Getting On

Hi. I don't have an appointment,

but could I speak to Ms. Pepperell?

I only have 10 minutes before my shift.

I appreciate you want to keep your condition

confidential until your 12-week scan.

It's always smart to wait.

Yeah, I'm actually still feeling so thrown by it all.

Yeah, but you wanna know what your rights are

and your union benefits.

Yes. Are those your two boys?

Nephews. This isn't about me.

You are... (Papers shuffling)

Entitled to...

36 weeks maternity leave...

18 weeks ordinary, 18 weeks additional...

And also flexible work arrangements in your last trimester.

Wow. I didn't realize...

Yeah, they don't want you to know.

You're entitled to paid time off,

for prenatal and postnatal care.

I can get you a private fridge for your expressed breast milk

when the time comes. Hey, what's wrong with your hands?

Oh, they're just a little sore.

It's all the alcohol from the new hand-sanitizing gel.

You know, it chaps my skin. It gets a little red and itchy.

May I see?

Getting On - 02x02 Soap a Hazardous Substance

Now the profit margins on healthy hospice patients

who survive for years with minimal care

exceeds 20%. Now you don't get that in oil,

you don't get that in pharmaceuticals.

And patients can pretty much stay indefinitely.

You and I just need to recertify that they remain

- terminally ill every 60 days. - Is that for hemophilia?

Oh. No, no, I'm a tri delt. S.M.U.

Now technically, we lease your beds from you.

We pay you per diem, pay you a percentage of the Hospice Benefits.

Also, in exchange for you referring

all of your terminal patients into our program,

we're gonna transfer all of our patients

in the inpatient care to you.

And we fully staff with our own teams,

except for the coordinating Nurse Liaison.

Oh, I've got one, Didi Ortley.

She's a good gal, she's got a lot on the ball,

and she'll work for peanuts.

Wonderful.

Dawn, are you prepared

for what it's gonna take to be a single mother?

Look, Didi... (Sighs)

I may not know who the exact father is,

I know who'll make the best one.

Oh, look, it's our new team hospice

- rolling with the punches already. - Uh-huh. (Chuckles)

Oh, well, here's to aging baby boomers, right?

We're now taking care of our parents

and our own children at the same time.

Oh. Well, no, sorry. I meant they're starting to die in droves.

You know? This is our window.

There's no money in children anymore,

but a Hospice is the growth industry,

and, well, we're providing a valuable service.

Indeed we are. Okay, bye-bye.

Good morning, Didi. Didi, have you told Dawn

that you're our new official, part-time Hospice Nurse Liaison?

And, Dawn, I think that you'll be happy to know

that Mr. Cesario has stepped up to the plate to assist me with my research.

He was quite pleased to sink his teeth into vaginal atrophy.

Well, shall we?

In passing, kindly notice

our two new dedicated use hospice comfort suites.

Look, Dawn, I wanted to tell you about

the Hospice Nurse Liaison position.

I had to take it. I need the money.

It's fine.

Besides, I'm more interested in helping patients get better

and keeping them alive. Not the opposite.

And nothing changes. I'm still your boss.

Jenna: A soothing, harvest wallpaper

and the fold-out couch for relatives.

- Here we have Mrs. Weller. - Excuse me, are you my doctor?

Yes, I am. I'll be with you in just one moment.

- I need some more Vicodin right away. - It's not time yet.

Well, then some Klonopin or Valium or something.

Mrs. Dottie Levy, severe alcohol-related disease.

Okay, bring her up. There's no need for drama this early in the day.

How are you, Dottie Levy? I'm Dr. Jenna James.

- Not so good. - Mm-hmm.

Mrs. Levy has four staples in the back of her head

from a grade 3 concussion that brought her to the ER.

I see two small subdural hematoma.

- Coup-contrecoup. - The "blow's repercussions."

Yes, you speak French. Well done.

Touché , Dottie Levy. Let's get you back to bed.

Look, I just fall on my head is all. I tripped on the sidewalk or something.

When they brought Ms. Levy into ICU,

GI found ascites

and removed six liters of fluid from her abdomen.

You could use some pointers in not expressing your judgment.

Well, what you see is concern for your future

and it does not look good. How do you feel about your drinking problem?

How do I feel? Oh, it is the demon drink, it is.

No, it's not a laughing matter, Dottie Levy.

You have 10% liver function. You have 20% kidney.

You had six liters of ascites fluid taken by needle from your abdomen.

- It's a miracle you're still alive. - Corticosteroids,

- 40 mg a day. - Yes, could reduce 30-day mortality.

- I can't take corticosteroids. - Why not?

Because if I take them, I can't drink.

If you stop drinking immediately...

Not one more drop... you may live.

Another drink, you will die.

Your body is on the verge of shutting down

in every conceivable way.

Please use your time with us here

to make a wise decision.

You know if you have a problem,

you can come to me first, right?

Yeah, I know.

Are your hands really that sensitive?

That dry?

Yeah, they're chapped from the hand sanitizers.

Is that what you're asking me?

Why'd you call a health and welfare meeting?

I didn't.

Memo says you did.

Paula...

Patsy, I met with her,

but I didn't set this into motion. She did.

Oh, my... I would cleanse my hands to the bone for you.

You know I would. Oh, my goodness. I'm such a jerk.

I'm so sorry, Dawn.

I... I was shocked.

I... I-I... I couldn't believe that you would've hurt me that way, you know?

No.

And I don't want your little hands upset with me.

No. Never ever.

You know what? I'll just refuse to say anything,

and it'll just blow over. Trust me.

Now, can I talk?

Can I have some my time? Because there's something I really wanna tell you.

- Okay. - Okay.

Let's start here. I saw the best

of all possible apartments for us over the weekend.

Okay. It had everything,

including a water feature.

I love water features.

I know. It had a patio for entertaining.

Oh, my God. Dawn, can't you just see it?

- Us barbecuing for friends? - Yeah.

So I put a deposit down.

- Excuse me? - I put down a two-month deposit,

and we can move in on the first of the month.

What... what... what do you mean by "the first"?

Pats, there's a really good reason

why I want us to move in on the first.

Oh, no, I'm sure there is, but I can think of, like...

500 reasons why not to.

For starters, we were supposed to be "just looking."

But it's on Ocean Avenue.

Dawn, we were talking about a dream house someday type of situation,

- not next month. - You know what?

Patsy, I think this is that someday.

Wait. Not for me, it's not.

You know what? Let's get off of the apartment.

We're getting hung up on a detail.

I mean, there's a bigger picture, Patsy,

and it's something that's beautiful,

it's lovely and it's life-affirming.

I'm sorry, Dawn. I need some space, I need some my time.

But this is still my my time.

Well, then I need

some alone time, for... for me, because...

I just feel like I'm suffocating.

Yeah, I feel like I'm strangling.

I'm sorry, Dawn. This is just way too much input for me.

Dr. James, it's my understanding

you've taken my mother-in-law off of her Namenda.

I would like to understand why.

- And you are? - I'm Arlene Willy-Weller.

Ellen Weller is my mother-in-law.

Mrs. Willy-Weller?

It's an unfortunate hyphenate.

Yes. Well, it was my estimation

that Mrs. Weller's Namenda had overstayed its welcome.

Namenda is an epilepsy drug

that supposedly offers off-label benefits for dementia.

Since she now has dementia,

it either didn't work or it's not working now.

Um, I did want to ask one thing:

I noticed some small dots on her last chest X-ray.

She's had those for two or three years.

- Have they been diagnosed? - The technician said they were just dots.

Oh. She had an X-ray for TB

when we brought her here from Nebraska for boarding care.

They're... Nebraska dots,

some sort of airborne something...

From a feed lot.

- What? - (Loudly) We're talking about your dots!

Well, I think I'd like to run a scan just to be sure.