Miami Medical (2010) s01e04 Episode Script
All Fall Down
To share myself, to show my love To smile at everyone Oh, to shine above the sun Now I'm standing next to you Hmm-hmm.
She's coming in a week, Frank.
We have to choose a name.
You hate every name I suggest.
Because you're not taking it seriously.
No, because you're taking it so seriously.
Anastasia.
No, that-that's Now the paint fumes are talking.
I mean, she's coming from Russia.
Think of it as an homage to that.
Why not just call her Putin? Gorbachev.
Borscht Vodka Caviar.
Dasvidaniya Simon.
Hang on, sweetie.
It's okay.
I just saw your inhaler.
Go out on the balcony.
Get some fresh air.
It'll help you breathe.
Oh, God.
Stop being so funny.
You're bad for my health.
After five years of trying, all those shots, those fertility tests We're finally going to be a family.
What was that? You know what? Maybe we should get off this.
Whoa! Here it comes Here it comes Here comes your 19th nervous breakdown.
So, what was the deal with you and Eva at the Crab Shack the other night? It was nothing.
Yeah, right.
It was Flirt City.
No, it was not! It was, too! You two were totally vibing each other.
Nope.
Just the cocktails talking.
Nothing happened, Serena.
In fact, at one point, Eva got up and went to the bathroom and never came back.
It was very Bermuda Triangle.
Hmm.
I wonder who intercepted her.
I don't know, but I intend to find out.
Morning.
Morning.
You know, the Brown women's lacrosse team beat Princeton, 5-4.
Came from behind.
Scored four of their goals in the second half.
You a college lacrosse fan? Not really, no.
Lacrosse? Yeah, he probably woke up, he realized that cricket was the most boring sport on the face of the earth And he tried to move on.
Hi.
Hello.
Did you hear that we've got a Balcony collapse in Aventura? Two red-banders three minutes out? Yeah.
I've already notified Ortho and Neurosurg and I've got carts standing by with splinting materials.
One of these days, one of us will actually get the bullet to you before you've learned of it.
I wouldn't bet on it.
Um I hate to bring this up This has Actually never happened to me before, and it's kind of awkward.
But, uh I was wondering if we could talk about what happened, you know, after our last shift.
Something happened? Coffee? You see, that's the problem.
I-I'd taken a bunch of allergy medication.
I hadn't really eaten.
I don't exactly remember how I ended up naked in your bed.
You were in my bed? Uh yes.
Naked.
Yes.
Uh-huh.
That really is something, isn't it? Incoming, one minute out.
Hey, Tuck.
How are you? Missed you.
You know, you go off to Search and Rescue training for a week and Kathy manages to turn this whole place upside-down.
Thoracotomy trays are where the gloves should be and central line kits are in with the ABGs.
Yeah, she's like the Terminator of disorganization.
Don't worry.
I got it all squared away.
Karen Simon, 37 years old.
Fell three stories on pool tile.
She's tachy.
Otherwise, vital signs stable.
Multiple contusions and obvious tib-fib deformity of the right leg; given five of morphine en route.
Hi, Karen.
I'm Dr.
Proctor.
This is Dr.
Zambrano.
Do you know where you are? Hospital, right? Good.
Do you have any sensation in your leg? It hurts.
Another five migs of morphine.
That should take the edge off the pain.
Karen, you've had quite a fall.
We're gonna have to check for crush injuries.
Are those bad? They can be.
But you fell three stories and you're here to talk about it, so you're already ahead of the game.
Get her to CT for a head/neck/ chest/abdo.
And X rays of the entire leg.
Once we see what's going on inside your body, we'll have a better idea on what to do next to take care of you.
More incoming.
My husband Frank-- is he okay? Frank Simon.
40 years old.
Found facedown in the pool after falling off the balcony.
Started breathing on his own once we pulled him out.
Tachy at 136.
BP normal.
Okay.
One, two, three.
How are his lungs? Did he aspirate any water? Lungs are clear; he's got multiple abrasions and a deep wound running down his left side.
I think he got hit by some falling furniture.
Hi, Frank, I'm Dr.
Deleo.
This is Dr.
Warren.
You have any medical conditions we should know about? Asthma.
Okay probably going to do a little sew-and-tell on your torso here, so you're not flashing the world your insides.
I'm going to take off the pressure dressings.
See what we're dealing with.
There were some building de vlations.
They were retrofitting it.
Never would've let Karen go out there if I'd known that Sats are dropping.
I thought his lungs were clear.
No, they are.
His throat's spasming closed.
All right, get me a 100% non-rebreather mask.
And lorazepam.
All right, Frank, hang tight.
Going to just adjust your neck a bit here to open up your airway.
John Doe, late 2os, altered with blunt head trauma surface wounds.
He's been intubated and he was struggling in the field, so they had to restrain him.
GCS 241.
Where'd they find him? In the wreckage.
Turns out the balcony collapse had collateral damage, so may be more incoming.
All right.
Well, let's see what our John Doe has to offer us.
Lift him.
One, two, three.
What the hell? Guess he'll be paying in cash.
So the deal with Money Man is? When I found him, he was clutching a bag full of cash.
I didn't know what else to do-- So you strapped it on for good keeping? Oh, next time, the front seat of the ambulance would probably do.
Make sure it all gets logged in, Einstein.
Who carries that much cash around? Well, it is Miami.
You do the math.
More likely vice than nice.
The good news is our Money Man's pupils are reactive to light.
Hopefully, he'll regain consciousness and tell us who he is.
In the meantime, let's get him to C for a head scan.
Okay, we've got some sort of spasm here.
That's quite a tremor.
And localized in his right hand.
Increasing intracranial pressure might have caused a partial seizure.
CT will tell us for sure.
Oh! Turn him.
Get me an NG tube-- I need to decompress his stomach.
All right.
Roll him.
Can I have some Tape? Yeah, and a Large syringe to listen for placement? Already set up.
Thank God you're back.
My leg is still killing me.
Well, Karen, three stories is quite a way to fall.
We're going to have to see whether you're going to need surgery to reset the bone.
Can you give me something for it? She's already had ten milligrams of morphine.
I'm afraid any more will drop your pressure.
I'm going to have to hold on to your jewelry.
Please don't take it.
You can't take it into the CT machine.
It will prevent us from getting a clear read on your chest scan.
Come on.
I promise I'll give it back straight afterwards.
This is our baby girl.
We're adopting.
Oh, she's beautiful.
What's her name? We haven't decided.
If I'd been a girl, my mom wanted to call me Guinevere.
Guess you lucked out.
Name like that could get you beaten up at school.
Any kids? Yeah.
No.
No.
I'm a little confused.
Well, it's complicated.
Um, you just think about your daughter, and let's get some photographs of you.
Eva.
I'm changing your nickname to Houdini.
Something tells me I don't want to know what my old nickname was.
The other night at the Crab Shack? One second, we're drinking up a storm, we're making merry.
Making merry?! What? That's my word for the post-banter, pre-showtime part of the evening.
Uh, trust me, we weren't even in the same county as showtime.
Next second, poof! You're gone like disco, never to be seen again.
What happened, huh? Did you find a dude? Hmm? Took him home? Got your Barry White on? That's how you do it? Huh? I don't Barry White.
Come to think of it, Proctor kind of just vanished, too.
Oh, did he? Mm-hmm.
Hmm.
You gotta go deal with the husband.
We're not done, Houdini.
Good news, Frank.
Lorazepam's working.
Your throat stopped spasming.
Now I just have to close up this wound here and monitor your breathing pretty closely.
Is that from the asthma? No.
It's totally unrelated.
'Cause you landed in the pool when the balcony collapsed, you're at risk for dry drowning.
Dry drowning? What is that? When you hit the water, your body was in a struggle to protect itself, so your throat closed up as a way to stop you from drowning.
Good for me, huh? But, even though you didn't inhale any water, the struggle to breathe can create a delayed fluid buildup in your lungs.
It can take hours, even days after the initial event, to show up.
Can I have another four of Prolene ready? I noticed, uh, some marks from some shots here on your arm.
Did you do any foreign traveling? Oh, Karen and I went to Russia last month.
That's cool.
Did, uh, you guys go to Moscow, see the Kremlin, do the whole Boris-and-Natasha of it all? Got to see my baby girl.
Held her for 15 minutes.
That's all? That's all they would allow.
Ooh, okay.
All right, Frank.
I'm, uh, gonna revoke your license to speak here.
You need to rest that throat.
I'm gonna be sending you up to the folks in X ray here, take a peek at your lungs.
I'd keep it tight.
Hold onto my wallet if I were you.
They're a sketchy bunch.
Proctor ever say anything to you about having a kid? No.
He plays everything so close to the vest, the guy could have a houseful of monkeys, we'd never know anything about it.
What do you got for us? The other victim from that Joe Fisher, 26 years old, 90/40, tender pelvis.
The guy was cleaning the pool, got hit by a balcony railing.
GCS 214.
One, two, three.
Oh, yeah.
Pelvis is totally unstable.
Probably an open-book pelvic fracture.
These things can be a bear.
On the upside, I'm putting him on an external fixator.
Works the abs better than an hour of Bikram yoga.
You have so never done yoga.
Of course not.
But I have dated half the yoga instructors in Dade County, which qualifies me as an expert in all things namaste.
All right, start a central line for Mr.
Fisher's blood transfusions.
Ultrasound won't turn on.
We gotta get a good line on this guy before he crashes.
All right, um, do it dinosaur.
Dinosaur? Yeah, put in a subclavian line using landmarks like the prehistoric days before ultrasound.
You've done that before, right? In med school.
Good.
So then dazzle me with your skills.
All right, just feel your way through it.
All right, you're gonna find the subclavian vein and just run the needle right in.
My first attending made us made us learn to do this with our eyes closed.
Made for a good party trick.
Pulse ox is dropping.
Decreased breath sounds on the left.
I must have hit the lung.
All right, we got a pneumo.
Get me a mini catheter kit with a Heimlich valve so we can reinflate the lung.
Let's go-- quick, quick, quick.
Sats are climbing.
And He's back in action.
I can't believe I just did that.
You probably pointed the needle down rather than towards the supraclavicular notch.
Yeah.
I'm sorry.
Yeah, well, you're gonna practice and practice till you get it right.
Once you do it with your eyes closed and one hand tied behind your back I will.
Heard we got a new red-band from the balcony collapse.
Yeah, Joe Fisher from the apartment complex.
We just sent him up to Angio to have an embolization on his open-book pelvic fracture.
Any complications? Multiple superficial wounds.
And there was a pneumo There's a pneumo from, uh, from the trauma.
But we installed a Heimlich valve, and he's breathing well.
Actually, Dr.
Warren was just headed up to Angio to check on him.
Right.
Hey, that was, uh, that was fun times the other night at the Crab Shack.
Yeah, it was a nice end to a long shift.
Yeah.
Eva disappeared suddenly.
You didn't happen to see who she left with, did you? Yeah, in fact, I did.
Yeah.
Pain with passive flexion.
Lidocaine on the swab.
My legs still hurt so much.
The medicine isn't making a dent.
The skin's a bit shiny.
What's wrong with me? Stryker, please.
I know this looks awful, but I need to measure the pressure inside your leg.
Is it gonna hurt? Yeah.
A little.
Just checking now.
Yep.
The pressure is sky-high.
Compartment syndrome.
What's that? Well, when you fell, you must've landed feet-first, causing your leg to absorb the shock, and there's so much swelling around the fracture, that the pressure's stopping the blood from flowing to your foot.
What does that mean? Well, it means I need to, uh Reduce the swelling so your leg doesn't die.
The surgery shouldn't last long.
You'll be back in recovery before you know it.
The surgery-- will it, will it cause permanent damage to my leg? Shouldn't.
Will I know what I'm dealing with? Will I still be able to chase after my baby? No reason you shouldn't be able to run a marathon in a few months.
I know I sound neurotic with all my questions, but we almost adopted a baby last year But the, uh, the birth mother changed her mind in the delivery room.
Sorry to hear that.
That's why we went with a Russian adoption.
There's more forms than the IRS, but once it's final Blarnet.
Excuse me? The name for your baby.
Means "Little flower" in Gaelic.
That's a name? Mm.
Or you could have "Boudica"" That's supposed to be better? She was a queen who led an uprising against the Romans in A.
D.
60.
You sure know a lot about girls' names.
Only the ones beginning with B.
That's as far as I've Googled.
The O.
R.
is ready, Dr.
Proctor.
Right.
Let's get this over with.
Page Dr.
Warren to assist.
Scan showed C-7 and T-1 fractures.
No reflexes.
Money Man's not withdrawing to pain.
He must have injured the cord.
Maybe it's a spinal concussion.
I hope so.
At least that can heal.
Otherwise, we're looking at paralysis.
Any luck finding his next of kin? Not yet.
I left some messages.
He's so young.
Young with a big bag of cash.
Maybe he's a waiter.
Must be some restaurant.
Tips like that could have me rethinking my career.
I just wish I knew his name.
You know, what his story was.
There it goes again! The spasms? Yeah! See? I gotta figure out what's causing them.
I know flaying the skin sounds medieval, but it works like a charm.
I still can't believe Karen and her husband survived that fall.
It's like one of those cartoons where the the Road Runner runs off the cliff.
It's Wile E.
Coyote who falls of the cliff.
Road Runner gets him every time.
What would Saturday morning be without Looney Tunes and a full bowl of cereal? Now, um, you want to remove as little as possible of the fascia.
Like that? Uh-huh.
I think it's so cool that they're adopting a baby from Russia.
Orphanages are full of children needing good homes.
It's so overwhelming.
I mean, one minute they're a couple; The next they've got a flesh-and-blood kid.
I wonder how long it takes before it feels like the baby's really yours? Happens quicker than you think.
Where are the labs? Should be here by now.
Well, her creatine and her potassium levels are dangerously high, which would indicate The complications from the compartment syndrome.
Which happened because? Broke-down muscle tissue clogged her kidneys.
She's going into renal failure.
Which makes the leg the least of her problems.
Frank, lungs still sound clear.
Let's just take a peek here.
These sutures look great.
How's my wife? She had surgery on her leg and it went really well.
But you're not smiling.
Her kidneys were badly affected by the fall.
She's gonna need dialysis.
Oh, God.
That-That that sounds really serious.
I'm gonna-- I gotta, I gotta go see her.
I get that, Frank, and trust me, I'd love to give you an all-access pass, but right now, she's recovering in ICU, and we need to give you the time to heal.
No, Karen, if something happens to her I gotta Frank, Frank, Frank, listen, I'll make a deal with you, okay? You stay here, you get well, and I'll let you know when it's time to worry.
Deal? Okay.
Can we get repeat chest X ray? I want to make sure his lungs are staying clear.
Right away.
You two need a moment? It feels wrong-- you covering for me with Proctor.
I was a first-year.
I was doing, um, doing an internal jugular line, and I hit the carotid.
Blood shot out like a geyser, and my chief resident ratted me out to the attending, who blasted me so hard he almost blew a vocal cord.
Yelling doesn't really seem like Proctor's style.
Truth is I don't know how he'll react.
Still, I feel like I should come clean.
Why? So you could feel worse about what happened? Your residency is part of your education, and getting reamed didn't teach me anything at all.
I know you.
You're a perfectionist.
You're gonna punish yourself enough for everyone.
Come on.
Take a break.
Come with me.
I'm gonna check on Karen's husband.
So word is Cathy saw Eva leaving with Proctor the other night.
Talk about bizarro world.
I thought it was too weird to be true.
Fruity drinks will make people do some crazy things.
I knew this guy in med school.
He borrowed a cadaver and Where's Frank? The nurse was supposed to bring him back right after his scan.
Hey, where's my patient? He was just here a minute ago.
I-I just went to go get some suppoxatin.
Okay, so then where the hell did he go? Hey, Frank! What? Hey, where is Gate 12? I What? Yeah, my daughter's coming in from Russia today.
Yeah, Aeroflot flight 365 Delirium from blood loss.
Just got in.
I'm gonna get a gurney.
Yeah.
I can't be late.
You know what? Gate 12 is a real demon to find, Frank.
How about I take you there? Yeah, I can't find a diaper bag Yeah, it's this way.
Guys, you know what? I don't feel so good, actually.
I am so Let's get a lift team and some gauze in here now! He's losing an awful lot of blood.
Looks like he busted every single one of his stitches.
He's gonna bleed out.
In lesser hands and slower feet, maybe.
Not with us at the wheel.
Kidney failure? I thought my leg was the problem.
One of your kidneys is shutting down.
It's a complication from the fall.
What do you do for it? We're gonna start you immediately on dialysis, which should work out quite nicely.
Wait.
Dialysis? Mm-hmm.
If we start immediately, there's a real chance it will only be temporary.
And if you don't? Don't what? Don't do dialysis.
Well, dialysis is by far the best form of treatment for kidney failure.
Um, it has the fewest risks and the greatest chance of success.
But there are other options, right? Medically, no, not really.
I'm not doing dialysis.
You know that, uh You would only have to go for treatment maybe once or twice a week.
Shouldn't stop you from being a very active mother.
Okay, if you want a second opinion or a discussion with your husband No! No! No doctors, no Frank! Karen, um I'm not sure you fully understand the gravity of your situation.
Without treatment, your-your kidneys will shut down.
You will die.
Every day, um, patients come in here, and with some of them, there is nothing I can do to help.
But what you have is treatable.
So, please, please let me save your life.
I'm not doing dialysis.
You're gonna have to figure out some other way to make me better.
You paged, Dr.
Proctor? So we finally get the husband stable, and now the wife is inexplicably refusing lifesaving treatment.
Karen Simon.
So I am reading this right.
I'm supposed to cancel Karen's dialysis? Yeah.
Why? It's not a religious objection.
She would have refused other treatments already.
And it isn't pain-related.
This is much less invasive than the fasciotomy.
They have insurance, which would cover it.
So it's not a money issue.
They're adopting a child, right? Due in less than a week from a town in Russia.
Her labs are a mess.
She needs the dialysis.
Yeah, I'm aware of that.
No dialysis? It's like it's like suicide.
Yeah.
Okay, so, that's the task.
We've gotta figure out why a woman with everything to live for doesn't want to save her own life.
Hey, Chris, can I pick your brain? After you tell me where you went the other night.
Quid pro quo, Dr.
Zambrano.
I went to sleep.
End of story.
Now if we're done with the episode of Gossip Boy, my patient, Money Man, has a tremor in his right hand.
Is it persistent? Intermittent.
I can't figure out what's causing it.
MRI only showed a thoracic spinal cord injury.
So it's too low on the cord to cause a hand tremor.
Exactly.
Uh, it could be completely unrelated to the trauma.
It might be an underlying seizure disorder or electrolyte abnormality.
The EEG and CMP were normal.
I even checked nerve-conduction studies.
Maybe he's just trying to get your attention.
Oh, he already has that.
Hey, I know you left the Crab Shack with Proctor.
Yeah, and we went to the library, where we had a threesome with Colonel Mustard.
Well, if dialysis is the best treatment for Karen, why didn't you just do that? We agree, but it's up to her.
Can I, you know, overrule her? Not in this century.
She has the right to make her own medical decisions, even if it's AMA.
"Against medical advice.
" Unless a psych consult could prove she's not competent.
Which, which it wouldn't, so But we were hoping that maybe you could shed some light as to why she'd be so resistant.
I have no idea.
What you said before This is the time to worry, isn't it? Yeah, Frank.
This is it.
I was hoping we could figure out the tremor, but we can't wait any longer to stabilize his spine.
Ready to replace the halo? Money Man's waking up.
Oh.
Sir, sir, you fractured your spine, and any sudden movement can cause permanent paralysis.
Tighten the restraints.
Listen, I know you're scared.
I know you're scared, but I need you to stay absolutely still! He's a real fighter.
Please! We need you to cooperate! Stop! Everyone just stop! Uh Are you deaf? So the spasms He was just trying to communicate.
Take the restraints off.
Um can you read lips? Great.
Um What's your name? Everyone, this is Ethan.
Nice to meet you.
We're gonna take that tube out of your throat to, um, to make you more comfortable.
You rang? I've got some good news.
But first I've got to get something off my chest.
The pneumo-- it wasn't from the trauma.
It was my fault.
The pneumo? Pool guy? The open-book pelvic from the balcony collapse? The ultrasound wasn't working when I was putting in his central line.
Dr.
C asked if I knew how to put in a subclavian line using landmarks.
I'd done it in med school once or twice, so I thought I'd be fine.
But I wasn't.
Wait.
You're telling me you caused the pneumothorax, the one that Chris told me was the result of the trauma? I'm really sorry.
I swear it will never, ever happen again.
What's the good news? I know why Karen is refusing dialysis.
I downloaded the forms from the Russian province where she and Frank are adopting their daughter.
Turns out there's a long list of health problems that can disqualify you from becoming an adoptive parent.
And dialysis is on the list.
If Karen accepts dialysis, she's gonna have to give up the baby.
Karen's heart rhythm is extremely unstable.
Pretty soon, she's gonna crash.
She started having runs of PBCs, then lost consciousness.
All right, the V-tach.
She's gonna lose her pulse.
Give me an amp of calcium chloride, ten of I.
V.
insulin and Kayexalate.
Those are all just temporary fixes.
Without dialysis, she'll be dead by the end of the day.
Karen responded to the medicine.
She's back in a normal heart rhythm.
And it's not gonna last.
Not for more than a few hours.
And she still won't agree to dialysis.
Take me through those forms again.
They have to fill out a full medical disclosure.
And see? Right here "Dialysis" with a box to check.
Check-box, eh? Why did you tell me about the pneumothorax? The Heimlich valve solved the problem.
I would have been none the wiser.
A woman wants a child, and she'll do anything in the world to get it, even endanger her own life.
I understand that.
The stakes don't get higher.
What I want more than anything is to be a great surgeon.
I know it's not gonna happen overnight.
And for now, all I can do is the best I can do.
With a pneumo, I just didn't want to look back one day and And have regrets.
What happened last year-- I-I can't go through that again.
I know, Karen.
It's not just some random baby, then we can go get another.
Of course.
We met her.
We looked in her eyes; we promised we'd all be a family.
But if you're not alive when she gets here, what good is that? Karen You have to tell her to do dialysis.
Frank.
I'm not changing my mind.
I think I might have a solution.
Okay? We're going to put a catheter into Karen's abdomen and fill it with a hyperesthmoles solution, and then use that to leech the toxins from her blood.
It's experimental.
It's less effective.
It's hard on your body.
But, uh But it'll fix my kidneys? Well, it'll buy you four or five weeks until after the adoption is finalized.
Okay.
Okay.
I'll do it.
Leeching toxins from the blood? Isn't that just dialysis? Not to some bureaucrat sitting in a cubicle, who will see it as three separate lines in an already long and complicated form.
So, no check-box.
That's right.
No check-box.
Oh.
Here are your lacrosse scores.
It's Annabelle.
She's the, uh, the daughter of a woman I was with.
Uh A long time ago now.
We were kind of a family for about five years.
But, uh, when the relationship ended, um, we both decided that it would be best to have a clean break, so the last time I saw Annabelle was when she was seven.
And now she's scoring the winning goal for Brown against Princeton.
Let me know when Karen's done with her first round of treatment.
I will.
So, Ethan You work in a theater? Cool.
I'll have to go see one of your plays.
Where'd you learn sign language? I-I took a class in college.
My second cousin's deaf, and she bet me a new wet suit I couldn't learn it.
Rock star like you? That's a sucker's bet.
Well, that should do it, Ethan.
Um, hopefully, with this, you won't need further surgery.
Thank God.
Um, Ethan, this is Jonathan.
I brought an interpreter here uh, because my medical signing is a little Okay.
So, um, we're going to recheck your legs.
And see how your neurologic function is coming.
Okay? You can feel that? Great.
That means your spinal cord is badly bruised, but not torn.
You should continue to regain strength over the next few days and in a couple of weeks, you should be back at the theater.
The money? It's in a safe place.
Why were you carrying around that much cash? Fund-raiser.
For your theater? See? Miami nice, not Miami vice.
Where's the fire? Pool guy's embolization didn't work, so we're taking him to O.
R.
To repair his damaged pelvic artery.
Fine.
Serena and I will take it.
Chris, you go home.
Go home? Get him prepped.
You are meant to be chief resident, not chief buddy.
Now, I get camaraderie.
I-I-I get loyalty.
I even understand why you want to protect a colleague.
Look, look, look-- I'm sorry if I think people learn more from lessons than punishment, but in my-- Chris! I don't care about your methods, but I do care that you lied to me.
'Cause we're a team.
And I can't protect you if you don't give me all the information.
So, in future, if something happens, you come to me directly.
Is that clear? As a bell.
Good.
I'll see you tomorrow.
How you feeling? Weird, but good.
Well, your labs are back.
And your kidneys are responding to treatment, so You probably think I'm insane.
No.
I think you're going to be an incredible mother.
I think your daughter's a very lucky girl.
Hope.
Sorry? That's what we're going to call her.
That's nice.
I still got a bit of a soft spot for Blarnet, though.
Enjoy your daughter.
Hi.
Hi.
I heard what you did with the mother who was refusing dialysis.
Very impressive.
You know, nothing happened.
Excuse me? The other night.
Nothing happened.
Oh.
I was leaving the Crab Shack and you asked me for a ride home.
You'd obviously had a bit too much to drink.
And you fell asleep in my car before you told me where you lived.
I slept on the couch.
But I woke up naked.
Nothing to do with me.
Lucky for both of us you're a gentleman.
Yeah.
One of my greatest flaws.
Yesterday when you were young Everything you needed done was done for you Now you do it on your own But you find you're all alone What can you do So I heard you got grounded.
Walk on, walk on, walk on Yeah, it was big time.
By His Royal Proctorness.
Thank you.
And by this fog.
You should know better than to try it out with Proctor.
But I do like that you had Serena's back.
All for one and one for all, right? The other night was fun.
It was a blast.
You're-You'ractually fun once you let your hair down.
Yeah, well, that's one way to describe it.
Let's just say me andppletinis are no longer on speaking terms.
By the way, nothing happened with me and Proctor.
I knew that.
The whole idea of it was ridiculous.
And why was it ridiculous? Because I've known you for three years, Eva.
And you look for any excuse possible not to get involved.
You blame it on work.
You blame it on timing.
But the fact is, you like flying solo.
It's your zone.
You have issues.
I have issues.
Mmm.
Like the Island of Misfit Toys.
Hey, at least we have each other, right? That we do.
Walk on, walk on, walk on, you can't go back now
She's coming in a week, Frank.
We have to choose a name.
You hate every name I suggest.
Because you're not taking it seriously.
No, because you're taking it so seriously.
Anastasia.
No, that-that's Now the paint fumes are talking.
I mean, she's coming from Russia.
Think of it as an homage to that.
Why not just call her Putin? Gorbachev.
Borscht Vodka Caviar.
Dasvidaniya Simon.
Hang on, sweetie.
It's okay.
I just saw your inhaler.
Go out on the balcony.
Get some fresh air.
It'll help you breathe.
Oh, God.
Stop being so funny.
You're bad for my health.
After five years of trying, all those shots, those fertility tests We're finally going to be a family.
What was that? You know what? Maybe we should get off this.
Whoa! Here it comes Here it comes Here comes your 19th nervous breakdown.
So, what was the deal with you and Eva at the Crab Shack the other night? It was nothing.
Yeah, right.
It was Flirt City.
No, it was not! It was, too! You two were totally vibing each other.
Nope.
Just the cocktails talking.
Nothing happened, Serena.
In fact, at one point, Eva got up and went to the bathroom and never came back.
It was very Bermuda Triangle.
Hmm.
I wonder who intercepted her.
I don't know, but I intend to find out.
Morning.
Morning.
You know, the Brown women's lacrosse team beat Princeton, 5-4.
Came from behind.
Scored four of their goals in the second half.
You a college lacrosse fan? Not really, no.
Lacrosse? Yeah, he probably woke up, he realized that cricket was the most boring sport on the face of the earth And he tried to move on.
Hi.
Hello.
Did you hear that we've got a Balcony collapse in Aventura? Two red-banders three minutes out? Yeah.
I've already notified Ortho and Neurosurg and I've got carts standing by with splinting materials.
One of these days, one of us will actually get the bullet to you before you've learned of it.
I wouldn't bet on it.
Um I hate to bring this up This has Actually never happened to me before, and it's kind of awkward.
But, uh I was wondering if we could talk about what happened, you know, after our last shift.
Something happened? Coffee? You see, that's the problem.
I-I'd taken a bunch of allergy medication.
I hadn't really eaten.
I don't exactly remember how I ended up naked in your bed.
You were in my bed? Uh yes.
Naked.
Yes.
Uh-huh.
That really is something, isn't it? Incoming, one minute out.
Hey, Tuck.
How are you? Missed you.
You know, you go off to Search and Rescue training for a week and Kathy manages to turn this whole place upside-down.
Thoracotomy trays are where the gloves should be and central line kits are in with the ABGs.
Yeah, she's like the Terminator of disorganization.
Don't worry.
I got it all squared away.
Karen Simon, 37 years old.
Fell three stories on pool tile.
She's tachy.
Otherwise, vital signs stable.
Multiple contusions and obvious tib-fib deformity of the right leg; given five of morphine en route.
Hi, Karen.
I'm Dr.
Proctor.
This is Dr.
Zambrano.
Do you know where you are? Hospital, right? Good.
Do you have any sensation in your leg? It hurts.
Another five migs of morphine.
That should take the edge off the pain.
Karen, you've had quite a fall.
We're gonna have to check for crush injuries.
Are those bad? They can be.
But you fell three stories and you're here to talk about it, so you're already ahead of the game.
Get her to CT for a head/neck/ chest/abdo.
And X rays of the entire leg.
Once we see what's going on inside your body, we'll have a better idea on what to do next to take care of you.
More incoming.
My husband Frank-- is he okay? Frank Simon.
40 years old.
Found facedown in the pool after falling off the balcony.
Started breathing on his own once we pulled him out.
Tachy at 136.
BP normal.
Okay.
One, two, three.
How are his lungs? Did he aspirate any water? Lungs are clear; he's got multiple abrasions and a deep wound running down his left side.
I think he got hit by some falling furniture.
Hi, Frank, I'm Dr.
Deleo.
This is Dr.
Warren.
You have any medical conditions we should know about? Asthma.
Okay probably going to do a little sew-and-tell on your torso here, so you're not flashing the world your insides.
I'm going to take off the pressure dressings.
See what we're dealing with.
There were some building de vlations.
They were retrofitting it.
Never would've let Karen go out there if I'd known that Sats are dropping.
I thought his lungs were clear.
No, they are.
His throat's spasming closed.
All right, get me a 100% non-rebreather mask.
And lorazepam.
All right, Frank, hang tight.
Going to just adjust your neck a bit here to open up your airway.
John Doe, late 2os, altered with blunt head trauma surface wounds.
He's been intubated and he was struggling in the field, so they had to restrain him.
GCS 241.
Where'd they find him? In the wreckage.
Turns out the balcony collapse had collateral damage, so may be more incoming.
All right.
Well, let's see what our John Doe has to offer us.
Lift him.
One, two, three.
What the hell? Guess he'll be paying in cash.
So the deal with Money Man is? When I found him, he was clutching a bag full of cash.
I didn't know what else to do-- So you strapped it on for good keeping? Oh, next time, the front seat of the ambulance would probably do.
Make sure it all gets logged in, Einstein.
Who carries that much cash around? Well, it is Miami.
You do the math.
More likely vice than nice.
The good news is our Money Man's pupils are reactive to light.
Hopefully, he'll regain consciousness and tell us who he is.
In the meantime, let's get him to C for a head scan.
Okay, we've got some sort of spasm here.
That's quite a tremor.
And localized in his right hand.
Increasing intracranial pressure might have caused a partial seizure.
CT will tell us for sure.
Oh! Turn him.
Get me an NG tube-- I need to decompress his stomach.
All right.
Roll him.
Can I have some Tape? Yeah, and a Large syringe to listen for placement? Already set up.
Thank God you're back.
My leg is still killing me.
Well, Karen, three stories is quite a way to fall.
We're going to have to see whether you're going to need surgery to reset the bone.
Can you give me something for it? She's already had ten milligrams of morphine.
I'm afraid any more will drop your pressure.
I'm going to have to hold on to your jewelry.
Please don't take it.
You can't take it into the CT machine.
It will prevent us from getting a clear read on your chest scan.
Come on.
I promise I'll give it back straight afterwards.
This is our baby girl.
We're adopting.
Oh, she's beautiful.
What's her name? We haven't decided.
If I'd been a girl, my mom wanted to call me Guinevere.
Guess you lucked out.
Name like that could get you beaten up at school.
Any kids? Yeah.
No.
No.
I'm a little confused.
Well, it's complicated.
Um, you just think about your daughter, and let's get some photographs of you.
Eva.
I'm changing your nickname to Houdini.
Something tells me I don't want to know what my old nickname was.
The other night at the Crab Shack? One second, we're drinking up a storm, we're making merry.
Making merry?! What? That's my word for the post-banter, pre-showtime part of the evening.
Uh, trust me, we weren't even in the same county as showtime.
Next second, poof! You're gone like disco, never to be seen again.
What happened, huh? Did you find a dude? Hmm? Took him home? Got your Barry White on? That's how you do it? Huh? I don't Barry White.
Come to think of it, Proctor kind of just vanished, too.
Oh, did he? Mm-hmm.
Hmm.
You gotta go deal with the husband.
We're not done, Houdini.
Good news, Frank.
Lorazepam's working.
Your throat stopped spasming.
Now I just have to close up this wound here and monitor your breathing pretty closely.
Is that from the asthma? No.
It's totally unrelated.
'Cause you landed in the pool when the balcony collapsed, you're at risk for dry drowning.
Dry drowning? What is that? When you hit the water, your body was in a struggle to protect itself, so your throat closed up as a way to stop you from drowning.
Good for me, huh? But, even though you didn't inhale any water, the struggle to breathe can create a delayed fluid buildup in your lungs.
It can take hours, even days after the initial event, to show up.
Can I have another four of Prolene ready? I noticed, uh, some marks from some shots here on your arm.
Did you do any foreign traveling? Oh, Karen and I went to Russia last month.
That's cool.
Did, uh, you guys go to Moscow, see the Kremlin, do the whole Boris-and-Natasha of it all? Got to see my baby girl.
Held her for 15 minutes.
That's all? That's all they would allow.
Ooh, okay.
All right, Frank.
I'm, uh, gonna revoke your license to speak here.
You need to rest that throat.
I'm gonna be sending you up to the folks in X ray here, take a peek at your lungs.
I'd keep it tight.
Hold onto my wallet if I were you.
They're a sketchy bunch.
Proctor ever say anything to you about having a kid? No.
He plays everything so close to the vest, the guy could have a houseful of monkeys, we'd never know anything about it.
What do you got for us? The other victim from that Joe Fisher, 26 years old, 90/40, tender pelvis.
The guy was cleaning the pool, got hit by a balcony railing.
GCS 214.
One, two, three.
Oh, yeah.
Pelvis is totally unstable.
Probably an open-book pelvic fracture.
These things can be a bear.
On the upside, I'm putting him on an external fixator.
Works the abs better than an hour of Bikram yoga.
You have so never done yoga.
Of course not.
But I have dated half the yoga instructors in Dade County, which qualifies me as an expert in all things namaste.
All right, start a central line for Mr.
Fisher's blood transfusions.
Ultrasound won't turn on.
We gotta get a good line on this guy before he crashes.
All right, um, do it dinosaur.
Dinosaur? Yeah, put in a subclavian line using landmarks like the prehistoric days before ultrasound.
You've done that before, right? In med school.
Good.
So then dazzle me with your skills.
All right, just feel your way through it.
All right, you're gonna find the subclavian vein and just run the needle right in.
My first attending made us made us learn to do this with our eyes closed.
Made for a good party trick.
Pulse ox is dropping.
Decreased breath sounds on the left.
I must have hit the lung.
All right, we got a pneumo.
Get me a mini catheter kit with a Heimlich valve so we can reinflate the lung.
Let's go-- quick, quick, quick.
Sats are climbing.
And He's back in action.
I can't believe I just did that.
You probably pointed the needle down rather than towards the supraclavicular notch.
Yeah.
I'm sorry.
Yeah, well, you're gonna practice and practice till you get it right.
Once you do it with your eyes closed and one hand tied behind your back I will.
Heard we got a new red-band from the balcony collapse.
Yeah, Joe Fisher from the apartment complex.
We just sent him up to Angio to have an embolization on his open-book pelvic fracture.
Any complications? Multiple superficial wounds.
And there was a pneumo There's a pneumo from, uh, from the trauma.
But we installed a Heimlich valve, and he's breathing well.
Actually, Dr.
Warren was just headed up to Angio to check on him.
Right.
Hey, that was, uh, that was fun times the other night at the Crab Shack.
Yeah, it was a nice end to a long shift.
Yeah.
Eva disappeared suddenly.
You didn't happen to see who she left with, did you? Yeah, in fact, I did.
Yeah.
Pain with passive flexion.
Lidocaine on the swab.
My legs still hurt so much.
The medicine isn't making a dent.
The skin's a bit shiny.
What's wrong with me? Stryker, please.
I know this looks awful, but I need to measure the pressure inside your leg.
Is it gonna hurt? Yeah.
A little.
Just checking now.
Yep.
The pressure is sky-high.
Compartment syndrome.
What's that? Well, when you fell, you must've landed feet-first, causing your leg to absorb the shock, and there's so much swelling around the fracture, that the pressure's stopping the blood from flowing to your foot.
What does that mean? Well, it means I need to, uh Reduce the swelling so your leg doesn't die.
The surgery shouldn't last long.
You'll be back in recovery before you know it.
The surgery-- will it, will it cause permanent damage to my leg? Shouldn't.
Will I know what I'm dealing with? Will I still be able to chase after my baby? No reason you shouldn't be able to run a marathon in a few months.
I know I sound neurotic with all my questions, but we almost adopted a baby last year But the, uh, the birth mother changed her mind in the delivery room.
Sorry to hear that.
That's why we went with a Russian adoption.
There's more forms than the IRS, but once it's final Blarnet.
Excuse me? The name for your baby.
Means "Little flower" in Gaelic.
That's a name? Mm.
Or you could have "Boudica"" That's supposed to be better? She was a queen who led an uprising against the Romans in A.
D.
60.
You sure know a lot about girls' names.
Only the ones beginning with B.
That's as far as I've Googled.
The O.
R.
is ready, Dr.
Proctor.
Right.
Let's get this over with.
Page Dr.
Warren to assist.
Scan showed C-7 and T-1 fractures.
No reflexes.
Money Man's not withdrawing to pain.
He must have injured the cord.
Maybe it's a spinal concussion.
I hope so.
At least that can heal.
Otherwise, we're looking at paralysis.
Any luck finding his next of kin? Not yet.
I left some messages.
He's so young.
Young with a big bag of cash.
Maybe he's a waiter.
Must be some restaurant.
Tips like that could have me rethinking my career.
I just wish I knew his name.
You know, what his story was.
There it goes again! The spasms? Yeah! See? I gotta figure out what's causing them.
I know flaying the skin sounds medieval, but it works like a charm.
I still can't believe Karen and her husband survived that fall.
It's like one of those cartoons where the the Road Runner runs off the cliff.
It's Wile E.
Coyote who falls of the cliff.
Road Runner gets him every time.
What would Saturday morning be without Looney Tunes and a full bowl of cereal? Now, um, you want to remove as little as possible of the fascia.
Like that? Uh-huh.
I think it's so cool that they're adopting a baby from Russia.
Orphanages are full of children needing good homes.
It's so overwhelming.
I mean, one minute they're a couple; The next they've got a flesh-and-blood kid.
I wonder how long it takes before it feels like the baby's really yours? Happens quicker than you think.
Where are the labs? Should be here by now.
Well, her creatine and her potassium levels are dangerously high, which would indicate The complications from the compartment syndrome.
Which happened because? Broke-down muscle tissue clogged her kidneys.
She's going into renal failure.
Which makes the leg the least of her problems.
Frank, lungs still sound clear.
Let's just take a peek here.
These sutures look great.
How's my wife? She had surgery on her leg and it went really well.
But you're not smiling.
Her kidneys were badly affected by the fall.
She's gonna need dialysis.
Oh, God.
That-That that sounds really serious.
I'm gonna-- I gotta, I gotta go see her.
I get that, Frank, and trust me, I'd love to give you an all-access pass, but right now, she's recovering in ICU, and we need to give you the time to heal.
No, Karen, if something happens to her I gotta Frank, Frank, Frank, listen, I'll make a deal with you, okay? You stay here, you get well, and I'll let you know when it's time to worry.
Deal? Okay.
Can we get repeat chest X ray? I want to make sure his lungs are staying clear.
Right away.
You two need a moment? It feels wrong-- you covering for me with Proctor.
I was a first-year.
I was doing, um, doing an internal jugular line, and I hit the carotid.
Blood shot out like a geyser, and my chief resident ratted me out to the attending, who blasted me so hard he almost blew a vocal cord.
Yelling doesn't really seem like Proctor's style.
Truth is I don't know how he'll react.
Still, I feel like I should come clean.
Why? So you could feel worse about what happened? Your residency is part of your education, and getting reamed didn't teach me anything at all.
I know you.
You're a perfectionist.
You're gonna punish yourself enough for everyone.
Come on.
Take a break.
Come with me.
I'm gonna check on Karen's husband.
So word is Cathy saw Eva leaving with Proctor the other night.
Talk about bizarro world.
I thought it was too weird to be true.
Fruity drinks will make people do some crazy things.
I knew this guy in med school.
He borrowed a cadaver and Where's Frank? The nurse was supposed to bring him back right after his scan.
Hey, where's my patient? He was just here a minute ago.
I-I just went to go get some suppoxatin.
Okay, so then where the hell did he go? Hey, Frank! What? Hey, where is Gate 12? I What? Yeah, my daughter's coming in from Russia today.
Yeah, Aeroflot flight 365 Delirium from blood loss.
Just got in.
I'm gonna get a gurney.
Yeah.
I can't be late.
You know what? Gate 12 is a real demon to find, Frank.
How about I take you there? Yeah, I can't find a diaper bag Yeah, it's this way.
Guys, you know what? I don't feel so good, actually.
I am so Let's get a lift team and some gauze in here now! He's losing an awful lot of blood.
Looks like he busted every single one of his stitches.
He's gonna bleed out.
In lesser hands and slower feet, maybe.
Not with us at the wheel.
Kidney failure? I thought my leg was the problem.
One of your kidneys is shutting down.
It's a complication from the fall.
What do you do for it? We're gonna start you immediately on dialysis, which should work out quite nicely.
Wait.
Dialysis? Mm-hmm.
If we start immediately, there's a real chance it will only be temporary.
And if you don't? Don't what? Don't do dialysis.
Well, dialysis is by far the best form of treatment for kidney failure.
Um, it has the fewest risks and the greatest chance of success.
But there are other options, right? Medically, no, not really.
I'm not doing dialysis.
You know that, uh You would only have to go for treatment maybe once or twice a week.
Shouldn't stop you from being a very active mother.
Okay, if you want a second opinion or a discussion with your husband No! No! No doctors, no Frank! Karen, um I'm not sure you fully understand the gravity of your situation.
Without treatment, your-your kidneys will shut down.
You will die.
Every day, um, patients come in here, and with some of them, there is nothing I can do to help.
But what you have is treatable.
So, please, please let me save your life.
I'm not doing dialysis.
You're gonna have to figure out some other way to make me better.
You paged, Dr.
Proctor? So we finally get the husband stable, and now the wife is inexplicably refusing lifesaving treatment.
Karen Simon.
So I am reading this right.
I'm supposed to cancel Karen's dialysis? Yeah.
Why? It's not a religious objection.
She would have refused other treatments already.
And it isn't pain-related.
This is much less invasive than the fasciotomy.
They have insurance, which would cover it.
So it's not a money issue.
They're adopting a child, right? Due in less than a week from a town in Russia.
Her labs are a mess.
She needs the dialysis.
Yeah, I'm aware of that.
No dialysis? It's like it's like suicide.
Yeah.
Okay, so, that's the task.
We've gotta figure out why a woman with everything to live for doesn't want to save her own life.
Hey, Chris, can I pick your brain? After you tell me where you went the other night.
Quid pro quo, Dr.
Zambrano.
I went to sleep.
End of story.
Now if we're done with the episode of Gossip Boy, my patient, Money Man, has a tremor in his right hand.
Is it persistent? Intermittent.
I can't figure out what's causing it.
MRI only showed a thoracic spinal cord injury.
So it's too low on the cord to cause a hand tremor.
Exactly.
Uh, it could be completely unrelated to the trauma.
It might be an underlying seizure disorder or electrolyte abnormality.
The EEG and CMP were normal.
I even checked nerve-conduction studies.
Maybe he's just trying to get your attention.
Oh, he already has that.
Hey, I know you left the Crab Shack with Proctor.
Yeah, and we went to the library, where we had a threesome with Colonel Mustard.
Well, if dialysis is the best treatment for Karen, why didn't you just do that? We agree, but it's up to her.
Can I, you know, overrule her? Not in this century.
She has the right to make her own medical decisions, even if it's AMA.
"Against medical advice.
" Unless a psych consult could prove she's not competent.
Which, which it wouldn't, so But we were hoping that maybe you could shed some light as to why she'd be so resistant.
I have no idea.
What you said before This is the time to worry, isn't it? Yeah, Frank.
This is it.
I was hoping we could figure out the tremor, but we can't wait any longer to stabilize his spine.
Ready to replace the halo? Money Man's waking up.
Oh.
Sir, sir, you fractured your spine, and any sudden movement can cause permanent paralysis.
Tighten the restraints.
Listen, I know you're scared.
I know you're scared, but I need you to stay absolutely still! He's a real fighter.
Please! We need you to cooperate! Stop! Everyone just stop! Uh Are you deaf? So the spasms He was just trying to communicate.
Take the restraints off.
Um can you read lips? Great.
Um What's your name? Everyone, this is Ethan.
Nice to meet you.
We're gonna take that tube out of your throat to, um, to make you more comfortable.
You rang? I've got some good news.
But first I've got to get something off my chest.
The pneumo-- it wasn't from the trauma.
It was my fault.
The pneumo? Pool guy? The open-book pelvic from the balcony collapse? The ultrasound wasn't working when I was putting in his central line.
Dr.
C asked if I knew how to put in a subclavian line using landmarks.
I'd done it in med school once or twice, so I thought I'd be fine.
But I wasn't.
Wait.
You're telling me you caused the pneumothorax, the one that Chris told me was the result of the trauma? I'm really sorry.
I swear it will never, ever happen again.
What's the good news? I know why Karen is refusing dialysis.
I downloaded the forms from the Russian province where she and Frank are adopting their daughter.
Turns out there's a long list of health problems that can disqualify you from becoming an adoptive parent.
And dialysis is on the list.
If Karen accepts dialysis, she's gonna have to give up the baby.
Karen's heart rhythm is extremely unstable.
Pretty soon, she's gonna crash.
She started having runs of PBCs, then lost consciousness.
All right, the V-tach.
She's gonna lose her pulse.
Give me an amp of calcium chloride, ten of I.
V.
insulin and Kayexalate.
Those are all just temporary fixes.
Without dialysis, she'll be dead by the end of the day.
Karen responded to the medicine.
She's back in a normal heart rhythm.
And it's not gonna last.
Not for more than a few hours.
And she still won't agree to dialysis.
Take me through those forms again.
They have to fill out a full medical disclosure.
And see? Right here "Dialysis" with a box to check.
Check-box, eh? Why did you tell me about the pneumothorax? The Heimlich valve solved the problem.
I would have been none the wiser.
A woman wants a child, and she'll do anything in the world to get it, even endanger her own life.
I understand that.
The stakes don't get higher.
What I want more than anything is to be a great surgeon.
I know it's not gonna happen overnight.
And for now, all I can do is the best I can do.
With a pneumo, I just didn't want to look back one day and And have regrets.
What happened last year-- I-I can't go through that again.
I know, Karen.
It's not just some random baby, then we can go get another.
Of course.
We met her.
We looked in her eyes; we promised we'd all be a family.
But if you're not alive when she gets here, what good is that? Karen You have to tell her to do dialysis.
Frank.
I'm not changing my mind.
I think I might have a solution.
Okay? We're going to put a catheter into Karen's abdomen and fill it with a hyperesthmoles solution, and then use that to leech the toxins from her blood.
It's experimental.
It's less effective.
It's hard on your body.
But, uh But it'll fix my kidneys? Well, it'll buy you four or five weeks until after the adoption is finalized.
Okay.
Okay.
I'll do it.
Leeching toxins from the blood? Isn't that just dialysis? Not to some bureaucrat sitting in a cubicle, who will see it as three separate lines in an already long and complicated form.
So, no check-box.
That's right.
No check-box.
Oh.
Here are your lacrosse scores.
It's Annabelle.
She's the, uh, the daughter of a woman I was with.
Uh A long time ago now.
We were kind of a family for about five years.
But, uh, when the relationship ended, um, we both decided that it would be best to have a clean break, so the last time I saw Annabelle was when she was seven.
And now she's scoring the winning goal for Brown against Princeton.
Let me know when Karen's done with her first round of treatment.
I will.
So, Ethan You work in a theater? Cool.
I'll have to go see one of your plays.
Where'd you learn sign language? I-I took a class in college.
My second cousin's deaf, and she bet me a new wet suit I couldn't learn it.
Rock star like you? That's a sucker's bet.
Well, that should do it, Ethan.
Um, hopefully, with this, you won't need further surgery.
Thank God.
Um, Ethan, this is Jonathan.
I brought an interpreter here uh, because my medical signing is a little Okay.
So, um, we're going to recheck your legs.
And see how your neurologic function is coming.
Okay? You can feel that? Great.
That means your spinal cord is badly bruised, but not torn.
You should continue to regain strength over the next few days and in a couple of weeks, you should be back at the theater.
The money? It's in a safe place.
Why were you carrying around that much cash? Fund-raiser.
For your theater? See? Miami nice, not Miami vice.
Where's the fire? Pool guy's embolization didn't work, so we're taking him to O.
R.
To repair his damaged pelvic artery.
Fine.
Serena and I will take it.
Chris, you go home.
Go home? Get him prepped.
You are meant to be chief resident, not chief buddy.
Now, I get camaraderie.
I-I-I get loyalty.
I even understand why you want to protect a colleague.
Look, look, look-- I'm sorry if I think people learn more from lessons than punishment, but in my-- Chris! I don't care about your methods, but I do care that you lied to me.
'Cause we're a team.
And I can't protect you if you don't give me all the information.
So, in future, if something happens, you come to me directly.
Is that clear? As a bell.
Good.
I'll see you tomorrow.
How you feeling? Weird, but good.
Well, your labs are back.
And your kidneys are responding to treatment, so You probably think I'm insane.
No.
I think you're going to be an incredible mother.
I think your daughter's a very lucky girl.
Hope.
Sorry? That's what we're going to call her.
That's nice.
I still got a bit of a soft spot for Blarnet, though.
Enjoy your daughter.
Hi.
Hi.
I heard what you did with the mother who was refusing dialysis.
Very impressive.
You know, nothing happened.
Excuse me? The other night.
Nothing happened.
Oh.
I was leaving the Crab Shack and you asked me for a ride home.
You'd obviously had a bit too much to drink.
And you fell asleep in my car before you told me where you lived.
I slept on the couch.
But I woke up naked.
Nothing to do with me.
Lucky for both of us you're a gentleman.
Yeah.
One of my greatest flaws.
Yesterday when you were young Everything you needed done was done for you Now you do it on your own But you find you're all alone What can you do So I heard you got grounded.
Walk on, walk on, walk on Yeah, it was big time.
By His Royal Proctorness.
Thank you.
And by this fog.
You should know better than to try it out with Proctor.
But I do like that you had Serena's back.
All for one and one for all, right? The other night was fun.
It was a blast.
You're-You'ractually fun once you let your hair down.
Yeah, well, that's one way to describe it.
Let's just say me andppletinis are no longer on speaking terms.
By the way, nothing happened with me and Proctor.
I knew that.
The whole idea of it was ridiculous.
And why was it ridiculous? Because I've known you for three years, Eva.
And you look for any excuse possible not to get involved.
You blame it on work.
You blame it on timing.
But the fact is, you like flying solo.
It's your zone.
You have issues.
I have issues.
Mmm.
Like the Island of Misfit Toys.
Hey, at least we have each other, right? That we do.
Walk on, walk on, walk on, you can't go back now