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 see how it is easy for you 9 00:00:22,689 --> 00:00:24,921 to cast me as the enemy in your internal drama. 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 00:00:40,874 --> 00:00:42,363 [chuckles] 14 00:00:42,367 --> 00:00:44,040 I thought sharing a shower was about saving time. 15 00:00:44,044 --> 00:00:46,676 You said, and I quote, "all business." 16 00:00:46,680 --> 00:00:49,546 Well, business has a lot of meaning. 17 00:00:49,550 --> 00:00:53,153 [soft playful music] 18 00:00:53,287 --> 00:00:56,653 [knock at door] 19 00:00:56,657 --> 00:00:58,016 Just one second. 20 00:00:59,710 --> 00:01:00,794 Yeah? 21 00:01:00,894 --> 00:01:02,225 Can I get in there to brush my teeth? 22 00:01:02,229 --> 00:01:05,828 -[groans] Can't it wait? -I need a minute. 23 00:01:05,832 --> 00:01:08,268 -What? -[knock at door] 24 00:01:08,368 --> 00:01:10,570 All right, all right, I'm coming. 25 00:01:12,339 --> 00:01:13,603 Hey, man. 26 00:01:13,607 --> 00:01:16,539 Hi. Here you go. 27 00:01:16,543 --> 00:01:18,041 Do you have a girl in there? 28 00:01:18,045 --> 00:01:19,801 [sighs] Well, what's with all the questions? 29 00:01:19,805 --> 00:01:22,078 Look... [chuckles] 30 00:01:22,082 --> 00:01:24,948 When Naomi got that fellowship in Portland and dumped you... 31 00:01:24,952 --> 00:01:26,149 Easy, easy. 32 00:01:26,153 --> 00:01:27,750 Yeah, mutual breakup, but sure, go ahead. 33 00:01:27,754 --> 00:01:29,285 I was there for you. 34 00:01:29,289 --> 00:01:30,903 And I have been nothing but supportive as you've, you know, 35 00:01:30,907 --> 00:01:34,073 gotten back on the horse, or the whole herd, 36 00:01:34,077 --> 00:01:35,425 the past couple of months. 37 00:01:35,429 --> 00:01:38,261 It feels like there's a but coming. 38 00:01:38,265 --> 00:01:41,268 You're taking some liberties with the, uh, roommate code. 39 00:01:41,368 --> 00:01:44,133 [sighs] 40 00:01:44,137 --> 00:01:46,331 -Okay. Yeah. -Yeah. 41 00:01:46,431 --> 00:01:48,271 No, that's... that's fair and I understand. 42 00:01:48,275 --> 00:01:50,811 And I... I will do better. 43 00:01:50,911 --> 00:01:53,739 After this morning? 44 00:01:55,949 --> 00:01:59,449 -See you at the hospital. -Okay. See you there. 45 00:01:59,453 --> 00:02:02,848 {\an8}Yeah, okay, so she's got a change of clothes in the bag. 46 00:02:02,948 --> 00:02:04,487 {\an8}And I pumped this morning, which is in the cooler. 47 00:02:04,491 --> 00:02:05,622 {\an8}-You brought... -I showed him. 48 00:02:05,626 --> 00:02:07,023 {\an8}-Okay. -[fusses] 49 00:02:07,027 --> 00:02:09,067 {\an8}Oh, also, she likes to be burped on her left side. 50 00:02:09,196 --> 00:02:10,627 {\an8}Sometimes it takes a little bit. 51 00:02:10,631 --> 00:02:11,928 {\an8}I promise I got her. 52 00:02:11,932 --> 00:02:13,412 {\an8}And daycare is great for little tykes. 53 00:02:13,433 --> 00:02:15,064 {\an8}It gets them used to new faces, experiences... 54 00:02:15,068 --> 00:02:16,361 {\an8}Yeah. 55 00:02:16,461 --> 00:02:19,027 {\an8}No, I've read the... I've read the literature, Trident. 56 00:02:19,031 --> 00:02:21,270 {\an8}It's just I'm handing my heart to a stranger 57 00:02:21,274 --> 00:02:23,210 {\an8}and I don't want Mabel to feel abandoned, so... 58 00:02:23,310 --> 00:02:24,574 {\an8}All right, baby, it's gonna be fine. 59 00:02:24,578 --> 00:02:26,705 {\an8}A little independence is gonna be good for her. 60 00:02:26,805 --> 00:02:27,873 {\an8}Right, yeah. 61 00:02:27,973 --> 00:02:28,945 {\an8}[baby crying] 62 00:02:28,949 --> 00:02:30,947 {\an8}-It's okay. -Oh, my gosh. 63 00:02:30,951 --> 00:02:33,086 {\an8}-It's okay. -I got you. I got you. 64 00:02:33,220 --> 00:02:34,984 {\an8}It's okay, yes. 65 00:02:34,988 --> 00:02:37,240 {\an8}Shh, shh, shh. [baby crying] 66 00:02:40,460 --> 00:02:42,550 {\an8}[sighs] How are you so calm? 67 00:02:42,554 --> 00:02:44,819 {\an8}I'm not. I'm pretending for you. 68 00:02:44,823 --> 00:02:47,030 {\an8}-[sighs] -[chuckles] 69 00:02:47,034 --> 00:02:48,314 {\an8}Dr. Archer. 70 00:02:48,318 --> 00:02:50,170 {\an8}Oh, good luck with that. 71 00:02:50,270 --> 00:02:51,401 {\an8}Thanks. 72 00:02:51,405 --> 00:02:53,469 {\an8}-Bye. -Bye. 73 00:02:53,473 --> 00:02:56,064 {\an8}Hi. So glad I ran into you. 74 00:02:56,068 --> 00:02:57,373 {\an8}Okay. What's up? 75 00:02:57,377 --> 00:02:59,000 {\an8}Well, I wanted to let you know 76 00:02:59,004 --> 00:03:00,347 {\an8}that I'm shifting some resources 77 00:03:00,447 --> 00:03:01,903 {\an8}to create a dozen new beds. 78 00:03:01,907 --> 00:03:03,517 {\an8}More people will be admitted faster, 79 00:03:03,617 --> 00:03:05,915 {\an8}which should clear up some space in the ED. 80 00:03:05,919 --> 00:03:09,986 {\an8}Oh, okay. Uh, that sounds really great. 81 00:03:09,990 --> 00:03:11,258 {\an8}Thank you. 82 00:03:11,358 --> 00:03:13,293 {\an8}We're a team, right? 83 00:03:13,427 --> 00:03:14,694 {\an8}Right. 84 00:03:21,268 --> 00:03:24,454 {\an8}I knew what Miranda was trying to do to Dr. Charles. 85 00:03:26,331 --> 00:03:27,332 {\an8}We all did. 86 00:03:29,009 --> 00:03:32,100 {\an8}And I felt angry and helpless. 87 00:03:32,104 --> 00:03:34,777 {\an8}Yeah, I know that feeling. 88 00:03:34,781 --> 00:03:37,984 {\an8}Then I went to your office to drop off the staffing report. 89 00:03:38,085 --> 00:03:40,867 {\an8}You weren't there, but I happened to see 90 00:03:40,871 --> 00:03:44,679 {\an8}Dr. Rabari's name on your computer. 91 00:03:44,683 --> 00:03:46,893 {\an8}His medical records. 92 00:03:49,596 --> 00:03:52,286 {\an8}I made a snap decision. 93 00:03:52,290 --> 00:03:53,300 {\an8}I printed them out 94 00:03:53,400 --> 00:03:55,068 {\an8}and I anonymously sent them to Miranda. 95 00:03:56,862 --> 00:03:58,201 {\an8}Sent how? 96 00:03:58,205 --> 00:04:00,962 {\an8}An envelope I left in the boardroom. 97 00:04:00,966 --> 00:04:03,297 {\an8}Look, I thought that I was saving Dr. Charles. 98 00:04:03,301 --> 00:04:05,641 {\an8}I had no idea that they would come after you like this. 99 00:04:05,645 --> 00:04:07,777 {\an8}And now they're trying to offer you a deal, 100 00:04:07,781 --> 00:04:10,379 {\an8}wanting to push you out over something that I did? 101 00:04:10,383 --> 00:04:11,647 {\an8}I can't just let that happen. 102 00:04:11,651 --> 00:04:15,643 {\an8}Doris, Doris, I was the one who asked for the files. 103 00:04:15,647 --> 00:04:17,153 {\an8}This is on me too. 104 00:04:17,157 --> 00:04:19,259 {\an8}But you didn't make me send them. 105 00:04:23,730 --> 00:04:25,932 {\an8}I'm gonna tell Miranda the truth. 106 00:04:27,601 --> 00:04:30,032 {\an8}I leaked those files. 107 00:04:30,036 --> 00:04:32,251 {\an8}I understand how you're feeling. 108 00:04:32,255 --> 00:04:36,038 {\an8}Uh, Miranda makes a lot of threats. 109 00:04:36,042 --> 00:04:39,142 {\an8}It doesn't mean that she can prove anything. 110 00:04:39,146 --> 00:04:44,034 {\an8}But the second you confess, there's no going back. 111 00:04:48,788 --> 00:04:51,012 {\an8}Welcome back. How we feeling, Mama? 112 00:04:51,016 --> 00:04:53,656 {\an8}Oh, a little anxious, if I'm being honest. 113 00:04:53,660 --> 00:04:54,861 {\an8}But you know, 114 00:04:54,961 --> 00:04:56,425 {\an8}it was nice to actually get dressed this morning. 115 00:04:56,429 --> 00:04:58,761 {\an8}Ugh, strong disagree. Pants are for suckers. 116 00:04:58,765 --> 00:04:59,729 {\an8}[chuckles] Well, either way, 117 00:04:59,733 --> 00:05:02,023 {\an8}it is nice to see my people again. 118 00:05:02,027 --> 00:05:04,534 {\an8}Speaking of, have you seen Doris yet? 119 00:05:04,538 --> 00:05:06,527 {\an8}Late. She said car trouble or something. 120 00:05:06,531 --> 00:05:08,642 Multiple traumas incoming. 121 00:05:08,742 --> 00:05:10,473 A group of teens were subway surfing. 122 00:05:10,477 --> 00:05:12,675 -Three were thrown off. -Subway surfing? 123 00:05:12,679 --> 00:05:14,468 Kids are jumping on top of subway cars, 124 00:05:14,472 --> 00:05:15,645 filming each other riding through the city. 125 00:05:15,649 --> 00:05:17,805 -Are you kidding me? -Mm-mm. 126 00:05:17,809 --> 00:05:21,117 -Samara West, 19. -BP's 110/73. 127 00:05:21,121 --> 00:05:22,785 Found her unconscious, but she came to on the ride over. 128 00:05:22,789 --> 00:05:24,754 Was complaining of severe neck pain 129 00:05:24,758 --> 00:05:26,422 and lower extremity paresthesias. 130 00:05:26,426 --> 00:05:28,449 Gave 50 milligrams of fentanyl for the pain 131 00:05:28,453 --> 00:05:30,326 and also possible wrist fracture. 132 00:05:30,330 --> 00:05:31,294 Okay, we're gonna check you out now. 133 00:05:31,298 --> 00:05:32,557 On my count. Gentle. 134 00:05:32,657 --> 00:05:35,565 One, two, three. 135 00:05:35,569 --> 00:05:37,066 Feels like needles in my legs. 136 00:05:37,070 --> 00:05:39,068 Okay, Samara, I'm gonna feel the back of your neck. 137 00:05:39,072 --> 00:05:40,803 Keep still, okay? 138 00:05:40,807 --> 00:05:43,272 Okay, if you feel any pain as I'm pressing, let me know. 139 00:05:43,276 --> 00:05:44,240 Ow! Right there. 140 00:05:44,244 --> 00:05:46,275 Okay, I feel a step off at C67. 141 00:05:46,279 --> 00:05:49,312 Let's get a CTC spine, CTA neck trauma labs, 142 00:05:49,316 --> 00:05:50,479 and page Dr. Abrams. 143 00:05:50,483 --> 00:05:53,249 Nolan Goodland, 14, fell off the train car. 144 00:05:53,253 --> 00:05:54,742 Made contact with the third rail. 145 00:05:54,746 --> 00:05:56,790 Sustained severe electrical burns to the chest. 146 00:05:56,923 --> 00:05:58,988 -Was unconscious at the scene. -Poor kid. 147 00:05:58,992 --> 00:06:00,560 Make sure his parents are notified. 148 00:06:00,660 --> 00:06:03,025 Let's get a crash cart set up and get a Foley in him. 149 00:06:03,029 --> 00:06:07,230 Send trauma labs, CK, and I need an ultrasound. 150 00:06:07,234 --> 00:06:09,699 Ready? One, two, three. 151 00:06:09,703 --> 00:06:11,738 -Nolan? -Abdomen's distended. 152 00:06:11,838 --> 00:06:14,904 -Nolan, can you hear me, son? -Nolan. 153 00:06:14,908 --> 00:06:16,309 Okay, blood pressure's dropping. 154 00:06:16,409 --> 00:06:20,109 -Start a second IV. -Hang a liter of LR. 155 00:06:20,113 --> 00:06:21,444 And where's that ultrasound, Nancy? 156 00:06:21,448 --> 00:06:22,603 -Come on. -Yep. 157 00:06:22,607 --> 00:06:23,713 Christian, I'm Dr. Frost. 158 00:06:23,717 --> 00:06:25,114 We're gonna take a look at you, all right? 159 00:06:25,118 --> 00:06:26,682 [tense music] 160 00:06:26,686 --> 00:06:29,352 Okay, he has a pretty big flail segment on the right. 161 00:06:29,356 --> 00:06:30,536 Still tachy and hypotensive. 162 00:06:30,540 --> 00:06:31,779 Hang 1 and 1. 163 00:06:31,783 --> 00:06:34,448 Nolan! Where is he, Nolan? 164 00:06:34,452 --> 00:06:35,558 It's his younger brother. 165 00:06:35,562 --> 00:06:37,059 Hey, Christian, look at me, all right? 166 00:06:37,063 --> 00:06:38,294 You're gonna have to sit still. 167 00:06:38,298 --> 00:06:39,495 We're just trying to help. It's all right. 168 00:06:39,499 --> 00:06:41,731 -[coughing] -Oh, towel. 169 00:06:41,735 --> 00:06:43,937 [coughing] 170 00:06:44,037 --> 00:06:46,335 Hemopneumothorax on the right with the flail segment. 171 00:06:46,339 --> 00:06:47,837 The mediastinum is widened. 172 00:06:47,841 --> 00:06:49,372 We're gonna have to rule out an aortic injury. 173 00:06:49,376 --> 00:06:50,606 Yeah, let's get 2 of Versed 174 00:06:50,610 --> 00:06:52,475 and prep for chest tube before CT scan. 175 00:06:52,479 --> 00:06:54,614 Need another set of hands here! 176 00:06:54,714 --> 00:06:56,637 -Go. Go. I got it. Go. -[groaning] 177 00:06:56,641 --> 00:06:57,880 -It's okay, Christian. -I got you. 178 00:06:57,884 --> 00:07:01,017 -It's all right, okay? -All right, take over. 179 00:07:01,021 --> 00:07:03,481 Need a gram of calcium and bicarb. 180 00:07:03,581 --> 00:07:04,987 Charge to 200. 181 00:07:04,991 --> 00:07:06,322 -[defibrillator whirring] -Charged. 182 00:07:06,326 --> 00:07:08,424 Clear. 183 00:07:08,428 --> 00:07:10,418 [defibrillator thumps] 184 00:07:10,422 --> 00:07:12,219 300! 185 00:07:12,223 --> 00:07:13,767 [defibrillator thumps] 186 00:07:13,867 --> 00:07:18,104 ♪♪ 187 00:07:24,044 --> 00:07:25,808 So Christian, we contacted your dad. 188 00:07:25,812 --> 00:07:27,435 He's on the way. 189 00:07:27,439 --> 00:07:30,575 But you have what is called an aortic dissection. 190 00:07:30,675 --> 00:07:33,941 It's a tear in the main blood vessel from your heart. 191 00:07:33,945 --> 00:07:35,217 Sounds bad. 192 00:07:35,221 --> 00:07:37,749 It's a small tear, which is good. 193 00:07:37,849 --> 00:07:41,791 But sometimes those do get bigger and require surgery. 194 00:07:41,795 --> 00:07:43,718 S-so what do we do? 195 00:07:43,722 --> 00:07:45,294 Well, we admit you 196 00:07:45,298 --> 00:07:47,634 and monitor you for the next 48 hours. 197 00:07:47,734 --> 00:07:49,886 And then we let Vascular take point. 198 00:07:52,789 --> 00:07:55,271 -Where's my brother? -How is he? 199 00:07:55,275 --> 00:07:57,106 We were able to restart his heart, 200 00:07:57,110 --> 00:07:59,646 but he is also suffering lacerations 201 00:07:59,746 --> 00:08:03,804 to his spleen and his liver. 202 00:08:03,808 --> 00:08:05,481 He'll be okay? 203 00:08:05,485 --> 00:08:08,405 We are doing everything that we possibly can, Christian. 204 00:08:10,715 --> 00:08:13,460 Please. 205 00:08:13,560 --> 00:08:15,295 [sobbing] Just tell me the truth. 206 00:08:15,395 --> 00:08:18,494 If he makes it through the next few hours, 207 00:08:18,498 --> 00:08:20,896 he will have a chance. 208 00:08:20,900 --> 00:08:22,460 It was my idea. 209 00:08:26,606 --> 00:08:28,204 Saw some other kids doing it online. 210 00:08:28,208 --> 00:08:32,666 I mean, the train didn't seem like it was moving that fast. 211 00:08:32,670 --> 00:08:34,139 Then he slipped. 212 00:08:38,385 --> 00:08:42,017 He hit the rail and his body just, like... 213 00:08:42,021 --> 00:08:44,854 just, like, seized up. 214 00:08:44,858 --> 00:08:46,184 -Christian. -[sobs] 215 00:08:46,284 --> 00:08:49,358 Stop. Hey, hey, look at me. 216 00:08:49,362 --> 00:08:50,613 Look at me, Christian. 217 00:08:52,899 --> 00:08:54,513 I know it's hard, okay? 218 00:08:54,517 --> 00:09:00,006 Nolan is fighting and that is a great thing. 219 00:09:00,106 --> 00:09:01,670 But for right now, let's just focus 220 00:09:01,674 --> 00:09:04,836 on getting you fixed up, okay? 221 00:09:06,913 --> 00:09:08,673 Can you do that for me? 222 00:09:10,483 --> 00:09:12,352 Okay. 223 00:09:12,452 --> 00:09:15,117 -Where's he going? -Ellen, I'm Dr. Ripley. 224 00:09:15,121 --> 00:09:16,890 I, uh, I saw that you vomited blood 225 00:09:16,990 --> 00:09:18,487 and passed out this morning? 226 00:09:18,491 --> 00:09:20,381 {\an8}Uh, I was at the table one minute, 227 00:09:20,385 --> 00:09:21,991 {\an8}next, I was on the floor. 228 00:09:21,995 --> 00:09:24,560 {\an8}But Jaxson called 911, thankfully. 229 00:09:24,564 --> 00:09:26,362 {\an8}Oh, nice work, Jaxson. 230 00:09:26,366 --> 00:09:28,197 {\an8}Uh, you mind if I examine you? 231 00:09:28,201 --> 00:09:30,199 {\an8}-Yeah. -Okay. 232 00:09:30,203 --> 00:09:31,392 {\an8}And who's that guy? 233 00:09:31,396 --> 00:09:33,169 {\an8}Captain Super Broccoli. 234 00:09:33,173 --> 00:09:35,229 {\an8}Captain Super Broccoli? Never heard of him. 235 00:09:35,233 --> 00:09:37,043 {\an8}I made him up. 236 00:09:37,143 --> 00:09:38,899 {\an8}And told stories about him 237 00:09:38,903 --> 00:09:41,368 hoping Jaxson might eat something green. 238 00:09:41,372 --> 00:09:43,229 He loved the stories. 239 00:09:43,233 --> 00:09:45,247 No luck on the vegetables. 240 00:09:45,251 --> 00:09:47,450 Very cool. 241 00:09:47,454 --> 00:09:49,401 Say "ah" for me. 242 00:09:49,405 --> 00:09:51,245 Ah. 243 00:09:51,249 --> 00:09:54,490 Okay, uh, we'll need to wait for a CT to confirm, 244 00:09:54,494 --> 00:09:57,418 but your chest X-ray shows pneumomediastinum. 245 00:09:57,422 --> 00:10:00,100 I suspect you have a small tear in your esophagus. 246 00:10:00,200 --> 00:10:01,130 It would explain the blood. 247 00:10:01,134 --> 00:10:02,298 Is that bad? 248 00:10:02,302 --> 00:10:04,425 It's not ideal, something we can repair 249 00:10:04,429 --> 00:10:05,584 with a minor procedure. 250 00:10:05,588 --> 00:10:09,705 My bigger concern is what caused the tear. 251 00:10:09,709 --> 00:10:11,073 Have you been vomiting frequently? 252 00:10:11,077 --> 00:10:12,424 Any recent illness? 253 00:10:12,428 --> 00:10:14,535 I've been going through a custody battle with my ex. 254 00:10:14,539 --> 00:10:16,774 That gives me plenty of indigestion. 255 00:10:16,875 --> 00:10:21,250 [chuckles] But I was fine today until, you know. 256 00:10:21,254 --> 00:10:23,769 Sorry, uh, it says 257 00:10:23,773 --> 00:10:25,246 you went for your physical three months ago, 258 00:10:25,250 --> 00:10:28,023 and your weight was 145. 259 00:10:28,027 --> 00:10:31,277 Today, your weight is 185. 260 00:10:31,281 --> 00:10:33,295 Is that accurate? 261 00:10:33,299 --> 00:10:36,603 Unfortunately, yes. 262 00:10:36,703 --> 00:10:38,284 You think that has something to do with this? 263 00:10:38,288 --> 00:10:41,453 It's hard to tell just yet, but it is concerning. 264 00:10:41,457 --> 00:10:43,697 I was chalking it up to stress. 265 00:10:43,701 --> 00:10:45,411 Stress can certainly wreak havoc. 266 00:10:45,512 --> 00:10:46,971 Uh, why don't we run some tests, 267 00:10:47,071 --> 00:10:48,210 get some more info, 268 00:10:48,214 --> 00:10:49,737 and, uh, try to get to the bottom of this? 269 00:10:49,741 --> 00:10:52,068 -Okay. -Okay. 270 00:10:55,021 --> 00:10:57,123 Looks like your pain level's gone down. 271 00:10:57,223 --> 00:10:59,325 Yeah, those meds did the trick. 272 00:10:59,425 --> 00:11:01,090 Good. 273 00:11:01,094 --> 00:11:03,584 How are those two boys that came in with me? 274 00:11:03,588 --> 00:11:06,328 They're being worked on now. 275 00:11:06,332 --> 00:11:08,589 Samara, I'd like to introduce you to Dr. Abrams. 276 00:11:08,593 --> 00:11:10,658 He's a neurosurgeon. 277 00:11:10,662 --> 00:11:12,935 So your CT shows that 278 00:11:12,939 --> 00:11:15,466 you injured both vertebral arteries, 279 00:11:15,567 --> 00:11:17,164 which provide blood to your brain. 280 00:11:17,168 --> 00:11:18,774 And if we don't get them open, 281 00:11:18,778 --> 00:11:20,342 there's very high risk for stroke. 282 00:11:20,346 --> 00:11:22,161 But the arteries were injured 283 00:11:22,165 --> 00:11:23,846 because your spine was dislocated 284 00:11:23,850 --> 00:11:26,815 along with fractures to the C6 and C7 vertebrae, 285 00:11:26,819 --> 00:11:28,813 which are currently pinching your spinal cord. 286 00:11:28,913 --> 00:11:30,344 That's why my legs are tingling? 287 00:11:30,348 --> 00:11:32,388 Most likely. 288 00:11:32,392 --> 00:11:35,082 So can we fix that too? 289 00:11:35,086 --> 00:11:37,693 Yes, but it's complicated. 290 00:11:37,697 --> 00:11:40,833 So repairing the arteries is of course, our first priority, 291 00:11:40,934 --> 00:11:43,002 but it would require realigning your spine. 292 00:11:43,102 --> 00:11:44,567 It'll restore blood flow 293 00:11:44,571 --> 00:11:46,172 and it will limit the risk of the stroke, 294 00:11:46,272 --> 00:11:49,171 but it will put increased pressure on your spinal cord 295 00:11:49,175 --> 00:11:51,373 and it could result 296 00:11:51,377 --> 00:11:54,577 in permanent paralysis of your lower extremities. 297 00:11:54,581 --> 00:11:57,171 So you're saying I won't be able to walk? 298 00:11:57,175 --> 00:11:59,544 Nothing is guaranteed. 299 00:11:59,644 --> 00:12:02,451 You know, I'm not even on TikTok. 300 00:12:02,455 --> 00:12:07,089 I don't subway surf to create content or to get views. 301 00:12:07,093 --> 00:12:10,150 I do it because that feeling when you're up there, 302 00:12:10,154 --> 00:12:14,463 it's just like, total escape. 303 00:12:14,467 --> 00:12:16,548 [pensive music] 304 00:12:16,552 --> 00:12:19,126 I need to be able to move. 305 00:12:19,130 --> 00:12:22,575 To get away, to get out of my head. 306 00:12:22,675 --> 00:12:26,609 I'm not doing anything that's gonna make me paralyzed. 307 00:12:26,613 --> 00:12:28,410 Wait, are you saying no to the surgery? 308 00:12:28,414 --> 00:12:31,313 Samara, I want you to understand that 309 00:12:31,317 --> 00:12:33,745 if you don't do the surgery, you could die. 310 00:12:33,845 --> 00:12:36,522 Could isn't certain, though. 311 00:12:36,623 --> 00:12:39,842 You said it yourself. Nothing's guaranteed, right? 312 00:12:42,929 --> 00:12:45,653 Mom, you asked me to come here today 313 00:12:45,657 --> 00:12:47,433 to help advise you as an attorney. 314 00:12:47,533 --> 00:12:48,522 -I did. -Mm-hmm. 315 00:12:48,526 --> 00:12:50,099 Then I think I should tell you 316 00:12:50,103 --> 00:12:54,236 if Doris stays quiet and you turn down this deal, 317 00:12:54,240 --> 00:12:56,109 it is going to turn into a legal matter 318 00:12:56,209 --> 00:13:00,042 and their attorneys will start deposing everyone. 319 00:13:00,046 --> 00:13:01,443 Including Doris. 320 00:13:01,447 --> 00:13:03,412 You think she's gonna stay quiet through that? 321 00:13:03,416 --> 00:13:05,773 No matter what your intentions were initially, 322 00:13:05,777 --> 00:13:06,932 the fact of the matter is 323 00:13:06,936 --> 00:13:09,318 you did not do what they're accusing you of. 324 00:13:09,322 --> 00:13:10,953 Because I'm a coward. 325 00:13:10,957 --> 00:13:12,950 Because you're a good person. 326 00:13:13,051 --> 00:13:14,690 What are you saying, David? 327 00:13:14,694 --> 00:13:16,454 What I'm saying is there's no magic bullet. 328 00:13:16,529 --> 00:13:18,790 The only real choices are taking the deal, 329 00:13:18,890 --> 00:13:21,230 making this all go away, or letting Doris confess. 330 00:13:21,234 --> 00:13:24,033 If Doris confesses, they'll fire her, David. 331 00:13:24,037 --> 00:13:25,959 And it'll be damn near impossible 332 00:13:25,963 --> 00:13:29,229 for her to find another job with this on her record. 333 00:13:29,233 --> 00:13:31,140 Look, I'd love nothing more 334 00:13:31,144 --> 00:13:33,100 than for you to walk off into the sunset 335 00:13:33,104 --> 00:13:35,311 and spend days with your new grandchild. 336 00:13:35,315 --> 00:13:37,613 But you keep telling me how hard it is to watch 337 00:13:37,617 --> 00:13:40,316 from the outside while Miranda tears down what you built. 338 00:13:40,320 --> 00:13:42,309 [apprehensive music] 339 00:13:42,313 --> 00:13:45,742 You take this deal, you're on the outside forever. 340 00:13:47,385 --> 00:13:50,225 40-pound weight gain in three months. Wow. 341 00:13:50,229 --> 00:13:52,061 Yeah, plus an esophageal perf. 342 00:13:52,065 --> 00:13:54,288 She's headed to surgery in a few hours to stent it. 343 00:13:54,292 --> 00:13:55,960 Testing's all looking pretty normal. 344 00:13:56,060 --> 00:13:59,068 Yeah, I ran labs, a full metabolic panel. 345 00:13:59,072 --> 00:14:01,437 Uh, other than, um, an electrolyte imbalance 346 00:14:01,441 --> 00:14:04,073 and a slightly elevated A1C, nothing. 347 00:14:04,077 --> 00:14:06,842 But now you're thinking it might be a psych issue. 348 00:14:06,846 --> 00:14:08,506 Uh, maybe. 349 00:14:08,606 --> 00:14:11,580 Binge eating brought on by stress or depression. 350 00:14:11,584 --> 00:14:14,333 Apparently, she's going through a pretty nasty custody battle. 351 00:14:14,337 --> 00:14:15,667 Huh. 352 00:14:15,671 --> 00:14:17,845 Let me have a, uh, quick chat, see what I can suss out. 353 00:14:17,849 --> 00:14:20,514 -Give me, like, ten minutes? -Yeah. Thanks, buddy. 354 00:14:20,518 --> 00:14:23,020 -Yes. -From Gaffney Chicago Med. 355 00:14:23,121 --> 00:14:24,159 I'll hold. 356 00:14:24,163 --> 00:14:25,198 Thank you. 357 00:14:25,298 --> 00:14:27,166 Thanks. 358 00:14:27,266 --> 00:14:28,464 Hey. 359 00:14:28,468 --> 00:14:30,566 Heard your patient is, uh, refusing surgery. 360 00:14:30,570 --> 00:14:33,469 Yeah, I'm trying to track down her family. [sighs] 361 00:14:33,473 --> 00:14:35,675 Find support, see if they can change her mind. 362 00:14:35,775 --> 00:14:37,535 The file says that her mom lives in Decatur, 363 00:14:37,635 --> 00:14:39,074 but I have not been able to reach her. 364 00:14:39,078 --> 00:14:41,360 I feel for her and these kids, 365 00:14:41,364 --> 00:14:44,847 but this whole thing just feels pointless. 366 00:14:44,851 --> 00:14:46,507 Do we really need to tell young people 367 00:14:46,511 --> 00:14:48,542 not to ride on top of subway cars now? 368 00:14:48,546 --> 00:14:51,386 Don't you remember what it was like being young? 369 00:14:51,390 --> 00:14:52,813 How invincible you feel? 370 00:14:52,817 --> 00:14:54,827 I mean, God knows I did stupid things. 371 00:14:54,927 --> 00:14:58,051 I will be right back. 372 00:14:58,055 --> 00:15:02,297 [soft suspenseful music] 373 00:15:02,301 --> 00:15:04,133 Hey. How's Nolan? 374 00:15:04,137 --> 00:15:06,239 There was too much bleeding from behind the liver. 375 00:15:06,339 --> 00:15:07,828 He kept going into cardiac arrest. 376 00:15:07,832 --> 00:15:11,373 -We tried to revive him. -Tried for 30 minutes. 377 00:15:11,377 --> 00:15:12,879 He's gone. 378 00:15:12,979 --> 00:15:15,915 [somber music] 379 00:15:16,015 --> 00:15:16,676 ♪♪ 380 00:15:29,195 --> 00:15:30,396 [knock at door] 381 00:15:30,496 --> 00:15:31,860 Ellen, uh, this is Dr. Charles. 382 00:15:31,864 --> 00:15:33,420 -Hey, Ellen. -Nice to meet you. 383 00:15:33,424 --> 00:15:35,998 Jaxson, uh, one of our nurses 384 00:15:36,002 --> 00:15:37,766 was cleaning out our lost and found 385 00:15:37,770 --> 00:15:39,572 and stumbled across a few toys. 386 00:15:39,672 --> 00:15:41,003 Thought you'd might like to check 'em out 387 00:15:41,007 --> 00:15:42,771 while your mom chats with Dr. Charles here. 388 00:15:42,775 --> 00:15:45,077 Yeah? Okay. 389 00:15:45,178 --> 00:15:46,445 Bye. 390 00:15:48,047 --> 00:15:50,512 Must be bad news if you had to clear the room. 391 00:15:50,516 --> 00:15:53,415 -Nothing too scary. -I'm just a psychiatrist. 392 00:15:53,419 --> 00:15:55,609 That sounds a little scary. 393 00:15:55,613 --> 00:15:57,753 Trust me, I'm harmless. 394 00:15:57,757 --> 00:15:59,521 Um, I just thought, you know, 395 00:15:59,525 --> 00:16:00,689 it'd be easier if we talked alone 396 00:16:00,693 --> 00:16:02,749 'cause Dr. Ripley shared with me you've been 397 00:16:02,753 --> 00:16:04,297 really going through it with your ex. 398 00:16:04,397 --> 00:16:05,631 [sighs] 399 00:16:05,731 --> 00:16:08,134 Jaxson's dad was nonexistent 400 00:16:08,234 --> 00:16:09,969 for the first four years of his life 401 00:16:10,069 --> 00:16:13,468 until a year ago when he moved back to Chicago 402 00:16:13,472 --> 00:16:16,605 with his new wife asking for full custody. 403 00:16:16,609 --> 00:16:17,543 Oh, man. 404 00:16:17,643 --> 00:16:20,467 And now I can't stop stuffing my face. 405 00:16:20,471 --> 00:16:23,912 Well, I, for one, certainly understand the stress eating. 406 00:16:23,916 --> 00:16:25,885 But you know what? I'm just curious. 407 00:16:25,985 --> 00:16:29,088 Is this a new coping mechanism for you? 408 00:16:29,188 --> 00:16:30,619 Because your medical records are showing 409 00:16:30,623 --> 00:16:33,255 that your weight's always been pretty 410 00:16:33,259 --> 00:16:36,617 steady, you know, until... until just recently. 411 00:16:36,621 --> 00:16:42,097 I was thinking about trying to get on a GLP-1, actually. 412 00:16:42,101 --> 00:16:44,733 Is that something you can prescribe? 413 00:16:44,737 --> 00:16:46,330 We can certainly talk about that. 414 00:16:46,430 --> 00:16:48,403 But first, I really wanna make sure 415 00:16:48,407 --> 00:16:50,772 there's nothing else going on here, you know? 416 00:16:50,776 --> 00:16:52,566 Because right now, 417 00:16:52,570 --> 00:16:56,512 we really need you at 100% for Jaxson, right? 418 00:16:56,516 --> 00:16:58,647 Of course. 419 00:16:58,651 --> 00:17:01,341 I can't lose my son. 420 00:17:01,345 --> 00:17:06,859 He is the only thing that matters to me. 421 00:17:08,160 --> 00:17:10,158 Hey, there she is. 422 00:17:10,162 --> 00:17:12,198 Hey, you made it. 423 00:17:12,298 --> 00:17:13,629 Yeah. 424 00:17:13,633 --> 00:17:16,198 Thanks. 425 00:17:16,202 --> 00:17:17,633 I'm gonna give this to her. 426 00:17:17,637 --> 00:17:19,635 Yeah. 427 00:17:19,639 --> 00:17:21,336 Hey, any updates on Samara? 428 00:17:21,340 --> 00:17:23,196 -Checking now. -Any luck reaching her family? 429 00:17:23,200 --> 00:17:25,107 No. I've left, like, a thousand messages, 430 00:17:25,111 --> 00:17:27,209 but nothing back from Mom. 431 00:17:27,213 --> 00:17:28,848 Well, we got another problem. 432 00:17:28,948 --> 00:17:30,212 The trauma Samara suffered 433 00:17:30,216 --> 00:17:31,984 sheared the soft tissue from her muscle, 434 00:17:32,084 --> 00:17:34,441 causing the blood to pool beneath her skin. 435 00:17:34,445 --> 00:17:36,155 Won't be long before that tissue dies 436 00:17:36,255 --> 00:17:37,857 and an infection sets in. 437 00:17:37,957 --> 00:17:40,726 And makes the surgery she needs impossible to do. 438 00:17:40,826 --> 00:17:42,828 Is there any way to fix it? 439 00:17:42,929 --> 00:17:44,660 Yeah, there might be. 440 00:17:44,664 --> 00:17:45,898 Okay, well, that's great. 441 00:17:47,500 --> 00:17:50,336 But why do you look like you just ate bad yogurt? 442 00:17:50,436 --> 00:17:53,839 The treatment that might help Samara is 443 00:17:53,940 --> 00:17:55,241 really gross. 444 00:17:56,576 --> 00:18:00,075 -It's really gro... -you're a... you're a surgeon. 445 00:18:00,079 --> 00:18:02,544 Yeah, but... [groans] 446 00:18:02,548 --> 00:18:05,017 I gotta think about creatures. 447 00:18:05,117 --> 00:18:07,716 Okay, I'm gonna place this one 448 00:18:07,720 --> 00:18:11,044 -on the right side right here. -Mm. 449 00:18:11,048 --> 00:18:12,921 Crazy Abrams can cut open a human brain, 450 00:18:12,925 --> 00:18:14,556 but this creeps him out. 451 00:18:14,560 --> 00:18:18,060 Yeah, well, everybody's got their things that get them. 452 00:18:18,064 --> 00:18:21,067 Mine's clowns. What about you? 453 00:18:21,167 --> 00:18:22,768 Cargo shorts. 454 00:18:22,868 --> 00:18:23,669 Fair. 455 00:18:23,769 --> 00:18:28,328 Hey, can you feel that, Samara? 456 00:18:28,332 --> 00:18:30,610 Samara? 457 00:18:30,710 --> 00:18:31,877 What? 458 00:18:31,978 --> 00:18:34,543 I asked if you could feel the one I just placed. 459 00:18:34,547 --> 00:18:37,883 A little, maybe. 460 00:18:37,984 --> 00:18:39,781 Why do we have to do this again? 461 00:18:39,785 --> 00:18:41,779 Because modern medicine has made strides 462 00:18:41,879 --> 00:18:43,556 in arterial revascularization, 463 00:18:43,656 --> 00:18:45,854 but we have not been able to beat evolution 464 00:18:45,858 --> 00:18:50,450 when it comes to wound care, so medieval leeches are the best. 465 00:18:50,454 --> 00:18:52,031 God, don't say leeches. 466 00:18:52,131 --> 00:18:54,266 You know, we wouldn't have to try this 467 00:18:54,367 --> 00:18:58,270 if you did the surgery to repair your blood vessels. 468 00:18:58,371 --> 00:18:59,801 No, I'm good. 469 00:18:59,805 --> 00:19:01,528 Keep going. 470 00:19:01,532 --> 00:19:03,530 Okay, well, we need to immobilize her neck 471 00:19:03,534 --> 00:19:04,654 without killing the leeches, 472 00:19:04,744 --> 00:19:06,504 so jimmy up a dressing to keep them in place? 473 00:19:06,545 --> 00:19:08,243 Yep. 474 00:19:08,247 --> 00:19:09,607 [sighs] 475 00:19:10,816 --> 00:19:13,874 Why isn't this going through? 476 00:19:13,878 --> 00:19:17,219 Why isn't it going through? 477 00:19:17,223 --> 00:19:19,888 Your phone's on the Escape key. 478 00:19:19,892 --> 00:19:22,094 Don't worry. I won't tell anyone. 479 00:19:22,194 --> 00:19:23,654 You know what? 480 00:19:23,754 --> 00:19:25,260 While I have you, can I get your signature on something? 481 00:19:25,264 --> 00:19:27,829 Yeah. 482 00:19:27,833 --> 00:19:28,834 Thank you. 483 00:19:28,934 --> 00:19:30,791 -Uh, wait. -What did I just sign? 484 00:19:30,795 --> 00:19:32,392 We're going halfsies on a timeshare. 485 00:19:32,396 --> 00:19:35,562 -Uh, sorry, Dr. Archer. -You're being paged to room 132. 486 00:19:35,566 --> 00:19:37,272 -Room 132? -I never heard of that. 487 00:19:37,276 --> 00:19:39,011 -What is it? -Beats me. 488 00:19:55,027 --> 00:19:56,520 Uh, I'm Dr. Archer, 489 00:19:56,620 --> 00:19:59,461 and I was paged to this room for some reason. 490 00:19:59,465 --> 00:20:01,033 We just checked Christian Goodland 491 00:20:01,133 --> 00:20:02,835 and noticed a pulse discrepancy in his leg. 492 00:20:02,935 --> 00:20:08,003 Okay. [sighs] 493 00:20:08,007 --> 00:20:11,873 Hi, Christian. Um... 494 00:20:11,877 --> 00:20:13,646 what are you doing here? 495 00:20:13,746 --> 00:20:16,378 -Looking for him. -He's supposed to be in the ICU. 496 00:20:16,382 --> 00:20:17,616 I'm aware. 497 00:20:17,717 --> 00:20:19,852 -How we doing, Christian? -Leg's kinda throbbing. 498 00:20:19,952 --> 00:20:22,154 Yeah. Cold leg. 499 00:20:22,254 --> 00:20:23,777 His dissection is getting worse. 500 00:20:23,781 --> 00:20:25,825 Bolson, 2,500 units of heparin. 501 00:20:25,925 --> 00:20:27,289 Start a drip. 502 00:20:27,293 --> 00:20:28,757 We need to fix this dissection before it gets worse. 503 00:20:28,761 --> 00:20:30,292 -Wait, wait, wait. -Am I losing my leg? 504 00:20:30,296 --> 00:20:31,722 Uh, Dr. Archer? 505 00:20:31,822 --> 00:20:33,787 And where's the vascular surgeon that's following him? 506 00:20:33,791 --> 00:20:36,131 We paged her, but she's in clinics and you're closer. 507 00:20:36,135 --> 00:20:37,866 -Dr. Archer. -What? 508 00:20:37,870 --> 00:20:39,059 I'm just trying to make sure 509 00:20:39,063 --> 00:20:41,373 Christian isn't getting too upset here. 510 00:20:41,474 --> 00:20:43,872 Okay. 511 00:20:43,876 --> 00:20:45,177 It's gonna be okay. All right? 512 00:20:45,277 --> 00:20:47,409 Not gonna lose the leg. We're gonna sort this out. 513 00:20:47,413 --> 00:20:48,877 Just give me big, deep breaths. 514 00:20:48,881 --> 00:20:50,716 Try to slow your heart rate down, okay? 515 00:20:50,816 --> 00:20:52,881 [somber music] 516 00:20:52,885 --> 00:20:55,517 [breathing deeply] 517 00:20:55,521 --> 00:20:57,244 He has monophasic signals. 518 00:20:57,248 --> 00:20:59,121 All right, let's alert IR and have them get a room ready. 519 00:20:59,125 --> 00:21:00,814 -Whoa, what... what... what... -what does that... 520 00:21:00,818 --> 00:21:01,823 what does that... what does that mean? 521 00:21:01,827 --> 00:21:04,430 -It's gonna be okay. -All right? 522 00:21:06,532 --> 00:21:09,197 What the hell is this place? 523 00:21:09,201 --> 00:21:11,604 ♪♪ 524 00:21:17,209 --> 00:21:19,241 Could you please explain why I was paged to a room 525 00:21:19,245 --> 00:21:21,426 I never heard of to deal with a patient 526 00:21:21,430 --> 00:21:24,412 who had already technically been admitted to the ICU? 527 00:21:24,416 --> 00:21:26,264 -Is that room 132? -Yes. 528 00:21:26,268 --> 00:21:28,608 Yeah, that's the overflow room. 529 00:21:28,612 --> 00:21:29,776 The what room? 530 00:21:29,780 --> 00:21:31,219 Well, that's how we solved your problem 531 00:21:31,223 --> 00:21:33,088 with patients stacking up in the ED. 532 00:21:33,092 --> 00:21:35,423 I created an overflow room so that we can start 533 00:21:35,427 --> 00:21:38,118 servicing in-patient needs while awaiting a bed upstairs. 534 00:21:38,122 --> 00:21:39,786 Just felt more practical. 535 00:21:39,790 --> 00:21:43,402 Yeah, except practically, that's not how it works. 536 00:21:43,502 --> 00:21:45,133 Doctors from other floors 537 00:21:45,137 --> 00:21:47,469 can't get to that room with any urgency. 538 00:21:47,473 --> 00:21:49,905 And then, practically, what happens next 539 00:21:49,909 --> 00:21:52,774 is that the ED attending gets paged, 540 00:21:52,778 --> 00:21:55,810 which, as a refresher, is me. 541 00:21:55,814 --> 00:21:57,813 -Mm-hmm. I'm aware. -Yeah? 542 00:21:57,817 --> 00:22:00,753 So what you've effectively done is given the ED... 543 00:22:00,853 --> 00:22:02,884 again, specifically, me... 544 00:22:02,888 --> 00:22:05,316 more work to deal with, not less. 545 00:22:05,416 --> 00:22:07,722 I hear you. I do. 546 00:22:07,726 --> 00:22:10,058 But maybe... maybe there's some way that we can 547 00:22:10,062 --> 00:22:12,489 tweak this setup rather than just scrap it completely. 548 00:22:12,623 --> 00:22:14,095 Oh, tweak. 549 00:22:14,099 --> 00:22:17,265 You've... you've got a tech and a floor nurse overseeing 14 beds. 550 00:22:17,269 --> 00:22:19,634 So what I could probably do is hire you another tech, 551 00:22:19,638 --> 00:22:21,002 maybe even a telemetry nurse? 552 00:22:21,006 --> 00:22:24,143 I'm not trying to add to staff, you understand? 553 00:22:24,276 --> 00:22:26,474 I just want this damn thing gone. 554 00:22:26,478 --> 00:22:29,315 Okay, Dr. Archer. 555 00:22:29,415 --> 00:22:31,517 I'm trying to work with you here. 556 00:22:31,650 --> 00:22:33,181 You said you had patients stacking up. 557 00:22:33,185 --> 00:22:34,520 I provided a solution 558 00:22:34,653 --> 00:22:36,355 and I don't think it's very productive 559 00:22:36,455 --> 00:22:38,457 of you to come in here and just whine about it. 560 00:22:38,557 --> 00:22:39,888 Wh... I'm... what? 561 00:22:39,892 --> 00:22:41,489 So what I'm saying is 562 00:22:41,493 --> 00:22:43,362 you need to stop looking to place blame 563 00:22:43,462 --> 00:22:44,997 and get a little bit more creative 564 00:22:45,130 --> 00:22:48,697 about trying to find a solution like I was. 565 00:22:48,701 --> 00:22:50,870 You know? You gotta think outside the box. 566 00:22:54,573 --> 00:22:58,210 Did he suffer? Nolan? 567 00:23:02,047 --> 00:23:05,175 Not in the end. No. 568 00:23:08,354 --> 00:23:11,703 Dr. Tanaka-Reed, this is Stan Goodland, 569 00:23:11,707 --> 00:23:13,488 Christian and Nolan's dad. 570 00:23:13,492 --> 00:23:16,992 Mr. Goodland, I'm so sorry for your loss. 571 00:23:16,996 --> 00:23:19,898 How's Christian? 572 00:23:20,032 --> 00:23:23,048 Dr. Frost said you were taking him into surgery. 573 00:23:23,052 --> 00:23:24,820 They're prepping the room now. 574 00:23:27,072 --> 00:23:29,070 Is he gonna make it? 575 00:23:29,074 --> 00:23:32,908 We're gonna place a stent in the aorta to fix the tear. 576 00:23:32,912 --> 00:23:37,404 But there is no reason to think Christian won't do well. 577 00:23:37,408 --> 00:23:39,739 Though when the injury is that close to the heart, 578 00:23:39,743 --> 00:23:42,755 there are always risks. 579 00:23:44,590 --> 00:23:46,091 I... I wanna see him. 580 00:23:47,760 --> 00:23:49,090 Of course. 581 00:23:49,094 --> 00:23:52,097 But that is a little complicated. 582 00:23:54,358 --> 00:23:55,964 It's complicated? 583 00:23:55,968 --> 00:23:58,591 His dissection has gotten worse. 584 00:23:58,595 --> 00:24:02,604 So it is imperative that we keep his heart rate low, 585 00:24:02,608 --> 00:24:05,765 below 60, until we get him into surgery. 586 00:24:05,769 --> 00:24:08,935 So we're doing everything we can to keep him calm. 587 00:24:08,939 --> 00:24:12,772 Which is why we have not told him yet about Nolan. 588 00:24:12,776 --> 00:24:16,584 And if you go in there and tell him what happened, 589 00:24:16,588 --> 00:24:19,708 the emotion could cause his heart rate to spike. 590 00:24:21,827 --> 00:24:23,775 It's just that, um... 591 00:24:23,779 --> 00:24:26,632 [somber music] 592 00:24:26,765 --> 00:24:30,398 I already lost one son today. 593 00:24:30,402 --> 00:24:31,462 You know? 594 00:24:31,562 --> 00:24:35,403 If I were to lose another one 595 00:24:35,407 --> 00:24:38,802 without at least seeing him? 596 00:24:38,902 --> 00:24:42,581 And look, I won't say anything 597 00:24:42,681 --> 00:24:44,400 except that I... 598 00:24:46,485 --> 00:24:47,569 I love you. 599 00:24:49,555 --> 00:24:51,782 And then I'll go. 600 00:24:54,426 --> 00:24:55,994 But I have to see his face. 601 00:24:57,796 --> 00:24:59,310 I know it's scary, Jaxson, 602 00:24:59,314 --> 00:25:03,531 but, um, the procedure is only a minor one. 603 00:25:03,535 --> 00:25:05,087 Your mom's gonna be okay. 604 00:25:07,656 --> 00:25:09,633 But she tries very hard. 605 00:25:11,510 --> 00:25:14,776 -Well, she's... -she's lucky to have you. 606 00:25:14,780 --> 00:25:16,845 Pretty amazing you called for help. 607 00:25:16,849 --> 00:25:22,117 Not a lot of five-year-olds would know to do that so fast. 608 00:25:22,121 --> 00:25:24,273 I did what she taught me. 609 00:25:26,458 --> 00:25:28,444 What do you mean she taught you? 610 00:25:32,189 --> 00:25:35,159 [heart monitor beeping] 611 00:25:37,503 --> 00:25:41,019 How you feeling, Christian? 612 00:25:41,023 --> 00:25:42,036 Tired. 613 00:25:42,040 --> 00:25:44,689 Well, we're gonna fix you up. 614 00:25:44,693 --> 00:25:46,858 But before we head up to surgery, 615 00:25:46,862 --> 00:25:49,339 there is someone who would like to see you. 616 00:25:54,620 --> 00:25:56,751 Dad. 617 00:25:56,755 --> 00:25:58,857 Hey, kiddo. 618 00:25:58,991 --> 00:26:03,716 I, uh, only came here for a minute. 619 00:26:03,720 --> 00:26:07,562 I know they need to get you to surgery, 620 00:26:07,566 --> 00:26:10,890 but I, uh... 621 00:26:10,894 --> 00:26:11,904 I... 622 00:26:15,007 --> 00:26:18,873 I just wanted to say that... 623 00:26:18,877 --> 00:26:23,373 I love you so much. 624 00:26:25,050 --> 00:26:27,549 And, uh, I'll, uh... 625 00:26:27,553 --> 00:26:29,588 I'll be here when you get out. 626 00:26:32,407 --> 00:26:33,592 Uh, hey, Dad? 627 00:26:37,262 --> 00:26:38,514 How's Nolan? 628 00:26:39,965 --> 00:26:42,201 Nolan is fine. 629 00:26:42,301 --> 00:26:44,532 He's resting in the PICU. 630 00:26:44,536 --> 00:26:46,438 Okay, um, well... 631 00:26:48,774 --> 00:26:50,088 Well, when you see him, can you just... 632 00:26:50,092 --> 00:26:51,902 can you tell him I'm... I'm sorry? 633 00:26:53,712 --> 00:26:54,780 What? 634 00:26:57,349 --> 00:26:59,447 Just... just tell him I'm sorry. 635 00:26:59,451 --> 00:27:01,453 I didn't mean to get him into this mess. 636 00:27:01,553 --> 00:27:04,052 ♪♪ 637 00:27:04,056 --> 00:27:05,924 Okay. 638 00:27:06,058 --> 00:27:08,619 And tell him I'll drive him wherever he wants to go 639 00:27:08,752 --> 00:27:10,558 when we get out of here. 640 00:27:10,562 --> 00:27:11,223 ♪♪ 641 00:27:16,835 --> 00:27:17,970 You okay, Dad? 642 00:27:21,290 --> 00:27:23,955 -Uh-huh. -[monitor beeping rapidly] 643 00:27:23,959 --> 00:27:25,110 We should get him to IR. 644 00:27:25,244 --> 00:27:26,307 -Yeah. -Nurse? 645 00:27:26,311 --> 00:27:27,746 Nolan's okay, right? 646 00:27:27,846 --> 00:27:29,940 Nolan is, um... 647 00:27:31,975 --> 00:27:33,181 He's... he's fine. 648 00:27:33,185 --> 00:27:35,145 What is it? 649 00:27:35,279 --> 00:27:36,417 He's, um... 650 00:27:36,421 --> 00:27:37,652 Dad, what is it? 651 00:27:37,656 --> 00:27:38,953 Run ahead and have some labetalol ready, okay? 652 00:27:38,957 --> 00:27:39,921 -No. -When we get there. 653 00:27:39,925 --> 00:27:41,422 Dad, what is it? 654 00:27:41,426 --> 00:27:42,524 Okay. 655 00:27:42,528 --> 00:27:43,825 [sobs] Dad, what is it? 656 00:27:43,829 --> 00:27:44,792 Slow, deep breaths for me, Christian. 657 00:27:44,796 --> 00:27:45,810 It's okay. 658 00:27:45,814 --> 00:27:47,666 [tense music] 659 00:27:54,273 --> 00:27:56,237 Hey, uh, 660 00:27:56,241 --> 00:27:58,973 just had an interesting talk with Ellen's son, Jaxson. 661 00:27:58,977 --> 00:28:00,900 -Yeah? -Yeah. 662 00:28:00,904 --> 00:28:03,978 It turns out he's not just a precocious kid. 663 00:28:03,982 --> 00:28:06,014 Ellen prepped him on how to call 911. 664 00:28:06,018 --> 00:28:10,485 Like really prepped him as if she knew this might happen. 665 00:28:10,489 --> 00:28:12,579 -Well, that's interesting. -Yeah. 666 00:28:12,583 --> 00:28:14,322 Look, I... 667 00:28:14,326 --> 00:28:16,257 I don't wanna jump to any conclusion, but it... 668 00:28:16,261 --> 00:28:18,626 it kind of reminds me of my mom. 669 00:28:18,630 --> 00:28:19,827 How so? 670 00:28:19,831 --> 00:28:22,130 Well, with her drug problem, 671 00:28:22,134 --> 00:28:23,998 she knew she might not always keep it together, 672 00:28:24,002 --> 00:28:26,501 so she taught me to do things at a young age. 673 00:28:26,505 --> 00:28:29,704 You know, make dinner when I was 6, drive when I was 13. 674 00:28:29,708 --> 00:28:32,407 She also taught me to call 911. 675 00:28:32,411 --> 00:28:35,944 She said it was in case of an accident, but really... 676 00:28:35,948 --> 00:28:37,716 It was in case she OD'd. 677 00:28:40,035 --> 00:28:42,517 Well, do you think that's what we're looking at here? 678 00:28:42,521 --> 00:28:43,718 -[sighs] -Substance abuse? 679 00:28:43,722 --> 00:28:45,386 Well, like I said, I... 680 00:28:45,390 --> 00:28:46,788 I don't wanna jump to any conclusions. 681 00:28:46,792 --> 00:28:50,191 Excessive drinking could cause the esophageal tear, 682 00:28:50,195 --> 00:28:51,459 but... but not the weight gain. 683 00:28:51,463 --> 00:28:53,127 Not on... not on that scale, anyway. 684 00:28:53,131 --> 00:28:55,463 Well, maybe she's substituting 685 00:28:55,467 --> 00:28:57,398 one addiction for another? 686 00:28:57,402 --> 00:29:00,168 Oh, man. The GLP-1. 687 00:29:00,172 --> 00:29:01,461 What? 688 00:29:01,465 --> 00:29:04,772 I think I might know what's going on here. 689 00:29:04,776 --> 00:29:06,341 Hey, what's up with you today? 690 00:29:06,345 --> 00:29:08,635 You seem distracted or something. 691 00:29:08,639 --> 00:29:10,903 Is everything okay at home? 692 00:29:10,907 --> 00:29:12,780 Yeah. Yeah. 693 00:29:12,784 --> 00:29:16,150 I just never realized how much I love all of this. 694 00:29:16,154 --> 00:29:18,419 Okay, you are really freaking me out now. 695 00:29:18,423 --> 00:29:20,888 -What? -Sorry, I... 696 00:29:20,892 --> 00:29:23,650 I'm just feeling a little sentimental, that's all. 697 00:29:23,654 --> 00:29:24,626 Okay. 698 00:29:24,630 --> 00:29:25,727 -Dr. Asher. -Yeah? 699 00:29:25,731 --> 00:29:27,228 This is Samara's mom, Rhonda West. 700 00:29:27,232 --> 00:29:29,264 Mrs. West, I am so glad you're here. 701 00:29:29,268 --> 00:29:31,466 Samara's stable now, though she sustained damage 702 00:29:31,470 --> 00:29:33,259 to her spine and the blood vessels in her 703 00:29:33,263 --> 00:29:37,805 -neck... -Wait. So she's alive? 704 00:29:37,809 --> 00:29:39,507 Yes, I am... 705 00:29:39,511 --> 00:29:41,426 I am so sorry if my messages weren't clear. 706 00:29:41,430 --> 00:29:42,948 Samara is alive and she is awake. 707 00:29:43,048 --> 00:29:46,948 When you said she was in an accident, I... 708 00:29:46,952 --> 00:29:48,549 I was sure you were calling to tell me 709 00:29:48,553 --> 00:29:51,419 she finally managed to kill herself. 710 00:29:51,423 --> 00:29:53,458 Thankfully, that is not the case, 711 00:29:53,558 --> 00:29:56,424 though she does need surgery to prevent stroke 712 00:29:56,428 --> 00:29:59,594 and currently, Samara is refusing it. 713 00:29:59,598 --> 00:30:00,828 I thought that you could talk to her. 714 00:30:00,832 --> 00:30:03,931 I can't help with that. 715 00:30:03,935 --> 00:30:06,434 I'm sorry? What do you mean? 716 00:30:06,438 --> 00:30:08,636 I tried for years to help Samara. 717 00:30:08,640 --> 00:30:10,772 When she OD'd, when she broke the law, 718 00:30:10,776 --> 00:30:15,943 when she hurt us in every imaginable way. 719 00:30:15,947 --> 00:30:21,182 I love my daughter and I always will. 720 00:30:21,186 --> 00:30:25,553 But her decisions are her own now. 721 00:30:25,557 --> 00:30:29,724 [somber music] 722 00:30:29,728 --> 00:30:34,479 So sounds like everything went off without a hitch. 723 00:30:34,483 --> 00:30:36,964 Thank goodness. 724 00:30:36,968 --> 00:30:38,904 Now we just gotta figure out 725 00:30:39,004 --> 00:30:41,339 what to do about your alcohol consumption. 726 00:30:42,874 --> 00:30:44,505 -I'm not an alcoholic. -No. 727 00:30:44,509 --> 00:30:48,180 I'm not here to judge you or shame you. 728 00:30:48,280 --> 00:30:51,813 I'm wondering if you are eating to gain weight 729 00:30:51,817 --> 00:30:55,216 so that you can qualify for a GLP-1. 730 00:30:55,220 --> 00:30:58,219 [scoffs softly] That doesn't even make any sense. 731 00:30:58,223 --> 00:30:59,979 Look, everybody knows that these drugs, 732 00:30:59,983 --> 00:31:02,014 they help with diabetes, right? 733 00:31:02,018 --> 00:31:03,349 They promote weight loss. 734 00:31:03,353 --> 00:31:06,494 But also, you can't hit your news feed these days 735 00:31:06,498 --> 00:31:07,695 without reading another story 736 00:31:07,699 --> 00:31:10,431 about some exciting new off-label use, 737 00:31:10,435 --> 00:31:13,835 like for instance, how they curb compulsive behavior, 738 00:31:13,839 --> 00:31:16,170 alcohol, drug abuse, 739 00:31:16,174 --> 00:31:19,499 addictions that could cause somebody 740 00:31:19,503 --> 00:31:21,296 to lose custody of their child. 741 00:31:26,943 --> 00:31:30,718 I always kept it a secret. 742 00:31:30,722 --> 00:31:34,213 But I've struggled with drinking since I was 16. 743 00:31:34,217 --> 00:31:40,019 Over time, it got worse and I couldn't control it. 744 00:31:40,023 --> 00:31:44,665 But then I got pregnant. 745 00:31:44,669 --> 00:31:49,971 So I started going to meetings, taking care of myself. 746 00:31:49,975 --> 00:31:53,541 Stupidly, I thought I'd beat it for good. 747 00:31:53,545 --> 00:31:56,377 Then your husband came back to town 748 00:31:56,381 --> 00:31:59,785 and filed for full custody of Jaxson? 749 00:31:59,885 --> 00:32:04,852 And then Jaxson went with his dad one weekend. 750 00:32:04,856 --> 00:32:08,055 I went on a 48-hour bender. 751 00:32:08,059 --> 00:32:10,758 And I realized that 752 00:32:10,762 --> 00:32:14,162 unless I... I changed something, I was gonna lose the battle, 753 00:32:14,166 --> 00:32:15,997 so I... 754 00:32:16,001 --> 00:32:19,938 I went online for any remedy I could find. 755 00:32:22,340 --> 00:32:25,807 I saw GLP-1s helped some people, 756 00:32:25,811 --> 00:32:28,342 but all my money was going to my lawyer. 757 00:32:28,346 --> 00:32:31,579 Right, so you thought if you gained enough weight 758 00:32:31,583 --> 00:32:32,914 that your insurance would cover it. 759 00:32:32,918 --> 00:32:36,150 [sighs] I know it's insane. 760 00:32:36,154 --> 00:32:37,618 Oh, come on. 761 00:32:37,622 --> 00:32:41,556 When it comes to our kids, we will do absolutely anything. 762 00:32:41,560 --> 00:32:43,991 [sighs] 763 00:32:43,995 --> 00:32:46,961 So... so what now? 764 00:32:46,965 --> 00:32:51,190 Well, I'm actually gonna prescribe you a GLP-1 765 00:32:51,194 --> 00:32:54,936 because your A1C is dangerously high. 766 00:32:54,940 --> 00:32:56,637 And it's very important that we bring it down 767 00:32:56,641 --> 00:32:58,956 so you don't become a diabetic. 768 00:32:58,960 --> 00:33:00,775 Okay? 769 00:33:00,779 --> 00:33:03,311 Now, if it happens to help you in other ways... 770 00:33:03,315 --> 00:33:04,846 Oh, my God. Thank... thank you. 771 00:33:04,850 --> 00:33:08,132 -Ellen, listen to me. -This is not a magic bullet. 772 00:33:08,136 --> 00:33:09,300 -No, it... what? -What do you mean? 773 00:33:09,304 --> 00:33:12,653 Your five-year-old terrified son called 911 774 00:33:12,657 --> 00:33:14,188 'cause he walked in the kitchen 775 00:33:14,192 --> 00:33:16,557 and found his mom under the kitchen table 776 00:33:16,561 --> 00:33:19,126 next to a pool of her own vomit and blood. 777 00:33:19,130 --> 00:33:20,461 [crying] 778 00:33:20,465 --> 00:33:24,632 Something like that happens again, he's gone. 779 00:33:24,636 --> 00:33:25,867 You gotta face this. 780 00:33:25,871 --> 00:33:28,703 It's the only chance you have of keeping your son. 781 00:33:28,707 --> 00:33:31,276 [soft dramatic music] 782 00:33:31,376 --> 00:33:34,679 Okay. Okay. 783 00:33:38,817 --> 00:33:40,281 Miranda? 784 00:33:40,285 --> 00:33:41,574 Sharon. 785 00:33:41,578 --> 00:33:43,417 I thought our meeting wasn't for another hour. 786 00:33:43,421 --> 00:33:44,952 Well, I finally made a decision 787 00:33:44,956 --> 00:33:47,488 and didn't wanna wait any longer. 788 00:33:47,492 --> 00:33:52,677 Fair enough. Well? 789 00:33:52,681 --> 00:33:54,328 Per your offer, 790 00:33:54,332 --> 00:33:58,324 I'm resigning my position as executive director 791 00:33:58,328 --> 00:34:00,538 effective immediately. 792 00:34:04,175 --> 00:34:05,932 I'm taking the deal. 793 00:34:05,936 --> 00:34:06,597 ♪♪ 794 00:34:19,741 --> 00:34:21,422 Looks like the leeches did the trick. 795 00:34:21,426 --> 00:34:24,517 Hell, yeah. 796 00:34:24,521 --> 00:34:25,993 So now what? 797 00:34:25,997 --> 00:34:29,701 Well, you still have limited blood flow to your brain, 798 00:34:29,801 --> 00:34:32,333 which means that we'll be pushing your blood pressure 799 00:34:32,337 --> 00:34:33,868 to make up for it. 800 00:34:33,872 --> 00:34:35,886 Hopefully if you keep your collar on, 801 00:34:35,890 --> 00:34:37,538 some of your fractures will heal, 802 00:34:37,542 --> 00:34:39,569 but they may also deteriorate 803 00:34:39,669 --> 00:34:43,206 and you will be at constant risk for a stroke, 804 00:34:43,306 --> 00:34:46,739 either of which could prove fatal. 805 00:34:46,743 --> 00:34:48,578 But I'll walk. 806 00:34:48,678 --> 00:34:53,312 After some physical therapy and rehab, yes. 807 00:34:53,316 --> 00:34:55,790 But you will be a time bomb. 808 00:34:55,794 --> 00:34:59,180 [heart monitor beeping] 809 00:35:01,499 --> 00:35:04,519 I was finally able to connect with your mom. 810 00:35:06,304 --> 00:35:08,273 -Let me guess. -She doesn't wanna see me? 811 00:35:10,033 --> 00:35:11,568 Look, Samara, when I was younger, 812 00:35:11,668 --> 00:35:15,142 I did a lot of things that pushed people away, 813 00:35:15,146 --> 00:35:18,546 things I am not proud of. 814 00:35:18,550 --> 00:35:19,743 [sighs] 815 00:35:21,386 --> 00:35:23,050 I know what it's like to live for the moment 816 00:35:23,054 --> 00:35:27,246 because you believe that you don't have a future. 817 00:35:27,250 --> 00:35:29,394 The thing is 818 00:35:29,494 --> 00:35:31,993 the future doesn't care what you believe. 819 00:35:31,997 --> 00:35:33,256 It comes anyway. 820 00:35:35,867 --> 00:35:37,969 Now, I'm not asking you to 821 00:35:38,069 --> 00:35:41,669 suddenly believe that things will improve in your life. 822 00:35:41,673 --> 00:35:43,454 [soft dramatic music] 823 00:35:43,458 --> 00:35:46,340 I'm just asking for you to allow for the possibility 824 00:35:46,344 --> 00:35:48,509 that they might. 825 00:35:48,513 --> 00:35:51,646 You know, to consider the idea that maybe someday, 826 00:35:51,650 --> 00:35:54,919 you won't feel this way. 827 00:35:55,020 --> 00:36:00,521 It takes a lot of courage to ride on top of a train. 828 00:36:00,525 --> 00:36:04,913 A lot of courage to turn down a surgery like this. 829 00:36:06,731 --> 00:36:10,498 Sometimes the bravest thing that we can do 830 00:36:10,502 --> 00:36:13,004 is choose to survive. 831 00:36:15,373 --> 00:36:19,098 You are making the choice to die right now. 832 00:36:19,102 --> 00:36:22,013 Is that really what you want? 833 00:36:24,140 --> 00:36:29,917 If I die, no one will notice. 834 00:36:29,921 --> 00:36:32,457 No one will care. 835 00:36:32,557 --> 00:36:34,984 Not even my mom. 836 00:36:37,253 --> 00:36:38,988 That's not true. 837 00:36:41,132 --> 00:36:42,700 I care. 838 00:36:44,602 --> 00:36:48,135 I care if you live or die. 839 00:36:48,139 --> 00:36:48,800 ♪♪ 840 00:36:53,978 --> 00:36:55,046 Okay. 841 00:36:57,716 --> 00:36:59,676 I'll get the surgery. 842 00:37:05,790 --> 00:37:08,823 [somber music] 843 00:37:08,827 --> 00:37:12,326 ♪♪ 844 00:37:12,330 --> 00:37:14,662 -How's Christian? -He's just fine. 845 00:37:14,666 --> 00:37:16,547 The surgery went off without a hitch. 846 00:37:16,551 --> 00:37:18,866 We placed the stent and restored flow to his leg. 847 00:37:18,870 --> 00:37:21,231 He'll need physical therapy for a couple days, 848 00:37:21,331 --> 00:37:23,908 but he should make a full recovery. 849 00:37:25,477 --> 00:37:28,576 I was so scared that what I said with... 850 00:37:28,580 --> 00:37:29,560 with his heart that... 851 00:37:29,564 --> 00:37:31,879 -He's okay. -It didn't hurt him. 852 00:37:31,883 --> 00:37:33,881 And you can see him in a couple hours 853 00:37:33,885 --> 00:37:35,616 when he gets out of recovery. 854 00:37:35,620 --> 00:37:36,984 Oh, my God. 855 00:37:36,988 --> 00:37:39,420 Thank you, thank you. [sniffles] 856 00:37:39,424 --> 00:37:40,788 Of course. 857 00:37:40,792 --> 00:37:43,791 And I... I have to let the rest of the family know. 858 00:37:43,795 --> 00:37:46,364 [sniffles] Thank you. 859 00:37:46,464 --> 00:37:49,434 [soft music] 860 00:37:49,534 --> 00:37:52,036 ♪♪ 861 00:37:52,137 --> 00:37:55,774 I don't know why anyone becomes a parent. 862 00:37:59,277 --> 00:38:02,572 [babbling] 863 00:38:06,684 --> 00:38:08,841 Hi. 864 00:38:08,845 --> 00:38:11,719 -Oh, my God. -She did great, Mom. 865 00:38:11,723 --> 00:38:14,438 We did some tummy time. We sang some songs. 866 00:38:14,442 --> 00:38:16,557 Mabel's an independent girl now. 867 00:38:16,561 --> 00:38:17,962 I'll go get her bag for you. 868 00:38:21,966 --> 00:38:24,190 There's nothing that you could ever do 869 00:38:24,194 --> 00:38:26,796 that would make me give up on you. 870 00:38:26,896 --> 00:38:29,107 [fusses] 871 00:38:29,207 --> 00:38:30,204 Hi. 872 00:38:30,208 --> 00:38:33,040 [knock at door] 873 00:38:33,044 --> 00:38:36,869 [somber music] 874 00:38:36,873 --> 00:38:39,475 ♪♪ 875 00:38:39,576 --> 00:38:41,148 How could you take the deal? 876 00:38:41,152 --> 00:38:42,987 -Come in. -[sighs] 877 00:38:47,025 --> 00:38:48,818 Dr. Archer. 878 00:38:48,918 --> 00:38:49,990 Mallory. 879 00:38:49,994 --> 00:38:51,792 Uh, I'm actually glad I ran into you. 880 00:38:51,796 --> 00:38:55,458 I, uh... I guess I owe you an apology for earlier. 881 00:38:55,558 --> 00:38:57,660 -Oh, really? -Yeah. I was a bit of an ass. 882 00:38:57,760 --> 00:38:59,124 -And, uh... -Oh. 883 00:38:59,128 --> 00:39:00,501 Had time to reflect, 884 00:39:00,505 --> 00:39:03,808 and I... I think I could make this new system work. 885 00:39:03,908 --> 00:39:05,840 I told you I didn't want this. 886 00:39:05,844 --> 00:39:07,066 I wasn't gonna let you 887 00:39:07,070 --> 00:39:08,609 just throw away everything you've ever done. 888 00:39:08,613 --> 00:39:11,078 I know that, Doris, but you're too good of a nurse. 889 00:39:11,082 --> 00:39:12,317 [groans softly] 890 00:39:12,417 --> 00:39:14,048 You're too good of a person to let this define you, 891 00:39:14,052 --> 00:39:17,318 to let my drama derail your whole life. 892 00:39:17,322 --> 00:39:20,821 Plus this isn't what it looks like. 893 00:39:20,825 --> 00:39:21,981 What do you mean? 894 00:39:21,985 --> 00:39:24,658 Well, how did you solve your issues? 895 00:39:24,662 --> 00:39:28,128 -Just did what you said. -Thought outside the box. 896 00:39:28,132 --> 00:39:32,933 There's no non-compete in the deal I agreed to, 897 00:39:32,937 --> 00:39:35,970 so I won't be executive director anymore, 898 00:39:35,974 --> 00:39:39,907 but that doesn't mean I'm done with Gaffney. 899 00:39:39,911 --> 00:39:42,835 I was speaking with a charge nurse who I used to work with 900 00:39:42,839 --> 00:39:44,361 who was nearing the end of her career, 901 00:39:44,365 --> 00:39:48,949 and, uh, she said she'd be willing to take this job 902 00:39:48,953 --> 00:39:52,253 at the salary of a telemetry nurse. 903 00:39:52,257 --> 00:39:55,322 I don't think the changes that Miranda's making 904 00:39:55,326 --> 00:39:57,220 are just about budget cuts. 905 00:39:57,320 --> 00:40:00,527 I think there's a bigger plan here, 906 00:40:00,531 --> 00:40:03,597 but I can't fight it from the outside. 907 00:40:03,601 --> 00:40:06,734 I need access. 908 00:40:06,738 --> 00:40:10,471 Well, I look forward to meeting her. 909 00:40:10,475 --> 00:40:14,712 I promise you this is not over. 910 00:40:14,812 --> 00:40:18,750 [dramatic music] 911 00:40:21,986 --> 00:40:24,922 [dramatic music] 912 00:40:25,023 --> 00:40:25,684 ♪♪ 913 00:40:52,116 --> 00:40:55,119 [wolf howls]