1 00:00:27,201 --> 00:00:28,897 Ladies and gentlemen, 2 00:00:28,898 --> 00:00:30,507 we're beginning our descent into LaGuardia airport. 3 00:00:30,508 --> 00:00:32,466 Please stow your tray tables in their upright 4 00:00:32,467 --> 00:00:33,989 and locked... 5 00:00:35,383 --> 00:00:37,645 You got any plans during the layover? 6 00:00:37,646 --> 00:00:39,125 Catching up on sleep. 7 00:00:39,126 --> 00:00:41,432 In the city that never sleeps? 8 00:00:42,520 --> 00:00:45,174 Are you single? 9 00:00:45,175 --> 00:00:46,697 - I am. - Come on. 10 00:00:46,698 --> 00:00:48,656 Young, beautiful, single girl like you 11 00:00:48,657 --> 00:00:50,092 should be out hitting the town. 12 00:00:50,093 --> 00:00:51,659 That's not really my style. 13 00:00:51,660 --> 00:00:54,271 Mm, that glitter on your cheeks says otherwise. 14 00:00:56,273 --> 00:00:58,492 I was at a concert last night, and I'm fine, I promise. 15 00:00:58,493 --> 00:01:00,972 It's all good. I like to party, too. 16 00:01:00,973 --> 00:01:04,455 Maybe we should party together. 17 00:01:06,327 --> 00:01:08,763 Flight AM208, runways are backed up. 18 00:01:08,764 --> 00:01:11,592 Stacking all inbounds. Descend to 5,000 and maintain. 19 00:01:11,593 --> 00:01:14,769 Descend, maintain 5,000. Eastern hold. 20 00:01:14,770 --> 00:01:17,467 Take her off autopilot. Your plane. 21 00:01:17,468 --> 00:01:19,426 - My plane. - I gotta use the head. 22 00:01:19,427 --> 00:01:21,776 - Is everything all right? - If we're stuck circling, 23 00:01:21,777 --> 00:01:23,038 I'm not going to be able to hold it. 24 00:01:23,039 --> 00:01:24,083 It'll just be a minute. 25 00:01:24,084 --> 00:01:25,432 Unless you can't handle it. 26 00:01:25,433 --> 00:01:26,998 - I can. - It'll be our little secret. 27 00:01:26,999 --> 00:01:28,719 Just like that glitter on your cheek, tiger. 28 00:02:03,862 --> 00:02:05,647 Occupied. 29 00:02:19,139 --> 00:02:21,358 Whoa! 30 00:02:24,448 --> 00:02:26,493 Center, AM208. We've lost engine master one. 31 00:02:26,494 --> 00:02:28,669 AM208, state your altitude. 32 00:02:30,237 --> 00:02:31,933 Leaving 2,000 for 3,000. 33 00:02:31,934 --> 00:02:34,936 AM208, your transponder indicates you are descending. 34 00:02:34,937 --> 00:02:37,286 Center, we are experiencing significant visual disturbance. 35 00:02:37,287 --> 00:02:39,636 Roger, AM208. Do you wish to declare an emergency? 36 00:02:39,637 --> 00:02:41,029 What's happening? 37 00:02:41,030 --> 00:02:42,378 Where's Captain Clark? I need him now. 38 00:02:42,379 --> 00:02:43,814 The turbulence knocked him unconscious, 39 00:02:43,815 --> 00:02:45,338 but I was able to get him strapped in. 40 00:02:45,339 --> 00:02:46,774 Get everyone belted in and in brace positions. 41 00:02:46,775 --> 00:02:49,255 Okay. 42 00:02:49,256 --> 00:02:51,213 Low. Pull up. Low. Pull up. 43 00:02:51,214 --> 00:02:52,997 Flight AM208, do you copy? 44 00:02:52,998 --> 00:02:55,609 Low. Pull up. 45 00:02:55,610 --> 00:02:57,524 Flight AM208, come in, please. 46 00:02:57,525 --> 00:02:58,960 Obstacle. Obstacle. 47 00:02:58,961 --> 00:03:01,397 Flight AM208, you need to respond. 48 00:03:01,398 --> 00:03:02,529 Pull up. 49 00:03:02,530 --> 00:03:03,834 Center, this is AM208. 50 00:03:03,835 --> 00:03:06,098 I'm attempting an emergency landing. 51 00:03:29,470 --> 00:03:32,646 Your dedication is admirable, Ana. 52 00:03:32,647 --> 00:03:35,475 Sensory and motor stimulation are crucial at this stage 53 00:03:35,476 --> 00:03:38,173 and exactly what Jorge needs. 54 00:03:38,174 --> 00:03:40,349 Si, pero three weeks. 55 00:03:40,350 --> 00:03:43,134 Nothing. When will my son wake up? 56 00:03:43,135 --> 00:03:46,225 - Every case is different. - There is no precise timeline. 57 00:03:46,226 --> 00:03:47,878 But Jorge is stable. 58 00:03:47,879 --> 00:03:50,968 We'll continue with the aggressive rehabilitation, 59 00:03:50,969 --> 00:03:54,451 monitor him, and wait. 60 00:03:57,541 --> 00:03:59,238 Doctor Wolf, Jorge hasn't shown meaningful 61 00:03:59,239 --> 00:04:00,848 neurologic recovery in weeks. 62 00:04:00,849 --> 00:04:02,502 I'm worried about maintaining this level of hope 63 00:04:02,503 --> 00:04:03,720 given the current circumstances. 64 00:04:03,721 --> 00:04:05,244 Trust the process, Dr. Porter. 65 00:04:05,245 --> 00:04:07,202 Does the process always include Bach and ferns? 66 00:04:07,203 --> 00:04:09,378 Yes, actually. Excuse me. 67 00:04:09,379 --> 00:04:11,728 Hey. Where are you off to so early? 68 00:04:11,729 --> 00:04:14,253 Oh, I got a call from the family of a former patient. 69 00:04:14,254 --> 00:04:16,385 He was supposed to be discharged from Hudson Oaks a week ago, 70 00:04:16,386 --> 00:04:18,300 but they can't get a straight answer 71 00:04:18,301 --> 00:04:20,302 - as to why he's still there. - And you're going there now? 72 00:04:20,303 --> 00:04:22,217 - If you let me. - Carol, Hudson Oaks, 73 00:04:22,218 --> 00:04:24,828 that's where that succubus with the brochures is from. 74 00:04:24,829 --> 00:04:26,613 She's always lurking around our hallways, 75 00:04:26,614 --> 00:04:28,571 poaching our psych patients. 76 00:04:28,572 --> 00:04:30,660 I'm afraid if you go there, I may never see you again. 77 00:04:30,661 --> 00:04:33,054 Don't get my hopes up. 78 00:04:33,055 --> 00:04:35,274 Was there something you actually wanted to talk to me about? 79 00:04:35,275 --> 00:04:37,101 No. Just checking in. 80 00:04:37,102 --> 00:04:39,061 Day seems pretty quiet. 81 00:04:46,721 --> 00:04:48,287 What's up? 82 00:04:48,288 --> 00:04:49,636 Checking my credit card statement. 83 00:04:49,637 --> 00:04:51,115 The credit card you gave Sam, 84 00:04:51,116 --> 00:04:52,508 your unhoused patient with schizophrenia. 85 00:04:52,509 --> 00:04:54,205 - How much did he spend? - It's fine. 86 00:04:54,206 --> 00:04:55,555 He... He needs it. 87 00:04:55,556 --> 00:04:58,297 Ericka Kinney, cancel it right now! 88 00:04:58,298 --> 00:05:01,735 Good morning, ladies. Happy mandatory drug test day. 89 00:05:01,736 --> 00:05:03,563 W-What's happening, now? 90 00:05:03,564 --> 00:05:06,305 Bronx General's policy mandates a drug test every six months. 91 00:05:06,306 --> 00:05:09,960 It's been two years since neuro had one. 92 00:05:09,961 --> 00:05:11,833 Hope you're all hydrated. 93 00:05:14,749 --> 00:05:16,402 - I'm getting fired. - We don't know that. 94 00:05:16,403 --> 00:05:18,099 I don't have a prescription for my benzos. 95 00:05:18,100 --> 00:05:19,535 When was the last time you took one? 96 00:05:19,536 --> 00:05:21,711 Last week when I went down to the E.D. 97 00:05:21,712 --> 00:05:24,105 Okay. Here's the plan. 98 00:05:24,106 --> 00:05:26,194 No more benzos while we flush your system. 99 00:05:26,195 --> 00:05:28,327 Today, avoid elevators, the E.D., 100 00:05:28,328 --> 00:05:30,329 anything that would trigger your anxiety. 101 00:05:30,330 --> 00:05:32,940 And then we need to get a serious handle on this. 102 00:05:32,941 --> 00:05:35,246 - Okay. - Guys, there was a plane crash. 103 00:05:35,247 --> 00:05:37,727 The patients are coming here. We're needed down in the E.D. 104 00:05:37,728 --> 00:05:40,556 - All available personnel... - So scratch that plan. 105 00:05:40,557 --> 00:05:44,168 Plane crash, multiple injuries. 40 patients en route. 106 00:05:44,169 --> 00:05:46,345 Every time one of these boneheads loses the remote, 107 00:05:46,346 --> 00:05:48,869 I got to risk my life to change the channel. 108 00:05:48,870 --> 00:05:51,306 We continue to bring you updates on this developing story 109 00:05:51,307 --> 00:05:53,917 as more information comes in regarding injuries 110 00:05:53,918 --> 00:05:55,484 and any possible causalities. 111 00:05:55,485 --> 00:05:57,312 Right now, you're looking at pictures 112 00:05:57,313 --> 00:05:58,879 of Atlantic Meridian jetliner 113 00:05:58,880 --> 00:06:00,968 that went down into the Hudson River, a seven... 114 00:06:00,969 --> 00:06:03,579 You're lucky you didn't go swimming this morning, Dr. Wolf. 115 00:06:05,277 --> 00:06:07,366 Okay, people, let's divide and conquer! 116 00:06:07,367 --> 00:06:09,890 And to my neuro colleagues, not the day to get all nerdy. 117 00:06:09,891 --> 00:06:12,066 - Treat and street. - What he means is you'll be 118 00:06:12,067 --> 00:06:14,416 taking patients regardless of whether they're neuro or not. 119 00:06:14,417 --> 00:06:16,549 And because it's an MCI, you'll be working unsupervised. 120 00:06:16,550 --> 00:06:18,681 There's no time for attending presentations. 121 00:06:18,682 --> 00:06:21,380 I've got your back if you need me. 122 00:06:21,381 --> 00:06:22,685 Buckle up. 123 00:06:22,686 --> 00:06:24,949 It's gonna be a bumpy ride. 124 00:06:31,042 --> 00:06:32,869 Oh, no, not the "walking wounded bus." 125 00:06:32,870 --> 00:06:34,567 Why does Bellevue always get the big traumas? 126 00:06:34,568 --> 00:06:36,482 Get warm blankets. Screen for hypothermia. 127 00:06:36,483 --> 00:06:38,005 There are laceration kits in the cart. 128 00:06:38,006 --> 00:06:39,528 Upgrade trauma as necessary. 129 00:06:39,529 --> 00:06:41,008 - On it. - On it. 130 00:06:41,009 --> 00:06:42,488 Right over here. 131 00:06:47,319 --> 00:06:48,668 - Hey. - She insisted on 132 00:06:48,669 --> 00:06:49,886 being the last to be rescued, 133 00:06:49,887 --> 00:06:51,061 says she can't open her eyes. 134 00:06:51,062 --> 00:06:52,367 Possible jet fuel exposure. 135 00:06:52,368 --> 00:06:53,586 Captain, I'm Dr. Wolf. 136 00:06:53,587 --> 00:06:55,109 These passengers are lucky to have you. 137 00:06:55,110 --> 00:06:56,850 No, I felt them. My vision failed me. 138 00:06:56,851 --> 00:06:58,591 Something's seriously wrong. 139 00:06:58,592 --> 00:06:59,722 I'm living in a nightmare. 140 00:06:59,723 --> 00:07:00,897 Come here. 141 00:07:00,898 --> 00:07:02,595 Let's have a seat up here, okay? 142 00:07:02,596 --> 00:07:03,639 You okay? 143 00:07:03,640 --> 00:07:06,033 Mm, yeah. 144 00:07:14,999 --> 00:07:16,784 Can I examine your eyes? 145 00:07:17,959 --> 00:07:20,483 Okay. Look at me. 146 00:07:24,487 --> 00:07:25,661 What do you see? 147 00:07:25,662 --> 00:07:27,402 Everything's upside-down. 148 00:07:27,403 --> 00:07:28,969 It happened during the flight. 149 00:07:28,970 --> 00:07:30,449 Your eyes look normal, but what you're describing 150 00:07:30,450 --> 00:07:31,754 is an incredibly rare phenomenon 151 00:07:31,755 --> 00:07:33,843 called reverse visual metamorphopsia. 152 00:07:33,844 --> 00:07:36,890 We need to run some tests right away. 153 00:07:36,891 --> 00:07:39,415 Here. This should help keep you warm. 154 00:07:41,504 --> 00:07:43,287 I can't move my right side. 155 00:07:43,288 --> 00:07:44,767 I can't move my right side. 156 00:07:44,768 --> 00:07:47,074 Visual disturbance and unilateral weakness. 157 00:07:47,075 --> 00:07:48,510 Call a code stroke now! 158 00:07:48,511 --> 00:07:50,338 Hey, listen, I'm afraid you might be having 159 00:07:50,339 --> 00:07:51,861 a life-threatening stroke. 160 00:07:51,862 --> 00:07:53,690 I need you to lie back for me right now, okay? 161 00:07:54,604 --> 00:07:56,126 All right, let's go. She's declining fast. 162 00:07:56,127 --> 00:07:57,606 We need to get her to a scanner, stat. 163 00:07:57,607 --> 00:07:59,129 - Stroke code in the E.R. - Everybody move! 164 00:07:59,130 --> 00:08:01,219 Move! Move! 165 00:08:09,445 --> 00:08:10,967 Excuse me. 166 00:08:10,968 --> 00:08:13,535 Elle, your scans are inconclusive for a stroke, 167 00:08:13,536 --> 00:08:15,276 so we need to do more tests to know for sure. 168 00:08:15,277 --> 00:08:17,191 In the meantime, if it is a stroke, 169 00:08:17,192 --> 00:08:20,324 I'm obliged to tell you that there is a drug called TPA 170 00:08:20,325 --> 00:08:22,326 which may restore your vision and your strength. 171 00:08:22,327 --> 00:08:23,719 But we'd have to give it now. 172 00:08:23,720 --> 00:08:25,025 It's less effective the longer we wait. 173 00:08:25,026 --> 00:08:26,287 Let's do it. 174 00:08:26,288 --> 00:08:27,680 It's more complicated than that. 175 00:08:27,681 --> 00:08:29,290 If we're wrong, 176 00:08:29,291 --> 00:08:31,031 if you're not having a stroke, then TPA could cause 177 00:08:31,032 --> 00:08:33,033 life-threatening bleeding, especially after trauma. 178 00:08:33,034 --> 00:08:35,122 If I may, I've seen TPA work miracles. 179 00:08:35,123 --> 00:08:36,906 There are some very impressive studies to back this up... 180 00:08:36,907 --> 00:08:38,342 Thank you, Dr. Porter. 181 00:08:38,343 --> 00:08:39,561 Thorne and I are running this stroke code. 182 00:08:39,562 --> 00:08:40,780 You're here to document. 183 00:08:40,781 --> 00:08:42,521 That means you write, not speak. 184 00:08:42,522 --> 00:08:43,783 What's the call, neuro? 185 00:08:43,784 --> 00:08:45,611 My instinct is not to give the TPA. 186 00:08:45,612 --> 00:08:46,829 Elle, there are too many unknowns. 187 00:08:46,830 --> 00:08:48,396 I think we should get an MRI 188 00:08:48,397 --> 00:08:51,574 so we have a clearer sense of this situation... 189 00:08:54,664 --> 00:09:00,148 If your gut is wrong, could I be permanently impaired? 190 00:09:02,324 --> 00:09:04,718 I'm asking you to trust me here. 191 00:09:07,198 --> 00:09:09,896 Um... 192 00:09:09,897 --> 00:09:13,857 No. No. What? Why is this so difficult? 193 00:09:16,512 --> 00:09:18,557 Uh, you have got to be kidding me. 194 00:09:18,558 --> 00:09:21,124 - You good, Kinney? - No. 195 00:09:21,125 --> 00:09:22,909 Thorne sent me to find "sixoh" sutures, 196 00:09:22,910 --> 00:09:24,824 and I can't find them anywhere. 197 00:09:24,825 --> 00:09:28,871 He means six-oh, as in six zero. 198 00:09:28,872 --> 00:09:30,830 Oh. Thank you. 199 00:09:30,831 --> 00:09:33,006 - No prob. - Hey. 200 00:09:33,007 --> 00:09:34,790 - You're a former athlete. - Former? 201 00:09:34,791 --> 00:09:36,662 Silva is giving a drug test today. 202 00:09:36,663 --> 00:09:39,142 And I'm not accusing you, but you must have had teammates 203 00:09:39,143 --> 00:09:41,318 who passed... dirty. 204 00:09:41,319 --> 00:09:43,582 Damn, Kinney. You still on the benzos? 205 00:09:43,583 --> 00:09:45,322 I've seen it all... 206 00:09:45,323 --> 00:09:47,324 donated urine, synthetic urine, adulterants. 207 00:09:47,325 --> 00:09:50,546 None of it works. Don't even go there. 208 00:09:53,593 --> 00:09:57,334 This is too much. I am spinning out. 209 00:09:57,335 --> 00:10:00,076 I got you, sixoh. 210 00:10:00,077 --> 00:10:02,036 Come on. 211 00:10:10,479 --> 00:10:12,306 There... 212 00:10:12,307 --> 00:10:15,483 Something's wrong down there. 213 00:10:15,484 --> 00:10:18,139 Let us take a look, okay? 214 00:10:21,142 --> 00:10:23,143 Sir, your testicle got twisted up from the impact. 215 00:10:23,144 --> 00:10:25,188 Now we'll have to untwist it. Otherwise its blood supply 216 00:10:25,189 --> 00:10:26,886 will be cut off, and you could lose it. 217 00:10:26,887 --> 00:10:29,671 This is what I get for letting that stupid bitch 218 00:10:29,672 --> 00:10:31,717 fly unsupervised. Oh. 219 00:10:31,718 --> 00:10:33,980 I'll untwist. On my count. 220 00:10:33,981 --> 00:10:35,764 Actually, on my count. 221 00:10:35,765 --> 00:10:39,289 By the look of this, this will only hurt a little, tiny bit. 222 00:10:39,290 --> 00:10:42,118 - Ready? One... - Oh. 223 00:10:42,119 --> 00:10:44,425 - Two... - Just breathe. 224 00:10:55,524 --> 00:10:57,220 Dr. Pierce! 225 00:10:57,221 --> 00:10:59,048 Carol, please. 226 00:10:59,049 --> 00:11:01,398 Dr. Amelia Fredrick, director of psychiatric care. 227 00:11:01,399 --> 00:11:04,097 - We met before at Bronx General. - Yes, I remember. 228 00:11:04,098 --> 00:11:05,664 It's nice to see you again, Amelia. 229 00:11:05,665 --> 00:11:07,274 What a pleasant surprise. 230 00:11:07,275 --> 00:11:08,710 I only wish I'd known you were coming. 231 00:11:08,711 --> 00:11:10,190 I'd love to give you a tour. 232 00:11:10,191 --> 00:11:11,931 Oh, I wouldn't want to take up your time. 233 00:11:11,932 --> 00:11:13,672 I wanted to ask about Hector Martinez. 234 00:11:13,673 --> 00:11:15,412 He's a patient of mine. 235 00:11:15,413 --> 00:11:16,936 Oh, yes, I know Hector. 236 00:11:16,937 --> 00:11:19,939 He's a lovely man, and he's making good progress. 237 00:11:19,940 --> 00:11:22,202 Uh, well, his family's been getting mixed messages 238 00:11:22,203 --> 00:11:24,639 about the timeline of his discharge. 239 00:11:24,640 --> 00:11:27,163 That's why I'm here. They wanted a second opinion. 240 00:11:27,164 --> 00:11:29,818 Oh, that's strange, because we always include the family 241 00:11:29,819 --> 00:11:31,864 in discussing discharge plans. 242 00:11:31,865 --> 00:11:34,257 In any case, I'm happy to take you to see Hector. 243 00:11:34,258 --> 00:11:36,826 - Great. - He's right this way. 244 00:11:47,576 --> 00:11:48,750 It's all over the news. 245 00:11:48,751 --> 00:11:52,406 162 souls on the plane. 246 00:11:52,407 --> 00:11:54,365 All accounted for. 247 00:11:56,454 --> 00:11:59,370 Thank you. Thank you for telling me. 248 00:12:01,372 --> 00:12:03,722 How did you safely land a plane 249 00:12:03,723 --> 00:12:05,854 with everything upside down? 250 00:12:05,855 --> 00:12:09,379 I trusted my instruments. That's what pilots are taught. 251 00:12:09,380 --> 00:12:10,946 Interesting. 252 00:12:10,947 --> 00:12:13,644 'Cause I got more breaking news for you. 253 00:12:13,645 --> 00:12:15,821 The MRI just came back. 254 00:12:15,822 --> 00:12:17,083 It's normal. 255 00:12:17,084 --> 00:12:18,388 Now we got to run some more tests 256 00:12:18,389 --> 00:12:19,781 to figure out these symptoms, 257 00:12:19,782 --> 00:12:22,305 but you definitely do not have a stroke. 258 00:12:22,306 --> 00:12:25,004 Your copilot was right about the TPA. 259 00:12:25,005 --> 00:12:27,049 Copilot? 260 00:12:27,050 --> 00:12:28,224 You mean Dr. Wolf? 261 00:12:28,225 --> 00:12:29,660 Mm. 262 00:12:29,661 --> 00:12:32,141 One thing about Wolf, he's an odd bird, 263 00:12:32,142 --> 00:12:33,708 but the guy knows his stuff. 264 00:12:33,709 --> 00:12:36,755 He's a walking medical instrument. 265 00:12:36,756 --> 00:12:38,539 You can trust him. 266 00:12:38,540 --> 00:12:40,020 I do. 267 00:12:51,248 --> 00:12:53,380 Is this it? Is he leaving me? 268 00:12:53,381 --> 00:12:55,774 He spiked a fever 102, and now he's hypotensive. 269 00:12:55,775 --> 00:12:57,776 He's infected again. Let's bolus him a liter, 270 00:12:57,777 --> 00:13:00,997 get him a full set of cultures, and start with vanc and zosyn. 271 00:13:10,790 --> 00:13:12,529 I know this is scary, 272 00:13:12,530 --> 00:13:15,010 but infections are common for people as sick as Jorge, 273 00:13:15,011 --> 00:13:17,970 especially since he's been in the hospital for this long. 274 00:13:17,971 --> 00:13:19,580 We can treat this. 275 00:13:19,581 --> 00:13:21,321 Where is Dr. Wolf? 276 00:13:21,322 --> 00:13:23,236 He's dealing with patients in the emergency department. 277 00:13:23,237 --> 00:13:26,805 I am very familiar with your son's case. 278 00:13:26,806 --> 00:13:28,633 You can trust me. 279 00:13:42,343 --> 00:13:44,083 What the hell did you do? 280 00:13:44,084 --> 00:13:45,562 You could've killed us all. 281 00:13:45,563 --> 00:13:46,999 I could've lost a nut. 282 00:13:47,000 --> 00:13:49,001 - Hey, back off! - I am gonna make sure 283 00:13:49,002 --> 00:13:50,611 that you lose your license. 284 00:13:50,612 --> 00:13:51,873 Hey, what's happening here? 285 00:13:51,874 --> 00:13:53,832 I'm just trying to get some answers. 286 00:13:53,833 --> 00:13:55,616 No, you're getting strapped down if you don't take it easy. 287 00:13:55,617 --> 00:13:58,967 She at least owes all of you an explanation. 288 00:13:58,968 --> 00:14:00,316 Come on. 289 00:14:00,317 --> 00:14:02,058 Right? 290 00:14:03,277 --> 00:14:06,846 You don't have to say anything, okay? 291 00:14:13,026 --> 00:14:19,553 There? Tell us what happened. 292 00:14:22,862 --> 00:14:25,341 I dairy... 293 00:14:25,342 --> 00:14:27,735 I dairy tomato cheese... 294 00:14:27,736 --> 00:14:31,173 Magneto jam. I... 295 00:14:31,174 --> 00:14:32,914 What is wrong with her? 296 00:14:32,915 --> 00:14:34,263 Elle, look at me. 297 00:14:34,264 --> 00:14:35,874 Where's the overshoot? The overshoot? 298 00:14:35,875 --> 00:14:37,919 You see? She's unstable. She's unreliable. 299 00:14:37,920 --> 00:14:39,529 Let's get point-of-care glucose. 300 00:14:39,530 --> 00:14:42,054 Okay. Elle, can you tell me what today's date is? 301 00:14:42,055 --> 00:14:44,273 Squawk 7-7-zero. Mm. 302 00:14:44,274 --> 00:14:47,711 Hold out your arms toward me and resist the pressure, okay? 303 00:14:47,712 --> 00:14:48,887 No focal deficit. 304 00:14:48,888 --> 00:14:50,932 It's drugs. Guaranteed. 305 00:14:50,933 --> 00:14:52,673 Tell them where you were last night. 306 00:14:52,674 --> 00:14:54,153 You're testing her for drugs, right? 307 00:14:54,154 --> 00:14:55,458 Next flight that you're going to be on 308 00:14:55,459 --> 00:14:57,505 is one taking you to prison. 309 00:14:59,028 --> 00:15:00,115 It's okay. 310 00:15:00,116 --> 00:15:01,682 Agents Bellum and Cortes 311 00:15:01,683 --> 00:15:04,032 with the National Transportation Safety Board. 312 00:15:04,033 --> 00:15:06,906 We need to speak with Elle Parker. 313 00:15:16,306 --> 00:15:19,830 Are you taking any medication, prescribed or otherwise? 314 00:15:19,831 --> 00:15:22,094 I'm... I'm on lis... 315 00:15:22,095 --> 00:15:25,140 lis-lisinopril for... 316 00:15:25,141 --> 00:15:28,230 for h-hypertension and... 317 00:15:28,231 --> 00:15:29,579 melatonin for sleeping. 318 00:15:29,580 --> 00:15:31,059 All FAA approved. 319 00:15:31,060 --> 00:15:32,974 And neither of which cause any impairment. 320 00:15:32,975 --> 00:15:35,324 How long is this going to take? You can see she's not well. 321 00:15:35,325 --> 00:15:38,980 Did you note any mechanical malfunctions before takeoff? 322 00:15:38,981 --> 00:15:40,460 No. 323 00:15:40,461 --> 00:15:42,244 When did you first communicate distress? 324 00:15:42,245 --> 00:15:46,292 Mm, at approximately 325 00:15:46,293 --> 00:15:47,946 7:14 a.m. 326 00:15:47,947 --> 00:15:50,949 and just... just before landing. 327 00:15:50,950 --> 00:15:53,864 Did First Officer Parker appear intoxicated upon arrival? 328 00:15:53,865 --> 00:15:55,127 - No. - No. 329 00:15:55,128 --> 00:15:56,302 How do you explain the speech? 330 00:15:56,303 --> 00:15:57,825 Aphasia can be multifactorial, 331 00:15:57,826 --> 00:16:00,132 but she urgently needs additional workup. 332 00:16:00,133 --> 00:16:01,916 You need to let us get back to treating her. 333 00:16:01,917 --> 00:16:03,657 We want a copy of the toxicology report 334 00:16:03,658 --> 00:16:05,528 - as soon as it's available. - Sure. 335 00:16:05,529 --> 00:16:08,183 - You can go now. - Elle, come on. Let's... 336 00:16:08,184 --> 00:16:10,881 Oh, she stays here. We have more questions. 337 00:16:10,882 --> 00:16:13,059 You two can leave. 338 00:16:18,978 --> 00:16:21,327 She was speaking complete gibberish two hours ago, which 339 00:16:21,328 --> 00:16:23,982 would make more sense if her stroke imaging wasn't normal. 340 00:16:23,983 --> 00:16:26,375 There's no mass, no dissection. Her speech resolved, 341 00:16:26,376 --> 00:16:28,987 and she's not presenting like any typical toxidrome I know of. 342 00:16:28,988 --> 00:16:31,772 I know drug users. She's not that. 343 00:16:31,773 --> 00:16:35,124 We gotta figure this out before they draw their own conclusions. 344 00:16:45,134 --> 00:16:47,136 Mrs. Torres? 345 00:16:50,052 --> 00:16:52,880 Jorge's blood pressure is better after the fluids. 346 00:16:52,881 --> 00:16:55,883 I'll tell you as soon as we have any more news. 347 00:16:55,884 --> 00:16:58,713 Is my mijo going to live? 348 00:17:00,410 --> 00:17:03,021 The fact that he hasn't woken up yet is not good. 349 00:17:03,022 --> 00:17:04,718 There is a real possibility 350 00:17:04,719 --> 00:17:06,981 that he won't return to anything like he was before. 351 00:17:06,982 --> 00:17:08,852 I think it's time we start asking ourselves 352 00:17:08,853 --> 00:17:12,030 how much would Jorge be willing to go through? 353 00:17:12,031 --> 00:17:14,685 I don't want him to suffer. 354 00:17:19,560 --> 00:17:21,126 There comes a time 355 00:17:21,127 --> 00:17:24,346 when doctors stop doing things for a patient 356 00:17:24,347 --> 00:17:26,915 and start doing things to them. 357 00:17:31,528 --> 00:17:35,227 He would not want to live this way. 358 00:17:35,228 --> 00:17:39,057 As someone who has some personal experience with this, 359 00:17:39,058 --> 00:17:41,146 may I make a recommendation? 360 00:17:41,147 --> 00:17:42,843 We're treating Jorge's infection, 361 00:17:42,844 --> 00:17:46,064 and we hope he'll continue to get better. 362 00:17:46,065 --> 00:17:47,891 But if he worsens, 363 00:17:47,892 --> 00:17:51,591 we won't recommend any more invasive procedures. 364 00:17:53,420 --> 00:17:55,944 We allow Jorge to pass... 365 00:17:58,642 --> 00:18:01,906 ...with peace and with dignity. 366 00:18:03,647 --> 00:18:05,345 Gracias. 367 00:18:17,487 --> 00:18:19,880 It's great to see you, Hector. 368 00:18:19,881 --> 00:18:23,057 It's been, what, about a month since you got here? 369 00:18:23,058 --> 00:18:24,667 It's been that long? 370 00:18:24,668 --> 00:18:27,496 Yeah. You were supposed to be discharged a week ago. 371 00:18:27,497 --> 00:18:29,108 What happened? 372 00:18:31,849 --> 00:18:33,981 I'm not ready to leave. 373 00:18:33,982 --> 00:18:35,896 As long as I'm here, I'm not the only crazy one. 374 00:18:35,897 --> 00:18:37,419 Unh-unh. We don't use that... 375 00:18:37,420 --> 00:18:41,075 "We" don't use that word. I know. 376 00:18:41,076 --> 00:18:43,817 But other people still do. 377 00:18:43,818 --> 00:18:45,732 People on my job, 378 00:18:45,733 --> 00:18:48,953 the ones that saw me lose it, they all use that word. 379 00:18:50,129 --> 00:18:52,217 How am I supposed to go back to them, 380 00:18:52,218 --> 00:18:56,135 my family, and act like everything's normal? 381 00:18:57,353 --> 00:18:59,615 It's going to be hard, 382 00:18:59,616 --> 00:19:01,443 but you can do it. 383 00:19:01,444 --> 00:19:03,010 Part of your commitment to treatment 384 00:19:03,011 --> 00:19:06,492 is to develop the tools to handle adversity. 385 00:19:06,493 --> 00:19:09,016 - Mindfulness, hobbies, passions. - Mindfulness, hobbies, passions. 386 00:19:09,017 --> 00:19:11,671 Yes. Hector, even the strongest people, 387 00:19:11,672 --> 00:19:13,499 if they lose those tools, 388 00:19:13,500 --> 00:19:16,589 they lose the ability to navigate obstacles. 389 00:19:16,590 --> 00:19:19,418 And the key is to develop a diverse toolbox 390 00:19:19,419 --> 00:19:21,289 so you're always prepared. 391 00:19:21,290 --> 00:19:24,727 And you have one of the best tools of all, 392 00:19:24,728 --> 00:19:28,122 a family that loves you. 393 00:19:28,123 --> 00:19:30,080 They reached out to me. 394 00:19:30,081 --> 00:19:33,040 Yeah. They want you home. 395 00:19:33,041 --> 00:19:35,173 They do? 396 00:19:35,174 --> 00:19:38,089 Very much so. 397 00:19:44,966 --> 00:19:47,489 Hey, uh, how's it going with Mrs. Torres? 398 00:19:47,490 --> 00:19:49,187 We're treating the infection, but she agreed 399 00:19:49,188 --> 00:19:50,797 if Jorge continues to worsen, 400 00:19:50,798 --> 00:19:53,016 we won't intervene with invasive measures. 401 00:19:53,017 --> 00:19:54,975 That doesn't sound Wolf-sanctioned. 402 00:19:54,976 --> 00:19:56,498 I'll talk to him. 403 00:19:56,499 --> 00:19:59,284 But Mrs. Torres deserves to know what comes next. 404 00:19:59,285 --> 00:20:01,895 He'll most likely exist in a painful, torturous loop 405 00:20:01,896 --> 00:20:04,202 until he dies and she's bankrupt. 406 00:20:04,203 --> 00:20:05,464 Wow. 407 00:20:05,465 --> 00:20:07,205 Good luck convincing Wolf of that. 408 00:20:07,206 --> 00:20:08,728 He never gives up on a patient, 409 00:20:08,729 --> 00:20:10,904 but a patient that the chief is also invested in? 410 00:20:10,905 --> 00:20:14,690 So you agree. He's lost professional distance. 411 00:20:14,691 --> 00:20:17,215 Wolf gets overly attached, yes. 412 00:20:17,216 --> 00:20:20,783 But he also always tries to give hope to the hopeless. 413 00:20:20,784 --> 00:20:22,394 Give them a fighting chance. 414 00:20:22,395 --> 00:20:25,353 The only thing worse than no hope is false hope. 415 00:20:25,354 --> 00:20:27,268 And the opposite of fighting isn't giving up, 416 00:20:27,269 --> 00:20:29,489 by the way. It's peace. 417 00:20:31,012 --> 00:20:34,145 Sorry, but I gotta, um... 418 00:20:39,194 --> 00:20:41,065 Back trouble? 419 00:20:42,241 --> 00:20:45,025 Uh, no. I'm trying to understand 420 00:20:45,026 --> 00:20:46,679 how Elle sees the world. 421 00:20:48,508 --> 00:20:50,160 - What is this? - A video surfaced. 422 00:20:50,161 --> 00:20:51,727 It's been making the rounds on socials. 423 00:20:51,728 --> 00:20:53,903 I give it an hour before it's on the news. 424 00:20:53,904 --> 00:20:55,644 This is what our copilot was doing 425 00:20:55,645 --> 00:20:57,907 12 hours before she crash-landed into the Hudson. 426 00:20:57,908 --> 00:20:59,866 Are her toxicology results back yet? 427 00:20:59,867 --> 00:21:03,044 Prelim negative. But they don't catch all the new rave drugs. 428 00:21:11,792 --> 00:21:14,490 Are you okay, Dr. Wolf? 429 00:21:16,666 --> 00:21:19,364 Get Thorne and Elle in here right away. 430 00:21:19,365 --> 00:21:21,105 I have an idea. 431 00:21:26,285 --> 00:21:28,764 You know, for a long time, inpatient mental healthcare 432 00:21:28,765 --> 00:21:32,594 facilities meant soulless state-run institutions. 433 00:21:32,595 --> 00:21:36,250 But then, well, those shut down, and for decades, 434 00:21:36,251 --> 00:21:38,731 only the wealthiest patients have been able to stay 435 00:21:38,732 --> 00:21:43,344 in Betty Ford or what have you for tens of thousands a month. 436 00:21:43,345 --> 00:21:47,087 We are trying to make long-term inpatient care 437 00:21:47,088 --> 00:21:49,133 accessible to all. 438 00:21:50,961 --> 00:21:52,310 I grew up without money, 439 00:21:52,311 --> 00:21:55,835 and I was forced to watch my mother suffer 440 00:21:55,836 --> 00:21:58,751 because affordable care was out of reach. 441 00:21:58,752 --> 00:22:01,014 I have made it my mission 442 00:22:01,015 --> 00:22:02,972 that no one should ever have to endure 443 00:22:02,973 --> 00:22:05,280 that kind of helplessness. 444 00:22:06,673 --> 00:22:09,196 Well, clearly, what you're doing here is working. 445 00:22:09,197 --> 00:22:11,241 It's been very good for Hector. 446 00:22:11,242 --> 00:22:12,939 I'm so pleased to hear you say that. 447 00:22:12,940 --> 00:22:16,072 Patient satisfaction is our top performance metric. 448 00:22:19,163 --> 00:22:23,166 My only concern is, if he stays here, 449 00:22:23,167 --> 00:22:25,517 then he won't be able to keep up his relationships 450 00:22:25,518 --> 00:22:27,127 with the outside world, 451 00:22:27,128 --> 00:22:30,130 which is why I think he's ready to be discharged. 452 00:22:30,131 --> 00:22:31,697 Oh, I agree. 453 00:22:31,698 --> 00:22:34,830 I will start the discharge process right away. 454 00:22:34,831 --> 00:22:36,441 - Great. - Oh, Carol, thank you so much 455 00:22:36,442 --> 00:22:38,312 for coming by. I really hope that we'll be able 456 00:22:38,313 --> 00:22:40,183 to work together more. 457 00:22:40,184 --> 00:22:42,535 Can I hug you? 458 00:22:45,364 --> 00:22:47,887 Okay, bye! 459 00:22:52,458 --> 00:22:54,154 I swear I'm not on drugs. 460 00:22:54,155 --> 00:22:56,591 I've been sober for years. 461 00:22:56,592 --> 00:23:00,160 Dancing is just how I reset. 462 00:23:00,161 --> 00:23:03,424 I can disconnect from the world like when I'm up in the air. 463 00:23:03,425 --> 00:23:05,731 The problem is, this accident has opened your entire life 464 00:23:05,732 --> 00:23:07,689 - to scrutiny. - Tell me something. 465 00:23:07,690 --> 00:23:11,738 Before your vision flipped, did you see anything else unusual? 466 00:23:13,609 --> 00:23:16,176 The Manhattan skyline started having black dots 467 00:23:16,177 --> 00:23:18,222 all over the buildings. 468 00:23:26,970 --> 00:23:30,799 I want you to write something for me. 469 00:23:30,800 --> 00:23:32,192 - What? - Anything, 470 00:23:32,193 --> 00:23:35,065 just a-a complete sentence. 471 00:23:42,377 --> 00:23:43,856 What are we doing? 472 00:23:43,857 --> 00:23:45,248 Those investigators will say 473 00:23:45,249 --> 00:23:48,077 that video is all the proof they need. 474 00:23:48,078 --> 00:23:49,949 There are drugs that are undetectable 475 00:23:49,950 --> 00:23:52,517 and can cause patients to claim they're seeing upside down, 476 00:23:52,518 --> 00:23:54,606 when in fact, they're just high. 477 00:23:54,607 --> 00:23:58,174 No, I need Elle to provide undeniable proof 478 00:23:58,175 --> 00:24:02,876 that her brain is actually wired upside down. 479 00:24:23,418 --> 00:24:27,639 Elle, this proves that you're not seeing upside down. 480 00:24:27,640 --> 00:24:31,078 Your brain is processing upside down. 481 00:24:33,080 --> 00:24:35,430 And I know the cause. 482 00:24:39,565 --> 00:24:41,783 The flipped vision, the coma states, 483 00:24:41,784 --> 00:24:43,306 the disturbances in speech, the weakness, 484 00:24:43,307 --> 00:24:45,439 they are all symptoms of one thing... 485 00:24:45,440 --> 00:24:49,095 a rare, complex, basilar migraine. 486 00:24:49,096 --> 00:24:52,577 A migraine? I've never even had a headache. 487 00:24:52,578 --> 00:24:54,361 Well, typically, complex migraines 488 00:24:54,362 --> 00:24:55,928 don't come with a headache, 489 00:24:55,929 --> 00:24:59,148 but rather neurological disturbances called aura. 490 00:24:59,149 --> 00:25:01,890 And those black dots you saw were an aura, 491 00:25:01,891 --> 00:25:03,718 a warning sign of a migraine. 492 00:25:03,719 --> 00:25:08,027 It's one of the most mysterious phenomena of the human brain. 493 00:25:08,028 --> 00:25:10,246 Can't migraines just come on at any time? 494 00:25:10,247 --> 00:25:12,248 I'm never going to trust myself to fly again. 495 00:25:12,249 --> 00:25:13,598 Let's just start you on meds, 496 00:25:13,599 --> 00:25:15,425 all right, before you ground yourself. 497 00:25:15,426 --> 00:25:18,341 Medication can successfully stop migraine symptoms. 498 00:25:18,342 --> 00:25:21,083 But to prevent them from happening altogether, 499 00:25:21,084 --> 00:25:24,522 we need to get underneath what's triggering your migraines. 500 00:25:24,523 --> 00:25:26,306 And we have the perfect doctor here 501 00:25:26,307 --> 00:25:28,482 to help you with that. 502 00:25:28,483 --> 00:25:32,531 Yes, she is wonderful. 503 00:25:35,621 --> 00:25:36,838 While you were with the pilot, 504 00:25:36,839 --> 00:25:38,492 Jorge was febrile and hypotensive. 505 00:25:38,493 --> 00:25:39,841 I started him on antibiotics, 506 00:25:39,842 --> 00:25:41,626 and his pressure improved with fluids. 507 00:25:41,627 --> 00:25:43,802 - Good work. - And I talked with Mrs. Torres. 508 00:25:43,803 --> 00:25:47,370 Together, we came up with a new plan for Jorge's treatment. 509 00:25:47,371 --> 00:25:49,895 We're not going to escalate any further. 510 00:25:49,896 --> 00:25:51,766 No pressors, no lines. 511 00:25:51,767 --> 00:25:53,942 Dr. Wolf, Mrs. Torres is worried about her son's suffering, 512 00:25:53,943 --> 00:25:56,815 and I understand. She's not unreasonable... 513 00:26:04,388 --> 00:26:06,433 I am sorry I couldn't come by earlier, 514 00:26:06,434 --> 00:26:09,871 but I understand you're making some big decisions today. 515 00:26:09,872 --> 00:26:12,395 I'd be happy to talk about them with you. 516 00:26:12,396 --> 00:26:14,702 Jorge's not waking up. 517 00:26:14,703 --> 00:26:18,358 I know, but as we keep saying, he can still get better. 518 00:26:18,359 --> 00:26:20,099 I believe he will. 519 00:26:20,100 --> 00:26:21,709 To stop now, after everything... 520 00:26:21,710 --> 00:26:23,668 Dr. Charlie is wrong? 521 00:26:27,629 --> 00:26:29,978 He's not wrong. 522 00:26:29,979 --> 00:26:32,546 He's young. 523 00:26:32,547 --> 00:26:34,592 Young doctors haven't seen as much. 524 00:26:34,593 --> 00:26:36,768 They may not have seen a patient as sick as Jorge 525 00:26:36,769 --> 00:26:39,814 who ultimately gets better, goes home. 526 00:26:39,815 --> 00:26:43,992 You say one thing, Dr. Charlie says another. 527 00:26:43,993 --> 00:26:47,823 Por favor, leave me with my Jorge. 528 00:26:58,791 --> 00:27:01,097 Has the medication kicked in? 529 00:27:02,055 --> 00:27:04,099 - Thankfully. - Good. 530 00:27:04,100 --> 00:27:05,361 I still don't understand. 531 00:27:05,362 --> 00:27:06,711 I've never had a migraine before. 532 00:27:06,712 --> 00:27:09,322 - Why now? - You probably have. 533 00:27:09,323 --> 00:27:12,108 You just didn't recognize the symptoms. 534 00:27:13,196 --> 00:27:16,372 Let's start with this morning. 535 00:27:16,373 --> 00:27:19,462 Did you notice anything unusual? 536 00:27:19,463 --> 00:27:20,768 It's a routine flight. 537 00:27:20,769 --> 00:27:23,336 I was feeling fine until the approach. 538 00:27:23,337 --> 00:27:25,643 Well, flying into New York City's airspace, 539 00:27:25,644 --> 00:27:28,254 that can be stressful, no? 540 00:27:28,255 --> 00:27:30,473 It's actually the opposite. 541 00:27:30,474 --> 00:27:33,651 Flying over the city gives me perspective. From up there, 542 00:27:33,652 --> 00:27:36,088 everything down here is made small. 543 00:27:36,089 --> 00:27:38,786 The people, buildings... 544 00:27:38,787 --> 00:27:42,834 problems, I'm free from all of that. 545 00:27:42,835 --> 00:27:45,097 And as the pilot, I'm in control. 546 00:27:45,098 --> 00:27:47,316 Did you feel in control this morning? 547 00:27:47,317 --> 00:27:49,667 I did. Only issue was my captain. 548 00:27:49,668 --> 00:27:51,320 He was acting kind of inappropriate. 549 00:27:51,321 --> 00:27:53,453 Inappropriate? How so? 550 00:27:53,454 --> 00:27:55,411 Asking me about my personal life. 551 00:27:55,412 --> 00:27:58,719 And it's not a big deal, but I ideally don't want 552 00:27:58,720 --> 00:28:00,025 to be trapped in a cockpit 553 00:28:00,026 --> 00:28:01,896 with someone who's hitting on me. 554 00:28:01,897 --> 00:28:04,116 Well, has that ever happened before? 555 00:28:04,117 --> 00:28:06,031 Never. No. 556 00:28:06,032 --> 00:28:08,207 Well, we do know that emotional triggers 557 00:28:08,208 --> 00:28:10,209 can cause migraines. 558 00:28:10,210 --> 00:28:13,865 Could this event with your captain 559 00:28:13,866 --> 00:28:15,954 connect back to something else in your life? 560 00:28:15,955 --> 00:28:17,520 I mean, even if there was, 561 00:28:17,521 --> 00:28:19,261 I don't see how one small interaction like this 562 00:28:19,262 --> 00:28:20,654 could be such a trigger. 563 00:28:20,655 --> 00:28:23,309 The dancing, the flying, 564 00:28:23,310 --> 00:28:25,790 that's where you feel free. 565 00:28:25,791 --> 00:28:28,097 Was there a time where you felt trapped? 566 00:28:29,011 --> 00:28:31,100 Like you couldn't escape? 567 00:28:36,279 --> 00:28:39,761 Growing up, it was just my mom and me, in Hartford. 568 00:28:40,806 --> 00:28:44,025 We didn't have a lot. 569 00:28:44,026 --> 00:28:49,248 Which is why I think she decided to marry him. 570 00:28:49,249 --> 00:28:50,815 She thought she was giving me a better life, 571 00:28:50,816 --> 00:28:53,513 but I don't think she realized 572 00:28:53,514 --> 00:28:55,864 he'd always be in it, too. 573 00:28:57,474 --> 00:28:59,737 Or whether he would decide to drink that night 574 00:28:59,738 --> 00:29:04,960 and take it out on my mom. Or me. 575 00:29:06,701 --> 00:29:09,442 That sounds terrible. 576 00:29:09,443 --> 00:29:11,226 Is that why you became a pilot? 577 00:29:11,227 --> 00:29:14,926 To escape that situation? 578 00:29:14,927 --> 00:29:17,537 Did you know that on a wide body 767, 579 00:29:17,538 --> 00:29:20,627 there are 463 pre-flight checkpoints 580 00:29:20,628 --> 00:29:23,586 and five distinct and critical phases of acceleration, 581 00:29:23,587 --> 00:29:26,851 and two Pratt and Whitney engines to thrust up. 582 00:29:26,852 --> 00:29:29,070 All the while, we monitor no less than 1,000 data points 583 00:29:29,071 --> 00:29:33,336 in real time... all this, every time, just to take off. 584 00:29:34,947 --> 00:29:36,643 That sounds difficult. 585 00:29:36,644 --> 00:29:39,778 It's not. That's the easy part. 586 00:29:42,128 --> 00:29:46,000 When I had to walk out one single door 587 00:29:46,001 --> 00:29:47,785 when I left home and my mom for good, 588 00:29:47,786 --> 00:29:51,267 that was the most difficult thing I've ever had to do. 589 00:29:55,271 --> 00:29:58,796 My mom reached out a few years ago 590 00:29:58,797 --> 00:30:00,580 to tell me he had died, but 591 00:30:00,581 --> 00:30:03,410 I still can't go back, and I haven't forgiven her. 592 00:30:04,759 --> 00:30:06,369 Elle. 593 00:30:07,893 --> 00:30:12,985 A wound like this, it needs to heal. 594 00:30:14,247 --> 00:30:17,466 Even at 30,000 feet, 595 00:30:17,467 --> 00:30:20,687 our bodies remember. 596 00:30:20,688 --> 00:30:22,864 They keep score. 597 00:30:24,039 --> 00:30:25,692 But with therapy 598 00:30:25,693 --> 00:30:28,390 and an understanding of the mechanics of your migraines, 599 00:30:28,391 --> 00:30:31,350 we can treat the more debilitating symptoms. 600 00:30:31,351 --> 00:30:34,962 Now, we already know that you are an incredibly strong person, 601 00:30:34,963 --> 00:30:37,225 and not because you're a pilot, 602 00:30:37,226 --> 00:30:41,665 but because you are a fighter and a survivor. 603 00:30:42,884 --> 00:30:45,713 And that's not ever going to change. 604 00:30:59,640 --> 00:31:01,162 - Yeah. That's pretty incredible. - Right? 605 00:31:01,163 --> 00:31:02,598 Still waiting on that urine, Kinney. 606 00:31:02,599 --> 00:31:04,035 I'm not sure if you heard, 607 00:31:04,036 --> 00:31:05,775 but there was a plane crash today, Silva. 608 00:31:05,776 --> 00:31:08,343 I'm aware. Urine. 609 00:31:14,350 --> 00:31:16,351 - What are you looking for? - Yeah, no, nothing really. 610 00:31:16,352 --> 00:31:19,050 Just, um, do you remember when my apartment building collapsed? 611 00:31:19,051 --> 00:31:22,270 Yeah. Afterwards, I snuck a bunch of benzos from Dana 612 00:31:22,271 --> 00:31:24,490 to deal with the debilitating anxiety attacks, 613 00:31:24,491 --> 00:31:26,579 and I have been taking them ever since, 614 00:31:26,580 --> 00:31:30,583 and I have managed to keep it a secret until today's drug test. 615 00:31:30,584 --> 00:31:32,541 - What's that for? - If I stick myself 616 00:31:32,542 --> 00:31:34,848 with this needle and I check myself into occupational health, 617 00:31:34,849 --> 00:31:36,371 I can buy myself some time. 618 00:31:36,372 --> 00:31:37,895 - No. Ericka... - I know, I know, I know, I know. 619 00:31:37,896 --> 00:31:39,548 But, Van, all my life, 620 00:31:39,549 --> 00:31:41,637 all I have ever wanted to do is be a doctor. 621 00:31:41,638 --> 00:31:43,204 And if I take this test, 622 00:31:43,205 --> 00:31:45,032 I will fail, and I will get fired, 623 00:31:45,033 --> 00:31:46,991 and my life will be ruined. 624 00:31:46,992 --> 00:31:49,907 Wait, no. No. No, no way. You're not doing this. 625 00:31:49,908 --> 00:31:53,084 There were moments where I felt you were scared or anxious, 626 00:31:53,085 --> 00:31:55,042 but I thought I must be wrong. 627 00:31:55,043 --> 00:31:57,958 I'm so sorry for never checking in to see if you were okay. 628 00:31:57,959 --> 00:31:59,525 Ericka, you and I both know the risks 629 00:31:59,526 --> 00:32:01,396 of taking benzos without supervision. 630 00:32:01,397 --> 00:32:03,094 So instead of continuing to hide, 631 00:32:03,095 --> 00:32:06,272 maybe just have a conversation with Silva. 632 00:32:08,361 --> 00:32:10,928 We've diagnosed Elle with a treatable form 633 00:32:10,929 --> 00:32:12,930 of complex migraine. 634 00:32:12,931 --> 00:32:15,062 As her neurologist, I can certify 635 00:32:15,063 --> 00:32:16,542 that with proper management, 636 00:32:16,543 --> 00:32:19,371 she will be fit to fly again with some time. 637 00:32:19,372 --> 00:32:22,504 And as her psychiatrist, I can assure you 638 00:32:22,505 --> 00:32:25,116 there was no history of substance abuse. 639 00:32:25,117 --> 00:32:28,815 Elle fully cooperated and passed every drug test. 640 00:32:28,816 --> 00:32:30,469 She was not at fault. 641 00:32:30,470 --> 00:32:34,953 We'd like to know if Ms. Parker has any final remarks. 642 00:32:36,606 --> 00:32:39,086 Um... 643 00:32:39,087 --> 00:32:42,699 You always wonder how you'll act in a crisis. 644 00:32:45,789 --> 00:32:49,314 Not only do I take full responsibility for my actions, 645 00:32:49,315 --> 00:32:51,056 but I'm proud of them. 646 00:32:51,970 --> 00:32:55,015 I landed a plane while my vision was inverted. 647 00:32:55,016 --> 00:32:57,583 With zero severe injuries. 648 00:32:57,584 --> 00:33:00,587 If this is my last flight, I can hold my head high. 649 00:33:01,980 --> 00:33:03,981 Ms. Parker, while the investigation 650 00:33:03,982 --> 00:33:05,808 will take several more weeks, 651 00:33:05,809 --> 00:33:08,420 we are inclined to agree with you. 652 00:33:08,421 --> 00:33:12,076 Preliminary reports are your plane hit a recreational drone 653 00:33:12,077 --> 00:33:14,252 in restricted airspace. 654 00:33:14,253 --> 00:33:16,254 Additionally, Captain Paul Clark's 655 00:33:16,255 --> 00:33:20,171 unprofessional photos led us to a concerning discovery. 656 00:33:20,172 --> 00:33:21,999 He should have never left the cockpit 657 00:33:22,000 --> 00:33:24,305 while autopilot was disengaged. 658 00:33:24,306 --> 00:33:28,006 While he's suspended, you are not. 659 00:33:46,763 --> 00:33:48,983 Silva? 660 00:33:53,205 --> 00:33:55,641 I can't take the test today. 661 00:33:55,642 --> 00:33:57,164 Can't say I was expecting this from you, 662 00:33:57,165 --> 00:34:00,037 but few things surprise me anymore. 663 00:34:00,038 --> 00:34:02,952 Hey, I've seen it all. So out with it. 664 00:34:02,953 --> 00:34:05,868 Coke? Molly? Ketamine? 665 00:34:05,869 --> 00:34:07,827 - Benzos. - That's not a big deal. 666 00:34:07,828 --> 00:34:10,351 I don't have a prescription. 667 00:34:10,352 --> 00:34:12,701 Okay, that's a big deal. 668 00:34:12,702 --> 00:34:15,574 Hey, I trust you to handle this. 669 00:34:15,575 --> 00:34:18,229 As a doctor, you know the harms of self-treatment. 670 00:34:18,230 --> 00:34:19,665 You're jeopardizing your health, 671 00:34:19,666 --> 00:34:21,711 not to mention breaking the law. 672 00:34:23,061 --> 00:34:24,800 Never let it happen again. 673 00:34:24,801 --> 00:34:26,412 Hear me? 674 00:34:28,196 --> 00:34:30,632 Come see me in two weeks. 675 00:34:42,167 --> 00:34:44,211 You paged, Dr. Wolf? 676 00:34:44,212 --> 00:34:46,127 Sit down. 677 00:34:53,178 --> 00:34:54,613 Why didn't you call me 678 00:34:54,614 --> 00:34:56,267 before you changed Jorge's goals of care? 679 00:34:56,268 --> 00:34:59,052 I knew you were busy. I'm a second year. 680 00:34:59,053 --> 00:35:01,620 It's my responsibility to talk to families more, 681 00:35:01,621 --> 00:35:03,839 - take meetings... - Stop. 682 00:35:03,840 --> 00:35:06,190 You made plans to move my patient toward hospice 683 00:35:06,191 --> 00:35:07,582 without consulting your attending. 684 00:35:07,583 --> 00:35:09,672 There is no defense for that. 685 00:35:10,804 --> 00:35:13,458 We're a team. We need to come across as a team, 686 00:35:13,459 --> 00:35:15,590 which means we give one unified message. 687 00:35:15,591 --> 00:35:17,201 If that message gets fractured, 688 00:35:17,202 --> 00:35:19,855 we lose the trust of our patients and their families. 689 00:35:19,856 --> 00:35:22,075 Maybe Mrs. Torres didn't want the team this time. 690 00:35:22,076 --> 00:35:23,859 Maybe she wanted another perspective. 691 00:35:23,860 --> 00:35:25,600 You don't speak to another family member 692 00:35:25,601 --> 00:35:26,775 without me present. 693 00:35:26,776 --> 00:35:27,907 Dr. Wolf, with all due respect, 694 00:35:27,908 --> 00:35:29,952 this reaction is irrational. 695 00:35:29,953 --> 00:35:32,651 I offered a reasonable recommendation to Mrs. Torres 696 00:35:32,652 --> 00:35:35,915 based on the information she gave me about her son. 697 00:35:35,916 --> 00:35:37,656 And if you don't think that's true, 698 00:35:37,657 --> 00:35:39,266 maybe you should look into 699 00:35:39,267 --> 00:35:42,748 why you're so hell bent on treating a comatose man. 700 00:35:42,749 --> 00:35:47,188 Could it be because he's also the chief's patient? 701 00:35:50,278 --> 00:35:51,844 Dr. Porter, let me remind you 702 00:35:51,845 --> 00:35:55,153 that you came to this hospital to work for me. 703 00:35:56,110 --> 00:35:59,286 Do not confuse me allowing you into this department 704 00:35:59,287 --> 00:36:01,941 as an actual seat at the table. 705 00:36:01,942 --> 00:36:04,552 Your privileges here are, by definition, provisional. 706 00:36:04,553 --> 00:36:08,296 You are a trainee. You are a journeyman. 707 00:36:09,167 --> 00:36:11,517 This is not your home. 708 00:36:12,474 --> 00:36:15,869 Do not for one minute confuse it as such. 709 00:36:16,609 --> 00:36:18,480 Get out of my office. 710 00:36:20,003 --> 00:36:21,527 Now! 711 00:36:39,458 --> 00:36:41,721 Do you want to talk about it? 712 00:36:43,201 --> 00:36:44,549 There's not much to say. 713 00:36:44,550 --> 00:36:47,682 Charlie clearly went a step too far. 714 00:36:47,683 --> 00:36:50,119 But so did I. 715 00:36:50,120 --> 00:36:54,036 You didn't go far enough, in my opinion. 716 00:36:54,037 --> 00:36:56,387 Charlie is an overstepper. 717 00:36:56,388 --> 00:36:58,780 Like the way he was pushing for Elle's TPA. 718 00:36:58,781 --> 00:37:00,347 You can't help the team 719 00:37:00,348 --> 00:37:01,740 if you're too busy trying to put it on your back. 720 00:37:01,741 --> 00:37:03,394 I agree. 721 00:37:03,395 --> 00:37:07,007 In what we do, it's vital the team works together. 722 00:37:08,356 --> 00:37:09,835 Like you two? 723 00:37:09,836 --> 00:37:13,404 - Yes, actually. - Yeah, exactly. 724 00:37:13,405 --> 00:37:15,667 Seriously, though, Wolf, 725 00:37:15,668 --> 00:37:18,235 I get that you are frustrated, 726 00:37:18,236 --> 00:37:21,325 but yelling at residents, 727 00:37:21,326 --> 00:37:24,545 come on. That doesn't sound like you. 728 00:37:24,546 --> 00:37:26,852 And you've been sleeping at your office. 729 00:37:26,853 --> 00:37:28,332 Your desk is a mess. 730 00:37:28,333 --> 00:37:32,728 Yeah, I-I've been working really hard. 731 00:37:33,947 --> 00:37:37,603 When was the last time you went for a swim in the Hudson? 732 00:37:40,214 --> 00:37:43,609 Probably not since my dad left. 733 00:37:47,961 --> 00:37:50,049 You paying for these sessions, Wolf? 734 00:37:50,050 --> 00:37:51,833 Yes. 735 00:37:51,834 --> 00:37:54,489 - In friendship. - Mm. 736 00:37:56,186 --> 00:37:59,928 Sometimes courage means relinquishing control, 737 00:37:59,929 --> 00:38:02,104 letting someone else guide the way. 738 00:38:05,674 --> 00:38:07,632 Dr. Pierce? 739 00:38:07,633 --> 00:38:09,460 Dr. Kinney. 740 00:38:16,816 --> 00:38:19,034 Can you recommend a good therapist? 741 00:38:19,035 --> 00:38:21,385 Of course. Is the therapist for you 742 00:38:21,386 --> 00:38:23,517 or for someone else? 743 00:38:23,518 --> 00:38:26,128 For me. 744 00:38:26,129 --> 00:38:29,349 I need help. 745 00:38:29,350 --> 00:38:31,960 Other times, it means seizing the wheel 746 00:38:31,961 --> 00:38:33,788 and charting your own course. 747 00:38:36,792 --> 00:38:39,141 This is the first step to you gaining your confidence back 748 00:38:39,142 --> 00:38:41,666 and believing in your migraine treatment. 749 00:38:41,667 --> 00:38:43,755 It's an honor to be your copilot. 750 00:38:45,801 --> 00:38:47,106 Thank you. 751 00:38:49,239 --> 00:38:51,328 Now, how long is this flight? 752 00:38:51,329 --> 00:38:53,895 To Hartford? It's just under an hour. 753 00:38:53,896 --> 00:38:56,029 Hope you like soft-shell crab. 754 00:38:56,943 --> 00:38:58,814 It's my mom's specialty. 755 00:39:00,860 --> 00:39:03,731 Ultimately, it takes courage to trust. 756 00:40:00,528 --> 00:40:02,224 Just wanted to let you know 757 00:40:02,225 --> 00:40:05,097 we started the discharge paperwork on Hector Martinez. 758 00:40:05,098 --> 00:40:07,578 Thank you, Amelia. 759 00:40:07,579 --> 00:40:10,450 You know, it wasn't my choice to put Hector in Hudson Oaks. 760 00:40:10,451 --> 00:40:12,974 His family saw one of your ads. 761 00:40:12,975 --> 00:40:16,021 But now that I've been there in person, 762 00:40:16,022 --> 00:40:18,589 I see that your priorities are in the right place. 763 00:40:18,590 --> 00:40:20,417 That's so good to hear, Carol. 764 00:40:20,418 --> 00:40:23,158 And I hope you'll think of us if you ever have someone in need. 765 00:40:23,159 --> 00:40:24,899 Okay. 766 00:40:24,900 --> 00:40:25,987 Have a good night. 767 00:40:25,988 --> 00:40:27,990 Okay. You, too. Bye-bye. 768 00:40:29,775 --> 00:40:33,604 Sometimes it just takes seeing the world upside down 769 00:40:33,605 --> 00:40:36,608 for everything to make sense. 770 00:40:39,698 --> 00:40:41,873 Nobody wants to help you more than I do. 771 00:40:41,874 --> 00:40:46,486 I am your doctor. And you're a very sick man. 772 00:40:46,487 --> 00:40:49,576 But how can I help you if you won't trust me? 773 00:40:49,577 --> 00:40:54,147 Everything you say... is a lie. 774 00:40:56,584 --> 00:40:58,760 It's your word against mine. 775 00:40:59,674 --> 00:41:02,981 But I have witnesses to corroborate what I say. 776 00:41:02,982 --> 00:41:06,072 Isn't that right... Hector? 777 00:41:16,169 --> 00:41:19,172 We have a lot more work to do, Oliver. 778 00:41:20,478 --> 00:41:22,957 So get comfortable. 779 00:41:22,958 --> 00:41:25,570 You're going to be with us for a while. 780 00:41:29,783 --> 00:41:35,282 sync and corrections awaqeded www.addic7ed.com