New Amsterdam (2018) s03e14 Episode Script

1 Previously on "New Amsterdam" I love you.
They keep hammering on at you to open up, but that has to go both ways.
And even though my body is telling me to just let go and jump, I can't.
Not even for you.
I gave Chance everything.
I just wanted him to get better.
But it was never enough.
If you don't have to fight for it, it's 'cause it's not worth it.
Leave a message after the tone.
Hey.
It's, uh, me.
I I miss you.
I can't get you out of my head.
It's, uh, it's very distracting.
Um We said things to each other that were just the beginning.
And we never quite, um Anyway, now you're gone, and it just feels like it's been forever.
And I really need I need to see you.
I need to talk to you.
I need to be with you in all of the ways that I've been dreaming of.
And we're done.
All right.
Easy enough.
Everything looks good, Dr.
Goodwin.
Fantastic.
- Thank you so much.
- See you in six months.
Is everything okay? Have you seen my wedding ring? Sure haven't.
I need to see you.
I need to talk to you.
I need to be with you in all of the ways that I've been dreaming of.
And this one's too tight.
Everything looks terrible on me.
Oh, stop that.
You're just nervous.
Wonder why.
It's only the beginning of the rest of my whole life.
Hey.
You've reached Max.
I can't take your call, so leave a message.
Hi.
Um.
I very much enjoyed your message.
My flight's not till tomorrow, but, um I've been doing some fantasizing of my own.
Okay.
I'm ready.
I think.
- You can't be serious.
- Oh, don't sound so surprised.
I was never gonna stay here forever.
But today? But today? I'm gonna try and catch a standby flight.
But I wanted you to come back to Cambridge with me.
I know.
I've had a wonderful time.
But you're all set up in the halls.
You have an amazing dress.
And most importantly, you don't need me anymore.
I'm so proud of you.
You took me into your home.
You never gave up on me.
I don't know how to thank you.
You don't need to.
You don't need to.
We're family.
And text me when you're at the airport, okay? I will.
I just have one more stop to make.
Sorry I'm late, Mum.
Now that you're here, we can leave.
I made you some red-red.
No use spending hard-earned money on beetroot foam.
Well, let me do this for you, Mum.
It's a meal.
And it's really good to see you.
Glad you found time to fit me in.
Yeah, uh, Nina got into King's College in Cambridge.
It's been a busy week.
I wanted to help her get set up.
So, the truth comes out.
Mum, she is wonderful.
She's smart, she's driven, and she is family.
And since I'm going back to New York, I put you down as her emergency contact, and I think that if you would just meet her - Not on your life.
- Mum.
You say no all the time.
No to London, no husband, no baby.
Why must I say yes? But please, daughter, give me that other woman's grandchild.
We are blood.
And since Baba was kept away from me I didn't keep your father from you.
He cut off ties.
He went home to Tehran and found his ready-made Persian wife.
He abandoned us.
Okay, so now what? Hmm? We abandon her? You spent the past week ignoring your own mother for that other family.
Turns out you're just like your baba.
Mum, how long have you had that cough? A few weeks.
Or more.
You'd know if you ever rang.
Come on.
We're gonna go, Mum.
Come on.
This is your old clinic.
Yes.
It's certainly seen better days.
Excuse me.
Hi.
Hi, I was hoping to get my mum in today for some scans.
She's had a persistent cough, and today we found some blood.
We're booked solid, I'm afraid.
I could maybe get her in early next week.
This is why I never bother with doctors.
No, Mum, wait, wait.
Uh, sorry.
Excuse me.
My name is Dr.
Helen Sharpe.
I used to volunteer here when I was in college.
I started behind the desk, just like you, but this clinic is where I found my passion, and now I'm pleading with you.
I need to make sure that my mum gets seen.
I can move things around.
Thank you.
Thank you.
No, I don't want any special treatment.
I don't like my daughter pulling strings just so we can jump the queue.
Mum, we are taking the opening whether you like it or not.
End of discussion.
Right this way.
I'll take you back.
Thank you.
No, I don't need you to come with me.
I can do this all on my own.
Helen? As I live and breathe.
Elinor.
I didn't know you were still here.
There's still work to do.
What's your excuse? No more New York? My mum's sick.
She's getting seen.
Can I just ask? Um This place what happened? We started hemorrhaging staff due to Brexit.
And then we lost the funding we used to get from Cambridge, and it all started to fall apart.
Last month, our medical director packed up and left.
Now we're fighting to hold on.
This place is too special to just Dr.
Sharpe, can you join me? It was good to see you, Elinor.
- Oh, you too, love.
- Mm-hmm.
Thank you.
I'm right here, Mum.
I'm not going anywhere.
So I just wanted you to see what we found today.
Run blood tests on Bay 26, and let's send her up for a stress echo.
Why hasn't Bay 9 been discharged? Because I possibly forgot.
On it.
Hey, have you, uh, have you heard from Iggy? Uh, no.
Not in weeks.
You? Radio silence.
I've been thinking about him.
But uh, what's up? Nothing.
Stupid.
I lost my wedding ring.
- Yikes.
- Yeah.
But it's okay.
No big deal.
I mean, it's not like it's worth a ton of money or anything.
It's just a little silly ring, you know? But it's gotta be in here somewhere.
Okay, who loses one shoe? Well, where did you take it off? I I don't take it off.
- Not even at night? - No.
- Well, what about to scrub in? - No.
Not even when you were dating that woman? Never.
Okay? I never take it off.
26-year-old.
Tachy at 148.
100/56, respiratory rate 14 from an abdominal stab wound.
- From Excalibur? - Cosplay gone horribly wrong.
Oh, that's a ton of blood for a wound in that area.
Let's page Reynolds now.
Trauma one.
Gauze.
Gauze.
Gauze.
Gauze.
Damn it, keep them coming.
The puncture's bad, but it shouldn't cause loss of consciousness.
Dr.
Bloom, look at this.
Negative P waves? And negative QRS, and T waves, plus low voltage? What the hell? Dextrocardia.
Her heart's on the wrong side of her chest.
Boy, do I have a great case for you.
Dextrocardia doesn't explain the excessive bleeding.
Unless she also has complete situs inversus.
Not just her heart, but all of her organs were flipped.
Then her spleen is on the right side.
Which means the dagger is going right through it.
But that doesn't explain the LOC.
Stop for a head C on your way to the OR.
Good idea.
Hey, you.
What's going on? The residency match list came out.
I got a spot.
You did? Oh, that's amazing.
I honestly can't believe it.
Well, don't look so surprised.
- Have you met you? - Stop.
You know how competitive these things are.
And it was my very first try.
And I'm a foreign-trained doctor.
And you blew them all away.
Well, not all.
I didn't get a spot here.
But we knew that was gonna be a long shot.
Wait, you didn't get a spot here? Spokane.
Washington.
Wow.
That's incredible.
It is, isn't it? I haven't even told my mom yet.
Well, what are you waiting for? Give her a call.
Let her be a proud mama.
She's gonna explode.
So, you just chose to ignore my residency recommendation for Leyla Shinwari.
I have been on the phone all morning with board members and angry doctors just like yourself, all astonished that their personal recs didn't open the doors for their hand-picked protégés.
No, Dr.
Shinwari is one of the most promising candidates we've had in years, okay? She deserves to be here.
Yet her application says otherwise.
Khyber Medical University? One of the best medical schools in Pakistan.
That has no international standing.
She practiced medicine in refugee camps, Hank.
Okay? The fact that she even has to redo her residency is offensive.
Well, even if I agree with you, what can I do? I I can't rescind an offer that's already been made.
I can't make another spot just magically appear.
Whoa, whoa, whoa.
Well, what about two years ago? Huh? A fifth spot just magically opened up in general surgery.
It was hardly magic.
Well then, what the hell was it, Hank? You want Dr.
Shinwari on your ED? You want a fifth spot? The dean of medicine has been known to make allowances for the right price.
Are you talking about a bribe? What do you want me to say? That is a federal crime, Hank.
I could lose my medical license.
I could go to jail.
I'm just telling you what I've heard.
Not suggesting you do it.
Of course, I am not gonna do it.
Dear God Grant me the serenity to accept the things I cannot change, the courage to change the things I can.
Dear God, grant me the serenity to accept the things I cannot change, the courage to change the things I can And the wisdom to know the difference.
This is just Thank you.
Congratulations.
Look, I have been feeling guilty all day.
Why? I was just so excited.
I didn't even think about what you must have been feeling.
And I want you to know that I'm not excited to be leaving you.
- You're everything to me.
- Leyla.
I can make this work.
I can.
I don't have a choice.
I'm in love with you.
No, you should you should get that.
- Are you sure? - Yeah.
Yeah.
Hello? Yes, this is she.
Okay.
Okay.
Are you serious? That's I don't know what to say.
Yes! Yes.
Thank you.
That was the residency director from New Amsterdam.
The dean just opened up a fifth spot in the ED.
And they offered it to me.
That's amazing! Congratulations! Did you have anything to do with this? What? No.
No, of course not.
No, this this was all you.
Oh.
It was all you.
I moved across Lenox, not the country.
I'll still see you all the time, Mama.
Okay, yeah, just Try to remember I'm not a little boy anymore, okay? House special.
- Oh, what? - Bam.
Oh, my gosh.
Mmm.
If I didn't know any better, I'd say you're trying to get me to move in.
Would that be so bad? Mm, all right.
Okay.
Okay.
- What? - You know the rules.
I also know that rules are meant to be broken.
And we have.
You get one stay.
Somewhere along the line, this turned into Thursday.
Okay.
Look, look, I get it.
I tried to resist you for months, right? Finally had to give in.
Now look who can't resist.
Yeah, yeah, yeah.
Of course I'd fall for two alpha males.
Oh, okay, hold on.
No, I got a rule, too, all right? None of that husband talk.
Come here.
- Floyd.
- Yeah.
This is the arrangement.
We can never be more than this.
Tell me you know that.
Yeah, I know.
I am going to take a shower.
Dextrocardia doesn't explain the excessive bleeding.
Not just her heart, but all of her organs are flipped.
Then her spleen is on the right side.
Which means the dagger is plunging straight through it.
But that doesn't explain the LOC.
Stop for a head C on your way to the OR.
Good idea.
All right.
I'll need the largest OR that's empty and every unit of O-neg we got.
Already ordered and waiting for you.
Okay, good.
We'll also need a fresh staff that can work at least 12 hours.
This one's gonna be a marathon.
- I'll round them up.
- I've got a full craniotomy - set up on order for you.
- Oh! Perfect timing.
I'll take her from here.
- Wait.
What? - Dr.
Salaita.
The CT showed Ms.
Madera threw a clot from her abdomen up through her poorly-formed heart to her brain, where it caused a hemorrhagic event.
You'll need to drain the blood from her head.
Our team's waiting, Dr.
Baptiste.
Okay, get a scanner in here so you can do a real-time, image-guided surgery.
They'll never let me have the IGS system, sir.
Tell them the chief of surgery personally authorized it.
Dr.
Flores, gather your team for the septal reconstruction.
You'll be last, so just wait in the obs deck.
- Will do, sir.
- And you.
You're the associate ED trauma surgeon? - Dr.
Reynolds.
Yes, sir.
- Let's see what you've got.
All right, here we go.
Get the lap pads ready.
- Dagger's out.
- Replaced by blood.
There's gotta be a bleeder in here somewhere.
- Whew.
- Another lap pad.
Still can't see it.
Come on.
Come on.
Come on.
Come on.
Got it.
Suture.
Monitor the systolic pulse With situs inversus, we got small mini-spleens all through her abdomen.
Once I get this under control, I can remove them.
No need; I'll do it myself during the brain surgery.
Did you get a CT angio to locate the accessory spleens? Scissors.
I did not.
You know what they say: Death begins in radiology.
standing by.
That should hold.
I can assist in the splenectomy.
You're dismissed.
Where's my neuro team? You guys are up.
- Make sure there's enough blood - Switch up.
Do you dry clean? Got a couple of shirts that could use a press.
- Lost my wedding ring.
- Oof.
Well, you didn't have it on this morning, if that helps.
You notice who's wearing a wedding ring? Recently.
I have looked everywhere for it.
I'm gonna be sifting through medical waste pretty soon.
I guess I just assumed you took it off on purpose.
No.
I don't know.
Still means something, I guess.
I mean, it's everything we had, you know? It's like come on, it can't just be gone.
Actually, uh, I felt the same way about Evie's ring after we, uh, you know.
So what changed? Well, I realized I wasn't hanging on to Evie's ring because she still had a big piece of my heart.
I was hanging on to it because she didn't.
And the ring wasn't about our love anymore.
It was about my guilt.
Dr.
Reynolds, Dr.
Flores needs you in the OR, stat.
- Flores? - I'm trying to pull off a triangular patch reconstruction of the ventricular wall.
You've done one? - Several times.
- I just can't get it to hold.
- All right.
I got it.
- BP's still dropping.
We need to increase patch adhesion to seal microcirculatory leakage.
Go ahead and clamp the inferior vena cava.
I'm gonna apply direct pressure.
On my signal, I want you to squeeze the largest piece of spleen you can fine.
- Mm-hmm.
- All right? Ready.
Now.
Okay.
All right, so go ahead and slowly release the vena cava.
All right.
Now increase the flow.
Gently.
Ah.
Slow it down.
Okay.
And all the way.
- I don't see any leaking.
- Nice save, Floyd.
We'll close her up.
Dr.
Reynolds.
After surgery, may I have a word? Get another blanket on her leg.
Custodial services, 224.
Custodial services, 224.
I've only been here a little while, so tell me.
How'd you end up buried deep in the ED Please, please, have a seat Associate trauma surgeon? It's the only spot I could get.
You never mentioned you used to be the chair of cardiothoracic surgery? So what happened? Well, I left about a year ago.
Poached? Engaged.
Yeah, my fiancée got her dream job in San Francisco, so I followed.
Long story short, I'm back.
We got a lot in common.
I followed my girl out here too.
But one big difference: My job makes full use of my talents.
- Yours doesn't.
- Well, I'm not complaining.
And I'm not insulting.
I'm offering you a promotion.
Deputy chair of surgery.
That's a big promotion.
Bigger than chair of cardiothoracic.
To say the least.
- Is that a yes? - Oh, yes, it is.
Thank you.
I I don't know what to say, but thank you.
You're welcome.
You're welcome.
Knock, knock.
Hey, sweetheart.
Hey.
Dr.
Reynolds, Dr.
Lyn Malvo, my wife, the one who lured me to New Amsterdam.
Nice to meet you.
Floyd's gonna be my new right-hand man.
Wow.
Congratulations.
37 bottles of juice on the wall 37 bottles of juice You take one down, pass it around 36 bottles of juice on the wall 36 bottles of juice You take one down, pass it around 35 bottles of juice on the wall Air guitar version! 35 bottles of juice on the wall 35 bottles of juice Take one down, pass it around 34 bottles of juice on the wall And cut.
Papa needs a break.
No, guys, let's sing some harmonies, come on.
Or we can enjoy the meditative silence of a solid 45 minutes of screen time.
Yes! Boo.
Boo.
All right, dinner is in one hour.
Tell your brothers and sister.
- Okay, when I'm done.
- Oh, "When I'm done.
" When she's done.
- She sassing you? - Yeah.
Gosh.
You know, I hate to say it, but I think, um, I think we've been COVID-blessed out here, babe.
- Yeah.
- You know, look at us.
We're out here being a family, camping, making slingshots, she's giving you sass.
I love it.
Kind of begs the question, why don't we just stay here indefinitely? Uh, Iggy.
I'm just having a little fantasy.
- Let me have my fantasy.
- All right.
Look, the kids are going back to in-person learning full-time.
I need to get back to my practice, and you need to get back to the hospital.
Yeah, well, what if I'm not ready to go back? So, uh, we're gonna live out of a rented RV - in upstate New York? - Pfft, no.
I thought maybe we'd live out of a rented RV in upstate Vermont next.
What? You can't just keep running, Iggs.
I'm not.
I'm not.
Help! Help! Ah! Dad! What happened? - Come on.
Come on.
- Dad! Dad! - Please! - Father! - Ow.
- Slow down.
Slow down.
Splinter.
- Show us.
- Oh.
Oh.
Whoa.
Mamacita, you took some shrapnel there, buddy.
Okay, but fortunately for you, our crack team - of surgeons are at the ready.
- Yeah.
Harper, bring me the instruments of abscission.
- What? - That old rusty saw we found by the dumpster.
- You know what they are.
- Dad! Saleem, bring me a towel for all the blood and a bucket to put the severed limb in, stat.
- You got it.
- Dad, be serious.
I kid, I am being serious.
This is war, all right? Here you go.
I promise you it'll be over in a couple seconds, okay? Harper, look away.
Nobody move.
Nobody breathe.
Except for me.
I have to breathe, obviously.
I'm the doctor.
Here we go.
Almost there.
- Yes.
- Oh! - Victory.
- Look at that beast.
Whoa.
Look at that thing.
That was inside your finger.
- Disgusting.
- I'll say.
That is a serious piece of timber.
Actually, don't throw that away.
We might want to ride that down the Susquehanna later.
We're a big family.
Probably sink with all of us.
Oh yeah, right.
Not with me as a captain.
- We have five family members.
- You are brave, private.
Sameera? I need you to bandage this soldier.
- Sameera.
- Sameera.
What, did she go back to the car? Uh, I don't know.
Did you guys see Sameera? Sameera.
She was just here.
She couldn't have gone far.
- Sameera! - Sameera! Sameera.
All right, um, you take - everybody back to the RV.
- Hon.
No, no, I'm gonna go look for her.
You find out where the nearest ranger station is, okay? Guys, guys, stay close.
Stay close.
- Sameera.
- Sameera! Sammy! Sameera! Sameera? Sameera, baby! Sameera! Oh, God.
Oh, God, no.
Sameera! Sameera? Sameera, honey.
I'm coming.
Sameera, honey? Sameera, if you can hear me, answer me, baby.
Sameera! Sameera.
Sameera! Sameera.
Oh, my God.
Did you baby, did you not hear me calling you? Why didn't you answer me? Sameera, honey, say something.
I don't want to go back.
You don't want you don't wanna go back where? You don't want to go back to the campsite? - You don't wanna - Back to normal.
Back to normal? What is it? Is it school? Are you I like school better on the computer.
I learn better.
Yeah.
Yeah, but what about your friends, baby? What about all them? I'd rather be here with you and Papa, eating lunch together, playing together.
Everything's easier at home.
Yeah.
Yeah.
I like it too.
So why do we have to go back? Well, because Because it's not supposed to be easy.
You know, asking your teacher for help over and over again, that helps you become more resilient.
Navigating tricky friendships, even though it's a pain in your butt, that builds self-esteem, you know? Life is starting again.
We can't stay here where it's easy.
Make sense, kiddo? Well, that was quite the adventure.
- Oh, my God, that one - It's roasted.
- You okay? - Oh, my God.
Yeah, yeah.
You know, when Sameera went missing, I just had these visions of Chance.
Hurting her.
- Iggy - I know.
I know.
I know it's irrational.
I know that in my heart.
There he was, you know, clear as day.
Yes! It's golden.
And why not? You know, day after day, I just absorbed his despair.
It all just became a part of me.
All my patients, all their despair, it just it just becomes a part of me.
But it was all worth it, you know, because at the end of the day, I can just trade my peace of mind for the self-esteem it brought me.
Easy-peasy.
I don't wanna make that trade anymore.
I don't I don't need to.
Look at this.
Look at what we've done.
Martin, you give me everything that I need.
Our family gives me Everything.
We can go home whenever you need to.
No more running.
I promise.
But I am not going to see patients anymore.
I'm done with that life.
Watch it I got mine on fire.
I knew you hated budget meetings, but this seems extreme.
I lost my wedding ring.
Max.
Come out from there.
- I can't do it.
- Come on.
Mm-mm.
I mean, rings do hold a certain amount of symbolic power over us.
- Don't they? - Yeah.
I should know.
I've had three.
Three.
You get it.
Oh, Max, I get it.
You feel like you're losing a limb.
Part of your life.
And if it can be lost that easily, then what does that say? Says you didn't deserve it.
All right, come out of there now.
- Come on.
- Do I have to? Yes.
If I've learned anything It's knowing when to let them go.
When to move on.
I want to move on.
I do.
But I didn't get to make that decision.
That choice was taken from me.
She'd understand.
Max.
Look at me.
She'd understand.
I almost took it off.
On the anniversary of her Why didn't you? Because when I look at Luna, I don't even see Georgia anymore.
I just see my little girl.
And when I look inside, Georgia's not there either.
That ring It's all I have left Of our whole life.
Well, it didn't just slip off your finger.
There's a reason you took it off.
Maybe you should trust your subconscious.
Yeah.
Yeah.
Like I'm trying to tell myself something.
- Found it.
- What? Really? Wow! Yes! You're amazing.
Thank you.
I gotta go.
Sorry.
Wow.
I thank you.
Thank you, Sandra Fall from billing.
Where did you find it? Your office.
In the pocket of your lab coat.
Oh, many lives were saved today in this building, but nothing as heroic as what you just Yeah, I'm aware.
Sorry.
That was almost a pile-up.
Um - You're you're here.
- Yes.
Six hours in a middle seat that wouldn't recline.
Oh.
Rough.
I'm I'm glad that you're back.
- Though a bit wrung out.
- Same.
- Why? Did something happen? - No, no.
I just I lost my wedding ring for a minute, but Ah.
Kind of freaked me out, but found it, so I see.
I spent the day with my mum in a cancer clinic.
Oh, God, Helen.
No, no, she's fine, but for hours, I thought it was lung cancer.
But turns out it was just, um, severe bronchitis.
That's a relief.
Do you want do you wanna walk with me? You can tell me about your "mum.
" Did I say that right? Came out weird.
I'm a little bit talked out today, I think.
- Yeah? - Yeah.
Yeah.
Me too, to be honest.
Maybe too much was said already.
Helen.
Can I just walk with you? We don't need to talk.
I All right.
Well, here I am.
I should go.
Okay.
Night.
Night.
Night.
You said that.
Okay.