The Night Shift (2014) s04e02 Episode Script
Off the Rails
1 Previously on "The Night Shift" We're taking everyone we can to the base near the border.
- Come with us.
- I can't leave Syd behind, and he's the only chance I got of finding her.
Amira: He and his people killed our families and friends, maybe yours, too.
You're a nurse and a temp one, at that.
Do your job.
- Mac.
- Where the hell am I? It's okay.
We've got you.
This is the freakin' V.
A.
This is the exact place I told you I didn't wanna end up.
- Mac.
Mac, you gotta relax.
- Mac.
- He's seizing.
- [Grunting.]
And I don't know much about the V.
A.
I'll steer the ship, and I'll aid in the transition.
And what do you want in return? I want my family back.
- And Paul.
I want him back, too.
- I'll take care of it.
Please come help us! [Sobbing.]
- Oh, my God.
- I can only fit one of you in here.
Abby's intestines are exposed.
The fall could kill her.
- One, two three! - I'm not doing it! Aah! Sofia! You gotta let go, or we're all gonna die.
Save me! - No, I'm doing it! - You have to.
I'm not falling! We don't have any time for this.
Sofia, you gotta let go.
- No, I can't.
- You have to.
- That airbag will catch you.
- No, I Everybody, clear out! Go, go! Go! Hey, you're unstable, Drew! Get her down now! Whatever it takes! Listen to me, listen to me, okay? I promise you, you're gonna be safe.
No.
I gotta do this.
I'm so sorry.
- Stop it! What are you doing? - You can do it.
Oh, my God.
No.
Stop! Aah! - Man: All right, go! - [Crying.]
Sofia's okay.
Hey, Paul, clear an ambulance.
Abby's bleeding out.
We're coming down.
Let's go.
[Engine rumbling.]
So my friend is here? I said I had another American, so they waited.
- Twice the money.
- [Guns cock.]
- [Brakes squeal.]
- [Shouting in Arabic.]
[Speaking in Arabic.]
[Grunts.]
[Grunting.]
T.
C.
! Syd.
Thank God you're alive.
- Oh, my God! - [Door closes.]
Shh, shh.
We don't have much time.
- [Grunting.]
- What are you doing? We've got to get outta here.
[Grunts.]
- Did they hurt you? - I'll be okay.
These guys They're just bush league, okay? - They just wanna get paid.
- [Snap.]
The next stop is Caliphate.
Then we're dead.
- I thought I was gonna - [Snap.]
No, no, hey, hey.
You are not going out like this.
- [Crying.]
Okay.
- I promise.
Okay.
I know.
[Exhales deeply.]
[Men shouting in Arabic.]
[Gunshots.]
[Siren wails.]
I debulked as much of his tumor as possible without affecting his speech.
So he'll need radiation and chemo? He has an aggressive glioblastoma.
Going forward, we have to weigh the cost/benefit.
Are you saying that as his doctor or as the new owner of this hospital? Sergeant Riley's surgery alone cost $150,000.
The V.
A.
might not pay for it.
And our deal with them won't kick in for a few weeks.
You know, Scott and I wouldn't be here if it weren't for Mac.
And I wouldn't have done his surgery if you hadn't ambushed me with a press conference.
Look, Julian, we thank you for going the extra mile for Mac.
We so appreciate it, but he's my patient now.
So let's get back to work.
We got a sick hospital to save, right? I couldn't agree with you more, Scott.
Good.
[Monitor beeping steadily, telephone ringing.]
[Door opens.]
- [Sighs heavily.]
- [Door closes.]
You're gonna need an operation to remove your lips from that man's butt.
Hey.
Look, I don't like him either, but he's a necessary evil.
So what, pucker up, buttercup? Pick our battles.
I'd say getting cutting edge surgery for Mac is a damn good start.
Right? Now let's bring Paul back in the boat.
[Door closes.]
Pulse 137, BP's 81 over 40 after 500 CCs of NS and 4 of morphine.
She has a wound dehiscence from a recent operation.
Hi, my name's Dr.
Clemmens.
I'm gonna be doing your surgery.
- Does it hurt anywhere else? - No.
Aah! Can you tell me about the procedure that you had? Hi, I'm Abby's mom.
I'm Dana.
What what happened? I'm Dr.
Alister.
This is Dr.
Clemmens, head of surgery.
The accident opened up Abby's abdominal wall.
So she's in critical condition.
We're gonna take her up to the O.
R.
Does you daughter have any medical problems or history of surgery? No, no.
She's always been completely healthy.
Are you sure? Because she's got Ow! [Screaming.]
- Oh, my God! - Okay, let's go.
No, baby, I'm right here.
I'm right here.
Wait.
Abby, we need you to stay calm, or the bleeding's just gonna get worse.
Your daughter's in good hands.
- I'll update you as soon as we can.
- I'm not going anywhere.
Abby, Abby, listen to me.
You had a surgery.
I need to know exactly You can't tell her.
She doesn't know.
Know what? [Crying.]
I had an abortion in Juarez.
Please don't let me die.
[Crying.]
[Explosions.]
[Defibrillator whines.]
[Gunshots, man shouts indistinctly.]
Omar? What'd you do? What I had to.
Let's go.
Now! Okay.
They've changed the plans.
They were going to kill us.
[Grunts.]
Aah! You need a hospital, Omar.
You've lost a lot of blood.
I'll die anyway if the Caliphate finds me.
Just wanna go home, you know? Where are you from? London? - Whitechapel.
- [Thud.]
I watched videos, came here to fight for jihad.
Had no idea what the Caliphate was really about.
So why don't you go to Camp Yuma? It's an American base.
It's 50 clicks east of here.
There's a chopper that comes once a month from Turkey to deliver med supplies.
We were supposed to fly out on it today.
How do I know you won't betray me to the American army? That they won't waterboard me? We'll tell them you saved our lives.
You give them intel on the Caliphate, you'll be safe.
Promise.
They'll pay you for the information.
I mean, in three days you will be in London, 10,000 pounds in your pocket.
Or you could, you know, bleed to death in some bombed out building, and your family will never even know what happened to you.
Your call.
How can I believe you? I give you my word.
I got you this far, didn't I? Okay.
I'll go.
[Exhales deeply.]
- [Gunshot.]
- No! What the hell did you do that for? There's two of you and one of me.
Now the odds are even.
Patch him up.
Let's go.
[Exhaling deeply.]
[Siren wailing, indistinct conversations.]
This amusement park mess is no joke.
Yeah, more on the way.
Drew has an intestinal evisceration headed for the O.
R.
- Scott's on the way down.
- Okay, got it.
Hey, Shannon, how are we doing with the walking wounded? In the weeds, but Cain's is treating and streeting like a boss.
[Scoffs.]
Yo, first shift and this guy thinks he owns the place.
- He's a damn good nurse, Kenny.
- Yeah, easy on the eyes, too.
[PA alert sounds, woman speaking indistinctly over PA.]
[Breathing heavily.]
It's itching bad, Kenny.
That cream didn't work.
Whoa, whoa, Otto.
Okay.
Okay, just Yeah, hold it right there.
Uh [Telephone ringing in distance.]
You know what? I have just the guy for the job.
Just wait right there.
Yo, Diaz.
Hey, bud, so, uh, Otto here has crotch lice.
- Uh, shave him.
- Now? - We have mass cas.
- It's killing me! Yeah, and my team's got it.
You got Otto.
[Razor whirs.]
- He's yours.
- You're the boss, Kenny.
- Come on.
- [Exhales.]
- [Monitor beeping steadily.]
- Easy.
[Swallowing.]
Now you're still a little groggy from the surgery.
Surgery? We removed your tumor.
Almost all of it.
So I can die alone in some V.
A.
? No.
No, Mac, you don't understand.
We are the V.
A.
now Me, Scott, Topher, Drew.
We're gonna treat you.
You should've let me go, Jordan.
You dragged your ass for 10 miles to safety.
You lit rescue fires.
You could've laid down at any time, but you didn't.
You didn't give up.
You wanted to live.
Yeah, but I don't wanna live like this.
[Groans.]
Stop.
You knew that.
I trusted you.
[Exhales.]
Hey.
You're right.
Thanks.
[Exhales deeply.]
Thank you.
[Door creaks.]
- How'd it go? - [Sighs heavily.]
Abby had omental bleeding and multiple bowel perforations.
So you had to do an enterotomy? [Sighs.]
Well, I made the repairs, but ran into a complication.
Abby's still pregnant? Do you want to tell Abby or should I? [Door bangs open.]
What happened to Sofia? We were talking, she started getting anxious, wanted to leave and started seizing.
All right, let's get her to C.
T.
Did the labs show anything? Elevated WBCs consistent with a stress response.
Negative pregnancy.
Tox screen pending.
Jordan.
This our fall victim? 'Cause our lawyer called and said your guy Drew pushed her? Okay, okay.
Sofia was frantic, nearly tipped over the cherry picker.
She could've killed everyone, all right? Should have his back on this one.
I have the hospital's back, Paul, which is all of ours.
Except Topher's.
He's got your knife in his, right, Jordan? Okay, Paul, enough.
Get your patient to C.
T.
now.
[Sighs.]
Dear God, man, do you even think before you shoot? First of all, Drew is a hero for what he did out there.
And second, if you want Paul to come back, you need to stop getting in my way by picking fights.
Well, he hasn't committed yet? [Sighs.]
No.
And he's not going to if you don't stop trying to show him that you're his boss.
But I am his boss, Jordan.
So get him around that.
And if you can't, then our deal's off.
- Dad! - Hey.
What? Hey oh.
It's after midnight.
What Is everything okay? Bri's chest was hurting so I brought her in.
I saw you on the news with the roller coaster.
It looked really scary.
R-Right.
Um, I was safe the entire time.
But, Bri, did you lie to Mollie about your chest hurting? Okay.
You can't do that every night Rick and I work.
I had to know that you were all right.
Are you mad? No.
[Chuckles.]
Okay? But I do have to talk to a patient's mom, and you have to get home and get some sleep.
Okay? Mols, can you bring the little monster back for breakfast after my shift ends? - No problem.
- I owe you.
Hi.
How's Abby? Uh good.
Uh, surgery went well.
Good.
She's in post-op.
The recovery nurse will let you know - when you can see her.
- Great.
But we're not out of the woods yet.
Um, Abby's friend, uh, Sofia.
Her dad basically develops condos and just throws a ton of money at her so he doesn't have to deal.
I realize I probably shouldn't let Abby hang out with her, but I'm in the army and I just spent nine months in Korea, so makes it kind of hard to veto who your kid's friends are.
No, I'm in the service, too.
Yeah, I've deployed, just never as a dad.
Yeah.
Can't imagine what that would be like.
Rips your heart out.
Try to make it work, right? Being a soldier and a mom.
Can't be in two places at once, though.
Right.
Sorry, I'm I'm gonna call my folks - and just give them an update.
- Okay.
Thank you.
Yeah, I'll I'll keep you updated.
Thank you.
He made you shave Otto's balls? You're an R.
N.
Dude's got issues.
Anyway, we're getting stacked up.
Next patient, Joan Fraley.
Amusement park janitor with dizziness, possible syncope.
Miss Fraley, I'm Dr.
Rivera.
I heard you might've fainted at work.
After the coaster derailed.
My dad used to black out sometimes.
He had a bad heart his whole life.
Where's my damn doctor?! Dr.
Rivera, your facial lac is ready - for her sutures, please.
- Okay.
Coming.
Cain, can you start on her workup? I'll be back soon.
- Thank you.
- Excuse me, and your dad - How's he doing? - Gone.
Heart attack last year.
I keep thinking I'm next, you know? I'm sorry to hear that, but listen, I know you're worried, but your dad's story is not necessarily yours.
We're gonna do a full cardiac workup on you.
Okay.
[Breathing heavily.]
Amazing, huh? Hmm.
[Whispers.]
He's beautiful.
Yeah.
So Mexico Why risk going so far away for an abortion? You have to get your parent's approval in Texas.
I couldn't tell my mom.
Well, now you have to, right? How? She missed going to college because she got pregnant with me and now I can't go because I made the same mistake? It'll kill her.
Kids hate to disappoint their parents.
[Sighs.]
Trust me, I know.
But I would gladly have my daughter hurt me, instead of hurting herself.
Same with your mom, Abby.
I'm telling you, you'll feel better.
You will.
I just When I left Juarez, I felt so guilty.
And now I feel like I've been given a second chance and I'm just so confused.
I know.
But I bet I know someone who can help you sort things out.
Hey, baby girl.
[Whispers.]
Hi, baby.
- I'll leave you two alone.
- Thank you.
[Indistinct conversations.]
- Hey, Shannon, you got a sec? - No, I got two facial lacs and a syncope patient to wrap up.
Uh, hey, Paul, heard you stood up for me with your dad.
- That mean you're back? - I want to, but it's complicated, man.
Not really.
Just rip the Band-Aid off already.
Exactly.
Me and Jordan, Shannon, I mean, hell, even Topher's back.
Topher's back? You're dreaming.
Unh-unh, we talked to him today.
He'll be here tomorrow.
Your dad's met you more than halfway, Paul.
Your move.
Jordan, got our results? Hey, Sofia.
Okay, you're head CT looks normal.
Hey.
You're the dick that dropped me.
- Memory's intact.
- The dysarthria's new.
- Like, I can't - All right, hold, hold.
Move my left or arm or leg.
What's happening to me? Well, Sofia, you had a seizure, and sometimes that's followed up by temporary paralysis.
- Whoa, you think this is Todd's? - No way.
Okay.
Drew's right.
The whiplash from the fall may have caused a torn blood vessel in your neck.
We need an MRI to get a clearer picture,okay? Sure, got it.
Um, that's a vertebral artery dissection, Paul.
I can't let you upstairs unless you're on the staff, so which is it? Are you in or you out? Paul, help me, please.
I'm really scared.
Give radiology a heads up.
We're coming in hot to MRI.
Ah, son of a bitch.
You knew it wasn't Todd's Paralysis.
You were just getting Paul more invested.
Yeah, I was waiting for you to catch on.
I thought I was gonna have to send up flares.
[Coughs.]
Hey, you okay? I'm fine.
[Coughs.]
Syd, take the wheel.
Take the wheel.
Look out.
[Engine revs, tires screech.]
- Syd, you okay? - Yeah, I'm fine, but Omar's not.
- [Truck door closes.]
- Let's get him onto level ground.
- Come on, buddy.
- Come on, buddy.
[Both grunting.]
Okay, weak pulse.
Trachea's pulled to one side.
- Classic tension pneumo.
- Okay, let's switch sides.
- I'll use this.
- Do it.
One, two, three.
- [Snap.]
- [Muffled screaming.]
[Muffled wheezing.]
He still in distress? I can hear his stomach in his chest cavity.
It's a gastrothorax.
Rebar must've tore a hole in his diaphragm.
He's suffocating.
Use this to make a valve.
I'll find something to decompress his stomach.
- [Truck door opens.]
- What? We are sitting ducks out here.
We've got to keep moving.
Okay, if we don't fix Omar now, he's gonna die.
Okay, what about that speech you made about getting him to London? I lied.
Yuma's not gonna let him go.
He killed three of his own in cold blood.
To save us! Or to sell us to the highest bidder.
- Okay.
[Grunts.]
- Who knows what's up on that road? I made him a promise.
I'm keeping it.
He's our NG tube.
[Monitor beeping erratically, telephone ringing.]
Sorry for the wait, Joan.
I don't feel right.
It's hard to breathe.
Don't let me die, please.
[Monitor beeping erratically.]
[Cranks.]
I'll get Dr.
Rivera.
- Dr.
Rivera? - Hey, Jocelyn, I need help.
I can't.
I got a breech BOA came in.
Okay.
Coming through, coming through.
- [Monitor beeping rapidly.]
- Joan? Hey, Joan.
Hey.
She's not breathing! [Monitor beeping rapidly.]
[Woman speaking indistinctly over PA.]
I need help in here! I'm back, I'm back.
Where's Shannon? No idea.
Here, grab the bag.
Resume ventilation.
- What happened to her? - Peri-arrest bradycardia.
No response to Epi or external pacing.
[Exhales deeply.]
She's gonna code.
- I'm placing a CPT.
- A central line? Are you joking? She needs a transvenous pacemaker.
No, she needs a doctor.
Cain, I am not gonna get fired for this.
- [Monitor beeping erratically.]
- I need an Attending in here now! Carla, go and find Dr.
Rivera for me now, please.
Jocelyn! It's just an LMA.
She lost her airway.
Okay.
Keep bagging her.
[Erratic beeping continues.]
You're gonna need a new job when Kenny finds out.
What? That I saved Rivera's ass? Cain! What the hell are you doing? Third-degree heart block.
You were busy.
She was about to die.
- I'll call cardiology.
- No time.
Glove up.
You're placing a transvenous pacemaker.
- I've never even seen one! - It's a simple procedure.
Once I place a central line, all you have to do is float the pacemaker.
Come on, let's go! Glove up! [Gloves snap.]
Advance the pacer wire 30 centimeters.
[Monitor beeping steadily.]
Good.
Now inflate the balloon.
- How much air? - 1.
5 CCs.
Generator's on.
Now keep your eye on the monitor and advance slowly.
[Monitor beeping quickens.]
Whoa, Shannon, too fast.
You're in too far.
You're gonna perforate the myocardial.
Now back it out.
Okay, let the balloon float into position.
- We've got capture.
- Good.
Now deflate the balloon and secure the line.
Cardiology's on the line.
Finally.
[Scoffs.]
You okay, Joan? [Pats arm.]
- You're not an R.
N.
, Cain.
- You can see my license.
Save it.
Nurses can't place central lines or float a pacemaker.
Who the hell are you? [Gloves snap.]
Here, use his blood to lubricate the tube.
[Breathing heavily.]
[Muffled shouting.]
[Wheezing.]
- [Whispers.]
I got him.
- [Whispers.]
Okay.
[Wheezing.]
I hope you're right about this.
- That makes three of us.
- You do the honors.
Okay.
[Exhales deeply.]
[Spits.]
[Gasping and wheezing.]
Sorry I'm not 72 virgins.
You're more beautiful.
[Chuckles.]
The chopper leaves at sundown.
We need to get out of here.
If not, we're gonna be in this hell hole for another month.
He has internal bleeding.
The road might kill him.
Better him than me.
You've done all you can, Doctor.
It's with Allah now.
Let's go.
Let's go.
She risked dying in Mexico instead of telling me.
Guess I'm not gonna win mother of the year award, huh? She tried to take care of it before you got back.
Mm.
She knows how much you sacrifice for her.
Have I? I mean, my parents have basically raised her.
- You said it made it easier.
- No, I said it helped.
Nothing makes being away from your kid easy.
[Sighs.]
When I got pregnant with Abby, my parents were so mad that I had just ruined my life.
And then she came along, and she just won 'em over.
But they're pushing 70 now, and I have to go back to Korea.
I'm not even gonna be here when the baby's born.
Tell your Commander about your hardship.
Ask for leniency.
And have somebody else with a family be put in my place? You served, Drew.
What would you do? Julian, I think you've got a decision to make here.
You can either be Paul's dad, or you can be his boss.
But you can't be both.
I am with my other kids.
Yeah, and how are those relationships working out? So what's your solution with Paul? [Taps keyboard.]
You make me medical and surgical center director.
Then Paul reports to me, not you, and you can be the dad.
And I'll be the boss.
[Scoffs.]
Nice try, Scott.
But stay in your own lane.
I can manage this hospital and my son.
Did my parents call from Hawaii? Um, not yet, okay? But I'm sure they will.
Her toxicology report came back.
Okay.
Sofia, you tested positive for cocaine.
That explains the elevated heart rate.
Please don't tell Tell my dad.
He'll be so pissed at me and send me back to the creepy shrink.
O-Okay, this is this is not about your dad, okay? This is about saving your life.
I don't have a problem.
I swear.
All right, you have to [Monitor beeping erratically.]
She's hypotensive.
Okay.
Reverse Trendelenburg.
Hang a liter.
Yeah, MRI results.
Okay.
I was right.
She has basilar stroke.
BP's up.
Temp's 102.
[Monitor beeping rapidly.]
She's seizing again.
This can't just be from the cocaine.
Okay.
Hold it.
That's That's not a seizure.
Get her to the angio suite now.
Tell them to give me two minutes.
Hold the Valium! Oh, thanks for coming, Paul.
While you were on your wild goose chase, she's having another seizure.
Hey, Sofia, can you drink this for me? Okay? It'll stop the shaking.
There you go.
Okay.
Good job.
Okay.
It's spontaneous clonus from serotonin syndrome.
My goose chase was to the pharmacy for cyproheptadine.
- Scott: The antidote.
- Julian: Lab tests? No, talking and listening to my patient.
Amazing how that works sometimes.
Good job, okay? She said she'd been to a therapist, so I ran a tox screen for antidepressants, came back positive.
Tricyclics plus cocaine, and Fentanyl triggered the clonus.
That's a hell of a catch, Paul.
You know what? Scrub in.
I'll let you two chase the clot.
Cain, go ahead.
Tell Jordan what you told me, - who you really are.
- I don't wanna do this.
You know, she dragged me off the floor.
You might as well.
[Sighs.]
Tell her.
I was an Attending in Nogales.
México, not Arizona.
We had cartel violence, shootings, amputations, rapes.
Like a contest to please the devil.
Anyway, after eight years of that, I was numb and I had to leave before I lost myself.
So I got my nursing license and a visa, and I could work anywhere Dallas, Austin, Houston.
In Mexico, he's you, Jordan.
Here, he's not even Kenny.
So why not just be a doctor? My English was bad, plus I'd have to start from scratch as a resident.
5,000 people applying for every slot, not a lot of those going to foreign nationals these days.
Yeah, Cain, that's a hell of a story, but I'm sorry, I have to let you go.
Jordan, are you serious? If I were Jordan, I'd do the same thing.
I overstepped, and I'd do it again if needed.
Impossible not to.
[Zips bag.]
We have an approaching! [Guns cock.]
[Shouts in Arabic.]
Slowly! One by one, get out! My name is Major Sydney Jennings.
I'm an American doctor.
I was kidnapped by rebels near Aleppo.
We need medical assistance.
She's okay! Is Dr.
Callahan with you? He's in the back.
- You made it.
- Barely.
Omar did, too.
He's under American care now.
This man here He saved our lives.
He's got intel on the Caliphate.
So he needs an O.
R.
immediately.
[Men speak indistinctly.]
- You kept your promise, Doctor.
- [Speaks Arabic.]
You take care.
[Groans.]
Syd, this is Amira.
She's a doctor in Aleppo.
Does search and rescue.
You saved that scum and now you'll pay him to tell you lies.
Yeah, if he doesn't have a change of heart.
What? The first leopard to change his spots? Are you that stupid? Yes.
Yes, he is.
And wounded.
He needs a complete washout and IV antibiotics.
I need to find the base commander.
Follow me.
We got a chopper to catch.
[Siren wails.]
Julian: The microwire's in the thrombus.
Paul: I see it.
Passing the catheter now.
- I hear you're back on staff.
- I am.
This isn't working, Dad.
For either one of us.
We need to separate work from family.
- I already do that.
- Since when? You're a workaholic, okay? My whole life, whenever I wanted to see you, I had to go to a hospital to do it.
[Scoffs.]
So you learn how to use hemostat instead of throw a baseball? I guess that turned out horribly for you.
And so you get defensive and shut down.
Helpful.
I'm not defensive.
That was a joke, Paul.
Look, I-I don't need your approval or your help, Dad.
I'm a damn good surgeon.
And that is all I wanna be when I come to work, okay? No favors or expectations, no car payments, or med school loans.
I'm not your son when I'm here.
Just another doctor on staff.
Well, I guess your demands aren't too demanding.
I'll take that deal.
Then you can go, Doctor.
Lytic opened up the artery.
There's good flow.
I'll take over from here.
[Door opens and closes.]
Drew! Abby's crashing.
They're taking her to the O.
R.
[Crying.]
No! My stomach it hurts! What is happening to her? It's either an infection or bleeding.
We need to get her back in the O.
R.
to take a second look.
What about my baby? Please, please, don't hurt my baby.
Abby, we're gonna do our best.
Okay, Scott, I'm scrubbing in for this one.
Fine.
Let's go.
Drew.
Listen, I messed up with Abby.
I need a chance to make it right.
Whatever you have to do, just save her.
Drew! Please.
So, Sofia, your mom and dad are on the way, flying in right now.
Were they super pissed at me? Not as much as they were at me.
I told them that neglect is a form of abuse, even if it comes with a credit card and an Uber account.
It's time your parents started acting like parents, and if they didn't, I was calling Child Services.
W-Wow.
Y-You said that? I did, but by the end of the call, they were in tears.
They really love you, Sofia, and they wanna try and change things.
I'd like that.
But hey, this is on you, too, okay? Things you were doing to hurt them, it only hurts you.
I-I know.
I'm sorry.
You must have pretty great parents to turn out the way that you did.
Yeah, I guess.
Anyways, let's get you better, okay? So Abby had a bowel perforation hidden by a hematoma.
We tried to reattach the ends, but there was too much swelling.
So we had to do a colostomy.
All her plans are derailed now.
It's my fault.
I don't know about that, Dana.
Mexican abortion, an evisceration, seems like this baby was meant to be.
My baby's okay? - Hey.
- Yeah.
For now.
Good.
Some family will be very happy.
Honey, what are you talking about? I was thinking about putting it up for adoption.
I'm too young to be a mom, and I'm not strong enough.
I could never do as good a job as you.
You're gonna change some family's life forever.
It's an amazing gift.
And you know what else? I'll be here for you every step of the way.
- You're staying? - [Whispers.]
Yeah.
You applied for hardship.
I nearly lost my girl.
Busted my hump for 15 years for that army.
If they can't give me this time off, - then to hell with them.
- Mm-hmm.
Yo.
Abby.
Sofia! I thought they might want to see each other.
- You okay? - [Whispers.]
Yeah, I'm okay.
[Indistinct conversations.]
Chopper's here.
Base commander gave me passes to the embassy in Ankara.
I got you some hydrocodone for your pain.
- It's gonna knock you right out.
- [Pills rattle.]
Thank you, Syd.
I'm gonna stay here.
They can fix your shoulder in Turkey.
It's not life-threatening.
Are you kidding me? Do you have a death wish, Callahan? No, no, the opposite.
I Look My life back home was a trainwreck.
And even though this place is a mess, it kind of makes sense to me.
Everyone wants to hashtag "Save Aleppo" like it does something, but I can make things better.
You can do that in San Antonio.
Anyone can do that in San Antonio, but not many people can do it here.
It's why you came.
- It's who we are.
- [Scoffs.]
It's who I was.
This trip has cured me of that.
No, I doubt that.
[Indistinct conversations.]
- [Sniffles.]
- Ah.
- [Crying.]
Thank you.
- Yeah.
Thank you for coming back and getting me Getting me home to my daughter, thank you.
[Cries.]
I'm gonna see you in Texas.
I'm buying the beer.
- Better go.
- Yeah.
Last time we did this, we got hit by mortar fire so [Laughs.]
You die over here, I'm gonna be really, really pissed at you.
- I won't.
- Yeah.
I promise.
[Sniffles.]
[Helicopter blades whirring.]
- Yo, Joss.
- Hey.
Hey, so I heard Jordan fired Cain.
Pisses me off.
I wanted to fire his arrogant ass.
[Chuckles.]
- Oh, so you haven't heard.
- What? Hey, guess what? Did you hear? Cain's a doctor.
And now he's gonna work here.
- [Scoffs.]
I'm sorry, what? - Hey, that's fantastic.
I knew there was something special about you.
Yeah.
He ran one of the toughest E.
R.
s in Mexico.
That he did.
You know, he checked out.
We're short-staffed.
So I hired him as a resident.
We're getting a T.
C.
experience at Shannon prices.
Win/win.
- So great news.
Huh, Kenny? - [Papers rustle.]
Yeah, no.
It's, uh yeah, it's great.
Um - Listen, and about earlier - Yeah.
You know, no hard feelings, man.
I was just doing my job, so No.
No, no, no, no hard feelings at all.
I totally get it.
- Yeah? - Yeah, yeah, yeah.
No, no.
All right, man.
Thanks for understanding.
Yeah, yeah.
I'm just doing my job, and you work for me now, yeah? Yeah, yeah.
So there's a homeless guy, curtain 3, has a boil on his scrotum.
[Grunting.]
[Razor whirs.]
- Needs his shave first.
- Come on, man.
Oh, yeah.
Get every hair.
I want him looking like a newborn baby.
Gonna be great working with you, Kenny.
I'm sorry for shooting you down like that.
No, that's okay.
I was out of line.
No, no, you were right.
I don't need to micromanage Paul.
- You should micromanage Paul.
- So that means I'm choosing being his dad over being his boss.
But I still need you to get the surgical center off the ground.
You up for two full-time jobs? [Cellphone beeps.]
[Elevator bell dings.]
I just e-mailed you department breakdowns hospital-wide, where we're weak, - where we're strong.
- I'll set up a meeting tomorrow.
Great.
[Elevator doors close.]
So, uh is that what it looked like? Julian just made me medical director of the E.
R.
and head of the new cardiac surgical center.
Wow.
Is that some sort of a power play? Look, Julian is a complete control freak.
But he'll get bored of this place and put some bean-counting jackass in charge that we'll all hate.
- Oh, so you're that jackass? - In title, yeah.
Look, I can make him think he's running this place from a distance, and meanwhile, we keep everything exactly the same way it's always been.
Hmm.
That's very impressive.
- Right? - Mm.
So I guess that means you're not gonna have much time for anything else.
Woman over PA: Transition team report to O.
R.
5.
Well, I mean, with work and and everything that's been going on with Annie - Yeah, I mean, totally, right? - Well, Jordan.
Hey.
Just until the dust settles, you know? I mean, I think we could both use a little bit of a time-out.
- Don't you think? - 100%.
- Yeah? - Yeah.
All right, good.
Well, I'm late to see Annie.
- Okay, catch you later.
- Yeah.
[Hand slaps side.]
[Indistinct conversations.]
So I went to the gift shop, and I got something for ya.
But I already have a phone that was made in this decade.
W Yeah, yeah.
Well, it's actually for me.
This is my dad phone.
And you're the only caller.
Wait, not even Rick? Nope.
Just you.
So whenever you're worried, scared, anxious, whatever, I don't care, you call that phone, and I'm gonna answer.
I promise.
Unless I'm hanging from a roller coaster.
- And then just leave a message.
- [Chuckles.]
Okay.
Give Cain a chance, Kenny.
I can't, Mollie.
Got a bad feeling about the dude.
That's just a taste of your own medicine.
No car payment, no rent, no student loans.
Are you high? I wanna be my own man, okay? I can't do that and take his money.
Can I take his money? I'm proud of you, Paul.
You beat your dad at his own game.
I did, didn't I? Ugh, get a room.
Hey, Jordan.
I wanted to thank you.
For what, chicken and waffles? Just give it a few hours.
You might change your mind.
No, for giving me a chance.
I didn't wake up today thinking I'd be a doctor again.
Oh.
Well, I mean, like I said, you're helping us out.
We're taking advantage of you.
Oh, yeah? Well do it anytime.
- Crowd: Jordan, Jordan, Jordan! - I think you're being paged.
- Jordan, Jordan, Jordan! - [Cheering.]
Jordan, Jordan! Good morning.
Hi.
Um, okay, so I will admit that I had an ulterior motive for inviting you guys all out here other than breakfast.
I wanted to thank you, all of you, for hanging in there.
I think it's been a rough 72 hours, but we made it, right? - Man: Right.
- Woman: Yeah! That's because we're family.
So let's raise a glass to the best damn E.
R.
around.
[Cheers and applause.]
Jordan? Jordan.
I need a minute.
All right.
Cheers.
All: Cheers.
- T.
C.
- Yeah? Base commander asked me to bring you a SAT phone.
- You have a call from Texas.
- Texas? You're kidding.
For an American, you're tougher than I thought.
I think you'll fit in here.
I guess we'll find out.
Man: As long as the skies are blue Just received this text from our legal department.
Oh, boy.
Okay.
[Gasps.]
Jordan, how's Annie? Why else would you be calling me? Everybody, um, I got some news here that you all might wanna hear.
[Voice breaking.]
Um, at 9:37 last night, Dr.
Christopher Zia and his daughter, Lynn, were in a head-on collision with a drunk driver on the Pacific Coast Highway.
[Whispers.]
Topher? They were flown by chopper to San Francisco General.
There were no survivors.
Jordan: [Voice breaking.]
I'm sorry, T.
C.
[Helicopter blades whirring.]
- Come with us.
- I can't leave Syd behind, and he's the only chance I got of finding her.
Amira: He and his people killed our families and friends, maybe yours, too.
You're a nurse and a temp one, at that.
Do your job.
- Mac.
- Where the hell am I? It's okay.
We've got you.
This is the freakin' V.
A.
This is the exact place I told you I didn't wanna end up.
- Mac.
Mac, you gotta relax.
- Mac.
- He's seizing.
- [Grunting.]
And I don't know much about the V.
A.
I'll steer the ship, and I'll aid in the transition.
And what do you want in return? I want my family back.
- And Paul.
I want him back, too.
- I'll take care of it.
Please come help us! [Sobbing.]
- Oh, my God.
- I can only fit one of you in here.
Abby's intestines are exposed.
The fall could kill her.
- One, two three! - I'm not doing it! Aah! Sofia! You gotta let go, or we're all gonna die.
Save me! - No, I'm doing it! - You have to.
I'm not falling! We don't have any time for this.
Sofia, you gotta let go.
- No, I can't.
- You have to.
- That airbag will catch you.
- No, I Everybody, clear out! Go, go! Go! Hey, you're unstable, Drew! Get her down now! Whatever it takes! Listen to me, listen to me, okay? I promise you, you're gonna be safe.
No.
I gotta do this.
I'm so sorry.
- Stop it! What are you doing? - You can do it.
Oh, my God.
No.
Stop! Aah! - Man: All right, go! - [Crying.]
Sofia's okay.
Hey, Paul, clear an ambulance.
Abby's bleeding out.
We're coming down.
Let's go.
[Engine rumbling.]
So my friend is here? I said I had another American, so they waited.
- Twice the money.
- [Guns cock.]
- [Brakes squeal.]
- [Shouting in Arabic.]
[Speaking in Arabic.]
[Grunts.]
[Grunting.]
T.
C.
! Syd.
Thank God you're alive.
- Oh, my God! - [Door closes.]
Shh, shh.
We don't have much time.
- [Grunting.]
- What are you doing? We've got to get outta here.
[Grunts.]
- Did they hurt you? - I'll be okay.
These guys They're just bush league, okay? - They just wanna get paid.
- [Snap.]
The next stop is Caliphate.
Then we're dead.
- I thought I was gonna - [Snap.]
No, no, hey, hey.
You are not going out like this.
- [Crying.]
Okay.
- I promise.
Okay.
I know.
[Exhales deeply.]
[Men shouting in Arabic.]
[Gunshots.]
[Siren wails.]
I debulked as much of his tumor as possible without affecting his speech.
So he'll need radiation and chemo? He has an aggressive glioblastoma.
Going forward, we have to weigh the cost/benefit.
Are you saying that as his doctor or as the new owner of this hospital? Sergeant Riley's surgery alone cost $150,000.
The V.
A.
might not pay for it.
And our deal with them won't kick in for a few weeks.
You know, Scott and I wouldn't be here if it weren't for Mac.
And I wouldn't have done his surgery if you hadn't ambushed me with a press conference.
Look, Julian, we thank you for going the extra mile for Mac.
We so appreciate it, but he's my patient now.
So let's get back to work.
We got a sick hospital to save, right? I couldn't agree with you more, Scott.
Good.
[Monitor beeping steadily, telephone ringing.]
[Door opens.]
- [Sighs heavily.]
- [Door closes.]
You're gonna need an operation to remove your lips from that man's butt.
Hey.
Look, I don't like him either, but he's a necessary evil.
So what, pucker up, buttercup? Pick our battles.
I'd say getting cutting edge surgery for Mac is a damn good start.
Right? Now let's bring Paul back in the boat.
[Door closes.]
Pulse 137, BP's 81 over 40 after 500 CCs of NS and 4 of morphine.
She has a wound dehiscence from a recent operation.
Hi, my name's Dr.
Clemmens.
I'm gonna be doing your surgery.
- Does it hurt anywhere else? - No.
Aah! Can you tell me about the procedure that you had? Hi, I'm Abby's mom.
I'm Dana.
What what happened? I'm Dr.
Alister.
This is Dr.
Clemmens, head of surgery.
The accident opened up Abby's abdominal wall.
So she's in critical condition.
We're gonna take her up to the O.
R.
Does you daughter have any medical problems or history of surgery? No, no.
She's always been completely healthy.
Are you sure? Because she's got Ow! [Screaming.]
- Oh, my God! - Okay, let's go.
No, baby, I'm right here.
I'm right here.
Wait.
Abby, we need you to stay calm, or the bleeding's just gonna get worse.
Your daughter's in good hands.
- I'll update you as soon as we can.
- I'm not going anywhere.
Abby, Abby, listen to me.
You had a surgery.
I need to know exactly You can't tell her.
She doesn't know.
Know what? [Crying.]
I had an abortion in Juarez.
Please don't let me die.
[Crying.]
[Explosions.]
[Defibrillator whines.]
[Gunshots, man shouts indistinctly.]
Omar? What'd you do? What I had to.
Let's go.
Now! Okay.
They've changed the plans.
They were going to kill us.
[Grunts.]
Aah! You need a hospital, Omar.
You've lost a lot of blood.
I'll die anyway if the Caliphate finds me.
Just wanna go home, you know? Where are you from? London? - Whitechapel.
- [Thud.]
I watched videos, came here to fight for jihad.
Had no idea what the Caliphate was really about.
So why don't you go to Camp Yuma? It's an American base.
It's 50 clicks east of here.
There's a chopper that comes once a month from Turkey to deliver med supplies.
We were supposed to fly out on it today.
How do I know you won't betray me to the American army? That they won't waterboard me? We'll tell them you saved our lives.
You give them intel on the Caliphate, you'll be safe.
Promise.
They'll pay you for the information.
I mean, in three days you will be in London, 10,000 pounds in your pocket.
Or you could, you know, bleed to death in some bombed out building, and your family will never even know what happened to you.
Your call.
How can I believe you? I give you my word.
I got you this far, didn't I? Okay.
I'll go.
[Exhales deeply.]
- [Gunshot.]
- No! What the hell did you do that for? There's two of you and one of me.
Now the odds are even.
Patch him up.
Let's go.
[Exhaling deeply.]
[Siren wailing, indistinct conversations.]
This amusement park mess is no joke.
Yeah, more on the way.
Drew has an intestinal evisceration headed for the O.
R.
- Scott's on the way down.
- Okay, got it.
Hey, Shannon, how are we doing with the walking wounded? In the weeds, but Cain's is treating and streeting like a boss.
[Scoffs.]
Yo, first shift and this guy thinks he owns the place.
- He's a damn good nurse, Kenny.
- Yeah, easy on the eyes, too.
[PA alert sounds, woman speaking indistinctly over PA.]
[Breathing heavily.]
It's itching bad, Kenny.
That cream didn't work.
Whoa, whoa, Otto.
Okay.
Okay, just Yeah, hold it right there.
Uh [Telephone ringing in distance.]
You know what? I have just the guy for the job.
Just wait right there.
Yo, Diaz.
Hey, bud, so, uh, Otto here has crotch lice.
- Uh, shave him.
- Now? - We have mass cas.
- It's killing me! Yeah, and my team's got it.
You got Otto.
[Razor whirs.]
- He's yours.
- You're the boss, Kenny.
- Come on.
- [Exhales.]
- [Monitor beeping steadily.]
- Easy.
[Swallowing.]
Now you're still a little groggy from the surgery.
Surgery? We removed your tumor.
Almost all of it.
So I can die alone in some V.
A.
? No.
No, Mac, you don't understand.
We are the V.
A.
now Me, Scott, Topher, Drew.
We're gonna treat you.
You should've let me go, Jordan.
You dragged your ass for 10 miles to safety.
You lit rescue fires.
You could've laid down at any time, but you didn't.
You didn't give up.
You wanted to live.
Yeah, but I don't wanna live like this.
[Groans.]
Stop.
You knew that.
I trusted you.
[Exhales.]
Hey.
You're right.
Thanks.
[Exhales deeply.]
Thank you.
[Door creaks.]
- How'd it go? - [Sighs heavily.]
Abby had omental bleeding and multiple bowel perforations.
So you had to do an enterotomy? [Sighs.]
Well, I made the repairs, but ran into a complication.
Abby's still pregnant? Do you want to tell Abby or should I? [Door bangs open.]
What happened to Sofia? We were talking, she started getting anxious, wanted to leave and started seizing.
All right, let's get her to C.
T.
Did the labs show anything? Elevated WBCs consistent with a stress response.
Negative pregnancy.
Tox screen pending.
Jordan.
This our fall victim? 'Cause our lawyer called and said your guy Drew pushed her? Okay, okay.
Sofia was frantic, nearly tipped over the cherry picker.
She could've killed everyone, all right? Should have his back on this one.
I have the hospital's back, Paul, which is all of ours.
Except Topher's.
He's got your knife in his, right, Jordan? Okay, Paul, enough.
Get your patient to C.
T.
now.
[Sighs.]
Dear God, man, do you even think before you shoot? First of all, Drew is a hero for what he did out there.
And second, if you want Paul to come back, you need to stop getting in my way by picking fights.
Well, he hasn't committed yet? [Sighs.]
No.
And he's not going to if you don't stop trying to show him that you're his boss.
But I am his boss, Jordan.
So get him around that.
And if you can't, then our deal's off.
- Dad! - Hey.
What? Hey oh.
It's after midnight.
What Is everything okay? Bri's chest was hurting so I brought her in.
I saw you on the news with the roller coaster.
It looked really scary.
R-Right.
Um, I was safe the entire time.
But, Bri, did you lie to Mollie about your chest hurting? Okay.
You can't do that every night Rick and I work.
I had to know that you were all right.
Are you mad? No.
[Chuckles.]
Okay? But I do have to talk to a patient's mom, and you have to get home and get some sleep.
Okay? Mols, can you bring the little monster back for breakfast after my shift ends? - No problem.
- I owe you.
Hi.
How's Abby? Uh good.
Uh, surgery went well.
Good.
She's in post-op.
The recovery nurse will let you know - when you can see her.
- Great.
But we're not out of the woods yet.
Um, Abby's friend, uh, Sofia.
Her dad basically develops condos and just throws a ton of money at her so he doesn't have to deal.
I realize I probably shouldn't let Abby hang out with her, but I'm in the army and I just spent nine months in Korea, so makes it kind of hard to veto who your kid's friends are.
No, I'm in the service, too.
Yeah, I've deployed, just never as a dad.
Yeah.
Can't imagine what that would be like.
Rips your heart out.
Try to make it work, right? Being a soldier and a mom.
Can't be in two places at once, though.
Right.
Sorry, I'm I'm gonna call my folks - and just give them an update.
- Okay.
Thank you.
Yeah, I'll I'll keep you updated.
Thank you.
He made you shave Otto's balls? You're an R.
N.
Dude's got issues.
Anyway, we're getting stacked up.
Next patient, Joan Fraley.
Amusement park janitor with dizziness, possible syncope.
Miss Fraley, I'm Dr.
Rivera.
I heard you might've fainted at work.
After the coaster derailed.
My dad used to black out sometimes.
He had a bad heart his whole life.
Where's my damn doctor?! Dr.
Rivera, your facial lac is ready - for her sutures, please.
- Okay.
Coming.
Cain, can you start on her workup? I'll be back soon.
- Thank you.
- Excuse me, and your dad - How's he doing? - Gone.
Heart attack last year.
I keep thinking I'm next, you know? I'm sorry to hear that, but listen, I know you're worried, but your dad's story is not necessarily yours.
We're gonna do a full cardiac workup on you.
Okay.
[Breathing heavily.]
Amazing, huh? Hmm.
[Whispers.]
He's beautiful.
Yeah.
So Mexico Why risk going so far away for an abortion? You have to get your parent's approval in Texas.
I couldn't tell my mom.
Well, now you have to, right? How? She missed going to college because she got pregnant with me and now I can't go because I made the same mistake? It'll kill her.
Kids hate to disappoint their parents.
[Sighs.]
Trust me, I know.
But I would gladly have my daughter hurt me, instead of hurting herself.
Same with your mom, Abby.
I'm telling you, you'll feel better.
You will.
I just When I left Juarez, I felt so guilty.
And now I feel like I've been given a second chance and I'm just so confused.
I know.
But I bet I know someone who can help you sort things out.
Hey, baby girl.
[Whispers.]
Hi, baby.
- I'll leave you two alone.
- Thank you.
[Indistinct conversations.]
- Hey, Shannon, you got a sec? - No, I got two facial lacs and a syncope patient to wrap up.
Uh, hey, Paul, heard you stood up for me with your dad.
- That mean you're back? - I want to, but it's complicated, man.
Not really.
Just rip the Band-Aid off already.
Exactly.
Me and Jordan, Shannon, I mean, hell, even Topher's back.
Topher's back? You're dreaming.
Unh-unh, we talked to him today.
He'll be here tomorrow.
Your dad's met you more than halfway, Paul.
Your move.
Jordan, got our results? Hey, Sofia.
Okay, you're head CT looks normal.
Hey.
You're the dick that dropped me.
- Memory's intact.
- The dysarthria's new.
- Like, I can't - All right, hold, hold.
Move my left or arm or leg.
What's happening to me? Well, Sofia, you had a seizure, and sometimes that's followed up by temporary paralysis.
- Whoa, you think this is Todd's? - No way.
Okay.
Drew's right.
The whiplash from the fall may have caused a torn blood vessel in your neck.
We need an MRI to get a clearer picture,okay? Sure, got it.
Um, that's a vertebral artery dissection, Paul.
I can't let you upstairs unless you're on the staff, so which is it? Are you in or you out? Paul, help me, please.
I'm really scared.
Give radiology a heads up.
We're coming in hot to MRI.
Ah, son of a bitch.
You knew it wasn't Todd's Paralysis.
You were just getting Paul more invested.
Yeah, I was waiting for you to catch on.
I thought I was gonna have to send up flares.
[Coughs.]
Hey, you okay? I'm fine.
[Coughs.]
Syd, take the wheel.
Take the wheel.
Look out.
[Engine revs, tires screech.]
- Syd, you okay? - Yeah, I'm fine, but Omar's not.
- [Truck door closes.]
- Let's get him onto level ground.
- Come on, buddy.
- Come on, buddy.
[Both grunting.]
Okay, weak pulse.
Trachea's pulled to one side.
- Classic tension pneumo.
- Okay, let's switch sides.
- I'll use this.
- Do it.
One, two, three.
- [Snap.]
- [Muffled screaming.]
[Muffled wheezing.]
He still in distress? I can hear his stomach in his chest cavity.
It's a gastrothorax.
Rebar must've tore a hole in his diaphragm.
He's suffocating.
Use this to make a valve.
I'll find something to decompress his stomach.
- [Truck door opens.]
- What? We are sitting ducks out here.
We've got to keep moving.
Okay, if we don't fix Omar now, he's gonna die.
Okay, what about that speech you made about getting him to London? I lied.
Yuma's not gonna let him go.
He killed three of his own in cold blood.
To save us! Or to sell us to the highest bidder.
- Okay.
[Grunts.]
- Who knows what's up on that road? I made him a promise.
I'm keeping it.
He's our NG tube.
[Monitor beeping erratically, telephone ringing.]
Sorry for the wait, Joan.
I don't feel right.
It's hard to breathe.
Don't let me die, please.
[Monitor beeping erratically.]
[Cranks.]
I'll get Dr.
Rivera.
- Dr.
Rivera? - Hey, Jocelyn, I need help.
I can't.
I got a breech BOA came in.
Okay.
Coming through, coming through.
- [Monitor beeping rapidly.]
- Joan? Hey, Joan.
Hey.
She's not breathing! [Monitor beeping rapidly.]
[Woman speaking indistinctly over PA.]
I need help in here! I'm back, I'm back.
Where's Shannon? No idea.
Here, grab the bag.
Resume ventilation.
- What happened to her? - Peri-arrest bradycardia.
No response to Epi or external pacing.
[Exhales deeply.]
She's gonna code.
- I'm placing a CPT.
- A central line? Are you joking? She needs a transvenous pacemaker.
No, she needs a doctor.
Cain, I am not gonna get fired for this.
- [Monitor beeping erratically.]
- I need an Attending in here now! Carla, go and find Dr.
Rivera for me now, please.
Jocelyn! It's just an LMA.
She lost her airway.
Okay.
Keep bagging her.
[Erratic beeping continues.]
You're gonna need a new job when Kenny finds out.
What? That I saved Rivera's ass? Cain! What the hell are you doing? Third-degree heart block.
You were busy.
She was about to die.
- I'll call cardiology.
- No time.
Glove up.
You're placing a transvenous pacemaker.
- I've never even seen one! - It's a simple procedure.
Once I place a central line, all you have to do is float the pacemaker.
Come on, let's go! Glove up! [Gloves snap.]
Advance the pacer wire 30 centimeters.
[Monitor beeping steadily.]
Good.
Now inflate the balloon.
- How much air? - 1.
5 CCs.
Generator's on.
Now keep your eye on the monitor and advance slowly.
[Monitor beeping quickens.]
Whoa, Shannon, too fast.
You're in too far.
You're gonna perforate the myocardial.
Now back it out.
Okay, let the balloon float into position.
- We've got capture.
- Good.
Now deflate the balloon and secure the line.
Cardiology's on the line.
Finally.
[Scoffs.]
You okay, Joan? [Pats arm.]
- You're not an R.
N.
, Cain.
- You can see my license.
Save it.
Nurses can't place central lines or float a pacemaker.
Who the hell are you? [Gloves snap.]
Here, use his blood to lubricate the tube.
[Breathing heavily.]
[Muffled shouting.]
[Wheezing.]
- [Whispers.]
I got him.
- [Whispers.]
Okay.
[Wheezing.]
I hope you're right about this.
- That makes three of us.
- You do the honors.
Okay.
[Exhales deeply.]
[Spits.]
[Gasping and wheezing.]
Sorry I'm not 72 virgins.
You're more beautiful.
[Chuckles.]
The chopper leaves at sundown.
We need to get out of here.
If not, we're gonna be in this hell hole for another month.
He has internal bleeding.
The road might kill him.
Better him than me.
You've done all you can, Doctor.
It's with Allah now.
Let's go.
Let's go.
She risked dying in Mexico instead of telling me.
Guess I'm not gonna win mother of the year award, huh? She tried to take care of it before you got back.
Mm.
She knows how much you sacrifice for her.
Have I? I mean, my parents have basically raised her.
- You said it made it easier.
- No, I said it helped.
Nothing makes being away from your kid easy.
[Sighs.]
When I got pregnant with Abby, my parents were so mad that I had just ruined my life.
And then she came along, and she just won 'em over.
But they're pushing 70 now, and I have to go back to Korea.
I'm not even gonna be here when the baby's born.
Tell your Commander about your hardship.
Ask for leniency.
And have somebody else with a family be put in my place? You served, Drew.
What would you do? Julian, I think you've got a decision to make here.
You can either be Paul's dad, or you can be his boss.
But you can't be both.
I am with my other kids.
Yeah, and how are those relationships working out? So what's your solution with Paul? [Taps keyboard.]
You make me medical and surgical center director.
Then Paul reports to me, not you, and you can be the dad.
And I'll be the boss.
[Scoffs.]
Nice try, Scott.
But stay in your own lane.
I can manage this hospital and my son.
Did my parents call from Hawaii? Um, not yet, okay? But I'm sure they will.
Her toxicology report came back.
Okay.
Sofia, you tested positive for cocaine.
That explains the elevated heart rate.
Please don't tell Tell my dad.
He'll be so pissed at me and send me back to the creepy shrink.
O-Okay, this is this is not about your dad, okay? This is about saving your life.
I don't have a problem.
I swear.
All right, you have to [Monitor beeping erratically.]
She's hypotensive.
Okay.
Reverse Trendelenburg.
Hang a liter.
Yeah, MRI results.
Okay.
I was right.
She has basilar stroke.
BP's up.
Temp's 102.
[Monitor beeping rapidly.]
She's seizing again.
This can't just be from the cocaine.
Okay.
Hold it.
That's That's not a seizure.
Get her to the angio suite now.
Tell them to give me two minutes.
Hold the Valium! Oh, thanks for coming, Paul.
While you were on your wild goose chase, she's having another seizure.
Hey, Sofia, can you drink this for me? Okay? It'll stop the shaking.
There you go.
Okay.
Good job.
Okay.
It's spontaneous clonus from serotonin syndrome.
My goose chase was to the pharmacy for cyproheptadine.
- Scott: The antidote.
- Julian: Lab tests? No, talking and listening to my patient.
Amazing how that works sometimes.
Good job, okay? She said she'd been to a therapist, so I ran a tox screen for antidepressants, came back positive.
Tricyclics plus cocaine, and Fentanyl triggered the clonus.
That's a hell of a catch, Paul.
You know what? Scrub in.
I'll let you two chase the clot.
Cain, go ahead.
Tell Jordan what you told me, - who you really are.
- I don't wanna do this.
You know, she dragged me off the floor.
You might as well.
[Sighs.]
Tell her.
I was an Attending in Nogales.
México, not Arizona.
We had cartel violence, shootings, amputations, rapes.
Like a contest to please the devil.
Anyway, after eight years of that, I was numb and I had to leave before I lost myself.
So I got my nursing license and a visa, and I could work anywhere Dallas, Austin, Houston.
In Mexico, he's you, Jordan.
Here, he's not even Kenny.
So why not just be a doctor? My English was bad, plus I'd have to start from scratch as a resident.
5,000 people applying for every slot, not a lot of those going to foreign nationals these days.
Yeah, Cain, that's a hell of a story, but I'm sorry, I have to let you go.
Jordan, are you serious? If I were Jordan, I'd do the same thing.
I overstepped, and I'd do it again if needed.
Impossible not to.
[Zips bag.]
We have an approaching! [Guns cock.]
[Shouts in Arabic.]
Slowly! One by one, get out! My name is Major Sydney Jennings.
I'm an American doctor.
I was kidnapped by rebels near Aleppo.
We need medical assistance.
She's okay! Is Dr.
Callahan with you? He's in the back.
- You made it.
- Barely.
Omar did, too.
He's under American care now.
This man here He saved our lives.
He's got intel on the Caliphate.
So he needs an O.
R.
immediately.
[Men speak indistinctly.]
- You kept your promise, Doctor.
- [Speaks Arabic.]
You take care.
[Groans.]
Syd, this is Amira.
She's a doctor in Aleppo.
Does search and rescue.
You saved that scum and now you'll pay him to tell you lies.
Yeah, if he doesn't have a change of heart.
What? The first leopard to change his spots? Are you that stupid? Yes.
Yes, he is.
And wounded.
He needs a complete washout and IV antibiotics.
I need to find the base commander.
Follow me.
We got a chopper to catch.
[Siren wails.]
Julian: The microwire's in the thrombus.
Paul: I see it.
Passing the catheter now.
- I hear you're back on staff.
- I am.
This isn't working, Dad.
For either one of us.
We need to separate work from family.
- I already do that.
- Since when? You're a workaholic, okay? My whole life, whenever I wanted to see you, I had to go to a hospital to do it.
[Scoffs.]
So you learn how to use hemostat instead of throw a baseball? I guess that turned out horribly for you.
And so you get defensive and shut down.
Helpful.
I'm not defensive.
That was a joke, Paul.
Look, I-I don't need your approval or your help, Dad.
I'm a damn good surgeon.
And that is all I wanna be when I come to work, okay? No favors or expectations, no car payments, or med school loans.
I'm not your son when I'm here.
Just another doctor on staff.
Well, I guess your demands aren't too demanding.
I'll take that deal.
Then you can go, Doctor.
Lytic opened up the artery.
There's good flow.
I'll take over from here.
[Door opens and closes.]
Drew! Abby's crashing.
They're taking her to the O.
R.
[Crying.]
No! My stomach it hurts! What is happening to her? It's either an infection or bleeding.
We need to get her back in the O.
R.
to take a second look.
What about my baby? Please, please, don't hurt my baby.
Abby, we're gonna do our best.
Okay, Scott, I'm scrubbing in for this one.
Fine.
Let's go.
Drew.
Listen, I messed up with Abby.
I need a chance to make it right.
Whatever you have to do, just save her.
Drew! Please.
So, Sofia, your mom and dad are on the way, flying in right now.
Were they super pissed at me? Not as much as they were at me.
I told them that neglect is a form of abuse, even if it comes with a credit card and an Uber account.
It's time your parents started acting like parents, and if they didn't, I was calling Child Services.
W-Wow.
Y-You said that? I did, but by the end of the call, they were in tears.
They really love you, Sofia, and they wanna try and change things.
I'd like that.
But hey, this is on you, too, okay? Things you were doing to hurt them, it only hurts you.
I-I know.
I'm sorry.
You must have pretty great parents to turn out the way that you did.
Yeah, I guess.
Anyways, let's get you better, okay? So Abby had a bowel perforation hidden by a hematoma.
We tried to reattach the ends, but there was too much swelling.
So we had to do a colostomy.
All her plans are derailed now.
It's my fault.
I don't know about that, Dana.
Mexican abortion, an evisceration, seems like this baby was meant to be.
My baby's okay? - Hey.
- Yeah.
For now.
Good.
Some family will be very happy.
Honey, what are you talking about? I was thinking about putting it up for adoption.
I'm too young to be a mom, and I'm not strong enough.
I could never do as good a job as you.
You're gonna change some family's life forever.
It's an amazing gift.
And you know what else? I'll be here for you every step of the way.
- You're staying? - [Whispers.]
Yeah.
You applied for hardship.
I nearly lost my girl.
Busted my hump for 15 years for that army.
If they can't give me this time off, - then to hell with them.
- Mm-hmm.
Yo.
Abby.
Sofia! I thought they might want to see each other.
- You okay? - [Whispers.]
Yeah, I'm okay.
[Indistinct conversations.]
Chopper's here.
Base commander gave me passes to the embassy in Ankara.
I got you some hydrocodone for your pain.
- It's gonna knock you right out.
- [Pills rattle.]
Thank you, Syd.
I'm gonna stay here.
They can fix your shoulder in Turkey.
It's not life-threatening.
Are you kidding me? Do you have a death wish, Callahan? No, no, the opposite.
I Look My life back home was a trainwreck.
And even though this place is a mess, it kind of makes sense to me.
Everyone wants to hashtag "Save Aleppo" like it does something, but I can make things better.
You can do that in San Antonio.
Anyone can do that in San Antonio, but not many people can do it here.
It's why you came.
- It's who we are.
- [Scoffs.]
It's who I was.
This trip has cured me of that.
No, I doubt that.
[Indistinct conversations.]
- [Sniffles.]
- Ah.
- [Crying.]
Thank you.
- Yeah.
Thank you for coming back and getting me Getting me home to my daughter, thank you.
[Cries.]
I'm gonna see you in Texas.
I'm buying the beer.
- Better go.
- Yeah.
Last time we did this, we got hit by mortar fire so [Laughs.]
You die over here, I'm gonna be really, really pissed at you.
- I won't.
- Yeah.
I promise.
[Sniffles.]
[Helicopter blades whirring.]
- Yo, Joss.
- Hey.
Hey, so I heard Jordan fired Cain.
Pisses me off.
I wanted to fire his arrogant ass.
[Chuckles.]
- Oh, so you haven't heard.
- What? Hey, guess what? Did you hear? Cain's a doctor.
And now he's gonna work here.
- [Scoffs.]
I'm sorry, what? - Hey, that's fantastic.
I knew there was something special about you.
Yeah.
He ran one of the toughest E.
R.
s in Mexico.
That he did.
You know, he checked out.
We're short-staffed.
So I hired him as a resident.
We're getting a T.
C.
experience at Shannon prices.
Win/win.
- So great news.
Huh, Kenny? - [Papers rustle.]
Yeah, no.
It's, uh yeah, it's great.
Um - Listen, and about earlier - Yeah.
You know, no hard feelings, man.
I was just doing my job, so No.
No, no, no, no hard feelings at all.
I totally get it.
- Yeah? - Yeah, yeah, yeah.
No, no.
All right, man.
Thanks for understanding.
Yeah, yeah.
I'm just doing my job, and you work for me now, yeah? Yeah, yeah.
So there's a homeless guy, curtain 3, has a boil on his scrotum.
[Grunting.]
[Razor whirs.]
- Needs his shave first.
- Come on, man.
Oh, yeah.
Get every hair.
I want him looking like a newborn baby.
Gonna be great working with you, Kenny.
I'm sorry for shooting you down like that.
No, that's okay.
I was out of line.
No, no, you were right.
I don't need to micromanage Paul.
- You should micromanage Paul.
- So that means I'm choosing being his dad over being his boss.
But I still need you to get the surgical center off the ground.
You up for two full-time jobs? [Cellphone beeps.]
[Elevator bell dings.]
I just e-mailed you department breakdowns hospital-wide, where we're weak, - where we're strong.
- I'll set up a meeting tomorrow.
Great.
[Elevator doors close.]
So, uh is that what it looked like? Julian just made me medical director of the E.
R.
and head of the new cardiac surgical center.
Wow.
Is that some sort of a power play? Look, Julian is a complete control freak.
But he'll get bored of this place and put some bean-counting jackass in charge that we'll all hate.
- Oh, so you're that jackass? - In title, yeah.
Look, I can make him think he's running this place from a distance, and meanwhile, we keep everything exactly the same way it's always been.
Hmm.
That's very impressive.
- Right? - Mm.
So I guess that means you're not gonna have much time for anything else.
Woman over PA: Transition team report to O.
R.
5.
Well, I mean, with work and and everything that's been going on with Annie - Yeah, I mean, totally, right? - Well, Jordan.
Hey.
Just until the dust settles, you know? I mean, I think we could both use a little bit of a time-out.
- Don't you think? - 100%.
- Yeah? - Yeah.
All right, good.
Well, I'm late to see Annie.
- Okay, catch you later.
- Yeah.
[Hand slaps side.]
[Indistinct conversations.]
So I went to the gift shop, and I got something for ya.
But I already have a phone that was made in this decade.
W Yeah, yeah.
Well, it's actually for me.
This is my dad phone.
And you're the only caller.
Wait, not even Rick? Nope.
Just you.
So whenever you're worried, scared, anxious, whatever, I don't care, you call that phone, and I'm gonna answer.
I promise.
Unless I'm hanging from a roller coaster.
- And then just leave a message.
- [Chuckles.]
Okay.
Give Cain a chance, Kenny.
I can't, Mollie.
Got a bad feeling about the dude.
That's just a taste of your own medicine.
No car payment, no rent, no student loans.
Are you high? I wanna be my own man, okay? I can't do that and take his money.
Can I take his money? I'm proud of you, Paul.
You beat your dad at his own game.
I did, didn't I? Ugh, get a room.
Hey, Jordan.
I wanted to thank you.
For what, chicken and waffles? Just give it a few hours.
You might change your mind.
No, for giving me a chance.
I didn't wake up today thinking I'd be a doctor again.
Oh.
Well, I mean, like I said, you're helping us out.
We're taking advantage of you.
Oh, yeah? Well do it anytime.
- Crowd: Jordan, Jordan, Jordan! - I think you're being paged.
- Jordan, Jordan, Jordan! - [Cheering.]
Jordan, Jordan! Good morning.
Hi.
Um, okay, so I will admit that I had an ulterior motive for inviting you guys all out here other than breakfast.
I wanted to thank you, all of you, for hanging in there.
I think it's been a rough 72 hours, but we made it, right? - Man: Right.
- Woman: Yeah! That's because we're family.
So let's raise a glass to the best damn E.
R.
around.
[Cheers and applause.]
Jordan? Jordan.
I need a minute.
All right.
Cheers.
All: Cheers.
- T.
C.
- Yeah? Base commander asked me to bring you a SAT phone.
- You have a call from Texas.
- Texas? You're kidding.
For an American, you're tougher than I thought.
I think you'll fit in here.
I guess we'll find out.
Man: As long as the skies are blue Just received this text from our legal department.
Oh, boy.
Okay.
[Gasps.]
Jordan, how's Annie? Why else would you be calling me? Everybody, um, I got some news here that you all might wanna hear.
[Voice breaking.]
Um, at 9:37 last night, Dr.
Christopher Zia and his daughter, Lynn, were in a head-on collision with a drunk driver on the Pacific Coast Highway.
[Whispers.]
Topher? They were flown by chopper to San Francisco General.
There were no survivors.
Jordan: [Voice breaking.]
I'm sorry, T.
C.
[Helicopter blades whirring.]