1 00:00:00,017 --> 00:00:02,097 Knight F6, then you got me in three. 2 00:00:02,102 --> 00:00:03,102 Well done. 3 00:00:03,107 --> 00:00:05,274 Listen, I don't spend all day playing games. 4 00:00:05,279 --> 00:00:06,775 Sabeena, there's a restaurant 5 00:00:06,780 --> 00:00:08,980 in my neighborhood opening up. You wanna check it out? 6 00:00:08,985 --> 00:00:10,439 I'd like that. 7 00:00:10,444 --> 00:00:12,741 Michael, I can't have my medical reps 8 00:00:12,746 --> 00:00:15,180 upselling during a procedure. 9 00:00:15,185 --> 00:00:17,813 I can't welcome him back to my O.R. 10 00:00:17,818 --> 00:00:19,114 Would it be too much to ask 11 00:00:19,119 --> 00:00:22,851 for you to back me up just a little? 12 00:00:22,856 --> 00:00:25,089 I'm thinking about reconnecting with my daughter. 13 00:00:25,094 --> 00:00:27,261 There's a program that helps parents 14 00:00:27,266 --> 00:00:29,533 track down the children they put up for adoption. 15 00:00:29,538 --> 00:00:31,738 It's been over 20 years. 16 00:00:31,743 --> 00:00:34,177 She may not want to reconnect. 17 00:00:38,639 --> 00:00:41,705 - Oh, hey, good morning. - Hey. 18 00:00:41,710 --> 00:00:43,708 Somebody woke up on the right side of the bed. 19 00:00:43,713 --> 00:00:45,913 Well, somebody got a sitter for tonight. 20 00:00:45,918 --> 00:00:47,418 - Oh. - And that means she's gonna 21 00:00:47,423 --> 00:00:49,844 bring food to your house. What do you wanna eat? 22 00:00:49,849 --> 00:00:52,880 Oh, whatever you want. It's all good with me. 23 00:00:52,885 --> 00:00:55,950 You always say that. I wanna know what you like. 24 00:00:55,955 --> 00:00:58,055 Well, I like Thai, Indian, 25 00:00:58,060 --> 00:00:59,720 pizza, burgers... I like it all. 26 00:00:59,725 --> 00:01:02,493 You know, we have been dating now for I don't know how long, 27 00:01:02,498 --> 00:01:04,348 and I still know so little about you. 28 00:01:04,353 --> 00:01:06,553 Well, you know I like Thai, Indian... 29 00:01:06,558 --> 00:01:08,225 - Oh, get out of here. - Pizza, burgers... 30 00:01:08,230 --> 00:01:10,363 Go away. 31 00:01:11,171 --> 00:01:12,601 And then he looked at me and said, 32 00:01:12,606 --> 00:01:14,406 "You know so much about endoscopy, 33 00:01:14,411 --> 00:01:16,144 why don't you just rep the line yourself?" 34 00:01:16,149 --> 00:01:17,482 So you're gonna be in charge 35 00:01:17,487 --> 00:01:19,606 of a whole new series of devices? 36 00:01:19,611 --> 00:01:21,609 That's right, and I'm telling you, Mom, they're awesome. 37 00:01:21,613 --> 00:01:24,778 Increased success rates on embolization, sclerotherapy, 38 00:01:24,783 --> 00:01:26,713 stent and valve placement. 39 00:01:26,718 --> 00:01:28,049 Really gonna help a lot of people. 40 00:01:28,053 --> 00:01:30,484 Oh, that's fabulous, Michael. Good for you. 41 00:01:30,489 --> 00:01:33,653 Thank you, but to be honest, I am on the clock. 42 00:01:33,658 --> 00:01:35,756 Can't waste any more time talking to you. 43 00:01:35,761 --> 00:01:37,724 - Well, have at it. - All right. 44 00:01:41,767 --> 00:01:44,898 - Hey, Maggie. - Hey, Sharon. 45 00:01:44,903 --> 00:01:48,769 - You okay? - Mm-hmm. 46 00:01:48,774 --> 00:01:52,639 It's here. About my daughter. 47 00:01:55,647 --> 00:01:59,245 Wow. You tracked her down. 48 00:01:59,250 --> 00:02:02,115 What are you gonna do? 49 00:02:02,120 --> 00:02:04,417 I'm not ready to open it. 50 00:02:04,422 --> 00:02:08,454 Well, if you need me, call, okay? 51 00:02:18,136 --> 00:02:19,933 I have to admit, I thought I had you 52 00:02:19,938 --> 00:02:21,300 when I took your king's knight. 53 00:02:21,305 --> 00:02:23,502 Which is why I let you take it. 54 00:02:23,507 --> 00:02:25,704 I knew you were about to play the Mecking Variation. 55 00:02:25,709 --> 00:02:28,141 Because it's subtle but brilliant? 56 00:02:28,146 --> 00:02:31,177 Because you always play the Mecking Variation. 57 00:02:31,182 --> 00:02:34,280 Oh, all right, well, I'm gonna need a rematch tonight. 58 00:02:34,285 --> 00:02:35,949 See if I can come up with some surprises. 59 00:02:35,954 --> 00:02:36,954 I'll see. 60 00:02:36,959 --> 00:02:38,789 I have two more trial patient exams 61 00:02:38,794 --> 00:02:39,956 and a status report due. 62 00:02:39,961 --> 00:02:42,359 Oh, my God! Mom! 63 00:02:42,793 --> 00:02:44,690 Get a gurney. What happened? 64 00:02:44,695 --> 00:02:46,325 She's been having palpitations, 65 00:02:46,330 --> 00:02:48,594 but she wouldn't let me bring her in until today. 66 00:02:48,599 --> 00:02:49,629 Hi, I'm a doctor too. 67 00:02:49,633 --> 00:02:51,497 Does your mom have any cardiac conditions? 68 00:02:51,502 --> 00:02:53,699 Not that I know of, but she's pregnant. 69 00:02:53,704 --> 00:02:55,468 All right, we're gonna get you up to the ED 70 00:02:55,472 --> 00:02:56,702 and check you out, okay? 71 00:02:56,707 --> 00:02:58,270 Is there anyone you'd like us to call? 72 00:02:58,275 --> 00:03:01,440 - Her husband? - No... Gary's passed. 73 00:03:01,445 --> 00:03:03,742 Anyone else? Baby's father? 74 00:03:03,747 --> 00:03:06,311 No, the baby's mine. And my husband's. 75 00:03:06,316 --> 00:03:07,813 Yours? 76 00:03:07,818 --> 00:03:10,850 My mother's carrying our baby. 77 00:03:17,296 --> 00:03:21,596 - Synced and corrected by Firefly - - www.addic7ed.com - 78 00:03:25,079 --> 00:03:27,711 Hello, again. Where we at? 79 00:03:27,716 --> 00:03:29,346 Ms. Daniels is a 22-week 80 00:03:29,351 --> 00:03:31,215 pregnant surrogate for her daughter. 81 00:03:31,220 --> 00:03:34,084 And I am seeing signs of atrial fibrillation. 82 00:03:34,089 --> 00:03:37,487 Okay, do you mind me asking how old you are? 83 00:03:37,492 --> 00:03:39,623 54. 84 00:03:39,628 --> 00:03:42,398 I know that's pretty old to carry a baby, 85 00:03:42,403 --> 00:03:45,401 but when Katie asked me, I just couldn't... 86 00:03:45,406 --> 00:03:46,870 He's busy, Mom. 87 00:03:46,875 --> 00:03:50,640 I'm sure he just wants you to answer the questions. 88 00:03:50,645 --> 00:03:53,770 So, has this ever happened before? 89 00:03:53,775 --> 00:03:54,972 No. 90 00:03:54,977 --> 00:03:58,177 And any other medical history we should know about? 91 00:03:59,680 --> 00:04:02,011 I'm allergic to shellfish. 92 00:04:02,016 --> 00:04:03,679 And I had a kidney stone once... 93 00:04:03,684 --> 00:04:06,185 She's an alcoholic. 94 00:04:07,521 --> 00:04:08,885 I'm sorry, Mom. It's true. 95 00:04:08,890 --> 00:04:11,287 Recovering alcoholic. 96 00:04:11,292 --> 00:04:14,490 I haven't had a drink in two years, six months... 97 00:04:14,495 --> 00:04:16,425 Do you think that's why this is happening? 98 00:04:16,430 --> 00:04:20,529 My husband and I... we knew there might be medical issues. 99 00:04:20,534 --> 00:04:23,432 We couldn't afford a professional surrogate. 100 00:04:23,437 --> 00:04:24,934 Okay, let us do a few tests, 101 00:04:24,939 --> 00:04:26,703 and we'll figure out exactly what's going on. 102 00:04:26,707 --> 00:04:29,571 And in the meantime, we'll try to get your heart 103 00:04:29,576 --> 00:04:31,607 back into a normal rhythm, okay? 104 00:04:31,612 --> 00:04:34,377 Excuse us. 105 00:04:37,051 --> 00:04:38,347 What do you think? 106 00:04:38,352 --> 00:04:40,482 She is unstable. We need to cardiovert. 107 00:04:40,487 --> 00:04:43,051 Mags, order an echo and 100 milligrams of flecainide. 108 00:04:43,056 --> 00:04:44,654 We'll see how she does over the next hour. 109 00:04:44,658 --> 00:04:47,756 Well, hold up, if this is alcoholic cardiomyopathy, 110 00:04:47,761 --> 00:04:49,157 we may wanna do it electrically. 111 00:04:49,162 --> 00:04:50,894 But we don't wanna affect the baby's rhythm. 112 00:04:50,898 --> 00:04:53,862 - Meds would be safer. - Well, but less effective. 113 00:04:53,867 --> 00:04:57,399 I mean, the longer this goes on, the worse it could get. 114 00:04:57,404 --> 00:05:00,536 So what do you want me to do? 115 00:05:00,541 --> 00:05:02,604 Flecainide is standard of care. 116 00:05:02,609 --> 00:05:04,610 We'll go with that. 117 00:05:07,848 --> 00:05:09,378 What have we got? 118 00:05:09,383 --> 00:05:11,547 I've got Arash Mehti, shot in the leg. 119 00:05:11,552 --> 00:05:13,816 Two of morphine in the field, vitals stable. 120 00:05:13,821 --> 00:05:15,584 Okay, Mr. Mehti, I'm Dr. Marcel. 121 00:05:15,589 --> 00:05:17,120 We're gonna take good care of you, okay? 122 00:05:17,124 --> 00:05:18,454 I don't want to be here. 123 00:05:18,459 --> 00:05:20,823 Okay, well, we're just gonna take a look at you, all right? 124 00:05:20,827 --> 00:05:22,723 Let's get an X-ray in here. 125 00:05:29,569 --> 00:05:31,933 Okay, here we go, guys. On my count, nice and easy. 126 00:05:31,938 --> 00:05:33,935 One, two, three. 127 00:05:39,479 --> 00:05:42,077 - No, please. - Whoa. 128 00:05:42,082 --> 00:05:45,580 I can't afford this. I'll go somewhere else. 129 00:05:45,585 --> 00:05:47,448 - Bring his head up. - Yup. 130 00:05:47,453 --> 00:05:49,184 Okay, listen to me, Mr. Mehti. 131 00:05:49,189 --> 00:05:50,986 You need to be in a hospital. 132 00:05:50,991 --> 00:05:53,054 I don't want your leg moving any more than it has to. 133 00:05:53,058 --> 00:05:55,289 So please stay calm, okay? Nice and still. 134 00:05:55,294 --> 00:05:57,624 Let's move back. 135 00:06:07,772 --> 00:06:10,271 Okay, Mr. Mehti, it looks like the bullet 136 00:06:10,276 --> 00:06:11,772 hit one of your large vessels. 137 00:06:11,777 --> 00:06:13,741 I need to operate in order to stop the bleeding, 138 00:06:13,746 --> 00:06:15,343 and remove the bullet. Is that okay? 139 00:06:15,348 --> 00:06:16,444 - Operate? - Yes. 140 00:06:16,449 --> 00:06:18,646 No. 141 00:06:18,651 --> 00:06:19,749 Dad, I don't think you have a choice. 142 00:06:27,526 --> 00:06:30,590 Mr. Mehti, your son's right. You're still bleeding. 143 00:06:30,595 --> 00:06:33,059 If we wait much longer, you'll lose too much blood. 144 00:06:33,064 --> 00:06:34,593 You will die. 145 00:06:34,598 --> 00:06:36,929 Dad, just let him fix you. 146 00:06:36,934 --> 00:06:38,964 - No. - Please. 147 00:06:38,969 --> 00:06:42,101 Mr. Mehti. 148 00:06:42,106 --> 00:06:44,404 - Fine. - Okay. 149 00:06:44,409 --> 00:06:46,308 Call the blood bank. Let O.R. know we're coming up. 150 00:06:46,312 --> 00:06:48,041 You got it. 151 00:06:48,046 --> 00:06:50,943 I'll see you soon, okay? 152 00:06:59,257 --> 00:07:01,154 Hi, Emily. I'm Dr. Manning. 153 00:07:01,159 --> 00:07:02,988 What happened today? 154 00:07:02,993 --> 00:07:05,724 I was on my way to the gym, and I got mugged. 155 00:07:05,729 --> 00:07:07,960 Oh, my God. I'm so sorry to hear that. 156 00:07:07,965 --> 00:07:10,696 - It's okay. - You mind if I... thanks. 157 00:07:10,701 --> 00:07:13,866 It's okay. But he threw me pretty hard. 158 00:07:13,871 --> 00:07:15,067 All right. 159 00:07:15,072 --> 00:07:17,436 Yeah, well, it appears to be broken, 160 00:07:17,441 --> 00:07:19,638 but I do wanna do an X-ray to confirm. 161 00:07:19,643 --> 00:07:22,908 Thanks... and could she get something for the pain? 162 00:07:22,913 --> 00:07:25,077 She's trying to be brave, but... 163 00:07:25,082 --> 00:07:28,180 I'm sorry. This is Brian, my husband. 164 00:07:28,185 --> 00:07:29,255 Nice to meet you. 165 00:07:29,260 --> 00:07:31,257 And yes, we can get you something. 166 00:07:31,262 --> 00:07:33,259 Did you make a police report? 167 00:07:33,264 --> 00:07:35,670 No, the guy got away so fast. 168 00:07:35,675 --> 00:07:37,404 Well, you should think about filing one. 169 00:07:37,409 --> 00:07:38,440 I mean, you'd be surprised 170 00:07:38,444 --> 00:07:39,892 at how often they find the suspect. 171 00:07:39,897 --> 00:07:40,959 No, it's fine. 172 00:07:40,964 --> 00:07:42,762 I didn't even get a good look at him. 173 00:07:42,767 --> 00:07:44,697 Come on, Em. 174 00:07:44,702 --> 00:07:47,666 We're just sitting here anyway. We might as well. 175 00:07:47,671 --> 00:07:50,167 My head hurts, and it seems like such a pain. 176 00:07:50,172 --> 00:07:53,177 Sweetie, the guy broke your arm. 177 00:07:54,711 --> 00:07:56,340 Okay. 178 00:07:56,345 --> 00:07:58,409 Great. I'll send someone in. 179 00:07:58,414 --> 00:07:59,444 And in the meantime, 180 00:07:59,449 --> 00:08:01,649 we will get you those meds, okay? 181 00:08:06,589 --> 00:08:09,620 Hey, I have a patient in three who was just mugged, 182 00:08:09,625 --> 00:08:11,557 and she seems like she's in a little bit of denial. 183 00:08:11,561 --> 00:08:12,826 Would you mind talking to her for a minute, 184 00:08:12,830 --> 00:08:14,459 just make sure she's all right? 185 00:08:14,464 --> 00:08:17,032 - Not at all. - Thanks. 186 00:08:20,136 --> 00:08:22,933 I've been on hold for a while. 187 00:08:22,938 --> 00:08:24,935 Where are you guys? He's bleeding bad. 188 00:08:27,809 --> 00:08:29,873 - Can I help? - Are you a doctor? 189 00:08:29,878 --> 00:08:30,941 No, I'm a nurse. 190 00:08:30,946 --> 00:08:32,843 Good enough. Come on. 191 00:08:32,848 --> 00:08:34,077 Sheet metal got his leg. 192 00:08:34,082 --> 00:08:35,313 We tried to tie a belt around it, 193 00:08:35,317 --> 00:08:36,581 but it just keeps slipping. 194 00:08:36,585 --> 00:08:37,815 Hey, my name is April. 195 00:08:37,820 --> 00:08:39,616 I'm gonna try to help you, okay? 196 00:08:39,621 --> 00:08:41,652 Hey, April. I'm Russell. 197 00:08:41,657 --> 00:08:43,087 Hey, Russell, just hang in there. 198 00:08:43,091 --> 00:08:44,122 Thank you. All right. 199 00:08:44,126 --> 00:08:46,623 Hey... oh, that's too high for a tourniquet. 200 00:08:46,628 --> 00:08:48,992 You gotta press right here. Yeah. 201 00:08:48,997 --> 00:08:50,527 And press down hard. Harder. 202 00:08:50,532 --> 00:08:51,862 Okay. 203 00:08:51,867 --> 00:08:53,463 What's in that toolbox? 204 00:08:57,004 --> 00:08:58,835 Hang on, Russell. 205 00:08:58,840 --> 00:09:00,836 Okay. Let me see. 206 00:09:05,580 --> 00:09:09,112 Does that first aid kit have any alcohol in it? 207 00:09:09,117 --> 00:09:10,947 Whoa. Okay. 208 00:09:10,952 --> 00:09:12,648 - All right. - Here you go. 209 00:09:12,653 --> 00:09:14,617 This is gonna hurt, okay? Get ready. 210 00:09:14,622 --> 00:09:17,587 Okay. 211 00:09:19,794 --> 00:09:22,462 I know, I know. Okay. 212 00:09:23,531 --> 00:09:26,329 Hang in there. 213 00:09:26,334 --> 00:09:28,864 Press down harder. Use all your weight, okay? 214 00:09:28,869 --> 00:09:31,867 Can you hold his leg so he doesn't kick? 215 00:09:31,872 --> 00:09:34,604 Oh. 216 00:09:34,609 --> 00:09:36,205 I know, Russell. 217 00:09:36,210 --> 00:09:39,075 I gotta clamp your artery. 218 00:09:39,080 --> 00:09:40,810 Just keep pressing. 219 00:09:45,853 --> 00:09:48,117 Yeah. Got it. 220 00:09:51,626 --> 00:09:53,923 Ease up, slowly. 221 00:09:58,099 --> 00:10:00,396 Is he gonna be okay? 222 00:10:00,401 --> 00:10:02,901 I think so. 223 00:10:25,185 --> 00:10:27,685 - What do we got? - Russell Byrd, 26, 224 00:10:27,690 --> 00:10:30,554 lacerated femoral artery with significant blood loss. 225 00:10:30,559 --> 00:10:34,458 BP 90/55, heart rate 115. Got a liter saline en route. 226 00:10:34,463 --> 00:10:35,793 What, were you repiping his sink? 227 00:10:35,798 --> 00:10:37,095 We were at a construction site. 228 00:10:37,100 --> 00:10:39,197 - I had no choice. - Serrated teeth, no less. 229 00:10:39,202 --> 00:10:41,332 Ugh, the whole artery wall's ground beef. 230 00:10:41,337 --> 00:10:42,901 Okay, go get yourself cleaned off. 231 00:10:42,906 --> 00:10:43,935 No, it's okay, I got it. 232 00:10:43,940 --> 00:10:45,370 Look, you've done enough, okay? 233 00:10:45,375 --> 00:10:47,907 - Nancy. - Sorry. 234 00:10:47,912 --> 00:10:49,443 And tell the O.R. to hang vanc and gent 235 00:10:49,447 --> 00:10:50,447 when we get there. 236 00:10:50,452 --> 00:10:53,454 And hopefully this guy's still got a leg when he gets out. 237 00:10:55,550 --> 00:10:57,948 So I talked with your patient, Ms. Norris. 238 00:10:57,953 --> 00:11:00,650 And I know there could be a little residual shock here, 239 00:11:00,655 --> 00:11:04,554 but I don't know, I just... something's not adding up. 240 00:11:04,559 --> 00:11:06,223 You know, I can't escape the feeling 241 00:11:06,228 --> 00:11:08,125 we're not getting the whole story. 242 00:11:08,130 --> 00:11:10,160 - How so? - Hey, guys. 243 00:11:10,165 --> 00:11:12,229 Station checked all the cameras in a three-block area. 244 00:11:12,233 --> 00:11:14,330 Said they couldn't find any footage of an attack. 245 00:11:14,335 --> 00:11:16,336 Oh. Thanks. 246 00:11:19,607 --> 00:11:21,070 O.R.'s ready to plate her arm. 247 00:11:21,075 --> 00:11:22,575 Okay. 248 00:11:22,580 --> 00:11:25,611 I just have a couple of questions. 249 00:11:25,616 --> 00:11:28,444 So you said you were attacked at 6:00 a.m., yeah? 250 00:11:28,449 --> 00:11:30,613 - Give or take, yeah. - And you were on a sidewalk? 251 00:11:30,618 --> 00:11:32,816 Not in an alley or anywhere else? 252 00:11:32,821 --> 00:11:33,821 Is there something wrong? 253 00:11:33,826 --> 00:11:36,152 Because the cop asked these same questions. 254 00:11:36,157 --> 00:11:37,754 No, they're just having a hard time 255 00:11:37,759 --> 00:11:40,022 finding video of the incident, that's all. 256 00:11:40,027 --> 00:11:41,759 See, I told you this was a waste of time. 257 00:11:41,763 --> 00:11:43,359 They just wanna help. 258 00:11:43,364 --> 00:11:46,496 I know, but I'm cold, and hurt, 259 00:11:46,501 --> 00:11:48,530 and I just want this to be over with already. 260 00:11:48,535 --> 00:11:50,899 - Let's get her a blanket. - No, it's okay. 261 00:11:50,904 --> 00:11:53,038 Here. 262 00:11:54,508 --> 00:11:58,374 We're gonna get you through this and go home, okay? 263 00:11:58,379 --> 00:12:01,444 Whoa, whoa, hey, you want us to dress those for you? 264 00:12:01,449 --> 00:12:04,249 Oh, I'm fine. 265 00:12:12,859 --> 00:12:15,224 Those look like fingernail scratches, yeah? 266 00:12:15,229 --> 00:12:16,825 Yeah, they did. 267 00:12:16,830 --> 00:12:21,035 Maybe I need to have a little chat with Mr. Norris. 268 00:12:24,805 --> 00:12:27,202 You know, we never did get that coffee this morning. 269 00:12:27,207 --> 00:12:28,937 Well, after an hour of trial questionnaires, 270 00:12:28,941 --> 00:12:30,404 I'm sure you could use it. 271 00:12:30,409 --> 00:12:32,239 Hey, Ms. Daniels is still in A-fib. 272 00:12:32,244 --> 00:12:33,340 Saw that. 273 00:12:33,345 --> 00:12:35,409 I think we should switch to electrocardioversion. 274 00:12:35,414 --> 00:12:37,411 I'd rather stick to meds and up the dose. 275 00:12:37,416 --> 00:12:40,214 Okay if I observe? I'm invested. 276 00:12:40,219 --> 00:12:42,583 Yeah, of course. 277 00:12:42,588 --> 00:12:45,419 Ethan, her heart rate's only getting worse. 278 00:12:45,424 --> 00:12:48,459 I really think we should change course. 279 00:12:50,462 --> 00:12:53,527 Okay. 280 00:12:56,301 --> 00:12:57,331 Hi, Ms. Daniels, 281 00:12:57,336 --> 00:12:59,399 we're putting a little sedative into your IV, 282 00:12:59,404 --> 00:13:01,502 so you should only feel a small jolt. 283 00:13:01,507 --> 00:13:05,912 And this won't hurt the baby, right? 284 00:13:05,917 --> 00:13:08,014 Mom, just let them do their job. 285 00:13:08,019 --> 00:13:11,645 Mary, we'll be very careful. 286 00:13:11,650 --> 00:13:14,614 Kate, please. 287 00:13:14,619 --> 00:13:16,816 - Okay, here we go. - Right here. 288 00:13:16,821 --> 00:13:20,353 Charging to 50. 289 00:13:20,358 --> 00:13:23,189 And one, two, three. 290 00:13:26,464 --> 00:13:28,327 Nothing. 291 00:13:28,332 --> 00:13:31,097 Ms. Daniels, you okay? Good. 292 00:13:31,102 --> 00:13:32,532 50 again. 293 00:13:32,537 --> 00:13:36,302 And one, two, three. 294 00:13:39,677 --> 00:13:41,507 It's not working. Let's increase her meds. 295 00:13:41,512 --> 00:13:43,842 No, let's go to 100. 296 00:13:43,847 --> 00:13:47,080 And one, two, three. 297 00:13:49,720 --> 00:13:51,052 She's in v-fib. 298 00:13:51,056 --> 00:13:53,252 - No pulse. - Charging 200. 299 00:13:53,257 --> 00:13:55,054 What's going on? 300 00:13:55,059 --> 00:13:57,058 The current flipped her into a more serious arrhythmia. 301 00:13:57,062 --> 00:13:59,226 - We have to shock her out of it. - Clear. 302 00:13:59,231 --> 00:14:01,498 Oh, my God. 303 00:14:02,533 --> 00:14:03,729 Still no pulse. 304 00:14:03,734 --> 00:14:04,897 Push a milligram of epi. 305 00:14:04,902 --> 00:14:07,433 Charging to 200 again. 306 00:14:07,438 --> 00:14:09,802 - Epi's in. - Clear. 307 00:14:12,375 --> 00:14:13,871 Sinus rhythm. 308 00:14:13,876 --> 00:14:16,678 Pulse is back. 309 00:14:17,514 --> 00:14:20,645 Mary? 310 00:14:22,586 --> 00:14:24,049 What happened? 311 00:14:24,054 --> 00:14:28,420 Your heart issue is still not under control. 312 00:14:28,425 --> 00:14:29,889 And I'm sorry, but at this point 313 00:14:29,893 --> 00:14:32,790 we have to be prepared for this to happen again. 314 00:14:32,795 --> 00:14:35,627 Get another 12-lead. 315 00:14:35,632 --> 00:14:38,430 Call me if anything changes. 316 00:14:44,406 --> 00:14:47,705 All right, vessel's repaired, clamp's coming off. 317 00:14:47,710 --> 00:14:50,474 Just gotta grab that bullet and take this thing home. 318 00:14:50,479 --> 00:14:52,876 Maya, help me pull the artery over. 319 00:14:52,881 --> 00:14:55,279 It's over as far as it'll go. 320 00:14:55,284 --> 00:14:57,581 Huh. Try the other way. 321 00:15:02,824 --> 00:15:05,189 Dr. Marcel? 322 00:15:05,194 --> 00:15:07,058 I can't find the bullet. 323 00:15:07,063 --> 00:15:09,226 It was right here in the X-ray. 324 00:15:09,231 --> 00:15:10,595 All right, somebody check his bed. 325 00:15:10,600 --> 00:15:12,830 - Make sure it didn't fall out. - On it. 326 00:15:12,835 --> 00:15:14,366 You sure you read it right? 327 00:15:14,371 --> 00:15:16,434 Leg film, easy to turn upside down. 328 00:15:16,439 --> 00:15:18,735 No, Marty, it wasn't upside down. 329 00:15:18,740 --> 00:15:20,670 The bullet's not in here anywhere. 330 00:15:23,411 --> 00:15:24,707 Bed's clean. 331 00:15:24,712 --> 00:15:28,045 Okay, did anybody touch his leg between the ED and here? 332 00:15:28,050 --> 00:15:29,214 Because if it didn't fall out, 333 00:15:29,218 --> 00:15:31,049 I don't know where else it could be. 334 00:15:31,054 --> 00:15:32,916 All right, get me an X-ray here, stat. 335 00:15:32,921 --> 00:15:34,584 - Mm-hmm. - Move. 336 00:15:34,589 --> 00:15:37,020 Yes, Doctor. 337 00:15:38,326 --> 00:15:41,491 So I heard you're thinking of doing an interposition graft? 338 00:15:41,496 --> 00:15:43,226 What are you doing? 339 00:15:43,231 --> 00:15:45,862 Scrubbing in. I spoke with the charge nurse. 340 00:15:45,867 --> 00:15:47,730 I got a team. Thanks. 341 00:15:47,735 --> 00:15:50,466 I understand, but I came in with this patient, 342 00:15:50,471 --> 00:15:51,768 and I'd like to see it through. 343 00:15:51,773 --> 00:15:54,303 April, I appreciate your enthusiasm, 344 00:15:54,308 --> 00:15:55,604 but you're an ED nurse. 345 00:15:55,609 --> 00:15:58,743 I'm sure you could be of help to someone down there. 346 00:16:04,185 --> 00:16:05,948 - Mr. Norris. - Hey. 347 00:16:05,953 --> 00:16:08,050 - There you are. - Will she have her phone 348 00:16:08,055 --> 00:16:09,651 when she gets out of surgery? 349 00:16:09,656 --> 00:16:11,520 I like to send her little messages. 350 00:16:11,525 --> 00:16:13,522 - Oh, from the watch? - Yeah. 351 00:16:13,527 --> 00:16:15,425 Yeah, that's cool. I had this thing for years. 352 00:16:15,430 --> 00:16:17,861 I still haven't gotten around to figuring that part out. 353 00:16:17,865 --> 00:16:20,362 Yeah, absolutely, we can make sure she has it 354 00:16:20,367 --> 00:16:23,398 when she wakes up. So, look. 355 00:16:23,403 --> 00:16:26,367 Your wife gets attacked on the street this morning. 356 00:16:26,372 --> 00:16:28,002 What do you think she does next? 357 00:16:28,007 --> 00:16:29,204 Does she call you up, 358 00:16:29,209 --> 00:16:31,072 or does she just walk home, or... 359 00:16:31,077 --> 00:16:33,975 She might've called. 360 00:16:33,980 --> 00:16:35,509 I don't know. 361 00:16:35,514 --> 00:16:37,712 Truth is, it would take a marching band 362 00:16:37,717 --> 00:16:39,513 to wake me up in the morning. 363 00:16:39,518 --> 00:16:41,649 - Bit of a night owl? - Uh, no. 364 00:16:41,654 --> 00:16:44,685 I just can't seem to get good sleep lately. 365 00:16:44,690 --> 00:16:46,821 Well, why do you think? You got, like, 366 00:16:46,826 --> 00:16:48,426 what, stress at work or something? 367 00:16:48,431 --> 00:16:50,695 No, I'm actually retired. 368 00:16:50,700 --> 00:16:52,426 - Really? - Yeah. 369 00:16:52,431 --> 00:16:54,795 - From what? - Army. 370 00:16:54,800 --> 00:16:57,265 173rd Special Troops, Afghanistan. 371 00:16:57,270 --> 00:16:59,134 - Oh. - Been back three months. 372 00:16:59,139 --> 00:17:01,035 Wow. Huh. 373 00:17:01,040 --> 00:17:03,336 Afghanistan, that... 374 00:17:03,341 --> 00:17:05,005 Was that rough? 375 00:17:05,010 --> 00:17:07,674 Ah, wasn't so bad. 376 00:17:07,679 --> 00:17:10,210 Well, anyway, you not getting sleep... 377 00:17:10,215 --> 00:17:11,980 I mean, that's when you have accidents, right? 378 00:17:11,984 --> 00:17:14,514 I mean, how did you say you did that again? 379 00:17:14,519 --> 00:17:16,683 I don't know. 380 00:17:16,688 --> 00:17:19,519 Maybe yard work. 381 00:17:19,524 --> 00:17:21,388 I have no idea. 382 00:17:21,393 --> 00:17:24,291 Anyway, Emily should be getting out soon. 383 00:17:24,296 --> 00:17:25,658 Can I go wait for her in recovery? 384 00:17:25,663 --> 00:17:28,528 Yeah. I can totally arrange that. 385 00:17:28,533 --> 00:17:30,697 You know, these things can also help you figure out 386 00:17:30,702 --> 00:17:31,866 what's going on with your sleep too. 387 00:17:31,870 --> 00:17:33,701 - You know that, right? - Yeah, I think Emily might've 388 00:17:33,705 --> 00:17:35,198 put one of those apps on here for me. 389 00:17:35,203 --> 00:17:36,703 Oh. Let's have a look. 390 00:17:40,545 --> 00:17:43,075 Hey. So get this. 391 00:17:43,080 --> 00:17:45,578 Mr. Norris is ex-military. 392 00:17:45,583 --> 00:17:47,947 Just back from Afghanistan three months ago. 393 00:17:47,952 --> 00:17:49,949 And we all know how complicated 394 00:17:49,954 --> 00:17:52,886 those transitions back to civilian life can be. 395 00:17:52,891 --> 00:17:54,354 But for what it's worth, 396 00:17:54,359 --> 00:17:57,156 he's not throwing off an abusive profile for me. 397 00:17:57,161 --> 00:17:59,025 Well, take a look at this. 398 00:17:59,030 --> 00:18:01,027 Those are her medical records from East Mercy. 399 00:18:01,032 --> 00:18:02,862 She's been there twice in the last month 400 00:18:02,867 --> 00:18:05,332 for bruising in her rib cage and a bloody nose. 401 00:18:05,337 --> 00:18:06,869 She's being abused. 402 00:18:13,002 --> 00:18:15,282 It's third time she's coded in an hour. 403 00:18:15,287 --> 00:18:17,218 The fetus is putting too much strain on her heart. 404 00:18:17,222 --> 00:18:19,252 We can't deliver. She's only 22 weeks. 405 00:18:19,257 --> 00:18:20,488 We have to stick with the playbook 406 00:18:20,492 --> 00:18:21,756 and hope the higher dose of meds works. 407 00:18:21,760 --> 00:18:23,757 - Or we try something else. - Now what? 408 00:18:23,762 --> 00:18:25,993 - Tetracaine. - Are you kidding? 409 00:18:25,998 --> 00:18:27,661 We should give it as an infusion, 410 00:18:27,666 --> 00:18:29,363 block her sodium channels, and reset her rhythm. 411 00:18:29,367 --> 00:18:30,732 It's only been tried in a handful of cases. 412 00:18:30,736 --> 00:18:31,799 There's no hard data. 413 00:18:31,804 --> 00:18:33,702 Yes, it's cutting edge, but it could be a home run. 414 00:18:33,706 --> 00:18:35,703 Or it could cause asystole and kill her. 415 00:18:35,708 --> 00:18:37,637 I understand, but we can't keep going like this. 416 00:18:37,642 --> 00:18:38,939 Each shock we give her 417 00:18:38,944 --> 00:18:40,375 increases the chance of fetal arrhythmia. 418 00:18:40,379 --> 00:18:41,671 I wanna protect the fetus as well, 419 00:18:41,675 --> 00:18:43,375 but our duty is to our patient first. 420 00:18:43,380 --> 00:18:46,380 - Ethan... - You've already done enough damage as it is. 421 00:18:47,251 --> 00:18:48,583 We're sticking with the meds. 422 00:18:52,323 --> 00:18:54,053 I know, I'm such a klutz. 423 00:18:54,058 --> 00:18:56,823 One time I tripped at the gym and landed on some weights. 424 00:18:56,828 --> 00:18:59,658 And the other time, I ran into a door. 425 00:18:59,663 --> 00:19:01,728 Did Brian go to the ED with you? 426 00:19:01,733 --> 00:19:04,363 I didn't tell him. I was embarrassed. 427 00:19:04,368 --> 00:19:07,133 Huh. You guys... you seem so close. 428 00:19:07,138 --> 00:19:09,102 I don't get why you'd be embarrassed. 429 00:19:09,107 --> 00:19:11,104 What is going on? 430 00:19:11,109 --> 00:19:13,906 Look, Emily, if there is anything you wanna tell us... 431 00:19:13,911 --> 00:19:16,108 Wait, you're not suggesting 432 00:19:16,113 --> 00:19:18,477 that he had anything to do with this? 433 00:19:18,482 --> 00:19:20,046 All three injuries have happened 434 00:19:20,051 --> 00:19:21,713 since Brian's been back from deployment. 435 00:19:21,718 --> 00:19:23,949 Look, Brian is a good man. 436 00:19:23,954 --> 00:19:26,719 He's a good man who went through combat. 437 00:19:26,724 --> 00:19:29,655 And as I'm sure you know, people can... 438 00:19:29,660 --> 00:19:31,490 they can come back with issues. 439 00:19:31,495 --> 00:19:33,925 Well, it wasn't easy for him. 440 00:19:33,930 --> 00:19:37,129 What he saw there. 441 00:19:37,134 --> 00:19:39,765 But what matters now is that he's back and we're together. 442 00:19:39,770 --> 00:19:42,501 Okay, but no matter what happened to him over there, 443 00:19:42,506 --> 00:19:45,638 it is not okay if he's hurting you. 444 00:19:45,643 --> 00:19:47,373 You don't know what you're talking about. 445 00:19:47,378 --> 00:19:48,409 Emily, please. We're just... 446 00:19:48,413 --> 00:19:49,578 I think that you should leave. 447 00:19:49,582 --> 00:19:52,010 Look, I... okay. 448 00:19:57,354 --> 00:19:58,584 She's protecting him. 449 00:19:58,589 --> 00:20:01,352 It's classic battered woman syndrome. 450 00:20:01,357 --> 00:20:03,121 You know, very possible, but I don't know. 451 00:20:03,126 --> 00:20:07,159 Something still... it's just not adding up. 452 00:20:07,164 --> 00:20:09,861 All of these ER visits, all these injuries, 453 00:20:09,866 --> 00:20:11,696 are taking place very early in the morning. 454 00:20:11,701 --> 00:20:13,932 Okay, so they fight in the morning. 455 00:20:13,937 --> 00:20:16,401 But what if he's not fighting her at all? 456 00:20:16,406 --> 00:20:18,503 What if he's fighting with something else, 457 00:20:18,508 --> 00:20:21,873 and she just happened to be there? 458 00:20:21,878 --> 00:20:24,676 Nat, no wonder he can't remember 459 00:20:24,681 --> 00:20:26,678 where these scratches come from. 460 00:20:26,683 --> 00:20:29,881 I think that this might all be happening when he's asleep. 461 00:20:29,886 --> 00:20:31,416 How do you prove that? 462 00:20:35,458 --> 00:20:37,057 I have an idea. 463 00:20:39,929 --> 00:20:41,892 You lost the bullet? 464 00:20:41,897 --> 00:20:44,795 We didn't lose it. It's called a bullet embolism. 465 00:20:44,800 --> 00:20:46,565 It got pulled through the hole in your vein 466 00:20:46,569 --> 00:20:48,065 and traveled up to the liver. 467 00:20:48,070 --> 00:20:49,934 It's lodged inside the vessel there. 468 00:20:54,410 --> 00:20:56,574 Look, Mr. Mehti, this is not what we wanted. 469 00:20:56,579 --> 00:20:59,143 But we're gonna get this taken care of, okay? 470 00:20:59,148 --> 00:21:01,546 However, since you've already been put to sleep today, 471 00:21:01,551 --> 00:21:04,215 I do wanna wait two days before opening you back up again. 472 00:21:04,220 --> 00:21:06,787 - Two days? - Yeah. 473 00:21:18,567 --> 00:21:20,800 I'll give you guys some space. 474 00:21:25,240 --> 00:21:28,137 - Hey, Dr. Marcel. - Yeah? 475 00:21:28,142 --> 00:21:30,474 Look, I'm sorry about my father. 476 00:21:30,479 --> 00:21:32,141 - Oh, it's okay. - Well, if it helps, 477 00:21:32,146 --> 00:21:34,845 his anger's actually directed at me. 478 00:21:34,850 --> 00:21:35,913 Don't worry about it. 479 00:21:35,918 --> 00:21:38,648 He gave up everything to come to America, 480 00:21:38,653 --> 00:21:40,684 to give me opportunities. 481 00:21:40,689 --> 00:21:43,620 What do I do? I insist on being a musician. 482 00:21:43,625 --> 00:21:45,488 He says I'll never earn a living. 483 00:21:45,493 --> 00:21:48,258 He hates my music. 484 00:21:48,263 --> 00:21:51,261 His disappointment's over a lot more than a bullet. 485 00:21:51,266 --> 00:21:54,230 I understand you. 486 00:21:54,235 --> 00:21:56,266 And you don't have to worry about my feelings. 487 00:21:56,271 --> 00:21:58,601 Let's just get your father fixed up, okay? 488 00:21:58,606 --> 00:22:00,607 - Yeah. - All right. 489 00:22:02,911 --> 00:22:04,507 - Dr. Marcel? - Yeah? 490 00:22:04,512 --> 00:22:07,010 I don't mean to butt in, but I overheard you talking, 491 00:22:07,015 --> 00:22:09,346 and I think there's a way you could avoid another surgery. 492 00:22:09,350 --> 00:22:10,880 - How's that? - I've got this new 493 00:22:10,885 --> 00:22:13,917 endoscopic device to deploy artificial heart valves. 494 00:22:13,922 --> 00:22:17,485 It extends mechanical fingers to release the valve. 495 00:22:17,490 --> 00:22:19,055 You think that it could work in reverse? 496 00:22:19,059 --> 00:22:21,723 Exactly. Just grab the bullet. 497 00:22:21,728 --> 00:22:23,292 But it's not approved for that. 498 00:22:23,297 --> 00:22:24,993 This would have to be off-label, right? 499 00:22:24,998 --> 00:22:26,061 It would. 500 00:22:26,066 --> 00:22:29,264 But if you're trying to avoid an open surgery... 501 00:22:29,269 --> 00:22:31,666 Right. 502 00:22:31,671 --> 00:22:33,872 It's actually a pretty good idea. 503 00:22:36,009 --> 00:22:39,707 All right. Let's do it. 504 00:22:48,187 --> 00:22:49,851 Maggie's just wondering if you would need 505 00:22:49,856 --> 00:22:52,887 someone to cover for you. 506 00:22:52,892 --> 00:22:55,790 No, I'll be down in a minute. 507 00:22:55,795 --> 00:22:58,028 Hey, you okay? 508 00:22:59,933 --> 00:23:03,064 What if I cost this man his leg, or worse? 509 00:23:03,069 --> 00:23:05,299 April, don't get caught up in that. 510 00:23:05,304 --> 00:23:09,139 I'm sure you did everything possible. 511 00:23:17,884 --> 00:23:19,213 How's she doing? 512 00:23:19,218 --> 00:23:21,115 Still in and out of v-tach. 513 00:23:21,120 --> 00:23:22,984 Ethan's giving her the standard meds, 514 00:23:22,989 --> 00:23:25,152 which maybe is for the best. 515 00:23:25,157 --> 00:23:26,821 But you have something better in mind? 516 00:23:26,826 --> 00:23:28,022 Tetracaine. 517 00:23:28,027 --> 00:23:29,990 It's risky, and may not even work. 518 00:23:29,995 --> 00:23:31,725 But how do we sit here 519 00:23:31,730 --> 00:23:33,794 with an ace up our sleeve and not even try? 520 00:23:33,799 --> 00:23:35,662 I'm with you. 521 00:23:35,667 --> 00:23:37,898 When I practiced medicine in India, 522 00:23:37,903 --> 00:23:39,933 every time I looked a patient in the eye, 523 00:23:39,938 --> 00:23:41,702 knowing their life was on the line, 524 00:23:41,707 --> 00:23:45,772 I couldn't stop till I knew I did everything I could. 525 00:23:45,777 --> 00:23:48,879 Anyway, easy for me to talk. 526 00:23:57,623 --> 00:23:59,820 It's a medicine that's unproven, 527 00:23:59,825 --> 00:24:02,155 but could reset your rhythm for good. 528 00:24:02,160 --> 00:24:05,057 Now, the problem is, there's also a small chance 529 00:24:05,062 --> 00:24:07,760 it could stop your heart completely. 530 00:24:07,765 --> 00:24:09,095 - Oh, my. - I know. 531 00:24:09,100 --> 00:24:12,399 And that's why I'm not pushing you to do it. 532 00:24:12,404 --> 00:24:15,235 But I'm not sure how many more rounds 533 00:24:15,240 --> 00:24:17,203 of defibrillation your heart can handle. 534 00:24:17,208 --> 00:24:18,538 So if this sounds like 535 00:24:18,543 --> 00:24:21,745 something you wanna know more about... 536 00:24:26,884 --> 00:24:30,650 If my heart stopped, 537 00:24:30,655 --> 00:24:32,352 what would happen to the baby? 538 00:24:32,357 --> 00:24:34,254 It's too small, 539 00:24:34,259 --> 00:24:36,289 so it wouldn't be able to live outside of you. 540 00:24:36,294 --> 00:24:38,624 I see. 541 00:24:38,629 --> 00:24:42,294 But if I don't make it, 542 00:24:42,299 --> 00:24:45,064 is there a way to keep the baby alive inside? 543 00:24:45,069 --> 00:24:46,800 Oh, no, Ms. Daniels, let's not go there yet... 544 00:24:46,804 --> 00:24:49,234 No, I read about this... some kind of machine 545 00:24:49,239 --> 00:24:52,171 you hook me up to, so the baby can keep growing? 546 00:24:52,176 --> 00:24:55,808 Yeah, we could. But it's a complicated issue. 547 00:24:55,813 --> 00:24:57,677 Maybe you wanna wait for your daughter... 548 00:24:57,681 --> 00:24:59,912 No. 549 00:24:59,917 --> 00:25:02,314 This is my decision. 550 00:25:02,319 --> 00:25:03,916 I was never there for Kate. 551 00:25:03,921 --> 00:25:06,219 I... 552 00:25:06,224 --> 00:25:08,321 was too drunk. 553 00:25:08,826 --> 00:25:11,290 Her dad traveled for work, 554 00:25:11,295 --> 00:25:15,160 so she had to walk herself to school, 555 00:25:15,165 --> 00:25:17,490 find her own dinner, put herself to bed. 556 00:25:17,495 --> 00:25:21,700 And I know I can never make up for that. 557 00:25:21,705 --> 00:25:25,910 But now, she wants a child more than anything. 558 00:25:25,915 --> 00:25:28,546 To finally have a family. 559 00:25:28,551 --> 00:25:33,356 And if this medicine is my best chance to give her that, 560 00:25:34,184 --> 00:25:37,716 then I want it. 561 00:25:37,721 --> 00:25:40,119 Mary. 562 00:25:42,326 --> 00:25:45,324 This is a big decision. 563 00:25:45,329 --> 00:25:47,826 You sure you don't wanna take some time to think about it? 564 00:25:47,831 --> 00:25:51,029 Thank you, Maggie. 565 00:25:51,034 --> 00:25:54,733 But I know my answer. 566 00:25:54,738 --> 00:25:57,068 I'm not gonna let my daughter down again. 567 00:26:01,444 --> 00:26:03,875 Okay. 568 00:26:03,880 --> 00:26:07,081 I'll set it up. 569 00:26:11,220 --> 00:26:13,985 Will. Will. 570 00:26:13,990 --> 00:26:18,786 Shouldn't we wait for Kate to be part of this decision? 571 00:26:18,791 --> 00:26:20,291 You heard her. Okay? 572 00:26:20,296 --> 00:26:22,127 She's trying so hard to make up for the past, 573 00:26:22,131 --> 00:26:23,494 not being there for her daughter. 574 00:26:23,499 --> 00:26:27,231 Let's give her that chance. 575 00:26:36,824 --> 00:26:39,656 Will, you talked her into this infusion behind my back? 576 00:26:39,661 --> 00:26:41,191 Yeah, I didn't talk her into anything. 577 00:26:41,195 --> 00:26:42,195 It's what she wants. 578 00:26:42,200 --> 00:26:44,595 What is wrong with you? You needed to come to me first. 579 00:26:44,599 --> 00:26:45,729 Hey, I tried. 580 00:26:45,734 --> 00:26:47,864 You're too stuck on a treatment that isn't working. 581 00:26:47,869 --> 00:26:49,134 So you're just gonna risk her life? 582 00:26:49,138 --> 00:26:52,643 No, I'm doing what both I and our patient think is best. 583 00:26:54,042 --> 00:26:56,172 Mom, this is crazy. There's no way. 584 00:26:56,177 --> 00:26:57,574 I've made my decision. 585 00:26:57,579 --> 00:27:00,276 No, this is stupid and reckless. 586 00:27:00,281 --> 00:27:01,711 I have to do something. 587 00:27:01,716 --> 00:27:04,647 Every time they shock me, it puts the baby in danger. 588 00:27:04,652 --> 00:27:08,250 - I don't care. - Of course you care. 589 00:27:08,255 --> 00:27:09,718 This baby means everything. 590 00:27:09,723 --> 00:27:12,455 - No, it doesn't. - Kate. 591 00:27:12,460 --> 00:27:14,389 You've been waiting for this forever. 592 00:27:14,394 --> 00:27:17,159 Mom. 593 00:27:17,164 --> 00:27:20,329 This baby doesn't mean as much as you do. 594 00:27:22,503 --> 00:27:26,401 Ms. Daniels, you're starting to throw irregular beats. 595 00:27:26,406 --> 00:27:28,604 What do you want to us do? 596 00:27:30,611 --> 00:27:33,108 Please, let me do this. 597 00:27:33,113 --> 00:27:36,445 Mom, no. 598 00:27:36,450 --> 00:27:40,248 I love you, sweetheart. 599 00:27:40,253 --> 00:27:43,018 I'm ready. 600 00:27:43,023 --> 00:27:45,553 Start the infusion. 601 00:27:54,868 --> 00:27:56,298 How is he? 602 00:27:56,303 --> 00:27:58,101 Well, there was enough artery left to repair, 603 00:27:58,106 --> 00:28:01,569 and he's perfusing well, so I think he's gonna be fine. 604 00:28:01,574 --> 00:28:03,738 Thank God. 605 00:28:03,743 --> 00:28:05,474 Hey, April. 606 00:28:05,479 --> 00:28:08,610 He lost a lot more blood out there than I realized. 607 00:28:08,615 --> 00:28:12,180 So you didn't just save his leg, you saved his life. 608 00:28:12,185 --> 00:28:14,116 Pretty good for a nurse. 609 00:28:14,121 --> 00:28:16,021 You should've gone to med school. 610 00:28:23,630 --> 00:28:25,126 Hey. 611 00:28:25,131 --> 00:28:26,995 Is there a reason why we're still here? 612 00:28:27,000 --> 00:28:29,564 The orthopedist said she's medically cleared to leave. 613 00:28:29,569 --> 00:28:32,667 Yes, but we would like to speak with you first. 614 00:28:32,672 --> 00:28:37,677 Brian, I think that you are suffering from a form of PTSD. 615 00:28:37,682 --> 00:28:39,612 - What? - Okay, this is enough. 616 00:28:39,617 --> 00:28:41,447 He's not even the patient here. 617 00:28:41,452 --> 00:28:43,349 Please, just bear with us for a moment. 618 00:28:43,354 --> 00:28:44,851 I think that you're experiencing 619 00:28:44,856 --> 00:28:47,152 something called PTSD nightmares. 620 00:28:47,157 --> 00:28:50,055 Now, the word nightmares is misleading. 621 00:28:50,060 --> 00:28:52,057 They're actually much more like sleep terrors. 622 00:28:52,062 --> 00:28:53,259 The difference being, 623 00:28:53,264 --> 00:28:54,788 people often don't remember them. 624 00:28:54,793 --> 00:28:58,659 But your body still very much experiences them, 625 00:28:58,664 --> 00:29:00,594 to the point that on certain nights, 626 00:29:00,599 --> 00:29:02,463 the intensity leads you to 627 00:29:02,468 --> 00:29:05,332 literally act them out physically. 628 00:29:05,337 --> 00:29:09,203 In this case, on Emily. 629 00:29:09,208 --> 00:29:11,072 No. I... 630 00:29:11,077 --> 00:29:12,806 She's been to the hospital for injuries 631 00:29:12,811 --> 00:29:14,408 twice before today. 632 00:29:14,413 --> 00:29:15,576 What? 633 00:29:15,581 --> 00:29:18,212 It's nothing. It's fine. 634 00:29:18,217 --> 00:29:21,217 Please, we're just trying to get him the help that he needs. 635 00:29:21,222 --> 00:29:24,087 No, you're trying to report this as domestic abuse 636 00:29:24,092 --> 00:29:25,122 and get the police involved. 637 00:29:25,126 --> 00:29:27,591 Listen, we are legally obligated to report this, 638 00:29:27,596 --> 00:29:29,459 but I guarantee you, 639 00:29:29,464 --> 00:29:31,027 because of the specifics of this case, 640 00:29:31,032 --> 00:29:32,660 that Brian... he's not gonna be prosecuted. 641 00:29:32,664 --> 00:29:34,861 He'd still end up with it on his record. 642 00:29:34,866 --> 00:29:37,230 And then what? A mental health diagnosis? 643 00:29:37,235 --> 00:29:39,399 These things follow you your whole life. 644 00:29:39,404 --> 00:29:42,102 Em, maybe we should talk about this. 645 00:29:42,107 --> 00:29:45,371 No. The army, the hospital. 646 00:29:45,376 --> 00:29:47,540 They won't protect you. 647 00:29:47,545 --> 00:29:49,876 - I am the only one who will protect you. - Okay. 648 00:29:49,881 --> 00:29:53,780 Emily, Brian and I were discussing his sleep. 649 00:29:53,785 --> 00:29:56,083 Do you mind bringing up that app again? 650 00:29:56,088 --> 00:29:59,119 Yeah. 651 00:29:59,124 --> 00:30:01,454 The watch tracks his sleep patterns. 652 00:30:01,459 --> 00:30:04,290 Most people have a sleep efficiency of around 85%. 653 00:30:04,295 --> 00:30:08,428 That means a lot of deep sleep, very little movement, okay? 654 00:30:08,433 --> 00:30:10,363 As you can see, Brian's sleep efficiency, 655 00:30:10,368 --> 00:30:12,165 it averages around 50%. 656 00:30:12,170 --> 00:30:15,368 And on the days that you went to the hospital, 657 00:30:15,373 --> 00:30:18,038 - it was down to 10. - So what? 658 00:30:18,043 --> 00:30:19,705 You see right here, 659 00:30:19,710 --> 00:30:23,209 early in the morning, all that movement? 660 00:30:23,214 --> 00:30:26,413 Those are night terrors. 661 00:30:26,418 --> 00:30:29,585 Emily, did I... do this? 662 00:30:29,590 --> 00:30:30,590 No. 663 00:30:30,595 --> 00:30:34,319 Emily, you came in here today with a broken arm. 664 00:30:34,324 --> 00:30:36,522 Next time, it could be far worse. 665 00:30:36,527 --> 00:30:39,491 I mean, Em... tell me the truth. 666 00:30:39,496 --> 00:30:41,894 Brian... 667 00:30:41,899 --> 00:30:45,464 Have I hurt you? 668 00:30:45,469 --> 00:30:47,867 - Brian... - Honey, please, I... 669 00:30:47,872 --> 00:30:50,602 I couldn't live with myself if I... 670 00:30:50,607 --> 00:30:52,672 - You didn't mean to. - Oh, my God. 671 00:30:52,677 --> 00:30:55,574 - You didn't mean to. - I'm so sorry, I'm so sorry. 672 00:30:55,579 --> 00:30:57,242 - I'm so sorry. - It's okay. 673 00:30:57,247 --> 00:30:59,247 It's okay. It's not your fault. 674 00:30:59,252 --> 00:31:01,549 It's not your fault. 675 00:31:05,690 --> 00:31:07,953 We can help you. 676 00:31:07,958 --> 00:31:10,993 I'll do whatever it takes. 677 00:31:13,703 --> 00:31:16,801 Starting infusion. 678 00:31:21,744 --> 00:31:23,769 Her rhythm's erratic. It's not gonna hold for long. 679 00:31:23,774 --> 00:31:26,175 Are you okay, Mom? 680 00:31:28,345 --> 00:31:30,576 BP's falling. She's having runs of v-tach. 681 00:31:30,581 --> 00:31:34,346 - We need to cardiovert. - No, the baby. 682 00:31:34,351 --> 00:31:36,682 - Ma'am. - Give the medicine a chance. 683 00:31:36,687 --> 00:31:39,420 Your pressure's dangerously low. 684 00:31:44,727 --> 00:31:46,890 - Mary? - Mom? 685 00:31:46,895 --> 00:31:48,959 Come on, let them do it! 686 00:31:48,964 --> 00:31:51,429 Let's give it a minute. 687 00:31:51,434 --> 00:31:53,498 Ms. Daniels, we're running out of time. 688 00:31:56,472 --> 00:31:59,002 - Ms. Daniels. - Mom! 689 00:31:59,007 --> 00:32:00,705 Don't let her die! 690 00:32:02,378 --> 00:32:04,275 She's in v-tach. 691 00:32:04,280 --> 00:32:06,313 - Charging 200. - Ethan. 692 00:32:08,884 --> 00:32:10,615 Charge. Clear. 693 00:32:10,620 --> 00:32:12,617 Mags, clear. 694 00:32:15,457 --> 00:32:19,289 - Okay. - Mags. 695 00:32:19,294 --> 00:32:21,228 Clear! 696 00:32:22,297 --> 00:32:23,794 Maggie. 697 00:32:25,734 --> 00:32:27,700 Sinus rhythm. 698 00:32:29,838 --> 00:32:31,902 It worked. 699 00:32:34,910 --> 00:32:37,374 Thank you. 700 00:32:52,294 --> 00:32:53,921 This is where we deployed the device, 701 00:32:53,926 --> 00:32:55,256 but as you can see, 702 00:32:55,261 --> 00:32:58,761 when we tried to grasp the bullet, it slipped away. 703 00:32:58,766 --> 00:33:00,431 Which dislodged it from the vessel wall, 704 00:33:00,435 --> 00:33:01,864 and into the current. 705 00:33:01,869 --> 00:33:03,466 We tried to go after it again, 706 00:33:03,471 --> 00:33:04,869 but the blood flow was too strong. 707 00:33:04,873 --> 00:33:06,403 It got swept away. 708 00:33:06,408 --> 00:33:08,938 Swept away? So where is it now? 709 00:33:08,943 --> 00:33:10,607 It's in the right atrium of the heart. 710 00:33:10,612 --> 00:33:12,642 They're finishing up the echo now. 711 00:33:12,647 --> 00:33:15,779 Using a device off-label? What were you thinking? 712 00:33:15,784 --> 00:33:18,215 I was trying to avoid another open surgery. 713 00:33:18,220 --> 00:33:20,883 Look, while the outcome wasn't ideal, the bullet is safe. 714 00:33:20,888 --> 00:33:23,586 So we'll go in tomorrow, same as we would've done. 715 00:33:23,591 --> 00:33:26,655 Promoting your products for unapproved uses? 716 00:33:26,660 --> 00:33:28,924 It made sense. It could've worked. 717 00:33:28,929 --> 00:33:30,430 Ms. Goodwin, I'm the surgeon of record. 718 00:33:30,434 --> 00:33:31,727 It's not his fault. 719 00:33:31,732 --> 00:33:35,831 This is far beyond the bounds of professional conduct. 720 00:33:35,836 --> 00:33:37,433 - Dr. Marcel? - Yeah? 721 00:33:37,438 --> 00:33:39,000 You need to see this. 722 00:33:39,005 --> 00:33:42,204 Excuse me. 723 00:33:52,853 --> 00:33:55,016 What is it? 724 00:33:55,021 --> 00:33:57,918 He's got a ventricular-septal defect. 725 00:33:57,923 --> 00:33:59,721 A hole between the two sides of his heart. 726 00:33:59,726 --> 00:34:01,489 - Didn't you know about this? - No. 727 00:34:01,494 --> 00:34:03,291 Nobody did. It wasn't in his history. 728 00:34:03,296 --> 00:34:04,959 What does it mean for the patient? 729 00:34:04,964 --> 00:34:06,361 If the bullet passes through 730 00:34:06,366 --> 00:34:07,463 from the right side into the left, 731 00:34:07,467 --> 00:34:09,096 it could shoot up into his brain, 732 00:34:09,101 --> 00:34:10,565 cause a massive stroke. 733 00:34:10,570 --> 00:34:13,638 Gotta get him into the O.R. now. 734 00:34:22,306 --> 00:34:23,704 How's it looking? 735 00:34:23,708 --> 00:34:25,304 Got some high line pressures. 736 00:34:25,309 --> 00:34:27,473 He's getting coagulogenic. Better move it along. 737 00:34:27,478 --> 00:34:29,341 Yeah, right side's empty. 738 00:34:29,346 --> 00:34:31,577 Bullet must've passed through the defect after X-ray. 739 00:34:31,582 --> 00:34:33,512 - Let's open up the left. - Hang on. 740 00:34:33,517 --> 00:34:35,715 - Sats are down to 92. - What's going on? 741 00:34:35,720 --> 00:34:37,549 Oxygenator line is clotted off. 742 00:34:37,554 --> 00:34:39,885 Giving heparin. Let's get out of here. 743 00:34:39,890 --> 00:34:41,886 - No, not yet. - 84. 744 00:34:41,890 --> 00:34:43,253 If it's not there, we have to go. 745 00:34:43,258 --> 00:34:45,257 If it's not there, he's got bigger problems than his sats. 746 00:34:45,261 --> 00:34:47,125 Shut it off. 747 00:34:47,130 --> 00:34:49,794 - We're down to 79... - Shut it off. 748 00:34:51,701 --> 00:34:55,466 Come on. 749 00:34:55,471 --> 00:34:57,769 - Dr. Marcel... - Hold on. 750 00:34:57,774 --> 00:35:01,405 One last place. 751 00:35:01,410 --> 00:35:03,478 Under the valve. 752 00:35:05,749 --> 00:35:08,146 There you are. 753 00:35:10,453 --> 00:35:13,455 - There it is. - Yes! 754 00:35:18,193 --> 00:35:19,957 All right, let's close him up. 755 00:35:19,962 --> 00:35:22,492 5-0 prolene. 756 00:35:27,369 --> 00:35:29,833 Is that the baby's heart? 757 00:35:29,838 --> 00:35:32,269 Yes, it is. 758 00:35:32,274 --> 00:35:36,306 It looks very strong. And healthy. 759 00:35:36,311 --> 00:35:39,309 It's beautiful. 760 00:36:11,612 --> 00:36:13,776 I have already talked to the state's attorney, 761 00:36:13,781 --> 00:36:15,211 and he assured me that not only 762 00:36:15,216 --> 00:36:17,713 will Brian not face any charges, 763 00:36:17,718 --> 00:36:19,982 he won't even have a record, okay? 764 00:36:19,987 --> 00:36:22,318 And as for the arrest, I'm sorry. 765 00:36:22,323 --> 00:36:25,888 It's just pro forma. 766 00:36:25,893 --> 00:36:29,424 And the psychiatric facility they're sending him to... 767 00:36:29,429 --> 00:36:30,759 for how long? 768 00:36:30,764 --> 00:36:32,427 Well, it's hard to say. 769 00:36:32,432 --> 00:36:34,429 Maybe a couple weeks, a few months. 770 00:36:34,434 --> 00:36:37,432 You know, there are some cutting edge new therapies 771 00:36:37,437 --> 00:36:40,602 involving medications like MDMA, ketamine, 772 00:36:40,607 --> 00:36:43,370 that could shrink that time considerably. 773 00:36:43,375 --> 00:36:45,840 And then he'll be my Brian again? 774 00:36:45,845 --> 00:36:47,409 I think there's an excellent chance of that. 775 00:36:47,413 --> 00:36:49,577 Really, I do. 776 00:36:52,552 --> 00:36:54,449 I love you, Em. 777 00:36:54,454 --> 00:36:57,719 I love you. 778 00:37:02,828 --> 00:37:06,333 Going behind my back, throwing up Hail Marys? 779 00:37:07,366 --> 00:37:10,631 We got the win today, 780 00:37:10,636 --> 00:37:13,470 but you and I have a problem. 781 00:37:22,014 --> 00:37:24,979 Hey. Mr. Mehti, how you feeling? 782 00:37:24,984 --> 00:37:26,446 He's doing well. 783 00:37:26,451 --> 00:37:28,448 But he has something he wants to tell you. 784 00:37:28,453 --> 00:37:30,521 Okay. 785 00:37:33,759 --> 00:37:37,057 - Doctor. - Yeah? 786 00:37:37,062 --> 00:37:41,667 I want to apologize and thank you. 787 00:37:55,714 --> 00:37:57,977 It's okay. 788 00:38:59,709 --> 00:39:01,539 Thank you, Doctor. 789 00:39:01,544 --> 00:39:04,876 My pleasure. 790 00:39:04,881 --> 00:39:07,746 I'll check on you in a bit, okay? 791 00:39:07,751 --> 00:39:10,585 Okay. 792 00:39:13,390 --> 00:39:16,421 I don't know what you said, but whatever it was, 793 00:39:16,426 --> 00:39:18,723 it seemed to make him feel better. 794 00:39:18,728 --> 00:39:20,725 Yeah. 795 00:39:20,730 --> 00:39:22,794 Yeah, I told him he had a good kid. 796 00:39:22,799 --> 00:39:26,534 He should give him a chance. 797 00:39:47,456 --> 00:39:49,820 - You ready? - Mm-hmm. 798 00:39:59,668 --> 00:40:00,997 Mmm. 799 00:40:01,002 --> 00:40:05,201 You need to order every time, because this rice is amazing. 800 00:40:05,206 --> 00:40:06,937 - It's so good. - Mm-hmm. 801 00:40:06,942 --> 00:40:11,541 So, annoyingly enough... 802 00:40:11,546 --> 00:40:13,944 - Properly cooked, it's rice. - Mm-hmm. 803 00:40:13,949 --> 00:40:15,946 When you burn it, get it crispy at the bottom? 804 00:40:15,951 --> 00:40:18,314 - Tahdig. - Tahdig. 805 00:40:18,319 --> 00:40:19,916 Yeah, look at you. 806 00:40:19,921 --> 00:40:21,985 - Good to know. - Yeah. 807 00:40:21,990 --> 00:40:24,954 - So, your name. - Mm-hmm. 808 00:40:24,959 --> 00:40:27,857 Crockett Marcel. Doesn't sound very Persian. 809 00:40:27,862 --> 00:40:30,660 Yeah, my birth name is Darioush. 810 00:40:30,665 --> 00:40:32,895 - Darioush Jahanbani. - Darioush. 811 00:40:32,900 --> 00:40:34,831 My parents changed me and my sister's name 812 00:40:34,836 --> 00:40:36,899 to make it easier on us in school. 813 00:40:36,904 --> 00:40:40,903 Yeah, they picked Marcel 'cause it was popular in New Orleans. 814 00:40:40,908 --> 00:40:43,706 Mm... and Crockett? Where does that come from? 815 00:40:43,711 --> 00:40:47,916 My pops was a big fan of "Miami Vice". 816 00:40:47,921 --> 00:40:50,179 Sonny Crockett. 817 00:40:50,184 --> 00:40:53,649 Oh. 818 00:40:53,654 --> 00:40:55,618 - True story. - Mm-hmm. 819 00:40:55,623 --> 00:40:58,187 - You want some more tahdig? - Ah, yes, please. 820 00:40:58,192 --> 00:41:01,223 - Absolutely. - Mm. 821 00:41:01,228 --> 00:41:04,093 Yum. Thank you. 822 00:41:13,630 --> 00:41:15,630 You requested me for the COVID ICU? 823 00:41:15,635 --> 00:41:17,035 No, no, no! 824 00:41:17,718 --> 00:41:19,718 - Doctor, she's crashing. - Let me suit up. 825 00:41:19,723 --> 00:41:21,223 You aren't gonna make it in time. 826 00:41:21,696 --> 00:41:23,696 Can't do that without a doctor's order. 827 00:41:23,701 --> 00:41:25,301 What were you thinking? 828 00:41:25,305 --> 00:41:26,605 He could fire you. 829 00:41:45,000 --> 00:41:49,500 - Synced and corrected by Firefly - - www.addic7ed.com -