Chicago Med (2015) s11e11 Episode Script
Our So-Called Lives
1
Couldn't help but notice
you and Kingston
you should ask her out.
She asked me out.
- That's great.
- Yeah.
- It's not like we're together.
- Right.
Two friends having a baby. Remember?
You went through something
really traumatic.
I mean, we both did.
I can't stop thinking about it.
Well, I'm sorry to hear that.
- I've moved on.
- I don't buy it.
You keep throwing yourself
headfirst into these
dangerous situations
like you got a dea
[DRAMATIC MUSIC]
♪
Okay, ready? On three.
One, two, three.
Push.
Son of a bitch!
Can you give us a little help?
I'm trying. It hurts.
Okay, let's try again. Push.
- Need a hand?
- Yeah.
Warehouse accident.
Mr. Tremblay was crushed
against a metal shelf.
My idiot coworker slammed
his forklift right into me.
He fell asleep at the wheel.
Give him 50 of fentanyl
so we can roll in
to get a better look at his wound.
This looks deep.
Have Dr. Howard book an OR
for surgical exploration.
There's no need.
I already have a perfectly
clear view of his injuries.
The ED doesn't have a laparotomy tray.
The OR does.
I have everything under control.
I'm sure you do,
but it's the end of your shift.
So call Dr. Howard now.
May I speak with you outside?
You may.
He's pissed.
What? No.
She's gonna eat him alive.
[CAR ALARM BLARING]
[PANTING, MOANING]
I need my my key fob. I
Oh.
Yeah.
Yeah.
Here.
Yeah. [CHIRPS, ALARM STOPS]
Okay.
Thought we agreed to stop this.
I changed my mind.
You know, I'm not some puppy
for you to play with.
Agree to disagree.
But you can say no at any point.
[SOFT MUSIC]
Ruff.
Ooh.
[LAUGHS] Oh, my gosh.
- Mm.
- Mm.
Mm, actually, I I do have
somewhere I need to be.
Well, I don't have to be back
for 10 minutes.
Trini just pinned me, didn't she?
Hey, I'm I'm Switzerland.
Well, sadly, I won't be
buying the first round
at Molly's ever again.
Mm, what's your strategy?
Well, I'm gonna wait
till the end of my shift
and then stick some poor sucker
at the very last minute.
That is some real 4D chess, Dean.
Yeah, well, of course, there's this.
And boom.
Hey, are you bringing
Jennifer to Molly's tonight?
Possibly.
Don't be weird. I want you to bring her.
Yeah, I think I have
the right to be somewhat weird
when discussing my girlfriend
with the mother of my impending child.
- Girlfriend?
- Yeah.
She must really be okay
with this unique situation.
She said as long as
I'm not in love with you,
she's all good.
Well, good.
Dr. Archer, incoming trauma,
3 minutes out,
young man with chest impalement.
Thank you.
Dr. Mankiewicz?
BOTH: Yes?
I told you not to call him, Howie.
Well, you know,
when the random commenter
drops my name in an attempt
to jump the line,
I'm automatically summoned.
Oh.
No one knew who you were.
It was quite sad.
We were lucky to get in at all.
That's impossible. You're deluded.
What are you guys doing here?
Is everybody okay?
Dr. Mankiewicz is concerned
her cataract surgery failed.
It's been a month.
At first, I saw colors I forgot existed,
but over the last few days,
my vision has been
getting a little blurry again.
Hold still, please.
Mm-hmm.
I hope this doesn't mean
putting off Boca.
I gotta set up the house.
This would be a lot easier if
you don't talk, Dr. Mankiewicz.
Well, you don't know how many
times I've said that to her.
When are you guys going down there?
When's the big day?
Well, Suzie flies down tomorrow,
and I'm gonna stick around here
another six months.
He's dragging out his retirement.
I have students
I've committed to, sweetie.
And a transition period
is normal and necessary.
"Denial" ain't just a river in Egypt.
I'm not seeing any acute issues,
but I'd like ophthalmology to
run a few tests just in case.
Mm-hmm.
Well, let's just get it over with.
Oh, you don't know how many
times I've said that to him.
[LAUGHTER]
How do you all know each other?
Howie was my roommate in medical school.
And Daniel was my boyfriend
in medical school.
Yeah.
So how'd you end up with Howie?
Very poor judgment.
Oh, it's not too late, dear.
Danny's single.
Oh, ever been to Boca Raton?
You be careful, young lady.
[LAUGHTER]
- [SIREN WAILING]
- Going to trauma 1.
Alex Tompkins, 27-year-old male,
fell off a bull
and got gored in the chest.
Mechanical bull.
Nope, a live one.
In Chicago?
He's a professional rider.
Lost my grip, and Eddie sent me sailing.
Heart rate 134. BP 98/60.
Decreased breath sounds
on the left side.
Sats 96.
You hit your head,
lose consciousness at all?
- No.
- No?
Victor, grab that cover, will you?
Any other injuries from the incident?
I rolled away before
Eddie could stomp on my legs.
- Yeah, who's Eddie?
- The bull.
Of course. All right.
On my count. Ready. One, two, three.
[GROANS]
All right, 100 fentanyl,
- and then get him on 4 liters.
- Yep.
Mr. Tompkins, I'm gonna
check you out now, okay?
Move your hand, please, sir.
All right, big open pneumothorax.
There's two open rib fractures.
Oh!
Let's get a CT on the way
to the hybrid OR, okay?
We need him cleaned
and closed right away.
Come on, let's go.
Move it, move it, please!
[DRAMATIC MUSIC]
[GROANS]
Okay, so you didn't land
on your belly, right?
No, no, on my side.
[SIGHS] I feel so stupid.
I should have just made two trips.
Is the baby going to be okay?
Based on my initial exam,
I'm not seeing any cause for concern.
But we do want to do an ultrasound
to be on the safe side, okay?
Is there anyone
we can recruit to help you
with the groceries next time?
Oh, my husband, Kyle,
but he's away visiting his mom.
I already heard an earful from him.
"Why didn't you just
get them delivered?"
Dr. Kingston!
When I called your office, they said
you were gonna be in meetings all day.
Well, you just gave me
a great excuse to bail.
Do you know Dr. Asher?
Yes, of course.
She's one of Gaffney's finest.
You are in terrific hands.
How do you two know each other?
I had ER-positive
breast cancer six years ago.
Oh.
And Dr. Kingston was
my surgical oncologist.
If it wasn't for her,
I wouldn't be pregnant right now.
Well, I don't know about that.
Every oncologist I met with
was against me freezing my eggs
before starting treatment.
They were afraid that the ovulation
stimulation hormones would
increase my cancer cells.
That is a valid concern.
But Dr. Kingston helped me
advocate for myself
every step of the way.
[ULTRASOUND WHOOSHING]
Okay.
So baby girl is moving around nicely.
The placenta looks good.
No sign of abruption.
Fluid levels look good.
What is it? What's wrong?
Well, I'm just seeing some bright areas
in the fluid surrounding
the umbilical cord.
Now, this could just be
artifact from the machine,
but I'd like to get a fetal MRI
just to cover all our bases.
Lyra is highly claustrophobic, so
I always need sedation.
But I don't want to take
anything while I'm pregnant.
Okay, well, we can give you
a very low dose of Ativan.
No, no, absolutely not.
Maybe we can just do
a detailed ultrasound, perhaps.
We could, but an MRI
would give us far better
structural and soft tissue detail.
Could we at least try
the ultrasound first?
And then, if it's not good enough,
I'll do the MRI.
Sure, that's fine.
You are fine.
But I'm here.
You are a very lucky man, Mr. Tompkins.
All right?
The track to the horn stopped
just centimeters from your heart.
Lucky, my ass.
You know how much crap
the boys are gonna give me
when they hear Eddie whooped my hide?
Forgive me, but trying to stay
on the back of a bucking bull?
Just don't see the appeal myself.
Yeah.
Your line of work doesn't
seem so different.
I imagine there's days this job
feels like you're riding
a 2,000-pound beast, just hanging on
by the skin of your teeth.
Touché.
Anyway, as I was saying,
you're very lucky
that Eddie the bull missed your heart.
We were able to repair
the pulmonary laceration,
and it should heal up
in about four to six weeks.
Whoa, I'm gonna be
held up for that long?
I got the Albuquerque
Invitational in March.
I'm not done yet.
Your CT showed a narrowing
of the cervical spine.
Yeah, my back's been
messed up for years
sciatica or whatnot.
Doc gives me a steroid shot,
and I'm good to go.
Well, the findings aren't
consistent with sciatica,
so I'd like to order additional
scans and a neuro consult.
Is that really necessary?
Or are you just trying to pad my bill?
Oh, I'm absolutely padding your bill.
And if I earn enough scans
by the end of the month,
I win a new hot tub.
No, it's absolutely necessary, buckaroo.
Buckaroo?
Too many episodes of "Bonanza."
That's funny you say that,
because back in the old days,
I was a dead ringer
for Little Joe Cartwright.
Tough crowd.
Dr. Lenox, the girl in 2
with the infected eyebrow piercing?
What about her?
What did you ask me to do again?
Drain and clean the wound and
Please don't pretend to be
bad at your job
to distract me
from the pin in your hand.
Hey, hey. Mm, mm.
Excuse me, Dr. Asher, I just
I wanted to apologize
for what happened in there.
I didn't mean to step on anyone's toes.
My toes are just fine.
Okay.
Moving forward, I'll just
keep my suggestions to myself.
That is not necessary.
Your input is valuable, especially given
your prior relationship with Lyra.
That's very gracious of you.
Two shots of Malort, Sully's favorite.
[ROCK MUSIC PLAYING]
To Sully.
- [GLASSES CLINK]
- To Sully.
Oh, Old Style chaser.
Ah!
Oh.
Oh, wow.
[SIGHS]
I can't believe he's been gone a year.
Yeah, it did go fast.
Luckily, his 18-month-old clone
keeps me smiling on the hard days.
Come on.
Lately, he's been doing
this thing where he tries
to stick his finger in power outlets.
And when I warn him it'll hurt,
he laughs and tries again.
Well, that's his dad in a nutshell.
Mm.
My son is the sweetest
little monster I know.
How are you holding up?
Uh, I'm doing pretty well overall.
Yeah?
Yeah.
But we have a job to do today.
Which is?
[CLEARS THROAT]
Is that
Sully's ashes.
Why'd you bring him?
Because today,
we are going to spread them
on the field of his
favorite place on Earth.
Okay.
Serotonin syndrome?
Ridiculous, right? I'm sorry.
I'm not gonna rebuild
my entire medication protocol
because I've got, I don't know,
low blood sugar or something.
Anyway, my new shrink and I,
we just tweaked a couple things,
- and I never felt better.
- Well, I'm glad to hear it.
Listen, pal, I gotta say, you seem
less than enthused about moving
down to the Sunshine State.
And I'm not talking about
a transition period.
Well, you picked that up
with your keen shrink skills,
- did you?
- What can I say? I'm good.
You seemed so excited
about Boca on my birthday.
- What happened?
- Starting spring semester.
I looked out at those eager
med students, and I realized
everything I said
from that moment forward,
everything I taught them
would be for the last time.
- You're not ready to retire.
- Nope.
Suzie was ready when we closed
our practice 12 years ago.
But joining Porter U's faculty opened up
this whole new world to me.
I mean, but does Suzie know
how you feel?
I mean, how you really feel?
She knows, but she doesn't get it.
I know you do.
Of course I do, but I'm not your wife.
Look, Howie, it's it's Suzie.
I mean, you can level
with her, can't you?
I mean, does it really need
to be a binary choice anyway?
Well, says my thrice-divorced friend.
- [CHUCKLES]
- That's beneath you.
It is a binary choice.
I love my wife more than
I love my career,
so I choose her.
I just need some time to get there.
Dr. Charles, treatment 3.
[TENSE MUSIC]
♪
Oh, my God! Suzie!
Doris, 2 milligrams Ativan IM.
- Let's get her on oxygen.
- What happened?
She just started seizing.
Help me get her on her side.
What the hell is wrong with her?
I'm not sure, but it looks
like a tonic-clonic.
It's okay.
Suzie, I'm right here.
- Ativan on board.
- Let's let them work.
Okay? They got this.
It's gonna be fine, let's uh
let them do their job.
Put a rush on that MRI.
I mean, Caitlin should be
Sam?
Dan, I know these are
very old friends of yours,
so I wanted to come down myself
and explain to all of you
what we found and what our options are.
So I'm guessing
this isn't about cataracts?
I'm afraid not.
Your CT and MRI scans found a grade 4
deep arteriovenous malformation
in your central brain.
It's an AVM.
It's essentially a knot
of tangled blood vessels.
This is what caused
your recent vision loss
as well as your seizure.
Okay, so how do we fix this?
Well, we have two options.
Okay, hit me.
The first is resecting it.
- Removing the knot?
- Yes.
Why are we not more excited
about that option?
It's a very risky surgery,
with a high mortality rate.
How high?
Over 70%.
No, thank you. Hard pass.
What's the other option?
We leave the knot where it is
and simply medicate your symptoms.
Symptoms?
AVM is stealing vital blood
from other areas of your brain.
And now that you've started
showing symptoms,
you will experience them
more and more
seizures, mini strokes, all leading to
a dramatic physical
and cognitive decline.
Over how much time?
Roughly 2-5 years.
Okay, this is an overwhelming
amount of information.
There must be alternatives.
What about endovascular intervention?
Endovascular is only temporary.
With a high risk of bleeding,
I can't recommend it.
If you remove the knot now
- Suzie!
- No.
Will I still experience
the physical and cognitive decline?
No.
If you survive the surgery,
you'd be able to go on with your life.
[SOLEMN MUSIC]
[SIGHS]
So you're saying I have a brain grenade.
I want it out before it explodes.
We need to talk about this, Suzie.
No, I am not gonna curl up in a ball
and wait to die, Howie!
If I can't experience my life
to its fullest with you,
there's no point to living at all.
No. Absolutely not!
I mean, what are we even
talking about here?
- Howie, look.
- No!
I'll give you two a minute.
Oh, you understand, don't you?
Of course I do.
Of course I do.
And I will talk to him.
- Okay?
- Okay.
I'm gonna talk to him.
Thank you.
Mr. Tompkins, you've got
progressive cervical myelopathy.
Your spinal cord is being compressed,
which can impair motor skills.
Probably why you lost
your grip on Eddie today.
Is there some kind
of pain pill I can take?
No, I'm afraid we're past that.
You need spinal fusion surgery.
Back surgery?
I need back surgery, really?
How long is that gonna put me out?
I mean, a couple months?
No, full recovery
usually takes about a year.
A year. I'm not gonna be
back on a bull for a year?
My advice is you never
get back on a bull again.
The risk of reinjury
after surgery is too great.
Then I'm not doing the surgery.
Mr. Tompkins
No, this is how I make a living.
It's time to find
a new profession, all right?
You let this go, you keep riding,
you could end up with
permanent nerve damage.
Paralysis, most likely.
I'll take my chances.
Very well.
You are making a terrible decision.
That is your opinion.
Based on decades of watching people
make terrible decisions.
Well, it isn't up to you, is it?
Well, here we are.
Okay, so the gate mechanism
takes about 8 seconds to soft close.
So you and I will sneak in
before it does.
That's your plan? Wait and get lucky?
- What, you got a better one?
- Well, hang on.
There are security cameras everywhere.
You'd be begging to be arrested.
Wow.
I wish that 15-year-old Rip were here
to see what a little bitch
you've become.
Okay.
[LAUGHS]
[SIGHS]
[SOFT MUSIC]
Man, Sully sure did love his Cubbies.
Yeah, not a popular thing
for a Southside boy.
Used to pick fights
with all the White Sox fans.
Yeah, and get his ass handed to him.
That was Sully, sticking his
finger in the power outlet.
[CAR ALARM BLARING]
[GASPS]
Go, go, go, go, go, go, go!
Ah!
[LAUGHS]
Oh, lucky that car alarm went off.
Nah, that was Sully
doing us a solid from above.
Hey, why were you so late today?
- It's not like you.
- Traffic.
That feels like a lie.
You were in way too good
of a mood for that.
What's your point?
Were you late because of a girl?
Maybe.
And you had just had sex with said girl.
How? How how how do you do that?
I mean, we knew each other at 12.
You can't hide anything from
someone who knew you at 12.
And I 100% approve.
So who is she?
Caitlin Lenox.
Oh!
I remember her. Stone-cold RBF.
Oh, she's she's not so bad.
Yeah, said every guy right after sex.
Oh, my God, you really like her.
No. No, no. We're we're just
we're a little drunk
on each other at the moment.
That's how all the best things start.
And end.
What's wrong?
You afraid of getting dumped
on the riverwalk
for a third time this year?
Wow!
- [LAUGHS]
- Low blow?
Oh, Sully must be
speaking through me today.
Lenox and I are like oil and water.
It's it's it's a bad idea.
Look, Sully was the best
bad idea I ever had.
And I wouldn't trade a moment of it.
Do you care about her?
Okay, well, then you have to tell her.
This kind of chemistry is rare.
- Oh.
- Hey!
Go, go, go, go, go.
- Really?
- [LAUGHING]
Dressed up for something ♪
But I had you runnin' down by the ♪
- This way.
- Okay, okay.
Come on.
[UPBEAT ROCK MUSIC]
Wah!
- Uh, hey!
- Go, go, go, go.
I'm coming. I'm coming. I'm coming! Ah!
Stop!
Wah!
- You good?
- Yeah.
- Okay. Do it, do it, do it.
- I'm coming.
- I'm coming.
- Do it now!
[PANTING]
[SCREAMS]
Tony, they're on the field.
[LAUGHING]
Oh. [CLEARS THROAT, LAUGHS]
We're gonna need to see your IDs.
- Yeah. Sure.
- Sorry.
Okay.
So this is the umbilical cord.
You see where it narrows down here?
Is that bad?
It means that something's
wrapped around it.
Sometimes bands from the amniotic sac
can become separated
and wrap around things
that they shouldn't.
Is this because of my fall?
No, no.
Typically, this develops
within the first trimester.
It's actually lucky that
your fall brought you in.
Otherwise, you wouldn't
have detected this
until your next ultrasound.
So is this hurting my baby?
When bands constrict the umbilical cord,
it can cut off nutrients
and oxygen to the baby.
Now, luckily, I'm not seeing any signs
of that happening yet,
but this does require
immediate surgical intervention.
Now, I've already spoken to Dr. Berman,
an excellent fetal surgeon here at Med.
And he has some availability
this afternoon.
Whoa, whoa!
Kyle's not here yet.
Lyra, this isn't something
that we want to wait on.
[SOFT APPREHENSIVE MUSIC]
Okay. Of course, yeah.
Lyra, it's gonna be okay.
Can you be in the surgery?
Oh, I'm not a fetal surgeon.
Please.
Just in case something goes wrong,
I would feel so much better
if I knew that you were there.
Generally, we limit the number of bodies
in an operating room
for sterility purposes,
but Dr. Kingston can absolutely watch
from the observation booth.
- Would you?
- I would be happy to.
Okay. Okay.
There you are.
Been looking all over for you.
I needed some time to think.
[SIGHS]
I get it.
Please help me talk Suzie
out of this surgery, Danny.
Howie, I can't do that.
Why the hell not?
Isn't it really her decision?
Are you kidding? I am her husband!
This procedure is more likely
to kill her than cure her.
- You know that.
- Yeah, so does she.
You you don't get it.
What?
What don't I get?
Marriage, till death do us part.
When times got tough, you always bailed,
all three of your wives.
It's a good thing
Suzie had the good sense
to cut bait before you started with her.
You think I'm crazy for
risking the surgery, don't you?
You want to live without compromise?
You might be the sanest person I know.
♪
My husband is furious with me.
Well, you strike me as someone
who does what she wants
in life without apology,
Dr. Mankiewicz.
Anyone who loves you
has always known that.
It's probably why they
loved you in the first place.
[SIGHS]
She's being selfish.
All due respect, I think
you might have that backwards.
You're the one asking her to choose
a rapid cognitive decline.
Howie, I watched CeCe
waste away from cancer,
up close.
Trust me
you do not want that
for your beloved wife.
[SIGHS]
How did we get here?
This morning, I was whining
about retiring to Boca.
Now I'd go in a heartbeat
if it meant a few more years together.
Yeah, well, Suzer wants that too.
So bad she's willing
to take this risk to get it.
I guess I need to tell
my wife she was right again.
[CHUCKLES]
♪
How did you end up with Howie?
Oh, well, Howie fell for me immediately,
but he was never gonna make a move
on his best friend's girlfriend.
So I was forced to take action
and dump Danny.
- Oh, drama.
- [LAUGHS]
Tell me more. Details! Like
Oh, well, I was crazy about Danny,
but he's always had
a complicated relationship
with intimacy.
He loved me but kept me at arm's length.
- Mm.
- [SIGHS]
But Howie, oh,
he held the door wide open
with a boundless capacity to love.
You know, basking in that glow
can be pretty addictive.
I think we all know when
an attraction feels inevitable.
Mm, I can see you know what I mean.
No, I was, um, wondering, um,
how the three of you stayed close.
Oh, well, we were
psych students, Dr. Lenox.
Analyzing drama was our jam.
I mean, look what came of it
a lifelong friendship.
[SIGHS]
I would rather live than wait to die.
I feel the same.
I'm betting my life on that.
What if you lose?
Better to break Howie's heart fast.
I don't want him watching me
slowly disappear.
I love him too much.
- No!
- Mr. Tompkins,
please, I need you to get back in bed.
He pulled his chest tube out.
What the hell are you thinking?
I told her I was ready to go,
and she said I needed
to talk to some shrink.
That's right. I ordered a psych consult.
Yeah, to force surgery on me.
To cover our ass so that when
you're paralyzed in a year,
we can prove that you were counseled
on the risks of refusing.
- I'm good.
- Where are you going?
Mr. Tompkins, you cannot do this.
We are asking you not to do this
[TENSE MUSIC]
He's tachycardic.
Absent breath sounds on the left.
He's got tension pneumothorax.
We need a stretcher.
No, there's no time
to get him back in the bed.
Get me a 14-gauge Angiocath.
You're gonna needle decompress him here?
- [CHUCKLES]
- I think Sully would be proud.
He'd be more proud if we spent
the night in a community cell.
[LAUGHS]
[SNIFFLES]
- Hey.
- No, no, no. I'm okay.
I'm okay. I just [LAUGHS]
I just miss him.
Yeah.
Yeah, me too.
You know what kills me
[SOMBER MUSIC]
Is Nate isn't gonna have
any memory of his dad.
You know, and sometimes
I wish I could just download
all of my memories into
his little 18-month-old brain
so he could see all the things
that old videos and pictures
can't tell you, you know, like
how his cologne smelled or how
how his hands felt
when he'd rub your back
until you fell asleep,
or how safe you felt when he hugged you.
♪
Sully's with him.
Always will be.
I hope that's true.
I know it is.
I mean, he was with me
when I needed it most.
What do you mean?
[CHUCKLES]
I saw him.
I saw him when I was
trapped in the well.
[SIGHS]
I don't know if it was
a dream or a hallucination
due to lack of oxygen,
but Sully was there with me.
And I wanted to give up,
but Sully just kept pushing my buttons
until I screamed
bloody murder at him and, uh
and that's the only reason
Mouch found me in all that rubble.
It sounds like Sully played
you like a little fiddle.
[BOTH LAUGHING]
And he saved my life.
I truly believe that.
And if he bothered
to waste his time on me,
come on.
He will always, always
be there for you and Nate.
Thank you.
Yeah.
[SIGHS]
He also called me a little bitch.
[LAUGHS]
That's because you are one.
[LAUGHS]
Oh.
- [CLEARS THROAT]
- Thank you.
- Thanks.
Are you arresting us?
Was the deceased a Cubs fan?
Well
They were his only religion.
Have a nice day. Go Cubs.
- Go Cubs.
- Go Cubs.
[SOFT MUSIC]
[BOTH LAUGHING]
We were playing pool when
we told Danny we were engaged,
because Danny always had to have
a big reaction to everything.
Oh!
He jumped up into the air
with excitement.
- And
- That's right.
And because I'm so athletic,
I actually hit the ceiling fan.
The spinning ceiling fan.
- Yes.
- And for a moment,
Danny was just stunned.
Well, because I was like,
why is my face all of a sudden so warm?
Because there is blood
pouring down his face.
And he wouldn't even let us
take him to the ED.
We couldn't make it about me.
You'd just been engaged.
There were cocktails to drink.
He walked around
for the rest of the evening
with a sweater tied around his head.
You know, he still
does this to this day.
- Oh!
- Really?
- Yeah.
- That's that's yeah.
Oh, man.
[CLEARS THROAT]
Suzie, I know you've
already made up your mind,
but I need you to know
that any version of you
is enough for me.
I know.
But if I can't remember this,
what's the point?
I love you, Suzie.
I love you, Howard.
♪
Dr. Mankiewicz?
BOTH: Yes?
The OR's been prepped.
We're ready when you are.
Okay.
Let's do this.
Libby will take you to the waiting room,
Dr. Mankiewicz.
I'll see you soon.
- All right. See you soon.
- Okay.
♪
Danny?
Danny, come here.
If for some reason,
this doesn't work out,
take care of Howie for me.
No.
No can do.
That's your job, Suzer.
Okay?
- Okay.
- Okay.
♪
How long was I out?
About an hour.
Little stunt you pulled
caused your second
pneumothorax of the day
and put all my handiwork from
this morning at risk of infection.
What?
You're a selfish idiot, you know that?
You're out of line, man.
No, I worked at the VA a long time,
treated a lot of paraplegics.
They didn't have any choice
in the matter.
- I don't have a choice either.
- Oh, give me a break.
Hey, I tried getting a real job, okay?
Sitting in a cubicle,
I can't crack that life.
Bull riding is the only thing
that I've ever been good at.
It's the only thing that's
ever made any sense to me.
And you want me to, what,
just give it up?
Apologies.
I take it back. You're not selfish.
Selfish people hurt others.
You're just hurting yourself.
- How am I doing?
- You're doing good.
The port site is far enough
away from the baby.
Fetoscope, please.
[MACHINES BEEPING]
And there's the band.
Band's released.
I'm not seeing any additional bands.
Me neither.
Let's proceed with suturing.
[TENSE MUSIC]
♪
Needle driver and 3-0 Vicryl.
- [ALARM BEEPING]
- We've got a bleeder.
Heart rate's going up.
Lyra is on blood thinners.
She has a history of blood clots.
I recommend a reverse agent,
IV protamine.
I don't think that's necessary.
She's only on a prophylactic
dose of enoxaparin.
Dr. Asher is correct.
It's too risky to reverse it.
So what's the alternative?
You let her bleed out?
Of course not.
Let's proceed with suturing
and see if the uterus starts
to contract around
the incision on its own.
Her blood pressure's dropping.
If you don't stop Lyra's bleeding,
she could go into labor.
We have this under control,
Dr. Kingston.
- I don't think that you do.
- Okay.
- I've had it.
- I got it. I got it.
Dr. Kingston, I am sorry,
but you need to leave.
We are trying to focus,
and you've become a distraction.
I know why you still call her Suzer.
Oh, yeah? Why is that?
I stole your girlfriend,
so you still use your pet name
for her to taunt me.
[BOTH LAUGHING]
And it gives me
so much pleasure every time.
[BOTH LAUGHING]
You know what I was just thinking about?
That prick who taught
year three behavioral science,
Dr. Housman.
- Ugh, what a prick.
- [LAUGHS] Oh.
- He was so full of himself.
- Tough son of a bitch, huh?
And those ugly sweaters he wore.
I wanted his approval so badly.
[CHUCKLES]
Uh, you said that's
that's why I'd never get it.
[SOMBER MUSIC]
♪
What's going on?
Um
Danny, what's going on?
Well, what Dr. Lenox was
just communicating to me
is that Suzie
did not make it.
What what are you talking about?
What I'm talking about is that
she did not survive the surgery, Howie.
Oh, no, no. No. No.
You're wrong.
Let me see her. I need to see her.
I am so sorry.
No, this this
should not be happening!
Of course it shouldn't.
No, I should not have listened to you.
- Buddy.
- No.
Suzie should be here right now!
But I let both of you
both of you talk talk me into this.
And now I have now she's
oh, God!
[SOBBING] Oh, God!
Oh, God!
Oh!
[SOBBING]
I'm so sorry.
No.
[KNOCKING]
Lyra's on her way to recovery.
The bleeding stopped immediately
after we finished suturing.
The baby is doing great,
and her husband's on his way
from O'Hare as we speak.
That's a relief.
Thank you for telling me.
Please, come in.
Listen, um, I am sorry
for what happened in the OR.
I know there is nothing more dangerous
than a backseat driver.
You care about Lyra.
I get that.
It's no excuse.
Then you're human like the rest of us.
Okay, well, if I can, um
be really human
This is awkward, right?
It's not not awkward.
I know how important you are to Dean.
And he's become really
important to me too.
That's great.
Yeah, I'm I'm really happy
for Dean, for
for both of you.
Look, Lyra is waking up.
Why don't we both go tell her
the good news together?
- Thank you.
- Yeah.
All right, ladies, here we go, y'all.
What did you get?
Jagermeister, baby.
Oh, Kacy, no.
- This is foul.
- What?
Don't yuck my yum.
I'm gonna get us a round of tequila.
- Thank you.
- Boring.
Wait, why am I paying for this?
Hey, who's got the pin?
Yes, yes, yes, yes.
But have you have you seen
inside of his pantry?
- It's like
- Please, stop.
Oh, my God.
It's like he's feeding a family of five.
Or or supplying for the apocalypse?
I'm not gonna be embarrassed
about my love of Costco.
You can get great deals great deals,
enough free samples for a meal.
What's not to love?
I made the mistake of going once,
and it was torture.
- Torture? It was torture.
- Torture.
We were there for over three hours.
This one makes you go
through every aisle
top to bottom, not once but twice.
Right, because you miss
stuff on the first go around.
Okay, on that note,
I'm using the ladies room.
I'll be back.
Hey.
Hey.
It's kind of a prick move,
taking payday off
and then showing up for free drinks.
Who's buying?
Um, yours truly.
Next round's on me.
[ALL CHEERING]
What are you doing?
Showing you I'm not a prick.
Well, um, after this round,
do you want to get out of here?
[LAUGHS]
[CLEARS THROAT]
I do,
but, uh, can we talk first?
Oh, no.
What's up?
We keep flirting
with this idea of stopping.
What if we didn't?
And what does that mean, exactly?
Seeing where this leads.
Yeah.
Can it lead to us
getting out of here now?
[SOFT MUSIC]
Ruff.
[LAUGHS]
♪
Couldn't help but notice
you and Kingston
you should ask her out.
She asked me out.
- That's great.
- Yeah.
- It's not like we're together.
- Right.
Two friends having a baby. Remember?
You went through something
really traumatic.
I mean, we both did.
I can't stop thinking about it.
Well, I'm sorry to hear that.
- I've moved on.
- I don't buy it.
You keep throwing yourself
headfirst into these
dangerous situations
like you got a dea
[DRAMATIC MUSIC]
♪
Okay, ready? On three.
One, two, three.
Push.
Son of a bitch!
Can you give us a little help?
I'm trying. It hurts.
Okay, let's try again. Push.
- Need a hand?
- Yeah.
Warehouse accident.
Mr. Tremblay was crushed
against a metal shelf.
My idiot coworker slammed
his forklift right into me.
He fell asleep at the wheel.
Give him 50 of fentanyl
so we can roll in
to get a better look at his wound.
This looks deep.
Have Dr. Howard book an OR
for surgical exploration.
There's no need.
I already have a perfectly
clear view of his injuries.
The ED doesn't have a laparotomy tray.
The OR does.
I have everything under control.
I'm sure you do,
but it's the end of your shift.
So call Dr. Howard now.
May I speak with you outside?
You may.
He's pissed.
What? No.
She's gonna eat him alive.
[CAR ALARM BLARING]
[PANTING, MOANING]
I need my my key fob. I
Oh.
Yeah.
Yeah.
Here.
Yeah. [CHIRPS, ALARM STOPS]
Okay.
Thought we agreed to stop this.
I changed my mind.
You know, I'm not some puppy
for you to play with.
Agree to disagree.
But you can say no at any point.
[SOFT MUSIC]
Ruff.
Ooh.
[LAUGHS] Oh, my gosh.
- Mm.
- Mm.
Mm, actually, I I do have
somewhere I need to be.
Well, I don't have to be back
for 10 minutes.
Trini just pinned me, didn't she?
Hey, I'm I'm Switzerland.
Well, sadly, I won't be
buying the first round
at Molly's ever again.
Mm, what's your strategy?
Well, I'm gonna wait
till the end of my shift
and then stick some poor sucker
at the very last minute.
That is some real 4D chess, Dean.
Yeah, well, of course, there's this.
And boom.
Hey, are you bringing
Jennifer to Molly's tonight?
Possibly.
Don't be weird. I want you to bring her.
Yeah, I think I have
the right to be somewhat weird
when discussing my girlfriend
with the mother of my impending child.
- Girlfriend?
- Yeah.
She must really be okay
with this unique situation.
She said as long as
I'm not in love with you,
she's all good.
Well, good.
Dr. Archer, incoming trauma,
3 minutes out,
young man with chest impalement.
Thank you.
Dr. Mankiewicz?
BOTH: Yes?
I told you not to call him, Howie.
Well, you know,
when the random commenter
drops my name in an attempt
to jump the line,
I'm automatically summoned.
Oh.
No one knew who you were.
It was quite sad.
We were lucky to get in at all.
That's impossible. You're deluded.
What are you guys doing here?
Is everybody okay?
Dr. Mankiewicz is concerned
her cataract surgery failed.
It's been a month.
At first, I saw colors I forgot existed,
but over the last few days,
my vision has been
getting a little blurry again.
Hold still, please.
Mm-hmm.
I hope this doesn't mean
putting off Boca.
I gotta set up the house.
This would be a lot easier if
you don't talk, Dr. Mankiewicz.
Well, you don't know how many
times I've said that to her.
When are you guys going down there?
When's the big day?
Well, Suzie flies down tomorrow,
and I'm gonna stick around here
another six months.
He's dragging out his retirement.
I have students
I've committed to, sweetie.
And a transition period
is normal and necessary.
"Denial" ain't just a river in Egypt.
I'm not seeing any acute issues,
but I'd like ophthalmology to
run a few tests just in case.
Mm-hmm.
Well, let's just get it over with.
Oh, you don't know how many
times I've said that to him.
[LAUGHTER]
How do you all know each other?
Howie was my roommate in medical school.
And Daniel was my boyfriend
in medical school.
Yeah.
So how'd you end up with Howie?
Very poor judgment.
Oh, it's not too late, dear.
Danny's single.
Oh, ever been to Boca Raton?
You be careful, young lady.
[LAUGHTER]
- [SIREN WAILING]
- Going to trauma 1.
Alex Tompkins, 27-year-old male,
fell off a bull
and got gored in the chest.
Mechanical bull.
Nope, a live one.
In Chicago?
He's a professional rider.
Lost my grip, and Eddie sent me sailing.
Heart rate 134. BP 98/60.
Decreased breath sounds
on the left side.
Sats 96.
You hit your head,
lose consciousness at all?
- No.
- No?
Victor, grab that cover, will you?
Any other injuries from the incident?
I rolled away before
Eddie could stomp on my legs.
- Yeah, who's Eddie?
- The bull.
Of course. All right.
On my count. Ready. One, two, three.
[GROANS]
All right, 100 fentanyl,
- and then get him on 4 liters.
- Yep.
Mr. Tompkins, I'm gonna
check you out now, okay?
Move your hand, please, sir.
All right, big open pneumothorax.
There's two open rib fractures.
Oh!
Let's get a CT on the way
to the hybrid OR, okay?
We need him cleaned
and closed right away.
Come on, let's go.
Move it, move it, please!
[DRAMATIC MUSIC]
[GROANS]
Okay, so you didn't land
on your belly, right?
No, no, on my side.
[SIGHS] I feel so stupid.
I should have just made two trips.
Is the baby going to be okay?
Based on my initial exam,
I'm not seeing any cause for concern.
But we do want to do an ultrasound
to be on the safe side, okay?
Is there anyone
we can recruit to help you
with the groceries next time?
Oh, my husband, Kyle,
but he's away visiting his mom.
I already heard an earful from him.
"Why didn't you just
get them delivered?"
Dr. Kingston!
When I called your office, they said
you were gonna be in meetings all day.
Well, you just gave me
a great excuse to bail.
Do you know Dr. Asher?
Yes, of course.
She's one of Gaffney's finest.
You are in terrific hands.
How do you two know each other?
I had ER-positive
breast cancer six years ago.
Oh.
And Dr. Kingston was
my surgical oncologist.
If it wasn't for her,
I wouldn't be pregnant right now.
Well, I don't know about that.
Every oncologist I met with
was against me freezing my eggs
before starting treatment.
They were afraid that the ovulation
stimulation hormones would
increase my cancer cells.
That is a valid concern.
But Dr. Kingston helped me
advocate for myself
every step of the way.
[ULTRASOUND WHOOSHING]
Okay.
So baby girl is moving around nicely.
The placenta looks good.
No sign of abruption.
Fluid levels look good.
What is it? What's wrong?
Well, I'm just seeing some bright areas
in the fluid surrounding
the umbilical cord.
Now, this could just be
artifact from the machine,
but I'd like to get a fetal MRI
just to cover all our bases.
Lyra is highly claustrophobic, so
I always need sedation.
But I don't want to take
anything while I'm pregnant.
Okay, well, we can give you
a very low dose of Ativan.
No, no, absolutely not.
Maybe we can just do
a detailed ultrasound, perhaps.
We could, but an MRI
would give us far better
structural and soft tissue detail.
Could we at least try
the ultrasound first?
And then, if it's not good enough,
I'll do the MRI.
Sure, that's fine.
You are fine.
But I'm here.
You are a very lucky man, Mr. Tompkins.
All right?
The track to the horn stopped
just centimeters from your heart.
Lucky, my ass.
You know how much crap
the boys are gonna give me
when they hear Eddie whooped my hide?
Forgive me, but trying to stay
on the back of a bucking bull?
Just don't see the appeal myself.
Yeah.
Your line of work doesn't
seem so different.
I imagine there's days this job
feels like you're riding
a 2,000-pound beast, just hanging on
by the skin of your teeth.
Touché.
Anyway, as I was saying,
you're very lucky
that Eddie the bull missed your heart.
We were able to repair
the pulmonary laceration,
and it should heal up
in about four to six weeks.
Whoa, I'm gonna be
held up for that long?
I got the Albuquerque
Invitational in March.
I'm not done yet.
Your CT showed a narrowing
of the cervical spine.
Yeah, my back's been
messed up for years
sciatica or whatnot.
Doc gives me a steroid shot,
and I'm good to go.
Well, the findings aren't
consistent with sciatica,
so I'd like to order additional
scans and a neuro consult.
Is that really necessary?
Or are you just trying to pad my bill?
Oh, I'm absolutely padding your bill.
And if I earn enough scans
by the end of the month,
I win a new hot tub.
No, it's absolutely necessary, buckaroo.
Buckaroo?
Too many episodes of "Bonanza."
That's funny you say that,
because back in the old days,
I was a dead ringer
for Little Joe Cartwright.
Tough crowd.
Dr. Lenox, the girl in 2
with the infected eyebrow piercing?
What about her?
What did you ask me to do again?
Drain and clean the wound and
Please don't pretend to be
bad at your job
to distract me
from the pin in your hand.
Hey, hey. Mm, mm.
Excuse me, Dr. Asher, I just
I wanted to apologize
for what happened in there.
I didn't mean to step on anyone's toes.
My toes are just fine.
Okay.
Moving forward, I'll just
keep my suggestions to myself.
That is not necessary.
Your input is valuable, especially given
your prior relationship with Lyra.
That's very gracious of you.
Two shots of Malort, Sully's favorite.
[ROCK MUSIC PLAYING]
To Sully.
- [GLASSES CLINK]
- To Sully.
Oh, Old Style chaser.
Ah!
Oh.
Oh, wow.
[SIGHS]
I can't believe he's been gone a year.
Yeah, it did go fast.
Luckily, his 18-month-old clone
keeps me smiling on the hard days.
Come on.
Lately, he's been doing
this thing where he tries
to stick his finger in power outlets.
And when I warn him it'll hurt,
he laughs and tries again.
Well, that's his dad in a nutshell.
Mm.
My son is the sweetest
little monster I know.
How are you holding up?
Uh, I'm doing pretty well overall.
Yeah?
Yeah.
But we have a job to do today.
Which is?
[CLEARS THROAT]
Is that
Sully's ashes.
Why'd you bring him?
Because today,
we are going to spread them
on the field of his
favorite place on Earth.
Okay.
Serotonin syndrome?
Ridiculous, right? I'm sorry.
I'm not gonna rebuild
my entire medication protocol
because I've got, I don't know,
low blood sugar or something.
Anyway, my new shrink and I,
we just tweaked a couple things,
- and I never felt better.
- Well, I'm glad to hear it.
Listen, pal, I gotta say, you seem
less than enthused about moving
down to the Sunshine State.
And I'm not talking about
a transition period.
Well, you picked that up
with your keen shrink skills,
- did you?
- What can I say? I'm good.
You seemed so excited
about Boca on my birthday.
- What happened?
- Starting spring semester.
I looked out at those eager
med students, and I realized
everything I said
from that moment forward,
everything I taught them
would be for the last time.
- You're not ready to retire.
- Nope.
Suzie was ready when we closed
our practice 12 years ago.
But joining Porter U's faculty opened up
this whole new world to me.
I mean, but does Suzie know
how you feel?
I mean, how you really feel?
She knows, but she doesn't get it.
I know you do.
Of course I do, but I'm not your wife.
Look, Howie, it's it's Suzie.
I mean, you can level
with her, can't you?
I mean, does it really need
to be a binary choice anyway?
Well, says my thrice-divorced friend.
- [CHUCKLES]
- That's beneath you.
It is a binary choice.
I love my wife more than
I love my career,
so I choose her.
I just need some time to get there.
Dr. Charles, treatment 3.
[TENSE MUSIC]
♪
Oh, my God! Suzie!
Doris, 2 milligrams Ativan IM.
- Let's get her on oxygen.
- What happened?
She just started seizing.
Help me get her on her side.
What the hell is wrong with her?
I'm not sure, but it looks
like a tonic-clonic.
It's okay.
Suzie, I'm right here.
- Ativan on board.
- Let's let them work.
Okay? They got this.
It's gonna be fine, let's uh
let them do their job.
Put a rush on that MRI.
I mean, Caitlin should be
Sam?
Dan, I know these are
very old friends of yours,
so I wanted to come down myself
and explain to all of you
what we found and what our options are.
So I'm guessing
this isn't about cataracts?
I'm afraid not.
Your CT and MRI scans found a grade 4
deep arteriovenous malformation
in your central brain.
It's an AVM.
It's essentially a knot
of tangled blood vessels.
This is what caused
your recent vision loss
as well as your seizure.
Okay, so how do we fix this?
Well, we have two options.
Okay, hit me.
The first is resecting it.
- Removing the knot?
- Yes.
Why are we not more excited
about that option?
It's a very risky surgery,
with a high mortality rate.
How high?
Over 70%.
No, thank you. Hard pass.
What's the other option?
We leave the knot where it is
and simply medicate your symptoms.
Symptoms?
AVM is stealing vital blood
from other areas of your brain.
And now that you've started
showing symptoms,
you will experience them
more and more
seizures, mini strokes, all leading to
a dramatic physical
and cognitive decline.
Over how much time?
Roughly 2-5 years.
Okay, this is an overwhelming
amount of information.
There must be alternatives.
What about endovascular intervention?
Endovascular is only temporary.
With a high risk of bleeding,
I can't recommend it.
If you remove the knot now
- Suzie!
- No.
Will I still experience
the physical and cognitive decline?
No.
If you survive the surgery,
you'd be able to go on with your life.
[SOLEMN MUSIC]
[SIGHS]
So you're saying I have a brain grenade.
I want it out before it explodes.
We need to talk about this, Suzie.
No, I am not gonna curl up in a ball
and wait to die, Howie!
If I can't experience my life
to its fullest with you,
there's no point to living at all.
No. Absolutely not!
I mean, what are we even
talking about here?
- Howie, look.
- No!
I'll give you two a minute.
Oh, you understand, don't you?
Of course I do.
Of course I do.
And I will talk to him.
- Okay?
- Okay.
I'm gonna talk to him.
Thank you.
Mr. Tompkins, you've got
progressive cervical myelopathy.
Your spinal cord is being compressed,
which can impair motor skills.
Probably why you lost
your grip on Eddie today.
Is there some kind
of pain pill I can take?
No, I'm afraid we're past that.
You need spinal fusion surgery.
Back surgery?
I need back surgery, really?
How long is that gonna put me out?
I mean, a couple months?
No, full recovery
usually takes about a year.
A year. I'm not gonna be
back on a bull for a year?
My advice is you never
get back on a bull again.
The risk of reinjury
after surgery is too great.
Then I'm not doing the surgery.
Mr. Tompkins
No, this is how I make a living.
It's time to find
a new profession, all right?
You let this go, you keep riding,
you could end up with
permanent nerve damage.
Paralysis, most likely.
I'll take my chances.
Very well.
You are making a terrible decision.
That is your opinion.
Based on decades of watching people
make terrible decisions.
Well, it isn't up to you, is it?
Well, here we are.
Okay, so the gate mechanism
takes about 8 seconds to soft close.
So you and I will sneak in
before it does.
That's your plan? Wait and get lucky?
- What, you got a better one?
- Well, hang on.
There are security cameras everywhere.
You'd be begging to be arrested.
Wow.
I wish that 15-year-old Rip were here
to see what a little bitch
you've become.
Okay.
[LAUGHS]
[SIGHS]
[SOFT MUSIC]
Man, Sully sure did love his Cubbies.
Yeah, not a popular thing
for a Southside boy.
Used to pick fights
with all the White Sox fans.
Yeah, and get his ass handed to him.
That was Sully, sticking his
finger in the power outlet.
[CAR ALARM BLARING]
[GASPS]
Go, go, go, go, go, go, go!
Ah!
[LAUGHS]
Oh, lucky that car alarm went off.
Nah, that was Sully
doing us a solid from above.
Hey, why were you so late today?
- It's not like you.
- Traffic.
That feels like a lie.
You were in way too good
of a mood for that.
What's your point?
Were you late because of a girl?
Maybe.
And you had just had sex with said girl.
How? How how how do you do that?
I mean, we knew each other at 12.
You can't hide anything from
someone who knew you at 12.
And I 100% approve.
So who is she?
Caitlin Lenox.
Oh!
I remember her. Stone-cold RBF.
Oh, she's she's not so bad.
Yeah, said every guy right after sex.
Oh, my God, you really like her.
No. No, no. We're we're just
we're a little drunk
on each other at the moment.
That's how all the best things start.
And end.
What's wrong?
You afraid of getting dumped
on the riverwalk
for a third time this year?
Wow!
- [LAUGHS]
- Low blow?
Oh, Sully must be
speaking through me today.
Lenox and I are like oil and water.
It's it's it's a bad idea.
Look, Sully was the best
bad idea I ever had.
And I wouldn't trade a moment of it.
Do you care about her?
Okay, well, then you have to tell her.
This kind of chemistry is rare.
- Oh.
- Hey!
Go, go, go, go, go.
- Really?
- [LAUGHING]
Dressed up for something ♪
But I had you runnin' down by the ♪
- This way.
- Okay, okay.
Come on.
[UPBEAT ROCK MUSIC]
Wah!
- Uh, hey!
- Go, go, go, go.
I'm coming. I'm coming. I'm coming! Ah!
Stop!
Wah!
- You good?
- Yeah.
- Okay. Do it, do it, do it.
- I'm coming.
- I'm coming.
- Do it now!
[PANTING]
[SCREAMS]
Tony, they're on the field.
[LAUGHING]
Oh. [CLEARS THROAT, LAUGHS]
We're gonna need to see your IDs.
- Yeah. Sure.
- Sorry.
Okay.
So this is the umbilical cord.
You see where it narrows down here?
Is that bad?
It means that something's
wrapped around it.
Sometimes bands from the amniotic sac
can become separated
and wrap around things
that they shouldn't.
Is this because of my fall?
No, no.
Typically, this develops
within the first trimester.
It's actually lucky that
your fall brought you in.
Otherwise, you wouldn't
have detected this
until your next ultrasound.
So is this hurting my baby?
When bands constrict the umbilical cord,
it can cut off nutrients
and oxygen to the baby.
Now, luckily, I'm not seeing any signs
of that happening yet,
but this does require
immediate surgical intervention.
Now, I've already spoken to Dr. Berman,
an excellent fetal surgeon here at Med.
And he has some availability
this afternoon.
Whoa, whoa!
Kyle's not here yet.
Lyra, this isn't something
that we want to wait on.
[SOFT APPREHENSIVE MUSIC]
Okay. Of course, yeah.
Lyra, it's gonna be okay.
Can you be in the surgery?
Oh, I'm not a fetal surgeon.
Please.
Just in case something goes wrong,
I would feel so much better
if I knew that you were there.
Generally, we limit the number of bodies
in an operating room
for sterility purposes,
but Dr. Kingston can absolutely watch
from the observation booth.
- Would you?
- I would be happy to.
Okay. Okay.
There you are.
Been looking all over for you.
I needed some time to think.
[SIGHS]
I get it.
Please help me talk Suzie
out of this surgery, Danny.
Howie, I can't do that.
Why the hell not?
Isn't it really her decision?
Are you kidding? I am her husband!
This procedure is more likely
to kill her than cure her.
- You know that.
- Yeah, so does she.
You you don't get it.
What?
What don't I get?
Marriage, till death do us part.
When times got tough, you always bailed,
all three of your wives.
It's a good thing
Suzie had the good sense
to cut bait before you started with her.
You think I'm crazy for
risking the surgery, don't you?
You want to live without compromise?
You might be the sanest person I know.
♪
My husband is furious with me.
Well, you strike me as someone
who does what she wants
in life without apology,
Dr. Mankiewicz.
Anyone who loves you
has always known that.
It's probably why they
loved you in the first place.
[SIGHS]
She's being selfish.
All due respect, I think
you might have that backwards.
You're the one asking her to choose
a rapid cognitive decline.
Howie, I watched CeCe
waste away from cancer,
up close.
Trust me
you do not want that
for your beloved wife.
[SIGHS]
How did we get here?
This morning, I was whining
about retiring to Boca.
Now I'd go in a heartbeat
if it meant a few more years together.
Yeah, well, Suzer wants that too.
So bad she's willing
to take this risk to get it.
I guess I need to tell
my wife she was right again.
[CHUCKLES]
♪
How did you end up with Howie?
Oh, well, Howie fell for me immediately,
but he was never gonna make a move
on his best friend's girlfriend.
So I was forced to take action
and dump Danny.
- Oh, drama.
- [LAUGHS]
Tell me more. Details! Like
Oh, well, I was crazy about Danny,
but he's always had
a complicated relationship
with intimacy.
He loved me but kept me at arm's length.
- Mm.
- [SIGHS]
But Howie, oh,
he held the door wide open
with a boundless capacity to love.
You know, basking in that glow
can be pretty addictive.
I think we all know when
an attraction feels inevitable.
Mm, I can see you know what I mean.
No, I was, um, wondering, um,
how the three of you stayed close.
Oh, well, we were
psych students, Dr. Lenox.
Analyzing drama was our jam.
I mean, look what came of it
a lifelong friendship.
[SIGHS]
I would rather live than wait to die.
I feel the same.
I'm betting my life on that.
What if you lose?
Better to break Howie's heart fast.
I don't want him watching me
slowly disappear.
I love him too much.
- No!
- Mr. Tompkins,
please, I need you to get back in bed.
He pulled his chest tube out.
What the hell are you thinking?
I told her I was ready to go,
and she said I needed
to talk to some shrink.
That's right. I ordered a psych consult.
Yeah, to force surgery on me.
To cover our ass so that when
you're paralyzed in a year,
we can prove that you were counseled
on the risks of refusing.
- I'm good.
- Where are you going?
Mr. Tompkins, you cannot do this.
We are asking you not to do this
[TENSE MUSIC]
He's tachycardic.
Absent breath sounds on the left.
He's got tension pneumothorax.
We need a stretcher.
No, there's no time
to get him back in the bed.
Get me a 14-gauge Angiocath.
You're gonna needle decompress him here?
- [CHUCKLES]
- I think Sully would be proud.
He'd be more proud if we spent
the night in a community cell.
[LAUGHS]
[SNIFFLES]
- Hey.
- No, no, no. I'm okay.
I'm okay. I just [LAUGHS]
I just miss him.
Yeah.
Yeah, me too.
You know what kills me
[SOMBER MUSIC]
Is Nate isn't gonna have
any memory of his dad.
You know, and sometimes
I wish I could just download
all of my memories into
his little 18-month-old brain
so he could see all the things
that old videos and pictures
can't tell you, you know, like
how his cologne smelled or how
how his hands felt
when he'd rub your back
until you fell asleep,
or how safe you felt when he hugged you.
♪
Sully's with him.
Always will be.
I hope that's true.
I know it is.
I mean, he was with me
when I needed it most.
What do you mean?
[CHUCKLES]
I saw him.
I saw him when I was
trapped in the well.
[SIGHS]
I don't know if it was
a dream or a hallucination
due to lack of oxygen,
but Sully was there with me.
And I wanted to give up,
but Sully just kept pushing my buttons
until I screamed
bloody murder at him and, uh
and that's the only reason
Mouch found me in all that rubble.
It sounds like Sully played
you like a little fiddle.
[BOTH LAUGHING]
And he saved my life.
I truly believe that.
And if he bothered
to waste his time on me,
come on.
He will always, always
be there for you and Nate.
Thank you.
Yeah.
[SIGHS]
He also called me a little bitch.
[LAUGHS]
That's because you are one.
[LAUGHS]
Oh.
- [CLEARS THROAT]
- Thank you.
- Thanks.
Are you arresting us?
Was the deceased a Cubs fan?
Well
They were his only religion.
Have a nice day. Go Cubs.
- Go Cubs.
- Go Cubs.
[SOFT MUSIC]
[BOTH LAUGHING]
We were playing pool when
we told Danny we were engaged,
because Danny always had to have
a big reaction to everything.
Oh!
He jumped up into the air
with excitement.
- And
- That's right.
And because I'm so athletic,
I actually hit the ceiling fan.
The spinning ceiling fan.
- Yes.
- And for a moment,
Danny was just stunned.
Well, because I was like,
why is my face all of a sudden so warm?
Because there is blood
pouring down his face.
And he wouldn't even let us
take him to the ED.
We couldn't make it about me.
You'd just been engaged.
There were cocktails to drink.
He walked around
for the rest of the evening
with a sweater tied around his head.
You know, he still
does this to this day.
- Oh!
- Really?
- Yeah.
- That's that's yeah.
Oh, man.
[CLEARS THROAT]
Suzie, I know you've
already made up your mind,
but I need you to know
that any version of you
is enough for me.
I know.
But if I can't remember this,
what's the point?
I love you, Suzie.
I love you, Howard.
♪
Dr. Mankiewicz?
BOTH: Yes?
The OR's been prepped.
We're ready when you are.
Okay.
Let's do this.
Libby will take you to the waiting room,
Dr. Mankiewicz.
I'll see you soon.
- All right. See you soon.
- Okay.
♪
Danny?
Danny, come here.
If for some reason,
this doesn't work out,
take care of Howie for me.
No.
No can do.
That's your job, Suzer.
Okay?
- Okay.
- Okay.
♪
How long was I out?
About an hour.
Little stunt you pulled
caused your second
pneumothorax of the day
and put all my handiwork from
this morning at risk of infection.
What?
You're a selfish idiot, you know that?
You're out of line, man.
No, I worked at the VA a long time,
treated a lot of paraplegics.
They didn't have any choice
in the matter.
- I don't have a choice either.
- Oh, give me a break.
Hey, I tried getting a real job, okay?
Sitting in a cubicle,
I can't crack that life.
Bull riding is the only thing
that I've ever been good at.
It's the only thing that's
ever made any sense to me.
And you want me to, what,
just give it up?
Apologies.
I take it back. You're not selfish.
Selfish people hurt others.
You're just hurting yourself.
- How am I doing?
- You're doing good.
The port site is far enough
away from the baby.
Fetoscope, please.
[MACHINES BEEPING]
And there's the band.
Band's released.
I'm not seeing any additional bands.
Me neither.
Let's proceed with suturing.
[TENSE MUSIC]
♪
Needle driver and 3-0 Vicryl.
- [ALARM BEEPING]
- We've got a bleeder.
Heart rate's going up.
Lyra is on blood thinners.
She has a history of blood clots.
I recommend a reverse agent,
IV protamine.
I don't think that's necessary.
She's only on a prophylactic
dose of enoxaparin.
Dr. Asher is correct.
It's too risky to reverse it.
So what's the alternative?
You let her bleed out?
Of course not.
Let's proceed with suturing
and see if the uterus starts
to contract around
the incision on its own.
Her blood pressure's dropping.
If you don't stop Lyra's bleeding,
she could go into labor.
We have this under control,
Dr. Kingston.
- I don't think that you do.
- Okay.
- I've had it.
- I got it. I got it.
Dr. Kingston, I am sorry,
but you need to leave.
We are trying to focus,
and you've become a distraction.
I know why you still call her Suzer.
Oh, yeah? Why is that?
I stole your girlfriend,
so you still use your pet name
for her to taunt me.
[BOTH LAUGHING]
And it gives me
so much pleasure every time.
[BOTH LAUGHING]
You know what I was just thinking about?
That prick who taught
year three behavioral science,
Dr. Housman.
- Ugh, what a prick.
- [LAUGHS] Oh.
- He was so full of himself.
- Tough son of a bitch, huh?
And those ugly sweaters he wore.
I wanted his approval so badly.
[CHUCKLES]
Uh, you said that's
that's why I'd never get it.
[SOMBER MUSIC]
♪
What's going on?
Um
Danny, what's going on?
Well, what Dr. Lenox was
just communicating to me
is that Suzie
did not make it.
What what are you talking about?
What I'm talking about is that
she did not survive the surgery, Howie.
Oh, no, no. No. No.
You're wrong.
Let me see her. I need to see her.
I am so sorry.
No, this this
should not be happening!
Of course it shouldn't.
No, I should not have listened to you.
- Buddy.
- No.
Suzie should be here right now!
But I let both of you
both of you talk talk me into this.
And now I have now she's
oh, God!
[SOBBING] Oh, God!
Oh, God!
Oh!
[SOBBING]
I'm so sorry.
No.
[KNOCKING]
Lyra's on her way to recovery.
The bleeding stopped immediately
after we finished suturing.
The baby is doing great,
and her husband's on his way
from O'Hare as we speak.
That's a relief.
Thank you for telling me.
Please, come in.
Listen, um, I am sorry
for what happened in the OR.
I know there is nothing more dangerous
than a backseat driver.
You care about Lyra.
I get that.
It's no excuse.
Then you're human like the rest of us.
Okay, well, if I can, um
be really human
This is awkward, right?
It's not not awkward.
I know how important you are to Dean.
And he's become really
important to me too.
That's great.
Yeah, I'm I'm really happy
for Dean, for
for both of you.
Look, Lyra is waking up.
Why don't we both go tell her
the good news together?
- Thank you.
- Yeah.
All right, ladies, here we go, y'all.
What did you get?
Jagermeister, baby.
Oh, Kacy, no.
- This is foul.
- What?
Don't yuck my yum.
I'm gonna get us a round of tequila.
- Thank you.
- Boring.
Wait, why am I paying for this?
Hey, who's got the pin?
Yes, yes, yes, yes.
But have you have you seen
inside of his pantry?
- It's like
- Please, stop.
Oh, my God.
It's like he's feeding a family of five.
Or or supplying for the apocalypse?
I'm not gonna be embarrassed
about my love of Costco.
You can get great deals great deals,
enough free samples for a meal.
What's not to love?
I made the mistake of going once,
and it was torture.
- Torture? It was torture.
- Torture.
We were there for over three hours.
This one makes you go
through every aisle
top to bottom, not once but twice.
Right, because you miss
stuff on the first go around.
Okay, on that note,
I'm using the ladies room.
I'll be back.
Hey.
Hey.
It's kind of a prick move,
taking payday off
and then showing up for free drinks.
Who's buying?
Um, yours truly.
Next round's on me.
[ALL CHEERING]
What are you doing?
Showing you I'm not a prick.
Well, um, after this round,
do you want to get out of here?
[LAUGHS]
[CLEARS THROAT]
I do,
but, uh, can we talk first?
Oh, no.
What's up?
We keep flirting
with this idea of stopping.
What if we didn't?
And what does that mean, exactly?
Seeing where this leads.
Yeah.
Can it lead to us
getting out of here now?
[SOFT MUSIC]
Ruff.
[LAUGHS]
♪