1 00:00:03,053 --> 00:00:06,273 This is a teaching hospital. 2 00:00:06,555 --> 00:00:07,507 I'm not a therapist. 3 00:00:07,532 --> 00:00:09,577 I'm here to make her into a doctor. 4 00:00:09,756 --> 00:00:11,648 Our job is to nurture, 5 00:00:11,673 --> 00:00:13,867 not to cull the herd. 6 00:00:15,000 --> 00:00:17,132 Said he'd been assaulted by a masked assailant. 7 00:00:17,157 --> 00:00:19,375 He did this. 8 00:00:19,433 --> 00:00:21,478 I've been advocating for you ever since you got here. 9 00:00:21,503 --> 00:00:23,896 And you know what? I'm done. 10 00:00:24,036 --> 00:00:25,340 How are things at home? 11 00:00:25,458 --> 00:00:28,000 Honestly, it's a little strained. 12 00:00:28,564 --> 00:00:30,296 The job is to be there for your patient 13 00:00:30,321 --> 00:00:32,148 throughout their care. 14 00:00:32,323 --> 00:00:35,542 It's a hard rotation for anyone, 15 00:00:36,028 --> 00:00:38,813 but it's the burden we bear. 16 00:00:54,879 --> 00:00:55,976 Yeah, me too. 17 00:00:56,001 --> 00:00:58,054 I don't want to be sad anymore. 18 00:00:58,079 --> 00:01:00,123 So I just want to be clear. You're saying you don't think 19 00:01:00,148 --> 00:01:02,062 - there's any way that... - Goodbye, Daniel. 20 00:01:07,253 --> 00:01:08,772 Everything OK? 21 00:01:08,931 --> 00:01:10,187 She just got herself transferred 22 00:01:10,212 --> 00:01:11,734 to another hospital. 23 00:01:11,759 --> 00:01:13,630 A little extreme, don't you think? 24 00:01:13,696 --> 00:01:17,089 Wow, I'm sorry you two couldn't work it out. 25 00:01:18,908 --> 00:01:20,804 Don't know what to tell you, you know? 26 00:01:21,045 --> 00:01:23,873 She still thinks that Ripley attacked Pawel, 27 00:01:23,898 --> 00:01:25,687 and it infuriates her that I don't. 28 00:01:25,794 --> 00:01:27,687 You miss her? 29 00:01:28,290 --> 00:01:30,781 Been a little quiet around the house 30 00:01:30,806 --> 00:01:32,415 since she moved out. Not gonna lie. 31 00:01:32,741 --> 00:01:34,625 - Do I have to worry about you? - No. 32 00:01:34,650 --> 00:01:36,252 You've got to get ready to address your troops. 33 00:01:36,277 --> 00:01:37,232 I'm ready, I ... 34 00:01:37,257 --> 00:01:39,195 don't know if they're ready to hear it. 35 00:01:39,513 --> 00:01:41,140 - Good luck. - Yeah. 36 00:01:41,717 --> 00:01:43,648 Hey, you up for a celebratory beer? 37 00:01:43,673 --> 00:01:45,031 Oh, yeah. What are you celebrating? 38 00:01:45,056 --> 00:01:46,218 I'm done with chemo. 39 00:01:46,243 --> 00:01:48,418 I've got a good feeling about this PET scan. 40 00:01:48,443 --> 00:01:50,705 Hopefully, I can start helping Lynne with the baby. 41 00:01:50,970 --> 00:01:52,382 Well, I'm digging this new attitude, 42 00:01:52,407 --> 00:01:55,496 but a beer and chemo is not a... not a great combo. 43 00:01:55,631 --> 00:01:58,546 Maybe it's the perfect combo. Hey - 44 00:01:59,218 --> 00:02:01,546 you hear anything more about our other situation 45 00:02:01,571 --> 00:02:03,267 with, uh, Pawel? 46 00:02:03,400 --> 00:02:05,271 It's been quiet. 47 00:02:05,296 --> 00:02:07,281 You see? What'd I tell you? 48 00:02:07,328 --> 00:02:10,983 Cops don't care about small time stuff. 49 00:02:11,320 --> 00:02:14,187 - See you. - Yeah. 50 00:02:15,789 --> 00:02:16,664 Excuse me. 51 00:02:16,689 --> 00:02:18,789 Uh, you were a no-show last night 52 00:02:18,790 --> 00:02:19,976 at Crockett's goodbye party. 53 00:02:20,001 --> 00:02:22,671 He's sleeping it off on a plane to Boston about now. 54 00:02:22,696 --> 00:02:24,906 Yeah, sorry. I, uh, got held up here. 55 00:02:24,931 --> 00:02:26,889 - What's going on? - Oh, you haven't heard? 56 00:02:27,106 --> 00:02:29,609 Ms. Goodman's about to make a very big announcement 57 00:02:29,634 --> 00:02:31,069 to the entire ED. 58 00:02:31,436 --> 00:02:32,664 Well, that can't be good. 59 00:02:32,689 --> 00:02:35,562 Maybe we'll get a new hot tub in the staff lounge. 60 00:02:44,434 --> 00:02:47,131 Did it just get colder in here? 61 00:02:47,429 --> 00:02:48,554 We're on a break. 62 00:02:48,579 --> 00:02:50,773 Like a Ross and Rachel break or a Brad and Angelina break? 63 00:02:50,798 --> 00:02:52,460 I don't know, but I'm not gonna let it 64 00:02:52,485 --> 00:02:53,920 ruin my good mood. 65 00:02:54,301 --> 00:02:56,650 Have either of you seen the Brick? 66 00:02:56,683 --> 00:02:58,031 - No. - No, I haven't. 67 00:02:58,056 --> 00:02:59,148 It's just so strange. 68 00:02:59,173 --> 00:03:01,656 The night nurse normally leaves it at my desk, and... 69 00:03:01,681 --> 00:03:03,984 - So everyone's here? - Yeah. 70 00:03:04,047 --> 00:03:05,679 Good morning, everyone. 71 00:03:05,704 --> 00:03:10,012 I know that you've all heard that Jackson Monroe Hospital 72 00:03:10,037 --> 00:03:12,386 is closing its doors next week. 73 00:03:12,400 --> 00:03:15,141 Gaffney will absorb the overflow. 74 00:03:15,267 --> 00:03:17,834 Daily patient numbers will double. 75 00:03:18,030 --> 00:03:22,105 We need to rethink how this ED operates. 76 00:03:22,233 --> 00:03:25,193 So changes are on the horizon, 77 00:03:25,218 --> 00:03:26,983 and I just ask for your patience 78 00:03:27,008 --> 00:03:29,421 as we navigate this thing together. 79 00:03:29,446 --> 00:03:32,413 And thank you in advance. 80 00:03:33,358 --> 00:03:35,468 Dr. Archer, we should talk. 81 00:03:35,493 --> 00:03:37,668 Dr. Archer? Trauma 2 needs you. 82 00:03:37,817 --> 00:03:39,687 Uh, let's talk later, OK? 83 00:03:39,991 --> 00:03:42,796 Uh, don't be concerned about the ED. 84 00:03:42,821 --> 00:03:46,476 I'm ready for whatever's coming. 85 00:03:48,655 --> 00:03:51,264 Excuse me. Hi. 86 00:03:51,601 --> 00:03:53,788 - Can I have that? - Yeah. 87 00:03:54,617 --> 00:03:56,053 Thank you. 88 00:04:01,921 --> 00:04:03,878 Oh, my God. 89 00:04:03,973 --> 00:04:06,741 The commuter ship was struck by a smaller vessel. 90 00:04:06,766 --> 00:04:07,749 Water flooded the hull, 91 00:04:07,774 --> 00:04:09,437 and it capsized within minutes. 92 00:04:09,462 --> 00:04:11,765 Rescue operations are underway. 93 00:04:14,296 --> 00:04:14,812 That's right. 94 00:04:14,837 --> 00:04:17,358 A mass casualty incident is en route for Gaffney ASAP. 95 00:04:17,383 --> 00:04:19,568 70 or 80 victims, nearly half critical. 96 00:04:19,593 --> 00:04:21,164 Most of them are coming to us. 97 00:04:21,165 --> 00:04:23,905 Full MCI protocol. Yes. 98 00:04:24,069 --> 00:04:25,552 What's the ETA for the first arrival? 99 00:04:25,577 --> 00:04:26,299 Two minutes out. 100 00:04:26,300 --> 00:04:27,349 Trauma suites have been cleared? 101 00:04:27,374 --> 00:04:28,187 Treatment rooms too. 102 00:04:28,212 --> 00:04:29,501 Have you locked down the walk-in entrance? 103 00:04:29,526 --> 00:04:30,452 Done, the ambulance bay's 104 00:04:30,477 --> 00:04:31,882 the only point of entry into the ED. 105 00:04:31,907 --> 00:04:33,405 Chaos control. 106 00:04:33,430 --> 00:04:35,284 Trigger the all hazards disaster plan. 107 00:04:35,309 --> 00:04:37,537 Every on-call doctor, nurse, and otherwise 108 00:04:37,562 --> 00:04:39,773 hightails it in here ASAP. 109 00:04:39,913 --> 00:04:42,257 - All hands on deck. - Look at you. 110 00:04:42,282 --> 00:04:44,654 That's why I keep my RN license active 111 00:04:44,679 --> 00:04:46,841 for emergencies like this. 112 00:04:46,968 --> 00:04:48,544 Take intake and triage. 113 00:04:48,569 --> 00:04:49,701 - It's all set up. - Got it. 114 00:04:49,726 --> 00:04:50,802 Thank you. 115 00:04:51,178 --> 00:04:52,523 Thought it was gonna be a quiet morning. 116 00:04:52,548 --> 00:04:54,418 That's when the universe gets you. 117 00:05:02,970 --> 00:05:04,579 Coming in behind you! 118 00:05:21,112 --> 00:05:22,665 Paramedics say she was impaled 119 00:05:22,690 --> 00:05:24,636 by deck railing in a small explosion. 120 00:05:24,661 --> 00:05:27,359 Please! Please save my baby girl. 121 00:05:27,360 --> 00:05:30,362 All right, baby's 39 weeks. Let's make mom comfortable. 122 00:05:30,363 --> 00:05:32,103 - 20 of Etomidate, 80 of roc... - Kelsey, I'm Dr. Asher. 123 00:05:32,104 --> 00:05:33,104 We're gonna give you something 124 00:05:33,105 --> 00:05:34,844 to help you go to sleep, OK? 125 00:05:34,845 --> 00:05:37,108 Can someone find my husband? 126 00:05:37,109 --> 00:05:38,196 Was he on the ship with you, Kelsey? 127 00:05:38,197 --> 00:05:40,328 Yeah. Finn Gallicano. 128 00:05:40,329 --> 00:05:41,460 What does he look like? 129 00:05:41,461 --> 00:05:42,939 Etomidate and roc going in. 130 00:05:42,940 --> 00:05:46,334 Thin, dark hair, lots of tattoos. 131 00:05:46,335 --> 00:05:48,815 - Black. - We're gonna find him. 132 00:05:48,816 --> 00:05:50,947 Is my baby gonna be OK? 133 00:05:50,948 --> 00:05:52,514 She's in good hands. 134 00:05:52,515 --> 00:05:53,994 Do you have a name for her yet? 135 00:05:53,995 --> 00:05:56,431 It's Darby. 136 00:05:56,432 --> 00:05:59,521 Darby. OK. 137 00:05:59,522 --> 00:06:01,480 I'll let you know when I track down the husband. 138 00:06:01,481 --> 00:06:02,742 She's under. 139 00:06:02,743 --> 00:06:05,440 Intubating now. 140 00:06:05,441 --> 00:06:07,094 All right, carry on. 141 00:06:07,095 --> 00:06:08,748 OK, baby's in distress. 142 00:06:08,749 --> 00:06:10,402 Fetal heart tones are slow. 143 00:06:10,403 --> 00:06:13,056 The metal shard is penetrating the placenta. 144 00:06:13,057 --> 00:06:14,884 The baby's unharmed, but the placenta is abrupting. 145 00:06:14,885 --> 00:06:16,321 We need to deliver right now. 146 00:06:16,322 --> 00:06:18,584 Whoa, whoa, whoa, whoa, whoa. Chest X-ray first. 147 00:06:18,585 --> 00:06:20,455 - Mike? - You got her? 148 00:06:21,056 --> 00:06:22,927 X-ray. 149 00:06:23,514 --> 00:06:25,428 All right, ET placement confirmed. 150 00:06:25,453 --> 00:06:26,627 Look, see? Free air. 151 00:06:26,652 --> 00:06:27,631 Yeah, but no free fluid. 152 00:06:27,656 --> 00:06:29,918 She likely perforated her bowel. 153 00:06:30,587 --> 00:06:32,414 Who knows what else. 154 00:06:32,415 --> 00:06:34,852 Mom could bleed to death all over the table. 155 00:06:34,853 --> 00:06:38,333 How do you repair the damage if the baby is on the way? 156 00:06:38,334 --> 00:06:40,031 The only option that we have... 157 00:06:40,032 --> 00:06:42,207 Remove the debris and deliver the baby at the same time. 158 00:06:42,208 --> 00:06:43,774 Pretty risky. 159 00:06:43,775 --> 00:06:45,253 What other choice do we have? 160 00:06:50,085 --> 00:06:53,392 Oh, we can't take any overflow from Jackson Monroe. 161 00:06:53,393 --> 00:06:54,741 She's not overflow. 162 00:06:54,742 --> 00:06:56,525 She's a patient of mine who needs an MRI. 163 00:06:56,526 --> 00:06:58,353 Well, your hospital has its own MRI. 164 00:06:58,354 --> 00:07:00,225 The hospital sold all of its radiology machines 165 00:07:00,226 --> 00:07:03,097 because of the closure, so I was hoping that... 166 00:07:03,098 --> 00:07:04,882 No, it's not gonna happen. Look around. 167 00:07:04,883 --> 00:07:07,101 We're underwater, and more are coming. 168 00:07:07,102 --> 00:07:08,886 I get that, OK? 169 00:07:08,887 --> 00:07:10,626 But just because this kid wasn't on that ship 170 00:07:10,627 --> 00:07:12,672 does not mean she isn't in danger. 171 00:07:12,673 --> 00:07:15,153 Look, Maggie? 172 00:07:15,154 --> 00:07:19,113 You're a capable, intelligent woman with a big heart. 173 00:07:19,114 --> 00:07:20,549 I can tell. 174 00:07:20,550 --> 00:07:25,032 Well, thank you for really seeing me, Dr. Frost. 175 00:07:25,033 --> 00:07:29,210 I'm sure you can figure this out if you try. 176 00:07:29,211 --> 00:07:30,981 Does this usually work? 177 00:07:31,006 --> 00:07:32,615 Does what usually work? 178 00:07:32,640 --> 00:07:35,250 The charm assault and the smile and the puppy dog eyes. 179 00:07:35,478 --> 00:07:38,263 Uh, yeah, it does, 180 00:07:38,264 --> 00:07:39,568 most of the time. 181 00:07:39,569 --> 00:07:41,418 - OK. - This is Zoey. 182 00:07:41,816 --> 00:07:44,209 - Hello, sweetie. - Hello. 183 00:07:44,414 --> 00:07:47,684 How are... 184 00:07:47,764 --> 00:07:49,896 are you? 185 00:07:53,642 --> 00:07:54,729 Where are her parents? 186 00:07:54,933 --> 00:07:56,368 She's been in the system since 187 00:07:56,369 --> 00:07:58,371 she was four years old when her mom abandoned her. 188 00:07:58,408 --> 00:07:59,402 She's never met her dad. 189 00:07:59,427 --> 00:08:01,479 I'm sorry to hear that, but who gave you permission 190 00:08:01,504 --> 00:08:02,896 to bring her here now? 191 00:08:02,897 --> 00:08:05,899 Her DCFS rep. I have the paperwork. 192 00:08:05,900 --> 00:08:07,945 Zoey's been in and out of my ED the past couple 193 00:08:07,946 --> 00:08:10,164 weeks with headaches, and today, 194 00:08:10,165 --> 00:08:11,473 she got roughed up by some older kids 195 00:08:11,498 --> 00:08:12,760 because of her speech issues. 196 00:08:12,785 --> 00:08:14,655 My hospital wants to discharge her 197 00:08:14,680 --> 00:08:16,768 without any further assessment. 198 00:08:16,793 --> 00:08:20,100 OK, I'll call upstairs and see if we can get her in. 199 00:08:20,140 --> 00:08:21,918 You're an angel. 200 00:08:22,036 --> 00:08:24,049 And you're trouble. 201 00:08:25,887 --> 00:08:30,281 You know, it becomes endearing once you get to know me. 202 00:08:30,439 --> 00:08:32,832 It becomes less annoying when you get to... 203 00:08:32,857 --> 00:08:35,641 I'll just quit while I'm ahead. Yep. 204 00:08:35,712 --> 00:08:38,628 Nice to meet you, Maggie. 205 00:08:41,762 --> 00:08:43,676 Hey, Ellis. 206 00:08:43,677 --> 00:08:45,591 How you doing? 207 00:08:45,592 --> 00:08:48,504 Where's, um... where's Mom and Dad? 208 00:08:48,529 --> 00:08:50,486 - Fighting, I think. - You know what? 209 00:08:50,511 --> 00:08:52,599 Sometimes my parents would fight 210 00:08:52,947 --> 00:08:54,643 when they were worried about me. 211 00:08:54,644 --> 00:08:55,754 So I don't know. 212 00:08:55,779 --> 00:08:57,214 I mean, a lot of stuff happened today. 213 00:08:57,239 --> 00:08:58,004 You got hurt. 214 00:08:58,029 --> 00:08:59,629 I think your parents are a little worried about you, 215 00:08:59,654 --> 00:09:00,872 right? And your leg. 216 00:09:00,897 --> 00:09:03,681 - My leg hurts. - Huh. 217 00:09:03,986 --> 00:09:06,685 Let me take a quick look, OK? 218 00:09:11,318 --> 00:09:13,972 OK. Um, you know what? 219 00:09:14,309 --> 00:09:16,833 I think it's time for Dr. Johnson 220 00:09:16,858 --> 00:09:19,685 to check up on you anyway, so I'm gonna go find him, OK? 221 00:09:19,710 --> 00:09:21,016 Be right back. 222 00:09:23,858 --> 00:09:25,728 OK, just try to stay off the leg 223 00:09:25,753 --> 00:09:27,928 as much as possible for the next few weeks. 224 00:09:28,007 --> 00:09:29,426 Dr. Ripley? 225 00:09:29,529 --> 00:09:31,704 Hey, Rosado. How's it looking out there? 226 00:09:31,729 --> 00:09:33,469 Still a lot of people missing inside that ship, 227 00:09:33,814 --> 00:09:36,511 but I want to give you a heads up. 228 00:09:36,512 --> 00:09:37,691 About what? 229 00:09:37,723 --> 00:09:40,899 - The Pawel Wapniarski case. - OK. 230 00:09:40,924 --> 00:09:43,504 A witness just came forward who puts you at the scene. 231 00:09:43,568 --> 00:09:45,607 Claims he saw you at the bar where Wapniarski was beaten 232 00:09:45,632 --> 00:09:49,156 moments after it happened. 233 00:09:49,306 --> 00:09:50,654 Look, I appreciate the heads up, 234 00:09:50,679 --> 00:09:52,158 but I got nothing to hide. 235 00:09:52,183 --> 00:09:53,531 I'd get a lawyer. 236 00:09:53,556 --> 00:09:55,601 An arrest is not out of the question. 237 00:09:56,926 --> 00:10:00,973 Dr. Ripley, Code Blue, Trauma 2. 238 00:10:03,043 --> 00:10:04,231 He's unresponsive. 239 00:10:04,256 --> 00:10:06,736 One moment, he was fine, the next moment, not. 240 00:10:07,136 --> 00:10:09,176 Mr. Harley? Mr. Harley, can you hear me? 241 00:10:09,201 --> 00:10:11,855 Heart rate 140. Pulse ox 92. 242 00:10:11,880 --> 00:10:15,622 Respiratory rate 30. Blood pressure 78 over 40. 243 00:10:15,869 --> 00:10:17,520 Abdomen's distended. 244 00:10:17,545 --> 00:10:19,764 He's in hemorrhagic shock and bleeding into the abdomen. 245 00:10:19,789 --> 00:10:21,964 Could be a splenic laceration. Page Archer. 246 00:10:22,207 --> 00:10:23,599 Surgery's slammed. 247 00:10:23,690 --> 00:10:25,996 Hybrid OR is the only available option. 248 00:10:25,997 --> 00:10:28,259 OK, he needs blood. Let's give him two by two. 249 00:10:28,260 --> 00:10:30,348 Hang a liter of LR on a pressure bag while we wait. 250 00:10:30,349 --> 00:10:32,002 - Let's move. - OK. 251 00:10:32,003 --> 00:10:33,655 Ellis's leg has a tissue infection 252 00:10:33,656 --> 00:10:35,918 called necrotizing fasciitis. 253 00:10:35,919 --> 00:10:38,095 The bacteria's point of entry was the cut he sustained 254 00:10:38,096 --> 00:10:39,879 during the accident, and then it quickly 255 00:10:39,880 --> 00:10:41,272 spread through the fascia. 256 00:10:41,273 --> 00:10:42,969 So this is like a flesh-eating bacteria? 257 00:10:42,970 --> 00:10:45,058 What it also is is a scary name for 258 00:10:45,059 --> 00:10:46,842 an often very treatable condition. 259 00:10:46,843 --> 00:10:48,453 I... I'm sorry. I don't understand. 260 00:10:48,454 --> 00:10:50,107 Was the bacteria in the water? 261 00:10:50,108 --> 00:10:51,978 Maybe, or it was on the object 262 00:10:51,979 --> 00:10:52,979 that he scraped his leg against, 263 00:10:52,980 --> 00:10:54,633 but that is just a guess. 264 00:10:54,634 --> 00:10:56,069 And it's spreading so quickly. 265 00:10:56,070 --> 00:10:57,723 Jeanine, Ellis is gonna be OK. 266 00:10:57,724 --> 00:10:59,551 Good news, we caught it fast, so, 267 00:10:59,552 --> 00:11:01,292 - you know, we got options. - Right. 268 00:11:01,293 --> 00:11:03,468 I'd recommend antibiotics and debridement. 269 00:11:03,469 --> 00:11:05,818 We remove all the dead tissue, irrigate the wound, 270 00:11:05,819 --> 00:11:07,733 and then we leave it open for a couple of days, 271 00:11:07,734 --> 00:11:09,996 - clear out the infection. - Surgery? 272 00:11:09,997 --> 00:11:11,824 What about his hemophilia? 273 00:11:11,825 --> 00:11:13,086 It's totally manageable with meds. 274 00:11:13,087 --> 00:11:14,827 My son almost bled out an hour ago. 275 00:11:14,828 --> 00:11:16,829 Now you want to fillet his leg? No way! 276 00:11:16,830 --> 00:11:18,570 What are the other options? 277 00:11:18,571 --> 00:11:23,096 W... uh, well, we could try stronger antibiotics. 278 00:11:23,097 --> 00:11:24,750 Great. Let's do that. 279 00:11:24,751 --> 00:11:26,491 OK, but that's... that's a risk. 280 00:11:26,492 --> 00:11:29,711 His infection's too severe for antibiotics alone. 281 00:11:29,712 --> 00:11:31,061 You just said that we caught it early. 282 00:11:31,062 --> 00:11:32,888 To save his life, not his leg. 283 00:11:32,889 --> 00:11:35,282 If the antibiotics fail, I mean, 284 00:11:35,283 --> 00:11:37,328 amputation's gonna be the only option. 285 00:11:37,329 --> 00:11:40,113 We can't gamble his leg. Let's do the surgery on Ellis. 286 00:11:40,114 --> 00:11:41,767 Enough. 287 00:11:41,768 --> 00:11:44,030 Tell them what you did, Seth. 288 00:11:44,031 --> 00:11:45,771 - Jeanine, please don't. - What? 289 00:11:45,772 --> 00:11:47,294 What's the matter? 290 00:11:47,295 --> 00:11:50,776 You don't want to talk about it now? 291 00:11:50,777 --> 00:11:53,344 We were below deck when the ship capsized. 292 00:11:53,345 --> 00:11:56,390 Water was rushing in faster than we could swim. 293 00:11:56,391 --> 00:11:58,349 Ellis was trapped in a tangle of chairs 294 00:11:58,350 --> 00:12:01,482 pressed against a wall, and he was screaming to us 295 00:12:01,483 --> 00:12:04,006 - for help. - Please stop. 296 00:12:04,007 --> 00:12:06,357 I turn around and Seth is gone. 297 00:12:06,358 --> 00:12:09,360 So even though we almost drowned several times over, 298 00:12:09,361 --> 00:12:11,362 I pulled Ellis out alone. 299 00:12:11,363 --> 00:12:14,278 - You don't understand... - I understand perfectly, Seth. 300 00:12:14,279 --> 00:12:16,062 You abandoned us. 301 00:12:16,063 --> 00:12:18,934 You were gonna let our son die to save yourself. 302 00:12:18,935 --> 00:12:20,893 So, no, you don't get a vote. 303 00:12:20,894 --> 00:12:22,851 I'm sorry. 304 00:12:22,852 --> 00:12:24,244 I'm so sorry... 305 00:12:24,245 --> 00:12:27,029 Stay the hell away from us. No surgery, period. 306 00:12:35,038 --> 00:12:36,430 - Ready? - Ready. 307 00:12:36,431 --> 00:12:39,129 On three. One, two, three. 308 00:12:45,310 --> 00:12:47,180 Ah, trigger the MTP. 309 00:12:47,181 --> 00:12:49,269 - OK. - Bolus. Start pressors. 310 00:12:49,270 --> 00:12:50,488 We're in trouble. 311 00:12:51,707 --> 00:12:53,012 Baby's blue. 312 00:12:53,013 --> 00:12:55,275 Let's go. She's apneic. 313 00:12:55,276 --> 00:12:56,624 - Where's the neonatologist? - Yes, doctor? 314 00:12:56,625 --> 00:12:59,366 OK, I'll resuscitate. Let's go. 315 00:13:00,890 --> 00:13:03,109 Starting CPR. 316 00:13:03,110 --> 00:13:04,241 We've got to get her heart rate up. 317 00:13:04,242 --> 00:13:05,677 Come on. 318 00:13:05,678 --> 00:13:07,200 Show me how strong you are, baby girl. 319 00:13:07,201 --> 00:13:08,419 - Come on. - V-fib. 320 00:13:08,420 --> 00:13:10,203 Ah, damn it. We need to shock. 321 00:13:10,204 --> 00:13:11,987 Paddles. 322 00:13:11,988 --> 00:13:14,729 Charge to 120. Clear. 323 00:13:15,731 --> 00:13:18,733 Still in V-fib. 324 00:13:21,433 --> 00:13:22,737 There you are! 325 00:13:22,738 --> 00:13:25,697 All right. Again, 200 this time. 326 00:13:25,698 --> 00:13:27,786 Clear! 327 00:13:30,224 --> 00:13:32,051 Ah, Mom's back. 328 00:13:32,052 --> 00:13:33,444 OK. 329 00:13:33,445 --> 00:13:34,880 Strange timing. 330 00:13:34,881 --> 00:13:36,534 It's almost like she heard her baby cry. 331 00:13:36,535 --> 00:13:40,886 Or it's the electrical current. 332 00:13:48,547 --> 00:13:50,025 Can I help, Ms. Howard? 333 00:13:50,026 --> 00:13:51,853 No matter how tight I make the tourniquet, 334 00:13:51,854 --> 00:13:53,464 the bleeding won't stop. 335 00:13:53,465 --> 00:13:57,076 Well, it's hard to compress a blood vessel at the elbow, 336 00:13:57,077 --> 00:14:00,427 so just slide the tourniquet above the elbow, 337 00:14:00,428 --> 00:14:01,777 and then tighten it. 338 00:14:03,736 --> 00:14:06,216 There you go. 339 00:14:06,217 --> 00:14:09,567 This job is a lot of things, but boring isn't one of them. 340 00:14:09,568 --> 00:14:11,177 Want to know a secret? 341 00:14:11,178 --> 00:14:13,484 I miss the hell out of it. 342 00:14:13,485 --> 00:14:16,487 Not the suffering, mind you, but being able to help 343 00:14:16,488 --> 00:14:18,271 in an immediate way? 344 00:14:18,272 --> 00:14:20,795 That adrenaline is a drug. 345 00:14:20,796 --> 00:14:22,493 Don't let anyone tell you different. 346 00:14:22,494 --> 00:14:25,104 Why'd you stop? 347 00:14:25,105 --> 00:14:27,976 Being a clinical nurse, I mean. 348 00:14:27,977 --> 00:14:30,718 I realized there are other ways of being of service. 349 00:14:30,719 --> 00:14:34,244 So I went back to school, got my MBA. 350 00:14:34,245 --> 00:14:37,247 Administration was a natural fit. 351 00:14:37,248 --> 00:14:38,944 So it's a trade-off. 352 00:14:38,945 --> 00:14:42,077 Yeah, like most things in life, Ms. Howard. 353 00:14:47,571 --> 00:14:49,137 Dr. Archer? 354 00:14:49,377 --> 00:14:49,823 Huh? 355 00:14:49,848 --> 00:14:52,401 I have a second wave of ship accident victims 356 00:14:52,426 --> 00:14:54,775 coming in, but I'm out of space. 357 00:14:55,057 --> 00:14:56,884 Bypass them to Jackson Monroe. 358 00:14:56,885 --> 00:14:59,887 Is that really necessary? 359 00:15:00,104 --> 00:15:02,237 We're getting slammed, huh? 360 00:15:02,238 --> 00:15:03,487 Soon we'll hit a tipping point where 361 00:15:03,512 --> 00:15:06,035 we will be unable to maintain a proper level of care. 362 00:15:06,590 --> 00:15:08,026 So why don't we pivot? 363 00:15:08,027 --> 00:15:10,985 Find empty ICU beds and move the beds to... 364 00:15:10,986 --> 00:15:13,901 - what's that room? - The consultation room? 365 00:15:13,902 --> 00:15:15,773 That is a tremendous waste of space. 366 00:15:15,774 --> 00:15:17,688 Your first day here and you... 367 00:15:17,689 --> 00:15:18,924 you know everything, right? 368 00:15:18,949 --> 00:15:21,151 Diverting patients could cost red tag victims 369 00:15:21,176 --> 00:15:23,365 precious time that they can't afford to lose. 370 00:15:23,390 --> 00:15:25,913 That also falls below a proper level of care. 371 00:15:25,914 --> 00:15:28,437 You're military. 372 00:15:28,438 --> 00:15:29,700 Army. 373 00:15:29,701 --> 00:15:31,440 Well, I guess that counts. 374 00:15:31,441 --> 00:15:33,486 You? 375 00:15:33,487 --> 00:15:35,575 Navy. 376 00:15:35,576 --> 00:15:37,011 OK. 377 00:15:37,012 --> 00:15:40,754 This is fun, but I need a decision. 378 00:15:40,755 --> 00:15:43,149 Yeah, what she said. 379 00:15:45,673 --> 00:15:47,674 Isaac? Talk to me. 380 00:15:47,675 --> 00:15:49,763 Late 20s adult female. Critical. 381 00:15:49,764 --> 00:15:51,330 Heart rate 133. 382 00:15:51,331 --> 00:15:52,766 BP 94 over 59. 383 00:15:52,767 --> 00:15:54,289 Intubated at the scene. 384 00:15:54,290 --> 00:15:56,248 Frontal scalp wound, bleeding controlled with dressing. 385 00:15:56,249 --> 00:15:58,772 We've got an 18-gauge IV on the left AC. 386 00:15:58,773 --> 00:16:00,687 Her name is Wendy. I'm her wife. 387 00:16:00,688 --> 00:16:02,036 Please just help her. 388 00:16:02,037 --> 00:16:03,777 Let's go to the consultation room. 389 00:16:03,778 --> 00:16:06,127 Dr. Lenox, the room is not prepped. 390 00:16:06,128 --> 00:16:07,955 Walk and chew gum at the same time. 391 00:16:07,956 --> 00:16:10,131 Dr. Hudgins, you're with me. 392 00:16:10,132 --> 00:16:12,307 Get ready to rotate. Let's go. 393 00:16:12,308 --> 00:16:13,656 Let's go. 394 00:16:13,657 --> 00:16:15,571 Let's flip this. 395 00:16:15,572 --> 00:16:17,923 Put the bed here. 396 00:16:19,944 --> 00:16:22,511 You OK? 397 00:16:22,536 --> 00:16:24,972 Dr. Hudgins, you OK? 398 00:16:25,441 --> 00:16:27,835 Yeah, I'll be fine. 399 00:16:32,111 --> 00:16:34,416 Dr. Uh, Frost, I presume? 400 00:16:34,417 --> 00:16:36,767 Dr. Abrams, pleasure to meet you. 401 00:16:36,768 --> 00:16:38,203 Uh, I imagine so. 402 00:16:38,204 --> 00:16:40,422 - Can we talk in private? - Yeah. 403 00:16:40,423 --> 00:16:42,033 Be right back. 404 00:16:42,034 --> 00:16:43,512 So I reviewed the MRI brain imaging, 405 00:16:43,513 --> 00:16:44,687 and you're right. 406 00:16:44,688 --> 00:16:46,472 Your patient has a large 6-by-4-centimeter 407 00:16:46,473 --> 00:16:48,517 glioma tumor in her Broca's area. 408 00:16:48,518 --> 00:16:51,303 Well, that explains the sudden onset of speech issues. 409 00:16:51,304 --> 00:16:53,696 Yes, that's why I said you were right. 410 00:16:53,697 --> 00:16:55,960 I can say it again if you like. 411 00:16:55,961 --> 00:16:58,179 No, I'm good. 412 00:16:58,180 --> 00:17:00,834 So, um, what happens now? 413 00:17:00,835 --> 00:17:03,010 I get the kid on my table ASAP so I can remove the tumor 414 00:17:03,011 --> 00:17:04,620 before it does any more damage, 415 00:17:04,621 --> 00:17:07,233 but there are some significant risks. 416 00:17:10,758 --> 00:17:15,066 What kind of risks? 417 00:17:15,067 --> 00:17:17,111 Well, there's a chance that you could completely 418 00:17:17,112 --> 00:17:19,158 lose your ability to speak. 419 00:17:21,029 --> 00:17:23,597 How... for... 420 00:17:24,990 --> 00:17:27,513 For how long? 421 00:17:27,514 --> 00:17:30,124 Permanently. 422 00:17:30,125 --> 00:17:33,171 And if I don't... 423 00:17:33,172 --> 00:17:35,434 don't do the surgery? 424 00:17:35,435 --> 00:17:38,567 Well, pediatric brain tumors are tricky to predict. 425 00:17:38,568 --> 00:17:41,527 Your speech difficulties might keep getting worse, 426 00:17:41,528 --> 00:17:44,791 or they might stay the same for a while. 427 00:17:44,792 --> 00:17:48,708 But the tumor will likely continue to grow and eventually 428 00:17:48,709 --> 00:17:53,147 start to affect other functions of the brain, like strength. 429 00:17:53,148 --> 00:17:55,193 And by that time, it'll be harder to remove, 430 00:17:55,194 --> 00:17:59,327 and it might even progress to Stage 4 brain cancer. 431 00:17:59,328 --> 00:18:04,637 And by then, I'm afraid it'll be too late. 432 00:18:04,638 --> 00:18:06,987 Will you do the surgery? 433 00:18:06,988 --> 00:18:09,903 I wish I could, but I... 434 00:18:09,904 --> 00:18:12,079 I'm not a brain surgeon. 435 00:18:12,080 --> 00:18:14,212 Not smart enough? 436 00:18:14,213 --> 00:18:16,083 Wow. That... 437 00:18:16,084 --> 00:18:17,606 That was a good one. 438 00:18:19,914 --> 00:18:22,655 Look, Dr. Abrams is the best 439 00:18:22,656 --> 00:18:24,352 neurosurgeon in the country. 440 00:18:24,353 --> 00:18:26,659 I mean, just ask him. He'll tell you himself. 441 00:18:33,058 --> 00:18:36,103 Look, Zoey, 442 00:18:36,104 --> 00:18:38,758 I want you in the world. 443 00:18:38,759 --> 00:18:42,283 OK, it's a better world with you in it. 444 00:18:42,284 --> 00:18:44,938 You're scared. I get that. 445 00:18:44,939 --> 00:18:49,987 But if you can embrace that fear and move through it, 446 00:18:49,988 --> 00:18:52,250 you will be shocked how much stronger 447 00:18:52,251 --> 00:18:54,643 you are on the other side. 448 00:18:54,644 --> 00:18:56,732 So what do you say? 449 00:18:56,733 --> 00:18:59,953 Y... you talk too much. 450 00:19:02,174 --> 00:19:04,001 Well, guess what? 451 00:19:04,002 --> 00:19:05,916 So will you, 452 00:19:05,917 --> 00:19:08,962 very, very soon. 453 00:19:08,963 --> 00:19:10,485 We got this, right? 454 00:19:10,486 --> 00:19:12,096 We got this? Yeah, come on. 455 00:19:12,097 --> 00:19:13,967 We got it. 456 00:19:17,276 --> 00:19:19,146 - Hey, Dale. - Hey. 457 00:19:19,147 --> 00:19:21,279 John Does are in the back corner there. 458 00:19:21,280 --> 00:19:24,413 OK. Thanks. 459 00:19:51,049 --> 00:19:52,788 Damn it. 460 00:19:54,704 --> 00:19:57,010 OK, looks like we're about done here. 461 00:19:57,011 --> 00:19:58,707 Bleeding's stopped. 462 00:19:58,708 --> 00:20:00,840 Spleen's in the bucket. Let's close. 463 00:20:00,841 --> 00:20:02,711 Oh, what the hell is this? 464 00:20:02,712 --> 00:20:05,976 He's seizing again, just like he did on his ship. 465 00:20:05,977 --> 00:20:07,542 Whoa, ah! 466 00:20:07,543 --> 00:20:09,588 Ah, damn it, I lacerated the liver. 467 00:20:09,589 --> 00:20:11,155 Heart rate increasing to 180. 468 00:20:11,156 --> 00:20:12,634 Don't your paralytics prevent seizures? 469 00:20:12,635 --> 00:20:14,027 Yes, this shouldn't be happening. 470 00:20:14,028 --> 00:20:15,289 He's eating through the paralytic. 471 00:20:15,290 --> 00:20:17,117 I'll recheck my train of fours. 472 00:20:17,118 --> 00:20:18,771 Get these seizures under control. 473 00:20:18,772 --> 00:20:20,164 I can't repair his liver if he's bucking 474 00:20:20,165 --> 00:20:21,643 like a damn bronco. 475 00:20:21,644 --> 00:20:23,297 I've started an Ativan drip to break the seizure, 476 00:20:23,298 --> 00:20:24,907 and I'll re-bolus so we can get out of here. 477 00:20:25,953 --> 00:20:27,214 Now what? 478 00:20:27,215 --> 00:20:28,781 Pressure dropping, 90 over 40. 479 00:20:28,782 --> 00:20:30,000 He's bleeding all over the place. 480 00:20:30,001 --> 00:20:31,131 Where the hell's his O-Neg? 481 00:20:31,132 --> 00:20:32,219 He's not gonna make it without it. 482 00:20:32,220 --> 00:20:33,742 I'll get it myself. 483 00:20:38,579 --> 00:20:40,127 At a certain point, I think if Dr. Ripley's 484 00:20:40,152 --> 00:20:41,842 - not here and I am... - What's holding up my O-Neg? 485 00:20:41,867 --> 00:20:43,237 My patient's circling the drain. 486 00:20:43,262 --> 00:20:45,096 We've got a situation, Dr. Ripley. 487 00:20:45,121 --> 00:20:47,721 The MCI depleted our supply of O-Neg. 488 00:20:47,746 --> 00:20:49,260 These are the last five units. 489 00:20:49,285 --> 00:20:50,838 And my patient won't survive without it. 490 00:20:50,863 --> 00:20:52,821 Yeah, neither will mine. 491 00:20:52,920 --> 00:20:55,008 - You must be Dr. Lenox. - Correct. 492 00:20:55,009 --> 00:20:57,010 Run down your patients for me, please. 493 00:20:57,011 --> 00:20:59,088 28-year-old female, severe head trauma. 494 00:20:59,113 --> 00:20:59,901 GCS is 6. 495 00:20:59,926 --> 00:21:01,556 Intubated with right flank stab wound. 496 00:21:01,581 --> 00:21:02,929 She's in hemorrhagic shock. 497 00:21:02,930 --> 00:21:03,948 Probably a retroperitoneal bleed. 498 00:21:03,973 --> 00:21:06,405 43-year-old male, chest and abdominal trauma. 499 00:21:06,430 --> 00:21:07,996 Grade 5 splenic laceration. 500 00:21:08,021 --> 00:21:09,282 Possible late onset of epilepsy. 501 00:21:09,307 --> 00:21:10,785 But didn't he cause the whole accident? 502 00:21:10,981 --> 00:21:12,713 No moral judgments. 503 00:21:12,738 --> 00:21:15,071 We favor the patient who has a better chance 504 00:21:15,072 --> 00:21:18,031 for a positive outcome, period. 505 00:21:18,032 --> 00:21:19,946 Prognosis for recovery? 506 00:21:19,947 --> 00:21:21,861 If he makes it through surgery, excellent. 507 00:21:21,862 --> 00:21:24,472 He's bleeding out in the OR as we speak? 508 00:21:24,473 --> 00:21:25,821 We removed the spleen. 509 00:21:25,822 --> 00:21:26,822 We're working on a small liver lac now. 510 00:21:26,823 --> 00:21:28,259 We just need blood. 511 00:21:28,260 --> 00:21:30,173 My patient is only 28. She's younger and stronger. 512 00:21:30,174 --> 00:21:31,914 But her GCS was only 6, right? 513 00:21:31,915 --> 00:21:33,176 Does she have a bleed? 514 00:21:33,177 --> 00:21:34,526 - Was she anoxic? - We don't know yet. 515 00:21:34,527 --> 00:21:35,962 - No CT. - Mm-hmm. 516 00:21:35,963 --> 00:21:37,920 She needs the blood and surgery first. 517 00:21:37,921 --> 00:21:39,357 And what are the chances of all that working out? 518 00:21:39,358 --> 00:21:42,098 Or is your only argument that my 43-year-old patient 519 00:21:42,099 --> 00:21:45,101 - is too old? - All right, that's enough. 520 00:21:45,102 --> 00:21:47,843 The blood goes to Dr. Ripley. 521 00:21:47,844 --> 00:21:49,628 Thank you. 522 00:21:49,629 --> 00:21:51,717 I'm sorry, Dr. Lenox. 523 00:21:51,718 --> 00:21:52,892 I would have made the same call. 524 00:21:52,893 --> 00:21:54,416 Protocol demands it. 525 00:21:58,072 --> 00:21:59,551 Hannah? Hannah. 526 00:21:59,552 --> 00:22:02,031 - Hey. - Hey. 527 00:22:02,032 --> 00:22:03,337 Baby and mom are both doing great. 528 00:22:03,338 --> 00:22:04,904 I heard. 529 00:22:04,905 --> 00:22:06,906 That's wonderful. Um... 530 00:22:06,907 --> 00:22:07,994 What's going on? 531 00:22:07,995 --> 00:22:09,822 I have some sad news. 532 00:22:09,823 --> 00:22:13,000 I found Kelsey's husband in the morgue. 533 00:22:22,531 --> 00:22:25,925 Finn showed up about five minutes ago. 534 00:22:25,926 --> 00:22:28,754 He was at another hospital. 535 00:22:28,755 --> 00:22:30,669 Are you OK? 536 00:22:30,670 --> 00:22:33,628 Yeah, uh, 537 00:22:33,629 --> 00:22:34,673 guess I didn't realize 538 00:22:34,674 --> 00:22:36,850 how much I needed good news today. 539 00:22:39,635 --> 00:22:41,289 Me too. 540 00:22:46,076 --> 00:22:47,555 Jeanine, there you are. 541 00:22:47,556 --> 00:22:49,427 Oh, no, Ellis is fine. 542 00:22:49,428 --> 00:22:54,432 I just wanted to let you know that the, um... 543 00:22:54,433 --> 00:22:58,958 the antibiotics are going in, and fingers crossed. 544 00:22:58,959 --> 00:23:00,916 Did my husband send you to convince me 545 00:23:00,917 --> 00:23:02,265 to let Ellis have surgery? 546 00:23:02,266 --> 00:23:05,617 No, I have not discussed the... 547 00:23:05,618 --> 00:23:08,141 the surgery with your husband. 548 00:23:08,142 --> 00:23:10,143 But you do think I said no to spite him. 549 00:23:10,144 --> 00:23:12,188 I absolutely do not. 550 00:23:12,189 --> 00:23:15,148 I don't think you'd ever do anything to hurt your child. 551 00:23:15,149 --> 00:23:16,628 I mean, come on. You saved his life today. 552 00:23:16,629 --> 00:23:17,933 Enough said. 553 00:23:17,934 --> 00:23:19,979 I mean, look, you've had an unimaginably 554 00:23:19,980 --> 00:23:21,633 horrible day today. 555 00:23:21,634 --> 00:23:24,331 I... I mean... 556 00:23:24,332 --> 00:23:27,421 I don't know why Seth did what he did. 557 00:23:27,422 --> 00:23:30,511 That's Ellis's father, his hero. 558 00:23:30,512 --> 00:23:32,165 He was our world. 559 00:23:32,166 --> 00:23:34,254 I don't want to sound for a second 560 00:23:34,255 --> 00:23:37,779 like I'm trying to minimize what he did or didn't do, 561 00:23:37,780 --> 00:23:40,913 but human behavior, I mean, it's just endlessly mysterious. 562 00:23:40,914 --> 00:23:42,871 And my sense, for what it's worth, 563 00:23:42,872 --> 00:23:46,832 is that he was just as shocked 564 00:23:46,833 --> 00:23:49,052 by what he did today as you were. 565 00:23:51,228 --> 00:23:54,361 I keep replaying it in my head. 566 00:23:54,362 --> 00:23:56,972 I was holding Ellis's hand with all the strength 567 00:23:56,973 --> 00:24:00,019 that I have because I knew if I let it go, 568 00:24:00,020 --> 00:24:01,977 the water would suck him right under. 569 00:24:01,978 --> 00:24:06,982 And for two minutes, I felt the terror of losing him forever. 570 00:24:06,983 --> 00:24:11,030 And I will never forget the way he looked at me. 571 00:24:11,031 --> 00:24:15,077 I'm supposed to protect him, and I was failing. 572 00:24:15,078 --> 00:24:18,298 I was so tired. 573 00:24:18,299 --> 00:24:22,650 But I just kept thinking, "Do not let go of his hand. 574 00:24:22,651 --> 00:24:25,349 Do not let go of his hand." 575 00:24:27,351 --> 00:24:32,312 So maybe letting Ellis have the surgery 576 00:24:32,313 --> 00:24:35,446 would be letting go of his hand? 577 00:24:35,447 --> 00:24:38,058 Yes. 578 00:24:41,278 --> 00:24:44,498 Am I making a mistake, Dr. Charles? 579 00:24:44,499 --> 00:24:48,937 You know, that's not really for me to say. 580 00:24:48,938 --> 00:24:51,157 But I think if it were me, I would just want to make sure 581 00:24:51,158 --> 00:24:54,247 that this decision, whatever it might be, 582 00:24:54,248 --> 00:24:58,120 wasn't being driven by my own fear 583 00:24:58,121 --> 00:25:00,558 when it's my child who might be suffering 584 00:25:00,559 --> 00:25:03,039 the consequences, right? 585 00:25:09,916 --> 00:25:11,612 Still in V-tach. 586 00:25:11,613 --> 00:25:13,527 No pulse. 587 00:25:13,528 --> 00:25:14,660 Dr. Hudgins? 588 00:25:16,488 --> 00:25:18,227 Dr. Hudgins! 589 00:25:18,228 --> 00:25:21,796 120. Clear. 590 00:25:23,973 --> 00:25:26,584 Oh, Dr. Hudgins, it's worse now. 591 00:25:26,585 --> 00:25:28,630 V-fib. 592 00:25:29,892 --> 00:25:31,459 Dr. Hudgins. 593 00:25:33,156 --> 00:25:35,332 Dr. Hudgins! 594 00:25:38,422 --> 00:25:39,640 Zach! 595 00:25:39,641 --> 00:25:41,599 Come back here! 596 00:25:41,600 --> 00:25:43,905 - Maggie? - Yes? 597 00:25:43,906 --> 00:25:45,690 We need a doctor in here now! 598 00:25:45,691 --> 00:25:46,648 I'll get someone. 599 00:25:48,128 --> 00:25:50,304 200. 600 00:25:51,653 --> 00:25:53,175 Clear. 601 00:26:00,401 --> 00:26:02,445 You brought him back? 602 00:26:02,446 --> 00:26:05,710 I'm certified in critical care. 603 00:26:05,711 --> 00:26:07,363 It's been a while. 604 00:26:07,364 --> 00:26:09,931 Where's Dr. Hudgins? This is his patient. 605 00:26:09,932 --> 00:26:13,195 He walked. 606 00:26:13,196 --> 00:26:15,633 He abandoned his patient and walked out on you? 607 00:26:15,634 --> 00:26:17,766 I'm afraid he did. 608 00:26:27,646 --> 00:26:31,563 No, no, no, no, no! 609 00:26:34,304 --> 00:26:36,611 Wendy! 610 00:26:41,273 --> 00:26:44,057 Oh, I am so sorry. Are you OK? 611 00:26:44,082 --> 00:26:46,132 That was a close one! 612 00:26:47,071 --> 00:26:48,725 Yep. 613 00:26:51,871 --> 00:26:54,394 - That was weird. - People are weird. 614 00:26:54,395 --> 00:26:56,309 How's Zoey's surgery going? 615 00:26:56,310 --> 00:26:58,137 Oh, just got an update from the OR. 616 00:26:58,138 --> 00:27:00,269 Abrams should be done within the hour. 617 00:27:00,270 --> 00:27:02,489 Good. All right, that's good. 618 00:27:02,490 --> 00:27:04,230 You really care about her. 619 00:27:04,231 --> 00:27:07,059 Yeah, I do. 620 00:27:07,060 --> 00:27:08,756 What are you gonna do when Jackson Monroe 621 00:27:08,757 --> 00:27:11,846 - closes next week? - I don't know. 622 00:27:11,847 --> 00:27:14,327 Beg someone to let me finish my residency? 623 00:27:14,328 --> 00:27:15,763 You know what? 624 00:27:15,764 --> 00:27:17,634 Maybe I'll find a sugar mama and retire. 625 00:27:17,635 --> 00:27:19,114 Yeah. 626 00:27:19,115 --> 00:27:20,986 I can spend my days drinking Pabst 627 00:27:20,987 --> 00:27:24,076 and my savings getting bleacher seats to Cubs games. 628 00:27:24,077 --> 00:27:26,861 Well, as a White Sox fan, I can't support that. 629 00:27:26,862 --> 00:27:29,429 You like disappointment. OK. 630 00:27:29,430 --> 00:27:32,519 I'm learning so much about you. 631 00:27:32,520 --> 00:27:33,912 Admit it. 632 00:27:33,913 --> 00:27:35,348 I am more endearing once you get to know me. 633 00:27:35,349 --> 00:27:37,002 Uh-uh. Just slightly less annoying. 634 00:27:37,003 --> 00:27:38,743 - Mm, OK. - Yeah. 635 00:27:40,310 --> 00:27:42,922 Hey, that was a compliment, whether you know it or not. 636 00:27:46,142 --> 00:27:49,536 Dr. Johnson says Ellis will be fine, 637 00:27:49,537 --> 00:27:53,409 but the parents, not so much? 638 00:27:53,410 --> 00:27:55,368 Mm, they got a lot of stuff to work through. 639 00:27:55,369 --> 00:27:58,806 Do you think they've got a shot at staying together? 640 00:27:58,807 --> 00:28:00,852 I don't know. 641 00:28:00,853 --> 00:28:03,550 Sometimes you know, you, uh, 642 00:28:03,551 --> 00:28:05,466 hit a point of no return. 643 00:28:08,773 --> 00:28:10,426 How are you holding up? 644 00:28:10,427 --> 00:28:12,994 Oh, you trying to get all up in my business, Ms. Goodwin? 645 00:28:12,995 --> 00:28:15,518 All up in your business. 646 00:28:15,519 --> 00:28:19,653 I learned from the master. So stop deflecting. 647 00:28:19,654 --> 00:28:21,698 Breakups suck. 648 00:28:21,699 --> 00:28:23,222 What are you gonna do? 649 00:28:23,223 --> 00:28:25,790 I hear it helps to talk to your shrink. 650 00:28:29,055 --> 00:28:31,317 Today's tragic events recall another sad day 651 00:28:31,318 --> 00:28:34,407 in Chicago history when the SS "Eastland" capsized 652 00:28:34,408 --> 00:28:39,064 109 years ago... 653 00:28:39,065 --> 00:28:41,196 You almost died on the table today. 654 00:28:41,197 --> 00:28:42,719 What? 655 00:28:42,720 --> 00:28:45,374 You had a near fatal seizure, 656 00:28:45,375 --> 00:28:46,985 which should not have been possible with 657 00:28:46,986 --> 00:28:48,943 the paralytics given at the start of your surgery. 658 00:28:48,944 --> 00:28:50,727 It didn't make sense until we tested 659 00:28:50,728 --> 00:28:51,903 your blood for common seizure meds 660 00:28:51,904 --> 00:28:53,208 and found Dilantin. 661 00:28:53,209 --> 00:28:56,603 How long have you known you had epilepsy? 662 00:28:56,604 --> 00:28:58,605 How long? 663 00:28:58,606 --> 00:29:00,825 Six years. 664 00:29:02,740 --> 00:29:04,524 You should not have been behind the wheel of that ship. 665 00:29:04,525 --> 00:29:06,961 Not today, not ever. 666 00:29:06,962 --> 00:29:09,485 If I told the company about my diagnosis, 667 00:29:09,486 --> 00:29:12,358 I'd have lost my job. My family depends on me. 668 00:29:12,359 --> 00:29:15,448 You had a responsibility to disclose your condition. 669 00:29:15,449 --> 00:29:17,841 And I was responsible. 670 00:29:17,842 --> 00:29:21,280 I did everything I could to manage it. 671 00:29:21,281 --> 00:29:23,456 I took the medication, changed my diet, 672 00:29:23,457 --> 00:29:27,025 I exercised, I avoided alcohol, and it worked for years... 673 00:29:27,026 --> 00:29:28,853 Until today. 674 00:29:31,117 --> 00:29:33,596 I thought if anyone ever found out, 675 00:29:33,597 --> 00:29:36,600 I'd just get fired, and that'd be the end of it. 676 00:29:40,300 --> 00:29:42,867 Never thought I might hurt anyone else. 677 00:29:46,088 --> 00:29:48,873 It was just one little lie. 678 00:29:51,441 --> 00:29:53,617 One little lie. 679 00:29:55,663 --> 00:29:57,578 Yeah. 680 00:30:05,151 --> 00:30:07,848 Hey, Zoey. You made it. 681 00:30:07,849 --> 00:30:10,720 Hey, sweetie. 682 00:30:10,721 --> 00:30:11,852 How are you feeling? 683 00:30:18,077 --> 00:30:20,687 Hey, it's OK. 684 00:30:20,688 --> 00:30:22,645 Just take a deep breath and try again, all right? 685 00:30:22,646 --> 00:30:23,864 No rush. 686 00:30:32,917 --> 00:30:36,529 Did my surgery go OK? 687 00:30:36,530 --> 00:30:38,487 Um... 688 00:30:38,488 --> 00:30:40,924 You rocked it, Zoey, 689 00:30:40,925 --> 00:30:42,927 just like we knew you would. 690 00:30:54,432 --> 00:30:56,477 Dr. Hudgins? 691 00:31:00,965 --> 00:31:02,528 I know you just met me, 692 00:31:02,553 --> 00:31:05,164 but I'm not usually like this. 693 00:31:05,385 --> 00:31:07,212 I'm so sorry. 694 00:31:07,213 --> 00:31:09,426 What happened in there? 695 00:31:09,451 --> 00:31:12,410 The day, it just got to me. 696 00:31:12,535 --> 00:31:14,057 You're a resident. 697 00:31:14,082 --> 00:31:16,866 I'm sure you've seen your fair share of unpleasantness. 698 00:31:16,891 --> 00:31:19,372 Not like today. So much blood. 699 00:31:20,791 --> 00:31:22,879 I froze up, 700 00:31:22,904 --> 00:31:25,732 and I knew the patient would be better off 701 00:31:25,779 --> 00:31:27,215 if I wasn't there. 702 00:31:28,331 --> 00:31:30,420 That's a normal human reaction. 703 00:31:32,586 --> 00:31:35,501 But a doctor can't afford to be normal. 704 00:31:35,502 --> 00:31:37,242 We take an oath to be more than that 705 00:31:37,243 --> 00:31:39,113 so our patients can have faith in us. 706 00:31:39,114 --> 00:31:42,117 I know. I'm sorry. 707 00:31:44,989 --> 00:31:47,034 You don't belong here, 708 00:31:47,035 --> 00:31:48,253 and I don't think there's any reason 709 00:31:48,254 --> 00:31:50,777 for you to come back here tomorrow. 710 00:31:50,778 --> 00:31:52,779 What? 711 00:31:52,780 --> 00:31:54,911 You're fired, Zach. 712 00:32:10,711 --> 00:32:12,104 - Hey. - Hey. 713 00:32:13,322 --> 00:32:15,410 I was just coming down to see you. 714 00:32:15,411 --> 00:32:18,500 I hear congratulations are in order. 715 00:32:18,501 --> 00:32:20,112 You found me. 716 00:32:34,474 --> 00:32:36,736 Sully called me that day to tell me that he and his boys 717 00:32:36,737 --> 00:32:40,000 had followed Pawel to a bar in Lincoln Park. 718 00:32:40,001 --> 00:32:42,089 He told me that they were about to give him a proper beatdown 719 00:32:42,090 --> 00:32:44,265 on my behalf, and he was offering me 720 00:32:44,266 --> 00:32:47,312 a chance to get my licks in. 721 00:32:47,313 --> 00:32:50,489 I tried to talk him out of it, but no one talks Sully 722 00:32:50,490 --> 00:32:52,839 out of anything once his mind is made up. 723 00:32:52,840 --> 00:32:55,233 So I rushed over there to try and stop it. 724 00:32:55,234 --> 00:32:57,191 I was too late. 725 00:32:57,192 --> 00:32:59,324 I found Pawel lying unconscious in the alley, 726 00:32:59,325 --> 00:33:02,327 just as Sully and his boys were walking away. 727 00:33:02,328 --> 00:33:04,764 He assured me that Pawel couldn't ID any of them 728 00:33:04,765 --> 00:33:09,638 because they all were wearing face masks. 729 00:33:09,639 --> 00:33:12,424 Why are you telling me this now? 730 00:33:12,425 --> 00:33:14,208 'Cause you don't always get a chance to apologize 731 00:33:14,209 --> 00:33:16,646 to the people you hurt. 732 00:33:18,082 --> 00:33:23,478 I shut you out, and I let that jeopardize what we had, 733 00:33:23,479 --> 00:33:25,568 and what we had was really good. 734 00:33:28,381 --> 00:33:31,993 And for that, I'm sorry. 735 00:33:37,928 --> 00:33:40,060 You fired Dr. Hudgins? 736 00:33:40,061 --> 00:33:41,235 I made a judgment call. 737 00:33:41,236 --> 00:33:42,976 You made a jud... 738 00:33:42,977 --> 00:33:45,239 listen, you just got here. 739 00:33:45,240 --> 00:33:47,720 You don't have the right to make a judgment call. 740 00:33:47,721 --> 00:33:49,678 You have no knowledge of the way this place operates 741 00:33:49,679 --> 00:33:51,071 or the chain of command. 742 00:33:51,072 --> 00:33:52,725 He walked away from a patient. 743 00:33:52,726 --> 00:33:55,249 I'm aware of that, and I do not condone that, 744 00:33:55,250 --> 00:33:57,947 but you should have consulted with me first. 745 00:33:57,948 --> 00:33:59,645 I didn't see the need. 746 00:33:59,646 --> 00:34:02,604 Goodwin signed off on Zach's termination. 747 00:34:02,605 --> 00:34:03,779 Chain of command. 748 00:34:03,780 --> 00:34:05,433 Are you worried I'm here because Goodwin's 749 00:34:05,434 --> 00:34:07,392 lost confidence in your ability to lead alone? 750 00:34:07,393 --> 00:34:09,611 What I'm worried about is your effect on morale 751 00:34:09,612 --> 00:34:12,353 and making snap judgments without consulting me. 752 00:34:12,354 --> 00:34:14,921 I've run this ED just fine before you came here. 753 00:34:14,922 --> 00:34:18,577 Dr. Archer, your department nearly came apart today. 754 00:34:18,578 --> 00:34:21,797 No plan for overflow, misuses of space, 755 00:34:21,798 --> 00:34:24,757 blood shortages, and a doctor who walked away 756 00:34:24,758 --> 00:34:26,454 and nearly cost a patient their life. 757 00:34:26,455 --> 00:34:27,934 I wouldn't call any of that just fine. 758 00:34:27,935 --> 00:34:30,458 We were in the middle of a mass casualty incident. 759 00:34:30,459 --> 00:34:32,895 And in a few short days, Jackson Monroe will close 760 00:34:32,896 --> 00:34:35,638 and nearly double the patients will come through those doors. 761 00:34:37,379 --> 00:34:39,293 Today could become every day. 762 00:34:39,294 --> 00:34:41,426 I'm here for a reason, 763 00:34:41,427 --> 00:34:43,950 and it's not to keep the status quo.