1 00:00:01,180 --> 00:00:03,314 Hey, guys, I need your help over here. 2 00:00:03,349 --> 00:00:04,649 We're going to Treatment six. 3 00:00:04,684 --> 00:00:06,550 Joanna Harris, 25-year-old female, 4 00:00:06,586 --> 00:00:08,789 22 weeks pregnant, hemorrhaging vaginally. 5 00:00:08,814 --> 00:00:09,836 What happened? 6 00:00:09,861 --> 00:00:11,560 Nothing. I was working at my computer, 7 00:00:11,585 --> 00:00:14,118 and then the next thing I know, I'm bleeding. 8 00:00:14,336 --> 00:00:15,967 Okay, let's get her transferred on my count. 9 00:00:15,992 --> 00:00:17,928 - All right. - One, two, three. 10 00:00:17,963 --> 00:00:19,109 [GROANS] 11 00:00:19,134 --> 00:00:20,099 Are you cramping? 12 00:00:20,124 --> 00:00:21,273 Yes. 13 00:00:21,298 --> 00:00:23,343 Maggie, CBC, type RH, coags, and get her 14 00:00:23,368 --> 00:00:25,960 - on the fetal monitor. - Got it. 15 00:00:27,807 --> 00:00:30,072 Heart tones look good, healthy placenta, 16 00:00:30,108 --> 00:00:31,640 no previa. 17 00:00:31,676 --> 00:00:33,575 Do you want to know the sex of the baby? 18 00:00:33,611 --> 00:00:35,015 We already do. It's a boy. 19 00:00:35,040 --> 00:00:36,898 We're naming him Ian. 20 00:00:37,982 --> 00:00:40,016 All right, I'm going to check your cervix now, okay? 21 00:00:40,051 --> 00:00:41,462 Okay. 22 00:00:43,140 --> 00:00:46,076 She's one centimeter dilated, 50% effaced. 23 00:00:46,101 --> 00:00:48,014 Looks like you're going into labor. 24 00:00:48,039 --> 00:00:49,438 What? What? It's too early. 25 00:00:49,463 --> 00:00:50,866 Yes. 26 00:00:50,891 --> 00:00:52,178 Bolus a liter of LR 27 00:00:52,203 --> 00:00:54,370 and start her on 30 milligrams of nifedipine PO. 28 00:00:54,406 --> 00:00:55,538 - [GROANS] - Got it... 29 00:00:55,573 --> 00:00:56,632 Just try to breathe, okay? 30 00:00:56,657 --> 00:00:58,356 Breathe through it. Breathe through it. 31 00:00:58,381 --> 00:00:59,500 We're going to give you some medication 32 00:00:59,525 --> 00:01:00,556 to stop the contractions. 33 00:01:00,581 --> 00:01:01,981 What if you can't stop labor? 34 00:01:02,447 --> 00:01:04,562 Unfortunately, we don't consider a fetus viable 35 00:01:04,587 --> 00:01:06,254 until 24 weeks. 36 00:01:06,483 --> 00:01:07,950 And even if he did survive, 37 00:01:07,985 --> 00:01:09,937 he would probably have severe deficits. 38 00:01:09,962 --> 00:01:11,992 Brain damage, paralysis... 39 00:01:12,256 --> 00:01:14,027 Oh, my God! 40 00:01:14,052 --> 00:01:15,905 Oh, my God. Oh, my God... 41 00:01:15,930 --> 00:01:17,563 [CRYING] 42 00:01:17,588 --> 00:01:19,638 If the baby does come today, 43 00:01:19,663 --> 00:01:21,070 we will need you to decide 44 00:01:21,095 --> 00:01:25,031 if you would like us to perform all life-saving measures. 45 00:01:25,286 --> 00:01:27,953 As opposed to what, just letting him die? 46 00:01:28,144 --> 00:01:30,138 We would provide comfort measures. 47 00:01:30,163 --> 00:01:32,496 Want to make sure that the baby doesn't have any pain. 48 00:01:32,521 --> 00:01:34,652 [MOURNFUL MUSIC] 49 00:01:34,677 --> 00:01:36,006 I don't... I don't know. 50 00:01:36,031 --> 00:01:38,161 I mean, are we just going to let our baby go? 51 00:01:38,186 --> 00:01:40,008 What kind of life would we be giving him? 52 00:01:40,033 --> 00:01:41,398 Think about it. 53 00:01:41,423 --> 00:01:42,825 It'd be cruel. 54 00:01:43,360 --> 00:01:47,304 ♪ ♪ 55 00:01:48,021 --> 00:01:50,429 If he's born today, please, just make him comfortable. 56 00:01:50,454 --> 00:01:51,883 Yes. 57 00:01:52,492 --> 00:01:54,596 Don't let my baby suffer. 58 00:01:55,213 --> 00:01:56,846 We won't. 59 00:01:56,871 --> 00:01:58,170 I promise. 60 00:01:58,466 --> 00:02:02,321 ♪ ♪ 61 00:02:03,204 --> 00:02:06,472 [CRYING] 62 00:02:06,952 --> 00:02:13,804 - Synced and corrected by martythecrazy - - www.addic7ed.com - 63 00:02:14,050 --> 00:02:15,482 [ALARM BUZZES] 64 00:02:27,669 --> 00:02:29,568 [METAL DETECTOR BEEPS] 65 00:02:29,861 --> 00:02:31,770 - Fred. - Dr. Charles. 66 00:02:33,242 --> 00:02:35,248 [METAL DETECTOR BEEPS] 67 00:02:38,524 --> 00:02:39,724 Hey, doc. How's it going? 68 00:02:39,749 --> 00:02:41,727 What's up, Conway? How's the baby? 69 00:02:41,854 --> 00:02:43,531 Still not sleeping through the night. 70 00:02:43,556 --> 00:02:45,742 Have you ever, uh, tried chamomile tabs? 71 00:02:45,767 --> 00:02:47,479 You can get them at any health food store. 72 00:02:47,607 --> 00:02:49,893 Hmm. Thanks for the tip, doc. 73 00:02:49,918 --> 00:02:51,507 Hey, Dr. Charles. 74 00:02:51,893 --> 00:02:53,406 Dr. Reese, this is Officer Kowalski. 75 00:02:53,431 --> 00:02:55,095 He will be our escort for the day. 76 00:02:55,120 --> 00:02:56,869 - Hi. - First time? 77 00:02:56,894 --> 00:02:58,808 - Mm-hmm. - You'll be fine. 78 00:02:58,994 --> 00:03:00,721 Just don't feed the animals. 79 00:03:00,746 --> 00:03:02,710 Uh, sign the visitor waiver, please. 80 00:03:02,735 --> 00:03:03,900 Waiver? 81 00:03:04,253 --> 00:03:06,832 Basically says that if we, um, get taken hostage, 82 00:03:06,857 --> 00:03:09,089 that the state won't negotiate our release. 83 00:03:09,114 --> 00:03:10,863 Just standard procedure. 84 00:03:12,642 --> 00:03:14,210 Hey, look. 85 00:03:15,160 --> 00:03:16,793 Your determination 86 00:03:16,818 --> 00:03:18,603 to explore exposure therapy 87 00:03:18,628 --> 00:03:20,178 is nothing less than admirable, 88 00:03:20,203 --> 00:03:22,217 but it doesn't mean we have to do it here, 89 00:03:22,485 --> 00:03:24,953 so if you're having second thoughts, 90 00:03:24,978 --> 00:03:27,007 now would be the time to tell me. 91 00:03:27,171 --> 00:03:28,695 You're absolutely sure you want to do this? 92 00:03:28,720 --> 00:03:29,869 Yes. 93 00:03:29,894 --> 00:03:31,353 This is what I want. 94 00:03:31,707 --> 00:03:34,674 [TENSE MUSIC] 95 00:03:35,195 --> 00:03:37,292 ♪ ♪ 96 00:03:38,248 --> 00:03:39,675 [DOOR BUZZES] 97 00:03:39,992 --> 00:03:42,986 ♪ ♪ 98 00:03:43,674 --> 00:03:46,206 [PRISONERS YELLING DISTANTLY] 99 00:03:46,643 --> 00:03:52,181 ♪ ♪ 100 00:03:53,193 --> 00:03:54,392 Ava! 101 00:03:54,427 --> 00:03:56,364 - Hello. - Hello, Dr. Jaffrey! 102 00:03:56,389 --> 00:03:58,890 - How great to see you. - Your trip was all right? 103 00:03:58,925 --> 00:04:02,393 Well, as all right as an 18-hour flight can possibly be. 104 00:04:02,428 --> 00:04:04,264 [LAUGHS] You already know Dr. Latham. 105 00:04:04,289 --> 00:04:05,788 - Course. - This is Dr. Rhodes, 106 00:04:05,823 --> 00:04:07,078 - another CT Fellow. - Ah. 107 00:04:07,103 --> 00:04:08,046 Great. 108 00:04:08,071 --> 00:04:09,560 Dr. Jaffrey's not only one of 109 00:04:09,585 --> 00:04:11,203 the world's greatest heart surgeons, 110 00:04:11,228 --> 00:04:13,078 but was also my mentor in Cape Town. 111 00:04:13,103 --> 00:04:14,479 Taught me everything I know. 112 00:04:14,504 --> 00:04:15,909 I have read your book, Dr. Jaffrey. 113 00:04:15,934 --> 00:04:17,166 It's an honor to meet you. 114 00:04:17,191 --> 00:04:18,209 Oh, please. 115 00:04:18,234 --> 00:04:20,635 I'm just another patient today. 116 00:04:21,046 --> 00:04:22,578 There's a tumor on the upper lobe 117 00:04:22,603 --> 00:04:23,903 of Dr. Jaffrey's right lung. 118 00:04:23,928 --> 00:04:25,784 It's invaded his superior vena cava, 119 00:04:25,809 --> 00:04:28,645 obstructing blood flow to his head and upper extremities. 120 00:04:28,670 --> 00:04:30,204 We'll need to remove a portion of the lung 121 00:04:30,229 --> 00:04:31,548 and resect the tumor. 122 00:04:31,815 --> 00:04:35,593 And I want my star pupil to oversee the procedure. 123 00:04:35,618 --> 00:04:37,952 Thank you for your confidence, Dr. Jaffrey. 124 00:04:37,987 --> 00:04:39,723 We're getting an OR prepped as we speak. 125 00:04:39,748 --> 00:04:41,259 Ah, just one thing. 126 00:04:41,284 --> 00:04:42,449 Um... 127 00:04:42,667 --> 00:04:45,560 I don't tolerate anesthesia well. 128 00:04:46,058 --> 00:04:47,774 Well, we can talk to the anesthesiologist 129 00:04:47,799 --> 00:04:49,025 about adjusting your cocktail. 130 00:04:49,050 --> 00:04:50,040 Uh, no. 131 00:04:50,322 --> 00:04:52,703 Uh, I think I have a better idea. 132 00:04:52,728 --> 00:04:54,320 Place a high epidural 133 00:04:54,345 --> 00:04:56,011 and load me up 134 00:04:56,036 --> 00:04:57,401 with bupivacaine. 135 00:04:59,457 --> 00:05:01,645 Hold on. You would like to be... 136 00:05:02,044 --> 00:05:03,854 awake for the surgery. 137 00:05:03,879 --> 00:05:07,383 Well, strictly as an observer, of course. 138 00:05:08,098 --> 00:05:10,965 No, it's just that we would be taking an unnecessary risk. 139 00:05:10,990 --> 00:05:12,875 The epidural site could hemorrhage 140 00:05:12,900 --> 00:05:14,515 from the blood thinners alone... 141 00:05:14,567 --> 00:05:17,393 You... you could be paralyzed. 142 00:05:17,672 --> 00:05:20,356 Not if we do it off-pump. 143 00:05:21,867 --> 00:05:23,060 Right. 144 00:05:23,096 --> 00:05:25,196 We can construct a temporary graft 145 00:05:25,232 --> 00:05:26,585 from the brachiocephalic vein 146 00:05:26,610 --> 00:05:27,886 to the right atrium, 147 00:05:27,911 --> 00:05:29,601 clamp the superior vena cava, 148 00:05:29,626 --> 00:05:31,534 and remove the tumor. 149 00:05:32,373 --> 00:05:34,714 Certainly eliminate the need for a bypass. 150 00:05:35,379 --> 00:05:37,593 - Exactly. - Absolutely. 151 00:05:37,618 --> 00:05:39,998 We'll do it... that is, of course, 152 00:05:40,023 --> 00:05:41,388 if it's okay with Dr. Latham. 153 00:05:41,413 --> 00:05:42,891 - Good. - I think Dr. Jaffrey 154 00:05:42,916 --> 00:05:45,255 has alleviated my concerns. 155 00:05:45,504 --> 00:05:46,904 I'll make the arrangements. 156 00:05:46,929 --> 00:05:48,128 Thank you. 157 00:05:48,245 --> 00:05:50,045 [DESOLATE MUSIC] 158 00:05:50,070 --> 00:05:51,469 Hmm. 159 00:05:51,494 --> 00:05:53,193 ♪ ♪ 160 00:05:53,405 --> 00:05:55,905 I'll let Vorspan know about the high epidural. 161 00:05:55,930 --> 00:05:57,575 Did we really just agree 162 00:05:57,600 --> 00:05:59,273 to allow a patient to be fully awake 163 00:05:59,298 --> 00:06:00,960 while we perform open-heart surgery? 164 00:06:00,985 --> 00:06:02,818 Dr. Jaffrey is well aware of the risks 165 00:06:02,843 --> 00:06:04,109 and has given us his consent. 166 00:06:04,134 --> 00:06:05,487 There's no way that we can guarantee 167 00:06:05,512 --> 00:06:06,880 we'll neutralize all of his pain, 168 00:06:06,905 --> 00:06:09,685 and even if we do, every time his lungs inflate, 169 00:06:09,710 --> 00:06:11,010 it'll obstruct our field. 170 00:06:11,035 --> 00:06:13,063 I have faith in our anesthesiologists 171 00:06:13,088 --> 00:06:14,173 and Dr. Bekker. 172 00:06:14,198 --> 00:06:16,341 Awake surgery is extremely risky 173 00:06:16,366 --> 00:06:19,952 and should only be performed when medically necessary. 174 00:06:21,105 --> 00:06:23,227 I understand your concern, Dr. Rhodes, 175 00:06:23,252 --> 00:06:25,171 but I trust Dr. Jaffrey's judgment 176 00:06:25,196 --> 00:06:27,395 and respect his desire to observe. 177 00:06:27,657 --> 00:06:28,793 If I were in his situation, 178 00:06:28,818 --> 00:06:30,256 I certainly would. 179 00:06:30,661 --> 00:06:32,761 Seeing my own beating heart. [CHUCKLES] 180 00:06:32,984 --> 00:06:36,118 [SOMBER MUSIC] 181 00:06:36,365 --> 00:06:41,462 ♪ ♪ 182 00:06:42,009 --> 00:06:44,281 Debra McCormick, 14-year-old female, 183 00:06:44,306 --> 00:06:46,606 GCS 13. Possible overdose. 184 00:06:46,641 --> 00:06:48,438 Dr. Choi, April, you're going to treatment four. 185 00:06:48,463 --> 00:06:49,391 We got it. 186 00:06:49,416 --> 00:06:51,993 Found her on Lower Wacker, passed out and freezing. 187 00:06:52,018 --> 00:06:53,063 Probably homeless. 188 00:06:53,088 --> 00:06:54,626 I'm not homeless, damn it! 189 00:06:54,651 --> 00:06:55,867 I live with my friends. 190 00:06:55,892 --> 00:06:57,134 Okay, can you tell us what happened? 191 00:06:57,159 --> 00:06:58,339 Nothing. I tripped and fell. 192 00:06:58,364 --> 00:06:59,430 I'll be fine. 193 00:06:59,455 --> 00:07:01,054 Let's transfer on my count. 194 00:07:01,079 --> 00:07:03,192 Ready? One, two, three. 195 00:07:03,860 --> 00:07:05,319 Let's get her started on IV fluids 196 00:07:05,344 --> 00:07:07,112 and order a tox screen, CBC, CMP, 197 00:07:07,137 --> 00:07:08,351 and a white count with differential. 198 00:07:08,376 --> 00:07:09,842 Yes, Doctor. 199 00:07:09,867 --> 00:07:11,473 Do you have a family member we can contact? 200 00:07:11,498 --> 00:07:12,797 No. 201 00:07:12,909 --> 00:07:14,244 You sure? 202 00:07:14,867 --> 00:07:16,245 Call Child Services. 203 00:07:16,270 --> 00:07:17,757 No, please don't do that. They never help. 204 00:07:17,782 --> 00:07:18,905 They just keep sending me back to my mom 205 00:07:18,930 --> 00:07:20,331 and her drunk boyfriend, and he hates me. 206 00:07:20,356 --> 00:07:22,229 [BREATHING HEAVILY] 207 00:07:22,481 --> 00:07:24,945 For now, you just rest and get warm, okay? 208 00:07:24,970 --> 00:07:26,272 We'll run some tests and be back 209 00:07:26,297 --> 00:07:27,966 to check on you soon. 210 00:07:32,279 --> 00:07:33,778 What do we do? 211 00:07:33,814 --> 00:07:35,612 She's a minor. We have to call Child Services. 212 00:07:35,648 --> 00:07:36,834 Not if they're just gonna put her back 213 00:07:36,859 --> 00:07:38,359 in an unsafe environment. 214 00:07:38,394 --> 00:07:40,294 We don't even know she's telling us the truth. 215 00:07:40,570 --> 00:07:43,163 Ethan, I've seen this too many times. 216 00:07:43,199 --> 00:07:44,865 Child Services sends a girl home, 217 00:07:44,900 --> 00:07:47,000 she winds up right back here, 218 00:07:47,025 --> 00:07:49,192 beaten, raped. 219 00:07:57,554 --> 00:07:59,397 There's a little dive on Roosevelt 220 00:07:59,422 --> 00:08:02,022 that's got the best dry rub north of Memphis. 221 00:08:02,651 --> 00:08:04,774 Let me take you to dinner tonight. 222 00:08:05,069 --> 00:08:06,603 I thought we discussed this. 223 00:08:06,628 --> 00:08:08,557 We did, and I decided to back off, 224 00:08:08,582 --> 00:08:10,676 but then I changed my mind. 225 00:08:10,701 --> 00:08:11,700 - Barry... - Come on, 226 00:08:11,725 --> 00:08:13,452 just think about it. 227 00:08:15,881 --> 00:08:17,675 Unless you're gonna help me with these charts, 228 00:08:17,700 --> 00:08:19,390 I've got work to do. 229 00:08:20,694 --> 00:08:22,597 I'll take that as a "maybe." 230 00:08:26,143 --> 00:08:28,041 What good is calling Child Services? 231 00:08:28,066 --> 00:08:30,018 She's already been through the system. 232 00:08:30,043 --> 00:08:31,463 She still ended up in the street. 233 00:08:31,488 --> 00:08:33,470 So what's the answer? Just let her be homeless? 234 00:08:33,495 --> 00:08:35,727 - 14-year-old girl. - Hm. 235 00:08:36,101 --> 00:08:38,895 Looks like this young lady's in a tough spot. 236 00:08:38,920 --> 00:08:40,705 Most potential foster parents 237 00:08:40,730 --> 00:08:43,249 are only interested in babies or young children. 238 00:08:43,274 --> 00:08:46,137 It's nearly impossible to place a teen. 239 00:08:46,372 --> 00:08:48,996 Does she have any extended family? 240 00:08:50,045 --> 00:08:51,579 Not that she's told us about. 241 00:08:51,604 --> 00:08:52,903 Well, April's right. 242 00:08:52,928 --> 00:08:54,086 In all likelihood, 243 00:08:54,111 --> 00:08:56,128 Child Services will just send her back 244 00:08:56,153 --> 00:08:57,800 to the abusive home she fled. 245 00:08:57,825 --> 00:08:59,759 But they'll follow up, make sure she's safe. 246 00:08:59,784 --> 00:09:01,451 In a perfect world, yes. 247 00:09:01,476 --> 00:09:03,989 In reality, they don't have the resources. 248 00:09:04,461 --> 00:09:08,244 Let me call some contacts in social services, 249 00:09:08,269 --> 00:09:11,002 see if there isn't a group home with a vacancy. 250 00:09:11,027 --> 00:09:12,132 - Thank you, Ms. Goodwin. - Mm-hm. 251 00:09:12,157 --> 00:09:13,823 Thank you. 252 00:09:15,629 --> 00:09:17,314 [SCREAMS] 253 00:09:17,339 --> 00:09:18,851 Dr. Manning, she's having contractions. 254 00:09:18,876 --> 00:09:20,199 We need help here. 255 00:09:21,088 --> 00:09:22,788 [YELLS] 256 00:09:22,813 --> 00:09:24,551 [DESOLATE MUSIC] 257 00:09:24,789 --> 00:09:26,890 What's happening? What's wrong? 258 00:09:26,915 --> 00:09:27,959 She's fully dilated. 259 00:09:27,984 --> 00:09:29,587 No, you have to stop the labor! 260 00:09:29,612 --> 00:09:31,434 I'm sorry, but the nifedipine is not working. 261 00:09:31,459 --> 00:09:33,106 Okay? There's nothing else we can do. 262 00:09:33,131 --> 00:09:34,312 Need to move her to labor and delivery. 263 00:09:34,337 --> 00:09:36,117 No time. Maggie, get a preset pack, 264 00:09:36,142 --> 00:09:37,399 a warmer, and page OB 265 00:09:37,424 --> 00:09:38,320 and tell them this baby is coming now. 266 00:09:38,345 --> 00:09:39,979 Got it. Jackie, come with me. 267 00:09:40,004 --> 00:09:41,960 I'm gonna need you to push for me, okay? 268 00:09:41,985 --> 00:09:43,363 All right, you ready? 269 00:09:43,388 --> 00:09:44,381 Push. 270 00:09:44,406 --> 00:09:45,738 [GROANS] 271 00:09:45,763 --> 00:09:47,678 Good. All right, can you push again? 272 00:09:47,703 --> 00:09:49,099 One more. And push. 273 00:09:49,124 --> 00:09:50,123 [GROANS] 274 00:09:50,577 --> 00:09:51,876 Doing great. 275 00:09:51,901 --> 00:09:53,101 You're doing great. All right. 276 00:09:53,126 --> 00:09:54,763 Just one more big one. Can you do that? 277 00:09:54,788 --> 00:09:56,248 Just one more big one. Ready? 278 00:09:56,273 --> 00:09:57,554 Push. Go, push. 279 00:09:57,579 --> 00:09:58,811 Push. 280 00:09:59,303 --> 00:10:01,401 [SOMBER MUSIC] 281 00:10:01,426 --> 00:10:03,294 [CRYING] 282 00:10:03,319 --> 00:10:06,068 The embryonic sac is still intact. 283 00:10:06,656 --> 00:10:10,833 ♪ ♪ 284 00:10:12,069 --> 00:10:13,570 - [CRYING] - All right. 285 00:10:13,595 --> 00:10:15,113 Stay with me. Stay with me. 286 00:10:15,138 --> 00:10:17,243 [SOBS] 287 00:10:17,268 --> 00:10:19,237 Wait. Where are you taking him? 288 00:10:19,262 --> 00:10:20,744 Hey, hey, hey. 289 00:10:20,769 --> 00:10:22,545 It's gonna be okay. Relax. 290 00:10:22,570 --> 00:10:23,410 It's okay. 291 00:10:23,435 --> 00:10:25,237 [CRYING] 292 00:10:26,457 --> 00:10:32,060 ♪ ♪ 293 00:10:39,330 --> 00:10:40,862 Will. 294 00:10:41,233 --> 00:10:44,074 ♪ ♪ 295 00:10:44,361 --> 00:10:45,827 He's alive. 296 00:10:46,049 --> 00:10:49,304 And he's active. Responsive. 297 00:10:49,593 --> 00:10:56,446 ♪ ♪ 298 00:11:09,786 --> 00:11:12,429 Let's get this baby up to the NICU. 299 00:11:22,947 --> 00:11:24,837 Who's first on your list? 300 00:11:25,773 --> 00:11:27,073 Hector Ramirez. 301 00:11:27,108 --> 00:11:29,141 You're gonna have to wait. 302 00:11:29,177 --> 00:11:30,876 Ramirez is a level three. 303 00:11:30,912 --> 00:11:31,977 We gotta clear the floor 304 00:11:32,013 --> 00:11:33,079 and bring in additional officers 305 00:11:33,114 --> 00:11:34,580 to escort him out. 306 00:11:34,782 --> 00:11:36,268 All right, gentlemen. 307 00:11:36,426 --> 00:11:38,233 Let's take it to your cells. 308 00:11:38,495 --> 00:11:41,763 [PRISONERS GRUMBLING] 309 00:11:49,938 --> 00:11:52,972 Any particular reason you tried to sabotage this? 310 00:11:53,008 --> 00:11:56,002 How about we're taking an unnecessary risk 311 00:11:56,027 --> 00:11:58,260 all so you can rack up a splashy surgery? 312 00:11:58,347 --> 00:12:00,417 Oh, so it's about the credit. 313 00:12:00,771 --> 00:12:02,048 Jealous, maybe? 314 00:12:02,073 --> 00:12:03,272 No. 315 00:12:03,349 --> 00:12:05,106 No, I am just worried about 316 00:12:05,131 --> 00:12:07,253 Dr. Jaffrey dying on the table. 317 00:12:08,140 --> 00:12:09,807 He knows what he's doing. 318 00:12:10,324 --> 00:12:13,402 Plus, this "splashy surgery," as you call it, 319 00:12:13,427 --> 00:12:16,009 will be good for the hospital and the CT program. 320 00:12:16,368 --> 00:12:18,360 How very selfless of you. 321 00:12:19,342 --> 00:12:21,909 Dr. Bekker, we're ready. 322 00:12:24,974 --> 00:12:27,099 Coming, Dr. Rhodes? 323 00:12:36,918 --> 00:12:39,018 That's my cousin, Kiki. 324 00:12:39,054 --> 00:12:40,286 Hey. 325 00:12:40,322 --> 00:12:41,454 Hey. 326 00:12:41,479 --> 00:12:42,729 Your labs came back negative. 327 00:12:42,754 --> 00:12:43,627 No sign of infection or 328 00:12:43,652 --> 00:12:44,885 any immune deficiencies. 329 00:12:44,910 --> 00:12:47,018 Great. Kiki's come to take me home. 330 00:12:47,128 --> 00:12:48,728 N... we can only release you 331 00:12:48,763 --> 00:12:51,529 with the permission of a parent or legal guardian. 332 00:12:55,039 --> 00:12:57,134 Forget it. I'm still going. 333 00:12:57,338 --> 00:12:58,508 Kiki, would... 334 00:12:59,309 --> 00:13:00,509 Deb! 335 00:13:00,534 --> 00:13:01,735 What... what's happening to her? 336 00:13:01,760 --> 00:13:03,259 - She's seizing. - Step back, step back. 337 00:13:03,284 --> 00:13:05,152 - Deb! - Two milligrams Ativan. 338 00:13:05,177 --> 00:13:06,176 [DRAMATIC MUSIC] 339 00:13:06,201 --> 00:13:07,182 Call radiology. 340 00:13:07,207 --> 00:13:08,044 We need to get her upstairs 341 00:13:08,069 --> 00:13:09,543 for a head CT, now. 342 00:13:09,948 --> 00:13:11,249 Ativan in. 343 00:13:11,284 --> 00:13:13,232 ♪ ♪ 344 00:13:13,590 --> 00:13:15,478 You're okay, Deb. You're okay. 345 00:13:15,955 --> 00:13:18,374 [SOMBER MUSIC] 346 00:13:18,887 --> 00:13:22,058 ♪ ♪ 347 00:13:22,766 --> 00:13:24,268 - Ready? - Yep. 348 00:13:24,430 --> 00:13:26,263 ♪ ♪ 349 00:13:26,298 --> 00:13:29,266 [HEART MONITOR BEEPING] 350 00:13:29,301 --> 00:13:31,268 ♪ ♪ 351 00:13:31,303 --> 00:13:33,169 [BABY CRIES WEAKLY] 352 00:13:33,205 --> 00:13:34,637 ♪ ♪ 353 00:13:34,814 --> 00:13:36,581 Parents were clear about their wishes? 354 00:13:36,616 --> 00:13:38,072 Yes. They have decided 355 00:13:38,097 --> 00:13:40,001 not to perform any resuscitative measures. 356 00:13:40,162 --> 00:13:41,902 Mm. 357 00:13:42,796 --> 00:13:44,996 Is there any chance this baby could be viable? 358 00:13:45,021 --> 00:13:46,307 Unfortunately not. 359 00:13:46,332 --> 00:13:47,549 His heartbeat's weak 360 00:13:47,574 --> 00:13:49,615 and his weight is under 500 grams. 361 00:13:49,640 --> 00:13:52,185 Yeah, but at 490 grams, he's not that far off. 362 00:13:52,210 --> 00:13:53,342 Natalie... 363 00:13:53,367 --> 00:13:55,579 No, his coloring and muscle tone are good, 364 00:13:55,604 --> 00:13:57,278 and he's making a decent respiratory effort. 365 00:13:57,303 --> 00:13:58,393 Doesn't that say something? 366 00:13:58,418 --> 00:13:59,526 Not enough. 367 00:13:59,663 --> 00:14:01,519 This baby's not going to survive. 368 00:14:01,796 --> 00:14:03,373 The best we can do 369 00:14:03,398 --> 00:14:04,892 is make him comfortable. 370 00:14:05,222 --> 00:14:09,927 ♪ ♪ 371 00:14:10,340 --> 00:14:12,039 [SIGHS] 372 00:14:14,198 --> 00:14:17,231 [MACHINE WHIRRING] 373 00:14:19,850 --> 00:14:21,183 Eh, she's got a mass in her sinus, 374 00:14:21,208 --> 00:14:23,508 possibly a tumor. We need a biopsy. 375 00:14:23,850 --> 00:14:25,952 Yeah, but look at the cross-sections. 376 00:14:29,111 --> 00:14:30,764 I don't understand. 377 00:14:31,113 --> 00:14:32,646 Neither do we. 378 00:14:32,671 --> 00:14:34,393 It's moving. 379 00:14:41,723 --> 00:14:43,433 You feeling any pain, Deb? 380 00:14:43,458 --> 00:14:45,790 No, it just feels weird. 381 00:14:45,815 --> 00:14:47,682 Stop moving. 382 00:14:51,984 --> 00:14:53,683 What was that? 383 00:14:53,813 --> 00:14:56,422 I have a pretty good idea. 384 00:14:57,495 --> 00:14:59,467 Forceps and speculum. 385 00:15:01,230 --> 00:15:03,707 W-what's happening? 386 00:15:04,786 --> 00:15:07,652 Just... stay still. 387 00:15:14,830 --> 00:15:16,421 A cockroach. 388 00:15:16,456 --> 00:15:18,389 What? 389 00:15:19,077 --> 00:15:21,131 Oh... 390 00:15:24,363 --> 00:15:26,886 I want to take another look at that CT. 391 00:15:48,473 --> 00:15:51,240 So, Hector Ramirez, 392 00:15:51,265 --> 00:15:53,302 you know, anxiety, depression, 393 00:15:53,906 --> 00:15:56,422 history of intermittent explosive disorder. 394 00:15:56,447 --> 00:15:57,996 All clear, doc. 395 00:15:58,515 --> 00:16:00,326 May I? 396 00:16:01,076 --> 00:16:03,509 - Dr. Reese, I really think... - Dr. Charles. 397 00:16:19,558 --> 00:16:22,934 Hello, Mr. Ramirez. I am Dr. Reese. 398 00:16:24,317 --> 00:16:26,188 I, um... 399 00:16:27,301 --> 00:16:28,948 [CLEARS THROAT] 400 00:16:29,799 --> 00:16:31,157 Dosage. 401 00:16:31,182 --> 00:16:32,613 Right, um, 402 00:16:32,638 --> 00:16:33,662 how have you been feeling 403 00:16:33,687 --> 00:16:36,021 since Dr. Charles altered your dosage? 404 00:16:36,046 --> 00:16:38,768 [BARKING] 405 00:16:38,793 --> 00:16:41,173 [PRISONERS CLAMORING] 406 00:16:41,421 --> 00:16:42,953 Knock it off, Ramirez. 407 00:16:42,978 --> 00:16:44,044 [BARKS] 408 00:16:44,069 --> 00:16:45,227 [LAUGHS] 409 00:16:45,252 --> 00:16:46,418 We gotta take a little break. 410 00:16:46,443 --> 00:16:48,139 Let's get Ramirez back to his cell. 411 00:16:48,164 --> 00:16:49,615 [LAUGHS] 412 00:16:49,883 --> 00:16:51,822 Look at me, look at me. Take a deep breath. 413 00:16:51,847 --> 00:16:53,459 Take a deep breath. It'll pass, okay? 414 00:16:53,484 --> 00:16:54,513 It'll pass. 415 00:16:54,538 --> 00:16:57,954 [PRISONERS LAUGHING AND YELLING] 416 00:16:57,979 --> 00:16:59,357 [LAUGHS] 417 00:16:59,643 --> 00:17:01,743 Okay, we need to take a little break. 418 00:17:01,768 --> 00:17:03,301 Get Ramirez back in his cell. 419 00:17:03,326 --> 00:17:04,443 Okay, please escort 420 00:17:04,468 --> 00:17:05,801 Dr. Reese back outside. 421 00:17:05,826 --> 00:17:06,821 It's okay. 422 00:17:06,846 --> 00:17:07,823 I'll be there in a bit. 423 00:17:07,848 --> 00:17:09,042 It's all right. 424 00:17:09,067 --> 00:17:12,378 [LAUGHS] Whoo! Whoo! 425 00:17:12,930 --> 00:17:14,732 [HOWLS] 426 00:17:19,146 --> 00:17:21,910 Your vitals look good, but we would like to keep you 427 00:17:21,935 --> 00:17:23,666 a few more hours just for observation. 428 00:17:23,691 --> 00:17:25,132 What about my baby? 429 00:17:25,157 --> 00:17:26,389 Did he... 430 00:17:26,414 --> 00:17:29,049 Your baby was born just over one pound, 431 00:17:29,545 --> 00:17:32,545 below the threshold of what experts consider viable. 432 00:17:32,884 --> 00:17:34,899 And you know that for sure? 433 00:17:35,716 --> 00:17:38,518 Defining viability is not an exact science. 434 00:17:38,553 --> 00:17:40,386 Unfortunately, there's no way 435 00:17:40,421 --> 00:17:42,027 of knowing anything with certainty. 436 00:17:42,131 --> 00:17:43,748 What do you mean? You... you mean 437 00:17:43,773 --> 00:17:45,775 our baby could survive? 438 00:17:46,652 --> 00:17:48,785 The neonatologist says no. 439 00:17:48,810 --> 00:17:50,292 But you... 440 00:17:50,408 --> 00:17:52,575 Do you think he has a chance? 441 00:17:54,346 --> 00:17:56,599 It... it's possible. 442 00:17:56,624 --> 00:17:59,060 But highly unlikely. 443 00:17:59,391 --> 00:18:01,358 Once again, even if he did survive, 444 00:18:01,383 --> 00:18:03,967 he'd be deprived of any real quality of life. 445 00:18:04,254 --> 00:18:06,530 [SOMBER MUSIC] 446 00:18:07,172 --> 00:18:09,201 It's too much. It's just... 447 00:18:09,226 --> 00:18:10,724 - Too much. - Okay, okay. 448 00:18:10,749 --> 00:18:12,754 - [CRIES] - It's okay. 449 00:18:12,779 --> 00:18:16,197 Hey, it's okay. It's okay. 450 00:18:16,252 --> 00:18:18,586 It's gonna be okay. Come here. 451 00:18:19,935 --> 00:18:21,677 Hey, what were you thinking in there? 452 00:18:21,702 --> 00:18:23,835 That this baby still might have a chance. 453 00:18:23,860 --> 00:18:25,982 Well, Dr. Grant, who deals with this every day, 454 00:18:26,007 --> 00:18:27,441 completely disagrees with your assessment. 455 00:18:27,466 --> 00:18:28,842 Still, there's a slight chance 456 00:18:28,867 --> 00:18:30,568 with medical support, that he could pull through. 457 00:18:30,593 --> 00:18:32,564 Natalie, if we were talking about any other 458 00:18:32,589 --> 00:18:34,227 terminally ill patient, would you be telling me 459 00:18:34,252 --> 00:18:37,186 - to prolong life at any cost? - Of course not. 460 00:18:37,211 --> 00:18:39,321 We should be helping these parents get through this, 461 00:18:39,346 --> 00:18:41,078 not making it harder for them. 462 00:18:41,449 --> 00:18:48,153 ♪ ♪ 463 00:18:48,768 --> 00:18:52,445 But... how did a cockroach get up my nose? 464 00:18:52,760 --> 00:18:54,251 It crawled. 465 00:18:54,658 --> 00:18:56,298 It was attracted to the glucose 466 00:18:56,323 --> 00:18:57,735 in your cerebrospinal fluid. 467 00:18:57,760 --> 00:18:59,620 - It's sweet. - Eww. 468 00:18:59,808 --> 00:19:02,006 Where do you live? Uh, never mind. 469 00:19:02,031 --> 00:19:03,991 I'm gonna go scrub for surgery. 470 00:19:04,320 --> 00:19:06,188 Surgery? 471 00:19:09,096 --> 00:19:11,251 Your cerebrospinal fluid 472 00:19:11,276 --> 00:19:13,197 is leaking into your nasal cavity 473 00:19:13,222 --> 00:19:15,352 because of a small cranial fracture. 474 00:19:15,377 --> 00:19:17,040 Have you had a recent head injury? 475 00:19:17,425 --> 00:19:20,106 [BREATHES RAGGEDLY] 476 00:19:20,566 --> 00:19:22,300 Did somebody hurt you? 477 00:19:22,585 --> 00:19:25,330 [MELANCHOLY PIANO MUSIC] 478 00:19:25,967 --> 00:19:27,512 You can tell us. 479 00:19:27,875 --> 00:19:29,715 Look, 480 00:19:30,282 --> 00:19:32,134 I don't want to get involved with the police. 481 00:19:32,159 --> 00:19:33,811 Just tell them, D. 482 00:19:34,322 --> 00:19:38,290 ♪ ♪ 483 00:19:38,821 --> 00:19:41,010 My mom's boyfriend. 484 00:19:42,155 --> 00:19:44,409 He hit me. That's... 485 00:19:45,292 --> 00:19:47,464 That's why I won't go back. 486 00:19:48,695 --> 00:19:55,899 ♪ ♪ 487 00:20:02,385 --> 00:20:04,929 Still think Child Services is the right call? 488 00:20:05,516 --> 00:20:10,890 ♪ ♪ 489 00:20:12,648 --> 00:20:14,448 Barry... 490 00:20:14,823 --> 00:20:16,053 Nothing has changed. 491 00:20:16,078 --> 00:20:19,501 Hey, I'm here to drop this off for Deb. 492 00:20:19,989 --> 00:20:21,764 14-year-old I brought in this morning. 493 00:20:21,789 --> 00:20:24,215 Seemed like she could use a warmer coat. 494 00:20:24,356 --> 00:20:25,463 Oh. 495 00:20:25,488 --> 00:20:27,712 Client left this in the ambo a while back. 496 00:20:27,737 --> 00:20:29,895 It's already been dry cleaned, so... 497 00:20:30,768 --> 00:20:32,574 I'll make sure she gets it. 498 00:20:32,893 --> 00:20:34,251 Thanks. 499 00:20:37,468 --> 00:20:39,811 Dr. Jaffrey? Still no discomfort? 500 00:20:40,169 --> 00:20:42,321 Uh, a little pulling. 501 00:20:42,346 --> 00:20:43,618 Some pressure. 502 00:20:43,643 --> 00:20:45,508 Yeah, I can believe that. 503 00:20:45,576 --> 00:20:47,695 Ah, my ventricles. 504 00:20:47,737 --> 00:20:49,863 Contractions still look strong. 505 00:20:49,888 --> 00:20:51,989 No fatty deposits. 506 00:20:52,014 --> 00:20:55,286 My coronary artery is pristine. 507 00:20:55,311 --> 00:20:57,210 Very healthy heart, Dr. Jaffrey. 508 00:20:57,235 --> 00:20:59,082 You eat a lot of oatmeal, Dr. Jaffrey? 509 00:20:59,107 --> 00:21:00,789 [LAUGHS] Good one. 510 00:21:00,814 --> 00:21:03,065 [CHUCKLES] 511 00:21:03,842 --> 00:21:05,607 I'm ready for the scalpel. 512 00:21:05,632 --> 00:21:07,486 Uh, what? 513 00:21:07,878 --> 00:21:09,948 Why a scalpel? 514 00:21:10,163 --> 00:21:11,984 I need to divide the azygos vein. 515 00:21:12,009 --> 00:21:15,087 But shouldn't you do the entire dissection first? 516 00:21:15,112 --> 00:21:16,168 Save that till last? 517 00:21:16,193 --> 00:21:17,550 I... I... 518 00:21:17,575 --> 00:21:19,583 She's got a good angle on it now. 519 00:21:19,608 --> 00:21:21,849 Yeah, but what happens if something goes wrong? 520 00:21:22,156 --> 00:21:24,056 I mean, good Lord, you won't have enough 521 00:21:24,081 --> 00:21:25,444 collateral blood flow 522 00:21:25,469 --> 00:21:28,169 to bypass the obstruction. 523 00:21:28,194 --> 00:21:29,506 Dr. Jaffrey, I want to remind you 524 00:21:29,531 --> 00:21:32,283 that you're awake to observe this operation, not conduct it. 525 00:21:32,389 --> 00:21:33,789 Oh, sorry. 526 00:21:33,814 --> 00:21:35,347 Force of habit. 527 00:21:35,502 --> 00:21:37,111 Sorry. 528 00:21:37,136 --> 00:21:39,342 Please proceed, Dr. Bekker. 529 00:21:39,842 --> 00:21:43,143 [HEART MONITOR BEEPS] 530 00:21:43,619 --> 00:21:46,069 I understand. Thank you. 531 00:21:46,681 --> 00:21:50,063 I got Deb on a couple of wait lists for group homes, 532 00:21:50,088 --> 00:21:52,106 but none of them have a room available. 533 00:21:52,382 --> 00:21:53,946 So where does that leave us? 534 00:21:54,548 --> 00:21:56,904 I could speak to Child Services, 535 00:21:56,929 --> 00:21:59,608 make sure they know about the abusive boyfriend. 536 00:21:59,633 --> 00:22:01,160 Even if the boyfriend leaves, 537 00:22:01,185 --> 00:22:03,374 odds are the mom's going to allow him to come back. 538 00:22:03,700 --> 00:22:05,732 But when Deb gets out of surgery, 539 00:22:05,757 --> 00:22:07,222 she'll need a clean place to recover. 540 00:22:07,247 --> 00:22:08,613 She's not gonna get that on the street. 541 00:22:08,638 --> 00:22:10,320 Well, you both make good points, 542 00:22:10,345 --> 00:22:13,444 but as the physician on this case, Dr. Choi, 543 00:22:13,629 --> 00:22:15,238 it's your call. 544 00:22:21,315 --> 00:22:24,029 There was a cockroach in her nose. 545 00:22:24,386 --> 00:22:27,020 [DESOLATE MUSIC] 546 00:22:27,368 --> 00:22:28,966 I'm sorry, April, 547 00:22:28,991 --> 00:22:31,077 but we have to call Child Services. 548 00:22:32,709 --> 00:22:39,781 ♪ ♪ 549 00:22:53,971 --> 00:22:55,966 How's he doing? 550 00:22:56,750 --> 00:22:58,215 He's holding on. 551 00:22:58,812 --> 00:23:06,084 ♪ ♪ 552 00:23:17,018 --> 00:23:18,351 Is he still alive? 553 00:23:18,376 --> 00:23:20,030 Mm-hmm. 554 00:23:20,750 --> 00:23:22,082 Can I see him? 555 00:23:22,107 --> 00:23:23,621 Yes. 556 00:23:23,842 --> 00:23:25,375 Please. 557 00:23:26,637 --> 00:23:33,841 ♪ ♪ 558 00:23:37,822 --> 00:23:39,579 My God. 559 00:23:39,816 --> 00:23:41,556 He's so small. 560 00:23:42,259 --> 00:23:43,459 He... 561 00:23:43,494 --> 00:23:46,261 ♪ ♪ 562 00:23:46,297 --> 00:23:48,212 Would you like to hold him? 563 00:23:48,586 --> 00:23:50,052 Natalie... 564 00:23:50,077 --> 00:23:52,678 ♪ ♪ 565 00:23:52,703 --> 00:23:53,968 Yes. 566 00:23:55,414 --> 00:24:02,620 ♪ ♪ 567 00:24:11,210 --> 00:24:13,515 His skin... 568 00:24:13,540 --> 00:24:15,331 I can see right through it. 569 00:24:15,356 --> 00:24:17,492 ♪ ♪ 570 00:24:17,729 --> 00:24:19,448 My poor baby. 571 00:24:19,473 --> 00:24:20,797 [MONITORS BEEP RAPIDLY] 572 00:24:20,822 --> 00:24:22,651 What's happening? 573 00:24:22,950 --> 00:24:24,483 He's De-satting. 574 00:24:24,508 --> 00:24:26,238 His lungs can't provide enough oxygen. 575 00:24:26,263 --> 00:24:27,926 I'm sorry it's... But it's what we expected. 576 00:24:27,951 --> 00:24:29,223 He's dying? 577 00:24:29,263 --> 00:24:30,804 I'm afraid so. 578 00:24:30,829 --> 00:24:33,702 [SOBS] 579 00:24:34,141 --> 00:24:36,726 You... you have to help him. 580 00:24:38,704 --> 00:24:40,930 Are you asking us to resuscitate? 581 00:24:40,955 --> 00:24:43,690 - Yes, please. - Well, hold on. 582 00:24:43,896 --> 00:24:45,474 M-Mrs. Harris, I want to remind you 583 00:24:45,499 --> 00:24:48,412 that you and your husband made a decision already. 584 00:24:48,437 --> 00:24:50,451 - You heard her. Nurse! - Can you... 585 00:24:50,476 --> 00:24:52,819 Just save my baby. 586 00:24:54,166 --> 00:24:57,270 I need a .5 French ET tube and a laryngoscope. 587 00:24:57,295 --> 00:24:59,877 Will, see if you can get us umbilical vein access. 588 00:25:00,289 --> 00:25:02,159 Will, I need access! 589 00:25:02,430 --> 00:25:04,564 ♪ ♪ 590 00:25:04,771 --> 00:25:06,222 Come on, Ian. 591 00:25:07,464 --> 00:25:14,735 ♪ ♪ 592 00:25:16,189 --> 00:25:17,956 His airway's too small. 593 00:25:17,981 --> 00:25:18,966 God... 594 00:25:18,991 --> 00:25:20,858 Oh, God... [CRIES] 595 00:25:20,883 --> 00:25:22,249 There. I'm in. 596 00:25:22,385 --> 00:25:27,656 ♪ ♪ 597 00:25:27,681 --> 00:25:28,904 [MONITOR BEEPS] 598 00:25:28,929 --> 00:25:30,878 Sats are back up to 91%. 599 00:25:30,903 --> 00:25:32,911 Does that mean he's gonna be okay? 600 00:25:33,225 --> 00:25:36,576 ♪ ♪ 601 00:25:36,908 --> 00:25:38,210 For now. 602 00:25:38,626 --> 00:25:42,996 ♪ ♪ 603 00:25:45,943 --> 00:25:48,845 [THUNDER RUMBLING] 604 00:25:54,238 --> 00:25:55,938 You shouldn't feel bad. 605 00:25:55,973 --> 00:25:57,673 Why not? 606 00:25:58,117 --> 00:25:59,582 I am the one who asked for this. 607 00:25:59,607 --> 00:26:00,833 It was stupid. 608 00:26:00,932 --> 00:26:02,545 Not stupid. 609 00:26:03,370 --> 00:26:04,602 Ambitious. 610 00:26:04,779 --> 00:26:06,245 I have no business 611 00:26:06,281 --> 00:26:08,032 trying to treat a patient like that. 612 00:26:08,175 --> 00:26:10,873 I can't help him or myself. 613 00:26:14,258 --> 00:26:16,526 You know, the irony is, 614 00:26:17,289 --> 00:26:19,289 that guy is so much more scared of you 615 00:26:19,324 --> 00:26:20,290 than you are of him. 616 00:26:20,325 --> 00:26:21,344 I doubt that. 617 00:26:21,369 --> 00:26:22,700 What, are you kidding me? 618 00:26:22,725 --> 00:26:24,125 Guy like Hector... 619 00:26:24,150 --> 00:26:26,241 Not gonna let you in. A shrink? 620 00:26:26,942 --> 00:26:29,400 He's utterly terrified of what you might find, 621 00:26:29,425 --> 00:26:30,859 you know, what he might have to face, 622 00:26:30,884 --> 00:26:32,395 you know, so he does the jailhouse thing. 623 00:26:32,420 --> 00:26:33,376 What do you mean? 624 00:26:33,401 --> 00:26:35,770 Convicts survive by demonstrating dominance, 625 00:26:35,795 --> 00:26:37,779 by going straight to attack mode. 626 00:26:37,804 --> 00:26:38,918 It's how they do it. 627 00:26:38,954 --> 00:26:40,653 So he manipulated me. 628 00:26:40,689 --> 00:26:44,093 These guys are experts at... At spotting vulnerability. 629 00:26:44,404 --> 00:26:45,603 You know? 630 00:26:45,628 --> 00:26:48,295 And Mr. Ramirez exploited yours. 631 00:26:53,634 --> 00:26:56,735 And so he got the response he was hoping for. 632 00:27:05,943 --> 00:27:07,876 I want to go back in. 633 00:27:14,129 --> 00:27:16,163 How are you feeling? 634 00:27:16,898 --> 00:27:18,530 Okay, I guess. 635 00:27:18,555 --> 00:27:21,156 Dr. Abrams said everything went great, 636 00:27:21,181 --> 00:27:22,519 and the paramedic who brought you in 637 00:27:22,544 --> 00:27:23,918 dropped this off for you. 638 00:27:24,364 --> 00:27:26,028 Great. 639 00:27:33,532 --> 00:27:36,231 Did you... call Child Services? 640 00:27:37,749 --> 00:27:40,550 I'm sorry, Deb. There was nothing I could do. 641 00:27:41,576 --> 00:27:44,543 [SOMBER MUSIC] 642 00:27:44,993 --> 00:27:52,264 ♪ ♪ 643 00:28:05,690 --> 00:28:07,807 Oh, my God. 644 00:28:21,632 --> 00:28:23,161 Is he in pain? 645 00:28:23,763 --> 00:28:25,775 He might be experiencing some discomfort 646 00:28:25,800 --> 00:28:27,599 from the ventilator and the leads. 647 00:28:27,972 --> 00:28:30,734 But it's all necessary, right? 648 00:28:30,874 --> 00:28:32,507 To keep him alive? 649 00:28:32,532 --> 00:28:34,332 Yes. 650 00:28:35,490 --> 00:28:37,527 Hope this was the right thing to do. 651 00:28:38,900 --> 00:28:41,456 Honey, look, he's moving. 652 00:28:41,481 --> 00:28:43,546 He's hearing your voice. 653 00:28:43,571 --> 00:28:45,114 He can recognize it, right? 654 00:28:45,264 --> 00:28:46,896 From when he was in the womb? 655 00:28:47,273 --> 00:28:49,209 It's possible. 656 00:28:50,187 --> 00:28:51,820 Put your hand inside. 657 00:28:51,845 --> 00:28:53,010 Uh... 658 00:28:53,035 --> 00:28:54,968 ♪ ♪ 659 00:28:55,122 --> 00:28:56,337 Is that okay? 660 00:28:56,373 --> 00:28:58,706 Yes, of course. 661 00:28:58,991 --> 00:29:04,295 ♪ ♪ 662 00:29:04,386 --> 00:29:05,652 [BABY WHIMPERS] 663 00:29:05,677 --> 00:29:06,879 [SIGHS] 664 00:29:07,130 --> 00:29:08,830 Did you see that? 665 00:29:09,849 --> 00:29:11,659 He's touching my finger. 666 00:29:12,089 --> 00:29:13,751 That's amazing. 667 00:29:14,244 --> 00:29:15,709 What does that mean? 668 00:29:16,069 --> 00:29:17,913 It's likely just a reflex. 669 00:29:17,938 --> 00:29:19,584 But it does show that your son 670 00:29:19,609 --> 00:29:22,453 has some motor function, which is a good thing. 671 00:29:22,614 --> 00:29:24,981 ♪ ♪ 672 00:29:25,236 --> 00:29:26,772 Talk to him. 673 00:29:27,940 --> 00:29:30,473 [LAUGHS] Hey, Ian. 674 00:29:30,905 --> 00:29:33,609 ♪ ♪ 675 00:29:33,651 --> 00:29:35,293 It's me. 676 00:29:36,691 --> 00:29:37,991 Daddy. 677 00:29:38,245 --> 00:29:43,871 ♪ ♪ 678 00:29:46,210 --> 00:29:48,144 I'm coming around to the anterior edge, 679 00:29:48,169 --> 00:29:50,760 just about ready to take the last section. 680 00:29:50,968 --> 00:29:52,445 Hand me the bipolar. 681 00:29:52,603 --> 00:29:54,683 W... surely you don't intend 682 00:29:54,708 --> 00:29:56,628 to use a cautery knife. 683 00:29:57,544 --> 00:30:00,282 I thought it would help to... 684 00:30:01,098 --> 00:30:03,132 It'll help her keep ahead of the bleeding while she cuts. 685 00:30:03,157 --> 00:30:04,314 No, no, no. 686 00:30:04,339 --> 00:30:06,865 You do not touch me with that torture device. 687 00:30:07,163 --> 00:30:10,245 Did I fail to teach you proper surgical technique? 688 00:30:10,270 --> 00:30:11,716 [UNEASY PIANO MUSIC] 689 00:30:11,741 --> 00:30:13,174 You always said it's important 690 00:30:13,199 --> 00:30:14,595 to maintain hemostasis. 691 00:30:14,620 --> 00:30:16,369 Yes, after the cutting and 692 00:30:16,394 --> 00:30:18,527 the tying of the vessels individually, 693 00:30:18,552 --> 00:30:21,508 not charring them with a bloody cautery knife. 694 00:30:21,720 --> 00:30:23,738 There's a lot of cooks in this kitchen. 695 00:30:23,763 --> 00:30:26,997 Yes, well, my well-being's at stake here. 696 00:30:27,022 --> 00:30:28,777 I understand, Dr. Jaffrey. 697 00:30:28,955 --> 00:30:31,222 I'm fine. Give me the Metz. 698 00:30:32,399 --> 00:30:39,637 ♪ ♪ 699 00:30:40,395 --> 00:30:41,926 There. 700 00:30:41,951 --> 00:30:42,959 I've got everything. 701 00:30:43,531 --> 00:30:48,709 ♪ ♪ 702 00:30:48,913 --> 00:30:51,519 I'm ready to reconstruct the vena cava. 703 00:30:51,544 --> 00:30:53,777 Give me a 20-millimeter Dacron graft 704 00:30:53,802 --> 00:30:55,235 and a 3-0 Prolene stitch. 705 00:30:55,260 --> 00:30:57,064 What? No, no, no, no, no. 706 00:30:57,176 --> 00:31:00,086 3-0 is far too heavy for a graft this size. 707 00:31:00,111 --> 00:31:02,839 I-I thought the 3-0 was appropriate. 708 00:31:02,864 --> 00:31:05,167 No. All right, that's it. 709 00:31:05,251 --> 00:31:06,366 You're out. 710 00:31:06,391 --> 00:31:07,823 That's enough, Dr. Jaffrey. 711 00:31:07,848 --> 00:31:09,446 It's my heart, 712 00:31:09,471 --> 00:31:11,216 and I'll tell you when it's enough. 713 00:31:11,304 --> 00:31:13,584 Rhodes. Rhodes! 714 00:31:13,609 --> 00:31:15,083 You're in. 715 00:31:15,108 --> 00:31:16,908 Take the instruments. 716 00:31:17,813 --> 00:31:19,313 Now. 717 00:31:19,543 --> 00:31:20,898 ♪ ♪ 718 00:31:21,284 --> 00:31:23,569 Dr. Latham, I believe that it's time 719 00:31:23,594 --> 00:31:26,412 to put our esteemed patient under general anesthesia. 720 00:31:26,874 --> 00:31:28,073 What? No! 721 00:31:28,098 --> 00:31:29,122 I think it's in his best interest. 722 00:31:29,147 --> 00:31:29,952 No, wait a minute. 723 00:31:29,977 --> 00:31:31,604 We had an agreement. 724 00:31:31,629 --> 00:31:33,789 - Come on. - Allen, if you would please. 725 00:31:33,813 --> 00:31:35,334 No. 726 00:31:35,717 --> 00:31:37,683 Allen, the... you do not... 727 00:31:37,708 --> 00:31:39,201 You wouldn't dare! 728 00:31:39,604 --> 00:31:41,371 ♪ ♪ 729 00:31:41,602 --> 00:31:43,280 You... 730 00:31:43,447 --> 00:31:45,997 What... No... 731 00:31:46,497 --> 00:31:48,364 How about that? 732 00:31:48,750 --> 00:31:50,749 So quiet you can hear a heart beat. 733 00:31:50,886 --> 00:31:52,819 ♪ ♪ 734 00:31:53,105 --> 00:31:54,645 Now, Dr. Bekker, 735 00:31:54,670 --> 00:31:57,638 I believe you were about to sew in the graft 736 00:31:57,663 --> 00:31:59,515 with a 3-0 stitch. 737 00:31:59,540 --> 00:32:01,648 ♪ ♪ 738 00:32:01,673 --> 00:32:03,385 Suture and DeBakey's. 739 00:32:03,566 --> 00:32:11,494 ♪ ♪ 740 00:32:12,325 --> 00:32:14,558 I apologize for ending our session prematurely. 741 00:32:14,583 --> 00:32:17,955 If you don't mind, I would like to continue. 742 00:32:17,980 --> 00:32:21,061 [INMATES LAUGH] 743 00:32:21,289 --> 00:32:23,247 ♪ ♪ 744 00:32:24,461 --> 00:32:26,093 [CHUCKLES] 745 00:32:26,136 --> 00:32:27,845 ♪ ♪ 746 00:32:27,958 --> 00:32:29,991 May we proceed? 747 00:32:30,199 --> 00:32:32,436 ♪ ♪ 748 00:32:32,721 --> 00:32:36,209 [BARKS] 749 00:32:36,234 --> 00:32:37,800 [INMATES CHEERING] 750 00:32:37,825 --> 00:32:39,918 [VOICE RAISED] I'm here to help you, Hector, 751 00:32:39,943 --> 00:32:43,029 but I can't do that if you keep barking at me. 752 00:32:43,054 --> 00:32:44,473 [GROWLS] 753 00:32:44,498 --> 00:32:45,837 [ALARM BUZZES] 754 00:32:45,862 --> 00:32:48,125 Calm down! You hear me? 755 00:32:49,787 --> 00:32:51,623 [CHUCKLING] 756 00:32:51,648 --> 00:32:54,794 Now, how's your new dosage of sertraline working out? 757 00:32:55,364 --> 00:32:57,621 Any drowsiness or changes in appetite? 758 00:32:58,094 --> 00:32:59,393 [CHUCKLES] 759 00:32:59,418 --> 00:33:02,316 How about nausea, diarrhea, 760 00:33:02,538 --> 00:33:04,223 problems sleeping? 761 00:33:04,809 --> 00:33:09,762 ♪ ♪ 762 00:33:11,870 --> 00:33:14,895 Feels I'm gonna puke sometimes. 763 00:33:15,128 --> 00:33:16,943 ♪ ♪ 764 00:33:17,535 --> 00:33:19,235 Okay. 765 00:33:19,412 --> 00:33:20,871 Okay, I can prescribe 766 00:33:20,896 --> 00:33:22,717 a medication called Zofran for that. 767 00:33:23,099 --> 00:33:25,579 ♪ ♪ 768 00:33:25,892 --> 00:33:27,721 [GROWLS] 769 00:33:28,109 --> 00:33:30,405 ♪ ♪ 770 00:33:30,700 --> 00:33:32,890 Well, the surgery went well, 771 00:33:32,915 --> 00:33:34,340 but it's going to be a few days 772 00:33:34,365 --> 00:33:36,534 - before we can discharge her. - Okay. 773 00:33:36,559 --> 00:33:37,943 She has concerns about being placed 774 00:33:37,968 --> 00:33:39,901 back with her mother, whose boyfriend is abusive. 775 00:33:39,926 --> 00:33:41,340 We need to find alternative housing. 776 00:33:41,365 --> 00:33:43,285 Uh, first thing we'll do is try to create 777 00:33:43,310 --> 00:33:44,611 a plan with her immediate family. 778 00:33:44,636 --> 00:33:46,300 Excuse me. Her immediate family 779 00:33:46,325 --> 00:33:47,254 is the problem. 780 00:33:47,279 --> 00:33:48,530 We'll do everything we can 781 00:33:48,555 --> 00:33:50,453 to... to make the home safe for Amy. 782 00:33:51,344 --> 00:33:52,744 Amy? 783 00:33:52,769 --> 00:33:54,241 Deb. 784 00:33:54,345 --> 00:33:56,179 The patient's name's Deb McCormick. 785 00:33:56,204 --> 00:33:57,466 Oh. 786 00:33:57,919 --> 00:33:59,389 Really? 787 00:34:05,131 --> 00:34:06,607 Ah. [LAUGHS] 788 00:34:06,632 --> 00:34:07,764 Here it is. 789 00:34:07,904 --> 00:34:09,837 Debra McCormick. 790 00:34:09,862 --> 00:34:11,596 Where to? 791 00:34:16,724 --> 00:34:19,533 So where is she? 792 00:34:20,457 --> 00:34:22,089 Call security. 793 00:34:22,254 --> 00:34:25,044 [SOMBER MUSIC] 794 00:34:25,069 --> 00:34:27,381 ♪ ♪ 795 00:34:27,457 --> 00:34:29,086 April, did you help her run? 796 00:34:29,111 --> 00:34:30,077 No. 797 00:34:30,102 --> 00:34:31,497 April. 798 00:34:32,707 --> 00:34:34,774 Okay, she... 799 00:34:34,921 --> 00:34:37,309 told me she was going to leave. I didn't stop her. 800 00:34:37,334 --> 00:34:38,900 I could write you up for this. 801 00:34:39,009 --> 00:34:41,540 You saw. That case worker is clueless. 802 00:34:41,565 --> 00:34:43,544 He is not equipped to help Deb. 803 00:34:43,753 --> 00:34:46,125 But if you want to write me up, 804 00:34:46,599 --> 00:34:47,998 be my guest. 805 00:34:48,634 --> 00:34:55,513 ♪ ♪ 806 00:34:55,538 --> 00:34:57,082 [MONITORS BLARE] 807 00:34:57,107 --> 00:34:58,623 - Wha... - What is that? 808 00:34:58,648 --> 00:35:01,079 [MONITORS BLARE] 809 00:35:01,330 --> 00:35:03,019 What's happening to him? 810 00:35:03,044 --> 00:35:04,249 - Help him! - He's bradycardic. 811 00:35:04,274 --> 00:35:05,746 Page Dr. Grant. 812 00:35:05,771 --> 00:35:07,842 I'm gonna start chest compressions. 813 00:35:08,548 --> 00:35:10,161 Push .5 of epi, IV. 814 00:35:10,186 --> 00:35:11,285 - Come on, come on. - Please, 815 00:35:11,310 --> 00:35:12,309 I need you to stand back. 816 00:35:12,334 --> 00:35:13,499 Don't hurt him. 817 00:35:13,524 --> 00:35:15,824 [HEART MONITORS BEEPING] 818 00:35:16,383 --> 00:35:18,115 Blood pressure's falling. 819 00:35:18,140 --> 00:35:19,939 - Epi in? - Yes, Doctor. 820 00:35:19,972 --> 00:35:21,472 Hold compressions. 821 00:35:21,497 --> 00:35:24,131 [HEART MONITOR FLATLINING] 822 00:35:24,238 --> 00:35:25,403 No pulse. 823 00:35:25,428 --> 00:35:26,993 ♪ ♪ 824 00:35:27,047 --> 00:35:28,347 [SOBS] 825 00:35:28,372 --> 00:35:33,905 ♪ ♪ 826 00:35:35,015 --> 00:35:37,015 [QUIETLY] Natalie... 827 00:35:37,417 --> 00:35:41,942 ♪ ♪ 828 00:35:42,591 --> 00:35:43,924 I am so sorry. 829 00:35:44,492 --> 00:35:49,627 ♪ ♪ 830 00:35:52,068 --> 00:35:54,937 [DISTANT SIRENS WAILING] 831 00:36:03,469 --> 00:36:05,864 I shouldn't have pushed them. 832 00:36:06,525 --> 00:36:08,514 Natalie, it was a very tough call. 833 00:36:09,017 --> 00:36:10,959 You didn't think so. 834 00:36:11,919 --> 00:36:13,919 I could've been wrong. 835 00:36:25,532 --> 00:36:27,064 Barry? 836 00:36:27,322 --> 00:36:31,090 So, I'm not big into the Memphis dry rub, 837 00:36:31,125 --> 00:36:34,749 but if you were to offer me some decent seafood... 838 00:36:34,961 --> 00:36:36,594 Yeah? 839 00:36:36,730 --> 00:36:38,397 What's gotten into you? 840 00:36:38,800 --> 00:36:40,809 I don't know. Maybe... 841 00:36:40,834 --> 00:36:43,068 I've lost my mind. 842 00:36:58,059 --> 00:37:00,752 We were able to completely remove the tumor 843 00:37:00,777 --> 00:37:03,378 and reconstruct the superior vena cava. 844 00:37:09,477 --> 00:37:11,210 Dr. Jaffrey? 845 00:37:16,267 --> 00:37:18,021 You disappoint me. 846 00:37:19,031 --> 00:37:21,397 [MELANCHOLY MUSIC] 847 00:37:22,114 --> 00:37:24,619 Dr. Jaffrey, everything went perfectly, 848 00:37:25,188 --> 00:37:27,742 all according to Dr. Bekker's plan. 849 00:37:27,850 --> 00:37:29,607 You were right to put your trust in her. 850 00:37:29,632 --> 00:37:32,203 She is a first-rate surgeon. 851 00:37:32,650 --> 00:37:36,372 ♪ ♪ 852 00:37:37,295 --> 00:37:38,777 Get some rest, Dr. Jaffrey. 853 00:37:38,802 --> 00:37:40,502 I'll be back to check on you soon. 854 00:37:40,966 --> 00:37:48,203 ♪ ♪ 855 00:38:00,601 --> 00:38:02,033 Connor... 856 00:38:02,179 --> 00:38:07,114 ♪ ♪ 857 00:38:07,298 --> 00:38:09,432 I have to go put in my surgical notes. 858 00:38:10,194 --> 00:38:17,199 ♪ ♪ 859 00:38:24,053 --> 00:38:25,852 April, that for Deb? 860 00:38:26,560 --> 00:38:31,521 ♪ ♪ 861 00:38:32,682 --> 00:38:34,849 You told me a couple of weeks ago 862 00:38:34,874 --> 00:38:37,444 about your own sister and her struggles. 863 00:38:38,367 --> 00:38:40,810 If she came in here, needing help, 864 00:38:41,361 --> 00:38:44,142 would you hand her over to an agency that 865 00:38:44,329 --> 00:38:47,169 you knew would only make things worse? 866 00:38:47,661 --> 00:38:53,788 ♪ ♪ 867 00:39:03,009 --> 00:39:04,508 Um... 868 00:39:04,544 --> 00:39:07,172 ♪ ♪ 869 00:39:07,389 --> 00:39:09,343 You did, um... 870 00:39:09,448 --> 00:39:10,914 You did very well today. 871 00:39:11,059 --> 00:39:12,258 ♪ ♪ 872 00:39:12,411 --> 00:39:13,876 Really. 873 00:39:14,053 --> 00:39:21,324 ♪ ♪ 874 00:39:33,999 --> 00:39:36,232 Again, I'm very, very sorry. 875 00:39:36,257 --> 00:39:37,888 Thank you. 876 00:39:38,247 --> 00:39:44,780 ♪ ♪ 877 00:39:48,756 --> 00:39:51,354 I don't know what to say. 878 00:39:51,755 --> 00:39:58,827 ♪ ♪ 879 00:40:03,423 --> 00:40:06,645 We got to hold our child. 880 00:40:07,300 --> 00:40:10,099 I only hope that he was able to feel our love. 881 00:40:11,891 --> 00:40:14,010 I'm sure he was. 882 00:40:14,914 --> 00:40:16,580 Thank you. 883 00:40:16,912 --> 00:40:24,150 ♪ ♪ 884 00:40:26,842 --> 00:40:29,072 That had to make you feel a little better. 885 00:40:29,697 --> 00:40:30,963 It did. 886 00:40:30,988 --> 00:40:32,574 ♪ ♪ 887 00:40:32,631 --> 00:40:34,517 But what are you gonna do next time? 888 00:40:35,270 --> 00:40:42,094 ♪ ♪ 889 00:40:42,524 --> 00:40:45,491 [PEOPLE CHATTING] 890 00:40:45,973 --> 00:40:52,163 ♪ ♪ 891 00:40:53,807 --> 00:40:55,055 What's he doing here? 892 00:40:55,080 --> 00:40:56,687 Don't worry. He's here to help. 893 00:40:56,712 --> 00:40:58,314 Where's Deb? 894 00:40:58,839 --> 00:41:00,505 This way. 895 00:41:01,421 --> 00:41:08,460 ♪ ♪ 896 00:41:25,320 --> 00:41:27,901 I'm not going with Child Services. 897 00:41:28,294 --> 00:41:30,193 I'm not here to take you away. 898 00:41:30,218 --> 00:41:31,686 ♪ ♪ 899 00:41:31,711 --> 00:41:34,395 I brought you antibiotics. Twice a day, with a meal. 900 00:41:34,567 --> 00:41:37,941 ♪ ♪ 901 00:41:38,447 --> 00:41:39,947 Will you make sure she takes these? 902 00:41:40,124 --> 00:41:41,899 ♪ ♪ 903 00:41:42,059 --> 00:41:43,721 April's going to show your friends 904 00:41:43,746 --> 00:41:45,839 how to keep the wound clean. 905 00:41:45,864 --> 00:41:47,497 ♪ ♪ 906 00:41:47,679 --> 00:41:49,065 Thanks. 907 00:41:49,090 --> 00:41:50,957 Let me take a look at that dressing. 908 00:41:51,372 --> 00:41:58,610 ♪ ♪ 909 00:42:01,172 --> 00:42:06,726 - Synced and corrected by martythecrazy - - www.addic7ed.com -