No. I ordered an enzyme activity level test to follow up. It showed Mr. Janichek is suffering from a genetic disorder called Gaucher's disease. An enzyme deficiency which presents with a vague constellation of symptoms; malaise, anemia, low platelets.
He's been suffering a long time, unable to find a diagnosis. In fact, I was ready to send him home. We never would have ordered that pan scan if Dr. Reese hadn't done what she did. She might have saved his life.
Yeah, well, Dr. Charles, I'm not an idiot. Um, I know you think my anxiety, my PTSD, if you will, stems directly from your being shot, that our working together is negatively affecting my mental health. But... first of all, um, these are my issues, and I'm working on them, and second of all, you chose to bring me into psychiatry. So I'm not about to let you pawn me off onto that Dr. Chapman when you're the psychiatrist I want to be. Um... I mean, I-I almost lost you once. I-I don't want to lose you again.
Ah, the old Chapman flow charts. Oh, yeah. Number seven. That there's a doozy. Step seven? Dr. Reese, the truth is I feel responsible for letting your situation get out of hand the way it did. It was my job to, well, guide you and teach you and make you a better doctor, and I... I let you down.
But ultimately, some relationships are just better... kept intact, which is why, if you'd still like to, when you return, I-I would very much welcome you back on my service.
Why are you negotiating? Dangerously low albumin, renal insufficiency. 5'6" and less than 70 pounds. Dr. Charles, I carried her in, she was nothing. She needs high-calorie, long-term nutrition.
Anorexia is actually the most deadly mental illness that there is. Every instinct she has is telling her to resist this, and I don't want to push her any harder than she'll let us.
I did my two-week suspension. I am in therapy. I am not supposed to be afraid anymore. I am a psychiatrist. Rule number one is to connect with your patients, and I could not even look her in the eye.
Look, the good news is that you recognize the problem. Right? Sarah, nobody learns how to master their fears in two weeks, trust me. It just doesn't happen. Not even somebody as determined as you are.
Okay. You know, when, um... when Allison died today, I saw myself, because she could not change. But I have to. I have to. I just don't know how. You have to help me. Dr. Charles.
What, are you kidding me? Guy like Hector, not gonna let you in. A shrink? He's utterly terrified of what you might find; you know, what he might have to face, you know, so he does the jailhouse thing.
