Original subtitles

I'm doing some initial blood work

to see if I could maybe be Lizzie's surrogate.

You don't owe her this level of personal sacrifice.

Look, I didn't ask for your analysis.

So if you're not gonna be supportive, stay out of it.

I have a habit of taking things too fast.

I don't wanna rush you.

Dr. Hayes used his hand to move down my body.

I couldn't even speak.

I will have to report this. No.

I don't want this to jeopardize my residency.

I can't afford that.

Flog your dear old mother.

I can take it.

You grind the weaklings down to a nub

until one day they can't take it anymore.

I loved your father.

Yeah, until there was nothing left.

Mom? Mom!

She's not breathing. Code Blue! Code Blue!

Yeah. Thanks.

John. Hey.

Looks like you got your hands full, man. What's up, Nate?

Yeah.

There was a gas leak near Nate's day care,

and Lynne's halfway across the state visiting a friend,

and I'm the emergency contact, aren't I?

So I need to keep an eye on him until she gets back.

Now, theoretically, he is due for a nap,

but the second he's not being held,

he, uh... he starts to cry.

My patient list is getting pretty backed up.

Any chance you could... you could take him

and get him to sleep?

Well, how do you expect me to do that, Rip?

I don't know. You're a kid doctor.

Aren't there tricks?

I'm a pediatrician, Rip, not a magician.

And, well, look, I just got some labs back.

I need to see a patient myself.

So good luck.

See you, buddy.

Okay.

Trini.

You know we literally just won

a major labor action about nurses doing too much, right?

Yes, yes.

And I... I hear that. But counterpoint:

cute baby.

Hand him over.

Thank you. You're the best.

You owe me one.

There you go.

So you asked.

Then what happened?

I told her she should be excited to go with me

because this is an important part of my story,

my dark night of the soul moment.

Dark night of the soul moment?

It's the part of the movie where the heroes are at their lowest,

right before they rise from the ashes

and the miracle happens.

So what did this girl say?

She looked confused and said she already had

a date for the dance.

Boo.

We're good, we're good.

Here we go.

Let's take this off right here.

She was pretty out of my league anyway.

Okay, here.

Yeah.

There.

Save your breath. Save your breath.

Though I don't agree with you.

She can't be out of your league.

Hey, can I borrow you two for a minute?

Yeah. Yeah, of course.

What's up? Is something wrong?

We got the repeat lactic acid level back,

and unfortunately, it is higher.

Okay, Noah's pneumonia is getting worse.

If the infection continues to progress,

he's headed towards respiratory failure.

He's literally at the top of the transplant list,

so we just need to buy a little time.

I know, and this is why I think

we should consider intubation as an option.

No way. Noah hates it.

That may be so.

But his level of discomfort right now...

But it's not just that.

It's just, every time we've put him on a machine,

he comes back a little weaker.

And one of these times when we put him to sleep,

we're worried he'll never wake up.

Come in.

Ah, Dr. Howard.

Please, have a seat.

Thanks for coming.

Uh, I wanted to talk to you

about what happened with Dr. Hayes.

Yes, Dr. Lenox filled me in.

First, I am so sorry you had to go through that,

and know that Dr. Lenox and I are here for you.

Oh.

Thank you.

I had to inform Human Resources.

They're going to investigate.

They will wanna speak to you.

And they'll speak to him.

Yes.

Sorry, this feels like it's turning into this big deal.

Oh, Dr. Howard,

this is a big deal.

And in order for Dr. Hayes to be held accountable,

we need to treat it that way.

Naomi, look, I know this isn't what you wanted.

This is the exact opposite of what I wanted.

I only told you about it because I was trying to protect you.

Now I have to risk my career with a he said, she said story

against a man who brings in more money to this hospital than God.

I didn't have a cHeyce. You always have a cHeyce.

Like how I chose to trust you.

I won't make that mistake again.

Synced and corrected by synk - www.addic7ed.com -

Hey, I heard you were here.

I was surprised,

since the memorial's in five hours.

Trying to figure out what to say, you know?

It's, uh, tricky.

Uh-huh.

What's all of this?

Oh, you know, it's...

wanted to have some pictures of my mom for people to look at,

you know, when they're walking in the church.

I'm supposed to pick out five.

How do you encapsulate a life in five photos?

What about this one of the two of you?

Yeah.

You know, you convince yourself

that just because somebody hasn't been in your life,

it's not gonna hurt.

Except it's your mother, Daniel.

Whoa! Oh.

Sorry. Hey.

Sorry.

So I was wondering if, uh,

you might have seen any jackasses

who might need to apologize around here.

You know what? I just spotted one.

Yeah.

I met with the surrogacy place this morning

for a psych evaluation and a physical.

They asked me about my addiction and my romantic life,

neither of which make me seem super stable.

Will you still be able to do it?

They said that they'd let me know by the end of the day,

one way or another.

Dr. Archer. Yeah.

Need you in treatment 4. Right.

Well, I've got a feeling it'll work out.

Looks like you cut your knee, Mr. Lenox.

No, call me Kip.

You know, we lock up the good drugs.

Well, it was worth a shot.

You are Dr. Lenox's...

Brother. Yeah.

Any chance that she's around?

She's off the floor.

But we will take care of you. Don't worry.

So you wanna tell me what's going on, what happened here?

Uh, nothing remotely cool.

I stepped off a sidewalk and fell.

You noticed any drainage or pus?

I don't think so.

But you're Archer, right?

Yeah. Didn't Caty take your job?

That's not exactly how I'd put it.

Believe it or not, I'm on your side.

No one feels your pain more than me.

She has been bossing me around for almost 30 years.

So what, you got all of these from falling off a sidewalk?

No.

Some are previous injuries.

From what?

I've had a few falls lately.

My balance has just been a little off.

Mags, what's with the Secret Service vibes?

There you are.

Got a girl coming in via private ambulance.

I already got a call from their head of security.

Head of security?

Yeah, patient's name is Alea Lancer.

Daughter of Griffin Lancer? The tech billionaire.

Here we go. Okay, then what have we got?

Alea Lancer, 17.

BPs are 92/56 and dropping.

She was cyanotic. Pulse ox only 86 on room air.

Alea? Alea, can you hear me?

She's not answering.

What happened?

I went into her room this morning to wake her up

and couldn't get any response from her.

She just was kind of listless.

Okay, on my count. One, two, three.

Thank you, ladies.

BP's 86/50.

She just finished her last course of chemo a few days ago.

She's been battling leukemia for the past two years.

But she's been doing so well until...

All right, what's happening? Her heart's failing.

Let's bolus a liter of saline and start a dopamine infusion.

I can't find a vein.

They've all collapsed because of the chemo.

BP's 80/46.

She's dropping. She's tachy.

Heart rate's 115.

Okay, set me up with a subclavian crash line.

What's... what's this?

They're ports for her chemo and other treatments.

Should we use them?

I've never seen ports like this.

They're experimental.

72/40 now.

Give me an EZ-IO.

Wait, wait, wait.

What are you doing?

We have to do an IO line.

Drill into her bone marrow to get the medication to her heart.

You want the lido?

No time.

Got it.

Give me a dose of epi. Then hang the dopamine and saline.

Epi's in.

BP's 82/50.

She's coming back.

Yeah.

Good girl.

We've managed to stabilize Alea,

but it's only temporary.

I don't understand. The cancer treatment was working.

The cancer isn't causing this.

Her chemo was aggressive, and it caused scarring

throughout her chest, which is putting pressure on her heart.

Okay. So what is the plan?

Well, this is Dr. Morris, one of our cardio...

Pleasure to meet you, sir.

We're gonna try something called decortication.

We'll surgically remove the scar tissue

encasing the heart to relieve the pressure.

Is it risky?

It can be.

But it's the best option?

We believe so, yes.

All right. Make it happen.

It's crazy to be standing with him in person.

Did you just call him sir?

Shut up.

While the Lilly white shall in Love delight,

nor a thorn nor a threat stain her beauty bright.

Wordsworth, huh?

Always thought he was a bit of a hack.

Agreed, but the poem's by Blake.

Whoops.

You know, Frederick,

I was unpleasant to you at the hospital,

and that wasn't fair.

No, no, no, no.

The parent-child relationship, it's sacred.

It attracts drastic measures.

Mm, that may be, but you kept your cool

and treated me better than I deserved.

Well, it delights me to hear you say that.

But I've always been a very grounded person,

and I could see you were just looking out for your mom.

Well, something like that, I guess, you know.

And besides, time is cruel.

And someday, sooner than either of us would like,

we'll be the last two people left

who remember Margaret.

We've gotta stick together.

Hi, Dad. Oh, boy.

Hi. Hey.

Wait, wait, wait.

I thought that you couldn't fly in till later tonight

because of finals.

Well, I had to move some stuff around,

but, you know, I didn't wanna stress you out,

so I called Robin to pick me up.

Oh. Easy.

Mm, yeah, super easy.

Everything okay?

What do you mean?

Don't do that Dad trying to find a problem thing, okay?

We're just stressed from the traffic on the way here.

Okay. Yeah.

Don't worry about it, Dad. We are fine, okay?

We'll see you. See you later.

Why do I feel like I'm about to get bad news?

Because problems with balance, tremors at your age

can be indicative of larger issues.

Dr. Archer is aware of our family history.

That we have a 50/50 chance of inheriting

a cruel and sudden death?

Is that what this is? We don't know.

It could be the prion disease presenting,

or it could be a number of other things...

multiple sclerosis, transverse myelitis,

autoimmune issues.

Well, if that's all it is.

So what we need to do is run a battery of tests,

figure out exactly what's going on.

And will the tests show if I have what Mom had?

Yes. Mm.

Then I'm not doing it.

This isn't a discussion, Kip.

You have to let us test you.

I don't have to do anything.

It's my cHeyce.

Yes, but you could be risking your life.

Well, luckily, I made peace with risk a long time ago.

Really?

Yeah. And that's for sure?

Okay, yeah.

I will, and we'll get back to you in a few minutes.

Thank you.

What's up?

How's Noah?

Yeah, he's not so good.

His O2 sat keeps dropping.

Why?

Because he just got some good news.

Wait, he's getting new lungs?

Organ Donors of America called to say

that a pair of lungs is gonna be available

in the next few hours.

But it is a little bit complicated.

How so?

The lungs are coming in from Omaha.

They have to finish removing them

and then helicopter them here.

It could be several hours before they arrive,

and Noah's lung function is going down fast.

You are saying you might need to intubate him in the interim?

I think we may be past that.

He may have to go on ECMO.

That's like that machine...

That puts oxygen into Noah's blood outside of the body.

Normally, in considering Noah's condition,

I'd recommend it immediately.

I feel like there's a but.

Putting him on ECMO is a serious surgery

that carries its own risks.

Like what?

To be clear, ECMO is often a bridge

for transplant candidates.

That said, there are neurological risks,

such as stroke, blood clots.

More concerning for us is taking into account

Noah's particular history,

there is a significant risk of infection.

So saving his life could cost him the new lungs?

It could.

So where does that leave him?

Well, for now, we are going to put Noah on a BiPAP machine

and see how he holds up.

But we might have

a difficult cHeyce to make very soon.

Okay. Thank you. That'd be great.

All right.

Hey. Hmm?

How's the Lancer surgery going?

I'm not sure. They're still working.

Any idea where the mom is in this picture?

You haven't read his book?

Mm-mm.

His wife died when Alea was six months old.

Also cancer.

Right before he made his first billion.

Wow. Mm.

My God.

It's hard to imagine having so much good luck

and so much bad luck in one lifetime.

Mm.

So I don't understand the purpose of this meeting.

What specifically does the board want to discuss?

They didn't say. They just said they want

to go over the allegations against Dr. Hayes.

Well, that seems a bit early,

given that HR's just started their investigation.

Hello, Ms. Goodwin.

I'm sorry.

I thought you called this meeting

to discuss the allegations against Dr. Hayes.

We did.

Then why is he here?

The board is looking into it.

But while they do,

Dr. Hayes will continue to work at the hospital.

And because this is the first accusation against him,

his privileges won't be revoked.

We need to escalate this.

Let's take it to a lawyer or the police.

Look, I know, and I agree...

No, just stop.

I appreciate that you are angry on my behalf,

but respectfully, I don't want any more of your help.

Dr. Howard,

the reaction of the board was unacceptable,

and my support for you is not going anywhere,

but this train has left the station.

Ms. Goodwin is right.

There's always going to be obstacles

when a man in power is called to task.

So we need to find a different way to fight.

Do we?

Because so far, your help has only made things worse.

What's happening now is exactly what I was scared of.

He gets off with a slap on the wrist,

and I get pushed into obscurity.

You don't know that. Maybe.

But what I do know is that whenever anyone looks at me,

the first thing they'll think of now is

what happened with Dr. Hayes.

Not what kind of doctor I am or what kind of person.

Dr. Howard... Can I go now?

Of course.

There's my girl.

How are you feeling, Alea?

My throat hurts.

But I can breathe a little better.

Oh, that's good. That's good.

You really scared me this morning.

I like to keep you on your toes.

Mission accomplished.

Rest is good.

Don't fight it.

Mr. Lancer?

Hmm?

Can we talk for a moment?

Mm-hmm.

It seems like she's doing better.

It's complicated.

We were able to remove

a significant amount of the scar tissue

from the chest cavity and the lungs,

which did reduce some of the tension on her heart.

The scarring is more pervasive

than the initial CT suggested.

The thoracic fibrosis is still extensive.

What does that mean?

It means that while the surgery did help her heart,

the damage to the other organs is severe.

Her condition is only gonna get worse.

So what are the other options?

Mr. Lancer, any attempt we make to intervene

will send her into respiratory failure.

Now, we will continue to give her pressors and oxygen,

and we will keep her comfortable.

But there's not much else we can do.

I'm so sorry.

Well, I don't accept that.

Uh, excuse me?

There's always a solution.

There's always a way around something.

Mr. Lancer, I wish there was.

You're not thinking creatively enough.

That's the problem.

Look, I understand that this is difficult to hear,

but I assure you, as Alea's doctor...

Well, maybe that's the issue.

Maybe I need to find a better doctor.

Honey, I, um...

I just wanna say that I know how hard

it must be for you to be here,

given the way my mom treated you.

And I just...

I just really appreciate it.

Dad...

I'm fine, okay?

Was Grandma racist? Yes.

But she apologized for it basically every time she called.

She called you?

You didn't know that?

No.

Yeah, well, I was confused about it, too,

the first time I answered.

I figured she was just trying to make herself feel better.

But then she kept calling every couple months.

Well, I mean, what did you...

what'd you talk about?

Nothing, really. She would just ask how I was doing,

kind of check in.

It was never really a long conversation

and honestly a little awkward.

But she'd remember what I told her, and...

it seemed like she actually cared.

Huh.

You're Dr. Howard.

I'm Brittany. I'm a nurse in orthopedics.

Have we met?

No. No.

I, um...

I just heard through the grapevine

about your accusation against Dr. Hayes.

Yeah, I really don't wanna talk about it.

Yeah. Yeah.

Of course. I'm sorry.

It's just that I understand how you feel.

Exactly how you feel.

Oh.

I'm so sorry you had to go through that.

You too.

I decided not to say anything.

I told myself it was a smart move.

But if I had been braver, maybe you wouldn't be

in the situation that you're in.

Oh, no, no. Don't say that, please.

This is not your fault.

And even if you had said something, it wouldn't have mattered.

He's gonna get away with it.

You know, I don't think that's true.

I mean, even if Hayes doesn't get what's coming to him,

everybody's watching now.

And that next young woman,

maybe she'll be spared.

So, um...

I guess I just wanted to say thank you.

For doing what I couldn't.

O2 is at 76.

And what's the BiPAP level?

30 centimeters and maxed out.

Is he okay?

I think we need to put him on ECMO now.

Okay, whatever you have to do, let's...

please, please help him.

Dad, no, please.

He doesn't wanna risk not being able to get the transplant.

If I don't get the new lungs, I die anyway.

What's the point?

Can we... can we wait?

We can, but not without serious risks.

Dark night of the soul, right before the miracle.

Okay, no ECMO.

But let's get him up into pre-op for the transplant now.

He needs to be ready the second those lungs land, all right?

Go. On it.

Why do I keep seeing everyone carrying a baby around?

Your discharge paperwork is done.

You're free to go.

Caty, come on. Don't be like that.

I'm not being like anything.

Oh, really?

Because it feels like you're punishing me

for holding up my end of the deal we both made.

When you were a kid.

Which I'm not anymore.

Which means that you don't get to decide what I do.

Really?

Because you sleep on my couch, eat my food, ask for money.

Which I won't do anymore.

I'll just go away. I won't bother you.

Yeah. I've heard that before.

Oh, wait, Caty.

I knew you couldn't resist my couch.

What's wrong? I can't stand up.

I-I-I can't move my legs.

Okay. Whoa, whoa. Here.

I heard your kid's lungs came through.

Yeah, he's getting prepped as we speak.

Nice.

What's going on with your patient and the party in her room?

We told Griffin there wasn't much we could do for his daughter.

And now he wants a second opinion.

2nd, 3rd, 56th.

He's bringing in every heavy hitter in Chicago.

I mean, I can't say I blame the guy.

Doctor told me my kid was dying,

you better believe I'd be looking

for someone to disagree too.

Well, good for you for taking the high road.

Yeah, well, the medicine's the medicine.

He can talk to whoever he wants to.

Eventually, he's gonna have to accept it.

Hey. How's your brother?

IV Decadron seems to be helping.

A little feeling has returned to his legs.

Well, that's good, even if it's a stopgap.

Now, if you can get him to test...

I've talked to him. He won't do it.

Well, he's emotional, understandably.

It's not just that.

Well, maybe you could say to him...

I can't, okay?

He won't listen to me.

I'm somehow making everything worse, so...

I need a minute. Can you...

Yeah, of course. Sure, sure.

I'm usually better at reading people.

Normally, I'd know right away if someone was a complete bastard.

It's amazing.

For someone who prides themselves on being analytical,

you jump right to conclusions.

Her story doesn't even make sense.

Naomi has no reason to lie.

And the story she told me, the way you...

it's true.

Speaking candidly, I have never needed to resort

to that kind of thing.

I can have any woman I want.

You couldn't have me.

I had you from the moment we met.

You just needed to feel like it was hard.

You just needed to feel the push and the pull.

Naomi misread a situation.

That's unfortunate.

You arrogant prick.

It seems like you just need somebody to yell at.

But it is not gonna go well for you if you keep pushing this narrative.

I think you've misread the situation.

Oh? How so?

What, you think you're safe from me

because I follow the rules and you don't?

Because I'm pragmatic?

I care about my future?

Maybe I don't.

Maybe I'll light myself on fire just to watch you burn with me.

It was nice running into you.

My mother and I had a complicated relationship.

When I was young, she was my whole world.

And I just remember wanting to be closer to her.

But as I got older, I started to notice

how different we were.

Then something changed between us,

and we weren't in each other's lives for a while.

But I'm happy to report, recently, we reconnected,

and we began the process of healing.

You know what?

Uh, that's not quite true.

Uh...

the truth is, is that I spent my entire life

running away from my mother because I was terrified

of turning into her.

And what stinks about not talking to somebody

for 30 years is that, you know, people can change,

and you wouldn't have a clue.

I always wanted to have that last conversation with my mom,

you know?

The one where you are honest with each other

and, um, maybe start to forgive each other.

And I did have a last conversation with my mom,

but it sure wasn't that one.

I'd give anything to change that.

Mom, I'm so sorry if I hurt you.

And I hope you can forgive me.

And I also wanna say...

That I love you.

Because love between a parent and a child,

it goes beyond any one moment or decision.

It goes beyond anything.

Hey. Hey.

Finally got him down.

Yeah.

Only took all shift.

Oh, well, Mitchell Ripley is nothing if not persistent.

He looks so happy.

Yeah, except I'm terrified to move,

and I've lost all feeling in my left arm.

You know, I heard you get used to it.

Sorry, gotta take this.

Yeah. Yeah.

Hi, this is Hannah.

Hi, this is Dr. Tessen from Chicago Reproductive Health.

Hi, Dr. Tessen.

I will get right to it.

I'm very sorry to say we cannot approve you

as a surrogate at this time.

Is this because of what I said at my psych eval?

Addiction, as I'm sure you're aware, is complicated.

It's not the psych eval.

Wait, what do you mean?

It's not the psych eval that's preventing you

from being a surrogate.

It's something we found when we ran your labs.

That was very brave, my friend.

Well, whatever it was,

I really appreciate your being here.

Where else would I be?

And I'm sorry it's under these circumstances,

but it is so good to see your faces.

We'll have to plan a proper catch-up later.

Yes. Yeah.

All right.

It means everything that you're here, Sharon.

Everything. Thank you.

Mm-hmm. Excuse me.

Sharon.

Hey, Peter. What's going on?

Half of the board has called or texted me

in the last ten minutes.

That is because they're being contacted by the Tribune

asking them to comment on the accusations

against Nicholas Hayes.

The paper?

Do they know about Dr. Howard?

No, no, no. It's not just her.

Someone found multiple women to come forward

who were also harassed by Hayes.

Wow. Well, they'll be forced to suspend him now.

Yeah, I would expect so.

And the board, as you can imagine, are not happy.

Sharon, do you know who did this?

I mean, who leaked the story?

Do you think I'd tell you if I did?

There we go.

I know this may seem like a big production,

but we've got you.

I'm gonna go and check with your surgeon,

see if we'll be getting close.

I'm sorry. What's the holdup?

The surgery's been canceled.

Let's do it.

Hey, what's going on?

I heard there's a problem with the lungs.

What? No.

Lungs are fine. Transport went great.

Then why did we have to pull Noah Macron out of the OR?

These lungs aren't going to a Noah Macron.

Wait, I don't understand.

Who are they going to?

Alea Lancer.

All right, I'm gonna go put this in the car,

and we can head out.

This is Anna's, right? Yeah.

Hey, Dad.

You guys said when you came in,

the traffic was bad coming in from the airport?

I guess. Why are you asking?

Well, because your luggage tags say

that you flew in to Chicago four weeks ago.

You've been here the whole time?

Um, it's kind of complicated.

What's complicated?

I didn't wanna tell you right away, okay?

Tell me what?

Tell me what, honey?

That I dropped out of Stanford.

Okay?

I dropped out.

Why are you packing up?

Hayes is suspended. You don't need to go anywhere.

I need a fresh start, new department,

maybe a new hospital.

You know, I feel terrible about how this all unfolded.

I actually spent most of today thinking of ways to punish Hayes.

Come up with anything good?

I did.

But someone beat me to it,

someone with the composure and foresight

to speak to other victims and convince them to go public,

then reach out to the Tribune.

Someone smart and organized.

Do you know anyone like that?

Sometimes you just have to find a different way to fight.

And I want you to know

I was trying to do the right thing.

I just wish you'd come to me first,

included me in the conversation.

You wanna feel like you're in it together.

How you feeling?

Better.

Feeling is back in my legs.

Come here to yell at me again?

No.

I shouldn't have yelled at you before.

I'm not trying to be stubborn.

I'm... I'm just scared.

I know.

I realize I've been thinking about this the wrong way,

because I keep thinking about it like it's a you thing.

What, me having a disease isn't a me thing?

No, it's an us thing.

It always has been.

So we need a new pact.

A new pact? Mm-hmm.

You get tested, I get tested.

Are you sure?

I mean, if we can't keep hiding from the truth,

we'll face it together.

Yeah.

Excuse me.

What did you do?

Excuse me? I wanna know what you did.

What... what happened?

Did you know about this? Know about what?

Oh, he rigged the system somehow, okay?

He took the lungs from my cystic fibrosis patient

and gave them to his own daughter.

What, did you bribe someone? Is that it?

Relax. Hey! Do not touch us.

Easy, easy, easy, easy.

It's all right. It's all right.

I didn't bribe anyone, okay?

I acquired other opinions from doctors

who concluded that Alea was an excellent candidate

for lung transplant.

Given that her case is more dire, it took priority.

More dire.

But even with new lungs,

Alea's chances of survival are extremely low.

There's a 12-year-old boy that was waiting

for those lungs for months.

And you just signed his death warrant.

I did what I had to do...

To give my daughter a chance,

which is exactly what any parent would do in my shoes.

What, would you rather have me just sit and watch her die?

You shouldn't have that power, okay?

That's the problem here.

Maybe, but that's not my problem.

You, you said that the lung was the most acute issue.

Now that we've dealt with that,

let's move on to the next obstacle.

No one wants your daughter to die, Mr. Lancer,

and we will do everything we can to help her.

But this? This isn't right.

So what do you want me to do?

That's my kid in there.

I can't lose her.

I won't.

Mr. Lancer, we're gonna fight this.

You do what you need to do.

And I'll do the same.

Synced and corrected by synk - www.addic7ed.com -