Miami Medical (2010) s01e10 Episode Script
Diver Down
Yeah, I did, man One of the spare tanks busted an O-ring.
Ah And Fixed the radio.
It was set to the wrong frequency.
You know what you are, Liv? Indispensable and in desperate need of a raise? Yeah.
And, Kevin, your playlist is making me mental.
What? It's Miami, baby.
Come on.
Love up the salsa, girlfriend.
You got some moves, girlfriend.
Come on.
All right, all right.
You got to keep on moving Easy, bulldog.
Let me get that.
It's all messed up.
You won't be able Handsome And handy.
Hmm.
Modest, too.
Those lumpy hotel pillows are killing my neck.
I think it's nerves, not the pillows.
Some people are new to wreck diving.
Same thing as a pool dive.
Yeah, only deeper and scarier.
All right, everyone.
Can I have everyone come around, please? Just a couple of quick reminders.
Uh, before we get in the water, let's do a buddy check.
And don't panic if you happen to see a shark down there.
All right, we've had a few sightings lately, but trust me, they're more scared of us.
I highly doubt that.
Also, always maintain visual contact, okay? Any questions? All right.
Let's hit the boat.
Here it comes ââ¢Âª Here it comes ââ¢Âª ââ¢Âª Here comes your 19th nervous breakdown.
ââ¢Âª Sorry, Tuck.
Not a problem, Dr.
Warren.
But don't we have some rule about texting in the halls? Don't remember.
Too busy coming up with witty banter.
And technically, I think we just might have crossed over into sexting.
Hmm.
How romantic.
Who's the guy? Same one from a couple weeks ago.
Yeah? What's his story? He's a fast typist.
Not a great speller.
We haven't actually met yet.
Hmm.
Who needs a real date when you can spend all day thumbing each other? We've got incoming, right? Dive accident off of Key Biscayne.
Sunken plane was part of an artificial reef.
Chopper's six minutes out.
Didn't something like that happen last year off the coast? Mm-hmm.
Hurricane Bill stirred everything up.
All those old wrecks are like matchstick houses.
Are we the closest hyperbaric facility? Try the only facility in South Florida and the Caribbean since St.
Joe's shut down.
I'm going to go give the chamber a heads-up.
You know you're actually blushing? What can I say? He gives good text.
The last turn was brutal.
Oh, come on.
I wasn't going that fast.
You made Danica Patrick look like my grandma.
You're welcome for driving 20 minutes out of my way to go pick you up.
I totally appreciate the ride, but friendly tip? South Florida still has a speed limit.
And a friendly tip to you is "Get a bike lock.
" And that's two stolen in what? Three months? No, no, no.
For the record, I had two titanium locks on it.
Must have been stolen by Superman.
He ripped the entire parking meter out.
Well, next time, try hiding Kryptonite under the seat.
Good morning, Dr.
Proctor.
Drive carefully.
Proctor always struck me as a brunette kind of guy.
Aw, why go brunette when you can go blonde? Less pressure.
More fun.
Well, apparently, you've been with the wrong brunettes.
Nice ride.
Good weekend? Not bad.
So New girlfriend? Old girlfriend? Not a friend.
That's cool.
Glad you approve.
Multiple incoming in less than three minutes.
Eva, you're on the helipad.
Chris you're with me.
If you're done with the Inquisition.
Brandon Free.
27-year-old male.
Forearm with impaled foreign body in arterial pumper.
BP's 90/50 with altered LOC.
Let's take him to Trauma 1 and hold pressure.
He's losing a lot of blood.
Tracy Herskope.
27-year-old female.
Multiple lacs with blunt facial trauma.
And acute epistaxis.
Patient was unconscious, but recovered en route.
Tracy, I'm Dr.
Warren.
This is our charge nurse.
Tuck Brody.
Where's Brandon? He's allergic to penicillin.
Where is he? Where? Tracy, Tracy, we're going to make sure we get all of Brandon's medical history.
But we need to focus on you right now.
Okay, call the dive company.
Find out if this was the first dive of the day.
How deep did they go? What were the conditions? That's good thinking.
Any of them surfaced too fast, we're dealing with the bends.
I need extra hands in here.
Chopper's coming in.
We got another red-band from the dive accident.
You take that.
I'll help Zambrano.
Got it.
Three! I couldn't find Brandon.
The whole wreck collapsed on us.
If it wasn't for our dive girl, Olivia, we both would have drowned.
Brandon, can you hear me? Brandon? Inflate to 250 to stop the bleeding.
Looks like this tore through the radial artery.
How's his BP? Not good.
70/30.
Bleeding has stopped.
Do you know what happened to your hand? Don't know.
Is Brandon here? Is he going to die? How long you two been together, Tracy? Me and Brandon? Three days short of forever.
He's losing a lot of blood.
No need for CT if we can't stop the blood loss.
I'll finish here and take him to CT.
Give me a suture tray and some four-by-fours.
How long you two been married? W-we're not married yet.
We've been engaged for six years.
High school sweethearts.
I have the rock, but I'm still waiting for the band.
Did you hear "amputation digit, left hand"? I'm going to kill that paramedic.
I didn't even feel anything.
How did I lose a finger? You were in shock.
I need to ask you a few questions to check for bends.
What? Decompression sickness from surfacing too quickly.
Do you have any itching or skin irritation? N-No.
What about numbness or stiffness? Oh, my neck, but it was like that before the accident.
I slept on it funny.
Okay, guys.
Tracy, we're going to talk to the paramedics who brought you in to see if your finger was recovered.
Oh, my God.
Right now, we're going to take you for a CT to rule out any brain injury.
Olivia Fox.
20-year-old female.
Pneumothorax and a broken humerus.
Tachy and hypotensive.
Okay.
One, two, three.
We were trapped.
Something slammed into my arm.
I felt it crack.
Worried about your breathing right now, Olivia.
Lung sounds diminished on the left side.
What's wrong with me? Give me a non-rebreather mask.
One of your lungs decided to take the day off, so We'll fix that right up for you, okay? This will help you breathe.
It feels like subcutaneous emphysema.
Emphysema? No.
Don't smoke.
Just fancy doctor talk for air bubbles under your skin.
Sounds worse than it really is.
Let's get a chest tube tray.
Can't afford.
No insurance.
First, we'll keep you alive.
Then we'll worry about your credit card bills.
Mine's a doozy this month.
Just hang in there, Olivia.
We're going to reinflate your lung.
You know, I always wanted to work on a dive boat.
How long you been doing that? Six months.
Huh.
I spent three on a fishing vessel before med school, teaching tourists that Oahu wasn't a Web site.
Trachea is shifting.
Give me a tube.
All right.
Hold on.
Hang tight, Olivia.
Hang tight.
Going to feel a pinch.
Better.
Thanks.
Oh, pleasure's all mine.
Recycle pressure and get a chest X ray.
And hold all calls from both our credit card companies.
In the meantime, who can I call for you? A family member or a friend? I'll be fine.
Thanks.
Uh, you should have somebody here, just in case.
You might want to give me your next of kin info.
I don't have anyone, okay? Yeah, okay.
Let's get a head-to-toe scan.
And keep an eye on that arm for me.
You got it.
So Exotic dancer or hooker? Ooh.
Is it my birthday? I'm talking about Proctor's chiquita.
Blonde in the vintage convertible.
So the guy's dating.
Big deal.
Uh.
Don't go all Brotherhood of the Traveling Pants on me now.
You have to admit she was quite the hottie.
Ah, she's not my type.
Small thorax.
What? The thorax.
Upper body.
Totally disproportional to the rest of her.
It's kind of freakish, actually.
You're kidding, right? No.
What? So I like a little symmetry.
Does that make me a bad guy? No.
It makes you a weird guy.
Come on.
It doesn't bother you that we know next to nothing about Proctor? I know he likes vintage Phish T-shirts from 1993, served in Kuwait, and he walked out on a private GI practice in Baltimore.
All right, so we got a little window into his past.
But as far as present-day Proctor? Nada, nunca, zilch.
Well, it seems to be exactly the way he likes it.
Dr.
Proctor, I thought I'd give you an update on the red-bands so far.
Eva's on the boyfriend with the arm impalement; last BP was normotensive.
Chris is on the dive instructor with the collapsed lung and no next of kin.
No next of kin? Her sats were high 90s post-chest tube.
And Serena's on the girlfriend with the head trauma and the missing finger.
We should be getting an update on the digit in the next 15 minutes.
Oh, and the vending machine in the back hall is jammed.
I'm either owed 85 cents or a bag of Funyuns.
Thanks for the update, Dr.
Proctor.
Kevin Brott, 30-year-old male, he's the dive master.
Light chest trauma with large abrasion.
Complaining of chest pain.
GCS was 15 in the field, vitals stable.
Okay, Kevin, I'm Dr.
Proctor.
Any medical history we should know about? No.
It looks like a bends rash.
Call down to the hyperbaric chamber.
Tell them we've got incoming.
Hey, Kleebus! Hey, Kleebus! How many fingers am I holding up? What? Fingers.
Five, right? Still five? Oh, God! Tracy Herskope! Next time you bring in a patient with less than five fingers, do me the favor of mentioning it in the bullet.
I forgot to write it up.
I was focused on her facial trauma.
I'm sorry.
Not as sorry as you're gonna be if you don't find me that finger.
But it's probably out in the middle of the bay! Then I hope to God you can swim.
You did great, Tracy.
As far as I can see, everything looks normal.
There's no bleeding in the brain, which is the most important thing.
Do you know how Brandon's doing? He's in great hands.
We're one of three trauma-only hospitals in the country.
And right now he's with our chief and two of our best surgeons getting worked on, okay? Okay.
My engagement ring.
It was their only family heirloom.
Belonged to Brandon's grandma.
You in pain? No, I just, um my back is stiff.
Press on my hand.
I feel really stiff.
Dr.
Proctor? Yeah? My finger amputation has bends symptoms: stiffness, muscle pain.
That makes two.
I just sent the dive master down to the hyperbaric chamber.
You're gonna have to go inside with them, Serena, so grab an Ambu bag and an ACLS box.
Monitor both patients, and watch for signs of worsening respiratory distress.
You're gonna have to be a one-person trauma team in case anything goes wrong.
I'm on it.
We'll go down fast to 60 feet, just like a real ocean dive.
Once the door is locked, how long before it opens up again? At maximum depth, 90 minutes.
Any quicker and you risk getting the bends yourself.
All your technology stays outside.
It's a fire hazard.
Any jewelry, piercings? Piercings I can't see? Sorry.
I have to ask.
Good to go? Yeah, I'm all set.
All right.
Have a good dive.
How does this work exactly? What? Oh.
Increased pressure Increased pressure shrinks any nitrogen bubbles.
Are you okay? I'm fine.
Uh, nitrogen, the-the The pressure shrinks the bubbles, and then your body can absorb them.
Dr.
Warren? Dr.
Warren? I'm fine.
Um, maybe Maybe a a little bit claustrophobic.
Can you Can you open up the door? I depressurize now, we could put the patients at risk.
Claustrophobia? It's nothing.
When I was ten, my stupid brother locked me in a trunk.
Haven't really thought about it since.
I just have to breathe through it.
I'm okay.
How's your joint stiffness? I feel like the Tin Man, but I don't think it's getting worse.
How's he doing? His vitals are good.
His rash doesn't appear to be spreading.
Symptoms should start to disappear within an hour.
Damn it! My phone! Patient? This guy we're texting.
New relationship, huh? Couple weeks old.
We haven't even gone on a date yet.
Taking it kinda slow 16-hour shifts don't help.
Ooh.
Okay.
What about you and Brandon? How did you guys meet? Getting mug shots at the police station.
We were volunteers at a special-needs school.
It was a child safety thing.
Always a letdown when you tell people the real story.
Did you guys set a date yet? May 16 for the last six years in a row.
Push on my palm again.
Stuff keeps getting in the way: his school, my work, life.
It's hard to make the big commitment, you know? Trust me.
I'm in a text-only relationship.
I know.
How'd he do on the scanner? Uh, good, but I need to get him to O.
R.
before his arm hemorrhages again.
That dressing won't last much longer.
No, but that will.
"Tracy.
" Classic error.
Never get a tattoo with someone's name.
Why, you make that mistake? Hell, no.
Last thing I need is bitter memories and a bad ink job.
I got one.
Big block letters.
Big block letters? Where am I? Where am I? Where am I? You're in the operating room, Brandon.
You were in an accident.
Where's Tracy? Where's? She's here.
She's here.
She's recovering in our hyperbaric chamber.
We're treating her for decompression sickness.
Decompression? She should be fine.
But you need surgery to repair your radial artery.
No, I want to see Tracy.
We can do that for you.
We're set up like NASA here, eyes everywhere.
Oh, my God, look at her.
She's got to be terrified.
Brandon, we don't have much time to save your arm.
Tracy Hoya Saxa.
Can she hear me? No.
Sorry, no sound.
Tell Tracy I said, "Hoya Saxa.
" College chant.
My pneumo, Olivia Fox? Chest X rays didn't look too bad, but her lung's only partially reexpanded.
Excuse me, Dr.
Matthew Proctor? Yeah.
I'm here with your delivery.
How long will this take? Five minutes.
I'll give you two.
Check the Thora-Seal for a leak on your pneumo.
Got the insurance info on your patient Olivia.
Insurance? She said she wasn't covered.
Says there she's a dependent under her mom's plan-- Nicole Fox.
And this is up-to-date? Checked it twice like Santa.
Need help in here! It's Olivia.
Give me two migs of lorazepam.
How'd she end up on the floor? We got her stabilized, and she insisted on leaving.
All right, let's get another chest tube tray.
Call for a head CT.
Let's figure out why she seized.
Maybe it's genetic.
I'll check her family history.
From the family she won't acknowledge she has.
You okay? Patient lying to me.
I can't figure out why.
How'd your arm surgery on the boyfriend go? Uh, I got all the metal out.
Radial artery's holding up.
Have any bends symptoms? None so far.
So big block letters? How'd you hear about that? Oh, please.
Graceffa and the nurses were all atwitter.
I'm just disappointed In three years that we've worked together that Mm-hmm? that I haven't discovered it myself.
Hmm.
Admit it.
It says, "Chris," doesn't it? I'm not telling.
Well, it's not an old relationship.
I mean, you're-you're too much the lone wolfette.
Not a college logo.
You're not the rah-rah, sis-boom-bah type.
Which leaves family? I will neither confirm or deny.
Come on! Spill! What is it? It's a favorite cousin or a rich uncle.
My mother.
See, that's it's sweet.
What was her name? Guadalupe.
Ouch.
Yeah.
Couldn't lie down for a week.
How you doing? What happened? Where am I? Hyperbaric chamber.
I got the bends, huh? Well, we caught it early, and you seem to be doing much better.
My dive group, did they? All okay so far.
But we're not out of the woods yet.
Been on that-that dive a hundred times.
I even looked up the safety rating a few weeks ago.
Most people who come into Trauma wear their seat belts; they take their vitamins; they floss; they pay their taxes on time.
It's anyone at any time.
Even the careful ones.
Thanks.
Tracy, you all right? Oh, oh.
Hey, hey, hey.
Tracy? Oh, God.
H-Help me.
Please! Tracy, look at me.
Look at me.
Tracy? Hang on! How long before the pressure comes down? 42 minutes till we can open the chamber.
How's your patient? Altered and confused.
She's warm; body spasms are getting worse.
But if it was the bends She'd be improving by now.
So do a funduscopic exam.
Yeah.
How's he doing? His rash is resolving.
Mental status is back to baseline.
Tracy, I'm gonna look into the back of your eyes to check the pressure in your brain, okay? Okay.
Optic discs are sharp.
Doesn't appear to be increased pressure.
She can't breathe.
I need sedation and a tray.
It's not in the kit.
Use a bag valve mask for now.
Two migs of lorazepam and an intubation tray.
Can I do anything to help? Grab anything? Yeah, yeah.
Uh, grab the grab the mask out of the kit.
Okay.
Thank you.
Tracy, I'm gonna help you breathe, okay? Okay? It's ripped! Come here.
Pardon my reach.
Sorry.
Okay.
I've got a good seal.
Tracy, I'm gonna help your breathing.
Hold this for me.
Okay.
Got it.
Got it.
Okay, Tracy, you are doing great.
Okay.
Just keep relaxing.
Okay.
All right.
Throat spasms are resolving.
Breathing's going back to normal.
Good, she's stabilizing.
We don't need to intubate.
Page Zambrano and Dr.
Deleo and tell them to meet me out front.
Going somewhere? Not exactly.
Repetitive motion stimulates the brain.
Gets the neurons firing.
Clears the mind, right, being outdoors? So what presents like the bends, but deteriorates with worsening respiratory and mental status? Can I remind you that Tracy Herskope is getting worse inside the chamber.
Uh what about a delayed bleed? No.
Head CT is clear.
Funduscopic exam is normal.
She's got abdominal cramps and body pain as well.
Uh, some type of vasculitis? You check her sed rate? No.
But there's no rash.
They were in the Bahamas before they came to Miami, right? What if, uh, w-what if she got malaria from a mosquito bite? No, you can only contract malaria from one of the, uh, remote outer islands.
And they were in Nassau.
What about rabies? I read this case a few years back.
A tourist got bitten by a rabid dog.
Or they were at a crowded bar, sharing shots of tequila and the glasses weren't cleaned properly.
That's a pretty good way to pick up hepatitis or meningitis.
So it's, uh Cujo on the one hand or meningitis on the other.
Uh, it's meningitis.
I'll get Warren to do a spinal tap.
My pneumo's awake.
Yeah, and I got to follow up on Brandon.
Radial artery laceration.
He's coming out of anesthesia.
Go.
Do.
I got it! I got it! I got it.
Is that what I think it is? I went through every trash can, Dumpster and laundry bag in Trauma.
It was caught in the gear they cut off the dive master.
You found Tracy's finger.
Doghouse to penthouse, my man.
What were we waiting for? Sorry? Brandon and I.
Figured we had all the time in the world, and now I'm g-gonna die.
No, no, no.
Tracy? Tracy, look at me.
You are not going to die.
"Hoya Saxa.
" Dr.
Zambrano said Brandon wanted to give you a message.
Hoya Saxa.
He still makes me laugh.
How's she doing in there? She's burning up.
How long till we can open the door? 20 minutes and counting.
Serena, you're gonna have to do a spinal tap to check for meningitis.
Isn't that contagious? Don't worry.
If she's positive, we'll both get on antibiotics right away.
Got the tap kit.
Okay.
Hey, Brandon.
Welcome back.
Your surgery went well.
We repaired the artery in your arm and got all the metal debris out.
Hopefully, there's no nerve damage, but we'll have a better sense in a day or two.
And Tracy, is she? She's critical.
But we no longer believe it's the bends, so She may have contracted meningitis.
How did she? We weren't around anyone who was sick.
Well, there's, uh, lots of ways you can get it.
Airborne particles, a dirty glass.
She's being treated, but we have to be prepared in case things worsen.
What do you mean? I'm gonna need some next-of-kin information.
If she has to go on a respirator or Other big decisions have to be made.
I'm here.
I can help with that.
Technically, we have to speak to a family member or spouse.
I'm her fiancé.
I'm sorry, Brandon, but that doesn't give you any legal standing.
We've been together since we were 18.
She would want me to make any decisions.
I know that.
And you know that.
But I have to follow the law.
I know.
It's unfair.
I'm sorry.
How's your pneumo doing? Stable now.
Trying to figure out what caused the seizure.
Isn't that? Ooh.
Proctor's girlfriend.
That pouch-- bricks of cash.
Maybe 50K.
Really? Yeah.
I'm thinking hooker.
Oh, for that kind of cash, doubtful.
Maybe she's got a few moves you don't know about.
Highly doubtful.
I saw the muscle drop it off earlier.
Big guy, dark suit, the whole deal.
I'll bet she's his bookie.
Or his illegitimate daughter.
Or his mistress.
Don't you have to be married to have a mistress? Who says he's not? Okay, runaway train.
Oh.
There it is.
There's my answer.
Got the answer to the seizure.
CT shows diffused microhemorrhages.
They're tiny areas of bleeding on your brain.
My brain? Yeah.
Could you guys give us a second? Sometimes, uh, a bad fracture can release fat particles into your bloodstream, and that works its way up into the brain.
Now, I can treat that, but I need you to be straight with me.
I don't understand.
Normally, I go with the toothy smile and the head tilt to the side to get what I want, but you've almost died on me a couple times.
So I need to know, why are you lying about not having any next of kin? I'm I'm not I'm not in Miami.
Okay.
So where are you? I'm in Atlanta, and I'm finishing college and applying to law school.
Or at least that's what my mother thinks.
It's her plan for my life.
Oh.
And working on the dive boat? That's my plan.
I want to go back to school-- just not right now.
I tried to call her a dozen times to tell her, but there are no highly successful dive masters in the Fox family.
Yeah, well, see, I have the opposite problem.
There's no highly successful trauma surgeons in the Deleo family.
There's no highly successful anything.
Look, you need to have somebody here for you.
And I need to know things that your parents might know that you don't.
Did you have a febrile seizure as a baby? Are there any genetic anomalies within your family? So now, I give you the toothy smile and the head tilt to the side, and I tell you that there is no time like the present to level with Mom.
How How do I even start? You start by dialing.
She needs to stay perfectly still.
Feel for the space at L-4.
Okay, Tracy, I'm gonna numb you up.
You might feel a little poke.
Can you hold her in the fetal position? Put your arm here and here.
Yeah.
Just hold her? All right.
I'm going in with the needle.
Try not to move.
Okay.
Worst part's over.
We're almost done.
You're doing great.
Okay.
All right.
You can roll her back over.
Fluid looks clear.
What is this? What's happening to her? I'll tell you what it's not.
It's not meningitis.
It's okay.
Okay, we're clear to open the chamber.
Here's ten milligrams of diazepam.
We've got to control her muscle spasms.
What if I hit the spinal cord? It wasn't you.
Give me a tongue depressor.
How can you be sure? Tracy, open your mouth and stick out your tongue.
She didn't gag.
It's tetanus.
It's very rare.
Symptoms overlap with the bends and meningitis.
We haven't got much time.
Do you have any idea what the source is? I didn't en any evidence of skin infection on her primary exam.
Right, let's get her to the O.
R.
Get her intubated and start her on a versed drip.
And get the antibiotics going.
Talk to the fiancé.
Did she step on a nail, get a cut? Just figure out how she got infected.
Tetanus? I don't Can't you just give her a tetanus shot? That's a vaccine to prevent it.
She's already infected.
If we can find the source, we can improve her prognosis.
I don't I didn't notice any cuts or anything like that.
How long have you had that tattoo? About two weeks.
I got it when we were in the Bahamas.
We both did.
Where's Tracy's? It was hidden under her hair the whole time.
Looks like it's down to the fascia.
So how much do we need to debride? About two centimeters of healthy tissue from around the wound margin.
Good.
So how's our real bends patient doing? The chamber did its job.
Kevin is symptom-free.
Should be released tomorrow.
You did well today.
Especially considering your problem.
Your claustrophobia.
Didn't even occur to me when I was going into the chamber.
Would you have mentioned it if it had? Probably not.
Bravado is the mark of a good surgeon.
But, uh Is there anything else I need to be concerned about? Full disclosure? Mm-hmm.
I'm afraid of lobsters, vampires and being buried alive.
It's good to know.
All right, take a few deep breaths for me.
And again.
Go ahead and lay back.
How are you feeling? Short of breath, jittery.
Yeah, that's from the, uh, it's from the steroids.
It'll pass.
But at least it looks like our our diagnosis was right.
Have you, uh, have you heard back from Mom? I left two more messages.
Rambled on about everything and probably just made it worse.
At least she knows the truth.
It's been seven hours with no response.
She always calls right back.
And it's not like she goes out after work or anything.
There's not that much going on in St.
Pete.
I think I have been formally dis Olivia.
Oh, my God.
Mom? I got your message.
I jumped in the car.
I'm so sorry, Mom.
It's all right.
I'm just glad you're okay.
We were able to remove all the infected tissue from around the tattoo, but, um, I'm afraid full recovery is going to take quite a while.
You won't be back to normal for two to four months.
Also, the paramedics were able to recover your finger.
Unfortunately, it wasn't viable.
So we're bringing in our best prosthetic specialist.
So this is really permanent? The important thing is that you're alive.
Both of you.
She's right, Trace.
This whole thing made me realize I don't ever want to feel like I can't be there for you.
I don't want to wait anymore.
No more putting it off.
The paramedic found something else, too.
Brandon.
Your grandma's ring.
I don't want to be a superstar I just want to be me And to show you who I really am Is anyone sitting here? I'm no mystery Oh, sorry, I'm I'm meeting my date.
I just want to be me Here he is.
Let me show you who I really am So I'm no mystery I don't want to be a superstar I know it's hard to believe I'm just a girl standing here Hi.
What do you say, sushi and merengue? Hey, coming in for a drink? Uh, no, I'm waiting for my ride.
Huh.
And here she comes.
Look who's back.
Uh-huh.
Hi.
Hey.
This is Jennifer.
Jennifer Huelskamp.
Nice to meet you.
Nice to meet you.
Hey.
Hey.
Served with her dad in Kuwait.
Hmm.
Jennifer was kind enough to drop off my new car for me.
Dad's gonna miss this.
Enjoy.
See ya.
Your new car.
It's not just any ol' car.
It's a 1961 Austin-Healey 3000.
And I've waited 20 years to buy this beauty, and today is the day.
See ya, kids.
I won't waste it I won't waste my love on a nation I won't waste it
Ah And Fixed the radio.
It was set to the wrong frequency.
You know what you are, Liv? Indispensable and in desperate need of a raise? Yeah.
And, Kevin, your playlist is making me mental.
What? It's Miami, baby.
Come on.
Love up the salsa, girlfriend.
You got some moves, girlfriend.
Come on.
All right, all right.
You got to keep on moving Easy, bulldog.
Let me get that.
It's all messed up.
You won't be able Handsome And handy.
Hmm.
Modest, too.
Those lumpy hotel pillows are killing my neck.
I think it's nerves, not the pillows.
Some people are new to wreck diving.
Same thing as a pool dive.
Yeah, only deeper and scarier.
All right, everyone.
Can I have everyone come around, please? Just a couple of quick reminders.
Uh, before we get in the water, let's do a buddy check.
And don't panic if you happen to see a shark down there.
All right, we've had a few sightings lately, but trust me, they're more scared of us.
I highly doubt that.
Also, always maintain visual contact, okay? Any questions? All right.
Let's hit the boat.
Here it comes ââ¢Âª Here it comes ââ¢Âª ââ¢Âª Here comes your 19th nervous breakdown.
ââ¢Âª Sorry, Tuck.
Not a problem, Dr.
Warren.
But don't we have some rule about texting in the halls? Don't remember.
Too busy coming up with witty banter.
And technically, I think we just might have crossed over into sexting.
Hmm.
How romantic.
Who's the guy? Same one from a couple weeks ago.
Yeah? What's his story? He's a fast typist.
Not a great speller.
We haven't actually met yet.
Hmm.
Who needs a real date when you can spend all day thumbing each other? We've got incoming, right? Dive accident off of Key Biscayne.
Sunken plane was part of an artificial reef.
Chopper's six minutes out.
Didn't something like that happen last year off the coast? Mm-hmm.
Hurricane Bill stirred everything up.
All those old wrecks are like matchstick houses.
Are we the closest hyperbaric facility? Try the only facility in South Florida and the Caribbean since St.
Joe's shut down.
I'm going to go give the chamber a heads-up.
You know you're actually blushing? What can I say? He gives good text.
The last turn was brutal.
Oh, come on.
I wasn't going that fast.
You made Danica Patrick look like my grandma.
You're welcome for driving 20 minutes out of my way to go pick you up.
I totally appreciate the ride, but friendly tip? South Florida still has a speed limit.
And a friendly tip to you is "Get a bike lock.
" And that's two stolen in what? Three months? No, no, no.
For the record, I had two titanium locks on it.
Must have been stolen by Superman.
He ripped the entire parking meter out.
Well, next time, try hiding Kryptonite under the seat.
Good morning, Dr.
Proctor.
Drive carefully.
Proctor always struck me as a brunette kind of guy.
Aw, why go brunette when you can go blonde? Less pressure.
More fun.
Well, apparently, you've been with the wrong brunettes.
Nice ride.
Good weekend? Not bad.
So New girlfriend? Old girlfriend? Not a friend.
That's cool.
Glad you approve.
Multiple incoming in less than three minutes.
Eva, you're on the helipad.
Chris you're with me.
If you're done with the Inquisition.
Brandon Free.
27-year-old male.
Forearm with impaled foreign body in arterial pumper.
BP's 90/50 with altered LOC.
Let's take him to Trauma 1 and hold pressure.
He's losing a lot of blood.
Tracy Herskope.
27-year-old female.
Multiple lacs with blunt facial trauma.
And acute epistaxis.
Patient was unconscious, but recovered en route.
Tracy, I'm Dr.
Warren.
This is our charge nurse.
Tuck Brody.
Where's Brandon? He's allergic to penicillin.
Where is he? Where? Tracy, Tracy, we're going to make sure we get all of Brandon's medical history.
But we need to focus on you right now.
Okay, call the dive company.
Find out if this was the first dive of the day.
How deep did they go? What were the conditions? That's good thinking.
Any of them surfaced too fast, we're dealing with the bends.
I need extra hands in here.
Chopper's coming in.
We got another red-band from the dive accident.
You take that.
I'll help Zambrano.
Got it.
Three! I couldn't find Brandon.
The whole wreck collapsed on us.
If it wasn't for our dive girl, Olivia, we both would have drowned.
Brandon, can you hear me? Brandon? Inflate to 250 to stop the bleeding.
Looks like this tore through the radial artery.
How's his BP? Not good.
70/30.
Bleeding has stopped.
Do you know what happened to your hand? Don't know.
Is Brandon here? Is he going to die? How long you two been together, Tracy? Me and Brandon? Three days short of forever.
He's losing a lot of blood.
No need for CT if we can't stop the blood loss.
I'll finish here and take him to CT.
Give me a suture tray and some four-by-fours.
How long you two been married? W-we're not married yet.
We've been engaged for six years.
High school sweethearts.
I have the rock, but I'm still waiting for the band.
Did you hear "amputation digit, left hand"? I'm going to kill that paramedic.
I didn't even feel anything.
How did I lose a finger? You were in shock.
I need to ask you a few questions to check for bends.
What? Decompression sickness from surfacing too quickly.
Do you have any itching or skin irritation? N-No.
What about numbness or stiffness? Oh, my neck, but it was like that before the accident.
I slept on it funny.
Okay, guys.
Tracy, we're going to talk to the paramedics who brought you in to see if your finger was recovered.
Oh, my God.
Right now, we're going to take you for a CT to rule out any brain injury.
Olivia Fox.
20-year-old female.
Pneumothorax and a broken humerus.
Tachy and hypotensive.
Okay.
One, two, three.
We were trapped.
Something slammed into my arm.
I felt it crack.
Worried about your breathing right now, Olivia.
Lung sounds diminished on the left side.
What's wrong with me? Give me a non-rebreather mask.
One of your lungs decided to take the day off, so We'll fix that right up for you, okay? This will help you breathe.
It feels like subcutaneous emphysema.
Emphysema? No.
Don't smoke.
Just fancy doctor talk for air bubbles under your skin.
Sounds worse than it really is.
Let's get a chest tube tray.
Can't afford.
No insurance.
First, we'll keep you alive.
Then we'll worry about your credit card bills.
Mine's a doozy this month.
Just hang in there, Olivia.
We're going to reinflate your lung.
You know, I always wanted to work on a dive boat.
How long you been doing that? Six months.
Huh.
I spent three on a fishing vessel before med school, teaching tourists that Oahu wasn't a Web site.
Trachea is shifting.
Give me a tube.
All right.
Hold on.
Hang tight, Olivia.
Hang tight.
Going to feel a pinch.
Better.
Thanks.
Oh, pleasure's all mine.
Recycle pressure and get a chest X ray.
And hold all calls from both our credit card companies.
In the meantime, who can I call for you? A family member or a friend? I'll be fine.
Thanks.
Uh, you should have somebody here, just in case.
You might want to give me your next of kin info.
I don't have anyone, okay? Yeah, okay.
Let's get a head-to-toe scan.
And keep an eye on that arm for me.
You got it.
So Exotic dancer or hooker? Ooh.
Is it my birthday? I'm talking about Proctor's chiquita.
Blonde in the vintage convertible.
So the guy's dating.
Big deal.
Uh.
Don't go all Brotherhood of the Traveling Pants on me now.
You have to admit she was quite the hottie.
Ah, she's not my type.
Small thorax.
What? The thorax.
Upper body.
Totally disproportional to the rest of her.
It's kind of freakish, actually.
You're kidding, right? No.
What? So I like a little symmetry.
Does that make me a bad guy? No.
It makes you a weird guy.
Come on.
It doesn't bother you that we know next to nothing about Proctor? I know he likes vintage Phish T-shirts from 1993, served in Kuwait, and he walked out on a private GI practice in Baltimore.
All right, so we got a little window into his past.
But as far as present-day Proctor? Nada, nunca, zilch.
Well, it seems to be exactly the way he likes it.
Dr.
Proctor, I thought I'd give you an update on the red-bands so far.
Eva's on the boyfriend with the arm impalement; last BP was normotensive.
Chris is on the dive instructor with the collapsed lung and no next of kin.
No next of kin? Her sats were high 90s post-chest tube.
And Serena's on the girlfriend with the head trauma and the missing finger.
We should be getting an update on the digit in the next 15 minutes.
Oh, and the vending machine in the back hall is jammed.
I'm either owed 85 cents or a bag of Funyuns.
Thanks for the update, Dr.
Proctor.
Kevin Brott, 30-year-old male, he's the dive master.
Light chest trauma with large abrasion.
Complaining of chest pain.
GCS was 15 in the field, vitals stable.
Okay, Kevin, I'm Dr.
Proctor.
Any medical history we should know about? No.
It looks like a bends rash.
Call down to the hyperbaric chamber.
Tell them we've got incoming.
Hey, Kleebus! Hey, Kleebus! How many fingers am I holding up? What? Fingers.
Five, right? Still five? Oh, God! Tracy Herskope! Next time you bring in a patient with less than five fingers, do me the favor of mentioning it in the bullet.
I forgot to write it up.
I was focused on her facial trauma.
I'm sorry.
Not as sorry as you're gonna be if you don't find me that finger.
But it's probably out in the middle of the bay! Then I hope to God you can swim.
You did great, Tracy.
As far as I can see, everything looks normal.
There's no bleeding in the brain, which is the most important thing.
Do you know how Brandon's doing? He's in great hands.
We're one of three trauma-only hospitals in the country.
And right now he's with our chief and two of our best surgeons getting worked on, okay? Okay.
My engagement ring.
It was their only family heirloom.
Belonged to Brandon's grandma.
You in pain? No, I just, um my back is stiff.
Press on my hand.
I feel really stiff.
Dr.
Proctor? Yeah? My finger amputation has bends symptoms: stiffness, muscle pain.
That makes two.
I just sent the dive master down to the hyperbaric chamber.
You're gonna have to go inside with them, Serena, so grab an Ambu bag and an ACLS box.
Monitor both patients, and watch for signs of worsening respiratory distress.
You're gonna have to be a one-person trauma team in case anything goes wrong.
I'm on it.
We'll go down fast to 60 feet, just like a real ocean dive.
Once the door is locked, how long before it opens up again? At maximum depth, 90 minutes.
Any quicker and you risk getting the bends yourself.
All your technology stays outside.
It's a fire hazard.
Any jewelry, piercings? Piercings I can't see? Sorry.
I have to ask.
Good to go? Yeah, I'm all set.
All right.
Have a good dive.
How does this work exactly? What? Oh.
Increased pressure Increased pressure shrinks any nitrogen bubbles.
Are you okay? I'm fine.
Uh, nitrogen, the-the The pressure shrinks the bubbles, and then your body can absorb them.
Dr.
Warren? Dr.
Warren? I'm fine.
Um, maybe Maybe a a little bit claustrophobic.
Can you Can you open up the door? I depressurize now, we could put the patients at risk.
Claustrophobia? It's nothing.
When I was ten, my stupid brother locked me in a trunk.
Haven't really thought about it since.
I just have to breathe through it.
I'm okay.
How's your joint stiffness? I feel like the Tin Man, but I don't think it's getting worse.
How's he doing? His vitals are good.
His rash doesn't appear to be spreading.
Symptoms should start to disappear within an hour.
Damn it! My phone! Patient? This guy we're texting.
New relationship, huh? Couple weeks old.
We haven't even gone on a date yet.
Taking it kinda slow 16-hour shifts don't help.
Ooh.
Okay.
What about you and Brandon? How did you guys meet? Getting mug shots at the police station.
We were volunteers at a special-needs school.
It was a child safety thing.
Always a letdown when you tell people the real story.
Did you guys set a date yet? May 16 for the last six years in a row.
Push on my palm again.
Stuff keeps getting in the way: his school, my work, life.
It's hard to make the big commitment, you know? Trust me.
I'm in a text-only relationship.
I know.
How'd he do on the scanner? Uh, good, but I need to get him to O.
R.
before his arm hemorrhages again.
That dressing won't last much longer.
No, but that will.
"Tracy.
" Classic error.
Never get a tattoo with someone's name.
Why, you make that mistake? Hell, no.
Last thing I need is bitter memories and a bad ink job.
I got one.
Big block letters.
Big block letters? Where am I? Where am I? Where am I? You're in the operating room, Brandon.
You were in an accident.
Where's Tracy? Where's? She's here.
She's here.
She's recovering in our hyperbaric chamber.
We're treating her for decompression sickness.
Decompression? She should be fine.
But you need surgery to repair your radial artery.
No, I want to see Tracy.
We can do that for you.
We're set up like NASA here, eyes everywhere.
Oh, my God, look at her.
She's got to be terrified.
Brandon, we don't have much time to save your arm.
Tracy Hoya Saxa.
Can she hear me? No.
Sorry, no sound.
Tell Tracy I said, "Hoya Saxa.
" College chant.
My pneumo, Olivia Fox? Chest X rays didn't look too bad, but her lung's only partially reexpanded.
Excuse me, Dr.
Matthew Proctor? Yeah.
I'm here with your delivery.
How long will this take? Five minutes.
I'll give you two.
Check the Thora-Seal for a leak on your pneumo.
Got the insurance info on your patient Olivia.
Insurance? She said she wasn't covered.
Says there she's a dependent under her mom's plan-- Nicole Fox.
And this is up-to-date? Checked it twice like Santa.
Need help in here! It's Olivia.
Give me two migs of lorazepam.
How'd she end up on the floor? We got her stabilized, and she insisted on leaving.
All right, let's get another chest tube tray.
Call for a head CT.
Let's figure out why she seized.
Maybe it's genetic.
I'll check her family history.
From the family she won't acknowledge she has.
You okay? Patient lying to me.
I can't figure out why.
How'd your arm surgery on the boyfriend go? Uh, I got all the metal out.
Radial artery's holding up.
Have any bends symptoms? None so far.
So big block letters? How'd you hear about that? Oh, please.
Graceffa and the nurses were all atwitter.
I'm just disappointed In three years that we've worked together that Mm-hmm? that I haven't discovered it myself.
Hmm.
Admit it.
It says, "Chris," doesn't it? I'm not telling.
Well, it's not an old relationship.
I mean, you're-you're too much the lone wolfette.
Not a college logo.
You're not the rah-rah, sis-boom-bah type.
Which leaves family? I will neither confirm or deny.
Come on! Spill! What is it? It's a favorite cousin or a rich uncle.
My mother.
See, that's it's sweet.
What was her name? Guadalupe.
Ouch.
Yeah.
Couldn't lie down for a week.
How you doing? What happened? Where am I? Hyperbaric chamber.
I got the bends, huh? Well, we caught it early, and you seem to be doing much better.
My dive group, did they? All okay so far.
But we're not out of the woods yet.
Been on that-that dive a hundred times.
I even looked up the safety rating a few weeks ago.
Most people who come into Trauma wear their seat belts; they take their vitamins; they floss; they pay their taxes on time.
It's anyone at any time.
Even the careful ones.
Thanks.
Tracy, you all right? Oh, oh.
Hey, hey, hey.
Tracy? Oh, God.
H-Help me.
Please! Tracy, look at me.
Look at me.
Tracy? Hang on! How long before the pressure comes down? 42 minutes till we can open the chamber.
How's your patient? Altered and confused.
She's warm; body spasms are getting worse.
But if it was the bends She'd be improving by now.
So do a funduscopic exam.
Yeah.
How's he doing? His rash is resolving.
Mental status is back to baseline.
Tracy, I'm gonna look into the back of your eyes to check the pressure in your brain, okay? Okay.
Optic discs are sharp.
Doesn't appear to be increased pressure.
She can't breathe.
I need sedation and a tray.
It's not in the kit.
Use a bag valve mask for now.
Two migs of lorazepam and an intubation tray.
Can I do anything to help? Grab anything? Yeah, yeah.
Uh, grab the grab the mask out of the kit.
Okay.
Thank you.
Tracy, I'm gonna help you breathe, okay? Okay? It's ripped! Come here.
Pardon my reach.
Sorry.
Okay.
I've got a good seal.
Tracy, I'm gonna help your breathing.
Hold this for me.
Okay.
Got it.
Got it.
Okay, Tracy, you are doing great.
Okay.
Just keep relaxing.
Okay.
All right.
Throat spasms are resolving.
Breathing's going back to normal.
Good, she's stabilizing.
We don't need to intubate.
Page Zambrano and Dr.
Deleo and tell them to meet me out front.
Going somewhere? Not exactly.
Repetitive motion stimulates the brain.
Gets the neurons firing.
Clears the mind, right, being outdoors? So what presents like the bends, but deteriorates with worsening respiratory and mental status? Can I remind you that Tracy Herskope is getting worse inside the chamber.
Uh what about a delayed bleed? No.
Head CT is clear.
Funduscopic exam is normal.
She's got abdominal cramps and body pain as well.
Uh, some type of vasculitis? You check her sed rate? No.
But there's no rash.
They were in the Bahamas before they came to Miami, right? What if, uh, w-what if she got malaria from a mosquito bite? No, you can only contract malaria from one of the, uh, remote outer islands.
And they were in Nassau.
What about rabies? I read this case a few years back.
A tourist got bitten by a rabid dog.
Or they were at a crowded bar, sharing shots of tequila and the glasses weren't cleaned properly.
That's a pretty good way to pick up hepatitis or meningitis.
So it's, uh Cujo on the one hand or meningitis on the other.
Uh, it's meningitis.
I'll get Warren to do a spinal tap.
My pneumo's awake.
Yeah, and I got to follow up on Brandon.
Radial artery laceration.
He's coming out of anesthesia.
Go.
Do.
I got it! I got it! I got it.
Is that what I think it is? I went through every trash can, Dumpster and laundry bag in Trauma.
It was caught in the gear they cut off the dive master.
You found Tracy's finger.
Doghouse to penthouse, my man.
What were we waiting for? Sorry? Brandon and I.
Figured we had all the time in the world, and now I'm g-gonna die.
No, no, no.
Tracy? Tracy, look at me.
You are not going to die.
"Hoya Saxa.
" Dr.
Zambrano said Brandon wanted to give you a message.
Hoya Saxa.
He still makes me laugh.
How's she doing in there? She's burning up.
How long till we can open the door? 20 minutes and counting.
Serena, you're gonna have to do a spinal tap to check for meningitis.
Isn't that contagious? Don't worry.
If she's positive, we'll both get on antibiotics right away.
Got the tap kit.
Okay.
Hey, Brandon.
Welcome back.
Your surgery went well.
We repaired the artery in your arm and got all the metal debris out.
Hopefully, there's no nerve damage, but we'll have a better sense in a day or two.
And Tracy, is she? She's critical.
But we no longer believe it's the bends, so She may have contracted meningitis.
How did she? We weren't around anyone who was sick.
Well, there's, uh, lots of ways you can get it.
Airborne particles, a dirty glass.
She's being treated, but we have to be prepared in case things worsen.
What do you mean? I'm gonna need some next-of-kin information.
If she has to go on a respirator or Other big decisions have to be made.
I'm here.
I can help with that.
Technically, we have to speak to a family member or spouse.
I'm her fiancé.
I'm sorry, Brandon, but that doesn't give you any legal standing.
We've been together since we were 18.
She would want me to make any decisions.
I know that.
And you know that.
But I have to follow the law.
I know.
It's unfair.
I'm sorry.
How's your pneumo doing? Stable now.
Trying to figure out what caused the seizure.
Isn't that? Ooh.
Proctor's girlfriend.
That pouch-- bricks of cash.
Maybe 50K.
Really? Yeah.
I'm thinking hooker.
Oh, for that kind of cash, doubtful.
Maybe she's got a few moves you don't know about.
Highly doubtful.
I saw the muscle drop it off earlier.
Big guy, dark suit, the whole deal.
I'll bet she's his bookie.
Or his illegitimate daughter.
Or his mistress.
Don't you have to be married to have a mistress? Who says he's not? Okay, runaway train.
Oh.
There it is.
There's my answer.
Got the answer to the seizure.
CT shows diffused microhemorrhages.
They're tiny areas of bleeding on your brain.
My brain? Yeah.
Could you guys give us a second? Sometimes, uh, a bad fracture can release fat particles into your bloodstream, and that works its way up into the brain.
Now, I can treat that, but I need you to be straight with me.
I don't understand.
Normally, I go with the toothy smile and the head tilt to the side to get what I want, but you've almost died on me a couple times.
So I need to know, why are you lying about not having any next of kin? I'm I'm not I'm not in Miami.
Okay.
So where are you? I'm in Atlanta, and I'm finishing college and applying to law school.
Or at least that's what my mother thinks.
It's her plan for my life.
Oh.
And working on the dive boat? That's my plan.
I want to go back to school-- just not right now.
I tried to call her a dozen times to tell her, but there are no highly successful dive masters in the Fox family.
Yeah, well, see, I have the opposite problem.
There's no highly successful trauma surgeons in the Deleo family.
There's no highly successful anything.
Look, you need to have somebody here for you.
And I need to know things that your parents might know that you don't.
Did you have a febrile seizure as a baby? Are there any genetic anomalies within your family? So now, I give you the toothy smile and the head tilt to the side, and I tell you that there is no time like the present to level with Mom.
How How do I even start? You start by dialing.
She needs to stay perfectly still.
Feel for the space at L-4.
Okay, Tracy, I'm gonna numb you up.
You might feel a little poke.
Can you hold her in the fetal position? Put your arm here and here.
Yeah.
Just hold her? All right.
I'm going in with the needle.
Try not to move.
Okay.
Worst part's over.
We're almost done.
You're doing great.
Okay.
All right.
You can roll her back over.
Fluid looks clear.
What is this? What's happening to her? I'll tell you what it's not.
It's not meningitis.
It's okay.
Okay, we're clear to open the chamber.
Here's ten milligrams of diazepam.
We've got to control her muscle spasms.
What if I hit the spinal cord? It wasn't you.
Give me a tongue depressor.
How can you be sure? Tracy, open your mouth and stick out your tongue.
She didn't gag.
It's tetanus.
It's very rare.
Symptoms overlap with the bends and meningitis.
We haven't got much time.
Do you have any idea what the source is? I didn't en any evidence of skin infection on her primary exam.
Right, let's get her to the O.
R.
Get her intubated and start her on a versed drip.
And get the antibiotics going.
Talk to the fiancé.
Did she step on a nail, get a cut? Just figure out how she got infected.
Tetanus? I don't Can't you just give her a tetanus shot? That's a vaccine to prevent it.
She's already infected.
If we can find the source, we can improve her prognosis.
I don't I didn't notice any cuts or anything like that.
How long have you had that tattoo? About two weeks.
I got it when we were in the Bahamas.
We both did.
Where's Tracy's? It was hidden under her hair the whole time.
Looks like it's down to the fascia.
So how much do we need to debride? About two centimeters of healthy tissue from around the wound margin.
Good.
So how's our real bends patient doing? The chamber did its job.
Kevin is symptom-free.
Should be released tomorrow.
You did well today.
Especially considering your problem.
Your claustrophobia.
Didn't even occur to me when I was going into the chamber.
Would you have mentioned it if it had? Probably not.
Bravado is the mark of a good surgeon.
But, uh Is there anything else I need to be concerned about? Full disclosure? Mm-hmm.
I'm afraid of lobsters, vampires and being buried alive.
It's good to know.
All right, take a few deep breaths for me.
And again.
Go ahead and lay back.
How are you feeling? Short of breath, jittery.
Yeah, that's from the, uh, it's from the steroids.
It'll pass.
But at least it looks like our our diagnosis was right.
Have you, uh, have you heard back from Mom? I left two more messages.
Rambled on about everything and probably just made it worse.
At least she knows the truth.
It's been seven hours with no response.
She always calls right back.
And it's not like she goes out after work or anything.
There's not that much going on in St.
Pete.
I think I have been formally dis Olivia.
Oh, my God.
Mom? I got your message.
I jumped in the car.
I'm so sorry, Mom.
It's all right.
I'm just glad you're okay.
We were able to remove all the infected tissue from around the tattoo, but, um, I'm afraid full recovery is going to take quite a while.
You won't be back to normal for two to four months.
Also, the paramedics were able to recover your finger.
Unfortunately, it wasn't viable.
So we're bringing in our best prosthetic specialist.
So this is really permanent? The important thing is that you're alive.
Both of you.
She's right, Trace.
This whole thing made me realize I don't ever want to feel like I can't be there for you.
I don't want to wait anymore.
No more putting it off.
The paramedic found something else, too.
Brandon.
Your grandma's ring.
I don't want to be a superstar I just want to be me And to show you who I really am Is anyone sitting here? I'm no mystery Oh, sorry, I'm I'm meeting my date.
I just want to be me Here he is.
Let me show you who I really am So I'm no mystery I don't want to be a superstar I know it's hard to believe I'm just a girl standing here Hi.
What do you say, sushi and merengue? Hey, coming in for a drink? Uh, no, I'm waiting for my ride.
Huh.
And here she comes.
Look who's back.
Uh-huh.
Hi.
Hey.
This is Jennifer.
Jennifer Huelskamp.
Nice to meet you.
Nice to meet you.
Hey.
Hey.
Served with her dad in Kuwait.
Hmm.
Jennifer was kind enough to drop off my new car for me.
Dad's gonna miss this.
Enjoy.
See ya.
Your new car.
It's not just any ol' car.
It's a 1961 Austin-Healey 3000.
And I've waited 20 years to buy this beauty, and today is the day.
See ya, kids.
I won't waste it I won't waste my love on a nation I won't waste it