Original subtitles

Previously on "New Amsterdam"...

Dr. Helen Sharpe is here in New York City

representing the NHS' fight against cancer.

Did you know she was in New York?

No, not until I saw her on TV.

I wish I could have seen your face.

It's not funny, all right?

Elizabeth did see my face.

Did she take a video?

No, she didn't.

Let's just say it wasn't the best

way to start a relationship.

Wait, you and Elizabeth?

Almost, until I saw Helen and basically

frickin' short circuited, which I'm sure

is what every woman wants in a prospective boyfriend.

Did you think that we'd still be boyfriends at this age?

No, I did not.

Yeah. So you gonna see Helen?

I don't know. Yes. No. Maybe.

I--she hasn't even reached out, OK?

I don't even know if it's on the table.

You're not even a little bit curious?

Of cour--which part?

I mean, if she still has feelings for you.

If some part of her wishes she could take it all back.

I mean, what if she came back to New York for a reason?

I know, I know, but I can't.

I can't be curious, OK?

Not about any of it, because I can't open that door.

I can't fall back into something that I

worked so hard to get over.

I just need to find Elizabeth, apologize,

make this right, OK?

Hey.

Hi.

911.

And I have a coffee 911.

Um, you know what, would you mind interpreting for me,

because I'm just a little more clear when

I'm not using the wrong words, or, uh,

unintentionally swearing.

Max, please do not include Ben

in our private conversations.

Oh, thank God.

Thank you.

Hmm.

So, this is my emergency, huh?

Oh, it's urgent, Dr. Reynolds.

- Come here. - Mm.

Mmm.

I can't believe it.

One more week before you have to go.

That is the beauty of dating a travelling nurse.

Mm-hmm.

What is that?

Less time, and more heat.

I might have a meeting.

Do you have a meeting?

I can't remember right now.

OK.

Manny?

There's the guy that sliced into the phrenic nerve

in anatomy lab.

No, no, that's only 'cause the cadaver shook

when you dropped that slice of pizza

in the abdominal cavity.

What's up, man? - It's been a minute.

Yeah, too many. Too many.

How you doing? You look good.

What are you doing here?

It's my son.

He's in the ICU.

It's a fusiform aneurysm

in the vertebral basilar artery,

very close to the Circle of Willis.

That's deep in the base of the brain, yes?

Yes.

Yes, where the blood travels.

But the aneurysm can blow any minute.

Manny, we need to operate immediately.

I've called Dr. Emilio Nieves.

He is the best neurosurgeon on the East Coast.

You know how delicate cutting into that part of the brain is.

Slightest vibration, my boy's own heartbeat

could throw Nieves off by a millimeter

and he could never wake up. - Right. Right.

But that's not going to happen, OK?

I'm going to stop Manny Jr.'s heart

before Nieves starts.

We're going to get his body temp down to 45 degrees,

put him in cold plegia.

All right, suspended animation. All right?

That way there's no pulse to throw Nieves off

as he makes the incision to reconstruct

the basilar artery using an internal mammary artery.

And when he's done, I'll rewarm your son's body,

restart his heart, and everyone goes home.

Hearing it as a doctor, it makes sense.

But when it's your child-- - Hey.

I still owe you for totaling that '66 Dodge Dart.

Don't I?

Let me make it up to you.

Dr. Dyson, exactly how long

do you and your team need for this?

A quarter of New Amsterdam's thallium allotment

is unaccounted for, Dr. Bloom.

Right, and I'm not trying to diminish

the severity of a missing radioactive element.

But my ED is clean, and my mood is bad,

so I would appreciate a real measure of time.

Uh, as long as it takes.

50-year-old male, hypotensive,

experiencing shortness of breath

due to multiple bee stings.

- Oh, damn it, Dave. - You know him?

Yeah, only because this is his third time here this week.

He's in anaphylactic shock.

Yeah, I was transferring a beehive,

and the cover ripped for some reason.

Maybe because you're an accountant.

That's what I do.

Who I am is an urban outdoorsman.

OK, let's get him on 250 milligrams

of hydrocortisone and 50 milligrams of Benadryl.

My eye feels like it's on fire.

Ahh! Ahh!

There's a stinger in the inner canthal region.

Dave, I need you to stay still.

I don't like things in my eye.

Then you should stop leaving your office, hey?

Hold him still. Max, Max, uh--

- Yeah, I got it. I got it. - Hold him still.

- Got it. - That was fast.

OK, let's take him to Bay 24,

and let's monitor him for the rest of the day.

Got it.

No, wait! No, stop!

I can't be here all day. - Why not?

I'm taking my employees on a Great Escape.

Sure, as long as it's in Bay 24, that's fine.

Sorry, Great Escape? What is that?

Day-long team-building trips that take New Yorkers

off the grid and up a mountain for an eye-opening escape

from city life and city problems.

The tickets are also expensive and non-refundable.

Yeah, I'll take them.

I'll take all of them.

Fine, but I only do Zelle.

You won't even do patio seating

at a four-star restaurant and now you want

to venture off into the wild?

I just think it'd be nice to spend a day

outdoors with my friends and my coworkers, right?

Hm, this is because Helen's back in New York, isn't it?

No, no, no, I just want to spend more time

with the people who are actually in my life.

And after everything that you have been going through,

wouldn't that be nice?

Brunstetter, page Candelario.

That's what I'm talking about.

Great idea, two words.

- Cape Cod. - Nope.

Corporate retreat.

That is very different.

It is very different, but everything

is packed and prepared and ready to go

so that we can have some food, some fun,

and maybe a little adventure.

Max, I have appointments.

That's why I've got substitute doctors who

can step in at a moment's notice

so that we can take a day to remember what truly matters.

Plus, we'll probably spend some time in a, uh,

Tent, so maybe we could, uh, you know,

do important doctor stuff.

- I'll go. - Sorry.

So what do you think?

Yes! Thank you.

Value of shared assets.

Division of property.

Child custody rights.

I guess divorce comes down to these little sticky notes.

Hey, buddy, you want to climb a mountain?

Yes.

Thank you. Thank you.

That was easy.

Throw on a backpack, amigo, because I am taking you

to climb a mountain.

I guess Helen texted you.

She did.

I don't know if I want to see her, though.

I don't even know if I want to be in the same city as her.

'Cause you don't want to be tempted?

It's like this.

I just found out Luna has a peanut allergy,

so naturally I purge the whole house of all peanuts,

all peanut butter, because even though she knows that it could

make her stop breathing, she still loves it,

and she probably always will.

So the only thing to do is to remove it completely

so it doesn't, you know, kill her.

Yeah, yeah.

Max, look, I got a big surgery so I'm going to have to pass,

but I understand and fully support you

getting the hell out of here.

Thanks, buddy.

You going to get that?

Max.

Get out of those scrubs.

Get ready for the Great Escape, right?

♪ Poor old Granddad

♪ I laughed at all his words

♪ I thought he was a bitter man ♪

♪ He spoke of women's ways

♪ They'll trap you

♪ Then they use you, before you even know ♪

♪ For love is blind, and you're far too kind ♪

♪ Don't ever let it show

♪ I wish that I knew what I know now ♪

♪ When I was younger

♪ I wish that I knew what I know now ♪

♪ When I was stronger

♪ The can-can, such a pretty show ♪

♪ Will steal your heart away

Are we almost there?

'Cause this is a lot of steps.

Welcome to the top of the world.

- Wow. - Oh, it's amazing.

- Wow. - Whoa.

This is unreal.

Where are we?

Tennessee, this is amazing.

It's incredible.

- Nope. Nope. No. - Oh.

Whoa.

Wow.

How high up do you think we are?

I--100, maybe, 150 feet.

It's 288 feet.

OK, well, that's, uh, high.

Maybe Iggy had the right idea hanging back.

Wait, Max, is Iggy OK?

Why didn't he come?

He, uh, he just wanted to be alone for a minute.

I think he's going through some stuff.

Yeah, well, he's missing out on a lot.

Yeah.

All right, so now what?

We're going over the edge.

We're go-- how's that?

One by one, we're going to harness up,

use this belay line to rappel down the face of the cliff.

Any questions?

Uh, I'll go first.

Are you crazy?

All I heard is "I'll go first."

Cardiopulmonary bypass initiated.

Time to stop the heart.

Core temp is down to 45 degrees.

All right. Here we go.

ACT 466.

Wait for it.

OK, patient is in suspended animation.

Dr. Nieves, you're up.

Time for you to show off. You got one hour.

We'll need every second.

Three-hole punch.

I always thought he was throwing away his career,

with starting a family so young.

Now I realize how wrong I was.

And if I can't have it,

least I can do is make sure he doesn't lose it.

Radiation safety team.

Hey, hey, hey, get the hell out of here!

We are tracking a radiation spill.

Get the hell out!

We are doing a surgery.

We discovered our thallium supply had a leak.

Probably spilled in here.

Do not come into the surgical field.

Found it! It's in here.

We need everybody to evacuate immediately.

My patient has a blade in his brain.

If we try to move him, he's dead.

He also is being exposed to potentially

lethal amounts of radiation.

Not just the boy, everybody is being exposed.

- OK. - Come on.

All right, people, here's the deal.

These excursions aren't just about physically

getting out of the city.

It's about getting away from the thoughts that

cloud what really matters.

If I stood in the middle of Fifth Avenue

and I asked people what their deepest desires were,

I'd probably hear a lot of people saying

they want to be rich.

That is not what they really want.

So what do they really want?

Can we speed this up, please?

It's different for everyone.

And in my experience, this is the best way to find out.

Because when you take a backwards leap off an almost

300-foot-high cliff, well,

what you really want tends to become very clear.

Yeah, are we good to go?

Oh, sounds like someone's excited

for their first rappel.

As you're in freefall... - Yeah.

Just think about what you really want in life.

That's it?

We're just going to--

OK, uh...

OK.

Oh.

Whoo.

Ahh!

OK, last but not least.

- Yeah. - Any questions?

Uh, think I'm ready as I'll ever be.

All right, you know what to do.

Yeah.

OK.

OK. Wait.

What if I don't know what I want?

Step back and find out.

I'm a little bit jealous.

- Oh, my God. - I got to be honest.

It's unbelievable.

Max.

Max, incredible, right?

Yeah, it's incredible.

Hey. Hey.

Oh, my God.

Let's get her on her side.

Easy, easy, easy.

How's her pulse? Anything?

Starting chest compressions.

Non-responsive.

A broken femur, shattered wrist,

possible pelvic fracture.

Max!

We need an evac. Call an evac.

Yeah. Yeah, yeah.

- Who's got the SAV pump? - Check around her body.

It might have fallen out of the bag.

I know she has one.

OK. - Oh.

Got it, got it. - You got it?

Oh, yeah.

Damn it.

All right, try this cell phone.

Yeah, yeah. Give me a sec.

OK, OK.

No, we got a problem here, guys.

All right, if we don't get a rescue helicopter here,

she's got no chance.

Wait, when was the last time any of us had service?

Back where we parked, right?

I'll go back.

I'll follow the trail.

I'll get-- I'll hit service before then, probably, right?

What other option do we have?

I'm going. I'm going.

These protective lead shields were

designed for X-rays and should offer you

some protection in here.

Closing sutures.

You need to put this on, Dr. Reynolds.

Not going to happen.

I'm not going to compromise my mobility.

You're risking further exposure.

I don't care. The patient comes first.

This particular patient is too important, all right?

Is it really necessary to clear the observation deck?

Thallium is an airborne radioactive substance.

We clear the area. That's protocol.

This is the last operating room running on this floor,

so I would strongly advise you and your team to find a way--

There isn't one!

All done here.

Surgical reconstruction complete.

You and your team need to exit the zone.

This way, please. - Show-off.

Good luck, Floyd.

All right, begin reperfusion and rewarming.

Reperfusion started.

Dr. Reynolds, these dosimeters measure exposure.

The second any of them starts beeping,

we need to pull you out, no argument.

Fine, let me work.

Gonna have you back in no time.

OK.

Hello?

Hello?

Hey.

Hi.

Uh, I'm Iggy.

Are you OK?

Just lost.

Are you OK?

Yeah. Yeah, I'm OK.

I just-- I fell.

It's nothing.

My family is out here camping.

I just got separated from them.

OK, but they're nearby?

I don't know.

You lost too?

No, I'm not lost, I'm, uh--

no, I'm looking for cell service, but I got to--

I got to keep going, so--

Can I come with you?

Then you can call my parents too.

Can you run?

OK, come on.

- What is that? - Smart AED.

It uses the phone's battery as a charge.

I got it the last time Vanessa OD'd.

OK.

This one goes here.

OK, clear.

- Nothing. - Nothing.

Going again.

Slow but steady. She's alive.

This rock face is unstable.

We got to get her out of here.

Let's move these.

There's no way.

They're too heavy.

It's bedrock, it's not going to move.

She's wedged in.

Her rhythm is unstable.

Her body is going in and out of shock.

What if Iggy doesn't make it in time?

We need to build a fire.

The smoke could draw attention.

I'll help you.

Come on.

Oh, God.

You move fast.

Yeah, I'm, uh, I'm worried about it getting dark.

Work out a lot?

I try.

Good for you.

My family loves exercise.

I just really never gotten into it.

Worried you're going the wrong way?

My sense of direction is awful.

My brother says if I have two choices,

I should choose one and go the other way,

but he's also kind of douche.

Hey, uh, is your family anywhere nearby?

You think, like--does any of this look familiar to you?

I actually need to tell you something.

I didn't get separated.

I ran away.

Why would you do that?

Don't get snippy.

It's not like you didn't run away when you were my age.

What are you talking about?

You ran away after your dad found you

sneaking a candy bar for your new secret hiding place

under the porch.

So he slapped you in the head, hard.

And then you ran away.

A couple of hours later, you wussed out,

and you went right back.

Who are you?

I'm you.

This is all my fault.

It's your fault that our guide's anchor

broke free from the mountain?

We're only here because I was trying to avoid Helen.

Tennessee would be here either way.

Only with a bunch of tax accountants.

Look, she'd be dead if we weren't here,

and so would they.

So, thank God you're avoiding Helen.

Clearly, the right move.

Give me that. - OK.

Done this before?

Jewish summer camp, when I wasn't sneaking off

to smoke with the boys. - Mm.

You know, for months after she left--

for months, I would have done anything to see her, anything.

Just to ask her why.

I used dream of this moment.

You're doing the right thing, Max.

Look, you going to see Helen,

it would be like me going to see

a hundred milligrams of Adderall.

Whatever she has to say, it's not gonna help.

Just keep looking forward, not behind.

Think I'll take that as a sign.

What was that?

Rock slide.

I've got Ben.

Yeah, I got Tennesee.

Stop, stop.

This whole side is going to fall.

Don't!

Just go.

I need you to listen to me.

We got to get you out of here.

I got to get you out of here.

There's only one way to do that.

My foot.

No. Please, no.

The rockslide will kill you. It's the only way.

Tennessee, look at me.

It's the only way.

OK.

- OK. - My bag.

In here.

Bite down on this.

Hold her steady.

OK.

Look at me.

It's OK.

Here.

OK.

Are you ready?

- Did I hit my head? - You wish.

That would mean you don't have huge emotional issues.

You're not real, and I don't have huge emotional issues.

Yeah, right.

You can't even tell your friends how sad you are.

I don't have time for this.

Oh, like you don't have time to sign your divorce papers?

I'm not going to.

I'm gonna ask Martin for another chance.

Come on, we both know that's not going to happen.

Plus, you dumped him, which frankly blows my mind,

because he's super hot.

Like, I'm psyched to meet him.

You'll understand when you're older.

True love is worth fighting for.

I had to leave because I had to figure out who I was.

I did that.

Now I can go back.

Classic us.

Running away and going back.

Why did you go back?

I mean, you ran away, hung out in a park for four hours,

and then you went right back,

even though nothing had changed.

Like, what's the point?

Uh...

I don't know.

It wasn't all bad.

It wasn't.

I missed my mom.

I, uh, I missed my brother when he wasn't being a jerk to me.

I didn't want to say goodbye to those things forever.

Eventually, you did leave.

Never came back.

Yeah.

I realized that was the price of a better life.

Sometimes it's scary to walk away from the good things,

but you have to.

It's what you have to do to move forward.

That's the funny thing about being lost.

Clearly it's not about knowing your way forward.

It's knowing that the answer isn't looking back.

Got it.

All right, let's get her up.

Easy. Watch her head.

Got her?

OK, you're doing great.

You're doing great, Tennessee.

Keep moving! Keep moving!

Max, there's too much blood.

All right, all right, set her down, set her down.

Easy, easy.

How's she doing?

Fast and weak.

All right, she's going to go into hypovolemic shock

unless we tighten the tourniquet.

It's soaked through.

Uh--

Yeah, she's right.

We need to cauterize her leg.

We have the fire.

We don't have--

Metal. We need metal.

A carabiner?

It's going to have to do.

All right, we got to get him off bypass.

What's the core temp?

You need to step out of the OR.

Now!

Core temp is 98.6.

OK. Come on.

Let's go. Follow me.

Ready, Dr. Reynolds.

OK.

We're going to take him off bypass.

Suture?

Good. All right.

Get those paddles ready.

All right, restarting the heart.

Charging.

Clear.

OK, going again.

Charging, clear.

Going again.

Charging, clear.

Dr. Reynolds, you need to step out of the OR.

Going again. Charge.

Dr. Reynolds, you need to leave.

Come on.

You shocked the heart four times.

Three times is protocol.

You need to come with me. - Come on.

Come on.

The patient is unresponsive!

Not going to lose you. Not going to lose you.

You've been exposed to high levels of radiation.

You need to come with us right now.

Come on. Damn it!

OK.

All right, hold her.

Hold her tight.

He's not going to die today.

Intracardiac epi.

On it.

Inject just above my fingers.

One milligram epi in.

Dr. Reynolds, call it.

Come on, come on, come on.

There's nothing more you can do.

Get yourself to safety.

Wait a minute, wait.

Dr. Reynolds, call it!

Wait a second.

I got something.

Yeah, I got something.

Oh, my God.

All right, get him to a new OR, now.

Lauren.

Over here!

Hey!

Over here!

Hey!

Iggy did it!

Hey, Floyd.

Thank you. Thank you.

Floyd, my oldest friend.

Thank you for saving my family.

Consider the car debt repaid.

Thank you.

Um, I'm--

I'm sorry, the radiation has got me all, uh--

I just--

It's just between, uh, you know,

this and you leaving.

Why do you act like everything

is over and done with?

It's 'cause you're leaving in six days.

Yes.

Only 'cause you never asked me to stay.

Iggy, hey.

You OK?

Hey.

Yeah, yeah, fine.

I'm just embarrassed, mostly.

What were you doing up on a mountain?

Um, I was gaining clarity.

I, uh--I signed the divorce papers.

We don't need to worry about that right now.

Yes. Yes, we do.

Yes, we do.

Because I have been, um--

I've been having a really hard time accepting

that what we had is over.

But sometimes to move forward,

you have to leave something behind.

Our marriage is over.

I am certain of that now.

You seem pretty OK with it.

Yeah.

Because I finally know the direction

that I want to be headed in.

Martin, will you go on a date with me?

♪ Walk out the door

♪ And I bet you ain't got nothing left to learn ♪

♪ It's better that way 'cause you never get burned ♪

♪ And you try not to think about what might have been ♪

♪ 'Cause you know this town is just sink or swim ♪

♪ Do you miss me?

Vanessa, Vanessa.

I'm really sorry.

I thought you were someone else.

Wait, um, I'm Lauren.

I'm three years sober.

And there's a seat right next to me if you want it.

Why do you care what happens to me?

Because today I asked the universe

to let me help someone...

who used to be just like me.

♪ Now I hear you're in love ♪

♪ With some big city man

♪ And together you're making your big city plans ♪

♪ And you hope he don't find out about who you are ♪

♪ That we used to catch fireflies in mason jars ♪

♪ And we used to go down to the county fair ♪

♪ And we listened to bluegrass in summer air ♪

♪ And we danced all night as the rain came down ♪

♪ And you held my hand as we slept on the ground ♪

♪ And we wrote our names in the old oak wood ♪

♪ I guess some things don't work out like they should ♪

♪ Do you miss me?

♪ Do you miss me?

♪ Do you miss me, yeah

♪ Do you miss me?