1 00:00:05,919 --> 00:00:10,420 Nice work, Dr. Wu. Why does she know me? She's the new Ms. Goodwin. And who is 2 00:00:10,420 --> 00:00:11,420 Ms. Goodwin? 3 00:00:11,520 --> 00:00:14,620 You said you had patients stacking up. You know, you gotta think outside the 4 00:00:14,620 --> 00:00:15,880 box. Find a solution. 5 00:00:16,920 --> 00:00:21,360 I'm worried about you. You can't fix this. Just leave it alone. 6 00:00:22,520 --> 00:00:24,880 I'm resigning as executive director. 7 00:00:26,200 --> 00:00:27,200 Effective. Immediately. 8 00:00:27,580 --> 00:00:28,980 How could you take the deal? 9 00:00:29,440 --> 00:00:31,560 This isn't what it looks like. 10 00:00:32,370 --> 00:00:37,150 I was speaking with a charge nurse. She'd be willing to take this job. I 11 00:00:37,150 --> 00:00:38,150 look forward to meeting her. 12 00:01:09,700 --> 00:01:11,580 Why did you step down? 13 00:01:11,800 --> 00:01:14,840 Is this a permanent thing? Is it true Miranda demoted you? 14 00:01:15,040 --> 00:01:18,980 Listen, I know you're all eager for answers. 15 00:01:19,200 --> 00:01:24,260 Unfortunately, for legal reasons, I can't speak of the events that led me to 16 00:01:24,260 --> 00:01:28,920 resigning. But coming back to nursing was my decision. 17 00:01:29,600 --> 00:01:30,600 So... 18 00:01:31,190 --> 00:01:33,470 Let's just get to work. 19 00:01:34,790 --> 00:01:37,490 Welcome back. Welcome back. Thank you. 20 00:01:40,870 --> 00:01:43,010 Looking particularly fly today, Miss G. 21 00:01:43,270 --> 00:01:47,970 Well, thank you, Dr. Frost. So, uh, they took this photograph out of your file. 22 00:01:48,430 --> 00:01:50,990 Want to take a new pic? Yeah, this'll do. 23 00:01:51,590 --> 00:01:52,590 Thank you, Dean. 24 00:01:52,830 --> 00:01:53,830 Welcome home. 25 00:01:53,930 --> 00:01:54,930 Thanks. 26 00:01:58,230 --> 00:01:59,630 We need to have a word. 27 00:02:01,440 --> 00:02:04,640 Did you really think I wouldn't notice you on the floor? Those are scrubs 28 00:02:04,640 --> 00:02:06,060 you're wearing, Sharon, not camouflage. 29 00:02:06,460 --> 00:02:10,419 The grays would blend in better. We had a deal. You are no longer employed here. 30 00:02:10,750 --> 00:02:15,110 The exit agreement I signed stipulated that I can no longer work here in an 31 00:02:15,110 --> 00:02:16,450 administrative capacity. 32 00:02:16,790 --> 00:02:18,690 It didn't say anything about nursing. 33 00:02:18,990 --> 00:02:19,869 She's right, Miranda. 34 00:02:19,870 --> 00:02:21,310 You really need to read the fine print. 35 00:02:21,530 --> 00:02:23,750 I don't need a board vote to dismiss an RN. 36 00:02:23,970 --> 00:02:26,230 No, but you might want to consult legal first. 37 00:02:26,550 --> 00:02:29,330 Firing someone without cause might be frowned upon by the courts, especially 38 00:02:29,330 --> 00:02:33,130 someone whose gender, racial identity, and age are legally protected. 39 00:02:34,280 --> 00:02:35,700 Do you know how silly you look, Sharon? 40 00:02:35,900 --> 00:02:38,940 In scrubs and sneakers, it's beneath you. Come on, Miranda. Did you really 41 00:02:38,940 --> 00:02:42,980 think I was gonna sit home and make quilts while you undermine the mission 42 00:02:42,980 --> 00:02:43,980 of this hospital? 43 00:02:45,280 --> 00:02:48,020 Well, enjoy your little trip down memory lane. 44 00:02:48,620 --> 00:02:51,520 I will have your walking papers in hand by the end of the day. 45 00:02:54,800 --> 00:02:58,880 What seems to be the problem? 46 00:02:59,440 --> 00:03:02,160 Mr. Lam's G-tube is clogged for some unknown reason. 47 00:03:02,360 --> 00:03:05,660 Yeah, normally we would just replace it. Because it's brand new, Dr. Archer said 48 00:03:05,660 --> 00:03:06,960 it was unsafe to pull just yet. 49 00:03:07,220 --> 00:03:08,860 How are you feeling, Mr. Lam? 50 00:03:10,020 --> 00:03:11,780 He doesn't speak English. 51 00:03:12,040 --> 00:03:15,280 My Google Translate was able to identify it as Cantonese, but it froze up after 52 00:03:15,280 --> 00:03:19,820 that. Yeah, and Nancy's at lunch, and my Chinese is a little rusty, so... I 53 00:03:19,820 --> 00:03:21,940 should call in Dr. Archer. Yeah, and maybe an interpreter? 54 00:03:22,200 --> 00:03:23,200 Yeah, that'll take too long. 55 00:03:23,380 --> 00:03:26,300 We can solve this. Either of you have any quarters? 56 00:03:28,270 --> 00:03:33,290 The acid and carbonation work to break down the food that's clogging it up. 57 00:03:33,730 --> 00:03:34,730 That's working. 58 00:03:35,750 --> 00:03:39,410 Imagine the effect on an empty stomach, but I'll drink it anyway. 59 00:03:39,670 --> 00:03:40,668 Cool trick. 60 00:03:40,670 --> 00:03:41,970 That's super old school, right? 61 00:03:42,190 --> 00:03:44,310 I like to call it tried and true. 62 00:03:45,190 --> 00:03:47,290 So you're the infamous Sharon Goodwin. 63 00:03:47,630 --> 00:03:51,690 I'm Dr. Annabelle Wu, EM resident fourth year. Feel free to call me Annie, but in 64 00:03:51,690 --> 00:03:53,430 front of the patients, I'd prefer to call me doctor. 65 00:03:53,650 --> 00:03:54,990 That works for me, Dr. Wu. 66 00:03:55,650 --> 00:03:59,630 I heard you basically ran this place for 20 years, so what's with the downshift? 67 00:03:59,670 --> 00:04:00,670 Some kind of late-life crisis? 68 00:04:01,270 --> 00:04:02,270 Something like that. 69 00:04:02,990 --> 00:04:07,430 Ambo's incoming with multiple Vicks from an MVC. Seems like a big rig did a 70 00:04:07,430 --> 00:04:08,189 little damage. 71 00:04:08,190 --> 00:04:09,350 Looks like they're playing our song. 72 00:04:12,210 --> 00:04:15,270 Guy must have been thrown a good 10 feet when he was hit. Looks like his head 73 00:04:15,270 --> 00:04:17,950 took the bulk of the blow. GCS on the floor, no motor response. 74 00:04:18,709 --> 00:04:20,720 Pupils. Fixed and dilated. Mr. 75 00:04:21,100 --> 00:04:24,200 Driscoll, you can hear me. Open your eyes, please, sir. Stephanie, please, 76 00:04:24,280 --> 00:04:24,859 open your eyes to the doctor. 77 00:04:24,860 --> 00:04:26,140 I'm sorry, ma'am, are you his wife? 78 00:04:26,600 --> 00:04:28,600 I'm sorry, I just need some room, please, okay? 79 00:04:29,940 --> 00:04:33,600 Push a gram of Keppra and shove him at 3%, and then get him to scan. 80 00:04:33,880 --> 00:04:38,120 Dale Herrick, 61, complaining of left chest pain. She might have a broken rib 81 00:04:38,120 --> 00:04:38,699 or two. 82 00:04:38,700 --> 00:04:39,700 Go ahead, I got it. 83 00:04:40,040 --> 00:04:41,300 You, come with me. 84 00:04:48,590 --> 00:04:50,570 On my count, one, two, three. 85 00:04:54,030 --> 00:04:57,190 Hey, Gail, I'm Dr. Wu. I'm going to take a listen to those lungs, okay? 86 00:04:57,730 --> 00:04:58,730 Okay. 87 00:04:58,790 --> 00:05:01,750 Okay, breath sounds bilateral, but it's a few squeezes. Let's get her an 88 00:05:01,750 --> 00:05:02,750 ambuterol, Ned. 89 00:05:03,710 --> 00:05:06,730 Ms. Garrick, I'm Officer Kopp, Chicago PD, remember? 90 00:05:07,130 --> 00:05:10,490 Yeah. When we spoke in the AMBO, you said an oncoming car crossed the 91 00:05:10,490 --> 00:05:15,630 dividing line, and that's why you swerved? To avoid a head-on collision. 92 00:05:16,350 --> 00:05:20,550 And that's when you struck Mr. Driscoll? I'm sorry, I didn't see him. 93 00:05:21,210 --> 00:05:23,590 Please, please tell me he's going to be okay. 94 00:05:23,870 --> 00:05:25,530 The doctors are working with him now. 95 00:05:26,250 --> 00:05:29,130 We're going to need to get a blood draw just to check for any possible 96 00:05:29,130 --> 00:05:31,490 intoxication. Wait, was she drinking? 97 00:05:31,830 --> 00:05:32,830 Were you drinking? 98 00:05:33,030 --> 00:05:34,730 No, I wasn't drinking. 99 00:05:34,990 --> 00:05:37,870 I don't drink, at least not when I'm driving. 100 00:05:38,150 --> 00:05:41,370 I wish I could take your word, but I still got to get that blood draw. Not 101 00:05:41,370 --> 00:05:42,650 before we've completed a workup. 102 00:05:43,330 --> 00:05:44,330 Time is a factor. 103 00:05:45,020 --> 00:05:46,020 I'm good whenever. 104 00:05:46,180 --> 00:05:47,780 You see, she's giving you her consent. 105 00:05:48,100 --> 00:05:50,700 Okay, if you're not capable of controlling yourself, Ms. Driscoll, I'm 106 00:05:50,700 --> 00:05:53,380 going to have to ask you to step out of the room. My husband is in the other 107 00:05:53,380 --> 00:05:56,840 room fighting for his life because this blue hair couldn't control her vehicle, 108 00:05:56,960 --> 00:06:03,040 and I am the problem. Why don't we take Ms. Garrett to grab some x-rays so that 109 00:06:03,040 --> 00:06:04,300 Mr. and Mrs. 110 00:06:04,520 --> 00:06:06,060 Driscoll could have some privacy? 111 00:06:06,380 --> 00:06:08,560 You want to stay with your husband, right? 112 00:06:09,940 --> 00:06:10,940 Okay. 113 00:06:12,100 --> 00:06:13,820 Okay, let's get this one to imaging. 114 00:06:16,690 --> 00:06:18,870 Thanks for the assist. Not that I had a choice. 115 00:06:29,910 --> 00:06:34,290 So your CT scans show some pulmonary contusions and a couple of broken ribs. 116 00:06:34,630 --> 00:06:36,310 It's probably pretty painful, huh? 117 00:06:36,990 --> 00:06:38,030 Only when I breathe. 118 00:06:38,270 --> 00:06:40,390 Well, we'll get pain service in to place the serratus block. 119 00:06:40,650 --> 00:06:44,150 My bigger concern, however, is the pulmonary fibrosis I'm seeing. 120 00:06:44,680 --> 00:06:47,620 There's some severe scarring that we typically see in patients with chemical 121 00:06:47,620 --> 00:06:48,800 or asbestos exposure. 122 00:06:49,280 --> 00:06:51,000 Was this something you were aware of? 123 00:06:51,280 --> 00:06:52,280 Uh-huh. 124 00:06:52,900 --> 00:06:56,180 I used to roughneck in the Gulf once upon a time. 125 00:06:56,600 --> 00:07:01,140 Okay, that might explain it. Has anyone ever spoken to you about a lung 126 00:07:01,140 --> 00:07:02,140 transplant? 127 00:07:03,680 --> 00:07:08,860 I haven't had access to anything but urgent care for a while now. 128 00:07:09,200 --> 00:07:13,760 They got me puffing on an inhaler, but I can't. 129 00:07:14,160 --> 00:07:15,160 Say it helps. 130 00:07:17,020 --> 00:07:21,040 Any word on that man I hit? I'll update you as soon as I can. 131 00:07:21,320 --> 00:07:22,320 Oh. Okay. 132 00:07:23,160 --> 00:07:26,180 You were pretty quick to defuse that situation in the trauma bay. 133 00:07:26,420 --> 00:07:29,020 Well, it just required a little diplomacy. 134 00:07:29,440 --> 00:07:32,760 Moving forward, don't suggest the course of treatment without consulting me 135 00:07:32,760 --> 00:07:35,140 first. It sows confusion as to who's in charge. 136 00:07:37,680 --> 00:07:41,180 So, did I hear right that you two were in your car when the truck hit it? 137 00:07:41,520 --> 00:07:43,810 Yeah, we were just... Parked on the side of the road. 138 00:07:44,150 --> 00:07:47,950 That is bad timing. Were you parking or about to pull away? 139 00:07:48,270 --> 00:07:49,510 We were just pulling away. 140 00:07:50,030 --> 00:07:52,690 You're right. It was horrible timing. 141 00:07:54,470 --> 00:07:58,950 Okay, well, Harper, it looks like your blood pressure is a bit elevated. That's 142 00:07:58,950 --> 00:08:01,930 something that you'll need to monitor very closely over these last few weeks. 143 00:08:02,350 --> 00:08:03,350 Okay. 144 00:08:03,830 --> 00:08:06,850 Okay, why don't we grab an ultrasound, get a better look at that baby, okay? 145 00:08:07,250 --> 00:08:08,250 Blue towel, please. 146 00:08:11,630 --> 00:08:12,630 You okay, Matthew? 147 00:08:12,770 --> 00:08:14,090 Looks like you're favoring that shoulder. 148 00:08:14,350 --> 00:08:16,630 Yeah, I probably just tweaked it in the crash. 149 00:08:16,910 --> 00:08:18,610 Okay, well, we'll have to get that looked at, too. 150 00:08:21,730 --> 00:08:25,930 Harper, that is a pretty crazy rash you've got here. 151 00:08:26,290 --> 00:08:27,290 I know. 152 00:08:27,730 --> 00:08:30,070 I've heard that it's pretty common during pregnancy, though, right? 153 00:08:30,330 --> 00:08:31,330 Uh-huh. 154 00:08:31,730 --> 00:08:33,470 What did your OB say about it? 155 00:08:35,030 --> 00:08:38,190 Um, we haven't had a chance to ask yet. 156 00:08:41,330 --> 00:08:43,110 The next appointment is soon, though. 157 00:08:44,290 --> 00:08:45,290 Okay. 158 00:08:47,070 --> 00:08:51,330 Sorry, guys, but I just had it confirmed your car was towed to the impound lot. 159 00:08:51,550 --> 00:08:52,349 What? No. 160 00:08:52,350 --> 00:08:53,350 No, no, no, no. 161 00:08:53,550 --> 00:08:55,510 There are some things that we really need to get out of there. 162 00:08:55,770 --> 00:08:57,230 Yeah. Write up a list. 163 00:08:57,450 --> 00:09:01,410 I'll talk to my guy. See what we can do, okay? Thank you, Doris. Also, um, can 164 00:09:01,410 --> 00:09:04,910 you check with Dr. Ripley to see if he can maybe take a look at Matthew's 165 00:09:04,910 --> 00:09:06,790 shoulder? Yeah, no problem. Okay, thank you. 166 00:09:07,830 --> 00:09:09,970 Well, I have got some good news. 167 00:09:10,750 --> 00:09:15,690 While it looks like mom has been jostled a bit, your baby appears just fine. 168 00:09:16,190 --> 00:09:17,810 Wow, is that her there? 169 00:09:18,050 --> 00:09:20,450 Mm-hmm. See, I told you everything was gonna be okay. 170 00:09:21,350 --> 00:09:24,830 Did you not hear what the nurse just said, Matthew? The car is gone. 171 00:09:29,550 --> 00:09:33,010 Neurology's performing a clinical brain death exam now, and nuke med's on deck. 172 00:09:33,310 --> 00:09:35,310 Wow. He wasn't even 40. 173 00:09:35,610 --> 00:09:38,250 Guess it's a reminder to look both ways before you cross, I suppose. 174 00:09:38,630 --> 00:09:39,630 Hey, Dean. 175 00:09:39,840 --> 00:09:41,260 What do you think about Dr. Wu? 176 00:09:42,380 --> 00:09:45,160 I mean, she's competent, I suppose, am I asking? 177 00:09:45,480 --> 00:09:49,640 Well, it looks like our patient needs an expedited placement on the transplant 178 00:09:49,640 --> 00:09:53,660 list. Truck driver? Yeah, Gail Garrett. I don't want Dr. 179 00:09:53,940 --> 00:09:57,480 Wu to feel like I'm stepping on her toes, but I just don't want this to fall 180 00:09:57,480 --> 00:09:58,480 through the cracks. 181 00:09:58,680 --> 00:10:01,060 I've got a contact over at OTA. 182 00:10:01,280 --> 00:10:04,920 Perhaps you can reach out to him, directly emphasize the need. Yeah, 183 00:10:04,920 --> 00:10:06,500 submit a deets and I'll call over there right now. 184 00:10:07,060 --> 00:10:08,060 Thanks, Dean. Yep. 185 00:10:08,670 --> 00:10:12,190 Out of sight, out of mind. I know, but also the linens need restocking in the 186 00:10:12,190 --> 00:10:15,970 overflow room. Okay, I'm on it. We'll do it, Miss Goodwin. We were headed there 187 00:10:15,970 --> 00:10:20,230 anyway. Thanks, ladies, but I think I'm capable of changing some bedding. 188 00:10:23,210 --> 00:10:26,510 Oh, buddy, that must really hurt, huh? 189 00:10:27,690 --> 00:10:30,590 Alex's teacher was concerned when he showed up to school like that. Our nurse 190 00:10:30,590 --> 00:10:32,070 figured better safe than sorry. 191 00:10:32,310 --> 00:10:34,050 No, that's attention-worthy for sure. 192 00:10:34,310 --> 00:10:35,310 Yeah, really. 193 00:10:35,530 --> 00:10:39,070 Alex, can you tell me how this happened? I was making oatmeal for breakfast. 194 00:10:39,570 --> 00:10:42,010 Let me guess. Was it apple cinnamon? 195 00:10:42,330 --> 00:10:44,510 No. Maple brown sugar. 196 00:10:45,410 --> 00:10:47,390 That was my second guess. 197 00:10:48,670 --> 00:10:52,750 So what? You just put the water into the microwave and then... I guess it 198 00:10:52,750 --> 00:10:54,490 spilled. It didn't hurt. 199 00:10:55,150 --> 00:10:56,690 Really. I swear. 200 00:10:57,330 --> 00:10:59,230 Well, that is because you are so brave. 201 00:11:00,830 --> 00:11:03,150 How did your parents react when they saw this? 202 00:11:04,819 --> 00:11:08,340 Alex lives with his grandmother, Joanne. We already called her, so she's on her 203 00:11:08,340 --> 00:11:09,340 way. 204 00:11:09,360 --> 00:11:10,360 Okay. 205 00:11:10,460 --> 00:11:12,620 Well, Alex, we're gonna get you bandaged up, okay? 206 00:11:13,380 --> 00:11:18,020 Some silvadine, four-by-fours, and a tub of soapy water, Trini. Thank you. 207 00:11:18,420 --> 00:11:21,920 I just want to check how far up this splash got on your arm, all right, Alex? 208 00:11:22,440 --> 00:11:23,720 Would you mind undoing your shirt? 209 00:11:23,980 --> 00:11:24,980 I'm gonna help you. 210 00:11:34,050 --> 00:11:35,610 Alex, can you tell me what happened here? 211 00:11:36,610 --> 00:11:37,610 Sorry. 212 00:11:37,830 --> 00:11:39,350 I came as soon as I could. 213 00:11:40,110 --> 00:11:41,110 Oh, my God. 214 00:11:44,910 --> 00:11:45,910 Poor thing. 215 00:11:46,950 --> 00:11:47,950 Oh, baby. 216 00:11:51,070 --> 00:11:55,290 Of course, but in the meantime, is there a particular flavor of yogurt you 217 00:11:55,290 --> 00:11:57,410 prefer? Anything but strawberry, okay? 218 00:11:57,710 --> 00:11:58,710 Okay. 219 00:12:05,450 --> 00:12:06,930 Are you sure you thought this through? 220 00:12:07,450 --> 00:12:08,450 How do you mean? 221 00:12:08,810 --> 00:12:12,770 I mean, are you sure you're ready to change catheters and run yogurts all 222 00:12:12,770 --> 00:12:16,670 day? You sure you're ready to pay all that deference again? Deference. 223 00:12:17,030 --> 00:12:21,990 Deference. Taking orders from some clueless teenage resident keeping your 224 00:12:21,990 --> 00:12:22,609 mouth shut? 225 00:12:22,610 --> 00:12:26,650 Last I checked, you were kind of fond of having the last word. I don't know. 226 00:12:27,170 --> 00:12:30,850 Okay. What's the point you're trying to make that people can't evolve? 227 00:12:31,150 --> 00:12:34,030 People evolve all the time, but they rarely devolve unless they don't have a 228 00:12:34,030 --> 00:12:35,550 choice. Not at our age, anyway. 229 00:12:35,770 --> 00:12:36,990 And what's that supposed to mean? 230 00:12:37,190 --> 00:12:39,950 What that's supposed to mean is, are you sure Miranda didn't have a little 231 00:12:39,950 --> 00:12:41,090 something to do with this? 232 00:12:43,390 --> 00:12:48,890 You told me you didn't do the thing she accused you of. That, at least, you 233 00:12:48,890 --> 00:12:53,550 clued me in on. Daniel, it's more complicated than that. Okay, how? How's 234 00:12:53,550 --> 00:12:57,370 it more complicated? I can't get into it. You have got to be kidding me! 235 00:12:57,930 --> 00:13:01,690 Keep your voice down. No, I won't. Because I've had it up to here with you 236 00:13:01,690 --> 00:13:04,510 stonewalling me like this whole situation is none of my business. 237 00:13:04,810 --> 00:13:08,870 I have really tried to be so patient and respectful of this bizarre boundary you 238 00:13:08,870 --> 00:13:12,550 keep laying down. All right, but then today, without so much as even a cursory 239 00:13:12,550 --> 00:13:13,890 heads up, you show up in scrubs. 240 00:13:14,290 --> 00:13:19,090 What conclusion am I supposed to draw except for you lost your job protecting 241 00:13:19,090 --> 00:13:20,970 mine? Well, guess what? 242 00:13:21,530 --> 00:13:22,810 I'm not okay with that. 243 00:13:23,260 --> 00:13:27,040 All right? I did not make that deal, which makes this the very definition of 244 00:13:27,040 --> 00:13:28,040 my business. 245 00:13:28,900 --> 00:13:32,540 So when you were finally ready to tell me what the hell is going on here, look, 246 00:13:32,540 --> 00:13:33,540 I'll be all ears. 247 00:13:33,620 --> 00:13:36,940 But until then, I got better things to do. Daniel. 248 00:13:39,000 --> 00:13:40,000 Daniel. 249 00:13:44,420 --> 00:13:49,700 Dr. Wu wants to increase your flow of oxygen, so we're fitting you with this 250 00:13:49,700 --> 00:13:51,200 BiPAP mask. 251 00:13:51,800 --> 00:13:52,800 Okay? 252 00:13:53,600 --> 00:14:00,260 I'm presuming the man I hit has passed, given no one's told me anything to the 253 00:14:00,260 --> 00:14:04,460 contrary. Mr. Driscoll was pronounced brain dead, yes. 254 00:14:05,460 --> 00:14:06,760 I'm sorry, Gail. 255 00:14:13,620 --> 00:14:20,400 I'd ask you to send my condolences, but I'm afraid it might 256 00:14:20,400 --> 00:14:22,870 be... Not welcome just yet 257 00:14:22,870 --> 00:14:31,210 Can 258 00:14:31,210 --> 00:14:37,590 I help you No, 259 00:14:38,230 --> 00:14:45,150 I I'm just trying to get up to speed on the truck Crash You're I'm sorry. We 260 00:14:45,150 --> 00:14:49,270 haven't met. I am Mallory Sloan. I'm the new me right? Yeah 261 00:14:51,239 --> 00:14:52,820 Um, this is awkward. 262 00:14:53,180 --> 00:14:55,400 Spoke to your guy at ODA. Definitely helped. 263 00:14:55,640 --> 00:14:59,280 Gail's placement's been expedited. Thank you, Dean. It's wonderful news. 264 00:14:59,700 --> 00:15:00,880 I'm sorry, the ODA? 265 00:15:01,800 --> 00:15:03,380 Yeah, Organ Donors of America. 266 00:15:03,680 --> 00:15:07,200 Gail Gehrig's in need of a new pair of lungs, and she's on the transplant list. 267 00:15:07,560 --> 00:15:11,000 So this is the truck driver we're talking about? Yeah, that's right. Oh. 268 00:15:11,740 --> 00:15:12,740 Ms. Goodwin? 269 00:15:12,880 --> 00:15:16,100 So the blood draw came back negative for alcohol, as she predicted. 270 00:15:16,380 --> 00:15:17,380 Great news. 271 00:15:17,660 --> 00:15:21,300 The traffic cams pretty much confirmed her story, and Driscoll was actually 272 00:15:21,300 --> 00:15:24,380 jaywalking at the time, so chalk it up to bad voodoo. 273 00:15:25,240 --> 00:15:27,880 I'd still like to ask her a few questions, if it's all right with you. 274 00:15:28,820 --> 00:15:34,400 Well, actually, Officer Cobb, the person you should be speaking to is right here. 275 00:15:34,540 --> 00:15:37,980 Mallory Sloan, she's the new executive director of patient and medical 276 00:15:37,980 --> 00:15:41,040 services. Oh, my apologies. 277 00:15:41,320 --> 00:15:42,179 Forced to happen. 278 00:15:42,180 --> 00:15:43,119 That's fine. 279 00:15:43,120 --> 00:15:45,140 Dr. Archer, would you like to lead the way? 280 00:15:51,170 --> 00:15:55,570 The x-ray reveals an old fracture in the clavicle with malalignment and callus 281 00:15:55,570 --> 00:15:57,730 formation. Like it was never set right. 282 00:15:58,270 --> 00:15:59,970 Yeah, never set at all. 283 00:16:00,310 --> 00:16:03,190 And of course, the kid insists he never felt it. 284 00:16:04,690 --> 00:16:08,890 But it just feels like... Maybe saying that to protect his grandma? 285 00:16:09,270 --> 00:16:10,270 Yeah. 286 00:16:10,390 --> 00:16:15,170 She claims she has no idea how Alex broke his collarbone or burned his hand, 287 00:16:15,270 --> 00:16:17,210 that he never complained about it. Huh. 288 00:16:17,510 --> 00:16:18,750 You know what happened to the parents? 289 00:16:19,310 --> 00:16:20,910 Dad's gone. No one knows where. 290 00:16:21,310 --> 00:16:23,090 Mom's behind bars on drug charges. 291 00:16:24,650 --> 00:16:29,650 You know, my first instinct was to contact DCFS to investigate, given the 292 00:16:29,650 --> 00:16:33,070 possibility that what we're seeing here might be abuse. 293 00:16:33,430 --> 00:16:34,810 But you called me instead. 294 00:16:35,550 --> 00:16:39,810 I guess with all this kid's been through, I don't want to believe the 295 00:16:39,810 --> 00:16:40,810 worst. 296 00:16:42,110 --> 00:16:46,190 Sorry. How much longer am I expected to wait here? I've got three kids that need 297 00:16:46,190 --> 00:16:49,530 feeding. Sorry, we're just waiting for someone from orthopedics to come down 298 00:16:49,530 --> 00:16:51,170 and look at Alex's collarbone. 299 00:16:51,410 --> 00:16:53,250 Okay. And who's this thing? 300 00:16:53,570 --> 00:16:55,390 Hi, Joanne. I'm Dr. Charles. 301 00:16:55,970 --> 00:16:56,970 Hello. 302 00:16:57,210 --> 00:17:02,050 Dr. Charles is an extremely qualified psychiatrist with a lot of experience in 303 00:17:02,050 --> 00:17:03,190 emergency pediatrics. 304 00:17:03,970 --> 00:17:04,970 Emergency? 305 00:17:05,990 --> 00:17:08,569 What's the emergency? He had a hand that needed bandaging. 306 00:17:08,849 --> 00:17:11,849 Ms. Bai, I hope you can understand that, you know... 307 00:17:12,200 --> 00:17:16,200 From our perspective, when a child comes in with an array of injuries like 308 00:17:16,200 --> 00:17:19,780 Alex's, it's standard procedure for somebody like me to come down and say 309 00:17:19,780 --> 00:17:23,220 hello, check out the family dynamic, make sure everybody's healthy and safe. 310 00:17:23,680 --> 00:17:25,180 Am I being suspected of abuse? 311 00:17:25,480 --> 00:17:29,040 We are just trying to figure out why Alex has been such a magnet for 312 00:17:29,040 --> 00:17:31,340 injuries. He's a six-year-old boy, that's why. 313 00:17:31,620 --> 00:17:34,640 You two better bring an army if you intend to separate me from my 314 00:17:34,640 --> 00:17:37,140 grandchildren. You know what? How about we, um... 315 00:17:37,590 --> 00:17:41,790 Go someplace quiet to wait for the orthopedist. You know, maybe give the 316 00:17:41,790 --> 00:17:42,790 kids a snack. 317 00:17:43,110 --> 00:17:44,330 There's even a play area. 318 00:17:45,930 --> 00:17:49,910 I'd say all in all, you guys got very lucky, given how your vehicle was 319 00:17:49,910 --> 00:17:55,210 struck. You're both ready for discharge, but... What's this? 320 00:17:55,530 --> 00:17:56,850 Some kind of intervention? 321 00:17:57,990 --> 00:18:01,910 We know that you're unhoused, and we just need to make sure that you have a 322 00:18:01,910 --> 00:18:02,970 safe place to sleep tonight. 323 00:18:05,100 --> 00:18:06,660 I knew I shouldn't have said anything. 324 00:18:06,960 --> 00:18:09,320 We're only asking because you're so close to delivery. 325 00:18:09,520 --> 00:18:11,200 I don't want you to feel like we're judging you. 326 00:18:11,400 --> 00:18:12,400 But aren't you? 327 00:18:13,460 --> 00:18:16,860 You can't possibly imagine how hard it is to find a place to rent. 328 00:18:17,180 --> 00:18:20,760 Do either of you have any friends that you might be able to stay with? Any 329 00:18:20,760 --> 00:18:22,620 family that you could go home to? 330 00:18:23,060 --> 00:18:24,780 Home is wherever this one is. 331 00:18:29,280 --> 00:18:31,820 We're gonna figure it out. Don't worry about us. Yeah. 332 00:18:33,260 --> 00:18:34,600 Well, uh... 333 00:18:34,860 --> 00:18:40,000 Matthew, you're showing signs of edema in your lower legs and malnutrition, and 334 00:18:40,000 --> 00:18:42,560 you both have those infected bed bug rashes. 335 00:18:42,820 --> 00:18:46,040 And most importantly, Harper, you're possibly developing preeclampsia. 336 00:18:46,440 --> 00:18:48,560 These next few weeks are very critical. 337 00:18:48,820 --> 00:18:51,260 You need as much bed rest and observation as possible. 338 00:18:51,500 --> 00:18:52,760 What do you expect us to do? 339 00:18:53,140 --> 00:18:57,020 Aren't you kicking us out now? I do know of a women's shelter that's not too far 340 00:18:57,020 --> 00:18:57,929 from here. 341 00:18:57,930 --> 00:18:59,770 A woman's shelter? What about Matthew? 342 00:18:59,990 --> 00:19:04,010 Matthew can come visit you, but he would need to find a different place to sleep 343 00:19:04,010 --> 00:19:04,889 and bathe. 344 00:19:04,890 --> 00:19:08,370 No. No, I'm not going there alone. I don't feel safe in the shelters. 345 00:19:08,750 --> 00:19:11,370 The shelter is safe and clean. I can promise you that. 346 00:19:11,650 --> 00:19:14,310 It'll only be temporary, just until you can deliver safely. 347 00:19:15,330 --> 00:19:18,730 Maybe we should consider it, Harper. 348 00:19:18,930 --> 00:19:19,930 No. 349 00:19:20,810 --> 00:19:24,530 We can't be separated right now, Matthew. I need you too much. 350 00:19:25,130 --> 00:19:26,470 You get that, right? 351 00:19:27,050 --> 00:19:28,050 Of course, babe. 352 00:19:28,270 --> 00:19:29,850 And I'm not letting you out of my sight. 353 00:19:30,350 --> 00:19:31,350 Okay? 354 00:19:32,370 --> 00:19:33,930 Excuse me. A little help in here. 355 00:19:38,230 --> 00:19:39,950 Ah, she's decompensating. 356 00:19:40,230 --> 00:19:41,270 How you holding up, Gail? 357 00:19:41,830 --> 00:19:44,050 It's got to 88 and dropping. We need to intubate. 358 00:19:44,830 --> 00:19:47,230 Get the airway kit and run you 50 of etomidate and 100 of sex. 359 00:19:47,510 --> 00:19:50,530 If we do that, there's no guarantee we'll ever be able to wean her off. Hip, 360 00:19:50,530 --> 00:19:51,930 please. I don't want to have to ask twice. 361 00:19:52,210 --> 00:19:56,090 She'll lose her spot on the transplant list if we intubate Dean. Okay, we're 362 00:19:56,090 --> 00:19:57,950 down to 79. We've got to make a call now. 363 00:20:02,010 --> 00:20:05,090 Well, let's just bag her for the time being. Put her on ECMO instead. 364 00:20:05,290 --> 00:20:08,710 DV, just call in a perfusionist and we'll do the cannulation and the hybrid 365 00:20:08,710 --> 00:20:09,629 OR. 366 00:20:09,630 --> 00:20:12,610 You don't think ECMO's overkill would be risking a whole host of complications? 367 00:20:12,610 --> 00:20:14,750 Hey, I'll do the procedure myself unless you've got an injection. 368 00:20:15,990 --> 00:20:16,990 No, we're good. 369 00:20:17,610 --> 00:20:18,890 I guess ECMO it is. 370 00:20:24,570 --> 00:20:26,570 Hey, um, hey, where's Harper? 371 00:20:27,190 --> 00:20:28,049 What do you mean? 372 00:20:28,050 --> 00:20:31,270 I was up in radiology getting a scan, and when I got back, she was gone. 373 00:20:31,750 --> 00:20:33,030 I can't find her anywhere. 374 00:20:33,230 --> 00:20:34,770 Did you send her away to get more tests? No. 375 00:20:35,850 --> 00:20:38,410 Okay, this isn't good. Um, we really need to find her. 376 00:20:39,050 --> 00:20:41,670 Okay, Matthew, I'm sure she's okay. She's probably just using the restroom 377 00:20:41,670 --> 00:20:43,690 or something. No, okay, you don't understand. 378 00:20:44,010 --> 00:20:46,650 She can't be alone out there, okay? She really needs looking after. 379 00:20:47,550 --> 00:20:51,890 Okay. Um, hey, Doris, so let's get the word out. We got a near-term pregnant 380 00:20:51,890 --> 00:20:53,190 woman missing and in distress. 381 00:20:53,550 --> 00:20:56,130 Yeah. Hey, it's okay. We're gonna find her. Please. 382 00:20:57,950 --> 00:21:00,770 It's not every day you find a nurse so fluent in respiratory intervention. 383 00:21:01,030 --> 00:21:04,490 Well, I've seen so many over the years. I got a pretty good handle on the pros 384 00:21:04,490 --> 00:21:05,269 and cons. 385 00:21:05,270 --> 00:21:07,290 Oh, well, it's obvious Dr. Archer thinks so. 386 00:21:07,720 --> 00:21:10,620 It's hard to get a word in edgewise when your attending only has one ear open. 387 00:21:10,780 --> 00:21:13,960 Well, perhaps you'd benefit by keeping both ears open as well. 388 00:21:14,400 --> 00:21:17,000 I guess we made the right call, putting Gail on ECMO. 389 00:21:17,340 --> 00:21:20,740 You found a new pair of lungs for her? Jeff Driscoll's, yeah. 390 00:21:22,180 --> 00:21:23,480 The man that she ran over? 391 00:21:23,680 --> 00:21:24,659 That's right. 392 00:21:24,660 --> 00:21:27,060 How did she get priority? She just got put on the list. 393 00:21:27,340 --> 00:21:31,770 Oh. Lungs don't travel well, I guess they prioritized geolocation, given that 394 00:21:31,770 --> 00:21:32,529 they matched. 395 00:21:32,530 --> 00:21:36,690 But now is the time for somebody to break the good news, and I feel at this 396 00:21:36,690 --> 00:21:38,190 point that should be you. Oh, no, no. 397 00:21:38,770 --> 00:21:43,450 You and Dr. Wu should do that. I've got some restocking to do anyway. 398 00:21:53,030 --> 00:21:54,250 Don't get too comfortable. 399 00:21:59,180 --> 00:22:02,340 I am needed back in the ED, so I'll just text her to be scheduled. 400 00:22:02,700 --> 00:22:03,700 Okay? Thanks. 401 00:22:09,980 --> 00:22:12,180 Hey. Hey, hey. You alright? 402 00:22:14,320 --> 00:22:15,320 I'm Dr. Frost. 403 00:22:15,880 --> 00:22:17,280 Friends call me Jonathan. 404 00:22:18,420 --> 00:22:21,520 Would you mind if I took a look at your wristband just so I know who I'm talking 405 00:22:21,520 --> 00:22:22,520 to? 406 00:22:23,180 --> 00:22:24,180 Yeah? Okay. 407 00:22:24,620 --> 00:22:25,820 You're okay. It's alright. 408 00:22:27,690 --> 00:22:28,690 It's okay. 409 00:22:29,210 --> 00:22:30,210 You're okay. 410 00:22:31,670 --> 00:22:32,670 Harper. 411 00:22:33,670 --> 00:22:34,670 Well, listen. 412 00:22:34,710 --> 00:22:39,430 Harper, sometimes when I'm struggling to catch my breath, I like to just slow 413 00:22:39,430 --> 00:22:40,430 things down a little bit. 414 00:22:42,150 --> 00:22:45,570 Get rid of that tightness that you're probably feeling right now in your 415 00:22:45,570 --> 00:22:46,570 chest. Am I right? 416 00:22:47,050 --> 00:22:50,390 Okay. I find it's helpful to use the diaphragm. 417 00:22:50,730 --> 00:22:52,010 Breathe into your belly. 418 00:22:53,130 --> 00:22:57,710 I've obviously not done this while pregnant, but... I think theory still 419 00:22:57,710 --> 00:22:58,710 holds. 420 00:22:58,890 --> 00:23:00,070 Would you like to try it with me? 421 00:23:01,350 --> 00:23:03,390 Yeah? All right. Take my hand. 422 00:23:04,310 --> 00:23:05,970 You're okay. You don't have to say anything, all right? 423 00:23:06,870 --> 00:23:10,210 We're going to inhale through the nose for four long beats, all right? 424 00:23:12,090 --> 00:23:17,650 One, two, three, four. Great. Now hold it. Two seconds. One, two. 425 00:23:18,750 --> 00:23:19,750 Now release. 426 00:23:21,010 --> 00:23:22,030 Slow, controlled. 427 00:23:22,330 --> 00:23:23,330 Okay, even longer. 428 00:23:24,040 --> 00:23:26,440 Doing so great. I'm just gonna do it one more time, all right? 429 00:23:29,200 --> 00:23:33,860 Some days like today, I just... I just want my life back. 430 00:23:34,320 --> 00:23:35,320 Alex? 431 00:23:35,500 --> 00:23:37,280 Sounds like a bit of a handful all by himself. 432 00:23:38,140 --> 00:23:39,140 Oh, no. 433 00:23:40,060 --> 00:23:42,460 Alex is an angel. 434 00:23:43,260 --> 00:23:45,100 I wish his sisters were more like him. 435 00:23:45,360 --> 00:23:48,280 He basically just takes care of himself. 436 00:23:49,000 --> 00:23:52,180 He dresses himself, he cleans up after himself, he's... 437 00:23:52,970 --> 00:23:59,470 Makes his own breakfast How could I not have noticed 438 00:23:59,470 --> 00:24:04,730 that he burned his arm so bad Or that he broke his collarbone. 439 00:24:05,370 --> 00:24:10,790 I mean that must have been so painful But that's Alex. 440 00:24:11,010 --> 00:24:13,050 I mean he never complains. 441 00:24:13,410 --> 00:24:18,970 He's so brave He wants so badly to be the man of the house, huh? 442 00:24:21,030 --> 00:24:24,110 When you say he never complains, I mean, how do you mean? 443 00:24:25,870 --> 00:24:26,870 I don't know. 444 00:24:27,570 --> 00:24:32,210 I mean... When he was a baby, even when his mom would take him to get shots, I 445 00:24:32,210 --> 00:24:33,890 mean, he never cried. 446 00:24:34,590 --> 00:24:35,850 Not a peep. Got it. 447 00:24:36,550 --> 00:24:37,790 So also physically brave. 448 00:24:38,010 --> 00:24:39,270 Yes, absolutely. 449 00:24:43,290 --> 00:24:46,310 Is something wrong, Dr. Charles? No, not at all. 450 00:24:47,310 --> 00:24:52,750 But, um... You know, with your permission... I'd like to run a test on 451 00:24:52,750 --> 00:24:53,750 Alex. 452 00:24:54,130 --> 00:24:57,530 For most people, submerging your hand like this pretty quickly brings on 453 00:24:57,530 --> 00:25:01,910 intense pain. You know, as the severe cold constricts our blood vessels and 454 00:25:01,910 --> 00:25:05,970 triggers these dense nerve endings we have under our skin called nociceptors. 455 00:25:06,170 --> 00:25:08,730 Yeah, I'm done with that. 456 00:25:08,950 --> 00:25:09,950 You like that? 457 00:25:10,110 --> 00:25:13,510 You really can't feel anything, Alex? 458 00:25:13,790 --> 00:25:15,550 No. I don't understand. 459 00:25:15,790 --> 00:25:17,050 What are you trying to prove? 460 00:25:17,640 --> 00:25:22,560 We think Alex has a condition known as CIP, congenital insensitivity to pain. 461 00:25:22,740 --> 00:25:26,540 It's a rare disorder that has prevented his pain receptors from developing 462 00:25:26,540 --> 00:25:30,160 correctly. Pain, as much as we'd love to banish it from our lives, it actually 463 00:25:30,160 --> 00:25:35,620 serves as this crucial biological alarm system. Like telling us to pull our hand 464 00:25:35,620 --> 00:25:38,840 out of a pot of boiling water. Or letting you know that you've broken a 465 00:25:38,840 --> 00:25:39,840 bone. 466 00:25:40,080 --> 00:25:44,540 I mean, we have to confirm this via genetic sequencing, but... 467 00:25:44,860 --> 00:25:48,720 I don't know, man. You know, we caught it pretty early, so I'm optimistic that 468 00:25:48,720 --> 00:25:50,700 Alec's gonna live a normal, healthy life. 469 00:25:51,020 --> 00:25:52,660 So, what happens now? 470 00:25:53,220 --> 00:25:57,520 Well, for starters, you might want to pull your hand out of there before you 471 00:25:57,520 --> 00:25:58,700 get frostbite, bud. 472 00:25:59,560 --> 00:26:01,780 Yeah, we don't need to do that anymore. 473 00:26:02,200 --> 00:26:03,200 Good job, baby. 474 00:26:03,760 --> 00:26:04,760 You good? 475 00:26:05,160 --> 00:26:06,240 Yep. All right. 476 00:26:07,260 --> 00:26:10,060 She has a hard time sometimes moving through the world. 477 00:26:11,040 --> 00:26:13,800 She's a little bit anxious and OCD, I think. 478 00:26:14,520 --> 00:26:20,320 confrontational she's like also super superstitious she hangs this uh saint 479 00:26:20,320 --> 00:26:23,460 joseph medallion wherever we find ourselves for protection you know 480 00:26:23,460 --> 00:26:28,340 familiar yeah we had it hanging from a rearview mirror a lot of good that did 481 00:26:28,340 --> 00:26:34,640 well you didn't walk away in one piece you have a point anyways thank you for 482 00:26:34,640 --> 00:26:39,080 everything and uh don't worry about us we'll figure something out 483 00:26:44,590 --> 00:26:47,430 I am terrified of what might happen to that poor girl on the streets. 484 00:26:47,690 --> 00:26:48,690 Yeah. 485 00:26:49,070 --> 00:26:51,790 Hopefully she delivers before the weather turns too bad. 486 00:26:52,250 --> 00:26:56,810 Okay, don't tell Dean, but I am half considering exaggerating the risk of her 487 00:26:56,810 --> 00:26:58,450 preeclampsia to get her admitted. 488 00:27:00,130 --> 00:27:02,150 But at least she would get the care that she needs. 489 00:27:03,530 --> 00:27:05,270 Still only solves half the problem. 490 00:27:06,890 --> 00:27:11,090 Well, any chance that Ortho might authorize an overnight for a separated 491 00:27:11,090 --> 00:27:12,090 shoulder? 492 00:27:12,510 --> 00:27:14,270 What are we, running a... 493 00:27:14,670 --> 00:27:15,670 Hotel now? 494 00:27:16,970 --> 00:27:21,430 Believe me, Miss Goodwin, I would never try and game the system. This is just 495 00:27:21,430 --> 00:27:22,710 purely frustration talking. 496 00:27:23,690 --> 00:27:28,110 We've got these kids, and they just lost whatever home they had in that car 497 00:27:28,110 --> 00:27:31,070 crash. It's like they can't catch a break. 498 00:27:31,730 --> 00:27:34,190 Pull up their charts. I might have a solution. 499 00:27:35,350 --> 00:27:37,710 Do you want to thank the doctors for taking such good care of you today, 500 00:27:37,790 --> 00:27:38,790 Alex? 501 00:27:39,630 --> 00:27:40,630 Thank you. 502 00:27:40,670 --> 00:27:41,910 You're very welcome, buddy. 503 00:27:42,330 --> 00:27:43,510 Thank you, guys. Come here, bubba. 504 00:27:44,560 --> 00:27:47,800 Oh, let's go. We've been here forever. Excuse me, Ms. Bly? Yeah. 505 00:27:48,240 --> 00:27:51,180 Hi, I'm Madeline Gaston with the Department of Children and Family 506 00:27:51,180 --> 00:27:52,860 Services. Can I talk to you for a minute? 507 00:27:53,060 --> 00:27:55,920 I've got my hands full right now. That's okay. You can leave the kids with Ms. 508 00:27:56,040 --> 00:27:57,040 Quinn here. 509 00:27:58,040 --> 00:27:59,040 Madeline, what's going on? 510 00:28:02,520 --> 00:28:05,940 Sorry. Did Alex's school contact you? Because this is all been straightened 511 00:28:05,940 --> 00:28:08,680 out. I'm sorry, but I regret to inform you that due to the nature of Alex's 512 00:28:08,680 --> 00:28:13,240 injuries, DCFS will be removing him from custody until a formal investigation can 513 00:28:13,240 --> 00:28:14,079 be conducted. 514 00:28:14,080 --> 00:28:17,260 Madeline, what are you doing right now? There's no abuse. The kid's got CIP. 515 00:28:17,600 --> 00:28:19,120 Everything's been straightened out. Hey, hey, hey. 516 00:28:19,380 --> 00:28:23,160 I'm sorry, Dan. There's new protocols in place I am just trying to follow. What 517 00:28:23,160 --> 00:28:26,060 protocols are you talking about? Madeline, what are you doing? 518 00:28:26,700 --> 00:28:27,700 Ms. Sloan. 519 00:28:34,000 --> 00:28:35,360 I don't understand. 520 00:28:35,680 --> 00:28:39,200 I get why you want to keep an eye on Harper, but why am I being admitted? 521 00:28:39,440 --> 00:28:42,620 Well, technically, you're both being boarded, and it's because of those 522 00:28:42,620 --> 00:28:44,200 insect bites you guys suffered. 523 00:28:44,400 --> 00:28:47,960 I don't know if you've seen on the news, but there's been a couple cases of 524 00:28:47,960 --> 00:28:53,060 typhus identified recently in the Great Lakes region, spread via flea bites, 525 00:28:53,260 --> 00:28:56,820 actually. Now, it's unlikely that you have typhus, but it can't be ruled out 526 00:28:56,820 --> 00:29:00,220 completely without two negative blood tests seven days apart. 527 00:29:01,120 --> 00:29:05,040 So as a precaution to the public at large... We're going to need to hold you 528 00:29:05,040 --> 00:29:07,140 both here until we can safely rule it out. 529 00:29:08,000 --> 00:29:09,360 But how long would that take? 530 00:29:10,960 --> 00:29:15,580 Depends on how busy the lab is. Yeah. Could take a few days. Well, maybe even 531 00:29:15,580 --> 00:29:18,420 a few weeks. They've been running behind lately. 532 00:29:19,080 --> 00:29:20,660 It's the only way to know for sure. 533 00:29:21,500 --> 00:29:23,520 I'm sorry for any inconvenience. 534 00:29:23,740 --> 00:29:25,340 No, no, no, no. We totally get it. 535 00:29:25,580 --> 00:29:28,560 I guess we'll just have to grit our teeth and grind it out. 536 00:29:29,610 --> 00:29:36,590 Hey guys PD brought this in what they could salvage from your car. 537 00:29:36,770 --> 00:29:39,830 Thanks doors My 538 00:29:39,830 --> 00:29:45,150 medallion 539 00:29:45,150 --> 00:29:52,070 Is it okay if I hang this up here absolutely 540 00:30:04,430 --> 00:30:07,070 I was afraid of what things might look like if you were gone for good. 541 00:30:07,910 --> 00:30:09,650 I guess we don't need to worry anymore. 542 00:30:19,510 --> 00:30:21,810 I'm just not understanding the problem. 543 00:30:22,210 --> 00:30:26,210 Tell DCFS to stay in town. And once they open a file, they have their own 544 00:30:26,210 --> 00:30:29,570 internal process to follow. How'd a file get opened in the first place? 545 00:30:30,030 --> 00:30:33,090 DCFS isn't supposed to get involved unless we notify them. 546 00:30:33,420 --> 00:30:35,160 And neither of us did. Did you? 547 00:30:35,380 --> 00:30:36,420 No. Well, then who did? 548 00:30:37,220 --> 00:30:38,340 The system did. 549 00:30:38,780 --> 00:30:39,780 What system? 550 00:30:39,940 --> 00:30:42,820 Well, staying in compliance with reporting guidelines has been a 551 00:30:42,820 --> 00:30:45,700 challenge, as I'm sure you're both aware, so now we have an algorithm to 552 00:30:45,700 --> 00:30:46,669 address that. 553 00:30:46,670 --> 00:30:50,430 An algorithm? How is an algorithm supposed to address that? By taking the 554 00:30:50,430 --> 00:30:54,610 decision out of our hands by removing as much subjectivity as possible from the 555 00:30:54,610 --> 00:30:58,530 process. And Dr. Charles, do I need to remind you about the tens of millions of 556 00:30:58,530 --> 00:31:01,430 dollars this hospital pays per year in malpractice insurance? 557 00:31:01,890 --> 00:31:04,390 Kate, well, you better get ready to pay a whole lot more because that lady's 558 00:31:04,390 --> 00:31:05,229 coming for you. 559 00:31:05,230 --> 00:31:09,130 Ms. Sloan, only human beings can investigate these questions because 560 00:31:09,130 --> 00:31:13,170 subjectivity is so critical to the entire process. It's why Dr. 561 00:31:13,410 --> 00:31:14,349 Frost and I... 562 00:31:14,350 --> 00:31:18,670 Two human beings declined to notify DCFS this morning until we could be 563 00:31:18,670 --> 00:31:20,710 absolutely certain that there wasn't another explanation. 564 00:31:20,990 --> 00:31:22,430 And what do you know? There was! 565 00:31:22,870 --> 00:31:25,070 Well, what do you mean? The kid has CIP. 566 00:31:25,390 --> 00:31:27,330 That's why he had so many unreported injuries. 567 00:31:27,730 --> 00:31:31,990 I understand your frustration, but I still think having DCFS manage this is 568 00:31:31,990 --> 00:31:33,310 the most prudent path. Prudent how? 569 00:31:33,510 --> 00:31:34,510 If you're right. 570 00:31:34,680 --> 00:31:38,160 and nothing worrisome is going on in that household, then Alex and his 571 00:31:38,160 --> 00:31:40,600 siblings will be returned to his grandmother's custody in ten days. 572 00:31:40,880 --> 00:31:44,640 Miss Sloan, you rip this child away from his grandmother like this, he'll have 573 00:31:44,640 --> 00:31:47,620 emotional scars that could last him a lifetime. Dr. Frost, I think you're 574 00:31:47,620 --> 00:31:51,300 somewhat underestimating the resiliency of a six-year-old. All due respect, I 575 00:31:51,300 --> 00:31:55,020 think Dr. Frost and I might know a tiny bit more about the resiliency of a six 576 00:31:55,020 --> 00:31:56,620 -year-old than you do. It's just a hunch. 577 00:31:56,880 --> 00:31:59,140 Well, like I said, it is out of our hands. 578 00:31:59,460 --> 00:32:02,500 I am sorry. Out of your hands? I'm sorry. Do you want to try to do the 579 00:32:02,500 --> 00:32:03,219 right thing? 580 00:32:03,220 --> 00:32:04,220 Miss Sloan! 581 00:32:10,960 --> 00:32:13,840 Miss Goodwin, they're ready for Gail. 582 00:32:17,520 --> 00:32:21,400 So how long before I'll be able to drive my truck again? 583 00:32:21,640 --> 00:32:25,480 Your recovery will be about two to three weeks between the hospital and rehab. 584 00:32:25,920 --> 00:32:29,300 Soon after that, you'll hopefully be able to do a lot more than just drive. 585 00:32:30,120 --> 00:32:33,580 I had to stop swimming in the ocean because I couldn't catch my breath. 586 00:32:33,800 --> 00:32:35,340 Will I be able to do that again? 587 00:32:36,020 --> 00:32:37,640 I can't see any reason why not. 588 00:32:40,220 --> 00:32:44,460 No, that's what I'm saying. We're just one floor down. So it would expedite 589 00:32:44,460 --> 00:32:47,420 things if you would just come straight down after Mr. Driscoll's procurement. 590 00:32:47,440 --> 00:32:50,400 Wait a minute. My husband's lungs are going to the truck driver? 591 00:32:51,980 --> 00:32:54,920 There must be some kind of mistake, right? I mean, this can't be allowable, 592 00:32:54,960 --> 00:32:55,960 can it? 593 00:32:56,020 --> 00:32:57,600 She's the one who killed my husband! 594 00:32:57,900 --> 00:33:00,200 We all appreciate the gravity of your loss. 595 00:33:00,400 --> 00:33:03,440 The organ donation process can feel arbitrary. 596 00:33:03,960 --> 00:33:09,190 But trust me, the system is designed... Trust you? Who the hell are you? Why is 597 00:33:09,190 --> 00:33:11,530 this nurse all up in my face? Charity, little help? 598 00:33:12,030 --> 00:33:13,030 He's gone. 599 00:33:13,210 --> 00:33:17,450 My husband's gone, and now you're gonna benefit from it. Does that seem fair to 600 00:33:17,450 --> 00:33:20,670 you? No one's giving my husband a second chance! 601 00:33:22,610 --> 00:33:24,310 Gail, I'm so sorry. 602 00:33:24,830 --> 00:33:27,990 This was supposed to be anonymous and discreet. 603 00:33:28,190 --> 00:33:33,490 The donor's family is not supposed to know any details about who's receiving 604 00:33:33,490 --> 00:33:34,490 the organs. 605 00:33:37,070 --> 00:33:38,070 She's right. 606 00:33:40,240 --> 00:33:41,400 I can't do this. 607 00:33:43,780 --> 00:33:45,620 I can't accept those lungs. 608 00:33:54,140 --> 00:33:57,360 I know you went above and beyond to give me those lungs. 609 00:33:59,640 --> 00:34:01,360 Sorry I let you down, Mal. 610 00:34:01,600 --> 00:34:04,120 I'm not the one you owe an apology to. 611 00:34:06,500 --> 00:34:08,920 You are awfully hard on yourself. 612 00:34:11,630 --> 00:34:14,290 Accident today? It was just that. 613 00:34:14,650 --> 00:34:18,090 An accident. It wasn't your fault. 614 00:34:18,770 --> 00:34:23,330 You have earned a second chance at life. 615 00:34:24,650 --> 00:34:26,690 You need to forgive yourself. 616 00:34:32,449 --> 00:34:38,150 Come sunrise this morning, I could feel myself drowsing off. 617 00:34:39,790 --> 00:34:45,889 But the only way I get that load to Gatlinburg by the end of the day is to 618 00:34:45,889 --> 00:34:48,710 put Chicago Rush Hour in my rear view. 619 00:34:49,909 --> 00:34:54,929 So I leaned on a cup of joe, maybe two. 620 00:34:58,810 --> 00:35:01,190 That was just a pill substitute. 621 00:35:02,890 --> 00:35:07,590 The truth is I should have pulled off the road and caught some Zs. 622 00:35:09,360 --> 00:35:15,100 So, no, you can't really say it wasn't my fault. 623 00:35:18,800 --> 00:35:25,260 For a second, I thought I just might be able to turn back time. 624 00:35:30,780 --> 00:35:32,200 Who was I fooling? 625 00:35:39,690 --> 00:35:43,430 There is a real chance that those lungs won't find a new home before they become 626 00:35:43,430 --> 00:35:47,610 unviable, for starters. And now we have a patient on ECMO indefinitely with no 627 00:35:47,610 --> 00:35:52,310 roadmap of how or when to come off. Yeah. Is this about me overruling you 628 00:35:52,310 --> 00:35:55,970 earlier? Hey, you are my boss. I can accept you wanting to go in a different 629 00:35:55,970 --> 00:35:59,610 direction. But when it is a nurse who is pointing the way... A nurse? 630 00:36:00,030 --> 00:36:01,190 Sharon, yes. 631 00:36:02,590 --> 00:36:06,330 All I'm saying is I'm not sure you make that call if she's not chirping in your 632 00:36:06,330 --> 00:36:09,840 ear. Okay, that... Nurse has earned enough respect to say whatever the hell 633 00:36:09,840 --> 00:36:10,860 she wants to understand. 634 00:36:11,140 --> 00:36:14,540 In fact, she's earned enough respect so that going forward, you will cease 635 00:36:14,540 --> 00:36:16,180 referring to her as Sharon. 636 00:36:16,400 --> 00:36:18,660 It's Ms. Goodwin to you. No, no. 637 00:36:19,540 --> 00:36:20,660 Dean, she's right. 638 00:36:22,740 --> 00:36:26,660 I was out of line. No, you are not. Can we have a moment, please? 639 00:36:28,460 --> 00:36:34,600 Look, Dean, all day, you, Doris, pretty much... 640 00:36:35,420 --> 00:36:42,260 Everyone, except Dr. Wu, has been treating me with kid gloves and an 641 00:36:42,260 --> 00:36:45,040 overabundance of regard. 642 00:36:45,660 --> 00:36:50,760 And I will admit, I allowed it because I felt it was my due. 643 00:36:51,020 --> 00:36:52,020 Because it is your due. 644 00:36:52,120 --> 00:36:53,120 It might have been. 645 00:36:53,340 --> 00:36:59,660 But the only way this is going to work moving forward, me wearing scrubs as if 646 00:36:59,660 --> 00:37:02,300 I'm treated like any other nurse, I... 647 00:37:02,510 --> 00:37:05,950 I can't be Ms. Goodwin on that floor. 648 00:37:06,610 --> 00:37:08,570 I can only be Sharon. 649 00:37:19,490 --> 00:37:20,650 So you were right. 650 00:37:21,590 --> 00:37:24,430 I can't stop Sharon working here as a nurse. 651 00:37:24,670 --> 00:37:29,850 But I can control who runs the ED moving forward, and that's no longer going to 652 00:37:29,850 --> 00:37:30,850 be you. 653 00:37:31,450 --> 00:37:33,850 You mean I get to spend more time with my baby girl? 654 00:37:34,510 --> 00:37:35,510 How dare you? 655 00:37:37,010 --> 00:37:38,590 You're making the wrong enemies, Dean. 656 00:37:41,350 --> 00:37:42,630 It's a temp gig anyway. 657 00:37:43,330 --> 00:37:45,470 Besides, Lennox will be back in a few weeks, right? 658 00:37:45,710 --> 00:37:46,710 Last I heard. 659 00:37:51,810 --> 00:37:52,810 You were right. 660 00:37:53,230 --> 00:37:55,210 He did not last a month. 661 00:37:56,790 --> 00:38:00,030 Keep it. You'll need it to pay for that tablet you assassinated. 662 00:38:06,890 --> 00:38:11,930 If there's anything I could have done to save my job, to protect this hospital, 663 00:38:12,170 --> 00:38:14,130 don't you think I would have done it? 664 00:38:14,470 --> 00:38:16,030 Well, I wouldn't really know, would I? 665 00:38:16,290 --> 00:38:19,910 You know, yours wasn't the only job I was trying to save. 666 00:38:21,650 --> 00:38:27,010 I made a mistake, Daniel. I left my computer open in my office and Doris 667 00:38:27,010 --> 00:38:28,010 came across it. 668 00:38:28,330 --> 00:38:32,850 She was the one that leaked the information about Dr. Rabari, but she 669 00:38:32,850 --> 00:38:34,910 was only trying to protect you. 670 00:38:35,500 --> 00:38:38,980 And you only fell on your sword to protect her? 671 00:38:39,200 --> 00:38:44,620 Well, like I said, I had no choice. I have a code, and it doesn't allow me to 672 00:38:44,620 --> 00:38:48,440 turn my back on someone who did what I should have done. 673 00:38:51,400 --> 00:38:56,000 Huh. Well, at this point, there's really only one thing left for me to say. 674 00:38:57,360 --> 00:38:58,400 And what's that? 675 00:39:00,000 --> 00:39:01,000 Thank you. 676 00:39:01,720 --> 00:39:03,160 From the bottom of my heart. 677 00:39:04,780 --> 00:39:06,640 How'd I get so lucky to have a pal like you? 678 00:39:07,280 --> 00:39:08,280 And Doris? 679 00:39:09,200 --> 00:39:10,200 How? 680 00:39:12,000 --> 00:39:18,000 Will you allow me to show my appreciation with a wee dram of middling 681 00:39:18,000 --> 00:39:19,920 whiskey, Nurse Goodwin? 682 00:39:21,860 --> 00:39:25,880 You know, I really stepped in it today, Daniel. 683 00:39:26,740 --> 00:39:30,720 Turns out I don't like not having the last word. 684 00:39:31,000 --> 00:39:31,899 Yeah. 685 00:39:31,900 --> 00:39:32,900 Me neither. 686 00:39:33,150 --> 00:39:34,590 It's amazing we're still friends. 687 00:39:35,410 --> 00:39:38,550 I'm telling you, I don't know how much longer I'm going to last with, you know, 688 00:39:38,550 --> 00:39:40,890 Miranda's little stormtrooper stomping around. 689 00:39:42,010 --> 00:39:43,970 Oh, Mallory? Yeah, you saw it happen. 690 00:39:44,870 --> 00:39:45,870 It's not tenable. 691 00:39:46,590 --> 00:39:49,290 I'm going to have to scram before she turns me into a freaking algorithm. 692 00:39:50,410 --> 00:39:53,790 I'm assuming that Miranda's not playing on the level, right? 693 00:39:54,030 --> 00:39:55,770 Oh, no, no. I know she's not. 694 00:39:56,190 --> 00:39:58,530 The problem is proving it. 695 00:40:01,670 --> 00:40:02,790 Why don't you like a little help?