Saving Hope (2012) s05e13 Episode Script
Problem Child
1 [baby crying.]
[sighs deeply.]
Alex.
What are you doing? Holding it together, Shahir, by a 3-0 prolene thread.
[crying continues.]
That's Luke, isn't it? It's It's just a phase.
A soul-destroying, Satan-walks-among-us phase.
Why are you dressed like that? This is my dad look.
Uh-huh.
I just came from an interview with the adoption agency.
How did it go? Um, well It was a complete disaster.
Oh, please tell me you didn't go on your rant about organized sports and childhood concussions.
No, no.
I didn't do that.
But I did cite a study claiming that adopted children face more behavioral issues as teenagers.
I'm guessing that didn't go over too well.
No.
It was easier becoming a neurosurgeon than it is becoming a dad.
[crying intensifies.]
Ooh.
Okay.
I'm I got to go.
Um, where's Charlie? Um, I texted him.
I think he just had a late shift.
Alex, are you going to be okay? Yes.
Of course I am.
I'm having a second child.
[laughing.]
I can barely manage the first one, but I'm great.
I'm so great, and I got to go.
Nice legs, Dr.
Hamza.
Thank you.
Hello, beautiful.
That's from that pop-up doughnut place, isn't it? [gasps.]
Handcrafted doughnut of the day topped with vanilla glaze and chocolate shavings.
[inhales deeply.]
Ooh, can I just Hey, I strongly suggest you look the other way.
Like now.
That's what I need.
No, do y-you put the doughnut down on the counter! Hunter, what are you doing? [muffled.]
Sorry.
How high are you right now? I'm not high.
- Look Hunter, stop it.
Just stop it! - What are My name's Dr.
Reid, and I suggest that you don't eat anything on these floors.
But I'm hungry.
Yeah, you look like you're hungry.
Dr.
Reid, we're Lindsay and Greg Rush, and this is our son Hunter.
Well, it looks like you hurt your wrist pretty badly.
Can we have a look? Jackson, please help.
Maybe come over here and tell me what happened.
Hunter broke into the neighbors' house in the middle of the night, set off the alarm, cut himself jumping out a window.
Thank God they're away.
We We think he broke his wrist.
Okay, I'm going to have a look at the cuts, and then I'll call our bone doctor.
He can come and examine the wrist, all right? Maybe you should call an exorcist.
Look, I don't know who this person is, but this is not our Hunter.
Well, whoever he is, I have to examine him.
[cellphone buzzing.]
Man: Hello? Hello.
Your phone is asking for you, sir.
[buzzing continues.]
Were you watching me sleep just now? No, it was just for a minute or two.
That's unnerving.
And you are? Oh, I'm Dr.
Amos Carver, new, uh, new staff psychiatrist.
I just dropped by to say hi, and I saw you lying there.
You do a remarkable thing when you sleep.
You You make little fists with your toes.
I think you must be experiencing some fairly vigorous nightmares? Kind of feel like I'm having one right now.
[scoffs.]
Very good.
Okay.
Well, I just just wanted to drop by and say hi, build a bridge between surgery and psychiatry and Okay.
Well, nice to meet you, Dr.
Carver.
Got to go.
Duty calls, all that.
Well don't work too hard, Dr.
Harris.
The exhausted mind makes an enemy of itself.
[device beeps.]
Hey.
Hey.
You're at it early.
I didn't even hear you come in last night.
I had a surgery that went late.
Then I had another one early this morning.
Mm.
So you're not dodging me? Why would I do that? Okay.
I get it.
I'm not their mother.
Your kids hate me.
- It's - Hey, no, no, no.
I didn't I didn't say that, okay? It's just that they're Don't try to make it better.
Can I just say this? Just let me say this, okay? It's my fault.
I should have prepared them.
It used to just be me and their mother and then it was just me and then I tried to force someone new on them without any warning.
I don't know what I was thinking, and I'm sorry.
Okay.
Listen.
I made dinner reservations.
It's a new place.
I heard the music is quiet, and the servers are mute.
That sounds nice.
That's not all.
And there's this other thing.
I've been thinking about it for a while.
I was gonna do it later, but What is it? [exhales sharply, laughs.]
Wow.
They're gorgeous.
[chuckles.]
They're gorgeous, Zach.
What did you think? - Did you think I was going to ask - No.
You said it was something you'd been thinking about for a whi It's the kind of box that they come in.
It's the only boxes they had left.
But hang on.
Is the thought of marrying me really that awful? You just you caught me off guard.
Okay? That's all.
And it's not like either one of us are marriage experts.
Divorce wasn't my fault.
Mine was? This was a mistake.
I-I got to get to the ER.
[indistinct announcement over P.
A.
.]
[cellphone buzzing.]
[sighs deeply.]
Your mom's calling.
Yeah, I know.
No.
No, no, no.
No, no.
Hi, Mrs.
Sekara! I'm good, thank you.
Yes.
Yes, I'm eating well.
[laughs.]
Hold on.
I have Dev here for you.
[sighs.]
Hi, Amma.
Uh, did you Did you press the "back" button? [whispering.]
Be nice.
It's the one that looks like an arrow pointing backwards.
No, I-I'm busy tonight.
I'll come when I can.
Okay.
Bye.
[normal voice.]
15 seconds.
Was that a new record? [scoffs.]
Her tablet.
She says it's broken.
Like I don't have a billion other things to do.
I need some help over here! He's bleeding pretty bad from the head.
Trauma bay's open.
What happened? Uh, I found him unconscious at the scene of a gang fight.
Yeah well, you have a name for me? Uh, yeah, I found his wallet.
Bruising on the chest and abdomen.
I need that F.
A.
S.
T.
, please! Checking his pressure.
I'm not liking the look of his head wound.
Possible orbital fracture.
[sonogram beeps.]
No fluid in the abdomen.
Justin Srinivasan.
I know him.
Jackson: Friend of yours? Yeah, he used to be my best friend way back.
Okay, no time for memory lane.
Looks like a fractured skull.
Whatever Dr.
Hamza is doing, get him down here right now.
Definite skull fracture.
Force might have been caused by a blunt object.
How much of the fight did you see? They ran off when I pulled up, left him behind.
You should have called an ambulance.
Moving him could have made it worse.
I know.
I-I panicked.
When I saw how bad he was, I just carried him to the back of the cruiser.
He has one enlarged pupil.
It might be an extradural hematoma.
We need to get him a CT right away.
That's bad, huh? I should wait.
Is he under arrest? No not yet, but I-I need to get a statement from him, see what he remembers.
Okay.
We'll call you when he wakes.
In the meantime, the best thing you can do is find the people who did this.
Hey, Dr.
Bell.
Look at this.
If I could see 100 more animals change like this, I'd be a happy man.
Seeing me every day doesn't make you happy? It does ease the pain of being stuck in here, yeah.
Good morning, Elias.
How's my favorite cousin? - Hey, Gus.
- [chuckles.]
I am so glad I caught you.
I've been calling and calling, couldn't get through.
I've got big news.
Yeah, I-I'm really tired, so, um The restaurant plans are going great.
We just had a little, unforeseen thing with the interior decorator, so I'm going to need a bit more capital.
Okay, the ICU is for family only.
- You need to leave.
- No, I'm the first cousin.
I'm as immediate as as he's got.
I mean, we've been close even even before the inheritance.
Get out.
Out.
[scoffs.]
Are you going to let her do this to me? I need my rest, Gus.
I-I'm I'm sorry.
Oh.
Oh.
- Get him out of here, please.
- But You are far too nice to these people.
You know when they say that the stress will kill you? In your case, Elias, it is actually true.
I know, Dr.
Bell.
I know.
He used to be a good boy.
He won the Read Around the World contest every year since grade one.
And by "good boy," she means "social misfit.
" - [scoffs.]
- Just like I was at his age.
So what changed? Well, he finally started putting on weight, so that was good.
- But then - Mood swings.
- Big ones.
- [sighs.]
What kind of moods? Tantrums all over again.
[voice breaking.]
He gets so angry.
And eating like an animal.
And fights at school.
At least he took on those bullies.
[scoffs.]
He got suspended.
He bit someone.
Hunter: - No! Stop touching me.
- Listen, it may be nothing more than teenage-boy hormones.
I said stop it! [tray clatters.]
Or not.
[glass shatters.]
Hey, what's going on in here? Can we just go home now? - Look, you're in charge, right? - Okay.
Can't you just make them take me home? - Listen to me.
You need to - Hey, hey.
Son.
Son, you need to calm down, okay? I don't want to calm down.
I want to get out of here! - Hey! - Aah! - Aah.
- Okay.
Now you hurt yourself.
Just take a deep breath.
Hi.
I'm Dr.
Harris.
And I'm here to help you with your arm.
What's your name? Hunter.
Hunter, tell me what happened.
How's his pressure, Dr.
O'Toole? Holding steady.
You know the patient.
Do you believe he's a gang member? Well, he started going that way in high school.
He was a good guy.
Just took a wrong turn.
Huh.
You're the same age, and you went to the same school.
What put you on such different trajectories? Well, my parents always pushed me to get good grades, same with all my friends.
Justin didn't have that.
Burr drill, please.
[monitors beeping steadily.]
[drill whirrs.]
Hand suction.
So his parents didn't want to keep him out of trouble? Ah, they lived overseas, flew him over here to live with an older cousin, cousin started charging rent, so Justin convinced some of the rougher kids to let him sell some pot.
If his parents had been around, I wonder if he would have ended up in a different direction.
I don't know.
What's this about? I'm thinking about parenting.
Sponge.
[sighs.]
How'd the surgery go? Well, the pressure in his brain should be relieved, but we won't know about the long term effects until he wakes.
When will that be? Can't tell yet.
You seem pretty invested in what he has to say.
What happened out there? Got a call about a gang fight up an alley off Peter.
Pulled up, there were four guys beating on him.
Uh, I am gonna need to get in touch with his next of kin.
I can help you track down a number for his parents.
They're overseas.
How'd you know it was a gang? Those guys have a look, you know? No.
I don't.
[monitor beeping.]
Not good news, huh? We're running out of time to find you a donor heart.
With your high PRA screen and your rare blood type, the odds are They're like winning the lottery, huh? Your heart is getting weaker by the day.
We can keep you stable here.
If ventricular assist becomes necessary, we will take that step.
I know how badly you wanted to get back to start your sanctuary.
I called the various shelters, but until we find them permanent homes, my animals, their time's running out faster than mine.
Is there no one that you can trust to help you get things up and running? I'm trying to find someone, but it's hard to do interviews from this bed.
Oh.
[coughs.]
[monitors beeping rapidly.]
I-I Elias? Elias, tell me what you're feeling.
Okay, he's in v-tach with some instability.
I need Amiodarone.
How can I help, Dr.
Bell? Okay, get ready to start pacing.
We need to drape and intubate.
Get him on ECMO now.
Dr.
Williams.
[monitor beeping rapidly.]
Okay.
Turn on the ECMO.
Okay, going on.
[ECMO whirring.]
Come on, Elias.
Come on.
If it's not drugs, it's comic books, role-playing games.
And movies these days, they're so violent.
He doesn't know what's real anymore.
Excuse me.
Do you mind if I borrow your chair? Not at all.
I was just leaving.
Okay.
Do you have a family history of mental illness? No.
Course not.
I still think it's drugs.
What else could make me afraid of my own son? If we requested a psychiatrist and they found something wrong, what happens then? Well if Hunter's deemed a threat to himself or others, he'll be admitted for a 72-hour assessment period.
72 hours? We need help, Lindsay.
You can't pretend we don't.
Maybe you do.
You have pushed him to this.
He's never been good enough.
Okay, let's let's be, uh, patient here.
First, I need to rule out any medical problems.
Then we can talk about a psych assessment.
Sorry.
It's been a stressful month.
We're not great at navigating stressful.
[cellphone buzzing.]
Well, if you figure out how to deal with it, I will be first in line to take your class.
Sorry, I have to go.
I'll see you soon, okay? - Okay.
- Thank you.
[indistinct announcement over P.
A.
.]
Still hurt? Anywhere else? You know, I'm trying to help you here.
You call this help? Um.
.
will you excuse me for a second? Yeah.
Whatever.
Take your time.
You, uh they page you for this? Uh, yes.
Yes.
Um, but, uh Well, I had a situation recently with a violent patient, and I'm still feeling a bit shaken.
Well, I'll be in there with you.
He's no problem.
Yeah, yeah, I still think I'll just observe from here.
Okay.
Well, I did a psych rotation in residency.
I can Yeah if you don't mind, just basic questions.
Sure.
Yeah.
Thank you.
So Hunter, what, uh, what brought you in here today? Read it off the chart, dummy.
You know the faster we get this done, the faster you can go home.
So why did you break into your neighbors' house? Our fridge is all full of lettuce, heirloom carrots.
I wanted ice cream.
You wanted ice cream, and you weren't high? No.
I'm I'm not like that.
Okay.
You going through any difficulties lately? Any Any big changes in your life? I don't know.
I-I get mad easier, so I just don't take crap like I used to.
People should get past it.
Can I get some food? Something? A chocolate bar? No, you know, you can't eat anything until we do the blood work, and I'm hoping that goes better than the last time.
Yeah, don't count on it.
So my heart isn't even beating anymore? No.
But the ECMO is keeping you alive.
[sighs.]
How long can I stay on it? Well, that depends.
But it's a temporary solution, so you have to stay here.
I guess a donor heart hasn't been found in the past few hours.
Is there anything we can do to help you out? Can you take a week off to babysit some donkeys? I actually would love to do that.
Donkeys are my spirit animal.
[monitor beeping steadily.]
Hey.
I know you.
Yeah, it's Dev.
I'm your doctor, actually.
You had us worried.
Dev Sekara? [laughs softly.]
Damn.
I haven't seen you since, like, high school, right? Yeah, we kind of lost track of each other back then.
Probably when I dropped out.
Looking at you now, maybe not the smartest play, right? Yeah.
Justin, uh, I'm gonna ask you some questions to make sure your brain's functioning normally after the surgery.
Can you copy this while we talk? What day is it today? Uh, Wednesday.
Great.
Now, can you give me the multiples of seven in order? 0, 7, 14, 21, 28, 35.
You started with zero.
Everyone always forgets to start with zero.
That's good.
And you're passing with flying colors.
Just a couple more questions, man.
Do you remember how you got here? I was at a party What about the fight? Do you remember being in a fight? What about the cop that drove you here? Officer Bauer? Hold up, hold up.
What? The police, they said you were in a gang fight.
An officer drove you here.
You're saying a cop brought me here.
The cops did this to me.
Greg: If the tests came back negative for drugs, then he needs psychiatric care.
Well you may be right, but there are some other things the headaches, the hunger, the low blood sugars.
Those aren't indicative of a psychiatric issue.
So what are we gonna do? You just need to give me more time.
Okay? I want to get him in for a brain scan, and I need to wait to see the results of the second blood test.
Hunter? Hunter! Let's just lean back here.
What's going on? There we go.
Why don't you help me get his legs up, okay? Get a line in him, get his airway clear.
Hunter! I was okay with the new Hunter at first, but this doesn't seem so good.
I don't know what's going on.
I get hungry, I get mad, I get tired.
It's this never-ending cycle.
Well, we're gonna find out why this is happening to you.
One good part of this was, uh, I stomped Tristan Darby and his idiot friends.
My dad actually seemed to respect me after that.
First time that ever happened.
Hunter, how do you feel before an outburst takes place? I don't know.
Uh, I get kind of sweaty.
My vision gets blurry, I guess.
Hungry, angry hangry times 1,000.
Okay.
You have a Hunter? Hunter? [indistinct announcement over P.
A.
.]
[chuckling.]
Dr.
Harris.
Hello.
Hi.
Uh, I thought you were in a meeting, but No I was just, uh, I was on the phone.
May I just Yeah.
Just make it quick.
This about Hunter? Oh, um, no, actually.
It's about you.
I was going through some of Dr.
Murphy's files, and I noticed you used to be one of his patients.
You read my file? And I thought we should continue your treatment while you still appear to be in a good state.
A stitch in time and all that.
I'm all stitched up.
Thanks.
Yeah, but it's important to identify your stressors before you buckle under them.
Dr.
Carver, this, um this treatment you speak of wouldn't happen to be mandatory, would it? Well, I No? Okay.
Well, then, uh, thank you for your concern.
[sighs.]
Okay.
All right.
Well, just, uh just please consider it, okay? No need to be held back by uh, old ghosts.
I'll keep that in mind.
Good.
I was at this party.
We went there to find a guy, send him a message.
Nah, not not not like that.
Remember my ex, Sarita? Her man took off, left her looking after her baby without a dime.
Told him he better do the right thing.
I'm not A6U anymore, but he didn't need to know that.
A6U? "Already 6 Under.
" I got out of it a few months back, went back to school for automotive.
So what happened after the party? Must have left like 5:00 a.
m.
Walking to the streetcar when these two cops come out of nowhere talking about some graffiti, said I fit the description.
You must have done something to get their attention.
Yeah yeah, now that you mention it, I was straight up murdering a guy at the time.
[chuckles.]
[laughs.]
They wanted to know where I was going, where I had come from, show my ID, same old, same old.
They arrested you? No, but one blocked me, wouldn't let me go, so I shoved him just out of the way.
He tripped and fell, the other one goes crazy, starts attacking me.
Last thing I remember baton's coming for my head, and I black out.
Catch their names? Hmm.
That explains why that cop's so interested in what he has to say.
Hey Zach, it's me.
Uh, we should probably talk about this morning.
I just got off the phone with Memorial.
There was a huge crash, and I think they have a heart for Elias.
Size is good, blood type is a match.
No, no, no.
Why do I think there's a "but" coming? Elias is sensitized because of a transfusion that he had in his teens.
He's been exposed to foreign proteins.
So he's developed antibodies that have increased his risk of rejection.
So we need to find him a heart that those antibodies won't reject.
[sighs.]
So we put him on LVAD and RVAD, and he waits here maybe forever.
I can't do that to him.
I'm calling in a favor from one of our suppliers.
Get Premcardia on the phone.
Tell them I want their latest model here in an hour.
An hour? Is that even possible? Just tell Gary that we'll be even.
Elias, I don't think that you can sit here and wait for a donor heart any longer.
I think that I have a possible solution.
I want to give you a totally artificial heart implant.
You want to take my heart out before we find a new one? That's right.
How does that even work? Well, you're mobile.
You carry the power source for the heart around in a backpack.
And then you can oversee things at the farm while we look for a new heart.
Are you serious? I mean, you will have to take it easy, hire some help, but people have lived as outpatients with these devices for as long as 18 months.
And we will find you a new heart.
It is just a matter of time.
[chuckles.]
Thank you, Dr.
Bell.
[sirens wailing.]
[indistinct radio chatter.]
Hey, doc.
Any news? We know what you did to him.
What's he talking about? Mr.
Srinivasan is awake, and he's made a disturbing accusation.
That's why you're sticking around, isn't it? To threaten him out of telling the truth.
Okay, Dr.
Sekara, can you go, please, attend to the patient? [sighs.]
[door opens, closes.]
He claims he was assaulted by the police.
I'm not ignorant.
I know this type of stuff happens.
[siren wails.]
Look, I wasn't there, okay? It was some other cops.
When my partner and I showed, it was over.
Okay.
Why did they stop him in the first place? Did they have a reason? They thought they did.
Well, the cops just went off, okay? We deal with a lot of abuse.
We get spat on.
And sometimes you snap, you have a bad night.
We're human, too.
He has a fractured skull.
He came at them.
End of the night, everybody just wants to go home safe to their families.
With all due respect, officer, that young man did not go home safe last night.
Yeah, and he's alive, and he got his shots in, too, so he can go tell his gangland friends that he almost beat up a cop.
Let's call it even.
Even? Officer Bauer, I think you should come with me.
[sighs.]
Remember when you used to come over after school to play "Goldeneye?" Oh, yeah.
So many hours.
And you always picked Odd Job, you jerk.
[both chuckle.]
You always knew you wanted to be a doctor, even back then, eh? Yeah.
Even back then.
I could never get that far.
I just focused on making as much paper as I could.
Hey man, it's not like I didn't see the attraction in your life.
Even Even in school, you could buy anything you wanted.
[laughs.]
That's funny.
That's That's straight funny.
You don't know how many times I wished I was you stable home, good grades.
How's your mom doing, anyway? Uh, she's good.
Yeah, you know, all up in my life as usual.
[monitor beeping steadily.]
This is Justin.
Officer Bauer's the one that brought you in.
If you're waiting for a "thank you," don't hold your breath.
Just doing my job.
Aah! Aah! It's really hurting now.
[inhales sharply, groans.]
Let's up his morphine, Dr.
Sekara.
What's going on, Dev? Damn it.
[breathing heavily.]
Pressure's climbing! [monitors beeping rapidly.]
Okay, his hematoma may have re-ruptured.
There's no time for an O.
R.
Officer Bauer, you need to leave.
[elevator bell dings.]
[indistinct chatter.]
[indistinct announcement over P.
A.
.]
Alex, I may have something for you.
You saw Hunter? Yeah.
He says he gets sweaty, has blurred vision, and pronounced hunger symptoms.
How are his blood sugars? We're waiting on the second round.
Okay.
How's Luke? Not great.
And if you can imagine, I only made things worse.
Honestly, it's I'm fine.
I just been a long time since I've been so on my own.
Alex, you're not on your own.
I'm here.
Charlie, I [tablet chimes.]
- Oh.
- Okay.
Here we go.
Wow.
Look at these blood sugars.
Well, I don't think I've ever seen glucose levels that low before.
What is doing this to him? Factitious insulin? Liver or kidney disease? Hypothyroidism? It's all too extreme for any of those things.
Something pancreatic.
Insulinoma.
Of course.
It explains everything.
I'm gonna get an MRI, find out where it is.
Can you book me an O.
R.
? - Yeah.
- Great.
Thanks.
[monitors beeping steadily.]
[suction hissing.]
Okay, we need to trim the atrial cuff to ensure a proper match.
If there's a leak in the back, it will be impossible to fix once the device is in.
So Dr.
Bell, anything special happen today? You mean apart from enabling a man to walk out of here without a heart? Yes.
Apart from that.
Get to the point, Dr.
Williams.
Just Dr.
Miller showed Dev and I a little special gift.
They're gorgeous.
He has surprisingly good taste.
He screwed up and tried to buy back my affection, and when I didn't react the way that he wanted They are pretty, shiny objects.
Can we focus on the work, please? Of course.
Sorry.
Didn't mean to pry.
Damn it.
There a problem, Dr.
Bell? The tissue on the atrial cuff is too weak to suture to the artificial ventricles.
How do we keep it from tearing? We can't cut down to more viable tissue, so we reinforce? Felt strips.
We use felt strips to reinforce the suture lines so that the tissue will hold.
Can we get some of those in here, please? We are not going to let one bad bleeder shut us down.
Time of death 5:24 p.
m.
I'm sorry about your loss, Dr.
Sekara.
I can inform the parents.
[breathes shakily.]
Hey! What are you gonna do about this, huh? Right now, there are three reports on my sergeant's desk, including one from my partner, toeing the line.
The guy who did this is gonna get off, and I'm gonna be marked for life.
Yeah, give me your sergeant's number.
I'll call him myself.
Look, you need to calm down.
Dr.
Sekara, this is not the way.
You would have done the same thing.
You would have beaten my friend to death.
Doctor! Dr.
Sekara! [breathing heavily.]
I-I say we just put this out there and tell everyone what happened, let it go viral.
No, proper channels, Dr.
Sekara.
What you did out there, that is not the way.
That could have been me, Shahir.
I would have fit the same description.
But you should know how to talk to a police officer.
You know how to behave.
I know.
It's not fair.
Yeah, like, it's not fair that I get followed by mall cops when I'm shopping.
Or that I get pulled in for a random check every time I'm in an airport.
I face it, too, Dev.
I have to believe that things like this are anomalies.
I have to believe the good in people.
You want to have kids.
What would you do if it was your son, Shahir? - Okay.
- Enucleating the tumor now.
Billy: It's in a tricky spot, right on the pancreatic duct.
It is, and if we nick it, he's in trouble.
It is really stuck on there.
[telephone rings.]
Almost there.
And we are insulinoma free.
Let's get the bag in there.
Dr.
Reid? Yeah.
It's a daycare worker calling.
She sounds really upset.
Is Luke okay? Actually, she's upset because Luke slapped her and kicked another kid and poured juice on the stereo.
She really wants you to pick him up.
[sighs.]
Okay, well, you can tell her she's gonna have to hold on a little while longer.
I'm almost done here.
Billy: So that little thing is making this kid wig out the whole time.
Mm-hmm.
And wreaking havoc with his glucose levels, causing extreme hunger, mood swings, violent outbursts.
There we have it.
[monitor beeps.]
Let's have a look around.
What if I don't want things to go back to the way they were before? Hunter, you got a tumor on your pancreas, and I'm pretty sure you've worn your parents down to their last nerve.
Yeah, I know I can't stay like that.
So what do you want? All my life, I was good, polite, never got in anyone's way.
You know what I got for it? Dog crap in my locker, gum on bike seat running the punch gauntlet when I walk out of school.
- And you don' t want to go back to that.
- [sighs.]
This tumor may have made me crazy, but it made things better in my life, too.
Nobody messed with me.
My dad He respected that.
My last birthday, all I wanted was comics.
"Sweet Tooth" it's this animal mutant kid who loves candy.
He just Dad got me a football.
He can't even throw one himself.
Hunter, if you want real change, it can't come from a tumor, and it can't come from your dad.
It's gotta come from you.
You're not listening.
If I'm gonna come back a nobody like I was before, I don't want to come back.
I don't want to be that guy anymore.
[sighs.]
Okay.
Let's go down on the bypass and up on the artificial heart.
Be careful not to entrain any air in it.
Okay.
Dialing down perfusion.
[whirring slows.]
[rhythmic hissing.]
That's music to my ears.
First time I've ever seen one of these in action.
It's amazing.
So we keep weaning him off bypass, then increase the speed of the heart? Yeah, once the artificial heart is doing all of the work, then we close up the vents.
[monitor beeps.]
We are off bypass.
Okay.
I think now I can admit that I've never actually done that before.
[laughter.]
[sighs.]
I'm sorry about this morning.
You felt what you felt.
I guess I was just surprised at what little faith you have in us.
No.
That's not it at all.
Come here.
Uh Look, Zach, whatever problems we have you make me happy.
So when you felt that I was asking you to marry me and you looked like you'd rather operate on an anal fistula, that was what? That was me being scared.
I mean, when Charlie and I got married, everything changed.
It was like this door closed on the people that we used to be the fun people.
You're fun now ish.
[chuckles.]
Okay, so I wanted to make it up to you.
So I got you a ring ish.
[chuckles.]
Zach Miller will you stay my boyfriend? It's beautiful, and I feel like a princess.
Thank you.
[knock on door.]
Well, you should know, the surgery went well.
The glycemic effects of the tumor will be gone, so Hunter should make a full recovery.
He'll be back to normal? Well, these days with my son, I don't know what normal is anymore.
I just try to ride it out.
[chuckles.]
I've been disappointed in him for being like me.
Always wished he was somebody else.
But now I'd do anything to get our Hunter back.
Hate to disappoint him, but I'm thinking of getting a tattoo.
Ooh, ooh Don't even trip.
There's a new Hunter in town.
Hey, Amma.
Yeah, I'll come over and fix your tablet tonight.
I told you twice Yeah, yeah, I'll stay for dinner.
- We lost this one - Hey, you, uh, remember Justin from down the street? - When we rolled the dice - I need I need his mom's number.
I'm out of days, I'm out of nights Too many wrongs to make it right And this time I'm out of love, I'm out of cards I'm out of room, I'm out of lines It's on you Those are the right ones, aren't they? I'm out of days, I'm out of nights Too many wrongs to make it right This time I bleed [sighs.]
Ooh, ooh, ooh This is Officer Bauer.
Put me through to Sergeant Fitz.
It's about last night's shift.
Dawn: You'll be able to go home in a few weeks.
And in the meantime, Dr.
Williams has made some calls to make sure that no more of your animals get euthanized.
Dr.
Bell, is there anything I could do to thank you? Well, I do know two boys who would love to come with me to visit your animals sometime.
Any time.
I'd love to have you.
And in the meantime, if you ever have a guinea pig, call me.
I'll adopt it.
Really? I'm not kidding.
Oh.
Gentle.
Yeah.
Easy.
Dr.
Harris.
Everything okay? Yeah.
Yeah, I'm fine.
I was just about to go spend some time with my son.
Oh, good.
It looks like you need it.
You have kids, Dr.
Carver? Uh, call me Amos, and, yes.
I do.
But I don't see them anymore.
It's a sad story for another time.
But a place like this is full of sad stories.
So I'll tell you mine if you'll tell me yours, Charlie.
[chuckles lightly.]
Have a good night with your son.
[Luke crying.]
Oh, come on, buddy.
Just be quiet for mommy for just, like, 10 minutes.
[crying stops.]
Yes! [crying resumes.]
No.
Okay, it's all right.
Mama's coming.
Daddy's coming soon.
Hi, honey.
Hi.
[cartoon chatter on tablet.]
Look at that.
Hop, hop, hop, hop, hop, hop.
Hop.
[twinkle!.]
Look at the birds flying by.
[bonk!.]
Oh, it's so pretty.
Look at all the colors.
Ice cream for Luke.
And ice cream for mommy.
[sighs deeply.]
Alex.
What are you doing? Holding it together, Shahir, by a 3-0 prolene thread.
[crying continues.]
That's Luke, isn't it? It's It's just a phase.
A soul-destroying, Satan-walks-among-us phase.
Why are you dressed like that? This is my dad look.
Uh-huh.
I just came from an interview with the adoption agency.
How did it go? Um, well It was a complete disaster.
Oh, please tell me you didn't go on your rant about organized sports and childhood concussions.
No, no.
I didn't do that.
But I did cite a study claiming that adopted children face more behavioral issues as teenagers.
I'm guessing that didn't go over too well.
No.
It was easier becoming a neurosurgeon than it is becoming a dad.
[crying intensifies.]
Ooh.
Okay.
I'm I got to go.
Um, where's Charlie? Um, I texted him.
I think he just had a late shift.
Alex, are you going to be okay? Yes.
Of course I am.
I'm having a second child.
[laughing.]
I can barely manage the first one, but I'm great.
I'm so great, and I got to go.
Nice legs, Dr.
Hamza.
Thank you.
Hello, beautiful.
That's from that pop-up doughnut place, isn't it? [gasps.]
Handcrafted doughnut of the day topped with vanilla glaze and chocolate shavings.
[inhales deeply.]
Ooh, can I just Hey, I strongly suggest you look the other way.
Like now.
That's what I need.
No, do y-you put the doughnut down on the counter! Hunter, what are you doing? [muffled.]
Sorry.
How high are you right now? I'm not high.
- Look Hunter, stop it.
Just stop it! - What are My name's Dr.
Reid, and I suggest that you don't eat anything on these floors.
But I'm hungry.
Yeah, you look like you're hungry.
Dr.
Reid, we're Lindsay and Greg Rush, and this is our son Hunter.
Well, it looks like you hurt your wrist pretty badly.
Can we have a look? Jackson, please help.
Maybe come over here and tell me what happened.
Hunter broke into the neighbors' house in the middle of the night, set off the alarm, cut himself jumping out a window.
Thank God they're away.
We We think he broke his wrist.
Okay, I'm going to have a look at the cuts, and then I'll call our bone doctor.
He can come and examine the wrist, all right? Maybe you should call an exorcist.
Look, I don't know who this person is, but this is not our Hunter.
Well, whoever he is, I have to examine him.
[cellphone buzzing.]
Man: Hello? Hello.
Your phone is asking for you, sir.
[buzzing continues.]
Were you watching me sleep just now? No, it was just for a minute or two.
That's unnerving.
And you are? Oh, I'm Dr.
Amos Carver, new, uh, new staff psychiatrist.
I just dropped by to say hi, and I saw you lying there.
You do a remarkable thing when you sleep.
You You make little fists with your toes.
I think you must be experiencing some fairly vigorous nightmares? Kind of feel like I'm having one right now.
[scoffs.]
Very good.
Okay.
Well, I just just wanted to drop by and say hi, build a bridge between surgery and psychiatry and Okay.
Well, nice to meet you, Dr.
Carver.
Got to go.
Duty calls, all that.
Well don't work too hard, Dr.
Harris.
The exhausted mind makes an enemy of itself.
[device beeps.]
Hey.
Hey.
You're at it early.
I didn't even hear you come in last night.
I had a surgery that went late.
Then I had another one early this morning.
Mm.
So you're not dodging me? Why would I do that? Okay.
I get it.
I'm not their mother.
Your kids hate me.
- It's - Hey, no, no, no.
I didn't I didn't say that, okay? It's just that they're Don't try to make it better.
Can I just say this? Just let me say this, okay? It's my fault.
I should have prepared them.
It used to just be me and their mother and then it was just me and then I tried to force someone new on them without any warning.
I don't know what I was thinking, and I'm sorry.
Okay.
Listen.
I made dinner reservations.
It's a new place.
I heard the music is quiet, and the servers are mute.
That sounds nice.
That's not all.
And there's this other thing.
I've been thinking about it for a while.
I was gonna do it later, but What is it? [exhales sharply, laughs.]
Wow.
They're gorgeous.
[chuckles.]
They're gorgeous, Zach.
What did you think? - Did you think I was going to ask - No.
You said it was something you'd been thinking about for a whi It's the kind of box that they come in.
It's the only boxes they had left.
But hang on.
Is the thought of marrying me really that awful? You just you caught me off guard.
Okay? That's all.
And it's not like either one of us are marriage experts.
Divorce wasn't my fault.
Mine was? This was a mistake.
I-I got to get to the ER.
[indistinct announcement over P.
A.
.]
[cellphone buzzing.]
[sighs deeply.]
Your mom's calling.
Yeah, I know.
No.
No, no, no.
No, no.
Hi, Mrs.
Sekara! I'm good, thank you.
Yes.
Yes, I'm eating well.
[laughs.]
Hold on.
I have Dev here for you.
[sighs.]
Hi, Amma.
Uh, did you Did you press the "back" button? [whispering.]
Be nice.
It's the one that looks like an arrow pointing backwards.
No, I-I'm busy tonight.
I'll come when I can.
Okay.
Bye.
[normal voice.]
15 seconds.
Was that a new record? [scoffs.]
Her tablet.
She says it's broken.
Like I don't have a billion other things to do.
I need some help over here! He's bleeding pretty bad from the head.
Trauma bay's open.
What happened? Uh, I found him unconscious at the scene of a gang fight.
Yeah well, you have a name for me? Uh, yeah, I found his wallet.
Bruising on the chest and abdomen.
I need that F.
A.
S.
T.
, please! Checking his pressure.
I'm not liking the look of his head wound.
Possible orbital fracture.
[sonogram beeps.]
No fluid in the abdomen.
Justin Srinivasan.
I know him.
Jackson: Friend of yours? Yeah, he used to be my best friend way back.
Okay, no time for memory lane.
Looks like a fractured skull.
Whatever Dr.
Hamza is doing, get him down here right now.
Definite skull fracture.
Force might have been caused by a blunt object.
How much of the fight did you see? They ran off when I pulled up, left him behind.
You should have called an ambulance.
Moving him could have made it worse.
I know.
I-I panicked.
When I saw how bad he was, I just carried him to the back of the cruiser.
He has one enlarged pupil.
It might be an extradural hematoma.
We need to get him a CT right away.
That's bad, huh? I should wait.
Is he under arrest? No not yet, but I-I need to get a statement from him, see what he remembers.
Okay.
We'll call you when he wakes.
In the meantime, the best thing you can do is find the people who did this.
Hey, Dr.
Bell.
Look at this.
If I could see 100 more animals change like this, I'd be a happy man.
Seeing me every day doesn't make you happy? It does ease the pain of being stuck in here, yeah.
Good morning, Elias.
How's my favorite cousin? - Hey, Gus.
- [chuckles.]
I am so glad I caught you.
I've been calling and calling, couldn't get through.
I've got big news.
Yeah, I-I'm really tired, so, um The restaurant plans are going great.
We just had a little, unforeseen thing with the interior decorator, so I'm going to need a bit more capital.
Okay, the ICU is for family only.
- You need to leave.
- No, I'm the first cousin.
I'm as immediate as as he's got.
I mean, we've been close even even before the inheritance.
Get out.
Out.
[scoffs.]
Are you going to let her do this to me? I need my rest, Gus.
I-I'm I'm sorry.
Oh.
Oh.
- Get him out of here, please.
- But You are far too nice to these people.
You know when they say that the stress will kill you? In your case, Elias, it is actually true.
I know, Dr.
Bell.
I know.
He used to be a good boy.
He won the Read Around the World contest every year since grade one.
And by "good boy," she means "social misfit.
" - [scoffs.]
- Just like I was at his age.
So what changed? Well, he finally started putting on weight, so that was good.
- But then - Mood swings.
- Big ones.
- [sighs.]
What kind of moods? Tantrums all over again.
[voice breaking.]
He gets so angry.
And eating like an animal.
And fights at school.
At least he took on those bullies.
[scoffs.]
He got suspended.
He bit someone.
Hunter: - No! Stop touching me.
- Listen, it may be nothing more than teenage-boy hormones.
I said stop it! [tray clatters.]
Or not.
[glass shatters.]
Hey, what's going on in here? Can we just go home now? - Look, you're in charge, right? - Okay.
Can't you just make them take me home? - Listen to me.
You need to - Hey, hey.
Son.
Son, you need to calm down, okay? I don't want to calm down.
I want to get out of here! - Hey! - Aah! - Aah.
- Okay.
Now you hurt yourself.
Just take a deep breath.
Hi.
I'm Dr.
Harris.
And I'm here to help you with your arm.
What's your name? Hunter.
Hunter, tell me what happened.
How's his pressure, Dr.
O'Toole? Holding steady.
You know the patient.
Do you believe he's a gang member? Well, he started going that way in high school.
He was a good guy.
Just took a wrong turn.
Huh.
You're the same age, and you went to the same school.
What put you on such different trajectories? Well, my parents always pushed me to get good grades, same with all my friends.
Justin didn't have that.
Burr drill, please.
[monitors beeping steadily.]
[drill whirrs.]
Hand suction.
So his parents didn't want to keep him out of trouble? Ah, they lived overseas, flew him over here to live with an older cousin, cousin started charging rent, so Justin convinced some of the rougher kids to let him sell some pot.
If his parents had been around, I wonder if he would have ended up in a different direction.
I don't know.
What's this about? I'm thinking about parenting.
Sponge.
[sighs.]
How'd the surgery go? Well, the pressure in his brain should be relieved, but we won't know about the long term effects until he wakes.
When will that be? Can't tell yet.
You seem pretty invested in what he has to say.
What happened out there? Got a call about a gang fight up an alley off Peter.
Pulled up, there were four guys beating on him.
Uh, I am gonna need to get in touch with his next of kin.
I can help you track down a number for his parents.
They're overseas.
How'd you know it was a gang? Those guys have a look, you know? No.
I don't.
[monitor beeping.]
Not good news, huh? We're running out of time to find you a donor heart.
With your high PRA screen and your rare blood type, the odds are They're like winning the lottery, huh? Your heart is getting weaker by the day.
We can keep you stable here.
If ventricular assist becomes necessary, we will take that step.
I know how badly you wanted to get back to start your sanctuary.
I called the various shelters, but until we find them permanent homes, my animals, their time's running out faster than mine.
Is there no one that you can trust to help you get things up and running? I'm trying to find someone, but it's hard to do interviews from this bed.
Oh.
[coughs.]
[monitors beeping rapidly.]
I-I Elias? Elias, tell me what you're feeling.
Okay, he's in v-tach with some instability.
I need Amiodarone.
How can I help, Dr.
Bell? Okay, get ready to start pacing.
We need to drape and intubate.
Get him on ECMO now.
Dr.
Williams.
[monitor beeping rapidly.]
Okay.
Turn on the ECMO.
Okay, going on.
[ECMO whirring.]
Come on, Elias.
Come on.
If it's not drugs, it's comic books, role-playing games.
And movies these days, they're so violent.
He doesn't know what's real anymore.
Excuse me.
Do you mind if I borrow your chair? Not at all.
I was just leaving.
Okay.
Do you have a family history of mental illness? No.
Course not.
I still think it's drugs.
What else could make me afraid of my own son? If we requested a psychiatrist and they found something wrong, what happens then? Well if Hunter's deemed a threat to himself or others, he'll be admitted for a 72-hour assessment period.
72 hours? We need help, Lindsay.
You can't pretend we don't.
Maybe you do.
You have pushed him to this.
He's never been good enough.
Okay, let's let's be, uh, patient here.
First, I need to rule out any medical problems.
Then we can talk about a psych assessment.
Sorry.
It's been a stressful month.
We're not great at navigating stressful.
[cellphone buzzing.]
Well, if you figure out how to deal with it, I will be first in line to take your class.
Sorry, I have to go.
I'll see you soon, okay? - Okay.
- Thank you.
[indistinct announcement over P.
A.
.]
Still hurt? Anywhere else? You know, I'm trying to help you here.
You call this help? Um.
.
will you excuse me for a second? Yeah.
Whatever.
Take your time.
You, uh they page you for this? Uh, yes.
Yes.
Um, but, uh Well, I had a situation recently with a violent patient, and I'm still feeling a bit shaken.
Well, I'll be in there with you.
He's no problem.
Yeah, yeah, I still think I'll just observe from here.
Okay.
Well, I did a psych rotation in residency.
I can Yeah if you don't mind, just basic questions.
Sure.
Yeah.
Thank you.
So Hunter, what, uh, what brought you in here today? Read it off the chart, dummy.
You know the faster we get this done, the faster you can go home.
So why did you break into your neighbors' house? Our fridge is all full of lettuce, heirloom carrots.
I wanted ice cream.
You wanted ice cream, and you weren't high? No.
I'm I'm not like that.
Okay.
You going through any difficulties lately? Any Any big changes in your life? I don't know.
I-I get mad easier, so I just don't take crap like I used to.
People should get past it.
Can I get some food? Something? A chocolate bar? No, you know, you can't eat anything until we do the blood work, and I'm hoping that goes better than the last time.
Yeah, don't count on it.
So my heart isn't even beating anymore? No.
But the ECMO is keeping you alive.
[sighs.]
How long can I stay on it? Well, that depends.
But it's a temporary solution, so you have to stay here.
I guess a donor heart hasn't been found in the past few hours.
Is there anything we can do to help you out? Can you take a week off to babysit some donkeys? I actually would love to do that.
Donkeys are my spirit animal.
[monitor beeping steadily.]
Hey.
I know you.
Yeah, it's Dev.
I'm your doctor, actually.
You had us worried.
Dev Sekara? [laughs softly.]
Damn.
I haven't seen you since, like, high school, right? Yeah, we kind of lost track of each other back then.
Probably when I dropped out.
Looking at you now, maybe not the smartest play, right? Yeah.
Justin, uh, I'm gonna ask you some questions to make sure your brain's functioning normally after the surgery.
Can you copy this while we talk? What day is it today? Uh, Wednesday.
Great.
Now, can you give me the multiples of seven in order? 0, 7, 14, 21, 28, 35.
You started with zero.
Everyone always forgets to start with zero.
That's good.
And you're passing with flying colors.
Just a couple more questions, man.
Do you remember how you got here? I was at a party What about the fight? Do you remember being in a fight? What about the cop that drove you here? Officer Bauer? Hold up, hold up.
What? The police, they said you were in a gang fight.
An officer drove you here.
You're saying a cop brought me here.
The cops did this to me.
Greg: If the tests came back negative for drugs, then he needs psychiatric care.
Well you may be right, but there are some other things the headaches, the hunger, the low blood sugars.
Those aren't indicative of a psychiatric issue.
So what are we gonna do? You just need to give me more time.
Okay? I want to get him in for a brain scan, and I need to wait to see the results of the second blood test.
Hunter? Hunter! Let's just lean back here.
What's going on? There we go.
Why don't you help me get his legs up, okay? Get a line in him, get his airway clear.
Hunter! I was okay with the new Hunter at first, but this doesn't seem so good.
I don't know what's going on.
I get hungry, I get mad, I get tired.
It's this never-ending cycle.
Well, we're gonna find out why this is happening to you.
One good part of this was, uh, I stomped Tristan Darby and his idiot friends.
My dad actually seemed to respect me after that.
First time that ever happened.
Hunter, how do you feel before an outburst takes place? I don't know.
Uh, I get kind of sweaty.
My vision gets blurry, I guess.
Hungry, angry hangry times 1,000.
Okay.
You have a Hunter? Hunter? [indistinct announcement over P.
A.
.]
[chuckling.]
Dr.
Harris.
Hello.
Hi.
Uh, I thought you were in a meeting, but No I was just, uh, I was on the phone.
May I just Yeah.
Just make it quick.
This about Hunter? Oh, um, no, actually.
It's about you.
I was going through some of Dr.
Murphy's files, and I noticed you used to be one of his patients.
You read my file? And I thought we should continue your treatment while you still appear to be in a good state.
A stitch in time and all that.
I'm all stitched up.
Thanks.
Yeah, but it's important to identify your stressors before you buckle under them.
Dr.
Carver, this, um this treatment you speak of wouldn't happen to be mandatory, would it? Well, I No? Okay.
Well, then, uh, thank you for your concern.
[sighs.]
Okay.
All right.
Well, just, uh just please consider it, okay? No need to be held back by uh, old ghosts.
I'll keep that in mind.
Good.
I was at this party.
We went there to find a guy, send him a message.
Nah, not not not like that.
Remember my ex, Sarita? Her man took off, left her looking after her baby without a dime.
Told him he better do the right thing.
I'm not A6U anymore, but he didn't need to know that.
A6U? "Already 6 Under.
" I got out of it a few months back, went back to school for automotive.
So what happened after the party? Must have left like 5:00 a.
m.
Walking to the streetcar when these two cops come out of nowhere talking about some graffiti, said I fit the description.
You must have done something to get their attention.
Yeah yeah, now that you mention it, I was straight up murdering a guy at the time.
[chuckles.]
[laughs.]
They wanted to know where I was going, where I had come from, show my ID, same old, same old.
They arrested you? No, but one blocked me, wouldn't let me go, so I shoved him just out of the way.
He tripped and fell, the other one goes crazy, starts attacking me.
Last thing I remember baton's coming for my head, and I black out.
Catch their names? Hmm.
That explains why that cop's so interested in what he has to say.
Hey Zach, it's me.
Uh, we should probably talk about this morning.
I just got off the phone with Memorial.
There was a huge crash, and I think they have a heart for Elias.
Size is good, blood type is a match.
No, no, no.
Why do I think there's a "but" coming? Elias is sensitized because of a transfusion that he had in his teens.
He's been exposed to foreign proteins.
So he's developed antibodies that have increased his risk of rejection.
So we need to find him a heart that those antibodies won't reject.
[sighs.]
So we put him on LVAD and RVAD, and he waits here maybe forever.
I can't do that to him.
I'm calling in a favor from one of our suppliers.
Get Premcardia on the phone.
Tell them I want their latest model here in an hour.
An hour? Is that even possible? Just tell Gary that we'll be even.
Elias, I don't think that you can sit here and wait for a donor heart any longer.
I think that I have a possible solution.
I want to give you a totally artificial heart implant.
You want to take my heart out before we find a new one? That's right.
How does that even work? Well, you're mobile.
You carry the power source for the heart around in a backpack.
And then you can oversee things at the farm while we look for a new heart.
Are you serious? I mean, you will have to take it easy, hire some help, but people have lived as outpatients with these devices for as long as 18 months.
And we will find you a new heart.
It is just a matter of time.
[chuckles.]
Thank you, Dr.
Bell.
[sirens wailing.]
[indistinct radio chatter.]
Hey, doc.
Any news? We know what you did to him.
What's he talking about? Mr.
Srinivasan is awake, and he's made a disturbing accusation.
That's why you're sticking around, isn't it? To threaten him out of telling the truth.
Okay, Dr.
Sekara, can you go, please, attend to the patient? [sighs.]
[door opens, closes.]
He claims he was assaulted by the police.
I'm not ignorant.
I know this type of stuff happens.
[siren wails.]
Look, I wasn't there, okay? It was some other cops.
When my partner and I showed, it was over.
Okay.
Why did they stop him in the first place? Did they have a reason? They thought they did.
Well, the cops just went off, okay? We deal with a lot of abuse.
We get spat on.
And sometimes you snap, you have a bad night.
We're human, too.
He has a fractured skull.
He came at them.
End of the night, everybody just wants to go home safe to their families.
With all due respect, officer, that young man did not go home safe last night.
Yeah, and he's alive, and he got his shots in, too, so he can go tell his gangland friends that he almost beat up a cop.
Let's call it even.
Even? Officer Bauer, I think you should come with me.
[sighs.]
Remember when you used to come over after school to play "Goldeneye?" Oh, yeah.
So many hours.
And you always picked Odd Job, you jerk.
[both chuckle.]
You always knew you wanted to be a doctor, even back then, eh? Yeah.
Even back then.
I could never get that far.
I just focused on making as much paper as I could.
Hey man, it's not like I didn't see the attraction in your life.
Even Even in school, you could buy anything you wanted.
[laughs.]
That's funny.
That's That's straight funny.
You don't know how many times I wished I was you stable home, good grades.
How's your mom doing, anyway? Uh, she's good.
Yeah, you know, all up in my life as usual.
[monitor beeping steadily.]
This is Justin.
Officer Bauer's the one that brought you in.
If you're waiting for a "thank you," don't hold your breath.
Just doing my job.
Aah! Aah! It's really hurting now.
[inhales sharply, groans.]
Let's up his morphine, Dr.
Sekara.
What's going on, Dev? Damn it.
[breathing heavily.]
Pressure's climbing! [monitors beeping rapidly.]
Okay, his hematoma may have re-ruptured.
There's no time for an O.
R.
Officer Bauer, you need to leave.
[elevator bell dings.]
[indistinct chatter.]
[indistinct announcement over P.
A.
.]
Alex, I may have something for you.
You saw Hunter? Yeah.
He says he gets sweaty, has blurred vision, and pronounced hunger symptoms.
How are his blood sugars? We're waiting on the second round.
Okay.
How's Luke? Not great.
And if you can imagine, I only made things worse.
Honestly, it's I'm fine.
I just been a long time since I've been so on my own.
Alex, you're not on your own.
I'm here.
Charlie, I [tablet chimes.]
- Oh.
- Okay.
Here we go.
Wow.
Look at these blood sugars.
Well, I don't think I've ever seen glucose levels that low before.
What is doing this to him? Factitious insulin? Liver or kidney disease? Hypothyroidism? It's all too extreme for any of those things.
Something pancreatic.
Insulinoma.
Of course.
It explains everything.
I'm gonna get an MRI, find out where it is.
Can you book me an O.
R.
? - Yeah.
- Great.
Thanks.
[monitors beeping steadily.]
[suction hissing.]
Okay, we need to trim the atrial cuff to ensure a proper match.
If there's a leak in the back, it will be impossible to fix once the device is in.
So Dr.
Bell, anything special happen today? You mean apart from enabling a man to walk out of here without a heart? Yes.
Apart from that.
Get to the point, Dr.
Williams.
Just Dr.
Miller showed Dev and I a little special gift.
They're gorgeous.
He has surprisingly good taste.
He screwed up and tried to buy back my affection, and when I didn't react the way that he wanted They are pretty, shiny objects.
Can we focus on the work, please? Of course.
Sorry.
Didn't mean to pry.
Damn it.
There a problem, Dr.
Bell? The tissue on the atrial cuff is too weak to suture to the artificial ventricles.
How do we keep it from tearing? We can't cut down to more viable tissue, so we reinforce? Felt strips.
We use felt strips to reinforce the suture lines so that the tissue will hold.
Can we get some of those in here, please? We are not going to let one bad bleeder shut us down.
Time of death 5:24 p.
m.
I'm sorry about your loss, Dr.
Sekara.
I can inform the parents.
[breathes shakily.]
Hey! What are you gonna do about this, huh? Right now, there are three reports on my sergeant's desk, including one from my partner, toeing the line.
The guy who did this is gonna get off, and I'm gonna be marked for life.
Yeah, give me your sergeant's number.
I'll call him myself.
Look, you need to calm down.
Dr.
Sekara, this is not the way.
You would have done the same thing.
You would have beaten my friend to death.
Doctor! Dr.
Sekara! [breathing heavily.]
I-I say we just put this out there and tell everyone what happened, let it go viral.
No, proper channels, Dr.
Sekara.
What you did out there, that is not the way.
That could have been me, Shahir.
I would have fit the same description.
But you should know how to talk to a police officer.
You know how to behave.
I know.
It's not fair.
Yeah, like, it's not fair that I get followed by mall cops when I'm shopping.
Or that I get pulled in for a random check every time I'm in an airport.
I face it, too, Dev.
I have to believe that things like this are anomalies.
I have to believe the good in people.
You want to have kids.
What would you do if it was your son, Shahir? - Okay.
- Enucleating the tumor now.
Billy: It's in a tricky spot, right on the pancreatic duct.
It is, and if we nick it, he's in trouble.
It is really stuck on there.
[telephone rings.]
Almost there.
And we are insulinoma free.
Let's get the bag in there.
Dr.
Reid? Yeah.
It's a daycare worker calling.
She sounds really upset.
Is Luke okay? Actually, she's upset because Luke slapped her and kicked another kid and poured juice on the stereo.
She really wants you to pick him up.
[sighs.]
Okay, well, you can tell her she's gonna have to hold on a little while longer.
I'm almost done here.
Billy: So that little thing is making this kid wig out the whole time.
Mm-hmm.
And wreaking havoc with his glucose levels, causing extreme hunger, mood swings, violent outbursts.
There we have it.
[monitor beeps.]
Let's have a look around.
What if I don't want things to go back to the way they were before? Hunter, you got a tumor on your pancreas, and I'm pretty sure you've worn your parents down to their last nerve.
Yeah, I know I can't stay like that.
So what do you want? All my life, I was good, polite, never got in anyone's way.
You know what I got for it? Dog crap in my locker, gum on bike seat running the punch gauntlet when I walk out of school.
- And you don' t want to go back to that.
- [sighs.]
This tumor may have made me crazy, but it made things better in my life, too.
Nobody messed with me.
My dad He respected that.
My last birthday, all I wanted was comics.
"Sweet Tooth" it's this animal mutant kid who loves candy.
He just Dad got me a football.
He can't even throw one himself.
Hunter, if you want real change, it can't come from a tumor, and it can't come from your dad.
It's gotta come from you.
You're not listening.
If I'm gonna come back a nobody like I was before, I don't want to come back.
I don't want to be that guy anymore.
[sighs.]
Okay.
Let's go down on the bypass and up on the artificial heart.
Be careful not to entrain any air in it.
Okay.
Dialing down perfusion.
[whirring slows.]
[rhythmic hissing.]
That's music to my ears.
First time I've ever seen one of these in action.
It's amazing.
So we keep weaning him off bypass, then increase the speed of the heart? Yeah, once the artificial heart is doing all of the work, then we close up the vents.
[monitor beeps.]
We are off bypass.
Okay.
I think now I can admit that I've never actually done that before.
[laughter.]
[sighs.]
I'm sorry about this morning.
You felt what you felt.
I guess I was just surprised at what little faith you have in us.
No.
That's not it at all.
Come here.
Uh Look, Zach, whatever problems we have you make me happy.
So when you felt that I was asking you to marry me and you looked like you'd rather operate on an anal fistula, that was what? That was me being scared.
I mean, when Charlie and I got married, everything changed.
It was like this door closed on the people that we used to be the fun people.
You're fun now ish.
[chuckles.]
Okay, so I wanted to make it up to you.
So I got you a ring ish.
[chuckles.]
Zach Miller will you stay my boyfriend? It's beautiful, and I feel like a princess.
Thank you.
[knock on door.]
Well, you should know, the surgery went well.
The glycemic effects of the tumor will be gone, so Hunter should make a full recovery.
He'll be back to normal? Well, these days with my son, I don't know what normal is anymore.
I just try to ride it out.
[chuckles.]
I've been disappointed in him for being like me.
Always wished he was somebody else.
But now I'd do anything to get our Hunter back.
Hate to disappoint him, but I'm thinking of getting a tattoo.
Ooh, ooh Don't even trip.
There's a new Hunter in town.
Hey, Amma.
Yeah, I'll come over and fix your tablet tonight.
I told you twice Yeah, yeah, I'll stay for dinner.
- We lost this one - Hey, you, uh, remember Justin from down the street? - When we rolled the dice - I need I need his mom's number.
I'm out of days, I'm out of nights Too many wrongs to make it right And this time I'm out of love, I'm out of cards I'm out of room, I'm out of lines It's on you Those are the right ones, aren't they? I'm out of days, I'm out of nights Too many wrongs to make it right This time I bleed [sighs.]
Ooh, ooh, ooh This is Officer Bauer.
Put me through to Sergeant Fitz.
It's about last night's shift.
Dawn: You'll be able to go home in a few weeks.
And in the meantime, Dr.
Williams has made some calls to make sure that no more of your animals get euthanized.
Dr.
Bell, is there anything I could do to thank you? Well, I do know two boys who would love to come with me to visit your animals sometime.
Any time.
I'd love to have you.
And in the meantime, if you ever have a guinea pig, call me.
I'll adopt it.
Really? I'm not kidding.
Oh.
Gentle.
Yeah.
Easy.
Dr.
Harris.
Everything okay? Yeah.
Yeah, I'm fine.
I was just about to go spend some time with my son.
Oh, good.
It looks like you need it.
You have kids, Dr.
Carver? Uh, call me Amos, and, yes.
I do.
But I don't see them anymore.
It's a sad story for another time.
But a place like this is full of sad stories.
So I'll tell you mine if you'll tell me yours, Charlie.
[chuckles lightly.]
Have a good night with your son.
[Luke crying.]
Oh, come on, buddy.
Just be quiet for mommy for just, like, 10 minutes.
[crying stops.]
Yes! [crying resumes.]
No.
Okay, it's all right.
Mama's coming.
Daddy's coming soon.
Hi, honey.
Hi.
[cartoon chatter on tablet.]
Look at that.
Hop, hop, hop, hop, hop, hop.
Hop.
[twinkle!.]
Look at the birds flying by.
[bonk!.]
Oh, it's so pretty.
Look at all the colors.
Ice cream for Luke.
And ice cream for mommy.