Pure Genius

Previously on Pure Genius... When I opened Bunker Hill,

I made a promise that I would do

everything humanly possible

to save everyone who came through

these doors.

I want to be part of this.

Your family? I'll make it work.

- You kissed me. - Really?

How's the Malik sitch?

I like you.

And I want to make a go of this.

- Okay. - Okay.

Did a charter a yacht and booze my way across Europe

'cause a girl I like said no to a date?

It's very possible.

Oh, Dr. Wallace, I need your e-authorization.

Can't talk. Page me if it's an emergency.

Hey, you've reached Jess. Just leave me a message.

Hey, sweetheart, um...

yeah, my rounds took longer than I expected.

I'm logged on now, but, uh...

yeah, I don't know if you went back to sleep or whatever,

but I'll stay on for a few minutes,

um, just in case.

Um, but call me back.

I'm sorry, am I interrupting?

No, no, it's just I was supposed to have a Skype date

with my daughter, but...

Are you okay?

You seem out of breath.

Oh, yeah, well, I was running in the hallway.

You're sweating.

Yeah, well, it's... a long hallway.

So I'm guessing the 7:00 a.m. Skype call

- was your idea. - Yeah, well,

it was the only time I had,

but even that, I'm late, so...

You can't be everywhere at once.

I know, it's just...

I guess I was really looking forward to seeing her.

How's she doing?

- With your move? - Good, I think.

I just...

hate feeling

so far away from her.

Dr. Verlaine.

Turn around, make a left.

Thank you.

You know what?

Think I might've left my phone at your place.

James.

James.

Good.

Good... morning.

Morning.

So... ...carpooling.

Excellent.

Hey, is...

is that live?

We are Grace Church.

And we've come to Bunker Hill

for a miracle.

Two months ago I met a young man

living on the streets.

This man was clearly sick,

so we took him to the clinic

where he was diagnosed with AIDS.

The young man was given medication.

But the drugs haven't worked.

And he's been told he has little time left.

Mr. Bell,

my name is Franklin Garcia.

I'm asking you to save my life.

Hey, Jess,

- sorry I missed you this morning. - Hi, Dad.

I've actually been in the ER all night.

I'm fine.

My friend Ali cut her foot last night

and it's starting to look pretty bad.

We've been waiting three hours. Could you take a look?

Yeah, of course. Um, why don't you send me a picture?

Jess, have you touched the wound?

- Ew, no. - Good, make sure Ali doesn't either.

I'm arranging a medevac to bring you both to Bunker Hill.

Dad, what are you saying? Why?

We don't have time to discuss this.

Your friend may have contracted

a very aggressive bacterial infection.

We're at a good hospital.

It's deadly.

We're working on a new surgery here

that can target this bacteria,

but we're the only hospital that has it.

And we need to move fast.

Stay with Ali and keep her calm.

I'll see you soon, okay?

Thank you for taking me.

How could I say no to a pitch like that?

I do like to put on a show.

Franklin, we believe you've contracted

a drug-resistant form of the HIV virus.

That would explain why you didn't respond

to treatment at the clinic.

Uh, drug resistance can arise

when someone's been infected more than once.

I, um... have to ask you

a personal question.

If you prefer that we do this in private...

There's no secrets from Gloria.

She accepts me for who I am.

To understand how you have this drug-resistant form of HIV,

it would help us to know

how many sexual partners you've been with.

For four years, I was a prostitute in San Francisco.

It's possible I've been infected many times.

Does this mean drugs can't treat me?

It means we're gonna find the specific combination

of antiretrovirals that will work.

Franklin, here at Bunker Hill,

we pioneered a brand-new approach

called “cryo-electron tomography.”

By freezing a sample of your blood

and shooting it with an electron beam,

we're able to capture a 3-D image

down to the molecular level of your specific HIV virus.

And we use that to determine a targeted treatment plan.

The HIV virus doesn't kill you,

it kills your immune cells, namely CD4 cells.

And, uh, that poor immunity is what makes you susceptible to

- other deadly infections. - So, if we can raise

your CD4 count from 40 to 200,

we can fundamentally change your diagnosis.

You'll no longer be dying of AIDS,

you'll be living with HIV.

Well, amen to that.

Hey, Ali, how you feeling?

Awesome.

Best Wednesday ever.

All right, well, we're gonna take good care of you, okay?

Can't risk the infection spreading to the rest of her body.

- Let's get her inside. - What happens if the bacteria spreads?

Just tell me, please.

It probably won't come to this,

but if the bacteria breaches that line,

we may have no choice but to... take the leg.

Oh, my God, Dad, you have to make sure she's okay.

Yeah, yeah.

Come on.

Have you spoken to your parents?

They're still in the Philippines.

My mom's in hospice care, my dad's taking care of her.

Last thing he needs is someone else to worry about.

Besides, everything should be fine, right?

I don't see any further sites of infection.

See?

Told you. Everything's cool.

Okay, now, well, that felt like an omen.

Dr. Channarayapatra's creating a map of your wound.

Everywhere we see red on the map,

that's where the bacteria is in your body.

I'm very encouraged

by what I am seeing, Ali.

The Staph aureus bacteria has not yet gone beyond

the flesh into the bone

Meaning there's a very good chance

we can avoid long-term damage to your leg.

Yeah, well...

who was worried?

We've identified

a precise cocktail of six antiretrovirals

that could raise your CD4 count to 200,

and should save your life.

- The clinic gave me pills. - Oh, we're administering

a larger dose than you've ever received.

Your body would never tolerate this treatment orally.

It would wreak havoc on your digestive tract

and cause liver damage and failure.

IV should help with the side effects.

It can moonlight you for the treatment to work.

Oh, it will work.

Gloria's convinced that

God has some great plan for me.

I have to confess,

after my last treatment failed...

I've had my doubts.

- Mm... - God doesn't always

reveal his plan to us right away.

You're very soulful for a doctor.

Oh, he's also a priest.

- Is that right? - Mm.

Inside the walls of this hospital,

I am principally a doctor.

And you don't think there's a plan at work.

Child, come on, a doctor and a priest?

That's the hand of God that brought us together.

We were able to remove

more than 90% of the bacteria.

The antibiotics should take care of the rest.

The next 24 hours will be critical,

but there's reasons to be optimistic.