Doc (US) (2025) s03e02 Episode Script

1
(AMY): Previously, on Doc.
(DR. SHERYL): She's healing,
and healing fast.
That would explain
the influx of new memories.
Really hope you're not rushing this.
I assure you, I can do this.
Ruth Chen, this is Cal Ferguson.
These are your co-chief residents.
Ben! I heard you were coming.
(CHUCKLING)
You want to replace Dr. Costa.
If I'm coming to Westside,
it'll only be to run surgery.
So, now that you're not
working with Dr. Larsen,
you figured why not
give cardiology a shot?
- I'm happy to better myself.
- I saw you, Jake.
I saw how you looked at her
through her window.
You just pushed me away.
(ENGINE HUMMING)
(COUNTRY MUSIC OVER RADIO)
(MAN): Help!
- Help!
- (TIRES SCREECH)
(PANTING)
- Please, help!
- What happened? Are you hurt?
Not me. My family's in there,
you've gotta help them.
(PANTING)
(TENSE MUSIC)
(ALARM BEEPING)
(CHUCKLING)
- Ibuprofen?
- Mm-hmm.
I didn't realize you were a nurse.
- Funny.
- (CHUCKLING)
And fun.
That's a pretty sneaky martini
you make, which is not fair.
(CHUCKLING) You want the recipe?
Oh, God, no.
- (PAGE RIPPING)
- How about my number?
(SOFT MUSIC)
Oh, uh
You're not gonna call me, are you?
(BOTH CHUCKLING)
I've got a lot on my plate right now.
Can't blame a girl for trying.
It's your lucky day, pal.
You're with me again.
- Great.
- Call came from on high.
Clearly Dr. Matos
sees some potential in you.
Ooh. What you working on?
(PHONE CHIMES)
Wait
Is that like, Rachel, Rachel?
It's new, okay? So I just need
you to keep it to yourself.
- All right?
- Dude. Cardio code. Of course.
- (PHONE CHIMES)
-
Aw, you're nervous!
No, that's that's not
what I said to her.
Right. Well, carpe diem.
Let's go, grasshopper.
Wait
Does this mean no more Amy?
(EXHALES)
(AMY): I had a few more
memories last night,
but nothing physical,
so, don't go running to Michael.
He is the head of your department,
and I'm out over my skis for you,
so I will report back to him
as soon as I understand
what this is. So how is this different?
They're not painful or disorienting.
Just constant and intrusive,
and the last thing I need
when I'm trying not to look back.
All the more reason to look ahead.
- Amy.
- Hey, Ben.
- So I guess you work here now?
- Looks that way.
- (CHUCKLING)
- Double espresso, please.
I think Joan would be glad
that you're the one
filling her position.
Actually, I'm taking over
the department.
Does Dr. Costa know that?
Yeah, he's pretty burnt out
on the admin stuff,
and he was happy to let that part go.
Works out for everyone.
(ETHEREAL RINGING)
You do background on everyone
at the conference? Or just me?
Well, I'm glad you're here.
I'm excited to work with you.
Same.
(SONYA): Department rolling out
the red carpet for Ben on his first day?
So, whose team are you on?
- It's not dodgeball.
- No. It's not.
And I'm asking where you stand.
(SCOFFS) This is ridiculous.
'Cause I heard you and grant
got pretty chummy
during the contagion.
Maybe you knew about the coup
before it happened.
- Oh, wow.
- Come on.
All I know is
I've been a resident under Costa
for four years,
and he deserved better than this.
(TENSE MUSIC)
Dr. Fox could use a Xanax.
He may not be wrong.
Ben is brilliant, but Costa's
the one who hired me.
Joan championed you.
Costa went along. And that happened
because you are really good.
Yeah, I just don't like
the way things went down.
I get that. But you said yourself,
Costa can be conservative.
I think Ben will be better
for the department.
I guess I'll find out
for myself soon enough.
Yeah.
(INDISTINCT CHATTER)
- Morning.
- Dr. Grant.
I figured you'd want
to discuss what happened?
As the guy who recommended you
for an opening in surgery,
I would've appreciated a heads up
that you were planning to take it over.
Sorry if that put you in
an uncomfortable situation.
- It did. And it does.
- I saw the potential
in the department,
and this was the only move
that made sense for me.
And apparently the board
saw an opportunity to upgrade.
I don't disagree with their decision
or the direction
you want to take things.
But surgery and medicine
have to work together.
And I'd be lying if I said
you haven't lost some trust.
Well, I hope you'll give me
a chance to earn it back.
- (DOOR OPENS)
- Dr. Grant?
You're needed in surgery.
- And they want you in the ICU.
- Okay.
Teenage son was driving.
ER checked him out.
Scraps and a mild concussion.
Mom's got rhabdo,
causing renal failure
and a subdural hematoma.
12-year-old sister has a liver lac
from the seatbelt,
a pelvic ring fracture, and DIC.
They're on their way up.
Uh, we should assign the interns
to floor work.
They're just gonna get in the way today.
Well, opportunities
don't come when you're ready,
they come when they come.
I think it's a mistake but fine.
You can have Kyle, I got Ruth.
Try not to break her on day two.
(ELEVATOR DINGS)
Anthony Evans, 48, MVA.
Deer versus auto. Riding shotgun.
FD came to extricate after he
was found impaled on the scene.
Wife and daughter are in the ER.
All right, take him to OR 1.
Dr. Coleman, call Radiology.
I need a bedside chest film.
You got it.
(TENSE MUSIC)
Can you tell me what happened?
Last night I, I was I
(BREATHING HEAVILY)
Dr. Ferguson, can you get
Mrs. Evans's latest files, please?
Yeah.
Uh, Dr. Larsen wants vitals.
Hey, I know how hard this must be,
but we are gonna do everything
in our power to help your family.
But in order to do that,
I need you to tell me what happened.
Um
We went to Mestiizos
to celebrate Harper's
middle school graduation.
- Mm-hmm.
- My sister can never decide
between sushi and Mexican,
so she was excited,
'cause you know, it-it's both.
(SIGHS)
After dinner, we went back to our cabin.
I-I begged my parents to let me drive.
My, my mom, she said no way,
'cause I had just
gotten my license. But my dad
He said I had to learn some time.
I-I didn't see the deer.
Before I knew what was happening,
it crashed through the windshield.
So your dad was in the passenger seat?
Mom and Harper in the back.
My airbag went off.
We flipped into a ditch.
The deer was kicking like crazy,
it was freaking out,
there was blood everywhere.
BP 110 over 73.
Heart rate's in the 90s
and she's satting 97.
Oh, great.
Theo, your mom's vitals
are all normal, okay?
Yeah. Th-Thank you.
During the accident,
were you knocked out?
Not for long. It was still
dark when I came to,
but there was no one else awake.
I tried to get help,
but there was no cell service.
Seatbelt was jammed,
the door was wedged shut.
It took so long before I got out
that when I finally got to the road,
there was no one there for hours.
After sunrise, a few people drove by,
but the I-I know they saw me,
- but they just kept going
- It's okay.
- You're all here now.
- My dad's not here.
I don't even know
what's going on with him.
He's gonna be in surgery
for a while longer.
We're waiting on his latest lab results.
Can you check on them?
Okay.
(HEARTBEAT MONITOR BEEPING)
Are you in?
If you didn't get a flash,
then you're not in the vein.
Sorry. I've only done IVs
on chicken thighs.
Like, from the grocery store?
(LOUD BEEPING)
- (THEO): What's wrong with her?
- Her heart rate's rising.
It's okay, Theo.
They'll take care of it.
Liz.
Okay.
Harper has a grade 4 liver lac.
Dr. Costa wanted to just monitor,
but now BP's getting soft.
She's hemodynamically unstable.
She needs to go to the OR.
Yeah. But DIC puts her at higher risk
for bleeding out mid-surgery.
Okay, so go with her and manage it
while they operate on her liver.
It has to happen now.
- Mm-hmm. Okay.
- (JULIE): All right.
(SONYA): Okay. Okay, I got this.
(BED RAILS CLICKING)
(TENSE MUSIC)
What's going on?
We have to operate on your sister.
What, her too?
Will she be okay?
(MONITOR ALARM BEEPING)
Did I miss something? Is it my fault.
No, you did nothing wrong.
This can't be happening!
Can you start it?
Hey, Theo.
I know this is scary.
You have to save my family. Please.
So early wound management
and antibiotics are everything.
Any wound that doesn't heal
in a diabetic patient
is osteomyelitis until proven otherwise.
Try to remember, when we come
across these patients,
we're not just treating an infection,
we're saving a limb.
- Thank you.
- (APPLAUSE)
Uh, I think it's time
for Q and A. Any questions?
Yes?
Yeah, with all due respect,
I'd argue surgical intervention
is more effective
than non-operative wound
management of diabetic ulcers.
The well-worn dichotomy,
surgery versus medicine.
It's not about cutting
for the sake of cutting.
- Never is.
- Studies have shown
that patients who undergo
early surgical debridement
have a much higher rate
of remission, so
It was one study. I saw it.
And the rate of remission by patient
was anywhere from 28 to 81 percent,
that's hardly consistent enough
to call evidence.
I guess Harvard didn't teach you
to read the footnotes,
Dr. Grant?
I have never seen anything like this.
Neither have I. And I've got
over 25 years on you.
And between the blood and the antlers,
I could barely make out
much of the hilum or lungs.
We'll have to go in blind.
It doesn't help
that no one stopped for the kid.
- Cost us hours.
- No one stopped?
- Dr. Fox. Ready to assist?
- Born ready.
Good. We'll start by tying off
any arterial injuries
that could be the source
of the bleeding.
What about removing the antlers?
That's where Dr. Coleman comes in.
If I'm right,
they're acting like a fish hook.
Wrapping around the pulmonary artery,
vein bronchi, which means
If we just pull them out,
could rip out the entire
vascular pedicle to his lung,
make it impossible to repair.
Exactly. So, no removal
without more data.
I need you to track down
any case reports
of similar penetrating injures.
Every operative solution you can find.
Go. Fast.
- Scrub in.
- Yeah.
(TENSE MUSIC)
He has severe acidosis.
Well, given his massive
pulmonary contusions,
makes sense his blood gas is abnormal.
It's a mixed acidosis. The lung
trauma alone wouldn't explain it.
There's gotta be something else
going on.
Guess you gotta figure it out then.
- Excuse me?
- Medicine's your area.
Mine is to operate like hell
before he bleeds out. Excuse me.
(RINGING)
Who said I'm back out there?
(EQUIPMENT BEEPING)
Serena, repeat the trauma panel
and get a rhotem to the lab, stat.
We need to look for everything.
We're observing Mrs. Evans'
hematoma for now.
Kidneys are responding to IV hydration,
but I think I saw PVCs on the monitor.
So, I want a second opinion.
Dr. Heller. What is a PVC?
Are you kidding me?
You're a beginner in cardiology,
so we start at the beginning.
It is a premature beat
arising from the ventricle.
And how frequently does this occur?
Can we socratically skip
to the solution, please?
Mmm.
We should check for any
electrolyte abnormalities.
Get a 12-lead EKG and an echo.
- Correct, young Skywalker.
- Okay, you don't cut that out,
I'm gonna break out my lightsaber,
send you on a visit to Obi-Wan.
Okay, got it, yeah, sorry sir.
(CLEARS THROAT)
- (EQUIPMENT BEEPING)
- (EXHALES)
Jamie, sponge. There's a significant
amount of bleeding from the liver.
We're gonna need to administer
cryo, fibrinogen,
and TXA to get this under control.
Then you operate on the fracture?
No. She can't handle that.
He didn't stabilize
the pelvic fracture surgically?
Just put a binder on.
Said she's too critically ill already.
Too conservative, right?
Even with borderline displacement,
- he should've operated.
- Mmm.
I'd keep an eye on her hematocrit.
Any luck on your end?
Turns out antlers through the chest
is a one-in-a-million kind of situation
and I am on the clock here.
What is it improvise, adapt?
Overcome? That's the marines.
Whatever, ranger.
Think outside the box.
Ben trusts you. Maybe trust yourself.
(EQUIPMENT BEEPING)
(FOX): I'm seeing
some ventricular strain.
(BEN): We're in here now.
No turning back.
(AMY): Keep scrolling, Carin.
Show me the enzymes and lactate.
- What are you looking for?
- I'll know when I see it.
Okay, this is unusual.
Oh, God.
(TENSE MUSIC)
Dr. Grant, Dr. Larsen's
on the phone for you.
- Now?
- She says it's urgent.
Put her on speaker.
- What is it?
- (AMY): His results came back.
Troponins BNP and lactate
are off the charts.
You need to stop the surgery.
Wha Where am I?
It's okay. It's okay.
You're at Westside Hospital
in Minneapolis.
(GROANS)
My head is killing me. What happened?
You were in an accident.
Your car hit a deer.
- Careful. Careful.
- Am I okay?
This'll sound worse than it is,
but you have a bleed
around your brain. Now
(DOOR OPENS)
Mom, you're okay!
Ah, I'm sorry. I don't know who you are.
(DRAMATIC MUSIC)
I'm your son.
Theo.
What is he talking about?
I-I don't have a son.
So, did I use up all my questions?
Depends. Can you handle
more of my answers?
- Oh, I think so.
- Okay, then.
You do background
on everyone at the conference?
Or just me?
Did you really come up here
to ask me that or eat crow?
(CHUCKLING)
Both. (CHUCKLING)
But I prefer to atone over a drink.
(EQUIPMENT BEEPING)
What are you doing?
- I told you to stop.
- I heard you.
The transfusions we've given him
have caused fluid overload.
He's in heart failure.
I've controlled all
the bleeders I can visualize,
but there could be more
hiding behind the antlers.
I'm pretty sure if I stop,
he'll bleed out.
If you don't stop,
he's gonna die on your table.
I have to fix the heart failure first.
- And how you gonna do that?
- Goal-directed diuresis.
He can't handle single-lung ventilation.
- Had to put him on VV ECMO.
- I'm aware.
All right. I'll get him ready
for you, but if he's not back
in my OR in four hours,
the circuit will clot,
and he'll die in your ICU.
(TENSE MUSIC)
Can you do that? In four hours?
We have no choice.
(PHONE RINGING)
(NURSE): ICU?
(RUTH): Your sister should be
waking up soon.
Dr. Costa was able to get
her bleeding under control.
She looks so small.
She's She's strong.
And stable for now.
That's That's good.
Why doesn't my mom know me?
It's not just you.
She doesn't remember anyone right
Um
We're not sure yet. Not yet.
She's getting
She's getting a repeat CT.
It's a scan of her brain
so they can figure it out.
What about my dad? Is he gonna be okay?
Um
we we're doing what
What
We're doing everything we can. For him.
Okay?
(SOFT MUSIC)
Sorry.
Stay here and monitor
Harper's serial crits
and drain output. Any changes,
let me know right away.
(BREATHES DEEPLY)
Come on, Harp. Wake up.
- Can she hear me?
- Probably.
The anesthesia just takes
some time to wear off.
If you wake up now,
I'll show you how to code in python.
She's been bugging me to teach her.
(TENSE MUSIC)
Theo, she needs to rest.
I'm gonna take you
to the waiting room, okay?
Why? What-What's going on?
I just, I need you to come with me.
- I-Is this about my mom?
- No.
Well, they took her away
and they won't tell me
- why she doesn't remember!
- Remember what?
Me! She doesn't know who I am.
Um, I'm sorry,
I've been treating your father.
But I'll get you an update.
I need you to go
to the waiting room. Okay?
Someone will be by soon.
Why did he have to go?
Did something happen?
We're bringing his father up here now.
(OMINOUS MUSIC)
- (GASPING)
- Oh.
Oh, my God. The antler's still in him.
(AMY): We more access.
Get a second line going.
He needs Furosemide,
Cefepime, and Vancomycin.
- I can get it.
- Julie's got it. Stay back.
You paged Cardiology?
Yeah, I need a transesophageal
echo to monitor his cardiac function.
Yeah, no problem.
I just need to get some more dressings.
Yeah.
Mrs. Evans doesn't remember
what happened.
Or recognize Theo
or anyone in her family.
Brain bleed must be getting worse.
So we were wrong about it
being stable enough to monitor?
No, you weren't wrong.
Her hematoma's getting smaller.
Oh, so what's causing her symptoms?
- (KNOCKING)
- (DOOR OPENS)
I'm sorry to interrupt.
Dr. Hamda, can I have a word, please?
EEG? MRI?
Yeah, and I'll want to do some
more advanced cognitive testing.
- What can I do for you?
- Yeah, I just want to make sure
you've been apprised of
the situation with my patient.
Your patient?
The guy with the antler in his chest.
Anthony Evans. What about him?
Dr. Larsen insisted
that I stop mid-surgery
so she can find a medical
solution to his heart failure.
And?
And he was already at risk
of dying from impalement.
The longer we delay,
she compounds that risk
with the likelihood
of ECMO failure and infection.
Are you implying
she's not up to the task?
Listen, I just checked
on the Evans's status,
and they are no closer to an answer.
So maybe you wanna give her a hand.
- (EQUIPMENT BEEPING)
- How is he?
Still alive for the moment.
Julie, get me updated Is and Os,
- and his latest ABG and trops.
- On it.
I heard about Mrs. Evans.
Poor Theo's a mess.
He's actually handling it
pretty well, considering.
Right. I guess you're an expert.
When I woke up from my accident,
I wasn't much fun either.
Well, at least you remembered me.
- What's your plan here?
- It's a tightrope.
We gave him diuretics
to get rid of the excess fluid
and then the ECMO started chugging.
Not enough blood flow
to the pump. You drop the RPM?
Yeah, I did, but if that doesn't work,
we're gonna have to give him more fluids
and then we're back at square one.
And his clotting's gotten worse.
Just as Dr. Grant predicted.
- You talked to him?
- I did.
He's wary about what you're attempting.
Well, that tracks.
Is there something
I should know about you two?
(RINGING)
What did you sign up for?
Did you just have another memory?
I'm managing. I'm fine.
We need to regain control
of his fluid status.
Don't take it personally.
Thought I was doing pretty well,
but suddenly, she's acting
like I'm in the way.
Yeah, it gets hard to predict
which version you're gonna get.
And today especially.
Not sure what you know about her, but
Oh, we all know. Everything.
'Kay, well then, this should make sense.
Car accident? Woman losing her memory?
Family hanging in the balance?
- Right.
- But you can't control any of that.
All you can do is just manage you.
- And try not to wake the beast.
- (CHUCKLING)
Thanks for the consult.
Yeah.
- (HOSPITAL DIN)
- Jen Evans, coming in.
Her face is drooping. Speech is slurred.
She's getting worse.
No signs on the imaging,
but it looks like a stroke.
I started a low-dose heparin drip.
Hopefully it reverses
the effects and the memory loss.
- Theo really wants an update.
- Yeah.
Okay.
Just, um text me the number.
Thanks.
That was Albert. My dad's friend.
I'm glad you have someone to talk to.
He's trying to find me a lawyer.
Why would you need a
You think I don't know what's going on?
The way you're all acting?
My dad's not gonna make it.
And my mom she doesn't even
know who we are.
Look, we don't have anyone else.
They'll put us in foster care.
They'll separate us!
Theo, you're getting ahead of yourself.
Look, don't lie to me.
You already sent your social
worker to come talk to me.
I'm sorry.
They shouldn't have done that.
I don't get it!
I'm old enough to drive.
Old enough to kill my parents.
But I'm not old enough
to take care of my sister?
(SOBBING)
I-I'm sorry, I just
- (SNIFFLING)
- Hey. It's okay.
She didn't want me to drive,
but I really thought I was ready.
- (EQUIPMENT BEEPING)
- Uh, Dr. Maitra?
What's going on?
I know you said to watch her hematocrit,
but Harper's getting tachypneic.
I figured I should tell you.
(TENSE MUSIC)
- You paged me?
- Respiratory distress.
I think it's a fat embolism
from the pelvic fracture.
- Need an echo to confirm.
- Okay, I got it.
Decreasing RPM
and giving volume isn't working.
- BP's still too low.
- I know that, Michael.
Well, d'you think there's bleeding?
- Sorry, I know you're busy.
- Not now, Kyle.
(RINGING)
Do you have any idea what you're doing?
- (EQUIPMENT BEEPING)
- But we got the labs back.
His hemoglobin's 19. That's high, right?
- Very high.
- So he's not bleeding.
Doesn't make sense.
(EXHALES)
Stay, Kyle.
It's capillary leak syndrome.
The hemoglobin's falsely elevated
because his blood vessels
are leaking fluid
into his tissues.
It can happen after a trauma.
Explains the heart failure
and why nothing we've been doing
has worked to raise his BP.
What about Hepastarch
to pull the fluid back
- into his blood vessels?
- His kidneys still won't
get rid of the excess fluid in time.
What if we dialyze him via his ECMO
to fix the fluid overload in the OR?
What does that mean?
His ECMO is letting us bypass his lungs.
If we hooked up
a dialysis machine to it,
we could bypass his kidneys,
taking the fluid off faster,
but still keeping it controlled.
Which would allow Dr. Grant
to proceed with the surgery.
- (HOSPITAL DIN)
- No journal articles, not one?
All traditional lit was a bust.
There's gotta be something out there.
Good for you if you can find it.
The fact that I couldn't,
got me thinking.
Docs who have dealt with this
aren't the ones who write papers.
They're the ones with real-life,
hands-on experience.
So, I called around to rural hospitals.
Found a similar case in Grand Marais.
Another one in Drummond.
Based on what those surgeons said,
I worked out a strategy for us.
Keep talking.
We need to treat it
like a tumor, not a trauma.
Instead of trying to save
the damaged blood vessels
by taking out the antler piece by piece,
we should remove the whole
section of the antler,
and the penetrated vessels,
and the airway.
And then what? Watch him die?
Then we take what's left over
from the artery and bronchus,
put those two ends back together.
He'll bleed like a stuck pig.
Means we gotta move fast.
I like it.
But it's all moot
if Dr. Larsen can't stabilize
the patient for surgery.
She's got an hour. Tops.
I already checked in. Not ready yet.
- Argh.
- (GURNEY WHEELS CLATTERING)
We've got Harper,
pelvic binder wasn't enough.
She needs ORIF.
Echo confirmed the fracture's
causing fat emboli.
- Should I page Dr. Costa?
- No, I got this.
Let's go, Dr. Fox.
Tell Dr. Larsen I'll be ready in 30,
so she won't be waiting on me.
Prep OR 2 right now.
So, how long have you been separated?
Mm. Three months.
We were together 26 years.
Can't be easy getting back out there.
- Who said I'm back out there?
- (CHUCKLING)
Yeah, I'm sure it's going well for you.
Ask me again in an hour.
(SOFT MUSIC PLAYING)
Really? Does that work
on the other women?
- There are no other women.
- (CHUCKLING)
Um, as far as my ex knows, at least.
(CHUCKLING)
No, yeah, our divorce
isn't exactly amicable.
So you did something wrong?
I did lots of things wrong.
But if you're asking was I unfaithful?
No. We just disconnected.
Kept it together for the kids,
but once they were
out of the house you know.
Well okay. Your turn.
No.
No, I didn't sign up for that.
What did you sign up for?
- (EQUIPMENT BEEPING)
- (BEN): Fluoro shows excellent
alignment and stabilization
of Harper's pelvic ring.
- She gonna be okay?
- She will now.
So, you would've operated
on the pelvis this morning.
After the liver? Yeah.
(OVER SPEAKER): You were wrong.
I am waiting for you.
Mr. Evans is ready.
Dr. Fox, close up.
Dr. Coleman, suit up and scrub in.
- Really?
- It's your plan. Let's go.
Pick-ups.
(INTRIGUING MUSIC)
- (TAP RUNNING)
- Dr. Larsen,
I'll need you to keep him stable
so I can finish the surgery this time.
Oh, I'll do my part.
Curious how you plan to do yours.
Ask Dr. Coleman.
We'll follow sleeve resection guidelines
for antler removal and anastomosis.
Pull the whole thing out,
then put the damaged vessels
and the bronchi back together.
(TENSE MUSIC)
What's happening?
She's responding well to the heparin,
but now she's got 102-degree fever.
Well, maybe it wasn't the trauma.
Could the stroke have been
caused by an infection?
I started her
on broad-spectrum antibiotics
- just in case.
- (ALARM BEEPING)
(EXHALES) Now she's tachycardic.
She needs more fluids.
(INTENSE MUSIC)
Why is she getting worse?
Theo, you can't be here right now. Liz!
Please, help my mom.
Yes. Yes, they will.
Theo, they will. Okay?
But we gotta go now.
C'mon.
Got a lot of bleeding here.
What's the fluid status?
Ultrafiltration is working.
Dr. Coleman, I need you
to ligate that bleeder
with an O silk.
I'm right here.
And you gotta learn sometime. Let's go.
(TOOLS CLICKING)
(HOSPITAL DIN)
(INDISTINCT CHATTER)
You all right?
When I finished med school,
they gave me a piece of paper
that said, you know,
I'm a doctor.
But I don't feel like a doctor.
I feel the exact same way
I did a month ago.
You helped save his sister's life.
Yeah, but what about his mom?
His dad? What're we gonna tell
that poor kid?
It's not easy. But you're gonna need
to learn to compartmentalize.
Otherwise you're just gonna keep
freezing like you did earlier.
I'm gonna get better at this. I promise.
(MICHAEL): CBC is normal.
RVP and blood cultures all negative.
Still, the fever's going up.
It's at 104 now.
- This has to be an infection.
- Yeah, but from what?
The antibiotics would've treated
all the usual suspects.
The deer carcass.
It was bleeding everywhere,
she had open wounds.
The fever, stroke, cognitive impairment.
It's Brucellosis.
From the infected deer's blood.
(BEN): This is the point of no return.
All right, I got a proximal and
distal control with the clamps.
As soon as this comes out,
every millisecond counts.
I'll reattach artery
and bronchi as fast as I can.
The rest of you,
do whatever you need to do
to control the blood
and keep him stable.
- Understood? Everybody copy?
- Got it.
Yeah?
All right. We got this.
One
Two
Three.
(SPLATTERING) Ah!
(INTENSE MUSIC)
Serena, goggles.
TJ, suction.
(MACHINE WHIRRING)
Dr. Grant. Dr. Grant.
- Ben! There's air in the circuit.
- Get it out. Now.
Turn the ventilator to 100 percent FiO2.
Dr. Ferguson, get me a 60cc syringe.
(MONITOR BEEPING RAPIDLY)
- His oxygen is tanking!
- 'Cause he's not getting any.
I just need a few more minutes
to finish reconstructing
the pulmonary artery anastomosis.
(BEEPING CONTINUES)
Can you get the air out?
Amy?
You got this?
So
- How do we rate?
- (ELEVATOR DINGS)
What do you mean?
My hospital hosted the conference.
Need to report back how we did.
Ask me again in an hour.
(SULTRY MUSIC)
You still questioning my skills?
Hey, my focus was on the patient.
And you came through.
In the end.
- (CHUCKLING)
- That's not an apology.
Now, listen. What we did in there today
was impossible on paper.
I needed a rockstar
to get it done, and I,
I just wasn't sure you were
the same doctor you used to be.
Well, now you know.
Just as good as I ever was.
With all due respect,
you'd be chief of medicine
if that were true.
I gotta say, this is really starting
to feel personal.
- (SCOFFS)
- How could it?
We barely know each other.
I guess nobody told you.
I get memories sometimes.
Especially when I'm,
uh, triggered emotionally.
(SCOFFS)
Um
I started to text you the other day,
but I wasn't sure when
was the right time to tell you
or or how.
Tell me what, exactly?
We had, um
a dalliance.
- A dalliance?
- After your divorce.
It was about four years ago. On and off.
Long distance. And mostly,
we'd meet at conferences.
Uh, so nothing serious?
No. And you did a preliminary review
of my clinical trials as a courtesy.
I guess you didn't read anything
about that in your emails.
It doesn't ring a bell.
How did it end? Us?
Petered out with no hard feelings.
(RINGING)
I should've called
after that last night in New York.
So, uh, we're good.
Absolutely.
And Dr. Heller is a great guy.
I'm happy for you.
Yeah. Okay. (CHUCKLING)
You were outstanding today.
Back at you.
(SOFT MUSIC)
(EQUIPMENT BEEPING STEADILY)
(HARPER): Theo?
Harpo!
That's not my name.
It is if I say so. (CHUCKLING)
Don't make me laugh. It hurts.
Mom, is she okay?
Doctors say she will be.
- What about Dad?
- He's still in surgery.
(MICHAEL): Actually, he's out.
He's stable and resting
in the recovery room.
(CHUCKLES)
Now, I'm not really supposed
to do this, but
you wanna go see him?
Yeah!
I just wanna warn you,
surgery can cause swelling,
discoloration.
Your dad won't look like himself.
I understand.
Look what you did today.
You fought with everything
you had to get out of that car.
To find help, to save your family.
And you did it. You saved them.
You said before
you thought you were ready.
Nobody's ever ready for anything
until they do it.
But after today, you can
handle whatever's coming.
(SOFT MUSIC)
(EQUIPMENT BEEPING STEADILY)
(SIGHS)
Are you the one who operated?
Thank you.
You're welcome, my friend.
- What am I thanking you for?
- For accepting you
into the secret society of saviors.
Surgery loves to steal all the glory,
but we Cardio Kings, we had a big part
in saving that family today.
Uh, to be fair,
I think Dr. Grant gets the MVP,
but, yeah, we can take
some of the credit.
Yeah, we can.
People only notice us
when things go wrong.
- We're basically the FBI.
- You see right there.
We almost had a moment,
and you ruined it.
(CHUCKLING)
(AMY CLEARS THROAT)
Great work today.
Yeah, you too.
Go home to your
soon-to-be-non-ex-wife and kid,
my brave squire.
And my pursuit of domestic bliss
shall continue as ever.
He wasn't supposed to know about that.
Well, it won't come from me,
but it's gonna get out eventually.
And it's not fair for Amy
to be blindsided.
Yeah.
Dr. Costa.
Good work today.
When a patient of mine is in trouble,
I expect to be paged.
Noted.
You didn't mention the pelvic binder.
He understands what happened.
No reason to rub it in his face.
(DOOR CLOSES)
Heard you killed it today.
I don't know about that.
You caught the first sign of emboli.
Saved that little girl's life.
And you survived Dr. Maitra.
Barely.
How was Ruth today?
She's still intact
and she learned some lessons.
- So maybe you were right.
- Good.
(SOFT TENSE MUSIC)
I know what my reputation is.
From when I was Chief of Medicine.
And I suspect some of my behavior today
may have reinforced it.
Yeah. I mean, you acted like
I was in the way
when I'm here to learn and contribute.
Was that too honest?
- Uh
- My folks say I can be that way.
No, honesty can be underrated.
Well, I saw a lot today, too.
I learned a lot.
So, you know, thanks for that.
I'm sorry that I behaved badly.
I just want to do well.
Doesn't seem like
it was really about me.
Well, I'm hearing she hasn't
changed very much.
- From who?
- (CHUCKLES)
I'm sure you know that
these walls have ears.
Apparently she went toe-to-toe
with our new Chief of Surgery today?
They managed to work it out
and save the patient.
But, she's not exactly treading lightly.
Well, I don't think she ever will, Max.
Which is why you put some
serious guard rails on her.
Around the management of her
TVI, of course.
And what's your prognosis
regarding that?
- (SIGHS)
- Her brain's a wild card.
You know, has been ever since
the accident. What is this?
You asked to be
Chief of Medicine knowing
it meant overseeing her.
- Yes.
- And you understand
that your success or failure in
that job will depend greatly
on how you navigate the situation.
You know, we've had this
conversation a dozen times.
We've had this conversation
when you were sitting
on this floor. Now you're
running Internal Medicine.
And I know what it means to stake out
a new path for yourself.
So, if you're thinking of giving
her the kind of leeway
you have in the past,
everyone knows the history there.
You just said it
yourself, Max. It's history.
There's nothing between us anymore.
And everyone also knows,
my life would be easier
if she wasn't here.
Well, if you want her gone,
just fire her.
We'll back you.
I won't do that without cause.
But rest assured (EXHALES)
she does anything to earn my distrust
or to jeopardize
this hospital's reputation,
I'll be the first one
showing her the door.
Well, that's a helluva
thing to say about the woman
you once loved.
If you mean it.
(TENDER MUSIC)
You could say it's all my fault ♪
We just couldn't get along ♪
(CAR DOOR OPENS AND SHUT)
- Go get him.
- Daddy!
(CHUCKLES)
(FAKE GROANS)
Oh, what're you doing up this late?
She wouldn't go to sleep
until she saw you.
- Hi.
- Hey.
Come on.
Let's go, Princess?
- Yeah.
- Okay, go find it.
There's nothing left to fix ♪
You can say I lost my grip ♪
Say whatever feels better ♪
Whatever, you can just say I'm crazy ♪
You can say it's all my fault ♪
We just couldn't get along ♪
And so you know, I'll say ♪
I don't know, but no one's
gonna be asking me ♪
(WHIRRING)
You can say it's all my fault ♪
We just couldn't get along ♪
(THEME MUSIC)