Original subtitles

We had a deal.

You are no longer employed here.

Did you really think I was gonna sit home

while you undermine the mission of this hospital?

I can't stop Sharon working here,

but I can control who runs the ED,

and that's no longer going to be you.

I'm assuming that Miranda's not playing on the level.

I know she's not.

The problem is proving it.

Well, how would you like a little help?

Hey.

Oh.

Why did you want to meet here?

Because I can't risk anyone seeing us together, okay?

If Miranda finds out I'm feeding you information...

You'll also be looking for a new line of work.

Yes, and unlike you, I don't look good in scrubs.

You have information.

-All right. -Okay, here's the headline.

Miranda had a three-hour closed-door meeting

last Wednesday, okay?

It didn't appear on her official calendar.

There's no minutes, no memos.

Well, who was she meeting with?

No one seems to know.

Well, someone has to know.

Ask Felicia in Security for a list

of all the temporary badges that were issued on Wednesday.

Look, if I start pulling security records,

Miranda's gonna find out.

Peter, you're the hospital's counsel.

Come up with something attorney-like.

You know, the things I do for you...

-Yeah. -And do me one more favor.

The next time, just walk up to me

like a normal person.

You almost gave me a heart attack.

Okay, then Mario and Luigi.

-Absolutely not. -Come on.

I bet you look great in a pair of overalls.

I do, but it's still a hard no.

Dr. Frost.

Just the person I've been trying to reach.

Dr. Heart, hey. I'm sorry.

I have been meaning to email you back.

Well, attending positions are opening very soon,

so we need to discuss your CV, your references,

your interview strategy.

Absolutely. I'm all over it.

Just make sure we get something on the calendar.

I want to make sure you're set up for success.

-Great. -All right.

Good morning, Dr. Ripley.

Morning.

You really should meet with Heart.

Job market's supposed to be brutal this year.

Yeah, I'm not too worried about it.

Look, I know things typically

have a way of working out for you...

Are you forgetting the fact that Naomi kind of

just dumped me?

I thought that was mutual.

Look, if you want to stay at Gaffney,

you're gonna have competition.

There's only so many attending spots to go around.

What should I be doing that I am not already doing?

Taking initiative.

People aren't just gonna hand you opportunities.

Mm. That's great advice.

See, I do better with specifics,

so maybe give me something actionable, Dr. Yoda.

Take on a leadership role.

Okay, you're in your final year of residency.

Put yourself up for chief resident.

Aren't those applications due, like, today?

Then you still have time.

So there's family ideas, but I wanted to focus on her.

And I have a few saved.

What do you think?

Oh, baby Elton John. No contest.

Mm, no, I say go classic,

like pea pod or pumpkin or something cute.

Okay, I'll bite. What are we, uh...

Uh, baby Mabel's first Halloween costume.

Mabel, our four-month-old

who will have absolutely no memory of what she wore?

-Mm. -It's not for her, Dr. Archer.

It's so you have a picture of your adorable baby

as a tiny pop icon.

That's the whole point of having kids.

-Yes. -Side benefit down the line...

blackmail material for the teen years.

-It's perfect. -Excuse me.

If I could have your attention.

Everybody listen up!

-Oh. -Thank you.

Good morning.

I just have a brief staffing announcement.

First, I would like to thank Dr. Archer

for his excellent work as interim ED chief.

He'll remain in the position throughout the end of the week,

after which he will be stepping away

to focus on several key departmental initiatives.

Can't wait to hear what those are.

So if everyone could please

thank Dr. Archer for his service.

Go, Dean!

And please, if you could welcome Dr. Ripley,

who will assume the position of interim ED chief,

effective Monday.

I... I will?

Congratulations, Dr. Ripley.

My office will be in touch regarding the transition.

Thank you.

Well, guess sometimes

you do get handed opportunities, huh?

Got the big dog ED chief, chief resident.

We're gonna be running this place.

-Oh. -God help us.

Dr. Archer, we need you in Treatment 3.

Got Cynthia Peterson, 55, advanced multiple sclerosis.

Presenting with fever, tachycardia,

and intermittent vomiting.

Her daughter, Lucy, called 911.

Lucy Abrams.

Sam's daughter.

Yep.

And is that his ex-wife?

Mm-hmm.

Are they on good terms?

Well, let's put it this way.

She tried bribing the ambulance driver

to take her to any other hospital.

We're going to Trauma 1.

Jessa Huntington, 36-year-old female,

37 weeks pregnant, fell down a flight of stairs.

-I was right behind her. -Uh, she missed a step.

I... I couldn't catch her.

Struck her head against the metal railing

before landing on her abdomen.

Had a witnessed seizure after the fall and was postictal.

GCS 13. Heart rate's 115.

Initial pressure 80/40.

Improved to 95/53 with fluids.

Last fetal heart rate was 113.

We're gonna need a chest X-ray,

a FAST exam, and a head CT.

Uh, let's prepare to transfer, folks.

Hold on, hold on, hold on.

Baby's heart rate's in the 80s.

We need to deliver now. Change of plans.

Everybody, we're headed upstairs.

-Let's go. -Is the baby gonna be okay?

Kacy, call the OR.

-Emergency C-section. -Go ahead. Go, go, go.

Tell them to activate the neonatal team.

On it.

I... I want to go with my wife.

-Sorry, she's too unstable. -You can't be in the OR.

-Please. -Doris will stay with you.

We'll update you as soon as we can.

Please.

Please! You... you have to save them.

Your liver transplant is scheduled for next week?

Thursday.

My brother's the donor.

Which is why we came straight in

when she woke up with abdominal pain.

We didn't want to take any chances.

Tumor is right where the bile duct leaves my liver.

They can't resect it, so transplant's my only option.

And really, it's a Hail Mary.

Hey, I thought we were staying positive.

We are, it's just...

this cancer has a very high recurrence rate,

so it's... but we're staying positive.

I'm not gonna let a little stomachache

keep us from Italy.

-Oh, you have a trip planned. -Yeah.

A cruise for our ten-year anniversary.

As soon as I'm cleared to travel.

Let's get a full set of labs.

And a CT.

Nora, let the doctor...

We both know that's where this is headed.

We can skip ahead to the CT.

Given the upcoming transplant,

your surgeons are gonna want imaging.

With contrast.

If your kidney function allows it.

It does.

Nora.

Oh. Okay.

Okay, I'll back off.

You're the doctor.

Okay.

Uh, we'll loop in your oncologist

at Midwest Advocate and, uh, get going on these labs.

Thank you, Dr. Ripley.

Yeah. You're welcome.

I'll take care of notifying Nora's oncologist.

Dr. Ripley, you're about to take over as chief.

You've got enough on your plate.

You don't need to lighten my load.

Just treat me like any other nurse in the ED.

Uh, no, it's not that.

Nora's oncologist is, uh, Dennis Washington.

Oh.

I didn't see that.

I heard he was at Midwest Advocate.

Actually, if you don't mind making that call.

Consider it done.

Thank you.

All right, buddy, just follow my finger for me, okay?

Just with your eyes.

Yeah, we got back from Miami last night.

Caleb spent most of his time in the pool or in the ocean.

Well, his skin's pretty red.

Was he wearing sunscreen?

Uh, yeah, yeah, but we were

chasing around his two-year-old brother a lot.

We probably didn't reapply enough.

And plus, Caleb refused to wear his rash guard.

Mom said I didn't have to if I wore the floppy hat.

You should hear him negotiate bedtimes.

All right, well, a severe burn can blister.

And combined with dehydration,

that would explain the fainting.

It could.

But this blistering is a bit more impressive

than we'd expect from a sunburn,

so we'll get some labs going and start him on fluids.

Uh, great. Uh, thanks.

Yeah.

The neonatal team is still responding to another code.

Backup's on the way, but we may deliver before they get here.

Then we're the neonatal team until they arrive.

Cutting.

Okay, I got the head.

-Kai, more fundal pressure. -Yeah.

Come on.

Hi, baby girl.

Hi there.

Okay, clamp.

Hey there.

All right.

Here we go.

Okay.

Here we go.

Dr. Asher, baby's in distress.

Okay, I'll be right there.

Deliver the placenta, then start closing the uterus.

Got it.

Heart rate's 80.

Starting positive pressure ventilation.

Mom's pressure's 60/30 and falling.

Call for blood.

Mom's hemorrhaging.

Heart rate's down to 50.

Okay, keep ventilating.

I'm starting compressions.

Kai, check her uterine tone.

Yeah.

It's firm. It's not atony.

-We've got her. -All right.

Pack.

More laps.

Oh, my God.

Is that Dan Charles?

How the heck are you?

Well, better now.

Oh.

You know, your father and I used to double-date

with Dan and his wife, Susan.

How is Susan?

Oh, no. God.

You're divorced.

-Yeah. -Sorry.

-It's okay. -MS brain.

Uh, how's the new wife?

Uh, Linda.

Lucia.

Uh, you know what?

She took off too.

Quite a while ago now.

I know... it's a pretty damning pattern, isn't it?

At least I'm still, you know, startlingly attractive.

Indeed, you are.

Well, thank you.

-You know our daughter, Lucy. -Of course.

You probably don't remember me, Lucy,

but I remember your dad carrying you

through these very halls on his shoulders

when you were just a tot,

often wearing a sparkly tutu, if memory serves, right?

Uh, yeah.

Yeah, I think I am.

I... uh, Mom?

Okay, don't get mad, but I called Dad.

Mm.

He was gonna find out you're here.

Yeah, it's true.

You know, VIP shows up,

word travels fast in these parts.

Hey, Dad.

Hi.

Get it over with.

I look like crap.

You look thin, that's all.

You look puffy and tired.

Toddler keeping you up?

How high was her fever?

Uh, I just got here.

102, Dad.

They send urine and blood cultures?

No. Gosh.

Without you here, Sam,

the doctors have just been sitting around guessing.

Uh...

-Any drop in urine output? -Yeah.

My urine is none of your business.

I assure you, this isn't personal curiosity.

No, it's just an opportunity to remind everyone

you're the smartest person in the room.

What, you above taking the bait?

You ever considered maybe I'm just a better person than you?

No.

And I don't need your pity.

Hey, Lucy,

are you enjoying this as much as I am?

You know it.

-Hey, Cynthia. -Got your results.

-Oh, phew. -No, no.

You stay.

I like you.

You, I've seen enough of.

Bye now.

I'm afraid you've got a kidney infection.

Long-term catheters are a common source.

Who handles yours?

Uh, oh, I do.

Well, we'll have to have a nurse

review Foley care with you, so...

I clean it exactly the way I was taught.

I'm very thorough.

Okay, we're gonna start IV antibiotics,

but because of the vomiting and fever,

I'd like to admit you under observation

until the culture sensitivities come back.

Mom's still hypertensive.

More. More.

Okay.

Looks like the blood is welling up from behind the uterus.

I need more exposure.

Okay.

There.

She's got a posterior uterine rupture

extending to her cervix.

-See it. -Allis.

O Vicryl.

All right, get ready.

Scissors.

Pressure's coming up.

20 minutes.

Still no cardiac activity.

Time of death, 10:04.

Sharon?

Dennis. Hello.

I had heard you stepped out as executive director, but...

Sharon Goodwin back in nursing scrubs

wasn't on your bingo card?

Not even close.

Well, I missed nursing.

After all those years behind a desk,

I missed being at the bedside.

Dr. Washington.

Thanks for coming over so fast.

Of course.

-You get Nora's CT back yet? -Yeah.

Any indication what's causing her pain?

A gallstone.

Well, that's a relief.

We can address that during the transplant.

Well, unfortunately, there is something else

you need to see on the scan.

So transplant's off the table?

Completely?

I'm sorry, Nora.

Your latest CT shows the tumor has grown

past the 3-centimeter cutoff.

That puts you outside of transplant protocol.

The only reason you know that is because I came in today.

I should've muscled through the pain.

They would've discovered it during the preoperative work.

There's no version where this stayed hidden.

Guess Italy's off.

Hope the tickets are refundable.

Hey, we don't know that.

Yes, we do.

If the transplant's no longer an option,

could we biopsy the tumor?

The doctor who diagnosed Nora said that was too risky,

that the needle could spread cancer cells?

She was right.

A core needle biopsy could have seeded the tumor

in the needle track, and that would've disqualified

Nora from... from transplant.

Now I'm disqualified anyway, so...

Yeah, but a biopsy will give us tissue

for genetic testing.

And if the tumor has an actionable mutation,

we may be able to treat it with a targeted drug.

Wait, treat it?

How? Like, cure it?

Well, no,

but we may be able to slow down the progression.

Uh, for how long?

It's hard to know.

Months... possibly a year,

if we find a mutation we can target.

Do the biopsy.

Hey, honey.

Hi.

Oh, uh...

you're probably a little sore from the breathing tube.

Um, you fell, Jessa.

You hit your head.

Um...

the scans don't show any bleeding,

so you're gonna be okay.

The baby?

Jessa, we had to deliver her.

She didn't survive.

I am so sorry.

We did everything... everything that we could.

No.

I'm so sorry.

No!

You saw her?

I did.

What did she look like?

She was beautiful.

Would you like to hold your daughter?

We can bring her to you.

You're right.

She's so beautiful.

I know. I... I understand.

I, um... you know what?

I will figure something out.

Everything okay?

Oh, yeah.

I'm just falling behind on my dissertation,

and my advisor's starting to lose patience.

Wow.

You're chasing a PhD and caring for your mom?

That's gotta be tricky.

I can manage.

As long as my mom's okay, I'm okay.

That's all I care about.

Well, if there's anything that I can do.

Uh, actually, that is why

I'm so confused about the infection.

I'm meticulous with my mom's catheter.

I clean it constantly.

I disconnect it from its drainage tubing

several times a day so I can clean the connection points.

And then I sanitize everything thoroughly

before I put it back together, so...

Lucy, do you mind if I ask you something?

Oh.

-It's just a nervous habit. -Oh, no, no.

I didn't mean to put you on the spot.

No, uh, I, uh...

I should get back to my mom.

Hey, honey.

Lucy, you okay?

Yeah, all good.

What was that about?

Sam, look, I...

I hope I'm not overstepping,

but I'm worried that maybe Lucy might need

a little more support in looking after Cynthia...

you know, that maybe this current setup is...

I don't know, it's just not optimal for either of them.

Well, I've tried.

I've offered to cover the costs,

but Cynthia's too damn stubborn to accept my help.

Wait, what do you mean, not optimal?

Are you saying that Lucy hasn't been taking

proper care of her mother?

No, quite the opposite.

She's so vigilant about keeping the catheter clean,

she's breaking the closed drainage system

several times a day to disinfect it.

I'm pretty sure that's where this infection's coming from.

I'm just curious.

Have you ever noticed... I don't know,

other behaviors like this before?

You know, sort of repetitive cleaning,

checking, needing to do things in a certain sequence...

Lucy's always been a perfectionist.

She sets high standards for herself.

-Okay. -And look...

aren't there rules in your profession about,

you know, diagnosing people in hallways?

Sam, I haven't diagnosed anyone.

I'm just... I'm just concerned.

Well, maybe with everything that happened

with Anna last year, you're projecting, you know,

seeing warning signs where there aren't any.

Lucy has enough on her plate as it is.

She's got a sick mother.

She's got a PhD program.

She doesn't need you giving her

one more thing to worry about.

Caleb's labs are encouraging.

His electrolytes and kidney function are normal.

All right.

Hemoglobin's a little low.

Yeah, mildly.

It's likely nutritional.

We'll have his pediatrician follow up.

All right.

He's just a sunburned, dehydrated little kid.

After this bolus, I think he's good to go.

Well, all right.

What you working on?

Uh, application for chief resident.

-Oh, cool. -Yeah.

I had a little run-in with our residency director

this morning, and then Ripley kind of

got into my head that I need to take more initiative.

So... but, I mean, chief resident is basically

just all scheduling, right?

-Yeah. -Yeah, that's part of it.

Well, what else is there?

Um, I've... I've heard it's a ton of admin meetings

and committee work and managing the call schedule.

And then, of course, you're the one fielding

complaints from residents and mediating disputes

between residents and attendings.

And I've just heard it's a lot, but maybe that's your jam.

Hey.

Nora's biopsy's complete.

Pathology's expediting the results.

Thank you.

And if you need to go,

I can text you when they come in.

Uh, no, I'll stay.

All right.

Uh, Sharon?

Yeah?

I'll keep this short,

because after the way I behaved,

I wouldn't blame you for not giving me the time of day.

I owe you an apology.

I demanded you let me into your life

while shutting you out of mine.

And then after you did everything you could

to save my job, I blamed you for not doing enough.

I was wrong.

I'm sorry.

Thank you, Dennis.

I appreciate that.

I really do wish I could've done more

to protect you from Miranda,

but you were, unfortunately, collateral damage

in her campaign against me.

Well, leaving Med wasn't easy.

But I like it over at Midwest Advocate.

I landed on my feet.

I'm glad.

The part I haven't gotten over is losing you.

Ms. Goodwin, incoming level 1, Trauma 1.

I'm sorry, I...

I... I've gotta go.

Of course, of course.

Go.

Feel free to take one for the road.

Hey, hey, Dr. Frost said one.

If your mom knew you were having sugar...

Caleb's not been very good

about brushing his teeth lately,

and they're getting brown.

So we are trying to limit his sweets.

I brush my teeth.

Well, you are not doing a very good job.

Now, come on.

Hey.

Something wrong?

My chest feels kind of funny.

Funny how?

Like there's a bird flapping its wings inside of it.

Okay.

Let's lay you back down, all right?

There we go.

Yeah, he's tachycardic.

Let's put him on the monitor.

Okay, sinus tach rate's 133.

That's pretty high, right?

It's higher than it should be.

He's probably still volume-depleted.

We'll put him on some fluids, repeat the labs,

make sure nothing's changed, all right?

Yeah, whatever you need to do.

Hey.

Heard about the baby.

Yeah.

So a few months after Sean was born,

I lost a little boy in the OR.

Eh...

I mean, we kept the code going for almost an hour,

long after I knew that he... he wasn't coming back.

And all I kept thinking was,

what if that was Sean on the table?

Because before I was a parent, you know, I could just...

I could compartmentalize everything.

But afterwards, every kid was Sean.

Every kid.

Does that ever go away?

No, it doesn't.

You just get better at handling it, that's all.

I was not very good at handling it today.

Oh, when I told Jessa that her...

that her baby was gone, I couldn't hold it in.

It was so unprofessional.

She needed someone to be strong for her,

and I made her pain about me.

But there's a difference between

making a patient's tragedy about yourself

and letting them see that it's affecting you too.

And on the worst moment of her life,

maybe that's exactly what Jessa needed,

somebody to feel the pain with her.

Wait.

Sorry.

Uh, what gloves are you using?

Oh, the ones in the kit.

Shouldn't you change them?

Oh, that's not necessary.

But... but you touched the swab.

-Lucy, that... -that's a sterile Foley kit.

Everything in that package is sterile.

I'd be happy to change them

if it would make you more comfortable.

That would be great.

Trini, you don't need to change your gloves.

The swab was in the basin on the bed.

You picked it up. You put it back.

You touched the flush,

and the flush touched the basin.

So you need to start over.

New basin, new flush, new gloves.

Lucy, you're being irrational.

Honey, you have to calm down.

I can't calm down, Mom.

What if bacteria gets into your catheter again

and this time gets into your bloodstream

and the antibiotics don't work and your fever spikes?

-None of that's happening. -Okay, but it could happen.

And she could get septic, and she could die,

and I will have just stood here and... and let it happen.

I can't let that happen. I cannot let that happen!

Lucy, nothing's happening.

Your mother's gonna be fine.

You don't know that!

Hey, hey, hey, you're catastrophizing.

You just need to calm down.

-I can't breathe. -I can't breathe.

I can't breathe.

-I can't... I can't... -Lucy, Lucy, look at me.

Lucy, Lucy, you're having a panic attack, okay?

-I know, I... -It feels really dangerous,

-but it's not. -Something's wrong.

-Something's wrong. -It's not dangerous,

and it's gonna pass... it's gonna pass.

You know what helps?

I want you to breathe with me, all right?

-Breathe in through your nose. -I can't.

-Look at me. Look at me. -I can't.

-Look at me. -Okay, that's okay.

Don't fight it. Don't fight it.

Okay, look at Mom.

What color is Mom's blanket?

-It's... it's blue. -That's right.

It's blue. And how about Dad?

What's Dad wearing?

His gray coat.

That's right, his gray coat.

And so Dad's right there, and he's okay.

And Mom's okay.

They're okay.

And you know what? You're okay too.

You're okay.

You're safe, Lucy, all right?

Okay. Come on. Come sit down here with me.

There you go.

You're doing great.

Oh, my God, I'm sorry.

I'm so sorry.

I just... I... I need to keep her safe.

I'm sorry, what?

You can't be serious.

Pathology triple-checked the results.

Uh, your biopsy shows

you don't have cholangiocarcinoma.

You have primary biliary lymphoma.

It grows much faster than most bile duct cancers,

which explains how the mass grew so dramatically

in such a short time.

So I... I still have cancer?

Yes, but, um, this changes everything.

It's an aggressive lymphoma,

but also, it's highly responsive to chemotherapy.

In the majority of cases, it can be cured.

Well, Dr. Pitzer, the doctor who diagnosed me,

was she wrong not to do a biopsy?

Because if we'd known sooner, maybe we could've...

No, she wasn't.

The location and the appearance of the tumor were classic

for bile duct cancer.

Lymphoma presenting this way is extraordinarily rare.

There was no reason to suspect it.

Before you came in, I was planning my funeral...

Making mental notes of everything

Eden would need to know...

bank accounts, passwords.

Instead, we get to plan a future.

All I wanted was for you to be okay.

How is Lucy?

Dan gave her a small dose of Ativan.

She's resting in my office.

He thinks this is likely obsessive compulsive disorder.

And given how severe the symptoms have become,

he's recommending a 30-day

residential treatment program at Northwestern.

Well, how do we get her in?

Getting her in isn't the issue.

Dan just makes a phone call.

It's getting her to go.

Lucy won't leave you alone.

Well, I'll... I'll move to a nursing facility.

I mean, whatever it takes.

Lucy's not gonna agree to that.

She's not gonna put you in a home.

No, you need to do something very hard, Cynthia.

You need to let me help you.

All right.

What was that?

I said okay, Sam.

30 years, and you finally do what I ask.

Are they sure you're not dying?

It was the first good idea you've had in 30 years.

No, remember, the divorce was my idea.

Mm.

I assume your, uh, child bride is more agreeable.

Michelle's nearly 40, you know.

How near?

35.

Hey.

Check out Caleb's hemoglobin.

It's dropped a point since he got here.

Well, that could be dilution from the fluids.

Except his bilirubin and LDH are climbing.

He's hemolyzing.

I knew those blisters were

something worse than just a bad sunburn.

Okay, so what could cause hemolysis

and make his skin react that violently to sunlight?

His brown teeth.

Porphyrins.

If excess porphyrins are building up in his teeth,

-his skin, his blood cells... -Exactly.

It explains everything.

The discoloration, the anemia, the blistering.

Okay, we're gonna need a quantitative urine

and plasma porphyrins to start narrowing down

the list of possible blood disorders.

No, it's okay.

I have a faster way to see

if we're on the right track.

Just gotta visit my friend in Dermatology.

You're sleeping with someone in Derm.

I don't think you can ask me that.

It was a statement, not a question.

Well, your statement is inaccurate.

Mm.

She's just giving me a few chemical peels.

Uh-huh.

It was quite a day.

Oh.

Well, those don't look like happy tears.

I'm... I'm so incredibly happy that Nora's gonna be okay.

I am, I just...

I don't know what's gonna happen now.

Can I sit?

Yeah.

So... what do you mean?

Before Nora got sick, I was thinking of leaving her.

More than thinking about it.

I... I started looking at apartments.

I consulted a divorce attorney.

Does Nora know that?

She knew I was unhappy.

I don't think she understood how unhappy.

You got a small taste of it today.

The questions, the second-guessing,

telling everyone how to do their jobs.

Nora has to be in control.

And before she got sick, it extended to everything...

her home, our marriage.

But things changed after she got sick?

For the first time in years,

Nora was faced with something that she couldn't control.

It made her vulnerable.

She had to lean on me, let me take care of her.

We started to feel like partners again.

I want her to be better. That's all that I want.

But what if getting better means...

Things go back to the way they were?

You know, what Nora's gone through changes people...

sometimes for a period, but sometimes forever.

You don't know yet who either of you are going to be

on the other side of this.

But...

you don't have to decide today.

How's she been?

Asleep, mostly.

That's not unusual.

Between the fall, the anesthesia,

all the pain medication...

her body's been through a lot.

Hey, Jessa.

Mm.

Where am I?

We moved you to the ICU.

I'm sorry, who are you?

Um, honey, this is Dr. Asher.

Remember?

She's the doctor who operated.

What happened?

Oh, did I have the baby?

Please tell me where my baby is.

Neurology will speak with you, but they believe that

Jessa has anterograde amnesia, which is affecting

her ability to create new memories post-accident.

Will... will she get better?

Yes.

This is temporary.

Her memory should improve over the next few days.

And until then...

She'll continue to forget what we've told her.

Jessa suffered two miscarriages

before this pregnancy.

She wanted this baby so badly.

We both did.

She's asking for you.

I'll help you tell her.

What's that?

This is called a Wood's lamp.

Dermatologists use it to look for things on your skin

you can't see in normal light.

You ready?

Give me a big smile, Caleb.

Why do his teeth look like that?

Erythrodontia.

It happens when porphyrins accumulate in the teeth.

I want to see.

His blisters, the anemia, his teeth,

they all point to a rare metabolic disorder

called Gunther disease.

What do you think?

Whoa!

This is so cool.

How do you treat it?

With rigorous protection from sunlight

and blood transfusions to control the anemia.

Is this something he's gonna have for the rest of his life?

It's genetic, so yes.

But now that we know what we're dealing with,

we can prevent him from further damage.

We'll have Hematology down shortly

to talk you guys through everything.

Thank you so much.

Of course.

We'll see you in a bit, kid.

Um, Wood's lamp, right?

You don't see these every day in the ED.

Just used it to diagnose a kid

with congenital erythropoietic porphyria.

Oh.

That's, uh, quite the catch.

Well, his worsening anemia didn't fit dehydration.

And then we noticed a staining on his teeth,

and I remembered that erythroderma fluoresces red

under a Wood's lamp.

Yeah... I expect so little from residents.

Nicely done.

Uh, what was that?

You kind of just made it sound like it was all your idea.

Oh. Um, God, I'm... I'm sorry.

I didn't even think about that.

I don't really pay attention to who gets the credit,

but, um, my bad.

No, it's, uh... forget it.

-Are you sure? -I'm... I'm sorry. Again...

Totally, it's... it's fine.

Okay.

So Northwestern can take Lucy whenever she's ready.

Thanks.

She's agreed to go once we have full-time care

-in place for her mother. -Great.

I contacted an agency, and they're gonna send

some caregivers over to me with Cynthia on Monday.

I'm sure she'll reject the first six on principle,

but we'll get there.

I don't doubt it for a second.

Dan, thank you for stepping in with Lucy earlier.

Sam, come on.

My attempt to calm her down

had roughly the opposite effect.

Look, this situation is

a classic parental minefield, right?

You're damned if you open your mouth,

and you're damned if you don't.

They're moving her upstairs shortly.

I got her the VIP suite.

Thanks, Dad.

I dropped the ball, Lucy.

The signs have been there for years,

but I was too busy fighting with your mother,

which I'm sure only exacerbated...

Can we just skip this part?

What part?

The part where you blame yourself.

You have far less influence over me than you think.

Dad, I...

I need you to promise me that you'll take care of Mom.

Lucy...

you have my word.

Your mother's gonna be taken care of.

Your only job is to take care of yourself.

Congratulations are in order, Dr. Wu.

Or should I say Gaffney's next

emergency medicine chief resident?

Oh, even running unopposed,

I'm grateful for the opportunity.

Well, taking on a role this demanding

while finishing your residency is quite admirable.

I know it'll be a lot of extra work,

but some opportunities are worth it.

You got this.

Dr. Heart.

I hope I'm not too late.

-Deadline said end of day, so... -Oh.

And the day is not over.

Frankly, I'm just pleased to see you putting yourself

forward for a leadership position, Dr. Frost.

And, uh, just so you know,

Dr. Wu has also declared her interest.

So since there are two candidates now,

the ED attendings will be making the final decision.

Looks like we've got ourselves a race.

That was a hell of a catch.

Yeah.

We got lucky.

Uh, I guess I probably should head out.

Be well, Dennis.

You too, Sharon.

I found Miranda's mystery visitors in the security logs.

Miranda met with the executive search firm the board retained

after Quinley announced his retirement.

Well, that's hardly a secret.

I mean, everyone knows that Gaffney is

looking for a new CEO.

Why would she need to hide the fact that

she was advising them on the search?

Because she wasn't advising them.

I mean, at least that's not what it looks like.

Look, in preparation for this meeting,

Miranda had her office pull five years of

departmental financials, charting the hospital's margins

from before and after her arrival, a nice summary

of every cost-cutting initiative she's implemented,

her five-year strategic plan for Gaffney.

So Miranda isn't helping them choose the next CEO.

She wants to be the next CEO.

Bingo.

What?

Oh.

Ooh. Oof.

You got her down by 8:00?

No one's more surprised than I am, believe me.

-Okay, so... -What is...

Well, I'm gonna tell you.

So I figured that, you know, at least one of these would work.

But you know what? The hell with it.

Let's just put all of them on her and, I don't know,

have a photo shoot and take Doris's advice.

You know, collect blackmail for when she's 16 and hates us.

Do you want me to run you a bath?

You can just stay in there as long as you want.

I'll take the first shift.

I'd rather stay right here.