Original subtitles

- It's a death threat. I've done this job a long time.

I've pissed off a lot of people.

- I wouldn't take this lightly.

- I have determined that

you are a significant danger to yourself.

- How dare you?

You're gonna sit there

and you're gonna tell me what's inside my head?

- The only thing we wanna do is to help you.

- You have a beautiful family.

- Thank you for taking care of my girl.

- You are gonna see her when you wake up.

It's gonna be OK.

- Oh, my God. - She's flatlining.

- No. No! - Time of death, 22:31.

- I need to see my baby.

- Right now, we need to get you into surgery.

- Am I gonna be OK? - That's the priority.

- I'm not going under until I see Ruby, please.

- Open a vaginal tray in the Jada.

- Hemabate is in. - Give 2 grams of TSA.

- Hi, Ruby.

I'm your mom.

I've loved you for so long.

I want so much for you.

- She's back in defib.

- Charge to 120. - Clear.

- Right angle retractor. - No.

- Another milligram of epi. - She's flatlining.

- No, no.

Come on, come on, come on.

Time of death, 22:31.

- Hey.

Uh, Ms. Wilson's labs came back.

Everything looks good. H2 blocker and discharge?

- No.

No, not yet. That's--

- You wanna run another test?

- I'd like to get an MRI of your chest and your abdomen.

Dr. Asher,

could I steal you for a moment?

I'll be right back.

- All right.

- Why has this patient been in the ED over three hours

for heartburn?

- Because heartburn in pregnancy

can be a sign of more serious conditions.

- All of which you've already tested for and ruled out.

- I haven't ruled out an aortic dissection.

- Her vitals are stable. Her symptoms don't line up.

- It could be an unusual presentation.

- You're reaching, Dr. Asher.

- When was the last time you went home?

Patient has reflux,

give an H2 blocker and discharge.

- What's up, guys?

- I had nothing to do with it.

- Me neither.

To be honest, I was a way bigger Nick fan.

I just find your character kind of annoying.

No offense.

- None taken, Kai.

You think maybe people will forget about this soon?

- I think you gotta expect a solid month of ribbing.

Yeah.

It's not every day you find out your colleague

was a teen heartthrob.

- But hey, joke's on them, right?

- How do you figure?

- Well, according to Loren,

random women just throw themselves at you.

Guilty. Yeah.

- And I bet you're the only resident here

not drowning in med school debt.

- Right.

- See you out there, Hollywood.

- Jackie! - Hi.

What are you doing here?

- You don't know?

I'm working here.

- Wait, you're the new nurse! - Yeah.

I realized I was onboarding

a new transfer today, but I didn't realize it was you.

But that's great. - Oh, OK.

Is this--it's--this is--

it's not lost on me that this could be weird for you.

- What do you mean?

- Well, working with me after you found me

bleeding on the bathroom floor. - Stop it.

But no, not at all.

- Maggie, where are we going?

- OK, I gotta go.

Yeah, of course. Go.

Dr. Charles.

- Jackie, hello.

- Hi. I owe you an apology.

Uh, for my, uh...

colorful word choice the last time I saw you.

- If memory serves,

"condescending prick" was a highlight.

- Yeah, yeah.

Well, in my defense,

you were trying to commit me to a psych ward at the time.

- Totally fair.

- Daniel.

I, uh, need an opinion.

- I'm gonna go change into my scrubs.

- Great to see you again.

What do you got?

- Headache.

I just hate this texting crap.

- Texting crap? - Yeah.

It's--it's ruined the already fragile art of communication.

Boy, I tell ya.

- And, uh, how can I help you with this one, Dean-o?

- All right, so this is a message from Margo, right?

"Got time for an afternoon coffee.

We should talk."

I mean, I don't know.

Is she asking to move in together,

or is she about to break up with me?

- You know, considering that my girlfriend

just transferred to another hospital to get away from me,

I'm not positive that I'm the guy you should be asking.

Maybe, you know,

consult a member of the, uh, the female persuasion?

Oh, look, there's one right there, see.

- Do you--

Hey, Hannah. I, uh-- I need an opinion.

Hannah? Earth to Hannah.

- Sorry, what? What's up?

- Are you getting any sleep?

- No.

- It wasn't your fault.

- Please, don't. I don't want--

- OK.

- We're going to Trauma 1.

- 35-year-old female, Tessa Myers.

Appears to have experienced

some kind of blunt force trauma to the eyes.

- Neighbors heard screaming from her apartment.

PD is investigating it as a possible assault.

She was highly combative at the scene.

Tried sedation, but, you know, she wasn't responding,

so we intubated her for safety.

- She couldn't see.

I think she was afraid we were her attacker.

- OK, folks, on my count.

One, two, three.

Let's get her on a vent.

- Thank you so much. - Yeah.

- Thank you. - Yeah.

- You need me to tap in? - No, no, I got this one.

- You sure? - No, go ahead.

Um, why don't you take the ankle sprain in Treatment 3?

- OK, yeah. Great.

- Her eyeballs are as hard as marbles.

- She must have retrobulbar hemorrhages

and orbital compartment syndrome.

I need to release the pressure.

- Right, I'll page ophthalmology.

- I mean I need to release the pressure now.

Get Kai and grab a lac kit. - Yeah.

- You're gonna slice open her eyelids?

- I'm gonna cut lateral to her eyelids, but yes, basically.

You ever do a lateral canthotomy?

- One. You?

- This will be my second.

- That's reassuring.

- Scissors. - Scissors.

- You ready, Kai? - Ready.

- That isn't from blunt force trauma.

- No.

These are chemical burns.

Someone poured acid in her eyes.

- Well, good morning, Ms. Administrator of the Year.

Bow when you speak to me.

- Picking up my suit at the dry cleaner's at lunch.

- Well, thank you again for doing this for me, Daniel.

- I'll be your arm candy any day of the week.

But, uh, where's, uh-- where's Dennis?

- Keynote speaker at an oncology conference.

What--

Where's my--

What?

I wonder what, uh, happened there.

- I don't know.

Maybe it was housekeeping,

but it's odd they didn't leave a note.

- Hmm. We just gotta swap out the glass, right?

- Yeah, yeah.

No.

No, that's--

That's not what concerns me.

Listen, Daniel.

A few days ago, something happened.

- OK.

- I received a letter,

a death threat.

- What?

Sharon, you're just telling me about this now?

- Well, HR asked me to keep it quiet while they investigate.

- Well, did they find out who sent it?

- Not yet,

but working theory is a disgruntled former employee.

- So, like, maybe somebody who got let go during the--

the Jackson-Monroe bloodbath or something?

- Well, they've been interviewing everyone

who was fired, but so far,

they've just eliminated people.

- It appears the sole intent was to blind her.

- Any suspects?

- With crimes of this nature,

it's often intimate partner violence.

There were no signs of forced entry at Tessa's apartment.

- Does Tessa live with anyone? - She did.

Neighbors reported hearing arguing between Tessa

and her ex-boyfriend a month ago when he moved out.

We're tracking him down now to interview him.

- She suffered significant second-

and third-degree corneal burns.

- And can her vision be restored?

- Once I surgically debride the necrotic tissue,

I'll have a better idea of how much is viable,

but I'm optimistic.

- Thanks, Dr. Baker. - Of course.

- Let's finish her trauma workup with a panscan.

Continue to irrigate her eyes, start topical and IV steroids,

and, uh, let's wean her sedation.

- Will do, Dr. Ripley.

- Thanks, Maggie.

- Ankle sprain is stable and ready for discharge,

so where do you need me?

- You know what would be a huge help?

If you can restock the supply room.

- Do you not want me on the floor?

- Oh, we're covered for now.

You'd be shocked how fast we run out

of supplies on a busy morning.

- Asher.

Hey. - Hey.

- Hi.

You ever gonna stop dodging my calls?

- I'm not dodging you.

I've just been swamped with work.

- Are you OK?

I know your case last week was rough.

- Can we not?

- Yeah, I--I just--

- Yeah, I know, but I'm just, I'm...

fine.

- Yeah, yeah.

Hannah, I need to apologize.

I never should have blown up at you like that over Sully.

You were...

just trying to stop me from imploding my life.

Sully, of all people, set me straight.

You believe that?

- Not really.

- Can I take you out to dinner tonight?

To catch up?

- You know, I picked the short straw

and I gotta work the night shift.

But soon.

- Soon.

- All right, just tell me how this feels, OK?

- Hurts.

- All right.

When were you diagnosed with Crohn's, Laura?

- Uh, when she was pretty young.

Five, I think?

- Anything before the age of six

is considered to be very early onset.

- You know, my timeline might be wrong.

She could have been a little older.

Her mom was always better at handling that kind of stuff.

I'm not great with details.

- Well, it certainly looks and sounds

like a Crohn's flare-up to me,

but I'd like to get a few labs and then just afterwards,

take a CT of Laura's abdomen just to be sure.

- Uh, is that really necessary?

Laura already went through all the testing

when she was first diagnosed.

- Because Crohn's affects all the layers of the intestines,

it can lead to complications which present like flare-ups.

Things like fistulas, which, if infected,

can lead to an abscess and--

- Yeah, I just gotta be honest.

Kind of sounds like a fishing expedition.

Like you're just trying to pad my bill here.

- Well, that's not the case.

But how about this?

We'll start with just the labs

and if Laura's white blood cell count comes back normal,

we'll skip the CT, OK?

- That's just taking my blood, right?

- Right.

- I can handle that.

- Is that OK?

- Fine.

- Doris, let's get a CBC, CMP,

CRP, ESR, a lipase, and a UA, please.

- You got it. - Thank you.

- Sandra. Hey.

How's Ruby Thompson?

- Oh, baby girl's doing great.

Maintaining her O2 sats off oxygen.

Just working on coordinated feeds with Dad,

and she should be able to go home tomorrow.

- Dad? Elise's--

Elise's husband is here?

- Got in late last night from Turkey.

I'll let Mr. Thompson know you're here.

I know he's eager to speak--

- You know, I gotta get back to the ED,

but I will check back later.

- Oh, OK.

OK. You're OK, Tessa.

- You're OK, Tessa.

We have you in restraints

to prevent you from hurting yourself.

- Tessa, Tessa. - OK.

- I wanna remove this tube for you,

but I need you to calm down first.

Your heart rate and blood pressure are too high.

Can you try and relax for me?

That's it.

Just take nice, deep, slow breaths.

That's it. - OK.

- OK, Maggie, let's get her more upright.

- Yeah.

OK.

I'm gonna bring you up now, Tessa.

There you go.

- Tessa, on the count of three,

I want you to cough out as hard as you can, OK?

One, two, three.

- I can't be here! I can't be here!

- You're OK. You're safe, Tessa.

- What's this? And what are you giving me?

- Just IV steroids to reduce the swelling in your eyes.

- Just stop.

- No, it's-- - Remove it now!

- Tessa, it's to restore your vision.

- I don't want my vision restored!

- I don't understand.

- I did this to myself. I don't wanna see!

Let me out! Just stop, please!

- Tessa, I'm Dr. Charles.

I was, uh, hoping I could get just a little more--

Let me guess.

You're a shrink.

- In fact, I am.

Happy day.

- Not your first conversation with a shrink--

- No. - Is what I'm getting?

- No.

My entire childhood,

I was dragged from one psychiatrist to another,

medicated until I was a zombie, long stays in the psych ward.

It was torture.

- Well, I'm really sorry to hear that.

- Well, save your pity.

All that to say, I know my rights.

- OK.

- You can't force treatment on me against my will

without a court order.

- Correct.

- And the most you can do

is put me on a 72-hour hold

if you think I'm a danger to myself.

- Well, I mean,

do you think you're-- you're a danger to yourself?

- No. I didn't drink the stuff.

I put it in an eyedropper, so do the math.

I don't want to die.

I just don't want to see.

Why?

I don't have a clue.

But if you're gonna put me on a hold,

please just do it now.

- I really just wanted to talk.

- Yeah, I'm done talking.

- I learned so much shadowing many of you last week.

It got me thinking

you all should have the opportunity

to learn from each other's cases,

so I'm instituting a weekly ED case review.

I will choose a recent case of note,

and we will discuss how we arrived

at either a good or bad outcome.

What happened? What did we get right?

What did we get wrong?

Any questions?

- Are these mandatory?

- They are an excellent educational opportunity

that I hope everyone will take advantage of.

But no, Doris, not mandatory.

I'd like us to look at Elise Thompson's case today,

your maternal mortality from last week.

Be prepared to present the sequence of clinical events.

OK?

- I confirmed with Mirabelle

that no one from housekeeping broke the frame.

As a precaution, we'll change your locks

and install cameras inside and outside your office.

- OK, we're also gonna need additional security

for the donor gala tonight.

- Unfortunately, it's gonna be impossible to get people

this close to the event.

- Sharon--

- Look, if you're concerned about the hospital's

potential liability, I'll sign a release, OK?

- I was more concerned about your safety.

I'm sorry.

- Look, if the roles were reversed--

- I would ask you to stay home.

I know.

Look, I'll--

I'll ask Daniel to accept the award on my behalf.

- OK.

- Hey.

Laura Finley's labs just posted.

- Thank you. - Yeah.

- I'm not seeing anything concerning.

- Did you get the info on her previous primary care doctor?

I wanna see what they had her on.

- Well, I asked her dad,

but he couldn't remember the doctor's name.

Really?

Mr. Finley was able to tell me Laura's medications and doses,

so I made a note in the chart.

- Off the top of his head?

- That's pretty impressive for a guy

who isn't good with details.

And I thought she hasn't had an appetite for days.

Do me a favor, Doris, and hold off

on uploading Laura's labs to the patient portal.

If her dad asks--

- I'll let him know that we're waiting on the results.

- Yeah.

- This ain't my first rodeo, kid.

- Noted.

- So I didn't get much out of her at all.

But if I were to guess,

I would say that she was suffering from some form

of body integrity identity disorder.

- Isn't that people who want to have a healthy limb amputated

or be paralyzed?

- Those are the more common cases,

but there have been reports in the literature

of people who, you know, wanna be blind or visually impaired.

This condition is excruciating to live with,

leading some sufferers, you know,

to take drastic action, as you can see.

- If I don't operate soon,

Tessa can lose more than just her eyesight.

If she develops orbital cellulitis

and it travels to her brain via the optic nerve,

she can develop a cavernous sinus thrombosis

or meningitis.

- This could kill her.

- Hey.

Ah, there you go. - Hey.

- So, uh, to what do I--

- Hey. - Owe this--

- Have you spoken to Sean?

- Sean? No. No, not for a couple of days.

Why?

- I had to let him go from the rehab facility.

- What? What--what happened? - Right.

Well, Sean and I, we have very different philosophies

when it comes to addiction treatment.

I mean, you've seen that yourself.

- So--so what, you let him go over a difference of opinion?

- Of course not.

Sean was becoming combative with patients.

- Combative? How so?

- Uh, it's his way or the highway.

And that's not how I operate.

You know, my patients, they don't need lectures.

They need understanding.

- It'd be nice if you could afford some

of that understanding to Sean, but, uh--

- Excuse me?

Margo, he's an ex-con.

Do you get it? All right?

It's not easy finding work.

This could be incredibly destabilizing

to him and his sobriety.

- I get that this is a very difficult situation

and I know how much you care about Sean.

But that is--

it's wildly unfair.

I care about Sean, too,

but I'm not gonna be held responsible for his sobriety.

- I'm not holding you responsible.

I'm just asking you to give him another chance.

- Or--

is this gonna be a problem for us?

- Margo, you--you--

You fired my kid.

Did you not think this would have an effect on me?

- Frankly, I--

I wasn't thinking about you at all, Dean.

- You think she's faking her symptoms at her dad's behest?

- I doubt she's ever been diagnosed with Crohn's.

But since there's no definitive test, it's easy to fake.

- OK, but why?

You thinking Munchausen by proxy?

Dad's looking for attention?

- I think it's the medication he's after.

All right, look.

These are the drugs that Adam claims

his daughter was prescribed.

This immunosuppressant alone,

4,000 a month without insurance.

It was just in the news, right?

After the price skyrocketed--

- People started selling it on the black market.

This is, um--

this is a pretty bold accusation.

We're talking not only insurance fraud,

but faking a kid's illness.

That's-- that's medical child abuse.

You know I gotta loop in DCFS, right?

- That's why I came to you.

All right? I need an attending to sign off.

- Look, I agree there are a lot of red flags here,

but once DCFS get involved, it's out of our hands.

It becomes their investigation.

- Look, I wouldn't be ringing the alarm

if I didn't smell smoke.

- All right, I'll make the call.

Jackie.

- You did such a great job with the supply closet.

Uh, I wanted to see if you wouldn't mind

tackling the Pyxis next?

The narcotics need to be verified--

- If me working in the ED is gonna be a problem for you--

- It's not. - OK.

Then why am I being relegated to softball cases

and restocking purgatory?

- Oh, no. I'm just trying to ease you back in,

let you get a lay of the land, and--

- I've worked plenty of shifts at the ED.

I know where things are.

- But, Jackie, it's your first day back.

I just--

I just need to make sure that you're--

- Stable?

- No, ac--acclimated.

- You know, so much of this job is

seeing people through the worst day of their life.

After what I just went through,

I have never been better equipped to do that.

But if you don't trust me with the patients, say so.

- At that point, Dr. Lenox and I rushed Elise to the OR

for an exam under anesthesia.

My initial assumption was bleeding due to uterine atony,

however, there was no blood found in the vaginal vault.

We opened the abdomen and discovered

a ruptured subcapsular hematoma of the liver.

Elise quickly went into DIC and couldn't coagulate.

She exsanguinated and then coded.

- Thank you, Dr. Asher.

So how did we get here, to a sentinel event,

something we never want, a maternal mortality?

Is there anything Dr. Asher could have done differently

to affect the outcome?

- Obviously, hindsight is 20/20,

so this is absolutely not a judgment on Dr. Asher.

- We can do without the sugar coating.

We're all adults here.

- If an abdominal ultrasound had been ordered

prior to delivery, the hematoma might have been discovered

before it ruptured.

- Sure, that's quite, um...

possible, but there was no indication

to order an abdominal ultrasound prior to delivery.

- Didn't Mrs. Thompson's liver function test

come back elevated?

- Barely elevated.

Uh, but it was in line with what you'd expect

to see in pre-eclampsia.

- She also complained of abdominal pain

when she was admitted.

- Her abdominal pain was mild

and her belly was soft and non-tender.

- I realize it wouldn't be anyone's first suspicion--

- Or their 50th suspicion.

Nobody thinks subcapsular hematoma

from mildly elevated LFTs and abdominal pain in pregnancy.

- I thought it.

- Oh, give me a break.

You don't know what you're talking about.

- Excuse me?

- Yeah, now you're just running your mouth.

- OK. Wow, uh, I thought this was an open discussion.

I didn't realize we'd be subject to personal attacks

for merely expressing an opposing point of view.

- Oh, I'm not attacking you. Believe me.

- But if that's the case...

- You'll know when I'm attacking you.

- I can find better ways to occupy my time.

- Why don't we, um, pick this up next week?

Hopefully, everyone can brush up

on their discussion etiquette before then.

- Hey. What is up with you?

- What are you talking about?

- I don't need you to fight my battles for me, OK?

- OK. Yeah, OK.

- Dr. Lenox?

I want to respond to your question.

If I missed anything in regards to Elise Thompson's care.

- OK.

- I think I made a fair point.

I've been thinking about this a lot.

N-nonstop, actually.

Why didn't I order an abdominal ultrasound post-delivery?

- Because you're not a psychic.

Archer was right.

No doctor would have suspected a subcapsular hematoma.

- She was cold after her C-section.

She was shivering.

- Completely normal after childbirth.

- Or it's a sign of shock.

- I understand you are hell-bent on finding something

you did wrong here.

But if you want to assign blame,

it lands squarely on the doctor

who examined Elise at her checkup two weeks prior.

If Elise had been correctly diagnosed with pre-eclampsia

at that appointment, she would have been induced immediately,

and the hematoma never would have developed.

I agree that Elise died because of negligence,

but it wasn't yours.

And I don't know why I'm explaining any of this to you.

You're too smart a doctor

to actually think this is your fault.

- Hey, Dr. Frost.

How much longer on those test results?

I'd really like to get Laura home.

- Uh, let me go and check with the lab, all right?

- Well, maybe you could just

call us when the results come in.

Like I said, we-- we know what this is,

and we know what medication she needs, so--

- Right.

See, but, uh, I can't write the prescription

until I get the lab results, so--

- OK, yeah. Then I think we're gonna go.

- Uh, Mr. Finley, hi.

I'm Dr. Ripley. I'm an attending here at Med.

- How do you know my name?

- Dr. Frost asked me to consult on your daughter's case.

- She's having a Crohn's flare-up.

That doesn't take two doctors to diagnose.

Laura, baby, it's time to go. Come on.

- You're actually not free to leave.

- Get your stuff together. Let's go now.

- OK.

- Hey, look, don't do this, OK?

Please don't cause a scene in front of your daughter.

All right.

Hey, stop! Hey, stop it! Let go of him!

Let go of him! Let go of him!

Stop. - OK, I can--

I can explain. OK, it's not--

- No, Dad! - Seizing.

- Seizure! - Dad!

- I need backup over here.

- Get a pillow for his head!

- Grab an IV setup,

two of Ativan, and the glucometer.

- Please! Please help him! Please!

- We are, Laura, OK? I promise.

It's all right.

- He has something called neurosarcoi--

- Neurosarcoidosis?

- He hasn't been able to get his meds for months.

- Do you know what he's on?

- Same ones he told the nurse.

They're his meds, not mine.

- Neurosarcoidosis and Crohn's are treated

with overlapping medications.

- Why did your dad go off his meds?

- Couldn't afford them anymore.

He lost his health insurance.

- Dr. Ripley, Dr. Frost, Madeline Gastern is here.

- Who's that?

- Uh, show her to the consultation room.

- Yeah.

- Hang tight. We'll be right back, OK?

Madeline's with DCFS.

Just, uh, follow my lead in there, OK?

- Can we just tell her the truth?

- That Adam was using his kid to commit insurance fraud?

- That he couldn't afford his medications

and obviously was desperate.

- Means won't necessarily justify the ends with DCFS.

The less we say, the better.

- Nancy, have you seen Jackie?

- Uh, I think she said she was going to the bathroom,

but it was a while ago.

- I got so bad, I was causing a lot of blood loss.

And, you know, as a nurse, I knew how dangerous that was.

I knew it could--

I knew it could kill me.

But I couldn't stop

because it was the only time I felt any relief.

Living just felt unbearable.

Tessa, I don't--

I don't presume to know how any of this feels for you.

- It feels a lot like that.

- Yeah.

- Unbearable.

I can't focus my attention anywhere, on anything.

It's just this...

constant barrage.

It's all coming at me at once.

It's like a waking nightmare.

- You know, when you experience a visual overload like that

when your brain is taking in more information

than it can handle, it becomes overwhelmed.

And a very real, tangible,

physiological response is triggered.

You know, there have been some really promising

therapeutic breakthroughs in the last few years,

like, uh, using, you know, neurofeedback

and brain-computer interfaces.

And-- - No, I--

I can't give up the relief that I finally feel

just on the off-chance that a therapy might help.

It took me a really long time

to build up the courage to do this.

And I don't wanna die, but--

- You can't go back to living like that.

- No.

- Well, I'm not a doctor, so I can't tell you

what the odds are of these therapies working

or if you're gonna feel the relief you feel right now.

But what I can tell you is that about 2 1/2 months ago,

oh, I--

I was ready to choose relief over everything else.

But I woke up this morning

so grateful to the people in my life who intervened and--

And didn't let me do something I couldn't undo.

And I know that living right now is so painful.

But I promise you it's worth fighting for.

So what's up?

- I threw you under the bus. I--I--

- What?

- I said you're a new resident, still learning the ropes,

and you confused DCFS with case management.

Did it work or, like--

- Like a charm.

And it especially helped that, uh--

well, yeah.

What's this?

My daughter just loved your show growing up.

- Uh, Dr. Ripley said

you wouldn't mind taking a picture?

Yeah. Of--of course.

Let's do it. - He'd love to.

Jenny is gonna freak.

- OK. On the count of three.

Say "Nick of Time."

One, two, three.

both: "Nick of Time"!

- Can I help you?

Ms. Goodwin, hi.

- You know my name.

What's yours?

- My name is Fred Murray.

I work with the HVAC crew.

- And what are you doing in my office?

- Well, I came through last night to clean the vents

and, um--

Gosh, I'm real sorry.

I--I knocked over your picture with one of my tools.

- Spent all day trying to find the same frame.

I went to, like, ten different stores.

I know it's not exactly the same.

- It's close enough.

Thank you, Mr. Murray.

Yes.

- Mr. Thompson?

I'm Dr. Hannah Asher. We spoke on the phone.

- Oh, you're, uh--

you were Elise's doctor.

- Again, I can't begin to express

how sorry I am for your loss.

- Thank you.

- I wish with all my heart that I could have saved Elise.

I only knew her for a short time, but--

But she makes an impression, doesn't she?

Yeah.

And you, you made an impression on her, too.

When she called me after Ruby here was born,

she said she wished you were her OB the whole pregnancy.

That you were the first doctor to really listen to her.

Oh. Oh, that's OK.

OK. Yeah, I got you.

I got you. I got you.

Yeah.

Yeah.

Do you wanna hold her?

- Oh, yeah, I'd love that. Yeah.

- Yeah? OK.

Here you go.

- Hi, baby.

- Yeah, it's OK.

- Hi, Ruby. Oh, oh.

Hi, Ruby.

Hi, Ruby.

Oh, boy. Let me put you--

She's so beautiful.

- Just like her mama.

- So looks like, uh,

Tessa's gonna let us call her ex-boyfriend.

- That's a good sign, right? - I think so.

Apparently, he broke up with her

over her refusal to get help.

And she cut her family off years ago.

And I guess ultimately, he just couldn't handle

feeling like he was the only one

responsible for her well-being.

- If Tessa is willing to reach out to him,

maybe it's a sign that she's ready to get help.

- That's my hope.

- Yeah.

- Listen, Mags, I just--

I just can't help wondering

wouldn't Jackie be of more use

if she was just back on the floor

instead of stuck in some supply closet?

- It's not that I don't trust Jackie with patients.

I think she's an excellent nurse.

I just don't want anything to throw her off and trigger her.

Maybe I feel--

feel responsible for her.

- Jackie had to be cleared by a whole team of psychiatrists

to come back to work, and they knew

she would be returning to an environment

where she was gonna encounter trauma, right?

Emotional, physical on a daily basis.

They clearly felt she was ready.

And I gotta tell you based on my experience

of Jackie back at work today,

I have to agree.

So, uh, I don't know.

Think about it?

- I asked someone from our case management department

to come meet with you.

And they are going to go over your options

and help you enroll in a local medication assistance program.

In the meantime, we'll send you home

with a month's supply of everything that you need

to help get through the gap.

On the house, so to speak.

- Yeah, sorry. It's just, uh--

It's--it's been so hard

trying to navigate this after I lost my job.

I probably spent over 50 hours on the phone.

Sent hundreds of emails,

you know, filled out one application after another.

So when you tell me you're gonna help...

Thank you.

- Dr. Lenox, hey. Hi. - Hi.

- Uh, any chance you can spare Dr. Asher on the night shift?

- Does Dr. Asher want that?

- Who wants to work the night shift?

- Dr. Asher.

Wait, what?

- She requested it.

- Hey, man.

I-I really jumped the gun today.

- Eh, you were right.

There was something fishy going on.

- Yeah, but I could have saved everyone some grief

had I dug a little deeper and not rushed to judgment.

I have a hard time giving people

the benefit of the doubt, sometimes.

Parents especially.

- Mm. Maybe, uh--

maybe a little projection going on there?

Yeah, maybe.

- Card-carrying member of the Crappy Parents Club myself,

if it's any consolation.

- Yeah? - Yeah.

- What'd they do?

- Just your run-of-the-mill abandonment.

Yours?

- They managed--

mismanaged my career.

Stole a lot of money from me.

I worked basically my entire childhood,

and I have nothing to show for it.

In fact, I'm very much drowning in med school debt, so--

- Oh, man. I'm--I'm sorry.

- Hey, I'm not so hard up

I can't buy you a beer for saving my ass today.

Another time.

- Sure thing.

- Hey.

Hey.

Hey, why haven't you responded

to any of my messages?

- What?

- Yeah, I left, like, 100 texts.

- You're not exaggerating. Sorry.

I've been listening to a book on tape while I pack.

- Pack?

All right.

I think you're being,

you know, a little premature here.

I think if you just

sit down with Margo,

you apologize, you can get your old job back.

- I don't want my job back. She was right to let me go.

- All right, fine.

Then I'll--I'll meet with the head of valet at Med

and we'll see if your old job is available.

- That's not necessary.

- Come on! - Dad.

I'm gonna be OK.

- Yeah, I just don't wanna see anything derail you.

You have come so far.

- This is not gonna derail me.

I'm actually--

I'm actually looking forward to a fresh start.

I'm gonna go down to Florida for a bit

and stay with Mom.

- Sorry, no, no, this-- - this--

This is me trying not to have a knee-jerk response

to you going to live with your mother.

How am I doing?

Admirably.

Don't go, Son.

- I'm not leaving today.

And actually,

if you could take the time off,

I was hoping that maybe you'd want to...

drive down with me?

A little Archer father-son road trip?

- I wouldn't miss it.

- Oh, Daniel.

Daniel, wait up.

I can't run in these high heels.

- I thought I was flying solo tonight.

- Uh, change of plans.

- Everything OK?

- Better than OK. I'll tell you in the car.

I'll ride with you?

- Arm candy, chauffeur?

Damn, I'm a Renaissance man.

- Let's go. - OK.

- Hospital food for dinner your first night back?

Way too soon.

You gotta work your way back up to that.

- I know. I'm regretting it already.

But, you know,

the hubs and the kid, they're, uh--

they're out of town. They're visiting Carl's mom.

I didn't wanna cook for one.

I am so beat.

I forgot how much it wears you out

being on your feet all day like that.

- Well, rest up. You've got a big day tomorrow.

Check the board.

You're on trauma service with Dr. Archer.

Good night.

- Good night.

- Hey. What are you still doing here?

It's almost midnight.

- I, uh--

I had a sudden urge to work the night shift.

I hope that's OK.

- Company will be nice.

I was about to, uh,

forage the vending machine for some sustenance.

You wanna join? - Absolutely.

So you're just gonna work yourself into the ground?

- You run, I work.

- So that's your coping mechanism?

- That and daily NA meetings.

Been going every morning before work.

- Did you--

- It's the first time in almost four years

that I thought about it.

I thought about using.

But I didn't.

- I know I haven't...

proven myself to be very reliable, but...

I really wanna be someone you can lean on, Hannah.

Way to be literal.