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Previously, on Doc...

Dr. Larsen has no recollection

of the last eight years.

His arrhythmia was less benign
than everyone thought,

and his heart gave out.

Did I just stop seeing you?

I'm gonna make it up to you.

There's something I need to tell you.

Nora and I are having a baby.

Amy Larsen has once again
passed her boards,

- Do you feel this?
- Nothing.

What if it's primary
spinal cord lymphoma?

You don't give false hope.
You told me that.

My negligence killed a man,
and then I lied about it.

I love you.

I've loved you for a long time.

[

Synced & corrected by -robtor-
www.MY-SUBS.com

I know you're upset
about the course of treatment

that I recommended.

He's now lost all arm movement
and sensation.

Answer the question, Richard.

I didn't kill Bill Dixon...

you did.

Hey, it's TJ. Leave a
message I'll hit ya back.

TJ. I know you hate me
right now, but, um...

since you had me kicked off the case,

nobody'll give me an update,

and I just wanna know how he's doing.

Please give me a call.

- Morning, Mom.
- Uh, hi, Katie.

- You okay?
- Mm-hmm.

Mom, I know when you're lying to me.

Look, I get that I'm the kid
and you're the mom,

but you can talk to me if you want.

I'm fine. Really.

...what we know is
a driver parked on the tracks

and caused a derailment on
the 8:05 train to Milwaukee.

So far, we've learned
that there are nine dead

and 43 injured.
Victims are being taken

to Eastside, Westside
and St. Joe's Hospital.

I've gotta get to work.

No. I need everyone in today.

There is no day off.
Mass casualty incident

protocol has been activated.

Yes, I spoke to all department heads.

No.

No routine labs.

Michael!

TJ? How's your dad?

Same as he was when you left.

But now we're past the first 24 hours

and the best chance of reversing
the paralysis is gone.

I really don't think I was wrong.

You never do.

'Cause you just steamroll over everyone.

No matter the cost.

This is a Code Orange.

Number of wounded is up to 84!

ER's overrun. Overflow is on its way up.

We are about to see open fractures,

blunt abdominal
and chest trauma, amputations,

head and spine injuries,
penetrating trauma,

including impalements.

So, everyone's gotta be ready
to jump in as needed

for anything.

We've got uncrossed O neg
in the coolers,

trauma and emergency surgery supplies,

and the blood bank is ready
if we need to activate

the massive transfusion protocol.

ICU and patient rooms are nearly full

so we will need to treat
the wounded in the hallways.

We ready?

Let's go, people!

- What do we got?
- Unstable spine trauma.

Spinal cord injury
with neurogenic shock.

Dr. Maitra, Dr. Park. Pressors to keep

the cord perfused,
place sandbags along the head,

get a lateral c-spine before moving him.

Dr. Coleman was a combat medic!

Whatever he says, do it!

- Dr. Larsen, Dr. Barrett?
- Yes.

Patient has extensive burns.

Assess depth and extent of burns.

Start IV fluid resuscitation.

- Gonna need an OR.
- I'll get the IV.

Dr. Heller, we need
a full exam and FAST assessment,

trend crits, large-bore IV.

You, help me with this. I need this.

Here's her X-ray.

- Enlarged heart silhouette.
- Right. Just as we suspected.

Pericardial clot
causing cardiac tamponade.

We need a pericardiocentesis set
and a portable ultrasound. Now!

- On it.
- What does that mean?

- Lana, don't try and talk.
- I need an X-ray over here!

Ray, can you get a sling

so we can immobilize it?

God, it's you!

- I'm sorry, can I help you?
- He's a hero.

- I think you're mistaken.
- Oh, no, no. I was right there!

I saw you get my kid
and four other people

- out of the burning train!
- Honestly,

you've got the wrong guy.

I'll leave you alone. But...

But thank you. And God bless you.

Just did what anyone would've done.

'Kay, well, we're gonna get
you cleaned up,

see if we can get those burns
properly dressed.

I'm gonna see if I can find you a room,

so we can get you
some more privacy, okay?

- You doing all right?
- Was a pretty rough night,

- that's for sure.
- Well, we all make mistakes.

But every time we save someone,

we're making up for a life we lost.

Yeah, I can't ever make up for that.

See? This is why I didn't
say anything to you.

Yeah, well, I really
appreciate you trying

to protect me, but I needed to know.

Nicely done.

I am hopeful that once
you've had a chance to process,

that we can just move forward.

I'm not sure I can do that.

If you see him or hear from him,

- please call me immediately.
- It's a stat MRI.

This is the third time
I'm calling. Yes, I will wait.

Can you check if an Ian Flores

was admitted this morning?
Date of birth 6-11-90.

Honestly, with trauma aliases,
it could be days

before his real name is reconciled

with the medical rec chart.

Hey, you didn't call last night.

- How'd things go with Richard?
- Uh, I can't talk about it now.

So much going on.
I-I'll fill you in later?

Yeah.

I need help. Anyone free?

Yeah.

- Dr. Larsen, this is...
- Melody Foy.

Um, soon to be Mrs. Jeremy Hardy.

- He proposed on the train.
- Is that a D color?

- Mm-hmm.
- He's totally a keeper.

- Right?
- Liz, can you take care of him?

No, no, don't worry about me. I'm fine.

No, you need to get checked out.

Did you suffer any other injuries?

- Oh, we both went flying.
- Yeah, everyone did.

I wasn't knocked out. Nothing broken.

Please, just take care of my fiancé.

I love it when he calls me that.

Melody, where does it hurt?

Uh, well, my ankle's seen better days.

Oh.

Okay. Excuse me.

Oh!

Okay, we need to debride.

Uh, get me a tetanus booster,

IV antibiotics, including
cefazolin and gentamicin,

and a dislocation reduction
film. Dr. Maitra, come.

Ooh, how are you not screaming?

Oh, they gave her the good
stuff on the ambulance.

- A Benzo and morphine.
- It's not that. It's the ring.

He wants to spend eternity with me.

- Damn straight I do.
- Okay, um, Jeremy,

can you go to the waiting area?
We need room to work here.

I'll be fine, sweetie.
Go get a snack, okay?

Love you.

No. I'm at Westside.
I know you're at Eastside.

I'm trying to locate someone,
Ian Flores?

F-L-O-R-E-S. Flores.

Yes, will you call me if he's admitted?

They just hung up on me!

- Is Ian a friend?
- He's my patient.

You think he was on the train?

I think he caused the crash.

But since that's a massive
breach of confidentiality,

I did not just say that.

Who can I help? I need to help.

Vitals are tanking.

I need another unit
of one-to-one-to-one MTP.

I sent Liz to the cooler to get more.

- No more blood.
- We're out already?

No. But supply's limited
and we can't waste

precious resources.
He should be black-tagged.

- He's not dead yet!
- But he will be.

I didn't realize combat medics

also got to play, I don't know, God?

Triad of death: hypothermia, acidosis

and it looks like he's got coagulopathy.

Whatever road you go down,
he's gonna end up

- in the same place.
- We don't give up on people.

We're not. Life is.

How long will she be in surgery?

Uh, at least an hour.

I can't believe I left to get food.

She better be okay, you know?

I didn't know you could...
you could be this in love

with someone. I can't focus on anything.

I put my phone in the fridge,
and I sent my rent check

to my dentist.

I'm a mess.

You ever get like that?

Are you okay?

Not really. No.

I'm sorry to hear that.

Talk and die!

Jeremy. Jeremy!

Left pupil blown, massively
dilated and unresponsive.

GCS 5.

I need an airway cart to intubate.

We need a brain CT scan
and an IV, Keppra 1000,

and mannitol 75 grams. Hurry!

- Okay.
- Jeremy? Stay with me.

Hey. Melody asked to see you.
She wants to know about Jeremy.

- Yeah, I know.
- So, why haven't you gone?

What's the point?

They're not married yet.

The law says I can't tell her anything.

Come on. There are ways
to follow the law

and still give a patient
what they deserve.

Right. And you'd know all about that.

Why are you being like this?

Jeremy has a brain bleed.
He's probably gonna die.

So, is that what I should say?
That while she was in surgery,

everything she thought her life
would be was taken away?

Or should I lie and give her false hope

so that she feels worse later?

What would you have me do, Sonya?

Amy, whatever's wrong,
you were there for me.

So, what, we are friends now?

Everyone thinks you're like Superman.

Nah, man. I'm not a hero.

Least not to the people that matter.

- Yeah, who's that?
- My ex.

My kid, Joey. He's 14.

Divorce is rough.

Feel like you're always
letting your kid down.

I let him down before.
That's why she left me.

She always said I was a screw-up.

She wasn't wrong.

After a while,
I just stopped coming around.

I couldn't bear that look
on his face. That shame?

Well, I think today, he'd be proud.

Too little, too late.

That's it baby. You got this.

No.

You got this.

But I love you.

We set up a blood drive downstairs.

- Will you let everyone know?
- Mm-hmm.

I checked the latest casualties report.

Ian Flores is not on the list.

Julie called,
said you were looking for him.

Most of the aliases for trauma

still don't have identifiers, so

he could be one of the deaths
or injuries. We just can't know yet.

Who are you guys talking about?

A, uh, a patient of mine was...

Michael, what is it?

Only one reason for them
to be here with him.

Oh my God. Is that the guy?

- Did he do it?
- I think that's him.

He's a patient! Snap out of it
and do your damn jobs!

He's hypothermic. Poor cardiac function.

- He's bleeding out.
- Poor respiratory function.

Liz. Start TXA. He's lost
a liter or two of blood already.

- He gonna make it?
- We'll do our best.

- I'm Dr. Hamda, CMO. Who is he?
- Ian Flores.

Dr. Gina Walker. He's my patient.

Well, explains why
his last call was to you.

- Julie.
- Yeah.

Let's get him intubated.
Get me a surgical tray.

I need an X-ray tech for portables!

Did you know he was gonna do this?

Of course not. If I did,
I would've had him committed.

- Why'd he do it?
- I can't answer that.

'Cause you don't know
or because you won't tell us?

I can't break confidentiality.

We're losing him!

He was too far along when he got here.

Starting CPR, paddles!

Okay, clear.

Charge to 200.

Clear!

How long's he been down?

Dropped 23 minutes ago,
but they started CPR right away.

- He looks young.
- Name's Ziggy.

ID says he just turned 21.

Still, sounds like we're too late.
Maybe we should call it.

No. It's not. Look at his foot.

- Electric shock!
- You're right!

We can bring him back
with prolonged CPR.

Check his rhythm!

- Still asystole. Not shockable.
- Okay.

His last epi was four minutes ago.

- Give him another syringe.
- Another epi.

It's okay. I got it.

Hi Doc. It's Ian.

I just wanna thank you
for trying to help me,

but it's not working.
I need to be held accountable.

If no one else is gonna do it,
then it's on me. Take care.

When did you get this message?

After it was too late.

But he planned it that way.
He didn't wanna tell me

'cause he knew I'd try to stop him.

Why'd he need to be held
accountable? We checked.

No criminal record. He do
something no one knew about?

And, before you pull
the confidentiality card again,

he's dead and the victims
deserve some closure.

Legal has given Dr. Walker
the okay to cooperate,

but it's still at her discretion,

so maybe you wanna rein in the judgment.

A couple of years ago,
Ian was driving to work.

Wasn't drinking. Followed the rules.

But an 11-year-old girl
ran into the street...

was killed.

Witnesses all said the same thing,

wasn't his fault. Tragic mistake.

But he couldn't get over it.

Guy feels so guilty
about killing somebody,

he goes out and kills 23 more?

He wanted to kill himself.

A train weighs a thousand times
what a car does.

Why would anyone think a car
could derail a train?

Ian wanted his pain to end.

But he didn't want to hurt anyone else.

Tell that to the victims' families.

Switch places!

The cops left.

I-I know what you're supposed to say

when the patient's grieving
or sad or even depressed.

They're not the same, you know?

Sadness isn't devoid of hope.

But depression, well...

That's the devil.

It can make you do things.

It can eat you up inside.

But, still the worst of all is guilt.

Because it feels like...

there's nowhere to put it.

No way to fix it.

- You have to know it's not...
- Don't say it's not my fault!

I hate when people say that!

It doesn't matter if it is...

because it feels like it is.

And that makes it real.

That's what Ian was trying to tell me.

And I didn't get it...

until right now.

What can I do to help you?

Just...

Just lemme feel how I feel.

Check his rhythm.

Got a shockable rhythm! TJ!

Stand back, stand back, stand back!

Clear.

I got a pulse!

Welcome back!

Yes!

No. I-I'm almost out.
I need more ventilators,

O neg and central line sets.

Yeah, well, I can give you ECMO,
but I...

Greg, I'm gonna have to call you back.

Hey. What're you doing here?
Is everything okay?

What happened last night?

With Amy?

You forgot this in the car.

She texted you.

Tell me the truth, Michael.

- She was having a crisis...
- For a change.

You know, she was...

very upset, and um,

- I was comforting her.
- What happened, Michael?

We kissed.

I'm sorry.

Get back to what you're doing

and we'll talk about this at home.

Do you know who I am?

Uh, yes. I-I saw your picture
in the house.

And on Michael's desk.

And still, that didn't stop you.

I love him.

I love him in ways
that you couldn't anymore.

You don't remember,
but you destroyed him,

and I'm the one who picked up
the pieces.

I helped raise your daughter.

But just like before,
it's all about you,

and no one else matters.

You had your chance

and you screwed it up!

He's my husband now!

Keep your hands off of him!

Mom?

What, what happened?

Nothing. I'm, uh, yeah, no.

It's okay. I'm fine.

You can't do this again!

- What do you mean?
- This is it.

This is what you did the last time.

You were hurt, and you shut me out.

And I thought I was gonna
lose you forever,

and then after the accident,
when you forgot everything,

you came back to me.

And I can't lose you again.
I can't, Mom. Please.

Oh, I'm sorry. I'm...

I'm really sorry.

I-I just, I...

I lost so much,

and then I worked so hard

to just get any of it back,

but I...

I thought I could do better this time

You're doing better! We're doing better

We are!

But I screwed up everything else.

Okay. Can you fix it?

I don't think so.

So you gotta own it. Did you?

Then you know what you have to do.

Thank you.

- Hello. Can I help you?
- Mrs. Dixon?

Yes?

Uh, I'm Dr. Amy Larsen.

I-I was one of your husband's doctors.

Well, I've never met you.

Bill has been gone over three months.

Um, what's this about?

Uh, may I come in?

He was my whole world.

It must be so hard for you now.

Yeah. But... I still talk to him.

Kids think I'm nuts.

But I find it soothing.

Well, while he was alive,

he didn't always answer me anyway,

so I feel like he's still here.

- Are those his?
- Yeah.

So he can watch over me.

Okay. I have talked your ear off.

What was it you came to discuss?

I think that your husband's
death was my fault.

And I...

I owe you an apology.

Well, I don't understand.

They told me he aspirated

and they were unable to revive him.

Well, I've learned that there
may have been a reason

why he aspirated
and wasn't able to be revived.

A few weeks before he died,

uh, when he was leaving the hospital,

it seems that I prescribed him
a beta blocker...

- No.
- ...on his way out,

- No.
- ...and that...

No, that never happened.

I'm s... How would you know?

Because I was there
when he was discharged.

And he would never take a beta blocker.

Bill had low blood pressure.

- Hey.
- What are you doing?

I texted you. I worked until 5:00 AM.

I'm meeting with Max in 20 minutes.

- There wasn't time to come home.
- Great.

I see where your priorities are.

Nora, we will talk about this, I...

So, I hate to be the bearer of bad news,

but looks like you're famous.

Yesterday,
when passengers were trapped

in a burning train car,

this man we've identified
as Bradley Hahn, of St. Paul,

risked his own life
to get them all out

before he climbed to safety.

- So that's your dad, huh?
- Yeah. It is.

And how do you feel
about all this?

I'm-I'm really proud of him.

You should be. He's a hero.

This is Mackenzie Cole
for Channel 8 WDZT.

Back to you, Chip.

Wait. They were outside the hospital?

How did they know that I was here?

A reporter found us.

Come here, buddy.

Thank you. Any other tips, gimme a call.

Oh! TJ!

Wait, what happened?

You were right.

Pops moved his right foot
and he's got pinprick sensation

back in his legs. He's gonna walk again.

- Ah! TJ!
- Yeah!

You are two for two with the Colemans!

It's great, man. I'm so happy for you.

Yeah, yeah, me too.
I am, uh, I'm gonna celebrate.

I told everybody
drinks are on me tonight.

I am... so sorry for how I behaved.

Everyone reacts badly
when they're scared or hurt.

I'm told that I spent the last
seven years doing that.

I hope you know that
there is nothing you could say

that would change how I feel about you.

Thank you. For everything.

Hey. Nice to see you.

It's nice to see you too.

I feel like you've been avoiding me.

- Oh, I haven't.
- Really?

'Cause I texted you last night.

I was, I was... so tired.

Yesterday was such a long day.

Um...

Sorry. I-I will fill
you in later. I-I promise.

Liz.

It's time to tell me the truth.

Hey, Paul. Michael asked to see me?

- Go on in, Dr. Miller.
- Thank you.

Richard. I'm glad you could join us.

Of course.

- What's this about?
- Bill Dixon.

Amy filled us in.

Amy...

I begged you not to do this.

When you told me what
I had done, I had to own it.

Even if it meant that I couldn't
be a doctor here again.

Because it's the right thing.

So I went to see Mrs. Dixon
to apologize,

and I learned that Bill Dixon
never took Metoprolol, Richard.

Not before he came to Westside,
not while he was here,

not afterwards.

So the only way that it
could've gotten in his system

is when you ran that code.

When you took over for Liz
and injected it yourself.

Then you lied to Dr. Franco.

The Dixon kids never asked
for an autopsy, I did.

Because I figured out what happened.

You killed Bill Dixon,

and then you convinced me
that I had done it.

When birds fly in a V,
why is one side always longer?

- More birds.
- More birds!

I can't believe you got

the punchline! I gotta work on my stuff.

Will you please excuse me, Mr. Dixon?

- Yeah. More birds!
- More birds!

- Hello?
- This is Officer Fornay

with the Minneapolis PD.
Dr. Miller?

Yes. What's this about?

Your son, Lucas.

He vandalized some property
and resisted arrest.

Is he, is he hurt?

He's not. But uh, he took
a swing at an officer.

He's in a holding cell.

With criminals?

My son is not a criminal!

He's mentally ill. That's not safe.

- You have to let him out.
- I can't do that.

Someone has to come get him.

We've been unable
to reach Mrs. Miller.

Okay. I'm on my way.

Okay, check his rhythm.

It's Vtach! We're getting him back!

Paddles!

Okay, clear.

Shocking!

All right, resume compressions.
Let's push 300 mg of Amiodarone.

Let's go, let's go, let's go!

- Sorry.
- I got it.

Stop compressions. All right.
Let's check rhythm.

He's asystolic.

How's he getting worse?

- Resume CPR.
- But he's...

Now!

Resuming compressions!

Then when Liz cleaned up after the code,

the Amiodarone that remained
in the vial wasn't consistent

with the amount you said
you gave and put in the record.

Yes, we've spoken with Liz.

When she asked about it, I panicked.

And you threatened her.
And when all this resurfaced,

you told her to say that
Amy prescribed the Metoprolol.

Richard, I'm sure if you
had just come to me

and told me the truth...

That's what you said to me...

the day of your accident.

But you don't remember.

I couldn't trust you.

I thought you were just
baiting me to confess

and then... and then
you wouldn't stand by me.

Well, I can't answer for that, can I?

I can. Yes, she was cold
and arrogant and shut down.

But she wasn't a liar.

She had integrity. She didn't
stab people in the back.

I was so scared...

that I would lose everything.

Well, now. You'll have to face
the Medical Board.

Your license will most likely
be suspended.

And you left yourself and this hospital

wide open to a lawsuit.

Amy, Amy!

I'm so sorry.

I know what a sick kid
can do to a person.

And I-I think I would have
forgiven you for your mistake.

I even understand
why you tried to cover it up.

But then...

Richard, you knew how vulnerable

and off-balance I had been
since my accident.

And instead of trying to help me,

you gaslit me and weaponized
my memory loss.

I can't forgive that, Richard.

But I am sorry.

I'm sorry for you.

Amy.

It's terrible what he did to you.

But going to Mrs. Dixon
without notifying the Board

or Legal, that is unacceptable.

- And there will be consequences.
- No, there won't.

- Excuse me?
- You only brought me back

because you thought I would sue.

You breathed down my neck,
waiting for me to fail.

Well, guess what, Max? I didn't fail.

I am a damn good doctor.

Maybe even better now.

And, because of me,
you know about a patient

who was killed in your hospital.

- I think, going forward...
- I'll tell you

what's gonna happen going forward.

You're gonna open your checkbook
and you're gonna pay Mrs. Dixon

whatever she wants.

And I am gonna stop doing
cartwheels for the Board.

And, maybe, in a few years,
if you're lucky,

I'll consider being Chief again.
How does that sound?

Doc... Lar...

- Jeremy.
- Wha-wha hap...?

You had a massive epidural hematoma.

A brain bleed. But we caught it in time.

I... can't... sp... I can't spe...

That's temporary.

You can understand
what I'm saying, right?

- Uh-huh.
- Okay.

I know it must seem scary.

And you might not feel
like yourself for a while.

But I'm confident
that you're gonna recover.

Something similar happened
to me a few months ago.

And, uh, at first,
I didn't know who to trust

or even what to think.

And there were things that I knew

that I had to learn over again.

But you know what?

This could have killed you
and it didn't.

And, so, even though you might
want to give up, you can't,

because you have a second chance.

And that is a gift. Believe me.

For you and for Melody.

Me... Melody?

She's been asking for you, too.

Hi.

- Mel...
- Hey.

Hi...

I love you.

I love you.

I'm sorry this happened.

I'm sorry.

I love... love you.

Where are you going?

I need to deal with some stuff.

Are you okay?

Uh, no. But I will be.

Gina. What's wrong?

The time to ask that was yesterday.

I'm sorry. I had a lot going on.

Yeah, you always do.

Thankfully, between my wife and your ex,

- I got the support I needed.
- Okay, uh, it seems like

this is a lot bigger than yesterday?

Like you're angry at me
for things I don't remember?

That's probably true.

Okay.

I wanna make it right.

Please, just, just talk to me.

Not today, Amy.

- To Mr. Coleman!
- Amen!

To bringing a guy back after...

45 minutes!

To kicking a Code Orange's ass!

Hell, yeah!

- Hey!
- Hey, everybody.

I'm glad you came.

You should've seen it.
I-I was a real hero.

Oh. Hey, watch this, watch this.

- What is she doing?
- Excuse me.

Byee!

Uh, what did you...
What did you say to her?!

I told her you have genital herpes.

What?!

She's gone.

Jake?

What is happening with you?

Nothing.

You can't waste your life
pining over someone

who doesn't really see you.

You're sitting here texting her
instead of celebrating with us,

when she's probably with him right now.

You have no idea
what you're talking about.

I do. Because...

I heard Dr. Hamda's wife
confront her about it.

- I don't believe you.
- It's true.

You know, all you ever do
is tear her down.

- No, I don't.
- It's all...

- Stop. You and me, we're done.
- Jake! Jake!

- Hi.
- Hi.

How come you're still here?

I was waiting for you.

We should talk.

Yeah.

Yeah, we should.