Miami Medical (2010) s01e01 Episode Script
Pilot
And mint double chip on the top.
It's 10:30 in the morning, Anna.
In that case, better make it a triple.
You are going to explode.
Yes, I am.
And the first thing this baby's going to say is, "thank you "for that cool, sweet, wonderful" Ice cream, two o'clock! Okay.
All right.
Stay here.
You better enjoy this, because the next time we're going to be able to afford a trip like this will be when the kid is 20.
And because, this one last time, it's just you and me.
So chocolate fudge on the bottom and mint double chip on top.
You want a cup or a cone? -(Explosion) -(Screams) (Tires screech) (Crashing thud) (Car alarms blaring) What the hell was it? I don't know.
(Bystanders shouting) Are you? I'm I'm fine.
Are you okay? Yeah.
Yes.
(Relieved laughter) (Laughing and sobbing) Yes.
(Sighs) (Engine revving) (distant shouts) Mukesh! Mukesh needs help! Jonathan.
Jonathan.
Anna.
Anna? (Gasps) (Grunts) I need a doctor! Doctor! I need a doctor! Anna, Anna (People yelling) man: Miami trauma one is a joint you don't want to end up in.
'Cause being here means that you're staring at your last hour on this big, blue marble.
What we don't do: Bloody noses or puking teenagers or sprained fingers or any of that sit-here-and-wait-till-we-got- time-to-look-at-you junk.
We leave that to the good folk in the Er.
What we do: Golden hour.
Last 60 minutes for doctors to save a soul.
If you're dying, well, then being here is better than being anywhere else in the world.
'Cause our one and only purpose is to get you stable and save your damn life.
Not your break yet, Andrea.
We've got five trauma suites, two helipads, and 15 trauma surgeons who are the envy of the known universe.
Nurse Carol will now take you upstairs, 'cause we got incoming.
Hey, Eva.
Hey, caballero, how was the morning commute? (Groans) I'm clocking like 23 miles an hour coming over that causeway.
Oh? And some Nimrod in a Hyundai forgets to check his blind spot.
(Pager beeping) (Chuckles) We got incoming, right? Yes.
A gas explosion in Biscayne Bay.
We've got at least four incoming.
First up, auto versus pedestrian, it's about six minutes out.
We've also got a third- trimester pregnancy with multiple lacerations.
EMTs are trying to stabilize her on the scene before they put her on a bird.
Rayner here yet? Whatever happened to "on time is two hours early"? Third shift in a row.
Wait.
No one's seen Rayner? Man: I have and he looked like crap.
(Laughter) Alpha team only, please.
Chris, Eva, when things quiet down, I need five minutes of your time.
Our gunshot wound to the neck from this weekend will be discharged this afternoon, thanks to Dr.
C's elegant jugular vein repair.
(Clapping) Nice job, Dr.
C.
Way to go! And we should offer our congratulations to Dr.
Warren on having achieved her three-months mark in the discipline of team trauma.
(Hooting) (Pagers beeping) Well done.
All right, let's get to work.
Man: Jonathan harding, 16.
Auto versus pedestrian.
Collapsed lung left side.
Help! I don't know what happened.
There was an explosion.
My son rushed in to help.
He never even saw the car coming.
Hey, don't you mind us, Jonathan, all right? We're just turning these into rip-away pants in case the '80s come back.
Where's my dad? Just in the other room, Jonathan, all right? Calm down.
I can't breathe.
I can't breathe! I can't breathe! Keep your mask on, Jonathan.
Keep your mask on.
I can't! Jonathan? Jonathan? Chris: He's out.
Rayner: Dr.
Warren, let's intubate.
Eva, place a chest tube on the left.
Got it.
(Monitor beeping) How about stabilizing that blood pressure for me, kid? BP's up to 85 systolic.
All right, thataboy.
Nice.
Man: We've got six more incoming.
Three critical red bands.
What about our pregnant woman? She's on the next bird.
Four minutes.
Okay, Chris and Eva Yeah.
Yeah, we're on it.
Tuck, can you make sure we type and cross for four units? Got it.
Rayner: You assigned your nurses, tuck? Yep.
Ob's been notified and the boa cart is standing by in case we're birthing some babies.
(Rapid beeping) Pressure's dropping.
50 systolic.
Did you say "50 systolic"? Chris: What, did a lung go down? No, it's not possible.
He's crashing.
Lung is up.
Bilateral breath sounds.
(Flatline tone beeping) E.
A.
No pulse.
Starting compressions.
Chris: I need two more units.
Will you pass me the ultrasound? A little room, please.
A little room, please.
Pull it back.
Pull it back.
Pull it back.
(Steady beeping) Too much fluid around the heart.
It won't beat.
Tuck: Systolic's up to 82.
Sinus rhythm.
Hot damn.
You saved him.
(Monitor continues beeping) Everything all right, Dr.
Rayner? William? (Monitor continues beeping) Where is he going? Well, that was interesting.
(Indistinct radio transmission) Naked, buck naked.
Stark-raving, fleshy-birthday-suit naked.
I was there, Serena.
First day on my trauma rotation at Hopkins, the attending said something like 60% of trauma doctors wash out.
Yeah, in the first five years, yes.
But Rayner? He's been around since before trauma was housed in its own building, right? Put your gloves on.
(Helicopter approaching) 27-year-old, pregnant, 30 weeks.
Ejected from vehicle with lacerations.
Hypotension and tender gravid abdomen.
Hear any fetal heart sounds? It's a helicopter.
I could barely hear myself think.
Can you tell me your name? Anna.
Well, Anna, I'm Dr.
Zambrano and with me is Dr.
Warren.
Any problems with the pregnancy so far? The baby is the baby okay? We'll find out.
I need you to stay as still as possible.
50 of Fent for the pain? BP's too low.
Hey, Anna, can you tell me where you are? Bermuda.
Okay, let's run the ABCs.
Airway's clear.
Breathing.
Mild respiratory distress.
Write it down.
First rule of Rayner: Always be documenting.
Circulation Low BP: 70/40.
Want me to get the portable Doppler, check on the baby? The only way to save the baby is to save the mother.
Oh, we got a bleeder.
Gauze.
Flexible.
If you could just take this from me.
Trauma 2 is prepped and ready.
Anna, this is our charge nurse, tuck Brody.
He's going to take you the rest of the way.
So With Rayner gone, who's in charge? Well, it's straight seniority.
Chris outranks you by three years, and I outrank him by two.
So you're in charge.
Yeah, I'm in charge.
All right.
Hey.
All eyes on me, people.
All right? Listen.
I know we've had a lot of chaos this morning, all right? But you've got to shake that off, we've gotta laser in to the task at hand here, all right? So, Dr.
Zambrano and I? We're taking pregnant, multiple lacerations into trauma 2.
But we still want an update every ten minutes on our 16-year-old auto-versus-peds.
And I need a five-minute heads-up before hand amputation and burn guy hit that door.
All right? Come on.
Let's do it.
Get me a fetal monitor and 25 of Fent in her, like, speedy-Gonzales-fast.
All right? "Dr.
Zambrano and I?" Just trying to help.
Well, your helping's not helping.
Called Rayner's cell.
And? Voicemail.
I need lido with EPI.
You think he had some sort of psychotic break? Either that or he had an early dinner reservation at Nobu.
Can I get an irrigation setup with a splash guard? Thank you.
Rayner's not walking through that door.
That was a trauma meltdown.
He's not coming back.
All right.
Okay.
I want direct pressure on these bleeders.
Grab some suture trays.
Tuck, call ct for a head-chest- neck-abdopelvis.
We're going to shield this baby.
You guys, if we don't stop this bleeding, nothing else is going to matter, so let's do this.
Could you tell me where my wife is? Has your neck been looked at, sir? Yeah.
I was over at the other building.
Uh, where the Er is.
Ah.
And they discharged you.
My wife? I'll take a look for her.
Why don't you come sit down right over here? Zambrano: Lacerations are closing nicely.
Bleeding's under control.
How we doing with the baby? Fetal monitor shows decelerations, but overall, heartbeat has good variability.
Tuck, what do I need? Three units o-neg.
Look at us go, folks.
Ah, ah, ah, ah.
Would you cut and learn? All right? Get me another five-oh Vicrylr, will you? You know, all the, uh, color commentary? Right? Well, let's just say in Cuba, they call that Huevos.
Huevos? Mm-hmm.
Balls.
(Chuckles) You got some balls, Chris.
I prefer to think of it as I'm just showing a little A little confidence and charisma in the presence of the probable new Alpha team chief.
(Chuckles) It makes complete sense.
You're the obvious choice.
Nothing would make me happier.
Yeah? You know what would make me happier? What's that? Another four-oh Prolene, please.
(Knocking) That's That's my wife.
How's my wife? Marc? Zambrano: Uh-oh.
Whoa, whoa, whoa.
Marc: Anna! No, no, no, no.
Uh-uh.
Anna! Anna! Anna! Marc! Anna, stay still! Can somebody get a hold of that guy? Anna, stay still! Anna.
The baby?! Anna! Anna, stay calm! (Screaming) Okay, she's tearing her sutures here.
Stay still.
Stay still.
Okay, I lost fetal heartbeat.
No! No! Listen to me.
I want you to save my baby! All right.
Okay.
I can't get a heartbeat here.
Anna, listen to me.
Pressure's dropping.
She's ripping everything open again.
Okay! Got another bleeder.
Listen.
Do you want to hear your baby's heartbeat? Do you want to hear it? Listen.
Shh! Shh! (Rhythmic beating) You hear that? There.
Okay.
You hear that? Yeah.
That's your baby.
That's your baby, honey.
Your baby needs you to stay quiet, okay? Okay.
Okay.
What do you say I take Warren and my huevos over to the ambulance Bay there, boss lady? Oh, as long as you stop calling me "boss lady.
" Picasso.
You ready? (Sighs) Drink? It's Marc, right? I'm sorry for what happened back there.
I just saw Anna laying there.
No blood, no foul.
Yeah.
Where'd you learn a take-down like that? Grew up in Wyoming.
I spent most of my High School weekends at the rodeo.
What, didn't know black people did the rodeo? I didn't know black people did Wyoming.
(Laughs) My wife and the baby? They're going to be okay, right? We got to her early.
Look, I'm partial.
But trauma docs? The best and the brightest.
The rock stars of medicine.
The ones here at Miami trauma one? They're the rolling stones.
Medic: We have incoming.
Make some room.
Medic 2: Mukesh Jindhal, third-degree burn over trunk, face, and extremities.
Okay.
Trauma 3.
Set up to intubate.
Place a central line.
(Australian accent): This is Javier Cruz.
Comminuted open fracture mid-femur.
Near amputation, right hand.
Pressure's fine so far, but we've got massive blood loss.
Where am I going? This guy needs two units of o-neg stat.
Here? Uh okay, so who the hell was that guy? What I'm doing here is, uh, slowing down your bleeding before I tend to your hand.
If you're impressed by this, you should see me hem pants and darn socks.
Can you knit a sweater? (Chuckles) Garter rib or mock cable? Zambrano: Not to be a stickler, but I'm going to assume for insurance purposes that That I'm a doctor? Yeah.
Oh, yeah.
Yeah, I'm a doctor.
(Laughing) Hi.
I'm Matt proctor.
Hi.
Just moved down from Maryland.
As you can tell from the accent.
Have a GI surgery practice there.
Hemorrhoids and hernias? Yeah, but after two tours of trauma in Gulf I and three years at the military hospital at Landstuhl I was supposed to start here as a surgeon next week with Charlie team, and I was upstairs, filling out I-9s when I heard that your Chief dumped out.
He didn't dump out.
Well, whatever he did, I thought I'd just come down and lend a ha (Chuckling) You know, in recognition of Mr.
Cruz's condition, I'm going to choose not to complete that sentence.
There was a little girl underneath a diner sign.
I saw the sign falling.
So I pushed her out of the way.
(Laughing) Is she alive? Yeah.
We'll see if we can find out what happened to her, Mr.
Cruz.
That my hand? That's-that's cool, man.
"Cool," the morphine says.
Now, people, given our patient's positive attitude, let's make sure he can enjoy a life of ambidextrous masturbation, shall we? That's the hand I use.
Is it? (Chuckling) I've been meaning to ask.
Who's in charge? I am.
What do we have? He doesn't speak English.
Hmm.
He got third-degree burns over 80%.
Patient's on the vent.
Crackles, third spacing.
If he's got next of kin, we've got to find them 'cause, I mean, nobody survives burns like this.
Could you get me another five morphine? He kept repeating the same thing over and over when he first came in.
I wrote it down.
"Ennodia Manjal Rosa.
" We'll get a translator.
Yeah.
I mean, he's got two hours, maybe three.
So, if there's family, we've got to find them.
Didn't he come in here with somebody? Hey! Can I talk to you for a minute? Wait! Wait! Hey, come on, man.
Slow down.
Hey! Come on.
I just want to talk to you for one minute.
Sir! Sir! Whoa.
Whoa, whoa.
You all right, buddy? Me and Mukesh don't do anything.
Okay, I just want to take a look at your ankle, all right? We smell gas, then boom! Listen, I need to know Mukesh's next of kin.
All right? I mean, does he have any-any parents, any siblings? I'm his brother, Hemendra.
When he came in here, he was, um He was saying something.
It was, uh Enno-something, Manja-something.
Ennodia Manjal Rosa.
Yeah, yeah, yeah.
What-what is that? "My yellow rose.
" Nishta.
Almost wife.
Nishta.
So, this is this is his fiancée? They will be married in two months.
Look, your-your, uh, brother? Um, his burns are well beyond the mortality threshold.
Mukesh does not have long to live.
He wasn't even supposed to work today.
He took an extra shift to help pay for the wedding.
Listen, I understand, all right? I am I'm sorry.
But I want to make sure that Mukesh gets a chance to see his fiancée.
All right? So I need you to do something for me.
Could you call Nishta for me? Could you do that? All right.
She's doing better, but she has a pelvic fracture and some bleeding.
So we're taking her to angiography to plug it up under a real-time X-ray.
Well, she and the baby are going to be all right? We're well on our way, Mr.
Tischer.
It's okay if I kiss her? If you don't, I will.
Come on.
Okay, hold the door.
Doppler.
Why does a guy leave a cushy private practice for four 12-hour trauma shifts a week? I got a friend in hr.
She overheard Dr.
proctor on his cell.
Sounds like marital issues.
I'll tell you what, with Rayner gone, I will bet my huevos this guy is going to end up with us.
(Chuckles) What? Come on, what do you know, eva? I know the baby's alive.
(Heart beating) (Elevator bell dings) Who here approved the new guy moving the hand replant to an or? Oh.
Chris? Yeah, I got this one.
Dr.
proctor.
Great.
Could you grab that tray? The one with the bowl.
Okay, javier, um What I'm about to do might seem a little drastic.
The cleaner the edge, the easier it'll be to reattach.
That's so weird, man.
(Chuckles) Could you hold on to that? Just take the hand.
That's it.
There we are.
You're gonna give that hand back, right, doc? I got twin boys back at homestead I I need to take care of.
You just think about the twins, and let me worry about the hand.
(Laughing): Okay.
You know, I think I'm gonna grab the, uh, the resident, Dr.
Warren, off the burn victim to prepare for the hand surgeons.
Okay, listen, I understand.
You're used to working alone, Dr.
proctor got that but we got a way of doing things around here, okay? Yeah, I'm sure you do.
Proctor: So come on.
Give me the skinny.
Warren: The skinny? Yeah.
Dr.
Zambrano and the other guy.
Dr.
C.
Yeah, Dr.
C.
They both, uh, pretty much think they're the cock of the walk, don't they? Just tie it off like this.
Got it.
Like a bow on a birthday present.
Whereas I'm the new guy, and, um, you're the resident.
We should stick together.
To survive.
Doctor.
Dr.
C.
Is a genius cowboy.
And Zambrano, youngest female trauma fellow in the country.
She's had my back since day one.
Not easy being a resident.
Especially one who looks like she's still in High School.
And you? Okay, my secret my deep, dark, awful secret is that I'm very good at keeping secrets.
You've reached the voicemail of Dr.
William Rayner.
I cannot come to the Sats on my burn guy are dropping.
His fiancée's stuck in traffic South of Gainesville.
(With British accent): you've got Dr.
Tea and biscuits taking Juan into his replant.
Dr.
tea and biscuits? Oh, yeah, Mr.
newly arrived three citations for valor at landstuhl.
What? Oh, yeah.
Took a peek at his admin file.
God, this is fun watching someone get under your skin like this, Chris.
This is funny to you? This is hysterical.
I mean, you're Rayner's right hand.
You're the doctor that he's grooming for trauma chief.
But because proctor is attending level and you're not yet, admin could appoint him over you.
You want to know what bothers me? What's that? That there's still a 33% chance that my pregnant with lacs can lose her baby.
That's what bothers me.
And that I can do something about.
All right, Anna, we're gonna stop pushing you around like an applecart.
We'll take you to the icu where you can recover.
(Groans) My stomach.
What's going on? I can't I can't There's something wet in my right ear.
Oh, my God.
(Screaming) Okay, okay, okay.
Hold still.
The canal's filled with blood.
How is that possible? It was just a superficial abrasion.
The heart rate is crashing.
What's happening? Severe acute abdominal pain.
We've got fetal decelerations and now bleeding.
Placental abruption with dic.
Call ob! Okay, Anna, okay.
Anna Hey, this is Dr.
Deleo from trauma.
We have a crashed c-section with severe What do you mean? She's already Okay, okay, so tell her to get here as soon as she can.
Give me the elevator key card.
(Gasping) No, no, no, ob is down.
Ob is three buildings away.
We're not going to make it there in time.
We're delivering this baby ourselves.
Anna, we think your placenta has separated from your uterus, which is causing your body to bleed.
It's third trimester, sweetie, all right.
You're good to go.
Hey, if you're not busy right now, come join us.
We're about to add one to the population of South beach.
Proctor: Go get platelets.
And find an anesthesiologist.
Then call pedes.
She's in surgery.
We're doing everything we can.
This morning Anna and I are on vacation.
Discussing our baby.
We're gonna name him cole after Anna's grandfather.
He died last summer.
If I ever get to talk to my wife again If I ever get to meet my my son He's not breathing.
I guess that's in your hands now.
Come on, little fella.
Come on.
Come on.
(Baby crying) Life how bloody beautiful.
You all right? Yeah.
Yeah, I guess I'm just a little trauma-rusty.
I don't know what made me think I could step right back in.
I mean, Kuwait was I was back in my 20s then.
This is like Kuwait to you? This is like mash in paradise.
You did really good work with javier and his hand.
I created scar tissue and cost time.
You're just trying not to make mistakes.
You can't do that.
You know the surgeon's motto about "often wrong, never doubting"? This isn't a safe arena.
This is golden hour.
Every patient life or death.
Anyway, safety's overrated.
At least with safe you don't snap.
Well, you know, anyone can come up against a moment that pushes them to the brink.
Most of us never see it coming.
Steriles, please.
His lungs are filled with fluid.
His kidneys? Shut down.
Any luck with his fiancée? Still driving down from Orlando.
She's not going to make it in time.
All right.
What are you doing? I'm going to do an escharotomy.
Mukesh, Mukesh, we're going to cut your scars and let your lungs expand, so so you can breathe easier, all right? Ennodia Manjal Rosa.
All right? I know, I know, I know.
She's on her way.
Admin's gonna be all over your ass for the cost on this one.
Yeah? Tell them my credit card's in my wallet and they can charge me for it.
This is only going to buy him another half hour or so.
There's no way his fiancée makes it here in time.
But she will make it to mercy in Orlando.
So then I go talk to it Yeah.
And they make the hookup from there, okay? Listen to me, Mukesh.
You hang in there.
We're gonna get Nishta here.
You want you want me to take your tube out? Woman: Mukesh.
(Speaking foreign language) Nishta.
(Both speaking foreign language) (Flatline tone beeping) (Sobbing) Coffee? Thank you.
You know, you go to med school, and you've got this vision that you're going to save every damn soul.
But when a patient comes in and they got no chance, and all you can do is to try and do right by their last wish I don't know, maybe that's what makes you take your clothes off and walk naked through the bullpen.
Maybe.
We're asked to bring people back from the brink.
But then somebody like Rayner gets in trouble And who's there to save him? It's been some day, huh? Some day.
So they've stabilized the bones; They've repaired the tendons and the vascular supply.
There's no guarantee, but, um, there is an 80% success rate for re-implanted limbs.
All that, Javier, and you're a hero.
What does that matter, huh, if I still have a 20% chance of losing a hand? What am I gonna get? One of One of those damn hooks? I don't know if this is a good time, but I got somebody here to see you.
Angelica the little girl you pushed out of the way of the diner sign.
Thank you.
(Sighs) You're welcome.
Anyone seen Mr.
Tischer? Husband of pregnant blast victim, father of new baby boy? Men's bathroom, I think.
Mr.
Tischer, I've got great news.
(Grunting) Marc? (Alarm wails) We got a code blue here! Code blue! Where'd you find him? Men's bathroom.
He's got a puncture wound here.
Must've injured his carotid during the car crash.
I bet he clotted off the injury and somehow dislodged the clot.
Tuck: Okay, fluids are running.
Okay, listen to me.
Hey, stay strong, champ, all right? Your wife and baby are counting on you.
Push 20 of Etomidate, 100 of Succs Anna! (Gasps) Okay, he's out.
The wife and the baby stable.
We're gonna lose the one family member that walks into trauma.
Suction.
Oh, the anatomy shifted.
I can't see his cords.
Give me the fiber-optic scope.
Sats are dropping.
His landmarks are a mess.
All right, wait a minute.
I see the cords.
Advancing the tube.
Is this Marc, the father? Yes, it is.
His sats are coming up, but his pressure's down to 70.
We cannot let this guy die.
Proctor: Where do you need me? Where don't we need you? Any idea how long he's been out? Tuck: No.
About 52 minutes.
So much for golden hour.
All right, get me the Foley catheter.
I'll use a balloon to tamponade the bleeding.
Send this guy up to the or.
Balloon? What are you talking about? Tachy up to 150.
Come on, Chris.
Just cut and stop the bleeding.
Rapid infuser.
Give me two units.
Got the Foley.
No, no, you go with the Foley, this guy's gonna bleed out and die on the table.
Yeah, and you cut and can't tie off in time, your result's the same.
Balloon's going in.
(Monitor beeping) Pressure's down to 40.
Oh, he's bleeding around the balloon.
Grab the crash cart.
I can do this, all right? I can.
Let me guess: This is where Dr.
Rayner would have made the call, right? (Alarm beeping rapidly) That's it.
I'm cutting.
Give us some room, please, Dr.
C.
Yeah.
Proctor: Dr.
Warren, if you could assist, please? What are you looking for? Common carotid.
Okay, so retract the muscle away.
Vessel loops.
Hemostat.
I'm applying pressure below the incision.
That's nice, Dr.
C.
He's still bleeding.
That's fine.
Unavoidable.
I can't I can't I can't see the Here, I'll retract the edge for you.
Thank you.
Nice and easy.
He's still bleeding.
It's stopping! The bleeding's slowing down.
Okay, so now tie off the internal and external carotids.
(Beeping rapidly) You got it.
Yeah, she's got it.
Tuck: Pressure's up to 75.
Field looks dry.
Bleeding has stopped.
Okay, so now he's not dying.
Who says we make this guy better? Look at us go, folks, huh? (Chuckles) Oh, I wouldn't make any sudden moves.
You had a carotid puncture that became a big tear.
And we stopped the bleeding, but you're not out of the woods yet.
And you can't talk because we had to secure your airway with a breathing tube.
But we'll remove it once you're more stable.
I'm fine.
Cole's fine.
Maybe I shouldn't have asked for that double scoop.
Proctor: I'll tell you, after two weeks in Kuwait, we were so desperate we were making Martinis in empty iv bags.
(All laugh) Well, if you think Kuwait made you desperate, try working with Chris for three years.
Oh! Look what the cat dragged in.
Oh, bite me, cowboy.
I'm gonna go get another round.
No, it's my turn.
No, no, I'm buying this time.
Is it my imagination, or did everyone just scatter? I don't know.
Maybe they think we're sleeping together.
(Laughs) Did you check your cell phone? No.
We got calls from Admin.
They're giving you Rayner's position, aren't they? They're giving me Rayner's position.
Ha! Proctor.
They wanted us both to know.
You could be Chief, you know that, right? You proved that today.
You proved that a thousand times before.
Well, if I were Chief, you'd be the first doctor I'd want on my team.
So your secret-keeping is paying dividends.
There are rumors about your story, where you're from, why you're here.
And there's the scar.
Want to know why I'm here? I'm here to live.
There comes a time a time in everyone's life there you go.
Cheers, everybody.
Mmm.
All right, what are we toasting to? To 85 degrees and sunny in January.
(All chuckle) To the best damn surgeons in South beach.
To Alpha team.
No.
To your Dr.
Rayner.
All: Dr.
Rayner.
Dr.
Rayner.
Let it be me ooh!
It's 10:30 in the morning, Anna.
In that case, better make it a triple.
You are going to explode.
Yes, I am.
And the first thing this baby's going to say is, "thank you "for that cool, sweet, wonderful" Ice cream, two o'clock! Okay.
All right.
Stay here.
You better enjoy this, because the next time we're going to be able to afford a trip like this will be when the kid is 20.
And because, this one last time, it's just you and me.
So chocolate fudge on the bottom and mint double chip on top.
You want a cup or a cone? -(Explosion) -(Screams) (Tires screech) (Crashing thud) (Car alarms blaring) What the hell was it? I don't know.
(Bystanders shouting) Are you? I'm I'm fine.
Are you okay? Yeah.
Yes.
(Relieved laughter) (Laughing and sobbing) Yes.
(Sighs) (Engine revving) (distant shouts) Mukesh! Mukesh needs help! Jonathan.
Jonathan.
Anna.
Anna? (Gasps) (Grunts) I need a doctor! Doctor! I need a doctor! Anna, Anna (People yelling) man: Miami trauma one is a joint you don't want to end up in.
'Cause being here means that you're staring at your last hour on this big, blue marble.
What we don't do: Bloody noses or puking teenagers or sprained fingers or any of that sit-here-and-wait-till-we-got- time-to-look-at-you junk.
We leave that to the good folk in the Er.
What we do: Golden hour.
Last 60 minutes for doctors to save a soul.
If you're dying, well, then being here is better than being anywhere else in the world.
'Cause our one and only purpose is to get you stable and save your damn life.
Not your break yet, Andrea.
We've got five trauma suites, two helipads, and 15 trauma surgeons who are the envy of the known universe.
Nurse Carol will now take you upstairs, 'cause we got incoming.
Hey, Eva.
Hey, caballero, how was the morning commute? (Groans) I'm clocking like 23 miles an hour coming over that causeway.
Oh? And some Nimrod in a Hyundai forgets to check his blind spot.
(Pager beeping) (Chuckles) We got incoming, right? Yes.
A gas explosion in Biscayne Bay.
We've got at least four incoming.
First up, auto versus pedestrian, it's about six minutes out.
We've also got a third- trimester pregnancy with multiple lacerations.
EMTs are trying to stabilize her on the scene before they put her on a bird.
Rayner here yet? Whatever happened to "on time is two hours early"? Third shift in a row.
Wait.
No one's seen Rayner? Man: I have and he looked like crap.
(Laughter) Alpha team only, please.
Chris, Eva, when things quiet down, I need five minutes of your time.
Our gunshot wound to the neck from this weekend will be discharged this afternoon, thanks to Dr.
C's elegant jugular vein repair.
(Clapping) Nice job, Dr.
C.
Way to go! And we should offer our congratulations to Dr.
Warren on having achieved her three-months mark in the discipline of team trauma.
(Hooting) (Pagers beeping) Well done.
All right, let's get to work.
Man: Jonathan harding, 16.
Auto versus pedestrian.
Collapsed lung left side.
Help! I don't know what happened.
There was an explosion.
My son rushed in to help.
He never even saw the car coming.
Hey, don't you mind us, Jonathan, all right? We're just turning these into rip-away pants in case the '80s come back.
Where's my dad? Just in the other room, Jonathan, all right? Calm down.
I can't breathe.
I can't breathe! I can't breathe! Keep your mask on, Jonathan.
Keep your mask on.
I can't! Jonathan? Jonathan? Chris: He's out.
Rayner: Dr.
Warren, let's intubate.
Eva, place a chest tube on the left.
Got it.
(Monitor beeping) How about stabilizing that blood pressure for me, kid? BP's up to 85 systolic.
All right, thataboy.
Nice.
Man: We've got six more incoming.
Three critical red bands.
What about our pregnant woman? She's on the next bird.
Four minutes.
Okay, Chris and Eva Yeah.
Yeah, we're on it.
Tuck, can you make sure we type and cross for four units? Got it.
Rayner: You assigned your nurses, tuck? Yep.
Ob's been notified and the boa cart is standing by in case we're birthing some babies.
(Rapid beeping) Pressure's dropping.
50 systolic.
Did you say "50 systolic"? Chris: What, did a lung go down? No, it's not possible.
He's crashing.
Lung is up.
Bilateral breath sounds.
(Flatline tone beeping) E.
A.
No pulse.
Starting compressions.
Chris: I need two more units.
Will you pass me the ultrasound? A little room, please.
A little room, please.
Pull it back.
Pull it back.
Pull it back.
(Steady beeping) Too much fluid around the heart.
It won't beat.
Tuck: Systolic's up to 82.
Sinus rhythm.
Hot damn.
You saved him.
(Monitor continues beeping) Everything all right, Dr.
Rayner? William? (Monitor continues beeping) Where is he going? Well, that was interesting.
(Indistinct radio transmission) Naked, buck naked.
Stark-raving, fleshy-birthday-suit naked.
I was there, Serena.
First day on my trauma rotation at Hopkins, the attending said something like 60% of trauma doctors wash out.
Yeah, in the first five years, yes.
But Rayner? He's been around since before trauma was housed in its own building, right? Put your gloves on.
(Helicopter approaching) 27-year-old, pregnant, 30 weeks.
Ejected from vehicle with lacerations.
Hypotension and tender gravid abdomen.
Hear any fetal heart sounds? It's a helicopter.
I could barely hear myself think.
Can you tell me your name? Anna.
Well, Anna, I'm Dr.
Zambrano and with me is Dr.
Warren.
Any problems with the pregnancy so far? The baby is the baby okay? We'll find out.
I need you to stay as still as possible.
50 of Fent for the pain? BP's too low.
Hey, Anna, can you tell me where you are? Bermuda.
Okay, let's run the ABCs.
Airway's clear.
Breathing.
Mild respiratory distress.
Write it down.
First rule of Rayner: Always be documenting.
Circulation Low BP: 70/40.
Want me to get the portable Doppler, check on the baby? The only way to save the baby is to save the mother.
Oh, we got a bleeder.
Gauze.
Flexible.
If you could just take this from me.
Trauma 2 is prepped and ready.
Anna, this is our charge nurse, tuck Brody.
He's going to take you the rest of the way.
So With Rayner gone, who's in charge? Well, it's straight seniority.
Chris outranks you by three years, and I outrank him by two.
So you're in charge.
Yeah, I'm in charge.
All right.
Hey.
All eyes on me, people.
All right? Listen.
I know we've had a lot of chaos this morning, all right? But you've got to shake that off, we've gotta laser in to the task at hand here, all right? So, Dr.
Zambrano and I? We're taking pregnant, multiple lacerations into trauma 2.
But we still want an update every ten minutes on our 16-year-old auto-versus-peds.
And I need a five-minute heads-up before hand amputation and burn guy hit that door.
All right? Come on.
Let's do it.
Get me a fetal monitor and 25 of Fent in her, like, speedy-Gonzales-fast.
All right? "Dr.
Zambrano and I?" Just trying to help.
Well, your helping's not helping.
Called Rayner's cell.
And? Voicemail.
I need lido with EPI.
You think he had some sort of psychotic break? Either that or he had an early dinner reservation at Nobu.
Can I get an irrigation setup with a splash guard? Thank you.
Rayner's not walking through that door.
That was a trauma meltdown.
He's not coming back.
All right.
Okay.
I want direct pressure on these bleeders.
Grab some suture trays.
Tuck, call ct for a head-chest- neck-abdopelvis.
We're going to shield this baby.
You guys, if we don't stop this bleeding, nothing else is going to matter, so let's do this.
Could you tell me where my wife is? Has your neck been looked at, sir? Yeah.
I was over at the other building.
Uh, where the Er is.
Ah.
And they discharged you.
My wife? I'll take a look for her.
Why don't you come sit down right over here? Zambrano: Lacerations are closing nicely.
Bleeding's under control.
How we doing with the baby? Fetal monitor shows decelerations, but overall, heartbeat has good variability.
Tuck, what do I need? Three units o-neg.
Look at us go, folks.
Ah, ah, ah, ah.
Would you cut and learn? All right? Get me another five-oh Vicrylr, will you? You know, all the, uh, color commentary? Right? Well, let's just say in Cuba, they call that Huevos.
Huevos? Mm-hmm.
Balls.
(Chuckles) You got some balls, Chris.
I prefer to think of it as I'm just showing a little A little confidence and charisma in the presence of the probable new Alpha team chief.
(Chuckles) It makes complete sense.
You're the obvious choice.
Nothing would make me happier.
Yeah? You know what would make me happier? What's that? Another four-oh Prolene, please.
(Knocking) That's That's my wife.
How's my wife? Marc? Zambrano: Uh-oh.
Whoa, whoa, whoa.
Marc: Anna! No, no, no, no.
Uh-uh.
Anna! Anna! Anna! Marc! Anna, stay still! Can somebody get a hold of that guy? Anna, stay still! Anna.
The baby?! Anna! Anna, stay calm! (Screaming) Okay, she's tearing her sutures here.
Stay still.
Stay still.
Okay, I lost fetal heartbeat.
No! No! Listen to me.
I want you to save my baby! All right.
Okay.
I can't get a heartbeat here.
Anna, listen to me.
Pressure's dropping.
She's ripping everything open again.
Okay! Got another bleeder.
Listen.
Do you want to hear your baby's heartbeat? Do you want to hear it? Listen.
Shh! Shh! (Rhythmic beating) You hear that? There.
Okay.
You hear that? Yeah.
That's your baby.
That's your baby, honey.
Your baby needs you to stay quiet, okay? Okay.
Okay.
What do you say I take Warren and my huevos over to the ambulance Bay there, boss lady? Oh, as long as you stop calling me "boss lady.
" Picasso.
You ready? (Sighs) Drink? It's Marc, right? I'm sorry for what happened back there.
I just saw Anna laying there.
No blood, no foul.
Yeah.
Where'd you learn a take-down like that? Grew up in Wyoming.
I spent most of my High School weekends at the rodeo.
What, didn't know black people did the rodeo? I didn't know black people did Wyoming.
(Laughs) My wife and the baby? They're going to be okay, right? We got to her early.
Look, I'm partial.
But trauma docs? The best and the brightest.
The rock stars of medicine.
The ones here at Miami trauma one? They're the rolling stones.
Medic: We have incoming.
Make some room.
Medic 2: Mukesh Jindhal, third-degree burn over trunk, face, and extremities.
Okay.
Trauma 3.
Set up to intubate.
Place a central line.
(Australian accent): This is Javier Cruz.
Comminuted open fracture mid-femur.
Near amputation, right hand.
Pressure's fine so far, but we've got massive blood loss.
Where am I going? This guy needs two units of o-neg stat.
Here? Uh okay, so who the hell was that guy? What I'm doing here is, uh, slowing down your bleeding before I tend to your hand.
If you're impressed by this, you should see me hem pants and darn socks.
Can you knit a sweater? (Chuckles) Garter rib or mock cable? Zambrano: Not to be a stickler, but I'm going to assume for insurance purposes that That I'm a doctor? Yeah.
Oh, yeah.
Yeah, I'm a doctor.
(Laughing) Hi.
I'm Matt proctor.
Hi.
Just moved down from Maryland.
As you can tell from the accent.
Have a GI surgery practice there.
Hemorrhoids and hernias? Yeah, but after two tours of trauma in Gulf I and three years at the military hospital at Landstuhl I was supposed to start here as a surgeon next week with Charlie team, and I was upstairs, filling out I-9s when I heard that your Chief dumped out.
He didn't dump out.
Well, whatever he did, I thought I'd just come down and lend a ha (Chuckling) You know, in recognition of Mr.
Cruz's condition, I'm going to choose not to complete that sentence.
There was a little girl underneath a diner sign.
I saw the sign falling.
So I pushed her out of the way.
(Laughing) Is she alive? Yeah.
We'll see if we can find out what happened to her, Mr.
Cruz.
That my hand? That's-that's cool, man.
"Cool," the morphine says.
Now, people, given our patient's positive attitude, let's make sure he can enjoy a life of ambidextrous masturbation, shall we? That's the hand I use.
Is it? (Chuckling) I've been meaning to ask.
Who's in charge? I am.
What do we have? He doesn't speak English.
Hmm.
He got third-degree burns over 80%.
Patient's on the vent.
Crackles, third spacing.
If he's got next of kin, we've got to find them 'cause, I mean, nobody survives burns like this.
Could you get me another five morphine? He kept repeating the same thing over and over when he first came in.
I wrote it down.
"Ennodia Manjal Rosa.
" We'll get a translator.
Yeah.
I mean, he's got two hours, maybe three.
So, if there's family, we've got to find them.
Didn't he come in here with somebody? Hey! Can I talk to you for a minute? Wait! Wait! Hey, come on, man.
Slow down.
Hey! Come on.
I just want to talk to you for one minute.
Sir! Sir! Whoa.
Whoa, whoa.
You all right, buddy? Me and Mukesh don't do anything.
Okay, I just want to take a look at your ankle, all right? We smell gas, then boom! Listen, I need to know Mukesh's next of kin.
All right? I mean, does he have any-any parents, any siblings? I'm his brother, Hemendra.
When he came in here, he was, um He was saying something.
It was, uh Enno-something, Manja-something.
Ennodia Manjal Rosa.
Yeah, yeah, yeah.
What-what is that? "My yellow rose.
" Nishta.
Almost wife.
Nishta.
So, this is this is his fiancée? They will be married in two months.
Look, your-your, uh, brother? Um, his burns are well beyond the mortality threshold.
Mukesh does not have long to live.
He wasn't even supposed to work today.
He took an extra shift to help pay for the wedding.
Listen, I understand, all right? I am I'm sorry.
But I want to make sure that Mukesh gets a chance to see his fiancée.
All right? So I need you to do something for me.
Could you call Nishta for me? Could you do that? All right.
She's doing better, but she has a pelvic fracture and some bleeding.
So we're taking her to angiography to plug it up under a real-time X-ray.
Well, she and the baby are going to be all right? We're well on our way, Mr.
Tischer.
It's okay if I kiss her? If you don't, I will.
Come on.
Okay, hold the door.
Doppler.
Why does a guy leave a cushy private practice for four 12-hour trauma shifts a week? I got a friend in hr.
She overheard Dr.
proctor on his cell.
Sounds like marital issues.
I'll tell you what, with Rayner gone, I will bet my huevos this guy is going to end up with us.
(Chuckles) What? Come on, what do you know, eva? I know the baby's alive.
(Heart beating) (Elevator bell dings) Who here approved the new guy moving the hand replant to an or? Oh.
Chris? Yeah, I got this one.
Dr.
proctor.
Great.
Could you grab that tray? The one with the bowl.
Okay, javier, um What I'm about to do might seem a little drastic.
The cleaner the edge, the easier it'll be to reattach.
That's so weird, man.
(Chuckles) Could you hold on to that? Just take the hand.
That's it.
There we are.
You're gonna give that hand back, right, doc? I got twin boys back at homestead I I need to take care of.
You just think about the twins, and let me worry about the hand.
(Laughing): Okay.
You know, I think I'm gonna grab the, uh, the resident, Dr.
Warren, off the burn victim to prepare for the hand surgeons.
Okay, listen, I understand.
You're used to working alone, Dr.
proctor got that but we got a way of doing things around here, okay? Yeah, I'm sure you do.
Proctor: So come on.
Give me the skinny.
Warren: The skinny? Yeah.
Dr.
Zambrano and the other guy.
Dr.
C.
Yeah, Dr.
C.
They both, uh, pretty much think they're the cock of the walk, don't they? Just tie it off like this.
Got it.
Like a bow on a birthday present.
Whereas I'm the new guy, and, um, you're the resident.
We should stick together.
To survive.
Doctor.
Dr.
C.
Is a genius cowboy.
And Zambrano, youngest female trauma fellow in the country.
She's had my back since day one.
Not easy being a resident.
Especially one who looks like she's still in High School.
And you? Okay, my secret my deep, dark, awful secret is that I'm very good at keeping secrets.
You've reached the voicemail of Dr.
William Rayner.
I cannot come to the Sats on my burn guy are dropping.
His fiancée's stuck in traffic South of Gainesville.
(With British accent): you've got Dr.
Tea and biscuits taking Juan into his replant.
Dr.
tea and biscuits? Oh, yeah, Mr.
newly arrived three citations for valor at landstuhl.
What? Oh, yeah.
Took a peek at his admin file.
God, this is fun watching someone get under your skin like this, Chris.
This is funny to you? This is hysterical.
I mean, you're Rayner's right hand.
You're the doctor that he's grooming for trauma chief.
But because proctor is attending level and you're not yet, admin could appoint him over you.
You want to know what bothers me? What's that? That there's still a 33% chance that my pregnant with lacs can lose her baby.
That's what bothers me.
And that I can do something about.
All right, Anna, we're gonna stop pushing you around like an applecart.
We'll take you to the icu where you can recover.
(Groans) My stomach.
What's going on? I can't I can't There's something wet in my right ear.
Oh, my God.
(Screaming) Okay, okay, okay.
Hold still.
The canal's filled with blood.
How is that possible? It was just a superficial abrasion.
The heart rate is crashing.
What's happening? Severe acute abdominal pain.
We've got fetal decelerations and now bleeding.
Placental abruption with dic.
Call ob! Okay, Anna, okay.
Anna Hey, this is Dr.
Deleo from trauma.
We have a crashed c-section with severe What do you mean? She's already Okay, okay, so tell her to get here as soon as she can.
Give me the elevator key card.
(Gasping) No, no, no, ob is down.
Ob is three buildings away.
We're not going to make it there in time.
We're delivering this baby ourselves.
Anna, we think your placenta has separated from your uterus, which is causing your body to bleed.
It's third trimester, sweetie, all right.
You're good to go.
Hey, if you're not busy right now, come join us.
We're about to add one to the population of South beach.
Proctor: Go get platelets.
And find an anesthesiologist.
Then call pedes.
She's in surgery.
We're doing everything we can.
This morning Anna and I are on vacation.
Discussing our baby.
We're gonna name him cole after Anna's grandfather.
He died last summer.
If I ever get to talk to my wife again If I ever get to meet my my son He's not breathing.
I guess that's in your hands now.
Come on, little fella.
Come on.
Come on.
(Baby crying) Life how bloody beautiful.
You all right? Yeah.
Yeah, I guess I'm just a little trauma-rusty.
I don't know what made me think I could step right back in.
I mean, Kuwait was I was back in my 20s then.
This is like Kuwait to you? This is like mash in paradise.
You did really good work with javier and his hand.
I created scar tissue and cost time.
You're just trying not to make mistakes.
You can't do that.
You know the surgeon's motto about "often wrong, never doubting"? This isn't a safe arena.
This is golden hour.
Every patient life or death.
Anyway, safety's overrated.
At least with safe you don't snap.
Well, you know, anyone can come up against a moment that pushes them to the brink.
Most of us never see it coming.
Steriles, please.
His lungs are filled with fluid.
His kidneys? Shut down.
Any luck with his fiancée? Still driving down from Orlando.
She's not going to make it in time.
All right.
What are you doing? I'm going to do an escharotomy.
Mukesh, Mukesh, we're going to cut your scars and let your lungs expand, so so you can breathe easier, all right? Ennodia Manjal Rosa.
All right? I know, I know, I know.
She's on her way.
Admin's gonna be all over your ass for the cost on this one.
Yeah? Tell them my credit card's in my wallet and they can charge me for it.
This is only going to buy him another half hour or so.
There's no way his fiancée makes it here in time.
But she will make it to mercy in Orlando.
So then I go talk to it Yeah.
And they make the hookup from there, okay? Listen to me, Mukesh.
You hang in there.
We're gonna get Nishta here.
You want you want me to take your tube out? Woman: Mukesh.
(Speaking foreign language) Nishta.
(Both speaking foreign language) (Flatline tone beeping) (Sobbing) Coffee? Thank you.
You know, you go to med school, and you've got this vision that you're going to save every damn soul.
But when a patient comes in and they got no chance, and all you can do is to try and do right by their last wish I don't know, maybe that's what makes you take your clothes off and walk naked through the bullpen.
Maybe.
We're asked to bring people back from the brink.
But then somebody like Rayner gets in trouble And who's there to save him? It's been some day, huh? Some day.
So they've stabilized the bones; They've repaired the tendons and the vascular supply.
There's no guarantee, but, um, there is an 80% success rate for re-implanted limbs.
All that, Javier, and you're a hero.
What does that matter, huh, if I still have a 20% chance of losing a hand? What am I gonna get? One of One of those damn hooks? I don't know if this is a good time, but I got somebody here to see you.
Angelica the little girl you pushed out of the way of the diner sign.
Thank you.
(Sighs) You're welcome.
Anyone seen Mr.
Tischer? Husband of pregnant blast victim, father of new baby boy? Men's bathroom, I think.
Mr.
Tischer, I've got great news.
(Grunting) Marc? (Alarm wails) We got a code blue here! Code blue! Where'd you find him? Men's bathroom.
He's got a puncture wound here.
Must've injured his carotid during the car crash.
I bet he clotted off the injury and somehow dislodged the clot.
Tuck: Okay, fluids are running.
Okay, listen to me.
Hey, stay strong, champ, all right? Your wife and baby are counting on you.
Push 20 of Etomidate, 100 of Succs Anna! (Gasps) Okay, he's out.
The wife and the baby stable.
We're gonna lose the one family member that walks into trauma.
Suction.
Oh, the anatomy shifted.
I can't see his cords.
Give me the fiber-optic scope.
Sats are dropping.
His landmarks are a mess.
All right, wait a minute.
I see the cords.
Advancing the tube.
Is this Marc, the father? Yes, it is.
His sats are coming up, but his pressure's down to 70.
We cannot let this guy die.
Proctor: Where do you need me? Where don't we need you? Any idea how long he's been out? Tuck: No.
About 52 minutes.
So much for golden hour.
All right, get me the Foley catheter.
I'll use a balloon to tamponade the bleeding.
Send this guy up to the or.
Balloon? What are you talking about? Tachy up to 150.
Come on, Chris.
Just cut and stop the bleeding.
Rapid infuser.
Give me two units.
Got the Foley.
No, no, you go with the Foley, this guy's gonna bleed out and die on the table.
Yeah, and you cut and can't tie off in time, your result's the same.
Balloon's going in.
(Monitor beeping) Pressure's down to 40.
Oh, he's bleeding around the balloon.
Grab the crash cart.
I can do this, all right? I can.
Let me guess: This is where Dr.
Rayner would have made the call, right? (Alarm beeping rapidly) That's it.
I'm cutting.
Give us some room, please, Dr.
C.
Yeah.
Proctor: Dr.
Warren, if you could assist, please? What are you looking for? Common carotid.
Okay, so retract the muscle away.
Vessel loops.
Hemostat.
I'm applying pressure below the incision.
That's nice, Dr.
C.
He's still bleeding.
That's fine.
Unavoidable.
I can't I can't I can't see the Here, I'll retract the edge for you.
Thank you.
Nice and easy.
He's still bleeding.
It's stopping! The bleeding's slowing down.
Okay, so now tie off the internal and external carotids.
(Beeping rapidly) You got it.
Yeah, she's got it.
Tuck: Pressure's up to 75.
Field looks dry.
Bleeding has stopped.
Okay, so now he's not dying.
Who says we make this guy better? Look at us go, folks, huh? (Chuckles) Oh, I wouldn't make any sudden moves.
You had a carotid puncture that became a big tear.
And we stopped the bleeding, but you're not out of the woods yet.
And you can't talk because we had to secure your airway with a breathing tube.
But we'll remove it once you're more stable.
I'm fine.
Cole's fine.
Maybe I shouldn't have asked for that double scoop.
Proctor: I'll tell you, after two weeks in Kuwait, we were so desperate we were making Martinis in empty iv bags.
(All laugh) Well, if you think Kuwait made you desperate, try working with Chris for three years.
Oh! Look what the cat dragged in.
Oh, bite me, cowboy.
I'm gonna go get another round.
No, it's my turn.
No, no, I'm buying this time.
Is it my imagination, or did everyone just scatter? I don't know.
Maybe they think we're sleeping together.
(Laughs) Did you check your cell phone? No.
We got calls from Admin.
They're giving you Rayner's position, aren't they? They're giving me Rayner's position.
Ha! Proctor.
They wanted us both to know.
You could be Chief, you know that, right? You proved that today.
You proved that a thousand times before.
Well, if I were Chief, you'd be the first doctor I'd want on my team.
So your secret-keeping is paying dividends.
There are rumors about your story, where you're from, why you're here.
And there's the scar.
Want to know why I'm here? I'm here to live.
There comes a time a time in everyone's life there you go.
Cheers, everybody.
Mmm.
All right, what are we toasting to? To 85 degrees and sunny in January.
(All chuckle) To the best damn surgeons in South beach.
To Alpha team.
No.
To your Dr.
Rayner.
All: Dr.
Rayner.
Dr.
Rayner.
Let it be me ooh!