1
00:00:05,697 --> 00:00:07,374
Please tell me

2
00:00:07,474 --> 00:00:09,472
you did not leak Theo's files
to save my job.

3
00:00:09,476 --> 00:00:11,570
Taking this deal means
you can pursue employment

4
00:00:11,670 --> 00:00:13,376
elsewhere from Gaffney.

5
00:00:13,380 --> 00:00:16,613
-You want me gone.
-I still can't figure out why.

6
00:00:16,617 --> 00:00:18,581
Please don't take Miranda's deal.

7
00:00:18,585 --> 00:00:21,184
I leaked the medical file.

8
00:00:21,188 --> 00:00:22,685
<i>I see how it is easy for you</i>

9
00:00:22,689 --> 00:00:24,921
<i>to cast me as the enemy
in your internal drama.</i>

10
00:00:24,925 --> 00:00:29,096
Sloan, you cut multiple
shifts just to save pennies.

11
00:00:29,196 --> 00:00:32,128
-Everyone resists change.
-You miss Sharon Goodwin.

12
00:00:32,132 --> 00:00:35,035
Oh, Sharon Goodwin's coming back.

13
00:00:42,367 --> 00:00:44,040
I thought sharing a shower
was about saving time.

14
00:00:44,044 --> 00:00:46,676
You said, and I quote,
"all business."

15
00:00:46,680 --> 00:00:49,546
Well, business has
a lot of meaning.

16
00:00:56,657 --> 00:00:58,016
Just one second.

17
00:00:59,710 --> 00:01:00,794
Yeah?

18
00:01:00,894 --> 00:01:02,225
Can I get in there
to brush my teeth?

19
00:01:02,229 --> 00:01:05,828
-Can't it wait?
-I need a minute.

20
00:01:05,832 --> 00:01:08,268
What?

21
00:01:08,368 --> 00:01:10,570
All right, all right, I'm coming.

22
00:01:12,339 --> 00:01:13,603
Hey, man.

23
00:01:13,607 --> 00:01:16,539
Hi. Here you go.

24
00:01:16,543 --> 00:01:18,041
Do you have a girl in there?

25
00:01:18,045 --> 00:01:19,801
Well, what's with
all the questions?

26
00:01:19,805 --> 00:01:22,078
Look...

27
00:01:22,082 --> 00:01:24,948
When Naomi got that fellowship
in Portland and dumped you...

28
00:01:24,952 --> 00:01:26,149
Easy, easy.

29
00:01:26,153 --> 00:01:27,750
Yeah, mutual breakup,
but sure, go ahead.

30
00:01:27,754 --> 00:01:29,285
I was there for you.

31
00:01:29,289 --> 00:01:30,903
And I have been nothing but
supportive as you've, you know,

32
00:01:30,907 --> 00:01:34,073
gotten back on the horse,
or the whole herd,

33
00:01:34,077 --> 00:01:35,425
the past couple of months.

34
00:01:35,429 --> 00:01:38,261
It feels like
there's a but coming.

35
00:01:38,265 --> 00:01:41,268
You're taking some liberties
with the, uh, roommate code.

36
00:01:44,137 --> 00:01:46,331
-Okay. Yeah.
-Yeah.

37
00:01:46,431 --> 00:01:48,271
No, that's... that's fair
and I understand.

38
00:01:48,275 --> 00:01:50,811
And I... I will do better.

39
00:01:50,911 --> 00:01:53,739
After this morning?

40
00:01:55,949 --> 00:01:59,449
-See you at the hospital.
-Okay. See you there.

41
00:01:59,453 --> 00:02:02,848
{\an8}Yeah, okay, so she's got
a change of clothes in the bag.

42
00:02:02,948 --> 00:02:04,487
{\an8}And I pumped this morning,
which is in the cooler.

43
00:02:04,491 --> 00:02:05,622
{\an8}-You brought...
-I showed him.

44
00:02:05,626 --> 00:02:07,023
{\an8}Okay.

45
00:02:07,027 --> 00:02:09,067
{\an8}Oh, also, she likes
to be burped on her left side.

46
00:02:09,196 --> 00:02:10,627
{\an8}Sometimes it takes a little bit.

47
00:02:10,631 --> 00:02:11,928
{\an8}I promise I got her.

48
00:02:11,932 --> 00:02:13,412
{\an8}And daycare is great
for little tykes.

49
00:02:13,433 --> 00:02:15,064
{\an8}It gets them used to new faces,
experiences...

50
00:02:15,068 --> 00:02:16,361
{\an8}Yeah.

51
00:02:16,461 --> 00:02:19,027
{\an8}No, I've read the... I've read
the literature, Trident.

52
00:02:19,031 --> 00:02:21,270
{\an8}It's just I'm handing
my heart to a stranger

53
00:02:21,274 --> 00:02:23,210
{\an8}and I don't want Mabel
to feel abandoned, so...

54
00:02:23,310 --> 00:02:24,574
{\an8}All right, baby,
it's gonna be fine.

55
00:02:24,578 --> 00:02:26,705
{\an8}A little independence is
gonna be good for her.

56
00:02:26,805 --> 00:02:27,873
{\an8}Right, yeah.

57
00:02:28,949 --> 00:02:30,947
{\an8}-It's okay.
-Oh, my gosh.

58
00:02:30,951 --> 00:02:33,086
{\an8}-It's okay.
-I got you. I got you.

59
00:02:33,220 --> 00:02:34,984
{\an8}It's okay, yes.

60
00:02:34,988 --> 00:02:37,240
{\an8}Shh, shh, shh.

61
00:02:40,460 --> 00:02:42,550
{\an8}How are you so calm?

62
00:02:42,554 --> 00:02:44,819
{\an8}I'm not.
I'm pretending for you.

63
00:02:47,034 --> 00:02:48,314
{\an8}Dr. Archer.

64
00:02:48,318 --> 00:02:50,170
{\an8}Oh, good luck with that.

65
00:02:50,270 --> 00:02:51,401
{\an8}Thanks.

66
00:02:51,405 --> 00:02:53,469
{\an8}-Bye.
-Bye.

67
00:02:53,473 --> 00:02:56,064
{\an8}Hi. So glad I ran into you.

68
00:02:56,068 --> 00:02:57,373
{\an8}Okay. What's up?

69
00:02:57,377 --> 00:02:59,000
{\an8}Well, I wanted to let you know

70
00:02:59,004 --> 00:03:00,347
{\an8}that I'm shifting some resources

71
00:03:00,447 --> 00:03:01,903
{\an8}to create a dozen new beds.

72
00:03:01,907 --> 00:03:03,517
{\an8}More people will be
admitted faster,

73
00:03:03,617 --> 00:03:05,915
{\an8}which should clear up
some space in the ED.

74
00:03:05,919 --> 00:03:09,986
{\an8}Oh, okay.
Uh, that sounds really great.

75
00:03:09,990 --> 00:03:11,258
{\an8}Thank you.

76
00:03:11,358 --> 00:03:13,293
{\an8}We're a team, right?

77
00:03:13,427 --> 00:03:14,694
{\an8}Right.

78
00:03:21,268 --> 00:03:24,454
{\an8}I knew what Miranda was
trying to do to Dr. Charles.

79
00:03:26,331 --> 00:03:27,332
{\an8}We all did.

80
00:03:29,009 --> 00:03:32,100
{\an8}And I felt angry and helpless.

81
00:03:32,104 --> 00:03:34,777
{\an8}Yeah, I know that feeling.

82
00:03:34,781 --> 00:03:37,984
{\an8}Then I went to your office to
drop off the staffing report.

83
00:03:38,085 --> 00:03:40,867
{\an8}You weren't there,
but I happened to see

84
00:03:40,871 --> 00:03:44,679
{\an8}Dr. Rabari's name
on your computer.

85
00:03:44,683 --> 00:03:46,893
{\an8}His medical records.

86
00:03:49,596 --> 00:03:52,286
{\an8}I made a snap decision.

87
00:03:52,290 --> 00:03:53,300
{\an8}I printed them out

88
00:03:53,400 --> 00:03:55,068
{\an8}and I anonymously
sent them to Miranda.

89
00:03:56,862 --> 00:03:58,201
{\an8}Sent how?

90
00:03:58,205 --> 00:04:00,962
{\an8}An envelope I left
in the boardroom.

91
00:04:00,966 --> 00:04:03,297
{\an8}Look, I thought that
I was saving Dr. Charles.

92
00:04:03,301 --> 00:04:05,641
{\an8}I had no idea that they would
come after you like this.

93
00:04:05,645 --> 00:04:07,777
{\an8}And now they're trying
to offer you a deal,

94
00:04:07,781 --> 00:04:10,379
{\an8}wanting to push you out
over something that I did?

95
00:04:10,383 --> 00:04:11,647
{\an8}I can't just let that happen.

96
00:04:11,651 --> 00:04:15,643
{\an8}Doris, Doris, I was the one
who asked for the files.

97
00:04:15,647 --> 00:04:17,153
{\an8}This is on me too.

98
00:04:17,157 --> 00:04:19,259
{\an8}But you didn't make me send them.

99
00:04:23,730 --> 00:04:25,932
{\an8}I'm gonna tell Miranda the truth.

100
00:04:27,601 --> 00:04:30,032
{\an8}I leaked those files.

101
00:04:30,036 --> 00:04:32,251
{\an8}I understand how you're feeling.

102
00:04:32,255 --> 00:04:36,038
{\an8}Uh, Miranda makes
a lot of threats.

103
00:04:36,042 --> 00:04:39,142
{\an8}It doesn't mean that
she can prove anything.

104
00:04:39,146 --> 00:04:44,034
{\an8}But the second you confess,
there's no going back.

105
00:04:48,788 --> 00:04:51,012
{\an8}Welcome back.
How we feeling, Mama?

106
00:04:51,016 --> 00:04:53,656
{\an8}Oh, a little anxious,
if I'm being honest.

107
00:04:53,660 --> 00:04:54,861
{\an8}But you know,

108
00:04:54,961 --> 00:04:56,425
{\an8}it was nice to actually
get dressed this morning.

109
00:04:56,429 --> 00:04:58,761
{\an8}Ugh, strong disagree.
Pants are for suckers.

110
00:04:58,765 --> 00:04:59,729
{\an8}Well, either way,

111
00:04:59,733 --> 00:05:02,023
{\an8}it is nice
to see my people again.

112
00:05:02,027 --> 00:05:04,534
{\an8}Speaking of,
have you seen Doris yet?

113
00:05:04,538 --> 00:05:06,527
{\an8}Late. She said car trouble
or something.

114
00:05:06,531 --> 00:05:08,642
Multiple traumas incoming.

115
00:05:08,742 --> 00:05:10,473
A group of teens
were subway surfing.

116
00:05:10,477 --> 00:05:12,675
-Three were thrown off.
-Subway surfing?

117
00:05:12,679 --> 00:05:14,468
Kids are jumping
on top of subway cars,

118
00:05:14,472 --> 00:05:15,645
filming each other
riding through the city.

119
00:05:15,649 --> 00:05:17,805
-Are you kidding me?
-Mm-mm.

120
00:05:17,809 --> 00:05:21,117
-Samara West, 19.
-BP's 110/73.

121
00:05:21,121 --> 00:05:22,785
Found her unconscious, but
she came to on the ride over.

122
00:05:22,789 --> 00:05:24,754
Was complaining
of severe neck pain

123
00:05:24,758 --> 00:05:26,422
and lower extremity paresthesias.

124
00:05:26,426 --> 00:05:28,449
Gave 50 milligrams of
fentanyl for the pain

125
00:05:28,453 --> 00:05:30,326
and also possible wrist fracture.

126
00:05:30,330 --> 00:05:31,294
Okay, we're gonna
check you out now.

127
00:05:31,298 --> 00:05:32,557
On my count. Gentle.

128
00:05:32,657 --> 00:05:35,565
One, two, three.

129
00:05:35,569 --> 00:05:37,066
Feels like needles in my legs.

130
00:05:37,070 --> 00:05:39,068
Okay, Samara, I'm gonna
feel the back of your neck.

131
00:05:39,072 --> 00:05:40,803
Keep still, okay?

132
00:05:40,807 --> 00:05:43,272
Okay, if you feel any pain
as I'm pressing, let me know.

133
00:05:43,276 --> 00:05:44,240
Ow! Right there.

134
00:05:44,244 --> 00:05:46,275
Okay, I feel a step off at C67.

135
00:05:46,279 --> 00:05:49,312
Let's get a CTC spine,
CTA neck trauma labs,

136
00:05:49,316 --> 00:05:50,479
and page Dr. Abrams.

137
00:05:50,483 --> 00:05:53,249
Nolan Goodland, 14,
fell off the train car.

138
00:05:53,253 --> 00:05:54,742
Made contact with the third rail.

139
00:05:54,746 --> 00:05:56,790
Sustained severe
electrical burns to the chest.

140
00:05:56,923 --> 00:05:58,988
-Was unconscious at the scene.
-Poor kid.

141
00:05:58,992 --> 00:06:00,560
Make sure his parents
are notified.

142
00:06:00,660 --> 00:06:03,025
Let's get a crash cart set up
and get a Foley in him.

143
00:06:03,029 --> 00:06:07,230
Send trauma labs, CK,
and I need an ultrasound.

144
00:06:07,234 --> 00:06:09,699
Ready? One, two, three.

145
00:06:09,703 --> 00:06:11,738
-Nolan?
-Abdomen's distended.

146
00:06:11,838 --> 00:06:14,904
-Nolan, can you hear me, son?
-Nolan.

147
00:06:14,908 --> 00:06:16,309
Okay, blood pressure's dropping.

148
00:06:16,409 --> 00:06:20,109
-Start a second IV.
-Hang a liter of LR.

149
00:06:20,113 --> 00:06:21,444
And where's that
ultrasound, Nancy?

150
00:06:21,448 --> 00:06:22,603
-Come on.
-Yep.

151
00:06:22,607 --> 00:06:23,713
Christian, I'm Dr. Frost.

152
00:06:23,717 --> 00:06:25,114
We're gonna take
a look at you, all right?

153
00:06:26,686 --> 00:06:29,352
Okay, he has a pretty big
flail segment on the right.

154
00:06:29,356 --> 00:06:30,536
Still tachy and hypotensive.

155
00:06:30,540 --> 00:06:31,779
Hang 1 and 1.

156
00:06:31,783 --> 00:06:34,448
Nolan! Where is he, Nolan?

157
00:06:34,452 --> 00:06:35,558
It's his younger brother.

158
00:06:35,562 --> 00:06:37,059
Hey, Christian,
look at me, all right?

159
00:06:37,063 --> 00:06:38,294
You're gonna have to sit still.

160
00:06:38,298 --> 00:06:39,495
We're just trying to help.
It's all right.

161
00:06:39,499 --> 00:06:41,731
Oh, towel.

162
00:06:44,037 --> 00:06:46,335
Hemopneumothorax on the right
with the flail segment.

163
00:06:46,339 --> 00:06:47,837
The mediastinum is widened.

164
00:06:47,841 --> 00:06:49,372
We're gonna have
to rule out an aortic injury.

165
00:06:49,376 --> 00:06:50,606
Yeah, let's get 2 of Versed

166
00:06:50,610 --> 00:06:52,475
and prep for chest tube
before CT scan.

167
00:06:52,479 --> 00:06:54,614
Need another set of hands here!

168
00:06:54,714 --> 00:06:56,637
Go. Go. I got it. Go.

169
00:06:56,641 --> 00:06:57,880
-It's okay, Christian.
-I got you.

170
00:06:57,884 --> 00:07:01,017
-It's all right, okay?
-All right, take over.

171
00:07:01,021 --> 00:07:03,481
Need a gram of calcium
and bicarb.

172
00:07:03,581 --> 00:07:04,987
Charge to 200.

173
00:07:04,991 --> 00:07:06,322
Charged.

174
00:07:06,326 --> 00:07:08,424
Clear.

175
00:07:10,422 --> 00:07:12,219
300!

176
00:07:24,044 --> 00:07:25,808
So Christian,
we contacted your dad.

177
00:07:25,812 --> 00:07:27,435
He's on the way.

178
00:07:27,439 --> 00:07:30,575
But you have what is called
an aortic dissection.

179
00:07:30,675 --> 00:07:33,941
It's a tear in the main
blood vessel from your heart.

180
00:07:33,945 --> 00:07:35,217
Sounds bad.

181
00:07:35,221 --> 00:07:37,749
It's a small tear, which is good.

182
00:07:37,849 --> 00:07:41,791
But sometimes those do get
bigger and require surgery.

183
00:07:41,795 --> 00:07:43,718
S-so what do we do?

184
00:07:43,722 --> 00:07:45,294
Well, we admit you

185
00:07:45,298 --> 00:07:47,634
and monitor you
for the next 48 hours.

186
00:07:47,734 --> 00:07:49,886
And then
we let Vascular take point.

187
00:07:52,789 --> 00:07:55,271
-Where's my brother?
-How is he?

188
00:07:55,275 --> 00:07:57,106
We were able
to restart his heart,

189
00:07:57,110 --> 00:07:59,646
but he is also
suffering lacerations

190
00:07:59,746 --> 00:08:03,804
to his spleen and his liver.

191
00:08:03,808 --> 00:08:05,481
He'll be okay?

192
00:08:05,485 --> 00:08:08,405
We are doing everything that
we possibly can, Christian.

193
00:08:10,715 --> 00:08:13,460
Please.

194
00:08:13,560 --> 00:08:15,295
Just tell me the truth.

195
00:08:15,395 --> 00:08:18,494
If he makes it through
the next few hours,

196
00:08:18,498 --> 00:08:20,896
he will have a chance.

197
00:08:20,900 --> 00:08:22,460
It was my idea.

198
00:08:26,606 --> 00:08:28,204
Saw some other kids
doing it online.

199
00:08:28,208 --> 00:08:32,666
I mean, the train didn't seem
like it was moving that fast.

200
00:08:32,670 --> 00:08:34,139
Then he slipped.

201
00:08:38,385 --> 00:08:42,017
He hit the rail
and his body just, like...

202
00:08:42,021 --> 00:08:44,854
just, like, seized up.

203
00:08:44,858 --> 00:08:46,184
Christian.

204
00:08:46,284 --> 00:08:49,358
Stop. Hey, hey, look at me.

205
00:08:49,362 --> 00:08:50,613
Look at me, Christian.

206
00:08:52,899 --> 00:08:54,513
I know it's hard, okay?

207
00:08:54,517 --> 00:09:00,006
Nolan is fighting
and that is a great thing.

208
00:09:00,106 --> 00:09:01,670
But for right now,
let's just focus

209
00:09:01,674 --> 00:09:04,836
on getting you fixed up, okay?

210
00:09:06,913 --> 00:09:08,673
Can you do that for me?

211
00:09:10,483 --> 00:09:12,352
Okay.

212
00:09:12,452 --> 00:09:15,117
-Where's he going?
-Ellen, I'm Dr. Ripley.

213
00:09:15,121 --> 00:09:16,890
I, uh, I saw that
you vomited blood

214
00:09:16,990 --> 00:09:18,487
and passed out this morning?

215
00:09:18,491 --> 00:09:20,381
{\an8}Uh, I was at the table
one minute,

216
00:09:20,385 --> 00:09:21,991
{\an8}next, I was on the floor.

217
00:09:21,995 --> 00:09:24,560
{\an8}But Jaxson called 911, thankfully.

218
00:09:24,564 --> 00:09:26,362
{\an8}Oh, nice work, Jaxson.

219
00:09:26,366 --> 00:09:28,197
{\an8}Uh, you mind if I examine you?

220
00:09:28,201 --> 00:09:30,199
{\an8}-Yeah.
-Okay.

221
00:09:30,203 --> 00:09:31,392
{\an8}And who's that guy?

222
00:09:31,396 --> 00:09:33,169
{\an8}Captain Super Broccoli.

223
00:09:33,173 --> 00:09:35,229
{\an8}Captain Super Broccoli?
Never heard of him.

224
00:09:35,233 --> 00:09:37,043
{\an8}I made him up.

225
00:09:37,143 --> 00:09:38,899
{\an8}And told stories about him

226
00:09:38,903 --> 00:09:41,368
hoping Jaxson might
eat something green.

227
00:09:41,372 --> 00:09:43,229
He loved the stories.

228
00:09:43,233 --> 00:09:45,247
No luck on the vegetables.

229
00:09:45,251 --> 00:09:47,450
Very cool.

230
00:09:47,454 --> 00:09:49,401
Say "ah" for me.

231
00:09:49,405 --> 00:09:51,245
Ah.

232
00:09:51,249 --> 00:09:54,490
Okay, uh, we'll need to wait
for a CT to confirm,

233
00:09:54,494 --> 00:09:57,418
but your chest X-ray
shows pneumomediastinum.

234
00:09:57,422 --> 00:10:00,100
I suspect you have
a small tear in your esophagus.

235
00:10:00,200 --> 00:10:01,130
It would explain the blood.

236
00:10:01,134 --> 00:10:02,298
Is that bad?

237
00:10:02,302 --> 00:10:04,425
It's not ideal,
something we can repair

238
00:10:04,429 --> 00:10:05,584
with a minor procedure.

239
00:10:05,588 --> 00:10:09,705
My bigger concern is
what caused the tear.

240
00:10:09,709 --> 00:10:11,073
Have you been
vomiting frequently?

241
00:10:11,077 --> 00:10:12,424
Any recent illness?

242
00:10:12,428 --> 00:10:14,535
I've been going through
a custody battle with my ex.

243
00:10:14,539 --> 00:10:16,774
That gives me
plenty of indigestion.

244
00:10:16,875 --> 00:10:21,250
But I was fine
today until, you know.

245
00:10:21,254 --> 00:10:23,769
Sorry, uh, it says

246
00:10:23,773 --> 00:10:25,246
you went for your physical
three months ago,

247
00:10:25,250 --> 00:10:28,023
and your weight was 145.

248
00:10:28,027 --> 00:10:31,277
Today, your weight is 185.

249
00:10:31,281 --> 00:10:33,295
Is that accurate?

250
00:10:33,299 --> 00:10:36,603
Unfortunately, yes.

251
00:10:36,703 --> 00:10:38,284
You think that has something
to do with this?

252
00:10:38,288 --> 00:10:41,453
It's hard to tell just yet,
but it is concerning.

253
00:10:41,457 --> 00:10:43,697
I was chalking it up to stress.

254
00:10:43,701 --> 00:10:45,411
Stress can certainly wreak havoc.

255
00:10:45,512 --> 00:10:46,971
Uh, why don't we run some tests,

256
00:10:47,071 --> 00:10:48,210
get some more info,

257
00:10:48,214 --> 00:10:49,737
and, uh, try to get
to the bottom of this?

258
00:10:49,741 --> 00:10:52,068
-Okay.
-Okay.

259
00:10:55,021 --> 00:10:57,123
Looks like
your pain level's gone down.

260
00:10:57,223 --> 00:10:59,325
Yeah, those meds did the trick.

261
00:10:59,425 --> 00:11:01,090
Good.

262
00:11:01,094 --> 00:11:03,584
How are those two boys
that came in with me?

263
00:11:03,588 --> 00:11:06,328
They're being worked on now.

264
00:11:06,332 --> 00:11:08,589
Samara, I'd like to
introduce you to Dr. Abrams.

265
00:11:08,593 --> 00:11:10,658
He's a neurosurgeon.

266
00:11:10,662 --> 00:11:12,935
So your CT shows that

267
00:11:12,939 --> 00:11:15,466
you injured both
vertebral arteries,

268
00:11:15,567 --> 00:11:17,164
which provide blood
to your brain.

269
00:11:17,168 --> 00:11:18,774
And if we don't get them open,

270
00:11:18,778 --> 00:11:20,342
there's very high risk
for stroke.

271
00:11:20,346 --> 00:11:22,161
But the arteries were injured

272
00:11:22,165 --> 00:11:23,846
because your spine was dislocated

273
00:11:23,850 --> 00:11:26,815
along with fractures
to the C6 and C7 vertebrae,

274
00:11:26,819 --> 00:11:28,813
which are currently
pinching your spinal cord.

275
00:11:28,913 --> 00:11:30,344
That's why my legs are tingling?

276
00:11:30,348 --> 00:11:32,388
Most likely.

277
00:11:32,392 --> 00:11:35,082
So can we fix that too?

278
00:11:35,086 --> 00:11:37,693
Yes, but it's complicated.

279
00:11:37,697 --> 00:11:40,833
So repairing the arteries is
of course, our first priority,

280
00:11:40,934 --> 00:11:43,002
but it would require
realigning your spine.

281
00:11:43,102 --> 00:11:44,567
It'll restore blood flow

282
00:11:44,571 --> 00:11:46,172
and it will limit the risk
of the stroke,

283
00:11:46,272 --> 00:11:49,171
but it will put increased
pressure on your spinal cord

284
00:11:49,175 --> 00:11:51,373
and it could result

285
00:11:51,377 --> 00:11:54,577
in permanent paralysis
of your lower extremities.

286
00:11:54,581 --> 00:11:57,171
So you're saying
I won't be able to walk?

287
00:11:57,175 --> 00:11:59,544
Nothing is guaranteed.

288
00:11:59,644 --> 00:12:02,451
You know, I'm not even on TikTok.

289
00:12:02,455 --> 00:12:07,089
I don't subway surf to create
content or to get views.

290
00:12:07,093 --> 00:12:10,150
I do it because that feeling
when you're up there,

291
00:12:10,154 --> 00:12:14,463
it's just like, total escape.

292
00:12:16,552 --> 00:12:19,126
I need to be able to move.

293
00:12:19,130 --> 00:12:22,575
To get away,
to get out of my head.

294
00:12:22,675 --> 00:12:26,609
I'm not doing anything
that's gonna make me paralyzed.

295
00:12:26,613 --> 00:12:28,410
Wait, are you saying no
to the surgery?

296
00:12:28,414 --> 00:12:31,313
Samara, I want you
to understand that

297
00:12:31,317 --> 00:12:33,745
if you don't do the surgery,
you could die.

298
00:12:33,845 --> 00:12:36,522
Could isn't certain, though.

299
00:12:36,623 --> 00:12:39,842
You said it yourself.
Nothing's guaranteed, right?

300
00:12:42,929 --> 00:12:45,653
Mom, you asked me
to come here today

301
00:12:45,657 --> 00:12:47,433
to help advise you
as an attorney.

302
00:12:47,533 --> 00:12:48,522
-I did.
-Mm-hmm.

303
00:12:48,526 --> 00:12:50,099
Then I think I should tell you

304
00:12:50,103 --> 00:12:54,236
if Doris stays quiet
and you turn down this deal,

305
00:12:54,240 --> 00:12:56,109
it is going to turn into
a legal matter

306
00:12:56,209 --> 00:13:00,042
and their attorneys will
start deposing everyone.

307
00:13:00,046 --> 00:13:01,443
Including Doris.

308
00:13:01,447 --> 00:13:03,412
You think she's gonna stay
quiet through that?

309
00:13:03,416 --> 00:13:05,773
No matter what your intentions
were initially,

310
00:13:05,777 --> 00:13:06,932
the fact of the matter is

311
00:13:06,936 --> 00:13:09,318
you did not do what
they're accusing you of.

312
00:13:09,322 --> 00:13:10,953
Because I'm a coward.

313
00:13:10,957 --> 00:13:12,950
Because you're a good person.

314
00:13:13,051 --> 00:13:14,690
What are you saying, David?

315
00:13:14,694 --> 00:13:16,454
What I'm saying is
there's no magic bullet.

316
00:13:16,529 --> 00:13:18,790
The only real choices
are taking the deal,

317
00:13:18,890 --> 00:13:21,230
making this all go away,
or letting Doris confess.

318
00:13:21,234 --> 00:13:24,033
If Doris confesses,
they'll fire her, David.

319
00:13:24,037 --> 00:13:25,959
And it'll be damn near impossible

320
00:13:25,963 --> 00:13:29,229
for her to find another job
with this on her record.

321
00:13:29,233 --> 00:13:31,140
Look, I'd love nothing more

322
00:13:31,144 --> 00:13:33,100
than for you to walk off
into the sunset

323
00:13:33,104 --> 00:13:35,311
and spend days
with your new grandchild.

324
00:13:35,315 --> 00:13:37,613
But you keep telling me
how hard it is to watch

325
00:13:37,617 --> 00:13:40,316
from the outside while Miranda
tears down what you built.

326
00:13:42,313 --> 00:13:45,742
You take this deal,
you're on the outside forever.

327
00:13:47,385 --> 00:13:50,225
40-pound weight gain
in three months. Wow.

328
00:13:50,229 --> 00:13:52,061
Yeah, plus an esophageal perf.

329
00:13:52,065 --> 00:13:54,288
She's headed to surgery
in a few hours to stent it.

330
00:13:54,292 --> 00:13:55,960
Testing's all
looking pretty normal.

331
00:13:56,060 --> 00:13:59,068
Yeah, I ran labs,
a full metabolic panel.

332
00:13:59,072 --> 00:14:01,437
Uh, other than, um,
an electrolyte imbalance

333
00:14:01,441 --> 00:14:04,073
and a slightly elevated A1C, nothing.

334
00:14:04,077 --> 00:14:06,842
But now you're thinking it
might be a psych issue.

335
00:14:06,846 --> 00:14:08,506
Uh, maybe.

336
00:14:08,606 --> 00:14:11,580
Binge eating brought on
by stress or depression.

337
00:14:11,584 --> 00:14:14,333
Apparently, she's going through
a pretty nasty custody battle.

338
00:14:14,337 --> 00:14:15,667
Huh.

339
00:14:15,671 --> 00:14:17,845
Let me have a, uh, quick chat,
see what I can suss out.

340
00:14:17,849 --> 00:14:20,514
-Give me, like, ten minutes?
-Yeah. Thanks, buddy.

341
00:14:20,518 --> 00:14:23,020
-Yes.
-From Gaffney Chicago Med.

342
00:14:23,121 --> 00:14:24,159
I'll hold.

343
00:14:24,163 --> 00:14:25,198
Thank you.

344
00:14:25,298 --> 00:14:27,166
Thanks.

345
00:14:27,266 --> 00:14:28,464
Hey.

346
00:14:28,468 --> 00:14:30,566
Heard your patient is,
uh, refusing surgery.

347
00:14:30,570 --> 00:14:33,469
Yeah, I'm trying to track
down her family.

348
00:14:33,473 --> 00:14:35,675
Find support, see if
they can change her mind.

349
00:14:35,775 --> 00:14:37,535
The file says that
her mom lives in Decatur,

350
00:14:37,635 --> 00:14:39,074
but I have not been able
to reach her.

351
00:14:39,078 --> 00:14:41,360
I feel for her and these kids,

352
00:14:41,364 --> 00:14:44,847
but this whole thing
just feels pointless.

353
00:14:44,851 --> 00:14:46,507
Do we really need
to tell young people

354
00:14:46,511 --> 00:14:48,542
not to ride on top
of subway cars now?

355
00:14:48,546 --> 00:14:51,386
Don't you remember
what it was like being young?

356
00:14:51,390 --> 00:14:52,813
How invincible you feel?

357
00:14:52,817 --> 00:14:54,827
I mean, God knows
I did stupid things.

358
00:14:54,927 --> 00:14:58,051
I will be right back.

359
00:15:02,301 --> 00:15:04,133
Hey. How's Nolan?

360
00:15:04,137 --> 00:15:06,239
There was too much bleeding
from behind the liver.

361
00:15:06,339 --> 00:15:07,828
He kept going into
cardiac arrest.

362
00:15:07,832 --> 00:15:11,373
-We tried to revive him.
-Tried for 30 minutes.

363
00:15:11,377 --> 00:15:12,879
He's gone.

364
00:15:30,496 --> 00:15:31,860
Ellen, uh,
this is Dr. Charles.

365
00:15:31,864 --> 00:15:33,420
-Hey, Ellen.
-Nice to meet you.

366
00:15:33,424 --> 00:15:35,998
Jaxson, uh, one of our nurses

367
00:15:36,002 --> 00:15:37,766
was cleaning out
our lost and found

368
00:15:37,770 --> 00:15:39,572
and stumbled across a few toys.

369
00:15:39,672 --> 00:15:41,003
Thought you'd might
like to check 'em out

370
00:15:41,007 --> 00:15:42,771
while your mom chats
with Dr. Charles here.

371
00:15:42,775 --> 00:15:45,077
Yeah? Okay.

372
00:15:45,178 --> 00:15:46,445
Bye.

373
00:15:48,047 --> 00:15:50,512
Must be bad news
if you had to clear the room.

374
00:15:50,516 --> 00:15:53,415
-Nothing too scary.
-I'm just a psychiatrist.

375
00:15:53,419 --> 00:15:55,609
That sounds a little scary.

376
00:15:55,613 --> 00:15:57,753
Trust me, I'm harmless.

377
00:15:57,757 --> 00:15:59,521
Um, I just thought, you know,

378
00:15:59,525 --> 00:16:00,689
it'd be easier if we talked alone

379
00:16:00,693 --> 00:16:02,749
'cause Dr. Ripley shared
with me you've been

380
00:16:02,753 --> 00:16:04,297
really going through it
with your ex.

381
00:16:05,731 --> 00:16:08,134
Jaxson's dad was nonexistent

382
00:16:08,234 --> 00:16:09,969
for the first four years
of his life

383
00:16:10,069 --> 00:16:13,468
until a year ago when
he moved back to Chicago

384
00:16:13,472 --> 00:16:16,605
with his new wife
asking for full custody.

385
00:16:16,609 --> 00:16:17,543
Oh, man.

386
00:16:17,643 --> 00:16:20,467
And now I can't stop
stuffing my face.

387
00:16:20,471 --> 00:16:23,912
Well, I, for one, certainly
understand the stress eating.

388
00:16:23,916 --> 00:16:25,885
But you know what?
I'm just curious.

389
00:16:25,985 --> 00:16:29,088
Is this a new
coping mechanism for you?

390
00:16:29,188 --> 00:16:30,619
Because your medical records
are showing

391
00:16:30,623 --> 00:16:33,255
that your weight's always
been pretty

392
00:16:33,259 --> 00:16:36,617
steady, you know, until...
until just recently.

393
00:16:36,621 --> 00:16:42,097
I was thinking about trying
to get on a GLP-1, actually.

394
00:16:42,101 --> 00:16:44,733
Is that something
you can prescribe?

395
00:16:44,737 --> 00:16:46,330
We can certainly talk about that.

396
00:16:46,430 --> 00:16:48,403
But first, I really
wanna make sure

397
00:16:48,407 --> 00:16:50,772
there's nothing else
going on here, you know?

398
00:16:50,776 --> 00:16:52,566
Because right now,

399
00:16:52,570 --> 00:16:56,512
we really need you at 100%
for Jaxson, right?

400
00:16:56,516 --> 00:16:58,647
Of course.

401
00:16:58,651 --> 00:17:01,341
I can't lose my son.

402
00:17:01,345 --> 00:17:06,859
He is the only thing
that matters to me.

403
00:17:08,160 --> 00:17:10,158
Hey, there she is.

404
00:17:10,162 --> 00:17:12,198
Hey, you made it.

405
00:17:12,298 --> 00:17:13,629
Yeah.

406
00:17:13,633 --> 00:17:16,198
Thanks.

407
00:17:16,202 --> 00:17:17,633
I'm gonna give this to her.

408
00:17:17,637 --> 00:17:19,635
Yeah.

409
00:17:19,639 --> 00:17:21,336
Hey, any updates on Samara?

410
00:17:21,340 --> 00:17:23,196
-Checking now.
-Any luck reaching her family?

411
00:17:23,200 --> 00:17:25,107
No. I've left,
like, a thousand messages,

412
00:17:25,111 --> 00:17:27,209
but nothing back from Mom.

413
00:17:27,213 --> 00:17:28,848
Well, we got another problem.

414
00:17:28,948 --> 00:17:30,212
The trauma Samara suffered

415
00:17:30,216 --> 00:17:31,984
sheared the soft tissue
from her muscle,

416
00:17:32,084 --> 00:17:34,441
causing the blood to pool
beneath her skin.

417
00:17:34,445 --> 00:17:36,155
Won't be long before
that tissue dies

418
00:17:36,255 --> 00:17:37,857
and an infection sets in.

419
00:17:37,957 --> 00:17:40,726
And makes the surgery
she needs impossible to do.

420
00:17:40,826 --> 00:17:42,828
Is there any way to fix it?

421
00:17:42,929 --> 00:17:44,660
Yeah, there might be.

422
00:17:44,664 --> 00:17:45,898
Okay, well, that's great.

423
00:17:47,500 --> 00:17:50,336
But why do you look like
you just ate bad yogurt?

424
00:17:50,436 --> 00:17:53,839
The treatment that
might help Samara is

425
00:17:53,940 --> 00:17:55,241
really gross.

426
00:17:56,576 --> 00:18:00,075
-It's really gro...
-you're a... you're a surgeon.

427
00:18:00,079 --> 00:18:02,544
Yeah, but...

428
00:18:02,548 --> 00:18:05,017
I gotta think about creatures.

429
00:18:05,117 --> 00:18:07,716
Okay, I'm gonna place this one

430
00:18:07,720 --> 00:18:11,044
-on the right side right here.
-Mm.

431
00:18:11,048 --> 00:18:12,921
Crazy Abrams can
cut open a human brain,

432
00:18:12,925 --> 00:18:14,556
but this creeps him out.

433
00:18:14,560 --> 00:18:18,060
Yeah, well, everybody's
got their things that get them.

434
00:18:18,064 --> 00:18:21,067
Mine's clowns. What about you?

435
00:18:21,167 --> 00:18:22,768
Cargo shorts.

436
00:18:22,868 --> 00:18:23,669
Fair.

437
00:18:23,769 --> 00:18:28,328
Hey, can you feel that, Samara?

438
00:18:28,332 --> 00:18:30,610
Samara?

439
00:18:30,710 --> 00:18:31,877
What?

440
00:18:31,978 --> 00:18:34,543
I asked if you could
feel the one I just placed.

441
00:18:34,547 --> 00:18:37,883
A little, maybe.

442
00:18:37,984 --> 00:18:39,781
Why do we have to do this again?

443
00:18:39,785 --> 00:18:41,779
Because modern medicine
has made strides

444
00:18:41,879 --> 00:18:43,556
in arterial revascularization,

445
00:18:43,656 --> 00:18:45,854
but we have not been able
to beat evolution

446
00:18:45,858 --> 00:18:50,450
when it comes to wound care, so
medieval leeches are the best.

447
00:18:50,454 --> 00:18:52,031
God, don't say leeches.

448
00:18:52,131 --> 00:18:54,266
You know, we wouldn't
have to try this

449
00:18:54,367 --> 00:18:58,270
if you did the surgery
to repair your blood vessels.

450
00:18:58,371 --> 00:18:59,801
No, I'm good.

451
00:18:59,805 --> 00:19:01,528
Keep going.

452
00:19:01,532 --> 00:19:03,530
Okay, well, we need
to immobilize her neck

453
00:19:03,534 --> 00:19:04,654
without killing the leeches,

454
00:19:04,744 --> 00:19:06,504
so jimmy up a dressing
to keep them in place?

455
00:19:06,545 --> 00:19:08,243
Yep.

456
00:19:10,816 --> 00:19:13,874
Why isn't this going through?

457
00:19:13,878 --> 00:19:17,219
Why isn't it going through?

458
00:19:17,223 --> 00:19:19,888
Your phone's on the Escape key.

459
00:19:19,892 --> 00:19:22,094
Don't worry.
I won't tell anyone.

460
00:19:22,194 --> 00:19:23,654
You know what?

461
00:19:23,754 --> 00:19:25,260
While I have you, can I get
your signature on something?

462
00:19:25,264 --> 00:19:27,829
Yeah.

463
00:19:27,833 --> 00:19:28,834
Thank you.

464
00:19:28,934 --> 00:19:30,791
-Uh, wait.
-What did I just sign?

465
00:19:30,795 --> 00:19:32,392
We're going halfsies
on a timeshare.

466
00:19:32,396 --> 00:19:35,562
-Uh, sorry, Dr. Archer.
-You're being paged to room 132.

467
00:19:35,566 --> 00:19:37,272
-Room 132?
-I never heard of that.

468
00:19:37,276 --> 00:19:39,011
-What is it?
-Beats me.

469
00:19:55,027 --> 00:19:56,520
Uh, I'm Dr. Archer,

470
00:19:56,620 --> 00:19:59,461
and I was paged
to this room for some reason.

471
00:19:59,465 --> 00:20:01,033
We just checked
Christian Goodland

472
00:20:01,133 --> 00:20:02,835
and noticed a pulse discrepancy
in his leg.

473
00:20:02,935 --> 00:20:08,003
Okay.

474
00:20:08,007 --> 00:20:11,873
Hi, Christian. Um...

475
00:20:11,877 --> 00:20:13,646
what are you doing here?

476
00:20:13,746 --> 00:20:16,378
-Looking for him.
-He's supposed to be in the ICU.

477
00:20:16,382 --> 00:20:17,616
I'm aware.

478
00:20:17,717 --> 00:20:19,852
-How we doing, Christian?
-Leg's kinda throbbing.

479
00:20:19,952 --> 00:20:22,154
Yeah. Cold leg.

480
00:20:22,254 --> 00:20:23,777
His dissection is getting worse.

481
00:20:23,781 --> 00:20:25,825
Bolson, 2,500 units of heparin.

482
00:20:25,925 --> 00:20:27,289
Start a drip.

483
00:20:27,293 --> 00:20:28,757
We need to fix this dissection
before it gets worse.

484
00:20:28,761 --> 00:20:30,292
-Wait, wait, wait.
-Am I losing my leg?

485
00:20:30,296 --> 00:20:31,722
Uh, Dr. Archer?

486
00:20:31,822 --> 00:20:33,787
And where's the vascular
surgeon that's following him?

487
00:20:33,791 --> 00:20:36,131
We paged her, but she's
in clinics and you're closer.

488
00:20:36,135 --> 00:20:37,866
-Dr. Archer.
-What?

489
00:20:37,870 --> 00:20:39,059
I'm just trying to make sure

490
00:20:39,063 --> 00:20:41,373
Christian isn't
getting too upset here.

491
00:20:41,474 --> 00:20:43,872
Okay.

492
00:20:43,876 --> 00:20:45,177
It's gonna be okay. All right?

493
00:20:45,277 --> 00:20:47,409
Not gonna lose the leg.
We're gonna sort this out.

494
00:20:47,413 --> 00:20:48,877
Just give me big, deep breaths.

495
00:20:48,881 --> 00:20:50,716
Try to slow your
heart rate down, okay?

496
00:20:55,521 --> 00:20:57,244
He has monophasic signals.

497
00:20:57,248 --> 00:20:59,121
All right, let's alert IR
and have them get a room ready.

498
00:20:59,125 --> 00:21:00,814
-Whoa, what... what... what...
-what does that...

499
00:21:00,818 --> 00:21:01,823
what does that...
what does that mean?

500
00:21:01,827 --> 00:21:04,430
-It's gonna be okay.
-All right?

501
00:21:06,532 --> 00:21:09,197
What the hell is this place?

502
00:21:17,209 --> 00:21:19,241
Could you please explain why
I was paged to a room

503
00:21:19,245 --> 00:21:21,426
I never heard of
to deal with a patient

504
00:21:21,430 --> 00:21:24,412
who had already technically
been admitted to the ICU?

505
00:21:24,416 --> 00:21:26,264
-Is that room 132?
-Yes.

506
00:21:26,268 --> 00:21:28,608
Yeah, that's the overflow room.

507
00:21:28,612 --> 00:21:29,776
The what room?

508
00:21:29,780 --> 00:21:31,219
Well, that's how
we solved your problem

509
00:21:31,223 --> 00:21:33,088
with patients stacking up
in the ED.

510
00:21:33,092 --> 00:21:35,423
I created an overflow room
so that we can start

511
00:21:35,427 --> 00:21:38,118
servicing in-patient needs
while awaiting a bed upstairs.

512
00:21:38,122 --> 00:21:39,786
Just felt more practical.

513
00:21:39,790 --> 00:21:43,402
Yeah, except practically,
that's not how it works.

514
00:21:43,502 --> 00:21:45,133
Doctors from other floors

515
00:21:45,137 --> 00:21:47,469
can't get to that room
with any urgency.

516
00:21:47,473 --> 00:21:49,905
And then, practically,
what happens next

517
00:21:49,909 --> 00:21:52,774
is that the ED attending
gets paged,

518
00:21:52,778 --> 00:21:55,810
which, as a refresher, is me.

519
00:21:55,814 --> 00:21:57,813
-Mm-hmm. I'm aware.
-Yeah?

520
00:21:57,817 --> 00:22:00,753
So what you've effectively done
is given the ED...

521
00:22:00,853 --> 00:22:02,884
again, specifically, me...

522
00:22:02,888 --> 00:22:05,316
more work to deal with, not less.

523
00:22:05,416 --> 00:22:07,722
I hear you. I do.

524
00:22:07,726 --> 00:22:10,058
But maybe... maybe there's
some way that we can

525
00:22:10,062 --> 00:22:12,489
tweak this setup rather than
just scrap it completely.

526
00:22:12,623 --> 00:22:14,095
Oh, tweak.

527
00:22:14,099 --> 00:22:17,265
You've... you've got a tech and a
floor nurse overseeing 14 beds.

528
00:22:17,269 --> 00:22:19,634
So what I could probably do
is hire you another tech,

529
00:22:19,638 --> 00:22:21,002
maybe even a telemetry nurse?

530
00:22:21,006 --> 00:22:24,143
I'm not trying to add
to staff, you understand?

531
00:22:24,276 --> 00:22:26,474
I just want this damn thing gone.

532
00:22:26,478 --> 00:22:29,315
Okay, Dr. Archer.

533
00:22:29,415 --> 00:22:31,517
I'm trying to work with you here.

534
00:22:31,650 --> 00:22:33,181
You said
you had patients stacking up.

535
00:22:33,185 --> 00:22:34,520
I provided a solution

536
00:22:34,653 --> 00:22:36,355
and I don't think
it's very productive

537
00:22:36,455 --> 00:22:38,457
of you to come in here
and just whine about it.

538
00:22:38,557 --> 00:22:39,888
Wh... I'm... what?

539
00:22:39,892 --> 00:22:41,489
So what I'm saying is

540
00:22:41,493 --> 00:22:43,362
you need to stop
looking to place blame

541
00:22:43,462 --> 00:22:44,997
and get a little bit
more creative

542
00:22:45,130 --> 00:22:48,697
about trying to find a solution
like I was.

543
00:22:48,701 --> 00:22:50,870
You know? You gotta think
outside the box.

544
00:22:54,573 --> 00:22:58,210
Did he suffer? Nolan?

545
00:23:02,047 --> 00:23:05,175
Not in the end. No.

546
00:23:08,354 --> 00:23:11,703
Dr. Tanaka-Reed,
this is Stan Goodland,

547
00:23:11,707 --> 00:23:13,488
Christian and Nolan's dad.

548
00:23:13,492 --> 00:23:16,992
Mr. Goodland,
I'm so sorry for your loss.

549
00:23:16,996 --> 00:23:19,898
How's Christian?

550
00:23:20,032 --> 00:23:23,048
Dr. Frost said you were
taking him into surgery.

551
00:23:23,052 --> 00:23:24,820
They're prepping the room now.

552
00:23:27,072 --> 00:23:29,070
Is he gonna make it?

553
00:23:29,074 --> 00:23:32,908
We're gonna place a stent
in the aorta to fix the tear.

554
00:23:32,912 --> 00:23:37,404
But there is no reason to
think Christian won't do well.

555
00:23:37,408 --> 00:23:39,739
Though when the injury
is that close to the heart,

556
00:23:39,743 --> 00:23:42,755
there are always risks.

557
00:23:44,590 --> 00:23:46,091
I... I wanna see him.

558
00:23:47,760 --> 00:23:49,090
Of course.

559
00:23:49,094 --> 00:23:52,097
But that is a little complicated.

560
00:23:54,358 --> 00:23:55,964
It's complicated?

561
00:23:55,968 --> 00:23:58,591
His dissection has gotten worse.

562
00:23:58,595 --> 00:24:02,604
So it is imperative that
we keep his heart rate low,

563
00:24:02,608 --> 00:24:05,765
below 60,
until we get him into surgery.

564
00:24:05,769 --> 00:24:08,935
So we're doing everything
we can to keep him calm.

565
00:24:08,939 --> 00:24:12,772
Which is why we have not
told him yet about Nolan.

566
00:24:12,776 --> 00:24:16,584
And if you go in there
and tell him what happened,

567
00:24:16,588 --> 00:24:19,708
the emotion could
cause his heart rate to spike.

568
00:24:21,827 --> 00:24:23,775
It's just that, um...

569
00:24:26,765 --> 00:24:30,398
I already lost one son today.

570
00:24:30,402 --> 00:24:31,462
You know?

571
00:24:31,562 --> 00:24:35,403
If I were to lose another one

572
00:24:35,407 --> 00:24:38,802
without at least seeing him?

573
00:24:38,902 --> 00:24:42,581
And look, I won't say anything

574
00:24:42,681 --> 00:24:44,400
except that I...

575
00:24:46,485 --> 00:24:47,569
I love you.

576
00:24:49,555 --> 00:24:51,782
And then I'll go.

577
00:24:54,426 --> 00:24:55,994
But I have to see his face.

578
00:24:57,796 --> 00:24:59,310
<i>I know it's scary, Jaxson,</i>

579
00:24:59,314 --> 00:25:03,531
but, um, the procedure
is only a minor one.

580
00:25:03,535 --> 00:25:05,087
Your mom's gonna be okay.

581
00:25:07,656 --> 00:25:09,633
But she tries very hard.

582
00:25:11,510 --> 00:25:14,776
-Well, she's...
-she's lucky to have you.

583
00:25:14,780 --> 00:25:16,845
Pretty amazing
you called for help.

584
00:25:16,849 --> 00:25:22,117
Not a lot of five-year-olds
would know to do that so fast.

585
00:25:22,121 --> 00:25:24,273
I did what she taught me.

586
00:25:26,458 --> 00:25:28,444
What do you mean she taught you?

587
00:25:37,503 --> 00:25:41,019
How you feeling, Christian?

588
00:25:41,023 --> 00:25:42,036
Tired.

589
00:25:42,040 --> 00:25:44,689
Well, we're gonna fix you up.

590
00:25:44,693 --> 00:25:46,858
But before we head up to surgery,

591
00:25:46,862 --> 00:25:49,339
there is someone who
would like to see you.

592
00:25:54,620 --> 00:25:56,751
Dad.

593
00:25:56,755 --> 00:25:58,857
Hey, kiddo.

594
00:25:58,991 --> 00:26:03,716
I, uh,
only came here for a minute.

595
00:26:03,720 --> 00:26:07,562
I know they need to get you
to surgery,

596
00:26:07,566 --> 00:26:10,890
but I, uh...

597
00:26:10,894 --> 00:26:11,904
I...

598
00:26:15,007 --> 00:26:18,873
I just wanted to say that...

599
00:26:18,877 --> 00:26:23,373
I love you so much.

600
00:26:25,050 --> 00:26:27,549
And, uh, I'll, uh...

601
00:26:27,553 --> 00:26:29,588
I'll be here when you get out.

602
00:26:32,407 --> 00:26:33,592
Uh, hey, Dad?

603
00:26:37,262 --> 00:26:38,514
How's Nolan?

604
00:26:39,965 --> 00:26:42,201
Nolan is fine.

605
00:26:42,301 --> 00:26:44,532
He's resting in the PICU.

606
00:26:44,536 --> 00:26:46,438
Okay, um, well...

607
00:26:48,774 --> 00:26:50,088
Well, when you see him,
can you just...

608
00:26:50,092 --> 00:26:51,902
can you tell him I'm...
I'm sorry?

609
00:26:53,712 --> 00:26:54,780
What?

610
00:26:57,349 --> 00:26:59,447
Just... just tell him
I'm sorry.

611
00:26:59,451 --> 00:27:01,453
I didn't mean to get him
into this mess.

612
00:27:04,056 --> 00:27:05,924
Okay.

613
00:27:06,058 --> 00:27:08,619
And tell him I'll drive him
wherever he wants to go

614
00:27:08,752 --> 00:27:10,558
when we get out of here.

615
00:27:16,835 --> 00:27:17,970
You okay, Dad?

616
00:27:21,290 --> 00:27:23,955
Uh-huh.

617
00:27:23,959 --> 00:27:25,110
We should get him to IR.

618
00:27:25,244 --> 00:27:26,307
-Yeah.
-Nurse?

619
00:27:26,311 --> 00:27:27,746
Nolan's okay, right?

620
00:27:27,846 --> 00:27:29,940
Nolan is, um...

621
00:27:31,975 --> 00:27:33,181
He's... he's fine.

622
00:27:33,185 --> 00:27:35,145
What is it?

623
00:27:35,279 --> 00:27:36,417
He's, um...

624
00:27:36,421 --> 00:27:37,652
Dad, what is it?

625
00:27:37,656 --> 00:27:38,953
Run ahead and have
some labetalol ready, okay?

626
00:27:38,957 --> 00:27:39,921
-No.
-When we get there.

627
00:27:39,925 --> 00:27:41,422
Dad, what is it?

628
00:27:41,426 --> 00:27:42,524
Okay.

629
00:27:42,528 --> 00:27:43,825
Dad, what is it?

630
00:27:43,829 --> 00:27:44,792
Slow, deep breaths for me,
Christian.

631
00:27:44,796 --> 00:27:45,810
It's okay.

632
00:27:54,273 --> 00:27:56,237
Hey, uh,

633
00:27:56,241 --> 00:27:58,973
just had an interesting talk
with Ellen's son, Jaxson.

634
00:27:58,977 --> 00:28:00,900
-Yeah?
-Yeah.

635
00:28:00,904 --> 00:28:03,978
It turns out he's not
just a precocious kid.

636
00:28:03,982 --> 00:28:06,014
Ellen prepped him
on how to call 911.

637
00:28:06,018 --> 00:28:10,485
Like really prepped him as if
she knew this might happen.

638
00:28:10,489 --> 00:28:12,579
-Well, that's interesting.
-Yeah.

639
00:28:12,583 --> 00:28:14,322
Look, I...

640
00:28:14,326 --> 00:28:16,257
I don't wanna jump
to any conclusion, but it...

641
00:28:16,261 --> 00:28:18,626
it kind of reminds me of my mom.

642
00:28:18,630 --> 00:28:19,827
How so?

643
00:28:19,831 --> 00:28:22,130
Well, with her drug problem,

644
00:28:22,134 --> 00:28:23,998
she knew she might not
always keep it together,

645
00:28:24,002 --> 00:28:26,501
so she taught me to do things
at a young age.

646
00:28:26,505 --> 00:28:29,704
You know, make dinner when
I was 6, drive when I was 13.

647
00:28:29,708 --> 00:28:32,407
She also taught me to call 911.

648
00:28:32,411 --> 00:28:35,944
She said it was in case of
an accident, but really...

649
00:28:35,948 --> 00:28:37,716
It was in case she OD'd.

650
00:28:40,035 --> 00:28:42,517
Well, do you think that's what
we're looking at here?

651
00:28:42,521 --> 00:28:43,718
Substance abuse?

652
00:28:43,722 --> 00:28:45,386
Well, like I said, I...

653
00:28:45,390 --> 00:28:46,788
I don't wanna jump
to any conclusions.

654
00:28:46,792 --> 00:28:50,191
Excessive drinking could
cause the esophageal tear,

655
00:28:50,195 --> 00:28:51,459
but... but not the weight gain.

656
00:28:51,463 --> 00:28:53,127
Not on...
not on that scale, anyway.

657
00:28:53,131 --> 00:28:55,463
Well, maybe she's substituting

658
00:28:55,467 --> 00:28:57,398
one addiction for another?

659
00:28:57,402 --> 00:29:00,168
Oh, man. The GLP-1.

660
00:29:00,172 --> 00:29:01,461
What?

661
00:29:01,465 --> 00:29:04,772
I think I might know
what's going on here.

662
00:29:04,776 --> 00:29:06,341
Hey, what's up with you today?

663
00:29:06,345 --> 00:29:08,635
You seem distracted or something.

664
00:29:08,639 --> 00:29:10,903
Is everything okay at home?

665
00:29:10,907 --> 00:29:12,780
Yeah. Yeah.

666
00:29:12,784 --> 00:29:16,150
I just never realized
how much I love all of this.

667
00:29:16,154 --> 00:29:18,419
Okay, you are really
freaking me out now.

668
00:29:18,423 --> 00:29:20,888
-What?
-Sorry, I...

669
00:29:20,892 --> 00:29:23,650
I'm just feeling a little
sentimental, that's all.

670
00:29:23,654 --> 00:29:24,626
Okay.

671
00:29:24,630 --> 00:29:25,727
-Dr. Asher.
-Yeah?

672
00:29:25,731 --> 00:29:27,228
This is Samara's mom,
Rhonda West.

673
00:29:27,232 --> 00:29:29,264
Mrs. West,
I am so glad you're here.

674
00:29:29,268 --> 00:29:31,466
Samara's stable now,
though she sustained damage

675
00:29:31,470 --> 00:29:33,259
to her spine
and the blood vessels in her

676
00:29:33,263 --> 00:29:37,805
-neck...
-Wait. So she's alive?

677
00:29:37,809 --> 00:29:39,507
Yes, I am...

678
00:29:39,511 --> 00:29:41,426
I am so sorry if my messages
weren't clear.

679
00:29:41,430 --> 00:29:42,948
Samara is alive and she is awake.

680
00:29:43,048 --> 00:29:46,948
When you said
she was in an accident, I...

681
00:29:46,952 --> 00:29:48,549
I was sure you were
calling to tell me

682
00:29:48,553 --> 00:29:51,419
she finally managed
to kill herself.

683
00:29:51,423 --> 00:29:53,458
Thankfully, that is not the case,

684
00:29:53,558 --> 00:29:56,424
though she does need surgery
to prevent stroke

685
00:29:56,428 --> 00:29:59,594
and currently,
Samara is refusing it.

686
00:29:59,598 --> 00:30:00,828
I thought that
you could talk to her.

687
00:30:00,832 --> 00:30:03,931
I can't help with that.

688
00:30:03,935 --> 00:30:06,434
I'm sorry? What do you mean?

689
00:30:06,438 --> 00:30:08,636
I tried for years to help Samara.

690
00:30:08,640 --> 00:30:10,772
When she OD'd,
when she broke the law,

691
00:30:10,776 --> 00:30:15,943
when she hurt us
in every imaginable way.

692
00:30:15,947 --> 00:30:21,182
I love my daughter
and I always will.

693
00:30:21,186 --> 00:30:25,553
But her decisions
are her own now.

694
00:30:29,728 --> 00:30:34,479
So sounds like everything
went off without a hitch.

695
00:30:34,483 --> 00:30:36,964
Thank goodness.

696
00:30:36,968 --> 00:30:38,904
Now we just gotta figure out

697
00:30:39,004 --> 00:30:41,339
what to do about
your alcohol consumption.

698
00:30:42,874 --> 00:30:44,505
-I'm not an alcoholic.
-No.

699
00:30:44,509 --> 00:30:48,180
I'm not here to judge you
or shame you.

700
00:30:48,280 --> 00:30:51,813
I'm wondering if you are
eating to gain weight

701
00:30:51,817 --> 00:30:55,216
so that you can qualify
for a GLP-1.

702
00:30:55,220 --> 00:30:58,219
That doesn't
even make any sense.

703
00:30:58,223 --> 00:30:59,979
Look, everybody
knows that these drugs,

704
00:30:59,983 --> 00:31:02,014
they help with diabetes, right?

705
00:31:02,018 --> 00:31:03,349
They promote weight loss.

706
00:31:03,353 --> 00:31:06,494
But also, you can't
hit your news feed these days

707
00:31:06,498 --> 00:31:07,695
without reading another story

708
00:31:07,699 --> 00:31:10,431
about some exciting new
off-label use,

709
00:31:10,435 --> 00:31:13,835
like for instance, how they
curb compulsive behavior,

710
00:31:13,839 --> 00:31:16,170
alcohol, drug abuse,

711
00:31:16,174 --> 00:31:19,499
addictions that
could cause somebody

712
00:31:19,503 --> 00:31:21,296
to lose custody of their child.

713
00:31:26,943 --> 00:31:30,718
I always kept it a secret.

714
00:31:30,722 --> 00:31:34,213
But I've struggled
with drinking since I was 16.

715
00:31:34,217 --> 00:31:40,019
Over time, it got worse
and I couldn't control it.

716
00:31:40,023 --> 00:31:44,665
But then I got pregnant.

717
00:31:44,669 --> 00:31:49,971
So I started going to meetings,
taking care of myself.

718
00:31:49,975 --> 00:31:53,541
Stupidly, I thought
I'd beat it for good.

719
00:31:53,545 --> 00:31:56,377
Then your husband
came back to town

720
00:31:56,381 --> 00:31:59,785
and filed for full custody
of Jaxson?

721
00:31:59,885 --> 00:32:04,852
And then Jaxson went
with his dad one weekend.

722
00:32:04,856 --> 00:32:08,055
I went on a 48-hour bender.

723
00:32:08,059 --> 00:32:10,758
And I realized that

724
00:32:10,762 --> 00:32:14,162
unless I... I changed something,
I was gonna lose the battle,

725
00:32:14,166 --> 00:32:15,997
so I...

726
00:32:16,001 --> 00:32:19,938
I went online
for any remedy I could find.

727
00:32:22,340 --> 00:32:25,807
I saw GLP-1s helped some people,

728
00:32:25,811 --> 00:32:28,342
but all my money was
going to my lawyer.

729
00:32:28,346 --> 00:32:31,579
Right, so you thought
if you gained enough weight

730
00:32:31,583 --> 00:32:32,914
that your insurance
would cover it.

731
00:32:32,918 --> 00:32:36,150
I know it's insane.

732
00:32:36,154 --> 00:32:37,618
Oh, come on.

733
00:32:37,622 --> 00:32:41,556
When it comes to our kids,
we will do absolutely anything.

734
00:32:43,995 --> 00:32:46,961
So... so what now?

735
00:32:46,965 --> 00:32:51,190
Well, I'm actually
gonna prescribe you a GLP-1

736
00:32:51,194 --> 00:32:54,936
because your A1C
is dangerously high.

737
00:32:54,940 --> 00:32:56,637
And it's very important
that we bring it down

738
00:32:56,641 --> 00:32:58,956
so you don't become a diabetic.

739
00:32:58,960 --> 00:33:00,775
Okay?

740
00:33:00,779 --> 00:33:03,311
Now, if it happens to help you
in other ways...

741
00:33:03,315 --> 00:33:04,846
Oh, my God. Thank... thank you.

742
00:33:04,850 --> 00:33:08,132
-Ellen, listen to me.
-This is not a magic bullet.

743
00:33:08,136 --> 00:33:09,300
-No, it... what?
-What do you mean?

744
00:33:09,304 --> 00:33:12,653
Your five-year-old
terrified son called 911

745
00:33:12,657 --> 00:33:14,188
'cause he walked in the kitchen

746
00:33:14,192 --> 00:33:16,557
and found his mom
under the kitchen table

747
00:33:16,561 --> 00:33:19,126
next to a pool of her own vomit
and blood.

748
00:33:20,465 --> 00:33:24,632
Something like that
happens again, he's gone.

749
00:33:24,636 --> 00:33:25,867
You gotta face this.

750
00:33:25,871 --> 00:33:28,703
It's the only chance you have
of keeping your son.

751
00:33:31,376 --> 00:33:34,679
Okay. Okay.

752
00:33:38,817 --> 00:33:40,281
Miranda?

753
00:33:40,285 --> 00:33:41,574
Sharon.

754
00:33:41,578 --> 00:33:43,417
I thought our meeting
wasn't for another hour.

755
00:33:43,421 --> 00:33:44,952
Well, I finally made a decision

756
00:33:44,956 --> 00:33:47,488
and didn't wanna wait any longer.

757
00:33:47,492 --> 00:33:52,677
Fair enough. Well?

758
00:33:52,681 --> 00:33:54,328
Per your offer,

759
00:33:54,332 --> 00:33:58,324
I'm resigning my position
as executive director

760
00:33:58,328 --> 00:34:00,538
effective immediately.

761
00:34:04,175 --> 00:34:05,932
I'm taking the deal.

762
00:34:19,741 --> 00:34:21,422
Looks like
the leeches did the trick.

763
00:34:21,426 --> 00:34:24,517
Hell, yeah.

764
00:34:24,521 --> 00:34:25,993
So now what?

765
00:34:25,997 --> 00:34:29,701
Well, you still have limited
blood flow to your brain,

766
00:34:29,801 --> 00:34:32,333
which means that we'll be
pushing your blood pressure

767
00:34:32,337 --> 00:34:33,868
to make up for it.

768
00:34:33,872 --> 00:34:35,886
Hopefully
if you keep your collar on,

769
00:34:35,890 --> 00:34:37,538
some of your fractures will heal,

770
00:34:37,542 --> 00:34:39,569
but they may also deteriorate

771
00:34:39,669 --> 00:34:43,206
and you will be at
constant risk for a stroke,

772
00:34:43,306 --> 00:34:46,739
either of which
could prove fatal.

773
00:34:46,743 --> 00:34:48,578
But I'll walk.

774
00:34:48,678 --> 00:34:53,312
After some physical therapy
and rehab, yes.

775
00:34:53,316 --> 00:34:55,790
But you will be a time bomb.

776
00:35:01,499 --> 00:35:04,519
I was finally able
to connect with your mom.

777
00:35:06,304 --> 00:35:08,273
-Let me guess.
-She doesn't wanna see me?

778
00:35:10,033 --> 00:35:11,568
Look, Samara, when I was younger,

779
00:35:11,668 --> 00:35:15,142
I did a lot of things
that pushed people away,

780
00:35:15,146 --> 00:35:18,546
things I am not proud of.

781
00:35:21,386 --> 00:35:23,050
I know what it's like
to live for the moment

782
00:35:23,054 --> 00:35:27,246
because you believe that
you don't have a future.

783
00:35:27,250 --> 00:35:29,394
The thing is

784
00:35:29,494 --> 00:35:31,993
the future doesn't care
what you believe.

785
00:35:31,997 --> 00:35:33,256
It comes anyway.

786
00:35:35,867 --> 00:35:37,969
Now, I'm not asking you to

787
00:35:38,069 --> 00:35:41,669
suddenly believe that things
will improve in your life.

788
00:35:43,458 --> 00:35:46,340
I'm just asking for you
to allow for the possibility

789
00:35:46,344 --> 00:35:48,509
that they might.

790
00:35:48,513 --> 00:35:51,646
You know, to consider the idea
that maybe someday,

791
00:35:51,650 --> 00:35:54,919
you won't feel this way.

792
00:35:55,020 --> 00:36:00,521
It takes a lot of courage
to ride on top of a train.

793
00:36:00,525 --> 00:36:04,913
A lot of courage to turn down
a surgery like this.

794
00:36:06,731 --> 00:36:10,498
Sometimes the bravest thing
that we can do

795
00:36:10,502 --> 00:36:13,004
is choose to survive.

796
00:36:15,373 --> 00:36:19,098
You are making the choice
to die right now.

797
00:36:19,102 --> 00:36:22,013
Is that really what you want?

798
00:36:24,140 --> 00:36:29,917
If I die, no one will notice.

799
00:36:29,921 --> 00:36:32,457
No one will care.

800
00:36:32,557 --> 00:36:34,984
Not even my mom.

801
00:36:37,253 --> 00:36:38,988
That's not true.

802
00:36:41,132 --> 00:36:42,700
I care.

803
00:36:44,602 --> 00:36:48,135
I care if you live or die.

804
00:36:53,978 --> 00:36:55,046
Okay.

805
00:36:57,716 --> 00:36:59,676
I'll get the surgery.

806
00:37:12,330 --> 00:37:14,662
-How's Christian?
-He's just fine.

807
00:37:14,666 --> 00:37:16,547
The surgery went off
without a hitch.

808
00:37:16,551 --> 00:37:18,866
We placed the stent
and restored flow to his leg.

809
00:37:18,870 --> 00:37:21,231
He'll need physical therapy
for a couple days,

810
00:37:21,331 --> 00:37:23,908
but he should
make a full recovery.

811
00:37:25,477 --> 00:37:28,576
I was so scared that what
I said with...

812
00:37:28,580 --> 00:37:29,560
with his heart that...

813
00:37:29,564 --> 00:37:31,879
-He's okay.
-It didn't hurt him.

814
00:37:31,883 --> 00:37:33,881
And you can see him
in a couple hours

815
00:37:33,885 --> 00:37:35,616
when he gets out of recovery.

816
00:37:35,620 --> 00:37:36,984
Oh, my God.

817
00:37:36,988 --> 00:37:39,420
Thank you, thank you.

818
00:37:39,424 --> 00:37:40,788
Of course.

819
00:37:40,792 --> 00:37:43,791
And I... I have to let
the rest of the family know.

820
00:37:43,795 --> 00:37:46,364
Thank you.

821
00:37:52,137 --> 00:37:55,774
I don't know why
anyone becomes a parent.

822
00:38:06,684 --> 00:38:08,841
Hi.

823
00:38:08,845 --> 00:38:11,719
-Oh, my God.
-She did great, Mom.

824
00:38:11,723 --> 00:38:14,438
We did some tummy time.
We sang some songs.

825
00:38:14,442 --> 00:38:16,557
Mabel's an independent girl now.

826
00:38:16,561 --> 00:38:17,962
I'll go get her bag for you.

827
00:38:21,966 --> 00:38:24,190
There's nothing
that you could ever do

828
00:38:24,194 --> 00:38:26,796
that would make me
give up on you.

829
00:38:29,207 --> 00:38:30,204
Hi.

830
00:38:39,576 --> 00:38:41,148
How could you take the deal?

831
00:38:41,152 --> 00:38:42,987
Come in.

832
00:38:47,025 --> 00:38:48,818
Dr. Archer.

833
00:38:48,918 --> 00:38:49,990
Mallory.

834
00:38:49,994 --> 00:38:51,792
Uh, I'm actually glad
I ran into you.

835
00:38:51,796 --> 00:38:55,458
I, uh... I guess I owe you
an apology for earlier.

836
00:38:55,558 --> 00:38:57,660
-Oh, really?
-Yeah. I was a bit of an ass.

837
00:38:57,760 --> 00:38:59,124
-And, uh...
-Oh.

838
00:38:59,128 --> 00:39:00,501
Had time to reflect,

839
00:39:00,505 --> 00:39:03,808
and I... I think I could
make this new system work.

840
00:39:03,908 --> 00:39:05,840
I told you I didn't want this.

841
00:39:05,844 --> 00:39:07,066
I wasn't gonna let you

842
00:39:07,070 --> 00:39:08,609
just throw away
everything you've ever done.

843
00:39:08,613 --> 00:39:11,078
I know that, Doris,
but you're too good of a nurse.

844
00:39:12,417 --> 00:39:14,048
You're too good of a person
to let this define you,

845
00:39:14,052 --> 00:39:17,318
to let my drama
derail your whole life.

846
00:39:17,322 --> 00:39:20,821
Plus this isn't
what it looks like.

847
00:39:20,825 --> 00:39:21,981
What do you mean?

848
00:39:21,985 --> 00:39:24,658
Well, how did you
solve your issues?

849
00:39:24,662 --> 00:39:28,128
-Just did what you said.
-Thought outside the box.

850
00:39:28,132 --> 00:39:32,933
There's no non-compete
in the deal I agreed to,

851
00:39:32,937 --> 00:39:35,970
so I won't be
executive director anymore,

852
00:39:35,974 --> 00:39:39,907
but that doesn't mean
I'm done with Gaffney.

853
00:39:39,911 --> 00:39:42,835
I was speaking with a charge
nurse who I used to work with

854
00:39:42,839 --> 00:39:44,361
who was nearing
the end of her career,

855
00:39:44,365 --> 00:39:48,949
and, uh, she said she'd
be willing to take this job

856
00:39:48,953 --> 00:39:52,253
at the salary of
a telemetry nurse.

857
00:39:52,257 --> 00:39:55,322
I don't think the changes
that Miranda's making

858
00:39:55,326 --> 00:39:57,220
are just about budget cuts.

859
00:39:57,320 --> 00:40:00,527
I think there's
a bigger plan here,

860
00:40:00,531 --> 00:40:03,597
but I can't fight it
from the outside.

861
00:40:03,601 --> 00:40:06,734
I need access.

862
00:40:06,738 --> 00:40:10,471
Well, I look forward
to meeting her.

863
00:40:10,475 --> 00:40:14,712
I promise you this is not over.