Saving Hope (2012) s05e06 Episode Script
Doctor Robot
My destination is this way, as well.
- Really? - Yeah.
Is it the Thai grocer or the comic-book store? Well, yeah, it's the comics.
- Right.
- That that's hot, yeah? You know, I should have said Thai grocer.
Then you would have thought I was an excellent Thai chef.
Yeah, but then we would have gotten caught in a situation where we had to prove it.
And I have you over for dinner one night, and then there's empty Thai containers in the garbage and we're done before we've even had a chance kind of thing? I'm sorry, uh, Charlie has Luke.
Actually, it's my security system.
Just a second.
Hello? You're kidding.
Okay, I'll be right there.
The alarm in my apartment's going off, so I just need to - I-I'll come with you.
Yeah.
- Okay.
- Forget to close it? - I'm a surgeon.
I don't forget to close things.
There used to be a really gaudy statue there.
It's gone.
Hello? Oh, thank God.
That thing could wake the dead.
Mom.
Oh, I have been meaning to come and help pitch in ever since you told me that you and Charlie split.
A-And I'm gonna need the alarm code.
Wait, what are you doing? Well, I-I thought that everything that belongs to Charlie could just go in those boxes.
Why? Because the place is a man cave.
We need to get it looking like Alex again.
- Mm-hmm.
- Where's Luke? Uh, he is with Charlie.
Oh, and, uh, Mom, this is Emmanuel.
Emmanuel, this is my mom, Martha.
Lovely to meet you, Martha.
Well, look at you already back up on that horse.
- The apple doesn't fall far.
- Mother.
I should go.
Oh, no, no.
This can work out.
Look, I'll just go and crash in the bedroom while you two heat up, and then when you're ready, I'll just come out here and scooch onto the couch.
Oh, my God, Mom.
Stop.
Please, please, I beg you.
Okay, I am so sorry.
Um tomorrow.
I'll see you tomorrow morning.
- Okay? - Yeah.
I'm sorry.
It's okay.
Are you cooking? I wish Luke was here.
He needs to taste my special pancakes.
You may blossom in grandmotherhood after all.
Oh, come on.
I made pancakes for you kids.
Only if you were still up, and then I had to listen to drunk life advice from all of your unemployed poet friends.
Did you know that most of those guys are almost all dead now? Well, you come in like a hurricane.
Yes, well but it'll be worth it.
When I turn this place into the palace that I never gave you when you were a little girl.
Okay, listen, I know what you're trying to do, but we haven't really seen each other in years.
But we said that's gonna change, right? I've never been the palace type.
No, you're not.
You're my brilliant surgeon daughter.
You got that way without any help from me.
So let me take some of the pressure off.
Now.
Let me look after my grandson.
Just while you're going through this breakup thing.
Luke's in day care at the hospital.
Not today, he isn't.
Today, he's got adventures with Grandma.
Are you sure you're okay, Mom? I'm clean and serene.
Just celebrated two years.
You still going to meetings? Like a girl scout.
I don't know.
Alex, honey.
I got this.
Eat a pancake.
Cassie, you busy girl.
Your name's been on half my surgeries.
I worked my ass off to earn every one of those cases.
I'm sure you have.
Oh.
I mean, thank you, Dr.
Harris.
I hope things are going well with you.
Mm.
Hey.
Maybe not.
- Hi.
- Hey.
Cassie, we've got a consult in the ER.
You want to meet me there? Yeah.
Got it.
Actually, I don't think I need another coffee.
Okay.
I'll see you on rounds.
Hi.
Um my mom's in town.
She's gonna take Luke for a few hours today.
- He's in day care.
- I signed him out.
You sure that's a good idea? I'm trying to let her back in.
Hi.
How are you? Swimming in surgeries.
Don't get me wrong, I love it.
You didn't have anything to do with these, did you? Are you working with Dr.
Harris today? I am.
Why? Well, I need to appoint an Interim Chief.
Dr.
Harris ran a tight ship before his accident.
Have you heard why he didn't reclaim his position after he recovered? No.
And I can't report on people for you.
Do you want to be liked, or do you want to be respected? Hmm, I'll take both, please.
You know, Cassie, you're on the fast track to being named Chief Resident.
Oh.
That's good.
And some jobs require making hard choices and saying things that people don't want to hear.
You mean like your decision to shut down the ER and remove Dr.
Bell from Chief of Surgery? A hospital isn't a place for someone who can't separate the personal from the professional.
So.
Dr.
Harris.
Is he my new Chief? He's definitely unorthodox.
Like, um Jackson Pollock.
A-A surgeon who's like Jackson Pollock? Say more things.
Uh, unconventional but brilliant.
Without all the splatter.
I got to go.
Morning.
Sleeping with the enemy? You were the one who wanted to keep things casual between us.
You think I'm jealous? Your new boyfriend is shutting down the ER today.
He's not my boyfriend, and he's making an unemotional decision that benefits the hospital.
This was the best Level 1 trauma center in the city.
That's why I came here.
That's why you came here.
After today, we're only doing electives, so congrats.
All your cozying up will make you Chief Resident of Tummy Tucks.
I'm not jealous, Cassie.
I'm pissed off.
And you're feeling better, which is a good indication the drug is working.
I walked all the way to the hospital today.
That's a very good sign.
Kelly Clarkson blaring in my iPod.
Which is a less good sign of your questionable taste in music.
I never thought walking would be the marker for a good day.
- Baby steps to a full recovery.
- You think so? Let's just say I'm optimistic that we're gonna see great results today.
From your lips to God's ears.
Although, if I get those good results, I don't know who I'm gonna share 'em with.
What do you mean? Well my parents pretty much abandoned me when I came out.
Violet's gone.
You know, some of the women in the study they've got really little kids.
Sometimes I get this feeling that it's like more important that they live because it actually matters to someone else if they do.
Mnh-mnh.
All that matters is that you all live.
And you matter to me.
Wow.
They are really taking apart your ER.
I'm tentatively positive.
I can't afford not to be.
Still paying spousal support, huh? Two mortgages.
Tutors.
Rep Hockey.
- Then long live Urgent Care.
- Uh-huh.
Where's Dawn? I haven't seen her today.
Oh.
After she was unceremoniously relieved of Chief of Surgery, she decided that she needed a spa day, but when she called I heard slot machines.
Ooh.
So.
Here's the deal today, guys.
We will be rerouting ambulances to Mississauga Memorial and we will be a walk-in until we close the doors tonight.
Awesome.
So, here you go.
Bed number 4.
Guy broke his "punny bone.
" Seriously, he's nonstop hilarity.
I can't wait.
Knock, knock.
Who's there? - Orange.
- Orange who? Orange you glad you didn't see banana? I don't want to jinx the study, but I haven't felt this good since those creepy little cancer zombies took over my lymph nodes.
And you've had an increase in appetite? I had a whole glass of champagne - at my mom's birthday party last night.
- Mmm.
My, that is a good sign.
I worry about who got a placebo.
Like, what if it's me? But there is no placebo.
It's a Phase 1/2 trial.
Just cheer up, grumpy pants.
She's right.
We want to figure out if the drug works, okay? So you all got the good stuff.
Uh, anybody else increase in appetite? Well I was waiting until you left to break these babies out! Oh! Those are terrible for you.
Yeah, I'd be thrilled to live long enough for cheddar puffs to kill me.
Well, I'm sharing.
Well, then I will share four seasons of "The Bachelorette.
" - Yeah! - Yes! Ooh, okay.
I better get going.
Otherwise, I'm gonna get sucked in and miss my surgery.
- Hey, Dr.
Lin.
- Yeah? I just wanted to say you guys are the best.
When you're diagnosed with the big effin' "C," you have this team behind you who's all, "We're gonna beat this.
" You're the only one left still swinging.
True dat, Doc.
You are a bit of superhero.
Hello, ladies.
Oh.
The other half of the dynamic duo.
If you'll just excuse us for a moment.
Dr.
Lin, I need to talk to you.
Okay.
Not too many cheddar puffs, girls.
- Get them.
- Okay.
Gimme, gimme, gimme, gimme, gimme, gimme.
Stop! The suspense is killing me.
Okay.
Right.
Here we go.
All right.
Uh Spots on Laura's lungs are getting smaller.
Maria's are shrinking.
- Okay.
- This is hopeful.
Shrinking, shrinking.
Bree.
Bree's spots are growing.
Early days, though, right? Yeah.
This is your first scan.
If you look at the diameter of the same spots in your new scan, most of them are the same.
However, some of them have grown, like this one here.
But most are stable, and stable is good.
But there has been some growth.
So I'm not responding to the study drug? - Not yet.
But - Are any of the other girls? I'm sorry, Bree.
We can't divulge that information.
It's okay.
It's fine.
I can tell they are.
I'm really sorry for this pity party.
I'm really excited for everybody else.
No, you have every right.
You've been on a crazy ride between the car accident and the clot and Chemo to Violet leaving.
Yeah, it's It's pretty much all sucked.
Well, I'm not giving up.
I'm confident that we are gonna get results, and when we do, Kelly Clarkson tickets are on me.
You are my kickass guardian angel.
- Oh, my God.
- Bree! Bree.
Okay, Bree, honey.
What's wrong? Can you tell us where it hurts? Okay.
What are we dealing with here, exactly? He took his clothes off in the lock-up.
It freaked out a couple of drunk morons, and they roughed him up.
Yeah, you put your tooth through your lip.
Gonna need a couple stitches.
How's your head, sir? Head's right as rain.
What's your name? They call me The Nude Dude.
He calls himself The Nude Dude.
- No ID? - No pockets.
He's exercising his right to be naked.
- Which he doesn't have.
- Which is fascist.
Hangs out with us a lot as a result.
We dressed him to get him over here.
Cuffed him.
Somehow he got the damn jumpsuit off in the back of the squad.
Okay.
Can we take the cuffs off? I don't think he's very dangerous.
Sir, I'm gonna ask you to put on a gown for me.
Nah, I'm good, thanks.
I'm gonna ask you to put a gown on me for me, sir.
There are a lot of elderly around here with weak hearts.
It's sad that we live in a world where nudity is shocking.
But I appreciate you getting my cuffs off.
You have compassion, the most important quality in a revolutionary.
Thanks.
For you, I'll don the gown.
- Hyuh! - Great.
Hey.
Dr.
Hamza.
Yes.
You paged me.
We have a toddler with a nasty bruise on his head, Bed 1.
Thought I'd take the extra precaution just to be sure.
- Luke? - Oh, no.
You know him? Know him? I'm his godfather.
Oh.
I'm his grandmother.
- You're Alex's - Please.
You can't tell her that I'm here.
How do you like working days? I'm still trying to flip my schedule.
I got pretty used to working nights.
Some of my favorite animals are nocturnal.
Like rats? - Owls.
- Owls.
Yeah.
Big eyes, quiet wisdom.
That's my type.
You got to stop trying to distract me, Dr.
Reid.
- I'm on my rounds.
- Okay.
I would let you distract me at a more appropriate time.
Oh, you would, would you? I would.
Yeah.
I'd whip up some Pad Thai.
You know, in the after owls.
In the after hours.
I'll think about it.
Uh, Peter Stone? Hey, Doc.
Uh, what do you call a mean pickle? Uh, I don't know.
A sour dill.
No.
A prickle! Amazing.
A sour dill was good, too.
But I-I wouldn't quit your day job.
At least not until you've, uh, you've fix this wing.
Yeah, what exactly happened? I was mixing a margarita.
The good news is, I didn't spill a drop.
He's been given morphine.
Well, it looks like you've shattered your humerus.
I'm gonna, uh, need imaging to confirm, but you're probably gonna need surgery.
Well, then, we'll both have each other in stitches.
Bree has a significant small bowel obstruction.
That's common with metastatic breast cancer.
What time was her last blood thinner? 10 hours ago, so she's due for another one soon.
Good.
Let's hold off on her next dose.
We'll do the surgery, fix the bowel before it tears.
Oh, I don't think surgery's our best option here.
Why do you say that? Well, she's a very sick, immunocompromised Stage 4 cancer patient with a high risk for a blood clot reoccurrence.
I just don't think she can handle surgery.
Is this because you think surgery makes her ineligible to stay in the breast-cancer study? Surgery is just one option to deal with a bowel obstruction.
You want to suck out the contents with an NG tube.
Yep.
It's a partial obstruction.
NG tubes are slow, and if the bowel perforates, then everything's gonna spill into her body and we'll be dealing with sepsis on top of that.
Maggie.
She's your patient.
I respect your opinion on this Great.
If that's true, then let's We need to bring in the Chief of Surgery.
Mr.
Leffering.
We're at a bit of a stalemate here.
Have you appointed a new Chief of Surgery? Uh, yes.
I have.
Who is it? Dr.
Harris.
Dr.
Harris.
I'll be out in a minute.
Let's multitask, Charlie.
I'm naming you the new Interim Chief.
Say what? Effective immediately.
Yeah, thanks, but no thanks.
I'm, uh Been down that road before.
Well, according to my data, you were the best Chief this hospital's ever had.
Look, Dr.
Reid's cancer trial has a pressing issue, and I'm not qualified to make a decision on it.
Yeah, well, neither am I.
I'm a bone guy.
You're the former Chief of Surgery with a track record of making sound decisions for the patients of this hospital.
Yeah, don't be modest, Charlie.
This place needs a leader like you.
Okay? What Charlie.
- So, you're the new Interim Chief? - Uh, no.
I was just ambushed.
I haven't accepted anything.
Well, we need another medical opinion on this.
We have a very sick patient with a bowel obstruction.
I think it needs to be tackled surgically.
And I think we should hold off.
This patient is in our clinical trial, and the study rules state that major surgery will make her ineligible to keep taking the trial drug.
A drug that could save her life.
The results have been questionable.
Okay, well, if it was me, I'd think long-term, give the patient some time to respond to the drug.
I'm siding with Maggie.
This is the wrong call, Charlie.
We could lose this patient unnecessarily.
Yes, but otherwise, you're taking a very sick woman away from a drug trial that could potentially save her life.
Maggie's too personally involved to see this clearly.
Bree's not responding well to the study drug.
Can she even handle going under the knife? I believe sepsis will kill her.
Alex, ultimately, you can do what you want.
You're the surgeon.
Charlie.
Is this about something else? Do you think this is personal? Is it? Alex, you asked me for my medical opinion, and I gave it.
If you'll excuse me, I've got an elbow to fix.
Okay, well, he didn't lose consciousness.
That's good.
- No vomiting? - No.
I dropped him.
I lost my balance.
- You tripped? - No, I I don't know.
Menopause, maybe.
He hasn't got a concussion, has he? Well, any time you hit your head, there's always some degree of concussion.
Mm.
No, his reactions are perfect.
Just a bump.
If you tell Alex, she's gonna think that I was drinking.
Because there have been times well, a lifetime ago that if something like this happened, it would have meant that I was drinking.
Well, I can't treat Luke and not tell her.
Oh, please.
I just got her back.
I'm trying to prove that I've changed.
Well, I don't think you're drunk.
But in my experience, one lie leads to a web of lies.
It's a metaphor for when a fly gets stuck into a spider's web, which I don't want to be.
Okay, if you get Luke out of here now then I won't mention it.
Oh.
You'll never see us again.
But if there's vomiting, I want to see him.
I got it.
Hey, buddy.
Should we go get some ice cream? - Yeah.
- Yeah.
Okay.
Come on.
Can I have a kiss? Dr.
Miller.
In here.
There are men here saying they're taking the X-Ray machines back? What? They're not supposed to take those till next week! So, what, we're back to good old-fashioned country doctoring? I'll be out in a minute.
This emergency room's closing? No, we are transitioning into an Urgent Care facility.
What's that? It's when there's urgency but it's not an emergency.
- You mean like a walk-in clinic? - No.
It has the hours of a walk-in clinic but the integrity of an ER.
You don't strike me as a walk-in clinic kind of guy.
Well, sometimes life doesn't turn out the way you want it to, and sometimes you got to take care of your responsibilities and put on a pair pantaloons.
Ugh.
- What's that? - Huh? Oh, just a rash.
Happens a lot in my line of work, what with the chafing.
It looks a lot more serious than that.
- Doc.
- Hmm? If I was wearing pants, you would have missed it.
If you were wearing pants, you probably wouldn't have gotten it in the first place.
I'm gonna have to run some cultures.
Can I get a nurse in here? Okay, Cassie.
Once we get this last plate on, we'll reattached the tip.
I can close if you want.
- Okay.
- Hey, Doc.
You know, they say you can't drink your problems away? What if your problem is you're thirsty? Huh? I'm not your wife.
What? I said "knife.
" You know, I, uh, I got into a fight with a mastodon.
I told him it was irr-elephant.
[irrelevant.]
I heard you were the new Interim Chief.
Yeah, that's the rumor.
I didn't think you'd want to be Chief again.
I don't.
Is it because you find it too difficult to be everyone's boss and friend? What did the piece of bread say when it walked into the operating room? Well, I just got tired of saying things like, "You need to take this more seriously.
" Nothing.
It was coma-toast.
[comatose.]
And also making life-and-death decisions for really invested surgeons.
Come on, that's good! I didn't want to be Chief of Surgery anymore because I wanted a more balanced life with Alex.
What if What if you're coma-toast was irr-elephant? Are you thirsty, Doc? Why was the coma-toast bread thirsty? Because he was irr-elephant.
Everything okay? Um it's irr-elephant.
What's happening here? NG tube is down.
Nothing yet.
Okay, let's see what we've got.
Well, abdomen is not distended at all.
Great.
So, as soon as it takes, we'll feed the study drug down the tube and she won't miss her trial dose.
Localized pain, and her pressure's falling.
You think it's a closed-loop obstruction? Those things go necrotic fast.
I want to get this patient into surgery right away.
No, no, no.
We just We give it more time.
I'm pulling rank.
- No, you can't! - Excuse me.
I didn't put the stop on the next dose of her blood thinners.
Maggie, I told you to hold off.
Now she's more of a bleed risk.
I thought we were avoiding surgery, and I didn't want her to clot again.
Okay, listen, I want an anti-Xa test to see how thin her blood is.
Okay.
I'm scrubbing in.
And, Maggie, I want you to assist, but if you think you're too close to this, you need to page Dr.
Williams.
My son knows what to do.
He needs to wear his helmet, Luke.
Are you here? Is that you? Luke? Can you follow through with this? Mrs.
Reid.
Mrs.
Reid.
Mrs.
Reid, why are you still here? This is exactly what I told you not to do.
I have a dog who makes pancakes.
It's the strangest thing.
- I'm sorry, what? - They took my rings.
Can you help me? They're thieves! Mom, what are you doing here? It's not my fault.
Don't give the dog the recipe.
Luke! What happened to him? - Where are the police? - He's got a bump on his forehead, Mom.
Yes, Alex, he's fine.
I think we have another problem here.
- They took my rings, Alex.
- Are you drunk? How could you do this to us? You know, it's my fault.
I should have known.
I should have known.
My gut said don't trust her because she's totally untrust - No.
Alex, just - Mom.
- Let's get someone down here.
- Mom.
Here we go.
Listen to my voice.
You're gonna be just fine.
You're gonna be fine.
She hasn't been drinking, but I am quite concerned.
What do you think's happening to her? Just getting old, baby.
Man on P.
A.
: Dr.
Reid to O.
R.
number 4.
- Dr.
Reid, O.
R.
number 4.
- Go.
There isn't anything new I can tell you right now, anyway.
- I need to run some more tests.
- You sure? Mm-hmm.
Yeah.
I've got your mother.
And I'll get this little guy back to day care.
You take care of your patient.
Go to Uncle Shahir.
Okay.
Come here, buddy.
Here we go.
Come here, Luke.
Okay.
Thank you.
I got this.
Maggie.
What have we got? Okay, I tested Bree's blood, and I won't lie to you Then don't.
If we reverse the blood thinners and she throws another clot, we're screwed.
Okay, so, we do the surgery with lots of clamps and sponges, and we do our best to manage the bleed risk.
Yeah.
Maggie, I need you on your game.
100%.
I couldn't ask for her to be in better hands.
Mrs.
Stone.
Oh, Dr.
Harris.
Um, your husband is almost out of surgery, and his arm should be just fine.
Oh, good.
But I'm wondering about him personally.
Oh.
Has his behavior been different lately? Oh, yes, actually.
We haven't had this much fun in years.
Has he always been such a joker? Oh, God, no.
He woke up one day and started cracking jokes.
Yeah, if you don't mind my asking, what was Peter like before all this? Eight years ago, uh we walked out of a cemetery leaving our son in a box in the ground.
So not great.
I'm sorry.
Thank you.
Then when did all the funny start? About three weeks ago.
He also joined an improv troop.
Mrs.
Stone I'd like to confer with a neurosurgeon.
You want to get his head checked because he developed a sense of humor? I'm not worried, 'cause you're as tough as nails.
Okay, but if I say anything dumb when I pass out, you can't put it YouTube.
I would never.
Are we still on the road to recovery? Well, I have a Google alert set for Kelly's next tour, so Roxy.
Count backwards from 50 for me, hon.
- 50, 49, 48 - 50, 49, 48 Hey.
What's this? We're about the resect the bowel of a Stage 4 BC Mets patient with a partial blockage.
This is the patient that was on blood thinners.
Yes.
Have you taken precautions to ensure she's not a bleed risk? Yes.
Okay.
So, preliminary tests reveal that Peter has a subarachnoid hemorrhage in his brain, which has been presenting as humor.
So, let me get this straight.
My sense of humor has been caused by an aneurysm? Well, it's not as uncommon as you'd think.
And if I have the surgery will I wake up and not be funny anymore? Well, you brain will go back to the way it was before.
No.
No, I don't want the surgery.
Peter, if you don't have the surgery you'll die.
Dr.
Harris is right.
Well, then, of course he's gonna have the surgery.
Well, what will I tell Elderprov? We've got a show next month.
I don't know.
But, Peter I can't lose you, too.
Running the bowel.
Nothing yet.
Ooh, it's all over my shoes.
And here it is.
Wow.
That's that's dead.
Kelly.
Clamps.
Keep them coming.
Mm-hmm.
Clamps are holding.
Just a few small controllable bleeds.
We still have to put this whole thing back together.
Yeah.
Pressure's dropping.
- Blood thinners she's bleeding out.
- Okay, sponges.
And keep them coming.
Removing the bowel.
Keep the fluids coming, please.
I'm trying, but the blood gas numbers are off the chart.
Whatever you guys are doing, you need to hurry.
Maggie, I need you to clamp the superior mesenteric artery.
I can't see anything.
I know we want to stop the bleeding, but if we clamp for too long, we kill the entire bowel.
The clamp buys us time.
I'm only gonna be a few minutes.
Well, that's all you've got, so clamp.
Sutures.
Clamp in place.
Starting the anastomosis.
- Blood pressure is leveling off.
- Great.
You okay? I got too involved.
I risked her life.
She's gonna be fine, Maggie.
How do you always keep the emotion out of the OR? I wish I was a doctor robot.
No, you don't.
So, your surgeon's down there turning me back into a broken man.
He's just picking up pieces of a brain hemorrhage.
The rest is up to you.
We've been through hell.
Lived in a house of gloom for years.
And then this levity.
I thought it was a gift.
Well, the human brain's a mystery, but maybe this aneurysm happened to remind you of who you were, where you were headed before what happened to your son.
I was so excited to see him grow up.
He liked to sing.
He was shy, but I could hear him in his room.
The levity.
It's slipping away.
I can feel it.
No.
No.
It's still there.
Come on.
Tell me a joke.
Okay.
Uh a guy walks into a bar You.
Me.
Your rash is caused by a tick bite.
You have Lyme disease.
Means I go great with tequila? It's serious.
It can cause neurocognitive symptoms, along with muscle joint pains.
I need to get you on an antibiotic drip right away.
Hey.
Hey! You can't take that! Hang on a sec.
Can I get a doxycycline drip for our fleshy friend in Bed number 4? What's going on here? Zach, Mrs.
White is here again.
Heart palpitations? And they're taking the ECG machine.
Thomas.
Hi, Mrs.
White.
Hi.
How did you get here? I'm with the Uber now.
Right.
You're having some chest pains? I'm just a little thumpy again.
Right.
Okay, I need this ECG machine.
Dr.
Miller, you seem upset.
I need this ECG machine now.
These men are just doing what I've asked them do, Zach.
Until the light outside goes dark, we are an ER and we save lives, Thomas.
Zachary's been with me for all four of my heart attacks.
That's right.
I've been with her for all four of her heart attacks.
Yeah! - You stick it to 'em, Doc! - Who's that? That is a little something that you do not need to see.
Shahir.
Any news on my mother? I'm concerned about her scan.
How so? I don't want to speculate yet, but dizziness, memory loss I'd like to admit her for tests.
- What do you think it is? - I don't want to speculate.
- Shahir.
- Alex.
Just tuck this away until I have a conclusive diagnosis.
Okay.
Alex, I'll do everything I can.
Thank you.
All right, one course of antibiotics, one orange jumpsuit.
Listen, if you have any symptoms like lack of sleep or muscle pain, I think you Tell my prison guards to send the ambulance to a hospital with a real ER doctor? Look.
Do you have anyone that's gonna bail you out? Nah.
I'm a lone wolf.
Put on some pants.
Pants are prison.
No.
Prison is a prison.
Can't you compromise? That's what you're doing, and look at you.
- You're a wreck.
- I'm a wreck? You're not an Urgent Care guy! You're a stallion! And i-it's killing me to watch you bend over, man.
Look, you put the pants on, you walk out of here, you're a free man.
This from a man who can't even see the cage that's getting built around him.
Woman on P.
A.
: Dr.
Lin to ICU.
Dr.
Lin to ICU.
Alex? What's going on? GCS of three.
She's got no Plantar's reflex.
Oh, come on, Bree.
Anything? No.
She's in a coma.
Dr.
Harris.
You're accepting the chiefdom.
Yeah.
What the hell? Why not? Fantastic news.
Thought I'd have more trouble convincing you.
What can I tell you? I, um I touched in with several departments today.
I heard.
A bone doctor who diagnoses brain bleeds.
You're a one-man band.
Yeah.
I forgot how much I enjoy the big picture, you know? Plus, you just put me in a great position to, um keep my eye on you.
Welcome aboard, Chief Harris.
Shut the door on your way out.
It's my study.
I did the surgery, so it makes me responsible for Bree's coma.
But a coma isn't dead.
No, but she's having a functionary breakdown with her reticular activating system, so it's not great.
Yeah.
Kind of like sleeping off a bad bender.
Right.
Not even close.
Just Never mind.
Forget about it.
Go home.
You need sleep.
I'm not gonna sleep anyway.
Well, I'd sure hope that anybody who might be doing surgery on me hadn't spent the previous night in an uncomfortable chair.
Tests aren't something to bunk in the hospital for.
If this turns out to be serious, I might need you, and you don't owe me that many days.
Besides, I need to work on my Pinterest page so that I can fix up that bachelor squat you call a condo.
I have eight beautiful lofts for you to choose from.
Okay, let me see.
I don't hate them.
You do know me.
Well, you're my kid.
I've known you since your first breath.
Mom, you're gonna be okay.
Yeah.
Well, I am pretty well-connected.
This is the right choice.
It will free up money.
More money means more lives saved.
You weren't kidding about not being liked.
People might dismiss us as young and inexperienced, Cassie, but we're the future.
Speaking of the future, what are you doing later? I could buy you dinner.
This is the best.
Can't find it in pharmacies, but you can take it all.
Where you gonna put it? Doc, you just leave that to me.
Okay.
Just Now.
Let's go.
Come, come, come, come.
I hope you get out of the petting zoo.
I hope the weather holds.
Zach, is that a naked man streaking across the ambulance bay? Yes, it is.
Chief.
I heard.
You can't make me wear pants, either.
Okay.
I quit.
Enjoy Dawn's office.
You, um, heard the one about the guy who walked into a bar? Maybe not the one about the guy who walked into the bar who hasn't called me since college.
What do you want, Charlie Harris? Well, uh, "he" wanted to know what you were drinking.
Well, that's not a very funny joke.
No, you're right.
I might be a little bit funnied out today.
I had, um, this patient who almost joked himself to death.
Huh.
I got a funny doctor joke.
I'm just looking for the fire exit.
Hey! You called me.
I'll tell you what If I make you laugh you get to come home with me.
I really hope this is funny, then.
A guy walks in to the doctor complaining of a stiff neck.
Uh-huh.
Doctor takes one look at him and prescribes Can I get two He prescribes Uh, yeah, he prescribes Ibuprofen every four to six hours and alternating hot and cold compresses.
Very good.
Doctor also says to the patient, "It might be, you know," "a good idea if you refrain from masturbating.
" And the patient's incredulous and looks at the doctor says, "Why do I have to do that?" The doctor says, "Because I'm still examining you.
" Check.
Please.
Thank you.
So, I try not to let it get to me.
So you just throw yourself into the work even further? Yeah, but then the shift is over and it kind of creeps back in.
And then you come home to a kid every night.
I wouldn't know how to do it.
Nah, see, he's the part that makes everything worthwhile.
Hmm.
Thank you for this.
It is just what I needed.
Yeah, you're welcome.
Um, I-I wouldn't thank me, though.
I'd thank The Magical Buppa Thai.
Guess we should, um call it a night.
Like another night.
Oh, yeah? I'm just saying that I do an excellent Mexican takeout, as well.
I bet.
Night, Manny.
Good night.
- Really? - Yeah.
Is it the Thai grocer or the comic-book store? Well, yeah, it's the comics.
- Right.
- That that's hot, yeah? You know, I should have said Thai grocer.
Then you would have thought I was an excellent Thai chef.
Yeah, but then we would have gotten caught in a situation where we had to prove it.
And I have you over for dinner one night, and then there's empty Thai containers in the garbage and we're done before we've even had a chance kind of thing? I'm sorry, uh, Charlie has Luke.
Actually, it's my security system.
Just a second.
Hello? You're kidding.
Okay, I'll be right there.
The alarm in my apartment's going off, so I just need to - I-I'll come with you.
Yeah.
- Okay.
- Forget to close it? - I'm a surgeon.
I don't forget to close things.
There used to be a really gaudy statue there.
It's gone.
Hello? Oh, thank God.
That thing could wake the dead.
Mom.
Oh, I have been meaning to come and help pitch in ever since you told me that you and Charlie split.
A-And I'm gonna need the alarm code.
Wait, what are you doing? Well, I-I thought that everything that belongs to Charlie could just go in those boxes.
Why? Because the place is a man cave.
We need to get it looking like Alex again.
- Mm-hmm.
- Where's Luke? Uh, he is with Charlie.
Oh, and, uh, Mom, this is Emmanuel.
Emmanuel, this is my mom, Martha.
Lovely to meet you, Martha.
Well, look at you already back up on that horse.
- The apple doesn't fall far.
- Mother.
I should go.
Oh, no, no.
This can work out.
Look, I'll just go and crash in the bedroom while you two heat up, and then when you're ready, I'll just come out here and scooch onto the couch.
Oh, my God, Mom.
Stop.
Please, please, I beg you.
Okay, I am so sorry.
Um tomorrow.
I'll see you tomorrow morning.
- Okay? - Yeah.
I'm sorry.
It's okay.
Are you cooking? I wish Luke was here.
He needs to taste my special pancakes.
You may blossom in grandmotherhood after all.
Oh, come on.
I made pancakes for you kids.
Only if you were still up, and then I had to listen to drunk life advice from all of your unemployed poet friends.
Did you know that most of those guys are almost all dead now? Well, you come in like a hurricane.
Yes, well but it'll be worth it.
When I turn this place into the palace that I never gave you when you were a little girl.
Okay, listen, I know what you're trying to do, but we haven't really seen each other in years.
But we said that's gonna change, right? I've never been the palace type.
No, you're not.
You're my brilliant surgeon daughter.
You got that way without any help from me.
So let me take some of the pressure off.
Now.
Let me look after my grandson.
Just while you're going through this breakup thing.
Luke's in day care at the hospital.
Not today, he isn't.
Today, he's got adventures with Grandma.
Are you sure you're okay, Mom? I'm clean and serene.
Just celebrated two years.
You still going to meetings? Like a girl scout.
I don't know.
Alex, honey.
I got this.
Eat a pancake.
Cassie, you busy girl.
Your name's been on half my surgeries.
I worked my ass off to earn every one of those cases.
I'm sure you have.
Oh.
I mean, thank you, Dr.
Harris.
I hope things are going well with you.
Mm.
Hey.
Maybe not.
- Hi.
- Hey.
Cassie, we've got a consult in the ER.
You want to meet me there? Yeah.
Got it.
Actually, I don't think I need another coffee.
Okay.
I'll see you on rounds.
Hi.
Um my mom's in town.
She's gonna take Luke for a few hours today.
- He's in day care.
- I signed him out.
You sure that's a good idea? I'm trying to let her back in.
Hi.
How are you? Swimming in surgeries.
Don't get me wrong, I love it.
You didn't have anything to do with these, did you? Are you working with Dr.
Harris today? I am.
Why? Well, I need to appoint an Interim Chief.
Dr.
Harris ran a tight ship before his accident.
Have you heard why he didn't reclaim his position after he recovered? No.
And I can't report on people for you.
Do you want to be liked, or do you want to be respected? Hmm, I'll take both, please.
You know, Cassie, you're on the fast track to being named Chief Resident.
Oh.
That's good.
And some jobs require making hard choices and saying things that people don't want to hear.
You mean like your decision to shut down the ER and remove Dr.
Bell from Chief of Surgery? A hospital isn't a place for someone who can't separate the personal from the professional.
So.
Dr.
Harris.
Is he my new Chief? He's definitely unorthodox.
Like, um Jackson Pollock.
A-A surgeon who's like Jackson Pollock? Say more things.
Uh, unconventional but brilliant.
Without all the splatter.
I got to go.
Morning.
Sleeping with the enemy? You were the one who wanted to keep things casual between us.
You think I'm jealous? Your new boyfriend is shutting down the ER today.
He's not my boyfriend, and he's making an unemotional decision that benefits the hospital.
This was the best Level 1 trauma center in the city.
That's why I came here.
That's why you came here.
After today, we're only doing electives, so congrats.
All your cozying up will make you Chief Resident of Tummy Tucks.
I'm not jealous, Cassie.
I'm pissed off.
And you're feeling better, which is a good indication the drug is working.
I walked all the way to the hospital today.
That's a very good sign.
Kelly Clarkson blaring in my iPod.
Which is a less good sign of your questionable taste in music.
I never thought walking would be the marker for a good day.
- Baby steps to a full recovery.
- You think so? Let's just say I'm optimistic that we're gonna see great results today.
From your lips to God's ears.
Although, if I get those good results, I don't know who I'm gonna share 'em with.
What do you mean? Well my parents pretty much abandoned me when I came out.
Violet's gone.
You know, some of the women in the study they've got really little kids.
Sometimes I get this feeling that it's like more important that they live because it actually matters to someone else if they do.
Mnh-mnh.
All that matters is that you all live.
And you matter to me.
Wow.
They are really taking apart your ER.
I'm tentatively positive.
I can't afford not to be.
Still paying spousal support, huh? Two mortgages.
Tutors.
Rep Hockey.
- Then long live Urgent Care.
- Uh-huh.
Where's Dawn? I haven't seen her today.
Oh.
After she was unceremoniously relieved of Chief of Surgery, she decided that she needed a spa day, but when she called I heard slot machines.
Ooh.
So.
Here's the deal today, guys.
We will be rerouting ambulances to Mississauga Memorial and we will be a walk-in until we close the doors tonight.
Awesome.
So, here you go.
Bed number 4.
Guy broke his "punny bone.
" Seriously, he's nonstop hilarity.
I can't wait.
Knock, knock.
Who's there? - Orange.
- Orange who? Orange you glad you didn't see banana? I don't want to jinx the study, but I haven't felt this good since those creepy little cancer zombies took over my lymph nodes.
And you've had an increase in appetite? I had a whole glass of champagne - at my mom's birthday party last night.
- Mmm.
My, that is a good sign.
I worry about who got a placebo.
Like, what if it's me? But there is no placebo.
It's a Phase 1/2 trial.
Just cheer up, grumpy pants.
She's right.
We want to figure out if the drug works, okay? So you all got the good stuff.
Uh, anybody else increase in appetite? Well I was waiting until you left to break these babies out! Oh! Those are terrible for you.
Yeah, I'd be thrilled to live long enough for cheddar puffs to kill me.
Well, I'm sharing.
Well, then I will share four seasons of "The Bachelorette.
" - Yeah! - Yes! Ooh, okay.
I better get going.
Otherwise, I'm gonna get sucked in and miss my surgery.
- Hey, Dr.
Lin.
- Yeah? I just wanted to say you guys are the best.
When you're diagnosed with the big effin' "C," you have this team behind you who's all, "We're gonna beat this.
" You're the only one left still swinging.
True dat, Doc.
You are a bit of superhero.
Hello, ladies.
Oh.
The other half of the dynamic duo.
If you'll just excuse us for a moment.
Dr.
Lin, I need to talk to you.
Okay.
Not too many cheddar puffs, girls.
- Get them.
- Okay.
Gimme, gimme, gimme, gimme, gimme, gimme.
Stop! The suspense is killing me.
Okay.
Right.
Here we go.
All right.
Uh Spots on Laura's lungs are getting smaller.
Maria's are shrinking.
- Okay.
- This is hopeful.
Shrinking, shrinking.
Bree.
Bree's spots are growing.
Early days, though, right? Yeah.
This is your first scan.
If you look at the diameter of the same spots in your new scan, most of them are the same.
However, some of them have grown, like this one here.
But most are stable, and stable is good.
But there has been some growth.
So I'm not responding to the study drug? - Not yet.
But - Are any of the other girls? I'm sorry, Bree.
We can't divulge that information.
It's okay.
It's fine.
I can tell they are.
I'm really sorry for this pity party.
I'm really excited for everybody else.
No, you have every right.
You've been on a crazy ride between the car accident and the clot and Chemo to Violet leaving.
Yeah, it's It's pretty much all sucked.
Well, I'm not giving up.
I'm confident that we are gonna get results, and when we do, Kelly Clarkson tickets are on me.
You are my kickass guardian angel.
- Oh, my God.
- Bree! Bree.
Okay, Bree, honey.
What's wrong? Can you tell us where it hurts? Okay.
What are we dealing with here, exactly? He took his clothes off in the lock-up.
It freaked out a couple of drunk morons, and they roughed him up.
Yeah, you put your tooth through your lip.
Gonna need a couple stitches.
How's your head, sir? Head's right as rain.
What's your name? They call me The Nude Dude.
He calls himself The Nude Dude.
- No ID? - No pockets.
He's exercising his right to be naked.
- Which he doesn't have.
- Which is fascist.
Hangs out with us a lot as a result.
We dressed him to get him over here.
Cuffed him.
Somehow he got the damn jumpsuit off in the back of the squad.
Okay.
Can we take the cuffs off? I don't think he's very dangerous.
Sir, I'm gonna ask you to put on a gown for me.
Nah, I'm good, thanks.
I'm gonna ask you to put a gown on me for me, sir.
There are a lot of elderly around here with weak hearts.
It's sad that we live in a world where nudity is shocking.
But I appreciate you getting my cuffs off.
You have compassion, the most important quality in a revolutionary.
Thanks.
For you, I'll don the gown.
- Hyuh! - Great.
Hey.
Dr.
Hamza.
Yes.
You paged me.
We have a toddler with a nasty bruise on his head, Bed 1.
Thought I'd take the extra precaution just to be sure.
- Luke? - Oh, no.
You know him? Know him? I'm his godfather.
Oh.
I'm his grandmother.
- You're Alex's - Please.
You can't tell her that I'm here.
How do you like working days? I'm still trying to flip my schedule.
I got pretty used to working nights.
Some of my favorite animals are nocturnal.
Like rats? - Owls.
- Owls.
Yeah.
Big eyes, quiet wisdom.
That's my type.
You got to stop trying to distract me, Dr.
Reid.
- I'm on my rounds.
- Okay.
I would let you distract me at a more appropriate time.
Oh, you would, would you? I would.
Yeah.
I'd whip up some Pad Thai.
You know, in the after owls.
In the after hours.
I'll think about it.
Uh, Peter Stone? Hey, Doc.
Uh, what do you call a mean pickle? Uh, I don't know.
A sour dill.
No.
A prickle! Amazing.
A sour dill was good, too.
But I-I wouldn't quit your day job.
At least not until you've, uh, you've fix this wing.
Yeah, what exactly happened? I was mixing a margarita.
The good news is, I didn't spill a drop.
He's been given morphine.
Well, it looks like you've shattered your humerus.
I'm gonna, uh, need imaging to confirm, but you're probably gonna need surgery.
Well, then, we'll both have each other in stitches.
Bree has a significant small bowel obstruction.
That's common with metastatic breast cancer.
What time was her last blood thinner? 10 hours ago, so she's due for another one soon.
Good.
Let's hold off on her next dose.
We'll do the surgery, fix the bowel before it tears.
Oh, I don't think surgery's our best option here.
Why do you say that? Well, she's a very sick, immunocompromised Stage 4 cancer patient with a high risk for a blood clot reoccurrence.
I just don't think she can handle surgery.
Is this because you think surgery makes her ineligible to stay in the breast-cancer study? Surgery is just one option to deal with a bowel obstruction.
You want to suck out the contents with an NG tube.
Yep.
It's a partial obstruction.
NG tubes are slow, and if the bowel perforates, then everything's gonna spill into her body and we'll be dealing with sepsis on top of that.
Maggie.
She's your patient.
I respect your opinion on this Great.
If that's true, then let's We need to bring in the Chief of Surgery.
Mr.
Leffering.
We're at a bit of a stalemate here.
Have you appointed a new Chief of Surgery? Uh, yes.
I have.
Who is it? Dr.
Harris.
Dr.
Harris.
I'll be out in a minute.
Let's multitask, Charlie.
I'm naming you the new Interim Chief.
Say what? Effective immediately.
Yeah, thanks, but no thanks.
I'm, uh Been down that road before.
Well, according to my data, you were the best Chief this hospital's ever had.
Look, Dr.
Reid's cancer trial has a pressing issue, and I'm not qualified to make a decision on it.
Yeah, well, neither am I.
I'm a bone guy.
You're the former Chief of Surgery with a track record of making sound decisions for the patients of this hospital.
Yeah, don't be modest, Charlie.
This place needs a leader like you.
Okay? What Charlie.
- So, you're the new Interim Chief? - Uh, no.
I was just ambushed.
I haven't accepted anything.
Well, we need another medical opinion on this.
We have a very sick patient with a bowel obstruction.
I think it needs to be tackled surgically.
And I think we should hold off.
This patient is in our clinical trial, and the study rules state that major surgery will make her ineligible to keep taking the trial drug.
A drug that could save her life.
The results have been questionable.
Okay, well, if it was me, I'd think long-term, give the patient some time to respond to the drug.
I'm siding with Maggie.
This is the wrong call, Charlie.
We could lose this patient unnecessarily.
Yes, but otherwise, you're taking a very sick woman away from a drug trial that could potentially save her life.
Maggie's too personally involved to see this clearly.
Bree's not responding well to the study drug.
Can she even handle going under the knife? I believe sepsis will kill her.
Alex, ultimately, you can do what you want.
You're the surgeon.
Charlie.
Is this about something else? Do you think this is personal? Is it? Alex, you asked me for my medical opinion, and I gave it.
If you'll excuse me, I've got an elbow to fix.
Okay, well, he didn't lose consciousness.
That's good.
- No vomiting? - No.
I dropped him.
I lost my balance.
- You tripped? - No, I I don't know.
Menopause, maybe.
He hasn't got a concussion, has he? Well, any time you hit your head, there's always some degree of concussion.
Mm.
No, his reactions are perfect.
Just a bump.
If you tell Alex, she's gonna think that I was drinking.
Because there have been times well, a lifetime ago that if something like this happened, it would have meant that I was drinking.
Well, I can't treat Luke and not tell her.
Oh, please.
I just got her back.
I'm trying to prove that I've changed.
Well, I don't think you're drunk.
But in my experience, one lie leads to a web of lies.
It's a metaphor for when a fly gets stuck into a spider's web, which I don't want to be.
Okay, if you get Luke out of here now then I won't mention it.
Oh.
You'll never see us again.
But if there's vomiting, I want to see him.
I got it.
Hey, buddy.
Should we go get some ice cream? - Yeah.
- Yeah.
Okay.
Come on.
Can I have a kiss? Dr.
Miller.
In here.
There are men here saying they're taking the X-Ray machines back? What? They're not supposed to take those till next week! So, what, we're back to good old-fashioned country doctoring? I'll be out in a minute.
This emergency room's closing? No, we are transitioning into an Urgent Care facility.
What's that? It's when there's urgency but it's not an emergency.
- You mean like a walk-in clinic? - No.
It has the hours of a walk-in clinic but the integrity of an ER.
You don't strike me as a walk-in clinic kind of guy.
Well, sometimes life doesn't turn out the way you want it to, and sometimes you got to take care of your responsibilities and put on a pair pantaloons.
Ugh.
- What's that? - Huh? Oh, just a rash.
Happens a lot in my line of work, what with the chafing.
It looks a lot more serious than that.
- Doc.
- Hmm? If I was wearing pants, you would have missed it.
If you were wearing pants, you probably wouldn't have gotten it in the first place.
I'm gonna have to run some cultures.
Can I get a nurse in here? Okay, Cassie.
Once we get this last plate on, we'll reattached the tip.
I can close if you want.
- Okay.
- Hey, Doc.
You know, they say you can't drink your problems away? What if your problem is you're thirsty? Huh? I'm not your wife.
What? I said "knife.
" You know, I, uh, I got into a fight with a mastodon.
I told him it was irr-elephant.
[irrelevant.]
I heard you were the new Interim Chief.
Yeah, that's the rumor.
I didn't think you'd want to be Chief again.
I don't.
Is it because you find it too difficult to be everyone's boss and friend? What did the piece of bread say when it walked into the operating room? Well, I just got tired of saying things like, "You need to take this more seriously.
" Nothing.
It was coma-toast.
[comatose.]
And also making life-and-death decisions for really invested surgeons.
Come on, that's good! I didn't want to be Chief of Surgery anymore because I wanted a more balanced life with Alex.
What if What if you're coma-toast was irr-elephant? Are you thirsty, Doc? Why was the coma-toast bread thirsty? Because he was irr-elephant.
Everything okay? Um it's irr-elephant.
What's happening here? NG tube is down.
Nothing yet.
Okay, let's see what we've got.
Well, abdomen is not distended at all.
Great.
So, as soon as it takes, we'll feed the study drug down the tube and she won't miss her trial dose.
Localized pain, and her pressure's falling.
You think it's a closed-loop obstruction? Those things go necrotic fast.
I want to get this patient into surgery right away.
No, no, no.
We just We give it more time.
I'm pulling rank.
- No, you can't! - Excuse me.
I didn't put the stop on the next dose of her blood thinners.
Maggie, I told you to hold off.
Now she's more of a bleed risk.
I thought we were avoiding surgery, and I didn't want her to clot again.
Okay, listen, I want an anti-Xa test to see how thin her blood is.
Okay.
I'm scrubbing in.
And, Maggie, I want you to assist, but if you think you're too close to this, you need to page Dr.
Williams.
My son knows what to do.
He needs to wear his helmet, Luke.
Are you here? Is that you? Luke? Can you follow through with this? Mrs.
Reid.
Mrs.
Reid.
Mrs.
Reid, why are you still here? This is exactly what I told you not to do.
I have a dog who makes pancakes.
It's the strangest thing.
- I'm sorry, what? - They took my rings.
Can you help me? They're thieves! Mom, what are you doing here? It's not my fault.
Don't give the dog the recipe.
Luke! What happened to him? - Where are the police? - He's got a bump on his forehead, Mom.
Yes, Alex, he's fine.
I think we have another problem here.
- They took my rings, Alex.
- Are you drunk? How could you do this to us? You know, it's my fault.
I should have known.
I should have known.
My gut said don't trust her because she's totally untrust - No.
Alex, just - Mom.
- Let's get someone down here.
- Mom.
Here we go.
Listen to my voice.
You're gonna be just fine.
You're gonna be fine.
She hasn't been drinking, but I am quite concerned.
What do you think's happening to her? Just getting old, baby.
Man on P.
A.
: Dr.
Reid to O.
R.
number 4.
- Dr.
Reid, O.
R.
number 4.
- Go.
There isn't anything new I can tell you right now, anyway.
- I need to run some more tests.
- You sure? Mm-hmm.
Yeah.
I've got your mother.
And I'll get this little guy back to day care.
You take care of your patient.
Go to Uncle Shahir.
Okay.
Come here, buddy.
Here we go.
Come here, Luke.
Okay.
Thank you.
I got this.
Maggie.
What have we got? Okay, I tested Bree's blood, and I won't lie to you Then don't.
If we reverse the blood thinners and she throws another clot, we're screwed.
Okay, so, we do the surgery with lots of clamps and sponges, and we do our best to manage the bleed risk.
Yeah.
Maggie, I need you on your game.
100%.
I couldn't ask for her to be in better hands.
Mrs.
Stone.
Oh, Dr.
Harris.
Um, your husband is almost out of surgery, and his arm should be just fine.
Oh, good.
But I'm wondering about him personally.
Oh.
Has his behavior been different lately? Oh, yes, actually.
We haven't had this much fun in years.
Has he always been such a joker? Oh, God, no.
He woke up one day and started cracking jokes.
Yeah, if you don't mind my asking, what was Peter like before all this? Eight years ago, uh we walked out of a cemetery leaving our son in a box in the ground.
So not great.
I'm sorry.
Thank you.
Then when did all the funny start? About three weeks ago.
He also joined an improv troop.
Mrs.
Stone I'd like to confer with a neurosurgeon.
You want to get his head checked because he developed a sense of humor? I'm not worried, 'cause you're as tough as nails.
Okay, but if I say anything dumb when I pass out, you can't put it YouTube.
I would never.
Are we still on the road to recovery? Well, I have a Google alert set for Kelly's next tour, so Roxy.
Count backwards from 50 for me, hon.
- 50, 49, 48 - 50, 49, 48 Hey.
What's this? We're about the resect the bowel of a Stage 4 BC Mets patient with a partial blockage.
This is the patient that was on blood thinners.
Yes.
Have you taken precautions to ensure she's not a bleed risk? Yes.
Okay.
So, preliminary tests reveal that Peter has a subarachnoid hemorrhage in his brain, which has been presenting as humor.
So, let me get this straight.
My sense of humor has been caused by an aneurysm? Well, it's not as uncommon as you'd think.
And if I have the surgery will I wake up and not be funny anymore? Well, you brain will go back to the way it was before.
No.
No, I don't want the surgery.
Peter, if you don't have the surgery you'll die.
Dr.
Harris is right.
Well, then, of course he's gonna have the surgery.
Well, what will I tell Elderprov? We've got a show next month.
I don't know.
But, Peter I can't lose you, too.
Running the bowel.
Nothing yet.
Ooh, it's all over my shoes.
And here it is.
Wow.
That's that's dead.
Kelly.
Clamps.
Keep them coming.
Mm-hmm.
Clamps are holding.
Just a few small controllable bleeds.
We still have to put this whole thing back together.
Yeah.
Pressure's dropping.
- Blood thinners she's bleeding out.
- Okay, sponges.
And keep them coming.
Removing the bowel.
Keep the fluids coming, please.
I'm trying, but the blood gas numbers are off the chart.
Whatever you guys are doing, you need to hurry.
Maggie, I need you to clamp the superior mesenteric artery.
I can't see anything.
I know we want to stop the bleeding, but if we clamp for too long, we kill the entire bowel.
The clamp buys us time.
I'm only gonna be a few minutes.
Well, that's all you've got, so clamp.
Sutures.
Clamp in place.
Starting the anastomosis.
- Blood pressure is leveling off.
- Great.
You okay? I got too involved.
I risked her life.
She's gonna be fine, Maggie.
How do you always keep the emotion out of the OR? I wish I was a doctor robot.
No, you don't.
So, your surgeon's down there turning me back into a broken man.
He's just picking up pieces of a brain hemorrhage.
The rest is up to you.
We've been through hell.
Lived in a house of gloom for years.
And then this levity.
I thought it was a gift.
Well, the human brain's a mystery, but maybe this aneurysm happened to remind you of who you were, where you were headed before what happened to your son.
I was so excited to see him grow up.
He liked to sing.
He was shy, but I could hear him in his room.
The levity.
It's slipping away.
I can feel it.
No.
No.
It's still there.
Come on.
Tell me a joke.
Okay.
Uh a guy walks into a bar You.
Me.
Your rash is caused by a tick bite.
You have Lyme disease.
Means I go great with tequila? It's serious.
It can cause neurocognitive symptoms, along with muscle joint pains.
I need to get you on an antibiotic drip right away.
Hey.
Hey! You can't take that! Hang on a sec.
Can I get a doxycycline drip for our fleshy friend in Bed number 4? What's going on here? Zach, Mrs.
White is here again.
Heart palpitations? And they're taking the ECG machine.
Thomas.
Hi, Mrs.
White.
Hi.
How did you get here? I'm with the Uber now.
Right.
You're having some chest pains? I'm just a little thumpy again.
Right.
Okay, I need this ECG machine.
Dr.
Miller, you seem upset.
I need this ECG machine now.
These men are just doing what I've asked them do, Zach.
Until the light outside goes dark, we are an ER and we save lives, Thomas.
Zachary's been with me for all four of my heart attacks.
That's right.
I've been with her for all four of her heart attacks.
Yeah! - You stick it to 'em, Doc! - Who's that? That is a little something that you do not need to see.
Shahir.
Any news on my mother? I'm concerned about her scan.
How so? I don't want to speculate yet, but dizziness, memory loss I'd like to admit her for tests.
- What do you think it is? - I don't want to speculate.
- Shahir.
- Alex.
Just tuck this away until I have a conclusive diagnosis.
Okay.
Alex, I'll do everything I can.
Thank you.
All right, one course of antibiotics, one orange jumpsuit.
Listen, if you have any symptoms like lack of sleep or muscle pain, I think you Tell my prison guards to send the ambulance to a hospital with a real ER doctor? Look.
Do you have anyone that's gonna bail you out? Nah.
I'm a lone wolf.
Put on some pants.
Pants are prison.
No.
Prison is a prison.
Can't you compromise? That's what you're doing, and look at you.
- You're a wreck.
- I'm a wreck? You're not an Urgent Care guy! You're a stallion! And i-it's killing me to watch you bend over, man.
Look, you put the pants on, you walk out of here, you're a free man.
This from a man who can't even see the cage that's getting built around him.
Woman on P.
A.
: Dr.
Lin to ICU.
Dr.
Lin to ICU.
Alex? What's going on? GCS of three.
She's got no Plantar's reflex.
Oh, come on, Bree.
Anything? No.
She's in a coma.
Dr.
Harris.
You're accepting the chiefdom.
Yeah.
What the hell? Why not? Fantastic news.
Thought I'd have more trouble convincing you.
What can I tell you? I, um I touched in with several departments today.
I heard.
A bone doctor who diagnoses brain bleeds.
You're a one-man band.
Yeah.
I forgot how much I enjoy the big picture, you know? Plus, you just put me in a great position to, um keep my eye on you.
Welcome aboard, Chief Harris.
Shut the door on your way out.
It's my study.
I did the surgery, so it makes me responsible for Bree's coma.
But a coma isn't dead.
No, but she's having a functionary breakdown with her reticular activating system, so it's not great.
Yeah.
Kind of like sleeping off a bad bender.
Right.
Not even close.
Just Never mind.
Forget about it.
Go home.
You need sleep.
I'm not gonna sleep anyway.
Well, I'd sure hope that anybody who might be doing surgery on me hadn't spent the previous night in an uncomfortable chair.
Tests aren't something to bunk in the hospital for.
If this turns out to be serious, I might need you, and you don't owe me that many days.
Besides, I need to work on my Pinterest page so that I can fix up that bachelor squat you call a condo.
I have eight beautiful lofts for you to choose from.
Okay, let me see.
I don't hate them.
You do know me.
Well, you're my kid.
I've known you since your first breath.
Mom, you're gonna be okay.
Yeah.
Well, I am pretty well-connected.
This is the right choice.
It will free up money.
More money means more lives saved.
You weren't kidding about not being liked.
People might dismiss us as young and inexperienced, Cassie, but we're the future.
Speaking of the future, what are you doing later? I could buy you dinner.
This is the best.
Can't find it in pharmacies, but you can take it all.
Where you gonna put it? Doc, you just leave that to me.
Okay.
Just Now.
Let's go.
Come, come, come, come.
I hope you get out of the petting zoo.
I hope the weather holds.
Zach, is that a naked man streaking across the ambulance bay? Yes, it is.
Chief.
I heard.
You can't make me wear pants, either.
Okay.
I quit.
Enjoy Dawn's office.
You, um, heard the one about the guy who walked into a bar? Maybe not the one about the guy who walked into the bar who hasn't called me since college.
What do you want, Charlie Harris? Well, uh, "he" wanted to know what you were drinking.
Well, that's not a very funny joke.
No, you're right.
I might be a little bit funnied out today.
I had, um, this patient who almost joked himself to death.
Huh.
I got a funny doctor joke.
I'm just looking for the fire exit.
Hey! You called me.
I'll tell you what If I make you laugh you get to come home with me.
I really hope this is funny, then.
A guy walks in to the doctor complaining of a stiff neck.
Uh-huh.
Doctor takes one look at him and prescribes Can I get two He prescribes Uh, yeah, he prescribes Ibuprofen every four to six hours and alternating hot and cold compresses.
Very good.
Doctor also says to the patient, "It might be, you know," "a good idea if you refrain from masturbating.
" And the patient's incredulous and looks at the doctor says, "Why do I have to do that?" The doctor says, "Because I'm still examining you.
" Check.
Please.
Thank you.
So, I try not to let it get to me.
So you just throw yourself into the work even further? Yeah, but then the shift is over and it kind of creeps back in.
And then you come home to a kid every night.
I wouldn't know how to do it.
Nah, see, he's the part that makes everything worthwhile.
Hmm.
Thank you for this.
It is just what I needed.
Yeah, you're welcome.
Um, I-I wouldn't thank me, though.
I'd thank The Magical Buppa Thai.
Guess we should, um call it a night.
Like another night.
Oh, yeah? I'm just saying that I do an excellent Mexican takeout, as well.
I bet.
Night, Manny.
Good night.