Emergency: NYC (2023) s01e04 Episode Script

1
[ambulance siren blaring in distance]
[ambulance horn honking]
[patient's father] This is the second time
that she tried to pass the border.
[EMT] Yeah.
[patient's father] The first time,
they threw them out.
But we decide to come
to this great country, you know.
[EMT] Are you okay?
- We're almost there.
- Okay.
[ambulance siren blaring]
[Mirtha] Hi, I'm Doctor Macri. ¿Familia?
[patient's father] Yes.
[Mirtha, in Spanish]
Okay, do you speak Spanish?
- [mother] We prefer Spanish.
- [Mirtha] Good.
What's going on?
So she's been saying
that she's been bleeding.
Okay.
- Yes, she said she went to the bathroom.
- How many weeks pregnant is she?
- She's already five months pregnant.
- Five months.
Vitamins? Has she been taking
No, she hasn't been taking vitamins
because she just came over from Honduras.
[patient's father] Doctor, she just
crossed over the Mexican border.
[Mirtha, in English] Oh my goodness.
[in Spanish] Don't worry.
[doctor] Relax, okay?
[Mirtha] We're going to do everything
and find out everything about the baby.
We're going to do an ultrasound
really quick so we can see the baby.
[in English] Let's take a look.
We could do a fetal heart rate.
Let's try to get the heart from there.
There we go. Yup, yup.
[in Spanish] That's the heart.
[baby's heart beating]
[Mirtha] It sounds good.
[patient's mother] Relax.
[Mirtha] So the baby
has a good heart beat, okay?
It looks like for now,
everything looks fine with the baby.
[in English] Alright.
[in Spanish] From what country again?
Honduras.
- [patient's mother] Yes, Honduras.
- [Mirtha] Hmm.
And how many days was she on foot?
- [patient's mother] 20 days to get here.
- [Mirtha] Oh, wow.
[in English] I'm not seeing any blood.
[In Spanish] There's no blood.
Okay. Good. All good.
We are going to contact the gynecologist
and then send you to them.
To the other hospital.
Okay? Okay. Very good.
[indistinct chatter]
[Mirtha, in English] The best for her now
is to go uptown, get evaluated by OB,
get everything she needs to make sure that
her and the baby are okay.
I feel for them, and I think the family
has been through so much
in the last two weeks that
they need to make sure this baby's okay.
- [nurse] Okay, she's going out?
- [Mirtha] Yup. She's good to go.
[in Spanish] Let's all think positive.
Everything is going to be okay.
Don't you worry.
Okay.
[in English] Oh, boy.
She crossed the border two
- [doctor] The Mexican border on foot?
- [Mirtha] On foot. From Honduras.
[doctor] And it was a 20-day trip?
[Mirtha] Yeah, pregnant.
You can make a lot of assumptions,
just based on them telling you
what their background is.
And in the end, you get to spend
a very short amount of time with them
and connect with them.
That's the biggest challenge
in the emergency room,
relating to their situation even though
I can't completely relate to it,
but trying my best
and put myself in their shoes.
And that, I think, improves their care
and makes them feel more comfortable.
[in Spanish] Bye, and good luck!
- [patient's mother] Thank you.
- Okay.
[man in song] Well, we'll make it look
like Indians attacked the stage.
As a matter of fact,
that's just what'll happen.
I know a renegade Chief who will help us.
He'll attack that stage
with about 20 savages.
["Tomahawk Bang" by Funkdoobiest playing]
One of the brave
Goin' out scoutin' ♪
Rollin' on my horse
Ridin' with the wind ♪
Pack my long range rifle
In case shit jumps off ♪
Bein' a warrior, it's my job to stand ♪
[song continues faintly on radio]
[MacKenzie]
This is always so pretty at night.
[Lorey] She won't know
that view but we'll take her.
[MacKenzie]
She's going to know that skyline.
Who doesn't want to know that skyline?
Come on.
[Lorey] She won't know Prospect Park.
[MacKenzie] She's going to know Brooklyn.
We're gonna come out here.
I don't know
why you keep thinking we're not.
I'm so excited!
[Lorey] This is going to be really
anticlimactic if we can't find the keys.
- Oh my God.
- No, I got them. I got them.
- [MacKenzie] Do you really have them?
- I do have them somewhere.
Oh my God, Lorey.
You don't have them, do you?
[chuckling] Oh my God. Like
[Lorey] Building anticipation.
[keys jingling]
[Lorey] I opened the window
in the bedroom. I'm gonna be right back.
[MacKenzie] Lorey, no.
We own the house.
I'm going through the window.
No! Please, let's
- Can we just find the fucking key, dude?
- I don't know where it is.
Alright, so Is that them?
[MacKenzie]
We're gonna be great parents. Great.
- Alright. [chuckles]
- [unlocks door]
Hello, hello.
- Thanks for breaking into our house.
- Yes, no problem. First time, first night.
[laughing] Oh my God.
Ugh!
[Lorey] I'm so much more excited
than I was. Here we are.
Oh my God, it does! It looks so awesome!
- You gotta tidy up the corners and stuff
- Yeah!
but it's just a couple of hours of work.
- [MacKenzie] That's amazing.
- [Lorey] It's dried really nice.
- I love it.
- [Lorey] The crib is over here.
- [MacKenzie] Yeah.
- Where's the rocker? Alright.
- Changing table over here?
- Yes.
I don't know why it's such a surprise
that we are gonna have a small baby.
[Lorey] Yeah, they're like,
"Oh, she's only measuring this."
"Oh, she's in the 8th percentile
for height and weight,"
and I'm like, "Yeah,
I live in the 8th percentile, okay?"
If we didn't have this piece in place,
I'd be freaking out a little more,
but now we know when the countdown
is going till, we know she's coming,
and now we at least have a place
to bring her home to.
- And so
- Yeah, we won't be homeless in the RAV4.
- Yeah, it's a good feeling.
- [laughs]
It's relieved, it's excitement,
it's a lot, like, you know
I don't know. It's kind of nice.
- Yeah.
- It's good.
[Lorey] It's literally like
our first night in the new house.
[MacKenzie] Yeah!
[siren chirping]
[Jose] He was at death's door.
I think the ambulance crew
that brought him
didn't think he was going to make it.
Thankfully, the intensive care doctors
and the cardiologist
were able to save his life.
He's now ready to go home with his family,
who had just come in from Pakistan.
And in another place, at another time,
he wouldn't be here anymore.
His heart is not working,
he is not breathing at that time.
That moment was very scary for me.
But now I am so happy.
The doctors, nurses, the staff,
they were really, really helpful.
[Jose] That's great. I'm so glad.
I've never seen such a humanity
in my country.
- [Jose] Are you both from Pakistan?
- [father] Yes.
I'm from like the other end of the world.
My family is from Cuba.
- [father] Cuba?
- Yeah.
But I think he's got a good start in life.
He's lucky to have two wonderful parents
like you. Not every child is that lucky.
As the kid of immigrants who
came to this country with really nothing
because everything had been taken away,
I'm so grateful to my parents
for the opportunities to make
something like this possible.
[poignant music playing]
[Jose] My father died
almost 20 years ago now of a heart attack.
My sense of what's right, what's wrong,
what I'm called to be in serving others,
I can draw a direct line to the example
he and my mother have both given us.
It's very much rooted in
the religious identity of who they are
and where meaning comes
for us as a family.
And now I look back and think,
"Wow, what gifts,
what a way to understand the world,"
whether it's a different culture
or different language.
They're so helpful to being a doctor.
[Manuel, in Spanish]
How have you been feeling, love?
Good, good.
I tried the empanadas from Mama's.
The chicken fajitas. It's really good.
[in English] Who makes the best empanadas?
- Honduras.
- [Kristina] Honduras?
Oh, you know, Honduras?
You saw me and you were like,
"Oh, this beautiful Honduran woman.
I gotta marry her."
[Kristina laughs]
[dispatch] Medic 99. I have a transfer
going to Cohen's Children.
A one-year-old little girl.
[in Spanish]
I'll call you back later, okay?
[dispatch, in English] high temperature,
no appetite, she vomited.
Transport is immediate. This is a code 3.
[siren blaring]
[closes door]
[Vicky, in Spanish] It's okay.
Look, Mommy is right here.
[mother] I'm right here, Darlyn.
[child crying]
[Vicky] ¡Muy bien!
[in English]
You're doing a great job. Yay!
- [in Spanish] You can come over here.
- Thank you.
And the bag we have it over there, right?
Okay.
[ambulance siren blaring]
[Kristina] Ah-ah-ah-ah.
That'll keep her busy.
Okay. Listen, okay?
[automated voice, in Spanish]
Hi, my name is Kristina.
Can you please tell me in Spanish
what happened to the baby,
from the beginning?
[mother] She's been sick since Monday.
She started to get red patches
around her body.
Now it's really red and very inflamed.
And it's a lot of pain for her.
She can't even handle it.
[Kristina] I see. Gracias.
[extended beeping]
[David] You shot yourself?
- No.
- What happened?
By accident, my uncle shot me.
He showed me his gun, I got up,
and the next thing I know,
he shot me in the back.
He forgot about the last bullet
in the chamber, unfortunately.
And that was it. And my life changed.
He had major guilt, but I forgave him.
[David] What kind of gun was it?
It was a Beretta.
- [David] Do you have guns?
- I He has one.
- Do you have one?
- I have one too.
Listen, I am set on 100%
being back to normal.
It's not an option to me
to be crippled in any kind of way.
I figure, God gave me this challenge
and put me in your hands, so
I just don't wanna disappoint you.
I hate disappointing.
- As long as the surgery is happening.
- It's happening.
If it's happening, then I'm walking.
[David] That's just terrible.
I'm not a miracle worker.
I'm not gonna be able to give him
his movement back.
I think he has that expectation.
Gunshots. Being a permanent quad
is just devastating.
It's just your life's just destroyed.
What the bullet did
is it came in from the front like this,
it crossed this facet and then it blew out
this lamina and then exited it,
and you can see that here.
What happens is so much energy's generated
from that bullet that the cord swelled.
Like it's like a bruise.
First, we kind of like to not operate
because he'd had a fresh gunshot.
He really wanted it now to go to rehab,
so we decided on a posterior fusion.
It's tough, you know.
And Doctor Langer's gonna fix it.
I believe it.
We're gonna make it through it.
- We will. A hundred percent.
- Hundred percent.
[David] Count your blessings.
[knocking on door]
[Afshan] Knock, knock.
- [MacKenzie] Hi.
- [Afshan] Hello.
- Hi, MacKenzie.
- [MacKenzie] Hi.
I'm going to talk to you
about something about your tracing.
You know, you're being induced
because of the small baby,
but the problem is right now we give
a couple of doses for induction,
which we call Cytotec.
The baby tolerated only two doses,
and after that,
the baby having the heart rate drop.
Every time you have a contraction,
the baby's heart rate drops.
In your situation,
looking at this scenario,
we are going to proceed
with a Cesarean section.
- Okay.
- [Afshan] Um
I know you want to have a normal delivery,
but things happen for a reason right now,
and we will go soon. Okay?
That's why we never give you any medicine.
We hold the medicine
because we've been watching,
and the baby is still showing me
those stressing dips.
You know what I'm talking to you?
You are a nurse, you know that.
If you want me to show it,
I can show you over on the monitor.
[MacKenzie] No, I looked at it
while everyone was out.
[Afshan] Yes. You're smart. [laughs]
The risks. What are the risks?
Risk of infection, risk of bleeding,
risk of pulmonary embolism
can happen also.
Chances of blood transfusion can happen.
In case of life and death situation,
will you allow me to do whatever
is necessary to save you and your baby?
[MacKenzie] Absolutely.
[Afshan] Will you allow me to have
a blood transfusion in case we have to?
- Absolutely.
- Okay, my love. It will be fine, trust me.
[MacKenzie] I do trust you.
- [mother, in Spanish] She fell asleep.
- [laughs]
- [Vicky] Wow!
- [mother] She fell asleep.
[Vicky] Yeah, I thought she would
go to sleep in the ambulance.
[mother] Yeah, and she hasn't slept
during the day or nights.
[Vicky] Yes. Mm-hmm.
[machinery whirring]
This is the emergency department.
[woman, in English]
Want to help her register?
- Hi, is this Mom?
- Yes, this is Mom.
[Vicky, in Spanish] I'm going
to find you a blanket for the baby.
- [mother] Thank you.
- [Vicky] Sure.
[Vicky] Hope everything goes well.
- [mother] Thank you so much.
- [Vicky] We're always here to help.
[in English] Bye, Darlyn!
[Vicky] I came here in 2009
from Central America, Honduras.
And in 2012,
I got hired by the health system.
I'm getting to do my dream job.
You know, in my country it's really hard
for them to give you a space as a female,
in that action
with the ambulance and everything.
But here, I could actually
work in the ambulance,
they actually give me a role I feel like,
you know, to do my things.
She was so sweet, right? So adorable.
- It reminds me of my cousin.
- [Kristina] Yeah?
I have a cousin with Down syndrome, yeah.
She's very cute.
- [Kristina] Raised here or in Honduras?
- In Honduras. Look. Her name is Fabiola.
- Oh! [giggles] She's cute.
- That's us when we were kids.
- That's you? Look at your hair!
- That's me. [laughs]
- She's adorable.
- Yeah.
[both chuckling]
She was very adorable.
- [machinery beeping]
- [doctor] Joe, you good?
- Yeah.
- [nurse] Tell me when.
[doctor] That's good.
[David] Hey, Joey.
You're my hero.
No, you're my hero, man.
I can't wait.
Well, I don't want you
to be disappointed if your
I don't think you're going
to be better when this is done.
You're gonna be the same right away.
I'm gonna be better.
Get the collar off.
You'll be better up here.
This is so amazing.
[David] We haven't done anything yet, bro.
[Joseph] How do you do this?
It's amazing.
[David chuckles]
[David] Makes you realize
what's important, I suppose.
[hopeful music playing]
Everything's going to be fine.
I believe that.
We have a lot of support, thank God.
[breathing heavily]
[David] One, two, three.
[Monalisa] He's a survivor.
His mother passed away,
he was seven years old.
He came to America, 10.
He's a hustler.
Everything's gonna work out.
[David]
This is the exit wound, the bullet.
It basically entered right anterior neck
and exited posterior left.
Joe's 40, he has two kids,
wife, like a big family.
I think he's from Ukraine.
His whole family's Ukrainian.
Obviously, this is pretty sad.
- We're gonna do the best we can, alright?
- [Don] Let's rock.
So let's pray for this guy a little bit.
Deep breath.
And out.
[exhales]
Okay, let's go.
Stay on top of the bone over here.
Here's the facet,
right here between four and five.
This is the fracture.
All this mound of bone here,
it's all fractured bone.
[rock music playing softly
in the background]
[David] I'm putting bone chips in now.
Want to grind that up, Don?
Just grind that up.
[Don] These here?
[David] What the bullet did
is it blew out the whole lamina,
which is the part of the back
of the spine.
What we're going to do is
we'll come in the back of the spine
and basically drop
little screws into the facet, so
And that's almost like a clamp that holds
everything together and prevents motion,
and that will allow us to take
the collar off the mound to ambulate.
[Don] Beautiful. Yeah.
[David] I'll take a screw.
That's a good screw, brother.
- [Don] It looks good?
- [David] Yeah.
It's possible he can get
some function back.
It's not like he transected the cord
or some big piece of bone pushing into it.
This is the opposite.
It was just the force,
like the energy of that bullet
hitting the spine
that transmitted the cord, and he has
a concussive injury to the spinal cord.
I don't wanna promise,
in case he'll be disappointed.
Take a picture of that.
But, you know, he's got a shot.
Thanks, everybody.
[tense music playing]
[David] It's not easy. He has two kids.
It's just so fucking sad.
Hi.
- Hey.
- Hey, brother, how are you doing?
You don't wanna talk?
Give brother a hug. You know I love you.
- You're a good brother, you know that?
- [David] You're a good brother.
Can I call you a brother?
Can a white guy call a Black guy brother?
Yeah, we got the same Father in Heaven.
There's no color with God.
[David] I know, but we're not in Heaven.
No, we're down here.
This is hell down here.
[both laugh]
[tense music continues]
[Jose] Hi, guys. How are you?
So we're going to help to take
the next step for Josh now.
So I'm hopeful that the swelling is down,
and we can get his belly closed,
which is an important step for him
in terms of his recovery and his care.
He's really lucky to be alive.
Originally when he was shot,
we were worried
that he might not have brain function
because of how sick he was
and how he coded.
Throughout the weekend,
he keeps waking up, he keeps doing stuff.
So it seems like he's really there.
Let's see what we got.
[nurse] Looks like there's no bleeding.
And this is full of a third of the blood.
We're gonna try to drain out the blood.
The great news is
it doesn't seem to be bleeding right now.
- Okay, that looks good.
- [nurse] You wanna wash?
[machine suctioning]
[Jose] We're closing here.
We want to close the belly wall.
You have to be careful. We don't wanna
catch the intestines in our stitches.
It's amazing.
In two seconds, a life gets shattered,
and it takes us weeks and hours of work
to try to get back to where you were.
So as proud as I am of the team,
a part of you thinks,
"Why do we need a team like this?
Why's it happening here?"
When I started out as a young surgeon,
this was exciting.
You would come running in to see a trauma,
and help take care of somebody, and blood.
And it's so exciting as a young person.
Now, as the years you go through,
you see the tragedy of it,
and I see more of that.
This is an especially
American form of tragedy.
The rest of the world doesn't think about
the number of their kids,
teens that are gonna be shot this weekend.
We all have our problems,
but having access to guns
makes those problems lethal.
[poignant music playing]
[MacKenzie] Are those non-stick?
[nurse] You're good with these on.
You can leave those on.
[MacKenzie] Oh, yay!
[Jonathan] Alright.
So we're gonna get you all ready.
We're gonna get the drapes up,
gonna be ready for everything.
- What's your name?
- I'm Lorey.
Lorey, you'll come in at the last minute.
You'll sit up by us at the top.
[nurse] This is an antacid. Take it down
like tequila you've been waiting for.
- I know, right?
- [Lorey] Coming.
- [nurse] Oh, you did that good.
- [Lorey] She's a pro.
- [Jonathan] See you there. I'll go set up.
- Okay.
[nurse] We say tequila, but it's
more like Jägermeister in taste.
[Jonathan] Alright, any questions?
- [MacKenzie] No, you were very thorough.
- Oh, thanks.
[MacKenzie laughs]
- [Lorey] What was your name, Doctor?
- Jonathan.
- Jonathan Oster. Like the blender.
- Jonathan. I appreciate it. Thank you.
[MacKenzie] Lorey and I
actually dated in high school.
It was kind of like a whirlwind
summer romance. I was a senior.
I was getting ready to go to college
and always kept in touch.
I'm going to meet her.
I can't say enough, like, how supportive
my husband has been.
You know, like not just in these times,
but other times before,
because I've been truly unlovable,
and, uh, he's definitely reminded me
that that wasn't true.
Lorey knew my mom, and they were close
before she passed away.
[Lorey] One last kiss on the belly.
- [kisses]
- [giggles]
[Lorey, whispering]
I can't wait to meet you.
I'm like, don't pass out.
They're cleaning me up off the floor.
I swear to God
- I will not. I literally pounded water.
- [laughs]
- [Lorey] You're gonna be all right.
- I know.
You're gonna be all right.
- I'm not worried.
- [chuckles softly]
[Lorey] Ready to go.
Ready? Come on, let's go.
Alright, yeah. Here we go.
- Lorey, we're going to take her back.
- Yes. Right now? Oh my God.
- I love you so much.
- I love you so much.
- You're gonna be awesome.
- Mm-hmm.
- I love you.
- I love you too.
Okay.
[nurse] Ready, set, go.
- We'll call you as soon as we're ready.
- [Lorey] Sounds good.
[MacKenzie] Take care of him.
[Lorey] Take care of me, she said.
People have C-sections every day.
We're just having one.
- Ready?
- Ready, Freddie.
[Lorey exhales]
[siren chirps]
[David] Hey.
Everything went fine. You okay?
- Yes, thank you so much.
- You sure?
[chuckles]
[Monalisa]
Thank you so much for everything.
There's a little good news in that
when they put the electrodes on top,
we can stimulate the spinal cord
from top to bottom,
and some electricity is getting through,
which means that those cables
are not severed.
I can't tell you it means that
he's definitely going to get better,
but there's definitely a connection
between the brain, his feet and his hands.
And that's good. He's got
a little motor function, like stimulating.
So I'm certainly cautiously optimistic
that that means he could recover.
Thank you so much for everything.
[David] Joey.
Your wife, Monalisa's here, bud.
[beeping]
[Monalisa] I'm here, Joey.
Yeah? He's smiling.
[David] Yeah. He's good, he's waking up.
I can see how tough it is for her.
She's been through the wringer.
And as they have a big family,
it's just a lot.
So look, let's see, you know?
Hopefully, there's a
He's a religious guy,
so his God will take good care of him.
[chuckles]
[Jose] Mom, you want to join us?
You're welcome to.
I told her the good news, that basically
we were able to close the abdomen.
Came together nicely.
The tissue looked healthy.
There's nothing that
needs to be re-operated on, get removed.
As soon as the breathing tube's out,
we're gonna want him out of the bed.
We want to try to get his body
moving more and more normally.
- [Leslie] Sounds good.
- [Jose] We'll touch base soon.
- Thank you.
- You're welcome.
[Leslie] The surgery went just great.
Your brother asked about you.
Your aunts and your uncles.
They all said, be strong,
that you're gonna pull through this.
[Mirtha] Yeah, he's sitting in chair A.
He's just a patient
that was seen by the earlier team
during the day,
and now he's still,
unfortunately, stuck here.
We don't know what to do with him.
He's been homeless for some time,
but most of the shelters won't take you
with a wheelchair or a walker.
Some are pretty strict.
They won't even allow a cane.
The patient has no choice in any of it.
So hopefully, we can find
some type of help for this gentleman.
Hi, Mr. Cooper.
Hello. Mr. Cooper? Hi, it's Dr. Macri.
What do you want to do?
You want to go to this address on 43rd?
Go back to the shelter.
[Mirtha] Which shelter is this?
We can't find it.
[Mr. Cooper] It's on 49th and 3rd Ave.
So for the last month,
where have you been sleeping?
On the streets, miss.
On the streets. Do you feel like
there's something wrong now?
- Yes.
- You don't feel good?
Yeah, I'm feeling good. Just wanna
get out of here, wanna go to the shelter.
Okay. You just wanna
go back to your shelter?
- Any shelter.
- Okay.
Anything off the streets.
[Mirtha] I'm going to try to call his mom
so I can get some information from her.
So you definitely can't take him in,
and he hasn't lived with you for
Oh, I see. And that was
after being struck by the car?
He had a spinal cord injury?
Hmm.
Okay.
Bernard?
Hi. I got to get a little more history
for you for the shelter.
You definitely need the wheelchair, right?
- Did you have surgery to your back?
- [coughs]
I had surgery on my neck.
You did? Okay. Where was that?
- By my spinal cord, this way.
- In the spinal cord?
Can you get undressed for us
so that we can make
- [Mr. Cooper] If you help me out.
- Are we gonna help you out? Yeah, sure.
Do we have sweatpants for him?
Like sweatpants and a sweatshirt?
I think he'll have to go to Lenox
if we don't find a shelter.
I mean, we can't send him like that.
They won't like us, will they?
- [indistinct chatter]
- [Mirtha laughs]
[worker] Sir, I'm gonna
come help you out to undress.
Put you in a gown, okay?
Some clothes, I got for you, alright?
[Mr. Cooper] Alright,
thank you so much, man.
[Mirtha] It's unfortunate, but in a city
this populated and this congested,
there is a huge health inequity.
As an emergency medicine physician,
you get to see those layers.
I see everything from people
that have a great quality of life,
to people that are struggling
every single day.
You know, I get frustrated now more
not at the patient,
but at the system
that doesn't support them.
It's important so that people like him
can get into a mental health clinic,
can get the right resources.
If you have a spinal cord injury,
get the right rehab.
Disparities are clear, you know,
and I think the pandemic
just enhanced them even more.
He is getting the best rest though.
[Vicky] Just give me one second.
I'm just going to talk to him.
- [in Spanish] Hello, love.
- [husband, in English] Hello, I miss you.
- [in Spanish] How are you?
- Good and you?
All good.
[in English] How are you?
How are you feeling?
I'm feeling a little bit good, you know.
You still feel weak?
Still a little bit, you know, lazy, weak.
But we're gonna make it.
Yeah. Everything's going to be okay.
Yes, baby.
I'm going to stop by after work, okay?
Oh, that would be nice.
I want to see you and the baby.
[giggles]
- See you soon, babe. I love you.
- I love you. Bye.
[sighs]
My husband, he wasn't feeling good,
and I had to take him
to the emergency room.
They're doing a lot of tests
to see what's going on,
and, um, he got a blood transfusion.
I feel kind of like
[voice breaks] You know, like overwhelmed.
I feel like, you know, everything was
I thought I had everything under control.
I want him to be home, but I understand
that he has to get better for the baby.
[Kristina] He's going to come home soon.
[chuckles]
It's okay. You're gonna be alright.
[Kristina] You okay?
[Vicky] I'm okay.
[nurse] Best feeling in the world,
right before Mother's Day.
Best Mother's Day present ever.
- That's my mom giving it back to me.
- That's right.
[Jonathan] Michelle thinks
we're in a good spot.
[nurse] Listen, you shock away.
[Jonathan] This is the local anesthesia.
This hurts for a sec. Bear with me.
- [gasps]
- [Jonathan] Oh!
Bear with me. That's normal.
- [MacKenzie] Sorry. I didn't mean to jump.
- [Jonathan] That's okay.
[nurse] That's okay.
That's him going into the space.
- It feels like a funny bone.
- [Jonathan] Nice and still.
- It feels warm down one side of my leg.
- [nurse] Yeah, it's working.
[MacKenzie] Just this one side, though.
[Jonathan]
I hope it goes to both sides.
- [nurse] Next to me. There you go.
- [Jonathan] Both started to get warm?
- No, just this one.
- [nurse] Okay.
[Jonathan] Uh-oh. Okay, let's see
how things set up over the next
[Afshan] She's like now 38-plus weeks.
Anything below 39 weeks,
we consider preterm labors.
[nurse] How are you feeling?
- [MacKenzie] Numb and tingly.
- Okay.
People like her, the baby's
not growing inside the belly more,
so there is no reason to wait.
So this baby will be better
when they are delivered.
Alright.
[Afshan] Yay.
[MacKenzie] I love being in the OR.
[Afshan] Really? When are you
going to scrub with me next time?
- [Jonathan] Welcome. Look. Have a seat.
- [Lorey] Hello. Hi, sweet thing.
[MacKenzie] Hi.
- [Lorey] Oh, hi, my sweet.
- I can't move my feet.
- [Lorey] Can't move your feet?
- No.
[Lorey] Who needs to move feet?
- [Afshan] How are you feeling? MacKenzie.
- I feel nothing. I feel good.
[Afshan] You feel good?
I think somebody did a good job here.
- [MacKenzie] Absolutely.
- [Lorey] Thank you, Doc.
- [Jonathan] Once in a while, I get lucky.
- [laughter]
[Afshan] All right. Incision.
[Lorey] I'm right here. That's our baby.
That's our little girl.
- You're doing so good, love.
- [MacKenzie] I don't know.
- [Lorey] You are rocking it.
- I still can't feel anything.
[Afshan] How are you doing, my friend?
You're good?
[MacKenzie] Mm-hmm.
[Afshan] How are you doing?
Why are you so quiet?
- Why you quiet? Talk to me, sweetheart.
- [MacKenzie] I dunno, I'm a stoic person.
- [Lorey] Stoic person, yeah.
- [Afshan] Talk to me.
- Do we have the name for the baby?
- [MacKenzie] Fiamma.
- [Afshan] Wow.
- [MacKenzie] It means "fire" in Italian.
- [Afshan] Fire? I like that.
- [Lorey] Our little flame.
Our little flame girl.
[Afshan] The midline is right here.
You see?
[MacKenzie] Can you hold my hand?
[Lorey] Yes, I would love nothing more
than to hold your hand.
You feel anything? No pain?
Okay, that's what I like to hear.
You've been a rock star.
I'm so proud of you.
[Afshan] So we are reaching very close.
- We separated your fascia already. Okay?
- [MacKenzie] Oh, wow.
[Afshan] Yes, we are going
very close to the uterus soon,
and you're going to be a mom very soon.
- [MacKenzie] Oh.
- [Lorey] You're gonna be a mom very soon.
[Afshan] So this is called
Alexis retractor,
we are placing it inside
to have a good visualization.
Who has energy today? Come on, guys.
Come on. One more, one more, one more.
So we're going to create
the bladder flap right now.
How is her urine, guys?
[nurse] Nice, clear urine.
- [Lorey] You scared? Anxious?
- [MacKenzie] A little anxious, yeah.
[Lorey] Well, I got you.
We'll go through all of it together, okay?
- [MacKenzie] I know.
- [Afshan] Knocking on the baby's door.
[MacKenzie] Oh. I can't wait to hear her.
[Afshan] And hit the uterine.
[nurse] 6:52.
[Lorey] Soon, my love, she's gonna
take the baby out and put her on you.
[Afshan] So, like my advice?
[Lorey] How about that?
[Afshan] Okay, lot of pressure.
We have a baby soon.
- Here we go.
- [doctors] Yay!
[all cheering]
[Afshan] There's a little pumpkin here!
[Lorey] Oh my God.
[Afshan] Hold her for me, big girl.
Can we get the lower the drape for me?
[baby crying]
[MacKenzie gasps]
Oh my God!
You can see her!
[MacKenzie] That's our baby!
- [Afshan] She's cute!
- [MacKenzie] Oh my God!
- [Lorey] Look at her. Oh my goodness.
- [Afshan] "Hello, Mommy!" You see?
- Look at her.
- Here she comes.
- [crying]
- [Afshan] Yay!
[MacKenzie] Attagirl!
[Lorey] It's okay.
- [Afshan] Congratulations, guys.
- [Lorey] Welcome.
[Fiamma screams]
- [MacKenzie] Oh my goodness.
- [Afshan] "Yes, I'm here! I'm here!"
[Lorey] Welcome to the world.
[screaming]
[Lorey, crying] Look at her!
Oh my goodness.
- [MacKenzie] I can't wait to hold her.
- [Lorey] I can't wait to hold her.
[Afshan] Congratulations, guys.
[Lorey] I love you so much. [kisses]
[Lorey, crying] I love you so much.
You are such a champion.
[Lorey chuckles]
- You did so damn good.
- I did?
You did so damn good. Yes.
[Afshan] Surprisingly, the placenta
is bigger than the baby.
- You feel weird?
- [Afshan] She's a little bit foggy.
She's bleeding a little bit more.
Pressure is good?
[Jonathan] Uh, a little low.
[Lorey] You're okay. You're gonna
feel better in a second, love.
- [Jonathan] Hang in there. Very normal.
- [Lorey] We're okay.
[Afshan] Okay, we're giving a shot
in your thigh for the bleeding.
- [Lorey] You got the pros here, love.
- [MacKenzie] Oh, I know.
- [Fiamma crying]
- [Afshan] Whoa, that's a cute cry!
- [Lorey] Can you hear that?
- [MacKenzie] Airway's intact.
[Afshan] Yes, woo-hoo.
- [nurse] Dad, do you want to cut the cord?
- [MacKenzie] Yes.
- Oh my God. Oh, my goodness.
- [Afshan] It's tough.
[Lorey] Oh, it is tough.
- There you go. Well done.
- Oh my goodness.
- [Afshan] Did he cut it?
- [nurse] Yes.
[Afshan] Oh my God, we didn't celebrate!
- [Lorey stammers] She has
- We just did.
[Afshan] Yay!
[Lorey] The dream is on the table, lover.
All the hard parts are over.
Now we just have to raise a child.
Oh my goodness. Yes!
[nurse] Easy. You keep her warm.
[Lorey] Look at that.
Keep her nice and warm.
Oh, she's gonna be so good.
How was that?
It's perfect.
[Lorey] She's on the outside now.
She's going to come home.
She's got a house,
she's got a little crib.
She'll sleep right next to us.
Thank you, Dr. Ash.
[Afshan] You're welcome.
[MacKenzie] Thank you so much.
[poignant music playing]
[Jose] There are few cities in the world
that have this kind of emotional power.
You have these extremes of humanity
that are very unique to New York
versus anywhere else in the United States.
People from all over the world,
different cultures,
all coming together, that makes being
a health care worker in New York
one of the most challenging things.
The system, it's complicated,
but it somehow works.
This is it. We are here
at the house that I grew up in.
Hola, mami. ¿Cómo estás?
[in Spanish] How are you? All good?
[in English]all those trees out there.
[Lorey] You're gonna be the best mommy.
I've loved him half my life.
[Afshan] That's what you were telling me.
Your high school boyfriend.
[Vicky] He's moving a lot
because he hears your voice.
[husband] "Hi, papi." ¿Cómo está, mi amor?
[kisses]
[Vicky] I know you told me
not to worry, but
I keep thinking and thinking and thinking.
It's not easy for me.
[husband] I'm glad you're coming here.
[Vicky] I love you.
[cell phone line ringing]
[David] Hey, Joe. How you doing?
I'm almost, I would say,
85 percent of the body I can feel.
Oh. You're the type of guy,
personality-wise,
that finds the best in things.
But I think a lot's going to happen
in your lifetime that's going to help.
David, I'm going to kick ass
and recover fully.
It's going to be one of those stories,
I'm telling you.
[phone ringing]
[Donald] I'll get it.
Transport, Donald.
[sirens wailing]
[reporter] Gun violence in New York City
reaches another high.
Ten shootings in just 24 hours.
People who live in these communities
say they're fed up.
They cannot stand it,
and they want to know what's being done.
[dispatch] Ma'am, I really can't hear you.
I'm sorry, did you say gunshot?
Is there any serious bleeding?
I'm sending paramedics to help you now.
Stay on the line.
I'll tell you exactly what to do next.
[closing theme music playing]