Pulse (2025) s01e03 Episode Script

1
- [sheeting rain pours and wind gusts]
- [tense music playing]
[man on radio] The eye of Hurricane Abby
has just passed Miami.
Power is still out
throughout the entire city.
Until the storm passes, there is no
estimate as to when it will be restored.
The hurricane is moving north,
and is projected to advance
into the panhandle by tomorrow,
so please stay home.
[sheeting rain and wind whipping]
[dramatic music playing]
- [wind whistling]
- [horn honking]
[tires squealing]
[metal clanking]
- [glass shatters]
- [man screams]
[woman screaming]
[man shouts] Ow! My legs! They're stuck!
[dramatic music intensifies]
We just parked.
I got out, and then the pole came down.
Are you a doctor?
I am! Are you okay?
- I'm okay. This is Mike!
- Oh my God.
I can't get out! I can't move!
[panting]
We're gonna get you outta here, okay.
[Mike] Yeah.
[grunting]
- [Mike] Help me!
- [Danny straining]
Please, can you help him?
[grunting]
I'll be back!
[Mike] Help me!
[panting]
[man] Gotta get these lanterns
as fast as possible.
- [woman] Can I get one?
- [man] You got it.
[Danny] Hey, I need hands.
Pole came down. Guy's trapped in his car.
Gimme that gurney.
- [Gabe] You got it.
- Luis, gimme a box cutter.
A what?
Box cutter. Now.
Go, go! Move! Come on!
Thank you.
[music intensifies]
[woman] He stopped talking!
[Phillips] Go, guys! Come on!
- Hey, hang in there, Mike, okay?
- [Elijah] Pulse is thready!
- Hang in there!
- Try to lift this!
Come on! One, two, three!
[all straining]
Come on! We can't move it! It's too heavy!
We have to, or he's not gonna make it!
[woman] Oh my God!
[Danny] Look out. Move!
Come on! Come on!
[air hissing]
- I think it's going down.
- Come on.
Come on, come on.
- Elijah, how we looking?
- It worked! It worked!
Let's go! We're good!
- Legs are clear. Let's get him inside!
- [Elijah] Let's go. Come on. Go around!
[dramatic music peaks and fades]
- [heartbeat thumping]
- [breathy oscillating tones]
- [sharp breath]
- [heartbeat stops]
[slow exhalation]
[Luis] Remember, no scans, no X-rays.
Vents and IV pumps are on battery.
Only use them if you need them.
- There's no power?
- Trauma one's open.
- Should we go somewhere else?
- There is nowhere. We'll take care of him.
- Where are the fuel trucks?
- On their way.
- [Danny] Where's Cole?
- I'm here. Relax. What've we got?
[Phillips] 30-year-old male,
crush injury to his lower extremities.
- What?
- Nothing.
[dramatic music playing]
[woman in ER] Someone
recycle the blood pressure.
[man in ER] Try to get him on the monitor.
[equipment beeping]
Looks like bilateral tib-fib fractures.
One open, one closed.
Two plus DPs on both sides.
- Lungs clear. What do you think?
- Gonna need Ortho.
- No surgery till we get power.
- Vitals are stable. He's got time.
With this kind of crush injury,
we gotta watch out for rhabdo.
Keep him hydrated. Watch his urine output.
Abdomen's soft.
Is he gonna be okay?
We're gonna keep a close eye on him.
But he's okay for now.
[woman in ER] O2 is flowing.
[gentle music playing]
What you did was incredible.
- Thank you so much.
- Of course.
- Let's get her some dry clothes.
- Right. Come with me, hon.
- Wait, what did Danny do?
- Oh, don't tell him.
- Lifted a power pole off this guy.
- No, I didn't.
- With her bare hands.
- And a box cutter, right?
Okay, it was a team effort.
And you know how mad Cole gets
whenever ER docs do anything right.
Eh… More like surprised as it's so rare.
- Oh. He's so mad, bro.
- [Elijah chuckles]
[all laughing]
[soft ambient music playing]
[sighs]
[door shuts]
Want me to leave?
No. I'm fine.
Hey, you did an amazing job out there.
[scoffs lightly]
[Danny] You don't have to.
What?
Be nice to me.
I'm being myself.
You remember I'm the person
who got you suspended, right?
Oh, very distinctly.
So, you're not gonna nice me
into taking it back.
Right.
'Cause only you
would think "nice" is a strategy.
I guess you should have this.
Thanks.
Okay.
If we're being honest,
I'm glad you're here.
Because it's a hurricane,
and you know what you're doing, and…
I don't want people to die.
So, how about a truce?
We'll work together,
keep each other in the loop,
keep the personal shit out of it.
Yeah.
Fine.
- [heartbeat thumping]
- [breathy oscillating tones]
["Si Antes Te Hubiera Conocido"
by Karol G playing]
[overlapping conversations]
Hello.
Wow. I did not expect to see you here.
Sorry, this one's not self-service.
[scoffs lightly]
Can I get a tequila soda?
[Phillips clears throat]
Oh, no. No, it's a… it's a hosted bar.
Oh.
Not your first gala.
Mm. Top of the donor wall, remember?
[both chuckling]
My dad hates coming to these things,
so I get sent instead.
Yeah, Harper, um…
Harper got some sort of award,
but she can't be here tonight,
so I'm doing the hardware pickup.
Wait. You mean she doesn't like
being used as the poster child
for Maguire's inclusivity?
- Shocking, I know.
- [chuckling]
The funny thing is,
she's the only one of us who's this fancy.
And how is that?
- Harvard.
- Mm.
And Harvard Med.
FSU. See what I'm saying?
- Mm-hmm.
- We have a good football team, though.
- Here you go.
- [bartender] Much appreciated.
So, you are stuck here, then, huh?
All alone?
Yeah, and I think I need you.
- Oh?
- I mean, I need a date.
- Oh!
- Not a real date.
- Okay, so, fake date, meaning…
- Meaning we're friends.
- So no dancing, slow or otherwise?
- No. We're not dancing.
What's the policy on telling you how
infuriatingly gorgeous you look right now?
Not accepting compliments.
- Wow. Strict rules.
- Yeah, can you follow them?
It's not me I'm worried about.
Come on, Dr. Simms. Let's go mingle.
[song continues playing]
[slow exhalation]
[pensive music playing softly]
- [knock at door]
- [Camila] Mackenzie?
Hey. How you doing?
Any vomiting or abdominal pain
since I last saw you?
Nope.
- You haven't had any liquids, right?
- This is just for emotional support.
Okay.
All right.
I'm gonna go check on those scans.
Hopefully they were processed
before the outage.
I think it's just food poisoning.
I should go back. He's gonna…
He's gonna think that I ghosted…
- [gasping sharply] Oh…
- Oh! Whoa.
- Oh… God.
- Okay. Who's gonna think you ghosted?
This guy Luke.
He has a generator
and was having a hurricane party.
I started to feel sick,
so I walked over here.
- I should get back.
- No, no. You're not going anywhere, okay?
Stay put.
I'm gonna go check on those scans.
[groans, sighs]
- [wind whipping]
- [clattering outside]
[Cruz] Okay.
Amazing.
Coming off sedation,
overbreathing the vent.
My girl.
Her respiratory rate's stable.
And her O2 sats look good.
Yeah. Let's keep lowering the sedation.
Dr. Soriano didn't want
her sedation lowered.
She needs to be awake and off this vent
before it loses backup power.
Yes, Dr. Cruz.
[Cruz] Thank you.
- [monitor beeping]
- [soft ambient music playing]
Okay, baby.
Just keep doing what you're doing.
Okay?
- [wind howling]
- [expectant music playing]
[woman on radio] As expected,
the back half of Hurricane Abby
is still parked right over Miami
and emergency services are stretched thin.
The power is still out
in many parts of the city,
and temperatures remain high.
The storm remains full strength
in the Miami area,
so it's very dangerous out there.
Please continue to shelter in place
as we ride this out together.
[music fades out]
Hey. Um, the patient, a few hours ago…
I said appendicitis.
You said, "Don't jump to conclusions."
How did you get radiology to process this?
They had a line around the block.
I asked nicely.
Oh shit.
Where is she?
This way.
[tense music plays lightly]
[tense note lingers and fades]
She was right here.
[tense music resumes and fades]
[humming indistinctly]
Here are the files you asked for.
Great.
[Luis clears throat]
What?
Back to Cole, huh?
- He always comes back.
- Yeah. To see if you're still stupid.
[in Spanish] Smarter than you.
[chuckles]
[in English] Hey, I lost a patient.
What? What are you talking about?
- I didn't hear any Code Blue.
- Oh, no. No one died. Sorry.
I mean, I literally lost a patient.
A woman in a sequined top.
Uh… [sighs]
Yeah, sure. She walked
out of here a few minutes ago.
- Uh, walked out?
- Yeah.
Like, not hunched over in pain
or anything?
No, she was fine.
I figured she was discharged.
No, that means her appendix burst.
And, um… she's gonna feel
some relief in the short term,
but it'll start leaking
into her abdominal cavity,
infection could spread, and she could die.
Uh, okay.
This is… This is really important.
Did you note on Mackenzie's chart
that you had surgical consult?
Yeah, 'cause I consulted you.
[softly] Shit.
You lost her?
So I'm in charge of a surgical patient
who is… somewhere.
Is that literally what you're telling me?
Any idea how bad this makes me look?
Well, her leaving wasn't your fault.
No, Chan. You're right. It's not my fault.
It's your fault. But now it is my problem.
If this woman comes back DOA,
then legally it's my neck on the line,
and then I'll have to tell Soriano,
and then I'll have to kill you. Right?
This tracking for you?
You connecting these dots? Yeah?
- I'm gonna find her.
- You remember this, Chan, okay?
This is the day it all went wrong for you.
- [tense note lingers]
- [door opens]
[door shuts]
[indistinct overlapping chatter]
Luis.
My crush injury patient
should be in trauma one. Where is he?
- He got moved to exam five.
- Without my sign-off?
- Chief ordered it.
- No, I…
No… What--
[Mike] Babe, these pain meds
are so strong, I can't feel my face.
Hey. How you guys doing?
This is Dr. Phillips.
He's one of the people
who helped pull Mike out of the car.
Uh… I'm so sorry.
No. No worries.
I can barely think.
This whole thing is my fault.
We only came in for antibiotics
for my stupid UTI.
Wow. You braved a hurricane for a UTI?
[sighs]
Babe. Babe, that UTI is 100%… my fault.
[laughing]
He knows.
This guy gets it, huh?
Bow-bow, chick-a, bow-bow ♪
- Mike!
- Bow-bow ♪
Pain meds are like a truth serum,
aren't they?
Our cruise got canceled
because of Hurricane Abby,
so we have… spent the week
locked in our hotel room.
Awesome. Greatest week of my life.
- Oh my God.
- [chuckling]
[chuckles]
Isn't she breathtaking?
- [woman] I am so sorry about him.
- [Danny] Don't be.
You two are cute.
- I'll be back with those antibiotics.
- See ya.
Hey, Danny.
You moved Mike without telling me?
That's why he's on a cardiac monitor in
a treatment room and not in the hallway.
- I wanted to keep one trauma bay clear.
- We said we'd keep each other in the loop…
Come on. It's not that big of a deal.
[man] Hey, Chief.
- Yeah?
- Yeah?
I got a FOOSH patient
with a deformed wrist in triage.
Okay.
Hey, you're right. It's not a big deal.
I'll take the fracture.
- Thanks. Thank you.
- [Phillips] No problem.
- [heartbeat thumping]
- [breathy oscillating tones]
- [song playing in Spanish]
- That acceptance speech was…
- What?
- Short.
Oh God, was it bad?
No, no. Just charmingly abrupt.
I hate public speaking. Can I leave?
Nope. Not yet. Dr. Cruz!
Heads up.
- Xander.
- Look at you.
- [Cruz] You look great.
- So do you.
- [Cruz] Dr. Simms, you look fabulous.
- Hello.
[Phillips] Didn't wanna bother.
Figured you had enough hands to shake.
Natalie, I have to introduce you
to someone before they leave.
Of course. I'd love to.
So sorry to interrupt, Xander.
And I don't think we've met.
Oh. Uh, Danny Simms. Third-year resident.
- I'm Libby. Great to meet you.
- Nice to meet you.
- Are you having a good time?
- [chuckling] Not really.
[Libby] Hmm.
- Shall we?
- Yes.
[dance song continues in Spanish]
- What?
- "Not really?"
- It's true. Who's having a good time here?
- No one.
So?
But that woman's on the board.
You gotta work on your networking
if you want to be Chief Resident.
I don't wanna be Chief.
- No. Come on. You want Chief.
- [chuckles]
It all but guarantees you an attending
position at Maguire or anywhere else.
Okay.
Everybody knows
that Elijah's gonna get it. And…
I don't let myself want things
I can't have.
Oh. So it's not that
you don't want it, huh?
You know, I feel like
you know everybody here.
No, not everyone,
but I've got some history with Libby.
Hot. [chuckles]
She's my mom.
[inhales] Oh.
Well, you know, I guess that means
that if you want that attending position,
you don't have to do
any networking at all.
Did that bother you?
What, that people think I call my parents
whenever I need something?
That I'm so privileged
I can't do things on my own? Yeah.
That is such
a rich kid thing to worry about.
You know what? You should go over there.
Pick up where you left off.
My mom will love you.
You can be the real boy she never had.
I'll go do that.
Having a mom again would be nice.
[slow exhalation]
[wind howling]
Hey.
One of the last cold ones from downstairs.
- Thanks.
- Mm-hmm.
Why is an intern giving me a soda?
I hear the trauma team
is calling you MacGyver.
[chuckles] Guess they haven't
seen you change a light bulb.
I change them when at least three
have gone out. It's efficient.
- Here.
- No. It's yours.
Don't argue. You need to stay cool
more than I do. Just take it.
Are people actually on my side?
[sighs deeply]
For now.
- No, don't start.
- You have to tell your side of the story.
- HR told us not to talk about it.
- Before he tells his?
- He won't.
- Why won't he?
'Cause he thinks… I'll tell everybody
the real reason he got transferred.
Would you?
I can't tell another woman's story.
Your moral compass is annoying.
Besides, for the first time
in I don't know how long,
people aren't treating me like shit.
- [Harper] That's a low bar.
- What's a low bar?
- Where we're going after this shift.
- You know it.
Friction going on there?
Do you have siblings?
Oh, yeah, three sisters.
- [sighs] That must be hell.
- Actually, they're pretty dope.
Come on. Don't lie.
I'm not.
- I mean, why would I want to ruin this?
- Ruin what?
The first personal question
you've ever asked me.
It's not.
Okay. Yeah, sure.
[Harper] I swear, it's not.
Hmm.
- Hey, Cass.
- Yeah?
Any update on Nia?
Surgery went really well. Dr. Cole did it.
Great. She was already obsessed with him.
No hope for her now.
Hey, Cass. Can I get a lac kit
and some 8.0 gloves, please?
Maybe you should get them yourself.
Uh, okay.
- [wind howling]
- [Camila] What are you doing?
Sophie? Sophie, you can't go
outside in a hurricane.
She walked here from a party.
She's probably walking back.
- And she can't have gone too far, right?
- This is so dumb.
Okay, we don't even know
which direction to go in.
You said they had a generator.
We're just gonna look
for the house with the lights on.
[Camila] You can't be serious.
Sophie, stop, okay? Look, this is crazy.
I know that Cole was really hard on you,
and I would be upset too.
But you could literally die out there.
No, she is gonna die out there,
and I am going to be killed in here.
- I don't want either of those to happen.
- Okay, let's breathe. Let's just think.
I don't have time to breathe,
and it is not my job to think.
I'm not a person with needs.
I am an intern
that is more afraid of Cole
than I am of a hurricane.
I gotta go.
[wind whistling]
- Sophie!
- [wind howling]
Wait!
I'm coming!
[man on radio]
Things are still crazy out there.
Flooding is getting worse as rainfall
continues and winds remain strong.
It's still a very dangerous storm, folks.
So stay inside and stay safe.
You're listening to Y100 Miami.
[pot gurgling]
[sighs]
[classic soft rock tune playing]
Where did you find that?
- Emergency supplies.
- What, from 1985?
- [flame whooshes]
- Aha. And still works.
Takes ten minutes.
- See you in ten minutes, then.
- Hey, uh…
Can I ask you something?
Are people out there picking sides?
You can tell me.
Look, I get it.
You don't wanna overreact, look guilty.
But it doesn't look good,
not defending yourself.
- Looks like she's got something on you.
- She's just impulsive.
I thought she'd realize
she overreacted and drop it.
Why would she? She gets the job,
and she gets to be the victim.
No, man. That's not her.
You sure?
Because if this doesn't work out how
you want, your job as attending next year…
Adiós, amigo. Finito.
Come on.
You've been nice.
Now be smart. Hmm?
[pensive music plays]
[Phillips] Hey, Elijah!
A little help in here.
[music fades]
- [Elijah] Yeah.
- Dislocated hip.
He's out.
Sir, you still with us?
I just said he was out.
Yeah, never hurts to check.
He was out surfing in a hurricane.
Not how I'd choose
to spend the time, personally.
All right.
- You ready?
- Yeah.
[joints cracking]
Nice.
All right.
Good here.
Just a second. Hey, uh…
Has Danny told you anything
about what happened between us?
No.
You trust her?
Are you telling me nothing happened?
- No, but she…
- What?
Wanted it?
Yo, did Danny have you read
her essay for Chief Resident?
A few weeks ago. Yeah.
She wrote it last minute,
before the deadline,
because she never really wanted Chief?
Yeah.
I read that essay months ago.
She wanted it. A lot.
[sighs]
Emergency operations?
Can someone give me an ETA update
on the fuel trucks
for Maguire Medical Center?
[woman] Stand by.
[man] This is operations.
That transport order was rescinded.
[tense note rises]
[Luis] What? Why?
[man] Looks like Maguire Medical Center's
power was restored two hours ago.
[Luis] No, no, no, no.
This is Maguire, dispatch.
We have no power. I repeat, no power.
We still need fuel.
[man] Copy that, Maguire.
This looks like a miscommunication.
Your fuel trucks have been rerouted
to Coral Gables Fire Department.
[staff members exclaiming]
Whoa, whoa, whoa. [shushing]
Hey, hey, hey. Tranquilo, everyone.
Well… Well, reroute them back. I…
We don't have that authorization.
You have to talk to FEMA in Tallahassee.
Hello. We have patients here
who need surgery right now.
We need power.
[radio static hissing]
Hello? Do you copy?
["Unreturned" by Basciville playing]
Oh, man. Okay.
[knock at door]
- Excuse me, Dr. Cruz.
- [Cruz] Yeah.
- There's news on the fuel trucks.
- ETA?
There was some miscommunication.
The trucks got rerouted.
They're not coming.
[inhales deeply]
[equipment chiming]
[exhales] Okay.
But for the love for the notion I… ♪
[Phillips] I didn't expect this to happen.
How do you know
exactly where they sent them?
[Luis] They said Coral Gables.
But it's FEMA's call.
I can make a call.
I can't make any promises, though.
[Cruz] We maybe have an hour
before we lose backup power.
- We just can't let that happen.
- Say no more. I'll take care of it.
[Cruz] Thank you.
Hey. Everything okay?
Yeah, fine.
[dark country music continues]
[wind howling]
The transit order is under
the Miami-Dade County Department
of Emergency Management, I believe.
It's a… It's a big ask. We know that.
But it would be a huge help if…
Oh my God. That…
That would be amazing. Thank you.
Oh, me?
Yeah. I'm okay, you know, I'm…
No, I understand.
Talk to you soon. Thank you, Dad.
Okay, bye.
Unreturned ♪
[song ends]
[monitor chiming]
- [groans weakly]
- What's going on?
He's been having runs of NSV
for the last 30 minutes. K is 6.8.
He's in rhabdo. Increase his IV fluids.
Get him a gram of calcium chloride
and two amps of bicarb.
- [nurse] checking vitals.
- [tense music builds slowly]
[nurse] Get him on the screen for me.
Shit. He's lost pulses on the left side.
He needs surgery.
- How far out is the fuel?
- Don't ask.
What's going on?
Um, his left leg is swollen so much
that it's lost circulation.
And we have to relieve the pressure.
- Or what?
- Anna, you're gonna want to wait here.
Let's get him to a trauma bay
and get me some Chux.
- Pull out the cutdown tray, and get Cole.
- No. I'm coming with you.
Anna, you're not gonna want to see this.
Okay? Trust me.
[tense music continues]
Legs are swollen and cool.
Compartment pressure's over 30. No pulse.
- [Cole] How long?
- About 30 minutes.
- If the ORs are down--
- [Cole] Cutdown tray?
Already prepped for a fasciotomy.
[Cole] Good for you.
[Danny] Tell me what you need.
[Cole] I need you to leave.
I'm serious. This one's gonna get ugly.
I need to do it fast,
and I don't wanna babysit.
It's not because you're a girl.
So don't report me.
For the record, I don't like you either.
But my obligation is to my patients.
It's a rare opportunity
to learn this procedure,
and I would like to learn it from you.
Please.
[Cole] Okay.
Starting my incision to release
the anterior and lateral compartments.
Scissors.
Let's retract.
Now watch how I cut the fascia.
[scissors snipping]
Let's see what you've learned.
[Danny] Making an incision to expose
the remaining compartments.
Scissors.
[Cole] Okay, now make your cuts.
[scissors snipping]
- [snipping]
- [squelching]
See if he has pulses back.
[ultrasound thrumming]
- Pulses are back in the left leg.
- [Cole] Good.
Your cuts were hesitant.
You need to get deep down into the fascia.
Otherwise, it won't release.
He never gives a note
unless he thinks you're really good.
[solemn music playing softly]
[Cruz] Vero.
[in Spanish] It's Mommy.
[in English] You okay?
[in Spanish] Can you squeeze?
Squeeze my hand.
Yes.
[in English] Okay.
All right, baby.
It's good.
[in Spanish] I'm right here.
[in English] I'm not going
anywhere, baby. Okay?
[in Spanish] You are okay.
[equipment chiming]
[dark music plays]
[in English] Stop the sedation completely.
I want her breathing on her own
and off this vent before it dies.
The fuel trucks could come.
We could bag her until they get here.
- I'm not taking that risk.
- Waking her is risky.
This isn't a conversation.
Stop the sedation now.
I'm sorry,
but I have to consult Dr. Soriano first.
Who do you think you're talking to?
I think I'm talking
to the patient's mother.
Get out.
[dark note rises and fades]
You got this, baby.
[music fades out]
- Some doxycycline for the UTI.
- Thank you.
Do you have water?
Yeah. Yes.
[monitor beeping]
[liquid pouring]
Hmm.
Your eye.
[mumbling] It sometimes does this
when I'm tired. It goes away.
Are you aware you're slurring your speech?
Am I?
I'm a mess. [scoffs]
[Danny] Okay.
Nobody goes out in a hurricane for a UTI.
Tell me what you're not telling me.
I was diagnosed with myasthenia gravis
six months ago.
Right after Mike and I got engaged.
I'm sorry. That is shitty timing.
- [Anna] It was. Thank you.
- You should have told us.
- A UTI can cause a myasthenia crisis…
- That's why she came in.
Which affects more than your eyelids
and speech. It can affect breathing.
And it can be brought on
by certain medications like doxycycline.
I wanted to tell you, but…
- [solemn music plays]
- But you haven't told Mike.
I was gonna tell him after the cruise.
I promise you, we're not here to judge.
Would you want a sick wife?
One who might never get better.
Who might need help eating.
Or breathing.
Are you gonna leave him
if he can't walk out of here on his own?
[crying] No. Of course not.
People who love each other
take care of each other.
[music fades out]
- Mackenzie! Mackenzie!
- [dramatic music playing]
[wind howling]
- Mackenzie!
- Mackenzie!
- [gasps, grunts]
- Mackenzie!
[gasping, panting]
Okay. I'm dead.
I'm dead. I'm just gonna lean into death.
Relax. We're gonna find her.
It's an adventure.
Do you ever let up?
The smiling.
The positivity.
The good attitude.
And my God, you look like a TV doctor.
You just… You're making me look so bad.
Making you look bad?
All I want is to be you!
- [inhales deeply]
- [solemn music playing]
[Chan groans]
I know I'm still on my ER rotation.
But I've never thought about
doing surgery until I met you.
I just… I think you're so badass.
You think I'm a badass?
Are you kidding me?
Sophie, Cole terrifies me.
But you don't even flinch.
I mean, you just take it
and then go resect a bowel or whatever.
You really shouldn't let
Cole intimidate you, all right?
Like…
He's just some guy
that slept with half his nursing staff.
Loves his type.
Anyway…
His type?
Ponytails.
Right.
High.
- Tight.
- [Camila chuckling]
Like, it's clinical.
[laughing]
[inhales deeply]
This is insane.
Maybe someone from the party
is gonna bring her.
Yeah, right.
Fine. You win. Let's keep looking.
Mackenzie!
[dramatic music resumes]
Mackenzie.
Mackenzie!
[woman moaning]
Wait! Hey!
- Help.
- [Camila] Mackenzie!
[Chan] Mackenzie!
- You have appendicitis. It burst, okay?
- She's tachycardic.
- We gotta get her to the hospital.
- Yeah. Great.
- Grab that end.
- Okay.
Okay, ready?
One, two, three.
[both straining]
[both grunting]
- [Chan] It's too hard.
- Do we drag her?
She's never gonna make it.
She's already gone septic. It's too far.
- We can't let her die out here.
- What do we do?
[Chan grunts]
Hey!
Hey! Hey!
[screams] Hey!
- Sophie!
- [dramatic music rises]
- Hey, please stop! Please!
- [horn honking]
- [tires squealing]
- Oh God! [panting]
[hydraulics hiss]
[breathing shakily]
[laughing hysterically]
21-year-old female, known appendicitis.
Eloped from the ER.
Found down. Likely perforated appy.
- [Cole] Well, you pulled it off.
- Camila gets a lot of credit for this one.
She was out there with me.
She helped me find her.
Let's go ahead and get her into a room.
This one, please.
[Chan] Hey, uh, Cole,
do you think I can scrub in?
If we don't get power,
there'll be nothing to scrub in on.
Hold on. Wait, whoa. You're saying
you're not doing the surgery?
If the trucks don't arrive,
they're talking evacuations, transfers.
- Without power, we can't operate.
- You have to.
No, I am sorry, but we just went out there
and almost got ourselves killed
to bring her back here,
to bring her to you so you can save her.
She might die before she can
get transferred anywhere else,
so I don't care if the trucks never come.
You are doing the surgery.
[surprised] Excuse me?
Fuel trucks are here!
- What?
- They just pulled up.
It's a miracle.
[pensive music plays lightly]
Can't scrub in now, can I?
No.
But good job finding her.
Wh… Did you hear that?
Oh, I heard it.
That man has literally
never said "good" anything to me.
Good evening, good night, goodbye, good…
job.
["Pretty Girls Walk"
by Big Boss Vette plays]
- Hey.
- Hey.
"Good job."
[both laughing]
Go, Chan! Go, Chan! Go, Chan!
[upbeat hip-hop song ends]
Hey, we got fuel. Kick some ass.
Oh. Thank you.
- Did you hear the fuel trucks got here?
- It's true. I thought it was just a rumor.
- This just happened.
- Nicely done, Chief.
[cheering and clapping]
I didn't do anything.
They're here?
Oh, yeah. Pumping fuel
to the generators as we speak.
Might've made it through this.
Let's get Mike into surgery
and tell Anna the good news.
Danny.
It's trauma one. It's Anna.
[tense music builds]
- [gasps]
- [ER tech] I need some cardiac stickers.
No, no, no.
Passed out.
Got the macrobid, but too late.
Severe respiratory distress.
Myasthenia crisis from the infection.
She's plummeting, can't breathe.
We gotta intubate her.
- Let's get her a dose of Neo--
- Call RT.
She's a hard stick.
Haven't been able to get an IV in.
- Let's do a central line.
- The ultrasound's out of battery.
- It'd take too long. Where's power?
- Pumping the fuel now.
- How long's that gonna take?
- I don't know.
- Shit.
- How about a--
An IO? Yes, I was getting there.
Can you prep to intubate?
- [overlapping chatter]
- [tense music continues]
- You, intern.
- Miguel.
- You ever placed an IO?
- Only on cadavers.
Great.
- [Phillips] Gotta move, Danny.
- Sats are dropping.
- We gotta get this done.
- We do. And Miguel is going to do it.
- Danny?
- No, don't look at him.
Look at me. Name four kinds of nuts.
[Miguel] Um…
It's okay. Breathe.
Four kinds.
[Miguel] Uh, walnuts, pine nuts,
macadamia,
uh… salted.
Pine nuts are technically seeds,
but I will take it.
I want you to hold the needle drill
directly over the proximal tibia.
Salted. That's funny.
- You're a funny guy, Miguel.
- [chuckles]
Now press down, hard and firm, then go.
- [drill whirring]
- [squelching]
- Good.
- O2 is 70 and dropping, guys.
Prepare IV tubing. Gotta get her sedated.
- Does anyone have an ETA on that power?
- I heard someone say five minutes.
I thought the trucks weren't coming.
How'd we get them to?
You're not gonna tell them? Come on.
What'd you do? Call your dad?
Yeah. I called my dad.
He got us the fuel.
[woman in ER] Can someone
grab another IV pump?
Sedation is… in.
You're good to go.
[Phillips] Unbelievable.
Not like everyone doesn't
know who your parents are.
- Are you happy now?
- I was trying to give you credit.
Sats are dropping. They're in the 60s.
- You're too smart to play dumb.
- Fine. Sorry.
Sorry I'm doing your job well.
I'm sorry you're so threatened
by me having the tiniest bit of power.
- Now I'm threatened.
- Be honest.
- Why don't you be honest?
- What about?
The fact that
we were fucking living together.
- [high-pitched ringing]
- [heartbeat thumping]
[faded soundscape echoing]
- [Phillips] Intubation's in.
- [ringing continues]
- [equipment beeps]
- Sats are coming up. She's good.
- [ringing fades]
- That is not… That is… We were not…
- We weren't?
- No.
Is my toothbrush in your bathroom?
Hmm? Are my T-shirts on your floor?
It's more complicated than that.
I did not lie.
But you didn't tell the truth either.
Which is that you went to HR
because I told you I loved you,
and you couldn't take that,
so you pushed me away.
Because your mom walked out one night.
And never came back.
[airy note lingering]
That's what this is.
Because that's who you are.
[somber music playing]
[exhales sharply]
- [heartbeat thumping]
- [breathy oscillating tones]
[soft airy pop song playing]
From the back.
Good stuff.
So another fun fact about my parents.
After I graduated med school,
my dad sent me to Indonesia.
They had a clinic there.
There were so many sick people.
There was this four-year-old boy.
Couldn't breathe, but his heart
was beating, so I bagged him.
Figured I'd keep him breathing
as long as his heart kept going.
But there were so many others
who needed help.
I had to just…
let him go.
His mother made this sound
I'll never forget.
My dad tells people
I got malaria and had to go home.
Because he's so embarrassed that I ran.
My mom left when I was nine,
and I still don't know why.
- I feel like such an asshole.
- No, don't.
[song fades out]
["Lose Control" by Teddy Swims playing]
- Just admit it.
- What?
You want to be Chief Resident next year.
I don't care about Chief.
- I just want to be a good doctor.
- You are.
Danny, I watch you with the patients.
You really see them.
And you make them feel seen.
That's so rare. It's special.
Whoa ♪
Out of my mind
How many times did I tell you… ♪
- Of course I want it.
- Yes!
Good.
- It'll open doors for you after residency.
- Yeah, if I get it.
It's just experience and mentorship.
That's all it is.
Are you offering?
Professionally.
Mm.
Professionally, I accept.
I'm falling apart
Right in front of you… ♪
How serious were you
about the no dancing thing?
Down there? Very serious.
Okay.
But the music is just as good up here.
Yeah, you're breaking my heart, baby ♪
You make a mess of me ♪
Problematic ♪
Problem is, I want your body
Like a fiend, like a bad habit ♪
Bad habit's hard to break
When I'm with you ♪
Yeah, I know I could do it on my own ♪
But I want that real full-moon
Black magic, and it takes two ♪
I lose control ♪
When you're not here with me ♪
Mm-mm ♪
Yeah, you're breaking my heart, baby ♪
You make a mess of me ♪
[song fades out]
- [rain pattering]
- [wind whistling]
[Danny sobbing softly]
[indistinct conversation]
But next time, maybe it's something…
- [Camila] Yeah, I don't know.
- [Cole] I'm not sure…
Vent's almost out of battery.
That's okay. You're doing great.
You're gonna be breathing
on your own any minute.
You're so safe.
[woman 1] Dr. Cruz. Fuel trucks are here.
- They are?
- Power should be back on any minute.
Thank you.
- [woman 1] They need you in room 12.
- [woman 2] Coming.
What, baby?
What, baby? No. Breathe, honey.
Just breathe, baby. Just breathe.
- Her sats are dropping.
- Need help in here.
Get her back on sedation.
Give her 50 of propofol.
And restart her drip.
Call Soriano. Hold her down.
- She pulled out her central line.
- What other access do we have?
- Just a small peripheral IV.
- Grab some propofol in a 20cc syringe.
Honey, look at me.
It's okay, baby. I'm sorry.
- I'm sorry.
- [nurse] Drawing meds up now.
- Do it faster.
- Her stats are dropping.
- [intense music playing]
- Hold on, baby. Hold on.
Hold on. Just hold on, baby.
Hold on. Baby--
- [deep thrumming]
- [man] We got power!
Okay. Hold on, baby. Hold on.
- Hold on.
- [nurse] She's bradying down.
She's gonna code.
[flatline tone]
[dark note lingering]
[dark music rising slowly]
[shuddering breath]
[music peaks and fades]
[tense palpitating tones]
[edgy music playing]
[music fades out]