New Amsterdam (2018) s03e12 Episode Script
Things Fall Apart
Okay, home stretch, Luna.
We just need to find Dada's other shoe.
Did you steal Dada's shoe? No? Well, that's nice of you.
Where is it? Where's my shoe? Shoe, shoe, shoe.
Shoe! Luna, shoe! And Oh, yogurt.
Uh, hey, hey, hey, hey.
Hey! Thank you guys so much.
- I know it's last minute.
- Oh, no worries.
My Tuesday nanny just canceled on me.
- I didn't have anyone.
- What is that smell? Oh, uh, fun fact, when Luna's waffle gets stuck in the toaster too long it becomes a charcoal briquette.
I'll get that for you.
I think I smell something else.
Yeah, that's her, uh, lo mein.
- She really likes it spicy.
- Takeout for breakfast.
Uh, well, it's usually milk and eggs but we are out of milk.
Also eggs.
So I tried to do the waffle thing but that turned into a briquette.
So, I, uh, yeah.
It was either lo mein or soup.
Could you guys do a quick favor and go to the grocery store? We just need milk and eggs and, uh, waffles.
Come on, sweetheart.
Grandma's gonna get you changed.
Hey.
You got a double kiss! - Oh, and wipes? - Wipes, yes.
We need wipes.
Thank you so much.
Best grandparents ever.
The stuff of legends.
Yes! Luna, I love you.
Okay, thank you, guys.
Seriously.
Bye.
Wow.
We need to talk about this.
Harper, turn it down! I put that in the closet.
And I took it back out.
We need to talk about him, Ig.
Yeah, we will.
What? You've been saying that for a week.
- Have you thought about a 21/20? - No.
I mean, yes, I've thought about a 21/20, obviously.
But that's a psychiatric hold, it's not It would keep Chance off the street - and away from our kids.
- For 72 hours.
And then he'd be back on the streets, feeling betrayed.
Okay, fine.
Then go for something more permanent.
No, Martin, I am not discussing a restraining order with you.
Hey.
Hi, babe.
Hi.
Everything's fine, okay? We're just discussing some boring old grown up stuff.
Why don't you go back up and log in to school, okay? I'll meet you there.
It's okay.
Go for it.
And music off, sweetie.
That is exactly why I didn't want to discuss this, okay? A restraining order is a formal connection between Chance and I.
It's what he wants.
All that matters is they reduce risk.
- Sometimes.
- Most times.
And they got a way better track record than wishful thinking.
If we provoke Chance, he could hurt himself.
This is not about Chance.
This is about us.
Our safety, our kids.
Look, we No, you know what, Iggy? You have to do something.
Today.
- What? I don't want that.
- It's just oat milk.
What you mean, "just oat milk"? You ever seen an udder on an oat? - That's not natural.
- Natural? A few minutes ago you were just raving about some beer made out of oysters? Oyster stout is normal beer made from the shells of oysters.
It's And I've yet to meet a mollusk made out of grain, hops, or yeast.
All right, look, that's it.
I'm I'm gonna take you out to have that beer tonight.
Oh, no.
I I'm I'm sorry.
Not like that.
I wasn't trying to make a move.
Uh-huh.
I can't be home tonight.
You know, I'm trying to think of a reason to stay out.
- Why's that? - You know, my My roommate is having a gentleman over for a "visit.
" You have a roommate? Yeah, my mom.
My roommate is my mother.
You live with your mom? And your mom is the one hanging the sock on the door.
So now we're clowning? Is that it? Yeah, you definitely were not making a move.
See, now, that That's the way Now you owe me a drink.
Fine, I know the perfect place.
- I will text you the address.
- Okay.
Helen.
Hey, uh, hey.
- What do you need? - Uh, nothing.
I just saw you walking down the hallway and it looked like more fun than my hallway so Okay.
You okay? Um, work, life? - It's good.
All good.
- All good.
What's with the rosary? It's not a rosary.
Yeah? Uh, well, you know, if it looks like a rosary and smells like a rosary It's personal.
I don't think that's how it goes.
You're actually considering it? - Leaving New Amsterdam? - Hey, it's a good gig.
More money, less drama.
Plus, I could walk to work.
Plus, it is Mt.
Zion.
Oh, I'm Casey, and I want to work at a big, posh, private hospital where nothing exciting ever happens.
Whatever.
Your accent's wack.
Incoming! Bertha James, 64 years old.
Accidental impalement on pruning shears.
BP 138 over 74 and slightly tachy at 114.
Already vaccinated for COVID.
Okay, let's get her to Bay 24.
Just get these things out of me! We will, but first you need a CAT scan and work-up so we can figure out the safest way to remove them, okay? How bad is the pain? - Bad! - Okay, uh, Turan, can I get, um what the Is everybody okay? You okay? Everybody okay? We need help over here! What the hell is going on in here? - Let's pull them out.
- Let's get them out of here.
Okay, get maintenance down here now.
Are you kidding me!? - Feel the excitement.
- Excitement? Okay, let's get them out of here.
So great to see you all in the flesh again.
Mask-less, here we are.
You know, virtual visits were great.
What a great tool we got to use but, man, have I missed in-person inpatient visiting days.
These are the best.
I mean, families coming together, reconnecting.
This is why we do what we do, right? Are gifts okay? Yeah.
'Cause I, uh, brought my son a journal.
Great, yeah, journal.
Good call.
Anything that encourages expression, I'm all for it.
Yeah, but the orderly confiscated it.
Ahh, yeah spiral-bound, I'm guessing? Yeah, okay, good segue.
Couple ground rules we should talk about.
No sharp objects are allowed inside.
Anything spiral-bound, jewelry, earrings.
Um, anything that a child inclined to self-harm would or could self-harm with.
Um, also, no outside medication is allowed in, okay? So any pills that you came with, you can leave them with me.
You get them when you leave.
Uh But, guys, that's not that's Hey, that's not what today is about, all right? Today is about progress.
Your kids are getting better.
They're getting better every day and in a few moments, you are going to see that with your very own eyes, so.
You can bring your son my cookies, if you want.
I made way too many.
Yes, that is the spirit right there.
Okay, guys, what do you think? Want to go see your kiddos? Let's go! Follow me.
Demarcus Lott, 27.
Taxi-to-bike head-on collision.
Whoa, whoa, whoa! What the hell happened here? Emergency bowel disimpaction of the building's old drainage pipes.
- Crap.
- Well, let's hope not.
Uh, Mr.
Lott, how are you feeling? Like I'm about to be Internet famous.
Check this out.
Tossed off the hood of the car, rebounded off the mailbox, landed smack on the pavement.
That's why you wear a GoPro.
And a helmet.
Brunstetter, let's order a CT scan for Mr.
Lott.
Any more openings at Mt.
Zion? I heard that.
Dr.
Bloom.
Damn it, she's tachypneic.
Okay, let's get her on nasal cannula O2.
Do you think it was the shears? They're nowhere near her heart or her lung.
Hello? Somebody? What's this on my leg? You see this? I got that on my arm.
We need to evacuate the ED.
Evacuate? Why? That's not dirty water.
That's a chemical spill.
Okay, the sickest patients and those with the most chemical exposure go to the front of the line for DECON showers, chest CTs, and arterial blood gases.
Less acute are gonna have to wait.
Uh, Mrs.
Westbrook, how you feeling? - Better.
- Blood sugar's down to 187.
Okay, that's what I like to hear.
Low exposure, back of the line.
Dr.
Bloom, I, ah, ran the symptoms by Poison Control and they suspect an herbicide called 4-methyl-2-chlorophenoxyacetic acid.
Apparently, MFCA is odorless, colorless, and highly corrosive.
Huh, what a great trio.
- Coming through.
- I put the ED on diversion - and activated Hazmat protocol.
- Hazmat!? Busted pipe doused Bertha pretty bad.
- Into the open wound? - Direct hit.
Since then, she's been tachy with runs of wide complex V-tach.
Not to mention the gardening shears - still sticking out of me.
- We're gonna get to those.
But first we gotta take care of your heart and lungs.
Which means a DECON shower to get the chemicals off your skin.
And then some wound irrigation to get the rest of it out of your insides, all right? Just try to breathe.
Bertha's in, but we only have two showers.
It's gonna take hours to get everyone through.
Okay, HazMat's bringing more tents with more showers.
Until then, we just need to hold on.
I'm gonna go find where an herbicide banned in the '70s is hiding in our hospital.
Oh, just who I was looking for.
Dora, the HCC heard about our chemical spill, I take it? And I need an important file the medical director should have on hand.
Well, then you need to talk to the medical director.
Because Max would know where any important files are? I'm betting I'll have better odds with his former number two.
All right, what are we looking for? Hazardous material inspection reports.
If we were briefed on any MFCA storage issues, then we're liable.
The ED ceiling caved in and poured poison all over our patients.
I'm pretty sure we're liable.
Just find the report.
I'm just doing my job.
The MFCA has branched into all these pipes.
Corrosion's not as bad as the ED.
You get a flood of that stuff, - all these pipes will go.
- And then instead of one chemical spill, we'll have 50.
It's gotta be coming from somewhere.
We'll split up and we find the source.
The protection order will legally compel Chance Becker to stay away from you, your workplace, and your home.
He'll be prohibited from any direct contact with you or your family.
The court may add exceptions, but I've been in-house counsel here a long time, there won't be any issues.
Do we need to inform anyone internally? No, only if you want us to.
I think I'd like to keep it quiet.
You know, for Chance's sake.
For Chance? - Yeah, um - Anne.
Uh, Neil, if you'll excuse me.
Thank you, thank you very much.
Hey, Anne, Julie.
Hey, guys, wait up.
Whoa, what's the matter? What happened? Something happen with your son? Alex just got upset.
Upset? He was screaming.
He was completely out of control.
Okay, well, why don't we all go have a chat in my office - and we'll figure it out.
- What's there to say? He doesn't want us here, so we're leaving.
Well, that's a bit of a hasty reaction.
Sorry folks, we're shutting the exits.
There's been a chemical spill downstairs.
No one in or out until it's safe.
- But the kids - Everybody's fine up here.
I just need you to hold tight until the downstairs exit's decontaminated.
Okay.
Okay, thank you.
Um Well, since we're all stuck here come on, let's have a chat.
Come on, let's go.
Couple more should do it.
Take your time.
Certainly, don't worry about the shears.
We haven't forgotten, I promise.
No rush.
Once we stabilize your vitals, they are coming out.
Would you like more pain meds? What I'd like is a hospital that's not falling apart.
I mean, how can you even see what you're doing when the lights keep dimming? It's like a cavern in here.
The lights aren't dimming.
But why is everything getting darker? You ever heard of MFCA exposure causing blindness? I'd barely even heard of MFCA before it gushed all over my ED.
Well, Bertha's now experiencing complete and total vision loss.
She did take the biggest hit.
Had the most extreme exposure.
Well, I put her on dialysis to try to clean the toxins out of her blood but, look, if this is blinding people, then we need to get everybody decontaminated as soon as possible.
Oh, yeah, 'cause up until now, we've been dragging our feet.
Hey, look, I'm just saying there could be more surprises.
Got it.
Thank you.
Let's get this line moving, people.
Come on.
Come on! Help! Help! I need some help in here! Anybody! Help! Max, Sandra Fall and I have been looking everywhere for the hazardous materials inspection report that you should've filed.
But of course, it's nowhere to be found.
Much like yourself.
Where are you? Call me, please.
Miguel, do you know where Dr.
Goodwin went after this? They just called me for clean-up.
Right.
Ah, bike man, good news.
Your CT came back clear.
I'd prescribe Advil and a brake on that Fixie.
- So I'm good to go? - Ah, no.
Not until you go through DECON.
But I was barely in there.
Which is why I'm sending you to the back of the line.
Um, is the insulin back in the ED? Check over there.
I put them in the crash cart but we're still moving stuff out of the ED.
Ah, somebody is thinkin'.
Hey, you had way more exposure - than anyone else.
- And your point is? You need to be the next one into the DECON showers.
Okay, I don't know how it works at Mt.
Zion, but in my ED, patients come first.
Oppositional defiant disorder is tough.
Kids with ODD like Alex are rude.
They're aggressive, vindictive.
- Our son hates us, Dr.
Frome.
- He doesn't You were there.
You saw him.
No, no, listen to me.
It can feel a lot like hate.
It can look exactly like hate.
But it's not hate.
It is brain function, that's it.
It's an inflated response to perceived threats.
And exactly how did I threaten him? You didn't.
She didn't.
I I honestly think this morning was just a low blood sugar moment.
You know how he gets.
I bet now that he's had a minute, he'll be different.
We should go back in and try again.
No, actually, I don't think that's a good idea.
Julie - Why not? - Because I don't think that the problem today was Alex.
I think that the real problem is here, in this room.
You think Alex's ODD is our fault? No, ODD is no one's fault.
I'm I'm talking specifically about what triggered Alex today.
And you think it was his moms bringing him cookies.
I'm sorry.
I don't understand that at all.
Your wife does.
Anne? Anne, look at where you are.
Hiding the truth is not working.
The two weeks that Alex was out of the house Have been the best two weeks I've had in years.
No screaming.
No hitting.
No one attacking my beautiful wife when she's just trying to be nice.
I didn't want to see him today.
And on some level, I think that he knows it.
Dialysis went great, Bertha.
We're gonna give your sight a little more time to reset, okay? In the meantime, I'll just lay here impaled.
Not at all.
Look, next stop, those shears are coming out.
I'm so sorry.
None of this is your fault.
Don't worry about me.
Just focus on you.
Focusing on me is why I started gardening.
My shrink said it's a way to tune everybody else out and hear the universe.
I know, it's hippy.
But doesn't that sound nice? Hearing the universe.
- It does.
- I'm trying to hear it now but these shears makes it kinda har Whoa, whoa, whoa.
Grab me two milligrams of Ativan IV.
Do we need to get her back on dialysis? It's too late, her body's absorbed too much MFCA.
So where does that leave us? Dr.
Reynolds? I I don't know.
Max? Anybody? Max? Help! Max? Max, you need to get out of there.
I I can't, I I If I let go of this, the whole tank's gonna give.
And it'd go all over the hospital.
Hundreds of people are gonna be exposed.
You need to go get help.
No, you're gonna leave.
I'm gonna hold the pipe and you're gonna go and get help.
- I can't.
- Why not!? I can't see.
Anne, what you just described is a perfectly normal feeling.
But Alex didn't erupt this morning because you asked him a question.
Alex erupted because Julie stopped you from disciplining him.
And you just said that at home, Alex is triggered by Julie just being nice.
The threat that Alex is perceiving is your positivity.
How can positivity be a threat? Well, Alex knows that his troubles are deeper than blood sugar.
And when you pretend that they aren't, it scares him.
It denies his reality.
And Anne's, too.
You agree with him.
Yes, I try to be positive.
Alex can't.
You won't.
- Somebody has to be.
- Why does somebody have to? Why can't we just acknowledge what's actually happening? You of all people asking me that? The person who stood up in front of all of us today like some camp counselor, acting like we weren't all here to visit our kids in a mental hospital.
Telling us, "Oh, it'll be a great day today.
"Just remember to remove your jewelry so the kids don't try and kill themselves.
" I'm denying reality? You're actually removing the shears? Floyd, it's too late for her.
She's dying.
Because of us.
We did this to her.
This hospital, this this building.
You know, Bertha said that the shears were making it hard for her to hear the universe.
Well, if there's ever a time that we deserve to hear the universe, it's when we're leaving it.
Staff's all through.
After Ms.
Westbrook, it's just you and Demarcus Lott.
- Where is he? - He's around the corner, editing video of his head-on collision.
Mr.
Lott? It's okay, I've got you, Demarcus.
I got you, I got you, I got you.
I need help over here! Casey! A blood vessel damaged in your accident must've just given way.
It's caused an expanding hematoma and it is closing off your windpipe.
I can fix it.
I I can fix it.
I just gotta just need to drain the blood.
Casey! Help, Casey! I need help! Come on, come on.
Come on, breathe.
Come on.
Come on.
Her end-tidal CO2 levels just went off a cliff.
It's severe acidosis.
Push two amps of bicarb.
Removing the shears caused a pancreatic storm.
This is not how she's going out.
Suture.
Helen? Hang on, Max.
You need you need to go.
Not without you.
And if you're not willing to let go of that pipe, then I've got to seal the drain.
Helen, just go! Please! I won't, so stop yelling at me.
What are you doing? Weighing down the trash lid over the drain.
- It's working.
- Wait, it's working? - Give me your hand.
- Are you sure? Give me your hand.
Come on.
Come on, watch your step.
Come on.
Lean on there.
We're almost at the tent.
Just hang on, okay? He help! Can someone help, please! Help! Oh, Floyd! Floyd, he's drenched in MFCA.
How are we treating acute exposure? - We tried everything.
- And? There's no treatment.
Nothing's worked.
The bolus bicarbonate and IV saline that you ordered.
I need CHEM panels drawn Q15 minutes until his toxicity is halved.
Q 1 hour after.
His BP was only 80/50.
- The bicarb will work.
- How can you be so sure? I'm barely getting a pulse.
When we removed the shears from my patient, it caused a pancreatic storm.
She was going to die, but then we pushed bicarbonate to neutralize the acid in her pancreas.
Which raised the pH in her blood, enhancing excretion.
Dr.
Bloom's responding to treatment.
How did you know to remove the shears? I listened to the universe.
Welcome back.
Hey, so, uh, your numbers, they look great.
You're gonna be fine by tomorrow.
And don't worry about the ED.
I got it taken care of.
And I'll You can't go to Mt.
Zion.
I can't do this without you.
You know that, right? Yeah.
I ain't goin' anywhere.
But um, let's just, uh Let's dial it down a little bit on the excitement, all right? I can't take this no more, man.
Oh, come on.
This morning, I was, um I was pushing the hope pretty hard.
And, uh, I was asking you all to ignore everything else.
It's just, it's a weird idea that positivity can be toxic.
But it absolutely can.
Especially when it comes at the cost of what is true.
And what is true is that nobody wants to be in this room.
None of you want to be here.
And no pep talk that I can give you will wish that away.
So I wanna reframe this meeting.
I want to use this time and this space to tell the truth.
The real truth, the brutal truth.
I want you to say the things that you're not supposed to say.
I'm giving you permission to say them in here.
The hope that you and your kids actually need only comes with that kind of truth, so I keep my gas tank full.
Just in case I, uh, I can't take it anymore.
And sometimes I dream about just Just driving away.
I sit in the bathroom And check prices on one-way flights.
Just knowing I could leave It's okay.
Oh, baby, it's okay.
I love my daughter.
I do.
But when we're out in public, she She screams and she says awful things and I beg her to stop and she won't.
And sometimes I I hate her.
What's wrong with me? My son.
He's my miracle.
But sometimes I wish Sometimes I wish he hadn't been born.
Please.
I woke up at 4:00 a.
m.
to bake the cookies.
I wanted them to be fresh because Alex is here.
And when he threw them in my face, I I swear to God, I almost hit him.
I would never.
I of course, I I I just want him to know how much he hurts me.
How much I hurt.
It's not his fault.
I shouldn't feel like this.
Lyn.
This isn't a bar.
You said drinks.
Okay.
You still married? It's like this.
My husband and I, we have this understanding.
When he's out of town, we're both allowed to Wow, um you obviously got a vibe that I dig.
But you also have a ring.
And "understanding" or not, I can't get down like that.
It it's not me, either.
I never actually, um, acted on it.
I I just I thought this would be easier.
Or at least, not totally humiliating.
Because I, um, I dig you, too.
Yeah, so you know what? I probably should stop talking right now so that's what I'm gonna do.
I am going to stop talking and Hey.
Grab a coat.
Why? You still owe me a drink.
Now it's a double.
Helen? Can you see? I see you.
What happened? I remember getting to the tank and then It just goes blank.
It was just Just DECON and bicarb and stuff.
Stuff? I'm gonna go.
Just gonna let you rest.
Thanks.
You were there, weren't you? I'm sorry.
Guess sometimes it takes me a minute to remember what matters.
More than anything.
You.
I I didn't know we still had landlines.
I have to give me a sec, sorry.
Hello, hello? Max, we have Luna.
Oh, thank God, um We heard what happened to you.
- We, uh - I have been We're taking her back home with us.
Y-yeah, okay.
Great, um, that would be great, actually.
And I no, no.
I will I will pick her up, um, first thing tomorrow, okay? You almost died, Max.
We want her to stay with us.
That's really not necessary, Gwen.
I appreciate it but I'll see you tomorrow, okay? No, Max.
We're filing for custody.
Uh
We just need to find Dada's other shoe.
Did you steal Dada's shoe? No? Well, that's nice of you.
Where is it? Where's my shoe? Shoe, shoe, shoe.
Shoe! Luna, shoe! And Oh, yogurt.
Uh, hey, hey, hey, hey.
Hey! Thank you guys so much.
- I know it's last minute.
- Oh, no worries.
My Tuesday nanny just canceled on me.
- I didn't have anyone.
- What is that smell? Oh, uh, fun fact, when Luna's waffle gets stuck in the toaster too long it becomes a charcoal briquette.
I'll get that for you.
I think I smell something else.
Yeah, that's her, uh, lo mein.
- She really likes it spicy.
- Takeout for breakfast.
Uh, well, it's usually milk and eggs but we are out of milk.
Also eggs.
So I tried to do the waffle thing but that turned into a briquette.
So, I, uh, yeah.
It was either lo mein or soup.
Could you guys do a quick favor and go to the grocery store? We just need milk and eggs and, uh, waffles.
Come on, sweetheart.
Grandma's gonna get you changed.
Hey.
You got a double kiss! - Oh, and wipes? - Wipes, yes.
We need wipes.
Thank you so much.
Best grandparents ever.
The stuff of legends.
Yes! Luna, I love you.
Okay, thank you, guys.
Seriously.
Bye.
Wow.
We need to talk about this.
Harper, turn it down! I put that in the closet.
And I took it back out.
We need to talk about him, Ig.
Yeah, we will.
What? You've been saying that for a week.
- Have you thought about a 21/20? - No.
I mean, yes, I've thought about a 21/20, obviously.
But that's a psychiatric hold, it's not It would keep Chance off the street - and away from our kids.
- For 72 hours.
And then he'd be back on the streets, feeling betrayed.
Okay, fine.
Then go for something more permanent.
No, Martin, I am not discussing a restraining order with you.
Hey.
Hi, babe.
Hi.
Everything's fine, okay? We're just discussing some boring old grown up stuff.
Why don't you go back up and log in to school, okay? I'll meet you there.
It's okay.
Go for it.
And music off, sweetie.
That is exactly why I didn't want to discuss this, okay? A restraining order is a formal connection between Chance and I.
It's what he wants.
All that matters is they reduce risk.
- Sometimes.
- Most times.
And they got a way better track record than wishful thinking.
If we provoke Chance, he could hurt himself.
This is not about Chance.
This is about us.
Our safety, our kids.
Look, we No, you know what, Iggy? You have to do something.
Today.
- What? I don't want that.
- It's just oat milk.
What you mean, "just oat milk"? You ever seen an udder on an oat? - That's not natural.
- Natural? A few minutes ago you were just raving about some beer made out of oysters? Oyster stout is normal beer made from the shells of oysters.
It's And I've yet to meet a mollusk made out of grain, hops, or yeast.
All right, look, that's it.
I'm I'm gonna take you out to have that beer tonight.
Oh, no.
I I'm I'm sorry.
Not like that.
I wasn't trying to make a move.
Uh-huh.
I can't be home tonight.
You know, I'm trying to think of a reason to stay out.
- Why's that? - You know, my My roommate is having a gentleman over for a "visit.
" You have a roommate? Yeah, my mom.
My roommate is my mother.
You live with your mom? And your mom is the one hanging the sock on the door.
So now we're clowning? Is that it? Yeah, you definitely were not making a move.
See, now, that That's the way Now you owe me a drink.
Fine, I know the perfect place.
- I will text you the address.
- Okay.
Helen.
Hey, uh, hey.
- What do you need? - Uh, nothing.
I just saw you walking down the hallway and it looked like more fun than my hallway so Okay.
You okay? Um, work, life? - It's good.
All good.
- All good.
What's with the rosary? It's not a rosary.
Yeah? Uh, well, you know, if it looks like a rosary and smells like a rosary It's personal.
I don't think that's how it goes.
You're actually considering it? - Leaving New Amsterdam? - Hey, it's a good gig.
More money, less drama.
Plus, I could walk to work.
Plus, it is Mt.
Zion.
Oh, I'm Casey, and I want to work at a big, posh, private hospital where nothing exciting ever happens.
Whatever.
Your accent's wack.
Incoming! Bertha James, 64 years old.
Accidental impalement on pruning shears.
BP 138 over 74 and slightly tachy at 114.
Already vaccinated for COVID.
Okay, let's get her to Bay 24.
Just get these things out of me! We will, but first you need a CAT scan and work-up so we can figure out the safest way to remove them, okay? How bad is the pain? - Bad! - Okay, uh, Turan, can I get, um what the Is everybody okay? You okay? Everybody okay? We need help over here! What the hell is going on in here? - Let's pull them out.
- Let's get them out of here.
Okay, get maintenance down here now.
Are you kidding me!? - Feel the excitement.
- Excitement? Okay, let's get them out of here.
So great to see you all in the flesh again.
Mask-less, here we are.
You know, virtual visits were great.
What a great tool we got to use but, man, have I missed in-person inpatient visiting days.
These are the best.
I mean, families coming together, reconnecting.
This is why we do what we do, right? Are gifts okay? Yeah.
'Cause I, uh, brought my son a journal.
Great, yeah, journal.
Good call.
Anything that encourages expression, I'm all for it.
Yeah, but the orderly confiscated it.
Ahh, yeah spiral-bound, I'm guessing? Yeah, okay, good segue.
Couple ground rules we should talk about.
No sharp objects are allowed inside.
Anything spiral-bound, jewelry, earrings.
Um, anything that a child inclined to self-harm would or could self-harm with.
Um, also, no outside medication is allowed in, okay? So any pills that you came with, you can leave them with me.
You get them when you leave.
Uh But, guys, that's not that's Hey, that's not what today is about, all right? Today is about progress.
Your kids are getting better.
They're getting better every day and in a few moments, you are going to see that with your very own eyes, so.
You can bring your son my cookies, if you want.
I made way too many.
Yes, that is the spirit right there.
Okay, guys, what do you think? Want to go see your kiddos? Let's go! Follow me.
Demarcus Lott, 27.
Taxi-to-bike head-on collision.
Whoa, whoa, whoa! What the hell happened here? Emergency bowel disimpaction of the building's old drainage pipes.
- Crap.
- Well, let's hope not.
Uh, Mr.
Lott, how are you feeling? Like I'm about to be Internet famous.
Check this out.
Tossed off the hood of the car, rebounded off the mailbox, landed smack on the pavement.
That's why you wear a GoPro.
And a helmet.
Brunstetter, let's order a CT scan for Mr.
Lott.
Any more openings at Mt.
Zion? I heard that.
Dr.
Bloom.
Damn it, she's tachypneic.
Okay, let's get her on nasal cannula O2.
Do you think it was the shears? They're nowhere near her heart or her lung.
Hello? Somebody? What's this on my leg? You see this? I got that on my arm.
We need to evacuate the ED.
Evacuate? Why? That's not dirty water.
That's a chemical spill.
Okay, the sickest patients and those with the most chemical exposure go to the front of the line for DECON showers, chest CTs, and arterial blood gases.
Less acute are gonna have to wait.
Uh, Mrs.
Westbrook, how you feeling? - Better.
- Blood sugar's down to 187.
Okay, that's what I like to hear.
Low exposure, back of the line.
Dr.
Bloom, I, ah, ran the symptoms by Poison Control and they suspect an herbicide called 4-methyl-2-chlorophenoxyacetic acid.
Apparently, MFCA is odorless, colorless, and highly corrosive.
Huh, what a great trio.
- Coming through.
- I put the ED on diversion - and activated Hazmat protocol.
- Hazmat!? Busted pipe doused Bertha pretty bad.
- Into the open wound? - Direct hit.
Since then, she's been tachy with runs of wide complex V-tach.
Not to mention the gardening shears - still sticking out of me.
- We're gonna get to those.
But first we gotta take care of your heart and lungs.
Which means a DECON shower to get the chemicals off your skin.
And then some wound irrigation to get the rest of it out of your insides, all right? Just try to breathe.
Bertha's in, but we only have two showers.
It's gonna take hours to get everyone through.
Okay, HazMat's bringing more tents with more showers.
Until then, we just need to hold on.
I'm gonna go find where an herbicide banned in the '70s is hiding in our hospital.
Oh, just who I was looking for.
Dora, the HCC heard about our chemical spill, I take it? And I need an important file the medical director should have on hand.
Well, then you need to talk to the medical director.
Because Max would know where any important files are? I'm betting I'll have better odds with his former number two.
All right, what are we looking for? Hazardous material inspection reports.
If we were briefed on any MFCA storage issues, then we're liable.
The ED ceiling caved in and poured poison all over our patients.
I'm pretty sure we're liable.
Just find the report.
I'm just doing my job.
The MFCA has branched into all these pipes.
Corrosion's not as bad as the ED.
You get a flood of that stuff, - all these pipes will go.
- And then instead of one chemical spill, we'll have 50.
It's gotta be coming from somewhere.
We'll split up and we find the source.
The protection order will legally compel Chance Becker to stay away from you, your workplace, and your home.
He'll be prohibited from any direct contact with you or your family.
The court may add exceptions, but I've been in-house counsel here a long time, there won't be any issues.
Do we need to inform anyone internally? No, only if you want us to.
I think I'd like to keep it quiet.
You know, for Chance's sake.
For Chance? - Yeah, um - Anne.
Uh, Neil, if you'll excuse me.
Thank you, thank you very much.
Hey, Anne, Julie.
Hey, guys, wait up.
Whoa, what's the matter? What happened? Something happen with your son? Alex just got upset.
Upset? He was screaming.
He was completely out of control.
Okay, well, why don't we all go have a chat in my office - and we'll figure it out.
- What's there to say? He doesn't want us here, so we're leaving.
Well, that's a bit of a hasty reaction.
Sorry folks, we're shutting the exits.
There's been a chemical spill downstairs.
No one in or out until it's safe.
- But the kids - Everybody's fine up here.
I just need you to hold tight until the downstairs exit's decontaminated.
Okay.
Okay, thank you.
Um Well, since we're all stuck here come on, let's have a chat.
Come on, let's go.
Couple more should do it.
Take your time.
Certainly, don't worry about the shears.
We haven't forgotten, I promise.
No rush.
Once we stabilize your vitals, they are coming out.
Would you like more pain meds? What I'd like is a hospital that's not falling apart.
I mean, how can you even see what you're doing when the lights keep dimming? It's like a cavern in here.
The lights aren't dimming.
But why is everything getting darker? You ever heard of MFCA exposure causing blindness? I'd barely even heard of MFCA before it gushed all over my ED.
Well, Bertha's now experiencing complete and total vision loss.
She did take the biggest hit.
Had the most extreme exposure.
Well, I put her on dialysis to try to clean the toxins out of her blood but, look, if this is blinding people, then we need to get everybody decontaminated as soon as possible.
Oh, yeah, 'cause up until now, we've been dragging our feet.
Hey, look, I'm just saying there could be more surprises.
Got it.
Thank you.
Let's get this line moving, people.
Come on.
Come on! Help! Help! I need some help in here! Anybody! Help! Max, Sandra Fall and I have been looking everywhere for the hazardous materials inspection report that you should've filed.
But of course, it's nowhere to be found.
Much like yourself.
Where are you? Call me, please.
Miguel, do you know where Dr.
Goodwin went after this? They just called me for clean-up.
Right.
Ah, bike man, good news.
Your CT came back clear.
I'd prescribe Advil and a brake on that Fixie.
- So I'm good to go? - Ah, no.
Not until you go through DECON.
But I was barely in there.
Which is why I'm sending you to the back of the line.
Um, is the insulin back in the ED? Check over there.
I put them in the crash cart but we're still moving stuff out of the ED.
Ah, somebody is thinkin'.
Hey, you had way more exposure - than anyone else.
- And your point is? You need to be the next one into the DECON showers.
Okay, I don't know how it works at Mt.
Zion, but in my ED, patients come first.
Oppositional defiant disorder is tough.
Kids with ODD like Alex are rude.
They're aggressive, vindictive.
- Our son hates us, Dr.
Frome.
- He doesn't You were there.
You saw him.
No, no, listen to me.
It can feel a lot like hate.
It can look exactly like hate.
But it's not hate.
It is brain function, that's it.
It's an inflated response to perceived threats.
And exactly how did I threaten him? You didn't.
She didn't.
I I honestly think this morning was just a low blood sugar moment.
You know how he gets.
I bet now that he's had a minute, he'll be different.
We should go back in and try again.
No, actually, I don't think that's a good idea.
Julie - Why not? - Because I don't think that the problem today was Alex.
I think that the real problem is here, in this room.
You think Alex's ODD is our fault? No, ODD is no one's fault.
I'm I'm talking specifically about what triggered Alex today.
And you think it was his moms bringing him cookies.
I'm sorry.
I don't understand that at all.
Your wife does.
Anne? Anne, look at where you are.
Hiding the truth is not working.
The two weeks that Alex was out of the house Have been the best two weeks I've had in years.
No screaming.
No hitting.
No one attacking my beautiful wife when she's just trying to be nice.
I didn't want to see him today.
And on some level, I think that he knows it.
Dialysis went great, Bertha.
We're gonna give your sight a little more time to reset, okay? In the meantime, I'll just lay here impaled.
Not at all.
Look, next stop, those shears are coming out.
I'm so sorry.
None of this is your fault.
Don't worry about me.
Just focus on you.
Focusing on me is why I started gardening.
My shrink said it's a way to tune everybody else out and hear the universe.
I know, it's hippy.
But doesn't that sound nice? Hearing the universe.
- It does.
- I'm trying to hear it now but these shears makes it kinda har Whoa, whoa, whoa.
Grab me two milligrams of Ativan IV.
Do we need to get her back on dialysis? It's too late, her body's absorbed too much MFCA.
So where does that leave us? Dr.
Reynolds? I I don't know.
Max? Anybody? Max? Help! Max? Max, you need to get out of there.
I I can't, I I If I let go of this, the whole tank's gonna give.
And it'd go all over the hospital.
Hundreds of people are gonna be exposed.
You need to go get help.
No, you're gonna leave.
I'm gonna hold the pipe and you're gonna go and get help.
- I can't.
- Why not!? I can't see.
Anne, what you just described is a perfectly normal feeling.
But Alex didn't erupt this morning because you asked him a question.
Alex erupted because Julie stopped you from disciplining him.
And you just said that at home, Alex is triggered by Julie just being nice.
The threat that Alex is perceiving is your positivity.
How can positivity be a threat? Well, Alex knows that his troubles are deeper than blood sugar.
And when you pretend that they aren't, it scares him.
It denies his reality.
And Anne's, too.
You agree with him.
Yes, I try to be positive.
Alex can't.
You won't.
- Somebody has to be.
- Why does somebody have to? Why can't we just acknowledge what's actually happening? You of all people asking me that? The person who stood up in front of all of us today like some camp counselor, acting like we weren't all here to visit our kids in a mental hospital.
Telling us, "Oh, it'll be a great day today.
"Just remember to remove your jewelry so the kids don't try and kill themselves.
" I'm denying reality? You're actually removing the shears? Floyd, it's too late for her.
She's dying.
Because of us.
We did this to her.
This hospital, this this building.
You know, Bertha said that the shears were making it hard for her to hear the universe.
Well, if there's ever a time that we deserve to hear the universe, it's when we're leaving it.
Staff's all through.
After Ms.
Westbrook, it's just you and Demarcus Lott.
- Where is he? - He's around the corner, editing video of his head-on collision.
Mr.
Lott? It's okay, I've got you, Demarcus.
I got you, I got you, I got you.
I need help over here! Casey! A blood vessel damaged in your accident must've just given way.
It's caused an expanding hematoma and it is closing off your windpipe.
I can fix it.
I I can fix it.
I just gotta just need to drain the blood.
Casey! Help, Casey! I need help! Come on, come on.
Come on, breathe.
Come on.
Come on.
Her end-tidal CO2 levels just went off a cliff.
It's severe acidosis.
Push two amps of bicarb.
Removing the shears caused a pancreatic storm.
This is not how she's going out.
Suture.
Helen? Hang on, Max.
You need you need to go.
Not without you.
And if you're not willing to let go of that pipe, then I've got to seal the drain.
Helen, just go! Please! I won't, so stop yelling at me.
What are you doing? Weighing down the trash lid over the drain.
- It's working.
- Wait, it's working? - Give me your hand.
- Are you sure? Give me your hand.
Come on.
Come on, watch your step.
Come on.
Lean on there.
We're almost at the tent.
Just hang on, okay? He help! Can someone help, please! Help! Oh, Floyd! Floyd, he's drenched in MFCA.
How are we treating acute exposure? - We tried everything.
- And? There's no treatment.
Nothing's worked.
The bolus bicarbonate and IV saline that you ordered.
I need CHEM panels drawn Q15 minutes until his toxicity is halved.
Q 1 hour after.
His BP was only 80/50.
- The bicarb will work.
- How can you be so sure? I'm barely getting a pulse.
When we removed the shears from my patient, it caused a pancreatic storm.
She was going to die, but then we pushed bicarbonate to neutralize the acid in her pancreas.
Which raised the pH in her blood, enhancing excretion.
Dr.
Bloom's responding to treatment.
How did you know to remove the shears? I listened to the universe.
Welcome back.
Hey, so, uh, your numbers, they look great.
You're gonna be fine by tomorrow.
And don't worry about the ED.
I got it taken care of.
And I'll You can't go to Mt.
Zion.
I can't do this without you.
You know that, right? Yeah.
I ain't goin' anywhere.
But um, let's just, uh Let's dial it down a little bit on the excitement, all right? I can't take this no more, man.
Oh, come on.
This morning, I was, um I was pushing the hope pretty hard.
And, uh, I was asking you all to ignore everything else.
It's just, it's a weird idea that positivity can be toxic.
But it absolutely can.
Especially when it comes at the cost of what is true.
And what is true is that nobody wants to be in this room.
None of you want to be here.
And no pep talk that I can give you will wish that away.
So I wanna reframe this meeting.
I want to use this time and this space to tell the truth.
The real truth, the brutal truth.
I want you to say the things that you're not supposed to say.
I'm giving you permission to say them in here.
The hope that you and your kids actually need only comes with that kind of truth, so I keep my gas tank full.
Just in case I, uh, I can't take it anymore.
And sometimes I dream about just Just driving away.
I sit in the bathroom And check prices on one-way flights.
Just knowing I could leave It's okay.
Oh, baby, it's okay.
I love my daughter.
I do.
But when we're out in public, she She screams and she says awful things and I beg her to stop and she won't.
And sometimes I I hate her.
What's wrong with me? My son.
He's my miracle.
But sometimes I wish Sometimes I wish he hadn't been born.
Please.
I woke up at 4:00 a.
m.
to bake the cookies.
I wanted them to be fresh because Alex is here.
And when he threw them in my face, I I swear to God, I almost hit him.
I would never.
I of course, I I I just want him to know how much he hurts me.
How much I hurt.
It's not his fault.
I shouldn't feel like this.
Lyn.
This isn't a bar.
You said drinks.
Okay.
You still married? It's like this.
My husband and I, we have this understanding.
When he's out of town, we're both allowed to Wow, um you obviously got a vibe that I dig.
But you also have a ring.
And "understanding" or not, I can't get down like that.
It it's not me, either.
I never actually, um, acted on it.
I I just I thought this would be easier.
Or at least, not totally humiliating.
Because I, um, I dig you, too.
Yeah, so you know what? I probably should stop talking right now so that's what I'm gonna do.
I am going to stop talking and Hey.
Grab a coat.
Why? You still owe me a drink.
Now it's a double.
Helen? Can you see? I see you.
What happened? I remember getting to the tank and then It just goes blank.
It was just Just DECON and bicarb and stuff.
Stuff? I'm gonna go.
Just gonna let you rest.
Thanks.
You were there, weren't you? I'm sorry.
Guess sometimes it takes me a minute to remember what matters.
More than anything.
You.
I I didn't know we still had landlines.
I have to give me a sec, sorry.
Hello, hello? Max, we have Luna.
Oh, thank God, um We heard what happened to you.
- We, uh - I have been We're taking her back home with us.
Y-yeah, okay.
Great, um, that would be great, actually.
And I no, no.
I will I will pick her up, um, first thing tomorrow, okay? You almost died, Max.
We want her to stay with us.
That's really not necessary, Gwen.
I appreciate it but I'll see you tomorrow, okay? No, Max.
We're filing for custody.
Uh