- When a back problem limits Hank's ability to treat patients, Evan hires Dr. Van Dyke as a temporary replacement. Guest Stars: Tom Cavanagh, JoAnna Garcia Swisher, Christine Ebersole, Kyle Howard.
- Hank's pathetic attempts to keep working with back-pain without painkiller are doomed from the start. Evan ceases the opportunity to test Hankmed's contingency plan: a loco, and due to unclear instructions, Evan gets to select Dr. Paul Van Dyke. Despite his disappointment not to be closely collaborating with Divya, he proves a commercial genius compared to Hank, a natural at recruiting regular clients. However Paul's refusal to accommodate crazy expectations, like from Ms. Newberg, whose phantom pains can't be tested, make Evan reassess the HankMed unique selling proposition. Hank meanwhile concentrates on counseling advanced lupus-diagnoses golf pro Jack O'Malley, who is inclined to participate in immunology specialist Nina Greene's double-blind drug experiment. Divya hopes to settle her debts by auctioning collector china, but it gets stolen by parking valet Floyd, who has a terrible accident while chased by her and Jill.—KGF Vissers
- SHORT VERSION :
Hank hurts his back, so Evan takes on a BUD back up doctor to take the patients while Hank is out. Paul turns out to be capable, treating the patients AND signing on some retainer clients for HankMed, but he lacks Hanks bedside manner. Eventually, Evan realizes that HankMed isnt about the money, but that they also need a certain level of personal care as well.
Jill accompanies Divya to have Divyas family china appraised for auction. Later, the china is stolen from their car by the valet from the auction house. While trying to get away, the valet crashes his car and is seriously injured. Despite losing all her china and any profit from its sale, Divya, and Jill, save the valets life.
Hank escorts Jack to see the nephrologist for his lupus. Jack seems indifferent, but signs on for a clinical trial instead of getting traditional therapy. When Jack becomes more sick, he is resigned to his fate, but Hank and the nephrologist determine that Jack is just reacting poorly to the trial meds. Jack will now pursue traditional treatment.
LONG VERSION :
At a funeral, Divya Katdare sings Ave Maria as a mortician lowers the casket into the ground. Jack OMalley, dressed casually in a black and white golf shirt, flips a coin into the air, catches it, stares at it disinterested, and flips it again. The rabbi is caught up playing a game on his smart phone. He stands and calls up close members of the family to shovel dirt into the grave. Dr. Hank Lawson, Evan Lawson, Jill Casey, and Divya stand. Hank tips in the first shovelful and . . .
ONE DAY EARLIER
Hank, walking like a duck, can barely make it from his door to his car. Evan, walking besides him, reminds Hank that it will be a busy week and that Divya will not be able to handle all the patients by herself. Evan says they will need a B.U.D. a back-up doctor. Hank assures him that will not be necessary, but as he reaches for the car door, pulls his back again and drops his briefcase and papers. Hank tells Evan he can proceed with the B.U.D. after Evan gives him a hand. Evan applauds.
At home, Jill offers to go with Divya to the auction house because she is curious to see what it is worth. Evan and Dr. Paul Van Dyke come in. Paul tells them that he is subbing for Hank. Divya is miffed that Paul just happened to land this position knowing that she works there. Evan passes out a list of current patients with the possible retainer clients noted with an asterisk. Divya and Jill head out, and Paul is now miffed because he thought hed be working with Divya. Instead, Evan will work with Paul since he will have to show him the ropes.
CREDITS
At Hamptons Heritage Hospital. Jack is in the lounge laughing at something on his smart phone when Hank waddles in. Hank blames his bad back on recent golf lessons. Hank says Jack will have to see a nephrologist since a kidney biopsy has confirmed lupus nephritis.
Jack asks Hank if he remembers an 80s sitcom UFO My Gosh and that he thinks the little girl on the show is his nephrologist grown up. When Hank says he doesnt think so, Jack shows him a clip on his smart phone, and we see the little girl, saying her catchphrase, Im out of here! and then Dr. Nina Greene walking in. She introduces herself and as she leads them in, Jack and Hank argue whether she was that young actress.
Evan takes Paul to the hospital in his minivan. Paul mocks Evan for driving a soccer mom car. As Paul puts on his white coat, Evan points out that Hank was always casual and that seemed to work. Their first patient is a mole check.
The patient is a young bikini-clad woman sunbathing by the pool. Paul finishes his check and warns her against sunbathing. As she points out her step-mother, also young and bikini-clad, and her sister, also young and bikini-clad, Paul suggests they can save a lot of dermatology money by becoming a HankMed retainer client rather than paying for each visit. Evan perks up to this. Paul recommends she talk to Evan (our CFO - points to him) while he (Paul) goes to examine her sister.
At the auction house, the auction official looks over photographs of some china that Divya has brought in and is impressed. Divya says that no one in her family ever used them. He shows them a price that the same set of china fetched recently but that hed have to see them first. Jill immediately says theyll bring the china in tomorrow.
Evan is gushing over how Paul handled the patients. Paul shrugs it off reminding Evan that the patients had asterisks next to their names and that Evan IS running a business. They walk back to the parking lot and when Paul admires a Carrera, Evan realizes Paul likes cars and offers to have Paul drive to do rounds tomorrow. Their next patients are not potential retainer clients, but Paul says, They WILL be. Evan says Paul is the yin to his yang.
As they leave the auction house, Divya expresses her disappointment that no one in her family had the chance to use the china. Jill assures her that wont be a problem when she gets paid tomorrow. Divya gives the valet, Floyd, $20 even though parking is $5.
Nina tells Jack his options, including a clinical trial that is promising, but would keep him from getting current therapy for the six months of trial. Jack is only listening half-heartedly and asks Nina if she was that child actress. She says no, and Hank tries to get Jack on track. Jack says that either option is just as valid, so he might as well flip a coin, which he does, and asks them to call it.
Evan and Paul pull up at their next patients in Pauls Cadillac coupe. Ms. Newberg is disappointed that Hank is not there. She tells them she thinks she is dying.
Jack is signing and initialing stacks of documents. As Jack flips through the papers, initialing them without reading anything, Hank says hes worried that Jack is not taking this seriously. Jack says hes entering Hank as his emergency contact because hes not close to his family. And hes not entering him because Hank is his doctor, but his friend.
Divya and Jill pull up to their patients house and Divya jumps when Jill slams her door and theres a clinking sound from the back of the car Divya reminds Jill that the china is loaded up in back; Jill tells her not to worry because the crates are all seat-belted in. Their patient, Mr. Mackintosh, needs a polio shot for his trip to India. As he is rolling up his sleeve, Divya notices a red bump on his forearm, and asks him for duct tape or . . . bacon. They apply the bacon on the sore and shortly, Divya plucks a squirming fly larva from the wound. He had just returned from a trip to Panama and he must have been stung by a bot fly, which notoriously lays eggs in human hosts. The bacon formed a seal over the wound, drawing the larva out.
Ms. Newberg complains of radiating, random back and neck pain. Paul assures her he hasnt found anything but that they will run a battery of tests on her. She is staying at that current location, a rental, because of storm damage at her home.
Coming out of the patients house, Jill tells Divya how awe-struck she was with the bot fly diagnosis and that it made her feel like when she was doing humane medical service in Central America. The more she thinks about it, the more she wants to go back. Divya and Jill notice their car door is open and see Floyd, the valet from the auction house, running off with a case of china, headed for his car. They get in their car and chase after him. He leads them through a wooded area and suddenly takes a detour onto a restricted road. They lose sight of him but hear a crash and get out of their car. They follow a trail of broken crates and china and find Floyd crashed through a chain link fence with a support pole pierced through his windshield and his abdomen.
Divya asks Jill to call 911. Jill rushes to their car and returns with Divyas medical bag. Divya asks Jill to talk to Floyd, but she starts grilling him instead of asking him questions to check his conscious state. He realizes there is a pole through him and starts to freak. Jill sees a photo clipped to the visor and tells Floyd to concentrate on his family instead. He tells her its not his family . . . because its not his car. Divya asks when the paramedics were coming and Jill tells her she could not get a strong cell signal. With Floyd going diaphoretic, Divya says they will have to take Floyd to the E.R. themselves.
At home, Hank is on an inversion table when Evan comes by. Hank still refuses to take medicine to help his back. Hank has been contacted by the hospital and wonders what Divya is doing with all the prescription confirmations and test results including an MRI for Ms. Newberg, and Evan tells him it was Paul, their B.U.D., and not Divya. Hank said that when he said proceed he meant to gather up a list of names for him to look at and THEN decide on a B.U.D. Evan asks what kind of CFO would he be for their company if he did not have a contingency plan, and, besides, Paul has brought in five retainer clients. Evan is happy and tells Hank he does not have to rush back.
Divya decides to use a cast cutter to cut the pole. They notice that the other end of the pole has pierced a gas container, and they cant risk any sparks, so they decide to remove the pole becasue Floyd's vitals are doing poorly, so they have to contradict the stricture that you arent supposed to remove the impaling object before reaching the E.R. First, Divya ties a cloth to the other end of the pole and Jill pulls her end through. As the pole comes out of the body, the cloth basically replaces it, thus maintaining a seal. Floyd comes to and passes out again.
At the hospital, Hank, waddling, gets into the locked prescriptions cabinet to give himself two mg of valium. He has a back spasm as he is injecting himself and instead gives himself ten mg.
FLASH BACK TO THE FUNERAL SCENE -- its actually Hank's hallucination
Evan throws in a shovelful of dirt and says it IS his (Hanks) fault. The casket shakes and then opens. Evan is inside he blames Hank for killing HankMed by not letting it grow. Divya from the grave blames Hank for leaving her without a job now that she is broke. Jill from the grave blames him as well. Then Hank sees himself in the casket and freaks. Jack says he doesnt know why hes even there, flips his coin, which lands on casket Hank, which wakes up real Hank who is sprawled on the floor near the prescriptions cabinet.
BACK TO REALITY
Paul and Evan drive to Ms. Newberg to tell her that the MRI showed nothing. She doesnt believe them, and in fact, the pain happened again when she went to get a mani-pedi that morning. Paul is not patient with her and Evan is disappointed in his bedside manner. He tells Paul that Ms. Newberg is not just a patient but a very nice woman and that shes just scared. Paul thinks HankMed gets too involved with its patients. Evan says thats the point. Evan mutters that Hank would never do this; Paul says hes not Hank; and Evan reaches the epiphany that Paul is not Hank.
Divya and Jill visit Floyd at the hospital. He is doing well after his splenectomy. Jill asks for an apology. He doesnt call it stealing but liberating -- a kind of modern Robin Hood. Floyd eventually thanks Divya for saving his life. As they leave, Jill gives Divya a small box with some of the china pieces. Jill had gone back to the crash site and retrieved some of the bigger pieces and her nephew Luke helped her glue some back together. They both say they will miss each other.
Evan drives Ms. Newberg in her convertible to see Hank. He asks if he can turn the car music down and she says yes but dont ask her how because the car is too high tech. She asks if he meant what he told Paul earlier and when Evan says yes, she bursts into tears and says now she can die happy with a man (Hank and Pauls father) and two children (Hank and Paul) who care for and understand her. Evan figures she is being melodramatic because she is feeling the symptoms again. He then notices that the cars seat warmers and neck heaters are on full blast. He turns them off and she feels fine.
Hank visits Jack who pretends he is busy with a woman. Hank gives Jack a boxed set of UFO My Gosh and notices Jack is jaundiced and has a fever. He insists Jack go to the hospital. Jack confesses that he was always going to participate in the clinical trial regardless of the coin flip. Unfortunately, the trial medicines arent working. Hank insists they go to the E.R.
At the hospital, Nina says Jack was just having a negative reaction to the test medicine and that he will be okay and can proceed with traditional treatments. Jack has one final question : What kind of treatment he would be getting if he came from that TV shows alien planet. She rolls her eyes and says, Im out of here!
Hank drives home and Evan is waiting with a pair of crutches. Evan makes Hank admit to taking the drugs and then calls him a wuss. Hank concedes that it was good planning to have a contingency plan with a B.U.D. Evan concedes that its not all about the money, and that they have to reach a level of care that Hank has established and that they will now have to find a B.U.D., not Paul, who can reach that level.
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