The Night Shift (2014) s01e01 Episode Script
Pilot
- Watch your flank.
- We're under fire from everywhere.
- Hey, bring me a litter.
- It's all on us, bro.
- Go, go, go.
- Let's go.
- Let's go, get up.
- Go away.
It's after five.
You've been out all day.
It's time to go.
And you got your butt kicked again.
I told you, if you fight in a biker bar you gotta keep your hands up.
- Hey.
Any coffee? Yeah, right there by that mint on your pillow.
Ripped By mstoll - Hurry up.
He's going into shock.
- I'm coming.
I'm coming.
- Losing him.
- Do something.
- I can't stop the bleeding.
- Take out the branch.
- Can't.
He'll bleed out.
- No, he won't.
- Get back.
Give us space.
- I'm a doctor.
We'll take the branch out and do a DPL.
- Don't have enough blood.
- Yeah, yeah.
Get me your bags, saline pack, tubes, a needle and scalpel.
We're gonna go on three.
All right? One, two, three.
- He's gonna bleed out.
- No, he's not.
His renal artery is cut.
I'm going to clamp it.
We're gonna use his blood.
Start a line.
Go, go, go.
Hang in there, buddy.
Keep breathing.
When that fills up, we take it off, pump it back into him.
Then we step up with a new bag.
Like a bucket brigade at a fire.
Ready? Holy crap.
It's working.
Where'd you learn that? Afghanistan.
All right, let's move.
The defibrillator in your wife's pacemaker is malfunctioning causing her to be shocked.
- So make it stop.
- I can't.
We are contractually obligated to call the pacemaker company.
They send a technician over to reset it.
So she's in pain the whole time until a tech gets here? Sorry.
It's not gonna happen.
Hi, I'm Dr.
Alexander and I'll deactivate your defibrillator with a magnet.
- Jordan, this is my patient.
- Then you should have helped her.
- Lf anything happens, we're legally - The only thing that'll happen is you will stop feeling like a horse is kicking you.
Okay? It's perfectly safe.
There we go.
There you go.
That's better, right? We'll get a tech in here and we'll have that reset and then you will be on your way.
- Thank you, doctor.
- Sure.
- Let's clear it out.
- Make a hole please.
I need a type and screen and two units of blood.
- You got it.
- You got lucky taking that branch out.
- Luck had nothing to do with it.
- Heard about it over dispatch.
- Hell of a way to start your shift.
- Not my first choice.
You look like crap.
Pulling a tree out of a stomach can be messy.
I meant your face.
Are you fighting again? - I didn't start this one.
- You never do.
I need your paperwork for the drug company study.
I'm trying to fund an extra position for day shift and you're a month behind.
- Am I? - Yes, you are.
The only thing I need you to do is just take one day.
One day to finish paperwork instead of going out, getting drunk and in fights.
- Hey.
I'm done being nice about this.
- This is nice? You know what? I am gonna ride you until I get that paperwork You've got a boyfriend.
So sex with me is not gonna happen but nice try.
You are so full of yourself.
Good morning slash evening.
This is very cute.
- Wait.
That's her.
- I wish I did that.
- He's hung over, again.
- Oh, come on, J.
I've seen you sucking on a bong like you were giving it CPR.
- That's nothing.
She used to - You shut up.
And, Topher, that was ages ago.
TC, please, just get me the paperwork, all right? For me? Two-weeker, BP dropping, possible renal failure pulse down to 83 from 94.
- I got it.
I got it.
Mom says congenital deformity with kidneys no wet diaper for two days.
- Call paediatrics.
She's swelling.
I need a bedside ultrasound, stat.
Okay.
All night shift staff report for duty.
I'm sorry.
They say juggling helps improve your surgical dexterity hand-eye coordination, pattern recognition.
- That sort of thing.
- That's great.
- You're Krista, right? - Yeah.
Paul Cummings.
We met last year at intern interviews.
Talked about the MCAT's.
You scored a 34.
- 35.
- I got like a 35.
6.
Good for you.
I wouldn't be doing that, new guy.
No worries.
I know what I'm doing.
I can juggle anything, even junk from the lost and found.
Yeah.
Yeah, that's not lost and found.
Those are things the docs have taken out of people's rectums this month.
Yeah.
I would wash my hands if I were you, 35.
6.
Yo, doctor, the newbies Krista and Paul need to tag along with you until Dr.
Knox is available.
I wouldn't shake his hand.
Exam five, 42-year-old man with lacerations on his testicles.
- Come on, man.
I just ate.
- Wait until you see it.
Guy claims he's cleaning his bathtub naked when his cat pounced on his scrotum like a chew toy.
EMTs had to drug the cat to get him to let go.
Hey, how much longer do I have to wait? Been here for over an hour.
You're behind people who've been here two hours.
I'm sorry, we're undermanned and in the middle of a shift change.
- Just a moment.
- I wanna be seen now.
- Sir, I - I said now, bitch.
Hey, hey.
Wait a minute.
- Sir, you're gonna have to - Hey, calm down.
Hey, bubba, bubba.
Hey, let's calm down.
We don't want any trouble here.
Okay.
Okay.
Don't fight it, big man.
Don't fight it.
You're about to go sleepy time in about five seconds.
And one, it's like a little baby.
Put his feet up.
He'll wake up soon.
- You might wanna cuff him first.
- Thank you.
- You're welcome.
- Security to the ER.
Mr.
Ragosa? I haven't made my decision yet, Jordan.
Okay, so in the meantime, nobody's in charge of the night shift? They're talking about shutting the ER down.
And I was promoted to make sure that doesn't happen.
- And when I find the right person - I'm the right person.
The night shift is not like your day shift, it's an undisciplined zoo.
Last week, someone stole my cell phone and sent erotic texts to my dentist.
It's how they blow off steam.
Half the shift is ex-military so, you know, they work hard and they play hard.
- Well, I don't like it.
- That attitude isn't gonna go away.
We're surrounded by military bases, it's our workforce.
I see that as a positive.
All right? They're already a team.
They need a leader.
You've seen how hard I work on the day shift.
Make me the chief of the night shift.
Give me a chance to prove myself and keep this place open.
What have you got to lose? Sir? Stay still, sir.
I swear to God, no matter how long I do this it always freaks me out to be this close to a guy's shredded business.
I'll let you guys finish up the last couple of stitches.
- Who wants to go first? - Oh, man.
That's really nasty.
No.
I'll do it.
I've seen way worse testicles than these.
Sorry.
You okay? What's the deal with Paediatrics? We need her on dialysis.
They're saying Ragosa told them we can't admit her.
Doctor Callahan, please report to the staff meeting immediately.
I don't need to tell you people that hospitals are struggling to stay open.
With fiscal challenges, Obamacare, we need to cut costs improve customer satisfaction and increase profits.
And to help us achieve those goals is new interim chief of the night shift, Dr.
Jordan Alexander.
Nice.
I just wanna say, I'm excited to work with all of you.
We're gonna do some great things.
For starters, we're going to implement a new administrating programme using these bad boys right here.
They've really helped the day shift manage patient efficiency.
All you have to do is enter the patient's information, their diagnosis, the treat Excuse me.
Sorry I'm late for your pep rally.
I had to take care of the baby.
- Did the ambulance arrive for her? - I have no idea.
I was busy setting her up for dialysis in Paediatrics.
You admitted her? I told them to transfer her back to Corpus.
I determined she wasn't stable enough to travel.
- She was fine.
She could have gone.
- Is that your opinion, doctor? Oh, wait, that's right, you're not a doctor.
All right, all right, everybody, look, meeting's over.
Enjoy your shift.
Thank you very much.
Jordan, I need you to override his diagnosis.
I'd have to examine her first.
- I don't know her - Well, do it now.
Yes.
Hey.
Welcome to the night shift, Jordan.
Get this thing off me.
Ms.
Palmer, you need to stop that.
- Can I help you? - Yes, Matt Damon is trying to kill me.
Matt Damon Bourne Identity, Good Will Hunting The Talented Mr.
Ripley.
People always forget he was in that.
I don't know how people could forget? I loved The Talented Mr.
Ripley.
It was so edge of your seat.
So tell me something.
What was your favourite scene? You know, it's so hard because all of them and Matty is so I love it when he sneaks into the room with Philip Philip Seymour Hoffman and then when he gets on - Yeah.
the boat with Jude Law and he's on there.
- Okay.
Nice ploy.
- Thanks for picking up on it.
- Oh, there we go.
I'm Jordan, by the way.
We talked when you started as the psych attending last month.
Landry.
I know who you are.
You're my new boss.
I prefer colleague.
- I'll take it from here.
- Thank you.
So, Landry, if you need anything, please just don't hesitate to ask.
Are you kidding? I need a holding room, a psych nurse, better access to the pharmacy.
You should have had those your first night.
Yeah.
This shift is a little Lord of the Flies.
Landry.
We need a psych eval, exam four.
Okay, I'll get you all of these things.
You do that and I'll buy you coffee for a week.
Deal.
Welcome to our break room.
Look at this place.
It's insane.
- This is awesome.
- It's night shift only.
We come up here on breaks, after shifts.
Here's my advice for your first year.
Just watch, listen.
Forget what you learned in med school.
We'll show you stuff they didn't teach.
Do your best and see if you can hack it.
TC is such a bad-ass.
He was an Army Ranger, battlefield doc top of his class at Johns Hopkins Med, right? Oh, I Googled him.
I Google everyone I meet so Yeah, I would keep that to yourself.
Guys, we got a GSW.
Drew, you're up.
- BP and heart rate dropping.
- What's happening? Simple GSW.
I got the bullet.
Still bleeding.
- Check for fragments? Bone fragments.
- I got the whole the bullet.
All right, give me the ultrasound.
All right, Drew, the bullet hits the bone, bone fragments, pieces travel.
Alrighty, let's go.
Come on.
There it is, right there, your spleen.
That's the source of your bleeding.
We need to get him to the OR.
The dialysis is working.
Call me if there's any change.
- T, we have to figure this out.
- What? You do your thing, I do mine.
The only thing I need you to do is to show me some respect.
Respect is earned, Jordan.
Everyone thinks you're Ragosa's puppet.
Oh, excuse me.
I am not his puppet.
You're discharging this baby like he wanted.
After she recovers from her dialysis.
If we keep her, what do I tell the next 50 people we can't afford to treat? - I'll treat them.
- God, TC.
Did you not learn anything from being kicked out of the Army? You are an amazing doctor but for some reason, they thought they were better without you.
During a war.
What does that tell you? That they care more about politics than lives.
Do you not see how self-destructive you are? You deserve better, TC.
You do.
Hey, hey, I need your ATM card.
I'm a few hundred short.
- For what? Your bookie.
Again? - I may have lost a few.
You really gotta stop betting on basketball because you really suck at it.
- Yo, Topher.
You got a minute? - Yeah.
Eddie's daughter came in.
Having some stomach issues.
Could you look at her? Yeah.
Yeah, sure.
Does that hurt? Sorry.
Has it always been this size or has it gotten bigger? It's gotten bigger in the last few years.
Sorry to bother you.
It's been hurting so much lately.
It's been hard to work.
What have other doctors said? That I don't have insurance.
All right, we'll get to the bottom of this.
- Sit tight.
- Thank you.
35-year-old female, unresponsive, OD.
Two empty bottles anti-depressants found.
Let's start with the intubation.
Screwed up, T.
I got a simple GSW, I nearly kill the guy.
I've seen a million bullet wounds.
I should have known.
Battlefield wounds, not civilian.
Very different.
You spent six months as a war medic.
That's not nearly long enough to be a surgeon.
Do the lavage now.
Then Jordan steps in, makes me look like a punk.
You can't compare yourself to her.
She spent four years in residency in a Baltimore shooting gallery.
That's worse than being in Fallujah.
Jordan's the one I'd trust with my life.
Okay, right.
How's your first night going as the big boss? Pretty good.
You know, they're a really great crew.
Of course, TC drives me nuts but there's no shock there.
- Oh, you two don't get along? - It's complicated.
- Sounds like an interesting story.
- Yeah, It's a long one.
- So breakfast, okay? We'll talk.
- Great.
All right.
- Hey.
- Something you want? Topher said get the janitor's daughter blood work and an MRI but the tech says we can't get them until we get approval from Ragosa.
She might have a tumour.
- Yeah, okay.
I'll take care of it.
- Yeah, yeah, okay.
If you take away our ability to do the tests we need we can't diagnose patients.
If the patient can't pay, then they get the minimum treatment.
They cost us too much money.
If all you care about is money, I can save you a ton.
Shut down the hospital and you won't have to treat anybody.
If we haemorrhage losses, they will shut this place down.
We're the only trauma unit for ten counties.
Where would people go? - That's not how the corporation thinks.
- Well, that's how we think.
Listen, you better change the way you think and start doing as I say.
You see, I'm the guy who can save this place.
You're the guy who exposes this hospital to a liability.
If that tree trimmer died, do you know the lawsuit we'd face? I should have just left him to die? Don't turn me into some heartless bureaucrat.
You don't know about me.
And you broke every rule pulling out that branch.
- Every legal rule.
Not medical.
- It's all the same thing now.
This isn't some cash unit in Afghanistan where you're the God.
You're on your last chance.
So you either get in line or you are out of here.
- Don't threaten me.
- Get out of my way.
I don't get intimidated.
Okay.
You see? You're not as tough as people said you - TC.
- He fell.
Yeah, okay.
There's a multi-car accident out in Kerr County.
Topher needs you to go with him.
- Chopper's outside.
- Okay.
Just get him some smelling salts.
He'll be okay.
Hey, buddy.
They say it's a really bad one, T.
Let's go.
We gotta move it.
Just taking off now.
Fifteen minutes out.
The teenager said the pickup drove right into his lane.
Minor lacerations, other driver broken ribs.
We got them covered.
It's the kid in the SUV.
We didn't want to move him.
That's why we called you.
Help my brother.
You have to help Matthew, please.
All the doors are jammed.
You gotta go through the sunroof.
Hey, Matthew, hey.
I'm TC.
This is Topher.
Okay, I know you're scared, we need you to be brave.
All right? Can you move your fingers for me? Yeah? Hey, good job.
Good job.
Okay, I'm gonna take care of you.
So we're gonna get you out of here.
Be right back.
Pull me up.
How bad? His skull is separated from his spinal column.
They move separately with each breath.
Oh, my God.
How is he still alive? By some miracle, the skull is being held in place by the neck muscles.
Still got motor activity in his extremities so the spinal cord hasn't been severed.
We need to sedate him and get him out of here.
He's got a chance.
We need to fashion a mini body board to fit in there.
And get some blankets.
We need to improvise blocks to stabilise his head and neck.
Okay? Let's go.
Hey, hey, buddy.
Hey.
We're gonna take care of you.
It smells like my grandma's house.
- I can't believe we have to do this.
- Hey, I did it all last year.
State law.
When an old fogey croaks only an MD can declare him dead.
So they bring them here.
Climb in, check his pulse.
Two minutes.
Let's go, before we get busy again.
Hey, hey.
Wait, wait.
I get to go first.
You got to do the stitches, so - Because you were afraid.
- I was not afraid, all right? I was hesitant.
There's a difference.
Okay.
Go in there.
Okay.
Drew! Hey! You can open it up now.
Hey, what is that? That'd be your good friend Kenny.
Yeah, no, guys.
Whoa, whoa.
Where you going? One of the ladies said they couldn't do the tests because I didn't have insurance.
- No, no.
Topher told me you cannot leave, no matter what.
If anybody comes up to you, just gag like you're gonna hurl all over them.
Then run to the head and hang out for a while.
Can you do that? - I think I can.
- It has to be good now.
- We hear people gagging all day long.
- Okay.
Okay, okay, stop, stop.
That was really gross.
Look, you'll be fine.
Steady.
Steady.
Let's get him secured.
Hey, hey, hey.
If this kid slips a millimetre he'll be paralyzed or die.
- No pressure.
Topher, here's Nurse Ramos.
Hey, Toph, our neurosurgeon is in Houston doing an operation.
He'll be here as soon as he finishes surgery.
Good.
Let's just hope we can get the kid there.
- Crap.
Topher? - I gotta go.
His lung collapsed.
I need a needle to reinflate.
That was close, just like old times.
I got him.
You're doing good, kid.
We got to get out of here in ten minutes.
- A storm is moving in.
- Okay.
Let's do this.
I gotta put something over you guys.
There'll be embers flying all over when we cut this open.
I've got to keep him still and keep his lung inflated.
Just put it over him.
All right, everybody.
Gather around.
I got a few things to say.
I log on to the tablet programme to see if new patient's names were entered.
I find the following names Dick Hurtz, Anita Lay and Some Young Guy.
Okay, guys, you've had your fun but, come on, you have got to take this seriously.
It has made the day shift so much better it is amazing.
- Just - Is it true that Ragosa fired TC? It's all over the fourth floor.
What are we gonna do? You can't fire him because, medically speaking, he is irreplaceable.
Everybody can be replaced.
Not TC.
I know him.
Okay? I can turn him.
I can get him in line.
You just have to let me.
This sounds like more than just a professional interest.
It's not.
It's what's best for the Trauma Department.
Well, I don't think so.
He's out of here.
Somebody get me a status on that surgeon.
Callahan, you're fired.
Get your things and get your ass out of here in ten minutes.
Screw you, Ragosa.
Did you approve that MRI for me? No.
She has no insurance.
I know she doesn't.
That's why I asked you to approve it.
Take her to the clinic.
She'll have to wait six months if she goes to the clinic.
She could be dead by then.
Why is it so hard for you people to understand that if we keep treating everybody for free, we will go bankrupt? Because we're the ones dealing with the people, not you.
So is TC really gone? I don't know.
Let's do this before someone walks in on us, please.
- Clear.
- Clear.
All right.
There we go.
Trust me, you don't want your first time being on someone who really needs it.
Paul, you're up.
We didn't do things like this at Columbia.
Not all of us could afford fancy med schools I went to USH.
- Is that in the Caribbean? Uniformed Services Hospital.
It's for military.
I was a medic, good at it.
The Army put me through school.
- How long do you serve to pay back? - I owe them ten years but I'm in for life.
No debt, I get to be a surgeon, it's a sweet deal.
Paul, this guy's really dead, so hit him.
So I hear you fight mixed martial arts.
I love watching that.
Yeah, I do it when I can.
It's a fun hobby.
Paul, come on.
Now.
- Clear.
- Clear.
Whoa, watch it.
Sorry.
Sorry.
I'm sorry.
Ragosa nixed the MRI for Kara.
I don't have much time.
I need to know where she is.
- Kenny's got her stashed in the head.
- Thanks.
- Hey, Dwayne.
- What do you want from me? - I need a favour.
- No kidding.
You're talking to me.
I need a scan for that girl over there.
She doesn't have insurance.
She might have a tumour.
Hate to see a hot girl die.
Okay, if I do this, you owe me.
- All right, whatever you want.
- I want liposuction.
Here, here and here.
Dude, I'm not a plastic surgeon.
But you know some.
Get me the lipo, I'll get you the MRI.
- All right, so Just don't do that.
- What? - Twenty-five hundred dollars for lipo? - It's a good deal.
I'm not giving you 2500 bucks.
This girl could die.
Have a heart.
What else can I do for you? - Oh, Spurs tickets? - I already have courtside seats.
And I make way more than you, so you can't bribe me.
But you know that hot new intern? Set me up with her.
- Krista? - Yeah.
She's way out of your league, man.
I mean, let's start small.
- How about I buy you a blow up doll? - A date with Krista or no lipo.
Okay, this is kind of weird but I'm just gonna spit it out.
I need you to go on a date with a plastic surgeon so he'll perform lipo on an MRI tech who will then give Kara the MRI to see if she has a tumour.
You have to be kidding.
I wish I was, but I pretty much need to know right now if we're gonna get her in there.
Wow, I am so glad I went to medical school.
Hey, you got a second? So I heard it got pretty hairy out there with the kid.
Yeah, yeah.
You know, when I saw his neck like that - Yeah.
- Yeah.
I ever tell you about this goofy soldier from Iowa named Bob Ropekee? - No, I don't - Well.
I don't think you did, no.
He was in a Humvee accident up near Kandahar.
Same injury as this boy.
I had to operate on him.
Are you serious? You did a spinal decapitation surgery in a tent? - I'm impressed.
Yes, I am.
Very.
- Yeah? I really thought he was gonna make it.
I did.
It was a hard letter to write to his parents because I was the one driving the Humvee.
T, I'm really sorry about No, I shouldn't have told you.
Why? You know I told you enough stories when I got back.
I don't need to tell you any more.
You don't need to hear them.
Look, T I know we're not together anymore but it doesn't mean that I've stopped caring about you.
Guys.
We got a drunk driver, multiple MVA five minutes out.
Okay, yeah, I'll be right there.
All right, looks like I'm up.
Look, T, about this whole Ragosa thing? Come on, don't let it end this way.
You need to apologise, all right? It's the only way.
If you wanna stay.
MVA's coming in, triage up.
Start two large bore IVs, wide open.
Type and cross ten units.
Need four units of O Neg.
This one is in bad shape.
This one's mine.
Topher you're with me.
- TC, the boy's coding.
- Jordan, I need you with me.
Drew, take the drunk driver.
Topher, take the victim.
Krista, Paul.
- This guy's a mess.
- Let's go.
Recycle the pressure.
Another five on Vicryl, on a large needle.
- BP's falling.
60 systolic.
- Two more units, right now.
- Here you go, two units.
- He's gonna code.
That's the brother of the boy TC brought in by helicopter.
He was the one who was driving.
Poor thing is so upset.
- Thanks, I'll talk to him.
- Yeah, his mother's on the way.
If his little brother doesn't recover, he may never get over the guilt of this.
Unbelievable.
This guy's got a.
38 alcohol level, creams another car and only ends up with a black eye and a boo-boo neck.
Get him to recovery.
Time of death 3:27.
You did your best, doctor.
Damn drunk drivers.
- Is this the drunk driver? - Yep.
Sir? You with me? Oh, so Oh, so you know, that this button in your hand controls the morphine from this machine, that's next to your bed.
It's to help ease your pain.
Button.
Morphine.
Pain.
- Tell them to prep the OR for the boy.
- Yes, doctor.
What's going on here? Bladder emptied.
Lost control of his extremities.
We need him in OR before paralysis is permanent.
Neurosurgeon isn't here.
He's stuck in Houston.
We can't wait.
Just stay out of my way.
I don't have time to explain how this operation works to you.
We have major liability here, Jordan.
Has TC ever performed one of these before? - Yes.
In Afghanistan.
- And? He did it.
Excuse me.
Matthew is my responsibility.
I was supposed to protect him and now I might have killed my little brother.
Tommy, look at me.
Look at me.
Your brother is alive right now because of you.
The deputy said you would both be dead if the accident was head on.
Your reflex saved Matthew.
And then, despite being in shock and injured yourself you crawled to the highway, called 911.
This was not your fault.
Do you understand that? Look me in the eye and tell me you understand.
- I understand.
- Honey? - Your mother's here.
- Tommy.
Mom.
Son of a bitch.
This isn't working.
We can't attach the skull to the neck bone.
It'll take six screws.
The cervical vertebra is fractured on the left.
There's nothing for the screws to hold onto.
What about the front of the neck? No.
It's got a hairline fracture there too.
The N-20 is starting to fade.
I don't know how much more of this he can take.
- What are we gonna do? - I don't know.
You're going to need to attach the skull directly to the spine.
What keeps it in place? A titanium loop.
Use the wires to secure it to the base of the skull.
Remove a piece of his rib to fortify it.
They've had success with the procedure at Barrow, in Phoenix.
I observed it at a seminar there last spring.
It will work.
It's our best option.
Ready, doctor? Sweat.
Almost done.
I've attached the loop to the spine and the wire to the skull.
What's next? Very easy, Jordan, going to need that piece of rib to fortify the spine.
- Be very careful.
- I got it.
The graft needs to be placed on each side of the spinous process between C-one and C-two.
Okay, the grafts are in position.
Let's secure them and close.
I'm still glad I hit him.
I'm a little claustrophobic.
It's gonna be okay, Kara.
Just take a nap.
Okay.
You need to be very still, we only have one shot at this.
I'm afraid the test results from our appointment were not encouraging.
Your vision is definitely deteriorating.
When was the last time you had corrective surgery? It's been awhile.
- Not since med school.
- Oh, you're an MD too? No, I had to quit.
You really can't perform surgery when you can't see that well.
- Hey.
- Hey.
So how's your boy? Think he'll make it? Don't know.
We have to wait for the swelling to go down first.
All right.
- How you doing? - Doing great.
You know that new intern, Krista? - Yeah? - Totally into me.
I won't do anything about it.
Don't worry.
Not that I wouldn't want to.
She's pretty hot, right? I'd love to hit that but grey area in the workplace.
Kind of confuses, crosses the lines.
- Drew.
- What? Really want me to say it? I have no idea what you're talking about.
No one cares that you're gay.
- I'm not gay.
- Okay.
Okay.
Sorry I brought it up.
But you don't have to pretend with me, if you are pretending.
- Why would you even think that? - You've been here over a year nobody's ever met your girl.
Nobody's seen you with a girl.
You've turned down a ton of other women fix-ups from the nurses, now this hot new intern Okay, okay.
Stop.
Do you think anyone else thinks this? Like, nobody's said anything that I've heard.
Maybe you should think about coming out.
No way.
No.
Are you insane? The second I come out, I am the gay guy.
How many gay guys were in your Ranger unit? Exactly.
I love the Army, T, and I will not risk losing that for anything.
Coming out is not an option.
That is so gay.
Matthew.
Can you hear me? Matthew, move your hand if you can hear us.
Can you do that? Can you move your hand, son? - Mom? - Oh, thank you.
Thank you.
Thank you.
It's gonna be okay.
How amazing was that? - Hey, how'd it go? - It was unbelievable.
- Yeah, it worked.
- Kid got his feeling back.
Thank God.
Yeah.
Party's never over.
I'll catch you guys later.
So, I loved hearing from my new boss that I'm banging her ex.
- Thanks for the heads up on that one.
- Yeah.
Well And here I thought you were a virgin.
Day shift staff report for duty.
All day shift staff report for duty.
Am I pregnant? No, it's a You have a condition called Foetus in Fetu.
It's gonna sound freaky but you had a twin.
- A twin? - Yes.
At your conception or early on, your twin didn't develop but it stayed alive in a very small, tumour-sized form inside your body.
- So I'm not dying? - No.
You are not dying.
In fact, the condition is so rare that the med school will do your operation for free.
That's great.
Thank you so much.
I don't know if you heard but the boy pulled through.
- He's gonna be okay.
- That's good to hear.
So we should have a conversation about what happened earlier.
Yeah? Now, we're even.
Hey, guys.
Look, I know you're all off duty and just wanna relax after a very hard night but I just wanna say thank you.
You really pulled together tonight.
- What about TC? Anything new? - I don't know.
- I tried to help but I just - Well, speak of the devil.
- So, T, what's the news? - Well, I had a meeting with Ragosa.
We worked it out.
I ain't going anywhere.
- Is that a new bruise on your face? - I fell.
- Sure you did.
- Jordan? What's this? The paperwork for your drug study.
You did this for me after the night you've had? Yeah.
Thank you.
Yeah.
Welcome to the night shift, Jordan.
Ripped By mstoll
- We're under fire from everywhere.
- Hey, bring me a litter.
- It's all on us, bro.
- Go, go, go.
- Let's go.
- Let's go, get up.
- Go away.
It's after five.
You've been out all day.
It's time to go.
And you got your butt kicked again.
I told you, if you fight in a biker bar you gotta keep your hands up.
- Hey.
Any coffee? Yeah, right there by that mint on your pillow.
Ripped By mstoll - Hurry up.
He's going into shock.
- I'm coming.
I'm coming.
- Losing him.
- Do something.
- I can't stop the bleeding.
- Take out the branch.
- Can't.
He'll bleed out.
- No, he won't.
- Get back.
Give us space.
- I'm a doctor.
We'll take the branch out and do a DPL.
- Don't have enough blood.
- Yeah, yeah.
Get me your bags, saline pack, tubes, a needle and scalpel.
We're gonna go on three.
All right? One, two, three.
- He's gonna bleed out.
- No, he's not.
His renal artery is cut.
I'm going to clamp it.
We're gonna use his blood.
Start a line.
Go, go, go.
Hang in there, buddy.
Keep breathing.
When that fills up, we take it off, pump it back into him.
Then we step up with a new bag.
Like a bucket brigade at a fire.
Ready? Holy crap.
It's working.
Where'd you learn that? Afghanistan.
All right, let's move.
The defibrillator in your wife's pacemaker is malfunctioning causing her to be shocked.
- So make it stop.
- I can't.
We are contractually obligated to call the pacemaker company.
They send a technician over to reset it.
So she's in pain the whole time until a tech gets here? Sorry.
It's not gonna happen.
Hi, I'm Dr.
Alexander and I'll deactivate your defibrillator with a magnet.
- Jordan, this is my patient.
- Then you should have helped her.
- Lf anything happens, we're legally - The only thing that'll happen is you will stop feeling like a horse is kicking you.
Okay? It's perfectly safe.
There we go.
There you go.
That's better, right? We'll get a tech in here and we'll have that reset and then you will be on your way.
- Thank you, doctor.
- Sure.
- Let's clear it out.
- Make a hole please.
I need a type and screen and two units of blood.
- You got it.
- You got lucky taking that branch out.
- Luck had nothing to do with it.
- Heard about it over dispatch.
- Hell of a way to start your shift.
- Not my first choice.
You look like crap.
Pulling a tree out of a stomach can be messy.
I meant your face.
Are you fighting again? - I didn't start this one.
- You never do.
I need your paperwork for the drug company study.
I'm trying to fund an extra position for day shift and you're a month behind.
- Am I? - Yes, you are.
The only thing I need you to do is just take one day.
One day to finish paperwork instead of going out, getting drunk and in fights.
- Hey.
I'm done being nice about this.
- This is nice? You know what? I am gonna ride you until I get that paperwork You've got a boyfriend.
So sex with me is not gonna happen but nice try.
You are so full of yourself.
Good morning slash evening.
This is very cute.
- Wait.
That's her.
- I wish I did that.
- He's hung over, again.
- Oh, come on, J.
I've seen you sucking on a bong like you were giving it CPR.
- That's nothing.
She used to - You shut up.
And, Topher, that was ages ago.
TC, please, just get me the paperwork, all right? For me? Two-weeker, BP dropping, possible renal failure pulse down to 83 from 94.
- I got it.
I got it.
Mom says congenital deformity with kidneys no wet diaper for two days.
- Call paediatrics.
She's swelling.
I need a bedside ultrasound, stat.
Okay.
All night shift staff report for duty.
I'm sorry.
They say juggling helps improve your surgical dexterity hand-eye coordination, pattern recognition.
- That sort of thing.
- That's great.
- You're Krista, right? - Yeah.
Paul Cummings.
We met last year at intern interviews.
Talked about the MCAT's.
You scored a 34.
- 35.
- I got like a 35.
6.
Good for you.
I wouldn't be doing that, new guy.
No worries.
I know what I'm doing.
I can juggle anything, even junk from the lost and found.
Yeah.
Yeah, that's not lost and found.
Those are things the docs have taken out of people's rectums this month.
Yeah.
I would wash my hands if I were you, 35.
6.
Yo, doctor, the newbies Krista and Paul need to tag along with you until Dr.
Knox is available.
I wouldn't shake his hand.
Exam five, 42-year-old man with lacerations on his testicles.
- Come on, man.
I just ate.
- Wait until you see it.
Guy claims he's cleaning his bathtub naked when his cat pounced on his scrotum like a chew toy.
EMTs had to drug the cat to get him to let go.
Hey, how much longer do I have to wait? Been here for over an hour.
You're behind people who've been here two hours.
I'm sorry, we're undermanned and in the middle of a shift change.
- Just a moment.
- I wanna be seen now.
- Sir, I - I said now, bitch.
Hey, hey.
Wait a minute.
- Sir, you're gonna have to - Hey, calm down.
Hey, bubba, bubba.
Hey, let's calm down.
We don't want any trouble here.
Okay.
Okay.
Don't fight it, big man.
Don't fight it.
You're about to go sleepy time in about five seconds.
And one, it's like a little baby.
Put his feet up.
He'll wake up soon.
- You might wanna cuff him first.
- Thank you.
- You're welcome.
- Security to the ER.
Mr.
Ragosa? I haven't made my decision yet, Jordan.
Okay, so in the meantime, nobody's in charge of the night shift? They're talking about shutting the ER down.
And I was promoted to make sure that doesn't happen.
- And when I find the right person - I'm the right person.
The night shift is not like your day shift, it's an undisciplined zoo.
Last week, someone stole my cell phone and sent erotic texts to my dentist.
It's how they blow off steam.
Half the shift is ex-military so, you know, they work hard and they play hard.
- Well, I don't like it.
- That attitude isn't gonna go away.
We're surrounded by military bases, it's our workforce.
I see that as a positive.
All right? They're already a team.
They need a leader.
You've seen how hard I work on the day shift.
Make me the chief of the night shift.
Give me a chance to prove myself and keep this place open.
What have you got to lose? Sir? Stay still, sir.
I swear to God, no matter how long I do this it always freaks me out to be this close to a guy's shredded business.
I'll let you guys finish up the last couple of stitches.
- Who wants to go first? - Oh, man.
That's really nasty.
No.
I'll do it.
I've seen way worse testicles than these.
Sorry.
You okay? What's the deal with Paediatrics? We need her on dialysis.
They're saying Ragosa told them we can't admit her.
Doctor Callahan, please report to the staff meeting immediately.
I don't need to tell you people that hospitals are struggling to stay open.
With fiscal challenges, Obamacare, we need to cut costs improve customer satisfaction and increase profits.
And to help us achieve those goals is new interim chief of the night shift, Dr.
Jordan Alexander.
Nice.
I just wanna say, I'm excited to work with all of you.
We're gonna do some great things.
For starters, we're going to implement a new administrating programme using these bad boys right here.
They've really helped the day shift manage patient efficiency.
All you have to do is enter the patient's information, their diagnosis, the treat Excuse me.
Sorry I'm late for your pep rally.
I had to take care of the baby.
- Did the ambulance arrive for her? - I have no idea.
I was busy setting her up for dialysis in Paediatrics.
You admitted her? I told them to transfer her back to Corpus.
I determined she wasn't stable enough to travel.
- She was fine.
She could have gone.
- Is that your opinion, doctor? Oh, wait, that's right, you're not a doctor.
All right, all right, everybody, look, meeting's over.
Enjoy your shift.
Thank you very much.
Jordan, I need you to override his diagnosis.
I'd have to examine her first.
- I don't know her - Well, do it now.
Yes.
Hey.
Welcome to the night shift, Jordan.
Get this thing off me.
Ms.
Palmer, you need to stop that.
- Can I help you? - Yes, Matt Damon is trying to kill me.
Matt Damon Bourne Identity, Good Will Hunting The Talented Mr.
Ripley.
People always forget he was in that.
I don't know how people could forget? I loved The Talented Mr.
Ripley.
It was so edge of your seat.
So tell me something.
What was your favourite scene? You know, it's so hard because all of them and Matty is so I love it when he sneaks into the room with Philip Philip Seymour Hoffman and then when he gets on - Yeah.
the boat with Jude Law and he's on there.
- Okay.
Nice ploy.
- Thanks for picking up on it.
- Oh, there we go.
I'm Jordan, by the way.
We talked when you started as the psych attending last month.
Landry.
I know who you are.
You're my new boss.
I prefer colleague.
- I'll take it from here.
- Thank you.
So, Landry, if you need anything, please just don't hesitate to ask.
Are you kidding? I need a holding room, a psych nurse, better access to the pharmacy.
You should have had those your first night.
Yeah.
This shift is a little Lord of the Flies.
Landry.
We need a psych eval, exam four.
Okay, I'll get you all of these things.
You do that and I'll buy you coffee for a week.
Deal.
Welcome to our break room.
Look at this place.
It's insane.
- This is awesome.
- It's night shift only.
We come up here on breaks, after shifts.
Here's my advice for your first year.
Just watch, listen.
Forget what you learned in med school.
We'll show you stuff they didn't teach.
Do your best and see if you can hack it.
TC is such a bad-ass.
He was an Army Ranger, battlefield doc top of his class at Johns Hopkins Med, right? Oh, I Googled him.
I Google everyone I meet so Yeah, I would keep that to yourself.
Guys, we got a GSW.
Drew, you're up.
- BP and heart rate dropping.
- What's happening? Simple GSW.
I got the bullet.
Still bleeding.
- Check for fragments? Bone fragments.
- I got the whole the bullet.
All right, give me the ultrasound.
All right, Drew, the bullet hits the bone, bone fragments, pieces travel.
Alrighty, let's go.
Come on.
There it is, right there, your spleen.
That's the source of your bleeding.
We need to get him to the OR.
The dialysis is working.
Call me if there's any change.
- T, we have to figure this out.
- What? You do your thing, I do mine.
The only thing I need you to do is to show me some respect.
Respect is earned, Jordan.
Everyone thinks you're Ragosa's puppet.
Oh, excuse me.
I am not his puppet.
You're discharging this baby like he wanted.
After she recovers from her dialysis.
If we keep her, what do I tell the next 50 people we can't afford to treat? - I'll treat them.
- God, TC.
Did you not learn anything from being kicked out of the Army? You are an amazing doctor but for some reason, they thought they were better without you.
During a war.
What does that tell you? That they care more about politics than lives.
Do you not see how self-destructive you are? You deserve better, TC.
You do.
Hey, hey, I need your ATM card.
I'm a few hundred short.
- For what? Your bookie.
Again? - I may have lost a few.
You really gotta stop betting on basketball because you really suck at it.
- Yo, Topher.
You got a minute? - Yeah.
Eddie's daughter came in.
Having some stomach issues.
Could you look at her? Yeah.
Yeah, sure.
Does that hurt? Sorry.
Has it always been this size or has it gotten bigger? It's gotten bigger in the last few years.
Sorry to bother you.
It's been hurting so much lately.
It's been hard to work.
What have other doctors said? That I don't have insurance.
All right, we'll get to the bottom of this.
- Sit tight.
- Thank you.
35-year-old female, unresponsive, OD.
Two empty bottles anti-depressants found.
Let's start with the intubation.
Screwed up, T.
I got a simple GSW, I nearly kill the guy.
I've seen a million bullet wounds.
I should have known.
Battlefield wounds, not civilian.
Very different.
You spent six months as a war medic.
That's not nearly long enough to be a surgeon.
Do the lavage now.
Then Jordan steps in, makes me look like a punk.
You can't compare yourself to her.
She spent four years in residency in a Baltimore shooting gallery.
That's worse than being in Fallujah.
Jordan's the one I'd trust with my life.
Okay, right.
How's your first night going as the big boss? Pretty good.
You know, they're a really great crew.
Of course, TC drives me nuts but there's no shock there.
- Oh, you two don't get along? - It's complicated.
- Sounds like an interesting story.
- Yeah, It's a long one.
- So breakfast, okay? We'll talk.
- Great.
All right.
- Hey.
- Something you want? Topher said get the janitor's daughter blood work and an MRI but the tech says we can't get them until we get approval from Ragosa.
She might have a tumour.
- Yeah, okay.
I'll take care of it.
- Yeah, yeah, okay.
If you take away our ability to do the tests we need we can't diagnose patients.
If the patient can't pay, then they get the minimum treatment.
They cost us too much money.
If all you care about is money, I can save you a ton.
Shut down the hospital and you won't have to treat anybody.
If we haemorrhage losses, they will shut this place down.
We're the only trauma unit for ten counties.
Where would people go? - That's not how the corporation thinks.
- Well, that's how we think.
Listen, you better change the way you think and start doing as I say.
You see, I'm the guy who can save this place.
You're the guy who exposes this hospital to a liability.
If that tree trimmer died, do you know the lawsuit we'd face? I should have just left him to die? Don't turn me into some heartless bureaucrat.
You don't know about me.
And you broke every rule pulling out that branch.
- Every legal rule.
Not medical.
- It's all the same thing now.
This isn't some cash unit in Afghanistan where you're the God.
You're on your last chance.
So you either get in line or you are out of here.
- Don't threaten me.
- Get out of my way.
I don't get intimidated.
Okay.
You see? You're not as tough as people said you - TC.
- He fell.
Yeah, okay.
There's a multi-car accident out in Kerr County.
Topher needs you to go with him.
- Chopper's outside.
- Okay.
Just get him some smelling salts.
He'll be okay.
Hey, buddy.
They say it's a really bad one, T.
Let's go.
We gotta move it.
Just taking off now.
Fifteen minutes out.
The teenager said the pickup drove right into his lane.
Minor lacerations, other driver broken ribs.
We got them covered.
It's the kid in the SUV.
We didn't want to move him.
That's why we called you.
Help my brother.
You have to help Matthew, please.
All the doors are jammed.
You gotta go through the sunroof.
Hey, Matthew, hey.
I'm TC.
This is Topher.
Okay, I know you're scared, we need you to be brave.
All right? Can you move your fingers for me? Yeah? Hey, good job.
Good job.
Okay, I'm gonna take care of you.
So we're gonna get you out of here.
Be right back.
Pull me up.
How bad? His skull is separated from his spinal column.
They move separately with each breath.
Oh, my God.
How is he still alive? By some miracle, the skull is being held in place by the neck muscles.
Still got motor activity in his extremities so the spinal cord hasn't been severed.
We need to sedate him and get him out of here.
He's got a chance.
We need to fashion a mini body board to fit in there.
And get some blankets.
We need to improvise blocks to stabilise his head and neck.
Okay? Let's go.
Hey, hey, buddy.
Hey.
We're gonna take care of you.
It smells like my grandma's house.
- I can't believe we have to do this.
- Hey, I did it all last year.
State law.
When an old fogey croaks only an MD can declare him dead.
So they bring them here.
Climb in, check his pulse.
Two minutes.
Let's go, before we get busy again.
Hey, hey.
Wait, wait.
I get to go first.
You got to do the stitches, so - Because you were afraid.
- I was not afraid, all right? I was hesitant.
There's a difference.
Okay.
Go in there.
Okay.
Drew! Hey! You can open it up now.
Hey, what is that? That'd be your good friend Kenny.
Yeah, no, guys.
Whoa, whoa.
Where you going? One of the ladies said they couldn't do the tests because I didn't have insurance.
- No, no.
Topher told me you cannot leave, no matter what.
If anybody comes up to you, just gag like you're gonna hurl all over them.
Then run to the head and hang out for a while.
Can you do that? - I think I can.
- It has to be good now.
- We hear people gagging all day long.
- Okay.
Okay, okay, stop, stop.
That was really gross.
Look, you'll be fine.
Steady.
Steady.
Let's get him secured.
Hey, hey, hey.
If this kid slips a millimetre he'll be paralyzed or die.
- No pressure.
Topher, here's Nurse Ramos.
Hey, Toph, our neurosurgeon is in Houston doing an operation.
He'll be here as soon as he finishes surgery.
Good.
Let's just hope we can get the kid there.
- Crap.
Topher? - I gotta go.
His lung collapsed.
I need a needle to reinflate.
That was close, just like old times.
I got him.
You're doing good, kid.
We got to get out of here in ten minutes.
- A storm is moving in.
- Okay.
Let's do this.
I gotta put something over you guys.
There'll be embers flying all over when we cut this open.
I've got to keep him still and keep his lung inflated.
Just put it over him.
All right, everybody.
Gather around.
I got a few things to say.
I log on to the tablet programme to see if new patient's names were entered.
I find the following names Dick Hurtz, Anita Lay and Some Young Guy.
Okay, guys, you've had your fun but, come on, you have got to take this seriously.
It has made the day shift so much better it is amazing.
- Just - Is it true that Ragosa fired TC? It's all over the fourth floor.
What are we gonna do? You can't fire him because, medically speaking, he is irreplaceable.
Everybody can be replaced.
Not TC.
I know him.
Okay? I can turn him.
I can get him in line.
You just have to let me.
This sounds like more than just a professional interest.
It's not.
It's what's best for the Trauma Department.
Well, I don't think so.
He's out of here.
Somebody get me a status on that surgeon.
Callahan, you're fired.
Get your things and get your ass out of here in ten minutes.
Screw you, Ragosa.
Did you approve that MRI for me? No.
She has no insurance.
I know she doesn't.
That's why I asked you to approve it.
Take her to the clinic.
She'll have to wait six months if she goes to the clinic.
She could be dead by then.
Why is it so hard for you people to understand that if we keep treating everybody for free, we will go bankrupt? Because we're the ones dealing with the people, not you.
So is TC really gone? I don't know.
Let's do this before someone walks in on us, please.
- Clear.
- Clear.
All right.
There we go.
Trust me, you don't want your first time being on someone who really needs it.
Paul, you're up.
We didn't do things like this at Columbia.
Not all of us could afford fancy med schools I went to USH.
- Is that in the Caribbean? Uniformed Services Hospital.
It's for military.
I was a medic, good at it.
The Army put me through school.
- How long do you serve to pay back? - I owe them ten years but I'm in for life.
No debt, I get to be a surgeon, it's a sweet deal.
Paul, this guy's really dead, so hit him.
So I hear you fight mixed martial arts.
I love watching that.
Yeah, I do it when I can.
It's a fun hobby.
Paul, come on.
Now.
- Clear.
- Clear.
Whoa, watch it.
Sorry.
Sorry.
I'm sorry.
Ragosa nixed the MRI for Kara.
I don't have much time.
I need to know where she is.
- Kenny's got her stashed in the head.
- Thanks.
- Hey, Dwayne.
- What do you want from me? - I need a favour.
- No kidding.
You're talking to me.
I need a scan for that girl over there.
She doesn't have insurance.
She might have a tumour.
Hate to see a hot girl die.
Okay, if I do this, you owe me.
- All right, whatever you want.
- I want liposuction.
Here, here and here.
Dude, I'm not a plastic surgeon.
But you know some.
Get me the lipo, I'll get you the MRI.
- All right, so Just don't do that.
- What? - Twenty-five hundred dollars for lipo? - It's a good deal.
I'm not giving you 2500 bucks.
This girl could die.
Have a heart.
What else can I do for you? - Oh, Spurs tickets? - I already have courtside seats.
And I make way more than you, so you can't bribe me.
But you know that hot new intern? Set me up with her.
- Krista? - Yeah.
She's way out of your league, man.
I mean, let's start small.
- How about I buy you a blow up doll? - A date with Krista or no lipo.
Okay, this is kind of weird but I'm just gonna spit it out.
I need you to go on a date with a plastic surgeon so he'll perform lipo on an MRI tech who will then give Kara the MRI to see if she has a tumour.
You have to be kidding.
I wish I was, but I pretty much need to know right now if we're gonna get her in there.
Wow, I am so glad I went to medical school.
Hey, you got a second? So I heard it got pretty hairy out there with the kid.
Yeah, yeah.
You know, when I saw his neck like that - Yeah.
- Yeah.
I ever tell you about this goofy soldier from Iowa named Bob Ropekee? - No, I don't - Well.
I don't think you did, no.
He was in a Humvee accident up near Kandahar.
Same injury as this boy.
I had to operate on him.
Are you serious? You did a spinal decapitation surgery in a tent? - I'm impressed.
Yes, I am.
Very.
- Yeah? I really thought he was gonna make it.
I did.
It was a hard letter to write to his parents because I was the one driving the Humvee.
T, I'm really sorry about No, I shouldn't have told you.
Why? You know I told you enough stories when I got back.
I don't need to tell you any more.
You don't need to hear them.
Look, T I know we're not together anymore but it doesn't mean that I've stopped caring about you.
Guys.
We got a drunk driver, multiple MVA five minutes out.
Okay, yeah, I'll be right there.
All right, looks like I'm up.
Look, T, about this whole Ragosa thing? Come on, don't let it end this way.
You need to apologise, all right? It's the only way.
If you wanna stay.
MVA's coming in, triage up.
Start two large bore IVs, wide open.
Type and cross ten units.
Need four units of O Neg.
This one is in bad shape.
This one's mine.
Topher you're with me.
- TC, the boy's coding.
- Jordan, I need you with me.
Drew, take the drunk driver.
Topher, take the victim.
Krista, Paul.
- This guy's a mess.
- Let's go.
Recycle the pressure.
Another five on Vicryl, on a large needle.
- BP's falling.
60 systolic.
- Two more units, right now.
- Here you go, two units.
- He's gonna code.
That's the brother of the boy TC brought in by helicopter.
He was the one who was driving.
Poor thing is so upset.
- Thanks, I'll talk to him.
- Yeah, his mother's on the way.
If his little brother doesn't recover, he may never get over the guilt of this.
Unbelievable.
This guy's got a.
38 alcohol level, creams another car and only ends up with a black eye and a boo-boo neck.
Get him to recovery.
Time of death 3:27.
You did your best, doctor.
Damn drunk drivers.
- Is this the drunk driver? - Yep.
Sir? You with me? Oh, so Oh, so you know, that this button in your hand controls the morphine from this machine, that's next to your bed.
It's to help ease your pain.
Button.
Morphine.
Pain.
- Tell them to prep the OR for the boy.
- Yes, doctor.
What's going on here? Bladder emptied.
Lost control of his extremities.
We need him in OR before paralysis is permanent.
Neurosurgeon isn't here.
He's stuck in Houston.
We can't wait.
Just stay out of my way.
I don't have time to explain how this operation works to you.
We have major liability here, Jordan.
Has TC ever performed one of these before? - Yes.
In Afghanistan.
- And? He did it.
Excuse me.
Matthew is my responsibility.
I was supposed to protect him and now I might have killed my little brother.
Tommy, look at me.
Look at me.
Your brother is alive right now because of you.
The deputy said you would both be dead if the accident was head on.
Your reflex saved Matthew.
And then, despite being in shock and injured yourself you crawled to the highway, called 911.
This was not your fault.
Do you understand that? Look me in the eye and tell me you understand.
- I understand.
- Honey? - Your mother's here.
- Tommy.
Mom.
Son of a bitch.
This isn't working.
We can't attach the skull to the neck bone.
It'll take six screws.
The cervical vertebra is fractured on the left.
There's nothing for the screws to hold onto.
What about the front of the neck? No.
It's got a hairline fracture there too.
The N-20 is starting to fade.
I don't know how much more of this he can take.
- What are we gonna do? - I don't know.
You're going to need to attach the skull directly to the spine.
What keeps it in place? A titanium loop.
Use the wires to secure it to the base of the skull.
Remove a piece of his rib to fortify it.
They've had success with the procedure at Barrow, in Phoenix.
I observed it at a seminar there last spring.
It will work.
It's our best option.
Ready, doctor? Sweat.
Almost done.
I've attached the loop to the spine and the wire to the skull.
What's next? Very easy, Jordan, going to need that piece of rib to fortify the spine.
- Be very careful.
- I got it.
The graft needs to be placed on each side of the spinous process between C-one and C-two.
Okay, the grafts are in position.
Let's secure them and close.
I'm still glad I hit him.
I'm a little claustrophobic.
It's gonna be okay, Kara.
Just take a nap.
Okay.
You need to be very still, we only have one shot at this.
I'm afraid the test results from our appointment were not encouraging.
Your vision is definitely deteriorating.
When was the last time you had corrective surgery? It's been awhile.
- Not since med school.
- Oh, you're an MD too? No, I had to quit.
You really can't perform surgery when you can't see that well.
- Hey.
- Hey.
So how's your boy? Think he'll make it? Don't know.
We have to wait for the swelling to go down first.
All right.
- How you doing? - Doing great.
You know that new intern, Krista? - Yeah? - Totally into me.
I won't do anything about it.
Don't worry.
Not that I wouldn't want to.
She's pretty hot, right? I'd love to hit that but grey area in the workplace.
Kind of confuses, crosses the lines.
- Drew.
- What? Really want me to say it? I have no idea what you're talking about.
No one cares that you're gay.
- I'm not gay.
- Okay.
Okay.
Sorry I brought it up.
But you don't have to pretend with me, if you are pretending.
- Why would you even think that? - You've been here over a year nobody's ever met your girl.
Nobody's seen you with a girl.
You've turned down a ton of other women fix-ups from the nurses, now this hot new intern Okay, okay.
Stop.
Do you think anyone else thinks this? Like, nobody's said anything that I've heard.
Maybe you should think about coming out.
No way.
No.
Are you insane? The second I come out, I am the gay guy.
How many gay guys were in your Ranger unit? Exactly.
I love the Army, T, and I will not risk losing that for anything.
Coming out is not an option.
That is so gay.
Matthew.
Can you hear me? Matthew, move your hand if you can hear us.
Can you do that? Can you move your hand, son? - Mom? - Oh, thank you.
Thank you.
Thank you.
It's gonna be okay.
How amazing was that? - Hey, how'd it go? - It was unbelievable.
- Yeah, it worked.
- Kid got his feeling back.
Thank God.
Yeah.
Party's never over.
I'll catch you guys later.
So, I loved hearing from my new boss that I'm banging her ex.
- Thanks for the heads up on that one.
- Yeah.
Well And here I thought you were a virgin.
Day shift staff report for duty.
All day shift staff report for duty.
Am I pregnant? No, it's a You have a condition called Foetus in Fetu.
It's gonna sound freaky but you had a twin.
- A twin? - Yes.
At your conception or early on, your twin didn't develop but it stayed alive in a very small, tumour-sized form inside your body.
- So I'm not dying? - No.
You are not dying.
In fact, the condition is so rare that the med school will do your operation for free.
That's great.
Thank you so much.
I don't know if you heard but the boy pulled through.
- He's gonna be okay.
- That's good to hear.
So we should have a conversation about what happened earlier.
Yeah? Now, we're even.
Hey, guys.
Look, I know you're all off duty and just wanna relax after a very hard night but I just wanna say thank you.
You really pulled together tonight.
- What about TC? Anything new? - I don't know.
- I tried to help but I just - Well, speak of the devil.
- So, T, what's the news? - Well, I had a meeting with Ragosa.
We worked it out.
I ain't going anywhere.
- Is that a new bruise on your face? - I fell.
- Sure you did.
- Jordan? What's this? The paperwork for your drug study.
You did this for me after the night you've had? Yeah.
Thank you.
Yeah.
Welcome to the night shift, Jordan.
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