Code Black (2015) s03e12 Episode Script
As Night Comes and I'm Breathing
1 You think you're smarter than your Mama because you have an M.
D.
? Believe me, you're not.
Clear center stage.
Okay, we're on our way in.
Clear.
Free fluid in the ultrasound.
Hold still in there.
Scalpel.
- It's my patient.
I'll do it.
- Okay, heart rate dropping.
- Not today.
- Get ready to defibrillate.
Sats are stabilizing.
It's okay.
We're gonna take care of you.
I'm not going anywhere.
I like it.
I mean, for what it is.
Give us a minute, son.
My little girl is out there somewhere, and all you can do is tell me to wait? We are looking, Dr.
Rorish, but we find that runaways at her age are usually with friends.
I told you, we already checked everyone.
All her friends? Girls don't always tell their moms about boyfriends.
Her boyfriend just died.
Right.
Max.
But there are no texts on her phone with him.
I told you.
She deleted them all.
Her heart was broken.
I understand.
It must've been hard on her.
We'll let you know when we have more.
Wait, wait, wait.
Wait.
What I I'm just supposed to pace around my house until then? She means, "Thank you.
" I knew she was lost when Max died.
I should've handled it differently.
Oh.
If anything happens to her Rox! Okay, okay.
It was a hit and run.
You're not my wife.
You're not my girlfriend.
You're not my shrink.
Ethan, she's gonna wake up, right? - I need her to live.
Hold on.
- Rox! General Adams, 7635.
General Adams, 7635.
Excuse me? Do you have the results of the scan? The MRI? We did it over three hours ago.
- I-I don't know.
- But you know who to ask, right? The General who performed the operation? - Please.
Please just go ask him.
- Okay.
Dad, you're killing me.
Just tell me what the board said.
We'll talk about it later.
Okay, fine, but you could at least tell me - what you thought about it.
- I love it if I want lawsuits against my hospital and my son to waste his education.
I love it like something I wish never happened.
"The Shining" got panned, too.
What do critics know? He's never been short of confidence.
I recognize some of these faces from the film.
Shouldn't you properly introduce me? Everybody, this is my father, Oscar Avila.
Dr.
Savetti, third year, Dr.
Dixon, and Dr.
Kean.
- She's the one I told you about.
- Told me what? - You know, you made that call for her.
- Uh, what call? - No idea.
- Doesn't matter.
Oh, wait.
Is this the OB thing? Yeah.
My assistant did that, but you'll get it.
Okay, people, let's gather.
Leanne hasn't gotten any news on Ariel, and Willis is still with Rox.
We're down two excellent doctors, which means we're gonna have to step it up.
Let's make 'em proud.
Should be easy.
It's super slow today.
- You never say that.
- What are you doing? We've got incoming.
Okay, guys.
Let's go.
Come on.
- Hey, can we get some help over here? - What happened? Campus Spring Fling, and the stage just blew over.
Not enough ambulances, so some of us just started grabbing people and bringing 'em in.
- This is Logan.
- Crowd was going crazy.
I got trampled.
- Are you in any pain? - In my chest.
How many people were hurt back there? - No idea.
- What do you got? 19-year-old male with crush injury to the abdomen.
- Pulseless on arrival.
- How long's he been down? Compressions for 10 minutes.
Never regained pulses.
Let's go.
What have you got? 40-year-old female, 32 weeks pregnant.
Pillar fell on right leg.
Obvious deformity.
- No distal pulses.
- Can you tell me your name? Keri.
Is my baby okay? We're gonna find out.
Let's go.
Somebody call an OB.
We need a portable fetal monitor.
- On my count.
Ready? One, two - I can't deliver yet.
She needs at least four more weeks.
- Intubation kit.
- B-lines.
Pleural effusion.
Get a chest x-ray now.
- I paged everybody to come in.
- Thanks, Risa.
Not Leanne, right? She's on the list.
She was paged automatically.
- Pulse check.
- Nothing.
- 20 minutes down.
- Cardiac standstill.
Any suggestions? Time of death 11:07 A.
M.
Where do you want this one? We don't have room for that bed.
We have too many people out there.
What do you want me to do? - Hey.
- This patient's - Can we get more doctors out there? - Which bed are we swapping out? - Everybody, stay focused! - There's too many out there.
Hey, hey, hey! Risa, move that bed out.
Elliot on the next one.
Noa with Diego.
Jesse, give me a hand over here.
Last I heard, you weren't an attending yet.
I'm senior to you.
Move.
Okay.
It's okay.
She's been here a week.
It's time to wake her up.
Have you slept at all since you've been here? Her CK levels are through the roof.
She's got pneumonia.
I'm not taking her out of the coma until her swelling decreases to my satisfaction.
- Her kidneys are failing.
- That's reversible.
Death is not.
You're gonna kill her playing it safe.
Watch your tone, Colonel.
I'm your superior officer, and not a patient one.
Now you're not allowed back in that room until you've rested.
And put on a damn uniform.
What are you looking at? - Will you take a look at this? - I don't work here.
But you're a doctor, right? Don't I look like a guy who needs a doctor? Whoa.
Oh, hang on.
No.
This can't be happening.
This can't be happening.
No perfusion.
Keri, we need to reset your leg.
No, my baby is more important.
Please.
And we're gonna save both.
But first, we have to get blood flow back to your leg.
One, two Pressure's dropping.
Diego, I need that scalp bleeder stopped now.
Tie faster.
Tie faster.
You know what? Staples are much faster.
Watch.
Diego, focus.
Staples aren't enough to stop the bleed here.
Dr.
Kean, suture the wound.
Good cardiac activity.
No placental abruption.
What does that mean? It means your baby's doing great.
OB's on their way down to make sure, okay? - Dr.
Campbell.
- Dr.
Savetti, looks like you got this.
Okay.
Dr.
Rorish.
I-I was paged.
- Leanne.
- No, no, no, no.
I need to be helpful.
Uh, I'll get a gown.
Leanne, come on.
Let's go.
Let's get you out of here.
Dr.
Dixon, status update.
Negative FAST, drawing labs, then we'll send up to CT.
- Good.
What's going on here? - Sutures are in.
Bleeding has stopped.
So when were you gonna tell me about this OB program? When I had something to tell.
- It's just an interview.
- Diego, I got this.
But, uh, you wanna be an OB? I don't know.
Possibly.
Okay.
Why don't you take my pregnant patient? Wait, what about this guy? You can take him upstairs.
Get him to CT.
You cut through three of your flexor tendons.
- How'd this happen? - Punched a window.
- Yeah? Why'd you do that? - Ah, it was looking at me funny.
Well, you're gonna have to see a hand surgeon sometime - in the next two or three weeks.
- Ah, I'm fine.
I got another hand.
Besides, I'm trying to fly under the radar.
Don't want this to screw up my next tour.
I'm supposed to ship out in a few weeks.
- How many tours? - This will be three.
Two was enough for me.
Rather die a hero than a bum.
I'd rather not die at all.
Well, everybody dies.
Come on.
You gonna keep this quiet or It's none of my business.
That's a cool tat.
Whose idea was that? My brother's.
I got the same one.
Well, thanks, buddy.
I owe you one.
Sure.
No, seriously.
If you need anything The only thing I need right now is a key - to the radiology reading room.
- For what? There's some scans I need to look at.
They probably got those on the computer, though, right? Yeah.
Well, this is your lucky day.
I'm sorry they paged you.
I thought a distraction would be helpful.
I can't seem to do anything, Will.
Are you sure that Emily hasn't heard from her? I asked her.
She hasn't heard a word.
Well, maybe I should ask her myself.
Maybe she's covering.
- She doesn't know anything.
- You don't know that! I should ask her myself.
- What? - We're your friends.
Don't turn us into enemies.
I don't know if she's hurt.
I don't know if she's scared.
I don't know if she's alive.
She is.
The police will find her.
I know it.
Your baby's heart rate is strong and steady.
- Oh, thank God.
- How does your leg feel? We can give you some meds for the pain.
No, I don't want anything that'll affect my baby girl.
Well, she'll feel a little sleepy, just like you.
But if you're in pain, that causes stress on your body, and she can feel that, too.
We'll do whatever you want.
Okay.
Um just a little.
- Keri? - Dad.
- Are you okay? - I'm fine.
Baby's fine.
You were all alone? No, I was with 400 of my closest students.
But nobody with you.
See, you need someone to take care of you.
Mom, you are going to make this about me not being married? Do you really think a husband could've stopped a stage - from falling on me? - She didn't say that.
"Why couldn't you just marry a nice man instead of starting a family with a freezer pop?" Don't be crass.
What's wrong with doing things the old fashioned way? I was tired of waiting for someone else to make my best life.
I can make it myself.
We can make it ourselves.
I just think it's You ready for surgery, Ms.
Markwith? I was, but my daughter Tabitha has been doing some research.
I have.
Actually, is the neurosurgeon available to speak? We could see if he has a minute to go I can answer some questions.
Okay, um, the awake surgery seems risky.
Yeah, um, all surgeries do come with some risk.
- What about chemo? - Chemo is effective, but it won't repair your mother's motor function.
And I can't play the piano without my motor function.
This is about the piano? You know how much it means to me.
This surgery is incredible.
Your mother will actually be conscious, playing the piano so that the neurosurgeon knows exactly what areas of the brain to avoid.
All right, look, no offense, Doctor, that sounds cool, but that's not what I asked.
Tabitha.
- I'll be fine.
- I would rather you be able to play with your grandkids than play the piano.
- I'll be able to do both.
- You don't know that.
Doctor, could you please let the neurosurgeon know that we need to consult with him again? Sure.
Okay.
All right, all right, all right.
Okay, okay.
- Where does it hurt? - It's my head.
It's killing me.
All right, all right, let me take a look.
All right, you have a septal hematoma.
- Use a 15 blade.
- Wait, what? It's a mass of blood in the membrane between your nostrils.
We're gonna have to drain it.
Dr.
Avila, I'm gonna need you to insert the scalpel in the nostril slowly.
Be careful of the pressure.
- Ah! - Damn it.
Easy now, easy.
That's too much pressure.
- You sure he knows what he's doing? - Moving's gonna make it worse.
Are you seriously blaming me? Bro, I've got a scalpel in your face right now.
Just calm down.
All right, we're gonna have to stop this bleeding.
Let's get some more four by fours, please.
Damn it.
What are you doing here? We're in and out of meetings all day.
Looks like I picked the wrong time for a tour.
Dr.
Avila.
Now.
Join me for lunch when you're done.
- Unbelievable.
- What? She's all better? Well, the swelling has gone down considerably.
It's time to get her out of that coma.
- But the other guy doesn't want to.
- He's wrong.
I'm gonna wake her up myself.
Cool.
How can I help? - Leanne.
Hi.
- Owen.
I'm sorry to bother you.
I'm sorry I didn't call you back.
Ariel's missing.
Missing? She ran away, we think.
I don't know.
I'm grasping at straws.
I was hoping maybe I could look at Max's phone.
Maybe there'd be something in his texts with Ariel, something that would help me figure out where she is.
I wanna help, Leanne.
I do.
But I do.
I know this is a difficult time.
I haven't even been into his room since he, uh I'm just not ready.
I understand.
But she's out there somewhere.
Well, she'll come back.
Of course.
I'm so sorry.
Leanne.
Wait.
I should offer you some coffee or something.
- Do you want coffee? - No.
- I-I just can't seem to - I know.
Why don't I get the phone? Best hot dogs in the city.
I don't think a lot of people share that opinion.
Your mom and I used to sneak in here for these things.
My first gig, 3 bucks an hour driving around for that slumlord, Jim Mead.
Any building on a decent block with at least two broken windows, he bought it.
Yeah, I know the story, Dad.
When the bubble burst, Jim Mead was so far upside down, he couldn't find the floor.
I bought him out pennies on the dollar.
You know, I showed the documentary to a professor from one of my old film classes.
He loved it.
He's Oscar-nominated.
I'm not.
I'm just trying to do what's right for this hospital.
Your movie makes this place look risky.
But we save lives.
That's the whole point of the film.
I'm shutting it down.
- No, you can't do that.
- It's my money.
Why would you even let me do it in the first place - if you're just gonna do this? - You asked.
I was hoping you'd surprise me, but as usual, you didn't have the follow-through.
Fries could be better.
Another one from the stage collapse? She was trapped for hours.
They just found her.
- BP's 70 over 40.
- What happened to her? Is she okay?! Is she okay? Hang another liter of NS and give me the ultrasound.
Right away.
- Here you go.
- Gloves.
- All right, what do you see? - Sternal fracture with a fluid collection compressing the heart.
Retrosternal hematoma.
She needs the OR, but right now, it's causing tamponade physiology.
Jesse, give me an 18 gauge long needle and 20cc syringe.
Pressure's dropping.
- Push 1 epi.
- Coding, Dr.
Savetti.
You want compressions? No, she needs a needle decompression now.
Okay, slow down, watch the monitor.
We need to maneuver the needle right - I'm in.
- All right, then.
Okay, pressure's coming up.
Heart rate's improving.
Let's get her up to surgery.
Let's go.
What? Just proud of you, that's all.
Logan.
Logan, come on.
Come on, relax.
Relax, okay.
- That woman! Is she okay? - Who? - I don't know her name.
- Okay, heart rate is 140.
Dr.
Avila, let's push 1 of ativan.
You should start to feel better right about now.
Okay.
Now you wanna tell us what that was about? Nothing.
People don't usually have panic attacks for no reason.
When the stage went down, I panicked.
I ran.
Well, it sounds like that's what everybody did.
You don't get it.
I ran.
I pushed.
I pushed her out of my way.
I'm an offensive lineman.
I'm on scholarship for one reason To protect people.
But in real life, when push came to shove - You pushed and you shoved.
- Dr.
Avila.
That's literally what he did.
No one knows how any of us would react in the same situation.
Point is, it's not your fault - that that woman got hurt.
- Yes, it is.
That's enough, Dr.
Avila.
Now, Logan, I want you to get some rest, okay? You've had a tough day.
Dr.
Avila, a word, please.
You wanna tell me what you're doing in there? I'm just telling the truth.
No.
No, you're angry.
That's the truth.
The board saw your movie, and they didn't like it.
You think I care what they think? You care what your father thinks.
Dr.
Kean, what's going on? You feel hot.
I think you have a fever.
Any pain? - Not really.
- Where are your parents? They were driving me crazy.
I sent them for coffee.
Why? Is it bad? Listen, Keri, I'm gonna figure this out, but I need to check to see if your water broke.
You're doing great.
You're gonna feel a little pressure.
Hey.
- Possible infection.
- Did you increase fluids? - She's on her third liter.
- Hey.
Deep breaths.
Do you have a name picked out yet? I do.
But you're gonna laugh.
I'm a girl named Noa.
Try me.
- Peregrine.
- Wow.
I know it's crazy, but it's a family name, and I sort of love it.
It's beautiful.
- Ferning.
- Mm-hmm.
That tells me that this is amniotic fluid and your water did break.
So we need to start you on antibiotics and fluids and deliver this baby sooner rather than later.
But is she okay? She's fine.
She's just ready to meet you.
I'll go find your parents and let 'em know.
Good.
It's just another reason for my mom to say I told you so.
She's gonna be a grandma.
She'll be thrilled.
So you consulted with the surgeon, I hear you're still trying to decide.
My daughter thinks it's just too risky - and chemo is less invasive.
- Well, she's right, actually.
You're scared, and I get it.
My brother was in a coma last year, and I was alone, fighting with everyone in the room because they wanted to be safe.
But I chose the aggressive course, and I was right.
You mean you were lucky.
Least with chemo, we know exactly what we're getting.
There are minimal downsides to surgery.
We can repair your mother's brain.
She'll still be her, and her gift will still be intact.
You can't say that for sure.
But with chemo, we can only shrink the tumor.
We cannot give her back her ability to play.
Honey, that's really important to me.
I feel lost without being able to play.
I don't care about that.
To me, you're not the great and talented Vicky Markwith.
You're my mom.
This isn't about emotion.
This is science.
20 years ago, we couldn't cure your mother, but now we can.
We can give her everything she wants.
With chemo, you are dooming your mother's chance to ever play the piano again.
But with this surgery, she will have it all.
Sweetheart, I'm gonna try.
Oh.
See you in there.
I'm sorry, minimal downsides to removing a brain tumor? Chemotherapy isn't a cure.
What if someone took away your ability to be a doctor? I would rather spend time with my family than take a risk like this.
Well, you're not me or her.
It's what she wants.
Because you convinced her.
I helped my patient make the right choice.
Angus - Are you sure you're okay? - Yeah, yeah.
Sort of.
Maybe it'd be better if we just said it out loud.
I'll be Max, and you do Ariel.
That's better? I don't know.
I mean, it can't be any worse.
Uh, there.
Okay, uh, "roflamayo.
" I have no idea what that means.
R-O-F-L-M-A-O.
Everybody knows what that means.
Oh.
Um, well, try again.
Into character.
"How's it going over in Siberia?" "Freezing.
Duh.
" Icicle emoji.
- "How about Antarctica?" - "Warm.
Very warm.
" "#globalwarmingisreal.
" Crying face emoji.
Huh.
He was funny.
He was.
You okay? Let's keep going.
Uh "T-B-H.
Low-key nervous"" "It's a house party.
Everyone's super chill.
Joy's the best.
" "Joy's boyfriend is, like, 30, "and he carries a knife? Joy's totes sketch.
Emily seems to think so, too "" - What? Who's Joy? - I have no idea.
Keep going.
"Emily's going.
" What and then it stops.
That's it.
You're gonna be fine.
It's time to wake up.
So this surgeon is a one-star general you flew halfway across the state to see and now you're saying he's all wrong.
Just trying to save my friend.
Your friend? What's that supposed to mean? Do you love her? I'm gonna take that as a yes.
When's she supposed to wake up? Soon.
What happened? I don't know.
Well, you don't have much time.
Somebody had to have heard that.
She doesn't need much time.
Just a few more minutes, and she's gonna be able to breathe on her own.
- Damn it.
- What? - There's an obstruction.
- Sounds bad.
It's okay.
It's just being on the vent too long.
Her pneumonia's worse.
It's okay, it's okay.
- Just mucus in the tube.
- She doesn't look okay.
You know that nurse is gonna call on the cavalry.
I don't care who she calls.
No breath sounds on the left.
- You gotta call for help.
- I don't need any help.
She popped a lung.
That's what happens when infections get out of hand.
Step away from my patient.
I would, General, but my finger's keeping her lung open.
You wanna glove up and help me put in this chest tube? Hand me the tube, please.
Make sure you clamp the distal end.
This is my 7,000th chest tube.
I got it.
You're awfully cocky for a guy who just caused a collapsed lung.
You caused this by keeping her on the vent too long.
You don't know that.
I told you, this is my 7,000th chest tube.
I know what I'm doing, and I know what happened.
And I know you better extubate her when we're through here.
Don't put her back on sedation just to spite me.
I don't treat patients out of spite.
Now step away from my patient.
Are you gonna extubate her? I've given you an order, Colonel.
Now step off.
Enough with the opening act, time for the headliner.
Nurse.
Okay, Vicky, Dr.
Edlen's gonna start to remove your tumor now.
Any requests? - Debussy? - Man after my own heart.
- "Reverie"? - Deep cut.
I love it.
- Have you ever heard her play before? - Nope.
My husband had a box at the Phil for five seasons.
Her Schumann "Concerto in A Minor" is the only performance we've ever agreed on.
It's beautiful.
Freeze.
What happened? Ah, we poked where we should've prodded.
Don't move out of the field.
Okay, Vicky, can you pick it up from there? Thattagirl.
Hmm.
Steady hands.
So what year are you? Third year.
Well, first year.
I just switched into surgery.
I'll be sure Dr.
Campbell knows he trained you well.
Just like I told my dad, I haven't heard from Ariel in a week, and I don't know Joy.
According to Max, you do know Joy.
Emily.
I know you wanna protect Ariel, but that's my job.
I'm her mother.
No matter what else happens, no matter how short a time we've been in each other's lives, I'm her mother.
I need her to be home with me.
I need her to be safe.
It's my job to help with she's going through.
It's my job to hold her and to tell her that everything's gonna be okay.
And I really, really need to tell her that.
And frankly, I need her to tell me that, too.
She told me not to tell.
- Is she with Joy? - Yes.
Where does Joy live? Nowhere.
She was in foster care like Ariel, but it didn't work out.
That's probably why Ariel gravitated to her.
If she doesn't have a home, where does she stay? Joy and some other kids they crash in different places around town.
I think I remember Ariel saying something about the 8th Street Bridge.
That's near Angels.
Emily, you're a good friend.
You did the right thing by telling us where she was.
But you're grounded till college.
Dr.
Kean, right? Right.
Are you looking for Diego? - I can have him paged.
- Oh, that's all right.
If you see him, just tell him I said goodbye.
Sure.
And, uh, listen, thanks for making that call.
Or having your assistant do it.
No trouble.
Literally.
But how about I do you a real favor? That's not necessary.
- What's not necessary? - We're all having dinner.
We help Dr.
Kean prepare for her interview, and I get to pick her brain about how you're really doing here.
- I'm doing fine here.
- He is.
Well, I hope you'll consider it.
I know everybody at that hospital, and most of them owe me one.
Diego, always a pleasure.
- He's, uh - A douche? Yeah.
It's his best quality.
- Dr.
Savetti.
- You're leaving? I have a personal situation to deal with, but the hospital's in good hands.
I watched you today.
You were tested.
See, you could've shied away from the challenge, but you demanded the ball, and you didn't let your team down.
Thanks, I, uh, appreciate that.
The job's yours if you want it.
- The attending spot? - Dr.
Savetti, catch up.
There's somewhere I need to be.
Accept it or don't.
- I want it.
- There you go.
- Hey, sorry.
- Yeah.
Yes! - What's going on? - There's something wrong.
- She's found some trees.
- I'm afraid your mother is suffering from receptive aphasia.
It's a form of language impairment that affects - the production of speech.
- Well, how long's it last? If she works with a speech therapist, - it could improve.
- But there are no guarantees.
No.
That is not what he said.
He said there was no downside! With the paintings, they they they thank us.
You made me believe! We would've never agreed to the surgery if we understood what we could lose.
Dr.
Leighton, what exactly did you tell her? You put her at risk of worsening brain hemorrhaging, swelling I saved her life and you'll know it, too, when she wakes up.
If she wakes up.
Colonel Willis, I'm placing you under arrest.
- What? - You violated a direct order and endangered a patient.
Get off me! You're making a big mistake.
Get him outta here.
- Dr.
Guthrie! - What happened? I don't know.
He just he couldn't catch his breath.
All right, relax.
Decreased breath sounds on the left.
I repeated his ultrasound when he started getting worse.
Okay, show me.
Okay.
Left-sided pleural effusion.
He had a small one when he came in, - but now, I mean, it's huge.
- Okay.
What's your next step? You know.
A ch-chest tube.
All right.
Okay, Logan, listen to me.
Fluid has collected around your left lung, and we're gonna have to insert a tube to drain it, all right? - Give him 8 milligrams morphine.
- Just relax.
Just relax.
All right.
Remember the anatomy.
Okay.
Mid-axillary line.
Fourth intercostal space.
- Okay.
I think I got it.
- There we go.
- What the - Okay, step back, step back.
Okay.
Hey, we need help over here! Coming up.
Dr.
Kean, something's wrong.
Keri? What's going on? - I can't breathe.
- Mario! What what's happening? Lungs are clear.
Mom.
The baby.
The doctors are taking care of you, sweetheart.
Everything will be fine.
- Promise me.
- Oh, my God.
Is she gonna be okay? Severely dilated RV, reduced systolic function.
- PE? - Maybe or an amniotic fluid embolism, possibly a fat embolism.
- Acute heart failure.
- Heart failure? - Oh, god.
Keri.
- Mom.
Take care of her.
You will take care of her.
You'll be fine.
Promise her.
- I promise.
- Okay, start compressions.
Let's get her to center stage.
Starting compressions.
Okay, let's move.
Give her some room, people.
This patients needs a thoracotomy, Dr.
Avila.
- You're up.
- No, I've never done one.
Don't worry.
You're ready.
You're in the right atrium.
- Try pulling back on the syringe.
- I'm trying.
There's still nothing.
- There's no more time.
- I know.
We have to save the baby.
We need to do a crash C-section.
Okay, bleeding is from the left lung.
Dr.
Avila.
Listen to me, your problem is nobody's told you what you're good at.
Well, I'm telling you now, you're good.
You can do this.
I've seen your work, son.
Don't give up now.
- Heavy arterial bleed from the hilum.
- Mm-hmm.
- I can't tie it off.
- Yes.
Yes, you can.
I-I don't know.
It's too proximal to clamp.
Shh, shh, shh, shh, shh.
Feel it.
Yes.
In med school, I read about this thing.
Can we twist the lung on itself to cut off the bleeding? You bet we can.
- All right, Dr.
Guthrie, hold the base.
- Yes.
The bleeding stopped.
Yeah.
All right, let's get this patient to the OR.
Good work, son.
Still no pulse.
Do not stop compressions.
She needs to see her baby girl.
Come on.
- You got this.
- Here she comes.
- That's it.
- Got her.
That's it.
She's not breathing.
We need suction over here! - Noa, you need help? - Don't stop compressions.
Come on.
Come on.
Come on.
- Come on! - Come on.
Come on.
Come on.
- Come on.
- Come on.
Time of death 6:42 p.
m.
6:42 p.
m.
, same time as birth.
All right.
Excuse me.
Have you seen this person? No? Have you seen this person? I'm sorry to drag you into this.
It's okay.
I'm glad I'm here.
Thank you for coming, Mama.
- Hey, guys.
- Have you seen this person? No? Have you seen this person? Her name is Ariel.
What about someone named Joy? You know someone named Joy? Does that ring a bell? Okay, thanks.
Is that water from over there? It's a piano, Mom.
- Will they be there? - Well, it's from pediatrics.
It's not what you're used to, but the sound quality will be much better than the keyboard.
And I don't know.
I figure that it would be a good way for you - to express yourself.
- Do you wanna play it.
- I pick the sky.
- Can she walk? - I did.
- Yeah, of course, if she wants to.
Here.
Let me help you, Ms.
Markwith.
We'll play together, okay? Oh.
Water.
For the ocean.
Tabitha? She, uh She wrote this song for me when I was a baby.
She used to sing it to me all the time.
For the ocean.
I think your mother's asking for you to sing it to her.
As night comes, and I'm breathin' As day breaks, and I'm dreamin' Slow breeze dances in the grain Of the answers on a passing train So hold on Hold on Shafts of light through the window A golden sand and a deep breath grin Tiny hand and a flashbulb spin Her baby is fine, though.
We performed a C-section.
She's 32 weeks, but totally healthy.
Where's Keri now? I can take you to her.
Okay, thank you.
First, I need to see her daughter, our granddaughter.
I promised her.
Rest your tired eyes Hey, what's going on? You just got put through the freakin' ringer.
I probably deserved it, huh? Yeah, for sure, but you're gonna make it.
- What about the girl? - She's fine.
Post-op for a few days, but there's nothing to worry about.
I owe you an apology.
Everyone gets scared.
I know I do, so I'm sorry, okay? I was in no position to judge you.
What are you scared of? It doesn't matter.
I'm so high right now.
I'll never remember anything you said.
All right, well, just try to remember this, all right? You're only human.
You're gonna disappoint yourself, man, but you're also gonna surprise the hell out of yourself, do things you never thought you could do as long as you don't give up.
She's beautiful.
What do we call her? Her name is Peregrine.
Keri named her after me.
I had no idea.
Hey.
Hold up.
Listen, I'm sorry about your patient.
You know there's nothing you could've done.
I know.
I know.
You did great, though.
- You, too.
- Yeah.
I heard about the attending job.
- Yeah.
- Congratulations.
You don't seem happy.
I am.
It's just, uh, the OB program that Mr.
Avila put me up for? Yeah.
It's in Philadelphia.
Uh, you can't do a program here? They have the best in the country.
I wanna be the best.
You of all people should get that.
You're so good at what you do here.
- No, I just - Mario.
Do you know how good you are at what you do? And you love it.
I want that for me.
Can you understand that? Of course.
So, uh, well, are we supposed to do this long-distance or Oh.
You wanna break up.
I don't want to, Mario, but But we can't hold each other back, right? - I mean, that's what you said.
- We said it.
Might as well end it now.
We don't know anything yet.
Sure we do.
I'm so happy for you, Noa.
I really am.
Have you seen this person? - Have you seen this person? - No? Ariel? Hey! What the hell is wrong with these people? They're wondering the same thing about you.
I did the right thing.
I'd do it again.
I don't have any doubts.
I know you always do the right thing.
How would you know? What is going on here? What do you mean? What is that on your arm? Who are you?! Who are you?! You know who I am.
You've known all along, haven't you? Guards! Guards, I want him out of here! I want him out! Get him out! This is why I called you.
How long has this been going on? Not sure.
I have him on a 72-hour psych hold.
Rest your tired eyes Tonight Ethan? Tonight
D.
? Believe me, you're not.
Clear center stage.
Okay, we're on our way in.
Clear.
Free fluid in the ultrasound.
Hold still in there.
Scalpel.
- It's my patient.
I'll do it.
- Okay, heart rate dropping.
- Not today.
- Get ready to defibrillate.
Sats are stabilizing.
It's okay.
We're gonna take care of you.
I'm not going anywhere.
I like it.
I mean, for what it is.
Give us a minute, son.
My little girl is out there somewhere, and all you can do is tell me to wait? We are looking, Dr.
Rorish, but we find that runaways at her age are usually with friends.
I told you, we already checked everyone.
All her friends? Girls don't always tell their moms about boyfriends.
Her boyfriend just died.
Right.
Max.
But there are no texts on her phone with him.
I told you.
She deleted them all.
Her heart was broken.
I understand.
It must've been hard on her.
We'll let you know when we have more.
Wait, wait, wait.
Wait.
What I I'm just supposed to pace around my house until then? She means, "Thank you.
" I knew she was lost when Max died.
I should've handled it differently.
Oh.
If anything happens to her Rox! Okay, okay.
It was a hit and run.
You're not my wife.
You're not my girlfriend.
You're not my shrink.
Ethan, she's gonna wake up, right? - I need her to live.
Hold on.
- Rox! General Adams, 7635.
General Adams, 7635.
Excuse me? Do you have the results of the scan? The MRI? We did it over three hours ago.
- I-I don't know.
- But you know who to ask, right? The General who performed the operation? - Please.
Please just go ask him.
- Okay.
Dad, you're killing me.
Just tell me what the board said.
We'll talk about it later.
Okay, fine, but you could at least tell me - what you thought about it.
- I love it if I want lawsuits against my hospital and my son to waste his education.
I love it like something I wish never happened.
"The Shining" got panned, too.
What do critics know? He's never been short of confidence.
I recognize some of these faces from the film.
Shouldn't you properly introduce me? Everybody, this is my father, Oscar Avila.
Dr.
Savetti, third year, Dr.
Dixon, and Dr.
Kean.
- She's the one I told you about.
- Told me what? - You know, you made that call for her.
- Uh, what call? - No idea.
- Doesn't matter.
Oh, wait.
Is this the OB thing? Yeah.
My assistant did that, but you'll get it.
Okay, people, let's gather.
Leanne hasn't gotten any news on Ariel, and Willis is still with Rox.
We're down two excellent doctors, which means we're gonna have to step it up.
Let's make 'em proud.
Should be easy.
It's super slow today.
- You never say that.
- What are you doing? We've got incoming.
Okay, guys.
Let's go.
Come on.
- Hey, can we get some help over here? - What happened? Campus Spring Fling, and the stage just blew over.
Not enough ambulances, so some of us just started grabbing people and bringing 'em in.
- This is Logan.
- Crowd was going crazy.
I got trampled.
- Are you in any pain? - In my chest.
How many people were hurt back there? - No idea.
- What do you got? 19-year-old male with crush injury to the abdomen.
- Pulseless on arrival.
- How long's he been down? Compressions for 10 minutes.
Never regained pulses.
Let's go.
What have you got? 40-year-old female, 32 weeks pregnant.
Pillar fell on right leg.
Obvious deformity.
- No distal pulses.
- Can you tell me your name? Keri.
Is my baby okay? We're gonna find out.
Let's go.
Somebody call an OB.
We need a portable fetal monitor.
- On my count.
Ready? One, two - I can't deliver yet.
She needs at least four more weeks.
- Intubation kit.
- B-lines.
Pleural effusion.
Get a chest x-ray now.
- I paged everybody to come in.
- Thanks, Risa.
Not Leanne, right? She's on the list.
She was paged automatically.
- Pulse check.
- Nothing.
- 20 minutes down.
- Cardiac standstill.
Any suggestions? Time of death 11:07 A.
M.
Where do you want this one? We don't have room for that bed.
We have too many people out there.
What do you want me to do? - Hey.
- This patient's - Can we get more doctors out there? - Which bed are we swapping out? - Everybody, stay focused! - There's too many out there.
Hey, hey, hey! Risa, move that bed out.
Elliot on the next one.
Noa with Diego.
Jesse, give me a hand over here.
Last I heard, you weren't an attending yet.
I'm senior to you.
Move.
Okay.
It's okay.
She's been here a week.
It's time to wake her up.
Have you slept at all since you've been here? Her CK levels are through the roof.
She's got pneumonia.
I'm not taking her out of the coma until her swelling decreases to my satisfaction.
- Her kidneys are failing.
- That's reversible.
Death is not.
You're gonna kill her playing it safe.
Watch your tone, Colonel.
I'm your superior officer, and not a patient one.
Now you're not allowed back in that room until you've rested.
And put on a damn uniform.
What are you looking at? - Will you take a look at this? - I don't work here.
But you're a doctor, right? Don't I look like a guy who needs a doctor? Whoa.
Oh, hang on.
No.
This can't be happening.
This can't be happening.
No perfusion.
Keri, we need to reset your leg.
No, my baby is more important.
Please.
And we're gonna save both.
But first, we have to get blood flow back to your leg.
One, two Pressure's dropping.
Diego, I need that scalp bleeder stopped now.
Tie faster.
Tie faster.
You know what? Staples are much faster.
Watch.
Diego, focus.
Staples aren't enough to stop the bleed here.
Dr.
Kean, suture the wound.
Good cardiac activity.
No placental abruption.
What does that mean? It means your baby's doing great.
OB's on their way down to make sure, okay? - Dr.
Campbell.
- Dr.
Savetti, looks like you got this.
Okay.
Dr.
Rorish.
I-I was paged.
- Leanne.
- No, no, no, no.
I need to be helpful.
Uh, I'll get a gown.
Leanne, come on.
Let's go.
Let's get you out of here.
Dr.
Dixon, status update.
Negative FAST, drawing labs, then we'll send up to CT.
- Good.
What's going on here? - Sutures are in.
Bleeding has stopped.
So when were you gonna tell me about this OB program? When I had something to tell.
- It's just an interview.
- Diego, I got this.
But, uh, you wanna be an OB? I don't know.
Possibly.
Okay.
Why don't you take my pregnant patient? Wait, what about this guy? You can take him upstairs.
Get him to CT.
You cut through three of your flexor tendons.
- How'd this happen? - Punched a window.
- Yeah? Why'd you do that? - Ah, it was looking at me funny.
Well, you're gonna have to see a hand surgeon sometime - in the next two or three weeks.
- Ah, I'm fine.
I got another hand.
Besides, I'm trying to fly under the radar.
Don't want this to screw up my next tour.
I'm supposed to ship out in a few weeks.
- How many tours? - This will be three.
Two was enough for me.
Rather die a hero than a bum.
I'd rather not die at all.
Well, everybody dies.
Come on.
You gonna keep this quiet or It's none of my business.
That's a cool tat.
Whose idea was that? My brother's.
I got the same one.
Well, thanks, buddy.
I owe you one.
Sure.
No, seriously.
If you need anything The only thing I need right now is a key - to the radiology reading room.
- For what? There's some scans I need to look at.
They probably got those on the computer, though, right? Yeah.
Well, this is your lucky day.
I'm sorry they paged you.
I thought a distraction would be helpful.
I can't seem to do anything, Will.
Are you sure that Emily hasn't heard from her? I asked her.
She hasn't heard a word.
Well, maybe I should ask her myself.
Maybe she's covering.
- She doesn't know anything.
- You don't know that! I should ask her myself.
- What? - We're your friends.
Don't turn us into enemies.
I don't know if she's hurt.
I don't know if she's scared.
I don't know if she's alive.
She is.
The police will find her.
I know it.
Your baby's heart rate is strong and steady.
- Oh, thank God.
- How does your leg feel? We can give you some meds for the pain.
No, I don't want anything that'll affect my baby girl.
Well, she'll feel a little sleepy, just like you.
But if you're in pain, that causes stress on your body, and she can feel that, too.
We'll do whatever you want.
Okay.
Um just a little.
- Keri? - Dad.
- Are you okay? - I'm fine.
Baby's fine.
You were all alone? No, I was with 400 of my closest students.
But nobody with you.
See, you need someone to take care of you.
Mom, you are going to make this about me not being married? Do you really think a husband could've stopped a stage - from falling on me? - She didn't say that.
"Why couldn't you just marry a nice man instead of starting a family with a freezer pop?" Don't be crass.
What's wrong with doing things the old fashioned way? I was tired of waiting for someone else to make my best life.
I can make it myself.
We can make it ourselves.
I just think it's You ready for surgery, Ms.
Markwith? I was, but my daughter Tabitha has been doing some research.
I have.
Actually, is the neurosurgeon available to speak? We could see if he has a minute to go I can answer some questions.
Okay, um, the awake surgery seems risky.
Yeah, um, all surgeries do come with some risk.
- What about chemo? - Chemo is effective, but it won't repair your mother's motor function.
And I can't play the piano without my motor function.
This is about the piano? You know how much it means to me.
This surgery is incredible.
Your mother will actually be conscious, playing the piano so that the neurosurgeon knows exactly what areas of the brain to avoid.
All right, look, no offense, Doctor, that sounds cool, but that's not what I asked.
Tabitha.
- I'll be fine.
- I would rather you be able to play with your grandkids than play the piano.
- I'll be able to do both.
- You don't know that.
Doctor, could you please let the neurosurgeon know that we need to consult with him again? Sure.
Okay.
All right, all right, all right.
Okay, okay.
- Where does it hurt? - It's my head.
It's killing me.
All right, all right, let me take a look.
All right, you have a septal hematoma.
- Use a 15 blade.
- Wait, what? It's a mass of blood in the membrane between your nostrils.
We're gonna have to drain it.
Dr.
Avila, I'm gonna need you to insert the scalpel in the nostril slowly.
Be careful of the pressure.
- Ah! - Damn it.
Easy now, easy.
That's too much pressure.
- You sure he knows what he's doing? - Moving's gonna make it worse.
Are you seriously blaming me? Bro, I've got a scalpel in your face right now.
Just calm down.
All right, we're gonna have to stop this bleeding.
Let's get some more four by fours, please.
Damn it.
What are you doing here? We're in and out of meetings all day.
Looks like I picked the wrong time for a tour.
Dr.
Avila.
Now.
Join me for lunch when you're done.
- Unbelievable.
- What? She's all better? Well, the swelling has gone down considerably.
It's time to get her out of that coma.
- But the other guy doesn't want to.
- He's wrong.
I'm gonna wake her up myself.
Cool.
How can I help? - Leanne.
Hi.
- Owen.
I'm sorry to bother you.
I'm sorry I didn't call you back.
Ariel's missing.
Missing? She ran away, we think.
I don't know.
I'm grasping at straws.
I was hoping maybe I could look at Max's phone.
Maybe there'd be something in his texts with Ariel, something that would help me figure out where she is.
I wanna help, Leanne.
I do.
But I do.
I know this is a difficult time.
I haven't even been into his room since he, uh I'm just not ready.
I understand.
But she's out there somewhere.
Well, she'll come back.
Of course.
I'm so sorry.
Leanne.
Wait.
I should offer you some coffee or something.
- Do you want coffee? - No.
- I-I just can't seem to - I know.
Why don't I get the phone? Best hot dogs in the city.
I don't think a lot of people share that opinion.
Your mom and I used to sneak in here for these things.
My first gig, 3 bucks an hour driving around for that slumlord, Jim Mead.
Any building on a decent block with at least two broken windows, he bought it.
Yeah, I know the story, Dad.
When the bubble burst, Jim Mead was so far upside down, he couldn't find the floor.
I bought him out pennies on the dollar.
You know, I showed the documentary to a professor from one of my old film classes.
He loved it.
He's Oscar-nominated.
I'm not.
I'm just trying to do what's right for this hospital.
Your movie makes this place look risky.
But we save lives.
That's the whole point of the film.
I'm shutting it down.
- No, you can't do that.
- It's my money.
Why would you even let me do it in the first place - if you're just gonna do this? - You asked.
I was hoping you'd surprise me, but as usual, you didn't have the follow-through.
Fries could be better.
Another one from the stage collapse? She was trapped for hours.
They just found her.
- BP's 70 over 40.
- What happened to her? Is she okay?! Is she okay? Hang another liter of NS and give me the ultrasound.
Right away.
- Here you go.
- Gloves.
- All right, what do you see? - Sternal fracture with a fluid collection compressing the heart.
Retrosternal hematoma.
She needs the OR, but right now, it's causing tamponade physiology.
Jesse, give me an 18 gauge long needle and 20cc syringe.
Pressure's dropping.
- Push 1 epi.
- Coding, Dr.
Savetti.
You want compressions? No, she needs a needle decompression now.
Okay, slow down, watch the monitor.
We need to maneuver the needle right - I'm in.
- All right, then.
Okay, pressure's coming up.
Heart rate's improving.
Let's get her up to surgery.
Let's go.
What? Just proud of you, that's all.
Logan.
Logan, come on.
Come on, relax.
Relax, okay.
- That woman! Is she okay? - Who? - I don't know her name.
- Okay, heart rate is 140.
Dr.
Avila, let's push 1 of ativan.
You should start to feel better right about now.
Okay.
Now you wanna tell us what that was about? Nothing.
People don't usually have panic attacks for no reason.
When the stage went down, I panicked.
I ran.
Well, it sounds like that's what everybody did.
You don't get it.
I ran.
I pushed.
I pushed her out of my way.
I'm an offensive lineman.
I'm on scholarship for one reason To protect people.
But in real life, when push came to shove - You pushed and you shoved.
- Dr.
Avila.
That's literally what he did.
No one knows how any of us would react in the same situation.
Point is, it's not your fault - that that woman got hurt.
- Yes, it is.
That's enough, Dr.
Avila.
Now, Logan, I want you to get some rest, okay? You've had a tough day.
Dr.
Avila, a word, please.
You wanna tell me what you're doing in there? I'm just telling the truth.
No.
No, you're angry.
That's the truth.
The board saw your movie, and they didn't like it.
You think I care what they think? You care what your father thinks.
Dr.
Kean, what's going on? You feel hot.
I think you have a fever.
Any pain? - Not really.
- Where are your parents? They were driving me crazy.
I sent them for coffee.
Why? Is it bad? Listen, Keri, I'm gonna figure this out, but I need to check to see if your water broke.
You're doing great.
You're gonna feel a little pressure.
Hey.
- Possible infection.
- Did you increase fluids? - She's on her third liter.
- Hey.
Deep breaths.
Do you have a name picked out yet? I do.
But you're gonna laugh.
I'm a girl named Noa.
Try me.
- Peregrine.
- Wow.
I know it's crazy, but it's a family name, and I sort of love it.
It's beautiful.
- Ferning.
- Mm-hmm.
That tells me that this is amniotic fluid and your water did break.
So we need to start you on antibiotics and fluids and deliver this baby sooner rather than later.
But is she okay? She's fine.
She's just ready to meet you.
I'll go find your parents and let 'em know.
Good.
It's just another reason for my mom to say I told you so.
She's gonna be a grandma.
She'll be thrilled.
So you consulted with the surgeon, I hear you're still trying to decide.
My daughter thinks it's just too risky - and chemo is less invasive.
- Well, she's right, actually.
You're scared, and I get it.
My brother was in a coma last year, and I was alone, fighting with everyone in the room because they wanted to be safe.
But I chose the aggressive course, and I was right.
You mean you were lucky.
Least with chemo, we know exactly what we're getting.
There are minimal downsides to surgery.
We can repair your mother's brain.
She'll still be her, and her gift will still be intact.
You can't say that for sure.
But with chemo, we can only shrink the tumor.
We cannot give her back her ability to play.
Honey, that's really important to me.
I feel lost without being able to play.
I don't care about that.
To me, you're not the great and talented Vicky Markwith.
You're my mom.
This isn't about emotion.
This is science.
20 years ago, we couldn't cure your mother, but now we can.
We can give her everything she wants.
With chemo, you are dooming your mother's chance to ever play the piano again.
But with this surgery, she will have it all.
Sweetheart, I'm gonna try.
Oh.
See you in there.
I'm sorry, minimal downsides to removing a brain tumor? Chemotherapy isn't a cure.
What if someone took away your ability to be a doctor? I would rather spend time with my family than take a risk like this.
Well, you're not me or her.
It's what she wants.
Because you convinced her.
I helped my patient make the right choice.
Angus - Are you sure you're okay? - Yeah, yeah.
Sort of.
Maybe it'd be better if we just said it out loud.
I'll be Max, and you do Ariel.
That's better? I don't know.
I mean, it can't be any worse.
Uh, there.
Okay, uh, "roflamayo.
" I have no idea what that means.
R-O-F-L-M-A-O.
Everybody knows what that means.
Oh.
Um, well, try again.
Into character.
"How's it going over in Siberia?" "Freezing.
Duh.
" Icicle emoji.
- "How about Antarctica?" - "Warm.
Very warm.
" "#globalwarmingisreal.
" Crying face emoji.
Huh.
He was funny.
He was.
You okay? Let's keep going.
Uh "T-B-H.
Low-key nervous"" "It's a house party.
Everyone's super chill.
Joy's the best.
" "Joy's boyfriend is, like, 30, "and he carries a knife? Joy's totes sketch.
Emily seems to think so, too "" - What? Who's Joy? - I have no idea.
Keep going.
"Emily's going.
" What and then it stops.
That's it.
You're gonna be fine.
It's time to wake up.
So this surgeon is a one-star general you flew halfway across the state to see and now you're saying he's all wrong.
Just trying to save my friend.
Your friend? What's that supposed to mean? Do you love her? I'm gonna take that as a yes.
When's she supposed to wake up? Soon.
What happened? I don't know.
Well, you don't have much time.
Somebody had to have heard that.
She doesn't need much time.
Just a few more minutes, and she's gonna be able to breathe on her own.
- Damn it.
- What? - There's an obstruction.
- Sounds bad.
It's okay.
It's just being on the vent too long.
Her pneumonia's worse.
It's okay, it's okay.
- Just mucus in the tube.
- She doesn't look okay.
You know that nurse is gonna call on the cavalry.
I don't care who she calls.
No breath sounds on the left.
- You gotta call for help.
- I don't need any help.
She popped a lung.
That's what happens when infections get out of hand.
Step away from my patient.
I would, General, but my finger's keeping her lung open.
You wanna glove up and help me put in this chest tube? Hand me the tube, please.
Make sure you clamp the distal end.
This is my 7,000th chest tube.
I got it.
You're awfully cocky for a guy who just caused a collapsed lung.
You caused this by keeping her on the vent too long.
You don't know that.
I told you, this is my 7,000th chest tube.
I know what I'm doing, and I know what happened.
And I know you better extubate her when we're through here.
Don't put her back on sedation just to spite me.
I don't treat patients out of spite.
Now step away from my patient.
Are you gonna extubate her? I've given you an order, Colonel.
Now step off.
Enough with the opening act, time for the headliner.
Nurse.
Okay, Vicky, Dr.
Edlen's gonna start to remove your tumor now.
Any requests? - Debussy? - Man after my own heart.
- "Reverie"? - Deep cut.
I love it.
- Have you ever heard her play before? - Nope.
My husband had a box at the Phil for five seasons.
Her Schumann "Concerto in A Minor" is the only performance we've ever agreed on.
It's beautiful.
Freeze.
What happened? Ah, we poked where we should've prodded.
Don't move out of the field.
Okay, Vicky, can you pick it up from there? Thattagirl.
Hmm.
Steady hands.
So what year are you? Third year.
Well, first year.
I just switched into surgery.
I'll be sure Dr.
Campbell knows he trained you well.
Just like I told my dad, I haven't heard from Ariel in a week, and I don't know Joy.
According to Max, you do know Joy.
Emily.
I know you wanna protect Ariel, but that's my job.
I'm her mother.
No matter what else happens, no matter how short a time we've been in each other's lives, I'm her mother.
I need her to be home with me.
I need her to be safe.
It's my job to help with she's going through.
It's my job to hold her and to tell her that everything's gonna be okay.
And I really, really need to tell her that.
And frankly, I need her to tell me that, too.
She told me not to tell.
- Is she with Joy? - Yes.
Where does Joy live? Nowhere.
She was in foster care like Ariel, but it didn't work out.
That's probably why Ariel gravitated to her.
If she doesn't have a home, where does she stay? Joy and some other kids they crash in different places around town.
I think I remember Ariel saying something about the 8th Street Bridge.
That's near Angels.
Emily, you're a good friend.
You did the right thing by telling us where she was.
But you're grounded till college.
Dr.
Kean, right? Right.
Are you looking for Diego? - I can have him paged.
- Oh, that's all right.
If you see him, just tell him I said goodbye.
Sure.
And, uh, listen, thanks for making that call.
Or having your assistant do it.
No trouble.
Literally.
But how about I do you a real favor? That's not necessary.
- What's not necessary? - We're all having dinner.
We help Dr.
Kean prepare for her interview, and I get to pick her brain about how you're really doing here.
- I'm doing fine here.
- He is.
Well, I hope you'll consider it.
I know everybody at that hospital, and most of them owe me one.
Diego, always a pleasure.
- He's, uh - A douche? Yeah.
It's his best quality.
- Dr.
Savetti.
- You're leaving? I have a personal situation to deal with, but the hospital's in good hands.
I watched you today.
You were tested.
See, you could've shied away from the challenge, but you demanded the ball, and you didn't let your team down.
Thanks, I, uh, appreciate that.
The job's yours if you want it.
- The attending spot? - Dr.
Savetti, catch up.
There's somewhere I need to be.
Accept it or don't.
- I want it.
- There you go.
- Hey, sorry.
- Yeah.
Yes! - What's going on? - There's something wrong.
- She's found some trees.
- I'm afraid your mother is suffering from receptive aphasia.
It's a form of language impairment that affects - the production of speech.
- Well, how long's it last? If she works with a speech therapist, - it could improve.
- But there are no guarantees.
No.
That is not what he said.
He said there was no downside! With the paintings, they they they thank us.
You made me believe! We would've never agreed to the surgery if we understood what we could lose.
Dr.
Leighton, what exactly did you tell her? You put her at risk of worsening brain hemorrhaging, swelling I saved her life and you'll know it, too, when she wakes up.
If she wakes up.
Colonel Willis, I'm placing you under arrest.
- What? - You violated a direct order and endangered a patient.
Get off me! You're making a big mistake.
Get him outta here.
- Dr.
Guthrie! - What happened? I don't know.
He just he couldn't catch his breath.
All right, relax.
Decreased breath sounds on the left.
I repeated his ultrasound when he started getting worse.
Okay, show me.
Okay.
Left-sided pleural effusion.
He had a small one when he came in, - but now, I mean, it's huge.
- Okay.
What's your next step? You know.
A ch-chest tube.
All right.
Okay, Logan, listen to me.
Fluid has collected around your left lung, and we're gonna have to insert a tube to drain it, all right? - Give him 8 milligrams morphine.
- Just relax.
Just relax.
All right.
Remember the anatomy.
Okay.
Mid-axillary line.
Fourth intercostal space.
- Okay.
I think I got it.
- There we go.
- What the - Okay, step back, step back.
Okay.
Hey, we need help over here! Coming up.
Dr.
Kean, something's wrong.
Keri? What's going on? - I can't breathe.
- Mario! What what's happening? Lungs are clear.
Mom.
The baby.
The doctors are taking care of you, sweetheart.
Everything will be fine.
- Promise me.
- Oh, my God.
Is she gonna be okay? Severely dilated RV, reduced systolic function.
- PE? - Maybe or an amniotic fluid embolism, possibly a fat embolism.
- Acute heart failure.
- Heart failure? - Oh, god.
Keri.
- Mom.
Take care of her.
You will take care of her.
You'll be fine.
Promise her.
- I promise.
- Okay, start compressions.
Let's get her to center stage.
Starting compressions.
Okay, let's move.
Give her some room, people.
This patients needs a thoracotomy, Dr.
Avila.
- You're up.
- No, I've never done one.
Don't worry.
You're ready.
You're in the right atrium.
- Try pulling back on the syringe.
- I'm trying.
There's still nothing.
- There's no more time.
- I know.
We have to save the baby.
We need to do a crash C-section.
Okay, bleeding is from the left lung.
Dr.
Avila.
Listen to me, your problem is nobody's told you what you're good at.
Well, I'm telling you now, you're good.
You can do this.
I've seen your work, son.
Don't give up now.
- Heavy arterial bleed from the hilum.
- Mm-hmm.
- I can't tie it off.
- Yes.
Yes, you can.
I-I don't know.
It's too proximal to clamp.
Shh, shh, shh, shh, shh.
Feel it.
Yes.
In med school, I read about this thing.
Can we twist the lung on itself to cut off the bleeding? You bet we can.
- All right, Dr.
Guthrie, hold the base.
- Yes.
The bleeding stopped.
Yeah.
All right, let's get this patient to the OR.
Good work, son.
Still no pulse.
Do not stop compressions.
She needs to see her baby girl.
Come on.
- You got this.
- Here she comes.
- That's it.
- Got her.
That's it.
She's not breathing.
We need suction over here! - Noa, you need help? - Don't stop compressions.
Come on.
Come on.
Come on.
- Come on! - Come on.
Come on.
Come on.
- Come on.
- Come on.
Time of death 6:42 p.
m.
6:42 p.
m.
, same time as birth.
All right.
Excuse me.
Have you seen this person? No? Have you seen this person? I'm sorry to drag you into this.
It's okay.
I'm glad I'm here.
Thank you for coming, Mama.
- Hey, guys.
- Have you seen this person? No? Have you seen this person? Her name is Ariel.
What about someone named Joy? You know someone named Joy? Does that ring a bell? Okay, thanks.
Is that water from over there? It's a piano, Mom.
- Will they be there? - Well, it's from pediatrics.
It's not what you're used to, but the sound quality will be much better than the keyboard.
And I don't know.
I figure that it would be a good way for you - to express yourself.
- Do you wanna play it.
- I pick the sky.
- Can she walk? - I did.
- Yeah, of course, if she wants to.
Here.
Let me help you, Ms.
Markwith.
We'll play together, okay? Oh.
Water.
For the ocean.
Tabitha? She, uh She wrote this song for me when I was a baby.
She used to sing it to me all the time.
For the ocean.
I think your mother's asking for you to sing it to her.
As night comes, and I'm breathin' As day breaks, and I'm dreamin' Slow breeze dances in the grain Of the answers on a passing train So hold on Hold on Shafts of light through the window A golden sand and a deep breath grin Tiny hand and a flashbulb spin Her baby is fine, though.
We performed a C-section.
She's 32 weeks, but totally healthy.
Where's Keri now? I can take you to her.
Okay, thank you.
First, I need to see her daughter, our granddaughter.
I promised her.
Rest your tired eyes Hey, what's going on? You just got put through the freakin' ringer.
I probably deserved it, huh? Yeah, for sure, but you're gonna make it.
- What about the girl? - She's fine.
Post-op for a few days, but there's nothing to worry about.
I owe you an apology.
Everyone gets scared.
I know I do, so I'm sorry, okay? I was in no position to judge you.
What are you scared of? It doesn't matter.
I'm so high right now.
I'll never remember anything you said.
All right, well, just try to remember this, all right? You're only human.
You're gonna disappoint yourself, man, but you're also gonna surprise the hell out of yourself, do things you never thought you could do as long as you don't give up.
She's beautiful.
What do we call her? Her name is Peregrine.
Keri named her after me.
I had no idea.
Hey.
Hold up.
Listen, I'm sorry about your patient.
You know there's nothing you could've done.
I know.
I know.
You did great, though.
- You, too.
- Yeah.
I heard about the attending job.
- Yeah.
- Congratulations.
You don't seem happy.
I am.
It's just, uh, the OB program that Mr.
Avila put me up for? Yeah.
It's in Philadelphia.
Uh, you can't do a program here? They have the best in the country.
I wanna be the best.
You of all people should get that.
You're so good at what you do here.
- No, I just - Mario.
Do you know how good you are at what you do? And you love it.
I want that for me.
Can you understand that? Of course.
So, uh, well, are we supposed to do this long-distance or Oh.
You wanna break up.
I don't want to, Mario, but But we can't hold each other back, right? - I mean, that's what you said.
- We said it.
Might as well end it now.
We don't know anything yet.
Sure we do.
I'm so happy for you, Noa.
I really am.
Have you seen this person? - Have you seen this person? - No? Ariel? Hey! What the hell is wrong with these people? They're wondering the same thing about you.
I did the right thing.
I'd do it again.
I don't have any doubts.
I know you always do the right thing.
How would you know? What is going on here? What do you mean? What is that on your arm? Who are you?! Who are you?! You know who I am.
You've known all along, haven't you? Guards! Guards, I want him out of here! I want him out! Get him out! This is why I called you.
How long has this been going on? Not sure.
I have him on a 72-hour psych hold.
Rest your tired eyes Tonight Ethan? Tonight