Chicago Med (2015) s09e12 Episode Script
Get By with a Little Help from My Friends
1
When I invited you over to my apartment,
I was thinking that maybe we were
Is this okay?
[DRAMATIC MUSIC]
Sully, you with me?
Cancer's getting worse, isn't it?
Maybe Lynne and the kid would
be better off without me.
Stop. You gotta get treatment.
Alzheimer's is tricky to accept.
I keep reminding myself of that.
I just wanna know what's
going to happen to me.
It's gonna be all right.
- [INDISTINCT RADIO CHATTER]
- [COUGHING]
Take it easy. Watch your step.
- [COUGHING]
- You got him?
- Yep? Okay.
- [COUGHING]
Bert, are you okay? Oh, my goodness.
What? How is he?
Just mild inhalation
injuries, a bit confused.
We're gonna take him to
Med to get checked out,
but we don't think it's
anything too serious.
Okay.
[COUGHING] Make sure the dog gets out.
Don't worry. I'll get it.
We didn't see a dog.
He doesn't have a dog.
What do we know about how this happened?
Uh, the guy next door saw the smoke.
By the time he got over here,
the stovetop burner was on
and the kitchen had gone up in flames.
So he did this?
Looks that way.
- [MECHANICAL WHIRRING]
- [SIGHS]
Ms. Goodwin, as a friend
in my years, I've
been on countless calls
involving forgetful older folks.
I don't think I need to tell you this,
but we got pretty lucky here.
- Thank you.
- Yeah.
[SOMBER MUSIC]
Hello, hello.
There he is. Today's the day, my man.
It's really happening, huh?
Oh, yeah, donor team's
made the delivery.
Brand-new liver is all yours.
What do you say? You ready, Colin?
Dad said I could have
all the ice cream I want
when I get to the recovery room.
- [LAUGHTER]
- Oh, did he now?
Within reason, of course.
Ice cream, huh? What's
your favorite flavor?
Mm, I think cookies and
cream is the best one.
- Good choice.
- [LAUGHTER]
So as discussed, the
liver's a perfect match,
but the donor is an adult.
It will work, right?
Yeah, after we do a bit of resizing
on some of the anatomy, absolutely.
I've already convened the transplant
committee to review my plan.
Okay? It's merely a formality.
Hey, Colin, what do you say?
Get your pre-op labs
started and go from there?
Yes, sir. I'm ready.
- Okay, buddy. All right.
- Thank you, Doctor.
Yeah, you got it. I'll
see you later, all right?
- Dr. Marcel?
- Yeah.
It's Bert, Ms. Goodwin's ex, incoming.
Hey, Zach, start the boy's workup.
Yeah, you got it.
You're going to T4.
- What happened?
- Kitchen fire.
He inhaled a lot of smoke.
Hey, Violet, talk to me.
Some carbonaceous sputum
but no loss of consciousness.
15 liters of O2 on a face
mask, satting at 100%.
I told you I'm fine!
Hey, easy there, Bert.
We just wanna get you
checked out, buddy.
Nice and easy on my count.
Ready? One, two, three.
Easy, there you go.
Get him on the monitors, please.
- Thanks, Violet.
- You got it.
[SUSPENSEFUL MUSIC]
All of us over at 51 have got
your back if you need anything.
- Thank you.
- You got it.
What happened?
Well, he got confused
and put an electric
tea kettle on the stove.
Take a deep breath for me, Bert.
There you go.
Okay, good.
Let me get a chest X-ray in here.
Lungs are good.
Carboxyhemoglobin is down,
and he's satting fine.
I'm hopeful he escaped
any permanent damage.
Uh, Ms. Goodwin, we, uh
we got the transplant committee meeting.
Oh, right. I totally forgot.
Yeah, I'd postpone, but
we've got the liver on ice.
- No, go.
- You guys, go.
- I'll keep an eye on him.
- Okay.
Thanks, Dan. I'll see
you up there, okay?
Okay.
You all right?
I knew he was losing a step, Daniel,
but I never imagined anything like this.
♪
[SIGHS] Morning, Dean.
Uh, it was until the albatross
of med student rotations.
[CHUCKLES]
Ah, there they go.
Seems the feeling's mutual.
Well, if they're avoiding me,
I must be doing something right.
Dr. Archer, you're up, and
you're going to Baghdad.
[GROWLS]
You don't scare me.
Donald Canter, 40 years
old. Severe chemical burn.
He was working with
some hydrochloric acid
when there was a spill.
- Oh. How bad are we talking?
- 90%-plus TBSA.
The burn unit doesn't
have any more beds,
so they're sending down one
of their nurses to run point.
It's not pretty.
[TENSE MUSIC]
Let's get him on a vent
and start calculating
his fluid requirements.
- Jackie?
- Hey.
Didn't you work last night?
Well, we're still shorthanded,
so I picked up a double.
All right.
Dr. Archer, this is Nurse Nelson,
Jackie, from the burn unit.
All right, working on his fluids,
and we'll get in orders
for sedation and pain.
All right, infection risk is sky-high,
so let's all get into protective gear.
Wait. What is this?
Does the patient have any more injuries?
Not that I could see.
♪
- Jackie.
- Damn.
- Are you okay?
- Oh, yeah, I
I caught my arm on the door frame
as I was leaving the house.
The Band-Aid must have fallen off.
I'll just I'll get another one.
- Want me to take a look?
- No, no, no, I'm fine.
Maggie, I'm fine.
- Okay.
- It's all right.
Nicely done.
I'll give Colin and Bill the good news.
- All right.
- Okay.
Resize using a split-segment?
Seems like a bit of a leap,
even for a cowboy like you, Marcel.
Yeah, well, I've done it before
and have no doubt the
boy's vessels are adequate.
If you're wrong, you'll fry the liver
before he even walks out the door.
And you can explain that
to the next patient on the
list who was passed over.
Well, as you know,
we're dealing with a
non-small cell lung cancer.
Plan is to shrink the
tumor before surgery.
We start with chemo today,
six infusions over the
course of six weeks.
Then we'll reevaluate.
It sounds like a walk in the park.
[CHUCKLES] Just try to relax.
I'll be back shortly.
Thank you, Dr. Washington.
[SIGHS]
[COUGHS]
Rip, baby on the way.
Tell me I didn't wait too long.
Hey, you're here now.
[SIGHS] At least I'm
not the only dumb one.
What's your problem, anyway?
- What are you talking about?
- Asher.
[SCOFFS]
I thought you two were going out.
I don't know. We're colleagues.
Exactly.
She's a doctor, you're a doctor.
She doesn't know about
how I grew up, juvie,
my psych diagnosis.
Look, I can't imagine she'd
find that very attractive.
[GROANS] As much as I pee these days,
might as well live in the bathroom.
So you get to the bottom of it?
Trying.
What's the matter with you, Rip?
She's a doctor, you're a doctor.
Ah, I see you guys planned this ambush.
Well
[GASPS]
Oh! I I felt a gush.
Um, maybe my water broke?
Yeah.
We've gotta get you down to Hannah.
I'll take her. You're
not going anywhere.
Just sit down.
Just just take good care of her.
- Yeah.
- I got this.
[SOFT DRAMATIC MUSIC]
♪
[SIGHS]
Carboxyhemoglobin is improved.
Oh, thank goodness.
And Maggie wanted me to tell you
that room is his as long as he needs it.
So what are you thinking?
Tara has offered to take him in,
but with the toddler, I I
don't think that's happening.
David lives out of state.
Michael travels too much.
And to be honest, even if I
thought they could handle it,
I don't want to burden them with this.
Just for the record, old buddy of mine
runs a memory care unit in Cook County.
[SIGHS] I can't.
I'm sorry, I just haven't
had a second to think.
I get it.
Thank you.
[SOMBER MUSIC]
♪
You say a door frame did this?
I know. It's crazy.
I've been trying to get Carl
to replace the strike plate
for weeks now, but
How is Carl? I haven't seen him forever.
He's uh, uh, yeah,
he's he's doing
he's g he's okay.
- He's still out of work.
- I'm sorry.
Yeah.
He had a thing lined up,
but, uh, it fell through.
And honestly, I just
I try not to talk to him about it
because he's always in such a mood.
Uh, you know what, Maggie?
Thank you for the patch-up.
I I gotta get back to my patient.
- All right.
- Thank you.
Okay.
Hey, Colin.
How you doing, bud?
- I'm doing all right.
- Yeah?
Everything okay?
Yeah, Colin's white blood cell count
came back as elevated.
And he appears to have a slight fever.
What does that mean?
It seems he's developed an infection.
I-infection from what?
Yeah, that's what we need to determine.
Hey, Colin, have you
noticed a sore throat
or a cough by any chance?
Mm, not really.
Yeah, any pain or discomfort anywhere?
Mm, nothing besides my toe.
Your toe?
He stubbed his toe on a
dresser a couple of weeks ago,
took off some skin.
- Nail's ingrown.
- Uh-huh.
[SOFT SUSPENSEFUL MUSIC]
Some bacteria must've gotten
trapped under the cuticle.
Is this is this
gonna cause a problem?
You know, with his transplant?
Yeah, in some cases,
an infection can impact eligibility,
but I don't see anything
here to worry about.
We'll get him started on IV antibiotics,
and as soon as his fever breaks,
we'll get him back up
to the OR as planned.
That is, if you're
still up for it, Colin?
- I'm ready.
- [CHUCKLING] Okay, good.
All right, we'll get those
antibiotics going and check in soon.
Pound. I'll see you, okay?
All right, let's start with
2 grams cefazolin, please.
Excuse me, Dr. Marcel?
- Yeah.
- Sorry. Um, I, uh
I I appreciate you putting
on a brave face for Colin.
But are are you sure
there's nothing to worry about?
Look, Bill, I know how
you must be feeling,
especially since we've seen
Colin get passed over before.
If he doesn't get this liver,
I'm afraid he won't be here long enough
to get the next one.
I'm gonna make sure
your boy gets that liver.
- All right?
- Thank you.
Okay.
♪
Dr. Charles, you have a moment?
What's up?
Do you remember Jackie
from the burn unit?
Yeah, she's in Baghdad
today with overflow, right?
Yeah, she showed up with a
cut on her arm this morning
and had some story that
didn't really add up to much.
And when I pressed her on it,
she insisted that she was fine.
Oh.
She's been working a
ton of double shifts,
and I know that her
husband's been through a lot.
She's been so distant these days.
There's just something that feels off.
Are you worried about abuse?
I don't know.
The last thing I wanna do is to
sound the alarm unnecessarily.
Then let me see if I can
come up with an excuse
to, you know, sidle
up to her and check in.
- Thank you.
- Of course.
Yeah.
[INDISTINCT CHATTER]
Okay, are you having
any pain or contractions?
No.
I mean, I don't think so.
To be honest, with Sully,
I've been a little distracted.
I get it. You've got
a lot on your plate.
Um, I'd like to check you out.
- I'll give you some privacy.
- No, can you stay?
Sully can't be here.
- Yeah.
- Great.
Okay, a little bit of pressure.
Yeah. [INHALES DEEPLY]
All right, well
the good news is,
is that your cervical
stitch is still in place,
but that gush that you felt was
definitely your water breaking.
Wait. Are you sure?
'Cause we thought that last
week, and I just had a UTI.
I see free flow, which
means the amniotic fluid
is gushing from your cervix,
and the blue confirms it.
So I'm I'm in labor?
No, thankfully.
Your cervix does not
look effaced or dilated,
and we wanna keep it that
way for as long as possible.
So I will give you steroids to
help develop the baby's lungs
and magnesium to protect his brain,
but we will need to admit you.
No, I can't.
I I have to go look after Sully.
Don't worry. I got him.
In fact, I told him
I'd keep him updated.
No.
I don't want anything to
interrupt his treatments.
Okay, try and get some rest.
We'll check back on you soon.
Great.
What was Colin's last temp?
100.5.
We're already hitting it
with a high dose of antibiotics.
Dr. Morris is working
with the donor team.
They're asking what we're going to do.
Nothing.
I told you, I'm
I'm I'm handling it.
Well, I don't doubt that,
but the liver's already been supercooled
for close to 20 hours.
If we release it now,
we still have time for
it to help someone else.
There's gotta be
something that we can do.
All right, let me talk to Morris.
I think there might be a
way to buy some more time.
Okay.
- [KNOCKING ON DOOR]
- Hey, Jackie.
Dr. Charles.
I was just wondering,
do you have any kind
of ETA on the, um
on the patient's wife?
[OMINOUS MUSIC]
♪
ETA?
Do you have any idea when the
patient's wife is getting here?
I just wanna make sure
that I'm here as well.
Oh, um, uh, maybe an hour.
So, uh, how you been? You all right?
I'm fine.
♪
- Here.
- Thank you.
Hey. So what do you think?
- Distant.
- Right.
Definitely. I mean, barely there, right?
I mean I would say, like, almost numb.
Which arm did you say
that the cut was on?
Um, the left one.
Right.
I thought I saw her
pressing on it before I left.
Really?
When you were bandaging her up,
did you notice any other
wounds or injuries on her arm?
No.
The thing is, like, cutting,
not necessarily the first thing
we see with abuse, right?
Cuts can, of course, be self-inflicted.
Wait, you mean like, self-harm?
It it it kind of fits.
Yeah, but we're talking about Jackie.
She's a powerhouse. She's
been in Med for years.
- I
- I did my certification with her.
The burn unit is brutal.
I mean, every day, she's
taking care of people
who are in excruciating, horrific pain.
Who wouldn't shut down after a while?
You're saying that she's cutting herself
to feel something?
Well, in her case, it would be
more like distracting herself.
[SOMBER MUSIC]
Okay, let's just assume
that you're right.
What do we do?
Well, I mean ideally,
we get her to open up.
And based on the evidence,
she's not that interested
in talking to me,
but a fellow nurse, friend,
could be a different story.
Yeah.
Can I help you?
Uh, sorry.
Don't mean to bother you, Dr. Archer.
But I was just trying to
get a feel for the day.
And anyway, um,
treatment to Mr. Manofsky,
unexplained weakness, B12 deficiency.
He recently just had a dental procedure.
Perhaps the two could be connected
if he has undiagnosed pernicious anemia.
Huh.
All right, and how would
we test your theory?
We could check his homocysteine
and methylmalonic acid levels.
Dr. Archer, I need
you in treatment five.
His name is Paul Talbot, 42 years old,
septic from kidney stones,
needs to be intubated.
All right, thank you. Do me a favor.
Have the lab run an MMA on
our guy in treatment two.
You got it.
You're with me. Let's go.
Oh, wow. Oh, okay.
Thank you!
I've been so excited for this
rotation. I'm a little nervous.
Yeah, I don't need your life story.
Just keep up with me and do as I say.
Meds are in.
All right, slugger.
You're up.
Me?
Well, I already know how to do it.
Oh.
[SUSPENSEFUL MUSIC]
♪
- Any day now.
- Right, okay.
- [ALARMS BEEPING]
- He's desaturating.
♪
Okay, you think maybe
you wanna get this done
before he suffocates?
Okay, sats are down to 85, 84, 82.
- He's starting to brady down.
- Get out of here.
- That's it. You're out.
- Wait. No, it's
No, no, you're out.
That's it. Stop. Out.
[ALARMS BEEPING]
[SIGHS]
All right, I'm in. Bag him.
[INDISTINCT CHATTER]
[SOBBING]
[SOMBER MUSIC]
Tough day?
Me? No.
I'm okay.
What happened?
[SIGHS]
That's the thing. I'm I'm not sure.
I mean, I know what I'm supposed to do.
But before I could even move, I just
I start to doubt myself and
I worry about the patient.
I just freeze.
And you get a little
criticism from your boss.
Yeah. He kicked me out of the room.
But he's right.
I screw everything up.
Look, this is your first time in the ED.
It's a hard rotation for anyone.
It's gonna be okay.
- Hmm?
- Mm-hmm.
Chin up.
♪
Dr. Archer.
Ah, Ms. Goodwin. I heard about Bert.
I'm sorry.
Thank you, but we need to
talk about your med student.
Oh.
I the kid froze up,
and I called her on it.
It's not my fault
she's fallen to pieces.
Have you given any thought
of the pressure this
young lady is under?
I'm not here to be her therapist.
I'm here to make her into a doctor.
Well, she can't do that
if you make her regret she
ever went to medical school.
- This is a teaching hospital.
- Mm-hmm.
Dr. Archer, our job is to nurture,
not to cull the herd.
Okay.
Excuse me.
My name is Joan Canter.
I'm looking for my husband, Donald.
I'm Dan Charles and
this is Maggie Lockwood.
We've been helping to
take care of your husband.
Maggie is gonna take you
in to see him in just a sec,
but I just wanna prepare you.
His burns are severe.
He's on pain medication
and he's sedated,
but you can sit with him
and talk to him and let
him know that you're here.
- Ah!
- Okay, okay. Hey, hey.
Hey, what happened?
It's his toe. He just started screaming.
Oh, God.
Looks like there's some
pus underneath the cuticle.
Give me a hemostat and
some ethyl chloride.
Can you put on your
brave face for me, Colin?
We're gonna get you fixed up now, okay?
- Ow.
- It's okay, it's okay.
We're gonna do a little numbing agent
on your on your toe, okay?
It's gonna take the pain away.
Okay, that's good.
We're gonna relieve
the pressure, all right?
Take a deep breath for me now, okay?
All right, it's gonna
all be over in a second.
[TENSE MUSIC]
♪
There you go. You're doing great, bud.
Just like that.
Almost there.
There you go.
Okay.
How's that? That feel better?
- Yeah.
- [CHUCKLING] Yeah? Good.
All right. Okay.
You did so good.
Dr. Asher, we need you.
- What happened?
- I don't know.
There's a pain in my belly
moving around to my back.
[GROANING LOUDLY]
Squeeze my hand.
Okay Lynne, those pains
that you're feeling are contractions.
You're in labor. I'd
like to take a look.
Yeah, but I'm only 30 weeks.
I know.
- Just breathe. Breathe.
- [GROANS LOUDLY]
Okay, we've held off
as long as we could.
But you are dilated.
The stitch is beginning
to tear your cervix.
We need to remove it.
- Should I call up L&D?
- No, there's no time.
Let's get her to the hybrid OR.
No, I can't. My baby needs more time.
Lynne, listen to me,
you're already bleeding.
If I don't remove that stitch,
the contractions are
gonna push the baby,
but he has nowhere to go.
It could tear your cervix
or also cause your uterus to rupture.
[SCREAMS]
[SOBBING] Oh, my God.
No! [WAILING]
- What happened?
- He coded.
Was down ten minutes,
three rounds of epi.
Nothing we could do.
[SOMBER MUSIC]
[SOBBING] Oh, my God.
Mrs. Canter, I'm so
sorry. Sit over here.
Mags, can you get her a bottle of water?
Yes.
- Here.
- Don, no!
Why don't you come sit down over here?
- No!
- I got you, I got you.
No! [SOBBING]
I'm so sorry.
♪
Jackie?
[OMINOUS MUSIC]
Jackie, are you okay?
Jackie?
Jackie?
Oh, Jackie? [GASPS]
♪
[SOFTLY] Oh, sweetie.
[STIFLED SOB]
We need some help in here!
[GROANING]
Hey, what the hell is this?
- She's in labor.
- Why didn't you come get me?
Shut up, Sully! I told them not to.
I need to cut the stitch,
but I can't see anything.
It's too bloody. Sponge stick.
S-she's bleeding? What the hell?
What's happening to her?
Little help here, Mitch.
[BREATHING HEAVILY] Oh, God.
Sit down, shut up, and hold her hand.
[GROANING]
Hey, hey, hey.
- Hi, baby.
- Hey.
[GROANING]
How's she doing?
She's stable, woozy.
She's, um, taking the fluids,
but she's already talking
about going back to work.
Oh, man.
So no mention of what
what happened in the bathroom?
Nothing.
- Yeah, well
- She's so defensive.
That's the denial.
What do we do?
Mags, there's a whole lot
of help for her out there,
but it just works so much better
if we can get her to ask for it, okay?
So I say that we let the IV do its work
and then maybe 15 minutes or so,
go in there and and
have a chat with her.
[SIGHS] Yeah.
Hey, Daniel, there's a bed in
the convalescent ward for Bert.
I'm gonna head up to see how
soon I can get him in there.
- Keep me posted?
- Yeah.
Whoa, whoa, whoa, whoa, whoa, whoa.
- Whoa.
- Come here, come here.
Sit down, sit down, sit down.
You have anything to eat today?
- [SIGHS]
- You're a diabetic, all right?
- Yeah.
- Not a good idea.
Excuse me.
Can you get Ms. Goodwin
orange juice, please?
I've got so much to do.
Right, and you're gonna get to it.
But first, we're just gonna sit here
until we stabilize
your blood sugar, okay?
[SCREAMING]
In through your nose and out.
- How's the head?
- I can see it.
[GROANING]
Done. Stitch is out.
[TENSE MUSIC]
Okay, Lynne, you are fully dilated.
I need you to give me a big push, okay?
You're about to meet your baby.
- Okay.
- Here we go.
[SCREAMING]
That's good. I see the head!
Okay, one more big
push, one more big push.
[SCREAMING]
There we go. He's out.
I got him.
[SOBBING]
[PANTING]
Shouldn't he be crying?
Huh? What?
- He's not breathing.
- Oh, God, no.
- No, no, no.
- Do something.
Okay, start compressions.
We need a tube and surfactant.
No.
- No, no.
- It's gonna be okay, baby.
It's gonna be okay. It's gonna be okay.
- Hey, hey. It's gonna be okay.
- No, no, no.
Oh, my God.
No, what's happening?
What's happening? Is he okay?
Surfactant.
♪
Please. Please, please, please.
Meds are in.
Come on.
[BABY CRYING]
Oh! [SOBS]
He's good.
[SOFT MUSIC]
[BABY CRYING]
We're parents. You did it.
You did it, baby.
- You did it, baby.
- Thank you, thank you.
♪
So what, you're just
gonna hide in here all day?
I didn't think you'd
want me back on the floor.
Well, you're no use to me
with your nose buried in a book.
I know, I'm I'm sorry. I was just
I-I'm sorry. Never mind.
No, no, no, no, no, no, no, that's okay.
Go ahead. Tell me.
I, uh, I wanna hear.
It's just
I'm so afraid that I'm
gonna do something wrong.
I'm the first one in my
family to go to college.
My parents took out loans.
They've sacrificed so much.
And you're afraid you'll let them down.
Well, look, if I were to judge
you solely on your smarts,
I'd say you're gonna be a good doctor.
It was the inaction that is the problem.
What was it Gretzky once said?
You miss 100% of the
shots you don't take.
Who's Gretzky?
Who's Gre [SIGHS]
Never mind. The point
is, you're a student,
and mistakes come with the territory.
And that's why the other
doctors and I are here,
to keep you from
killing someone.
But you've gotta take those shots.
[SOFT DRAMATIC MUSIC]
♪
100.3.
Okay.
[SUSPENSEFUL MUSIC]
♪
Hey, Bill, listen.
Temp's gonna break soon, okay?
I'm not giving up.
All right?
- Okay.
- All right.
Thank you.
- Hey.
- Hey.
How's the boy?
Yeah, fever's starting to plateau.
Well, unfortunately, we're out of time.
I just spoke with Dr. Morris.
He's convening the transplant committee.
He's insisting we release the liver.
[SIGHS]
♪
- Are you feeling any better?
- Yeah.
Can we, uh, can we wrap this up now?
Yeah, um, you do
realize that you fainted?
I know.
Yeah, I've I've been really run-down,
you know, with my diet and my schedule.
You of all people, you
should know about this.
Yeah, but you were bleeding.
I know, my my cut from this
morning, it must have reopened.
Yeah, I saw the other cuts.
I don't know what you
think you saw, but I'm fine.
Jacks, I saw the other cuts.
And I think that you're
doing it to yourself.
All right, well, I'm
done talking about this.
Jackie, the only reason
we're here, we're just
we're worried about you.
So you put him up to this?
Jacks, because we are friends
and because I care about you.
That's why we're here.
Jackie, can I, um
[SOMBER MUSIC]
From my perspective,
I don't know how you do it,
the extraordinarily difficult
things that you're faced with
every day, the pressure you
must feel to keep it together.
You know, no wonder
you're looking for a way
to deal with all that pain
that you have to absorb.
I don't I don't know
what you're talking about.
The reason that Maggie and
I are so concerned about you
is that the coping
mechanism that you developed
has brought you to a
very dangerous place.
We can do this however you wanna do it.
Like, we can just talk
about a little paid time off.
Nothing has to go on your record.
How dare you, you condescending prick.
You're gonna sit there
and you're gonna tell
me what's inside my head?
And you're gonna threaten
my job in the process?
I don't need your help.
I'm going.
Look, I'm sorry.
I'm sorry, Jackie. I
I can't let you do that.
- Jackie, Jackie.
- What? What?
I have determined that
you are a significant danger to yourself
and I have no choice but
to hold you for 72 hours.
- [SCOFFS] What?
- I'm I'm very sorry.
- Jacks
- No, no, no, no.
You can't you can't do that.
Jacks, you know it's true.
- No.
- Jackie, you know it's true.
- You can't do this to me.
- You know it's true!
- Hold her.
- No, come on, guys.
No, get off get off me. Maggie.
Maggie!
- Jacks!
- Get off me. Get stop it!
- Jacks!
- Maggie!
Maggie! You can't do this to me!
♪
He has a fever. The
infection is systemic.
With a new liver,
his body will be strong
enough to fight it off.
[SIGHS]
You're wasting everyone's time, Marcel.
We have another candidate lined up,
and you refuse to acknowledge
that your patient is no
longer a viable option.
Colin won't survive without this liver.
You understand that?
He very well may not survive with it.
[SOFT TENSE MUSIC]
We're talking about a
young boy here, Justin.
He's got his whole life ahead of him.
It's tragic.
But
it doesn't change the facts.
I'd like to know if anyone
else in the committee
has something to add.
Given that there is no consensus
and the liver has already been allocated
to Dr. Marcel's patient,
the decision is yours
to make, Dr. Marcel.
[SCOFFS] Why did we
even bother with this?
♪
So what'd they say?
What? Can the surgery go forward?
[SOMBER MUSIC]
Oh, my God.
Uh, wait.
No, no, you you have to go back.
You have to go back.
Bill.
You you you have to go back.
You have to explain to
them that he needs this.
He won't survive without it.
Bill.
I made the call.
What?
Why?
His infection, fever.
No, no, no, no.
He's not strong enough, Bill.
He won't survive the surgery.
You promised me.
You you you you
you there, you told
me, you promised me.
You said you could save him.
You said that.
I thought I could.
I'm so sorry, man.
You you
I'm sorry.
♪
Lungs look good, oxygenating well.
He'll be in the NICU for a little bit,
but you have a strong
and healthy baby boy.
I've never seen anything more perfect.
[SOFT DRAMATIC MUSIC]
Okay, let's get you back.
You need to rest and
take care of yourself.
I'm gonna stay a little longer.
Okay.
Never too early to
teach him a right hook.
[IMITATING IMPACTS]
[COUGHING]
Hannah was incredible today.
Yeah. Yeah, she was.
You weren't so bad yourself.
Look, Rip, maybe becoming
a dad has made me soft,
but
you're not that kid anymore.
I mean, part of him's still in there,
kicking my ass whenever I need it.
All that juvie and psych
stuff, none of that matters.
Look at what you did.
You're a freaking superhero.
Hannah should be so lucky.
[SCOFFS]
♪
Excuse me, Dr. Archer?
Yeah.
There's a patient in
T7, headaches, nausea.
Her symptoms could point to
meningitis of unknown origin.
And?
I think we start with a lumbar puncture.
Well, it makes sense.
Do you know how to do an LP?
No, but I was hoping you'd show me.
Lumbar puncture.
Step one, position the patient
on their side, knees to chest.
Step two, place your
thumbs midline to the spine.
Go away. Leave me alone!
Mister, can you please calm down?
We're just taking you
to a different room.
No!
No, no, leave me alone! Go away!
Hey, shh, shh. What happened?
I'm not sure.
We were starting to transfer
him to the convalescent floor,
and he got really agitated.
Bert, look at me.
Hey, look at me. Look at me.
- Sharon!
- Yes.
Shh. Yes, it's Sharon.
I'm here.
- Sharon.
- Yes.
[SOBBING] I want you to take me home.
- Okay.
- [SOBBING] Take me home.
All right. I'm here.
- Okay, okay, okay.
- [BERT SOBBING]
Sit down for me.
Sit down. Sit down.
Sit down.
Take [SOBBING]
Take take me home.
I will.
[SOFTLY] Take me home.
I will, okay?
Yeah? Okay.
- Okay.
- Okay.
Yeah.
[CARD READER CHIMES]
[SOFT DRAMATIC MUSIC]
♪
Jackie?
Jackie, can I
Yeah.
I'm sorry you've been
put into this situation.
The only thing we
wanna do is to help you.
♪
I'm so tired.
[SNIFFLES] So tired.
Thank you.
[SNIFFLES]
Yeah.
♪
I I thought that
I thought he's going upstairs.
He's coming home with me.
Really?
Yeah, he, uh
he started sundowning, Daniel.
He got scared and and confused,
and I was the only one
who could calm him down.
Okay, okay.
But, um, what about you?
What about what about your job?
What about your life?
Well, you know, I'll get a caregiver,
someone who could be
with him when I'm not.
I hope I don't need to tell you
this is not a long-term solution, okay?
I'll manage.
♪
Thank you, Jonas.
All set?
Asher.
- Hmm? Oh.
- Wait up.
- How's Lynne?
- Uh, resting.
How about Sully?
- [CHUCKLES] Over the moon.
- [LAUGHS]
You were great today.
I think you got fans for life.
You know, it is easy to imagine
you and Sully getting up to no good.
Yeah, well, how much no
good might surprise you.
Look
the truth is, I was an angry kid.
I spent some time in juvie,
lots of mandated therapy,
even got myself a diagnosis,
impulse control disorder.
All of this is just to say
I really like you.
And if I haven't
completely scared you off
♪
I'm not concerned with who you were.
I like who you are.
- [CHUCKLES]
- Dr. Ripley, there you are.
We've got incoming.
Pedestrian versus auto.
♪
Okay, bud.
If you're ready, these nice people here,
they're gonna give you a ride,
get you settled back home,
make sure you have everything you need.
[TENSE SOMBER MUSIC]
Am
am I gonna die?
♪
Listen, Colin
Let's just let's just get
you home get home, kiddo, okay?
Come on.
♪
[DRAMATIC MUSIC]
[WOLF HOWLS]
When I invited you over to my apartment,
I was thinking that maybe we were
Is this okay?
[DRAMATIC MUSIC]
Sully, you with me?
Cancer's getting worse, isn't it?
Maybe Lynne and the kid would
be better off without me.
Stop. You gotta get treatment.
Alzheimer's is tricky to accept.
I keep reminding myself of that.
I just wanna know what's
going to happen to me.
It's gonna be all right.
- [INDISTINCT RADIO CHATTER]
- [COUGHING]
Take it easy. Watch your step.
- [COUGHING]
- You got him?
- Yep? Okay.
- [COUGHING]
Bert, are you okay? Oh, my goodness.
What? How is he?
Just mild inhalation
injuries, a bit confused.
We're gonna take him to
Med to get checked out,
but we don't think it's
anything too serious.
Okay.
[COUGHING] Make sure the dog gets out.
Don't worry. I'll get it.
We didn't see a dog.
He doesn't have a dog.
What do we know about how this happened?
Uh, the guy next door saw the smoke.
By the time he got over here,
the stovetop burner was on
and the kitchen had gone up in flames.
So he did this?
Looks that way.
- [MECHANICAL WHIRRING]
- [SIGHS]
Ms. Goodwin, as a friend
in my years, I've
been on countless calls
involving forgetful older folks.
I don't think I need to tell you this,
but we got pretty lucky here.
- Thank you.
- Yeah.
[SOMBER MUSIC]
Hello, hello.
There he is. Today's the day, my man.
It's really happening, huh?
Oh, yeah, donor team's
made the delivery.
Brand-new liver is all yours.
What do you say? You ready, Colin?
Dad said I could have
all the ice cream I want
when I get to the recovery room.
- [LAUGHTER]
- Oh, did he now?
Within reason, of course.
Ice cream, huh? What's
your favorite flavor?
Mm, I think cookies and
cream is the best one.
- Good choice.
- [LAUGHTER]
So as discussed, the
liver's a perfect match,
but the donor is an adult.
It will work, right?
Yeah, after we do a bit of resizing
on some of the anatomy, absolutely.
I've already convened the transplant
committee to review my plan.
Okay? It's merely a formality.
Hey, Colin, what do you say?
Get your pre-op labs
started and go from there?
Yes, sir. I'm ready.
- Okay, buddy. All right.
- Thank you, Doctor.
Yeah, you got it. I'll
see you later, all right?
- Dr. Marcel?
- Yeah.
It's Bert, Ms. Goodwin's ex, incoming.
Hey, Zach, start the boy's workup.
Yeah, you got it.
You're going to T4.
- What happened?
- Kitchen fire.
He inhaled a lot of smoke.
Hey, Violet, talk to me.
Some carbonaceous sputum
but no loss of consciousness.
15 liters of O2 on a face
mask, satting at 100%.
I told you I'm fine!
Hey, easy there, Bert.
We just wanna get you
checked out, buddy.
Nice and easy on my count.
Ready? One, two, three.
Easy, there you go.
Get him on the monitors, please.
- Thanks, Violet.
- You got it.
[SUSPENSEFUL MUSIC]
All of us over at 51 have got
your back if you need anything.
- Thank you.
- You got it.
What happened?
Well, he got confused
and put an electric
tea kettle on the stove.
Take a deep breath for me, Bert.
There you go.
Okay, good.
Let me get a chest X-ray in here.
Lungs are good.
Carboxyhemoglobin is down,
and he's satting fine.
I'm hopeful he escaped
any permanent damage.
Uh, Ms. Goodwin, we, uh
we got the transplant committee meeting.
Oh, right. I totally forgot.
Yeah, I'd postpone, but
we've got the liver on ice.
- No, go.
- You guys, go.
- I'll keep an eye on him.
- Okay.
Thanks, Dan. I'll see
you up there, okay?
Okay.
You all right?
I knew he was losing a step, Daniel,
but I never imagined anything like this.
♪
[SIGHS] Morning, Dean.
Uh, it was until the albatross
of med student rotations.
[CHUCKLES]
Ah, there they go.
Seems the feeling's mutual.
Well, if they're avoiding me,
I must be doing something right.
Dr. Archer, you're up, and
you're going to Baghdad.
[GROWLS]
You don't scare me.
Donald Canter, 40 years
old. Severe chemical burn.
He was working with
some hydrochloric acid
when there was a spill.
- Oh. How bad are we talking?
- 90%-plus TBSA.
The burn unit doesn't
have any more beds,
so they're sending down one
of their nurses to run point.
It's not pretty.
[TENSE MUSIC]
Let's get him on a vent
and start calculating
his fluid requirements.
- Jackie?
- Hey.
Didn't you work last night?
Well, we're still shorthanded,
so I picked up a double.
All right.
Dr. Archer, this is Nurse Nelson,
Jackie, from the burn unit.
All right, working on his fluids,
and we'll get in orders
for sedation and pain.
All right, infection risk is sky-high,
so let's all get into protective gear.
Wait. What is this?
Does the patient have any more injuries?
Not that I could see.
♪
- Jackie.
- Damn.
- Are you okay?
- Oh, yeah, I
I caught my arm on the door frame
as I was leaving the house.
The Band-Aid must have fallen off.
I'll just I'll get another one.
- Want me to take a look?
- No, no, no, I'm fine.
Maggie, I'm fine.
- Okay.
- It's all right.
Nicely done.
I'll give Colin and Bill the good news.
- All right.
- Okay.
Resize using a split-segment?
Seems like a bit of a leap,
even for a cowboy like you, Marcel.
Yeah, well, I've done it before
and have no doubt the
boy's vessels are adequate.
If you're wrong, you'll fry the liver
before he even walks out the door.
And you can explain that
to the next patient on the
list who was passed over.
Well, as you know,
we're dealing with a
non-small cell lung cancer.
Plan is to shrink the
tumor before surgery.
We start with chemo today,
six infusions over the
course of six weeks.
Then we'll reevaluate.
It sounds like a walk in the park.
[CHUCKLES] Just try to relax.
I'll be back shortly.
Thank you, Dr. Washington.
[SIGHS]
[COUGHS]
Rip, baby on the way.
Tell me I didn't wait too long.
Hey, you're here now.
[SIGHS] At least I'm
not the only dumb one.
What's your problem, anyway?
- What are you talking about?
- Asher.
[SCOFFS]
I thought you two were going out.
I don't know. We're colleagues.
Exactly.
She's a doctor, you're a doctor.
She doesn't know about
how I grew up, juvie,
my psych diagnosis.
Look, I can't imagine she'd
find that very attractive.
[GROANS] As much as I pee these days,
might as well live in the bathroom.
So you get to the bottom of it?
Trying.
What's the matter with you, Rip?
She's a doctor, you're a doctor.
Ah, I see you guys planned this ambush.
Well
[GASPS]
Oh! I I felt a gush.
Um, maybe my water broke?
Yeah.
We've gotta get you down to Hannah.
I'll take her. You're
not going anywhere.
Just sit down.
Just just take good care of her.
- Yeah.
- I got this.
[SOFT DRAMATIC MUSIC]
♪
[SIGHS]
Carboxyhemoglobin is improved.
Oh, thank goodness.
And Maggie wanted me to tell you
that room is his as long as he needs it.
So what are you thinking?
Tara has offered to take him in,
but with the toddler, I I
don't think that's happening.
David lives out of state.
Michael travels too much.
And to be honest, even if I
thought they could handle it,
I don't want to burden them with this.
Just for the record, old buddy of mine
runs a memory care unit in Cook County.
[SIGHS] I can't.
I'm sorry, I just haven't
had a second to think.
I get it.
Thank you.
[SOMBER MUSIC]
♪
You say a door frame did this?
I know. It's crazy.
I've been trying to get Carl
to replace the strike plate
for weeks now, but
How is Carl? I haven't seen him forever.
He's uh, uh, yeah,
he's he's doing
he's g he's okay.
- He's still out of work.
- I'm sorry.
Yeah.
He had a thing lined up,
but, uh, it fell through.
And honestly, I just
I try not to talk to him about it
because he's always in such a mood.
Uh, you know what, Maggie?
Thank you for the patch-up.
I I gotta get back to my patient.
- All right.
- Thank you.
Okay.
Hey, Colin.
How you doing, bud?
- I'm doing all right.
- Yeah?
Everything okay?
Yeah, Colin's white blood cell count
came back as elevated.
And he appears to have a slight fever.
What does that mean?
It seems he's developed an infection.
I-infection from what?
Yeah, that's what we need to determine.
Hey, Colin, have you
noticed a sore throat
or a cough by any chance?
Mm, not really.
Yeah, any pain or discomfort anywhere?
Mm, nothing besides my toe.
Your toe?
He stubbed his toe on a
dresser a couple of weeks ago,
took off some skin.
- Nail's ingrown.
- Uh-huh.
[SOFT SUSPENSEFUL MUSIC]
Some bacteria must've gotten
trapped under the cuticle.
Is this is this
gonna cause a problem?
You know, with his transplant?
Yeah, in some cases,
an infection can impact eligibility,
but I don't see anything
here to worry about.
We'll get him started on IV antibiotics,
and as soon as his fever breaks,
we'll get him back up
to the OR as planned.
That is, if you're
still up for it, Colin?
- I'm ready.
- [CHUCKLING] Okay, good.
All right, we'll get those
antibiotics going and check in soon.
Pound. I'll see you, okay?
All right, let's start with
2 grams cefazolin, please.
Excuse me, Dr. Marcel?
- Yeah.
- Sorry. Um, I, uh
I I appreciate you putting
on a brave face for Colin.
But are are you sure
there's nothing to worry about?
Look, Bill, I know how
you must be feeling,
especially since we've seen
Colin get passed over before.
If he doesn't get this liver,
I'm afraid he won't be here long enough
to get the next one.
I'm gonna make sure
your boy gets that liver.
- All right?
- Thank you.
Okay.
♪
Dr. Charles, you have a moment?
What's up?
Do you remember Jackie
from the burn unit?
Yeah, she's in Baghdad
today with overflow, right?
Yeah, she showed up with a
cut on her arm this morning
and had some story that
didn't really add up to much.
And when I pressed her on it,
she insisted that she was fine.
Oh.
She's been working a
ton of double shifts,
and I know that her
husband's been through a lot.
She's been so distant these days.
There's just something that feels off.
Are you worried about abuse?
I don't know.
The last thing I wanna do is to
sound the alarm unnecessarily.
Then let me see if I can
come up with an excuse
to, you know, sidle
up to her and check in.
- Thank you.
- Of course.
Yeah.
[INDISTINCT CHATTER]
Okay, are you having
any pain or contractions?
No.
I mean, I don't think so.
To be honest, with Sully,
I've been a little distracted.
I get it. You've got
a lot on your plate.
Um, I'd like to check you out.
- I'll give you some privacy.
- No, can you stay?
Sully can't be here.
- Yeah.
- Great.
Okay, a little bit of pressure.
Yeah. [INHALES DEEPLY]
All right, well
the good news is,
is that your cervical
stitch is still in place,
but that gush that you felt was
definitely your water breaking.
Wait. Are you sure?
'Cause we thought that last
week, and I just had a UTI.
I see free flow, which
means the amniotic fluid
is gushing from your cervix,
and the blue confirms it.
So I'm I'm in labor?
No, thankfully.
Your cervix does not
look effaced or dilated,
and we wanna keep it that
way for as long as possible.
So I will give you steroids to
help develop the baby's lungs
and magnesium to protect his brain,
but we will need to admit you.
No, I can't.
I I have to go look after Sully.
Don't worry. I got him.
In fact, I told him
I'd keep him updated.
No.
I don't want anything to
interrupt his treatments.
Okay, try and get some rest.
We'll check back on you soon.
Great.
What was Colin's last temp?
100.5.
We're already hitting it
with a high dose of antibiotics.
Dr. Morris is working
with the donor team.
They're asking what we're going to do.
Nothing.
I told you, I'm
I'm I'm handling it.
Well, I don't doubt that,
but the liver's already been supercooled
for close to 20 hours.
If we release it now,
we still have time for
it to help someone else.
There's gotta be
something that we can do.
All right, let me talk to Morris.
I think there might be a
way to buy some more time.
Okay.
- [KNOCKING ON DOOR]
- Hey, Jackie.
Dr. Charles.
I was just wondering,
do you have any kind
of ETA on the, um
on the patient's wife?
[OMINOUS MUSIC]
♪
ETA?
Do you have any idea when the
patient's wife is getting here?
I just wanna make sure
that I'm here as well.
Oh, um, uh, maybe an hour.
So, uh, how you been? You all right?
I'm fine.
♪
- Here.
- Thank you.
Hey. So what do you think?
- Distant.
- Right.
Definitely. I mean, barely there, right?
I mean I would say, like, almost numb.
Which arm did you say
that the cut was on?
Um, the left one.
Right.
I thought I saw her
pressing on it before I left.
Really?
When you were bandaging her up,
did you notice any other
wounds or injuries on her arm?
No.
The thing is, like, cutting,
not necessarily the first thing
we see with abuse, right?
Cuts can, of course, be self-inflicted.
Wait, you mean like, self-harm?
It it it kind of fits.
Yeah, but we're talking about Jackie.
She's a powerhouse. She's
been in Med for years.
- I
- I did my certification with her.
The burn unit is brutal.
I mean, every day, she's
taking care of people
who are in excruciating, horrific pain.
Who wouldn't shut down after a while?
You're saying that she's cutting herself
to feel something?
Well, in her case, it would be
more like distracting herself.
[SOMBER MUSIC]
Okay, let's just assume
that you're right.
What do we do?
Well, I mean ideally,
we get her to open up.
And based on the evidence,
she's not that interested
in talking to me,
but a fellow nurse, friend,
could be a different story.
Yeah.
Can I help you?
Uh, sorry.
Don't mean to bother you, Dr. Archer.
But I was just trying to
get a feel for the day.
And anyway, um,
treatment to Mr. Manofsky,
unexplained weakness, B12 deficiency.
He recently just had a dental procedure.
Perhaps the two could be connected
if he has undiagnosed pernicious anemia.
Huh.
All right, and how would
we test your theory?
We could check his homocysteine
and methylmalonic acid levels.
Dr. Archer, I need
you in treatment five.
His name is Paul Talbot, 42 years old,
septic from kidney stones,
needs to be intubated.
All right, thank you. Do me a favor.
Have the lab run an MMA on
our guy in treatment two.
You got it.
You're with me. Let's go.
Oh, wow. Oh, okay.
Thank you!
I've been so excited for this
rotation. I'm a little nervous.
Yeah, I don't need your life story.
Just keep up with me and do as I say.
Meds are in.
All right, slugger.
You're up.
Me?
Well, I already know how to do it.
Oh.
[SUSPENSEFUL MUSIC]
♪
- Any day now.
- Right, okay.
- [ALARMS BEEPING]
- He's desaturating.
♪
Okay, you think maybe
you wanna get this done
before he suffocates?
Okay, sats are down to 85, 84, 82.
- He's starting to brady down.
- Get out of here.
- That's it. You're out.
- Wait. No, it's
No, no, you're out.
That's it. Stop. Out.
[ALARMS BEEPING]
[SIGHS]
All right, I'm in. Bag him.
[INDISTINCT CHATTER]
[SOBBING]
[SOMBER MUSIC]
Tough day?
Me? No.
I'm okay.
What happened?
[SIGHS]
That's the thing. I'm I'm not sure.
I mean, I know what I'm supposed to do.
But before I could even move, I just
I start to doubt myself and
I worry about the patient.
I just freeze.
And you get a little
criticism from your boss.
Yeah. He kicked me out of the room.
But he's right.
I screw everything up.
Look, this is your first time in the ED.
It's a hard rotation for anyone.
It's gonna be okay.
- Hmm?
- Mm-hmm.
Chin up.
♪
Dr. Archer.
Ah, Ms. Goodwin. I heard about Bert.
I'm sorry.
Thank you, but we need to
talk about your med student.
Oh.
I the kid froze up,
and I called her on it.
It's not my fault
she's fallen to pieces.
Have you given any thought
of the pressure this
young lady is under?
I'm not here to be her therapist.
I'm here to make her into a doctor.
Well, she can't do that
if you make her regret she
ever went to medical school.
- This is a teaching hospital.
- Mm-hmm.
Dr. Archer, our job is to nurture,
not to cull the herd.
Okay.
Excuse me.
My name is Joan Canter.
I'm looking for my husband, Donald.
I'm Dan Charles and
this is Maggie Lockwood.
We've been helping to
take care of your husband.
Maggie is gonna take you
in to see him in just a sec,
but I just wanna prepare you.
His burns are severe.
He's on pain medication
and he's sedated,
but you can sit with him
and talk to him and let
him know that you're here.
- Ah!
- Okay, okay. Hey, hey.
Hey, what happened?
It's his toe. He just started screaming.
Oh, God.
Looks like there's some
pus underneath the cuticle.
Give me a hemostat and
some ethyl chloride.
Can you put on your
brave face for me, Colin?
We're gonna get you fixed up now, okay?
- Ow.
- It's okay, it's okay.
We're gonna do a little numbing agent
on your on your toe, okay?
It's gonna take the pain away.
Okay, that's good.
We're gonna relieve
the pressure, all right?
Take a deep breath for me now, okay?
All right, it's gonna
all be over in a second.
[TENSE MUSIC]
♪
There you go. You're doing great, bud.
Just like that.
Almost there.
There you go.
Okay.
How's that? That feel better?
- Yeah.
- [CHUCKLING] Yeah? Good.
All right. Okay.
You did so good.
Dr. Asher, we need you.
- What happened?
- I don't know.
There's a pain in my belly
moving around to my back.
[GROANING LOUDLY]
Squeeze my hand.
Okay Lynne, those pains
that you're feeling are contractions.
You're in labor. I'd
like to take a look.
Yeah, but I'm only 30 weeks.
I know.
- Just breathe. Breathe.
- [GROANS LOUDLY]
Okay, we've held off
as long as we could.
But you are dilated.
The stitch is beginning
to tear your cervix.
We need to remove it.
- Should I call up L&D?
- No, there's no time.
Let's get her to the hybrid OR.
No, I can't. My baby needs more time.
Lynne, listen to me,
you're already bleeding.
If I don't remove that stitch,
the contractions are
gonna push the baby,
but he has nowhere to go.
It could tear your cervix
or also cause your uterus to rupture.
[SCREAMS]
[SOBBING] Oh, my God.
No! [WAILING]
- What happened?
- He coded.
Was down ten minutes,
three rounds of epi.
Nothing we could do.
[SOMBER MUSIC]
[SOBBING] Oh, my God.
Mrs. Canter, I'm so
sorry. Sit over here.
Mags, can you get her a bottle of water?
Yes.
- Here.
- Don, no!
Why don't you come sit down over here?
- No!
- I got you, I got you.
No! [SOBBING]
I'm so sorry.
♪
Jackie?
[OMINOUS MUSIC]
Jackie, are you okay?
Jackie?
Jackie?
Oh, Jackie? [GASPS]
♪
[SOFTLY] Oh, sweetie.
[STIFLED SOB]
We need some help in here!
[GROANING]
Hey, what the hell is this?
- She's in labor.
- Why didn't you come get me?
Shut up, Sully! I told them not to.
I need to cut the stitch,
but I can't see anything.
It's too bloody. Sponge stick.
S-she's bleeding? What the hell?
What's happening to her?
Little help here, Mitch.
[BREATHING HEAVILY] Oh, God.
Sit down, shut up, and hold her hand.
[GROANING]
Hey, hey, hey.
- Hi, baby.
- Hey.
[GROANING]
How's she doing?
She's stable, woozy.
She's, um, taking the fluids,
but she's already talking
about going back to work.
Oh, man.
So no mention of what
what happened in the bathroom?
Nothing.
- Yeah, well
- She's so defensive.
That's the denial.
What do we do?
Mags, there's a whole lot
of help for her out there,
but it just works so much better
if we can get her to ask for it, okay?
So I say that we let the IV do its work
and then maybe 15 minutes or so,
go in there and and
have a chat with her.
[SIGHS] Yeah.
Hey, Daniel, there's a bed in
the convalescent ward for Bert.
I'm gonna head up to see how
soon I can get him in there.
- Keep me posted?
- Yeah.
Whoa, whoa, whoa, whoa, whoa, whoa.
- Whoa.
- Come here, come here.
Sit down, sit down, sit down.
You have anything to eat today?
- [SIGHS]
- You're a diabetic, all right?
- Yeah.
- Not a good idea.
Excuse me.
Can you get Ms. Goodwin
orange juice, please?
I've got so much to do.
Right, and you're gonna get to it.
But first, we're just gonna sit here
until we stabilize
your blood sugar, okay?
[SCREAMING]
In through your nose and out.
- How's the head?
- I can see it.
[GROANING]
Done. Stitch is out.
[TENSE MUSIC]
Okay, Lynne, you are fully dilated.
I need you to give me a big push, okay?
You're about to meet your baby.
- Okay.
- Here we go.
[SCREAMING]
That's good. I see the head!
Okay, one more big
push, one more big push.
[SCREAMING]
There we go. He's out.
I got him.
[SOBBING]
[PANTING]
Shouldn't he be crying?
Huh? What?
- He's not breathing.
- Oh, God, no.
- No, no, no.
- Do something.
Okay, start compressions.
We need a tube and surfactant.
No.
- No, no.
- It's gonna be okay, baby.
It's gonna be okay. It's gonna be okay.
- Hey, hey. It's gonna be okay.
- No, no, no.
Oh, my God.
No, what's happening?
What's happening? Is he okay?
Surfactant.
♪
Please. Please, please, please.
Meds are in.
Come on.
[BABY CRYING]
Oh! [SOBS]
He's good.
[SOFT MUSIC]
[BABY CRYING]
We're parents. You did it.
You did it, baby.
- You did it, baby.
- Thank you, thank you.
♪
So what, you're just
gonna hide in here all day?
I didn't think you'd
want me back on the floor.
Well, you're no use to me
with your nose buried in a book.
I know, I'm I'm sorry. I was just
I-I'm sorry. Never mind.
No, no, no, no, no, no, no, that's okay.
Go ahead. Tell me.
I, uh, I wanna hear.
It's just
I'm so afraid that I'm
gonna do something wrong.
I'm the first one in my
family to go to college.
My parents took out loans.
They've sacrificed so much.
And you're afraid you'll let them down.
Well, look, if I were to judge
you solely on your smarts,
I'd say you're gonna be a good doctor.
It was the inaction that is the problem.
What was it Gretzky once said?
You miss 100% of the
shots you don't take.
Who's Gretzky?
Who's Gre [SIGHS]
Never mind. The point
is, you're a student,
and mistakes come with the territory.
And that's why the other
doctors and I are here,
to keep you from
killing someone.
But you've gotta take those shots.
[SOFT DRAMATIC MUSIC]
♪
100.3.
Okay.
[SUSPENSEFUL MUSIC]
♪
Hey, Bill, listen.
Temp's gonna break soon, okay?
I'm not giving up.
All right?
- Okay.
- All right.
Thank you.
- Hey.
- Hey.
How's the boy?
Yeah, fever's starting to plateau.
Well, unfortunately, we're out of time.
I just spoke with Dr. Morris.
He's convening the transplant committee.
He's insisting we release the liver.
[SIGHS]
♪
- Are you feeling any better?
- Yeah.
Can we, uh, can we wrap this up now?
Yeah, um, you do
realize that you fainted?
I know.
Yeah, I've I've been really run-down,
you know, with my diet and my schedule.
You of all people, you
should know about this.
Yeah, but you were bleeding.
I know, my my cut from this
morning, it must have reopened.
Yeah, I saw the other cuts.
I don't know what you
think you saw, but I'm fine.
Jacks, I saw the other cuts.
And I think that you're
doing it to yourself.
All right, well, I'm
done talking about this.
Jackie, the only reason
we're here, we're just
we're worried about you.
So you put him up to this?
Jacks, because we are friends
and because I care about you.
That's why we're here.
Jackie, can I, um
[SOMBER MUSIC]
From my perspective,
I don't know how you do it,
the extraordinarily difficult
things that you're faced with
every day, the pressure you
must feel to keep it together.
You know, no wonder
you're looking for a way
to deal with all that pain
that you have to absorb.
I don't I don't know
what you're talking about.
The reason that Maggie and
I are so concerned about you
is that the coping
mechanism that you developed
has brought you to a
very dangerous place.
We can do this however you wanna do it.
Like, we can just talk
about a little paid time off.
Nothing has to go on your record.
How dare you, you condescending prick.
You're gonna sit there
and you're gonna tell
me what's inside my head?
And you're gonna threaten
my job in the process?
I don't need your help.
I'm going.
Look, I'm sorry.
I'm sorry, Jackie. I
I can't let you do that.
- Jackie, Jackie.
- What? What?
I have determined that
you are a significant danger to yourself
and I have no choice but
to hold you for 72 hours.
- [SCOFFS] What?
- I'm I'm very sorry.
- Jacks
- No, no, no, no.
You can't you can't do that.
Jacks, you know it's true.
- No.
- Jackie, you know it's true.
- You can't do this to me.
- You know it's true!
- Hold her.
- No, come on, guys.
No, get off get off me. Maggie.
Maggie!
- Jacks!
- Get off me. Get stop it!
- Jacks!
- Maggie!
Maggie! You can't do this to me!
♪
He has a fever. The
infection is systemic.
With a new liver,
his body will be strong
enough to fight it off.
[SIGHS]
You're wasting everyone's time, Marcel.
We have another candidate lined up,
and you refuse to acknowledge
that your patient is no
longer a viable option.
Colin won't survive without this liver.
You understand that?
He very well may not survive with it.
[SOFT TENSE MUSIC]
We're talking about a
young boy here, Justin.
He's got his whole life ahead of him.
It's tragic.
But
it doesn't change the facts.
I'd like to know if anyone
else in the committee
has something to add.
Given that there is no consensus
and the liver has already been allocated
to Dr. Marcel's patient,
the decision is yours
to make, Dr. Marcel.
[SCOFFS] Why did we
even bother with this?
♪
So what'd they say?
What? Can the surgery go forward?
[SOMBER MUSIC]
Oh, my God.
Uh, wait.
No, no, you you have to go back.
You have to go back.
Bill.
You you you have to go back.
You have to explain to
them that he needs this.
He won't survive without it.
Bill.
I made the call.
What?
Why?
His infection, fever.
No, no, no, no.
He's not strong enough, Bill.
He won't survive the surgery.
You promised me.
You you you you
you there, you told
me, you promised me.
You said you could save him.
You said that.
I thought I could.
I'm so sorry, man.
You you
I'm sorry.
♪
Lungs look good, oxygenating well.
He'll be in the NICU for a little bit,
but you have a strong
and healthy baby boy.
I've never seen anything more perfect.
[SOFT DRAMATIC MUSIC]
Okay, let's get you back.
You need to rest and
take care of yourself.
I'm gonna stay a little longer.
Okay.
Never too early to
teach him a right hook.
[IMITATING IMPACTS]
[COUGHING]
Hannah was incredible today.
Yeah. Yeah, she was.
You weren't so bad yourself.
Look, Rip, maybe becoming
a dad has made me soft,
but
you're not that kid anymore.
I mean, part of him's still in there,
kicking my ass whenever I need it.
All that juvie and psych
stuff, none of that matters.
Look at what you did.
You're a freaking superhero.
Hannah should be so lucky.
[SCOFFS]
♪
Excuse me, Dr. Archer?
Yeah.
There's a patient in
T7, headaches, nausea.
Her symptoms could point to
meningitis of unknown origin.
And?
I think we start with a lumbar puncture.
Well, it makes sense.
Do you know how to do an LP?
No, but I was hoping you'd show me.
Lumbar puncture.
Step one, position the patient
on their side, knees to chest.
Step two, place your
thumbs midline to the spine.
Go away. Leave me alone!
Mister, can you please calm down?
We're just taking you
to a different room.
No!
No, no, leave me alone! Go away!
Hey, shh, shh. What happened?
I'm not sure.
We were starting to transfer
him to the convalescent floor,
and he got really agitated.
Bert, look at me.
Hey, look at me. Look at me.
- Sharon!
- Yes.
Shh. Yes, it's Sharon.
I'm here.
- Sharon.
- Yes.
[SOBBING] I want you to take me home.
- Okay.
- [SOBBING] Take me home.
All right. I'm here.
- Okay, okay, okay.
- [BERT SOBBING]
Sit down for me.
Sit down. Sit down.
Sit down.
Take [SOBBING]
Take take me home.
I will.
[SOFTLY] Take me home.
I will, okay?
Yeah? Okay.
- Okay.
- Okay.
Yeah.
[CARD READER CHIMES]
[SOFT DRAMATIC MUSIC]
♪
Jackie?
Jackie, can I
Yeah.
I'm sorry you've been
put into this situation.
The only thing we
wanna do is to help you.
♪
I'm so tired.
[SNIFFLES] So tired.
Thank you.
[SNIFFLES]
Yeah.
♪
I I thought that
I thought he's going upstairs.
He's coming home with me.
Really?
Yeah, he, uh
he started sundowning, Daniel.
He got scared and and confused,
and I was the only one
who could calm him down.
Okay, okay.
But, um, what about you?
What about what about your job?
What about your life?
Well, you know, I'll get a caregiver,
someone who could be
with him when I'm not.
I hope I don't need to tell you
this is not a long-term solution, okay?
I'll manage.
♪
Thank you, Jonas.
All set?
Asher.
- Hmm? Oh.
- Wait up.
- How's Lynne?
- Uh, resting.
How about Sully?
- [CHUCKLES] Over the moon.
- [LAUGHS]
You were great today.
I think you got fans for life.
You know, it is easy to imagine
you and Sully getting up to no good.
Yeah, well, how much no
good might surprise you.
Look
the truth is, I was an angry kid.
I spent some time in juvie,
lots of mandated therapy,
even got myself a diagnosis,
impulse control disorder.
All of this is just to say
I really like you.
And if I haven't
completely scared you off
♪
I'm not concerned with who you were.
I like who you are.
- [CHUCKLES]
- Dr. Ripley, there you are.
We've got incoming.
Pedestrian versus auto.
♪
Okay, bud.
If you're ready, these nice people here,
they're gonna give you a ride,
get you settled back home,
make sure you have everything you need.
[TENSE SOMBER MUSIC]
Am
am I gonna die?
♪
Listen, Colin
Let's just let's just get
you home get home, kiddo, okay?
Come on.
♪
[DRAMATIC MUSIC]
[WOLF HOWLS]