Saving Hope (2012) s01e01 Episode Script
Pilot
Hey.
You are so beautiful.
Don't distract me.
This is hard work.
(Beep) Wait, wait, wait, wait.
Okay.
Uh Low side, high side.
How do I look? Mm, we'll deal with it later.
This is already way better than my first wedding.
Oh, yeah? You don't miss the horse-drawn carriage and the puffy white dress? Oh, you saw those pictures.
I snooped.
You look good.
You feel good.
Mmm.
(Moans) Let's drive around.
We have guests.
They can wait.
Yep, they can.
They can.
Mmm.
(Horn blares) (Tires screech) (Car alarm blaring) (Panting) Charlie? (Moans) Your head.
Oh, you're cut.
I'm fine.
Yeah? You okay? Yeah.
(Crowd murmuring) (Dials cell phone) Check him.
I'll be back.
Yeah.
(Panting) Hi.
I've been in an accident.
York and adelaide.
We need an ambulance.
(Panting) Hey.
Are you okay? Can you talk? (Choking) Alex! Yeah! I need your purse! Yeah.
(Siren wailing in distance) Okay.
You have a collapsed lung.
Here.
But you're gonna be fine, okay? I promise.
Just lie still.
Uh The, uh, plastic thingie.
The, uh, tube thing from the, uh The tampon.
The tampon, yeah.
Yeah.
This can't wait.
(Blows air) (Panting) Hey.
Don't worry.
In my other life, I'm a doctor.
(Squish) (Grunts) (Gasps) (Squish) (Grunts) (Air hissing) (Exhaling deeply) (Siren blares, man speaking indistinctly) Come on! (Female dispatcher) 32-37.
Doctors are on scene.
On the way.
Collapsed lung.
Thanks, doc.
Thank you.
(Panting) (Man) How you doing? Okay.
(Chuckles) What happened? I don't know.
But I wanna get married again.
(Panting) Charlie? You okay? What is it, baby? What is it? Charlie, talk to me.
Charlie, talk to me.
Charlie?! Charlie?! Medic! Medic! Good.
Keep bagging him.
(Woman) How many minutes out? (Man) Less than five.
Clearing right now.
(Radio chatter) B.
P.
'S 90 over 65 and falling.
(Siren wailing) (People speaking indistinctly) He's nonresponsive to pain.
Okay.
Okay.
His pupils are reactive.
Okay, that's good.
Good.
I got it.
Go, go, go, go, go! Get out of the way! Okay, let's go faster (Charlie) I think I'm bleeding into my head.
I was lucid for a while, so it's probably an epidural bleed.
He was lucid right before it happened.
It was probably an epidural bleed.
(Woman) Start an I.
V.
We need a respiratory therapist.
Let's go, let's go! Starting a 14 gauge, left a.
C.
Screen for two units and get some baseline electrolyte value.
Get me a gown! Let's get him into C.
T.
(Man) Radiology's backed up.
He's chief of surgery.
He's not gonna wait.
You tell her, Alex.
Where is my gown? He's not withdrawing from pain.
He's been unconscious for 37 minutes.
Wait a second.
(Woman) Got it.
(Woman speaks indistinctly) Screen for two units.
(Voices echoing indistinctly) (Alex) He's been under for 37 minutes.
Wait.
Where's my gown? (Voices continuing indistinctly) (Charlie) This is how it happens.
You leave it all behind.
Alex, can you hear me? Everything you love Everything you know (Faintly) Can anyone hear me? You belong to the hospital now.
(Shouting inaudibly) And all you can do Is hope.
(Man, amplified voice) .
.
ls this the third guy.
What'd you see? He says, "I saw the monkey trying to put the cork back in.
" (Laughter) Okay, let's just jump right in, then.
Uh, management of soft tissue sarcomas in the upper limbs amputation or limb-sparing surgery? (Man clears throat) Now is the time when someone usually answers the question.
(Person coughs) Dr.
lin? Um Dr.
Raycraft? Well, I would have to learn a little bit more about Dr.
reid.
I'm a general surgeon, not an orthopedic surgeon.
Yes, but you are a doctor, aren't you? I would save the arm.
Why? Because if the tumor doesn't metastasize, the survival rate is 75%.
Yes, but if it does, if it goes systemic, the patient's You're just playing a numbers game.
It's because it a numbers game.
What else is there? Dr.
Harris is right.
Percentages are percentages.
See? Brain surgeon smartest guy in the room.
(Laughter) How can you be so sure of yourself, Dr.
Harris? Because that's my job, Dr.
reid.
I have completely lost my place.
(Scattered laughter) What the hell was that? Foreplay.
(Woman) mm I want you in my bed in a minute flat (Pager buzzing) (Groans) Oh, hell.
(Buzz) (Groans) Oh, you've gotta be kidding me.
(Inhales sharply) (Grunts) You have rounds? Yeah, I gotta hustle, baby.
(Grunts) That's not hustle.
(Laughs) Hey, do you think we ordered enough beer? Uh, they're a hotel.
I'm pretty sure they're stocked.
Look, I just want everything to go right.
Hey, you don't think it's bad luck that you saw the dress, do you? Wait.
Don't answer that.
I know you don't believe in luck.
It's just this is so not like me.
I'm nervous.
I like the dress.
I don't believe in luck, but I do believe in love and you and this.
(Giggles) I'll see you at 8:00.
That's great.
We'll be there by 8:30? Married by 9:00.
(Man speaks indistinctly) Good morning.
Morning.
Now I know you know this, Shawn, but I have to ask.
You didn't drink anything or eat anything? You said not to, so I didn't.
Okay.
We're gonna go through consent one more time.
This is your arm.
Your tumor is right here, near the shoulder.
It's stage III.
It's pretty big.
It's also spread to the lymph nodes, which is why we need to remove your arm.
Understood? As clear as a bell.
Let's do this bitch.
(Chuckles) I like the positive attitude.
(Clipboard clatters) Now this is gonna seem a little weird, Shawn, but, uh (Siren wailing) I'd rather not amputate the wrong arm.
(Chuckles) Sign where the stickies are.
Nurse is gonna prep you, and I wanna see you in half an hour.
You nervous? Don't be nervous.
Just, uh, solving a problem here.
(Pager buzzes) (Indistinct conversations) Just like to hear what Dr.
reid has to say.
What do we have? This is Angela.
She came in with nonspecific abdominal pain.
Hi, Angela.
I'm Dr.
reid, chief surgical resident.
It says here that you've been having some abdominal cramping.
How long? Since after breakfast.
She's been, like, crying and everything.
Okay, Dr.
lin, can you examine her again? Press.
Ow.
Angela, does it hurt when she presses or lets go quickly? Um, when she lets go.
That's rebound tenderness.
Okay, we need to get some blood work done, and then if that's okay, we're gonna get you a C.
T.
And see if something's up with your appendix.
Easy.
Is there something else? No.
Don't worry.
The test will show us what's going on.
I'm sorry.
I was having trouble examining her because She's so fat.
Maggie, that's the fifth time you've paged me.
I know.
I just I don't want to make a mistake.
Take it slow.
Listen to the patients.
Trust the facts.
Okay? Okay.
Um Yes? I know this is my first week rotating in general surgery, but I was hoping you could give me the weekend off.
Family reunion.
Ask Dr.
Harris.
He's the boss.
I was hoping you might speak to him? Uh, hope isn't a plan.
Ask him yourself.
(Doors slam open) (Man) Bus crash.
Ejected through the windshield approximately 10 feet.
I got a penetrating chest wound and a second pneumothorax.
(Man) I need a room! Full trauma team.
Get me to the O.
R.
(Woman) Prep the O.
R.
oh.
Hey.
Alex.
(Man speaks indistinctly) You look like a million bucks, by the way.
Whoo! (Man) Page thoracics.
Call for the o-negative stat.
(Sighs) (Woman) I'm calling the blood bank to get the o-neg.
You see? And I was all hopeful when you paged me.
Oh, yeah? Yep.
I thought that you needed more surgery.
(Laughs) No.
What you got? Bus crash victim.
He was talking to the bus driver, went through the windshield.
Blunt abdominal trauma.
Tap was positive.
Ultrasound? Uh, fuzzy.
(Monitor beeping steadily) Get the suction ready.
This guy's gonna go boom.
Whoa.
Okay.
(Suction hisses) What do we got? There's a long and deep laceration in the right lobe of the liver.
Put in a retractor so I can see the spleen.
Deaver.
(Monitor beeping erratically) What does it look like? It's mush.
It's not salvageable.
(Man) B.
P.
'S 60.
I'm having trouble maintaining.
(Monitor beeping rhythmically) Okay, let's leave the spleen for now, pack it away, and we'll suture the liver first.
Sponges.
So how many kids you wanna have? What? You heard me.
Could have one or two if you like, hell, we could even kick it catholic school and have three.
(Grunts) Liver suture and keep them coming.
(Suction gurgles) Ah.
(Woman speaks indistinctly) This guy'll be lucky to make it off the table.
Let's do everything we can.
Anybody hear if the medics found an organ donor card? No wallet.
No nothing.
Guy's a John Doe.
(Man speaks indistinctly) Hey, man.
How are you coming in? Oh, hey.
Good.
I wish I could shake your hand.
I can't.
No.
No.
No.
No worries.
Welcome to hope-zee.
Hey.
Well, you got everything you need? Yeah, I have.
Man, look, I gotta tell you, it's an honor to be working with you.
Please.
The pleasure's ours, and I'm getting all the credit for it, so it's even better.
I'm gonna see you at 8:00, and I'll, uh, I'll see you.
See you later, man.
I thought you started work tomorrow.
Yeah, you know, I figured I'd sort of settle into the office and hang some pictures and, uh, then this whole bus crash thing happened, so Right.
I noticed that.
I'm Shahir Hamza.
I'm a neurosurgeon.
Oh, hey, man.
I'm Joel Goran.
I'm the Orthopedic surgeon.
(Door closes) It's gonna be weird, isn't it? Oh, Shahir? No, he's just like that.
No, I mean you and me.
I mean, you didn't invite me to the wedding, so presumably, you're still in love with me.
(Laughs) Right.
I totally forgot.
I like to remember the poems you wrote me Mm-hmm.
The breakfasts in bed, the nurses you were banging.
Okay, we can stop right there.
No, seriously, if I'd known you'd be here, we would have invited you.
If you get off early park regency, suite 918.
Open bar.
(Knock on door) It's a no-go, guys.
You're kidding.
Nope.
Emerg got slammed.
O.
R.
S are backed up.
What can I tell you? Communication around here is horrendous.
So we're not doing my surgery today? No.
Tomorrow.
Tomorrow? Yep.
First thing.
Look, I want this freaking thing off no man.
(Pounds bed) It's a short wait, Shawn.
Yeah.
(Chuckles) Yeah, it's it's all right, man.
So we're good for tomorrow? All good.
It's called Isla Holbox, off the coast near Cancun.
It's less touristy than Isla Mujeres, but mm.
The isle of women.
Yeah, you're not going there anymore.
(Laughs) So what does "holbox" mean? Black hole.
But trust me, it's gonna be beautiful.
Okay? It's gonna have white Sandy beaches and we're gonna pick out food at the market and cook it in our own little hut with a palapa roof.
What about Paris? I don't know.
I've never been to Paris.
I was always too busy working or going to school.
Okay, we're we're going.
I mean, unless you really don't want to, 'cause black hole island sounds pretty romantic.
(Exhales deeply) Oh, my God.
What? Charlie, we're getting married.
(Sighs) (Pager buzzes) Mm.
(Sniffs) (Sighs) Oh, she cannot be serious.
Go.
Go.
Go.
(Indistinct conversations) Dr.
lin, couldn't you get a C.
T.
? Uh, no, I couldn't, because of the radiation.
I'm pregnant.
I'm sorry.
What's your name? Mitchell.
Mitchell, could you go get Angela a juice? They're in the little fridge down the hall.
Thank you.
Angela, when was your last period? Four or five months ago.
Are you sure you didn't know you were pregnant? 'Cause here's what I think.
I think you kinda knew.
I didn't want him to dump me.
Okay.
I can understand that.
I'm just gonna check you, okay? Tara, you feel like you're Congratulations.
An ob-gyn will be able to check for sure.
Let's keep her overnight.
Put her on a fetal monitor.
Yeah.
And, Dr.
lin, try not to page me.
I'm going to get married.
Dr.
reid? (Sighs) Yes? You look beautiful.
Thank you.
Hey.
(Squeals) Wait.
Wait.
Sorry.
(Laughs) The shoes were expensive.
Hey.
You good? You good? Yep.
Hop in.
All right.
My love.
(Tires screech, glass shatters) Still not withdrawing from pain.
What do you think? It's a venous bleed.
It's it's okay, but if it's his meningeal artery, he could cone.
Now coning is when I know what coning is! It's when the pressure of his brain goes down to the spinal cord, the pressure, essentially, could could crush his brain.
And he could die.
I could die? What the hell does that even mean? Okay.
This is weird.
We'll take it from here.
I'm coming with you.
You're not a neurosurgeon, Alex.
There's nothing you can do.
I'm not leaving him.
See, doctors like tests.
It's the unknown that scares them.
(Door squeaks) Yeah, this is exactly what I would do see what's going on in my brain.
(Beep) (Whirring) I can tell you what's going on in my mind.
And I wish I could hold you, Alex, and tell you that I'm gonna be okay But I can't.
And you know what? There's no test for this.
I am having an out-of-body experience in a tuxedo.
Wake up, you dumb bastard.
Anything? No change.
Everybody keeps telling me to to go home? Yeah.
I can't.
Then don't.
Your family's here.
So what am I supposed to do? Suit up.
(Inhales sharply) Pit your scrubs on, Dr.
reid.
Get to work.
(Crying) (Monitor beeping steadily) He's bradycardic, and his pressure's up.
It is slightly.
But the C.
T.
showed a venous bleed, so unless something changes, we don't need to operate yet.
(Clears throat) Do you want some time alone with him? Without me? No.
He's being looked after.
(Pager buzzes) (Nurse) I can leave if you like.
It's fine.
Gotta go.
Okay, hypothetical you're on an airplane going to Miami, but you land in helsinki.
Hey.
And that's fine.
You can see me? Yeah.
Can you see me? Yeah.
'Cause I'm I'm talking to you.
Right.
What's going on? Um I'm in a coma.
Am I in a coma? No, you you died.
We did everything we could.
Sorry about that.
It's not what I pictured.
Yep.
I know what you mean.
I haven't even seen my wife.
I don't think she's coming.
You have a wife? Yeah, and, uh, a daughter.
Yeah.
See, we had you declared a John Doe.
Couldn't find your wallet.
(Chuckles) That's funny.
Uh I like to gamble, so I, uh, I just take cash with me so I don't go over my limit.
Right.
I'm sorry.
What's your name? Uh, Charlie.
Charles.
Charles, I gotta be honest with you.
I-I don't think I'm coping all that well with things.
You know, maybe I should find this more intriguing being able to see everything it beats the void, you know, nothingness, but, uh I don't know about you.
I'm lonely.
Yep.
I'm I'm getting there, John.
That's not my name.
(Sighs) I'm sorry.
What is your name? Almost done.
(Curtain rings swoosh) You paged me? Yeah, I'm sure I should be able to figure this out myself, but I am stymied as to why Tara here swallowed this.
Daffodil bulb.
Yeah.
Highly toxic and causes convulsions and death.
Okay, I'm just gonna pull out the tube now.
Okay? (Tape rips) (Coughs) Hey, Tara.
My name's Gavin Murphy.
I'm a psych resident here at hope-zee.
Do you mind if I ask you a couple questions? Sure.
You know the daffodil bulb was toxic when you ate it? Why would I have eaten it if I knew that? If you wanted to hurt yourself.
Why would I do that? Will you hand me my jacket? Are you cold? No.
There's a pizza bagel in there, and I'm hungry because I just got my stomach pumped.
I didn't try to kill myself, okay? You trying to get high? No.
You trying to lose weight? No.
Something all the kids are doing? No! Then what was it? (Lowered voice) It was a love potion.
I'm sorry? (Mouth full) It was a love potion.
Can't hear you.
(Loudly) It was a love potion, all right? A love potion.
I drank it, then I gave some to this boy I like.
Now I want to die.
(Grunting) (Man) Aah! Who are you? Hey.
I'm Joel Goran.
I'll be performing your surgery.
(Men screaming) Where's Dr.
Harris? I'm afraid he's unavailable.
Today? Because I mean, I'll wait.
No, he can't do the surgery at all.
Um, but it's okay, because I'll be looking after all of his patients.
I don't want a new doctor, okay? Unfortunately, you don't have a choice.
Kinda what you got.
But I'm good, so Uh, Shawn, I'm looking over your stuff.
Has anyone spoken to you about limb-sparing surgery? Yeah, Dr.
Harris.
Why? I mean we should have another talk about it.
Limb-sparing surgery it's exactly what it sounds like.
What we do is we make a wide incision, we cut out the belly of the muscle, then we use radiation and chemo, and we could maybe spare your arm that way.
I have a grade III fibrosarcoma.
I understand that.
I'm not making any promises here.
I just feel like if we can take a shot, we should probably take the shot, right? Shawn, what do you do for a living? Look, I work at a gas station, but tell me are you here to sign my arm or what? I don't know.
Are you postponing my surgery again? I don't know.
(Sighs deeply) (Angela) Ow! Ow! What's going on? I don't know.
Temp's 37.
5.
B.
P.
'S 130 and on 80.
I have to go to the bathroom.
Maggie, do you know what this is? A vag a baby's head.
She's crowning.
I need an ob-gyn and N.
I.
C.
U.
stat.
And get that bed out of here.
A little help here.
Ow! All right, Angela, you're gonna have your baby now, all right? We're gonna do this together because we need to get this baby out.
I need you to push.
I don't know how to push.
Just take a breath and bear down when I tell you.
You just need to listen to your body.
Maggie, grab her foot and brace it.
I'm not ready for this! You are.
You are.
Come on.
I know you can do this.
Push.
Oh, that hurts! Ohh! I know it hurts.
I know it hurts, but you need to push through the pain.
So take a nice, deep breath.
Ready? (Inhales deeply) And push.
Ohh! Okay, I got one shoulder.
You're gonna need one more push.
You got one more push in you, Angela.
One more deep, giant push.
You want this baby.
Ohh! I want my baby! Ready? Push.
Aah! (Grunts) (Panting) (Baby crying) There you go.
You have a baby boy.
He's tiny, but he's breathing.
I can't believe it.
He's so beautiful.
She's ready.
She's ready.
(Woman speaks indistinctly) Hey.
You okay? (Alex) Congratulations, Angela.
Born at 10:32.
(Monitor beeping steadily) Yes, I understand that the deposit is nonrefundable and I am absolutely willing to pay for the suite.
Okay? I just I have to cancel the reservation for the weekend, and if you could do that for me, it would be great.
Thank you.
Ch Charlie.
I know that I should talk to you.
I'm sorry.
I know that I should.
(Monitor beeping erratically) (Multiple machines beeping erratically) Call the code! 32-13! (Man over P.
A.
) Code blue.
32-13.
Code blue.
32-13.
(Monitor emits continuous tone) Code? Alex, hey.
Is he full code? Yes.
Yes.
Still in V.
F.
All right, let's let's shock him.
I got this.
I got this.
Hey, Alex.
Hey, no, you don't.
I got it.
Okay? Goran, 5 epi.
(Defibrillator whines and beeps) Come on! Come on! Let's get him down.
Get him down.
Clear.
(Paddles thunk) All right, what's the rhythm? Still on V.
F.
Wanna go again? Yes, I do.
(Defibrillator whines) Come on, Charlie! Come on, Charlie! Listen to my voice! Come on, baby! Come back to me! Clear! (Monitor beeping rhythmically) (Nurse) He's returning to normal-size rhythm.
His I.
C.
P.
'S through the roof.
He needs a craniotomy stat.
Could I get, uh, doctor what is his name? Hamza.
Go get Dr.
Hamza.
(Monitor beeping steadily) We have to reduce the pressure on his brain, or he's gonna die.
In case you're wondering, during a craniotomy, they drill holes in your head.
And that's about it.
I've seen this a hundred times.
I'm fine, Shahir.
See, most patients don't understand how physical surgery is.
The body is tough.
You gotta crack a few bones, poke a few holes, and really get in there.
And it works, most of the time.
(Drill whirring) It's not making you nervous, my being here? I don't get nervous.
(Drill continues whirring) (Pants) (Grunts) You called for a consult? This is Mischa, Not appendicitis.
No allergies.
Stuart here thinks it might be suicide attempt.
Mm-hmm.
Daffodil root poisoning.
Really? You mean he ate a daffodil? The root, actually.
I've never even heard of that.
How do you know that? She's the best.
Finish pumping his stomach.
And I'll meet you in cubicle three.
All right.
What's in cubicle three? (Laughs) I (siren wailing in distance) Hey, man.
You rescheduled my surgery? We good to rock 'n' roll? Yep.
Yeah.
Great.
I have a couple of questions I want to ask you first, though.
You didn't tell me you were in Afghanistan.
That's none of your business, doc.
Well, I googled you.
Turns out you're kind of a hero.
You saved a bunch of guys' lives in an ambush, and you have an engineering degree? So? You told me you work at a gas station.
You might have post-traumatic stress.
Watched a bunch of people get blown up for no reason.
I probably do.
I think it's also possible you have survivor guilt.
Everyone who doesn't die over there has survivor guilt.
(Sighs) I think you want this arm off 'cause it's gonna make you feel like this is fair.
Have you thought about talking to a psychiatrist? Did that, man, at the V.
A.
Hospital.
They gave me five different kind of pills and then they found my cancer.
Look, I'm here because Charlie Harris is supposed to be a great surgeon, okay? Now you got me talking to shrinks again? I just want my tumor dealt with, man.
That's it.
I think it's more than that.
So what, man? What if we did get to know our patients? What makes them happy Or sad? Would it help us? Would it help them? Hey.
Hey.
How you feeling? So sleepy.
Do you need anything? No.
But I've kinda been thinking about the baby.
We should probably get it some diapers or clothes and stuff.
Maybe I can go down to the gift shop, get him a little bear or something.
(Chuckles) He's too little for toys.
Mitchell? Do you love me? (Monitor beeping erratically) Angela? (Wheezes) (Gasps) What's going on? Angela, are you okay? Angela! Nurse! (Monitor emits continuous tone) (Man over P.
A.
) Code blue.
27-38.
Code blue.
27-38.
Code blue.
27-38.
(Sighs) Mitchell? I don't understand.
She can't be dead.
She had what's called a pulmonary embolism.
There were massive blood clots that went into her lungs.
We did everything we could do.
I was just talking to her.
she said she was sleepy.
I am so, so sorry, Mitchell.
(Sighs) (Man) Let's get these charts organized.
I know this is terrible timing, but we do need to talk about your son.
(Whooshing) Someone has to make decisions for him.
Can't you ask her parents? You're the father.
Look, I know right now it just seems like some baby But it's your baby.
And It just needs time.
Babies go from unknowable to to cute to Miraculous.
It builds.
And next thing you know, you'll be teaching him how to ride a bike, and It'll be the best day of your life.
Do you have kids? No.
Can I put him up for adoption? I can put you in touch with a social worker.
Okay.
But you don't have to make that decision now.
You have time.
I don't need time.
Mitchell.
This baby killed Angela.
I don't want it.
(Machine whooshing) When things go bad, we say we did all we could and then there's nothing more to say.
You're alone.
(Woman over P.
A.
) Paging E.
M.
T.
To the E.
R.
nurses station.
Dr.
reid? Yeah.
Dr.
reid, hey, um, I was at the accident yesterday with you and Dr.
Harris.
Oh.
Right.
Well, you guys did a good job.
Thanks.
Um We found this when we were cleaning out the rig.
Thanks.
Take care, okay? Yeah.
(Monitor beeping steadily) (Pen clicks) Charlie is, uh, stable after the craniotomy.
Relieved the pressure and his, uh, his vitals are all right.
Good.
Do you know where his parents live? No, they're both dead.
Brothers or sisters? No.
Then we need to talk about how far you want us to go.
We had to resuscitate him.
This may be the first of many interventions.
Oh.
We're having the talk.
Alex no.
I know what this is.
We don't have to do this.
We do.
Charlie is in a coma.
We need to consider the quality of life as well as quantity.
You want me to tell you whether I want to resuscitate him if he codes again? Yes.
I can't do that.
You have to.
(Sighs) (Sighs) (Sniffles) (Knock on door) (Sniffles and clears throat) Come in.
You need something? About to ask you the same question.
How you doing? I do better when I'm busy.
What are you Medic dropped it off.
You know, I only ever tried it on once.
Charlie and I picked it out together.
It's gonna be okay.
You seriously believe that? Yeah.
Shahir asked me about a D.
N.
R.
That's a hard call.
Do I really want to put him through all the crap of a series of interventions, cracking his ribs, filling his body with drugs, every indignity, when he's just gonna die anyway? Charlie's not gonna die.
Come on, Joel, he is.
He has some brain function maybe, but the rest is just machines.
No, you don't know that.
Yes, I do and so do you.
No, I don't.
I mean, look at Shawn price.
You know, I can either cut that kid's arm off or I can try and save it, so I don't know, why don't I try the option of Thinking you're not screwed? You don't get to come in here and pretend you're the only doctor who cares about patients.
Okay, where the hell did that come from? Charlie is twice the surgeon you will ever be.
Amputate the arm.
That's what he was gonna do.
I'm not Charlie.
No kidding! This is life and death.
You have to be aggressive.
Okay, when did this become about you telling me how to do my job? When you came in here and started soft-pedaling me like I don't know the facts.
You know what? I came in here because I was trying to be nice to you.
Well, don't be nice.
'Cause you're a lot of things, Joel, but you're not nice.
(Siren wailing) (Door opens and closes) Dr.
Goran? Yeah? Hi.
Hey.
Gavin Murphy.
I'm a psych resident here.
Hey.
I caught the consult with Shawn price.
Ah, right.
He has P.
T.
S.
D.
Yeah.
So obviously, I don't think he's in any shape to be making decisions on amputation.
Well ,we're gonna go ahead with the surgery.
Thank you.
Okay, uh, with all due respect, he's got a lot of issues tied up in that arm.
Let me ask you something, man.
Do you think being a doctor automatically makes you smarter than the patient? Depends who you're talking to.
Oh, you're talking to me.
Look, this kid wants his arm off.
I don't think he's entirely wrong.
(Siren wails) As surgeons, we deal in absolutes, in certainty.
We make a choice.
We believe it's right.
(Monitor beeping steadily) We can't second-guess ourselves.
It's kind of bloody.
At least, that's what I used to think.
(Siren wailing in distance) Oh, God.
Get out.
How you feeling, Shawn? What do you think? You didn't do my surgery.
I changed my mind.
No, you can't do that.
You didn't do what I wanted.
I performed the limb-sparing surgery.
All right? We've removed the tumor.
It's much better, believe me.
I signed a consent.
Look, in all truth, I got in there, I just could not do it.
I can't watch you punish yourself for surviving a war, Shawn.
You don't know anything about me.
You haven't seen the stuff that I've seen and you you you haven't walked where I walked.
Maybe not, but I've seen a lot of death in my time.
Oh, yeah? You have anyone die for you lately? No.
(Scoffs) Look Shawn, I was gonna perform the amputation 'cause that's what Dr.
Harris was gonna do.
I felt guilty a-about that, you know, I felt a sense of duty.
I think it's what you felt towards your fallen comrades.
Live your life.
(Door opens) I'm gonna sue you.
You'll probably win.
I've walked these halls a thousand times.
I thought I knew them.
We all end up here.
We come in sick or broken And sometimes, we get better.
You gonna come in with me? Yeah.
Of course.
You sure it won't hurt him? Yeah.
It's good for him, to be touched.
Okay, I'm just going to try this and see how it goes.
Okay.
(Machine whooshing) (Siren wailing in distance) You can get into bed with him.
I'll mess up his lines.
No, you won't.
I'll be here just in case.
All right.
No.
You okay? Would you j would you just go? (Sniffles) I had a bad day.
I lost a patient and and Normally, I would Tell you about it.
And I would I would, um Ask you to help me figure out how to fix it, you know, where it went wrong.
And I-I would (Sighs) Charlie.
Charlie, what am I gonna do without you? (Sighs) (Emma-Lee) as I lay me down to sleep I pray Don't you give up on me.
Pray I'm still here.
And I know living right it isn't in the lyin' but I could live with tryin' I could live with cryin' I could live with dyin' tonight
You are so beautiful.
Don't distract me.
This is hard work.
(Beep) Wait, wait, wait, wait.
Okay.
Uh Low side, high side.
How do I look? Mm, we'll deal with it later.
This is already way better than my first wedding.
Oh, yeah? You don't miss the horse-drawn carriage and the puffy white dress? Oh, you saw those pictures.
I snooped.
You look good.
You feel good.
Mmm.
(Moans) Let's drive around.
We have guests.
They can wait.
Yep, they can.
They can.
Mmm.
(Horn blares) (Tires screech) (Car alarm blaring) (Panting) Charlie? (Moans) Your head.
Oh, you're cut.
I'm fine.
Yeah? You okay? Yeah.
(Crowd murmuring) (Dials cell phone) Check him.
I'll be back.
Yeah.
(Panting) Hi.
I've been in an accident.
York and adelaide.
We need an ambulance.
(Panting) Hey.
Are you okay? Can you talk? (Choking) Alex! Yeah! I need your purse! Yeah.
(Siren wailing in distance) Okay.
You have a collapsed lung.
Here.
But you're gonna be fine, okay? I promise.
Just lie still.
Uh The, uh, plastic thingie.
The, uh, tube thing from the, uh The tampon.
The tampon, yeah.
Yeah.
This can't wait.
(Blows air) (Panting) Hey.
Don't worry.
In my other life, I'm a doctor.
(Squish) (Grunts) (Gasps) (Squish) (Grunts) (Air hissing) (Exhaling deeply) (Siren blares, man speaking indistinctly) Come on! (Female dispatcher) 32-37.
Doctors are on scene.
On the way.
Collapsed lung.
Thanks, doc.
Thank you.
(Panting) (Man) How you doing? Okay.
(Chuckles) What happened? I don't know.
But I wanna get married again.
(Panting) Charlie? You okay? What is it, baby? What is it? Charlie, talk to me.
Charlie, talk to me.
Charlie?! Charlie?! Medic! Medic! Good.
Keep bagging him.
(Woman) How many minutes out? (Man) Less than five.
Clearing right now.
(Radio chatter) B.
P.
'S 90 over 65 and falling.
(Siren wailing) (People speaking indistinctly) He's nonresponsive to pain.
Okay.
Okay.
His pupils are reactive.
Okay, that's good.
Good.
I got it.
Go, go, go, go, go! Get out of the way! Okay, let's go faster (Charlie) I think I'm bleeding into my head.
I was lucid for a while, so it's probably an epidural bleed.
He was lucid right before it happened.
It was probably an epidural bleed.
(Woman) Start an I.
V.
We need a respiratory therapist.
Let's go, let's go! Starting a 14 gauge, left a.
C.
Screen for two units and get some baseline electrolyte value.
Get me a gown! Let's get him into C.
T.
(Man) Radiology's backed up.
He's chief of surgery.
He's not gonna wait.
You tell her, Alex.
Where is my gown? He's not withdrawing from pain.
He's been unconscious for 37 minutes.
Wait a second.
(Woman) Got it.
(Woman speaks indistinctly) Screen for two units.
(Voices echoing indistinctly) (Alex) He's been under for 37 minutes.
Wait.
Where's my gown? (Voices continuing indistinctly) (Charlie) This is how it happens.
You leave it all behind.
Alex, can you hear me? Everything you love Everything you know (Faintly) Can anyone hear me? You belong to the hospital now.
(Shouting inaudibly) And all you can do Is hope.
(Man, amplified voice) .
.
ls this the third guy.
What'd you see? He says, "I saw the monkey trying to put the cork back in.
" (Laughter) Okay, let's just jump right in, then.
Uh, management of soft tissue sarcomas in the upper limbs amputation or limb-sparing surgery? (Man clears throat) Now is the time when someone usually answers the question.
(Person coughs) Dr.
lin? Um Dr.
Raycraft? Well, I would have to learn a little bit more about Dr.
reid.
I'm a general surgeon, not an orthopedic surgeon.
Yes, but you are a doctor, aren't you? I would save the arm.
Why? Because if the tumor doesn't metastasize, the survival rate is 75%.
Yes, but if it does, if it goes systemic, the patient's You're just playing a numbers game.
It's because it a numbers game.
What else is there? Dr.
Harris is right.
Percentages are percentages.
See? Brain surgeon smartest guy in the room.
(Laughter) How can you be so sure of yourself, Dr.
Harris? Because that's my job, Dr.
reid.
I have completely lost my place.
(Scattered laughter) What the hell was that? Foreplay.
(Woman) mm I want you in my bed in a minute flat (Pager buzzing) (Groans) Oh, hell.
(Buzz) (Groans) Oh, you've gotta be kidding me.
(Inhales sharply) (Grunts) You have rounds? Yeah, I gotta hustle, baby.
(Grunts) That's not hustle.
(Laughs) Hey, do you think we ordered enough beer? Uh, they're a hotel.
I'm pretty sure they're stocked.
Look, I just want everything to go right.
Hey, you don't think it's bad luck that you saw the dress, do you? Wait.
Don't answer that.
I know you don't believe in luck.
It's just this is so not like me.
I'm nervous.
I like the dress.
I don't believe in luck, but I do believe in love and you and this.
(Giggles) I'll see you at 8:00.
That's great.
We'll be there by 8:30? Married by 9:00.
(Man speaks indistinctly) Good morning.
Morning.
Now I know you know this, Shawn, but I have to ask.
You didn't drink anything or eat anything? You said not to, so I didn't.
Okay.
We're gonna go through consent one more time.
This is your arm.
Your tumor is right here, near the shoulder.
It's stage III.
It's pretty big.
It's also spread to the lymph nodes, which is why we need to remove your arm.
Understood? As clear as a bell.
Let's do this bitch.
(Chuckles) I like the positive attitude.
(Clipboard clatters) Now this is gonna seem a little weird, Shawn, but, uh (Siren wailing) I'd rather not amputate the wrong arm.
(Chuckles) Sign where the stickies are.
Nurse is gonna prep you, and I wanna see you in half an hour.
You nervous? Don't be nervous.
Just, uh, solving a problem here.
(Pager buzzes) (Indistinct conversations) Just like to hear what Dr.
reid has to say.
What do we have? This is Angela.
She came in with nonspecific abdominal pain.
Hi, Angela.
I'm Dr.
reid, chief surgical resident.
It says here that you've been having some abdominal cramping.
How long? Since after breakfast.
She's been, like, crying and everything.
Okay, Dr.
lin, can you examine her again? Press.
Ow.
Angela, does it hurt when she presses or lets go quickly? Um, when she lets go.
That's rebound tenderness.
Okay, we need to get some blood work done, and then if that's okay, we're gonna get you a C.
T.
And see if something's up with your appendix.
Easy.
Is there something else? No.
Don't worry.
The test will show us what's going on.
I'm sorry.
I was having trouble examining her because She's so fat.
Maggie, that's the fifth time you've paged me.
I know.
I just I don't want to make a mistake.
Take it slow.
Listen to the patients.
Trust the facts.
Okay? Okay.
Um Yes? I know this is my first week rotating in general surgery, but I was hoping you could give me the weekend off.
Family reunion.
Ask Dr.
Harris.
He's the boss.
I was hoping you might speak to him? Uh, hope isn't a plan.
Ask him yourself.
(Doors slam open) (Man) Bus crash.
Ejected through the windshield approximately 10 feet.
I got a penetrating chest wound and a second pneumothorax.
(Man) I need a room! Full trauma team.
Get me to the O.
R.
(Woman) Prep the O.
R.
oh.
Hey.
Alex.
(Man speaks indistinctly) You look like a million bucks, by the way.
Whoo! (Man) Page thoracics.
Call for the o-negative stat.
(Sighs) (Woman) I'm calling the blood bank to get the o-neg.
You see? And I was all hopeful when you paged me.
Oh, yeah? Yep.
I thought that you needed more surgery.
(Laughs) No.
What you got? Bus crash victim.
He was talking to the bus driver, went through the windshield.
Blunt abdominal trauma.
Tap was positive.
Ultrasound? Uh, fuzzy.
(Monitor beeping steadily) Get the suction ready.
This guy's gonna go boom.
Whoa.
Okay.
(Suction hisses) What do we got? There's a long and deep laceration in the right lobe of the liver.
Put in a retractor so I can see the spleen.
Deaver.
(Monitor beeping erratically) What does it look like? It's mush.
It's not salvageable.
(Man) B.
P.
'S 60.
I'm having trouble maintaining.
(Monitor beeping rhythmically) Okay, let's leave the spleen for now, pack it away, and we'll suture the liver first.
Sponges.
So how many kids you wanna have? What? You heard me.
Could have one or two if you like, hell, we could even kick it catholic school and have three.
(Grunts) Liver suture and keep them coming.
(Suction gurgles) Ah.
(Woman speaks indistinctly) This guy'll be lucky to make it off the table.
Let's do everything we can.
Anybody hear if the medics found an organ donor card? No wallet.
No nothing.
Guy's a John Doe.
(Man speaks indistinctly) Hey, man.
How are you coming in? Oh, hey.
Good.
I wish I could shake your hand.
I can't.
No.
No.
No.
No worries.
Welcome to hope-zee.
Hey.
Well, you got everything you need? Yeah, I have.
Man, look, I gotta tell you, it's an honor to be working with you.
Please.
The pleasure's ours, and I'm getting all the credit for it, so it's even better.
I'm gonna see you at 8:00, and I'll, uh, I'll see you.
See you later, man.
I thought you started work tomorrow.
Yeah, you know, I figured I'd sort of settle into the office and hang some pictures and, uh, then this whole bus crash thing happened, so Right.
I noticed that.
I'm Shahir Hamza.
I'm a neurosurgeon.
Oh, hey, man.
I'm Joel Goran.
I'm the Orthopedic surgeon.
(Door closes) It's gonna be weird, isn't it? Oh, Shahir? No, he's just like that.
No, I mean you and me.
I mean, you didn't invite me to the wedding, so presumably, you're still in love with me.
(Laughs) Right.
I totally forgot.
I like to remember the poems you wrote me Mm-hmm.
The breakfasts in bed, the nurses you were banging.
Okay, we can stop right there.
No, seriously, if I'd known you'd be here, we would have invited you.
If you get off early park regency, suite 918.
Open bar.
(Knock on door) It's a no-go, guys.
You're kidding.
Nope.
Emerg got slammed.
O.
R.
S are backed up.
What can I tell you? Communication around here is horrendous.
So we're not doing my surgery today? No.
Tomorrow.
Tomorrow? Yep.
First thing.
Look, I want this freaking thing off no man.
(Pounds bed) It's a short wait, Shawn.
Yeah.
(Chuckles) Yeah, it's it's all right, man.
So we're good for tomorrow? All good.
It's called Isla Holbox, off the coast near Cancun.
It's less touristy than Isla Mujeres, but mm.
The isle of women.
Yeah, you're not going there anymore.
(Laughs) So what does "holbox" mean? Black hole.
But trust me, it's gonna be beautiful.
Okay? It's gonna have white Sandy beaches and we're gonna pick out food at the market and cook it in our own little hut with a palapa roof.
What about Paris? I don't know.
I've never been to Paris.
I was always too busy working or going to school.
Okay, we're we're going.
I mean, unless you really don't want to, 'cause black hole island sounds pretty romantic.
(Exhales deeply) Oh, my God.
What? Charlie, we're getting married.
(Sighs) (Pager buzzes) Mm.
(Sniffs) (Sighs) Oh, she cannot be serious.
Go.
Go.
Go.
(Indistinct conversations) Dr.
lin, couldn't you get a C.
T.
? Uh, no, I couldn't, because of the radiation.
I'm pregnant.
I'm sorry.
What's your name? Mitchell.
Mitchell, could you go get Angela a juice? They're in the little fridge down the hall.
Thank you.
Angela, when was your last period? Four or five months ago.
Are you sure you didn't know you were pregnant? 'Cause here's what I think.
I think you kinda knew.
I didn't want him to dump me.
Okay.
I can understand that.
I'm just gonna check you, okay? Tara, you feel like you're Congratulations.
An ob-gyn will be able to check for sure.
Let's keep her overnight.
Put her on a fetal monitor.
Yeah.
And, Dr.
lin, try not to page me.
I'm going to get married.
Dr.
reid? (Sighs) Yes? You look beautiful.
Thank you.
Hey.
(Squeals) Wait.
Wait.
Sorry.
(Laughs) The shoes were expensive.
Hey.
You good? You good? Yep.
Hop in.
All right.
My love.
(Tires screech, glass shatters) Still not withdrawing from pain.
What do you think? It's a venous bleed.
It's it's okay, but if it's his meningeal artery, he could cone.
Now coning is when I know what coning is! It's when the pressure of his brain goes down to the spinal cord, the pressure, essentially, could could crush his brain.
And he could die.
I could die? What the hell does that even mean? Okay.
This is weird.
We'll take it from here.
I'm coming with you.
You're not a neurosurgeon, Alex.
There's nothing you can do.
I'm not leaving him.
See, doctors like tests.
It's the unknown that scares them.
(Door squeaks) Yeah, this is exactly what I would do see what's going on in my brain.
(Beep) (Whirring) I can tell you what's going on in my mind.
And I wish I could hold you, Alex, and tell you that I'm gonna be okay But I can't.
And you know what? There's no test for this.
I am having an out-of-body experience in a tuxedo.
Wake up, you dumb bastard.
Anything? No change.
Everybody keeps telling me to to go home? Yeah.
I can't.
Then don't.
Your family's here.
So what am I supposed to do? Suit up.
(Inhales sharply) Pit your scrubs on, Dr.
reid.
Get to work.
(Crying) (Monitor beeping steadily) He's bradycardic, and his pressure's up.
It is slightly.
But the C.
T.
showed a venous bleed, so unless something changes, we don't need to operate yet.
(Clears throat) Do you want some time alone with him? Without me? No.
He's being looked after.
(Pager buzzes) (Nurse) I can leave if you like.
It's fine.
Gotta go.
Okay, hypothetical you're on an airplane going to Miami, but you land in helsinki.
Hey.
And that's fine.
You can see me? Yeah.
Can you see me? Yeah.
'Cause I'm I'm talking to you.
Right.
What's going on? Um I'm in a coma.
Am I in a coma? No, you you died.
We did everything we could.
Sorry about that.
It's not what I pictured.
Yep.
I know what you mean.
I haven't even seen my wife.
I don't think she's coming.
You have a wife? Yeah, and, uh, a daughter.
Yeah.
See, we had you declared a John Doe.
Couldn't find your wallet.
(Chuckles) That's funny.
Uh I like to gamble, so I, uh, I just take cash with me so I don't go over my limit.
Right.
I'm sorry.
What's your name? Uh, Charlie.
Charles.
Charles, I gotta be honest with you.
I-I don't think I'm coping all that well with things.
You know, maybe I should find this more intriguing being able to see everything it beats the void, you know, nothingness, but, uh I don't know about you.
I'm lonely.
Yep.
I'm I'm getting there, John.
That's not my name.
(Sighs) I'm sorry.
What is your name? Almost done.
(Curtain rings swoosh) You paged me? Yeah, I'm sure I should be able to figure this out myself, but I am stymied as to why Tara here swallowed this.
Daffodil bulb.
Yeah.
Highly toxic and causes convulsions and death.
Okay, I'm just gonna pull out the tube now.
Okay? (Tape rips) (Coughs) Hey, Tara.
My name's Gavin Murphy.
I'm a psych resident here at hope-zee.
Do you mind if I ask you a couple questions? Sure.
You know the daffodil bulb was toxic when you ate it? Why would I have eaten it if I knew that? If you wanted to hurt yourself.
Why would I do that? Will you hand me my jacket? Are you cold? No.
There's a pizza bagel in there, and I'm hungry because I just got my stomach pumped.
I didn't try to kill myself, okay? You trying to get high? No.
You trying to lose weight? No.
Something all the kids are doing? No! Then what was it? (Lowered voice) It was a love potion.
I'm sorry? (Mouth full) It was a love potion.
Can't hear you.
(Loudly) It was a love potion, all right? A love potion.
I drank it, then I gave some to this boy I like.
Now I want to die.
(Grunting) (Man) Aah! Who are you? Hey.
I'm Joel Goran.
I'll be performing your surgery.
(Men screaming) Where's Dr.
Harris? I'm afraid he's unavailable.
Today? Because I mean, I'll wait.
No, he can't do the surgery at all.
Um, but it's okay, because I'll be looking after all of his patients.
I don't want a new doctor, okay? Unfortunately, you don't have a choice.
Kinda what you got.
But I'm good, so Uh, Shawn, I'm looking over your stuff.
Has anyone spoken to you about limb-sparing surgery? Yeah, Dr.
Harris.
Why? I mean we should have another talk about it.
Limb-sparing surgery it's exactly what it sounds like.
What we do is we make a wide incision, we cut out the belly of the muscle, then we use radiation and chemo, and we could maybe spare your arm that way.
I have a grade III fibrosarcoma.
I understand that.
I'm not making any promises here.
I just feel like if we can take a shot, we should probably take the shot, right? Shawn, what do you do for a living? Look, I work at a gas station, but tell me are you here to sign my arm or what? I don't know.
Are you postponing my surgery again? I don't know.
(Sighs deeply) (Angela) Ow! Ow! What's going on? I don't know.
Temp's 37.
5.
B.
P.
'S 130 and on 80.
I have to go to the bathroom.
Maggie, do you know what this is? A vag a baby's head.
She's crowning.
I need an ob-gyn and N.
I.
C.
U.
stat.
And get that bed out of here.
A little help here.
Ow! All right, Angela, you're gonna have your baby now, all right? We're gonna do this together because we need to get this baby out.
I need you to push.
I don't know how to push.
Just take a breath and bear down when I tell you.
You just need to listen to your body.
Maggie, grab her foot and brace it.
I'm not ready for this! You are.
You are.
Come on.
I know you can do this.
Push.
Oh, that hurts! Ohh! I know it hurts.
I know it hurts, but you need to push through the pain.
So take a nice, deep breath.
Ready? (Inhales deeply) And push.
Ohh! Okay, I got one shoulder.
You're gonna need one more push.
You got one more push in you, Angela.
One more deep, giant push.
You want this baby.
Ohh! I want my baby! Ready? Push.
Aah! (Grunts) (Panting) (Baby crying) There you go.
You have a baby boy.
He's tiny, but he's breathing.
I can't believe it.
He's so beautiful.
She's ready.
She's ready.
(Woman speaks indistinctly) Hey.
You okay? (Alex) Congratulations, Angela.
Born at 10:32.
(Monitor beeping steadily) Yes, I understand that the deposit is nonrefundable and I am absolutely willing to pay for the suite.
Okay? I just I have to cancel the reservation for the weekend, and if you could do that for me, it would be great.
Thank you.
Ch Charlie.
I know that I should talk to you.
I'm sorry.
I know that I should.
(Monitor beeping erratically) (Multiple machines beeping erratically) Call the code! 32-13! (Man over P.
A.
) Code blue.
32-13.
Code blue.
32-13.
(Monitor emits continuous tone) Code? Alex, hey.
Is he full code? Yes.
Yes.
Still in V.
F.
All right, let's let's shock him.
I got this.
I got this.
Hey, Alex.
Hey, no, you don't.
I got it.
Okay? Goran, 5 epi.
(Defibrillator whines and beeps) Come on! Come on! Let's get him down.
Get him down.
Clear.
(Paddles thunk) All right, what's the rhythm? Still on V.
F.
Wanna go again? Yes, I do.
(Defibrillator whines) Come on, Charlie! Come on, Charlie! Listen to my voice! Come on, baby! Come back to me! Clear! (Monitor beeping rhythmically) (Nurse) He's returning to normal-size rhythm.
His I.
C.
P.
'S through the roof.
He needs a craniotomy stat.
Could I get, uh, doctor what is his name? Hamza.
Go get Dr.
Hamza.
(Monitor beeping steadily) We have to reduce the pressure on his brain, or he's gonna die.
In case you're wondering, during a craniotomy, they drill holes in your head.
And that's about it.
I've seen this a hundred times.
I'm fine, Shahir.
See, most patients don't understand how physical surgery is.
The body is tough.
You gotta crack a few bones, poke a few holes, and really get in there.
And it works, most of the time.
(Drill whirring) It's not making you nervous, my being here? I don't get nervous.
(Drill continues whirring) (Pants) (Grunts) You called for a consult? This is Mischa, Not appendicitis.
No allergies.
Stuart here thinks it might be suicide attempt.
Mm-hmm.
Daffodil root poisoning.
Really? You mean he ate a daffodil? The root, actually.
I've never even heard of that.
How do you know that? She's the best.
Finish pumping his stomach.
And I'll meet you in cubicle three.
All right.
What's in cubicle three? (Laughs) I (siren wailing in distance) Hey, man.
You rescheduled my surgery? We good to rock 'n' roll? Yep.
Yeah.
Great.
I have a couple of questions I want to ask you first, though.
You didn't tell me you were in Afghanistan.
That's none of your business, doc.
Well, I googled you.
Turns out you're kind of a hero.
You saved a bunch of guys' lives in an ambush, and you have an engineering degree? So? You told me you work at a gas station.
You might have post-traumatic stress.
Watched a bunch of people get blown up for no reason.
I probably do.
I think it's also possible you have survivor guilt.
Everyone who doesn't die over there has survivor guilt.
(Sighs) I think you want this arm off 'cause it's gonna make you feel like this is fair.
Have you thought about talking to a psychiatrist? Did that, man, at the V.
A.
Hospital.
They gave me five different kind of pills and then they found my cancer.
Look, I'm here because Charlie Harris is supposed to be a great surgeon, okay? Now you got me talking to shrinks again? I just want my tumor dealt with, man.
That's it.
I think it's more than that.
So what, man? What if we did get to know our patients? What makes them happy Or sad? Would it help us? Would it help them? Hey.
Hey.
How you feeling? So sleepy.
Do you need anything? No.
But I've kinda been thinking about the baby.
We should probably get it some diapers or clothes and stuff.
Maybe I can go down to the gift shop, get him a little bear or something.
(Chuckles) He's too little for toys.
Mitchell? Do you love me? (Monitor beeping erratically) Angela? (Wheezes) (Gasps) What's going on? Angela, are you okay? Angela! Nurse! (Monitor emits continuous tone) (Man over P.
A.
) Code blue.
27-38.
Code blue.
27-38.
Code blue.
27-38.
(Sighs) Mitchell? I don't understand.
She can't be dead.
She had what's called a pulmonary embolism.
There were massive blood clots that went into her lungs.
We did everything we could do.
I was just talking to her.
she said she was sleepy.
I am so, so sorry, Mitchell.
(Sighs) (Man) Let's get these charts organized.
I know this is terrible timing, but we do need to talk about your son.
(Whooshing) Someone has to make decisions for him.
Can't you ask her parents? You're the father.
Look, I know right now it just seems like some baby But it's your baby.
And It just needs time.
Babies go from unknowable to to cute to Miraculous.
It builds.
And next thing you know, you'll be teaching him how to ride a bike, and It'll be the best day of your life.
Do you have kids? No.
Can I put him up for adoption? I can put you in touch with a social worker.
Okay.
But you don't have to make that decision now.
You have time.
I don't need time.
Mitchell.
This baby killed Angela.
I don't want it.
(Machine whooshing) When things go bad, we say we did all we could and then there's nothing more to say.
You're alone.
(Woman over P.
A.
) Paging E.
M.
T.
To the E.
R.
nurses station.
Dr.
reid? Yeah.
Dr.
reid, hey, um, I was at the accident yesterday with you and Dr.
Harris.
Oh.
Right.
Well, you guys did a good job.
Thanks.
Um We found this when we were cleaning out the rig.
Thanks.
Take care, okay? Yeah.
(Monitor beeping steadily) (Pen clicks) Charlie is, uh, stable after the craniotomy.
Relieved the pressure and his, uh, his vitals are all right.
Good.
Do you know where his parents live? No, they're both dead.
Brothers or sisters? No.
Then we need to talk about how far you want us to go.
We had to resuscitate him.
This may be the first of many interventions.
Oh.
We're having the talk.
Alex no.
I know what this is.
We don't have to do this.
We do.
Charlie is in a coma.
We need to consider the quality of life as well as quantity.
You want me to tell you whether I want to resuscitate him if he codes again? Yes.
I can't do that.
You have to.
(Sighs) (Sighs) (Sniffles) (Knock on door) (Sniffles and clears throat) Come in.
You need something? About to ask you the same question.
How you doing? I do better when I'm busy.
What are you Medic dropped it off.
You know, I only ever tried it on once.
Charlie and I picked it out together.
It's gonna be okay.
You seriously believe that? Yeah.
Shahir asked me about a D.
N.
R.
That's a hard call.
Do I really want to put him through all the crap of a series of interventions, cracking his ribs, filling his body with drugs, every indignity, when he's just gonna die anyway? Charlie's not gonna die.
Come on, Joel, he is.
He has some brain function maybe, but the rest is just machines.
No, you don't know that.
Yes, I do and so do you.
No, I don't.
I mean, look at Shawn price.
You know, I can either cut that kid's arm off or I can try and save it, so I don't know, why don't I try the option of Thinking you're not screwed? You don't get to come in here and pretend you're the only doctor who cares about patients.
Okay, where the hell did that come from? Charlie is twice the surgeon you will ever be.
Amputate the arm.
That's what he was gonna do.
I'm not Charlie.
No kidding! This is life and death.
You have to be aggressive.
Okay, when did this become about you telling me how to do my job? When you came in here and started soft-pedaling me like I don't know the facts.
You know what? I came in here because I was trying to be nice to you.
Well, don't be nice.
'Cause you're a lot of things, Joel, but you're not nice.
(Siren wailing) (Door opens and closes) Dr.
Goran? Yeah? Hi.
Hey.
Gavin Murphy.
I'm a psych resident here.
Hey.
I caught the consult with Shawn price.
Ah, right.
He has P.
T.
S.
D.
Yeah.
So obviously, I don't think he's in any shape to be making decisions on amputation.
Well ,we're gonna go ahead with the surgery.
Thank you.
Okay, uh, with all due respect, he's got a lot of issues tied up in that arm.
Let me ask you something, man.
Do you think being a doctor automatically makes you smarter than the patient? Depends who you're talking to.
Oh, you're talking to me.
Look, this kid wants his arm off.
I don't think he's entirely wrong.
(Siren wails) As surgeons, we deal in absolutes, in certainty.
We make a choice.
We believe it's right.
(Monitor beeping steadily) We can't second-guess ourselves.
It's kind of bloody.
At least, that's what I used to think.
(Siren wailing in distance) Oh, God.
Get out.
How you feeling, Shawn? What do you think? You didn't do my surgery.
I changed my mind.
No, you can't do that.
You didn't do what I wanted.
I performed the limb-sparing surgery.
All right? We've removed the tumor.
It's much better, believe me.
I signed a consent.
Look, in all truth, I got in there, I just could not do it.
I can't watch you punish yourself for surviving a war, Shawn.
You don't know anything about me.
You haven't seen the stuff that I've seen and you you you haven't walked where I walked.
Maybe not, but I've seen a lot of death in my time.
Oh, yeah? You have anyone die for you lately? No.
(Scoffs) Look Shawn, I was gonna perform the amputation 'cause that's what Dr.
Harris was gonna do.
I felt guilty a-about that, you know, I felt a sense of duty.
I think it's what you felt towards your fallen comrades.
Live your life.
(Door opens) I'm gonna sue you.
You'll probably win.
I've walked these halls a thousand times.
I thought I knew them.
We all end up here.
We come in sick or broken And sometimes, we get better.
You gonna come in with me? Yeah.
Of course.
You sure it won't hurt him? Yeah.
It's good for him, to be touched.
Okay, I'm just going to try this and see how it goes.
Okay.
(Machine whooshing) (Siren wailing in distance) You can get into bed with him.
I'll mess up his lines.
No, you won't.
I'll be here just in case.
All right.
No.
You okay? Would you j would you just go? (Sniffles) I had a bad day.
I lost a patient and and Normally, I would Tell you about it.
And I would I would, um Ask you to help me figure out how to fix it, you know, where it went wrong.
And I-I would (Sighs) Charlie.
Charlie, what am I gonna do without you? (Sighs) (Emma-Lee) as I lay me down to sleep I pray Don't you give up on me.
Pray I'm still here.
And I know living right it isn't in the lyin' but I could live with tryin' I could live with cryin' I could live with dyin' tonight