Pulse (2025) s01e07 Episode Script

1
[chill percussive music playing]
- Admission forms for room five.
- [Cass] Copy, copy.
Hey.
I talked to Dad.
He is back home.
Swears he's taking his meds.
Good.
I, uh, got an email from HR.
They want me to come in tomorrow
for my interview.
Good luck with that.
Can we talk about what happened at Dad's?
Does it seem like I wanna talk?
Okay, I got two incoming.
Respiratory distress
and a Florida special.
- Who wants what?
- Florida special?
Alligator bite. Trauma jackpot.
You're the chief.
- You pick.
- I mean, obviously I want the gator bite.
Take it.
Thanks. I appreciate it.
Nice.
[in Spanish] Good morning.
- I hear Verο is better.
- Yes, she's better.
And fed up with me.
[Luis chuckles]
Is that why you're down here?
Or could it have something
to do with the fact
that the academic year
is over in a couple of days?
And that time's running out
for you to make a decision
about who'll be chief resident next year?
Mm.
Could be.
[in English] Uh-huh.
[chuckling]
- [distant siren wailing]
- [intriguing music playing]
[music fades out]
- [heartbeat thumping]
- [breathy oscillating tones]
- [sharp breath]
- [heartbeat stops]
[slow exhalation]
- [siren wailing]
- [edgy music playing]
Thirty-year-old male. Severe lacerations
to the face and neck. Lost a lot of blood.
- Stay with me?
- It's okay, baby. I'm right here.
Luis, which trauma bay do we got open?
- Trauma two, Doctor.
- Thank you.
- Dr. Cruz.
- [woman] I'm right here.
Did you wanna…
It's your trauma.
I'm just here to observe.
Uh, translation… don't screw it up.
[music intensifies]
Hi, sir. My name is Dr. Elijah.
Will you tell me your name?
Diego. Gator was going for my dog.
We're gonna take good care of you, Diego.
Airway's intact.
Clear breath sounds bilaterally.
Diego, talk to me. Alligator bite you
anywhere other than your face?
- I don't think so. Is it bad?
- You're talking to me. That's a good sign.
Somebody start me an ultrasound
while I see what we're dealing with.
- [Diego] Should I be scared?
- Do I look scared, Diego?
Let's send trauma labs. Start Zosyn.
And call plastic surgery.
- Scale of 1 to 10. How bad's the pain?
- Freaking 20, bro.
Let's get him one of Dilaudid. Come on.
Guys, there's no standing room today.
Come on. Let's move along.
- Thank you.
- Got you, man.
BP's still low.
He's gonna need more access for blood.
- Start a central line?
- Neck's a mess.
Central line's gonna be tricky.
BP's still dropping.
What's the plan, Dr. Elijah?
- [tense music plays]
- We're gonna do a femoral.
Diego, I'm gonna run an IV line
through your groin, but don't worry.
- I'mma numb you. You won't feel a thing.
- What are you doing a femoral for?
Not like I can go through the neck, can I?
So you choose the slowest alternative?
- Get me another kit for a subclavian.
- Hang on.
I'd rather not risk dropping his lung
when I could go through the groin.
Forget about the risk of infection
with a femoral?
Which is not gonna matter 'cause this guy
is gonna bleed out while you overthink it.
Can you give me some space, please?
Thank you. Here we go. Thank you.
- Hello, sir. Okay, let's get you sorted.
- [tense music peaks and fades]
Let me guess,
you should see the other guy, right?
[tense music resumes]
Forty-four-year-old female found down
in her home. Severe respiratory distress.
Diminished breath sounds bilaterally.
I need a portable chest X-ray.
Let's start continuous nebs and get her
on BiPAP to help her breathe easier.
Hi, I'm Dr. Simms.
Can you tell me what your name is?
Cynthia. [panting]
Hard… to breathe.
We're gonna figure out why. Okay, Cynthia?
Um…
Lungs. Transplant.
Both lungs? Recent?
Okay, let's get you breathing easier.
Then we're gonna figure this out. Okay.
[man] It'll take a second
to get her set up, Doc.
What… What is she doing here?
She's down here deciding
who's going to be chief next year.
I heard it's down to you or Elijah.
Good. Great. No pressure.
- [heartbeat thumping]
- [breathy oscillating tones]
Who brought these?
That travel nurse, Vanessa.
Her abuelita.
Oh, I love Vanessa's grandmother.
Wait a second, is that the last beef one?
Can we share?
That's mine.
- Danny doesn't like to share.
- Mm. I didn't know that.
You see that the resident retreat
is gonna be at the Royal Palm?
That hotel's overplayed.
It doesn't even have a spa.
- As long as they got a bar.
- And a pool.
- And a pool bar.
- It's cute you think you'll be having fun.
You are gonna be too busy kissing ass
trying to get that attending offer.
As if he's not already gonna get it.
And you and Danny are gonna
be fighting for chief residents.
- [Cole] Wait, Danny's the competition?
- Oh, yeah. Sneaky kind.
Pretended she didn't want it,
then popped off this year.
- Shouldn't let your guard down.
- There goes the friendship.
Nah, I always knew it'd be you.
No one I'd rather go up against.
I will still be at the bar though.
Remember, whoever buys Phillips
the most drinks gets chief resident.
Wait a second.
You implying I can be bought?
Mate, we've all seen
what you're like after a martini.
[Harper] Highly impressionable.
I thought it was Cruz
who made the final decision.
Yeah, but she loves Phillips.
- Whoever he picks, she's going to pick.
- That's not true. I'm only one vote.
Uh… yeah, the only one that counts.
- Big shoes to fill.
- [Elijah] No shit.
Bet you wish you shared
that tamale now, huh?
- [chuckles] Whoops.
- [tense note lingers]
[slow exhalation]
[light pensive music playing]
[Luis] Psst.
- We still on for dinner?
- Oh yeah, I'm hungry.
Stop judging.
I'm not doing anything.
You are not allowed to judge.
You have not had a date since 2003.
That's, uh, because I am old and wise.
Or it's because you're soft.
[chuckles]
[in Spanish] What are you saying?
[chuckling quietly]
[in English] Okay. Look.
I get that you have your whole,
"Ooh, I'm a badass, I run this whole ER,
and I'm a charge nurse
who boxes on the weekend" thing.
But let me tell you something, my friend.
You would not last a week
as a single woman in her thirties
trying to date
in a major metropolitan area.
[chuckling scoff] Look.
Just be careful.
Soft.
- It's very sad.
- [Luis laughs]
I do have soft skin. That's true.
Dr. Elijah, do you think
I can present a patient to you now?
- How sick is this patient?
- Not very sick. She has the flu.
- Now's not a good time.
- Okay. So, when do you think?
I don't know.
- Um, do you think 15 minutes or--
- I just said, I don't know.
Here's a tip. Learn to listen.
[music turns glum]
- ["A Bar Song (Tipsy) by Shaboozey plays]
- My baby want a Birkin ♪
She's been tellin' me all night long ♪
Gasoline and groceries ♪
The list goes on and on ♪
This nine-to-five ain't workin' ♪
Why the hell do I work so hard? ♪
I can't worry 'bout my problems ♪
I can't take 'em when I'm gone ♪
[phone ringtone playing]
One, here comes the two
To the three to the four ♪
Tell 'em bring another round
We need plenty more ♪
Two-steppin' on the table
She don't need a dance floor ♪
Oh my… good Lord ♪
Someone pour me up
A double shot of whiskey… ♪
Mr. Phillips.
Oh! Your mother's here. I sent her up.
Wonderful. Thank you.
Everybody at the bar get tipsy… ♪
- [country hip-hop music stops in earbuds]
- [breathing deeply]
[sighs]
You've been avoiding me.
[sighs] Mom, I really don't wanna
talk about this with you.
Is there any credibility to it?
Jesus. No.
- So what does this Danielle Simms want?
- [sighs] I…
- I don't know.
- People don't do things for no reason.
- There must be something she's after.
- Mom. Just let me handle it, okay?
This isn't something you handle
on your own. You need a lawyer.
An advocate.
It is not your job
to solve my problems, okay?
- I'm an adult. I'm a doctor.
- You're a resident.
And the stakes could not be higher
for your future in academic medicine.
- You could lose your attending offer.
- I understand. I get it. I'm handling it.
How are you handling it,
if you don't know what she wants?
She thinks…
[breathes deeply]
She thinks there are other women.
At Kennedy, she heard rumors.
If I told her the truth, then all this--
If you break your NDA,
you will be fired on the spot.
And be on the hook
for millions in damages.
Anyone who googles you
will never hire you.
There's no coming back from that.
She's not gonna tell anybody.
[scoffs] And you trust her not to?
This volatile profiteer you barely know.
I do know her.
We were in a relationship, and…
I fell in love with her.
I just… I need to handle this on my own.
[tense note lingers]
[footsteps receding]
Hi, Cynthia.
[Cynthia] Hm.
How are you feeling?
Well, I can breathe again.
That feels a lot better.
Though that was kinda the point
of the lung transplant.
- Your scans came back.
- Mm…
Scans are not my friend.
So, the reason why
you're having trouble breathing
is you have a pulmonary embolism.
That means you have a blood clot that is
stopping the flow of blood to your lungs.
That could kill me, right?
[tense note rises slowly]
Yeah, it could.
Got it.
So, we're gonna put you on blood thinners.
And we're gonna have to keep you here
until we figure out
what's causing the embolism.
Do you know if my wife is here?
When I started having trouble breathing,
I told her I was coming.
I… I'll go find out.
- Thanks.
- Uh, Dr. Simms?
I'll be back.
Yeah?
Uh, her wife just arrived.
Great. Is there a problem?
[pensive music rises slowly]
Mrs. Cameron?
Hi, I'm Dr. Simms.
I'm taking care of your wife.
Oh God.
How bad?
Uh, she has a very serious blood clot.
And she's been asking for you.
Funny.
Sorry?
It's funny because this is
exactly what I warned her about
when she started smoking again.
[music turns serious]
Um, she started smoking again after--
Yeah! After her miraculous,
life-saving lung transplant,
she went right back to it.
I'm sorry. I have to call our sons.
Give them an update.
Okay.
[serious music continues]
- [sniffling]
- [music fades]
Oh my God.
Wait Wait, are you crying?
It's nothing. It's fine.
[sniffs]
[sighs] Okay.
[Chan] No, it's not fine.
If you were crying,
that's important for me to know.
'Cause…
that would actually be
really cathartic for me.
[chuckling]
It's… really nothing. I was just trying
to present a fast-track patient to Elijah.
Like, for practice.
And he just kind of snapped at me.
It was stupid, I…
I shouldn't have asked anything.
Look.
[Chan sighs]
The first time you get snapped at,
it's hard.
But…
you just can't let it get to you.
It gets easier.
Does it?
Yeah, it does.
So, just keep on asking.
You won't get shit around here
if you don’t.
Hey. I, uh, got your text.
Can I scrub in on gator bite guy?
[snickers] Yeah, keep dreaming.
No, I need you to, uh,
put orders in on my patients.
Yeah. Okay, sure. How many patients?
All of them.
Sure.
Of course.
[sighs deeply]
- [man] Here you go.
- Okay.
Hey. I'm sorry.
I should not have snapped
at you like that.
If you still want to present your patient,
I've got free time now.
- Okay. Mm-hmm.
- Yeah? All right. Come on.
Okay. This is Blanca.
She's our nine-year-old patient today.
- [Elijah] Hello.
- Hi.
I'm Dr. Elijah. Nice to meet you.
She's here with headaches,
fevers, fatigue, and a sore throat.
It's probably just a flu.
We were with family
at a resort in Mexico last week,
and all her cousins had it.
But camp starts next week,
so we just wanted to be safe.
She was febrile at home to 38.2.
She was given Motrin an hour ago,
she's afebrile now.
- Heart rate in the 90s.
- Deep breath in.
Okay. Here. I got you.
Oh, Zelda, huh?
- You unlocked all the Skyview Towers yet?
- Almost.
The one in the Gerudo Highlands
has the best view.
[coughs weakly]
Where all did you go in Mexico?
We were at this little resort
just south of Tulum.
But it wasn't an authentic experience,
if you ask me.
Mostly just stayed at the resort.
- [Elijah chuckles] I see.
- [mother] Mm.
And Camila, what's your diagnosis?
Well, I think with recent travel,
sick contacts with similar symptoms,
a benign exam, I think it's
most consistent with a viral syndrome.
So I'd recommend fluids
and supportive care at home.
[Elijah] It was a good presentation.
Um, it sounds like
it could definitely just be a virus.
But I'd like to run a couple tests,
just to be safe.
Yeah, sure.
Okay.
- Hey, Dr. Elijah?
- Yeah.
I'm sorry, I thought that she would be
a quick discharge. Did I miss something?
Well, on paper, it's a cut-and-dry
viral syndrome patient.
Okay, yeah.
Uh, so why are we keeping her here?
Because she doesn't look right.
Like, how does your patient look?
Sick or not sick?
Not the tests and the labs,
but the actual patient.
I know it's not empiric,
but it really does matter.
Sometimes someone just doesn't look right.
- Hey.
- Yep.
Can I get a monitored bed for triage four?
- The girl with the flu?
- Yeah.
If Dr. Cruz has questions,
have her talk to me.
- Okay.
- Thanks.
[man] Uh-oh!
[Soriano] Hey, Dr. Hoffman.
Dr. Soriano.
Well, I'm glad
you could join us on this one.
I know how you plastics guys
love coming in on a beautiful day.
Please, I only wish
you could get out more.
[Soriano laughing] You're such a bastard.
- This is my resident, Tom Cole.
- [Hoffman] Nice to meet you.
[Cole] Likewise.
[Hoffman] Wow, gator really won this one.
Speaking of which,
see that comeback last night?
I did. I did… I think Dolphins have
a real shot at the playoffs this year.
- [Hoffman] Mm-hm.
- [Soriano] So what do you think?
Vein or Dacron graft for the repair?
Uh… hello? Hello?
[Cole] Sorry, sir. I'm just watching
Dr. Hoffman's suture placement.
I haven't had much exposure to plastics.
[Hoffman] Sure you wanna
be a general surgeon?
[Soriano] Oh God.
All right, Laura. Dacron it is.
- [Laura] On it.
- [Hoffman] So, what's your story?
I don't hear a lot
of that accent around here.
[Cole] Well, my parents moved
from London to the States
when I was a teenager for Dad's work.
- [Hoffman] Where'd you go to school?
- Rutgers. John Hopkins for med school.
- [Soriano] A little suction here, buddy.
- Cool. Must have been top of your class.
- [Cole] Ah. Yes, sir. Yeah.
- [Hoffman] And why medicine?
- Um, well, when I was a kid…
- Just a little more suction.
…I was on a plane,
and this woman up front needed help,
so they called for a doctor.
And we all watched as this guy
went up there and saved her life.
Everyone was so grateful.
I kept thinking, if he hadn't been there,
then she might have died.
Then they moved
the doctor up to first class.
[all laughing]
[Hoffman] That's a great story.
Dr. Cole, you ever think about
a plastics fellowship after residency?
God. You try to poach my junior resident,
can you wait till I'm out of the room?
We're having a party
on our company yacht tomorrow.
- Why don't you join us?
- [Soriano] Oh God.
[Cole] Uh, yeah, I appreciate that.
I do. But, um…
I haven't had a day off in a while.
I've got laundry and… errands.
[Hoffman] Suit yourself.
Thank you.
How's your transplant patient?
Not great.
She has a massive saddle embolism,
which is not a surprise since her wife
told me she's been smoking again.
- Really?
- Yeah. Pretty messed up.
Where is she?
Exam one.
Hi, Mrs. Eckert. I'm Dr. Cruz.
How are you feeling?
"Chair of Surgery and Emergency Medicine."
Wow. I guess this is serious.
It is.
I'm sure Dr. Simms
has explained that to you.
I'm aware.
And that it's not a result
of your transplant?
No, I'm sure it's not.
[solemn music plays]
You try to quit?
Oh, yeah.
Patches and gums.
Hypnotherapy. Regular therapy.
You name it, I tried it.
I understand.
It's hard to do.
[Cynthia] Stress was always
a trigger for me.
Turns out,
recovering from transplant surgery
is pretty stressful.
[laughs]
[Cynthia] Then when my wife
found out I was…
I just got worse.
And worse. And I…
[shallow breath]
[shakily] I couldn't stop it.
Is Amy here?
Yeah. She is.
She doesn't wanna come in, does she?
[whispering] I'm sorry. I'm sorry.
[Cruz] It's okay.
It's okay.
[sobbing]
- [crying] I'm sorry.
- [Cruz] It's all right.
[continues sobbing quietly]
[Cruz exhales deeply]
- Got something to say?
- No.
I just don't understand
how you can have so much sympathy
for someone who is actively
destroying their lung transplant.
How's your father?
Uh, what?
I heard he came in.
Worsening CHF, uncontrolled diabetes.
Probably doesn't watch his diet
or take his meds,
all of which drives you crazy, right?
[poignant music rises slowly]
Yes.
And has your attitude
made him change any of his behavior?
Your empathy allows you
to see people as they are.
And that is a great quality, Dr. Simms.
But don't let it turn into judgment.
We all mess up. All the time. All of us.
Most of the people we see here
are having the worst days of their lives.
They find themselves in situations
they never thought they'd be in.
And our only job is to help them.
- [heartbeat thumping]
- [breathy oscillating tones]
[door creaks open]
I don't wanna get chief
because we're sleeping together.
- Oh boy.
- It's not fair.
- It's not fair to Elijah.
- You're panicking.
Of course I am panicking.
I knew you made a recommendation.
I did not realize that Cruz
was gonna… totally defer to you.
- She doesn't.
- Luis just said.
Yeah, Luis loves to stir the pot, okay?
Cruz makes the decision. Not me.
Yeah, but you do make a recommendation.
Yes. Cruz and the other program directors
are not gonna make a decision based on me.
But they are going to take
your recommendation very seriously.
Maybe.
You don't think I'm capable
of compartmentalizing
our relationship from this decision?
Look, can I suggest that maybe
this panic attack is more about the fact
that you never let yourself believe
that you could be a front-runner?
The fact you've dreamt about this your
whole life, and now it's actually real.
You wanted this.
[sighs]
Fine. Come here.
[soft music playing]
Oh God. Um…
Sorry.
[dramatic music rises and fades]
- [gaps softly]
- [door shuts]
[slow exhalation]
Heard you gave someone with the flu
one of the monitored beds.
Yeah, she looked sicker than I'd expect.
I thought keeping her monitored
was the best decision.
Guess we'll find out soon.
Apparently I need to be less judgmental.
Apparently I need to be less cautious.
So it's just you and me, huh?
Just like before?
Yeah.
I know you're not gonna believe this, but…
that's what I always wanted.
Just you and me, just based on the work.
[solemn music playing]
Look.
I was upset.
What I said about
you using Phillips like that--
I… I get it.
I mean, that's what I was always
worried about people thinking.
About you thinking.
I really didn't wanna be that person.
If I…
I don't know.
Maybe I am.
- [heartbeat thumping]
- [breathy oscillating tones]
Cass…
Cass…
I'm sorry, I really didn't mean to--
Please. Just don't tell anybody.
I won't. I swear.
Okay. Um…
Thank you.
Are you okay?
Uh…
I…
- Look, I didn't go after him.
- You really don't need to explain this.
- I don't want you to think--
- What? That you're using him to get chief?
Danny, maybe I think
he's using chief to get you.
[pensive music playing]
I… This is… [scoffs]
Oh my God. This is such a mess.
I have to tell Cruz.
You can.
Then she's never gonna make you chief.
I don't want one of the biggest promotions
of my professional career
to be because I'm…
sleeping with the guy who decides.
Danny, I have heard your name
floated for this since last year.
Since before Phillips was even here.
Okay. Look, this is really
none of my business, but…
You know, you feel like he's shining
some kind of light on you, but he's not.
You are the light.
If you get this,
it's going to be because you earned it.
Uh Even if that's true,
if people find out about me and Phillips,
they're gonna assume that's the reason--
So don't let anybody find out.
What am I supposed to do?
[chuckles] I can't answer that for you,
but however you decide
to make this right for yourself,
just don't let anybody talk you out of it.
[slow exhalation]
Hey, Blanca.
So, I was talking to your mom and dad
about some test results that came back.
They were a little confusing for us.
Think I could just ask you
a couple more questions?
Okay. Was there anything else
that happened in Mexico
that was unusual for you?
You try any new foods?
Swimming somewhere other than the ocean?
I don't know. Not really.
Anything at all?
- There were those older girls.
- Mom.
She did seem a little moody after.
Because you wouldn't
let me hang out with them.
We will run a couple more tests
just to see if we can find out
what's going on, okay?
- [both] Thank you.
- Of course.
Hey. So…
We have you on blood thinners
to keep the clot from getting bigger
and give your body time
to slowly start to break it down.
But we are gonna have to move you
up to the ICU to continue your care.
She really won't come in?
She is waiting for your sons to arrive.
[chuckles dryly]
You're on her side, huh?
- Not my business.
- Please. [chuckling]
[laughs]
You think you're gonna hurt me?
My lung donor was 21 years old.
Just graduated college.
Went out with her friends
to celebrate and, uh…
got hit by a car walking home.
The guy ran. They never found him.
She survived for a few days
in the hospital and…
then…
she died.
[somber music playing]
I took her lungs.
And I wrecked them.
[trembling breath]
I already feel
guilty and ashamed every single day.
You think anything you say to me
is gonna make me feel worse?
No.
Probably not.
[somber music continues]
[music fades]
[indistinct chattering]
Hi, Blanca. Where'd your parents go?
To make a phone call.
Okay.
Can't I go home yet? I feel dumb
that we're all just still here.
Your parents just want
to make sure you're okay.
I'm fine. And they don't want to be here.
- Why wouldn't they want to be here?
- They're busy.
Yeah, I get it.
- My parents are really busy too.
- With what?
Well, I have an older sister,
and she kind of has a lot of problems.
Adult problems.
So, sometimes I feel like
my parents are so busy with her,
they don't have time for my stuff.
- You don't look like you have problems.
- [chuckles]
I think I'm just really good at hiding it.
And I think maybe
you might be really good at that too.
Blanca, is there anything
you want to tell me
that you didn't wanna say to the doctor?
Well, I mean, it's kind of embarrassing.
[dad] We're figuring it out.
Just give me a beat on that.
All right. Call you later.
[phone lock clicks]
[knock at door]
Libby!
[chuckles] Come in.
What an unexpected surprise.
For Vero.
I hear she's doing so much better.
She is. Thank you.
Do you have a minute?
There's something else
I wanted to talk to you about.
Of course.
Xander doesn't know I'm here.
And I don't want him to.
But I'm sure you can understand my concern
about how damaging this Danielle Simms
situation could be for him.
Sure.
Their relationship was consensual.
There are consequences
for false reporting.
Yes, but there are also
consequences for retaliation.
Libby, there is nothing I can do.
Oh, sure there is.
You're a resourceful woman.
What exactly are you saying?
I'm saying… that I know
you understand how serious this is.
For everyone. Including you.
And I expect you to do what's right.
[dark music playing]
I'm glad Vero is doing so well.
[dark music rises]
[music peaks and fades]
- Okay, Tom. You good to close?
- [Cole] Yes, sir.
[Soriano] I have a round
on my other patients.
Max, uh, always…
always a pleasure, brother.
I mean, it's damn fine work to do, okay?
The feeling is mutual, my friend.
[Soriano] Thank you. I shall see you soon.
- [Hoffman] I hope so, Ruben. You be well.
- [Soriano] Thank you.
He's a damn good mentor.
You're lucky to have him.
[Cole] Oh yeah, I am.
[Hoffman] Okay. Let's get him to recovery.
Thank you so much. You were wonderful.
[woman] Thank you, Doctor.
[Hoffman] So, uh, what's your real story
about why you got into medicine?
- [Cole] You didn't like the plane story?
- It was entertaining, but…
I think there's more.
[Cole] I don't know.
The challenge, the competition,
the gratitude of patients
and their families…
the stability of it.
- I guess it was all very attractive.
- It's not an easy life, though.
I don't envy Soriano.
You're only in your second year.
Now is the time
to fully explore all your options.
And before you dismiss private practice,
you should just come check out what we do.
Come to the party tomorrow.
You can meet my partners,
you can learn all about it,
and you can have a little fun.
Okay, sure.
- Outstanding, excellent choice.
- Yeah.
- Let's do it.
- All right.
Call my office.
My assistant will give you the details.
- Enjoyed working with you.
- Yeah, you too.
[Cole] Hey.
Hey.
So, Sexy Fish or Mandolin tonight?
What's the vibe?
For what?
Our date.
Oh, right. Um, Mandolin. It's easier.
Hey, um, you know Hoffman,
the plastic surgeon?
He's invited me to a yacht party
to meet his partners.
Did you say yes?
Yeah, of course.
Oh, okay.
Well, that's enthusiastic.
No, it's just…
[chuckling] I don't know.
Private practice? Plastics?
I might be interested in private practice.
Shouldn't I see what else is out there?
You have the best, most senior surgeon
at the most prestigious hospital in Miami
as your mentor, and you want
to see what else is out there?
Do you think Soriano
would care if I went to a party?
Yeah.
Academic medicine surgeons
think guys like Hoffman are mercenaries.
Less than. Just profit-driven.
His opinion might change
if he feels that's what you want.
So you think Soriano is so petty
that he might go off me
'cause he's what… jealous?
[scoffs] I think he's human,
and he invested in you, and…
I feel like he'd be pissed if you threw
all that away for a yacht party.
That'd be pathetic.
[chuckling sigh]
Has it ever occurred to you
that whenever you get what you want,
you don't seem to want it anymore?
Yeah, maybe because I'm early on
in my career and my life.
And I don't wanna be pinned down.
Does that not make sense?
Or maybe it's because you are afraid
that you'll be like your dad.
You know, commit to something big
and then watch it fall apart.
[Cole] Hmm.
You had that one ready to go, didn't you?
- Tom, I know you.
- No, you don't know me. Not like that.
That's not what this is.
[exhales deeply]
Hey, Cole.
- Quick consult for you.
- Yeah, sure. Who's the patient?
No. No patient.
- I do have a question for you.
- Okay.
Do you remember
when you were a dumb, little intern?
And then Cass took an interest in you,
and thanks to her kindness
and her… guidance,
now you think you're hot shit.
But you're not.
See, I run things around here.
And I like having you around.
Yeah, I do.
But this is my house.
And Cass matters to me.
Which means if you hurt her,
I'm gonna make sure
you get hurt ten times worse.
You got it?
[in Spanish] Thanks, friend.
[serious music playing]
[grunting softly]
- [in English] She's hot. What's happening?
- BP is crashing.
- Can we get some more nurses in here?
- [man] Yes, sir.
I need another large bore IV
and 500 cc of NS with a pressure bag.
Hey, Blanca. It's Dr. Elijah.
How you feeling?
You still with us?
You all right? Let's see.
- All right.
- [tense music building]
Huh. Not a lot of things
cause rashes to appear on the hands.
- What do we worry about in the ED?
- Um, Rocky Mountain Spotted Fever.
- Um, hand-foot-and-mouth disease…
- Mm-hmm.
Measles, Kawasaki disease,
toxic shock syndrome, secondary syphilis…
Wait. Toxic shock syndrome.
She said there's
something she didn't tell us.
- What do you mean?
- Well, I don't know.
- But she said it was embarrassing.
- [whimpering]
- Has Blanca gotten her period?
- She's nine.
- I know she's young, but it's possible.
- Why would her period cause this?
The older girls at the resort,
if they'd given her a tampon
and she didn't take it out,
it can lead to toxic shock syndrome.
No, it has to be something else.
She'd have told us.
No, she wouldn't have.
And that's not your fault,
but she was embarrassed,
you guys have been busy…
She didn't wanna bother you.
- [moaning]
- We need to do a pelvic exam to confirm.
- Do what you need to do.
- Okay.
[tense music plays]
[whimpering]
- Camila, you ready to save a life today?
- Are you asking me to do it?
- If you want to do it.
- Yeah.
Yes. Yeah.
- [whimpering]
- [tense music continues]
Okay, Blanca, you're gonna feel my hands.
- They're gonna feel a little cold.
- [whimpers]
Yeah.
- You were right.
- You were right.
Let's send this off for cultures.
[music fades]
[sighs softly]
- [phones ringing]
- [indistinct chattering]
- Finished?
- Yes, almost.
Does this say "Lamisil"?
That's what you wrote.
No, I did not. You know why?
Because Lamisil was
discontinued years ago.
Literally cannot trust you
to do anything, Chan.
[humming joyfully]
[continues humming joyfully]
What are you dancing for?
Oh, you know, just saved
a nine-year-old's life today.
How?
Pulled out her tampon.
She had TSS, was in there for days.
But I just brought her here to the ICU.
They're gonna stabilize her,
and then she'll be fine in a few days.
Good work.
- [Camila chuckles]
- [gentle music playing]
Thank you for your advice.
- Okay. Get the…
- [Camila laughing]
[chuckles softly]
[exhales deeply]
[gasping for breath]
It's time.
We need to move you up to the ICU.
I don't wanna go.
I promise you, we're gonna do
everything that we can to get you better.
[breathily] I'm… I'm scared.
[crying] I'm scared.
I hate the ICU.
I should have listened to Amy.
I should have tried harder to quit.
Now that I'm here, I… I'm…
I'm really scared.
And I need her.
I can't do it without her.
- [crying] I can't.
- I'm gonna go try and find her, okay?
Wait, please.
Tell her I'm sorry.
Tell her that I'm…
Tell her
I love her.
I can't go up there without her.
- [gasping]
- I understand.
- Okay?
- Okay.
Give me a minute. I will be right back.
[gasping] Amy!
[crying] Amy.
[crying shakily] Amy!
[dramatic music playing]
Have you seen like a 40-year-old
woman with a lot of gold bangles?
Well-dressed. She's the wife
of my lung transplant patient.
[Harper] Yeah, I haven't seen her.
Sometime we'll have to talk
about what happened.
You know what?
I know that you have a lot going on,
and I am sorry, but I'm done.
You can't be done.
You're my sister. It's not…
Sometimes people try to heal.
They try to move on.
They try to… feel better.
And you just pick, and you pick,
and you pick, and you pick, and I…
I'm over it.
Danny, it's Cynthia. She can't breathe.
[dramatic music intensifies]
Okay, um… can you just…
Can you keep looking for her wife, please?
[monitor beeping]
- Clot must have gotten worse.
- Tipped her into acute heart failure.
- Let's push 50 milligrams of alteplase.
- You got it.
[woman] NS bag ready.
[raggedly] Is Amy here?
The nurses are looking for her.
We're gonna find her. I promise.
- [woman] Oxygen, doctor.
- [chiming]
- [Luis] She was okay a few minutes ago.
- [beeping]
She's bradying down.
Let's get a crash cart in here.
- Start compressions.
- [Luis] Yes.
- [man] Copy that.
- [flatline tone]
Let's push a milligram of epi.
I can get that.
Ma'am, you shouldn't be here.
No, she can stay. Let her stay.
Getting ready for a pulse check.
- Holding compressions.
- [Luis] Got it.
- Anybody have a pulse?
- Nothing.
- Ready to shock.
- [woman] Charging. Everybody clear.
- Shocking.
- [thumping]
- [Luis] Still nothing.
- [Danny] Resuming compressions.
Give an amp of bicarbonate
and another milligram of epi.
[Luis] You got it.
[dramatic music playing]
[Danny] Get ready for another pulse check.
Holding compressions.
- Anybody have a pulse?
- [Luis] Still nothing.
- [Danny] Get ready to shock.
- [woman] Charging. Everybody clear.
- Shocking.
- [thumping]
[music recedes]
[Danny] Resuming compressions.
Let's get another amp of calcium.
I need an ultrasound machine
to check for cardiac motion.
Getting ready for another pulse check.
Holding compressions.
Anybody have a pulse?
[Luis] Still nothing.
[flatline tone continues]
No cardiac activity.
Time of death, 20:38.
[sorrowful music playing]
[music fades out]
["When Love Goes Dark"
by Tommy Ashby playing]
- Mm, mm ♪
- Oh, oh ♪
My redemption ♪
Is slow burning ♪
With no stop signs ♪
Oh, no turning ♪
When you got someone
Who believes they're right ♪
Would you bring a knife to a gunfight? ♪
Hey.
[emotional indie music recedes]
You were a good doctor today.
You did everything you could for her.
She was alone in the end.
[Cruz] I know it's painful.
But she's responsible
for the choices she made.
I know you have your HR meeting tomorrow.
And I know you want it
to make everything better.
And I hope it does for you.
But it's complicated.
And you need to know that this could
also make everything a whole lot worse.
I think you need to ask yourself…
what does winning look like here?
And are you willing
to live with the consequences?
We're livin' in a wasteland, honey ♪
When you cover it in money
It gets so exciting ♪
Ooh ♪
When you know
Somethin' doesn't feel quite right ♪
Then could you
Tell a little white lie? ♪
Hey ♪
It's just half a heart ♪
Don't tell me that's too far ♪
When your body is goin' under ♪
And there's somethin' you gotta find ♪
When your god is out of thunder ♪
And you're walkin' on the line ♪
Hold on tight… ♪
Dr. Simms. You're early for your meeting.
I know. Um…
I'd like to drop my complaint.
Hold on tight to your heart ♪
Hold on tight to your heart ♪
[edgy music playing]
[music fades out]