And that's Taco Tuesday!
Ah, just look at her. Pretty, right?
Just came in this morning.
I'm gonna use you at The Masters.
Are you kidding, Dr. David?
Thank you, everyone, for coming.
This is Dr. Okonjo.
We met in Kenya last month.
- Welcome. - Thank you.
Nice to meet you.
- Good to see you again. - Good to see you.
So this is my patient Sam. He's 24.
He had a car accident when he was three
and sustained permanent damage to his Broca's center,
which, of course, affected his speech,
which is what causes him to speak backwards.
But the damage to Sam's speech is a separate issue
from what was discovered on his MRI yesterday.
A cerebral aneurysm.
It's most likely an incidental finding.
Yeah, I'm gonna ligate the aneurysm by placing a clip at the base
since it's not amenable to endovascular coiling.
Well, that's standard protocol,
but I suspect that's not why we're here.
No, it isn't.
Dr. Okonjo and his team have been injecting stem cells
into every possible organ, including the brain.
Yeah that's not gonna affect your patient's aneurysm.
No, but it could affect his speech.
What are you proposing, Alex?
I'm proposing we help a young man
who doesn't want to live like this anymore.
We have to operate on him anyway because of the aneurysm.
So while we're in there, why not take the opportunity
to infuse stem cells directly into the tissue
that was damaged when Sam had the accident?
Because it's never been done before.
Am I correct about that?
I have been injecting bone marrow-derived stem cells
into a few dozen patients who have had brain trauma due to stroke.
In the majority of cases, the patients
have completely recovered their motor skills and speech.
Need I ask the next question, Dr. Panttiere?
Since this has never been done before,
the long-term repercussions are unknown.
Brain tumors? Incapacitation?
So if you perform this procedure,
there's a good chance the patient could end up
in a vegetative state?
This is your jurisdiction. It's up to you.
I have considered finding ways for this hospital
to become more involved in stem cell therapy,
and yes, the prospects are exciting.
Just make sure that sweet boy doesn't end up brain-dead.
- Is that a compliment? - It was a warning.
Got to dot your I's and cross your T's on this one.
No, I've seen the work Dr. Okonjo's doing,
and they're on the cusp of being able to repair entire organs.
像肺 肝脏 肾脏
Lungs, livers, kidneys--
I'm all up for tissue regeneration.
I mean, Dr. Frankenstein was definitely onto something.
We can harvest a patient's own stem cells and infuse them
back into whatever organ is damaged,
and they'll adapt and grow new tissue.
If the cells take.
You'll let me do this?
Alex, have your patient sign a waiver acknowledging
he understands exactly what can happen to him.
It's your rodeo, dude.
Is someone encouraging this?
There has to be someone out there like Sam.
And what if they figured out how to treat this?
Are you afraid to try infusion therapy?
- Would you be? - No.
I don't think Jesse would let you move forward
- if he didn't think-- - Jesse.
Your new BFF.
- Does that bother you? - No.
Because I don't want things to build up,
then we have another fight like we did the other night.
那不是吵架 宝贝 只是大声讨论
That wasn't a fight, babe. That was a loud discussion.
-吵架 你在 -只是大声讨论
- Fight--what are you-- - That was a loud discussion.
while I don't traditionally take sessions in the cafeteria,
this was apparently, uh, your idea, so...
do, uh, you feel safer with more people around you,
- Dr. Panttiere? - No.
I know how you feel about therapy.
It's the rich man's voodoo.
Well, perhaps we can open your minds a little
because we have a full 50 minutes together,
whether we do it in one session or more.
I've actually never had therapy before, so--
Then we can look at this as an opportunity.
Maybe the two of you would like to discuss your relationship
and any other issues you'd like to work--
We don't have any issues.
We're gonna need more than an hour.
Well, everything you say to me is, of course, confidential.
Oh, that's great, but I have nothing to say.
But you do seem to have a lot of anger.
I'm not angry.
不过如果你想说 你说吧 宝贝
But if you want to talk, you talk, babe.
I, uh, got you a refill.
Ooh, all right. Yeah.
Ah, it's just all so hard!
You give everything to your patients and then you come home,
and everybody wants something from you, and yes,
- sometimes I do go into my own world, - Alex.
-但我真的真的想听 -亚历克丝 亚历克丝
- but I really, I really try to listen... - Alex, Alex.
Especially when my children tell me something and all I want to do
is space out in front of some ridiculous reality show.
Have you seen that--
I don't know much, but I think couples therapy works
a little better if we both speak.
- I'm sorry. - Thank you.
I know this isn't just for me,
不管在母亲 女友 心胸外科医生
and that you and I need to make time for us...
despite how hard it is with the balancing act--
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