Doc

Previously on Doc.

- You've been different since you came back from Chicago.

- You've changed since this whole thing with Rachel.

I am Chief now of your department.

You lied on our first day working together.

- I appreciate you finding a way to trust me.

I'm never gonna trust you, Richard.

You lied for Dr. Miller.

That's the thing about your reputation,

you only have one and once you lose it,

it's almost impossible to get it back.

What could I do at this point?

Find your voice.

Are you alright?

- I told her if she wants to come forward to HR,

we would both have her back.

- Good morning. - Hey.

- Hey. - Oh, I'm sweaty.

- That's okay, I like you when you're sweaty.

I can think of a better way to get you there.

- Yeah, but your way means I can't focus on my lancet.

And I need to brush up because today is the first day

shadowing my Chief Resident.

Well, I think you're gonna do just fine.

- Coffee? - Yeah.

Hey, so, Rachel's coming by the hospital later.

Her biopsy site's not healing well,

so I just wanna, you know, play it safe.

- Makes sense. - Thanks for telling me.

Michael.

I'll get the coffee.

Morning.

Just wanted to let you know,

Liz filed an HR complaint against Richard

for coercing her to be part of last year's cover-up.

As she should,

but hasn't Dixon been pretty well litigated?

She wasn't party to those agreements.

She's uncomfortable with his return

and I'm supporting her.

And how's he taking it?

He doesn't know yet.

I'm giving you the heads up first,

cause adversity doesn't bring out the best in him.

That's an understatement!

I appreciate you, uh, looking out for me.

Oh, here he is now, gotta go.

Liz is going after Richard with HR.

That'd certainly be poetic justice.

- That guy has nine lives. - I'm not holding my breath.

Just have her call me back

after she's out of the deposition,

and let her know that it's important.

Thank you.

Dr. Miller?

I got your CBC back,

and your counts are trending in the right direction.

So, I finally made bail.

Not quite.

Come on, it's been three days, I'm fine!

That's because you've got EPO

and half our blood bank in your system.

Oh, I have her platelets.

- Just give it to me, I'll hang it. Thank you.

So she came forward.

Amy put her up to it, I'm sure.

Nope, that was me.

And I prefer to call it empowering her.

- Was that before or after I saved your life?

You did what you did.

Well, it is great

to have you back in fighting shape, Joan.

I'll check on you in a few hours.

Mr. Zweig.

I'm Dr. Larsen, this is Dr. Heller.

Nice necklace you got there.

Big believer in life.

Aren't we all?

- Elevated blood sugar's blurring his vision.

I got my driver's test coming up.

Drove himself to the hospital,

he's got a 90th birthday party

he's trying to get to this afternoon.

Yeah, yeah, I know, I know, 90.

But don't even think about taking my keys!

- I tried CGM, insulin pump; he's still hyperglycemic.

You should add a...

Um, have you thought about sugar input?

Oh, his diet's pretty good.

I cut latkes and babkas over Covid.

Traded them in for a Peloton.

It's not just about what he eats,

it's how it gets into his system.

A glucose absorption blocker

would limit the sugar entering his blood.

Hmm...

- But it blocks the digoxin uptake as well.

Right. Bad for the heart.

We reduce glucose reabsorption

in his kidney.

SGLT2 inhibitor.

Great. That sound good to you?

Well, I don't question the plan.

That's how I got this far!

- Uh, the pancoast tumor, it's gonna have to wait

till I get back, I don't trust Mullins to get clean margins.

And have Gorman cover the cath lab.

No, no, he'll complain, but he'll do it.

I'll call you back for the rest. Alright.

Hey, morning. I'm Dr. Heller,

this is Dr. Amy...

Amy Larsen! Dr. Ben Grant.

I saw you speak at the osteomyelitis symposium

three years ago when we hosted in New York.

Sorry I, I wouldn't remember that.

- I know. I heard about your accident.

You did?

- Yeah, you're pretty famous on the circuit.

So, we didn't actually meet.

No, I wouldn't, I wouldn't say that.

I challenged you on non-operative management

of diabetic ulcers, and you ripped me a new one

in front of a hundred other surgeons.

Yep, that sounds about right!

Thanks a lot!

- So, Renee, Dr. Barrett said you had questions

about our treatment of your neuropathic pain?

Not me, my overbearing brother here!

I prefer overprotective.

Dr. Barrett prescribed 300 of gabapentin,

but Renee was on that when she first got diagnosed,

and it made her too lethargic.

So I'd like to try naltrexone.

- There can be significant GI upset with that.

- Lovely. - Can you mitigate it?

Umm...

We could add dichloroacetate,

try split dosing?

Thank you.

- Nice to see you. - You too.

Again.

What's going on?

His O2's a little low.

Might have something to do with the fact

that he missed his sessions last week!

- George! You know dialysis isn't optional!

I know, but Angie was out of town.

And if I leave the dog alone too long,

she poops on the carpet.

That's why I have cats!

Blood pressure's a little low, too.

You feeling light headed at all?

Tired, achy, slight fever, too.

And why am I just hearing about it?

- Figured it was just the toxins building up in my system.

Should we run additional bloodwork?

- Obviously. - Yes, Lucy, thank you.

- Mr. Santiago. - Hey.

I hear you've got a migraine?

Yeah, my head is, is killing me.

Excuse me one minute.

Tell me the terms of my agreement covers this!

It's a bit of a gray area, I'm afraid.

How could you not have negotiated that?

You wanted back in fast.

And I did not want to raise a red flag

that would have involved her union.

So now what?

I suggest

you try to make nice.

No, I can't.

Michael explicitly said

that I need to stay away from her.

- Then this is going to be a very long road.

- Code Blue! Code Blue! - We need help in here!

I gotta go!

Code Blue. Code Blue.

- Richard clearly made a mistake and we need an autopsy.

- The patient was in end-stage renal failure.

A cardiac event is hardly a surprising twist.

Something is off, Michael.

I looked at his chart, his anion gap is over 30.

Delayed dialysis

is a perfectly reasonable explanation.

So what, Richard takes a call,

just as his patient codes and dies?

What does that remind you of?

- Gina said the code was handled correctly, so did Liz.

I'm not talking about the code,

I'm talking about what led up to the code.

I can't be the only one who thinks that there's

something to be concerned about here. Jake?

- Personally, I don't think the death was suspicious,

but yes, Richard does have a history

of making mistakes when he's distracted.

When the patient's wife returns my call,

I will ask about an autopsy.

But I don't make any promises.

- You made your point, he heard you. Okay?

Let's let Michael do his job, we do ours.