Doctor Odyssey Season 1 Episode 15
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Short filmTranscript
00:00Hey guys, I think we should take a paternity test.
00:03Part of the paternity test is to analyze my blood, to identify the fetal DNA, and there was none.
00:10I'm not pregnant, and I never was.
00:13I was really hoping that it was yours.
00:17Yeah, me too.
00:18It gave me hope.
00:19And maybe if we were raising a kid together, you'd give our relationship a shot.
00:24Dear Avery, lost is a long and painful and lonely journey, but it has this amazing ability to also galvanize you into the present and make you see more and feel more and love more.
00:54Mmm. Strong.
01:04I'm making up for lost time.
01:06And before you say anything, I've finished my post-op antibiotics. I'm feeling fine.
01:11This is my first drink.
01:14Okay, so it's like my third drink, but the guests are gone.
01:19I love the quiet, and there's nobody but the crew this week.
01:26Meaning you want to be alone?
01:28Well, nobody comes into the great room after dinner service, and you came here looking for me, so...
01:36Yes, I did.
01:38Cause, you know...
01:41I'm used to being the guy with the answers.
01:44It's kind of my job, right?
01:46To have the answers or find the answers, but I'll be honest with you, I'm really struggling with this.
01:52Well, I'm not sure that I can tell you anything.
01:56Yeah.
01:57Well, you know, we moved fast, right?
02:00Dancing, bed, threesome, family.
02:02It's a lot. It was a lot.
02:04And at the end of it all...
02:08I really like you, Avery.
02:12I really like you, too.
02:16How well do we really know each other?
02:19You know, we haven't spent the kind of time that you do before...
02:22Thinking about starting a family together.
02:24Yeah.
02:27I never planned on having a child.
02:31Or these feelings.
02:33Or a threesome.
02:35But I know one thing for certain.
02:42I am leaving for medical school in a month.
02:51Yeah.
02:54I've been wondering if this is the right place for me.
02:56You know, maybe I should go someplace else to seek joy at all costs.
03:08I'm gonna go home.
03:10Over the break.
03:11Spend a little time with my family.
03:15See if I can't find some answers.
03:17I hope you find them.
03:21So do I.
03:29That was amazing.
03:33Oh, but wait.
03:36There's more.
03:37Okay.
03:47We have...
03:49Short rib empanadas.
03:51Mini crab cakes.
03:52And a slice of prime rib.
03:53Protein.
03:54For stamina.
03:55I'm sorry.
03:56Have I been falling short?
03:57Not at all.
03:58I hope not.
04:00There's also mini churros.
04:01The triple chocolate brownie.
04:02And a slice of tres leches cake.
04:03For energy.
04:05Honestly.
04:06Who knew that dating a food professional.
04:08Had so many added benefits.
04:10Well, there's also.
04:12Oysters.
04:13Figs.
04:14And chili peppers.
04:15Also known as aphrodisiacs.
04:17Just in case.
04:19For later.
04:21Right.
04:22Well, actually, I'm sorry.
04:23I think I'm here to go now.
04:25Let's go again.
04:26Don't you have to be up early?
04:27Yes.
04:28Yes, I do.
04:29So I hope that you put something that helps.
04:30And do you sleep later?
04:32Full of good ideas.
04:33Hmm.
04:40Well, Max, this is our little break.
04:42For the quiet run.
04:43The Alaska segments.
04:46We'll head north.
04:47Pick up a new bunch of crew.
04:48Drill and test readiness.
04:50And then, of course, we get to enjoy some days out on the open sea.
04:53Without having passengers to serve.
04:55Actually, Captain, I was hoping to take this time to go home for a few days.
04:58Love it.
04:59I like it when my crew gets to recharge and see their people.
05:02Do it.
05:03But just.
05:04Avery can be in charge.
05:05Why not me?
05:06Why do you think I can't be in charge?
05:07Because Avery's a nurse practitioner, Tristan.
05:09The three of you are like a pack of Jack Russell Terriers.
05:12You're barking and sniping at each other.
05:15I need two medics on board.
05:17Figure it out.
05:18I like that.
05:19I like that.
05:20I like that.
05:21All right.
05:23You said you were going to be done with that by lunch, or else you get 20 bucks.
05:39I don't like that.
05:40He's looking unstable up there.
05:41Hey, whoa, whoa, whoa!
05:42Do it!
05:43Get her on the monitor.
05:44Start a line.
05:45Yep, on it.
05:46One, two, three.
05:47Rosie, what's your pain level?
05:48One to ten.
05:49No, it's ten.
05:50It feels like it's going to explode.
05:52Vital's up.
05:53Oh!
05:54Can you feel this?
05:55All right, numbness, internal pressure, extreme pain, no cap refill.
06:00I think this is pointing us towards compartment syndrome.
06:01Compartment syndrome?
06:02That's a bit extreme, no?
06:03It could just be severe swelling from a fracture.
06:04I need you to get me an x-ray.
06:05I need you to get me an x-ray.
06:06I need you to get me an x-ray.
06:07Okay, come on.
06:08Come on.
06:09Come on.
06:10Come on.
06:11Come on.
06:12Come on.
06:13Come on.
06:14Come on, come on.
06:15Come on.
06:16Come on.
06:17Come on.
06:18All right, come on.
06:19Come on, come on.
06:20fracture? I need you to get me an x-ray and prep it for a fasciotomy. All right, Rosie,
06:24you might feel a couple of pokes while I check the pressure in your foot. It's a very serious
06:31condition, usually the result of a crush injury, a severe sprain, or a broken bone. It's when
06:41pressure builds up inside a muscle group. If the pressure isn't relieved, then it can effectively
06:45kill the appendage. I'm going to need to make a couple of incisions to open up the area and
06:51relieve the pressure. It's a very simple surgery. Oh, surgery? Hold on. Hold on. No. No, we don't
06:57even know if this compartment thing is what it is, right? Well, we don't know. Yes or no? We don't
07:02know for sure. Please. Baby, I love you, but surgery? No, not with that big daddy, Max. I understand
07:10your concerns, but I've performed hundreds of procedures just like this one, and I can assure
07:14you that a fasciotomy is the most effective treatment for acute compartment syndrome.
07:18Listen, it sounds like you read a lot of books, but bro, this is my foot, and if you've never
07:23done it, mm-mm. Look, Roz, if you decline medical intervention on this ship, then we can
07:28medicate for the pain and wait till you get to port. We can monitor any changes and report
07:32anything. It is an option. Well, then, yeah, I'm with Tristy. Despite Tristy, Rosie, if this
07:41is what I think it is, it is critical that we act now. You could lose your foot.
07:44Not without a doctor here. Morphine, lots of it. Pour it, hospital, final answer.
07:58We need to be a united front. I know I'm not some suave, handsome male doctor.
08:03I don't think it's about you being a woman. I think it's that you haven't done the procedure
08:06before, and that compartment syndrome is an incredibly hard thing to diagnose.
08:10The pressure was over 60 in two of the compartments of the foot. That is a pretty good indicator,
08:15Tristan. Avery, our job is to give the patient information.
08:17That is not the whole job. Patients are not qualified to make their own diagnosis or treatment
08:21plan. You gave her all the info. She wants to wait for a hospital.
08:24It's not just informing. It's also persuading. It's knowing what's best for your patient and
08:33laying it all out. I remember the first week that you came to work on this ship. You led us,
08:41a bunch of the crew on a hike in Puerto del Sol, which you clearly didn't know either because
08:48we were totally lost. And you kept making up these bonkers stories about the history of the area
08:54and something about alien agriculturalists and maize. You hit the skywalkers.
09:02famous for their aquaphoria irrigation systems. And I thought, this girl is so weird. And thank God for
09:17bringing her to us. I see what you're trying to do. It's not going to work.
09:22Rosie, it could be a very, very long time until you're able to work in the engine room again,
09:32let alone lead a hike. Probably a year or so before you're fully adjusted. And I know I speak for
09:41myself and the entire crew when I say that is absolutely not an option. I can't lose you, girl.
09:48You can't lose your, your damn foot. Let me help you. If not for yourself, do it for me. For us.
10:03Luke.
10:09That was good. When we talk to our patients, we tend to focus on how the decision will impact only them.
10:16But human nature means we have more compassion and empathy for the people around us than we do for
10:22ourselves. We have to paint the whole picture.
10:25Well, it's a good thing you did. Rosie does have compartment syndrome. If we waited any longer,
10:32she would have lost her foot. You were right.
10:36Oh, I'm sorry. I can't hear you. What did you say?
10:39Oh, I said you were right. But I can retract that.
10:45That's going to leave a wicked scar. She's going to love it.
10:48And for us, burn me up.
10:50Oh, yeah.
10:56Oh, yeah.
11:01Oh, my God.
11:03Oh, yeah.
11:12Oh, my God.
11:43Ah, Mary, it's so good to see you.
12:00Hey, girls. Guess who's here?
12:03Hey, Ollie!
12:05Oh, my goodness, it's so good to see you.
12:10Hello. Who is this man who looks just like my husband, but tan?
12:13And handsome with a much better haircut.
12:16All true. Hi, Danielle. Can I crash your party?
12:18Come on, girls. Leave your uncle alone.
12:21Hey, girls. Very important question.
12:23Are you driving yet?
12:24No.
12:25No?
12:26No?
12:26Tattoos.
12:27No!
12:28No?
12:29What about piercings?
12:30No. Mom wouldn't have pierced her ears till we're 12.
12:33This girlie now has three, plus a belly piercing.
12:36It's just holes, okay?
12:37Okay. Nice one, Max.
12:39Now two steps in the door and you've already kicked the lid off of Pandora's box.
12:42Come on.
12:42Come, eat.
12:43Breast spores, a fruit fly, spirogyra, and volvox.
12:57Insane. And you let her play with this?
13:00No bacteria at the table.
13:02Sof, game, basket, you two, Merrill, phone.
13:07Why can't the stuff ever hit the fan after lunch?
13:10I swear they know the second that I sit down.
13:12Yeah, sounds like my job.
13:14How is the insurance trade?
13:16Rain and shine.
13:17Biggest problem is all the big national firms buying up the small mom and pop statewide.
13:21You want that?
13:21Yeah.
13:24Mammal kidney.
13:26What?
13:26Olive, what did I just say?
13:29You know, Max, I looked up that boat you're on.
13:32It looks like heaven.
13:33Remember Char and Barb?
13:34They went on one of those fancy island cruises last year.
13:37Oh, my gosh.
13:38We never heard the end of it.
13:40Milo said they had a machine you can get ice cream any time you want.
13:43And you can put anything on it like Oreos, sprinkles, gummy bears, and it's all for free.
13:49Well, it's not for free, hon.
13:51It's included.
13:52That's different.
13:53Char said she got to swim with a dolphin.
13:56Is that for real?
13:57Yeah.
13:58There are a couple of ports that do that excursion.
13:59You know, we were thinking about saving up for it, but kids are already signed up for summer camp.
14:04It was just a bit too much, you know?
14:06Please, be my guest on the Odyssey.
14:08I wasn't looking for a handout, little bro.
14:11Little bro.
14:12By one minute.
14:13He came out earlier.
14:14By one minute.
14:16And I have never heard the end of it.
14:18And you never will.
14:19I have a whole family access plan.
14:21Honestly, if you can get yourself to a port, I'll take care of the rest.
14:23Really?
14:24Yeah.
14:25Please, Daddy, please, please, please.
14:30I'm sure you're already booked up for a spring break, right?
14:33I will book you the sweet closest to the ice cream machine.
14:36Yay!
14:47Holding on to the throne, I see.
14:49Dad'd be proud.
14:50I was thinking about donating it.
14:56Danielle wants it out of here.
14:57Says it's got some kind of funk.
14:59Wants to sell the house, too.
15:02Really?
15:04It's tough on her at the end.
15:05You know, Dad got real short-tempered with her and the girls, so...
15:11Yeah, it was tough, but I miss him.
15:16Me, too.
15:16It's old school.
15:29What are you doing here, Max?
15:31Two-day visit?
15:32It's not Christmas or Easter?
15:36There's an opening at Stubman Lang.
15:39Chief of Internal Medicine.
15:40I think it might be time for me to stop running.
15:47I've been running for a very, very long time.
15:50Unlike me, who has stayed in exactly the same spot.
16:00How did we end up going in such different directions?
16:03When we were kids, we were exactly alike.
16:05Yeah, of course we were, Max, until you got sick.
16:07You think that's what changed?
16:09Getting mono at 17?
16:10Well, yeah.
16:12It was that and the complications afterwards.
16:15Kidney thing, anemia.
16:17I mean, you were on your back for months.
16:18You missed a lot, Max.
16:20Girls, school, entire season of baseball.
16:24Once you got out of that bed, you just started running and you never stopped.
16:28It was like you thought if you stopped running, you were going to get sick again.
16:31I think you got it in your head that if you had a home, it was going to destroy you.
16:39Thanks, Mayor.
16:41Five years of therapy in 30 seconds.
16:45Max, I know you better than you know yourself.
16:49You said you're interviewing at Stubman Lang.
16:53You know who the president of that hospital is?
16:55Rodney Prescott.
16:56Remember him?
16:57Hot Roddy?
16:58Used to smash the beer cans on his head.
17:01Remember that guy?
17:02Oh, my God.
17:03What a world.
17:11I said, and what service is Chambers providing?
17:13Emotional support doesn't cut it no more.
17:15It's going to be a trained service animal, and I got to see some paperwork.
17:23Check-ins on the tablet.
17:26I'm here for a meeting with Rodney Prescott.
17:28Got the open internal medicine position?
17:29You sure picked it, Dave.
17:31I'm here for it.
17:31What's the name?
17:33Max Bankman.
17:35I'll let him know you're here.
17:42I hope you brought a book.
17:53We've been here for two hours.
17:54This is insane.
17:55This is insane.
17:57Go Broncos.
17:59How are we doing this year?
18:02We're all right.
18:05Bunch of guys graduated last year, so lots of new talent.
18:08But we have art.
18:13I'll support an organ in the body.
18:16You play Westfield yet?
18:19Not this week.
18:20It's his first time starting.
18:22He's been training his butt off all season, and then four days before the Crosstown game gets the flu.
18:27Oh, baby.
18:28Oh, baby.
18:29Your hands are like ice.
18:39What position do you play?
18:42Running back.
18:43Wow.
18:43Take a lot of hits out there.
18:45It's basically the job description.
18:51Excuse me for one second.
18:53Ma'am?
18:54Ma'am?
18:55This patient's sitting right behind me.
18:56He needs to be admitted right away.
18:57Patients experiencing flu-like symptoms will be seen in the order they were checked in.
19:01He doesn't have the flu.
19:02Most likely he has a pulmonary contusion.
19:03He can't breathe.
19:04Sir, we have a process.
19:05Please take a seat.
19:06It's not sir.
19:07It's doctor.
19:08He's going into respiratory failure.
19:09We need to get him on O2 now.
19:10We don't need to do anything because you are not authorized to provide medical services at this hospital.
19:15Now, what you need to do is go sit down.
19:17Please.
19:17Help!
19:18Help!
19:19Help!
19:20Please!
19:20Nurse, call the code.
19:21Bring me some oxygen.
19:21Now.
19:23Hey, bud.
19:24Come on.
19:25Okay.
19:26Just breathe for me, okay?
19:27Just keep breathing.
19:28You're going to be fine.
19:36Sir, the situation's under control.
19:38Please remain in the lobby.
19:40Why don't you remain in the lobby where you can do less harm?
19:42I beg you, sir.
19:42He got us help.
19:43He's not going anywhere.
19:53Sir, please.
19:57Somebody will be with you in a moment.
20:02Okay.
20:03Topher, you're going to be all right.
20:05I know you can't talk right now.
20:06Can you click that pen for me?
20:08Excellent.
20:09I'm going to examine your ribs.
20:10If you feel pain, just click it for me, all right?
20:12Here we go.
20:12What's going on?
20:21Your son has broken ribs.
20:22Good God.
20:22I knew those boys were tackling each other too hard.
20:25It's possible that one of those ribs has punctured the lungs.
20:28That's why he's having such a hard time breathing.
20:29Sorry for the wait.
20:30It's a busy day.
20:33Okay.
20:33Topher, is it?
20:34Started feeling a little hunky yesterday, thinking it's the flu.
20:37No, we thought it was the flu, but it's not.
20:39It's something else.
20:40He has a pulmonary contusion, multiple rib fractures, resulting in flail chest.
20:43I know.
20:43It's real easy to diagnose ourselves these days on the internet, but don't you worry.
20:47I'll get to the bottom of it.
20:49Okay.
20:49I'm just going to start a line, and then I'm going to put in order for a quick COVID test.
20:52Nurse, he does not have COVID.
20:53I'm a doctor.
20:54I just examined him.
20:55We need to get him into a chest x-ray, check for pneumothorax, and we can rule out pleural effusion.
20:59Okay, but you're not a doctor here, and his chart is telling me he's displaying symptoms of COVID-19.
21:03The chart is incorrect.
21:04This patient is in critical condition.
21:05We need to act right now.
21:06Hey, Max, is that you?
21:09Hey, thank God.
21:09Better not for right now.
21:10Hey, how did you get better, Lucas, this high school?
21:12This kid's in critical condition.
21:13I was in the lobby with him when he collapsed.
21:15We need to get him into a chest x-ray right now.
21:16He's got multiple rib fractures, absent lung sounds on the left side, possible tension neuro.
21:21Okay, Becca, let's get him on a chest x-ray stat and give him four milligrams of morphine.
21:25You're going to be okay, kid.
21:26All right?
21:27You're going to be good.
21:29I was hoping this would be more of a sit-down interview.
21:32Yeah, you and me both.
21:34Looking forward to a cold beer, good ketchup, and a nice long lunch.
21:38Yeah, long lunch.
21:39I almost remember what that is.
21:42Hey, how's Mick?
21:44Pre-med?
21:45Uh, no.
21:46Uh, in Oregon.
21:48Spending 80K to learn how to make wooden canoes.
21:51Help!
21:51What's going on now, man?
21:53It's a new baby.
21:54Tension pneumo.
21:55Collapse lung on the left side.
21:56We need to get a chest tube into him right now to relieve the tension.
21:58Okay, Becca, pays the pediatric attending to come take a quick look.
22:01Hey, just, Roderick, Roderick, we don't have time for that.
22:02No, it's just protocol.
22:04It's a sign-up.
22:04He's going into respiratory right now.
22:06We need to act.
22:06Hey, hey, Max, Max, hang on!
22:08Nurse, I need a scalpel, hemostats.
22:11He's not picking up.
22:12I'll have him paged.
22:14If we wait any longer, we could lose him.
22:16Uh, Max, I am authorizing this under Good Samaritan Law and our hospital's emergency protocols.
22:21Toper, we're right here with you.
22:32This is going to help you breathe easier, I promise.
22:3414-gauge needle, decompressing first.
22:38Toper, you're going to feel some pressure.
22:39Stay with me.
22:42There you go.
22:44Prepare for incision.
22:45Toper.
22:45Toper.
22:45Toper.
22:45Toper.
22:46Toper.
22:46Toper.
22:47Toper.
22:47Toper.
22:48Toper.
22:48Toper.
22:49Toper.
22:49Toper.
22:50Toper.
22:50Toper.
22:51Toper.
22:51Toper.
22:51Cutting through.
22:54Ribs are tight.
22:55We need to be precise.
23:03Toper.
23:05Toper.
23:05Now this is going to feel a little strange.
23:07Twisting.
23:08Almost done.
23:09You're doing great.
23:15Toper.
23:16Tubes in, let's get suction.
23:17Ready?
23:22Ready?
23:24And...
23:26Great.
23:39No.
23:40Not a surprise to get your call, Max.
23:43Thrilled, for sure, but surprised.
23:45Last I heard you were some big-shot East Coast doctor.
23:48Now working on a cruise boat, that must be nice.
23:51They call it a ship, actually.
23:52Oh, mine, a ship.
23:54I don't know how they do things on your ship, but here we have protocols.
23:59Yeah, clearly. Lots of them.
24:01Which only seem to dramatically slow down the treatment process.
24:04Oh, they also keep people safe.
24:06Really? Which people, Roddy?
24:08Because when I look around, I see a hospital in need of radical changes and some serious training.
24:15I haven't been home for about 40 hours.
24:18You saved that kid's life, Max.
24:22I need more good doctors. Good leaders, too.
24:28You know, it's not paradise, but it's...
24:34These people deserve...
24:37You know, better.
24:42Look, you'd be making a difference.
24:45I would be proud to have you here.
24:47To make all the changes you want.
24:49It's been fun, right?
24:50You're having fun?
24:51Yeah.
24:52Lots.
24:53Are you?
24:54Yeah.
24:55Yeah.
24:56Yeah.
24:57Yeah.
24:58Lots.
24:59Yeah.
25:00Yeah.
25:01Yeah.
25:02Lots.
25:03Good.
25:04I'm glad.
25:05I know this started as a ship playing for both of us.
25:08Especially you.
25:09It's all hung up on.
25:10Now things were complicated with Avery, but now...
25:11Now they're not.
25:12So please just let me speak before I lose my nerve.
25:14Sorry.
25:15You've changed a lot since we first met.
25:32Between cutting back and drinking and getting over Avery, you've...
25:35You've really grown.
25:37thank you and i was thinking with all of these changes that maybe this could change
25:47become something more serious make a commitment what do you think
25:54like this beach read 10 women medical pioneers only you the first female doctor applied to 10
26:15medical schools and was rejected by all of them and she was only admitted to one after they polled
26:20the male students who accepted her because they thought it was a prank that was 1849 well around
26:27the same time the head of the navy said the navy could only be five percent black black men
26:33black men yes do you ever feel like maybe they don't take you as seriously
26:40i used to but now they kind of have to but you're the head bitch in charge this week
26:48how's that going
26:50about like that moment cap had a hard thing and i had to be in charge of the whole ship
26:56about like that
26:57yeah
26:58i'm making a point not to fraternize on this ship
27:02goes along with working twice as hard keeping up appearances etc etc i only made an exception once
27:11because i couldn't resist the smartest woman i ever met
27:16the most determined one and also the hottest
27:21that was a long time ago
27:25girl if i would have known you was going to be a doctor i would have married you
27:28don't let anyone tell you what you can and can't do
27:36go to med school
27:38hey munro
27:44yeah
27:44how's that shark bite treating you
27:46fine
27:48you aren't putting any weight on that leg
27:51been doing a lot of treadmill lately
27:53it's part of my recovery program
27:55maybe i overdid it
27:57sure it's nothing
27:57okay but
27:59do you mind if we do a little workup
28:02not at all
28:04lead the way
28:05all right your blood test results show elevated eosinophil levels
28:10is that good or bad
28:12neither
28:12it just means your body is having an immune response to something
28:15have you been experiencing any nausea
28:17diarrhea
28:18you're not going to shock me believe me i've heard and seen it all
28:22come on spill what's up
28:23things have been uh let's say
28:26loose
28:27for a few weeks now
28:29uh oh you uh got your bad news face on
28:33not at all
28:35but i do want to do a ct scan
28:37and an x-ray
28:38just to be on the safe side
28:38now that is a bad news face
29:01what are they those
29:08white spots
29:10they are micro-encystid larvae embedded in your striatic muscle tissue
29:14spencer listen you have a very serious parasitic infection
29:17i think it's trichinellis paralysis
29:19trichinosis
29:20the larvae like
29:22worms
29:23well yes
29:25the larvae you ingested went through the enteric phase
29:28they mate in your small intestine and then go systemic into the bloodstream into the striatic
29:32muscle tissue as we can see here
29:34and here
29:35i'm going to be sick
29:36we need to treat this aggressively so that it doesn't reach your brain or your heart muscle
29:41hey
29:42we caught this
29:44you're going to be okay i promise
29:46how did i even
29:47how did i get it
29:49trichinellis paralysis is often acquired by eating undercooked pork
29:52can you think of anywhere you might have eaten questionable pork
29:55i don't know i hardly ever eat off the ship
29:57poor champa's mexico
29:59a few weeks ago
30:00we were out late
30:02we stopped at a roadside spot
30:04we had tacos
30:05pastor tacos
30:08we? who were you with?
30:11uh tristan
30:12i was with tristan
30:13we don't need to do anything because you are not authorized to provide medical services at this hospital
30:27he has a pulmonary contusion multiple rib fractures resulting in flail chest
30:35it's real easy to diagnose ourselves these days on the internet
30:38i'm a doctor i just examined him
30:40okay but you're not a doctor here
30:41you saved that kid's life max
30:43i need more good doctors
30:45good leaders
30:46too
30:47he's conscious
30:52threat is rapid and irregular
30:53he aspirated a lot of water
30:54could be ours
30:55definitely ours
30:56she's in b-pin
30:56hit the probe out
30:57now
30:57covid antibodies in her blood work
31:00bp is dropping 93 over 54
31:02fluids are going let's get her on corticone steroids
31:04pulse weak
31:04becoming some kind of team huh
31:07what
31:09zust
31:21á»ope
31:22á»ope
31:22à°¹
34:38Sorry.
34:39You need to go back to bed.
34:43Come on, big guy.
35:14Wait, why can't I just stay in my cabin?
35:16Why do I have to go to a hospital?
35:17Because if they have made it to your brain, you're at risk of seizure and stroke.
35:20After that comes coma, meningitis, and eventually death.
35:22Question.
35:23Have either of you been barefoot in Mexico in the last six weeks?
35:26Yeah.
35:27On the beach.
35:28Why?
35:28Are you sure it's trichinosis?
35:29Are you sure it's trichinosis?
35:30What if it's strontulodiasis?
35:31It's not strontulodiasis.
35:33What's strontulodiasis?
35:34Strontulodiasis are a nasty little parasite that make their way up through cuts in your feet and make condos in your brain.
35:38I think we should put you both on ivermectin.
35:40Let's do that.
35:40Max, and I have a word.
35:41Bad pastoral tacos two to three weeks ago fits the timeline for insisted larvae.
35:49It's T-spiralis.
35:50Strongyloids have a longer life cycle.
35:52And either way, ivermectin is broad spectrum.
35:54It can be used to treat most worm infections regardless of species.
35:58Are you going over my head?
36:00Because ivermectin is no longer considered the gold standard and is proven to be less effective against T-spiralis.
36:05Ivermectin also can't cross the blood-brain barrier.
36:07So if there are any parasites on the brain tissue or the central nervous system, ivermectin won't work.
36:11Good point.
36:12What do you recommend?
36:13Albendazole combined with prednisone.
36:16Guys, guys, he's easing.
36:18Get him on his side and start to blow by.
36:21I'll push that as you can.
36:21All right.
36:41Seizure definitely supports your diagnosis and it's clearly made it through his nervous system.
36:44You're still in charge here?
36:49What are you waiting for?
36:50Start barking out orders.
36:51We need to get a CT scan and an x-ray for Tristan as well as an EKG to monitor cardiac involvement.
36:56Start both of them on 400 milligrams of albendazole twice daily and a tapered dose of prednisone.
37:00Yes, ma'am.
37:01Guys, guys, i really don't want hair.
37:03There, there.
37:03We're doing wonderful things with toupees these days.
37:07And plugs.
37:08Too soon.
37:14You'll be on these for a month.
37:15Thanks.
37:17Yeah.
37:20Hey, Aves.
37:21Yeah.
37:23Vivian and I, well, we've been having fun and she suggested that we get more serious.
37:33She said something about being impressed with how I stopped drinking and...
37:37She's right.
37:38It's really great.
37:39Um, and how I've gotten over you and by the second that she said that, I, uh, I...
37:50I told her that it wasn't true.
37:58I'm not over you, Avery, and I don't want to get over you.
38:04Look, I understand that these are my feelings and I don't need you to respond.
38:09In kind, or even respond at all, but I just want to be clear.
38:14You know, I, I think it seems you think my feelings for you are childish and unserious,
38:20which makes sense.
38:23I've been childish and unserious.
38:27But if somebody felt for me the way that I feel for you, I, I'd want to know.
38:31Especially if that person knew me the way that I know you.
38:39My feelings for you are very real.
38:43And they're very serious.
38:47I thought best to say all this before my hair fell out.
38:50So, you're welcome.
38:52Strong.
39:13How you doing?
39:14Oh, you know, just a lot going on.
39:22I owe you an apology.
39:24Hmm.
39:24Go on.
39:26Well, you know, that little control freak in my brain is a devil.
39:30And when I walked into the world of brain worms,
39:34the card catalog in my head just went a little berserk.
39:36And I forgot that there is a world in which you are just as good at this as I am.
39:41Maybe even better.
39:42In this case, much better.
39:46Max, I know what I'm doing.
39:49I know.
39:52You're ten times the medic I ever was.
39:54And I'm sorry I doubted you.
40:06I had a job interview when I went home.
40:08So, this is goodbye?
40:15I just, you know, I needed to see if I belong there.
40:18And there is a lot for me.
40:21You know, my brother's there.
40:23My niece is a hospital that desperately needs somebody who knows what they're doing and who cares.
40:28But, you know, I spent a lot of my life running up mountains, hiking in the jungle, sailing away at sea.
40:35And I never really found the one true thing that gave it all meaning and purpose.
40:47Until I met you.
40:51You are that one true thing, Avery.
40:53So, that's why I came back.