1 00:00:00,000 --> 00:00:04,760 Please tell me you did not leak Theo's files to save my job. Taking this deal 2 00:00:04,760 --> 00:00:08,400 means you're going to pursue employment elsewhere from Gaffney. You want me 3 00:00:08,400 --> 00:00:10,780 gone. I still can't figure out why. 4 00:00:11,020 --> 00:00:12,400 Please don't take Miranda's deal. 5 00:00:12,880 --> 00:00:14,360 I leaked the medical file. 6 00:00:15,240 --> 00:00:19,380 I see how it is easy for you to cast me as the enemy in your internal drama. 7 00:00:19,700 --> 00:00:24,780 Sloan, you cut multiple shifts just to save pennies. Everyone resists change. 8 00:00:25,100 --> 00:00:26,160 You miss Sharon Goodwin. 9 00:00:27,060 --> 00:00:28,940 Oh, Sharon Goodwin's coming back. 10 00:00:35,180 --> 00:00:40,360 I thought sharing a shower was about saving time. You said, and I quote, all 11 00:00:40,360 --> 00:00:43,180 business. Well, the gift has a lot of meaning. 12 00:00:53,840 --> 00:00:56,080 Yeah? Can I get in there to brush my teeth? 13 00:00:57,460 --> 00:00:58,460 Can you wait? 14 00:00:58,600 --> 00:00:59,720 I need a minute. 15 00:01:00,080 --> 00:01:01,080 What? 16 00:01:02,500 --> 00:01:04,120 All right, all right, I'm coming. 17 00:01:06,800 --> 00:01:08,880 Hey, man. Here you go. 18 00:01:10,600 --> 00:01:11,680 Do you have a girl in there? 19 00:01:12,580 --> 00:01:13,920 Well, what's with all the questions? 20 00:01:14,200 --> 00:01:19,720 Look, when Naomi got that fellowship in Portland and dumped you... Easy. 21 00:01:20,640 --> 00:01:23,760 Mutual breakup? Sure, go ahead. I was there for you, and I have been nothing 22 00:01:23,760 --> 00:01:27,800 but supportive as you've, you know, gotten back on the horse or the whole 23 00:01:27,800 --> 00:01:29,760 herd the past couple of months. 24 00:01:30,000 --> 00:01:32,080 It feels like there's a button coming. 25 00:01:32,540 --> 00:01:35,340 You're taking some liberties with the roommate code. 26 00:01:39,980 --> 00:01:45,900 No, that's that's fair and I understand and I will do better after 27 00:01:45,900 --> 00:01:50,640 this morning Yeah, 28 00:01:50,640 --> 00:01:57,640 okay, so she's got a change of clothes in the bag and I pumped 29 00:01:57,640 --> 00:01:59,360 this morning which is in the cooler you brought 30 00:02:01,050 --> 00:02:05,210 Also, she likes to be burped on her left side. Sometimes it takes a little bit. I 31 00:02:05,210 --> 00:02:08,870 promise. I got her. And daycare is great for little tykes. It gets them these two 32 00:02:08,870 --> 00:02:12,950 faces. Yeah, yeah. No, I've read the literature, Trident. 33 00:02:13,630 --> 00:02:17,130 It's just I'm handing my heart to a stranger, and I don't want Mabel to feel 34 00:02:17,130 --> 00:02:20,950 abandoned. She's going to be fine. A little independence is going to be good 35 00:02:20,950 --> 00:02:21,950 for her. Right, yeah. 36 00:02:24,050 --> 00:02:27,330 I got you. I got you. 37 00:02:27,690 --> 00:02:28,690 It's OK. Yes. 38 00:02:36,110 --> 00:02:37,110 Why are you so calm? 39 00:02:37,150 --> 00:02:37,769 I'm not. 40 00:02:37,770 --> 00:02:38,770 I'm pretending for you. 41 00:02:41,030 --> 00:02:42,090 Dr. Archer. 42 00:02:42,890 --> 00:02:44,270 Oh, good luck with that. 43 00:02:44,730 --> 00:02:46,010 Thanks. Bye. Bye. 44 00:02:47,850 --> 00:02:50,050 Hi. So glad I ran into you. 45 00:02:50,270 --> 00:02:51,470 Okay. What's up? 46 00:02:51,710 --> 00:02:55,230 Well, I wanted to let you know that I'm shifting some resources to create a 47 00:02:55,230 --> 00:02:56,049 dozen new beds. 48 00:02:56,050 --> 00:02:59,250 More people will be admitted faster, which should clear up some space in the 49 00:02:59,250 --> 00:03:00,250 ED. 50 00:03:00,290 --> 00:03:01,290 Oh, okay. 51 00:03:01,410 --> 00:03:04,850 Uh, that sounds really great. Thank you. 52 00:03:05,470 --> 00:03:06,730 We're a team, right? 53 00:03:07,690 --> 00:03:08,690 Right. 54 00:03:15,210 --> 00:03:17,930 I knew what Miranda was trying to do to Dr. Charles. 55 00:03:20,310 --> 00:03:21,310 We all did. 56 00:03:23,170 --> 00:03:26,070 And I felt angry and helpless. 57 00:03:26,490 --> 00:03:28,290 Yeah, I know that feeling. 58 00:03:28,830 --> 00:03:32,010 Then I went to your office to drop off the staffing report. 59 00:03:32,310 --> 00:03:33,310 You weren't there. 60 00:03:34,000 --> 00:03:40,340 But I happened to see dr. Rabari's name on your computer his medical records 61 00:03:40,340 --> 00:03:47,280 I Made a snap decision I printed them 62 00:03:47,280 --> 00:03:53,800 out and I anonymously sent them to Miranda Send how an envelope I left in 63 00:03:53,800 --> 00:03:54,800 the boardroom 64 00:03:55,080 --> 00:03:58,980 Look, I thought that I was saving Dr. Charles. I had no idea that they would 65 00:03:58,980 --> 00:04:02,200 come after you like this, and now they're trying to offer you a deal, 66 00:04:02,240 --> 00:04:05,580 wanting to push you out over something that I did? I can't just let that 67 00:04:05,580 --> 00:04:11,180 happen. Doris, Doris, I was the one who asked for the files. This is on me, too. 68 00:04:11,460 --> 00:04:13,020 But you didn't make me send them. 69 00:04:17,899 --> 00:04:19,839 I'm gonna tell Miranda the truth. 70 00:04:21,980 --> 00:04:23,260 I leaked those files. 71 00:04:24,320 --> 00:04:26,180 I understand how you're feeling. 72 00:04:26,720 --> 00:04:29,720 Miranda makes a lot of threats. 73 00:04:29,960 --> 00:04:36,020 It doesn't mean that she can prove anything, but the second you confess, 74 00:04:36,200 --> 00:04:37,840 there's no going back. 75 00:04:40,880 --> 00:04:42,080 Welcome back. 76 00:04:44,300 --> 00:04:45,300 How we feeling, Mama? 77 00:04:45,360 --> 00:04:47,360 A little anxious, if I'm being honest. 78 00:04:47,780 --> 00:04:50,660 But, you know, it was nice to actually get dressed this morning. 79 00:04:50,900 --> 00:04:54,580 Ugh, strong disagreed pants are for suckers. Well, either way, it is nice to 80 00:04:54,580 --> 00:04:55,580 see my people again. 81 00:04:56,420 --> 00:05:00,580 Speaking of, have you seen Doris yet? Late. She said car trouble or something. 82 00:05:00,900 --> 00:05:02,380 Multiple traumas incoming. 83 00:05:02,940 --> 00:05:06,500 A group of teens were subway surfing. Three were thrown off. Subway surf? 84 00:05:06,920 --> 00:05:09,860 Kids are jumping on top of subway cars, filming each other riding through the 85 00:05:09,860 --> 00:05:10,860 city. Are you kidding me? 86 00:05:11,000 --> 00:05:12,000 Mm-mm. 87 00:05:12,599 --> 00:05:16,980 Samara West, 19, PPs 110 over 73. Found her unconscious, but she came to on the 88 00:05:16,980 --> 00:05:19,980 ride over. She's complaining of severe neck pain and lower extremity 89 00:05:19,980 --> 00:05:23,800 paresthesias. Gave 50 milligrams of fentanyl for the pain and also possible 90 00:05:23,800 --> 00:05:24,639 wrist fracture. 91 00:05:24,640 --> 00:05:26,720 Okay, we're going to check you out now. On my count, gentle. 92 00:05:27,040 --> 00:05:28,260 One, two, three. 93 00:05:29,680 --> 00:05:32,780 It feels like needles in my leg. Okay, Samara, I'm going to feel the back of 94 00:05:32,780 --> 00:05:33,940 your neck. Keep still, okay? 95 00:05:35,060 --> 00:05:37,460 Now, if you feel any pain as I'm pressing, let me know. 96 00:05:38,040 --> 00:05:40,280 Ow, right there. Okay, I feel a step off at C67. 97 00:05:40,560 --> 00:05:44,720 Let's get a CTC spine, CTA neck, trauma labs, and page Dr. Abrams. 98 00:05:44,980 --> 00:05:49,120 Nolan Goodland, 14, fell off the train car, made contact with the third rail, 99 00:05:49,200 --> 00:05:52,400 sustained severe electrical burns to the chest, was unconscious at the scene. 100 00:05:52,600 --> 00:05:53,259 Poor kid. 101 00:05:53,260 --> 00:05:54,520 I'm sure his parents are notified. 102 00:05:54,960 --> 00:06:00,020 Let's get a crash pad set up and get a Foley in him. Send trauma labs with CK, 103 00:06:00,100 --> 00:06:02,960 and I need an ultrasound. Ready? One, two, three. 104 00:06:03,980 --> 00:06:05,900 Nolan? Abdomen's distended. 105 00:06:06,140 --> 00:06:07,140 Nolan? 106 00:06:07,420 --> 00:06:08,420 Can you hear me, son? 107 00:06:08,720 --> 00:06:10,440 Nolan. My blood pressure's dropping. 108 00:06:10,780 --> 00:06:11,940 Start a second IV. 109 00:06:12,380 --> 00:06:16,320 Hang a liter of LR. Where's that ultrasound, Nancy? Come on. 110 00:06:16,720 --> 00:06:19,000 Christian, I'm Dr. Frost. We're going to take a look at you, all right? 111 00:06:20,800 --> 00:06:23,320 Okay, here's a pretty big flail segment on the right. 112 00:06:23,640 --> 00:06:24,860 Still tacky and hypopensive. 113 00:06:25,120 --> 00:06:26,120 Hang one and one. 114 00:06:26,220 --> 00:06:27,220 Nolan. 115 00:06:27,680 --> 00:06:28,680 Where is he, Nolan? 116 00:06:28,860 --> 00:06:31,700 That's his younger brother. Hey, Christian, look at me, all right? You're 117 00:06:31,700 --> 00:06:33,580 going to have to sit still. We're just trying to help. It's all right. 118 00:06:34,900 --> 00:06:35,900 Towel. 119 00:06:38,590 --> 00:06:40,570 Pima pneumothorax on the right with the flail segment. 120 00:06:40,990 --> 00:06:44,070 Medius thynums widened. We're going to have to rule out an aortic injury. Yeah, 121 00:06:44,070 --> 00:06:46,590 let's give two of her set of chest two before CT scan. 122 00:06:46,930 --> 00:06:48,270 Need another set of hands here. 123 00:06:48,870 --> 00:06:49,890 Go, go, I got it, go. 124 00:06:50,810 --> 00:06:52,810 It's okay, Christian, I got you. It's all right, okay? 125 00:06:53,030 --> 00:06:54,030 All right, take over. 126 00:06:55,150 --> 00:06:57,490 Use a gram of calcium and bicarb. 127 00:06:58,150 --> 00:06:59,150 Charge of 200. 128 00:06:59,990 --> 00:07:00,990 Charge. Clear. 129 00:07:04,770 --> 00:07:05,770 300. 130 00:07:13,280 --> 00:07:15,500 So, Christian, we contacted your dad. 131 00:07:15,840 --> 00:07:16,840 He's on the way. 132 00:07:17,400 --> 00:07:20,180 But you have what is called an aortic dissection. 133 00:07:20,720 --> 00:07:23,320 It's a tear in the main blood vessel from your heart. 134 00:07:23,940 --> 00:07:24,940 Sounds bad. 135 00:07:25,220 --> 00:07:27,320 It's a small tear, which is good. 136 00:07:27,740 --> 00:07:30,900 But sometimes those do get bigger and require surgery. 137 00:07:31,700 --> 00:07:32,840 So what do we do? 138 00:07:33,950 --> 00:07:38,710 Well, we admit you and monitor you for the next 48 hours, and then we let 139 00:07:38,710 --> 00:07:39,710 Vascular take point. 140 00:07:42,710 --> 00:07:43,710 Where's my brother? 141 00:07:44,030 --> 00:07:45,030 How is he? 142 00:07:45,110 --> 00:07:50,330 We were able to restart his heart, but he is also suffering lacerations to his 143 00:07:50,330 --> 00:07:51,830 spleen and his liver. 144 00:07:53,710 --> 00:07:54,710 He'll be okay? 145 00:07:55,430 --> 00:07:58,190 We are doing everything that we possibly can, Christian. 146 00:08:00,890 --> 00:08:01,890 Please. 147 00:08:03,820 --> 00:08:04,820 Just tell me the truth. 148 00:08:05,420 --> 00:08:09,540 If he makes it through in the next few hours, he will have a chance. 149 00:08:11,040 --> 00:08:12,040 It's my idea. 150 00:08:16,360 --> 00:08:18,100 I saw some other kids doing it online. 151 00:08:18,360 --> 00:08:20,920 The train didn't seem like it was moving that fast. 152 00:08:22,700 --> 00:08:23,700 Then he slipped. 153 00:08:28,000 --> 00:08:30,340 He hit the rail and his body just like... 154 00:08:32,650 --> 00:08:33,650 Like, see stuff. 155 00:08:34,990 --> 00:08:36,530 Christian. Stop. 156 00:08:36,730 --> 00:08:37,649 Hey, hey. 157 00:08:37,650 --> 00:08:38,650 Look at me. 158 00:08:39,429 --> 00:08:40,510 Look at me. Christian. 159 00:08:42,870 --> 00:08:44,010 I know it's hard. 160 00:08:44,370 --> 00:08:46,630 Okay, Nolan is fighting. 161 00:08:47,270 --> 00:08:48,630 And that is a great thing. 162 00:08:50,130 --> 00:08:53,810 But for right now, let's just focus on getting you fixed up, okay? 163 00:08:56,910 --> 00:08:57,910 You do that for me? 164 00:09:02,760 --> 00:09:03,599 Where's he going? 165 00:09:03,600 --> 00:09:08,120 Ellen, I'm Dr. Ripley. I saw that you vomited blood and passed out this 166 00:09:08,120 --> 00:09:11,460 morning. I was at the table one minute. Next, I was on the floor. 167 00:09:11,960 --> 00:09:14,440 But Jackson called 911, thankfully. 168 00:09:14,760 --> 00:09:15,820 Oh, nice work, Jackson. 169 00:09:16,720 --> 00:09:18,740 You mind if I examine you? Yeah. 170 00:09:19,420 --> 00:09:21,180 And who's that guy? 171 00:09:21,740 --> 00:09:23,140 Captain Super Broccoli. 172 00:09:23,380 --> 00:09:25,220 Captain Super Broccoli? Never heard of him. 173 00:09:25,480 --> 00:09:30,420 I made him up and told stories about him, hoping Jackson might eat something 174 00:09:30,420 --> 00:09:31,420 green. 175 00:09:31,440 --> 00:09:32,440 He loved the stories. 176 00:09:33,060 --> 00:09:34,220 No luck on the vegetables. 177 00:09:35,220 --> 00:09:36,220 Very cool. 178 00:09:37,460 --> 00:09:38,600 Say ah for me? 179 00:09:39,380 --> 00:09:40,380 Ah. 180 00:09:41,320 --> 00:09:46,020 Okay, we'll need to wait for a CT to confirm, but your chest x-ray shows 181 00:09:46,020 --> 00:09:50,600 pneumomediastinum. I suspect you have a small tear in your esophagus. Would 182 00:09:50,600 --> 00:09:51,479 explain the blood. 183 00:09:51,480 --> 00:09:52,399 Is that bad? 184 00:09:52,400 --> 00:09:55,620 It's not ideal. Something we can repair with a minor procedure. 185 00:09:55,880 --> 00:09:59,300 My bigger concern is what caused the tear. 186 00:09:59,980 --> 00:10:02,100 Have you been vomiting frequently? Any recent illness? 187 00:10:02,520 --> 00:10:05,940 I've been going through a custody battle with my ex that gives me plenty of 188 00:10:05,940 --> 00:10:10,960 indigestion. But I was fine today until, you know. 189 00:10:11,400 --> 00:10:15,760 Sorry, it says you went for your physical three months ago and your 190 00:10:15,760 --> 00:10:16,840 weight was 145. 191 00:10:18,040 --> 00:10:20,840 Today your weight is 185. 192 00:10:21,240 --> 00:10:22,480 Is that accurate? 193 00:10:23,780 --> 00:10:25,140 Unfortunately, yes. 194 00:10:26,560 --> 00:10:28,240 You think that has something to do with this? 195 00:10:28,680 --> 00:10:31,380 It's hard to tell just yet, but it is concerning. 196 00:10:31,680 --> 00:10:33,180 I was chalking it up to stress. 197 00:10:33,840 --> 00:10:35,280 Stress can certainly wreak havoc. 198 00:10:35,960 --> 00:10:39,560 Why don't we run some tests, get some more info, and try to get to the bottom 199 00:10:39,560 --> 00:10:40,179 of this? 200 00:10:40,180 --> 00:10:41,180 Okay. Okay. 201 00:10:45,040 --> 00:10:46,960 Looks like your pain level's gone down. 202 00:10:47,380 --> 00:10:48,940 Yeah, those meds did the trick. 203 00:10:49,440 --> 00:10:50,440 Good. 204 00:10:51,160 --> 00:10:53,640 How are those two boys that came in with me? 205 00:10:53,840 --> 00:10:54,940 They're being worked on now. 206 00:10:56,410 --> 00:11:00,010 Samara, I'd like to introduce you to Dr. Abrams. He's a neurosurgeon. 207 00:11:00,670 --> 00:11:06,490 So, your CT shows that you injured both vertebral arteries, which provide blood 208 00:11:06,490 --> 00:11:07,429 to your brain. 209 00:11:07,430 --> 00:11:10,350 And if we don't get them open, there's very high risk for stroke. 210 00:11:10,630 --> 00:11:14,750 But the arteries were injured because your spine was dislocated, along with 211 00:11:14,750 --> 00:11:18,470 fractures to the C6 and C7 vertebrae, which are currently pinching your spinal 212 00:11:18,470 --> 00:11:21,310 cord. That's why my legs are tingling? Most likely. 213 00:11:22,490 --> 00:11:24,310 So, can we fix that, too? 214 00:11:25,070 --> 00:11:27,010 Yes, but it's complicated. 215 00:11:27,730 --> 00:11:32,050 So repairing the arteries is, of course, our first priority, but it would require 216 00:11:32,050 --> 00:11:33,150 realigning your spine. 217 00:11:33,370 --> 00:11:37,610 It'll restore blood flow and it'll limit the risk of the stroke, but it will put 218 00:11:37,610 --> 00:11:42,230 increased pressure on your spinal cord and it could result in permanent 219 00:11:42,230 --> 00:11:43,910 paralysis of your lower extremities. 220 00:11:44,530 --> 00:11:46,850 So you're saying I won't be able to walk? 221 00:11:47,290 --> 00:11:48,510 Nothing is guaranteed. 222 00:11:49,470 --> 00:11:51,550 You know, I'm not even on TikTok. 223 00:11:52,550 --> 00:11:59,250 I don't... Subway surf to create content get views I do it because that feeling 224 00:11:59,250 --> 00:12:05,730 when you're up there. It's just like Don't escape I 225 00:12:05,730 --> 00:12:11,150 Need to be able to move to get away to get out of my head 226 00:12:11,150 --> 00:12:17,830 I'm not doing anything that's gonna make me paralyzed I Know you say no to the 227 00:12:17,830 --> 00:12:19,110 surgery Samara. 228 00:12:19,450 --> 00:12:23,380 I want you to understand that If you don't do the surgery, you could die. 229 00:12:23,860 --> 00:12:25,120 Could isn't certain, though. 230 00:12:26,620 --> 00:12:27,680 You said it yourself. 231 00:12:28,340 --> 00:12:29,540 Nothing's guaranteed, right? 232 00:12:32,880 --> 00:12:37,460 Mom, you asked me to come here today to help advise you as an attorney. 233 00:12:37,720 --> 00:12:38,419 I did. 234 00:12:38,420 --> 00:12:44,000 Then I think I should tell you, if Doris stays quiet and you turn down this deal, 235 00:12:44,240 --> 00:12:48,440 it is going to turn into a legal matter, and their attorneys will start deposing 236 00:12:48,440 --> 00:12:49,440 everyone. 237 00:12:50,540 --> 00:12:52,820 Including Doris. You think she's going to stay quiet through that? 238 00:12:53,420 --> 00:12:57,280 No matter what your intentions were initially, the fact of the matter is you 239 00:12:57,280 --> 00:13:01,100 did not do what they're accusing you of. Because I'm a coward. 240 00:13:01,480 --> 00:13:02,880 Because you're a good person. 241 00:13:03,240 --> 00:13:04,680 What are you saying, David? 242 00:13:05,000 --> 00:13:06,720 What I'm saying is there's no magic bullet. 243 00:13:07,020 --> 00:13:10,600 The only real choices are taking the deal, making this all go away, or 244 00:13:10,600 --> 00:13:11,600 letting Doris confess. 245 00:13:11,660 --> 00:13:16,040 If Doris confesses, they'll fire her, David. And it'll be damn near impossible 246 00:13:16,040 --> 00:13:19,340 for her to find another job with this on her record. 247 00:13:19,620 --> 00:13:23,760 Look, I'd love nothing more than for you to walk off into the sunset and spend 248 00:13:23,760 --> 00:13:25,360 days with your new grandchild. 249 00:13:25,620 --> 00:13:29,360 But you keep telling me how hard it is to watch from the outside while Miranda 250 00:13:29,360 --> 00:13:30,700 tears down what you built. 251 00:13:32,180 --> 00:13:34,640 You take this deal, you're on the outside forever. 252 00:13:37,760 --> 00:13:40,400 40-pound weight gain in three months. Wow. 253 00:13:40,620 --> 00:13:42,060 Yeah, plus an esophageal perf. 254 00:13:42,280 --> 00:13:44,480 She's headed to surgery in a few hours. The stent is. 255 00:13:44,720 --> 00:13:46,080 Testing's all looking pretty normal. 256 00:13:46,300 --> 00:13:47,300 Yeah, I ran labs. 257 00:13:47,640 --> 00:13:52,380 Full metabolic panel, other than an electrolyte imbalance and a slightly 258 00:13:52,380 --> 00:13:54,020 elevated A1C. Nothing. 259 00:13:54,260 --> 00:13:56,620 But now you're thinking it might be a psych issue. 260 00:13:57,500 --> 00:14:00,460 Maybe. Been cheating brought on by stress or depression. 261 00:14:01,660 --> 00:14:04,220 Apparently she's going through a pretty nasty custody battle. 262 00:14:04,480 --> 00:14:09,080 Huh. Let me have a quick chat, see what I can suss out. Give me, like, ten 263 00:14:09,080 --> 00:14:10,220 minutes? Yeah, thanks, buddy. 264 00:14:10,600 --> 00:14:12,620 Yes, from Gaffney Chicago Med. 265 00:14:13,240 --> 00:14:14,240 I'll hold. 266 00:14:14,400 --> 00:14:15,359 Thank you. 267 00:14:15,360 --> 00:14:16,360 Thanks. 268 00:14:17,380 --> 00:14:20,320 Hey. I heard your patient is refusing surgery. 269 00:14:20,780 --> 00:14:25,020 Yeah, I'm trying to track down her family, find support, see if they can 270 00:14:25,020 --> 00:14:28,500 change her mind. The file says that her mom lives in Decatur, but I have not 271 00:14:28,500 --> 00:14:32,540 been able to reach her. I feel for her and these kids, but this whole thing 272 00:14:32,540 --> 00:14:34,220 just feels pointless. 273 00:14:35,130 --> 00:14:38,670 Do we really need to tell young people not to ride on top of subway cars now? 274 00:14:38,910 --> 00:14:40,650 I mean, don't you remember what it was like being young? 275 00:14:41,410 --> 00:14:44,770 How invincible you feel? I mean, God knows I did stupid things. 276 00:14:45,450 --> 00:14:47,050 I will be right back. 277 00:14:49,750 --> 00:14:50,750 Hey, 278 00:14:52,710 --> 00:14:53,950 how's Nolan? 279 00:14:54,170 --> 00:14:56,050 There was too much bleeding from behind the liver. 280 00:14:56,250 --> 00:14:57,950 He kept going into cardiac arrest. 281 00:14:58,210 --> 00:15:00,290 We tried to revive him. Tried for 30 minutes. 282 00:15:01,410 --> 00:15:02,410 He's gone. 283 00:15:17,219 --> 00:15:20,140 Ellen, this is Dr. Charles. Hey, Ellen. Nice to meet you. 284 00:15:20,540 --> 00:15:25,280 Jackson, one of our nurses is cleaning out our lost and found and stumbled 285 00:15:25,280 --> 00:15:26,460 across a few toys. 286 00:15:26,800 --> 00:15:29,840 I thought you might like to check them out while your mom chats to Dr. Charles 287 00:15:29,840 --> 00:15:31,020 here. Yeah? Okay. 288 00:15:32,600 --> 00:15:33,600 Bye. 289 00:15:34,540 --> 00:15:37,580 Must be bad news if you had to clear the room. 290 00:15:37,820 --> 00:15:39,700 That wasn't too scary. I'm just a psychiatrist. 291 00:15:40,540 --> 00:15:42,300 That sounds a little scary. 292 00:15:42,780 --> 00:15:43,840 Trust me, I'm harmless. 293 00:15:44,700 --> 00:15:49,100 Um, I just thought... You know, it'd be easier if we talked alone, because Dr. 294 00:15:49,220 --> 00:15:51,360 Ripley shared with me you've been really going through it with your ex. 295 00:15:53,160 --> 00:15:58,320 Jackson's dad was non-existent for the first four years of his life, until a 296 00:15:58,320 --> 00:16:03,120 year ago when he moved back to Chicago with his new wife, asking for full 297 00:16:03,120 --> 00:16:04,380 custody. Oh, man. 298 00:16:04,680 --> 00:16:07,060 And now I can't stop stuffing my face. 299 00:16:07,580 --> 00:16:10,960 Well, I for one certainly understand the stress eating. 300 00:16:11,380 --> 00:16:12,780 But you know what? I'm just curious. 301 00:16:13,400 --> 00:16:14,560 Is this a new... 302 00:16:15,239 --> 00:16:18,240 coping mechanism for you because your medical records are showing that your 303 00:16:18,240 --> 00:16:22,860 weight's always been pretty steady, you know, until just recently. 304 00:16:23,440 --> 00:16:28,040 I was thinking about trying to get on a GLP-1, actually. 305 00:16:29,520 --> 00:16:30,980 Is that something you can prescribe? 306 00:16:31,740 --> 00:16:35,800 We can certainly talk about that, but first, I really want to make sure 307 00:16:35,800 --> 00:16:40,460 there's nothing else going on here, you know, because right now, we really need 308 00:16:40,460 --> 00:16:42,920 you at 100% for Jackson, right? 309 00:16:43,500 --> 00:16:44,500 Of course. 310 00:16:45,870 --> 00:16:47,130 I can't lose my son. 311 00:16:48,350 --> 00:16:53,310 He is the only thing that matters to me. 312 00:16:55,270 --> 00:16:57,030 Hey, there she is. 313 00:16:57,270 --> 00:16:58,490 Hey, you made it. 314 00:16:59,230 --> 00:17:00,230 Yeah. 315 00:17:00,790 --> 00:17:01,790 Thanks. 316 00:17:03,250 --> 00:17:04,510 I'm going to give this to her. 317 00:17:04,710 --> 00:17:05,710 Yeah. 318 00:17:06,630 --> 00:17:10,430 Hey, any updates on Samara? Checking now. Any luck reaching her family? 319 00:17:10,650 --> 00:17:12,890 No. I've left like a thousand messages, but... 320 00:17:13,200 --> 00:17:17,079 Nothing back from mom. Well, we've got another problem. The trauma Samara 321 00:17:17,079 --> 00:17:20,040 suffered, she had the soft tissue from her muscle causing the blood to pool 322 00:17:20,040 --> 00:17:21,040 beneath her skin. 323 00:17:21,480 --> 00:17:25,740 Won't be long before that tissue dies and an infection sets in. And makes the 324 00:17:25,740 --> 00:17:27,260 surgery she needs impossible to do. 325 00:17:27,819 --> 00:17:29,100 Was there any way to fix it? 326 00:17:30,080 --> 00:17:31,080 Yeah, there might be. 327 00:17:31,860 --> 00:17:32,860 Okay, well, that's great. 328 00:17:34,680 --> 00:17:37,240 But why do you look like you just ate bad yogurt? 329 00:17:37,720 --> 00:17:41,800 The treatment that might help Samara is really gross. 330 00:17:43,720 --> 00:17:47,140 It's really gro... You're a... You're a surgeon. 331 00:17:47,440 --> 00:17:50,860 Yeah, but... I gotta think about creatures. 332 00:17:52,320 --> 00:17:57,000 Okay, I'm gonna place this one on the right side right here. 333 00:17:57,920 --> 00:18:01,460 Crazy Abrams can cut open a human brain, but this creeps him out. 334 00:18:01,700 --> 00:18:04,360 Yeah, well, everybody's got their things that get them. 335 00:18:05,080 --> 00:18:06,940 Mine's clowns. What about you? 336 00:18:08,340 --> 00:18:09,340 Cargo shorts. 337 00:18:09,780 --> 00:18:13,020 There. Hey, can you feel that, Samara? 338 00:18:17,240 --> 00:18:18,240 Samara? What? 339 00:18:18,640 --> 00:18:20,720 I asked if you could feel the one I just placed. 340 00:18:21,520 --> 00:18:23,200 A little, maybe. 341 00:18:25,100 --> 00:18:26,540 Why do we have to do this again? 342 00:18:26,840 --> 00:18:31,580 Because modern medicine has made strides in arterial revascularization, but we 343 00:18:31,580 --> 00:18:35,680 have not been able to beat evolution when it comes to wound care, so medieval 344 00:18:35,680 --> 00:18:37,100 leeches are the best. 345 00:18:37,900 --> 00:18:38,940 Don't say leeches. 346 00:18:39,340 --> 00:18:43,520 You know, we wouldn't have to try this if you did the surgery to repair your 347 00:18:43,520 --> 00:18:44,520 blood vessels. 348 00:18:45,470 --> 00:18:46,470 No, I'm good. 349 00:18:46,870 --> 00:18:47,870 Keep going. 350 00:18:48,830 --> 00:18:52,330 Okay, well, we need to immobilize her neck without killing the leeches. So, 351 00:18:52,330 --> 00:18:54,170 Jimmy, you have a dressing to keep them in place? Yep. 352 00:18:57,930 --> 00:18:59,210 Why isn't this going through? 353 00:19:00,950 --> 00:19:02,890 Why isn't it going through? 354 00:19:04,450 --> 00:19:05,930 Your phone's on the escape key. 355 00:19:07,090 --> 00:19:08,330 Don't worry, I won't tell anyone. 356 00:19:09,350 --> 00:19:12,230 You know what? While I have you, can I get your signature on something? 357 00:19:12,590 --> 00:19:13,590 Yeah. 358 00:19:15,150 --> 00:19:16,150 Thank you. 359 00:19:16,370 --> 00:19:17,750 Wait, what did I just sign? 360 00:19:17,970 --> 00:19:19,290 We're going to have these on a timeshare. 361 00:19:19,690 --> 00:19:22,630 Sorry, Dr. Archer, you're being paged to room 132. 362 00:19:22,850 --> 00:19:24,870 Room 132? I never heard of that. What is it? 363 00:19:25,210 --> 00:19:26,210 Beats me. 364 00:19:42,810 --> 00:19:47,670 I'm Dr. Archer, and I was paged to this room for some reason. We just checked. 365 00:19:47,710 --> 00:19:50,570 Christian Goodland had noticed a pulse discrepancy in his leg. Okay. 366 00:19:54,970 --> 00:19:55,970 Hi, Christian. 367 00:19:57,010 --> 00:19:59,930 Um... What are you doing here? 368 00:20:00,950 --> 00:20:03,310 Looking for him. He's supposed to be in the ICU. 369 00:20:03,550 --> 00:20:04,550 I'm aware. 370 00:20:04,830 --> 00:20:05,830 How we doing, Christian? 371 00:20:06,170 --> 00:20:07,530 Thanks, Kenneth Dobby. Yeah. 372 00:20:08,690 --> 00:20:12,930 Cold leg. His dissection is getting worse. A bowl of some 2,500 units of 373 00:20:12,930 --> 00:20:16,190 heparin. Start a drip. We need to fix this dissection before it gets worse. 374 00:20:16,390 --> 00:20:19,270 Wait, wait, wait. Am I gonna lose my leg? Uh, Dr. Archer? And where's the 375 00:20:19,270 --> 00:20:22,890 vascular surgeon that's following him? We paged her, but she's in clinics and 376 00:20:22,890 --> 00:20:23,509 you're closer. 377 00:20:23,510 --> 00:20:24,510 Dr. Archer. What? 378 00:20:25,010 --> 00:20:27,650 I'm just trying to make sure Christian isn't getting too upset here. 379 00:20:28,630 --> 00:20:29,630 Okay? 380 00:20:30,990 --> 00:20:34,190 It's gonna be okay, all right? I'm not gonna lose the leg. We're gonna sort 381 00:20:34,190 --> 00:20:36,990 this out. Just give me big, deep breaths. Try to slow your heart rate 382 00:20:36,990 --> 00:20:37,990 down, okay? 383 00:20:42,670 --> 00:20:46,450 He has monophasic signals. All right, let's alert IR and have him get a room 384 00:20:46,450 --> 00:20:49,390 ready. What does that mean? It's going to be okay. 385 00:20:49,650 --> 00:20:50,650 All right. 386 00:20:53,630 --> 00:20:54,890 What the hell is this place? 387 00:20:59,510 --> 00:21:03,950 Could you please explain why I was paged to a room I never heard of to deal with 388 00:21:03,950 --> 00:21:07,130 a patient who had already technically been admitted to the ICU? 389 00:21:07,570 --> 00:21:08,570 Is that room 132? 390 00:21:08,910 --> 00:21:10,910 Yes. Yeah, that's the overflow room. 391 00:21:12,040 --> 00:21:12,939 The what room? 392 00:21:12,940 --> 00:21:15,960 Well, that's how we solved your problem with patients stacking up in the ED. 393 00:21:16,200 --> 00:21:19,860 I created an overflow room so that we can start servicing in patient needs 394 00:21:19,860 --> 00:21:20,860 while awaiting a bed upstairs. 395 00:21:21,200 --> 00:21:22,560 Just felt more practical. 396 00:21:22,860 --> 00:21:26,360 Yeah, except practically, that's not how it works. 397 00:21:26,960 --> 00:21:30,020 Doctors from other floors can't get to that room with any urgency. 398 00:21:30,400 --> 00:21:35,820 And then practically what happens next is that the ED attending gets paged, 399 00:21:35,840 --> 00:21:38,220 which, as a refresher, is me. 400 00:21:38,900 --> 00:21:40,260 Mm-hmm. I'm aware. 401 00:21:40,730 --> 00:21:45,670 Yeah? So what you've effectively done is given the ED, again, specifically me, 402 00:21:45,810 --> 00:21:48,190 more work to deal with, not less. 403 00:21:48,470 --> 00:21:49,710 I hear you. I do. 404 00:21:50,750 --> 00:21:54,810 But maybe, maybe there's some way that we can tweak this setup rather than just 405 00:21:54,810 --> 00:21:55,810 scrap it completely. 406 00:21:56,030 --> 00:22:00,430 Tweak? You've got a tech and a floor nurse overseeing 14 beds. 407 00:22:00,690 --> 00:22:03,950 So what I could probably do is hire you another tech, maybe even a telemetry 408 00:22:03,950 --> 00:22:08,530 nurse? I'm not trying to add to staff, you understand? I just want this damn 409 00:22:08,530 --> 00:22:09,530 thing gone. 410 00:22:09,709 --> 00:22:14,090 Okay, Dr. Archer, I'm trying to work with you here. 411 00:22:14,630 --> 00:22:18,790 You said you had patients stacking up. I provided a solution, and I don't think 412 00:22:18,790 --> 00:22:23,090 it's very productive of you to come in here and just whine about it. Um, what? 413 00:22:23,190 --> 00:22:27,390 So what I'm saying is you need to stop looking to place blame and get a little 414 00:22:27,390 --> 00:22:31,090 bit more creative about trying to find a solution, like I was. 415 00:22:31,690 --> 00:22:33,330 You know, you got to think outside the box. 416 00:22:37,550 --> 00:22:38,550 Did he suffer? 417 00:22:44,520 --> 00:22:45,880 Nolan? Not in the end. 418 00:22:47,400 --> 00:22:48,400 No. 419 00:22:51,380 --> 00:22:56,460 Dr. Tanaka Reid, this is Stan Goodland, Christian and Nolan's dad. 420 00:22:56,700 --> 00:22:59,520 Mr. Goodland, I'm so sorry for your loss. 421 00:23:00,300 --> 00:23:01,300 How's Christian? 422 00:23:03,000 --> 00:23:05,200 Dr. Frost said you were taking him into surgery. 423 00:23:06,120 --> 00:23:07,340 They're prepping the room now. 424 00:23:10,090 --> 00:23:11,130 Is he going to make it? 425 00:23:12,010 --> 00:23:14,910 We're going to place a stent in the aorta to fix the tear. 426 00:23:15,830 --> 00:23:19,250 But there's no reason to think Christian won't do well. 427 00:23:20,330 --> 00:23:24,530 Though when the injury is that close to the heart, there are always risks. 428 00:23:27,450 --> 00:23:28,790 I want to see him. 429 00:23:30,710 --> 00:23:31,710 Of course. 430 00:23:31,970 --> 00:23:34,730 But that is a little complicated. 431 00:23:37,230 --> 00:23:38,230 It's complicated. 432 00:23:39,050 --> 00:23:41,150 His dissection has gotten worse. 433 00:23:41,610 --> 00:23:47,690 So it is imperative that we keep his heart rate low, below 60, until we get 434 00:23:47,690 --> 00:23:48,690 him into surgery. 435 00:23:48,710 --> 00:23:51,150 So we're doing everything we can to keep him calm. 436 00:23:51,850 --> 00:23:54,730 Which is why we have not told him yet about Nolan. 437 00:23:55,690 --> 00:24:01,530 And if you go in there and tell him what happened, the emotion could cause his 438 00:24:01,530 --> 00:24:02,530 heart rate to spike. 439 00:24:04,850 --> 00:24:05,850 It's just that, huh? 440 00:24:09,930 --> 00:24:11,350 I already lost one son today. 441 00:24:13,390 --> 00:24:19,330 And if I were to lose another one, without at least 442 00:24:19,330 --> 00:24:21,470 seeing it. 443 00:24:21,850 --> 00:24:28,230 And look, I won't say anything except that I love 444 00:24:28,230 --> 00:24:30,330 you. 445 00:24:32,650 --> 00:24:33,650 And then I'll go. 446 00:24:41,070 --> 00:24:45,590 I know it's scary, Jackson, but the procedure's only a minor one. 447 00:24:46,470 --> 00:24:47,910 Your mom's gonna be okay. 448 00:24:50,690 --> 00:24:52,370 But she tries very hard. 449 00:24:54,290 --> 00:24:56,950 Well, she's lucky to have you. 450 00:24:57,730 --> 00:24:59,350 Pretty amazing you called for help. 451 00:24:59,830 --> 00:25:03,430 Not a lot of five-year-olds would know to do that so fast. 452 00:25:05,150 --> 00:25:06,850 But it's what she taught me. 453 00:25:09,610 --> 00:25:10,830 What do you mean she taught you? 454 00:25:20,370 --> 00:25:21,510 How you feeling, Christian? 455 00:25:23,870 --> 00:25:24,870 I'm tired. 456 00:25:25,390 --> 00:25:26,710 Well, we're gonna fix you up. 457 00:25:27,650 --> 00:25:31,930 But before we head up to surgery, there's someone who would like to see 458 00:25:31,930 --> 00:25:32,930 you. 459 00:25:45,070 --> 00:25:46,130 Well, they came here for a minute. 460 00:25:46,590 --> 00:25:48,810 I know they need to get you to surgery. 461 00:25:50,650 --> 00:25:54,770 But I, uh... I, uh... 462 00:25:54,770 --> 00:25:59,650 I just wanted to say that... 463 00:25:59,650 --> 00:26:02,890 I love you. 464 00:26:04,930 --> 00:26:05,930 So much. 465 00:26:08,150 --> 00:26:12,190 And, uh, I'll, uh, be here when you get out. 466 00:26:15,630 --> 00:26:16,630 Hey, Dad. 467 00:26:20,450 --> 00:26:21,450 How's Nolan? 468 00:26:23,150 --> 00:26:24,870 Nolan is fine. 469 00:26:25,570 --> 00:26:27,410 He's resting in the PQ. 470 00:26:28,090 --> 00:26:29,090 Okay. 471 00:26:29,770 --> 00:26:34,350 When you see him, can you just tell him I'm sorry? 472 00:26:36,830 --> 00:26:37,830 What? 473 00:26:40,390 --> 00:26:44,210 Just tell him I'm sorry I didn't mean to get him into this mess. 474 00:26:49,410 --> 00:26:52,530 Tell him I'll drive him wherever he wants to go to get out of here. 475 00:27:00,150 --> 00:27:01,150 You okay, Dad? 476 00:27:04,370 --> 00:27:05,370 Uh-huh. 477 00:27:06,950 --> 00:27:08,030 We should get him to IR. 478 00:27:08,330 --> 00:27:10,530 Yeah. Nurse, no one's okay, right? 479 00:27:11,730 --> 00:27:15,810 Nolan is, um... He's fine. 480 00:27:16,290 --> 00:27:17,290 What is it? 481 00:27:18,540 --> 00:27:19,519 Please stop. 482 00:27:19,520 --> 00:27:20,520 Dad, what is it? 483 00:27:20,560 --> 00:27:23,400 Run ahead and have some libido already, okay? When we get there, cough. Dad, 484 00:27:23,480 --> 00:27:24,480 what is it? 485 00:27:24,740 --> 00:27:25,740 Okay. 486 00:27:25,800 --> 00:27:28,280 Dad, what is it? Deep breaths for me, Christian. It's okay. 487 00:27:33,740 --> 00:27:34,740 Hey. 488 00:27:35,280 --> 00:27:38,400 She had an interesting talk with Ellen's son, Jackson. 489 00:27:38,780 --> 00:27:39,880 Yeah? Yeah. 490 00:27:40,600 --> 00:27:42,860 Turns out he's not just a precocious kid. 491 00:27:43,760 --> 00:27:45,560 Ellen prepped him on how to call 911. 492 00:27:45,880 --> 00:27:48,790 Like, really prepped him as if... She knew this might happen. 493 00:27:50,110 --> 00:27:51,110 Oh, that's interesting. 494 00:27:51,590 --> 00:27:57,550 Yeah. Look, I don't want to jump to any conclusions, but it kind of reminds me 495 00:27:57,550 --> 00:27:58,449 of my mom. 496 00:27:58,450 --> 00:27:59,450 How so? 497 00:27:59,570 --> 00:28:03,750 Well, with her drug problem, she knew she might not always keep it together, 498 00:28:03,850 --> 00:28:05,810 so she taught me to do things at a young age. 499 00:28:06,430 --> 00:28:11,350 Make dinner when I was six, drive when I was 13. She also taught me to call 911. 500 00:28:11,930 --> 00:28:16,690 She said it was in case of an accident, but really, it was in case she OD'd. 501 00:28:19,840 --> 00:28:21,960 Buddy, you think that's what we're looking at here? 502 00:28:22,820 --> 00:28:23,719 Substance abuse? 503 00:28:23,720 --> 00:28:26,440 Like I said, I don't want to jump to any conclusions. 504 00:28:26,720 --> 00:28:31,000 Excessive drinking could cause the esophageal tear, but not the weight 505 00:28:31,000 --> 00:28:32,680 gain. Not on that scale, anyway. 506 00:28:33,060 --> 00:28:36,100 Maybe she's substituting one addiction for another? 507 00:28:37,080 --> 00:28:38,080 Oh, man. 508 00:28:38,700 --> 00:28:39,800 The GLP-1. 509 00:28:40,040 --> 00:28:43,080 What? I think I might know what's going on here. 510 00:28:44,280 --> 00:28:45,680 Hey, what's up with you today? 511 00:28:45,900 --> 00:28:47,500 You seem distracted or something. 512 00:28:48,460 --> 00:28:49,480 Is everything okay at home? 513 00:28:50,500 --> 00:28:52,000 Yeah. Yeah. 514 00:28:52,400 --> 00:28:55,420 I just never realized how much I love all of this. 515 00:28:55,740 --> 00:28:58,460 Okay. You are really freaking me out now. What? 516 00:28:59,140 --> 00:29:02,640 Sorry. I'm just feeling a little sentimental and so on. 517 00:29:03,440 --> 00:29:08,360 Okay. Dr. Asher? Yeah? This is Samara's mom, Rhonda West. Mrs. West, I am so 518 00:29:08,360 --> 00:29:11,900 glad you're here. Samara's stable now, though she sustained damage to her spine 519 00:29:11,900 --> 00:29:13,460 and the blood vessels in her neck. Wait. 520 00:29:13,780 --> 00:29:15,900 So, she's alive? 521 00:29:17,520 --> 00:29:18,520 Yes, I am. 522 00:29:19,020 --> 00:29:22,900 I am so sorry if my messages weren't clear. Samara is alive and she is... 523 00:29:22,900 --> 00:29:28,520 When you said she was in an accident, I'm sure you were calling to tell me she 524 00:29:28,520 --> 00:29:29,660 finally managed to kill herself. 525 00:29:31,140 --> 00:29:32,440 Thankfully, that is not the case. 526 00:29:33,160 --> 00:29:38,000 Though she does need surgery to prevent stroke, and currently Samara is refusing 527 00:29:38,000 --> 00:29:39,000 it. 528 00:29:39,100 --> 00:29:41,660 I thought that you could talk to her. I can't help with that. 529 00:29:43,520 --> 00:29:44,520 I'm sorry? 530 00:29:44,660 --> 00:29:45,660 What do you mean? 531 00:29:46,320 --> 00:29:47,840 I tried for years to help Samara. 532 00:29:48,420 --> 00:29:53,320 When she OD'd, when she broke the law, when she hurt us in every imaginable 533 00:29:53,320 --> 00:29:54,320 way. 534 00:29:55,400 --> 00:29:56,680 I love my daughter. 535 00:29:57,480 --> 00:29:58,600 I always will. 536 00:30:00,660 --> 00:30:03,300 But her decisions are her own now. 537 00:30:09,440 --> 00:30:13,660 So, sounds like everything went off without a hitch. 538 00:30:13,980 --> 00:30:14,980 Thank goodness. 539 00:30:16,880 --> 00:30:20,260 Now, we just gotta figure out what to do about your alcohol consumption. 540 00:30:22,580 --> 00:30:23,620 I'm not an alcoholic. 541 00:30:23,980 --> 00:30:27,640 Ellen, I'm not here to judge you or shame you. 542 00:30:27,880 --> 00:30:33,700 I'm wondering if you are eating to gain weight so that you can qualify for a GLP 543 00:30:33,700 --> 00:30:34,700 -1. 544 00:30:35,600 --> 00:30:37,260 That doesn't even make any sense. 545 00:30:38,010 --> 00:30:41,950 Look, everybody knows that these drugs, they help with diabetes, right? They 546 00:30:41,950 --> 00:30:42,950 promote weight loss. 547 00:30:42,990 --> 00:30:47,570 But also, you can't hit your news feed these days without reading another story 548 00:30:47,570 --> 00:30:51,690 about some exciting new off-label use, like, for instance, how they curb 549 00:30:51,690 --> 00:30:58,530 compulsive behavior, alcohol, drug abuse, addictions that could cause 550 00:30:58,530 --> 00:31:00,690 somebody to lose custody of their child. 551 00:31:06,600 --> 00:31:07,820 I always kept it a secret. 552 00:31:10,060 --> 00:31:12,800 But I've struggled with drinking since I was 16. 553 00:31:13,620 --> 00:31:17,680 Over time, it got worse, and I couldn't control it. 554 00:31:19,480 --> 00:31:22,900 But then I got pregnant. 555 00:31:24,180 --> 00:31:27,700 So I started going to meetings, taking care of myself. 556 00:31:29,940 --> 00:31:31,980 Stupidly, I thought I'd beat it for good. 557 00:31:32,940 --> 00:31:33,980 And then... 558 00:31:34,890 --> 00:31:39,150 Your husband came back to town and filed for full custody of Jackson. 559 00:31:39,710 --> 00:31:42,210 And then Jackson went with his dad one weekend. 560 00:31:44,310 --> 00:31:46,250 I went on a 48-hour bender. 561 00:31:47,730 --> 00:31:53,590 And I realized that unless I changed something, I was going to lose the 562 00:31:53,590 --> 00:31:58,610 battle. So I went online for any remedy I could find. 563 00:32:00,810 --> 00:32:03,950 I saw GLP-1's helped some people. 564 00:32:05,360 --> 00:32:07,320 But all my money was going to my lawyer. 565 00:32:08,100 --> 00:32:12,320 Right. So you thought if you gained enough weight that your insurance would 566 00:32:12,320 --> 00:32:13,320 cover it. 567 00:32:14,060 --> 00:32:15,820 I know. It's insane. 568 00:32:16,080 --> 00:32:19,540 Oh, come on. When it comes to our kids, we will do absolutely anything. 569 00:32:23,720 --> 00:32:24,920 So what now? 570 00:32:26,620 --> 00:32:31,360 Well, I'm actually going to prescribe you a GLP-1 because... 571 00:32:31,900 --> 00:32:36,660 Your A1C is dangerously high, and it's very important that we bring it down so 572 00:32:36,660 --> 00:32:37,700 you don't become a diabetic. 573 00:32:38,560 --> 00:32:39,560 Okay? Yeah. 574 00:32:40,420 --> 00:32:44,280 Now, if it happens to help you in other ways... Oh, my God, thank you. 575 00:32:44,600 --> 00:32:47,140 Ellen, listen to me. This is not a magic bullet. 576 00:32:47,700 --> 00:32:52,820 What do you mean? Your five-year-old terrified son called 911 because he 577 00:32:52,820 --> 00:32:57,280 walked in the kitchen and found his mom under the kitchen table next to a pool 578 00:32:57,280 --> 00:32:58,780 of her own vomit and blood. 579 00:33:00,170 --> 00:33:02,790 Something like that happens again, he's gone. 580 00:33:03,970 --> 00:33:08,030 You've got to face this. It's the only chance you have of keeping your son. 581 00:33:10,950 --> 00:33:11,950 Okay. 582 00:33:12,250 --> 00:33:13,250 Okay. 583 00:33:18,230 --> 00:33:19,230 Miranda? 584 00:33:19,850 --> 00:33:24,370 Sharon, I thought our meeting wasn't for another hour. Well, I finally made a 585 00:33:24,370 --> 00:33:26,830 decision and didn't want to wait any longer. 586 00:33:27,030 --> 00:33:28,030 Fair enough. 587 00:33:28,730 --> 00:33:29,730 Well? 588 00:33:32,300 --> 00:33:38,440 Per your offer I'm resigning my position as executive director effective 589 00:33:38,440 --> 00:33:45,300 immediately I'm taking the deal 590 00:33:45,300 --> 00:33:56,400 Looks 591 00:33:56,400 --> 00:33:57,600 like the leeches did the trick. 592 00:33:57,800 --> 00:33:59,000 Oh, yeah 593 00:34:01,100 --> 00:34:02,100 So now what? 594 00:34:02,600 --> 00:34:07,940 Well, you still have limited blood flow to your brain, which means that we'll be 595 00:34:07,940 --> 00:34:10,020 pushing your blood pressure to make up for it. 596 00:34:10,540 --> 00:34:14,719 Hopefully, if you keep your collar on, some of your fractures will heal, but 597 00:34:14,719 --> 00:34:20,420 they may also deteriorate, and you will be at constant risk for a stroke, either 598 00:34:20,420 --> 00:34:21,780 of which could prove fatal. 599 00:34:23,260 --> 00:34:24,260 But I'll walk? 600 00:34:25,280 --> 00:34:27,920 After some physical therapy and rehab, yes. 601 00:34:29,900 --> 00:34:31,639 But you will be a time bomb 602 00:34:31,639 --> 00:34:37,719 I 603 00:34:37,719 --> 00:34:44,500 Was finally able to connect with your mom Let me guess she doesn't want to see 604 00:34:44,500 --> 00:34:51,400 me Like smart when I was younger I did a lot of things that pushed 605 00:34:51,400 --> 00:34:55,040 people away things I am not proud of 606 00:34:58,060 --> 00:35:01,080 I know what it's like to live for the moment because you believe that you 607 00:35:01,080 --> 00:35:02,080 don't have a future. 608 00:35:03,800 --> 00:35:07,900 The thing is, the future doesn't care what you believe. 609 00:35:08,460 --> 00:35:09,460 It comes anyway. 610 00:35:12,340 --> 00:35:17,900 Now, I'm not asking you to suddenly believe that things will improve in your 611 00:35:17,900 --> 00:35:18,900 life. 612 00:35:20,140 --> 00:35:23,980 I'm just asking for you to allow for the possibility that they might. 613 00:35:25,290 --> 00:35:29,790 You have to consider the idea that maybe someday you won't feel this way. 614 00:35:31,570 --> 00:35:35,250 It takes a lot of courage to ride on top of a train. 615 00:35:37,010 --> 00:35:40,410 A lot of courage to turn down a surgery like this. 616 00:35:43,510 --> 00:35:48,790 Sometimes the bravest thing that we can do is choose to survive. 617 00:35:51,970 --> 00:35:54,190 You are making the choice to die right now. 618 00:36:00,840 --> 00:36:04,760 If I die, no one will notice. 619 00:36:06,400 --> 00:36:07,520 No one will care. 620 00:36:09,680 --> 00:36:10,940 Not even my mom. 621 00:36:13,820 --> 00:36:14,820 That's not true. 622 00:36:17,580 --> 00:36:18,580 I care. 623 00:36:21,040 --> 00:36:23,620 I care if you live or die. 624 00:36:34,380 --> 00:36:35,380 I'll get the surgery. 625 00:36:49,080 --> 00:36:50,080 How's Christian? 626 00:36:50,180 --> 00:36:51,180 He's just fine. 627 00:36:51,340 --> 00:36:55,080 The surgery went off without a hitch. We placed the stent and restored flow to 628 00:36:55,080 --> 00:36:55,779 his leg. 629 00:36:55,780 --> 00:36:59,960 He'll need physical therapy for a couple days, but... He should make a full 630 00:36:59,960 --> 00:37:00,960 recovery. 631 00:37:01,940 --> 00:37:03,520 I was so scared that... 632 00:37:04,300 --> 00:37:06,800 What I said with his heart. He's okay. 633 00:37:07,060 --> 00:37:08,060 It didn't hurt him. 634 00:37:08,560 --> 00:37:11,780 And you can see him in a couple hours when he gets out of recovery. 635 00:37:12,260 --> 00:37:13,260 My God. 636 00:37:13,640 --> 00:37:14,640 Thank you. 637 00:37:15,760 --> 00:37:16,760 Of course. 638 00:37:17,320 --> 00:37:20,160 I have to let the rest of the family know. 639 00:37:21,240 --> 00:37:22,240 Thank you. 640 00:37:28,520 --> 00:37:30,780 I don't know why anyone becomes a parent. 641 00:37:46,380 --> 00:37:47,840 She did great, Mom. 642 00:37:48,340 --> 00:37:50,920 We did some tummy time. We sang some songs. 643 00:37:51,320 --> 00:37:52,620 Mabel's an independent girl now. 644 00:37:53,320 --> 00:37:54,400 I'll go get her back for you. 645 00:37:58,820 --> 00:38:02,480 There's nothing that you could ever do that would make me give up on you. 646 00:38:16,560 --> 00:38:17,620 How could you take the deal? 647 00:38:18,080 --> 00:38:19,080 Come in. 648 00:38:23,840 --> 00:38:24,840 Dr. Archer. 649 00:38:25,640 --> 00:38:28,760 Mallory, I'm actually glad I ran into you. 650 00:38:29,440 --> 00:38:31,940 I owe you an apology for earlier. 651 00:38:32,380 --> 00:38:33,118 Oh, really? 652 00:38:33,120 --> 00:38:38,540 Yeah, I was a bit of an ass, and I had time to reflect, and I think I could 653 00:38:38,540 --> 00:38:40,200 make this new system work. 654 00:38:40,740 --> 00:38:42,300 I told you I didn't want this. 655 00:38:42,730 --> 00:38:45,250 I wasn't going to let you just throw away everything you've ever done. 656 00:38:45,470 --> 00:38:49,550 I know that, Doris, but you're too good of a nurse. You're too good of a person 657 00:38:49,550 --> 00:38:55,630 to let this define you, to let my drama derail your whole life. Plus, this isn't 658 00:38:55,630 --> 00:38:56,870 what it looks like. 659 00:38:57,490 --> 00:38:58,490 What do you mean? 660 00:38:58,750 --> 00:39:00,410 Well, how did you solve your issues? 661 00:39:01,250 --> 00:39:03,850 Just did what you said. Thought outside the box. 662 00:39:04,970 --> 00:39:11,570 There's no non-compete in the deal I agreed to, so I won't be executive 663 00:39:11,570 --> 00:39:16,210 director anymore, but that doesn't mean I'm done with Gaffney. 664 00:39:16,470 --> 00:39:20,390 I was speaking with a charge nurse who I used to work with who's nearing the end 665 00:39:20,390 --> 00:39:26,650 of her career, and she said she'd be willing to take this job at the salary 666 00:39:26,650 --> 00:39:27,770 of a telemetry nurse. 667 00:39:28,790 --> 00:39:34,920 I don't think the changes that Miranda's making are just about... I think 668 00:39:34,920 --> 00:39:40,280 there's a bigger plan here, but I can't fight it from the outside. 669 00:39:40,520 --> 00:39:41,520 I need access. 670 00:39:43,260 --> 00:39:45,640 Well, I look forward to meeting her. 671 00:39:47,140 --> 00:39:50,720 I promise you, this is not over.