Getting On (2013–2015): Season 3, Episode 4 - Am I Still Me? - full transcript

On the day of her 'Sympoosium,' Dr. James is plagued by unexpected complications. Patsy embraces his truth, and DiDi finds herself caught between her work and family. Dawn and Dr. James see uncanny visions of themselves in two British visitors, Dr. Pippa Moore and Sister Den Flixter.

Good morning, Ron.
Wow. Do I know you?

Is this the same woman I've been
working with these past weeks?

It's one and the same. Since today is
symposium day, I brought my "A" game.

But, uh, Patty and
Janice down in Events,

they have really stepped up.

Everything is shipshape,
everything's ready.

I am very ready.
Hurry, three p.m. Yes.

People are affectionately
calling it my "sympoosium."

Oh, look, this is the
coveted Helen Tillman Award,

and that's given to he, or she,

who has the greatest
contribution to geriatrics.



You can run that over
to Janice and Patty.

Although, maybe it's gonna
be coming right back to Mama.

Hi.

Okay, busy day.
Busy, busy, busy.

Dawn, you're gonna be
working a half-day today,

and then Marguerite and
I will hold down the fort

while you work the anal
horn booth from three to six.

Yes, if I can.

And Nurse Ortley, you
asked for extra hours,

so I'm putting you down
for Thursday of next week.

Thank you. And I won't be
available after four p.m. on Monday,

because I will be attending
a meeting for the founding

of the Long Beach chapter
of Cheer, Dorothy, Cheer!

An all-male cheerleading
and philanthropic organization,



because I am gay.

Nice.

♪ In olden days a
glimpse of stocking ♪

♪ Was looked on as
something shocking ♪

♪ Now heaven knows
anything goes... ♪

Jenna: Ms. Lamb?

How are you feeling
today, Ms. Lamb?

Pretty good.

My nurse alerted me that your
breathing was giving you some trouble.

And she's been a little
bit out of it this morning.

Let's continue her Ampicillin.
Get me a sputum culture,

and let's keep a close eye
on her blood oxygen saturation.

You need to lick this pneumonia,

and you can count
on us to help you out.

I love you for all
that you do for me.

Hm...

Waylon: I believe in the Big Bang.
I'm just saying, what made a bang?

Darnell: Know that the
question should be, though,

what was there
before the Big Bang?

Waylon: And I told you, there was
nothing there before the Big Bang.

Jenna: Excuse me.
Absolutely nothing. Zero.

Consciousness was there.
Excuse me. Excuse me.

Um, I'm sorry to
say that her labs

confirm that we have
two serious infections,

and some endocarditis.

We absolutely need to
attack the bacterial buildup

before a heart
surgery is required.

Of greater, uh, immediate
concern, though, is the UTI.

If her leukocytes get any
higher, she could flip into sepsis,

tissue hypoperfusion, shock,

ultimately death.

So, what do we do? Jenna:
We bring out our big guns.

We get her started on
Cipro right away, Nurse.

Yes. Draw blood every three
hours, monitor leukocytes.

Hope for the best.

Oh!

Look at you, Dawn.
I'm so proud of you.

You look so healthy. You've
even put a little weight back on.

It's been three days
since my last dialysis.

I'm carrying 12 pounds of
waste that needs to be removed.

But your attitude is
so much improved.

You're starting to
take things in stride.

That encourages us to take
things in stride. Good for you.

I'm still very ill. Well, I'm
glad you're up to manning

the anal horn
booth this afternoon.

I'm so happy we'll be spending
this special day together.

Hello? May I help
you? Yes, hello.

I'm looking for Dr. James.
Are you Jenna James?

I am. Yes, I'm Dr. Pippa Moore.

I'm here for the
conference. Oh, Dr. Moore!

Oh, welcome! I...
Well, I thought that I...

I didn't know
where... Is there...

Well, no, no. Thank you. Yes,
I've come too early, haven't I?

No... Oh, the jet
lag, I couldn't sleep.

So I just jumped on the first
shuttle bus from the hotel.

Look, if I'm a nuisance...
No, no! No, not at all.

There's an early bird breakfast
down by the welcome booth.

Yes, I've already... Mm... Oh.

It's... Well, then I could
take you on a little tour?

Would you? Mi casa es su casa.

Oh, well, that's... Muy bien. Wanna
put your things down in my office?

Yes, please. It's right here.

Oh, very, uh, small. Eh...

Hi, Nurse. Hi.

Hey, uh... Heard
what you said before.

Must be rough.

Just wanted to
say hang in there.

Thank you.

So, uh, will you be taking
part in the symposium today?

The bare minimum. I
wouldn't consider myself

one of the world's great
experts on the vagina.

Okay. All right.

Excuse me. Is this mayonnaise
sugar-free? I can't eat sugar.

Yeah. I can't eat sugar either.

I really shouldn't
be eating any of this.

Yeah. Me, neither.
I'm gluten intolerant.

I'm gluten intolerant.

And I have terrible acid reflux.

I have reflux. I have GERD.

Mm... Oh, please. Bacon?

Are you reading this book?

I read this book when I
had my recent breakdown.

You had a recent breakdown?

I had a recent breakdown!

Over-sedation of the
elderly is epidemic.

I would only prescribe Seroquel to a
patient who was a smoking schizoid.

Yes, and I titrate them
down as soon as possible.

Around here, the only thing we
titrate up on is caring and friendship.

Vent suite. Yes.

We've done several studies on
BPA and its estrogenic effects.

Hm. It's polyurethane foam
furniture that's the culprit. Exactly!

Ethers leak out. Endocrine
disrupters. Two heads, smaller testes.

Yes, it's the shabby,
cheaper furniture,

so the poor share a disproportionate
rate of disease, tragically.

Environmental racism.
What do you drive?

Uh, Audi. You? Volvo.

Oh... Didi: Dr. James.

I've been on the phone with
the pharmacy for half an hour.

They are out of the Cipro. They
want to send Amifloxacin instead.

Oh. Okay. Well,
fine. Ah, here she is.

It's just as good as, right?

My statistical research
assistant, Den Flixter.

Oh! And this is my
Dawn. Dawn Forchette.

Hello. Hello.

Pippa: I like your
bow. Dawn: Thank you.

Yeah, it's the
second-generation anal horn.

Its design reflects the
concavity of the rectum.

So this sits right up
against the rosebud? Yeah.

Hm. You're her statistical
research assistant?

No, I'm a ward sister, but
she's paid me to come here

so that she can
look more important.

Mine is paying me to man
this booth. I'm a stool monkey.

I do do her research.
She just won't admit it.

Mine uses me for
everything. I set up the buffet.

I think you're
lovely. You're a seer.

Hello, there. I'm
a visiting doctor,

literally and figuratively.
Uh, Dr. Pippa Moore.

And I see you have
visitors. How nice for you.

Well, you're loyal
employees, I presume?

She's our mother. Oh.

Well! Oh, a mixed race family.

Yes. How wonderful.
Yes, wonderful.

It's, uh, good for you. Is it?

Um... Well,
anything goes. Hello!

Hello, there you
are. It's a melting pot.

This is our Didi,

and this is her
mother-in-law, Vivian Ortley.

Flaming UTI. Ten
days on a catheter.

Right. You used
a dipstick on her?

We're well beyond
that. Leukocytes at 1200.

Oh, good heavens!

You've considered a
suprapubic catheter, of course?

Uh, oh, yeah, so this
is, um, where we place

a small hole directly in the
tummy and just feed a draining tube

straight down into the bladder.

Well, there's been a bit of
increased mental confusion,

so I ordered up some Cipro.

Which the pharmacy was out of,

so they sent Amifloxacin
instead. Yes, Nurse.

Because Ciprofloxacin and
Amifloxacin are both fluoroquinolones.

And so, rest assured, Amifloxacin
is a very, very good fallback.

Yes, I suppose. At a
pinch. Yes, it's perfectly fine.

Yes, at a pinch.
It's perfectly fine.

It's...

Look, you have to help us, Di, because
we want to get her out of here today.

Take her against medical advice?
Do y'all realize what you're asking?

Unless we do something, she's
not gonna make it out of here alive.

Thank you! If we can
get her into boarding care,

and get her away from these germs
and infections and medical stuff,

then she could live!

This is an awful place, Denise.

Didi: It is not an
awful place, okay?

It's no different than any other
hospital, and I work here, Yvette.

And, babe, you know I've
already been warned about working

"outside the scope
of my authority."

Baby, we need you
on this. I need you.

Didi: I need you to understand
that I could lose my license, Darnell.

I was sexually
assaulted in college twice.

And last year I had to have
a complete hysterectomy

because they found fibrous
cysts the size of tangerines.

I have end-stage kidney
disease. I'm on dialysis. It's horrible.

No one takes it seriously, everyone thinks
since you're on dialysis, you're fine.

No one thinks you're
special. It makes it really hard.

Yeah, I'm the same.

How are you the same?
I have kidney failure.

Yeah, I have so much
post-traumatic stress disorder,

with it an eating addiction
from a lifetime of trauma,

that my therapist
has told me that it is

the equivalent of
a terminal disease,

only worse because she
says I can't be treated.

Richard! Hello!
It's so exciting here.

Everything's
reaching a fever pitch.

Uh-huh.

Oh, okay... All right.

Well, it was bound to happen.

Well, I just can't...
I mean, not today.

No, I know. It's just that
we weren't that close.

All right. Bye-bye.

My mother just died.

Jenna, what's going
on? I've been paging you.

I paged you last night, several times
this morning. Are you ignoring me or...

Oh, no! Oh, Paul! No! I'm so
sorry. I've been spectacularly busy.

Well, we're meeting now
to discuss ward closures.

Oh, I know, but today
is my symposium.

Yes, but we're...
We're discussing

the possibility of shutting down various
departments, including Billy Barnes.

And I've been looking at
your symposium program.

Your "acknowledgments"
and "thanks."

You don't thank the
hospital. Is this intentional or...

Well, I suppose it is. Because
except for Patty and Janice,

I haven't received any support from
you at all, so I'm just telling the truth.

Jenna, this symposium is
not winning you any friends.

I've known you for 22 years,

and it pains me to say this.

But what you've become?
You're not a nice person.

There was no need to say that.

Okay, I'm not nice.
I can live with that.

This is my day, Paul.

Please don't embarrass
or humiliate me

in front of my friends
and colleagues.

The top five regrets of
the dying actually are, um,

"I wish I hadn't
worked so hard,"

"I wish I'd have allowed
myself to be happier,"

"I wish I had the courage
to express my feelings..."

She needs to be
on IV antibiotics,

I can have a
nurse there by five.

It's a really nice facility, but
we are gonna need a nurse

for at least the
first two weeks.

I hope we didn't miss
anything around here.

We've just been shopping
for plus-sized clothing.

And then on the way back,

we swung by my hotel so I
could show Dawn my suite.

Ah, yes, I meant to mention
something about that.

There was a mix-up in
reservations, I'm afraid,

so, well, I have the
much smaller twin room,

and my research assistant
has ended up with the suite.

Oh, no. Normally,
I wouldn't mind,

Den, you know
me, it's just a room.

Um, my Didi can fix this. Didi,
can you straighten all this out?

Huh? Pippa: Could you, please?

I will need a sofa and a desk.

Absolutely. Yeah. I
will straighten it all out.

I'll get you the reservation.

Sister Den Flixter.

Sister Flixter.

Now, you might not find
me remotely attractive,

I understand, but I
find you delicious.

So if there's anything
you want to do

that no one else is
comfortable with, anything,

my skill set is very
high on all the basics.

This is my hotel.

I'm free tonight.

And if it doesn't
interest you, no worries.

Hi.

We haven't had a chance to
share and process my big news.

That I'm now gay. Yeah.

What do you think of my news?

Well, I think it's very curious
that you chose this of all times,

when I have my kidney disease.

I feel like you were just jealous
and trying to steal the limelight.

Mr. Bear?

Are you there?

My wife and I wanna
take her home today.

So you're saying you will
not support us in that decision?

No. Discharging her would
be tantamount to elder abuse.

She can't advocate for herself,
so I'm advocating for her.

She needs care. You don't
let other people talk, do you?

Madam, it's problematic
when doctors play God...

She won't even
pretend to listen.

My answer is absolutely not.

What are you two doing? What...

I'm sorry, Dr. James. I'm sorry
for them taking up your time.

You need to talk to these two, Didi,
encourage them to do the right thing.

I will absolutely talk
some sense into them.

I am so, so sorry. I understand.

Just give them a couple of
these coupons for the cafeteria.

Because maybe the added
wait will help them reconsider.

You guys did real good. I think
you came across as believable.

And I think I'm
hopefully protected.

Yvette: Oh, my
God, what a bitch.

Jenna: Oh, Didi. Yvette: Talking
to her is like talking to a rock.

Waylon: She's a cold fish. Didi:
She just doesn't understand people.

She don't understand patients.

It's all in her head, and
none of it in her heart.

Arthur! Arthur Pan!
Arthur, this is Dr. Ron Rudd.

Ron, this is Arthur Pan. Arthur's gonna
be moderating "Fecal Impaction & Loading."

Dr. Pippa Moore.
There's Dr. Runyon

with the Winter Continence
Society Workshop.

Oh, look who it is!
Ruben Sidsey! Ru...

Author of the book "Anus."

Edit! Edit Gutterman!

Past ITGAG president.

A birdy told me positive things
about the Helen Tillman Prize and you.

I don't know. Well, where
there's life there's hope.

Jenna? I don't know. Am I?

I don't care. I don't even
know who I am anymore!

Am I still... Still seem
like me? Heather!

Heather Stern.
Pippa: Ah, Salzburg.

Yes. "Designing Therapeutic Trials
for Agitation in Early Onset Alzheimer's."

Dr. Moore. "Fecal Bacteriotherapy
Treatment for Chronic C. Diff,"

and "Bristol Stool Chart, A
Revised Analysis of Geriatric Stool."

Oh! I wasn't aware of your work on the
Bristol Stool Chart and Geriatric Stool.

Oh, yes, I've long
been immersed in stool.

Yes, I first published in 2009,

and then did a revised
analysis just three months ago.

I'm up for the Helen Tillman
Prize, if you can you believe that.

Oh, so you're a nominee? Yes.

Don't tell me, you too? Yep.

Oh...

Tawny, tapered, tarry.

These three stool are the same.

These look like
different stool to you?

I hate this uniform. The
fabric doesn't breathe.

She published 17 types,
three of which are very sketchy.

I published 32. And then
she just takes 11 of mine.

It's just a cheap attempt
to rob me of my research,

take my crown, based on
stolen and invented stool.

I feel like my body's
being suffocated.

She's trying to steal
my prize, Dawn.

I mean, I don't care, but say
what you will, they do matter.

I mean, I get it. You know.

Sure, her career tanked,
and she's frustrated.

Nobody likes her. She
doesn't understand people.

It's like talking to a
rock. She's a bitch.

Okay, y'all, the
visiting nurse is all set.

Y'all come back at six.
The coast will be clear.

Everybody will
be at that shindig.

All right. We'll be back, Mama.

See you, Mama.

Sorry about what I said
about, um, you and Darnell.

That's okay.

Because we gotta
be here for Mama Viv.

We can't be petty.
We gotta move on.

I just wish you could
hold your tongue is all.

I know it's hard.
What do you mean?

We just share a lot
of history, that's all.

Yeah, okay. That's true, but...

What do you mean? When was
the last time I said at Thanksgiving

or Christmas, "Oh,
hey, everybody.

You know, the only reason
why Caroline is with us today

is because I talked Yvette
out of getting that abortion"?

That's a... that is a
goddamn lie, Didi.

Didi: Is it? Are you trying to re-write
history? 'Cause we were at that clinic.

That you took me to.
Didi, you made me go there

because you said I needed
to consider my options.

'Cause you said you were
gonna get an abortion in Downey.

In Downey? Don't look at
her. She knows the truth too!

You were wailing and
crying, and I said, "Don't do it."

And you said it would
ruin your marriage.

And I was the one that told
you, "God bless his heart,

but Waylon is too trusting and too
dumb to ask where that baby came from."

Now, you know that's the truth.

How's it going? I hate it.

Sorry, it's not you.

Well, part of it's you.

I know it's hard, Dawn.
But it's working for you.

You're doing great. Your
numbers are excellent.

You could last years,

the kind of patient for
whom dialysis can be

a very successful new normal.

I know, transplants are sexy,

they get all the
attention and focus,

but you are thriving

on the quiet, little
miracle of dialysis.

Oh, where you going? I gotta go.

Oh, how long? I'll
just be a few minutes.

Any longer and the
tubing would clot.

I need to get out of here.
We'll start all over again.

So let me just do
it for you. I'm good.

There's a little trick
we can do... I hate this!

No, no, not the needles!

Not the needles,
not the... I hate it!

No, no, no, clamp it!
Where's the clamp? Clamp it!

I'm trying, I'm trying!
I'm trying! Put it back!

Shit! You're an idiot.

Hello.

Oh...

Den: Are you coming
back to the party?

Oh! We're dancing now!

Everybody's gonna dance!
Marguerite: Dr. James!

Dr. James. The
Ortleys are leaving.

I mean, quickly. They're
making a run for it.

Didi: We need to keep her warm.
Waylon, put that beanie on her.

I could be fired for
even unhooking this IV.

Y'all took her while I
was changing the line.

Sign that, it says I
explained all the risks.

You look like Mary Tyler Mama.

All right. Car's out front.

Where am I supposed to sign? This is
a lot of paperwork. Sign at the bottom!

Oh, the bottom. All
right. Jenna: Didi.

Well... so you're
involved as well.

Turns out this is one
big conspiracy after all.

You don't really care what I
might say, my professional opinion.

The way the path is leading,
we're afraid she's gonna die here.

Where are you taking her?
Didi: A great boarding care facility.

We got a nurse, a
prescription for Cipro.

Things happen at hospitals,
infections, you know that.

Look, Doc, no one here is wanting
to cast any aspersions on anybody.

Dr. James, I love my job.

But this is what my husband wants
for the woman he calls his mama.

It's hard on me. You lead
with your heart. How lovely.

"Oh, my heart says do
this, my heart says do that."

Anybody can do that, Didi.

There's nothing hard about that.

Hi.

I'm so sorry to hear
about your mum.

Jenna... Shh.

Jenna! Shh.

Oh, yeah... I just came.

It's all right. No, no,
no. You're not listening.

So you just came. Who cares?

Jenna...

Jenna, I can't.

I'm sorry. I really can't.

Hey, I'll call you
when we get there.

You got Mama Viv out,
and you got me to marry you.

I owe you for both.

Waylon: Bye, Di.
Yvette: I'll call you.

We need to plan Thanksgiving.

There you are. You know, I've
been thinking about you all day.

I feel very sorry for you that
you can't be happy for me.

Really? Well, I don't care,

because I don't think
anything really matters to you.

Really? I think
you were just toying

with emotions all
along. Okay, I was a jerk

for making you
fall in love with me,

and then leaving you high and
dry to get over me as best you could.

You can't blame yourself.
Yeah, you know what?

You can't blame yourself for
falling completely in love with me!

Was I just like a blow
job queen for you?

Someone with low self-esteem?
God, no, Dawn, you were special to me.

You know that. You know, I was able
to pretend that you and me and Sammy,

like, just for this
brief period of time,

I was able to entertain the
silly fantasy that he was ours,

he was our sweet,
dear, little uncle,

and that everything was nice
and good... God, no, Dawn.

But the reality is... Is what?

I'm dying.

Dialysis isn't working.
My numbers are terrible.

I need a transplant to survive.

Oh, my God. Dawn...

And, you know, whatever
time I have left, Pats,

I need to find
meaning in my life.

And that's not with you.

Woman: Get up.

Come on.

Now? No one's watching.

The coast is clear. Come on!

Just let's go!

The Helen Tillman
Prize goes to a woman

who perfected our
understanding of geriatric stool,

Dr. Pippa Moore!

On behalf of Ward
K2, St. Jude's Hospital,

Sussex, United Kingdom.

Oh, unexpected! Oh!

Oh, goodness.

What a night, Miss Birdy.

So much action,
hubbub, and drama.

Yeah, I need a resus.

Yeah, I don't know,
maybe a trach.

No, not a ventilator. But...

I am sorry. I'm
sorry to bother you.

I made a mistake. The
patient already passed.

We love you, Miss Birdy.

Pippa: Absolutely unexpected,

and completely sort
of bowled over by it.

No hard feelings.

Tawny and tapered are the same.

Oh, no, a closer inspection
will reveal they're quite dissimilar.

Well, then you
stole 11 of my feces.

Oh, no such thing. I delved
deeper. Waxy? Wavy?

I was the first to record waxy and
wavy, and string bean and nuggets.

I conceived of reevaluating
the Bristol Stool Chart in 2008

and published in 2009. Mm...

I mean, between us, there is little
question who was first out of the gate.

Well, I plan to appeal. Lay out
all the evidence and then we'll see.

You really are
quite disagreeable!

You're quite
disagreeable, not likeable.

Well, thank you
for your hospitality.

You glad you came,
Den? Yes, I am.

It's a shambles, this
place, isn't it? Mm...

Yes. You should see the
notebooks full of insurance forms.

I thought they had
all that sorted out.

Whoo!