Three Rivers (2009–2010): Season 1, Episode 8 - The Kindness of Strangers - full transcript

The Kindness of Strangers

(clanging)

Got a flat, huh?

Yeah.

I tried to change it, but I
can't get the thingies off.

Those air-powered
wrenches at the shops

can put them on too tight.

Yeah.

Want me to give it a try?

Sure.

Thanks.



You got a wrench?

Where you headed?

Uh, Youngstown.

I have some friends waiting for me.

How about you?

Just out.

I find things,

fix 'em up, try to sell them.

Make any money doing that?

Some.

Wouldn't turn down a token of
gratitude for helping you out.

I don't have much to offer.

But I think my boyfriend
has something to give you.

Come again?



Why don't you ask him?

Get up!

(wrench clanging)

Wallet, keys.

Keys are in the truck.

Y-You don't have to do this, son.

I know.

(gunshot)

I need some water.

I just need some water.

Male, 20, head and chest trauma.

BP's 90 palp and sinking fast.

Pulse 115 and thready.

I figure, maybe internal bleeding.

- How was the FAST?
- Uh, it was clear.

- No abdominal bleed.
- Okay, whoa.

Where do you think you're going?
(groans)

I just need some pain meds.

Okay, okay, Nick.

Why don't you just
slow down and let us talk to you?

- I, I think I want to go home.
- You don't want

to go home, buddy.
Come on, now.

- Come on.
- Okay.

Okay.

Maybe I'll just chill here
for a second.

Okay, that's a good idea.

Let's get you back up here.

Stethy, please.

Okay, Nick,
why don't you tell me

what happened?

I took a tumble
down the attic stairs.

(groans)
Beth is going to kill me.

- Who's Beth, Nick?
- She's my girlfriend.

I mean, my wife.

We just got married.

If I drove myself here,
it can't be that bad, right?

I like your optimism.
How's his chest X ray?

It's coming up right now.

His clavicle's fractured.
(grunting)

He's got a right hemothorax,

decreased pulse.

I think the bone has pierced
the subclavian artery.

(Khouri)
Call the O.R.

- and tell them prep for a thoracotomy?
- Yes, please.

-Okay, Nick? Nick?
- Yeah?

You have an arterial injury
and you're bleeding

into your chest, okay?
We're going to have

-to take you into surgery.
- Okay.

- Okay?
- Just make it quick.

♫ ♫

♪ Heaven ♪

♪ I'm in heaven ♪

♪ And my heart beats so that I ♪

♪ Can hardly speak ♪

♪ And I seem to find
the happiness I seek ♪

♪ When we're out together ♪

♪ Dancing cheek to cheek. ♪

(indistinct chatter)

♫ ♫

How are you holding up, my love?

I am having a great time.

Hmm, liar.

But thank you for coming.

I would fight through
a thousand blowhards

in penguin suits to be with you.

Oh, you're so sweet.

My meeting got moved up.

I'm taking the jet
to India tomorrow.

Will you join me?

I can't.
Tonight we raise the money,

but tomorrow,
we get our hands dirty

- down at the center.
- I'll be back in a few days.

- Where are you leading me?
- I have to say a few words.

I would like you
to be by my side.

I'll be right over here.
(chuckles)

(clears throat)
Friends...

thank you all for coming.

Now, tens of thousands

in Indonesia have been left
destitute by earthquakes.

A cargo plane chartered
by my husband, John,

will carry relief kits filled with

food, filter straws and blankets

to people in need.

Know that your generosity
this evening

will have a direct impact
on that tragedy.

What you give tonight
will save lives.

I would, uh, also
like to invite you

to our foundation's
headquarters tomorrow,

where we will be assembling

these relief kits.

A little hard work
won't kill any of you.

(laughter)

So, please, for now,

enjoy the drinks
and the company.

And again, thank you.

(applause)

Thank you.

I'm very proud of you.
(moans)

What is it?
What's wrong?

(moans)
I don't know.

(crowd murmurs)

Call 911!

♫ Three Rivers 1x08 ♫
The Kindness of Strangers
Original Air Date on November 22, 2009

We're getting posts
on the foundation's

message board from well-wishers.

- Want me to read them to you?
- Later.

Just write a thank you
on the home page wall.

Let everyone know
I'm doing well.

Are you comfortable, Mrs. Warren?
Is there anything I can get you?

Oh, I'm fine, Pam. Thank you.

Okay.

Mrs. Warren.
Mr. Warren.

I'm Dr. Sophia Jordan,
Head of Surgery.

Call me Tracy,
and this here is John.

Is that an ANSA pin on your coat?

Yes, it is.

Well, it's not as large

an organization as yours,
but they do

what they can.

So how's she doing, Doctor?

Unfortunately, you have suffered

an acute on chronic liver failure.

Is this because of my hepatitis?

I caught it while I was in Angola.

Well, that's the chronic part.

But it looks like

exhaustion and dehydration
have exacerbated your condition.

How bad is it?

Tracy, your liver has shut down.

Right now,

transplant is your best option.

You mean, my only option.

Okay. We knew

this day might come.

Um, I've been tested,
and I'm a match.

So, how soon can we give
Tracy a lobe of my liver?

Mr. Warren, our tests show
her condition is too severe.

She now requires a whole liver.

But that was our plan. We...
we had this situation covered.

It's okay, John.

Yeah, we'll find another way.

With your MELD score where it is,

you'll be a priority
on the UNOS list.

I find myself in need
of a stranger's kindness.

With all the work

you do for others,

I'd say your good karma
score is high, as well.

In my book,

that counts for a whole lot.

- Andy? I have amazing news.
- One sec, Kuol.

Ryan got our picture
in the newspaper.

-Way to go, Ryan.
- But that's not why I'm here.

Okay, Kuol,
I'm actually working...

(Andy groans)
Prepare yourself

for a shock.

Okay.

Look!

That's amazing.

As I said it was.

That's over 150 grand.

This is the break we've needed.

Pam, come here.

The article mentioned the Web site,

and like mag, the money appeared.

- Look at that!
- Congratulations, Kuol!

Kuol, this means

your aftercare is covered.
This means I can

go back to the committee
and try to get

you listed with UNOS.
This is huge, Kuol.

This is a game-changer.

And all it took was a photograph

with the great Dr. Yablonski.

(laughs)

Let me help you.

No! I got this.

I'm just putting some down there,

in case I get hungry later.

Mmm! Where's my sketch book?

Oh, I came here from work.

I didn't go home.

Beth, I asked you
specifically to bring it. You...

You... weren't you listening?

Yes. I was listening

when you told me
you just got out of surgery.

So, I drove straight here.

I needed it.

- Okay, well, I can go right now...
- No.

Just... whatever.
Never mind.

(Miranda)
Hi.

You must be Nick,
and you are...?

- I'm Beth, his wife.
- Nice to meet you.

I'm Dr. Foster.

- How are you feeling?
- Like crap.

Yeah, well, your body went
through quite a shock.

When you fell, you broke a bone
that pierced an artery.

- Oh, my God.
- No, no, no, no.

It's okay.

Surgery went well.

But I will say between
that and your broken clavicle,

you're looking at a good eight
weeks of slow recovery.

I told you

those stairs were dangerous.

Beth, I didn't slip.

I'm sorry, how did you fall?

I don't know.

We just leased a new house.

My office is in the attic.

I was coming down the stairs,

and... I must have passed out.

And have you ever
lost consciousness before?

Never.

But for the past few weeks,
I have been getting headaches,

feeling sore all over, like

I was fighting off the flu.

Well, your labs did show bumped-
up liver and cardio enzymes.

So I'm thinking

to be safe, we should run
some additional tests.

(monitor beeps steadily)

(ventilator wheezing)

They found him by
the side of the road?

Yes, Father.

He stopped to help someone,
and they shot him.

(sighs)

What's best in you
will live on in us, my friend.

You were the finest
of God's creatures,

and you will now sit
at his side

as do his most gentle angels.

I pray justice comes to
those who harmed you.

I pray for the fortunate people

whose suffering your
generosity will relieve.

And I pray for your
blessed soul.

(Andy)
We all know Kuol.

He's come thousands of miles
to get here, hoping for a new heart.

But we couldn't list him
for transplant

because he wasn't a citizen,
and he didn't have money.

His cardiomyopathy worsened,

but luckily we managed
to get him a VAD.

And recently he came very close
to getting a directly donated heart,

but sadly, that fell through.

Well, through
generous donations,

we have managed to raise
the necessary funds

to list Kuol
for transplant.

And I've been waiting
for this vote

since the day he first
walked into our E.R.

Then, let's get on with it.

All those in favor
of listing Kuol?

(newscaster)
The young couple was arrested

in a stolen van.
They'll face murder charges

related to the brutal roadside slaying
of a good samaritan. Details...

UNOS found a match
in Youngstown, Ohio.

That is great news.

Size, blood type,
liver function are good.

I recommend we accept the offer.

We'll take it.
We'll take it.

Thank you so much,

Dr. Jordan.

Thank me when you're
on your feet

and walking out the door.

You still have a few hours
before the surgery.

(sighs)

She was right about
your good karma.

Before you know it,
this will all be behind us.

We should talk.

That sounds serious.

A transplant is still
major surgery,

and sometimes they go wrong.

Nothing is going to go wrong.

If it does, promise me

that you will carry on my
work at the foundation.

And I don't mean
getting somebody else

to do it.

I mean you.

I don't like talking about this.

We have to be prepared.

I don't prepare for failure.

I got you to the best hospital,
to the best doctors.

UNOS found a donor.

This plan is coming together.

Let's just stay focused
on the positive, okay?

I love you.

And I am not going
to let you go.

Ah, Nurse Acosta returns
to the friendly skies, huh

It's been a while since we
did a run together.

I guess my luck just ran out.

You know, it's okay to admit
that you miss me.

David, whatever charm you use
on the other nurses

won't work on me.

Hey, a little light reading
for your trip to Youngstown?

So he made some cell phones
or whatever.

It's his wife

who should be on
the cover of magazines.

No, John Warren, he pioneered
our current wireless technology.

He's worth many
billions of dollars.

Can't buy your way
into Heaven, Ryan.

The clock's ticking, Pam.

I was waiting on you.

(phone ringing)

Dr. Yablonski.

Michael?

No... No, I'm just...

I'm surprised to hear from you,
that's all.

Sure, I can... I can...
I can break for lunch.

Yeah, okay.

Sure, yeah. See you then.

Congratulations on Kuol.

Yeah.

Uh, yeah, it's crazy...

the money just appearing
like that, right?

I know.

Guess it goes to show there's
still good people out there.

Mm-hmm. And look, I hate to
follow good news with bad,

but we got Nick Geary's
lab results back.

(wheezing breath)

One more.

(wheezing breath)

(coughs)

(sighs)

Your liver function studies
are spiking.

There's also B.U.N. and
creatinine abnormalities

which suggest kidney dysfunction.

Because I fell?

No, there has to be an
underlying condition.

It could be toxic, bacterial, viral.

It could be genetic.

I'm going to have
to ask you some

personal questions,
though, and Dr. Foster's going

to ask your wife
the same questions

so we can narrow down the field.

- Okay.
- Okay.

Any history of asthma or other
respiratory problems?

No.

In the last five years,
have you worked around lead,

mercury or arsenic?

No, I mostly work from home...
when I work.

So, no.

(Miranda)- I.V. drug use?
- No.

How about Nick?

No. I mean, not
that I know of.

No, look, Nick and I met
over the summer.

And a month ago we eloped.

It's been a crazy and wonderful
roller coaster,

but there's a lot about him

I still don't know.

On a scale of one to ten,
describe your stress level.

How about 12?

I'm a freelance illustrator
who can't get work.

The woman I just married

is the only one bringing home
a paycheck,

and she's made it abundantly
clear how uncool that is.

Okay.

You know, I'm no one
to give advice,

but for what it's worth,
the early days are the hardest.

Everything was perfect,
you know?

Before we got married.

Ever since then it's been
nothing but problems.

Nick kept telling me he felt
under the weather,

but I thought he was depressed
being out of work.

Well, feeling ill can affect
a person's behavior.

How noticeable would you say
the change has been?

Well, I know I've
been on edge

just adjusting to everything.

Now he feels like
a whole different person.

I just wish we knew
what was wrong.

(siren wailing)

(David)
I'm cannulating the aorta.

See, Pam, all I'm saying is

if you marry into
John Warren's money,

it's easy to commit yourself
to charity, right?

Tracy Warren was doing this

long before he even came
into the picture.

And by the way, it never
occurred to him to do any of it.

(David)
Clamping portal vein.

Good.

So, what about you?

If money wasn't an issue,

would you devote your
life to good works

like Saint Tracy, or would you

sit on a beach all day?

You're rich. Marry me
and let's find out.

I thought that you were immune
to my charms, Pam.

I am, but I'm not
immune to your money.

Okay, someone call
the pathologist, please.

What's wrong?

I see a mass here
that could be a tumor.

This liver may not be viable.

Is it time?

I'm sorry,
there's been a setback.

What kind of setback?

The liver was bad.

It had a malignant tumor.

It happens sometimes, Tracy.

So the transplant's off?

How-How could you
make this mistake?

There was no mistake.
We run tests

prior to procurement,

but some tumors are detectible
only by visual inspection.

Hours have been wasted.
How do we know

we weren't passed over
while we were waiting

for this bad liver?

(Tracy)
John...

(Jordan)
We don't know that.

But Tracy has been re-listed.

And we wait for another match.

(Tracy)
We understand.

Thank you, Dr. Jordan.

Catherine, I want you
to check with Pam

before you go any
further on this.

I know what you're
going to ask me.

Dr. Jordan.

Now what?

Well, like I said,
Tracy's been re-listed.

What are the odds that
we'll find another donor?

I don't make the odds,

but her MELD score places
her high on the list.

Can we approach this
another way?

Meaning?

What if I were to set up

a new endowment
for Three Rivers?

Fund a whole new
transplant wing?

Tell me what you want
and it is yours.

Mr. Warren,
I know you would spend

every penny you have
to save your wife.

But all that can be
done is being done.

If I believed that every time I heard it,
I would not be where I am today.

How much?

I'm sorry.

This is a situation

where money won't
solve the problem.

(chuckles, mutters)

Oh!

It's been too long.

Oh!

It's good to
see you, Michael.

Come on, come on,
have a drink with me.

Well, alcohol and surgery
don't really mix, you know...

Right, the million dollar hands.

I knew that the way
you used to pick a lock.

Yeah.

When'd you get out?

They paroled me six months ago.

You got the checks
I sent your lawyer?

Hey, med school was
supposed to be my gift.

No, it was always a loan to me.

I needed to pay it back.

I know.

That's why I let you.

And maybe it's a
good thing I did,

'cause I took that money,

I bought into a car wash.

A car wash?

A car wash. Legit.

- Oh, yeah?
- Front to back, I swear.

- That's good.
- Absolutely.

Good for you.

God, look at you.
Look at you. You know...

I can picture the kid that used
to break into houses for me.

(chuckles)

Cleaned up my act
a little since then.

So have I.

This last stretch, man,
I'm...

I can't go back to prison.

Really?

It's no place for an old man.

I want to... I want to collect
my monthlies from the car wash

and live like a citizen.

And you wanted to see me after
all this time to tell me that?

Back when you were a kid,

it took you getting arrested
for me to see

that I didn't want
that kind of life for you.

I gave you money for school,
and I cut all ties.

'Cause you were
moving someplace great,

and I didn't want
to get in the way.

I'm a different man now.

I'm on a better path.

You're like a son
to me, Andrew.

I'd like to earn a place
back in your life.

What kind of place?

I'll take whatever I can get.

(cell phone ringing)

That's me.

Yeah.

I, uh, I'm sorry, Michael.

I have to go.
(chuckles)

I know, Doctor.

Go.

(both laugh)

I'll talk to you.

(Miranda)
Well, it's about time.

I was meeting a friend
for lunch, sorry.

You left the hospital?

What's her name?

- Whatever. How's Nick?
- No change.

Let's hope Lagana and
Parr have some answers.

Hi.
Hi.

Lagana?
Mm-hmm.

Dr. Parr.
Dr. Lagana.

Dr. Parr.

Doctor.

Wait a minute.

Christmas party
dancing machine.

Remember?

How's your knee?

We all swore never to
speak of that night again.

That was epic, dude.

Okay...

I did a cardiac workup.

There was no myopathy or
any other congenital condition

that would account
for what we've seen.

Dr. Lagana.

(Lagana)
His autocrine workup is normal.

No diabetes, no thyroid disease,

no adrenal insufficiency.

What about
autoimmune conditions?

Nothing so far.

(Miranda)
Okay, well, Beth said that

they camped a lot
during the summer.

- Did you check for Lyme disease?
- Yes.

No lupus or rheumatoid
arthritis either.

And though they denied
it in the survey, I ran

an STD scan
and a hepatitis panel.

It was negative, too.

Well, his neurological
evaluation

reveals short-term memory loss
and difficulty concentrating.

But any number of things
could've caused that.

Exactly.

Now, looking at
his cranial MRI,

it's clean.

No tumors, no aneurysms,
EEG normal.

Did you test him for meningitis?

I did a lumbar puncture,
and it came back negative.

I don't see a physiological
reason for his symptoms.

(Miranda) Okay, so if it's not
an acute infection,

neurological
or endocrine dysfunction,

then what's next?

What about a low-grade
chronic infection?

Could be a latent virus
in the HSV 1

and HSV 2 families.

I'll run it.
That's a really good idea

since it doesn't appear to be
anything he picked up.

Could be a disease
that's been lying in wait.

That's right.

What are you doing?

I made a mistake
bringing her to this hospital.

Where are you taking her?

She's in no
condition to travel.

Don't worry.

I signed her out
against medical advice.

There's no liability
left for you.

My concern is for Tracy,
Mr. Warren.

Mine, too.
And you had your chance.

(Andy)
Hey.

Hi.

Did you at least have fun
on your date?

It wasn't a date.

- Okay.
- Okay.

Uh, I hear Nick Geary's
cultures are in.

Yeah, look at this.

He tested positive

for cytomegalovirus.

- Pretty severe symptoms for CMV, right?
- Mm-hmm.

But it's very consistent with
the disease, so at least it's

- something we can treat.
- Okay.

I'll put him on a course
of gamma-globulin,

- see if he responds.
- Okay.

- Thanks, Miranda.
- Sure.

It's called CMV?

That sounds bad.

The virus itself
is pretty common

and for most people,
it's, uh, it's asymptomatic.

But for some, it can produce

the effects that
we're seeing in you.

So you're not sure if
that's what's making me sick.

No, I'm not.

Maybe we should get
a second opinion.

Well, that's entirely
your right.

No, just... just do it.

Nicky, it can't hurt to hear
what another doctor has to say.

It's my decision.

Okay? Not yours.

Just get the
gamma-globu-whatever

and let's get started.

Okay.

(sirens wailing)

Okay...

(Miranda)
What's that?

(Nick laughs)

If you have to ask,
I'm in trouble.

(chuckles)

Well, look...

the good news: that the
latest round of LFTs

and kidney studies
are almost normal.

So I guess it was
the CMV, huh?

Yep.

We'll run another culture
today just to check

your IGM and your
IGG antibody counts.

But I'm guessing

that tomorrow, we
can send you home.

(chuckles softly)

You have permission to
be happy about that.

(chuckles)
No, it's just that

every time I talk to Beth,
she's short with me.

It's no matter what I say

Being in here has been
an excellent way for us

to avoid dealing with
our problems.

Hmm.

Well, all good things
must come to an end.

Check on you later.

All right.

(Jordan)
Hey, Yusef, you page me?

Yeah, I got an ambulance
coming in.

Paramedics requested
an abdominal surgeon

be at the ready.

It's Tracy Warren.

Female, 42.
BP 85 palp,

pulse 92 and thready.

Fever, vomiting,
and she's got

an infected
abdominal incision.

(Jordan)
On my count.

One, two, three.

What the hell did you do?

How is she?

She's septic.

We're moving her into
ICU after CT scan.

What-What does that mean?

Her surgical incision
is infected.

So we're loading her
up with antibiotics

and looking for
signs of rejection.

Maybe the scan
will tell us more.

She's gonna be okay, isn't she?

Where did you take her
to get that transplant?

One of my attorneys
referred me to

a new transplant facility
in Zurich.

Switzerland.

I couldn't risk waiting here
and running out of time.

I did what I thought was best.

Mr. Warren,

I will need the operative and
pathology reports, as well as

the perioperative course.

I'll get you those.

Next few hours
could go either way.

(ringing)

Hey, Beth.

Anna, w...

Whoa, whoa, whoa, slow down.

Where's Beth?

Hey. Hey, Nick. Nick? Nick, Nick,
what are you doing? What...?

A friend went by the house
and found Beth...

- unconscious.
- Whoa, whoa.

She's in an ambulance
on the way here.

- I got to get down there.
- Okay, okay, no you can't,

- no you can't, no you can't.
- (groans)

You need to stay
here, all right?

- You need to stay here.
- Okay.

You need to stay here.

I'm gonna find out
what's going on,

but you have to
stay here, okay?

All right, good.

Hi, Beth.

Listen, we're gonna get you
through this, okay?

Okay.

Come here.
Talk to me.

No trauma.

She's in
respiratory distress

and has fever.
BP's 80 palp.

Must have dropped, 'cause I think
that's what knocked her out.

She has all the same symptoms
as her husband.

What's his status?

Well, we treated him for CMV,
but the chances

of the virus impacting them both
like this are miniscule.

(Yusef)
Could it be an infectious agent?

We did a thorough workup
on infectious diseases.

We could've missed something.

All right. So, uh, what do
you want me to do?

We have to play it safe
until we know what it is.

So I want them both
moved to isolation.

Okay.

So here's Tracy Warren's
latest CT scan.

That's a lot of
necrotic tissue.

Mm-hmm.

I reached that clinic in Zurich.
They refused to let me

speak to the surgeon
who performed the transplant.

That doesn't surprise me.

Here.

Check this out.

She tested positive
for a parasite

called Clonorchis.

And that's what caused
the infection.

Tracy Warren may have gone
to Switzerland for her surgery,

but that organ is from China.

How can you be sure?

Clonorchis is

a parasite
that's unique to China.

And the necrotic tissue,

that's another red flag.

Why?

(David)
Indicates a time delay

between death and procurement.

Why would there be a delay?

(Jordan)
In China,

prisoners are executed and
their organs are sold for cash.

There's a lag time
between when the person's

executed and when
the organ's removed.

In that time,
the tissue starts to die off.

(David)
Mm-hmm.

Which explains why the Warrens
left Three Rivers.

They bought Tracy a new liver.

Dr. Jordan, are you
sure about this?

That Tracy Warren got
a liver from China?

Yep. We've had cases like this
through here before.

Then we shouldn't
treat her.

We might find what she did
immoral, but it wasn't illegal.

She's a hypocrite.

You know what?

Our job is to take care of her.

I thought she was
better than that.

(beeping)

Kuol, your VAD is working great,

and your levels
are looking good.

We're in the home
stretch here, buddy.

You just need to play
it safe and stay put.

I'll do as you ask.

But this is a strange feeling.

What?

I've fought all my life.

To survive,
to come here and find you,

to get on the list.

Now I'm on the list.

And the problem is?

There's nothing left
for me to do but wait.

(Ryan)
Excuse me.

Hey.

Hey. I have those names
you asked for.

The names of the donors
who contributed to my fund?

I would like to thank them all.

(Ryan)
Well, it's not gonna

take you that long.

So much money
from so few people?

The bulk of the
money came from

an anonymous donor.
Someone gave

$131,000.

Th-That exact amount?

What do you know
about the donor?

Uh, just that
he sent the money

through a lawyer
in Mt. Washington.

That's your old
neighborhood, right?

Yeah.

Yeah, it is.

(monitor beeping steadily)

I think I'm feeling better.

I am glad to hear that.

But there still is cause
for concern.

Your CT shows a great deal

of necrotic tissue.

The colostatic picture shows

your bile ducts have
ischemic strictures

and partial blocking
by parasites.

I'm gonna put you on

a cocktail of Navrigisone,

Ilevan...

Did you say "parasites"?

Yes. It is a problem specific
to transplants

when the organs come from China.

If the drugs don't clear up
the blockage,

then I will have to operate.

But with all the necrotic
tissue, surgery is

a last resort.

All right?

All right.

Why is she talking
about China?

What are you not telling me,
John?

Now's not the time.

You need to explain.

I acquired your liver
through a broker.

It was flown in from China.

A man was killed
so that I could have a liver?

I don't know that.
I didn't ask questions.

I know what they do for organs
in China, John;

they-they execute prisoners.

If someone was gonna die
anyway...

John!

...I was not gonna stand around

and watch
your principles kill you.

- How could you do this to me?!
- Your life needed

to be saved,
and I found a way to do it.

I would do it again.

I would do it
every time, Tracy!

Just... please, just go.

Hey, you're up.

How you feeling?

What happened?

You lost consciousness
in the house.

The doctors still
don't know what's wrong.

Where are we?

We're in isolation.

They think
we might be contagious.

(both laugh)

Some honeymoon.

Yeah.

(both laugh)

For you, I went all out.

What if we got the worst first?

What does that mean?

That what we're
going through

might be as bad
as it's ever gonna get.

And if we can survive this,
we can make it through anything.

I know I was a little drunk,

but what I said in our vows,
I meant every word.

Yeah, me, too.

(groaning)

BP's dropping
and her fever's spiking.

She's complaining
of severe abdominal pain.

- Let's do an ultrasound.
- Yes, Doctor.

(groaning continues)

There it is.

Debris in
the common duct.

Page Dr. Lee, have him
meet me in the O.R.

I'll page him.

Her liver function shut down.

I need to get in there before
the duct tears

and we lose the liver
and her, too.

(groaning)

(thud)

None of this makes sense,
you know?

It's hard to believe Beth
wouldn't have presented

these symptoms earlier.

If it's bacterial or an
infectious disease,

but what if
it isn't?

What are you thinking?

What if it's environmental?

Exposure to certain toxins
could do it.

I'm gonna have the lab
run the toxicology

and check for trace amounts
of PCBs, lead, asbestos.

Because the common
denominator is the house.

He works from home, and he gets more
and more sick,

but then he comes here and he gets better,
but then she gets sick, right?

- Right.
- Right.

Let's hope this address

is in the database.

We removed the blockage

and reconstructed
her common duct.

She's gonna pull through.

Thank you.

She's in recovery.

Don't you want to be there
when she wakes up?

I've lost her.

And I don't know how to fix it.

Mr. Warren, your wife's work
is all about giving people

in the worst of circumstances

a fair chance.

I have a feeling she'll
do the same for you.

Hi.

So I guess we're not
contagious.

You have both
been suffering

chronic low-level
exposure to solvents.

Methylamine and benzene,
to be specific.

How is that possible?

Well, the previous

tenant in your house was
a meth dealer.

He came to the ER

after he almost blew
himself up in his lab,

which the police tell us
was in your attic.

The chemicals used
for making

meth soak into carpets
and drywall,

and you guys have been breathing
in toxic fumes

since you moved in.

I'm gonna kill
our landlord.

(Miranda)
We already reported him to the city.

But because
you were working in the attic,

it got to you first, and then
eventually, it got to you.

Are we gonna be okay?

The short answer is yes.

We're just gonna adjust
your meds,

and you should expect
a full recovery.

(Andy)
There is one more thing.

The toxic effects are

not only physiological,
but behavioral.

Well, what do you mean?

Well, depression,
mood swings and irritability,

they're all signs
of chronic exposure.

So the stress
and the anxiety...

And the fighting.

I wouldn't hang it
all on the chemicals,

but let's just say you haven't
exactly been yourselves lately.

We'll, uh, we'll
leave you to it.

So David and I are going out
for a drink. You coming?

I'll take a rain check.

Are you okay?
You seem a little off.

I just gotta see a guy
about a thing, you know?

Okay.

- See ya tomorrow.
- You bet.

(monitor beeping)

(sighs)

(faintly)
Hi.

(softly)
Hi.

(sighs)

I was so afraid to imagine

what my life would be like
without you.

It's all I could see.

I will spend every day from now on,
every dollar that I have,

trying to make up
for what I've done.

(Michael)
Oi!

Welcome back, Yablonski.

Get out of my face, Casper.

Hey, hey, hey,
play nice, boys.

Come on.

This guy's a walking
parole violation.

I'd think someone
on the straight

and narrow would keep
better company.

He's a douche,

but he has his uses.

What do you know about
a $131,000 donation

to a fund for one
of my patients?

Sounds to me like
a Good Samaritan doing

a really wonderful thing.

That's funny, you know?

That's the exact amount of money
you gave me for medical school.

The exact amount I paid back.

It had to be you.

The question is,
what exactly do you think

that money's gonna buy you,
Michael?

All right.

I saw in the paper that
your patient needed help.

So I helped him because
I'm your friend.

And I know that if I ever needed
your help,

you'll be a friend to me.

I don't think so.

We're blood, Andrew.

We're family. We're bound
together for all time.

(chuckles)

Don't think you can just
walk away from your Uncle Mike.