Previously on Good Sam...
I'm done fighting you for the chief job.
I'm out. Hurting you was
a wake-up call for me, Malcolm.
For what it's worth, I think you would have beat him.
- What are you saying? - I love you.
Why does he sound like he's transitioning
to active labor?
My new husband has some techniques
to help me deal with my old husband.
Your father dropped an instrument
in the middle of surgery.
That scalpel's not the only thing he's dropped.
I know about the headaches
and the ringing in your ears.
Thanks for telling me about this.
Thanks for telling me about his symptoms.
There, in the bilateral hemispheres.
He's got a couple months, max.
This is a death sentence.
You okay?
Yeah. It was... it was a dream.
Yeah, a bad one. You're sweating.
You want to try and lay back down?
You know, I, uh, think I'm gonna go in.
- What, now? - Radiology said
they'd have the results by today.
- Babe. - Mm.
No one's going to see your results
until at least 9:00.
Well, I'll be there when they do.
Look, it's still dark out.
Come on, get back into bed.
Come on.
Or we can go in.
I got your text.
You've been here all night?
Pretty much.
Dr. Osmond just got in.
They're going over the results now.
- Okay. - well, he, uh,
wants to hear himself first.
Why not just go to Radiology?
He didn't want to raise suspicions.
Dr. Griffith.
I think it's a little late for that now.
Ms. Kingsley. What can I do for you?
I was hoping we could speak.
Perhaps in your office?
Uh, my office is in use.
My father's borrowing it for a meeting.
- Borrowing it? - Yes.
Well, technically, I am borrowing it from him,
since it was his office in the first place
and will be again when he's reinstated.
If he's reinstated.
Ah. What's this?
Applicants for the chief position.
It's a very competitive list.
I thought you'd like to take a look in case
a particular candidate stood out to you.
I'll be putting my full support behind my father.
So you're not even gonna take a look at it?
No. He is the right chief for this department.
Assuming he passes all remaining assessments.
Of course.
Have a good day, doctors.
- Thank you. You too. - Mm.
- Oh. - Oh.
Well, what'd he say?
He, uh... says it's nothing.
No tumor, no inflammation,
no discernable abnormality of any kind.
Well, that's good news.
Depends how you look at it.
Dad, this is a relief.
It would be if it made my symptoms magically disappear.
I still get ringing in my ears and blinded by the light.
Got headaches. Whatever it is, it's not nothing.
Okay, but it's also not a brain tumor.
Black mold, gas leaks, venomous snakes.
- Many, many types of cancer. - What is he doing?
He is listing things that are not brain tumors
but will still kill you.
We're gonna figure out what this is.
- And how to treat it. - Exactly.
We have to exhaust all options,
- like you always say. - You do always say that.
To the residents.
We're not running a differential here.
Maybe we should be.
Synced & corrected by -robtor- www.addic7ed.com
All right, who is ready for
a little continuing medical education?
- CME for breakfast. Goody. - You know it.
Today's hypothetical patient
is male, late 50s.
He suffers from acute headaches,
photophobia, metallic taste
and tinnitus.
Onset of symptoms was sudden
and simultaneous. Go.
Is the tinnitus unilateral or bilateral?
It is unilateral to the right ear.
Does he have any other vascular issues?
- Not that we know of. - Why do you ask?
Tinnitus is the perception of sound where there isn't any
or an internal sound caused by abnormal blood flow.
The comorbid headaches suggest it's a structural issue.
Like a lesion on the brain stem
- or cerebellum, maybe. - The brain scans were clear.
Well, what about his HPA profile?
Adrenal fatigue can cause anything
from insomnia to hair loss.
It would explain the light sensitivity.
Doesn't explain the metallic taste.
Maybe the link is the central nervous system.
MS or Bell's palsy have been known to affect sense of taste.
Or it's just a virus
or a side effect to a medication.
Or halitosis.
So the patient's old and has bad breath.
That's the differential?
He also gets nightmares.
You know, I chalked up last night's to stress,
waiting for his MRI results.
But it's not an isolated event.
Nightmares, insomnia.
Interrupted REM cycles.
What if it's another symptom?
I'd have to know more about his typical sleep patterns
before I could evaluate an anomaly.
Easy. I'll start tracking it. I'm with him every night.
- Sorry. I know it's... - No, it's...
I'm glad you told me.
If you being with him can help us
figure out what's going on here,
then it is a good thing.
At least it's better than a brain tumor.
Ooh, Donna.
Oh, Sally Rittenberg.
The heart transplant from August.
Oh, I love a good thank-you basket.
I love a bougie designer candle.
Put it down, Dr. Costa.
You know how it works.
- You want it, you have to win it. - Mm-hmm.
How many tongue depressors in the jar?
Are you playing, Dr. Griffith?
There's a, uh, gift certificate for a couples massage.
Ah, well, thank you, Donna,
but I think that should go to a member
of an actual couple.
- Strongly agree. - Mm-hmm.
Oh, so, uh,
you and Malcolm didn't work it out?
No.
Sorry.
- No, you're not. - Okay,
fine, I'm not, but it's...
It's not about me. I'm gonna keep my feelings to myself.
- I appreciate the honesty. - Really?
But it doesn't mean I'm, you know, ready to...
Oh, no, I didn't assume...
Yeah, 'cause, you know, what we have works,
- and we don't want to... - No, we don't.
Nope, we wouldn't. Same page.
- I'm glad we talked about this. - Me too.
Rounds.
Yeah.
Thank you. Hello.
Everyone, this is Amy Taylor.
She suffers lightheadedness,
shortness of breath and nausea.
Yeah, my doctor says I need a bypass.
Well, given your angiogram, I'm inclined to agree.
These are all common symptoms of coronary artery disease.
Is there a family history of heart disease that you know of?
No, but if you shake my family tree, bottles fall out.
Me included.
She is three years sober.
- Three years sober, that's impressive. - Thank you.
Yeah, well, I put my sister through so much hell
before I quit drinking Gretchen still carries
- a breathalyzer in her purse. - Stop it.
That's just a reminder of how happy I am
- that you're sober. - Thanks, sis.
I feel sick.
Oh, well, surgery should alleviate your symptoms...
- No, I mean right now, I... - A headache...
- I feel sick - Oh! Oh, honey.
Let's get her on a drip of pantoprazole
and get her crossed and typed for two units of blood.
- Oh, here we go again. - This has happened before?
I'll call Markov in G.I.
Why? I thought you said nausea was a common symptom.
Narrowed arteries don't cause blood
to enter the G.I. tract.
Yeah, whatever this is,
heart surgery's not gonna fix it.
You wanted to see me?
Yeah. Close the door.
I want to apologize for the way I handled the clinic proposal.
I never should have pressured you
to back channel with your father, and I'm, uh,
I'm sorry it blew up on you the way that it did.
Well, truth is I probably would have
went to him anyway.
If this clinic could be something great
for the community, I'd hate to give up on it.
But we both know your father will never support it, so...
What if my mom did?
Your mother?
She was a force to be reckoned with back in the day.
You think she still is?
Do I think she can overrule him on the clinic?
Yeah.
This would infuriate your father.
I... To go around him to Tina, of all people?
Look, I wouldn't have to do it
if he'd heard me out in the first place.
This is the nuclear option.
All right, well... let's hope it works.
Okay, Vinit Jain, four-centimeter
low-grade glioma in the left lateral posterior frontal lobe.
Scheduled for an awake craniotomy. And why is that?
Because it gives us the opportunity
to map the brain and avoid areas
that are critical for normal speech function.
And what's the difference
between this craniotomy and a craniectomy?
- Uh... - In this procedure, once the scalp
is opened and clipped, the brain flap
that's removed from the patient's skull
is replaced at the end of the surgery.
Correct again.
Dr. Costa, you just earned yourself a spot in my OR.
See you soon, Mr. Jain.
It sounds scary, but we do these all the time.
You're in good hands.
_
Uh...
_
You studied just as hard as I did.
Why didn't you answer any of Dr. Lee's questions?
I wanted to. I tried to.
But then there's this voice in my head
- telling me I'm a fraud. - A fraud?
Like, if that family knew the truth about
the patient I lost, they wouldn't want me
- for a doctor. - Ah, yes.
I'm supposed to say something encouraging
right now, aren't I?
Okay.
Friend moment. You got this. You can do it.
- Believe in yourself. - Sorry,
- are you talking to me? - What?
I can't tell who this pep talk is for.
Oh, no, you don't need a pep talk.
You need to put what happened behind you, 'cause there's
no room for self-doubt in surgery.
That was good.
Oh, I've got Amy Taylor's results.
We should know what's going on in her stomach soon.
Let's hope it's a peptic ulcer and not a perforation.
Hey, I, uh...
I've been thinking about what you told me.
The nightmares.
And I did a search of national health surveys.
I-I looked at cross-sections to see if there was
a relationship between sleep disorders
and symptoms like my dad's.
And all the evidence suggests
that his condition is psychological.
Well, depression and anxiety account for more symptoms
than they get credit for, that's for sure.
Exactly.
And considering what he's been through,
it makes sense.
You think it's connected to his shooting?
Or the patient we lost. The gunshot victim.
Maybe that triggered something for my dad.
That sounds like PTSD.
PTSD? For survivors of war
and natural disaster.
You were shot. I think that qualifies.
Yeah. No. It does not explain my symptoms.
Then let us rule it out with an expert opinion.
If we're wrong, a mental health professional
- will eliminate it. - And if we're right,
you'll have answers. Treatment options.
Dad, one appointment.
If Tina Kingsley found out
I'd volunteered for a psych eval...
She will not find out.
You underestimate her.
It just has to be someone we trust.
Like who?
Welcome. Come on in.
I applaud you for coming in.
It takes a lot to ask for help.
Well, we want to exhaust all the options.
Well, this is exhausting so far.
What my father means to say is thank you
for making time for us,
given your busy schedule.
Mm-hmm. And the obvious conflict of interest.
Us being family and all.
We are not.
Well, we both married the same woman.
Not at the same time.
And everything you say in here is confidential.
So, how can I help you today?
You can tell my daughter that I do not have PTSD
- as a result of being shot. - I see.
Well, you list an array of symptoms here.
There's no chance they're related to the shooting?
No. Physically, I'm completely recovered.
How about emotionally?
How do you feel about the shooting?
I feel that it would have been better
if he had missed.
I'm sorry, I don't know why I expected this to work.
If you're not even gonna try...
No chance that the shooting could lead to this
cconstellation of symptoms. You don't know that.
Even Pyne agrees it's a stretch. Right?
He can't agree until you talk to him about your feelings.
- What about your feelings? - What?
How did you feel the day he was shot?
Helpless.
Terrified.
He knows the feeling. He's been there.
What do you mean?
My accident.
When I was a kid,
he was driving, I got hurt. I had to have surgery,
and he couldn't be in it.
That's quite the role reversal.
So you both know how it feels to be
the victim and the helpless bystander.
The accident was a completely different situation.
How so?
Sam!
So you weren't locked out of my surgery.
You never made it through the door?
Are you saying you were unable
to come in the door?
I'm saying that...
there was nothing I could do.
It was every parent's worst nightmare.
Do you still feel guilt over what happened?
Of course I do.
Dad, it was an accident.
I have forgiven him for this.
Have you forgiven yourself, Griff?
Why are we talking about this?
You were supposed to be confirming that
the shooting didn't cause PTSD.
I don't think the shooting is the cause of your symptoms.
Thank you.
But the accident could be.
There's something unresolved here,
and I'd like to keep talking about it.
Well, why don't you and Sam, uh, schedule some time together?
I'm talking about you.
If your symptoms are interfering with your work,
I'll have to submit a formal recommendation
for a mental health assessment before you return to surgery.
Yeah.
Wow.
Thank you for joining me.
Thanks for inviting me.
There's no one I'd rather do lunch with than my own son.
You know, I was hoping we could do a little business as well.
- I'm listening. - All right.
Lake shore could be doing a lot more
for under served communities in this area.
Now, this clinic is the answer.
It just... it requires some investment.
Which is why your father said no.
And you never would have brought this to me
if you'd gotten a yes out of him.
Uh, yes.
But we haven't been seeing eye to eye
ever since I started dating Sam.
I always wondered if there was more to that story.
Uh, well, that story is over.
But this clinic is a good idea,
and it can be good for Lake shore.
I agree. I'll talk to the board about it.
Really?
Yes. I said I wanted to help, and I meant it.
As a matter of fact, I was thinking
we might help each other out.
What do you mean?
Rob Griffith is hiding something.
And before your father coronates his golf buddy
to run this hospital's most prestigious department,
I'd like to know what it is.
I don't think I should get between you and Dad.
If Dr. Griffith is unfit for the job,
the scandal that could result will end up on your résumé, too.
That story you told me about his daughter and you,
how over is it?
I knew it was a waste of time going to Pyne,
and now he's threatening to expose me.
He just wants you to come back.
And if Pyne thinks he can help you,
why not try?
Amy's X-ray showed free air under her diaphragm.
It's a perforation.
Markov's in there doing a laparotomy now.
Given her cardiomyopathy,
I got to be in there to monitor her heart.
You don't want to stay and talk about our feelings some more?
Bye, Dad.
Three years sober,
but what's making her throw up blood?
Well, that's what we're here to find out, Dr. Tucker.
Let's proceed with the laparotomy.
How's it going with the other patient?
Pyne thinks it could be PTSD,
but not from the shooting.
- The accident. - It was traumatic,
but it was also 20 years ago.
Yeah, but when I was in the Air Force,
they used to talk about delayed onset PTSD.
You could be a retired colonel, then something triggers you,
sends you right back to your first tour.
But what could be triggering him?
If it's not losing the gunshot patient,
I-I just don't understand what's making these symptoms
crop up now.
He's the only one who could answer that.
Well, he's gonna have to keep going to therapy.
Pre-pyloric gastric ulcer.
It's fully perforated.
Well, that explains the bleeding in the abdominal cavity.
Let's get her stitched up.
Hey, what about this here, near the fund us?
Gastric varices.
Those aren't related to the perforation
or the heart condition.
These mean Amy's liver is failing.
Didn't she say she's sober?
Yeah.
Could be a relapse.
I mean, that damage is pretty bad.
Once she's out of surgery, let's get to the bottom of this.
Hey.
Hi.
How are things with your dad,
now that you're out of the chief race?
Oh, they're okay.
You know, he's still my dad.
Yeah.
He's, uh, he's doing well?
You think he's ready to step back in?
- Why do you ask? - What do you mean?
I mean, this is the first time you've asked a question
about my dad since he was in a coma.
Does giving things a shot with your mom mean snooping for her?
I just want to know if you think your dad is up for the job.
My father is undergoing proctorship.
It would be premature of me to tell you what I think.
And frankly, it is unethical of you to even ask.
Okay.
Sorry I brought it up.
Yeah, me, too.
Tell your mom thanks for the concern.
Thought you'd be counting tongue depressors.
I got my guess in early.
Over thinking is a classic mistake.
Over-practice, on the other hand...
I'm trying to get the whole pride flag
before the real surgery.
Dr. Shah, a word?
You've been a little slow to answer questions on rounds.
I know. I'm sorry. I'll step it up.
I hope you do, because the surgery's yours.
Dr. Costa, you're out.
- What? - What?
Patient requested you.
What? Like, by name?
He asked for the Indian doctor,
I surmised the rest.
And, uh, those brain models cost a thousand dollars each,
Dr. Costa.
Oh.
So Amy Taylor's labs are back.
All the cultures are negative.
Are there any medications she could be reacting to?
Not according to this.
I want to be there.
If this is a relapse, it could be helpful
to have someone in the room
who can relate to her experience.
Plus, it gets me out of my head.
I appreciate that, but I don't want to
make things more difficult for you.
You have your sobriety to think about...
I am thinking about it.
Showing up for other people
- helps me stay sober. - Really?
Okay.
In that case, I'd love to have you there.
- All right, let's go talk to Amy. - Okay.
So let me get this straight.
You fixed her stomach a few hours ago,
and now her liver is failing. What's causing that?
We have the same question, actually.
The tests for hepatitis came back negative,
and that is one of the two most common causes.
What's the other one?
Alcohol.
No. She is three years sober.
Amy, can you tell them that you haven't been drinking?
No, Officer, I'm serfectly pober.
This is the anesthesia. She hasn't been drinking.
She wouldn't do that. So what would you like?
Would you like for us to prove it?
- We can do that. - Prove it.
- Come on. - Yes, come on.
Okay.
- Honey. - Yeah.
.09.
Over the legal limit to drive.
Ah, this is unbelievable. Uh...
- I didn't drink. - Amy...
I... I cannot even count how many times
I've been woken up at 2:00 in the morning
to bail her out of a bar fight, or how many times I've turned
my house upside down to find her stash.
- No, I didn't drink. - Stop, stop!
Don't. Just don't, okay?
I could handle a relapse.
I can't deal with your lies anymore.
I didn't drink.
Sneaking booze into a hospital, that's a new low.
Gretchen, I didn't drink!
Whoa. Hey, hey, hey, hey, hey, hey. Whoa. Whoa.
- Okay. - Okay, easy, easy, easy, easy.
- Hey, Mom, are you... - Sam.
- Uh, I can come back. - No, it's okay.
- I should get to it. - Yeah.
And, Malcolm, thank your mother for me, will you?
Yeah.
His mother?
She's still very influential around here.
Well, she is certainly influencing Malcolm.
She's also raised concerns about your father's competency.
When were you gonna tell me
he dropped a scalpel during surgery?
After surgery.
There's nothing to tell.
We don't know what's going on yet.
He's only had one session with Pyne.
With Asher Pyne?
- Uh... - My husband
is treating my ex-husband?
Yeah.
I'm sorry I didn't tell you.
Dad might be exhibiting symptoms of PTSD,
and he needed someone to talk to.
So you sent him to Asher.
I needed someone we could trust.
And Asher thinks this is related to the accident.
I agree.
Something in the present is triggering
past trauma for Dad.
Like what?
I don't know. Maybe it's me.
You? You have been working alongside him for years
and he has never exhibited signs of PTSD.
I've also never been his boss before.
Maybe it's messing with his head.
Whatever this is, sweetheart,
you are not to blame.
Well, we won't know that
unless he goes back to therapy.
I will talk to him.
Thanks.
Dr. Tucker! Did you steal Donna's jar?
No, I'm replicating it with some supplies I found
so I can make the most accurate guess.
- Hmm. - I think it's somewhere between, like,
170 and 180...
I don't want any part of this crime.
The only crime would be letting Joey win
that bottle of Cristal.
Well, you're not gonna drink it anyway, right?
You don't have to drink to appreciate
the favorite champagne of Tsar Alexander II.
And they still make it the same way.
Same bottle, same grapes, two fermentation periods.
You show up to any dinner party with that baby,
you're getting invited back.
If Joey wins, he'll probably drink it out of a hat.
What did you just say?
One of those hats, you know,
- like, with the straws that come down. - No, no.
Fermentation.
The process by which yeast converts sugar
into ethynol and carbon dioxide.
- Amy. - Amy.
Wow.
Amy's latest labs show a blood alcohol of .11.
Well, she blew a .09 just a few hours ago.
- Mm-hmm. - And she's been under observation.
Then how did she get more drunk?
Because she's not sneaking it, she's making it.
- Where? - In her own stomach.
Auto-Brewery Syndrome.
A buildup of bacteria or fungi in the stomach
that ferments ingested carbohydrates.
It's extremely rare.
It would explain the rising BAC.
Let's schedule an endoscopy.
Yeah.
I hate this feeling.
I should have just corrected the patient
- the minute he assumed I speak Hindi. - Why didn't you?
Because it always turns into a thing, you know?
With my last name and how I look.
People have made this assumption my whole life.
I only complicate things when I try to tell them
- I'm half Spanish, too. - Do you speak Spanish?
I didn't say I speak Spanish, I said I'm half Spanish.
Well, you're also part Indian, and that part got you
an awesome surgery... Embrace it.
I'm being dishonest.
You are putting the patient at ease.
I tell patients I do Botox before injecting them,
even though this face is all natural.
And Sam tells patients that she had heart surgery as a kid.
Sam did have heart surgery as a kid.
Mm. Or maybe she's just that good.
Good luck.
Mr. Jain, I am going to send an electrical current
to an area of your brain and give you a command
so we know which sections are safe to remove.
Say yes if you understand.
Yes.
Mr. Jain, can you count to ten?
One, two, three...
Speech arrest.
We'll make sure we avoid this area.
- Keep him talking. - Mm-hmm.
So, you know, I never asked. Do you have any children?
- I do. - Mm.
I have...
Mujhe bhukh lagi hai.
Mujhe bohot bhukh lagi hai.
Secondary speech arrest.
What did he say, Dr. Shah?
Dr. Shah, is our patient in distress?
Uh, uh...
I don't speak Hindi.
That much was clear from your terrible accent.
I'm sorry.
I know you asked for me,
but I'm not the doctor you think I am.
I didn't ask for you because we speak the same language.
I did it because you put your hand on my shoulder
and made me feel like I was going to be okay.
You are exactly the doctor I thought you were.
I'm so glad to hear you say that.
Stop. His lip is quivering.
You're at the posterior extent of speech,
which means you've run into the anterior region of the motor area.
Now?
Yeah.
Excellent catch, Dr. Shah.
Keep him talking.
Since we are here for a few hours,
if you really don't know any Hindi,
would you like to learn some?
Yeah, that sounds great.
Oh... Oh!
You thought you had a brain tumor and you didn't tell me!
Ah!
You know, you could tell your husband
that's supposed to be confidential.
Asher didn't tell me that, Sam did.
She is blaming herself for your PTSD.
- I don't have PTSD. - Well, whatever you have.
- For your symptoms. - She thinks she's triggering it.
- Why would she think that? - I don't know.
The only thing worse than these symptoms
is that she would blame herself.
If this really is about the accident,
I think we both know what triggered it.
Oh, come on, Viv.
We thought she found this.
We said we would continue to keep it a secret,
and then you started having symptoms.
That's a coincidence. That's all it is.
It has nothing to do with it at all.
You can't know that. You can't know until
you tell her the truth about what happened that day.
I am not telling her.
Amy, this is an endoscopic camera,
- and we are gonna use it... - I know you.
- Sorry? - We've met before.
It was a long time ago, but I remember.
I think you might have me confused
- with someone else. - I passed out on your lawn,
and you sprayed me with a hose.
That was so mean of you.
Okay.
Amy, we're gonna use this camera to look inside your stomach
to find out if your body is brewing its own alcohol.
So she's not drinking.
Well, well, well.
Look who it is. Judge Judy, everyone!
She's very intoxicated. We're going to sedate her.
- Okay. - Judging every...
You want a piece of me? Come on.
- Let's settle this right now. - Whoa, whoa.
I'm so sick of this. You think I don't
know what's going on with you? We grew up in the same...
There we go. There we go.
- Nothing's ever good enough. - There...
Let's intubate her, please.
I do not want her to choke.
Uh, Dr. Tucker, you could use the experience.
I'll be right back.
Hey.
What the hell was that?
I-I just needed some air.
You know how upset you get when you have a patient
who won't take their medicine?
Therapy is your medicine.
And you can either take it,
or you can keep dropping surgical instruments
and passing off basic procedures
and never pass your proctorship.
If Pyne thinks that talking about that day
will help you,
then that is what we need to do.
I'll make an appointment.
Please do.
How'd it go?
I didn't get very far.
But you are right to have your concerns
about Dr. Griffith.
So he is hiding something.
Yes. And Sam's helping him do it.
Thank you, Malcolm.
Just doing what's best for Lake shore.
Speaking of that, I've been doing some digging of my own.
The board's reluctance on the clinic
comes down to the land you'd have to purchase to build.
They don't want to spend the money.
But you can get 'em to budge, right?
If I can get you the land for free,
I won't have to.
I own a lot downtown.
- It's just sitting there. - Mm.
And you would just give it to me.
To Lake shore.
Mm. Right.
How about I send you the details,
and if it works, write it into the proposal,
I'll take it to the board.
I don't know what to say.
Thank you.
We make a great team.
Back for more lessons?
Dr. Lee gave you the good news?
We removed the entire tumor
and think you'll make a full recovery.
Thank you.
You have no idea how much you've helped.
Actually, I've been going through some things lately
that made me doubt myself,
but you reminded me why I became a doctor
in the first place, so thank you.
Vinit...
Dr. Shah, you know my wife Me era.
_
For now.
Not bad.
Hey, I got your page.
Amy Taylor's stomach sample came back negative for candida.
She is not fermenting alcohol.
Well, at least not in her stomach.
What are you thinking?
Well, we've discarded every other theory.
Auto-fermentation is the strongest explanation.
But we don't have anything concrete.
We have an inebriated woman who hasn't had a drop to drink.
That's pretty concrete.
Okay, what's the root cause?
Why is it happening now?
There are a lot of things that could have contributed,
but...
There's got to be a trigger.
I'd like to order a cystoscopy and empirically start
a course of antifungals.
Okay, good. Monitor her heart
and keep me posted.
Hey!
Do me a favor.
Do not go around me to my mother.
I answered your questions about my dad.
Did you, though?
If your mom has more questions for me,
she knows where to find me.
Look, it's not my mom asking, Sam, it's me.
Look, I don't have to tell you,
if there's something wrong with your dad,
my mom's not gonna be the last person to ask.
Okay, now,
this is officially a conflict of interest.
The accident affected all of you.
Sharing your feelings about that day
may help shed some light on
whatever it is you're repressing.
I'm not repressing anything.
- Griff... - What?!
In our last session, we talked about forgiveness.
Sam, you say you've forgiven your father for the crash.
About a thousand times.
What about after the crash, in the emergency room?
Your dad's given me his version.
I'd like to hear yours.
Okay.
I'm here, honey. I'm right here.
It's going to be okay.
You're gonna be okay.
Mom was there for me and you weren't.
Was that traumatic for you?
Uh, yeah.
I mean, no, that's not...
Dad, which is it?
I'm tired of trying to help you
if you will not talk to me about this.
Do you know?
Know what?
Whatever it is he's not telling me.
The reason he didn't come into the ER that day...
...is because I wouldn't let him.
What happened? Is she okay?
She's gonna be okay. Yeah, she's gonna be fine.
Come on, let's go! No, gotta go.
- Gotta go! - Hey! Not another step.
I can smell the alcohol on your breath.
You go home.
Go home before anybody sees you like this.
I was drunk.
And you knew.
Excuse me.
Hey!
Good news.
Amy Taylor's cystoscopy confirmed
bladder fermentation syndrome.
It was candida, just not in the place we were looking.
Great. You were right to start the antifungals.
Alcohol levels are dropping as we speak.
What do you say we go give her the good news?
I'll pass.
- You'll pass? - My, um...
My life is kind of unraveling at the moment,
so maybe you can do it without me.
Oh, come on, you have to be there.
I'm really not in a good head space.
All the more reason.
Look, you don't need to be an alcoholic
to benefit from this method.
You're gonna get out of your head.
- You're gonna feel better. - I don't think so.
You're just gonna stand there until I go with you, aren't you?
Yep.
Give the building plans over to the city zoning commission.
Can I call you back?
Thank you.
I know we had our differences.
But I thought you were smarter than this.
This clinic is important to me.
I just, I wasn't ready to give up on it.
I'm not talking about the clinic.
I'm talking about your mother.
Did you forget everything she put us through?
This is business, Dad.
The land benefits Lake shore, and she gave it to us for free.
Trust me, nothing for her is for free.
You'll pay for that land, and I won't be able to save you.
Look, I don't need you to save me!
Or boss me or tell me what to think.
This clinic is a big deal.
I just thought you'd be proud of me.
Hey.
- Nice work. - Thank you.
I heard Griff got back into therapy.
How'd that go?
Uh, you'll have to ask him.
Okay.
Look, I'm glad that we're able to do this.
You know, working together, I mean.
Who knew Griff would be the thing
that would get us talking to each other?
Who knew?
You doing okay?
No.
Did something happen in therapy?
You really have to ask him.
But you should start getting some sleep again soon, so...
I convinced myself I was doing the right thing,
not telling Sam.
Not for me, but for Vivian.
That I was protecting their relationship.
Took myself right out of the picture.
What a hero.
And, well...
I'm talking so much.
Talking's the point.
Helps the brain process trauma.
Well, how will I know when I've processed it all?
For one thing, your symptoms will improve.
Sam.
- Don't. - Please just let me explain.
- I get it, Mom. - No.
That DUI,
it would have sunk your father's career.
Mired the hospital in scandal.
I stopped him. I intercepted
the paramedics' field report that said he was impaired.
Is this supposed to make me feel better?
You just need to know that your father would have
walked through those doors to be with you
and suffered any consequence.
But he didn't because you
convinced him to lie about it.
How... how can I make this right?
I'm not sure you can, Mom.
It didn't work.
Helping the patient.
I mean, it worked because we helped her, but...
to get me out of my head,
I think I'm gonna need something stronger.
Okay, well,
I mean, I did win the gift basket, if you feel like...
I don't think champagne's gonna do it either.
But I know
one thing that might.
At least it always used to.
Worth a try.
I mean, if that's what you want.
I can't get emotionally involved.
I just need to stop thinking.
- If that's not okay... - I have just
three little words for you, then it's okay.
Three little words?
Lock the door.