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Doctor Odyssey Season 1 Episode 12

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Transcript
00:00you don't know which one of us i wanted to tell you i am all in for you
00:06why don't we get out of this cheap gin joint and go get around i thought you'd never ask
00:13oh pair of aces it's like lady luck has a soft spot for a man with a limp oh oh late maxi
00:23convenient timing well please allow me to sweeten the pot what is the one thing that we never gamble
00:28with here on the odyssey real money no health and safety the latest covid boosters have arrived
00:35who's first okay i'll go first i just got off the hospital i'm not supposed to be taking anything
00:44right max i don't think i need another booster i've had covid four times i'm basically a walking
00:50antibody at this point yeah every time i get a booster i'm out for days i can't afford it well
00:54some mutations have fewer complications but give it to me i'll take it i should be protected
01:00obviously because i'm a nurse yes thank you nurse so let's just have a basic biology lesson shall we
01:10viruses mutate in every direction and in the event that this strain turns out to be something
01:15particularly nasty where do you think it's going to pop up first yes right here because we live on
01:20what amounts to basically a floating petri dish need i remind you about the beginning of the
01:24pandemic thousands of people quarantined on a cruise ship some of whom actually died ring a bell
01:30okay well if you two wake up tomorrow morning and suddenly decide to be responsible citizens you know
01:37where to find me i am so incredibly disappointed in all three of you you two are in my good books
01:41lord dad's mad fun's over let's call it big day tomorrow
01:46what in the world is that last gasp of a dying era it's a sculptural tradition here on the odyssey
01:56oh my god cougars week right or as we now lovingly refer to it as sophisticated ladies week
02:04that's ridiculous cougars a time of respect cougars are elegant powerful creatures you are very
02:12passionate about this cruise i guess that tracks with your mommy issues you're about to say mommy
02:17issues doc i was about to say modus operandi but yes the subtext was mommy issues don't judge things
02:23you don't understand dark men in their 20s and women in their 50s are deeply sexually compatible
02:28there's something innately natural about the whole thing yin and yang
02:33years past i would have pulled two three cougars a cruise but well not this year everything's changed
02:44it's not fatherly behavior
02:47fatherhood and paternity are not the same thing justin and not everything in life is a dance-off
02:57oh speaking of dancing the cougs love a whirl and it's well so get ready fresh meat baby
03:06oh this place it's incredible well we're due for a big celebration
03:34you're due one year cancer free
03:39surprise happy to see me yeah wow happy and thrilled and shocked see the sun i miss them
04:02and well perhaps also a certain sailor i haven't seen since the last sexy port tryst
04:13i think we better leave the public area here
04:18how are you enjoying your time here on the odyssey this is my first cruise i won it in a charity auction
04:28but i think this concept of cougars running loose on a ship is fascinating and hilarious
04:37we do not use the word cougars anymore but younger men and older women i think is the concept you're
04:44trying to describe i like millennials i'm just not here for romance i'm here for laughs and dry martinis and
04:52yoga don't look so relieved i should be so lucky but i don't want to give you the wrong idea i am
05:01spoken for and the concept of this cruise is rather fraught what is it these days
05:10well you know how to dance did you pick that up at the charity auction too well you stay around long
05:18i don't know if you pick up some moves you know
05:26okay
05:27allergies nothing come on let's keep dancing we love play some teenager
05:32how are you feeling we have to break you of the habit of asking me that sam sorry just
05:48three years fighting hand-to-hand combat but you can't live in a permanent state of caregivers ptsd
05:54trauma think of this trip as letting go of all the caregiving dreaming about your own future
06:01rather than mine okay okay
06:10shall we dance i would love to
06:15she does that all the time all the time the usual for me bruce and as i recall
06:22it's a gin martini with bitters and a twist actually now it's soda water with lime
06:27i'm losing my taste for the hard stuff suddenly soda lime and i kept the manhattan coming up
06:33you good kid i don't know maybe a menopausal shift or something like that no way
06:39menopausal shift couldn't prove that by what went on in my quarters about an hour ago
06:44you were fire as the kids say life is strange captain you know there's passion there's lust
06:55and boom there's a woman's ticking clock all i see is inner and outer beauty
07:01you slipped away to finish your novel follow-ups you should do yours too you're three weeks behind
07:17it's just all very boring isn't it emailing with doctors
07:22grown-up talk do you need something well i just i i thought that you and i would you uh
07:32casual impromptu check-in that's funny because it feels like a not so casual rehearsed speech
07:43i've been trying to give you space but we haven't tristan
07:52what is it i feel like you've made a decision
07:56haven't you to to keep the baby and you told me i don't even know whose baby this is and i won't
08:04know for at least another couple of weeks yeah it feels like you've made some sort of choice already
08:14tristan are you honestly ready to be a father yes
08:19i want this more than anything because it's not just six months it's it's not even just 18 years it
08:24is being responsible for another human being for the rest of your life and and i i am still grappling
08:31with it that's understandable it is but if part of your grappling is you thinking that i'm not mature
08:37enough well then i can i will change for good for us i'll prove you wrong you'll see
09:03this one you're done
09:15i don't have it i had it once for about a day i missed some tennis and then it was gone
09:22you know i'm still trying to figure you out you're sure you're not here for some hot cougar action
09:26why do you ask are you attracted to me
09:34no no no no this cruise is like a people watching for me i don't feel my age and and i like to feel
09:43sexy but i don't think you have to have a little fling to feel sexy oh sorry um it is covid uh not to
09:52worry though it's nothing we can't handle well at least i have a nice little air maze mask tucked
09:59away somewhere in my suitcase i'm gonna have to quarantine you in your cabin until you test negative
10:04but in order to further that along i'm gonna put you on some packs a little bit right away
10:11you're gonna start with the large bottle dosages are on the back
10:15if you're talking about locking me in a room that's not gonna happen olivia this is not advice
10:23max maybe you didn't hear me i am following my own rule book these days your own rule book well this
10:30is odyssey policy cdc policy and my policy which means that it's god's writ on this boat i will
10:35maintain my mask in all public places i'm just not a woman who can be told what to do duly noted
10:43but this is not the forum to express your admirable independence max i like you i really do and i respect
10:51you which is rare i can see what a kind smart dedicated man you are but if you want to lock me up
11:01you better call out the troops general because you're gonna need them
11:04she is a charming funny and lord knows feisty woman but she's also positive so we have to put
11:14her into a quarantine cabin it's odyssey policy my policy and frankly it is the correct protocol so
11:20you forcibly lock her up what if she sues way better than if the rest of the passengers sue because
11:25they got covered because of her and our irresponsibility and an unnecessary degree of pearl clutching
11:30i do not clutch my pearls young man i'm asking you to handle this situation tactfully and graciously
11:40max i know your history
11:43i know you have zero tolerance for anti-vaxxers and covet deniers i get it i understand sir yes
11:50i had the virus and yes i watched the bodies pile up in the freezer trucks and it's a miracle that i'm
11:54not one of them which is why i'm not willing to turn the other cheek just because some very charming
11:58woman wants to
12:01taxing graciousness the odyssey way
12:06this is heaven right max listen to me you're not some big city hospital er doc now your kid clothes
12:15soothing concierge assurances charm and gloss jerry grant with a stethoscope i understand the
12:24assignment i'll take care of it excellent dismissed
12:31well you wanted to see the best view on the odyssey this is it i'm looking at it
12:39you're all right something wrong not wrong just really really unexpected remember when i was
12:55feeling a bit off yeah you mentioned the menopausal shift or something crazy yeah i mean menopause is a
13:02funny thing you know you can go for six months without a period and then you meet a handsome captain for a romantic getaway weekend and
13:12before you know it comes back i mean forget the details it's just
13:16you know women my age can still what heather tell me
13:26i'm pregnant and you're definitely the father congratulations we're having a baby
13:46oh the thugs welcome i've been expecting you that is quite the answer olivia if you want to make an
13:54example out of me let's give them a little show miss grace i think you'll find that our designated
14:00care cabins are ideal for recovery oh goody goody gumdrops well shall we someone will have to carry my train
14:16okay okay so i say we eat as much as we can and then we eat some more and then we spend the rest of
14:30the day in the day in the spa oh hot stone argon oil massages why not why not you certainly have a type
14:43i i wasn't no no she was looking at me i would never have brought you on a cougar cruise if i was
14:47the jealous type how about this i'm gonna get a massage and you explore the ship and find everything
14:54fun there is to do and forget about me for the next several hours that's your mission should you choose
15:04to accept it enjoy the scenery
15:20okay i have conference with your oncologist back home about the med mix he sent with you and we are
15:30good to continue your regular treatments thank you manage the pain and keep you feeling fine and uh delia
15:37i'm so sorry about your diagnosis truly but test to size to my brain can you believe it cancer just
15:46can't seem to get enough of me how flattering yeah well nothing is stopping you from living your life
15:53and i love that let's see daily dosage of gabapentin metaclopramide dexamethasone
15:58celacoxib and vitamin c drip i know the routine but thank you hon of course you do
16:04thank you if you need anything i'll be right here okay okay
16:14oh uh it says here that you're traveling with your partner would you like him here with you no
16:18it happens no uh he thinks i'm getting a massage
16:21uh he doesn't know no all right and what about treatment uh radiation uh past all that hell
16:33i am trying the uh celicoxic thing as a last resort but am i hopeful not really i just wanted
16:42us to have this perfect memory here so i could say goodbye i refuse to let him be my caretaker again
16:50it just makes me feel like um stealing his life okay so you really have to take a blood test i thought
16:59those over-the-counter pregnancy tests were like nine nine nine nine nine nine nine percent accurate
17:05they are quite accurate we just want to make sure there's nothing else going on i got nauseous the
17:09same way when i was pregnant with my daughter eight million years ago little poke this will measure
17:15your hcg levels which will tell us how far along you are if you are in fact pregnant yes you mean two
17:22lines on the stick could mean something else there are incidents where a false positive pregnancy test
17:26result can occur hormonal imbalances certain ovarian tumors even utis can sometimes elevate hcg levels
17:34all of these are very rare and it's often benign good captain you must have duties you're neglecting
17:45maybe give us girls a minute would you oh yeah i can do that if it's an order it is
17:53it is
18:00i was a psychotherapist for 22 years and i know when someone's masking anxiety
18:06anxiety is this about me no no not at all it's just um i understand i know how uncertain and confusing
18:19this can all feel i i know oh hon here you're gonna be okay we're gonna be okay it wasn't planned
18:35and i'm still trying to figure out what to do how to feel most days i'm strong but uh
18:41uh today not so much i'll have your prelims for you by the end of the day
18:52all right
19:06in in come in
19:11an olive branch they're very cozy bribery won't work i've already contacted my lawyers
19:18how quickly can you say case dismissed well they seem to think it's an open and shut case i open
19:27my mouth and you get shut down olivia as fun as it is to have an arch nemesis i am not yours
19:33no matter how difficult you make this i'm still going to give you the gold standard of treatment
19:37gold standard treating me like a prisoner of war please i have a contagious patient
19:43on a ship filled with several hundred other souls some of whom are immunocompromised
19:47i have got to take precautions and you understand that none of this brings me joy
19:51but it is the right thing to do and i know you get that of course i get it
19:59but do you get what it's like for me i mean i i've been in handcuffs for 40 years
20:05in a controlling marriage and i'm finally free
20:11and then some men come to my door and yank that freedom away from me without so much as a how do you do
20:16things fall apart the center cannot hold unless we all care about this and i cannot for the life
20:23of me fathom why one person's freedom should come at the expense of everybody else's health and safety
20:27can you no it shouldn't and i know that but why couldn't you have just asked me
20:37like hey olivia i know this sucks and it's really a bummer but couldn't you please
20:45etc etc you're right
20:48forgive me this is a difficult subject for me i could have handled this better and i apologize
20:55it's a bit of a fight-or-flight thing for me
21:01may i
21:02they are cozy
21:19oh dear what's that all right i tested myself yesterday after you left i'm negative
21:24oh well yesterday was yesterday
21:38your blood test results show creatinine levels are normal bun gfr electrolytes normal so whatever
21:59spiking your hcg levels isn't kidney related germ cell tumor in the ovaries could be another explanation
22:05but your lactate dehydrogenase levels are good so no tumor no kidney issues is it something you look
22:12into just because i'm a woman with more life experience first of all i'm stealing that second
22:19these issues can happen to women at any age and you heather are a picture of perfect health so
22:25what is it then what do i have i'd say a viable pregnancy
22:30how do you feel
22:38i'll get back to you on that
22:45what are your symptoms delia there's a bit of a rash here i see a little rash stomach pain yada yada
22:52i need an antihistamine because i'm allergic to soy we were doing that cooking thing and i got a
22:58a little careless but thank you anyway tristan you're really a sweet guy wait do you guys
23:03know each other oh well i was down here earlier for tums baby give me some water please yeah it's
23:12all right right through that
23:19please don't tell him i can't legally tell him anything that you don't want me to but
23:22my experience is that these conversations go much better than they happen earlier
23:30and you know your body delia these symptoms do align with an allergic reaction to soy so i am going
23:36to give you 50 milligrams of diphenhydramine i'm going to keep a keen eye on you okay okay
23:41yeah
23:46hi i was just wondering if you wanted to play cards or something protocol dictates we should both be in
23:53isolation why are you wearing that pp face guard thingy we both have it protocol
24:00okay
24:0650 gums start again she's convinced that it's an allergic reaction to something she ate but my
24:12gut's telling me it's something else this started with a rash with stomach pains now she's having
24:16trouble breathing glyph and hydramine hasn't been effective all right she's on a palliative care
24:20cocktail maybe the reaction could be to something in there no she's been in that cocktail for a
24:24while a reaction would have shown up sooner max she has cancer i mean is this terminal progression
24:34measured approach let's go with the facts what's in the cocktail gabapentin dexamethasone metaclopramide
24:40nutrients low impact quality of life stuff it's selecoxid selecoxid that can have adverse
24:46reactions and they can be delayed onset two weeks to a month symptoms would be rash trouble breathing and
24:51stomach pains right okay so if she's been on steroids i should start her an albuterol treatment
24:56attaboy i'd also give her a platelet transfusion just for good measure on it
25:09yes delia i believe you are having an allergic reaction just not to what we initially thought
25:15it's not a food allergy to what then okay i can counsel you in private or both of you but right
25:22now i need to get you started on a platelet transfusion do i have your permission yes thank you and
25:29you can tell him
25:32uh we think that it's an allergic reaction to the new medicine selecoxid that was added to your
25:37treatment plan it can take several weeks for the adverse effects to start presenting
25:41okay i thought you came down here for tom's
25:46cellicopsid but what the hell is that well it's some it's a drug that blocks enzymes for
25:53cell growth in my case cancer cells
25:58see it's back and the drug was a hell mary okay well we need to get you back onto radiation
26:07now i know so i'm gonna call dr scannell and no i have four months maybe so please let me enjoy them
26:18what are you doing what are you doing are you going to sacrifice your life for
26:24what are sides in the face i'm sacrificing my life for life it's hardly sacrificing it's pragmatism
26:32it is what it is oh that's great that's great it is what it is and what what is it huh what's the
26:36point of this whole cruise so i could find somebody right so you don't have to feel so guilty you
26:42can't be mad at me no i am mad at you i hate this i hate that i love you
26:49you know i get a choice i do
26:52i asked you earlier what i could say to make him walk away and i think we figured that one out
27:06look it may be none of my business but may i offer you an observation
27:11hey i don't want to go for it anything you'd both be fools for not cherishing every moment that
27:18you have together
27:32oh hey hi what a nice hot toddy respectfully will you turn down the music please i am trying to rest in
27:39here and you probably should be too i'm simply trying to keep myself entertained
27:46i want some texas awesome i would wait come on you can wear your hazmat stuff if you want to
27:54come on doctor odyssey improve your bedside manner come on one hand humor me
28:03if i win i get to control the music for the rest of the time we're in quarantine i've taken down
28:09bigger fish than you doctor odyssey lady i put myself through school doing this
28:15if i win quiet for the rest of the night no more music no more tap tap tapping on the divider door just
28:21and if i win we take a walk tonight up on the deck it's late no one else will be there agree two pairs tens
28:29and fours full house oh baby let's wrap it up you cheated you're out of your league here doc grab some
28:40shoes let's go you're so cute you bring along bleach wipes to scour any place we might possibly touch
28:51you're a good doc max the best really why don't we grab a couple of chairs and just lie here look up at
29:00the stars what do you say you know i admire the hell out of you live really why because i'm 83 and still
29:25fighting and annoying you oh yes and i haven't folded up my tent and moved into a nursing home which by
29:33the way will never happen i think you and my mother would have really enjoyed each other
29:43did you lose her right at the beginning of covid
29:48i was in the hospital just before i slipped into a coma she died
29:57covid too no stroke
30:03i tried for months to get her on a statin
30:08i thought she was taking them but she wasn't
30:13god max that's so terrible i'm i'm so sorry
30:18she was firing like you
30:27just always
30:30taking care of everybody she was just giving and giving
30:36not taking care of herself in this job i'm supposed to be in control at all times hands on the wheel
30:44steady in the crisis and things like this happen getting covered my mother dying
30:52and it's just the illusion of control goes out the window
30:56and that terrifies me
30:59and usually when i'm terrified i run
31:05honey honey you're just having ptsd
31:12i'm gonna be a father live
31:14i'm gonna be a father and it terrifies me but not because i'm gonna run
31:23and it terrifies me because i want to stay
31:27oh my god i know
31:30i know
31:36oh something's wrong what's going on
31:40oh
31:41i can't i can't i can't get
31:44okay okay i need to get you in for a minute now
31:48just try to breathe normally you're doing great
31:51just try to breathe normally if you can
31:53multi-system inflammatory syndrome she's got covid antibodies in her blood works her
31:57current infection was actually a re-infection correct
31:59bp is dropping 93 over 54.
32:01fluids are going let's get her on corticosteroids for a severe inflammation
32:08okay
32:14what are you hearing no fluid on her lungs yet heart is tacky
32:17let me get her in for an ultrasound also check for myocarditis and the inflammation levels in her
32:21abdominal organs i have so much to do please
32:24please please please let me go
32:26you are way too peppery to leave the mortal plane
32:29you're in good hands i promise
32:32just keep breathing
32:35keep breathing that's it
32:40her vitals are stabilizing but the tests do show that she has mild myocarditis
32:46she's still in critical condition now we just need to give her time
32:49ivig and the steroids are starting to work it's going to repeat echo run a blood panel
32:55we gotta push iv fluids around the clock okay
33:04max you did everything you could now it's up to her
33:17come on livia
33:20you're not gonna quit on me now are you
33:25bobby i'm i admit i'm a little worried i mean having a baby at our age i mean so many things could go
33:31wrong i've thought of that too we've got you have time to think about this and figure out what you
33:37want to do if you want to do it i'm going to be there with you we're going to do this together
33:45are you okay
33:45do you think i miscarried is there still a chance it's okay right now my main concern is making
34:05sure you are okay spotting can happen for many reasons this ultrasound will help me rule out more serious complications
34:11it's going to be okay all right you're going to feel a little bit of pressure
34:23there it is
34:34well how'd it go she okay she's stable
34:45comfortable resting but i do want to get her to a hospital when we make port
34:50is there a problem i mean it's gonna be okay she didn't miss carrie everything looks good
34:55healthy would you could have opened with that i'm sorry i'm sorry but i want to get her to a hospital
35:00as a precaution the spotting is likely due to cervical irritation which is not uncommon in early
35:04pregnancy avery you know you think you know where your life is and you've got a nice clear picture of
35:11it and i've come to know that we're all walking around absolutely 100 clueless i'm aware believe me
35:19congratulations sir thank you you know being a father was my favorite part in the whole world
35:27even better than my first naval command but i wasn't there enough
35:37i have a lot of regrets
35:42i just didn't think i'd ever get this opportunity again
35:47this stays between us right oh paper rules don't worry no no not that this me blubbering like a baby seal
35:55i'm really happy for you captain i guess
36:02well they owe me some days off yeah well no actually they owe me a lot of days off yeah but
36:0718 years worth something like that we'll be the oldest parents at the piano recital piano i already
36:15bought the kid a drum kit five piece with a hi-hat this is crazy right is this even happening is it
36:24possible well apparently anything is possible we got a lot to talk about yes
36:36do you know i had a secret crush on you for years the first time that we went out
36:42big martini cafe carlisle and nobody else wanted my extra ticket i did
36:47yes i love big martini do you remember after the show you walked with me down to the subway
36:56you missed your train yeah it was a nightmare it was 115 degrees and it smelled awful like like very
37:05expensive french cheese
37:07but you insisted on waiting with me till my train came and it was on that very cheesy subway platform
37:20that my work crush kind of metamorphosed into love with you d and that feeling that that's never changed
37:30now in six years i mean you could take out a restraining order
37:36if you really don't want me around but it's not going to matter because i'm going to wait with you
37:43until you're on your train
37:46and the doors close and uh
37:50you're on your way i'm gonna wait with you
37:53i always wanted to see venice
38:02well good hey
38:08let's not waste whatever time we have left
38:23if i test positive do i get to go around again one more ride on the wonder wheel wouldn't that be a treat
38:35unless you are negative
38:41just like me
38:46i'm gonna go see my doctor anyway when i get back i'm gonna need to sleep for a few days after this
38:52very relaxing little cruise good god is it always like this
38:56i owe you a thank you max
39:05for saving your life i was gonna say for these but yeah sure for that too
39:10i think that i owe you a little thanks for what i've been a royal pain in the ass cover to cover
39:22believe me i tried to do it
39:26i owe you a thanks for listening and for being a friend
39:35till the end and you my dear are gonna be a wonderful father
39:40what was that line you used earlier
40:07oh so many solid gold quips at least one an hour i think you're referring to you
40:14both be fools for not cherishing every moment you have together
40:19that's a good one
40:22i get all my bedside manner from old movies
40:25that and being english i just sort of um i dial up the pot fruits
40:30i've noticed that have you yes i've also noticed that you finished your follow-ups thank you
40:36well i'm good at doing my homework sometimes
40:43see maturing already