Brilliant Minds (2024) s02e08 Episode Script
The Upside Down
1
[ELECTRONIC MUSIC PLAYING,
CROWD CHEERING]
♪
[CAMERA SHUTTER CLICKS]
♪
Ladies and gentlemen,
we're beginning our descent
into LaGuardia airport.
Please stow your tray tables
in their upright
and locked
[SWITCH CLICKS, MESSAGE STOPS]
[SIGHS]
You got any plans during the layover?
Catching up on sleep.
In the city that never sleeps?
Are you single?
- I am.
- Come on.
Young, beautiful, single girl like you
should be out hitting the town.
That's not really my style.
Mm, that glitter on your cheeks
says otherwise.
I was at a concert last night,
and I'm fine, I promise.
It's all good. I like to party, too.
Maybe we should party together.
Flight AM208, runways are backed up.
Stacking all inbounds.
Descend to 5,000 and maintain.
Descend, maintain 5,000. Eastern hold.
Take her off autopilot. Your plane.
- My plane.
- I gotta use the head.
- Is everything all right?
- If we're stuck circling,
I'm not going to be able to hold it.
It'll just be a minute.
Unless you can't handle it.
- I can.
- It'll be our little secret.
Just like that glitter
on your cheek, tiger.
[CLICKS TONGUE]
[ELECTRONIC MUSIC PLAYING,
INDISTINCT CONVERSATIONS]
[BELL DINGS]
[CAMERA SHUTTER CLICKS]
♪
[PLANE RUMBLING]
Occupied.
[LOUD RUMBLING]
[ALARMS BLARING]
[PEOPLE SCREAMING]
Whoa!
Center, AM208.
We've lost engine master one.
AM208, state your altitude.
[ALARMS BEEPING]
Leaving 2,000 for 3,000.
AM208, your transponder
indicates you are descending.
Center, we are experiencing
significant visual disturbance.
Roger, AM208. Do you wish
to declare an emergency?
What's happening?
Where's Captain Clark? I need him now.
The turbulence
knocked him unconscious,
but I was able to get him strapped in.
Get everyone belted in
and in brace positions.
Okay.
Low. Pull up. Low. Pull up.
Flight AM208, do you copy?
Low. Pull up.
Flight AM208, come in, please.
Obstacle. Obstacle.
Flight AM208, you need to respond.
Pull up.
Center, this is AM208.
I'm attempting an emergency landing.
♪
[CELLO MUSIC PLAYING QUIETLY,
MONITOR BEEPING]
♪
Your dedication is admirable, Ana.
Sensory and motor stimulation
are crucial at this stage
and exactly what Jorge needs.
Si, pero three weeks.
Nothing. When will my son wake up?
- Every case is different.
- There is no precise timeline.
But Jorge is stable.
We'll continue with
the aggressive rehabilitation,
monitor him, and wait.
Doctor Wolf, Jorge
hasn't shown meaningful
neurologic recovery in weeks.
I'm worried about maintaining
this level of hope
given the current circumstances.
Trust the process, Dr. Porter.
Does the process
always include Bach and ferns?
Yes, actually. Excuse me.
Hey. Where are you off to so early?
Oh, I got a call from
the family of a former patient.
He was supposed to be discharged
from Hudson Oaks a week ago,
but they can't get a straight answer
- as to why he's still there.
- And you're going there now?
- If you let me.
- Carol, Hudson Oaks,
that's where that succubus
with the brochures is from.
She's always lurking
around our hallways,
poaching our psych patients.
I'm afraid if you go there,
I may never see you again.
Don't get my hopes up.
Was there something you actually
wanted to talk to me about?
No. Just checking in.
Day seems pretty quiet.
What's up?
Checking my credit card statement.
The credit card you gave Sam,
your unhoused patient
with schizophrenia.
- How much did he spend?
- It's fine.
He He needs it.
Ericka Kinney, cancel it right now!
Good morning, ladies.
Happy mandatory drug test day.
W-What's happening, now?
Bronx General's policy mandates
a drug test every six months.
It's been two years
since neuro had one.
Hope you're all hydrated.
- I'm getting fired.
- We don't know that.
I don't have
a prescription for my benzos.
When was the last time you took one?
Last week when I went down to the E.D.
Okay. Here's the plan.
No more benzos
while we flush your system.
Today, avoid elevators, the E.D.,
anything that would trigger
your anxiety.
And then we need to get
a serious handle on this.
- Okay.
- Guys, there was a plane crash.
The patients are coming here.
We're needed down in the E.D.
- All available personnel
- So scratch that plan.
Plane crash, multiple injuries.
40 patients en route.
Every time one of these
boneheads loses the remote,
I got to risk my life
to change the channel.
We continue to bring you
updates on this developing story
as more information comes in
regarding injuries
and any possible causalities.
Right now, you're looking at pictures
of Atlantic Meridian jetliner
that went down into
the Hudson River, a seven
You're lucky you didn't go
swimming this morning, Dr. Wolf.
[REPORTER SPEAKING INDISTINCTLY]
Okay, people,
let's divide and conquer!
And to my neuro colleagues,
not the day to get all nerdy.
- Treat and street.
- What he means is you'll be
taking patients regardless of
whether they're neuro or not.
And because it's an MCI,
you'll be working unsupervised.
There's no time
for attending presentations.
I've got your back if you need me.
Buckle up.
It's gonna be a bumpy ride.
[SIRENS WAILING]
Oh, no, not the "walking wounded bus."
Why does Bellevue
always get the big traumas?
Get warm blankets.
Screen for hypothermia.
There are laceration kits in the cart.
Upgrade trauma as necessary.
- On it.
- On it.
Right over here.
[INDISTINCT CONVERSATIONS]
- Hey.
- She insisted on
being the last to be rescued,
says she can't open her eyes.
Possible jet fuel exposure.
Captain, I'm Dr. Wolf.
These passengers
are lucky to have you.
No, I felt them. My vision failed me.
Something's seriously wrong.
I'm living in a nightmare.
Come here.
Let's have a seat up here, okay?
You okay?
Mm, yeah.
[INDISTINCT CONVERSATIONS]
♪
Can I examine your eyes?
Okay. Look at me.
What do you see?
Everything's upside-down.
It happened during the flight.
Your eyes look normal,
but what you're describing
is an incredibly rare phenomenon
called reverse visual metamorphopsia.
We need to run some tests right away.
Here. This should help keep you warm.
I can't move my right side.
I can't move my right side.
Visual disturbance
and unilateral weakness.
Call a code stroke now!
Hey, listen, I'm afraid
you might be having
a life-threatening stroke.
I need you to lie back for me
right now, okay?
All right, let's go.
She's declining fast.
We need to get her to a scanner, stat.
- Stroke code in the E.R.
- Everybody move!
Move! Move!
Excuse me.
Elle, your scans are
inconclusive for a stroke,
so we need to do more tests
to know for sure.
In the meantime, if it is a stroke,
I'm obliged to tell you
that there is a drug called TPA
which may restore your vision
and your strength.
But we'd have to give it now.
It's less effective
the longer we wait.
Let's do it.
It's more complicated than that.
If we're wrong,
if you're not having a stroke,
then TPA could cause
life-threatening bleeding,
especially after trauma.
If I may, I've seen TPA work miracles.
There are some very impressive
studies to back this up
Thank you, Dr. Porter.
Thorne and I
are running this stroke code.
You're here to document.
That means you write, not speak.
What's the call, neuro?
My instinct is not to give the TPA.
Elle, there are too many unknowns.
I think we should get an MRI
so we have a clearer sense
of this situation
If your gut is wrong,
could I be permanently impaired?
I'm asking you to trust me here.
Um
No. No. What?
Why is this so difficult?
Uh, you have got to be kidding me.
- You good, Kinney?
- No.
Thorne sent me
to find "sixoh" sutures,
and I can't find them anywhere.
He means six-oh, as in six zero.
Oh. Thank you.
- No prob.
- Hey.
- You're a former athlete.
- Former?
Silva is giving a drug test today.
And I'm not accusing you, but
you must have had teammates
who passed dirty.
Damn, Kinney. You still on the benzos?
- [SIGHS]
- I've seen it all
donated urine,
synthetic urine, adulterants.
None of it works. Don't even go there.
This is too much. I am spinning out.
- I got you, sixoh.
- [PAUL SCREAMS]
Come on.
[SCREAMS]
[GRUNTING PAINFULLY]
There
Something's wrong down there.
Let us take a look, okay?
Sir, your testicle got
twisted up from the impact.
Now we'll have to untwist it.
Otherwise its blood supply
will be cut off,
and you could lose it.
This is what I get
for letting that stupid bitch
fly unsupervised. Oh.
I'll untwist. On my count.
Actually, on my count.
By the look of this, this will
only hurt a little, tiny bit.
- Ready? One
- Oh.
- Two
- Just breathe.
[SCREAMS]
Dr. Pierce!
Carol, please.
Dr. Amelia Fredrick,
director of psychiatric care.
- We met before at Bronx General.
- Yes, I remember.
It's nice to see you again, Amelia.
What a pleasant surprise.
I only wish I'd known you were coming.
I'd love to give you a tour.
Oh, I wouldn't want
to take up your time.
I wanted to ask about Hector Martinez.
He's a patient of mine.
Oh, yes, I know Hector.
He's a lovely man,
and he's making good progress.
Uh, well, his family's
been getting mixed messages
about the timeline of his discharge.
That's why I'm here.
They wanted a second opinion.
Oh, that's strange, because
we always include the family
in discussing discharge plans.
In any case, I'm happy
to take you to see Hector.
- Great.
- He's right this way.
It's all over the news.
162 souls on the plane.
All accounted for.
Thank you. Thank you for telling me.
How did you safely land a plane
with everything upside down?
I trusted my instruments.
That's what pilots are taught.
Interesting.
'Cause I got more
breaking news for you.
The MRI just came back.
It's normal.
Now we got to run some more tests
to figure out these symptoms,
but you definitely
do not have a stroke.
Your copilot was right about the TPA.
Copilot?
You mean Dr. Wolf?
Mm.
One thing about Wolf,
he's an odd bird,
but the guy knows his stuff.
He's a walking medical instrument.
You can trust him.
I do.
[MONITORS BEEPING RAPIDLY]
Is this it? Is he leaving me?
He spiked a fever 102,
and now he's hypotensive.
He's infected again.
Let's bolus him a liter,
get him a full set of cultures,
and start with vanc and zosyn.
[BREATHING DEEPLY]
I know this is scary,
but infections are common
for people as sick as Jorge,
especially since he's been
in the hospital for this long.
We can treat this.
Where is Dr. Wolf?
He's dealing with patients
in the emergency department.
I am very familiar
with your son's case.
You can trust me.
What the hell did you do?
You could've killed us all.
[WHISPERING] I could've lost a nut.
- Hey, back off!
- I am gonna make sure
that you lose your license.
Hey, what's happening here?
I'm just trying to get some answers.
No, you're getting strapped
down if you don't take it easy.
She at least owes all
of you an explanation.
Come on.
Right?
You don't have to say anything, okay?
There? Tell us what happened.
[ELLE BREATHES DEEPLY]
I dairy
I dairy tomato cheese
Magneto jam. I
What is wrong with her?
Elle, look at me.
Where's the overshoot? The overshoot?
You see? She's unstable.
She's unreliable.
Let's get point-of-care glucose.
Okay. Elle, can you tell me
what today's date is?
Squawk 7-7-zero. Mm.
Hold out your arms toward me
and resist the pressure, okay?
No focal deficit.
It's drugs. Guaranteed.
Tell them where you were last night.
You're testing her for drugs, right?
Next flight that you're going to be on
is one taking you to prison.
It's okay.
Agents Bellum and Cortes
with the National
Transportation Safety Board.
We need to speak with Elle Parker.
Are you taking any medication,
prescribed or otherwise?
I'm I'm on lis
lis-lisinopril for
for h-hypertension and
melatonin for sleeping.
All FAA approved.
And neither of which
cause any impairment.
How long is this going to take?
You can see she's not well.
Did you note any mechanical
malfunctions before takeoff?
No.
When did you first
communicate distress?
[SLURRING] Mm, at approximately
7:14 a.m.
and just just before landing.
Did First Officer Parker
appear intoxicated upon arrival?
- No.
- No.
How do you explain the speech?
Aphasia can be multifactorial,
but she urgently needs
additional workup.
You need to let us
get back to treating her.
We want a copy
of the toxicology report
- as soon as it's available.
- Sure.
- You can go now.
- Elle, come on. Let's
Oh, she stays here.
We have more questions.
You two can leave.
She was speaking complete
gibberish two hours ago, which
would make more sense if her
stroke imaging wasn't normal.
There's no mass, no dissection.
Her speech resolved,
and she's not presenting like
any typical toxidrome I know of.
I know drug users. She's not that.
We gotta figure this out before
they draw their own conclusions.
[MONITOR BEEPING STEADILY]
Mrs. Torres?
Jorge's blood pressure is better
after the fluids.
I'll tell you as soon
as we have any more news.
Is my mijo going to live?
The fact that he hasn't
woken up yet is not good.
There is a real possibility
that he won't return
to anything like he was before.
I think it's time
we start asking ourselves
how much would Jorge
be willing to go through?
I don't want him to suffer.
There comes a time
when doctors stop
doing things for a patient
and start doing things to them.
He would not want to live this way.
As someone who has some
personal experience with this,
may I make a recommendation?
We're treating Jorge's infection,
and we hope he'll continue
to get better.
But if he worsens,
we won't recommend
any more invasive procedures.
[CRYING SOFTLY]
We allow Jorge to pass
with peace and with dignity.
Gracias.
[CRYING SOFTLY]
It's great to see you, Hector.
It's been, what, about a month
since you got here?
It's been that long?
Yeah. You were supposed
to be discharged a week ago.
What happened?
I'm not ready to leave.
As long as I'm here,
I'm not the only crazy one.
Unh-unh. We don't use that
"We" don't use that word. I know.
But other people still do.
People on my job,
the ones that saw me lose it,
they all use that word.
How am I supposed to go back to them,
my family, and act like
everything's normal?
It's going to be hard,
but you can do it.
Part of your commitment to treatment
is to develop the tools
to handle adversity.
- Mindfulness, hobbies, passions.
- Mindfulness, hobbies, passions.
Yes. Hector,
even the strongest people,
if they lose those tools,
they lose the ability
to navigate obstacles.
And the key is
to develop a diverse toolbox
so you're always prepared.
And you have one
of the best tools of all,
a family that loves you.
They reached out to me.
Yeah. They want you home.
They do?
Very much so.
[INDISTINCT ANNOUNCEMEN
OVER INTERCOM]
Hey, uh,
how's it going with Mrs. Torres?
We're treating the infection,
but she agreed
if Jorge continues to worsen,
we won't intervene
with invasive measures.
That doesn't sound Wolf-sanctioned.
I'll talk to him.
But Mrs. Torres deserves
to know what comes next.
He'll most likely exist
in a painful, torturous loop
until he dies and she's bankrupt.
Wow.
Good luck convincing Wolf of that.
He never gives up on a patient,
but a patient that the chief
is also invested in?
So you agree.
He's lost professional distance.
Wolf gets overly attached, yes.
But he also always tries
to give hope to the hopeless.
Give them a fighting chance.
The only thing worse than
no hope is false hope.
And the opposite of fighting
isn't giving up,
by the way. It's peace.
Sorry, but I gotta, um
Back trouble?
Uh, no. I'm trying to understand
how Elle sees the world.
[ELECTRONIC MUSIC PLAYING ON VIDEO]
- What is this?
- A video surfaced.
It's been making the rounds
on socials.
I give it an hour
before it's on the news.
This is what our copilot was doing
12 hours before she crash-landed
into the Hudson.
Are her toxicology results back yet?
Prelim negative. But they don't
catch all the new rave drugs.
Are you okay, Dr. Wolf?
Get Thorne and Elle in here
right away.
I have an idea.
You know, for a long time,
inpatient mental healthcare
facilities meant
soulless state-run institutions.
But then, well, those shut down,
and for decades,
only the wealthiest patients
have been able to stay
in Betty Ford or what have you
for tens of thousands a month.
We are trying
to make long-term inpatient care
accessible to all.
I grew up without money,
and I was forced
to watch my mother suffer
because affordable care
was out of reach.
I have made it my mission
that no one should ever have to endure
that kind of helplessness.
Well, clearly, what you're
doing here is working.
It's been very good for Hector.
I'm so pleased to hear you say that.
Patient satisfaction is
our top performance metric.
[CHUCKLES]
My only concern is, if he stays here,
then he won't be able
to keep up his relationships
with the outside world,
which is why I think
he's ready to be discharged.
Oh, I agree.
I will start the discharge
process right away.
- Great.
- Oh, Carol, thank you so much
for coming by.
I really hope that we'll be able
to work together more.
Can I hug you? [CHUCKLES]
Okay, bye!
- [CHUCKLES AWKWARDLY]
- [BIRD CAWING]
I swear I'm not on drugs.
I've been sober for years.
Dancing is just how I reset.
I can disconnect from the world
like when I'm up in the air.
The problem is, this accident
has opened your entire life
- to scrutiny.
- Tell me something.
Before your vision flipped, did
you see anything else unusual?
The Manhattan skyline
started having black dots
all over the buildings.
I want you to write something for me.
- What?
- Anything,
just a-a complete sentence.
What are we doing?
Those investigators will say
that video is all the proof they need.
There are drugs that are undetectable
and can cause patients to claim
they're seeing upside down,
when in fact, they're just high.
No, I need Elle to provide
undeniable proof
that her brain
is actually wired upside down.
[BREATHES DEEPLY]
Elle, this proves that
you're not seeing upside down.
Your brain is processing upside down.
And I know the cause.
The flipped vision, the coma states,
the disturbances in speech,
the weakness,
they are all symptoms of one thing
a rare, complex, basilar migraine.
A migraine?
I've never even had a headache.
Well, typically, complex migraines
don't come with a headache,
but rather neurological
disturbances called aura.
And those black dots you saw
were an aura,
a warning sign of a migraine.
It's one of the most mysterious
phenomena of the human brain.
Can't migraines
just come on at any time?
I'm never going to trust
myself to fly again.
Let's just start you on meds,
all right, before you ground yourself.
Medication can successfully
stop migraine symptoms.
But to prevent them
from happening altogether,
we need to get underneath what's
triggering your migraines.
And we have the perfect doctor here
to help you with that.
Yes, she is wonderful.
While you were with the pilot,
Jorge was febrile and hypotensive.
I started him on antibiotics,
and his pressure improved with fluids.
- Good work.
- And I talked with Mrs. Torres.
Together, we came up with a
new plan for Jorge's treatment.
We're not going to escalate
any further.
No pressors, no lines.
Dr. Wolf, Mrs. Torres is worried
about her son's suffering,
and I understand.
She's not unreasonable
[INDISTINCT CONVERSATIONS]
I am sorry I couldn't come by earlier,
but I understand you're making
some big decisions today.
I'd be happy to talk about them
with you.
Jorge's not waking up.
I know, but as we keep
saying, he can still get better.
I believe he will.
To stop now, after everything
Dr. Charlie is wrong?
[MONITOR BEEPING]
He's not wrong.
He's young.
Young doctors haven't seen as much.
They may not have seen
a patient as sick as Jorge
who ultimately gets better, goes home.
You say one thing,
Dr. Charlie says another.
Por favor, leave me with my Jorge.
Has the medication kicked in?
- Thankfully.
- Good.
I still don't understand.
I've never had a migraine before.
- Why now?
- You probably have.
You just didn't recognize
the symptoms.
Let's start with this morning.
Did you notice anything unusual?
It's a routine flight.
I was feeling fine until the approach.
Well, flying
into New York City's airspace,
that can be stressful, no?
It's actually the opposite.
Flying over the city gives me
perspective. From up there,
everything down here is made small.
The people, buildings
problems, I'm free from all of that.
And as the pilot, I'm in control.
Did you feel in control this morning?
I did. Only issue was my captain.
He was acting kind of inappropriate.
Inappropriate? How so?
Asking me about my personal life.
And it's not a big deal,
but I ideally don't want
to be trapped in a cockpit
with someone who's hitting on me.
Well, has that ever happened before?
Never. No.
Well, we do know
that emotional triggers
can cause migraines.
Could this event with your captain
connect back
to something else in your life?
I mean, even if there was,
I don't see how
one small interaction like this
could be such a trigger.
The dancing, the flying,
that's where you feel free.
Was there a time
where you felt trapped?
Like you couldn't escape?
Growing up, it was
just my mom and me, in Hartford.
We didn't have a lot.
Which is why I think
she decided to marry him.
She thought she was
giving me a better life,
but I don't think she realized
he'd always be in it, too.
Or whether he would decide
to drink that night
and take it out on my mom. Or me.
That sounds terrible.
Is that why you became a pilot?
To escape that situation?
Did you know that on a wide body 767,
there are 463 pre-flight checkpoints
and five distinct and critical
phases of acceleration,
and two Pratt and Whitney
engines to thrust up.
All the while, we monitor
no less than 1,000 data points
in real time all this,
every time, just to take off.
That sounds difficult.
It's not. That's the easy part.
When I had to walk out one single door
when I left home and my mom for good,
that was the most difficult
thing I've ever had to do.
My mom reached out a few years ago
to tell me he had died, but
I still can't go back,
and I haven't forgiven her.
Elle.
A wound like this, it needs to heal.
Even at 30,000 feet,
our bodies remember.
They keep score.
But with therapy
and an understanding of
the mechanics of your migraines,
we can treat the
more debilitating symptoms.
Now, we already know that you
are an incredibly strong person,
and not because you're a pilot,
but because you are a fighter
and a survivor.
And that's not ever going to change.
- Yeah. That's pretty incredible.
- Right?
Still waiting on that urine, Kinney.
I'm not sure if you heard,
but there was
a plane crash today, Silva.
I'm aware. Urine.
[INDISTINCT CONVERSATIONS]
- What are you looking for?
- Yeah, no, nothing really.
Just, um, do you remember when
my apartment building collapsed?
Yeah. Afterwards, I snuck
a bunch of benzos from Dana
to deal with the
debilitating anxiety attacks,
and I have been
taking them ever since,
and I have managed to keep it a
secret until today's drug test.
- What's that for?
- If I stick myself
with this needle and I check
myself into occupational health,
I can buy myself some time.
- No. Ericka
- I know, I know, I know, I know.
But, Van, all my life,
all I have ever wanted to do
is be a doctor.
And if I take this test,
I will fail, and I will get fired,
and my life will be ruined.
Wait, no. No. No, no way.
You're not doing this.
There were moments where I felt
you were scared or anxious,
but I thought I must be wrong.
I'm so sorry for never checking
in to see if you were okay.
Ericka, you and I both know the risks
of taking benzos without supervision.
So instead of continuing to hide,
maybe just have
a conversation with Silva.
We've diagnosed Elle
with a treatable form
of complex migraine.
As her neurologist, I can certify
that with proper management,
she will be fit
to fly again with some time.
And as her psychiatrist,
I can assure you
there was no history
of substance abuse.
Elle fully cooperated
and passed every drug test.
She was not at fault.
We'd like to know if Ms. Parker
has any final remarks.
Um
You always wonder
how you'll act in a crisis.
Not only do I take full
responsibility for my actions,
but I'm proud of them.
I landed a plane
while my vision was inverted.
With zero severe injuries.
If this is my last flight,
I can hold my head high.
Ms. Parker, while the investigation
will take several more weeks,
we are inclined to agree with you.
Preliminary reports are your
plane hit a recreational drone
in restricted airspace.
Additionally, Captain Paul Clark's
unprofessional photos led us
to a concerning discovery.
He should have never left the cockpit
while autopilot was disengaged.
While he's suspended, you are not.
[SIGHS]
Silva?
I can't take the test today.
Can't say I was
expecting this from you,
but few things surprise me anymore.
Hey, I've seen it all. So out with it.
Coke? Molly? Ketamine?
- Benzos.
- That's not a big deal.
I don't have a prescription.
Okay, that's a big deal.
Hey, I trust you to handle this.
As a doctor, you know
the harms of self-treatment.
You're jeopardizing your health,
not to mention breaking the law.
Never let it happen again.
Hear me?
Come see me in two weeks.
[INDISTINCT ANNOUNCEMEN
OVER INTERCOM]
You paged, Dr. Wolf?
Sit down.
Why didn't you call me
before you changed
Jorge's goals of care?
I knew you were busy.
I'm a second year.
It's my responsibility
to talk to families more,
- take meetings
- Stop.
You made plans to move
my patient toward hospice
without consulting your attending.
There is no defense for that.
We're a team. We need
to come across as a team,
which means we give
one unified message.
If that message gets fractured,
we lose the trust of
our patients and their families.
Maybe Mrs. Torres
didn't want the team this time.
Maybe she wanted another perspective.
You don't speak
to another family member
without me present.
Dr. Wolf, with all due respect,
this reaction is irrational.
I offered a reasonable
recommendation to Mrs. Torres
based on the information
she gave me about her son.
And if you don't think that's true,
maybe you should look into
why you're so hell bent
on treating a comatose man.
Could it be because he's
also the chief's patient?
Dr. Porter, let me remind you
that you came to this hospital
to work for me.
Do not confuse me allowing you
into this department
as an actual seat at the table.
Your privileges here are,
by definition, provisional.
You are a trainee.
You are a journeyman.
This is not your home.
Do not for one minute
confuse it as such.
Get out of my office.
Now!
Do you want to talk about it?
There's not much to say.
Charlie clearly went a step too far.
But so did I.
You didn't go far enough,
in my opinion.
Charlie is an overstepper.
Like the way
he was pushing for Elle's TPA.
You can't help the team
if you're too busy trying
to put it on your back.
I agree.
In what we do, it's vital
the team works together.
Like you two?
- Yes, actually.
- Yeah, exactly.
Seriously, though, Wolf,
I get that you are frustrated,
but yelling at residents,
come on. That doesn't sound like you.
And you've been sleeping
at your office.
Your desk is a mess.
Yeah, I-I've been working really hard.
When was the last time you
went for a swim in the Hudson?
Probably not since my dad left.
You paying for these sessions, Wolf?
Yes.
- In friendship.
- Mm.
Sometimes courage means
relinquishing control,
letting someone else guide the way.
Our eyes are mirror images ♪
- Dr. Pierce?
- And when we kiss ♪
- Dr. Kinney.
- They're perfectly aligned ♪
And true,
it may seem like a stretch ♪
But it's thoughts like this ♪
Can you recommend a good therapist?
Of course. Is the therapist for you
or for someone else?
For me.
- I need help.
- They will see us wavin' ♪
Other times,
it means seizing the wheel
and charting your own course.
Come down now ♪
This is the first step to you
gaining your confidence back
and believing in
your migraine treatment.
It's an honor to be your copilot.
Everything looks perfect
from far away ♪
Thank you.
Come down now ♪
Now, how long is this flight?
To Hartford? It's just under an hour.
Hope you like soft-shell crab.
It's my mom's specialty.
Ultimately, it takes courage to trust.
I tried my best to leave
this all on your machine ♪
But the persistent beat, it
sounded thin upon the sending ♪
And that, frankly, will not fly ♪
You'll hear the shrillest
highs and the lowest lows ♪
With the windows down ♪
Guiding you home ♪
They will see us wavin'
from such great heights ♪
"Come down now," they'll say ♪
Just wanted to let you know
we started the discharge
paperwork on Hector Martinez.
Thank you, Amelia.
You know, it wasn't my choice
to put Hector in Hudson Oaks.
His family saw one of your ads.
But now that I've been there
in person,
I see that your priorities
are in the right place.
That's so good to hear, Carol.
And I hope you'll think of us if
you ever have someone in need.
Okay.
Have a good night.
Okay. You, too. Bye-bye.
Sometimes it just takes
seeing the world upside down
for everything to make sense.
Nobody wants to help you
more than I do.
I am your doctor.
And you're a very sick man.
But how can I help you
if you won't trust me?
Everything you say is a lie.
It's your word against mine.
But I have witnesses
to corroborate what I say.
Isn't that right Hector?
We have a lot more work to do, Oliver.
So get comfortable.
You're going to be with us
for a while.
sync & corrections awaqeded
[ELECTRONIC MUSIC PLAYING,
CROWD CHEERING]
♪
[CAMERA SHUTTER CLICKS]
♪
Ladies and gentlemen,
we're beginning our descent
into LaGuardia airport.
Please stow your tray tables
in their upright
and locked
[SWITCH CLICKS, MESSAGE STOPS]
[SIGHS]
You got any plans during the layover?
Catching up on sleep.
In the city that never sleeps?
Are you single?
- I am.
- Come on.
Young, beautiful, single girl like you
should be out hitting the town.
That's not really my style.
Mm, that glitter on your cheeks
says otherwise.
I was at a concert last night,
and I'm fine, I promise.
It's all good. I like to party, too.
Maybe we should party together.
Flight AM208, runways are backed up.
Stacking all inbounds.
Descend to 5,000 and maintain.
Descend, maintain 5,000. Eastern hold.
Take her off autopilot. Your plane.
- My plane.
- I gotta use the head.
- Is everything all right?
- If we're stuck circling,
I'm not going to be able to hold it.
It'll just be a minute.
Unless you can't handle it.
- I can.
- It'll be our little secret.
Just like that glitter
on your cheek, tiger.
[CLICKS TONGUE]
[ELECTRONIC MUSIC PLAYING,
INDISTINCT CONVERSATIONS]
[BELL DINGS]
[CAMERA SHUTTER CLICKS]
♪
[PLANE RUMBLING]
Occupied.
[LOUD RUMBLING]
[ALARMS BLARING]
[PEOPLE SCREAMING]
Whoa!
Center, AM208.
We've lost engine master one.
AM208, state your altitude.
[ALARMS BEEPING]
Leaving 2,000 for 3,000.
AM208, your transponder
indicates you are descending.
Center, we are experiencing
significant visual disturbance.
Roger, AM208. Do you wish
to declare an emergency?
What's happening?
Where's Captain Clark? I need him now.
The turbulence
knocked him unconscious,
but I was able to get him strapped in.
Get everyone belted in
and in brace positions.
Okay.
Low. Pull up. Low. Pull up.
Flight AM208, do you copy?
Low. Pull up.
Flight AM208, come in, please.
Obstacle. Obstacle.
Flight AM208, you need to respond.
Pull up.
Center, this is AM208.
I'm attempting an emergency landing.
♪
[CELLO MUSIC PLAYING QUIETLY,
MONITOR BEEPING]
♪
Your dedication is admirable, Ana.
Sensory and motor stimulation
are crucial at this stage
and exactly what Jorge needs.
Si, pero three weeks.
Nothing. When will my son wake up?
- Every case is different.
- There is no precise timeline.
But Jorge is stable.
We'll continue with
the aggressive rehabilitation,
monitor him, and wait.
Doctor Wolf, Jorge
hasn't shown meaningful
neurologic recovery in weeks.
I'm worried about maintaining
this level of hope
given the current circumstances.
Trust the process, Dr. Porter.
Does the process
always include Bach and ferns?
Yes, actually. Excuse me.
Hey. Where are you off to so early?
Oh, I got a call from
the family of a former patient.
He was supposed to be discharged
from Hudson Oaks a week ago,
but they can't get a straight answer
- as to why he's still there.
- And you're going there now?
- If you let me.
- Carol, Hudson Oaks,
that's where that succubus
with the brochures is from.
She's always lurking
around our hallways,
poaching our psych patients.
I'm afraid if you go there,
I may never see you again.
Don't get my hopes up.
Was there something you actually
wanted to talk to me about?
No. Just checking in.
Day seems pretty quiet.
What's up?
Checking my credit card statement.
The credit card you gave Sam,
your unhoused patient
with schizophrenia.
- How much did he spend?
- It's fine.
He He needs it.
Ericka Kinney, cancel it right now!
Good morning, ladies.
Happy mandatory drug test day.
W-What's happening, now?
Bronx General's policy mandates
a drug test every six months.
It's been two years
since neuro had one.
Hope you're all hydrated.
- I'm getting fired.
- We don't know that.
I don't have
a prescription for my benzos.
When was the last time you took one?
Last week when I went down to the E.D.
Okay. Here's the plan.
No more benzos
while we flush your system.
Today, avoid elevators, the E.D.,
anything that would trigger
your anxiety.
And then we need to get
a serious handle on this.
- Okay.
- Guys, there was a plane crash.
The patients are coming here.
We're needed down in the E.D.
- All available personnel
- So scratch that plan.
Plane crash, multiple injuries.
40 patients en route.
Every time one of these
boneheads loses the remote,
I got to risk my life
to change the channel.
We continue to bring you
updates on this developing story
as more information comes in
regarding injuries
and any possible causalities.
Right now, you're looking at pictures
of Atlantic Meridian jetliner
that went down into
the Hudson River, a seven
You're lucky you didn't go
swimming this morning, Dr. Wolf.
[REPORTER SPEAKING INDISTINCTLY]
Okay, people,
let's divide and conquer!
And to my neuro colleagues,
not the day to get all nerdy.
- Treat and street.
- What he means is you'll be
taking patients regardless of
whether they're neuro or not.
And because it's an MCI,
you'll be working unsupervised.
There's no time
for attending presentations.
I've got your back if you need me.
Buckle up.
It's gonna be a bumpy ride.
[SIRENS WAILING]
Oh, no, not the "walking wounded bus."
Why does Bellevue
always get the big traumas?
Get warm blankets.
Screen for hypothermia.
There are laceration kits in the cart.
Upgrade trauma as necessary.
- On it.
- On it.
Right over here.
[INDISTINCT CONVERSATIONS]
- Hey.
- She insisted on
being the last to be rescued,
says she can't open her eyes.
Possible jet fuel exposure.
Captain, I'm Dr. Wolf.
These passengers
are lucky to have you.
No, I felt them. My vision failed me.
Something's seriously wrong.
I'm living in a nightmare.
Come here.
Let's have a seat up here, okay?
You okay?
Mm, yeah.
[INDISTINCT CONVERSATIONS]
♪
Can I examine your eyes?
Okay. Look at me.
What do you see?
Everything's upside-down.
It happened during the flight.
Your eyes look normal,
but what you're describing
is an incredibly rare phenomenon
called reverse visual metamorphopsia.
We need to run some tests right away.
Here. This should help keep you warm.
I can't move my right side.
I can't move my right side.
Visual disturbance
and unilateral weakness.
Call a code stroke now!
Hey, listen, I'm afraid
you might be having
a life-threatening stroke.
I need you to lie back for me
right now, okay?
All right, let's go.
She's declining fast.
We need to get her to a scanner, stat.
- Stroke code in the E.R.
- Everybody move!
Move! Move!
Excuse me.
Elle, your scans are
inconclusive for a stroke,
so we need to do more tests
to know for sure.
In the meantime, if it is a stroke,
I'm obliged to tell you
that there is a drug called TPA
which may restore your vision
and your strength.
But we'd have to give it now.
It's less effective
the longer we wait.
Let's do it.
It's more complicated than that.
If we're wrong,
if you're not having a stroke,
then TPA could cause
life-threatening bleeding,
especially after trauma.
If I may, I've seen TPA work miracles.
There are some very impressive
studies to back this up
Thank you, Dr. Porter.
Thorne and I
are running this stroke code.
You're here to document.
That means you write, not speak.
What's the call, neuro?
My instinct is not to give the TPA.
Elle, there are too many unknowns.
I think we should get an MRI
so we have a clearer sense
of this situation
If your gut is wrong,
could I be permanently impaired?
I'm asking you to trust me here.
Um
No. No. What?
Why is this so difficult?
Uh, you have got to be kidding me.
- You good, Kinney?
- No.
Thorne sent me
to find "sixoh" sutures,
and I can't find them anywhere.
He means six-oh, as in six zero.
Oh. Thank you.
- No prob.
- Hey.
- You're a former athlete.
- Former?
Silva is giving a drug test today.
And I'm not accusing you, but
you must have had teammates
who passed dirty.
Damn, Kinney. You still on the benzos?
- [SIGHS]
- I've seen it all
donated urine,
synthetic urine, adulterants.
None of it works. Don't even go there.
This is too much. I am spinning out.
- I got you, sixoh.
- [PAUL SCREAMS]
Come on.
[SCREAMS]
[GRUNTING PAINFULLY]
There
Something's wrong down there.
Let us take a look, okay?
Sir, your testicle got
twisted up from the impact.
Now we'll have to untwist it.
Otherwise its blood supply
will be cut off,
and you could lose it.
This is what I get
for letting that stupid bitch
fly unsupervised. Oh.
I'll untwist. On my count.
Actually, on my count.
By the look of this, this will
only hurt a little, tiny bit.
- Ready? One
- Oh.
- Two
- Just breathe.
[SCREAMS]
Dr. Pierce!
Carol, please.
Dr. Amelia Fredrick,
director of psychiatric care.
- We met before at Bronx General.
- Yes, I remember.
It's nice to see you again, Amelia.
What a pleasant surprise.
I only wish I'd known you were coming.
I'd love to give you a tour.
Oh, I wouldn't want
to take up your time.
I wanted to ask about Hector Martinez.
He's a patient of mine.
Oh, yes, I know Hector.
He's a lovely man,
and he's making good progress.
Uh, well, his family's
been getting mixed messages
about the timeline of his discharge.
That's why I'm here.
They wanted a second opinion.
Oh, that's strange, because
we always include the family
in discussing discharge plans.
In any case, I'm happy
to take you to see Hector.
- Great.
- He's right this way.
It's all over the news.
162 souls on the plane.
All accounted for.
Thank you. Thank you for telling me.
How did you safely land a plane
with everything upside down?
I trusted my instruments.
That's what pilots are taught.
Interesting.
'Cause I got more
breaking news for you.
The MRI just came back.
It's normal.
Now we got to run some more tests
to figure out these symptoms,
but you definitely
do not have a stroke.
Your copilot was right about the TPA.
Copilot?
You mean Dr. Wolf?
Mm.
One thing about Wolf,
he's an odd bird,
but the guy knows his stuff.
He's a walking medical instrument.
You can trust him.
I do.
[MONITORS BEEPING RAPIDLY]
Is this it? Is he leaving me?
He spiked a fever 102,
and now he's hypotensive.
He's infected again.
Let's bolus him a liter,
get him a full set of cultures,
and start with vanc and zosyn.
[BREATHING DEEPLY]
I know this is scary,
but infections are common
for people as sick as Jorge,
especially since he's been
in the hospital for this long.
We can treat this.
Where is Dr. Wolf?
He's dealing with patients
in the emergency department.
I am very familiar
with your son's case.
You can trust me.
What the hell did you do?
You could've killed us all.
[WHISPERING] I could've lost a nut.
- Hey, back off!
- I am gonna make sure
that you lose your license.
Hey, what's happening here?
I'm just trying to get some answers.
No, you're getting strapped
down if you don't take it easy.
She at least owes all
of you an explanation.
Come on.
Right?
You don't have to say anything, okay?
There? Tell us what happened.
[ELLE BREATHES DEEPLY]
I dairy
I dairy tomato cheese
Magneto jam. I
What is wrong with her?
Elle, look at me.
Where's the overshoot? The overshoot?
You see? She's unstable.
She's unreliable.
Let's get point-of-care glucose.
Okay. Elle, can you tell me
what today's date is?
Squawk 7-7-zero. Mm.
Hold out your arms toward me
and resist the pressure, okay?
No focal deficit.
It's drugs. Guaranteed.
Tell them where you were last night.
You're testing her for drugs, right?
Next flight that you're going to be on
is one taking you to prison.
It's okay.
Agents Bellum and Cortes
with the National
Transportation Safety Board.
We need to speak with Elle Parker.
Are you taking any medication,
prescribed or otherwise?
I'm I'm on lis
lis-lisinopril for
for h-hypertension and
melatonin for sleeping.
All FAA approved.
And neither of which
cause any impairment.
How long is this going to take?
You can see she's not well.
Did you note any mechanical
malfunctions before takeoff?
No.
When did you first
communicate distress?
[SLURRING] Mm, at approximately
7:14 a.m.
and just just before landing.
Did First Officer Parker
appear intoxicated upon arrival?
- No.
- No.
How do you explain the speech?
Aphasia can be multifactorial,
but she urgently needs
additional workup.
You need to let us
get back to treating her.
We want a copy
of the toxicology report
- as soon as it's available.
- Sure.
- You can go now.
- Elle, come on. Let's
Oh, she stays here.
We have more questions.
You two can leave.
She was speaking complete
gibberish two hours ago, which
would make more sense if her
stroke imaging wasn't normal.
There's no mass, no dissection.
Her speech resolved,
and she's not presenting like
any typical toxidrome I know of.
I know drug users. She's not that.
We gotta figure this out before
they draw their own conclusions.
[MONITOR BEEPING STEADILY]
Mrs. Torres?
Jorge's blood pressure is better
after the fluids.
I'll tell you as soon
as we have any more news.
Is my mijo going to live?
The fact that he hasn't
woken up yet is not good.
There is a real possibility
that he won't return
to anything like he was before.
I think it's time
we start asking ourselves
how much would Jorge
be willing to go through?
I don't want him to suffer.
There comes a time
when doctors stop
doing things for a patient
and start doing things to them.
He would not want to live this way.
As someone who has some
personal experience with this,
may I make a recommendation?
We're treating Jorge's infection,
and we hope he'll continue
to get better.
But if he worsens,
we won't recommend
any more invasive procedures.
[CRYING SOFTLY]
We allow Jorge to pass
with peace and with dignity.
Gracias.
[CRYING SOFTLY]
It's great to see you, Hector.
It's been, what, about a month
since you got here?
It's been that long?
Yeah. You were supposed
to be discharged a week ago.
What happened?
I'm not ready to leave.
As long as I'm here,
I'm not the only crazy one.
Unh-unh. We don't use that
"We" don't use that word. I know.
But other people still do.
People on my job,
the ones that saw me lose it,
they all use that word.
How am I supposed to go back to them,
my family, and act like
everything's normal?
It's going to be hard,
but you can do it.
Part of your commitment to treatment
is to develop the tools
to handle adversity.
- Mindfulness, hobbies, passions.
- Mindfulness, hobbies, passions.
Yes. Hector,
even the strongest people,
if they lose those tools,
they lose the ability
to navigate obstacles.
And the key is
to develop a diverse toolbox
so you're always prepared.
And you have one
of the best tools of all,
a family that loves you.
They reached out to me.
Yeah. They want you home.
They do?
Very much so.
[INDISTINCT ANNOUNCEMEN
OVER INTERCOM]
Hey, uh,
how's it going with Mrs. Torres?
We're treating the infection,
but she agreed
if Jorge continues to worsen,
we won't intervene
with invasive measures.
That doesn't sound Wolf-sanctioned.
I'll talk to him.
But Mrs. Torres deserves
to know what comes next.
He'll most likely exist
in a painful, torturous loop
until he dies and she's bankrupt.
Wow.
Good luck convincing Wolf of that.
He never gives up on a patient,
but a patient that the chief
is also invested in?
So you agree.
He's lost professional distance.
Wolf gets overly attached, yes.
But he also always tries
to give hope to the hopeless.
Give them a fighting chance.
The only thing worse than
no hope is false hope.
And the opposite of fighting
isn't giving up,
by the way. It's peace.
Sorry, but I gotta, um
Back trouble?
Uh, no. I'm trying to understand
how Elle sees the world.
[ELECTRONIC MUSIC PLAYING ON VIDEO]
- What is this?
- A video surfaced.
It's been making the rounds
on socials.
I give it an hour
before it's on the news.
This is what our copilot was doing
12 hours before she crash-landed
into the Hudson.
Are her toxicology results back yet?
Prelim negative. But they don't
catch all the new rave drugs.
Are you okay, Dr. Wolf?
Get Thorne and Elle in here
right away.
I have an idea.
You know, for a long time,
inpatient mental healthcare
facilities meant
soulless state-run institutions.
But then, well, those shut down,
and for decades,
only the wealthiest patients
have been able to stay
in Betty Ford or what have you
for tens of thousands a month.
We are trying
to make long-term inpatient care
accessible to all.
I grew up without money,
and I was forced
to watch my mother suffer
because affordable care
was out of reach.
I have made it my mission
that no one should ever have to endure
that kind of helplessness.
Well, clearly, what you're
doing here is working.
It's been very good for Hector.
I'm so pleased to hear you say that.
Patient satisfaction is
our top performance metric.
[CHUCKLES]
My only concern is, if he stays here,
then he won't be able
to keep up his relationships
with the outside world,
which is why I think
he's ready to be discharged.
Oh, I agree.
I will start the discharge
process right away.
- Great.
- Oh, Carol, thank you so much
for coming by.
I really hope that we'll be able
to work together more.
Can I hug you? [CHUCKLES]
Okay, bye!
- [CHUCKLES AWKWARDLY]
- [BIRD CAWING]
I swear I'm not on drugs.
I've been sober for years.
Dancing is just how I reset.
I can disconnect from the world
like when I'm up in the air.
The problem is, this accident
has opened your entire life
- to scrutiny.
- Tell me something.
Before your vision flipped, did
you see anything else unusual?
The Manhattan skyline
started having black dots
all over the buildings.
I want you to write something for me.
- What?
- Anything,
just a-a complete sentence.
What are we doing?
Those investigators will say
that video is all the proof they need.
There are drugs that are undetectable
and can cause patients to claim
they're seeing upside down,
when in fact, they're just high.
No, I need Elle to provide
undeniable proof
that her brain
is actually wired upside down.
[BREATHES DEEPLY]
Elle, this proves that
you're not seeing upside down.
Your brain is processing upside down.
And I know the cause.
The flipped vision, the coma states,
the disturbances in speech,
the weakness,
they are all symptoms of one thing
a rare, complex, basilar migraine.
A migraine?
I've never even had a headache.
Well, typically, complex migraines
don't come with a headache,
but rather neurological
disturbances called aura.
And those black dots you saw
were an aura,
a warning sign of a migraine.
It's one of the most mysterious
phenomena of the human brain.
Can't migraines
just come on at any time?
I'm never going to trust
myself to fly again.
Let's just start you on meds,
all right, before you ground yourself.
Medication can successfully
stop migraine symptoms.
But to prevent them
from happening altogether,
we need to get underneath what's
triggering your migraines.
And we have the perfect doctor here
to help you with that.
Yes, she is wonderful.
While you were with the pilot,
Jorge was febrile and hypotensive.
I started him on antibiotics,
and his pressure improved with fluids.
- Good work.
- And I talked with Mrs. Torres.
Together, we came up with a
new plan for Jorge's treatment.
We're not going to escalate
any further.
No pressors, no lines.
Dr. Wolf, Mrs. Torres is worried
about her son's suffering,
and I understand.
She's not unreasonable
[INDISTINCT CONVERSATIONS]
I am sorry I couldn't come by earlier,
but I understand you're making
some big decisions today.
I'd be happy to talk about them
with you.
Jorge's not waking up.
I know, but as we keep
saying, he can still get better.
I believe he will.
To stop now, after everything
Dr. Charlie is wrong?
[MONITOR BEEPING]
He's not wrong.
He's young.
Young doctors haven't seen as much.
They may not have seen
a patient as sick as Jorge
who ultimately gets better, goes home.
You say one thing,
Dr. Charlie says another.
Por favor, leave me with my Jorge.
Has the medication kicked in?
- Thankfully.
- Good.
I still don't understand.
I've never had a migraine before.
- Why now?
- You probably have.
You just didn't recognize
the symptoms.
Let's start with this morning.
Did you notice anything unusual?
It's a routine flight.
I was feeling fine until the approach.
Well, flying
into New York City's airspace,
that can be stressful, no?
It's actually the opposite.
Flying over the city gives me
perspective. From up there,
everything down here is made small.
The people, buildings
problems, I'm free from all of that.
And as the pilot, I'm in control.
Did you feel in control this morning?
I did. Only issue was my captain.
He was acting kind of inappropriate.
Inappropriate? How so?
Asking me about my personal life.
And it's not a big deal,
but I ideally don't want
to be trapped in a cockpit
with someone who's hitting on me.
Well, has that ever happened before?
Never. No.
Well, we do know
that emotional triggers
can cause migraines.
Could this event with your captain
connect back
to something else in your life?
I mean, even if there was,
I don't see how
one small interaction like this
could be such a trigger.
The dancing, the flying,
that's where you feel free.
Was there a time
where you felt trapped?
Like you couldn't escape?
Growing up, it was
just my mom and me, in Hartford.
We didn't have a lot.
Which is why I think
she decided to marry him.
She thought she was
giving me a better life,
but I don't think she realized
he'd always be in it, too.
Or whether he would decide
to drink that night
and take it out on my mom. Or me.
That sounds terrible.
Is that why you became a pilot?
To escape that situation?
Did you know that on a wide body 767,
there are 463 pre-flight checkpoints
and five distinct and critical
phases of acceleration,
and two Pratt and Whitney
engines to thrust up.
All the while, we monitor
no less than 1,000 data points
in real time all this,
every time, just to take off.
That sounds difficult.
It's not. That's the easy part.
When I had to walk out one single door
when I left home and my mom for good,
that was the most difficult
thing I've ever had to do.
My mom reached out a few years ago
to tell me he had died, but
I still can't go back,
and I haven't forgiven her.
Elle.
A wound like this, it needs to heal.
Even at 30,000 feet,
our bodies remember.
They keep score.
But with therapy
and an understanding of
the mechanics of your migraines,
we can treat the
more debilitating symptoms.
Now, we already know that you
are an incredibly strong person,
and not because you're a pilot,
but because you are a fighter
and a survivor.
And that's not ever going to change.
- Yeah. That's pretty incredible.
- Right?
Still waiting on that urine, Kinney.
I'm not sure if you heard,
but there was
a plane crash today, Silva.
I'm aware. Urine.
[INDISTINCT CONVERSATIONS]
- What are you looking for?
- Yeah, no, nothing really.
Just, um, do you remember when
my apartment building collapsed?
Yeah. Afterwards, I snuck
a bunch of benzos from Dana
to deal with the
debilitating anxiety attacks,
and I have been
taking them ever since,
and I have managed to keep it a
secret until today's drug test.
- What's that for?
- If I stick myself
with this needle and I check
myself into occupational health,
I can buy myself some time.
- No. Ericka
- I know, I know, I know, I know.
But, Van, all my life,
all I have ever wanted to do
is be a doctor.
And if I take this test,
I will fail, and I will get fired,
and my life will be ruined.
Wait, no. No. No, no way.
You're not doing this.
There were moments where I felt
you were scared or anxious,
but I thought I must be wrong.
I'm so sorry for never checking
in to see if you were okay.
Ericka, you and I both know the risks
of taking benzos without supervision.
So instead of continuing to hide,
maybe just have
a conversation with Silva.
We've diagnosed Elle
with a treatable form
of complex migraine.
As her neurologist, I can certify
that with proper management,
she will be fit
to fly again with some time.
And as her psychiatrist,
I can assure you
there was no history
of substance abuse.
Elle fully cooperated
and passed every drug test.
She was not at fault.
We'd like to know if Ms. Parker
has any final remarks.
Um
You always wonder
how you'll act in a crisis.
Not only do I take full
responsibility for my actions,
but I'm proud of them.
I landed a plane
while my vision was inverted.
With zero severe injuries.
If this is my last flight,
I can hold my head high.
Ms. Parker, while the investigation
will take several more weeks,
we are inclined to agree with you.
Preliminary reports are your
plane hit a recreational drone
in restricted airspace.
Additionally, Captain Paul Clark's
unprofessional photos led us
to a concerning discovery.
He should have never left the cockpit
while autopilot was disengaged.
While he's suspended, you are not.
[SIGHS]
Silva?
I can't take the test today.
Can't say I was
expecting this from you,
but few things surprise me anymore.
Hey, I've seen it all. So out with it.
Coke? Molly? Ketamine?
- Benzos.
- That's not a big deal.
I don't have a prescription.
Okay, that's a big deal.
Hey, I trust you to handle this.
As a doctor, you know
the harms of self-treatment.
You're jeopardizing your health,
not to mention breaking the law.
Never let it happen again.
Hear me?
Come see me in two weeks.
[INDISTINCT ANNOUNCEMEN
OVER INTERCOM]
You paged, Dr. Wolf?
Sit down.
Why didn't you call me
before you changed
Jorge's goals of care?
I knew you were busy.
I'm a second year.
It's my responsibility
to talk to families more,
- take meetings
- Stop.
You made plans to move
my patient toward hospice
without consulting your attending.
There is no defense for that.
We're a team. We need
to come across as a team,
which means we give
one unified message.
If that message gets fractured,
we lose the trust of
our patients and their families.
Maybe Mrs. Torres
didn't want the team this time.
Maybe she wanted another perspective.
You don't speak
to another family member
without me present.
Dr. Wolf, with all due respect,
this reaction is irrational.
I offered a reasonable
recommendation to Mrs. Torres
based on the information
she gave me about her son.
And if you don't think that's true,
maybe you should look into
why you're so hell bent
on treating a comatose man.
Could it be because he's
also the chief's patient?
Dr. Porter, let me remind you
that you came to this hospital
to work for me.
Do not confuse me allowing you
into this department
as an actual seat at the table.
Your privileges here are,
by definition, provisional.
You are a trainee.
You are a journeyman.
This is not your home.
Do not for one minute
confuse it as such.
Get out of my office.
Now!
Do you want to talk about it?
There's not much to say.
Charlie clearly went a step too far.
But so did I.
You didn't go far enough,
in my opinion.
Charlie is an overstepper.
Like the way
he was pushing for Elle's TPA.
You can't help the team
if you're too busy trying
to put it on your back.
I agree.
In what we do, it's vital
the team works together.
Like you two?
- Yes, actually.
- Yeah, exactly.
Seriously, though, Wolf,
I get that you are frustrated,
but yelling at residents,
come on. That doesn't sound like you.
And you've been sleeping
at your office.
Your desk is a mess.
Yeah, I-I've been working really hard.
When was the last time you
went for a swim in the Hudson?
Probably not since my dad left.
You paying for these sessions, Wolf?
Yes.
- In friendship.
- Mm.
Sometimes courage means
relinquishing control,
letting someone else guide the way.
Our eyes are mirror images ♪
- Dr. Pierce?
- And when we kiss ♪
- Dr. Kinney.
- They're perfectly aligned ♪
And true,
it may seem like a stretch ♪
But it's thoughts like this ♪
Can you recommend a good therapist?
Of course. Is the therapist for you
or for someone else?
For me.
- I need help.
- They will see us wavin' ♪
Other times,
it means seizing the wheel
and charting your own course.
Come down now ♪
This is the first step to you
gaining your confidence back
and believing in
your migraine treatment.
It's an honor to be your copilot.
Everything looks perfect
from far away ♪
Thank you.
Come down now ♪
Now, how long is this flight?
To Hartford? It's just under an hour.
Hope you like soft-shell crab.
It's my mom's specialty.
Ultimately, it takes courage to trust.
I tried my best to leave
this all on your machine ♪
But the persistent beat, it
sounded thin upon the sending ♪
And that, frankly, will not fly ♪
You'll hear the shrillest
highs and the lowest lows ♪
With the windows down ♪
Guiding you home ♪
They will see us wavin'
from such great heights ♪
"Come down now," they'll say ♪
Just wanted to let you know
we started the discharge
paperwork on Hector Martinez.
Thank you, Amelia.
You know, it wasn't my choice
to put Hector in Hudson Oaks.
His family saw one of your ads.
But now that I've been there
in person,
I see that your priorities
are in the right place.
That's so good to hear, Carol.
And I hope you'll think of us if
you ever have someone in need.
Okay.
Have a good night.
Okay. You, too. Bye-bye.
Sometimes it just takes
seeing the world upside down
for everything to make sense.
Nobody wants to help you
more than I do.
I am your doctor.
And you're a very sick man.
But how can I help you
if you won't trust me?
Everything you say is a lie.
It's your word against mine.
But I have witnesses
to corroborate what I say.
Isn't that right Hector?
We have a lot more work to do, Oliver.
So get comfortable.
You're going to be with us
for a while.
sync & corrections awaqeded