Pure Genius

Pure Genius

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Season 1

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Pure Genius S01E04 HDTV x264-KILLERS C Not Your Grandmother's Robotic Surgery
A Commentary by steveg32
From addic7ed.com

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Published on: 2016-11-18
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The first 200 lines.

Previously on Pure Genius.

When I opened Bunker Hill, I made a promise to myself:

that I wouldo everything humanly possible

to save everyone who came through these doors.

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.

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

Subpar. Why don't you just ask her out?

You obviously want to.

This is Louis Keating. He's been diagnosed with GSS.

- It's a neurological disease. - Extremely rare.

I want this patient.

I did have the genetic test done, and it came back

positive for GSS.

I built the hospital

for all the wrong reasons.

Does that really matter?

I'm so sorry, James.

Dr. Wallace, did you have a good weekend back in Ohio?

Hope you and Julianna got some quality time.

- Juli... - Your wife.

I-I know. But I don't remember talking to you about her

- or telling you her name. - No, you must have.

How are the kids? Luke make the basketball team?

How do you know...?

And how's Jessica liking UCLA? Has she decided on a major yet?

Uh, do you know where my office is? I'd love to get settled in,

- finally. - We don't have offices.

Well, where do people work?

Anywhere. Everywhere. It's a team atmosphere.

James believes we need to always be communicating

and not holing away in offices.

So where do I put my stapler?

We're a paper-free institution, Dr. Wallace.

James, I need to talk to you about an office.

W, happy you made it back.

I have a real important patient I need you to meet.

Once I'm settled into my office.

Her name is Mrs. Gardner. She was my third grade teacher.

This woman changed my life.

She has a torn meniscus. I want my best surgeon on it.

Well, shouldn't she be sent to Ortho?

Our team's focused on advancing medicine,

- Oh... - not impressing your third grade teacher.

I want you to use the robot.

Why would you use robotic surgery

on a meniscus tear?

Because it's awesome.

James, you're not a doctor.

- You've hired a chief of staff. Me. - Mmm. Mm-hmm.

I need to be the one who's going to decide which cases we take,

who performs surgery, whether or not it's robotic...

W, meet Mrs. Gardner.

Mrs. Gardner,

meet Walter Wallace, Chief of Staff,

world-renowned surgeon. He's gonna be performing

robotic surgery on your knee.

- Hmm. - Welcome to Bunker Hill,

- Mrs. Gardner. - Thank you.

The pain is constant.

Sometimes subtle, uh, sometimes excruciating.

The medications don't do anything to help anymore.

Well, we think we can help you,

Sergeant Masood, and that's why you're here.

Thank you so much for taking us.

My wife is very persuasive.

She persuaded me to come here and persuaded you to accept me.

But I don't think there's anything you can do to help.

Well, let us try.

Bashir, the explosion that caused your blindness

also damaged the peripheral sensory nerves behind your eyes.

We've localized the source of your pain

to the ophthalmic nerve.

It provides sensation to the area.

The damage to the nerve endings from the blast

are causing it to transmit a faulty

electrochemical pain signal to your brain.

You've tried pharmaceuticals to dampen that signal,

but we feel your body has likely built a resistance to them.

This happens.

We'd like to try a new technique

we're developing with what

we're calling electroceuticals.

We want to implant this tiny

electronic inhibitor on the ophthalmic nerve in order

to try to override that pain signal.

Um...

how big of a procedure is it?

It's a minor surgery. We don't foresee any risks.

We can have a procedure room prepared

and do it this afternoon.

That sounds amazing.

Honey?

Well, I don't see things getting much worse.

Okay.

Okay,

now he's scraping away the frayed tissue

of the cartilage surface.

Okay. Good.

This woman is a saint, Scott.

Yes. You've mentioned that.

I can pretty much guarantee there would be

no Bunker Hill hospital if it wasn't for her.

What's going on?

There is a cystic mass on the bone that shouldn't be there.

The path will tell us what it is, but...

it doesn't look good.

What do you mean it doesn't look good?

It's probably cancer, James.

The shiny tissue band under my probe is the nerve.

The source of his pain.

That is it.

Bashir, the implantation went very well.

Now we're ready to test it.

Okay.

This app

controls the intensity of stimulation of the inhibitor,

which we can eventually install on your cell phone.

What's your pain scale?

About a seven.

Okay. Tell me if you experience any change.

No.

How about now?

It-It's less.

The-the pain's less.

What number?

Uh, four. Maybe a three.

Now?

Less.

Oh, my God. It's a miracle.

Oh, my God.

Sergeant Masood.

Bashir?

You okay?

Uh... I-I saw a flash of light.

I... I saw light.

What do you mean you saw?

For the first time since I went blind,

I, uh...

I-I saw light.

How is that possible?

Well, I'm not sure.

You certain?

The MRI and biopsy results were very clear.

I'm sorry, James. I know how personal this is to you.

How are we supposed to tell her?

- James? - Not now, Brockett.

- I have to talk to you. This is amazing. - Yeah, Zoe...

Bashir Masood, the soldier with the chronic pain,

when we installed the pain inhibitor,

he saw a flash of light. He saw.

I know this sounds crazy, but I think we can make him see again.

Brockett, I said not now. Come on, W.

James...

He's sorry.

James.

We got the biopsy report back from Pathology

and the results from your MRI.

Is everything okay?

You seem worried.

Mrs. Gardner, the biopsy of the tumor we removed

from your knee shows renal cell carcinoma.

It's a very aggressive form of kidney cancer.

The MRI shows it's spread to your lung,

liver, and there's a spot on your brain.

Unfortunately, it categorizes

as a stage four cancer.

We'll look at all possible options, of course.

But in my experience, with a cancer this advanced,

there's very little we can offer to...

to cure it.

What exactly are you saying?

Well, we're going to keep you comfortable

and manage any pain you might develop.

What about chemo?

Radiation?

The cancer is too advanced.

It...

it wouldn't be wise to put you through that

when we couldn't expect results.

We're not giving up,

Mrs. Gardner.

We're gonna explore every avenue.

I'm not giving up.

Okay?

So, we presumed his blindness was in part due

to the optic nerve being damaged in the blast,

along with the rest of his eye.

When we turned up the inhibitor's signal

in proximity to the optic nerve,

it triggered a visual impulse, a flash of light.

What you're saying is,

despite all that gnarly damage to the front of his eye,

the cable at the back of his eye can still transmit visual data.

Exactly.

So you want me to basically connect

his optic nerve digitally so he can see?

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