02x07 - Compassionate Uses

[bunniefuu]

[EERIE MUSIC]

[SCREAMING]

- BP's dropping.

- [MACHINES BEEPING]

- He's bleeding.

- I can fix this.

Can you believe it? It's

finally f*cking happening.

Yulia's tracheas, they're defective.

Sorry.

Just wait a little bit longer.

Okay.

You were right about

him, about all of it.

Andy Beyene.

He just d*ed.

I wanna see it his trachea.

I wanna see it with my own eyes.

Now, when you remember this day,

will you feel shame?

Don't have a solution. Welded wrong.

♪

Clearly not working.

- I don't have a solution.

- [TOOL CLICKING]

Welded wrong.

We have to change the material.

Clearly not working.

What of the ones we used on Mr. Beyene?

[TENSE PERCUSSIVE MUSIC]

♪

[CAMERA SHUTTER CLICKS]

The endoluminal surface is barren.

We should be seeing anastomosis,

blood vessels developing

around the implant.

It looks like the trachea ate away

at the surrounding cartilage.

Here, take a sample of the tissue

near the left main bronchus.

Oh, holy [SIGHS]

That's advanced degeneration. Necrosis.

We'll test it.

You test it all you want.

That is rotting flesh.

I tend to agree.

I see no evidence of

vascularized neomucosas.

This is this is gross.

Stay with us, man.

Just be quick, please.

We need to be out

before the morning shift.

- Shh.

- Hmm?

[FOOTSTEPS PASSING]

[WHISPERING] Okay, go.

The stem cells, they were supposed to

they were supposed to come alive.

It's a bad time to find

enlightenment, Lasbrey.

Come on, let's go.

Anders, breathe.

I'm good. I'm fine. I'm totally fine.

Nate, look.

It's barely attached.

He coughed the damn thing loose.

How the hell was he breathing?

♪

Oh.

[GROANS]

All right, pal.

- Just keep an eye on that door.

- [GROANS]

Hedley's already got a hard-on for us.

The last thing we need

is for him to find out

- we went behind

- Wait, wait, wait.

Ah, sh*t.

Ah.

Yahoo. Can you go like this?

Like that? And then.

[KEY CLICKS]

Macchiarini. Did you see the email?

Yeah, we've worked

around the clock for

we still don't have a solution.

[INDISTINCT SPEECH]

[SOFT DRAMATIC MUSIC]

♪

The material because these

are clearly not working.

- [KEYS CLICKING]

- Are clearly not working.

To change the material because these

clearly not working.

I got you, you son of a bitch.

Yo, time's up, toots.

No, no, no, I found something.

You said you needed two hours.

- You're rounding up to six.

- Yeah, yeah, but hold on.

- Hold on.

- You gotta get out of here

before the morning shift.

Listen.

Yeah, we've worked around

the clock for two weeks,

and we still don't have a solution.

And I'm very unhappy.

When I felt the tracheas,

they were completely welded wrong.

They dried out too quickly.

They were like the ones

we used on Mr. Beyene.

Yes, I mean, definitely, we

have to change the material

because these are clearly not working.

His tracheas don't work.

They don't work, and he knew, Kim.

B, you don't work,

not here, not anymore.

They don't work, and he

kept putting them in people,

in real people, in Hannah Warren.

I thought it was just me,

but it's his patients too.

f*ck, Kim, the fog. The fog.

This is the way out.

I have to expose him.

Okay, you can expose

him all over the place,

but right now, the "Today

Show" people are coming in,

and if anyone sees you

Wait, wait, wait, wait, what time is it?

Oh, sh*t.

I gotta go. I gotta go.

Sorry. Sorry. Thank you so much.

- Wanna run the noble gases?

- Nah, I got it.

Lizzi!

Sorry, guys, I don't know what happened.

One minute it was

midnight, and the next

Mom, it's fine.

Your hair looks really cute today.

Did you finish your homework,

'cause I could check

it for you before

oh, honey, I know it's

your day to bring snacks,

so I got a whole assortment

of different muffins and

We picked up some on the way.

- Oh.

- Sorry.

No, no, no, no, no, that's great.

I appreciate it.

Bye, love.

Mom! Mom!

Sorry. Sorry. Okay.

Go ahead and give the extras

to your teachers or classmates

or whatever.

All right. Phone?

Keys?

[SOMBER MUSIC]

♪

Look, this is completely unacceptable.

This is why we have protocols.

You're the head of security.

You tell me how it happened.

I don't care what was signed.

[TENSE MUSIC]

Was it worth it?

♪

Oh, the entire posterior

quadrant is ruptured.

Trachea ate its way right

through his g*dd*mn neck.

[SIGHS] We have the samples

I smuggled out from the autopsy.

I can run most of the tests myself,

but some I need to send out to the labs.

We should have results

within a few weeks.

Sure.

Is it Hedley?

He can thr*aten disciplinary

action all he wants.

We have the science on our side.

No, it's not Hedley.

It's just this it's all too familiar.

Yesim.

Ah. Any word?

She made it through her

transplant in the U.S.

Donor lung, donor trachea.

But after everything

she's been through

[KNOCK AT DOOR]

Tracheas were just the beginning.

We had more organs ready to go

animal testing, prototypes, all of it.

- Where?

- Russia.

In a lab overseen by you.

I'm here now.

Yeah, and your sudden urge to give back

is truly inspiring.

"Two months after transplantation,

the patient is asymptomatic,

breathes normally, and is tumor free."

Anders, this is what we published.

Our names are on this.

After what we just saw

we have to expose him.

How many papers has

Macchiarini published

since his time at Karolinska?

Six, with more in the pipeline.

Uh

No, that's fine. Just use my wall.

Macchiarini used these publications

to build his name.

Perhaps they'll lead to his ruin.

Six papers, three patients

from here on out known

as patients A, B

Ah!

Sorry.

We'll repaint it later.

C.

We'll write our own paper.

A report

contrasting the results Paolo released

with his patients'

actual clinical outcomes.

We show the discrepancies,

show that he knew, proving

Fabrications. Falsifications.

Scientific misconduct at the very least.

And we walk this straight

to the board of directors.

This implicates Karolinska as well.

They'll try to bury it.

Yeah, and dig three more

holes while they're at it.

They'll crucify us.

Not if we do this by the book.

We keep the patient anonymous.

We'll need permission from the families,

access to their files

Karolinska will make

our lives miserable.

Hedley warned us.

[SPEAKING SWEDISH]

f*ck it.

We see this through.

You wanna blow the whistle

on one of the most powerful

medical institutions in the world.

Well, I'd rather take a

b*llet to the back of the head

than get one of those tracheas.

All right, let's go,

before Macchiarini adds

another letter to our alphabet.

[SOFT DRAMATIC MUSIC]

♪

[MACHINES BEEPING]

Open your eyes.

Yulia.

Welcome back.

[COUGHING]

Can you speak?

Say something.

[RASPINGLY] Is is it

The operation is a success.

- [WHEEZING]

- [APPLAUSE]

[COUGHING]

See, I told you.

I told you it would go perfectly.

Aren't you glad that

you changed your mind?

Is it

is it working?

Of course it's working.

[GASPING]

Something's not right.

It hurts.

[SOBBING]

You have to remain calm, Yulia.

It will help you heal faster.

Yulia, everything is fine.

[EERIE MUSIC]

♪

Will I be able to play with my son?

Yes.

Everything is as it should be, my dear.

Everything.

♪

Paolo Macchiarini is a con artist.

Google him, and you'll

find a sea of good press,

good intentions, a miracle man.

But it's all just a con.

This is a story about who he really is,

and the more I learned about him,

the more questions I had.

He left a trail of bodies behind him

from Italy to London.

Before that, it was Hanover, Germany.

Paris, France.

Every two or three years,

he suddenly relocates his work.

Why?

He's running,

trying to distance himself from the lies

he leaves behind him.

[SPEAKING ITALIAN]

House arrest charges of bribery,

extortion, except none of them stick.

And it all comes back to

this little piece of plastic,

this little piece of plastic

that turns into a windpipe,

but none of it's true.

Here, here, listen to this.

Used on Mr. Beyene.

Yeah, well, definitely, we

have to change the material

because these are clearly not working.

That man that he's

talking about in the video,

Mr. Beyene, d*ed.

But Dr. Macchiarini keeps on operating.

And I'll admit I bought

into this fiction myself.

I wanted to believe that he

was a man who could perform

all of these miracles,

but Paolo Macchiarini

is more mirage than man.

And this story proves

just how deadly a mirage can be.

[BREATHES DEEPLY]

There's a story here, all right.

I told you.

But it's not the one you're selling.

Back in Detroit, you and me and John,

we had quite the little

rivalry going, didn't we?

A three-way tug-of-w*r,

and you, you were merciless.

When you had a story, you had a story.

You weren't sharing it,

let alone giving it away.

All these years, Percy, and

you really haven't gotten

any better at getting

to your point, have you?

Like I said, there's a story here,

and there's a reason

you're bringing it to me,

to anyone, for that matter,

same reason you don't have

half the 27th floor of

30 Rock on this right now.

I feel like this is a much

stronger written piece,

and with your magazine behind it,

- I know we could

- Bullshit.

You're neglecting your lead.

You, with this guy, that's

the story I'd publish.

Yeah, I don't know what you heard,

- but I have not

- Okay, okay, fine, fine.

Let's break down what you're pitching.

Synthetic tracheas, no

one gives a synthetic f*ck.

Stem cells, people are

either for 'em or against 'em.

They don't wanna read about 'em.

He's he's k*lling people.

Maybe, but at the end of the day,

you don't have any proof

of what you're claiming.

Like you said, a sea of good press

is all that I'm seeing.

Maybe no one has the balls

to print anything else.

This version of the

story is too complicated,

too medical.

We need a road into this world, Benita,

and that boulevard is you.

Don't go there.

It's the only place to go.

Deception, crossed

lines, secret affairs

I mean, that's the through line

to this other sciencey sh*t.

Am I wrong?

You wanna expose him, you said.

- Yes.

- To save lives.

Yes. That's what this is.

I have a journalistic responsibility

to tell this story.

It doesn't seem you were too worried

about your journalistic

responsibility before.

Thank you for your time, Percy.

[SCOFFS]

[SOFT DRAMATIC MUSIC]

♪

Okay, let's review complications.

Tussis.

- Patient A, yes.

- Patient B, yes.

Patient C yes.

[INQUISITIVE MUSIC]

You spelled sepsis wrong.

What? No, I didn't.

Is that a P?

[SCOFFS] Don't worry about me.

Worry about patient A.

This is going to be hell.

Okay, tracheoesophageal fistula.

Patient A, yes.

B, yes.

C, yes.

♪

Hey, Dr. Lakshmi, I'm having flashbacks

to JV basketball here.

I'm sorry?

I can't seem to find

my name on the roster.

Nothing for you this week.

You've got me working six-day

shifts without any surgery?

So I'm, what, changing IVs?

Perhaps you can help your

colleagues with their paperwork.

♪

They're sticking us in the rubber room.

It's not what it sounds like.

I've been on call 120 hours straight,

and all I'm doing is

other doctors' paperwork.

I'm clocking 110.

Honestly, I'm surprised

they even let me touch a case

since I came back from Russia.

I'm not touching cases, only case files.

I haven't done a surgery.

I haven't done an intake.

I haven't seen a

patient's face in weeks.

[FOOTSTEPS APPROACHING]

I received notice today

my emails are under audit.

What does that mean?

They're tracing back through every email

I've sent and received

over the last two years.

I expect you two will be

receiving the same request.

- What are they looking for?

- [SIGHS]

Slip-ups, mistakes, breaches

in patient confidentiality,

whatever they can find

to justify our dismissal.

All this extra scrutiny,

the unending hours

They're trying to break us.

Is it working?

The sooner we complete our report,

the sooner we can get

back to our regular work.

Patient A, tracheal materials

were made from POSS-PCU.

But Paolo found the initial

materials to be too dry,

so patient B was pure PET.

Time-out.

Pure PET?

Where are the trials to back that up?

You switched materials

between Beyene and Lyles

without any prior testing in place?

We switched materials

with every patient.

[DRAMATIC MUSIC]

♪

- B?

- Yes.

♪

More tea?

No, I do not want hot plant water.

The f*ck do you think coffee is?

Who keeps opening the window?

It's 30 degrees in here. I need air.

If it's 30 degrees, then

Don't make a Celsius joke.

You should be cold.

Oh, my God, you live in Europe.

You live in Europe.

Sweet baby Jesus, my seven-year-old is

better behaved than you two.

He's so stubborn. It's ridiculous.

Oh, no, she just gets pissed when

she doesn't get what she wants.

Nathan, stop.

You've been difficult enough on her.

Why are you always sticking up for her?

She's the reason we're in this sh*t.

What's done is done.

We can't continue on like this.

[PHONE BUZZES]

Thank God.

Hello.

We need to get out of this apartment.

[SPEAKING SWEDISH]

That can't be.

What can't be?

I had Macchiarini's stem

cell solution tested.

The lab found elevated

traces of TGF beta 3.

No, that's a mistake.

It's right here in the labs.

What is it?

It's a growth factor.

But it's barred for

use outside of the lab.

- It's a known carcinogenic.

- Jesus.

Who on ethical approval

board would have allowed this?

They were probably all just as blinded

by the miracle man as everyone else.

They have no idea what they approved.

♪

Ministry of Health. How can I help you?

Hi, yes, I'd like to speak to someone

in permits and approvals.

Yes, I'm I'm looking

for an application

for ethical permission.

Dr. Paolo Macchiarini out of Karolinska.

No, that can't are you sure?

Where are you located?

To the Karolinska

Board of Directors,

we hereby request

No, demand.

- No.

- [KEYS CLICK]

We hereby demand a inq

Investigation.

- No.

- [KEYS CLICKING]

An investi

Do you want me to type?

When I'm in need of numerous typos,

I'll be sure to let you know.

Investiga

I would have chosen a

different font, but whatever.

What [SIGHS]

gation.

[OMINOUS MUSIC]

♪

"It is our opinion that

these articles neglect

to address the fatalities

associated with these procedures

and omit the majority of complications,

which these patients have endured."

♪

"We have analyzed the medical records

of three patients transplanted

with synthetic trachea

and compared them to the outcomes

published by Dr. Macchiarini."

"The claim that a

synthetic tracheal implant

can develop into a functional airway

is unsubstantiated by our findings."

"We found that all six articles contain

falsified information."

"That crucial data

had been omitted or"

There was no ethical approval.

- What?

- He never applied.

Didn't even try. He just skipped it.

That's impossible.

You can't that's

that's the first step.

You can't conduct studies

that's that's felony.

You can't

You can't, but he did.

Everything he did to those people,

everything I did

[DOOR SLAMS]

Can I have a drag?

Actually, I don't smoke.

Neither should you.

What's the matter with you?

I started back up in Russia.

Vodka and cigarettes.

Only way to stay warm stay numb.

- Hey, so

- Don't.

I keep thinking about

Beyene on the table.

I saved him.

My first operation with Paolo,

and everything went

wrong until I stepped in.

I was brilliant.

I spent days studying the

science, his physiology.

I hear it's called preparing.

Maybe it would have

been better if he d*ed.

Then none of this would have happened.

How can I still call myself a doctor

when I think like that?

There was a moment in the OR with Yesim.

All those surgeries

I started to lose

track that she was real.

We're all animals after a while.

Body parts, organs, meat.

I couldn't shake the feeling

that I was some kind of butcher.

And I pushed things further.

I crossed lines that

I didn't ever think I

The more I tried to save

her, the less I could.

None of it had anything to do with him.

We all get lost in the dark, Ana.

And there will be time to grieve,

you know, to figure out

how to forgive ourselves,

but what we're doing,

this could help set things right.

But in order to do that,

we need you with us.

[KNOCK AT DOOR]

Got a minute?

How's school?

You guys still working

on the periodic table?

They didn't invent some magical

new element to rewind time,

did they?

[CHUCKLES]

'Cause there's a few things

I would do differently.

Okay.

You know, we are gonna

talk about this, right?

Maybe not tonight, maybe

at some point, we're

gonna talk about it.

I know these last few

months have been really hard.

- And I'm sorry, but I'm trying.

- [PHONE BUZZES]

It's just it's not

easy to untangle your

Papa?

Mom

- Mom, give it back.

- He's been texting you months?

I don't I don't even answer.

- Lizzi

- Please

How could you talk to him

after everything he did to us?

I don't even text back. Give it.

Okay. Nope, sorry. You lost your phone.

You lost your laptop.

You lost your iPad.

- It's all mine now.

- Mom, you can't do that!

Yes, I can do that.

None of what he's saying is true.

They're all lies.

So? All you ever do is lie to me.

I lie to you? How do I lie to you?

Well, about Dad, about how sick he was.

And you lied to Kim.

You think I don't see this stuff?

Mom, I'm not blind. I know you did.

All he ever did was lie.

Every g*dd*mn word out of

his mouth was a lie, Lizzi.

You think he cared about you?

You think you're special? No.

He's got women all over the world.

He's got little Lizzis

all over the world.

You're not special.

We were never special.

[TENSE MUSIC]

♪

[DOOR SLAMS]

♪

[SIGHS]

[INQUISITIVE MUSIC]

Well, no turning back now.

♪

I'll make the personal

delivery to Hedley's door.

You're a very gifted doctor.

There will be other opportunities

far away from the polar circle.

I was the right hand to a fraud.

My most notable paper is a sham.

No serious institution

will ever touch me.

Oh, I wouldn't be so sure.

How many researchers publish

a revolutionary thesis,

then succeed it with a new treatise

that's designed to

dismantle that very thesis?

It shows versatility.

Huh?

[CHUCKLES]

This will make a difference.

It has to make a difference.

My last patient in

Russia was a young mother.

Her name's Yulia.

He was going to put one of those in her.

I convinced her to wait before I left.

Wherever she is, this Yulia

owes you a debt of gratitude.

You didn't just save a life.

You saved her from a

fate worse than death.

[OMINOUS MUSIC]

♪

[COUGHING SOFTLY]

Gentlemen, we have had

a tremendous breakthrough

that will help us not

only to enhance one's life

but to extend it.

Here she is.

May I present the

beautiful Yulia Tuulik,

the very first recipient

of a bioartificial implant

here at this facility,

and with your generous new grant,

the first of many to come.

Yulia.

Here.

[CLEARS THROAT]

Death came for Yulia

after a tragic accident,

but little did death know

that he messed with the wrong Russian.

[LAUGHTER]

[COUGHING]

Oh, gentlemen, come on.

You're making her afraid.

I'm not afraid of anyone.

Mama.

- Sasha.

- Mama.

[GASPS]

[SOBBING]

See? This.

This is why I became a surgeon.

Through all the delays,

through all the setbacks,

moments like this keep me going.

And I promise you I

I will never stop.

Andre.

[SPEAKING RUSSIAN]

[SPEAKING RUSSIAN]

[OMINOUS MUSIC]

[COUGHS]

♪

This man hurt a lot of people,

and they deserve the truth.

My daughter deserves to know the truth.

So I'll give you the story.

But you leave her out of it, all right?

Lizzi is off-limits.

[RECORDER BEEPS]

Paolo loved playing the martyr,

the selfless doctor

who was, you know, so

busy, so caring, so lonely

without a bed to call his own.

But it couldn't have been

that much of a surprise.

Meaning?

There were plenty of signs

your wedding, celebrities.

I mean, drown me in wine,

you could maybe feed me that one,

but the Pope?

I did my homework. It happened before.

For two divorcées, a non-Catholic?

Paolo knew people at the Vatican.

You still believe that.

It's so easy sitting in that chair,

never believing it could happen to you.

Paolo could make any person in any room

feel like they were

the most important soul

in the entire world to him.

It's a really wonderful

gift for a doctor

and a potent w*apon.

Once someone believes that

you mean something to them,

they just let their guard down.

They trust you.

That's why so many of

Paolo's patients trusted him.

And why you trusted him

that night at the Russian hotel.

- I never told you about that.

- He operated on you.

He probably saved your life.

You talked to him.

I'm obligated to get

both sides of the story.

You know that.

He said you contacted him from the ER

when you had your episode.

Of all your friends, your colleagues,

you chose to call him.

Why?

I was scared.

[CLEARS THROAT]

And I felt really vulnerable

'cause I had just lost John.

Paolo made you feel safe.

At the time, he did, yeah.

You loved him.

I did.

He offered you security, stability,

then he took it away,

just like your father.

[SOMBER MUSIC]

♪

Excuse me?

He kicked you out, your father,

right after your mother

ran out on your family.

It's understandable why a man like Paolo

would fill a paternal void for you.

But then he turns out

to be just the same.

Man after man, betrayal after betrayal,

after all that, one can imagine

you might want some revenge.

Go f*ck yourself, Percy.

Any intern doing a

five-minute background on you

would find this, and you're

smart enough to know that.

[OMINOUS MUSIC]

♪

Ana.

Paolo.

♪

I'm so happy to see you.

I have to admit that your departure

was a complete surprise for me.

♪

I just feared I would never

have the chance to thank you

for everything you've done.

I

I've encountered many

surgeons over the years,

but you?

[BREATHES DEEPLY]

You possess something that

gets driven out of most doctors.

Imagination.

Oh, yes, you do.

I realized that the moment we met

because you reminded me of me.

I'm nothing like you.

I read your report.

You and your partners

crafted quite a page-turner.

I'm just surprised that you

would go so far to undermine

what you and I built together,

after all that you have sacrificed.

But that's why I'm here today.

Karolinska has given me

the time to refute these allegations,

the opportunity to defend my name.

To defend what, a lie?

That's all it ever was, and you know it.

I always thought you understood.

Why else would you cheat?

Why else wouldn't you seek

Ethical approval?

Because my surgeries were

vital to saving patients' lives.

A loophole.

Loophole?

Our entire history

is built on loopholes.

On lines that we must

be willing to cross

so that we can give

desperate people a chance

when no one else will.

That's compassionate use.

There is nothing compassionate

about what you do.

You know, I meant to tell you

Yulia sends her greetings.

She's doing exceptionally well.

She's back home in St. Petersburg

with her family

with her new trachea.

No.

You almost had her convinced,

but luckily, she changed her

mind before it was too late.

Dr. Lasbrey, we have a

few questions for you.

Would you come with us, please?

Ciao, Ana.

[SOMBER MUSIC]

♪

It was a mistake.

I don't know what I was even thinking,

why I thought this would work.

We've seen it happen over and over.

People who try to speak

out, to tell the truth

[SCOFFS]

They're the ones who suffer in the end.

♪

Heads down, mouths shut.

That's the moral of the f*cking story.

♪

The system is rigged.

Good people, they learn to stay silent.

And men like Paolo, they win.

- Not always.

- Maybe.

But this time.

You want me to come over?

No.

I think I need to be

by myself right now.

Okay. Try to get some sleep.

Okay.

[DRAMATIC MUSIC]