Brilliant Minds (2024) s02e14 Episode Script
The Invisible Man
1
Previously on "Brilliant Minds"
I got a call from the medical board.
A complaint was filed that
you breached an ethical code.
I'm the one who reported you.
I know. You had your reasons.
I'd like us to move forward.
What did you mean by
"if Carol can be Dana's mentor"?
That Dr. Dang reported Dr. Pierce.
But they've clearly moved past it.
Dr. Dang did what?
Why would you not tell me this?
Because it wasn't about you, Wolf.
We tell each other everything.
Why not this?
Don't be alarmed. I know, Noah.
I know.
Who are you?
- Sofia.
- He was treating you.
I have these crazy dreams.
You need a doctor.
Why don't I treat you?
And in exchange,
you can tell me what
my father's been up to
for the last 30 years.
Got yourself a deal.
Did Josh mention a Dr. Beau Pedrosa?
I've heard a lot about you, Doctor.
Yeah, I've heard about you, as well.
Dr. Pedrosa is Josh's boyfriend.
I met your colleague, Dr. Wolf.
Nice guy.
He seems to care a lot
about his patients.
I don't really know him that well.
- [NAIL GUN POPPING]
- Do, do-do, do, do ♪
Do, do, do, do-do,
do, do, do, do, dooo ♪
[CELLPHONE BUZZING]
[HUMMING]
[SIGHS]
Hi, honey.
Nope.
Did you, uh, check the bedroom?
No, I wasn't saying that you did. I
Okay. I will, uh,
try to get home
before the storm gets too
- [CALL DISCONNECTS]
- Okay.
Bye.
[NAIL GUN CLICKING]
[SIGHS]
Come on. What's eating you now?
[TENSE MUSIC PLAYS]
[GRUNTS]
Oh, come on.
Don't give me a hard time.
[NAIL GUN POPS]
[AIR HISSING]
Ugh! [GRUNTING]
[BACH'S "OVERTURE
NO. 2 IN B MINOR" PLAYS]
♪
♪
[BREATHING HEAVILY]
♪
[INDISTINCT CONVERSATION]
I'll see you same time next week.
Right. See you next week.
[INDISTINCT CONVERSATIONS]
[TELEPHONE RINGING]
- One sec.
- Yeah.
- Hey.
- Hi.
Yes, good to see you. I feel fine.
- Yeah, everything's been good.
- Okay.
[INDISTINCT CONVERSATIONS]
Of course. Right this way.
I'll take you.
[TELEPHONE RINGING]
Do you have a second?
Can I get the intake forms
for Dr. Wolf
for all of today's patients?
I know he's gonna ask me for them.
♪
♪
[COUGHS]
♪
[KNOCK ON DOOR]
There's been a leak, Carol.
They've been trying
to keep me in the dark
but word is
the board's about to vote
whether to name me the next Chief.
No more "interim." Just Chief.
Hey! [CHUCKLES] Well, that tracks.
You got us through January,
our busiest time of the year,
without any issues.
- Who was the leak?
- Silva.
[CHUCKLES] That also tracks.
Oh, Carol
Carol, I really want this.
It would mean greater security,
flexible hours,
everything I need if I'm going to
settle down and start a family.
With Beau?
- Yep.
- [CHUCKLES]
But look, I could use your help.
New York mayors
and chief medical officers
are measured by one thing
how they handle a storm.
City Hall just issued a travel
advisory due to today's storm,
so I'm suspending
all elective procedures
and outpatient appointments.
That frees you up to use
your MD however it's needed.
I want today to go smoothly.
Oh, uh, okay, Josh, whatever you need.
But you do realize I haven't practiced
non-psych medicine
since residency, right?
- Muscle memory is real.
- [CHUCKLES]
Besides, I don't actually anticipate
there being any problems.
Except
How's that other storm cloud?
- You mean Wolf?
- Yes.
Uh, like you said, muscle memory.
I can handle him.
Do you want me to get
Dana and Charlie?
Uh, no need.
Okay.
Well, this is a list of all
the patients on our floor today,
two follow-ups Mrs. Henry,
pregnant with
well-controlled epilepsy,
and Ms. Graham, post-stroke,
needs rehab assessment,
and then all the rest
of our inpatients.
Great. Well, looks like there's
nothing here you can't handle.
Page me if anything comes up.
- [DOOR OPENS]
- You got it.
Dr. Dang.
Congratulations,
you have won the honor
of updating 50 delinquent charts
that Dr. Wolf can't seem
to be bothered with.
Oh, what did I do to get so lucky?
- Yo.
- Where have you been, Kinney?
Just, uh, with Dr. Wolf
going over today's game plan.
Why wouldn't he page me?
Looks like I have company
on Dr. Wolf's blacklist.
Welcome to the team.
Why would Wolf be icing me out?
I may have let it slip
that you're the one
who reported Dr. P.
Wait, you did what?
You told Dr. Wolf that
I reported his ride-or-die?
It was an accident.
Sometimes I just get to
talking and I can't stop.
I'm a people person.
No, you're an unrepentant gossip.
Maybe, but you'll never guess
which ICU doc is in a throuple.
- Who?
- [WHISPERING INDISTINCTLY]
- Wow.
- I miss when residency was fun.
You know, before
the toxic twins showed up.
Mm-hmm. Everything's gonna be okay.
[SIGHS] You're right.
In T-minus six hours,
I will be home watching
"Hunting Wives" with Katie.
I can survive one shift
of Wolf hating me.
Actually, due to the storm,
admin just announced
that we're all working
a mandatory double shift.
So get cozy.
♪
[WHIMPERING]
Amos?
What happened? Oh. Hey.
Clear a bay now!
The camera monitors
abnormal body movement,
sleep posture,
even signs of night terrors.
Just make sure it gets my best angles.
[CHUCKLES]
Did you know that no living organism
can stay sane without sleep?
I read that while I had insomnia.
I'm so on the brink,
I grabbed this in the lobby.
Hudson Oaks is giving resort vibes.
Yeah, well,
that's how they lure you in.
Listen, Sofia, a lot of people
struggle with sleep issues.
It doesn't mean that they
need inpatient psychiatric care.
We will get to the bottom of this.
Why are you being so nice to me?
Well, we made a deal.
I'm just keeping up
my end of the bargain.
And you have been good
for my mental health.
[CELLPHONE BUZZING]
Want to make it a slumber party?
I give great mani-pedis.
Oh, that sounds incredibly tempting,
but, uh, it looks like
I'm needed in the ED.
Fine.
Friendly reminder, my last doctor
up and left without any notice.
Don't go AWOL on me like your dad.
I'm not my father.
I don't abandon my patients.
I'll check in on you in a few hours.
Get some rest.
[AIR HISSING]
♪
Your seizure med levels are perfect.
You are all set to go.
Sweet.
I guess we'll see you in a few weeks.
Uh is someone
coming to pick you up?
Yeah, the 4 train.
I'm sorry, Mrs. Henry,
but with a high-risk pregnancy,
I think it's best for you
to wait out the storm here.
Are you telling me that I have to stay
in this surprisingly cozy bed
instead of trekking through a blizzard
to my helpless husband and
our two home-from-school kids?
- Doctor's orders.
- Oh, thank you, Lord.
[CHUCKLES] I'll be in
to check on you in a little bit.
No rush.
Door open or closed?
Closed, please.
[EXHALES]
[AIR HISSING]
Puncture wound to the neck
at point-blank range with a nail gun.
But if that's going to happen,
I guess you want it to happen
in the boiler room
of a hospital, right, Amos?
Yeah, just not this one.
Ooh. [CHUCKLES]
Our running theory is
the nail hit the jaw
and miraculously bounced out.
CTA is pending, but so far no evidence
of any major vascular damage.
Okay, how can I help?
Amos started complaining
about numbness in his right leg.
No focal deficits that I can tell,
and I doubt it's related
to the trauma but
Okay. Amos, uh,
sounds like you've had
quite an eventful morning.
- How are you feeling?
- I want to leave my wife.
I am so sorry to hear that.
I was talking about your leg.
- Is it still
- [SNEEZES]
- Gesundheit.
- Ugh, I hate the flu season.
What is that?
That's brain matter.
Where did you say the nail went?
Ooh.
Well, we found the nail.
That's remarkable.
His neuro exam was completely normal.
Fully conscious, no weakness.
He even turned down the pain meds.
We gave him a tetanus shot, that's it.
Amos still needs surgery
as soon as possible.
The nail will cause
the brain to swell.
Could be rapidly fatal.
I'll prep the OR.
In the meantime,
could you start, um
What's it called?
Keppra and ceftriaxone?
Yes. Thanks, Dr. Wolf.
Are you feeling okay, Dr. Nichols?
Oh, I'm fine, I'm fine. I'm just, uh,
thinking about my surgical plan.
This is truly
a once-in-a-lifetime scan here.
I'll see Amos in the OR in an hour.
♪
Dr. Wolf,
a quick update on Mrs. Henry,
the pregnant woman who follows
in our epilepsy clinic
She was ready for discharge
but just developed
a terrible headache.
Normal neuro exam.
No red flag symptoms.
Doesn't need a scan.
- What's her pressure?
- Normal. No proteinuria.
So then the headache isn't
a symptom of preeclampsia?
No, but she is uncomfortable.
I'll continue to monitor her.
Very good.
Dr. Wolf.
I did report Dr. Pierce.
It wasn't an easy decision,
and I have thought about it
nearly every day since.
But she and I, we cleared the air,
and we're moving forward.
Can we do the same?
No.
♪
[EXHALES DEEPLY]
Okay, let's get this started, team.
Amos, you're in good hands.
You know who had the best hands?
Jerry Rice.
His old man was a bricklayer.
He used to throw him bricks
instead of footballs.
Built up his hand strength.
Did you know that? Ever hear that?
Stop, team. I
Uh
Team, I need to step out.
Amos, I'm so sorry.
We're gonna have to
postpone that surgery.
- I'm not feeling so well.
- What?
♪
- Josh, are you feeling okay?
- [GROANS QUIETLY]
I don't know what happened.
Must be the bug that's going around.
Well, if you need to go home
No, I may not be able to
perform Amos' surgery,
but I can still fulfill
my duties as Chief.
I'll just quarantine here
in my office.
And luckily, Carol, we have you to be
my eyes and ears out there.
[CLEARS THROAT]
You feeling sick, too, Wolf?
Uh, no. Never mind.
Uh, if Amos needs a new surgeon,
are we thinking Mia?
She's qualified.
Mia just finished
back-to-back-to-backs,
so legally, she's out, and, uh
Rarick is in Florida.
Well, then who's left?
Amos needs this surgery today.
What about Beau? He's in the Bronx.
Yeah, that's true. He is.
But the conditions
are brutal out there.
Well, that's a risk we're
going to need to take.
For Amos, I mean.
Look, this is a complex surgery.
The clock is ticking.
He's right. Beau is Amos' only shot.
Okay, I'll make the call.
Um, please, uh,
shut the door on your way out.
Thanks.
Dr. Minor, please call page.
Dr. Minor, please call page.
Why am I still a human shish kebab?
Dr. Nichols was unable
to perform your surgery.
We've called in an outside doctor.
They should be here very soon.
Oh, let me guess
I go back down to
the hellhole that is ED
because Neuro/Psych floor is full?
- You know it.
- Correct.
Dr. Wolf, if it took me as
long to get through a repair job
as it takes you
to get through your patients,
I would be out on my ass.
I've never seen this side
of you, Amos. I like it.
I gave Dr. Wolf
a piece of my mind in a Kleenex.
Let me give you a piece, Dr. Thorne.
You taking Justine to the gala
instead of Dr. Pierce was a betrayal.
What is wrong with you?
[CELLPHONE BUZZING]
Hi, honey.
Well, did you look in the closet?
Well, let me tell you something.
I don't care.
You need to start being
a self-sustaining adult.
No. You have talked long enough.
It is my turn.
I've known this guy for years,
and I've never heard him utter
anything more than a friendly "hello."
Neurologically he's stable,
but this nail in his head
really seems to have caused
some personality changes.
Mm. Maybe we do need to
Look, I see where this is going.
Hmm? Just bring in Dr. Pierce.
Instead of making it about
- You heard the man.
- Yeah.
[BEEPING]
What is up with today?
I'm exhausted. It's barely lunch.
Hospitals in winter
F ME. Flus, myocardials,
and emergencies.
Yeah, but it's not new patients.
It's our current patients,
and they're getting worse.
There must be something going around.
It's just the storm.
It makes people stir-crazy.
[BEEPING]
Sure about that?
Orderly!
F ME is right.
Yeah. Hey, this is Silva on three.
We're gonna need some help up here.
Started out normal enough.
I was downstairs
replacing some old vents,
thinking about the Roman aqueducts.
Did Genghis Khan destroy those?
Did you know he had a harem? Hundreds.
I personally prefer a brunette.
My mother, she was a blonde and
Why? Why am I telling you this?
I just asked you how your day
was going before the accident.
It appears that the nail in your brain
is lodged in the prefrontal cortex,
responsible for executive functions
like decision-making and self-control.
Brain injuries affect
everyone differently.
But in your case, Amos, it seems
to have removed some restraints.
My restraints on what? Shutting up?
From filtering yourself.
You're speaking
your unedited thoughts,
whether you want to or not.
- My wife is gonna love that.
- [CHUCKLES]
Am I going to go back to normal
after the surgery?
There's no way to know until after.
- [PANTING]
- [MONITOR BEEPING RAPIDLY]
Amos.
Amos.
Amos?
Help! We need two milligrams of Ativan
and an airway kit now.
Hello?! Anybody?
Muscle memory.
Okay. [GRUNTS]
Over.
Wall suction.
Clear the airway.
Come on.
Here we go, here we go, here we go.
Use BVM for blow-by oxygenation.
Let's be ready to intubate.
The meds should hit in a second.
Come on, Amos. Keep breathing for me.
Come on.
Alright.
Oh.
Damn, Psych.
Didn't know you had those moves.
Oh, Dr. Pedrosa,
thank you for braving the storm.
No such thing
as a snow day in medicine.
- How's Josh doing?
- Oh, you know Dr. Nichols,
always trying
to seem tougher than he is.
Beau. Your patient just seized,
despite being on anticonvulsants.
He's stable now, but we're
concerned about cerebral edema.
Understood. Okay, take me to Josh.
I'll review the case with him,
and let's get the OR up and running.
Okay. Let's go.
Apologies for the wait, Mrs. Henry.
How can I help you?
- I'm sure it's nothing, but
- No, tell me.
I feel like I'm having
trouble breathing.
The air is so dry up here.
That's likely what's going on.
But let's take a look.
- How is it?
- Your oxygen is great. 100%.
Let me take a listen, okay?
Can you sit up for me?
[WHEEZING]
- Deep breath.
- [WHEEZING]
Honey, you're wheezing bad.
Do you have asthma?
Not that I know of. Is the baby okay?
Your numbers look great,
but better than I'd expect
with this wheeze.
What does that mean?
I'm not sure exactly,
but we're gonna find out.
So you sit tight, okay?
[GROANING]
- Josh.
- Babe.
- What's going on?
- What's wrong?
I know this sounds crazy,
but I think I'm having a heart attack.
We got to get him to the ED now.
- [GROANS]
- Let's go.
Yes, I understand that,
but I've been on hold already.
Everyone! Attention, please.
[INDISTINCT CONVERSATIONS]
- Sure, yes, yes, I can hold.
- Yeah, I understand.
- Yep. Yes, I'm happy to hold
- Yo!
While y'all have been
working in your own lanes,
I am the only one
who sees a little bit
of every case up here,
and Papi is concerned
about what he is seeing.
302 has chest pains.
306, nausea.
308, abdominal cramping.
And then just now my patient
in 310 is hypoxic
despite having normal
saturation and VBG levels.
I don't know what is going on,
but this does not sound
like some flu outbreak to me.
Silva's right. This isn't the flu.
Put it all together,
it sounds like it could be
carbon monoxide poisoning.
Silva, what was
the carboxyhemoglobin read
- on Emma's VBG?
- 15%.
That's diagnostic
for carbon monoxide exposure.
We need to evacuate.
Okay, everyone, let's move as
quickly and safely as possible.
Let's start with your patients.
[BEEP]
We have a Code Orange on floor three.
Code Orange on floor three.
Code Orange on floor three.
Code Orange on floor three.
First round of beds are in ED.
Emma Henry, the pregnant woman?
Uh, we moved her first thing
'cause she's particularly susceptible.
Okay, good. That makes 35 patients.
Everyone's accounted for.
Jay, what'd you find?
Well, the average CO level
up here is 800ppm.
It's a good thing
you found it when you did.
That kind of exposure could be fatal.
Okay, all staff members
from this floor
need a few hours of oxygen treatment
just to wash out even trace
amounts of carbon monoxide.
Yourself included. Spread the word.
Will do.
Are the other floors
of the hospital safe?
Yeah, it appears
isolated to this floor.
My guess is over a century
of renovations
and a stitched-together
ventilation system as the cause.
You know, our handyman Amos
was working down there in the basement
when the accident first happened.
I'd look down there
for the source of the leak.
But why didn't our CO alarm
detectors go off?
Oh, those detectors are so sensitive.
When it's winter
and the ambulances are idling,
the exhaust can set them off.
Somebody probably
turned the alarms off,
forgot to put them back.
It was a perfect storm.
- Thanks, Jay.
- Yeah.
[ELEVATOR DINGS]
Dr. P.
Your lifeboat has arrived.
There you are.
Okay, we know what's wrong.
There was a carbon monoxide leak
on the third floor.
- What? Did we evacuate?
- Yes, yes. Everyone is safe.
FDNY is here investigating the leak.
The real concern now is you.
Based on the severity
of your cardiac symptoms
and the fact that you locked
yourself in your office today,
we suspect you've been exposed
to the highest concentration of toxin.
This makes sense.
Carbon monoxide can mimic a
heart attack at those doses.
Which is why it's good you've
already been getting oxygen.
Beau, Josh is in good hands,
but Amos still needs you.
We've set up a trauma OR down here
out of an abundance of caution.
Okay. Um, I'll be back soon, yeah?
[MONITOR BEEPING]
Hey, don't let him out of your sight.
[INDISTINCT P.A. ANNOUNCEMENT]
I'm so sorry, Carol.
I-I have to see about another patient.
♪
Oh, Sofia. You're okay.
- Thank God.
- The maintenance man found me.
Okay, well,
let's get you to the ED now.
You said you wouldn't leave
me in there, but you did.
Where the hell were you?
I-I'm so sorry. Dr. Nichols was sick.
I thought he was in cardiac arrest.
You left me in a sleep study
during a carbon monoxide leak
so you could play hero to your ex?
- Wow.
- No, we
we didn't know about the gas leak.
I could have died.
I thought you were
supposed to be brilliant.
I thought you were supposed to
be the world's greatest doctor.
The Messiah.
But you're a total fraud,
just like your dad.
♪
Still raspy but getting better.
[MACHINE BEEPS]
[CLEARS THROAT] Flow stopped.
No oxygen coming out of the mask.
The tubing must be kinked.
Well, it looks fine.
Our main oxygen source is empty?
That can't be right.
Too many patients
requiring oxygen at once.
[CLEARS THROAT]
- [SIGHS]
- Here's the move.
Get a stat delivery from
the medical gas supplier.
- They're always on call.
- I just spoke with the city OME.
The trucks aren't running
in this weather.
We've been told the hospital
needs to be self-sufficient
for at least 24 hours.
We only have enough
portable oxygen tanks
to last us a few hours max.
Collect every oxygen tank.
Ration and delegate to the sickest.
You're in charge, Carol.
I trust you.
Turns out Silva being in
everyone's business
kinda saved the day.
This must be the CO talking,
but nice job, Silva.
However, cross me again
and I will sew your gossipy lips shut.
I'm sorry for getting you
in trouble, Dr. Dang.
I promise I will use
my gossiping for good,
not for evil.
What if we didn't know we were
being slowly poisoned all day?
I mean, we could have died.
Mm.
Well, if we had died today,
what would be one thing
that you regret most?
I would regret caring so much
about what others think.
So what if Wolf is mad at me?
I'd go scorched earth
for my bestie, too.
Mm.
I think I'd regret
never getting the chance
to meet my biological family.
I didn't realize
that you were adopted, Kinney.
I think if you want to meet your
family, you should go for it.
And what's your regret, Porter?
Not winning your club's
squash championship?
[LAUGHTER]
I, uh
I think I'd regret
not being kinder to myself
and, uh, maybe all of you.
♪
- What about you, Sil
- Back up.
Are you gaslighting us
during a gas leak?
Uh-oh.
If you think you can
spin this life-or-death crisis
into some weak apology
that erases months
of you being cold-hearted
and a constant naysayer,
you can think again.
You are a toxic presence around here,
threatening us with insubordination.
And you laughed in my face
when I told you
we don't call our patients "crazy."
Don't forget he held your
benzo use over your head too.
- Yes. Thank you.
- Mm-hmm.
And that was before we find out that
you're actually here for some
petty revenge against Wolf.
A man we all look up to.
Yeah. Nice try, but mnh-mnh.
Like I said, I have regrets.
I was going to say
that my biggest regret
would have been
not hooking up with Porter.
Well, Silva, we still got time.
Out of my way! She's critical!
- [SHOUTS INDISTINCTLY]
- [MONITOR BEEPING RAPIDLY]
[GROANS] My chest.
There's something's wrong
with my heart.
He's in V-tach. I need pads
on him and amio at the ready.
We have a new problem
Emma's loss of consciousness
and Josh's v-tach are signs
of severe carbon monoxide.
The amount of oxygen we've been
treating them with isn't enough.
We need more.
But we're running out of oxygen.
Not just more oxygen, they need
more oxygen under pressure.
How are we gonna do that?
Get them to the basement.
[MONITOR BEEPING RAPIDLY]
Dr. Wolf, how did you know that
Bronx General had
a hyperbaric chamber?
It's one of the perks of having
two doctors as parents.
[GRUNTS]
I spent my childhood
getting lost down here.
It looks really old.
This chamber was
originally used to treat
Hudson River tunnel diggers
who contracted The Bends.
Today these chambers are rarely used,
but in cases of severe
carbon monoxide poisoning,
they can be a crucial
lifesaving treatment.
But how do we know this one works?
Well, we don't have any other options.
We can't get Josh and Mrs. Henry
to a hospital on time in this storm.
So this has to work.
There's not a lot of room in there.
Yeah, which is why you'll be the ones
to operate the controls
outside of the chamber.
There's only room for one nurse
and one attending to
supervise medical inside.
This is the pressure control valve.
This is the oxygen valve.
You'll turn these dials up
to get as much pressure
and oxygen as possible
in order to displace
carbon monoxide from the body.
CO binds to blood tighter than oxygen.
That's why it's dangerous.
So in extreme cases, we need
the pressure to unbind it.
So that's why we can't
just take the patients
outside for fresh air?
The oxygen needs to be under pressure,
and this creates that pressure.
Exactly. Dr. Porter, attach
this oxygen tank to the chamber.
I think this is the last tank,
so what happens when
this runs out of oxygen?
Then Josh and Mrs. Henry will die.
This is our only hope.
Wait.
Dr. Pedrosa.
Amos is out of surgery and recovering.
I want to accompany
Josh inside. I insist.
There's only room for one doctor.
Josh?
It's your call. Who do you want?
I want Beau.
Dr. Wolf, we better get started.
♪
Wolf, is it a bad time to mention
that I'm severely claustrophobic?
Just breathe, Silva. But not too much.
Save as much oxygen
as you can for the patients.
I'm flooding the chamber
with oxygen now.
[GRUNTING]
I'm adding the first level
of pressure.
♪
[GROANS]
Every increase in pressure
is going to feel
like diving deeper underwater.
Do your best to swallow
to clear the air
from your middle ear.
[MONITORS BEEPING]
Both patients are
becoming bradycardic.
We don't have much time.
Dial up the pressure again.
Ah! Oh!
Every increase in pressure
drains the tank faster.
I'm concerned we'll run out of
oxygen sooner than we thought.
Yes, increasing pressure
decreases the volume.
It's why an oxygen tank drains
faster when you scuba dive.
There's no way
around the law of physics.
It's just the needle
we have to thread.
Is this heat normal?
I think it's making it harder
for Emma to breathe.
Yeah, the compressed air is
causing the temperature to rise.
It's temporary, but be prepared
to intubate if necessary.
- [GASPING]
- [MONITOR BEEPING RAPIDLY]
Dr. Wolf, we have less than
one minute of oxygen remaining.
Well, we can't quit now.
We'll know it's working
when their heart rate
and their breathing effort normalizes.
Wolf. Josh is going to
go into cardiac arrest.
Go up one more level of pressure.
[GRUNTS]
[BOTH GROANING]
[MONITOR BEEPING RAPIDLY]
Ah.
The oxygen is zeroed out. This is it.
♪
Josh.
Josh.
♪
Wolf.
♪
♪
[BEEP, BEEP]
Their vitals are normalizing.
It's working. Decrease the pressure.
We've managed to displace
the carbon monoxide, everyone.
You're gonna be okay.
♪
So we have done a full workup,
and I can confidently say
that you and your baby
are healthy with no residual effects.
Mrs. Henry
I'm so sorry that I was the one
who told you to stay.
But you saved my life.
The chamber? That was intense.
No, no. Earlier.
The carbon monoxide
triggered my wheezing.
I I googled it,
and wheezing isn't a symptom
of carbon monoxide poisoning
unless you have asthma.
I had been trying to tell my OB
that I get these wheezing episodes,
but everyone just keeps
writing me off.
Well, we may accidentally poison you,
but we will never write you off.
That's why I come to this place,
all the way from Westchester.
You guys care more, even in chaos.
♪
[KNOCK ON DOOR]
How you feeling, Amos?
Like I just got a nail
taken out of my head.
Turns out that guy with
the accent is a decent surgeon.
The Chief snagged a good one.
It sounds like you're still speaking
the unvarnished truth.
Well, my mouth has a mind of its own.
Well, this might be your new normal.
How do you feel about that?
You know
I was always the kind
of guy who kept to myself.
You know, like a fly on the wall.
Now people are going to hear me.
It's going to take
some time to get used to.
- Especially for my wife.
- Well
sometimes people
have to put themselves
through extraordinary circumstances
before they can be honest
with themselves or with others.
You get to live your truth, Amos.
Well, the good thing is,
whenever I tell my wife I love her,
she's going to know
I'm telling the truth
and that I hate her new haircut.
[LAUGHS]
Maybe we can see you
for some couples therapy.
It's on the house.
Thanks, Dr. Pierce.
Hey, don't worry so much.
You're a classy broad with a nice ass.
You're going to find love again.
[KNOCK ON DOOR]
Hey.
I brought you some tea.
You don't have to wait on me.
Look, I'm completely fine now.
Well, Wolf was right.
You always try to
seem tougher than you are.
[CHUCKLES] Mm.
You, uh
You told me you barely knew Dr. Wolf.
I'm not sure that's true.
[MONITOR BEEPING]
Wolf and I
we used to date.
Briefly.
But it was never going to work, so
I didn't think it was
worth mentioning.
Hm.
So instead of being
honest about it, you
lie to me?
Josh.
Is there anything else
you've been holding back?
No.
I'm sorry.
[SCOFFS] I should have told you.
I like Wolf, but I don't want
anything to come between us.
Well
[STRAINED] Then we
won't let anything come between us.
♪
[SOFT KNOCK ON DOOR]
Sounds like you saved Josh's life.
I look forward to seeing
how you hold that over him.
Wolf
can we please agree
to disagree about Dana?
I hate fighting with you.
I don't want to fight with you
either.
[CHUCKLES]
I'm too tired.
Well, if there's
something else going on,
I really wish you
would just talk to me.
I really screwed up today, Carol.
I almost lost a patient.
Emma Henry?
- No, she's gonna be okay
- No. Not her.
It's another patient
I haven't told you about.
Her name is Sofia, and she
was struggling with insomnia,
so I brought her in for
a sleep study off the books.
But then I got
so wrapped up with Josh
[SNIFFLES]
I left her alone during the gas leak.
Wait, she was in the sleep study room
during the gas leak, and she's okay?
Enough to run off.
The reason Josh and Emma got so sick
was because they were in closed rooms.
Wolf, if you're saying she
was confined, are you sure
She's fine.
Physically. It's emotionally
I'm not so sure about.
Would you like me to meet with her?
No. It's a delicate situation.
I met her outside of the hospital.
She worked
for my dad.
Oh, okay.
Um, I can see how
that might come with triggers.
I don't care about triggers, Carol.
She could have died because of me.
I've been, uh
trying to hide it. [CHUCKLES]
For a while.
But I have not
[VOICE BREAKING]
I have not been myself lately.
Between my dad and Charlie
and Josh and you
Hey, Wolf. We're good.
I just want to help you.
You just need to ask.
♪
[BREATHES DEEPLY]
Hey. Talk to me.
[SOBBING]
♪
♪
[KNOCK ON DOOR]
Here's all the charts
for the third-floor
patients from today.
Thank you, Estelle.
Let's wrap this messy day
up with a bow.
Mm-hmm. Yes, Dr. Pierce.
Oh, uh, one last thing.
Can you send over any data
that was collected during
a sleep study today?
- On it.
- Thanks.
[DOOR OPENS]
[DOOR CLOSES]
[SIGHS]
I was hoping you were here.
I ordered Thai.
I'm so sorry about today.
I-I betrayed your trust.
Let yourself down off
the cross. I overreacted.
The experience triggered
my abandonment issues.
Goes back to childhood.
I don't talk about this a lot,
but growing up an only child
with face-blindness
no friends
I became obsessed
with the periodic table.
I developed a strange kinship
with the inert gases
Argon, Neon, Helium.
Makes total sense to me.
I
imagined that they were like me.
Isolated, lonely, unable to connect.
I couldn't see them,
but I knew that they were there.
I identified most
with the noble gas Xenon,
because for so long no one believed
that it could connect with anything.
But it turns out under extreme
and specific conditions,
Xenon can bond
with the electronegative
element fluorine.
I guess what I'm saying is
I'm the fluorine to your Xenon.
And the so-called extreme
and specific condition
that makes our bond work is your dad.
♪
♪
If it makes you feel any better,
your dad told me he was
miserable without you.
[KEY TAPPING]
[CHUCKLES]
Um
I guess I don't hate to hear that.
But then I'll never understand
why he came back
just to leave again.
Every time he goes
he leaves so much damage in his wake.
♪
[SIGHS] Maybe it's not too late
for you to do some of your own damage.
♪
♪
Where is Sofia?
sync & corrections awaqeded
♪
♪
Previously on "Brilliant Minds"
I got a call from the medical board.
A complaint was filed that
you breached an ethical code.
I'm the one who reported you.
I know. You had your reasons.
I'd like us to move forward.
What did you mean by
"if Carol can be Dana's mentor"?
That Dr. Dang reported Dr. Pierce.
But they've clearly moved past it.
Dr. Dang did what?
Why would you not tell me this?
Because it wasn't about you, Wolf.
We tell each other everything.
Why not this?
Don't be alarmed. I know, Noah.
I know.
Who are you?
- Sofia.
- He was treating you.
I have these crazy dreams.
You need a doctor.
Why don't I treat you?
And in exchange,
you can tell me what
my father's been up to
for the last 30 years.
Got yourself a deal.
Did Josh mention a Dr. Beau Pedrosa?
I've heard a lot about you, Doctor.
Yeah, I've heard about you, as well.
Dr. Pedrosa is Josh's boyfriend.
I met your colleague, Dr. Wolf.
Nice guy.
He seems to care a lot
about his patients.
I don't really know him that well.
- [NAIL GUN POPPING]
- Do, do-do, do, do ♪
Do, do, do, do-do,
do, do, do, do, dooo ♪
[CELLPHONE BUZZING]
[HUMMING]
[SIGHS]
Hi, honey.
Nope.
Did you, uh, check the bedroom?
No, I wasn't saying that you did. I
Okay. I will, uh,
try to get home
before the storm gets too
- [CALL DISCONNECTS]
- Okay.
Bye.
[NAIL GUN CLICKING]
[SIGHS]
Come on. What's eating you now?
[TENSE MUSIC PLAYS]
[GRUNTS]
Oh, come on.
Don't give me a hard time.
[NAIL GUN POPS]
[AIR HISSING]
Ugh! [GRUNTING]
[BACH'S "OVERTURE
NO. 2 IN B MINOR" PLAYS]
♪
♪
[BREATHING HEAVILY]
♪
[INDISTINCT CONVERSATION]
I'll see you same time next week.
Right. See you next week.
[INDISTINCT CONVERSATIONS]
[TELEPHONE RINGING]
- One sec.
- Yeah.
- Hey.
- Hi.
Yes, good to see you. I feel fine.
- Yeah, everything's been good.
- Okay.
[INDISTINCT CONVERSATIONS]
Of course. Right this way.
I'll take you.
[TELEPHONE RINGING]
Do you have a second?
Can I get the intake forms
for Dr. Wolf
for all of today's patients?
I know he's gonna ask me for them.
♪
♪
[COUGHS]
♪
[KNOCK ON DOOR]
There's been a leak, Carol.
They've been trying
to keep me in the dark
but word is
the board's about to vote
whether to name me the next Chief.
No more "interim." Just Chief.
Hey! [CHUCKLES] Well, that tracks.
You got us through January,
our busiest time of the year,
without any issues.
- Who was the leak?
- Silva.
[CHUCKLES] That also tracks.
Oh, Carol
Carol, I really want this.
It would mean greater security,
flexible hours,
everything I need if I'm going to
settle down and start a family.
With Beau?
- Yep.
- [CHUCKLES]
But look, I could use your help.
New York mayors
and chief medical officers
are measured by one thing
how they handle a storm.
City Hall just issued a travel
advisory due to today's storm,
so I'm suspending
all elective procedures
and outpatient appointments.
That frees you up to use
your MD however it's needed.
I want today to go smoothly.
Oh, uh, okay, Josh, whatever you need.
But you do realize I haven't practiced
non-psych medicine
since residency, right?
- Muscle memory is real.
- [CHUCKLES]
Besides, I don't actually anticipate
there being any problems.
Except
How's that other storm cloud?
- You mean Wolf?
- Yes.
Uh, like you said, muscle memory.
I can handle him.
Do you want me to get
Dana and Charlie?
Uh, no need.
Okay.
Well, this is a list of all
the patients on our floor today,
two follow-ups Mrs. Henry,
pregnant with
well-controlled epilepsy,
and Ms. Graham, post-stroke,
needs rehab assessment,
and then all the rest
of our inpatients.
Great. Well, looks like there's
nothing here you can't handle.
Page me if anything comes up.
- [DOOR OPENS]
- You got it.
Dr. Dang.
Congratulations,
you have won the honor
of updating 50 delinquent charts
that Dr. Wolf can't seem
to be bothered with.
Oh, what did I do to get so lucky?
- Yo.
- Where have you been, Kinney?
Just, uh, with Dr. Wolf
going over today's game plan.
Why wouldn't he page me?
Looks like I have company
on Dr. Wolf's blacklist.
Welcome to the team.
Why would Wolf be icing me out?
I may have let it slip
that you're the one
who reported Dr. P.
Wait, you did what?
You told Dr. Wolf that
I reported his ride-or-die?
It was an accident.
Sometimes I just get to
talking and I can't stop.
I'm a people person.
No, you're an unrepentant gossip.
Maybe, but you'll never guess
which ICU doc is in a throuple.
- Who?
- [WHISPERING INDISTINCTLY]
- Wow.
- I miss when residency was fun.
You know, before
the toxic twins showed up.
Mm-hmm. Everything's gonna be okay.
[SIGHS] You're right.
In T-minus six hours,
I will be home watching
"Hunting Wives" with Katie.
I can survive one shift
of Wolf hating me.
Actually, due to the storm,
admin just announced
that we're all working
a mandatory double shift.
So get cozy.
♪
[WHIMPERING]
Amos?
What happened? Oh. Hey.
Clear a bay now!
The camera monitors
abnormal body movement,
sleep posture,
even signs of night terrors.
Just make sure it gets my best angles.
[CHUCKLES]
Did you know that no living organism
can stay sane without sleep?
I read that while I had insomnia.
I'm so on the brink,
I grabbed this in the lobby.
Hudson Oaks is giving resort vibes.
Yeah, well,
that's how they lure you in.
Listen, Sofia, a lot of people
struggle with sleep issues.
It doesn't mean that they
need inpatient psychiatric care.
We will get to the bottom of this.
Why are you being so nice to me?
Well, we made a deal.
I'm just keeping up
my end of the bargain.
And you have been good
for my mental health.
[CELLPHONE BUZZING]
Want to make it a slumber party?
I give great mani-pedis.
Oh, that sounds incredibly tempting,
but, uh, it looks like
I'm needed in the ED.
Fine.
Friendly reminder, my last doctor
up and left without any notice.
Don't go AWOL on me like your dad.
I'm not my father.
I don't abandon my patients.
I'll check in on you in a few hours.
Get some rest.
[AIR HISSING]
♪
Your seizure med levels are perfect.
You are all set to go.
Sweet.
I guess we'll see you in a few weeks.
Uh is someone
coming to pick you up?
Yeah, the 4 train.
I'm sorry, Mrs. Henry,
but with a high-risk pregnancy,
I think it's best for you
to wait out the storm here.
Are you telling me that I have to stay
in this surprisingly cozy bed
instead of trekking through a blizzard
to my helpless husband and
our two home-from-school kids?
- Doctor's orders.
- Oh, thank you, Lord.
[CHUCKLES] I'll be in
to check on you in a little bit.
No rush.
Door open or closed?
Closed, please.
[EXHALES]
[AIR HISSING]
Puncture wound to the neck
at point-blank range with a nail gun.
But if that's going to happen,
I guess you want it to happen
in the boiler room
of a hospital, right, Amos?
Yeah, just not this one.
Ooh. [CHUCKLES]
Our running theory is
the nail hit the jaw
and miraculously bounced out.
CTA is pending, but so far no evidence
of any major vascular damage.
Okay, how can I help?
Amos started complaining
about numbness in his right leg.
No focal deficits that I can tell,
and I doubt it's related
to the trauma but
Okay. Amos, uh,
sounds like you've had
quite an eventful morning.
- How are you feeling?
- I want to leave my wife.
I am so sorry to hear that.
I was talking about your leg.
- Is it still
- [SNEEZES]
- Gesundheit.
- Ugh, I hate the flu season.
What is that?
That's brain matter.
Where did you say the nail went?
Ooh.
Well, we found the nail.
That's remarkable.
His neuro exam was completely normal.
Fully conscious, no weakness.
He even turned down the pain meds.
We gave him a tetanus shot, that's it.
Amos still needs surgery
as soon as possible.
The nail will cause
the brain to swell.
Could be rapidly fatal.
I'll prep the OR.
In the meantime,
could you start, um
What's it called?
Keppra and ceftriaxone?
Yes. Thanks, Dr. Wolf.
Are you feeling okay, Dr. Nichols?
Oh, I'm fine, I'm fine. I'm just, uh,
thinking about my surgical plan.
This is truly
a once-in-a-lifetime scan here.
I'll see Amos in the OR in an hour.
♪
Dr. Wolf,
a quick update on Mrs. Henry,
the pregnant woman who follows
in our epilepsy clinic
She was ready for discharge
but just developed
a terrible headache.
Normal neuro exam.
No red flag symptoms.
Doesn't need a scan.
- What's her pressure?
- Normal. No proteinuria.
So then the headache isn't
a symptom of preeclampsia?
No, but she is uncomfortable.
I'll continue to monitor her.
Very good.
Dr. Wolf.
I did report Dr. Pierce.
It wasn't an easy decision,
and I have thought about it
nearly every day since.
But she and I, we cleared the air,
and we're moving forward.
Can we do the same?
No.
♪
[EXHALES DEEPLY]
Okay, let's get this started, team.
Amos, you're in good hands.
You know who had the best hands?
Jerry Rice.
His old man was a bricklayer.
He used to throw him bricks
instead of footballs.
Built up his hand strength.
Did you know that? Ever hear that?
Stop, team. I
Uh
Team, I need to step out.
Amos, I'm so sorry.
We're gonna have to
postpone that surgery.
- I'm not feeling so well.
- What?
♪
- Josh, are you feeling okay?
- [GROANS QUIETLY]
I don't know what happened.
Must be the bug that's going around.
Well, if you need to go home
No, I may not be able to
perform Amos' surgery,
but I can still fulfill
my duties as Chief.
I'll just quarantine here
in my office.
And luckily, Carol, we have you to be
my eyes and ears out there.
[CLEARS THROAT]
You feeling sick, too, Wolf?
Uh, no. Never mind.
Uh, if Amos needs a new surgeon,
are we thinking Mia?
She's qualified.
Mia just finished
back-to-back-to-backs,
so legally, she's out, and, uh
Rarick is in Florida.
Well, then who's left?
Amos needs this surgery today.
What about Beau? He's in the Bronx.
Yeah, that's true. He is.
But the conditions
are brutal out there.
Well, that's a risk we're
going to need to take.
For Amos, I mean.
Look, this is a complex surgery.
The clock is ticking.
He's right. Beau is Amos' only shot.
Okay, I'll make the call.
Um, please, uh,
shut the door on your way out.
Thanks.
Dr. Minor, please call page.
Dr. Minor, please call page.
Why am I still a human shish kebab?
Dr. Nichols was unable
to perform your surgery.
We've called in an outside doctor.
They should be here very soon.
Oh, let me guess
I go back down to
the hellhole that is ED
because Neuro/Psych floor is full?
- You know it.
- Correct.
Dr. Wolf, if it took me as
long to get through a repair job
as it takes you
to get through your patients,
I would be out on my ass.
I've never seen this side
of you, Amos. I like it.
I gave Dr. Wolf
a piece of my mind in a Kleenex.
Let me give you a piece, Dr. Thorne.
You taking Justine to the gala
instead of Dr. Pierce was a betrayal.
What is wrong with you?
[CELLPHONE BUZZING]
Hi, honey.
Well, did you look in the closet?
Well, let me tell you something.
I don't care.
You need to start being
a self-sustaining adult.
No. You have talked long enough.
It is my turn.
I've known this guy for years,
and I've never heard him utter
anything more than a friendly "hello."
Neurologically he's stable,
but this nail in his head
really seems to have caused
some personality changes.
Mm. Maybe we do need to
Look, I see where this is going.
Hmm? Just bring in Dr. Pierce.
Instead of making it about
- You heard the man.
- Yeah.
[BEEPING]
What is up with today?
I'm exhausted. It's barely lunch.
Hospitals in winter
F ME. Flus, myocardials,
and emergencies.
Yeah, but it's not new patients.
It's our current patients,
and they're getting worse.
There must be something going around.
It's just the storm.
It makes people stir-crazy.
[BEEPING]
Sure about that?
Orderly!
F ME is right.
Yeah. Hey, this is Silva on three.
We're gonna need some help up here.
Started out normal enough.
I was downstairs
replacing some old vents,
thinking about the Roman aqueducts.
Did Genghis Khan destroy those?
Did you know he had a harem? Hundreds.
I personally prefer a brunette.
My mother, she was a blonde and
Why? Why am I telling you this?
I just asked you how your day
was going before the accident.
It appears that the nail in your brain
is lodged in the prefrontal cortex,
responsible for executive functions
like decision-making and self-control.
Brain injuries affect
everyone differently.
But in your case, Amos, it seems
to have removed some restraints.
My restraints on what? Shutting up?
From filtering yourself.
You're speaking
your unedited thoughts,
whether you want to or not.
- My wife is gonna love that.
- [CHUCKLES]
Am I going to go back to normal
after the surgery?
There's no way to know until after.
- [PANTING]
- [MONITOR BEEPING RAPIDLY]
Amos.
Amos.
Amos?
Help! We need two milligrams of Ativan
and an airway kit now.
Hello?! Anybody?
Muscle memory.
Okay. [GRUNTS]
Over.
Wall suction.
Clear the airway.
Come on.
Here we go, here we go, here we go.
Use BVM for blow-by oxygenation.
Let's be ready to intubate.
The meds should hit in a second.
Come on, Amos. Keep breathing for me.
Come on.
Alright.
Oh.
Damn, Psych.
Didn't know you had those moves.
Oh, Dr. Pedrosa,
thank you for braving the storm.
No such thing
as a snow day in medicine.
- How's Josh doing?
- Oh, you know Dr. Nichols,
always trying
to seem tougher than he is.
Beau. Your patient just seized,
despite being on anticonvulsants.
He's stable now, but we're
concerned about cerebral edema.
Understood. Okay, take me to Josh.
I'll review the case with him,
and let's get the OR up and running.
Okay. Let's go.
Apologies for the wait, Mrs. Henry.
How can I help you?
- I'm sure it's nothing, but
- No, tell me.
I feel like I'm having
trouble breathing.
The air is so dry up here.
That's likely what's going on.
But let's take a look.
- How is it?
- Your oxygen is great. 100%.
Let me take a listen, okay?
Can you sit up for me?
[WHEEZING]
- Deep breath.
- [WHEEZING]
Honey, you're wheezing bad.
Do you have asthma?
Not that I know of. Is the baby okay?
Your numbers look great,
but better than I'd expect
with this wheeze.
What does that mean?
I'm not sure exactly,
but we're gonna find out.
So you sit tight, okay?
[GROANING]
- Josh.
- Babe.
- What's going on?
- What's wrong?
I know this sounds crazy,
but I think I'm having a heart attack.
We got to get him to the ED now.
- [GROANS]
- Let's go.
Yes, I understand that,
but I've been on hold already.
Everyone! Attention, please.
[INDISTINCT CONVERSATIONS]
- Sure, yes, yes, I can hold.
- Yeah, I understand.
- Yep. Yes, I'm happy to hold
- Yo!
While y'all have been
working in your own lanes,
I am the only one
who sees a little bit
of every case up here,
and Papi is concerned
about what he is seeing.
302 has chest pains.
306, nausea.
308, abdominal cramping.
And then just now my patient
in 310 is hypoxic
despite having normal
saturation and VBG levels.
I don't know what is going on,
but this does not sound
like some flu outbreak to me.
Silva's right. This isn't the flu.
Put it all together,
it sounds like it could be
carbon monoxide poisoning.
Silva, what was
the carboxyhemoglobin read
- on Emma's VBG?
- 15%.
That's diagnostic
for carbon monoxide exposure.
We need to evacuate.
Okay, everyone, let's move as
quickly and safely as possible.
Let's start with your patients.
[BEEP]
We have a Code Orange on floor three.
Code Orange on floor three.
Code Orange on floor three.
Code Orange on floor three.
First round of beds are in ED.
Emma Henry, the pregnant woman?
Uh, we moved her first thing
'cause she's particularly susceptible.
Okay, good. That makes 35 patients.
Everyone's accounted for.
Jay, what'd you find?
Well, the average CO level
up here is 800ppm.
It's a good thing
you found it when you did.
That kind of exposure could be fatal.
Okay, all staff members
from this floor
need a few hours of oxygen treatment
just to wash out even trace
amounts of carbon monoxide.
Yourself included. Spread the word.
Will do.
Are the other floors
of the hospital safe?
Yeah, it appears
isolated to this floor.
My guess is over a century
of renovations
and a stitched-together
ventilation system as the cause.
You know, our handyman Amos
was working down there in the basement
when the accident first happened.
I'd look down there
for the source of the leak.
But why didn't our CO alarm
detectors go off?
Oh, those detectors are so sensitive.
When it's winter
and the ambulances are idling,
the exhaust can set them off.
Somebody probably
turned the alarms off,
forgot to put them back.
It was a perfect storm.
- Thanks, Jay.
- Yeah.
[ELEVATOR DINGS]
Dr. P.
Your lifeboat has arrived.
There you are.
Okay, we know what's wrong.
There was a carbon monoxide leak
on the third floor.
- What? Did we evacuate?
- Yes, yes. Everyone is safe.
FDNY is here investigating the leak.
The real concern now is you.
Based on the severity
of your cardiac symptoms
and the fact that you locked
yourself in your office today,
we suspect you've been exposed
to the highest concentration of toxin.
This makes sense.
Carbon monoxide can mimic a
heart attack at those doses.
Which is why it's good you've
already been getting oxygen.
Beau, Josh is in good hands,
but Amos still needs you.
We've set up a trauma OR down here
out of an abundance of caution.
Okay. Um, I'll be back soon, yeah?
[MONITOR BEEPING]
Hey, don't let him out of your sight.
[INDISTINCT P.A. ANNOUNCEMENT]
I'm so sorry, Carol.
I-I have to see about another patient.
♪
Oh, Sofia. You're okay.
- Thank God.
- The maintenance man found me.
Okay, well,
let's get you to the ED now.
You said you wouldn't leave
me in there, but you did.
Where the hell were you?
I-I'm so sorry. Dr. Nichols was sick.
I thought he was in cardiac arrest.
You left me in a sleep study
during a carbon monoxide leak
so you could play hero to your ex?
- Wow.
- No, we
we didn't know about the gas leak.
I could have died.
I thought you were
supposed to be brilliant.
I thought you were supposed to
be the world's greatest doctor.
The Messiah.
But you're a total fraud,
just like your dad.
♪
Still raspy but getting better.
[MACHINE BEEPS]
[CLEARS THROAT] Flow stopped.
No oxygen coming out of the mask.
The tubing must be kinked.
Well, it looks fine.
Our main oxygen source is empty?
That can't be right.
Too many patients
requiring oxygen at once.
[CLEARS THROAT]
- [SIGHS]
- Here's the move.
Get a stat delivery from
the medical gas supplier.
- They're always on call.
- I just spoke with the city OME.
The trucks aren't running
in this weather.
We've been told the hospital
needs to be self-sufficient
for at least 24 hours.
We only have enough
portable oxygen tanks
to last us a few hours max.
Collect every oxygen tank.
Ration and delegate to the sickest.
You're in charge, Carol.
I trust you.
Turns out Silva being in
everyone's business
kinda saved the day.
This must be the CO talking,
but nice job, Silva.
However, cross me again
and I will sew your gossipy lips shut.
I'm sorry for getting you
in trouble, Dr. Dang.
I promise I will use
my gossiping for good,
not for evil.
What if we didn't know we were
being slowly poisoned all day?
I mean, we could have died.
Mm.
Well, if we had died today,
what would be one thing
that you regret most?
I would regret caring so much
about what others think.
So what if Wolf is mad at me?
I'd go scorched earth
for my bestie, too.
Mm.
I think I'd regret
never getting the chance
to meet my biological family.
I didn't realize
that you were adopted, Kinney.
I think if you want to meet your
family, you should go for it.
And what's your regret, Porter?
Not winning your club's
squash championship?
[LAUGHTER]
I, uh
I think I'd regret
not being kinder to myself
and, uh, maybe all of you.
♪
- What about you, Sil
- Back up.
Are you gaslighting us
during a gas leak?
Uh-oh.
If you think you can
spin this life-or-death crisis
into some weak apology
that erases months
of you being cold-hearted
and a constant naysayer,
you can think again.
You are a toxic presence around here,
threatening us with insubordination.
And you laughed in my face
when I told you
we don't call our patients "crazy."
Don't forget he held your
benzo use over your head too.
- Yes. Thank you.
- Mm-hmm.
And that was before we find out that
you're actually here for some
petty revenge against Wolf.
A man we all look up to.
Yeah. Nice try, but mnh-mnh.
Like I said, I have regrets.
I was going to say
that my biggest regret
would have been
not hooking up with Porter.
Well, Silva, we still got time.
Out of my way! She's critical!
- [SHOUTS INDISTINCTLY]
- [MONITOR BEEPING RAPIDLY]
[GROANS] My chest.
There's something's wrong
with my heart.
He's in V-tach. I need pads
on him and amio at the ready.
We have a new problem
Emma's loss of consciousness
and Josh's v-tach are signs
of severe carbon monoxide.
The amount of oxygen we've been
treating them with isn't enough.
We need more.
But we're running out of oxygen.
Not just more oxygen, they need
more oxygen under pressure.
How are we gonna do that?
Get them to the basement.
[MONITOR BEEPING RAPIDLY]
Dr. Wolf, how did you know that
Bronx General had
a hyperbaric chamber?
It's one of the perks of having
two doctors as parents.
[GRUNTS]
I spent my childhood
getting lost down here.
It looks really old.
This chamber was
originally used to treat
Hudson River tunnel diggers
who contracted The Bends.
Today these chambers are rarely used,
but in cases of severe
carbon monoxide poisoning,
they can be a crucial
lifesaving treatment.
But how do we know this one works?
Well, we don't have any other options.
We can't get Josh and Mrs. Henry
to a hospital on time in this storm.
So this has to work.
There's not a lot of room in there.
Yeah, which is why you'll be the ones
to operate the controls
outside of the chamber.
There's only room for one nurse
and one attending to
supervise medical inside.
This is the pressure control valve.
This is the oxygen valve.
You'll turn these dials up
to get as much pressure
and oxygen as possible
in order to displace
carbon monoxide from the body.
CO binds to blood tighter than oxygen.
That's why it's dangerous.
So in extreme cases, we need
the pressure to unbind it.
So that's why we can't
just take the patients
outside for fresh air?
The oxygen needs to be under pressure,
and this creates that pressure.
Exactly. Dr. Porter, attach
this oxygen tank to the chamber.
I think this is the last tank,
so what happens when
this runs out of oxygen?
Then Josh and Mrs. Henry will die.
This is our only hope.
Wait.
Dr. Pedrosa.
Amos is out of surgery and recovering.
I want to accompany
Josh inside. I insist.
There's only room for one doctor.
Josh?
It's your call. Who do you want?
I want Beau.
Dr. Wolf, we better get started.
♪
Wolf, is it a bad time to mention
that I'm severely claustrophobic?
Just breathe, Silva. But not too much.
Save as much oxygen
as you can for the patients.
I'm flooding the chamber
with oxygen now.
[GRUNTING]
I'm adding the first level
of pressure.
♪
[GROANS]
Every increase in pressure
is going to feel
like diving deeper underwater.
Do your best to swallow
to clear the air
from your middle ear.
[MONITORS BEEPING]
Both patients are
becoming bradycardic.
We don't have much time.
Dial up the pressure again.
Ah! Oh!
Every increase in pressure
drains the tank faster.
I'm concerned we'll run out of
oxygen sooner than we thought.
Yes, increasing pressure
decreases the volume.
It's why an oxygen tank drains
faster when you scuba dive.
There's no way
around the law of physics.
It's just the needle
we have to thread.
Is this heat normal?
I think it's making it harder
for Emma to breathe.
Yeah, the compressed air is
causing the temperature to rise.
It's temporary, but be prepared
to intubate if necessary.
- [GASPING]
- [MONITOR BEEPING RAPIDLY]
Dr. Wolf, we have less than
one minute of oxygen remaining.
Well, we can't quit now.
We'll know it's working
when their heart rate
and their breathing effort normalizes.
Wolf. Josh is going to
go into cardiac arrest.
Go up one more level of pressure.
[GRUNTS]
[BOTH GROANING]
[MONITOR BEEPING RAPIDLY]
Ah.
The oxygen is zeroed out. This is it.
♪
Josh.
Josh.
♪
Wolf.
♪
♪
[BEEP, BEEP]
Their vitals are normalizing.
It's working. Decrease the pressure.
We've managed to displace
the carbon monoxide, everyone.
You're gonna be okay.
♪
So we have done a full workup,
and I can confidently say
that you and your baby
are healthy with no residual effects.
Mrs. Henry
I'm so sorry that I was the one
who told you to stay.
But you saved my life.
The chamber? That was intense.
No, no. Earlier.
The carbon monoxide
triggered my wheezing.
I I googled it,
and wheezing isn't a symptom
of carbon monoxide poisoning
unless you have asthma.
I had been trying to tell my OB
that I get these wheezing episodes,
but everyone just keeps
writing me off.
Well, we may accidentally poison you,
but we will never write you off.
That's why I come to this place,
all the way from Westchester.
You guys care more, even in chaos.
♪
[KNOCK ON DOOR]
How you feeling, Amos?
Like I just got a nail
taken out of my head.
Turns out that guy with
the accent is a decent surgeon.
The Chief snagged a good one.
It sounds like you're still speaking
the unvarnished truth.
Well, my mouth has a mind of its own.
Well, this might be your new normal.
How do you feel about that?
You know
I was always the kind
of guy who kept to myself.
You know, like a fly on the wall.
Now people are going to hear me.
It's going to take
some time to get used to.
- Especially for my wife.
- Well
sometimes people
have to put themselves
through extraordinary circumstances
before they can be honest
with themselves or with others.
You get to live your truth, Amos.
Well, the good thing is,
whenever I tell my wife I love her,
she's going to know
I'm telling the truth
and that I hate her new haircut.
[LAUGHS]
Maybe we can see you
for some couples therapy.
It's on the house.
Thanks, Dr. Pierce.
Hey, don't worry so much.
You're a classy broad with a nice ass.
You're going to find love again.
[KNOCK ON DOOR]
Hey.
I brought you some tea.
You don't have to wait on me.
Look, I'm completely fine now.
Well, Wolf was right.
You always try to
seem tougher than you are.
[CHUCKLES] Mm.
You, uh
You told me you barely knew Dr. Wolf.
I'm not sure that's true.
[MONITOR BEEPING]
Wolf and I
we used to date.
Briefly.
But it was never going to work, so
I didn't think it was
worth mentioning.
Hm.
So instead of being
honest about it, you
lie to me?
Josh.
Is there anything else
you've been holding back?
No.
I'm sorry.
[SCOFFS] I should have told you.
I like Wolf, but I don't want
anything to come between us.
Well
[STRAINED] Then we
won't let anything come between us.
♪
[SOFT KNOCK ON DOOR]
Sounds like you saved Josh's life.
I look forward to seeing
how you hold that over him.
Wolf
can we please agree
to disagree about Dana?
I hate fighting with you.
I don't want to fight with you
either.
[CHUCKLES]
I'm too tired.
Well, if there's
something else going on,
I really wish you
would just talk to me.
I really screwed up today, Carol.
I almost lost a patient.
Emma Henry?
- No, she's gonna be okay
- No. Not her.
It's another patient
I haven't told you about.
Her name is Sofia, and she
was struggling with insomnia,
so I brought her in for
a sleep study off the books.
But then I got
so wrapped up with Josh
[SNIFFLES]
I left her alone during the gas leak.
Wait, she was in the sleep study room
during the gas leak, and she's okay?
Enough to run off.
The reason Josh and Emma got so sick
was because they were in closed rooms.
Wolf, if you're saying she
was confined, are you sure
She's fine.
Physically. It's emotionally
I'm not so sure about.
Would you like me to meet with her?
No. It's a delicate situation.
I met her outside of the hospital.
She worked
for my dad.
Oh, okay.
Um, I can see how
that might come with triggers.
I don't care about triggers, Carol.
She could have died because of me.
I've been, uh
trying to hide it. [CHUCKLES]
For a while.
But I have not
[VOICE BREAKING]
I have not been myself lately.
Between my dad and Charlie
and Josh and you
Hey, Wolf. We're good.
I just want to help you.
You just need to ask.
♪
[BREATHES DEEPLY]
Hey. Talk to me.
[SOBBING]
♪
♪
[KNOCK ON DOOR]
Here's all the charts
for the third-floor
patients from today.
Thank you, Estelle.
Let's wrap this messy day
up with a bow.
Mm-hmm. Yes, Dr. Pierce.
Oh, uh, one last thing.
Can you send over any data
that was collected during
a sleep study today?
- On it.
- Thanks.
[DOOR OPENS]
[DOOR CLOSES]
[SIGHS]
I was hoping you were here.
I ordered Thai.
I'm so sorry about today.
I-I betrayed your trust.
Let yourself down off
the cross. I overreacted.
The experience triggered
my abandonment issues.
Goes back to childhood.
I don't talk about this a lot,
but growing up an only child
with face-blindness
no friends
I became obsessed
with the periodic table.
I developed a strange kinship
with the inert gases
Argon, Neon, Helium.
Makes total sense to me.
I
imagined that they were like me.
Isolated, lonely, unable to connect.
I couldn't see them,
but I knew that they were there.
I identified most
with the noble gas Xenon,
because for so long no one believed
that it could connect with anything.
But it turns out under extreme
and specific conditions,
Xenon can bond
with the electronegative
element fluorine.
I guess what I'm saying is
I'm the fluorine to your Xenon.
And the so-called extreme
and specific condition
that makes our bond work is your dad.
♪
♪
If it makes you feel any better,
your dad told me he was
miserable without you.
[KEY TAPPING]
[CHUCKLES]
Um
I guess I don't hate to hear that.
But then I'll never understand
why he came back
just to leave again.
Every time he goes
he leaves so much damage in his wake.
♪
[SIGHS] Maybe it's not too late
for you to do some of your own damage.
♪
♪
Where is Sofia?
sync & corrections awaqeded
♪
♪