Chicago Med (2015) s11e08 Episode Script
Triple Threat
1
- [PANTING]
- He's bleeding out!
- Code blue!
- [OVERLAPPING CHATTER]
You got the, uh, insomnia
pregnancy thing happening?
Yeah. Not exactly restful.
[DRAMATIC MUSIC]
- How long do I have?
- Matter of weeks.
That's not enough time to meet our baby.
Tumor has local extension
into the splenic artery.
[WHIRRING]
If we don't do something soon,
Jeremy could die on the table.
♪
- What's his blood alcohol?
- 0.275.
His name is Devin Carter.
He and his wife, Faye,
were in the ED last month.
He beat the hell out of her.
You wanna give Faye a call?
She's actually out of town.
- He's lying.
- Agreed.
But how do we prove it?
♪
- [GROANS]
- Oh, my God. Faye.
[GRUNTS]
Daniel?
[SIGHS]
I don't know what's wrong with me today.
I guess I'm not feeling
that introspective. I'm sorry.
Mm, it's your dime.
How about, uh,
anything in the news catch your eye,
book you're reading?
[CHUCKLES]
Things got pretty crazy at
work yesterday, that's for sure.
How so?
Well, we lost power. Got tricky.
People fumbling around in the dark.
I think it kind of got
into some people's heads.
Did it get in yours?
[SOFT MUSIC]
So this surgery was intended
to palliate the symptoms
Jeremy presented with?
That was the intent, yes.
And had the debulking
gone off without a hitch,
how many more years of life expectancy
would Jeremy have enjoyed?
- Uh
- Years?
We were maybe hoping
for a few more weeks.
A few weeks?
That's not protocol, is it?
I mean, to risk a potentially
fatal surgical outcome
for such a marginal improvement?
Some extenuating circumstances
led us to adjust the calculus.
Such as?
Such as Mr. Lockhart's wife, Esme,
being pregnant with their first child.
Jeremy had expressed
a desire to be there
when the baby was born, before he died.
And their baby couldn't be
delivered safely
in that time frame?
Well, she was only at 31 weeks, so no.
So did this same calculus
lead you to make the decision you did
when the power went out?
[TENSE MUSIC]
♪
[DOOR OPENS]
Dr. Lenox,
I'm Detective Gonsiorek.
Sorry for keeping you.
I would like to go over your statement.
Is this really necessary?
I'm very tired.
I appreciate that, but I
I find that people's memories
get a little
wiggy if you wait too long.
I'm not sure if there's
a medical term for that or not.
It's it's called consolidation.
Short-term memories get transferred
from the hippocampus to the cortex
for long-term storage.
And yes, some leakage tends to occur.
Hmm. That's good to know.
There's some science behind it, huh?
Anyway, as I was saying,
why don't you just walk me through
what you were thinkin'
when you left the hospital yesterday?
Thinkin'?
Well, you told my deputy
that you were concerned
that Mrs. Carter was in
some kind of trouble,
and that's why you went over there.
Yes.
So why didn't you call the police?
[SIGHING] I don't know, I don't know.
- You don't know?
- Mm-mm.
You don't remember?
Might that have leaked out
somewhere between the cortex
and the hippo-whatever?
[TENSE MUSIC]
Well, maybe I didn't call the police
because I was concerned
that they wouldn't
take this as seriously as I did.
On the other hand, had you
notified the authorities,
maybe someone wouldn't
have wound up dead.
So just for clarification's sake,
whose idea was it
to soldier on in the dark?
Jeremy's my patient.
I made the call.
[TENSE MUSIC]
Nobody knows how long it'll take
to get power in this OR.
There is one available upstairs
if you want it.
What do you think, Jennifer?
We can't keep flying blind,
that's for sure.
BP's dropping, people.
Now 73 over 40 and trending down.
Something's got to be bleeding in there.
And how the hell are
we supposed to know?
I think we should take him upstairs now
while we still can.
Yeah.
I think we'd be better off staying put.
What?
Well, we don't know
what's bleeding in there,
nor how bad it is, right?
The slightest bump on the way up
with these instruments still inside him
might make things even worse.
So you want to stay here in the dark?
We open him up,
get a direct line of sight,
and we do the rest of
the debulking by hand.
It's the fastest way
to staunch whatever it is
that's dropping his blood pressure.
♪
OK, open up the laparotomy trays.
Dave, find as many portable
light sources as you can
and get some extra hands.
And, uh, maybe we'll get lucky
and the lights will come up
in the meanwhile.
Legally speaking, Dr. Kingston,
that decision put the hospital
in a potentially tenuous situation.
Oh, I know it sounds risky,
but all things considered,
staying put, even in the dark,
seemed to afford us more control
than trying to move
the patient upstairs.
Except you didn't have it
under control, Dr. Archer.
[TENSE MUSIC]
There's a lot of shed blood
in the abdomen.
Activate MTP.
♪
Ah. Here's the culprit.
Yep. Splenic artery.
Lap.
All right.
Clamp and tie, post-silk suture.
This was the section we were working on
- before the lights went out.
- Yeah.
You're hard-pressed
to resect around this,
even in the best environment.
Tumor's too invasive.
Temp's down to 95.
Not sure how much longer
we can keep him stable
in this environment.
I would like to remove
the transverse colon mass
while we're here.
- Hemostat.
- We can't keep his blood warm.
He's hypothermic, coagulopathic,
and likely acidotic.
I just need ten more minutes.
That's the only reason
why we're here, right?
All right.
Let's push on for ten more minutes.
Anybody with an armpit to spare,
use that to warm the blood
before infusion.
Come on, everybody. Let's hustle.
The post-surgical report
says Mr. Lockhart lost
about four liters of blood?
That sounds accurate, yeah.
And what do you think was the
proximate cause of the bleeding?
Was it the byproduct
of the tumor's location?
Or could it have been
attributed to the power outage?
Or, you know, was it simply pilot error?
There's no real way of knowing.
Dr. Kingston resected
a remarkable amount
of tumor burden
less than we had planned
given that we couldn't
perform the HIPEC.
But still, hypothetically,
it should have accomplished
what the patient was hoping for.
Unless he never wakes up.
[SIGHS]
You think he had a stroke?
It's a possibility.
So how long is he gonna be like this?
It's impossible to know
at this juncture.
[MACHINE BEEPING]
I wish I could be more precise.
Don't lose hope, Esme.
I don't know.
I I'd made peace, I think,
with him either surviving the surgery
or dying on the table,
but him being stuck like this
in limbo, it's
it's like a nightmare.
[SOMBER MUSIC]
I'm sorry.
Just, uh, I, um
I'm being paged downstairs. Excuse me.
♪
I was wondering where you ran off to.
[SIGHS]
What's going on with you?
Something's eating at you.
Has for some time now.
It is nothing.
[CHUCKLES] I'm fine.
Yeah, well, look, whatever it is,
it just needs to stop.
[SCOFFS] What?
What?
The non-answers, the cold shoulder,
the unspoken grievances.
I mean, what is it is it the baby?
Is it the baby that's coming between us?
Because if it is, just
just tell me what you want,
and I'll I'll comply
with your wishes.
I will.
[SIGHS]
I just want my friend back.
I'm having nightmares.
[SOMBER MUSIC]
Actually, it's more like
one nightmare over and over.
OK. What about?
Me.
Dying in the delivery room.
Like my mother.
Or maybe I'm the baby,
and my mom's on the table
and I'm reliving the birth.
I'm not always clear. I don't know.
But the one thing that happens
every single time
is that I always wake up screaming.
And in my dream,
that baby is always a girl.
I know it sounds crazy,
but I just feel like
if I find out that
we're expecting a girl, then
♪
Then this nightmare is just
gonna swallow me whole.
[WHIRRING]
♪
- Wow.
- [SIGHS]
If that's not a sign that we should
be talking like this more often,
I don't know what it is.
[SIGHS]
♪
[SIGHS]
So where do you think Goodwin stands?
She's kind of hard to read.
I'm sure she's able to recognize
the difficulty of this situation.
Uh, listen, I know I was the one
who was pushing harder
for staying down in the dark.
You didn't have to take
ownership of it like that.
So thank you.
Well, I'm not one
to second-guess things, Dean.
When I commit to something, I commit.
Uh, before we dismiss you,
can you tell us
what Mr. Lockhart's
current prognosis is?
He's still on life support.
And moving forward?
If he doesn't wake up in the
next 12 hours, he probably won't.
OK.
Thank you for your candor.
[TENSE MUSIC]
Ah.
So he had you knocked out?
Yes.
Cold-cocked me with his 9-millimeter.
The alleged murder weapon?
How long were you out for?
I'm not sure. I
all I know is that when I came to
Wake up!
I was back down in the basement.
[GASPS, GROANS]
Who knows you're here?
Uh, no one. No one.
I I came alone.
- Yeah?
- Uh-huh.
What about that, uh, Dr. Ripley?
He's been calling a lot.
What do you think he wants, huh?
He doesn't know I'm here. I swear.
It's only a matter of time
before someone comes looking for her.
No, no, just let her go.
- Shh, shh, shh!
- She hasn't done anything!
[WHISPERING] You need to be quiet, OK?
We wouldn't even be in this mess
if you hadn't started in on me.
[WHIMPERING]
Come on, Devin. Think, think.
I'm just saying,
I'm sure she will promise
not to say anything.
Yes, she's right. I won't.
I swear.
OK, OK.
W-w-w-what about her ankle?
How do I explain her ankle?
Baby, baby, baby.
You know I didn't mean for you
to fall down the stairs, right?
- You know that.
- I know.
We got to stop doing this to each other.
I know. I'm sorry.
I swear, baby.
From now on, I will never
lay another hand on you.
[GRUNTS]
You believe me, don't you?
[PANTING]
What are you looking at her for, Faye?
Her opinion doesn't matter, Faye!
OK, you know what?
You know what I think the best play is?
We should just get out of here
altogether, OK?
Maybe maybe Mexico or or Canada.
Your cousin is still up
in Winnipeg, right?
Yeah. So?
OK. So let's just go.
I still love you, D, OK?
[PANTING] I do. Please.
[TENSE MUSIC]
Please.
I still love you too.
[CRYING]
OK, come on. Let's get you out of here.
- OK.
- Come on.
[SCREAMS] Oh, no.
No, I can't put weight on it.
- Her ankle is dislocated.
- Oh!
And her distal tibia is broken too.
She's in no condition to walk anywhere.
You're gonna patch her up.
Temporary for now
until we get where we're going
and I can have her fixed for good.
Um
♪
Let me see what I can find.
Yeah.
♪
We fashioned a splint
out of some wooden dowels
and duct tape.
She only offered to run away with him
in order to protect me.
I know that.
And I'll always be grateful
to her for that.
And then what happened?
Um, Devin tied me back up
while he packed some food and water
and what looked like camping gear.
[GROANS] Damn it.
Come on, baby.
Come on, honey. We gotta hit the road.
Oh, I can't catch my breath.
Come on. Keep moving.
It's good for you, baby.
[GRUNTS] Oh, God.
What's happening to her?
Judging by her breathing
and her injuries,
I'd guess she has a hemothorax.
A what?
Blood is pooling up in her chest.
If we don't let it out,
her lung will collapse.
Oh, God.
She needs to go to the hospital.
Oh, God.
Oh, God.
[TIRES SCREECHING IN DISTANCE]
[CAR DOOR CLOSING]
♪
OK. OK, OK.
You, keep your mouth shut.
[TENSE MUSIC]
Caitlin?
You here?
[GRUNTING AND CLATTERING]
[THUDDING]
♪
Get downstairs.
♪
Move!
♪
Move it, jackass.
Across the room, slowly.
Over there by the wall!
Go on! Get down!
♪
Back against the wall!
Arms behind the pipe behind you.
Slowly.
That's right, slowly.
♪
OK, OK.
♪
Who knows you're here?
- No one.
- Don't lie to me!
[GROANS]
I swear, no one.
[PANTING]
You know
for a couple of doctors,
you two sure are stupid!
♪
But that's all right.
It'll just make things easier.
Please, Devin, don't do this.
We don't have a choice!
OK. [GUN CLICKS]
You do have a choice, man. Come on.
Come on, use your head! Think about it!
You don't wanna do this.
[GASPING]
Babe? Baby?
Hey, are you OK?
Say something.
Hey, babe, babe. Baby!
Say something. Hey.
What's going on? What?
[PANTING]
If she dies
you both die.
♪
So she did have a hemothorax?
Yes.
And this was from her
falling down the stairs.
This was from being
pushed down the stairs,
which reinjured the broken ribs
that lacerated her spleen
the last time she went to the hospital
because this monster abused her.
By that point, even if
Devin had let us leave,
we wouldn't have been able to
get to a hospital fast enough,
so we had to MacGyver a chest tube
out of whatever we could find.
I think I got everything.
I-I-I-I got
I got duct tape, a bucket,
a knife, a a bike pump.
Uh, we don't have rubbing alcohol,
- but tequila should work, yeah?
- Yes, yes.
- We need to move.
- OK, OK.
- I do need my hands.
- OK.
Uh, yeah, yeah, OK.
[TENSE MUSIC]
And I need you to free
Dr. Ripley as well.
No. No, no, no, not a chance.
This is a two-person procedure.
We don't have a lot of time, Devin!
♪
Keep your hands where I can see 'em.
I'm not gonna cause any trouble.
♪
I'm gonna make an anterior incision.
I need the knife.
♪
Ah!
♪
OK.
[WHIMPERS]
♪
And we're gonna need
to tape down the hose
to secure it in place.
Yeah, I got it. Don't wait for me.
♪
Hurry up! She's dying!
We're going!
Hose.
♪
Got it.
[GASPING]
Baby? Baby, baby!
I thought I was gonna drown.
God, I don't know what
I would do without you, babe.
So earlier, ambo came in
with a victim of a car crash
who had deceased, unfortunately.
It was terrible.
Silver lining was,
is that he had checked that
little box on his license,
and so we were able to harvest
all of his organs,
among them, a very healthy heart.
So the heart was gonna go
to a local woman
by the name of Linda Myers.
Anyway, we couldn't find her,
and so we called her sister, who did.
That's when things started
to get interesting.
OK, Linda, just stay with me, OK?
We need to squeeze a couple
more hours out of this heart
before we get you a new one.
She's overdosing on beta-blockers.
- Low flow level on the LVAD.
Heart rate's only 20.
We may need to pace her.
Move aside. Let me take a look.
OK.
The overhead's starving for blood.
Let's push 1 milligram
of atropine, 2 of Versed.
I'm sorry. This is all my fault.
And who are you?
I'm Celia. I'm Linda's sister.
I'm the one who normally
monitors Linda's meds.
I I gave her too much
metoprolol by accident.
I she's not gonna die, is she?
Not on my watch.
Let's pace to 60, 20 milliamps.
Celia, I'm just curious.
How much extra metoprolol
did you give your sister?
I don't know.
Maybe, um, two or three times
her normal dose?
We've got capture.
Linda, I'm Dr. Morris.
I'll be performing a transplant.
Nod if you understand.
Oh, thank God.
It's OK, Linda.
Everything's gonna be OK.
So the sister lied.
Linda intentionally OD'd on her meds.
- Yep.
- Yeah, I figured.
An extra dose or two of metoprolol
probably wouldn't have
caused that much damage.
Dr. Charles, I
I wanted to apologize for lying earlier.
I just I didn't want this
to ruin my sister's chances.
You don't know how long
we've been waiting for this.
How long have you been waiting?
Do you mind me asking?
12 years, since she was first diagnosed
with the dilated cardiomyopathy.
But she's been on the transplant list
for almost five now.
I mean, someone
less courageous than Linda
might have given up years ago.
I I know I sure would have.
Look, I certainly understand
that living with
that kind of uncertainty
can be really debilitating, OK?
I absolutely get that.
Um, is your sister
seeing a psychiatrist right now?
- Do you know?
- Uh, yes, she sees him weekly.
He's had her on citalopram
for quite a while now.
I could give you his number
if you'd like.
Oh, you know what?
That would be that'd be good.
Can you leave it
with the nurses' station?
- Thank you.
- It it seems very clear to me
that if Linda had known that
a heart was going
to become available today
or even a month from now,
she wouldn't have done this.
I really should be
having this conversation
with your sister
I hope you understand.
I am begging you, Dr. Charles.
Please, please do not disqualify Linda
from receiving a transplant today.
Celia, you gotta let me do my job, OK?
Thank you for understanding.
You know, obviously, one
burning question for me was,
could Linda's depression
and subsequent suicide attempt
be solely attributed
to her failing heart?
Or was her heart disease itself
a byproduct of her life choices?
Yeah, it's a real
chicken-or-egg type dilemma.
- Yeah.
- Hmm.
And all of that with a looming deadline.
That's a lot of pressure.
So what was it like for you,
Linda, when you were first diagnosed?
Uh um, with, uh, heart disease?
Yeah.
Your your cardiologist at the time
said that he thought that maybe
your recreational drug use
could have contributed
to the course of your disease?
[CLEARS THROAT] Could could have.
He couldn't say for sure.
And as soon as I found out,
I quit doing coke cold turkey.
Been sober ever since.
You can call my sponsor if you want.
Completely unnecessary. I believe you.
And I congratulate you for your bravery.
Mm.
I see that you're taking citalopram.
Um, for about five years.
Uh, my psychiatrist said
I have clinical depression.
But who wouldn't be depressed?
After all I've been through?
It's a battle every day.
Every night, you go to bed
praying that tomorrow's
gonna be the day.
But enough of those
prayers gone answered,
and sooner or later,
your nights are filled
more with dread than hope.
Yeah.
And then today happened.
[SOMBER MUSIC]
[SOBBING]
I can't even imagine how
brutal that must have been.
[LAUGHING, SOBBING]
♪
It's just all so absurd.
♪
What's that old saying?
Uh, "If I didn't have bad luck,
I wouldn't have any at all."
[CHUCKLES]
[SIGHS]
This always happens to me.
♪
What does?
♪
I don't know. Doc, I
I think the universe has it out for me.
♪
You realize, Dr. Daniel,
that the donor heart has
a finite lifespan?
I'm aware, yeah.
Ah, well, she tried
to off herself today.
So what was there to even talk about?
You're unbelievable.
Just so you know,
next recipient on the list
is a young lawyer.
Ex-triathlete, actually,
with a wife and three kids.
I've notified his doctor
to make sure his bags are packed.
[TENSE MUSIC]
♪
Are you serious?
Do you you know, I
I'd heard from several people
that you were a child.
I had no idea you were a complete idiot.
[SCOFFS]
What, is this about your outcome?
Oh, man, you surgeons.
- It's unbelievable.
- [SCOFFS]
Do you have no idea how this works?
It's not about choosing
this guy or that guy
that's gonna be better for you, OK?
It's called a list!
It's a list, buddy.
And it's about the next person
on the list, all right?
About evaluating that person,
their eligibility for this heart,
for better or for worse.
That's it!
That must be a humbling responsibility.
[SCOFFS SOFTLY]
Yeah.
I imagine that
no matter how much objectivity
you strive to imbue the process with,
at the end of the day, it
just comes down to intuition, right?
In a way, yeah.
Linda, I know that this is not
the news you want to hear,
but unfortunately,
I'm very sorry to have to tell you
that in light of recent events,
I am not able to recommend
to the advisory committee
that you receive this particular heart
at this at this particular time.
No.
I told you I was cursed.
[SOMBER MUSIC]
You realize you just gave my sister
a death sentence, don't you?
- Celia, I've already
- No.
I thought psychiatrists were
supposed to help people.
♪
Get the hell out of here!
Now!
The chest tube that we made
was able to keep blood
from pooling up in her chest,
but she needed proper
medical care immediately,
which was entirely lost on Devin.
And then we're gonna get out
- get out of here, OK?
- [GROANING]
- Come on. Come up.
- [PANTING]
OK. OK, I got you.
All right, don't move.
Hey, Faye.
Listen to me.
Faye, I need you to get me out
of here as quickly as possible
so we can get you to the hospital.
You hear me?
He's right, Faye.
You're in no condition
to go anywhere, not with him.
You're gonna die.
[PANTING] I don't I don't know.
You're not safe with him.
You've never been safe with him.
You never will be.
I I can't.
Yes, you can. I know you can.
I'll distract him.
OK.
All right, baby. All right.
It's time to go. Ready?
You good? You good?
OK, come on. We can do this. Come on.
[GROANS]
She'll never make it, man.
Not with that hose still in her.
She'll develop sepsis
or go into organ failure.
I assure you of that.
Shut up!
- Come on.
- No! [SOBBING]
You're basically killing her, man!
But what do you care?
You've been trying to kill her
this whole time anyway.
You don't know anything about me!
I see you for who you really are.
A weak and worthless little man.
Enough!
[DRAMATIC MUSIC]
You should have just stayed
at the hospital, man.
♪
[GROANS]
♪
[BOTH GRUNTING]
[SCREAMS]
- [GASPS]
- [SHOUTING]
[GRUNTING]
♪
You say that you used a tent stake
to break free from your restraints?
I did have the element
of surprise on my side.
He's a lot stronger than you.
You should know, um,
I served in the Army.
- Oh.
- Special forces.
I've had extensive
hand-to-hand combat training.
Which includes firearm
training with lethal force.
I didn't use lethal force.
Then why do I have a body in the morgue
with a bullet in it?
♪
He can't break out of those, can he?
[THUNDER RUMBLING]
No.
He can't hurt you anymore, Faye.
[OMINOUS MUSIC]
We gotta get her out of here.
Well, we can't carry her.
She needs to be lying flat.
♪
I'll go find a phone.
♪
[RAIN PATTERING]
[THUNDER RUMBLING]
♪
[SIGHS]
♪
[LINE RINGING]
911. What's your emergency?
This is Dr. Caitlin Lenox
requesting immediate
medical and police assistance
at 105 Oak Glen Way.
30-year-old female
with multiple life-threatening injuries.
Her husband, her assailant,
has been restrained for now.
[GUNSHOT]
By the time I got back
downstairs, he was dead.
Devin Carter.
Evidently, he had freed himself
from the 2x4 that we'd zip-tied him to.
And how do you think
he accomplished that?
There were some rusty bolts on there.
I mean, maybe he was able
to use that for friction.
But anyway, he had already
grabbed a stretch of pipe
that he was about to attack Ripley with,
and that's when
- His wife shot him.
- Yeah, that's right.
In self-defense.
And to protect Mitch and me.
[PANTING]
What happened?
[PANTING]
[MUMBLING INDISTINCTLY]
And how did she get the gun, exactly?
[SIGHS]
It had skittered under the sofa.
[CHUCKLES]
And you expect me to believe
that someone with
a military background forgot
to secure the gun?
- I made a stupid mistake.
- Mm.
[SIGHS] Never fails.
The smarter the person across from me,
the more illogical
the story they try to sell.
Meaning what?
Meaning you're lying.
[TENSE MUSIC]
The ME took these of Devin Carter.
♪
Take a look at this one in particular.
♪
Now, you said that he broke free
from the 2x4 that you tied him to.
But see those ligature
marks on the wrist?
Yeah.
Well, you would expect
there would be deeper abrasions
if that was the case.
But in fact, it doesn't
look like Devin Carter
struggled very much at all.
Looks to me like someone freed
his wrists after he was killed.
And now the main corroborating witness
claims that she was
conveniently outside the house
when the gun was fired,
a gun that you forgot to secure.
♪
So a woman was terrorized
and abused hard enough
and for long enough to require
at least two trips to the hospital,
and you have the gall
to imply that she wasn't
acting in self-defense?
I agree with everything you just said.
♪
And I think that you made sure
that Devin Carter
paid for it with his life.
And Faye is remaining quiet
because she feels grateful to you.
♪
And you got all that
from a couple of zip ties?
Yeah, that and the fact
that you are clearly sitting
on some major anger.
♪
Well, that's the first thing
you've been right about tonight.
[CHUCKLES]
♪
So put me in front of a jury,
and let's see how it goes.
Daniel.
Yeah.
Can I ask what happened with the heart?
Yeah.
Went to the next guy on the list.
Apparently, transplant went very well.
I guess there's a happy ending
to this story after all.
Happy ending?
You sure about that?
OK. I mean, look.
We all have our good days
and our bad days, right?
You know, that's the third
time you did that today.
Did what?
Leaned on a cliché to gaslight me.
Well, I don't know about you, Daria.
I actually do have
good days and bad days.
- [SCOFFS]
- Look, I'm sorry.
I got no sleep last night,
and I was just
I think I would really like to call it.
You know, when you asked
if we could work together
because you wanted
a younger, fresher perspective,
are you sure you weren't
looking for a rookie
that you could push around instead?
What?
[SCOFFS]
Come on.
Have a little respect.
Respect? For what?
Your rep?
The legendary Daniel Charles?
How about for what
I went through yesterday?
Talk about someone
who sounds like a victim.
I'm a shrink, Daria.
I am not wired to bet against people!
You ever sentence someone
to death based on a hunch?
No, I haven't.
But you were not sentencing
somebody to death.
She's still on the list, Daniel.
She's not gonna die tomorrow.
You were just doing your job.
And it sucked.
And nobody would blame you
for feeling guilty.
Including me.
I'm thinking about retiring.
[SOLEMN MUSIC]
I think about it all the time.
I don't know if I have it in me anymore.
I'm I'm serious, Daria,
I I don't
everything just seems
to be getting so much.
[SIGHS]
I don't know if it's me
who's changing or the patients.
But on days like yesterday,
man, I I
I don't know how much gas
I have left in the tank.
What happened yesterday, Daniel?
[SIGHS]
What are you not telling me?
♪
I might have left
something out about, uh,
something that happened around my
little confrontation with Dr. Morris.
It's called a list!
It's a list, buddy,
and it's about the next person
on the list, all right?
About evaluating that person,
their eligibility for this heart,
for better or for worse.
That's it!
Well, I just don't want
a good heart to go to waste.
So tell me.
Who's it gonna be?
Who's it gonna be, Daniel?
[TENSE MUSIC]
♪
[SIGHS]
[GRUNTS]
Ah!
Ah
Jeez.
[GROANING]
♪
[PANTING]
♪
I haven't had a panic attack
since medical school.
And I have never, ever,
no matter what kind of moron,
talked to a colleague that way.
And the bloody nose?
I think there's something
really wrong with me.
♪
And I don't know what it is.
And I'm scared.
[SIGHS]
♪
[SIGHS]
Can you tell us your full name?
Derrick Davenport.
[CHUCKLES]
Relax.
That's my ex-boyfriend's name.
[LAUGHTER]
Sense of humor is clearly intact.
Well, it doesn't seem like you're
suffering from any cognitive decline.
And the muscle tone
is great on both sides.
We'll still need to grab a CT,
but I think we can rule out a stroke.
Do you think I'll I'll still make it
to our baby's delivery?
I do.
[SOFT MUSIC]
Thanks, to all of you.
Oh, my God.
The baby's kicking.
What?
[LAUGHING]
[LAUGHS]
It's really happening, isn't it?
♪
We're gonna have a baby girl.
♪
[KNOCKS ON DOOR]
Let me guess. You're pregnant.
[SIGHS] Don't deflect.
You said you were having
trouble sleeping, so, uh,
brought you something from the doctor's,
which I hope helps.
OK, tell me that this is not
what I think it is.
Afraid I can't do that.
No.
All right, just hear me out, OK?
So whether you open
this envelope or not,
it's not going to affect
the physical development of the baby.
It's already on its path.
But I believe the not knowing
is affecting you.
And if you want to put
a stop to these nightmares,
you need to face your fears.
Letting anxiety fester
isn't good for the health
of the baby or you.
So
[SIGHS]
[SOFT MUSIC]
[SIGHS]
♪
It's a girl.
It's a girl.
♪
So now we know.
And contrary to popular belief, uh,
history does not always repeat itself.
In fact, it rarely does.
♪
And for the record,
I hope that she turns out
to be just like her mother.
[CHUCKLES]
♪
Well, there is no way
I'll be sleeping tonight.
[CHUCKLES]
Um, would you
would you maybe want
to watch a movie with me?
Of course.
♪
[INDISTINCT POLICE RADIO CHATTER]
[SIGHS]
- Hey.
- Hi.
How'd you hold up?
OK, for the most part.
You?
Yeah.
Just had to stick to the story, right?
I'll go find a phone.
OK, I'm gonna try and find something
we can use to get you
out of here, all right?
No. No. No, no, no, no.
Please don't leave me.
It's all right. It's all right.
The cops are on the way.
It's gonna be fine.
OK.
[SUSPENSEFUL MUSIC]
[GROANING]
[THUNDER CRACKING]
♪
Baby, get the gun.
It's under the couch. Get the gun.
Get the gun. You can do it.
Get the gun. Get the gun.
Baby, get the gun.
[PANTING] It's under the couch.
Get the gun. You can do it.
You can do it. That's it.
That's it. Good girl, good girl.
That's it. Good girl.
Good girl. You got it.
OK, all right.
This is what we're gonna do.
OK, all right.
Hey, what's going on?
- He woke back up.
- It's all right.
He can't get out of those restraints.
Faye, I need you to give me the gun.
Hey! Faye, Faye,
you have to shoot him.
- What?
- You have to shoot him.
It is the only way out of this, OK?
Faye, don't listen.
Come on, baby. You know I'm right.
- Faye.
- You know I'm right, OK?
- Faye, look at me.
- Listen to me.
- Look at me.
- Listen to me.
- Faye, you can do this.
- Faye, Faye.
Don't listen to him, listen to me.
Stop looking at him.
Hey, hey, hey, hey, hey, hey.
- Faye.
- Hey!
Do as I say and shoot him!
Faye, I need you to look at me!
Shoot him!
[SCREAMS]
[DRAMATIC MUSIC]
♪
She only offered to run away with him
in order to protect me.
I'll always be grateful to her for that.
♪
Should probably get that looked at.
Tomorrow.
Hey.
I didn't get a chance to ask you yet.
What the hell were you thinking
going to that house by yourself?
♪
What the hell were you
thinking following me?
- [PANTING]
- He's bleeding out!
- Code blue!
- [OVERLAPPING CHATTER]
You got the, uh, insomnia
pregnancy thing happening?
Yeah. Not exactly restful.
[DRAMATIC MUSIC]
- How long do I have?
- Matter of weeks.
That's not enough time to meet our baby.
Tumor has local extension
into the splenic artery.
[WHIRRING]
If we don't do something soon,
Jeremy could die on the table.
♪
- What's his blood alcohol?
- 0.275.
His name is Devin Carter.
He and his wife, Faye,
were in the ED last month.
He beat the hell out of her.
You wanna give Faye a call?
She's actually out of town.
- He's lying.
- Agreed.
But how do we prove it?
♪
- [GROANS]
- Oh, my God. Faye.
[GRUNTS]
Daniel?
[SIGHS]
I don't know what's wrong with me today.
I guess I'm not feeling
that introspective. I'm sorry.
Mm, it's your dime.
How about, uh,
anything in the news catch your eye,
book you're reading?
[CHUCKLES]
Things got pretty crazy at
work yesterday, that's for sure.
How so?
Well, we lost power. Got tricky.
People fumbling around in the dark.
I think it kind of got
into some people's heads.
Did it get in yours?
[SOFT MUSIC]
So this surgery was intended
to palliate the symptoms
Jeremy presented with?
That was the intent, yes.
And had the debulking
gone off without a hitch,
how many more years of life expectancy
would Jeremy have enjoyed?
- Uh
- Years?
We were maybe hoping
for a few more weeks.
A few weeks?
That's not protocol, is it?
I mean, to risk a potentially
fatal surgical outcome
for such a marginal improvement?
Some extenuating circumstances
led us to adjust the calculus.
Such as?
Such as Mr. Lockhart's wife, Esme,
being pregnant with their first child.
Jeremy had expressed
a desire to be there
when the baby was born, before he died.
And their baby couldn't be
delivered safely
in that time frame?
Well, she was only at 31 weeks, so no.
So did this same calculus
lead you to make the decision you did
when the power went out?
[TENSE MUSIC]
♪
[DOOR OPENS]
Dr. Lenox,
I'm Detective Gonsiorek.
Sorry for keeping you.
I would like to go over your statement.
Is this really necessary?
I'm very tired.
I appreciate that, but I
I find that people's memories
get a little
wiggy if you wait too long.
I'm not sure if there's
a medical term for that or not.
It's it's called consolidation.
Short-term memories get transferred
from the hippocampus to the cortex
for long-term storage.
And yes, some leakage tends to occur.
Hmm. That's good to know.
There's some science behind it, huh?
Anyway, as I was saying,
why don't you just walk me through
what you were thinkin'
when you left the hospital yesterday?
Thinkin'?
Well, you told my deputy
that you were concerned
that Mrs. Carter was in
some kind of trouble,
and that's why you went over there.
Yes.
So why didn't you call the police?
[SIGHING] I don't know, I don't know.
- You don't know?
- Mm-mm.
You don't remember?
Might that have leaked out
somewhere between the cortex
and the hippo-whatever?
[TENSE MUSIC]
Well, maybe I didn't call the police
because I was concerned
that they wouldn't
take this as seriously as I did.
On the other hand, had you
notified the authorities,
maybe someone wouldn't
have wound up dead.
So just for clarification's sake,
whose idea was it
to soldier on in the dark?
Jeremy's my patient.
I made the call.
[TENSE MUSIC]
Nobody knows how long it'll take
to get power in this OR.
There is one available upstairs
if you want it.
What do you think, Jennifer?
We can't keep flying blind,
that's for sure.
BP's dropping, people.
Now 73 over 40 and trending down.
Something's got to be bleeding in there.
And how the hell are
we supposed to know?
I think we should take him upstairs now
while we still can.
Yeah.
I think we'd be better off staying put.
What?
Well, we don't know
what's bleeding in there,
nor how bad it is, right?
The slightest bump on the way up
with these instruments still inside him
might make things even worse.
So you want to stay here in the dark?
We open him up,
get a direct line of sight,
and we do the rest of
the debulking by hand.
It's the fastest way
to staunch whatever it is
that's dropping his blood pressure.
♪
OK, open up the laparotomy trays.
Dave, find as many portable
light sources as you can
and get some extra hands.
And, uh, maybe we'll get lucky
and the lights will come up
in the meanwhile.
Legally speaking, Dr. Kingston,
that decision put the hospital
in a potentially tenuous situation.
Oh, I know it sounds risky,
but all things considered,
staying put, even in the dark,
seemed to afford us more control
than trying to move
the patient upstairs.
Except you didn't have it
under control, Dr. Archer.
[TENSE MUSIC]
There's a lot of shed blood
in the abdomen.
Activate MTP.
♪
Ah. Here's the culprit.
Yep. Splenic artery.
Lap.
All right.
Clamp and tie, post-silk suture.
This was the section we were working on
- before the lights went out.
- Yeah.
You're hard-pressed
to resect around this,
even in the best environment.
Tumor's too invasive.
Temp's down to 95.
Not sure how much longer
we can keep him stable
in this environment.
I would like to remove
the transverse colon mass
while we're here.
- Hemostat.
- We can't keep his blood warm.
He's hypothermic, coagulopathic,
and likely acidotic.
I just need ten more minutes.
That's the only reason
why we're here, right?
All right.
Let's push on for ten more minutes.
Anybody with an armpit to spare,
use that to warm the blood
before infusion.
Come on, everybody. Let's hustle.
The post-surgical report
says Mr. Lockhart lost
about four liters of blood?
That sounds accurate, yeah.
And what do you think was the
proximate cause of the bleeding?
Was it the byproduct
of the tumor's location?
Or could it have been
attributed to the power outage?
Or, you know, was it simply pilot error?
There's no real way of knowing.
Dr. Kingston resected
a remarkable amount
of tumor burden
less than we had planned
given that we couldn't
perform the HIPEC.
But still, hypothetically,
it should have accomplished
what the patient was hoping for.
Unless he never wakes up.
[SIGHS]
You think he had a stroke?
It's a possibility.
So how long is he gonna be like this?
It's impossible to know
at this juncture.
[MACHINE BEEPING]
I wish I could be more precise.
Don't lose hope, Esme.
I don't know.
I I'd made peace, I think,
with him either surviving the surgery
or dying on the table,
but him being stuck like this
in limbo, it's
it's like a nightmare.
[SOMBER MUSIC]
I'm sorry.
Just, uh, I, um
I'm being paged downstairs. Excuse me.
♪
I was wondering where you ran off to.
[SIGHS]
What's going on with you?
Something's eating at you.
Has for some time now.
It is nothing.
[CHUCKLES] I'm fine.
Yeah, well, look, whatever it is,
it just needs to stop.
[SCOFFS] What?
What?
The non-answers, the cold shoulder,
the unspoken grievances.
I mean, what is it is it the baby?
Is it the baby that's coming between us?
Because if it is, just
just tell me what you want,
and I'll I'll comply
with your wishes.
I will.
[SIGHS]
I just want my friend back.
I'm having nightmares.
[SOMBER MUSIC]
Actually, it's more like
one nightmare over and over.
OK. What about?
Me.
Dying in the delivery room.
Like my mother.
Or maybe I'm the baby,
and my mom's on the table
and I'm reliving the birth.
I'm not always clear. I don't know.
But the one thing that happens
every single time
is that I always wake up screaming.
And in my dream,
that baby is always a girl.
I know it sounds crazy,
but I just feel like
if I find out that
we're expecting a girl, then
♪
Then this nightmare is just
gonna swallow me whole.
[WHIRRING]
♪
- Wow.
- [SIGHS]
If that's not a sign that we should
be talking like this more often,
I don't know what it is.
[SIGHS]
♪
[SIGHS]
So where do you think Goodwin stands?
She's kind of hard to read.
I'm sure she's able to recognize
the difficulty of this situation.
Uh, listen, I know I was the one
who was pushing harder
for staying down in the dark.
You didn't have to take
ownership of it like that.
So thank you.
Well, I'm not one
to second-guess things, Dean.
When I commit to something, I commit.
Uh, before we dismiss you,
can you tell us
what Mr. Lockhart's
current prognosis is?
He's still on life support.
And moving forward?
If he doesn't wake up in the
next 12 hours, he probably won't.
OK.
Thank you for your candor.
[TENSE MUSIC]
Ah.
So he had you knocked out?
Yes.
Cold-cocked me with his 9-millimeter.
The alleged murder weapon?
How long were you out for?
I'm not sure. I
all I know is that when I came to
Wake up!
I was back down in the basement.
[GASPS, GROANS]
Who knows you're here?
Uh, no one. No one.
I I came alone.
- Yeah?
- Uh-huh.
What about that, uh, Dr. Ripley?
He's been calling a lot.
What do you think he wants, huh?
He doesn't know I'm here. I swear.
It's only a matter of time
before someone comes looking for her.
No, no, just let her go.
- Shh, shh, shh!
- She hasn't done anything!
[WHISPERING] You need to be quiet, OK?
We wouldn't even be in this mess
if you hadn't started in on me.
[WHIMPERING]
Come on, Devin. Think, think.
I'm just saying,
I'm sure she will promise
not to say anything.
Yes, she's right. I won't.
I swear.
OK, OK.
W-w-w-what about her ankle?
How do I explain her ankle?
Baby, baby, baby.
You know I didn't mean for you
to fall down the stairs, right?
- You know that.
- I know.
We got to stop doing this to each other.
I know. I'm sorry.
I swear, baby.
From now on, I will never
lay another hand on you.
[GRUNTS]
You believe me, don't you?
[PANTING]
What are you looking at her for, Faye?
Her opinion doesn't matter, Faye!
OK, you know what?
You know what I think the best play is?
We should just get out of here
altogether, OK?
Maybe maybe Mexico or or Canada.
Your cousin is still up
in Winnipeg, right?
Yeah. So?
OK. So let's just go.
I still love you, D, OK?
[PANTING] I do. Please.
[TENSE MUSIC]
Please.
I still love you too.
[CRYING]
OK, come on. Let's get you out of here.
- OK.
- Come on.
[SCREAMS] Oh, no.
No, I can't put weight on it.
- Her ankle is dislocated.
- Oh!
And her distal tibia is broken too.
She's in no condition to walk anywhere.
You're gonna patch her up.
Temporary for now
until we get where we're going
and I can have her fixed for good.
Um
♪
Let me see what I can find.
Yeah.
♪
We fashioned a splint
out of some wooden dowels
and duct tape.
She only offered to run away with him
in order to protect me.
I know that.
And I'll always be grateful
to her for that.
And then what happened?
Um, Devin tied me back up
while he packed some food and water
and what looked like camping gear.
[GROANS] Damn it.
Come on, baby.
Come on, honey. We gotta hit the road.
Oh, I can't catch my breath.
Come on. Keep moving.
It's good for you, baby.
[GRUNTS] Oh, God.
What's happening to her?
Judging by her breathing
and her injuries,
I'd guess she has a hemothorax.
A what?
Blood is pooling up in her chest.
If we don't let it out,
her lung will collapse.
Oh, God.
She needs to go to the hospital.
Oh, God.
Oh, God.
[TIRES SCREECHING IN DISTANCE]
[CAR DOOR CLOSING]
♪
OK. OK, OK.
You, keep your mouth shut.
[TENSE MUSIC]
Caitlin?
You here?
[GRUNTING AND CLATTERING]
[THUDDING]
♪
Get downstairs.
♪
Move!
♪
Move it, jackass.
Across the room, slowly.
Over there by the wall!
Go on! Get down!
♪
Back against the wall!
Arms behind the pipe behind you.
Slowly.
That's right, slowly.
♪
OK, OK.
♪
Who knows you're here?
- No one.
- Don't lie to me!
[GROANS]
I swear, no one.
[PANTING]
You know
for a couple of doctors,
you two sure are stupid!
♪
But that's all right.
It'll just make things easier.
Please, Devin, don't do this.
We don't have a choice!
OK. [GUN CLICKS]
You do have a choice, man. Come on.
Come on, use your head! Think about it!
You don't wanna do this.
[GASPING]
Babe? Baby?
Hey, are you OK?
Say something.
Hey, babe, babe. Baby!
Say something. Hey.
What's going on? What?
[PANTING]
If she dies
you both die.
♪
So she did have a hemothorax?
Yes.
And this was from her
falling down the stairs.
This was from being
pushed down the stairs,
which reinjured the broken ribs
that lacerated her spleen
the last time she went to the hospital
because this monster abused her.
By that point, even if
Devin had let us leave,
we wouldn't have been able to
get to a hospital fast enough,
so we had to MacGyver a chest tube
out of whatever we could find.
I think I got everything.
I-I-I-I got
I got duct tape, a bucket,
a knife, a a bike pump.
Uh, we don't have rubbing alcohol,
- but tequila should work, yeah?
- Yes, yes.
- We need to move.
- OK, OK.
- I do need my hands.
- OK.
Uh, yeah, yeah, OK.
[TENSE MUSIC]
And I need you to free
Dr. Ripley as well.
No. No, no, no, not a chance.
This is a two-person procedure.
We don't have a lot of time, Devin!
♪
Keep your hands where I can see 'em.
I'm not gonna cause any trouble.
♪
I'm gonna make an anterior incision.
I need the knife.
♪
Ah!
♪
OK.
[WHIMPERS]
♪
And we're gonna need
to tape down the hose
to secure it in place.
Yeah, I got it. Don't wait for me.
♪
Hurry up! She's dying!
We're going!
Hose.
♪
Got it.
[GASPING]
Baby? Baby, baby!
I thought I was gonna drown.
God, I don't know what
I would do without you, babe.
So earlier, ambo came in
with a victim of a car crash
who had deceased, unfortunately.
It was terrible.
Silver lining was,
is that he had checked that
little box on his license,
and so we were able to harvest
all of his organs,
among them, a very healthy heart.
So the heart was gonna go
to a local woman
by the name of Linda Myers.
Anyway, we couldn't find her,
and so we called her sister, who did.
That's when things started
to get interesting.
OK, Linda, just stay with me, OK?
We need to squeeze a couple
more hours out of this heart
before we get you a new one.
She's overdosing on beta-blockers.
- Low flow level on the LVAD.
Heart rate's only 20.
We may need to pace her.
Move aside. Let me take a look.
OK.
The overhead's starving for blood.
Let's push 1 milligram
of atropine, 2 of Versed.
I'm sorry. This is all my fault.
And who are you?
I'm Celia. I'm Linda's sister.
I'm the one who normally
monitors Linda's meds.
I I gave her too much
metoprolol by accident.
I she's not gonna die, is she?
Not on my watch.
Let's pace to 60, 20 milliamps.
Celia, I'm just curious.
How much extra metoprolol
did you give your sister?
I don't know.
Maybe, um, two or three times
her normal dose?
We've got capture.
Linda, I'm Dr. Morris.
I'll be performing a transplant.
Nod if you understand.
Oh, thank God.
It's OK, Linda.
Everything's gonna be OK.
So the sister lied.
Linda intentionally OD'd on her meds.
- Yep.
- Yeah, I figured.
An extra dose or two of metoprolol
probably wouldn't have
caused that much damage.
Dr. Charles, I
I wanted to apologize for lying earlier.
I just I didn't want this
to ruin my sister's chances.
You don't know how long
we've been waiting for this.
How long have you been waiting?
Do you mind me asking?
12 years, since she was first diagnosed
with the dilated cardiomyopathy.
But she's been on the transplant list
for almost five now.
I mean, someone
less courageous than Linda
might have given up years ago.
I I know I sure would have.
Look, I certainly understand
that living with
that kind of uncertainty
can be really debilitating, OK?
I absolutely get that.
Um, is your sister
seeing a psychiatrist right now?
- Do you know?
- Uh, yes, she sees him weekly.
He's had her on citalopram
for quite a while now.
I could give you his number
if you'd like.
Oh, you know what?
That would be that'd be good.
Can you leave it
with the nurses' station?
- Thank you.
- It it seems very clear to me
that if Linda had known that
a heart was going
to become available today
or even a month from now,
she wouldn't have done this.
I really should be
having this conversation
with your sister
I hope you understand.
I am begging you, Dr. Charles.
Please, please do not disqualify Linda
from receiving a transplant today.
Celia, you gotta let me do my job, OK?
Thank you for understanding.
You know, obviously, one
burning question for me was,
could Linda's depression
and subsequent suicide attempt
be solely attributed
to her failing heart?
Or was her heart disease itself
a byproduct of her life choices?
Yeah, it's a real
chicken-or-egg type dilemma.
- Yeah.
- Hmm.
And all of that with a looming deadline.
That's a lot of pressure.
So what was it like for you,
Linda, when you were first diagnosed?
Uh um, with, uh, heart disease?
Yeah.
Your your cardiologist at the time
said that he thought that maybe
your recreational drug use
could have contributed
to the course of your disease?
[CLEARS THROAT] Could could have.
He couldn't say for sure.
And as soon as I found out,
I quit doing coke cold turkey.
Been sober ever since.
You can call my sponsor if you want.
Completely unnecessary. I believe you.
And I congratulate you for your bravery.
Mm.
I see that you're taking citalopram.
Um, for about five years.
Uh, my psychiatrist said
I have clinical depression.
But who wouldn't be depressed?
After all I've been through?
It's a battle every day.
Every night, you go to bed
praying that tomorrow's
gonna be the day.
But enough of those
prayers gone answered,
and sooner or later,
your nights are filled
more with dread than hope.
Yeah.
And then today happened.
[SOMBER MUSIC]
[SOBBING]
I can't even imagine how
brutal that must have been.
[LAUGHING, SOBBING]
♪
It's just all so absurd.
♪
What's that old saying?
Uh, "If I didn't have bad luck,
I wouldn't have any at all."
[CHUCKLES]
[SIGHS]
This always happens to me.
♪
What does?
♪
I don't know. Doc, I
I think the universe has it out for me.
♪
You realize, Dr. Daniel,
that the donor heart has
a finite lifespan?
I'm aware, yeah.
Ah, well, she tried
to off herself today.
So what was there to even talk about?
You're unbelievable.
Just so you know,
next recipient on the list
is a young lawyer.
Ex-triathlete, actually,
with a wife and three kids.
I've notified his doctor
to make sure his bags are packed.
[TENSE MUSIC]
♪
Are you serious?
Do you you know, I
I'd heard from several people
that you were a child.
I had no idea you were a complete idiot.
[SCOFFS]
What, is this about your outcome?
Oh, man, you surgeons.
- It's unbelievable.
- [SCOFFS]
Do you have no idea how this works?
It's not about choosing
this guy or that guy
that's gonna be better for you, OK?
It's called a list!
It's a list, buddy.
And it's about the next person
on the list, all right?
About evaluating that person,
their eligibility for this heart,
for better or for worse.
That's it!
That must be a humbling responsibility.
[SCOFFS SOFTLY]
Yeah.
I imagine that
no matter how much objectivity
you strive to imbue the process with,
at the end of the day, it
just comes down to intuition, right?
In a way, yeah.
Linda, I know that this is not
the news you want to hear,
but unfortunately,
I'm very sorry to have to tell you
that in light of recent events,
I am not able to recommend
to the advisory committee
that you receive this particular heart
at this at this particular time.
No.
I told you I was cursed.
[SOMBER MUSIC]
You realize you just gave my sister
a death sentence, don't you?
- Celia, I've already
- No.
I thought psychiatrists were
supposed to help people.
♪
Get the hell out of here!
Now!
The chest tube that we made
was able to keep blood
from pooling up in her chest,
but she needed proper
medical care immediately,
which was entirely lost on Devin.
And then we're gonna get out
- get out of here, OK?
- [GROANING]
- Come on. Come up.
- [PANTING]
OK. OK, I got you.
All right, don't move.
Hey, Faye.
Listen to me.
Faye, I need you to get me out
of here as quickly as possible
so we can get you to the hospital.
You hear me?
He's right, Faye.
You're in no condition
to go anywhere, not with him.
You're gonna die.
[PANTING] I don't I don't know.
You're not safe with him.
You've never been safe with him.
You never will be.
I I can't.
Yes, you can. I know you can.
I'll distract him.
OK.
All right, baby. All right.
It's time to go. Ready?
You good? You good?
OK, come on. We can do this. Come on.
[GROANS]
She'll never make it, man.
Not with that hose still in her.
She'll develop sepsis
or go into organ failure.
I assure you of that.
Shut up!
- Come on.
- No! [SOBBING]
You're basically killing her, man!
But what do you care?
You've been trying to kill her
this whole time anyway.
You don't know anything about me!
I see you for who you really are.
A weak and worthless little man.
Enough!
[DRAMATIC MUSIC]
You should have just stayed
at the hospital, man.
♪
[GROANS]
♪
[BOTH GRUNTING]
[SCREAMS]
- [GASPS]
- [SHOUTING]
[GRUNTING]
♪
You say that you used a tent stake
to break free from your restraints?
I did have the element
of surprise on my side.
He's a lot stronger than you.
You should know, um,
I served in the Army.
- Oh.
- Special forces.
I've had extensive
hand-to-hand combat training.
Which includes firearm
training with lethal force.
I didn't use lethal force.
Then why do I have a body in the morgue
with a bullet in it?
♪
He can't break out of those, can he?
[THUNDER RUMBLING]
No.
He can't hurt you anymore, Faye.
[OMINOUS MUSIC]
We gotta get her out of here.
Well, we can't carry her.
She needs to be lying flat.
♪
I'll go find a phone.
♪
[RAIN PATTERING]
[THUNDER RUMBLING]
♪
[SIGHS]
♪
[LINE RINGING]
911. What's your emergency?
This is Dr. Caitlin Lenox
requesting immediate
medical and police assistance
at 105 Oak Glen Way.
30-year-old female
with multiple life-threatening injuries.
Her husband, her assailant,
has been restrained for now.
[GUNSHOT]
By the time I got back
downstairs, he was dead.
Devin Carter.
Evidently, he had freed himself
from the 2x4 that we'd zip-tied him to.
And how do you think
he accomplished that?
There were some rusty bolts on there.
I mean, maybe he was able
to use that for friction.
But anyway, he had already
grabbed a stretch of pipe
that he was about to attack Ripley with,
and that's when
- His wife shot him.
- Yeah, that's right.
In self-defense.
And to protect Mitch and me.
[PANTING]
What happened?
[PANTING]
[MUMBLING INDISTINCTLY]
And how did she get the gun, exactly?
[SIGHS]
It had skittered under the sofa.
[CHUCKLES]
And you expect me to believe
that someone with
a military background forgot
to secure the gun?
- I made a stupid mistake.
- Mm.
[SIGHS] Never fails.
The smarter the person across from me,
the more illogical
the story they try to sell.
Meaning what?
Meaning you're lying.
[TENSE MUSIC]
The ME took these of Devin Carter.
♪
Take a look at this one in particular.
♪
Now, you said that he broke free
from the 2x4 that you tied him to.
But see those ligature
marks on the wrist?
Yeah.
Well, you would expect
there would be deeper abrasions
if that was the case.
But in fact, it doesn't
look like Devin Carter
struggled very much at all.
Looks to me like someone freed
his wrists after he was killed.
And now the main corroborating witness
claims that she was
conveniently outside the house
when the gun was fired,
a gun that you forgot to secure.
♪
So a woman was terrorized
and abused hard enough
and for long enough to require
at least two trips to the hospital,
and you have the gall
to imply that she wasn't
acting in self-defense?
I agree with everything you just said.
♪
And I think that you made sure
that Devin Carter
paid for it with his life.
And Faye is remaining quiet
because she feels grateful to you.
♪
And you got all that
from a couple of zip ties?
Yeah, that and the fact
that you are clearly sitting
on some major anger.
♪
Well, that's the first thing
you've been right about tonight.
[CHUCKLES]
♪
So put me in front of a jury,
and let's see how it goes.
Daniel.
Yeah.
Can I ask what happened with the heart?
Yeah.
Went to the next guy on the list.
Apparently, transplant went very well.
I guess there's a happy ending
to this story after all.
Happy ending?
You sure about that?
OK. I mean, look.
We all have our good days
and our bad days, right?
You know, that's the third
time you did that today.
Did what?
Leaned on a cliché to gaslight me.
Well, I don't know about you, Daria.
I actually do have
good days and bad days.
- [SCOFFS]
- Look, I'm sorry.
I got no sleep last night,
and I was just
I think I would really like to call it.
You know, when you asked
if we could work together
because you wanted
a younger, fresher perspective,
are you sure you weren't
looking for a rookie
that you could push around instead?
What?
[SCOFFS]
Come on.
Have a little respect.
Respect? For what?
Your rep?
The legendary Daniel Charles?
How about for what
I went through yesterday?
Talk about someone
who sounds like a victim.
I'm a shrink, Daria.
I am not wired to bet against people!
You ever sentence someone
to death based on a hunch?
No, I haven't.
But you were not sentencing
somebody to death.
She's still on the list, Daniel.
She's not gonna die tomorrow.
You were just doing your job.
And it sucked.
And nobody would blame you
for feeling guilty.
Including me.
I'm thinking about retiring.
[SOLEMN MUSIC]
I think about it all the time.
I don't know if I have it in me anymore.
I'm I'm serious, Daria,
I I don't
everything just seems
to be getting so much.
[SIGHS]
I don't know if it's me
who's changing or the patients.
But on days like yesterday,
man, I I
I don't know how much gas
I have left in the tank.
What happened yesterday, Daniel?
[SIGHS]
What are you not telling me?
♪
I might have left
something out about, uh,
something that happened around my
little confrontation with Dr. Morris.
It's called a list!
It's a list, buddy,
and it's about the next person
on the list, all right?
About evaluating that person,
their eligibility for this heart,
for better or for worse.
That's it!
Well, I just don't want
a good heart to go to waste.
So tell me.
Who's it gonna be?
Who's it gonna be, Daniel?
[TENSE MUSIC]
♪
[SIGHS]
[GRUNTS]
Ah!
Ah
Jeez.
[GROANING]
♪
[PANTING]
♪
I haven't had a panic attack
since medical school.
And I have never, ever,
no matter what kind of moron,
talked to a colleague that way.
And the bloody nose?
I think there's something
really wrong with me.
♪
And I don't know what it is.
And I'm scared.
[SIGHS]
♪
[SIGHS]
Can you tell us your full name?
Derrick Davenport.
[CHUCKLES]
Relax.
That's my ex-boyfriend's name.
[LAUGHTER]
Sense of humor is clearly intact.
Well, it doesn't seem like you're
suffering from any cognitive decline.
And the muscle tone
is great on both sides.
We'll still need to grab a CT,
but I think we can rule out a stroke.
Do you think I'll I'll still make it
to our baby's delivery?
I do.
[SOFT MUSIC]
Thanks, to all of you.
Oh, my God.
The baby's kicking.
What?
[LAUGHING]
[LAUGHS]
It's really happening, isn't it?
♪
We're gonna have a baby girl.
♪
[KNOCKS ON DOOR]
Let me guess. You're pregnant.
[SIGHS] Don't deflect.
You said you were having
trouble sleeping, so, uh,
brought you something from the doctor's,
which I hope helps.
OK, tell me that this is not
what I think it is.
Afraid I can't do that.
No.
All right, just hear me out, OK?
So whether you open
this envelope or not,
it's not going to affect
the physical development of the baby.
It's already on its path.
But I believe the not knowing
is affecting you.
And if you want to put
a stop to these nightmares,
you need to face your fears.
Letting anxiety fester
isn't good for the health
of the baby or you.
So
[SIGHS]
[SOFT MUSIC]
[SIGHS]
♪
It's a girl.
It's a girl.
♪
So now we know.
And contrary to popular belief, uh,
history does not always repeat itself.
In fact, it rarely does.
♪
And for the record,
I hope that she turns out
to be just like her mother.
[CHUCKLES]
♪
Well, there is no way
I'll be sleeping tonight.
[CHUCKLES]
Um, would you
would you maybe want
to watch a movie with me?
Of course.
♪
[INDISTINCT POLICE RADIO CHATTER]
[SIGHS]
- Hey.
- Hi.
How'd you hold up?
OK, for the most part.
You?
Yeah.
Just had to stick to the story, right?
I'll go find a phone.
OK, I'm gonna try and find something
we can use to get you
out of here, all right?
No. No. No, no, no, no.
Please don't leave me.
It's all right. It's all right.
The cops are on the way.
It's gonna be fine.
OK.
[SUSPENSEFUL MUSIC]
[GROANING]
[THUNDER CRACKING]
♪
Baby, get the gun.
It's under the couch. Get the gun.
Get the gun. You can do it.
Get the gun. Get the gun.
Baby, get the gun.
[PANTING] It's under the couch.
Get the gun. You can do it.
You can do it. That's it.
That's it. Good girl, good girl.
That's it. Good girl.
Good girl. You got it.
OK, all right.
This is what we're gonna do.
OK, all right.
Hey, what's going on?
- He woke back up.
- It's all right.
He can't get out of those restraints.
Faye, I need you to give me the gun.
Hey! Faye, Faye,
you have to shoot him.
- What?
- You have to shoot him.
It is the only way out of this, OK?
Faye, don't listen.
Come on, baby. You know I'm right.
- Faye.
- You know I'm right, OK?
- Faye, look at me.
- Listen to me.
- Look at me.
- Listen to me.
- Faye, you can do this.
- Faye, Faye.
Don't listen to him, listen to me.
Stop looking at him.
Hey, hey, hey, hey, hey, hey.
- Faye.
- Hey!
Do as I say and shoot him!
Faye, I need you to look at me!
Shoot him!
[SCREAMS]
[DRAMATIC MUSIC]
♪
She only offered to run away with him
in order to protect me.
I'll always be grateful to her for that.
♪
Should probably get that looked at.
Tomorrow.
Hey.
I didn't get a chance to ask you yet.
What the hell were you thinking
going to that house by yourself?
♪
What the hell were you
thinking following me?