,

- you being a disgraced surgeon.
- I'm fine, okay?

You've had your arms crossed
for 13 of the 15 minutes.

It's a self-comforting posture,

to neutralize the distress signals
being sent by your limbic system.

Of course, it is possible
that your stress is subconscious

and you believe that you're fine.

Given that your eyes are doing
that thing they do when you lie,

- I doubt that's the case.
- I'm not lying.

Doing it again.

I go where you go, remember?
My comfort doesn't factor in here.

If it did,
I would not have bought tickets

to the Arms and Armor exhibit
at the Met today.

They're displaying new examples
of lorica squamata.

- It should be fascinating.
- Keep an eye on the clock.

If we don't leave in 20,
we're gonna be late.

HOLMES:
That's really good.

Thank you, Bruce.
Good luck with the new hive.

This body,
when's it being autopsied?

Never. Funeral home's picking him up.
Died about an hour ago.

- From a heart attack.
- Yeah. How'd you know that?

There's a tiny blue dot on the patient's
head, just below the hairline.

That's a tattoo used
to target radiation treatment,

which means
the patient had brain cancer.

Blood clots
are a common complication.

He threw a clot,
which led to a pulmonary embolism,

which led to a heart attack.

Huh. We're in agreement
on the heart attack.

As to how it happened,
you're completely off base.

What room was he in when he died?

BRUCE: Um, 704.
- 704.

WATSON:
Where are you going?

The heart attack
was intended to look natural,

but was induced
with epinephrine.

You've got it backwards.
Epinephrine is adrenaline.

- It's given in all cardiac codes.
- That's why it's perfect.

Excuse me.
The man who died in this room,

was there anybody with him
when the code thingy went off?

No. Sir, that room is being...

HOLMES: Stop cleaning immediately.
Don't touch anything else.

Who are you?

You should take care of that
before somebody slips and falls.

What is wrong with you?

How about you explain what's going on
before he lets himself back in?

Note the mark on the dead man's
finger. Care to identify it?

It's ischemia. Tissue death due to
constriction of vessels in the elbow.

Probably caused by the epinephrine
going into his arm.

And if he only received the epinephrine
during the code,

after his heart had stopped...

It wouldn't have had time
to cause the ischemia.

So as far as what's going on, Watson,
we're investigating a murder.

Sir, please open the door.

We should let them in.
We can explain.

While we explain,
they'll ruin our crime scene.

Lend me your former expertise.
Come on.

The nurse said the victim was alone
when he coded,

but epinephrine is fast-acting.

So how did our killer
buy himself time to escape

before the onset of heart attack?

Well, if he injected the epi
into the IV

and lowered the rate
on the infusion pump,

he would have at least ten minutes
before the patient coded.

It appears to be set
at 40 cc's an hour.

Well, that's just basic maintenance
fluid. Water, dextrose...

No reason it should be slower
than 100 cc's.

Someone did turn the pump down.

Then we have our method.

GUARD: We're coming in.
- They're gonna break down the door.

Yeah, well, saves us the bother
of opening it.

I can live with missing the squamata at
the Met, but I'd rather not get arrested.

[BANGING ON DOOR]

Could one of you point me in the
direction of the administrator's office?

This is one of our...

This is ridiculous.
We're wasting valuable time.

Be glad the captain got here
when he did.

You could've ended up
in the psych ward.

You'd have been devastated.

Joanie?

Carrie, hi.
I didn't know you were working here.

It's been, what,
about a year and a half?

Isn't this a small world?

Carrie, this is my friend,
Sherlock Holmes.

Sherlock, this is Dr. Carrie Dwyer.

CARRIE: Hi.
- We used to work together.

Interesting that she didn't refer to you
as her friend.

Probably because of your falling out.

You call her by her nickname and yet
you haven't spoken in a year and a half.

What was it that drove you two apart?
A man, job?

Failed sapphic dalliance?
Fingers crossed for the last one.

He's got a form of Tourette's.

Are you interviewing for the spot
in Cardiothoracic?

No, actually, I'm done with medicine.

I thought your suspension
was only for a couple months?

It was. I decided to move on.

GREGSON: Holmes.
- It was good seeing you again.

Yeah, you too.

GREGSON: Holmes, Miss Watson,
this is, uh, Mr. Sanchez.

Administrator, correct?

A.k.a. The guy who's still not convinced
he shouldn't press charges against you

for barricading yourself
in one of our rooms.

What's your role here? Do you reach
things off high shelves for this one?

I'm Dr. Baldwin.
I'm the head of Surgery.

And you were treating
the dead man?

No, but seeing
as he was pre-surgical,

it does fall under
my departmental purview.

Here's how things
are gonna shake out here.

- Once you apologize to Mr. Sanchez...
- Apologize?

I alerted him to a murder
at his hospital.

Once you've apologized
to Mr. Sanchez,

he'll release the body to our ME
and allow CSU

- full access to the room.
- And that's it?

You should count yourself lucky
you're getting that much.

We need the dead man's name,
access to his medical records...

It would be a flagrant violation
of HIPAA guidelines,

not to mention the patient's privacy.

He's dead. Do you think
he's worried about his privacy?

Uh, Holmes.

I can't believe I had to apologize
to that pencil pusher.

Would you have preferred
he press charges?

- Why are you in such a hurry?
- We need to find the woman.

The one who brought the victim coffee
before he was murdered.

There were two coffee cups
in his trash.

One of them had lipstick on the lid.

Obviously a woman brought him coffee
shortly before he died.

- You think she killed him?
- Ah, it's possible.

At the very least,
she might be able to tell us his name!

- We don't know anything about her.
- No, but Dave might.

- Who's Dave?
- It's from a place called Think Coffee.

The barista, Dave,
put his name and number on the back.

The number's smudged,
so we can't call him unfortunately.

We'll just have to find him at work.

Well, how do you know Dave
was a barista and not a customer?

The receipt says she was charged
for two small coffees.

She received two large.

Dave was flirting.

Tall half-skinny, half 2-percent,
extra hot,

- split quad-shot latte with whip.
WOMAN 1: Thanks.

These coffee orders,
the Magna Carta was less complicated.

WOMAN 2:
Tall non-fat mocha.

Quite informative running
into your former friend, Carrie.

You'd allowed me to assume

you were no longer permitted
to practice medicine.

- I'm not. I let my license expire.
- But that was your choice.

I hadn't realized quite how traumatic
it must have been, losing your patient.

It's no small thing, walking away from
a career requiring 12 years of training.

It's hard to be a surgeon

when you freeze every time
someone hands you a scalpel.

I just didn't trust myself anymore.

What can I do for you folks?

Help us return this
to its rightful owner.

DAVE: I give out my number a lot.
Gotta be in it to win it, you know?

Speaking of which, can I interest you
in a complimentary chai?

- No, thanks.
HOLMES: The receipt indicates

she was here at 8:35 a.m.,
wearing deep red lipstick.

Oh, yeah, the blond.
Cleavage, tight white skirt, heels.

And her perfume...

I mean, how often do you meet
a sexy doctor?

How do you know
she was a doctor?

She was wearing a white lab coat
under her jacket.

- Miss Cleavage is not a doctor.
- Of course she wasn't.

No doctor would wear her lab coat
out of the hospital.

Nor would she wear revealing attire
or heavy perfume,

which could trigger a patient's
asthma attack or chemical sensitivity.

The lab coat is a bit confounding,
though.

Actually, I don't think it is.

This chain only has two stores
in New York City,

so we have a fifty-fifty shot
of finding our blond here.

Try one-in-one.

I can't believe Trent's dead.

How exactly did you know Mr?

Kelty, Trent Kelty.
We were neighbors.

A few months ago, he told me
he was having trouble seeing.

He just thought
he needed new glasses.

Then they found the tumor.

After he lost his eyesight completely,
I started visiting more.

I used to read him the sports section
from the Post.

You two were close.

Honestly, I just felt bad for him.

Seemed like the right thing to do,
you know?

What time did you leave the hospital
this morning?

- Oh, a little after 9:30. Why?
- Because we have reason to believe

Mr. Kelty succumbed to something
other than natural causes.

You think he was murdered?

Oh, quite certain, I'm afraid.

Did anyone see you leave the hospital?
Someone from the nurses' station?

Uh, I don't know. Um...

I can give you my MetroCard.

That'll tell you what time
I caught my train after I left.

HOLMES:
Hm.

I place Trent Kelty's death
at around 10:30. If she left at 9:30...

Too early for the epi
to have been administered.

She couldn't be the killer.

HOLMES:
Thank you.

Can you think of anyone who
would have wished to harm Mr. Kelty?

Family member, romantic partner,
business partner?

One of the reasons I made a point
to visit Trent was he was so alone.

No family, hardly any friends.

The only other person
he used to talk to

was this doctor
that used to come by at night.

His doctor visited him at night?

Not his oncologist.
Just a doctor at the hospital.

They used to talk about his cancer,
how to manage the pain.

It seemed like he was helping Trent
cope with what was coming.

His cancer was terminal?

JACQUELINE:
He only had a few months to live.

You didn't know?

You didn't happen to cut up his food
for him this morning, did you?

Oh, the pancake?

No, it was like that when I got there.
Why?

HOLMES:
Hm.

Whoever cut up
Trent Kelty's breakfast

came back after Jacqueline left
and killed him.

We may have a bigger problem on our
hands than this morning's homicide.

Because of pancakes?

You know I dislike proposing a theory
in its formative stages

before I feel confident
of its conclusions.

Tell me.

We know that Trent Kelty's killer
had some degree of medical expertise.

We also know that Trent was visited
almost exclusively

by a man claiming to be a doctor,

a man who I believe
cut an adult's food into child-size bites.

Now, why would a killer do that?

It reflects a particular mindset.

That of an individual who tended
to Trent's needs not out of empathy,

but out of a craving
for his dependence.

And that mindset, in turn,
reflects a particular kind of killer,

one who chooses victims
who are sick and weak,

one whose victims, he believes,
are doomed to die.

A man who would be drawn
to someone with a few months to live.

Someone whose preferred
hunting ground is a hospital.

Why? Because it provides
an endless supply of victims.

You're talking about
an angel of death.

If I'm right, angels are prolific,
relentless.

Even if Trent Kelty was our angel's
first kill, it won't be his last.

An angel of death here?

We've got top-notch people onboard.
I think they would have sniffed it out.

It is just a theory, for the moment,

but I've been right about everything
so far.

The autopsy showed
that Trent Kelty's epinephrine level

was well in excess
of what he received during the code.

He was murdered.

I'm very sorry to hear that.

If I'm gonna prove
that someone is killing patients,

I need information, access to all
medical records of in-hospital deaths,

and all logs relating to the supply
and usage of epinephrine.

Why are you talking to me?
Sanchez handles all the records.

I'm not talking to him.
I know he'll say no.

I came to see you
because you smiled

when I made fun of his height
this morning.

You don't like him.
I don't blame you.

You're the head
of a very important department,

so your opinion carries a lot of weight
around here.

Okay, I'll talk to him.

And by "talk," I mean I will threaten
to hold a press conference

to express my grave concerns

regarding this hospital's
apparent indifference

to the possibility that a murderer
may be stalking its halls.

You should have everything you need
in a couple hours.

All this because you made
a couple of short jokes.

Any luck?

Luck is an offensive,
abhorrent concept.

The idea that there is a force
in the universe

tilting events in your favor
or against it is ridiculous.

Idiots rely on luck.

So that'd be a no.

Fill me in. Maybe I can help.

Twelve years of training, remember?

We're in my wheelhouse.

Over the past two years
at Chandler Memorial,

73 seriously ill patients
have died of cardiac events.

Well, chances are,
some of those are natural.

I mean, sick people
do have heart attacks and die.

Which means that one, none,
or some of them

may have fallen victim
to the same person who killed Kelty.

But without the angel's victims,
I can't see his pattern.

Without his pattern,
I can't develop a list of suspects.

Okay, so forget potential victims.

Focus on the murder weapon.
Epinephrine is hard to get ahold of.

Even if our killer had a prescription
because of an allergy,

he would have a very limited amount.
It's more likely...

He nicked it from the pharmacy.
I checked the records.

The pharmacy reported epinephrine
missing on only two occasions,

neither of which corresponds
to any of the 73 cardiac events.

Okay, then, crash carts.

It's stocked with epi,
they're usually unlocked.

I think the logs are over here.

Okay, during 2011,

epi went missing from various
crash carts on January 6th,

March 19th, March 27th,
June 20th, October 28th.

A fair amount of a drug to go missing
without anyone raising an alarm, no?

Hospitals are more worried
about Oxy and other opiates

being sold on the street.
Epi doesn't qualify.

You ready for 2012?

Okay, February 17th,
April 4th, May 25th,

September 19th.

Each of the dates corresponds
with one of the 73 cardiac deaths.

If you're right,
he's killed nine people.

We have our pattern,
now we'll find our suspects.

Twenty-three suspects is a lot.

How long do you think it's gonna take
you and Bell to interview them?

Less time than it would have taken
to interview the roughly

2,000 male doctors and nurses
I started with.

I cross-referenced time cards

to identify men who were working
on the days of the murders,

then eliminated those
who did not have access

- to floors where the deaths occurred.
- You said "nurses."

Kelty told his neighbor that the man
who visited him was a doctor.

Kelty was blind from his tumor,
remember?

For all he knew, his visitor
could have been a circus clown.

WATSON: You go get started,
I'm gonna meet Carrie.

See if she can point us in the direction
of any hospital oddballs.

About yesterday,
I got a bit carried away.

Apologies.

It's all right.

Shouldn't you be in the conference
room starting your interrogations?

Well, I thought I'd start here.

With me? You serious?
I got you access to those files.

Calculated risk.

Perfect way to deflect suspicion
in the event I eventually got access.

[LAUGHS]

Okay. If you say so.

By now, I'm sure you've realized
three of the nine patients

I believe fell victim to the angel
were yours. Coincidence?

Uh, actually, no. Not at all.

According to you,
the angel kills severely ill patients.

I operate
on the sickest people we got.

Still, your practice shows a certain
casual attitude toward life and death.

Your mortality rates go up
each year.

That's because I take on patients
that no one else will treat.

The hospital forced you to stop
performing an experimental procedure

when you racked up
a 75 percent failure rate.

There are risks associated
with innovation.

Lawsuits among them.

Among your failures
were two fatalities,

each of which cost the hospital several
million dollars when the families sued.

It's my understanding you've been
on unofficial probation since then.

One more mistake,
you're gone from Chandler Memorial,

complete with a recommendation
to suspend your license.

Maybe you started killing patients
to punish the hospital for losing faith.

Or perhaps you just wanted
to feel like God again.

Okay, do you really wanna know why
I'm not the killer you're looking for?

This angel, if he exists,
kills people who are in pain.

It's a mission of mercy.
Me, I'm a surgeon.

My favorite kind of patient
is unconscious on a table

with a tube down his throat.

These people, to be honest,

I'm not really interested
in whether they're suffering or not.

It doesn't really affect me.

And that's what makes me exceptional
at what I do.

So you're too indifferent to your patients
to be the angel of death.

There's a novel alibi.

Well, there's also the fact that, uh,
at the time Mr. Kelty was killed,

yesterday,

I was on a train from my home
in White Plains.

But I gotta get back to work,

and it seems like you do too.

Your friend who works with the police,
he's sure there's an angel here?

Well, "sure" is a strong word,
but the pattern is pretty hard to deny.

[CELL PHONE RINGS]

Oh, crap, I gotta run.

- I have this pre-op consult.
- Okay.

Why don't you come with me?
I'll keep trying to think of weirdos.

- No, thanks, it's fine.
- Come on. It'll only take a few minutes.

[DOOR OPENS]

Hi, Morgan.

This is my old friend, Joan Watson.

- Hi.
MORGAN: Hi.

Morgan's here
because she tore her ACL.

Let me guess.
Soccer player, right wing?

Center, actually.

Heart of the offense. Nice.

Okay, can you flex your knee
for me?

MORGAN:
Are you a doctor too?

No. Not anymore.

- How come?
- I'm gonna take a listen to your heart.

CAHILL: I'm afraid
I'm a little confused, detective.

Most of the people you're asking me
about weren't even my patients.

Well, all nine of them died of cardiac
events while you were on shift.

Oh, wow.
Nine sick people died in a hospital.

You assisted
in several of their operations.

Yes, I'm a surgical resident.
I am involved in lots of surgeries.

Look, I have been on call
for the last 29 hours,

haven't slept, barely eaten,
and still have an hour drive home,

so is there anything else
I can help you with?

Yeah. This guy here, James Romano,
had pancreatic cancer.

One of the worst forms there is.

I know, because that's what killed
my grandmother.

Sometimes I wish...

I wish there had been someone there
with the strength

to, uh, end her pain.

You think someone killed this man?

The other patients too?

He does. That's why he's trying
to gain your confidence,

suggest to you
that he's on your side,

that he actually empathizes
with someone

who would take a life
for the right reasons.

But he's wasting his time.
You're free to go.

[DOOR OPENS]

You wanna tell me why you did that?

Because it's highly unlikely
that he's our angel.

That guy was so nervous,
he was about to come out of his skin.

You saw how he was tapping
his key chain.

I saw how he stopped tapping
when he realized

the only reason he was called in here
was because of the patient deaths.

Suddenly he relaxed
and the tapping stopped.

Which means, even if he is a creep,
he's probably not our killer.

And given the number of suspects
we have left...

I'll bring in the next interview.

Thanks for your help in there.
She's been pretty scared.

Sure.

Hey, sorry if this is weird,
but I noticed something in there.

Splinter hemorrhage
under her toenail.

Yeah, she's a soccer player.

She probably just jammed her toe.
Happens all the time.

Or it could be endocarditis.

Heh. Joanie, come on.

She's a healthy 12-year-old girl
with a bum knee, not an IV drug user,

or someone
with a congenital heart defect.

I just checked her heart.
I heard no murmur and no rub.

If she has endocarditis,
she could crash during her surgery.

Please, just to be safe,
run an echocardiogram.

And she says she's done
with medicine.

Fine.

I'll order an echo, just to be safe.

You and Bell really moved through
those interviews.

That's what happens when you fail
to turn up a single solid lead.

- No one jumped out at you?
- Mm-mm.

What about your friend?
Any oddballs come to mind?

I was right earlier, wasn't I?

You two were close,
but you're not anymore.

After my patient died, I lost touch
with a lot of my hospital friends.

Being around them
was difficult.

[CELL PHONE CHIMES]

Carrie just didn't get it.
Speak of the devil.

- Bad news?
- Uh, good, actually.

I met one of Carrie's patients today.
I thought she might have endocarditis.

I asked her to run a test.
Turns out I was wrong.

- You're disappointed.
- Of course I'm not.

You didn't want the patient to be sick,
but you wanted to be right.

- You sure you weren't?
- Am I sure I wasn't what?

Right.

This test she performed,
is it the gold standard for endocarditis?

- Is it conclusive?
- No, but most cases...

Forget most cases. What was your
first instinct when you saw the patient?

- That she had endocarditis.
- Then hold the course.

Myriad studies have shown that first
instincts are typically the right ones.

What?

- What is it?
- That car.

I think it belongs
to one of my suspects, Dr. Cahill.

The bobcat sticker on the bumper,
it matches the one on his car key,

and his car key said his car
was a Nissan.

Okay, so that's his car.
What about it?

Well, Bell thought that he was a solid
suspect for the angel. I disagreed.

Thing is, as of five hours ago,

Dr. Cahill wrapped up a 30-hour shift,
said he was gonna go home and sleep.

He's not allowed to set foot
in a hospital for another six hours.

When I got off call, I couldn't get out
of the hospital fast enough.

So, what's his car still doing
in the parking lot?

Dr. Cahill, we meet again.

What the hell is this?

Hey, what do you think you're do...?
Get your hands off of me.

You're making a mistake.
I was just examining the patient.

Sherlock,
I don't think he's the angel.

There's no epinephrine
in that syringe.

It's empty.

That's a PCA machine.
It dispenses morphine.

That's what he was in here for.
He was trying to steal it.

So we didn't catch the angel,
we caught an addict.

Stupid.

Registered his bloodshot eyes
and general twitchiness.

Chalked them up
to sleep deprivation.

I should probably have known
what he really was.

He was a doctor using morphine
on the job and endangering patients.

You caught him. That's important.
Why are you taking those down?

Because they're no longer suspects.

Your point regarding Dr. Cahill
would be quite heartening

if his drug habit had anything

to do with the murderer
currently stalking the hospital.

A murderer who is most likely targeting
his next victim as we speak.

A murderer I am no closer
to identifying than I was this morning.

You met 23 people in one day.
Maybe you missed something.

I spent all day soaking in every word,
every gesture,

every involuntary reaction
of these 23 former suspects.

Dr. Cahill was the only blip
on the radar.

WATSON:
Maybe not the only blip.

All of the angel's victims were terminal,
except one.

Her. Samantha Cropsey.
She was the second-to-last victim.

She was quite sick,
she'd been in the ICU for two weeks.

Yes, but look here in her chart,
"CABG."

That's "coronary artery bypass graft."

She'd had major surgery.
She was recovering slowly,

but she was recovering.
She wasn't gonna die.

So why did the angel
make an exception for her?

[CELL PHONE RINGING]

Captain?

GREGSON [OVER PHONE]:
That druggie doctor

we scooped up
at the hospital tonight?

He's talking. A lot.

Turns out he might be able to help us
find the angel after all.

By the time I get out of surgery,
I'm wiped out and keyed up,

all at the same time.
I can't sleep without the morphine.

It's not like the patients
you're stealing it from need it

to deal with their excruciating pain.

I'm telling you this
because I wanna help.

GREGSON:
So help.

Tell him what you told me.

A couple months ago,
I snuck into a patient's room.

Older guy, end-stage liver cancer.
I knew he'd have morphine.

Raymond Sutter,
angel victim number seven.

Once I got the morphine
out of the PCA,

I ducked into the bathroom to...

I believe the words you're looking for
are "shoot" and "up."

And, uh,
when I got myself together to leave,

I realized someone was coming
into the room.

Did you see his face?

I hid out in the bathroom
the whole time.

They talked for like an hour.

Uh, I didn't recognize
the guy's voice,

but he was definitely a doctor,
talked a lot about medicine.

Were they discussing
Sutter's condition?

Yeah, yeah. The doctor explained how
the cancer was shutting down his liver,

how the, uh... The toxins
would slowly build up in his body.

Really, you know,
laid it all out for the guy.

I could tell it wasn't the first time
talking about it.

The doctor knew that the patient
didn't have much in the way of family.

And the next day,
died of a heart attack.

I didn't think anything of it.

Except that you'd need to find
a new source for your morphine.

CAHILL:
And when you and the detective

asked about an angel of death,

it got me wondering.

Didn't know how to tell you
what I'd heard

without explaining
why I was in that patient's bathroom.

Nothing like getting caught
to help one grow a conscience.

[CHATTERING]

We're back on track, Watson.

Dr. Cahill described a doctor
with an approach

identical to the one described
by the neighbor

who'd been visiting Trent Kelty.

He talks to his victims, gets to
know them before he kills them.

Finally, our theoretical angel
is proved real.

- Where are you going?
- Take another look at the records.

Dr. Cahill's insights may cast them
in a new light.

- You have copies at home.
- I prefer to work on the originals.

There's more detail, more texture.
I was right about the angel, Watson.

As a wise man once said,
"First instinct, usually the right one."

- Joanie, hey.
- I think you should run a TEE

on Morgan before her surgery.

Her echo was clean, as I expected.
She doesn't have endocarditis.

Twenty-five percent of cases
don't show up on a standard echo.

In addition to her hemorrhage,
she's pale.

I'm not subjecting a 12-year-old
to a scary and invasive test

- because you have a hunch.
- I know I'm overstepping...

Yes, you are.
Morgan is my patient, not yours.

Okay, I understand.

I just... My gut is telling me that
if you operate on her, she could die.

She'll be fine, Joan.

I'm operating on her, not you.

Expected you an hour ago.

I went to the hospital to talk to Carrie
about her patient.

- Victory?
- I did what I could.

Well, on the bright side,
I've made a rather important discovery.

Dariya Ruseckas' consent form.

- Uh, she's the fifth victim.
- Look closely.

It's a consent form for an angiogram.
This is the appropriate procedure.

Note the handwriting.
Or rather, the handwritings.

WATSON:
Oh, they're two different kinds.

Dariya printed her name and signed it,
someone else filled out the body.

Exactly. The nurse who initialed
the form here.

AJ. It stands for Anichka Jones.

Jones, I'm assuming,
is a married name,

because Anichka
is as Ukrainian as it gets.

Explains why she filled out the form
for Miss Ruseckas.

Because Miss Ruseckas,
born in Ukraine,

obviously did not speak
enough English to fill it out herself.

Okay.

The killer liked to converse
with his victims,

repeatedly and at great length.

Getting to know them
was clearly part of the process.

And he could have only gotten
to know her if he spoke Ukrainian.

We just need to check the personnel
records for a doctor who knows it.

I already did. There are none.

Then why are you so happy?

Because, Miss Watson,
as you very well know,

not all doctors stay doctors.

Your lack of accent is quite impressive,
Mr. Gura.

Thank you.
I learned English as a boy.

Hm. If I met you on the street,

I would never guess
you were a native Ukrainian.

But at work, well,
the tools of your trade gave you away.

Yourjanitor's cart,

you decorated the handle
with, uh, blue and yellow rags.

Since all of your cleaning rags
were white,

the fabric was deliberately chosen.

And as I later realized, representative
of the colors of the Ukrainian flag. Heh.

Then I pulled your personnel file
and, lo and behold,

under education,
you listed Olesky University.

Congratulations. Arguably,
best medical school in all of Ukraine.

Not arguably.

[CHUCKLES]

Yes, I was a doctor in Ukraine.

Now I'm a janitor.

Is that why I'm here?
A problem with how I clean the floors?

Actually, we thought
maybe you could help us.

HOLMES:
Do you recognize any of these people?

They were all patients
at the hospital.

"Were" being the operative word.
They're all dead now.

We believe they were all murdered.

GURA:
Yes, I remember them.

Many of these patients were very sick,
even dying.

That makes it okay to kill them?

When a patient is in pain,
dying is not a tragedy,

it is a release.

You make it sound so noble.

The murder of defenseless,
sick people. Heh.

I'm sorry. I still don't understand
why you want to speak with me.

GREGSON:
We got a warrant, Mr. Gura.

We searched your apartment this
morning while you were at the hospital,

and we found this.

It's a log filled with medical notes
written by you.

Exclusively about
these nine patients.

And we know that you're the man
who killed them.

I freed them.

I freed them from the pain-wracked
prison their bodies had become.

I saw them.

I studied them.

Confirmed for myself
there was no chance at recovering,

that all they had to live for

was the horror of dying.

And I did what needed to be done.

I showed them mercy.

What about Samantha Cropsey?

- What about her?
HOLMES: She was getting better.

How can you call
what you did to her mercy?

Better?

People do not get better
from metastasized cardiac cancer.

She didn't have cancer. She was
recovering from bypass surgery.

Her blood pressure was improving,
her oxygen saturation...

No. You are wrong.

- They'd found a mass in her heart.
HOLMES: What happened?

Did you get bored of waiting
for somebody sick enough?

The pain was so bad,
she could hardly form sentences.

- She was begging me to make it stop.
- She had her life

- ahead of her!
- No!

She was dying.

You are no better than the police
in Soviet Ukraine,

making up lies to suit your truths.

I am done talking.

You've said quite enough.

Holmes.

Great work. We'll take it from here.

What? What is it?

He's telling the truth.
Or at least he thinks he is.

About being the angel?

About Samantha Cropsey's
condition.

He's convinced she was suffering
from terminal cardiac cancer.

He's also convinced that he helped
those people that he killed.

He's a lunatic. What do you expect?

I don't know, just not this.

I was thinking sushi tonight.

Salmonella,
Vibrio parahaemolyticus,

mercury poisoning,
Anisakis simplex.

All illnesses contractible
from eating raw fish.

Anisakis is a worm that can burrow
into the wall of the intestine,

often requiring surgery to remove it,
but, yeah, sushi's good.

[WATSON SIGHS]

Why are you looking through
those files? You caught the angel.

I caught someone who is smart,
medically knowledgeable,

and fiercely attentive to detail.

His notes on Samantha Cropsey's
condition say

that cardiac cancer was discovered
during her bypass surgery.

Why did he get it so wrong?

And why is he so convinced
he was right?

[DOORBELL RINGS]

You expecting someone?

Am I ever?

Mr. Holmes, right?
We met the other day.

Joanie's friend.

I got your information
from Bruce in the morgue.

He seemed to think
I might be able to find her here.

Watson, it's for you!

Carrie.

I wanted you to know you were right.

Morgan had endocarditis.

The lab found it
when they ran a TEE,

which, coincidentally, is the test
you wanted me to run on her.

The funny thing is, I didn't order it.

Some anonymous person
put the request in her chart,

and the lab followed through.

Remember, on our vascular rotation,

how the chief resident
always used to say:

"Better lucky than good"?

Sounds to me like you were lucky.

Yeah, I guess I was.

I know what it's like not to be lucky.

It turned my life upside down.

You were always a good friend,
Joanie,

but you were a better doctor.

Aren't you full of surprises?

Of course you were listening.

Altering that girl's chart,
saving her life.

Apparently,
your instincts were spot on.

Well done.

Thank you.

Actually, it is I
who should be thanking you.

You've given me an idea
as to why Danilo Gura

would have killed
Samantha Cropsey.

Get your coat.

I need to speak with Danilo
right away.

I think he may have been
holding out on us.

Dr. Baldwin, you are a brilliant man,
are you not?

You didn't tell me
he was gonna be here.

I asked you a question.
Are you a brilliant man?

[CHUCKLES]

You're a step ahead of everybody,
people start calling you brilliant.

I got a feeling
you know something about that.

Ah. Indeed I do.

One of the dangers of brilliance,
however,

is that you sometimes fail to recognize
the possibility that others are,

at least in some respect,
just as brilliant.

Last night, for example,
it occurred to me,

I may not have been
the first person to discover

the angel of death
at Chandler Memorial.

I'm sorry. You're saying that
someone else knew that he was there

and kept it to themself?

A brilliant someone.

In this case, a brilliant someone
with extensive medical knowledge

and real reason
to pay close attention

to the sudden death
of two of his surgical patients.

Okay, if you're referring to me,

I can assure you I had no idea
what Danilo Gura was up to.

We checked the morgue
security logs.

Apparently, you went there
to examine the two bodies

of the first two patients
you lost to the angel.

They were my patients.

I wanted to know what happened.

I didn't find out anything unusual.

I believe that you did realize
they had been murdered.

Perhaps you noticed
a bit of ischemia,

as brilliant men are wont to do.

But around the same time,

you committed yet another
surgical error.

You left a clamp
in Samantha Cropsey's chest

during a routine bypass surgery.

Okay, I've had just about enough
of this.

- Whoa.
HOLMES: It was inevitable

Samantha
would develop complications.

The mistake could have been
easily rectified, the clamp removed,

but not without earning you
your third strike

and ending
your formerly great career.

Unless the angel
could make it all go away.

You realized
that he targeted patients

who were not only terminal,
but also in tremendous pain,

so you set about making Samantha
an attractive target.

First, you found the biopsy of a patient
dying of cardiac cancer.

You put Samantha's name
on the biopsy results,

you noted that the tumor was found
during her surgery,

and then you placed them
into her chart.

Secondly, you made sure
that she was in pain,

so the angel would feel compelled
to end her suffering.

That was simple enough.
Just reduce her pain meds.

Now, this had the added benefit
of making her too delirious

to effectively communicate with a killer
who liked to chat up his victims.

The angel took the bait.

Samantha succumbed
to a cardiac event.

Now, all you had to do was remove
those cancer results from her chart

and your mistake was erased,
until today.

We received permission to exhume
Miss Cropsey's body.

The ME found this lodged
in her ribcage.

It's a surgical clamp. Look familiar?

Let's say that I believe you.

Let's say that you actually found that
in Samantha's remains.

All you've proven
is that I made a mistake,

a mistake that'll probably
end my career

and keep me from helping
thousands of people,

but I see no evidence at all
that I faked records,

- or that I killed people.
HOLMES: Excellent points.

Which is why I visited
Danilo Gura late last night.

His patient logs were so detailed,
so comprehensive,

at first, I suspected
he must have copied the data

directly from the charts.

But why would he risk doing that
in a hospital

where someone could walk in
at any moment?

Then it hit me.

He'd taken pictures.

Like this one, for example.

At first, he refused to acknowledge
the photos' existence,

but after I explained
how you had manipulated him

into violating his code,

he told us we could find them
on a flash drive

he had hidden in a vent
near his apartment.

God forbid either of you should
ever need surgery to save your life.

I am the guy you want
standing over you in the OR.

It's that kind of thinking

that helped you justify
Samantha's murder.

Her life versus the thousands
you believed you'd save.

I was talking to the DA this morning.

He figures murder two is a lock.

You're looking at 20 to life.

WOMAN [OVER TV]:
Chandler Memorial Hospital

was rocked by scandal
for the second time in two days

when Dr. Mason Baldwin
was arrested for his role

in the death of one of confessed
angel of death Danilo Gura's victims.

Recent...

HOLMES:
My favorite bit. This moment.

The slumped shoulders, the pallor.

Like a turtle trying to retreat
back into its shell.

I'm happy for you.

I'm also exhausted. I'm turning in.

I must say, Watson,

I enjoyed catching a glimpse of you
in your former element.

Seems to me your friend was right.

You were quite a doctor.

I had my moments.

Maybe you'll give it another go
one of these days.