1 00:00:00,590 --> 00:00:04,250 We had a deal. You are no longer employed here. Did you really think I 2 00:00:04,250 --> 00:00:07,710 was going to sit home while you undermine the mission of this hospital? 3 00:00:08,370 --> 00:00:13,650 I can't stop Sharon working here. But I can control who runs the ED, and that's 4 00:00:13,650 --> 00:00:14,770 no longer going to be you. 5 00:00:15,110 --> 00:00:19,530 I'm assuming that Miranda's not playing on the level. I know she's not. 6 00:00:19,890 --> 00:00:22,310 The problem is proving it. 7 00:00:22,710 --> 00:00:23,910 Why would you like a little help? 8 00:00:39,650 --> 00:00:41,450 Why did you want to meet here? 9 00:00:41,930 --> 00:00:45,790 Because I can't risk anyone seeing us together, okay? If Miranda finds out, 10 00:00:45,810 --> 00:00:46,830 I'm feeding you information. 11 00:00:47,230 --> 00:00:50,730 You'll also be looking for a new line of work. Yes, and unlike you, I don't look 12 00:00:50,730 --> 00:00:52,610 good in scrubs. You have information. 13 00:00:53,130 --> 00:00:54,130 Okay, here's the headline. 14 00:00:54,350 --> 00:00:58,510 Miranda had a three-hour closed-door meeting last Wednesday, okay? It didn't 15 00:00:58,510 --> 00:01:01,370 appear on her official calendar. There's no minutes, no memos. 16 00:01:01,570 --> 00:01:02,890 Well, who was she meeting with? 17 00:01:04,069 --> 00:01:06,490 No one seems to know. Well, someone has to know. 18 00:01:07,260 --> 00:01:11,720 Ask Felicia and security for a list of all the temporary badges that were 19 00:01:11,720 --> 00:01:12,880 issued on Wednesday. 20 00:01:13,100 --> 00:01:16,220 Look, if I start pulling security records, Miranda's gonna find out. 21 00:01:16,340 --> 00:01:20,980 Peter, you're the hospital's counsel. Come up with something attorney-like. 22 00:01:23,220 --> 00:01:27,400 You know, the things I do for you... And do me one more favor. The next time, 23 00:01:27,420 --> 00:01:31,440 just walk up to me like a normal person. You almost gave me a heart attack. 24 00:01:32,200 --> 00:01:34,160 Okay, then Mario and Luigi. 25 00:01:34,979 --> 00:01:38,260 Absolutely not. Come on, I bet you look great in a pair of overalls. I do, but 26 00:01:38,260 --> 00:01:39,260 it's still hard enough. 27 00:01:40,320 --> 00:01:43,600 Dr. Frost, just the person I've been trying to reach. 28 00:01:43,900 --> 00:01:47,980 Dr. Hart, hey, I'm sorry. I have been meaning to email you back. 29 00:01:48,220 --> 00:01:52,000 Well, attending positions are opening very soon, so we need to discuss your 30 00:01:52,000 --> 00:01:54,660 CV, your references, your interview strategy. 31 00:01:55,460 --> 00:01:59,220 Absolutely. I'm all over it. Just make sure we get something on the calendar. I 32 00:01:59,220 --> 00:02:00,720 want to make sure you're set up for success. 33 00:02:01,600 --> 00:02:04,200 Great. All right. Good morning, Dr. Ripley. Morning. 34 00:02:07,500 --> 00:02:08,820 You really should meet with Hart. 35 00:02:09,100 --> 00:02:10,979 Job market's supposed to be brutal this year. 36 00:02:11,240 --> 00:02:12,460 I am not too worried about it. 37 00:02:12,900 --> 00:02:16,960 Kind of things typically have a way of working out for you. Are you forgetting 38 00:02:16,960 --> 00:02:19,380 the fact that Naomi kind of just dumped me? 39 00:02:19,740 --> 00:02:20,760 I thought that was mutual. 40 00:02:22,000 --> 00:02:24,180 Look, if you want to stay at Gaffney, you're going to have competition. 41 00:02:24,460 --> 00:02:27,960 There's only so many attending spots to go around. What should I be doing that I 42 00:02:27,960 --> 00:02:28,960 am not already doing? 43 00:02:29,400 --> 00:02:30,400 Taking initiative. 44 00:02:30,860 --> 00:02:32,320 People aren't just going to hand you opportunities. 45 00:02:33,820 --> 00:02:37,320 That's great advice. See, I do better with specifics, so maybe give me 46 00:02:37,320 --> 00:02:39,220 something actionable, Dr. Yoda. 47 00:02:39,980 --> 00:02:43,000 Take on a leadership role. You're in your final year of residency. 48 00:02:43,340 --> 00:02:44,720 Put yourself up for chief resident. 49 00:02:44,980 --> 00:02:46,660 Won't those applications do like today? 50 00:02:47,620 --> 00:02:48,660 Then you still have time. 51 00:02:51,280 --> 00:02:58,060 So there's family ideas, but I wanted to focus on her, and I have a few saved, I 52 00:02:58,060 --> 00:02:59,060 think. 53 00:02:59,500 --> 00:03:00,880 Oh, baby Elton John, no contest. 54 00:03:01,200 --> 00:03:05,760 No, I say go classic, like Peapod or pumpkin or something cute. Okay, I'll 55 00:03:05,760 --> 00:03:08,620 bite. What are we... Baby Mabel's first Halloween costume. 56 00:03:09,910 --> 00:03:14,110 Mabel, our four-month-old, who'll have absolutely no memory of what she wore. 57 00:03:14,310 --> 00:03:15,630 It's not for her, Dr. 58 00:03:15,830 --> 00:03:20,570 Archer. It's so you have a picture of your adorable baby as a tiny pop icon. 59 00:03:20,990 --> 00:03:22,530 It's the whole point of having kids. 60 00:03:22,830 --> 00:03:26,390 Side benefit down the line, Black men material for the teen years. It's 61 00:03:26,390 --> 00:03:27,390 perfect. Excuse me. 62 00:03:27,770 --> 00:03:29,030 If I could have your attention. 63 00:03:30,610 --> 00:03:31,950 Everybody listen up. 64 00:03:32,530 --> 00:03:33,530 Thank you. 65 00:03:34,510 --> 00:03:36,950 Good morning. I just have a brief staffing announcement. 66 00:03:37,250 --> 00:03:41,370 First, I would like to thank Dr. Archer for his excellent work as interim ED 67 00:03:41,370 --> 00:03:44,550 chief. He'll remain in the position throughout the end of the week, after 68 00:03:44,550 --> 00:03:47,650 which he will be stepping away to focus on several key departmental initiatives. 69 00:03:48,010 --> 00:03:49,010 Can't wait to hear what those are. 70 00:03:49,070 --> 00:03:51,830 So if everyone could please thank Dr. Archer for his service. 71 00:03:53,390 --> 00:03:54,390 Go deep! 72 00:03:56,670 --> 00:03:59,630 And please, if you could welcome Dr. 73 00:03:59,850 --> 00:04:03,450 Ripley, who will assume the position of interim ED chief, effective Monday. 74 00:04:04,480 --> 00:04:05,480 I will. 75 00:04:05,900 --> 00:04:07,300 Congratulations, Dr. Ripley. 76 00:04:07,580 --> 00:04:09,560 My office will be in touch regarding the transition. 77 00:04:10,120 --> 00:04:11,120 Thank you. 78 00:04:11,240 --> 00:04:15,140 Well, guess sometimes you do get handed opportunities, huh? 79 00:04:15,580 --> 00:04:19,120 Got the big dog E.D. chief, chief resident. We're going to be running this 80 00:04:19,120 --> 00:04:20,800 place. God help us. 81 00:04:21,600 --> 00:04:23,980 Dr. Archer, we need you in treatment three. 82 00:04:24,200 --> 00:04:29,400 We've got Cynthia Peterson, 55, advanced multiple sclerosis, presenting with 83 00:04:29,400 --> 00:04:33,160 fever, tachycardia, and intermittent vomiting. Her daughter, Lucy, called 84 00:04:33,160 --> 00:04:34,540 911. Lucy Abrams. 85 00:04:34,840 --> 00:04:35,819 Sam's daughter? 86 00:04:35,820 --> 00:04:38,080 Yep. And is that his ex-wife? 87 00:04:38,520 --> 00:04:39,520 Mm-hmm. 88 00:04:39,560 --> 00:04:41,020 Are they on good terms? 89 00:04:41,380 --> 00:04:45,660 Well, let's put it this way. She tried bribing the ambulance driver to take her 90 00:04:45,660 --> 00:04:46,960 to any other hospital. 91 00:04:51,159 --> 00:04:55,340 We're going to trauma one. Jessa Huntington, 36-year-old female, 37 weeks 92 00:04:55,340 --> 00:04:58,420 pregnant, fell down a flight of stairs. I was right behind her. She missed a 93 00:04:58,420 --> 00:05:01,100 step. I couldn't catch her. Fuck her head against a metal railing before 94 00:05:01,100 --> 00:05:03,900 landing on her abdomen. Had a witness seizure after the fall and was post 95 00:05:03,900 --> 00:05:05,680 -tictal. GCS 13, heart rate's 115. 96 00:05:06,060 --> 00:05:10,600 Initial pressure 80 over 40, improved to 95 over 53 with fluids. Last fetal heart 97 00:05:10,600 --> 00:05:11,559 rate was 113. 98 00:05:11,560 --> 00:05:14,240 We're going to need a chest x-ray, a FAST exam, and a head CT. 99 00:05:14,560 --> 00:05:16,360 Let's prepare to travel. Hold on, hold on, hold on. 100 00:05:17,130 --> 00:05:19,570 Baby's heart rate's in the 80s. We need to deliver now. Change of plans. 101 00:05:19,690 --> 00:05:20,690 Everybody, we're heading upstairs. 102 00:05:20,850 --> 00:05:21,369 Let's go. 103 00:05:21,370 --> 00:05:22,590 Is your baby going to be okay? 104 00:05:22,830 --> 00:05:25,190 Casey, call the O.R. emergency C-section. 105 00:05:25,510 --> 00:05:27,950 Tell them to activate the neonatal team. On it. 106 00:05:28,490 --> 00:05:30,850 I want to go with my wife. I'm sorry. She's too unstable. 107 00:05:31,110 --> 00:05:32,110 You can't be in the O.R. 108 00:05:32,430 --> 00:05:35,050 Doris will stay with you. We'll update you as soon as we can. 109 00:05:35,810 --> 00:05:38,270 Please. You have to stay. 110 00:05:45,740 --> 00:05:48,680 Your liver transplant is scheduled for next week. 111 00:05:49,060 --> 00:05:51,020 Thursday. My brother's the donor. 112 00:05:51,240 --> 00:05:54,200 Which is why we came straight in when she woke up with abdominal pain. We 113 00:05:54,200 --> 00:05:55,620 didn't want to take any chances. 114 00:05:55,940 --> 00:05:59,280 Tumor is right where the bile duct leaves my liver. They can't resect it, 115 00:05:59,360 --> 00:06:01,460 so transplant's my only option. 116 00:06:01,720 --> 00:06:04,540 And really, it's a Hail Mary. Hey, I thought we were staying positive. 117 00:06:04,980 --> 00:06:09,440 We are. It's just, this cancer has a very high recurrence rate, so it's... 118 00:06:09,440 --> 00:06:12,100 But we're staying positive. 119 00:06:12,560 --> 00:06:14,760 I'm not gonna let a little stomachache keep us from Italy. 120 00:06:15,280 --> 00:06:16,640 Oh, you have a trip planned. 121 00:06:16,960 --> 00:06:19,720 Yeah, a cruise for our 10-year anniversary. 122 00:06:20,620 --> 00:06:21,840 As soon as I'm cleared to travel. 123 00:06:22,420 --> 00:06:24,380 Let's get a full set of labs. And a CT. 124 00:06:24,720 --> 00:06:27,320 Nora, let the doctor. We both know that's where this is headed. 125 00:06:27,760 --> 00:06:31,540 We can skip ahead to the CT. Given the upcoming transplant, your surgeon's 126 00:06:31,540 --> 00:06:32,499 going to want imaging. 127 00:06:32,500 --> 00:06:33,500 With contrast. 128 00:06:33,600 --> 00:06:35,360 If your kidney function allows it. It does. 129 00:06:35,980 --> 00:06:36,980 Nora. 130 00:06:37,920 --> 00:06:40,580 Okay. Okay, I'll back off. Be at the doctor. 131 00:06:42,010 --> 00:06:46,310 Okay, we'll loop in your oncologist at Midwest Advocate and get going on these 132 00:06:46,310 --> 00:06:48,510 labs. Thank you, Dr. Ripley. Yeah, you're welcome. 133 00:06:50,750 --> 00:06:52,970 I'll take care of notifying Nora's oncologist. 134 00:06:53,210 --> 00:06:57,410 Dr. Ripley, you're about to take over as chief. You've got enough on your plate. 135 00:06:57,510 --> 00:07:01,910 You don't need to lighten my load. Just treat me like any other nurse in the ED. 136 00:07:02,450 --> 00:07:04,810 Uh, no, it's not that. 137 00:07:05,430 --> 00:07:08,190 Nora's oncologist is, uh, Dennis Washington. 138 00:07:09,770 --> 00:07:10,770 Oh. 139 00:07:11,790 --> 00:07:13,010 I didn't see that. 140 00:07:13,390 --> 00:07:16,090 I heard he was at Midwest Advocate. 141 00:07:17,090 --> 00:07:20,330 Actually, if you don't mind making that call. 142 00:07:21,150 --> 00:07:22,150 Consider it done. 143 00:07:22,650 --> 00:07:23,650 Thank you. 144 00:07:25,410 --> 00:07:29,210 All right, buddy, just follow my finger for me, okay? Just with your eyes. 145 00:07:29,650 --> 00:07:31,830 Yeah, we got back from Miami last night. 146 00:07:32,350 --> 00:07:34,930 Caleb spent most of his time in the pool or in the ocean. 147 00:07:35,330 --> 00:07:37,030 Well, his skin's pretty red. Was he wearing sunscreen? 148 00:07:37,570 --> 00:07:38,519 Uh, yeah. 149 00:07:38,520 --> 00:07:42,060 Yeah, but, um, you know, we were chasing around his two-year-old brother a lot. 150 00:07:42,120 --> 00:07:43,400 We probably didn't reapply enough. 151 00:07:44,180 --> 00:07:47,140 And plus, Caleb refused to wear his rash guard. 152 00:07:47,580 --> 00:07:49,820 Mom said I didn't have to if I wore the floppy hat. 153 00:07:50,560 --> 00:07:52,280 You should hear him negotiate bedtimes. 154 00:07:52,480 --> 00:07:55,540 All right, well, a severe burn can blister, and combined with dehydration, 155 00:07:55,560 --> 00:07:56,560 that would explain the fainting. 156 00:07:56,820 --> 00:08:01,020 It could, but this blistering's a bit more impressive than we'd expect from a 157 00:08:01,020 --> 00:08:04,300 sunburn, so we'll get some labs going and start them on fluids. 158 00:08:04,580 --> 00:08:06,100 Oh, great. Uh, thanks. Yeah. 159 00:08:08,010 --> 00:08:11,330 The neonatal team is still responding to another code. Backup's on the way, but 160 00:08:11,330 --> 00:08:14,110 we may deliver before they get here. And we're the neonatal team until they 161 00:08:14,110 --> 00:08:15,110 arrive. 162 00:08:15,330 --> 00:08:16,330 Cutting. 163 00:08:18,730 --> 00:08:19,730 Okay, I got the head. 164 00:08:20,230 --> 00:08:21,230 Chimor fundal pressure. 165 00:08:22,890 --> 00:08:23,890 Hi, 166 00:08:29,670 --> 00:08:30,770 baby girl. 167 00:08:31,970 --> 00:08:32,970 Hi there. 168 00:08:34,070 --> 00:08:35,070 Okay, clam. 169 00:08:37,130 --> 00:08:38,130 Here, there. 170 00:08:38,929 --> 00:08:39,929 All right. 171 00:08:40,549 --> 00:08:41,630 Here we go. 172 00:08:42,730 --> 00:08:43,730 Okay. 173 00:08:44,049 --> 00:08:45,050 Here we go. 174 00:08:49,190 --> 00:08:50,970 Dr. Asher, baby's in distress. 175 00:08:51,410 --> 00:08:52,450 Okay, I'll be right there. 176 00:08:52,750 --> 00:08:55,250 Deliver the placenta, then start closing the uterus. Got it. 177 00:08:57,010 --> 00:08:59,530 Heart rate's 80. Starting positive pressure ventilation. 178 00:08:59,950 --> 00:09:01,710 Mom's pressure's 60 over 30 and falling. 179 00:09:01,930 --> 00:09:02,930 Comfort blood. 180 00:09:02,950 --> 00:09:03,950 Mom's hemorrhaging. 181 00:09:04,460 --> 00:09:05,459 Heart rate's down to 50. 182 00:09:05,460 --> 00:09:07,740 Okay, keep ventilating. I'm starting compressions. 183 00:09:10,240 --> 00:09:11,580 Kai, check her uterine tone. 184 00:09:11,980 --> 00:09:12,980 Yeah. 185 00:09:14,460 --> 00:09:16,060 It's firm. It's not acne. 186 00:09:16,480 --> 00:09:17,480 We've got her. 187 00:09:18,760 --> 00:09:19,760 Back. 188 00:09:24,660 --> 00:09:25,660 More or less. 189 00:09:33,840 --> 00:09:35,740 Oh, my God. Is that Dan Charles? 190 00:09:36,120 --> 00:09:37,860 How the heck are you? 191 00:09:38,100 --> 00:09:39,280 Well, better now. 192 00:09:41,660 --> 00:09:42,660 Oh. 193 00:09:43,420 --> 00:09:47,000 You know, your father and I used to double date with Dan and his wife Susan. 194 00:09:47,440 --> 00:09:48,540 How is Susan? 195 00:09:49,080 --> 00:09:50,380 Oh, no. God. 196 00:09:50,940 --> 00:09:51,940 You're divorced. 197 00:09:52,120 --> 00:09:53,120 Yeah. 198 00:09:53,320 --> 00:09:54,640 Sorry. It's okay. 199 00:09:54,840 --> 00:09:55,840 MS brain. 200 00:09:56,900 --> 00:09:58,780 How's the new wife, Linda? 201 00:09:59,360 --> 00:10:02,680 Lucia? You know what? She took off, too. 202 00:10:03,160 --> 00:10:06,420 Quite a while ago now. I know, it's a pretty damning pattern, isn't it? 203 00:10:06,700 --> 00:10:10,240 At least I'm still, you know, startlingly attractive. 204 00:10:10,660 --> 00:10:12,000 Indeed you are. Well, thank you. 205 00:10:12,820 --> 00:10:14,660 You know our daughter, Lucy. Of course. 206 00:10:15,020 --> 00:10:18,820 You probably don't remember me, Lucy, but I remember your dad carrying you 207 00:10:18,820 --> 00:10:22,200 through these very holes on his shoulders when you were just a tot, 208 00:10:22,360 --> 00:10:26,860 often wearing a sparkly tutu, if memory serves, right? 209 00:10:27,260 --> 00:10:28,320 Uh, yeah. 210 00:10:28,600 --> 00:10:31,980 Yeah, I think I, um, I... Uh, Mom? 211 00:10:32,330 --> 00:10:33,810 Okay, don't get mad, but I called Dad. 212 00:10:34,830 --> 00:10:36,430 He was gonna find out you're here. 213 00:10:36,730 --> 00:10:41,070 Yeah, it's true. You know, VIP shows up, word travels fast in these parts. 214 00:10:42,530 --> 00:10:43,530 Hey, Dad. 215 00:10:46,510 --> 00:10:49,970 Get it over with, I look like crap. 216 00:10:50,230 --> 00:10:51,730 You look thin, that's all. 217 00:10:52,810 --> 00:10:54,210 You look puffy and tired. 218 00:10:54,830 --> 00:10:55,830 Toddler keeping you up? 219 00:10:56,690 --> 00:10:58,010 How high was her fever? 220 00:10:58,430 --> 00:10:59,930 I just got here. 221 00:11:00,430 --> 00:11:01,430 102, Dad. 222 00:11:01,850 --> 00:11:03,010 They've seen urine in blood cultures? 223 00:11:03,250 --> 00:11:06,890 No, gosh, without you here, Sam, the doctors have just been sitting around 224 00:11:06,890 --> 00:11:10,370 guessing. Uh, any drop in urine output? 225 00:11:10,710 --> 00:11:12,370 Yeah. My urine is none of your business. 226 00:11:12,670 --> 00:11:14,470 I assure you this isn't personal curiosity. 227 00:11:14,850 --> 00:11:18,550 No, it's just an opportunity to remind everyone you're the smartest person in 228 00:11:18,550 --> 00:11:19,129 the room. 229 00:11:19,130 --> 00:11:20,490 What, you above taking the bait? 230 00:11:20,750 --> 00:11:24,630 Ever consider maybe I'm just a better person than you? No, and I don't need 231 00:11:24,630 --> 00:11:25,249 your pity. 232 00:11:25,250 --> 00:11:27,690 Hey, Lucy, are you enjoying this as much as I am? 233 00:11:28,400 --> 00:11:29,139 Hey, Cynthia. 234 00:11:29,140 --> 00:11:30,139 Got your results? 235 00:11:30,140 --> 00:11:32,380 Oh, for you. No, no. You stay. 236 00:11:32,580 --> 00:11:33,580 I like you. 237 00:11:33,760 --> 00:11:36,240 You, I've seen enough of. Bye now. 238 00:11:39,940 --> 00:11:41,520 I'm afraid you've got a kidney infection. 239 00:11:41,780 --> 00:11:44,380 Long-term catheters are a common source. 240 00:11:44,580 --> 00:11:45,760 Who handles yours? 241 00:11:46,440 --> 00:11:47,800 Uh, I do. 242 00:11:48,020 --> 00:11:52,320 Well, we'll have to have a nurse review Foley care with you, so... I clean it 243 00:11:52,320 --> 00:11:54,540 exactly the way I was taught. I'm very thorough. 244 00:11:55,500 --> 00:11:59,000 Okay, we're going to start IV antibiotics, but because of the vomiting 245 00:11:59,000 --> 00:12:03,780 and fever, I'd like to admit you under observation until the culture 246 00:12:03,780 --> 00:12:04,860 sensitivities come back. 247 00:12:07,380 --> 00:12:08,600 I'm still hypertensive. 248 00:12:13,460 --> 00:12:14,600 More, more. 249 00:12:16,260 --> 00:12:17,260 Okay. 250 00:12:17,840 --> 00:12:21,040 Looks like the blood is welling up from behind the uterus. I need more exposure. 251 00:12:25,040 --> 00:12:29,200 There, she's got a posterior uterine rupture extending to her cervix. Alice, 252 00:12:29,640 --> 00:12:30,640 ovico. 253 00:12:37,260 --> 00:12:39,500 All right, get ready. 254 00:12:39,780 --> 00:12:40,780 Scissors. 255 00:12:43,020 --> 00:12:44,020 Pressure's coming up. 256 00:12:44,200 --> 00:12:46,080 20 minutes, still no cardiac activity. 257 00:12:47,940 --> 00:12:50,220 Time of death, 10.04. 258 00:12:56,540 --> 00:12:57,780 Sharon? Dennis. 259 00:12:58,540 --> 00:13:03,680 Hello. I had heard you stepped out as executive director, but... Sharon 260 00:13:03,680 --> 00:13:06,840 Goodwin back in nursing scrubs wasn't on your bingo card? 261 00:13:07,220 --> 00:13:08,220 Not even close. 262 00:13:08,440 --> 00:13:14,280 Well, I missed nursing. After all those years behind a desk, I missed being at 263 00:13:14,280 --> 00:13:15,280 the bedside. 264 00:13:15,440 --> 00:13:18,520 Dr. Washington, thanks for coming over so fast. 265 00:13:18,800 --> 00:13:19,519 Of course. 266 00:13:19,520 --> 00:13:21,600 You getting no RCT back yet? Yeah. 267 00:13:21,980 --> 00:13:23,920 Any indication what's causing the pain? 268 00:13:24,480 --> 00:13:25,480 A gallstone. 269 00:13:25,800 --> 00:13:26,800 Well, that's a relief. 270 00:13:27,340 --> 00:13:29,200 We can address that during the transplant. 271 00:13:30,220 --> 00:13:33,620 Well, unfortunately, there's something else you need to see on the scan. 272 00:13:35,720 --> 00:13:37,400 So, transplant's off the table? 273 00:13:38,200 --> 00:13:39,200 Completely? 274 00:13:39,620 --> 00:13:40,680 I'm sorry, Nora. 275 00:13:41,260 --> 00:13:45,600 Your latest CT shows the tumor has grown past the three-centimeter cutoff. That 276 00:13:45,600 --> 00:13:47,500 puts you outside of the transplant protocol. 277 00:13:48,020 --> 00:13:50,260 The only reason you know that is because I came in today. 278 00:13:50,820 --> 00:13:52,240 I should have muscled through the pain. 279 00:13:52,650 --> 00:13:55,870 They would have discovered it during the preoperative workup. There's no version 280 00:13:55,870 --> 00:13:56,870 where this stayed hidden. 281 00:13:58,610 --> 00:13:59,610 Guess Italy's off. 282 00:14:00,150 --> 00:14:01,550 Hope the tickets are refundable. 283 00:14:01,810 --> 00:14:03,850 Hey, we don't know that. Yes, we do. 284 00:14:05,530 --> 00:14:09,990 If the transplant's no longer an option, could we biopsy the tumor? 285 00:14:10,230 --> 00:14:14,370 The doctor who diagnosed Nora said that was too risky, that the needle could 286 00:14:14,370 --> 00:14:15,390 spread cancer cells? 287 00:14:15,590 --> 00:14:19,390 Oh, she was right. A core needle biopsy could have seeded the tumor in the 288 00:14:19,390 --> 00:14:22,230 needle track, and that would have disqualified Nora from... from 289 00:14:22,230 --> 00:14:26,470 transplant now i'm disqualified anyway so but a biopsy will give us tissue for 290 00:14:26,470 --> 00:14:30,610 genetic testing and if the tumor has an actual mutation we may be able to treat 291 00:14:30,610 --> 00:14:37,230 it with a targeted drug wait treat it how like cure it well no but we may be 292 00:14:37,230 --> 00:14:41,910 able to slow down the progression for how long it's hard to know months 293 00:14:41,910 --> 00:14:45,070 possibly a year if we find a mutation we can target 294 00:14:45,070 --> 00:14:49,850 do the biopsy 295 00:14:52,650 --> 00:14:53,650 Hey, honey. 296 00:14:54,410 --> 00:14:55,410 Hi. 297 00:14:56,430 --> 00:15:00,650 Oh, um... You're probably a little sore from the breathing, too. 298 00:15:02,930 --> 00:15:05,950 Um... You fell, Jessa. 299 00:15:06,890 --> 00:15:07,890 You hit your head. 300 00:15:09,170 --> 00:15:14,410 Um... Scans don't show any bleeding, so... You'll be okay. 301 00:15:17,410 --> 00:15:18,410 Baby? 302 00:15:19,990 --> 00:15:21,690 Jessa, we had to deliver her. 303 00:15:24,080 --> 00:15:25,080 You didn't survive. 304 00:15:25,980 --> 00:15:28,540 I am so sorry. We did everything. 305 00:15:28,920 --> 00:15:30,340 Everything that we could. 306 00:15:31,220 --> 00:15:32,820 I'm so sorry. 307 00:15:35,060 --> 00:15:36,400 You saw her. 308 00:15:54,250 --> 00:15:55,250 How did she look like? 309 00:15:59,430 --> 00:16:00,530 She was beautiful. 310 00:16:11,470 --> 00:16:12,950 Would you like to hold your daughter? 311 00:16:15,090 --> 00:16:16,290 We can bring her to you. 312 00:16:58,700 --> 00:16:59,880 I know. I understand. 313 00:17:00,240 --> 00:17:03,420 You know what? I will figure something out. 314 00:17:05,500 --> 00:17:06,500 Is everything okay? 315 00:17:06,980 --> 00:17:07,980 Oh, yeah. 316 00:17:08,060 --> 00:17:11,839 I'm just falling behind on my dissertation and my advisor is starting 317 00:17:11,839 --> 00:17:12,839 to lose patience. 318 00:17:13,119 --> 00:17:17,000 Wow. You're chasing a PhD and caring for your mom? 319 00:17:17,220 --> 00:17:18,240 You've got to be tricky. 320 00:17:18,680 --> 00:17:21,260 I can manage. As long as my mom's okay, I'm okay. 321 00:17:21,560 --> 00:17:22,560 That's all I care about. 322 00:17:23,359 --> 00:17:25,780 Well, if there's anything that I could do. 323 00:17:27,380 --> 00:17:28,380 Actually... 324 00:17:28,910 --> 00:17:31,590 That is why I'm so confused about the infection. 325 00:17:31,910 --> 00:17:34,910 I'm meticulous with my mom's catheter. I clean it constantly. 326 00:17:35,290 --> 00:17:39,030 I disconnect it from its drainage tubing several times a day so I can clean the 327 00:17:39,030 --> 00:17:42,330 connection points. And then I sanitize everything thoroughly before I put it 328 00:17:42,330 --> 00:17:43,330 back together. 329 00:17:44,090 --> 00:17:48,450 Lucy, do you mind if I ask you something? 330 00:17:48,750 --> 00:17:49,750 Oh. 331 00:17:50,850 --> 00:17:52,050 It's just a nervous habit. 332 00:17:52,350 --> 00:17:56,310 I didn't mean to put you on the spot. No, I should get back to my mom. 333 00:18:00,600 --> 00:18:01,600 Hey, honey. 334 00:18:02,220 --> 00:18:03,220 Lucy, you okay? 335 00:18:03,460 --> 00:18:04,460 Yeah, all good. 336 00:18:08,340 --> 00:18:09,340 What's that about? 337 00:18:10,460 --> 00:18:15,480 Sam, look, I hope I'm not overstepping, but I'm worried that maybe Lucy might 338 00:18:15,480 --> 00:18:18,680 need a little more support in looking after Cynthia. You know, that maybe this 339 00:18:18,680 --> 00:18:22,360 current setup, it's, I don't know, it's just not optimal for either of them. 340 00:18:22,480 --> 00:18:26,040 I've tried. I've offered to cover the cost, but Cynthia's too damn stubborn to 341 00:18:26,040 --> 00:18:27,040 accept my help. 342 00:18:27,500 --> 00:18:28,860 Wait, what do you mean not optimal? 343 00:18:29,060 --> 00:18:31,520 Are you saying that Lucy hasn't been taking proper care of her mother? No, 344 00:18:31,660 --> 00:18:35,560 quite the opposite. She's so vigilant about keeping the catheter clean, she's 345 00:18:35,560 --> 00:18:39,780 breaking the closed drainage system several times a day to disinfect it. I'm 346 00:18:39,780 --> 00:18:41,780 pretty sure that's where disinfection's coming from. 347 00:18:42,420 --> 00:18:46,620 I'm just curious, have you ever noticed, I don't know, other behaviors like this 348 00:18:46,620 --> 00:18:51,220 before? You know, sort of repetitive cleaning, checking, needing to do things 349 00:18:51,220 --> 00:18:54,100 in a certain sequence? Lucy's always been a perfectionist. 350 00:18:54,340 --> 00:18:56,600 She sets high standards for herself. Okay. 351 00:18:57,489 --> 00:19:00,550 Look, aren't there rules in your profession about, you know, diagnosing 352 00:19:00,550 --> 00:19:01,550 people in hallways? 353 00:19:01,790 --> 00:19:03,810 Sam, I haven't diagnosed anyone. 354 00:19:04,090 --> 00:19:05,370 I'm just, I'm just concerned. 355 00:19:05,650 --> 00:19:08,070 Well, maybe with everything that happened with Anna last year, you're 356 00:19:08,070 --> 00:19:11,930 projecting. You know, seeing warning signs where there aren't any. Lucy has 357 00:19:11,930 --> 00:19:15,390 enough on her plate as it is. She's got a sick mother. She's got a PhD program. 358 00:19:15,530 --> 00:19:17,750 She doesn't need you giving her one more thing to worry about. 359 00:19:23,770 --> 00:19:24,990 Caleb's labs are encouraging. 360 00:19:25,230 --> 00:19:27,090 His electrolytes and kidney function are normal. 361 00:19:27,750 --> 00:19:28,750 All right. 362 00:19:30,130 --> 00:19:31,230 Hemoglobin's a little low. 363 00:19:31,590 --> 00:19:33,170 Yeah, mildly. It's likely nutritional. 364 00:19:33,790 --> 00:19:35,950 We'll have his pediatrician follow up. All right. 365 00:19:36,550 --> 00:19:40,150 He's just a sunburned, dehydrated little kid after this bolus. I think he's good 366 00:19:40,150 --> 00:19:41,150 to go. 367 00:19:41,190 --> 00:19:42,190 Well, all right. 368 00:19:42,990 --> 00:19:43,990 What you working on? 369 00:19:44,510 --> 00:19:46,590 Application for chief resident. 370 00:19:47,230 --> 00:19:48,230 Oh, cool. 371 00:19:48,690 --> 00:19:52,670 Yeah. Had a little run-in with our residency director this morning, and 372 00:19:52,670 --> 00:19:57,040 then... Ripley kind of got into my head that I need to take more initiative, so. 373 00:19:58,400 --> 00:20:01,520 But I mean, chief residents basically just all scheduling, right? 374 00:20:01,760 --> 00:20:03,420 Yeah. Yeah, that's part of it. 375 00:20:04,920 --> 00:20:06,380 Well, what else is there? 376 00:20:07,080 --> 00:20:11,860 I've heard it's a ton of admin meetings and committee work and managing the call 377 00:20:11,860 --> 00:20:14,900 schedule. And then, of course, you're the one fielding complaints from 378 00:20:14,900 --> 00:20:18,760 residents and mediating disputes between residents and attendings. 379 00:20:19,700 --> 00:20:22,100 I've just heard it's a lot, but maybe that's your jam. 380 00:20:33,770 --> 00:20:35,650 Hey, Nora's biopsy's complete. 381 00:20:36,210 --> 00:20:37,850 Pathology's expediting the results. 382 00:20:38,150 --> 00:20:42,610 Thank you. And if you need to go, I can text you when they come in. No, I'll 383 00:20:42,610 --> 00:20:43,610 stay. All right. 384 00:20:44,690 --> 00:20:45,690 Sharon. Yeah? 385 00:20:47,390 --> 00:20:48,450 I'll keep this short. 386 00:20:49,350 --> 00:20:52,330 Because after the way I behave, I wouldn't blame you for not giving me the 387 00:20:52,330 --> 00:20:53,330 time of day. 388 00:20:54,730 --> 00:20:55,990 I owe you an apology. 389 00:20:57,100 --> 00:20:59,880 I demand you let me into your life while shutting you out of mine. 390 00:21:00,820 --> 00:21:05,340 And then after you did everything you could to save my job, I blame you for 391 00:21:05,340 --> 00:21:06,340 not doing enough. 392 00:21:06,960 --> 00:21:07,960 I was wrong. 393 00:21:08,580 --> 00:21:09,580 I'm sorry. 394 00:21:11,080 --> 00:21:12,120 Thank you, Dennis. 395 00:21:13,060 --> 00:21:14,560 I appreciate that. 396 00:21:14,800 --> 00:21:19,360 I really do wish I could have done more to protect you from Miranda, but you 397 00:21:19,360 --> 00:21:24,000 were unfortunately collateral damage in her campaign against me. 398 00:21:24,240 --> 00:21:26,320 Well, leaving me, it wasn't easy. 399 00:21:27,190 --> 00:21:29,010 But I like it over at Midwest Africa. 400 00:21:29,650 --> 00:21:30,930 I landed on my feet. 401 00:21:31,230 --> 00:21:32,230 I'm glad. 402 00:21:32,990 --> 00:21:35,370 The part I haven't gotten over is losing you. 403 00:21:36,370 --> 00:21:39,030 Ms. Goodwin, incoming level one, trauma one. 404 00:21:41,650 --> 00:21:44,450 I'm sorry. I've got to go. 405 00:21:44,730 --> 00:21:45,950 Of course. Of course. 406 00:21:46,150 --> 00:21:47,150 Go. 407 00:21:48,650 --> 00:21:50,110 Feel free to take one for the road. 408 00:21:50,470 --> 00:21:51,469 Hey, Dr. 409 00:21:51,470 --> 00:21:53,870 Frost said one. If your mom knew you were having sugar. 410 00:21:55,420 --> 00:21:58,040 Caleb's not been very good about brushing his teeth lately, and they're 411 00:21:58,040 --> 00:22:02,140 getting brown, so we are trying to limit his sweets. I brush my teeth. 412 00:22:02,420 --> 00:22:04,840 Well, you are not doing a very good job. Come on. 413 00:22:09,080 --> 00:22:11,000 Hey, something wrong? 414 00:22:11,680 --> 00:22:13,700 My chest feels kind of funny. 415 00:22:14,260 --> 00:22:15,119 Funny how? 416 00:22:15,120 --> 00:22:18,160 Like there's a bird flapping its wings inside of it. 417 00:22:18,680 --> 00:22:20,460 Okay, let's lay you back down, all right? 418 00:22:26,899 --> 00:22:29,440 Yeah, he's tachycardic. Let's put him on the monitor. 419 00:22:33,080 --> 00:22:36,360 Okay, sinus tach rate's 133. That's pretty high, right? 420 00:22:36,560 --> 00:22:39,620 It's higher than it should be. He's probably still volume depleted. 421 00:22:39,840 --> 00:22:43,420 We'll put him on some fluids, repeat the labs, make sure nothing's changed, all 422 00:22:43,420 --> 00:22:44,660 right? Yeah, whatever you need to do. 423 00:22:53,820 --> 00:22:54,820 Hey. 424 00:22:55,980 --> 00:22:57,060 Heard about the baby. 425 00:23:00,040 --> 00:23:01,040 Yeah. 426 00:23:03,360 --> 00:23:09,360 So a few months after Sean was born, I lost a little boy in the OR. 427 00:23:11,260 --> 00:23:18,240 I mean, we kept the code going for almost an hour, long 428 00:23:18,240 --> 00:23:21,180 after I knew that he wasn't coming back. 429 00:23:22,080 --> 00:23:25,020 All I kept thinking was, what if that was Sean on the table? 430 00:23:25,630 --> 00:23:29,410 Because before I was a parent, you know, I can compartmentalize everything. 431 00:23:29,810 --> 00:23:33,190 But afterwards, every kid was Sean. 432 00:23:33,790 --> 00:23:34,790 Every kid. 433 00:23:35,490 --> 00:23:36,970 Does that ever go away? 434 00:23:37,290 --> 00:23:40,070 No, it doesn't. Just get better at handling it, that's all. 435 00:23:44,550 --> 00:23:46,870 I was not very good at handling it today. 436 00:23:49,270 --> 00:23:51,250 When I told Jess that that bird... 437 00:23:52,490 --> 00:23:57,250 that her baby was gone. I couldn't hold it in. It was so unprofessional. 438 00:24:00,330 --> 00:24:04,670 She needed someone to be strong for her, and I made her pain about me. 439 00:24:04,950 --> 00:24:09,850 But there's a difference between making a patient's tragedy about yourself and 440 00:24:09,850 --> 00:24:12,770 letting them see that it's affecting you, too. 441 00:24:13,470 --> 00:24:17,510 In the worst moment of her life, maybe that's exactly what Jessa needed, 442 00:24:17,590 --> 00:24:19,310 somebody to feel the pain with her. 443 00:24:24,200 --> 00:24:25,159 Wait. Sorry. 444 00:24:25,160 --> 00:24:26,460 What gloves are you using? 445 00:24:26,700 --> 00:24:28,960 The ones in the kit. Shouldn't you change them, though? 446 00:24:29,220 --> 00:24:30,380 Oh, that's not necessary. 447 00:24:30,640 --> 00:24:31,640 But you touched the swab. 448 00:24:31,960 --> 00:24:35,440 Lucy, that's a sterile Foley kit. Everything in that package is sterile. 449 00:24:35,640 --> 00:24:38,460 I'd be happy to change them if it would make you more comfortable. That would be 450 00:24:38,460 --> 00:24:40,360 great. Trina, you don't need to change your gloves. 451 00:24:41,240 --> 00:24:44,380 The swab was in the basin on the bed. You picked it up, you put it back, you 452 00:24:44,380 --> 00:24:47,160 touched the flush, and the flush touched the basin, so you need to start over. 453 00:24:47,200 --> 00:24:49,420 New basin, new flush, new gloves. Lucy, you're being irrational. 454 00:24:49,800 --> 00:24:51,880 Honey, you have to calm down. Can't calm down, Mom. 455 00:24:52,740 --> 00:24:56,860 What if bacteria gets into your catheter again, and this time gets into your 456 00:24:56,860 --> 00:24:59,480 bloodstream, and the antibiotics don't work, and your fever dies? None of 457 00:24:59,480 --> 00:25:02,600 that's happening. Okay, but it could happen, and she could get septic, and 458 00:25:02,600 --> 00:25:05,860 she could die, and I will have just stood here and let it happen. I can't 459 00:25:05,860 --> 00:25:07,980 let that happen. I cannot let that happen. Lucy, nothing's happening. Your 460 00:25:07,980 --> 00:25:08,979 mother's going to be fine. 461 00:25:08,980 --> 00:25:09,969 You don't know. 462 00:25:09,970 --> 00:25:12,830 Hey, hey, hey, you're catastrophizing. You just need to calm down. 463 00:25:13,230 --> 00:25:15,650 I can't breathe. I can't breathe. I can't breathe. 464 00:25:16,510 --> 00:25:17,510 Lucy, look at me. 465 00:25:17,630 --> 00:25:18,509 Lucy, Lucy. 466 00:25:18,510 --> 00:25:21,870 You're having a panic attack, okay? It feels really dangerous. It's not. 467 00:25:22,070 --> 00:25:23,070 Something's wrong. Something's wrong. 468 00:25:23,190 --> 00:25:25,090 It's not dangerous, and it's going to pass. 469 00:25:25,390 --> 00:25:28,390 It's going to pass. You know what helps? I want you to breathe with me. I can't. 470 00:25:28,630 --> 00:25:30,290 Breathe in through your nose. I can't. Look at me. 471 00:25:30,630 --> 00:25:32,910 Look at me. Okay, that's okay. Don't fight it. Don't fight it. 472 00:25:33,230 --> 00:25:34,230 Okay, look at mine. 473 00:25:34,370 --> 00:25:35,710 What color is mom's blanket? 474 00:25:36,350 --> 00:25:37,350 It's blue. 475 00:25:37,610 --> 00:25:39,790 That's right. It's blue. How about Dad? What's Dad wearing? 476 00:25:40,110 --> 00:25:41,430 His gray coat. 477 00:25:41,690 --> 00:25:43,910 That's right, his gray coat. So, look, Dad's right there, and he's okay. 478 00:25:44,430 --> 00:25:45,990 And Mom's okay. They're okay. 479 00:25:46,910 --> 00:25:48,110 And you're okay, too. 480 00:25:48,530 --> 00:25:50,050 You're okay. You're safe, Lucy, all right? 481 00:25:50,630 --> 00:25:52,490 Okay, come on. Come sit down here with me. 482 00:25:52,910 --> 00:25:53,910 There you go. 483 00:25:54,050 --> 00:25:55,050 You're doing great. 484 00:26:06,830 --> 00:26:07,910 I need to keep her safe. 485 00:26:15,010 --> 00:26:16,010 I'm sorry. 486 00:26:16,330 --> 00:26:17,330 What? 487 00:26:17,850 --> 00:26:19,030 You can't be serious. 488 00:26:19,710 --> 00:26:21,190 Pathology triple-checked the results. 489 00:26:22,350 --> 00:26:27,770 Your biopsy shows you don't have cholangiocarcinoma. You have primary 490 00:26:27,770 --> 00:26:29,270 biliary lymphoma. 491 00:26:29,490 --> 00:26:31,990 It grows much faster than most bowel duct cancers. 492 00:26:32,410 --> 00:26:36,150 Which explains how the mass grew so dramatically in such a short time. 493 00:26:37,230 --> 00:26:39,690 So, I still have cancer? 494 00:26:39,950 --> 00:26:43,450 Yes, but this changes everything. 495 00:26:43,870 --> 00:26:48,110 It's an aggressive lymphoma, but also is highly responsive to chemotherapy. 496 00:26:48,550 --> 00:26:51,270 In the majority of cases, it can be cured. 497 00:26:56,270 --> 00:26:57,270 Well, 498 00:26:58,110 --> 00:27:02,550 Dr. Pitzer, the doctor who diagnosed me, was she wrong not to do a biopsy? 499 00:27:02,550 --> 00:27:04,610 Because if we'd known sooner, maybe we could have... No, she wasn't. 500 00:27:04,860 --> 00:27:09,240 The location and the appearance of the tumor were classic for wild dog cancer. 501 00:27:09,860 --> 00:27:13,700 Lymphoma presenting this way is extraordinarily rare. There was no 502 00:27:13,700 --> 00:27:17,960 reason to suspect it. Before you came in, I was planning my funeral. 503 00:27:20,240 --> 00:27:23,060 Making mental notes of everything Eden would need to know. 504 00:27:24,220 --> 00:27:25,680 Bank accounts, passwords. 505 00:27:27,720 --> 00:27:29,360 Instead, we get to plan a future. 506 00:27:31,400 --> 00:27:33,260 All I wanted was for you to be okay. 507 00:27:43,500 --> 00:27:44,500 How's Lucy? 508 00:27:44,640 --> 00:27:46,440 Dan gave her a small dose of Ativan. 509 00:27:46,660 --> 00:27:47,900 She's resting in my office. 510 00:27:48,240 --> 00:27:52,400 He thinks this is likely obsessive-compulsive disorder. 511 00:27:53,000 --> 00:27:57,320 And given how severe the symptoms have become, he's recommending a 30-day 512 00:27:57,320 --> 00:27:59,420 residential treatment program at Northwestern. 513 00:27:59,820 --> 00:28:01,020 How do we get her in? 514 00:28:01,660 --> 00:28:04,880 Getting her in isn't the issue. Dan just makes a phone call. It's getting her to 515 00:28:04,880 --> 00:28:06,900 go. Lucy won't leave you alone. 516 00:28:08,480 --> 00:28:11,290 Well... I'll move to a nursing facility. 517 00:28:11,650 --> 00:28:14,170 I mean, whatever it takes. Lucy's not going to agree to that. She's not going 518 00:28:14,170 --> 00:28:15,170 to put you in a home. 519 00:28:16,230 --> 00:28:20,010 No, you need to do something very hard, Cynthia. 520 00:28:21,250 --> 00:28:22,610 You need to let me help you. 521 00:28:26,150 --> 00:28:27,150 All right. 522 00:28:28,110 --> 00:28:29,110 What was that? 523 00:28:31,330 --> 00:28:33,150 I said okay, Sam. 524 00:28:33,490 --> 00:28:37,750 Well, 30 years and you finally do what I ask. Are they sure you're not dying? 525 00:28:38,330 --> 00:28:41,790 Was the first good idea you've had in 30 years? No, remember the divorce was my 526 00:28:41,790 --> 00:28:45,710 idea. I assume your child bride is more agreeable. 527 00:28:46,570 --> 00:28:47,830 Michelle's nearly 40, you know. 528 00:28:48,670 --> 00:28:49,670 How near? 529 00:28:50,010 --> 00:28:51,010 35. 530 00:28:52,570 --> 00:28:55,150 Hey, check out Caleb's hemoglobin. 531 00:28:56,610 --> 00:28:58,230 It's dropped a point since he got here. 532 00:28:58,890 --> 00:29:00,770 Well, that could be dilution from the fluids. 533 00:29:01,310 --> 00:29:03,850 Well, except his bilirubin and LDH are climbing. 534 00:29:04,210 --> 00:29:05,230 He's hemolyzing it. 535 00:29:05,660 --> 00:29:09,220 I knew those blisters were something worse than just a bad sunburn. Okay, so 536 00:29:09,220 --> 00:29:12,140 what could cause hemolysis and make his skin react that violently to sunlight? 537 00:29:15,000 --> 00:29:16,020 His brown teeth. 538 00:29:17,160 --> 00:29:21,300 Porphyrins. If excess porphyrins are building up in his teeth, his skin, his 539 00:29:21,300 --> 00:29:22,960 blood cells... Exactly. It explains everything. 540 00:29:23,370 --> 00:29:26,130 The discoloration, the anemia, the blistering. Okay, we're going to need a 541 00:29:26,130 --> 00:29:29,190 quantitative urine and plasma porphyrins to start narrowing down the list of 542 00:29:29,190 --> 00:29:30,190 possible blood disorders. 543 00:29:30,450 --> 00:29:32,990 No, it's okay. I have a faster way to see if we're on the right track. 544 00:29:33,190 --> 00:29:35,070 Just got to visit my friend in dermatology. 545 00:29:36,030 --> 00:29:37,350 You're sleeping with someone in derm? 546 00:29:37,770 --> 00:29:39,410 I don't think you can ask me that. 547 00:29:39,630 --> 00:29:40,930 It was a statement, not a question. 548 00:29:41,470 --> 00:29:43,650 Well, your statement is inaccurate. 549 00:29:45,290 --> 00:29:47,110 She's just giving me a few chemical pills. 550 00:29:47,890 --> 00:29:48,890 Uh-huh. 551 00:29:52,530 --> 00:29:53,910 Was quite a day. 552 00:29:56,170 --> 00:29:59,410 Oh, well, those don't look like happy tears. 553 00:30:00,450 --> 00:30:04,870 I'm so incredibly happy that Nora's going to be okay. I am. I just, I don't 554 00:30:04,870 --> 00:30:05,870 know what's going to happen now. 555 00:30:06,010 --> 00:30:07,010 Can I sit? 556 00:30:07,710 --> 00:30:10,870 Yeah. So, what do you mean? 557 00:30:12,930 --> 00:30:15,810 Before Nora got sick, I was thinking of leaving her. 558 00:30:16,430 --> 00:30:20,870 More than thinking about it, I started looking at apartments. I consulted a 559 00:30:20,870 --> 00:30:21,709 divorce attorney. 560 00:30:21,710 --> 00:30:22,730 Does Nora know that? 561 00:30:24,410 --> 00:30:27,310 She knew I was unhappy. I don't think she understood how unhappy. 562 00:30:29,050 --> 00:30:32,710 You got a small taste of it today. The questions, the second guessing. 563 00:30:33,810 --> 00:30:35,350 Telling everyone how to do their jobs. 564 00:30:36,630 --> 00:30:38,070 Nora has to be in control. 565 00:30:38,750 --> 00:30:41,030 Before she got sick, it extended to everything. 566 00:30:41,590 --> 00:30:43,430 Our home, our marriage. 567 00:30:43,650 --> 00:30:45,690 But things changed after she got sick. 568 00:30:46,400 --> 00:30:49,680 For the first time in years, Nora was faced with something that she couldn't 569 00:30:49,680 --> 00:30:50,680 control. 570 00:30:51,260 --> 00:30:52,340 It made her vulnerable. 571 00:30:53,240 --> 00:30:55,760 She had to lean on me, let me take care of her. 572 00:30:57,800 --> 00:30:59,620 We started to feel like partners again. 573 00:31:02,420 --> 00:31:05,960 I want her to be better, that's all that I want. But what if getting better 574 00:31:05,960 --> 00:31:08,260 means... Things go back to the way they were. 575 00:31:08,720 --> 00:31:11,780 You know, what Nora's gone through changes people. 576 00:31:12,780 --> 00:31:15,720 Sometimes for a period, but sometimes forever. 577 00:31:16,380 --> 00:31:21,000 You don't know yet who either of you are going to be on the other side of this. 578 00:31:21,760 --> 00:31:27,660 But... you don't have to decide today. 579 00:31:38,300 --> 00:31:39,300 How's she been? 580 00:31:41,240 --> 00:31:42,700 Asleep, mostly. 581 00:31:44,750 --> 00:31:49,250 Between the fall, the anesthesia, all the pain medication, the body's been 582 00:31:49,250 --> 00:31:50,250 through a lot. 583 00:31:52,230 --> 00:31:53,230 Hey, Jessa. 584 00:31:54,810 --> 00:31:59,050 Where am I? 585 00:31:59,290 --> 00:32:00,530 We moved you to the ICU. 586 00:32:03,630 --> 00:32:05,070 I'm sorry, who are you? 587 00:32:05,550 --> 00:32:08,070 Um, honey, this is Dr. Asher. 588 00:32:09,030 --> 00:32:11,970 Remember? She's the doctor who operated. 589 00:32:12,750 --> 00:32:13,750 What happened? 590 00:32:14,860 --> 00:32:16,060 Where did I have the baby? 591 00:32:19,840 --> 00:32:21,760 Please tell me where my baby is. 592 00:32:24,180 --> 00:32:28,600 Neurology will speak with you, but they believe that Jessa has interior-grade 593 00:32:28,600 --> 00:32:32,920 amnesia, which is affecting her ability to create new memories post-accident. 594 00:32:33,280 --> 00:32:34,740 Well, will she get better? 595 00:32:34,960 --> 00:32:36,720 Yes. This is temporary. 596 00:32:37,180 --> 00:32:40,040 Her memory should improve over the next few days. 597 00:32:41,240 --> 00:32:45,100 And... Until then... She'll continue to forget what we've told her. 598 00:32:48,580 --> 00:32:51,580 Jessa suffered two miscarriages before this pregnancy. 599 00:32:53,440 --> 00:32:55,500 She wanted this baby so badly. 600 00:32:56,660 --> 00:32:57,700 We both did. 601 00:32:59,980 --> 00:33:01,240 She's asking for you. 602 00:33:02,900 --> 00:33:04,060 I'll help you tell her. 603 00:33:06,340 --> 00:33:07,340 What's that? 604 00:33:07,800 --> 00:33:09,780 This is called a woods lamp. 605 00:33:10,860 --> 00:33:13,800 Dermatologists use it to look for things on your skin you can't see in normal 606 00:33:13,800 --> 00:33:14,800 light. 607 00:33:15,860 --> 00:33:16,839 You ready? 608 00:33:16,840 --> 00:33:18,340 Give me a big smile, Caleb. 609 00:33:19,740 --> 00:33:21,340 Why do his teeth look like that? 610 00:33:22,540 --> 00:33:25,480 Erythrodontia. It happens when porphyrins accumulate in the teeth. 611 00:33:25,760 --> 00:33:26,760 I wanna see. 612 00:33:27,740 --> 00:33:31,480 His blisters, the anemia, his teeth, they all point to a rare metabolic 613 00:33:31,480 --> 00:33:32,760 disorder called Gunder disease. 614 00:33:33,240 --> 00:33:34,240 What do you think? 615 00:33:34,640 --> 00:33:35,640 Whoa. 616 00:33:35,900 --> 00:33:37,160 This is so cool. 617 00:33:37,680 --> 00:33:38,680 How do you treat it? 618 00:33:39,120 --> 00:33:42,960 with rigorous protection from sunlight and blood transfusions to control the 619 00:33:42,960 --> 00:33:43,960 anemia. 620 00:33:44,140 --> 00:33:46,560 Is this something he's going to have for the rest of his life? 621 00:33:46,820 --> 00:33:48,400 It's genetic, so yes. 622 00:33:48,640 --> 00:33:51,940 But now that we know what we're dealing with, we can prevent him from further 623 00:33:51,940 --> 00:33:52,940 damage. 624 00:33:53,380 --> 00:33:56,200 We'll have hematology down shortly to talk you guys through everything. 625 00:33:56,500 --> 00:33:58,480 Thank you so much. Of course. 626 00:33:58,800 --> 00:33:59,800 I'm seeing a big head. 627 00:34:03,960 --> 00:34:06,000 A woods lamp, huh? 628 00:34:06,620 --> 00:34:08,760 You don't see these every day in the ED. 629 00:34:09,239 --> 00:34:13,120 Just use it to diagnose a kid with congenital erythropoietic porphyria. 630 00:34:13,540 --> 00:34:15,820 Oh, it's quite the catch. 631 00:34:16,100 --> 00:34:19,920 Well, his worsening anemia didn't fit dehydration, and then we noticed the 632 00:34:19,920 --> 00:34:23,659 staining on his teeth, and I remembered that erythrodontia for us is red under a 633 00:34:23,659 --> 00:34:24,578 wood slant. 634 00:34:24,580 --> 00:34:26,400 Yeah, I expect so little from residents. 635 00:34:26,679 --> 00:34:27,679 Nicely done. 636 00:34:28,860 --> 00:34:31,199 Uh, what was that? 637 00:34:32,460 --> 00:34:35,540 You kind of just made it sound like it was all your idea. 638 00:34:35,960 --> 00:34:40,699 Oh, um, God, I'm sorry. I didn't even think about that. I don't really pay 639 00:34:40,699 --> 00:34:43,760 attention to who gets the credit, but, um, my bad. 640 00:34:44,340 --> 00:34:47,179 No, it's, uh, forget it. You sure? 641 00:34:47,440 --> 00:34:48,379 I'm sorry. 642 00:34:48,380 --> 00:34:49,940 Again. Totally. It's fine. 643 00:34:50,480 --> 00:34:51,480 Okay. 644 00:34:54,320 --> 00:34:57,820 So, Northwestern can take Lucy whenever she's ready? 645 00:34:58,040 --> 00:35:01,680 Thanks. She's agreed to go once we have full-time care in place for her mother. 646 00:35:01,860 --> 00:35:04,660 Great. I contacted an agency, and they're going to send some caregivers 647 00:35:04,660 --> 00:35:06,120 over to me with Cynthia on Monday. 648 00:35:06,640 --> 00:35:10,180 I'm sure she'll reject the first six on principle, but we'll get there. 649 00:35:10,520 --> 00:35:11,620 Don't doubt it for a second. 650 00:35:11,920 --> 00:35:13,840 Dan, thank you for stepping in with Lucy earlier. 651 00:35:14,200 --> 00:35:17,760 Sam, come on. My attempt to calm her down had roughly the opposite effect. 652 00:35:18,080 --> 00:35:22,320 Look, this situation is a classic parental minefield, right? 653 00:35:22,740 --> 00:35:26,220 You're damned if you open your mouth, and you're damned if you don't. 654 00:35:32,690 --> 00:35:35,750 They're moving her upstairs shortly. Got her the VIP suite. 655 00:35:36,110 --> 00:35:37,110 Thanks, Dad. 656 00:35:39,430 --> 00:35:40,770 Now drop the ball, Lucy. 657 00:35:41,770 --> 00:35:45,010 The signs have been there for years, but I was too busy fighting with your 658 00:35:45,010 --> 00:35:47,970 mother, which I'm sure only exacerbated... Can we just skip this 659 00:35:47,970 --> 00:35:49,490 part? What part? 660 00:35:49,710 --> 00:35:50,770 The part where you blame yourself. 661 00:35:53,130 --> 00:35:55,670 You have far less influence over me than you think. 662 00:35:58,230 --> 00:35:59,230 Dad, I... 663 00:36:00,430 --> 00:36:02,850 I need you to promise me that you'll take care of mom. 664 00:36:03,250 --> 00:36:04,250 Let's see. 665 00:36:05,550 --> 00:36:06,770 You have my word. 666 00:36:07,290 --> 00:36:09,110 Your mother's going to be taken care of. 667 00:36:09,570 --> 00:36:12,290 Your only job is to take care of yourself. 668 00:36:18,710 --> 00:36:21,230 Congratulations are in order, Dr. Wu. 669 00:36:21,570 --> 00:36:25,950 Or should I say Gaffney's next emergency medicine chief resident? 670 00:36:26,290 --> 00:36:28,710 Even running unopposed, I'm grateful for the opportunity. 671 00:36:29,820 --> 00:36:33,760 Taking on a role this demanding while finishing your residency is quite 672 00:36:33,760 --> 00:36:38,140 admirable. I know. It'll be a lot of extra work, but some opportunities are 673 00:36:38,140 --> 00:36:38,879 worth it. 674 00:36:38,880 --> 00:36:40,200 You got this. Dr. Hart. 675 00:36:40,900 --> 00:36:42,460 I hope I'm not too late. 676 00:36:42,700 --> 00:36:46,440 Deadline said end of day. Oh, and the day is not over. 677 00:36:47,380 --> 00:36:50,520 Frankly, I'm just pleased to see you putting yourself forward for a 678 00:36:50,520 --> 00:36:51,640 leadership position, Dr. 679 00:36:51,880 --> 00:36:52,880 Frost. 680 00:36:53,170 --> 00:36:57,370 And just so you know, Dr. Wu has also declared her interest. 681 00:36:57,710 --> 00:37:01,730 So since there are two candidates now, the ED attendings will be making the 682 00:37:01,730 --> 00:37:02,730 final decision. 683 00:37:03,530 --> 00:37:05,690 Looks like we've got ourselves a race. 684 00:37:08,310 --> 00:37:11,210 That was a hell of a catch. 685 00:37:11,450 --> 00:37:12,990 Yeah, we got lucky. 686 00:37:14,770 --> 00:37:16,950 I guess I probably should head out. 687 00:37:19,630 --> 00:37:20,750 Be well, Dennis. 688 00:37:23,400 --> 00:37:24,400 You too, Sharon. 689 00:37:37,820 --> 00:37:41,260 We found Miranda's mystery visitors in the security locks. 690 00:37:41,840 --> 00:37:46,140 Miranda met with the executive search firm the board retained after Quinley 691 00:37:46,140 --> 00:37:47,240 announced his retirement. 692 00:37:47,580 --> 00:37:52,800 Whoa. That's hardly a secret. I mean, everyone knows that Daphne is looking 693 00:37:52,800 --> 00:37:54,020 for a new CEO. 694 00:37:54,280 --> 00:37:58,380 Why would she need to hide the fact that she was advising them on the search? 695 00:37:58,700 --> 00:38:00,460 Because she wasn't advising them. 696 00:38:00,680 --> 00:38:02,600 At least that's not what it looks like. 697 00:38:02,880 --> 00:38:06,540 Look, in preparation for this meeting, Miranda had her office pull five years 698 00:38:06,540 --> 00:38:11,120 of departmental financials, charting the hospital's margins from before and after 699 00:38:11,120 --> 00:38:12,120 her arrival. 700 00:38:12,200 --> 00:38:15,980 A nice summary of every cost-cutting initiative she's implemented. 701 00:38:16,260 --> 00:38:22,570 Her... five-year strategic plan for Gaffney. So Miranda isn't helping them 702 00:38:22,570 --> 00:38:23,830 choose the next CEO. 703 00:38:24,230 --> 00:38:27,290 She wants to be the next CEO. 704 00:38:27,610 --> 00:38:28,610 Bingo. 705 00:38:58,960 --> 00:39:00,840 No one's more surprised than I am, believe me. 706 00:39:02,160 --> 00:39:02,919 Well, thanks. 707 00:39:02,920 --> 00:39:07,360 Well, I'm going to tell you. So I figured that, you know, at least one of 708 00:39:07,360 --> 00:39:08,360 these would work. 709 00:39:08,860 --> 00:39:11,200 But you know what the hell with it? Let's just put all of them on her and 710 00:39:11,200 --> 00:39:14,820 have a photo shoot and take Doris's advice. 711 00:39:15,720 --> 00:39:19,000 You know, collect blackmail from when she's 16 and hates us. 712 00:39:22,940 --> 00:39:24,280 You want to run you a bath? 713 00:39:24,740 --> 00:39:26,460 You can just stay in there as long as you want. 714 00:39:26,760 --> 00:39:27,760 Take the first shift. 715 00:39:41,390 --> 00:39:42,770 I'd rather stay right here.