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Original subtitles

(Amy): I had a car accident,

and I lost eight years of my memory.

- You're having memories? - They're just weird flashes.

And seizures.

(gasps in pain)

I know my brain is trying to warm me about something.

- If she keeps pushing herself,

she's on the road to losing her job.

(dramatic music)

(alarm blaring)

(Katie): What's happening to her!?

(Amy): I need my life back.

- Chief Resident is up soon,

considered throwing your hat in the ring?

- You want more responsibility?

I run circles around her every day.

I should at least be considered for Chief Resident.

(Joan): You'll be doing it together.

- Let me run Internal Medicine.

- I'm gonna miss you so much.

(Joan): You've got plenty more to give.

So, give.

(TJ): Wanna give our date another shot?

- Jake's my ex, and I screwed up in the worst way.

- I can't live in the past anymore. I need to move forward.

- Amy Larsen, Dr. Ben Grant.

I saw you speak three years ago.

- I don't know what this is, but you make me smile.

Sorry. I, I wouldn't remember that.

(Mr. Galvin): Okay now, lights up!

(dramatic music)

- What's here? A cup, closed in my true love's hand?

Poison, I see, hath been his timeless end.

(somber music)

(gentle kisses)

Thy lips are still warm!

- Lead, boy. Which way?

- More feeling, Torey. Again!

- Lead, boy. Which way?

- Yea, noise?

Then I'll be brief.

O, happy dagger!

This is thy sheath. There rust, and let me die.

(murmurs) (gunshot)

(dramatic music)

- This is the place...

(loud thud) (Torey gasping)

- Uh, Paul, what are you doing? You're dead.

- Mr. Calvin. I think...

(gasping)

- Torey. Torey!

Torey!

- Is she shot? What if there weren't blanks in the gun?

- It's a cap gun, Josh!

(indistinct concerned chattering)

- What the hell's happening to her?

- Yeah, I need an ambulance. - Is she gonna be alright?

(student): Torey, Torey! (gasping)

(machine humming)

- Aberrant frontal lobe activity seems to have settled.

- Signals are much more organized.

And it looks like to me like her old neural pathways

have actually been recovering.

- I think that's what caused the seizures to begin with.

- Wait, that doesn't track.

- New bloodflow, new wiring connections,

unstable as they reorganize,

neurons sending improper signals, she overloaded.

- Yeah, look at this. This was taken two months ago,

just before the contagion.

The blood flow was already increasing

but then look how it compares to today's.

She's healing, and healing fast.

- She says no headaches...

...no nosebleeds.

- No headaches, no nosebleeds.

I get an occasional memory, but pretty uncontroversial.

- Well, I'm assuming she'll want to pursue those, then. With TMS?

- And TMS?

- No. The past is just a distraction.

I won't give in to it anymore.

- And she's insisting she's ready to work?

- You worried about her, or your department?

- Both, especially when she thinks Joan sacrificed

her life for her.

(Gina): I know this is what Joan wanted for you.

Is this really what you want for yourself?

- She knew what I needed to do.

It's time to put my needs aside.

No more figuring out my thing with Michael,

no more worrying about what I have with Jake.

It's time to move forward. To teach and to be of service.

- And now she's got to honor that mission.

No matter the cost.

- Are you sure you're ready?

- I have never been more ready.

I feel like this is what I was always meant to do.

Before my world got turned upside down.

- We'll keep an eye on her.

- I want daily check-ins, neuro-cogs three times a week,

and biweekly FMRIs.

You're on the hook for this as much as anyone.

- I know that.

- Am I cleared or what?

(exhales)

(elevator ding)

(indistinct chatter)

- Dr. Coleman, Dr. Coleman.

- Ben. (laughing)

- I'd heard you were coming.

- If you all will have me.

(TJ chuckles)

- Ah, this is Dr. Costa.

- That's fortuitous. Heard all good things.

- Hm, likewise. And Dr. Hamda certainly sings your praises.

- Well, I hope I can live up to that.

- I apologize, I'm gonna have to push back our meeting

a little bit. We've got a lap chole I've gotta handle.

- No problem. Max and Dr. Kumara said

they wanted to show me around, so I'll just-- I'll hit 'em up.

- Sounds like they're bringing in the whole cavalry.

- Nah, I gotta get past the chief first.

- I'll let you know when I'm free.

Why don't you scrub up, I'll see you in there.

- Good to have you back. You got a lot of fans here.

- Thanks.

(indistinct chatter)

- They're a strong group. I think we're in good shape.

- I still remember my first day as an intern. I was so nervous.

- I couldn't feel my feet.

- Sure I really helped buck you up.

(chuckling): Yeah, not so much.

- Do you have any idea what Jake's doing in there

with Dr. Matos?

- No. No idea.

- You know I love you, right?

- Okay, well, let's do this, yeah?

- Yeah.

- Give 'em hell. - Mm-hmm.

(indistinct chatter)

- So, you're having second thoughts about Pedes,

and you figured why not give Cardiology a shot?

- No, I've always been back and forth in between the two.

And I understand there's enough funding to add another fellow.

- I spoke to Dr. Kumara, there is.

- Would have been nice if I was in the loop.

- You're in the loop now. That's why we're doing this.

- In your office.

- Margaret.

- I'll have to look at my roster and talk to Kumara.

(door opens and shuts)

- Just lay low, give her a minute to feel like

it's her decision.

(door opens)

- Uh, what's up with the scrubs?

- General's gotta lead from the front.

- Like a Zelenskyy kind of thing?

(Amy chuckles)

- I really hope you're not rushing this, Amy.

- Gina walked me through the game plan.

I assure you, I can do this.

(exhales)

(indistinct chatter)

- Nikki, right? Stanford undergrad, honors at Yale Med?

- Do you know my social security number too?

- Uh, 141-006-9412?

(sighs)

- That was 10 digits, social's nine.

- Yeah. You know what? You got me there.

- Mm-hmm. - I'm Graham.

- We all know who you are.

- Really?

- Give me a break.

Your parents gave, what, 20 mil to the hospital?

- So, what do you think about this whole

Co-Chief situation thing?

- Maitra's a wild card,

but we all know Larsen's a ballbuster, uh?

- At least Larsen 1.0 was,

guess we'll have to wait and see about the TBI version, though.

- Ouch. (chuckles)

Yeah, don't let anybody else hear you say that.

- Eh, they both come from the Joan Ridley camp,

so you know it's gonna be dog eat dog.

- Hi. - Hi. Dr. Maitra.

- Ruth Chen. This is Kyle Ferguson.

I'm very excited to be here.

- Looking forward to training you.

- I'm gonna need more than him.

- You're already published in JAMA.

- And you're 23, already finished med school.

- I was home-schooled, so didn't have the traditional trajectory.

- I know, I heard last week was the first time

you were on a plane?

- Yeah. I just moved here.

Getting acclimated as quickly as I can.

- Buckle up, it's all gonna move a lot faster

than you're ready for.

(Dr. Hamda): Okay, if everyone can settle in,

we'll get started.

I'm Dr. Michael Hamda, Chief of Internal Medicine.

These are your Co-Chief Residents,

Doctors Sonya Maitra and Amy Larsen.

I'll let them take it from here.

- Okay, welcome.

I'm sure you all have those butterflies,

which is to be expected,

but you're here because you deserve to be.

And you should know that, because Joan Ridley chose you.

It was one of the last things she did before she passed away.

So, I don't say this lightly.

You are here to carry on her legacy.

This is a calling.

It was for Dr. Ridley, it is for me,

and we are gonna find out if it is for you.

And if it is, you can be damn sure

we're gonna help you fulfill it.

- Okay, then. Dr. De Silva and Dr. Ferguson,

you'll trail me today,

and Doctors Barker and Chen will be with Dr. Larsen.

The rest of you...

(Amy): When someone is this blatantly negligent,

it usually means that they are trying to fail.

(Sonya): Until then, see Julie in the nurses' station,

she'll get you your assignments.

(indistinct chatter)

- First up is Torey Harris, 16,

she had a grand mal seizure yesterday afternoon.

No apparent underlying conditions,

she had CT and lab work done in the ER,

and they brought her up here this morning for a consult

with Dr. Walker.

Torey will shaken up,

and assuming there's a parent in there with her,

they will be extremely anxious,

so let's be mindful of our bedside manner.

Not just the medicine, yeah?

- I don't understand how this can just come out of nowhere.

I've never had anything like this before.

- Hi. I am the chief resident, Dr. Larsen,

and this is Dr. Chen--

- Hi. - ...and Dr. Barker.

- Do we really need all these doctors?

- Please don't be alarmed. These are our interns.

Teaching is part of what we do here.

So, what do you see on the CT scans?

- Um, ventricular volume's symmetrical,

no masses or signs of ischemia.

- Mm-hmm.

That means no stroke, which is a good thing.

- We've already been over this with Dr. Walker,

and her blood tests are all normal.

Why doesn't anyone have an explanation?

- And what's happening with this thing on my head now?

- It measures the electrical activity in your brain,

confirms you definitely had a seizure.

- And what are the signs of that?

- Postictal state (exhales)

- Meaning? - Diffuse delta theta slowing.

- Which means your brain's been overworked.

- Yeah, I get that. How are you gonna fix me?

(inhales)

(Amy): You went to medical school?

No?

So maybe let us figure it out.

- Right now, you are stabilized,

and we are... (phone buzzing)

- Yeah? No, they still don't know what the hell this is.

You're freaked out? I'm the one that's spent the last 14 hours

getting my entire body scanned.

I'll just text you later, the doctors are here.

I gotta go.

Sorry. My friends are kinda tweaking.

- Understandable.

Now, what can you tell us about how you were feeling yesterday?

Headache? Dizziness? Flashing lights?

- No. I told them this in the ER.

- Well, how about in those moments right before you seized?

- We were in tech rehearsal,

doing the big scene where Juliet's gonna kill herself.

To be honest, I was kind of nervous,

because I kept missing my cues and then...

I heard the fake gunshot-- (monitor beeps)

- and I--

- Dr. Larsen.

- Is something happening?

- She's gonna seize again.

(beeping)

- Torey!

(gasping)

- Crash cart, IV Lorazepam, intubation kit.

Dr. Barker, stabilize her on the left.

- Why is this happening again?

- Mrs. Harris, please step back. We've got this.

- Dr. Barker, stabilize her.

(Torey gasping)

- Get the-- that's the supply cart!

The crash cart will be in the hallway!

- I've got it!

- Oxygen, Ruth!

- Yep! Um-huh! Yep!

(Amy): Now! (Ruth): Coming!

(Amy): Come on, now. - Here.

(gasping)

- I'm sure you're aware Felicia Turner and her husband

launched a complaint against Dr. Larsen today.

- I am.

- They mentioned you were present

during some of their interactions?

- I was...

Though I'm not sure what the point of this is.

- Just tell me what you observed, Dr. Maitra.

- The woman's pregnant,

and somehow Amy couldn't imagine why she'd be anxious

about her baby's health.

- How so?

- Amy was Amy.

I don't know what else you want me to say,

especially since we've been down this road before,

but her behavior doesn't change.

- It can take some time to adjust the culture

of any institution.

- But you're not gonna fire her, right? No matter what she does.

(exhales)

(softly): Yeah.

I thought so.

- Dr. Maitra.

Give it a few months, okay?

People who matter see your value here, and it won't be forgotten.

(elevator ding)

- Next up, 38-year-old male reporting chest pains,

shortness of breath, family history of heart disease.

Fairly typical cardiac profile.

You'll be seeing a lot of these,

but we don't always catch the exciting ones.

And any particular stress lately?

(equipment beeping) - Stress?

I mean, one of my students had a seizure yesterday

during rehearsals.

- Oh, yeah, she's here. Torey, right?

Our other doctors are treating her.

- That's a HIPAA violation, Dr. De Silva.

- Right. Sorry.

- I've been texting her; she says that she's had a bunch

of tests but you still don't know anything?

- I know you're concerned, but we're not at liberty

to discuss another patient with you.

Now, if you can tell us about your...

(murmurs in pain)

Is your head hurting now, too?

- Yeah, uh, feels like a migraine.

- Have you had those before?

- No, never.

- Dr. De Silva?

- Feeling any sensitivity to light?

- Uh, no.

- Does the pain radiate anywhere?

- What does that mean?

- Does it go down your back or arm?

- I don't think so. I am feeling a bit dizzy, though.

- Dr. Ferguson.

- I'm trying to reconcile why you're having heart

and head pain simultaneously.

- Could be a stroke. - What!?

- Or carotid artery stenosis.

- What, what is that now?!

- Dr. De Silva, it's not your turn.

Dr. Ferguson, let's stick to more likely scenarios,

and try not to frighten the patient.

- Am I allowed to posit angina?

- You are.

- Given the family history of heart disease,

would it be too aggressive to suggest an angio?

- Uh--

- It would not.

Now explain to Mr. Galvin what that means.

- I caught you having a memory when we were in with Torey.

- Oh, I've got a highlight reel of the Wicked Witch of Westside

coming at me.

It's like a running podcast of how not to be.

It's very instructive.

- C'mon, Amy, I'm out on a limb here. So is Dr. Scherl.

- I'm dealing, Gina. I can bat them away.

Uh, get Torey settled in Radiology,

and have Graham bring those test results

as soon as they're ready.

- Yup, on it.

- TJ said you were here.

- In the flesh.

Looks like you're healing well.

- All good. First day at my new gig.

- Ah. I was very sorry to hear about Joan.

- She was one of a kind.

- And Richard? TJ said he moved on.

- He needed a fresh start. He's just over at Eastside.

- Well, it's great to see you.

Both of you.

- And you, Dr. Grant. Give him whatever he asks for.

(chuckling)

- Oh, we'll see. It's good to see you back, Amy.

I guess we've got Dr. Grant's steady hands to thank for that.

- Indeed we do.

- Shall we? - Please.

(indistinct chatter)

- Do I sense something there?

- I'm closed for business.

- Just sayin', if I went the other way...

(Amy exhales dramatically) - Hey, stop it!

(whispers): Hello.

- Ben Grant's a cowboy,

which I'm sure you know is a problem

for a lot of surgeons.

Especially the ones from New York.

- I do, Sir. That's not me.

- Stay centered on my instruments.

Horizon level; don't chase the action.

I know you were a medic in combat,

so you've got a lot more experience than most residents,

but I want to make sure you walk before you run.

- Yes, Sir, absolutely.

(machines beeping)

(machine whirring)

- You're beating yourself up.

- What?

- It's your first day.

Anybody could have made that mistake with the crash cart.

The important thing now is how you rebound.

And consider that not everybody's meant to be

a doctor.

- Thanks. I appreciate that.

- Remember what I said this morning, you belong here.

- So now that you're not working with Dr. Larsen,

you're kind of lost, is that it?

- Come, Margaret.

- I take what I do very seriously.

I don't appreciate people in my department being half-hearted.

- Is that a pun?

- Won't be charmed, Jake.

But we do have some money.

Only three months. But at that point, we'll reassess.

- Okay, that's not--

- You can't possibly feel you were promised something?

- No, no. I'm happy to bet on myself.

- Appreciate the confidence.

Now you can trail Dr. Douglas this week.

- Whew. She's tough, but you've had tougher.

- I can't believe I'm 38 years old

and there's a catheter in my heart right now.

- I know, but it sounds scarier than it is.

Just try and breathe and think about something else, okay?

- Besides my favorite student flailing around on the floor

of my theater? Yeah.

- Okay, I'm gonna inject the dye now,

so we can map out your arteries.

That's not quite oriented.

- It's like a maze. Inject more and let's see what we see.

Hard left there.

- I'm just feeding the catheter in a bit deeper.

Just keep thinking about Juliet on that balcony.

- Not funny. And we couldn't afford a balcony.

- Come on, Mr. Galvin,

"Deny thy father, refuse thy name."

- Now that's funny.

- I played Juliet at Reseda High.

- His arteries are totally clean.

- Well, that's good, right?

- Except now we can't explain your symptoms.

(gasping)

- Okay, Liz, come here. Let's stabilize him.

I gotta get this catheter out.

- Oh, my God. What's going on? What's going on?

(Amy): Torey's cerebral parenchyma looks healthy ...

(machine whirring) - No mass or bleed.

No stroke, vascular malformation, cortical lesion.

- No signs of encephalitis. I mean,

there's no physical reason she should be having

these seizures.

- Her drama teacher just had a focal seizure.

It can't be a coincidence they're both having

a neurological response.

- Then it has to be an acute environmental exposure.

From the theater.

- Which means there are gonna be others.

(tense music)

- So, Michael sent me home for the night.

Apparently, Sonya ratted on me for being so hard on Felicia.

- You gotta be kidding me.

- It almost makes me think that maybe she has a thing for you.

- What, and this is like payback?

- A woman scorned...

- No. No. No way, plus I mean, she doesn't know about us.

- Speaking of which, see you at my place in an hour?

- Yeah, sounds great.

- And Jake, maybe...

bring something more than just a toothbrush.

- Wow. It almost sounds like a level of commitment.

(chuckles)

- I think it's time that I tell Katie about you.

And, uh, maybe introduce you.

- Yeah, yeah. Same for Mia.

- I'd love that.

And I love you.

- I can get used to hearing that.

(door opening)

- I'll see you there.

(Michael): Well, you need Public Health in there

to test the theater, and we need to know

if anyone else has reported any issues.

Have any other students called out sick?

- So, Cardiology?

- Long story.

(Michael): It could be

a lot of things. Mold-- - Huh.

- How goes it with the interns?

- Getting my footing.

(Michael): Were you inspected recently?

- Big shoes to fill.

(Michael): Mostly neurological symptoms.

- Almost sounds like a level of commitment.

(Michael): I'm not asking--

- You just have a memory? - Yeah.

- I know you can't reveal names to us,

but you need to contact their parents,

and have them brought here.

Well, I appreciate it. Keep me posted.

Two more left school with dizziness,

one other with numbness in their right hand.

- All from the theater?

- He was cagey, wouldn't say.

- Okay, well, that's helpful.

- And he's trying to cover his ass, but he will

call Public Health. - Well, what about the kids?

Are they coming in? - He's gonna push.

Once they land, we cross-reference symptoms,

see if we can find a pattern.

- When did the dizziness start?

- Um, in math class? Around 11 o'clock maybe?

- Any changes in your vision?

- Not really. Is that a part of it? With the dizziness?

- We're just gathering information.

- He said the drama teacher's here, too.

- Yeah. And Torey. You wouldn't believe

what happened to her, Dad.

- We're not permitted to discuss that.

- Do we all have the same thing?

- Did you smell anything unusual at the school?

- No, I don't think so.

- Is that what it is? A gas leak or something?

- We're still evaluating,

and Public Health is testing the school right now.

Dr. Ferguson, do you have any questions?

- I do.

(Ben): Absolutely, I believe in being aggressive.

Now, if you're asking if I'm pathologically in love

with cutting... no.

My ego's aligned with outcomes, not bravado.

- And why Minneapolis?

- I grew up here,

and my sister's had some health problems plus two teenage boys

who could use a role model around.

Look, the thing is, I could just go to Mayo.

What I'd hope to do here was build your department.

- Well, that's the idea for bringing you in.

(chuckles)

- I guess what I'm saying is, if I'm coming to Westside,

it would only be to run surgery.

- You wanna replace Dr. Costa?

- Now, don't get me wrong; he's solid.

I'd welcome him as part of my team.

I'd even be willing to reduce some of my own salary

so he takes home the same as what he earns now.

It's not about money for me.

- What is it you think you can bring

that we don't already have now?

- Internal Medicine's been your Bright and Shiny here

for a long time,

but Dr. Larsen's not a draw in her current capacity.

Now, look, look, in any case, you need Surgery

to be your guiding light.

That's where the edge is, that's where the grants are,

that's where you can get your superstar recruits.

And with my auspices and reach,

I'll certainly be able to pull those people in.

- It'll be all the same tests for Paul in 618.

Call Pathology to tell them I want them all expedited.

- Hi, my name is Betsy Fuller. This is my son Josh.

He was in the theater.

We were told everyone's checking in on this floor.

- Okay, is he one of the students

displaying symptoms?

- Well, not yet, but we've heard it's up to six people.

- Four, actually.

- You said it was six.

- Well, I don't know. That's what I was told.

(Betsy): Well, he still needs to be seen by the doctors.

- I understand. Fill out this form, please,

and have a seat in the waiting area.

(Torey gasping)

(Josh): Torey!

- She went unresponsive. Pressure 210 over 112.

Heart rate 48. And her left pupil's fixed.

- What the hell? What's wrong with her?

- That can't be from new-onset seizures.

- Someone needs to tell us what this is!

- What's going on with her? Is this contagious?

- Just try to be calm, please.

- Nothing to say?

- Matthew Reddy is stable.

Dr. Park's covering the ICU, and Dr. Barrett's handling

Kim Trent's angio. Everything's in hand.

- I meant about the complaint.

(door closes)

- Felicia Turner complained.

I was asked what happened and I wasn't gonna lie.

- Right, but the truth can be subjective.

And I'm wondering if you told Dr. Hamda

that you missed splintering fingernails

and thus the diagnosis this morning.

- Look, I wasn't gonna tell you this until tomorrow,

but, so long as we're here...

I'll be offering my resignation. Effective in two weeks.

- You're quitting.

Because you don't like my leadership style.

- I'm sure you think it's a style,

but everyone besides Dr. Heller thinks it's abusive.

And I don't need it in my life.

- Well, I'll expect to hear from you in a year or two.

Apologizing and thanking me for everything I've taught you.

(shaky exhale)

(machine whirring)

- They told the MRI was finished?

- Just about. No lesions. Ventricles look good so far.

- How are you doing today? - Tricky case.

- No, I mean being Chief Resident with Amy.

- Oh. Yeah, she gave a pretty rah-rah speech

to the interns this morning.

Kind of the polar opposite of how she used to be so...

that was interesting.

- Yeah, I'm sure she's trying a different tack this time around.

- Mm.

- What about you? Figure out your approach yet?

- Tough love without the snark.

Might be kind of a role reversal

with her getting all touchy-feely.

How are things going with the two of you?

- Uh... we split up.

- Really? - Yeah.

Just trying to figure out that equilibrium now.

You know, working together.

- Well, it's day one. I'm sure you'll get there.

(equipment beeps)

- The teacher's CBC, CMP, head imaging all looks normal.

- Torey's in surgery.

She has to have some obstructive process in her brain,

but we imaged the other kids; none of them show clotting.

(Jake): And we cleared them all on recreational drug use.

(Michael): Tox screens all normal.

(Jake): Okay, so what's our profiling indicate?

- No respiratory symptoms, which rules out molds, formaldehyde,

carbon monoxide, no peripheral neuropathy...

- And no fever, so no cyanotoxins from the HVACs.

- Something doesn't make sense.

Torey had her first seizure yesterday afternoon,

but none of the others started showing symptoms until today.

If it was acute exposure,

they all would have been swarming the ER last night.

- We need to re-interview them all and scrutinize the timeline.

Something's gotta shake out.

- Have you heard anything from the school?

- We're still waiting on the testing.

- Okay, so long will that take?

- Um, yeah, um...

- Some of the potential toxins they can test

in a matter of hours; others can take a day or two.

- Can you please help us? My son needs to see someone.

- He wasn't exhibiting any symptoms when he arrived,

but he's starting to feel dizzy now.

- And I've got, like, a numbness down my arm.

- I was just about to admit him.

- This has gotten worse since you've been waiting?

- Yes. It's been coming on strong.

And no one can tell us what the incubation period is.

- Full work-up. Room, um, 619.

- Oh, it's about time.

- Um, she said that Torey was going into surgery.

Are they gonna be able to help her?

- Yes. Please just go with Dr. Chen; we'll work it all out.

(Josh's mother): Okay.

(indistinct chatter)

(equipment beeping)

- Okay, there is a clot.

- What are our options?

- Open the transverse sinus and drain it.

- Or?

- Put in an extra-ventricular drain and anti-coagulate?

- Exactly.

- But her recovery time could be two weeks.

You're not worried about the prolonged pressure

to the brain?

- Post-op heparin'll tackle that

and sticking a scalpel in there carries plenty of risk.

Okay, prep the drain kit.

- Before Math, you were in English class,

and you said you were worried about Torey?

- Nobody knew what was happening to her.

Then we heard Mr. Galvin wasn't coming in, either.

- How did you hear that?

- There's a group chat.

- With the theater group? - Yeah.

- Do you mind if I have a look at that?

- Yeah, sure.

- Seemed like everyone was getting pretty worked up.

- I mean, yeah, of course.

(Male voice over PA): Rapid response team to 619.

Rapid response team to 619.

- Uh, I'm sorry. Excuse me. I'll be back.

- Excuse me! Excuse me, Ma'am! - What's happening?

- Sorry! - Do something!

(door opens)

(Josh gasping)

- This is the same thing that happened to Torey!

- Stop!

(Josh gasping)

Two milligrams Lorazepam and nasal-pronged oxygen.

- For a brain herniation?

- This isn't neurological.

- What are you talking about? He's catatonic!

- This is all psychological.

It's mass hysteria.

(elevator dings)

- I thought you went home an hour ago.

- Just checking in on Ray Porter post-op.

I spoke to his daughter, clarified the prognosis.

Sorry I tried to play it down to her before.

- Don't be sorry.

You're the one person I can count on

to take instruction without whining.

- I heard about Sonya leaving.

- Spoon-feeding approval is no way to make good doctors.

Any more than soldiers.

- Funny thing is, she is pretty hard on the first-years.

- Well, she can take her thin skin and hypocrisy

elsewhere now.

- Yes, she can. - How are you doing?

- Good.

Great.

- Did you follow up on what we talked about? The nightmares.

- Oh, um, yeah.

- TJ, you can't white-knuckle your way through everything.

- Isn't that what you do?

(phone buzzing)

Something wrong?

(elevator dings)

- No.

(indistinct chatter)

- So he's okay?

- He's okay. - But I don't understand.

- It's called conversion disorder.

It's a contagious psychological response within a community

that is harboring acute stress.

The "witches" in Salem,

or all those girls in Iran a few years ago...

When your son and the other students saw Torey seize

in the theater, that started a chain reaction.

Then, Mr. Galvin called in sick, and they started to panic.

Then the group chat just contributed to this

fomenting anxiety that accumulated

and amplified into this.

- So when Josh saw Torey...

His mind just made him copycat that?

- Essentially, yes.

You saw the longer he was in the waiting room

around all that fear and agitation,

the more he started to manifest those symptoms.

We could run a dozen tests,

and nothing would show up physically.

- I saw that on the group chat.

Everyone's tests came up negative.

- I can assure you this is a psychological reaction

to shared stress.

- Shared stress?

They're teenagers; I'm a grown man.

- I know, but unfortunately that doesn't make you immune.

- Well, I have put on plenty of productions, and believe me,

this was not the most stressful.

So you can't tell me that I'm here

and I put everyone else here

because I'm some sort of taskmaster.

- Look, I'm not saying that it's the play necessarily,

but it must be something at the school.

And without knowing the source of that trauma,

this could go on for a long time.

Okay, for all of you.

- This is insane.

- Think, Mr. Galvin. What could it be?

- I have no idea.

And how is this a delusion when Torey's in surgery?

(equipment beeping) - There's the sagittal sinus.

See how engorged those cortical--

- Stalking your prey?

- I can get a feel for how he's been running the department

by watching how he cuts.

- And you really think he's that conservative?

- He's putting a drain into a CVST patient

and counting on the heparin to do his work for him as we speak,

so...

But I think you already made your decision

before you came in here.

- What's the status of your transplant bridge trial?

We understand you're about to enter the human phase now.

- My intention is to keep an eye on it from here

and travel to New York as needed.

But I assure you, it wouldn't be a distraction.

- No, that's not the concern.

If you could get it moved here,

the Board's prepared to divert 3 million from one of our

research grants to your study.

Plus everything else you asked for.

- You know I have partners.

- Yes, but you're the lead,

and we just doubled your budget.

So, get it done; we've got a deal.

(footsteps receding)

(equipment beeping)

- So, we relieved the pressure that was causing the seizure,

and put in a microscopic drain to prevent it from coming back.

- You left something in my brain?

- We'll remove it in a couple of weeks.

- After another surgery?

- No, no. We'll just pull it out slowly. It's painless.

- I've gotta be here two weeks?

- We've also got you on blood thinners,

so we'll need to monitor you closely.

- We appreciate it, Dr. Coleman. If we could have the room now.

- Sure. Um, yeah.

Yeah. Of course.

- Now, we'd like to go back

to what was happening with you yesterday. Before the rehearsal.

- I already told you: I didn't have any symptoms.

- Oh, we're not talking about physical symptoms.

Walk us through your day at school.

- I had English then Math.

I had a test but that wasn't a big deal, then a free,

then lunch, then there was a lockdown drill,

Uh, then History--

- A, a lockdown drill?

- Yeah. You know, like an active shooter or whatever? You know?

- Uh, did something happen during the drill?

- Happen? No. Same as always.

- Which is?

- Uh, lock the door, turn off the lights,

uh, move the desks to block the door

in case there's a shooter.

(exhales)

- And do you find that stressful?

- No, it's what we do; we're used to it.

- Just because something's been normalized doesn't mean

it isn't having an impact.

I suspect, on some level,

those drills can be traumatizing.

- Traumatizing. - Sure.

For everyone, even the teachers who have to do them.

- I mean, the last time we did one,

there was this one girl who had a panic attack,

but we all just kinda thought she was being extra.

- When was that?

- I don't know, couple months ago maybe.

We do them like six or seven times a year.

(exhales) - So, when you heard

about the girl who reacted like that,

how were you affected?

- I didn't hear about it. I saw it.

There was a video that went viral. We all saw it.

(Heidi): I can't-- I can't breathe!

- It's okay, Heidi.

(student): Oh, my God, what's happening to her?

(concerned chatter over phone)

(Heidi gasping)

- What was your reaction when you saw this?

- I mean, we felt sorry for her.

- I don't even understand why we have to do these drills

all the time.

It's like, we've been doing them since we were eight.

We get it already.

- They stopped calling it an active shooter drill.

Like we'd be pushing desks against the door

for a hurricane?

- They should just train the teachers,

then tell the students to follow them.

Like, why do we have to keep going through it

again and again?

- If the schools don't train everybody,

then they'll be liable if something happens.

- And after that girl had her panic attack,

did anybody go to the school counselors

or report having similar anxieties?

- I don't even know if the kids realized it was bothering them.

I mean, if they did, would any of this be happening?

I certainly wouldn't have given Juliet the gun

in that scene.

I just thought it would be cool and modern.

- My thought is, when you heard that gunshot on stage,

that released all of the anxieties

you've been carrying since you saw Heidi

have the panic attack in that video.

- Not to mention the anxiety you probably have felt

about those drills and what they mean for a long time.

- So, if this was all in my head, why did I need surgery?

- It turns out you have an underlying

blood clotting disorder that was dormant.

And the acute stress brought it out and heightened it.

- But only temporarily, right?

- Unfortunately, not.

Now that the condition is manifest,

it'll be chronic.

- For the rest of her life?

- We can treat it with anti-seizure medication,

but that does have side effects and, yes,

it will be for the rest of her life.

- You're saying the lockdown drills did this to her?

- I'd say it's the stress of being a teenager

in a very complicated world.

(indistinct chatter)

- So, what are we selling?

- Cognitive behavioral therapy,

but it's gonna be a long road.

- Parenting.

- And then some.

- You know, I as cramming for all the stuff for Pediatrics,

and it just started making me look at Mia like a patient.

Didn't much care for that.

- Thus the change to Cardiology.

- Hm. Yeah. - Huh.

- I think it's time that I tell Katie about you.

- D'you have another one?

- Oh, no. It's nothing. Just not a big deal.

- Um, okay. Well, congrats on today.

You did great. As expected.

- You too. - Yeah.

I'll see you tomorrow. - Okay.

- Hey, I wanted to catch you before the official postgame,

see how you thought today went.

- Uh, yeah, wild day.

- I mean your performance.

- Oh, uh...

- Self-analysis will be crucial,

but since you haven't engaged in that yet, I can go.

You started the day with a HIPAA violation,

then tossed out worst-case scenarios

to an anxious patient with stress-related cardiac issues,

then walked yourself into the lion's den

of those terrified parents, completely unprepared

to answer their most obvious question.

- You're right. I'm sorry.

- You already know what you're supposed to do.

What's gonna change?

- You're extremely smart, Nikki, and can be a great doctor.

But I don't want to hear you're sorry.

I wanna know what you're gonna do to turn things around.

(softly): Uh.

- Think about it tonight and come back to me tomorrow.

- Right. Thank you.

- Mm-hmm.

- Not exactly in keeping with the speech we gave this morning.

- Our job's to teach them.

If they're snowflakes, they're not gonna cut it.

(keyboard clacking)

(indistinct chatter)

- Hey. I heard you had the trippiest case today.

(scoffs) - "Trippy" is one word for it.

- You know, I never did a lockdown drill.

Do they really do it at all the schools?

- Yeah. At mine, they gave out roles and had us all act it out.

One kid played the shooter,

a bunch of us pretended to get shot...

- Not possible.

- Then they told us to fight back.

Throw books at the shooter.

- That just can't be true.

- Six times a year.

Every year since second grade.

(indistinct chatter)

- Oh, my God, Maitra just busted me for a couple of misdemeanors.

Meanwhile, Ruth was about to shove a tube

down a patient's throat when he didn't need it,

and Larsen let's her off the hook.

(chuckles)

- I heard that they were both vying for the job

and now they gotta share it?

That's gotta be interesting, huh?

(scoffs)

- Hey, stranger. Missed you in our department.

- Sounds like you managed it all with style.

- Gotta admit, felt pretty good.

- Well, I guess you're glad you didn't quit last year.

- Hey.

You are one of the only people who knows about that,

and I don't need the interns finding out

Amy and I didn't get along,

or that the only reason I stayed is 'cause she got demoted

after her accident.

- Well, this guy is glad that you did.

(door closes)

(voicemail): This is Katie, leave a message.

(beep)

(Michael): Hey, it's Dad. I, uh, texted you, too.

I just wanted to check on you.

Ask you if, uh...

Well, just call me. I love you, Sweetheart.

- I called her, too.

- I think she's at some fraternity party.

We'll hear from her tomorrow.

- Yeah. Did she ever mention anything to us?

About those lockdown drills?

(exhales) Nope.

You always thought it was overkill.

Asking the kids to carry the burden

'cause the adults in the room can't get it together

to do the right thing.

- Um, wondering if you observed Sonya at all today.

- Not much, no.

- I think she's got some shades of the old me.

- You're who she learned from. Even if she hated it.

- Could be a problem.

- You're asking me to demote her?

- No! Of course not.

- 'Cause Joan wanted you paired for a reason.

- I know that, and she's...

- Arrogance and indifferent bedside manner

won't be tolerated.

She's what? - Um--

- Being a great physician isn't enough to protect you.

Not anymore.

- She's great. We'll hash it out.

- Go home and get some rest.

- It was just a barrage today.

I mean, so much more than ever before.

And I don't know how I'm gonna get through a day

without everyone noticing and wondering if I can do this.

- You came back to the place that's gonna trigger you

more than anyplace else, and your brain's healing.

- So, this could be the new normal.

- There's nothing normal about your brain.

And I hate to break it to you: you might be done with the past

but clearly the past isn't done with you.

(traffic humming)

Amy (voicemail): You've reached Dr. Amy Larsen.

Leave a message. (beep)

- All right, it's my third time calling you.

I get you don't wanna talk to me;

but we've got big trouble.

With what we did.

(suspenseful music)

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