"Previously on Off The Map:" "She's not a patient, she's my wife." "She's been in a minimally conscious state for the last five years." "Lindo, I'm done." " What are you talking about?" " I'm done." "Keeton's with Ryan." "Hey, you sure you're okay?" "Stop worrying about me." "I'm fine." " Mateo, what are you doing here?" " I've been shot." "The bullet we found is from a police revolver." "I can't be here when the police come." "Okay, next time, I'm not gonna let you win." "Don't you mean good morning?" "Fuller, you got surgery." "Have you heard from Mateo?" "I left him a message at the cantina." "Never heard a thing." " I'm just worried about him." "Medically." " Of course." "Well, who gets shot and then just disappears?" "No wound check, no antibiotics." "I mean, he could be dying right now." "Yeah." "Or he's fine and just not into me." "Either or." "Alma!" " Papa!" " Who is he?" "That's your dad." "Is it a problem that I'm an American?" "It's good." " Papa." " Okay." "I gotta go to work anyway." "So..." "Hasta la vista, sir." "Please just, just make it stop, okay?" "As soon as I get an IV in, we'll get you some pain meds, hermano." "Nice of you to show up, doctors." "We've got a case of acute appendicitis here." "I've never seen him like this, he's usually Mr. Stoic." "He walked around with a nail through his hand for two days before seeing a doctor." "That was tourist season." "You needed me." "Julio and I run the Jungle Lodge together." "I always need you." "Preferably intact, mi amor." " What are we doing about this?" " We're gonna operate" " and remove your appendix." " Take whatever you want, just make it stop." "We'll be right back." "Outside." "I needed you here 20 minutes ago." "You get called in to work, you don't hit the snooze button, you get your ass in gear." "Someone's not getting any." " Apparently you are though." " Yeah, out all night." "Yeah, playing checkers." "And it doesn't matter anyway, her dad hates me." "Brenner, prep him for surgery." "Minard, ten of morphine and enough ketamine to keep him under." "Fuller, check the OR for" " What the--?" "It's broken glass." "No, no, no." "Son of a bitch." " No pain meds." " No antibiotics." " They took the tongue blades." " They took everything." "We've been robbed, people." "ER had four liters of saline and two minor surgery trays." " Hard to sew without sutures." " They didn't touch the OR." "So there's still Vicryl and Prolene." " I found a few syringes in the ward." " So much for surgery." "Copy that." "Keep me updated on your progress." "Bus went off a ravine in Lipaulo." "Chopper's all tied up with multiple victims." "It's gonna be hours." "So they're not gonna be able to restock us till tonight." "You were on call." "Sleeping up front." "They came in through the ward." "Did you lock up last night?" "The locks were cut clean off." "Don't start with me." " If we had police protection..." " What does that mean?" "Man." "It means they're not doing their nightly drive- bys because they suspect we hid a criminal." "Hope things are working out with your new friend." " Hey, this isn't anyone's fault, okay?" " She's right." "All right, it happens." "Well, now we're in it." "So open the doors, treat who you can." "Good luck." "Well, they didn't touch the garden." "So I have whatever plants you might need for fever, allergies, infection." "Just let me know." "Go on, make your rounds." "What the hell is wrong with him?" "Only other time I ever saw him like that was..." " Abby." " Yeah." "Okay." "Well, we've worked with less." "How'd you get all that positive attitude?" "I feel like crap." "Haven't slept in days." "I miss you in my bed." "I have some herbs that can help you sleep." "I'll make you a tea." "That'd be good." "Thanks." "Hola, Dr. Cole." "I feel a little better." "The appendix is still inflamed, but the carqueja plant is helping with the pain." "A lot of moms here give it to their kids for bellyaches." "Ask and the jungle provides." "Has everything you need." "Well, except for paved roads." "We've called in for surgical supplies, antibiotics and anesthesia, but it's gonna be a while." "Coming from San Miguel." "So we can't operate now." "But we'll check the appendix while we wait." "Okay." "Or not." "Looks like this got knocked over as well." "Well, if you have a Swiss Army knife, Julio'll fix it." " He can fix anything." " Yeah?" "It's how we met." "First month I opened the Jungle Lodge, the water main bursts." "Fixed it in one minute." "Then he put the moves on me, knee deep in sewage water." "Because I know how to pick a moment." "He's my fix- it guy." "Put my whole life back together." "I just wanna go to sleep." "Let me sleep it off." "You need a doctor, bro." "Just one more step." "Hey, steady." "Hey, Charlie." " Little man!" "I need a wheelchair." " Yeah?" "How much did he have to drink?" "Just a few beers, I swear." "Jackass can't even walk this morning." "Must have snuck back out to the bars." "We'll get some IV fluids in him, he'll be good as new." " Slow." " Zeta Tau." " You two are Zates?" " Juniors at 'Bama State." " We're on spring break." " Northwestern, class of 2000." "No way." "All the way to South America to meet a fraternity brother." " That's nuts." " What's a fraternity?" "It's a place where guys like to party, live in a big old crappy house" "It's Latin for brotherhood." "Okay, it's a collegiate male social club." " We help each other scam chicks." " I need help scamming chicks." " No." " We'll make you an honorary member." " All right." " I'm not feeling so springtime fresh." "Let's see what Zee has for nausea." "Hey, I sent Lynn to get some air." "She was getting kind of nervous." "She's really ballsy." "She made the jungle her home." "You know that could be us someday." "I'm out of here as soon as I finish my rotation." "I gotta try to get back into residency." "First rotation's over in a month." "You're leaving in a month?" "Keeton gives you all the juicy cases, Clark hates me and Cole thinks that I'm a freak." "So why would I stay?" "I don't know." "Systolic's only 60 palp." " Heart racing 140." "Rigid abdomen." " V- tach." "My God, what happened?" "He's in cardiac arrest, we're trying to restart his heart." "He was fine." "He was feeling better." "Charge to 200." "His appendix must have burst, that can alleviate the pain." "The bacteria's spreading." "It drops the blood pressure, weakens the heart." " We're not charging." " Why not?" " The battery's gone." " Who steals a battery?" "Please, do something!" "Help him!" " Okay." " Normal sinus." " Strong radial pulse." " Thank God." "We gotta operate now with or without the supplies." "Wait any longer, he won't make it." " But without anesthesia..." " He'll feel everything." "And a week's supply of Ancef and Zofran." " What the hell are you thinking?" " No, it can't wait." "You get it on a truck today by noon." "The clinic gets robbed and you call everyone but me." " You're off duty, go rest." " I've been resting for days." "I'm bored out of my mind." "It's been a week since the stupid diving thing." "That stupid thing was the bends with pulmonary hemorrhage." "I swam a mile this morning." "You wanna arm wrestle?" "I will take you down, Keeton." "I'm officially back on the clock." "Deal with it." "Stop with the light." "Leave me alone." " How is he still wasted?" " He's not." "There's no alcohol on his breath." "His pupils are equal and reactive." "Did he take any pills?" "No, he's not a druggie kind of guy." "I mean, he likes his beer buzz, but..." " Oh, crap, he's wigging out." " He's seizing." "Hey, I need two of Ativan, IV push now." "We don't have any meds." "You don't have any medicine?" "Isn't this a hospital?" " What do we do?" " Just hope that it stops." "Felicia Morán?" "Felicia Morán?" "Hey." "How long has your eye been swollen like that?" "It started today." "Can you fix it before school?" "Last night, she was normal, then this morning, un monstruo." "My sister." "Do you sleep with mosquito netting?" "We used to, they fell apart." "Okay." "Felicia, I'm gonna need to run some tests." " We gotta go." " We're late para la escuela." "Our mother will be very mad if we miss school again." "We missed last week." " It's just a stupid mosquito bite." " It's not just a mosquito bite." "It's actually a different kind of bite." "And if I don't treat it right now, it can get into your system and" "You know what, will you just-- Just wait here for me, okay?" "Don't go anywhere, I will be right back." "BP's up with a liter." "That's a good sign, Julio." "See, amorcito?" "You're gonna be just fine." "You have to fix him." " We'll do our best." " He fixed me." "You have to fix him." "We've only got four cc's of lidocaine for a spinal block." "That'll numb him for half an hour." "Surgery's gonna take at least 45." "Today it'll take 30." "You got to take out the appendix, wash out the infection from the abdominal" "I'll do it in 30." "There's no way." "Look, the spinal will wear off while you're manipulating his organs." "Hey, hey, so I could feel you digging around in there?" "I'll do it as quick as I can, Julio." "Hey, don't cry, Lynnie." "I can take it." "I have to, okay?" "He hasn't slept this much since he had mono freshman year." "It's normal to be tired after a seizure." "Hey, Alma's father left you a message." "He wants to meet you at the cantina tonight." " What?" " He wants to know your intentions." "You kept his daughter out all night." " Nice, man." " We were just playing checkers." "Whatever you wanna call it." "Okay." "Spinal fluid has number of white cells, but no bacteria." "It's viral meningitis." "Does that make him act drunk?" "And the inflammation causes the seizures." " So how do we fix him?" " He needs IV of acyclovir." "It's an anti- viral med, which we don't have." "Okay, I'm trying not to freak out here, but Greg is..." "Look, he's publicly drunk a lot of the time, but deep down he's a decent guy." "He sends money to his mom, he's awesome to his little sister, he treats his girlfriend like gold." "Okay." "No, he totally cheats on her, but still, the dude can't die in the middle of the jungle, you know?" "Don't worry." "I have a treatment plan." "What's the treatment plan?" "Come up with a treatment plan." "He needs intravenous narcotics." "Thank you, Captain Obvious." "I'm saying I can get some." "You can get some." "Won't be pharmaceutical grade, but it's better than nothing." " You wanna buy" " Heroin." "You want that guy feeling your scalpel?" "He won't." "I'll be done in 30 minutes." "You know that's impossible." " I don't want you anywhere near that crap." " He's right." " It's not a good idea." " I think it's a great idea." "Feeling that level of pain, he'll never recover psychologically." " How would we know it's safe?" " Use clean syringes, monitor the dose." "It's his best shot." " Okay, fine, but you're not going." " You don't think I can handle it?" "I don't wanna find out." "Minard, take a couple of orderlies." "They'll never sell to her, man." "They know me." " No." " I can handle it," "I've been clean for nine months now." "The last time you were sober a year." "I'll take Greenwich and we will be back with what you need to treat the patient." "Guess I'm Greenwich." "There was a little girl sitting here with a swollen eye." "Have you seen her?" "She was right there." "Felicia Morán." "Felicia Morán." "Anyone?" "I really need to find her today, okay?" "It's important." "Has anyone seen her?" "Hey, Big Papa." "We knocked on your door, we figured you'd be back here picking herbs." "Do you not remember me?" "I'm Dr. Fuller." "I helped treat that patient of yours." "First, you were all, "Get out of here,"" "then you got to know me and you were like, "Hey, you are awesome."" "What do you want?" "I need a consult." " You're asking for my help?" " Viral meningitis." "College kid on spring break, so his immune system's pretty worn down." "I've lived here for 60 years, I know what spring break is." "I don't bother with those kids." "Wait, wait," "Papa, this is my brother." "Not my "brother" brother." "It's a collegiate male social club." "This kid is dying and there's nothing I can do to help." "He's a member of your tribe?" "Yeah." "We're here." " This is how you..." " Yeah." " Sure you remember where...?" " Yeah." "Mulungu tree bark." "It will help you to relax." "We've given you enough lidocaine to last 30 minutes." "Is this sharp?" " Poco." " As soon as he's numb we cut." "We can't waste a second." "We gotta work fast." "What are you doing, Brenner?" " I'm prepping the" " You don't just prep the lower quadrant, what if we want to convert to an ex- lap." " How much irrigation fluid do we have?" " Three liters." "Well, he's gonna need at least six." "Come on, let's get with the program here." "Can I talk to you?" "Hey, this surgery is gonna be rough enough without you biting our heads off." "So bite now and be done with it." "All right." "I mean, this guy might die from a simple appy." "Not the surgery itself, he'll probably just arrest from the pain and there's not a thing I can do about it." "Not to mention two of my doctors, one a recovering addict, are God knows where right now buying street drugs." "I can't help but think all of this may have been avoided if some people around here prioritized this clinic instead of their social lives." "Are you done?" "Then let's operate." " This is..." " Let's do this and get out of here." "Are you okay?" "I'll do it." "I'll go in." " Minard." "This is" " No, it's..." "You don't have to." "I'll go in." "It's okay." "I'd like to buy heroin, please." "I don't know what you're talking about." "I'm a friend of" "I think maybe you took a wrong turn at the dock, señorita." "No, no, no, I don't work for the police." "I'm a doctor." "I need it for medicinal purposes." "The equivalency to morphine is one to three, assuming 50 percent purity." "So I need 200 milligrams of your product." "I have money." "Hey, señorita, come, come." "I don't know who sent you here, and I'm not doing business with you." "Your friend is in trouble." " What are you talking about?" " Open her eyelids." "Pinpoint pupils." "She's OD'ing." "It's bad." "After I leave here, she'll stop breathing." "Then as her heart and her brain are deprived of oxygen, she'll jerk a few times, probably vomit and then her heart will eventually stop beating, and you'll have a dead body on your hands." "Yeah, that's not gonna do anything." "I'm a doctor." "If you let me stay, I can do something." "Or not." "No, wait." "Do it!" "I charge for house calls." "Up front." "So give me my damn drugs." "We really gotta do this out here?" "You sure it's gonna work?" "Not if you keep asking me questions." "I think he's waking up." " Hey." " What the--?" "What's going on?" "This is Papa Ucumari." "He's a medicine man, he's gonna help you." "What kind of freak show circus hospital did you bring me to, man?" "Maybe this wasn't a good idea." "Yeah, you touch me, grandpa, my dad will sue your ass." " I should be going." " No." " Get me out of here, bro." " Wait, wait, just..." "Okay, hey, stop!" "Stop!" "You have spinal meningitis." "There is a virus attacking your brain, that's no joke." "If you leave, I can't promise you you're not going home in a coffin." "I can't promise you I'm not gonna have to call your parents and tell them to come here and pick up your body." "So bad news, we're out of meds." "Good news, the plants of the rainforest have had 5 million years to figure out how to fight these viruses." "And this guy, he knows better than anyone how to use them." "Look, I know you're scared." "I'm scared too." "I don't know how this stuff works." "But it's your best shot." "Just lie down." "One ruptured appendix coming out." "Another liter of irrigation." " How are we doing on time?" " Twenty- eight minutes." "Damn it." "The lido's wearing off too soon." "He's gonna arrest from the pain." "If I don't flush him out, he's gonna die of peritonitis." "It's loaded up and ready to go." " Pulse 30." " Shoot him up." " Not you." " What?" " You're not watching this." "Get out." " Oh, come on, man." "Out of my OR." "All right, he's under." "Let's get back to work." "Come on." "Looks like you're having the day I'm having." "A patient slipped through the cracks." "I'm trying to make a house call, but this stupid bike..." "Engine's flooded." "Hold the throttle all the way open, then hit it." "Nice." " You okay?" " I need to get the hell out of here." "Come on." "I speak some English." "I saw your daughter, Felicia at the clinic." "Is she here?" "She's at the market with her sister." "I don't have time, doctora." "Okay, mi vida." "There's no mosquito netting." "Get that baby out of here." " Give us a minute." " You have to get the baby out." " Excuse me?" " Just get the baby out now." "We need to check your house for health reasons." "They like thatched roofs." "Come on." "Hey, hey, hey." "You got them." "All right?" "They're dead." "No more sutures anywhere." "Steri- strips aren't holding." "Fluid's coming right back out." "We need to seal this before he gets a secondary infection." "Why not?" "You've only been waiting five years to show me up." "I'm taking Brenner so she can learn from the master." "Lynn, the appendix is out, he's not in pain." "They're putting in an irrigation catheter, which is..." "It's the best we can do without antibiotics." "You must really wish that you were in the States about now." "You ever have that feeling in high school" " where your skin just doesn't fit right?" " Yeah." "Everyone feels that way." " It goes away." " Not for me." " Me either." " All through college, three jobs I sucked at, two marriages I really sucked at." "Nothing ever fit there." "Just didn't feel at home." "I came down here alone on my 40th birthday because I didn't know where else to go." "It was this or move in with my mother." "And it was like walking through my own front door." "The people are incredible, you can walk for five minutes and find a spot no one has ever been before in the history of the planet." "And then there's Julio." " The missing piece of your puzzle?" " Honey, he's the whole damn puzzle." " How long are you here for?" " Not too long." "About a month or so." "I don't know that I've found it yet." "That place." "Oh, you'll know when you do." "They're called assassin bugs." "They carry a parasite that causes Chagas' disease." "It is serious?" "If we don't treat it right away, the parasite will stay in her body." "In 20 years, it will destroy her heart." "I'd like to take your girls to the hospital in San Miguel." "The sooner we get it treated, the better our chance at a cure." "Xandra will need testing too, but it'll only take a week at the most." "It doesn't matter to you, doctora, but I am a single mother," "I need my girls here with me." "I will take them to the clinic when I can." "Even with the best intentions, things fall through the cracks, life happens." "My sister and I grew up in El Salvador." "When we were just kids, she had the same bug bite." "My parents never got it treated." "It was this disease?" "She was just 28 when she started showing symptoms." "She had a great career, she was in love." "Her whole life was just starting to come together." "Just like that, it was over." "All it would've taken was a few pills 20 years earlier." "But it was too late." "I couldn't save my sister." "I can save your daughter if you'll let me." "So how do we know if it worked?" "Check his temperature in an hour." "It worked." "What did you use?" "Clavillia, Matico, and macela flowers." "When concocted in exact proportions its anti- viral properties are unmatched in the rainforest." "What about the chanting?" "Deep relaxation boosts the immune system." "And the feather?" "Well, that was just to screw with his head." "Any more questions, doctor?" "Do you date?" "I don't know how things work here and this girl that I'm seeing, her padre hates me." "And that kind of always happens, but this guy doesn't even know me." "He doesn't have to." "You're un turista." " So?" " Many Americans who come down here, like these boys, they don't respect where they are." "He wants to know if you respect where you are." "Okay, bring me that jar." "Be careful, their pinchers are very sharp, they're as strong as surgical staples." "It's not personal, his anger." "He's pretty much blaming everybody for the robbery." "Especially me." "A top neurologist from Buenos Aires did a consult on Abby, his wife." "He got the report this morning." "How is she?" "No improvement on her EEG for six months." "So he has some hard decisions to make." "Do you know, the clinic, it was Abby's dream too?" "They came down here together before the accident." "So the clinic keeps her alive." "Keeps her with him." "Sharp little bastards." "Sad about your sister." "Yeah." "Except I know you don't have a sister." "Shortness of breath, hemoptysis after scuba diving, it's all signs of heart failure." "I got bit when I was 8." " Clark." " No one else needs to know." "You need a cardio echo, like, now." "I'll take the tests." "I'm not gonna be treated like an invalid," " especially not by Keeton." " We gotta get you on a transplant list." "He has been through this before, okay?" "He doesn't need to go through it again." "You could have an arrhythmia at any time." "Hey!" "You could die from this." "No one needs to know." "Now, push the claws on either side of the wound and watch what happens." "Oh, that's amazing." "That's unbelievable." "Shotgun." "I'm next." " This is my surgery." " You're not gonna let me do one?" "I dug around in the mud for an hour." "I've got the bites to prove it so..." "Let's get three on either side, please." "And that should hold until the medevac gets here." "Here, you can finish." "And share with Minard, please." "Sweet." "I'm sorry." "About Mateo coming here." "If I caused us any kind of trouble..." "Have you heard from him?" "No." "No security system." "Open windows." "It was bound to happen." "It's nobody's fault." "Do you know, this place is just a building." "What?" "You're the clinic." "Not the building." "Not anyone else." "It's you." "You're saving our lives, man." "Sorry, it took so long." "We had 20 victims down a ravine." "No worries." "Just another day in paradiso." "Tell me about it." "Good to see you, mate." "Okay." "Here." "So how long are they gonna keep these hormigas in there?" "Baby, the ants are keeping your guts inside." "I love those ants." "They'll take them out at the hospital and replace them with sutures." "You ever need a weekend away, stop by the lodge." "It's not a five- star resort, but it has its charms." "Too bad you'll be gone." "Actually, I'm thinking about staying a little longer." " Take care." " Thank you." "What?" "Just a month or two." "It's got nothing to do with you." "I don't know." "I think I might be the wind beneath your wings." "Please, I got to score smack and stick ants in a guy's abdomen." "I can't do that in Greenwich." "Okay, no translating on this one." " I'm gonna do it by myself." " What?" "I'm gonna teach you some game." "Just pay attention." "Okay, look, that is not game, it's suicide." "I like..." "Wait." "You have room for a few more?" "Sí, come aboard." " We missed the last water taxi." " This will be quicker anyway." "No, no, no." " We're overloaded as it is." " Okay." "Girls, I can't ride with you, but I'm gonna meet you at the hospital first thing tomorrow morning, okay?" "And, I know some of the nurses." "So I'm gonna call ahead and make sure you get plenty of ice cream, okay?" "All right." "You guys are all tucked in." "Okay." "Some tea to help you with your sleep." " Wanna talk about it?" " Not really." "We can still be amigos." "Yeah." "See, I don't know how to do that." "Good night, loca." "You know, you're bathing on a main hiking trail." "So I've heard." "It's also our shower." "You just disappeared last week." "I heard the police were looking for me." "I didn't want you to get into any trouble." "Well, that ship has sailed." "You actually made it worse." "Now the police know that I lied about treating you, so they're not protecting the clinic anymore." "So we got robbed last night." " I'm sorry." "I didn't mean to hurt you." " And here I am leaving you messages at the cantina like an idiot." "I got them." "I just came from there." "I was looking for you." "To apologize." "Why should I believe anything you say now?" "Because I was there." "Waiting for you." "Hoping you would..." "That's all I've got." "How's your incision?" "You tell me." "There's no redness." "No infection." "It's good." "You know, I thought I lost the clinic today." "I know." "You know, I couldn't think of anything worse." "And then I thought about losing you." "It's been six years." "She's not getting any better." "It's time to move on." "Ben..."