Original subtitles

What now?

Now we wait.

How long before?

I have no idea.

Could be hours.

It doesn't feel right.

Remember Robbie talked about... It still feels wrong.

This is Roxy's decision.

Everything else in her life is out of her control except this.

She wants to go out on her own terms.

Very few of us get to do that.

I should pick up more patients.

So Adam lives at Middle Hill? He lives in Middle Hill.

And he's three years older than you? He's three years older than me.

And he asked you to be his girlfriend six months ago?

He asked me to be his girlfriend at game night, and I said yes.

Got a patient waiting for a doctor. Heard he's going 13.

Okay, I'll be right there.

Did Adam ask you if you wanted to have sex?

I, Mel, I... I don't know if I can tell you.

Of course you can tell me I'm your sister.

Well, it's private.

Look, it's just, it's really important that I know.

Why? Because.

Well, I can tell Dr. Langdon because Dr. Langdon's my doctor, but I don't think

I can tell you. Becca, just tell me. Why are you yelling? I'm not yelling. It's

just, look, it's really important that I know.

You're definitely yelling. Becca. Maybe we should step outside for a minute. Why

won't you tell me? Dr. King.

Why don't you get some air?

Sorry.

Sorry.

Hey, have you seen any of the x -ray techs around?

Nope.

Got an update for me? I'm just checking in.

What are the chances of me getting out of here on time, do you think?

It's up to you, Cap. We can handle this. Question us where you let us.

Are you two getting along?

I can play nice for another two hours.

Kept calling me Doc. Didn't know he was the real Doc until a few months in. He

was keeping his secret life from me.

Where are we with this chest x -ray?

X -rays are still six or seven behind.

When was the last time you checked?

Maybe ten minutes ago.

Yeah. Come on, give the kid a break. It says here it takes an hour to get an x

-ray. First person to read this fucking thing all day.

Don't get me started on those.

How are you feeling?

I'm good.

You know, I take Lexapro.

It helps with panic attacks, not just depression.

Promise? I'm fine.

Sorry about that, Mrs. Torres.

Are you okay? I thought you were going to pass out. Yep, all good.

Let's just pick up where we left off.

Mrs. Torres presents with one week of painful swollen right calf. No trauma,

fever, no history of hypercoagulable state.

However, she did take a 15 -hour bus ride from Orlando to Pittsburgh last

Mrs. Torres, we're concerned about a possible blood clot in your leg that can

lead to serious complications.

We need to do an ultrasound, but...

No need to worry. If it's positive, we can treat with a blood thinner.

Bueno. If there's something I learned, it's to stop worrying.

Can all you worries add a single moment to your life?

Start to the lab. They said one's critical.

I'm supposed to call those up. I know. Every time they try, the red phone's

busy. Jesus Christ, this was resulted 25 minutes ago. Sodium 112.

Mohan.

Bring us some salt on your patient before he seizes.

Where are we? Kidney stone patient's not obstructed. Just waiting on meds.

Ortho's performing the replantation on our water slide trauma. A perforated

diverticulitis patient, Howard, made it through surgery.

And I'm calling the CYF resource navigator to see if we're getting

emergency foster care for baby Jane Doe.

Other than that, labs and x -rays are way behind, but our golden girls are

getting their steps done.

Does Robbie usually leave as soon as the shift ends, or does he like to stick

around for all the handoffs and night shifts?

Depends. He's usually pretty good about getting out of here.

Shortness of breath in top 16. He could totally decompensate.

I'm hoping to catch another intubation before 7. One more gets me to 3 in my

first week.

Probably a record.

I'm looking for an easy one.

Chef Dan's in two hours.

You're supposed to pick up the stable patients in order.

Do you need a second opinion on that?

No.

Dr. McKay. Yeah. A girl named Kiki came into reception looking for you. Kiki?

She said she'd be in the park. Yeah, great. Thanks.

Hey, I think the labs are back on your PID patient.

Thanks.

Is everything okay?

Fantastic.

Langdon. Kind of hoping I would never see him again.

You know, maybe he's changed.

When you got a sec, there's something... Santos!

I need you to pick up food poisoning in 12.

Yeah, sure, why not?

What? No snark? No pushback? What have you done with Santos?

Only two hours to go.

I surrender.

That's a spirit.

How's Becca?

She's good.

I'm trying to call her a living community, but they are not picking up.

Why are you calling them?

Because I don't know anything about this Adam person.

I mean, they've been dating for six months, and I don't know anything.

She never said anything about wanting a boyfriend or even liking anyone.

That doesn't mean she hasn't thought about it.

I don't want to think about my sister thinking about having sex.

I mean, you could say he didn't take advantage of her.

Middle Hill just let it happen.

Why didn't they tell me? Well, maybe they didn't know about it. Six months,

had to have known.

Maybe it was a mistake choosing Middle Hill.

I mean, we saw a lot of good places, but that is where Becca wanted to go.

Are you... Becca's legal guardian?

No, I have durable power of attorney, but we did this thing called supportive

decision -making where she can make her own decisions.

There you go.

Well, this is different. Why?

Because it is.

My son, he's not moving.

I got a hot and unresponsive child. I need a room, Dana.

Trauma, too.

We need a core temp ASAP.

Hi, I'm Dr. Al -Hashimi. Are you Mom?

Brenda, is there Mindy? And this is... Micah.

Has Micah been sick with a fever? No, he was fine all day. I found him in the

car.

Pupils are sluggish but reactive.

No reaction to pain.

Airway is patent with low tidal volume.

Set up for intubation?

Heart rate is 22 in 10 seconds. That's 132.

Do you know his weight?

No. Joy, the Proslow? The what?

The Proslow tape gives us all the drug doses based on length.

Assisting with ventilation.

Somebody call respiratory.

You said you just found him in the car?

I was working in the garden while he rode his trike in the driveway. One

he was there, and then he wasn't. I thought he had gone into the house, but

couldn't find him anywhere. He must have gotten...

Tired and climbed in and fallen asleep. By the time I found him, I couldn't wake

him up. How long was he in there?

Maybe 15 minutes or 20. And the car was just unlocked.

It's a safe neighborhood.

Joy?

Okay, so you're going to want to start at the head, measure the length,

and then read it off.

Approximate weight is 25 kilograms.

250 bullets of LR.

I have doses for rock and ketamine. Almost no tone. I can do this dot med.

It's easy enough to bag. Let's wait for RP.

When the temperature is this high, the muscles can lose their strength. So

going to help him breathe through the tooth.

Rectal temp is 105 .5.

Heat stroke.

Ice packs to the groin and axilla. See if we have an arctic sun that's not in

use. We need all the ice we can get.

And a pediatric body bag.

Still waiting on your Ketorolac pills. I will keep following up with the

pharmacy. I told my son I would meet him at the park. We always watch the

fireworks together. Sorry, Mr. Green, we won't forget about you. All right.

Heard you had a heart attack.

I did not have a heart attack.

Hey, Tamara, how are you feeling?

I am totally fine.

I'm glad to hear it. Hey, do you mind watching my patients for five minutes? I

have to step out for a sec. No problem.

Ogilvy, you want to get some air?

I've got a good case for you. Might an intubation be required?

No. It's an unhoused patient I've treated on the street team.

Hi, Becca.

I'm sorry I yelled at you.

I was just surprised.

The nurse said I can leave.

Yeah, um, can we just finish our conversation first? About what?

Look, I know you don't have to tell me anything. I just kind of hope you'd want

to.

When Adam asked you to have sex... He didn't ask me. I asked him.

So you didn't...

Pressure? No.

So you wanted to have sex?

I wanted to have sex. Sex is great.

We talked about sex in my mind and body class.

I told my therapist, too.

You have pancreatitis in your three still waiting for you. Can I go now?

Just one second.

I'll be right there. I'm just going to walk my sister out.

Yep, sorry, I'm right behind you.

Curtis Larson, 42, called to the golf course for combative behavior with his

buddies. No signs of trauma, just alcohol in the breath.

Seems to have calmed down a bit.

He was fighting us so hard we had to give four milligrams of Versed to get

vitals in a line.

Good BP, pulse ox 99 on two liters. Between the booze and the Versed, he'll

sleeping it off for a while.

Central 14, guys.

Is her husband still in there with her? Yeah, she bodies with him.

She needs a death note. I can't find McKay.

Okay, I'll be right there.

Okay.

Have you seen McKay anywhere?

No.

Have you ever seen a xylosine wound?

No. But you know what it is?

Yes. Then you know its street name is Prank, and this shit is nasty and can

to skin necrosis.

I've never understood drug addiction.

Well, you need to try.

A little empathy goes a long way in this job.

I am empathetic. I don't understand how an intelligent person allows themselves.

Can make mistakes, heal themselves, take away the pain, hide from the abuse.

A healer is not judges.

Shouldn't we go to the crosswalk now?

Okay, this is what we're doing.

I see organ donation in my future.

Sorry.

How's it going, Kiki?

Who's this?

Oh, it's Uncle V. He's a student doctor here to help me.

What's happening with you?

My leg's getting stinky again. Yeah?

Okay, let's take a look.

Is that an injection site?

No. No, xylosine wounds can show up anywhere.

You still need to drink?

Sometimes.

Sometimes it's not good, Kiki.

You know, it's nasty stuff.

I'm trying to quit.

How are you going about that?

I go to meetings sometimes.

Meetings are good.

And not you seems even better.

Okay, what's your plan, Uncle V?

Uncle V, you okay?

Yes. Yeah?

Absolutely.

My plan is clean with saline.

Antibiotics? Meta honey to break down the eschar.

And then?

Redress with zero form and an ABD pad and acrylic spray. Yeah, that'll do it.

You need to change this dressing every day, Kiki, okay? I don't think I can do

that. We'll give you all the supplies you can do yourself. You won't even have

to come back here.

Yeah.

Okay. Okay.

Okay, pass the saline.

Hey, I'm Dr. Whitaker. This is Dr. Santos.

Roberto. Like Roberto Clemente.

Oh, sorry. I don't know who that is.

Pirates Hall of Famer Roberto Clemente.

You don't watch baseball?

Well, I'm from Nebraska.

We went to a few Storm Chasers games as a kid. That's about it. No major league

team, you know.

All right. What happened to your elbow?

O 'Neal Cruz hits a walk -off tater, right? And I catch it, you know, but

somebody fell on top of me. And I think I heard a pop, but hard to tell with all

the screaming.

That sounds pretty dangerous.

You're not one of those guys who steals balls from kids, are you?

I didn't steal this. I wouldn't do that. I would never do that. I would never do

that.

Can you move your fingers for me?

And the thumb?

No. You know what? We can put that in a balloon.

No, thanks. I think I will hold on to this.

Okay. You know what? We can put you in a sling, and then you can hold on to the

ball while we examine you.

Okay. Yeah, I guess.

You're going to throw in an IV and start with four morphine? No, no, no, no. I

don't want to be knocked out.

No, it's a low dose. You won't be knocked out. It'll just help with the

might make you a little drowsy. Oh.

I need to stay alert.

Okay.

We will order you an X -ray. Just please let us know if you change your mind.

Okay, yeah.

Temp is down to 103 .5.

On way to 98 .6.

102, we take him off the ice. Otherwise, we can overshoot and cause hypothermia.

I put in orders for CK.

What does the CK tell us, Julie?

Raptor from muscle breakdown can take out the kidneys.

More concerned about his brain.

It's two times a day for three days, and a nurse can crush it up. Dr. Langdon

already told me.

Okay, bye, Mel.

I'll see you at fireworks.

Oh, I was going to watch fireworks with Adam and his parents.

Where? At the park.

They're picking us up.

They go every year.

We always watch the fireworks together. I have your headphones.

Adam said he has extra.

Okay, well, do you have Adam's parents' phone number?

Why?

In case I need to reach them.

I want to go now.

I guess I could... Bye now.

So how long have you been part of the street team?

Oh, about a year.

And why do you do it?

Oh, most of these unhoused folks feel abandoned. Sorry.

They, uh, don't trust easily.

Meeting them where they're at makes a big difference.

I've been trying to get Kiki to come by for a month.

You should, uh, volunteer.

It's great training. Street Team could always use the help.

Yeah. Uh, maybe.

Thank you.

Hey, how did the deposition go?

Um, I'm glad it's over.

But I didn't feel good about it at all.

You know, I'm still not supposed to talk about it. No, but you can talk about

how you feel.

Who do you have to talk to when things aren't going so good? Friends?

Family?

Actually, I don't really have any. Hey, McKay, where have you been?

Oh, I stepped out.

Did you tell anybody?

I was treating a young woman I met on the street team.

Did she check in as a patient?

No, we treated her in the park.

We?

I, uh, I took Opal B. Oh, okay, so...

You treated her outside the ED on PTMC's diamond. You brought a medical student

with you. Right when we're in the middle of crisis mode and we need all hands on

deck. I'm gone for ten minutes. Talk. When you're here, I need you to be here.

And while you stepped out, Roxy died.

What?

Oh, man.

I'm sorry.

I didn't think she would be gone that quickly.

Excuse me?

She took a nasty fall, her shoulder.

Screamed in pain when we put the ties on her. Hello, I'm Dr. Rabinovich. This is

Dr. McKay.

Agents Correa and Russo.

She needs to be looked at before we process her.

What's your name, ma 'am?

Anita.

We're going to take care of you, okay?

You say she fell?

We'll conduct a sleep at her restaurant.

When the kitchen took off, she was shoved down some alley stairs.

Hey. Be a rotator, cuff tear, and AC separation?

Let's put her in a chair, find her a room.

South 19.

Curtis.

Dude.

What happened?

Medics had to sedate him to transport.

Didn't realize he was such an angry drunk.

So you've seen him drunk before?

Sure. Yeah, but never like this.

He tried to pick a fight with the guys in front of us. He said they were going

too slow. That's what they call the cops.

Could he have taken drugs?

If he did, they were not the performance -enhancing kind.

He shot a 112.

We'll order labs. See what we can figure out.

Uh, any family we can contact?

I have no idea. We don't talk about that shit. How long is he going to be here?

At least three or four hours until he silvers up.

Cool. It's okay if I just come back around nine?

Sure. Great, thanks.

Need those removed so I can check her vital signs.

Okay, tender over the IC.

Can you lift your right arm up above your shoulder like this?

Heart rate's 110, pulse ox 98.

Painful. Our test is positive.

Try a drop arm test.

I'm going to lift your arm up.

And you just lower it as slowly as you can, okay?

Positive drop arm test.

What's that mean? That means that she's going to require an x -ray. It's most

likely a rotator cuff tear, which sometimes can come with a fracture. We

x -ray to rule it out. How long is that going to take?

Our computers are down today. Everything's moving a little slower than

but we will fast track her.

Is there anyone?

You want us to call Pernita?

No phone calls.

Got a bathroom?

Right there.

I do not want these guys here any longer than they need to be, so let's find x

-ray and fast -track this one.

Your family might be worried. Maybe I can call them. No, no, no. Just stay

her. Make sure she has everything she needs. We treat her injury, and that's

Okay.

Jaime Guerrero to window three, please.

Jaime Guerrero to window three.

Got a lateral.

Best I could.

Posterior dislocation, no fracture.

Thanks.

Okay, good news, Roberto. No broken bones.

But the elbow joint is dislocated, and we need to get the ball back in the

socket. The best way is with sedation and pain meds. No, no, no. I know you

no morphine, but we can put local anesthetic into the joint to block the

That way you won't be sedated. Oh, thanks, Doc.

Just give me a bullet to bite off.

The Red Joe's over in Green Tree. Oh, man, I love that place. What I wanted

employees. So ICE is here. People are leaving the waiting room. 10 patients

ready. What should I do? Just tell them the truth and hope they stay for the

treatment that they need.

Martha took off. I'm going to call her when I get a chance. Oh, shit. Yeah,

sure she's okay. Will you call the EVS department too and let them know? Will

do. All right, hold down the fort. Let us know if you need backup. You got it.

Can't we just tell the agents to fuck off?

They are not going to leave without their patient.

We just need to treat her.

Even if she's undocumented?

All patients, regardless of immigration status, have the right to emergency care

under EMTALA.

Prenita is next in line for x -ray. Okay, good. Thank you.

Propofol is down to 100 mics per minute.

Temp is 101 .8. Great. Let's get him off the ice.

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

What's the latest?

We got some arm movement.

That's a good sign.

And pupils are minimally reactive.

Planters are down going.

All encouraging signs.

Any luck getting a lawyer for our detainee?

Uh, no.

Keep him posted.

It's a pretty bracelet.

My daughter made it for me.

She doesn't know where I am. I just want her to know that I'm okay.

You seriously won't let her make a phone call?

Not until she's processed.

Unbelievable.

Thanks, and just let me know when she gets back.

One other thing. Do you have a resident named Adam?

I was wondering if I could get his parents' phone number. Nope.

Red phone is for emergencies only.

This is kind of an emergency.

Sorry. Bye.

Hey, Mel, we need an R3 to supervise a reduction in North 4. Are you free?

Uh, I guess.

Should we move the deceased woman in Central 9 to viewing?

Uh, no. Let's leave the husband in there for a little while longer. We need the

room. We're not moving her yet.

Okay. Sorry.

I need to do a room check.

Heat's ITU says they'll have the beds soon.

Okay.

So what do we think?

About what?

The mom of our heat stroke kid.

Uh, that is not our job. That is what CYF is for.

So you think it was on purpose?

No, I did not say that.

I just don't buy it.

She lost her kid at home?

Plus, she just looks guilty.

Has anyone seen her cry?

People don't always respond to trauma the way you expect them to.

Stay focused on the kid.

BP 78042, stats 87.

You having some pain again, Mr. Green?

Mr. Green? This one's yours?

Yeah, a kidney stone, possible vasovagal. Can't assume that we need

here. Does he have an ID?

No, he didn't need one.

Hypotensive and hypoxic.

Clear trauma room? Yes.

He was just waiting on his discharge meds, pain -free.

A few more patients are gone from chair stop. His team took off, too.

History of renal coli, key in positive urine, BP crashing.

Key in positive urine doesn't always mean kidney stone.

Two anti -cubital lines, biggest ones we've got.

E -fast.

Let's get two units of whole blood hung, please.

Good.

Who worked up this patient?

I did.

Ultrasound showed dilated ureter and mild left hydronephrosis consistent with

this history of renal colic. What about the aorta?

I didn't look at the aorta.

Who did you present to?

Dr. Mohan. You said the rest of the ultrasound was normal. I meant that the

other kidney was normal.

Eight centimeter triple A with massive free fluid. I'm sure you make any reason

bleeding out. Okay, go with the MTP.

16 gauge in the left AC, two units whole blood on the infuser.

Well, assisting ventilation, breast diagonal.

Okay, who wants to intubate?

Everybody? Sure.

Okay, call for six more units of whole blood euthybocal surgery.

If we stay ahead of them, we might get them up to the OR. Here we go.

We're lightening up his sedation to see if he has any purposeful movements. If

so, that will be an encouraging sign.

Can you be back tomorrow?

There's no certainty as to how much recovery Michael will have.

His response over the next 24 hours will tell.

There is a chance of cognitive impairment, but also a chance of

recovery.

Dr. Alashimi, the patient in 22 needs you.

I will be right back.

I'm in. Bag him.

Thanks, Lieutenant. Good job.

Unit 3 is up and running. I've got a 16 -day, DJ.

That one goes on the rapid infuser.

Good and tight away for him.

Strong radial pulse. That's a very good sign. BP's up 86 over 52.

Some progress.

About two grams TXA? Yeah.

What else do we give after four units of blood?

Calcium gluconate to counteract hypocalcemia caused by the tissue

Why don't you see if you can't squeeze a unit into that peripheral line?

Should somebody place a central line?

Long central line is slower than short large bore peripheral.

The flow is proportional to the fourth power of the radius.

Physics.

Right.

Okay.

Bite down on this.

Okay.

I'm stabilizing the humerus.

All right, after I supinate with traction, Dr. Whittaker will apply

pressure on the proximal forearm. Okay, this is going to hurt like hell,

Roberto.

One, two, three.

Okay, and then flexing at the elbow.

His dolly's down 68.

You know, it's five and six are up and running.

I'm here for Garcia.

Vascular can't come down. Triple A with hemorrhagic shock.

Most of these die in the field. He was stable, presented with a history of

colic. And nobody saw the triple A on ultrasound?

Was this you?

No. It was me.

Looks like sinus attack.

Nope, lost the pulse. It's PEA.

Bag him.

Over the start compression.

I'm having a hard time staying out of the blood loss here. General gloves.

Prep for a thoracotomy.

Dr. Javadi, why don't you glove up and show Dr. Shamsi why you belong in the

We can cross -temp the aorta.

We can stop the blood flow from below the diaphragm. We can prep for use of

heart and the brain.

Tendly. Better get in there.

Let me know when you have enough exposure

Right there

Do you need me on suction? No, there's no blood in the chest. It's all in the

belly. Here, keep squeezing.

It was just clamped.

Heart is empty. Okay, Javadi, get in there. Internal compressions. Go.

Put two more units on the rabbit infuser, please.

They'll be units seven and eight.

Neuro is intact.

So we'll do a posterior splint, a thing, and an ortho referral.

You know, I'm actually kind of impressed you did that without pain meds.

Definitely worth it.

You know, last year I caught McCutcheon's 300th career homer, but

stole it from me. I promised myself I would never let that happen again.

What if there's a new, right, the procedure? No.

Yeah, you already filled in the t -sheets. Well, I'm already here.

Yeah, I kind of had a handle.

Can you just fill out the trash? You should probably finish it. Well, okay,

someone do this. I don't, I don't, I don't care who.

Yep.

Where's Mrs.

Azamendi? She stepped out.

Stepped out?

Feels like the heart's filling back up. Let's have a peek.

Looks good.

Really good.

Strong radial pulse.

Moist lap pads. Prep for transfer.

Systolic in 94. It's the best so far. Can I go with you?

He's my patient.

Okay by me.

Bring two extra units.

Ice is in the building.

Word travels fast.

Yeah, we have a detainee with a rotator cuff there. Two of our nurses went home.

They have temporary protective status, but they just don't feel safe.

Um, I'm really sorry, Dr.

Robbie. I should have checked the air. Too easy one to miss.

Got a heartbeat back, though, so still smoke.

I'm sorry, too. I should have asked Ogilvy if he'd checked the aorta. It's

fault. It is.

You're the senior resident.

You don't look to others. Others look to you. I know. I'm really sorry.

This is what happens when you bring your personal life into work.

The patient almost died. I know.

You have to think of these walls like a force field. You cannot let anything in.

Your mother's not in here. She is out there. You keep everything out there.

is the key. That is the difference between the best doctors and the ones

don't make it.

You're right.

Maybe I just don't belong here.

Benita's x -ray results?

No fracture.

Okay, we'll just have Jesse fit her for a sling, I guess, and then we have to

discharge her.

To the immigration guys?

I'm afraid so.

Okay, time for you to go.

I was just having a chat with one of the speeders here.

You can see how busy this department is, right? You've been nothing but a

distraction and a disruption since you've been here. I'm already short

and I just lost five nurses and half my environmental services team because you

walked in.

You know, patients come in here for help, right? Because they're either sick

they're injured, and documented or undocumented, they have a right to

care.

TB, measles, fractures, none of it's getting treated because everybody's too

scared to come in. But then they end up here anyway, but then it's too fucking

late. So please, for the love of God, can you just go wait over there in the

room with your detainees so I don't lose any more patients or staff?

No problem, Doc.

This is Asurmendi.

Brenda, where are you going?

Okay, okay, that's okay.

Let's get you back inside to your son. That's okay, that's okay, that's okay.

Come on, she's cleared to go.

Hold on, she needs to sleep. It'll only take a minute. We're leaving.

Hey man, you're hurting her.

Jesus Christ, what's going on now?

Don't say anything. You don't have to say anything. They can't make you say

anything. We'll get you an attorney. I promise we'll get you out.

Call the hospital attorney again.

I can't believe this shit. Can you at least tell us where you're taking them?

Is there a detention center near Pittsburgh? That's got to be where

going, right? Could be hours before he's processed.

I'll stay on it.

What can we do?

Uh, hey, Javadi, Javadi, please come back.

Everybody, just go check on your patients, assure them, tell them what

but please, everybody get back to work.

Who's going to take Jesse's patient? I can do it, dear.

Thanks, Perla.

Hey, you okay? Yeah, I'm okay. You okay?

Yeah. The lawyers are tied up with the cyber attacks upstairs. They probably

won't come down for a while.

Where's Elias with the heat stroke kid? I sent him up to Pete's ICU.

What's going on?

I found her outside wandering into the street. She almost got hit by a truck.

I think it was intentional.

Christ almighty. I told Nurse Kim not to let her out of her sight. We need to

call a 302 and observe her.

Danger to herself?

Is she going to be able to see her kid?

Not if she's on an involuntary cycle.

What happens if he's ready to be discharged before she is?

Does she have a partner or a relative we can call? I can find out. Why don't you

and I talk to her together?

Sure. I just need to check on a patient and I will meet you there.

Emma, have you seen this patient?

Oh, I haven't. Oh, she took off when those ice guys arrested your nurse.

Have you ever thought about hurting yourself?

CBC and blood alcohol are back on your goal for Curtis Larson.

0 .14.

Copy that.

Okay, we'll wait for the other labs.

We'll need to sweep it off in the meantime.

Hey, Gabriel, can you wait up a sec?

Do you have Duke Eakin's chest x -ray? Yeah. How's it look?

Radiologist still needs to read it.

Can you pull it up for me?

I've got to call the funeral home and start making arrangements.

Take some time for yourself.

How are you doing?

Oh, you know, I've been better.

I spend so much time with these people. You've become a part of their family.

It's not like it is here where patients come and go. Don't stay for the night

shift. I've got reinforcements coming in.

I'd rather work. I don't know if I want to sit with this at home. Try.

For once, just listen to me. Take the night off. I'll cover for you until I

find someone else to come in.

You think she's going to be okay?

I don't know.

I just hope she can forgive herself.

I've noticed some tension between you and Dr. Santos.

You two have history?

Yeah, she doesn't like me very much.

We worked together one time.

was a pretty big asshole.

She called me out on some things that I wasn't ready to face and I overreacted.

I'm going to talk to her. I just haven't found the right time.

Good.

Well,

you might be in here.

What's going on?

The deposition of my sister coming in has been a day.

That's a good deposition.

Is your sister okay?

Yeah. She's in UTI, so meds will clear her.

That's good.

She's a boyfriend.

She didn't tell me about.

And other things she didn't tell me about.

Maybe she didn't know how.

She's having sex.

Great sex.

And she lied to me. I mean, she lied to my face for six months. My sister is a

fucking liar.

She's just cursed.

It's how I feel.

Look, kid.

I say this with love.

People got their own reasons for keeping secrets.

Most times it's got nothing to do with you.

I've seen Elf 164 times.

Becca loves Elf, so we watch Elf.

And she's got everything, and now she's got a boyfriend, and they're going to

fall in love, and they're going to get married, and I'm going to be completely

alone.

Do I feel good to say that out loud?

No.

Mel, you're a good egg, but this is not about you.

Lived a long time ago, quit feeling sorry for myself. Now come on, pity

over.

Okay, so this is your heart, and these are your lungs.

They look okay?

Yeah, it's this part right here, this space right between your lungs. It's

called the mediastinum, and it is enlarged. It is too wide.

From what?

Can't really tell from the plain film. Could be any number of things.

Yeah, stop the bullshit.

It could be an enlarged thyroid.

It could be enlarged lymph nodes from an infection. It could possibly be a

tumor.

You think I have lung cancer?

Nope, I don't see that.

The cancer of the lymph nodes is called lymphoma. And there are a lot of

diseases of the aorta, which is this big artery that comes off the heart, which

can get enlarged because of a weak spot in the wall, kind of like a...

bubble in the tire that can have a blowout.

And the only way to make sure is to do a CT scan of your chest today.

How long does that take?

A few hours, a couple hours.

You're still going to be here?

Yeah, I would not feel good about riding if I rushed this.

This is important.

Hey.

I think the labs are back on your COPD patient.

Saw him in the rack.

Thanks.

Look, I don't know how to say this.

I know you don't like me.

And that's fine. You don't have to. I just want to say I'm sorry.

for being an asshole on your first day. That was completely inappropriate, and

if I could take back what happened, I would, but I can't.

Okay.

Hey, I'm sorry. I just, I don't buy it.

Everyone thinks you're just an addict who went to rehab, and you've convinced

everyone here that you've changed, and you're owning up to your mistakes, and

they welcome you back with open arms because you're still the golden boy, and

think it's bullshit.

I'm genuinely sorry.

And I can promise you I have faced my fair share of punishment for what I did.

You fucking stole drugs from the hospital.

Only three people here actually know that. Have you told anyone else what you

did?

Have you? Look, I'm just trying to get through my first day back. You shouldn't

even be here. I should have reported you to the state medical board. You should

have lost your license and gone to prison. You don't know what I've been

through. What you've been through? My wife threatened to divorce me, okay? I

almost lost my kid. Yeah, that's what happens when you fuck up.

You don't have to accept my apology. I just, I wanted to say it.

Okay?

You really want to atone for your sins?

Tell everyone here you stole drugs and got kicked out of the ED because of it.

Until then, stay out of my way.

Oh,

hi. The fuck?

I'm just checking your vital signs.

Where am I?

What are you doing to me?