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Oh, my God. Let me help you. Let me help you.
Thank you.
We are here to help.
We are here to help.
We are here to help.
Stop! I'm not going to another October Fest number, Farrah.
Attention all units, we have a 1043 woman on the tracks at the 159th
This is unit 240, we're two blocks away.
I hit the brakes. What?
She's under there.
Ma 'am, can you hear me?
Status? Lacerations, active bleeding.
We need to call transit to shut down the electricity.
Whoa, whoa, whoa. What are you doing?
There's over 600 volts of direct current down there. You touch that third rail,
you're dead.
Come on, Katie. If she touches that third rail while you're pulling her out,
you'll both be electrocuted.
You can hear me?
Don't move.
Don't move.
Pulse is ready. Maintain total spine protection.
Flat on board. Let's go.
Ding dong, the witch is retired, Carol.
To be clear, you're referring to your mother? I'm referring to the former
who questioned my every move, my every test, pushed patient turnover over
patient care. And so will whoever they bring in next book as part of the job. I
really always thought you'd make an amazing chief.
Really? Because then I could do whatever I wanted.
You are in for a rude awakening.
That wicked witch coddled you, and whoever they bring in next will not
to kick your butt all the way back to Kansas.
Maybe I should be the next chief, then.
Oh, it's the ED.
TTA, train versus head, co -trauma with head injury, ETA, two minutes.
I bet Katie's bringing her in.
You go.
Let me know if you need backup.
Thank you.
Trauma patient coming through. Move, move, move. Get out of the way.
They're here.
Probable hybrid, multiple lacerations, unresponsive at the scene. I want a set
of access, vitals, blood, and airway ready.
On my count, three, two, one, lift.
Somebody call Neuro, get Dr. Wolf in here now. You're bleeding.
It's just a cut.
I'm fine.
Just focus on your patient.
Everyone step away from the head of the bed. This woman needs to be oxygenated
before anything else or she'll die.
They told me that it sucks now. I need a bougie on backup. Her neck cannot flex
an inch. Nash, prep me a 6 -0 in case you need a crike. I can do airway.
I'm ready.
You get one shot, and then I take over. Cool?
Yeah. Jaw's loose. Go for it. Now.
That's 60.
55.
50. Okay. C -cords.
Two, please.
Condensation. Color change.
Yes, you nailed it.
Let's bag her up.
Dr. Wolf, CT is next.
Hyperventilator, get man until running.
Great work stabilizing her, everyone.
Dr. Nichols, do you want to review her fast ultrasound images?
Let's get her to CT, then straight to the arm.
Wilter in motion. Gentlemen, move, move, move.
And that is why I Uber.
Yeah, a question out of the tracks is probably my second number one fear.
What's your first number one fear?
I don't know.
And that is what scares me the most. The opposite of do a track, because word on
the street is that your girlfriend jumped on the tracks before they turned
the electricity.
Katie did what now?
It was foolhardy to be sure, but she definitely saved that woman's life. If
she'd been brought in even a few minutes later, she wouldn't have survived.
Wow.
How does it feel to have a literal hero as a girlfriend?
Acts of service is one of my love languages.
Dan, I think your baby mama's here. Hey,
Michelle. Is Liam all right? No, he's fine. I'm here for work. I got a new
but it's complicated, and I think it requires more than a social worker.
I need your help.
His name is Adam. He has severe autism, and I can't tell you much more because I
was just assigned to his case a couple hours ago when the police brought him in
for questioning.
That woman who was pushed on the subway, Gloria Marcano, she's Adam's caregiver.
And the police think he may have pushed her? They don't have any CCTV footage
yet, but witnesses say only Adam and Gloria were on the platform, making him
their prime suspect.
But Adam's non -speaking.
From what I've seen, the courts are so poorly designed for people like him. He
won't be able to properly defend himself.
How did he get that bruise on his forehead? He did that to himself while
custody.
He's been extremely agitated since the accident.
I'm sure being in a police station didn't help. I'm not sure a hospital is
better. I agree, but Adam was getting worse by the minute, so I convinced the
cops to let me bring him here for a medical evaluation.
That felt like the only card I could play.
You did the right thing. Do you know if he lost consciousness from the head
injury? I don't think so.
I'm just worried what's going to happen to him if he goes back to the station.
If he can't communicate what happened on the platform, he's going to be
officially charged.
Hey, Adam.
My name is Dr. Wolf.
We're going to help you.
Communication is key.
But you just met Adam only a few hours ago? So often we only meet these kids in
crisis.
His mom died in his teens. He went into foster care and is now in a group home,
one of the good ones. So I hear he's non -speaking?
He is, which doesn't mean that he never speaks. Yeah, just that talking isn't
his primary mode of communication.
So what is?
Well, that's a challenge.
He used a communication device years back, but mostly gave it up in the group
home. He's become completely reliant on Gloria. He won't let anyone he doesn't
know near him.
At the police station, when I tried talking to him, he became extremely
agitated. Okay, well, this will be Adam's quiet room for the day. No other
patients will be allowed in here. We need to gain Adam's trust to allow you
examine him more.
What is this?
This is the extent of Bronx General's tools for a non -speaking patient.
Okay. Order a dozen new electronic AACs, top of the line, spare no expense. Or
it might be easier explaining to the new chief why you ordered two new AACs.
Two? Sounds good.
Thank you, Dr. Marcus. Michelle, do you want to bring Adam to the rec room?
Sure. In the meantime, let's lose these lab coats and stethoscope. The fewer
triggers, the better.
Damn, Rodriguez.
The entire ER is talking about what you did on the sixth train.
Risking your life for a total stranger?
That's just my job. Respect.
Thanks.
Was it your job?
Was Max willing to go on the track? Yeah, he lost rock, paper, scissors.
Okay, I'm smaller.
It's easier for me to squeeze into tight spaces.
Ah, and there was no way for them to turn off the electricity. There was no
time. That woman was in danger.
I had to respond.
You know, I bet Dr. Thorne would love to have someone as fearless as you on his
team. I already know of a couple of VR techs that used to be EMTs, and the work
is just as thrilling. Plus, there's a cute neuro -intern upstairs, and her
would be banged. Yeah, it'd be.
I'm an outdoor cat.
No, I would be stir -crazy in the hospital.
Okay.
We'll see you later?
Yeah. Yeah.
I'm Dr. Pierce, and this is Dr.
Wolf.
We know you've had a rough morning, and we are here to help.
You can use this board to communicate with us, anything that you would like.
How does that sound?
Hey, buddy.
I heard that you hit your head.
It looks like you hit it pretty hard. I need to check you out just to make sure
you're okay.
May I examine you?
Good
thing
that wasn't one of your brand new top -of -the -line AACs.
I'd argue that's why we need a dozen.
Our patient thinks differently, so we need to start thinking differently.
question. We have 20 patients on consult, three LPs to do. How does Adam
as a neuropatient again?
Nonspeaking is not an intrinsic trait of autism, but a coexisting condition with
neurological roots.
But I believe the real answer to your question, Dr. Porter, is that Adam needs
our help. His caregiver is in surgery. There is no one else who can advocate
him. There is a saying in the autistic community, if you've met one person with
autism, you've met one person with autism.
So how do we get to know Adam?
He's still too dysregulated to engage.
Converting the rec room was a great start, but it's not enough.
What else does he need to calm down?
Well, the opposite of anxiety isn't calm, it's trust.
But there's no trust because we're not speaking his language.
He doesn't speak any language.
Human beings have existed for six million years. The spoken word was only
developed 200 ,000 years ago. So for millions of years, we communicated
speaking. So we have to figure out how Adam communicates.
instead of trying to get him to communicate like us. Here's what we do
He's successfully putting that puzzle together upside down, which means he is
sharp kid.
But the intense emotional strain is cutting off any chance for
we could get around that somehow, understand what he's really feeling.
We're at the shot.
Dr. Kinney, Dr. Dane, do you have a minute?
I wanted to apologize for pulling you both into the Allison Whitaker case.
I should have never asked you to help me research one of my patients.
It was unprofessional.
Oh, well, apology accepted. And unnecessary.
Honestly, it's kind of wild Allison reported to you. We do more questionable
stuff with Wolf every day, and he's never been reported.
Allison didn't report me.
What? Was it someone from the hospital? I'm going to stop you right there.
It would be inappropriate to speculate. I am making my amends, and I'm moving
along.
Excuse me, and thank you.
Why would someone report Dr. Pierce?
She made one mistake, and they want to get her fired?
I know how much you love a whodunit, but before you go full gumshoe, maybe we
actually listen to Dr. Pierce and not do anything that could lead to her hating
us again. That was literally the most harrowing day of my life. You're right.
We'll keep this investigation between us.
Oh, Dr. Nichols.
Do you have a minute?
They called me to the OR ten minutes ago. I just wanted to check the status
the woman from the subway.
Oh, Dicey at the start, but she made it through. I just dropped her off in the
unit. When can we talk to her? I assume you asked them to start weaning sedation
as soon as they can? Of course, but as you know, she could have significant
deficits. And even if she doesn't, she might not remember what happened.
Sorry, speaking of talking, if you are avoiding me at all because of that kiss,
we don't ever have to talk about that again. Or, you know, if you want to talk
about it sometime, we can also have a... Maybe, but I gotta...
Adam, I'd like you to meet Dr. Marcus. He has the unique ability to sense what
others are feeling.
He's going to help us better understand what it is you need.
Adam, are you hungry?
Are you tired?
Do you need to use the restroom?
I can't really get a clear read.
Usually when people are angry, it feels like a headache.
Fear is like a clenched chest or shortness of breath.
And if somebody's sad, it feels like a lump in my throat. But Adam, I think
feeling it all.
Dr. Marcus.
I didn't know what he meant.
I think you can examine him now.
That's a normal neuro exam.
I think we can forego a CT scan.
Hey, that's great news.
Adam, we need to ask you a question.
There was an accident earlier this morning at the subway station.
Did you push Gloria?
Thea.
Thea. Thea.
Thea. Thea. Thea. What is it? I don't know what Thea means, but I can tell you
he's scared.
Gloria is stabilized, but she's still unconscious.
We've cleared Adam medically, but we're not done helping him. Once he leaves our
care, it'll be too easy for others to speak for him.
But Adam deserves the opportunity to tell his side of the story. And Thea
be the key to proving his innocence.
Just because he's scared doesn't mean he's innocent.
I mean, he could be scared of going to prison. But he trusts us enough to
communicate with us. Let's honor that trust by finding out what he's trying to
say. And we have to do it fast. Maybe it's a name.
Maybe he's asking for someone. Most of the people he interacts with are at his
group home. Could be someone there, someone they know. I buy that.
First, we have to stall the police. Carol, tell them we're running more
Michelle, you and Van go to the group home and see what you two can find out
there.
Wolf, I just got my job back.
Now I'm here to fight for Adam just like anyone else, but I'm not lying to the
police. Fine, I'll do it.
I had no problem making that call.
Wolf? My bad. Excuse me, Dr. Thorne.
Everything all right, Dr. Pierce?
Yeah, I'm fine.
Really?
You see, I know you're the psych doc and I'm just ED, but having spent over 90K
on professional marriage counseling, when a woman says she's fine, it usually
stands for feelings I'm not expressing.
Yeah? Yeah. And how did those counseling sessions work out for you?
You're a mean, mean lady, but I do love our chat.
This is Adam's face.
Wow.
His drawings are great.
Mm -hmm.
No way.
Is this Dominic's? On Arthur F.? Our first date.
That was a pretty classy spot for two college kids. Oh, yeah. I mean, you
I was trying to impress you.
I remember that I was too nervous to eat because you were too nervous to eat,
so... You were trying to impress me?
You were in med school. You were two years older, and you were so, so
Really?
Years ago.
Oh, yeah, of course. Not now.
Well,
you haven't changed at all.
I mean, I feel like you don't age, but it's neither here nor there. I can't
believe this.
Hi, I'm Michelle.
I'm Adam's new caseworker. You must be his roommate, Tom.
You can't be in here. This is my personal space.
We're from Bronx General, and we're actually... We're actually here on a top
-secret mission.
Really? How so?
There's a code word we're trying to crack.
Adam keeps repeating a word.
Say -ah.
Do you know what that means?
It does sound very mysterious.
Sorry, I don't know what it means. But if you do see Adam, please tell him I
didn't touch any of his stuff, okay?
I know it's his room, too, at least for the next month.
What happens in a month?
He turns 26.
And that's when services end at Tremont, right?
Adam likes it here. He doesn't want to leave.
Last week when Gloria took him to see a new apartment, he got really upset.
Really? What happened?
I wasn't there, but it sounded like a really big fight. You know, like... Like
that.
What about the sitter?
Who? The sitter who was with Allison in her hospital room? They were alone
together for hours.
Maybe she reported Dr. Pierce.
Uh, I am leaning in, but how are you going to... Oh, I think Jacob got her
number.
What's with the buff in her snuff? Uh, she is starring in her very own episode
of True Detective.
Oh.
I brought you steamed buns.
You, uh, took off your bandage.
Well, yeah, it was itchy. I couldn't deal.
Personally, I wouldn't risk sepsis, but you do.
I'm sorry, are you taking a bite?
What happened here?
Nothing.
Everything's fine. Dr. Porter.
You insist that he's a neuropatient. So I was approaching him with some
neuropsych eval questions when he grabbed me. Next thing I know, he's
to the ground. Dr. Wolf, it's Gloria. He's waking up.
Do you live it?
I need critical response team now!
It would cause a bleed like that.
Certain there's no mediastinal injury?
Doubt it.
I mean, CT can miss small pulmonary trauma, but she'd have other associated
injuries. Any chance there were complications with the intubation Dr.
performed that could have caused endotracheal trauma? 300 cc's of blood
from a first -pass direct laryngoscopy that he nailed and I supervised?
No.
It's not every day an intern reassesses a patient on their own time.
She isn't even on his service anymore.
Good thing he caught the bleed in time.
Yeah, uh, he's gonna be a good doctor.
Finally, we agree on something.
If Gloria dies, Adam's charges will
go from attempted second -degree murder to murder.
The difference could be life in prison. Hey, you're forgetting there's a third
option, which is to find a way for Adam to tell his side of the story and prove
that he's actually innocent.
I like that option best, but Adam's been medically cleared. A wolf, he doesn't
need a doctor. He needs an attorney.
We need to hide him in your office.
What? The police are going to be here any minute. We need more time. No.
I'm not hiding a patient. Carol. Wolf.
Do you have any idea what this week has been like for me?
I am constantly looking over my shoulder wondering who here is most likely to
report me. And it kills me that my one mistake cost me a chance at making
The last thing your mother said to me was to look out for you. And Wolf, if I
was chief, I could have.
But I can't.
Oh, sweet Jesus.
Is Dr.
Pierce the one with the beard who was tripping balls on PCP at the hospital?
Because that guy's a legend.
That's Dr.
Wolf, and no one reports him for anything. Good. It's like, let him do
thing, people. He has a process, and it's working.
Thank you for proving my point.
What do you know about Max?
Katie's partner?
Mm -hmm. I know he's hot and single. Why, are you interested?
I mean, maybe, but...
He's also the EMT who brought Allison in with Dr. Pierce.
Do you think he reported her?
Max worked with Katie every day and never noticed that she was in chronic
after being shot in the shoulder. He doesn't exactly pick up on nuance. Also,
why are you obsessing over this? Even Dr. Pierce says that it was water under
the bridge. That's her way of coping.
She knows someone did her dirty.
Meanwhile, the DCP at the hospital and gives a grieving patient psilocybin
a made -up drug trial. Oh, and nearly kills the patient after sneaking in. of
the hospital to go to a bar before brain surgery.
And he never gets reported for any of it.
Why? Because his mom was chief of the hospital.
And because we are so quick to malign women, especially women of color. If we
work with someone who is willing to give people like Wolf the benefit of the
doubt and not people like you and me, I want to know who that person is.
Okay, I hear you.
And you're totally right. I usually am.
But I am going to get reported if I'm late to Ron's one more time.
What about Morris?
Isn't it always the husband?
How much of that previous conversation did you hear?
Enough to know we're on the same page.
Oh, can I grab a minute?
Dr. Wolfe.
Excuse me, Dr. Kenny.
How did it go? Not great.
We learned Adam and Gloria got in a pretty big fight last week.
Adam's upset about having to move out of the group home soon, and the police
won't be far behind in finding that out, too.
And they'll try to use that as motive.
Anything on Thaya?
No one knew what it meant. He doesn't have an iPad or an AAC device to help us
ask him either, so... And he pushed me.
You gotta admit, the evidence is mounting, Dr. Wolf. Why did he push you?
fine when we left him. Did you provoke him? Not at all.
He came after me.
Grabbing my coat like this and shoved me.
Just lucky there wasn't a train.
What if he wasn't trying to shove you?
What if... He wanted your pen.
Nice job.
Looks like this is what he needed.
Are you aware of the possibility that we might have just given Adam the tools to
incriminate himself?
Say ya.
Any guesses?
Looks more like a Rorschach test than a clue to me.
What does it say about me that I see my mother? In Adam's defense, his artwork
at the tree mile was way better.
Say ya.
Say ya. Say ya. Say ya.
Adam Mills.
Oh, uh, hi. I'm Adam's doctor. Thank you for coming down, but I can't in good
faith release my patient, yet we still have further testing.
We have a warrant for his arrest.
Officer, is cuffing necessary?
Yes, it is.
You just got the subway footage of him running away from the crime scene,
He's a flight risk. Flight risk? He's hospitalized.
This is unconscionable. The rights remain silent. Anything you say, can and
be held against you.
There you are.
Hey. Hi.
How you doing?
I'm okay.
Just... Really worried about Adam.
I'm going to head down to the station to be there for whatever he needs next.
Yeah.
Look, I know things didn't turn out the way we wanted it to, but seeing you
in your element, I'm so impressed by you.
You're amazing at what you do, and you care so much.
I just wish that there was more that we could have done to help you.
Thank you.
I know you did your best.
Everybody did.
Yeah.
And, um... Back at Adams, there was a spark.
I know you felt it. I mean, I did, too.
Van, I'm not one of your nurses.
I don't try to... Feel my feelings, okay?
Michelle, we were so good together once. What happened?
We didn't communicate.
I did mean to tell you, I was
making Liam breakfast the other day, and he said my eggs looked soft.
What? How does he even know what sus means?
I thought you taught him. No, no.
Okay.
See you Saturday for drop -off?
Yeah. See you then.
Okay.
Katie?
What is it?
What's wrong?
I was just taking a nap. Hey.
I know.
I know. I know. Okay.
And I'm freaking out over a nap. I swear.
I'm freaking out because everybody thinks
that what you did was brave.
But to me, it was.
Stupid. And thoughtless.
I get that your job is dangerous.
But you also take these reckless,
unnecessary risks.
Like, you don't value your own life.
But then I am left imagining all of the ways that I could lose you.
It reminds me of losing my sister.
Oh, baby girl.
I do what I do because I believe life is precious.
Whenever I see someone in danger, I always think that could be someone seen.
I have to save them.
Because of you.
Any
progress
on Gloria's past history, anything, can tell us what's wrong with her? I
contacted her GP. Her last visit was 20 years ago, and all her blood work for
that appointment was unremarkable. And yet she's having further hemoptysis.
She's in renal failure.
At this rate, Gloria is going to die.
Let's review her CT with a chest radiologist.
Maybe we'll find it.
I'm sorry, what did you just say?
Say ah.
Adam was saying, say ah.
Sorry, I still don't get it. Adam wants us to test him for a strap? No, he's
trying to tell us Gloria is sick. Every time we mention her name, he says, say
ah. We know Gloria is sick. Yeah, but he also said it while he was drawing, so
say ah is him communicating that Gloria is sick, and maybe what he was drawing
is a symptom?
You rang?
Quick, don't think.
What do you see?
A butterfly.
That would explain the hemoptysis.
And the kidney failure. What was? She needs steroids and fast.
It is so good to see you awake.
What happened?
There was an incident in the subway.
You were hit by a train.
You needed surgery, but you are strong and it looks like you're going to be
okay.
When the surgery was over, you were still sick and we weren't sure why until
discovered that you've been sick for a while with something called lupus.
We almost didn't catch it because we thought that all of your symptoms were
related to the subway accident, but Adam's drawings cracked the case.
He kept drawing a butterfly -shaped rash, a unique feature of lupus.
You don't have it right now, so we never would have known about it.
He drew my butterfly.
He always knew that when he could see the butterfly, that I wasn't feeling
right.
Where is he? Can I see him?
He's not here.
There's been some concern that he may have pushed you onto the subway tracks.
He's with the police.
Gloria, do you remember what happened?
Adam hates the sound of the subway station.
He always has me lead the way.
And he stays a bit behind and he sketches so he can stay calm while we
the train.
I remember that.
It was so hot.
And I felt dizzy, sick.
I didn't know what it was.
He didn't push me.
I fell.
Adam was trying to save me.
He did save you.
You saved my life.
Adam, do you know that?
You want to go home?
Me too. Back to the group home? No. He has aged out of there.
We had a little fight about a week ago, but we talked things out.
Adam is moving in with me.
The morning of the subway, we were headed to meet with the lawyer.
I'm going to be his guardian full time.
You are coming home with me, Adam.
Home is where the heart is.
Well, you've heard the woman.
Let's get them home as soon as we can.
There is chatter among the nurses.
Don't act like you're not the biggest gossip here.
Come on.
Apparently that Kenny girl is just trying to figure out who reported you.
What? Wolf's interns are cute, but they're inheriting his bad habits.
The worst being the inability to mind their own dang business.
Well, I would want to know if I were you. Well, of course I want to know. I
always want to know. Every time I walk into a room, I'm wondering, is there
somebody here?
I will always be self -conscious about saying or doing the wrong thing, second
-guessing my every choice, because now I can't even trust my own judgment.
Even though it doesn't feel fair, I guess that's the price I have to pay.
I know who reported you.
Say what now?
How?
Me and some of the guys play pick -up ball once a month.
And Dr. Hillman on the board, he's been trying to get in for years.
He calls foul like he's bird hunting.
But, yeah, anyway, I figure that you've been put through the wringer enough.
So I can't tell you, but this is a one -time offer.
Then you're done torturing yourself over this.
You want to know?
There's a
reason why these checks are put in place, right?
To ensure that our patients receive the best possible care.
Oh, no.
I don't need to know who reported me because whoever did it, they did the
thing.
Good for you.
Because that was the test and you passed.
You are a mean, mean man, Dr. Thorne. No, but look.
Now you have the real answer to the question, who reported you?
It doesn't matter.
See?
I can play psych doc, too.
Get out. Get out.
Oh, by the way, Wolf wants to see you in the rec room.
I've decided it doesn't matter who reported Dr. Pierce. Hallelujah!
She's back at the hospital, and whoever threw her under the bus has to look at
her every day and live with the guilt of what they've done.
Harsh, but true.
Plus, there's no punishment worse than keeping secrets.
The shame.
The lies.
It's faster until eventually it eats you alive.
You're right, Erica.
It's always best to just come out and say it.
I reported Carol.
Okay. It was me.
You reported Dr.
Pierce.
You listened to me talk about it all day, and you never said it was you.
Why didn't you report her?
Why did you lie?
I'm not obligated to tell you why.
But I will say this I had my reasons
I'd do it again if I had to
What is this?
This is your welcome back party.
Now, anyone who knows me knows I'm not one for speeches, but it is an
understatement to say how vital you are to this hospital, Dr. Pierce.
You chose to come back to us, and we don't take that for granted.
Welcome home.
Thank you for hearing me.
Well, I listen.
You don't have to yell at me, although I do like it sometimes.
Dr. Wolf, the new chief would like to see you.
Okay.
That didn't take long.
Good luck.
It's you?
It's me.
So this is why you've been avoiding me?
Yes.
And Wolf?
It's time we talked.
Greg, we'll get ahead.
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