Saving Hope (2012) s05e16 Episode Script
La Famiglia
1 Alright, you know what this is driving me crazy.
Every single one of these names is terrible.
Okay.
W-Why don't we just go with a family name? I think I had an Aunt Eunice.
[scoffs.]
Are you kidding me? [chuckles.]
Okay, why don't we just name her after your mother? [sighs.]
We probably shouldn't name every single one of our kids after my dead relatives.
This is nice.
You know, it's like we've known each other a lifetime, but we're now just getting to know each other again.
I remember when I first met you.
- You were this gorgeous resident - Mm.
Bumbling your way through your surgical assignments.
- "Bumbling"? I never bumbled.
- Oh Oh, yeah.
You once got lost and did 10 laps around my office.
- [chuckles.]
- Mm.
Charlie, that wasn't an accident.
- Well played, Dr.
Reid.
- [laughs.]
[inhales sharply.]
My office.
You know, it's not too late for you to un-resign.
[sighs.]
No.
No, it was the right thing to do.
Besides, it's gonna give me more time to spend with you and Luke and good, old - Our little what's-her-name? - Yeah.
[chuckles.]
So, what about you? How you feeling? You're on the verge of making history today.
I'm good - for a bumbling resident.
- [chuckles.]
Ah, she was up all night making that.
[indistinct conversations.]
Excuse me! - Whoa! - All hail the new, old Chief.
Thank you.
Okay, when I accepted the position, part of my mandate was to put this hospital's surgical team back on the map.
When Dr.
Reid made her pitch for the treatment of metastatic abdominal cancer, it was a bold one.
But I think that we are up for the challenge.
Doctor.
Alex: Thank you.
As you know, this is a trial run for us.
But if we succeed, we'll be the only hospital in the city that's authorized to perform the procedure.
Now, the doctor that we need to impress is from NYU.
She'll supervise.
Her name is Dr.
Flora Johnson.
[laughs.]
Oh, sorry.
She She's my professional hero.
No offense.
- None taken.
- None taken.
[quietly.]
I heard that Johnson's looking for a new resident for her new study.
That explains why Cassie's kissing ass - with arts and crafts.
- As you can see, Dr.
Williams has posted the assignments here.
Hold the phone! Sorry.
I want in on this, too.
No, Dr.
Kinney.
Sorry, but you're not on the schedule.
If anyone gets to cure a woman with incurable cancer, it's me.
[siren wails in distance.]
Still playing the cancer card? Yeah, I figure I've got a few left.
Okay.
Tell me about the patient.
Her name is Santina Vanelli.
She is 65 years old.
Santina emigrated from Italy 40 years ago and made enough money to bring her entire extended family over.
Her daughter died five years ago, and she's been taking care of her granddaughter ever since.
[speaks Italian.]
Alex: Santina developed appendiceal cancer, which has spread to her stomach lining.
Now, she was told she had two weeks to live.
- [conversing in Italian.]
- We're gonna give her 10 years.
So, Bell, Reid, and Kinney get to remove all the tumors, and all we get to do is fill her belly with heated chemo drugs and stand around until it's time to drain it? Least we get to be a part of history.
Well, watching history happen is not the same thing as being a part of it.
Actually, I have another job for you.
Santina has a very big, very concerned family, and I'd like her getting updates every hour on the hour.
Yeah, so, I'm not a messenger.
I'm a surgeon.
Oh, don't sell yourself short, Billy.
You can do both.
[monitor beeping.]
Mom, seriously, I'm fine.
I have to do something, bachcha.
She's here.
Good morning.
Hey! How's my baby? He's in the NICU, but from all reports, he's recuperating well.
Rest is the most important thing for you right now, Falak.
- Yeah.
- How can she rest when you've given her such a wonderful present? Yes.
Just excuse the paper quality.
It's the best I could do on short notice.
So, you're still interested in the adoption? Yes.
I-I didn't show you the best part.
[chuckles.]
Um, so, these are, uh, memento pages, so as he gets older, see, you can First tooth, first soccer goal, first day of school We didn't want you to miss out.
It's time to rest.
The adoption lawyer will be here soon.
He's coming now? I figure why wait? Jackson, I don't have time for a consult.
- Dr.
Johnson's gonna be here any minute.
- He asked for you, said you missed something last time he was here.
Picture him in blue spandex.
Dr.
Williams.
It's me, Jake.
The Horn of Death? Mercury poisoning.
Yeah, I-I remember you, Mr.
Bugle.
You look very different.
Clean up good, huh? Uh, said he's feeling lightheaded, disoriented, can't eat or sleep.
Give us some privacy, bro? "Bro.
" [siren wails in distance.]
Jake, your symptoms should have cleared up by now, unless you're still smashing light bulbs on yourself? No, ma'am.
Got a real job, selling cars used, but, hell, so am I, right? Hence the sweet suit.
Do you have a change in exercise or diet? I'm not malnourished.
[breathes deeply.]
- I'm in love.
- Oh! Good for you.
Oh.
You're the one who sent me the balloons and the chameleon and that book in my locker.
How did you even get in there? The myth of Cassandra.
Did you like it? I know it gets a little dark, but I feel like Apollo meant well.
Mm.
Dr.
Johnson should be here by now.
Alex, you know that I didn't want to get Chief like this, right? Yeah, of course.
You were just looking after Charlie and this hospital.
Maybe she missed her flight.
[elevator bell dings.]
- Dr.
Bishop.
- Dr.
Bishop.
- [chuckles.]
- Surprise! - Right back at ya.
Huh? - [laughing.]
I heard you two were back.
- Alex, congratulations.
- Yeah, well - [chuckles.]
- Dr.
Bell, always a pleasure.
Nice to see you.
And why are we seeing you, exactly? Well, Dr.
Johnson got held up at her conference in Dubai, and I'm her second-in-command, so she sent me instead.
Nice.
I didn't know you were living in New York.
I thought you went back to California.
- To work on my marriage? - Yeah.
Yeah.
Guess how that worked out.
Sorry.
Geez, when did things become so serious around here? Guess that's why fate brought me back put a little fun in the fold.
That, and hand over the reins on the most amazing surgery.
- Giddyup.
- That's my line.
[cellphones vibrating.]
[breathing heavily.]
[monitor beeping rapidly.]
Dev, what's going on? Chest pains, elevated B.
P.
- What are you doing here? - Doogie.
[italian accent.]
Everything was fine until he came.
- W-Who are you? - I'm the son-in-law.
Okay, heart is good, lungs are clear.
Maybe it was a panic attack.
Can you get me 5 milligrams I.
V.
Diazepam? You should have never come back.
This is all your fault.
If I had a nickel for every time something was my fault Then maybe you could afford to take care of your own daughter.
Smettila! Your mother-in-law will be just fine.
I don't want her to be fine.
I want her to suffer, like she made me suffer.
[crying.]
- [humming.]
- All good.
[clears throat.]
- Morning.
- Morning.
Thought the team could use some refueling.
Or you're hoping to poach a consult you're not authorized to take.
- Let's see how radiology's doing.
- Oh, didn't say I didn't want that coffee there.
Mm-hmm.
Listen, you and Alex should come by for barbecue Sunday.
We put in a hot tub.
You want me to get into a bubbling Petri dish with you, my pregnant girlfriend, and my ex-wife? Yeah, that's what I was thinking.
- Mm! - Or go fishin'.
I don't need a hobby, Zach.
I'm sure other hospitals are already banging down your door.
I think you should just retire, buy a motor home, and see America one Walmart parking lot at a time.
I need your help with a patient, my patient, the one that's the wrestler - that was from last - Slow down, Cassie.
He said he's in love with me.
I mean, he's probably harmless, right? Oh, yeah, yep.
260 pounds of harmless.
Today is the most important surgery of my entire career, and he's not even sick.
He's just a creep.
- Yep, and I'm calling security.
- I'll deal with it, Jackson.
They're still touchy about the whole Taser incident.
Thank you.
Thank you.
You bet.
Hi, there.
Where's Dr.
Williams? Forget Dr.
Williams.
She's on another case, and, uh, she's not interested in you.
Oh.
Like to lift weights? [chuckles nervously.]
What are you, her boyfriend or something? Listen, man, whatever connection you think you felt, whatever happened between you two, it was just Dr.
Williams being a good doctor.
I don't want any trouble.
I'll just wait here till she's done her shift.
Actually, there's nothing medically wrong with you, so I'm gonna have to ask you to leave.
[siren wailing in distance.]
Okay.
Fine.
Male, 20s, pedestrian versus car.
Okay, got open tib-fib fractures here.
Charlie, you can't.
Jackson: Page Dr.
Kane.
Page Turser.
She's better.
On three! One, two, three! Okay, first thing's first.
We need to stabilize these fractures and control the bleeding.
Bishop, it was just a panic attack.
Look, her heart is 65 years old.
Already, that's not ideal for a 14-hour surgery.
We'll do another ECG.
We can do a full work-up, if you'd like.
Every hospital wants to be the first to do this surgery Mississauga Memorial, Oshawa, North York.
They're all knocking on Dr.
Johnson's door.
If Santina dies on the table, that's it for your new mandate.
And that's it for you being the Sugarbaker specialist - in this town.
- You know what? We would never jeopardize a patient's life for my ego.
I want you two to have this procedure, just not with this patient.
Hey, sorry I'm late, I No.
Um, you have to leave before Dr.
Johnson gets here.
Hey, Cassie.
Dr.
Johnson got held up.
She sent me in her place.
You? I'm her surgical fellow.
Oh.
You broke my heart, and then you moved to New York to work under my surgical hero? Well, you always spoke so highly of her.
What about your wife? What about moving to L.
A.
to make it work? Ohh.
I'm sorry.
I I don't I don't need an explanation.
I need you to get Dr.
Johnson here so she can see how talented I am and pick me to be her new resident.
You're shopping around for a new job? Okay, you know what? We're getting off-track here.
The most important thing is that we convince you to do the surgery.
We have to convince you? Yes, Dr.
Bishop doesn't think Mrs.
Vanelli will survive the surgery.
Santina's survived a polio outbreak, scarlet fever, and a Fascist invasion.
She will be fine today.
[knock on window.]
I made manicotti.
It's a long surgery, and you'll need your strength.
This is Bianca, my niece.
Santina takes care of her ever since her mother passed away.
Thank you for fixing my Nonna.
Thank you, Bianca.
It looks delicious.
Thank you.
I can't approve the surgery 'cause they made pasta.
When you left, I was humiliated.
And it took me a very long time to get back on track.
And now I am Chief Resident.
If these two surgeons say that the patient is okay, she is okay.
Approve the surgery.
Prep the O.
R.
Great! [exhales sharply.]
Aha.
Nice.
Let's do this.
Howard: Okay.
And finally, I'll need an update from the child's physician.
Yes.
Neonatology gave a full report.
The baby's status has been upgraded.
He only needs incubation every four hours now.
Which means we can finally hold him.
That's excellent.
You should hold him, bond with him.
Skin-to-skin contact from the mother is vital.
Falak, you should hold him.
All right, very good.
If I can get your signature, Falak, we'll be done here.
Bachcha.
Can I hold him now? Dana: We'll be fine.
[woman speaking indistinctly over P.
A.
.]
[indistinct conversations.]
[breathes shakily.]
Should I ask him to leave? [italian accent.]
No.
Bianca will want to see him.
She needs her father.
You know, people get emotional and irrational when their loved ones are sick.
I'm sure he didn't mean what he said.
[scoffs.]
No, he did.
And maybe I deserve it.
Santina, you're gonna have to take your necklace off.
I can I can give it to your sister.
- Great.
- There we go.
You keep.
For the baby.
No.
Thank you.
I couldn't I possibly No speak English.
Can't argue with that.
[exhales sharply.]
- [clears throat.]
- Hi.
This is for a child m-my child.
I'm I'm finally getting a baby.
That is wonderful, Shahir.
Why the, uh ? This This is for skin-to-skin contact, and Jonathan thinks I'm too hairy, although there are studies out of Johns Hopkins Neonatal Unit that don't support I'm sorry.
You know, I never congratulated you on being appointed Chief of Surgery.
Congratulations, Dawn.
Thank you, Shahir.
We really did end up with the best surgeon for the job.
You know, I never would have brought such a perilous surgery like the Sugarbaker to this hospital if I'd accepted.
What do you mean, "if you accepted"? Yeah, the Board offered the job to me, but I turned it down because of the adoption process.
They offered it to you first? And then Dr.
Storms, but he turned down their offer.
- Storms? - Yeah, because he has his fatherly duties, thank goodness.
We ended up with you.
Isn't it amazing how things work out? They work out for the best.
They do, I believe.
Good luck with the Sugarbaker, Chief.
So, how's Charlie dealing with his way-too-early retirement? I honestly don't know.
This job is built into his DNA.
Here am I, about to do something that's gonna open up a world of possibilities for me, so And you're feeling guilty? - Little bit.
- No, no.
If I know Charlie, sweetie, Nothing can keep him down.
He'll get his groove back.
You're right.
[chuckles.]
You're right.
Something wrong? Oh, no.
We're good.
Good to go.
Your hand is shaking.
[sighs.]
Mrs.
Vanelli's abdominal CT came back.
Okay.
Her periaortic lymph nodes are enlarged.
They are twice as big as they were last week.
Billy: So, if the cancer's already spread, we turf the surgery? Dana: No, not necessarily.
She could just be fighting an infection.
- But if Dr.
Bishop sees this - Damn it.
Dawn: Does anything work right around here? Dawn, we need to discuss this before we scrub [inhales sharply.]
I sacrificed my marriage.
I sacrificed becoming a mother, adopting.
I don't even have time to bond with Zach's kids, who hate me, by the way.
- And I just, I - Dawn, I don't want to slap you, but I will.
Take a breath.
Shahir told me that he was the Board's first choice for Chief.
All of this because your ego's a little bruised.
- Don't - And then when he turned it down, they offered it to Storms.
Those chauvinistic slack-jawed [stammers.]
Choosing that hack over you? Okay, that is criminal.
- Thank you! - I This is always how it's - Ladies, ladies, ladies, ladies, stop it! We've got a patient who needs us, and we have imaging that may prove the marathon surgery we are about to do is completely useless.
We need a plan, okay? Do we tell Dr.
Bishop about the new scan or not? CT scans aren't good at predicting lymph node spread.
Believe me, I know.
Right, but if treating her isn't gonna do any good, then the only ethical thing is to do nothing.
What do we do? Cassie: What are you guys looking at? Read it and weep, Cassie.
No Sugarbaker for you.
- Has Dr.
Bishop seen this? - No, not yet.
- Wait, Dr.
Bishop? - [sighs.]
- -The Dr.
Bishop? - He came in Dr.
Johnson's place.
Oh.
Well, this must be really awkward for you.
- Shut up.
- Shut up.
Ignore the imaging.
We are going to proceed as planned.
If anybody has an issue with that, you can be excused.
No hard feelings.
Great.
Let's get it done.
Dana: Ugh! [chuckles.]
They don't call it "jelly belly" for no reason.
Cassie: There's got to be at least 5 pounds of mucus in here.
Dawn: These kinds of tumors are actually good news, because they're easier to remove.
Okay.
All clear.
- Reid? - Now, take your time.
Bishop: Make sure your count is accurate.
If there are too many tumors and we proceed, we're putting this nice grandmother through hell for nothing.
Or we close her up and walk away, and she dies in two weeks.
- How is that better? - It means she gets to spend her final days at home with her family, not intubated and unconscious in the ICU because of a procedure that wouldn't have helped her in the first place.
Alex: She's got a tumor score of 23.
That's manageable.
Grab your scalpels.
Good to go.
[siren wails in distance.]
[Charlie sighs.]
[sniffs.]
Mm.
Notes of peat moss, honeysuckle, and [sniffs deeply.]
unemployment.
Thank you, Zach.
Aah! Aiutami, signore! You help me? We find Paolo? Oh! No, no.
No, I'm I'm out of the business.
Um, you're gonna have to find him yourself.
No.
If you no help, I die with a black stain on my heart.
Mm, no.
I-I gave up my credentials.
I'm not a doctor anymore, which means no ghost "nothing.
" Dottoressa Reid.
My doctor.
You're Alex's Sugarbaker patient? Of course you are.
You love her? [inhales sharply.]
Yes And you always want to help her? Yes Good! She help my cancer, you help my heart.
[whirring, beeping.]
Alex: Okay, removing the last of the lesions from the posterior space.
Bishop: Hey, while you're back there, how do those periaortic lymph nodes look? Cassie: Fine.
They look fine.
Wait, how do you know? You can't see from there.
Step aside, Dr.
Reid.
Of course.
[sighs.]
These lymph nodes are enlarged.
Scissors.
Was this on the imaging? It showed up on the pre-op CT scan, but as you know Oh! You guys are killing me.
Do you have any idea how unethical it is to do this procedure if the cancer's already spread outside the abdomen? Last November, Dr.
Johnson had a patient whose imaging showed lymph spread, and she was unconvinced, and she continued with the Sugarbaker, - and that patient turned out just - She was arrogant and got lucky.
She would tell you that herself.
And so in the meantime, we will send the nodes to pathology.
We don't know that the disease has spread.
And you better hope they come back negative, because if they don't Dana: She'll be grateful that we tried.
A long shot isn't the same thing as a dead woman, Dr.
Bishop.
I'm gonna call Dr.
Johnson, keep her up to speed.
We'll continue the resection and wait.
10 blade.
It's fine.
[monitor beeping.]
Shahir.
Shahir: You shouldn't be here, Jonathan.
Falak is gone.
I went to check on her.
Her room's empty.
Woman: Code Pink, sixth floor.
- Code Pink, sixth floor.
- Shahir, she took the baby.
[indistinct conversations.]
Yeah, so, she's doing great.
[conversations stop.]
Uh, she's hanging in there, and - Hey! - Ah! Yeah.
I'll be back in an hour.
[quietly.]
'Cause that's all I'm good for.
Jake Bugle, the Horn of Death.
What are you doing back here? Hi.
[intercom beeps.]
Woman: Code Pink, Code Pink.
We only have a short amount of time before Falak does any harm to her baby.
Okay, well, I'll keep an eye on floors 1 and 2.
I got the Nurses' stations.
Okay.
And you stay here in case she comes back.
- Find them, please.
- Yes.
- Nonsense in her head.
- Me? You know what? I want my daughter back, okay? - And not just on her birthday and Christmas.
- You have no say, - not after you abandoned her like you did.
- I didn't abandon her.
I was just in mourning after Angie died.
- We were all in mourning! - I just I just needed - some time to clear my head! - And Bianca needed a father.
Instead, she cried herself to sleep in Santina's arms.
no mama, no papa.
Your sister stole her from me and made me sound unfit.
Because you are unfit! Look at you.
I'm getting my daughter back, Lucia, all right? The second your sister dies.
Disgraziato! You see what a mess I make? [sighs.]
[breathing deeply.]
[clears throat.]
[monitor beeping.]
Somebody call Dr.
Williams, see about the results.
[chuckles.]
The nodes are negative.
[sighs.]
I'm gonna rescrub.
[sighs.]
Yes.
[exhales sharply.]
Dr.
Sekara, prep the chemo bath.
Yep.
On it.
- Where is Dr.
Scott? - He went to inform the family, but that was, mm, 20 minutes ago? We finally get to his part, and he's missing in action.
- Millennials.
- While we have a moment, Dr.
Bell, I'd like a word.
He's been out of the incubator for over an hour now.
He could go into respiratory failure at any time.
[voice breaking.]
Ah, this was my fault.
I tried to stop Falak from holding him.
Why would you do that? I knew once she did, she wouldn't give him up.
She doesn't understand the stigma that follows you when you when you have to leave school and beg for social assistance.
I had to make her understand, so I [crying.]
I [sobs.]
You what? What did you do? - What did you do?! - I told Falak my decision to keep her was a mistake.
[sobs.]
I I had to be cruel.
It was the only way to get her to see.
Your missing mom, she's been spotted.
Falak, where's the baby? Look, when he was sick, I thought a doctor would be able to take care of him better than I could.
But he's healthy now.
And he smiled at me.
That wasn't a smile, that was gas.
You are being incredibly selfish.
Do you know how dangerous it is to move a premature baby out of incubation? A sensible parent would know that! [baby coos, cries.]
Look, I just want a chance to be his mother.
You are his mother, Falak.
Jonathan and I can drop the adoption if that's what you want.
Okay.
Let me take him upstairs, hmm? Okay.
She's a religious woman.
Tell her God spoke to you and told you she has to make amends.
Um I'm really not comfortable pretending to be a prophet.
You talk to ghosts.
I'm not comfortable with that, either.
Paolo: Bianca? Daddy! Look at you.
Oh, I missed you so much! - How are you? - I'm good.
Oh, look at you.
You went to play soccer tonight? Oh, yes, and I won.
- You won? Did you score? - Yes, I I never thought that Paolo was good enough for my Angie.
Then she died, and he disappeared for weeks.
Must have been hard on Bianca, and all of you.
But when he came back, I-I should have embraced him.
Instead, I was so angry, I took him to court.
The only thing that matters is la famiglia, and I drove a spike through mine.
My [breathing heavily.]
- Aah! - Santina? Ohh! Aah! - Even if the imaging had come - You're basically talking about only choosing the healthiest dying person.
If you can't see the irony in that Look, every time we do this surgery and it doesn't work, we get flooded with calls from reputable surgeons questioning our motives.
Have you thought about your motives, Dawn? What exactly is it you're trying to prove? I'm not trying to prove anything.
Dawn, just came to see how your patient's doing.
- Bishop?! - Hey.
It's a long story.
I'm sure.
- Good to see you.
- You, too, pal.
The patient is fine, Charlie.
Dawn, it's her heart.
Her pressure's dropping.
If we don't do something fast, we're gonna lose her.
Come too far for that.
Is she here? And do you think you should be doing this? She is here, and I don't know if I should be doing this, but it's your patient, so I'm doing it.
Okay.
Got to go.
Dana: B.
P.
50 over 30.
[monitors beeping.]
She's got no air entry on the left side.
It could be a buildup of fluid.
Yeah, but where's it coming from? Dr.
Bell, you had to peel the peritoneum off the undersurface of the diaphragm, so if there was a hole, even a small one The chemo solution could have leaked into the pleural cavity.
Dana: What's the temp of that chemo? Uh, 43 degrees.
Okay, that kind of heat alone next to the heart can cause an arrhythmia.
Let's get the chemo out of the abdomen, and I'll fix the hole.
Okay, first thing's first.
Let me put a chest tube in to get the chemo away from the heart.
That should buy us some time.
Get me a chest tube, please.
[indistinct conversations.]
[intercom beeps.]
Man: Dr.
Fitzgerald, please call extension 2-1-9.
Dr.
Fitzgerald, call extension 2-1-9.
[sighs.]
Waiting's the worst.
Yeah.
[sniffs.]
[inhales sharply.]
I'm Charlie, by the way.
Paolo.
Who you waiting on? My mother-in-law.
Ai, that's rough.
How's your wife handling that? She passed.
It's, uh, five years now.
I'm sorry.
That's, uh That's my little girl over there, Bianca.
She's beautiful.
Yeah.
She's got her mother's looks.
[chuckles.]
Thank God.
[both laugh.]
Hey, if you don't mind my asking, I mean, if that's your family over there, what are you doing sitting here by yourself? The only way they would break bread with me is if the food was poisoned.
And the feeling is mutual.
Daddy, I'm sad about Nonna.
Oh.
I'm sorry, baby.
Bianca, come on.
You need to eat something.
She's fine with me.
Back off.
Tu non sei un grande uomo.
Sei un asino.
Zia, sit.
There is an Italian saying Avere Una famiglia significa avere qualcuno da Amare.
Avere Una casa significa avere un posto dove andare, averle entrambe è Una benediZione.
Hey, you you speak Italian, right? Yeah.
I-I'm the black sheep, not an idiot.
[both chuckle.]
I-I heard this, uh, quote once.
Wonder if you can tell me what it means.
Um Avere Una famiglia significa, uh, qualcuno - Da Amare.
- Yeah.
Yeah, yeah.
I know it.
It means, uh, "To have somebody to love is family.
To have somewhere to go is home.
To have both is a blessing.
" That was Angie's favorite saying.
Yeah.
Those, uh Those words were very important to Mama.
Are you hungry? We have lots of food.
Yeah, I could eat.
Ah.
There's a long road ahead, but It's a start.
[door opens.]
Mrs.
Vanelli? I'm happy to say that the surgery went well.
Santina's recovering nicely.
[gasps.]
Sta bene! Santina Sta bene! [all exclaiming.]
Thank you.
[chuckles.]
You're welcome.
[sighs.]
Billy, I just got your message.
- You missed the whole surgery.
- Cassie, we have a problem.
I sent that message.
I think we need to clear the air.
- What are you doing here? - You can leave, bro.
I just need to talk to her alone for a few minutes.
[shakily.]
I-I can't do Please! I'm trying to be a gentleman here.
Jake, I, um I'm so sorry if you thought that there was something more going on between us.
I "Apollo, Apollo! God of all ways," "but only Death's to me," "Once and again, thou, Destroyer named" "Thou hast destroyed me," - "thou, my love of old!" - No.
No.
It's just a myth.
It's just a-a story that people tell and and retell, and everyone in-interprets it a little differently.
- Do you understand what I'm - I know what love is! It's epic and messy.
And this here, this misunderstanding It's just one part in our odyssey.
This isn't a story.
Jake, I am a doctor, and you are a patient of mine, and that's all this ever was.
[breathing shakily.]
You've changed, Cassandra.
You're different than last time I was here.
I think it's maybe this place or him, but - It's him, isn't it? - No.
I put myself out there for you.
At least tell me the truth, Cassandra! - Ugh! - No! Billy! - [groans.]
- Billy! [panting.]
Cassie: Oh, my God.
Oh, my God! We have to help him.
Call down.
Get an O.
R.
Billy! [breathing heavily.]
Stay with me.
I don't appreciate how you all went about it, taking advantage of my generally agreeable nature.
Bishop.
But I can't argue with the result.
Does that mean you're gonna certify us to do the Sugarbaker? I'll talk to Dr.
Johnson.
Dr.
Kinney, I need you! What the hell happened? 36-year-old male, impalement in the lower-right quadrant.
Williams, I got this.
- No way.
- If he doesn't make it, it'll look like malpractice, like you wanted it to happen.
- I'm not going anywhere.
- Oh, you have a bright future.
- Don't screw it up.
- I'm not letting him die, Dana.
Where do you need me? [sighs.]
Here.
Retract.
Thank you.
I got your message.
You wanted to see me? I wanted to say that I'm sorry, and also that I named him Hamza.
I'm sure you know what it means.
Steadfast, strong and steadfast.
Like a lion.
Thank you, Dr.
Hamza, for supporting my decision when no one else did.
[crying quietly.]
Babe.
Where have you been? I've been waiting.
Shahir, I ran through the hospital searching for our abducted baby, and I got interviewed by the cops.
Please do not shut me out right now.
She didn't abduct him.
She She just panicked.
If anything, she proved today she's unfit.
[sniffles.]
Jonathan, I gave her my word that we wouldn't pursue the adoption.
- You what? - She's his mother, Jonathan.
And when a mother says that she wants her baby I know how bad you wanted this.
I I know how much you wanted to be a father.
- And I wanted to be a father, too.
- Oh, don't.
- I - Don't! Wanted to be a father with you.
It's just It's too much.
It's too much.
I My heart can't take it anymore.
Baby, I'm sorry.
I No.
All right, he's in recovery in the ward with a full security detail.
[sighs.]
You know, you think you know where you life is going, and you work hard, and you apply yourself.
[sighs.]
What's the point? Williams, you are one of the strongest, most determined women I know, and one of the most talented young surgeons to come through this hospital in a while.
[drink pouring.]
So, if Dr.
Johnson doesn't want to mentor you, then to hell with her.
Because I will.
Thank you, Dr.
Kinney.
- You okay? - Yes, she's fine.
And your boss is an idiot if she doesn't pick her to be her new resident.
- Dana - Which is exactly what I told her.
Oh.
I just got off the phone with Dr.
Johnson, and she knows everything that happened today.
She She wants you in New York by Tuesday.
- [gasps.]
- [chuckles.]
Just say yes, sweetheart.
Yes.
Yes! - Yes.
- Yes! [laughing.]
Oh, my God.
- Oh, my God! - Wow.
All right, well, if you excuse me, I've got an impromptu farewell party to plan.
[all chuckle.]
When I left here, the way I left You deserved better than that.
Yeah, I did.
But if it makes you feel better, my ex completely hosed me took everything.
It does, actually.
Thank you.
[both chuckle.]
You know I'm not gonna be your girlfriend - when I move to New York, right? - [laughs.]
Oh, I know.
And, hey, I promise I will never stand in your way again.
What does that mean? I'm not going back.
My contract with Dr.
Johnson's up, so New York's all yours.
You're gonna be amazing, Cassie.
[sighs.]
[indistinct conversations.]
I'm gonna be able to come now.
They're happy.
So, why do you look like you're going to a funeral? I have given up so much for this hospital, for this job, and for what? There's no respect from the Board.
Even my top resident wants out of here.
This hospital wouldn't survive five minutes without you.
It's true.
Everybody knows it, even you.
Hey.
Looks like the surgery went well.
Congratulations.
[beyries' "Soldier" plays.]
Take me home.
Okay.
You pull it off Dana: - Here she is.
- You messed around - Hey, hey! - You told me so - Oww, oww! - But even though [laughs.]
Best we could do at the last minute.
- Thank you.
I love it.
- All my will at it I had these in the trunk.
They're warm, but they're beer.
And for those who prefer something - with a little more kick - [laughs.]
- Whoo-hoo! - You anesthesiologists - always something up your sleeve.
- Oh, you know it.
- Wow.
- I can't help you now Thank you for saving him, - and my career.
- I didn't lose myself Promise me you'll apply yourself a little more, yeah? - Sure thing, Mom.
- This time, baby I didn't lose myself To Cassie, everyone, whose future is as bright as that smile I'm gonna miss so much.
-Cin cin.
-L'chaim! Cheers, honey.
I've been around so many times I've been there so many times Hey.
Hey.
I'm gonna miss you the most.
Yeah, you better.
[chuckles.]
Okay, here.
[laughter.]
- Oh, God.
- You need one of these.
You yell, you cry, you want it all Seems like goodbye's the only call That plays in your head Jacob, Oliver, w-what are you guys doing here? Dad told us about your big surgery.
Thought you'd be hungry after.
They're making their specialty.
Mango and Nutella sandwiches.
- [laughs.]
- It's almost not as gross as it sounds.
- Let's eat.
- Let's eat.
I just I have to make a call first.
Mrs.
Crace, it's Dawn Bell.
It's about my appointment as Chief.
I'd like to renegotiate.
I would like a five-year guaranteed contract, more resources for the O.
R.
, a pay raise and I would like six weeks of vacation to spend with my family.
I look forward to your response tomorrow.
Good night.
Charlie: [italian accent.]
Primaveri, rigatoni, calamari.
Boccacino, Pavarotti, Scorcese, Al Pacino in "Del Godfather-oni, I, II, and III.
" Hey, welcome home, Cara Mia! It's so festive in here.
[normal voice.]
Mm, well, you had a big day, - and I was feeling inspired, so - I did.
- Oh.
- Mm.
Mmm.
- Mm? - Wow.
Am I right? I'm right.
Mmm.
Where did you get that recipe? Well, let's just say I have friends in high places.
Me, too.
I got this from our patient.
She said it would bring the baby good luck.
And we need all the luck we can get.
You look different.
I'm happy.
It looks good on you.
[inhales sharply.]
Well, I did some soul searching today, and I realized that, um, everything I've ever wanted is right here.
I did some soul searching, too, and I don't want another day to go by without us being a family.
Baby, we are a family.
Marry me, Charlie? For real this time.
Alex Reid, you are gonna make an honest man out of me.
Absolutely.
Every single one of these names is terrible.
Okay.
W-Why don't we just go with a family name? I think I had an Aunt Eunice.
[scoffs.]
Are you kidding me? [chuckles.]
Okay, why don't we just name her after your mother? [sighs.]
We probably shouldn't name every single one of our kids after my dead relatives.
This is nice.
You know, it's like we've known each other a lifetime, but we're now just getting to know each other again.
I remember when I first met you.
- You were this gorgeous resident - Mm.
Bumbling your way through your surgical assignments.
- "Bumbling"? I never bumbled.
- Oh Oh, yeah.
You once got lost and did 10 laps around my office.
- [chuckles.]
- Mm.
Charlie, that wasn't an accident.
- Well played, Dr.
Reid.
- [laughs.]
[inhales sharply.]
My office.
You know, it's not too late for you to un-resign.
[sighs.]
No.
No, it was the right thing to do.
Besides, it's gonna give me more time to spend with you and Luke and good, old - Our little what's-her-name? - Yeah.
[chuckles.]
So, what about you? How you feeling? You're on the verge of making history today.
I'm good - for a bumbling resident.
- [chuckles.]
Ah, she was up all night making that.
[indistinct conversations.]
Excuse me! - Whoa! - All hail the new, old Chief.
Thank you.
Okay, when I accepted the position, part of my mandate was to put this hospital's surgical team back on the map.
When Dr.
Reid made her pitch for the treatment of metastatic abdominal cancer, it was a bold one.
But I think that we are up for the challenge.
Doctor.
Alex: Thank you.
As you know, this is a trial run for us.
But if we succeed, we'll be the only hospital in the city that's authorized to perform the procedure.
Now, the doctor that we need to impress is from NYU.
She'll supervise.
Her name is Dr.
Flora Johnson.
[laughs.]
Oh, sorry.
She She's my professional hero.
No offense.
- None taken.
- None taken.
[quietly.]
I heard that Johnson's looking for a new resident for her new study.
That explains why Cassie's kissing ass - with arts and crafts.
- As you can see, Dr.
Williams has posted the assignments here.
Hold the phone! Sorry.
I want in on this, too.
No, Dr.
Kinney.
Sorry, but you're not on the schedule.
If anyone gets to cure a woman with incurable cancer, it's me.
[siren wails in distance.]
Still playing the cancer card? Yeah, I figure I've got a few left.
Okay.
Tell me about the patient.
Her name is Santina Vanelli.
She is 65 years old.
Santina emigrated from Italy 40 years ago and made enough money to bring her entire extended family over.
Her daughter died five years ago, and she's been taking care of her granddaughter ever since.
[speaks Italian.]
Alex: Santina developed appendiceal cancer, which has spread to her stomach lining.
Now, she was told she had two weeks to live.
- [conversing in Italian.]
- We're gonna give her 10 years.
So, Bell, Reid, and Kinney get to remove all the tumors, and all we get to do is fill her belly with heated chemo drugs and stand around until it's time to drain it? Least we get to be a part of history.
Well, watching history happen is not the same thing as being a part of it.
Actually, I have another job for you.
Santina has a very big, very concerned family, and I'd like her getting updates every hour on the hour.
Yeah, so, I'm not a messenger.
I'm a surgeon.
Oh, don't sell yourself short, Billy.
You can do both.
[monitor beeping.]
Mom, seriously, I'm fine.
I have to do something, bachcha.
She's here.
Good morning.
Hey! How's my baby? He's in the NICU, but from all reports, he's recuperating well.
Rest is the most important thing for you right now, Falak.
- Yeah.
- How can she rest when you've given her such a wonderful present? Yes.
Just excuse the paper quality.
It's the best I could do on short notice.
So, you're still interested in the adoption? Yes.
I-I didn't show you the best part.
[chuckles.]
Um, so, these are, uh, memento pages, so as he gets older, see, you can First tooth, first soccer goal, first day of school We didn't want you to miss out.
It's time to rest.
The adoption lawyer will be here soon.
He's coming now? I figure why wait? Jackson, I don't have time for a consult.
- Dr.
Johnson's gonna be here any minute.
- He asked for you, said you missed something last time he was here.
Picture him in blue spandex.
Dr.
Williams.
It's me, Jake.
The Horn of Death? Mercury poisoning.
Yeah, I-I remember you, Mr.
Bugle.
You look very different.
Clean up good, huh? Uh, said he's feeling lightheaded, disoriented, can't eat or sleep.
Give us some privacy, bro? "Bro.
" [siren wails in distance.]
Jake, your symptoms should have cleared up by now, unless you're still smashing light bulbs on yourself? No, ma'am.
Got a real job, selling cars used, but, hell, so am I, right? Hence the sweet suit.
Do you have a change in exercise or diet? I'm not malnourished.
[breathes deeply.]
- I'm in love.
- Oh! Good for you.
Oh.
You're the one who sent me the balloons and the chameleon and that book in my locker.
How did you even get in there? The myth of Cassandra.
Did you like it? I know it gets a little dark, but I feel like Apollo meant well.
Mm.
Dr.
Johnson should be here by now.
Alex, you know that I didn't want to get Chief like this, right? Yeah, of course.
You were just looking after Charlie and this hospital.
Maybe she missed her flight.
[elevator bell dings.]
- Dr.
Bishop.
- Dr.
Bishop.
- [chuckles.]
- Surprise! - Right back at ya.
Huh? - [laughing.]
I heard you two were back.
- Alex, congratulations.
- Yeah, well - [chuckles.]
- Dr.
Bell, always a pleasure.
Nice to see you.
And why are we seeing you, exactly? Well, Dr.
Johnson got held up at her conference in Dubai, and I'm her second-in-command, so she sent me instead.
Nice.
I didn't know you were living in New York.
I thought you went back to California.
- To work on my marriage? - Yeah.
Yeah.
Guess how that worked out.
Sorry.
Geez, when did things become so serious around here? Guess that's why fate brought me back put a little fun in the fold.
That, and hand over the reins on the most amazing surgery.
- Giddyup.
- That's my line.
[cellphones vibrating.]
[breathing heavily.]
[monitor beeping rapidly.]
Dev, what's going on? Chest pains, elevated B.
P.
- What are you doing here? - Doogie.
[italian accent.]
Everything was fine until he came.
- W-Who are you? - I'm the son-in-law.
Okay, heart is good, lungs are clear.
Maybe it was a panic attack.
Can you get me 5 milligrams I.
V.
Diazepam? You should have never come back.
This is all your fault.
If I had a nickel for every time something was my fault Then maybe you could afford to take care of your own daughter.
Smettila! Your mother-in-law will be just fine.
I don't want her to be fine.
I want her to suffer, like she made me suffer.
[crying.]
- [humming.]
- All good.
[clears throat.]
- Morning.
- Morning.
Thought the team could use some refueling.
Or you're hoping to poach a consult you're not authorized to take.
- Let's see how radiology's doing.
- Oh, didn't say I didn't want that coffee there.
Mm-hmm.
Listen, you and Alex should come by for barbecue Sunday.
We put in a hot tub.
You want me to get into a bubbling Petri dish with you, my pregnant girlfriend, and my ex-wife? Yeah, that's what I was thinking.
- Mm! - Or go fishin'.
I don't need a hobby, Zach.
I'm sure other hospitals are already banging down your door.
I think you should just retire, buy a motor home, and see America one Walmart parking lot at a time.
I need your help with a patient, my patient, the one that's the wrestler - that was from last - Slow down, Cassie.
He said he's in love with me.
I mean, he's probably harmless, right? Oh, yeah, yep.
260 pounds of harmless.
Today is the most important surgery of my entire career, and he's not even sick.
He's just a creep.
- Yep, and I'm calling security.
- I'll deal with it, Jackson.
They're still touchy about the whole Taser incident.
Thank you.
Thank you.
You bet.
Hi, there.
Where's Dr.
Williams? Forget Dr.
Williams.
She's on another case, and, uh, she's not interested in you.
Oh.
Like to lift weights? [chuckles nervously.]
What are you, her boyfriend or something? Listen, man, whatever connection you think you felt, whatever happened between you two, it was just Dr.
Williams being a good doctor.
I don't want any trouble.
I'll just wait here till she's done her shift.
Actually, there's nothing medically wrong with you, so I'm gonna have to ask you to leave.
[siren wailing in distance.]
Okay.
Fine.
Male, 20s, pedestrian versus car.
Okay, got open tib-fib fractures here.
Charlie, you can't.
Jackson: Page Dr.
Kane.
Page Turser.
She's better.
On three! One, two, three! Okay, first thing's first.
We need to stabilize these fractures and control the bleeding.
Bishop, it was just a panic attack.
Look, her heart is 65 years old.
Already, that's not ideal for a 14-hour surgery.
We'll do another ECG.
We can do a full work-up, if you'd like.
Every hospital wants to be the first to do this surgery Mississauga Memorial, Oshawa, North York.
They're all knocking on Dr.
Johnson's door.
If Santina dies on the table, that's it for your new mandate.
And that's it for you being the Sugarbaker specialist - in this town.
- You know what? We would never jeopardize a patient's life for my ego.
I want you two to have this procedure, just not with this patient.
Hey, sorry I'm late, I No.
Um, you have to leave before Dr.
Johnson gets here.
Hey, Cassie.
Dr.
Johnson got held up.
She sent me in her place.
You? I'm her surgical fellow.
Oh.
You broke my heart, and then you moved to New York to work under my surgical hero? Well, you always spoke so highly of her.
What about your wife? What about moving to L.
A.
to make it work? Ohh.
I'm sorry.
I I don't I don't need an explanation.
I need you to get Dr.
Johnson here so she can see how talented I am and pick me to be her new resident.
You're shopping around for a new job? Okay, you know what? We're getting off-track here.
The most important thing is that we convince you to do the surgery.
We have to convince you? Yes, Dr.
Bishop doesn't think Mrs.
Vanelli will survive the surgery.
Santina's survived a polio outbreak, scarlet fever, and a Fascist invasion.
She will be fine today.
[knock on window.]
I made manicotti.
It's a long surgery, and you'll need your strength.
This is Bianca, my niece.
Santina takes care of her ever since her mother passed away.
Thank you for fixing my Nonna.
Thank you, Bianca.
It looks delicious.
Thank you.
I can't approve the surgery 'cause they made pasta.
When you left, I was humiliated.
And it took me a very long time to get back on track.
And now I am Chief Resident.
If these two surgeons say that the patient is okay, she is okay.
Approve the surgery.
Prep the O.
R.
Great! [exhales sharply.]
Aha.
Nice.
Let's do this.
Howard: Okay.
And finally, I'll need an update from the child's physician.
Yes.
Neonatology gave a full report.
The baby's status has been upgraded.
He only needs incubation every four hours now.
Which means we can finally hold him.
That's excellent.
You should hold him, bond with him.
Skin-to-skin contact from the mother is vital.
Falak, you should hold him.
All right, very good.
If I can get your signature, Falak, we'll be done here.
Bachcha.
Can I hold him now? Dana: We'll be fine.
[woman speaking indistinctly over P.
A.
.]
[indistinct conversations.]
[breathes shakily.]
Should I ask him to leave? [italian accent.]
No.
Bianca will want to see him.
She needs her father.
You know, people get emotional and irrational when their loved ones are sick.
I'm sure he didn't mean what he said.
[scoffs.]
No, he did.
And maybe I deserve it.
Santina, you're gonna have to take your necklace off.
I can I can give it to your sister.
- Great.
- There we go.
You keep.
For the baby.
No.
Thank you.
I couldn't I possibly No speak English.
Can't argue with that.
[exhales sharply.]
- [clears throat.]
- Hi.
This is for a child m-my child.
I'm I'm finally getting a baby.
That is wonderful, Shahir.
Why the, uh ? This This is for skin-to-skin contact, and Jonathan thinks I'm too hairy, although there are studies out of Johns Hopkins Neonatal Unit that don't support I'm sorry.
You know, I never congratulated you on being appointed Chief of Surgery.
Congratulations, Dawn.
Thank you, Shahir.
We really did end up with the best surgeon for the job.
You know, I never would have brought such a perilous surgery like the Sugarbaker to this hospital if I'd accepted.
What do you mean, "if you accepted"? Yeah, the Board offered the job to me, but I turned it down because of the adoption process.
They offered it to you first? And then Dr.
Storms, but he turned down their offer.
- Storms? - Yeah, because he has his fatherly duties, thank goodness.
We ended up with you.
Isn't it amazing how things work out? They work out for the best.
They do, I believe.
Good luck with the Sugarbaker, Chief.
So, how's Charlie dealing with his way-too-early retirement? I honestly don't know.
This job is built into his DNA.
Here am I, about to do something that's gonna open up a world of possibilities for me, so And you're feeling guilty? - Little bit.
- No, no.
If I know Charlie, sweetie, Nothing can keep him down.
He'll get his groove back.
You're right.
[chuckles.]
You're right.
Something wrong? Oh, no.
We're good.
Good to go.
Your hand is shaking.
[sighs.]
Mrs.
Vanelli's abdominal CT came back.
Okay.
Her periaortic lymph nodes are enlarged.
They are twice as big as they were last week.
Billy: So, if the cancer's already spread, we turf the surgery? Dana: No, not necessarily.
She could just be fighting an infection.
- But if Dr.
Bishop sees this - Damn it.
Dawn: Does anything work right around here? Dawn, we need to discuss this before we scrub [inhales sharply.]
I sacrificed my marriage.
I sacrificed becoming a mother, adopting.
I don't even have time to bond with Zach's kids, who hate me, by the way.
- And I just, I - Dawn, I don't want to slap you, but I will.
Take a breath.
Shahir told me that he was the Board's first choice for Chief.
All of this because your ego's a little bruised.
- Don't - And then when he turned it down, they offered it to Storms.
Those chauvinistic slack-jawed [stammers.]
Choosing that hack over you? Okay, that is criminal.
- Thank you! - I This is always how it's - Ladies, ladies, ladies, ladies, stop it! We've got a patient who needs us, and we have imaging that may prove the marathon surgery we are about to do is completely useless.
We need a plan, okay? Do we tell Dr.
Bishop about the new scan or not? CT scans aren't good at predicting lymph node spread.
Believe me, I know.
Right, but if treating her isn't gonna do any good, then the only ethical thing is to do nothing.
What do we do? Cassie: What are you guys looking at? Read it and weep, Cassie.
No Sugarbaker for you.
- Has Dr.
Bishop seen this? - No, not yet.
- Wait, Dr.
Bishop? - [sighs.]
- -The Dr.
Bishop? - He came in Dr.
Johnson's place.
Oh.
Well, this must be really awkward for you.
- Shut up.
- Shut up.
Ignore the imaging.
We are going to proceed as planned.
If anybody has an issue with that, you can be excused.
No hard feelings.
Great.
Let's get it done.
Dana: Ugh! [chuckles.]
They don't call it "jelly belly" for no reason.
Cassie: There's got to be at least 5 pounds of mucus in here.
Dawn: These kinds of tumors are actually good news, because they're easier to remove.
Okay.
All clear.
- Reid? - Now, take your time.
Bishop: Make sure your count is accurate.
If there are too many tumors and we proceed, we're putting this nice grandmother through hell for nothing.
Or we close her up and walk away, and she dies in two weeks.
- How is that better? - It means she gets to spend her final days at home with her family, not intubated and unconscious in the ICU because of a procedure that wouldn't have helped her in the first place.
Alex: She's got a tumor score of 23.
That's manageable.
Grab your scalpels.
Good to go.
[siren wails in distance.]
[Charlie sighs.]
[sniffs.]
Mm.
Notes of peat moss, honeysuckle, and [sniffs deeply.]
unemployment.
Thank you, Zach.
Aah! Aiutami, signore! You help me? We find Paolo? Oh! No, no.
No, I'm I'm out of the business.
Um, you're gonna have to find him yourself.
No.
If you no help, I die with a black stain on my heart.
Mm, no.
I-I gave up my credentials.
I'm not a doctor anymore, which means no ghost "nothing.
" Dottoressa Reid.
My doctor.
You're Alex's Sugarbaker patient? Of course you are.
You love her? [inhales sharply.]
Yes And you always want to help her? Yes Good! She help my cancer, you help my heart.
[whirring, beeping.]
Alex: Okay, removing the last of the lesions from the posterior space.
Bishop: Hey, while you're back there, how do those periaortic lymph nodes look? Cassie: Fine.
They look fine.
Wait, how do you know? You can't see from there.
Step aside, Dr.
Reid.
Of course.
[sighs.]
These lymph nodes are enlarged.
Scissors.
Was this on the imaging? It showed up on the pre-op CT scan, but as you know Oh! You guys are killing me.
Do you have any idea how unethical it is to do this procedure if the cancer's already spread outside the abdomen? Last November, Dr.
Johnson had a patient whose imaging showed lymph spread, and she was unconvinced, and she continued with the Sugarbaker, - and that patient turned out just - She was arrogant and got lucky.
She would tell you that herself.
And so in the meantime, we will send the nodes to pathology.
We don't know that the disease has spread.
And you better hope they come back negative, because if they don't Dana: She'll be grateful that we tried.
A long shot isn't the same thing as a dead woman, Dr.
Bishop.
I'm gonna call Dr.
Johnson, keep her up to speed.
We'll continue the resection and wait.
10 blade.
It's fine.
[monitor beeping.]
Shahir.
Shahir: You shouldn't be here, Jonathan.
Falak is gone.
I went to check on her.
Her room's empty.
Woman: Code Pink, sixth floor.
- Code Pink, sixth floor.
- Shahir, she took the baby.
[indistinct conversations.]
Yeah, so, she's doing great.
[conversations stop.]
Uh, she's hanging in there, and - Hey! - Ah! Yeah.
I'll be back in an hour.
[quietly.]
'Cause that's all I'm good for.
Jake Bugle, the Horn of Death.
What are you doing back here? Hi.
[intercom beeps.]
Woman: Code Pink, Code Pink.
We only have a short amount of time before Falak does any harm to her baby.
Okay, well, I'll keep an eye on floors 1 and 2.
I got the Nurses' stations.
Okay.
And you stay here in case she comes back.
- Find them, please.
- Yes.
- Nonsense in her head.
- Me? You know what? I want my daughter back, okay? - And not just on her birthday and Christmas.
- You have no say, - not after you abandoned her like you did.
- I didn't abandon her.
I was just in mourning after Angie died.
- We were all in mourning! - I just I just needed - some time to clear my head! - And Bianca needed a father.
Instead, she cried herself to sleep in Santina's arms.
no mama, no papa.
Your sister stole her from me and made me sound unfit.
Because you are unfit! Look at you.
I'm getting my daughter back, Lucia, all right? The second your sister dies.
Disgraziato! You see what a mess I make? [sighs.]
[breathing deeply.]
[clears throat.]
[monitor beeping.]
Somebody call Dr.
Williams, see about the results.
[chuckles.]
The nodes are negative.
[sighs.]
I'm gonna rescrub.
[sighs.]
Yes.
[exhales sharply.]
Dr.
Sekara, prep the chemo bath.
Yep.
On it.
- Where is Dr.
Scott? - He went to inform the family, but that was, mm, 20 minutes ago? We finally get to his part, and he's missing in action.
- Millennials.
- While we have a moment, Dr.
Bell, I'd like a word.
He's been out of the incubator for over an hour now.
He could go into respiratory failure at any time.
[voice breaking.]
Ah, this was my fault.
I tried to stop Falak from holding him.
Why would you do that? I knew once she did, she wouldn't give him up.
She doesn't understand the stigma that follows you when you when you have to leave school and beg for social assistance.
I had to make her understand, so I [crying.]
I [sobs.]
You what? What did you do? - What did you do?! - I told Falak my decision to keep her was a mistake.
[sobs.]
I I had to be cruel.
It was the only way to get her to see.
Your missing mom, she's been spotted.
Falak, where's the baby? Look, when he was sick, I thought a doctor would be able to take care of him better than I could.
But he's healthy now.
And he smiled at me.
That wasn't a smile, that was gas.
You are being incredibly selfish.
Do you know how dangerous it is to move a premature baby out of incubation? A sensible parent would know that! [baby coos, cries.]
Look, I just want a chance to be his mother.
You are his mother, Falak.
Jonathan and I can drop the adoption if that's what you want.
Okay.
Let me take him upstairs, hmm? Okay.
She's a religious woman.
Tell her God spoke to you and told you she has to make amends.
Um I'm really not comfortable pretending to be a prophet.
You talk to ghosts.
I'm not comfortable with that, either.
Paolo: Bianca? Daddy! Look at you.
Oh, I missed you so much! - How are you? - I'm good.
Oh, look at you.
You went to play soccer tonight? Oh, yes, and I won.
- You won? Did you score? - Yes, I I never thought that Paolo was good enough for my Angie.
Then she died, and he disappeared for weeks.
Must have been hard on Bianca, and all of you.
But when he came back, I-I should have embraced him.
Instead, I was so angry, I took him to court.
The only thing that matters is la famiglia, and I drove a spike through mine.
My [breathing heavily.]
- Aah! - Santina? Ohh! Aah! - Even if the imaging had come - You're basically talking about only choosing the healthiest dying person.
If you can't see the irony in that Look, every time we do this surgery and it doesn't work, we get flooded with calls from reputable surgeons questioning our motives.
Have you thought about your motives, Dawn? What exactly is it you're trying to prove? I'm not trying to prove anything.
Dawn, just came to see how your patient's doing.
- Bishop?! - Hey.
It's a long story.
I'm sure.
- Good to see you.
- You, too, pal.
The patient is fine, Charlie.
Dawn, it's her heart.
Her pressure's dropping.
If we don't do something fast, we're gonna lose her.
Come too far for that.
Is she here? And do you think you should be doing this? She is here, and I don't know if I should be doing this, but it's your patient, so I'm doing it.
Okay.
Got to go.
Dana: B.
P.
50 over 30.
[monitors beeping.]
She's got no air entry on the left side.
It could be a buildup of fluid.
Yeah, but where's it coming from? Dr.
Bell, you had to peel the peritoneum off the undersurface of the diaphragm, so if there was a hole, even a small one The chemo solution could have leaked into the pleural cavity.
Dana: What's the temp of that chemo? Uh, 43 degrees.
Okay, that kind of heat alone next to the heart can cause an arrhythmia.
Let's get the chemo out of the abdomen, and I'll fix the hole.
Okay, first thing's first.
Let me put a chest tube in to get the chemo away from the heart.
That should buy us some time.
Get me a chest tube, please.
[indistinct conversations.]
[intercom beeps.]
Man: Dr.
Fitzgerald, please call extension 2-1-9.
Dr.
Fitzgerald, call extension 2-1-9.
[sighs.]
Waiting's the worst.
Yeah.
[sniffs.]
[inhales sharply.]
I'm Charlie, by the way.
Paolo.
Who you waiting on? My mother-in-law.
Ai, that's rough.
How's your wife handling that? She passed.
It's, uh, five years now.
I'm sorry.
That's, uh That's my little girl over there, Bianca.
She's beautiful.
Yeah.
She's got her mother's looks.
[chuckles.]
Thank God.
[both laugh.]
Hey, if you don't mind my asking, I mean, if that's your family over there, what are you doing sitting here by yourself? The only way they would break bread with me is if the food was poisoned.
And the feeling is mutual.
Daddy, I'm sad about Nonna.
Oh.
I'm sorry, baby.
Bianca, come on.
You need to eat something.
She's fine with me.
Back off.
Tu non sei un grande uomo.
Sei un asino.
Zia, sit.
There is an Italian saying Avere Una famiglia significa avere qualcuno da Amare.
Avere Una casa significa avere un posto dove andare, averle entrambe è Una benediZione.
Hey, you you speak Italian, right? Yeah.
I-I'm the black sheep, not an idiot.
[both chuckle.]
I-I heard this, uh, quote once.
Wonder if you can tell me what it means.
Um Avere Una famiglia significa, uh, qualcuno - Da Amare.
- Yeah.
Yeah, yeah.
I know it.
It means, uh, "To have somebody to love is family.
To have somewhere to go is home.
To have both is a blessing.
" That was Angie's favorite saying.
Yeah.
Those, uh Those words were very important to Mama.
Are you hungry? We have lots of food.
Yeah, I could eat.
Ah.
There's a long road ahead, but It's a start.
[door opens.]
Mrs.
Vanelli? I'm happy to say that the surgery went well.
Santina's recovering nicely.
[gasps.]
Sta bene! Santina Sta bene! [all exclaiming.]
Thank you.
[chuckles.]
You're welcome.
[sighs.]
Billy, I just got your message.
- You missed the whole surgery.
- Cassie, we have a problem.
I sent that message.
I think we need to clear the air.
- What are you doing here? - You can leave, bro.
I just need to talk to her alone for a few minutes.
[shakily.]
I-I can't do Please! I'm trying to be a gentleman here.
Jake, I, um I'm so sorry if you thought that there was something more going on between us.
I "Apollo, Apollo! God of all ways," "but only Death's to me," "Once and again, thou, Destroyer named" "Thou hast destroyed me," - "thou, my love of old!" - No.
No.
It's just a myth.
It's just a-a story that people tell and and retell, and everyone in-interprets it a little differently.
- Do you understand what I'm - I know what love is! It's epic and messy.
And this here, this misunderstanding It's just one part in our odyssey.
This isn't a story.
Jake, I am a doctor, and you are a patient of mine, and that's all this ever was.
[breathing shakily.]
You've changed, Cassandra.
You're different than last time I was here.
I think it's maybe this place or him, but - It's him, isn't it? - No.
I put myself out there for you.
At least tell me the truth, Cassandra! - Ugh! - No! Billy! - [groans.]
- Billy! [panting.]
Cassie: Oh, my God.
Oh, my God! We have to help him.
Call down.
Get an O.
R.
Billy! [breathing heavily.]
Stay with me.
I don't appreciate how you all went about it, taking advantage of my generally agreeable nature.
Bishop.
But I can't argue with the result.
Does that mean you're gonna certify us to do the Sugarbaker? I'll talk to Dr.
Johnson.
Dr.
Kinney, I need you! What the hell happened? 36-year-old male, impalement in the lower-right quadrant.
Williams, I got this.
- No way.
- If he doesn't make it, it'll look like malpractice, like you wanted it to happen.
- I'm not going anywhere.
- Oh, you have a bright future.
- Don't screw it up.
- I'm not letting him die, Dana.
Where do you need me? [sighs.]
Here.
Retract.
Thank you.
I got your message.
You wanted to see me? I wanted to say that I'm sorry, and also that I named him Hamza.
I'm sure you know what it means.
Steadfast, strong and steadfast.
Like a lion.
Thank you, Dr.
Hamza, for supporting my decision when no one else did.
[crying quietly.]
Babe.
Where have you been? I've been waiting.
Shahir, I ran through the hospital searching for our abducted baby, and I got interviewed by the cops.
Please do not shut me out right now.
She didn't abduct him.
She She just panicked.
If anything, she proved today she's unfit.
[sniffles.]
Jonathan, I gave her my word that we wouldn't pursue the adoption.
- You what? - She's his mother, Jonathan.
And when a mother says that she wants her baby I know how bad you wanted this.
I I know how much you wanted to be a father.
- And I wanted to be a father, too.
- Oh, don't.
- I - Don't! Wanted to be a father with you.
It's just It's too much.
It's too much.
I My heart can't take it anymore.
Baby, I'm sorry.
I No.
All right, he's in recovery in the ward with a full security detail.
[sighs.]
You know, you think you know where you life is going, and you work hard, and you apply yourself.
[sighs.]
What's the point? Williams, you are one of the strongest, most determined women I know, and one of the most talented young surgeons to come through this hospital in a while.
[drink pouring.]
So, if Dr.
Johnson doesn't want to mentor you, then to hell with her.
Because I will.
Thank you, Dr.
Kinney.
- You okay? - Yes, she's fine.
And your boss is an idiot if she doesn't pick her to be her new resident.
- Dana - Which is exactly what I told her.
Oh.
I just got off the phone with Dr.
Johnson, and she knows everything that happened today.
She She wants you in New York by Tuesday.
- [gasps.]
- [chuckles.]
Just say yes, sweetheart.
Yes.
Yes! - Yes.
- Yes! [laughing.]
Oh, my God.
- Oh, my God! - Wow.
All right, well, if you excuse me, I've got an impromptu farewell party to plan.
[all chuckle.]
When I left here, the way I left You deserved better than that.
Yeah, I did.
But if it makes you feel better, my ex completely hosed me took everything.
It does, actually.
Thank you.
[both chuckle.]
You know I'm not gonna be your girlfriend - when I move to New York, right? - [laughs.]
Oh, I know.
And, hey, I promise I will never stand in your way again.
What does that mean? I'm not going back.
My contract with Dr.
Johnson's up, so New York's all yours.
You're gonna be amazing, Cassie.
[sighs.]
[indistinct conversations.]
I'm gonna be able to come now.
They're happy.
So, why do you look like you're going to a funeral? I have given up so much for this hospital, for this job, and for what? There's no respect from the Board.
Even my top resident wants out of here.
This hospital wouldn't survive five minutes without you.
It's true.
Everybody knows it, even you.
Hey.
Looks like the surgery went well.
Congratulations.
[beyries' "Soldier" plays.]
Take me home.
Okay.
You pull it off Dana: - Here she is.
- You messed around - Hey, hey! - You told me so - Oww, oww! - But even though [laughs.]
Best we could do at the last minute.
- Thank you.
I love it.
- All my will at it I had these in the trunk.
They're warm, but they're beer.
And for those who prefer something - with a little more kick - [laughs.]
- Whoo-hoo! - You anesthesiologists - always something up your sleeve.
- Oh, you know it.
- Wow.
- I can't help you now Thank you for saving him, - and my career.
- I didn't lose myself Promise me you'll apply yourself a little more, yeah? - Sure thing, Mom.
- This time, baby I didn't lose myself To Cassie, everyone, whose future is as bright as that smile I'm gonna miss so much.
-Cin cin.
-L'chaim! Cheers, honey.
I've been around so many times I've been there so many times Hey.
Hey.
I'm gonna miss you the most.
Yeah, you better.
[chuckles.]
Okay, here.
[laughter.]
- Oh, God.
- You need one of these.
You yell, you cry, you want it all Seems like goodbye's the only call That plays in your head Jacob, Oliver, w-what are you guys doing here? Dad told us about your big surgery.
Thought you'd be hungry after.
They're making their specialty.
Mango and Nutella sandwiches.
- [laughs.]
- It's almost not as gross as it sounds.
- Let's eat.
- Let's eat.
I just I have to make a call first.
Mrs.
Crace, it's Dawn Bell.
It's about my appointment as Chief.
I'd like to renegotiate.
I would like a five-year guaranteed contract, more resources for the O.
R.
, a pay raise and I would like six weeks of vacation to spend with my family.
I look forward to your response tomorrow.
Good night.
Charlie: [italian accent.]
Primaveri, rigatoni, calamari.
Boccacino, Pavarotti, Scorcese, Al Pacino in "Del Godfather-oni, I, II, and III.
" Hey, welcome home, Cara Mia! It's so festive in here.
[normal voice.]
Mm, well, you had a big day, - and I was feeling inspired, so - I did.
- Oh.
- Mm.
Mmm.
- Mm? - Wow.
Am I right? I'm right.
Mmm.
Where did you get that recipe? Well, let's just say I have friends in high places.
Me, too.
I got this from our patient.
She said it would bring the baby good luck.
And we need all the luck we can get.
You look different.
I'm happy.
It looks good on you.
[inhales sharply.]
Well, I did some soul searching today, and I realized that, um, everything I've ever wanted is right here.
I did some soul searching, too, and I don't want another day to go by without us being a family.
Baby, we are a family.
Marry me, Charlie? For real this time.
Alex Reid, you are gonna make an honest man out of me.
Absolutely.