1 00:00:00,986 --> 00:00:02,549 Previously on Doc. 2 00:00:02,573 --> 00:00:04,476 You've been different since you came back from Chicago. 3 00:00:04,500 --> 00:00:06,890 You've changed since this whole thing with Rachel. 4 00:00:06,914 --> 00:00:08,960 I am Chief now of your department. 5 00:00:08,984 --> 00:00:11,236 You lied on our first day working together. 6 00:00:11,260 --> 00:00:13,202 I appreciate you finding a way to trust me. 7 00:00:13,226 --> 00:00:14,772 I'm never gonna trust you, Richard. 8 00:00:14,796 --> 00:00:16,186 You lied for Dr. Miller. 9 00:00:16,210 --> 00:00:17,979 That's the thing about your reputation, 10 00:00:18,003 --> 00:00:19,916 you only have one and once you lose it, 11 00:00:19,940 --> 00:00:21,653 it's almost impossible to get it back. 12 00:00:21,677 --> 00:00:23,079 What could I do at this point? 13 00:00:23,374 --> 00:00:24,878 Find your voice. 14 00:00:24,903 --> 00:00:26,105 Are you alright? 15 00:00:26,151 --> 00:00:28,366 I told her if she wants to come forward to HR, 16 00:00:28,390 --> 00:00:30,160 we would both have her back. 17 00:00:35,204 --> 00:00:36,917 - Good morning. - Hey. 18 00:00:36,941 --> 00:00:40,157 - Hey. - Oh, I'm sweaty. 19 00:00:40,181 --> 00:00:42,327 That's okay, I like you when you're sweaty. 20 00:00:42,351 --> 00:00:44,498 I can think of a better way to get you there. 21 00:00:44,522 --> 00:00:47,470 Yeah, but your way means I can't focus on my lancet. 22 00:00:47,494 --> 00:00:50,343 And I need to brush up because today is the first day 23 00:00:50,367 --> 00:00:52,080 shadowing my Chief Resident. 24 00:00:52,104 --> 00:00:54,542 Well, I think you're gonna do just fine. 25 00:00:56,279 --> 00:00:58,527 - Coffee? - Yeah. 26 00:00:59,325 --> 00:01:02,959 Hey, so, Rachel's coming by the hospital later. 27 00:01:02,983 --> 00:01:05,263 Her biopsy site's not healing well, 28 00:01:05,287 --> 00:01:06,833 so I just wanna, you know, play it safe. 29 00:01:06,857 --> 00:01:09,439 Makes sense. Thanks for telling me. 30 00:01:12,422 --> 00:01:14,057 Michael. 31 00:01:16,477 --> 00:01:18,456 I'll get the coffee. 32 00:01:18,480 --> 00:01:19,858 Morning. 33 00:01:19,882 --> 00:01:21,662 Just wanted to let you know, 34 00:01:21,686 --> 00:01:24,101 Liz filed an HR complaint against Richard 35 00:01:24,125 --> 00:01:27,307 for coercing her to be part of last year's cover-up. 36 00:01:27,331 --> 00:01:28,920 As she should, 37 00:01:28,944 --> 00:01:31,316 but hasn't Dixon been pretty well litigated? 38 00:01:31,340 --> 00:01:33,319 She wasn't party to those agreements. 39 00:01:33,343 --> 00:01:36,159 She's uncomfortable with his return and I'm supporting her. 40 00:01:36,183 --> 00:01:37,427 And how's he taking it? 41 00:01:37,451 --> 00:01:38,730 He doesn't know yet. 42 00:01:38,754 --> 00:01:40,100 I'm giving you the heads up first, 43 00:01:40,124 --> 00:01:43,039 cause adversity doesn't bring out the best in him. 44 00:01:43,063 --> 00:01:45,410 That's an understatement! 45 00:01:45,434 --> 00:01:48,449 I appreciate you, uh, looking out for me. 46 00:01:48,473 --> 00:01:50,110 Oh, here he is now, gotta go. 47 00:01:52,482 --> 00:01:54,996 Liz is going after Richard with HR. 48 00:01:55,020 --> 00:01:56,967 That'd certainly be poetic justice. 49 00:01:57,434 --> 00:02:00,597 That guy has nine lives. I'm not holding my breath. 50 00:02:00,851 --> 00:02:07,773 Synced and corrected by -robtor- www.addic7ed.com 51 00:02:07,812 --> 00:02:09,492 Just have her call me back 52 00:02:09,516 --> 00:02:11,329 after she's out of the deposition, 53 00:02:11,353 --> 00:02:13,266 and let her know that it's important. 54 00:02:13,790 --> 00:02:15,593 Thank you. 55 00:02:18,133 --> 00:02:19,378 Dr. Miller? 56 00:02:19,402 --> 00:02:21,282 I got your CBC back, 57 00:02:21,306 --> 00:02:25,357 and your counts are trending in the right direction. 58 00:02:25,381 --> 00:02:27,227 So, I finally made bail. 59 00:02:27,251 --> 00:02:28,496 Not quite. 60 00:02:28,520 --> 00:02:30,868 Come on, it's been three days, I'm fine! 61 00:02:30,892 --> 00:02:32,037 That's because you've got EPO 62 00:02:32,061 --> 00:02:34,408 and half our blood bank in your system. 63 00:02:36,769 --> 00:02:39,185 Oh, I have her platelets. 64 00:02:39,209 --> 00:02:42,281 Just give it to me, I'll hang it. Thank you. 65 00:02:48,560 --> 00:02:50,406 So she came forward. 66 00:02:50,477 --> 00:02:53,082 Amy put her up to it, I'm sure. 67 00:02:54,673 --> 00:02:56,887 Nope, that was me. 68 00:02:56,911 --> 00:03:00,794 And I prefer to call it empowering her. 69 00:03:00,818 --> 00:03:04,235 Was that before or after I saved your life? 70 00:03:05,072 --> 00:03:07,170 You did what you did. 71 00:03:09,035 --> 00:03:14,321 Well, it is great to have you back in fighting shape, Joan. 72 00:03:14,345 --> 00:03:16,549 I'll check on you in a few hours. 73 00:03:20,457 --> 00:03:22,404 Mr. Zweig. 74 00:03:22,428 --> 00:03:24,909 I'm Dr. Larsen, this is Dr. Heller. 75 00:03:24,933 --> 00:03:26,512 Nice necklace you got there. 76 00:03:26,898 --> 00:03:28,516 Big believer in life. 77 00:03:28,540 --> 00:03:30,011 Aren't we all? 78 00:03:30,745 --> 00:03:32,691 Elevated blood sugar's blurring his vision. 79 00:03:32,715 --> 00:03:34,929 I got my driver's test coming up. 80 00:03:34,953 --> 00:03:36,565 Drove himself to the hospital, 81 00:03:36,589 --> 00:03:39,004 he's got a 90th birthday party he's trying to get to this afternoon. 82 00:03:39,028 --> 00:03:40,683 Yeah, yeah, I know, I know, 90. 83 00:03:40,707 --> 00:03:42,805 But don't even think about taking my keys! 84 00:03:42,829 --> 00:03:45,683 I tried CGM, insulin pump; he's still hyperglycemic. 85 00:03:45,707 --> 00:03:47,025 You should add a... 86 00:03:48,982 --> 00:03:52,497 Um, have you thought about sugar input? 87 00:03:52,521 --> 00:03:54,101 Oh, his diet's pretty good. 88 00:03:54,125 --> 00:03:56,210 I cut latkes and babkas over Covid. 89 00:03:56,235 --> 00:03:58,105 Traded them in for a Peloton. 90 00:03:58,133 --> 00:04:00,480 It's not just about what he eats, 91 00:04:00,504 --> 00:04:02,550 it's how it gets into his system. 92 00:04:02,574 --> 00:04:04,154 A glucose absorption blocker 93 00:04:04,178 --> 00:04:05,420 would limit the sugar entering his blood. 94 00:04:05,444 --> 00:04:07,060 Hmm... 95 00:04:07,085 --> 00:04:09,565 But it blocks the digoxin uptake as well. 96 00:04:09,589 --> 00:04:10,700 Right. Bad for the heart. 97 00:04:10,724 --> 00:04:15,343 We reduce glucose reabsorption in his kidney. 98 00:04:15,367 --> 00:04:17,213 SGLT2 inhibitor. 99 00:04:17,237 --> 00:04:18,918 Great. That sound good to you? 100 00:04:18,942 --> 00:04:20,787 Well, I don't question the plan. 101 00:04:20,811 --> 00:04:22,829 That's how I got this far! 102 00:04:23,784 --> 00:04:26,165 Uh, the pancoast tumor, it's gonna have to wait 103 00:04:26,189 --> 00:04:29,137 till I get back, I don't trust Mullins to get clean margins. 104 00:04:29,161 --> 00:04:31,476 And have Gorman cover the cath lab. 105 00:04:32,005 --> 00:04:35,106 No, no, he'll complain, but he'll do it. 106 00:04:35,942 --> 00:04:38,990 I'll call you back for the rest. Alright. 107 00:04:39,014 --> 00:04:41,262 Hey, morning. I'm Dr. Heller, 108 00:04:41,286 --> 00:04:42,731 this is Dr. Amy... 109 00:04:42,755 --> 00:04:46,071 Amy Larsen! Dr. Ben Grant. 110 00:04:46,095 --> 00:04:48,877 I saw you speak at the osteomyelitis symposium 111 00:04:48,901 --> 00:04:50,680 three years ago when we hosted in New York. 112 00:04:50,704 --> 00:04:52,918 Sorry I, I wouldn't remember that. 113 00:04:52,942 --> 00:04:55,423 I know. I heard about your accident. 114 00:04:55,447 --> 00:04:56,765 You did? 115 00:04:56,789 --> 00:04:58,930 Yeah, you're pretty famous on the circuit. 116 00:04:58,954 --> 00:05:00,667 So, we didn't actually meet. 117 00:05:00,691 --> 00:05:01,970 No, I wouldn't, I wouldn't say that. 118 00:05:01,994 --> 00:05:04,307 I challenged you on non-operative management 119 00:05:04,331 --> 00:05:06,880 of diabetic ulcers, and you ripped me a new one 120 00:05:06,904 --> 00:05:08,783 in front of a hundred other surgeons. 121 00:05:08,807 --> 00:05:10,620 Yep, that sounds about right! 122 00:05:10,644 --> 00:05:11,883 Thanks a lot! 123 00:05:13,187 --> 00:05:15,663 So, Renee, Dr. Barrett said you had questions 124 00:05:15,687 --> 00:05:17,667 about our treatment of your neuropathic pain? 125 00:05:17,691 --> 00:05:19,940 Not me, my overbearing brother here! 126 00:05:19,964 --> 00:05:21,776 I prefer overprotective. 127 00:05:21,800 --> 00:05:24,348 Dr. Barrett prescribed 300 of gabapentin, 128 00:05:24,372 --> 00:05:26,451 but Renee was on that when she first got diagnosed, 129 00:05:26,475 --> 00:05:29,057 and it made her too lethargic. So I'd like to try naltrexone. 130 00:05:29,081 --> 00:05:31,428 There can be significant GI upset with that. 131 00:05:31,452 --> 00:05:33,265 - Lovely. - Can you mitigate it? 132 00:05:33,289 --> 00:05:36,272 - Umm... - We could add dichloroacetate, 133 00:05:36,296 --> 00:05:37,674 try split dosing? 134 00:05:38,071 --> 00:05:39,545 Thank you. 135 00:05:39,569 --> 00:05:41,182 - Nice to see you. - You too. 136 00:05:41,206 --> 00:05:42,741 Again. 137 00:05:44,578 --> 00:05:46,292 What's going on? 138 00:05:46,316 --> 00:05:47,928 His O2's a little low. 139 00:05:47,952 --> 00:05:50,067 Might have something to do with the fact 140 00:05:50,091 --> 00:05:52,003 that he missed his sessions last week! 141 00:05:52,027 --> 00:05:55,143 George! You know dialysis isn't optional! 142 00:05:55,167 --> 00:05:57,849 I know, but Angie was out of town. 143 00:05:57,873 --> 00:06:00,353 And if I leave the dog alone too long, 144 00:06:00,377 --> 00:06:01,589 she poops on the carpet. 145 00:06:01,613 --> 00:06:02,992 That's why I have cats! 146 00:06:03,016 --> 00:06:05,496 Blood pressure's a little low, too. 147 00:06:05,520 --> 00:06:06,732 You feeling light headed at all? 148 00:06:06,756 --> 00:06:09,705 Tired, achy, slight fever, too. 149 00:06:09,729 --> 00:06:11,508 And why am I just hearing about it? 150 00:06:11,532 --> 00:06:14,849 Figured it was just the toxins building up in my system. 151 00:06:14,873 --> 00:06:16,719 Should we run additional bloodwork? 152 00:06:16,743 --> 00:06:19,191 Obviously. Yes, Lucy, thank you. 153 00:06:19,215 --> 00:06:20,643 - Mr. Santiago. - Hey. 154 00:06:20,667 --> 00:06:22,187 I hear you've got a migraine? 155 00:06:22,211 --> 00:06:25,303 Yeah, my head is, is killing me. 156 00:06:25,327 --> 00:06:26,839 Excuse me one minute. 157 00:06:28,301 --> 00:06:30,416 Tell me the terms of my agreement covers this! 158 00:06:30,440 --> 00:06:32,477 It's a bit of a gray area, I'm afraid. 159 00:06:32,517 --> 00:06:34,365 How could you not have negotiated that? 160 00:06:34,389 --> 00:06:35,835 You wanted back in fast. 161 00:06:35,859 --> 00:06:38,105 And I did not want to raise a red flag 162 00:06:38,129 --> 00:06:39,708 that would have involved her union. 163 00:06:39,732 --> 00:06:40,944 So now what? 164 00:06:40,968 --> 00:06:43,950 I suggest you try to make nice. 165 00:06:43,974 --> 00:06:45,420 No, I can't. 166 00:06:45,444 --> 00:06:47,992 Michael explicitly said that I need to stay away from her. 167 00:06:48,016 --> 00:06:49,896 Then this is going to be a very long road. 168 00:06:49,920 --> 00:06:52,548 Code Blue! Code Blue! We need help in here! 169 00:06:52,572 --> 00:06:54,147 I gotta go! 170 00:06:54,172 --> 00:06:56,643 Code Blue. Code Blue. 171 00:06:59,292 --> 00:07:02,464 Richard clearly made a mistake and we need an autopsy. 172 00:07:02,644 --> 00:07:05,026 The patient was in end-stage renal failure. 173 00:07:05,050 --> 00:07:07,865 A cardiac event is hardly a surprising twist. 174 00:07:07,889 --> 00:07:09,601 Something is off, Michael. 175 00:07:09,625 --> 00:07:13,142 I looked at his chart, his anion gap is over 30. 176 00:07:13,166 --> 00:07:14,611 Delayed dialysis 177 00:07:14,635 --> 00:07:16,706 is a perfectly reasonable explanation. 178 00:07:17,607 --> 00:07:19,621 So what, Richard takes a call, 179 00:07:19,645 --> 00:07:21,324 just as his patient codes and dies? 180 00:07:21,348 --> 00:07:22,661 What does that remind you of? 181 00:07:22,685 --> 00:07:25,272 Gina said the code was handled correctly, so did Liz. 182 00:07:25,296 --> 00:07:27,170 I'm not talking about the code, 183 00:07:27,194 --> 00:07:29,308 I'm talking about what led up to the code. 184 00:07:29,332 --> 00:07:31,913 I can't be the only one who thinks that there's 185 00:07:31,937 --> 00:07:34,275 something to be concerned about here. Jake? 186 00:07:35,605 --> 00:07:38,025 Personally, I don't think the death was suspicious, 187 00:07:38,049 --> 00:07:40,029 but yes, Richard does have a history 188 00:07:40,053 --> 00:07:42,290 of making mistakes when he's distracted. 189 00:07:42,959 --> 00:07:45,273 When the patient's wife returns my call, 190 00:07:45,297 --> 00:07:47,443 I will ask about an autopsy. 191 00:07:48,034 --> 00:07:50,139 But I don't make any promises. 192 00:07:52,945 --> 00:07:55,226 You made your point, he heard you. Okay? 193 00:07:55,250 --> 00:07:57,527 Let's let Michael do his job, we do ours. 194 00:07:57,551 --> 00:07:58,801 Mm-hmm. 195 00:07:58,825 --> 00:08:00,775 Herman's ready to be discharged. Can you handle that? 196 00:08:00,799 --> 00:08:02,424 - Mm-hmm. - Okay. 197 00:08:07,574 --> 00:08:09,153 Sorry. 198 00:08:11,048 --> 00:08:12,427 Onions. 199 00:08:12,451 --> 00:08:14,497 So you just found him like this? 200 00:08:14,521 --> 00:08:17,336 Yes, we got worried when he missed the house meeting. 201 00:08:17,360 --> 00:08:20,476 Was that before or after you made him streak the commons? 202 00:08:20,500 --> 00:08:22,047 Our fraternity doesn't haze. 203 00:08:22,071 --> 00:08:24,551 Spare me the BS, he's a freshman 204 00:08:24,575 --> 00:08:26,388 with a blood alcohol of. 18! 205 00:08:26,412 --> 00:08:29,451 Hey, Dr. Maitra. Got a sec? 206 00:08:30,239 --> 00:08:32,043 Excuse me. 207 00:08:32,859 --> 00:08:34,839 Richard's not giving you a hard time, is he? 208 00:08:34,863 --> 00:08:36,810 It, it's not that. 209 00:08:37,292 --> 00:08:38,847 Um, did you hear the code? 210 00:08:38,871 --> 00:08:41,218 I think he might have killed another patient. 211 00:08:41,242 --> 00:08:42,722 What? 212 00:08:42,746 --> 00:08:44,624 I was told not to process the body 213 00:08:44,648 --> 00:08:46,273 cause there may be an autopsy. 214 00:08:47,788 --> 00:08:50,871 It's just a minor infection, but it's a good thing you caught it early. 215 00:08:50,895 --> 00:08:52,999 My catastrophic thinking finally pays off! 216 00:08:53,500 --> 00:08:55,303 Let's just call it vigilance. 217 00:08:56,098 --> 00:08:58,063 Amy okay that I'm here? 218 00:08:58,576 --> 00:09:00,147 I saw her in the hall, 219 00:09:00,171 --> 00:09:01,860 her wave was a little tentative. 220 00:09:01,884 --> 00:09:04,031 Yeah, she wasn't thrilled 221 00:09:04,055 --> 00:09:06,135 that I kept your situation from her that whole week. 222 00:09:06,159 --> 00:09:08,439 Guess I put you in a tough spot. 223 00:09:08,463 --> 00:09:10,376 And now I'm back again! 224 00:09:10,400 --> 00:09:12,213 It's fine, we're fine. 225 00:09:12,824 --> 00:09:14,661 Yeah? 226 00:09:15,879 --> 00:09:17,991 The doctor who gaslit her, he's back, 227 00:09:18,015 --> 00:09:20,095 and it looks like he mishandled a patient. 228 00:09:20,119 --> 00:09:21,265 Gaslit her? 229 00:09:21,289 --> 00:09:23,870 He took advantage of her memory loss 230 00:09:23,894 --> 00:09:25,807 and tried to pin a patient's death on her. 231 00:09:26,424 --> 00:09:28,713 Always a bit of a rollercoaster. 232 00:09:28,737 --> 00:09:30,182 Still, 233 00:09:30,887 --> 00:09:33,348 you're allowed to have separate nervous systems. 234 00:09:35,818 --> 00:09:39,167 Yeah. This shouldn't take long, 235 00:09:39,191 --> 00:09:42,130 and I will check in on you when I'm free, okay? 236 00:09:45,805 --> 00:09:47,952 Have you ever seen a dialysis catheter 237 00:09:47,976 --> 00:09:49,656 cause cardiac tamponade? 238 00:09:49,680 --> 00:09:51,625 No, why? 239 00:09:51,649 --> 00:09:52,828 So you're saying it's not possible? 240 00:09:52,852 --> 00:09:54,698 Well, theoretically, 241 00:09:54,722 --> 00:09:56,568 if the tip eroded the wall of the SVC. 242 00:09:56,592 --> 00:09:58,539 - Take a look. - Richard's patient? 243 00:09:58,563 --> 00:10:00,066 Mm-hmm. 244 00:10:01,703 --> 00:10:03,048 It's not the catheter. 245 00:10:03,072 --> 00:10:05,709 But something's causing bleeding. 246 00:10:05,733 --> 00:10:09,801 His BUN is 95, maybe that caused platelet dysfunction. 247 00:10:13,861 --> 00:10:14,985 Pathology? 248 00:10:15,009 --> 00:10:16,943 Hey, Jeannie, I'm calling about George Baker. 249 00:10:16,967 --> 00:10:18,546 Do you still have any of his blood? 250 00:10:18,570 --> 00:10:19,848 Two vials. 251 00:10:19,872 --> 00:10:22,287 Great. Can you run a quick PFA? I'll hold. 252 00:10:22,311 --> 00:10:23,824 - Hey. - Hey! 253 00:10:23,848 --> 00:10:25,326 Is there a problem with Herman Zweig? 254 00:10:25,350 --> 00:10:26,428 Uh... 255 00:10:26,452 --> 00:10:27,596 He's still here. 256 00:10:27,620 --> 00:10:30,236 Oh! I forgot to discharge him. 257 00:10:30,260 --> 00:10:31,806 Seems like you forgot him altogether 258 00:10:31,830 --> 00:10:33,442 because you're here chasing Richard. 259 00:10:33,466 --> 00:10:34,945 - I'm sorry. - Your world. 260 00:10:34,969 --> 00:10:36,683 - We just live in it. - Hey! 261 00:10:38,621 --> 00:10:40,456 I'm sorry, but you did see his tattoo, right? 262 00:10:40,480 --> 00:10:42,126 - Yeah. - Okay. 263 00:10:42,150 --> 00:10:43,964 I was just hoping that maybe you'd go above and beyond 264 00:10:43,988 --> 00:10:45,099 for someone like that. 265 00:10:45,123 --> 00:10:46,736 It's fine, I'll discharge him myself. 266 00:10:46,760 --> 00:10:48,964 He's got family waiting to celebrate his 90th. 267 00:10:50,033 --> 00:10:51,979 Okay, got your results. 268 00:10:52,003 --> 00:10:55,086 Um, is his platelet function prolonged? 269 00:10:55,110 --> 00:10:57,223 Nope, normal. 270 00:10:57,247 --> 00:10:58,994 His coags are through the roof, though. 271 00:10:59,018 --> 00:11:01,388 I mean, bananas high! 272 00:11:08,136 --> 00:11:10,216 Richard was right, it wasn't his fault. 273 00:11:10,240 --> 00:11:12,888 - Well, that's a relief. - No, not really. 274 00:11:12,912 --> 00:11:16,094 I think George Baker had a hemorrhagic fever. 275 00:11:17,900 --> 00:11:19,603 Come on! 276 00:11:20,894 --> 00:11:25,012 Flu-like symptoms, low BP, sky-high coags 277 00:11:25,036 --> 00:11:27,852 and D-dimer AST, triple ALT. 278 00:11:27,876 --> 00:11:30,791 That is a hemorrhagic viral picture. 279 00:11:30,815 --> 00:11:32,386 Had he been travelling recently? 280 00:11:32,410 --> 00:11:34,431 No, but Lucy said that his wife 281 00:11:34,455 --> 00:11:37,037 just got back from a safari in Tanzania. 282 00:11:37,061 --> 00:11:38,572 Did you talk to her? 283 00:11:38,596 --> 00:11:40,743 I've been trying for hours, she hasn't been answering. 284 00:11:40,767 --> 00:11:43,415 Public Health needs to get to her house, with HAZMATs 285 00:11:43,439 --> 00:11:45,520 and you need to lock down this floor! 286 00:11:45,544 --> 00:11:46,755 Amy, I... 287 00:11:46,779 --> 00:11:48,325 I know, you're gonna wanna test 288 00:11:48,349 --> 00:11:51,297 and do an autopsy, but every minute that passes, 289 00:11:51,321 --> 00:11:53,336 somebody who may have been exposed leaves this building 290 00:11:53,360 --> 00:11:54,906 and they spread it. 291 00:11:55,123 --> 00:11:58,328 We can't blink, Michael. 292 00:11:59,484 --> 00:12:01,922 They were both in the code with Richard and Gina. 293 00:12:02,477 --> 00:12:05,516 - Go find them and isolate them. - Okay. 294 00:12:12,799 --> 00:12:14,544 Attention, Code Five. 295 00:12:14,568 --> 00:12:17,035 Attention, Code Five! 296 00:12:17,059 --> 00:12:19,788 All individuals are asked to shelter in place, 297 00:12:19,812 --> 00:12:24,477 I repeat, all individuals, shelter in place! 298 00:12:33,239 --> 00:12:35,688 George Baker tested positive 299 00:12:35,712 --> 00:12:36,989 for a variant of Marburg. 300 00:12:37,013 --> 00:12:39,094 Which, as you know, has a very mortality rate 301 00:12:39,118 --> 00:12:41,598 and is extremely contagious. 302 00:12:41,622 --> 00:12:45,639 It has characteristics of the 2005 Angola outbreak, 303 00:12:45,663 --> 00:12:49,214 and the 2012 Uganda outbreak, but it is unique. 304 00:12:49,238 --> 00:12:52,100 Dr. Franco is doing an autopsy now 305 00:12:52,124 --> 00:12:55,728 and I have Dr. Larsen sequencing the virus as we speak. 306 00:12:55,752 --> 00:12:57,998 I'm liaising with the CDC, 307 00:12:58,022 --> 00:13:00,970 and as of now, Baker is the only 308 00:13:00,994 --> 00:13:03,075 confirmed case in Minneapolis, 309 00:13:03,099 --> 00:13:05,680 though Public Health is checking on his wife. 310 00:13:05,704 --> 00:13:07,134 In the meantime, 311 00:13:07,158 --> 00:13:09,955 containment is our priority. 312 00:13:09,979 --> 00:13:12,895 Nobody in, nobody out. 313 00:13:12,919 --> 00:13:14,053 Wait here. 314 00:13:14,077 --> 00:13:16,267 Those with symptoms or high risk exposures 315 00:13:16,291 --> 00:13:18,740 will be isolated and observed. 316 00:13:18,764 --> 00:13:21,779 Dr. Walker, Dr. Miller, Liz and Lucy 317 00:13:21,803 --> 00:13:24,117 were exposed during the code 318 00:13:24,141 --> 00:13:26,087 and we are waiting on the results of their tests. 319 00:13:26,111 --> 00:13:29,561 We will test ourselves and our patients every 12 hours. 320 00:13:29,585 --> 00:13:33,502 Confirmed cases will be quarantined in the ICU, 321 00:13:33,526 --> 00:13:35,139 which, from here on out, 322 00:13:35,163 --> 00:13:37,243 you do not enter without HAZMAT gear. 323 00:13:37,267 --> 00:13:39,414 Decontaminate upon exit. 324 00:13:39,438 --> 00:13:42,287 Gloves and gowns will suffice for regular patient care, 325 00:13:42,311 --> 00:13:44,190 but we need to minimize interaction. 326 00:13:44,214 --> 00:13:46,194 If it can wait, it should wait. 327 00:13:46,218 --> 00:13:48,198 What about emergent situations? 328 00:13:48,222 --> 00:13:49,567 Handled on a case-by-case basis. 329 00:13:49,591 --> 00:13:52,540 My patient in 623 may need a Graham patch. 330 00:13:52,564 --> 00:13:55,213 This is Dr. Grant, Chair of Cardio-Thoracics 331 00:13:55,237 --> 00:13:57,150 at St. Mark's in New York. 332 00:13:57,174 --> 00:13:58,452 Double boarded in trauma, 333 00:13:58,476 --> 00:14:00,857 he had the misfortune of being here today. 334 00:14:00,881 --> 00:14:02,527 I'm happy to help in any way I can. 335 00:14:02,551 --> 00:14:04,998 If surgery is needed, Dr. Coleman will assist, 336 00:14:05,022 --> 00:14:07,403 and Dr. Douglas, you good with anesthesia? 337 00:14:07,427 --> 00:14:09,207 I can push drugs and keep a heart pumping. 338 00:14:09,231 --> 00:14:11,912 Yeah, but where? We've got people in every patient room. 339 00:14:11,936 --> 00:14:14,151 Waiting rooms are being sterilized. 340 00:14:14,175 --> 00:14:15,586 I can work anywhere. 341 00:14:15,610 --> 00:14:18,760 We're all gonna have to improvise today, but we can do this. 342 00:14:18,784 --> 00:14:19,990 Oh, absolutely. 343 00:14:20,014 --> 00:14:21,765 Joan, you can't be out of your room! 344 00:14:21,789 --> 00:14:24,705 I am content to sit in here and contact trace, 345 00:14:24,729 --> 00:14:27,477 I suspect I'm the only one here who's actually done it? 346 00:14:27,501 --> 00:14:29,414 I'll get you security cam footage. 347 00:14:29,438 --> 00:14:31,318 The rest of you, I need you room to room 348 00:14:31,342 --> 00:14:33,421 to collect blood samples and answer questions. 349 00:14:33,445 --> 00:14:35,661 So, the whole floor's infected? 350 00:14:35,685 --> 00:14:37,196 No, no. 351 00:14:37,220 --> 00:14:39,968 The lockdown is a precaution, and it's not airborne. 352 00:14:39,992 --> 00:14:41,304 It's spread through fluid droplets, 353 00:14:41,328 --> 00:14:42,741 person-to-person and on the surface, 354 00:14:42,765 --> 00:14:45,045 which is why you need to stay in your room. 355 00:14:45,069 --> 00:14:47,216 - For how long? - Days? 356 00:14:47,240 --> 00:14:48,585 I can't be in here for days, 357 00:14:48,609 --> 00:14:50,957 my mother depends on me for full-time care. 358 00:14:50,981 --> 00:14:52,360 Is there someone else you can call? 359 00:14:52,384 --> 00:14:54,397 My father's a lawyer and just so you know, 360 00:14:54,421 --> 00:14:56,859 he won't stand for you holding me here. 361 00:14:58,429 --> 00:15:00,944 Fever, chills, chest pain, 362 00:15:00,968 --> 00:15:03,716 nausea, even a headache, you let us know. 363 00:15:03,740 --> 00:15:07,413 Meantime, I'm gonna need blood samples to test you. 364 00:15:08,116 --> 00:15:09,853 I suggest you cooperate. 365 00:15:10,286 --> 00:15:13,102 I'm really sorry you're trapped in here today of all days. 366 00:15:13,126 --> 00:15:15,741 You still serve food? Then I'm good! 367 00:15:15,765 --> 00:15:17,468 You can't just lock us in here! 368 00:15:17,492 --> 00:15:19,113 My wife is waiting downstairs! 369 00:15:19,137 --> 00:15:20,650 The lockdown is for your protection. 370 00:15:20,674 --> 00:15:22,788 Oh yeah, that's what the geniuses said last time, 371 00:15:22,812 --> 00:15:25,592 and then it was two years of us hiding from a flu! 372 00:15:25,616 --> 00:15:27,030 Hey. Hey! 373 00:15:27,493 --> 00:15:29,133 You'll go where they say, 374 00:15:29,157 --> 00:15:31,461 or you and me are gonna have a problem. 375 00:15:34,200 --> 00:15:35,771 What a crock! 376 00:15:37,173 --> 00:15:38,822 I already talked to Allie, 377 00:15:38,846 --> 00:15:41,391 she said she can look after Mia until this is over. 378 00:15:41,415 --> 00:15:43,669 You really don't know how long this is gonna be? 379 00:15:43,693 --> 00:15:45,191 I mean, once I'm negative, I can go home... 380 00:15:45,215 --> 00:15:48,673 It doesn't work like that, negative could just mean not positive yet. 381 00:15:48,697 --> 00:15:51,010 I want you to take your temperature every hour. 382 00:15:51,034 --> 00:15:52,905 If it's over 99, you call me. 383 00:15:54,173 --> 00:15:57,780 I'll have your tests results on this in a bit, okay? 384 00:15:58,382 --> 00:15:59,517 Jake? 385 00:16:00,705 --> 00:16:02,987 You seem scared. 386 00:16:03,271 --> 00:16:04,940 I am. 387 00:16:09,906 --> 00:16:11,836 Just tell the boys that I'm okay, 388 00:16:11,860 --> 00:16:14,423 and I'll be home as soon as I can. 389 00:16:14,874 --> 00:16:17,597 I'm testing negative right now, 390 00:16:17,621 --> 00:16:19,334 but um, 391 00:16:19,358 --> 00:16:23,141 I don't think I'll be in the clear for a couple of days. 392 00:16:23,165 --> 00:16:25,403 Welcome to the world's worst sleepover. 393 00:16:26,472 --> 00:16:28,218 I saved you the top bunk! 394 00:16:28,242 --> 00:16:30,055 Doubt I'll be doing much sleeping. 395 00:16:30,079 --> 00:16:32,961 I don't have privacy right now, so I can't talk about that. 396 00:16:33,584 --> 00:16:35,530 Yeah, okay. 397 00:16:35,568 --> 00:16:37,439 I love you too. 398 00:16:41,202 --> 00:16:43,315 Kind of puts all of our other problems 399 00:16:43,339 --> 00:16:45,954 into perspective, doesn't it? 400 00:16:47,343 --> 00:16:50,421 Okay, can someone catch me up? 401 00:16:52,829 --> 00:16:56,331 I filed an HR complaint, not that it matters now. 402 00:16:57,066 --> 00:16:58,178 Where's Lucy? 403 00:16:58,202 --> 00:16:59,581 Maybe they're still waiting 404 00:16:59,605 --> 00:17:01,242 for her test results to come back. 405 00:17:02,043 --> 00:17:05,115 She got Mr. Baker's blood on her face during the code. 406 00:17:05,684 --> 00:17:07,096 I know. 407 00:17:08,389 --> 00:17:10,235 I know it's hard, ma'am, 408 00:17:10,259 --> 00:17:11,906 but you do need to isolate from your kids. 409 00:17:11,930 --> 00:17:14,277 No, if you try to get on a plane, police will intervene. 410 00:17:14,301 --> 00:17:15,947 Well, I wish you had better news, 411 00:17:15,971 --> 00:17:17,450 but I appreciate the update. 412 00:17:17,474 --> 00:17:20,189 Yeah, I'll send over addresses for anyone else we can't find. 413 00:17:20,213 --> 00:17:21,324 Thanks. 414 00:17:21,348 --> 00:17:24,932 Public Health just found Mrs. Baker, dead in her home. 415 00:17:24,956 --> 00:17:28,505 I assume they'll get their own contact tracing unit up and running. 416 00:17:28,529 --> 00:17:31,210 Yeah. In the meantime, we've identified 27 417 00:17:31,234 --> 00:17:33,721 of the 39 individuals who left the floor. 418 00:17:33,745 --> 00:17:35,252 Make that 28. 419 00:17:35,276 --> 00:17:37,658 And we've also mapped out 420 00:17:37,682 --> 00:17:39,861 George Baker's movements through the sixth floor, 421 00:17:39,885 --> 00:17:42,500 identifying any hotspots we can. 422 00:17:42,524 --> 00:17:44,137 Restroom, sign-in tablet, 423 00:17:44,161 --> 00:17:45,539 anything he touched or coughed on. 424 00:17:45,563 --> 00:17:47,443 We'll need a list of anyone 425 00:17:47,467 --> 00:17:48,646 who had high exposure to these areas. 426 00:17:48,670 --> 00:17:51,217 We're scrubbing the footage to ID whomever we can. 427 00:17:51,241 --> 00:17:53,055 Our code team's the real problem. 428 00:17:53,079 --> 00:17:55,492 I thought they were already isolated in the on-call room. 429 00:17:55,516 --> 00:17:59,357 All but Lucy, who just tested positive. 430 00:18:01,981 --> 00:18:05,412 So the incubation period's hours, not days. 431 00:18:05,436 --> 00:18:07,416 Even Ebola's not that fast! 432 00:18:07,440 --> 00:18:10,188 And the code team was moving freely before the lockdown began. 433 00:18:10,212 --> 00:18:12,293 You're saying Liz, Dr. Miller 434 00:18:12,317 --> 00:18:14,297 and Dr. Walker are definitely carrying it? 435 00:18:14,321 --> 00:18:15,667 Not necessarily, 436 00:18:15,691 --> 00:18:18,338 but to be safe, we need to isolate their patients. 437 00:18:18,362 --> 00:18:20,843 Alright, so, we got 627 cleared, 438 00:18:20,867 --> 00:18:22,747 so let's go and isolate Mr. Batal in there. 439 00:18:22,771 --> 00:18:24,626 And Sammy, can you get Rachel in 619? 440 00:18:24,650 --> 00:18:26,645 - We're gonna need her room too. - On it. 441 00:18:28,549 --> 00:18:31,465 Dad, there's gotta be something you can do! 442 00:18:31,489 --> 00:18:32,967 Whoa, you're bringing someone else in here? 443 00:18:32,991 --> 00:18:35,071 We need to create isolation spaces for people 444 00:18:35,095 --> 00:18:36,308 who have confirmed exposures. 445 00:18:36,332 --> 00:18:37,745 Be grateful you're not one of them. 446 00:18:37,769 --> 00:18:39,046 But is that safe? 447 00:18:39,070 --> 00:18:40,448 Stick to your side of the room, 448 00:18:40,472 --> 00:18:42,177 don't touch anything on his side. 449 00:18:42,611 --> 00:18:44,958 If they give you any trouble, let me know, I will be back. 450 00:18:44,982 --> 00:18:48,422 I can take care of myself, Doc. I'm good here. 451 00:18:52,242 --> 00:18:55,315 We're gonna figure this out, Lucy. Okay? 452 00:19:03,052 --> 00:19:05,065 Michael, can you hear m? 453 00:19:05,795 --> 00:19:07,303 Yeah, you have an update? 454 00:19:07,327 --> 00:19:08,849 We got the autopsy report. 455 00:19:08,873 --> 00:19:10,442 You're gonna want to see this. 456 00:19:10,466 --> 00:19:13,181 Liver necrosis, splenic rupture, 457 00:19:13,205 --> 00:19:14,718 bleeding bowel. Lungs, kidneys. 458 00:19:14,742 --> 00:19:18,091 - All liquefied. - Baker was a dead man walking. 459 00:19:18,474 --> 00:19:20,119 Anything from the sequencing? 460 00:19:20,821 --> 00:19:24,003 This surface GP substitution 461 00:19:24,027 --> 00:19:25,673 accelerates transmission. 462 00:19:25,697 --> 00:19:29,815 And the VP3 mutation, and the high MPC1 affinity 463 00:19:29,839 --> 00:19:32,185 mean rapid cell entry. 464 00:19:32,209 --> 00:19:36,762 So, it's even more lethal than conventional Marburg? 465 00:19:36,786 --> 00:19:39,066 And twice as contagious as Ebola. 466 00:19:55,289 --> 00:19:57,135 Any change? 467 00:19:57,159 --> 00:20:00,743 BP's dipping. If fluid resus doesn't work, we need to escalate. 468 00:20:00,767 --> 00:20:02,136 I'm so cold. 469 00:20:04,041 --> 00:20:06,121 It's the fever, I'll get IV acetaminophen 470 00:20:06,145 --> 00:20:07,714 and a warm blanket. 471 00:20:08,899 --> 00:20:10,629 You hanging in there? 472 00:20:10,653 --> 00:20:14,871 My temp was 103, my sats are all over the place. 473 00:20:14,895 --> 00:20:16,626 I've seen worse. 474 00:20:16,650 --> 00:20:19,147 And your kidneys are still humming along. 475 00:20:21,575 --> 00:20:23,388 Can I take a look? 476 00:20:25,450 --> 00:20:27,186 Let's see. 477 00:20:27,721 --> 00:20:30,202 She has petechiae on the roof of her mouth. 478 00:20:30,226 --> 00:20:34,072 She's lactate. Full coags, ABG. 479 00:20:34,096 --> 00:20:35,348 I'll get the kit. 480 00:20:35,372 --> 00:20:37,473 I'll type and cross four units of blood. 481 00:20:41,521 --> 00:20:43,858 I'm so scared, Amy! 482 00:20:45,824 --> 00:20:47,336 I know, Lucy! 483 00:20:48,022 --> 00:20:50,532 I'm just glad it's you taking care of me. 484 00:20:51,836 --> 00:20:54,808 I just wanna hold his hand, please! 485 00:20:58,449 --> 00:21:00,362 We got another one. 486 00:21:00,386 --> 00:21:03,091 Dr. Larsen, we're running out of space. 487 00:21:04,027 --> 00:21:06,374 - Is that... - George Baker's roommate. 488 00:21:06,398 --> 00:21:07,804 Gina's patient? 489 00:21:20,706 --> 00:21:22,175 Now what? 490 00:21:25,661 --> 00:21:28,562 Carl Santiago just tested positive. 491 00:21:31,749 --> 00:21:34,063 Lucy worked on both of them. 492 00:21:34,087 --> 00:21:35,231 So did I! 493 00:21:35,255 --> 00:21:37,026 Don't think like that, Liz. 494 00:21:39,110 --> 00:21:41,916 If I hadn't distracted you today, 495 00:21:42,370 --> 00:21:44,034 would you have caught this earlier? 496 00:21:44,058 --> 00:21:47,247 I didn't catch anything. Amy did. 497 00:21:47,647 --> 00:21:49,627 He couldn't be saved, Liz. 498 00:21:50,126 --> 00:21:51,899 And he exposed everybody 499 00:21:51,923 --> 00:21:54,170 the second he stepped on this floor. 500 00:21:55,047 --> 00:21:58,135 I just wanted things to go back to normal. 501 00:22:06,986 --> 00:22:08,055 Liz. 502 00:22:10,187 --> 00:22:12,764 For whatever it's worth, 503 00:22:13,833 --> 00:22:16,237 you didn't deserve everything I put you through. 504 00:22:21,381 --> 00:22:23,118 And I am sorry. 505 00:22:25,890 --> 00:22:27,569 How's Lucy? 506 00:22:27,593 --> 00:22:29,073 We're doing everything we can. 507 00:22:29,097 --> 00:22:30,977 What about you two, still no fever? 508 00:22:31,001 --> 00:22:34,083 We're all good in here! As of an hour ago. 509 00:22:34,107 --> 00:22:35,920 Go ahead and take your temperature again. 510 00:22:35,944 --> 00:22:39,050 - Jake! - Rache, just, take it again. 511 00:22:49,170 --> 00:22:50,683 See? 512 00:22:50,707 --> 00:22:54,156 Nothing to worry about in here, except a low phone battery. 513 00:22:54,180 --> 00:22:57,620 And, maybe a mild case of PTSD. 514 00:22:58,189 --> 00:22:59,567 How's that? 515 00:22:59,591 --> 00:23:01,070 Talking through a window? 516 00:23:01,614 --> 00:23:04,076 It's like 2020 all over again, except I'm you, 517 00:23:04,265 --> 00:23:05,611 sleeping in the garage. 518 00:23:05,636 --> 00:23:06,982 Try doing it for months. 519 00:23:07,007 --> 00:23:10,346 Oh yeah, that horrible air mattress. 520 00:23:11,749 --> 00:23:15,299 Anyway, let me see if I can go find you a phone charger. 521 00:23:15,323 --> 00:23:16,859 My hero! 522 00:23:28,717 --> 00:23:30,295 Hard to be in here, huh? 523 00:23:31,060 --> 00:23:33,468 When the person you love is on the wrong side of the door. 524 00:23:33,492 --> 00:23:37,600 Oh, we're not, Jake's my ex. 525 00:23:38,134 --> 00:23:39,672 Still family. 526 00:23:40,372 --> 00:23:43,043 Tell me if this is tender, okay? 527 00:23:45,249 --> 00:23:47,196 - That's a yes! - Okay. 528 00:23:51,664 --> 00:23:54,945 Sorry. The ulcer acts up when I get stressed. 529 00:23:54,969 --> 00:23:57,349 I'm sorry but your pressure's dropping 530 00:23:57,373 --> 00:24:00,456 and you're losing too much blood, I'm worried about perforation. 531 00:24:02,016 --> 00:24:04,764 Just a sec. About time you called me back! 532 00:24:04,788 --> 00:24:07,862 How's Mom? Did you get her dinner? 533 00:24:09,181 --> 00:24:11,878 Ella, I need you to put the phone down and listen to me. 534 00:24:11,902 --> 00:24:14,350 We have to operate on your ulcer. 535 00:24:15,062 --> 00:24:16,520 Now? 536 00:24:20,276 --> 00:24:24,537 Dr. Coleman! We've got a job to do, and we're gonna do it well. 537 00:24:24,561 --> 00:24:26,407 - Are you ready? - Yes sir! 538 00:24:26,431 --> 00:24:27,944 Inspiration, please. 539 00:24:30,974 --> 00:24:32,452 Scalpel. 540 00:24:35,349 --> 00:24:37,830 They really can't tell you how long you'll be there? 541 00:24:37,854 --> 00:24:39,968 - Dude, just stop. - But why should he get the bed? 542 00:24:39,992 --> 00:24:41,537 He's been sleeping all day. 543 00:24:41,561 --> 00:24:43,208 You know how these things are. 544 00:24:43,232 --> 00:24:45,145 They're just being extra careful, hey! 545 00:24:45,169 --> 00:24:46,715 You think that's funny? 546 00:24:46,739 --> 00:24:48,184 What's going on there, Dad? 547 00:24:48,208 --> 00:24:50,389 Oh, just a jackass born on third base, 548 00:24:50,413 --> 00:24:51,849 thinks he's hit a triple! 549 00:24:52,250 --> 00:24:55,198 Hey, whoa, whoa! What the hell, what did you do? 550 00:24:55,222 --> 00:24:56,969 Whoa! 551 00:24:56,993 --> 00:24:59,339 He's having a seizure! Turn him on his side! 552 00:24:59,363 --> 00:25:01,577 I'm not gonna touch him, he could be infected! 553 00:25:01,601 --> 00:25:02,880 But how? He didn't even leave the room! 554 00:25:02,904 --> 00:25:04,818 - No, he's choking! - So, one of us has it? 555 00:25:04,842 --> 00:25:06,220 Don't look at me! 556 00:25:06,244 --> 00:25:09,093 - He got you. - It's gonna be okay. 557 00:25:09,117 --> 00:25:10,964 Hey, Herman! Herman, Herman, Herman. 558 00:25:10,988 --> 00:25:12,834 Hey, give me one gram of kepra, two migs of lorazepam. 559 00:25:12,858 --> 00:25:16,231 Herman, hey, let's step back, okay? Let's step back. 560 00:25:18,101 --> 00:25:20,215 Why the hell was he the one helping your friend? 561 00:25:20,612 --> 00:25:22,282 Lorazepam. 562 00:25:23,645 --> 00:25:26,952 O2 sats dropping, pulmonary edema. 563 00:25:28,289 --> 00:25:30,737 We max out high flow, and then we tube her. 564 00:25:36,305 --> 00:25:39,510 How are the others? Liz? 565 00:25:40,279 --> 00:25:43,786 Everyone's dying, I can't do this anymore. 566 00:25:45,843 --> 00:25:49,717 Um, they're okay. 567 00:25:50,666 --> 00:25:52,102 Try to rest. 568 00:25:54,078 --> 00:25:55,753 Okay, I got one. 569 00:25:55,777 --> 00:25:58,624 Would you rather work an overnight shift 570 00:25:58,648 --> 00:26:01,631 and it's just enemas all night, 571 00:26:01,655 --> 00:26:05,873 or go to a wedding as Peter's plus one? 572 00:26:05,897 --> 00:26:08,378 Uhh, do I have to dance with him? 573 00:26:08,661 --> 00:26:10,140 Two songs. 574 00:26:10,231 --> 00:26:11,810 Yeah, I'll take the enemas! 575 00:26:11,921 --> 00:26:13,120 Too easy. 576 00:26:13,144 --> 00:26:14,423 I mean, you've seen him do the robot 577 00:26:14,447 --> 00:26:16,662 at the holiday party, would you dance with him? 578 00:26:16,686 --> 00:26:18,421 Fair point. 579 00:26:20,226 --> 00:26:22,815 - You alright? - Stay away from me. 580 00:26:25,321 --> 00:26:26,968 It's Dr. Miller. 581 00:26:27,518 --> 00:26:29,405 I need to be tested. 582 00:26:34,587 --> 00:26:36,334 She's third-spacing everywhere. 583 00:26:36,358 --> 00:26:40,132 Julie, hang two more units, and an FFP! 584 00:26:42,704 --> 00:26:44,273 Her blood's thinning out. 585 00:26:51,321 --> 00:26:52,666 Richard. 586 00:26:52,690 --> 00:26:56,164 Gina's still negative. So is Liz. 587 00:26:56,965 --> 00:26:58,845 The ventilators aren't working! 588 00:27:02,711 --> 00:27:04,413 - You can let go now. - Code blue! 589 00:27:05,482 --> 00:27:07,062 Hemothorax. Amy? 590 00:27:07,086 --> 00:27:09,566 Yep, I'll do a needle thoracentesis. 591 00:27:09,590 --> 00:27:11,437 - DIC? - Yeah. 592 00:27:11,461 --> 00:27:12,823 Rapid infuser. Now! 593 00:27:23,719 --> 00:27:25,455 She's in hypovolemic shock! 594 00:27:26,090 --> 00:27:28,972 We're gonna get through this, Amy! 595 00:27:28,996 --> 00:27:32,145 I want every unit we have on hand in that infuser! 596 00:27:34,607 --> 00:27:36,344 Pushing epi. 597 00:27:38,182 --> 00:27:40,195 I'll start compressions! 598 00:27:50,873 --> 00:27:52,319 Charge to 120. 599 00:27:52,343 --> 00:27:55,082 Amy, Amy. It's no use. 600 00:27:56,351 --> 00:27:57,921 She's gone. 601 00:28:23,150 --> 00:28:25,966 Time of death, 22:47. 602 00:28:54,200 --> 00:28:56,480 Still can't believe she's gone. 603 00:28:56,504 --> 00:28:58,641 Mr. Santiago, too. 604 00:28:59,742 --> 00:29:02,782 This thing goes south fast, TJ. 605 00:29:04,087 --> 00:29:06,701 I'm taking your ICU shift, okay? 606 00:29:06,725 --> 00:29:08,338 You go deal with my patients. 607 00:29:08,362 --> 00:29:10,208 I'm in a position of leadership now, 608 00:29:10,232 --> 00:29:11,845 I'm not handing off my work! 609 00:29:11,869 --> 00:29:15,451 Hey. Part of being a leader is admitting when you need help 610 00:29:15,475 --> 00:29:18,181 and trusting the people around you to share the load. 611 00:29:18,750 --> 00:29:20,963 Downshift for a couple of hours. 612 00:29:21,379 --> 00:29:23,616 We got a long road here. 613 00:29:46,839 --> 00:29:47,984 Hey. 614 00:29:48,008 --> 00:29:50,088 Step back from the door, okay? 615 00:29:50,391 --> 00:29:52,862 Uh, I'm not near it. Why? 616 00:30:00,282 --> 00:30:01,911 I didn't want you to be alone. 617 00:30:01,935 --> 00:30:04,382 I'm sure I'll see you in ICU soon enough. 618 00:30:04,406 --> 00:30:07,456 - Don't say that! - Am I wrong? 619 00:30:11,752 --> 00:30:13,625 Did you talk to Wendy? 620 00:30:14,554 --> 00:30:17,726 She's taking it like a champ! So far. 621 00:30:18,368 --> 00:30:19,699 How's Katie? 622 00:30:19,723 --> 00:30:22,619 She's pretty Pollyanna, actually. 623 00:30:22,643 --> 00:30:25,258 Which is good, given, 624 00:30:25,282 --> 00:30:27,562 you know, everything she's been through. 625 00:30:27,765 --> 00:30:30,972 I just wish I could be out there helping you all. 626 00:30:32,019 --> 00:30:35,193 I'm sure seeing Lucy like that was terrible. 627 00:30:36,404 --> 00:30:37,750 No. 628 00:30:43,619 --> 00:30:44,898 Was that a memory seizure? 629 00:30:44,922 --> 00:30:46,925 Of Covid. 630 00:30:47,326 --> 00:30:50,208 Seems like trauma brings back trauma. 631 00:30:50,749 --> 00:30:52,312 There's always phenobarb. 632 00:30:52,336 --> 00:30:55,810 No, it has so many potential side effects. 633 00:30:59,376 --> 00:31:01,580 Promise me you'll be careful. 634 00:31:04,939 --> 00:31:06,876 I love you. 635 00:31:08,889 --> 00:31:10,492 Back at ya! 636 00:31:23,632 --> 00:31:25,913 I'm looking at the material you sent, 637 00:31:25,937 --> 00:31:27,115 but this doesn't help me. 638 00:31:27,139 --> 00:31:28,952 Our strain is way more aggressive 639 00:31:28,976 --> 00:31:30,588 than whatever you're tracking in Tanzania. 640 00:31:30,612 --> 00:31:32,259 I can't just hit it with Remdesivir. 641 00:31:32,763 --> 00:31:34,966 What about other antivirals? 642 00:31:36,557 --> 00:31:39,941 So you're telling me supportive care 643 00:31:39,965 --> 00:31:41,410 is your best advice? 644 00:31:41,434 --> 00:31:43,672 I mean, Eastside lost two more this morning. 645 00:31:46,244 --> 00:31:48,224 Great. Well, when you have a better idea, 646 00:31:48,248 --> 00:31:49,718 you know where to find me! 647 00:31:50,887 --> 00:31:53,591 Guessing you slept almost as well as I did last night. 648 00:31:56,261 --> 00:31:58,265 Thank you. 649 00:32:00,005 --> 00:32:02,744 I was prepared to treat the patients. 650 00:32:03,879 --> 00:32:05,224 Not our people. 651 00:32:05,782 --> 00:32:07,997 And I can't look anyone in the eye 652 00:32:08,021 --> 00:32:10,191 and tell them this is going to be okay. 653 00:32:12,263 --> 00:32:15,044 I think George Baker went to the vending machines 654 00:32:15,068 --> 00:32:16,546 before treatment. 655 00:32:16,570 --> 00:32:20,722 It's the only other place the college kids went on the sixth floor. 656 00:32:20,746 --> 00:32:21,991 And I missed it. 657 00:32:22,015 --> 00:32:23,962 We don't even have cameras there. 658 00:32:23,986 --> 00:32:27,402 No, but when he returned to his patient room at 9:23, 659 00:32:27,426 --> 00:32:29,139 he had a soda in his hand. 660 00:32:29,163 --> 00:32:32,278 If I'd isolated based on that criteria, 661 00:32:32,302 --> 00:32:34,550 we'd be in much better shape. 662 00:32:34,574 --> 00:32:38,514 We've been playing catch up since the beginning, Joan. 663 00:32:39,083 --> 00:32:41,387 Yeah. Yeah. 664 00:32:45,429 --> 00:32:46,932 Hey! 665 00:32:49,363 --> 00:32:52,101 I'll be right back, okay? 666 00:32:58,210 --> 00:33:00,001 Why isn't any of this working? 667 00:33:00,025 --> 00:33:01,470 Sir, we are doing everything we can. 668 00:33:01,494 --> 00:33:03,298 Well, it's not good enough! 669 00:33:04,100 --> 00:33:06,881 No, don't touch me, you just touched him! 670 00:33:06,905 --> 00:33:09,219 I cannot give you something you already have! 671 00:33:09,243 --> 00:33:11,681 Now please, let me examine you. 672 00:33:19,130 --> 00:33:21,077 - Hey Jules! - Yeah? 673 00:33:21,101 --> 00:33:23,248 You see this much lymphadenopathy in other patients? 674 00:33:23,272 --> 00:33:25,018 Uh, I'm not sure. 675 00:33:25,042 --> 00:33:26,544 Hey, I have a lump, too. 676 00:33:27,045 --> 00:33:29,193 It's replicating fast. 677 00:33:29,217 --> 00:33:31,497 Wait, why do you say that like it's a good thing? 678 00:33:31,521 --> 00:33:33,634 Its speed is its weakness. 679 00:33:33,658 --> 00:33:36,908 Accelerated multiplication makes the virus prone to errors. 680 00:33:36,932 --> 00:33:38,244 And open to attack, 681 00:33:38,268 --> 00:33:39,781 by replication-inhibiting antivirals. 682 00:33:39,805 --> 00:33:41,483 Okay yeah, but which one? 683 00:33:41,507 --> 00:33:45,224 I mean, cardiac failure in bed two points to protease inhibitors, 684 00:33:45,248 --> 00:33:46,661 but respiratory failure in seven 685 00:33:46,685 --> 00:33:48,866 suggests neuramidase inhibitors might be more effective. 686 00:33:48,890 --> 00:33:52,539 - We could design our own. - You wanna invent an antiviral? 687 00:33:52,563 --> 00:33:55,512 A cocktail, based on what we know 688 00:33:55,536 --> 00:33:57,750 about the virus's components from genetic sequencing. 689 00:33:57,774 --> 00:34:00,588 Toremifene destabilizes viral glycoprotein. 690 00:34:00,612 --> 00:34:02,927 Interferon beta-1a inhibits VP3 expression. 691 00:34:02,951 --> 00:34:06,735 And cathepsin-B would definitely interfere with NPC1 binding. 692 00:34:06,759 --> 00:34:09,239 It's still doesn't address your replication rate. 693 00:34:09,263 --> 00:34:12,781 It would if we added a nucleoside analog to slow it down. 694 00:34:12,805 --> 00:34:14,550 There are gonna be a lot of variables. 695 00:34:14,574 --> 00:34:17,222 Yeah. We all have to step outside of our comfort zones 696 00:34:17,246 --> 00:34:18,992 if we want to attack this. 697 00:34:19,016 --> 00:34:20,495 She's right. Mix and match, 698 00:34:20,519 --> 00:34:22,265 try finding a combination that gives us 699 00:34:22,289 --> 00:34:23,702 the most bang for our buck. 700 00:34:23,726 --> 00:34:27,900 Or, we could sit back, manage symptoms and pray. 701 00:34:29,269 --> 00:34:31,417 As you know, this infection 702 00:34:31,441 --> 00:34:33,655 can get very serious very quickly. 703 00:34:33,679 --> 00:34:35,893 And we won't wait for that to happen. 704 00:34:35,917 --> 00:34:39,868 We have designed four drug cocktails we believe could help. 705 00:34:39,892 --> 00:34:41,704 So, you're improvising? 706 00:34:41,728 --> 00:34:44,242 We ran a sophisticated analysis. 707 00:34:44,266 --> 00:34:45,946 What if your analysis is wrong? 708 00:34:45,970 --> 00:34:48,199 All volunteers will be closely monitored. 709 00:34:48,223 --> 00:34:52,125 Negative responses will be met with immediate intervention. 710 00:34:52,149 --> 00:34:53,828 So if you screw up, 711 00:34:53,852 --> 00:34:56,901 then we have to trust you to fix it. 712 00:34:56,925 --> 00:34:58,571 That is an oversimplification. 713 00:34:58,595 --> 00:35:00,876 I mean, they have a test! 714 00:35:00,900 --> 00:35:03,447 How can they not have a decent treatment? 715 00:35:03,471 --> 00:35:05,652 Oh, so which is it? You think we're incompetent? 716 00:35:05,676 --> 00:35:07,055 Or gods? 717 00:35:07,079 --> 00:35:09,192 Or just liars, for some unknown reason? 718 00:35:09,216 --> 00:35:11,053 Not helping. 719 00:35:11,587 --> 00:35:13,401 You're under no obligation. 720 00:35:13,425 --> 00:35:16,073 And yes, there are serious risks. 721 00:35:17,433 --> 00:35:19,579 Liver failure, heart attack, even death. 722 00:35:19,603 --> 00:35:21,818 We're running out of space! 723 00:35:21,842 --> 00:35:23,020 Code blue! 724 00:35:23,044 --> 00:35:26,317 But you'll learn something either way, right? 725 00:35:27,926 --> 00:35:29,305 I'm in. 726 00:35:29,330 --> 00:35:32,669 Thank you, Richard. Anyone else? 727 00:35:36,906 --> 00:35:40,913 Come on. You wanna just lie around here, hoping? 728 00:35:41,949 --> 00:35:43,451 Or do you wanna fight back? 729 00:35:54,507 --> 00:35:57,445 Good. We'll get started shortly. 730 00:36:00,518 --> 00:36:04,069 Hey. Are you having memories? 731 00:36:04,306 --> 00:36:06,076 I just need a minute. 732 00:36:33,151 --> 00:36:34,964 Uh, hi! 733 00:36:34,988 --> 00:36:38,137 Hey. It'd be good if we can get a PCR up here for us. 734 00:36:38,161 --> 00:36:40,164 They're working on that. 735 00:36:41,134 --> 00:36:43,782 I heard you blew Dr. Coleman away 736 00:36:43,806 --> 00:36:46,688 with your surgical skills and your playlist. 737 00:36:46,712 --> 00:36:48,658 It's nothing compared to what you're doing. 738 00:36:49,215 --> 00:36:52,020 It's not exactly the best way to meet again. 739 00:36:54,928 --> 00:36:57,174 We're gonna get through this, Amy. 740 00:36:57,198 --> 00:36:58,769 You alright? 741 00:37:00,171 --> 00:37:03,020 I just... yeah. 742 00:37:03,044 --> 00:37:04,523 Yeah, I'm fine. 743 00:37:04,547 --> 00:37:07,820 Oh. I'm gonna go check on Ella, post-op. 744 00:37:54,847 --> 00:37:59,099 Liz? Did the ondansetron help with the nausea? 745 00:37:59,123 --> 00:38:00,836 Not yet. 746 00:38:00,860 --> 00:38:04,015 Alright, I'm going to try adding haloperidol. 747 00:38:04,735 --> 00:38:07,215 How are you feeling? Any shortness of breath? 748 00:38:07,239 --> 00:38:09,285 Only since Y2K! 749 00:38:09,309 --> 00:38:11,724 Remember, the world was supposed to come to an end then? 750 00:38:11,748 --> 00:38:13,728 Yeah, it seems kind of quaint now, doesn't it? 751 00:38:14,818 --> 00:38:16,734 I'll be alright, Doc. Really. 752 00:38:16,758 --> 00:38:18,404 Well, you let me know if that changes, okay? 753 00:38:18,428 --> 00:38:19,764 Yeah. 754 00:38:20,782 --> 00:38:22,212 How's he doing? 755 00:38:22,236 --> 00:38:24,015 His O2 sats are falling. 756 00:38:24,039 --> 00:38:26,386 He never should have been in the room with those asshats. 757 00:38:26,410 --> 00:38:28,223 We're in triage, we had no choice. 758 00:38:28,247 --> 00:38:29,459 How are your patients doing? 759 00:38:29,483 --> 00:38:31,630 I think Kenny needs a cardiac echo, 760 00:38:31,654 --> 00:38:34,535 and Layla's showing signs of systemic inflammation. 761 00:38:34,559 --> 00:38:36,506 Okay, I'll take a look, in the meantime, 762 00:38:36,530 --> 00:38:39,012 can you get Audrey started on parenteral support? 763 00:38:39,036 --> 00:38:40,271 Got it. 764 00:38:41,440 --> 00:38:42,886 We're almost at capacity here. 765 00:38:42,910 --> 00:38:45,024 Yeah, and the hits keep coming. 766 00:38:45,048 --> 00:38:46,470 How's Gina? 767 00:38:46,494 --> 00:38:48,497 She's still negative and asymptomatic. 768 00:38:48,521 --> 00:38:49,767 Somehow. 769 00:38:49,791 --> 00:38:51,771 I'll take any good news I can get. 770 00:38:51,795 --> 00:38:53,735 Chase's cerebral edema 771 00:38:53,759 --> 00:38:56,313 didn't respond to mannitol, so I sedated him. 772 00:38:56,337 --> 00:38:58,250 Herman's putting on a brave face, 773 00:38:58,274 --> 00:38:59,954 but his O2 sats are drifting, 774 00:38:59,978 --> 00:39:02,572 and our resident conspiracy theorist's 775 00:39:02,596 --> 00:39:04,629 getting splenomegaly, but doesn't believe it. 776 00:39:04,653 --> 00:39:06,801 Dr. Hamda, Dr. Larsen! 777 00:39:06,825 --> 00:39:08,270 Dr. Miller's fever broke! 778 00:39:08,294 --> 00:39:09,941 He was at 104 earlier, 779 00:39:09,965 --> 00:39:12,602 he's down to 101.7 and sats are improving. 780 00:39:13,706 --> 00:39:14,951 His cocktail's working. 781 00:39:14,975 --> 00:39:16,555 Does this mean what I think it means? 782 00:39:16,579 --> 00:39:18,725 We won't know until we try it on the others. 783 00:39:18,749 --> 00:39:20,561 - Dr. Franco. - Yes? 784 00:39:20,585 --> 00:39:22,666 How long to get me enough cocktail number four 785 00:39:22,690 --> 00:39:23,969 for everyone up here? 786 00:39:23,993 --> 00:39:26,106 An hour to reconstitute the vials, 787 00:39:26,130 --> 00:39:28,210 two to balance the infusion solutions 788 00:39:28,234 --> 00:39:29,714 and another to prep the IV bags. 789 00:39:29,738 --> 00:39:31,851 Some of my patients may not have that long. 790 00:39:31,875 --> 00:39:33,912 We've got extra hands moving in now. 791 00:39:34,313 --> 00:39:35,919 That's such a relief, Mom! 792 00:39:35,943 --> 00:39:37,830 Oh, I know! Believe me. 793 00:39:37,854 --> 00:39:39,800 I gave blood again today. 794 00:39:39,824 --> 00:39:41,136 It's the only thing I can do to help. 795 00:39:41,988 --> 00:39:45,010 You sure you okay? You seem exhausted. 796 00:39:45,034 --> 00:39:49,242 I'm, well, I just need this coffee to kick in! 797 00:39:50,311 --> 00:39:52,058 Listen, I should get back, I need... 798 00:39:52,082 --> 00:39:56,166 Wait, Mom! Promise me if either of you get sick, I wanna know. 799 00:39:56,190 --> 00:39:57,827 You will. 800 00:39:58,929 --> 00:40:00,240 I love you. 801 00:40:00,264 --> 00:40:01,968 Love you too. 802 00:40:14,526 --> 00:40:16,708 Let's move, everyone! 803 00:40:16,732 --> 00:40:18,610 Just in time, Chase is unstable. 804 00:40:18,634 --> 00:40:20,481 And Herman's getting more tachycardic. 805 00:40:20,505 --> 00:40:22,084 Thank you. 806 00:40:22,108 --> 00:40:23,320 Thanks. Oh! 807 00:40:23,344 --> 00:40:24,623 You okay? 808 00:40:24,647 --> 00:40:26,493 Yeah, I'm just running on empty. 809 00:40:26,517 --> 00:40:28,497 Going once, going twice? 810 00:40:28,521 --> 00:40:30,903 No thanks, use it on your guinea pigs! 811 00:40:30,927 --> 00:40:33,999 Besides, your friend? He don't look so good. 812 00:40:37,238 --> 00:40:39,187 Julie, blood check on Richard! 813 00:40:45,521 --> 00:40:47,258 It feels like... 814 00:40:49,262 --> 00:40:51,243 AST's 13,000! 815 00:40:51,267 --> 00:40:52,611 What? 816 00:40:52,635 --> 00:40:54,984 Michael! Fulminant hepatic failure! 817 00:40:57,045 --> 00:41:00,260 Peaked Ts, that's hyperkalemia. He's gonna code! 818 00:41:00,284 --> 00:41:02,299 V-fib! 819 00:41:06,430 --> 00:41:08,408 - Epi's in. - Charging to 200! 820 00:41:09,169 --> 00:41:10,873 Clear! 821 00:41:17,712 --> 00:41:18,880 Okay. 822 00:41:21,695 --> 00:41:23,423 There's no bleeding. 823 00:41:23,932 --> 00:41:26,036 This isn't the hemorrhagic fever. 824 00:41:27,707 --> 00:41:29,576 It's a drug reaction. 825 00:41:30,263 --> 00:41:32,224 Everyone, stop the infusions! 826 00:41:32,248 --> 00:41:35,054 O2 sats are dropping. TJ, check his lungs! 827 00:41:35,588 --> 00:41:37,559 I'm drawing up the steroids. 828 00:41:38,128 --> 00:41:40,174 Starting high flow oxygen. 829 00:41:40,198 --> 00:41:42,302 We're losing him again! 830 00:41:44,606 --> 00:41:46,286 Tension pneumo! 831 00:41:46,310 --> 00:41:48,447 We need to decompress. 832 00:41:51,287 --> 00:41:52,923 Okay. 833 00:41:55,194 --> 00:41:56,915 You're almost in. 834 00:42:02,108 --> 00:42:04,446 - Sats are coming up. - I've got the hub. 835 00:42:06,617 --> 00:42:08,454 Pull the needle. 836 00:42:09,256 --> 00:42:11,369 Oh! 837 00:42:11,393 --> 00:42:13,640 Oh no, no, no! 838 00:42:16,805 --> 00:42:18,483 Needle stick protocol. 839 00:42:18,507 --> 00:42:19,987 What's going on? What's happened? 840 00:42:20,011 --> 00:42:21,991 She got stuck with an infected needle. 841 00:42:22,015 --> 00:42:24,129 Dr. Heller, get her out of here! 842 00:42:24,153 --> 00:42:26,432 Disinfect, test and isolate. Stat! 843 00:42:26,456 --> 00:42:28,279 Ray! Step in! 844 00:42:30,866 --> 00:42:34,105 TJ, get on the chest tube. Now!