1 00:00:00,000 --> 00:00:04,740 Please tell me you did not leak Theo's files to save my job. Taking this deal 2 00:00:04,740 --> 00:00:08,360 means you're going to pursue employment elsewhere from Gaffney. You want me 3 00:00:08,360 --> 00:00:10,740 gone. I still can't figure out why. 4 00:00:11,000 --> 00:00:12,380 Please don't take Miranda's deal. 5 00:00:12,800 --> 00:00:14,320 I leaked the medical file. 6 00:00:15,160 --> 00:00:19,360 I see how it is easy for you to cast me as the enemy in your internal drama. 7 00:00:19,680 --> 00:00:24,760 Sloan, you cut multiple shifts just to save pennies. Everyone resists change. 8 00:00:25,060 --> 00:00:26,140 You miss Sharon Goodwin. 9 00:00:27,000 --> 00:00:28,920 Oh, Sharon Goodwin's coming back. 10 00:00:35,530 --> 00:00:40,310 Thought sharing a shower was about saving time. You said, and I quote, all 11 00:00:40,310 --> 00:00:43,130 business. Well, business has a lot of meaning. 12 00:00:53,830 --> 00:00:56,050 Yeah? Can I get in there to brush my teeth? 13 00:00:57,450 --> 00:00:58,450 Can you wait? 14 00:00:58,590 --> 00:00:59,690 I need a minute. 15 00:01:00,030 --> 00:01:01,030 What? 16 00:01:02,490 --> 00:01:04,090 All right, all right, I'm coming. 17 00:01:10,700 --> 00:01:11,700 Do you have a girl in there? 18 00:01:12,460 --> 00:01:13,900 Well, what's with all the questions? 19 00:01:14,200 --> 00:01:19,680 Look, when Naomi got that fellowship in Portland and dumped you... Easy. 20 00:01:20,620 --> 00:01:23,740 Mutual breakup? Sure, go ahead. I was there for you, and I have been nothing 21 00:01:23,740 --> 00:01:27,780 but supportive as you've, you know, gotten back on the horse or the whole 22 00:01:27,780 --> 00:01:29,740 herd the past couple of months. 23 00:01:29,980 --> 00:01:32,060 It feels like there's a button coming. 24 00:01:32,520 --> 00:01:35,300 You're taking some liberties with the roommate code. 25 00:01:40,240 --> 00:01:45,900 No, that's fair, and I understand, and I will do better after 26 00:01:45,900 --> 00:01:47,780 this morning. 27 00:01:50,120 --> 00:01:51,079 See you at the hospital. 28 00:01:51,080 --> 00:01:52,080 Yeah, 29 00:01:54,160 --> 00:01:58,120 okay, so she's got a change of clothes in the bag, and I pumped this morning, 30 00:01:58,180 --> 00:02:00,280 which is in the cooler. You brought... I showed him. Okay. 31 00:02:01,120 --> 00:02:05,200 Also, she likes to be burped on her left side. Sometimes it takes a little bit. I 32 00:02:05,200 --> 00:02:08,820 promise I got her. And daycare is great for little tykes. It gets them these two 33 00:02:08,820 --> 00:02:12,920 faces. Yeah, yeah. No, I've read the literature, Trident. 34 00:02:13,560 --> 00:02:17,100 It's just I'm handing my heart to a stranger, and I don't want Mabel to feel 35 00:02:17,100 --> 00:02:20,960 abandoned. She's going to be fine. A little independence is going to be good 36 00:02:20,960 --> 00:02:21,960 for her. Right, yeah. 37 00:02:36,080 --> 00:02:37,080 Why are you so calm? 38 00:02:37,120 --> 00:02:37,739 I'm not. 39 00:02:37,740 --> 00:02:38,740 I'm pretending for you. 40 00:02:41,000 --> 00:02:42,080 Dr. Archer. 41 00:02:42,840 --> 00:02:44,240 Oh, good luck with that. 42 00:02:44,640 --> 00:02:46,000 Thanks. Bye. Bye. 43 00:02:47,820 --> 00:02:50,020 Hi. So glad I ran into you. 44 00:02:50,240 --> 00:02:51,440 Okay. What's up? 45 00:02:51,680 --> 00:02:55,220 Well, I wanted to let you know that I'm shifting some resources to create a 46 00:02:55,220 --> 00:02:56,019 dozen new beds. 47 00:02:56,020 --> 00:02:59,240 More people will be admitted faster, which should clear up some space in the 48 00:02:59,240 --> 00:03:00,240 ED. 49 00:03:00,260 --> 00:03:01,260 Oh, okay. 50 00:03:01,400 --> 00:03:04,840 Uh, that sounds really great. Thank you. 51 00:03:05,450 --> 00:03:06,710 We're a team, right? 52 00:03:07,670 --> 00:03:08,670 Right. 53 00:03:15,190 --> 00:03:17,910 I knew what Miranda was trying to do to Dr. Charles. 54 00:03:20,290 --> 00:03:21,290 We all did. 55 00:03:23,130 --> 00:03:26,050 And I felt angry and helpless. 56 00:03:26,410 --> 00:03:28,290 Yeah, I know that feeling. 57 00:03:28,790 --> 00:03:31,970 Then I went to your office to drop off the staffing report. 58 00:03:32,270 --> 00:03:33,270 You weren't there. 59 00:03:34,000 --> 00:03:37,240 But I happened to see Dr. Rivari's name on your computer. 60 00:03:38,540 --> 00:03:40,320 His medical records. 61 00:03:43,560 --> 00:03:45,160 I made a snap decision. 62 00:03:46,220 --> 00:03:49,040 I printed them out and I anonymously sent them to Miranda. 63 00:03:50,880 --> 00:03:51,880 Sent how? 64 00:03:52,120 --> 00:03:54,300 An envelope I left in the boardroom. 65 00:03:55,070 --> 00:03:57,450 Look, I thought that I was saving Dr. Charles. 66 00:03:57,650 --> 00:04:00,910 I had no idea that they would come after you like this, and now they're trying to 67 00:04:00,910 --> 00:04:04,970 offer you a deal, wanting to push you out over something that I did? I can't 68 00:04:04,970 --> 00:04:09,830 just let that happen. Doris, Doris, I was the one who asked for the files. 69 00:04:09,930 --> 00:04:11,170 This is on me, too. 70 00:04:11,470 --> 00:04:13,010 But you didn't make me send them. 71 00:04:17,890 --> 00:04:19,829 I'm gonna tell Miranda the truth. 72 00:04:21,970 --> 00:04:23,250 I leaked those files. 73 00:04:24,140 --> 00:04:26,160 I understand how you're feeling. 74 00:04:26,860 --> 00:04:29,700 Miranda makes a lot of threats. 75 00:04:29,960 --> 00:04:36,000 It doesn't mean that she can prove anything, but the second you confess, 76 00:04:36,320 --> 00:04:37,800 there's no going back. 77 00:04:42,720 --> 00:04:43,780 Welcome back. 78 00:04:44,100 --> 00:04:45,120 How we feeling, Mama? 79 00:04:45,360 --> 00:04:47,340 A little anxious, if I'm being honest. 80 00:04:48,030 --> 00:04:50,630 But, you know, it was nice to actually get dressed this morning. 81 00:04:50,870 --> 00:04:51,870 Ugh, strong disagree. 82 00:04:52,050 --> 00:04:55,510 Pants are for suckers. Well, either way, it is nice to see my people again. 83 00:04:56,390 --> 00:05:00,570 Speaking of, have you seen Doris yet? Late. She said car trouble or something. 84 00:05:00,890 --> 00:05:02,370 Multiple traumas incoming. 85 00:05:02,910 --> 00:05:06,470 A group of teens were subway surfing. Three were thrown off. Subway surf? 86 00:05:06,910 --> 00:05:09,850 Kids are jumping on top of subway cars, filming each other riding through the 87 00:05:09,850 --> 00:05:10,850 city. Are you kidding me? 88 00:05:10,970 --> 00:05:11,970 Mm-mm. 89 00:05:12,580 --> 00:05:15,280 Samara West to my team. BP's 110 over 73. 90 00:05:15,500 --> 00:05:18,120 Found her unconscious, but she came to on the ride over. She's complaining of 91 00:05:18,120 --> 00:05:21,960 severe neck pain and lower extremity paresthesias. Gave 50 milligrams of 92 00:05:21,960 --> 00:05:24,380 fentanyl for the pain and also possible wrist fracture. 93 00:05:24,620 --> 00:05:26,700 Okay, we're gonna check you out now. On my count, gentle. 94 00:05:27,020 --> 00:05:28,240 One, two, three. 95 00:05:29,660 --> 00:05:32,880 It feels like needles in my leg. Okay, Samara, I'm gonna feel the back of your 96 00:05:32,880 --> 00:05:33,920 neck. Keep still, okay? 97 00:05:35,040 --> 00:05:37,440 Now, if you feel any pain as I'm pressing, let me know. 98 00:05:38,040 --> 00:05:40,260 Ow, right there. Okay, I feel a step off at C67. 99 00:05:40,520 --> 00:05:44,700 Let's get a CTC spine, CTA neck, trauma labs, and page Dr. Abrams. 100 00:05:44,940 --> 00:05:49,080 Nolan Goodland, 14, fell off the train car, made contact with the third rail, 101 00:05:49,160 --> 00:05:52,380 sustained severe electrical burns to the chest, was unconscious at the scene. 102 00:05:52,560 --> 00:05:53,219 Poor kid. 103 00:05:53,220 --> 00:05:54,480 I'm sure his parents are notified. 104 00:05:54,940 --> 00:06:00,000 Let's get a crash pad set up and get a Foley in him. Send trauma labs with CK, 105 00:06:00,060 --> 00:06:02,940 and I need an ultrasound. Ready? One, two, three. 106 00:06:03,940 --> 00:06:05,880 Nolan? Abdomen's distended. 107 00:06:06,120 --> 00:06:07,120 Nolan? 108 00:06:07,420 --> 00:06:08,420 Can you hear me, son? 109 00:06:08,760 --> 00:06:10,420 Nolan. My blood pressure's dropping. 110 00:06:10,800 --> 00:06:11,920 Start a second IV. 111 00:06:12,400 --> 00:06:16,300 Hang a liter of LR. Where's that ultrasound, Nancy? Come on. 112 00:06:16,720 --> 00:06:18,960 Christian, I'm Dr. Frost. We're going to take a look at you, all right? 113 00:06:20,800 --> 00:06:23,300 Okay, here's a pretty big flail segment on the right. 114 00:06:23,660 --> 00:06:24,820 Still tacky and hypotensive. 115 00:06:25,120 --> 00:06:26,120 Hang one and one. 116 00:06:26,260 --> 00:06:27,260 Nolan. 117 00:06:27,700 --> 00:06:28,700 Where is he, Nolan? 118 00:06:28,840 --> 00:06:29,779 That's his other brother. 119 00:06:29,780 --> 00:06:32,540 Hey, Christian, look at me, all right? You're going to have to sit still. We're 120 00:06:32,540 --> 00:06:33,580 just trying to help. It's all right. 121 00:06:34,520 --> 00:06:35,520 Oh, towel. 122 00:06:38,660 --> 00:06:40,540 Pima pneumothorax on the right with the flail segment. 123 00:06:41,540 --> 00:06:44,040 Mediastinum's widened. We're going to have to rule out an aortic injury. Yeah, 124 00:06:44,040 --> 00:06:46,600 let's give two of her a set of pepper chest tube before CT scan. 125 00:06:46,940 --> 00:06:48,240 Need another set of hands here. 126 00:06:48,880 --> 00:06:49,880 Go, go, I got it, go. 127 00:06:50,840 --> 00:06:52,780 It's okay, Christian, I got you. It's all right, okay? 128 00:06:53,000 --> 00:06:54,000 All right, take over. 129 00:06:55,160 --> 00:06:57,460 Use a gram of calcium and bicarb. 130 00:06:58,160 --> 00:06:59,160 Charge at 200. 131 00:07:00,000 --> 00:07:01,000 Charge. Clear. 132 00:07:04,780 --> 00:07:05,780 300. 133 00:07:13,360 --> 00:07:15,500 So, Christian, we contacted your dad. 134 00:07:15,820 --> 00:07:16,820 He's on the way. 135 00:07:17,380 --> 00:07:20,160 But you have what is called an aortic dissection. 136 00:07:20,700 --> 00:07:23,300 It's a tear in the main blood vessel from your heart. 137 00:07:23,880 --> 00:07:24,880 Sounds bad. 138 00:07:25,220 --> 00:07:30,100 It's a small tear, which is good, but sometimes those do get bigger and 139 00:07:30,100 --> 00:07:31,100 require surgery. 140 00:07:31,680 --> 00:07:32,820 So what do we do? 141 00:07:34,040 --> 00:07:38,700 Well, we admit you and monitor you for the next 48 hours, and then we let 142 00:07:38,700 --> 00:07:39,700 Vascular take point. 143 00:07:42,830 --> 00:07:43,830 Where's my brother? 144 00:07:44,030 --> 00:07:45,030 How is he? 145 00:07:45,110 --> 00:07:50,310 We were able to restart his heart, but he is also suffering lacerations to his 146 00:07:50,310 --> 00:07:51,810 spleen and his liver. 147 00:07:53,590 --> 00:07:54,590 Are we okay? 148 00:07:55,450 --> 00:07:58,170 We are doing everything that we possibly can, Christian. 149 00:08:00,950 --> 00:08:01,950 Please. 150 00:08:03,370 --> 00:08:04,630 Just tell me the truth. 151 00:08:05,310 --> 00:08:09,550 If he makes it through the next few hours, he will have a chance. 152 00:08:10,850 --> 00:08:11,910 Is this my idea? 153 00:08:16,620 --> 00:08:18,060 I saw some other kids doing it online. 154 00:08:18,320 --> 00:08:20,880 The train didn't seem like it was moving that fast. 155 00:08:22,660 --> 00:08:23,660 Then he slipped. 156 00:08:27,960 --> 00:08:33,360 He hit the rail and his body just like... just like seized up. 157 00:08:35,020 --> 00:08:37,380 Christian. Stop. Hey, hey. 158 00:08:37,659 --> 00:08:38,659 Look at me. 159 00:08:39,440 --> 00:08:40,520 Look at me. Christian. 160 00:08:42,900 --> 00:08:43,980 I know it's hard. 161 00:08:44,400 --> 00:08:45,400 Okay, Nolan. 162 00:08:45,850 --> 00:08:46,850 It's fighting. 163 00:08:47,190 --> 00:08:48,610 And that is a great thing. 164 00:08:50,110 --> 00:08:53,790 But for right now, let's just focus on getting you fixed up, okay? 165 00:08:56,870 --> 00:08:57,870 You do that for me? 166 00:09:02,490 --> 00:09:03,490 Where's he going? 167 00:09:03,570 --> 00:09:08,110 Ellen, I'm Dr. Ripley. I saw that you vomited blood and passed out this 168 00:09:08,110 --> 00:09:11,430 morning. I was at the table one minute, next I was on the floor. 169 00:09:12,030 --> 00:09:14,430 But... Jackson, call 911, thankfully. 170 00:09:14,710 --> 00:09:15,830 Oh, nice work, Jackson. 171 00:09:16,290 --> 00:09:19,230 Uh, you mind if I examine you? Yeah. Okay. 172 00:09:20,090 --> 00:09:21,170 And who's that guy? 173 00:09:21,690 --> 00:09:23,150 Captain Super Broccoli. 174 00:09:23,350 --> 00:09:25,210 Captain Super Broccoli? Never heard of him. 175 00:09:25,450 --> 00:09:26,450 I made him up. 176 00:09:27,130 --> 00:09:30,730 And told stories about him, hoping Jackson might eat something green. 177 00:09:31,250 --> 00:09:32,390 He loved the stories. 178 00:09:33,050 --> 00:09:34,190 No luck on the vegetables. 179 00:09:35,190 --> 00:09:36,190 Very cool. 180 00:09:37,430 --> 00:09:38,610 Say off with me? 181 00:09:39,830 --> 00:09:40,830 Uh... 182 00:09:41,780 --> 00:09:45,980 Okay, we'll need to wait for a CT to confirm, but your chest x-ray shows 183 00:09:45,980 --> 00:09:50,600 pneumomediastinum. I suspect you have a small tear in your esophagus. It would 184 00:09:50,600 --> 00:09:52,080 explain the blood. Is that bad? 185 00:09:52,340 --> 00:09:55,600 It's not ideal. Something we can repair with a minor procedure. 186 00:09:55,860 --> 00:09:59,260 My bigger concern is what caused the tear. 187 00:09:59,640 --> 00:10:00,940 Have you been vomiting frequently? 188 00:10:01,160 --> 00:10:02,160 Any recent illness? 189 00:10:02,500 --> 00:10:05,920 I've been going through a custody battle with my ex that gives me plenty of 190 00:10:05,920 --> 00:10:09,720 indigestion, but I was fine today until... 191 00:10:10,410 --> 00:10:11,410 You know. 192 00:10:11,430 --> 00:10:15,730 Sorry, it says you went for your physical three months ago and your 193 00:10:15,730 --> 00:10:16,810 weight was 145. 194 00:10:18,050 --> 00:10:20,810 Today, your weight is 185. 195 00:10:21,310 --> 00:10:22,450 Is that accurate? 196 00:10:23,710 --> 00:10:25,130 Unfortunately, yes. 197 00:10:26,590 --> 00:10:28,210 You think that has something to do with this? 198 00:10:28,470 --> 00:10:31,330 It's hard to tell just yet, but it is concerning. 199 00:10:31,690 --> 00:10:33,150 I was chalking it up to stress. 200 00:10:33,810 --> 00:10:35,270 Stress can certainly wreak havoc. 201 00:10:35,910 --> 00:10:39,550 Why don't we run some tests, get some more info, and try to get to the bottom 202 00:10:39,550 --> 00:10:40,550 of this? 203 00:10:40,670 --> 00:10:41,670 Okay. 204 00:10:44,890 --> 00:10:46,970 Looks like your pain level's gone down. 205 00:10:47,270 --> 00:10:48,930 Yeah, those meds did the trick. 206 00:10:49,310 --> 00:10:50,310 Good. 207 00:10:51,030 --> 00:10:53,590 How are those two boys that came in with me? 208 00:10:53,830 --> 00:10:54,910 They're being worked on now. 209 00:10:56,350 --> 00:10:59,970 Samara, I'd like to introduce you to Dr. Abrams. He's a neurosurgeon. 210 00:11:00,590 --> 00:11:06,490 So your CT shows that you injured both vertebral arteries, which provide blood 211 00:11:06,490 --> 00:11:07,419 to your brain. 212 00:11:07,420 --> 00:11:10,320 And if we don't get them open, there's very high risk for stroke. 213 00:11:10,560 --> 00:11:14,720 But the arteries were injured because your spine was dislocated, along with 214 00:11:14,720 --> 00:11:18,460 fractures to the C6 and C7 vertebrae, which are currently pinching your spinal 215 00:11:18,460 --> 00:11:20,400 cord. That's why my legs are tingling? 216 00:11:20,600 --> 00:11:21,600 Most likely. 217 00:11:22,500 --> 00:11:24,280 So, can we fix that, too? 218 00:11:25,140 --> 00:11:27,000 Yes, but it's complicated. 219 00:11:27,820 --> 00:11:31,680 So, repairing the arteries is, of course, our first priority, but it would 220 00:11:31,680 --> 00:11:33,120 require realigning your spine. 221 00:11:33,360 --> 00:11:36,200 It'll restore blood flow, and it'll limit the risk of the stroke. 222 00:11:36,640 --> 00:11:41,520 but it will put increased pressure on your spinal cord, and it could result in 223 00:11:41,520 --> 00:11:43,900 permanent paralysis of your lower extremities. 224 00:11:44,500 --> 00:11:46,840 So you're saying I won't be able to walk? 225 00:11:47,240 --> 00:11:48,540 Nothing is guaranteed. 226 00:11:49,480 --> 00:11:51,520 You know, I'm not even on TikTok. 227 00:11:52,540 --> 00:11:59,240 I don't subway surf to create content or get views. I do it because that feeling 228 00:11:59,240 --> 00:12:03,740 when you're up there, it's just like... total escape. 229 00:12:06,540 --> 00:12:11,120 I need to be able to move, to get away, to get out of my head. 230 00:12:12,660 --> 00:12:14,720 I'm not doing anything that's going to make me paralyzed. 231 00:12:16,660 --> 00:12:18,100 And are you saying no to the surgery? 232 00:12:18,700 --> 00:12:23,360 Samara, I want you to understand that if you don't do the surgery, you could die. 233 00:12:23,920 --> 00:12:25,100 Could isn't certain, though. 234 00:12:26,660 --> 00:12:27,660 You said it yourself. 235 00:12:28,400 --> 00:12:29,520 Nothing's guaranteed, right? 236 00:12:32,960 --> 00:12:37,420 Mom. You asked me to come here today to help advise you as an attorney. 237 00:12:37,660 --> 00:12:38,399 I did. 238 00:12:38,400 --> 00:12:43,980 Then I think I should tell you, if Doris stays quiet and you turn down this deal, 239 00:12:44,280 --> 00:12:48,400 it is going to turn into a legal matter, and their attorneys will start deposing 240 00:12:48,400 --> 00:12:49,400 everyone. 241 00:12:50,340 --> 00:12:52,780 Including Doris. You think she's going to stay quiet through that? 242 00:12:53,400 --> 00:12:57,240 No matter what your intentions were initially, the fact of the matter is you 243 00:12:57,240 --> 00:13:01,060 did not do what they're accusing you of. Because I'm a coward. 244 00:13:01,320 --> 00:13:02,840 Because you're a good person. 245 00:13:03,370 --> 00:13:04,650 What are you saying, David? 246 00:13:04,970 --> 00:13:08,550 What I'm saying is there's no magic bullet. The only real choices are taking 247 00:13:08,550 --> 00:13:11,410 the deal, making this all go away, or letting Doris confess. 248 00:13:11,630 --> 00:13:16,030 If Doris confesses, they'll fire her, David. And it'll be damn near impossible 249 00:13:16,030 --> 00:13:19,330 for her to find another job with this on her record. 250 00:13:19,590 --> 00:13:23,730 Look, I'd love nothing more than for you to walk off into the sunset and spend 251 00:13:23,730 --> 00:13:25,370 days with your new grandchild. 252 00:13:25,570 --> 00:13:29,310 But you keep telling me how hard it is to watch from the outside while Miranda 253 00:13:29,310 --> 00:13:30,650 tears down what you built. 254 00:13:32,240 --> 00:13:34,640 You take this deal, you're on the outside forever. 255 00:13:37,700 --> 00:13:40,340 40-pound weight gain in three months, wow. 256 00:13:40,620 --> 00:13:42,040 Yeah, plus an esophageal perf. 257 00:13:42,280 --> 00:13:44,480 She's headed to surgery in a few hours, the stent is. 258 00:13:44,720 --> 00:13:46,040 Testing's all looking pretty normal. 259 00:13:46,300 --> 00:13:51,920 Yeah, I ran labs, full metabolic panel, other than an electrolyte imbalance and 260 00:13:51,920 --> 00:13:53,960 a slightly elevated A1C, nothing. 261 00:13:54,260 --> 00:13:56,600 But now you're thinking it might be a psych issue. 262 00:13:57,460 --> 00:14:00,480 Maybe. Been cheating brought on by stress or depression. 263 00:14:01,780 --> 00:14:04,660 Apparently, she's going through a pretty nasty custody battle. Huh. 264 00:14:05,260 --> 00:14:09,320 Let me have a quick chat, see what I can suss out. Give me, like, ten minutes? 265 00:14:09,500 --> 00:14:10,500 Yeah, thanks, buddy. 266 00:14:10,580 --> 00:14:12,600 Yes, from Gaffney Chicago Med. 267 00:14:13,200 --> 00:14:14,200 I'll hold. 268 00:14:14,380 --> 00:14:15,359 Thank you. 269 00:14:15,360 --> 00:14:16,360 Thanks. 270 00:14:17,300 --> 00:14:20,300 Hey. I heard your patient is refusing surgery. 271 00:14:20,760 --> 00:14:22,800 Yeah, I'm trying to track down her family. 272 00:14:23,630 --> 00:14:25,770 Find support, see if they can change her mind. 273 00:14:25,990 --> 00:14:28,930 The file says that her mom lives in Decatur, but I have not been able to 274 00:14:28,930 --> 00:14:29,509 reach her. 275 00:14:29,510 --> 00:14:34,190 I feel for her and these kids, but this whole thing just feels pointless. 276 00:14:34,910 --> 00:14:38,650 Do we really need to tell young people not to ride on top of subway cars now? 277 00:14:39,010 --> 00:14:40,630 I mean, don't you remember what it was like being young? 278 00:14:41,430 --> 00:14:44,750 How invincible you feel? I mean, God knows I did stupid things. 279 00:14:45,470 --> 00:14:47,030 I will be right back. 280 00:14:48,330 --> 00:14:49,330 Hey. 281 00:14:53,320 --> 00:14:56,020 How's Nolan? There was too much bleeding from behind the liver. 282 00:14:56,220 --> 00:14:57,960 He kept going into cardiac arrest. 283 00:14:58,180 --> 00:15:00,260 We tried to revive him. Tried for 30 minutes. 284 00:15:01,400 --> 00:15:02,400 He's gone. 285 00:15:16,820 --> 00:15:18,920 Ellen, this is Dr. Charles. 286 00:15:19,120 --> 00:15:20,120 Hey, Ellen. Nice to meet you. 287 00:15:20,440 --> 00:15:21,440 Jackson? 288 00:15:22,160 --> 00:15:25,780 Oh, one of our nurses is cleaning out our lost and found and stumbled across a 289 00:15:25,780 --> 00:15:26,719 few toys. 290 00:15:26,720 --> 00:15:29,800 I thought you might like to check them out while your mom chats to Dr. Charles 291 00:15:29,800 --> 00:15:30,599 here. Yeah? 292 00:15:30,600 --> 00:15:31,600 Okay. 293 00:15:32,660 --> 00:15:33,660 Mike. 294 00:15:34,740 --> 00:15:37,560 Must be bad news if you had to clear the room. 295 00:15:37,800 --> 00:15:39,680 Nothing too scary. I'm just a psychiatrist. 296 00:15:40,520 --> 00:15:42,300 That sounds a little scary. 297 00:15:42,820 --> 00:15:43,820 Trust me, I'm harmless. 298 00:15:44,720 --> 00:15:49,080 Um, I just thought, you know, it'd be easier if we talked alone, because Dr. 299 00:15:49,160 --> 00:15:51,340 Ripley shared with me you've been really going through it with your ex. 300 00:15:53,060 --> 00:15:58,340 Jackson's dad was non-existent for the first four years of his life until a 301 00:15:58,340 --> 00:16:03,080 year ago when he moved back to Chicago with his new wife, asking for full 302 00:16:03,080 --> 00:16:04,380 custody. Oh, man. 303 00:16:04,680 --> 00:16:07,040 And now I can't stop stuffing my face. 304 00:16:07,540 --> 00:16:10,960 Well, everyone certainly understands the stress eating. 305 00:16:11,260 --> 00:16:12,760 But you know what? I'm just curious. 306 00:16:13,280 --> 00:16:17,760 Is this a new coping mechanism for you? Because your medical records are showing 307 00:16:17,760 --> 00:16:19,520 that your weight's always been pretty... 308 00:16:20,630 --> 00:16:22,850 Steady, you know, until just recently. 309 00:16:23,350 --> 00:16:28,010 I was thinking about trying to get on a GLP-1, actually. 310 00:16:29,430 --> 00:16:30,950 Is that something you can prescribe? 311 00:16:31,630 --> 00:16:35,770 We can certainly talk about that, but first, I really want to make sure 312 00:16:35,770 --> 00:16:40,430 there's nothing else going on here, you know, because right now, we really need 313 00:16:40,430 --> 00:16:42,910 you at 100% for Jackson, right? 314 00:16:43,430 --> 00:16:44,430 Of course. 315 00:16:45,610 --> 00:16:47,090 I can't lose my son. 316 00:16:48,250 --> 00:16:49,310 He is... 317 00:16:50,800 --> 00:16:53,300 The only thing that matters to me. 318 00:16:55,240 --> 00:16:57,000 Hey, there she is. 319 00:16:57,200 --> 00:16:58,460 Hey, you made it. 320 00:16:59,260 --> 00:17:00,260 Yeah. 321 00:17:00,780 --> 00:17:01,780 Thanks. 322 00:17:03,300 --> 00:17:04,940 I'm going to give this to her. Yeah. 323 00:17:06,619 --> 00:17:09,099 Hey, any updates on Samara? Checking now. 324 00:17:09,300 --> 00:17:10,400 Any luck reaching her family? 325 00:17:10,619 --> 00:17:12,859 No. I've left like a thousand messages, but... 326 00:17:13,160 --> 00:17:17,040 Nothing back from mom. Well, we've got another problem. The trauma Samara 327 00:17:17,040 --> 00:17:20,020 suffered, she had the soft tissue from her muscle causing the blood to pool 328 00:17:20,020 --> 00:17:21,020 beneath her skin. 329 00:17:21,440 --> 00:17:25,720 Won't be long before that tissue dies and an infection sets in. And makes the 330 00:17:25,720 --> 00:17:27,240 surgery she needs impossible to do. 331 00:17:27,780 --> 00:17:29,060 Was there any way to fix it? 332 00:17:30,060 --> 00:17:31,060 Yeah, there might be. 333 00:17:31,820 --> 00:17:32,820 Okay, well, that's great. 334 00:17:34,640 --> 00:17:37,240 But why do you look like you just ate bad yogurt? 335 00:17:37,700 --> 00:17:41,780 The treatment that might help Samara is really gross. 336 00:17:43,690 --> 00:17:47,110 It's really gro... You're a... You're a surgeon. 337 00:17:47,430 --> 00:17:50,850 Yeah, but... I gotta think about creatures. 338 00:17:52,290 --> 00:17:56,990 Okay, I'm gonna place this one on the right side right here. 339 00:17:57,870 --> 00:18:01,450 Crazy Abrams can cut open a human brain, but this creeps him out. 340 00:18:01,690 --> 00:18:04,350 Yeah, well, everybody's got their things that get them. 341 00:18:05,010 --> 00:18:06,930 Mine's clowns. What about you? 342 00:18:08,270 --> 00:18:09,270 Cargo shorts. 343 00:18:09,730 --> 00:18:12,990 Fair. Hey, can you feel that, Samara? 344 00:18:17,210 --> 00:18:18,210 Samara? What? 345 00:18:18,610 --> 00:18:20,750 I asked if you could feel the one I just placed. 346 00:18:21,490 --> 00:18:23,170 A little, maybe. 347 00:18:25,090 --> 00:18:26,530 Why do we have to do this again? 348 00:18:26,830 --> 00:18:31,550 Because modern medicine has made strides in arterial revascularization, but we 349 00:18:31,550 --> 00:18:35,670 have not been able to beat evolution when it comes to wound care, so medieval 350 00:18:35,670 --> 00:18:37,070 leeches are the best. 351 00:18:37,870 --> 00:18:38,910 Don't say leeches. 352 00:18:39,310 --> 00:18:43,490 You know, we wouldn't have to try this if you did the surgery to repair your 353 00:18:43,490 --> 00:18:44,490 blood vessels. 354 00:18:45,460 --> 00:18:46,460 No, I'm good. 355 00:18:46,860 --> 00:18:47,860 Keep going. 356 00:18:48,820 --> 00:18:52,280 Okay, well, we need to immobilize her neck without killing the leeches. So, 357 00:18:52,300 --> 00:18:54,140 Jimmy, you have a dressing to keep them in place? Yep. 358 00:18:57,880 --> 00:18:59,200 Why isn't this going through? 359 00:19:00,920 --> 00:19:02,880 Why isn't it going through? 360 00:19:04,440 --> 00:19:05,900 Your phone's on the escape key. 361 00:19:07,060 --> 00:19:08,320 Don't worry, I won't tell anyone. 362 00:19:09,320 --> 00:19:10,079 You know what? 363 00:19:10,080 --> 00:19:12,220 While I have you, can I get your signature on something? 364 00:19:12,580 --> 00:19:13,580 Yeah. 365 00:19:15,150 --> 00:19:16,150 Thank you. 366 00:19:16,350 --> 00:19:17,730 Wait, what did I just sign? 367 00:19:17,950 --> 00:19:19,270 We're going to have these on a timeshare. 368 00:19:19,670 --> 00:19:24,250 Sorry, Dr. Archer, you're being paged to room 132. Room 132? I never heard of 369 00:19:24,250 --> 00:19:25,169 that. What is it? 370 00:19:25,170 --> 00:19:26,170 Beats me. 371 00:19:42,800 --> 00:19:47,580 I'm Dr. Archer, and I was paged to this room for some reason. We just checked 372 00:19:47,580 --> 00:19:50,300 Christian Goodland and noticed he pulls discrepancies. Okay. 373 00:19:54,900 --> 00:19:55,900 Hi, Christian. 374 00:19:56,960 --> 00:19:59,900 Um... What are you doing here? 375 00:20:00,880 --> 00:20:03,960 Looking for him. He's supposed to be in the ICU. I'm aware. 376 00:20:04,780 --> 00:20:05,780 How we doing, Christian? 377 00:20:06,120 --> 00:20:07,540 Thanks, Kenneth Dobby. Yeah. 378 00:20:08,660 --> 00:20:12,920 Cold leg. His dissection is getting worse. A bowl of some 2,500 units of 379 00:20:12,920 --> 00:20:16,160 heparin. Start a drip. We need to fix this dissection before it gets worse. 380 00:20:16,380 --> 00:20:17,500 Wait, wait, wait. Am I gonna lose my leg? 381 00:20:17,700 --> 00:20:21,680 Uh, Dr. Archer? And where's the vascular surgeon that's following him? We paged 382 00:20:21,680 --> 00:20:23,280 her, but she's in clinics and you're closer. 383 00:20:23,500 --> 00:20:24,500 Dr. Archer. What? 384 00:20:24,980 --> 00:20:27,620 I'm just trying to make sure Christian isn't getting too upset here. 385 00:20:28,600 --> 00:20:29,600 Okay? 386 00:20:30,960 --> 00:20:34,180 It's gonna be okay, all right? I'm not gonna lose the leg. We're gonna sort 387 00:20:34,180 --> 00:20:36,960 this out. Just give me big, deep breaths. Try to slow your heart rate 388 00:20:36,960 --> 00:20:37,960 down, okay? 389 00:20:42,800 --> 00:20:44,040 He has monophasic signals. 390 00:20:44,240 --> 00:20:48,640 All right, let's alert IR and have them get a room ready. What does that mean? 391 00:20:48,800 --> 00:20:49,659 It's going to be okay. 392 00:20:49,660 --> 00:20:50,660 All right. 393 00:20:53,620 --> 00:20:54,860 What the hell is this place? 394 00:20:59,520 --> 00:21:03,940 Could you please explain why I was paged to a room I never heard of to deal with 395 00:21:03,940 --> 00:21:07,120 a patient who had already technically been admitted to the ICU? 396 00:21:07,560 --> 00:21:08,560 Is that room 132? 397 00:21:08,900 --> 00:21:10,920 Yes. Yeah, that's the overflow room. 398 00:21:12,010 --> 00:21:14,990 The what room? Well, that's how we solved your problem with patients 399 00:21:14,990 --> 00:21:15,990 stacking up in the ED. 400 00:21:16,190 --> 00:21:19,850 I created an overflow room so that we can start servicing inpatient needs 401 00:21:19,850 --> 00:21:20,850 while awaiting a bed upstairs. 402 00:21:21,170 --> 00:21:22,530 Just felt more practical. 403 00:21:22,850 --> 00:21:26,330 Yeah, except practically, that's not how it works. 404 00:21:26,930 --> 00:21:30,010 Doctors from other floors can't get to that room with any urgency. 405 00:21:30,350 --> 00:21:35,830 And then practically what happens next is that the ED attending gets paged, 406 00:21:35,830 --> 00:21:38,210 which, as a refresher, is me. 407 00:21:38,810 --> 00:21:40,230 Mm-hmm. I'm aware. 408 00:21:40,670 --> 00:21:45,650 Yeah? So what you've effectively done is given the E.D., again, specifically me, 409 00:21:45,810 --> 00:21:48,170 more work to deal with, not less. 410 00:21:48,470 --> 00:21:49,690 I hear you. I do. 411 00:21:50,730 --> 00:21:54,790 But maybe, maybe there's some way that we can tweak this setup rather than just 412 00:21:54,790 --> 00:21:55,790 scrap it completely. 413 00:21:56,030 --> 00:22:00,430 Tweak? You've got a tech and a floor nurse overseeing 14 beds. 414 00:22:00,690 --> 00:22:03,930 So what I could probably do is hire you another tech, maybe even a telemetry 415 00:22:03,930 --> 00:22:08,510 nurse? I'm not trying to add to staff, you understand? I just want this damn 416 00:22:08,510 --> 00:22:09,510 thing gone. 417 00:22:09,659 --> 00:22:11,000 Okay, Dr. Archer. 418 00:22:12,460 --> 00:22:14,100 I'm trying to work with you here. 419 00:22:14,580 --> 00:22:18,760 You said you had patients stacking up. I provided a solution, and I don't think 420 00:22:18,760 --> 00:22:23,040 it's very productive of you to come in here and just whine about it. Um, what? 421 00:22:23,160 --> 00:22:27,380 So what I'm saying is you need to stop looking to place blame and get a little 422 00:22:27,380 --> 00:22:31,060 bit more creative about trying to find a solution, like I was. 423 00:22:31,660 --> 00:22:33,300 You know, you gotta think outside the box. 424 00:22:37,520 --> 00:22:38,520 Did he suffer? 425 00:22:44,510 --> 00:22:45,850 Nolan? Not in the end. 426 00:22:47,390 --> 00:22:48,390 No. 427 00:22:51,390 --> 00:22:56,430 Dr. Tanaka Reid, this is Stan Goodland, Christian and Nolan's dad. 428 00:22:56,670 --> 00:22:59,490 Mr. Goodland, I'm so sorry for your loss. 429 00:23:00,270 --> 00:23:01,270 How's Christian? 430 00:23:03,010 --> 00:23:05,190 Dr. Frost said you were taking him into surgery. 431 00:23:06,110 --> 00:23:07,330 They're prepping the room now. 432 00:23:10,060 --> 00:23:11,100 Is he going to make it? 433 00:23:11,940 --> 00:23:14,900 We're going to place a stent in the aorta to fix the tear. 434 00:23:15,840 --> 00:23:19,220 But there's no reason to think Christian won't do well. 435 00:23:20,320 --> 00:23:24,520 Though when the injury is that close to the heart, there are always risks. 436 00:23:27,440 --> 00:23:28,780 I want to see him. 437 00:23:30,700 --> 00:23:31,700 Of course. 438 00:23:31,940 --> 00:23:34,700 But that is a little complicated. 439 00:23:37,200 --> 00:23:38,200 It's complicated. 440 00:23:39,050 --> 00:23:41,110 His dissection has gotten worse. 441 00:23:41,590 --> 00:23:47,670 So it is imperative that we keep his heart rate low, below 60, until we get 442 00:23:47,670 --> 00:23:48,670 him into surgery. 443 00:23:48,690 --> 00:23:51,110 So we're doing everything we can to keep him calm. 444 00:23:51,830 --> 00:23:54,710 Which is why we have not told him yet about Nolan. 445 00:23:55,670 --> 00:24:01,510 And if you go in there and tell him what happened, the emotion could cause his 446 00:24:01,510 --> 00:24:02,510 heart rate to spike. 447 00:24:04,830 --> 00:24:05,830 It's just that, huh? 448 00:24:09,930 --> 00:24:11,310 I already lost one son today. 449 00:24:13,290 --> 00:24:19,350 And if I were to lose another one, without at least 450 00:24:19,350 --> 00:24:26,190 seeing it, and... Look, I won't say anything except 451 00:24:26,190 --> 00:24:30,330 that I... I love you. 452 00:24:32,570 --> 00:24:33,570 And then I'll go. 453 00:24:41,040 --> 00:24:45,560 I know it's scary, Jackson, but the procedure's only a minor one. 454 00:24:46,460 --> 00:24:47,860 Your mom's gonna be okay. 455 00:24:50,660 --> 00:24:52,340 But she tries very hard. 456 00:24:54,300 --> 00:24:56,920 Well, she's lucky to have you. 457 00:24:57,700 --> 00:24:59,320 Pretty amazing you called for help. 458 00:24:59,820 --> 00:25:03,400 Not a lot of five-year-olds would know to do that so fast. 459 00:25:05,000 --> 00:25:06,820 I did what she taught me. 460 00:25:09,520 --> 00:25:10,820 What do you mean she taught you? 461 00:25:20,360 --> 00:25:21,500 How you feeling, Christian? 462 00:25:23,860 --> 00:25:24,860 I'm tired. 463 00:25:25,380 --> 00:25:26,680 Well, we're gonna fix you up. 464 00:25:27,620 --> 00:25:31,920 But before we head up to surgery, there's someone who would like to see 465 00:25:31,920 --> 00:25:32,920 you. 466 00:25:40,010 --> 00:25:41,010 Hey, kiddo. 467 00:25:42,030 --> 00:25:46,110 I, uh... I only came here for a minute. 468 00:25:46,550 --> 00:25:48,790 I know they need to get you to surgery. 469 00:25:50,570 --> 00:25:54,730 But I, uh... I, uh... 470 00:25:54,730 --> 00:25:59,350 I just wanted to say that. 471 00:26:10,830 --> 00:26:12,170 I'll be here when you get out. 472 00:26:15,370 --> 00:26:16,370 Oh, hey, Dad. 473 00:26:20,370 --> 00:26:21,370 How's Nolan? 474 00:26:23,070 --> 00:26:24,830 Nolan is fine. 475 00:26:25,470 --> 00:26:27,470 He's resting in the PICU. 476 00:26:28,010 --> 00:26:29,010 Okay. 477 00:26:29,650 --> 00:26:34,330 When you see him, can you just tell him I'm sorry? 478 00:26:36,750 --> 00:26:37,750 What? 479 00:26:42,090 --> 00:26:44,210 I'm sorry I didn't mean to get him into this mess. 480 00:26:47,330 --> 00:26:48,330 Okay. 481 00:26:49,310 --> 00:26:52,470 Tell him I'll drive him wherever he wants to go to get out of here. 482 00:27:00,110 --> 00:27:01,110 You okay, Dad? 483 00:27:04,350 --> 00:27:05,350 Uh-huh. 484 00:27:06,930 --> 00:27:07,990 We should get him to IR. 485 00:27:08,290 --> 00:27:09,290 Yeah. Nurse? 486 00:27:09,570 --> 00:27:10,570 No one's okay, right? 487 00:27:11,639 --> 00:27:15,780 Nolan is, um... He's fine. 488 00:27:16,240 --> 00:27:17,240 What is it? 489 00:27:18,480 --> 00:27:20,360 He's, um... Dad, what is it? 490 00:27:20,560 --> 00:27:23,840 Run ahead and have some libido already, okay? When we get there... Dad, what is 491 00:27:23,840 --> 00:27:24,779 it? 492 00:27:24,780 --> 00:27:25,780 Dad, 493 00:27:26,120 --> 00:27:28,260 what is it? Deep breaths for me, Christian. It's okay. 494 00:27:33,700 --> 00:27:38,380 Hey, uh... She had an interesting talk with Ellen's son, Jackson. 495 00:27:38,720 --> 00:27:39,860 Yeah? Yeah. 496 00:27:40,600 --> 00:27:42,820 Turns out he's not just a precocious kid. 497 00:27:43,700 --> 00:27:45,520 Ellen prepped him on how to call 911. 498 00:27:45,820 --> 00:27:48,760 Like, really prepped him as if she knew this might happen. 499 00:27:50,080 --> 00:27:51,080 Oh, that's interesting. 500 00:27:51,560 --> 00:27:57,300 Yeah. Look, I... I don't want to jump to any conclusions, but it kind of reminds 501 00:27:57,300 --> 00:27:58,300 me of my mom. 502 00:27:58,400 --> 00:27:59,400 How so? 503 00:27:59,540 --> 00:28:03,720 Well, with her drug problem, she knew she might not always keep it together, 504 00:28:03,840 --> 00:28:05,780 so she taught me to do things at a young age. 505 00:28:06,960 --> 00:28:11,320 Make dinner when I was six, drive when I was 13. She also taught me to call 911. 506 00:28:11,920 --> 00:28:16,680 She said it was in case of an accident, but really... It was in case she OD'd. 507 00:28:19,840 --> 00:28:21,920 Buddy, you think that's what we're looking at here? 508 00:28:22,840 --> 00:28:23,699 Substance abuse? 509 00:28:23,700 --> 00:28:26,400 Like I said, I don't want to jump to any conclusions. 510 00:28:26,740 --> 00:28:30,980 Excessive drinking could cause the esophageal tear, but not the weight 511 00:28:30,980 --> 00:28:32,660 gain. Not on that scale, anyway. 512 00:28:33,060 --> 00:28:36,080 Maybe she's substituting one addiction for another? 513 00:28:37,130 --> 00:28:38,130 Oh, man. 514 00:28:38,670 --> 00:28:39,790 The GLP-1. 515 00:28:40,030 --> 00:28:43,070 What? I think I might know what's going on here. 516 00:28:44,270 --> 00:28:45,670 Hey, what's up with you today? 517 00:28:45,890 --> 00:28:47,550 You seem distracted or something. 518 00:28:48,150 --> 00:28:49,490 Is everything okay at home? 519 00:28:50,490 --> 00:28:51,970 Yeah. Yeah. 520 00:28:52,370 --> 00:28:55,370 I just never realized how much I love all of this. 521 00:28:55,710 --> 00:28:58,410 Okay, you are really freaking me out now. What? 522 00:28:59,090 --> 00:29:03,810 Sorry. I'm just feeling a little sentimental and so... Okay. 523 00:29:04,160 --> 00:29:08,620 Dr. Asher? Yeah? This is Samara's mom, Rhonda West. Mrs. West, I am so glad 524 00:29:08,620 --> 00:29:12,160 you're here. Samara's stable now, though she sustained damage to her spine and 525 00:29:12,160 --> 00:29:13,260 the blood vessels in her neck. 526 00:29:13,520 --> 00:29:15,880 Wait. So, she's alive? 527 00:29:17,500 --> 00:29:18,500 Yes, I am. 528 00:29:19,040 --> 00:29:22,860 I am so sorry if my messages weren't clear. Samara is alive, and she is... 529 00:29:22,860 --> 00:29:28,480 When you said she was in an accident, I'm sure you were calling to tell me she 530 00:29:28,480 --> 00:29:29,660 finally managed to kill herself. 531 00:29:31,100 --> 00:29:32,380 Thankfully, that is not the case. 532 00:29:33,260 --> 00:29:37,980 Though she does need surgery to prevent stroke, and currently Samara is refusing 533 00:29:37,980 --> 00:29:41,660 it. I thought that you could talk to her. I can't help with that. 534 00:29:43,420 --> 00:29:44,420 I'm sorry? 535 00:29:44,600 --> 00:29:45,600 What do you mean? 536 00:29:46,000 --> 00:29:47,840 I tried for years to help Samara. 537 00:29:48,400 --> 00:29:53,280 When she OD'd, when she broke the law, when she hurt us in every imaginable 538 00:29:53,280 --> 00:29:54,280 way. 539 00:29:55,360 --> 00:29:56,660 I love my daughter. 540 00:29:57,420 --> 00:29:58,580 I always will. 541 00:30:00,640 --> 00:30:01,780 But her decisions? 542 00:30:02,460 --> 00:30:03,460 Are her? Oh, no. 543 00:30:09,400 --> 00:30:13,640 So, sounds like everything went off without a hitch. 544 00:30:13,940 --> 00:30:14,940 Thank goodness. 545 00:30:16,680 --> 00:30:20,240 Now, we just gotta figure out what to do about your alcohol consumption. 546 00:30:22,580 --> 00:30:23,620 I'm not an alcoholic. 547 00:30:23,980 --> 00:30:27,620 Ellen, I'm not here to judge you or shame you. 548 00:30:27,880 --> 00:30:31,100 I'm wondering if you are eating to gain weight. 549 00:30:31,600 --> 00:30:33,880 so that you can qualify for a GLP-1. 550 00:30:35,480 --> 00:30:37,260 That doesn't even make any sense. 551 00:30:37,820 --> 00:30:41,940 Look, everybody knows that these drugs, they help with diabetes, right? They 552 00:30:41,940 --> 00:30:42,940 promote weight loss. 553 00:30:43,000 --> 00:30:47,580 But also, you can't hit your news feed these days without reading another story 554 00:30:47,580 --> 00:30:51,680 about some exciting new off-label use, like, for instance, how they curb 555 00:30:51,680 --> 00:30:58,520 compulsive behavior, alcohol, drug abuse, addictions that could cause 556 00:30:58,520 --> 00:31:00,660 somebody to lose custody of their child. 557 00:31:06,570 --> 00:31:07,810 I always kept it a secret. 558 00:31:10,010 --> 00:31:12,790 But I've struggled with drinking since I was 16. 559 00:31:13,570 --> 00:31:17,670 Over time, it got worse, and I couldn't control it. 560 00:31:19,410 --> 00:31:22,890 But then... I got pregnant. 561 00:31:24,130 --> 00:31:27,670 So I started going to meetings, taking care of myself. 562 00:31:29,890 --> 00:31:31,950 Stupidly, I thought I'd beat it for good. 563 00:31:32,890 --> 00:31:34,010 And then... 564 00:31:34,860 --> 00:31:39,120 Your husband came back to town and filed for full custody of Jackson. 565 00:31:39,640 --> 00:31:42,180 And then Jackson went with his dad one weekend. 566 00:31:44,260 --> 00:31:46,240 I went on a 48-hour bender. 567 00:31:47,680 --> 00:31:53,560 And I realized that unless I changed something, I was going to lose the 568 00:31:53,560 --> 00:31:58,600 battle. So I went online for any remedy I could find. 569 00:32:00,740 --> 00:32:03,940 I saw GLP-1's helped some people. 570 00:32:05,420 --> 00:32:07,300 But all my money was going to my lawyer. 571 00:32:08,060 --> 00:32:12,280 Right. So you thought if you gained enough weight that your insurance would 572 00:32:12,280 --> 00:32:13,280 cover it. 573 00:32:14,020 --> 00:32:15,720 I know. It's insane. 574 00:32:16,080 --> 00:32:19,520 Oh, come on. When it comes to our kids, we will do absolutely anything. 575 00:32:23,700 --> 00:32:24,900 So what now? 576 00:32:26,600 --> 00:32:33,100 Well, I'm actually going to prescribe you a GLP-1 because your A1C is 577 00:32:33,100 --> 00:32:34,200 dangerously high. 578 00:32:34,720 --> 00:32:37,660 And it's very important that we bring it down so you don't become a diabetic. 579 00:32:38,540 --> 00:32:39,540 Okay? Yeah. 580 00:32:40,400 --> 00:32:44,260 Now, if it happens to help you in other ways... Oh, my God, thank you. 581 00:32:44,600 --> 00:32:47,120 Ellen, listen to me. This is not a magic bullet. 582 00:32:47,680 --> 00:32:52,800 What do you mean? Your five-year-old terrified son called 911 because he 583 00:32:52,800 --> 00:32:57,260 walked in the kitchen and found his mom under the kitchen table next to a pool 584 00:32:57,260 --> 00:32:58,760 of her own vomit and blood. 585 00:33:00,160 --> 00:33:02,740 Something like that happens again, he's gone. 586 00:33:04,040 --> 00:33:08,000 You've got to face this. It's the only chance you have of keeping your son. 587 00:33:10,860 --> 00:33:11,860 Okay. 588 00:33:12,200 --> 00:33:13,200 Okay. 589 00:33:18,220 --> 00:33:19,220 Miranda? 590 00:33:19,840 --> 00:33:24,340 Sharon, I thought our meeting wasn't for another hour. Well, I finally made a 591 00:33:24,340 --> 00:33:26,820 decision and didn't want to wait any longer. 592 00:33:27,040 --> 00:33:28,040 Fair enough. 593 00:33:28,700 --> 00:33:29,700 Well? 594 00:33:32,040 --> 00:33:33,180 Per your offer. 595 00:33:34,000 --> 00:33:39,400 I'm resigning my position as executive director effective immediately. 596 00:33:43,540 --> 00:33:45,280 I'm taking the deal. 597 00:33:55,480 --> 00:33:57,600 Looks like the leeches did the trick. 598 00:33:57,940 --> 00:33:58,980 Hell yeah. 599 00:34:00,600 --> 00:34:02,020 So, now what? 600 00:34:02,610 --> 00:34:07,930 Well, you still have limited blood flow to your brain, which means that we'll be 601 00:34:07,930 --> 00:34:09,989 pushing your blood pressure to make up for it. 602 00:34:10,570 --> 00:34:14,690 Hopefully, if you keep your collar on, some of your fractures will heal, but 603 00:34:14,690 --> 00:34:20,370 they may also deteriorate, and you will be at constant risk for a stroke, either 604 00:34:20,370 --> 00:34:21,770 of which could prove fatal. 605 00:34:23,250 --> 00:34:24,250 But I'll walk. 606 00:34:25,310 --> 00:34:27,909 After some physical therapy and rehab, yes. 607 00:34:29,750 --> 00:34:31,590 But you will be a time bomb. 608 00:34:38,190 --> 00:34:41,010 I was finally able to connect with your mom. 609 00:34:42,909 --> 00:34:44,630 Let me guess, she doesn't want to see me? 610 00:34:46,790 --> 00:34:51,929 Look, Samara, when I was younger, I did a lot of things that pushed people away. 611 00:34:52,010 --> 00:34:55,050 Things I am not proud of. 612 00:34:57,970 --> 00:35:01,050 I know what it's like to live for the moment because you believe that you 613 00:35:01,050 --> 00:35:02,050 don't have a future. 614 00:35:03,790 --> 00:35:05,070 The thing is... 615 00:35:06,090 --> 00:35:07,870 The future doesn't care what you believe. 616 00:35:08,410 --> 00:35:09,450 It comes anyway. 617 00:35:12,290 --> 00:35:17,870 Now, I'm not asking you to suddenly believe that things will improve in your 618 00:35:17,870 --> 00:35:18,870 life. 619 00:35:20,070 --> 00:35:24,050 I'm just asking for you to allow for the possibility that they might. 620 00:35:24,990 --> 00:35:29,770 You know, to consider the idea that maybe someday you won't feel this way. 621 00:35:31,550 --> 00:35:35,210 It takes a lot of courage to ride on top of a train. 622 00:35:37,160 --> 00:35:40,380 a lot of courage to turn down a surgery like this. 623 00:35:43,440 --> 00:35:48,780 Sometimes the bravest thing that we can do is choose to survive. 624 00:35:51,920 --> 00:35:54,160 You are making the choice to die right now. 625 00:35:55,620 --> 00:35:57,400 Is that really what you want? 626 00:36:00,580 --> 00:36:04,740 If I die, no one will notice. 627 00:36:06,540 --> 00:36:07,540 No one will care. 628 00:36:09,760 --> 00:36:10,920 Not even my mom. 629 00:36:13,900 --> 00:36:14,900 That's not true. 630 00:36:17,660 --> 00:36:18,660 I care. 631 00:36:20,640 --> 00:36:23,620 I care if you live or die. 632 00:36:30,640 --> 00:36:31,640 Okay. 633 00:36:34,200 --> 00:36:35,200 I'll get the surgery. 634 00:36:49,100 --> 00:36:50,100 How's Christian? 635 00:36:50,200 --> 00:36:51,200 He's just fine. 636 00:36:51,820 --> 00:36:53,100 Surgery went off with that hitch. 637 00:36:53,300 --> 00:36:55,560 We placed the stent and restored flow to his leg. 638 00:36:55,800 --> 00:36:59,940 He'll need physical therapy for a couple days, but he should make a full 639 00:36:59,940 --> 00:37:00,940 recovery. 640 00:37:01,940 --> 00:37:06,780 I was so scared that what I said with his heart that... He's okay. 641 00:37:07,080 --> 00:37:08,080 It didn't hurt him. 642 00:37:08,580 --> 00:37:11,760 And you can see him in a couple hours when he gets out of recovery. 643 00:37:12,240 --> 00:37:13,240 My God. 644 00:37:13,640 --> 00:37:14,640 Thank you. 645 00:37:15,400 --> 00:37:16,520 Of course. 646 00:37:17,360 --> 00:37:20,140 I have to let the rest of the family know. 647 00:37:21,140 --> 00:37:22,140 Thank you. 648 00:37:28,500 --> 00:37:30,780 I don't know why anyone becomes a parent. 649 00:37:47,320 --> 00:37:48,320 Great, Mom. 650 00:37:48,380 --> 00:37:50,920 We did some tummy time. We sang some songs. 651 00:37:51,320 --> 00:37:52,580 Mabel's an independent girl now. 652 00:37:53,340 --> 00:37:54,360 We'll go get her back for you. 653 00:37:58,840 --> 00:38:02,440 There's nothing that you could ever do that would make me give up on you. 654 00:38:16,560 --> 00:38:17,580 How could you take the deal? 655 00:38:18,080 --> 00:38:19,080 Come in. 656 00:38:23,820 --> 00:38:24,820 Dr. Archer. 657 00:38:25,620 --> 00:38:28,740 Mallory. I'm actually glad I ran into you. 658 00:38:29,660 --> 00:38:31,900 I guess I owe you an apology for earlier. 659 00:38:32,360 --> 00:38:33,078 Oh, really? 660 00:38:33,080 --> 00:38:38,520 Yeah, I was a bit of an ass, and I had time to reflect, and I think I could 661 00:38:38,520 --> 00:38:40,160 make this new system work. 662 00:38:40,700 --> 00:38:42,280 I told you I didn't want this. 663 00:38:42,710 --> 00:38:45,810 I wasn't going to let you just throw away everything you've ever done. I know 664 00:38:45,810 --> 00:38:49,770 that, Doris, but you're too good of a nurse. You're too good of a person to 665 00:38:49,770 --> 00:38:55,610 let this define you, to let my drama derail your whole life. Plus, this isn't 666 00:38:55,610 --> 00:38:56,850 what it looks like. 667 00:38:57,450 --> 00:38:58,450 What do you mean? 668 00:38:58,710 --> 00:39:00,390 Well, how did you solve your issues? 669 00:39:01,210 --> 00:39:03,810 Just did what you said, but outside the box. 670 00:39:04,940 --> 00:39:11,560 There's no non-compete in the deal I agreed to, so I won't be executive 671 00:39:11,560 --> 00:39:16,200 director anymore, but that doesn't mean I'm done with Gaffney. 672 00:39:16,460 --> 00:39:20,380 I was speaking with a charge nurse who I used to work with who's nearing the end 673 00:39:20,380 --> 00:39:26,640 of her career, and she said she'd be willing to take this job at the salary 674 00:39:26,640 --> 00:39:27,760 of a telemetry nurse. 675 00:39:28,820 --> 00:39:34,080 I don't think the changes that Miranda's making are just about budget cuts. 676 00:39:34,350 --> 00:39:40,650 I think there's a bigger plan here, but I can't fight it from the outside. I 677 00:39:40,650 --> 00:39:41,650 need access. 678 00:39:43,250 --> 00:39:45,610 Well, I look forward to meeting her. 679 00:39:47,110 --> 00:39:50,670 I promise you, this is not over.