Code Black (2015) s03e01 Episode Script

Third Year

1 [MONITORS BEEPING, SIREN WAILING, TELEPHONE RINGING.]
MAN: Sir! Don't threaten me! Don't threaten me! I'm Jesse Sallander, senior ER nurse, and for the next three years, I'm your mama.
If you think you're smarter than your mama because you have an MD well, you are not.
You mind if I film this? Maybe later.
As I was saying, nothing goes on in this house your mama does not know about.
Oh my God, that guy is covered in blood Eyes and ears on me, people! Come on! I don't understand.
The army sent you here to work in the ER.
They sent me to pass on what I've learned and developed in the battlefield.
I'm still doing that.
Just not in the ER? Well, sometimes in the ER, but mostly in the field.
What if I say no? I don't work for you, remember? You've reminded me of that a few times, yes.
You'll still send the residents out with me to get the training, and I'll teach them what I know.
It's a win-win.
The paramedics unions have already complained, - you know? - Politics.
Believe me, down on the ground, people are happy I'm there.
You Roxanne Valenzuela? Yeah.
Hey, Dr.
Campbell.
Rox, this is, uh, Dr.
Willis.
The ride-along guy.
Great.
They really love you.
Whoa! You're not throwing that away.
What are you looking for? Signs of something contagious.
- [GROANS.]
- [GUNSHOTS.]
- Did you hear that? - MAN: Shots fired! Shots fired! I'm pinned and taking heavy gunfire! 6100 block of Beeman Avenue! That's just a couple blocks away.
Dr.
Leighton! Come with me! - Come on! - Wh Wait, wait.
Could be multiples.
Send backup now! We're taking on fire and I'm I'm injured! Go, go.
This is ridiculous.
Girls who get suspended from school don't get to lie around the house watching YouTube videos all day.
Admit it my principal's an ass.
I agree.
But he's an ass that we need on our side.
Why? Because Child and Family Services is going to ask him how you're doing, and his answer weighs into their decision as to whether or not I get to adopt you.
Understood? We need him.
So I have to be a candystriper? Yes.
And you're gonna be my boss, then? No, I'm not going to be your boss.
He is.
How do you feel about vomit? How close can you get us? Protocol says stay a block away.
You can get us closer.
[SIREN CONTINUES.]
Pull up behind that red truck.
That's him.
That's the cop on the radio.
Where the hell is my backup?! Stick with me, stay low.
Make yourself a small target.
I am not a small target.
[GUNSHOTS.]
[DOOR CLOSES.]
[GUNSHOTS CONTINUE.]
[GUNSHOTS.]
MAN: Get back! I said get back! [GUNSHOTS.]
- You've been hit! - I'm fine! You're not fine.
Angus, grab the Celox and deal with that wound! - My partner's out there! - [GUNSHOTS CONTINUE.]
Where the hell is my backup?! Walsh, hang in there, buddy! - [GUNSHOTS CONTINUE.]
- It was a routine buy.
We followed the seller here.
All of a sudden, bullets started flying.
- [POLICE RADIO CHATTER.]
- Copy! SWAT's six minutes out.
- He's not gonna make six minutes.
- He has to.
Need you to face me and sit down! - We got to get to him.
- Are you crazy? - We are already too close.
- [GUNSHOTS CONTINUE.]
The guidelines on this are very clear.
Until the situation is scene-safe, we're supposed to be a block away! I have an idea.
[GUNSHOTS CONTINUE.]
Hey! [GUNSHOTS CONTINUE.]
[RADIO CHATTER.]
[GUNSHOTS CONTINUE.]
[SIREN WAILING.]
[GUNSHOTS CONTINUE.]
Go! [SIREN WAILS.]
Walsh! Walsh, talk to me, buddy! Dr.
Leighton, you want to deal with him? Guy's got a crater for an exit wound.
Won't pack easily.
Then we've got to get creative.
- Hell's this? - TopClosure 3S.
It's basically a zip tie for a gaping wound.
Staple on each side.
One for each Oh, I'm sorry, did you need to mansplain it? [ENGINE REVS.]
[GUNSHOTS, SIREN WAILING.]
Zip-a-dee-doo-dah.
[GUNSHOTS CONTINUE.]
[BRAKES SQUEAL.]
[GUNSHOTS.]
[INDISTINCT SHOUTING.]
Go, go, go! Something's wrong.
Why's it so quiet? That's not smoke.
I'm gonna go in.
What is going on?! You two, take him back to Angels.
We should wait for SWAT.
We have no idea what's in there.
You're absolutely right.
You stay here.
I'm gonna go check it out.
[SIREN WAILS.]
[AIR HISSING.]
This is powdered fentanyl.
[GLASS SHATTERS.]
[GASPS.]
DIEGO: Come on, just say it again.
What part of no do you not understand? Come on, just once for the camera.
[AS JESSE.]
For the next three years, I'm your mama.
You think you're smarter than your mama because you're an MD Believe me, you're not.
[CHUCKLES.]
That's awesome.
You're a first-year resident at Angels Memorial.
I know your father pulled a couple of strings so you'd be able to do this, but one thing he ain't is your daddy.
Not here.
Talking about Leanne Rorish? The famous daddy.
Chill, all right? She's already been spoken to about this.
It's all good.
This documentary is important, okay? People need to know what this great place is all about.
Why? Health care in America, bro.
Biggest issue of our time.
PEPPER: Look, I'm not a part of this.
I don't want any demerits or anything.
We don't give demerits.
We just kick you out.
You must be Pepper.
I'm Noa Kean.
Second year.
Her name is Dr.
Russo, Dr.
Kean.
This is a hospital.
We're professionals, okay? This is Dr.
Savetti.
Senior resident.
Yeah, this is Jesse.
"Senior resident.
" That sounds weird.
- Yeah, tell me about it.
- Yeah, we're all here.
There are HIPAA rules about that camera, you know? - JESSE: We'll be out there.
- Yep.
Okay, guys, Dr.
Leighton is five minutes out.
Two GSWs.
Red on blue.
And there's more coming in.
First-year residents, out to the ambulance bay.
Go! Hey, Jesse - JESSE: Yo.
- Rorish okay with that guy carrying a camera around in here? We got bigger problems right now.
- [SIRENS WAILING.]
- [GASPS.]
Welcome back, Officer.
You're lucky to be alive.
Willis! - [SIREN WAILS.]
- Whoa! Heads up, heads up! JESSE: First years, let's look alive, here comes your daddy.
We've got two detectives arriving with GSWs.
Dr.
Avila, what's a GSW? - Uh, gunshot wound.
- All right.
Doc where's your gloves? Get your gloves on.
Okay, Dr.
Russo, what is our primary responsibility? Um, first, do no harm.
Not the Hippocratic Oath.
Not down here.
Down here in the ER, our mantra is Come on, say it with me.
- ALL: We plug holes.
- There you go.
We don't get fancy unless we have to.
- We plug the holes, we move 'em out.
- [COUGHS, VOMITS.]
- Thank you mama.
- Dr.
Savetti, you're a third year standing next to two terrified first years.
Say something encouraging.
If you're gonna puke, try and get it in the garbage can.
LEANNE: Okay, I'll try a second year.
Dr.
Dixon? Uh, first pulse you check is your own.
And remember to breathe.
What do you got? GSW through-and-through.
The hemorrhaging temporized at the scene.
He's lost a lot of blood.
Needed compressions multiple times en route.
Those zip ties? Oh, let me guess, Willis? Put down the camera, grab the bag, squeeze it gently every three seconds.
Dr.
Avila, I don't care who your father is.
You don't ever endanger a patient.
- Do you understand? - Yeah.
Dr.
Rorish, this is Detective Gomez.
GSW graze wound to the head.
There's no penetration.
Sluggishness suggests Uh, sluggishness suggests what, Dr.
Russo? Um, maybe drugs.
He's a cop with a head wound.
Possible concussion! Shut up! He's not your patient! [SIREN WAILING.]
- WILLIS: Line's in.
- ROX: Two units O-Neg.
So, you were military? Still am.
But you work here? My units embeds doctors in county hospitals to teach what we've learned in the battlefield.
Like the zip-tie thing? Starting another NS bolus.
Why are you so against me being here? I'm trained for this.
You're not.
If I weren't here, this kid would be dead.
- You don't know that.
- I do know that.
'Cause that's what I'm trained for.
[MOANING.]
- Narcan's wearing off.
- Coming right up.
- Oh, my God, Mika! - Hey! - Hey! - Mika, no! You need to stay calm.
- [MUMBLING.]
- Don't move your shoulder.
You've been shot.
Is this your daughter? My niece.
Is she gonna be okay?! Does my brother know? I have to call him! How's my partner? Walsh! ELLIOT: Hey, he's in good hands, all right? You need to stay still.
You're a lucky man, detective.
That's right.
Half an inch on either side and you might They said they found a little girl in that house - with a bullet wound.
- You don't know if it was your bullet.
For a solid six minutes, I was the only one shooting into that house.
LEANNE: Dr.
Russo, you can't see from back there.
You want an education, fight for it! JESSE: You, too, Dr.
Avila.
Let's put the camera down! Come on! Let's go! He's going into v-fib.
- Walsh! - LEANNE: All right, he's crashing again.
Prepare for a shock.
Mama, we got to page Dr.
Campbell.
If he survives, he's gonna need the OR.
[BEEPING.]
8 years old, GSW.
[CHATTER.]
Hold on, Mika! You're gonna be okay! Dr.
Willis, talk to me.
We got this one.
There's five more behind us.
- SWAT members! - I'm on it! - [PADDLES WHINE.]
- MIKE: Clear! - Nothing.
- WILLIS: Use some help here! LEANNE: All right, Dr.
Leighton, take it.
MIKE: I'm on it.
- That's her.
How is she? - JESSE: She's in good hands, okay? 8-year-old girl, GSW abdomen, hypotensive in the field of pulsatile bleed, 70 over palp with a liter in.
Count of three.
One, two, three.
Start a FAST scan.
Mika! It's me! Uncle Judd! Hey, girl.
Hey, can you hear me? LEANNE: Jesse, I could use a hand over here.
- JESSE: Flying in.
- You're gonna be okay.
Someone needs to call Larry.
That's her father.
[VOICE BREAKING.]
I never should've brought her with me.
JESSE: Dr.
Russo, take this man's fanny pack off, please.
- Let's go.
- JUDD: You're gonna be okay.
Fanny pack? The '80s called.
Would you shut up and focus? Pads, now! LEANNE: I need an ultrasound over here now! CAMPBELL: What do we have? WILLIS: GSW.
8-year-old girl.
Free fluid in the ultrasound.
Bullet's still in there.
Where the hell were they, Afghanistan? Let's take her upstairs.
JUDD: I want to go with her! - I want to go with Mika, please! - This the father? Uncle.
GSW to the shoulder.
No surgery needed.
Can you get him to side, please, Jesse? JESSE: Go.
Got him going, got him going.
And get the little girl to the OR.
Wait here with me.
What? Why me? LEANNE: Go on.
- Watch out, watch out.
- Come on! I need to know she's okay.
Please.
Please.
She's in surgery right now.
It's gonna be a while, all right? My bag.
Where's my bag? I cut it off of him.
It's in Center Stage.
Can you please get the man's fanny pack.
[EXHALES SHARPLY.]
Come on, buddy.
Fingers? All right, Avila.
Okay, the ultrasound is showing complete cardiac shutdown.
- There is nothing more we can do.
- Wait, wait, wait! No, no, no! Time of death, 1:51 p.
m.
No, no! He's dead?! I'm terribly sorry, Detective.
Your partner suffered too much damage, and he lost too much blood.
ELLIOT: Detective Let's go.
I have to get you up to radiology now.
No, I'm not not going anywhere till I know that little girl's okay.
Take me to the OR! Look, I have to get a C of your head, okay? I need to.
My partner is dead.
I need that little girl to live.
This isn't a discussion, you got me? [MONITOR BEEPING RAPIDLY.]
GUTHRIE: Came in unresponsive.
Bolus a liter.
WILLIS: I hit him with Narcan in the field, but clearly, not enough.
Clear.
- [PADDLES WHINE.]
- Let's hit him again.
All right, sat's dropping to 80%.
I'm gonna need an airway.
Let's intubate, please.
JESSE: Dr.
Russo.
Come on.
Dr.
Russo! Don't touch her! Don't touch her! Back up! LEANNE: I need 4 of Narcan, now! JESSE: Okay, you got it.
Gonna break into the reserves, people! We're gonna need every dose I can get! How the hell'd she get exposed? Uncle Judd.
It was in his bag.
- Type of exposure? - She inhaled it.
GUTHRIE: Pulse check.
He was one of the first SWAT guys in.
He inhaled a lot of fentanyl.
All right, let's do another one of epi.
Come on, Officer Shaw, come back to us! Come on.
Come on, Pepper.
Open your eyes for Mama.
Come on.
Come on.
Wake up for Mama.
LEANNE: There she is.
What happened? What'd I mess up now? Nothing, nothing.
Just just stay with us.
Pepper.
Pepper.
Heart rate's coming up.
For how long? Run a Narcan drip and fluids.
Hopefully a steady flow can get this stuff out of her system.
She didn't breathe in that much.
Okay He's been down 15 minutes cardiac standstill.
Any suggestions? I'm gonna call it.
Time of death 2:37 p.
m.
Come on, Pepper.
Come on.
Come on, Pepper.
Don't worry.
He was down a lot longer than she was.
She'll be fine.
She's gonna be fine.
JESSE: Stay with us.
Come on, Pepper.
Stay with us.
Come on.
Shelly, Dave, this is Dr.
Savetti.
Hi.
Just got back from a two-week vacation in Nicaragua.
- Surf camp.
- Wipe out a lot? Few times.
Mm.
More than a few.
Once, he was showing and had to be rescued by the instructor.
He pretended to be Mr.
Surfer.
Turns out he'd never done it before.
The things we do for love, huh? [COUGHING.]
Okay.
I think you have aspiration pneumonia from inhaling sea water.
We'll send you for a chest x-ray.
We'll give you something for the fever and cough.
Sound good? All right.
- Can I talk to you for a second? - Sure.
I don't think it's pneumonia.
Based on what? His heart rate should be faster with that fever and his lung sounds are decreased.
Trust me, it's pneumonia.
Based on what? Based on I'm a third-year resident and I say it is.
Is that how it is? You said you want me to treat you like a resident, not a girlfriend.
Let's just look at the x-rays, take it from there.
Sound good? Okay.
Uh, there's a nail clipper on the counter.
Wait, what do you mean? You're gonna clip her toenails.
[EXHALES SHARPLY.]
Slow down just a little bit.
Just a little.
Not so bumpy.
Oh, that's perfect.
All right, yes.
Let's loop around.
Hey, you seen that paramedic I came out with? Uh, Rox? Uh, yeah.
She just went out again.
Why? I was supposed to be on that rig.
Actually, could I get you to sign something for me? - What? - It's a it's a release.
For my documentary? Hold this just for a second.
I just got to - Um - Um, what's your movie about? It's about Angels.
Here, I'll take I'll take this from you.
It's the busiest ER in the country with the highest survival rate.
People want to know the secret.
- They'll let you shoot it? - With some guidelines.
I got to get releases, I can't endanger people's lives.
- Standard stuff.
- Here.
- Good luck.
- Cool, thanks.
She's just a kid.
CAMPBELL: Hold the clamp.
Right here.
Don't move.
Suction.
Suction! [HUSHED VOICE.]
Can I ask you a question? Why am I here? We are short a surgical resident.
I am not a surgical resident.
At this moment, I need you to be.
GOMEZ: How's she doing? Detective, you're not supposed to be in here.
Get back to bed, please.
I'm not going anywhere, Doc.
It might be my bullet inside that kid.
I need to know that she's going to live.
So do I.
Clamp.
Suction.
Watch that vessel.
That's it.
You got it.
This goes in the evidence bag.
- [MACHINE BEEPING WILDLY.]
- We got a bleed inside here somewhere.
I need wider retraction.
Wider retraction! Dr.
Leighton, wider retraction.
Pull! Let's go! Let's go, let's go, let's go, let's go, let's go.
More, more.
Open it up.
You see the superior mesenteric artery here? I need you to help me to isolate and clamp it.
Dr.
Leighton, now.
Easy.
Half the force.
She's just a kid, Dr.
Leighton.
Hang another unit.
Now, Dr.
Leighton, you are going to tie this off.
It's slipping.
I can't get it from the fascia.
- Focus.
- I am focused! No, you're not! Another oh-silk.
I got it.
I got it.
Cut this.
Excellent.
- [EXHALING SHARPLY.]
- Tying mine off.
Suction.
Sats are rising sutures are holding She's far from out of the woods.
But she's alive.
What is it? What is that look you just gave him? There's something on the x-ray.
- [CLEARS THROAT.]
- Could be nothing.
Heart rate's 140, pressure's still dropping.
That doesn't sound like nothing! It could be blood, it could be an infection.
It's cancer, isn't it? His mother died of lung cancer.
Look, it's possible.
- What?! - Whoa! Cancer?! Are you serious?! Whoa, whoa, whoa.
It's a long way to cancer.
We need a radiologist to take a look at it, and I need you both to calm down.
Okay, it's a little late for that.
- It's an infection, Noa.
- X-ray was too atypical.
I'm telling you, it's something else.
All right, let's just suck the fluid out with a diagnostic needle and go from there.
If you're wrong, he'll either bleed out or you'll spread the cancer.
I want a CT He's getting worse.
We don't have time for a CT.
The lady's right.
It's, uh, better safe than sorry.
Really? On your first day? Quick study.
Look, I don't care who your father is.
You're a first-year resident.
Which means the break room's around the corner.
I'll take mine black.
All right.
Who's his father? Avila Radiology Wing? Avila Pediatric Center? That's his father.
Fine.
Order the CT, Dr.
Kean.
Is that because you agree with me or because [LAUGHS SOFTLY.]
I don't know.
There you are.
Welcome back.
What's your name? Pepper.
What's your real name? Andrea.
Do you know where you are, Andrea? I'm in a hospital bed at Angels.
What happened? You were exposed to fentanyl.
But no worries.
You're gonna be fine.
I exposed myself to fentanyl, you mean? Don't be so hard on yourself.
That's my job.
Is she gonna make it? I don't know.
H-How do you do it? How do I do what? Always stay in control.
Wrong question.
[BINDER SNAPS SHUT.]
The right question is what am I in control of? What do you mean? Do you think you can control life and death? - You just did.
- No, I didn't.
I'm not God.
And neither are you.
The only thing we can control, the only thing, is our focus and our discipline.
So control it.
Where is she?! Where is my daughter?! If you'll just give me a second, I'll check I need to see Mika now! - Hey, hey! Hey! - Hold on, hold on! - Who are you? - I'm Dr.
Willis.
I was on scene.
This is Dr.
Rorish.
I-I Listen Wait, listen.
I know how scared you must be, okay? - What's your name? - I uh, Larry.
- Okay.
- Look, I don't mean to be - S-She's my baby, all right? - It's okay.
She's my whole world.
Mika's my whole world.
So just tell me that she's gonna be okay.
We've got our best people - working on her.
- Okay.
She was shot in the abdomen.
She's lost a lot of blood.
Oh, God.
Your brother was shot too.
- God.
- In the shoulder.
He's stable and resting down the hall.
He should be just fine.
Wait, uh H-How, uh How could this have happened? Where were they? It was a drug bust turned into a shoot-out.
Where is he? Judd! - Whoa! Whoa! - Where the hell are you?! - Hey, hey, hey! - Larry - Hey! - Call security.
LEANNE: Larry.
Call security.
Man, the drugs weren't mine, man! You piece of crap! You will never change! You risked Mika's life! For what?! Hey, it was not my For what?! - It was not my fault.
- Wasn't your fault?! It wasn't your fault?! Ethan! WOMAN: Come over here.
Let's get you calmed down.
[SIRENS WAILING IN DISTANCE.]
I never saw a doctor hit a patient before.
Wasn't my best moment.
Guy triggered you.
I snapped.
Nah, you're not the kind of guy that snaps.
Why this time? Do you want to analyze me? Or do you want to get back out there? Look, I talked to my supervisor.
It's just not gonna work.
No offense.
'Cause of what happened in there? - You're not safe, man.
- What are you talking about? You were a real hero with those cops today.
So were you.
No, no.
We got lucky.
We both could've been killed.
Twice.
I'm glad we got 'em, but [SIGHS.]
I don't have a death wish.
I don't have a death wish.
Being a superhero can cost you.
Then why did I buy the cape? I should return the cape.
They said I could return the cape.
I'll see you around, Doc.
[WAILING CONTINUES.]
[INDISTINCT CONVERSATIONS.]
How is she? The girl, Mika.
Nobody will tell me anything.
How's she doing? Well, she just went through major surgery.
She had significant amounts of Fentanyl in her blood, so it could go either way.
Whoa, whoa, whoa, whoa, whoa! All right.
He's unconscious.
Let's get him in the bed.
[GRUNTING.]
Elliot, your patient's seizing! - What's happening? - Uh, seizure.
- I pushed Ativan.
- Bullet it for me.
Graze wound to the head, possible concussion.
We dressed his wounds and set him up for a CT.
- No.
I didn't bring him to CT.
- What? Why the hell not? He insisted on going to the OR - to watch the surgery - He insisted? - Is he a doctor? - Elliot! No, no, of course not Your patient was shot in the head.
It was just a graze.
He was hit by an object traveling at 2,000 miles an hour and you didn't take him up for a CT.
Have you lost your mind? No, I tried.
I really tried.
The seizure could be a brain bleed.
Let's get him upstairs, now, for a CT.
Do you understand? - Yes.
- Good.
Come on.
Let's go.
No.
Get the hell out of here! Nurse, get him out of here.
I don't want him around me! I damn sure don't want you around her! You gonna swing again? I'm sorry.
I'm sorry.
I never should've put my hand on you.
[EXHALES SHARPLY.]
Look, I-I I just want my daughter to wake up.
I know.
We all do.
She's eight years old.
She got shot because my brother can't stay clean for one afternoon.
Which is my own fault for even trusting him.
He asked to see you.
So he can tell me that it's not his fault.
I'm not interested.
They don't get better.
They just get better at lying.
But you keep taking him back 'cause he's your brother.
I'm guessing we have something in common.
Yeah.
[LAUGHS SOFTLY.]
My brother didn't make it.
Well, I'm sorry for your loss, but they do this to themselves.
[EXHALES DEEPLY.]
What happened to my brother wasn't his fault.
Whose was it then? I'll come back and check on Mika.
She's strong.
You doing all right, kid? Fine.
How's kicks by you, bro? Aw, you're bonding.
This is what bonding feels like.
Thank you.
That was for me.
- [CHUCKLES.]
- How was Campbell? Ugh.
[CLEARS THROAT.]
Don't want to talk about it.
How's the kid? She's not waking up.
Tell the uncle yet? You know the protocol.
It's not the kid's father.
It's his fault that little girl's lying there.
That's not very 12-Step of you.
I never killed a girl.
Well, she's not dead yet.
What is she doing here? Reading a magazine.
Ariel this is a doctors break room.
Are you a doctor now? Do I look like a doctor to you? You look like a barber-shop sign.
You look like Hagrid in scrubs.
You job is what you make of it.
Sitting here reading magazines, you're wasting your time.
So get up, get out.
Try to smile.
Let me see it, let me see it! There it is! You'd be surprised what a smile will do in a place like this.
What's a Hagrid? SHELLY: He's getting worse.
You need to do something.
Look at him! Sats are dropping.
Mario! Scan's back.
You see what I see? I see something in his lungs that neither one of us can identify.
Okay, look at this capsule.
Tiny little tentacles? Sorry did you say tentacles? - No.
- Yes.
It's Ascaris lumbricoides.
Worm infection of the lungs.
Endemic in Central America.
Common in the water.
He was surfing in Nicaragua.
Rorish has a saying - about horses and zebras.
- I know.
If you hear hoof beats, think horses Not zebras, right? And there's a lot of zebras in this diagnosis.
It's more than likely a horse.
- [MONITORS BEEPING WILDLY.]
- Help him! Please! [EXHALES.]
[AIR HISSES.]
- [BEEPING STABILIZES.]
- He'll be okay.
Doctors? Did you both miss the air clearly visible in his chest cavity? That plus the clear signs of aspiration on this x-ray? This is pneumonia.
I'd like to have a little word with both of you later.
Hey, uh, Detective, you okay? Yeah.
Do you Do you mind if I film you? Excuse me? I'm making a documentary about Angels.
Why don't you just do something for the pain? Yeah.
Yeah, I can give you something for that.
This should fix you right up.
Experiencing discomfort, Detective? Discomfort? Yeah.
I gave him 10 of Toradol.
Okay.
- [GRUNTS.]
- [MONITOR BEEPING WILDLY.]
We need Ativan, now! - What's happening?! - He's seizing! - What's it look like?! - Jesse, it's Pepper! She's in respiratory failure.
Her metabolism can't keep up with the Fentanyl.
- I need to intubate! - Give me the bag.
No response to the Ativan! Is that normal? No, no.
It should stop the seizing.
- All right, ready? - I was afraid of this.
I can't get in there.
Heavy scarring.
Daddy she's going into arrest.
Okay, let's get her to Center Stage! - I can't do this here! - Okay, let's go.
Push it.
Still no response! All right, we need to get him to Center Stage, right now.
All right, let's go.
JESSE: Heart rate 30 and dropping.
Get the atropine, Mama, and epi.
- You want me to intubate? - Can't.
She had throat cancer as a kid.
Heavily scarred larynx.
What do you want me to do? Cric her? I don't want to do that to her.
Okay.
One of atropine.
- Triple the Narcan.
- She's already 12 in.
You were 10 times the normal dose in the field.
We're just gonna have to pray that it works.
You could just as easily get killed by the cric.
That's true.
What happened to him? - He's seizing.
- You go.
I got it.
- Suction, please.
- Pupils are blown.
He's got blood on the brain.
Did you get a CT? Yes.
I-I'm still waiting on the results.
This is why you do it right away! - So we have it, damn it! - He's in anaphylactic shock.
Give him 0.
3 of epi, 125 of Solu-Medrol.
Why is this man in anaphylactic shock?! He's allergic to Toradol.
He was in a lot of pain.
- You didn't check the chart? - You were standing there! Okay, Dr.
Dixon, you are second year, supposed to be supervising first years! This is on you! - I'm sorry.
I was with a patient - No, sorry is irrelevant! What is your plan right now with that patient? - He's still unconscious.
- He has a brain bleed.
I am sorry, okay? Stop apologizing and do something.
All right, forget it.
Both of you, get over here.
This man's brain is shutting down from the force of the blood pressure.
What are you gonna do? Uh, you're gonna intubate him.
No, you are intubating him! Get in there and save your patient! You, Spielberg, get on the phone to neurology, tell them you're bringing up a cop who better not die of your stupidity! JESSE: Heart rate's coming back up to 25.
Okay, run it wide open.
Another epi.
Get ready for compressions.
- Compression board for CPR, please! - Roll her.
Let's go! Roll her.
If she loses pulse, we're starting compressions.
Pepper, remember what Mama told you.
Breathe.
Breathe.
Pulse coming up 31 32 JESSE: Come on.
Come back to us.
Come on.
[INHALES DEEPLY.]
Lay down, please, Pepper.
Is that you? I think so What year is it? Who's the President? Hillary.
It's gonna be a long recovery.
Welcome back, doctor.
Good job, Daddy.
The x-ray was atypical.
It could've been cancer.
But it wasn't.
Okay, I get it.
Mario, you were right.
It was textbook pneumonia.
I was seeing zebras.
Okay, so I was right.
No, you weren't right.
What are you talking about? Son, if you were right, you would've done the chest tube yourself.
You're not right unless you do something about it.
She was pretty adamant.
I was I was trying to respect her opinion.
You're her senior resident, Dr.
Savetti.
The only thing you need to respect is the medicine.
In his defense, I was pretty adamant.
Don't protect him.
While he was worrying about your feelings, your patient was dying.
[EXHALES SHARPLY.]
Look, you two have better separate your professional life from your personal one or you're gonna lose them both.
[DOOR OPENS, CLOSES.]
Judd! You don't want to mess with me, Doc.
Where you going? Going to get a fix? None of your business.
You walk out of that door And I stay out of jail.
you lose your family.
What do you know about anything? I know that Mika still hasn't opened her eyes.
They said she had the surgery.
She's still unconscious.
There's nothing I can do about her now.
Your brother's in there.
He's alone and he's scared.
Tell him I'm sorry.
I begged the guy to get his CT.
Stop.
All you can do is hope he'll be all right.
So tell us about Campbell and the OR.
He's tyrannical.
Arrogant.
Intimidating.
Intolerant.
Cruel.
He's an ass.
But he's also [TOILET FLUSHES.]
[WATER RUNS.]
[WATER STOPS.]
[HUSHED VOICE.]
I was gonna say brilliant.
[GARY GO'S "OPEN ARMS" PLAYS.]
What ever happened to truth? Lost without a trace Whatever happened to the mirror That showed me her happy face? [KNOCKING, DOOR OPENS.]
Hey.
Looks like we wore her out.
Did she give you a hard time today? She did all right.
Sometimes she can be A teenager? Mm.
I don't know anything about teenagers.
My kids were still little when You know, she got suspended from school.
[CHUCKLES SOFTLY.]
I'm sure you got suspended a few times, mouth like yours.
[CHUCKLES.]
I don't know what to do.
You said the same thing to me in the maternity ward the day that your first was born.
I'm gonna tell you now what I told you then.
Your only job, and the most important job you're ever gonna have, is just to love her.
[LAUGHS SOFTLY.]
Okay? And make sure she knows that.
Got to look myself in the eye And say, "It's gonna be all right" Maybe everything won't be all right all the time Gotta take these chances where they lie It's gonna be all right - Gotta see things for what they are - You're awake, Mika.
Oh, thank God.
Uncle Judd? Uncle Judd's not here right now, honey.
Yes, I am.
Lost with no place to begin - I slowly adjust to this unjust space I'm - U-Um Whatever happened to the list Of things I wanted to be? Whatever happened to you? Whatever happened to me? - Gotta look myself in the eyes - I'm I'm so sorry.
Say, "It's gonna be all right" Maybe everything won't be all right all the time - Gotta see things for what they are - [SOBBING.]
I'm so sorry.
It's gonna be all right Gotta see things for what they are At the time I will see things for what they are At the time Whatever happened to living? Living without fear? Whatever happened to peace all over? NOA: I thought today would never end.
I need another drink.
If it makes you feel any better, we all had a day.
Guthrie freaked out on us.
- I'd say Pepper wins worst day.
- Ooh.
To Pepper.
Elliot, can we talk? Sure.
Dr.
Leighton, with me, please.
So today was just temporary.
Oh, I know.
I, uh, messed up.
I'm really sorry.
But you showed me something.
So I'm offering you the OR residency position.
Excuse me? I already spoke to Dr.
Rorish.
She approves if you want it.
I, uh I don't know what to say.
Uh, this is an extraordinary offer, and obviously I, uh [HUSHED VOICE.]
Say yes.
need some time to think about it.
Yeah, you got 10 seconds.
- Wait, this is an enormous decision.
- Eight seconds.
You are counting much faster than you need 3, 2 Say yes.
1.
I'll do it.
You said that cop better not die because of my stupidity.
I was angry.
I didn't mean it.
Yeah, you did.
Detective Gomez died because I didn't do the C when I should have.
It's my fault.
And I got to go, so Hey.
Listen to me.
Don't mourn this alone.
It's gonna be all right - [SOBBING.]
- Got to see things For what they are at the time Lost with no place to begin Thanks.
Bob, put it on my tab.
You didn't have to do that.
I saw you with your friend back there.
Is he okay? He had a tough day.
Can I ask you something? Why do you want to be out there? Because the most vulnerable time for a patient is the time between trauma and a doctor.
The Golden Hour.
I'm just trying to close the Golden Hour up.
It's just that simple.
There is nothing simple about you, Doc.
Call me Willis.
Okay, Willis.
I'm willing to give it another try if you are.
Gotta see things for what they are at the time - [GLASS CLINK.]
- Cheers.
I will see things for what they are at the time - We lost all those.
- Oh, my God.

Previous EpisodeNext Episode