New Amsterdam (2018) s05e13 Episode Script

Keeping watch?
She's your sister?
What's your name, son?
Maximus Leonard Goodwin.
That's a nice name.
Do people call you Max?
How can I help?
And from that moment
Because of those words,
I knew I was gonna be a doctor.
And, um,
well, I share this with you now
not just so you can
imagine me as an adorable
little five-year-old,
but, um, because
I want you to remember
what that moment was for you,
when you knew this
was gonna be your calling.
Because this job can wear you down.
Even on the best days,
takes a toll on your heart.
If you find yourself in a tough moment,
thinking that all is lost,
feeling like what you do doesn't matter,
I want you to remember
why you became a doctor
in the first place.
And let that moment
be your North Star.
Uh, I never imagined
I'd be standing here
saying goodbye to this hospital,
to this incredible group of people.
But I think I did
what I came here to do
Which is to make New Amsterdam
a place of hope
for those who need it most.
And now the time has come
for new challenges.
As many of you know, I'll be
running Global Health Policy
at the World Health
Organization in Geneva.
Even bigger systems to break
and hopefully
put back together stronger.
But, uh,
I'm gonna miss
each and every one of you.
And I wish I could stay
for even one more day.
But I made a very special promise
to a very special person.
And, uh, I have to keep it.
Today is the annual
Manhattan Mermaid Parade,
and this year, we are not gonna miss it.
So, um
I don't know what to say other than, uh,
thank you
For everything.
Dr. Max Goodwin.
When you are in the market
for solid information,
I say go to the source.
- Sorry?
- Uh, information.
It's the information booth.
You
You got what I need?
Are you lost?
No. Uh, no.
I'm just looking for my assistant,
who I was supposed to meet here,
but I'm seeing no sign of her.
And I am, uh,
kind of sweaty from my commute,
so I'm thinking I need
to go take a cold shower
so that I can make
a good first impression
on everybody that I meet,
with the exception of
what's your name?
- Bart.
- With the exception of Bart,
who has already seen me
in my natural state:
lost, harried, and slightly
dewy with perspiration.
Who are you again?
I'm the new medical director
of New Amsterdam.
Yulia Salenko, female, 32,
tachy in the field.
Casey, check her heart rate.
Hi, Yulia. I'm Dr. Bloom.
Uh, we're just gonna
take some vitals, okay?
I'm sorry.
Don't be sorry.
Much rather be taking care of you
than listening to Dr. Walsh
rant about inflation.
The Fed's out of control,
and you know it.
Let's move.
She's hypotensive and warm to the touch.
Yeah, her spleen's enlarged.
- Possible endocarditis?
- I was thinking stroke.
Maybe part of a broader infection?
Never seen anything like this before.
Look at her eyes.
Uh, I'm sorry,
can you go wait over there
for me, please, by the nurses' station?
Let him stay with me, please.
He'll be close by, I promise.
I just need the space to work, okay?
Hey. Hey, bud,
we're gonna hang over here.
It's okay, Dimi. Mama's right here.
I think she's got fluid in her lungs.
Okay, this didn't happen overnight.
Um, Yulia,
how long have you been
feeling sick like this for?
Weeks.
But we don't have any insurance.
I kept thinking
it would get better, but
this morning
when I was brushing my teeth,
there was all this blood.
What's happening to me?
I don't know.
But we're gonna figure it out.
Walsh, let's start fluids.
Casey, page Wilder now.
Your labs showed abnormally
low cell counts, Ms. Salenko.
I'm not sure what's making you so sick,
but I would like to biopsy
your bone marrow.
That's gonna give us a few more clues.
She's good to go.
Okay.
Hey.
We've numbed your mom's back,
but, you know, the needles are scary.
You want to wait outside for this part?
After we came to America,
my son stopped speaking.
Before, he was such a little chatterbox.
But I haven't heard his voice in a year.
You can stay if you want.
Squeeze my hand
as hard as you need to, okay?
If I die,
who will take care of my son?
I'm all he has.
What do you see?
Well, her biopsy clearly
shows extreme phagocytosis.
Can you spell that?
Um, P-H-G
P-H-A no, actually,
I I can't. I'm sorry.
Her white blood cells are eating
- all of her other blood cells.
- You're thinking
hemophagocytic lymphohistiocytosis?
Come on, guys.
Just say HLH.
Uh, HLH is extremely rare.
I know. I mean, we barely
even touched on it in med school.
Yeah, but it's the only thing
that explains her symptoms.
I mean, enlarged spleen,
excessive bleeding,
abdominal pain.
And it is almost always fatal.
I mean, I've never even
seen a case before,
let alone treated one successfully.
I have treated one
but not successfully.
Same.
I only know of one doctor
who's been successful.
Well, that's a start.
Well, yeah, but I don't want
to call him in.
Why?
How can I help?
Conco's at 23! LB!
- Buy! Buy!
- Buy!
Buy!
Today was insane, man.
You know, I I thought
last year was peak,
but 2008, get ready.
Yo, it's gonna be next level.
Ugh.
- Yo, I I'm gonna buy me a boat.
- Ugh.
Pete, you get motion sickness
going down an escalator.
So I'll snort Dramamine.
Wh-what are you gonna do
with all your dough?
I don't know.
Spare some change?
- Uh, yeah.
- Yo, get a job, man.
- Uh
- Gross.
Hey, hey.
Here.
God bless you.
You're just enabling him, you know.
You're a real dirtbag, you know, Pete?
It's all part of my charm.
- You gonna get that?
- No.
It's my druggie sister.
Oh, my God.
Call 911.
Uh um, uh, excuse me!
Excuse me, can you help me?
Someone help, please!
I think he needs CPR!
Somebody help me, please!
Can somebody help?
Come on. Somebody, some
Oh, my God.
Oh, God.
I don't know how to help you.
I don't know how to help.
I'm sorry.
I'm sorry. I'm sorry.
Hey.
Our friends down
in the cafeteria tell me
it's chocolate chip cookie day.
And I can hook you up, brother.
How many you want, hmm?
Two, three?
I'm working my best material,
but the kid's not giving me anything.
I got this.
Hi, Dimi,
would you come with me?
His mother's in critical condition?
That's not why he won't speak.
She said he hasn't said a word
in over a year,
ever since they fled Ukraine
at the start of the war.
Okay, well, maybe we need
a translator here just in case.
No, she assures me
that he speaks English,
when he used to speak.
Okay, so he's choosing
not to communicate.
That's, um that's selective mutism.
Look, between you and me,
there's a real chance that
his mother's not gonna survive.
Look, if he won't engage with anyone
and he ends up in the foster system
Selective mutism is treatable.
It's okay. It's very serious,
and it requires immediate intervention,
but I'm glad you brought him to me.
I know exactly what to do.
Okay?
Hey, buddy.
So sorry, but I have a bunch
of boring old insurance stuff
to wade through here.
Shouldn't take me more than
an hour or two three, tops.
You cool to wait?
#Adulting, am I right?
Oh, come on, baby.
Okay, I am gonna be so quick, I promise.
No, Daddy, no.
Hey, how long can mermaids
last out of water?
- Until they dry?
- That's right.
And that's why I'm gonna be right back
and get you back in that ocean
before you dry out, okay?
Now, I am gonna give you this.
Why don't you draw me a mermaid, okay?
I'll be right back.
Hi, Yulia. I'm Dr. Goodwin.
And I come bearing methotrexate.
It's gonna make you feel
a whole lot better.
What is it?
You know how we told you
that your white blood cells
are confused and they're
attacking your own body?
This should help, uh, calm them down.
I'm sorry.
It's just,
the last few hours
have just been so scary.
And no one seems to know
what's causing this.
Well, HLH is an aggressive syndrome.
But it's caused
by an underlying condition
that most people
don't even know they have.
So the real question is,
what's underneath this?
How do we find out?
I get to know as much
about you as I possibly can.
Have you had COVID?
That can be a trigger sometimes.
Mm, no. Not that I know of.
And where do you live?
What do you do for work?
Um, my son and I live in Queens.
But we came from Ukraine last year.
You got out?
After the Russians bombed
a school in our village,
I took Dimi, and we fled.
Must've been horrible.
We hid in farms, stables,
stowed away in train cars.
But we made it out.
We left our home behind,
and I vowed to give my son
a better life here, but
a new country,
no family
it's been lonely.
And now this illness, it's
Mm.
- What's wrong?
- Um
- What are you doing?
- Well, I'm very sorry,
but I think I made a mistake.
This is not gonna help you.
Hey, brucellosis! Brucellosis.
That's Yulia Salenko's
underlying condition.
- How'd you land there?
- Because when she fled
the war in Ukraine with her son,
they were hiding out
in farms and stables.
It it's livestock.
That's gotta be how she got it.
So in order to treat her HLH,
we have to completely
rid her body of all traces
of brucellosis.
Yeah, I already started her
on a massive regimen
- of antibiotics.
- All right, so if she fled
Ukraine when the war began,
that's a year ago.
I mean, the bacteria would have spread
- to every part of her body.
- Yeah.
That's untreated endocarditis.
I didn't say it was gonna be easy.
- Max
- Floyd, if we don't
at least try, then she will have come
all this way just to die here,
and her son is gonna be
orphaned in a foreign country.
I hear you, I do.
But what you're talking about,
this procedure, it will literally take
dozens of highly trained
surgeons and specialists
- to pull it off.
- 53.
By my count, it's gonna take 53.
You know damn well that money
was for Courtney's braces.
And if my garage goes under, then what?
Your garage is struggling
because you ran it into the damn ground!
You know I'm doing
what's best for this family!
No, you're doing what's best
for Horace like always!
You never respect me!
I'm the man of this house!
Then act like one!
Floyd?
What did you do, baby?
I put it back together for you.
Clamp.
Scalpel.
Forceps.
Popcorn on a stick.
Okay.
Now ready to implant
porcine aortic valve.
Dr. Wilder, uh
There's nowhere else that I can stand.
Well, can you just a little
No. I have to be
right beside Dr. Gaffen,
and I need to be able to see Ben.
We got no wiggle room over here, Floyd.
- Try over there.
- Oh, God.
Oh.
We just lost the bypass machine.
Our patient just died.
But hey, this is why we rehearse, right?
Max, we're packed in here so tight
that if I just breathe,
I'm gonna knock something over.
I know. We can rework the plan.
We can do some of the surgeries
individually
- instead of simultaneously.
- Anything that's gonna
give us more space to work in here.
But it's gonna add time
that we can't afford.
I can help.
How?
I can replace the aortic valve
while her heart's still beating.
Then we can get rid
of this bypass machine
so it doesn't take up so much space.
Will that save time?
Yes.
While her heart's still beating?
Have you ever done that before?
No.
Okay.
You better start practicing.
All right, what do you think,
stripes, outrageous pattern?
Which one?
Neither?
What, no tie? Huh.
What about a bolo?
Albert wore a turquoise one
on our first date,
and I found it quite fetching.
Oh, yes, Albert, the new beau.
When do I get to meet
the lucky fella, huh?
What do you think,
dinner Saturday night?
Uh, okay.
Good. We can chat about his affinity
for Southwestern apparel.
What are you doing?
Oh, I'm, uh I'm ignoring him.
Yeah. I can see that.
- Mm-hmm.
- But why?
Well, because with selective mutism,
you do not pursue.
You create a path
and let them come to you.
I have set the table, so to speak.
Now all he has to do is come and feast.
He doesn't appear to be hungry.
Not even a little bit.
Mm.
Hey.
Hey, Lu.
Mermaid Parade?
I don't think we're gonna
make the Mermaid Parade
- this year.
- No.
You said mermaids.
I know. I know I did.
But then someone came to our hospital,
- and they need our help
- But you said.
I know I did, but I
Look at me.
This patient, she really needs our help.
And not just me.
This whole hospital,
everybody here, is gonna help.
So we gotta help her.
And hey, you and me,
we're gonna have
so many fun things to do
I hate New Amsterdam!
Drug overdose, found in the park.
Patient's a 62-year-old male,
unresponsive.
Got this one, boss.
Are you okay?
Yeah.
Yeah, I don't know, I
I've given up hope
on Vanessa ever getting clean,
ever seeing her again.
But I'm in this constant state of fear
every time someone comes
crashing through that door.
- Oh, she's bottoming out.
- Uh, we need help over here!
Yeah, what happened?
BP's tanking.
Okay. We gotta do this now.
Let's get her to the OR.
I thought we had until tomorrow.
So did I.
I hope you used those ten
minutes to work out the kinks,
'cause rehearsal's over.
What a waste of everything.
I sank all our money into that thrasher.
Brand-new, made to last,
and what happens?
Snap beans are the top
cash crop 20 years running
until yours truly starts planting 'em.
And then it's early frost
and seed-corn maggots.
You know how screwed we are now?
Maybe God has it out for me.
Maybe I even deserve it.
This'll be three Sundays in a row
I miss church.
People notice, start talking.
Lina Tompkins at Rotary
had to make her little comment,
and now I can't even look at her.
Worse is the way they look at me,
at that pathetic woman whose
husband is out catting around.
I just need to lose a few pounds.
And then he'll see me. I know it.
Why can't I?
Why am I just this?
So Tiff Stinson put her hand on my arm,
and she "accidentally" brushes
her boobs against me.
That's a signal, right?
But she and Tiff are best friends,
and I'm with Allie.
No way Tiff keeps her mouth shut,
but I mean, good God,
she is so much hotter than Allie.
So maybe I should just go for
Why are you telling me this?
I don't know, freak.
I'm just making conversation.
No, it's not.
You, Mom, Dad,
everyone just talks at me.
It's always weird,
private grown-up stuff
that they never share with anyone else.
But why does everyone feel
like they can just
dump all their crap on me?
They act like I'm not even here,
like I'm invisible.
Listen, you're the opposite
of invisible, Iggy.
You're like a rock
or a mountain or something.
You don't judge. You just listen.
And I don't know why,
but you being here, listening,
just kind of makes things better.
You want something?
You don't have to talk, just, uh
Point.
Oh, Mamma mia.
This, uh, little experiment
of mine is not going
how I thought it would.
Can you tell?
Usually people just open
right up to me, you know,
my whole life.
It's kind of a big part
of why I became a doctor.
But you are a tough nut
to crack, my friend.
My biggest and baddest doctor moves
are not having any effect on you.
I don't know, maybe I need to
stop talking like a doctor.
You know, we do have something
in common, me and you.
I know your secret.
Yeah.
Yeah, I didn't talk much
as a kid either.
People would always say
I was such a good listener.
But, uh, you and I both know
that they had that backwards.
I wasn't quiet
because I loved listening.
I was quiet because I was
terrified of talking.
I hated it so much, because talking
you know, really talking
means revealing who you are.
Means being seen.
I figured if I just didn't talk,
nobody would ever see
how broken I felt inside,
how scared.
And that broken, scared part inside
that all this silence is protecting
Talking is the only way
to heal that too.
So listen, I am not going
to ask you what you want.
If you want something,
you are gonna have
to reach out for yourself
and take it.
We're behind,
but if anybody's gotta close,
I'm glad it's you.
This plan won't work.
Hello.
Hello, anyone?
Anybody from oncology around?
If this is a prank, hats off.
Oh, there you are.
I've been looking everywhere for you.
I'm Kate, your new assistant.
Oh, so I am in the right hospital.
Yeah, of course.
Uh, do you need anything?
Yeah. I need doctors
doctors to run the hospital.
Do you know where all the doctors are?
Yeah, well, things are always
- a little crazy around here.
- Well, spread the word.
All department heads,
auditorium, 6:00 p.m.
It's about to get even crazier.
We gotta go back to plan A,
put Yulia on bypass.
No, it's, uh
we're two hours behind, Floyd.
That's gonna take time
that we don't have.
- What happened to your plan?
- Well, I didn't exactly
get the time I needed
to perfect the technique.
Look, stopping her heart
is tried and true.
No, her lungs can't afford
the extra time.
She's got one shot left, Floyd,
and it's operating
on her still-beating heart.
Just because she's got
one shot doesn't mean
that it'll work or that it's
even a good idea, Max.
I know, but if I had one shot left,
I would want you to take it.
And Yulia should get no less.
Okay.
Blood pressure dropping.
Heart rate.
No sign of hemorrhage.
80 over 40. 80 over 40.
Up on the monitors.
Who are you supposed to be?
Dr. Ross.
- Ah!
- Hey, give that back.
Says the brainless monster.
Give that back to her now!
Why does she need a stethoscope?
She can't even hear.
She thinks you should be something else,
something less hard for you.
Hey, hey.
Easy, easy.
Forget them.
It's just a costume.
Lizzie
Scalpel.
Blood pressure's still dropping.
Whoa. Whoa, whoa, whoa,
what are you doing?
- Forceps.
- No.
Hey, hey. Elizabeth, stop.
No!
Starting fluid resuscitation.
Administering.
Filter is in. Filter is in.
Stable.
Thrombosis.
Emboli are clear. Emboli are clear.
Blood pressure rising.
- Heart rate stabilizing.
- Standing by.
- Close her up.
- Prep the tray.
Pressure is elevated.
And normal.
No.
Mm.
Hey, Lu.
It's time to go.
Hey, Lu,
I know that you're sad 'cause
we missed the Mermaid Parade.
But guess what.
We did it.
It took the whole hospital,
even you.
But we saved someone's mommy.
You want to go?
You know what?
You're gonna have thousands
of good days ahead of you.
I promise, you won't even
remember this one.
Hi.
I grew up at New Amsterdam.
My mother died in this hospital.
My father spent
every waking second here,
breaking the system so he could
put it back together again,
better and stronger than before.
Doing whatever he could
to help his patients.
I remember my father's last day
as medical director.
He was supposed to take me
to this Mermaid Parade,
just a special day with my dad.
But then he got called in to help
with an impossible surgery.
And I was so mad.
I thought,
this place has taken my father
away from me yet again.
But then, over the course of the day,
I saw how hard he worked
to save one life
and how hard everybody worked together.
And that's when I realized
that New Amsterdam didn't
take my father away from me.
This hospital gave me my father.
Showed me who he was,
who I could be.
And that's the day I realized
I wanted to be just like him.
It was the day I knew
I wanted to be a doctor.
So I wanted to start
by asking all of you
the same thing my father asked his staff
every hour of every single day.
How can I help?