The Night Shift (2014) s04e03 Episode Script
Do No Harm
1 [Whirring.]
- The plaque was a great idea.
- [Blows air.]
Always Topher's command post, looking out You know, I figured it was a good way to keep his memory going.
Yeah, new people or patients ask, "What's this 'Topher's Corner'?" And we can say, "Let me tell you a little something about Topher.
" Been a month, and I still sometimes forget he's gone.
It's like I think I see him, but I don't.
Yeah.
I don't think that goes away for a while.
No.
Whoa! Whoa! Hey, hey, hey.
Come on, that'll leave a stain there.
Watch where you're putting that.
Not on Topher's Corner.
Are you kidding me? Relax.
I wasn't putting it on there.
I wouldn't do that to Topher.
Back off, Kenny.
Well, I wouldn't put it past you.
You are a slob.
You should see her crusty dishes in the sink, man.
- It's ridiculous.
- Me? Yeah, you.
Would a courtesy flush kill you now and then? 'Cause it's killing me.
No, no, no.
We're not doing this, okay? Leave your roommate wars at home, both of you.
What would Topher say if he saw you fighting like this? Hmm? - "You gonna finish those chips?" - [Laughs.]
Yeah, that and, "Yo, I-I have kids at home.
" "I don't need to hear this garbage here.
Get back to work.
" Exactly.
So get back to work.
Curtain 1.
[Whirs.]
[Chuckles.]
- [Curtain rings swoosh.]
- Mr.
Apone, I'm Dr.
Rivera.
I'll be handling your V.
A.
appointment.
Annie? I thought you were in rehab.
Hi, Shannon.
It's nice to see you, too.
Can you get Scott, please? [Siren wailing.]
Sorry we didn't get here sooner, but the winds grounded the chopper.
What do we got? Oil field workers switching out a wellhead sparked an explosion.
Hey, Sara.
54-year-old with complete left hand amputation status - post tourniquet.
- Okay.
Any other injuries? No trauma other than a facial lac, but he did develop abdominal pain and vomited after 10 of morphine.
Said he never had opiates before.
- Vitals? - Tachy in the 120s, BP's stable.
All right.
Hang another liter.
We'll see you at the hospital.
- This way.
- [Radio chatter.]
- Do you do these a lot? - Yeah.
When they can't move the patient, they call us.
- He's up there.
Name's Travis.
- Cain: Wow.
This is a new one.
[Siren wailing in distance.]
There you go, Doc.
[Grunting.]
Travis, my name is Dr.
Alexander.
This is Dr.
Diaz.
We're gonna get down from here.
How's that sound? It sounds good.
And you brought him here? To me? I know this is upsetting, but this is the V.
A.
now.
He didn't have a choice.
He's been waiting months to see a cardiac surgeon.
- [Indistinct conversations.]
- [Scott sighs.]
Look, can we just Come on.
Look, I don't want to be here.
I know everyone still sees me as a narcotics-stealing addict.
But you have to believe I came because this is important.
Being back in rehab has been really hard for Alan.
And I want to support him.
But I'm here for both of you.
[Alert tone sounds.]
Woman: Prep Trauma 1.
Critical patient in-house.
I know this isn't easy, but just see him.
You don't have to talk about your past.
Just be his doctor.
- I can't.
I'm sorry.
- [Siren wailing in distance.]
I can't be the lead on this, but he will still get his five-star treatment, I promise you.
- Scott - Paul, you're up.
Uh, right.
I will - get an echo on Alan Apone.
Got it.
- Thank you.
Lee Harris.
Increased pain in the wrist and abdomen.
Bumpy ride in the oil field.
Mr.
Harris, I'm Dr.
Clemmens with surgery.
This here is Dr.
Alister.
- All right, he's going to Trauma 1.
- Okay.
We got it from here.
- T.
C.
: Oh, goal! - Amira: Whoo! [Laughs.]
Yeah! - [Speaks Arabic.]
- [Laughs.]
- [Cellphone rings.]
- [Children shouting playfully.]
[Ring.]
[Ring, beep.]
Ooh.
Who's Janet? International booty call? [Chuckles.]
Sorry.
Sorry.
Yeah, it's your friend Topher's wife.
No, widow.
[Exhales deeply.]
He made me executor of his will.
I always figured he'd be executor of mine first.
I know he did, too.
[Chuckles.]
Does she need you to come back? No.
She's not ready to see me yet.
Still too hard for her.
What about when you see her? [Children laughing.]
It's time to go, ladies.
Ready when you are.
[Scoffs.]
Still not a lady.
I'll keep that in mind, Princess.
[Amira chuckles.]
Beautiful day for immunizations, don't you think? I don't know about you, but I'm not here for vitamins and vaccines.
We don't have supplies for that.
[Lowered voice.]
I might've slipped some into the Humvee.
Just 'cause people tell you what to do doesn't mean you gotta do it.
Wow.
Okay.
- Let's do it.
- Yeah.
[Siren wailing in distance.]
Jordan: All right, Captain, where we at? We shut off and stabilized the pump jack.
We're ready to cut him down, but we're afraid That the counterbalance will slip and he'll bleed out.
I think we can pull him off there.
There's two of us.
We can handle it.
- No.
No, it's too dangerous.
- No, I don't think so.
Hey, I'm calling the shots here.
They're gonna cut him down, we're gonna stabilize him, and then they're gonna remove the post in the OR.
- Okay.
Well, at least let me do it.
- Please.
All right, you're the boss.
[Groaning.]
Jordan: All right, Travis, I need you to stay calm.
- What are they doing? - They're going to cut you off.
- With this thing still in me? - We have to leave it in there because it's stopping the bleeding.
- [Saw buzzing.]
- Hey! Slowly.
If that lurches, they're both dead.
He's gonna cut right there?! Hey, hey, Travis, look at me.
I'm gonna be with you the whole time.
All right? I've got you.
I'm just gonna cover you for safety.
[Saw buzzing.]
Good? Here, give me your hand.
[Saw buzzing.]
[Whirring.]
[Children shouting playfully.]
- [Snap.]
- Aah! [Indistinct conversations.]
Shukran.
He says, "Thank you.
" Yeah.
I got that.
You know, you don't have to babysit me.
I was a Ranger.
That impress the nurses back home? Why don't you go get your secret Intel? I'm good here.
Yeah, I'm sure you are.
[Woman shouts in Arabic.]
Help, Doctors! I'm Dr.
Callahan.
- Hey.
What's going on? - [Translate in Arabic.]
[Speaking Arabic.]
It's his stomach.
He's been puking.
[Speaks Arabic.]
Uh, help him.
Please.
He's severely dehydrated.
- Has this ever happened before? - [Speaks Arabic.]
[Speaks Arabic.]
- Not like this.
- [Vomits.]
He has a surgical abdomen, possible malrotation with the volvus.
You wanna say that in English? Yeah, his intestine is twisted and his bowel is dying.
He needs surgery.
T.
C.
, a minute.
Let's make him comfortable.
Get him some fluids No, no, no, no.
We need to open him up.
- He needs to go to the OR now.
- On the base? That's impossible.
I want to help him.
I do.
But even if we could transport him, they'll never let him onto the base.
Because if they do, they'll have thousands at the gate the next day.
I'm not gonna let an 8-year-old boy die - who could easily be saved.
- Nothing is easy here.
The Army lets us help these people because it helps them.
We screw that up, they shut us off.
It's happened to me before.
And then hundreds die, not just one.
That's the deal.
It's your deal.
It's not mine.
Okay, I got him.
Here we go.
[Defibrillator whines, thump.]
Dilaudid going in for pain.
Be right back with the antibiotics.
And we're gonna need x-rays for his hand and arm.
On it.
[Moaning.]
Sir, you feeling a little bit better? - A little bit, yeah.
- All right, good.
[Inhales sharply, grunts.]
I gotta know.
What's gonna happen with my hand? [Inhales sharply.]
- Am I gonna lose it? - Well, we don't know yet.
I'm gonna take a good look at it now.
- [Groans.]
- So how'd this happen? Blast exploded the wellhead.
I ducked and covered, and a chunk came right at me and [Exhales deeply.]
Well, I guess you know the rest.
Sounds like you did the right thing.
You don't work oil fields 17 years without some scares.
Never thought it'd take my hand, though.
- How's your abdominal pain? - Better, actually.
You must've gave me some good drugs.
[Laughs.]
Kenny: Radiology's ready for you.
Hey.
Kenny's gonna take you for some x-rays.
Let me know if that abdominal pain returns.
[Sighs.]
I'm gonna need you to prepare him.
The state of that arm I don't think we're gonna be able to save his hand.
Great.
His job's hard enough to do with two hands.
How's he going to do it with one? Maybe the tests will tell a different story, - but I wouldn't count on it.
- [Bin lid opens.]
[Siren wailing.]
- How you doing, Travis? - [Groans.]
It hurts.
Morphine will help with that.
You took a hell of a chance out there tonight.
That pump jack slips, you could have been caught.
I try not to think about it.
Maybe you should before you go up there again.
So it's okay for you to go out there, but not for me? Yes, because I'm more expendable.
Wow.
You don't have a God complex like the rest of us? I used to, but my old life in México beat it out of me.
It's pretty rough down there, huh? I was referring to my ex-wife.
[Chuckles.]
Anyway, his BP is a little lower 'cause of the morphine.
I'm gonna hang a liter, if that's okay with you, boss? [Siren continues wailing.]
[Monitor beeping steadily.]
What about Scott? I thought my appointment was with him.
Scott got pulled onto another case.
Dr.
Cummings and I will take it from here.
But I'll talk to him later, right? I-I think it'd be really good - if I talked to him about - You know what? We'll see.
Right now let's just focus on getting you better.
- Okay? - Okay.
I understand you have a history of bicuspid aortic regurgitation, and you've been having chest pains.
Yes, on and off.
No pain now.
Okay.
Well, we'll do a cardiac workup with an echo to check your valve, and then we can discuss treatment options based on your results.
Will the discussion be with Scott? Um well, we'll have to see who's available.
I need to make my amends.
Am I not going to? Let's talk about it later.
Look, it's my fault he relapsed last year.
Alan, stop.
I was his sponsor Alan! Look, I was messed up myself.
[Sighs.]
He hit that kid, and I told him it was okay to take a drink.
I-I-I need to apologize.
We need a minute.
Yeah.
Uh, we will be right outside.
- I need to talk to him.
- You can't talk to him.
So much for Anonymous.
Man, that was more than I ever needed to know about my boss' personal life.
Yeah.
Hey, uh, do do you think I should ask Scott to talk to him? Alan seems really upset, and I don't really want him to go into surgery with unresolved None of that 12-step crap is gonna make him any more or less ready for surgery.
Right.
I mean, studies have shown that if you, uh I'm not talking about studies, Paul.
I'm talking about personal experience, which you don't have, so leave it alone.
Well, I've treated plenty of addicts before.
But you've never been one.
Believe me, the last thing anyone needs is a naive 27-year-old giving them life advice.
I'm sorry, I know you're trying to help.
But it won't.
[Alert tone sounds.]
Okay.
Um Yeah, better get back to it then.
Hey, look.
Look, all I'm saying is that Paul had to wait for two months before they let him in the field.
Cain's already out there with Jordan.
- It's been, what, a few weeks? - Yeah, well, Paul was an intern, and Cain was an attending at an ER in Mexico.
I bet you wish you knew that before you hazed him.
Look, he was a nurse working under me.
Okay? And I didn't haze him.
I told him to stop acting like a doctor.
- Which he was.
- Which I didn't know.
Look, all I'm saying is that the guy Look, he just started, and he already thinks he runs the place.
So you better start kissing his ass - before you are out of a job.
- [Elevator bell dings.]
- I ain't kissing his ass.
- [Speaks indistinctly.]
Hassan needs the OR.
The OR is on the base.
- All we need is a ride.
- I already said no.
- Let me talk to your CO.
- As far as you're concerned, I'm your final say on transport.
So you're just gonna let him die? I'm sorry, Doc.
It's outta my control.
I'm just gonna get one of the villagers to give us a ride.
- No, you will not.
- You Hey.
Hey.
It's a security risk.
You need to let this go, Callahan, because it's not gonna happen.
[Crying.]
[Speaks Arabic, sniffles.]
[Shouting in Arabic.]
She says her son needs your help.
I know what she said.
Okay, he's dying, and it's all on you.
[Crying.]
Doctors my son [Monitor beeping steadily.]
So you were saying you never switched to a day job.
No, sir.
Didn't have a choice.
Didn't want to lose my job.
Already messed things up with my ex-wife.
Don't wanna be a deadbeat dad, too.
It's hard to imagine a deadbeat dad working 17 years of night shifts.
Mm.
You got kids? - [Glove snaps.]
- Uh, one.
So you know.
Do whatever it takes, right? - [Door opens.]
- Hey, Drew? - You got a minute? - Yeah.
Hey wait, wait, wait.
Is this about me? Just don't be whispering in the corner.
I can take it.
Okay.
[Exhales.]
Lee, I'm sorry to say that with your arm in its current state, it's not a viable option for us to reattach your hand.
So that's it? It's gone? - But - No hand? - Well - Won't be able to work, put on my damn pants, play catch with my kid.
- Well - Y'all can't take my hand.
- I need my hand.
- Listen, listen.
There is one possible option, but it is a real Hail Mary.
Please.
What whatever it takes to save it, I'll do it.
I'll sign it.
Okay.
We can try and attach your hand to your leg while your arm heals.
Wait.
What? [Clears throat.]
Ohh.
It's an innovative approach.
How it works is, the healthy blood vessels in your leg keep your hand alive while your arm heals.
And once we restore normal blood flow to your arm, we reconnect your hand.
It's out there, but it has worked.
So my hand will be on my leg? Yeah.
For a while.
It might be your only option of saving your hand.
If it works.
Look, I can explain a lot more to you on our way up to the OR, but we'd have to do surgery right away while your hand is still viable.
Do it.
Do it, man.
I'm all in for a chance.
Okay.
- [Inhales deeply.]
- [Clattering.]
My my stomach.
[Inhales sharply, gags.]
- Hey - [Vomits.]
- [Gasps, grunts.]
- Hey.
His abdomen is diffusely tender.
Let's get him straight to C.
T.
Drew, we gotta get this abdominal issue resolved now.
If he's not cleared for surgery in the next hour He loses any chance of keeping his hand.
I'm on it.
[Siren wailing.]
[Thud, tires screech.]
[Monitor beeping rapidly.]
We got you.
Are you okay? [Monitor continues beeping rapidly.]
- You guys okay? - Yeah.
You? I'm all right.
I blew a tire.
I gotta call in another rig.
Hey, what's the ETA? 15 to 20.
He's never gonna make it.
He's got a cardiac tamponade.
Okay, we do this now.
You ready, boss? - Yeah.
Okay.
- On you.
All right.
On three.
One, two, three.
[Squish.]
I'll intubate.
You can open him up.
[Monitor beeping erratically.]
Here.
[Erratic beeping continues.]
Your tests came back negative for coronary artery disease, but you have a large aortic aneurysm that's causing your chest pain.
What does that mean? We need to operate immediately.
We're gonna admit you to the hospital and get you optimized for surgery.
Who's doing the surgery? Dr.
Gordon, the day shift surgeon.
He's on his way right now.
You've got the best cardiothoracic surgeon in the county in Scott, and you're bringing in Dr.
Garden? Uh, D-Dr.
Gordon, actually.
Yeah, that is not happening.
[Knocks on door.]
Hey, bud.
How's he doing? He's about to lose his hand.
How do you think he's doing? [Door closes.]
Sorry, man.
I was just checking in on you.
- [Door opens.]
- Sorry.
I'm frustrated.
I can't figure it out.
He's got stomach pains one minute, he's got none the next.
I've eliminated a ton of things, but I still can't find out what's causing it.
Scott's waiting on the C.
T.
and the labs.
Maybe he can figure it out.
How long before Lee's hand is no longer viable? 35 minutes.
[Huffs.]
[Clatter.]
This guy there but by the Grace of God go I.
What do you mean? He's like everybody I grew up with.
He's hard-working, he's blue collar, busts his ass trying to provide.
And he finds himself on the verge of 40 with nothing.
Only reason I have anything is because I got lucky.
[Scoffs.]
Come on.
I wouldn't call what you have luck.
I'd call it the residue of hard work.
You think he doesn't work as hard as me? I just happened to be in the right place at the right time.
I joined the Army, someone saw my potential, then they helped me become a doctor.
Here I am.
My cousins? My friends? Their jobs are all gone, and they're not coming back.
Yeah, it can be a cold world.
I'm definitely a thankful man.
But I have faith you're gonna figure this out.
And if I don't, he doesn't just lose his hand.
He loses everything.
[Indistinct conversations.]
Heard about the accident.
Are you sure you're okay? Yeah, we're fine, but I don't know if Travis is gonna make it.
- What happened? - Cardiac laceration.
Cain did a thoracotomy and stapled him up, but Travis needs an OR now.
Where is Scott? He's tied up with his patient.
- I called in the back-up team.
- Okay.
Thank you.
[Breathing heavily.]
- Thanks, Dr.
Alexander.
We got it from here.
- Okay.
[Panting.]
Holy crap.
We just did that.
Yeah.
Yeah, we did, boss.
[Sighs.]
[Air hissing.]
[Exhales sharply.]
Okay, his BP's coming back.
[Groans.]
Mama.
[Speaks Arabic.]
He needs an OR.
We We really have to get him to the base.
All we can do is make him comfortable.
You're not in Texas anymore.
We don't get happy endings here.
- We're in a war zone.
- [Water splashing.]
Thanks.
I hadn't noticed that.
Don't get their hopes up when you can't control the outcome.
First rule of doctoring.
[Sighs.]
Yeah, I thought the first rule of doctoring is "Do no harm.
" Well, you are doing harm.
You just can't see it.
I've been here.
I can.
Or maybe you've stopped trying.
I've stopped trying? You've been here, what, a month? And you'll probably be gone in another month.
I've been here three years and I'm never leaving.
So don't tell me I've stopped trying.
- I just meant - No, that you're an American who has choices.
These people don't, and neither do I.
I broke the rules once.
They kicked me out for six months.
I had to beg on my hands and knees to be let back in.
You don't Do you know how many people were lost that I could have saved? You don't think that still weighs on me? So do I have to sacrifice one to save a hundred sometimes? Yes.
I don't want to sacrifice any.
Well, then you're in the wrong place.
Look, I think it's great you're here, actually making a difference.
But if you're gonna be here, you have to follow the rules or you'll ruin it for everyone.
[Door opens, closes.]
That kid still good to travel? - No, he's in no condition.
- Yeah.
He's good.
He's been cleared for transport.
We're taking him back to base.
- What? How? - Hey.
[Lowered voice.]
Learn to take a win.
Okay? Let's go.
Are you kidding me with this? Dr.
Gordon has just as much experience doing these as I do.
It's a standard procedure.
And yet, if this were anybody else besides Alan, you'd be doing the surgery.
He needs you.
Yeah, and where was he when I needed him? [Telephone ringing in distance.]
Look, I know what he's here to do, and I don't want to hear it.
Okay? He was my sponsor, Annie.
My sponsor.
And he brought me a drink.
And you took it.
I'm sorry, Scott.
I know this brings up all kinds of issues, but you have to take responsibility.
Please don't quote program to me.
Maybe you need to have the program quoted to you.
[Sighs.]
Look, if you don't wanna do the surgery because it cuts too close to home, then fine.
But you have to at least talk to him.
- No, I don't.
- He's scared to death, Scott.
That can't be good for his surgery.
- He wants to make amends.
Let him.
- [Sighs deeply.]
You can't keep punishing him for one mistake.
That mistake cost me my sobriety.
[Sighs.]
And he wants to apologize.
Malik gave you another chance.
You can't give one to Alan? [Alert tone sounds.]
Woman over PA: Code blue.
ICU room 4.
[Rapid footsteps.]
That's Alan.
Come on! [Monitor beeping rapidly.]
- What happened? - The aneurysm ruptured.
24 at the lip.
Usual settings.
- I don't understand.
- He's gonna be okay.
I'm taking him up to the OR right now to repair the aneurysm.
Paul, you jump in with Drew.
I got this.
So you're going to do the surgery? It's the only chance he's got now.
Paul, tell the OR we're on our way.
[Monitor continues beeping rapidly.]
[Indistinct conversations, phones ringing.]
Hey, uh, so Scott tagged out.
He's in the OR with an aneurysm rupture.
But Kenny filled me in.
Any news on Lee's results? Not a lot.
C.
T.
's negative.
Hemoglobin's a 9.
I'm sending a repeat and type and cross.
But I'm running out of time.
Abdominal pain, memory loss, vomiting.
Yep.
[Phone continues ringing.]
Son of a bitch.
That's it.
- What is it? - It's lead poisoning.
Lead poisoning? Yeah, look at the look at the lead lines on his bones.
I've never seen that before.
Nice catch.
[Chair wheels roll.]
Can you handle the chelation therapy in the OR? - We got about 15 minutes.
- Yeah, definitely.
- I'll tell the microsurgeon to scrub in.
- Perfect.
Annie.
Hey.
I heard you were here.
Look, whatever you wanna say to me, I've already heard tonight.
I'm sorry I stole the pills a month ago.
I know you all trusted me.
I jeopardized your job - Hey.
Hey.
- [Exhales sharply.]
I wasn't even gonna go there.
Might as well.
Everybody else has.
I'm sorry to hear that.
I'm sorry.
So, um Shannon says that Scott is operating on Alan.
You know him? Uh, well, no, but he's mentioned him.
I mean, he always tried to keep his recovery separate.
- Easier said than done.
- Yeah.
- [Inhales deeply.]
- So how was Scott? Not happy about me bringing Alan here.
He made that clear.
What was I supposed to do? You're the V.
A.
now.
Alan's a vet.
You did the right thing.
You did.
Yeah, it's just complicated.
My middle name.
[Chuckles dryly.]
Apparently, it's mine, too.
[Chuckles dryly.]
So, um if you have a minute, I would really like to talk to you about T.
C.
Ah, the light stuff.
Yeah, I talked to him yesterday.
Really? Uh, should we go get a coffee? Yeah.
We might need it.
[Indistinct conversations.]
So we'll start treating you for lead toxicity in the OR.
That won't mess with saving my hand? No, not at all.
We should talk about how you got exposed in the first place.
Uh, working with batteries, hanging out in car shops.
- Any of that sound right? - No.
What about lead paint? It's usually kids eating paint chips.
You haven't been doing that, have you? - I think I'd remember that.
- Right.
Hey, Lee, I'd like you to meet Dr.
Dominguez, our specialist.
You are gonna attach my hand to my leg? With the help of Dr.
Cummings here, yes.
[Sighs.]
Y'all think I can get some water first? The stuff at work sucks.
Uh, we actually we can't give you water before surgery.
Sorry.
[Sighs.]
Back that up, Lee.
What do you mean, the water at work sucks? Sucks how? You know, like really nasty egg water.
We try to avoid it, really, but at the end of a shift, you take whatever's wet.
Right.
Um, how long has it been like that? I don't know.
Since I've been there.
Years.
Mr.
Harris, I'd like to discuss the procedure with you - before we go upstairs.
- All right.
If the water at the workplace is contaminated We gotta test every worker in the oil field for lead poisoning.
Lee might not be the only one.
Hey.
Why are we stopping? We gotta get him there.
Not until the Colonel vets the mom on the Intel.
She's lying, we turn this circus around and head back.
What, we just let him die? Getting his hopes up is not my problem.
That's on you.
- Man: Colonel's ready! - Bring her in! [Speaks Arabic.]
[Speaks Arabic.]
[Whispers.]
Here.
Let me help.
Okay.
[Indistinct conversations.]
Did she tell you what she has? That's above my pay grade.
"Mongo just pawn in game of life.
" "Blazing Saddles"? It's a movie.
Used to watch it with my grandparents.
- [Gasping.]
- Oh.
Oh, he's seizing.
Must be the hypoglycemia.
[Speaks Arabic.]
Are you sure this is going to work? It's all we've got.
Just just slam it.
There's not much time.
We've gotta get him to an OR now! Come on! I think T.
C.
's doing what he needs to do to process the loss.
You know, as long as he's in Syria, Topher's death doesn't seem as real to him, you know? Yeah.
I agree.
You know, it's just so dangerous over there, and it's getting worse every day.
And you know T.
C.
He sees danger, he goes right toward it.
[Sighs.]
I don't wanna lose him, too.
I know that feeling.
Hell, I lived it.
But at some point, you gotta let it go.
That worry I mean, it's not gonna do them any good, or you.
Whatever happens will happen.
You can't control it from 10,000 miles or 10 feet.
So when we can let ourselves off the hook it feels like peace.
You sound like you're in a really good place.
I am.
I really am.
I finally think, fingers crossed, I've figured out the answer.
Yeah.
Look [Sighs.]
I made these apologies before - Annie, you don't have to.
- No, I-I do.
You don't have to apologize.
No, I really do, because this time, it's real and honest.
[Sighs.]
I hated you because T.
C.
loved you.
Wh What are you Because I was in love with T.
C.
Don't get me wrong.
I loved Thad, but I was in love with T.
C.
I knew nothing would ever come of it, but I held out hope for a while.
And then he met you.
And that was it.
He was done for.
[Voice breaks.]
So I blamed you for all my problems instead of the booze and the pills I was taking.
[Sighs.]
I'm sorry to hit you with all this right now.
I just I don't feel like I've ever really been honest with you.
I need to finally set things right.
I don't know what to say.
You don't have to say anything.
Just just know how sorry I am for hurting you [Voice breaking.]
and for hurting T.
C.
with all my crap.
I just was in so much pain, I-I didn't realize that you were the best friend I ever could have had.
I'm sorry.
No, Annie, I wasn't always the best, either.
And I-I'm sorry.
I'm really sorry.
[Sniffles.]
[Exhales sharply.]
[Monitor beeping steadily.]
Hey, Lee.
How you feeling? Little light-headed.
[Breathes sharply.]
[Inhales slowly.]
Did you do it? We did it.
We believe you'll make a full recovery and be able to return to work.
Can I see it? Um, yes.
Yes, you can.
But remember, it's temporary, okay? It's only gonna look like this for a few months.
Then we're gonna have to put it back where it actually belongs.
On my ass.
- [Chuckles.]
- [Chuckles.]
Sure.
Seriously, man, thank you.
Thank you so much.
You saved my life.
You saved my livelihood.
Of course, now I'm-a have to take two jobs now to pay for this, I guess.
Uh, I don't think you have to worry about that.
I think your company is gonna be paying for it for a long time.
Ready to take a look? Yeah.
Serve her up.
Here we go.
Oh [Exhales sharply.]
Now, that is a conversation starter, ain't it? It is that.
Yeah.
[Exhales sharply.]
- Ready to see your family? - [Whispers.]
Yeah.
- Thank you, boys.
- Absolutely, man.
Hell of a job, Drew.
You never quit.
Hey, neither did you.
Or neither did Lee.
It's the way it should be, right? Yeah.
All right, Mollie, let us know if Travis needs anything, okay? You got it.
I'll call when he wakes up.
- Cain: Keep us posted.
- Yeah.
[Monitor beeping steadily.]
Hey, is that your patient from the oil field? - How's he doing? - Better.
His, uh, family's on the way in now.
You should check his lead level.
We think the water at his work was contaminated.
Company was using an unregulated well.
Son of a bitch.
Flint right here in Texas.
Those lead lines? Yeah.
Found them on his coworker.
All right, we'll get Travis tested.
Cain, do you want to add on Add lead levels to his blood work.
You got it, boss.
We got OSHA and the Texas Board of Health tracking down everybody who ever worked there.
Everyone who came in contact with the water is coming here.
What about the press? I mean, these people need to be exposed.
They need to be punished.
Court of public opinion.
I like the way this guy thinks.
I'm on it.
[Phones ringing.]
So I was replaying the rescue out in the field, and [Sighs.]
your way might have been the right way.
Might have, but might have been wrong, too.
- It all worked out.
- So when you ran your ER, how did you deal with being the one who always had to make the tough decisions? Ah, with great power comes great responsibility.
Did you just quote me Spider-Man as your leadership mantra? Actually, I think Lord Melbourne said a version of that first.
Hmm.
But I do believe in the sentiment.
All right, I'll get his labs tested.
See you later, boss.
Stop calling me "boss.
" Okay, boss.
Amira: We need to get him inside.
He's spiking a fever.
T.
C.
: Come on.
Come on.
What's the holdup? Man: [Whistles.]
They're good! Okay, Doc.
Lucky day.
Mama must've had something real.
- T.
C.
, what did you do? - [Car door closes.]
What did you tell her to say? Let's go! I can't believe you told the mother to give false Intel.
So what? It worked, didn't it? You're playing with fire.
You're just too pigheaded to see it.
Or to care.
It's not a malrotation.
Yeah, I can see that.
Something else must be obstructing his bowel.
No hernia.
No intussusception.
Roundworms.
Ascaris.
Very common here.
But I'm sure you already knew that.
You're the expert on all things Syria.
I'm just trying to help a kid.
We'll have to treat his family, maybe the village with anthelmintics.
It won't be enough.
Do you know how many of these cases I've seen? It's so frustrating.
It's always one step forward, two steps back.
It never ends.
And these families don't have clean water.
And without infrastructure and education So in your mind, we shouldn't have saved him? [Scoffs.]
Please.
You're insufferable.
Are you like this with everybody? [Grunts.]
No wonder they kicked you out of Texas.
Hey, I'm just not wired to give up.
And neither is anybody else here.
[Monitor beeping steadily.]
But I don't know, maybe we've gotten too used to following the rules, used to being told what to do, because we can't do our jobs without them.
So maybe we could use a good dose of T.
C.
Callahan.
Mm.
That sounded dirty.
Glad you caught on.
[Jake McMullen's "If I Go" playing.]
Whenever you're ready.
I'll be here.
We were both new to this and we were running wild Torches in hand, set the world on fire So he'll need to be here for a week or so, but he should make a full recovery.
[Sighs.]
I'm so glad to hear that.
Thank you for stepping in.
I know that wasn't easy.
No.
It was fine, really.
I made him being here a bigger deal than it needed to be.
I should have let him make amends when he wanted to.
It means a lot to Alan.
It's why you brought him in, isn't it? No, I brought him in because he needed the best surgeon.
But I came here because I wanted to see you.
I'm glad you did.
I know you've been holding on to me because you're worried if you let me go, I'll break.
- That's not true.
- Just let me finish.
I'm not gonna break.
In fact, I might even be stronger on my own.
I've always used people as a crutch, from Thad to T.
C to you.
I need to find out what it's like going solo.
But you don't have to be alone.
I want to.
We watched this movie in rehab.
"Wild.
" Have you seen it? Um the hiking one? It's about so much more than that.
[Laughs.]
- Well - But yeah.
Um, Reese Witherspoon goes on this solo hike on the PCT Yeah.
And finds peace there.
- I think I need that.
- Mm-hmm.
Are you sure? I mean, it it sounds pretty extreme.
[Chuckles.]
My bags are already packed.
You're my last goodbye.
Well [Chuckles.]
So are we Breaking up.
But still friends.
I mean, honestly, it's what's the best for both of us, right? We're like the textbook of recovery mistakes I hooked up with the ex of the woman I couldn't stand, while you start dating the sister-in-law of the guy you couldn't stand? They might not ever let us into a meeting again.
[Laughs.]
Well, I know it sounds like that on paper, but I really care about you.
I know you do.
And you're an amazing man.
And I really care about you.
But this girl's gotta hit the trail.
Well, we only just started testing, but almost all of them are coming up positive for lead poisoning.
The company knew the whole time.
I'd like to pin those company's executives to the ground and pour 50 gallons down their throats.
Guess it wouldn't be the wisest thing to do.
No, it would not.
But don't think for a second - that I haven't thought of it either.
- Mm.
So how'd Cain do out there? Seems like he's fitting in, minus the whole Kenny vendetta.
Yeah.
[Laughs.]
I'm gonna have to work on that.
But, you know, as far as being a doctor, he's damn good.
We are lucky to have him.
Topher would have definitely approved.
Good.
Uh, but most of all, I think he would've approved of the job you're doing.
You're our new leader, and we're behind you, and you should know that.
Thank you.
Come here.
Hey.
Now, if you screw up, out you go.
- [Laughs.]
- You're gone.
Thanks, man.
That's a hell of a speech.
- Mm, call me Braveheart.
- Yeah.
[Phones ringing.]
Oh, hey, is is this breakfast, or - God, no.
- [Jar thuds.]
Oh.
Wow.
Shannon, you ever hear the story about Paul's first day here? Don't spoil it for me.
I'm waiting for the movie.
So Paul was showing off his juggling skills, right? [Laughs.]
But what he didn't know was that the things he was juggling came straight from the butt box.
- Okay, this is relevant how? - [Laughs.]
That's that's the first day you met Topher, right? And then, you you reached out and shook his hand.
You you should've seen Topher's face.
He ran to the bathroom as fast as he could and scrubbed his hands like a surgeon.
[Laughs.]
He wouldn't shake my hand for a month after that.
[Laughs.]
Oh, man.
Anyways, I'll see you guys at home.
Uh, it's clean-up day.
Clean-up day? Kenny: Yeah! Toilets! - [Sighs.]
- [Thud.]
It's my it's my place.
If I want it clean, we're gonna clean.
[Speaks Arabic.]
Shukran.
Ask her what she told them.
[Speaks Arabic.]
[Speaks Arabic.]
[AWOLNATION's "Kill Your Heroes" playing.]
What was it? The truth.
- What does that mean? - I don't know.
This is what I was warning you about.
You can't control anything here.
So whatever Rasha told them, we better hope it was real Intel, because if she set up an ambush or if she's acting on some old vendetta, that's on you.
Later, ladies! What's that you were saying earlier? First do no harm? Don't you worry, we love you more than you know Well, the sun one day will leave us all behind Unexplainable sightings in the sky Well, I hate to be the one to ruin the night Right before your, right before your eyes I say ya kill your heroes And fly, fly, baby, don't cry No need to worry 'cause everybody will die Every day, we just go, go, baby, don't go Don't you worry, we love you more than you know [Latch snaps.]
Well, I met an old man dying on a train No more destination, no more pain Well, he said "One thing before I graduate" "Never let your fear decide your fate" I say ya kill your heroes And fly, fly, baby, don't cry No need to worry 'cause everybody will die Every day, we just go, go, baby, don't go Don't you worry, we love you more than you know
- The plaque was a great idea.
- [Blows air.]
Always Topher's command post, looking out You know, I figured it was a good way to keep his memory going.
Yeah, new people or patients ask, "What's this 'Topher's Corner'?" And we can say, "Let me tell you a little something about Topher.
" Been a month, and I still sometimes forget he's gone.
It's like I think I see him, but I don't.
Yeah.
I don't think that goes away for a while.
No.
Whoa! Whoa! Hey, hey, hey.
Come on, that'll leave a stain there.
Watch where you're putting that.
Not on Topher's Corner.
Are you kidding me? Relax.
I wasn't putting it on there.
I wouldn't do that to Topher.
Back off, Kenny.
Well, I wouldn't put it past you.
You are a slob.
You should see her crusty dishes in the sink, man.
- It's ridiculous.
- Me? Yeah, you.
Would a courtesy flush kill you now and then? 'Cause it's killing me.
No, no, no.
We're not doing this, okay? Leave your roommate wars at home, both of you.
What would Topher say if he saw you fighting like this? Hmm? - "You gonna finish those chips?" - [Laughs.]
Yeah, that and, "Yo, I-I have kids at home.
" "I don't need to hear this garbage here.
Get back to work.
" Exactly.
So get back to work.
Curtain 1.
[Whirs.]
[Chuckles.]
- [Curtain rings swoosh.]
- Mr.
Apone, I'm Dr.
Rivera.
I'll be handling your V.
A.
appointment.
Annie? I thought you were in rehab.
Hi, Shannon.
It's nice to see you, too.
Can you get Scott, please? [Siren wailing.]
Sorry we didn't get here sooner, but the winds grounded the chopper.
What do we got? Oil field workers switching out a wellhead sparked an explosion.
Hey, Sara.
54-year-old with complete left hand amputation status - post tourniquet.
- Okay.
Any other injuries? No trauma other than a facial lac, but he did develop abdominal pain and vomited after 10 of morphine.
Said he never had opiates before.
- Vitals? - Tachy in the 120s, BP's stable.
All right.
Hang another liter.
We'll see you at the hospital.
- This way.
- [Radio chatter.]
- Do you do these a lot? - Yeah.
When they can't move the patient, they call us.
- He's up there.
Name's Travis.
- Cain: Wow.
This is a new one.
[Siren wailing in distance.]
There you go, Doc.
[Grunting.]
Travis, my name is Dr.
Alexander.
This is Dr.
Diaz.
We're gonna get down from here.
How's that sound? It sounds good.
And you brought him here? To me? I know this is upsetting, but this is the V.
A.
now.
He didn't have a choice.
He's been waiting months to see a cardiac surgeon.
- [Indistinct conversations.]
- [Scott sighs.]
Look, can we just Come on.
Look, I don't want to be here.
I know everyone still sees me as a narcotics-stealing addict.
But you have to believe I came because this is important.
Being back in rehab has been really hard for Alan.
And I want to support him.
But I'm here for both of you.
[Alert tone sounds.]
Woman: Prep Trauma 1.
Critical patient in-house.
I know this isn't easy, but just see him.
You don't have to talk about your past.
Just be his doctor.
- I can't.
I'm sorry.
- [Siren wailing in distance.]
I can't be the lead on this, but he will still get his five-star treatment, I promise you.
- Scott - Paul, you're up.
Uh, right.
I will - get an echo on Alan Apone.
Got it.
- Thank you.
Lee Harris.
Increased pain in the wrist and abdomen.
Bumpy ride in the oil field.
Mr.
Harris, I'm Dr.
Clemmens with surgery.
This here is Dr.
Alister.
- All right, he's going to Trauma 1.
- Okay.
We got it from here.
- T.
C.
: Oh, goal! - Amira: Whoo! [Laughs.]
Yeah! - [Speaks Arabic.]
- [Laughs.]
- [Cellphone rings.]
- [Children shouting playfully.]
[Ring.]
[Ring, beep.]
Ooh.
Who's Janet? International booty call? [Chuckles.]
Sorry.
Sorry.
Yeah, it's your friend Topher's wife.
No, widow.
[Exhales deeply.]
He made me executor of his will.
I always figured he'd be executor of mine first.
I know he did, too.
[Chuckles.]
Does she need you to come back? No.
She's not ready to see me yet.
Still too hard for her.
What about when you see her? [Children laughing.]
It's time to go, ladies.
Ready when you are.
[Scoffs.]
Still not a lady.
I'll keep that in mind, Princess.
[Amira chuckles.]
Beautiful day for immunizations, don't you think? I don't know about you, but I'm not here for vitamins and vaccines.
We don't have supplies for that.
[Lowered voice.]
I might've slipped some into the Humvee.
Just 'cause people tell you what to do doesn't mean you gotta do it.
Wow.
Okay.
- Let's do it.
- Yeah.
[Siren wailing in distance.]
Jordan: All right, Captain, where we at? We shut off and stabilized the pump jack.
We're ready to cut him down, but we're afraid That the counterbalance will slip and he'll bleed out.
I think we can pull him off there.
There's two of us.
We can handle it.
- No.
No, it's too dangerous.
- No, I don't think so.
Hey, I'm calling the shots here.
They're gonna cut him down, we're gonna stabilize him, and then they're gonna remove the post in the OR.
- Okay.
Well, at least let me do it.
- Please.
All right, you're the boss.
[Groaning.]
Jordan: All right, Travis, I need you to stay calm.
- What are they doing? - They're going to cut you off.
- With this thing still in me? - We have to leave it in there because it's stopping the bleeding.
- [Saw buzzing.]
- Hey! Slowly.
If that lurches, they're both dead.
He's gonna cut right there?! Hey, hey, Travis, look at me.
I'm gonna be with you the whole time.
All right? I've got you.
I'm just gonna cover you for safety.
[Saw buzzing.]
Good? Here, give me your hand.
[Saw buzzing.]
[Whirring.]
[Children shouting playfully.]
- [Snap.]
- Aah! [Indistinct conversations.]
Shukran.
He says, "Thank you.
" Yeah.
I got that.
You know, you don't have to babysit me.
I was a Ranger.
That impress the nurses back home? Why don't you go get your secret Intel? I'm good here.
Yeah, I'm sure you are.
[Woman shouts in Arabic.]
Help, Doctors! I'm Dr.
Callahan.
- Hey.
What's going on? - [Translate in Arabic.]
[Speaking Arabic.]
It's his stomach.
He's been puking.
[Speaks Arabic.]
Uh, help him.
Please.
He's severely dehydrated.
- Has this ever happened before? - [Speaks Arabic.]
[Speaks Arabic.]
- Not like this.
- [Vomits.]
He has a surgical abdomen, possible malrotation with the volvus.
You wanna say that in English? Yeah, his intestine is twisted and his bowel is dying.
He needs surgery.
T.
C.
, a minute.
Let's make him comfortable.
Get him some fluids No, no, no, no.
We need to open him up.
- He needs to go to the OR now.
- On the base? That's impossible.
I want to help him.
I do.
But even if we could transport him, they'll never let him onto the base.
Because if they do, they'll have thousands at the gate the next day.
I'm not gonna let an 8-year-old boy die - who could easily be saved.
- Nothing is easy here.
The Army lets us help these people because it helps them.
We screw that up, they shut us off.
It's happened to me before.
And then hundreds die, not just one.
That's the deal.
It's your deal.
It's not mine.
Okay, I got him.
Here we go.
[Defibrillator whines, thump.]
Dilaudid going in for pain.
Be right back with the antibiotics.
And we're gonna need x-rays for his hand and arm.
On it.
[Moaning.]
Sir, you feeling a little bit better? - A little bit, yeah.
- All right, good.
[Inhales sharply, grunts.]
I gotta know.
What's gonna happen with my hand? [Inhales sharply.]
- Am I gonna lose it? - Well, we don't know yet.
I'm gonna take a good look at it now.
- [Groans.]
- So how'd this happen? Blast exploded the wellhead.
I ducked and covered, and a chunk came right at me and [Exhales deeply.]
Well, I guess you know the rest.
Sounds like you did the right thing.
You don't work oil fields 17 years without some scares.
Never thought it'd take my hand, though.
- How's your abdominal pain? - Better, actually.
You must've gave me some good drugs.
[Laughs.]
Kenny: Radiology's ready for you.
Hey.
Kenny's gonna take you for some x-rays.
Let me know if that abdominal pain returns.
[Sighs.]
I'm gonna need you to prepare him.
The state of that arm I don't think we're gonna be able to save his hand.
Great.
His job's hard enough to do with two hands.
How's he going to do it with one? Maybe the tests will tell a different story, - but I wouldn't count on it.
- [Bin lid opens.]
[Siren wailing.]
- How you doing, Travis? - [Groans.]
It hurts.
Morphine will help with that.
You took a hell of a chance out there tonight.
That pump jack slips, you could have been caught.
I try not to think about it.
Maybe you should before you go up there again.
So it's okay for you to go out there, but not for me? Yes, because I'm more expendable.
Wow.
You don't have a God complex like the rest of us? I used to, but my old life in México beat it out of me.
It's pretty rough down there, huh? I was referring to my ex-wife.
[Chuckles.]
Anyway, his BP is a little lower 'cause of the morphine.
I'm gonna hang a liter, if that's okay with you, boss? [Siren continues wailing.]
[Monitor beeping steadily.]
What about Scott? I thought my appointment was with him.
Scott got pulled onto another case.
Dr.
Cummings and I will take it from here.
But I'll talk to him later, right? I-I think it'd be really good - if I talked to him about - You know what? We'll see.
Right now let's just focus on getting you better.
- Okay? - Okay.
I understand you have a history of bicuspid aortic regurgitation, and you've been having chest pains.
Yes, on and off.
No pain now.
Okay.
Well, we'll do a cardiac workup with an echo to check your valve, and then we can discuss treatment options based on your results.
Will the discussion be with Scott? Um well, we'll have to see who's available.
I need to make my amends.
Am I not going to? Let's talk about it later.
Look, it's my fault he relapsed last year.
Alan, stop.
I was his sponsor Alan! Look, I was messed up myself.
[Sighs.]
He hit that kid, and I told him it was okay to take a drink.
I-I-I need to apologize.
We need a minute.
Yeah.
Uh, we will be right outside.
- I need to talk to him.
- You can't talk to him.
So much for Anonymous.
Man, that was more than I ever needed to know about my boss' personal life.
Yeah.
Hey, uh, do do you think I should ask Scott to talk to him? Alan seems really upset, and I don't really want him to go into surgery with unresolved None of that 12-step crap is gonna make him any more or less ready for surgery.
Right.
I mean, studies have shown that if you, uh I'm not talking about studies, Paul.
I'm talking about personal experience, which you don't have, so leave it alone.
Well, I've treated plenty of addicts before.
But you've never been one.
Believe me, the last thing anyone needs is a naive 27-year-old giving them life advice.
I'm sorry, I know you're trying to help.
But it won't.
[Alert tone sounds.]
Okay.
Um Yeah, better get back to it then.
Hey, look.
Look, all I'm saying is that Paul had to wait for two months before they let him in the field.
Cain's already out there with Jordan.
- It's been, what, a few weeks? - Yeah, well, Paul was an intern, and Cain was an attending at an ER in Mexico.
I bet you wish you knew that before you hazed him.
Look, he was a nurse working under me.
Okay? And I didn't haze him.
I told him to stop acting like a doctor.
- Which he was.
- Which I didn't know.
Look, all I'm saying is that the guy Look, he just started, and he already thinks he runs the place.
So you better start kissing his ass - before you are out of a job.
- [Elevator bell dings.]
- I ain't kissing his ass.
- [Speaks indistinctly.]
Hassan needs the OR.
The OR is on the base.
- All we need is a ride.
- I already said no.
- Let me talk to your CO.
- As far as you're concerned, I'm your final say on transport.
So you're just gonna let him die? I'm sorry, Doc.
It's outta my control.
I'm just gonna get one of the villagers to give us a ride.
- No, you will not.
- You Hey.
Hey.
It's a security risk.
You need to let this go, Callahan, because it's not gonna happen.
[Crying.]
[Speaks Arabic, sniffles.]
[Shouting in Arabic.]
She says her son needs your help.
I know what she said.
Okay, he's dying, and it's all on you.
[Crying.]
Doctors my son [Monitor beeping steadily.]
So you were saying you never switched to a day job.
No, sir.
Didn't have a choice.
Didn't want to lose my job.
Already messed things up with my ex-wife.
Don't wanna be a deadbeat dad, too.
It's hard to imagine a deadbeat dad working 17 years of night shifts.
Mm.
You got kids? - [Glove snaps.]
- Uh, one.
So you know.
Do whatever it takes, right? - [Door opens.]
- Hey, Drew? - You got a minute? - Yeah.
Hey wait, wait, wait.
Is this about me? Just don't be whispering in the corner.
I can take it.
Okay.
[Exhales.]
Lee, I'm sorry to say that with your arm in its current state, it's not a viable option for us to reattach your hand.
So that's it? It's gone? - But - No hand? - Well - Won't be able to work, put on my damn pants, play catch with my kid.
- Well - Y'all can't take my hand.
- I need my hand.
- Listen, listen.
There is one possible option, but it is a real Hail Mary.
Please.
What whatever it takes to save it, I'll do it.
I'll sign it.
Okay.
We can try and attach your hand to your leg while your arm heals.
Wait.
What? [Clears throat.]
Ohh.
It's an innovative approach.
How it works is, the healthy blood vessels in your leg keep your hand alive while your arm heals.
And once we restore normal blood flow to your arm, we reconnect your hand.
It's out there, but it has worked.
So my hand will be on my leg? Yeah.
For a while.
It might be your only option of saving your hand.
If it works.
Look, I can explain a lot more to you on our way up to the OR, but we'd have to do surgery right away while your hand is still viable.
Do it.
Do it, man.
I'm all in for a chance.
Okay.
- [Inhales deeply.]
- [Clattering.]
My my stomach.
[Inhales sharply, gags.]
- Hey - [Vomits.]
- [Gasps, grunts.]
- Hey.
His abdomen is diffusely tender.
Let's get him straight to C.
T.
Drew, we gotta get this abdominal issue resolved now.
If he's not cleared for surgery in the next hour He loses any chance of keeping his hand.
I'm on it.
[Siren wailing.]
[Thud, tires screech.]
[Monitor beeping rapidly.]
We got you.
Are you okay? [Monitor continues beeping rapidly.]
- You guys okay? - Yeah.
You? I'm all right.
I blew a tire.
I gotta call in another rig.
Hey, what's the ETA? 15 to 20.
He's never gonna make it.
He's got a cardiac tamponade.
Okay, we do this now.
You ready, boss? - Yeah.
Okay.
- On you.
All right.
On three.
One, two, three.
[Squish.]
I'll intubate.
You can open him up.
[Monitor beeping erratically.]
Here.
[Erratic beeping continues.]
Your tests came back negative for coronary artery disease, but you have a large aortic aneurysm that's causing your chest pain.
What does that mean? We need to operate immediately.
We're gonna admit you to the hospital and get you optimized for surgery.
Who's doing the surgery? Dr.
Gordon, the day shift surgeon.
He's on his way right now.
You've got the best cardiothoracic surgeon in the county in Scott, and you're bringing in Dr.
Garden? Uh, D-Dr.
Gordon, actually.
Yeah, that is not happening.
[Knocks on door.]
Hey, bud.
How's he doing? He's about to lose his hand.
How do you think he's doing? [Door closes.]
Sorry, man.
I was just checking in on you.
- [Door opens.]
- Sorry.
I'm frustrated.
I can't figure it out.
He's got stomach pains one minute, he's got none the next.
I've eliminated a ton of things, but I still can't find out what's causing it.
Scott's waiting on the C.
T.
and the labs.
Maybe he can figure it out.
How long before Lee's hand is no longer viable? 35 minutes.
[Huffs.]
[Clatter.]
This guy there but by the Grace of God go I.
What do you mean? He's like everybody I grew up with.
He's hard-working, he's blue collar, busts his ass trying to provide.
And he finds himself on the verge of 40 with nothing.
Only reason I have anything is because I got lucky.
[Scoffs.]
Come on.
I wouldn't call what you have luck.
I'd call it the residue of hard work.
You think he doesn't work as hard as me? I just happened to be in the right place at the right time.
I joined the Army, someone saw my potential, then they helped me become a doctor.
Here I am.
My cousins? My friends? Their jobs are all gone, and they're not coming back.
Yeah, it can be a cold world.
I'm definitely a thankful man.
But I have faith you're gonna figure this out.
And if I don't, he doesn't just lose his hand.
He loses everything.
[Indistinct conversations.]
Heard about the accident.
Are you sure you're okay? Yeah, we're fine, but I don't know if Travis is gonna make it.
- What happened? - Cardiac laceration.
Cain did a thoracotomy and stapled him up, but Travis needs an OR now.
Where is Scott? He's tied up with his patient.
- I called in the back-up team.
- Okay.
Thank you.
[Breathing heavily.]
- Thanks, Dr.
Alexander.
We got it from here.
- Okay.
[Panting.]
Holy crap.
We just did that.
Yeah.
Yeah, we did, boss.
[Sighs.]
[Air hissing.]
[Exhales sharply.]
Okay, his BP's coming back.
[Groans.]
Mama.
[Speaks Arabic.]
He needs an OR.
We We really have to get him to the base.
All we can do is make him comfortable.
You're not in Texas anymore.
We don't get happy endings here.
- We're in a war zone.
- [Water splashing.]
Thanks.
I hadn't noticed that.
Don't get their hopes up when you can't control the outcome.
First rule of doctoring.
[Sighs.]
Yeah, I thought the first rule of doctoring is "Do no harm.
" Well, you are doing harm.
You just can't see it.
I've been here.
I can.
Or maybe you've stopped trying.
I've stopped trying? You've been here, what, a month? And you'll probably be gone in another month.
I've been here three years and I'm never leaving.
So don't tell me I've stopped trying.
- I just meant - No, that you're an American who has choices.
These people don't, and neither do I.
I broke the rules once.
They kicked me out for six months.
I had to beg on my hands and knees to be let back in.
You don't Do you know how many people were lost that I could have saved? You don't think that still weighs on me? So do I have to sacrifice one to save a hundred sometimes? Yes.
I don't want to sacrifice any.
Well, then you're in the wrong place.
Look, I think it's great you're here, actually making a difference.
But if you're gonna be here, you have to follow the rules or you'll ruin it for everyone.
[Door opens, closes.]
That kid still good to travel? - No, he's in no condition.
- Yeah.
He's good.
He's been cleared for transport.
We're taking him back to base.
- What? How? - Hey.
[Lowered voice.]
Learn to take a win.
Okay? Let's go.
Are you kidding me with this? Dr.
Gordon has just as much experience doing these as I do.
It's a standard procedure.
And yet, if this were anybody else besides Alan, you'd be doing the surgery.
He needs you.
Yeah, and where was he when I needed him? [Telephone ringing in distance.]
Look, I know what he's here to do, and I don't want to hear it.
Okay? He was my sponsor, Annie.
My sponsor.
And he brought me a drink.
And you took it.
I'm sorry, Scott.
I know this brings up all kinds of issues, but you have to take responsibility.
Please don't quote program to me.
Maybe you need to have the program quoted to you.
[Sighs.]
Look, if you don't wanna do the surgery because it cuts too close to home, then fine.
But you have to at least talk to him.
- No, I don't.
- He's scared to death, Scott.
That can't be good for his surgery.
- He wants to make amends.
Let him.
- [Sighs deeply.]
You can't keep punishing him for one mistake.
That mistake cost me my sobriety.
[Sighs.]
And he wants to apologize.
Malik gave you another chance.
You can't give one to Alan? [Alert tone sounds.]
Woman over PA: Code blue.
ICU room 4.
[Rapid footsteps.]
That's Alan.
Come on! [Monitor beeping rapidly.]
- What happened? - The aneurysm ruptured.
24 at the lip.
Usual settings.
- I don't understand.
- He's gonna be okay.
I'm taking him up to the OR right now to repair the aneurysm.
Paul, you jump in with Drew.
I got this.
So you're going to do the surgery? It's the only chance he's got now.
Paul, tell the OR we're on our way.
[Monitor continues beeping rapidly.]
[Indistinct conversations, phones ringing.]
Hey, uh, so Scott tagged out.
He's in the OR with an aneurysm rupture.
But Kenny filled me in.
Any news on Lee's results? Not a lot.
C.
T.
's negative.
Hemoglobin's a 9.
I'm sending a repeat and type and cross.
But I'm running out of time.
Abdominal pain, memory loss, vomiting.
Yep.
[Phone continues ringing.]
Son of a bitch.
That's it.
- What is it? - It's lead poisoning.
Lead poisoning? Yeah, look at the look at the lead lines on his bones.
I've never seen that before.
Nice catch.
[Chair wheels roll.]
Can you handle the chelation therapy in the OR? - We got about 15 minutes.
- Yeah, definitely.
- I'll tell the microsurgeon to scrub in.
- Perfect.
Annie.
Hey.
I heard you were here.
Look, whatever you wanna say to me, I've already heard tonight.
I'm sorry I stole the pills a month ago.
I know you all trusted me.
I jeopardized your job - Hey.
Hey.
- [Exhales sharply.]
I wasn't even gonna go there.
Might as well.
Everybody else has.
I'm sorry to hear that.
I'm sorry.
So, um Shannon says that Scott is operating on Alan.
You know him? Uh, well, no, but he's mentioned him.
I mean, he always tried to keep his recovery separate.
- Easier said than done.
- Yeah.
- [Inhales deeply.]
- So how was Scott? Not happy about me bringing Alan here.
He made that clear.
What was I supposed to do? You're the V.
A.
now.
Alan's a vet.
You did the right thing.
You did.
Yeah, it's just complicated.
My middle name.
[Chuckles dryly.]
Apparently, it's mine, too.
[Chuckles dryly.]
So, um if you have a minute, I would really like to talk to you about T.
C.
Ah, the light stuff.
Yeah, I talked to him yesterday.
Really? Uh, should we go get a coffee? Yeah.
We might need it.
[Indistinct conversations.]
So we'll start treating you for lead toxicity in the OR.
That won't mess with saving my hand? No, not at all.
We should talk about how you got exposed in the first place.
Uh, working with batteries, hanging out in car shops.
- Any of that sound right? - No.
What about lead paint? It's usually kids eating paint chips.
You haven't been doing that, have you? - I think I'd remember that.
- Right.
Hey, Lee, I'd like you to meet Dr.
Dominguez, our specialist.
You are gonna attach my hand to my leg? With the help of Dr.
Cummings here, yes.
[Sighs.]
Y'all think I can get some water first? The stuff at work sucks.
Uh, we actually we can't give you water before surgery.
Sorry.
[Sighs.]
Back that up, Lee.
What do you mean, the water at work sucks? Sucks how? You know, like really nasty egg water.
We try to avoid it, really, but at the end of a shift, you take whatever's wet.
Right.
Um, how long has it been like that? I don't know.
Since I've been there.
Years.
Mr.
Harris, I'd like to discuss the procedure with you - before we go upstairs.
- All right.
If the water at the workplace is contaminated We gotta test every worker in the oil field for lead poisoning.
Lee might not be the only one.
Hey.
Why are we stopping? We gotta get him there.
Not until the Colonel vets the mom on the Intel.
She's lying, we turn this circus around and head back.
What, we just let him die? Getting his hopes up is not my problem.
That's on you.
- Man: Colonel's ready! - Bring her in! [Speaks Arabic.]
[Speaks Arabic.]
[Whispers.]
Here.
Let me help.
Okay.
[Indistinct conversations.]
Did she tell you what she has? That's above my pay grade.
"Mongo just pawn in game of life.
" "Blazing Saddles"? It's a movie.
Used to watch it with my grandparents.
- [Gasping.]
- Oh.
Oh, he's seizing.
Must be the hypoglycemia.
[Speaks Arabic.]
Are you sure this is going to work? It's all we've got.
Just just slam it.
There's not much time.
We've gotta get him to an OR now! Come on! I think T.
C.
's doing what he needs to do to process the loss.
You know, as long as he's in Syria, Topher's death doesn't seem as real to him, you know? Yeah.
I agree.
You know, it's just so dangerous over there, and it's getting worse every day.
And you know T.
C.
He sees danger, he goes right toward it.
[Sighs.]
I don't wanna lose him, too.
I know that feeling.
Hell, I lived it.
But at some point, you gotta let it go.
That worry I mean, it's not gonna do them any good, or you.
Whatever happens will happen.
You can't control it from 10,000 miles or 10 feet.
So when we can let ourselves off the hook it feels like peace.
You sound like you're in a really good place.
I am.
I really am.
I finally think, fingers crossed, I've figured out the answer.
Yeah.
Look [Sighs.]
I made these apologies before - Annie, you don't have to.
- No, I-I do.
You don't have to apologize.
No, I really do, because this time, it's real and honest.
[Sighs.]
I hated you because T.
C.
loved you.
Wh What are you Because I was in love with T.
C.
Don't get me wrong.
I loved Thad, but I was in love with T.
C.
I knew nothing would ever come of it, but I held out hope for a while.
And then he met you.
And that was it.
He was done for.
[Voice breaks.]
So I blamed you for all my problems instead of the booze and the pills I was taking.
[Sighs.]
I'm sorry to hit you with all this right now.
I just I don't feel like I've ever really been honest with you.
I need to finally set things right.
I don't know what to say.
You don't have to say anything.
Just just know how sorry I am for hurting you [Voice breaking.]
and for hurting T.
C.
with all my crap.
I just was in so much pain, I-I didn't realize that you were the best friend I ever could have had.
I'm sorry.
No, Annie, I wasn't always the best, either.
And I-I'm sorry.
I'm really sorry.
[Sniffles.]
[Exhales sharply.]
[Monitor beeping steadily.]
Hey, Lee.
How you feeling? Little light-headed.
[Breathes sharply.]
[Inhales slowly.]
Did you do it? We did it.
We believe you'll make a full recovery and be able to return to work.
Can I see it? Um, yes.
Yes, you can.
But remember, it's temporary, okay? It's only gonna look like this for a few months.
Then we're gonna have to put it back where it actually belongs.
On my ass.
- [Chuckles.]
- [Chuckles.]
Sure.
Seriously, man, thank you.
Thank you so much.
You saved my life.
You saved my livelihood.
Of course, now I'm-a have to take two jobs now to pay for this, I guess.
Uh, I don't think you have to worry about that.
I think your company is gonna be paying for it for a long time.
Ready to take a look? Yeah.
Serve her up.
Here we go.
Oh [Exhales sharply.]
Now, that is a conversation starter, ain't it? It is that.
Yeah.
[Exhales sharply.]
- Ready to see your family? - [Whispers.]
Yeah.
- Thank you, boys.
- Absolutely, man.
Hell of a job, Drew.
You never quit.
Hey, neither did you.
Or neither did Lee.
It's the way it should be, right? Yeah.
All right, Mollie, let us know if Travis needs anything, okay? You got it.
I'll call when he wakes up.
- Cain: Keep us posted.
- Yeah.
[Monitor beeping steadily.]
Hey, is that your patient from the oil field? - How's he doing? - Better.
His, uh, family's on the way in now.
You should check his lead level.
We think the water at his work was contaminated.
Company was using an unregulated well.
Son of a bitch.
Flint right here in Texas.
Those lead lines? Yeah.
Found them on his coworker.
All right, we'll get Travis tested.
Cain, do you want to add on Add lead levels to his blood work.
You got it, boss.
We got OSHA and the Texas Board of Health tracking down everybody who ever worked there.
Everyone who came in contact with the water is coming here.
What about the press? I mean, these people need to be exposed.
They need to be punished.
Court of public opinion.
I like the way this guy thinks.
I'm on it.
[Phones ringing.]
So I was replaying the rescue out in the field, and [Sighs.]
your way might have been the right way.
Might have, but might have been wrong, too.
- It all worked out.
- So when you ran your ER, how did you deal with being the one who always had to make the tough decisions? Ah, with great power comes great responsibility.
Did you just quote me Spider-Man as your leadership mantra? Actually, I think Lord Melbourne said a version of that first.
Hmm.
But I do believe in the sentiment.
All right, I'll get his labs tested.
See you later, boss.
Stop calling me "boss.
" Okay, boss.
Amira: We need to get him inside.
He's spiking a fever.
T.
C.
: Come on.
Come on.
What's the holdup? Man: [Whistles.]
They're good! Okay, Doc.
Lucky day.
Mama must've had something real.
- T.
C.
, what did you do? - [Car door closes.]
What did you tell her to say? Let's go! I can't believe you told the mother to give false Intel.
So what? It worked, didn't it? You're playing with fire.
You're just too pigheaded to see it.
Or to care.
It's not a malrotation.
Yeah, I can see that.
Something else must be obstructing his bowel.
No hernia.
No intussusception.
Roundworms.
Ascaris.
Very common here.
But I'm sure you already knew that.
You're the expert on all things Syria.
I'm just trying to help a kid.
We'll have to treat his family, maybe the village with anthelmintics.
It won't be enough.
Do you know how many of these cases I've seen? It's so frustrating.
It's always one step forward, two steps back.
It never ends.
And these families don't have clean water.
And without infrastructure and education So in your mind, we shouldn't have saved him? [Scoffs.]
Please.
You're insufferable.
Are you like this with everybody? [Grunts.]
No wonder they kicked you out of Texas.
Hey, I'm just not wired to give up.
And neither is anybody else here.
[Monitor beeping steadily.]
But I don't know, maybe we've gotten too used to following the rules, used to being told what to do, because we can't do our jobs without them.
So maybe we could use a good dose of T.
C.
Callahan.
Mm.
That sounded dirty.
Glad you caught on.
[Jake McMullen's "If I Go" playing.]
Whenever you're ready.
I'll be here.
We were both new to this and we were running wild Torches in hand, set the world on fire So he'll need to be here for a week or so, but he should make a full recovery.
[Sighs.]
I'm so glad to hear that.
Thank you for stepping in.
I know that wasn't easy.
No.
It was fine, really.
I made him being here a bigger deal than it needed to be.
I should have let him make amends when he wanted to.
It means a lot to Alan.
It's why you brought him in, isn't it? No, I brought him in because he needed the best surgeon.
But I came here because I wanted to see you.
I'm glad you did.
I know you've been holding on to me because you're worried if you let me go, I'll break.
- That's not true.
- Just let me finish.
I'm not gonna break.
In fact, I might even be stronger on my own.
I've always used people as a crutch, from Thad to T.
C to you.
I need to find out what it's like going solo.
But you don't have to be alone.
I want to.
We watched this movie in rehab.
"Wild.
" Have you seen it? Um the hiking one? It's about so much more than that.
[Laughs.]
- Well - But yeah.
Um, Reese Witherspoon goes on this solo hike on the PCT Yeah.
And finds peace there.
- I think I need that.
- Mm-hmm.
Are you sure? I mean, it it sounds pretty extreme.
[Chuckles.]
My bags are already packed.
You're my last goodbye.
Well [Chuckles.]
So are we Breaking up.
But still friends.
I mean, honestly, it's what's the best for both of us, right? We're like the textbook of recovery mistakes I hooked up with the ex of the woman I couldn't stand, while you start dating the sister-in-law of the guy you couldn't stand? They might not ever let us into a meeting again.
[Laughs.]
Well, I know it sounds like that on paper, but I really care about you.
I know you do.
And you're an amazing man.
And I really care about you.
But this girl's gotta hit the trail.
Well, we only just started testing, but almost all of them are coming up positive for lead poisoning.
The company knew the whole time.
I'd like to pin those company's executives to the ground and pour 50 gallons down their throats.
Guess it wouldn't be the wisest thing to do.
No, it would not.
But don't think for a second - that I haven't thought of it either.
- Mm.
So how'd Cain do out there? Seems like he's fitting in, minus the whole Kenny vendetta.
Yeah.
[Laughs.]
I'm gonna have to work on that.
But, you know, as far as being a doctor, he's damn good.
We are lucky to have him.
Topher would have definitely approved.
Good.
Uh, but most of all, I think he would've approved of the job you're doing.
You're our new leader, and we're behind you, and you should know that.
Thank you.
Come here.
Hey.
Now, if you screw up, out you go.
- [Laughs.]
- You're gone.
Thanks, man.
That's a hell of a speech.
- Mm, call me Braveheart.
- Yeah.
[Phones ringing.]
Oh, hey, is is this breakfast, or - God, no.
- [Jar thuds.]
Oh.
Wow.
Shannon, you ever hear the story about Paul's first day here? Don't spoil it for me.
I'm waiting for the movie.
So Paul was showing off his juggling skills, right? [Laughs.]
But what he didn't know was that the things he was juggling came straight from the butt box.
- Okay, this is relevant how? - [Laughs.]
That's that's the first day you met Topher, right? And then, you you reached out and shook his hand.
You you should've seen Topher's face.
He ran to the bathroom as fast as he could and scrubbed his hands like a surgeon.
[Laughs.]
He wouldn't shake my hand for a month after that.
[Laughs.]
Oh, man.
Anyways, I'll see you guys at home.
Uh, it's clean-up day.
Clean-up day? Kenny: Yeah! Toilets! - [Sighs.]
- [Thud.]
It's my it's my place.
If I want it clean, we're gonna clean.
[Speaks Arabic.]
Shukran.
Ask her what she told them.
[Speaks Arabic.]
[Speaks Arabic.]
[AWOLNATION's "Kill Your Heroes" playing.]
What was it? The truth.
- What does that mean? - I don't know.
This is what I was warning you about.
You can't control anything here.
So whatever Rasha told them, we better hope it was real Intel, because if she set up an ambush or if she's acting on some old vendetta, that's on you.
Later, ladies! What's that you were saying earlier? First do no harm? Don't you worry, we love you more than you know Well, the sun one day will leave us all behind Unexplainable sightings in the sky Well, I hate to be the one to ruin the night Right before your, right before your eyes I say ya kill your heroes And fly, fly, baby, don't cry No need to worry 'cause everybody will die Every day, we just go, go, baby, don't go Don't you worry, we love you more than you know [Latch snaps.]
Well, I met an old man dying on a train No more destination, no more pain Well, he said "One thing before I graduate" "Never let your fear decide your fate" I say ya kill your heroes And fly, fly, baby, don't cry No need to worry 'cause everybody will die Every day, we just go, go, baby, don't go Don't you worry, we love you more than you know