Original subtitles

32-year-old male.

Tried to beat a speeding train, didn’t make it.

Severe neck and back pain.

Deformity to the right lower leg. His vitals are stable.

It's Glenn Vogel.

- The guy I got in a fight with. - You're kidding.

Wife and baby were in the car with him. They're on the next chopper.

All right. Let's get him downstairs.

- What have we got? - Patient's name is Glenn Vogel.

- Thirties, in a car hit by a train. - Glenn Vogel?

Are you kidding me? I do not want her in here.

Sir, I need you to lay back down. It is not your decision.

You neither! Get out!

- Leave me alone and let me... - No.

- You need to relax. You need to relax. - You have very serious injuries.

If your neck or back is broken you could end up paralyzed. Okay?

I don’t give a shit! Out of my face!

Hey! Stop! Or we'll put you in restraints.

Don't look at me. Let us treat you, or we park you in the hall,

and you can call someone to pick you up.

Fine.

Fix me.

- What do you wanna do first? - Um, Danny, heart and lungs.

- Then let's get a FAST going. - On it.

Harper, check out his legs for me?

Obvious deformity of right lower extremity.

Other than your leg, can you tell me what else is hurting?

Where’s my wife? My baby? Where are they?

We heard they're coming in on the next chopper.

Are they hurt? Are they gonna die?

If they’re bringing them to this hospital, it's because they’re alive.

His wife and baby got here. They’re coming down.

Okay. We got him. Go.

No. Wait. What happened to them? Are they okay?

I’m going to find out.

Stop! I don't want you touching them without talking to me first...

I know that you don’t like us, but he is who you want taking care of your family.

That’s my wife.

My baby.

Please do not let them die.

Please don't let them die!

Hey, Marco, were you able to get those LFTs and coags on bed nine?

Oh, man, I'm sorry. I am so backed up still.

Speaking of which, watch out for Dr. Broussard.

She's reaming out anybody who takes too long on a discharge.

- God forbid her metrics suffer. - Yeah.

Doctors Phillips and Morales, we've got 27 in the waiting room.

I hope you're not talking sports.

No. I've actually just discharged one and three.

Then you can take rooms four, six, and seven.

Dr. Broussard, I've got a full load of patients already.

Then work faster, golden boy.

Julio, how you doing, bud?

- Hey, Dr. Phillips. - What's going on, man?

- Sandra, good to see you. - Good to see you.

- How you feeling? - I'm okay.

It's a lot of fluid, and it's pretty painful today.

Let's take a look here.

A lot of ascites. Any change in your liver disease?

Not really.

Have you been seeing Dr. Forman? Going to your GI appointments?

Um… I’ve, uh, been going to FIU now,

and, uh, my schedule’s really busy.

Hold on, FIU? When did that happen? I feel like you just started high school.

Tell me about it. He's the first person in the family to go to college.

- That's awesome. - Thanks, man.

So there’s not a lot of tenderness. Have you been having any fevers?

No, but the pressure… I mean, it's hard to breathe.

Can you take some of the fluid off?

You’re really supposed to get it done in your GI clinic,

and we’re really slammed today.

But, uh… yeah, let me see what I can do.

Sit tight. I'll be back.

30-year-old female in the passenger seat. Her side was hit by a train.

She's hypotensive with significant chest trauma.

That's her infant, found crying in the car seat.

Dry mucus membranes, respiratory distress.

- I can take Benny. I saw him days ago. - Keep me posted. Cass, stay with her.

- Let's go to exam room three. - Yeah, sure.

- Let's get her to trauma one. - Yes, Doctor.

- Excuse me, ma'am, what's your name? - Kathryn.

Kathryn we're gonna take good care of you, all right?

What have we got?

Nine-month-old involved in a car accident.

Tachypneic and dry mucus membranes. But otherwise stable vitals.

What’s at the top of your differential for why he's so underweight?

- Pyloric stenosis? - Let's get him to CT.

Copy.

Ben… Benny?

We're taking good care of him. I need to make sure you're okay.

Kathryn. Kathryn, stay with me.

Oh God! Not good. All right.

Let’s get the rapid transfuser. Get her four units of blood, now. Sophie?

- Yeah, what do you need? - I need you.

I know surgery's backed up right now, so you're gonna run point with me, okay?

Let's figure out a battle plan.

Hey.

Hi.

I guess you heard about what happened with Soriano.

- Yup. - How bad is it?

For you or for me?

You weren't even thinking about me, were you?

How embarrassing this is for me.

You know how stupid I look?

For being with me?

For believing in you.

Look, I'm sorry, I…

That's fine.

And for me, at least, it's gonna pass, but you…

The problem is you don't have anything in the bank.

The bank?

When you treat people decently, you're putting a coin in the bank.

When you do something selfless, that is a coin in the bank.

You need to have something in the bank, Tom.

Oh, no, no, no, no. I am not leaving out of here in a wheelchair.

Hospital policy.

I've done 1,000 laps around this place with my IV pole.

The floor's slippery.

Come on, I can totally walk.

- Mm-mm. - Look.

Okay. Vero. Nena…

- I can even dance. - Okay, yes.

- Slowly. - Yes -Slowly, slowly.

Careful. Okay, look at that.

There's a lot going on there.

So, can I leave dancing?

Mom, dance with me.

Come on. Come on.

- Okay. Pero, down. - Okay.

Down, down. Yes, down.

Come on, feel it.

Hey! Okay, Mom.

Okay, you can leave walking.

- Right? Special privileges. - Yay.

Thank you, Mom!

I need Dr. Soriano to formally discharge you.

Then we'll go.

Okay.

Dr. Cruz.

You're stalking me.

I'm trying to talk to you, but you're making it quite difficult.

Not difficult enough, apparently.

This is awkward for the both of us. Okay? You don't want to give up the department.

- I'm not trying to take it away from you. - Oh, really?

You're not actively trying to campaign for the job?

Not to cut you out.

I wanna work with you.

In fact, I was coming to ask you

who you've chosen for Chief Resident next year.

Well, when the board calls to make it official, I will let you know.

There's one more thing.

Glenn Vogel and his family are in the ER.

Car crash. Danny Simms is treating him. Just thought you should know,

considering what happened a couple days ago.

Uh, bedside echo looks good.

- You have 60%. - Okay.

- What's the update? - It's not great.

We're working on the baby, mother is pale and hypotensive.

Okay. Thanks.

What's going on? Are they okay?

They're… alive, and we are doing everything that we can.

That's what the doctors in Gainesville said to my dad

right before he died of a MRSA infection.

And we got a $170,000 hospital bill. Wiped out everything they had.

I'm sorry.

Couldn't do anything for Benny a couple days ago.

Why should I believe you now?

Are you saying Benny got worse when he got home?

- Much worse. - Dr. Simms literally begged you to stay.

We wouldn't be here now if you'd listened.

It's okay. We understand.

Maybe what you people did made him worse.

He stopped breathing so many times.

Kathryn was so scared. I was trying to get him to my mom.

She's a midwife. She knows what to do.

So, that's why you were speeding.

It wasn't my fault.

Kathryn was screaming.

Benny had stopped breathing again.

Why couldn't you have helped him?

I'm…

I'm really sorry that this is happening to you right now. I really am.

I promise you we are doing everything that we possibly can to try and fix it.

Please don't tell me I killed them.

I'm gonna keep you updated. Okay?

- Elijah, you've got it from here, right? - Yeah.

- She's bradying down. - We're losing her.

- How can I help? - We need to crack her chest.

- Isn't she blunt force trauma? - Heart rate's dropping, in the 30s.

- Yeah, but she's young and healthy. - I think it's the right call.

- Where do you want me? - You intubate while I prep?

- Can I get an intubation tray? - I'm on it.

All right.

Shit. We lost pulses.

Let's start compressions. Let's get ready to open her up.

Yes, doc. Prepping.

Dr. Phillips, this room was empty on the board.

Yes, Julio is actually a longtime patient of mine.

He came in for a paracentesis.

So, you snuck in a non-emergent patient.

He's in a lot of pain. He can't get into his GI clinic until next week.

All right, get it done. And get him out.

Great. Yes. Um, Donna… would you mind grabbing me an ultrasound?

Might be a minute, they're both being used.

Or, just an idea.

You do this extremely basic procedure without an ultrasound.

I've never done one using only landmarks.

Sick people are waiting for this room.

Now, either you get it done, or we discharge him.

Please, man, just do it. I can't wait another week.

Yeah, let's get you better.

She's intubated. Gabe, I can swap in.

All right. Let's do it. Ten blade.

Ten blade.

Thank you.

So…

you can ride the bike without the training wheels.

Good for you.

- Sophie, rib spreaders. - Rib spreaders.

Thank you.

All right, I'm in.

Holding compressions.

What do you see?

Want us to continue compressions? Do you see the heart?

I need to cut through the pericardium. Keep holding compressions.

Okay.

We'll be discharging room five in, uh, 15 minutes.

Help! Please, someone help us.

Please, we need help over here!

Hey, open the door.

Sandra?

- What's going on? - He's unconscious.

He was fine when we got home. He just collapsed.

Julio! Julio, can you hear me?

Julio. Julio, can you hear me?

Come on, come on.

- I'll take care of him. - Please, Dr. Phillips. Please.

It's gonna be okay. Let's wheel him out.

Let's get him into a trauma bay.

On our way.

Okay. Cutting through the pericardium.

Vitals aren't stabilizing.

Oh God. She ruptured her right ventricle.

Holy shit, can you fix that?

She's circling the drain, guys.

- Xander, we're losing her. - Call up to cardiac surgery.

Tell them I'm plugging a ventricular tear with my finger. I need help, now.

Okay. We need to move her up to the OR.

What about a Foley catheter to plug the hole?

- Great idea. - I'm on it.

Hang in there, Kathryn.

Abdomen’s distended. He must've bled out.

He's about to code. We've lost pulses.

- Let's start compressions. The stool. - Starting compressions.

All right. Hold compressions. Pulse check.

All right, no pulses, what's his rhythm?

Still V-fib on the monitor. Charge 200.

Charging to 200.

Resume compressions.

Hold compressions.

Pulse check?

Asystole.

BP's coming back up.

She's stabilizing.

I think we did it.

You saved her.

Let's put her on a portable monitor and move her to the OR.

- Camila, can you give us a minute? - Oh, yeah.

Xander, she's going to be okay. You saved her.

She could still die in surgery.

You need to tell her husband.

Not until she's out of the woods.

♪ And I want to tell you that I want you ♪

♪ Any way I can ♪

♪ I want to take you in my arms, I do ♪

Cole, what are you doing here?

I was just seeing how she was doing.

No. You…

You don't have that privilege anymore.

If you have any interest in a career in medicine, you'll stay away from her.

Okay. In every sense of the word.

- Look, I understand. - You do? You understand?

- Mm-hmm. - Because she's in critical condition.

Her family, they now have legal grounds to question our treatment of her

'cause of what they think happened between you two.

No, the only thing you can do right now regarding Nia Washington is pray.

And get out.

♪ By my side ♪

♪ It's where I want to be ♪

♪ By my side ♪

♪ Forevermore… ♪

So…

I had this patient named Julio.

He was 20.

One night he came in…

The ER was slammed,

and Dr. Broussard, she wanted me to hurry,

so I did, and…

I must have nicked a vessel.

I think about it every time I walk into a trauma bay.

I think about it every time I work on a patient.

I'm sorry.

But you know, I think I could have lived with it.

Instead, my mom covered the whole thing up.

So, when I transferred to Maguire, people wondered why I left.

Which, I guess, is where those rumors must have come from,

about the other women, and…

I couldn't tell you it wasn't true because breaking an NDA could ruin me.

And my family.

Hmm.

It's still my fault, though.

'Cause I let it happen.

And I'm ashamed.

My mom didn't want it to ruin my career, but…

she also didn't want it to taint hers.

She put me in this inescapable box.

God, I fucked up.

It wasn't your fault.

No.

I fucked up with you.

You were right, I shouldn't have pushed, I shouldn't have…

I shouldn't put you in the position I did.

I should have just listened to you.

You know, to what you wanted, they way you needed.

I'm really sorry, Danny.

I'm so sorry.

Thank you for saying that.

I need you to know I really do love you.

I love you too.

You know, I keep thinking about our Sunday dinners.

God, I'm gonna miss those.

Maybe I'll get fired.

No way my parents let you get fired. Not after what I told you.

Maybe I'll get fired, and you won't be my boss anymore.

And we can… start fresh.

See what happens.

You want that?

Sounds kind of nice.

Hey, how's Mom?

Um, in surgery.

It's too soon to say.

- How's the baby? - He'll be okay. Yeah.

Pyloric stenosis.

You were right.

- You should feel proud. - Oh, I do.

Don't worry.

Hey. What do you think they're doing in there?

The beat goes on.

You know, you should tell her how you feel.

It's not like that.

Danny and I are just friends.

I'm just saying, I see you.

Chan. I heard you did a thoracotomy with Phillips.

I assisted. I just dropped her off in surgery.

I'm taking you off the surgical service tomorrow.

You should have a new schedule soon.

Hey. What is your problem?

- My problem? - Yeah.

Why is it that every time I do something right,

you need to knock me down a peg and make me feel bad about myself?

You know, never once have you lifted me up.

Never once have you encouraged me, and you know what? People notice.

Do you know that Camila would rather leave this hospital

than deal with your bullshit?

Like, we could actually lose her,

and all of her goodness and optimism because, what?

You can't deal with your ego?

You done?

'Cause I actually agree with you.

I changed your schedule so that we won't be on the same shifts.

Which I think you'll find is for your own good.

- Hey. - Hey.

Danny and Phillips want an update on Kathryn Vogel soon as surgery has one.

Come on.

Let's bust you out.

- Be careful. - Yes, yes, yes. Be careful.

Come on.

Did you get a call from the board?

Yes.

And…?

How's it going?

Hey, Vero, right? Hi, I'm Camila.

Hi, Camila!

Congratulations. I see you're going home. That's great.

Thank you.

Were you there when I came in?

Yeah, I was. It was my first day.

Do you like it here?

Yeah.

- Pretend Dr. Cruz isn't even here. - That's what I do.

No, no, really. Um… I really do. I love it here.

Ah…

I wish you weren't leaving us.

I hear you're petitioning to go over to Miami South.

Natalie, leave her alone.

I'm sorry. I didn't realize that you'd be…

Keeping tabs on all my medical students?

It's hard to ignore the ones that get reviews like yours.

I mean, everyone I've talked to.

Dr. Phillips, Dr. Elijah, Luis, the attendings…

They say marvelous things about you.

We would be very disappointed to lose you.

Oh my God. Hi.

You did good!

- So happy for you. - Thank you so much.

- Hi. - My mom said you saved my life.

That…

Don't be modest. Vero wouldn't be here without you.

I'm glad I could help.

Thank you.

Ah!

See, the frustrating thing is now I can't fire you.

But, I wasn't going to anyway.

Although when you're Chief next year, remember how close you came.

It'll keep you grounded.

I…

Let's keep this between us for now.

It'll be announced tomorrow at the party.

Isn't…

Isn't this just gonna make everything so much harder for you?

Not your concern. Just focus on being a good doctor.

I'm really happy for you.

It's awesome.

Stay off it as much as possible.

Ice, and that'll be it when you get home.

Okay? Now take it slow.

Sophie, you have an update?

What is it?

Are they okay?

So, your son has a condition called pyloric stenosis.

It’s very treatable, and he’ll be fine.

I also just heard from the OR.

Kathryn just got out of surgery, and she did very well.

Everyone's very optimistic about her recovery.

Uh…

Hey! Hey, Camila!

- I found your earring. - God, are you serious?

- Yeah. - Holy shit, thank you!

Um…

- Well, you said you liked it, so… - No, it's more than that.

My grandma gave it to me before she died, so…

I'm sorry.

Thank you.

- Happened last year. - So, where'd you find it?

Uh… Oh, well…

First, I went to the spot that you normally eat your breakfast.

I guess it's not really your breakfast,

but that blueberry muffin you get from the coffee cart.

Um, I went to the table next to the tree.

Checked the floor, wasn't there. So I talked to the janitor.

- And he didn't have it… - The janitor?

Well, yeah. I, um…

I wanted to ask him to check his mop to see if it was… tangled in there.

Anyway, uh… I found it on the floor in the docbox.

Um…

Actually, can I see that for a sec? Thanks.

Uh, so, I'm going to be holding this hostage now because…

I don't want you to go.

This hospital wouldn't be nearly as good without you.

And, um…

I really love… working with you,

and, uh, you make me…

laugh.

And you make me better.

So, I'm going to be holding onto this until you agree.

So you'd really keep my dead abuela's earring from me?

Yeah. 100%.

Well, I actually took back my petition this afternoon.

I decided I'm going to stay, so hand it over.

Oh God, you just let me make that whole speech.

I loved your speech.

Camila!

- Oh my God! - Hola, mi amor.

- Hi, baby. - Hi.

- Cómo estás? Thank you. Gracias. - Hi, happy last day. These are for you.

- Uh, hi! - Hi!

- I'm Sophie. - Hi, I'm Rodrigo.

- Rodrigo, wow, nice to meet you. - Yeah.

Um, I didn't, uh… I didn't realize Camila had a boyfriend.

She doesn't.

- Hopefully. Right? - Stop.

- I'm her fiancé. - Oh, wow!

That is great!

That is so amazing. Great.

Um, I didn't, uh, see… Uh, where's the…

Oh, right. Yeah. No, it was really recent,

so it's getting resized right now.

Cool. That's cool. Cool, cool.

Um… well, I… I gotta go. Home.

Um, so…

- It was a pleasure meeting you. - Rodrigo.

- Yeah. - Great.

- Anyway, I'll see you Monday? - Yeah.

Well, thank you. Have fun at the party tomorrow.

Hey, Dr. Sanchez.

Dr. Phillips.

- Congratulations on making attending. - Thank you.

I gotta say, I was a little surprised. I think all the other attendings were too.

- Really? - Come on.

Right, you're a charmed son of a bitch.

People have made allowances for you just 'cause of who you are.

And you were a good Chief.

You gotta realize there's no safety net when you become an attending.

Any mistake anyone you're supervising makes,

from the dumbest med student to, well, your new Chief Resident,

that all falls on you.

Hope you're ready for that.

You know, I… I get it.

You're not my biggest fan, and I would have said I was excited

to work with you as colleagues, but since we're being honest,

you were always my least favorite attending.

I'll see you Monday, Patrick.

No, what I'm saying is, like, you have disposable income.

Like, attending money?

No. No, you really got funds. Like, you're rich.

- Uh… - Japan.

- That's what I'm talking about. - Straight to Kyoto. Do not pass Go.

Do not collect 200 dollars. And…

I'm bringing 50 grand with me for shopping.

Nice. Danny, what about you?

Um…

Sicily. I would go to a vineyard in Sicily.

And I would drink red wine,

and sit by the pool,

not think about my student debt,

which was miraculously gone because of all of my amazing money.

Danny Simms.

You wanted to know who I chose as Chief Resident.

Okay. Thank you.

And we can have a business-only lunch… that you pay for.

Great. Your pick.

Claro.

- I don't want to talk about it. - What?

You screaming at me in the ER or the Nia situation?

Neither.

At least I know why you're being a bigger dickhead than usual.

- Can I get you anything? - Yeah, just a water, please.

So, uh, what happens now?

She wakes up, her family could sue, and I'd be fired.

Or she dies, her family could sue, and I'd be fired.

I'd also be devastated.

You really care about her.

I can't even admit that without getting in trouble.

- Got you a new one. - Oh, thank you.

You read my mind.

You are welcome… Chief.

Oh, you don't know that. That's…

I mean, it's going to be you.

And you deserve it. Honestly.

Just want you to know that.

Thank you.

So, Sicily, huh?

- Yeah. - Mm-hmm.

I mean, why not?

- Where would you go? - I don't know.

Sicily sounds pretty good.

Hello, everyone.

Buenas tardes.

So good to see you all here.

It's been a great year.

And you have all worked tirelessly. And for that, I cannot thank you enough.

I need to announce that next year, there will be a change.

The administration has made the decision to split the ER and surgical departments.

Which means I will remain chairman of surgery,

and the ER will be getting a new interim chairperson.

It really has been the honor of my life

to grow this hospital into the trauma center it is today.

But there comes a time to pass the baton.

And I'm very pleased

to pass on the leadership of ER to one of our own,

Senior ER Attending Patrick Sanchez.

Thank you, Dr. Cruz.

I am truly honored and humbled to take over this ER,

one which you have built into such an incredible institution.

As most of you know,

I like to keep things simple, and I don't like public speaking,

but there is one outstanding matter on which I need to speak to you today.

And that is the appointment…

of our new Chief Resident for the following year.

Now, in consultation with Dr. Cruz and the board, I have decided to choose…

Dr. Samuel Elijah.

Sam!

- Congratulations. - Thank you.

- Elijah… - Hey.

Hey… Yeah, man.

Happy for you.

- Good work, baby. - Thanks, boo. Thank you.

You're gonna do great.

Thanks. Wow.

Hey.

Danny, I'm so sorry.

I didn't know he was gonna do that.

You don't have anything to be sorry for.

This is the price you paid for me, isn't it?

Sanchez taking the ER?

It's not on you.

I was taught you take the hits. You don't complain.

My mistake was thinking that would stop the hits from coming.

They never stop coming.

You need to work on your pep talk.

Ah…

I'll be fine.

And you'll be fine too.

You impressed a lot of people as Chief, Danny, not just me.

So don't underestimate yourself.

Because in the last couple of weeks, you put yourself on the map.

Is that a better pep talk?

I just cannot believe it.

- Of all the people they could have chosen. - Hang on. There he is.

Hey, Patrick.

Congratulations.

Thank you so much, Dr. Phillips.

And also, um, there are a lot of attendings I like less than you.

See you Monday, Xander.

- I'm so screwed. - Oh, completely, yeah.

Did it hurt when he did that? Looked like it hurt.

Hey.

Hey.

I'm really… I'm really sorry about Chief.

I'm glad Elijah got it.

Well, I'm glad you're not going anywhere.

Me too.

- I really... - Hey, I just…

- You go. - No, you… You.

It meant a lot, what you said yesterday.

And I'm gonna miss our Sunday dinners too.

And I want you to know that I'm not gonna…

I'm not gonna tell anybody about Kennedy.

Well, it doesn't really matter.

I went to the hospital review board this afternoon.

Told them everything.

- What? - Yeah.

You could get sued. You could lose your license.

- What about your parents? - I don't give a shit.

It was the right thing to do.

So I did it.

This, uh, girl I really like said that one time.

I'm trying to be a bit more like her.

["Stargazing"

♪ Time stood still ♪

♪ Just like a photograph ♪

♪ You made me feel ♪

♪ Like this would last forever ♪

♪ Looking in your eyes ♪

She stepped on my foot.

Come on.

What? You guys need some work to do?

What are you doing here?

Can you grab me the roster for the residents and interns for next year…

Wait, wait, wait. Does that mean that you're going to be Chief?

Oh, hell yeah.

Congratulations.

- Congrats. - Thank you.

Shouldn't you be, uh, shaking hands and drinking tequilas right now?

Nah. Like I said, I got some work to do.

All right?

♪ Love me to my bones ♪

♪ All this time I've wasted ♪

♪ You were right there all along ♪

♪ Time stood still ♪

♪ Just like a photograph ♪

♪ You made me feel ♪

♪ Like this would last forever ♪

♪ Looking in your eyes ♪

♪ I see my whole life ♪

♪ Oh-oh, oh-oh-oh-oh ♪

♪ They say you know it when you know it And I know ♪

♪ Oh-oh, oh-oh-oh-oh ♪

♪ Promise that you'll hold me close Don't let me go ♪

♪ Take my heart, don't break it ♪

♪ Love me to my bones ♪

♪ All this time I've wasted ♪

♪ You were right there all along ♪

Elijah?

Speedboat collision off Key Biscayne beach.

Multiple traumas coming in.

I know you're not on shift, but any chance you can start early?

Let's go, baby.

♪ You were right there all along ♪

♪ You were right there all along ♪

♪ I lose my mind ♪

♪ When I'm around you How I come alive ♪

♪ Oh-oh, oh-oh-oh-oh ♪

♪ Promise that you'll hold me close Don't let me go ♪