Chicago Med (2015) s11e20 Episode Script
Hell Breaks Loose
1
We had a thing towards
the end of "Nick of Time."
I was almost 17.
- You knew about that.
- Of course I did.
I was a kid.
It was your job to protect me
from an adult that was
taking advantage of me.
Who was taking advantage of you?
You know what's got me worried?
Turnover went up 27% the first week
Dr. Rabari was running things.
He actually wants my job.
I think we may have
a fight on our hands.
I'm trying to figure out
what could have happened
to cause such a huge change
in your behavior.
I thought it was just because you were
so head over heels for me.
You tested positive for prion disease.
Get out.
This is something we need to talk about.
Get out!
[SOBBING]
Hannah is a remarkable woman,
and she will be an incredible mother,
with or without my help.
That man is head over heels
in love with you.
[HAUNTING BIRD CALLS]
[TENSE MUSIC]
♪
- Dad, don't shoot.
- Oh.
It's me.
You scared the hell out of me, you know.
Well, where's your mask?
I lost it chasing down one of these
- [PAINTBALL GUNS BOOMING]
- Run!
[DISTANT SHOUTING]
[LAUGHS]
You know, when you suggested
a father-son babymoon,
whatever the hell this is,
I wasn't picturing this.
Yeah, well,
- Build-A-Bear was booked.
- [CHUCKLES]
- [PAINTBALL THUDS]
- Oof.
[INDISTINCT SHOUTING]
So how are you feeling about it all?
Having a daughter in two weeks.
Ah, you know,
I feel ready, excited.
- [GRUNTS, CHUCKLES]
- Son of a bitch.
[LAUGHTER]
How's your girlfriend handling it?
Uh, we're not exactly
Jennifer and I broke up a few days ago.
Oh, I'm sorry to hear that.
What happened?
She's convinced I've got
romantic feelings for Hannah.
[CHUCKLES]
[LAUGHS]
What is that?
I knew if I told you,
you'd make a thing of it.
Hey, I don't need to make a thing of it.
It's already a thing.
I just don't know why
you can't tell her.
Tell her what?
That you're in love with her.
[SIGHS]
It's not like it's gonna get
any easier once you're trying
to raise an infant together.
Tell her now, before it gets crazy.
[SOFT DRAMATIC MUSIC]
- Oh.
- In your face!
[GRUNTS]
I'm just hoping for no surprises.
I mean, I have been on the other side
so often that I just want
a smooth delivery
and a healthy baby.
For sure. Keep it simple.
That's my new mantra.
That and more spaghetti, less regrettti.
Oh.
Did you hear the good news
about Will and Natalie?
I did.
Patrick James Halstead,
9 pounds, 4 ounces.
- I already sent a blanket.
- Of course you did.
Speaking of, aren't you supposed
to be out of here right now?
Okay, today is my last day.
I'm just showing Dr. Lovell a few things
before the handoff.
No, not right now.
Whoa, what is their deal?
Lover's quarrel or
Lenox's standard venom?
Okay, you know what?
I would steer clear
of the personal drama.
As a new hire,
I think that that could be
a better mantra for you.
Yeah, but where's the fun in that?
Okay, come on. I need to show
you some things on the OB cart.
Find me later.
I'll give you all the tea.
Oh, I love that for us.
- Mm.
- Yes.
[DISTANT SIREN BLARING]
- Hey, Daniel.
- Hey.
Hey.
Look, I'm glad I caught you.
I want to talk with you
about Dr. Rabari.
Great. Just so you know,
I sent my fMRI to
my neurologist buddy at UCLA,
and when he gets back to us
with the all clear, well,
then hopefully we can start to leave
this ridiculousness behind us.
I'm not sure that's going to do it.
What's this?
There's a board meeting tonight.
This was just disseminated.
It's about Dr. Rabari's
leadership role at Gaffney.
Looks like his whole life story in here.
Research papers and stuff.
What, is his dating profile in here too?
Well, he knows if he's
gonna try to oust you,
he's gonna need all
the ammunition he can get.
Wait, you think he's officially
gonna make a play for my job
at this board meeting tonight?
Yes, I do.
Which means we have 10 hours
to make sure that doesn't happen.
[SOFT DRAMATIC MUSIC]
[SIGHS]
Rough night?
Great night, actually.
Not sure I believe you.
Okay, Mr. Cheerful.
That's Dr. Cheerful.
And Johns Hopkins is launching
a new clinical trial
for prion disease.
You'd make an excellent candidate,
and I can also make a call.
I'm not interested, thanks.
You should be.
[SIGHS]
Well, I was gonna tell her we won't go.
What? No.
She's your best friend from med school.
Look, I will bring a change
of clothes to work tomorrow,
- and we're going.
- Yeah?
- Yeah.
- Okay, great.
Mm.
There he is, my absentee roommate.
Hey. Yeah.
I've just been staying at Naomi's place.
It's a lot easier
To not have sex in my guest room?
I was gonna say the commute's better,
but also that.
Yeah, definitely also that.
You really seem to be
jumping in head first.
I don't mean to.
I don't know. I
It's like I don't like
not being around her.
Eloquently stated.
No, I she's cool.
She's open and easy to talk to.
There's no games with her.
You know what I mean?
Actually, I have no idea what you mean.
Mm.
So that honeymoon stage
fizzled out with Lenox, huh?
Why don't we grab a beer after work?
Yeah.
Dr. Frost, incoming.
- [PA BEEPS]
- Hang in there.
[SUSPENSEFUL MUSIC]
Maxwell Hodges, prisoner
at Oakville Correctional.
Got into an altercation with a guard
who's coming in behind us.
Complaining of severe pain,
lower left chest.
Trauma 2.
- Decreased breath sounds?
- No.
Equal bilateral,
some contusions on his face,
but no LOC per witnesses.
Heart rate 100, BP 124/89.
- Let's get an X-ray in here.
- Got it.
Wait, how old is he?
Just turned 18.
Don't let the baby face fool you.
He's in for a double homicide.
- On my count.
- Oh, hang on.
He's still cuffed.
Okay, can we get these off, please?
One, two, three.
[GROANS]
Okay, let's get 4 of morphine,
- 4 of Zofran IV.
- Okay. 18-gauge.
Left AC.
BP's dropping a bit.
Severe tenderness in
the lower left costal margin.
Lots of bruising. Where's that X-ray?
Got multiple potential rib fractures.
What the hell happened here?
Jason Walker, 45, the prison guard
who got into it with that kid
who was just brought in.
Pain in his right hand.
Tenderness and swelling
over the fifth metacarpal.
Possible boxer's fracture.
And a heart attack.
You might want to tell them
I'm having a heart.
Mr. Walker, you're having chest pains?
Yeah, it's tightness,
and it's tough to breathe.
His EKG looks normal.
Slide over here for us.
Okay, Mr. Walker, it doesn't appear
you're having a heart attack,
but we will check
your troponin levels to make sure.
Take some deep breaths, okay?
Kacy?
What's up, boss?
Yikes. The brick is blowing up.
- Sub in for me.
- Okay.
One of Ativan IV.
Yeah, you got it.
Hey, I didn't mean to hurt the kid.
He started yelling about something,
and I was telling him to
get back in the lunch line,
and he pulled a shiv,
and things just escalated.
Someone get me Dr. Lenox.
What is it?
Apparently the dustup between these two
sparked a riot at the prison.
There's at least 40 injured,
and most of them are headed our way.
Page Dr. Archer.
Tell him to get down here.
Okay.
All right, everyone,
we need to clear beds.
Pending admits go upstairs now.
Hold all ESIs level three
and higher in the waiting room.
Thank you.
And call hospital security.
Tell them to send everyone they've got.
You got it.
That the situation is still ongoing.
[DRAMATIC MUSIC]
♪
Talk to me.
Karim Ansari, 28, taser to the neck.
Possible expanding hematoma.
Trauma 1.
All hands on deck. What do we got?
Tear gas? Yeah.
Vitals okay?
Non-life threatening injuries
up against that wall.
- Trini, you got it?
- Yeah, I got it.
Come on. This way.
- Can you hear this?
- What? What?
All right, he's got a perforated TM,
and let's get him a tetanus shot.
Looks like he's got fragments
from the flashbang in there.
Walker!
I'm finna bust you wide open!
Beating on that kid.
Messed up in the head!
Yeah, you little pansy.
- Take it down.
- Better watch your back.
- Take it down!
- You ain't safe in here.
Hey, not in my ED.
Look at me!
Not in my ED.
And let's take the fuel
away from the fire.
Tracy, take Mr. Walker
upstairs right now
to avoid another round of this mess.
Hey, why the different color outfits?
Gray scrubs are for gen pop.
Orange are for high risk.
Violent offenders, security threats.
But once we change
them into hospital gowns,
how are we gonna know who's who?
I need a psych consult in Treatment 2.
- I got it.
- I got this one.
Thanks Theo, buddy.
- Sure.
- Thank you.
Heard what he's trying to do to you.
Just wanted to let you know
that everyone here has your back.
Thank you.
- Mr. Singleton.
- Yo.
Heard you took quite a tumble.
Got tackled from behind.
O-line forgot to pick up
the blitz, I guess.
Then wham, hit my head
on the metal table.
You felt any dizziness?
- No.
- Headache?
I mean, this don't feel great.
[CHUCKLES]
Yeah, fair enough. Let's take a look.
Okay, give me an irrigation
bottle of saline
and an 18-gauge needle.
You know, if this had
gone down a week from now,
I would have missed the whole thing.
Oh, yeah? You getting out?
Transferred to Hannicot.
Ooh.
It's a medium-security prison.
Word is, they have a sauna
and do sushi on Wednesdays.
- Oh, yeah?
- No.
But I bet this kind of crap
doesn't happen there.
Well, either way, I bet
you're counting down the days.
Not as much as you would think.
But crazy as it sounds,
there's some things
I'm gonna actually miss
about the old place.
This laceration is deep,
and I am feeling a step off.
Could be a possible skull fracture.
Page Abrams.
How we doing, Maxwell?
My side and my back are killing me.
I'm so tired.
- I'm sure you are.
We got the results back from your CT.
Your spleen is shattered and
bleeding into your abdomen.
We'll give you a couple units of blood,
but as soon as an OR opens up,
we will get you in and remove it.
If you don't take it out?
Unfortunately, it is
too far gone to repair.
So if left untreated,
you will continue to bleed internally.
This is a life-threatening injury.
[SIGHS]
That's fine.
What do you mean that's fine?
They're just gonna play me again,
and I ain't do nothing.
I can't speak to that, Maxwell,
but let's take everything
one step at a time.
Right now, it is about
getting you fixed up,
- and my job is to help.
- Help? Help what?
I told you I didn't want the surgery,
- so who you helping, huh?
- Hey, settle down.
Why can't you just listen?
None of you listen.
I ain't do nothing, not now, not ever!
Shut your mouth, Hodges!
Hey, hey, relax.
Everything is fine, okay? Please.
Everything's fine, right?
Sure.
Please.
[TENSE MUSIC]
♪
Just do whatever you want.
You're just gonna do it anyways.
[SOMBER MUSIC]
♪
Keep this dry.
Oh, Dr. Asher, a patient
just asked for you,
said you helped her before.
She's a surrogate, something
about a double pregnancy.
Olivia.
Try to keep this elevated, okay?
Yeah. I couldn't find you,
so Dr. Lovell said she would take it.
- Where is she?
- They're by the elevators.
Great. Okay.
Olivia?
Oh, Dr. Asher.
Sorry, I didn't mean to pull you away.
Clearly pretty intense in here today.
I just I can't feel him.
She hasn't felt the baby
move since last night.
And this is, like, the fourth bottle
of orange juice I've downed.
Usually that has him doing backflips.
I was just gonna take her up
to L&D to get her assessed.
Do you think something's wrong?
Let's not even go there yet.
There are plenty of things
that this could be.
- Okay.
- We'll take a look.
Yeah.
- Oh.
- Ooh.
It's okay. Don't worry, it's
No, no, no, no. Whoa, hey.
As the only gal here
who can still see her feet,
this feels like a me job.
- Okay, thank you.
- Yep.
Hey, they called you in.
Watch your watch your step.
It's a thing here.
Yeah, I heard you could
use the extra hands.
We definitely can.
I'm just taking Olivia up
to L&D, and I'll be back soon.
So when you have a minute,
I need to talk to you.
Okay. Is everything okay?
Yeah, it's great. It's fine.
I was just speaking
to Sean earlier, and he
Dr. Asher.
Oh, okay. You know what?
Let's not worry about this.
We'll find time
to talk when the insanity
- You got it.
- Dies down.
Okay, bye.
Sounds juicy.
Okay, that's enough.
[BRIGHT MUSIC]
Hey, I'm getting ready to
transfer Maxwell up to the OR.
- Moments away.
- Right.
Have you had a chance
to talk to him at all?
Well, I walked him
through the procedure,
but we didn't paint each other's nails.
Well, the kid just seems despondent.
I mean, he doesn't even
want to have the surgery.
Well, luckily, it's not up to him.
I just feel like the kid
has been ignored, you know?
Sure.
And that maybe there's
more to the story here.
More to the story?
Dr. Frost, your empathy
is often a virtue,
but you speak to a thousand prisoners,
you won't find a single guilty man.
So you think I'm just
being gullible, then?
Yeah, I think we need to stop
this kid's internal bleeding,
and then after that, you know,
you can loop in Dr. Charles.
- [PA BEEPS]
- More incoming.
What have we got?
Wyett Dupere, 46,
isolated stab wound
to the anterior thigh.
BP 115/75.
- Heart rate 56.
- All right.
I see some abrasions around the wound,
but I need to get a better look.
Let's get that tourniquet off.
We're gonna have you slide over.
- Can I get some 4x4s?
- Yeah.
- What caused the injury?
- A shiv.
Okay.
[TENSE MUSIC]
♪
Did you give him some pain meds?
- 25 of fentanyl.
- Got it.
I've got a high pain tolerance.
Oh, good for you.
That dude gonna make it?
Trini, the wound doesn't
go past the muscle.
No major arteries are hit.
We can hold off on treating,
but let's keep an eye on him.
Yes.
Hey, just a heads up, they told me
to be careful around this one.
He has some rage issues, apparently.
Got it.
[LAUGHS]
Yeah, you know, you think you're
making friends in the yard,
but obviously someone's
immune to my charms.
You're pretty chatty
for a hardened criminal.
Ah, well, I'm a drug dealer,
so being personable
is a real asset in my line of work.
Except when I was talking
to that undercover agent.
Yeah, that probably would
have been a good time to
- [GRUNTS]
- Isaac?
Isaac? [MONITOR BEEPING]
He's extensor posturing.
He's about to herniate.
All right, it must be
a delayed subdural.
Get an intubation tray.
We need a stat C
and into the OR immediately.
Do you think this has something to do
with what happened before with my baby?
Is this my fault?
Absolutely not. No.
What happened with your baby
should have no lasting effects
on this pregnancy, okay?
Okay.
And from what I'm seeing,
everything looks good.
In fact
Oh, thank God.
Then why did he stop moving?
Because you are likely in
the early stages of labor.
That can happen sometimes.
Wait, now? Really?
Oh, my God.
I have to call Jacob and Ryan.
I I didn't even bring my go bag.
It's okay. You have time.
But listen, there is one thing
that we need to address.
What's that?
The baby is breech.
His head is facing up near your ribs
instead of down by the cervix.
Oh, man.
Does that mean a C-section?
I really didn't want to have that.
Normally, yes,
but given how early this is,
there is one other option
that I'm willing to try.
We will need a set of extra hands.
Um, listen, Dr. Charles.
I recognize this is a bit awkward,
but I want you to know that
I respect you tremendously.
You do?
You respect me tremendously?
Is that why you're
sticking a knife in my back
and, you know, twisting my fMRI results
and claiming that
I'm behaving erratically?
Come on, Theo, we we really
don't need to pretend.
I didn't twist anything.
I simply answered those
questions honestly.
And as for you behaving erratically,
can you honestly look me in the eye
and tell me that you haven't been?
You've been moody. You've been taciturn.
You accused me of dosing a patient
to protect a drug trial
that I was heading up
without a shred of evidence.
Yeah, and I was wrong about that.
I admitted it, and I apologized too.
And, look, I'm the first to admit
that I had some challenges
before the stroke, right?
But look, come on, Theo,
I've been back for a few weeks,
and we both know that I'm
pretty much my old self, right?
Even if I wasn't, does that really mean
that you have to make
a play for my position?
Mike, let me know when
the RAS drops to 0.
Thank you.
I was asked to step up,
and I ran this department
the best way that I knew how,
implementing theories
that I have been working on my
entire career that could help
not just millions of people
around the world,
but countless patients
right here at this hospital,
patients that we could see
more of with faster turnover.
And you know, the board,
they saw value in that.
And the fact that you don't,
Dr. Charles,
I I just don't understand it.
I understand it completely.
The board, they value
a lower bottom line.
They especially value
a doctor who prioritizes
a computer readout over
a patient's actual needs.
Wow.
You know, that is a very
reductive view of my position.
Is it really?
Because you continually imply
that brick and mortar mechanics
of mental health support
would be improved by removing
human beings from the process.
I mean, the fact that
you are so convinced
that machines can do our job, Theo,
it's deeply upsetting to me.
I came to Gaffney
because of you, Dr. Charles.
I came because of your reputation,
because everyone said
that you were a genius.
But now I realize that you are just like
every other basic psychiatrist
that I battled since
I was five years old.
You make bad assumptions
based on emotion and intuition
rather than actual facts.
I think we're done here.
No, I think you're done here.
[TENSE MUSIC]
♪
Doris, take us off diversion.
Start letting patients in
from the waiting room again.
Should we prioritize discharging
- the remaining prisoners?
- Absolutely.
We've still got that high-risk prisoner
- with the leg wound.
- I'll take him.
And we still have a few
things that need to be sorted.
My God, have I not
made it abundantly clear?
I don't want to anything out.
I was talking to Nancy about
restocking the surge carts.
Hey.
- What room is
- Four.
Sorry to keep you waiting.
No trouble.
I've got nothing but time.
Uh-huh.
You seemed pretty wound up over there.
Well, I'm just fine.
It's just the way you treat people,
it's not that nice.
Could I get some 4x4s
and a liter of saline?
Yeah.
And what are you in prison
for, Mr. Dupere?
Murder.
Oh, that makes you
an expert on kindness.
No.
No, I'm not an expert on anything.
But I used to be like you.
Short fuse, always in a hurry.
Mm. Not anymore?
No.
I've changed.
You find Jesus?
Oh, no.
No, I can't imagine I'm gonna
meet him after what I did.
But I did find something to live for.
What's that?
It's a secret.
Here's your dressing.
Thank you.
You can shower,
but this will need to be
redressed once a day.
Oh, wait, you're not
getting ready to discharge me?
Well, you know me, always in a hurry.
Except my leg, it's weak,
and my foot is starting to go numb.
- Really?
- Yeah.
You're not just saying that to stall?
No, honestly, it started
a few minutes ago,
and it's come on strong.
Okay, let's send him up for an MRI,
make sure there's no nerve damage.
Thank you, Doctor.
I know I should not have
lost it with Theo downstairs.
I'm sorry. It was stupid.
I did not come here to lecture you.
I came to see how you are.
I'm okay. Thank you.
You know, when we were
arguing downstairs,
Theo made reference
to other psychiatrists
that he's had difficulties with.
Not the first time he'd done it.
And it just made me wonder,
you know, if he does have
this disdain for
the human side of our field,
which he absolutely does, like, why?
So do you think he has
skeletons in his closet?
I'm not sure, but I mean, if he does,
the board certainly deserves to know.
Well, I'm meeting
with several board members
this afternoon to try
to swing their vote.
If you find something out
You will be the first to know.
All right.
Okay, press again further over.
Your son is being pretty stubborn.
Men, am I right?
[CHUCKLES] Sorry.
Oh, no, I get it.
I'm married to one.
Where is Ryan, by the way?
Stuck in traffic on I-55,
but he should be here soon.
Okay, more pressure.
No, he's too far down.
Dr. Asher, we should consider
moving Olivia to the OR.
Wait, no. Can't we keep trying?
Let's check the ultrasound.
You okay?
Yeah, sorry, just a
little indigestion, I think.
Heart rate looks good.
Let's see if we can get
him up a different way.
Change of plans.
Dr. Lovell, tip her head down.
Okay, Olivia, bring your hips
up for me, nice and tall.
- Okay.
- What's this now?
We're gonna try an inversion.
Maggie, a midwife who used
to be a nurse here,
taught this to me.
- Oh.
- Okay, pull on through.
Are you comfortable
in this position, Olivia?
- She was in college.
- Not the time.
Okay, keep her steady while I see
if his backside is coming up.
- I can feel something.
- Mm-hmm.
- He's moving.
- Okay, that's good.
Start pushing.
Push. Push, push, push,
- push, push, push.
- [MOANING]
Good. Push.
Whoa. He's on the move.
Just breathe.
Oh, my God, this is crazy.
Okay, keep pushing, keep pushing.
Keep pushing.
And there.
There we go.
We need to confirm with an ultrasound,
but I think we did it.
That was a cool trick.
Now all you got to do is
push the baby out of you.
[LAUGHS]
[MONITOR BEEPING]
How's it going?
It's just getting started.
They're going to pin this
whole thing on him, the riot.
Gonna add ten years to his sentence.
You don't think he deserves it?
You know the reason Maxwell
is in prison to begin with?
I looked it up.
He got a ride home from
a party with some friends,
and they decided to break into
a house they thought was empty.
- But it wasn't.
- No.
Two people were killed,
but Maxwell didn't even do anything.
Just sat in the car. Still got tagged.
- Felony murder.
- Yeah.
Tried as an adult, 20-year sentence.
It's crazy how your whole life
can just derail
from one random decision.
He just doesn't feel like
he's the kind of kid
who would randomly attack a guard.
You think the guard's lying?
I think Maxwell wants to say something,
but he doesn't think
it'll make a difference.
And I gotta say, I get it.
- He's all alone.
- Not entirely.
As long as he's here, he has us.
Jonathan Michael?
You want me to stick around?
Um, no. I appreciate it.
- I'll be all right.
- Sure?
Yeah.
I just need you to know that
I didn't know about Ainsley,
I swear.
I would have never, never
have let that continue.
I've been doing a lot of hard thinking
about everything that you said.
You know, I always thought
it was most important
to protect you from
the life that I had growing up.
And, really,
I didn't protect you at all.
Does Dad know you're here?
No.
Your father is in hospice.
He stopped the Hiboxin infusions.
Of course, because I'm not paying
No, no, no. It's not about money.
The treatments weren't working.
After three rounds,
the mass is still growing.
He's not able to walk anymore,
and the doctors say there's
nothing else that they can do.
[SOMBER MUSIC]
♪
Okay.
So that's it, then, huh?
I don't expect anything
from you, Jonathan Michael.
I just want you to know
that you were right.
And I'm so sorry that
it's taken me this long
to realize that.
♪
[BREATHES DEEPLY]
Hey, which OR is Abrams in?
Was in OR 2.
What are you doing out here?
Isaac's surgery started
less than an hour ago.
56 minutes, to be exact.
I removed the subdural,
but that's as far as I got.
The real problem is
a ruptured pseudoaneurysm.
Damn.
Yeah, no way in hell
I can repair that vessel
with this much brain swelling.
So he's in the ICU now?
Yeah, all we can do now is wait.
Hopefully he lives long enough
for the edema to come down.
We should know more in a few hours.
He was just joking around with us.
Yep.
Okay, great. Great, great.
No, no. Happy happy to help.
That was Olivia's OB.
He should be here any minute.
[HISSES]
How long have you been
having contractions?
[SCOFFS]
Um, I have been having Braxton Hicks
on and off for the last few weeks,
and in the last couple hours
it's gotten more intense and regular.
So you're in labor.
Well, then let me ask
the logical questions here.
Why haven't you told anyone,
and why are you still working?
Because the ED is crazy right
now, and it's early labor.
I mean, if you were my doctor,
you wouldn't even
tell me to come into the hospital yet,
and I'm not putting
my baby at risk, so
I wasn't saying that you were.
I also am planning to
tell people when, you know,
it's just it becomes more of a thing.
Pretty sure it already is.
I meant when I was actually
closer to delivery.
I don't need anyone fussing over me.
Look, I get that we've had
a rocky-ass road
up until now, okay?
And I get that you're probably
scared about a lot of things.
But I need you to hear one thing.
This is happening.
Yeah, I know.
- It's happening.
- Do you?
Because you've been pretty
resistant to having me here,
training a replacement,
which is pretty standard
for maternity leave.
Okay. Yeah, you know,
I didn't ask your opinion.
And yet I'm gonna give it.
Look, I'm not judging you, man.
I skipped therapy this week so
I could stress shop at Sephora.
I'll admit that.
Okay, so what are you saying exactly?
I don't know what I was
saying with that last one,
but what I think I'm saying is
just stop worrying about the future,
about your career, your relationships,
and, you know, be in your body
and soak in the fricking moment.
You're at the top of the roller coaster.
All you got to do is put your hands up.
It's time to go be a mom.
[GENTLE MUSIC]
Anyone seen Dr. Charles?
- I'm happy to take it.
- Oh, it's not a work call.
No, I don't have him.
But I'll pass on the message.
Yeah, no problem, Dr. Hoban.
You too.
Dr. Hoban from U of I?
You know him?
Yeah, I worked with him
during my residency.
Hmm.
What was he calling about?
You probably want to take
that up with Dr. Charles.
Right.
We all know what you're doing.
Excuse me?
We know what you're trying
to do to Dr. Charles.
But even if you do replace him,
you'll never be him.
Well, hopefully I can work
to change your opinion.
Hmm.
You know, sometimes I really like you.
What do you need?
And then it's gone.
MRI results came back on
the guy with a stab wound
to the leg, Mr. Dupere.
Ah, yes, the one trying
to delay his release.
Let's see.
Oh, surprise, surprise.
There's no nerve damage.
No. Missed it completely.
Yeah.
What is it?
Well, the angle of this puncture
and these little cuts around the wound,
I don't think it's from an abrasion.
I think it's hesitation marks.
You think he stabbed himself? Why?
Just to get out of prison for a day?
- Where is Mr. Dupere now?
- Not sure.
We got the MRI results,
so he's done with his scan.
He should have been back.
[OMINOUS MUSIC]
♪
Hey, what's going on?
Have you seen a prisoner, Wyett Dupere,
and a corrections officer
leave this floor?
They were here for an MRI.
No, I haven't. Why?
Call security.
♪
[GASPS] Sir, can you hear me?
Can you hear me?
Hey, team.
How we doing?
Contractions are coming
pretty hard and fast now.
You just missed Dr. Tinto.
Oh, I ran into him downstairs.
He said that you got your epidural
and everything is looking great.
I I actually just stopped in
to say goodbye.
I was sort of hoping you'd
get to meet the little man.
I know. Me too.
But there's some other things.
[PA BEEPING]
Code Silver.
Is there a fire?
That's not a fire alarm.
Excuse me?
I need you to get inside.
Put something in front of the door.
Why? What's what's going on?
One of the prisoners escaped.
Hospital's on lockdown.
Nobody in or out.
Code Silver.
Code Silver.
- What's going on?
- It's okay.
Just keep breathing, okay?
Okay.
[TENSE MUSIC]
Code Silver.
20 minutes ago, Wyett Dupere overpowered
the corrections officer
guarding him and escaped.
God. How's the CO?
Well, he's got a pretty bad concussion
and had some stitches, but he'll live.
My understanding is that we're
under a Code Silver protocol.
I thought that was reserved
for active shooters.
Yeah, but he took the officer's gun.
Oh.
All incoming ambulances
have been diverted.
Good. What's happening?
We're sweeping the hospital now.
After we clear each floor,
departments will be opening back up.
We just cleared the ED,
but no one can leave the area
until the entire hospital
is deemed safe.
How do we know that Mr. Dupere is
still even in the hospital?
So far, there's no evidence
he's left the premises,
but we need to go through
security footage,
with your help.
- Of course.
- Go.
- Go, go, go.
- Okay.
[RADIO CHATTER]
[TENSE MUSIC]
How long is this lockdown gonna last?
Well, I know as much as you do.
Well, you're probably loving this.
How do you figure?
We're trapped alone in a room.
Nothing to do but talk about our issues.
Honestly, Caitlin, we could
sit here in silence forever.
I'm good.
Yeah, you don't get to be mad.
Sorry, what?
I said you don't get
to be mad about this,
about me or us.
Like, was I a bitch to you
the other night
when you confronted me about my disease?
Sure, and I'm sorry, but
But what?
But I have a terminal illness.
- So checkmate.
- [SIGHS]
This was supposed
to be fun and meaningless,
and I I worked really hard
to keep it meaningless.
You know, get drunk, uh, sex in cars.
You ruined it.
- I ruined it?
- Uh-huh.
- I I ruined it?
- Yep.
How did I ruin it?
By showing concern that you have
a serious health condition?
Yes, exactly,
because now I can't pretend
that this is just fun anymore.
I can't pretend that I'm not sick,
and I can't pretend
I'm not in love with you.
[SOFT DRAMATIC MUSIC]
♪
What did you just say?
♪
You heard me.
♪
- Hey, Kacy?
- Mm.
Can we do a UTox and a thyroid panel
- for Mrs. Spellman in 2?
- Yeah, I'm on it.
I just got to put my
stethoscope in the UV cabinet
- first, get the cooties off.
- I'm headed that way.
- Let me do it.
- Oh, sir, you're a gentleman.
- Thank you.
- I am a gentleman.
You're trying to dig up dirt on me?
I'm trying to save my job
and my department.
You think I'm hiding something?
Is that why you're speaking
to my advisors from residency?
Okay, so I was checking out this packet
that's floating around, you know,
with all your qualifications
and your experience.
Extremely impressive list
of research papers, by the way.
But I couldn't help noticing
that there was nothing
from med school or or your residency.
And I thought, that's odd.
- Something had to get cut.
- Could be.
Anyway, I reached out to Dr. Hoban,
who was kind enough to send over these,
if you will, missing papers.
And almost every single
one of your studies
focused on just one topic
antisocial personality disorder.
It was an area I was interested in.
Well, could very well be.
But then I remembered that
about two or three months ago,
you told me, right here in this room,
about your childhood misdiagnosis.
And antisocial personality disorder,
famously difficult to diagnose.
Dr. Charles, I don't know
what you're talking about.
I was thinking to myself, oh, man,
it must have been such a brutal,
misunderstood, alienating childhood.
But that didn't stop them
from pumping you
full of all these drugs
that you didn't need.
What are you doing, Dan?
You don't have any proof of any of this.
All I'm really doing, Theo, is my job.
Right? I'm following my instinct,
you know, my human intuition.
And what my intuition is telling me
is that it makes perfect sense
that you embrace fMRI
after all those psychiatrists
let you down.
It makes perfect sense
to me that you'd devote
your entire career to
eradicating the human element
from diagnostics, right,
because in your mind,
those elements intuition,
instinct, conversation
are deeply fallible.
I mean, they certainly
let you down, buddy.
It also makes perfect sense to me
why you would have no
compunction taking advantage
of my misfortune and going after my job,
because you were not born
with the ability to empathize,
because you were born
with antisocial personality disorder.
You were born a sociopath.
♪
[GROANS]
- You're doing great.
- How would you know?
- You're on your phone.
- Sorry.
I'm trying to keep Ryan up to date.
He's in the parking lot.
They still won't let anyone in or out.
Okay, well, Olivia,
you are now fully dilated.
- Like all the way?
- Like, all the way.
So what does that mean?
It means it is time to start pushing.
Wait, now?
Are we gonna wait till
we have more support?
It's okay.
Women have been giving birth
without a team
of doctors for millennia.
They'd just give birth
in a field underneath all
Most of them died doing that.
They died, Jacob.
- Sorry.
- Whoa, whoa, whoa.
Let's take a breath, okay?
Everything's gonna be fine.
I've done this countless times,
and your baby looks great.
Plus, Jacob here can
assist me if I need him to.
- What?
- No!
Sorry. I didn't pay that close attention
- during birthing classes.
- Okay.
Okay, don't worry.
I'm not gonna ask you
to do anything too drastic.
Let's start with putting
on a pair of gloves.
Olivia, you've got this, okay?
Look at me. Hey, hey.
I've got you.
Um, Dr. Asher?
Everything okay?
[TENSE MUSIC]
Yeah, um
♪
My water just broke.
We had a thing towards
the end of "Nick of Time."
I was almost 17.
- You knew about that.
- Of course I did.
I was a kid.
It was your job to protect me
from an adult that was
taking advantage of me.
Who was taking advantage of you?
You know what's got me worried?
Turnover went up 27% the first week
Dr. Rabari was running things.
He actually wants my job.
I think we may have
a fight on our hands.
I'm trying to figure out
what could have happened
to cause such a huge change
in your behavior.
I thought it was just because you were
so head over heels for me.
You tested positive for prion disease.
Get out.
This is something we need to talk about.
Get out!
[SOBBING]
Hannah is a remarkable woman,
and she will be an incredible mother,
with or without my help.
That man is head over heels
in love with you.
[HAUNTING BIRD CALLS]
[TENSE MUSIC]
♪
- Dad, don't shoot.
- Oh.
It's me.
You scared the hell out of me, you know.
Well, where's your mask?
I lost it chasing down one of these
- [PAINTBALL GUNS BOOMING]
- Run!
[DISTANT SHOUTING]
[LAUGHS]
You know, when you suggested
a father-son babymoon,
whatever the hell this is,
I wasn't picturing this.
Yeah, well,
- Build-A-Bear was booked.
- [CHUCKLES]
- [PAINTBALL THUDS]
- Oof.
[INDISTINCT SHOUTING]
So how are you feeling about it all?
Having a daughter in two weeks.
Ah, you know,
I feel ready, excited.
- [GRUNTS, CHUCKLES]
- Son of a bitch.
[LAUGHTER]
How's your girlfriend handling it?
Uh, we're not exactly
Jennifer and I broke up a few days ago.
Oh, I'm sorry to hear that.
What happened?
She's convinced I've got
romantic feelings for Hannah.
[CHUCKLES]
[LAUGHS]
What is that?
I knew if I told you,
you'd make a thing of it.
Hey, I don't need to make a thing of it.
It's already a thing.
I just don't know why
you can't tell her.
Tell her what?
That you're in love with her.
[SIGHS]
It's not like it's gonna get
any easier once you're trying
to raise an infant together.
Tell her now, before it gets crazy.
[SOFT DRAMATIC MUSIC]
- Oh.
- In your face!
[GRUNTS]
I'm just hoping for no surprises.
I mean, I have been on the other side
so often that I just want
a smooth delivery
and a healthy baby.
For sure. Keep it simple.
That's my new mantra.
That and more spaghetti, less regrettti.
Oh.
Did you hear the good news
about Will and Natalie?
I did.
Patrick James Halstead,
9 pounds, 4 ounces.
- I already sent a blanket.
- Of course you did.
Speaking of, aren't you supposed
to be out of here right now?
Okay, today is my last day.
I'm just showing Dr. Lovell a few things
before the handoff.
No, not right now.
Whoa, what is their deal?
Lover's quarrel or
Lenox's standard venom?
Okay, you know what?
I would steer clear
of the personal drama.
As a new hire,
I think that that could be
a better mantra for you.
Yeah, but where's the fun in that?
Okay, come on. I need to show
you some things on the OB cart.
Find me later.
I'll give you all the tea.
Oh, I love that for us.
- Mm.
- Yes.
[DISTANT SIREN BLARING]
- Hey, Daniel.
- Hey.
Hey.
Look, I'm glad I caught you.
I want to talk with you
about Dr. Rabari.
Great. Just so you know,
I sent my fMRI to
my neurologist buddy at UCLA,
and when he gets back to us
with the all clear, well,
then hopefully we can start to leave
this ridiculousness behind us.
I'm not sure that's going to do it.
What's this?
There's a board meeting tonight.
This was just disseminated.
It's about Dr. Rabari's
leadership role at Gaffney.
Looks like his whole life story in here.
Research papers and stuff.
What, is his dating profile in here too?
Well, he knows if he's
gonna try to oust you,
he's gonna need all
the ammunition he can get.
Wait, you think he's officially
gonna make a play for my job
at this board meeting tonight?
Yes, I do.
Which means we have 10 hours
to make sure that doesn't happen.
[SOFT DRAMATIC MUSIC]
[SIGHS]
Rough night?
Great night, actually.
Not sure I believe you.
Okay, Mr. Cheerful.
That's Dr. Cheerful.
And Johns Hopkins is launching
a new clinical trial
for prion disease.
You'd make an excellent candidate,
and I can also make a call.
I'm not interested, thanks.
You should be.
[SIGHS]
Well, I was gonna tell her we won't go.
What? No.
She's your best friend from med school.
Look, I will bring a change
of clothes to work tomorrow,
- and we're going.
- Yeah?
- Yeah.
- Okay, great.
Mm.
There he is, my absentee roommate.
Hey. Yeah.
I've just been staying at Naomi's place.
It's a lot easier
To not have sex in my guest room?
I was gonna say the commute's better,
but also that.
Yeah, definitely also that.
You really seem to be
jumping in head first.
I don't mean to.
I don't know. I
It's like I don't like
not being around her.
Eloquently stated.
No, I she's cool.
She's open and easy to talk to.
There's no games with her.
You know what I mean?
Actually, I have no idea what you mean.
Mm.
So that honeymoon stage
fizzled out with Lenox, huh?
Why don't we grab a beer after work?
Yeah.
Dr. Frost, incoming.
- [PA BEEPS]
- Hang in there.
[SUSPENSEFUL MUSIC]
Maxwell Hodges, prisoner
at Oakville Correctional.
Got into an altercation with a guard
who's coming in behind us.
Complaining of severe pain,
lower left chest.
Trauma 2.
- Decreased breath sounds?
- No.
Equal bilateral,
some contusions on his face,
but no LOC per witnesses.
Heart rate 100, BP 124/89.
- Let's get an X-ray in here.
- Got it.
Wait, how old is he?
Just turned 18.
Don't let the baby face fool you.
He's in for a double homicide.
- On my count.
- Oh, hang on.
He's still cuffed.
Okay, can we get these off, please?
One, two, three.
[GROANS]
Okay, let's get 4 of morphine,
- 4 of Zofran IV.
- Okay. 18-gauge.
Left AC.
BP's dropping a bit.
Severe tenderness in
the lower left costal margin.
Lots of bruising. Where's that X-ray?
Got multiple potential rib fractures.
What the hell happened here?
Jason Walker, 45, the prison guard
who got into it with that kid
who was just brought in.
Pain in his right hand.
Tenderness and swelling
over the fifth metacarpal.
Possible boxer's fracture.
And a heart attack.
You might want to tell them
I'm having a heart.
Mr. Walker, you're having chest pains?
Yeah, it's tightness,
and it's tough to breathe.
His EKG looks normal.
Slide over here for us.
Okay, Mr. Walker, it doesn't appear
you're having a heart attack,
but we will check
your troponin levels to make sure.
Take some deep breaths, okay?
Kacy?
What's up, boss?
Yikes. The brick is blowing up.
- Sub in for me.
- Okay.
One of Ativan IV.
Yeah, you got it.
Hey, I didn't mean to hurt the kid.
He started yelling about something,
and I was telling him to
get back in the lunch line,
and he pulled a shiv,
and things just escalated.
Someone get me Dr. Lenox.
What is it?
Apparently the dustup between these two
sparked a riot at the prison.
There's at least 40 injured,
and most of them are headed our way.
Page Dr. Archer.
Tell him to get down here.
Okay.
All right, everyone,
we need to clear beds.
Pending admits go upstairs now.
Hold all ESIs level three
and higher in the waiting room.
Thank you.
And call hospital security.
Tell them to send everyone they've got.
You got it.
That the situation is still ongoing.
[DRAMATIC MUSIC]
♪
Talk to me.
Karim Ansari, 28, taser to the neck.
Possible expanding hematoma.
Trauma 1.
All hands on deck. What do we got?
Tear gas? Yeah.
Vitals okay?
Non-life threatening injuries
up against that wall.
- Trini, you got it?
- Yeah, I got it.
Come on. This way.
- Can you hear this?
- What? What?
All right, he's got a perforated TM,
and let's get him a tetanus shot.
Looks like he's got fragments
from the flashbang in there.
Walker!
I'm finna bust you wide open!
Beating on that kid.
Messed up in the head!
Yeah, you little pansy.
- Take it down.
- Better watch your back.
- Take it down!
- You ain't safe in here.
Hey, not in my ED.
Look at me!
Not in my ED.
And let's take the fuel
away from the fire.
Tracy, take Mr. Walker
upstairs right now
to avoid another round of this mess.
Hey, why the different color outfits?
Gray scrubs are for gen pop.
Orange are for high risk.
Violent offenders, security threats.
But once we change
them into hospital gowns,
how are we gonna know who's who?
I need a psych consult in Treatment 2.
- I got it.
- I got this one.
Thanks Theo, buddy.
- Sure.
- Thank you.
Heard what he's trying to do to you.
Just wanted to let you know
that everyone here has your back.
Thank you.
- Mr. Singleton.
- Yo.
Heard you took quite a tumble.
Got tackled from behind.
O-line forgot to pick up
the blitz, I guess.
Then wham, hit my head
on the metal table.
You felt any dizziness?
- No.
- Headache?
I mean, this don't feel great.
[CHUCKLES]
Yeah, fair enough. Let's take a look.
Okay, give me an irrigation
bottle of saline
and an 18-gauge needle.
You know, if this had
gone down a week from now,
I would have missed the whole thing.
Oh, yeah? You getting out?
Transferred to Hannicot.
Ooh.
It's a medium-security prison.
Word is, they have a sauna
and do sushi on Wednesdays.
- Oh, yeah?
- No.
But I bet this kind of crap
doesn't happen there.
Well, either way, I bet
you're counting down the days.
Not as much as you would think.
But crazy as it sounds,
there's some things
I'm gonna actually miss
about the old place.
This laceration is deep,
and I am feeling a step off.
Could be a possible skull fracture.
Page Abrams.
How we doing, Maxwell?
My side and my back are killing me.
I'm so tired.
- I'm sure you are.
We got the results back from your CT.
Your spleen is shattered and
bleeding into your abdomen.
We'll give you a couple units of blood,
but as soon as an OR opens up,
we will get you in and remove it.
If you don't take it out?
Unfortunately, it is
too far gone to repair.
So if left untreated,
you will continue to bleed internally.
This is a life-threatening injury.
[SIGHS]
That's fine.
What do you mean that's fine?
They're just gonna play me again,
and I ain't do nothing.
I can't speak to that, Maxwell,
but let's take everything
one step at a time.
Right now, it is about
getting you fixed up,
- and my job is to help.
- Help? Help what?
I told you I didn't want the surgery,
- so who you helping, huh?
- Hey, settle down.
Why can't you just listen?
None of you listen.
I ain't do nothing, not now, not ever!
Shut your mouth, Hodges!
Hey, hey, relax.
Everything is fine, okay? Please.
Everything's fine, right?
Sure.
Please.
[TENSE MUSIC]
♪
Just do whatever you want.
You're just gonna do it anyways.
[SOMBER MUSIC]
♪
Keep this dry.
Oh, Dr. Asher, a patient
just asked for you,
said you helped her before.
She's a surrogate, something
about a double pregnancy.
Olivia.
Try to keep this elevated, okay?
Yeah. I couldn't find you,
so Dr. Lovell said she would take it.
- Where is she?
- They're by the elevators.
Great. Okay.
Olivia?
Oh, Dr. Asher.
Sorry, I didn't mean to pull you away.
Clearly pretty intense in here today.
I just I can't feel him.
She hasn't felt the baby
move since last night.
And this is, like, the fourth bottle
of orange juice I've downed.
Usually that has him doing backflips.
I was just gonna take her up
to L&D to get her assessed.
Do you think something's wrong?
Let's not even go there yet.
There are plenty of things
that this could be.
- Okay.
- We'll take a look.
Yeah.
- Oh.
- Ooh.
It's okay. Don't worry, it's
No, no, no, no. Whoa, hey.
As the only gal here
who can still see her feet,
this feels like a me job.
- Okay, thank you.
- Yep.
Hey, they called you in.
Watch your watch your step.
It's a thing here.
Yeah, I heard you could
use the extra hands.
We definitely can.
I'm just taking Olivia up
to L&D, and I'll be back soon.
So when you have a minute,
I need to talk to you.
Okay. Is everything okay?
Yeah, it's great. It's fine.
I was just speaking
to Sean earlier, and he
Dr. Asher.
Oh, okay. You know what?
Let's not worry about this.
We'll find time
to talk when the insanity
- You got it.
- Dies down.
Okay, bye.
Sounds juicy.
Okay, that's enough.
[BRIGHT MUSIC]
Hey, I'm getting ready to
transfer Maxwell up to the OR.
- Moments away.
- Right.
Have you had a chance
to talk to him at all?
Well, I walked him
through the procedure,
but we didn't paint each other's nails.
Well, the kid just seems despondent.
I mean, he doesn't even
want to have the surgery.
Well, luckily, it's not up to him.
I just feel like the kid
has been ignored, you know?
Sure.
And that maybe there's
more to the story here.
More to the story?
Dr. Frost, your empathy
is often a virtue,
but you speak to a thousand prisoners,
you won't find a single guilty man.
So you think I'm just
being gullible, then?
Yeah, I think we need to stop
this kid's internal bleeding,
and then after that, you know,
you can loop in Dr. Charles.
- [PA BEEPS]
- More incoming.
What have we got?
Wyett Dupere, 46,
isolated stab wound
to the anterior thigh.
BP 115/75.
- Heart rate 56.
- All right.
I see some abrasions around the wound,
but I need to get a better look.
Let's get that tourniquet off.
We're gonna have you slide over.
- Can I get some 4x4s?
- Yeah.
- What caused the injury?
- A shiv.
Okay.
[TENSE MUSIC]
♪
Did you give him some pain meds?
- 25 of fentanyl.
- Got it.
I've got a high pain tolerance.
Oh, good for you.
That dude gonna make it?
Trini, the wound doesn't
go past the muscle.
No major arteries are hit.
We can hold off on treating,
but let's keep an eye on him.
Yes.
Hey, just a heads up, they told me
to be careful around this one.
He has some rage issues, apparently.
Got it.
[LAUGHS]
Yeah, you know, you think you're
making friends in the yard,
but obviously someone's
immune to my charms.
You're pretty chatty
for a hardened criminal.
Ah, well, I'm a drug dealer,
so being personable
is a real asset in my line of work.
Except when I was talking
to that undercover agent.
Yeah, that probably would
have been a good time to
- [GRUNTS]
- Isaac?
Isaac? [MONITOR BEEPING]
He's extensor posturing.
He's about to herniate.
All right, it must be
a delayed subdural.
Get an intubation tray.
We need a stat C
and into the OR immediately.
Do you think this has something to do
with what happened before with my baby?
Is this my fault?
Absolutely not. No.
What happened with your baby
should have no lasting effects
on this pregnancy, okay?
Okay.
And from what I'm seeing,
everything looks good.
In fact
Oh, thank God.
Then why did he stop moving?
Because you are likely in
the early stages of labor.
That can happen sometimes.
Wait, now? Really?
Oh, my God.
I have to call Jacob and Ryan.
I I didn't even bring my go bag.
It's okay. You have time.
But listen, there is one thing
that we need to address.
What's that?
The baby is breech.
His head is facing up near your ribs
instead of down by the cervix.
Oh, man.
Does that mean a C-section?
I really didn't want to have that.
Normally, yes,
but given how early this is,
there is one other option
that I'm willing to try.
We will need a set of extra hands.
Um, listen, Dr. Charles.
I recognize this is a bit awkward,
but I want you to know that
I respect you tremendously.
You do?
You respect me tremendously?
Is that why you're
sticking a knife in my back
and, you know, twisting my fMRI results
and claiming that
I'm behaving erratically?
Come on, Theo, we we really
don't need to pretend.
I didn't twist anything.
I simply answered those
questions honestly.
And as for you behaving erratically,
can you honestly look me in the eye
and tell me that you haven't been?
You've been moody. You've been taciturn.
You accused me of dosing a patient
to protect a drug trial
that I was heading up
without a shred of evidence.
Yeah, and I was wrong about that.
I admitted it, and I apologized too.
And, look, I'm the first to admit
that I had some challenges
before the stroke, right?
But look, come on, Theo,
I've been back for a few weeks,
and we both know that I'm
pretty much my old self, right?
Even if I wasn't, does that really mean
that you have to make
a play for my position?
Mike, let me know when
the RAS drops to 0.
Thank you.
I was asked to step up,
and I ran this department
the best way that I knew how,
implementing theories
that I have been working on my
entire career that could help
not just millions of people
around the world,
but countless patients
right here at this hospital,
patients that we could see
more of with faster turnover.
And you know, the board,
they saw value in that.
And the fact that you don't,
Dr. Charles,
I I just don't understand it.
I understand it completely.
The board, they value
a lower bottom line.
They especially value
a doctor who prioritizes
a computer readout over
a patient's actual needs.
Wow.
You know, that is a very
reductive view of my position.
Is it really?
Because you continually imply
that brick and mortar mechanics
of mental health support
would be improved by removing
human beings from the process.
I mean, the fact that
you are so convinced
that machines can do our job, Theo,
it's deeply upsetting to me.
I came to Gaffney
because of you, Dr. Charles.
I came because of your reputation,
because everyone said
that you were a genius.
But now I realize that you are just like
every other basic psychiatrist
that I battled since
I was five years old.
You make bad assumptions
based on emotion and intuition
rather than actual facts.
I think we're done here.
No, I think you're done here.
[TENSE MUSIC]
♪
Doris, take us off diversion.
Start letting patients in
from the waiting room again.
Should we prioritize discharging
- the remaining prisoners?
- Absolutely.
We've still got that high-risk prisoner
- with the leg wound.
- I'll take him.
And we still have a few
things that need to be sorted.
My God, have I not
made it abundantly clear?
I don't want to anything out.
I was talking to Nancy about
restocking the surge carts.
Hey.
- What room is
- Four.
Sorry to keep you waiting.
No trouble.
I've got nothing but time.
Uh-huh.
You seemed pretty wound up over there.
Well, I'm just fine.
It's just the way you treat people,
it's not that nice.
Could I get some 4x4s
and a liter of saline?
Yeah.
And what are you in prison
for, Mr. Dupere?
Murder.
Oh, that makes you
an expert on kindness.
No.
No, I'm not an expert on anything.
But I used to be like you.
Short fuse, always in a hurry.
Mm. Not anymore?
No.
I've changed.
You find Jesus?
Oh, no.
No, I can't imagine I'm gonna
meet him after what I did.
But I did find something to live for.
What's that?
It's a secret.
Here's your dressing.
Thank you.
You can shower,
but this will need to be
redressed once a day.
Oh, wait, you're not
getting ready to discharge me?
Well, you know me, always in a hurry.
Except my leg, it's weak,
and my foot is starting to go numb.
- Really?
- Yeah.
You're not just saying that to stall?
No, honestly, it started
a few minutes ago,
and it's come on strong.
Okay, let's send him up for an MRI,
make sure there's no nerve damage.
Thank you, Doctor.
I know I should not have
lost it with Theo downstairs.
I'm sorry. It was stupid.
I did not come here to lecture you.
I came to see how you are.
I'm okay. Thank you.
You know, when we were
arguing downstairs,
Theo made reference
to other psychiatrists
that he's had difficulties with.
Not the first time he'd done it.
And it just made me wonder,
you know, if he does have
this disdain for
the human side of our field,
which he absolutely does, like, why?
So do you think he has
skeletons in his closet?
I'm not sure, but I mean, if he does,
the board certainly deserves to know.
Well, I'm meeting
with several board members
this afternoon to try
to swing their vote.
If you find something out
You will be the first to know.
All right.
Okay, press again further over.
Your son is being pretty stubborn.
Men, am I right?
[CHUCKLES] Sorry.
Oh, no, I get it.
I'm married to one.
Where is Ryan, by the way?
Stuck in traffic on I-55,
but he should be here soon.
Okay, more pressure.
No, he's too far down.
Dr. Asher, we should consider
moving Olivia to the OR.
Wait, no. Can't we keep trying?
Let's check the ultrasound.
You okay?
Yeah, sorry, just a
little indigestion, I think.
Heart rate looks good.
Let's see if we can get
him up a different way.
Change of plans.
Dr. Lovell, tip her head down.
Okay, Olivia, bring your hips
up for me, nice and tall.
- Okay.
- What's this now?
We're gonna try an inversion.
Maggie, a midwife who used
to be a nurse here,
taught this to me.
- Oh.
- Okay, pull on through.
Are you comfortable
in this position, Olivia?
- She was in college.
- Not the time.
Okay, keep her steady while I see
if his backside is coming up.
- I can feel something.
- Mm-hmm.
- He's moving.
- Okay, that's good.
Start pushing.
Push. Push, push, push,
- push, push, push.
- [MOANING]
Good. Push.
Whoa. He's on the move.
Just breathe.
Oh, my God, this is crazy.
Okay, keep pushing, keep pushing.
Keep pushing.
And there.
There we go.
We need to confirm with an ultrasound,
but I think we did it.
That was a cool trick.
Now all you got to do is
push the baby out of you.
[LAUGHS]
[MONITOR BEEPING]
How's it going?
It's just getting started.
They're going to pin this
whole thing on him, the riot.
Gonna add ten years to his sentence.
You don't think he deserves it?
You know the reason Maxwell
is in prison to begin with?
I looked it up.
He got a ride home from
a party with some friends,
and they decided to break into
a house they thought was empty.
- But it wasn't.
- No.
Two people were killed,
but Maxwell didn't even do anything.
Just sat in the car. Still got tagged.
- Felony murder.
- Yeah.
Tried as an adult, 20-year sentence.
It's crazy how your whole life
can just derail
from one random decision.
He just doesn't feel like
he's the kind of kid
who would randomly attack a guard.
You think the guard's lying?
I think Maxwell wants to say something,
but he doesn't think
it'll make a difference.
And I gotta say, I get it.
- He's all alone.
- Not entirely.
As long as he's here, he has us.
Jonathan Michael?
You want me to stick around?
Um, no. I appreciate it.
- I'll be all right.
- Sure?
Yeah.
I just need you to know that
I didn't know about Ainsley,
I swear.
I would have never, never
have let that continue.
I've been doing a lot of hard thinking
about everything that you said.
You know, I always thought
it was most important
to protect you from
the life that I had growing up.
And, really,
I didn't protect you at all.
Does Dad know you're here?
No.
Your father is in hospice.
He stopped the Hiboxin infusions.
Of course, because I'm not paying
No, no, no. It's not about money.
The treatments weren't working.
After three rounds,
the mass is still growing.
He's not able to walk anymore,
and the doctors say there's
nothing else that they can do.
[SOMBER MUSIC]
♪
Okay.
So that's it, then, huh?
I don't expect anything
from you, Jonathan Michael.
I just want you to know
that you were right.
And I'm so sorry that
it's taken me this long
to realize that.
♪
[BREATHES DEEPLY]
Hey, which OR is Abrams in?
Was in OR 2.
What are you doing out here?
Isaac's surgery started
less than an hour ago.
56 minutes, to be exact.
I removed the subdural,
but that's as far as I got.
The real problem is
a ruptured pseudoaneurysm.
Damn.
Yeah, no way in hell
I can repair that vessel
with this much brain swelling.
So he's in the ICU now?
Yeah, all we can do now is wait.
Hopefully he lives long enough
for the edema to come down.
We should know more in a few hours.
He was just joking around with us.
Yep.
Okay, great. Great, great.
No, no. Happy happy to help.
That was Olivia's OB.
He should be here any minute.
[HISSES]
How long have you been
having contractions?
[SCOFFS]
Um, I have been having Braxton Hicks
on and off for the last few weeks,
and in the last couple hours
it's gotten more intense and regular.
So you're in labor.
Well, then let me ask
the logical questions here.
Why haven't you told anyone,
and why are you still working?
Because the ED is crazy right
now, and it's early labor.
I mean, if you were my doctor,
you wouldn't even
tell me to come into the hospital yet,
and I'm not putting
my baby at risk, so
I wasn't saying that you were.
I also am planning to
tell people when, you know,
it's just it becomes more of a thing.
Pretty sure it already is.
I meant when I was actually
closer to delivery.
I don't need anyone fussing over me.
Look, I get that we've had
a rocky-ass road
up until now, okay?
And I get that you're probably
scared about a lot of things.
But I need you to hear one thing.
This is happening.
Yeah, I know.
- It's happening.
- Do you?
Because you've been pretty
resistant to having me here,
training a replacement,
which is pretty standard
for maternity leave.
Okay. Yeah, you know,
I didn't ask your opinion.
And yet I'm gonna give it.
Look, I'm not judging you, man.
I skipped therapy this week so
I could stress shop at Sephora.
I'll admit that.
Okay, so what are you saying exactly?
I don't know what I was
saying with that last one,
but what I think I'm saying is
just stop worrying about the future,
about your career, your relationships,
and, you know, be in your body
and soak in the fricking moment.
You're at the top of the roller coaster.
All you got to do is put your hands up.
It's time to go be a mom.
[GENTLE MUSIC]
Anyone seen Dr. Charles?
- I'm happy to take it.
- Oh, it's not a work call.
No, I don't have him.
But I'll pass on the message.
Yeah, no problem, Dr. Hoban.
You too.
Dr. Hoban from U of I?
You know him?
Yeah, I worked with him
during my residency.
Hmm.
What was he calling about?
You probably want to take
that up with Dr. Charles.
Right.
We all know what you're doing.
Excuse me?
We know what you're trying
to do to Dr. Charles.
But even if you do replace him,
you'll never be him.
Well, hopefully I can work
to change your opinion.
Hmm.
You know, sometimes I really like you.
What do you need?
And then it's gone.
MRI results came back on
the guy with a stab wound
to the leg, Mr. Dupere.
Ah, yes, the one trying
to delay his release.
Let's see.
Oh, surprise, surprise.
There's no nerve damage.
No. Missed it completely.
Yeah.
What is it?
Well, the angle of this puncture
and these little cuts around the wound,
I don't think it's from an abrasion.
I think it's hesitation marks.
You think he stabbed himself? Why?
Just to get out of prison for a day?
- Where is Mr. Dupere now?
- Not sure.
We got the MRI results,
so he's done with his scan.
He should have been back.
[OMINOUS MUSIC]
♪
Hey, what's going on?
Have you seen a prisoner, Wyett Dupere,
and a corrections officer
leave this floor?
They were here for an MRI.
No, I haven't. Why?
Call security.
♪
[GASPS] Sir, can you hear me?
Can you hear me?
Hey, team.
How we doing?
Contractions are coming
pretty hard and fast now.
You just missed Dr. Tinto.
Oh, I ran into him downstairs.
He said that you got your epidural
and everything is looking great.
I I actually just stopped in
to say goodbye.
I was sort of hoping you'd
get to meet the little man.
I know. Me too.
But there's some other things.
[PA BEEPING]
Code Silver.
Is there a fire?
That's not a fire alarm.
Excuse me?
I need you to get inside.
Put something in front of the door.
Why? What's what's going on?
One of the prisoners escaped.
Hospital's on lockdown.
Nobody in or out.
Code Silver.
Code Silver.
- What's going on?
- It's okay.
Just keep breathing, okay?
Okay.
[TENSE MUSIC]
Code Silver.
20 minutes ago, Wyett Dupere overpowered
the corrections officer
guarding him and escaped.
God. How's the CO?
Well, he's got a pretty bad concussion
and had some stitches, but he'll live.
My understanding is that we're
under a Code Silver protocol.
I thought that was reserved
for active shooters.
Yeah, but he took the officer's gun.
Oh.
All incoming ambulances
have been diverted.
Good. What's happening?
We're sweeping the hospital now.
After we clear each floor,
departments will be opening back up.
We just cleared the ED,
but no one can leave the area
until the entire hospital
is deemed safe.
How do we know that Mr. Dupere is
still even in the hospital?
So far, there's no evidence
he's left the premises,
but we need to go through
security footage,
with your help.
- Of course.
- Go.
- Go, go, go.
- Okay.
[RADIO CHATTER]
[TENSE MUSIC]
How long is this lockdown gonna last?
Well, I know as much as you do.
Well, you're probably loving this.
How do you figure?
We're trapped alone in a room.
Nothing to do but talk about our issues.
Honestly, Caitlin, we could
sit here in silence forever.
I'm good.
Yeah, you don't get to be mad.
Sorry, what?
I said you don't get
to be mad about this,
about me or us.
Like, was I a bitch to you
the other night
when you confronted me about my disease?
Sure, and I'm sorry, but
But what?
But I have a terminal illness.
- So checkmate.
- [SIGHS]
This was supposed
to be fun and meaningless,
and I I worked really hard
to keep it meaningless.
You know, get drunk, uh, sex in cars.
You ruined it.
- I ruined it?
- Uh-huh.
- I I ruined it?
- Yep.
How did I ruin it?
By showing concern that you have
a serious health condition?
Yes, exactly,
because now I can't pretend
that this is just fun anymore.
I can't pretend that I'm not sick,
and I can't pretend
I'm not in love with you.
[SOFT DRAMATIC MUSIC]
♪
What did you just say?
♪
You heard me.
♪
- Hey, Kacy?
- Mm.
Can we do a UTox and a thyroid panel
- for Mrs. Spellman in 2?
- Yeah, I'm on it.
I just got to put my
stethoscope in the UV cabinet
- first, get the cooties off.
- I'm headed that way.
- Let me do it.
- Oh, sir, you're a gentleman.
- Thank you.
- I am a gentleman.
You're trying to dig up dirt on me?
I'm trying to save my job
and my department.
You think I'm hiding something?
Is that why you're speaking
to my advisors from residency?
Okay, so I was checking out this packet
that's floating around, you know,
with all your qualifications
and your experience.
Extremely impressive list
of research papers, by the way.
But I couldn't help noticing
that there was nothing
from med school or or your residency.
And I thought, that's odd.
- Something had to get cut.
- Could be.
Anyway, I reached out to Dr. Hoban,
who was kind enough to send over these,
if you will, missing papers.
And almost every single
one of your studies
focused on just one topic
antisocial personality disorder.
It was an area I was interested in.
Well, could very well be.
But then I remembered that
about two or three months ago,
you told me, right here in this room,
about your childhood misdiagnosis.
And antisocial personality disorder,
famously difficult to diagnose.
Dr. Charles, I don't know
what you're talking about.
I was thinking to myself, oh, man,
it must have been such a brutal,
misunderstood, alienating childhood.
But that didn't stop them
from pumping you
full of all these drugs
that you didn't need.
What are you doing, Dan?
You don't have any proof of any of this.
All I'm really doing, Theo, is my job.
Right? I'm following my instinct,
you know, my human intuition.
And what my intuition is telling me
is that it makes perfect sense
that you embrace fMRI
after all those psychiatrists
let you down.
It makes perfect sense
to me that you'd devote
your entire career to
eradicating the human element
from diagnostics, right,
because in your mind,
those elements intuition,
instinct, conversation
are deeply fallible.
I mean, they certainly
let you down, buddy.
It also makes perfect sense to me
why you would have no
compunction taking advantage
of my misfortune and going after my job,
because you were not born
with the ability to empathize,
because you were born
with antisocial personality disorder.
You were born a sociopath.
♪
[GROANS]
- You're doing great.
- How would you know?
- You're on your phone.
- Sorry.
I'm trying to keep Ryan up to date.
He's in the parking lot.
They still won't let anyone in or out.
Okay, well, Olivia,
you are now fully dilated.
- Like all the way?
- Like, all the way.
So what does that mean?
It means it is time to start pushing.
Wait, now?
Are we gonna wait till
we have more support?
It's okay.
Women have been giving birth
without a team
of doctors for millennia.
They'd just give birth
in a field underneath all
Most of them died doing that.
They died, Jacob.
- Sorry.
- Whoa, whoa, whoa.
Let's take a breath, okay?
Everything's gonna be fine.
I've done this countless times,
and your baby looks great.
Plus, Jacob here can
assist me if I need him to.
- What?
- No!
Sorry. I didn't pay that close attention
- during birthing classes.
- Okay.
Okay, don't worry.
I'm not gonna ask you
to do anything too drastic.
Let's start with putting
on a pair of gloves.
Olivia, you've got this, okay?
Look at me. Hey, hey.
I've got you.
Um, Dr. Asher?
Everything okay?
[TENSE MUSIC]
Yeah, um
♪
My water just broke.