The Night Shift (2014) s01e05 Episode Script
Storm Watch
with winds in the 60 mile-per-hour range recommend everyone stay indoors Yo, TXU line worker, struck by lightning.
Knocked him 50 feet.
BP's stable but he's having runs of PVCs.
Paul, you're with me.
Get him on telemetry and I need a twelve-lead EKG stat.
Get him to the OR and have a blood bank tech cross six units of A positive.
- On it.
That sounded close.
Good Lord, we got our own Sandy.
That's from lightning? Broken capillaries from the lightning current.
Can last a couple of days.
Multifocal PVCs.
Add a troponin and total-CK.
And push five of metoprolol.
Hey, Krista, check this out.
- See those two white spots? - Yeah.
Teeth embedded in that dude's knuckles.
Can you top that? I just pulled a Yankee Candle out of a guy's butt.
- You win.
- I've got an x-ray you should see.
- It's pretty juicy.
- Okay.
I was thinking we could look at them together.
I might be kind of busy but I'll let you know.
You do not say a word because I'm a nerd magnet.
- I hate hurting their feelings.
- Nerds today, husbands tomorrow.
In addition to having four state-of-the-art trauma rooms and a dedicated trauma CAT scan machine.
I gotta admit, I'm impressed.
Dr.
Scott Clemmens Head of San Antonio Memorial Trauma Department.
- Has a certain ring to it, no? - I appreciate the tour, but I'm deciding.
It's a sweet deal, I'm telling you.
Not the kind of opportunity you will get in Dallas.
I came to observe the night shift for a few hours but as far as making any commitment we still have some stuff to figure out.
What's to figure out? The two of you can stop this whole long distance thing.
Get settled in, pop out a couple of monkeys and, boom, done.
Mr.
Ragosa, Dr.
Richards on the phone for you.
Don't drag your feet, cowboy.
The board is waiting.
They want a name.
- That wasn't awkward.
- Yeah.
Look, this would be a huge move for me.
I have to be sure it's one that I wanna make.
But he's right.
- It would make our lives easier.
- It would.
Hey, look, I have to be sure too, you know? - Last time I lived with a guy - Yeah, it didn't work out too well.
- But I'm not that guy.
- No.
You are not.
- Hey guys.
- Hey, Topher, you okay? Topher had surgery recently.
First night back.
Don't ever get a vasectomy, Scott.
No man should ever feel this kind of pain down there.
Oh, Topher.
Sorry, man.
It hurts just looking at you.
Yeah, I can tell by your laughter.
Ball pain is always funny when it's not yours.
Try to take it easy tonight.
Stick with the colds and flus, okay? Landry, you remember Scott, right? Yeah.
I heard you were taking over trauma.
- Thinking about it.
- That should be interesting.
So Jordan tells me that you're seeing TC now.
- Did she? Oh, boy.
- Repent! For I bring my wrath upon thee, sinners.
The end is nigh! - Mollie, prep the rubber room.
- Repent! Hey.
That was tonight's on-call trauma attending.
Roads are wiped out and we're already short three nurses because of closures.
- The storm's gonna slam us.
Hey, guys.
A tornado just tore through the Sidewinder Trailer Park.
Fire department is on the way.
Paramedics got in an accident.
- Here we go.
Okay, TC? - Yeah.
Take him for a chest x-ray.
I'm on it.
Topher, I'm afraid you and your smushed man tonsils are gonna sit this one out.
- Again with the sensitivity.
- T, Take Drew with you.
Are you sure? - I'll do it.
I've done search and rescue for five years.
It's a good way to see this place.
I love this can-do attitude.
Okay.
Listen up, everybody.
Dr.
Clemmens hereby has privileges.
Now get out of here.
Just follow my lead and don't get in my way.
- I was gonna say the same to you.
- Look at that.
The past and future, right before your eyes.
You shut up or I'll smack you in your nuts.
Ripped By mstoll We got a 32-year-old healthy female with blunt trauma.
Don't know the specifics.
Not sending my men in until the mobile unit's tied down.
- Hey, we need another five.
- She might not have another five.
Just follow me.
Over here.
Let's go.
Scott, help me with this.
My daughter! - I got this.
- Right behind you.
There she is.
It's okay, ma'am, we got this.
It's okay, ma'am.
We're gonna get you out of here.
It's gonna be okay.
Abnormal breath sounds.
Possibly a collapsed lung.
- Pulmonary hernia.
- The lung looks severely contused.
- She needs the OR.
- Hand me an AB pad.
I'm on it.
Get her on an O2 face mask.
Move it along, guys.
Don't wanna have a second tragedy here.
Get the rescue basket over here.
- We can move her now.
- Let's go! Get in here! Need you to stay as still as possible.
We're gonna get you out of here.
- Ma'am, what is it? - My son, Ernie.
He's over there.
Okay, we have to move her.
Get her out of here now, okay? Go.
Go.
Okay, it's okay.
We're gonna get you and your son out.
- Ernie? Ernie.
- Come on, we need that basket.
- Ernie.
- Help.
Hey, hey, hey.
Hey, little guy.
It's okay.
It's okay.
It's pretty simple, Paul.
Inject lidocaine at the nail, make a small incision, pull it out.
- I can do that.
- All right.
What do we got here? I was trying to film the storm from my window and it blew in.
That's a pretty bad laceration.
We can sew that right back up.
Wanna prep him? - Yes.
- Hope you got some good footage.
Mr.
Ragosa? Son of a bitch.
Okay, everybody.
Take it easy.
Our emergency generators will come back on in three, two Nothing to worry about.
We have four backup gennies.
- Make that two.
- What? Budget cuts.
Got it.
There was an explosion at the power transmission station.
TXU says an open line got ruptured.
- How long until it's back? - No answer.
We have diesel for the gennies.
We need to re-prioritise to keep power.
Mollie, turn off all non-essential electronics.
ICU gets the lion's share of the juice.
Please check on TC and Scott.
- We need them back here.
- Okay, I'm on it.
She's hypotensive with a major chest defect and a contused lung.
Notify the hospital.
I need a setup for a flap closure of an open chest.
Let's go.
We got your son.
He's gonna be okay.
Get them out of there now.
We gotta go! Let's go, doc.
Now! He's okay.
He's barely got a scratch.
You're okay, little man.
I was trying to protect Mom, she made me get in the hutch and she got in front of me.
- That's what moms do.
We go live to Willow City where several hikers Nurse Mollie's niece's number, in case you lost it.
She's given it to me about three times already.
I'm running out of excuses.
- Tell her you have a girlfriend.
- Can't.
My last excuse was I was getting over a breakup.
She thinks I should get back on the horse.
Tell her I'm your new horse.
Then she'll leave you be and the nerds will leave me be.
I'm sure you can buck with the best of them but workplace, you're an intern, might seem inappropriate.
I don't wanna draw attention.
You know, if you ask me your wife should be here pushing you around in a wheelchair.
Yeah, her gaining 70 pounds and giant haemorrhoids doesn't exactly amp up her sympathy for me.
- Hey, Maya? - Yes, Topher? That must've been a happy house.
Yeah Thank you.
She and my daughter went to her mother's to let me recover in peace.
- I get a little cranky as a patient.
- Hey.
You guys know where I can find Dr.
De la Cruz? - How about you let me look at that.
- I'm looking for Dr.
De la Cruz.
- Hey.
Okay.
Take it easy, pal.
- It's okay, Kenny.
Why don't go grab Landry? Maybe alert Dr.
Nightstick over there to be ready? - Yeah.
I got you.
- Hey.
So you know her? You know Dr.
De la Cruz? Yes.
Set me up for intubation with a Mac three and 7-0 ET tube.
- What do we have? - Pulmonary hernia.
- You have to make her better.
- Ernie, she's gonna be fine, I promise.
Get her prepped.
We have to get changed.
Hey, Paul, come here.
This is our new friend Ernie, okay? Check him for cuts.
Find a nurse to look after him while we take care of his mother.
Thank you.
Hey, Ernie.
I'm Paul.
Hey, you cold? Come on.
- What do we got? - Pulse ox 75 percent.
BP's 84 systolic.
She's already on 100 percent oxygen.
There's a huge air leak from the bronchopulmonary injury on the right side.
We need to divert ventilation to the left side or her stats won't come up.
- Systolic's 60.
Pulse is thready.
- You tried to intubate her left bronchus? - No time.
Let's do a Texas Twist.
- I've done them.
- Not like this.
Only if you were in the battlefield.
Pickups and scalpel to Dr.
Clemmens.
Cut the inferior ligaments proximally.
- Yeah.
- Yeah? - Okay.
Done.
- Rotating the hilum now.
See? A little faster.
I'll suture it down.
- Oxygen's up to 92 percent.
- Okay.
- New BP's 114 over 70.
- Son of a bitch.
Texas Twist.
Nice job, both of you.
- We got to get her to the OR.
- I got it from here.
I got it.
She needs a surgeon.
- I heard you.
She's my patient.
- She's not your patient.
You did a great job stabilising her but she needs surgery now.
I'm going with you.
We do things differently around here.
He a dick to everyone or just me? He's passionate about his patients.
Yeah.
So am I, but I'm not a dick.
Gotta say, though, this night shift's pretty baller.
I like getting out.
- Hey, Chulita.
- What are you doing here? - You two know each other? - I know her real well, I'm her daddy.
He's very lucky that the knife didn't hit an artery.
Too bad he didn't bleed out.
Well, she got a temper, huh? How long my little girl been working here? Must be making bank, no? What's a job like this pay, anyway? Just, you know, ballpark? What do you think, sweetie? You got a name? You know what? You're being really inappropriate.
I'd appreciate it if you would stop ta - It's not a good time, honey.
- I don't know where we are! - We're in, like - Wait.
Whe? Hold Sh Slow down.
I can't hear you.
What do you mean? What do you mean that you kind of got in an accident? I'll be back when I can.
And I need an ambulance.
They're blocked in the bay.
You can't go.
We're shorthanded.
My wife is in labour on the side of a road, having twins.
I'm leaving.
The roads in Willow City have been shut down complete Sorry, folks.
Power conservation.
This is good.
Thank you.
Hey, anything from TXU? They haven't even started on the transmission station but we have enough fuel if the rest of San Antonio doesn't show up.
- We need Topher back.
Where is TC? - He was in the OR.
Heather, did I told TC you needed him but he's still in there.
All right, I'll get him.
Get Drew to take this man.
- On it.
- Hey, Landry? Can you do some medical intake? As soon as I get back.
- You all are healed.
- Thanks.
We need to get the walking wounded into the waiting room for triage.
We're running out of space here.
Dr.
De la Cruz? Your dad's kind of not leaving? - He keeps asking for you.
- Okay.
I'm coming.
The road is clogged.
I'm trying to find you.
Just hang on.
Last time your labour took 12 hours.
You just relax, baby.
No, get here faster! - Can you put Lynn on? - Here.
Dad, where are you? It's getting really weird in here.
I'm close.
I'm almost there.
Just give your mom a towel or a t-shirt to bite on.
You need to get here now.
Now, what I need you to do is reach into your mom's vagina and tell me if her cervix is starting to open.
- With what? - Just Purell your finger, honey.
Come on, I know you can do it.
- Oh, are you checking? - I think so.
It's squishy, like a banana, or oatmeal.
Can you tell me if it's starting to open? - Not really.
Everything's just too wet.
- Wet? How wet? - The whole seat is soaked.
- Oh, God.
Where are you? - Honk the horn.
Honk the horn.
- Oh, God.
Oh, God, here comes Gandalf the Horny.
What's the issue? He'll give you all the x-rays you need.
- Go out with him once.
- You go out with Mollie's niece.
Yeah, I can't.
She'll be on me even more.
Like, " Did you like her? Are you gonna call her?" Forget it.
You gotta figure out something.
She's coming over.
- Wait.
What? - Drew, I got my niece Tracy on the line.
- Just kiss me.
Kiss me.
- What do? All right, problem solved.
All right, we're ready, here we go.
It's a little less crazy inside here.
Also, I found a very special Band-Aid for your scratch.
I know it's impressive.
Here we go.
All right, let's see.
Okay.
Voilà.
There we go.
I wanna see my mommy.
I know you do, bud.
But the doctors are still upstairs fixing her up, okay? Hey, let's get you warm, yeah? Okay.
Can I stay with you? Not really.
Because I have some other patients that I have to help out first, okay? So I'll Hey.
No, no, no.
Don't do that.
You can definitely stay with me, okay? Because I actually need your help.
I have these tags to put on some patients.
Tells the doctors who they should treat first.
Think you can maybe help me with that or? Yeah? Okay.
Let's go get them.
Let's go get them.
Interesting.
I've never worked in a hospital where the ER docs operate alongside surgeons.
- Yeah? Well, maybe you'll learn something new.
- Actually, I'm learning a lot.
- Good.
TC, I sent Heather up here ten minutes ago to get you.
We are seriously short on attendings downstairs.
- Watch that bleeder.
- Yeah, 4-0 silk to me.
I'll tie it off.
TC.
I know your patients mean a lot to you but I've got this.
- Seriously.
- And I need you in the ER.
Topher's wife went into labour somewhere on the road and he took off to get her.
- Did he say where? - No.
Take that.
Take it.
T, you can't go.
All right? I don't like this situation either but like I said we are seriously short on attendings.
- Page me if you need me.
- I won't.
Set me up to close.
It's not going through.
The towers are probably overloaded.
Look, Topher and Janet will be okay.
Her labour took 12 hours the last time so hopefully she'll be back before her water even breaks.
- And we need you downstairs.
- Yeah.
Okay.
- Scott is an excellent surgeon.
- Yeah, he's good.
- I just don't like - Anyone telling you what to do.
There's a pecking order.
If he comes here, learn to work together.
- If If he comes? - We haven't decided yet.
- Okay, sure.
- What? Oh, it's just Ragosa wants him here.
Scott seems to wanna be here.
Just wondering what the holdup is.
Grab a patient.
We're getting backed up.
Okay, Ernie, you should probably eat a little something, even if it's this crap.
You can also play with my phone.
I will check on you every 20 minutes but I gotta get back, okay? So, hey, up high.
Hey.
What is it? My shoulder hurts.
That's weird.
It wasn't tender before, right? Okay, let's see.
There's no bruising or anything.
Just that itty bitty cut on your back.
You cannot keep bothering people.
I've had three different nurses tell me that you're looking for me.
- It worked.
- This is a hospital.
People have jobs to do so that other people don't die and tonight is swamped so you have one minute to say what you need to say and then you gotta leave.
- Not loving the attitude.
And I know that you just want money so now you have 50 seconds.
Don't talk to me like that.
How much do you need? Just say it.
Five K.
What? I got in with the wrong people.
You're always with the wrong people.
I don't have it.
Even if I did have it, I wouldn't give it to you.
I'm done with you.
You are never done with your family.
I didn't say I was done with my family.
I said I was done with you.
Now leave.
Yeah.
Look at you, all your fancy friends giving me the stink eye.
Bunch of snobs from the north side, that's all that is.
To think of you abandoning me for the likes of that.
Me abandon you? I have worked like an animal for everything that I have and I never got anything but grief from you.
You wrecked my childhood.
You stole my money.
You completely screwed up my life! You abandoned me a long, long time ago.
Landry, I need the money! Did anybody miss anything, or do I need to repeat it? No? Good.
Hey, hey there.
Dwayne, right? Do me a solid, would you? This little dude needs a CT scan kind of quick.
Not how it works, new guy.
Back of the line.
Right.
See, the thing is, Ernie, that's his name may have a positive kehr sign.
Irritation of the diaphragm from intra-abdominal blood causing referred shoulder pain.
Lot of big words, doc.
Like I said, back of the line.
You dig? Let me translate, tech dork.
This little kid just lost his home tonight.
His mom is upstairs circling the drain and he might be haemorrhaging internally.
So he could die.
Now do you dig? I've got a mole on my inner thigh I want removed.
Get rid of it, he goes to the front of the line.
Just do it, or I will rip it off.
Dad, it's coming.
I can see its head.
There he is.
I knew there was a reason why you wouldn't call my niece.
I'm not that Sorry.
I guess, I should've said something.
You're a dog.
All men are dogs.
But I like Krista.
So you better not mess this up.
- I got my eye on you, buster.
- Yes, ma'am.
I just got paged? S.
A.
P.
D.
Brought in a naked guy they found at Circle K.
They placed a hold for grave disability.
Can you grab toga man and put him in curtain three? - Sure thing, doc.
- Thanks.
- Hey, hey.
You okay? - I'm fine.
Okay.
I see your dad's still here.
He likes to make me uncomfortable.
- You want me to throw him out? - He'll just keeping coming back.
Look, I appreciate the concern but this is just way too involved and complicated to explain.
- I'm just trying to help.
- I know.
It's what you do but we don't have a relationship where we talk about things.
Do we? That doesn't mean we still can't talk about things.
I've been thinking and I don't know what's going on with you and Jordan and I don't think either of you know what's going on with you and Jordan but I just know that I don't wanna be in the middle of it anymore.
- There is nothing with me and Jordan.
- You guys have unresolved feelings and I'm not really into being plan B so let's just be friends.
And thank you for offering to help but I'm used to handling things on my own.
If you still wanna talk about anything, I'm TC, Paul needs you in radiology.
It's the kid.
Yeah.
- What happened? - He was complaining of referred shoulder pain, so I ordered a CAT scan but he lost his pulse.
- Hold CPR a minute.
I need to see his underlying rhythm.
Sine wave, damn it.
His potassium's sky high.
It looks like shrapnel transected the ureter.
From that cut on his ribs.
The kidney trauma must have put him into renal failure.
Which explains the elevated potassium.
He needs an amp of calcium chloride, sodium bicarb and ten units of insulin.
- That's good.
Dwayne, page Nephrology for emergency dialysis.
- Calling now.
- Meds are in.
- Rhythm's stabilising.
- He's got a pulse? Okay, that's good.
Does that mean he's gonna be all right? The meds are a quick fix.
His potassium's still sky high.
Grab that scan.
Let's go.
He needs dialysis, ASAP.
Come on, baby.
Just one more push.
I know you got it in you.
Come on.
Dig deep.
- Push, Mom, push.
- That's it.
You got the kit? - Yeah.
- Yes! We have a baby girl! Hi, gorgeous.
- Is she okay? - Yes.
She's so beautiful.
Lynn, we gotta cut the umbilical cord.
Get the clamps and scissors.
Just clamp here and here and cut in between.
Look what you did.
Look what you made.
You made an angel.
Look at your little sister.
There's your sister.
Grab your hoodie and let's wrap her in something clean.
My gosh.
You ready for round two? You got the flashlight? Yeah.
- Daddy, what is that? - What is it? What's wrong? - Nothing.
It's a foot.
- A what? Everybody just stay calm.
I'm just gonna reach in there and turn this little girl around.
Hold the baby.
Okay, we need to get to the hospital.
Baby's in breech.
- Can't be born like this.
- What do I do? I need you to grab my phone.
Run around, find a signal.
911 is probably overwhelmed.
I need you to call Uncle TC.
- Tell him I need him right now.
Go, go.
- Okay.
No.
No.
Where did you send her? - What's wrong? - Nothing is wrong.
Tell me what's wrong.
That was a good catch.
We'd be ten steps behind if you hadn't got the scan.
Good call.
Yeah.
Just glad he's okay.
He's a really cool little guy.
You have a way with kids, you know.
You ever think about doing a fellowship in ER Paediatrics? - No, never.
That is not for me.
- Why? Well, I come from a family of surgeons.
You know, my grandfather, my father, both his brothers, both my brothers.
You know, being an ER doc is already pushing it so I'm just That's not for me.
I don't know.
It's just If you have a gift, just, you know, think about it.
I'm really sorry you had such a crappy day today.
But I promise, everything is gonna be awesome from here on out.
It's okay, everybody.
This has happened before.
The generators will kick on again in just a few seconds.
This is not a drill.
We are out of power.
Keep manually bagging your patients.
We don't know how long this is gonna last.
Ragosa, what happened? I thought we had enough fuel.
We do.
Damn generators flooded because of the storm.
We were gonna move them upstairs but we never got to it.
Maintenance is working on it but it'll take a while.
We're running power off the mini gennies from the Tailgate and food trucks.
Run cable to as many trauma rooms as possible.
Take off the exit signs and use their battery lights.
We can't stay open.
The entire first floor is out.
We have to send ambulances to other hospitals.
We can't close.
But what about the people who are here? - People are still coming in.
- If we don't, people will die.
- We have to do what we can, okay? - Okay.
There's a construction site across the street.
Let's send staffers to get their lights.
I'll call the guys in my unit.
- They can be here in ten.
- Do what you gotta do.
I'll take any new cases.
Man, I could really use a nurse right now.
Well, Michael can jump in.
He's got some training.
- Just tell me what to do.
- Come on.
- Topher, finally - Uncle TC, can you hear me? I only have one bar and my mom just had a baby.
Here's what I need you to do.
Look at your phone Open the GPS.
Now give me your exact location.
Right.
- It's mile marker 79.
- I'm really scared.
- Hang tough.
I'm gonna fix this.
- Ernie's dialysis is down.
I figured it would be.
Okay.
I got another idea.
Let's go.
Hey, it's TC.
Yeah, I know there's no games.
I'm not betting.
Listen, I need a gigantic favour.
We don't have that long on those small gennies so I've got another solution.
We're gonna go old school.
I will take any school.
Vitals are going south.
QRS is widening.
I pushed another amp of calcium, it's not working.
He'll be fine.
We're gonna do peritoneal dialysis.
Give me the ladder, now.
Don't need any power.
They do it a lot in places where they don't have access to haemodialysis.
Okay.
Put these lights on his belly.
- I feel weird.
- Your body's not doing its job right.
We're gonna put medicine in your stomach to suck out all the bad stuff.
We just need to put a tube inside your tummy, okay? - Okay.
- Okay.
- You're gonna stay with me, Paul? - You better believe it.
I'm not going anywhere, okay? Here.
Come on.
All right, let's get these lights up, guys.
All right, point them towards the trauma rooms.
Let's give a big hand to Kenny and the Army Reserve Combat Support Team.
Thank you, boys.
Okay.
Good.
Wrap it tighter.
The pressure needs to stop the bleeding.
- Like this? - Exactly.
Let me know if you're getting queasy.
Krista, how are we doing? - All under control.
- Landry? All good.
Haven't stitched anyone since school.
Hope I didn't leave anything inside her.
Hey, listen.
Landry, I know things have been crazy but if you need help with the whole dad thing - It's under control.
- Okay.
- It will be.
Excuse me.
- Sure.
So how does TC treat everybody on this shift? Great.
He's intense but he's a good guy.
He and Jordan make a good team.
Oh, damn it.
The SVC tear extends into the right atrium.
Suction.
Someone get TC.
I need a second pair of hands.
Clamp.
I got 500.
It's the best I can do.
Now take it and get out of here.
Five hundred ain't gonna do it.
I didn't wanna upset you before but if I don't get them their money they're gonna take it out on your ma.
I don't believe you.
They made threats and these people don't play games.
I know them.
- I need five grand.
- I told you, I don't have it.
The clothes you're wearing tell me you do.
I don't have it because I am 200 grand in debt from medical school.
I pay for Julia and Tommy's private school, which you should be doing.
So don't talk to me about what I have and I don't have.
Okay, I'm sorry, I'm a jerk.
But if you love your mama at all, you'll get me the $5,000.
And I'll be in the waiting room, waiting.
What happened? The SVC tear has posterior atrial involvement.
I've used the heart-lung bypass to make the repair but there's not enough power.
- Pressure's down to 60.
If you've got any battlefield medicine I'd love to hear it.
If not, she's going to die.
So it's true? Mom.
You can't keep letting him pull this crap.
I wish you would leave him.
Mom I know you're scared.
It's gonna be okay.
Just go to Titi's, okay? I'll figure it out.
I love you.
Landry.
Man, I really gotta thank you for the push.
Actually working on a patient, you would not believe what I just did.
It was incredible.
No, whoa, whoa.
What's wrong? Nothing.
Nothing? Come on, I've told you everything about me.
What's going on? Jugulo-atrial shunt.
It's the first one of those I've ever witnessed.
Maintains venous return intraoperatively so, you know, no heart-lung machine is needed.
- Pretty clever, man.
- Yeah.
Saved my ass a couple of times in Afghanistan.
- Thank you, TC.
- Hey, it's my job.
Hey, man, I should let you know I'm going to take the job as the new Head of Trauma Surgery.
- Great.
- Yeah.
Some reason you're telling me? Yeah, because things are going to change around here.
- Is that right? - Yes, that's right.
T? Topher just called.
He's five minutes away.
- That's 400, TC.
Cash money.
- Yeah, yeah.
- You sent your bookie? - He'll do anything for cash.
First one slid right out, second's a footling breech with cord prolapse.
She has to come out now.
Just try and relax, Janet, okay? The lights came back on.
That's a good sign.
O.
B.
Just called.
They rerouted her.
She's still 30 minutes away.
Oh, come on.
Son of a bitch.
- TC, she wants to come out right now.
- Okay, we got this.
- It's coming.
I can't - It's okay.
You are my champion, baby.
- This is so humiliating.
- Why? Because you asked for this crap? We don't get to choose our families.
I will pay you back, I swear.
I know you will or else I'll garner your wages.
I'm kidding.
I'm just I'm kidding.
No, seriously, you were a real big help to me.
I'm happy to return the favour.
But I do think you need to cut ties with your dad.
I cut ties with him, I cut ties with my mom.
Well, I don't know what to say other than if you ever need someone to talk to I'm around.
- Thank you.
Nobody's ever done anything like this for me before.
Well, maybe you've just been hanging around with the wrong people.
The body's out but the head is stuck in the cervix.
- The baby's heart is decelerating.
- I have an idea.
- Let me try it.
I need mayo scissors.
- Here.
TC, I swear, if you say one word about seeing my Never get invited for dinner again? I don't wanna blow that.
- Help me.
- Okay.
- Let's lift her legs up.
- Okay.
That's good.
I'm gonna make a duhrssen incision.
Cutting the cervix should let the head come down.
Okay, keep breathing, Janet.
You, too, Topher.
One, two, three.
Breathe and push.
Breathe and push.
It's working.
You're doing so good.
The head's moving.
- Is she - And she's out.
- You did it.
She's okay.
- Is she okay? Toph.
Toph, she is so beautiful.
Hey, hey, hey.
I'm your Uncle TC.
Hey.
Can you say "Uncle T"? Hello.
Oh, I can't believe - I love you, brother.
- Right back at you, buddy.
Oh, okay.
Okay.
Hey, Ernie.
Welcome back.
Now you're a pretty strong little guy.
- Where am I? - I moved you to another room.
I don't know.
I figured you might want a roommate or something like that so Mommy.
There's my boy.
- I thought you were gonna die.
- And leave you, kiddo? No way.
- I almost died.
- What? Yeah, it was a It was an interesting night.
Actually, it started when you protected your son from the storm which was very brave.
And you were very brave as well.
Thirteen dead and scores injured in the worst storm this area has seen in a decade.
Now crews are finally able to get to the part of San Antonio Hi, honey.
How was your day? I got this text from Rick.
Oh, my God, Drew.
- He's coming home.
- Yeah.
Yeah, he made it out of there.
He's coming home.
He survived Afghanistan.
Man.
There's just something about delivering a baby.
I know, right? It never gets old.
Plus now I can tell Janet I've had my hands inside her till the day she dies.
- What is wrong with you? - I Hey So, you know, Scott's coming here, right? Yeah.
Yeah, he made sure to tell me.
Yeah.
Look I know it's gonna change things and it's gonna be weird for a while but - Hey.
Whatever, right? - No.
No.
What I'm trying to say to you is that in the past few months that I've been working with you, I feel like we're getting back to being friends again and I like that.
I mean, we were always friends.
Well, you were always my friend.
- I wasn't the best there for a while.
- No.
You had some things that were beyond your control.
Still I'm sorry that I messed things up between us.
- Yeah, me too.
- Yeah, okay.
Hey, Jordan Scott was looking for you.
Yeah.
Okay.
Okay, listen up, everybody.
Listen up.
I have to thank you guys for a great night.
You did a bang-up job but now I'd like to introduce the new Head of Trauma Surgery, Dr.
Scott Clemmens.
Look at this.
We have the prom king and queen power couple running this place.
Give them a hand.
Yes.
Ripped By mstoll
Knocked him 50 feet.
BP's stable but he's having runs of PVCs.
Paul, you're with me.
Get him on telemetry and I need a twelve-lead EKG stat.
Get him to the OR and have a blood bank tech cross six units of A positive.
- On it.
That sounded close.
Good Lord, we got our own Sandy.
That's from lightning? Broken capillaries from the lightning current.
Can last a couple of days.
Multifocal PVCs.
Add a troponin and total-CK.
And push five of metoprolol.
Hey, Krista, check this out.
- See those two white spots? - Yeah.
Teeth embedded in that dude's knuckles.
Can you top that? I just pulled a Yankee Candle out of a guy's butt.
- You win.
- I've got an x-ray you should see.
- It's pretty juicy.
- Okay.
I was thinking we could look at them together.
I might be kind of busy but I'll let you know.
You do not say a word because I'm a nerd magnet.
- I hate hurting their feelings.
- Nerds today, husbands tomorrow.
In addition to having four state-of-the-art trauma rooms and a dedicated trauma CAT scan machine.
I gotta admit, I'm impressed.
Dr.
Scott Clemmens Head of San Antonio Memorial Trauma Department.
- Has a certain ring to it, no? - I appreciate the tour, but I'm deciding.
It's a sweet deal, I'm telling you.
Not the kind of opportunity you will get in Dallas.
I came to observe the night shift for a few hours but as far as making any commitment we still have some stuff to figure out.
What's to figure out? The two of you can stop this whole long distance thing.
Get settled in, pop out a couple of monkeys and, boom, done.
Mr.
Ragosa, Dr.
Richards on the phone for you.
Don't drag your feet, cowboy.
The board is waiting.
They want a name.
- That wasn't awkward.
- Yeah.
Look, this would be a huge move for me.
I have to be sure it's one that I wanna make.
But he's right.
- It would make our lives easier.
- It would.
Hey, look, I have to be sure too, you know? - Last time I lived with a guy - Yeah, it didn't work out too well.
- But I'm not that guy.
- No.
You are not.
- Hey guys.
- Hey, Topher, you okay? Topher had surgery recently.
First night back.
Don't ever get a vasectomy, Scott.
No man should ever feel this kind of pain down there.
Oh, Topher.
Sorry, man.
It hurts just looking at you.
Yeah, I can tell by your laughter.
Ball pain is always funny when it's not yours.
Try to take it easy tonight.
Stick with the colds and flus, okay? Landry, you remember Scott, right? Yeah.
I heard you were taking over trauma.
- Thinking about it.
- That should be interesting.
So Jordan tells me that you're seeing TC now.
- Did she? Oh, boy.
- Repent! For I bring my wrath upon thee, sinners.
The end is nigh! - Mollie, prep the rubber room.
- Repent! Hey.
That was tonight's on-call trauma attending.
Roads are wiped out and we're already short three nurses because of closures.
- The storm's gonna slam us.
Hey, guys.
A tornado just tore through the Sidewinder Trailer Park.
Fire department is on the way.
Paramedics got in an accident.
- Here we go.
Okay, TC? - Yeah.
Take him for a chest x-ray.
I'm on it.
Topher, I'm afraid you and your smushed man tonsils are gonna sit this one out.
- Again with the sensitivity.
- T, Take Drew with you.
Are you sure? - I'll do it.
I've done search and rescue for five years.
It's a good way to see this place.
I love this can-do attitude.
Okay.
Listen up, everybody.
Dr.
Clemmens hereby has privileges.
Now get out of here.
Just follow my lead and don't get in my way.
- I was gonna say the same to you.
- Look at that.
The past and future, right before your eyes.
You shut up or I'll smack you in your nuts.
Ripped By mstoll We got a 32-year-old healthy female with blunt trauma.
Don't know the specifics.
Not sending my men in until the mobile unit's tied down.
- Hey, we need another five.
- She might not have another five.
Just follow me.
Over here.
Let's go.
Scott, help me with this.
My daughter! - I got this.
- Right behind you.
There she is.
It's okay, ma'am, we got this.
It's okay, ma'am.
We're gonna get you out of here.
It's gonna be okay.
Abnormal breath sounds.
Possibly a collapsed lung.
- Pulmonary hernia.
- The lung looks severely contused.
- She needs the OR.
- Hand me an AB pad.
I'm on it.
Get her on an O2 face mask.
Move it along, guys.
Don't wanna have a second tragedy here.
Get the rescue basket over here.
- We can move her now.
- Let's go! Get in here! Need you to stay as still as possible.
We're gonna get you out of here.
- Ma'am, what is it? - My son, Ernie.
He's over there.
Okay, we have to move her.
Get her out of here now, okay? Go.
Go.
Okay, it's okay.
We're gonna get you and your son out.
- Ernie? Ernie.
- Come on, we need that basket.
- Ernie.
- Help.
Hey, hey, hey.
Hey, little guy.
It's okay.
It's okay.
It's pretty simple, Paul.
Inject lidocaine at the nail, make a small incision, pull it out.
- I can do that.
- All right.
What do we got here? I was trying to film the storm from my window and it blew in.
That's a pretty bad laceration.
We can sew that right back up.
Wanna prep him? - Yes.
- Hope you got some good footage.
Mr.
Ragosa? Son of a bitch.
Okay, everybody.
Take it easy.
Our emergency generators will come back on in three, two Nothing to worry about.
We have four backup gennies.
- Make that two.
- What? Budget cuts.
Got it.
There was an explosion at the power transmission station.
TXU says an open line got ruptured.
- How long until it's back? - No answer.
We have diesel for the gennies.
We need to re-prioritise to keep power.
Mollie, turn off all non-essential electronics.
ICU gets the lion's share of the juice.
Please check on TC and Scott.
- We need them back here.
- Okay, I'm on it.
She's hypotensive with a major chest defect and a contused lung.
Notify the hospital.
I need a setup for a flap closure of an open chest.
Let's go.
We got your son.
He's gonna be okay.
Get them out of there now.
We gotta go! Let's go, doc.
Now! He's okay.
He's barely got a scratch.
You're okay, little man.
I was trying to protect Mom, she made me get in the hutch and she got in front of me.
- That's what moms do.
We go live to Willow City where several hikers Nurse Mollie's niece's number, in case you lost it.
She's given it to me about three times already.
I'm running out of excuses.
- Tell her you have a girlfriend.
- Can't.
My last excuse was I was getting over a breakup.
She thinks I should get back on the horse.
Tell her I'm your new horse.
Then she'll leave you be and the nerds will leave me be.
I'm sure you can buck with the best of them but workplace, you're an intern, might seem inappropriate.
I don't wanna draw attention.
You know, if you ask me your wife should be here pushing you around in a wheelchair.
Yeah, her gaining 70 pounds and giant haemorrhoids doesn't exactly amp up her sympathy for me.
- Hey, Maya? - Yes, Topher? That must've been a happy house.
Yeah Thank you.
She and my daughter went to her mother's to let me recover in peace.
- I get a little cranky as a patient.
- Hey.
You guys know where I can find Dr.
De la Cruz? - How about you let me look at that.
- I'm looking for Dr.
De la Cruz.
- Hey.
Okay.
Take it easy, pal.
- It's okay, Kenny.
Why don't go grab Landry? Maybe alert Dr.
Nightstick over there to be ready? - Yeah.
I got you.
- Hey.
So you know her? You know Dr.
De la Cruz? Yes.
Set me up for intubation with a Mac three and 7-0 ET tube.
- What do we have? - Pulmonary hernia.
- You have to make her better.
- Ernie, she's gonna be fine, I promise.
Get her prepped.
We have to get changed.
Hey, Paul, come here.
This is our new friend Ernie, okay? Check him for cuts.
Find a nurse to look after him while we take care of his mother.
Thank you.
Hey, Ernie.
I'm Paul.
Hey, you cold? Come on.
- What do we got? - Pulse ox 75 percent.
BP's 84 systolic.
She's already on 100 percent oxygen.
There's a huge air leak from the bronchopulmonary injury on the right side.
We need to divert ventilation to the left side or her stats won't come up.
- Systolic's 60.
Pulse is thready.
- You tried to intubate her left bronchus? - No time.
Let's do a Texas Twist.
- I've done them.
- Not like this.
Only if you were in the battlefield.
Pickups and scalpel to Dr.
Clemmens.
Cut the inferior ligaments proximally.
- Yeah.
- Yeah? - Okay.
Done.
- Rotating the hilum now.
See? A little faster.
I'll suture it down.
- Oxygen's up to 92 percent.
- Okay.
- New BP's 114 over 70.
- Son of a bitch.
Texas Twist.
Nice job, both of you.
- We got to get her to the OR.
- I got it from here.
I got it.
She needs a surgeon.
- I heard you.
She's my patient.
- She's not your patient.
You did a great job stabilising her but she needs surgery now.
I'm going with you.
We do things differently around here.
He a dick to everyone or just me? He's passionate about his patients.
Yeah.
So am I, but I'm not a dick.
Gotta say, though, this night shift's pretty baller.
I like getting out.
- Hey, Chulita.
- What are you doing here? - You two know each other? - I know her real well, I'm her daddy.
He's very lucky that the knife didn't hit an artery.
Too bad he didn't bleed out.
Well, she got a temper, huh? How long my little girl been working here? Must be making bank, no? What's a job like this pay, anyway? Just, you know, ballpark? What do you think, sweetie? You got a name? You know what? You're being really inappropriate.
I'd appreciate it if you would stop ta - It's not a good time, honey.
- I don't know where we are! - We're in, like - Wait.
Whe? Hold Sh Slow down.
I can't hear you.
What do you mean? What do you mean that you kind of got in an accident? I'll be back when I can.
And I need an ambulance.
They're blocked in the bay.
You can't go.
We're shorthanded.
My wife is in labour on the side of a road, having twins.
I'm leaving.
The roads in Willow City have been shut down complete Sorry, folks.
Power conservation.
This is good.
Thank you.
Hey, anything from TXU? They haven't even started on the transmission station but we have enough fuel if the rest of San Antonio doesn't show up.
- We need Topher back.
Where is TC? - He was in the OR.
Heather, did I told TC you needed him but he's still in there.
All right, I'll get him.
Get Drew to take this man.
- On it.
- Hey, Landry? Can you do some medical intake? As soon as I get back.
- You all are healed.
- Thanks.
We need to get the walking wounded into the waiting room for triage.
We're running out of space here.
Dr.
De la Cruz? Your dad's kind of not leaving? - He keeps asking for you.
- Okay.
I'm coming.
The road is clogged.
I'm trying to find you.
Just hang on.
Last time your labour took 12 hours.
You just relax, baby.
No, get here faster! - Can you put Lynn on? - Here.
Dad, where are you? It's getting really weird in here.
I'm close.
I'm almost there.
Just give your mom a towel or a t-shirt to bite on.
You need to get here now.
Now, what I need you to do is reach into your mom's vagina and tell me if her cervix is starting to open.
- With what? - Just Purell your finger, honey.
Come on, I know you can do it.
- Oh, are you checking? - I think so.
It's squishy, like a banana, or oatmeal.
Can you tell me if it's starting to open? - Not really.
Everything's just too wet.
- Wet? How wet? - The whole seat is soaked.
- Oh, God.
Where are you? - Honk the horn.
Honk the horn.
- Oh, God.
Oh, God, here comes Gandalf the Horny.
What's the issue? He'll give you all the x-rays you need.
- Go out with him once.
- You go out with Mollie's niece.
Yeah, I can't.
She'll be on me even more.
Like, " Did you like her? Are you gonna call her?" Forget it.
You gotta figure out something.
She's coming over.
- Wait.
What? - Drew, I got my niece Tracy on the line.
- Just kiss me.
Kiss me.
- What do? All right, problem solved.
All right, we're ready, here we go.
It's a little less crazy inside here.
Also, I found a very special Band-Aid for your scratch.
I know it's impressive.
Here we go.
All right, let's see.
Okay.
Voilà.
There we go.
I wanna see my mommy.
I know you do, bud.
But the doctors are still upstairs fixing her up, okay? Hey, let's get you warm, yeah? Okay.
Can I stay with you? Not really.
Because I have some other patients that I have to help out first, okay? So I'll Hey.
No, no, no.
Don't do that.
You can definitely stay with me, okay? Because I actually need your help.
I have these tags to put on some patients.
Tells the doctors who they should treat first.
Think you can maybe help me with that or? Yeah? Okay.
Let's go get them.
Let's go get them.
Interesting.
I've never worked in a hospital where the ER docs operate alongside surgeons.
- Yeah? Well, maybe you'll learn something new.
- Actually, I'm learning a lot.
- Good.
TC, I sent Heather up here ten minutes ago to get you.
We are seriously short on attendings downstairs.
- Watch that bleeder.
- Yeah, 4-0 silk to me.
I'll tie it off.
TC.
I know your patients mean a lot to you but I've got this.
- Seriously.
- And I need you in the ER.
Topher's wife went into labour somewhere on the road and he took off to get her.
- Did he say where? - No.
Take that.
Take it.
T, you can't go.
All right? I don't like this situation either but like I said we are seriously short on attendings.
- Page me if you need me.
- I won't.
Set me up to close.
It's not going through.
The towers are probably overloaded.
Look, Topher and Janet will be okay.
Her labour took 12 hours the last time so hopefully she'll be back before her water even breaks.
- And we need you downstairs.
- Yeah.
Okay.
- Scott is an excellent surgeon.
- Yeah, he's good.
- I just don't like - Anyone telling you what to do.
There's a pecking order.
If he comes here, learn to work together.
- If If he comes? - We haven't decided yet.
- Okay, sure.
- What? Oh, it's just Ragosa wants him here.
Scott seems to wanna be here.
Just wondering what the holdup is.
Grab a patient.
We're getting backed up.
Okay, Ernie, you should probably eat a little something, even if it's this crap.
You can also play with my phone.
I will check on you every 20 minutes but I gotta get back, okay? So, hey, up high.
Hey.
What is it? My shoulder hurts.
That's weird.
It wasn't tender before, right? Okay, let's see.
There's no bruising or anything.
Just that itty bitty cut on your back.
You cannot keep bothering people.
I've had three different nurses tell me that you're looking for me.
- It worked.
- This is a hospital.
People have jobs to do so that other people don't die and tonight is swamped so you have one minute to say what you need to say and then you gotta leave.
- Not loving the attitude.
And I know that you just want money so now you have 50 seconds.
Don't talk to me like that.
How much do you need? Just say it.
Five K.
What? I got in with the wrong people.
You're always with the wrong people.
I don't have it.
Even if I did have it, I wouldn't give it to you.
I'm done with you.
You are never done with your family.
I didn't say I was done with my family.
I said I was done with you.
Now leave.
Yeah.
Look at you, all your fancy friends giving me the stink eye.
Bunch of snobs from the north side, that's all that is.
To think of you abandoning me for the likes of that.
Me abandon you? I have worked like an animal for everything that I have and I never got anything but grief from you.
You wrecked my childhood.
You stole my money.
You completely screwed up my life! You abandoned me a long, long time ago.
Landry, I need the money! Did anybody miss anything, or do I need to repeat it? No? Good.
Hey, hey there.
Dwayne, right? Do me a solid, would you? This little dude needs a CT scan kind of quick.
Not how it works, new guy.
Back of the line.
Right.
See, the thing is, Ernie, that's his name may have a positive kehr sign.
Irritation of the diaphragm from intra-abdominal blood causing referred shoulder pain.
Lot of big words, doc.
Like I said, back of the line.
You dig? Let me translate, tech dork.
This little kid just lost his home tonight.
His mom is upstairs circling the drain and he might be haemorrhaging internally.
So he could die.
Now do you dig? I've got a mole on my inner thigh I want removed.
Get rid of it, he goes to the front of the line.
Just do it, or I will rip it off.
Dad, it's coming.
I can see its head.
There he is.
I knew there was a reason why you wouldn't call my niece.
I'm not that Sorry.
I guess, I should've said something.
You're a dog.
All men are dogs.
But I like Krista.
So you better not mess this up.
- I got my eye on you, buster.
- Yes, ma'am.
I just got paged? S.
A.
P.
D.
Brought in a naked guy they found at Circle K.
They placed a hold for grave disability.
Can you grab toga man and put him in curtain three? - Sure thing, doc.
- Thanks.
- Hey, hey.
You okay? - I'm fine.
Okay.
I see your dad's still here.
He likes to make me uncomfortable.
- You want me to throw him out? - He'll just keeping coming back.
Look, I appreciate the concern but this is just way too involved and complicated to explain.
- I'm just trying to help.
- I know.
It's what you do but we don't have a relationship where we talk about things.
Do we? That doesn't mean we still can't talk about things.
I've been thinking and I don't know what's going on with you and Jordan and I don't think either of you know what's going on with you and Jordan but I just know that I don't wanna be in the middle of it anymore.
- There is nothing with me and Jordan.
- You guys have unresolved feelings and I'm not really into being plan B so let's just be friends.
And thank you for offering to help but I'm used to handling things on my own.
If you still wanna talk about anything, I'm TC, Paul needs you in radiology.
It's the kid.
Yeah.
- What happened? - He was complaining of referred shoulder pain, so I ordered a CAT scan but he lost his pulse.
- Hold CPR a minute.
I need to see his underlying rhythm.
Sine wave, damn it.
His potassium's sky high.
It looks like shrapnel transected the ureter.
From that cut on his ribs.
The kidney trauma must have put him into renal failure.
Which explains the elevated potassium.
He needs an amp of calcium chloride, sodium bicarb and ten units of insulin.
- That's good.
Dwayne, page Nephrology for emergency dialysis.
- Calling now.
- Meds are in.
- Rhythm's stabilising.
- He's got a pulse? Okay, that's good.
Does that mean he's gonna be all right? The meds are a quick fix.
His potassium's still sky high.
Grab that scan.
Let's go.
He needs dialysis, ASAP.
Come on, baby.
Just one more push.
I know you got it in you.
Come on.
Dig deep.
- Push, Mom, push.
- That's it.
You got the kit? - Yeah.
- Yes! We have a baby girl! Hi, gorgeous.
- Is she okay? - Yes.
She's so beautiful.
Lynn, we gotta cut the umbilical cord.
Get the clamps and scissors.
Just clamp here and here and cut in between.
Look what you did.
Look what you made.
You made an angel.
Look at your little sister.
There's your sister.
Grab your hoodie and let's wrap her in something clean.
My gosh.
You ready for round two? You got the flashlight? Yeah.
- Daddy, what is that? - What is it? What's wrong? - Nothing.
It's a foot.
- A what? Everybody just stay calm.
I'm just gonna reach in there and turn this little girl around.
Hold the baby.
Okay, we need to get to the hospital.
Baby's in breech.
- Can't be born like this.
- What do I do? I need you to grab my phone.
Run around, find a signal.
911 is probably overwhelmed.
I need you to call Uncle TC.
- Tell him I need him right now.
Go, go.
- Okay.
No.
No.
Where did you send her? - What's wrong? - Nothing is wrong.
Tell me what's wrong.
That was a good catch.
We'd be ten steps behind if you hadn't got the scan.
Good call.
Yeah.
Just glad he's okay.
He's a really cool little guy.
You have a way with kids, you know.
You ever think about doing a fellowship in ER Paediatrics? - No, never.
That is not for me.
- Why? Well, I come from a family of surgeons.
You know, my grandfather, my father, both his brothers, both my brothers.
You know, being an ER doc is already pushing it so I'm just That's not for me.
I don't know.
It's just If you have a gift, just, you know, think about it.
I'm really sorry you had such a crappy day today.
But I promise, everything is gonna be awesome from here on out.
It's okay, everybody.
This has happened before.
The generators will kick on again in just a few seconds.
This is not a drill.
We are out of power.
Keep manually bagging your patients.
We don't know how long this is gonna last.
Ragosa, what happened? I thought we had enough fuel.
We do.
Damn generators flooded because of the storm.
We were gonna move them upstairs but we never got to it.
Maintenance is working on it but it'll take a while.
We're running power off the mini gennies from the Tailgate and food trucks.
Run cable to as many trauma rooms as possible.
Take off the exit signs and use their battery lights.
We can't stay open.
The entire first floor is out.
We have to send ambulances to other hospitals.
We can't close.
But what about the people who are here? - People are still coming in.
- If we don't, people will die.
- We have to do what we can, okay? - Okay.
There's a construction site across the street.
Let's send staffers to get their lights.
I'll call the guys in my unit.
- They can be here in ten.
- Do what you gotta do.
I'll take any new cases.
Man, I could really use a nurse right now.
Well, Michael can jump in.
He's got some training.
- Just tell me what to do.
- Come on.
- Topher, finally - Uncle TC, can you hear me? I only have one bar and my mom just had a baby.
Here's what I need you to do.
Look at your phone Open the GPS.
Now give me your exact location.
Right.
- It's mile marker 79.
- I'm really scared.
- Hang tough.
I'm gonna fix this.
- Ernie's dialysis is down.
I figured it would be.
Okay.
I got another idea.
Let's go.
Hey, it's TC.
Yeah, I know there's no games.
I'm not betting.
Listen, I need a gigantic favour.
We don't have that long on those small gennies so I've got another solution.
We're gonna go old school.
I will take any school.
Vitals are going south.
QRS is widening.
I pushed another amp of calcium, it's not working.
He'll be fine.
We're gonna do peritoneal dialysis.
Give me the ladder, now.
Don't need any power.
They do it a lot in places where they don't have access to haemodialysis.
Okay.
Put these lights on his belly.
- I feel weird.
- Your body's not doing its job right.
We're gonna put medicine in your stomach to suck out all the bad stuff.
We just need to put a tube inside your tummy, okay? - Okay.
- Okay.
- You're gonna stay with me, Paul? - You better believe it.
I'm not going anywhere, okay? Here.
Come on.
All right, let's get these lights up, guys.
All right, point them towards the trauma rooms.
Let's give a big hand to Kenny and the Army Reserve Combat Support Team.
Thank you, boys.
Okay.
Good.
Wrap it tighter.
The pressure needs to stop the bleeding.
- Like this? - Exactly.
Let me know if you're getting queasy.
Krista, how are we doing? - All under control.
- Landry? All good.
Haven't stitched anyone since school.
Hope I didn't leave anything inside her.
Hey, listen.
Landry, I know things have been crazy but if you need help with the whole dad thing - It's under control.
- Okay.
- It will be.
Excuse me.
- Sure.
So how does TC treat everybody on this shift? Great.
He's intense but he's a good guy.
He and Jordan make a good team.
Oh, damn it.
The SVC tear extends into the right atrium.
Suction.
Someone get TC.
I need a second pair of hands.
Clamp.
I got 500.
It's the best I can do.
Now take it and get out of here.
Five hundred ain't gonna do it.
I didn't wanna upset you before but if I don't get them their money they're gonna take it out on your ma.
I don't believe you.
They made threats and these people don't play games.
I know them.
- I need five grand.
- I told you, I don't have it.
The clothes you're wearing tell me you do.
I don't have it because I am 200 grand in debt from medical school.
I pay for Julia and Tommy's private school, which you should be doing.
So don't talk to me about what I have and I don't have.
Okay, I'm sorry, I'm a jerk.
But if you love your mama at all, you'll get me the $5,000.
And I'll be in the waiting room, waiting.
What happened? The SVC tear has posterior atrial involvement.
I've used the heart-lung bypass to make the repair but there's not enough power.
- Pressure's down to 60.
If you've got any battlefield medicine I'd love to hear it.
If not, she's going to die.
So it's true? Mom.
You can't keep letting him pull this crap.
I wish you would leave him.
Mom I know you're scared.
It's gonna be okay.
Just go to Titi's, okay? I'll figure it out.
I love you.
Landry.
Man, I really gotta thank you for the push.
Actually working on a patient, you would not believe what I just did.
It was incredible.
No, whoa, whoa.
What's wrong? Nothing.
Nothing? Come on, I've told you everything about me.
What's going on? Jugulo-atrial shunt.
It's the first one of those I've ever witnessed.
Maintains venous return intraoperatively so, you know, no heart-lung machine is needed.
- Pretty clever, man.
- Yeah.
Saved my ass a couple of times in Afghanistan.
- Thank you, TC.
- Hey, it's my job.
Hey, man, I should let you know I'm going to take the job as the new Head of Trauma Surgery.
- Great.
- Yeah.
Some reason you're telling me? Yeah, because things are going to change around here.
- Is that right? - Yes, that's right.
T? Topher just called.
He's five minutes away.
- That's 400, TC.
Cash money.
- Yeah, yeah.
- You sent your bookie? - He'll do anything for cash.
First one slid right out, second's a footling breech with cord prolapse.
She has to come out now.
Just try and relax, Janet, okay? The lights came back on.
That's a good sign.
O.
B.
Just called.
They rerouted her.
She's still 30 minutes away.
Oh, come on.
Son of a bitch.
- TC, she wants to come out right now.
- Okay, we got this.
- It's coming.
I can't - It's okay.
You are my champion, baby.
- This is so humiliating.
- Why? Because you asked for this crap? We don't get to choose our families.
I will pay you back, I swear.
I know you will or else I'll garner your wages.
I'm kidding.
I'm just I'm kidding.
No, seriously, you were a real big help to me.
I'm happy to return the favour.
But I do think you need to cut ties with your dad.
I cut ties with him, I cut ties with my mom.
Well, I don't know what to say other than if you ever need someone to talk to I'm around.
- Thank you.
Nobody's ever done anything like this for me before.
Well, maybe you've just been hanging around with the wrong people.
The body's out but the head is stuck in the cervix.
- The baby's heart is decelerating.
- I have an idea.
- Let me try it.
I need mayo scissors.
- Here.
TC, I swear, if you say one word about seeing my Never get invited for dinner again? I don't wanna blow that.
- Help me.
- Okay.
- Let's lift her legs up.
- Okay.
That's good.
I'm gonna make a duhrssen incision.
Cutting the cervix should let the head come down.
Okay, keep breathing, Janet.
You, too, Topher.
One, two, three.
Breathe and push.
Breathe and push.
It's working.
You're doing so good.
The head's moving.
- Is she - And she's out.
- You did it.
She's okay.
- Is she okay? Toph.
Toph, she is so beautiful.
Hey, hey, hey.
I'm your Uncle TC.
Hey.
Can you say "Uncle T"? Hello.
Oh, I can't believe - I love you, brother.
- Right back at you, buddy.
Oh, okay.
Okay.
Hey, Ernie.
Welcome back.
Now you're a pretty strong little guy.
- Where am I? - I moved you to another room.
I don't know.
I figured you might want a roommate or something like that so Mommy.
There's my boy.
- I thought you were gonna die.
- And leave you, kiddo? No way.
- I almost died.
- What? Yeah, it was a It was an interesting night.
Actually, it started when you protected your son from the storm which was very brave.
And you were very brave as well.
Thirteen dead and scores injured in the worst storm this area has seen in a decade.
Now crews are finally able to get to the part of San Antonio Hi, honey.
How was your day? I got this text from Rick.
Oh, my God, Drew.
- He's coming home.
- Yeah.
Yeah, he made it out of there.
He's coming home.
He survived Afghanistan.
Man.
There's just something about delivering a baby.
I know, right? It never gets old.
Plus now I can tell Janet I've had my hands inside her till the day she dies.
- What is wrong with you? - I Hey So, you know, Scott's coming here, right? Yeah.
Yeah, he made sure to tell me.
Yeah.
Look I know it's gonna change things and it's gonna be weird for a while but - Hey.
Whatever, right? - No.
No.
What I'm trying to say to you is that in the past few months that I've been working with you, I feel like we're getting back to being friends again and I like that.
I mean, we were always friends.
Well, you were always my friend.
- I wasn't the best there for a while.
- No.
You had some things that were beyond your control.
Still I'm sorry that I messed things up between us.
- Yeah, me too.
- Yeah, okay.
Hey, Jordan Scott was looking for you.
Yeah.
Okay.
Okay, listen up, everybody.
Listen up.
I have to thank you guys for a great night.
You did a bang-up job but now I'd like to introduce the new Head of Trauma Surgery, Dr.
Scott Clemmens.
Look at this.
We have the prom king and queen power couple running this place.
Give them a hand.
Yes.
Ripped By mstoll