Original subtitles

Previously on Doc.

You've been different since you came back from Chicago.

You've changed since this whole thing with Rachel.

I am Chief now of your department.

You lied on our first day working together.

I appreciate you finding a way to trust me.

I'm never gonna trust you, Richard.

You lied for Dr. Miller.

That's the thing about your reputation,

you only have one and once you lose it,

it's almost impossible to get it back.

What could I do at this point?

Find your voice.

Are you alright?

I told her if she wants to come forward to HR,

we would both have her back.

- Good morning. - Hey.

- Hey. - Oh, I'm sweaty.

That's okay, I like you when you're sweaty.

I can think of a better way to get you there.

Yeah, but your way means I can't focus on my lancet.

And I need to brush up because today is the first day

shadowing my Chief Resident.

Well, I think you're gonna do just fine.

- Coffee? - Yeah.

Hey, so, Rachel's coming by the hospital later.

Her biopsy site's not healing well,

so I just wanna, you know, play it safe.

- Makes sense. Thanks for telling me.

Michael.

I'll get the coffee.

Morning.

Just wanted to let you know,

Liz filed an HR complaint against Richard

for coercing her to be part of last year's cover-up.

As she should,

but hasn't Dixon been pretty well litigated?

She wasn't party to those agreements.

She's uncomfortable with his return

and I'm supporting her.

And how's he taking it?

He doesn't know yet.

I'm giving you the heads up first,

cause adversity doesn't bring out the best in him.

That's an understatement!

I appreciate you, uh, looking out for me.

Oh, here he is now, gotta go.

Liz is going after Richard with HR.

That'd certainly be poetic justice.

- That guy has nine lives. I'm not holding my breath.

Just have her call me back

after she's out of the deposition,

and let her know that it's important.

Thank you.

Dr. Miller?

I got your CBC back,

and your counts are trending in the right direction.

So, I finally made bail.

Not quite.

Come on, it's been three days, I'm fine!

That's because you've got EPO

and half our blood bank in your system.

Oh, I have her platelets.

Just give it to me, I'll hang it. Thank you.

So she came forward.

Amy put her up to it, I'm sure.

Nope, that was me.

And I prefer to call it empowering her.

Was that before or after I saved your life?

You did what you did.

Well, it is great

to have you back in fighting shape, Joan.

I'll check on you in a few hours.

Mr. Zweig.

I'm Dr. Larsen, this is Dr. Heller.

Nice necklace you got there.

Big believer in life.

Aren't we all?

Elevated blood sugar's blurring his vision.

I got my driver's test coming up.

Drove himself to the hospital,

he's got a 90th birthday party

he's trying to get to this afternoon.

Yeah, yeah, I know, I know, 90.

But don't even think about taking my keys!

I tried CGM, insulin pump; he's still hyperglycemic.

You should add a...

Um, have you thought about sugar input?

Oh, his diet's pretty good.

I cut latkes and babkas over Covid.

Traded them in for a Peloton.

It's not just about what he eats,

it's how it gets into his system.

A glucose absorption blocker

would limit the sugar entering his blood.

Hmm...

But it blocks the digoxin uptake as well.

Right. Bad for the heart.

We reduce glucose reabsorption

in his kidney.

SGLT2 inhibitor.

Great. That sound good to you?

Well, I don't question the plan.

That's how I got this far!

Uh, the pancoast tumor, it's gonna have to wait

till I get back, I don't trust Mullins to get clean margins.

And have Gorman cover the cath lab.

No, no, he'll complain, but he'll do it.

I'll call you back for the rest. Alright.

Hey, morning. I'm Dr. Heller,

this is Dr. Amy...

Amy Larsen! Dr. Ben Grant.

I saw you speak at the osteomyelitis symposium

three years ago when we hosted in New York.

Sorry I, I wouldn't remember that.

I know. I heard about your accident.

You did?

Yeah, you're pretty famous on the circuit.

So, we didn't actually meet.

No, I wouldn't, I wouldn't say that.

I challenged you on non-operative management

of diabetic ulcers, and you ripped me a new one

in front of a hundred other surgeons.

Yep, that sounds about right!

Thanks a lot!

So, Renee, Dr. Barrett said you had questions

about our treatment of your neuropathic pain?

Not me, my overbearing brother here!

I prefer overprotective.

Dr. Barrett prescribed 300 of gabapentin,

but Renee was on that when she first got diagnosed,

and it made her too lethargic.

So I'd like to try naltrexone.

There can be significant GI upset with that.

- Lovely. - Can you mitigate it?

Umm...

We could add dichloroacetate,

try split dosing?

Thank you.

- Nice to see you. - You too.

Again.

What's going on?

His O2's a little low.

Might have something to do with the fact

that he missed his sessions last week!

George! You know dialysis isn't optional!

I know, but Angie was out of town.

And if I leave the dog alone too long,

she poops on the carpet.

That's why I have cats!

Blood pressure's a little low, too.

You feeling light headed at all?

Tired, achy, slight fever, too.

And why am I just hearing about it?

Figured it was just the toxins building up in my system.

Should we run additional bloodwork?

- Obviously. Yes, Lucy, thank you.

- Mr. Santiago. - Hey.

I hear you've got a migraine?

Yeah, my head is, is killing me.

Excuse me one minute.

Tell me the terms of my agreement covers this!

It's a bit of a gray area, I'm afraid.

How could you not have negotiated that?

You wanted back in fast.

And I did not want to raise a red flag

that would have involved her union.

So now what?

I suggest

you try to make nice.

No, I can't.

Michael explicitly said

that I need to stay away from her.

Then this is going to be a very long road.

- Code Blue! Code Blue! We need help in here!

I gotta go!

Code Blue. Code Blue.

Richard clearly made a mistake and we need an autopsy.

The patient was in end-stage renal failure.

A cardiac event is hardly a surprising twist.

Something is off, Michael.

I looked at his chart, his anion gap is over 30.

Delayed dialysis

is a perfectly reasonable explanation.

So what, Richard takes a call,

just as his patient codes and dies?

What does that remind you of?

Gina said the code was handled correctly, so did Liz.

I'm not talking about the code,

I'm talking about what led up to the code.

I can't be the only one who thinks that there's

something to be concerned about here. Jake?

Personally, I don't think the death was suspicious,

but yes, Richard does have a history

of making mistakes when he's distracted.

When the patient's wife returns my call,

I will ask about an autopsy.

But I don't make any promises.

You made your point, he heard you. Okay?

Let's let Michael do his job, we do ours.

Mm-hmm.

Herman's ready to be discharged.

Can you handle that? - Mm-hmm.

Okay.

Sorry.

Onions.

So you just found him like this?

Yes, we got worried when he missed the house meeting.

Was that before or after you made him streak the commons?

Our fraternity doesn't haze.

Spare me the BS, he's a freshman

with a blood alcohol of. 18!

- Hey, Dr. Maitra. Got a sec?

Excuse me.

Richard's not giving you a hard time, is he?

It, it's not that.

Um, did you hear the code?

I think he might have killed another patient.

What?

I was told not to process the body

cause there may be an autopsy.

It's just a minor infection,

but it's a good thing you caught it early.

My catastrophic thinking finally pays off!

Let's just call it vigilance.

Amy okay that I'm here?

I saw her in the hall,

her wave was a little tentative.

Yeah, she wasn't thrilled

that I kept your situation from her that whole week.

Guess I put you in a tough spot.

And now I'm back again!

It's fine, we're fine.

Yeah?

The doctor who gaslit her, he's back,

and it looks like he mishandled a patient.

Gaslit her?

He took advantage of her memory loss

and tried to pin a patient's death on her.

Always a bit of a rollercoaster.

Still,

you're allowed to have separate nervous systems.

Yeah. This shouldn't take long,

and I will check in on you when I'm free, okay?

Have you ever seen a dialysis catheter

cause cardiac tamponade?

No, why?

So you're saying it's not possible?

Well, theoretically,

if the tip eroded the wall of the SVC.

- Take a look. - Richard's patient?

Mm-hmm.

It's not the catheter.

But something's causing bleeding.

His BUN is 95, maybe that caused platelet dysfunction.

Pathology?

Hey, Jeannie, I'm calling about George Baker.

Do you still have any of his blood?

Two vials.

Great. Can you run a quick PFA? I'll hold.

- Hey. - Hey!

Is there a problem with Herman Zweig?

Uh...

He's still here.

Oh! I forgot to discharge him.

Seems like you forgot him altogether

because you're here chasing Richard.

- I'm sorry. - Your world.

We just live in it. - Hey!

I'm sorry, but you did see his tattoo, right?

- Yeah. - Okay.

I was just hoping that maybe you'd go above and beyond

for someone like that.

It's fine, I'll discharge him myself.

He's got family waiting to celebrate his 90th.

Okay, got your results.

Um, is his platelet function prolonged?

Nope, normal.

His coags are through the roof, though.

I mean, bananas high!

Richard was right, it wasn't his fault.

- Well, that's a relief. - No, not really.

I think George Baker had a hemorrhagic fever.

Come on!

Flu-like symptoms, low BP, sky-high coags

and D-dimer AST, triple ALT.

That is a hemorrhagic viral picture.

Had he been travelling recently?

No, but Lucy said that his wife

just got back from a safari in Tanzania.

Did you talk to her?

I've been trying for hours, she hasn't been answering.

Public Health needs to get to her house, with HAZMATs

and you need to lock down this floor!

Amy, I...

I know, you're gonna wanna test

and do an autopsy,

but every minute that passes,

somebody who may have been exposed leaves this building

and they spread it.

We can't blink, Michael.

They were both in the code with Richard and Gina.

- Go find them and isolate them. - Okay.

Attention, Code Five.

Attention, Code Five!

All individuals are asked to shelter in place,

I repeat, all individuals, shelter in place!

George Baker tested positive

for a variant of Marburg.

Which, as you know, has a very mortality rate

and is extremely contagious.

It has characteristics of the 2005 Angola outbreak,

and the 2012 Uganda outbreak, but it is unique.

Dr. Franco is doing an autopsy now

and I have Dr. Larsen sequencing the virus as we speak.

I'm liaising with the CDC,

and as of now, Baker is the only

confirmed case in Minneapolis,

though Public Health is checking on his wife.

In the meantime,

containment is our priority.

Nobody in, nobody out.

Wait here.

Those with symptoms or high risk exposures

will be isolated and observed.

Dr. Walker, Dr. Miller, Liz and Lucy

were exposed during the code

and we are waiting on the results of their tests.

We will test ourselves and our patients every 12 hours.

Confirmed cases will be quarantined in the ICU,

which, from here on out,

you do not enter without HAZMAT gear.

Decontaminate upon exit.

Gloves and gowns will suffice for regular patient care,

but we need to minimize interaction.

If it can wait, it should wait.

What about emergent situations?

Handled on a case-by-case basis.

My patient in 623 may need a Graham patch.

This is Dr. Grant, Chair of Cardio-Thoracics

at St. Mark's in New York.

Double boarded in trauma,

he had the misfortune of being here today.

I'm happy to help in any way I can.

If surgery is needed, Dr. Coleman will assist,

and Dr. Douglas, you good with anesthesia?

I can push drugs and keep a heart pumping.

Yeah, but where? We've got people in every patient room.

Waiting rooms are being sterilized.

I can work anywhere.

We're all gonna have to improvise today,

but we can do this.

Oh, absolutely.

Joan, you can't be out of your room!

I am content to sit in here and contact trace,

I suspect I'm the only one here who's actually done it?

I'll get you security cam footage.

The rest of you, I need you room to room

to collect blood samples and answer questions.

So, the whole floor's infected?

No, no.

The lockdown is a precaution, and it's not airborne.

It's spread through fluid droplets,

person-to-person and on the surface,

which is why you need to stay in your room.

- For how long? - Days?

I can't be in here for days,

my mother depends on me for full-time care.

Is there someone else you can call?

My father's a lawyer and just so you know,

he won't stand for you holding me here.

Fever, chills, chest pain,

nausea, even a headache, you let us know.

Meantime, I'm gonna need blood samples to test you.

I suggest you cooperate.

I'm really sorry you're trapped in here

today of all days.

- You still serve food? Then I'm good!

You can't just lock us in here!

My wife is waiting downstairs!

The lockdown is for your protection.

Oh yeah, that's what the geniuses said last time,

and then it was two years of us hiding from a flu!

Hey. Hey!

You'll go where they say,

or you and me are gonna have a problem.

What a crock!

I already talked to Allie,

she said she can look after Mia until this is over.

You really don't know how long this is gonna be?

I mean, once I'm negative, I can go home...

It doesn't work like that,

negative could just mean not positive yet.

I want you to take your temperature every hour.

If it's over 99, you call me.

I'll have your tests results on this in a bit, okay?

Jake?

You seem scared.

I am.

Just tell the boys that I'm okay,

and I'll be home as soon as I can.

I'm testing negative right now,

but um,

I don't think I'll be

in the clear for a couple of days.

Welcome to the world's worst sleepover.

I saved you the top bunk!

Doubt I'll be doing much sleeping.

I don't have privacy right now,

so I can't talk about that.

Yeah, okay.

I love you too.

Kind of puts all of our other problems

into perspective, doesn't it?

Okay, can someone catch me up?

I filed an HR complaint, not that it matters now.

Where's Lucy?

Maybe they're still waiting

for her test results to come back.

She got Mr. Baker's blood on her face during the code.

I know.

I know it's hard, ma'am,

but you do need to isolate from your kids.

No, if you try to get on a plane, police will intervene.

Well, I wish you had better news,

but I appreciate the update.

Yeah, I'll send over addresses for anyone else we can't find.

Thanks.

Public Health just found Mrs. Baker, dead in her home.

I assume they'll get their own contact tracing unit

up and running.

Yeah. In the meantime, we've identified 27

of the 39 individuals who left the floor.

Make that 28.

And we've also mapped out

George Baker's movements through the sixth floor,

identifying any hotspots we can.

Restroom, sign-in tablet,

anything he touched or coughed on.

We'll need a list of anyone

who had high exposure to these areas.

We're scrubbing the footage

to ID whomever we can.

Our code team's the real problem.

I thought they were already isolated in the on-call room.

All but Lucy, who just tested positive.

So the incubation period's hours, not days.

Even Ebola's not that fast!

And the code team was moving freely

before the lockdown began.

You're saying Liz, Dr. Miller

and Dr. Walker are definitely carrying it?

Not necessarily,

but to be safe, we need to isolate their patients.

Alright, so, we got 627 cleared,

so let's go and isolate Mr. Batal in there.

And Sammy, can you get Rachel in 619?

- We're gonna need her room too. - On it.

Dad, there's gotta be something you can do!

Whoa, you're bringing someone else in here?

We need to create isolation spaces for people

who have confirmed exposures.

Be grateful you're not one of them.

But is that safe?

Stick to your side of the room,

don't touch anything on his side.

If they give you any trouble, let me know, I will be back.

I can take care of myself, Doc. I'm good here.

We're gonna figure this out, Lucy. Okay?

Michael, can you hear m?

Yeah, you have an update?

We got the autopsy report.

You're gonna want to see this.

Liver necrosis, splenic rupture,

bleeding bowel. Lungs, kidneys.

- All liquefied. - Baker was a dead man walking.

Anything from the sequencing?

This surface GP substitution

accelerates transmission.

And the VP3 mutation, and the high MPC1 affinity

mean rapid cell entry.

So, it's even more lethal than conventional Marburg?

And twice as contagious as Ebola.

Any change?

BP's dipping.

If fluid resus doesn't work, we need to escalate.

I'm so cold.

It's the fever, I'll get IV acetaminophen

and a warm blanket.

You hanging in there?

My temp was 103, my sats are all over the place.

I've seen worse.

And your kidneys are still humming along.

Can I take a look?

Let's see.

She has petechiae on the roof of her mouth.

- She's lactate. Full coags, ABG.

I'll get the kit.

I'll type and cross four units of blood.

I'm so scared, Amy!

I know, Lucy!

I'm just glad it's you taking care of me.

I just wanna hold his hand, please!

We got another one.

Dr. Larsen, we're running out of space.

- Is that... - George Baker's roommate.

Gina's patient?

Now what?

Carl Santiago just tested positive.

Lucy worked on both of them.

So did I!

Don't think like that, Liz.

If I hadn't distracted you today,

would you have caught this earlier?

- I didn't catch anything. Amy did.

He couldn't be saved, Liz.

And he exposed everybody

the second he stepped on this floor.

I just wanted things to go back to normal.

Liz.

For whatever it's worth,

you didn't deserve everything I put you through.

And I am sorry.

How's Lucy?

We're doing everything we can.

What about you two, still no fever?

- We're all good in here! As of an hour ago.

Go ahead and take your temperature again.

- Jake! - Rache, just, take it again.

See?

Nothing to worry about in here, except a low phone battery.

And, maybe a mild case of PTSD.

How's that?

Talking through a window?

It's like 2020 all over again, except I'm you,

sleeping in the garage.

Try doing it for months.

Oh yeah, that horrible air mattress.

Anyway, let me see if I can go find you a phone charger.

My hero!

Hard to be in here, huh?

When the person you love is on the wrong side of the door.

Oh, we're not, Jake's my ex.

Still family.

Tell me if this is tender, okay?

- That's a yes! - Okay.

Sorry. The ulcer acts up when I get stressed.

I'm sorry but your pressure's dropping

and you're losing too much blood,

I'm worried about perforation.

- Just a sec. About time you called me back!

How's Mom? Did you get her dinner?

Ella, I need you to put the phone down and listen to me.

We have to operate on your ulcer.

Now?

Dr. Coleman! We've got a job to do, and we're gonna do it well.

Are you ready? - Yes sir!

Inspiration, please.

Scalpel.

They really can't tell you how long you'll be there?

- Dude, just stop. - But why should he get the bed?

He's been sleeping all day.

You know how these things are.

They're just being extra careful, hey!

You think that's funny?

What's going on there, Dad?

Oh, just a jackass born on third base,

thinks he's hit a triple!

- Hey, whoa, whoa! What the hell, what did you do?

Whoa!

He's having a seizure! Turn him on his side!

I'm not gonna touch him, he could be infected!

But how? He didn't even leave the room!

- No, he's choking! - So, one of us has it?

Don't look at me!

- He got you. - It's gonna be okay.

- Hey, Herman! Herman, Herman, Herman.

Hey, give me one gram of kepra, two migs of lorazepam.

Herman, hey, let's step back, okay? Let's step back.

Why the hell was he the one helping your friend?

Lorazepam.

O2 sats dropping, pulmonary edema.

We max out high flow, and then we tube her.

How are the others? Liz?

Everyone's dying, I can't do this anymore.

Um, they're okay.

Try to rest.

Okay, I got one.

Would you rather work an overnight shift

and it's just enemas all night,

or go to a wedding as Peter's plus one?

Uhh, do I have to dance with him?

Two songs.

Yeah, I'll take the enemas!

Too easy.

I mean, you've seen him do the robot

at the holiday party, would you dance with him?

Fair point.

- You alright? - Stay away from me.

It's Dr. Miller.

I need to be tested.

She's third-spacing everywhere.

Julie, hang two more units, and an FFP!

Her blood's thinning out.

Richard.

- Gina's still negative. So is Liz.

The ventilators aren't working!

- You can let go now. - Code blue!

Hemothorax. Amy?

Yep, I'll do a needle thoracentesis.

- DIC? - Yeah.

Rapid infuser. Now!

She's in hypovolemic shock!

We're gonna get through this, Amy!

I want every unit we have on hand in that infuser!

Pushing epi.

I'll start compressions!

Charge to 120.

Amy, Amy. It's no use.

She's gone.

Time of death, 22:47.

Still can't believe she's gone.

Mr. Santiago, too.

This thing goes south fast, TJ.

I'm taking your ICU shift, okay?

You go deal with my patients.

I'm in a position of leadership now,

I'm not handing off my work!

Hey. Part of being a leader is admitting when you need help

and trusting the people around you to share the load.

Downshift for a couple of hours.

We got a long road here.

Hey.

Step back from the door, okay?

Uh, I'm not near it. Why?

I didn't want you to be alone.

I'm sure I'll see you in ICU soon enough.

- Don't say that! - Am I wrong?

Did you talk to Wendy?

- She's taking it like a champ! So far.

How's Katie?

She's pretty Pollyanna, actually.

Which is good, given,

you know, everything she's been through.

I just wish I could be out there helping you all.

I'm sure seeing Lucy like that was terrible.

No.

Was that a memory seizure?

Of Covid.

Seems like trauma brings back trauma.

There's always phenobarb.

No, it has so many potential side effects.

Promise me you'll be careful.

I love you.

Back at ya!

I'm looking at the material you sent,

but this doesn't help me.

Our strain is way more aggressive

than whatever you're tracking in Tanzania.

I can't just hit it with Remdesivir.

What about other antivirals?

So you're telling me supportive care

is your best advice?

I mean, Eastside lost two more this morning.

Great. Well, when you have a better idea,

you know where to find me!

Guessing you slept almost as well as I did last night.

Thank you.

I was prepared to treat the patients.

Not our people.

And I can't look anyone in the eye

and tell them this is going to be okay.

I think George Baker went to the vending machines

before treatment.

It's the only other place the college kids went

on the sixth floor.

And I missed it.

We don't even have cameras there.

No, but when he returned to his patient room at 9:23,

he had a soda in his hand.

If I'd isolated based on that criteria,

we'd be in much better shape.

We've been playing catch up since the beginning, Joan.

Yeah. Yeah.

Hey!

I'll be right back, okay?

Why isn't any of this working?

Sir, we are doing everything we can.

Well, it's not good enough!

No, don't touch me, you just touched him!

I cannot give you something you already have!

Now please, let me examine you.

Hey Jules! - Yeah?

You see this much

lymphadenopathy in other patients?

Uh, I'm not sure.

Hey, I have a lump, too.

It's replicating fast.

Wait, why do you say that like it's a good thing?

Its speed is its weakness.

Accelerated multiplication makes the virus prone to errors.

And open to attack,

by replication-inhibiting antivirals.

Okay yeah, but which one?

I mean, cardiac failure in bed two

points to protease inhibitors,

but respiratory failure in seven

suggests neuramidase inhibitors might be more effective.

- We could design our own. - You wanna invent an antiviral?

A cocktail, based on what we know

about the virus's components from genetic sequencing.

Toremifene destabilizes viral glycoprotein.

Interferon beta-1a inhibits VP3 expression.

And cathepsin-B would definitely interfere with NPC1 binding.

It's still doesn't address your replication rate.

It would if we added a nucleoside analog

to slow it down.

There are gonna be a lot of variables.

Yeah. We all have to step outside of our comfort zones

if we want to attack this.

She's right. Mix and match,

try finding a combination that gives us

the most bang for our buck.

Or, we could sit back, manage symptoms and pray.

As you know, this infection

can get very serious very quickly.

And we won't wait for that to happen.

We have designed four drug cocktails we believe could help.

So, you're improvising?

We ran a sophisticated analysis.

What if your analysis is wrong?

All volunteers will be closely monitored.

Negative responses will be met with immediate intervention.

So if you screw up,

then we have to trust you to fix it.

That is an oversimplification.

I mean, they have a test!

How can they not have a decent treatment?

Oh, so which is it? You think we're incompetent?

Or gods?

Or just liars, for some unknown reason?

Not helping.

You're under no obligation.

And yes, there are serious risks.

Liver failure, heart attack, even death.

We're running out of space!

Code blue!

But you'll learn something

either way, right?

I'm in.

- Thank you, Richard. Anyone else?

Come on. You wanna just lie around here, hoping?

Or do you wanna fight back?

- Good. We'll get started shortly.

Hey. Are you having memories?

I just need a minute.

Uh, hi!

Hey. It'd be good if we can get a PCR up here for us.

They're working on that.

I heard you blew Dr. Coleman away

with your surgical skills and your playlist.

It's nothing compared to what you're doing.

It's not exactly the best way to meet again.

We're gonna get through this, Amy.

You alright?

I just... yeah.

Yeah, I'm fine.

Oh. I'm gonna go check on Ella, post-op.

Liz? Did the ondansetron help with the nausea?

Not yet.

Alright, I'm going to try adding haloperidol.

- How are you feeling? Any shortness of breath?

Only since Y2K!

Remember, the world was supposed to come to an end then?

Yeah, it seems kind of quaint now, doesn't it?

I'll be alright, Doc. Really.

Well, you let me know if that changes, okay?

Yeah.

How's he doing?

His O2 sats are falling.

He never should have been in the room with those asshats.

We're in triage, we had no choice.

How are your patients doing?

I think Kenny needs a cardiac echo,

and Layla's showing signs of systemic inflammation.

Okay, I'll take a look, in the meantime,

can you get Audrey started on parenteral support?

Got it.

We're almost at capacity here.

Yeah, and the hits keep coming.

How's Gina?

She's still negative and asymptomatic.

Somehow.

I'll take any good news I can get.

Chase's cerebral edema

didn't respond to mannitol, so I sedated him.

Herman's putting on a brave face,

but his O2 sats are drifting,

and our resident conspiracy theorist's

getting splenomegaly, but doesn't believe it.

Dr. Hamda, Dr. Larsen!

Dr. Miller's fever broke!

He was at 104 earlier,

he's down to 101.7 and sats are improving.

His cocktail's working.

Does this mean what I think it means?

We won't know until we try it on the others.

- Dr. Franco. - Yes?

How long to get me enough cocktail number four

for everyone up here?

An hour to reconstitute the vials,

two to balance the infusion solutions

and another to prep the IV bags.

Some of my patients may not have that long.

We've got extra hands moving in now.

That's such a relief, Mom!

Oh, I know! Believe me.

I gave blood again today.

It's the only thing I can do to help.

You sure you okay? You seem exhausted.

I'm, well, I just need this coffee to kick in!

Listen, I should get back, I need...

Wait, Mom!

Promise me if either of you get sick, I wanna know.

You will.

I love you.

Love you too.

Let's move, everyone!

Just in time, Chase is unstable.

And Herman's getting more tachycardic.

Thank you.

Thanks. Oh!

You okay?

Yeah, I'm just running on empty.

Going once, going twice?

No thanks, use it on your guinea pigs!

Besides, your friend? He don't look so good.

Julie, blood check on Richard!

It feels like...

AST's 13,000!

What?

Michael! Fulminant hepatic failure!

Peaked Ts, that's hyperkalemia. He's gonna code!

V-fib!

- Epi's in. - Charging to 200!

Clear!

Okay.

There's no bleeding.

This isn't the hemorrhagic fever.

It's a drug reaction.

Everyone, stop the infusions!

O2 sats are dropping. TJ, check his lungs!

I'm drawing up the steroids.

Starting high flow oxygen.

We're losing him again!

Tension pneumo!

We need to decompress.

Okay.

You're almost in.

- Sats are coming up. - I've got the hub.

Pull the needle.

Oh!

Oh no, no, no!

Needle stick protocol.

- What's going on? What's happened?

She got stuck with an infected needle.

Dr. Heller, get her out of here!

Disinfect, test and isolate. Stat!

Ray! Step in!

TJ, get on the chest tube. Now!