Miami Medical (2010) s01e05 Episode Script

WOMAN: I have to be honest.
I'm starting to tire of the dry chicken dinners.
Every year I find myself in the same stuffy room, sitting on the same uncomfortable chair, being asked to open my checkbook yet again.
Now, I support this facility, I really do, but I have to ask, Dr.
Proctor: When can we expect MT1 to stand on its own two feet.
PROCTOR: It's a good question Ms.
Davis.
Ms.
Kimberly Davis.
Uh, Ms.
Davis.
Um I'm sure I'd be, uh, more articulate if I were doing this in a surgical mask, but, um, Dr.
Willis here insisted that bringing potential donors into the operating room would be both unhygienic and more than a little odd.
So, um why have a trauma-only facility when it costs so much, uh, to keep open and, um, uses so many resources? (exhales) (chuckles softly) What's the first thought that comes into your mind when you drive by an accident? (girls laughing) Most people think, um "What happened?" In the past tense.
(tires screech) Whoa, hey! Watch it! (tires screech) In their minds, the accident's already over.
Those of us who work in trauma we see the flashing lights of the ambulance, and we think, "What's happening?" In the present.
'Cause for us, it's only just the beginning.
♪ Who's in a bunker? Who's in a bunker? ♪ ♪ Women and children first ♪ And the children first, and the children I'll laugh until It's like a chain reaction has been set in motion.
One unexpected, tragic event leading on to another Who's in a bunker? Who's in a bunker? then another I have seen too much I haven't seen enough, you haven't seen it I'll laugh until That's not good.
then another.
The casualties of which end up rolling through our doors.
Everything all of the time (speaking foreign language, laughter) Here I'm alive Everything all of the time Whoa, hey! (glass shattering, tires screech) Ice age coming, Ice age coming So, yesterday morning we ended up with three trauma cases: a bicyclist who was hit by an automobile (car alarm wailing) Ice age coming the passenger in that automobile, and, most surprisingly of all, a homeless man who just happened to step on a nail.
Now I've got a question for you all.
Which of the patients didn't survive to the end of our shift? (glass shattering) Here it comes Here it comes, here it comes Here it comes Here comes your nineteenth nervous breakdown TUCK: Good morning, Dr.
Zambrano.
(chuckles) Here, here, here.
Let me.
(sighs) Having a day? Raging migraine.
Didn't get to go to the Goodwill, my car stalled on an off-ramp And what does it say about me that I can't open a childproof cap? You know, we got incoming in five.
Auto versus bike versus auto.
You have a run-in with Juan Valdez? (laughs) Yeah.
Did I mention I spilled a macchiato in front of the very tasty waiter at my diner? Mucho, mucho embarazada.
Uh, "embarazada" is "pregnant," Chris.
But yes, (laughs) embarazado.
Embarrassing.
Hey, you two get your flu shots yet? Uh-uh.
Cathy's down.
Churny called in sick with a fever.
In that case, looks like I'm getting a flu shot.
Because to become sick and yurk all over the place would be very embarazado.
Hey, Dr.
Zambrano, did you, uh, lose something? Oh, God, no.
Oh, it must have fallen off.
It's my mother's earring.
It's the only thing of hers I still have.
It must have (beeping) fallen off at the diner.
(sighs): I-I-I got to go.
I got to go change.
No, no.
You go get on incoming.
I'll take care of Goodwill; you make a mental list of everywhere the earring might have fallen off.
I love you.
You know that, right? Yes.
I-I've left you three messages, Matt.
Which I ignored, because you used the word "fund-raiser"" Which is something I promised I wouldn't do when I took the job.
Yeah, but this is sort of an emergency.
No.
That is an emergency.
One I actually need to attend to.
Eric Schwartz, 25.
Auto versus ped with severe head injury.
Awake but altered.
BP: 180/90.
Heart rate: 130.
Three fingers.
Three fingers.
How you doing, Eric? Was he riding without a helmet? Came off when he flipped his bike.
He took a direct impact.
He hasn't stopped answering how many fingers am I holding up since I asked him on the scene.
Okay, on my count-- one, two, three.
One, two, three.
One, two, three.
He's perseverating.
Eric One, two, three.
One, two, three.
Your brain is rebooting itself over and over again.
We'll sort that out as soon as we can.
Someone page Neurosurge, have mannitol standing by.
Eric, is there anybody we can contact, a family member? No Mom.
Not Mom.
Br-brother Joey.
Not Mom.
Joey.
Got it, Eric.
Do you have his cell phone, Kleebus? With his stuff.
I'll find a Joey.
Agniska Vivika, mid-20's, restrained passenger in an MVA with a crush injury to the abdomen and pelvis, right leg fracture and a deep arm laceration.
Given five of morphine.
Agniska? Doesn't speak English.
(speaking foreign language) Russian? DELEO: I don't know, a lot of consonants-- maybe Czech? Passport says she's Polish.
DELEO: Arm bleed stopped with pressure, but it's definitely gonna have to be explored by Vascular in the O.
R.
Also, a lot of bruising on the abdomen.
Agniska, we're gonna get you a translator as soon as we can, okay? (speaking Polish) She has diffuse guarding.
(crying in pain) Yeah, pelvis is really unstable.
It's definitely gonna need surgery.
Let's get another five of morphine.
And a call to Admin.
For a trans for a translator.
ZAMBRANO: You okay? Yeah.
I'm fine.
Oh! Oh! And the flu strikes again, huh? I'm so sorry.
Don't worry, just just go home, okay? Tuck will get someone to cover.
And I'll start the ultrasound while you go and clean up.
No, I'll No, no, I got it.
Just, uh, go.
Go.
(chuckles) (scoffs) This day couldn't get worse.
(sighs) Oh, sir.
You can't be in here.
Your foot.
Please I don't want to use this.
That makes two of us.
Where was I? There was a gun in Trauma? Don't you people have security? So this is how the foot injury became a trauma case? Are you taking notes? Oh, absolutely.
I'm gonna figure out who died.
Pretty sure it's the homeless guy.
Always the guy you least expect.
Yes, gun.
Yes, in Trauma.
Yes, security, but not enough.
And even if we had run the homeless guy through a metal detector, it wouldn't have found the weapon.
Why not? Sorry.
I don't mean to scare you.
Well, it'd help if you put the gun down.
I can't do that.
Okay.
Could I at least take a look at your foot? Stay back.
I'm just trying to help.
That's what they said at the other building.
You mean the ER? They said that they were going to fix my foot, then I saw the cameras-- they were watching me! Are there cameras in here, too? ER wants us to keep an eye out for a foot laceration who skipped out.
Think I found him.
Yup.
Think so.
Stay back.
Hey, hey, why don't you take it easy.
What do you say we put the gun down before someone ends up needing to go to a trauma hospital.
See, that's why I didn't want to come back here.
What do you mean, back here? You been here before? Hey, I know you.
Yeah, yeah, yeah.
You were there when they did this to me.
It's a water gun.
(Zambrano cries out) Are you okay? You all right? Yeah, yeah.
I'm fine.
Go, go.
Whoa-whoa-whoa, sorry, sorry.
Hey, someone stop that guy! Hey! Someone call security! I went through Eric's cell.
I couldn't find a number for the brother, Joey, but I found one for his mother, Leslie.
Thanks, Kleebus.
Mrs.
Schwartz? I'm Dr.
Warren.
You're a doctor? Yes, a first year resident.
Eric's in critical condition.
He was injured on his bike.
Oh, God! But his vitals are stable and his head CT scan shows no bleeding.
Now, he does have significant brain swelling, so we're prepping him for surgery to relieve that pressure.
Our chief, Dr.
Proctor, is in surgery with Eric.
I'm going to scrub in, and as soon as we have any update, I'll let you know.
Does she know anything about Eric? Uh, D-Dr.
Warren was just giving me an update.
You're a doctor? Dr.
Warren, this is my son, um Joey, right? Joey? How do you know about Joey? Eric gave Joey It's okay, Mom.
as a contact.
Why would Eric be asking for Joey? Relax, Mom.
I'm Eric's younger brother, Scott.
I've been staying in town with my mother since Joey died in an accident six months ago.
I'm really sorry.
LESLIE: Please, Dr.
Warren.
I can't lose another son.
I understand, Mrs.
Schwartz.
(monitor whooshing) How's Agniska doing? Agniska's got fluid pooling behind her liver.
Her bladder looked irregular.
Ruptured? What happened to your face? Just water gun incident.
Don't ask.
Bladder rupture, liver laceration.
DELEO: Pelvic and tibia fracture, brachial artery injury.
Let's get a retrograde urethrogram to confirm the bladder rupture and have ortho, urology and vascular scrub in for the other issues.
(speaks Polish) Can we get a damn translator in here? (speaking Polish) Whoa, sir.
(speaking Polish) Are you the translator? No, Bolek Dabrowski-- he's the husband of the driver of the car.
I was told that my wife was taken here, but I can't find her anywhere.
We only got two cases from the crash.
What about the ER? If you can help us translate with Agniska, we'll find out where your wife's been taken.
Of course, of course.
(alarm beeping) Pressure's dropping.
Let's move it, people.
Lynn.
I need an O.
R.
for Agniska Vivika and ortho, urology and vascular.
Already paged.
Oh, Tuck asked me to make some calls about your mother's earring.
I talked to the diner where you had breakfast and the gas station.
So far nothing.
(sighs) Thanks for trying, Lynn.
His name is Jackson Russel.
Who? Our missing Mr.
Water Gun.
Trach scar got me thinking, so I went to Admin.
Mm-hmm.
Bravo Team did the intake nine months ago-- gunshot to the back-- but I discharged him.
Guy hummed constantly.
He hummed? If it's the same guy, yeah.
Same tune over and over.
Can't remember what it was, but I was able to pull his medical records.
Bullet went to the heart.
We put in a mechanical valve.
And he's on a blood thinner-- warfarin-- which the ER confirmed with an INR before he went AWOL.
Wait.
Levels are way too high.
Warfarin toxicity.
Well, if he's a psych patient, he may be double-dosing on his medication.
With that level of blood thinner, his foot won't clot.
I mean, he can bleed out within a matter of hours.
Put out an internal APB.
Guy's got to be here somewhere.
And if he is, I'm gonna find him.
PROCTOR: Mr.
Schwartz.
we're going to do a ventriculostomy, put a tube into your brain to drain some of the fluid and reduce the pressure.
Not Mom-- Joey.
It's okay, Eric.
Just try to (dull banging) Wait a minute.
I'm not doing that.
Focal seizures.
Follow my finger.
He's got a fixed gaze.
Get him intubated and prepped.
Tell the anesthesiologist to start lorazepam for the seizures.
Let's take a look at his latest CTs.
Brain swelling's too severe to do a ventriculostomy.
Let's page Neurosurge, prep his belly.
His belly? Uh-huh.
We're going to do a hemi? Yeah.
We're going to do a hemi.
DAVIS: Hang on, I'm confused.
What's a hemi? A hemicraniectomy.
The top of the skull is removed, and the opening is secured by sewing the dura and the scalp together.
And this allows room for the brain to swell without damage.
But why open the belly if the swelling is in the brain? I can show you.
Excuse me.
Okay, so let's imagine, the chicken is your head, right? And the baked potato is your belly.
First, we slice off the top of the chicken like so, and we set it aside.
So what happens when we leave chicken out for too long? It rots, right? We could freeze it, but then frozen chicken never tastes quite the same, does it? So, we slice open the belly, (clears throat) make a little room.
And we put the skull inside.
This allows room for the brain to expand, decreasing the pressure, and the skull can stay viable inside the body cavity-- a bit like a warmer-- until we're ready to reattach it.
So now we got two critical patients and two O.
R.
s running.
Anyone here play dominoes? In, uh, O.
R.
1, we brought in Dr.
Rasual from Neurosurge to, uh, take off the top of the skull of our cyclist, while Dr.
Warren and I created the abdominal pouch to store the bone.
Meanwhile, in the other O.
R.
, Drs.
Zambrano and Deleo repaired the liver lacerations on the passenger from the car.
Dr.
Sullos from Orthopedics set her fractured tibia, and Dr.
Goodman from Vascular did the reconstruction on her damaged brachial artery.
On deck, surgeons from Urology were set do a bladder reconstruction.
Ten doctors, all working to try and save two lives.
Which brings us back to our missing homeless guy.
You think he's in there? We have any other homeless foot lacerations on the loose today? Wait.
Shouldn't you wait for security? He was armed.
With a water weapon.
I think he's only a threat to the Wicked Witch of the West.
Jackson? Some more blood on the floor.
He couldn't have gone anywhere.
The footprints only lead in.
David Blaine has nothing on this guy.
PROCTOR: Abdominal dressing is in place.
WARREN: And vital signs all look good.
Let's get Eric into the ICU for close monitoring.
(alarm beeping) It's wide complex tachycardia.
I'll grab paddles to shock.
No, no, no.
Hold on.
It's not a shockable rhythm.
Look at the twisting pattern of the QRS complexes.
It's not V tach.
It's torsades.
Try overdrive pacing to take control of his heart.
Push two migs of magnesium, get him back into rhythm.
WARREN: Overdrive pacing now.
(monitor beeping rhythmically) Watch his rhythm.
He's back in sinus.
His brain swelling shouldn't trigger torsades.
Did we miss a heart trauma? No, he had a chest CT and an echo-- both totally normal.
So you think the heart dysrhythmia is unrelated to the trauma? I don't know.
Let's find out.
I'll get him moved, you get a full medical history, including exactly how his brother Joey died.
All right? Just got a hold of Dispatch.
They finally tracked down Agniska's cousin, Gosia Dabrowski.
Mm-hmm.
She was taken to Lashbrook Community Hospital.
Lashbrook? Mmm.
They're only a level 3 trauma center.
I know.
Paramedics misrouted her to the nearest hospital.
What happened now? (sighs) Vascular stuck me with a scalpel.
It was clean.
God, you are having a day.
Gosia Dabrowski? At Lashbrook? Yeah.
I'm going to tell the husband, and I've paged the attending there to see if I can find out more about the case.
I've got no time, Carl.
No time.
You've got to have time, Matt.
Technically, I'm your boss.
Technically, I've got a patient whose heart just stopped beating for no reason.
Got to go.
Fine.
I'll keep talking while you do.
So, about the fund-raising presentation.
(sighs) It'll only take an hour, and all you have to do is be charming.
Which I won't be, Carl.
'Cause I yammer, pick fights, use food as inappropriate props.
Give me a scalpel and some sutures, fine, but stumping up for a new wing This is not about a new wing.
(buzzer sounds) Trauma has two sources of funding.
I know how Trauma is funded.
One is government, the other is private.
The feds are pulling back, the state has a $3 billion budget shortfall, the city can't even pick up the trash.
And that brings us back to private citizens.
What about the head of Bravo Team? Ronson has the flu.
Verduga from Charlie has done it four years running.
Nobody wants to hear from me.
Which leaves us with the mysterious new guy who everyone is dying to meet.
I did this three times in Maryland, and three times I couldn't raise a dime.
Matt, we're considering cutting back surgeons, laying off staff.
Okay.
I'll get you some talking points.
(elevator whirring) Talking points are fine.
But if you're expecting me to save people's jobs tell them to update their resumes.
But Eric's a triathlete.
He's never had anything worse than a cold.
What about with his heart? His heart? Mom, it's okay.
But-but I thought he has a brain injury.
He does, but during surgery, his heart showed an abnormal rhythm.
We need to know of any pre-existing conditions or injuries.
Eric's as healthy as a horse, same as Scott.
What about Joey? I'm sorry to have to bring it up, but it would be really helpful to know how your son died, in case it might have any bearing on Eric.
Joey drowned.
It was off the coast near Sommerville, South Carolina.
I still say he was hit by a boat.
He was too strong a swimmer.
Ma.
He had a couple of beers; tide was going out.
That's it.
Are you bleeding? Oh, no, he-he's not.
But you are.
Look out! I need a lift team and a gurney! LESLIE: Scott! What's wrong with him? Scott! Why is he shaking like this? Make that two lift teams and two gurneys! STEPHENS: Wait, wait, wait, wait, wait, wait.
The passenger in the car, the homeless guy, the bicyclist and now the brother of the bicyclist? You said three patients before.
Did I? Well, now there are four.
ZAMBRANO: How the hell did he get in the ceiling? Ductwork in the back of the supply closet.
Guy must have crawled 400 feet through three-by-three tubing.
Pressure's 60/30.
Severely anemic from blood loss.
Blood bank says it'll take an hour to thaw fresh frozen plasma to reverse the anticoagulation.
Can't wait for the FFP.
Bag of factor IX complex and I.
V.
vitamin K and keep transfusing.
Where where am I? Hey, there, Jackson.
(exhales, gasps) I-I'm sorry.
I'm so sorry.
I hope I didn't scare you too much.
No apology necessary.
Just let us take care of your foot, okay? Can you breathe deeply for me, Scott? I'm fine.
You were passed out and twitching.
Because some guy almost fell on me.
"Guy almost fell on me" is not a known cause for twitching and fainting.
EKG looks fine.
BP's normal.
Everything normal.
I told you I'm fine.
Infected.
He's been running around in dirty gauze all day.
(gasps) Hey, hey, ckson, you were right.
We do know each other.
We do? I was the discharge nurse when you got shot.
You hummed your way right out of the door.
I don't think I've ever hummed in my whole life.
Maybe I'm confused.
Maybe I'm confused.
(chuckles) I'm on so many meds.
Sometimes I'm not sure what's real.
You ever have that problem? Wound can't be closed here.
Infected area needs to be debrided.
I'll call up and have an O.
R.
prepped.
Hey, Jackson, we're gonna fix your foot up.
You're gonna be just fine.
It's not my foot my mind.
Please, fix my mind.
Update on the two brothers: Eric's abdomen incision site looks good.
His vitals are stable, but his brain is still swelling to critical levels.
Nothing we can do now but wait and hope.
Scott's also stable.
No signs of seizures in either.
Eric, Scott, Joey.
Where did you get the dominoes? In a bag in the break room.
Eric has seizures and heart dysrhythmia.
Scott, maybe seizures and no dysrhythmia.
and Joey accident.
Unless it wasn't.
(chuckles) Mediocre minds think alike.
Speak for yourself.
So he's swimming, he has some sort of episode, and he drowns.
No one does an autopsy.
Let's assume Joey had seizures.
Scott has seizures.
Scott said he'd never had seizures before.
Underlying condition that's been lying dormant, brought to the surface by the stress.
We know Eric has seizures.
Eric's seizures were caused by increing pressure in his brain.
What if the seizures were triggered by the pressure but the condition existed all along? So, epilepsy.
Worth a test, right? GRACEFFA: I talked to a Dr.
Ebel over at Lashbrook.
Gosia Dabrowski is in critical condition with a severe liver injury and a pelvic fracture.
It's the same as our patient.
But they don't have an in-house trauma team, and the surgeons won't be there for 50 minutes.
50? We're 20 by ambulance.
Tell 'em to pack her.
We'll have an O.
R.
prepped and free.
Bolek.
I'm going to see Gosia.
No, you don't have to go anywhere.
We're having her transferred here.
Here? Yeah.
We've determined we can take better care of her here than where she was.
And Agniska? She's in ICU recovering.
Gosia and I, we have a new baby, Danusia, two months old.
And today was the first day Gosia was even away from her.
How does a thing like this happen? Excuse me.
I'm l turned around.
I got a call.
I'm looking for Jackson Russel.
You next of kin? Yeah, I'm his wife.
Jackson used to own a landscaping business.
Everything he touched bloomed.
Nine months ago, he was making a deposit at an ATM when he, uh He got shot.
We know.
After his surgery, he got pretty depressed.
There was just a lot of stuff he couldn't do.
He had to stop working.
He lost the business.
We went to see doctors, lots of doctors.
And now he has these episodes where he just disappears.
I haven't seen him in three weeks.
Do you know what medications he's on? What is he not on? They're divided by days of the week.
I don't even know what they are.
There's red round one, the blue oval one and the diamond-shaped pink one that he takes twice a day.
Did Did he ask for me? I'm not sure.
Did he say anything at all? He asked us to heal his mind.
Yeah, I've kinda given up hope for that.
ZAMBRANO: Oh, and I'm supposed to get a page as soon as Jackson Russel's in the ICU with antibiotics running.
And I think we should get new labs on Agniska Oh! Look out! Oh, God.
I'm sorry, Dr.
Zambrano.
Sorry.
It's okay.
(chuckles) You need to just go home before you get hit by lightning.
(sighs) Eva you really are having a bad day.
Let me see.
Is your toe broken? This about your mother's earring? Getting all puked on? (laughs) A nail.
I was talking to Kleebus.
He said all these people's lives were upended by one nail.
Can it really all be that random? Do you want the truth? No, Chris, lie to me.
Probably, yeah.
Well, it makes it very hard to sleep at night.
See, I solved that problem years ago.
How? I don't sleep.
(both chuckle) SCOTT: This isn't so bad.
I thought it was gonna hurt.
PROCTOR: We could get your mom to watch if you think it'd help.
No.
No, I'm trying not to completely freak her out.
Ever since Joey drowned, she's got to have me in her sight, like, 24 hours a day.
She calls Eric, like, every 15 minutes.
She just hasn't been able to accept what happened.
I'm fine.
Just go back to working on Eri (rapid beeping) Scott?! He's out again.
I see it.
Scott! Mr.
Schwartz? So epilepsy.
You were right.
No I was dead wrong.
Totally, completely 100% wrong.
(rapid beeping) There's no twitching.
The EEG shows no seizure activity.
That's because it isn't a seizure.
Scrap the EEG.
Run the EKG.
We already did.
It was normal.
Flecainide, please.
Let's see how it reads after I push this.
Eric's seizures were related to his trauma.
And Scott's seizures, they weren't seizures at all, but the three brothers' problems were linked.
Linked by what? Sudden unexpected death syndrome.
Sudden unexpected death syndrome-- or Brugada-- is a genetic disease.
It wasn't even recognized until 1992.
There are no symptoms, no prior warnings until it presents as a heart arrhythmia brought on by severe physical or emotional stress: a head trauma long swim.
Someone crashing through a ceiling next to them.
Now, Brugada effects less than one percent of the population, but it's the exact demographic into which the three brothers fall.
So what can you do about this? Implant an internal defibrillator which will give a shock if it senses an abnormal heart rhythm.
LESLIE: Could you say that again in English? We're sending Scott to be fitted with a special pacemaker that will regulate his heart and ensure that this won't happen again.
And as soon as Eric has recovered from his head trauma, he'll be fitted for one, too.
So both my boys have this Brugada thing? Actually, we think all of your sons may have had it, Mrs.
Schwartz.
And that's why Joey drowned? We think he may have had an attack while swimming.
At least that's our theory.
Mrs.
Schwartz, um, we can't guarantee that your two sons won't be hit by a bus but we can guarantee they won't die of this.
(laughs) Thank you.
Thank you.
Thank you, too.
That's okay.
TUCK: I'm no psychiatrist, but there's no way he should be taking three antipsychotics and two antidepressants along with his warfarin.
The worse he got emotionally, the more doctors he saw, the more pills he got.
I'm gonna schedule a Psych consult with Dr.
Minyard.
He'll be better at sorting this thing out.
He talk about cameras? About people following him? But didn't mention me? I mostly justried to keep.
And I think I may have mistook him for someone.
Who? Patient we once had, guy hummed a lot.
Hummed? Mr.
Russel just woke up.
Page Dr.
Zambrano.
I'll be right back.
How are you feeling? A little shaky.
We're working on that.
Your numbers look good, Mr.
Russel, and Dr.
Zambrano is on her way to see you.
In the meantime, is there anything I can do? Can you turn that thing off? I don't like people watching me.
Anything else? No.
I have a I have a wife.
I don't like her to see me when I get this way.
If you could call her and let her know where Ah, Katie.
Oh, Jackson.
I'm kind of a mess here.
Nurse Brody and I have been talking about that.
He thinks he might be able to hook us up with a doctor, one doctor, who might help clear things up.
Really? We're gonna see what we can do.
Mr.
Brody? The humming? Was it this (hums "My Funny Valentine") (humming continues) Yes.
My funny valentine Our wedding dance.
You used to hum that every morning while you loaded your truck.
Yeah.
I did I used to hum.
You make me smile I miss that guy.
With my heart Each day is Valentine's Day.
DAVIS: Wait.
I don't get it.
The brothers get pacemakers.
The Polish woman is in ICU.
And the homeless guy's foot is healing.
So, who died? Anybody? The one who didn't get there in time.
(siren wailing) (siren continues wailing) Gosia Dabrowski, 27 years old, transferred from Kendall Community.
Multiple abdominal injuries, BP is 40 palp with a weak pulse.
She'll never make it upstairs.
Pressure's too low.
Let's go into Trauma 2.
Abdomen's filled with blood.
Should've been in an O.
R.
an hour ago.
She's bradying down.
DELEO: Asystole.
(flatline beeping) Damn it.
Starting CPR.
DELEO: Get a crash cart.
Give her one of epi and atropine.
Open up a thoracotomy tray.
We have to cross-clamp the aorta.
I'm on it.
Give me a rib spreader.
I was paged to the O.
R.
Yeah, didn't make it that far.
Patient arrested.
Heart's not beating.
Give me a clamp.
Got it.
(flatline beeping) Heart's still not beating.
PROCTOR: Starting internal compressions.
Keep the blood flowing.
Gosia, come on.
PROCTOR: We worked for an hour and a half (flatlining continues) but we couldn't get her stable enough to get her to the O.
R.
Now, I know you resent the, uh, same stuffy room, the uncomfortable chairs.
Being asked, yet again, to open your checkbooks.
Do you know what I resent? I resent having to tell the father of a two-month-old baby that his wife is dead, because the trauma facility to which she was sent didn't have the resources to save her.
You know the, uh, process of treating a trauma patient is, um is a bit like these dominoes.
Three patients, three trauma suites, two O.
R.
s, 17 specialists, all less than five minutes away.
Now, if everything goes according to plan then each element will fall into the next and, uh, three patients are saved.
But if not or if we don't exist and that patient is just sent to the closest hospital Gosia Dabrowski.
Born 23rd of March, 1979, Warsaw, Poland.
Died 4:58 p.
m.
yesterday, Miami Florida.
Thanks for your time.
(meowing) Don't start.
I'm down to lost and found clothing.
Hmm.
Well, speaking of cats and dogs.
Oh, no.
Ugh, my car! I forgot I had the top off.
It's soaked! I can give you a ride home.
Yeah, I swear, everything I have has either been spilled on rained on or puked on.
You can look inside your Goodwill bag for something.
Sorry, I didn't get around to it.
That's totally fine.
Somewhere between my fashion mistakes from the '90s and my ex-boyfriend's junk, I'm sure I'll find something to wear.
(clattering) Eva? Oh, it's hideous, but at least it'll get me to your car, right? Eva.
(gasps) It fell out of the bag.
My mother's earring.
If I hadn't had my rotten morning, I would've made it to Goodwill.
If I hadn't been puked on, never would've run out of clothing.
If it hadn't been raining, never would've reached in that bag.
If I hadn't reached in that bag Eva finds meaning in the chaos.
I don't know about that but at least I'll sleep tonight.
Can you see me now? Hanging on by a thread Sorry, Carl, I went off script.
Well, the dominoes were a nice touch.
So, um, how'd I do? You are no longer the guy who's never raised a dime.
But how many dimes? Better than Ronson? Better than Verduga? Look, Matt, what's important is that you were willing to step up at the last minute.
Dr.
Willis? This is for you.
Oh, thank you.
Thank you.
And you dropped this.
Keep it as a souvenir.
See you next year? Yeah.
Sure.
Same uncomfortable chairs.
Same dry chicken.
Can you hear me now? Dr.
Willis? Yes.
A moment please.
Thanks.
Hanging on by a thread Are you coming to my rescue? (helicopter blades whirring) Will you be the one to save me? Are you? Are you going to save me?