New Amsterdam (2018) s01e03 Episode Script
Every Last Minute
1 31,252.
Is that how many times the Dean called? According to my Fitbit, that's how many steps it's taken to keep up with you.
- Here.
- I don't want another apple.
Also Dean of Medicine needs you.
- Tell him I'm eating an apple.
- You can tell him yourself.
- I need to sustain my energy.
- He's in your office.
Dean.
You're fired.
You're fired.
Okay.
I said you're fired.
And I said okay.
What do you mean, okay? Two months ago you were practically begging me for this job.
A lot's changed in two months.
Two months ago this country had health insurance.
Two months ago I was still living with my wife.
Please don't tell me that you're having a nervous breakdown, because that's what this sounds like to me.
Nope, this is just me trying to help this hospital.
How can you say that when you've eliminated the cardiac surgery program, you have gutted the highest source of revenue that this hospital produces Either I shut it down or the New York Department of Health would have.
Max, you hired 50 new attendings.
50! You cut the balls off my residents my training program.
Some of those residents have ovaries.
And when people come to this hospital, you know what they never say? "I'm sick and dying, so let me train your residents.
" This is a job of a lifetime, son.
This is the big leagues.
And you're just throwing it away.
You hired me to make changes.
That's right.
My changes.
Your changes aren't working.
They haven't worked for 20 years.
And you know that.
You must, otherwise you wouldn't have hired me.
But you chose me because deep down, you care about this place as much as I do.
When I hired you, I thought that you would be grateful.
I am grateful.
I thought that you would be compliant.
I'm not compliant.
Yeah, that's for sure.
Well, I'm not gonna make that mistake again.
And why are you wearing scrubs? Because I'm a doctor.
If you fire me, you will help save my marriage and I will be eternally grateful.
If you let me stay, I will do everything I can to save this hospital, and you will get all the credit.
- You have six months.
- Give me three.
Maddy, I'm sorry.
I need to see you.
I'm so sorry.
I'm so sorry.
Maddy, I need you back.
I need to be with you.
What time's the prisoner coming in? Any minute.
Guys, we got a patient from Rikers coming in.
So let's clear this area.
And let's lose any equipment that might be weaponized.
Is a toothbrush weaponizable? Yeah, yeah, especially in the war on tarter.
That's not the prisoner.
Cops found him in a cemetery digging up a grave.
His vitals are normal, but nothing else is.
Hey, what's your name, sir? Ray.
Hey, Ray.
I'm Dr.
Bloom.
Would you mind just, uh, looking at me? I'm wasn't doing anything wrong.
I've lost her.
Who? Maddy.
My fiancée.
She's gone.
Everything's gone.
Let's, uh Let's clean him up and run a tox screen.
And get psych down here.
Let's clear that bay for the prisoner.
Dr.
Bloom? That's me.
Where do you want her? Max? I need you to sign these.
Wow, am I being sued? Every time you change a rule, you need to sign.
Remind me to change that rule.
Oh, wait, where are you going? The staff meeting's that way.
Right, but my wife is this way.
- Max.
- Dr.
Sharpe.
Max, we need to talk about your treatment.
Not here, we don't.
How long do you think you can keep this a secret? Public hallway, Sharpe.
Before you even start chemo, we have to take out your molars, PEG insertion, IV ports all over your body I know the drill.
But you're the patient now.
Exactly.
"Physician heal thyself.
" You do realize that phrase is about a physician who helps others but not himself, right? All right, bad example.
But I don't need you to be my doctor because, you know, I am a doctor.
I just need you to bounce ideas off of, like a guide.
- Or a Sherpa.
- A Sherpa? Yeah.
All right, another bad example.
But just come on.
Roll with me here.
Have you told your wife? Uh, no.
- Max.
- I couldn't.
She's on bed rest.
But as soon as she feels better, - I will tell her.
- Hey, Max.
Dr.
Reynolds.
How's the, uh, department search coming? Excellent.
We got three new attendings coming in today.
- Thank you.
- All great hires.
Hey, this is going to be the most innovative cardiac surgery department in the country.
That's what I wanna hear.
And just for the record, I don't agree with this plan, if you can even call it that.
Noted.
Food for thought.
See, this dynamic is working already.
- Morning.
- Perfect timing.
Really? What do you need? Breakfast? Water? My clothes.
They're releasing me today.
What? That's good news, Max.
Yeah Uh, yeah.
Yeah.
That's good.
That's good, it's just so soon.
Well, Suzanne says I'm ready.
Well, you can't go back to the apartment alone.
I'm not.
I'm gonna go stay at my folks' place.
In Connecticut? I'm never gonna see you.
My mom is there.
And I need the help.
What? What, you want me to stay here? Yeah.
Max, you are the only person in the world who actually likes hospitals.
Sorry to intrude.
I know I'm late for the staff meeting.
Actually, the Dean just started without you.
Arthur Ryland was a great friend.
He was a wonderful friend.
And not just to me, but to this institution.
And I'm happy to report that in his will he pledged $10 million to our network of hospitals.
But per his widow, only one will get the money.
I game Mrs.
Ryland a tour of University yesterday, and she was very impressed, but she still wants to visit New Amsterdam.
As a teaching hospital, I suspect she wants to see how you make the sausage.
Sausage? It's a figure of speech, Max.
She wants you to take her around.
So be charming.
Just not too charming.
Right, because you've earmarked her money for University? Ah, I'm aware of your budgetary needs, so if you go with me here, the love will trickle down.
- That clear? - Crystal.
Good.
So who wants $10 million? Uh, you missed an important call? Oh, I was expecting one, but I'm beginning to think - it won't come.
- Oh, ghosted.
That sucks.
Is that why it's chocolate croissant day? The furrowed brow pick-me-up? I was not aware that I furrowed.
Well, we're always the last to know.
Are you new here? Two weeks.
But I notice things.
- Thank you.
- Mm-hmm.
Bye.
Okay.
Janelle, your blood pressure is way too high.
You may be developing a condition known as preeclampsia.
We're gonna send out for some more tests to confirm, - but - What about my baby? The baby's fine for now, but we need to stay on this.
Hang one bag normal saline and start magnesium sulfate and a hydralazine drip titrated to systolic under 140, and send for a U/A ASAP.
You got it, Dr.
Bloom.
Ow.
Hey, uh, can we can we take those off her? Not in a unsecure area.
Well, look, the more she pulls, the higher her blood pressure's gonna go.
They're for your safety as well as hers, ma'am.
Okay, look.
I don't really see a threat here.
I mean, what was her crime? Felony robbery.
So, shoplifting? I'll take responsibility, okay? This is my ED.
She's my patient.
But she's my prisoner.
Ray DeMarco? I'm Dr.
Iggy Frome.
So, I hear you've been doing a little grave digging.
Naked.
I'm not judging.
Just, uh Just asking.
I didn't wanna ruin new clothes.
Okay.
Got it.
All right.
Why don't you tell me about Maddy? She was my fiancée.
My best friend.
Uh, we were gonna get married in a month.
So, um, to lose her like this All right, I'm sorry.
Your toxicology report came back clean, but you've been putting something in your body, right? The tracks on your arm? What arm? You feel that? No.
How about there? Why would I feel anything? I'm invisible.
Mrs.
Ryland.
Max Goodwin.
How do you do? Thank you for coming.
I'm so sorry to hear about your husband.
So, how much time do we have? I've cleared the day.
Great, because I wanna introduce you to all of our department heads.
When my husband had his first heart attack, the people here saved him.
Here? The Dean wants Arthur's money to go elsewhere, of course.
But the ultimate decision is mine, so Lead on and we'll see where providence takes us.
We're better than Providence, too.
Well, if you spent any time here, you know that the Dam is like a small city.
We have our own school, our own court room, a medical library.
And you're new, correct? Well, yeah.
Five days.
So maybe I know more about the place than you do.
Well, uh, maybe more about where it's been.
But I can tell you where it's going.
Dr.
Sharpe.
This is Mrs.
Ryland.
This is Dr.
Sharpe, our head of oncology.
- Pleasure.
- What a radiant smile.
How do you keep it up? Excuse me? Billions of dollars spent on cancer research and still no cure.
Oh, well, we've made lots of strides.
But you're right.
Cancer is relentless.
And expensive.
Especially in this new era of cost control.
We're constantly under water caring for patients who can hardly afford it.
That's a Birkin, isn't it? $15,000.
If you're having trouble keeping your head above water, that bag ought to help you float.
There's a lot to see.
My shift is up.
Who's coming on? Candelario.
Okay, tell him we've got a bleeder in bay two and we've got a hip fracture awaiting ortho consult for an ORIF in three.
Dr.
Bloom, Janelle's urine came back.
Protein's sky high and her arm's bruised where we took the blood pressure.
That's more than preeclampsia.
Okay, test her for HELLPS.
If we find it, then the baby's gonna have to come out now.
- HELLPS? - Blood not clotting.
She's terrified.
Candelario can handle it.
Candelario can handle the ED.
I'll stick with Janelle.
You've been on for 12.
You're not allowed.
This is my own time.
And I need an OB.
On it.
You know, at first I thought it was a schizophrenic break triggered by the death of his fiancée.
- Certainly possible.
- Excuse me.
Yeah, of course, but, uh, now I'm super confused because he can't feel his arms.
Any drugs in his system? He's got tracks, but the tests came back completely clean.
No ketamine, to PCP, nothing.
You know, there was a bit of an odd anoin gap in there, so I ordered some more labs.
He needs an MRI.
Agreed, doctor.
But, uh, that is not the weirdest part.
He thinks that he's invisible.
That's why he can't feel anything.
There's nothing there to feel.
- Invisible? - Invisible.
Ray? Man might have a point.
He can't have gone too far.
If he's invisible, how would we know? Oh, get it out of your system.
You done? Hey, uh, Mason.
Listen, we got a runner.
Male, uh, average build, mid-30s.
You want all exits covered? And notification the minute you see him.
Assuming that's possible.
Uh, would you stop? - What about Max's $10 million woman? - What about her? Do you really want her to know there's an escaped psych patient on the loose? Uh, yeah, Mason, hey, uh, hold off on the PA, all right? Let's go walkies only.
Old school.
All right? Okay.
Thought we would swing through pediatrics and then maybe stop by the ICU.
Can I get you a water or a coffee? I'm fine.
Some of our patients' artwork.
- Kids? - Mm-hmm.
Our psych department is second to none.
Some very interesting people have come through those Doors.
Huh, never know what you're gonna see.
You mind if we record this? We're meeting with lots of potential doctors, so we want to remember everything.
Of course.
Dr.
Helen doesn't mind cameras.
You're used to it from TV, right? So, Dr.
Lalani recommended you.
Yeah, she thinks you're great.
Nasreen is a good friend.
And one of the best internists in the city.
We've both seen you on television, of course.
You're great there, too.
But we were both wondering what your actual qualifications are.
My qualifications? To practice for real.
Well Cambridge.
Cambridge School of Clinical Medicine.
Foundation Doctor and Specialty Registrar at Kings College Hospital London.
Additional residencies and fellowships here at Columbia-Presbyterian, Board Certified in Adult and Pediatric Hematology and Oncology.
Wow.
No wonder she's so busy.
Sorry? We had a difficult time getting an appointment.
Almost three weeks.
I apologize.
I've had, um, a number of outside commitments.
Uh, Dr.
Lalani said your work was going to be more patient-focused now.
My patients have always come first.
But raising awareness for New Amsterdam is a big part of my job as well.
Hah.
I'm gonna be cutting back on press.
I'm sorry, Dr.
Sharpe, we're gonna need someone who will put Anna's needs first.
Not the camera.
And how did your husband end up here? He was on his way to a meeting downtown and had chest pains.
The driver brought him in.
And any issues after? Besides having another heart attack? It wasn't the hospital's fault.
Arthur's mistresses were steaks and cigars.
- Ah.
- And money, of course.
Dr.
Reynolds.
I'd like you to meet someone.
Mrs.
Ryland, I presume.
Dr.
Reynolds is our new Chair of Cardiothoracic Surgery.
Ah, and you ladies are? Dr.
Hastings, Dr.
Flores, and Dr.
Jessup.
My new attendings.
Building the dream team.
You're all so Young? I Uh, no, I was I was going to say Excellent surgeons? Because they all come with glowing recommendations.
Yes, I'm sure.
Is Dr.
Merritt around? He's the one who saved Arthur's life.
Uh, Dr.
Merritt is actually no longer working here.
Did he retire? Well, he was let go.
By whom? Uh, me.
Max.
You're not answering your pager.
- Dr.
Bloom, this is - We need to talk.
- Okay.
Excuse me.
- Right this way, miss.
- I am with the - I know, the money lady.
- Yeah.
- I'm sorry.
We've got a pregnant woman up in corrections who's got HELLPS syndrome complicated by maternal seizures.
She needs to deliver her baby ASAP or both are going to die.
- How many weeks? - 32.
Okay, so do it.
Deliver.
She won't let us.
Excuse me.
I have to deal with something.
You got anything in your pockets, put it on the belt.
Now, this might still be the hospital.
But these are real prisoners.
So keep your distance for your own protection.
Yeah.
Yeah, I keep hearing that.
Janelle.
I've got someone here who wants to talk to you.
I don't need a shrink.
That's good, 'cause I'm not a shrink.
Just the medical director.
Max.
Dr.
Bloom tells me you're refusing treatment.
Janelle, your red blood cells are breaking down.
And your liver is barely functioning.
If you don't deliver this baby now, you are both going to die.
I won't have her in prison.
I know what'll happen.
The same thing that happened to me.
Foster care.
Do you have anyone who could take care of her until you're released? Do you have any family? No.
I get out in six weeks.
Can't you just do something to keep her inside of me for just six weeks, please? You won't make it.
I gotta try.
For her.
I'm gonna try.
Janelle, if you don't give consent to deliver this baby, the court is gonna make you deliver.
And I don't wanna put you through that.
So she loses either way? No.
I won't let that happen.
What does that mean? It means I will find a way to take care of you both.
Okay? There's always a way.
I'll, uh, call the OB.
We need blood.
Two units type and cross.
And FFP in case her platelets bottom out.
I just don't know how much more description you could possibly need.
Three people have seen the guy running naked through the halls.
He's He's a naked man, for God's sake.
He's He's naked and he's probably very distraught.
- He just lost his fiancée, so - Dr.
Frome? - Yeah, what? - I'm Maddy Gianni.
Ray DeMarco's fiancée.
Make yourself comfortable, okay? Just sit tight.
It's okay.
She looks quite healthy for a dead person.
I mean, she's pretty upset, but yeah.
She's definitely alive.
So, why was Mr.
DeMarco in that cemetery? I have no idea.
She said a week ago everything was fine, you know? The love of her life, and then boom.
He just drops out, stops taking her calls, stops going to work - Disappears? - Oh, my God.
So, when did she last see him? You asking me genuinely? Two days ago.
The only reason she even knew he was here was 'cause the cops found his wallet and they called her.
Did you happen to mention that the love of her life has gone missing? Uh, I was kinda hoping that you might cover that.
Okay, Mr.
DeMarco's tox labs are in.
Didn't the woman say anything about drug use? Mmm, she swears he was clean, but Ray definitely had track marks.
He injected something.
Indeed.
Trace amounts of glutaraldehyde.
Mmm.
Glutaraldehyde.
I don't know what that is.
Did the man actually say that his fiancée was dead? Well, I don't know if he used that word exactly, but he was going on about her in past tense, how he lost her, and he was digging up a grave, let's not forget.
The common name for glutaraldehyde is embalming fluid.
Oh, holy hell.
He wasn't digging up her grave.
He was digging his own.
Yeah, because he doesn't think his fiancée is dead but He thinks he is.
I think I know where he is.
Okay, out you get.
You're killing me, Ray.
Yeah, Dr.
Max Goodwin.
I'm the Medical Director at New Amsterdam Hospital.
- You're dressed.
- I'm leaving.
- Now? - Later.
I need to talk to the Mayor about a patient in the corrections ward.
Yes, a prisoner.
Were you even gonna say goodbye? Of course.
And my folks said you can come up every weekend if you want.
I don't.
I don't want.
Yes, the Mayor can call me back.
Just please tell him it has to be very soon.
Thank you.
You're talking to the Mayor? I'm very powerful.
Please don't go.
I would need a bigger room.
We have the President's suite.
For the, you know, President.
Max, you belong here, not me.
I belong with you.
We tried that.
And I messed it up, I know.
But I broke a lot of promises.
And I'm just trying not to break any more.
I know.
And I do love you.
To my core.
But this is what has to happen, and I'm okay with it now.
And Luna will be, too.
And when you come to Connecticut, we'll all be together.
I hate Connecticut.
Yeah.
Right, yes.
- Go.
Go.
- I Mr.
Mayor, um, Sorry to bother you, but this is important.
If you just have - Hey.
- Hi.
- Nice bag.
- You want it? Rough day? Just the ongoing discovery that the world thinks I'm a fraud.
Well, I kinda doubt that.
Seems my outside commitments have relieved me of all credibility.
This was a gift, by the way.
Hey, look, I get that you're upset, but you're amazing.
You're an excellent physician and you raised a ton of money for this place.
Patients don't care about that.
Nor should they.
They just want a doctor they can trust, and right now Doctor Helen isn't worth trusting.
Then tell them why they should.
Oh, hey, uh, can I really have that bag? Piss off.
Embalming fluid? Yeah, we believe that Ray is suffering from something called Cotard's Syndrome.
It's a rare disease where the victim actually believes that they've passed on.
Sometimes as a result, they can imagine that they can't be seen.
Like a ghost.
Ray thinks he's dead? But he's talking.
Dead people don't talk.
It's not logical.
It's delusional.
Why can't he feel his arms? Well, we don't know yet, but Dr.
Kapoor is giving him an MRI as we speak, so he's in good hands.
Hey.
You know You know, the, uh the good news is, um, that lack of feeling could be neurological.
Um, Cotard's wouldn't cause that, and neither would embalming fluid.
I think you and I have a very different idea of good news.
Okay, what do we got? Tumor? Pressure from which is causing him delusions.
Out of body feeling.
Numbness.
So, while Mr.
DeMarco is certainly not dead, he may well be soon.
- Doctor.
- Doctor.
Where are you racing to? Correctional ward.
I've got a baby on the way.
- Nice.
- Hopefully.
I see you're putting together quite the team.
Uh-huh.
Any future wives in the mix? Oh, man.
What? All these women have better resumes than we do.
I'd expect nothing less.
I just, uh I couldn't help but notice Right, right.
Everybody notices something, but nobody says anything.
So please, just just say it.
I was gonna say how attractive they all are.
Didn't stop you from getting hired.
Don't make this about me.
No, but it is.
Look, you ought to know more than anyone how often women are overlooked for surgical positions.
A lot.
Only 19% of the surgeons in this country are women.
I mean, I didn't know the exact statistic.
You wanna hear the stats for women of color? I'm scared to ask.
They don't exist.
So, while I intend to hire folks of every ethnicity and gender for my staff, I'm hiring women of color first.
I believe this is you.
Mr.
Mayor, I understand.
I was just hoping that in this particular case, you might make an exception for a pregnant young woman six weeks from being Thank you for calling back.
Okay.
- Mrs.
Ryland.
- Hello, Max.
I'm surprised you're still here.
I told you I cleared the day.
Yeah, but The Dean sent a copy of some plans he had drawn.
Would you like to see them? Why not? Oh, wow.
Arthur Ryland Heart Institute.
At University Hospital.
State of the art facility.
Arthur's name in big gold letters.
Tell me something, Max.
Why did you fire Dr.
Merritt? 'Cause he only cared about money.
Just like my husband.
I think the gold letters are garish and vulgar.
But it's exactly what Arthur would have wanted.
Mrs.
Ryland, what do you want? Fresh bag normal saline running open wide.
- Crowning now.
- I can't feel anything.
Okay, gotta get through to the neck.
Okay, that's the epidural.
Just Just hold my hand.
Excellent.
- Clear.
- Easy now.
- Shoulders in position.
- Right, right.
Just a little twist.
And we have a newborn baby.
Baby girl.
Moving all four extremities.
She looks really good.
They're just gonna take her over there.
Gonna wash her up.
How are you feeling? Are you okay? Mm-hmm.
- You okay? - I'm tired.
Look how beautiful she is.
Wait, wait, wait, wait, wait.
Your friend said that he would find a way for us to be, um, together and to take care of us.
He's working on it.
No, no, no, but my baby's already here.
She's already here.
I just can't Just Just Just hold her.
No one's taking her right now.
No, she's already here.
Where is he? Janelle, no, no one's no one's gonna take her right now.
No, no, no, but I can't.
I can't.
- I can't take her.
- Janelle, listen to me.
No, I have to give her up.
I can't.
I can't.
I won't.
We never had children, Arthur and I.
I wanted them, of course.
He said he did, too.
But after we got married, he changed his mind.
I shouldn't have let that happen.
What is this? We call it Kangaroo Care.
Instead of traditional incubators, these volunteers provide low birth weight premies with human contact.
Skin-to-skin.
And, um, I think that one right there was just born.
She's so small.
Yeah.
Will she be all right? Mrs.
Ryland, what if what if instead of giving your husband's money to University or New Amsterdam, you gave it to someplace else altogether? There wouldn't be a fancy building with your husband's name on it, but your contribution could potentially change the course of hundreds if not thousands of lives.
Rikers Island.
You wanna give $10 million to Rikers Island? The Ryland Endowment would be used to convert unused space to a nursery and Kangaroo Care unit.
This would allow incarcerated mothers to keep their newborns close while they complete their sentence.
And even though the unit itself won't be ready for weeks, they can designate a room and start the program today.
With Janelle Mason.
- Max - I've already spoken to the Warden, and there is no law against doing this.
The only thing required is Is money.
And like us, Rikers needs money.
Do you really believe that Arthur would want this? No.
But I do.
Isn't our job to provide our patients with the best possible care? I know very well what our job is.
But isn't it also to help people out in the world not become patients? Even if the system is broken, we can offer them a path.
Because if we don't, we are just gonna see each generation back here again and again.
Babies returning with obesity before the age of six.
Foster kids coming back as psych patients before they can even vote.
So we need to break the chain.
But we can only help people if we ourselves are willing to take risks.
'Cause change is always possible.
I'm sorry, Peter.
I know you wanted a different outcome.
And Max tried to honor that.
But this was all me.
Well, thank you for your contribution.
Janelle? When you go back, your baby's going with you.
We're, uh, starting Ray on steroids in order to relieve the pressure from the tumor, and by tomorrow his delusion should be gone.
And the tumor itself? Treatable.
What did they say? That tomorrow they're gonna bring you back to life.
Excuse me.
What does ghosted mean? Oh, that's when someone, uh, that you love, uh, disappears from your life.
Who ghosted you? My son.
But I think I ghosted him first.
Dr.
Sharpe, I need you to Do you have any idea how long people wait to get an appointment with me? Sorry, what? - I'm an excellent physician.
- Yeah.
An extraordinary physician.
And I have a radiant smile.
Okay, can you let me finish? No, do Can you let me finish? If you don't have faith in my abilities, if you can't say, "I need you to be my doctor," then you're making a mistake that could cost you your life.
I need you to be my doctor.
I wanna be a father.
And I wanna be a husband.
So I'm putting my life In your hands.
I won't bargain with you, Max.
- I know.
- I won't negotiate.
I'm all in.
Whatever you say, I'll do it.
Just please be my doctor.
How much time do I have before the, uh, chemo and radiation? Three weeks.
Is there any way that we could kind of - Max.
- Just kidding.
Three weeks.
Okay.
If you'll excuse me, I don't have a lot of time.
- Where's Georgia? - Discharged.
Hey, wait, wait, wait, wait, wait, wait, wait, wait.
Wait.
I'm not letting you do this, okay? You're not going to Connecticut.
We're not there yet.
I know, but she is, Georgia.
She's there.
Here.
Our Our daughter is almost here.
And the first thing that she's gonna see in this world is your beautiful face.
She's gonna love you like I love you.
And then maybe after a really, really long look, she is gonna turn and look for me.
If I'm not there, she is gonna wonder where I am.
Where did I go? She knows my voice.
Georgia, she knows my voice.
I have to be there.
I have to be here.
Let me Let me take you home.
Let me take care of you both, please.
In our house.
Let me help you.
Because if I can't help my wife and my daughter, then And I If it's really not working, say the word and I promise I will drive you to Connecticut myself.
- Okay.
- Great.
Okay.
Okay.
I'm gonna be a father.
I'm gonna be a father! That's my wife.
It's all right.
I'm gonna be a father!
Is that how many times the Dean called? According to my Fitbit, that's how many steps it's taken to keep up with you.
- Here.
- I don't want another apple.
Also Dean of Medicine needs you.
- Tell him I'm eating an apple.
- You can tell him yourself.
- I need to sustain my energy.
- He's in your office.
Dean.
You're fired.
You're fired.
Okay.
I said you're fired.
And I said okay.
What do you mean, okay? Two months ago you were practically begging me for this job.
A lot's changed in two months.
Two months ago this country had health insurance.
Two months ago I was still living with my wife.
Please don't tell me that you're having a nervous breakdown, because that's what this sounds like to me.
Nope, this is just me trying to help this hospital.
How can you say that when you've eliminated the cardiac surgery program, you have gutted the highest source of revenue that this hospital produces Either I shut it down or the New York Department of Health would have.
Max, you hired 50 new attendings.
50! You cut the balls off my residents my training program.
Some of those residents have ovaries.
And when people come to this hospital, you know what they never say? "I'm sick and dying, so let me train your residents.
" This is a job of a lifetime, son.
This is the big leagues.
And you're just throwing it away.
You hired me to make changes.
That's right.
My changes.
Your changes aren't working.
They haven't worked for 20 years.
And you know that.
You must, otherwise you wouldn't have hired me.
But you chose me because deep down, you care about this place as much as I do.
When I hired you, I thought that you would be grateful.
I am grateful.
I thought that you would be compliant.
I'm not compliant.
Yeah, that's for sure.
Well, I'm not gonna make that mistake again.
And why are you wearing scrubs? Because I'm a doctor.
If you fire me, you will help save my marriage and I will be eternally grateful.
If you let me stay, I will do everything I can to save this hospital, and you will get all the credit.
- You have six months.
- Give me three.
Maddy, I'm sorry.
I need to see you.
I'm so sorry.
I'm so sorry.
Maddy, I need you back.
I need to be with you.
What time's the prisoner coming in? Any minute.
Guys, we got a patient from Rikers coming in.
So let's clear this area.
And let's lose any equipment that might be weaponized.
Is a toothbrush weaponizable? Yeah, yeah, especially in the war on tarter.
That's not the prisoner.
Cops found him in a cemetery digging up a grave.
His vitals are normal, but nothing else is.
Hey, what's your name, sir? Ray.
Hey, Ray.
I'm Dr.
Bloom.
Would you mind just, uh, looking at me? I'm wasn't doing anything wrong.
I've lost her.
Who? Maddy.
My fiancée.
She's gone.
Everything's gone.
Let's, uh Let's clean him up and run a tox screen.
And get psych down here.
Let's clear that bay for the prisoner.
Dr.
Bloom? That's me.
Where do you want her? Max? I need you to sign these.
Wow, am I being sued? Every time you change a rule, you need to sign.
Remind me to change that rule.
Oh, wait, where are you going? The staff meeting's that way.
Right, but my wife is this way.
- Max.
- Dr.
Sharpe.
Max, we need to talk about your treatment.
Not here, we don't.
How long do you think you can keep this a secret? Public hallway, Sharpe.
Before you even start chemo, we have to take out your molars, PEG insertion, IV ports all over your body I know the drill.
But you're the patient now.
Exactly.
"Physician heal thyself.
" You do realize that phrase is about a physician who helps others but not himself, right? All right, bad example.
But I don't need you to be my doctor because, you know, I am a doctor.
I just need you to bounce ideas off of, like a guide.
- Or a Sherpa.
- A Sherpa? Yeah.
All right, another bad example.
But just come on.
Roll with me here.
Have you told your wife? Uh, no.
- Max.
- I couldn't.
She's on bed rest.
But as soon as she feels better, - I will tell her.
- Hey, Max.
Dr.
Reynolds.
How's the, uh, department search coming? Excellent.
We got three new attendings coming in today.
- Thank you.
- All great hires.
Hey, this is going to be the most innovative cardiac surgery department in the country.
That's what I wanna hear.
And just for the record, I don't agree with this plan, if you can even call it that.
Noted.
Food for thought.
See, this dynamic is working already.
- Morning.
- Perfect timing.
Really? What do you need? Breakfast? Water? My clothes.
They're releasing me today.
What? That's good news, Max.
Yeah Uh, yeah.
Yeah.
That's good.
That's good, it's just so soon.
Well, Suzanne says I'm ready.
Well, you can't go back to the apartment alone.
I'm not.
I'm gonna go stay at my folks' place.
In Connecticut? I'm never gonna see you.
My mom is there.
And I need the help.
What? What, you want me to stay here? Yeah.
Max, you are the only person in the world who actually likes hospitals.
Sorry to intrude.
I know I'm late for the staff meeting.
Actually, the Dean just started without you.
Arthur Ryland was a great friend.
He was a wonderful friend.
And not just to me, but to this institution.
And I'm happy to report that in his will he pledged $10 million to our network of hospitals.
But per his widow, only one will get the money.
I game Mrs.
Ryland a tour of University yesterday, and she was very impressed, but she still wants to visit New Amsterdam.
As a teaching hospital, I suspect she wants to see how you make the sausage.
Sausage? It's a figure of speech, Max.
She wants you to take her around.
So be charming.
Just not too charming.
Right, because you've earmarked her money for University? Ah, I'm aware of your budgetary needs, so if you go with me here, the love will trickle down.
- That clear? - Crystal.
Good.
So who wants $10 million? Uh, you missed an important call? Oh, I was expecting one, but I'm beginning to think - it won't come.
- Oh, ghosted.
That sucks.
Is that why it's chocolate croissant day? The furrowed brow pick-me-up? I was not aware that I furrowed.
Well, we're always the last to know.
Are you new here? Two weeks.
But I notice things.
- Thank you.
- Mm-hmm.
Bye.
Okay.
Janelle, your blood pressure is way too high.
You may be developing a condition known as preeclampsia.
We're gonna send out for some more tests to confirm, - but - What about my baby? The baby's fine for now, but we need to stay on this.
Hang one bag normal saline and start magnesium sulfate and a hydralazine drip titrated to systolic under 140, and send for a U/A ASAP.
You got it, Dr.
Bloom.
Ow.
Hey, uh, can we can we take those off her? Not in a unsecure area.
Well, look, the more she pulls, the higher her blood pressure's gonna go.
They're for your safety as well as hers, ma'am.
Okay, look.
I don't really see a threat here.
I mean, what was her crime? Felony robbery.
So, shoplifting? I'll take responsibility, okay? This is my ED.
She's my patient.
But she's my prisoner.
Ray DeMarco? I'm Dr.
Iggy Frome.
So, I hear you've been doing a little grave digging.
Naked.
I'm not judging.
Just, uh Just asking.
I didn't wanna ruin new clothes.
Okay.
Got it.
All right.
Why don't you tell me about Maddy? She was my fiancée.
My best friend.
Uh, we were gonna get married in a month.
So, um, to lose her like this All right, I'm sorry.
Your toxicology report came back clean, but you've been putting something in your body, right? The tracks on your arm? What arm? You feel that? No.
How about there? Why would I feel anything? I'm invisible.
Mrs.
Ryland.
Max Goodwin.
How do you do? Thank you for coming.
I'm so sorry to hear about your husband.
So, how much time do we have? I've cleared the day.
Great, because I wanna introduce you to all of our department heads.
When my husband had his first heart attack, the people here saved him.
Here? The Dean wants Arthur's money to go elsewhere, of course.
But the ultimate decision is mine, so Lead on and we'll see where providence takes us.
We're better than Providence, too.
Well, if you spent any time here, you know that the Dam is like a small city.
We have our own school, our own court room, a medical library.
And you're new, correct? Well, yeah.
Five days.
So maybe I know more about the place than you do.
Well, uh, maybe more about where it's been.
But I can tell you where it's going.
Dr.
Sharpe.
This is Mrs.
Ryland.
This is Dr.
Sharpe, our head of oncology.
- Pleasure.
- What a radiant smile.
How do you keep it up? Excuse me? Billions of dollars spent on cancer research and still no cure.
Oh, well, we've made lots of strides.
But you're right.
Cancer is relentless.
And expensive.
Especially in this new era of cost control.
We're constantly under water caring for patients who can hardly afford it.
That's a Birkin, isn't it? $15,000.
If you're having trouble keeping your head above water, that bag ought to help you float.
There's a lot to see.
My shift is up.
Who's coming on? Candelario.
Okay, tell him we've got a bleeder in bay two and we've got a hip fracture awaiting ortho consult for an ORIF in three.
Dr.
Bloom, Janelle's urine came back.
Protein's sky high and her arm's bruised where we took the blood pressure.
That's more than preeclampsia.
Okay, test her for HELLPS.
If we find it, then the baby's gonna have to come out now.
- HELLPS? - Blood not clotting.
She's terrified.
Candelario can handle it.
Candelario can handle the ED.
I'll stick with Janelle.
You've been on for 12.
You're not allowed.
This is my own time.
And I need an OB.
On it.
You know, at first I thought it was a schizophrenic break triggered by the death of his fiancée.
- Certainly possible.
- Excuse me.
Yeah, of course, but, uh, now I'm super confused because he can't feel his arms.
Any drugs in his system? He's got tracks, but the tests came back completely clean.
No ketamine, to PCP, nothing.
You know, there was a bit of an odd anoin gap in there, so I ordered some more labs.
He needs an MRI.
Agreed, doctor.
But, uh, that is not the weirdest part.
He thinks that he's invisible.
That's why he can't feel anything.
There's nothing there to feel.
- Invisible? - Invisible.
Ray? Man might have a point.
He can't have gone too far.
If he's invisible, how would we know? Oh, get it out of your system.
You done? Hey, uh, Mason.
Listen, we got a runner.
Male, uh, average build, mid-30s.
You want all exits covered? And notification the minute you see him.
Assuming that's possible.
Uh, would you stop? - What about Max's $10 million woman? - What about her? Do you really want her to know there's an escaped psych patient on the loose? Uh, yeah, Mason, hey, uh, hold off on the PA, all right? Let's go walkies only.
Old school.
All right? Okay.
Thought we would swing through pediatrics and then maybe stop by the ICU.
Can I get you a water or a coffee? I'm fine.
Some of our patients' artwork.
- Kids? - Mm-hmm.
Our psych department is second to none.
Some very interesting people have come through those Doors.
Huh, never know what you're gonna see.
You mind if we record this? We're meeting with lots of potential doctors, so we want to remember everything.
Of course.
Dr.
Helen doesn't mind cameras.
You're used to it from TV, right? So, Dr.
Lalani recommended you.
Yeah, she thinks you're great.
Nasreen is a good friend.
And one of the best internists in the city.
We've both seen you on television, of course.
You're great there, too.
But we were both wondering what your actual qualifications are.
My qualifications? To practice for real.
Well Cambridge.
Cambridge School of Clinical Medicine.
Foundation Doctor and Specialty Registrar at Kings College Hospital London.
Additional residencies and fellowships here at Columbia-Presbyterian, Board Certified in Adult and Pediatric Hematology and Oncology.
Wow.
No wonder she's so busy.
Sorry? We had a difficult time getting an appointment.
Almost three weeks.
I apologize.
I've had, um, a number of outside commitments.
Uh, Dr.
Lalani said your work was going to be more patient-focused now.
My patients have always come first.
But raising awareness for New Amsterdam is a big part of my job as well.
Hah.
I'm gonna be cutting back on press.
I'm sorry, Dr.
Sharpe, we're gonna need someone who will put Anna's needs first.
Not the camera.
And how did your husband end up here? He was on his way to a meeting downtown and had chest pains.
The driver brought him in.
And any issues after? Besides having another heart attack? It wasn't the hospital's fault.
Arthur's mistresses were steaks and cigars.
- Ah.
- And money, of course.
Dr.
Reynolds.
I'd like you to meet someone.
Mrs.
Ryland, I presume.
Dr.
Reynolds is our new Chair of Cardiothoracic Surgery.
Ah, and you ladies are? Dr.
Hastings, Dr.
Flores, and Dr.
Jessup.
My new attendings.
Building the dream team.
You're all so Young? I Uh, no, I was I was going to say Excellent surgeons? Because they all come with glowing recommendations.
Yes, I'm sure.
Is Dr.
Merritt around? He's the one who saved Arthur's life.
Uh, Dr.
Merritt is actually no longer working here.
Did he retire? Well, he was let go.
By whom? Uh, me.
Max.
You're not answering your pager.
- Dr.
Bloom, this is - We need to talk.
- Okay.
Excuse me.
- Right this way, miss.
- I am with the - I know, the money lady.
- Yeah.
- I'm sorry.
We've got a pregnant woman up in corrections who's got HELLPS syndrome complicated by maternal seizures.
She needs to deliver her baby ASAP or both are going to die.
- How many weeks? - 32.
Okay, so do it.
Deliver.
She won't let us.
Excuse me.
I have to deal with something.
You got anything in your pockets, put it on the belt.
Now, this might still be the hospital.
But these are real prisoners.
So keep your distance for your own protection.
Yeah.
Yeah, I keep hearing that.
Janelle.
I've got someone here who wants to talk to you.
I don't need a shrink.
That's good, 'cause I'm not a shrink.
Just the medical director.
Max.
Dr.
Bloom tells me you're refusing treatment.
Janelle, your red blood cells are breaking down.
And your liver is barely functioning.
If you don't deliver this baby now, you are both going to die.
I won't have her in prison.
I know what'll happen.
The same thing that happened to me.
Foster care.
Do you have anyone who could take care of her until you're released? Do you have any family? No.
I get out in six weeks.
Can't you just do something to keep her inside of me for just six weeks, please? You won't make it.
I gotta try.
For her.
I'm gonna try.
Janelle, if you don't give consent to deliver this baby, the court is gonna make you deliver.
And I don't wanna put you through that.
So she loses either way? No.
I won't let that happen.
What does that mean? It means I will find a way to take care of you both.
Okay? There's always a way.
I'll, uh, call the OB.
We need blood.
Two units type and cross.
And FFP in case her platelets bottom out.
I just don't know how much more description you could possibly need.
Three people have seen the guy running naked through the halls.
He's He's a naked man, for God's sake.
He's He's naked and he's probably very distraught.
- He just lost his fiancée, so - Dr.
Frome? - Yeah, what? - I'm Maddy Gianni.
Ray DeMarco's fiancée.
Make yourself comfortable, okay? Just sit tight.
It's okay.
She looks quite healthy for a dead person.
I mean, she's pretty upset, but yeah.
She's definitely alive.
So, why was Mr.
DeMarco in that cemetery? I have no idea.
She said a week ago everything was fine, you know? The love of her life, and then boom.
He just drops out, stops taking her calls, stops going to work - Disappears? - Oh, my God.
So, when did she last see him? You asking me genuinely? Two days ago.
The only reason she even knew he was here was 'cause the cops found his wallet and they called her.
Did you happen to mention that the love of her life has gone missing? Uh, I was kinda hoping that you might cover that.
Okay, Mr.
DeMarco's tox labs are in.
Didn't the woman say anything about drug use? Mmm, she swears he was clean, but Ray definitely had track marks.
He injected something.
Indeed.
Trace amounts of glutaraldehyde.
Mmm.
Glutaraldehyde.
I don't know what that is.
Did the man actually say that his fiancée was dead? Well, I don't know if he used that word exactly, but he was going on about her in past tense, how he lost her, and he was digging up a grave, let's not forget.
The common name for glutaraldehyde is embalming fluid.
Oh, holy hell.
He wasn't digging up her grave.
He was digging his own.
Yeah, because he doesn't think his fiancée is dead but He thinks he is.
I think I know where he is.
Okay, out you get.
You're killing me, Ray.
Yeah, Dr.
Max Goodwin.
I'm the Medical Director at New Amsterdam Hospital.
- You're dressed.
- I'm leaving.
- Now? - Later.
I need to talk to the Mayor about a patient in the corrections ward.
Yes, a prisoner.
Were you even gonna say goodbye? Of course.
And my folks said you can come up every weekend if you want.
I don't.
I don't want.
Yes, the Mayor can call me back.
Just please tell him it has to be very soon.
Thank you.
You're talking to the Mayor? I'm very powerful.
Please don't go.
I would need a bigger room.
We have the President's suite.
For the, you know, President.
Max, you belong here, not me.
I belong with you.
We tried that.
And I messed it up, I know.
But I broke a lot of promises.
And I'm just trying not to break any more.
I know.
And I do love you.
To my core.
But this is what has to happen, and I'm okay with it now.
And Luna will be, too.
And when you come to Connecticut, we'll all be together.
I hate Connecticut.
Yeah.
Right, yes.
- Go.
Go.
- I Mr.
Mayor, um, Sorry to bother you, but this is important.
If you just have - Hey.
- Hi.
- Nice bag.
- You want it? Rough day? Just the ongoing discovery that the world thinks I'm a fraud.
Well, I kinda doubt that.
Seems my outside commitments have relieved me of all credibility.
This was a gift, by the way.
Hey, look, I get that you're upset, but you're amazing.
You're an excellent physician and you raised a ton of money for this place.
Patients don't care about that.
Nor should they.
They just want a doctor they can trust, and right now Doctor Helen isn't worth trusting.
Then tell them why they should.
Oh, hey, uh, can I really have that bag? Piss off.
Embalming fluid? Yeah, we believe that Ray is suffering from something called Cotard's Syndrome.
It's a rare disease where the victim actually believes that they've passed on.
Sometimes as a result, they can imagine that they can't be seen.
Like a ghost.
Ray thinks he's dead? But he's talking.
Dead people don't talk.
It's not logical.
It's delusional.
Why can't he feel his arms? Well, we don't know yet, but Dr.
Kapoor is giving him an MRI as we speak, so he's in good hands.
Hey.
You know You know, the, uh the good news is, um, that lack of feeling could be neurological.
Um, Cotard's wouldn't cause that, and neither would embalming fluid.
I think you and I have a very different idea of good news.
Okay, what do we got? Tumor? Pressure from which is causing him delusions.
Out of body feeling.
Numbness.
So, while Mr.
DeMarco is certainly not dead, he may well be soon.
- Doctor.
- Doctor.
Where are you racing to? Correctional ward.
I've got a baby on the way.
- Nice.
- Hopefully.
I see you're putting together quite the team.
Uh-huh.
Any future wives in the mix? Oh, man.
What? All these women have better resumes than we do.
I'd expect nothing less.
I just, uh I couldn't help but notice Right, right.
Everybody notices something, but nobody says anything.
So please, just just say it.
I was gonna say how attractive they all are.
Didn't stop you from getting hired.
Don't make this about me.
No, but it is.
Look, you ought to know more than anyone how often women are overlooked for surgical positions.
A lot.
Only 19% of the surgeons in this country are women.
I mean, I didn't know the exact statistic.
You wanna hear the stats for women of color? I'm scared to ask.
They don't exist.
So, while I intend to hire folks of every ethnicity and gender for my staff, I'm hiring women of color first.
I believe this is you.
Mr.
Mayor, I understand.
I was just hoping that in this particular case, you might make an exception for a pregnant young woman six weeks from being Thank you for calling back.
Okay.
- Mrs.
Ryland.
- Hello, Max.
I'm surprised you're still here.
I told you I cleared the day.
Yeah, but The Dean sent a copy of some plans he had drawn.
Would you like to see them? Why not? Oh, wow.
Arthur Ryland Heart Institute.
At University Hospital.
State of the art facility.
Arthur's name in big gold letters.
Tell me something, Max.
Why did you fire Dr.
Merritt? 'Cause he only cared about money.
Just like my husband.
I think the gold letters are garish and vulgar.
But it's exactly what Arthur would have wanted.
Mrs.
Ryland, what do you want? Fresh bag normal saline running open wide.
- Crowning now.
- I can't feel anything.
Okay, gotta get through to the neck.
Okay, that's the epidural.
Just Just hold my hand.
Excellent.
- Clear.
- Easy now.
- Shoulders in position.
- Right, right.
Just a little twist.
And we have a newborn baby.
Baby girl.
Moving all four extremities.
She looks really good.
They're just gonna take her over there.
Gonna wash her up.
How are you feeling? Are you okay? Mm-hmm.
- You okay? - I'm tired.
Look how beautiful she is.
Wait, wait, wait, wait, wait.
Your friend said that he would find a way for us to be, um, together and to take care of us.
He's working on it.
No, no, no, but my baby's already here.
She's already here.
I just can't Just Just Just hold her.
No one's taking her right now.
No, she's already here.
Where is he? Janelle, no, no one's no one's gonna take her right now.
No, no, no, but I can't.
I can't.
- I can't take her.
- Janelle, listen to me.
No, I have to give her up.
I can't.
I can't.
I won't.
We never had children, Arthur and I.
I wanted them, of course.
He said he did, too.
But after we got married, he changed his mind.
I shouldn't have let that happen.
What is this? We call it Kangaroo Care.
Instead of traditional incubators, these volunteers provide low birth weight premies with human contact.
Skin-to-skin.
And, um, I think that one right there was just born.
She's so small.
Yeah.
Will she be all right? Mrs.
Ryland, what if what if instead of giving your husband's money to University or New Amsterdam, you gave it to someplace else altogether? There wouldn't be a fancy building with your husband's name on it, but your contribution could potentially change the course of hundreds if not thousands of lives.
Rikers Island.
You wanna give $10 million to Rikers Island? The Ryland Endowment would be used to convert unused space to a nursery and Kangaroo Care unit.
This would allow incarcerated mothers to keep their newborns close while they complete their sentence.
And even though the unit itself won't be ready for weeks, they can designate a room and start the program today.
With Janelle Mason.
- Max - I've already spoken to the Warden, and there is no law against doing this.
The only thing required is Is money.
And like us, Rikers needs money.
Do you really believe that Arthur would want this? No.
But I do.
Isn't our job to provide our patients with the best possible care? I know very well what our job is.
But isn't it also to help people out in the world not become patients? Even if the system is broken, we can offer them a path.
Because if we don't, we are just gonna see each generation back here again and again.
Babies returning with obesity before the age of six.
Foster kids coming back as psych patients before they can even vote.
So we need to break the chain.
But we can only help people if we ourselves are willing to take risks.
'Cause change is always possible.
I'm sorry, Peter.
I know you wanted a different outcome.
And Max tried to honor that.
But this was all me.
Well, thank you for your contribution.
Janelle? When you go back, your baby's going with you.
We're, uh, starting Ray on steroids in order to relieve the pressure from the tumor, and by tomorrow his delusion should be gone.
And the tumor itself? Treatable.
What did they say? That tomorrow they're gonna bring you back to life.
Excuse me.
What does ghosted mean? Oh, that's when someone, uh, that you love, uh, disappears from your life.
Who ghosted you? My son.
But I think I ghosted him first.
Dr.
Sharpe, I need you to Do you have any idea how long people wait to get an appointment with me? Sorry, what? - I'm an excellent physician.
- Yeah.
An extraordinary physician.
And I have a radiant smile.
Okay, can you let me finish? No, do Can you let me finish? If you don't have faith in my abilities, if you can't say, "I need you to be my doctor," then you're making a mistake that could cost you your life.
I need you to be my doctor.
I wanna be a father.
And I wanna be a husband.
So I'm putting my life In your hands.
I won't bargain with you, Max.
- I know.
- I won't negotiate.
I'm all in.
Whatever you say, I'll do it.
Just please be my doctor.
How much time do I have before the, uh, chemo and radiation? Three weeks.
Is there any way that we could kind of - Max.
- Just kidding.
Three weeks.
Okay.
If you'll excuse me, I don't have a lot of time.
- Where's Georgia? - Discharged.
Hey, wait, wait, wait, wait, wait, wait, wait, wait.
Wait.
I'm not letting you do this, okay? You're not going to Connecticut.
We're not there yet.
I know, but she is, Georgia.
She's there.
Here.
Our Our daughter is almost here.
And the first thing that she's gonna see in this world is your beautiful face.
She's gonna love you like I love you.
And then maybe after a really, really long look, she is gonna turn and look for me.
If I'm not there, she is gonna wonder where I am.
Where did I go? She knows my voice.
Georgia, she knows my voice.
I have to be there.
I have to be here.
Let me Let me take you home.
Let me take care of you both, please.
In our house.
Let me help you.
Because if I can't help my wife and my daughter, then And I If it's really not working, say the word and I promise I will drive you to Connecticut myself.
- Okay.
- Great.
Okay.
Okay.
I'm gonna be a father.
I'm gonna be a father! That's my wife.
It's all right.
I'm gonna be a father!