Miami Medical (2010) s01e13 Episode Script
Medicine Man
When I'm with you all my brothers, oh Great detail, Ben.
I feel like a king Thanks, Ms.
Wilson.
It feels like I'm dreaming I can't get the shading.
Try smudging across the pencil lines.
When the blood goes rattling through my veins (groaning sigh) My ears start to ring You okay, Ben? Yeah.
It's just my hands.
Hold it like this.
And I've got nothing to lose, but Darkness and shadows Circular motions.
Might ease the pressure.
Yeah, that feels pretty good.
(booming) (tires screeching) Keep your heads down! Everybody, get down! MS.
WILSON: Kids, hold on! (screaming) (crashing, splashing) (over phone): Hey, bro, it's Rick.
I'm coming down to Miami-- kind of a last-minute thing.
We really should get together.
Hey, bro, it's Rick.
I'm coming down to Miami-- kind of a last-minute thing.
We really should get together.
We got a school bus crash on I-90.
Yeah, ten minutes out.
Everything okay? It's Rick.
He left a voice mail.
That's pretty strange behavior, considering he's your brother.
You know, with Rick, it's complicated.
Yeah, if you're talking about the guy who kissed me rather than tell you he has kidney cancer, I'm familiar with his work.
Past ten years, I've seen him maybe a dozen times.
Only shows up when he wants something.
He doesn't call, and he never, ever leaves a message.
Well, he just found out he was sick.
Maybe he's reaching out.
Yeah, except I make the mistake of thinking he's reaching out to connect, only to realize he's trying to get ahold of my throat or my wallet.
Oh! Oh, okay.
Take it easy.
We don't need you on a gurney this morning.
Totally under control.
12 years of ballet, six en pointe.
Ooh.
I stand corrected, Madam Baryshnikov.
Is all this for Tuck? Yep-- first day back in three months.
ZAMBRANO: So, uh, how long before our guest of honor arrives? Soon.
And we still haven't picked up the cake.
I'm not overdoing this, am I? DELEO: No.
If I got stabbed in the chest, I'd want cake, too.
Damn.
I need another box of gloves.
Let me run over to supplies.
TUCK: Or you can look in the cabinet behind CT.
Keep a couple boxes stashed back there.
Tuck.
DELEO: Oh! WARREN: You're not supposed to be here yet.
DELEO: Yeah, the marching band and Chinese acrobats don't show up for another half hour.
Ow.
How are you feeling? Rusty.
(pagers beeping) Oh.
Update on the, uh, school bus crash-- got two red-bands with a few stable heading to the ER.
Vehicle went off the road into a canal.
Okay, let's grab An airway cart-- and I'll grab eight units of O-neg and prep crash carts in Trauma 1 and 2.
Damn.
Rusty, my ass.
Ben Sims, 16-year-old male, tachy and hypotensive, severe hyperflexion injury to the C-spine.
We had to pry him out from under the seats.
We could be looking at a spinal cord injury.
What was his GCS? One-four-two, and no purposeful movements.
Pupils are reactive-- that's good.
Strict spinal precautions when we move him.
And I want a head and neck scan ASAP.
Lori Wilson, 26-year-old female.
She was unconscious when they pulled her out of the canal.
Patient came to en route, complaining of head pain.
BP 110/60.
All right.
Here we go-- on my count.
Ready? One, two, three.
So, how's our young man doing? BP's stable, lungs are clear, but his score on the coma scale is below eight.
Check the gag reflex to determine the extent of his spinal injury.
No gag response.
Right.
Let's get him intubated.
Push etomidate and SUX.
DELEO: Hey, Lori.
How are you? I'm Dr.
Deleo.
Heard you went for an unexpected swim today.
Did all my kids make it out of the bus? Most of them went to the regular ER, which is good news.
Only one ended up here in trauma-- Ben Sims.
Oh, God, not Ben.
He-he sometimes has this weird problem with his hands.
Uh, numbness or something.
That's great information, Lori.
We'll let his doctor know.
Hurts.
Oh, my ear.
Oh, we got bleeding in the right ear.
All right, five morphine for the pain.
Let's order up a head C just to rule out any bleeding on your brain, okay? (chuckles) Bet my students would love to hear that.
(groans) All right.
Follow my finger.
What do you teach, Lori? Uh, art, graphic design.
Really? My favorite class at good old Lake Wimico High.
You liked art? I can't draw a stick figure to save my life, but my teacher, Ms.
Kendrick-- she was the only one that liked me more than my brother.
Dr.
C, her arm is swollen.
LORI: Oh, my God.
What's happening?! No evidence of arm trauma.
Maybe it's an allergic reaction the the morphine.
I haven't given her the morphine.
All right, let's get a Duplex ultrasound, and an MRI.
Make sure there's no clots forming in her arm.
ZAMBRANO: I'm going in with the scope.
Careful you don't move his head.
It could paralyze him.
(sighs) I can't see the cords.
(rapid beeping) Sats are dropping.
78%.
Lighted stylet please.
Serena, the lights, please.
That's right, over the base of the tongue.
Look for the jack o'lantern effect, the pretracheal glow.
There it is.
You're at the cords.
PROCTOR: Advance the tube.
Sats are returning to normal.
(beeps briefly and stops) And his X rays are up.
Oh, my God.
His skull is detached.
PROCTOR: Yeah.
He's internally decapitated.
It's atlanto-occipital dislocation.
Ben's skull has been separated from his spine, but the, uh the skin and blood vessels in the surrounding area are still intact.
Poor kid.
He's probably looking at a lifetime of paralysis.
Maybe not.
the spinal cord's intact as well.
I think there's a chance that he'll recover some, maybe all of his mobility.
Is that a bulge in the cord at C-7? Looks like it could be syringomyelia-- a spinal cyst.
You know, Chris mentioned that the boy was experiencing numbness in his hands before the accident.
That would explain it.
I'll page Neurosurge for a consult.
Yeah, and get him into traction tongs to decompress the spinal cord.
If we move his head in the wrong direction a few millimeters, he might be on a vent for the rest of his life.
Incoming on Heli-1.
Hunting accident out in the Everglades.
I'll take that.
Um, if you get him stabilized, then we'll, uh reattach his head.
Jesse Shane, 45-year-old male hunting guide.
Through-and-through gunshot wound to the right chest and flank.
BP 80 over 50 with normal sats.
Hi, Jesse, I'm Dr.
Proctor.
Do you know what happened to you? Damn right, I got shot! Excellent recall.
Do you know how it happened? Got hired by a couple of trophy hunters to track wild boar.
Didn't ask the Great One to release the animal spirit.
The great who? The Great One.
He's been babbling like that the entire flight.
Maybe delirious from blood loss.
Let's get him downstairs.
(groans) Which way are we facing? Is that east? All right, Jesse, just try and relax.
Let's take a look at you first.
Hey, Tuck, you're back.
Thanks to you and the team.
I hear you went above and beyond with a cardiac surgeon.
Got you the employee discount.
I need to turn around three times, face to the east, or else the Path won't present itself.
What do we have here? GSW to the right chest and flank.
Jesse, what day is it? Wednesday.
Not a good day.
And why is that? New moon.
Hard to find the Path in the dark.
(gasping) Can't breathe.
Grab me a chest tube tray.
We may have a pneumo.
TUCK: Are his breath sounds diminished? No, they're getting louder.
You take off the dressing.
Is that what I think it is? It's his lung herniating through the bullet wound.
I need some petrolatum gauze.
Screws are in line with the external auditory meatus.
Go easy.
Not too fast.
Like that? Perfect.
All right, let's hook up the traction.
Easy.
All right.
That should keep his spine decompressed until Dr.
Sandoval gets here.
Abby Sandoval? How did you pull that? Just called her.
She's a total rock star.
I saw her on Oprah.
She's the best neurosurgeon on staff.
And she, uh, also happens to be on the Tuttle Grant committee.
Top research program in the state, to which I happen to be one of the three finalists.
That is so sneaky.
I have a neuro patient; she's a neurosurgeon.
Besides, someone's got to get that grant.
Looks like the party started without me.
ZAMBRANO: Dr.
Sandoval, I, uh I-I didn't know how long you'd be.
I was I was worried about the patient's spinal compression.
Well, as you should have been.
Hi.
Abby Sandoval, Neurosurge.
Oh, I'm sorry, um, this is my associate, Dr.
Serena Warren.
I read your book on neuroanatomy in med school.
Oh, you still managed to graduate? It's a real honor to meet you, Dr.
Sandoval.
Oh, please, it's Abby.
We're all colleagues here.
You want to check the screws? No.
Looks like you did a great job.
Better than my neurosurge fellows.
So how is our patient? BP is holding up, pupils are reactive.
Excellent.
He's got a good chance of recovering mobility.
We won't know how much until after the surgery.
You two will be scrubbing in, right? Really? If that's an invitation, we accept.
Okay.
Why don't you go update his mom? She's in the waiting area.
Ms.
Sims, we brought in our head of neurosurgery to do the skull reattachment.
We just lost Ben's dad two years ago, and now this.
We noticed a small cyst on Ben's spine.
Were you aware of that? Um, yeah.
He, uh (sighs) last year started having a problem with his hands-- a numbness, a-a tingling sort of thing.
Then the doctors found that cyst.
And they didn't drain it? I was laid off from my job and I've been doing temp work to keep us afloat, but I lost my health insurance.
Mm-hmm, and surgery to treat the cyst is considered elective as long as the symptoms aren't life-threatening.
He wants he wants to be an artist, and he he's losing the feeling in his hands.
I am so frustrated because I can't afford checkups, and then it just it costs more to fix him.
Fortunately, in Trauma, our job is just to make Ben better.
Please, just give me my son back.
Hey.
The MRIs on my teacher Lori? Let me check.
Yep, here we go.
Thanks.
Mm-hmm.
No, no, no, no, these are, these are abdo/pelvis CTs.
That's not my girl.
They've got your name on them.
Says Deleo right there.
Oh, I'm sorry, Dr.
Deleo.
These are from a patient-- same last name as yours.
Rick Deleo? Are these old scans? Nope, they were taken an hour ago.
Where? Oncology in the main hospital.
Want me to print these out for you? (phone ringing) (laughter and indistinct chatter) (man makes whooshing sound) (laughter) Rick.
What are you doing? Well, at the moment, I'm telling Amber here about the time I flew a single rotor through Hurricane Paloma.
I'm just getting to the good part, if you want to pull up a chair.
No, I don't.
Amber, could you, could you give us a minute, please? Thanks.
I guess I owe you an explanation.
You think? I mean, you might want to let me know next time you're in the hospital-- where I work, by the way.
I left you a message.
No.
Okay, "Bro, I'm coming to Miami.
We sh-- we should get together"" Th-That's not a message.
You're right.
I'm sorry, bro.
I'm sorry about a lot of stuff.
Dr.
Schaumburg, this is my brother Chris.
Works over in Trauma.
Nice to meet you, and, uh, thank you for your letter.
(Chris laughs, Rick clears throat) My letter? Yeah, the one you wrote recommending Rick for the surgical trial.
Letter? His lung looks fine, but he's got blood pooling in his chest.
Want me to book an OR? Sooner the better.
We got to get him up to surgery.
No, no surgery.
Jesse, listen, your condition is extremely unstable.
We need to operate.
Well, I'm going to need something first.
It's important.
What's that? A duck.
I'm going to need a duck.
(coughing) Jesse, you've herniated your lung.
Probably got internal bleeding.
We have to do surgery to fix that.
Do you understand? I'm not stupid.
I'm just telling you like it is: no duck, no surgery.
I tell you, I'm not going anywhere till you get my duck.
You mean, to eat? Of course not.
It needs to be alive.
It needs to be a drake.
It's a male duck-- preferably a mallard, but any male duck'll do.
Why do you need a duck? To make a medicine hat.
A what? Duck is my spiritual guide, my animal totem.
I, uh, need a hat made of its feathers, one for each of the 12 winds.
Last I checked, we're fresh out of duck hats.
You don't believe me now, but you will.
Get me a duck, and I'll be just fine.
(chanting) This man does not have all his dogs on one leash.
Or his ducks.
There are some studies that show that belief in a higher power-- I mean any power-- can aid recovery.
Yeah, but the chanting What about it? Pretty sure that's what they do at all the state football games.
Still want me to book that OR? (sighs) Well, we can't operate without consent.
You want to try and convince him? No, but I can try to get the decision taken out of his hands, get someone to deem him incompetent to make his own medical decisions.
Yeah.
I'll page Psych, have 'em come down for a consult.
Put a rush on it; if we don't get into his chest soon He's gonna be a dead duck.
(ultrasound whooshing) Well, good news, Lori.
Ultrasound's clear.
No clots in your upper extremity veins.
You ruptured your eardrum in the crash.
That's painful, but that'll heal.
Then what's that face for? What face? The same one my students make when I catch them texting in class.
(laughs) You don't know what's wrong with my arm, do you? Not yet.
Kids think teachers have all the answers.
I always thought that way about doctors, too.
(voice breaking): Sometimes you just want to believe, you know? Listen to me, listen.
I'm not going anywhere till I figure this out.
All right? I don't care how much cafeteria chicken or Jell-O mold I have to consume.
(both laugh) Lori you all right? (breathing rapidly) Lori, what's wrong? Y-You can't, y-you can't tell me? Or you can't talk at all? Hey, hey, hey, just calm down.
I think you've developed an expressive aphasia.
Okay, it means you can think of the word, but your mouth can't say it.
Let's get her a white board to write on.
Get ahold of Radiology, tell them we need another MRI.
First, we'll screw a plate at the base of Ben's skull, then attach a titanium rod to his spine.
Will he need a bone graft to strengthen his skull? Nope, plate should be enough.
With any luck and a few tough months of physical therapy, he should be walking again.
I was reviewing Ben's scans, and I noticed something on the cervical vertebrae here.
Yeah, pull up the sagittal view.
Oh.
Hairline fracture at C7.
Nice catch, Eva.
Lucky.
That's the kind of diagnosis gets you noticed around here, especially, uh, by the folks who sit on certain grant committees.
Dr.
Sandoval Relax.
I'm a big fan of ambition.
Actually, you remind me of me.
Well, as long as we're making the repair to C7 Hmm.
I was thinking we could also drain the cyst.
Syringomyelia-- you saw that, did you? The cyst was diagnosed seven months ago, and it's starting to affect his motor skills.
It's not related to the trauma.
I know, but as long as we're working on the spine a few centimeters away from From a condition that is not threatening this young man's life.
But what about his quality of life? I mean, if this kid were indigent, if-if he were a ward of the state, if he were in prison, he'd get free treatment.
I'm not disagreeing with you.
DANA: Dr.
Zambrano? (sighs) Dana.
Is this about Ben? Yes, uh Dr.
Sandoval and I were just discussing his surgery.
I need to know what's going on.
Nurse Connie will take you to the waiting area.
I promise I'll come find you as soon as I can.
Okay.
Okay.
(sighs) Do you know where you are? Hospital, last time I checked.
You know what's wrong with you? Some lung thing, but nothing a duck won't heal.
Yeah, tell me about that.
Why a duck? The duck is a noble creature.
He can float atop the calm water, or dive to the roiling depths.
The duck doesn't hold a grudge or cling to the past.
He teaches us to live in the moment.
The duck flies straight and true, leading us on the Healing Path.
And you believe the duck will help you get better? Sure.
Don't you? Look, what you got here is a sane person giving insane answers.
Yeah, he's asking us to get him a duck.
Which, in and of itself, doesn't make him crazy.
Especially as it relates to his religious beliefs.
His religious beliefs? He's got a deep spiritual faith-- so deep it borders on religion.
I-I fully embrace his spirituality, but this is a religion entirely of his own making, complete with football chants and an apparent reverence for water fowl.
Listen, he is alert, oriented and rational.
I'm afraid he's quite competent.
He'll be quite dead soon unless we get him into an OR.
Why not just give him what he's asking for? Excuse me? Beliefs aren't easily changed, and his seem, you know, quite sincere.
So I should get him a duck? There's a Chinese place right across the street.
No stroke, no latent bleed in Lori's brain.
Doesn't make sense.
You want me to order more tests? I would if knew what to test for.
(pager beeping) 911? Oh.
Hey.
You sent me a 911 page.
What's wrong? Nothing.
I just wanted to see you.
That's an emergency page.
Figured you'd know it was from me.
Really? From-from From Dr.
Ben Dover? (laughs) Oh, my God.
What-what are you doing? What I want to do is throttle you right now, but I can't even do that, because now, you're, you're Cancer Guy! Not my favorite nickname, but if it works Stop! You-you need to stop.
Okay? Sending me phony pages and writing letters with my name on them.
This is This is my job, Rick.
This is my career.
You're screwing it up.
I could lose my license.
I'm sorry.
I didn't think it was a big deal.
But that's what you do.
You don't think.
You do.
And then you let everybody else clean up after you.
You're right.
What? You're right.
I'm a flake.
I'm irresponsible, and I'm reckless.
I wasn't there for you when Dad fell off the wagon.
When things get bad, I cut and run.
It's what I've always done.
But I want to change that.
What is this? It's This is It's a check for $19,758? And 50 cents? I owe you the money; It's my way of making things right.
This is not about the money.
I've done a lot things I can't ever repay.
I just want you to know I'm sorry.
Dr.
Zambrano? Oh, Ms.
Sims.
Everything okay? I'm doing it.
Doing what? I overheard you talking to that neurosurgeon about how Ben could get all the care that he needs, and so I talked to Child Services, and we're drawing up the papers.
I'm giving up custody of Ben.
What? Then you can make him better.
And all the bills will be paid, just like you said.
Ms.
Sims, that's not what I said.
If I have to lose my son in order to save him, that's what I want to do.
Dana, if you give up custody of Ben, there's no turning back.
It'll just be for two years, until he turns 18.
I'll still be part of his life.
You'll have no legal rights.
I know.
Dr.
Zambrano, when I heard you say that if he was a ward of the state Now hold on.
What you heard was my frustration, not advice.
What if Ben had a major complication? What if he had to go on life support? That document you'll be signing is black and white, but surgeries of this nature rarely are.
Do you have children, Dr.
Zambrano? No.
There's nothing worse than when your child is sick, and you can't fix them.
(voice breaking): You feel so helpless.
I just want to do what is best for my son.
Then don't make a decision on custody.
(sighs) Let me see what I can do.
Okay.
(pager beeping) ICU 14.
It's Ben.
What happened? They called me in because he was fighting the vent.
Right pupil's dilated.
Maybe he had a delayed bleed.
(hiccups) He's not fighting the vent.
He's hiccupping.
It's a brain stem stroke.
Let's get ready to move him.
Wait, wh-what's wrong with Ben? One of the arteries in his neck must be injured.
He's not getting enough oxygen to his brain stem.
The damage may be reversible if we act now, but surgery can't wait any longer.
I'll be back to update you before we scrub in, okay? Did you catch it? Actually, I rescued it from a chopping block in Little Havana.
Doesn't seem very grateful.
That's because it's my cat's crate.
I don't think you'll have much trouble getting your cat back in there.
(chuckles) (quacking) Is it a male? Let me know how I can tell.
Males are colorful; females are mostly brown.
(Jesse mutters) Looks pretty damn colorful to me.
So tell us about the medicine hat.
What does it look like? Do I have to do everything around here? No, but your input would be most helpful.
It's a medicine hat.
I don't know what to tell you more than that.
(coughing) Hey, Jesse.
(groans) It's okay.
Okay, Jesse.
Blood count has dropped two points.
Jesse, we got your duck but if we don't get you up to surgery and fix your injuries, you're going to die, you know that? I had a stroke seven years ago.
I was supposed to die then.
Healing Path saved me.
Doctors said I'd never walk again and I'd never regain my speech.
I got better 'cause I believed.
I fully respect the power of belief, Jesse, as I hope the presence of this duck will testify, but listen to me.
Belief alone is not enough to heal your injuries.
What do you believe in? Right now? I believe we should get you up to surgery.
Not without a medicine hat.
That's why I love this job.
Every day there's a first.
(loud quacking) I know, I know.
(garbled radio transmission) Hey.
Have you seen Dana-- the mother of my internal decapitation? Nursing said she came out here for coffee.
No.
Don't you have a patient to take care of? A teacher from the bus crash.
Only she's tanking.
I can't figure out what's wrong with her.
And how's Rick? I can't figure him out either.
He shows up here, getting all Deepak Chopra on me.
When you're sick, you rethink your priorities.
And you and I both know that personality changes are common amongst cancer patients.
Yeah, but this isn't a change as much as it's a a total reversal.
I mean, I don't even know who he is right now.
He's your brother.
Yeah, and he's pissing me off.
You're not pissed off.
Oh, no, I'm not? I think you're scared.
I do, I think you're scared of losing him.
You got to go see Rick.
Water.
What about it? My patient-- Lori, she swallowed too much water.
Thank you.
Hyponatremia? What is that? It means you swallowed too much water in that canal.
It diluted all the salt in your blood and made your tissues just (slurping) soak up water like a sponge.
Thank you.
It explains all your symptoms-- the swollen hands, the aphasia.
So how did you fix it? Salt.
Three percent sodium chloride.
We've been running it into your IV for the last 20 minutes.
(sighs) Seems so simple.
I'm sorry I ever doubted you.
(indistinct chatter) WOMAN: Check it out.
MAN: Oh, what is that? Back to work, people.
What's the matter, you never seen a medicine hat before? Now that is beautiful.
So, Jesse, what do you want to do? You want to hold it? You want to wear it? What? It's not for me.
It's for you.
Excuse me? The medicine hat is worn by the shaman.
Do you think I'm a shaman? You practice the healing arts.
That makes you a shaman.
With all respect, Jesse, how can my wearing this hat help you? We walk the Healing Path together, you and I.
It's a dark road, but the hat will light the way.
Sorry, but that's how it's got to be.
So, what are we gonna do? Get him up to surgery.
And then we're gonna insert an RF wand into a surgical incision I get it-- you're gonna cook this tumor on the inside, like a bag of microwave popcorn.
Leave it to you to make this about food.
Well, someone's in a good mood.
Figured out what's killing the patient-- makes it a good day.
Well, I hope I don't ruin it for you.
You here to give me the big send-off? No, but, uh Really? We're square.
You just get better, huh? Hey, um I'll stop by to see you after surgery.
(bell dings) Dana.
We're about to go into surgery.
Okay.
It'll be a few hours.
Okay? (Dana sniffles) Hey.
It'll be okay.
Yeah.
What's that? Um It's, uh Ben's sketch pad-- I found it with his things.
Wow.
He's good.
Yeah.
(laughs) Yeah.
I took an art class when I was a kid, but everything I drew looked like Gumby.
Oh, I can't draw, either.
We have no idea where he gets it from.
Maybe he'll be an architect.
I used to think so.
(sniffles) This is more recent.
And now he can barely hold a pencil.
(rhythmic beeping) All good.
ZAMBRANO: Screws are all in place.
And Ben's vitals are still strong.
Great.
I'm finished with the fracture site.
Let's get the stabilizing rod in place.
All goes well, he'll be in rehab a few weeks.
(rapid beeping) Oh, no.
The scalpel slipped.
Too much blood on my glove.
Step out.
Let me take a look.
Spinal fluid.
You nicked the cyst.
Get me a ventricular catheter-- we're gonna have to drain that cyst right now.
Let me help.
Why don't you take a break, go outside, get some air.
I'm fine, really.
I wasn't asking, Eva.
Take a break.
(rapid beeping continues) DANA: How is he? How's Ben? Your son is stable.
His skull reattachment went well.
I was able to drain the cyst without affecting the reattachment site.
I-I thought that you said you couldn't f-fix that.
There was a mistake.
Um, the cyst was punctured, so we had to drain it.
(exhales) Thank you.
They're bringing Ben out now.
Thank you so much.
Thank you.
You don't make that mistake.
I'm sorry, I just I just lost focus.
Are you sure that's what happened? I mean, come on, Eva.
You just happened to slip and make an incision where it wouldn't harm the patient but made his cyst removal a necessity? I know how this must look.
Do you? There's gonna be a formal inquiry by the M&M Board.
I'm gonna be filling out paperwork for the next month.
Dr.
Sandoval, I I don't think this conversation is going anywhere positive.
But you should know the Tuttle Grant was yours.
More than anything, I'm just disappointed.
(scrubbing) (sighs) You really gonna wear that thing into the OR? (big sigh) Well, a surgeon's head is not part of the sterile field.
(chuckles) That's not what I meant.
The man's out cold.
He won't know whether you wore it or not.
Yeah, but I'll know.
All to humor some crazy guy? When I was in rehab after the heart surgery there were times when I thought this just isn't worth it, you know? Two years of sleepless nights the pain I used to say to myself, "Just keep going until the sun rises.
" That's how I got through it.
Just, um one sunrise at a time.
Is he crazy? Really? Who am I to say? Well, I can say it.
I made that hat, and that hat is crazy.
(chuckles) Not if Jesse believes in its power.
Do you believe it? Who cares what I believe? What matters is what he believes.
Come on, do the honors.
(sighs) (sighs) (chuckles) This feels like a, uh, coronation ceremony.
All hail, King of Quacksylvania.
Hmm.
Eva? (sighs) What you did in Ben's surgery that was the most selfless, amazing thing It was a mistake, Serena.
Well mistake or not (sniffles) you're my hero.
Shut up and eat some cake.
(sighs) Give me a slice of that.
Please? (laughs) How'd it go with Rick? He felt well enough to check himself out without telling me.
Even left me a present.
Mm, that was sweet.
Well, he's a real sweetheart.
The hospital bill? Mm-hmm.
For $8,000.
Wait, he left without paying? (groans) Y-You were right, I-I never should've told you to trust him-- I'm so sorry.
No, don't be.
But if he's starting a new tab I guess that means he thinks he's gonna be around for a while.
(Deleo chuckles) Now, that guy that guy I know.
That's my brother.
(duck quacking quietly) Brought you your friend.
(quacks) (quacking) How did I do? Okay, right? Yeah.
We stopped your internal bleeding, put your lung back where it belongs.
You should be back on your feet in a couple of days.
Told you.
It was the duck.
Yeah, well, the duck and the hat.
They were both great in surgery.
Even after wearing that hat, you still don't believe? Well, no, I'm not about to invest in a flock of ducks for the hospital quite yet.
I'll check up on you later.
Whoa, whoa, whoa.
(duck quacks quietly) Wh-When I asked you what you believed, you didn't answer.
Come on, Doc.
Everybody believes in something, even if it's nothing.
(duck quacking quietly) Do you really want to know? Yeah.
(duck quacking) That's what I believe in.
And I believe, like us our friend here is grateful for his new lease on life.
(quacking)
I feel like a king Thanks, Ms.
Wilson.
It feels like I'm dreaming I can't get the shading.
Try smudging across the pencil lines.
When the blood goes rattling through my veins (groaning sigh) My ears start to ring You okay, Ben? Yeah.
It's just my hands.
Hold it like this.
And I've got nothing to lose, but Darkness and shadows Circular motions.
Might ease the pressure.
Yeah, that feels pretty good.
(booming) (tires screeching) Keep your heads down! Everybody, get down! MS.
WILSON: Kids, hold on! (screaming) (crashing, splashing) (over phone): Hey, bro, it's Rick.
I'm coming down to Miami-- kind of a last-minute thing.
We really should get together.
Hey, bro, it's Rick.
I'm coming down to Miami-- kind of a last-minute thing.
We really should get together.
We got a school bus crash on I-90.
Yeah, ten minutes out.
Everything okay? It's Rick.
He left a voice mail.
That's pretty strange behavior, considering he's your brother.
You know, with Rick, it's complicated.
Yeah, if you're talking about the guy who kissed me rather than tell you he has kidney cancer, I'm familiar with his work.
Past ten years, I've seen him maybe a dozen times.
Only shows up when he wants something.
He doesn't call, and he never, ever leaves a message.
Well, he just found out he was sick.
Maybe he's reaching out.
Yeah, except I make the mistake of thinking he's reaching out to connect, only to realize he's trying to get ahold of my throat or my wallet.
Oh! Oh, okay.
Take it easy.
We don't need you on a gurney this morning.
Totally under control.
12 years of ballet, six en pointe.
Ooh.
I stand corrected, Madam Baryshnikov.
Is all this for Tuck? Yep-- first day back in three months.
ZAMBRANO: So, uh, how long before our guest of honor arrives? Soon.
And we still haven't picked up the cake.
I'm not overdoing this, am I? DELEO: No.
If I got stabbed in the chest, I'd want cake, too.
Damn.
I need another box of gloves.
Let me run over to supplies.
TUCK: Or you can look in the cabinet behind CT.
Keep a couple boxes stashed back there.
Tuck.
DELEO: Oh! WARREN: You're not supposed to be here yet.
DELEO: Yeah, the marching band and Chinese acrobats don't show up for another half hour.
Ow.
How are you feeling? Rusty.
(pagers beeping) Oh.
Update on the, uh, school bus crash-- got two red-bands with a few stable heading to the ER.
Vehicle went off the road into a canal.
Okay, let's grab An airway cart-- and I'll grab eight units of O-neg and prep crash carts in Trauma 1 and 2.
Damn.
Rusty, my ass.
Ben Sims, 16-year-old male, tachy and hypotensive, severe hyperflexion injury to the C-spine.
We had to pry him out from under the seats.
We could be looking at a spinal cord injury.
What was his GCS? One-four-two, and no purposeful movements.
Pupils are reactive-- that's good.
Strict spinal precautions when we move him.
And I want a head and neck scan ASAP.
Lori Wilson, 26-year-old female.
She was unconscious when they pulled her out of the canal.
Patient came to en route, complaining of head pain.
BP 110/60.
All right.
Here we go-- on my count.
Ready? One, two, three.
So, how's our young man doing? BP's stable, lungs are clear, but his score on the coma scale is below eight.
Check the gag reflex to determine the extent of his spinal injury.
No gag response.
Right.
Let's get him intubated.
Push etomidate and SUX.
DELEO: Hey, Lori.
How are you? I'm Dr.
Deleo.
Heard you went for an unexpected swim today.
Did all my kids make it out of the bus? Most of them went to the regular ER, which is good news.
Only one ended up here in trauma-- Ben Sims.
Oh, God, not Ben.
He-he sometimes has this weird problem with his hands.
Uh, numbness or something.
That's great information, Lori.
We'll let his doctor know.
Hurts.
Oh, my ear.
Oh, we got bleeding in the right ear.
All right, five morphine for the pain.
Let's order up a head C just to rule out any bleeding on your brain, okay? (chuckles) Bet my students would love to hear that.
(groans) All right.
Follow my finger.
What do you teach, Lori? Uh, art, graphic design.
Really? My favorite class at good old Lake Wimico High.
You liked art? I can't draw a stick figure to save my life, but my teacher, Ms.
Kendrick-- she was the only one that liked me more than my brother.
Dr.
C, her arm is swollen.
LORI: Oh, my God.
What's happening?! No evidence of arm trauma.
Maybe it's an allergic reaction the the morphine.
I haven't given her the morphine.
All right, let's get a Duplex ultrasound, and an MRI.
Make sure there's no clots forming in her arm.
ZAMBRANO: I'm going in with the scope.
Careful you don't move his head.
It could paralyze him.
(sighs) I can't see the cords.
(rapid beeping) Sats are dropping.
78%.
Lighted stylet please.
Serena, the lights, please.
That's right, over the base of the tongue.
Look for the jack o'lantern effect, the pretracheal glow.
There it is.
You're at the cords.
PROCTOR: Advance the tube.
Sats are returning to normal.
(beeps briefly and stops) And his X rays are up.
Oh, my God.
His skull is detached.
PROCTOR: Yeah.
He's internally decapitated.
It's atlanto-occipital dislocation.
Ben's skull has been separated from his spine, but the, uh the skin and blood vessels in the surrounding area are still intact.
Poor kid.
He's probably looking at a lifetime of paralysis.
Maybe not.
the spinal cord's intact as well.
I think there's a chance that he'll recover some, maybe all of his mobility.
Is that a bulge in the cord at C-7? Looks like it could be syringomyelia-- a spinal cyst.
You know, Chris mentioned that the boy was experiencing numbness in his hands before the accident.
That would explain it.
I'll page Neurosurge for a consult.
Yeah, and get him into traction tongs to decompress the spinal cord.
If we move his head in the wrong direction a few millimeters, he might be on a vent for the rest of his life.
Incoming on Heli-1.
Hunting accident out in the Everglades.
I'll take that.
Um, if you get him stabilized, then we'll, uh reattach his head.
Jesse Shane, 45-year-old male hunting guide.
Through-and-through gunshot wound to the right chest and flank.
BP 80 over 50 with normal sats.
Hi, Jesse, I'm Dr.
Proctor.
Do you know what happened to you? Damn right, I got shot! Excellent recall.
Do you know how it happened? Got hired by a couple of trophy hunters to track wild boar.
Didn't ask the Great One to release the animal spirit.
The great who? The Great One.
He's been babbling like that the entire flight.
Maybe delirious from blood loss.
Let's get him downstairs.
(groans) Which way are we facing? Is that east? All right, Jesse, just try and relax.
Let's take a look at you first.
Hey, Tuck, you're back.
Thanks to you and the team.
I hear you went above and beyond with a cardiac surgeon.
Got you the employee discount.
I need to turn around three times, face to the east, or else the Path won't present itself.
What do we have here? GSW to the right chest and flank.
Jesse, what day is it? Wednesday.
Not a good day.
And why is that? New moon.
Hard to find the Path in the dark.
(gasping) Can't breathe.
Grab me a chest tube tray.
We may have a pneumo.
TUCK: Are his breath sounds diminished? No, they're getting louder.
You take off the dressing.
Is that what I think it is? It's his lung herniating through the bullet wound.
I need some petrolatum gauze.
Screws are in line with the external auditory meatus.
Go easy.
Not too fast.
Like that? Perfect.
All right, let's hook up the traction.
Easy.
All right.
That should keep his spine decompressed until Dr.
Sandoval gets here.
Abby Sandoval? How did you pull that? Just called her.
She's a total rock star.
I saw her on Oprah.
She's the best neurosurgeon on staff.
And she, uh, also happens to be on the Tuttle Grant committee.
Top research program in the state, to which I happen to be one of the three finalists.
That is so sneaky.
I have a neuro patient; she's a neurosurgeon.
Besides, someone's got to get that grant.
Looks like the party started without me.
ZAMBRANO: Dr.
Sandoval, I, uh I-I didn't know how long you'd be.
I was I was worried about the patient's spinal compression.
Well, as you should have been.
Hi.
Abby Sandoval, Neurosurge.
Oh, I'm sorry, um, this is my associate, Dr.
Serena Warren.
I read your book on neuroanatomy in med school.
Oh, you still managed to graduate? It's a real honor to meet you, Dr.
Sandoval.
Oh, please, it's Abby.
We're all colleagues here.
You want to check the screws? No.
Looks like you did a great job.
Better than my neurosurge fellows.
So how is our patient? BP is holding up, pupils are reactive.
Excellent.
He's got a good chance of recovering mobility.
We won't know how much until after the surgery.
You two will be scrubbing in, right? Really? If that's an invitation, we accept.
Okay.
Why don't you go update his mom? She's in the waiting area.
Ms.
Sims, we brought in our head of neurosurgery to do the skull reattachment.
We just lost Ben's dad two years ago, and now this.
We noticed a small cyst on Ben's spine.
Were you aware of that? Um, yeah.
He, uh (sighs) last year started having a problem with his hands-- a numbness, a-a tingling sort of thing.
Then the doctors found that cyst.
And they didn't drain it? I was laid off from my job and I've been doing temp work to keep us afloat, but I lost my health insurance.
Mm-hmm, and surgery to treat the cyst is considered elective as long as the symptoms aren't life-threatening.
He wants he wants to be an artist, and he he's losing the feeling in his hands.
I am so frustrated because I can't afford checkups, and then it just it costs more to fix him.
Fortunately, in Trauma, our job is just to make Ben better.
Please, just give me my son back.
Hey.
The MRIs on my teacher Lori? Let me check.
Yep, here we go.
Thanks.
Mm-hmm.
No, no, no, no, these are, these are abdo/pelvis CTs.
That's not my girl.
They've got your name on them.
Says Deleo right there.
Oh, I'm sorry, Dr.
Deleo.
These are from a patient-- same last name as yours.
Rick Deleo? Are these old scans? Nope, they were taken an hour ago.
Where? Oncology in the main hospital.
Want me to print these out for you? (phone ringing) (laughter and indistinct chatter) (man makes whooshing sound) (laughter) Rick.
What are you doing? Well, at the moment, I'm telling Amber here about the time I flew a single rotor through Hurricane Paloma.
I'm just getting to the good part, if you want to pull up a chair.
No, I don't.
Amber, could you, could you give us a minute, please? Thanks.
I guess I owe you an explanation.
You think? I mean, you might want to let me know next time you're in the hospital-- where I work, by the way.
I left you a message.
No.
Okay, "Bro, I'm coming to Miami.
We sh-- we should get together"" Th-That's not a message.
You're right.
I'm sorry, bro.
I'm sorry about a lot of stuff.
Dr.
Schaumburg, this is my brother Chris.
Works over in Trauma.
Nice to meet you, and, uh, thank you for your letter.
(Chris laughs, Rick clears throat) My letter? Yeah, the one you wrote recommending Rick for the surgical trial.
Letter? His lung looks fine, but he's got blood pooling in his chest.
Want me to book an OR? Sooner the better.
We got to get him up to surgery.
No, no surgery.
Jesse, listen, your condition is extremely unstable.
We need to operate.
Well, I'm going to need something first.
It's important.
What's that? A duck.
I'm going to need a duck.
(coughing) Jesse, you've herniated your lung.
Probably got internal bleeding.
We have to do surgery to fix that.
Do you understand? I'm not stupid.
I'm just telling you like it is: no duck, no surgery.
I tell you, I'm not going anywhere till you get my duck.
You mean, to eat? Of course not.
It needs to be alive.
It needs to be a drake.
It's a male duck-- preferably a mallard, but any male duck'll do.
Why do you need a duck? To make a medicine hat.
A what? Duck is my spiritual guide, my animal totem.
I, uh, need a hat made of its feathers, one for each of the 12 winds.
Last I checked, we're fresh out of duck hats.
You don't believe me now, but you will.
Get me a duck, and I'll be just fine.
(chanting) This man does not have all his dogs on one leash.
Or his ducks.
There are some studies that show that belief in a higher power-- I mean any power-- can aid recovery.
Yeah, but the chanting What about it? Pretty sure that's what they do at all the state football games.
Still want me to book that OR? (sighs) Well, we can't operate without consent.
You want to try and convince him? No, but I can try to get the decision taken out of his hands, get someone to deem him incompetent to make his own medical decisions.
Yeah.
I'll page Psych, have 'em come down for a consult.
Put a rush on it; if we don't get into his chest soon He's gonna be a dead duck.
(ultrasound whooshing) Well, good news, Lori.
Ultrasound's clear.
No clots in your upper extremity veins.
You ruptured your eardrum in the crash.
That's painful, but that'll heal.
Then what's that face for? What face? The same one my students make when I catch them texting in class.
(laughs) You don't know what's wrong with my arm, do you? Not yet.
Kids think teachers have all the answers.
I always thought that way about doctors, too.
(voice breaking): Sometimes you just want to believe, you know? Listen to me, listen.
I'm not going anywhere till I figure this out.
All right? I don't care how much cafeteria chicken or Jell-O mold I have to consume.
(both laugh) Lori you all right? (breathing rapidly) Lori, what's wrong? Y-You can't, y-you can't tell me? Or you can't talk at all? Hey, hey, hey, just calm down.
I think you've developed an expressive aphasia.
Okay, it means you can think of the word, but your mouth can't say it.
Let's get her a white board to write on.
Get ahold of Radiology, tell them we need another MRI.
First, we'll screw a plate at the base of Ben's skull, then attach a titanium rod to his spine.
Will he need a bone graft to strengthen his skull? Nope, plate should be enough.
With any luck and a few tough months of physical therapy, he should be walking again.
I was reviewing Ben's scans, and I noticed something on the cervical vertebrae here.
Yeah, pull up the sagittal view.
Oh.
Hairline fracture at C7.
Nice catch, Eva.
Lucky.
That's the kind of diagnosis gets you noticed around here, especially, uh, by the folks who sit on certain grant committees.
Dr.
Sandoval Relax.
I'm a big fan of ambition.
Actually, you remind me of me.
Well, as long as we're making the repair to C7 Hmm.
I was thinking we could also drain the cyst.
Syringomyelia-- you saw that, did you? The cyst was diagnosed seven months ago, and it's starting to affect his motor skills.
It's not related to the trauma.
I know, but as long as we're working on the spine a few centimeters away from From a condition that is not threatening this young man's life.
But what about his quality of life? I mean, if this kid were indigent, if-if he were a ward of the state, if he were in prison, he'd get free treatment.
I'm not disagreeing with you.
DANA: Dr.
Zambrano? (sighs) Dana.
Is this about Ben? Yes, uh Dr.
Sandoval and I were just discussing his surgery.
I need to know what's going on.
Nurse Connie will take you to the waiting area.
I promise I'll come find you as soon as I can.
Okay.
Okay.
(sighs) Do you know where you are? Hospital, last time I checked.
You know what's wrong with you? Some lung thing, but nothing a duck won't heal.
Yeah, tell me about that.
Why a duck? The duck is a noble creature.
He can float atop the calm water, or dive to the roiling depths.
The duck doesn't hold a grudge or cling to the past.
He teaches us to live in the moment.
The duck flies straight and true, leading us on the Healing Path.
And you believe the duck will help you get better? Sure.
Don't you? Look, what you got here is a sane person giving insane answers.
Yeah, he's asking us to get him a duck.
Which, in and of itself, doesn't make him crazy.
Especially as it relates to his religious beliefs.
His religious beliefs? He's got a deep spiritual faith-- so deep it borders on religion.
I-I fully embrace his spirituality, but this is a religion entirely of his own making, complete with football chants and an apparent reverence for water fowl.
Listen, he is alert, oriented and rational.
I'm afraid he's quite competent.
He'll be quite dead soon unless we get him into an OR.
Why not just give him what he's asking for? Excuse me? Beliefs aren't easily changed, and his seem, you know, quite sincere.
So I should get him a duck? There's a Chinese place right across the street.
No stroke, no latent bleed in Lori's brain.
Doesn't make sense.
You want me to order more tests? I would if knew what to test for.
(pager beeping) 911? Oh.
Hey.
You sent me a 911 page.
What's wrong? Nothing.
I just wanted to see you.
That's an emergency page.
Figured you'd know it was from me.
Really? From-from From Dr.
Ben Dover? (laughs) Oh, my God.
What-what are you doing? What I want to do is throttle you right now, but I can't even do that, because now, you're, you're Cancer Guy! Not my favorite nickname, but if it works Stop! You-you need to stop.
Okay? Sending me phony pages and writing letters with my name on them.
This is This is my job, Rick.
This is my career.
You're screwing it up.
I could lose my license.
I'm sorry.
I didn't think it was a big deal.
But that's what you do.
You don't think.
You do.
And then you let everybody else clean up after you.
You're right.
What? You're right.
I'm a flake.
I'm irresponsible, and I'm reckless.
I wasn't there for you when Dad fell off the wagon.
When things get bad, I cut and run.
It's what I've always done.
But I want to change that.
What is this? It's This is It's a check for $19,758? And 50 cents? I owe you the money; It's my way of making things right.
This is not about the money.
I've done a lot things I can't ever repay.
I just want you to know I'm sorry.
Dr.
Zambrano? Oh, Ms.
Sims.
Everything okay? I'm doing it.
Doing what? I overheard you talking to that neurosurgeon about how Ben could get all the care that he needs, and so I talked to Child Services, and we're drawing up the papers.
I'm giving up custody of Ben.
What? Then you can make him better.
And all the bills will be paid, just like you said.
Ms.
Sims, that's not what I said.
If I have to lose my son in order to save him, that's what I want to do.
Dana, if you give up custody of Ben, there's no turning back.
It'll just be for two years, until he turns 18.
I'll still be part of his life.
You'll have no legal rights.
I know.
Dr.
Zambrano, when I heard you say that if he was a ward of the state Now hold on.
What you heard was my frustration, not advice.
What if Ben had a major complication? What if he had to go on life support? That document you'll be signing is black and white, but surgeries of this nature rarely are.
Do you have children, Dr.
Zambrano? No.
There's nothing worse than when your child is sick, and you can't fix them.
(voice breaking): You feel so helpless.
I just want to do what is best for my son.
Then don't make a decision on custody.
(sighs) Let me see what I can do.
Okay.
(pager beeping) ICU 14.
It's Ben.
What happened? They called me in because he was fighting the vent.
Right pupil's dilated.
Maybe he had a delayed bleed.
(hiccups) He's not fighting the vent.
He's hiccupping.
It's a brain stem stroke.
Let's get ready to move him.
Wait, wh-what's wrong with Ben? One of the arteries in his neck must be injured.
He's not getting enough oxygen to his brain stem.
The damage may be reversible if we act now, but surgery can't wait any longer.
I'll be back to update you before we scrub in, okay? Did you catch it? Actually, I rescued it from a chopping block in Little Havana.
Doesn't seem very grateful.
That's because it's my cat's crate.
I don't think you'll have much trouble getting your cat back in there.
(chuckles) (quacking) Is it a male? Let me know how I can tell.
Males are colorful; females are mostly brown.
(Jesse mutters) Looks pretty damn colorful to me.
So tell us about the medicine hat.
What does it look like? Do I have to do everything around here? No, but your input would be most helpful.
It's a medicine hat.
I don't know what to tell you more than that.
(coughing) Hey, Jesse.
(groans) It's okay.
Okay, Jesse.
Blood count has dropped two points.
Jesse, we got your duck but if we don't get you up to surgery and fix your injuries, you're going to die, you know that? I had a stroke seven years ago.
I was supposed to die then.
Healing Path saved me.
Doctors said I'd never walk again and I'd never regain my speech.
I got better 'cause I believed.
I fully respect the power of belief, Jesse, as I hope the presence of this duck will testify, but listen to me.
Belief alone is not enough to heal your injuries.
What do you believe in? Right now? I believe we should get you up to surgery.
Not without a medicine hat.
That's why I love this job.
Every day there's a first.
(loud quacking) I know, I know.
(garbled radio transmission) Hey.
Have you seen Dana-- the mother of my internal decapitation? Nursing said she came out here for coffee.
No.
Don't you have a patient to take care of? A teacher from the bus crash.
Only she's tanking.
I can't figure out what's wrong with her.
And how's Rick? I can't figure him out either.
He shows up here, getting all Deepak Chopra on me.
When you're sick, you rethink your priorities.
And you and I both know that personality changes are common amongst cancer patients.
Yeah, but this isn't a change as much as it's a a total reversal.
I mean, I don't even know who he is right now.
He's your brother.
Yeah, and he's pissing me off.
You're not pissed off.
Oh, no, I'm not? I think you're scared.
I do, I think you're scared of losing him.
You got to go see Rick.
Water.
What about it? My patient-- Lori, she swallowed too much water.
Thank you.
Hyponatremia? What is that? It means you swallowed too much water in that canal.
It diluted all the salt in your blood and made your tissues just (slurping) soak up water like a sponge.
Thank you.
It explains all your symptoms-- the swollen hands, the aphasia.
So how did you fix it? Salt.
Three percent sodium chloride.
We've been running it into your IV for the last 20 minutes.
(sighs) Seems so simple.
I'm sorry I ever doubted you.
(indistinct chatter) WOMAN: Check it out.
MAN: Oh, what is that? Back to work, people.
What's the matter, you never seen a medicine hat before? Now that is beautiful.
So, Jesse, what do you want to do? You want to hold it? You want to wear it? What? It's not for me.
It's for you.
Excuse me? The medicine hat is worn by the shaman.
Do you think I'm a shaman? You practice the healing arts.
That makes you a shaman.
With all respect, Jesse, how can my wearing this hat help you? We walk the Healing Path together, you and I.
It's a dark road, but the hat will light the way.
Sorry, but that's how it's got to be.
So, what are we gonna do? Get him up to surgery.
And then we're gonna insert an RF wand into a surgical incision I get it-- you're gonna cook this tumor on the inside, like a bag of microwave popcorn.
Leave it to you to make this about food.
Well, someone's in a good mood.
Figured out what's killing the patient-- makes it a good day.
Well, I hope I don't ruin it for you.
You here to give me the big send-off? No, but, uh Really? We're square.
You just get better, huh? Hey, um I'll stop by to see you after surgery.
(bell dings) Dana.
We're about to go into surgery.
Okay.
It'll be a few hours.
Okay? (Dana sniffles) Hey.
It'll be okay.
Yeah.
What's that? Um It's, uh Ben's sketch pad-- I found it with his things.
Wow.
He's good.
Yeah.
(laughs) Yeah.
I took an art class when I was a kid, but everything I drew looked like Gumby.
Oh, I can't draw, either.
We have no idea where he gets it from.
Maybe he'll be an architect.
I used to think so.
(sniffles) This is more recent.
And now he can barely hold a pencil.
(rhythmic beeping) All good.
ZAMBRANO: Screws are all in place.
And Ben's vitals are still strong.
Great.
I'm finished with the fracture site.
Let's get the stabilizing rod in place.
All goes well, he'll be in rehab a few weeks.
(rapid beeping) Oh, no.
The scalpel slipped.
Too much blood on my glove.
Step out.
Let me take a look.
Spinal fluid.
You nicked the cyst.
Get me a ventricular catheter-- we're gonna have to drain that cyst right now.
Let me help.
Why don't you take a break, go outside, get some air.
I'm fine, really.
I wasn't asking, Eva.
Take a break.
(rapid beeping continues) DANA: How is he? How's Ben? Your son is stable.
His skull reattachment went well.
I was able to drain the cyst without affecting the reattachment site.
I-I thought that you said you couldn't f-fix that.
There was a mistake.
Um, the cyst was punctured, so we had to drain it.
(exhales) Thank you.
They're bringing Ben out now.
Thank you so much.
Thank you.
You don't make that mistake.
I'm sorry, I just I just lost focus.
Are you sure that's what happened? I mean, come on, Eva.
You just happened to slip and make an incision where it wouldn't harm the patient but made his cyst removal a necessity? I know how this must look.
Do you? There's gonna be a formal inquiry by the M&M Board.
I'm gonna be filling out paperwork for the next month.
Dr.
Sandoval, I I don't think this conversation is going anywhere positive.
But you should know the Tuttle Grant was yours.
More than anything, I'm just disappointed.
(scrubbing) (sighs) You really gonna wear that thing into the OR? (big sigh) Well, a surgeon's head is not part of the sterile field.
(chuckles) That's not what I meant.
The man's out cold.
He won't know whether you wore it or not.
Yeah, but I'll know.
All to humor some crazy guy? When I was in rehab after the heart surgery there were times when I thought this just isn't worth it, you know? Two years of sleepless nights the pain I used to say to myself, "Just keep going until the sun rises.
" That's how I got through it.
Just, um one sunrise at a time.
Is he crazy? Really? Who am I to say? Well, I can say it.
I made that hat, and that hat is crazy.
(chuckles) Not if Jesse believes in its power.
Do you believe it? Who cares what I believe? What matters is what he believes.
Come on, do the honors.
(sighs) (sighs) (chuckles) This feels like a, uh, coronation ceremony.
All hail, King of Quacksylvania.
Hmm.
Eva? (sighs) What you did in Ben's surgery that was the most selfless, amazing thing It was a mistake, Serena.
Well mistake or not (sniffles) you're my hero.
Shut up and eat some cake.
(sighs) Give me a slice of that.
Please? (laughs) How'd it go with Rick? He felt well enough to check himself out without telling me.
Even left me a present.
Mm, that was sweet.
Well, he's a real sweetheart.
The hospital bill? Mm-hmm.
For $8,000.
Wait, he left without paying? (groans) Y-You were right, I-I never should've told you to trust him-- I'm so sorry.
No, don't be.
But if he's starting a new tab I guess that means he thinks he's gonna be around for a while.
(Deleo chuckles) Now, that guy that guy I know.
That's my brother.
(duck quacking quietly) Brought you your friend.
(quacks) (quacking) How did I do? Okay, right? Yeah.
We stopped your internal bleeding, put your lung back where it belongs.
You should be back on your feet in a couple of days.
Told you.
It was the duck.
Yeah, well, the duck and the hat.
They were both great in surgery.
Even after wearing that hat, you still don't believe? Well, no, I'm not about to invest in a flock of ducks for the hospital quite yet.
I'll check up on you later.
Whoa, whoa, whoa.
(duck quacks quietly) Wh-When I asked you what you believed, you didn't answer.
Come on, Doc.
Everybody believes in something, even if it's nothing.
(duck quacking quietly) Do you really want to know? Yeah.
(duck quacking) That's what I believe in.
And I believe, like us our friend here is grateful for his new lease on life.
(quacking)