gasps softly and exhales i have to go to work. Captions by vitac so no funeral . Well do a memorial next week in st. Catharines. Ill scatter his ashes here. Fun. Yeah, not so much. Wake up, honey, wake up. Is that her . Thats her, right . Definitely. Excuse me, dr. Reid . Yes . exhales my names marvin kapogrecko. This is my son. I have a sarcoma. Nice to meet you. His na is lou. Luke . Lou. Are you the expert . Um. Not an expert, no. June 10th, 2011. Preoperative radiotherapy on Retroperitoneal Liposarcoma it was my third year paper. Wo mine was boils. You found my paper online . I found it. The internet makes my dad say bad words. laughs laughs well, thats thats true, buddy. We are so glad we found you. What can i do for you . Everything, doctor. Everything in the world. exhales im not really an expert, mr. Kapogrecko. But you can still help us, right . siren wailing in distance so. kissing see you. laughs chuckles oh, well, well, well, well, well. clears throat celebrating . You could say that, yeah. Actually, some news the board just extended my term as chief here. Five years. Wow, thhey, congratulations. Mmhmm. Later this afternoon. Dont get so excited, joel, okay . cause your embarrassing me now. Whatwhat, uh. They didnt meet your terms . No, the terms were met. So . What . I dont know. Its the job, i guess. You know, yyou sort of never feel good, you never feel bad, you just kind of feel like youre getting. The job done. Trapped at the top. Poor joel. You know what im talking about. 26 specialists in this hospital, every single one of them wants something from you. What do you want . Thats the point. Dont matter what i want, dana. Of coue it matters. cell phone vibrating guess who this is, by the way. The nurse . Im gonna say someone who wants something. phone clicks and look at that. Im correct. Goodbye. Her names marla. You named your tumor . Its after his favorite nurse. At the grace in winnipeg. She gave an awesome shark figure. chuckles like, awesome shark figure. laughs you ready . Mmhmm. Lets let this dangle. Im gonna hold the back of your knee. Relax. Very good. Now. Push against my hand with your shin. Oh. Wow, youre very strong. Yeah, i play sports. Thats what it is. You have a good kick. Yeah. This imaging is it recent . Two weeks. Lets take a look. Uh. I know it looks bad, but the growth has actually slowed, and if you look at it, his, uh. His white cell count is normal. His liver seems to be clear. Youve done your research. Well, wead to. We, uh. Well, tumors are kind of our thing. Yeah, we know a lot about tumors. The doctors back home they dont know what the hell theyre talking about. Why do you say that . When we first we in and this was a year ago he had pain in his abdomen. It hurt when i breathed. You know what the doc gave him . What . Laxatives. He said lou was constipated. They sent him home to eat prunes. Im sorry. This is your oncologist . We live on a farm. I saw the doctor on the second day of school. They didnt find marla till my friend andrews birthday. Eight months. And he shipped us off to winnipeg, then they tell us its too late, theres nothing that can be done. And were supposed to accept that . So youve come here for a Second Opinion . Second, third, sixth. And then we found your paper. You can cut it out, dr. Reid. Cant you . Ill talk to the chief of surgery. Stay put. Ill be back. Im not changing my mind. Were their last shot, joel. This is a hospital, alex. Its not a refuge for lost souls. I think i can help him. Alex, i understand you just lost your brotr. Thats not what this is about. Alex, this tumor has its hooks in bone and tissue, in organs and veins. Its do you want my advice . Yeah, thats why im here. Dont do it. I agree with the surgeon in winnipeg. With a degree of dignity. No, we cant give up on him. Okay, ill tell you what. You can convince one doctor in this entire hospital that this tumors operable, you go nuts. Joel otherwise, you should just accept what their oncologist has said, and what i am telling you right now. Which is . Which is absolutely not. sighs catch a tiger by. Mr. Kapogrecko. What did he say . Were a go. exhales deeply huh . Is this really the best way to pick color for a whole room . Theres a new way to paint. With the new project color app, take any color on a virtual test drive. Its part of the new color Center Experience from the home depot. Everything you need to get the right color. Right. In hand. Online. And at the store. Guaranteed onecoat behr marquee just 40. 98. Download the project color app. The home depot. More saving. More doing. Enamel is your teeths first line of defense. But daily eating and drinking can make it weak. Try colgate enamel health. It replenishes weak spots with natural calcium to strengthen enamel four times better. Colgate enamel health. Can anybody help us . echo dont go it alone. sfx ding this president s day event sears experts will help you save 40 or more on kenmore hot buys. And save 20 or more on hot buys from other top brands. Sears. House experts for home owners. Behold, the magical powers of all laundry detergent its perfect for all the pigpens out there. The peanuts movie. Coming soon to bluray, dvd and digital hd. See me. See me. Dont stare at me. See me. See me. See me to know that psoriasis is just something that iave. Im not contagious. See me to know that i wont stop. Until i find what works. For moderate to severe plaque psoriasis. Proven to help the majority of people find clear or almost clear sn. 8 out of 10 people saw 75 skin clearance at 3 months. While the majority saw 90 clearance. Do not use if you are allergic to cosentyx. Before starting, you should be tested for tuberculosis. An increased risk of infections and lowered ability to fight them may occur. Tell your doctor if you have an infection or symptoms. Such as fever, sweats, chills, muscle aches or cough. Or if you have received a vaccine or plan to. If you have crohns disease, tell your doctor as symptoms can worsen. Serious allergic reactions may occur. See me. See me. See me on my way. Find clear skin and a clearer path forward. For a different kind of medicine, hey, need fast heartburn relief . Try cool mint zantac. It releases a cooling sensation in your mouth and throat. Zantac works in as little as 30 minutes. Nexium can take 24 hours. Try cool mint zantac. No pill relieves heartburn faster. indistinct conversations not exactly thrilled to see you, either. sighs, lowered voice what are you still doing here . If i knew, would i be bothering you . Good point. All right, charlie, this is the part where you tell me how this works, how i get out of here. grunts listen, usually when i see a ghost, i help them resolve something, and then they disappear. So i have some unresolved issue . I guess so. I dont know. All right. You gonna help me resolve it . I. Not right now. luke charlie, please luke. I cant be talking to you right now. sighs exhales hmm. I know. Hmm. Its a bear. Were talking ortho, plastics you need, what, five surgeons total . Reycraft look, you know what Charles De Gaulle said. No, i dont, and neither do you. I predict you will sink step by step into a bottomless quagmire. Mmhmm. And you can quote me on that. Thank you. Press against my hand, please, ida. Yeah, you seem to have lost a little power since you fractured your leg. Lets lift this up. Ill check your extension there ohh what iit . I just won 5 bucks. Scratch ticket. You do know that riskseeking behavior can be a de effect of the dopamine you take to control your tremors, right . Im not running away with a gigolo. chuckles dr opens ida . Dr. Hamzas ready to start the study. What study is this . Were going biking. pounding on door dr. Murphy i need your help right now pounding continues i need your help. Right now. stammers walter. Our appointments not till 4 00. I brought her in like you asked me to, dr. Murphy, so you could help me say goodbye to vallenwen. Yes, and we discussed that wed meet later. Dr. Murphy, shes gone. Shes gone, and i lost her. Ohwalter. Vallenween vallenween walter. Vallenween walter panting i thought we were making good progress. My heart my chest is, uh. Walter, you need to calm down. Youre feeling anxious because okay. I cant think. I. Walter i. panting where did you last see her . She was with me in the lobby. And shei retraced my gasps loudly somebody kidnapped her. chuckles or somebody found her, and shes safe. She cant take this sweater off. Someone took it off her. Walter. Mm. I need you to calm down, okay . Oh, boy. Oh, boy, dr. Murphy, im not feeling very well at all. Walter. Walterwalter oh. Okay. Walter panting and muttering take some breaths, okay . Can i get a stretcher, please . Dr. Murphy, you need a hand here . Yeah. This is. Walter. Hes complaining of chest pains. Okay, take a nice, deep breath, walr. exhales what happened . He lost his guinea pig. breathing heavily mmmm. walter sighs bicycle therapy. I know. Its exciting, right . Improving gait and postural therapy in parkinsons patients using bicycles. So how much . Im sorry . How much am i spending . Uh, 223,000. Youve got to be kidding me. I dont kid. But watch this. Ida. Okay. Can you get up . Okay. Ida, step. Step, id step. Do you see how well shes walking . Hmm . Step. We call it kinesia paradoxica. Nurse. Guided movements can help these patients become more mobile. So does it last . Well, the tremors and rigidity, um, start up almost immediately once the exercise is stopped. Okay. Thats great. Easy. lowered voice so. What is the point . lowered voice we dont know the point, which is what is so exciting. 200,000 . No, 223,000. Bicycles . Mmhmm. Bicycles. indistinct conversations charlie . Wow. Thats the most advanced liposarcoma ive ever seen. Do you think its operable . I mean, that would be a long shot, but, uh, its better than. breathes deeply well, youre gonna need a lot of skill, a lot of hands, and a lot of luck. Will you help . Tumors too big. I know. When the digging is done, youll have a big hole to fill. No way. Would you do a pedicle flap . Nope. Rotation. And stop trying to close your girlfriends deals. Ah, come on, dana, all you got to do is come in for a patch job. Its a st. Jude special. The patron saint of. Lost causes. And kids. This kid, dana hes amazing. He would remind you dont say it. Moll sighs you know, that really is below the belt, playing the daughter card. club thuds okay, ill tell you what. You drain this, and im in. I dont golf. Fine. New england vs. Miami. Miami. Reycraft, can i talk to you . Yeah, yeah, one second. Denver oakland. Denver. I want you to scrub in on my liposarcoma. Which part of sinking into a bottomless quagmire didnt you understand . Atlanta vs. New orleans. Charlies in. Dude is your boyfriend. Doesnt count. Atlanta vs. New orleans. New orleans. What are you doing . Girl has picked every winner two weeks in a row. I didnt know you were a football fan. Im not. He names two cities, i say where id rather vacation. Look. I need fast hands in there. Name your price. Its like indecent proposal. Cover all my calls for the next three months. No. Six weeks. Two months. Youre on. And you takey niece jada to see the wizard of oz. I hate musicals. Okay. Sure. Speaking of which, wheres my cut from last week . How much did you win . Lets just say business is good. Im telling you, she has got a horseshoe up her butt. Ive never met anyone that lucky. Huh. Maggie, wait. So we need to deliver this bad boy en bloc, in one piece. Reycraft and i will free it from the intestines. Then i can extend the incision and use the perispinal muscles as my posterior medial margin. Well go in the front door and start clearing house. Then ill come in and clean up after you. And what is my job . You are our goodluck charm and our muscle. Muscle . Yeah. Once we lift up the tumor to start cutting, you cant put it down. Okay . Okay. Lets do this. Anything the tumor touches has to go. His chest c. T. Showed metastases, so if we get the primary. alex we can cure him. But first id like you to meet the patient. sighs oh. Challenged her to sink a putt. And she drained it . Nah. Missed it by a mile. How about you . I hate musicals. Fair enough. door opens lou, can i introduce you to some folks . Yeah, sure. This is dr. Harris. Hi. Hi. Dr. Reycraft. Hi. How you doing, champ . Im maggie, and this is dr. Kinney. Call me dana. This is your team of surgeons. Were gonna hunt down the tumor, and when you wake up. No more marla . No more marla. Okay, well, text me when youre done. All right. Well see you soon. Okay. What happens when lobster gets grilled, baked, and paired with even more lobster . You get hungry. And you count the seconds until red lobsters lobsterfest is back with the largest variety of lobster dishes of the year. Like new dueling lobster tails with one tail stuffed with crab, and the other with langostino lobster macandcheese, its a party on a plate and you know every bite of lobster lovers dream lives up to its name. Hey, eating is believing. So stop dreaming and start eating. I think we shouldve taken a left at the river. Tarzan know where tarzan go tarzan does not know where tarzan go. Hey, excuse me, do you know where the waterfall is . Waterfall . No, me tarzan, king of jungle. Why dont you want to just ask somebody . If youre a couple, you fight over directions. Its what you do. If you want to save fifteen percent or more on car insurance, you switch to geico. Oh ohhhhh its what you do. Earning unlimited cash back on purchases. Thats a win. But imagine earning it twice. You can with the citi double cash card. It lets you earn cash back twice. Once when you buy and again as you pay. Its cash back then cash back again. And thats a cash back winwin. The citi doue cash card. The only card that lets you earncash back twice on everypurchase with 1 when you buy and 1 as you pay. With two ways to earn, it makes a lot of other cards seem onesided. You show up. You stay up. You listen. You laugh. You worry. You do whatever it takes to take care of your family. And when its time to plan for your familys future, were legalzoom, and for over 10 yearseve helped families just like yours with wills and living trusts. So when youre ready, start with us. Doing the right thing has never been easier. Legalzoom. Legal help is here. Welcome aboard folks just take any empty seat that you see. Sfx blows nose sfx baby whines wassup . Im hannibal im gonna use samsung pay to get a katzs deli pastrami sandwich. katzs employees hey hey whats up . Hey can i pay withy phone . You mean like apple pay . We dont got that. No like samsg pay. Kind of works everywhere. Even on this janky old thing. He wants to pay with his phone. Whadda ya want hannibal . I want to pay with my phone. Dont look at the cameras mike. You ready . It doesnt work. Watch me. Boom oh she wont let go. Shell sign those papers eventually thats not soon enough. I cant be talking to her about you right now. You saw what happened you dont understand what this is like, charlie. I am in hell. I see her. I see life all around me, and i cannot be a part of it. elevator bell dings monitor beeping steadily oh, this tumor is heavy. Hang in there, maggie. The intestines are more involved than i thought. Well need to rect a foot of the jejunum. By the way, my niece that youre taking to the show she isnt entily toilet trained. Hows that . Good. Reycraft, how do you feel about this kidney . monitor beeps not good. Being invaded by the tumor on its lower pole. Then its gotta go. Clamps. monitor beeps clicking clamp. sighs snips okay. The kidney is free posteriorly. Maggie, youre gonna have to hold that up, too. Awesome. Im feeling some resistance here. Uh, could be the presacral plexus. sighs i dont know. I just. I cant there. There is a monster vein heading right into the tumor. I ci cant visualize it without risking tearing it out. reycraft sighs all right. squishing youre gonna have to cut it. Blind . I dont even know what it is. You have any other ideas . Satinsky clamps. Okay. The vein. clicking metz. snips twice got it. , hell, its the cava. You cut off blood supply to the legs. You need to call cardiac. Get someone down here to do a dacron graft to replace the cava. No, we dont have time. His sats could drop. You cut the damn vein that brings all the blood from his legs to his heart. We have to deal with it. Can i just put the tumor down while you guys no no okay. Hes young. Hell grow collateral veins. Little roads that take over after the highways gone. Are you confident th this . Yes. Sats and pressure are holding. sighs this is gonna work. In an elevator. sighs okay, walter, im just looking at your heart right now. Are they feeding her . They shouldnt give her oranges. They give her mouth sores. They will not feed her unless you tl them to. But lets worry about working on you first, and then well worry about vallenween. Your left ventricle is barely moving. Put a stent in it, problem solved. Her mother abandoned her, and thats why she wnd up in a pet store. So thats why i cant give her to another pet store. And the creeps that had her befe, they never would change her hay. So when i adopted her, all her hair was falling out, and she was, like, scared of everybody, but now she has got, like, this silky coat, and she is, like, so friendly. Isnt she friendly, dr. Murphy . Youve definitely given vallenween a new ase on life. Its true. Dr. Murphy is helping me see how dependent i am on her. Walters overly attached to vallenween, so were working on strengthening the attachments to the people in his life and letting go of his pet. I just want to give her a good home. I cant bear the thought of her going to some strangers. What . You will . You will . Yeah. They want leuce, right . Arugula has the most calcium, but yes. I will take her. I will give her a good home. Dr. Bell, that is so nice. Dr. Murphy, isnt that amang . Uh. Ill see you in a bit, walter. exhales door closes everyone, in order for us to get the most out of this little spin class were doing, were gonna have to really push ourselves and light up the thalamus. Whos ady to light that up . cheering great. Okay. Lets. disco music playing feel the pain, and. with patients oxygenate the brain. Great. Joel, youre more thanelcome to join the spin class here. Ill be doing a little guided imagery. No, thank you. Im just here to watch hope zions money disappear into the toilet. Sorry . Ida sorry. Its the tremors. wheels spinning okay. Careful now. I can do this. Ida, just. Careful. Ohh ida ida clamoring joel hey, hey, hey. Ida, are you okay . stammers sats and pressure again. Still holding. exhales okay, so far, so good. Kidney is free anteriorly. Hes tolerating the resection. I dont feel any cancer on the liver. Feeling the vertebral bodies. sighs there is definitely more tumor there. Near the spine. Give it a feel. Tell me what you think. Page dr. Harris, please. Theres no plane. Yeah. Damn. I think the tumors invading the l3 vertebra. The c. T. Didnt show it. Tumor has the same consistency as the surrounding tissue and fat, so it wouldnt show on the c. T. Right. Did you reach dr. Harris . Hes not picking up. Well, he should be answering. He knows that we need him. Iim getting some vtach. Hishis sats are dropping. monitor beeping rapidly man dr. Reid . Eeping continues dr. Reid . Whatwh where are you going . gloves snap reycraft, make sure we didnt miss any tumor. Im going to get charlie. Theres something in the air. But heres the thing about half of men over 40 have some degree of erectile dysfunction. Well, viagra helps guys with ed get and keep an erection. Ask your doctor if your heart is healthy enough for sex. Do not take viagra if you take nitrates for chest pain or adempas for pulmonary hypertension your Blood Pressure could drop to an unsafe level. To avoid longterm injury, seek immediate medical help for an erection lasting more than four hours. Stop taking viagra and call your doctor right away if you experience a sudden decrease or loss in vision or hearing. Ask your doctor. About viagra. Available in single packs. Right when you feel a cold sore, abva can heal it in as few as two and a half days when used at the first sign. Without it the virus spreads from cell to cell. Only abreva penetrates deep and starts to work immediately to block the virus and protect healthy cells. You could heal your cold sore, fast, when used at the first sign. Learn how abreva starts to work immediately at abreva. Com dont tough it out, knock it out, fast. Wi abreva. Not having a Good Breakfast can make you feel like your day never started. Get going withcarnation breakfast essentials. With protein plus21 vitamins and minerals to help your family be their best. Carnation breakfast essentials i thought i married an italian. Did the ancestrydna to find out im only 16 italian. So i went onto ancestry, soon learned that one of our ancestors was eastern ropean. This is my ancestor who i didnt know about. Discover card. Hey, i heard you guys can help me with frog protection . If there are unauthorized purchases on your discover card, youre never held responsible. You are saying frog protection . Fraud. Frog. Fraud i think were on the same page. At discover, we treat you like youd treat you. Fraud protection. Get it at discover. Com. Pick up, pick up, pick up. Dr. Reid . Mr. Kapogrecko. Wh shouldnt you. gasps no. No. Itits okay. There were complications during lous surgery. Oh exhales and sniffles i thought you were gonna tell me that he died. Thats, uh, how it happened with his mother. I mean, you never expect a doctor to come out and tell you that. sniffles marvin, hes hanging in there. You know, hes been so tough about it all. Hes smarter than me. And he never gives up. Hes a good kid. No, hes a great kid. We are gonna get through this. Okay . sighs just hang on a ttle bit longer. buttons click sighs, under breath come on, charlie. Answer the damn phone. You lied to my patient. Yes. Youre not really gonna do that, are you . No, im not. But it worked, right . He feels better. I cant lie to my patients, and that means that you cant lie to him with me. The most important part of my care is trust. Dr. Murphy, we give patients placebossugar pills. They heal. They feel better. That is good medicine, too. Okay, this man walter everything that he said about that guinea pig is true about him. He was abandoned by his mother. He was malnourished, incommunicative. His adoptive parents gave him onetenth of the love and encouragement that he needed to be a healthy man with healthy attachments to people. Guilt trip received. Okay, now im gonna have to give that guinea pig back to him, and everything we worked on is gonna backslide. He may not ever part with it again. You gonna waste time backsliding . That is a choice. Right now your patient is on his way to being healed. That is your choice. telephone ringing in distance horn honks in distance you canceled the study. Shahir, wont you come in . I am in. Joel, i dont understand youdecision. Your patient fell. Shes your patient, too. She may have sprained her wrist. Yes, because shes old. She has parkinsons. But soon shell be frozen. She wont be able to move at all. Well, a bicycle rides hardly gonna change anything, is it . I mean, i. It feels a little pointless. Its not pointless, joel. sighs i believe if a patient seeks treatment early enough, cycling can be just as effective as deep brain stimulation. You injured your patient. It was minor. Okay, if hope zion is spending money, i wanna see concrete results and no lawsuits. So then the outdoor component thatsthats out of the question. Is it . Im sorry, shahir. I. Mm. I feel bad. Nah. You dont feel bad. You dont feel anything. But, see, ii have aspergers. Whats your excuse . Three months u were stuck like this wandering these halls . Yep. Alex was here fighting for my life, searching for a way to bring me back. sighs well, im dead, charlie. Theres. Theres no coming back from this. I know. Im worried about her. She always felt responsible for you. I think in a way she feels like she let you down. Maybe thats it. Maybe thats why im still here. Maybe its my turn to take care of her. And when i know that shes okay, illill move on. That could take a while, luke. Right . In the meantime, lets, um, lets try this funeral home release. Couldnt hurt, right . Baby steps. Get her to sign it when i see her, and well see what happens. Thanks