Original subtitles

Trauma teams to OR3. I need four units of ONAG. Prep rapid sequence intubation.

We've got a GSW with heavy arterial bleed.

And he's one of ours.

Michael, what's going on?

You've reached Dr. Jay Keller. Please leave a message. Thanks.

Four voicemail to go along with nine unreturned.

Text, and I just wanted to say again that what you saw isn't what you

think you saw.

I guess you took the day off yesterday, so I'm just really hoping that you'll be

at the hospital today.

Call Gina.

Hi. I finally found out what happened with your patient from the train

And I know you're pissed at me. And I just want to say that I'm here and ready

to face the music. Whatever it is.

And I love you.

Call Sonia Metro.

Want to tell me why Jake stormed out of the bar the other night and then didn't

show up for work yesterday?

Nope, but feel free to ask him.

Because I was thinking, maybe you've got a thing for him, but he's with Amy.

Could you say something he didn't like?

Great minds debate ideas.

Average minds discuss events.

Small minds gossip about people.

Eleanor Roosevelt, great mind.

Rounds in five minutes. Dr. Matra, start with Terry Lewis, Vince Revell, and

Larry Bowden. I have to start summaries in my inbox by 10.

Morning.

Dr. Larson, you'll be with TJ, but first a word.

Okay, he wanted to talk. Talk.

What you think you saw in Michael's office, I know how that looked, but that

just us saying goodbye.

And the reason that goodbye had to happen is because his wife warned you to

away from him, right?

It was after everything happened with TJ's father, and Richard made me think

that I'd killed Bill Dixon, and I just ended up with Michael just by accident,

and we kissed.

But it was just like a moment of weakness and the old feelings, and it

a mess.

And we both knew that it was wrong. You went to him.

Now here you are spinning because you don't want to lose your security

No, that's not... You went to him because you're still living in the past

he's still your home.

He's not, Jake. I'm not. I mean, I'm trying. I'm trying so hard.

I know you are. And look, I know everyone's telling you how terrible you

during that time that you don't remember, which...

I'm sure makes it all very confusing.

And yeah.

She was a pain in the ass.

And she didn't suffer fools.

And she could be hard to reach. But man.

When she reached her.

She was worth it.

That's the woman I fell in love with.

I really miss her.

I was waiting for you.

But we can't do this.

I know.

Jake?

Dr.

Honda? Your wife is downstairs in OB.

Are you all right? Well, my water broke.

So we're going into labor. Not necessarily. We could give her

delay this, give the baby some time to mature.

But the last ultrasound, you said he was at least five pounds, so why do we need

more time? That's seven weeks early. It's about his lung capacity. You're

worried about his breathing? What about corticosteroids? For what? It helps the

lungs mature faster.

We can manage this.

Just sit tight.

We got this, okay?

Rosie, you hear that, mamita?

They got a heart and it's a perfect match.

They're finally coming through for you.

After all this time.

Why is she here?

Dr. Larson will be assisting me today with her case. Well, I don't want her

here. Dad, have I done something to upset you?

You don't even remember.

Don't blame the doctors, Dad.

Not their fault.

We will need to take Rosie to radiology now for a CT scan to prep for the

transplant. More tech?

You're doing great. We're going to see you in a minute.

Maybe you want to tell him the reason you don't remember.

And dump my trauma onto him?

What good would that do?

Help us deal with it?

I'm sure my bedside manner was awful.

The only thing I can do now is just try to be nice.

She's all set in there. Okay, let's get it going then.

Scan is starting.

I remember you saying you're a police officer.

You know, my folks are both cops.

Mom's in the eighth. Dad was in the third until they burned down.

Dark day.

Where is he now, retired?

He's getting back to work zone.

Matter of fact, Dr. Larson saved his life last week.

Something wrong?

We won't know until we do further tests, but there is a spot on her left lung.

What does it mean for a transplant? If it's just an abscess, it's treatable. So

please, Alex, we know how much you want this revoked. This is how it always is.

She's either too sick or not sick enough.

We're going to do everything we can. It took six years to get to the top of that

list. We're not waiting anymore, you understand?

We have to report this to UNOS.

Hello. We are looking for Dr.

Hamda. We were told he's down here. Oh, yes. His wife and labor.

Room four.

I will get him.

Is

everything

all right?

Uh, yeah.

Nora's water broke seven weeks early, but I think we've got it under control.

What's happening? We have a patient who's due for a heart transplant. The

is across town at Eastside, and as of this morning, she's number one on the

list. The problem is we found a spot on her lung. That I believe is an apple.

But could also be a systemic infection, which would disqualify her from the

transplant. If we alert you now, she'll drop down the list and lose the heart.

She could drop down, but they might be willing to wait until we run more tests.

Either way, transparency is called for in case there's another eligible

recipient. Well, how long until you figure out what the results of the CAT

mean? Two, three hours to run the cultures and during the collection.

This isn't just about your patient.

If UNOS finds out we withheld this... For a couple hours? We could lose our

accreditation. I don't think they'd be that punitive.

But you're in charge.

I am. So, thank you for bringing this to my attention. Email me her chart.

I'll do my best to advocate for our patient.

Dr. Singh says there's a heart available right now and she'd be next on the list

if we could do the transplant tomorrow morning. I know what he says, but things

are moving fast and I need to warn you that there is a... Wait, you don't

She's not even in the ICU right now.

There are treatments that could sustain her life for years before a transplant

would be necessary.

And she'd be in just as good a position then as she is today?

There's no way to know, but even if it went well, all the immunosuppressants,

she'll have to take all the...

complications that she'll be facing. Don't let Dr. Singh make you think that

this is a magic solution.

Then why is he suggesting it?

I'm sure he thinks it's inevitable.

But you should know, she might not even survive a transplant.

If it were me, I would take the time that I know I have right now.

I appreciate you telling me.

Thank you.

Something's changed.

We're very sorry today. It's that spot on her lung.

What is it?

We still don't know yet.

And what's the problem?

We had to report what we saw. You ratted us out? Well, you're not even sure if

it's an issue. We will do everything we can to get her well enough for the next

available heart. Next available?

She is hanging on by a thread. There are treatments that we can use. That's what

you told me the last time. And now look her. She's in the ICU.

Sorry, I don't remember. You never even wanted to get the transplant in the

first place. And now you're doing it again.

You're upset? We get that. Not a word to her.

You got it?

I never should have let you anywhere near us today.

I'll get those tests going.

What was that all about?

That ghost of Christmas past come back to haunt me? I guess I wasn't so lovable

back then after all.

Hand me your radio and get in the elevator.

What do you think I'm messing around?

Hand me your radio and get out of here.

Okay.

Sir?

Sir?

Hey. Hey.

Hey, what's going on?

I'm not messing around!

You! I need to talk to whoever's in charge right now!

You stay right there!

I need Dr. Honda immediately.

They shot him!

Get back!

I think it's femoral artery.

Alex, he could die from that.

We have to get him to the OR.

You!

I want you gone. Get him out of here.

What are you doing? Shut up!

Just shut up!

Contractions are starting to organize.

Is that a problem? Meds just haven't kicked in yet. Could just take some

I'm sorry, Dr. Hamda. We need you out here.

Be right back.

One of my guards confirmed he's armed. People heard gunshots.

Dr. Hamda!

There's a man asking for you. He says he's on the sixth floor and he has a

This is Michael Hamda, chief medical officer. Who am I speaking with? Alex

I'm a cop, I'm armed, and I want my daughter's heart back.

Your daughter is Rosie. You get me that heart in the next two hours or people up

here start to die.

I'm told there were already gunshots.

One of your idiot doctors jumped me.

Dr. Coleman was shot. They're rushing him to the OR.

I promise you, we will do everything.

to get you that heart, but I need to get those other patients off the floor. Oh,

you gotta be kidding me! How do you think I'm going to stop the police from

coming in there? You shot someone.

Now you need to show some goodwill if you really want to save your daughter.

Well, Rosie needs care and I need hostages, so I'll keep who I want.

You can have the rest in exchange for the heart. I understand. You need a

of doctors.

Maybe a nurse. That's it.

What's your name?

Julie.

And you?

Sonia. Matra.

I'll keep Nurse Julie, Dr. Matra, and Dr. Larkin.

She's the reason we're here.

She's not going anywhere.

What do you mean by that? And just remember, if my daughter dies, I've got

nothing to lose!

Hey, I need some help with this bed.

There's another patient who needs discipline for work. It's okay, guys.

We're evacuating. Come on. Let's go.

Okay, hang in there, buddy. Just hold on. Keep squeezing my hand, TJ. Just

squeezing. Don't come up here. It's a natural amount of surgery.

Where's the surgeon? Right here. It's me, Nigger. He's AB negative,

He lost at least 11 years of CT here. Take over.

He's the only one that got a rapid infusion. Represent the line. They got

man.

Before moving in.

This will be the command post now. So I need everybody moved to a different

floor and any new OB patients diverted.

We'll have our teams in position and hostage negotiator to coordinate. No, he

already said he won't talk to anyone but me.

Michael, what's going on?

Dr. Heller, are you all right? Yeah, I'm fine.

It's mostly TJ's blood.

What can you tell us? Is he working alone with his plant? No, it was

improvised. And yeah, he's alone. He's trying to cover both ends of the hallway

from the ICU.

Plenty of directions to go at him. We're not taking an aggressive approach just

yet, okay? Not with a cop who knows how to handle himself.

I'm scared he shot one of our doctors, which means he's willing to shoot more.

No, we're not going in. Not if we can find another way right now.

He's got a problem with Amy. Is it personal?

I know.

Any idea why?

Whatever it is, it all started before I got here.

Give me your phone!

Okay.

What do we got to do to get her ready?

I don't know what to do to help you until I understand why I'm the reason

this is happening.

You can't be serious.

I was in a car accident four months ago.

Lost a lot of my memory. Give me a break. It's true.

Six years ago, you talked us out of the transplant.

And we were never in a better position than we were that day.

So there must have been a reason. Did I tell you why?

You convinced us she wouldn't be much better with a new heart.

Scared us enough that we went against the cardiologist. Now I'm done with the

path!

You said she has an abscess that needs to be dealt with.

What do we got to do? I said I hoped it was an abscess and that we needed a CAT

scan in order to help locate the spot. Well, we're not moving, so you got to

deal with it here. We can drain it with ultrasound guidance.

Do you know how to do that?

No, but I saw you do it last year.

So what does that mean?

Can you talk her through it?

I think so.

Then do it.

Now!

Everhart Memorial.

Hey, is this cardiology?

Yes, it is. This is Dr. Gina Walker over at Westside of Minneapolis.

I'm looking for Dr. Singh.

What's this about?

Yeah, it's regarding an old patient of his, and it's important.

He's doing an interoperative echo. It'll be a few hours.

Okay, so it looks like Rosie was eligible for a transplant six years ago,

Amy discouraged it, but I don't see why.

It was right after Danny died.

Anytime her patient was a child, she pushed the parents towards caution.

Sometimes she was right.

Sometimes, maybe not.

We had an argument this morning.

I was ignoring her calls.

You must agree to send the heart.

Surgeons at Eastside are preparing the removal as we speak.

Did I know what happened in here?

I told them we confirmed Rosie's body. We were lucky they didn't find another

recipient yet.

I also said you're on your way to Eastside to receive the heart.

There's an ambulance waiting.

Does the board know what you just did?

I'm not involving them right now.

Hey, sweetheart.

Dad, what's going on over there? With Nora? She's okay. No, no. There's a guy

with a gun. It's all over the Internet. Is it a prank?

Um, no.

We do have an incident, but the police are here. Everything's under control.

What about Mom?

She's not answering her phone. We had to evacuate a bunch of people from her

floor, so she's going to be swamped for the next few hours. But she's fine.

She's nowhere near the problem.

Just go back to your classes.

Let me deal with what's going on here, okay?

Okay. And tell Mom to call me as soon as she can? Of course.

Love you. Bye.

How am I going to avoid the pulmonary artery?

You used the sternal notch of the landmark last time.

Syringe.

Favor the midline.

How risky is that?

Very.

SWAT teams Alpha, Beta, prepare to go on my order. Copy. Standing by.

How's my angle?

Too steep.

You're close to the branch artery.

Oh, I see it.

Too shallow and you'll miss the abscess.

Got it.

Gov?

Julie?

Julie!

Hey, try to keep it together.

I'm sorry. I keep thinking about my... They're 12 and 14, and my ex... Okay,

okay. Just try to breathe.

Pass on you the gauze.

I meant the wall.

You're in.

What's going on?

I'm about to drain the fluid out of the lungs.

If it comes out as gray pus, as I suspect, then that means it's a

infection and it can be drained. And she can receive the heart?

Correct. And if you're wrong?

Yeah, it'll come back blood.

And you will have done all this for nothing.

Better hope you're right.

What's next?

He let me call down to the OR.

What for?

To find out what happened to TJ.

Dr. Coleman, our friend, the one whose parents are cops.

You remember him?

Use that one.

Operating room, this is Liz Kwan.

Liz, it's Dr. Larson.

What can you tell us?

Okay. Can you call the ICU when you know more?

He's losing circulation.

They don't know if he's going to make it.

What did you tell Rosie's father?

Did you not see the anomalous pulmonary vein?

Of course I did.

It's benign.

Unless you put a new heart in her, then you could have massive pulmonary

hypertension. I've never seen that complication.

Maybe you should read last month's case reports in The Lancet. If you're so

sure, why don't you tell them that?

Because I'm not going to take away all their hope.

We extend her life as long as possible, and when the time comes, we have the

conversation. Well, I'll let you be the one to take that on.

You break it, you own it.

He isn't going to die.

This plasma freeze is working?

Yeah. Just an hour until the blood's clean, then the transplant, and then

out of here. If they can get us the heart.

I mean, how long do you think it's going to be before you decide, or you know,

figure out that Michael lied?

I thought you were the badass trying to calm me down.

No. Just tired and scared.

Hoping to see my daughter again.

Well...

A badass is still in there somewhere.

Truth.

I kind of miss her.

I'm Dr.

Heller, here for the heart.

It's a pretty gnarly situation over there.

Uh, oh, yeah.

Um, but her transplant's in a completely different way.

I think I'd better give them a call.

Sure. Uh, best ask for Michael Honda.

That's our CMO.

She's 50 % effaced by Stamina's diabetes. I thought the medication was

to slow this down. What about the lung? Whatever happens, we'll deal with it.

But now we're in labor.

I have a neonatologist standing by. Dr. Honda, you're needed on the phone again.

It's the nurse from Eastside. Now?

I'm so sorry.

Two minutes, I promise.

Uh -huh.

Right.

And you'll send me an email to that effect.

You guys are on the same page.

We're just waiting for the family to sign off.

Little hiccup at Eastside.

Any word on TJ?

It's touch and go.

It's Katie.

Hey, sweetheart.

Dad, I've been texting you. I'm sorry.

Nora's in labor now.

She's in labor?

It's okay. The baby's fine.

Well, I haven't heard from Mom.

I want to come over there. No, absolutely not.

Sorry.

There's just no way. The police won't let anyone in.

So it's not over yet? It's not resolved, but it's contained, and no one's going

to get hurt. Okay? Just trust me.

Please. Okay. Have Mom call me. And keep me updated on Nora.

Love you, Dad.

I love you.

Bye.

I heard Rosie was back.

Back and forth.

That's all we do.

I'm very sorry to hear about your wife.

COVID.

They wouldn't even let me in the room to say goodbye.

It was an awful time.

Somebody told me you became head of the department.

Yes, I did.

You told us to wait with Rosie. You said it'd be better.

And she's had some good periods. She's deteriorating.

And now we can't even get her in good enough health to qualify for a

If that's the direction you want to take. It is.

It was until you talked us out of it. I gave you the advice that I would have

wanted. As a mother?

Yes.

Well, the cardiologist gave us his advice as a doctor.

Maybe you should have stuck to that.

I think that's mine.

Probably one of my kids.

Amy, Amy, don't do anything to rile him up.

I know you can hear those phones.

Those must be our loved ones trying to get a hold of us.

You can talk to yours when I can talk to mine.

Look, the thing is, Rose is stable now.

The heart should be here any minute, and I get that you're never going to let me

go, but you don't need all of us here. You think I'm a monster?

I didn't mean to shoot your friend.

That'll matter when all this is over.

You... Time to get out of here.

You heard me. Go.

Jeffrey, go.

Go, go, go, go, go, go.

Go, Jeffrey.

I will see you on the other side.

You better go before I change my mind.

Please, please don't hurt him.

You don't want him to get hurt?

Tell him to send Rosie's heart up here.

We went in to say our last goodbyes and...

I know you all were counting on having that heart, but... We're having second

thoughts.

We're sorry.

Truly, we're just... We're having a real tough time with it.

I see you're all wearing crosses.

So... I don't know, maybe you noticed this.

It's called a chai.

It means life.

When I was a kid, preparing for my bar mitzvah, the rabbi told me a saying from

the Talmud that I never forgot.

Whoever saves one life, it's as if they saved the entire world.

Every organ that your son donates will go to a different patient, each one

another life.

And with that, all the generations have followed until the end of time.

Please.

Hey, Mommy.

How are you doing?

Can you hear me?

What the hell is happening?

She's tacky hypotensive. What does that mean? Her heart's not pumping strong

enough right now. If you back up, we can work on it. Pulmonary wedge pressure's

up to 20. O2 sets are falling. Neck veins dilated.

Fluid overload.

Left side failure.

You said she was stable.

Something's wrong.

Looks like she's losing oxygen.

All teams, also go.

Baby's having diesel.

What does that mean? The umbilical cord's getting squeezed by the

He's got to come out now.

I eat that heart up here. What the hell is taking so long? It just arrived.

We'll let you know when it's in the building.

It's here.

Now, what are we doing? Do you have us under control? We're doing everything we

can. I never should have let that nurse go.

That has nothing to do with us. You fix her!

All teams, go on my order.

Where's Dr. Heller?

Dr. Singh, thank you so much for getting back to me.

Baby's crowning. Heart rate's 97. Dr. Honda, who did you manage to talk to? I

can't. Just tell Jenkins to talk to him.

Things are going to hell up there, but we've got the transplant team standing

by. Got Cruz again.

Have we got the heart?

Sent it up with the transplant team. They sent down the women.

You think I'm falling for that?

We both know you're sending some UCs in scrubs. Give me someone I've seen

before.

He wants to see the heart first. He wants it with someone recognized.

That's me. Tell him I'm gone. Wait.

I just got off the phone with Rosie's old cardiologist.

You need to know what he said.

There's no way, Amy.

No way.

Stay right there.

Open the cooler. I want to see it. I can't open it without corrupting the

Don't give me that!

Alex.

It isn't going to work.

Nothing we do now will save her. What are you talking about? No. She has

abnormal blood vessels in her lung, which aren't working at all. That's

happening because we delayed.

That's what it is. This is exactly what Dr. Larson thought would happen six

years ago. She saw thickening of the intimal lining of Rosie's pulmonary

arteries, but the cardiologist didn't get how dangerous it would be. She never

said that. Alex, it's not going to work.

It was never going to work. Not now, not then. But she... She lied.

For your benefit. Because she wanted you to have some hope.

Because I'm not going to take away all her hope.

Okay? She gave you those years with your daughter that you never would have had.

No! I don't care what you say. Get the transplant team up here. We're doing it

right now. You break it, you own it. We're going to do it right now! Enough!

Enough. He has a daughter.

I have a daughter. She has parents and people who love her.

How do you... think they feel right now? How do you think TJ's parents feel?

Is he even alive?

We don't know.

Rosie's dying.

These are the last moments that you are ever going to spend with her.

How do you want to do that?

Blaming everyone around you or holding her hand and telling her that you love

her? You said you could save her. We tried.

Alex, we tried.

You didn't say that then. You didn't tell me that then. Because she lost her

kid.

A few months before you walked in here with Rosie, she was suffering, and she

was doing anything she could to keep anyone else from suffering the same way.

She knew you'd be furious with her later, but she didn't care. She was just

trying to give you that time, and she didn't want death hanging over you.

You were there?

No. But I know her.

And I know her heart.

Pain changes people, Alex. I know that.

I know that this isn't who you are.

So please, we can give Rosie something to revive her for a few minutes.

To say goodbye.

Can you still get that to someone else who needs it?

We can try.

Then go.

I swear I won't hurt them.

When I was young, I lived on solid ground.

So far from where I am right now.

No, I'm not.

Walking on known stones

I'm taking it all, cause this is the road I take.

But I'll be alright no matter where it goes, even though I'm

walking on no stone.

I got your messages this morning.

You'll see some texts from me, I love you no matter what, please don't die,

kind of thing.

I had a memory.

What?

Well, two small hits from the same memory.

Me and Rosie's cardiologist having an argument.

Wow.

This can happen from acute trauma, right?

Absolutely. Which means my brain is back online?

In some ways, yes. More memories can happen now.

I don't want to wait. I want you to put me in the tank.

Amy.

If I'd had my memories, none of this would have happened today. You don't

that. I do.

The doctor that I was knew that Rosie wouldn't survive a heart transplant, but

did not see that today.

Not until it was too late.

I'm sure you think I should go home and rest, but home, home

is the house where Michael lives with his new wife and baby.

And half of me is still trapped in that time.

And the other half wants a man that I don't even remember.

I get you want Jake and to be the doctor you were, but you can't just decide. I

am not.

Deciding.

Now I know that it's possible.

I need all of it back.

Put me in the tank.

Please, Gina.

Tonight.

You almost got Jake and TJ killed.

You being back, it puts people in danger.

I need my memories back.

There's too much lipstick.

We need a new chief of internal medicine.

I'm Dr. Ridley. There will be an official evaluation.

Some of you will not survive it. I know I can't ask you to wait for me. Please,

stop this.

Part of you still loves mom, don't you? I think she still knows me best.

There is no baby in her uterus.

It's obvious she was pushed.

Claire! You saved my life.

Memory recovery is a pipe dream. I just remembered you telling me you love me.

You need to stop this nonsense before you ruin your career. We need to slow

your treatment. No, it's working.

My brain is trying to warn me about something.

I'm not going anywhere.