Pure Genius

Previously on Pure Genius...

If you place your thumb on the tablet,

I can give you full access to the hospital.

Dr. Wallace, welcome to Bunker Hill.

This is mission control for every patient.

CT scans, MRI, all the labs.

Anything that you need to know or the patient wants to know

is available at any time.

I didn't build this hospital to deliver bad news.

I have the same philosophy here as I did building my company

in Silicon Valley. There's no hierarchy,

no offices; best idea wins.

We are pairing the most brilliant minds in medicine

with the most brilliant minds in technology.

This is the revolution.

Why don't you just ask her out?

- Who? - Dr. Brockett.

My youngest will be graduating in a year.

Until then, I'm not leaving Ohio.

The trial period is up. I need to know

whether you're gonna take the job.

I want to be part of this.

Your family?

I'll go home every weekend.

I'll make it work.

I know it's far from home,

but you'd like it out here in California.

Dad, it's like 2,500 miles away.

I know, I know. Well,

anyhow, how you doing, kiddo?

I really miss you and Mom and home.

Oh, how's your SAT class?

It's fine.

“Fine”? That's all you got?

I'm tired. It's like 7:30.

I'm barely awake.

I-I gave you a lot of different times.

This is the one you chose.

I know. You have a tight schedule.

That's not, um...

Look,

I know it sucks that I suddenly just

moved halfway across the country,

but I needed to take this job, Luke.

Okay, well,

I should go. I have to study.

Okay, yeah.

I love you.

I love you, too.

Well, here he comes. Man of mystery.

- Morning. - Hey, Scott.

Good morning.

Oh,

he is definitely living some kind of lie.

Oh, my God, you're obsessed.

He's always so calm and innocent looking.

Always eating apples. Yeah, well,

tell me this, apple man,

where were you between 2002 and 2006?

You're still on that?

He disappeared, okay?

No address, no social media,

no Google, no job, no home, nothing.

I mean, who disappears for five years,

unless his rich Connecticut family found him

drugged out in a ditch somewhere, sent him to rehab,

then paid to scrub the Internet of any sign of it.

Yes, that is clearly the only possible explanation.

Brockett, good morning.

And Angie.

How are you, Angie?

Ready for the big electronic nose day, Angie?

Huge development in disease diagnosis.

I-I know. I'm excited.

Me, too, Angie.

Why did you call her Angie five times?

Brockett was upset that I couldn't get her name right.

Ah, how's it going with Dr. Brockett?

Subpar, but this is the week

that I get ahead of it.

Ask her out for a drink.

I mean... I know how it's done.

It's not like I haven't dated before.

I've dated super models, W, and they've dated me back.

Hmm, maybe don't mention that when you ask her out.

- Hmm. - This is so wrong,

betting on a man's future.

Yet here you are.

Oh, my God, even Talaikha bet?

And all the nurses and support staff.

$20 can get you $1,000.

Fine.

I'll take Christmas.

Wallace goes home and doesn't come back.

I like your chances, Dr. Brockett.

I feel gross.

Her blood pressure's elevated.

Oh, that's not good. E-Hub has been using sensors

to monitor her remotely for hypertension and arrhythmia.

What's the location?

Sinus tach right now... it could be a heart attack.

Or a stroke.

Call the paramedics, I'll meet them there.

Hey, is it cool if I go with you?

Yeah, of course. Of course.

And it hasn't been improving at all.

Dr. Wallace, this is Amelia Fischer.

She's generously agreed to take part in a volatile

organic compound trial.

Nice to meet you, Amelia.

Wish it were under better circumstances.

Amelia's been diagnosed with

vanishing bile duct syndrome.

Such a poetic way of saying

my liver is basically useless.

We believe she got her liver disease

by cycling on and off

her depression medication.

Going off the meds is what got me sick.

Cruel irony, huh?

Thank you for participating in this trial.

So, Amelia's a candidate for a liver transplant.

What's the timing look like?

Right now, her MELD score is 17,

which puts her very low on the transplant list.

Statistically speaking, her liver has a 94% chance

of holding out for another three months.

But I don't like the fact that six out of a hundred patients

will be dead by that time,

which is where...

this comes in.

I call it the Nose.

That's it?

That doesn't look anything like a nose.

Well, it's a metaphorical nose.

When I found out that dogs can

smell different types of cancer...

did you know that dogs can smell cancer?

Anyway, I said to myself,

we have to be at least as efficient

as a basset hound.

MELD scores rely on,

uh, common lab tests and can be misleading.

We're working on finding a more precise way of

- analyzing liver disease. - How's it work?

Well, the Nose uses particle detection

to track hundreds of volatile organic compounds

at the cellular level.

It's way more accurate than the markers

currently being used

to detect liver disease.

Just breathe into this normally, okay?

What do those numbers mean?

Hello?

What is going on?

This is really bad. If this number is accurate,

her MELD score shouldn't be 17,

it's more the equivalent of 37.

Her liver is no longer clearing toxins from her blood.

Until accepted measuring tools show a change in her MELD score,

she stays where she is on the list.

That'll be three months minimum.

Could be a year.

She won't survive long enough.

We need a plan B.

We need it now.

Home sweet home.

I grew up three blocks away from here.

Sir, you can't go in there.

I'm a doctor. That's my patient.

Tanya!

Tanya?

He's trapped!

They have to get him out of here.

Okay, okay,

they're doing that,

but you need to calm down, okay?

Your blood pressure is skyrocketing... your monitor

- went off. - They've got to do something!

- It's my son! I understand. - We're gonna help him,

but you need to stay calm, okay?

- Okay, we're gonna lift the car. - Here we go.

Come on.

Hey, kiddo, what's your name?

- Klay. - Okay, like Klay Thompson, cool.

We were just playing baseball.

I just never saw the car coming.

Don't worry, we're gonna get you out of here, okay, Klay?

- We're gonna help you out. - Okay.

All right. Okay. We're ready to move.

Now, stabilize the neck.

Be ready to put pressure on anything that bleeds

when you lift this thing, okay?

We're gonna move him on three. One,

two, three.

All right, buddy,

- you're doing great. - Bring in the board.

Okay, no bleeders,

bilateral extremity deformities,

two liters normal saline, wide open, right?