Code Black (2015) s03e11 Episode Script
One of Our Own
Turn it down.
Ariel, I know you're screening your calls.
Call me back.
Or better, just answer the next time I call, okay? I've got news.
Dr.
Rorish, you wanted to see me? We are interviewing the three candidates for an attending position, and I'm recommending you.
I have to compete with people who don't work here? I have the utmost confidence in you.
Uh, can I think about it? You have to think about it? It's just a big decision.
You got three days.
Why are you doing that with your face? I'm happy.
I can't smile? It's disturbing.
I can't wait to tell her.
Tell who what? Whoa, nice tux.
Every ovary in this hospital just started fluttering.
I just got news that Ariel's adoption hearing has finally been scheduled.
It's happening.
- It's a girl.
- Oh, wow.
Congratulations.
Thank you, thank you.
- How is she doing? - She could use some good news.
- Yeah, I know.
- Yeah.
How's Emily? Doing double duty as her mom's maid of honor and flower girl.
- She is thrilled.
- Uh, what are you doing here? Emergency surgery.
Or avoiding your ex-wife's wedding.
Hey, be nice now.
So it's just gonna be me and you? What about Dr.
Willis? He's going on another rig.
Yeah, I'm going with Kendrick.
Rox will take good care of you.
She doesn't need me to take care of her.
That's not what I meant.
- I'm good to go.
Can I drive? - Don't get greedy.
Hey.
We should talk.
Yeah, I tried talking to you.
You weren't interested.
I think a change will do us good.
Fair enough.
Have a good shift.
Hey.
I just got a call.
Two firefighters were injured at the training facility on Temple.
- Okay.
I know it.
- We're on our way.
- We got it.
- Two injuries.
Two rigs.
See you there.
Hey, what happened? Angus.
I deactivated his defibrillator implant.
It was intermittently shocking him.
He's throwing runs of v-tach.
I thought you said the implant was supposed to shock his heart.
Not like this.
But last night you said everything was working.
You said it was fine.
Well, his arrhythmia's worse than we thought.
- Oh, God.
- Look, don't worry.
Okay? I'll give him some medicine to calm his heart and then I'll talk to the best specialist there is, all right? I'll be back, buddy.
Okay? - You're making house calls now? - I needed to check on Dominic.
You barely know this woman.
You need to get a paternity test.
That is not important to me.
He needs a good doctor whether I'm biologically related or not.
His abdomen's rigid.
CT shows contrast extravasation from the tumor.
Well, you jumped the gun on us, Chief.
Yeah, would've preferred to do this in the morning as planned.
Give it to me straight, Doc.
How screwed am I? The hemochromatosis has scarred your liver.
That tumor is bleeding in your abdomen.
So I'm going to take you up to the O.
R.
and resect that tumor right now.
I love your style, Doc.
How long am I gonna be out of commission? We'll have you back in the boat in a week.
Guy calls it a boat.
Coast Guard cutter, Doc.
All right.
See you in a minute.
You have any family members you want me to contact? No, no.
I left an email address with the nurse.
Give my coasties on the Blackfin an update, I'd appreciate it.
You got it, Chief.
All right.
It was my hose.
It was my fault you tripped.
I'm sorry, Frank.
Don't worry about it, dish-tech.
I can fix you up here, save you a trip to the E.
R.
What about Frank? Oh, no.
He's going to the E.
R.
You screwed him up bad.
He's gonna be fine, Sean.
So he's a dish-tech? Ah, kid's a rookie.
Usually on dish duty.
Tonight's his first time yarding hose.
How rad's my scar gonna be, Rox? Pretty rad.
What's the deal with Rox? She single? That's a question for her.
Sorry.
I didn't know you guys were, uh We're not.
What was that? Willis! Rox! All right.
Okay.
Shh.
Look at me.
Angel, Squad 15.
Please respond.
- Willis? Diego here.
- Prep center stage.
Tell the blood bank to bring down 4 units of O-neg.
Call radiology and tell them to hold a table for us.
Yo, slow slow down, man.
Diego, it's Rox.
Get Leanne.
We need to go faster.
Let's go.
Dr.
Rorish! Something happened to Rox! Has she regained consciousness yet? She's in respiratory distress.
Crepitus on the left side.
Keep pressure on that head lac.
Fractured rib, possible pneumo.
- Rox, you're here at Angels.
- It was a hit and run.
It was a silver Challenger.
I didn't see the plate.
Hey, did you see the license plate? Willis, it's okay.
- I should've seen the plate.
- Well, you got her here.
Okay.
Rox, open your eyes! - Noa, FAST exam.
- On it.
Okay, sats at 85.
She's not getting enough oxygen in her lungs.
Let's put her on a non-rebreather and let's roll her.
- One, two, three.
Towards you.
- Three.
- Where's the blood?! - On its way down.
It should be here by now.
Diego, I told you to call the blood bank.
- I did.
- Risa! Get up there and tell them it's one of ours.
- Okay, I got 2 units.
- It's not enough.
She okay? I mean, I can give blood if you need it.
Bottle of saline.
Dr.
Avila, your patient is here.
Let's get another compression dressing on that wound.
This blood is killing my eyes, Doc.
All right.
Easy, easy.
More gauze, please.
Oh, yeah.
Ah, that's it.
Thank you.
Oh, yeah.
Love your style, Doc.
What? Wound's that bad? No, no, no.
You just look famil Do you have a brother? No, I do not.
FAST is positive.
Free fluid in - the left upper quadrant.
- Cratering.
Okay, the left kidney looks abnormal.
Page Dr.
Campbell.
Tell him it's Rox.
We got a possible ruptured kidney.
She needs more blood now.
I'm gonna put a cordis in her neck.
Give me the ultrasound.
Give me that.
Give it to me.
I'll stabilizer her neck.
I love what you haven't done with the place.
Let him do it.
There's nothing simple about you, Doc.
- Good team.
- Great team.
She's crashing.
We need to get her upstairs to O.
R.
Ethan! Wake up! GCS declining.
Down to 111.
access.
I want 218.
Airway on standby.
- All right.
- It's off.
You can try and fix your life with your patients.
You can push me away, you can push everyone away.
And the only one you'll have left to torture is you.
Have fun.
I don't know who you think you are, but you're not my wife.
You're not my girlfriend.
You're not my shrink.
No, I'm just a person riding on the rig with you until today 'cause now? I'm done.
Willis.
Willis? - Ethan.
- Willis! Give yourself a moment.
I got her.
She's got a shattered left kidney.
Yep, I looked at her scans when I was closing.
- Nothing I can't handle.
- FAST exam was positive.
She could have multiple organ damage.
Well, that's what an exploratory laparotomy's for.
- I'll watch from observation.
- Willis.
Call her family.
I'll take care of her.
JT looks exactly like the firefighter.
Yep.
Same date of birth.
Though they both say they don't have families.
Identical twins.
Doesn't that mean that Frank's a genetic carrier for hemochromatosis, too? First things first.
Let's see how Frank's liver's functioning.
I'll run an LFT and an iron panel.
Okay, and I'll order a genetic test screening - for the HFE gene.
- All right.
Let's go.
A twin? - Mm-hmm.
- Seriously? I've I guess it's possible.
I mean, I was adopted, too.
Can I meet him? I was hoping you'd ask that.
By the way, he's a good man.
Firefighter.
- He just got out of surgery.
- Surgery? Is he okay? He's fine.
Minor injury.
But he could have the same genetic disease I have.
We can't talk about other patients.
Okay, say I had it, which I might if we're identical twins, right? Does it kill people? No, we can treat hemochromatosis if we catch it early enough.
It can lead to liver failure.
Fate may have saved Frank's life and yours.
So he I mean, I would need a transplant then, right? You wouldn't need a full transplant.
You'd need a piece of someone's liver.
It's a long list with a long wait.
Yeah, but if we're twins, he'd match.
You would be a perfect match for JT.
Then I wanna give.
You said he's a firefighter? - Mm-hmm.
- Wow.
A regular hero.
Said the Coast Guard Senior Chief.
Ethan! What happened? It was a hit and run.
She's in surgery.
- Oh, no! - It's okay.
Take a deep breath.
We have to remove one of her kidneys.
The chief of surgery is doing it.
- Were you with her when it happened? - Yes.
I'm sure that gave her comfort.
I'm not so sure about that.
I know you had a disagreement.
It was mostly me disagreeing with her.
She was trying to help me.
I said some things.
Doesn't matter what you said then.
It only matters what you say now when she wakes up.
Ethan, she's gonna wake up, right? Yeah.
Yes.
- You okay? - I'm fine.
30-year-old male in MVC.
We'll need an 18-gauge in the right AC.
And have an IO ready just in case.
Noa, you don't have to be.
You were with Rox when you - I said I'm fine.
- Let's go, lovebirds.
26-year-old female injured - during a robbery.
- Ranger! Altered from blunt head trauma and has a full-thickness shoulder laceration.
- Can you tell me your name? - Helena.
Is is Ranger okay? Ranger! They stabbed him.
It's not that bad, baby! You gotta help her! We're gonna help you both.
Watch your back, watch your back.
What do you got, Mama? Car accident, airway's in tact, GCS is 6.
I need an intubation kit.
Okay, let's get an ultrasound over here.
- How's Rox? - She's still in surgery.
Give me sutures.
Three guys came out of nowhere.
We're in a band.
Escalator.
Ever heard of us? We just played a gig and we were loading our gear.
I tried to fight them off, but they took everything our guitars, my Korg.
It's just gear.
It wasn't worth dying for.
Diego, ultrasound the other wound.
How deep did the knife penetrate? - Yeah, I'm on it.
- Ready some lidocaine over here.
Is that the drunk driver? Okay, whoa, whoa, whoa.
Do me a favor.
You guys mind getting behind the 12-inch line for me? - What's going on? - He hit a paramedic.
Wrapped his Challenger around a tree about three blocks away from here.
Okay.
He has a difficult airway.
Uh, okay.
Get me a bougie.
You okay? How's that stab wound? It's approximately 2 inches deep.
- Is that a hemothorax? - Definitely.
Get a chest tube in there.
The knife is superficial.
I'm gonna pull it out.
Wait.
Is that safe? It's okay, baby.
It'll be okay.
What's wrong? Ranger, look at me.
Ranger! Something's wrong.
He can't breathe.
- Need me over there? - No.
How's that chest tube? Use the wound tract.
Follow the wound tract.
Need to get a CT first.
See if anything's punctured.
He has a hemothorax.
We need to evacuate the blood.
- Wait.
- I got it.
- Hold on.
- I got it.
Hold on.
- Oh, God.
- I told you to wait.
That's better.
You don't rush a procedure because you disagree with me.
He couldn't breathe.
Everything okay over there? Yes.
He has good breath sounds, BP's stable.
All right, I'm in.
- Airway's good.
- All right.
- Take him up to CT, please.
- Whoa, whoa, whoa.
I need need you to give me a blood sample - before he goes anywhere.
- Okay, I can draw blood.
Okay, whoa.
Is he under arrest? Not yet.
Well, you need his consent and he's on his way to CT, - so move.
- This guy might've killed somebody.
You can have your blood sample when we get our warrant.
All right, until then, let's move aside.
- Let's go, let's go.
Now.
- Excuse me.
Gotta go.
- Let's go.
- Watch your back, guys.
You're awake? Oh.
My girl.
Campbell had to remove a kidney, but the operation was a success.
- You're gonna be fine.
- Oh.
Emo? I'll let you two be together.
He was worried about you.
We were both worried about you.
I know.
There we go.
What am I supposed to say to him? I'd start with "hello.
" Knock, knock.
- This is crazy.
- Crazy.
- You're - Frank.
JT.
You look exactly Yeah, I know.
You even trim your beard the same way.
I have to.
Regulation.
Besides, I run the risk - of looking like a hobo.
- Like a hobo.
It's like he's reading my mind.
You like steak? - Rib eye.
- Medium rare.
Charred.
Potato? Baked.
The works.
Hell, yeah.
Car? Monte Carlo, '88.
- Black on black.
- Black on black.
Come on, there's no way.
- Yeah! - The wonders of genetics.
I once read a story about identical twins who'd been separated at birth and each married twice to women with the same first name.
- Jennifer.
- Candice.
Ex-wife.
The docs tell me you need a liver.
I still have a healthy one.
Oh.
We just met.
I-I couldn't ask you to do that.
Come on.
Let me give you a sliver of my liver.
It's a very common procedure.
You know, when I was 7 or 8, I-I begged my mom for a brother.
- Now here you are.
- And what'd she say? - Mom? - Yeah.
Well, she cried.
Now I think I understand why.
You you think she cried because of me? You weren't adopted.
No.
No, our mother raised me.
Yeah, she's not my mother.
She was a good person.
A good mom.
She's gone? I'm sorry.
Why don't we let your brother get some rest, okay? It's good to meet you, JT.
He needs a vagal sympathectomy.
I like this for you.
You've never done one.
Something you should know he might be my son.
What? How the hell did that happen? Don't answer that.
- There's no way you can assist.
- But Policy says no operating on family.
I couldn't do it with my daughter.
You can't do it with your son.
- It's not his kid.
- Excuse me? How the hell do you know that? Okay.
Stop, stop, stop.
I don't wanna hear any more of this.
Look, I don't know what's going on with you two, but regardless, you are way too close.
I'm gonna do the sympathectomy.
You are not assisting, which is a shame for you.
Talk.
I checked his blood type against yours.
You can't be the father.
How do you know my blood type? You had an appendectomy here when you were 10.
It's in your medical records.
He's not your kid.
I'm sorry.
I I was just trying to help.
No.
You were doing that thing where you had to be right no matter the consequences.
"Rowland-Grant Hospital OB Residency.
" Mind your business, Diego.
Did, um, Rox get you rattled? She's gonna be okay.
I know.
Rowland-Grant's in Pennsylvania.
It's on the other side of the country.
Did Mario get you that pissed? No.
If you ask me, he didn't need to drop the hammer on you so hard and in front of Rorish? Diego, stop.
Maybe I can help.
My dad's on the board over there.
Stop.
I was just doing some research.
And if I wanted a change of scenery, I definitely wouldn't need your help.
Okay.
But I'm all for going after big things in life.
You changed Angus's medical records? - Yeah.
- Have you checked mine? What? No.
Why would I? Why would you check his? To prove a point? To protect him.
Angus is too nice.
He's a sitting duck.
Whatever that woman wants, she's already got him on the hook.
I see, and what does she want? I don't know.
Money? Angus is a big boy.
He can take care of himself.
- We all can.
- Ah, there it is.
So this is about us? Hmm? What happened at center stage? You always think you know better.
Well, I was just trying to teach you.
- That's kind of part of my job.
- It's not working anymore.
We're fine! We killed tonight.
- What are you doing? - You need to lay down.
You have a punctured lung.
It needs to re-expand.
Seven people in a big empty room isn't a show.
It's sad.
You can't give up.
We're so close.
- You've gotta believe.
- In what? In us.
In Escalator.
We're all we need.
- Take it easy.
- Stop, stop.
Take it easy, okay? Take it easy.
I got it.
It's okay, I got it.
Of course you do.
It's just an IV.
Why don't you take Helena up for a CT? Helena, we're rolling.
Dominic will go into surgery later today.
Oh, thank God.
What are you doing? I'm I'm sorry.
Are you working me? What? No.
You know he's not my son.
You didn't have to lie.
I wasn't lying.
We hooked up, I got pregnant, and the timing made sense.
We're in a hospital, Yvonne.
How long did you think you could keep this up? Huh? I'm not just some nice, rich guy that you can take advantage of.
I'm still a resident.
I can barely pay my rent.
- I don't care about money.
- Yeah.
All I care about is that little boy.
He made me realize I needed to change my life.
I swear.
I really thought you were his father.
- I mean, he even looks like - Don't do that, Yvonne.
His life would be better with you in it.
Well, I have a life, too.
You look good.
I was, uh, I was scared tonight.
We're all pulling for you downstairs.
There's something you should know.
The The guy that hit you he was brought into center stage.
- He's alive.
- They think he was drunk driving.
It's okay.
They got him.
He didn't get away.
- No, whoa.
- What's wrong? No, no.
No, no.
Don't talk.
You gotta keep the mask on.
I can't feel my hand.
Can you move your arm? Can you feel this? - Right pupil's non-responsive.
- I'll page Campbell.
No, no, no.
We don't know anything yet.
I'll order an MRI.
It's fine.
It's fine.
I'm hearing a small murmur.
It's just an unusual sound between heartbeats.
Could be innocent.
Could I get a sonogram, please? But an echocardiogram will help us with more information.
I don't blame JT for being angry.
I can't say I wouldn't be if the roles were reversed.
You are incredibly generous, Frank.
Well, he's my brother.
More than that, he's someone who needs help, and I can help him.
What's wrong? The murmur I'm hearing is blood leaking backward into your heart.
It's called mitral valve regurgitation.
Is it serious? Well, you can live a normal life.
But unfortunately, it means you can't have surgery.
- I'm sorry, Frank.
- Well, what about JT? He'll be on the transplant list, and then something will come along.
But I can tell you, your heart could not take surgery.
100% chance I die? There's no such thing as 100% in medicine.
It's risky.
But there's there's a chance? I owe him.
You don't owe him your life.
Give me the piece of paper I gotta sign that makes it possible for you to do what I want.
What the hell does that mean? Don't make me ask again.
- Get a warrant.
- You need help out there? Oh, no, no, no, no.
Stay in bed.
Doctor's orders.
Guy had a DUI last year.
Half a dozen accidents before that.
You know the paramedic he hit.
- Get a warrant.
- Warrants take time.
We've got two detectives breathing down our necks.
Look, blood's been drawn.
He's not going nowhere.
Back up! Hey, this is my house.
Lower your voice.
Look, he's a patient.
He's got rights just like you and me.
Okay.
What do you guys think you're doing? Tell this nurse to back up, or I'm placing him under arrest for obstruction of justice.
You get a warrant, we're good.
I'm gonna tell you one more time, back up! - Okay, hey, hey.
Boys, boys, boys! - You want some of this, too? - Hey, wait.
Don't you touch me.
- Don't you touch her.
- You are under arrest.
- Please, stop.
Stop! - He's crashing! - He's doing his job.
- You're next.
Back up.
- Go, go.
- He's crashing! Dr.
Rorish! - You're under arrest.
- That's my patient, man.
- Back up.
Come on, man.
What are you doing? Go! Go! Come on.
- That's my patient.
- Come on.
- You're making a big mistake.
- You made the mistake.
What is wrong with you people?! Where's the crash cart? Come on.
Charge to 200.
Let's go.
- We sure we wanna be doing this? - Dude, shut your mouth.
- What? He hit Rox.
- I'll pretend I didn't hear that.
Clear.
Hey, let me outta here! You wanna go to jail for that scumbag? Do the right thing.
You're keeping me from my patient! Asystole.
- Did you give him anything? - No.
- You sure? - I checked his chart three times, okay? I learned my lesson.
No drug interactions, no allergies.
Pulse check.
Pulse is back.
Dr.
Dixon, you're in charge.
He hasn't broken any laws! He was obstructing and impeding an investigation.
Listen, you have no right - to detain him! - I have every right.
I don't care what you think that badge entitles Rox Valenzuela's a first responder.
- She's one of us.
- She's part of our family, too.
This just got out of hand.
You see that woman right there handing your partner his ass? She lost her entire family to a drunk driver.
She doesn't care about guilt or innocence 'cause we ain't the cops.
No.
But we are.
Well, real cops get warrants.
Look, we're just trying to do - the right thing.
- Yeah, I know.
But it don't look right from back here.
- You had a choice.
- No, I didn't, but you do.
Do your job so I can do mine.
We will have a warrant within 15 minutes.
Listen, let me promise you something, I'm gonna have your ass with your supervisor.
Come on.
Do your job.
Do you mind if I give you some unsolicited advice? Do you normally wait to be solicited? Don't let a fantasy of fatherhood get in your way.
You have a shot at being a great surgeon.
But it takes focus and discipline.
Severing the nerve.
You said that.
Yes.
You have to put all of yourself into it, otherwise, you're just another doctor.
He's not my son.
Remove the instruments and close.
Why'd Frank back out? I'm afraid surgery is not a possibility.
Is he okay? He's fine.
You're not telling me something.
He changed his mind? JT, I can't talk to you about this, but you can talk to your brother about it.
Just 'cause we share the same DNA doesn't make him my brother.
He's as selfish as she was.
And how do you figure that? How do you choose one son over the other? She was selfish.
No, no.
JT, listen to me.
I know something about losing one child and holding on to another.
I didn't face the same choice as your birth mother, but I know that there wasn't a day that went by that she didn't keep you in her thoughts.
And I know if she was still alive, she would be grateful for the miracle that brought you and your brother back together.
It's okay.
It's okay.
I have to cancel our tour, don't I? With your injuries, it's gonna be a while before you're ready for the stage again.
Let me ask you something.
- Am I pathetic? - No.
You're doing what you love.
You do love it.
Yeah, I love it.
I totally love it.
Who wouldn't? I'm singing for the fans.
Fan.
It's hard work.
It's a grind on a relationship.
I think she's pulling away from me.
I doubt that.
She sat down with a producer, and he told her that she should go solo.
Oh, I you mean, pulling away from the band.
What? I thought you meant she was pulling away from you.
No.
You think she's pulling away from me? - She wants to break up with me? - Oh, no.
No.
Well, the truth is, she's better than me.
I mean, she is.
I mean, look, I sing from my heart, but she she sings from her bones.
It's a carotid-cavernous fistula.
Accessing it means going deep down inside the interior of Rox's brain.
It's, um it's rare, Leanne.
You can't do it.
She needs an interventional neurosurgeon.
And there's no one I trust in Los Angeles to do this surgery.
We're gonna find someone.
We're gonna call every hospital on the West Coast if we have to.
Dr.
Campbell.
I have a liver transplant candidate for your patient, JT Palmer.
It's unique.
His twin brother.
He has a twin brother? Mm-hmm.
Twin wants to donate, but he has mitral valve regurgitation.
Well, then, he can't have surgery.
What's to discuss? I wanted to discuss it.
Leanne, look I should've stayed at that damn wedding.
The patient will waive all rights.
Anesthesiology won't sign off.
We have a chance to save a family, a brand-new family.
Believe me, I'm very sympathetic but Your family's reinventing itself, too.
Why do you always make things personal? Because it is personal.
Guys, found a surgeon in San Diego who basically invented the procedure that Rox needs.
San Diego is three hours away.
I can get her there in a half an hour.
- I got the Medevac on the roof.
- I don't think that's wise.
What is it you surgeons always say? Time is brain.
Your judgment is clouded.
You don't have the tools or the support - on Medevac if she decompensates.
- It's a risk to wait.
She's already showing signs of neurological damage.
All right, Leanne, back me up here.
Leanne.
- Leanne.
- I can argue both sides.
- I'm getting her to the roof.
- Dr.
Willis.
It's Rox.
O2 sats dropping, BP's 82 over 55.
Let's put her on a non-rebreather.
- Gloves.
- We need to pre-oxygenate before we intubate.
Okay.
- Significant hemoptysis.
- Ethan, what's happening? Get the portable bronchoscopy.
- We need to find this bleed.
- She's desatting.
- Asystolic.
- Rox.
Breathe slowly if you can.
Asystolic.
Damn it! He's been down 23 minutes.
Any other suggestions? I should've been here.
You are here, Jesse.
Hold compressions.
Time of death 6:37 A.
M.
- We need to intubate.
- Whoa, whoa, whoa.
If we intubate, she might not come off the vent.
We need to do it now.
RSI meds ready.
On my count.
Thank you, Mama.
I know you're scared.
Don't be.
I'm with you.
Hold my hand.
We'll do this together.
Squeeze my hand.
These meds are gonna burn, but it'll burn less if we both squeeze together.
- Okay.
- Paralytics going in.
Words to be sung.
Skies clearing inside.
Because that is love.
As you are love.
As only love exists.
As hand in glove.
As God above.
As heaven so exists.
She's under.
Intubate now.
Can you still argue both sides? Got that O.
R.
for you! Her sats are rising.
She's stable.
I found a neurosurgeon who can operate on her, but we gotta get her on a Medevac transfer to San Diego now.
I trust you, Ethan.
I know you'll move heaven and earth for my girl.
- Okay.
- Incoming! - Let's move! - What the hell happened? Splenic rupture.
Chest tube punctured his spleen.
BP's 60 over 40.
- Clamp the chest tube.
- I know.
I know.
He's gonna be okay.
Let's go, let's go.
Sats are stable.
Let's pack her for transport.
- Get her to the Medevac.
- She needs a bronchoscopy first.
No, she's gotta go.
Now.
Do not make me pull you off this patient.
You're not pulling rank on me.
Not this time.
Ethan, stop.
Take a moment.
Consider what he's saying.
She doesn't have a moment.
Leanne, do you trust me or not? This is too much for her to bear.
If Ethan wants to take her to get the help she needs, he is doing it.
You need consent, I am next of kin.
I give consent.
All right, guys, that decides it.
- Thank you.
- All right, let's do it.
Let's go! All right.
Pressure's dropping.
Pressure's too low.
Vein's collapsed.
I can't find it.
I need the ultrasound.
- I got it, Dr.
Kean.
- It's on me.
It's my responsibility.
- You've done enough.
Step back.
- Please, I can do it.
Dr.
Kean, step back.
Okay.
Let's hook him up.
You're gonna be okay.
I know it.
Please take care of my girl.
She's all I have.
Jae Eun, why do you trust me? Because you love her.
She's right, isn't she? You love her.
- I need her to live.
- That's not what I asked.
I'll try to check on him in a little bit.
So what? That That's it? I don't have time for kids.
Me neither.
Well, uh, he's your son.
Yes, he is.
- And I love him.
- Angus.
He knows my name? I guess he does.
You could still be his friend, you know.
Hi, Dominic.
Did you fix me? Yeah.
You have a very strong heart.
So he's gonna let her go solo.
Told her she had to.
Said it was his dream, but she was the talent.
Huh.
Hey, um, I never got a chance to tell you.
Rorish is putting me up for the attending position.
- Is that what you want? - Are you kidding? Of course.
I mean, it's the dream, isn't it? And This is where I wanna be and and you're not happy for me.
I-I am.
I hope you get it.
'Cause I haven't said yes yet.
I don't wanna hold you back.
Hold me back.
What? Sometimes I feel like I'm holding you back from teaching me because - Because we're together.
- Yeah.
And in a weird way, it means I'm holding myself back.
Does that make sense? I think so.
I won't let you hold me back.
And I won't let you hold yourself back.
So, uh, Dr.
Kean, next time I tell you to get a C - before placing a chest tube - I'll get the CT.
Good.
I'll see you at home.
I just talked to my dad about the Rowland-Grant OB Residency.
Why? It's good news.
He's gonna get you an interview.
What? Really? Yeah.
I raved about you.
He raved about you.
Let me think about it.
I-I don't wanna have to go back and tell him to forget it.
Don't.
Just, um, keep it between us.
Us? Is there trouble in paradise? No.
I just wanna think about it.
Cool and the gang.
Uh, easy.
- There.
- Where we going? Your transplant is scheduled for tomorrow.
And you're gonna need another day of recovery before your next surgery.
Frank changed his mind? No, he always wanted to give.
Fate has intervened.
The head of anesthesiology and surgery has signed off.
Any idea what convinced them? You.
We all wanna make sure that you two had the chance - to make up for lost time.
- This is really happening.
So you're gonna give me a sliver of your liver, after all? That's what family's for.
Oh, congratulations, by the way.
You and Ariel.
Jesse told me.
You know, motherhood becomes you.
I just wanna go home before she wakes up, make breakfast, and celebrate.
Then go do what you gotta do.
Thanks.
Dr.
Rorish, the attending position I don't need three days to think about it.
I want it, and I won't let you down.
I know you won't.
There's my Norma Rae! Nobody messes with our family! Go home already! Tell your daughter the good news! - Whoo-hoo! - Whoo! Ariel? You up yet? Ariel? Ariel? Hold on.
Ariel, I know you're screening your calls.
Call me back.
Or better, just answer the next time I call, okay? I've got news.
Dr.
Rorish, you wanted to see me? We are interviewing the three candidates for an attending position, and I'm recommending you.
I have to compete with people who don't work here? I have the utmost confidence in you.
Uh, can I think about it? You have to think about it? It's just a big decision.
You got three days.
Why are you doing that with your face? I'm happy.
I can't smile? It's disturbing.
I can't wait to tell her.
Tell who what? Whoa, nice tux.
Every ovary in this hospital just started fluttering.
I just got news that Ariel's adoption hearing has finally been scheduled.
It's happening.
- It's a girl.
- Oh, wow.
Congratulations.
Thank you, thank you.
- How is she doing? - She could use some good news.
- Yeah, I know.
- Yeah.
How's Emily? Doing double duty as her mom's maid of honor and flower girl.
- She is thrilled.
- Uh, what are you doing here? Emergency surgery.
Or avoiding your ex-wife's wedding.
Hey, be nice now.
So it's just gonna be me and you? What about Dr.
Willis? He's going on another rig.
Yeah, I'm going with Kendrick.
Rox will take good care of you.
She doesn't need me to take care of her.
That's not what I meant.
- I'm good to go.
Can I drive? - Don't get greedy.
Hey.
We should talk.
Yeah, I tried talking to you.
You weren't interested.
I think a change will do us good.
Fair enough.
Have a good shift.
Hey.
I just got a call.
Two firefighters were injured at the training facility on Temple.
- Okay.
I know it.
- We're on our way.
- We got it.
- Two injuries.
Two rigs.
See you there.
Hey, what happened? Angus.
I deactivated his defibrillator implant.
It was intermittently shocking him.
He's throwing runs of v-tach.
I thought you said the implant was supposed to shock his heart.
Not like this.
But last night you said everything was working.
You said it was fine.
Well, his arrhythmia's worse than we thought.
- Oh, God.
- Look, don't worry.
Okay? I'll give him some medicine to calm his heart and then I'll talk to the best specialist there is, all right? I'll be back, buddy.
Okay? - You're making house calls now? - I needed to check on Dominic.
You barely know this woman.
You need to get a paternity test.
That is not important to me.
He needs a good doctor whether I'm biologically related or not.
His abdomen's rigid.
CT shows contrast extravasation from the tumor.
Well, you jumped the gun on us, Chief.
Yeah, would've preferred to do this in the morning as planned.
Give it to me straight, Doc.
How screwed am I? The hemochromatosis has scarred your liver.
That tumor is bleeding in your abdomen.
So I'm going to take you up to the O.
R.
and resect that tumor right now.
I love your style, Doc.
How long am I gonna be out of commission? We'll have you back in the boat in a week.
Guy calls it a boat.
Coast Guard cutter, Doc.
All right.
See you in a minute.
You have any family members you want me to contact? No, no.
I left an email address with the nurse.
Give my coasties on the Blackfin an update, I'd appreciate it.
You got it, Chief.
All right.
It was my hose.
It was my fault you tripped.
I'm sorry, Frank.
Don't worry about it, dish-tech.
I can fix you up here, save you a trip to the E.
R.
What about Frank? Oh, no.
He's going to the E.
R.
You screwed him up bad.
He's gonna be fine, Sean.
So he's a dish-tech? Ah, kid's a rookie.
Usually on dish duty.
Tonight's his first time yarding hose.
How rad's my scar gonna be, Rox? Pretty rad.
What's the deal with Rox? She single? That's a question for her.
Sorry.
I didn't know you guys were, uh We're not.
What was that? Willis! Rox! All right.
Okay.
Shh.
Look at me.
Angel, Squad 15.
Please respond.
- Willis? Diego here.
- Prep center stage.
Tell the blood bank to bring down 4 units of O-neg.
Call radiology and tell them to hold a table for us.
Yo, slow slow down, man.
Diego, it's Rox.
Get Leanne.
We need to go faster.
Let's go.
Dr.
Rorish! Something happened to Rox! Has she regained consciousness yet? She's in respiratory distress.
Crepitus on the left side.
Keep pressure on that head lac.
Fractured rib, possible pneumo.
- Rox, you're here at Angels.
- It was a hit and run.
It was a silver Challenger.
I didn't see the plate.
Hey, did you see the license plate? Willis, it's okay.
- I should've seen the plate.
- Well, you got her here.
Okay.
Rox, open your eyes! - Noa, FAST exam.
- On it.
Okay, sats at 85.
She's not getting enough oxygen in her lungs.
Let's put her on a non-rebreather and let's roll her.
- One, two, three.
Towards you.
- Three.
- Where's the blood?! - On its way down.
It should be here by now.
Diego, I told you to call the blood bank.
- I did.
- Risa! Get up there and tell them it's one of ours.
- Okay, I got 2 units.
- It's not enough.
She okay? I mean, I can give blood if you need it.
Bottle of saline.
Dr.
Avila, your patient is here.
Let's get another compression dressing on that wound.
This blood is killing my eyes, Doc.
All right.
Easy, easy.
More gauze, please.
Oh, yeah.
Ah, that's it.
Thank you.
Oh, yeah.
Love your style, Doc.
What? Wound's that bad? No, no, no.
You just look famil Do you have a brother? No, I do not.
FAST is positive.
Free fluid in - the left upper quadrant.
- Cratering.
Okay, the left kidney looks abnormal.
Page Dr.
Campbell.
Tell him it's Rox.
We got a possible ruptured kidney.
She needs more blood now.
I'm gonna put a cordis in her neck.
Give me the ultrasound.
Give me that.
Give it to me.
I'll stabilizer her neck.
I love what you haven't done with the place.
Let him do it.
There's nothing simple about you, Doc.
- Good team.
- Great team.
She's crashing.
We need to get her upstairs to O.
R.
Ethan! Wake up! GCS declining.
Down to 111.
access.
I want 218.
Airway on standby.
- All right.
- It's off.
You can try and fix your life with your patients.
You can push me away, you can push everyone away.
And the only one you'll have left to torture is you.
Have fun.
I don't know who you think you are, but you're not my wife.
You're not my girlfriend.
You're not my shrink.
No, I'm just a person riding on the rig with you until today 'cause now? I'm done.
Willis.
Willis? - Ethan.
- Willis! Give yourself a moment.
I got her.
She's got a shattered left kidney.
Yep, I looked at her scans when I was closing.
- Nothing I can't handle.
- FAST exam was positive.
She could have multiple organ damage.
Well, that's what an exploratory laparotomy's for.
- I'll watch from observation.
- Willis.
Call her family.
I'll take care of her.
JT looks exactly like the firefighter.
Yep.
Same date of birth.
Though they both say they don't have families.
Identical twins.
Doesn't that mean that Frank's a genetic carrier for hemochromatosis, too? First things first.
Let's see how Frank's liver's functioning.
I'll run an LFT and an iron panel.
Okay, and I'll order a genetic test screening - for the HFE gene.
- All right.
Let's go.
A twin? - Mm-hmm.
- Seriously? I've I guess it's possible.
I mean, I was adopted, too.
Can I meet him? I was hoping you'd ask that.
By the way, he's a good man.
Firefighter.
- He just got out of surgery.
- Surgery? Is he okay? He's fine.
Minor injury.
But he could have the same genetic disease I have.
We can't talk about other patients.
Okay, say I had it, which I might if we're identical twins, right? Does it kill people? No, we can treat hemochromatosis if we catch it early enough.
It can lead to liver failure.
Fate may have saved Frank's life and yours.
So he I mean, I would need a transplant then, right? You wouldn't need a full transplant.
You'd need a piece of someone's liver.
It's a long list with a long wait.
Yeah, but if we're twins, he'd match.
You would be a perfect match for JT.
Then I wanna give.
You said he's a firefighter? - Mm-hmm.
- Wow.
A regular hero.
Said the Coast Guard Senior Chief.
Ethan! What happened? It was a hit and run.
She's in surgery.
- Oh, no! - It's okay.
Take a deep breath.
We have to remove one of her kidneys.
The chief of surgery is doing it.
- Were you with her when it happened? - Yes.
I'm sure that gave her comfort.
I'm not so sure about that.
I know you had a disagreement.
It was mostly me disagreeing with her.
She was trying to help me.
I said some things.
Doesn't matter what you said then.
It only matters what you say now when she wakes up.
Ethan, she's gonna wake up, right? Yeah.
Yes.
- You okay? - I'm fine.
30-year-old male in MVC.
We'll need an 18-gauge in the right AC.
And have an IO ready just in case.
Noa, you don't have to be.
You were with Rox when you - I said I'm fine.
- Let's go, lovebirds.
26-year-old female injured - during a robbery.
- Ranger! Altered from blunt head trauma and has a full-thickness shoulder laceration.
- Can you tell me your name? - Helena.
Is is Ranger okay? Ranger! They stabbed him.
It's not that bad, baby! You gotta help her! We're gonna help you both.
Watch your back, watch your back.
What do you got, Mama? Car accident, airway's in tact, GCS is 6.
I need an intubation kit.
Okay, let's get an ultrasound over here.
- How's Rox? - She's still in surgery.
Give me sutures.
Three guys came out of nowhere.
We're in a band.
Escalator.
Ever heard of us? We just played a gig and we were loading our gear.
I tried to fight them off, but they took everything our guitars, my Korg.
It's just gear.
It wasn't worth dying for.
Diego, ultrasound the other wound.
How deep did the knife penetrate? - Yeah, I'm on it.
- Ready some lidocaine over here.
Is that the drunk driver? Okay, whoa, whoa, whoa.
Do me a favor.
You guys mind getting behind the 12-inch line for me? - What's going on? - He hit a paramedic.
Wrapped his Challenger around a tree about three blocks away from here.
Okay.
He has a difficult airway.
Uh, okay.
Get me a bougie.
You okay? How's that stab wound? It's approximately 2 inches deep.
- Is that a hemothorax? - Definitely.
Get a chest tube in there.
The knife is superficial.
I'm gonna pull it out.
Wait.
Is that safe? It's okay, baby.
It'll be okay.
What's wrong? Ranger, look at me.
Ranger! Something's wrong.
He can't breathe.
- Need me over there? - No.
How's that chest tube? Use the wound tract.
Follow the wound tract.
Need to get a CT first.
See if anything's punctured.
He has a hemothorax.
We need to evacuate the blood.
- Wait.
- I got it.
- Hold on.
- I got it.
Hold on.
- Oh, God.
- I told you to wait.
That's better.
You don't rush a procedure because you disagree with me.
He couldn't breathe.
Everything okay over there? Yes.
He has good breath sounds, BP's stable.
All right, I'm in.
- Airway's good.
- All right.
- Take him up to CT, please.
- Whoa, whoa, whoa.
I need need you to give me a blood sample - before he goes anywhere.
- Okay, I can draw blood.
Okay, whoa.
Is he under arrest? Not yet.
Well, you need his consent and he's on his way to CT, - so move.
- This guy might've killed somebody.
You can have your blood sample when we get our warrant.
All right, until then, let's move aside.
- Let's go, let's go.
Now.
- Excuse me.
Gotta go.
- Let's go.
- Watch your back, guys.
You're awake? Oh.
My girl.
Campbell had to remove a kidney, but the operation was a success.
- You're gonna be fine.
- Oh.
Emo? I'll let you two be together.
He was worried about you.
We were both worried about you.
I know.
There we go.
What am I supposed to say to him? I'd start with "hello.
" Knock, knock.
- This is crazy.
- Crazy.
- You're - Frank.
JT.
You look exactly Yeah, I know.
You even trim your beard the same way.
I have to.
Regulation.
Besides, I run the risk - of looking like a hobo.
- Like a hobo.
It's like he's reading my mind.
You like steak? - Rib eye.
- Medium rare.
Charred.
Potato? Baked.
The works.
Hell, yeah.
Car? Monte Carlo, '88.
- Black on black.
- Black on black.
Come on, there's no way.
- Yeah! - The wonders of genetics.
I once read a story about identical twins who'd been separated at birth and each married twice to women with the same first name.
- Jennifer.
- Candice.
Ex-wife.
The docs tell me you need a liver.
I still have a healthy one.
Oh.
We just met.
I-I couldn't ask you to do that.
Come on.
Let me give you a sliver of my liver.
It's a very common procedure.
You know, when I was 7 or 8, I-I begged my mom for a brother.
- Now here you are.
- And what'd she say? - Mom? - Yeah.
Well, she cried.
Now I think I understand why.
You you think she cried because of me? You weren't adopted.
No.
No, our mother raised me.
Yeah, she's not my mother.
She was a good person.
A good mom.
She's gone? I'm sorry.
Why don't we let your brother get some rest, okay? It's good to meet you, JT.
He needs a vagal sympathectomy.
I like this for you.
You've never done one.
Something you should know he might be my son.
What? How the hell did that happen? Don't answer that.
- There's no way you can assist.
- But Policy says no operating on family.
I couldn't do it with my daughter.
You can't do it with your son.
- It's not his kid.
- Excuse me? How the hell do you know that? Okay.
Stop, stop, stop.
I don't wanna hear any more of this.
Look, I don't know what's going on with you two, but regardless, you are way too close.
I'm gonna do the sympathectomy.
You are not assisting, which is a shame for you.
Talk.
I checked his blood type against yours.
You can't be the father.
How do you know my blood type? You had an appendectomy here when you were 10.
It's in your medical records.
He's not your kid.
I'm sorry.
I I was just trying to help.
No.
You were doing that thing where you had to be right no matter the consequences.
"Rowland-Grant Hospital OB Residency.
" Mind your business, Diego.
Did, um, Rox get you rattled? She's gonna be okay.
I know.
Rowland-Grant's in Pennsylvania.
It's on the other side of the country.
Did Mario get you that pissed? No.
If you ask me, he didn't need to drop the hammer on you so hard and in front of Rorish? Diego, stop.
Maybe I can help.
My dad's on the board over there.
Stop.
I was just doing some research.
And if I wanted a change of scenery, I definitely wouldn't need your help.
Okay.
But I'm all for going after big things in life.
You changed Angus's medical records? - Yeah.
- Have you checked mine? What? No.
Why would I? Why would you check his? To prove a point? To protect him.
Angus is too nice.
He's a sitting duck.
Whatever that woman wants, she's already got him on the hook.
I see, and what does she want? I don't know.
Money? Angus is a big boy.
He can take care of himself.
- We all can.
- Ah, there it is.
So this is about us? Hmm? What happened at center stage? You always think you know better.
Well, I was just trying to teach you.
- That's kind of part of my job.
- It's not working anymore.
We're fine! We killed tonight.
- What are you doing? - You need to lay down.
You have a punctured lung.
It needs to re-expand.
Seven people in a big empty room isn't a show.
It's sad.
You can't give up.
We're so close.
- You've gotta believe.
- In what? In us.
In Escalator.
We're all we need.
- Take it easy.
- Stop, stop.
Take it easy, okay? Take it easy.
I got it.
It's okay, I got it.
Of course you do.
It's just an IV.
Why don't you take Helena up for a CT? Helena, we're rolling.
Dominic will go into surgery later today.
Oh, thank God.
What are you doing? I'm I'm sorry.
Are you working me? What? No.
You know he's not my son.
You didn't have to lie.
I wasn't lying.
We hooked up, I got pregnant, and the timing made sense.
We're in a hospital, Yvonne.
How long did you think you could keep this up? Huh? I'm not just some nice, rich guy that you can take advantage of.
I'm still a resident.
I can barely pay my rent.
- I don't care about money.
- Yeah.
All I care about is that little boy.
He made me realize I needed to change my life.
I swear.
I really thought you were his father.
- I mean, he even looks like - Don't do that, Yvonne.
His life would be better with you in it.
Well, I have a life, too.
You look good.
I was, uh, I was scared tonight.
We're all pulling for you downstairs.
There's something you should know.
The The guy that hit you he was brought into center stage.
- He's alive.
- They think he was drunk driving.
It's okay.
They got him.
He didn't get away.
- No, whoa.
- What's wrong? No, no.
No, no.
Don't talk.
You gotta keep the mask on.
I can't feel my hand.
Can you move your arm? Can you feel this? - Right pupil's non-responsive.
- I'll page Campbell.
No, no, no.
We don't know anything yet.
I'll order an MRI.
It's fine.
It's fine.
I'm hearing a small murmur.
It's just an unusual sound between heartbeats.
Could be innocent.
Could I get a sonogram, please? But an echocardiogram will help us with more information.
I don't blame JT for being angry.
I can't say I wouldn't be if the roles were reversed.
You are incredibly generous, Frank.
Well, he's my brother.
More than that, he's someone who needs help, and I can help him.
What's wrong? The murmur I'm hearing is blood leaking backward into your heart.
It's called mitral valve regurgitation.
Is it serious? Well, you can live a normal life.
But unfortunately, it means you can't have surgery.
- I'm sorry, Frank.
- Well, what about JT? He'll be on the transplant list, and then something will come along.
But I can tell you, your heart could not take surgery.
100% chance I die? There's no such thing as 100% in medicine.
It's risky.
But there's there's a chance? I owe him.
You don't owe him your life.
Give me the piece of paper I gotta sign that makes it possible for you to do what I want.
What the hell does that mean? Don't make me ask again.
- Get a warrant.
- You need help out there? Oh, no, no, no, no.
Stay in bed.
Doctor's orders.
Guy had a DUI last year.
Half a dozen accidents before that.
You know the paramedic he hit.
- Get a warrant.
- Warrants take time.
We've got two detectives breathing down our necks.
Look, blood's been drawn.
He's not going nowhere.
Back up! Hey, this is my house.
Lower your voice.
Look, he's a patient.
He's got rights just like you and me.
Okay.
What do you guys think you're doing? Tell this nurse to back up, or I'm placing him under arrest for obstruction of justice.
You get a warrant, we're good.
I'm gonna tell you one more time, back up! - Okay, hey, hey.
Boys, boys, boys! - You want some of this, too? - Hey, wait.
Don't you touch me.
- Don't you touch her.
- You are under arrest.
- Please, stop.
Stop! - He's crashing! - He's doing his job.
- You're next.
Back up.
- Go, go.
- He's crashing! Dr.
Rorish! - You're under arrest.
- That's my patient, man.
- Back up.
Come on, man.
What are you doing? Go! Go! Come on.
- That's my patient.
- Come on.
- You're making a big mistake.
- You made the mistake.
What is wrong with you people?! Where's the crash cart? Come on.
Charge to 200.
Let's go.
- We sure we wanna be doing this? - Dude, shut your mouth.
- What? He hit Rox.
- I'll pretend I didn't hear that.
Clear.
Hey, let me outta here! You wanna go to jail for that scumbag? Do the right thing.
You're keeping me from my patient! Asystole.
- Did you give him anything? - No.
- You sure? - I checked his chart three times, okay? I learned my lesson.
No drug interactions, no allergies.
Pulse check.
Pulse is back.
Dr.
Dixon, you're in charge.
He hasn't broken any laws! He was obstructing and impeding an investigation.
Listen, you have no right - to detain him! - I have every right.
I don't care what you think that badge entitles Rox Valenzuela's a first responder.
- She's one of us.
- She's part of our family, too.
This just got out of hand.
You see that woman right there handing your partner his ass? She lost her entire family to a drunk driver.
She doesn't care about guilt or innocence 'cause we ain't the cops.
No.
But we are.
Well, real cops get warrants.
Look, we're just trying to do - the right thing.
- Yeah, I know.
But it don't look right from back here.
- You had a choice.
- No, I didn't, but you do.
Do your job so I can do mine.
We will have a warrant within 15 minutes.
Listen, let me promise you something, I'm gonna have your ass with your supervisor.
Come on.
Do your job.
Do you mind if I give you some unsolicited advice? Do you normally wait to be solicited? Don't let a fantasy of fatherhood get in your way.
You have a shot at being a great surgeon.
But it takes focus and discipline.
Severing the nerve.
You said that.
Yes.
You have to put all of yourself into it, otherwise, you're just another doctor.
He's not my son.
Remove the instruments and close.
Why'd Frank back out? I'm afraid surgery is not a possibility.
Is he okay? He's fine.
You're not telling me something.
He changed his mind? JT, I can't talk to you about this, but you can talk to your brother about it.
Just 'cause we share the same DNA doesn't make him my brother.
He's as selfish as she was.
And how do you figure that? How do you choose one son over the other? She was selfish.
No, no.
JT, listen to me.
I know something about losing one child and holding on to another.
I didn't face the same choice as your birth mother, but I know that there wasn't a day that went by that she didn't keep you in her thoughts.
And I know if she was still alive, she would be grateful for the miracle that brought you and your brother back together.
It's okay.
It's okay.
I have to cancel our tour, don't I? With your injuries, it's gonna be a while before you're ready for the stage again.
Let me ask you something.
- Am I pathetic? - No.
You're doing what you love.
You do love it.
Yeah, I love it.
I totally love it.
Who wouldn't? I'm singing for the fans.
Fan.
It's hard work.
It's a grind on a relationship.
I think she's pulling away from me.
I doubt that.
She sat down with a producer, and he told her that she should go solo.
Oh, I you mean, pulling away from the band.
What? I thought you meant she was pulling away from you.
No.
You think she's pulling away from me? - She wants to break up with me? - Oh, no.
No.
Well, the truth is, she's better than me.
I mean, she is.
I mean, look, I sing from my heart, but she she sings from her bones.
It's a carotid-cavernous fistula.
Accessing it means going deep down inside the interior of Rox's brain.
It's, um it's rare, Leanne.
You can't do it.
She needs an interventional neurosurgeon.
And there's no one I trust in Los Angeles to do this surgery.
We're gonna find someone.
We're gonna call every hospital on the West Coast if we have to.
Dr.
Campbell.
I have a liver transplant candidate for your patient, JT Palmer.
It's unique.
His twin brother.
He has a twin brother? Mm-hmm.
Twin wants to donate, but he has mitral valve regurgitation.
Well, then, he can't have surgery.
What's to discuss? I wanted to discuss it.
Leanne, look I should've stayed at that damn wedding.
The patient will waive all rights.
Anesthesiology won't sign off.
We have a chance to save a family, a brand-new family.
Believe me, I'm very sympathetic but Your family's reinventing itself, too.
Why do you always make things personal? Because it is personal.
Guys, found a surgeon in San Diego who basically invented the procedure that Rox needs.
San Diego is three hours away.
I can get her there in a half an hour.
- I got the Medevac on the roof.
- I don't think that's wise.
What is it you surgeons always say? Time is brain.
Your judgment is clouded.
You don't have the tools or the support - on Medevac if she decompensates.
- It's a risk to wait.
She's already showing signs of neurological damage.
All right, Leanne, back me up here.
Leanne.
- Leanne.
- I can argue both sides.
- I'm getting her to the roof.
- Dr.
Willis.
It's Rox.
O2 sats dropping, BP's 82 over 55.
Let's put her on a non-rebreather.
- Gloves.
- We need to pre-oxygenate before we intubate.
Okay.
- Significant hemoptysis.
- Ethan, what's happening? Get the portable bronchoscopy.
- We need to find this bleed.
- She's desatting.
- Asystolic.
- Rox.
Breathe slowly if you can.
Asystolic.
Damn it! He's been down 23 minutes.
Any other suggestions? I should've been here.
You are here, Jesse.
Hold compressions.
Time of death 6:37 A.
M.
- We need to intubate.
- Whoa, whoa, whoa.
If we intubate, she might not come off the vent.
We need to do it now.
RSI meds ready.
On my count.
Thank you, Mama.
I know you're scared.
Don't be.
I'm with you.
Hold my hand.
We'll do this together.
Squeeze my hand.
These meds are gonna burn, but it'll burn less if we both squeeze together.
- Okay.
- Paralytics going in.
Words to be sung.
Skies clearing inside.
Because that is love.
As you are love.
As only love exists.
As hand in glove.
As God above.
As heaven so exists.
She's under.
Intubate now.
Can you still argue both sides? Got that O.
R.
for you! Her sats are rising.
She's stable.
I found a neurosurgeon who can operate on her, but we gotta get her on a Medevac transfer to San Diego now.
I trust you, Ethan.
I know you'll move heaven and earth for my girl.
- Okay.
- Incoming! - Let's move! - What the hell happened? Splenic rupture.
Chest tube punctured his spleen.
BP's 60 over 40.
- Clamp the chest tube.
- I know.
I know.
He's gonna be okay.
Let's go, let's go.
Sats are stable.
Let's pack her for transport.
- Get her to the Medevac.
- She needs a bronchoscopy first.
No, she's gotta go.
Now.
Do not make me pull you off this patient.
You're not pulling rank on me.
Not this time.
Ethan, stop.
Take a moment.
Consider what he's saying.
She doesn't have a moment.
Leanne, do you trust me or not? This is too much for her to bear.
If Ethan wants to take her to get the help she needs, he is doing it.
You need consent, I am next of kin.
I give consent.
All right, guys, that decides it.
- Thank you.
- All right, let's do it.
Let's go! All right.
Pressure's dropping.
Pressure's too low.
Vein's collapsed.
I can't find it.
I need the ultrasound.
- I got it, Dr.
Kean.
- It's on me.
It's my responsibility.
- You've done enough.
Step back.
- Please, I can do it.
Dr.
Kean, step back.
Okay.
Let's hook him up.
You're gonna be okay.
I know it.
Please take care of my girl.
She's all I have.
Jae Eun, why do you trust me? Because you love her.
She's right, isn't she? You love her.
- I need her to live.
- That's not what I asked.
I'll try to check on him in a little bit.
So what? That That's it? I don't have time for kids.
Me neither.
Well, uh, he's your son.
Yes, he is.
- And I love him.
- Angus.
He knows my name? I guess he does.
You could still be his friend, you know.
Hi, Dominic.
Did you fix me? Yeah.
You have a very strong heart.
So he's gonna let her go solo.
Told her she had to.
Said it was his dream, but she was the talent.
Huh.
Hey, um, I never got a chance to tell you.
Rorish is putting me up for the attending position.
- Is that what you want? - Are you kidding? Of course.
I mean, it's the dream, isn't it? And This is where I wanna be and and you're not happy for me.
I-I am.
I hope you get it.
'Cause I haven't said yes yet.
I don't wanna hold you back.
Hold me back.
What? Sometimes I feel like I'm holding you back from teaching me because - Because we're together.
- Yeah.
And in a weird way, it means I'm holding myself back.
Does that make sense? I think so.
I won't let you hold me back.
And I won't let you hold yourself back.
So, uh, Dr.
Kean, next time I tell you to get a C - before placing a chest tube - I'll get the CT.
Good.
I'll see you at home.
I just talked to my dad about the Rowland-Grant OB Residency.
Why? It's good news.
He's gonna get you an interview.
What? Really? Yeah.
I raved about you.
He raved about you.
Let me think about it.
I-I don't wanna have to go back and tell him to forget it.
Don't.
Just, um, keep it between us.
Us? Is there trouble in paradise? No.
I just wanna think about it.
Cool and the gang.
Uh, easy.
- There.
- Where we going? Your transplant is scheduled for tomorrow.
And you're gonna need another day of recovery before your next surgery.
Frank changed his mind? No, he always wanted to give.
Fate has intervened.
The head of anesthesiology and surgery has signed off.
Any idea what convinced them? You.
We all wanna make sure that you two had the chance - to make up for lost time.
- This is really happening.
So you're gonna give me a sliver of your liver, after all? That's what family's for.
Oh, congratulations, by the way.
You and Ariel.
Jesse told me.
You know, motherhood becomes you.
I just wanna go home before she wakes up, make breakfast, and celebrate.
Then go do what you gotta do.
Thanks.
Dr.
Rorish, the attending position I don't need three days to think about it.
I want it, and I won't let you down.
I know you won't.
There's my Norma Rae! Nobody messes with our family! Go home already! Tell your daughter the good news! - Whoo-hoo! - Whoo! Ariel? You up yet? Ariel? Ariel? Hold on.