Emily Owens M.D. (2012) s01e12 Episode Script
Emily... And The Perfect Storm
Previously on "Emily Owens, M.
D.
" You sleep at my home every night, Dr.
Collins, You are exclusive.
I'm so exhausted.
Do you mind if I just crash on the couch? No.
Sure.
Just not sure he's the right guy for her.
You're acting like you're jealous.
You're back! It was a two week suension.
You were gone a year.
I got to call you out on Dr.
Aquino.
That's not personal.
That's not how it looks to everyone.
And you're sinking his career.
You look beautiful.
My husband is here.
Here you go.
I've made my decision.
I've chosen Dr.
Owens to be my research assistant.
Why? Dr.
Owens gets patients talking and when they're talking, they reveal things they didn't think to mention.
Talk to me about Dr.
Owens.
You like her.
It couldn't be more obvious.
She has no idea.
I am done with Will.
I want to be someone's first choice.
The key to a fresh start is organization.
That's what my mom used to say every time she was dumped.
So we'd tear through the house and empty drawers and rearrange closets to prepare for happiness on the horizon.
Her words.
Not mine.
So, you're Bandari's research assistant slash gofer? Well, I get my own office, so I needed a few things.
A few hundred? Organization equals peace of mind.
No! There's nothing worse than wet office supplies.
Really? Nothing? So, how do you feel the, uh, morning after? Still totally over Totally.
Totally.
Totally.
Three "totally" s.
Wow are you sure that's not just, like, the colored labels talking? Uh-uh.
It's the happiness talking.
I feel free.
It's even better than getting a new label maker.
Which I also did.
Okay, come on.
We got to snap out of it, all right? We're at work now.
You're not getting that research position.
It's not a reflection on you as a doctor.
Emily had the particular skill set Bandari was looking for.
I know Emily was chosen, Will.
Don't need to hear you singing her praises right now.
I'm just saying I know what you're saying, and I don't like it.
Any of it your whole thing with Emily.
How'd this become about me and Emily? You brought her up.
I was trying to make you feel better.
Well, your thing with Emily doesn't make me feel better.
Quit saying "my thing with Emily," all right? I don't have a thing with Emily.
We're friends.
I told you, that's it.
But that's not it.
Because she's in love with you.
I mean can't you understand how that might make me feel a little uncomfortable? Yeah, okay.
Yes, of course.
It's just, you never said anything.
I'm saying it now.
It's a fairly basic concept.
An automobile needs gas to run.
They even have a little gauge to tell you how much you have left.
I made a mistake.
Am I not allowed to make mistakes? If it's about basic responsibility I really don't need a lecture.
Stop treating me like a kid.
Until you move out of the house, you are a kid.
I'm saving up.
I don't see you saving.
I see you spending.
Didn't buy gas.
There's a big save right there.
Got to say, it's pretty cool that you get your own, uh medical supply closet.
Okay, well, it's not grand.
But I have a filing cabinet, desk an enormous chair.
An abundance of catheters, which, you know, every office needs.
Well, they didn't have them at the office supply store, so thank goodness they're here.
You need a new chair.
I'll get you a chair.
You have that kind of pull? I know a guy.
Wow.
Oh, hi, uh Hey.
Welcome.
Hold all snarky comments, I know it's small.
It smells like rubbing alcohol, but I don't care.
I have a desk.
A gigantic chair Micah's getting me a new one.
Yeah.
Cool.
Uh, so, listen, I wanted to give you a little heads up about something.
Um so, you know, Cassandra is still pretty bummed about not getting the position.
I'm not gonna flaunt my label maker, if that's what you're implying.
No, I I didn't think that you would.
It's also just that she's a little bit sensitive about us, you know, being such good friends.
And the fact that you you know, you have feelings for me and stuff.
Will I just think going forward, I should Um I wasn't gonna make an official announcement about this, but what the hell.
I'm over you.
You are? Oh.
Gr Really? Mm-hmm.
Really.
Oh.
I love how hard it is for you to imagine that I wouldn't worship you.
No, I wasn't that's not what I was thinking.
I don't know.
I'm over it.
Something clicked.
Now, make yourself useful.
I want everything left of the saline lavages off the shelf.
So, am I gonna be able to read your writing this time? Eh 50/50.
If you weren't so cute Dr.
Aquino, may I speak to you about the patient in 534? I'd be happy to consult with you about that patient.
What you did at the benefit last night was thoroughly inappropriate.
Everyone steals champagne.
Approaching me when my husband was there.
Well, that was your fault.
That dress you wore.
Do something like that again and you're gone.
Hey, what's with the chair? Emily got a new office.
And they say romance is dead.
Hey, I got to give her some time to flush Will out of her system.
You know, like a kidney stone.
Huh.
So in the meantime, you're gonna try to impress her with a rolly chair? And a poster.
I have a poster.
Dude, we may need to have a serious talk about women.
Yeah, sure, no problem.
I'm happy to pass along some tips.
Left to right, tabs in descending order, colors according to the rainbow.
Sort of slipping into dictator mode, there.
Little bit.
Oh.
Will.
Well.
Clearly Bandari chose the right person for the job.
I'd make a terrible secretary.
Oh! Sorry.
Hey.
Well, a little, uh, tight, huh? Yeah.
Yeah.
I think one more person in here and we'd probably violate a fire code, so, uh we should get out of here.
Catch you later? Mm-hmm.
So your chair.
Awesome! And, I brought you a view.
Okay, now just try to ignore all the skin cancer stuff and just enjoy the nice tropical scene.
What skin cancer is that? I don't see anything about skin cancer.
I just see paradise.
Where do you think that is? Some island.
I think it's, uh, St.
Something.
Yup, St.
Something.
I've always wanted to go there.
accident involved a commuter bus.
Three deceased, at least 35 injured.
Snow's blocked the road to Denver General so they're sending all the crash victims here.
Everyone on call has obviously been paged, but roads are starting to close, so we're not gonna have much relief.
Today, I don't care what your specialty is, if you see something that needs to be fixed, fix it.
We're sending R4s and fives to the O.
R.
R3s are going to the trauma bays.
I'm gonna need an intern down here running triage.
I can do it.
Dr.
Owens, that'll be you.
Start by clearing out these bays, we're gonna need them for the big stuff.
Bay six pregnant, slipped on ice.
Take her upstairs.
Give her a sonogram.
Now, to start, I need four volunteers Hi, I'm Dr.
Dupre.
Oh, hi.
I'm a klutz.
She's Nicole.
And I'm Philip.
Let's get you upstairs.
Let's go! You're triage, right? Yes.
Come on.
We need to clear out the waiting room and move them over there and keep the spillover in the hall outside.
Triage.
Okay.
You just have to stay organized.
And calm.
Calm and organized.
I'm having heart palpitations! Can you see me first? His leg is bleeding! All right, listen! I'm running triage.
It'll go a lot faster if everyone can just stay calm so that I can assess the situation.
Okay? My palpitations are getting worse! Please look at my elbow! + Triage an attempt to make sense out of chaos.
A way to organize, prioritize.
We triage so we know where to start.
I think my ribs are broken.
And you're walking, you're talking your lungs and your heart are fine.
We're going by the colors of the rainbow so it's gonna be a little while.
Excuse me, Doctor? My dog Chet he's not doing so good.
Been whimpering, and Chet's not a whimperer.
Sorry, sir, I'm not a vet.
We'll get you some water.
Excuse me, I could use your help.
Yeah.
I don't like that cut.
No, it's not me.
There's a girl.
Uh, her arm looks pretty bad.
All right.
This is Chloe.
Hi, Chloe.
I'm Dr.
Owens.
How you feeling? In a lot pain, so Yeah, I bet.
Let's go and take a look.
Do you remember what happened? Metal.
Something metal.
A big chunk of the bus landed on her arm after it flipped.
Uh, anyway, um turns out Chloe here is pre-med, right? Do you know what you, um, what you want to do? Surgery, I think.
We have that in common.
Okay.
Tell you what we're looking at here.
This is a pretty significant crush wound.
So there's multiple lacerations to the tendons and muscle tissue, and a possible fracture to your radius and ulna.
Do you know where that is? Mm-hmm.
We're just going to get you into imaging as soon as we're through the head injuries.
Can I have 75 migs of meperidine? That should help with the pain.
And in the meantime, your friend can stay with you.
Oh, no, um Dan and I We don't know each other.
Come on, where else am I gonna go? Anything changes, I'll let you know.
Okay.
It's gonna be fine.
And I wonder if klutziness is genetic.
I would love for her not to get klutziness.
It's painful.
How painful? Scale of one to ten? Two.
I'm fine, really.
Really.
I got a lot of padding back there.
Seriously, I'm carrying this baby in my butt.
Nicole.
You're laughing because you know it's true.
Anyway, we thought better safe than sorry.
We just want to make sure the baby's okay.
Well, the baseline heart rate looks normal, and she looks pretty good there.
Is she cuter than most sonogram babies? Actually, none of 'em are that cute to me.
You said to be honest.
Oh, look, she's sucking her thumb.
Oh, she's not allowed to suck her thumb.
Of course she's allowed to suck her thumb.
Luckily, you'll have three more months to solve that parenting dilemma.
So, let me just get Oh.
Oh.
You okay? Yeah.
I just, um It just got really tight.
Felt like a little contraction.
Is that okay this early? Mm-hmm, most likely Braxton Hicks.
We'll keep you on the monitor for a while, and as long as they don't continue, you'll be on your way.
Oh, and I know that we get to keep the sonogram picture, but can we get a bunch, wallet-size? She's cute.
Dan? I can't I can't have you treating patients here.
Oh.
Oh, sorry.
Going a little stir-crazy.
It's okay.
Sit down.
Uh I want to check out that head wound.
Yeah, okay.
You're next.
Tell me where to go, boss.
Um, bay three I'm worried about a potential retroperitoneal bleed.
Gotcha.
Uh, the Post-it notes are a very nice touch.
I might have to recommend you handle triage every time.
No.
After this, I'm gonna need at least a week in St.
Something.
He is so cute.
Glad to see the pain meds are working.
You've noticed that he's cute, right? It's ironic, huh? Spend 18 months in a war zone, not a scratch.
Ten miles from home, and this.
And yes, you can thank me for changing the subject.
At least you're home safe.
Yeah.
For three months.
I, uh, re-enlisted.
Why? Oh, they need guys, so Well, you get it, right? Dan Nelson to Imaging.
Thanks for letting me Head trauma trumps intra-abdominal abscess.
Don't need to be the research assistant to know that.
Okay, there's a problem.
But it doesn't even hurt.
Maybe not, but blood is collecting on your brain.
When the neurosurgeon gets here, he's gonna put a shunt in to drain it, but in the meantime, we got to get you into a room.
Uh, but what about Chloe? I told her I'd be back.
I'll tell her.
Is there anyone that we can call for you? Uh, no.
My dad had a heart attack last year.
He doesn't need anything else to worry about.
I'll just, uh have sur-surgery and, uh Dan? head home.
Dan? Pupils are blown.
The blood is building up too fast.
We got to get him into surgery.
Neurosurgery's not here yet.
Dan, can you hear me? No.
He's obtunded.
If we don't evacuate the bleed, he's gonna die.
I know.
Get him on his back.
Hi.
This is Dr.
Owens.
I need a nurse in Imaging with antiseptic, razor, bandages and a scalpel.
What are you doing? We have to drill a burr hole.
There's no one else to do it.
I'll prep him, you get the drill.
Go! Uh Prep his head.
Uh, wh-what's going? - What's going on? - The blood is pushing on your brain; we have to drain it.
You got it? Yeah.
He's your patient.
You do it.
That's it.
Great.
It's just a temporary fix.
We got to get the neurosurgeon in here, or the clot will reaccumulate, and the swelling will kill him.
+ How's Dan? Uh he's stable.
We're just we're waiting on a neurosurgeon.
The roads are closed.
How can a neurosurgeon even get through? They'll clear up.
They have to.
So, listen, the X-ray confirmed that you have pretty comminuted fractures of your radius and ulna, and I'm also worried, there's some serious damage to the vessels and muscles in your arm.
Vessels? It's, like, um, veins and-and arteries? Exactly.
It means that you need surgery.
Just as soon as the specialist can get here.
Okay.
I know that's scary, but you're going to be okay.
Were you able to, um to get in touch with your parents? I just have a dad.
He's travelling for business.
I think he's flying right now.
Could the surgery wait until he gets here? I'm sorry.
I'm afraid that it can't.
Okay.
I have to go check on the waiting room.
Are you and your dad close? Uh, oh, am I? N-N-No, we're n we're not.
Why not? I'm sorry.
I I think I'm just trying to keep you here, because you know, I just I had Dan, and now there's really no one, so just I've only met my dad once.
Really? Yeah.
Yeah.
Uh he's a classical musician.
He travels all over the world, and when I was five, my mom took me to New York City to see him play.
And we went backstage, and I met him.
And that was it? Mm-hmm.
Yeah, my mom was the other woman, so Oh.
Wow.
My mom took off when I was six.
That sucks.
Yeah.
Well, is it just me, or did it get very depressing? Really depressing.
Let's talk about boys instead.
Fantastic.
Do you have a boyfriend? No.
Do you? Nope.
It's still depressing! Yeah.
Excuse me, but you've got a guy complaining of chest pains in bay six.
Okay.
I'm sorry.
It's okay.
I'm-I'm okay.
Thank you.
Okay.
So, um, what's going on? You I had you down for a sprained wrist, but now you're having chest pains? Well, they they come and go.
Right now, they're kind of gone.
Uh It's Chet I'm worried about.
He's-he's whimpering more, and-and he won't lick my hand, and Chet's a licker.
Sir, we have people here.
I heard the nurses say everyone's in a holding pattern.
Please.
He's really sick.
Just look at him.
Do not look at him.
Do not get sucked in.
All dogs have really sad eyes.
Nice job triaging, Dr.
Owens.
Where do you need me? Vet said he's sending a pet ambulance as soon as the roads clear.
In the meantime, he wants us to push 32 milliliters per hour lactated ringer's drip.
Okay.
Thank goodness I organized.
Okay.
Easy does it, baby.
I don't know how you got me mixed up in this.
It was the dog's sad eyes.
Just for the record, it wasn't the dog's sad eyes.
It was your sad eyes.
What? That's just the kind of thing that you would say to me, and then I'd go home and obsess about it.
It's nice being over you.
What was that all about? Hmm? What? No, wait, wait, wait.
Hold on a second.
Where you going? I tell you I feel weird, and then you come out of her office all whispery? Listen, uh, there's a there's a dog in there.
A blind guy's dog.
We've got it hooked it up to an I.
V.
until the vet comes.
You've got nothing to worry about.
This is you being more sensitive? Well, yeah.
Hey, whoa.
Hold on a second.
I have new information, okay? Emily's over me.
She just told me.
That's what she said.
I believe her.
We're all good? Okay.
What's happening? Is there something wrong with the baby? HR is 80 and dropping.
Couple of minutes ago, it was 140.
What does that mean? Is everything all right? Please tell us what's going on.
Page OB.
She needs an emergency C-section.
Oh, no.
It's too early.
No one's available.
Well, get someone.
Go! I'm going in on a C-section.
Excuse me, Doctor.
Sir.
Hi.
Can I help you? Yeah, I'm looking for I-I saw on the news about that bus crash.
I think maybe my son was in it.
Dan Nelson? Yes.
Yes, this way.
He suffered a head injury.
Um, he's stable, but he's going to need surgery.
We're just waiting for the neurosurgeon to get here.
But I guess if you got through, the roads are clear.
No, they're not.
I drove as far as I could, and then, I walked the last couple of miles.
He gets back from Afghanistan, I finally get a good night's sleep, then this happens.
That's not going to get easier, huh? Huh? To sleep.
When he goes back.
No.
Dan's done.
He-He's not going back.
Oh.
I'm I'm sorry.
That's my mistake.
I'm sorry.
Dan? Dad.
How'd you know? I heard about the crash, and then you left that message about, uh, well, being delayed.
I just didn't want you to worry.
The only thing that matters now is, um, you getting better.
Wait.
How's Chloe? Was she able to reach her dad? Not yet.
But she's okay.
Okay, extend the anterior rectus sheath incisions laterally.
Scissors, please.
You don't need scissors.
Use your fingers.
Spread the peritoneum.
Spread it, Tyra.
I can't see the Boumount, get in there.
I have no visualization.
Ready to aspirate? Yes, sir.
Can you see her? Almost.
Okay she's out.
She's not crying.
Why isn't she crying? Cyanotic.
Call a code infant.
- What? - The baby's not breathing.
Suction.
Get the pulse ox on now.
Suctioning.
SpO2 is 60% Go be with her.
What? - Go.
- We need to intubate.
Get me the E.
T.
tube now.
Heart rate's still in the 50s.
Resume compressions.
Do you have access? Save her.
Please save her.
Line us in.
Sir, it's time for you to leave.
I need him out.
I'm feeling light-headed.
I've got some bleeding here.
What's going on? Heart rate is still 60.
I need Epi.
Now.
She's hemorrhaging.
+ No.
Oh, no, oh, no.
The baby.
Your daughter's stable.
She's on a ventilator.
She's got a battle ahead, but she's looking good.
What? What is it? There were complications.
Nicole suffered a massive hemorrhage.
No.
We are so sorry.
No, it's not We did everything we could to save her.
No! Hey.
Hey.
How's your Marine? Still waiting on neurology.
It's not your problem.
Hey are you okay? What? Just, you gave me the drill.
That's not you.
You don't you don't give away drills.
He was your patient.
Okay.
I'm just checking.
I need help here.
We were talking and she suddenly passed out.
BP's 60/40.
She's hypovolemic.
She must've lost too much blood.
We got to get her in the O.
R.
Page There's no one in vascular, no one in ortho.
Then we have to improvise.
Get Dr.
Bandari.
Dr.
Dupre, he says he doesn't want to keep the baby.
What? The father of the preemie.
He just stopped me in the hall, says that having a baby was his wife's idea, she was older He's in shock.
That's what I told him.
He wants to know the protocol Okay, convince him to give it 24 hours.
I tried.
How hard? Very hard but you obviously don't think I can handle this.
Tyra, calm down.
No.
You are treating me like a child, and I'm sick of it.
Contact the Social Services Department.
Okay, tell Dr.
Hewlett it's completely contused, there's oozing everywhere.
Fascia looks pretty tight.
Contused, oozing everywhere.
Okay.
Cut a longitudinal centrally placed incision Slow down, Dr.
Owens.
Sorry.
over the extensor compartment I got it.
and a curvilinear incision on the flexor aspect.
Cutting at antecubital fossa.
Okay, now, release the band of lacertus overlying the brachial artery anthe median nerve.
I'm at the compartment, performing fasciotomy.
Done.
I think it looks good.
It looks good.
Looks good.
It looks good.
Ooh.
Well, we got a bleeder.
I'm not sure where.
Brachial? Microvascular clamp.
She's bleeding out.
Okay, figure eight didn't hold.
BP's dropped again.
Where's the bleeder? I can't stop the blood flow.
If we can just stop the bleeding till vascular gets here.
We need ortho.
Where's ortho? We need ortho.
Dr.
Owens, how far out is Dr.
Hewitt? How far are you? Half an hour.
We don't have a half an hour.
I know.
What if we try to anastamose the two sections There's nothing to anastamose.
Muscle's completely destroyed.
Tissue's at least 80% necrotic.
We're talking serious compartment syndrome.
We don't have a choice.
Get me the bone saw.
What if the brachial artery Dr.
Owens, if I could save it, I would save it.
+ Are you okay? You took off.
Emily? I have to see if I'm See what? What are you looking for? Emily I have to see what I wrote.
If I When she came in, if I missed something.
You didn't.
The tissue was dead.
When she got to the hospital, it was already dead.
No, it doesn't matter what you wrote.
Doesn't matter how organized you were.
She wanted to be a surgeon.
I'm not crying.
Just pretend that I'm not crying.
It's okay that you're crying.
What? I don't know what I would do if you weren't here.
I think I think you'd be okay.
It's crazy, right? I mean, I've known you for like, five months.
It feels like a lot longer.
Guess the roads have cleared.
Somebody help us.
Finally.
Is it over? I feel like I just blinked.
I have some difficult news.
There was much more damage to your arm than we had anticipated.
If we could have saved it, we would have.
I know; I know it's a shock, but there have been great strides in prosthetics.
And we're gonna keep trying to reach your dad.
Chloe it's awful.
I keep trying to think of something to tell you to make it less, but it's it's just awful.
But I-I do keep thinking about what you've already overcome and how strong you are.
Neurosurgeon's here.
I have to go.
That's for Dan.
You stay with her? I'll be back.
Can't I just go see Chloe? Make sure she's okay? The nurse promised to stay with her.
You doctor's here; we have to get you into the O.
R.
Dad, I'll be fine.
All right? Just try to relax.
I hate seeing you like this.
What? Dad, tell me.
What's wrong? You're going back? I'm I didn't No, no, no, it's okay.
Uh, I was gonna tell you.
It's chaos there, Dad, absolute chaos.
Yeah, and you guys aren't making any difference.
You don't want to see me like this? This is what it's like every day that you're not home.
Dad, I don't No, I-I'm sorry.
Now is W-We'll talk after the surgery.
Okay.
Do you have? There's some papers I'm supposed to sign.
It's coming.
Please don't try and convince me to keep the baby.
Nicole was ready.
I'm not.
You're never ready.
Trust me, you're never ready.
When my wife and I brought home our baby, we were terrified, and I'm a doctor, and there were two of us.
Exactly.
I'll tell you something else, 26 years later, it's still just as scary because these kids, they grow up, and you're supposed to treat them like adults even though you still remember that moment when they were helpless and you were terrified.
It's just you're acting like adoption's this terrible thing.
No, not at all.
It's an amazing thing.
But we're here asking you to think about it because, earlier, when you were talking about the baby, it didn't seem like you were just doing it for your wife.
There we go.
Is that the one? Yeah.
All right.
We just go over here.
I sort of became an expert in this when Dan was in Afghanistan.
Okay.
Let's dial.
Hey.
Hi.
Dan's fine.
He's resting, but the surgery went well.
I had a hard time tracking you down.
You said she was gonna be alone, so I borrowed a laptop, and, uh Honey? Honey? Daddy, hi.
Thank you.
Now I know where Dan gets it from.
Yeah.
Told you I'd be okay.
You look like crap.
I'm just gonna give you a quick listen, and then I'll I'll leave you guys alone.
Yep.
Dad you're right.
It's a mess.
And I just feel like I need to help.
And I know it's dangerous, but you can get blindsided here, too, right? Just, uh Just come back in one piece, okay? Hey.
Hey.
Are you guys, uh, gonna go to the bar later? 'cause we're gonna go to the bar.
Uh, yeah, oh, yeah.
Why? Why? Oh, uh well, Dr.
Owens has agree to buy every single one of us a round, so we're just getting an accurate head count.
That's, of course, after all of the rounds that Dr.
Collins is gonna buy.
Where you going with that patient? He's being transferred to a more specialized hospital.
Good work today, everyone.
Screw it.
Hmm? I'm doing it tonight.
Nothing like a bus crash to make you realize how quickly things could change.
I gotta take my window.
Dude, but how's that gonna work? I mean, you're gonna want to be romantic, and there's no rolly chairs at the bar.
I guess you can always get her like a bar stool.
You're an idiot.
You didn't see the poster, the poster was cool.
+ Hey.
Can I ask you something? Yeah.
But, um, you should know that we've put a moratorium on talking about hospitals or medicine.
Why would I talk about that? I work down at the bank on Iverson.
Yeah! I think I've seen you there.
I make my deposits there.
My name is Tammy.
Tammy I work at the travel agency.
Tammy the Travel yeah, yeah.
Bob the Banker.
Ah! Bob! Hey.
Oh, shoot.
Sorry.
Oh I'm sorry, my-my-my coworkers and I, we saved this dog today, down at the agency.
I just wanted to show them how well he's doing.
Guys.
Look.
Look what the vet sent.
Oh! - There he is.
- Oh, he looks so good! Look at that pink tongue! Yeah, he's cute.
Scroll through, there's a few in there.
Uh so cute.
I'm going to send this one to myself.
Yeah! I told you, I'm married You were married before.
Yeah, well, I was unhappy before.
And now you're not? No.
We're leaving on vacation in two days, actually.
You don't have a night like we had and not want more.
It is not happening.
Well, I'll take that bet.
Dude, is there some history between the two of you I don't know about? Not sure what you mean.
I mean, did you sleep with her? Micah, look, seriously, don't worry about it.
Don't worry about it? I went to bat for you.
And I deserved my job back.
Yeah, and I deserved to have the facts, so when I accuse a superior of letting her personal feelings get in the way She was.
Whatever.
Okay, so where was I? Mm.
You just had this big father-daughter breakthrough.
Right.
He realized he does treat me like a kid.
And I realized that if I want him to see me differently, the fact that I'm living at home doesn't really help matters.
So I'm gonna move out.
I will drink to that.
So I can crash with you till I find a place? What? Well, you have a one-bedroom, right? Mm-hmm.
So we can trade off sleeping on the couch.
I'm so kidding.
I'll take the couch.
See how easy I am to live with? Hey, what's going on? You know I was shaken.
I mean, I was I was really shaken when I didn't get the research assistant position.
I've always taken second place finishes really badly.
Because you push yourself too hard Wait.
What I'm saying is I've been in this position before.
I've come in second before.
Hell, I've come in second to Emily before.
But I've never lost this confidence in myself and in my judgment.
Until today.
Today I held a drill in my hand, and I thought, "Emily can do it better.
" And that's not me.
I don't see myself as second best.
Good.
That's good; you shouldn't.
But that's how you've made me feel.
WhatWh This thing with Emily There's no thing with Emily.
I looked at the date.
I remember this night.
I called you and you didn't pick up, and the next day you said you passed out at home.
I, uh, I went over to her place to help her with a bookshelf, okay? It was after a killer shift, I was tired, I passed out.
Nothing happened.
So why did you lie? You were you were just so sensitive about Emily.
So you knew.
Even before I told you today, you knew how I felt.
And you still went behind my back.
I messed up.
Okay? I made a mistake, I'm sorry.
But this whole thing is-it's it's out of control, it's You know what? You're right, I agree.
It's completely screwed up.
And it's messing with my head, because you keep telling me nothing's happening, but I feel like something's happening.
Well, nothing's happening.
Then choose.
Choose what? Me or Emily.
Cassandra We're done.
Tammy.
Is that you? Hey.
Bob.
How you doin'? Oh whatcha doin' out here? Just having a small existential crisis.
Oh.
One of those.
Yeah.
Why? Chaos.
It's just all chaos.
Can't organize it 'cause you're just constantly, constantly blindsided.
What did you, um, want to ask me? Um Thank you.
Hey.
Check this out.
So Cassandra and I broke up, right? Yeah, she's in there, she's just totally irrational.
I mean, it's - Sorry.
Um - Yeah - Listen, um - No, it's-it's I mean, it's not your fault.
Right.
No.
Um Hey, come on, roomie! We gotta get up early.
Oh, it's starting now? Tonight? Why? you're constantly blindsided.
D.
" You sleep at my home every night, Dr.
Collins, You are exclusive.
I'm so exhausted.
Do you mind if I just crash on the couch? No.
Sure.
Just not sure he's the right guy for her.
You're acting like you're jealous.
You're back! It was a two week suension.
You were gone a year.
I got to call you out on Dr.
Aquino.
That's not personal.
That's not how it looks to everyone.
And you're sinking his career.
You look beautiful.
My husband is here.
Here you go.
I've made my decision.
I've chosen Dr.
Owens to be my research assistant.
Why? Dr.
Owens gets patients talking and when they're talking, they reveal things they didn't think to mention.
Talk to me about Dr.
Owens.
You like her.
It couldn't be more obvious.
She has no idea.
I am done with Will.
I want to be someone's first choice.
The key to a fresh start is organization.
That's what my mom used to say every time she was dumped.
So we'd tear through the house and empty drawers and rearrange closets to prepare for happiness on the horizon.
Her words.
Not mine.
So, you're Bandari's research assistant slash gofer? Well, I get my own office, so I needed a few things.
A few hundred? Organization equals peace of mind.
No! There's nothing worse than wet office supplies.
Really? Nothing? So, how do you feel the, uh, morning after? Still totally over Totally.
Totally.
Totally.
Three "totally" s.
Wow are you sure that's not just, like, the colored labels talking? Uh-uh.
It's the happiness talking.
I feel free.
It's even better than getting a new label maker.
Which I also did.
Okay, come on.
We got to snap out of it, all right? We're at work now.
You're not getting that research position.
It's not a reflection on you as a doctor.
Emily had the particular skill set Bandari was looking for.
I know Emily was chosen, Will.
Don't need to hear you singing her praises right now.
I'm just saying I know what you're saying, and I don't like it.
Any of it your whole thing with Emily.
How'd this become about me and Emily? You brought her up.
I was trying to make you feel better.
Well, your thing with Emily doesn't make me feel better.
Quit saying "my thing with Emily," all right? I don't have a thing with Emily.
We're friends.
I told you, that's it.
But that's not it.
Because she's in love with you.
I mean can't you understand how that might make me feel a little uncomfortable? Yeah, okay.
Yes, of course.
It's just, you never said anything.
I'm saying it now.
It's a fairly basic concept.
An automobile needs gas to run.
They even have a little gauge to tell you how much you have left.
I made a mistake.
Am I not allowed to make mistakes? If it's about basic responsibility I really don't need a lecture.
Stop treating me like a kid.
Until you move out of the house, you are a kid.
I'm saving up.
I don't see you saving.
I see you spending.
Didn't buy gas.
There's a big save right there.
Got to say, it's pretty cool that you get your own, uh medical supply closet.
Okay, well, it's not grand.
But I have a filing cabinet, desk an enormous chair.
An abundance of catheters, which, you know, every office needs.
Well, they didn't have them at the office supply store, so thank goodness they're here.
You need a new chair.
I'll get you a chair.
You have that kind of pull? I know a guy.
Wow.
Oh, hi, uh Hey.
Welcome.
Hold all snarky comments, I know it's small.
It smells like rubbing alcohol, but I don't care.
I have a desk.
A gigantic chair Micah's getting me a new one.
Yeah.
Cool.
Uh, so, listen, I wanted to give you a little heads up about something.
Um so, you know, Cassandra is still pretty bummed about not getting the position.
I'm not gonna flaunt my label maker, if that's what you're implying.
No, I I didn't think that you would.
It's also just that she's a little bit sensitive about us, you know, being such good friends.
And the fact that you you know, you have feelings for me and stuff.
Will I just think going forward, I should Um I wasn't gonna make an official announcement about this, but what the hell.
I'm over you.
You are? Oh.
Gr Really? Mm-hmm.
Really.
Oh.
I love how hard it is for you to imagine that I wouldn't worship you.
No, I wasn't that's not what I was thinking.
I don't know.
I'm over it.
Something clicked.
Now, make yourself useful.
I want everything left of the saline lavages off the shelf.
So, am I gonna be able to read your writing this time? Eh 50/50.
If you weren't so cute Dr.
Aquino, may I speak to you about the patient in 534? I'd be happy to consult with you about that patient.
What you did at the benefit last night was thoroughly inappropriate.
Everyone steals champagne.
Approaching me when my husband was there.
Well, that was your fault.
That dress you wore.
Do something like that again and you're gone.
Hey, what's with the chair? Emily got a new office.
And they say romance is dead.
Hey, I got to give her some time to flush Will out of her system.
You know, like a kidney stone.
Huh.
So in the meantime, you're gonna try to impress her with a rolly chair? And a poster.
I have a poster.
Dude, we may need to have a serious talk about women.
Yeah, sure, no problem.
I'm happy to pass along some tips.
Left to right, tabs in descending order, colors according to the rainbow.
Sort of slipping into dictator mode, there.
Little bit.
Oh.
Will.
Well.
Clearly Bandari chose the right person for the job.
I'd make a terrible secretary.
Oh! Sorry.
Hey.
Well, a little, uh, tight, huh? Yeah.
Yeah.
I think one more person in here and we'd probably violate a fire code, so, uh we should get out of here.
Catch you later? Mm-hmm.
So your chair.
Awesome! And, I brought you a view.
Okay, now just try to ignore all the skin cancer stuff and just enjoy the nice tropical scene.
What skin cancer is that? I don't see anything about skin cancer.
I just see paradise.
Where do you think that is? Some island.
I think it's, uh, St.
Something.
Yup, St.
Something.
I've always wanted to go there.
accident involved a commuter bus.
Three deceased, at least 35 injured.
Snow's blocked the road to Denver General so they're sending all the crash victims here.
Everyone on call has obviously been paged, but roads are starting to close, so we're not gonna have much relief.
Today, I don't care what your specialty is, if you see something that needs to be fixed, fix it.
We're sending R4s and fives to the O.
R.
R3s are going to the trauma bays.
I'm gonna need an intern down here running triage.
I can do it.
Dr.
Owens, that'll be you.
Start by clearing out these bays, we're gonna need them for the big stuff.
Bay six pregnant, slipped on ice.
Take her upstairs.
Give her a sonogram.
Now, to start, I need four volunteers Hi, I'm Dr.
Dupre.
Oh, hi.
I'm a klutz.
She's Nicole.
And I'm Philip.
Let's get you upstairs.
Let's go! You're triage, right? Yes.
Come on.
We need to clear out the waiting room and move them over there and keep the spillover in the hall outside.
Triage.
Okay.
You just have to stay organized.
And calm.
Calm and organized.
I'm having heart palpitations! Can you see me first? His leg is bleeding! All right, listen! I'm running triage.
It'll go a lot faster if everyone can just stay calm so that I can assess the situation.
Okay? My palpitations are getting worse! Please look at my elbow! + Triage an attempt to make sense out of chaos.
A way to organize, prioritize.
We triage so we know where to start.
I think my ribs are broken.
And you're walking, you're talking your lungs and your heart are fine.
We're going by the colors of the rainbow so it's gonna be a little while.
Excuse me, Doctor? My dog Chet he's not doing so good.
Been whimpering, and Chet's not a whimperer.
Sorry, sir, I'm not a vet.
We'll get you some water.
Excuse me, I could use your help.
Yeah.
I don't like that cut.
No, it's not me.
There's a girl.
Uh, her arm looks pretty bad.
All right.
This is Chloe.
Hi, Chloe.
I'm Dr.
Owens.
How you feeling? In a lot pain, so Yeah, I bet.
Let's go and take a look.
Do you remember what happened? Metal.
Something metal.
A big chunk of the bus landed on her arm after it flipped.
Uh, anyway, um turns out Chloe here is pre-med, right? Do you know what you, um, what you want to do? Surgery, I think.
We have that in common.
Okay.
Tell you what we're looking at here.
This is a pretty significant crush wound.
So there's multiple lacerations to the tendons and muscle tissue, and a possible fracture to your radius and ulna.
Do you know where that is? Mm-hmm.
We're just going to get you into imaging as soon as we're through the head injuries.
Can I have 75 migs of meperidine? That should help with the pain.
And in the meantime, your friend can stay with you.
Oh, no, um Dan and I We don't know each other.
Come on, where else am I gonna go? Anything changes, I'll let you know.
Okay.
It's gonna be fine.
And I wonder if klutziness is genetic.
I would love for her not to get klutziness.
It's painful.
How painful? Scale of one to ten? Two.
I'm fine, really.
Really.
I got a lot of padding back there.
Seriously, I'm carrying this baby in my butt.
Nicole.
You're laughing because you know it's true.
Anyway, we thought better safe than sorry.
We just want to make sure the baby's okay.
Well, the baseline heart rate looks normal, and she looks pretty good there.
Is she cuter than most sonogram babies? Actually, none of 'em are that cute to me.
You said to be honest.
Oh, look, she's sucking her thumb.
Oh, she's not allowed to suck her thumb.
Of course she's allowed to suck her thumb.
Luckily, you'll have three more months to solve that parenting dilemma.
So, let me just get Oh.
Oh.
You okay? Yeah.
I just, um It just got really tight.
Felt like a little contraction.
Is that okay this early? Mm-hmm, most likely Braxton Hicks.
We'll keep you on the monitor for a while, and as long as they don't continue, you'll be on your way.
Oh, and I know that we get to keep the sonogram picture, but can we get a bunch, wallet-size? She's cute.
Dan? I can't I can't have you treating patients here.
Oh.
Oh, sorry.
Going a little stir-crazy.
It's okay.
Sit down.
Uh I want to check out that head wound.
Yeah, okay.
You're next.
Tell me where to go, boss.
Um, bay three I'm worried about a potential retroperitoneal bleed.
Gotcha.
Uh, the Post-it notes are a very nice touch.
I might have to recommend you handle triage every time.
No.
After this, I'm gonna need at least a week in St.
Something.
He is so cute.
Glad to see the pain meds are working.
You've noticed that he's cute, right? It's ironic, huh? Spend 18 months in a war zone, not a scratch.
Ten miles from home, and this.
And yes, you can thank me for changing the subject.
At least you're home safe.
Yeah.
For three months.
I, uh, re-enlisted.
Why? Oh, they need guys, so Well, you get it, right? Dan Nelson to Imaging.
Thanks for letting me Head trauma trumps intra-abdominal abscess.
Don't need to be the research assistant to know that.
Okay, there's a problem.
But it doesn't even hurt.
Maybe not, but blood is collecting on your brain.
When the neurosurgeon gets here, he's gonna put a shunt in to drain it, but in the meantime, we got to get you into a room.
Uh, but what about Chloe? I told her I'd be back.
I'll tell her.
Is there anyone that we can call for you? Uh, no.
My dad had a heart attack last year.
He doesn't need anything else to worry about.
I'll just, uh have sur-surgery and, uh Dan? head home.
Dan? Pupils are blown.
The blood is building up too fast.
We got to get him into surgery.
Neurosurgery's not here yet.
Dan, can you hear me? No.
He's obtunded.
If we don't evacuate the bleed, he's gonna die.
I know.
Get him on his back.
Hi.
This is Dr.
Owens.
I need a nurse in Imaging with antiseptic, razor, bandages and a scalpel.
What are you doing? We have to drill a burr hole.
There's no one else to do it.
I'll prep him, you get the drill.
Go! Uh Prep his head.
Uh, wh-what's going? - What's going on? - The blood is pushing on your brain; we have to drain it.
You got it? Yeah.
He's your patient.
You do it.
That's it.
Great.
It's just a temporary fix.
We got to get the neurosurgeon in here, or the clot will reaccumulate, and the swelling will kill him.
+ How's Dan? Uh he's stable.
We're just we're waiting on a neurosurgeon.
The roads are closed.
How can a neurosurgeon even get through? They'll clear up.
They have to.
So, listen, the X-ray confirmed that you have pretty comminuted fractures of your radius and ulna, and I'm also worried, there's some serious damage to the vessels and muscles in your arm.
Vessels? It's, like, um, veins and-and arteries? Exactly.
It means that you need surgery.
Just as soon as the specialist can get here.
Okay.
I know that's scary, but you're going to be okay.
Were you able to, um to get in touch with your parents? I just have a dad.
He's travelling for business.
I think he's flying right now.
Could the surgery wait until he gets here? I'm sorry.
I'm afraid that it can't.
Okay.
I have to go check on the waiting room.
Are you and your dad close? Uh, oh, am I? N-N-No, we're n we're not.
Why not? I'm sorry.
I I think I'm just trying to keep you here, because you know, I just I had Dan, and now there's really no one, so just I've only met my dad once.
Really? Yeah.
Yeah.
Uh he's a classical musician.
He travels all over the world, and when I was five, my mom took me to New York City to see him play.
And we went backstage, and I met him.
And that was it? Mm-hmm.
Yeah, my mom was the other woman, so Oh.
Wow.
My mom took off when I was six.
That sucks.
Yeah.
Well, is it just me, or did it get very depressing? Really depressing.
Let's talk about boys instead.
Fantastic.
Do you have a boyfriend? No.
Do you? Nope.
It's still depressing! Yeah.
Excuse me, but you've got a guy complaining of chest pains in bay six.
Okay.
I'm sorry.
It's okay.
I'm-I'm okay.
Thank you.
Okay.
So, um, what's going on? You I had you down for a sprained wrist, but now you're having chest pains? Well, they they come and go.
Right now, they're kind of gone.
Uh It's Chet I'm worried about.
He's-he's whimpering more, and-and he won't lick my hand, and Chet's a licker.
Sir, we have people here.
I heard the nurses say everyone's in a holding pattern.
Please.
He's really sick.
Just look at him.
Do not look at him.
Do not get sucked in.
All dogs have really sad eyes.
Nice job triaging, Dr.
Owens.
Where do you need me? Vet said he's sending a pet ambulance as soon as the roads clear.
In the meantime, he wants us to push 32 milliliters per hour lactated ringer's drip.
Okay.
Thank goodness I organized.
Okay.
Easy does it, baby.
I don't know how you got me mixed up in this.
It was the dog's sad eyes.
Just for the record, it wasn't the dog's sad eyes.
It was your sad eyes.
What? That's just the kind of thing that you would say to me, and then I'd go home and obsess about it.
It's nice being over you.
What was that all about? Hmm? What? No, wait, wait, wait.
Hold on a second.
Where you going? I tell you I feel weird, and then you come out of her office all whispery? Listen, uh, there's a there's a dog in there.
A blind guy's dog.
We've got it hooked it up to an I.
V.
until the vet comes.
You've got nothing to worry about.
This is you being more sensitive? Well, yeah.
Hey, whoa.
Hold on a second.
I have new information, okay? Emily's over me.
She just told me.
That's what she said.
I believe her.
We're all good? Okay.
What's happening? Is there something wrong with the baby? HR is 80 and dropping.
Couple of minutes ago, it was 140.
What does that mean? Is everything all right? Please tell us what's going on.
Page OB.
She needs an emergency C-section.
Oh, no.
It's too early.
No one's available.
Well, get someone.
Go! I'm going in on a C-section.
Excuse me, Doctor.
Sir.
Hi.
Can I help you? Yeah, I'm looking for I-I saw on the news about that bus crash.
I think maybe my son was in it.
Dan Nelson? Yes.
Yes, this way.
He suffered a head injury.
Um, he's stable, but he's going to need surgery.
We're just waiting for the neurosurgeon to get here.
But I guess if you got through, the roads are clear.
No, they're not.
I drove as far as I could, and then, I walked the last couple of miles.
He gets back from Afghanistan, I finally get a good night's sleep, then this happens.
That's not going to get easier, huh? Huh? To sleep.
When he goes back.
No.
Dan's done.
He-He's not going back.
Oh.
I'm I'm sorry.
That's my mistake.
I'm sorry.
Dan? Dad.
How'd you know? I heard about the crash, and then you left that message about, uh, well, being delayed.
I just didn't want you to worry.
The only thing that matters now is, um, you getting better.
Wait.
How's Chloe? Was she able to reach her dad? Not yet.
But she's okay.
Okay, extend the anterior rectus sheath incisions laterally.
Scissors, please.
You don't need scissors.
Use your fingers.
Spread the peritoneum.
Spread it, Tyra.
I can't see the Boumount, get in there.
I have no visualization.
Ready to aspirate? Yes, sir.
Can you see her? Almost.
Okay she's out.
She's not crying.
Why isn't she crying? Cyanotic.
Call a code infant.
- What? - The baby's not breathing.
Suction.
Get the pulse ox on now.
Suctioning.
SpO2 is 60% Go be with her.
What? - Go.
- We need to intubate.
Get me the E.
T.
tube now.
Heart rate's still in the 50s.
Resume compressions.
Do you have access? Save her.
Please save her.
Line us in.
Sir, it's time for you to leave.
I need him out.
I'm feeling light-headed.
I've got some bleeding here.
What's going on? Heart rate is still 60.
I need Epi.
Now.
She's hemorrhaging.
+ No.
Oh, no, oh, no.
The baby.
Your daughter's stable.
She's on a ventilator.
She's got a battle ahead, but she's looking good.
What? What is it? There were complications.
Nicole suffered a massive hemorrhage.
No.
We are so sorry.
No, it's not We did everything we could to save her.
No! Hey.
Hey.
How's your Marine? Still waiting on neurology.
It's not your problem.
Hey are you okay? What? Just, you gave me the drill.
That's not you.
You don't you don't give away drills.
He was your patient.
Okay.
I'm just checking.
I need help here.
We were talking and she suddenly passed out.
BP's 60/40.
She's hypovolemic.
She must've lost too much blood.
We got to get her in the O.
R.
Page There's no one in vascular, no one in ortho.
Then we have to improvise.
Get Dr.
Bandari.
Dr.
Dupre, he says he doesn't want to keep the baby.
What? The father of the preemie.
He just stopped me in the hall, says that having a baby was his wife's idea, she was older He's in shock.
That's what I told him.
He wants to know the protocol Okay, convince him to give it 24 hours.
I tried.
How hard? Very hard but you obviously don't think I can handle this.
Tyra, calm down.
No.
You are treating me like a child, and I'm sick of it.
Contact the Social Services Department.
Okay, tell Dr.
Hewlett it's completely contused, there's oozing everywhere.
Fascia looks pretty tight.
Contused, oozing everywhere.
Okay.
Cut a longitudinal centrally placed incision Slow down, Dr.
Owens.
Sorry.
over the extensor compartment I got it.
and a curvilinear incision on the flexor aspect.
Cutting at antecubital fossa.
Okay, now, release the band of lacertus overlying the brachial artery anthe median nerve.
I'm at the compartment, performing fasciotomy.
Done.
I think it looks good.
It looks good.
Looks good.
It looks good.
Ooh.
Well, we got a bleeder.
I'm not sure where.
Brachial? Microvascular clamp.
She's bleeding out.
Okay, figure eight didn't hold.
BP's dropped again.
Where's the bleeder? I can't stop the blood flow.
If we can just stop the bleeding till vascular gets here.
We need ortho.
Where's ortho? We need ortho.
Dr.
Owens, how far out is Dr.
Hewitt? How far are you? Half an hour.
We don't have a half an hour.
I know.
What if we try to anastamose the two sections There's nothing to anastamose.
Muscle's completely destroyed.
Tissue's at least 80% necrotic.
We're talking serious compartment syndrome.
We don't have a choice.
Get me the bone saw.
What if the brachial artery Dr.
Owens, if I could save it, I would save it.
+ Are you okay? You took off.
Emily? I have to see if I'm See what? What are you looking for? Emily I have to see what I wrote.
If I When she came in, if I missed something.
You didn't.
The tissue was dead.
When she got to the hospital, it was already dead.
No, it doesn't matter what you wrote.
Doesn't matter how organized you were.
She wanted to be a surgeon.
I'm not crying.
Just pretend that I'm not crying.
It's okay that you're crying.
What? I don't know what I would do if you weren't here.
I think I think you'd be okay.
It's crazy, right? I mean, I've known you for like, five months.
It feels like a lot longer.
Guess the roads have cleared.
Somebody help us.
Finally.
Is it over? I feel like I just blinked.
I have some difficult news.
There was much more damage to your arm than we had anticipated.
If we could have saved it, we would have.
I know; I know it's a shock, but there have been great strides in prosthetics.
And we're gonna keep trying to reach your dad.
Chloe it's awful.
I keep trying to think of something to tell you to make it less, but it's it's just awful.
But I-I do keep thinking about what you've already overcome and how strong you are.
Neurosurgeon's here.
I have to go.
That's for Dan.
You stay with her? I'll be back.
Can't I just go see Chloe? Make sure she's okay? The nurse promised to stay with her.
You doctor's here; we have to get you into the O.
R.
Dad, I'll be fine.
All right? Just try to relax.
I hate seeing you like this.
What? Dad, tell me.
What's wrong? You're going back? I'm I didn't No, no, no, it's okay.
Uh, I was gonna tell you.
It's chaos there, Dad, absolute chaos.
Yeah, and you guys aren't making any difference.
You don't want to see me like this? This is what it's like every day that you're not home.
Dad, I don't No, I-I'm sorry.
Now is W-We'll talk after the surgery.
Okay.
Do you have? There's some papers I'm supposed to sign.
It's coming.
Please don't try and convince me to keep the baby.
Nicole was ready.
I'm not.
You're never ready.
Trust me, you're never ready.
When my wife and I brought home our baby, we were terrified, and I'm a doctor, and there were two of us.
Exactly.
I'll tell you something else, 26 years later, it's still just as scary because these kids, they grow up, and you're supposed to treat them like adults even though you still remember that moment when they were helpless and you were terrified.
It's just you're acting like adoption's this terrible thing.
No, not at all.
It's an amazing thing.
But we're here asking you to think about it because, earlier, when you were talking about the baby, it didn't seem like you were just doing it for your wife.
There we go.
Is that the one? Yeah.
All right.
We just go over here.
I sort of became an expert in this when Dan was in Afghanistan.
Okay.
Let's dial.
Hey.
Hi.
Dan's fine.
He's resting, but the surgery went well.
I had a hard time tracking you down.
You said she was gonna be alone, so I borrowed a laptop, and, uh Honey? Honey? Daddy, hi.
Thank you.
Now I know where Dan gets it from.
Yeah.
Told you I'd be okay.
You look like crap.
I'm just gonna give you a quick listen, and then I'll I'll leave you guys alone.
Yep.
Dad you're right.
It's a mess.
And I just feel like I need to help.
And I know it's dangerous, but you can get blindsided here, too, right? Just, uh Just come back in one piece, okay? Hey.
Hey.
Are you guys, uh, gonna go to the bar later? 'cause we're gonna go to the bar.
Uh, yeah, oh, yeah.
Why? Why? Oh, uh well, Dr.
Owens has agree to buy every single one of us a round, so we're just getting an accurate head count.
That's, of course, after all of the rounds that Dr.
Collins is gonna buy.
Where you going with that patient? He's being transferred to a more specialized hospital.
Good work today, everyone.
Screw it.
Hmm? I'm doing it tonight.
Nothing like a bus crash to make you realize how quickly things could change.
I gotta take my window.
Dude, but how's that gonna work? I mean, you're gonna want to be romantic, and there's no rolly chairs at the bar.
I guess you can always get her like a bar stool.
You're an idiot.
You didn't see the poster, the poster was cool.
+ Hey.
Can I ask you something? Yeah.
But, um, you should know that we've put a moratorium on talking about hospitals or medicine.
Why would I talk about that? I work down at the bank on Iverson.
Yeah! I think I've seen you there.
I make my deposits there.
My name is Tammy.
Tammy I work at the travel agency.
Tammy the Travel yeah, yeah.
Bob the Banker.
Ah! Bob! Hey.
Oh, shoot.
Sorry.
Oh I'm sorry, my-my-my coworkers and I, we saved this dog today, down at the agency.
I just wanted to show them how well he's doing.
Guys.
Look.
Look what the vet sent.
Oh! - There he is.
- Oh, he looks so good! Look at that pink tongue! Yeah, he's cute.
Scroll through, there's a few in there.
Uh so cute.
I'm going to send this one to myself.
Yeah! I told you, I'm married You were married before.
Yeah, well, I was unhappy before.
And now you're not? No.
We're leaving on vacation in two days, actually.
You don't have a night like we had and not want more.
It is not happening.
Well, I'll take that bet.
Dude, is there some history between the two of you I don't know about? Not sure what you mean.
I mean, did you sleep with her? Micah, look, seriously, don't worry about it.
Don't worry about it? I went to bat for you.
And I deserved my job back.
Yeah, and I deserved to have the facts, so when I accuse a superior of letting her personal feelings get in the way She was.
Whatever.
Okay, so where was I? Mm.
You just had this big father-daughter breakthrough.
Right.
He realized he does treat me like a kid.
And I realized that if I want him to see me differently, the fact that I'm living at home doesn't really help matters.
So I'm gonna move out.
I will drink to that.
So I can crash with you till I find a place? What? Well, you have a one-bedroom, right? Mm-hmm.
So we can trade off sleeping on the couch.
I'm so kidding.
I'll take the couch.
See how easy I am to live with? Hey, what's going on? You know I was shaken.
I mean, I was I was really shaken when I didn't get the research assistant position.
I've always taken second place finishes really badly.
Because you push yourself too hard Wait.
What I'm saying is I've been in this position before.
I've come in second before.
Hell, I've come in second to Emily before.
But I've never lost this confidence in myself and in my judgment.
Until today.
Today I held a drill in my hand, and I thought, "Emily can do it better.
" And that's not me.
I don't see myself as second best.
Good.
That's good; you shouldn't.
But that's how you've made me feel.
WhatWh This thing with Emily There's no thing with Emily.
I looked at the date.
I remember this night.
I called you and you didn't pick up, and the next day you said you passed out at home.
I, uh, I went over to her place to help her with a bookshelf, okay? It was after a killer shift, I was tired, I passed out.
Nothing happened.
So why did you lie? You were you were just so sensitive about Emily.
So you knew.
Even before I told you today, you knew how I felt.
And you still went behind my back.
I messed up.
Okay? I made a mistake, I'm sorry.
But this whole thing is-it's it's out of control, it's You know what? You're right, I agree.
It's completely screwed up.
And it's messing with my head, because you keep telling me nothing's happening, but I feel like something's happening.
Well, nothing's happening.
Then choose.
Choose what? Me or Emily.
Cassandra We're done.
Tammy.
Is that you? Hey.
Bob.
How you doin'? Oh whatcha doin' out here? Just having a small existential crisis.
Oh.
One of those.
Yeah.
Why? Chaos.
It's just all chaos.
Can't organize it 'cause you're just constantly, constantly blindsided.
What did you, um, want to ask me? Um Thank you.
Hey.
Check this out.
So Cassandra and I broke up, right? Yeah, she's in there, she's just totally irrational.
I mean, it's - Sorry.
Um - Yeah - Listen, um - No, it's-it's I mean, it's not your fault.
Right.
No.
Um Hey, come on, roomie! We gotta get up early.
Oh, it's starting now? Tonight? Why? you're constantly blindsided.