Saving Hope (2012) s04e08 Episode Script
Waiting on a Friend
Hey.
I'm looking for the call room.
Down that hall, hang a right.
Mozart.
Who's conducting? Dr.
Hamza.
It's brain surgery.
Huh.
In C minor.
Impressive.
Still, give me Dean Martin every time.
Thank you for the directions.
So, everything that you'll need to get you through the next few hours A survival kit.
Thank you.
Saltine crackers, fruity lip balm.
Who are you calling a fruity lip balm? Sour candies to absorb the toxicity.
Oh, Gatorade? Sudoku? Our kits are almost identical.
See? Great minds think alike, huh? Guess you don't need me at all.
No, sweetheart.
You are exactly what I need.
Thank you for this.
Yeah.
Okay.
Onwards to chemo.
If you're looking for the call room, you already passed it.
Well, Charlie Harris.
How'd you know? Oh, same old Bishop.
Brilliant with a scalpel, lousy with directions.
Well, some things never change, like your handwriting.
Still chicken scratches.
That's what makes me so popular with the staff.
So, I guess the rumors about you joining us are true, then? Yeah, after training in L.
A.
Got tired of bleach-blond nurses and gunshot wounds, huh? - Never a dull moment.
- No, not with you around.
Buckle up Medics are coming in hot with two cirque performers who just fell 20 feet.
- Illyana! - Let's go.
Illyana! Uh, Jeremy Bishop.
It's my first day.
Zach Miller.
Welcome.
So, what happened? He fell off a trapeze? Kind of fitting for your first day.
I'm more of a high wire myself.
Okay, on three.
One, two, three.
All right, what's your name? Kurt.
But you have to help her.
His aerial partner's a minute out.
Cirque de ciel, huh? I used to date a girl from the Yorrick Company.
She was a contortionist.
Yeah, you're right Some things don't change.
Illyana! Illyana? Relax, relax, relax.
- Please, I need to see her.
- Just relax.
Calm down for me, Kurt, all right? You guys got him? Yeah! Okay, 1 milligram of ketamine for the pain.
Okay, Kurt.
Hey, hey, Kurt, Kurt, look at me.
- Out of the way, please.
- Look at me.
I need you to focus, okay? Can you wiggle your fingers for me? Now your toes.
That's very good.
Okay, I need to reduce this hip.
All right, I'll stabilize.
Hey, bear with me, buddy.
That should give you enough torque.
Okay, relax.
Relax your leg.
Relax your leg.
Okay.
Kurt, I'm gonna be putting your hip back in place.
You're gonna feel some pain, followed by a pop, all right? On three.
One, two, and three.
Okay.
And like a glove.
You should put on some doctory clothes.
Greatest show on earth, right, Charlie? Yeah.
Spine's intact, but she's unresponsive.
I'll have her tested for brain death.
Illyana? Illyana? S04E08 Waiting on a Friend - It's half past already.
- I'm sorry! We got back late from the cottage.
Um, we were supposed to study before rounds.
I know, but it was so hard to leave.
It was beautiful there.
Except for the mosquitoes.
They were huge! You should have seen the size of them.
They were like vampire bats.
And for whatever reason, they were only biting me.
You should see my back.
I'm covered in bites.
I can't stop scratching.
Except some of them, I can't really reach 'cause they're in the middle of my back.
Would you mind rubbing this bite stuff on me? Oh! Who are you?! - I'm a doctor.
- So am I! Good! So why are we yelling?! I Ooh! I want to be with her.
I'm I'm sorry, that's - that's not possible.
She's gone.
I know.
but I I should be with her.
It's it's not fair that she's alone.
Right.
Well, I'm I'm gonna make sure you have a chance to say a proper goodbye, all right? Um I just need you to lift up your arm for me.
Kurt, did you know that Illyana had agreed to be an organ donor? Yeah, of course.
We signed our cards together.
Okay, well, of course, we're gonna need a final consent if there are any family members.
There aren't.
I'm her only family.
Well, Illyana is gonna be able to help more people today than she ever could have imagined.
What do you mean? Um Illyana is a match for a patient waiting for a kidney transplant.
That patient's fiancé wanted to donate his, but they weren't a match.
But Illyana is? Yeah, it's it's actually It's even better than that.
See, the, um The patient's fiancé has agreed to to give his kidney to someone else, and that patient's donor partner has also consented.
We call all of this a domino transplant.
Basically Four people are gonna have a second shot at life today, and three people are willing to put their lives on the line all because of Illyana.
Seriously, are you Are you hearing this? Uh It's nothing.
Um Okay, I'm I'm gonna be back in a bit to, uh to, um, put a proper cast on that.
So why don't you get some rest, okay? I open wide my pigeon house As I set all my pigeons free They fly around and flap their wings And they sit on the tallest tree And when they return from their merry, merry night - Shahir.
- Hm? Second aerial performer Female, 26, brain death.
She's on life support.
That's awful, Alex.
She's an organ donor.
Okay.
Who's O-neg with a 6 antigen match.
Shahir, she's the perfect donor for Terry Brown.
You're talking about the domino transplant? When's the last time you saved four lives in a single day? We'll need to organize our surgeries so the wait time for each recipient is as soon as possible.
They'll need to be off of dialysis and ready to go as soon as their organs arrive.
We'll also need a team to confirm that the recipients are prepped and in the O.
R.
By the time their kidneys arrive.
This is Keith.
He's our last recipient.
But he's in severe renal failure and can't travel to Hope Zion, so we will coordinate with St.
Donald's to deliver his kidney.
This is all hands on deck.
I'm gonna bring in the junior residents.
Williams and Mirani will keep things moving.
We'll get Sekara to be our gopher for the day.
The most important thing to remember is, we've got one shot at this.
Seven surgeries.
Four harvest and three transplants in the next few hours before the final kidney goes to St.
Donald's children's hospital.
Something goes wrong with one And the dominoes stop falling, so no screw-ups.
Everyone, Dr.
Jeremy Bishop, our newest gen-surg on staff.
- I'm Alex.
- Reid.
Yeah.
You need no introduction.
Charlie's told me a lot about you.
Thank you for diving in.
Some of our junior residents.
Check the board, make sure you know where How are the bug bites? We'll be the first in the city to lead a multi-hospital domino transplant.
Doogie.
How's it going? Okay, Maggie, take Dev and start the first harvest.
Cassie and Asha, I'll need you to coordinate.
I'll be handling all of the transplants.
Dr.
Bishop, want to do something fun today? Giddyup.
Wait a sec.
Everybody huddle in.
Come on.
"Domino" on three.
Three, two, one Domino! Whoo! I've always wanted to do that.
Dr.
Kowalski, phone call on line 1.
Dr.
Kowalski, line 1.
What year is it? Sorry? The magazine.
Uh Uh, 2003.
Why would we want to read articles from so many years ago? You know, we're cancer patients, not historians.
Josh Lewis, professor of 18th-century poetry.
Or, well, I was until Has the, uh, has the nurse been in yet? No.
It's hurry up and wait.
Well, they have to test our blood first, so Yeah, to make sure it's okay to poison it.
Yeah, the irony's not lost on me.
But, then, nothing about this place makes any sense.
I mean I mean, I know let's get all the sick people, we'll put them in one place, and then have them treated by some semi-socialized beaker head with a God complex.
Sorry.
Didn't catch your name.
Dana.
But most people around here call me Dr.
Kinney.
Dr.
Kinney.
Look at that.
What's the news, Dawson? You're good to go.
Let's get you started on the docetaxel.
Yum, yum.
I'm a doctor, too.
Doctor of old poems.
You writing a book? Trying to.
Thought I might have at least one great novel in me.
Although, now it turns out it might have to be a novella.
Or it might just be, you know, a professional hazard.
Teaching all that great literature, making me think I can do it, too.
Speaking of professional hazards Doctor becomes a patient, huh? Mm.
All done.
You're next up, Josh.
You guys need anything, I'm your gal today.
Thank you, Dawson.
You know, it must be hard, knowing all the facts, to still believe you can actually beat this.
I'm putting both of you under at the same time.
No food, no drinks, so finish up your beers, boys.
You ready to get off dialysis? Hell yeah, he's ready.
We got a wedding to plan.
So, we got transport on standby to take your kidney to St.
Donald's.
Dr.
Reid will be with you shortly.
You ready, Erin? My twins turn 7 next week.
I've been on dialysis since they were 4 years old.
So yeah.
I'm ready.
It's been a long road.
Thank you.
We're just waiting for your donor.
Larry's not big on cellphones.
All he's got is this old flip, and the battery's always dead.
Well, time is of the essence, Emma.
He can't just disappear like this.
He'll be here, honey.
Larry doesn't have time for a lot of people, but his big sister's one of them.
Nobody can help an old guy with a chair, huh? - Larry! - Larry.
Must've passed a dozen orderlies schlepping this damn thing.
You'd think one of them would have lifted their finger for Liz Taylor here.
Got your chair.
Larry They found a donor.
What? I'm getting my kidney.
The right donor came in to trigger the domino chain.
It is our lucky break.
Well, I I wasn't expecting this today.
Well, yes, I know.
This is all coming very fast.
But we need to move now.
We'll get you into surgery shortly.
But, uh I was just reading this thing online.
A guy gave his kidney, and and, um He developed an unexplainable appetite for pumpkin pie.
Wouldn't eat anything else Just pumpkin pie, pumpkin pie, day after day.
I hate pumpkin pie.
Are you seriously talking about pie right now? I I just need time to process this, Emma.
Dr.
Reid, Maggie sent me down.
Something wrong, Dr.
Reid? It's fine.
Just try to relax.
Excuse me.
What's going on? It's the cadaveric donor.
We lost the right kidney.
How bad is it, Maggie? Right kidney's lost blood supply.
It's a goner.
Left one is hypoplastic.
So, we are looking at a small kidney with a crazy arterial network.
Might be too many to anastomose.
Well, Terry's prepped.
They haven't opened him up yet.
What do you want to do? I promised four patients they were getting off dialysis today.
That is still the plan.
Okay, we will cut a piece of her aorta, use it to make an arterial cuff around the renal arteries, and then we'll have one in anastomosis instead of three.
Okay.
Go get ready for the next harvest, please.
Mm-hmm.
Somebody page Dr.
Bishop.
All right, ureter is free.
Just the artery cuff to go.
So, the weather's great in L.
A.
Why'd you come back? I tried an emergency spinal corpectomy on a 15-year-old car crash victim.
Did they die? No.
No, I saved her life.
And I still got sued anyway.
Wow.
That is rough.
Yeah.
They had more lawyers on staff than doctors.
Suction.
I wasn't getting any better Just safer.
From everything I've heard about you, caution isn't really your thing.
The way you're working those scissors, I'd say it's not yours, either.
Okay.
Here we go.
Got it.
Start perfusion and get it ready for transplant.
Kristine.
Oh, hey.
Have you, um, seen a, uh Uh, yeah.
I've seen her.
I've been hearing her all day, too.
Yeah.
I've been trying to talk to her.
No, she doesn't want to talk.
I don't think she wants any help at all.
Okay, well, what does she want? Uh, well, what do you know about her? Uh She's a trapeze artist.
Her and her partner took a bad fall.
He managed to pull through, but she's having her harvested as we speak.
Ohhh.
That's so sad.
I-I think I actually know the song.
"My pigeon home," it's called.
It's a lullaby.
- Lullaby? - Mm.
So she's trying to put us to sleep.
Not working.
Well, it's a song about reuniting.
I think she might be trying to convince someone to join her.
When we met, I was the water boy for my high school basketball team, and I got stuffed in a locker after practice.
Did Dan save you? No.
I was in the one next to him.
Sounds romantic.
Oh, it was.
Took three hours till the janitor found us.
What were you screaming, again? "My legs I can't feel my legs.
" Sounds hilarious.
We knew if we could make it through high school together, we could make it through anything.
So far, we have.
Time to go in.
Take good care of him.
Don't tell me you don't know the story of Abelard and Heloise.
No, but I have a funny feeling you're about to tell me.
Heloise is this whip-smart student who wants the answer to human existence.
Well, that was her first mistake.
So she goes to study with Pierre Abelard, who's the greatest scholar in France at the time About 20 years her senior.
Nothing wrong with that.
Well, it was for her Uncle Fulbert.
He found out about their affair, beat the living crap out of Abelard.
The lovers were banished to live apart forever.
They corresponded by love letters for the rest of their lives.
So? What do you think? Do you ever stop talking? Um When I'm sleeping, I guess.
Oh! Well, then, night-night, professor.
Oh, I'm sorry.
You want one? Not unless there's weed in them.
No way.
Which part of "I'm a poetry professor" didn't you understand? Well, then, what the Heloise are you waiting for? Pass me a pot cookie.
Mmm! Mm-hmm.
Dr.
Reid.
Pali.
What's up? I wanted to give this to her.
Or to him whoever's donating to Erin.
The donors are all anonymous.
I can't give you a name.
I-I know, but the girls made me promise that I would give it to the person that helped their mommy get better.
Right.
I will see what I can do.
Thank you.
You don't know what it's like sitting there helpless while your best friend just gets sicker and sicker.
Of course you know what it's like.
You're a doctor.
I So you get why it's so important to me that that gets to Erin's donor? Uh, yeah, just I'm sorry.
Excuse me.
Is everything okay? Larry? Oh! Where are you going? Home.
What? Why? I'm not doing it.
I thought I was ready, but I'm not.
I only came in today to drop off my sister's chair.
Okay, I know that all of this has been sprung on you, and you're probably incredibly overwhelmed, but All due respect, you have no idea what I'm going through.
I made a decision.
I'm just asking you to please respect that and leave me the hell alone.
Don't let him leave the building.
- Berger is still in the building.
- What? That was Zach.
He spotted him pacing by the coffee kiosk.
Which means he's waffling.
Yes, which also means we have until he gets to the bottom of his latte to get him back on board.
All right.
I got this.
Hey, Larry.
Hi.
How do you know my name? My name's Dr.
Bishop.
It's my first day here.
Congratulations.
I'm leaving.
Hey, wait, wait, wait, wait, wait.
Just Just hear me out Just for a second.
I just moved back here from L.
A.
I was there training under this Dr.
Pearlman.
Amazing surgeon.
Genius.
Also a very pious man.
And he taught me a lot of things.
Including this Hebrew phrase "tikkun olam.
" It's from the talmud.
It means "repairing the world.
" Says all of humanity has a shared responsibility to heal and transform the world.
Why are you telling me this? Dr.
Pearlman, he'd remind us about "tikkun olam" before every surgery we did.
Larry, I think you have a chance to heal the world today in the simplest, most pure kind of way.
And I know you're scared.
I get that.
I really do.
I swear.
But I think it's something worth considering.
And I don't think you'd still be here if you didn't think so, too.
My mind's made up.
The answer's no.
I'm sorry.
No.
So, there's these, um Hm? Um, you know You know Double doors the kind that open in the center, and, um But one of the hinges was broken, so they they kept that locked.
But he didn't know that.
So, anyway, you know, he's finally ready, and he's got, you know, his tray of cheese, you know, it's just right.
And he's carrying it like it's, you know, the most precious thing in the entire world.
And then bam! His nose goes into the glass, tray goes everywhere.
There's, like, honey all over his beard.
Oh! Oh.
I've come unstuck.
Oh! Whoopsie.
Hang on.
Oh! - What the - Here.
Let me.
Here.
Should you be doing this? Why not? Because I'm a What'd you say? A beaker head with a God complex? No.
'Cause you're higher than a lab monkey.
What is going on here? Um Relax.
Josh just popped his I.
V.
I got it back in.
No, you can't do that.
I'm sorry, but this isn't your charge, Dr.
Kinney.
The hell it isn't.
I'm a surgeon.
Not in here, you're not.
Then what am I? I'm sorry? If I'm not a surgeon, well, what am I? A dead duck.
That's That's what he said.
I didn't That's what you implied.
In here, you're just my patient.
Right.
So, what are my chances of surviving this? Dr.
Kinney.
No, seriously.
I have a reoccurrence of stage 3 metastatic breast cancer, so what are the odds I'll be here By Christmas? That's not fair.
You stay out of this.
As your patient, Dawson, I am asking.
I do I I'm not I don't feel comfortable answering that.
No.
Of course you don't.
I'm sorry.
I'm I didn't mean to be You're all good now, Josh.
Thank you.
Okay, then.
Um I'll be back in a bit to check on you both.
Great.
Where did you two meet? Uh At auditions for cirque.
Two total misfits.
Her parents, Russian immigrants, kicked her out of the house when she was 14.
Mine hardly even noticed I was gone.
She understood me.
Yeah, I guess when you meet someone like that who gets you, quirks and all nothing else really matters, right? Dr.
Harris? Time of death 3:13 P.
M.
Kurt? Let's get him back to his room.
Okay.
I don't believe it.
It's my fault.
I pushed him too hard.
It's no one's fault.
He's never been very good with surprises.
When we were kids, I used to jump out behind corners, and one time She popped out, and I hit her square in the mouth.
I told you he'd come 'round.
You were right.
I am scared.
I've been scared my whole life.
You've always been this golden child Good grades Good friends.
We'll give you two some privacy.
I've always been this neurotic mess.
That's not true.
It is.
Everyone thought it was a joke when I said I would donate.
But you stood up for me.
We're in a good place, Emma.
I don't want it to stop.
It won't.
You're my brother.
That is never gonna change.
Ohhh, boy.
Uh, hey, Alex, I need you to come take a look at this.
What do we have? A frozen kidney.
Larry put us behind schedule.
It must have been too close to the ice for too long.
Even if we thaw that, we've got little chance of getting it to perfuse.
We've come too far to turn back now.
So, what do you want to do? Get me 10 bags of warm saline.
And a blowtorch.
Kidding! Hold the blowtorch.
All right, then.
That freezing didn't do us any favors, but the warm saline flush It looked good.
You think it'll live? It has to.
Okay.
Suturing the renal vein.
Okay.
Renal vein and artery are anastomosed.
Okay.
Moment of truth.
Let's release those clamps and pray that it takes.
Exactly.
Oh, come on.
Come on.
Let's go.
Okay.
We got good perfusion.
Yes! Yoooo! Hey, do you mind doing the ureter anastomosis? I have to go check in on Larry, make sure he's all right.
You got it.
Thanks, Bishop.
How did it go? This is odd.
What? He should be waking up now.
Heart rate's skyrocketing.
Alex? He could be having a stroke.
Page Shahir.
Let's get him up to imaging now.
Okay.
Good catch, Alex.
It was a stroke.
He's coning.
The swelling from the epidural bleed is pressing on his brain stem.
There.
That should relieve the pressure.
Alex, it's okay.
You can go.
I've done plenty of these.
Turn up the music, please.
Thank you.
My daughter, Molly, is, um studying psychology at Queens.
She wants to be a couples counselor, of all things.
I haven't told her yet That it's back.
Toughest thing in the world Watching your kid trying to be brave No matter how old they are.
Especially when you know the real truth.
Yeah, I'd like to apologize for that.
No.
Why? It's the truth.
Okay.
Then I say we - we double down on this "Stranger on a train" vibe we got going here.
Let's tell each other one thing that we've never told another living soul.
Okay.
Yeah? Who goes first? I don't know.
You want to rock, paper, scissors? Oh, careful.
You're gonna pull out your I.
V.
again.
I'll go.
I don't want to do this again.
I don't want to sit here, getting sicker and sicker.
I want to I want to get on a plane.
I want to fly away.
Your turn.
Well, I want to come with you.
If looks could kill, I'd be the ghost right now.
Well, look at it this way.
What would you be capable of if somebody tried to keep Alex away from you? So, how do we help her if she won't talk to us? I don't know.
You know, maybe he doesn't see her, maybe he doesn't hear her, but if he feels her, if he senses that she's here Then what? He won't move on, either? He won't get better? That's a bit of a stretch, don't you think? Charlie.
I'm just saying, it's not very scientific.
No, look.
Illyana, you need to talk to us.
He needs to be with me.
It was your time.
It's not his.
You need to accept that.
He won't make it without me.
He's gonna have to try.
I won't go without him.
I can't.
Something's wrong.
Illyana, what are you doing? I love him too much.
His heart rate's through the roof.
You need to go now! I can't.
I won't.
He's got a petechial rash.
We need to get him to radiology right now.
Could be a fat embolus in his lungs.
Bone marrow may have seeped out of the break and migrated.
- Can you fix him? - I don't know.
Come on.
Illyana! Stop! Call the code.
We need a crash cart.
Look, Charlie.
Code blue, E.
T.
wing 203.
Code blue, E.
T.
wing 203.
Kurt never had a chance.
I'm really not in the mood to see the bright side.
People who love each other that much belong together, even in death.
I'm not buying that.
Sorry.
I had a daughter.
Maddie.
It was 4:00 in the afternoon.
Not even happy hour.
This guy's all over the road.
He's coming right at us.
I tried to get out of the way, but there wasn't enough time.
We didn't we didn't have enough time.
My little girl.
Kris.
I wanted to die so I could be with her.
I'm sorry.
I had no idea.
When I woke up in the hospital She was gone.
But there were all these other spirits that only I could see.
There's still so much I'm trying to figure out about this This thing we have.
Well, maybe we could help each other, you know? Figure this thing out together.
I'd like that, Charlie.
Last ones.
I'm glad to see you.
Yeah, model patients.
Transplants went off without a hitch.
Pali, your kidney is taking a little trip to close out the domino.
It's going to somebody who desperately needs it.
Thank you.
You're welcome.
You were badass, Alex.
Yeah, she's not wrong.
All right, girls.
On to recovery ice cream.
Ahh! So? So, he's gonna make a full recovery.
Thank God.
One more transport to go, Alex, and you've pulled it off.
Not me all of us.
Hey.
Nice ride.
Oh, yeah.
Thanks.
How'd it go? Exhausting, but, um eventful.
Alex.
I met a boy.
At chemo? Yes.
And he's a poet.
And he asked to come to Paris with me because he wants to show me where Abelard and Heloise are buried.
Dana.
And I said "yes.
" You just started chemo.
I know, but I'm I'm thinking that I just have to fight this in a different way for a while.
I'm sorry, but this is insane.
Actually, I think this is the sanest thing I have done in a long time.
You're flying off to Paris with a poet that you met a few hours ago.
Well, when you put it like that Instead of prolonging your life Alex.
I don't want to prolong my life.
I want to live it.
Hey.
How you feeling? Like I just got run over.
You? Same.
I wanted to, um Well I, um I wrote you something.
Oh, it's a - Limerick, yeah.
- Yeah.
Uh It was the only rhyme scheme I could remember, and I'm half-Irish, so "A terminal lass from Kilbride was befuddled by fear and by pride.
" Hm.
"Till she heard a sweet man say he'd come with her partway.
So she kissed him, she smiled, and she cried.
" Thank you, doctor.
So How does it end? The story? Oh.
- Heloise.
- Right.
Does she find the real meaning of life? Oh, she does.
Oh, yeah? The love she found with Abelard That was the meaning of human existence.
Oh.
Love.
Hey.
What's going on? Nothing.
You ready?
I'm looking for the call room.
Down that hall, hang a right.
Mozart.
Who's conducting? Dr.
Hamza.
It's brain surgery.
Huh.
In C minor.
Impressive.
Still, give me Dean Martin every time.
Thank you for the directions.
So, everything that you'll need to get you through the next few hours A survival kit.
Thank you.
Saltine crackers, fruity lip balm.
Who are you calling a fruity lip balm? Sour candies to absorb the toxicity.
Oh, Gatorade? Sudoku? Our kits are almost identical.
See? Great minds think alike, huh? Guess you don't need me at all.
No, sweetheart.
You are exactly what I need.
Thank you for this.
Yeah.
Okay.
Onwards to chemo.
If you're looking for the call room, you already passed it.
Well, Charlie Harris.
How'd you know? Oh, same old Bishop.
Brilliant with a scalpel, lousy with directions.
Well, some things never change, like your handwriting.
Still chicken scratches.
That's what makes me so popular with the staff.
So, I guess the rumors about you joining us are true, then? Yeah, after training in L.
A.
Got tired of bleach-blond nurses and gunshot wounds, huh? - Never a dull moment.
- No, not with you around.
Buckle up Medics are coming in hot with two cirque performers who just fell 20 feet.
- Illyana! - Let's go.
Illyana! Uh, Jeremy Bishop.
It's my first day.
Zach Miller.
Welcome.
So, what happened? He fell off a trapeze? Kind of fitting for your first day.
I'm more of a high wire myself.
Okay, on three.
One, two, three.
All right, what's your name? Kurt.
But you have to help her.
His aerial partner's a minute out.
Cirque de ciel, huh? I used to date a girl from the Yorrick Company.
She was a contortionist.
Yeah, you're right Some things don't change.
Illyana! Illyana? Relax, relax, relax.
- Please, I need to see her.
- Just relax.
Calm down for me, Kurt, all right? You guys got him? Yeah! Okay, 1 milligram of ketamine for the pain.
Okay, Kurt.
Hey, hey, Kurt, Kurt, look at me.
- Out of the way, please.
- Look at me.
I need you to focus, okay? Can you wiggle your fingers for me? Now your toes.
That's very good.
Okay, I need to reduce this hip.
All right, I'll stabilize.
Hey, bear with me, buddy.
That should give you enough torque.
Okay, relax.
Relax your leg.
Relax your leg.
Okay.
Kurt, I'm gonna be putting your hip back in place.
You're gonna feel some pain, followed by a pop, all right? On three.
One, two, and three.
Okay.
And like a glove.
You should put on some doctory clothes.
Greatest show on earth, right, Charlie? Yeah.
Spine's intact, but she's unresponsive.
I'll have her tested for brain death.
Illyana? Illyana? S04E08 Waiting on a Friend - It's half past already.
- I'm sorry! We got back late from the cottage.
Um, we were supposed to study before rounds.
I know, but it was so hard to leave.
It was beautiful there.
Except for the mosquitoes.
They were huge! You should have seen the size of them.
They were like vampire bats.
And for whatever reason, they were only biting me.
You should see my back.
I'm covered in bites.
I can't stop scratching.
Except some of them, I can't really reach 'cause they're in the middle of my back.
Would you mind rubbing this bite stuff on me? Oh! Who are you?! - I'm a doctor.
- So am I! Good! So why are we yelling?! I Ooh! I want to be with her.
I'm I'm sorry, that's - that's not possible.
She's gone.
I know.
but I I should be with her.
It's it's not fair that she's alone.
Right.
Well, I'm I'm gonna make sure you have a chance to say a proper goodbye, all right? Um I just need you to lift up your arm for me.
Kurt, did you know that Illyana had agreed to be an organ donor? Yeah, of course.
We signed our cards together.
Okay, well, of course, we're gonna need a final consent if there are any family members.
There aren't.
I'm her only family.
Well, Illyana is gonna be able to help more people today than she ever could have imagined.
What do you mean? Um Illyana is a match for a patient waiting for a kidney transplant.
That patient's fiancé wanted to donate his, but they weren't a match.
But Illyana is? Yeah, it's it's actually It's even better than that.
See, the, um The patient's fiancé has agreed to to give his kidney to someone else, and that patient's donor partner has also consented.
We call all of this a domino transplant.
Basically Four people are gonna have a second shot at life today, and three people are willing to put their lives on the line all because of Illyana.
Seriously, are you Are you hearing this? Uh It's nothing.
Um Okay, I'm I'm gonna be back in a bit to, uh to, um, put a proper cast on that.
So why don't you get some rest, okay? I open wide my pigeon house As I set all my pigeons free They fly around and flap their wings And they sit on the tallest tree And when they return from their merry, merry night - Shahir.
- Hm? Second aerial performer Female, 26, brain death.
She's on life support.
That's awful, Alex.
She's an organ donor.
Okay.
Who's O-neg with a 6 antigen match.
Shahir, she's the perfect donor for Terry Brown.
You're talking about the domino transplant? When's the last time you saved four lives in a single day? We'll need to organize our surgeries so the wait time for each recipient is as soon as possible.
They'll need to be off of dialysis and ready to go as soon as their organs arrive.
We'll also need a team to confirm that the recipients are prepped and in the O.
R.
By the time their kidneys arrive.
This is Keith.
He's our last recipient.
But he's in severe renal failure and can't travel to Hope Zion, so we will coordinate with St.
Donald's to deliver his kidney.
This is all hands on deck.
I'm gonna bring in the junior residents.
Williams and Mirani will keep things moving.
We'll get Sekara to be our gopher for the day.
The most important thing to remember is, we've got one shot at this.
Seven surgeries.
Four harvest and three transplants in the next few hours before the final kidney goes to St.
Donald's children's hospital.
Something goes wrong with one And the dominoes stop falling, so no screw-ups.
Everyone, Dr.
Jeremy Bishop, our newest gen-surg on staff.
- I'm Alex.
- Reid.
Yeah.
You need no introduction.
Charlie's told me a lot about you.
Thank you for diving in.
Some of our junior residents.
Check the board, make sure you know where How are the bug bites? We'll be the first in the city to lead a multi-hospital domino transplant.
Doogie.
How's it going? Okay, Maggie, take Dev and start the first harvest.
Cassie and Asha, I'll need you to coordinate.
I'll be handling all of the transplants.
Dr.
Bishop, want to do something fun today? Giddyup.
Wait a sec.
Everybody huddle in.
Come on.
"Domino" on three.
Three, two, one Domino! Whoo! I've always wanted to do that.
Dr.
Kowalski, phone call on line 1.
Dr.
Kowalski, line 1.
What year is it? Sorry? The magazine.
Uh Uh, 2003.
Why would we want to read articles from so many years ago? You know, we're cancer patients, not historians.
Josh Lewis, professor of 18th-century poetry.
Or, well, I was until Has the, uh, has the nurse been in yet? No.
It's hurry up and wait.
Well, they have to test our blood first, so Yeah, to make sure it's okay to poison it.
Yeah, the irony's not lost on me.
But, then, nothing about this place makes any sense.
I mean I mean, I know let's get all the sick people, we'll put them in one place, and then have them treated by some semi-socialized beaker head with a God complex.
Sorry.
Didn't catch your name.
Dana.
But most people around here call me Dr.
Kinney.
Dr.
Kinney.
Look at that.
What's the news, Dawson? You're good to go.
Let's get you started on the docetaxel.
Yum, yum.
I'm a doctor, too.
Doctor of old poems.
You writing a book? Trying to.
Thought I might have at least one great novel in me.
Although, now it turns out it might have to be a novella.
Or it might just be, you know, a professional hazard.
Teaching all that great literature, making me think I can do it, too.
Speaking of professional hazards Doctor becomes a patient, huh? Mm.
All done.
You're next up, Josh.
You guys need anything, I'm your gal today.
Thank you, Dawson.
You know, it must be hard, knowing all the facts, to still believe you can actually beat this.
I'm putting both of you under at the same time.
No food, no drinks, so finish up your beers, boys.
You ready to get off dialysis? Hell yeah, he's ready.
We got a wedding to plan.
So, we got transport on standby to take your kidney to St.
Donald's.
Dr.
Reid will be with you shortly.
You ready, Erin? My twins turn 7 next week.
I've been on dialysis since they were 4 years old.
So yeah.
I'm ready.
It's been a long road.
Thank you.
We're just waiting for your donor.
Larry's not big on cellphones.
All he's got is this old flip, and the battery's always dead.
Well, time is of the essence, Emma.
He can't just disappear like this.
He'll be here, honey.
Larry doesn't have time for a lot of people, but his big sister's one of them.
Nobody can help an old guy with a chair, huh? - Larry! - Larry.
Must've passed a dozen orderlies schlepping this damn thing.
You'd think one of them would have lifted their finger for Liz Taylor here.
Got your chair.
Larry They found a donor.
What? I'm getting my kidney.
The right donor came in to trigger the domino chain.
It is our lucky break.
Well, I I wasn't expecting this today.
Well, yes, I know.
This is all coming very fast.
But we need to move now.
We'll get you into surgery shortly.
But, uh I was just reading this thing online.
A guy gave his kidney, and and, um He developed an unexplainable appetite for pumpkin pie.
Wouldn't eat anything else Just pumpkin pie, pumpkin pie, day after day.
I hate pumpkin pie.
Are you seriously talking about pie right now? I I just need time to process this, Emma.
Dr.
Reid, Maggie sent me down.
Something wrong, Dr.
Reid? It's fine.
Just try to relax.
Excuse me.
What's going on? It's the cadaveric donor.
We lost the right kidney.
How bad is it, Maggie? Right kidney's lost blood supply.
It's a goner.
Left one is hypoplastic.
So, we are looking at a small kidney with a crazy arterial network.
Might be too many to anastomose.
Well, Terry's prepped.
They haven't opened him up yet.
What do you want to do? I promised four patients they were getting off dialysis today.
That is still the plan.
Okay, we will cut a piece of her aorta, use it to make an arterial cuff around the renal arteries, and then we'll have one in anastomosis instead of three.
Okay.
Go get ready for the next harvest, please.
Mm-hmm.
Somebody page Dr.
Bishop.
All right, ureter is free.
Just the artery cuff to go.
So, the weather's great in L.
A.
Why'd you come back? I tried an emergency spinal corpectomy on a 15-year-old car crash victim.
Did they die? No.
No, I saved her life.
And I still got sued anyway.
Wow.
That is rough.
Yeah.
They had more lawyers on staff than doctors.
Suction.
I wasn't getting any better Just safer.
From everything I've heard about you, caution isn't really your thing.
The way you're working those scissors, I'd say it's not yours, either.
Okay.
Here we go.
Got it.
Start perfusion and get it ready for transplant.
Kristine.
Oh, hey.
Have you, um, seen a, uh Uh, yeah.
I've seen her.
I've been hearing her all day, too.
Yeah.
I've been trying to talk to her.
No, she doesn't want to talk.
I don't think she wants any help at all.
Okay, well, what does she want? Uh, well, what do you know about her? Uh She's a trapeze artist.
Her and her partner took a bad fall.
He managed to pull through, but she's having her harvested as we speak.
Ohhh.
That's so sad.
I-I think I actually know the song.
"My pigeon home," it's called.
It's a lullaby.
- Lullaby? - Mm.
So she's trying to put us to sleep.
Not working.
Well, it's a song about reuniting.
I think she might be trying to convince someone to join her.
When we met, I was the water boy for my high school basketball team, and I got stuffed in a locker after practice.
Did Dan save you? No.
I was in the one next to him.
Sounds romantic.
Oh, it was.
Took three hours till the janitor found us.
What were you screaming, again? "My legs I can't feel my legs.
" Sounds hilarious.
We knew if we could make it through high school together, we could make it through anything.
So far, we have.
Time to go in.
Take good care of him.
Don't tell me you don't know the story of Abelard and Heloise.
No, but I have a funny feeling you're about to tell me.
Heloise is this whip-smart student who wants the answer to human existence.
Well, that was her first mistake.
So she goes to study with Pierre Abelard, who's the greatest scholar in France at the time About 20 years her senior.
Nothing wrong with that.
Well, it was for her Uncle Fulbert.
He found out about their affair, beat the living crap out of Abelard.
The lovers were banished to live apart forever.
They corresponded by love letters for the rest of their lives.
So? What do you think? Do you ever stop talking? Um When I'm sleeping, I guess.
Oh! Well, then, night-night, professor.
Oh, I'm sorry.
You want one? Not unless there's weed in them.
No way.
Which part of "I'm a poetry professor" didn't you understand? Well, then, what the Heloise are you waiting for? Pass me a pot cookie.
Mmm! Mm-hmm.
Dr.
Reid.
Pali.
What's up? I wanted to give this to her.
Or to him whoever's donating to Erin.
The donors are all anonymous.
I can't give you a name.
I-I know, but the girls made me promise that I would give it to the person that helped their mommy get better.
Right.
I will see what I can do.
Thank you.
You don't know what it's like sitting there helpless while your best friend just gets sicker and sicker.
Of course you know what it's like.
You're a doctor.
I So you get why it's so important to me that that gets to Erin's donor? Uh, yeah, just I'm sorry.
Excuse me.
Is everything okay? Larry? Oh! Where are you going? Home.
What? Why? I'm not doing it.
I thought I was ready, but I'm not.
I only came in today to drop off my sister's chair.
Okay, I know that all of this has been sprung on you, and you're probably incredibly overwhelmed, but All due respect, you have no idea what I'm going through.
I made a decision.
I'm just asking you to please respect that and leave me the hell alone.
Don't let him leave the building.
- Berger is still in the building.
- What? That was Zach.
He spotted him pacing by the coffee kiosk.
Which means he's waffling.
Yes, which also means we have until he gets to the bottom of his latte to get him back on board.
All right.
I got this.
Hey, Larry.
Hi.
How do you know my name? My name's Dr.
Bishop.
It's my first day here.
Congratulations.
I'm leaving.
Hey, wait, wait, wait, wait, wait.
Just Just hear me out Just for a second.
I just moved back here from L.
A.
I was there training under this Dr.
Pearlman.
Amazing surgeon.
Genius.
Also a very pious man.
And he taught me a lot of things.
Including this Hebrew phrase "tikkun olam.
" It's from the talmud.
It means "repairing the world.
" Says all of humanity has a shared responsibility to heal and transform the world.
Why are you telling me this? Dr.
Pearlman, he'd remind us about "tikkun olam" before every surgery we did.
Larry, I think you have a chance to heal the world today in the simplest, most pure kind of way.
And I know you're scared.
I get that.
I really do.
I swear.
But I think it's something worth considering.
And I don't think you'd still be here if you didn't think so, too.
My mind's made up.
The answer's no.
I'm sorry.
No.
So, there's these, um Hm? Um, you know You know Double doors the kind that open in the center, and, um But one of the hinges was broken, so they they kept that locked.
But he didn't know that.
So, anyway, you know, he's finally ready, and he's got, you know, his tray of cheese, you know, it's just right.
And he's carrying it like it's, you know, the most precious thing in the entire world.
And then bam! His nose goes into the glass, tray goes everywhere.
There's, like, honey all over his beard.
Oh! Oh.
I've come unstuck.
Oh! Whoopsie.
Hang on.
Oh! - What the - Here.
Let me.
Here.
Should you be doing this? Why not? Because I'm a What'd you say? A beaker head with a God complex? No.
'Cause you're higher than a lab monkey.
What is going on here? Um Relax.
Josh just popped his I.
V.
I got it back in.
No, you can't do that.
I'm sorry, but this isn't your charge, Dr.
Kinney.
The hell it isn't.
I'm a surgeon.
Not in here, you're not.
Then what am I? I'm sorry? If I'm not a surgeon, well, what am I? A dead duck.
That's That's what he said.
I didn't That's what you implied.
In here, you're just my patient.
Right.
So, what are my chances of surviving this? Dr.
Kinney.
No, seriously.
I have a reoccurrence of stage 3 metastatic breast cancer, so what are the odds I'll be here By Christmas? That's not fair.
You stay out of this.
As your patient, Dawson, I am asking.
I do I I'm not I don't feel comfortable answering that.
No.
Of course you don't.
I'm sorry.
I'm I didn't mean to be You're all good now, Josh.
Thank you.
Okay, then.
Um I'll be back in a bit to check on you both.
Great.
Where did you two meet? Uh At auditions for cirque.
Two total misfits.
Her parents, Russian immigrants, kicked her out of the house when she was 14.
Mine hardly even noticed I was gone.
She understood me.
Yeah, I guess when you meet someone like that who gets you, quirks and all nothing else really matters, right? Dr.
Harris? Time of death 3:13 P.
M.
Kurt? Let's get him back to his room.
Okay.
I don't believe it.
It's my fault.
I pushed him too hard.
It's no one's fault.
He's never been very good with surprises.
When we were kids, I used to jump out behind corners, and one time She popped out, and I hit her square in the mouth.
I told you he'd come 'round.
You were right.
I am scared.
I've been scared my whole life.
You've always been this golden child Good grades Good friends.
We'll give you two some privacy.
I've always been this neurotic mess.
That's not true.
It is.
Everyone thought it was a joke when I said I would donate.
But you stood up for me.
We're in a good place, Emma.
I don't want it to stop.
It won't.
You're my brother.
That is never gonna change.
Ohhh, boy.
Uh, hey, Alex, I need you to come take a look at this.
What do we have? A frozen kidney.
Larry put us behind schedule.
It must have been too close to the ice for too long.
Even if we thaw that, we've got little chance of getting it to perfuse.
We've come too far to turn back now.
So, what do you want to do? Get me 10 bags of warm saline.
And a blowtorch.
Kidding! Hold the blowtorch.
All right, then.
That freezing didn't do us any favors, but the warm saline flush It looked good.
You think it'll live? It has to.
Okay.
Suturing the renal vein.
Okay.
Renal vein and artery are anastomosed.
Okay.
Moment of truth.
Let's release those clamps and pray that it takes.
Exactly.
Oh, come on.
Come on.
Let's go.
Okay.
We got good perfusion.
Yes! Yoooo! Hey, do you mind doing the ureter anastomosis? I have to go check in on Larry, make sure he's all right.
You got it.
Thanks, Bishop.
How did it go? This is odd.
What? He should be waking up now.
Heart rate's skyrocketing.
Alex? He could be having a stroke.
Page Shahir.
Let's get him up to imaging now.
Okay.
Good catch, Alex.
It was a stroke.
He's coning.
The swelling from the epidural bleed is pressing on his brain stem.
There.
That should relieve the pressure.
Alex, it's okay.
You can go.
I've done plenty of these.
Turn up the music, please.
Thank you.
My daughter, Molly, is, um studying psychology at Queens.
She wants to be a couples counselor, of all things.
I haven't told her yet That it's back.
Toughest thing in the world Watching your kid trying to be brave No matter how old they are.
Especially when you know the real truth.
Yeah, I'd like to apologize for that.
No.
Why? It's the truth.
Okay.
Then I say we - we double down on this "Stranger on a train" vibe we got going here.
Let's tell each other one thing that we've never told another living soul.
Okay.
Yeah? Who goes first? I don't know.
You want to rock, paper, scissors? Oh, careful.
You're gonna pull out your I.
V.
again.
I'll go.
I don't want to do this again.
I don't want to sit here, getting sicker and sicker.
I want to I want to get on a plane.
I want to fly away.
Your turn.
Well, I want to come with you.
If looks could kill, I'd be the ghost right now.
Well, look at it this way.
What would you be capable of if somebody tried to keep Alex away from you? So, how do we help her if she won't talk to us? I don't know.
You know, maybe he doesn't see her, maybe he doesn't hear her, but if he feels her, if he senses that she's here Then what? He won't move on, either? He won't get better? That's a bit of a stretch, don't you think? Charlie.
I'm just saying, it's not very scientific.
No, look.
Illyana, you need to talk to us.
He needs to be with me.
It was your time.
It's not his.
You need to accept that.
He won't make it without me.
He's gonna have to try.
I won't go without him.
I can't.
Something's wrong.
Illyana, what are you doing? I love him too much.
His heart rate's through the roof.
You need to go now! I can't.
I won't.
He's got a petechial rash.
We need to get him to radiology right now.
Could be a fat embolus in his lungs.
Bone marrow may have seeped out of the break and migrated.
- Can you fix him? - I don't know.
Come on.
Illyana! Stop! Call the code.
We need a crash cart.
Look, Charlie.
Code blue, E.
T.
wing 203.
Code blue, E.
T.
wing 203.
Kurt never had a chance.
I'm really not in the mood to see the bright side.
People who love each other that much belong together, even in death.
I'm not buying that.
Sorry.
I had a daughter.
Maddie.
It was 4:00 in the afternoon.
Not even happy hour.
This guy's all over the road.
He's coming right at us.
I tried to get out of the way, but there wasn't enough time.
We didn't we didn't have enough time.
My little girl.
Kris.
I wanted to die so I could be with her.
I'm sorry.
I had no idea.
When I woke up in the hospital She was gone.
But there were all these other spirits that only I could see.
There's still so much I'm trying to figure out about this This thing we have.
Well, maybe we could help each other, you know? Figure this thing out together.
I'd like that, Charlie.
Last ones.
I'm glad to see you.
Yeah, model patients.
Transplants went off without a hitch.
Pali, your kidney is taking a little trip to close out the domino.
It's going to somebody who desperately needs it.
Thank you.
You're welcome.
You were badass, Alex.
Yeah, she's not wrong.
All right, girls.
On to recovery ice cream.
Ahh! So? So, he's gonna make a full recovery.
Thank God.
One more transport to go, Alex, and you've pulled it off.
Not me all of us.
Hey.
Nice ride.
Oh, yeah.
Thanks.
How'd it go? Exhausting, but, um eventful.
Alex.
I met a boy.
At chemo? Yes.
And he's a poet.
And he asked to come to Paris with me because he wants to show me where Abelard and Heloise are buried.
Dana.
And I said "yes.
" You just started chemo.
I know, but I'm I'm thinking that I just have to fight this in a different way for a while.
I'm sorry, but this is insane.
Actually, I think this is the sanest thing I have done in a long time.
You're flying off to Paris with a poet that you met a few hours ago.
Well, when you put it like that Instead of prolonging your life Alex.
I don't want to prolong my life.
I want to live it.
Hey.
How you feeling? Like I just got run over.
You? Same.
I wanted to, um Well I, um I wrote you something.
Oh, it's a - Limerick, yeah.
- Yeah.
Uh It was the only rhyme scheme I could remember, and I'm half-Irish, so "A terminal lass from Kilbride was befuddled by fear and by pride.
" Hm.
"Till she heard a sweet man say he'd come with her partway.
So she kissed him, she smiled, and she cried.
" Thank you, doctor.
So How does it end? The story? Oh.
- Heloise.
- Right.
Does she find the real meaning of life? Oh, she does.
Oh, yeah? The love she found with Abelard That was the meaning of human existence.
Oh.
Love.
Hey.
What's going on? Nothing.
You ready?