Royal Pains (2009–2016)
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Hank helps a nanny who is having serious fainting spells, and makes a professional decision about Paige's family that compromises his relationship with Evan. Meanwhile, Divya goes out on her first date since canceling her wedding.


Andrew Lenchewski (created by), John P. Rogers (created by) | 3 more credits »




Episode cast overview, first billed only:
Mark Feuerstein ... Hank Lawson
Paulo Costanzo ... Evan R. Lawson
Jill Flint ... Jill Casey
Reshma Shetty ... Divya Katdare
Brooke D'Orsay ... Paige Collins
Bob Gunton ... General William Collins
Kyle Howard ... Dr. Paul Van Dyke
Lisa Banes ... Ellen Collins
Madeline Zima ... Toby Thompson
Tanner Flood ... Simon Fields
Louis Carbonneau ... Fisherman Bob (as Lou Carbonneau)
Kelsey Cooke ... Bartender
Chella Ferrow ... Ms. Fearless
Rob Hancock ... Mr. Fearless
Nancy Meyer ... Guest


Evan is almost as furious at Hank for keeping quiet about a patient's medical need as campaigning general William Collins is at Hank for not consulting him to refer Paige's ever-depressive mother Ellen to psychiatric professionals after a suicide attempt on the beach. Dr. Paul Van Dyke cheerfully takes Divya on a playful party date but finds her a reserved party pooper, yet concludes a 'modern dating practice' pact. Hank enjoys two new patients: angelic Simon Field, obsessed like the Lawson brothers with a superhero played by his father but wrestling with countless anxieties, and his devoted nanny; and Toby Thompson, whose medical condition is really dangerous. Written by anonymous

Plot Summary | Add Synopsis


Comedy | Drama


TV-PG | See all certifications »






Release Date:

24 August 2011 (USA) See more »

Filming Locations:

Southampton, New York, USA

Company Credits

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Technical Specs


Sound Mix:

Dolby Digital



Aspect Ratio:

1.78 : 1
See full technical specs »

Did You Know?


Madeline Zima plays Toby Thompson, a nanny. Madeline became famous as a child star playing the youngest Sheffield sibling, Gracie, on the sitcom The Nanny (1993) opposite Fran Drescher. See more »


Dr. Hank Lawson: [Evan hits a cream puff at Hank's car] Whoa! Trying to tell me something?
Evan R. Lawson: No. General Collins has a message for you, though. He said stay the hell away.
Dr. Hank Lawson: What?
Evan R. Lawson: Yeah, he stopped by after taking his wife home from Hamptons Heritage.
Dr. Hank Lawson: No, no, no, no. Ellen shouldn't be home. She should still be under supervised care.
Evan R. Lawson: Oh, really? 'Cause you just always know what's best for everyone, don't you?
Dr. Hank Lawson: Has Paige talked to you?
Evan R. Lawson: Why would she talk to me when she can talk to you? The only thing I know for sure ...
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Performed by The Blue Van
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User Reviews

#3.9 Patient with Torsades
5 September 2011 | by rhancock2-1See all my reviews

Loved the episode, but there were several continuity and medical errors in the episode. When Dr Lawson discovered the nanny having a seizure who then became unresponsive, he placed EKG leads on the patient. The monitor read that he was in "Lead II", but the leads were placed incorrectly for Lead II. Lead II is "white on the right, red to the ribs, what's left over (black), over the left shoulder" or "White to right, smoke over fire". On three separate views of the patient, the leads were in different locations each time. Discovering the patient was in V-Fib, he then placed the defib paddles over the patients clothes after applying gel to the paddles. In this situation, the blouse should be removed or opened to give better contact with the skin. He then discovered she was in Torsades de Pointes, and gave Magnesium...when done. I suspect that any ICU nurse or ER tech would not make these errors let alone an ER doc.

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