1 00:00:00,590 --> 00:00:04,290 We had a deal. You are no longer employed here. Did you really think I 2 00:00:04,290 --> 00:00:07,730 was going to sit home while you undermine the mission of this hospital? 3 00:00:08,410 --> 00:00:13,670 I can't stop Sharon working here. But I can control who runs the ED, and that's 4 00:00:13,670 --> 00:00:14,770 no longer going to be you. 5 00:00:15,130 --> 00:00:19,550 I'm assuming that Miranda's not playing on the level. I know she's not. 6 00:00:19,910 --> 00:00:22,330 The problem is proving it. 7 00:00:22,750 --> 00:00:23,930 Why would you like a little help? 8 00:00:39,660 --> 00:00:41,460 Why did you want to meet here? 9 00:00:41,980 --> 00:00:45,800 Because I can't risk anyone seeing us together, okay? If Miranda finds out, 10 00:00:45,820 --> 00:00:46,860 I'm feeding you information. 11 00:00:47,260 --> 00:00:50,760 You'll also be looking for a new line of work. Yes, and unlike you, I don't look 12 00:00:50,760 --> 00:00:52,680 good in scrubs. You have information. 13 00:00:53,140 --> 00:00:54,140 Okay, here's the headline. 14 00:00:54,380 --> 00:00:58,540 Miranda had a three-hour closed-door meeting last Wednesday, okay? It didn't 15 00:00:58,540 --> 00:01:01,400 appear on her official calendar. There's no minutes, no memos. 16 00:01:01,600 --> 00:01:02,900 Well, who was she meeting with? 17 00:01:04,099 --> 00:01:06,520 No one seems to know. Well, someone has to know. 18 00:01:07,500 --> 00:01:11,740 Ask Felicia and security for a list of all the temporary badges that were 19 00:01:11,740 --> 00:01:12,920 issued on Wednesday. 20 00:01:13,160 --> 00:01:16,240 Look, if I start pulling security records, Miranda's going to find out. 21 00:01:16,340 --> 00:01:21,000 Peter, you're the hospital's counsel. Come up with something attorney-like. 22 00:01:23,240 --> 00:01:27,420 You know, the things I do for you... And do me one more favor. The next time, 23 00:01:27,440 --> 00:01:31,460 just walk up to me like a normal person. You almost gave me a heart attack. 24 00:01:32,260 --> 00:01:34,180 Okay, then Mario and Luigi. 25 00:01:35,040 --> 00:01:38,300 Absolutely not. Come on, I bet you look great in a pair of overalls. I do, but 26 00:01:38,300 --> 00:01:39,300 it's still a hard no. 27 00:01:40,380 --> 00:01:43,640 Dr. Frost, just the person I've been trying to reach. 28 00:01:43,920 --> 00:01:48,020 Dr. Hart, hey, I'm sorry. I have been meaning to email you back. 29 00:01:48,240 --> 00:01:52,020 Well, attending positions are opening very soon, so we need to discuss your 30 00:01:52,020 --> 00:01:54,720 CV, your references, your interview strategy. 31 00:01:55,540 --> 00:01:59,240 Absolutely. I'm all over it. Just make sure we get something on the calendar. I 32 00:01:59,240 --> 00:02:00,740 want to make sure you're set up for success. 33 00:02:01,630 --> 00:02:04,230 Great. All right. Good morning, Dr. Ripley. Morning. 34 00:02:07,510 --> 00:02:08,830 You really should meet with Hart. 35 00:02:09,110 --> 00:02:10,990 Job market's supposed to be brutal this year. 36 00:02:11,250 --> 00:02:12,470 I am not too worried about it. 37 00:02:12,910 --> 00:02:16,970 Kind of things typically have a way of working out for you. Are you forgetting 38 00:02:16,970 --> 00:02:19,390 the fact that Naomi kind of just dumped me? 39 00:02:19,750 --> 00:02:20,790 I thought that was mutual. 40 00:02:22,010 --> 00:02:24,750 Look, if you want to stay at Gaffney, you're going to have competitions. Only 41 00:02:24,750 --> 00:02:28,230 so many attending spots to go around. What should I be doing that I am not 42 00:02:28,230 --> 00:02:29,230 already doing? 43 00:02:29,410 --> 00:02:30,410 Taking initiative. 44 00:02:30,880 --> 00:02:32,320 People aren't just going to hand you opportunities. 45 00:02:33,800 --> 00:02:37,580 Great advice. See, I do better with specifics, so maybe give me something 46 00:02:37,580 --> 00:02:39,240 actionable, Dr. Yoda. 47 00:02:40,020 --> 00:02:43,020 Take on a leadership role. You're in your final year of residency. 48 00:02:43,340 --> 00:02:44,740 Put yourself up for chief resident. 49 00:02:45,000 --> 00:02:46,680 Won't those applications do like today? 50 00:02:47,700 --> 00:02:48,700 Then you still have time. 51 00:02:51,320 --> 00:02:58,000 So there's family ideas, but I wanted to focus on her, and I have a few saved, I 52 00:02:58,000 --> 00:03:03,680 think. Oh, baby Elton John, no contest. No, I say go classic, like Peapod or 53 00:03:03,680 --> 00:03:07,860 Pumpkin or something cute. Okay, I'll bite. What are we... Baby Mabel's first 54 00:03:07,860 --> 00:03:08,860 Halloween costume. 55 00:03:09,910 --> 00:03:14,130 Mabel, our four-month-old, will have absolutely no memory of what she wore. 56 00:03:14,330 --> 00:03:15,610 It's not for her, Dr. 57 00:03:15,850 --> 00:03:20,610 Archer. It's so you have a picture of your adorable baby as a tiny pop icon. 58 00:03:21,030 --> 00:03:22,570 It's the whole point of having kids. 59 00:03:22,890 --> 00:03:26,430 Side benefit down the line, Black Men material for the teen years. It's 60 00:03:26,430 --> 00:03:29,090 perfect. Excuse me, if I could have your attention. 61 00:03:30,630 --> 00:03:31,990 Everybody listen up. 62 00:03:32,570 --> 00:03:33,570 Thank you. 63 00:03:34,540 --> 00:03:36,980 Good morning. I just have a brief staffing announcement. 64 00:03:37,260 --> 00:03:41,380 First, I would like to thank Dr. Archer for his excellent work as interim ED 65 00:03:41,380 --> 00:03:44,580 chief. He'll remain in the position throughout the end of the week, after 66 00:03:44,580 --> 00:03:47,720 which he will be stepping away to focus on several key departmental initiatives. 67 00:03:48,040 --> 00:03:49,040 Can't wait to hear what those are. 68 00:03:49,080 --> 00:03:51,840 So if everyone could please thank Dr. Archer for his service. 69 00:03:53,420 --> 00:03:54,420 Go deep! 70 00:03:56,680 --> 00:03:59,620 And please, if you could welcome Dr. 71 00:03:59,860 --> 00:04:03,480 Ripley, who will assume the position of interim ED chief, effective Monday. 72 00:04:04,450 --> 00:04:05,450 I will. 73 00:04:05,850 --> 00:04:07,330 Congratulations, Dr. Ripley. 74 00:04:07,570 --> 00:04:09,590 My office will be in touch regarding the transition. 75 00:04:10,110 --> 00:04:11,110 Thank you. 76 00:04:11,230 --> 00:04:15,150 Well, guess sometimes you do get handed opportunities, son. 77 00:04:15,870 --> 00:04:19,130 Got the big dog ED chief, chief resident. We're going to be running this 78 00:04:19,130 --> 00:04:20,810 place. Oh. God help us. 79 00:04:21,310 --> 00:04:23,990 Dr. Archer, we need you in treatment three. 80 00:04:24,290 --> 00:04:29,430 Got Cynthia Peterson, 55, advanced multiple sclerosis, presenting with 81 00:04:29,430 --> 00:04:33,190 fever, tachycardia, and intermittent vomiting. Her daughter, Lucy, called 82 00:04:33,190 --> 00:04:34,590 911. Lucy Abrams. 83 00:04:34,910 --> 00:04:35,829 Sam's daughter? 84 00:04:35,830 --> 00:04:38,110 Yep. And is that his ex-wife? 85 00:04:38,550 --> 00:04:39,550 Mm-hmm. 86 00:04:39,800 --> 00:04:41,080 Are they on good terms? 87 00:04:41,360 --> 00:04:45,660 Well, let's put it this way. She tried bribing the ambulance driver to take her 88 00:04:45,660 --> 00:04:46,960 to any other hospital. 89 00:04:51,219 --> 00:04:55,360 We're going to trauma one. Jessa Huntington, 36-year-old female, 37 weeks 90 00:04:55,360 --> 00:04:58,440 pregnant, fell down a flight of stairs. I was right behind her. She missed a 91 00:04:58,440 --> 00:05:01,120 step. I couldn't catch her. Fuck her head against a metal railing before 92 00:05:01,120 --> 00:05:03,760 landing on her abdomen. Had a witness seizure after the fall and was 93 00:05:03,760 --> 00:05:05,700 postictal. GCS 13, heart rate's 115. 94 00:05:06,080 --> 00:05:10,620 Initial pressure 80 over 40, improved to 95 over 53 with fluids. Last fetal heart 95 00:05:10,620 --> 00:05:11,579 rate was 113. 96 00:05:11,580 --> 00:05:14,280 We're going to need a chest x-ray, a fast exam, and a head CT. 97 00:05:14,580 --> 00:05:16,380 Let's prepare to travel. Hold on, hold on, hold on. 98 00:05:17,200 --> 00:05:19,640 Baby's heart rate's in the 80s. We need to deliver now. Change of plans, 99 00:05:19,740 --> 00:05:20,740 everybody. We're heading upstairs. 100 00:05:20,880 --> 00:05:21,399 Let's go. 101 00:05:21,400 --> 00:05:22,620 Is your baby going to be okay? 102 00:05:22,860 --> 00:05:25,280 Casey, call the OR, emergency safe section. 103 00:05:25,540 --> 00:05:28,000 Tell them to activate the neonatal team. On it. 104 00:05:28,520 --> 00:05:30,880 I want to go with my wife. I'm sorry. She's too unstable. 105 00:05:31,120 --> 00:05:32,120 You can't be in the OR. 106 00:05:32,480 --> 00:05:35,080 Doris, let's stay with you. We'll update you as soon as we can. 107 00:05:35,860 --> 00:05:38,300 Please. You have to stay. 108 00:05:45,750 --> 00:05:48,710 Your liver transplant is scheduled for next week. 109 00:05:49,090 --> 00:05:51,030 Thursday. My brother's the donor. 110 00:05:51,290 --> 00:05:54,230 Which is why we came straight in when she woke up with abdominal pain. We 111 00:05:54,230 --> 00:05:55,630 didn't want to take any chances. 112 00:05:55,950 --> 00:05:59,310 Tumor is right where the bile duct leaves my liver. They can't resect it, 113 00:05:59,390 --> 00:06:01,470 so transplant's my only option. 114 00:06:01,750 --> 00:06:04,550 And really, it's a Hail Mary. Hey, I thought we were staying positive. 115 00:06:05,010 --> 00:06:09,470 We are. It's just, this cancer has a very high recurrence rate, so it's... 116 00:06:09,470 --> 00:06:12,110 But we're staying positive. 117 00:06:12,570 --> 00:06:14,790 I'm not gonna let a little stomachache keep us from Italy. 118 00:06:15,310 --> 00:06:16,670 Oh, you have a trip planned. 119 00:06:16,970 --> 00:06:19,730 Yeah, a cruise for our 10-year anniversary. 120 00:06:20,610 --> 00:06:21,870 As soon as I'm cleared to travel. 121 00:06:22,410 --> 00:06:24,410 Let's get a full set of labs. And a CT. 122 00:06:24,730 --> 00:06:27,330 Nora, let the doctor. We both know that's where this is headed. 123 00:06:27,750 --> 00:06:31,570 We can skip ahead to the CT. Given the upcoming transplant, your surgeon's 124 00:06:31,570 --> 00:06:32,529 going to want imaging. 125 00:06:32,530 --> 00:06:33,530 With contrast. 126 00:06:33,570 --> 00:06:35,390 If your kidney function allows it. It does. 127 00:06:35,970 --> 00:06:36,970 Nora. 128 00:06:37,950 --> 00:06:40,630 Okay. Okay, I'll back off. You're the doctor. 129 00:06:42,039 --> 00:06:46,340 Okay, we'll loop in your oncologist at Midwest Advocate and get going on these 130 00:06:46,340 --> 00:06:48,540 labs. Thank you, Dr. Ripley. Yeah, you're welcome. 131 00:06:50,740 --> 00:06:53,000 I'll take care of notifying Nora's oncologist. 132 00:06:53,240 --> 00:06:57,440 Dr. Ripley, you're about to take over as chief. You've got enough on your plate. 133 00:06:57,540 --> 00:07:02,000 You don't need to lighten my load. Just treat me like any other nurse in the ED. 134 00:07:02,480 --> 00:07:04,840 Uh, no, it's not that. 135 00:07:05,460 --> 00:07:08,220 Nora's oncologist is, uh, Dennis Washington. 136 00:07:09,820 --> 00:07:10,820 Oh. 137 00:07:11,820 --> 00:07:13,020 I didn't see that. 138 00:07:13,420 --> 00:07:16,100 I heard he was at Midwest Advocate. 139 00:07:17,100 --> 00:07:20,360 Actually, if you don't mind making that call. 140 00:07:21,180 --> 00:07:22,180 Consider it done. 141 00:07:22,680 --> 00:07:23,680 Thank you. 142 00:07:25,420 --> 00:07:29,220 All right, buddy, just follow my finger for me, okay? Just with your eyes. 143 00:07:29,680 --> 00:07:31,840 Yeah, we got back from Miami last night. 144 00:07:32,380 --> 00:07:34,940 Caleb spent most of his time in the pool or in the ocean. 145 00:07:35,340 --> 00:07:37,040 Well, his skin's pretty red. Was he wearing sunscreen? 146 00:07:37,580 --> 00:07:38,559 Uh, yeah. 147 00:07:38,560 --> 00:07:42,100 Yeah, but, um, you know, we were chasing around his two-year-old brother a lot. 148 00:07:42,160 --> 00:07:43,440 We probably didn't reapply enough. 149 00:07:44,180 --> 00:07:47,180 And plus, Caleb refused to wear his rash guard. 150 00:07:47,600 --> 00:07:49,860 Mom said I didn't have to if I wore the floppy hat. 151 00:07:50,580 --> 00:07:52,300 You should hear him negotiate bedtimes. 152 00:07:52,520 --> 00:07:55,560 All right, well, a severe burn can blister, and combined with dehydration, 153 00:07:55,600 --> 00:07:56,600 that would explain the fainting. 154 00:07:56,800 --> 00:08:01,060 It could, but this blistering's a bit more impressive than we'd expect from a 155 00:08:01,060 --> 00:08:04,340 sunburn, so we'll get some labs going and start them on fluids. 156 00:08:04,600 --> 00:08:06,140 Oh, great. Uh, thanks. Yeah. 157 00:08:08,040 --> 00:08:11,360 The neonatal team is still responding to another code. Backup's on the way, but 158 00:08:11,360 --> 00:08:14,140 we may deliver before they get here. And we're the neonatal team until they 159 00:08:14,140 --> 00:08:15,140 arrive. 160 00:08:15,360 --> 00:08:16,360 Cutting. 161 00:08:18,820 --> 00:08:19,820 Okay, I got the head. 162 00:08:20,100 --> 00:08:21,180 Okay, more fundal pressure. 163 00:08:23,080 --> 00:08:24,080 Hi, 164 00:08:29,680 --> 00:08:30,760 baby girl. 165 00:08:31,980 --> 00:08:32,980 Hi there. 166 00:08:34,179 --> 00:08:35,179 Okay, clam. 167 00:08:36,940 --> 00:08:37,940 Here there. 168 00:08:39,039 --> 00:08:40,039 All right. 169 00:08:40,640 --> 00:08:41,640 Here we go. 170 00:08:42,799 --> 00:08:43,799 Okay. 171 00:08:44,120 --> 00:08:45,120 Here we go. 172 00:08:49,240 --> 00:08:50,980 Dr. Asher, baby's in distress. 173 00:08:51,460 --> 00:08:52,460 Okay, I'll be right there. 174 00:08:52,820 --> 00:08:55,280 Deliver the placenta, then start closing the uterus. Got it. 175 00:08:57,120 --> 00:08:59,560 Heart rate's 80. Starting positive pressure ventilation. 176 00:08:59,980 --> 00:09:02,660 Mom's pressure's 60 over 30 and falling. Call for blood. 177 00:09:02,980 --> 00:09:03,980 Mom's hemorrhaging. 178 00:09:04,480 --> 00:09:05,479 Heart rate's down to 50. 179 00:09:05,480 --> 00:09:07,760 Okay, keep ventilating. I'm starting compressions. 180 00:09:10,180 --> 00:09:11,600 Kai, check her uterine tone. 181 00:09:12,000 --> 00:09:13,000 Yeah. 182 00:09:14,440 --> 00:09:16,080 It's firm. It's not acne. 183 00:09:16,380 --> 00:09:17,380 It'll be better. 184 00:09:18,500 --> 00:09:19,500 Back. 185 00:09:24,580 --> 00:09:25,580 More or less. 186 00:09:34,000 --> 00:09:35,760 Oh, my God. Is that Dan Charles? 187 00:09:36,200 --> 00:09:37,880 How the heck are you? 188 00:09:38,160 --> 00:09:39,320 Well, better now. 189 00:09:41,700 --> 00:09:42,700 Oh. 190 00:09:43,480 --> 00:09:47,060 You know, your father and I used to double date with Dan and his wife Susan. 191 00:09:47,500 --> 00:09:48,540 How is Susan? 192 00:09:49,140 --> 00:09:50,400 Oh, no. God. 193 00:09:51,000 --> 00:09:52,000 You're divorced. 194 00:09:52,160 --> 00:09:53,160 Yeah. 195 00:09:53,380 --> 00:09:55,640 Sorry. It's okay. MS brain. 196 00:09:56,960 --> 00:09:58,800 How's the new wife, Linda? 197 00:09:59,440 --> 00:10:01,180 Lucia? You know what? 198 00:10:01,420 --> 00:10:05,420 She took off, too, quite a while ago now. I know, it's a pretty damning 199 00:10:05,420 --> 00:10:06,420 pattern, isn't it? 200 00:10:06,720 --> 00:10:10,280 At least I'm still, you know, startlingly attractive. 201 00:10:10,660 --> 00:10:12,020 Indeed you are. Well, thank you. 202 00:10:12,840 --> 00:10:14,680 You know our daughter, Lucy. Of course. 203 00:10:15,040 --> 00:10:18,840 You probably don't remember me, Lucy, but I remember your dad carrying you 204 00:10:18,840 --> 00:10:22,220 through these very holes on his shoulders when you were just a tot, 205 00:10:22,380 --> 00:10:26,880 often wearing a sparkly tutu, if memory serves, right? 206 00:10:27,280 --> 00:10:28,340 Uh, yeah. 207 00:10:28,620 --> 00:10:30,120 Yeah, I think I, um, I... 208 00:10:30,880 --> 00:10:33,840 Uh, Mom? Okay, don't get mad, but I called Dad. 209 00:10:34,840 --> 00:10:36,460 He was gonna find out you're here. 210 00:10:36,780 --> 00:10:37,699 Yeah, it's true. 211 00:10:37,700 --> 00:10:41,100 You know, VIP shows up. Word travels fast in these parts. 212 00:10:42,580 --> 00:10:43,580 Hey, Dad. 213 00:10:46,100 --> 00:10:50,000 Get it over with. I look like crap. 214 00:10:50,260 --> 00:10:51,760 You look thin, that's all. 215 00:10:52,840 --> 00:10:54,220 You look puffy and tired. 216 00:10:54,860 --> 00:10:55,860 Toddler keeping you up? 217 00:10:56,740 --> 00:10:58,040 How high was her fever? 218 00:10:58,460 --> 00:10:59,940 Uh, I just got here. 219 00:11:00,680 --> 00:11:01,679 102, Dad. 220 00:11:01,680 --> 00:11:03,020 They seen urine in blood cultures? 221 00:11:03,260 --> 00:11:06,900 No, gosh, without you here, Sam, the doctors have just been sitting around 222 00:11:06,900 --> 00:11:10,400 guessing. Uh, any drop in urine output? 223 00:11:10,700 --> 00:11:12,380 Yeah. My urine is none of your business. 224 00:11:12,720 --> 00:11:16,340 I assure you this isn't personal curiosity. No, it's just an opportunity 225 00:11:16,340 --> 00:11:19,780 to remind everyone you're the smartest person in the room. What, you above 226 00:11:19,780 --> 00:11:20,779 taking the bait? 227 00:11:20,780 --> 00:11:24,660 Ever consider maybe I'm just a better person than you? No, and I don't need 228 00:11:24,660 --> 00:11:25,279 your pity. 229 00:11:25,280 --> 00:11:27,720 Hey, Lucy, are you enjoying this as much as I am? 230 00:11:28,430 --> 00:11:29,189 Hey, Cynthia. 231 00:11:29,190 --> 00:11:30,189 Got your results? 232 00:11:30,190 --> 00:11:32,390 Oh, for you. No, no. You stay. 233 00:11:32,610 --> 00:11:33,610 I like you. 234 00:11:33,810 --> 00:11:35,430 You, I've seen enough of. 235 00:11:35,670 --> 00:11:36,670 Bye now. 236 00:11:39,990 --> 00:11:41,510 I'm afraid you've got a kidney infection. 237 00:11:41,770 --> 00:11:45,790 Long-term catheters are a common source. Who handles yours? 238 00:11:46,470 --> 00:11:47,830 Uh, I do. 239 00:11:48,050 --> 00:11:52,330 Well, we'll have to have a nurse review Foley care with you, so... I clean it 240 00:11:52,330 --> 00:11:54,550 exactly the way I was taught. I'm very thorough. 241 00:11:55,500 --> 00:11:59,040 Okay, we're going to start IV antibiotics, but because of the vomiting 242 00:11:59,040 --> 00:12:03,800 and fever, I'd like to admit you under observation until the culture 243 00:12:03,800 --> 00:12:04,900 sensitivities come back. 244 00:12:07,440 --> 00:12:08,640 I'm still hypertensive. 245 00:12:13,480 --> 00:12:14,600 More, more. 246 00:12:15,120 --> 00:12:16,120 Okay. 247 00:12:17,860 --> 00:12:21,080 Looks like the blood is welling up from behind the uterus. I need more exposure. 248 00:12:25,070 --> 00:12:28,510 There, she's got a posterior uterine rupture extending to her cervix. 249 00:12:28,710 --> 00:12:30,550 Alice, or Vicro. 250 00:12:37,310 --> 00:12:39,530 All right, get ready. 251 00:12:39,830 --> 00:12:40,830 Scissors. 252 00:12:43,070 --> 00:12:44,070 Pressure's coming up. 253 00:12:44,270 --> 00:12:46,090 20 minutes, still no cardiac activity. 254 00:12:48,010 --> 00:12:50,230 Time of death, 10.04. 255 00:12:55,340 --> 00:12:56,340 Sharon? 256 00:12:57,200 --> 00:12:58,200 Dennis. 257 00:12:58,580 --> 00:13:03,700 Hello. I had heard you stepped out as executive director, but... Sharon 258 00:13:03,700 --> 00:13:06,900 Goodwin back in nursing scrubs wasn't on your bingo card? 259 00:13:07,240 --> 00:13:08,240 Not even close. 260 00:13:08,460 --> 00:13:14,300 Well, I missed nursing. After all those years behind a desk, I missed being at 261 00:13:14,300 --> 00:13:15,300 the bedside. 262 00:13:15,500 --> 00:13:18,540 Dr. Washington, thanks for coming over so fast. 263 00:13:18,840 --> 00:13:19,539 Of course. 264 00:13:19,540 --> 00:13:21,620 You're getting an ORCT back yet? Yeah. 265 00:13:22,040 --> 00:13:23,940 Any indication of what's causing the pain? 266 00:13:24,460 --> 00:13:25,460 A gallstone. 267 00:13:25,860 --> 00:13:26,860 Well, that's a relief. 268 00:13:27,400 --> 00:13:29,220 We can address that during the transplant. 269 00:13:30,280 --> 00:13:33,640 Well, unfortunately, there's something else you need to see on the scan. 270 00:13:35,780 --> 00:13:37,420 So, transplant's off the table? 271 00:13:38,260 --> 00:13:39,260 Completely? 272 00:13:39,680 --> 00:13:40,720 I'm sorry, Nora. 273 00:13:41,340 --> 00:13:45,620 Your latest CT shows the tumor has grown past the three-centimeter cutoff. That 274 00:13:45,620 --> 00:13:47,520 puts you outside of the transplant protocol. 275 00:13:48,040 --> 00:13:50,280 The only reason you know that is because I came in today. 276 00:13:50,880 --> 00:13:52,260 I should have muscled through the pain. 277 00:13:52,680 --> 00:13:55,880 They would have discovered it during the preoperative workup. There's no version 278 00:13:55,880 --> 00:13:56,880 where this stayed hidden. 279 00:13:58,580 --> 00:13:59,600 Guess Italy's off. 280 00:14:00,140 --> 00:14:01,580 Hope the tickets are refundable. 281 00:14:01,820 --> 00:14:03,860 Hey, we don't know that. Yes, we do. 282 00:14:05,500 --> 00:14:10,020 If the transplant's no longer an option, could we biopsy the tumor? 283 00:14:10,260 --> 00:14:14,380 The doctor who diagnosed Nora said that was too risky, that the needle could 284 00:14:14,380 --> 00:14:15,400 spread cancer cells? 285 00:14:15,600 --> 00:14:19,420 She was right. A core needle biopsy could have seeded the tumor in the 286 00:14:19,420 --> 00:14:22,240 needle track, and that would have disqualified Nora from... from 287 00:14:22,240 --> 00:14:26,500 transplant now i'm disqualified anyway so but a biopsy will give us tissue for 288 00:14:26,500 --> 00:14:30,420 genetic testing and if the tumor has an actionable mutation we may be able to 289 00:14:30,420 --> 00:14:37,080 treat it with a targeted drug wait treat it how like cure it well no but we may 290 00:14:37,080 --> 00:14:41,940 be able to slow down the progression for how long it's hard to know months 291 00:14:41,940 --> 00:14:45,080 possibly a year if we find a mutation we can target 292 00:14:45,080 --> 00:14:49,880 do the biopsy 293 00:14:52,680 --> 00:14:53,680 Hey, honey. 294 00:14:54,500 --> 00:14:55,500 Hi. 295 00:14:56,440 --> 00:15:00,680 Oh, um... You're probably a little sore from the breathing, too. 296 00:15:02,940 --> 00:15:05,960 Um... You fell, Jessa. 297 00:15:06,880 --> 00:15:07,900 You hit your head. 298 00:15:09,220 --> 00:15:14,420 Um... Scans don't show any bleeding, so... You'll be okay. 299 00:15:17,420 --> 00:15:18,420 Baby? 300 00:15:20,000 --> 00:15:21,720 Jessa, we had to deliver her. 301 00:15:24,080 --> 00:15:25,080 She didn't survive. 302 00:15:25,940 --> 00:15:28,560 I am so sorry. We did everything. 303 00:15:28,860 --> 00:15:30,360 Everything that we could. 304 00:15:31,200 --> 00:15:32,880 I'm so sorry. 305 00:15:35,040 --> 00:15:36,440 You saw her. 306 00:15:54,280 --> 00:15:55,280 How did she look like? 307 00:15:59,480 --> 00:16:00,520 She was beautiful. 308 00:16:11,520 --> 00:16:12,960 Would you like to hold your daughter? 309 00:16:15,120 --> 00:16:16,320 We can bring her to you. 310 00:16:57,800 --> 00:16:59,900 Beautiful. I know. I understand. 311 00:17:00,260 --> 00:17:03,420 You know what? I will figure something out. 312 00:17:05,400 --> 00:17:06,460 Is everything okay? 313 00:17:06,900 --> 00:17:11,880 Oh, yeah. I'm just falling behind on my dissertation and my advisor is starting 314 00:17:11,880 --> 00:17:12,880 to lose patience. 315 00:17:13,079 --> 00:17:17,000 Wow. You're chasing a PhD and caring for your mom? 316 00:17:17,530 --> 00:17:22,069 you've got me tricky i can manage as long as my mom's okay i'm okay that's 317 00:17:22,069 --> 00:17:27,550 all i care about well if there's anything that i could do uh actually 318 00:17:27,550 --> 00:17:33,570 that is why i am so confused about the infection i'm meticulous with my mom's 319 00:17:33,570 --> 00:17:37,270 catheter i clean it constantly i disconnect it from his drainage tubing 320 00:17:37,270 --> 00:17:40,890 several times a day so i can clean the connection points and then i sanitize 321 00:17:40,890 --> 00:17:42,830 everything thoroughly before i put it back together 322 00:17:46,980 --> 00:17:48,460 Lucy, do you mind if I ask you something? 323 00:17:48,740 --> 00:17:49,740 Oh. 324 00:17:50,940 --> 00:17:52,080 It's just a nervous habit. 325 00:17:52,320 --> 00:17:56,340 I didn't mean to put you on the spot. No, I should get back to my mom. 326 00:18:00,600 --> 00:18:01,600 Hey, honey. 327 00:18:02,360 --> 00:18:03,360 Lucy, you okay? 328 00:18:03,560 --> 00:18:04,560 Yeah, all good. 329 00:18:08,480 --> 00:18:09,480 What's that about? 330 00:18:10,620 --> 00:18:15,520 Sam, look, I hope I'm not overstepping, but I'm worried that maybe Lucy might 331 00:18:15,520 --> 00:18:16,520 need a little more support. 332 00:18:16,910 --> 00:18:20,090 and looking after Cynthia. You know, that maybe this current setup, it's, I 333 00:18:20,090 --> 00:18:23,750 don't know, it's just not optimal for either of them. I've tried. I've offered 334 00:18:23,750 --> 00:18:26,770 to cover the cost, but Cynthia's too damn stubborn to accept my help. 335 00:18:27,530 --> 00:18:30,310 Wait, what do you mean not optimal? Are you saying that Lucy hasn't been taking 336 00:18:30,310 --> 00:18:33,830 proper care of her mother? No, quite the opposite. She's so vigilant about 337 00:18:33,830 --> 00:18:37,110 keeping the catheter clean, she's breaking the closed drainage system 338 00:18:37,110 --> 00:18:39,190 several times a day to disinfect it. 339 00:18:39,390 --> 00:18:41,810 I'm pretty sure that's where disinfection's coming from. 340 00:18:42,470 --> 00:18:45,210 I'm just curious, have you ever noticed, I don't know, other... 341 00:18:45,730 --> 00:18:49,890 behaviors like this before, you know, sort of repetitive cleaning, checking, 342 00:18:50,250 --> 00:18:52,230 needing to do things in a certain sequence. 343 00:18:52,470 --> 00:18:54,130 Lucy's always been a perfectionist. 344 00:18:54,370 --> 00:18:56,090 She sets high standards for herself. 345 00:18:56,410 --> 00:18:59,970 Okay. And look, aren't there rules in your profession about, you know, 346 00:18:59,970 --> 00:19:01,470 diagnosing people in hallways? 347 00:19:01,850 --> 00:19:03,810 Sam, I haven't diagnosed anyone. 348 00:19:04,110 --> 00:19:05,410 I'm just, I'm just concerned. 349 00:19:05,690 --> 00:19:08,110 Well, maybe with everything that happened with Anna last year, you're 350 00:19:08,110 --> 00:19:11,350 projecting, you know, seeing warning signs where there aren't any. 351 00:19:11,590 --> 00:19:14,970 Lucy has enough on her plate as it is. She's got a sick mother. She's got a PhD 352 00:19:14,970 --> 00:19:17,770 program. She doesn't need you giving her one more thing to worry about. 353 00:19:23,850 --> 00:19:25,010 Caleb's labs are encouraging. 354 00:19:25,250 --> 00:19:27,110 His electrolytes and kidney function are normal. 355 00:19:27,830 --> 00:19:28,830 All right. 356 00:19:30,210 --> 00:19:31,230 Hemoglobin's a little low. 357 00:19:31,670 --> 00:19:33,190 Yeah, mildly. It's likely nutritional. 358 00:19:33,870 --> 00:19:35,970 We'll have his pediatrician follow up. All right. 359 00:19:36,610 --> 00:19:40,170 He's just a sunburned, dehydrated little kid after this bolus. I think he's good 360 00:19:40,170 --> 00:19:41,170 to go. 361 00:19:41,200 --> 00:19:42,200 Well, all right. 362 00:19:42,960 --> 00:19:43,960 What you working on? 363 00:19:44,580 --> 00:19:46,640 Application for chief resident. 364 00:19:47,120 --> 00:19:48,120 Oh, cool. 365 00:19:48,680 --> 00:19:52,700 Yeah. Had a little run-in with our residency director this morning, and 366 00:19:52,700 --> 00:19:56,320 then Ripley kind of got into my head that I need to take more initiative. 367 00:19:56,880 --> 00:20:01,560 But I mean, chief resident's basically just all scheduling, right? 368 00:20:01,760 --> 00:20:03,440 Yeah. Yeah, that's part of it. 369 00:20:04,960 --> 00:20:06,420 Well, what else is there? 370 00:20:07,060 --> 00:20:08,980 I've heard it's a ton of admin. 371 00:20:09,940 --> 00:20:12,160 meetings and committee work and managing the call schedule. 372 00:20:12,540 --> 00:20:15,540 And then of course you're the one fielding complaints from residents and 373 00:20:15,540 --> 00:20:18,780 mediating disputes between residents and attendings. 374 00:20:19,680 --> 00:20:22,140 I've just heard it's a lot, but maybe that's your jam. 375 00:20:30,440 --> 00:20:31,440 Hey. 376 00:20:34,090 --> 00:20:37,790 Nor is biopsies complete pathologies expediting the results. 377 00:20:38,070 --> 00:20:42,650 Thank you. And if you need to go I can text you when they come in. No, I'll 378 00:20:42,650 --> 00:20:43,650 stay. All right. 379 00:20:44,730 --> 00:20:45,730 Sharon. Yeah? 380 00:20:47,410 --> 00:20:48,470 I'll keep this short. 381 00:20:49,390 --> 00:20:52,350 Because after the way I behave I wouldn't blame you for not giving me the 382 00:20:52,350 --> 00:20:53,350 time of day. 383 00:20:54,810 --> 00:20:56,010 I owe you an apology. 384 00:20:57,050 --> 00:20:59,910 I demand you let me into your life while shutting you out of mind. 385 00:21:00,940 --> 00:21:05,360 And then after you did everything you could to save my job, I blame you for 386 00:21:05,360 --> 00:21:06,360 not doing enough. 387 00:21:06,980 --> 00:21:07,980 I was wrong. 388 00:21:08,620 --> 00:21:09,620 I'm sorry. 389 00:21:11,100 --> 00:21:12,160 Thank you, Dennis. 390 00:21:13,080 --> 00:21:14,580 I appreciate that. 391 00:21:14,800 --> 00:21:19,380 I really do wish I could have done more to protect you from Miranda, but you 392 00:21:19,380 --> 00:21:24,020 were unfortunately collateral damage in her campaign against me. 393 00:21:24,220 --> 00:21:29,040 Well, leaving me, it wasn't easy, but I like it over at Midwest Africa. 394 00:21:29,740 --> 00:21:30,940 I landed on my feet. 395 00:21:31,160 --> 00:21:32,160 I'm glad. 396 00:21:32,960 --> 00:21:35,420 The part I haven't gotten over is losing you. 397 00:21:36,380 --> 00:21:39,060 Ms. Goodwin, incoming level one, trauma one. 398 00:21:41,640 --> 00:21:44,480 I'm sorry. I've got to go. 399 00:21:44,700 --> 00:21:46,620 Of course. Of course. Go. 400 00:21:48,560 --> 00:21:50,140 Feel free to take one for the road. 401 00:21:50,440 --> 00:21:51,440 Hey, Dr. 402 00:21:51,520 --> 00:21:53,880 Frost said one. If your mom knew you were having sugar. 403 00:21:55,320 --> 00:21:58,100 Caleb's not been very good about brushing his teeth lately, and they're 404 00:21:58,100 --> 00:22:00,940 getting brown, so we are trying to limit his sweets. 405 00:22:01,140 --> 00:22:02,160 I brush my teeth. 406 00:22:02,460 --> 00:22:04,860 Well, you are not doing a very good job. Come on. 407 00:22:08,080 --> 00:22:09,080 Hey, 408 00:22:09,760 --> 00:22:11,020 something wrong? 409 00:22:11,680 --> 00:22:13,720 My chest feels kind of funny. 410 00:22:14,280 --> 00:22:15,159 Funny how? 411 00:22:15,160 --> 00:22:18,180 Like there's a bird flapping its wings inside of it. 412 00:22:18,720 --> 00:22:20,500 Okay, let's lay you back down, all right? 413 00:22:26,939 --> 00:22:29,440 Yeah, he's tachycardic. Let's put him on the monitor. 414 00:22:33,140 --> 00:22:37,300 Okay, sinus tach rate's 133. That's pretty high, right? It's higher than it 415 00:22:37,300 --> 00:22:39,640 should be. He's probably still volume depleted. 416 00:22:39,880 --> 00:22:43,440 We'll put him on some fluids, repeat the labs, make sure nothing's changed, all 417 00:22:43,440 --> 00:22:44,680 right? Yeah, whatever you need to do. 418 00:22:53,880 --> 00:22:54,880 Hey. 419 00:22:56,010 --> 00:22:57,070 Heard about the baby. 420 00:23:00,050 --> 00:23:01,050 Yeah. 421 00:23:03,370 --> 00:23:09,370 So a few months after Sean was born, I lost a little boy in the OR. 422 00:23:11,270 --> 00:23:18,270 I mean, we kept the code going for almost an hour, long 423 00:23:18,270 --> 00:23:21,210 after I knew that he wasn't coming back. 424 00:23:21,990 --> 00:23:25,030 And all I kept thinking was, what if that was Sean on the table? 425 00:23:25,660 --> 00:23:29,440 Because before I was a parent, you know, I can compartmentalize everything. 426 00:23:29,780 --> 00:23:33,200 But afterwards, every kid was Sean. 427 00:23:33,800 --> 00:23:34,800 Every kid. 428 00:23:35,500 --> 00:23:36,980 Does that ever go away? 429 00:23:37,300 --> 00:23:40,100 No, it doesn't. Just get better at handling it, that's all. 430 00:23:44,560 --> 00:23:46,880 I was not very good at handling it today. 431 00:23:49,300 --> 00:23:51,260 When I told Jess that that bird... 432 00:23:52,360 --> 00:23:57,260 that her baby was gone. I couldn't hold it in. It was so unprofessional. 433 00:24:00,340 --> 00:24:04,700 She needed someone to be strong for her, and I made her pain about me. 434 00:24:04,980 --> 00:24:09,860 But there's a difference between making a patient's tragedy about yourself and 435 00:24:09,860 --> 00:24:12,800 letting them see that it's affecting you, too. 436 00:24:13,480 --> 00:24:17,540 In the worst moment of her life, maybe that's exactly what Jessa needed, 437 00:24:17,600 --> 00:24:19,320 somebody to feel the pain with her. 438 00:24:24,170 --> 00:24:26,470 Wait! Sorry, uh, what gloves are you using? 439 00:24:26,690 --> 00:24:28,990 Oh, the ones in the kit. Shouldn't you change them, though? 440 00:24:29,190 --> 00:24:30,390 Oh, that's not necessary. 441 00:24:30,670 --> 00:24:31,670 But you touched the swab. 442 00:24:31,950 --> 00:24:35,450 Lucy, that's a sterile Foley kit. Everything in that package is sterile. 443 00:24:35,630 --> 00:24:38,470 I'd be happy to change them if it would make you more comfortable. That would be 444 00:24:38,470 --> 00:24:40,390 great. Trina, you don't need to change your gloves. 445 00:24:41,250 --> 00:24:44,390 The swab was in the basin on the bed. You picked it up, you put it back, you 446 00:24:44,390 --> 00:24:47,170 touched the flush, and the flush touched the basin, so you need to start over. 447 00:24:47,230 --> 00:24:49,430 New basin, new flush, new gloves. Lucy, you're being irrational. 448 00:24:49,810 --> 00:24:51,890 Honey, you have to calm down. Can't calm down, Mom. 449 00:24:52,780 --> 00:24:56,880 What if bacteria gets into your catheter again and this time gets into your 450 00:24:56,880 --> 00:24:59,780 bloodstream and the antibiotics don't work and your fever dies? None of that's 451 00:24:59,780 --> 00:25:02,900 happening. Okay, but it could happen. And she could get septic and she could 452 00:25:02,900 --> 00:25:06,320 die. And I will have just stood here and let it happen. I can't let that happen. 453 00:25:06,360 --> 00:25:08,300 I cannot let that happen. Lucy, nothing's happening. Your mother's going 454 00:25:08,300 --> 00:25:08,999 to be fine. 455 00:25:09,000 --> 00:25:12,580 You don't know. Hey, hey, hey, you're catastrophizing. You just need to calm 456 00:25:12,580 --> 00:25:15,680 down. I can't breathe. I can't breathe. I can't breathe. 457 00:25:16,660 --> 00:25:18,220 Lucy, look at me. Lucy, Lucy. 458 00:25:18,500 --> 00:25:21,900 You're having a panic attack, okay? It feels really dangerous. It's not. 459 00:25:22,120 --> 00:25:23,120 Something's wrong. Something's wrong. 460 00:25:23,180 --> 00:25:25,120 It's not dangerous, and it's going to pass. 461 00:25:25,380 --> 00:25:28,440 It's going to pass. You know what helps? I want you to breathe with me. I can't. 462 00:25:28,580 --> 00:25:30,820 Breathe in through your nose. I can't. Look at me. Look at me. 463 00:25:31,140 --> 00:25:32,940 Okay, that's okay. Don't fight it. Don't fight it. 464 00:25:33,180 --> 00:25:34,180 Okay, look at mine. 465 00:25:34,360 --> 00:25:35,740 What color is mom's blanket? 466 00:25:36,340 --> 00:25:37,340 It's blue. 467 00:25:37,630 --> 00:25:39,810 That's right. It's blue. How about Dad? What's Dad wearing? 468 00:25:40,070 --> 00:25:41,470 His gray coat. 469 00:25:41,710 --> 00:25:43,910 That's right. His gray coat. So, look, Dad's right there, and he's okay. 470 00:25:44,450 --> 00:25:45,990 And Mom's okay. They're okay. 471 00:25:46,910 --> 00:25:48,170 And Noah, you're okay, too. 472 00:25:48,550 --> 00:25:50,070 You're okay. You're safe, Lucy, all right? 473 00:25:50,650 --> 00:25:52,530 Okay. Come on. Come sit down here with me. 474 00:25:52,930 --> 00:25:53,930 There you go. 475 00:25:54,070 --> 00:25:55,070 You're doing great. 476 00:26:06,730 --> 00:26:07,930 I need to keep her safe. 477 00:26:14,990 --> 00:26:15,990 I'm sorry. 478 00:26:16,270 --> 00:26:17,270 What? 479 00:26:17,810 --> 00:26:19,050 You can't be serious. 480 00:26:19,690 --> 00:26:21,230 Pathology triple-checked the results. 481 00:26:22,410 --> 00:26:27,770 Your biopsy shows you don't have cholangiocarcinoma. You have primary 482 00:26:27,770 --> 00:26:29,290 biliary lymphoma. 483 00:26:29,530 --> 00:26:31,990 It grows much faster than most bowel duct cancers. 484 00:26:32,670 --> 00:26:36,230 Which explains how the mask grew so dramatically in such a short time. 485 00:26:37,210 --> 00:26:39,710 So, I still have cancer? 486 00:26:39,990 --> 00:26:43,470 Yes, but, um, this changes everything. 487 00:26:43,930 --> 00:26:48,130 It's an aggressive lymphoma, but also is highly responsive to chemotherapy. 488 00:26:48,590 --> 00:26:51,310 In the majority of cases, it can be cured. 489 00:26:56,250 --> 00:26:57,250 Well, 490 00:26:58,130 --> 00:26:59,130 Dr. Pitzer... 491 00:26:59,310 --> 00:27:02,850 The doctor who diagnosed me, was she wrong not to do a biopsy? Because if 492 00:27:02,850 --> 00:27:06,230 we'd known sooner, maybe we could have... No, she wasn't. The location and 493 00:27:06,230 --> 00:27:09,270 the appearance of the tumor were classic for bile duct cancer. 494 00:27:09,890 --> 00:27:13,730 Lymphoma presenting this way is extraordinarily rare. There was no 495 00:27:13,730 --> 00:27:17,950 reason to suspect it. Before you came in, I was planning my funeral. 496 00:27:20,250 --> 00:27:23,090 Making mental notes of everything Eden would need to know. 497 00:27:24,230 --> 00:27:25,710 Bank accounts, passwords. 498 00:27:27,690 --> 00:27:29,410 Instead, we get to play the future. 499 00:27:31,390 --> 00:27:33,310 All I wanted was for you to be okay. 500 00:27:38,730 --> 00:27:44,150 How's Lucy? 501 00:27:44,650 --> 00:27:47,910 Dan gave her a small dose of Ativan. She's resting in my office. 502 00:27:48,230 --> 00:27:52,430 He thinks this is likely obsessive-compulsive disorder. 503 00:27:53,159 --> 00:27:57,340 And given how severe the symptoms have become, he's recommending a 30-day 504 00:27:57,340 --> 00:27:59,440 residential treatment program at Northwestern. 505 00:27:59,880 --> 00:28:01,040 Well, how do we get her in? 506 00:28:01,740 --> 00:28:04,900 Getting her in isn't the issue. Dan just makes a phone call. It's getting her to 507 00:28:04,900 --> 00:28:06,920 go. Lucy won't leave you alone. 508 00:28:08,400 --> 00:28:11,380 Well, I'll move to a nursing facility. 509 00:28:11,680 --> 00:28:14,400 I mean, whatever it takes. Lucy's not gonna agree to that. She's not gonna put 510 00:28:14,400 --> 00:28:15,400 you in a home. 511 00:28:16,180 --> 00:28:20,060 No, you need to do something very hard, Cynthia. 512 00:28:21,320 --> 00:28:22,640 You need to let me help you. 513 00:28:26,080 --> 00:28:27,080 All right. 514 00:28:28,040 --> 00:28:29,040 What was that? 515 00:28:31,280 --> 00:28:33,200 I said okay, Sam. 516 00:28:33,520 --> 00:28:37,800 Well, 30 years and you finally do what I ask. Are they sure you're not dying? 517 00:28:38,240 --> 00:28:40,300 Was the first good idea you've had in 30 years? 518 00:28:40,560 --> 00:28:42,040 No, remember the divorce was my idea. 519 00:28:42,340 --> 00:28:45,720 I assume your child bride is more agreeable. 520 00:28:46,420 --> 00:28:47,840 She's nearly 40, you know. 521 00:28:48,680 --> 00:28:49,680 How near? 522 00:28:50,000 --> 00:28:51,000 35. 523 00:28:53,300 --> 00:28:55,180 Hey, check out Caleb's hemoglobin. 524 00:28:56,640 --> 00:28:58,260 It's dropped a point since he got here. 525 00:28:58,900 --> 00:29:00,800 Well, that could be dilution from the fluids. 526 00:29:01,320 --> 00:29:03,880 Well, except his bilirubin and LDH are climbing. 527 00:29:04,260 --> 00:29:05,260 He's hemolyzing it. 528 00:29:05,580 --> 00:29:09,220 I knew those blisters were something worse than just a bad sunburn. Okay, so 529 00:29:09,220 --> 00:29:12,140 what could cause hemolysis and make a skin react that violently to sunlight? 530 00:29:14,980 --> 00:29:16,020 His brown teeth. 531 00:29:17,140 --> 00:29:21,330 Porphyrins. If excess porphyrins are building up in his teeth, his skin, his 532 00:29:21,330 --> 00:29:22,990 blood cells... Exactly. It explains everything. 533 00:29:23,210 --> 00:29:26,150 The discoloration, the anemia, the blistering. Okay, we're going to need a 534 00:29:26,150 --> 00:29:29,210 quantitative urine and plasma porphyrins to start narrowing down the list of 535 00:29:29,210 --> 00:29:30,210 possible blood disorders. 536 00:29:30,490 --> 00:29:32,990 No, it's okay. I have a faster way to see if we're on the right track. 537 00:29:33,210 --> 00:29:35,090 Just got to visit my friend in dermatology. 538 00:29:36,050 --> 00:29:37,390 You're sleeping with someone in derm? 539 00:29:37,810 --> 00:29:39,430 I don't think you can ask me that. 540 00:29:39,630 --> 00:29:40,970 It was a statement, not a question. 541 00:29:41,510 --> 00:29:43,670 Well, your statement is inaccurate. 542 00:29:45,310 --> 00:29:47,110 She's just giving me a few chemical pills. 543 00:29:47,800 --> 00:29:48,800 Uh-huh. 544 00:29:52,360 --> 00:29:53,920 Was quite a day. 545 00:29:56,160 --> 00:29:59,400 Oh, well, those don't look like happy tears. 546 00:30:00,240 --> 00:30:04,860 I'm so incredibly happy that Nora's going to be okay. I am. I just, I don't 547 00:30:04,860 --> 00:30:05,860 know what's going to happen now. 548 00:30:06,060 --> 00:30:07,060 Can I sit? 549 00:30:07,700 --> 00:30:10,900 Yeah. So, what do you mean? 550 00:30:12,880 --> 00:30:15,840 Before Nora got sick, I was thinking of leaving her. 551 00:30:16,460 --> 00:30:20,900 More than thinking about it, I started looking at apartments. I consulted a 552 00:30:20,900 --> 00:30:21,719 divorce attorney. 553 00:30:21,720 --> 00:30:22,760 Does Nora know that? 554 00:30:24,460 --> 00:30:27,340 She knew I was unhappy. I don't think she understood how unhappy. 555 00:30:29,080 --> 00:30:32,740 You got a small taste of it today. The questions, the second guessing. 556 00:30:33,820 --> 00:30:35,380 Telling everyone how to do their jobs. 557 00:30:36,660 --> 00:30:38,100 Nora has to be in control. 558 00:30:38,800 --> 00:30:41,060 Before she got sick, it extended to everything. 559 00:30:41,620 --> 00:30:43,460 Our home, our marriage. 560 00:30:43,680 --> 00:30:45,720 But things changed after she got sick. 561 00:30:46,410 --> 00:30:49,710 For the first time in years, Nora was faced with something that she couldn't 562 00:30:49,710 --> 00:30:50,710 control. 563 00:30:51,310 --> 00:30:52,350 It made her vulnerable. 564 00:30:53,290 --> 00:30:55,770 She had to lean on me. Let me take care of her. 565 00:30:57,850 --> 00:30:59,630 We started to feel like partners again. 566 00:31:02,490 --> 00:31:06,330 I want her to be better. That's all that I want. But what if getting better means 567 00:31:06,330 --> 00:31:08,250 things go back to the way they were? 568 00:31:08,790 --> 00:31:11,790 You know, what Nora's gone through changes people. 569 00:31:12,850 --> 00:31:15,730 Sometimes for a period, but sometimes forever. 570 00:31:16,350 --> 00:31:21,030 You don't know yet who either of you are going to be on the other side of this. 571 00:31:21,770 --> 00:31:27,690 But... you don't have to decide today. 572 00:31:34,930 --> 00:31:39,210 How's she been? 573 00:31:41,250 --> 00:31:42,730 Asleep, mostly. 574 00:31:43,210 --> 00:31:44,210 That's not unusual. 575 00:31:44,800 --> 00:31:49,280 Between the fall, the anesthesia, all the pain medication, your body's been 576 00:31:49,280 --> 00:31:50,280 through a lot. 577 00:31:52,240 --> 00:31:53,240 Hey, Jessa. 578 00:31:54,900 --> 00:31:59,060 Where am I? 579 00:31:59,300 --> 00:32:00,540 We moved you to the ICU. 580 00:32:03,660 --> 00:32:05,120 I'm sorry, who are you? 581 00:32:05,620 --> 00:32:08,080 Um, honey, this is Dr. Asher. 582 00:32:09,040 --> 00:32:12,000 Remember? She's the doctor who operated. 583 00:32:12,780 --> 00:32:13,780 What happened? 584 00:32:14,830 --> 00:32:16,050 Oh, did I have the baby? 585 00:32:19,810 --> 00:32:21,790 Please tell me where my baby is. 586 00:32:24,210 --> 00:32:28,630 Neurology will speak with you, but they believe that Jessa has interior-grade 587 00:32:28,630 --> 00:32:32,930 amnesia, which is affecting her ability to create new memories post-accident. 588 00:32:33,250 --> 00:32:34,750 Well, will she get better? 589 00:32:34,970 --> 00:32:36,750 Yes. This is temporary. 590 00:32:37,210 --> 00:32:40,070 Her memory should improve over the next few days. 591 00:32:41,250 --> 00:32:45,100 And... Until then... She'll continue to forget what we've told her. 592 00:32:48,600 --> 00:32:51,600 Jessa suffered two miscarriages before this pregnancy. 593 00:32:53,460 --> 00:32:55,520 She wanted this baby so badly. 594 00:32:56,680 --> 00:32:57,720 We both did. 595 00:32:59,980 --> 00:33:01,240 She's asking for you. 596 00:33:02,900 --> 00:33:04,060 I'll help you tell her. 597 00:33:06,360 --> 00:33:07,360 What's that? 598 00:33:07,820 --> 00:33:09,800 This is called a woods lamp. 599 00:33:10,919 --> 00:33:13,840 Dermatologists use it to look for things on your skin you can't see in normal 600 00:33:13,840 --> 00:33:14,840 light. 601 00:33:15,920 --> 00:33:16,919 You ready? 602 00:33:16,920 --> 00:33:18,360 Give me a big smile, Caleb. 603 00:33:19,800 --> 00:33:21,360 Why do his teeth look like that? 604 00:33:22,600 --> 00:33:25,500 Erythrodontia. It happens when porphyrins accumulate in the teeth. 605 00:33:25,780 --> 00:33:26,780 I want to see. 606 00:33:27,800 --> 00:33:31,500 His blisters, the anemia, his teeth, they all point to a rare metabolic 607 00:33:31,500 --> 00:33:32,780 disorder called Gunter disease. 608 00:33:33,240 --> 00:33:34,240 What do you think? 609 00:33:34,700 --> 00:33:35,700 Whoa. 610 00:33:35,980 --> 00:33:37,180 This is so cool. 611 00:33:37,680 --> 00:33:38,680 How do you treat it? 612 00:33:39,180 --> 00:33:43,000 With rigorous protection from sunlight and blood transfusions to control the 613 00:33:43,000 --> 00:33:47,260 anemia Is this something he's gonna have for the rest of his life? Well, it's 614 00:33:47,260 --> 00:33:51,300 genetic. So yes, but now that we know what we're dealing with we can prevent 615 00:33:51,300 --> 00:33:55,740 him from further damage We'll have hematology down shortly to talk you guys 616 00:33:55,740 --> 00:33:56,459 through everything. 617 00:33:56,460 --> 00:33:58,500 Thank you so much. Of course. 618 00:33:58,820 --> 00:34:05,480 I'm seeing a big hit Woods lamp 619 00:34:06,640 --> 00:34:08,780 You don't see these every day in the ED. 620 00:34:09,100 --> 00:34:13,139 I just used it to diagnose a kid with congenital erythropoietic porphyria. 621 00:34:13,560 --> 00:34:15,840 Well, it was quite the catch. 622 00:34:16,120 --> 00:34:19,940 Well, his worsening anemia didn't fit dehydration, and then we noticed the 623 00:34:19,940 --> 00:34:23,600 staining on his teeth, and I remembered that erythrodontia fluoresces red under 624 00:34:23,600 --> 00:34:24,598 a wood slant. 625 00:34:24,600 --> 00:34:26,440 Yeah, I expect so little from residents. 626 00:34:26,699 --> 00:34:27,699 Nicely done. 627 00:34:28,900 --> 00:34:31,239 Uh, what was that? 628 00:34:32,480 --> 00:34:35,560 You kind of just made it sound like it was all your idea. 629 00:34:35,980 --> 00:34:40,719 Oh, um, God, I'm sorry. I didn't even think about that. I don't really pay 630 00:34:40,719 --> 00:34:43,780 attention to who gets the credit, but, um, my bad. 631 00:34:44,360 --> 00:34:47,199 No, it's, uh, forget it. You sure? 632 00:34:47,460 --> 00:34:48,399 I'm sorry. 633 00:34:48,400 --> 00:34:49,960 Again. Totally. It's fine. 634 00:34:50,480 --> 00:34:51,480 Okay. 635 00:34:54,320 --> 00:34:57,840 So, Northwestern can take Lucy whenever she's ready? 636 00:34:58,080 --> 00:35:01,700 Thanks. She's agreed to go once we have full-time care in place for her mother. 637 00:35:01,900 --> 00:35:04,670 Great. I contacted an agency, and they're going to send some caregivers 638 00:35:04,670 --> 00:35:06,150 over to me with Cynthia on Monday. 639 00:35:06,650 --> 00:35:10,190 I'm sure she'll reject the first six on principle, but we'll get there. 640 00:35:10,550 --> 00:35:11,650 Don't doubt it for a second. 641 00:35:11,930 --> 00:35:13,890 Dan, thank you for stepping in with Lucy earlier. 642 00:35:14,230 --> 00:35:17,790 Sam, come on. My attempt to calm her down had roughly the opposite effect. 643 00:35:18,090 --> 00:35:22,350 Look, this situation is a classic parental minefield, right? 644 00:35:22,750 --> 00:35:26,230 You're damned if you open your mouth, and you're damned if you don't. 645 00:35:32,680 --> 00:35:35,760 They're moving her upstairs shortly. Got her the VIP suite. 646 00:35:36,100 --> 00:35:37,100 Thanks, Dad. 647 00:35:39,460 --> 00:35:40,800 I dropped the ball, Lucy. 648 00:35:41,780 --> 00:35:45,040 The signs have been there for years, but I was too busy fighting with your 649 00:35:45,040 --> 00:35:48,000 mother, which I'm sure only exacerbated... Can we just skip this 650 00:35:48,000 --> 00:35:49,520 part? What part? 651 00:35:49,740 --> 00:35:50,780 The part where you blame yourself. 652 00:35:53,180 --> 00:35:55,680 You have far less influence over me than you think. 653 00:35:58,240 --> 00:35:59,240 Dad, I... 654 00:36:00,460 --> 00:36:02,860 I need you to promise me that you'll take care of mom. 655 00:36:03,280 --> 00:36:04,280 Let's see. 656 00:36:05,620 --> 00:36:06,760 You have my word. 657 00:36:07,320 --> 00:36:09,140 Your mother's going to be taken care of. 658 00:36:09,600 --> 00:36:12,320 Your only job is to take care of yourself. 659 00:36:18,780 --> 00:36:21,240 Congratulations are in order, Dr. Wu. 660 00:36:21,600 --> 00:36:25,960 Or should I say Gaffney's next emergency medicine chief resident? 661 00:36:26,320 --> 00:36:28,720 Even running unopposed, I'm grateful for the opportunity. 662 00:36:29,820 --> 00:36:33,800 Taking on a role this demanding while finishing your residency is quite 663 00:36:33,800 --> 00:36:38,180 admirable. I know. It'll be a lot of extra work, but some opportunities are 664 00:36:38,180 --> 00:36:38,899 worth it. 665 00:36:38,900 --> 00:36:40,240 You got this. Dr. Hart. 666 00:36:40,920 --> 00:36:42,480 I hope I'm not too late. 667 00:36:42,720 --> 00:36:46,460 Deadline said end of day. Oh, and the day is not over. 668 00:36:47,340 --> 00:36:50,540 Frankly, I'm just pleased to see you putting yourself forward for a 669 00:36:50,540 --> 00:36:51,660 leadership position, Dr. 670 00:36:51,880 --> 00:36:52,880 Frost. 671 00:36:53,180 --> 00:36:55,320 And just so you know, Dr. 672 00:36:55,540 --> 00:36:57,400 Wu has also declared her interest. 673 00:36:57,720 --> 00:37:01,760 So since there are two candidates now, the ED attendings will be making the 674 00:37:01,760 --> 00:37:02,760 final decision. 675 00:37:03,560 --> 00:37:05,720 Looks like we've got ourselves a race. 676 00:37:08,040 --> 00:37:11,240 That was a hell of a catch. 677 00:37:11,480 --> 00:37:12,960 Yeah, we got lucky. 678 00:37:14,760 --> 00:37:16,960 I guess I probably should head out. 679 00:37:19,640 --> 00:37:20,780 Be well, Dennis. 680 00:37:23,440 --> 00:37:24,440 You too, Sharon. 681 00:37:28,960 --> 00:37:29,640 I 682 00:37:29,640 --> 00:37:38,720 found 683 00:37:38,720 --> 00:37:41,300 Miranda's mystery visitors in the security locks. 684 00:37:41,820 --> 00:37:46,160 Miranda met with the executive search firm the board retained after Quinley 685 00:37:46,160 --> 00:37:47,280 announced his retirement. 686 00:37:47,640 --> 00:37:52,820 Whoa. That's hardly a secret. I mean, everyone knows that Daphne is looking 687 00:37:52,820 --> 00:37:54,040 for a new CEO. 688 00:37:54,280 --> 00:37:58,400 Why would she need to hide the fact that she was advising them on the search? 689 00:37:58,700 --> 00:38:00,500 Because she wasn't advising them. 690 00:38:00,720 --> 00:38:02,600 At least that's not what it looks like. 691 00:38:02,920 --> 00:38:06,560 Look, in preparation for this meeting, Miranda had her office pull five years 692 00:38:06,560 --> 00:38:11,140 of departmental financials, charting the hospital's margins from before and after 693 00:38:11,140 --> 00:38:12,140 her arrival. 694 00:38:12,200 --> 00:38:16,000 A nice summary of every cost-cutting initiative she's implemented. 695 00:38:16,280 --> 00:38:22,600 Her... five-year strategic plan for Gaffney. So Miranda isn't helping them 696 00:38:22,600 --> 00:38:23,840 choose the next CEO. 697 00:38:24,260 --> 00:38:28,020 She wants to be the next CEO. Bingo. 698 00:38:58,860 --> 00:39:00,840 No one's more surprised than I am, believe me. 699 00:39:02,200 --> 00:39:02,939 Well, thanks. 700 00:39:02,940 --> 00:39:07,360 Well, I'm going to tell you. So I figured that, you know, at least one of 701 00:39:07,360 --> 00:39:08,360 these would work. 702 00:39:08,900 --> 00:39:11,220 But you know what the hell with it. Let's just put all of them on her and 703 00:39:11,220 --> 00:39:14,820 have a photo shoot and take Doris's advice. 704 00:39:15,760 --> 00:39:19,020 You know, collect blackmail from when she's 16 and hates us. 705 00:39:23,040 --> 00:39:24,240 Do you want to run you a bath? 706 00:39:24,780 --> 00:39:26,480 You can just stay in there as long as you want. 707 00:39:26,760 --> 00:39:27,760 We'll take the first shift.