1
00:00:05,697 --> 00:00:07,470
We had a deal.
2
00:00:07,474 --> 00:00:08,738
You are no longer employed here.
3
00:00:08,742 --> 00:00:10,777
Did you really think
I was gonna sit home
4
00:00:10,878 --> 00:00:14,014
while you undermine
the mission of this hospital?
5
00:00:14,114 --> 00:00:16,049
I can't stop Sharon working here,
6
00:00:16,149 --> 00:00:18,685
but I can control
who runs the ED,
7
00:00:18,785 --> 00:00:20,521
and that's no longer
going to be you.
8
00:00:20,621 --> 00:00:23,891
I'm assuming that Miranda's
not playing on the level.
9
00:00:23,991 --> 00:00:25,838
I know she's not.
10
00:00:25,842 --> 00:00:28,391
The problem is proving it.
11
00:00:28,395 --> 00:00:29,842
Well, how would you like
a little help?
12
00:00:42,643 --> 00:00:43,602
Hey.
13
00:00:43,702 --> 00:00:45,746
Oh.
14
00:00:45,846 --> 00:00:47,769
Why did you want to meet here?
15
00:00:47,773 --> 00:00:50,150
Because I can't risk anyone
seeing us together, okay?
16
00:00:50,250 --> 00:00:52,515
If Miranda finds out
I'm feeding you information...
17
00:00:52,519 --> 00:00:55,084
You'll also be looking
for a new line of work.
18
00:00:55,088 --> 00:00:57,282
Yes, and unlike you,
I don't look good in scrubs.
19
00:00:57,382 --> 00:00:58,721
You have information.
20
00:00:58,725 --> 00:00:59,956
-All right.
-Okay, here's the headline.
21
00:00:59,960 --> 00:01:02,558
Miranda had a three-hour
closed-door meeting
22
00:01:02,562 --> 00:01:03,726
last Wednesday, okay?
23
00:01:03,730 --> 00:01:05,194
It didn't appear
on her official calendar.
24
00:01:05,198 --> 00:01:07,130
There's no minutes, no memos.
25
00:01:07,134 --> 00:01:09,628
Well, who was she meeting with?
26
00:01:09,728 --> 00:01:11,125
No one seems to know.
27
00:01:11,129 --> 00:01:12,572
Well, someone has to know.
28
00:01:12,673 --> 00:01:15,238
Ask Felicia in Security
for a list
29
00:01:15,242 --> 00:01:18,975
of all the temporary badges
that were issued on Wednesday.
30
00:01:18,979 --> 00:01:20,568
Look, if I start pulling
security records,
31
00:01:20,572 --> 00:01:22,070
Miranda's gonna find out.
32
00:01:22,074 --> 00:01:24,213
Peter, you're
the hospital's counsel.
33
00:01:24,217 --> 00:01:27,087
Come up with something
attorney-like.
34
00:01:29,089 --> 00:01:30,987
You know,
the things I do for you...
35
00:01:30,991 --> 00:01:32,271
-Yeah.
-And do me one more favor.
36
00:01:32,326 --> 00:01:33,994
The next time, just walk up to me
37
00:01:34,094 --> 00:01:35,358
like a normal person.
38
00:01:35,362 --> 00:01:38,061
You almost gave me
a heart attack.
39
00:01:38,065 --> 00:01:40,229
Okay, then Mario and Luigi.
40
00:01:40,233 --> 00:01:41,831
{\an8}-Absolutely not.
-Come on.
41
00:01:41,835 --> 00:01:43,416
{\an8}I bet you look great
in a pair of overalls.
42
00:01:43,420 --> 00:01:44,726
{\an8}I do, but it's still a hard no.
43
00:01:46,273 --> 00:01:47,503
{\an8}Dr. Frost.
44
00:01:47,507 --> 00:01:49,664
{\an8}Just the person
I've been trying to reach.
45
00:01:49,668 --> 00:01:51,941
{\an8}Dr. Heart, hey. I'm sorry.
46
00:01:51,945 --> 00:01:53,768
{\an8}I have been meaning
to email you back.
47
00:01:53,772 --> 00:01:56,546
{\an8}Well, attending positions
are opening very soon,
48
00:01:56,550 --> 00:01:59,282
{\an8}so we need to discuss your CV,
your references,
49
00:01:59,286 --> 00:02:00,917
{\an8}your interview strategy.
50
00:02:00,921 --> 00:02:02,819
{\an8}Absolutely. I'm all over it.
51
00:02:02,823 --> 00:02:04,754
{\an8}Just make sure we get
something on the calendar.
52
00:02:04,758 --> 00:02:07,027
{\an8}I want to make sure
you're set up for success.
53
00:02:07,127 --> 00:02:08,353
{\an8}-Great.
-All right.
54
00:02:08,453 --> 00:02:09,496
{\an8}Good morning, Dr. Ripley.
55
00:02:09,596 --> 00:02:10,630
{\an8}Morning.
56
00:02:13,166 --> 00:02:14,856
{\an8}You really should
meet with Heart.
57
00:02:14,860 --> 00:02:16,799
{\an8}Job market's supposed to be
brutal this year.
58
00:02:16,803 --> 00:02:18,301
{\an8}Yeah, I'm not
too worried about it.
59
00:02:18,305 --> 00:02:19,619
{\an8}Look, I know things typically
60
00:02:19,623 --> 00:02:21,375
{\an8}have a way
of working out for you...
61
00:02:21,475 --> 00:02:24,207
{\an8}Are you forgetting the fact
that Naomi kind of
62
00:02:24,211 --> 00:02:25,575
{\an8}just dumped me?
63
00:02:25,579 --> 00:02:27,443
{\an8}I thought that was mutual.
64
00:02:27,447 --> 00:02:28,778
{\an8}Look, if you want
to stay at Gaffney,
65
00:02:28,782 --> 00:02:30,179
{\an8}you're gonna have competition.
66
00:02:30,183 --> 00:02:32,377
{\an8}There's only so many attending
spots to go around.
67
00:02:32,477 --> 00:02:35,118
{\an8}What should I be doing
that I am not already doing?
68
00:02:35,122 --> 00:02:36,452
{\an8}Taking initiative.
69
00:02:36,456 --> 00:02:38,221
{\an8}People aren't just gonna
hand you opportunities.
70
00:02:38,225 --> 00:02:40,385
{\an8}Mm. That's great advice.
71
00:02:40,485 --> 00:02:42,325
{\an8}See, I do better with specifics,
72
00:02:42,329 --> 00:02:45,762
{\an8}so maybe give me something
actionable, Dr. Yoda.
73
00:02:45,766 --> 00:02:47,130
{\an8}Take on a leadership role.
74
00:02:47,134 --> 00:02:48,965
{\an8}Okay, you're in your final year
of residency.
75
00:02:48,969 --> 00:02:50,433
{\an8}Put yourself up
for chief resident.
76
00:02:50,437 --> 00:02:53,269
{\an8}Aren't those applications
due, like, today?
77
00:02:53,273 --> 00:02:54,508
{\an8}Then you still have time.
78
00:02:56,977 --> 00:03:00,405
{\an8}So there's family ideas,
but I wanted to focus on her.
79
00:03:00,505 --> 00:03:03,613
{\an8}And I have a few saved.
80
00:03:03,617 --> 00:03:05,114
{\an8}What do you think?
81
00:03:05,118 --> 00:03:06,741
{\an8}Oh, baby Elton John.
No contest.
82
00:03:06,745 --> 00:03:08,121
{\an8}Mm, no, I say go classic,
83
00:03:08,255 --> 00:03:10,357
{\an8}like pea pod or pumpkin
or something cute.
84
00:03:10,457 --> 00:03:12,417
{\an8}Okay, I'll bite.
What are we, uh...
85
00:03:12,517 --> 00:03:15,291
{\an8}Uh, baby Mabel's
first Halloween costume.
86
00:03:15,295 --> 00:03:17,185
{\an8}Mabel, our four-month-old
87
00:03:17,189 --> 00:03:19,862
{\an8}who will have absolutely
no memory of what she wore?
88
00:03:19,866 --> 00:03:22,198
{\an8}-Mm.
-It's not for her, Dr. Archer.
89
00:03:22,202 --> 00:03:24,834
{\an8}It's so you have a picture
of your adorable baby
90
00:03:24,838 --> 00:03:26,869
{\an8}as a tiny pop icon.
91
00:03:26,873 --> 00:03:28,171
{\an8}That's the whole point
of having kids.
92
00:03:28,175 --> 00:03:30,039
{\an8}-Yes.
-Side benefit down the line...
93
00:03:30,043 --> 00:03:31,578
{\an8}blackmail material
for the teen years.
94
00:03:31,678 --> 00:03:33,710
{\an8}-It's perfect.
-Excuse me.
95
00:03:33,714 --> 00:03:35,011
{\an8}If I could have your attention.
96
00:03:36,183 --> 00:03:37,880
{\an8}Everybody listen up!
97
00:03:37,884 --> 00:03:40,112
{\an8}-Oh.
-Thank you.
98
00:03:40,212 --> 00:03:41,154
{\an8}Good morning.
99
00:03:41,288 --> 00:03:42,989
{\an8}I just have a brief
staffing announcement.
100
00:03:43,090 --> 00:03:45,158
{\an8}First, I would like
to thank Dr. Archer
101
00:03:45,292 --> 00:03:47,924
{\an8}for his excellent work
as interim ED chief.
102
00:03:47,928 --> 00:03:49,859
{\an8}He'll remain in the position
throughout the end of the week,
103
00:03:49,863 --> 00:03:51,227
{\an8}after which he will be
stepping away
104
00:03:51,231 --> 00:03:53,266
{\an8}to focus on several key
departmental initiatives.
105
00:03:53,366 --> 00:03:54,768
{\an8}Can't wait to hear
what those are.
106
00:03:54,868 --> 00:03:56,065
{\an8}So if everyone could please
107
00:03:56,069 --> 00:03:57,867
{\an8}thank Dr. Archer
for his service.
108
00:03:59,406 --> 00:04:00,407
{\an8}Go, Dean!
109
00:04:02,476 --> 00:04:06,242
{\an8}And please, if you could
welcome Dr. Ripley,
110
00:04:06,246 --> 00:04:08,348
{\an8}who will assume the position
of interim ED chief,
111
00:04:08,482 --> 00:04:09,816
{\an8}effective Monday.
112
00:04:09,916 --> 00:04:11,380
{\an8}I... I will?
113
00:04:11,384 --> 00:04:13,407
{\an8}Congratulations, Dr. Ripley.
114
00:04:13,411 --> 00:04:15,718
{\an8}My office will be in touch
regarding the transition.
115
00:04:15,722 --> 00:04:16,982
{\an8}Thank you.
116
00:04:17,082 --> 00:04:18,888
{\an8}Well, guess sometimes
117
00:04:18,892 --> 00:04:21,415
{\an8}you do get handed
opportunities, huh?
118
00:04:21,419 --> 00:04:23,860
{\an8}Got the big dog ED chief,
chief resident.
119
00:04:23,864 --> 00:04:25,128
{\an8}We're gonna be running
this place.
120
00:04:25,132 --> 00:04:27,130
{\an8}-Oh.
-God help us.
121
00:04:27,134 --> 00:04:29,999
{\an8}Dr. Archer, we need you
in Treatment 3.
122
00:04:30,003 --> 00:04:34,203
{\an8}Got Cynthia Peterson, 55,
advanced multiple sclerosis.
123
00:04:34,207 --> 00:04:36,042
{\an8}Presenting with fever,
tachycardia,
124
00:04:36,176 --> 00:04:37,565
{\an8}and intermittent vomiting.
125
00:04:37,569 --> 00:04:39,442
{\an8}Her daughter, Lucy, called 911.
126
00:04:39,446 --> 00:04:40,426
{\an8}Lucy Abrams.
127
00:04:40,430 --> 00:04:41,511
{\an8}Sam's daughter.
128
00:04:41,515 --> 00:04:42,512
{\an8}Yep.
129
00:04:42,516 --> 00:04:44,046
{\an8}And is that his ex-wife?
130
00:04:44,050 --> 00:04:45,148
{\an8}Mm-hmm.
131
00:04:45,152 --> 00:04:46,916
{\an8}Are they on good terms?
132
00:04:46,920 --> 00:04:48,751
{\an8}Well, let's put it this way.
133
00:04:48,755 --> 00:04:50,720
{\an8}She tried bribing
the ambulance driver
134
00:04:50,724 --> 00:04:52,726
{\an8}to take her
to any other hospital.
135
00:04:56,863 --> 00:04:58,064
{\an8}We're going to Trauma 1.
136
00:04:58,165 --> 00:05:00,296
{\an8}Jessa Huntington,
36-year-old female,
137
00:05:00,300 --> 00:05:02,598
37 weeks pregnant,
fell down a flight of stairs.
138
00:05:02,602 --> 00:05:04,091
-I was right behind her.
-Uh, she missed a step.
139
00:05:04,095 --> 00:05:05,334
I... I couldn't catch her.
140
00:05:05,338 --> 00:05:06,435
Struck her head
against the metal railing
141
00:05:06,439 --> 00:05:07,970
before landing on her abdomen.
142
00:05:07,974 --> 00:05:09,964
Had a witnessed seizure after
the fall and was postictal.
143
00:05:09,968 --> 00:05:11,536
GCS 13. Heart rate's 115.
144
00:05:11,636 --> 00:05:13,109
Initial pressure 80/40.
145
00:05:13,113 --> 00:05:15,444
Improved to 95/53 with fluids.
146
00:05:15,448 --> 00:05:17,380
Last fetal heart rate was 113.
147
00:05:17,384 --> 00:05:18,372
We're gonna need a chest X-ray,
148
00:05:18,376 --> 00:05:19,782
a FAST exam, and a head CT.
149
00:05:19,786 --> 00:05:21,209
Uh, let's prepare
to transfer, folks.
150
00:05:21,213 --> 00:05:22,485
Hold on, hold on, hold on.
151
00:05:22,489 --> 00:05:23,653
Baby's heart rate's in the 80s.
152
00:05:23,657 --> 00:05:25,054
We need to deliver now.
Change of plans.
153
00:05:25,058 --> 00:05:26,455
Everybody, we're headed upstairs.
154
00:05:26,459 --> 00:05:28,361
-Let's go.
-Is the baby gonna be okay?
155
00:05:28,461 --> 00:05:29,759
Kacy, call the OR.
156
00:05:29,763 --> 00:05:30,893
-Emergency C-section.
-Go ahead. Go, go, go.
157
00:05:30,897 --> 00:05:32,812
Tell them to activate
the neonatal team.
158
00:05:32,816 --> 00:05:34,067
On it.
159
00:05:34,167 --> 00:05:35,487
I... I want to go with my wife.
160
00:05:35,569 --> 00:05:37,466
-Sorry, she's too unstable.
-You can't be in the OR.
161
00:05:37,470 --> 00:05:39,235
-Please.
-Doris will stay with you.
162
00:05:39,239 --> 00:05:40,561
We'll update you
as soon as we can.
163
00:05:40,565 --> 00:05:41,541
Please.
164
00:05:41,641 --> 00:05:44,323
Please!
You... you have to save them.
165
00:05:56,456 --> 00:05:58,688
Your liver transplant is
scheduled for next week?
166
00:05:58,692 --> 00:05:59,680
Thursday.
167
00:05:59,684 --> 00:06:00,827
My brother's the donor.
168
00:06:00,961 --> 00:06:02,124
Which is why we came straight in
169
00:06:02,128 --> 00:06:03,697
when she woke up
with abdominal pain.
170
00:06:03,797 --> 00:06:05,498
We didn't want to take
any chances.
171
00:06:05,599 --> 00:06:07,797
Tumor is right where
the bile duct leaves my liver.
172
00:06:07,801 --> 00:06:11,500
They can't resect it,
so transplant's my only option.
173
00:06:11,504 --> 00:06:12,868
And really, it's a Hail Mary.
174
00:06:12,872 --> 00:06:14,704
Hey, I thought we were
staying positive.
175
00:06:14,708 --> 00:06:16,509
We are, it's just...
176
00:06:16,610 --> 00:06:18,474
this cancer has a very high
recurrence rate,
177
00:06:18,478 --> 00:06:22,215
so it's... but we're
staying positive.
178
00:06:22,349 --> 00:06:23,512
I'm not gonna let
a little stomachache
179
00:06:23,516 --> 00:06:24,714
keep us from Italy.
180
00:06:24,718 --> 00:06:27,350
-Oh, you have a trip planned.
-Yeah.
181
00:06:27,354 --> 00:06:30,369
A cruise for our
ten-year anniversary.
182
00:06:30,373 --> 00:06:32,054
As soon as I'm cleared to travel.
183
00:06:32,058 --> 00:06:33,389
Let's get a full set of labs.
184
00:06:33,393 --> 00:06:34,557
And a CT.
185
00:06:34,561 --> 00:06:35,695
Nora, let the doctor...
186
00:06:35,795 --> 00:06:37,360
We both know
that's where this is headed.
187
00:06:37,364 --> 00:06:39,195
We can skip ahead to the CT.
188
00:06:39,199 --> 00:06:40,863
Given the upcoming transplant,
189
00:06:40,867 --> 00:06:42,098
your surgeons are
gonna want imaging.
190
00:06:42,102 --> 00:06:43,036
With contrast.
191
00:06:43,169 --> 00:06:44,492
If your kidney function
allows it.
192
00:06:44,496 --> 00:06:45,501
It does.
193
00:06:45,505 --> 00:06:46,902
Nora.
194
00:06:46,906 --> 00:06:48,537
Oh. Okay.
195
00:06:48,541 --> 00:06:49,672
Okay, I'll back off.
196
00:06:49,676 --> 00:06:50,840
You're the doctor.
197
00:06:50,844 --> 00:06:51,974
Okay.
198
00:06:51,978 --> 00:06:53,734
Uh, we'll loop in your oncologist
199
00:06:53,738 --> 00:06:56,412
at Midwest Advocate and, uh,
get going on these labs.
200
00:06:56,416 --> 00:06:57,571
Thank you, Dr. Ripley.
201
00:06:57,575 --> 00:06:59,210
Yeah. You're welcome.
202
00:07:00,553 --> 00:07:02,747
{\an8}I'll take care of notifying
Nora's oncologist.
203
00:07:02,881 --> 00:07:05,525
{\an8}Dr. Ripley, you're about
to take over as chief.
204
00:07:05,625 --> 00:07:07,060
{\an8}You've got enough on your plate.
205
00:07:07,193 --> 00:07:08,928
{\an8}You don't need
to lighten my load.
206
00:07:09,029 --> 00:07:12,090
{\an8}Just treat me like
any other nurse in the ED.
207
00:07:12,223 --> 00:07:14,567
{\an8}Uh, no, it's not that.
208
00:07:14,701 --> 00:07:18,021
{\an8}Nora's oncologist is,
uh, Dennis Washington.
209
00:07:19,589 --> 00:07:21,537
Oh.
210
00:07:21,541 --> 00:07:23,276
I didn't see that.
211
00:07:23,376 --> 00:07:26,375
I heard he was
at Midwest Advocate.
212
00:07:26,379 --> 00:07:30,775
Actually, if you don't mind
making that call.
213
00:07:30,875 --> 00:07:32,281
Consider it done.
214
00:07:32,285 --> 00:07:33,920
Thank you.
215
00:07:34,854 --> 00:07:37,920
All right, buddy, just
follow my finger for me, okay?
216
00:07:37,924 --> 00:07:39,605
Just with your eyes.
217
00:07:39,609 --> 00:07:41,962
Yeah, we got back
from Miami last night.
218
00:07:42,095 --> 00:07:44,789
Caleb spent most of his time
in the pool or in the ocean.
219
00:07:44,889 --> 00:07:45,995
Well, his skin's pretty red.
220
00:07:45,999 --> 00:07:47,263
Was he wearing sunscreen?
221
00:07:47,267 --> 00:07:49,970
Uh, yeah, yeah, but we were
222
00:07:50,103 --> 00:07:51,734
chasing around his
two-year-old brother a lot.
223
00:07:51,738 --> 00:07:53,970
We probably didn't
reapply enough.
224
00:07:53,974 --> 00:07:57,039
And plus, Caleb refused
to wear his rash guard.
225
00:07:57,043 --> 00:08:00,292
Mom said I didn't have to
if I wore the floppy hat.
226
00:08:00,296 --> 00:08:01,982
You should hear him
negotiate bedtimes.
227
00:08:02,082 --> 00:08:03,842
All right, well,
a severe burn can blister.
228
00:08:03,950 --> 00:08:05,131
And combined with dehydration,
229
00:08:05,135 --> 00:08:06,315
that would explain the fainting.
230
00:08:06,319 --> 00:08:07,620
It could.
231
00:08:07,754 --> 00:08:09,643
But this blistering is
a bit more impressive
232
00:08:09,647 --> 00:08:11,145
than we'd expect from a sunburn,
233
00:08:11,149 --> 00:08:14,156
so we'll get some labs going
and start him on fluids.
234
00:08:14,160 --> 00:08:15,591
Uh, great. Uh, thanks.
235
00:08:15,595 --> 00:08:17,626
Yeah.
236
00:08:17,630 --> 00:08:19,966
The neonatal team is still
responding to another code.
237
00:08:20,066 --> 00:08:22,456
Backup's on the way, but we may
deliver before they get here.
238
00:08:22,460 --> 00:08:24,804
Then we're the neonatal team
until they arrive.
239
00:08:24,904 --> 00:08:26,506
Cutting.
240
00:08:28,508 --> 00:08:29,939
Okay, I got the head.
241
00:08:29,943 --> 00:08:31,440
-Kai, more fundal pressure.
-Yeah.
242
00:08:35,482 --> 00:08:37,142
Come on.
243
00:08:38,718 --> 00:08:41,450
Hi, baby girl.
244
00:08:41,454 --> 00:08:44,015
Hi there.
245
00:08:44,149 --> 00:08:46,693
Okay, clamp.
246
00:08:46,826 --> 00:08:49,020
Hey there.
247
00:08:49,120 --> 00:08:50,693
All right.
248
00:08:50,697 --> 00:08:52,332
Here we go.
249
00:08:52,432 --> 00:08:54,196
Okay.
250
00:08:54,200 --> 00:08:55,668
Here we go.
251
00:08:59,189 --> 00:09:01,137
Dr. Asher,
baby's in distress.
252
00:09:01,141 --> 00:09:02,675
Okay, I'll be right there.
253
00:09:02,776 --> 00:09:04,473
Deliver the placenta,
then start closing the uterus.
254
00:09:04,477 --> 00:09:05,608
Got it.
255
00:09:06,980 --> 00:09:08,044
Heart rate's 80.
256
00:09:08,048 --> 00:09:09,478
Starting positive
pressure ventilation.
257
00:09:09,482 --> 00:09:11,518
Mom's pressure's 60/30
and falling.
258
00:09:11,618 --> 00:09:12,877
Call for blood.
259
00:09:13,011 --> 00:09:14,116
Mom's hemorrhaging.
260
00:09:14,120 --> 00:09:15,376
Heart rate's down to 50.
261
00:09:15,380 --> 00:09:16,368
Okay, keep ventilating.
262
00:09:16,372 --> 00:09:17,490
I'm starting compressions.
263
00:09:19,993 --> 00:09:21,490
Kai, check her uterine tone.
264
00:09:21,494 --> 00:09:22,896
Yeah.
265
00:09:24,130 --> 00:09:26,362
It's firm. It's not atony.
266
00:09:26,366 --> 00:09:28,234
-We've got her.
-All right.
267
00:09:31,504 --> 00:09:32,906
Pack.
268
00:09:34,407 --> 00:09:35,733
More laps.
269
00:09:43,450 --> 00:09:44,547
Oh, my God.
270
00:09:44,551 --> 00:09:45,906
Is that Dan Charles?
271
00:09:45,910 --> 00:09:47,912
How the heck are you?
272
00:09:48,012 --> 00:09:49,552
Well, better now.
273
00:09:51,624 --> 00:09:53,251
Oh.
274
00:09:53,384 --> 00:09:55,224
You know, your father and I
used to double-date
275
00:09:55,228 --> 00:09:57,197
with Dan and his wife, Susan.
276
00:09:57,297 --> 00:09:58,923
How is Susan?
277
00:09:59,057 --> 00:10:00,700
Oh, no. God.
278
00:10:00,800 --> 00:10:01,864
You're divorced.
279
00:10:01,868 --> 00:10:03,699
-Yeah.
-Sorry.
280
00:10:03,703 --> 00:10:06,039
-It's okay.
-MS brain.
281
00:10:06,139 --> 00:10:07,774
Uh, how's the new wife?
282
00:10:07,907 --> 00:10:08,838
Uh, Linda.
283
00:10:08,842 --> 00:10:10,039
Lucia.
284
00:10:10,043 --> 00:10:11,257
Uh, you know what?
285
00:10:11,261 --> 00:10:12,608
She took off too.
286
00:10:12,612 --> 00:10:13,943
Quite a while ago now.
287
00:10:13,947 --> 00:10:16,416
I know... it's a pretty
damning pattern, isn't it?
288
00:10:16,549 --> 00:10:20,216
At least I'm still, you know,
startlingly attractive.
289
00:10:20,220 --> 00:10:21,283
Indeed, you are.
290
00:10:21,287 --> 00:10:22,555
Well, thank you.
291
00:10:22,655 --> 00:10:24,920
-You know our daughter, Lucy.
-Of course.
292
00:10:24,924 --> 00:10:26,255
You probably don't
remember me, Lucy,
293
00:10:26,259 --> 00:10:28,424
but I remember
your dad carrying you
294
00:10:28,428 --> 00:10:30,784
through these very halls
on his shoulders
295
00:10:30,788 --> 00:10:32,528
when you were just a tot,
296
00:10:32,532 --> 00:10:36,966
often wearing a sparkly tutu,
if memory serves, right?
297
00:10:36,970 --> 00:10:38,434
Uh, yeah.
298
00:10:38,438 --> 00:10:39,635
Yeah, I think I am.
299
00:10:39,639 --> 00:10:41,966
I... uh, Mom?
300
00:10:42,066 --> 00:10:43,789
Okay, don't get mad,
but I called Dad.
301
00:10:43,793 --> 00:10:44,978
Mm.
302
00:10:45,111 --> 00:10:46,408
He was gonna find out
you're here.
303
00:10:46,412 --> 00:10:47,635
Yeah, it's true.
304
00:10:47,639 --> 00:10:49,044
You know, VIP shows up,
305
00:10:49,048 --> 00:10:52,148
word travels fast in these parts.
306
00:10:52,152 --> 00:10:53,382
Hey, Dad.
307
00:10:53,386 --> 00:10:54,737
Hi.
308
00:10:57,123 --> 00:10:58,387
Get it over with.
309
00:10:58,391 --> 00:10:59,755
I look like crap.
310
00:10:59,759 --> 00:11:01,661
You look thin, that's all.
311
00:11:02,762 --> 00:11:04,430
You look puffy and tired.
312
00:11:04,531 --> 00:11:06,432
Toddler keeping you up?
313
00:11:06,533 --> 00:11:07,997
How high was her fever?
314
00:11:08,001 --> 00:11:09,832
Uh, I just got here.
315
00:11:09,836 --> 00:11:11,337
102, Dad.
316
00:11:11,471 --> 00:11:12,668
They send urine
and blood cultures?
317
00:11:12,672 --> 00:11:13,831
No. Gosh.
318
00:11:13,965 --> 00:11:15,333
Without you here, Sam,
319
00:11:15,466 --> 00:11:17,339
the doctors have just been
sitting around guessing.
320
00:11:17,343 --> 00:11:18,991
Uh...
321
00:11:18,995 --> 00:11:20,680
-Any drop in urine output?
-Yeah.
322
00:11:20,813 --> 00:11:22,348
My urine is
none of your business.
323
00:11:22,482 --> 00:11:24,513
I assure you,
this isn't personal curiosity.
324
00:11:24,517 --> 00:11:27,182
No, it's just an opportunity
to remind everyone
325
00:11:27,186 --> 00:11:28,842
you're the smartest person
in the room.
326
00:11:28,846 --> 00:11:30,586
What, you above taking the bait?
327
00:11:30,590 --> 00:11:32,504
You ever considered maybe I'm
just a better person than you?
328
00:11:32,508 --> 00:11:33,693
No.
329
00:11:33,793 --> 00:11:34,873
And I don't need your pity.
330
00:11:34,894 --> 00:11:35,991
Hey, Lucy,
331
00:11:35,995 --> 00:11:37,126
are you enjoying this
as much as I am?
332
00:11:37,130 --> 00:11:38,594
You know it.
333
00:11:38,598 --> 00:11:39,728
-Hey, Cynthia.
-Got your results.
334
00:11:39,732 --> 00:11:41,463
-Oh, phew.
-No, no.
335
00:11:41,467 --> 00:11:42,531
You stay.
336
00:11:42,535 --> 00:11:43,691
I like you.
337
00:11:43,695 --> 00:11:45,171
You, I've seen enough of.
338
00:11:45,271 --> 00:11:46,372
Bye now.
339
00:11:49,809 --> 00:11:51,489
I'm afraid you've got
a kidney infection.
340
00:11:51,502 --> 00:11:54,310
Long-term catheters are
a common source.
341
00:11:54,314 --> 00:11:55,778
Who handles yours?
342
00:11:55,782 --> 00:11:57,884
Uh, oh, I do.
343
00:11:57,984 --> 00:11:59,707
Well, we'll have to have a nurse
344
00:11:59,711 --> 00:12:01,450
review Foley care with you, so...
345
00:12:01,454 --> 00:12:03,152
I clean it exactly
the way I was taught.
346
00:12:03,156 --> 00:12:05,212
I'm very thorough.
347
00:12:05,216 --> 00:12:07,222
Okay, we're gonna start
IV antibiotics,
348
00:12:07,226 --> 00:12:09,721
but because of the vomiting
and fever,
349
00:12:09,854 --> 00:12:12,724
I'd like to admit you
under observation
350
00:12:12,857 --> 00:12:15,234
until the culture
sensitivities come back.
351
00:12:16,886 --> 00:12:18,871
Mom's still hypertensive.
352
00:12:22,900 --> 00:12:25,975
More. More.
353
00:12:25,979 --> 00:12:27,910
Okay.
354
00:12:27,914 --> 00:12:30,079
Looks like the blood is welling
up from behind the uterus.
355
00:12:30,083 --> 00:12:31,180
I need more exposure.
356
00:12:31,184 --> 00:12:32,377
Okay.
357
00:12:34,237 --> 00:12:35,417
There.
358
00:12:35,421 --> 00:12:36,752
She's got a posterior
uterine rupture
359
00:12:36,756 --> 00:12:38,354
extending to her cervix.
360
00:12:38,358 --> 00:12:39,521
-See it.
-Allis.
361
00:12:39,525 --> 00:12:40,689
O Vicryl.
362
00:12:48,434 --> 00:12:49,594
All right, get ready.
363
00:12:49,727 --> 00:12:50,770
Scissors.
364
00:12:52,764 --> 00:12:54,094
Pressure's coming up.
365
00:12:54,098 --> 00:12:55,004
20 minutes.
366
00:12:55,008 --> 00:12:56,401
Still no cardiac activity.
367
00:12:57,810 --> 00:13:01,101
Time of death, 10:04.
368
00:13:09,689 --> 00:13:11,445
Sharon?
369
00:13:11,449 --> 00:13:14,123
Dennis. Hello.
370
00:13:14,127 --> 00:13:17,130
I had heard you stepped out
as executive director, but...
371
00:13:17,263 --> 00:13:19,278
Sharon Goodwin
back in nursing scrubs
372
00:13:19,282 --> 00:13:20,933
wasn't on your bingo card?
373
00:13:21,034 --> 00:13:22,456
Not even close.
374
00:13:22,460 --> 00:13:24,600
Well, I missed nursing.
375
00:13:24,604 --> 00:13:27,269
After all those years
behind a desk,
376
00:13:27,273 --> 00:13:29,705
I missed being at the bedside.
377
00:13:29,709 --> 00:13:31,140
Dr. Washington.
378
00:13:31,144 --> 00:13:32,637
Thanks for coming over so fast.
379
00:13:32,770 --> 00:13:33,976
Of course.
380
00:13:33,980 --> 00:13:36,140
-You get Nora's CT back yet?
-Yeah.
381
00:13:36,240 --> 00:13:38,472
Any indication
what's causing her pain?
382
00:13:38,476 --> 00:13:39,811
A gallstone.
383
00:13:39,944 --> 00:13:41,287
Well, that's a relief.
384
00:13:41,387 --> 00:13:43,952
We can address that
during the transplant.
385
00:13:43,956 --> 00:13:46,255
Well, unfortunately,
there is something else
386
00:13:46,259 --> 00:13:47,952
you need to see on the scan.
387
00:13:49,821 --> 00:13:51,994
So transplant's off the table?
388
00:13:51,998 --> 00:13:53,762
Completely?
389
00:13:53,766 --> 00:13:55,322
I'm sorry, Nora.
390
00:13:55,326 --> 00:13:57,336
Your latest CT shows
the tumor has grown
391
00:13:57,470 --> 00:13:59,172
past the 3-centimeter cutoff.
392
00:13:59,305 --> 00:14:02,162
That puts you outside
of transplant protocol.
393
00:14:02,166 --> 00:14:04,973
The only reason you know that
is because I came in today.
394
00:14:04,977 --> 00:14:06,667
I should've muscled
through the pain.
395
00:14:06,671 --> 00:14:08,944
They would've discovered it
during the preoperative work.
396
00:14:08,948 --> 00:14:11,184
There's no version
where this stayed hidden.
397
00:14:12,652 --> 00:14:13,999
Guess Italy's off.
398
00:14:14,003 --> 00:14:15,655
Hope the tickets are refundable.
399
00:14:15,755 --> 00:14:17,177
Hey, we don't know that.
400
00:14:17,181 --> 00:14:18,691
Yes, we do.
401
00:14:20,093 --> 00:14:22,662
If the transplant's
no longer an option,
402
00:14:22,762 --> 00:14:24,197
could we biopsy the tumor?
403
00:14:24,297 --> 00:14:26,999
The doctor who diagnosed Nora
said that was too risky,
404
00:14:27,100 --> 00:14:29,565
that the needle could
spread cancer cells?
405
00:14:29,569 --> 00:14:31,033
She was right.
406
00:14:31,037 --> 00:14:33,193
A core needle biopsy could
have seeded the tumor
407
00:14:33,197 --> 00:14:35,137
in the needle track,
and that would've disqualified
408
00:14:35,141 --> 00:14:36,709
Nora from... from transplant.
409
00:14:36,809 --> 00:14:38,707
Now I'm disqualified
anyway, so...
410
00:14:38,711 --> 00:14:40,175
Yeah, but a biopsy will
give us tissue
411
00:14:40,179 --> 00:14:41,677
for genetic testing.
412
00:14:41,681 --> 00:14:43,545
And if the tumor has
an actionable mutation,
413
00:14:43,549 --> 00:14:45,781
we may be able to treat it
with a targeted drug.
414
00:14:45,785 --> 00:14:47,182
Wait, treat it?
415
00:14:47,186 --> 00:14:48,717
How? Like, cure it?
416
00:14:48,721 --> 00:14:50,214
Well, no,
417
00:14:50,348 --> 00:14:52,688
but we may be able
to slow down the progression.
418
00:14:52,692 --> 00:14:54,218
Uh, for how long?
419
00:14:54,318 --> 00:14:55,224
It's hard to know.
420
00:14:55,228 --> 00:14:57,230
Months... possibly a year,
421
00:14:57,363 --> 00:14:59,524
if we find a mutation
we can target.
422
00:15:03,060 --> 00:15:04,737
Do the biopsy.
423
00:15:06,606 --> 00:15:08,720
Hey, honey.
424
00:15:08,724 --> 00:15:10,572
Hi.
425
00:15:10,576 --> 00:15:12,391
Oh, uh...
426
00:15:12,395 --> 00:15:15,039
you're probably a little sore
from the breathing tube.
427
00:15:16,749 --> 00:15:20,849
Um, you fell, Jessa.
428
00:15:20,853 --> 00:15:22,651
You hit your head.
429
00:15:22,655 --> 00:15:25,091
Um...
430
00:15:25,191 --> 00:15:26,422
the scans don't show
any bleeding,
431
00:15:26,426 --> 00:15:28,740
so you're gonna be okay.
432
00:15:31,222 --> 00:15:32,557
The baby?
433
00:15:34,100 --> 00:15:35,852
Jessa, we had to deliver her.
434
00:15:37,737 --> 00:15:40,206
She didn't survive.
435
00:15:40,306 --> 00:15:41,607
I am so sorry.
436
00:15:41,707 --> 00:15:44,840
We did everything...
everything that we could.
437
00:15:44,844 --> 00:15:46,091
No.
438
00:15:46,095 --> 00:15:47,676
I'm so sorry.
439
00:15:47,680 --> 00:15:49,344
No!
440
00:16:02,787 --> 00:16:04,860
You saw her?
441
00:16:04,864 --> 00:16:06,799
I did.
442
00:16:07,959 --> 00:16:09,427
What did she look like?
443
00:16:13,606 --> 00:16:15,070
She was beautiful.
444
00:16:25,618 --> 00:16:27,486
Would you like to hold
your daughter?
445
00:16:28,988 --> 00:16:30,623
We can bring her to you.
446
00:16:57,083 --> 00:16:59,685
You're right.
447
00:16:59,819 --> 00:17:03,522
She's so beautiful.
448
00:17:12,265 --> 00:17:13,858
I know. I... I understand.
449
00:17:13,991 --> 00:17:15,797
I, um... you know what?
450
00:17:15,801 --> 00:17:17,787
I will figure something out.
451
00:17:19,805 --> 00:17:21,036
Everything okay?
452
00:17:21,040 --> 00:17:22,375
Oh, yeah.
453
00:17:22,475 --> 00:17:24,698
I'm just falling behind
on my dissertation,
454
00:17:24,702 --> 00:17:27,013
and my advisor's starting
to lose patience.
455
00:17:27,113 --> 00:17:28,347
Wow.
456
00:17:28,447 --> 00:17:31,371
You're chasing a PhD
and caring for your mom?
457
00:17:31,375 --> 00:17:32,614
That's gotta be tricky.
458
00:17:32,618 --> 00:17:33,686
I can manage.
459
00:17:33,786 --> 00:17:35,717
As long as my mom's okay,
I'm okay.
460
00:17:35,721 --> 00:17:37,536
That's all I care about.
461
00:17:37,540 --> 00:17:40,393
Well, if there's anything
that I can do.
462
00:17:40,493 --> 00:17:43,525
Uh, actually, that is why
463
00:17:43,529 --> 00:17:45,894
I'm so confused
about the infection.
464
00:17:45,898 --> 00:17:47,725
I'm meticulous
with my mom's catheter.
465
00:17:47,858 --> 00:17:49,393
I clean it constantly.
466
00:17:49,527 --> 00:17:51,237
I disconnect it
from its drainage tubing
467
00:17:51,370 --> 00:17:53,719
several times a day so I can
clean the connection points.
468
00:17:53,723 --> 00:17:55,537
And then I sanitize
everything thoroughly
469
00:17:55,541 --> 00:17:57,576
before I put it
back together, so...
470
00:18:00,680 --> 00:18:02,360
Lucy, do you mind
if I ask you something?
471
00:18:02,448 --> 00:18:04,738
Oh.
472
00:18:04,742 --> 00:18:06,582
-It's just a nervous habit.
-Oh, no, no.
473
00:18:06,586 --> 00:18:07,649
I didn't mean
to put you on the spot.
474
00:18:07,653 --> 00:18:09,351
No, uh, I, uh...
475
00:18:09,355 --> 00:18:10,923
I should get back to my mom.
476
00:18:14,460 --> 00:18:15,991
Hey, honey.
477
00:18:15,995 --> 00:18:17,409
Lucy, you okay?
478
00:18:17,413 --> 00:18:18,848
Yeah, all good.
479
00:18:22,268 --> 00:18:24,203
What was that about?
480
00:18:24,303 --> 00:18:25,604
Sam, look, I...
481
00:18:25,705 --> 00:18:27,085
I hope I'm not overstepping,
482
00:18:27,089 --> 00:18:29,600
but I'm worried that
maybe Lucy might need
483
00:18:29,734 --> 00:18:31,777
a little more support
in looking after Cynthia...
484
00:18:31,877 --> 00:18:33,779
you know, that maybe
this current setup is...
485
00:18:33,913 --> 00:18:36,115
I don't know, it's just not
optimal for either of them.
486
00:18:36,248 --> 00:18:37,429
Well, I've tried.
487
00:18:37,433 --> 00:18:38,772
I've offered to cover the costs,
488
00:18:38,776 --> 00:18:41,416
but Cynthia's too damn stubborn
to accept my help.
489
00:18:41,420 --> 00:18:42,955
Wait, what do you mean,
not optimal?
490
00:18:43,055 --> 00:18:44,186
Are you saying that
Lucy hasn't been taking
491
00:18:44,190 --> 00:18:45,278
proper care of her mother?
492
00:18:45,282 --> 00:18:46,592
No, quite the opposite.
493
00:18:46,692 --> 00:18:49,116
She's so vigilant about
keeping the catheter clean,
494
00:18:49,120 --> 00:18:51,059
she's breaking
the closed drainage system
495
00:18:51,063 --> 00:18:53,462
several times a day
to disinfect it.
496
00:18:53,466 --> 00:18:56,031
I'm pretty sure that's where
this infection's coming from.
497
00:18:56,035 --> 00:18:57,294
I'm just curious.
498
00:18:57,428 --> 00:18:58,700
Have you ever noticed...
I don't know,
499
00:18:58,704 --> 00:19:00,798
other behaviors like this before?
500
00:19:00,898 --> 00:19:03,238
You know, sort of
repetitive cleaning,
501
00:19:03,242 --> 00:19:06,145
checking, needing to do things
in a certain sequence...
502
00:19:06,245 --> 00:19:08,481
Lucy's always been
a perfectionist.
503
00:19:08,614 --> 00:19:10,303
She sets high standards
for herself.
504
00:19:10,307 --> 00:19:11,963
-Okay.
-And look...
505
00:19:11,967 --> 00:19:13,640
aren't there rules
in your profession about,
506
00:19:13,644 --> 00:19:15,642
you know, diagnosing people
in hallways?
507
00:19:15,646 --> 00:19:17,982
Sam, I haven't diagnosed anyone.
508
00:19:18,082 --> 00:19:19,479
I'm just... I'm just concerned.
509
00:19:19,483 --> 00:19:20,989
Well, maybe with
everything that happened
510
00:19:20,993 --> 00:19:23,592
with Anna last year,
you're projecting, you know,
511
00:19:23,596 --> 00:19:25,327
seeing warning signs
where there aren't any.
512
00:19:25,331 --> 00:19:26,995
Lucy has enough
on her plate as it is.
513
00:19:26,999 --> 00:19:28,163
She's got a sick mother.
514
00:19:28,167 --> 00:19:29,498
She's got a PhD program.
515
00:19:29,502 --> 00:19:30,632
She doesn't need you giving her
516
00:19:30,636 --> 00:19:32,304
one more thing to worry about.
517
00:19:41,614 --> 00:19:43,311
Caleb's labs are encouraging.
518
00:19:43,315 --> 00:19:45,639
His electrolytes
and kidney function are normal.
519
00:19:45,643 --> 00:19:47,119
All right.
520
00:19:47,253 --> 00:19:49,121
Hemoglobin's a little low.
521
00:19:49,255 --> 00:19:50,310
Yeah, mildly.
522
00:19:50,314 --> 00:19:51,590
It's likely nutritional.
523
00:19:51,690 --> 00:19:53,021
We'll have his pediatrician
follow up.
524
00:19:53,025 --> 00:19:54,414
All right.
525
00:19:54,418 --> 00:19:56,358
He's just a sunburned,
dehydrated little kid.
526
00:19:56,362 --> 00:19:58,919
After this bolus,
I think he's good to go.
527
00:19:58,923 --> 00:20:00,487
Well, all right.
528
00:20:00,491 --> 00:20:01,734
What you working on?
529
00:20:01,834 --> 00:20:04,900
Uh, application
for chief resident.
530
00:20:04,904 --> 00:20:07,360
-Oh, cool.
-Yeah.
531
00:20:07,364 --> 00:20:09,538
I had a little run-in
with our residency director
532
00:20:09,542 --> 00:20:12,032
this morning,
and then Ripley kind of
533
00:20:12,036 --> 00:20:14,146
got into my head that I need
to take more initiative.
534
00:20:14,280 --> 00:20:17,813
So... but, I mean,
chief resident is basically
535
00:20:17,817 --> 00:20:19,372
just all scheduling, right?
536
00:20:19,376 --> 00:20:21,554
-Yeah.
-Yeah, that's part of it.
537
00:20:22,780 --> 00:20:24,419
Well, what else is there?
538
00:20:24,423 --> 00:20:27,923
Um, I've... I've heard
it's a ton of admin meetings
539
00:20:27,927 --> 00:20:30,325
and committee work
and managing the call schedule.
540
00:20:30,329 --> 00:20:31,860
And then, of course,
you're the one fielding
541
00:20:31,864 --> 00:20:34,963
complaints from residents
and mediating disputes
542
00:20:34,967 --> 00:20:37,065
between residents and attendings.
543
00:20:37,069 --> 00:20:40,906
And I've just heard it's a lot,
but maybe that's your jam.
544
00:20:50,316 --> 00:20:51,780
Hey.
545
00:20:51,784 --> 00:20:53,419
Nora's biopsy's complete.
546
00:20:53,519 --> 00:20:55,750
Pathology's expediting
the results.
547
00:20:55,754 --> 00:20:56,752
Thank you.
548
00:20:56,756 --> 00:20:57,819
And if you need to go,
549
00:20:57,823 --> 00:20:59,387
I can text you when they come in.
550
00:20:59,391 --> 00:21:00,756
Uh, no, I'll stay.
551
00:21:00,760 --> 00:21:01,986
All right.
552
00:21:02,086 --> 00:21:03,150
Uh, Sharon?
553
00:21:03,154 --> 00:21:04,989
Yeah?
554
00:21:05,089 --> 00:21:06,828
I'll keep this short,
555
00:21:06,832 --> 00:21:08,321
because after the way I behaved,
556
00:21:08,325 --> 00:21:10,936
I wouldn't blame you for not
giving me the time of day.
557
00:21:12,605 --> 00:21:14,807
I owe you an apology.
558
00:21:14,907 --> 00:21:16,438
I demanded you let me
into your life
559
00:21:16,442 --> 00:21:18,673
while shutting you out of mine.
560
00:21:18,677 --> 00:21:20,433
And then after you did
everything you could
561
00:21:20,437 --> 00:21:24,613
to save my job, I blamed you
for not doing enough.
562
00:21:24,617 --> 00:21:26,248
I was wrong.
563
00:21:26,252 --> 00:21:27,453
I'm sorry.
564
00:21:28,921 --> 00:21:31,011
Thank you, Dennis.
565
00:21:31,015 --> 00:21:32,387
I appreciate that.
566
00:21:32,391 --> 00:21:34,389
I really do wish
I could've done more
567
00:21:34,393 --> 00:21:36,224
to protect you from Miranda,
568
00:21:36,228 --> 00:21:39,686
but you were, unfortunately,
collateral damage
569
00:21:39,690 --> 00:21:41,734
in her campaign against me.
570
00:21:41,867 --> 00:21:44,870
Well, leaving Med wasn't easy.
571
00:21:44,970 --> 00:21:47,435
But I like it over
at Midwest Advocate.
572
00:21:47,439 --> 00:21:48,970
I landed on my feet.
573
00:21:48,974 --> 00:21:50,772
I'm glad.
574
00:21:50,776 --> 00:21:54,042
The part I haven't
gotten over is losing you.
575
00:21:54,046 --> 00:21:56,941
Ms. Goodwin,
incoming level 1, Trauma 1.
576
00:21:59,351 --> 00:22:00,882
I'm sorry, I...
577
00:22:00,886 --> 00:22:02,379
I... I've gotta go.
578
00:22:02,479 --> 00:22:04,048
Of course, of course.
579
00:22:04,148 --> 00:22:06,225
Go.
580
00:22:06,325 --> 00:22:08,114
Feel free to take one
for the road.
581
00:22:08,118 --> 00:22:10,062
Hey, hey, Dr. Frost said one.
582
00:22:10,162 --> 00:22:12,598
If your mom knew
you were having sugar...
583
00:22:12,731 --> 00:22:14,058
Caleb's not been very good
584
00:22:14,158 --> 00:22:15,313
about brushing his teeth lately,
585
00:22:15,317 --> 00:22:16,431
and they're getting brown.
586
00:22:16,435 --> 00:22:18,633
So we are trying
to limit his sweets.
587
00:22:18,637 --> 00:22:20,001
I brush my teeth.
588
00:22:20,005 --> 00:22:21,899
Well, you are not doing
a very good job.
589
00:22:21,999 --> 00:22:23,300
Now, come on.
590
00:22:26,996 --> 00:22:28,072
Hey.
591
00:22:28,172 --> 00:22:29,511
Something wrong?
592
00:22:29,515 --> 00:22:31,513
My chest feels kind of funny.
593
00:22:31,517 --> 00:22:32,852
Funny how?
594
00:22:32,952 --> 00:22:35,951
Like there's a bird flapping
its wings inside of it.
595
00:22:35,955 --> 00:22:37,252
Okay.
596
00:22:37,256 --> 00:22:38,774
Let's lay you back down,
all right?
597
00:22:40,059 --> 00:22:41,485
There we go.
598
00:22:44,563 --> 00:22:45,898
Yeah, he's tachycardic.
599
00:22:45,998 --> 00:22:48,158
Let's put him on the monitor.
600
00:22:50,669 --> 00:22:53,093
Okay, sinus tach rate's 133.
601
00:22:53,097 --> 00:22:54,102
That's pretty high, right?
602
00:22:54,106 --> 00:22:55,595
It's higher than it should be.
603
00:22:55,599 --> 00:22:57,339
He's probably still
volume-depleted.
604
00:22:57,343 --> 00:22:59,708
We'll put him on some fluids,
repeat the labs,
605
00:22:59,712 --> 00:23:01,201
make sure nothing's changed,
all right?
606
00:23:01,205 --> 00:23:02,840
Yeah, whatever you need to do.
607
00:23:11,540 --> 00:23:12,808
Hey.
608
00:23:13,851 --> 00:23:15,144
Heard about the baby.
609
00:23:17,830 --> 00:23:19,565
Yeah.
610
00:23:21,200 --> 00:23:24,103
So a few months
after Sean was born,
611
00:23:24,203 --> 00:23:28,841
I lost a little boy in the OR.
612
00:23:28,974 --> 00:23:30,138
Eh...
613
00:23:31,777 --> 00:23:35,568
I mean, we kept the code going
for almost an hour,
614
00:23:35,572 --> 00:23:39,514
long after I knew that he...
he wasn't coming back.
615
00:23:39,518 --> 00:23:41,120
And all I kept thinking was,
616
00:23:41,220 --> 00:23:43,068
what if that was Sean
on the table?
617
00:23:43,072 --> 00:23:45,645
Because before I was a parent,
you know, I could just...
618
00:23:45,649 --> 00:23:47,626
I could compartmentalize
everything.
619
00:23:47,726 --> 00:23:51,559
But afterwards,
every kid was Sean.
620
00:23:51,563 --> 00:23:53,032
Every kid.
621
00:23:53,132 --> 00:23:54,700
Does that ever go away?
622
00:23:54,833 --> 00:23:56,489
No, it doesn't.
623
00:23:56,493 --> 00:23:59,355
You just get better at
handling it, that's all.
624
00:24:02,374 --> 00:24:05,235
I was not very good
at handling it today.
625
00:24:07,179 --> 00:24:09,911
Oh, when I told Jessa that her...
626
00:24:09,915 --> 00:24:12,509
that her baby was gone,
I couldn't hold it in.
627
00:24:12,609 --> 00:24:15,704
It was so unprofessional.
628
00:24:18,282 --> 00:24:20,755
She needed someone
to be strong for her,
629
00:24:20,759 --> 00:24:22,557
and I made her pain about me.
630
00:24:22,561 --> 00:24:24,284
But there's a difference between
631
00:24:24,288 --> 00:24:27,128
making a patient's tragedy
about yourself
632
00:24:27,132 --> 00:24:30,836
and letting them see
that it's affecting you too.
633
00:24:30,936 --> 00:24:33,468
And on the worst moment
of her life,
634
00:24:33,472 --> 00:24:35,120
maybe that's exactly
what Jessa needed,
635
00:24:35,124 --> 00:24:37,601
somebody to feel
the pain with her.
636
00:24:40,704 --> 00:24:41,876
Wait.
637
00:24:41,880 --> 00:24:42,848
Sorry.
638
00:24:42,948 --> 00:24:44,129
Uh, what gloves are you using?
639
00:24:44,133 --> 00:24:45,372
Oh, the ones in the kit.
640
00:24:45,376 --> 00:24:46,581
Shouldn't you change them?
641
00:24:46,585 --> 00:24:47,974
Oh, that's not necessary.
642
00:24:47,978 --> 00:24:49,551
But... but you touched
the swab.
643
00:24:49,555 --> 00:24:51,390
-Lucy, that...
-that's a sterile Foley kit.
644
00:24:51,490 --> 00:24:52,954
Everything in that package
is sterile.
645
00:24:52,958 --> 00:24:54,360
I'd be happy to change them
646
00:24:54,460 --> 00:24:55,657
if it would make you
more comfortable.
647
00:24:55,661 --> 00:24:56,791
That would be great.
648
00:24:56,795 --> 00:24:58,827
Trini, you don't need
to change your gloves.
649
00:24:58,831 --> 00:25:00,391
The swab was in
the basin on the bed.
650
00:25:00,491 --> 00:25:01,830
You picked it up.
You put it back.
651
00:25:01,834 --> 00:25:02,897
You touched the flush,
652
00:25:02,901 --> 00:25:03,898
and the flush touched the basin.
653
00:25:03,902 --> 00:25:04,933
So you need to start over.
654
00:25:04,937 --> 00:25:06,067
New basin, new flush, new gloves.
655
00:25:06,071 --> 00:25:07,502
Lucy, you're being irrational.
656
00:25:07,506 --> 00:25:08,628
Honey, you have to calm down.
657
00:25:08,632 --> 00:25:10,397
I can't calm down, Mom.
658
00:25:10,401 --> 00:25:12,945
What if bacteria gets
into your catheter again
659
00:25:13,045 --> 00:25:14,909
and this time gets
into your bloodstream
660
00:25:14,913 --> 00:25:16,811
and the antibiotics don't work
and your fever spikes?
661
00:25:16,815 --> 00:25:18,747
-None of that's happening.
-Okay, but it could happen.
662
00:25:18,751 --> 00:25:20,719
And she could get septic,
and she could die,
663
00:25:20,819 --> 00:25:22,984
and I will have just stood here
and... and let it happen.
664
00:25:22,988 --> 00:25:24,285
I can't let that happen.
I cannot let that happen!
665
00:25:24,289 --> 00:25:25,453
Lucy, nothing's happening.
666
00:25:25,457 --> 00:25:26,646
Your mother's gonna be fine.
667
00:25:26,650 --> 00:25:27,689
You don't know that!
668
00:25:27,693 --> 00:25:29,290
Hey, hey, hey,
you're catastrophizing.
669
00:25:29,294 --> 00:25:30,925
You just need to calm down.
670
00:25:30,929 --> 00:25:32,510
-I can't breathe.
-I can't breathe.
671
00:25:32,514 --> 00:25:33,762
I can't breathe.
672
00:25:33,766 --> 00:25:35,330
-I can't... I can't...
-Lucy, Lucy, look at me.
673
00:25:35,334 --> 00:25:37,432
Lucy, Lucy, you're having
a panic attack, okay?
674
00:25:37,436 --> 00:25:39,134
-I know, I...
-It feels really dangerous,
675
00:25:39,138 --> 00:25:40,235
-but it's not.
-Something's wrong.
676
00:25:40,239 --> 00:25:41,836
-Something's wrong.
-It's not dangerous,
677
00:25:41,840 --> 00:25:43,505
and it's gonna pass...
it's gonna pass.
678
00:25:43,509 --> 00:25:44,773
You know what helps?
679
00:25:44,777 --> 00:25:46,199
I want you to breathe
with me, all right?
680
00:25:46,203 --> 00:25:47,434
-Breathe in through your nose.
-I can't.
681
00:25:47,438 --> 00:25:48,443
-Look at me. Look at me.
-I can't.
682
00:25:48,447 --> 00:25:49,669
-Look at me.
-Okay, that's okay.
683
00:25:49,673 --> 00:25:50,645
Don't fight it. Don't fight it.
684
00:25:50,649 --> 00:25:51,980
Okay, look at Mom.
685
00:25:51,984 --> 00:25:53,481
What color is Mom's blanket?
686
00:25:53,485 --> 00:25:55,683
-It's... it's blue.
-That's right.
687
00:25:55,687 --> 00:25:56,847
It's blue. And how about Dad?
688
00:25:56,855 --> 00:25:57,877
What's Dad wearing?
689
00:25:57,881 --> 00:25:59,020
His gray coat.
690
00:25:59,024 --> 00:26:00,221
That's right, his gray coat.
691
00:26:00,225 --> 00:26:02,207
And so Dad's right there,
and he's okay.
692
00:26:02,211 --> 00:26:03,120
And Mom's okay.
693
00:26:03,220 --> 00:26:04,542
They're okay.
694
00:26:04,546 --> 00:26:05,727
And you know what?
You're okay too.
695
00:26:05,731 --> 00:26:06,694
You're okay.
696
00:26:06,698 --> 00:26:08,296
You're safe, Lucy, all right?
697
00:26:08,300 --> 00:26:10,432
Okay. Come on.
Come sit down here with me.
698
00:26:10,436 --> 00:26:11,603
There you go.
699
00:26:11,703 --> 00:26:13,138
You're doing great.
700
00:26:16,742 --> 00:26:19,470
Oh, my God, I'm sorry.
701
00:26:19,570 --> 00:26:22,581
I'm so sorry.
702
00:26:22,681 --> 00:26:26,406
I just... I...
I need to keep her safe.
703
00:26:37,196 --> 00:26:39,323
I'm sorry, what?
704
00:26:39,423 --> 00:26:40,929
You can't be serious.
705
00:26:40,933 --> 00:26:42,764
Pathology triple-checked
the results.
706
00:26:42,768 --> 00:26:45,533
Uh, your biopsy shows
707
00:26:45,537 --> 00:26:47,498
you don't have
cholangiocarcinoma.
708
00:26:47,598 --> 00:26:50,542
You have primary
biliary lymphoma.
709
00:26:50,642 --> 00:26:53,942
It grows much faster
than most bile duct cancers,
710
00:26:53,946 --> 00:26:56,515
which explains how
the mass grew so dramatically
711
00:26:56,615 --> 00:26:58,713
in such a short time.
712
00:26:58,717 --> 00:27:01,019
So I... I still have cancer?
713
00:27:01,120 --> 00:27:05,253
Yes, but, um,
this changes everything.
714
00:27:05,257 --> 00:27:06,779
It's an aggressive lymphoma,
715
00:27:06,783 --> 00:27:09,691
but also, it's highly
responsive to chemotherapy.
716
00:27:09,695 --> 00:27:13,132
In the majority of cases,
it can be cured.
717
00:27:19,029 --> 00:27:22,237
Well, Dr. Pitzer,
the doctor who diagnosed me,
718
00:27:22,241 --> 00:27:23,671
was she wrong not to do a biopsy?
719
00:27:23,675 --> 00:27:25,039
Because if we'd known sooner,
maybe we could've...
720
00:27:25,043 --> 00:27:26,345
No, she wasn't.
721
00:27:26,445 --> 00:27:29,310
The location and the appearance
of the tumor were classic
722
00:27:29,314 --> 00:27:30,795
for bile duct cancer.
723
00:27:30,799 --> 00:27:34,249
Lymphoma presenting this way
is extraordinarily rare.
724
00:27:34,253 --> 00:27:36,588
There was no reason
to suspect it.
725
00:27:36,688 --> 00:27:39,825
Before you came in,
I was planning my funeral...
726
00:27:41,718 --> 00:27:43,220
Making mental notes of everything
727
00:27:43,320 --> 00:27:45,597
Eden would need to know...
728
00:27:45,697 --> 00:27:47,749
bank accounts, passwords.
729
00:27:49,067 --> 00:27:51,128
Instead, we get to plan a future.
730
00:27:52,838 --> 00:27:56,062
All I wanted was
for you to be okay.
731
00:28:04,716 --> 00:28:06,014
How is Lucy?
732
00:28:06,018 --> 00:28:07,907
Dan gave her
a small dose of Ativan.
733
00:28:07,911 --> 00:28:09,417
She's resting in my office.
734
00:28:09,421 --> 00:28:14,359
He thinks this is likely
obsessive compulsive disorder.
735
00:28:14,459 --> 00:28:16,962
And given how severe
the symptoms have become,
736
00:28:17,095 --> 00:28:18,751
he's recommending a 30-day
737
00:28:18,755 --> 00:28:20,828
residential treatment program
at Northwestern.
738
00:28:20,832 --> 00:28:22,989
Well, how do we get her in?
739
00:28:22,993 --> 00:28:24,424
Getting her in isn't the issue.
740
00:28:24,428 --> 00:28:25,596
Dan just makes a phone call.
741
00:28:25,696 --> 00:28:27,135
It's getting her to go.
742
00:28:27,139 --> 00:28:29,671
Lucy won't leave you alone.
743
00:28:29,675 --> 00:28:32,644
Well, I'll... I'll move
to a nursing facility.
744
00:28:32,778 --> 00:28:34,108
I mean, whatever it takes.
745
00:28:34,112 --> 00:28:35,143
Lucy's not gonna agree to that.
746
00:28:35,147 --> 00:28:37,545
She's not gonna
put you in a home.
747
00:28:37,549 --> 00:28:42,554
No, you need to do
something very hard, Cynthia.
748
00:28:42,654 --> 00:28:44,686
You need to let me help you.
749
00:28:47,526 --> 00:28:49,257
All right.
750
00:28:49,261 --> 00:28:50,479
What was that?
751
00:28:52,698 --> 00:28:55,797
I said okay, Sam.
752
00:28:55,801 --> 00:28:57,899
30 years,
and you finally do what I ask.
753
00:28:57,903 --> 00:28:59,467
Are they sure you're not dying?
754
00:28:59,471 --> 00:29:01,640
It was the first good idea
you've had in 30 years.
755
00:29:01,740 --> 00:29:03,342
No, remember,
the divorce was my idea.
756
00:29:03,475 --> 00:29:04,739
Mm.
757
00:29:04,743 --> 00:29:07,809
I assume your, uh, child bride
is more agreeable.
758
00:29:07,813 --> 00:29:09,535
Michelle's nearly 40, you know.
759
00:29:09,539 --> 00:29:11,229
How near?
760
00:29:11,233 --> 00:29:12,501
35.
761
00:29:13,568 --> 00:29:15,049
Hey.
762
00:29:15,053 --> 00:29:17,952
Check out Caleb's hemoglobin.
763
00:29:17,956 --> 00:29:19,988
It's dropped a point
since he got here.
764
00:29:19,992 --> 00:29:22,427
Well, that could be dilution
from the fluids.
765
00:29:22,527 --> 00:29:25,627
Except his bilirubin
and LDH are climbing.
766
00:29:25,631 --> 00:29:27,078
He's hemolyzing.
767
00:29:27,082 --> 00:29:28,325
I knew those blisters were
768
00:29:28,425 --> 00:29:30,098
something worse than
just a bad sunburn.
769
00:29:30,102 --> 00:29:31,582
Okay, so what could
cause hemolysis
770
00:29:31,586 --> 00:29:33,939
and make his skin react
that violently to sunlight?
771
00:29:36,475 --> 00:29:38,139
His brown teeth.
772
00:29:38,143 --> 00:29:39,503
Porphyrins.
773
00:29:39,603 --> 00:29:41,776
If excess porphyrins are
building up in his teeth,
774
00:29:41,780 --> 00:29:43,478
-his skin, his blood cells...
-Exactly.
775
00:29:43,482 --> 00:29:44,650
It explains everything.
776
00:29:44,750 --> 00:29:46,681
The discoloration,
the anemia, the blistering.
777
00:29:46,685 --> 00:29:48,249
Okay, we're gonna need
a quantitative urine
778
00:29:48,253 --> 00:29:50,009
and plasma porphyrins
to start narrowing down
779
00:29:50,013 --> 00:29:51,653
the list of possible
blood disorders.
780
00:29:51,657 --> 00:29:52,687
No, it's okay.
781
00:29:52,691 --> 00:29:53,680
I have a faster way to see
782
00:29:53,684 --> 00:29:54,856
if we're on the right track.
783
00:29:54,860 --> 00:29:57,258
Just gotta visit my friend
in Dermatology.
784
00:29:57,262 --> 00:29:59,093
You're sleeping with
someone in Derm.
785
00:29:59,097 --> 00:30:00,795
I don't think
you can ask me that.
786
00:30:00,799 --> 00:30:02,834
It was a statement,
not a question.
787
00:30:02,934 --> 00:30:05,199
Well, your statement is
inaccurate.
788
00:30:05,203 --> 00:30:06,638
Mm.
789
00:30:06,738 --> 00:30:08,861
She's just giving me
a few chemical peels.
790
00:30:08,865 --> 00:30:10,142
Uh-huh.
791
00:30:13,979 --> 00:30:15,731
It was quite a day.
792
00:30:17,474 --> 00:30:18,479
Oh.
793
00:30:18,483 --> 00:30:21,353
Well, those don't look
like happy tears.
794
00:30:21,453 --> 00:30:24,310
I'm... I'm so incredibly happy
that Nora's gonna be okay.
795
00:30:24,314 --> 00:30:25,712
I am, I just...
796
00:30:25,716 --> 00:30:27,392
I don't know
what's gonna happen now.
797
00:30:27,492 --> 00:30:28,715
Can I sit?
798
00:30:28,719 --> 00:30:29,991
Yeah.
799
00:30:29,995 --> 00:30:32,593
So... what do you mean?
800
00:30:34,483 --> 00:30:37,432
Before Nora got sick,
I was thinking of leaving her.
801
00:30:37,436 --> 00:30:39,058
More than thinking about it.
802
00:30:39,062 --> 00:30:40,501
I... I started looking
at apartments.
803
00:30:40,505 --> 00:30:42,962
I consulted a divorce attorney.
804
00:30:42,966 --> 00:30:44,843
Does Nora know that?
805
00:30:46,002 --> 00:30:47,375
She knew I was unhappy.
806
00:30:47,379 --> 00:30:49,431
I don't think she understood
how unhappy.
807
00:30:50,615 --> 00:30:52,447
You got a small taste
of it today.
808
00:30:52,451 --> 00:30:54,982
The questions,
the second-guessing,
809
00:30:54,986 --> 00:30:57,001
telling everyone
how to do their jobs.
810
00:30:58,173 --> 00:30:59,679
Nora has to be in control.
811
00:30:59,683 --> 00:31:03,015
And before she got sick,
it extended to everything...
812
00:31:03,019 --> 00:31:04,851
her home, our marriage.
813
00:31:04,855 --> 00:31:07,328
But things changed
after she got sick?
814
00:31:07,332 --> 00:31:08,900
For the first time in years,
815
00:31:09,000 --> 00:31:12,763
Nora was faced with something
that she couldn't control.
816
00:31:12,863 --> 00:31:14,761
It made her vulnerable.
817
00:31:14,765 --> 00:31:17,542
She had to lean on me,
let me take care of her.
818
00:31:19,378 --> 00:31:21,546
We started to feel
like partners again.
819
00:31:23,849 --> 00:31:26,114
I want her to be better.
That's all that I want.
820
00:31:26,118 --> 00:31:27,682
But what if getting better
means...
821
00:31:27,686 --> 00:31:30,118
Things go back
to the way they were?
822
00:31:30,122 --> 00:31:33,855
You know, what Nora's
gone through changes people...
823
00:31:33,859 --> 00:31:37,625
sometimes for a period,
but sometimes forever.
824
00:31:37,629 --> 00:31:41,045
You don't know yet who
either of you are going to be
825
00:31:41,049 --> 00:31:43,047
on the other side of this.
826
00:31:43,051 --> 00:31:45,733
But...
827
00:31:45,737 --> 00:31:50,242
you don't have to decide today.
828
00:31:59,651 --> 00:32:00,919
How's she been?
829
00:32:02,487 --> 00:32:04,544
Asleep, mostly.
830
00:32:04,548 --> 00:32:05,987
That's not unusual.
831
00:32:05,991 --> 00:32:07,692
Between the fall, the anesthesia,
832
00:32:07,793 --> 00:32:09,891
all the pain medication...
833
00:32:09,895 --> 00:32:11,680
her body's been through a lot.
834
00:32:13,765 --> 00:32:15,246
Hey, Jessa.
835
00:32:15,250 --> 00:32:16,601
Mm.
836
00:32:19,271 --> 00:32:20,585
Where am I?
837
00:32:20,589 --> 00:32:22,440
We moved you to the ICU.
838
00:32:25,101 --> 00:32:26,941
I'm sorry, who are you?
839
00:32:26,945 --> 00:32:30,336
Um, honey, this is Dr. Asher.
840
00:32:30,340 --> 00:32:31,483
Remember?
841
00:32:31,583 --> 00:32:34,148
She's the doctor who operated.
842
00:32:34,152 --> 00:32:35,950
What happened?
843
00:32:35,954 --> 00:32:38,252
Oh, did I have the baby?
844
00:32:41,284 --> 00:32:43,962
Please tell me where my baby is.
845
00:32:49,818 --> 00:32:52,300
Neurology will speak
with you, but they believe that
846
00:32:52,304 --> 00:32:55,670
Jessa has anterograde amnesia,
which is affecting
847
00:32:55,674 --> 00:32:58,310
her ability to create
new memories post-accident.
848
00:32:58,410 --> 00:33:00,041
Will... will she get better?
849
00:33:00,045 --> 00:33:01,033
Yes.
850
00:33:01,037 --> 00:33:02,602
This is temporary.
851
00:33:02,606 --> 00:33:06,142
Her memory should improve
over the next few days.
852
00:33:06,243 --> 00:33:08,316
And until then...
853
00:33:08,320 --> 00:33:10,447
She'll continue to forget
what we've told her.
854
00:33:13,783 --> 00:33:15,656
Jessa suffered two miscarriages
855
00:33:15,660 --> 00:33:17,245
before this pregnancy.
856
00:33:18,755 --> 00:33:20,999
She wanted this baby so badly.
857
00:33:22,125 --> 00:33:23,501
We both did.
858
00:33:24,828 --> 00:33:26,504
She's asking for you.
859
00:33:27,664 --> 00:33:29,508
I'll help you tell her.
860
00:33:31,543 --> 00:33:32,840
What's that?
861
00:33:32,844 --> 00:33:35,514
This is called a Wood's lamp.
862
00:33:35,614 --> 00:33:37,937
Dermatologists use it
to look for things on your skin
863
00:33:37,941 --> 00:33:39,601
you can't see in normal light.
864
00:33:41,152 --> 00:33:42,116
You ready?
865
00:33:42,120 --> 00:33:43,605
Give me a big smile, Caleb.
866
00:33:44,956 --> 00:33:46,721
Why do his teeth look like that?
867
00:33:46,725 --> 00:33:48,314
Erythrodontia.
868
00:33:48,318 --> 00:33:50,725
It happens when porphyrins
accumulate in the teeth.
869
00:33:50,729 --> 00:33:53,027
I want to see.
870
00:33:53,031 --> 00:33:55,133
His blisters,
the anemia, his teeth,
871
00:33:55,233 --> 00:33:56,898
they all point to a rare
metabolic disorder
872
00:33:56,902 --> 00:33:58,194
called Gunther disease.
873
00:33:58,295 --> 00:33:59,704
What do you think?
874
00:33:59,804 --> 00:34:01,193
Whoa!
875
00:34:01,197 --> 00:34:02,662
This is so cool.
876
00:34:02,666 --> 00:34:04,142
How do you treat it?
877
00:34:04,242 --> 00:34:06,307
With rigorous protection
from sunlight
878
00:34:06,311 --> 00:34:09,076
and blood transfusions
to control the anemia.
879
00:34:09,080 --> 00:34:11,913
Is this something he's gonna
have for the rest of his life?
880
00:34:11,917 --> 00:34:13,852
It's genetic, so yes.
881
00:34:13,952 --> 00:34:15,550
But now that we know
what we're dealing with,
882
00:34:15,554 --> 00:34:18,381
we can prevent him
from further damage.
883
00:34:18,481 --> 00:34:20,154
We'll have Hematology
down shortly
884
00:34:20,158 --> 00:34:21,480
to talk you guys
through everything.
885
00:34:21,484 --> 00:34:23,015
Thank you so much.
886
00:34:23,019 --> 00:34:24,062
Of course.
887
00:34:24,162 --> 00:34:25,480
We'll see you in a bit, kid.
888
00:34:29,059 --> 00:34:31,836
Um, Wood's lamp, right?
889
00:34:31,937 --> 00:34:34,268
You don't see these
every day in the ED.
890
00:34:34,272 --> 00:34:36,395
Just used it to diagnose a kid
891
00:34:36,399 --> 00:34:38,639
with congenital
erythropoietic porphyria.
892
00:34:38,643 --> 00:34:39,703
Oh.
893
00:34:39,803 --> 00:34:41,058
That's, uh, quite the catch.
894
00:34:41,062 --> 00:34:43,227
Well, his worsening anemia
didn't fit dehydration.
895
00:34:43,231 --> 00:34:45,684
And then we noticed
a staining on his teeth,
896
00:34:45,784 --> 00:34:48,215
and I remembered that
erythroderma fluoresces red
897
00:34:48,219 --> 00:34:49,734
under a Wood's lamp.
898
00:34:49,738 --> 00:34:51,752
Yeah... I expect so little
from residents.
899
00:34:51,756 --> 00:34:54,055
Nicely done.
900
00:34:54,059 --> 00:34:57,754
Uh, what was that?
901
00:34:57,854 --> 00:35:00,686
You kind of just made it sound
like it was all your idea.
902
00:35:00,690 --> 00:35:03,264
Oh. Um, God, I'm... I'm sorry.
903
00:35:03,268 --> 00:35:04,749
I didn't even think about that.
904
00:35:04,753 --> 00:35:06,968
I don't really pay attention
to who gets the credit,
905
00:35:06,972 --> 00:35:09,240
but, um, my bad.
906
00:35:09,341 --> 00:35:11,806
No, it's, uh... forget it.
907
00:35:11,810 --> 00:35:13,737
-Are you sure?
-I'm... I'm sorry. Again...
908
00:35:13,837 --> 00:35:15,280
Totally, it's... it's fine.
909
00:35:15,380 --> 00:35:16,573
Okay.
910
00:35:19,342 --> 00:35:22,675
So Northwestern can take Lucy
whenever she's ready.
911
00:35:22,679 --> 00:35:23,918
Thanks.
912
00:35:23,922 --> 00:35:25,786
She's agreed to go
once we have full-time care
913
00:35:25,790 --> 00:35:27,417
-in place for her mother.
-Great.
914
00:35:27,517 --> 00:35:29,281
I contacted an agency,
and they're gonna send
915
00:35:29,285 --> 00:35:31,896
some caregivers over to me
with Cynthia on Monday.
916
00:35:31,997 --> 00:35:34,053
I'm sure she'll reject
the first six on principle,
917
00:35:34,057 --> 00:35:35,780
but we'll get there.
918
00:35:35,784 --> 00:35:37,281
I don't doubt it for a second.
919
00:35:37,285 --> 00:35:38,866
Dan, thank you for stepping
in with Lucy earlier.
920
00:35:38,870 --> 00:35:39,963
Sam, come on.
921
00:35:40,063 --> 00:35:41,285
My attempt to calm her down
922
00:35:41,289 --> 00:35:43,004
had roughly the opposite effect.
923
00:35:43,008 --> 00:35:44,768
Look, this situation is
924
00:35:44,868 --> 00:35:47,767
a classic parental
minefield, right?
925
00:35:47,771 --> 00:35:49,935
You're damned
if you open your mouth,
926
00:35:49,939 --> 00:35:51,608
and you're damned if you don't.
927
00:35:57,789 --> 00:35:59,612
They're moving her
upstairs shortly.
928
00:35:59,616 --> 00:36:01,313
I got her the VIP suite.
929
00:36:01,317 --> 00:36:02,744
Thanks, Dad.
930
00:36:04,596 --> 00:36:06,956
I dropped the ball, Lucy.
931
00:36:07,057 --> 00:36:08,387
The signs have been
there for years,
932
00:36:08,391 --> 00:36:10,481
but I was too busy
fighting with your mother,
933
00:36:10,485 --> 00:36:12,258
which I'm sure
only exacerbated...
934
00:36:12,262 --> 00:36:13,834
Can we just skip this part?
935
00:36:13,838 --> 00:36:15,102
What part?
936
00:36:15,106 --> 00:36:17,988
The part where
you blame yourself.
937
00:36:17,992 --> 00:36:21,167
You have far less influence
over me than you think.
938
00:36:22,831 --> 00:36:25,496
Dad, I...
939
00:36:25,500 --> 00:36:28,074
I need you to promise me
that you'll take care of Mom.
940
00:36:28,078 --> 00:36:30,918
Lucy...
941
00:36:30,922 --> 00:36:32,486
you have my word.
942
00:36:32,490 --> 00:36:34,522
Your mother's gonna be
taken care of.
943
00:36:34,526 --> 00:36:38,321
Your only job is
to take care of yourself.
944
00:36:43,660 --> 00:36:46,863
Congratulations are
in order, Dr. Wu.
945
00:36:46,963 --> 00:36:48,969
Or should I say Gaffney's next
946
00:36:48,973 --> 00:36:51,201
emergency medicine
chief resident?
947
00:36:51,301 --> 00:36:52,510
Oh, even running unopposed,
948
00:36:52,610 --> 00:36:54,041
I'm grateful for the opportunity.
949
00:36:54,045 --> 00:36:56,535
Well, taking on
a role this demanding
950
00:36:56,539 --> 00:36:59,680
while finishing your residency
is quite admirable.
951
00:36:59,684 --> 00:37:01,377
I know it'll be
a lot of extra work,
952
00:37:01,478 --> 00:37:03,951
but some opportunities
are worth it.
953
00:37:03,955 --> 00:37:04,885
You got this.
954
00:37:04,889 --> 00:37:06,053
Dr. Heart.
955
00:37:06,057 --> 00:37:07,688
I hope I'm not too late.
956
00:37:07,692 --> 00:37:09,724
-Deadline said end of day, so...
-Oh.
957
00:37:09,728 --> 00:37:12,197
And the day is not over.
958
00:37:12,297 --> 00:37:14,699
Frankly, I'm just pleased
to see you putting yourself
959
00:37:14,799 --> 00:37:18,299
forward for a leadership
position, Dr. Frost.
960
00:37:18,303 --> 00:37:20,034
And, uh, just so you know,
961
00:37:20,038 --> 00:37:22,903
Dr. Wu has also declared
her interest.
962
00:37:22,907 --> 00:37:25,272
So since there are
two candidates now,
963
00:37:25,276 --> 00:37:28,709
the ED attendings will be
making the final decision.
964
00:37:28,713 --> 00:37:31,082
Looks like we've got
ourselves a race.
965
00:37:34,552 --> 00:37:36,183
That was a hell of a catch.
966
00:37:36,187 --> 00:37:37,243
Yeah.
967
00:37:37,247 --> 00:37:39,570
We got lucky.
968
00:37:39,574 --> 00:37:42,218
Uh, I guess
I probably should head out.
969
00:37:45,029 --> 00:37:46,389
Be well, Dennis.
970
00:37:48,533 --> 00:37:50,064
You too, Sharon.
971
00:38:03,281 --> 00:38:06,718
I found Miranda's mystery
visitors in the security logs.
972
00:38:06,818 --> 00:38:10,484
Miranda met with the executive
search firm the board retained
973
00:38:10,488 --> 00:38:12,578
after Quinley announced
his retirement.
974
00:38:12,582 --> 00:38:14,788
Well, that's hardly a secret.
975
00:38:14,792 --> 00:38:17,458
I mean, everyone knows
that Gaffney is
976
00:38:17,462 --> 00:38:19,326
looking for a new CEO.
977
00:38:19,330 --> 00:38:21,095
Why would she need
to hide the fact that
978
00:38:21,099 --> 00:38:23,189
she was advising them
on the search?
979
00:38:23,193 --> 00:38:25,591
Because she wasn't advising them.
980
00:38:25,595 --> 00:38:27,935
I mean, at least that's not
what it looks like.
981
00:38:27,939 --> 00:38:29,419
Look, in preparation
for this meeting,
982
00:38:29,507 --> 00:38:31,739
Miranda had her office
pull five years of
983
00:38:31,743 --> 00:38:34,308
departmental financials,
charting the hospital's margins
984
00:38:34,312 --> 00:38:38,128
from before and after her
arrival, a nice summary
985
00:38:38,132 --> 00:38:41,182
of every cost-cutting
initiative she's implemented,
986
00:38:41,186 --> 00:38:44,802
her five-year strategic plan
for Gaffney.
987
00:38:44,806 --> 00:38:49,623
So Miranda isn't helping them
choose the next CEO.
988
00:38:49,627 --> 00:38:52,630
She wants to be the next CEO.
989
00:38:52,730 --> 00:38:55,387
Bingo.
990
00:39:02,073 --> 00:39:05,039
What?
991
00:39:07,337 --> 00:39:08,901
Oh.
992
00:39:18,189 --> 00:39:20,275
Ooh. Oof.
993
00:39:22,460 --> 00:39:23,991
You got her down by 8:00?
994
00:39:23,995 --> 00:39:26,961
No one's more surprised
than I am, believe me.
995
00:39:26,965 --> 00:39:28,295
-Okay, so...
-What is...
996
00:39:28,299 --> 00:39:30,014
Well, I'm gonna tell you.
997
00:39:30,018 --> 00:39:33,801
So I figured that, you know, at
least one of these would work.
998
00:39:33,805 --> 00:39:35,069
But you know what?
The hell with it.
999
00:39:35,073 --> 00:39:36,695
Let's just put all of them
on her and, I don't know,
1000
00:39:36,699 --> 00:39:40,645
have a photo shoot
and take Doris's advice.
1001
00:39:40,745 --> 00:39:44,716
You know, collect blackmail
for when she's 16 and hates us.
1002
00:39:48,119 --> 00:39:49,879
Do you want me to run you a bath?
1003
00:39:49,979 --> 00:39:51,785
You can just stay in there
as long as you want.
1004
00:39:51,789 --> 00:39:53,558
I'll take the first shift.
1005
00:40:06,537 --> 00:40:08,961
I'd rather stay right here.