New Amsterdam (2018) s03e01 Episode Script
The New Normal
1
[JON BATISTE'S "WHAT A WONDERFUL WORLD".]
[EXHALES.]
I see trees of green And red roses too I see them bloom For me and you [MACHINE BEEPING.]
And I think to myself What a wonderful world [WATER RUNNING.]
I love you.
I see skies of blue And clouds of white [LABORED BREATHING.]
The bright blessed day [PHONE VIBRATING.]
In the dark sacred night And I think to myself What a wonderful world You okay? The colors of the rainbow So pretty in the sky [EXHALES.]
And also on the faces Of all the people going by I see friends shaking hands Saying "How do you do?" They're really saying "I love you" [NO AUDIBLE DIALOGUE.]
I hear babies cry [KEYS CLACKING.]
I watch them grow They'll know much more Than I'll ever know And I think to myself What a wonderful world [MACHINERY BEEPING.]
[PHONE BUZZING.]
What a wonderful world What a wonderful world What a wonderful world What a wonderful world [FRENETIC PERCUSSIVE MUSIC.]
Lauren! Hi.
Hi.
Good morning.
Check this out.
It's a play on an egg-white Croque Madame with farm fresh ingredients, and twenty seed ancient grain bread So it's a sandwich? No.
No, ma'am.
Because this has "Granny Smith agave compote" spread all over it.
Applesauce.
Okay, yeah.
Fine.
You got me.
It's an applesauce sandwich, all right? Maybe I spiraled during the sourdough-banana-bread phase of the pandemic.
Are you gonna eat that in the meeting? [STAMMERING.]
In what meeting? Hospital-wide.
Max just called it.
- He did? Yes.
- Mm-hmm.
Today just keeps getting better, doesn't it? You're incredibly upbeat for someone who's living on seeds.
Oh, come on.
Everyone loves a Goodwin townhall.
Max gets all hopped up and fires an entire department? Boom! Max threatens doctors with jail time? Boom! Let's get a good seat.
What the hell is wrong with you? - Plantain truffle scone? - No.
Of all the gin joints in New York.
Uh, I owe you a call or 12.
No worries.
I got the hint.
- My silence wasn't a hint.
- True.
After a few months, it definitely became more of a statement.
My silence was me hunkering down, battening the hatches, focusing on my patients.
Okay.
And now? [SCOFFS.]
I've got no idea.
I haven't even thought about now.
Well, once you lift your stay-at-home order, just, um, let me know.
How about tonight? [LAUGHS.]
Wow.
It wasn't even planned.
Good morning, everyone.
Max, what are the chances you can just give me the highlights and skip the razzle-dazzle and get back to work? Yeah, it'll be quick.
Promise.
- See ya, Dermatology.
- No.
- No one is getting sacked today.
- Aww.
Yeah, so no, Iggy.
I just wanted to tell everyone how proud I am of this whole hospital, of everything that we survived together.
We've been through hell.
We're tired.
We're hurting.
But our sacrifices are starting to turn the tide.
This doesn't sound quick.
So today, things are finally turning around.
Today, Dr.
Kapoor gets off his ventilator.
- [GASPS.]
- Yes.
Yeah.
It's great news.
And listen I want everyone to know.
I am committed to fixing the cracks around here, okay? The system abandoned us when we needed it most.
[RUMBLING FROM ABOVE.]
And I I vow uh [RUMBLING CONTINUES.]
I vow to fix the system that left us overburdened and unprotected that, uh [CLEARS THROAT.]
The system that left our most vulnerable patients behind, and then hopefully, New Amsterdam can finally get back to nor [RUMBLING INTENSIFIES.]
[DRAMATIC MUSIC.]
[WHOOSHING.]
- Prep the ED for triage.
- On it.
We're gonna be overrun.
Warn the blood bank.
Copy.
We're gonna need to call in The rest of the trauma team.
Yeah.
[METAL RATTLING.]
[TENSE MUSIC.]
[GASPS.]
28-year-old flight attendant, unrestrained, thrown against the wall.
- Any fatalities yet? - Ah, my chest! - Not yet.
- Let's keep it that way.
Ma'am, we're gonna take good care of you, okay? Let's get her to Trauma One.
Hey, I need an EKG, a portable chest, and full blood panel including coags.
Oh, my chest! It's on me.
Ready? One, two, three.
[DRAMATIC MUSIC.]
Okay, deep breaths for me, Shenaz, okay? Let's go.
Monitor cardiac input.
- It hurts.
- 90 over palp.
Neck veins distended with muffled heart sounds.
Tamponade from blunt force trauma.
Okay, Shenaz, there is fluid building up in the sack around your heart.
It's squeezing your heart, making it hard to pump blood.
We're going to do our best to fix it.
Walsh, start a morphine drip.
Reyes, I need a Pericardiocentesis.
And grab me if you see blood.
[INDISTINCT CHATTER.]
[PATIENT GROANING.]
- What you got? - Nothing.
A 747 goes down, and you got nothing? What about this one? Well, seeing as I'm a trauma surgeon and he doesn't need surgery I encourage you to harken back to just a few months ago when we all chipped in to save lives no matter our job title.
I'd prefer not to harken back to a time when thousands of people died every day, but maybe that's just me.
Walsh? Mariel Rabkin, a 34-year-old hit by a flying iPhone.
Okay, let's get her over to Page me if she needs surgery.
Copilot with deep abdominal blood lac and blood loss.
Heart rate up to 118.
BP down to 108/40.
See, good things come to those who wait.
Hawaii.
Ma'am, you're in New York at New Amsterdam Hospital.
Hawaii.
[LABORED BREATHING.]
Oh.
Got a stat request from the ambulance.
- The copilot needs O-neg blood.
- Okay, then you're with me.
- Let's get her into Trauma One.
- Occupied.
- Trauma Two.
- Occupied.
All right, we're going straight into the OR.
Grab a side.
Excuse me, Dr.
Goodwin? Nelson Peña.
I'm the lead investigator with the NTSB.
Welcome to our little bubble.
I assume everybody tested negative? My Go Team is fully intact and ready to begin the investigation.
Uh, well, that's good to hear, but isn't the plane still floating in the East River? Well, this Go Team deals with the human element of these incidents.
Sounds like we're on the same side.
No doubt.
We'll do our best to stay out of your way.
We just need to interview every crew member and passenger who may have pertinent information.
Well, roger that.
Or sorry.
As long as it doesn't interfere with patient care, I will help in any way I can.
Understood.
We wanna start with the pilots.
Captain Starks? I'll find him for you.
Hey, have you seen the pilot? Uh, yes, actually.
Right here.
What am I looking at? Captain Dane Starks.
He has been catatonic since he arrived.
There's no masses.
There's no bleeds.
Ventricles look normal.
This looks fine.
No, no, no.
That's the problem.
It's not that he can't talk.
It's that he won't.
[TENSE MUSIC.]
[FRENETIC MUSIC.]
- Dr.
Mandle.
- Morning, Dr.
Goodwin.
Yeah, it was supposed to be.
Why is Dr.
Kapoor still on a vent when you told me he was getting off today? I told you I was hoping to take him off today, but we ran out of propofol - and had to switch to fentanyl.
- Sorry.
Which takes longer to wean the patient off.
I understand that, but it sounds like you said we're out of propofol.
How is that possible? Because we've had patients on vents for the last 12 months straight, as has every hospital in the country.
Look, the stockpiles are empty, and the factories can't meet demand.
If I get you propofol, can you get Kapoor and the other patients off the vents? - Yes, but - That is all I needed to hear.
[ELEVATOR DINGS.]
Dr.
Goodwin.
You guys always walk together like that? We have rehearsals at noon.
You're welcome to join.
- [CHUCKLES.]
- Any update on the pilot? Right, the pilot.
Sorry.
Some of the passengers reported seeing him acting strangely before the flight.
If Captain Starks knew he was impaired before duty, then this becomes a criminal case.
Right, well, Captain Starks is currently with his physician, but once we're done, I'll let you know.
We'd like to test his blood alcohol level Unfortunately, you can't interrupt - a patient's evaluation - Evaluation? So then the pilot's not actually injured? - Look, Agent - Investigator.
See, that makes sense because it's your job to investigate, and it's our job to heal.
- So once we're done - Dr.
Goodwin.
To clarify, you're blocking access to a key witness.
I'm helping a patient.
[INDISTINCT PA ANNOUNCEMENTS.]
[TENSE MUSIC.]
[SIRENS WAIL DISTANTLY.]
[CLOCK TICKING.]
[CLEARS THROAT.]
You know, sometimes when people are having a hard time talking, it's not because they are scared.
It's because they're distracted.
You know, their brain keeps wandering off into the most random pockets of life.
They try to focus, but they can't.
You ever feel like that? Yeah.
We all do.
But that's that's only part of it.
The other part is that right when your brain gets into a groove Bam! It it's right back there.
It's in Indiana.
It's in the crash.
All over again.
But then those memories disappear.
And you you try to go back to them, but your brain wanders off again, and you can't focus, and round and round you go.
And you start to wonder if this is what it's like to go insane.
But it's not.
It's trauma.
And trauma is a beast.
It's invisible.
It's not gonna show up on your CT, but it's real.
It's as real as cancer.
And just like cancer, if it goes untreated, it'll get worse.
That is a fact.
[SOFT DRAMATIC MUSIC.]
But you know, Dane, all of these things that you're feeling, I can help them go away, but you have to start talking to me.
That's where we start.
I don't I don't remember any of it.
Yeah, okay.
Yeah.
That's perfectly normal, actually.
No, I was I was having a manic episode.
Nobody knows.
I'm bipolar.
BP's down to 90 systolic.
We've got to get this bleeding under control.
Lap pad.
Push an amp of calcium gluconate.
[MACHINERY BEEPING.]
Let me see.
[INDISTINCT CHATTER.]
Do you smell that? Is someone chewing gum? Mints, candy, anything? It's the copilot.
- It smells like ethylene glycol.
- Antifreeze.
When the plane crashed, maybe a hose snapped.
- Her open abdominal wound - Absorbed it.
Which is why we can't get the blood - BOTH: To clot.
- So push Fomepizole.
It should act as an antidote.
HB level 8 pH 7.
6.
It's clotting.
Good save.
Not so fast.
Emergent lab is back.
- Liver enzymes are elevated.
- How high? 3 1/2 times normal.
- That's not the antifreeze.
- We're missing something.
- [ALARM BLARES.]
- Now what? - BP falling.
- Temp's dropping.
She's septic.
Start her on amp, gent, and Flagyl.
Hang a bag of dopamine at 2 mcg a minute.
Coding 15 mils.
[DRAMATIC MUSIC.]
Brad Winton.
Sent up to neuro for observation.
Because we couldn't do that here? Brenda Nelson.
Admitted to OB for spotting.
- And? - OB took over.
- Eva Schafer.
- Copilot's in surgery.
Prognosis.
Cassian doesn't exactly give updates.
Yeah, well then, go force one out of him.
You know what? How does no one know what happened to our patients? 'Cause once we pass them on, they're no longer our patients.
Wrong.
This is an emergency room, not a waiting room.
You know what? I want a full report by end of shift of everyone who came through here today.
Go.
Go.
What? It's a perfectly reasonable request.
[MACHINERY BEEPING.]
We've got a problem with Shenaz.
Dissecting aortic aneurysm.
Couldn't see it till I drained out the fluid.
Yeah, but look.
See here? The tear's causing the blood to pool in between the layers of the arterial wall.
And what does that mean, Dr.
Walsh? The aorta could rupture.
Page cardio.
[DRAMATIC MUSIC.]
What are you doing? We're not sending another patient off into the great unknown when I can help them right here, right now.
We just paged cardio.
She's not your patient anymore.
They're all my patients.
Iodine.
Bill, Max Goodwin here.
How's everything at University? Well, we're losing over $40 million a month, and I'm laying off my janitors just so I can find enough cash to pay for the staff and supplies to restart the elective procedures that will allow us to generate enough cash to hire back those janitors.
- What do you want? - Propofol.
- Are you serious? - Do I sound like I'm kidding? We're completely out, and we need it.
Everyone's out and needs it.
So even if we did have it, there's no way I'd give any of it to you.
But you'd be helping patients.
Ugh, it wouldn't be helping my patients.
Look, we're in the middle of a massive drug shortage of our own.
Metronidazole, Avonex, Revlimid My 15-year-old son has more access to drugs than I do.
Welcome to the new normal.
I don't know what authority you have.
I am not telling you where any of our patients are.
Ma'am, we are authorized to speak to any individual who may have information.
Hey whoa.
Whoa, whoa, whoa, enough.
You don't have the right to come into this hospital and rip a patient away from their doctor, violating HIPAA rules and As a matter of fact, we do.
[TENSE MUSIC.]
- What is this? - A federal order.
Issued by the United States Department of Justice, which supersedes HIPAA by 120 years.
So I'll ask one more time.
Where's the pilot? So it's my understanding that pilots with bipolar can still fly as long as they're on the proper medication.
They can.
They can also end up with nothing but 3:00 a.
m.
flights, no raises, and a nudge out the door.
Regulations exist to protect you against retaliation.
You have kids? Um [CLEARS THROAT.]
Do I have kids? Yeah.
I do.
Like, a lot.
All right, so your oldest is taking her first solo flight.
You find out the pilot is bipolar.
How good are you feeling? - I'd feel great about it.
- Excuse me? Well, you asked me how I'd feel if I found out the pilot on my kid's first flight was bipolar.
I'd feel great about it.
Because I know that you're no more likely to have an episode than the next pilot is to have a heart attack.
So I'd feel great about it.
What's your current treatment plan? I see someone once a month.
I take lithium.
300 milligrams daily.
25 milligrams of antidepressant antipsychotic every other day.
What about your flight record? - Any safety incidents? - No.
Okay, so I'm gonna mirror that back for you.
Um, you're in treatment.
It's working.
You know your dosage to the milligram which indicates that you are a highly responsible individual.
And I don't know about you, but that is something I tend to like in my pilot.
What about this morning? Did you take your medication? Yeah.
All right, so what are we talking about? Four years ago, this cop buddy of mine We were having a beer down at the airfield.
Talking shop, laughing.
I I realized that I was controlling the planes with my mind.
[TENSE MUSIC.]
Landings.
Takeoffs.
And in fact, I was controlling the whole world with my mind.
He took me to the hospital, and that's how I was diagnosed.
Right.
Well, I'm sorry.
That sounds awful.
No, but that's not the point.
[SIGHS.]
He didn't take me to the hospital because I was having a delusion.
It was because my response to the delusion was to grab his gun.
And to point it at my head.
What if [SIGHS.]
What if that's what I was doing again? Today? You think that this plane crash was you trying to kill yourself? [INDISTINCT CHATTER.]
- Be right back.
- Hey.
Hi, I need to I need some more time.
Uh, I need you to listen.
It never fails to amaze me how stigmatized mental health is in this country.
- Yeah, couldn't agree more - It's unbelievable.
You know, at New Amsterdam, we have dozens of doctors with a variety of mental health care issues.
And because this hospital's policy is one of understanding and respect, they manage their condition without it ever affecting their work.
- Which is exactly why - Right? Seems simple.
But no, everywhere else in the world, it's some flaw.
It's some deficiency.
It's a detriment.
It's their fault somehow.
No wonder these people are hiding it from their employers.
You know which compounds their shame, increases the public's mistrust, and contributes to inadequate medical intervention.
It's so simple.
I'm tired of it, Max.
I want to bring mental health care out into the open.
No more shame.
No hiding.
[EXHALES.]
I'm sorry.
What do you need? We need to hide your patient.
- [MACHINERY BEEPING.]
- Enzymes are six times normal.
Liver's not gonna last much longer.
I need to expose the entire organ.
You'd need to extend the surgical field across the whole abdomen.
[SUCTION WHIRRING.]
Scalpel.
Do you wanna call in Gastro? No, there's no time.
You mind getting your hands dirty? - Of course not.
- Great.
But it's been a few years.
- You have a steady hand? - Well, yes.
- Clear field of vision? - Yes.
Still like that Thai food place on 17th? Yes.
Then what are you waiting for? [TENSE MUSIC.]
Endo linear stapler coming in.
One centimeter to the left.
- [MACHINERY BEEPING.]
- BP's dropping.
Retractors.
Assessing surgical margins.
There.
Bile duct is scarred shut.
The antifreeze must have caused a chemical burn.
Now bile's backing up into the liver causing it to shut down.
Okay.
Listen up.
We're gonna resect a large portion of this liver and reconstruct the bile duct.
Otherwise, we're gonna lose Ms.
Schafer.
I need a hemostat and lap pads.
Will you stick around? Yeah.
I'll stick around.
[MACHINERY BEEPING.]
Advancing catheter.
Okay.
I'm at the aorta.
And [ALARM BLARING.]
BP's dropping.
Dissection's extending.
Drainage greater than 200.
What the hell were you doing? I was trying to stop the dissection.
Well, you didn't.
You made it worse.
- I'm trying to fix it.
- Not fast enough.
Thanks to you going rogue, I've gotta crack her chest here.
Going rogue? In case you haven't noticed, I'm also wearing a white coat.
Your job is to stabilize patients and then get out of the way.
Out.
[ALARM BLARING.]
Thoracotomy kit coming in.
When we were knee deep in the pandemic, you were thanking me for taking your patients.
Well, thank God we're not there anymore.
I need a rib spreader, Richardson retractor, and some gauze.
On it.
Bloom, out.
Get me some O-negative blood on a rapid infuser! Abduct and extend arms.
Hey.
Sorry about the new digs.
I just thought maybe a change of scenery would NTSB is looking for me, aren't they? Um, yeah.
They are.
[STAMMERING.]
Yeah okay, look.
So you should just hand me over.
I mean, I put hundreds, I mean, if not thousands of people at risk.
And I don't deserve special treatment or No, no, Dane.
Whoa, whoa, whoa.
Slow down, Dane.
I just I need you to help me with something.
Why do jets dump fuel? What? Well, the ED just admitted about a dozen or so patients that were all doused in jet fuel.
[BREATHES FRANTICALLY.]
So more people hurt? Dane.
Stay with me.
Why why do planes dump fuel? [EXHALES.]
It it's how you achieve ideal landing weight.
You can't land if you're too heavy.
Okay okay, so if you were gonna land early let's say Or unexpectedly, you would dump the fuel? - You would, am I right? - Yeah, yeah.
So why would you dump that fuel if you weren't trying to save the plane? Not crash it.
You weren't trying to crash the plane.
You were trying to save the plane.
Or I was just out of my mind and hitting random buttons like a lunatic.
I mean, I look, it doesn't mean anything! All we know is that my plane crashed! [BREATHING HEAVILY.]
[TENSE MUSIC.]
No.
No.
That's not true actually.
We know one other thing, Dane.
We know where you crashed.
Right? I bet that river looks pretty striking when you're flying over Manhattan.
That little streak of blue right down the middle.
Yeah.
Sure.
Right? Kinda like a landing strip maybe? Dane, you didn't You didn't hit a building.
You didn't hit a street.
You went right into the middle of the river, the one place, by the way, with the lowest risk of injury for civilians for miles.
Miles.
And you're gonna tell me that that's an accident? [IMPACTFUL PIANO MUSIC.]
Leland, it is so nice to hear a friendly voice.
And yeah I need a favor.
Yep, sounds like you reached out to Bill first.
Yeah, well, VJ is still on a vent along with a dozen other patients, and they are in desperate need of propofol.
I'm sorry, Max.
We ran out of propofol over a month ago.
Wish we had some to share.
People thought toilet paper was hard to find.
Don't get me started on my theory about that.
Not sure I wanna know your theory about that.
Is there a chance you guys need Acyclovir? That's one of the few things we're good on, thanks.
Well, let me know when you're not because we have a crap-ton.
I understand why HCC sends us all the same resources, but we serve a predominately geriatric population.
What the hell are we supposed to do with this much herpes medication? Welcome to the new normal, my friend.
Dr.
Goodwin.
Uh, so sorry, Leland.
Gotta call you back.
Think I'm about to be arrested.
- Arrested? - Hi.
Before we do the cuffs thing, can I just say - We're not arresting you.
- Okay.
We think you'll hand over Captain Starks willingly and without incident.
Why would I do that? We've recovered the black box.
[DRAMATIC MUSIC.]
Miriam, thanks for taking the call.
I know how crazy things are at Baptist, and I know that the answer is probably no.
But is there any chance that your hospital has a surplus of propofol? Of course.
How much do you need? That's amazing.
Thank you.
The only thing that is gonna help my friend is propofol.
You know Dr.
Kapoor Oh.
Max, I'm so sorry.
I thought you said prostodin.
We haven't had propofol for months.
I'd be surprised if anybody in the city has.
Uh, while I have you, is there any chance you have any extra ventilator tubing? We've been buying ours from Home Depot, and they just ran out.
We've been buying ours from Home Depot too.
[DRAMATIC PIANO MUSIC.]
How are we gonna fix this? I don't know.
Hey.
I gotta call you back.
- Ready? - Yeah, I guess.
- No.
Is it bad? - I don't know.
I don't think they'd be playing it for us if it was good.
[SIGHS.]
How is she? She's stable.
[SIGHS.]
What's going on with you today? I miss it.
Miss what? I miss the pandemic.
I mean, the worst of it.
You know, I feel like a sociopath even saying this.
But when we were hit the hardest? When the ED was above capacity? I felt like I'd spent my whole life training for a moment that finally came.
I helped people.
I saved them.
And even when I couldn't save them, I was doing exactly what I was meant to do.
[SOFT PIANO MUSIC.]
I held patients hands as they died.
I sang songs to them.
And now what? I'm just supposed to pass them off as if they don't matter to me? [LOCKER CLANKS.]
They matter.
Um I never told anyone this, but when my deployment ended, I missed it, you know? I missed knowing what I had to do and doing it.
I missed the fight.
We were at war, Lauren.
It's okay to miss the fight.
[PADLOCK CLANKING.]
Oh, and by the way, you haven't stopped saving people.
The doctors, nurses Me.
You saved us too.
You're still saving us.
[DOOR THUDS.]
[SIGHS.]
The way you sliced through that abdomen, I'm gonna start calling you Zorro from now on.
[LAUGHS.]
Well, you're the one who made the call about the bile duct.
That pilot is in recovery because of you.
Very clutch.
[SOFT DRAMATIC MUSIC.]
Helen, I think they're clean.
Sorry.
Sorry, I just, um Sorry.
I can't do this.
[DOOR CLOSES.]
Dane, what the hell are you doing? You're gonna kill us all! Let go! What is that? 660? Starks is incoherent.
660! Air speed! There's nothing wrong with it's The copilot is struggling with Captain Starks for the throttle, but it's too late.
Starks has them in a nosedive.
[PLANE DRONING.]
- 660! - Stop! Let go! For God sake! [PLANE CRASHES, RECORDING CUTS OFF.]
[DRAMATIC MUSIC.]
[SWITCH CLICKS.]
The copilot desperately tried to save the plane, and she almost did.
I I don't understand.
What about the fuel dump? Why would Starks have done that if he wasn't It wasn't Starks.
You think it was the copilot as well? Flight data recorder tells us there was a last-ditch effort to pull the nose up before they hit.
Schaefer's a hero.
She subverted what would've been a wholesale massacre, while Starks was clearly out of his mind.
There's no fixing this.
[SIGHS.]
[APPROACHING FOOTSTEPS.]
[TENSE MUSIC.]
I'm gonna walk him out.
Passengers who were admitted are either stable or discharged.
Copilot's O2 sats are finally good.
Heart rate holding steady.
Still some post-op delirium from the anesthesia.
What kind of delirium? Hawaii.
Six We keep telling her she's in New York but What's 660? Hawaii.
660.
Hawaii.
[FRENETIC MUSIC.]
Captain Starks! Oh, boy.
What is Hawaii 660? It's a flight number.
A plane that went down in the Pacific last year.
Why did it go down? There was an equipment problem.
Faulty air speed indicator.
It told the pilot What does this have to do with Dane, help me understand.
The indicator told the pilot they were flying faster than they actually were.
So when they ran into some weather, and they slowed the plane down, they actually slowed it to an unsafe speed.
And so the engine stalled, and it went into the sea.
Okay, okay.
All right.
So, on takeoff, if a pilot discovers that his air speed indicator is giving him an inaccurate reading, and he is flying too slow, what would that pilot do? Would there ever be any reason to deliberately take your plane into a dive? That would depend on a number of variables.
Yeah.
The plane is as heavy as it's gonna be at takeoff, so the first thing you'd do is You'd dump your fuel.
Yeah.
And then you'd push the throttle forward.
You'd [SCOFFS.]
You'd get the nose down.
You'd go into the dive in order to gain speed.
And then you'd You'd lift up at the very end.
Which is exactly what you did.
Right? Which is what your copilot, I think, was trying to say.
Copilot's conscious? Yeah.
And anxious to talk.
You think that Captain Starks jeopardized the lives of 150 people.
We think he saved the lives of 150 people.
[PHONE VIBRATES.]
Sorry.
I'd love to relish in this moment, but I Florence, thank you for getting back to me.
Of course.
Except I had no idea you called.
I'm desperately looking for acyclovir.
Is there any chance you guys have some to spare? No, we're in the middle of a serious drug shortage ourselves.
Yeah, that checks out.
Well, thanks.
Yeah.
Hey! Um, hang on a second.
[PHONE RINGS.]
- Max? - Hey, Leland.
You're on with Dr.
Brighton from Brookhaven.
She's asking for acyclovir.
Do you still have extra? Sure.
I can send it over now.
Seriously? You're doing us a favor taking it off our hands.
Also, do either of you need metronidazole? We're pretty stocked up on that too.
No.
We're good on antibiotics.
Uh, Leland.
Hang on a second.
[PHONE TAPPING.]
[PHONE RINGING.]
What do you need now, Max? Bill, you're on with Brookhaven and Memorial.
You were talking about metronidazole earlier Do you still need it? Yeah, I need everything.
Why? Memorial has extra.
We'll send it over right now.
[SCOFFS.]
Oh, my God.
If we can help with anything I mean, non-drug related Please let me know.
You don't still have extra vent tubing, do you? Tons.
Yeah, I had my guys buy out Home Depot.
Yeah, great.
One second.
[PHONE TAPPING.]
- Hello? - Miriam, you're on with Brookhaven, Memorial, and University.
Do you still need that vent tubing? Desperately.
University will send over a bunch right now.
I don't know what to say.
Can I give you some pulse oximeters? Memorial could really use those.
I'm sending you a shipment.
Well, this worked out great for everyone.
Well, except for you, Max.
Didn't wanna kill the vibe, but glad I could help.
Propofol's a tough one.
- Max, you need propofol? - Yeah.
- Apparently everyone does.
- Not us.
We just found a ton of it in storage.
You'll have it by end of day.
Why weren't we all doing this before? [AMBIENT MUSIC.]
[APPROACHING FOOTSTEPS.]
You're in my spot.
Safest place in New York.
How's our Miss Luna? I wouldn't know.
She's still frolicking in suburban splendor with Georgia's parents.
How often do you get to see her? Not enough.
I miss her [CHUCKLES.]
Like crazy.
I know.
It's just not safe enough to bring her home.
Nothing's safe anymore though, is it? Everything that was normal Friends, restaurants, intimacy They all seem so strange now.
- [CHUCKLES.]
- They feel They feel wrong.
[SOFT PIANO MUSIC.]
I used to be scared of the virus, but now I am scared of normal.
[CHUCKLING.]
Normal.
I kept thinking, once everything gets back to normal, then I would finally fix this hospital, that I could fix it.
But I don't want to fix this hospital anymore I mean, even if we could go back to normal.
I don't want to fix this system.
[SCOFFS.]
I want to tear it down.
You know, I wanna tear it all down and build something better Something better for my daughter, something better for you, better for all of us.
I see trees of green I mean, otherwise, what the hell was this for? [COVER OF "WHAT A WONDERFUL WORLD".]
Red roses too Sorry.
Am I boring you? I see them bloom No.
Not at all.
In fact, I think there are a lot of people rooting for you.
- [CHEERS AND APPLAUSE.]
- It's 7:00.
And I think to myself [PEOPLE CHEERING AND APPLAUSE.]
What a wonderful world [CAR HORNS HONKING.]
I see skies of blue And clouds of white [PHONES BEEPING, BUZZING.]
The bright blessed days The dark sacred nights And I think to myself Hi, is he He's awake.
He's awake.
What a wonderful world Oh, thank God.
The colors of the rainbow Hey, buddy.
[LAUGHTER.]
So pretty in the sky [LAUGHTER.]
Are also on the faces Of people going by I see friends holding hands Saying "How do you do?" The damage to his heart was extensive.
He's going to need a new mitral valve.
The virus also ravaged the surrounding heart muscle.
I hear babies cry How bad? No way to sugarcoat it.
Even if you found the best heart surgeon in the world, I'm not sure it'd be enough.
And I think to myself [PHONE BUZZING.]
What a wonderful world Yes, I think to myself How can I help? What a wonderful world
[EXHALES.]
I see trees of green And red roses too I see them bloom For me and you [MACHINE BEEPING.]
And I think to myself What a wonderful world [WATER RUNNING.]
I love you.
I see skies of blue And clouds of white [LABORED BREATHING.]
The bright blessed day [PHONE VIBRATING.]
In the dark sacred night And I think to myself What a wonderful world You okay? The colors of the rainbow So pretty in the sky [EXHALES.]
And also on the faces Of all the people going by I see friends shaking hands Saying "How do you do?" They're really saying "I love you" [NO AUDIBLE DIALOGUE.]
I hear babies cry [KEYS CLACKING.]
I watch them grow They'll know much more Than I'll ever know And I think to myself What a wonderful world [MACHINERY BEEPING.]
[PHONE BUZZING.]
What a wonderful world What a wonderful world What a wonderful world What a wonderful world [FRENETIC PERCUSSIVE MUSIC.]
Lauren! Hi.
Hi.
Good morning.
Check this out.
It's a play on an egg-white Croque Madame with farm fresh ingredients, and twenty seed ancient grain bread So it's a sandwich? No.
No, ma'am.
Because this has "Granny Smith agave compote" spread all over it.
Applesauce.
Okay, yeah.
Fine.
You got me.
It's an applesauce sandwich, all right? Maybe I spiraled during the sourdough-banana-bread phase of the pandemic.
Are you gonna eat that in the meeting? [STAMMERING.]
In what meeting? Hospital-wide.
Max just called it.
- He did? Yes.
- Mm-hmm.
Today just keeps getting better, doesn't it? You're incredibly upbeat for someone who's living on seeds.
Oh, come on.
Everyone loves a Goodwin townhall.
Max gets all hopped up and fires an entire department? Boom! Max threatens doctors with jail time? Boom! Let's get a good seat.
What the hell is wrong with you? - Plantain truffle scone? - No.
Of all the gin joints in New York.
Uh, I owe you a call or 12.
No worries.
I got the hint.
- My silence wasn't a hint.
- True.
After a few months, it definitely became more of a statement.
My silence was me hunkering down, battening the hatches, focusing on my patients.
Okay.
And now? [SCOFFS.]
I've got no idea.
I haven't even thought about now.
Well, once you lift your stay-at-home order, just, um, let me know.
How about tonight? [LAUGHS.]
Wow.
It wasn't even planned.
Good morning, everyone.
Max, what are the chances you can just give me the highlights and skip the razzle-dazzle and get back to work? Yeah, it'll be quick.
Promise.
- See ya, Dermatology.
- No.
- No one is getting sacked today.
- Aww.
Yeah, so no, Iggy.
I just wanted to tell everyone how proud I am of this whole hospital, of everything that we survived together.
We've been through hell.
We're tired.
We're hurting.
But our sacrifices are starting to turn the tide.
This doesn't sound quick.
So today, things are finally turning around.
Today, Dr.
Kapoor gets off his ventilator.
- [GASPS.]
- Yes.
Yeah.
It's great news.
And listen I want everyone to know.
I am committed to fixing the cracks around here, okay? The system abandoned us when we needed it most.
[RUMBLING FROM ABOVE.]
And I I vow uh [RUMBLING CONTINUES.]
I vow to fix the system that left us overburdened and unprotected that, uh [CLEARS THROAT.]
The system that left our most vulnerable patients behind, and then hopefully, New Amsterdam can finally get back to nor [RUMBLING INTENSIFIES.]
[DRAMATIC MUSIC.]
[WHOOSHING.]
- Prep the ED for triage.
- On it.
We're gonna be overrun.
Warn the blood bank.
Copy.
We're gonna need to call in The rest of the trauma team.
Yeah.
[METAL RATTLING.]
[TENSE MUSIC.]
[GASPS.]
28-year-old flight attendant, unrestrained, thrown against the wall.
- Any fatalities yet? - Ah, my chest! - Not yet.
- Let's keep it that way.
Ma'am, we're gonna take good care of you, okay? Let's get her to Trauma One.
Hey, I need an EKG, a portable chest, and full blood panel including coags.
Oh, my chest! It's on me.
Ready? One, two, three.
[DRAMATIC MUSIC.]
Okay, deep breaths for me, Shenaz, okay? Let's go.
Monitor cardiac input.
- It hurts.
- 90 over palp.
Neck veins distended with muffled heart sounds.
Tamponade from blunt force trauma.
Okay, Shenaz, there is fluid building up in the sack around your heart.
It's squeezing your heart, making it hard to pump blood.
We're going to do our best to fix it.
Walsh, start a morphine drip.
Reyes, I need a Pericardiocentesis.
And grab me if you see blood.
[INDISTINCT CHATTER.]
[PATIENT GROANING.]
- What you got? - Nothing.
A 747 goes down, and you got nothing? What about this one? Well, seeing as I'm a trauma surgeon and he doesn't need surgery I encourage you to harken back to just a few months ago when we all chipped in to save lives no matter our job title.
I'd prefer not to harken back to a time when thousands of people died every day, but maybe that's just me.
Walsh? Mariel Rabkin, a 34-year-old hit by a flying iPhone.
Okay, let's get her over to Page me if she needs surgery.
Copilot with deep abdominal blood lac and blood loss.
Heart rate up to 118.
BP down to 108/40.
See, good things come to those who wait.
Hawaii.
Ma'am, you're in New York at New Amsterdam Hospital.
Hawaii.
[LABORED BREATHING.]
Oh.
Got a stat request from the ambulance.
- The copilot needs O-neg blood.
- Okay, then you're with me.
- Let's get her into Trauma One.
- Occupied.
- Trauma Two.
- Occupied.
All right, we're going straight into the OR.
Grab a side.
Excuse me, Dr.
Goodwin? Nelson Peña.
I'm the lead investigator with the NTSB.
Welcome to our little bubble.
I assume everybody tested negative? My Go Team is fully intact and ready to begin the investigation.
Uh, well, that's good to hear, but isn't the plane still floating in the East River? Well, this Go Team deals with the human element of these incidents.
Sounds like we're on the same side.
No doubt.
We'll do our best to stay out of your way.
We just need to interview every crew member and passenger who may have pertinent information.
Well, roger that.
Or sorry.
As long as it doesn't interfere with patient care, I will help in any way I can.
Understood.
We wanna start with the pilots.
Captain Starks? I'll find him for you.
Hey, have you seen the pilot? Uh, yes, actually.
Right here.
What am I looking at? Captain Dane Starks.
He has been catatonic since he arrived.
There's no masses.
There's no bleeds.
Ventricles look normal.
This looks fine.
No, no, no.
That's the problem.
It's not that he can't talk.
It's that he won't.
[TENSE MUSIC.]
[FRENETIC MUSIC.]
- Dr.
Mandle.
- Morning, Dr.
Goodwin.
Yeah, it was supposed to be.
Why is Dr.
Kapoor still on a vent when you told me he was getting off today? I told you I was hoping to take him off today, but we ran out of propofol - and had to switch to fentanyl.
- Sorry.
Which takes longer to wean the patient off.
I understand that, but it sounds like you said we're out of propofol.
How is that possible? Because we've had patients on vents for the last 12 months straight, as has every hospital in the country.
Look, the stockpiles are empty, and the factories can't meet demand.
If I get you propofol, can you get Kapoor and the other patients off the vents? - Yes, but - That is all I needed to hear.
[ELEVATOR DINGS.]
Dr.
Goodwin.
You guys always walk together like that? We have rehearsals at noon.
You're welcome to join.
- [CHUCKLES.]
- Any update on the pilot? Right, the pilot.
Sorry.
Some of the passengers reported seeing him acting strangely before the flight.
If Captain Starks knew he was impaired before duty, then this becomes a criminal case.
Right, well, Captain Starks is currently with his physician, but once we're done, I'll let you know.
We'd like to test his blood alcohol level Unfortunately, you can't interrupt - a patient's evaluation - Evaluation? So then the pilot's not actually injured? - Look, Agent - Investigator.
See, that makes sense because it's your job to investigate, and it's our job to heal.
- So once we're done - Dr.
Goodwin.
To clarify, you're blocking access to a key witness.
I'm helping a patient.
[INDISTINCT PA ANNOUNCEMENTS.]
[TENSE MUSIC.]
[SIRENS WAIL DISTANTLY.]
[CLOCK TICKING.]
[CLEARS THROAT.]
You know, sometimes when people are having a hard time talking, it's not because they are scared.
It's because they're distracted.
You know, their brain keeps wandering off into the most random pockets of life.
They try to focus, but they can't.
You ever feel like that? Yeah.
We all do.
But that's that's only part of it.
The other part is that right when your brain gets into a groove Bam! It it's right back there.
It's in Indiana.
It's in the crash.
All over again.
But then those memories disappear.
And you you try to go back to them, but your brain wanders off again, and you can't focus, and round and round you go.
And you start to wonder if this is what it's like to go insane.
But it's not.
It's trauma.
And trauma is a beast.
It's invisible.
It's not gonna show up on your CT, but it's real.
It's as real as cancer.
And just like cancer, if it goes untreated, it'll get worse.
That is a fact.
[SOFT DRAMATIC MUSIC.]
But you know, Dane, all of these things that you're feeling, I can help them go away, but you have to start talking to me.
That's where we start.
I don't I don't remember any of it.
Yeah, okay.
Yeah.
That's perfectly normal, actually.
No, I was I was having a manic episode.
Nobody knows.
I'm bipolar.
BP's down to 90 systolic.
We've got to get this bleeding under control.
Lap pad.
Push an amp of calcium gluconate.
[MACHINERY BEEPING.]
Let me see.
[INDISTINCT CHATTER.]
Do you smell that? Is someone chewing gum? Mints, candy, anything? It's the copilot.
- It smells like ethylene glycol.
- Antifreeze.
When the plane crashed, maybe a hose snapped.
- Her open abdominal wound - Absorbed it.
Which is why we can't get the blood - BOTH: To clot.
- So push Fomepizole.
It should act as an antidote.
HB level 8 pH 7.
6.
It's clotting.
Good save.
Not so fast.
Emergent lab is back.
- Liver enzymes are elevated.
- How high? 3 1/2 times normal.
- That's not the antifreeze.
- We're missing something.
- [ALARM BLARES.]
- Now what? - BP falling.
- Temp's dropping.
She's septic.
Start her on amp, gent, and Flagyl.
Hang a bag of dopamine at 2 mcg a minute.
Coding 15 mils.
[DRAMATIC MUSIC.]
Brad Winton.
Sent up to neuro for observation.
Because we couldn't do that here? Brenda Nelson.
Admitted to OB for spotting.
- And? - OB took over.
- Eva Schafer.
- Copilot's in surgery.
Prognosis.
Cassian doesn't exactly give updates.
Yeah, well then, go force one out of him.
You know what? How does no one know what happened to our patients? 'Cause once we pass them on, they're no longer our patients.
Wrong.
This is an emergency room, not a waiting room.
You know what? I want a full report by end of shift of everyone who came through here today.
Go.
Go.
What? It's a perfectly reasonable request.
[MACHINERY BEEPING.]
We've got a problem with Shenaz.
Dissecting aortic aneurysm.
Couldn't see it till I drained out the fluid.
Yeah, but look.
See here? The tear's causing the blood to pool in between the layers of the arterial wall.
And what does that mean, Dr.
Walsh? The aorta could rupture.
Page cardio.
[DRAMATIC MUSIC.]
What are you doing? We're not sending another patient off into the great unknown when I can help them right here, right now.
We just paged cardio.
She's not your patient anymore.
They're all my patients.
Iodine.
Bill, Max Goodwin here.
How's everything at University? Well, we're losing over $40 million a month, and I'm laying off my janitors just so I can find enough cash to pay for the staff and supplies to restart the elective procedures that will allow us to generate enough cash to hire back those janitors.
- What do you want? - Propofol.
- Are you serious? - Do I sound like I'm kidding? We're completely out, and we need it.
Everyone's out and needs it.
So even if we did have it, there's no way I'd give any of it to you.
But you'd be helping patients.
Ugh, it wouldn't be helping my patients.
Look, we're in the middle of a massive drug shortage of our own.
Metronidazole, Avonex, Revlimid My 15-year-old son has more access to drugs than I do.
Welcome to the new normal.
I don't know what authority you have.
I am not telling you where any of our patients are.
Ma'am, we are authorized to speak to any individual who may have information.
Hey whoa.
Whoa, whoa, whoa, enough.
You don't have the right to come into this hospital and rip a patient away from their doctor, violating HIPAA rules and As a matter of fact, we do.
[TENSE MUSIC.]
- What is this? - A federal order.
Issued by the United States Department of Justice, which supersedes HIPAA by 120 years.
So I'll ask one more time.
Where's the pilot? So it's my understanding that pilots with bipolar can still fly as long as they're on the proper medication.
They can.
They can also end up with nothing but 3:00 a.
m.
flights, no raises, and a nudge out the door.
Regulations exist to protect you against retaliation.
You have kids? Um [CLEARS THROAT.]
Do I have kids? Yeah.
I do.
Like, a lot.
All right, so your oldest is taking her first solo flight.
You find out the pilot is bipolar.
How good are you feeling? - I'd feel great about it.
- Excuse me? Well, you asked me how I'd feel if I found out the pilot on my kid's first flight was bipolar.
I'd feel great about it.
Because I know that you're no more likely to have an episode than the next pilot is to have a heart attack.
So I'd feel great about it.
What's your current treatment plan? I see someone once a month.
I take lithium.
300 milligrams daily.
25 milligrams of antidepressant antipsychotic every other day.
What about your flight record? - Any safety incidents? - No.
Okay, so I'm gonna mirror that back for you.
Um, you're in treatment.
It's working.
You know your dosage to the milligram which indicates that you are a highly responsible individual.
And I don't know about you, but that is something I tend to like in my pilot.
What about this morning? Did you take your medication? Yeah.
All right, so what are we talking about? Four years ago, this cop buddy of mine We were having a beer down at the airfield.
Talking shop, laughing.
I I realized that I was controlling the planes with my mind.
[TENSE MUSIC.]
Landings.
Takeoffs.
And in fact, I was controlling the whole world with my mind.
He took me to the hospital, and that's how I was diagnosed.
Right.
Well, I'm sorry.
That sounds awful.
No, but that's not the point.
[SIGHS.]
He didn't take me to the hospital because I was having a delusion.
It was because my response to the delusion was to grab his gun.
And to point it at my head.
What if [SIGHS.]
What if that's what I was doing again? Today? You think that this plane crash was you trying to kill yourself? [INDISTINCT CHATTER.]
- Be right back.
- Hey.
Hi, I need to I need some more time.
Uh, I need you to listen.
It never fails to amaze me how stigmatized mental health is in this country.
- Yeah, couldn't agree more - It's unbelievable.
You know, at New Amsterdam, we have dozens of doctors with a variety of mental health care issues.
And because this hospital's policy is one of understanding and respect, they manage their condition without it ever affecting their work.
- Which is exactly why - Right? Seems simple.
But no, everywhere else in the world, it's some flaw.
It's some deficiency.
It's a detriment.
It's their fault somehow.
No wonder these people are hiding it from their employers.
You know which compounds their shame, increases the public's mistrust, and contributes to inadequate medical intervention.
It's so simple.
I'm tired of it, Max.
I want to bring mental health care out into the open.
No more shame.
No hiding.
[EXHALES.]
I'm sorry.
What do you need? We need to hide your patient.
- [MACHINERY BEEPING.]
- Enzymes are six times normal.
Liver's not gonna last much longer.
I need to expose the entire organ.
You'd need to extend the surgical field across the whole abdomen.
[SUCTION WHIRRING.]
Scalpel.
Do you wanna call in Gastro? No, there's no time.
You mind getting your hands dirty? - Of course not.
- Great.
But it's been a few years.
- You have a steady hand? - Well, yes.
- Clear field of vision? - Yes.
Still like that Thai food place on 17th? Yes.
Then what are you waiting for? [TENSE MUSIC.]
Endo linear stapler coming in.
One centimeter to the left.
- [MACHINERY BEEPING.]
- BP's dropping.
Retractors.
Assessing surgical margins.
There.
Bile duct is scarred shut.
The antifreeze must have caused a chemical burn.
Now bile's backing up into the liver causing it to shut down.
Okay.
Listen up.
We're gonna resect a large portion of this liver and reconstruct the bile duct.
Otherwise, we're gonna lose Ms.
Schafer.
I need a hemostat and lap pads.
Will you stick around? Yeah.
I'll stick around.
[MACHINERY BEEPING.]
Advancing catheter.
Okay.
I'm at the aorta.
And [ALARM BLARING.]
BP's dropping.
Dissection's extending.
Drainage greater than 200.
What the hell were you doing? I was trying to stop the dissection.
Well, you didn't.
You made it worse.
- I'm trying to fix it.
- Not fast enough.
Thanks to you going rogue, I've gotta crack her chest here.
Going rogue? In case you haven't noticed, I'm also wearing a white coat.
Your job is to stabilize patients and then get out of the way.
Out.
[ALARM BLARING.]
Thoracotomy kit coming in.
When we were knee deep in the pandemic, you were thanking me for taking your patients.
Well, thank God we're not there anymore.
I need a rib spreader, Richardson retractor, and some gauze.
On it.
Bloom, out.
Get me some O-negative blood on a rapid infuser! Abduct and extend arms.
Hey.
Sorry about the new digs.
I just thought maybe a change of scenery would NTSB is looking for me, aren't they? Um, yeah.
They are.
[STAMMERING.]
Yeah okay, look.
So you should just hand me over.
I mean, I put hundreds, I mean, if not thousands of people at risk.
And I don't deserve special treatment or No, no, Dane.
Whoa, whoa, whoa.
Slow down, Dane.
I just I need you to help me with something.
Why do jets dump fuel? What? Well, the ED just admitted about a dozen or so patients that were all doused in jet fuel.
[BREATHES FRANTICALLY.]
So more people hurt? Dane.
Stay with me.
Why why do planes dump fuel? [EXHALES.]
It it's how you achieve ideal landing weight.
You can't land if you're too heavy.
Okay okay, so if you were gonna land early let's say Or unexpectedly, you would dump the fuel? - You would, am I right? - Yeah, yeah.
So why would you dump that fuel if you weren't trying to save the plane? Not crash it.
You weren't trying to crash the plane.
You were trying to save the plane.
Or I was just out of my mind and hitting random buttons like a lunatic.
I mean, I look, it doesn't mean anything! All we know is that my plane crashed! [BREATHING HEAVILY.]
[TENSE MUSIC.]
No.
No.
That's not true actually.
We know one other thing, Dane.
We know where you crashed.
Right? I bet that river looks pretty striking when you're flying over Manhattan.
That little streak of blue right down the middle.
Yeah.
Sure.
Right? Kinda like a landing strip maybe? Dane, you didn't You didn't hit a building.
You didn't hit a street.
You went right into the middle of the river, the one place, by the way, with the lowest risk of injury for civilians for miles.
Miles.
And you're gonna tell me that that's an accident? [IMPACTFUL PIANO MUSIC.]
Leland, it is so nice to hear a friendly voice.
And yeah I need a favor.
Yep, sounds like you reached out to Bill first.
Yeah, well, VJ is still on a vent along with a dozen other patients, and they are in desperate need of propofol.
I'm sorry, Max.
We ran out of propofol over a month ago.
Wish we had some to share.
People thought toilet paper was hard to find.
Don't get me started on my theory about that.
Not sure I wanna know your theory about that.
Is there a chance you guys need Acyclovir? That's one of the few things we're good on, thanks.
Well, let me know when you're not because we have a crap-ton.
I understand why HCC sends us all the same resources, but we serve a predominately geriatric population.
What the hell are we supposed to do with this much herpes medication? Welcome to the new normal, my friend.
Dr.
Goodwin.
Uh, so sorry, Leland.
Gotta call you back.
Think I'm about to be arrested.
- Arrested? - Hi.
Before we do the cuffs thing, can I just say - We're not arresting you.
- Okay.
We think you'll hand over Captain Starks willingly and without incident.
Why would I do that? We've recovered the black box.
[DRAMATIC MUSIC.]
Miriam, thanks for taking the call.
I know how crazy things are at Baptist, and I know that the answer is probably no.
But is there any chance that your hospital has a surplus of propofol? Of course.
How much do you need? That's amazing.
Thank you.
The only thing that is gonna help my friend is propofol.
You know Dr.
Kapoor Oh.
Max, I'm so sorry.
I thought you said prostodin.
We haven't had propofol for months.
I'd be surprised if anybody in the city has.
Uh, while I have you, is there any chance you have any extra ventilator tubing? We've been buying ours from Home Depot, and they just ran out.
We've been buying ours from Home Depot too.
[DRAMATIC PIANO MUSIC.]
How are we gonna fix this? I don't know.
Hey.
I gotta call you back.
- Ready? - Yeah, I guess.
- No.
Is it bad? - I don't know.
I don't think they'd be playing it for us if it was good.
[SIGHS.]
How is she? She's stable.
[SIGHS.]
What's going on with you today? I miss it.
Miss what? I miss the pandemic.
I mean, the worst of it.
You know, I feel like a sociopath even saying this.
But when we were hit the hardest? When the ED was above capacity? I felt like I'd spent my whole life training for a moment that finally came.
I helped people.
I saved them.
And even when I couldn't save them, I was doing exactly what I was meant to do.
[SOFT PIANO MUSIC.]
I held patients hands as they died.
I sang songs to them.
And now what? I'm just supposed to pass them off as if they don't matter to me? [LOCKER CLANKS.]
They matter.
Um I never told anyone this, but when my deployment ended, I missed it, you know? I missed knowing what I had to do and doing it.
I missed the fight.
We were at war, Lauren.
It's okay to miss the fight.
[PADLOCK CLANKING.]
Oh, and by the way, you haven't stopped saving people.
The doctors, nurses Me.
You saved us too.
You're still saving us.
[DOOR THUDS.]
[SIGHS.]
The way you sliced through that abdomen, I'm gonna start calling you Zorro from now on.
[LAUGHS.]
Well, you're the one who made the call about the bile duct.
That pilot is in recovery because of you.
Very clutch.
[SOFT DRAMATIC MUSIC.]
Helen, I think they're clean.
Sorry.
Sorry, I just, um Sorry.
I can't do this.
[DOOR CLOSES.]
Dane, what the hell are you doing? You're gonna kill us all! Let go! What is that? 660? Starks is incoherent.
660! Air speed! There's nothing wrong with it's The copilot is struggling with Captain Starks for the throttle, but it's too late.
Starks has them in a nosedive.
[PLANE DRONING.]
- 660! - Stop! Let go! For God sake! [PLANE CRASHES, RECORDING CUTS OFF.]
[DRAMATIC MUSIC.]
[SWITCH CLICKS.]
The copilot desperately tried to save the plane, and she almost did.
I I don't understand.
What about the fuel dump? Why would Starks have done that if he wasn't It wasn't Starks.
You think it was the copilot as well? Flight data recorder tells us there was a last-ditch effort to pull the nose up before they hit.
Schaefer's a hero.
She subverted what would've been a wholesale massacre, while Starks was clearly out of his mind.
There's no fixing this.
[SIGHS.]
[APPROACHING FOOTSTEPS.]
[TENSE MUSIC.]
I'm gonna walk him out.
Passengers who were admitted are either stable or discharged.
Copilot's O2 sats are finally good.
Heart rate holding steady.
Still some post-op delirium from the anesthesia.
What kind of delirium? Hawaii.
Six We keep telling her she's in New York but What's 660? Hawaii.
660.
Hawaii.
[FRENETIC MUSIC.]
Captain Starks! Oh, boy.
What is Hawaii 660? It's a flight number.
A plane that went down in the Pacific last year.
Why did it go down? There was an equipment problem.
Faulty air speed indicator.
It told the pilot What does this have to do with Dane, help me understand.
The indicator told the pilot they were flying faster than they actually were.
So when they ran into some weather, and they slowed the plane down, they actually slowed it to an unsafe speed.
And so the engine stalled, and it went into the sea.
Okay, okay.
All right.
So, on takeoff, if a pilot discovers that his air speed indicator is giving him an inaccurate reading, and he is flying too slow, what would that pilot do? Would there ever be any reason to deliberately take your plane into a dive? That would depend on a number of variables.
Yeah.
The plane is as heavy as it's gonna be at takeoff, so the first thing you'd do is You'd dump your fuel.
Yeah.
And then you'd push the throttle forward.
You'd [SCOFFS.]
You'd get the nose down.
You'd go into the dive in order to gain speed.
And then you'd You'd lift up at the very end.
Which is exactly what you did.
Right? Which is what your copilot, I think, was trying to say.
Copilot's conscious? Yeah.
And anxious to talk.
You think that Captain Starks jeopardized the lives of 150 people.
We think he saved the lives of 150 people.
[PHONE VIBRATES.]
Sorry.
I'd love to relish in this moment, but I Florence, thank you for getting back to me.
Of course.
Except I had no idea you called.
I'm desperately looking for acyclovir.
Is there any chance you guys have some to spare? No, we're in the middle of a serious drug shortage ourselves.
Yeah, that checks out.
Well, thanks.
Yeah.
Hey! Um, hang on a second.
[PHONE RINGS.]
- Max? - Hey, Leland.
You're on with Dr.
Brighton from Brookhaven.
She's asking for acyclovir.
Do you still have extra? Sure.
I can send it over now.
Seriously? You're doing us a favor taking it off our hands.
Also, do either of you need metronidazole? We're pretty stocked up on that too.
No.
We're good on antibiotics.
Uh, Leland.
Hang on a second.
[PHONE TAPPING.]
[PHONE RINGING.]
What do you need now, Max? Bill, you're on with Brookhaven and Memorial.
You were talking about metronidazole earlier Do you still need it? Yeah, I need everything.
Why? Memorial has extra.
We'll send it over right now.
[SCOFFS.]
Oh, my God.
If we can help with anything I mean, non-drug related Please let me know.
You don't still have extra vent tubing, do you? Tons.
Yeah, I had my guys buy out Home Depot.
Yeah, great.
One second.
[PHONE TAPPING.]
- Hello? - Miriam, you're on with Brookhaven, Memorial, and University.
Do you still need that vent tubing? Desperately.
University will send over a bunch right now.
I don't know what to say.
Can I give you some pulse oximeters? Memorial could really use those.
I'm sending you a shipment.
Well, this worked out great for everyone.
Well, except for you, Max.
Didn't wanna kill the vibe, but glad I could help.
Propofol's a tough one.
- Max, you need propofol? - Yeah.
- Apparently everyone does.
- Not us.
We just found a ton of it in storage.
You'll have it by end of day.
Why weren't we all doing this before? [AMBIENT MUSIC.]
[APPROACHING FOOTSTEPS.]
You're in my spot.
Safest place in New York.
How's our Miss Luna? I wouldn't know.
She's still frolicking in suburban splendor with Georgia's parents.
How often do you get to see her? Not enough.
I miss her [CHUCKLES.]
Like crazy.
I know.
It's just not safe enough to bring her home.
Nothing's safe anymore though, is it? Everything that was normal Friends, restaurants, intimacy They all seem so strange now.
- [CHUCKLES.]
- They feel They feel wrong.
[SOFT PIANO MUSIC.]
I used to be scared of the virus, but now I am scared of normal.
[CHUCKLING.]
Normal.
I kept thinking, once everything gets back to normal, then I would finally fix this hospital, that I could fix it.
But I don't want to fix this hospital anymore I mean, even if we could go back to normal.
I don't want to fix this system.
[SCOFFS.]
I want to tear it down.
You know, I wanna tear it all down and build something better Something better for my daughter, something better for you, better for all of us.
I see trees of green I mean, otherwise, what the hell was this for? [COVER OF "WHAT A WONDERFUL WORLD".]
Red roses too Sorry.
Am I boring you? I see them bloom No.
Not at all.
In fact, I think there are a lot of people rooting for you.
- [CHEERS AND APPLAUSE.]
- It's 7:00.
And I think to myself [PEOPLE CHEERING AND APPLAUSE.]
What a wonderful world [CAR HORNS HONKING.]
I see skies of blue And clouds of white [PHONES BEEPING, BUZZING.]
The bright blessed days The dark sacred nights And I think to myself Hi, is he He's awake.
He's awake.
What a wonderful world Oh, thank God.
The colors of the rainbow Hey, buddy.
[LAUGHTER.]
So pretty in the sky [LAUGHTER.]
Are also on the faces Of people going by I see friends holding hands Saying "How do you do?" The damage to his heart was extensive.
He's going to need a new mitral valve.
The virus also ravaged the surrounding heart muscle.
I hear babies cry How bad? No way to sugarcoat it.
Even if you found the best heart surgeon in the world, I'm not sure it'd be enough.
And I think to myself [PHONE BUZZING.]
What a wonderful world Yes, I think to myself How can I help? What a wonderful world