1
00:00:01,675 --> 00:00:02,941
Hey, Natalie.
2
00:00:05,645 --> 00:00:07,787
I was hoping I could catch
you before my shift started.
3
00:00:07,812 --> 00:00:09,692
Well, you caught me.
4
00:00:10,181 --> 00:00:12,850
So, you want to do something later?
5
00:00:12,875 --> 00:00:13,909
Maybe grab some dinner?
6
00:00:14,251 --> 00:00:17,107
Ah, I was up all night
prepping for the M&M today.
7
00:00:17,132 --> 00:00:19,867
By the time my shift's over,
I'm gonna be running on fumes.
8
00:00:19,892 --> 00:00:21,751
We can keep it mellow.
9
00:00:22,114 --> 00:00:24,082
Make some spaghetti, watch a movie.
10
00:00:24,107 --> 00:00:26,746
Uh, maybe. We'll see.
11
00:00:30,602 --> 00:00:33,404
Okay, everyone, heads up! CPD! Dr. Choi?
12
00:00:33,429 --> 00:00:35,546
Auto versus ped. Officer Kate Windham
13
00:00:35,571 --> 00:00:37,338
found unresponsive in her driveway.
14
00:00:37,363 --> 00:00:39,094
- Who?
- Officer Kate Windham.
15
00:00:39,123 --> 00:00:41,610
Down for an unknown period.
Tubed in the field.
16
00:00:41,635 --> 00:00:43,135
Mags?
17
00:00:43,160 --> 00:00:44,716
Baghdad.
18
00:00:46,253 --> 00:00:47,978
She was hit in her own driveway?
19
00:00:48,003 --> 00:00:50,004
Freak accident. Parking brake gave out.
20
00:00:50,029 --> 00:00:51,802
Her SUV rolled into her.
21
00:00:51,828 --> 00:00:54,787
BP 111 over 77, heart rate 136.
22
00:00:54,812 --> 00:00:57,183
Dropped to 32, and then shot back up.
23
00:00:57,207 --> 00:00:59,110
Cushing's response.
Brainstem herniation?
24
00:00:59,135 --> 00:01:00,026
Let's not go there yet.
25
00:01:00,051 --> 00:01:03,348
Transfer on my count.
Ready? One, two, three.
26
00:01:03,373 --> 00:01:05,342
Any sedation or paralytics in the field?
27
00:01:05,367 --> 00:01:06,767
No.
28
00:01:12,176 --> 00:01:14,670
Pupils are fixed and dilated.
29
00:01:14,821 --> 00:01:17,249
Not initiating a breath. Resume bagging.
30
00:01:24,070 --> 00:01:25,349
No corneal reflex.
31
00:01:25,374 --> 00:01:27,041
What's with Maggie?
32
00:01:27,076 --> 00:01:30,392
Officer Windham arrested
Maggie last year.
33
00:01:36,736 --> 00:01:41,294
- Synced and corrected by martythecrazy -
- www.addic7ed.com -
34
00:02:05,707 --> 00:02:08,833
Lieutenant Windham,
as I explained, ake for that?
35
00:02:08,858 --> 00:02:11,068
Your wife's CT showed massive bleeding.
36
00:02:11,361 --> 00:02:14,930
The tests confirm she's
not responsive to stimuli,
37
00:02:15,146 --> 00:02:16,947
and her blood flow study indicates
38
00:02:16,981 --> 00:02:18,747
that the pressure in her brain
39
00:02:18,772 --> 00:02:21,403
is greater than her blood pressure.
40
00:02:21,627 --> 00:02:24,367
She has no blood flow to her brain.
41
00:02:24,929 --> 00:02:26,897
Unfortunately, all of
these things tell us
42
00:02:26,922 --> 00:02:28,723
that your wife is brain dead.
43
00:02:33,641 --> 00:02:35,575
I'm very sorry.
44
00:02:36,607 --> 00:02:38,608
You're telling me she's dead?
45
00:02:42,215 --> 00:02:43,649
My wife's dead.
46
00:02:44,116 --> 00:02:45,783
We're right here for you, Darryl.
47
00:02:45,817 --> 00:02:47,872
She was just walking to the mailbox.
48
00:02:47,897 --> 00:02:49,634
- Mm-hmm.
- I don't understand.
49
00:02:49,659 --> 00:02:51,293
I don't get it. She was...
50
00:02:51,318 --> 00:02:53,420
She was walking to the mailbox.
51
00:02:53,445 --> 00:02:55,880
I know this must be a
terrible shock for you.
52
00:03:05,201 --> 00:03:07,369
Lieutenant,
53
00:03:07,751 --> 00:03:09,126
I did see on her records
54
00:03:09,151 --> 00:03:12,053
your wife is a registered organ donor.
55
00:03:17,019 --> 00:03:18,686
Yeah.
56
00:03:18,888 --> 00:03:20,855
Kate was all about helping others.
57
00:03:37,907 --> 00:03:40,377
Our charge nurse will
coordinate the donations.
58
00:03:40,950 --> 00:03:44,370
Lieutenant Windham,
this is Maggie Lockwood.
59
00:03:47,286 --> 00:03:49,053
You're the nurse... That's the nurse...
60
00:03:49,088 --> 00:03:51,094
That's, um...
61
00:03:52,358 --> 00:03:54,144
You're the nurse from last year.
62
00:03:55,216 --> 00:03:58,050
Okay. We'll give you
some time, Lieutenant.
63
00:03:59,000 --> 00:04:00,701
Again, I'm very sorry.
64
00:04:08,946 --> 00:04:10,780
I am gonna be right back.
65
00:04:12,950 --> 00:04:15,018
Dr. Choi, can I talk
to you for a minute?
66
00:04:19,790 --> 00:04:22,392
Given the history between your
nurse and Officer Windham,
67
00:04:22,426 --> 00:04:23,827
we have a problem.
68
00:04:23,861 --> 00:04:25,406
It's hard enough on the lieutenant.
69
00:04:25,431 --> 00:04:26,452
He doesn't need this.
70
00:04:26,477 --> 00:04:28,376
Maggie's a pro. She'll do her job.
71
00:04:28,401 --> 00:04:30,501
Doctor, if you're not gonna handle this,
72
00:04:30,525 --> 00:04:32,593
I'm gonna go over your head.
73
00:04:35,153 --> 00:04:37,754
I understand you're
taking care of your own,
74
00:04:37,779 --> 00:04:39,680
but I need to do the same.
75
00:04:41,300 --> 00:04:43,735
I'll talk with Ms. Goodwin.
76
00:04:47,543 --> 00:04:50,512
Hey. So, why'd Maggie get arrested?
What happened?
77
00:04:50,537 --> 00:04:52,738
The charge was interfering
with a police investigation.
78
00:04:52,773 --> 00:04:54,628
But Maggie was protecting a patient.
79
00:04:54,653 --> 00:04:57,465
In my opinion, Officer
Windham overreacted.
80
00:04:58,229 --> 00:04:59,329
Dr. Manning,
81
00:04:59,354 --> 00:05:01,466
you set for the Morbidity
and Mortality Conference?
82
00:05:01,491 --> 00:05:03,097
- I am, Doc...
- Good. See you there.
83
00:05:03,122 --> 00:05:04,956
Remember: M&M is non-punitive.
84
00:05:04,990 --> 00:05:06,640
It's a learning experience.
85
00:05:06,863 --> 00:05:08,998
- Okay.
- Dr. Halstead?
86
00:05:09,023 --> 00:05:11,524
- Yes?
- I expect to see you there too.
87
00:05:11,549 --> 00:05:14,075
As her attending physician,
you are ultimately responsible
88
00:05:14,100 --> 00:05:15,516
for Dr. Manning's actions.
89
00:05:15,541 --> 00:05:16,974
Right.
90
00:05:18,985 --> 00:05:20,952
I am so sorry to put
you in this position.
91
00:05:20,977 --> 00:05:23,298
Oh, I'm not concerned.
You did everything right.
92
00:05:23,323 --> 00:05:25,039
Except my patient died.
93
00:05:25,064 --> 00:05:28,148
Natalie, hey,
you're being too hard on yourself.
94
00:05:28,461 --> 00:05:30,073
You know, sometimes
things just don't break
95
00:05:30,098 --> 00:05:31,026
the way we want them too.
96
00:05:31,051 --> 00:05:32,652
If you need backup, I'm available.
97
00:05:32,879 --> 00:05:35,531
Thanks, um, but I've got it covered.
98
00:05:38,033 --> 00:05:41,031
Med students don't present, Clarke.
Doctors only.
99
00:05:43,912 --> 00:05:45,442
I knew it.
100
00:05:45,467 --> 00:05:47,441
Sawfly larva.
101
00:05:47,996 --> 00:05:49,297
Hmm.
102
00:05:49,322 --> 00:05:51,293
I ate half of that apple
103
00:05:51,318 --> 00:05:53,624
before I saw it crawling
out of the core.
104
00:05:53,649 --> 00:05:55,217
That's nice.
105
00:05:55,242 --> 00:05:57,063
Nice?
106
00:05:57,330 --> 00:05:59,384
Sarah, what is the matter with you?
107
00:05:59,875 --> 00:06:01,475
I'm sorry. I'm sorry.
108
00:06:01,500 --> 00:06:03,667
I didn't get any sleep last night.
109
00:06:03,692 --> 00:06:05,456
This neurology rotation I'm doing...
110
00:06:05,481 --> 00:06:07,590
Dr. Abrams had me pull a second shift.
111
00:06:07,615 --> 00:06:09,616
Tell Abrams that
residents aren't supposed
112
00:06:09,641 --> 00:06:11,086
to work more than a 12-hour shift.
113
00:06:11,111 --> 00:06:12,836
Yeah, well, you tell him.
114
00:06:12,861 --> 00:06:13,640
I got to go.
115
00:06:13,665 --> 00:06:16,348
Here. I have something.
116
00:06:19,694 --> 00:06:21,675
- What is that?
- Espresso beans.
117
00:06:21,700 --> 00:06:22,900
Robusta from Brazil.
118
00:06:22,934 --> 00:06:24,768
Highest concentration of caffeine.
119
00:06:24,803 --> 00:06:27,905
Take five every hour. Chew thoroughly.
120
00:06:27,939 --> 00:06:28,906
- Really?
- Yeah.
121
00:06:28,940 --> 00:06:30,426
Thanks.
122
00:06:30,451 --> 00:06:31,919
Hey.
123
00:06:40,885 --> 00:06:42,286
Abnormal heart tones?
124
00:06:42,320 --> 00:06:44,539
No. Heart rate is 150.
125
00:06:44,564 --> 00:06:46,094
Strong and steady.
126
00:06:46,347 --> 00:06:49,423
- How do the measurements look?
- Give me a second.
127
00:06:52,287 --> 00:06:55,806
Crown-to-chin length
measurement is 30.9 millimeters.
128
00:06:55,831 --> 00:06:57,579
Well within the normal parameters.
129
00:06:57,761 --> 00:06:59,884
So, the TB meds...
130
00:06:59,909 --> 00:07:01,974
Don't seem to be causing any problems.
131
00:07:01,999 --> 00:07:03,786
That's great news.
132
00:07:04,495 --> 00:07:06,583
You were right.
133
00:07:08,594 --> 00:07:10,802
I'll see you back downstairs.
134
00:07:12,748 --> 00:07:15,246
No. The heart recipient
has already been notified.
135
00:07:15,271 --> 00:07:17,470
I need a echo,
bronchoscopy, liver biopsy,
136
00:07:17,495 --> 00:07:19,591
standard chest X-ray, and chest CT.
137
00:07:19,616 --> 00:07:20,916
Send the results to
me, and I'll forward it
138
00:07:20,941 --> 00:07:22,422
to the transplant team.
139
00:07:22,447 --> 00:07:25,001
Yep. Thank you.
140
00:07:25,026 --> 00:07:28,115
Maggie, I heard about
Officer Windham's accident.
141
00:07:28,140 --> 00:07:29,640
- Yeah.
- I think it's best
142
00:07:29,665 --> 00:07:31,967
that we let April be
the liaison on this one.
143
00:07:31,992 --> 00:07:33,893
Oh, no worries.
I'm already into it with the labs.
144
00:07:33,918 --> 00:07:36,632
Even so, I know what a hard
time you had with the arrest.
145
00:07:36,657 --> 00:07:38,958
Why stir up all those feelings?
146
00:07:38,983 --> 00:07:41,585
I don't need coddling. I can do my job.
147
00:07:41,699 --> 00:07:44,981
Maggie, we need to consider
the patient's family as well.
148
00:07:45,006 --> 00:07:46,602
I think it's better for all concerned
149
00:07:46,627 --> 00:07:48,044
that we get in front of this.
150
00:07:48,069 --> 00:07:49,431
It's too loaded.
151
00:07:49,456 --> 00:07:50,990
You're taking me off?
152
00:07:51,015 --> 00:07:52,749
Sharon, come on.
153
00:07:52,832 --> 00:07:55,771
Let April handle it.
154
00:07:59,950 --> 00:08:00,917
Mr. Koslow.
155
00:08:00,951 --> 00:08:02,552
I'm Dr. Halstead.
156
00:08:02,586 --> 00:08:05,055
You were brought in unconscious.
What happened?
157
00:08:05,089 --> 00:08:07,924
Ah, I'm laying here
practically naked, doc.
158
00:08:07,958 --> 00:08:09,592
You could call me Felix.
159
00:08:09,727 --> 00:08:12,932
Uh, last thing I remember,
I was coming back from a run
160
00:08:12,957 --> 00:08:14,884
feeling a little lightheaded.
161
00:08:14,976 --> 00:08:16,176
Well, according to the paramedics,
162
00:08:16,201 --> 00:08:17,290
you were passed out in the bathroom.
163
00:08:17,315 --> 00:08:19,058
Yeah. But I'm fine.
164
00:08:19,083 --> 00:08:20,884
And I can't stay here.
165
00:08:20,909 --> 00:08:22,243
I'm a jockey.
166
00:08:22,268 --> 00:08:24,703
Just been busting my ass getting ready
167
00:08:24,728 --> 00:08:26,329
for a race at Santa Anita tomorrow,
168
00:08:26,354 --> 00:08:29,417
so must have just overdone it.
169
00:08:30,586 --> 00:08:33,324
- Ever happen before?
- Never.
170
00:08:33,349 --> 00:08:34,783
I really don't need to be here.
171
00:08:34,808 --> 00:08:35,757
Tell me if this hurts.
172
00:08:35,782 --> 00:08:37,080
Ah! Ow! Ow!
173
00:08:37,105 --> 00:08:38,339
Just kidding.
174
00:08:40,122 --> 00:08:41,570
When I was a kid, my dad used to take me
175
00:08:41,595 --> 00:08:43,596
down to the racetracks at Hawthorne.
176
00:08:43,735 --> 00:08:45,412
The man never picked a winner.
177
00:08:45,437 --> 00:08:47,781
Most kids dream about
playing in the World Series.
178
00:08:47,805 --> 00:08:50,966
For me, it's all about
the Kentucky Derby.
179
00:08:50,992 --> 00:08:52,849
Took years of riding at BS tracks
180
00:08:52,873 --> 00:08:54,562
to get over to Churchill Downs.
181
00:08:55,182 --> 00:08:57,046
Been working my way up there,
182
00:08:57,071 --> 00:08:59,401
but, you know,
in the winter the track closes down,
183
00:08:59,426 --> 00:09:02,446
so I've been picking up mounts
on the West... West Coast.
184
00:09:02,471 --> 00:09:03,825
Uh-huh. Open wide for me.
185
00:09:03,914 --> 00:09:06,482
Very possible this is just
a bout of overtraining.
186
00:09:06,507 --> 00:09:09,051
You say you're feeling fine. You sure?
187
00:09:09,495 --> 00:09:12,824
Little weak,
but nothing that's gonna stop me.
188
00:09:12,849 --> 00:09:14,660
I'm on a great horse tomorrow.
189
00:09:14,685 --> 00:09:16,406
Well,
let's make sure you're fit to mount up.
190
00:09:16,431 --> 00:09:19,166
I'm ordering an EKG and an
echo to check your heart.
191
00:09:19,227 --> 00:09:20,827
I'm still waiting on those lab results,
192
00:09:20,852 --> 00:09:22,385
so for now, sit tight.
193
00:09:25,023 --> 00:09:27,076
Dr. Manning!
194
00:09:27,726 --> 00:09:28,940
Brett, talk to me.
195
00:09:28,965 --> 00:09:31,643
Car crash. 44-year-old female. GCS 14.
196
00:09:31,668 --> 00:09:33,302
Large laceration to the head.
Pale and sweaty.
197
00:09:33,327 --> 00:09:34,485
LVAD keeps alarming.
198
00:09:34,510 --> 00:09:35,631
Page Dr. Rhodes and let him know
199
00:09:35,656 --> 00:09:36,908
we got an LVAD down here.
200
00:09:36,933 --> 00:09:38,406
- Bria, honey?
- Copy. You're going
201
00:09:38,431 --> 00:09:40,299
- to Trauma 1, Dr. Manning.
- Got it.
202
00:09:40,324 --> 00:09:43,170
- Report.
- 17-year-old female. GCS 15.
203
00:09:43,195 --> 00:09:46,873
No LOC. Vitals are stable.
Hands and feet moving.
204
00:09:46,897 --> 00:09:48,033
Complaining of neck pain.
205
00:09:48,058 --> 00:09:49,924
- Bria!
- Mom?
206
00:09:49,950 --> 00:09:51,457
Dr. Choi, you're going to Trauma 2.
207
00:09:51,482 --> 00:09:54,462
- Copy.
- Bria! Baby!
208
00:09:54,487 --> 00:09:56,127
- Mom!
- Here we go.
209
00:09:56,152 --> 00:09:57,634
One, two, three.
210
00:09:57,889 --> 00:09:59,623
Okay, let's transfer on my count.
211
00:09:59,648 --> 00:10:01,649
Ready? One, two, three.
212
00:10:04,333 --> 00:10:06,056
- Where's my mom?
- Easy, easy.
213
00:10:06,081 --> 00:10:07,438
Eyes on me. Eyes on me.
214
00:10:07,463 --> 00:10:08,379
She is right next door.
215
00:10:08,404 --> 00:10:09,898
You're gonna see her real soon, okay?
216
00:10:09,923 --> 00:10:11,074
She has a bad heart.
217
00:10:11,099 --> 00:10:13,293
They called.
We were coming in for a transplant.
218
00:10:13,318 --> 00:10:14,953
Okay. Heart surgeon's on his way down.
219
00:10:14,978 --> 00:10:16,191
Can you tell us what hurts?
220
00:10:16,216 --> 00:10:19,368
My neck.
It snapped back after the airbag hit me.
221
00:10:19,393 --> 00:10:22,045
I got a call saying a heart's available,
222
00:10:22,070 --> 00:10:23,236
said to get here.
223
00:10:25,053 --> 00:10:26,641
Guy ran a red light.
224
00:10:26,666 --> 00:10:28,030
Where's my daughter?
225
00:10:28,056 --> 00:10:29,336
She is in good hands. Right now we need
226
00:10:29,361 --> 00:10:30,840
to worry about you, okay?
227
00:10:30,865 --> 00:10:31,773
Let's get her hooked up to the monitor
228
00:10:31,798 --> 00:10:33,951
and rapidly transfuse two
packed red blood cells
229
00:10:33,976 --> 00:10:35,151
and two plasma.
230
00:10:35,177 --> 00:10:36,720
Then get X-rays of her chest and pelvis,
okay?
231
00:10:36,745 --> 00:10:37,645
Okay.
232
00:10:37,670 --> 00:10:39,182
All right, I'm gonna take this
233
00:10:39,207 --> 00:10:40,125
off now, okay?
234
00:10:40,150 --> 00:10:42,700
I tried to swerve, but
I was going too fast.
235
00:10:42,725 --> 00:10:44,092
Ow! It really hurts!
236
00:10:44,117 --> 00:10:45,235
We're gonna give you
something for the pain.
237
00:10:45,260 --> 00:10:47,594
Then we need to make sure you
don't have any fractures, okay?
238
00:10:47,631 --> 00:10:49,432
Let's get a CT of her
neck and thoracic spine
239
00:10:49,457 --> 00:10:51,361
and 0.2 milligrams of hydromorphone.
240
00:10:52,817 --> 00:10:55,252
All right,
let's give her 50 mics fentanyl IV push.
241
00:10:55,277 --> 00:10:57,752
No. No. I'm a recovering alcoholic.
242
00:10:57,777 --> 00:10:59,110
- Meghan?
- Dr. Rhodes.
243
00:10:59,459 --> 00:11:02,394
I made it.
I'm... I'm ready for the transplant.
244
00:11:02,419 --> 00:11:04,180
Okay, you just try to stay calm, okay?
245
00:11:04,205 --> 00:11:05,272
We're gonna figure this out.
246
00:11:05,297 --> 00:11:06,354
She's having suction events.
247
00:11:06,380 --> 00:11:08,948
She's still hypovolemic,
Let's up her volume.
248
00:11:08,973 --> 00:11:10,274
I need to close up this head wound.
249
00:11:10,299 --> 00:11:11,462
Can you check her LVAD?
250
00:11:11,486 --> 00:11:13,098
- Yeah. You got it.
- Skin stapler?
251
00:11:13,123 --> 00:11:15,758
Right away. Here you go.
252
00:11:15,925 --> 00:11:17,442
Oh!
253
00:11:17,467 --> 00:11:18,597
Where... aah!
254
00:11:18,623 --> 00:11:19,767
Where's Bria?
255
00:11:19,792 --> 00:11:21,875
Where's my baby?
256
00:11:21,900 --> 00:11:23,107
We're gonna take care of her, all right?
257
00:11:23,132 --> 00:11:24,422
Let's get some pressure on this.
258
00:11:24,447 --> 00:11:25,071
Yes, doctor.
259
00:11:25,096 --> 00:11:28,425
I'm... I'm okay. I got a hard head.
260
00:11:28,451 --> 00:11:30,252
Just relax.
261
00:11:33,264 --> 00:11:35,344
- What happened?
- Auto accident.
262
00:11:35,369 --> 00:11:36,469
How bad is it?
263
00:11:36,495 --> 00:11:37,695
We've got a donor heart in Baghdad.
264
00:11:37,738 --> 00:11:39,472
She needs to be able to
tolerate the surgery.
265
00:11:39,507 --> 00:11:41,474
I'm hoping the head wound
is just superficial.
266
00:11:41,509 --> 00:11:43,276
We won't know anything
until she gets a CT.
267
00:11:43,310 --> 00:11:44,277
We're headed up there now.
268
00:11:44,311 --> 00:11:45,839
All right, well, keep
your fingers crossed.
269
00:11:45,864 --> 00:11:47,352
She's got better odds
of hitting the lottery
270
00:11:47,377 --> 00:11:49,058
than she does of
matching to another heart
271
00:11:49,083 --> 00:11:50,944
- before it's too late.
- Yeah.
272
00:11:53,687 --> 00:11:55,722
And your choice is.
273
00:11:59,531 --> 00:12:01,331
Lieutenant Windham?
274
00:12:03,544 --> 00:12:05,145
- Yeah.
- Hi. I'm April.
275
00:12:05,170 --> 00:12:07,260
I'm very sorry for your loss.
276
00:12:07,561 --> 00:12:09,663
I'll be handling your wife's care.
277
00:12:10,793 --> 00:12:12,127
I thought it was the...
278
00:12:12,152 --> 00:12:13,350
Thought it was the other nurse.
279
00:12:13,444 --> 00:12:16,846
I'm coordinating with the
transplant teams today.
280
00:12:16,880 --> 00:12:18,581
Your wife's organs are in the process
281
00:12:18,615 --> 00:12:20,131
of being matched to people in need.
282
00:12:20,156 --> 00:12:22,424
Once that's complete,
we'll go ahead and schedule surgery.
283
00:12:22,449 --> 00:12:24,417
You're free to stay with
her throughout the process.
284
00:12:31,858 --> 00:12:34,293
And tell me...
How many people will she save?
285
00:12:34,351 --> 00:12:36,753
That depends on the
organ evaluation results,
286
00:12:36,778 --> 00:12:40,210
but she could potentially save seven,
eight lives.
287
00:12:40,235 --> 00:12:43,421
We've already found a
match for her heart.
288
00:12:45,824 --> 00:12:47,542
That's Kate.
289
00:12:48,081 --> 00:12:51,803
Always going above and beyond.
290
00:12:53,148 --> 00:12:56,116
I'm here for you every step of the way.
291
00:12:56,151 --> 00:12:57,711
Please don't hesitate to reach out
292
00:12:57,736 --> 00:13:00,304
should you have any
questions or need anything.
293
00:13:01,033 --> 00:13:03,101
Thank you.
294
00:13:04,303 --> 00:13:06,338
Thank you.
295
00:13:08,218 --> 00:13:10,656
Hey. When you call the lab,
make sure you deal with Sue.
296
00:13:10,681 --> 00:13:12,327
She gets the blood and tissue
samples analyzed faster
297
00:13:12,352 --> 00:13:13,780
- than anybody else.
- All right.
298
00:13:13,805 --> 00:13:15,166
And once they match the other organs,
299
00:13:15,191 --> 00:13:17,799
- make sure that you...
- Maggie, I know how to do this.
300
00:13:17,824 --> 00:13:19,964
I'm sorry if you feel like
I'm stepping on your toes.
301
00:13:19,989 --> 00:13:22,572
You're not stepping on
my toes. It's just...
302
00:13:23,975 --> 00:13:26,133
It's my responsibility.
303
00:13:33,220 --> 00:13:36,356
Meghan, we got your test results.
304
00:13:36,389 --> 00:13:38,590
Your CT scan looks fine.
305
00:13:38,788 --> 00:13:41,122
Then I'm okay to have
the surgery, right?
306
00:13:41,157 --> 00:13:43,163
Unfortunately, there's another problem.
307
00:13:43,893 --> 00:13:46,902
We do a tox screen as part
of your pre-op workup.
308
00:13:46,927 --> 00:13:49,896
Your blood alcohol
content came back 0.06.
309
00:13:49,922 --> 00:13:52,978
No. It can't... That's a mistake.
310
00:13:53,003 --> 00:13:55,888
I... I told her not to,
but that doctor must have
311
00:13:55,913 --> 00:13:57,687
given me pain medication.
312
00:13:57,712 --> 00:13:59,580
Pain medication would have no effect
313
00:13:59,606 --> 00:14:00,672
on the blood alcohol levels.
314
00:14:00,697 --> 00:14:02,698
Check it again!
315
00:14:07,343 --> 00:14:09,373
I'm sorry.
316
00:14:09,954 --> 00:14:11,940
I screwed up.
317
00:14:11,966 --> 00:14:14,557
Can you explain your actions?
318
00:14:14,847 --> 00:14:17,212
Margaret Brazetti.
319
00:14:18,035 --> 00:14:20,575
She's my age. Three kids.
320
00:14:20,600 --> 00:14:22,641
Been on the transplant list two years.
321
00:14:22,666 --> 00:14:24,455
Met in a support group.
322
00:14:24,802 --> 00:14:27,737
Was always positive. Always laughing.
323
00:14:27,772 --> 00:14:30,907
And she got me through
some really hard days.
324
00:14:30,941 --> 00:14:34,375
She died this morning.
325
00:14:34,825 --> 00:14:36,993
I slipped.
326
00:14:37,170 --> 00:14:38,637
Two shots.
327
00:14:38,662 --> 00:14:41,330
First time in three years.
328
00:14:43,141 --> 00:14:44,911
Then I got the call about the heart.
329
00:14:44,936 --> 00:14:46,837
I asked Bria to take me.
330
00:14:48,087 --> 00:14:51,557
If I hadn't asked her,
she wouldn't be hurt.
331
00:14:51,591 --> 00:14:54,493
The asking wasn't the problem.
The drinking was.
332
00:14:59,132 --> 00:15:01,233
Does this mean I don't get the heart?
333
00:15:05,305 --> 00:15:07,372
That's the committee's decision.
334
00:15:10,210 --> 00:15:11,677
You should try and get some rest.
335
00:15:11,711 --> 00:15:13,292
Rest?
336
00:15:13,707 --> 00:15:17,846
Is Bria, um, back from her CT?
337
00:15:18,338 --> 00:15:19,806
We'll have somebody check.
338
00:15:25,767 --> 00:15:27,791
As I recall, you vouched for her.
339
00:15:28,523 --> 00:15:29,824
I did.
340
00:15:29,849 --> 00:15:31,783
Quite an unfortunate choice.
341
00:15:37,439 --> 00:15:38,972
All the other matches are in?
342
00:15:39,007 --> 00:15:40,675
Yeah. Got teams flying
in from Wisconsin,
343
00:15:40,700 --> 00:15:42,208
St. Louis, and Des Moines.
344
00:15:42,738 --> 00:15:46,286
April, is it possible
for some of us to be
345
00:15:46,311 --> 00:15:48,116
in the OR with Darryl
during the procedure?
346
00:15:48,141 --> 00:15:49,387
He could use the support.
347
00:15:49,569 --> 00:15:51,770
I will have to talk to
the surgical charge nurse,
348
00:15:51,795 --> 00:15:53,362
but I'm sure we can work something out.
349
00:15:53,397 --> 00:15:54,692
Thanks.
350
00:15:55,134 --> 00:15:56,795
Excuse me.
351
00:15:57,224 --> 00:15:59,670
Excuse me. Um...
352
00:15:59,695 --> 00:16:01,663
I was the one who asked for someone else
353
00:16:01,688 --> 00:16:02,822
to take charge of this.
354
00:16:02,847 --> 00:16:04,906
It really wasn't personal.
355
00:16:05,065 --> 00:16:06,785
I was just thinking of the lieutenant.
356
00:16:06,810 --> 00:16:08,473
You understand?
357
00:16:13,710 --> 00:16:16,625
No. Everything's good.
358
00:16:16,650 --> 00:16:19,152
Flying out at 9:00.
359
00:16:19,177 --> 00:16:22,313
Yeah. I'll see you first
thing for the morning workout.
360
00:16:22,338 --> 00:16:23,805
Yeah.
361
00:16:24,027 --> 00:16:26,028
Got your labs back and
the results of your echo.
362
00:16:26,063 --> 00:16:28,038
Yeah. I'm sure nothing's wrong with me
363
00:16:28,063 --> 00:16:30,942
that these bags of fluid haven't fixed.
364
00:16:31,035 --> 00:16:34,337
Well, you're dehydrated.
It will help with that.
365
00:16:37,406 --> 00:16:40,552
Felix, your creatinine
and sodium are high
366
00:16:40,577 --> 00:16:42,011
and your potassium is low,
367
00:16:42,045 --> 00:16:44,984
and I noticed enamel erosion
around some of your teeth.
368
00:16:45,481 --> 00:16:48,464
Now, all these are
indicators of bulimia.
369
00:16:48,489 --> 00:16:50,820
Bulimia is... is something girls get.
370
00:16:50,845 --> 00:16:53,580
Well, actually, 1/3 of those
suffering from bulimia are men.
371
00:16:53,615 --> 00:16:55,983
Eating disorders are
not specific to women,
372
00:16:56,016 --> 00:16:57,499
and you should know they're treatable.
373
00:16:57,524 --> 00:16:58,991
I don't have an eating disorder.
374
00:16:59,157 --> 00:17:01,192
I've got a job that
requires me to make weight,
375
00:17:01,217 --> 00:17:02,600
or I don't get to ride.
376
00:17:02,769 --> 00:17:04,536
All jockeys flip.
377
00:17:04,637 --> 00:17:05,692
Flip?
378
00:17:05,717 --> 00:17:07,229
Yeah. Stick our fingers down our throat.
379
00:17:07,254 --> 00:17:09,836
If that ain't enough,
some guys sit in the hot box
380
00:17:09,861 --> 00:17:10,828
and sweat it out.
381
00:17:10,853 --> 00:17:12,287
Some down laxatives.
382
00:17:12,312 --> 00:17:13,837
I take diuretics.
383
00:17:13,979 --> 00:17:16,246
Because of the purging and diuretics,
384
00:17:16,271 --> 00:17:17,484
you're considerably underweight,
385
00:17:17,509 --> 00:17:19,846
which has caused a
mitral valve prolapse,
386
00:17:20,794 --> 00:17:24,397
meaning the valve in your
heart has become floppy.
387
00:17:24,422 --> 00:17:25,802
And it's treatable.
388
00:17:25,827 --> 00:17:28,471
I'd like to put a tube through
your nose into your stomach
389
00:17:28,496 --> 00:17:29,896
to feed you calories.
390
00:17:29,921 --> 00:17:32,648
Now, over time, this may reverse the MVP
391
00:17:32,673 --> 00:17:33,868
and fatten up your heart.
392
00:17:33,893 --> 00:17:36,061
What happens if I don't?
Is it gonna kill me?
393
00:17:37,311 --> 00:17:39,233
With your lifestyle,
you are putting yourself
394
00:17:39,258 --> 00:17:41,826
at a much greater risk of infection,
cardiac arrhythmia,
395
00:17:41,851 --> 00:17:42,838
or even heart failure.
396
00:17:42,863 --> 00:17:44,898
I've been riding
Executive Chef for a year.
397
00:17:44,923 --> 00:17:46,557
That's four wins and a place.
398
00:17:46,582 --> 00:17:49,004
I am one ride away
from that derby mount.
399
00:17:49,030 --> 00:17:50,809
- Felix...
- No... I'm finishing this fluid,
400
00:17:50,834 --> 00:17:52,635
and I'm getting the hell out of here.
401
00:17:54,122 --> 00:17:56,691
We have a pre-op consult
upstairs in six minutes.
402
00:17:56,867 --> 00:17:59,369
Dr. Reece, Dr. Abrams. How's it going?
403
00:17:59,394 --> 00:18:01,464
I need to break her of
all your bad habits.
404
00:18:01,489 --> 00:18:04,657
I've found my most successful
residents happily volunteer
405
00:18:04,682 --> 00:18:06,893
to work well past the
standard 80-hour week.
406
00:18:08,924 --> 00:18:11,459
Dr. Charles.
407
00:18:11,663 --> 00:18:14,331
Meghan Scott,
my transplant patient you evaluated.
408
00:18:14,356 --> 00:18:15,222
Yeah.
409
00:18:15,257 --> 00:18:17,301
Turns out that you were right about her.
410
00:18:17,326 --> 00:18:19,317
She fell off the wagon.
411
00:18:20,581 --> 00:18:22,276
Really?
412
00:18:23,623 --> 00:18:25,446
I'm very sorry to hear that.
413
00:18:27,369 --> 00:18:30,071
The way I put you on the
spot about your decision...
414
00:18:30,105 --> 00:18:31,216
I owe you an apology.
415
00:18:31,241 --> 00:18:32,241
No, you don't.
416
00:18:32,474 --> 00:18:35,943
I appreciate the gesture,
but my evaluation...
417
00:18:35,977 --> 00:18:37,835
I vetted her. It was my call.
418
00:18:38,980 --> 00:18:42,388
I should, um...
I should probably check in with her.
419
00:18:42,413 --> 00:18:46,123
The Transplant Committee's
gonna want another assessment.
420
00:18:47,873 --> 00:18:49,613
If you'll excuse me,
I've got to get to the M&M.
421
00:18:49,638 --> 00:18:50,884
Yes. Thank you for telling me.
422
00:18:50,909 --> 00:18:52,944
Of course.
423
00:19:04,250 --> 00:19:05,737
The patient became unstable
424
00:19:05,762 --> 00:19:08,563
due to an unrecognized
pericardial effusion,
425
00:19:08,598 --> 00:19:12,498
which was stabilized by
emergent pericardiocentesis.
426
00:19:12,835 --> 00:19:15,335
You presented the images of the MRCP
427
00:19:15,360 --> 00:19:17,526
demonstrating cholelithiasis
428
00:19:17,551 --> 00:19:20,581
to support your
diagnosis of pancreatitis
429
00:19:20,607 --> 00:19:22,462
due to choledocholithiasis,
430
00:19:22,487 --> 00:19:23,949
but you aren't showing us any images
431
00:19:23,974 --> 00:19:26,427
of the lung bases or heart.
432
00:19:26,806 --> 00:19:28,635
Those images were not obtained.
433
00:19:28,856 --> 00:19:30,524
Why not?
434
00:19:30,549 --> 00:19:33,876
The patient's movement
resulted in unreadable images.
435
00:19:33,901 --> 00:19:36,074
Why didn't you repeat the scan?
436
00:19:36,099 --> 00:19:38,033
The study captured adequate detail
437
00:19:38,058 --> 00:19:39,748
within the area of interest.
438
00:19:39,773 --> 00:19:42,575
So, had you been more
vigilant at this juncture,
439
00:19:42,609 --> 00:19:44,274
perhaps you would have identified
440
00:19:44,299 --> 00:19:46,267
this patient's pericardial effusion
441
00:19:46,301 --> 00:19:50,104
and avoided his subsequent
cardiovascular collapse.
442
00:19:51,421 --> 00:19:53,024
In hindsight, yes.
443
00:19:53,049 --> 00:19:55,925
At the time, I believed
I had what I needed.
444
00:19:56,313 --> 00:19:58,055
Let's move on.
445
00:19:58,080 --> 00:20:00,894
You mentioned placing
the patient on BiPAP,
446
00:20:00,919 --> 00:20:03,554
which exacerbated cardiac tamponade.
447
00:20:03,579 --> 00:20:05,380
How did you respond?
448
00:20:06,626 --> 00:20:08,553
How are you feeling?
449
00:20:09,195 --> 00:20:11,793
Like I screwed up two lives.
450
00:20:14,600 --> 00:20:16,382
Let's get you two together.
451
00:20:16,407 --> 00:20:18,584
I'll have this dividing wall opened up.
452
00:20:18,609 --> 00:20:21,312
How is she? Is her neck okay?
453
00:20:21,337 --> 00:20:23,443
Good news is there are no fractures.
454
00:20:23,468 --> 00:20:25,569
Okay. What's the bad?
455
00:20:25,594 --> 00:20:28,650
It's not necessarily
bad. It might be minor,
456
00:20:28,675 --> 00:20:31,543
but Bria's CT showed a mass
in her upper thoracic spine,
457
00:20:31,568 --> 00:20:33,185
unrelated to the accident.
458
00:20:33,531 --> 00:20:36,581
Oh, God. A mass means tumor, right?
459
00:20:36,606 --> 00:20:38,273
It could be a number of things.
460
00:20:39,903 --> 00:20:41,632
My poor baby.
461
00:20:44,124 --> 00:20:46,838
She's had some back pain
in the last few months.
462
00:20:46,863 --> 00:20:49,131
She tried to convince me it was nothing.
463
00:20:49,165 --> 00:20:51,702
I should've brought her in.
This is my fault.
464
00:20:51,727 --> 00:20:54,679
Meghan, until we do an MRI
465
00:20:54,704 --> 00:20:56,825
to get a better look at
what we're dealing with,
466
00:20:56,850 --> 00:20:59,385
the best thing you could
do is try to stay calm.
467
00:21:16,359 --> 00:21:17,650
Son of a bitch!
468
00:21:17,675 --> 00:21:19,842
I need this damn thing out!
469
00:21:19,867 --> 00:21:21,073
Mr. Koslow, please,
you need to calm down.
470
00:21:21,098 --> 00:21:22,264
And you need to take this out of my arm.
471
00:21:22,289 --> 00:21:23,307
I'm two pounds over.
472
00:21:23,332 --> 00:21:25,093
Hey, hey, hey. It's just water weight.
473
00:21:25,118 --> 00:21:26,672
That IV is the only reason
you're feeling stronger.
474
00:21:26,697 --> 00:21:27,664
You need to leave it in.
475
00:21:27,689 --> 00:21:28,723
You know, screw this.
You're not gonna do it,
476
00:21:28,748 --> 00:21:29,576
I'll pull it out myself. Whoa!
477
00:21:29,601 --> 00:21:30,602
No, no, no. Please don't do that.
478
00:21:30,627 --> 00:21:31,857
Okay. Fine. That's what you want,
479
00:21:31,883 --> 00:21:33,107
let's get you back to your room.
480
00:21:33,132 --> 00:21:34,900
Hell, no!
You're gonna try to give me something.
481
00:21:34,925 --> 00:21:36,020
I'm done with this crap! No! Mister-
482
00:21:36,046 --> 00:21:37,850
- Get off of...
- Hey.
483
00:21:37,875 --> 00:21:40,281
- Now you're bleeding.
- I'm fine.
484
00:21:42,744 --> 00:21:45,697
Okay. This is why you
need to be treated.
485
00:21:45,722 --> 00:21:48,745
I did that, and now I'm too fat to ride.
486
00:21:48,770 --> 00:21:51,421
You can not take diuretics again.
487
00:21:51,515 --> 00:21:53,417
You are playing Russian roulette.
488
00:21:53,442 --> 00:21:55,081
There are only so many times
you can pull that trigger.
489
00:21:55,106 --> 00:21:56,907
Let me go, now!
490
00:22:08,005 --> 00:22:09,605
Mom, I'm fine!
491
00:22:09,639 --> 00:22:11,273
It's not uncommon for people w-Oh,
it's just a blanket.
492
00:22:11,298 --> 00:22:12,630
I don't need it.
493
00:22:12,655 --> 00:22:13,613
Everything okay?
494
00:22:13,638 --> 00:22:15,340
Oh, she just seemed cold.
495
00:22:15,365 --> 00:22:16,698
And you shouldn't be up.
496
00:22:16,723 --> 00:22:18,424
Can I help you back into bed?
497
00:22:18,458 --> 00:22:20,059
Dr. Reese?
498
00:22:20,093 --> 00:22:22,895
I'm doing a rotation
in neurocritical care.
499
00:22:22,930 --> 00:22:24,530
Oh.
500
00:22:24,565 --> 00:22:26,458
The mass we found is not a tumor.
501
00:22:26,483 --> 00:22:27,984
Oh, thank God.
502
00:22:28,009 --> 00:22:29,742
It's a spinal AVM,
503
00:22:29,768 --> 00:22:31,934
which is an abnormal
tangle of blood vessels.
504
00:22:32,105 --> 00:22:33,706
Is it serious?
505
00:22:33,740 --> 00:22:35,488
Bria's probably had
it since she was born.
506
00:22:35,513 --> 00:22:36,385
Quite often, we don't find it
507
00:22:36,410 --> 00:22:38,110
until it starts causing problems.
508
00:22:38,145 --> 00:22:39,544
What kind of problems?
509
00:22:39,569 --> 00:22:42,591
Down the line, numbness, hemorrhage,
510
00:22:42,616 --> 00:22:43,983
even paralysis.
511
00:22:44,017 --> 00:22:46,439
So, the back pain was a sign.
512
00:22:46,464 --> 00:22:48,597
We could've caught this months ago.
513
00:22:48,622 --> 00:22:50,876
Let's focus on the fact
that we caught it now.
514
00:22:50,901 --> 00:22:53,135
It can be treated surgically.
515
00:22:53,217 --> 00:22:56,119
Dr. Reese will do a
neurosurgery consult with you,
516
00:22:56,144 --> 00:22:57,951
and then our head of neurosurgery,
Dr. Abrams,
517
00:22:57,976 --> 00:23:00,275
will come down and go over the details.
518
00:23:00,300 --> 00:23:02,468
I'm so sorry, Bria.
519
00:23:02,493 --> 00:23:04,594
Stop it. It's not your fault.
520
00:23:04,619 --> 00:23:06,921
No. I wasn't thinking about you.
521
00:23:06,946 --> 00:23:08,750
I was only thinking about myself.
522
00:23:08,775 --> 00:23:11,020
Having an AVM is unfortunate,
523
00:23:11,045 --> 00:23:13,847
but finding it now, as early as we have,
524
00:23:14,155 --> 00:23:15,789
is the best we could ask for.
525
00:23:25,935 --> 00:23:29,356
Dr. Manning then paged me to
perform a pericardiocentesis.
526
00:23:29,381 --> 00:23:31,746
Did you recommend sending
the fluid for analysis
527
00:23:31,771 --> 00:23:34,705
and obtaining a CT chest,
abdomen, and pelvis?
528
00:23:35,164 --> 00:23:36,798
I did.
529
00:23:39,155 --> 00:23:41,656
The CT showed a large mass
in the right middle lobe
530
00:23:41,691 --> 00:23:44,659
with bulky hilar and
mediastinal lymphadenopathy.
531
00:23:44,694 --> 00:23:47,462
And that's when Dr. Manning
called for an oncology consult?
532
00:23:47,496 --> 00:23:50,732
Yes. And their recommendation
was chemotherapy.
533
00:23:50,766 --> 00:23:53,169
- Dr. Rhodes?
- I recommended an alternative
534
00:23:53,194 --> 00:23:56,530
course of therapy:
since the primary mass was resectable,
535
00:23:56,555 --> 00:23:58,213
I thought it best to
move forward with surgery
536
00:23:58,238 --> 00:24:00,773
- without delay.
- And Dr. Manning disagreed?
537
00:24:00,798 --> 00:24:02,651
I thought the radiation
would give the pancreatitis
538
00:24:02,676 --> 00:24:04,043
time to cool down.
539
00:24:04,068 --> 00:24:06,324
- What was his Ranson's score?
- It was...
540
00:24:06,349 --> 00:24:07,834
What difference does that make?
541
00:24:08,285 --> 00:24:11,277
There's no reliable way to
predict tumor lysis syndrome.
542
00:24:11,962 --> 00:24:15,348
Dr. Manning,
if your white knight plans on continuing
543
00:24:15,373 --> 00:24:18,142
his medical education at this hospital,
544
00:24:18,167 --> 00:24:19,942
I recommend that you advise him
545
00:24:19,968 --> 00:24:22,603
to remove himself from my presence.
546
00:24:23,748 --> 00:24:25,448
Let's take a five-minute break.
547
00:24:38,821 --> 00:24:40,922
How dare you?
548
00:24:41,035 --> 00:24:42,885
I know. I shouldn't have said...
549
00:24:42,910 --> 00:24:44,824
I am not a damsel in distress,
550
00:24:44,849 --> 00:24:47,297
and I do not need you to defend me.
551
00:24:47,359 --> 00:24:48,493
I was only trying to help.
552
00:24:48,518 --> 00:24:50,661
You humiliated me in there.
553
00:24:50,686 --> 00:24:54,315
Natalie, I'm sorry.
554
00:24:59,339 --> 00:25:00,572
If he gets on that horse,
555
00:25:00,597 --> 00:25:02,131
he's not only a danger to himself,
556
00:25:02,156 --> 00:25:03,890
but every other jockey in the race.
557
00:25:03,915 --> 00:25:05,401
I don't disagree.
558
00:25:05,690 --> 00:25:07,055
Can we keep him on a psych hold?
559
00:25:07,080 --> 00:25:09,674
No, we can't.
I mean, from everything you told me,
560
00:25:09,699 --> 00:25:11,972
his stated intention is to win the race.
561
00:25:11,997 --> 00:25:13,953
He didn't say anything about
doing intentional harm.
562
00:25:13,978 --> 00:25:16,873
And if we do hold him,
he'd probably sue the hospital,
563
00:25:16,898 --> 00:25:18,165
and you personally.
564
00:25:18,190 --> 00:25:19,999
If you can't convince him to stay,
565
00:25:20,024 --> 00:25:22,612
get him to sign that he's
leaving against medical advice.
566
00:25:22,638 --> 00:25:24,774
Oh, he's already asked
for the paperwork.
567
00:25:25,601 --> 00:25:27,803
Then it's settled.
568
00:25:30,210 --> 00:25:31,511
Damn it!
569
00:25:33,085 --> 00:25:35,787
That ultrasound was a huge relief.
570
00:25:35,821 --> 00:25:37,221
Yeah.
571
00:25:37,382 --> 00:25:40,984
So, now that we know everything's okay,
572
00:25:41,009 --> 00:25:42,923
there's something I'm
hoping you'll consider
573
00:25:43,347 --> 00:25:45,750
for the baby's sake.
574
00:25:46,307 --> 00:25:48,642
Maybe it would be good if you
stopped working for a while,
575
00:25:48,667 --> 00:25:50,334
just until the kid is born.
576
00:25:50,369 --> 00:25:51,892
I know how you feel about your job.
577
00:25:51,917 --> 00:25:54,180
I'm not asking you to give that up.
578
00:25:54,802 --> 00:25:57,470
But a few months could help
to take away some stress.
579
00:25:57,624 --> 00:25:59,925
If it was up to you,
there wouldn't even be a baby.
580
00:25:59,950 --> 00:26:02,876
April, I told you I'm sorry.
581
00:26:02,901 --> 00:26:05,335
The only reason I wanted
to consider terminating was
582
00:26:05,360 --> 00:26:07,861
I thought the baby would
have no quality of life.
583
00:26:07,886 --> 00:26:11,507
I didn't want to put
you... Us through that.
584
00:26:12,722 --> 00:26:15,157
My job's not endangering the pregnancy.
585
00:26:15,182 --> 00:26:18,860
The second I feel like work
is negatively affecting me,
586
00:26:18,884 --> 00:26:20,246
I'll stop.
587
00:26:20,500 --> 00:26:23,269
For now, I'm fine.
588
00:26:23,294 --> 00:26:25,195
We are fine.
589
00:26:27,331 --> 00:26:30,770
So, Dr. Charles,
you assessed Meghan Scott today.
590
00:26:30,795 --> 00:26:32,095
- Yes, I did...
- I don't understand
591
00:26:32,120 --> 00:26:33,579
why we're debating this.
592
00:26:33,604 --> 00:26:36,556
An alcoholic must be sober for
18 months before being eligible
593
00:26:36,581 --> 00:26:38,215
for transplant... Those are the rules.
594
00:26:38,240 --> 00:26:39,674
This patient disqualified herself.
595
00:26:39,699 --> 00:26:42,128
Dr. Latham, right now in the hospital,
596
00:26:42,153 --> 00:26:44,221
we have an excellent match for a heart,
597
00:26:44,246 --> 00:26:49,284
an organ which you know has a
limited window of viability.
598
00:26:49,309 --> 00:26:51,856
We may have to think beyond the rules.
599
00:26:51,881 --> 00:26:54,507
What stops her from drinking
the next time she gets upset?
600
00:26:54,532 --> 00:26:57,886
Ironically, relapse can be a
very important part of recovery.
601
00:26:57,911 --> 00:27:00,315
Happens to most addicts at some point,
602
00:27:00,340 --> 00:27:03,075
and it's very often the utter misery
603
00:27:03,100 --> 00:27:04,341
of falling off the wagon
604
00:27:04,366 --> 00:27:05,540
that motivates those that suffer
605
00:27:05,565 --> 00:27:07,753
to finally get serious
about staying sober.
606
00:27:07,778 --> 00:27:10,017
And you believe this is
the case for Ms. Scott?
607
00:27:10,061 --> 00:27:12,930
I also think it's been a very
real wake-up call for her.
608
00:27:12,955 --> 00:27:16,441
Until the accident,
Bria was performing the caretaker role,
609
00:27:16,467 --> 00:27:19,140
but now Meghan realizes the importance
610
00:27:19,164 --> 00:27:21,960
of stepping up and taking responsibility
611
00:27:21,985 --> 00:27:24,603
not just for herself,
but also for her daughter.
612
00:27:24,628 --> 00:27:27,130
So, bottom line, are you saying
613
00:27:27,155 --> 00:27:28,456
the committee should give Ms. Scott
614
00:27:28,481 --> 00:27:30,315
the currently available heart?
615
00:27:35,297 --> 00:27:40,459
As a human being,
I would love to root for Meghan.
616
00:27:40,631 --> 00:27:43,533
As a doctor, I'm...
I'm just more aware than ever
617
00:27:43,558 --> 00:27:46,460
of the power that this disease
can have over somebody.
618
00:27:48,277 --> 00:27:50,311
Dr. Rhodes?
619
00:27:51,680 --> 00:27:54,616
Uh, I was confident
620
00:27:54,650 --> 00:27:57,585
when I pushed for Meghan
to be put on the list.
621
00:27:59,880 --> 00:28:02,492
Regretfully, I am less confident now.
622
00:28:05,294 --> 00:28:07,022
If there are no more questions,
623
00:28:07,047 --> 00:28:09,029
I move the committee take a vote.
624
00:28:09,183 --> 00:28:10,127
All those in favor
625
00:28:10,152 --> 00:28:12,554
of Meghan Scott receiving the heart,
626
00:28:12,668 --> 00:28:14,636
signify with a "yea."
627
00:28:14,670 --> 00:28:16,377
Yea.
628
00:28:17,370 --> 00:28:20,906
All those against, signify with a "nay."
629
00:28:21,171 --> 00:28:24,335
- Nay.
- Nay.
630
00:28:24,514 --> 00:28:26,816
The nays have it.
631
00:28:26,841 --> 00:28:29,319
We'll look for another recipient.
632
00:28:44,515 --> 00:28:46,608
You remain conflicted about Meghan Scott
633
00:28:46,633 --> 00:28:48,579
despite her breaking the
clearly defined rulest
634
00:28:48,604 --> 00:28:50,212
for being a transplant candidate.
635
00:28:51,229 --> 00:28:52,696
Yes.
636
00:28:52,721 --> 00:28:54,918
I... I remain conflicted.
637
00:28:55,212 --> 00:28:57,447
I've worked with a lot of alcoholics,
638
00:28:57,472 --> 00:29:00,679
and I know real regret when I see it.
639
00:29:00,704 --> 00:29:02,164
Real regret?
640
00:29:03,141 --> 00:29:04,308
Can you elaborate?
641
00:29:04,429 --> 00:29:07,131
What exactly did you see in Ms. Scott?
642
00:29:07,156 --> 00:29:09,974
Well, I... I saw real sadness.
643
00:29:10,118 --> 00:29:13,387
You know,
there were tears rolling down her face,
644
00:29:13,643 --> 00:29:16,450
and, um, her jaw was clenched, you know,
645
00:29:16,475 --> 00:29:20,622
and her body sort of drooped
with what looked like shame.
646
00:29:31,299 --> 00:29:33,367
That's interesting.
647
00:29:37,272 --> 00:29:39,324
Are you sure you're gonna be all right?
648
00:29:39,349 --> 00:29:41,617
Sweetie, you need to
stop worrying about me.
649
00:29:41,652 --> 00:29:45,121
All I want you to think
about is how much I love you.
650
00:29:46,339 --> 00:29:49,575
And when you wake up,
I'll be right there, okay?
651
00:29:51,380 --> 00:29:53,751
- I love you, baby.
- Love you, too.
652
00:29:57,746 --> 00:30:00,815
Please let her be all right.
653
00:30:05,253 --> 00:30:08,655
While debatable choices
were made by all involved,
654
00:30:08,853 --> 00:30:11,291
no one physician is to blame.
655
00:30:11,865 --> 00:30:15,297
My recommendation is to
revisit hospital policy
656
00:30:15,322 --> 00:30:17,557
on requiring doctors to be present
657
00:30:17,582 --> 00:30:19,416
when radiation is administered.
658
00:30:19,441 --> 00:30:22,234
Only with more skilled eyes on the ECG
659
00:30:22,259 --> 00:30:24,353
can future incidents of TLS
660
00:30:24,378 --> 00:30:26,479
be identified and treated.
661
00:30:27,454 --> 00:30:28,921
Hope you've all learned
something here today
662
00:30:28,946 --> 00:30:31,183
that will make you better physicians.
663
00:30:31,589 --> 00:30:33,891
On a personal note,
664
00:30:34,266 --> 00:30:38,469
it's ill-advised for residents
to date medical students.
665
00:30:45,880 --> 00:30:47,213
Uh-huh.
666
00:30:49,383 --> 00:30:52,147
Is there something that
I can help you with?
667
00:30:53,001 --> 00:30:54,802
Yeah. I was looking for April.
668
00:30:54,827 --> 00:30:56,201
She's on a break right now.
669
00:30:56,226 --> 00:30:59,097
But I can answer any
question you might have.
670
00:31:00,453 --> 00:31:03,826
Yeah. Uh, my wife,
Kate, has this necklace,
671
00:31:03,851 --> 00:31:06,719
and, uh,
I think it was a gift from her mother.
672
00:31:06,754 --> 00:31:09,017
And, you know, anyways,
673
00:31:09,042 --> 00:31:10,963
uh, she always wears it,
674
00:31:12,347 --> 00:31:16,784
but the clasp broke,
uh, in the accident.
675
00:31:17,017 --> 00:31:19,452
And I know she'd want to
have it with her. I just...
676
00:31:19,477 --> 00:31:22,693
I understand. It can be in
her hand through the surgery.
677
00:31:23,628 --> 00:31:25,830
I can make sure April gets it.
678
00:31:49,324 --> 00:31:50,709
We can put them back together,
679
00:31:50,734 --> 00:31:52,314
but we can't change
their behavior, right?
680
00:31:52,339 --> 00:31:56,487
"I am indeed a king because
I know how to rule myself."
681
00:31:57,018 --> 00:31:58,366
Pietro Aretino.
682
00:31:58,391 --> 00:32:00,259
He was a 16th century poet.
683
00:32:00,284 --> 00:32:01,484
What are you getting at, doc?
684
00:32:01,509 --> 00:32:03,288
Well, put it this way: in this case,
685
00:32:03,313 --> 00:32:05,473
the king might be in
for a rude awakening
686
00:32:05,498 --> 00:32:07,365
when they drug test him before the race.
687
00:32:07,390 --> 00:32:09,558
Yeah, if he gets tested.
Testing's random.
688
00:32:09,583 --> 00:32:11,017
I don't know.
689
00:32:11,042 --> 00:32:13,641
I mean, somebody could make
an anonymous phone call,
690
00:32:13,666 --> 00:32:15,130
you know, tipping off the track
691
00:32:15,155 --> 00:32:18,060
that he took a diuretic.
692
00:32:18,234 --> 00:32:19,735
You never know.
693
00:32:19,888 --> 00:32:22,323
Somebody maybe already did.
694
00:32:22,444 --> 00:32:25,808
Dr. Charles. Those signs that
you talked about earlier...
695
00:32:25,833 --> 00:32:27,979
The sadness in the eyes,
the clenched jaw...
696
00:32:28,129 --> 00:32:29,596
I don't see them.
697
00:32:29,852 --> 00:32:31,820
I'd like to know why they elude me.
698
00:32:33,841 --> 00:32:35,983
You know, I might have some
literature in my office
699
00:32:36,008 --> 00:32:38,364
that could illuminate some
of this stuff for you.
700
00:32:38,389 --> 00:32:39,790
You got a couple minutes?
701
00:32:39,815 --> 00:32:41,015
Mm.
702
00:32:56,058 --> 00:32:57,625
How's Bria?
703
00:32:57,850 --> 00:33:00,659
Dr. Abrams just started
cauterizing the AVM.
704
00:33:02,023 --> 00:33:04,258
He's a really good surgeon.
705
00:33:04,657 --> 00:33:06,524
I just wish he wasn't such a dick.
706
00:33:09,762 --> 00:33:11,296
Keep me posted.
707
00:33:11,330 --> 00:33:12,530
Mm-hmm.
708
00:33:20,773 --> 00:33:22,841
- Rough day, huh?
- Yeah.
709
00:33:22,875 --> 00:33:24,509
Grab a bite?
710
00:33:28,414 --> 00:33:29,481
I'd like that.
711
00:33:29,705 --> 00:33:32,251
Dr. Rhodes, Daniel.
712
00:33:32,276 --> 00:33:36,412
We found another recipient
for Officer Windham's heart,
713
00:33:36,447 --> 00:33:38,586
but the woman lives in San Diego,
714
00:33:38,611 --> 00:33:41,306
and that's at least a four-hour flight.
715
00:33:41,331 --> 00:33:42,743
If there were a delay,
716
00:33:42,768 --> 00:33:45,264
we couldn't guarantee
the heart's viability,
717
00:33:45,289 --> 00:33:48,057
and we cannot postpone harvesting
718
00:33:48,092 --> 00:33:51,828
due to the needs of the
recipients of her other organs.
719
00:33:51,862 --> 00:33:53,371
So, therefore?
720
00:33:53,396 --> 00:33:57,039
Meghan Scott will be receiving
Officer Windham's heart.
721
00:33:57,100 --> 00:34:01,804
Due to the circumstances,
it's the only option we have.
722
00:34:05,285 --> 00:34:06,682
I guess dinner will have to wait.
723
00:34:06,715 --> 00:34:08,333
Yeah.
724
00:34:14,191 --> 00:34:15,290
- Sharon?
- Yeah?
725
00:34:15,324 --> 00:34:17,361
- Can we talk?
- Of course.
726
00:34:17,386 --> 00:34:19,558
- That's the form.
- Here, take this.
727
00:34:21,128 --> 00:34:22,888
What's up?
728
00:34:24,739 --> 00:34:28,642
Sharon,
I want to take over Kate Windham's care.
729
00:34:28,676 --> 00:34:29,872
Come on, Maggie.
730
00:34:29,897 --> 00:34:32,432
We've been through this.
You know my concerns.
731
00:34:32,457 --> 00:34:34,177
Yes, and I respect them.
732
00:34:35,853 --> 00:34:37,988
But it's closure for me,
733
00:34:38,013 --> 00:34:39,876
and in a way for Kate Windham, too.
734
00:34:39,901 --> 00:34:41,431
And what about her husband?
735
00:34:41,456 --> 00:34:43,123
What about his feelings?
736
00:34:43,148 --> 00:34:46,317
I promise you,
I'll make sure he feels comfortable.
737
00:34:48,204 --> 00:34:50,272
I need to do this.
738
00:34:51,883 --> 00:34:53,683
All right.
739
00:34:53,708 --> 00:34:55,643
All right. I'll talk to April.
740
00:34:55,668 --> 00:34:57,301
Okay.
741
00:35:02,060 --> 00:35:04,227
Can I speak to you, Lieutenant Windham?
742
00:35:06,270 --> 00:35:08,770
You good? Okay.
743
00:35:12,088 --> 00:35:15,267
When I became a nurse, I took an oath.
744
00:35:16,240 --> 00:35:18,935
I swore to devote myself to the welfare
745
00:35:18,959 --> 00:35:20,393
of those committed to my care.
746
00:35:20,418 --> 00:35:21,780
That's my job.
747
00:35:22,082 --> 00:35:25,290
When your wife arrested me,
she was doing her job.
748
00:35:27,007 --> 00:35:28,942
I bear her no ill will.
749
00:35:32,554 --> 00:35:34,933
I'm very sorry for your loss.
750
00:35:35,892 --> 00:35:38,565
But I want to honor your wife,
751
00:35:38,591 --> 00:35:40,659
if you'll allow me.
752
00:35:44,846 --> 00:35:46,947
Yeah.
753
00:35:58,846 --> 00:36:00,671
No. No!
754
00:36:00,696 --> 00:36:02,597
Ms. Scott, we need to get you upstairs.
755
00:36:02,622 --> 00:36:04,379
No... I don't care.
756
00:36:04,404 --> 00:36:07,163
I'm not going anywhere
until I find out about Bria.
757
00:36:07,187 --> 00:36:09,407
She's still in surgery, but doing well.
758
00:36:10,045 --> 00:36:12,913
Right now, the best thing you
could do for your daughter is
759
00:36:12,938 --> 00:36:15,005
to take care of yourself.
760
00:36:43,927 --> 00:36:45,431
We'll be right back with someone
761
00:36:45,457 --> 00:36:47,392
to take her up to the OR.
762
00:37:06,420 --> 00:37:08,406
Hey.
763
00:37:09,833 --> 00:37:12,968
You know today wasn't a defeat, right?
764
00:37:12,993 --> 00:37:14,794
I guess.
765
00:37:16,637 --> 00:37:21,608
The whole experience has
been a lesson in humility.
766
00:37:23,248 --> 00:37:27,085
Humility. Always been
a tough one for me.
767
00:37:29,434 --> 00:37:31,402
Good night.
768
00:37:31,681 --> 00:37:36,143
You know, Clarke...
He was out of line today.
769
00:37:38,357 --> 00:37:40,425
But he was really in your corner.
770
00:37:43,135 --> 00:37:44,636
Yeah.
771
00:37:53,779 --> 00:37:57,114
Hey, Jeff! You want to get a drink?
772
00:38:00,031 --> 00:38:01,731
I'll meet you over there.
773
00:38:07,164 --> 00:38:11,346
A nice move, Daniel.
Anonymous phone call.
774
00:38:11,815 --> 00:38:14,049
We do what we can, sister.
775
00:38:14,074 --> 00:38:16,308
Yes, we do.
776
00:38:16,472 --> 00:38:19,720
So, the M&M.
777
00:38:19,745 --> 00:38:21,512
Stohl called you my white knight.
778
00:38:21,537 --> 00:38:23,600
I know, Nat, and I feel terrible.
779
00:38:23,845 --> 00:38:27,002
And I...
and I heard what he said about dating.
780
00:38:27,027 --> 00:38:30,201
No, Jeff. I can handle that.
781
00:38:31,139 --> 00:38:33,106
I'm just really sorry.
782
00:38:33,220 --> 00:38:35,491
It should be me apologizing to you.
783
00:38:35,515 --> 00:38:38,383
Why? I'm the one who
made everything worse.
784
00:38:38,408 --> 00:38:40,308
I haven't been fair to you.
785
00:38:43,443 --> 00:38:47,446
Stohl also said that he hoped
we all learned something today.
786
00:38:47,471 --> 00:38:49,238
And I did.
787
00:38:53,644 --> 00:38:55,979
When Jeff died,
788
00:38:56,004 --> 00:38:58,506
it created this void,
789
00:38:58,565 --> 00:39:01,300
this hole in my life,
790
00:39:01,325 --> 00:39:03,159
and in my heart.
791
00:39:05,077 --> 00:39:08,640
I needed someone to fill that void...
792
00:39:09,611 --> 00:39:11,412
To take the pain away.
793
00:39:13,659 --> 00:39:16,609
And there you were.
794
00:39:16,921 --> 00:39:19,742
I feel like I used you.
795
00:39:19,823 --> 00:39:24,540
You gave me the illusion that
my life was fixed and whole.
796
00:39:25,796 --> 00:39:27,459
But it doesn't work that way.
797
00:39:27,484 --> 00:39:29,619
It can, though, Natalie.
It can work that way.
798
00:39:29,644 --> 00:39:30,545
And look, I want to be...
799
00:39:30,570 --> 00:39:33,701
Jeff, I think you're a great guy.
800
00:39:34,896 --> 00:39:37,507
You're just not the great guy for me.
801
00:39:40,210 --> 00:39:42,245
This is it?
802
00:39:44,102 --> 00:39:46,241
Yeah.
803
00:39:51,857 --> 00:39:54,559
Dispatch to 2436.
804
00:39:54,584 --> 00:39:56,678
Dispatch to Officer Windham.
805
00:39:56,703 --> 00:39:59,213
Dispatch to Officer Kate Windham.
806
00:39:59,773 --> 00:40:03,040
Officer Windham, your work here is done.
807
00:40:03,288 --> 00:40:05,736
Officer Kathryn Windham graduated
808
00:40:05,761 --> 00:40:08,662
the Chicago Police Academy in 2008.
809
00:40:09,248 --> 00:40:11,219
She served with distinction,
810
00:40:11,244 --> 00:40:13,838
receiving the 21st District
Officer of the Month
811
00:40:13,863 --> 00:40:15,163
three times,
812
00:40:15,237 --> 00:40:17,426
two department commendations,
813
00:40:17,485 --> 00:40:20,963
and in 2014, received
the Lifesaving Award
814
00:40:20,988 --> 00:40:23,487
for pulling the driver
from a burning vehicle.
815
00:40:24,743 --> 00:40:27,446
Officer Windham is
survived by her parents,
816
00:40:27,471 --> 00:40:28,964
Robert and Felicia,
817
00:40:28,989 --> 00:40:32,282
her brother, Richard,
and her husband, Darryl.
818
00:40:32,713 --> 00:40:35,670
We thank you for your
dedication, loyalty,
819
00:40:35,695 --> 00:40:37,695
and years of exemplary service
820
00:40:37,736 --> 00:40:39,603
to the Chicago Police Department,
821
00:40:40,085 --> 00:40:42,487
the citizens of Chicago, Illinois,
822
00:40:42,512 --> 00:40:45,413
and the United States of America.
823
00:40:45,982 --> 00:40:48,406
Know that your strength
and love lives on
824
00:40:48,431 --> 00:40:50,222
in your husband and family,
825
00:40:50,247 --> 00:40:53,076
and your honor will
live on in all of us.
826
00:41:19,462 --> 00:41:24,233
End of watch, January 12, 2017.
827
00:41:24,671 --> 00:41:26,666
Officer Kate Windham,
828
00:41:26,788 --> 00:41:29,625
star number 2436,
829
00:41:29,650 --> 00:41:31,650
is 10-7.
830
00:41:32,707 --> 00:41:34,882
Gone but never forgotten.
831
00:41:34,907 --> 00:41:37,101
Rest in peace, dear friend,
832
00:41:37,126 --> 00:41:39,715
and protect us from above.
833
00:41:40,873 --> 00:41:42,873
- Synced and corrected by martythecrazy -
- www.addic7ed.com -