Previously on "Black Box"...
Know that new hostess at the restaurant? I slept with her.
See, if you fire her after you nail her, she can sue.
This dream of yours...
I know what you want.
I know what you need.
You know, it's a charming hotel with a quiet bar.
Join me for a drink.
I have to make a decision.
You can have both of us.
I can handle anything... anything but lies.
The Hotel Mirabella.
Aunt Kate and I ran into one of her doctor friends there...
The handsome one.
[Siren wails]
Thank you for seeing me so early. I...
You said you're in crisis.
Well, I just...
I did something... impulsive,
and I-I think it might be very wrong.
I-I don't know.
What happened?
We just got back from Joshua and Reagan's.
I was getting ready for bed and...
Do you want to tell me about this?
Don't try to play me, Catherine.
I know Bickman hangs out at the Mirabella.
Esme told me.
Is this where you were the night you told me you lost your phone?
- What? - Don't lie to me.
Okay, this is absurd.
I mean, the pen could be Bickman's.
Of course it can.
I mean, I could've picked it up at work.
You're keeping something from me.
Tell me what it is, or I'll leave.
You'll leave?
[Door opens]
No, wait! Will, don't go.
I... [sighs]
I have kept something from you. I...
Tell me now.
I'm Esme's mother.
You know, it just...
[Sighs]
It just happened.
It just happened?
I mean, I was gonna have to tell him anyway, right?
I mean, if we're planning on spending the rest of our lives together...
Well, are you planning to spend the rest of your life with Will?
Let me guess.
He listened to you with love,
with understanding, with compassion.
I was 16. I started drinking.
I got pregnant, and the mood swings got worse.
The hormones... [Sighs]
I cycled into my first manic episode.
What about her father?
Johnny was long gone.
I was an inpatient on a psych ward when she was born.
I mean, I couldn't even take care of myself.
You never saw him again?
No. [Sighs]
Joshua and Reagan had only been dating a few months.
Reagan always knew she couldn't have children,
and she really wanted her on one condition...
that I would never tell anybody that she was mine.
She doesn't know?
No, no.
I mean, they may tell her one day,
but it's... It's up to them.
I mean, this is the most important promise
that I have ever made in my entire life,
and I just broke it.
You have to promise me...
Please, promise me that you won't ever tell anyone.
You can trust me.
You covered a lie by telling a truth you promised never to reveal.
You're judging me.
Oh, what do you expect? I'm human.
I thought you might help me.
I thought you might understand.
What do you think will happen
when Joshua and Reagan discover you broke your promise?
Honesty, integrity... These are not easy things,
but they're building blocks of love and character.
I've s... I've said this too many times.
Something's got to change.
[Woman speaking indistinctly on intercom]
I have an appointment with a psychiatrist,
Dr. Mahmoud, 10:00.
Dean Norwood.
I need your insurance information, Mr. Norwood.
And I need you to fill out these forms.
I'll let Dr. Mahmoud know you're here.
My... my problem won't be listed anywhere on these forms.
What is your problem, Mr.Norwood?
I'm dead.
Synced by emmasan www.addic7ed.com
I think you'd find this intake a lot more comfortable, Dean,
if we were in my office.
I don't sit still.
I'm a wanderer, a spirit that can't find rest.
What do you do for a living?
I was a mechanical engineer until the accident.
Tell me about the accident.
I got a motorcycle.
That's what guys do when their wives dump them.
I ended up skidding out in a downpour.
I crashed into the concrete median.
And then I died.
She was referred from the E.D. for her headaches.
She also complained of nausea and myalgia,
all of which are consistent with the flu.
I recommended the mother take her home.
- You recommended? - You have a brutal day.
I didn't want to waste your time.
All she needs is fluids and rest.
Okay. So, use the patient's name.
It keeps in mind that...
That she's a person and not a case, okay?
Okay, sure.
Well, I recommended that the mother take Lily home.
- Okay. Hello. - Hi.
I'm Dr. Black. Nice to meet you.
Hi.
Hello, Lily.
Can you get a blanket, please?
[Sighs]
So, tell me what's been going on.
She started complaining about headaches and muscle aches
a couple of weeks ago, I think,
and... and then she started feeling sick to her stomach.
Can I just see your fingers?
Vomiting or just nausea?
Uh, no, this morning was the first time she actually threw up.
But I-I took her to the doctor a few times,
and he couldn't figure out what was wrong,
and, well, she was getting worse,
so I brought her to the E.R.
Can you tell me about your headaches?
It just, um... I don't know.
It just hurts really bad.
Can you look up for me?
All right.
That light make your headache worse?
She had any fever or a stiff neck?
Oh, the other day, yeah, she said it was...
It was hard to turn her neck.
All right.
So, I'd like to start her on some broad-spectrum antibiotics.
We're gonna need a lumbar puncture
and some blood cultures.
Antibiotics?
I thought she said she has the flu?
You see when she winced at the light?
- Uh-huh. - That's called photophobia.
Could be a symptom of meningitis,
but meningitis is treatable, okay?
As long as we get it fast.
So it's a good job that you didn't go home and get into bed.
Let me just make something easier here.
So, we'll get the nurse in right away, okay?
Thank you.
[Door opens]
[Door closes]
[Sighs]
Do I need to say this?
I'm not a doctor.
I should not be giving my diagnosis to the patient.
I'm sorry.
Okay.
[Sighs]
Farrah: So, you suffered a moderate closed-head injury
with no permanent repercussions.
Uh, Dean, can you wait here for just a moment, please?
Hey.
Might not want to touch me.
There's...
Maggots.
[Squishing]
Owen: Uh...
[Sighs]
I understand that you have a real-life Cotard's Syndrome?
Is he textbook?
I'll have to do some research before I can make a definitive...
Oh, that won't be necessary.
I know everything you need to know about Cotard's...
A.K.A. walking dead syndrome...
Named by the French neurologist Jules Cotard in 1880.
The patient actually holds the delusional belief that they're dead, rotting,
missing blood and internal organs.
It's a nihilistic, hypochondriacal delusion.
Of course. This interests you.
I... have been waiting my whole career for this.
Do you mind if I...
By all means... join me.
Hello.
[Bell tolling]
So, Lily's lumbar-puncture results came out normal.
There's no evidence of any known bacteria or virus.
Well, what does that mean?
I-if she doesn't have meningitis,
then how come she's sicker now
than when I brought her here this morning?
Dr. Black will be in soon to speak with you.
In the meantime, Lily needs to stay hydrated.
Mnh-mnh. Mnh-mnh.
- Honey, you need to have some water, okay? - It's all right, honey.
- Oh, it's all right, honey. - [Grunting]
- Florence: Lily. - It's just a little bit of water.
All right, it's okay.
- [Screaming] - Lily!
- [Grunts] - Aah!
Lily!
She bit me!
[Alarm blaring] Lily!
What's happening to her?!
- What's happening?! - Someone help!
[Indistinct talking]
Oh.
- Stop it. - [Sighs]
[Chuckles]
[Sighs]
I haven't broken up with Will.
So?
So I need to make a decision.
All right, I'll back off.
I can see you're hurting.
[Woman speaking indistinctly on intercom]
I got to go talk to my patient's mother.
Not the little girl who bit our ankle biter?
What?
Lily bit you?
Yes, when I tried to give her some water.
I'm sorry. I had no idea she was so much worse.
Wait. She's afraid of water?
Yeah, and she was foaming at the mouth.
I had to sedate her.
[Sighs]
Have you been vaccinated for rabies?
Rabies?
[Monitor beeping, door opens]
Kate: Hi. She's sleeping.
[Door closes]
Good. Don't... don't get up.
I-I just wanted to ask you a few questions.
Um, do you know if Lily has been bitten by an animal recently?
Uh, n-no, I don't think so.
I mean, we don't have a dog or anything.
Uh, like a-a wild animal... Like a skunk or raccoon?
I can't imagine.
A petting zoo, maybe? Camping?
Could she have been in a cave with bats?
Oh, um, you know what?
There was, um... there was a school field trip,
I think about a month ago,
in, uh, yeah, um, Lost Silver Caverns.
But I-I'm sure she would've told me if anything had happened.
Yeah, bat bites are very small and painless,
so she could've been bitten and not even known about it.
Her symptoms are consistent with rabies.
Rabies?
But we need to get the lab results to know more, all right?
So, just... just get some rest.
Okay, yeah.
And, uh, I'll be back, okay?
Thank you.
[Door opens]
Okay.
And would you mind telling me how it feels to be dead?
My flesh is... is rotting.
It's covered in l-legless larvae.
I can't eat because the smell is so vile.
I don't know how you all can stand it.
I guess because you're doctors.
One second.
Uh... Blood pressure 117/76.
Pulse rate is 82. Those are normal numbers.
Owen, he's wasting away.
[Button clicks, monitor beeps]
Okay, Dean, we're going to do a P.E.T. scan now
and take a look at what's going on inside your brain.
I don't have a brain.
Died in the crash.
Go ahead. See for yourself.
[Machinery whirring] Owen, he doesn't eat.
His teeth are rotting.
I really think he's severely depressed.
Well, we'll see.
You know, this is one of the first P.E.T. scans ever done
on the brain of a patient with Cotard's.
Certainly you agree that it's a form of delusional psychosis?
[Monitor beeping rapidly] Here it comes.
[Gasps]
Oh, my God.
The... the metabolic activity in the frontal and the parietal regions of the brain
is consistent with a patient in a vegetative state.
He's clearly not dead, Owen.
I know, but his brain thinks he is.
That's how powerful the delusion is.
- [Door opens] - Carlotta: Excuse me.
Dr. Morely, Dr. Black asked me to find you.
What?
Lily Huggins' rabies test came back positive.
Ohh. I have to go.
I'm gonna start Dean on a combination of pharmacology and behavioral therapy.
Okay, fantastic.
[Whimpering]
[Monitor beeping]
[Door opens, closes]
Can we have a word?
[Continues whimpering]
I'd like you to meet Dr. Owen Morely.
Hi. Nice to meet you.
Please take a seat.
So we, uh... we got Lily's lab results back.
Okay.
And, um, as suspected...
Uh, unfortunately, it's a very late-stage case of rabies.
And there's shots.
It's curable.
At the time of the bite,
a person can be given a series of shots
to help the immune system fight the disease in its early stages,
but once the symptoms have developed...
Unfortunately, it's too late.
Owen: I'm so sorry.
What do you mean it's too late?
[Chuckles nervously]
Well... [Sighs]
We want to make Lily as comfortable as possible right now.
[Voice breaking] Um...
That's all we can do.
I don't think I'm hearing you right.
Um... are you saying Lily's gonna die?
Mrs. Huggins...
I'm so sorry.
We're here to help you and your family make the best decision
- for all of you, especially for Lily. - No, no, no, no, no, no, no, no.
- The best decision is all of... - No, no, no, no!
There are no decisions, okay?
I-I-I don't accept this, okay?
You have to do something.
You're doctors.
Do you have children?
No.
If you had children, you wouldn't give up.
Please don't give up on my daughter... I beg you.
Yes?
Well, we have to dig deeper, okay?
Catherine, I'm concerned that no matter how deep we dig,
we're gonna hit bedrock.
This virus climbs about two centimeters a day
up the peripheral nerves until it reaches the brain.
Yes, I know.
It's an unstoppable death march.
I can't accept that, all right?
I can't accept that we can't stop this.
There's nothing that we can do, Catherine.
- We're not magicians. - Kate: No, I know we're not.
I chose neurology because it is the final frontier.
We make new discoveries every day.
And if we don't, then we're stuck spinning our wheels, going nowhere.
If we don't do everything we can to make advances,
then what is the point?
[Up-tempo salsa music plays]
Thank you.
Hey.
You did great on your first day.
Oh, thanks.
Make sure you get your share of the tips from Delilah.
Okay.
Will said I should ask you for my share of the tips?
Did he?
You don't get a share of anything on your first day.
You're still in training.
__
___
__
___
__
Damn. Sorry. Eh.
__ [Chuckles]
No, um, Will and Delilah, that happened a long time ago,
way before he knew Catherine.
And now he can't fire her?
Not unless she makes a big mistake...
Something that affects the restaurant,
something that everyone sees, and there's no question.
[Sighs]
[Clattering]
[Sighs]
[Pills rattle]
[Sighs]
[Man speaking indistinctly on intercom]
Man on P.A.: Outpatient surgery center, line 35.
Outpatient surgery, line 35.
[Sighs]
[Door closes]
[Sighs]
- [Alarm blaring] - Son of a bitch.
In Thailand, tissue-culture or purified duck-embryo vaccines
were effective in certain category II post exposures.
She's way beyond category II.
Look for anomalies.
Got to think out of the box here.
What is the longest anyone's survived without treatment?
Where does she get her energy?
What is the longest anyone's survived without treatment
- since the symptoms started? - What? I'm looking.
Okay, not in there.
What the hell's wrong with you both?
You guys, you should know this.
You should know this.
Three days? Two hours?
Huh? A year?
No. Seven days.
That's how long we've got.
There's a young girl in there,
her whole life in front of her, and she's gonna die.
Seven days... that's one week.
All right, one week. One week.
[Monitor beeping]
[Woman speaking indistinctly on intercom]
[Keyboard clacking]
I'm still dead.
I'm still alive.
I couldn't kill myself because I'm already dead.
No. No. No, no.
You're alive because Dr. Bickman saved you.
He... he found you in time.
No, he didn't.
I'm in hell.
You have to give the medications time to work.
It takes four weeks.
I couldn't wait that long.
Look, I'm sorry.
I didn't realize you were in such... in such agony.
You didn't care.
You wanted to know what death was like.
You thought it was interesting.
Death is hideous.
It's putrid, painful...
sad...
boring and pointless.
[Sighs]
I'm gonna find something that work more quickly.
[Footsteps depart]
[Muttering]
[Door opens]
Kate: I found something.
You've been in here all night.
Look.
It's obscure, but it worked.
It's risky. Read it.
In clinical studies?
No, read it.
How much coffee you had?
Read it!
All right, the Milwaukee Protocol...
hypothesizes that
"rabies kills by abnormal excitation of neurons."
Exactly.
"Not by permanently damaging the neurons,
"which has been the conventional thinking,
but by over-stimulating them."
All right, so what we do is,
we subdue all the neural activity,
and then we administer antiviral drugs.
Boom.
Is Owen in?
Yeah, he just got in.
Okay, good.
So, they shut down the patient's brain,
put her into a coma in order to gain enough time
to let the antiviral medication do its thing.
It's too dangerous
to put this child in a medically induced coma.
You got a better idea?
Farrah: You did say that this procedure's been tried before?
Kate: Yeah, four times.
Twice it worked. Twice it failed.
I need better odds than that, Catherine.
[Door opens] Where are you going?
To get you better odds.
It's like she's on speed or something.
I believe she is on some kind of medication.
Why do you say that?
Observation.
Ian: Oh, come on.
Look, she may have used modafinil
to pull an all-nighter and she's a little bit amped,
but a kid's dying.
The point is, it doesn't matter how she got there.
She's on to something.
[Monitor beeping]
What are those? They look like torture devices.
We use electrodes to pass a current through your brain
in order to induce a tonic-clonic seizure.
Now, you won't feel a thing.
Your whole body will be paralyzed except for your foot.
You know why we do that?
To verify that he's actually having a seizure.
Exactly. Now, I have to inform you
that there can be memory loss with this procedure.
Let's do it.
All right.
[Air hisses]
We're good.
[Machinery whirs, clicks]
[Groaning]
[Monitor beeping rapidly]
[Man speaking indistinctly on intercom]
[Muttering]
[Cellphone chimes]
[Sighs]
[Mutters]
Da, da, da, da.
[Dial tone]
[Dialing]
[Ringing]
[Answering machine beeps]
Hey. [Keyboard clacking]
Hi, it's Catherine.
I can't make my appointment today.
I'm sorry.
I, uh... I got to come up with a cure for rabies.
Helen: Catherine, there's no cure for rabies.
Yeah, well, there will be soon.
Catherine, let me make sure I understand you.
That's interesting.
- "Hedison, harkness, hepatitis, - You are saying you are going to find...
the cure for rabies?
X, I, I,...
Um...
Have you stopped taking your medication?
No. I'm great.
I'm totally great. You don't need to worry about me.
I, I...
Take your medication. Right now.
Before it's too late.
I, I... I will.
Isbin, ischemia. J, J, Jason, jaundice.
K, karyotype.
Are you in your office?
Kim... keloid.
- Catherine? - K, K, K...
K, K, K, K, K!
K, ketamine.
It antagonizes the NMDA, countering the neural excitotoxicity.
You want to use ketamine to induce coma.
Wait, wait, wait, wait.
Special K? It's a dissociative agent.
It's a hallucinogen.
It's not used to induce comas.
What does it do to rabies?
- Prevents dysautonomia. - Kate: Right.
And what kills a fifth of rabies patients?!
The autonomic nervous system
controls all the functions of the body,
and shutting it down is one of the ways
rabies decimates its victims.
Ketamine induces coma
and prevents the entire system from shutting down.
[Lily whimpering] But there's a risk.
There's a very serious risk
that Lily won't wake up from this coma.
[Lily coughs]
[Whimpering continues]
Florence: [Voice breaking] My child is dying.
And now you're telling me
there's a chance you can save her?
Try it.
Oh, God.
Good.
- Catherine, what... - [Growls]
[Chuckling] Excuse me?
[Breathing heavily]
[Laughter, indistinct talking]
Keith... Mr. and Mrs. Despont, may I show you to your table?
Will set aside the best in the house.
Mr. and Mrs. Despont, may I take your coats?
- Hey, Carlos? - Mm.
Who is that?
That's Keith, Will's business partner.
He owns 50% of the restaurant.
And the other two... very important.
Mucho dinero. [Chuckles]
Naomi: Thank you.
Will: Welcome.
It's lovely to see you both. Lovely.
I know you have one of the best cellars in Brooklyn,
but I hope you don't mind.
It's from Naomi and Anton's vineyard in the south of France.
Ah, Chateau Despont.
I read about this in the Wine Spectator.
I am just thrilled to have this in my restaurant.
Thank you.
Delilah, will you please decant this?
Delilah: Mais, bien sûr.
Excuse me.
All right, okay, how we looking?
- We good? - Great.
Hey. How you doing?
- [Chuckles] Great. - Yeah?
So, some special clients, huh?
Yeah.
Deep pockets. [Chuckles]
I'm hoping my future investors.
[Clicks tongue]
Mm-hmm.
[Chuckles]
[Cellphone buzzing, beeping]
[Sighs]
[Hums]
Ah. My God.
[Sighs]
[Pills rattle]
[Man speaking indistinctly on intercom]
Kate: We induced the coma.
And now?
We wait.
[Crying softly]
[Indistinct talking]
What are you doing?
Go clear table five.
And again?
- Anton will do the honors. - Yes.
[Soft music plays]
This is not the wine we brought.
Uh...
- Um... - Will!
Is everything okay?
Um...
We brought a $500 bottle of our best wine.
This tastes like vinegar.
Uh, this is the bottle you brought.
I decanted it myself.
I am so sorry.
I'll get to the bottom of this.
I'll make this up to you, I promise.
Can I speak with you?
This is their wine.
Okay, you can tell by the color.
- Wait... - You served them
- our cooking wine. - I have no idea how this got here.
Unbelievable.
- I don't even know what to say. - Hey, sweetie.
- I came to walk you home. - Great.
Will: You do this on purpose, yeah, to blow our deal?
Delilah: Why would I do this on purpose? I work here.
- You've been trying to ruin my life. - What's going on?
- Delilah: Well... - You are crazy.
I think the hostess made a terrible mistake or something.
She's...
I have not been trying to ruin your life.
- I've been trying to be a part of it. - Stop that. One good thing has come of this...
you're fired.
- Reagan, hey. - Yeah? Hey.
He made it fun.
Will: I'm sorry.
Oh, bye, Delilah.
You.
You did this, you little bitch.
What? What?
You switched the wines!
- What? - Okay, that's enough.
Leave now.
Reagan: What is she talking about?
Fine.
[Chuckling] I have no idea.
Esme didn't do a thing wrong.
That woman is crazy.
I'll be right back.
[Man speaking indistinctly on intercom]
How's she doing?
We won't know until the spinal tap.
I think we need to talk.
- Yeah. - Earlier, you were very...
Yes, I know.
I was crazy.
I, uh... I'm sorry.
I-I was exhausted, and I...
I am... I'm... I'm mortified.
Is there anything else you want to tell me?
I took something, okay,
just to help me get through the night,
and I... and I had a terrible reaction.
I've never taken amphetamines before.
[Sighs]
It was a big mistake, and I-I've learned my lesson, so...
Thank you so much for understanding.
[Monitor beeping, man speaking indistinctly on intercom]
[Door opens, closes]
We have her spinal-tap results.
Her rabies antibody has increased from 32 to 2,034.
Uh, what does that mean?
It means her immune system
is actively fighting the virus, okay?
Okay.
So we've stopped inducing the coma.
What we're looking for is some response now.
Normal Alpha waves in every lead.
Okay, great.
Let's, uh, test for the cranial-nerve function.
I just finished it.
Two and three are intact.
No corneal reflex.
Gag reflex absent.
All deep-tendon reflexes are absent.
All of them?
Mm-hmm.
[Woman speaking indistinctly on intercom]
Lily.
Lily?
Can you hear me?
What's happening? Why isn't she responding?
She has a lot of cerebral activity.
We got to give her a bit more time, all right?
When did we stop?
- MacKenzie: About three hours ago. - All right.
No gag reflex at all?
Not yet.
Will she ever wake up?
We don't know yet.
I just took her vitals.
She spiked a fever... 103.1.
It's her first since we put her in a coma.
Okay, thanks, Tinker.
Just, uh, check on her every hour
and page me with any updates, okay?
- Of course. - Every half-hour.
All right.
Great job.
[Breathing deeply]
Numbers were good, you know?
Antibodies through the roof, but she won't wake up.
Now she's got a fever.
You didn't give up when her odds were zero.
You cured her rabies.
I might well have killed her in the process.
What if we, uh, uh...
What if we bring the thermostat way down...
Freeze the fever out?
Okay?
So, I'm just really pleased that the E.C.T.
is working so well for you.
I don't know if I'm back to being alive,
but I'm not completely dead anymore.
I seem to be getting less and less dead.
We're going to continue the E.C.T. treatments once a week,
but I'd like you to try the medication again, too.
Once it has time to start working,
you should feel even better.
Owen: Okay?
And we'll be seeing you soon.
- Yeah, thank you. - Pleasure.
- Thank you. - Mm-hmm.
[Monitor beeping, air hissing]
[Lily groans]
[Gasps]
Dr. Black!
Her temperature's stabilized.
[Breathing heavily] She moved her eyes.
She moved her eyes.
If you can hear me, squeeze my hand.
Lily, squeeze my hand.
Can you hear me?
She's awake.
[Gasping] Lily?
Lily?
[Crying] Oh, my God!
- Oh, my God! - Lily, it's okay. You're in the hospital,
but you're okay.
Lily... Lily, I love you.
Lily, Lily.
Lily, can you see me?
Oh, my God!
[Elevator bell dings]
[Sighs]
[Chuckles softly]
[Soft jazz music plays]
[Door opens]
Will: Hey.
Looks like you've been doing a little bit of shopping.
[Door closes]
Yeah.
I don't know what came over me.
Well, we actually have something to celebrate...
I fired Delilah.
Yeah.
It might have cost me a major investor,
but at least she is gone.
She's out of our lives for good.
Will, I'm so sorry, okay?
I can't do this anymore.
[Scoffs]
[Door slams]
[Sighs deeply]
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