New Amsterdam (2018) s04e06 Episode Script

Laughter and Hope and a Sock in the Eye

One triangle cut turkey sandwich, no crust coming right up.
Strong and black like your woman.
Do not distract me from apples.
Peeled apples, that's key.
Bread here is going to go on both sides on the sandwich.
OJ in the blue cuppie.
And I got a problem.
- What? - I'm out of sun butter.
Do you happen to have any soy nut, - almond, oats, anything? - I do not.
Da-da? Would you do me a favor and just Just do her lunch real quick? I'll be right back.
Her lunch? Yes, yes, of course.
Wait, her lunch? I don't Blue blue cuppie.
Come on! Ugh! Ooh! Ooh, no oh, no! Are you trying to ruin your life? All I did was suggest coffee.
With a super-hot French street artist, who, on at least one occasion, - you actually - Oh, no, no.
Bloom, we were in a relationship, and I cannot believe I told you that.
Well, I guess I just have one of those faces where people want to tell me things.
Look, I acknowledge how kinetic it was between us.
Like this delicious feeling of butterflies all over my skin whenever he was even remotely close to me.
But we've both moved on.
It's just it's gonna be nice to catch up.
Over a quick cup of coffee.
Yeah, over a quick cup of coffee.
Okay, look, I get it.
In three weeks, your whole life is gonna be different.
It is completely natural to have a total breakdown - right about now.
- It's only a bit of fun.
Besides, he hasn't even texted back.
He he might not.
You know he will.
And if you're honest, you kinda want him to.
Look, for your own emotional safety, across the board, the best thing to do is bail, okay? Is that him? Helen? Sandra Fall.
My tenacity knows no bounds.
I will catch up with you.
Um, I know you're not a political person, but non-politically, you're on my team.
- So where is she? - Who? The monster who gave me this "to don't" list to stop me from doing anything remotely helpful for this hospital.
Veronica's at some conference.
Wait, wait, she's she's not here? Mm-hm, and she just wanted to make sure you don't do anything - Dr.
Kao? - Stupid.
I tried.
Did you still need approval to change those intake protocols for dementia patients? Dr.
Fuentes said if I wanted a yes, I'd have to wait.
That's funny because I'm saying yes right now.
- Really? - Oh, yes.
It's pretty expensive.
Day of yes, Agnes.
Day of yes.
Did you ask Dr.
Fuentes for 12 new fetal monitors? I did, but I haven't heard back yet.
Well, you're hearing back right now and the answer is yes.
I can't believe you took the time to read my memo about compensation for the night shift workers.
I don't even work the night shift but I just felt moved to, like, you know Larry, Larry, to every single word of your 42 page memo, I say yes.
Hand massages for chemo patients.
Meditation in the atrium.
- Yes.
- Sweet.
Casual, wait for it, Mondays.
Bring your cat to work day.
Honestly? Sleep pods.
Yes to all of it.
Remind me what patient this is about? Uh, it's not about a patient.
Um, what's up? As you know, I've been, uh I've been seeing someone.
Uh Ah.
- I - No, I I'm It's - Sometime - No, really.
- It's, I I - Well I gotta That went well, right? 65 year old male with stage four Parkinson's.
Fell on the sidewalk.
Head laceration.
- Is he cognizant? - Unfortunately.
Okay, bay 24.
Okay, Mr.
Rayburn, what can you tell me about your fall? Nearly stuck the landing.
Coach said I still qualify for nationals.
And what's the last thing you remember on impact? Falling.
Don't you have paperwork? - Thank you.
- On it.
- Thank you.
- Mm-hmm.
This is going well.
Bloom doesn't laugh.
Give it to me straight, but not in a way that's gonna make me freak out.
Okay, Mr.
Rayburn, what concerns me isn't your head, but why a man with stage four Parkinson's is walking alone in the city without a caregiver.
Oh, I have a caregiver.
Where is he? And help has arrived.
It's real close! Wait for it.
Gonna totally be worth it.
Anybody see a curly haired guy with blood gushing out of his face? Oh, there you are.
Be right there.
I get paid by the hour.
If you walked any slower you'd be dead.
I'm coming.
Stop rushing me.
Everybody's so serious in here.
Kit Vale.
I've got it from here, Your Honor.
He takes care of you? - Not by choice.
- Oh, okay.
What took you so long? I waited for your jokes to land.
That's cruel.
And in public too.
Am I getting punked? That's all, folks.
- Gladys, I'm using the door.
- I was just notified Shane Lewis missed art therapy.
Uh, okay, well then, go get him.
- No one knows where he is.
- He lives here.
He lives Shane lives in the hospital.
Security wouldn't just let a patient with borderline personality disorder leave.
Check-in! Check-in.
Oh, geez.
Oh, uh - Oh, God! - Oh, oh, oh, oh.
- Shut the door.
- Ooh.
At least he's still in the building.
Why didn't you tell me? Breathtaking even when you're breathless.
How could you not tell me? What? What you want me to say? "I have stage three pancreatic cancer and it's kicking my ass?" It's been eight years since I've seen you, much less talked to you.
I didn't want to bother you.
You could never bother me.
This is the last time, all right? I promise.
Please don't talk like it's already over.
Hey, Doc.
Will you tell her for me, please? Scar tissue from the radiation is tying together the spleen, liver, and small intestine.
The tumor is wrapped around his aorta and his superior mesenteric arteries.
I'm sorry, but it is my opinion that surgery isn't worth the risk.
If it's not impossible, then it is worth the risk.
We'd have to find the best surgical oncologist in the world.
I think Max just met her.
Thank you for coming so quickly.
Thank you for granting me surgical privileges.
All right, this hallway's a little shorter than we're used to, so I'm gonna talk fast.
Your patient's tumor is unresectable because it spread to the hepatic hilum, and it envelops the hepatoduodenal ligament and all surrounding structures.
The portal vein is compressed, and the superior mesenteric vein.
Okay, so he's not even a candidate for Whipple surgery, and yet here you are with your entire surgical team, why? Multivisceral ex-vivo surgery.
It's curative, but extremely rare.
Takes at least 20 hours, requires subbing in a second team, has a low survival rate and will cost your hospital around $2 million.
But before you say no, know that it is your patient's only viable option.
Yes, you are aware of that? Yes to the ex-vivo.
The medical director of my hospital would never allow that.
I can't think of any who would.
Well, you caught me on my day of yes.
So, uh, we're doing this.
So how are you gonna resect a tumor this pervasive? Oh, I'm gonna remove all the patient's abdominal organs, carve out the cancer and shove whatever looks good back in.
Mm! Did she really just say that? Yes, she did.
Senn retractor.
How can she even see without loops? Some people born Deaf are more sensitive to light and motion in their periphery.
I know she's got her team to back her but no loops, no cochlear implant.
Not to sound ableist, but, damn.
Well, I think they would agree with you.
Do you see this, Helen? Yes.
Yeah, it's, uh It's incredible.
- Pushing lidocaine.
- Administering lido.
Does Helen seem a little off to you? Tumor isolated.
Goodwin, Dr.
Ready for en bloc resection.
Here we go.
Okay, so that is not something that I anticipated seeing.
Ever, really.
Then next time, remember to knock.
Guys, you know the rules, right? Anyone living on the ward is prohibited from having sex.
- That's it.
- Why? To protect people.
To protect people from being abused, taken advantage of, many reasons.
Frome, we've been in a committed relationship for over six months.
We don't need to be protected from each other.
We're in love.
Um, well, I'm a fan of love, you know.
Guilty as charged, but you guys were both admitted under conservatorship.
Your families have very real concerns about you being able to make healthy decisions for yourselves.
We know that love isn't gonna make mental disorders go away.
- Mm-hmm.
- But I've been treated for borderline personality since I was 18.
And this is the best I've ever felt.
What if Felicity gets pregnant? I've been taking birth control to regulate my mood swings for a decade.
Now, I just have a less depressing reason to take it.
We're consenting adults.
We're in love.
And when we get out of here, we want to get married.
What's the problem? If he were any faster, I bet that'd be distracting.
Hey, how much longer is this going to take? Spoken with the empathy and compassion of a true caregiver.
He was a little nicer before his massive stroke, but not much.
Hey, it's against the law to reveal my private medical information.
Kit, listen to me.
As your partner, sit down.
Your left side looks like it's melting.
Uh, I can have a chair brought in.
I'm fine.
At least I've got a good side.
You left half of your face on Madison Avenue.
So how long have you two been a couple for? Wait, you think this man represents my romantic potential? Wherever my dead wife is, - I'm sure she's throwing up.
- Comedy partners.
Who share a lovely three-story brownstone on the East 70s.
Yeah, that doesn't make it sound like we're a couple at all.
This story gets harder and harder to explain.
Bob's on one, I'm on three.
Back when we had jobs, our office was in the middle.
What did you two write? Every single late night show between '94 and when Bob ruined everything.
We were getting sympathy gigs left and right until your stroke made us too depressing to hire.
I'm the one who's still vertical.
Rayburn's rundown.
She's mad at you because you said she didn't laugh.
She doesn't.
Bob, uh, good news, you don't have a brain bleed.
Great, wonderful.
So we can go.
Uh, no.
No, let's get Mr.
Vale - a bed and an IV drip.
- What? Why? Because if that bed wasn't there, you'd be on the floor right now.
I am keeping you both in for the night.
You're in on this, aren't you, you son of a bitch? Shut up.
Time check on those ureters? - Clamping now.
- Talk to me.
Profusion temps are a go.
PTT still within normal range.
All right, hepatics are clamped.
ACT is 418, so heparin is in.
Reynolds, you ready to go on a three foot trip? Let's do this.
Grab your portion.
Three, two, one.
Going on pump.
Distally and proximally, please.
on the tray.
Get a clean one.
Back table ready for reception.
Excellent hemostasis.
Organs are fully functioning.
Ready to move to OR 2.
We are outie 5,000.
He's coding.
- Aivers, push one amp epi.
- No, you need to push bicarb.
- Helen - He's not gonna make it.
- Push magnesium! - Dr.
It's their job to keep the body alive, not yours.
You're with me.
Place retractor.
- He's got no pulse.
- We need a defib.
Paddles are charged.
No pulse, go again.
I got a pulse.
Normal sinus rhythm.
What was that about? With Helen? Does she know him? Yeah, they dated when I first got here, for a couple of years.
Reynolds, Dr.
Wilder needs you in OR 2.
I'm good.
I lost the stomach.
Fell apart while I was in the lower esophageal junction.
It needs a full reconstruction by the time we reinsert or I'll have to close without it.
Hey, is is there a reason you think he might not live without a stomach? Yes, it's looking like he's not gonna have a small intestine.
Can I get a monocryl and a tapered needle? - You're getting perforation.
- Yeah.
Let me try anchoring this flap.
- Damn it.
- It's tissue paper.
I still need a stomach.
Then you're gonna need to make one.
All right, switching over to plan B.
A piggyback jejunal interposition reconstruction.
Now, not only is this complicated, but we're gonna have to do it twice as fast.
So hands up if you've done it before.
Any thoughts? Well, the procedure I assisted on was led by Dr.
He executed it flawlessly and I believe he's in the building.
Someone page Dr.
I need him down here STAT.
Squeeze it.
- Hmm.
- Kit.
We can't do the squeeze test unless you squeeze it.
I can live with that.
Who'd you say is watching Bob while you're here? You know, I'll tell you what? You give it a squeeze, - I'll go find out for you.
- Not cutting a deal.
Okay, you want to play it like that? Can you close the curtain for me, please? Thank you.
Easy, nurse Ratchet.
You're mean.
Hm, I'm just glancing over your physical therapy records and it seems that you skipped over half of your PT appointments at the clinic this month alone.
I think we both know how you'd do on the squeeze test.
You got me.
My squeeze scores probably are lower because instead of going to the most depressing gym in the world, I'm working my muscles out following a slightly less depressing program called caring for Bob.
And how does that work? I cook his meals, help him bathe, brush his teeth.
I'm even hitting way back there, extra-credit muscles when I fake laugh at his horrible jokes.
How do you get the toothpaste out of the tube? So I kind of wedge the tube on a stack of books and then just sort of lean on it.
That's not PT, Kit.
That's a workaround, okay? Shortcuts might help you now but in the long run, they're hurting you.
Okay, well, I am gonna recommend that Bob move to an assisted living facility.
You think I haven't tried that? I suggest that at least once a week and the wave of insults I'm hit with are so specific I insist you let me watch you try to do it.
Go ahead, try.
I want to see it.
Come on, you go ahead.
Go ahead, it'll be fun.
Shane and Felicity have both asked that we get together to discuss in hopes that we can all move forward together.
- I don't understand.
- Let him finish, Dad.
Yeah, so normally, I don't support any kind of relationship while two patients are in treatment.
They're having sex.
Just say it.
Yes, they are They're having sex.
And it's hard for me to discount, in this case, that they have made tremendous strides since they started dating each other in here.
In fact, if you look at the files How can we trust you're not gonna hurt yourself again if it ends? Mom, I love him.
Can you just listen? Yeah, if we can all just listen here.
Our son has borderline personality disorder.
I mean, we don't know what he's capable of.
- What the hell does that mean? - It's not Shane's fault.
Okay, everyone, please.
Everyone sit down.
No, this is obviously not the right place for Felicity.
This is the right place for me.
Tell them it's the right place for me.
She can't be in here.
Breaking up is hard enough on people without mental problems.
We're not breaking up! Who says we're breaking up? You forced me to get in here and now you want to force every move that I make? - Guys - Clearly, this was a mistake.
- Get off of me! - We're taking you out of here.
Go get help.
Just get back! Just back up! - All right.
- God! No, no, no, no, no, no.
- Shane! Shane, don't - Okay.
Stop, stop, stop.
Just everyone back up a little bit.
Back up, please.
Back up a little bit, please.
More pressure on the leading edge.
- Claude, I - Can the jejunal stump support an anastomosis? - I believe so.
- Then clamp it.
Should I put on your playlist, Dr.
Reynolds? No.
Fresh kits to tray one.
Preservation clock is eight hours plus.
Cleanup on aisle five.
And the pancreas is clear.
All right, let's get Team 2 in here before we move on the gallbladder.
Team 1, thank you.
Really amazing work, guys.
Thank you.
You should sleep.
No, I am good.
Thank you.
Number 7 scalpel.
This liver is remarkably healthy given how much the person it belongs to used to drink.
Do tell.
I like being reminded of the patient's humanity.
Um Guillaume was Is wild.
You know where he took me on our third date? Cuba.
It was completely illegal, but Guillaume always knew someone who knew someone and suddenly, there we were, sneaking off a merchant marine boat.
Not 20 minutes later, we were in a beach bar, challenging locals to drinking games.
We lost.
Then we wound up on a beach near a mangrove forest watching the sun come up over the Caribbean.
Doesn't sound like you lost to me.
That was us.
We never We never thought about things, we just We just did them.
Seems like you miss that.
Max, I'm sorry.
- For what? - You know.
I mean, you asked about Helen and Guillaume's past but people don't always wanna know what they think they wanna know.
Oh, no, it's all good.
I'm just processing.
Of course, if the situation was more normal, she probably would've said something.
Yeah, yeah, yeah, of course.
You know, besides, we're not in high school.
It'd be weird if we didn't have a past, right? I don't know.
I mean, you know this guy, all our friends know this guy.
I've never even heard his name.
I'd give you the edge.
All of your organs are in the same room.
- It's not about jealousy.
- No? It's like moving into a new house and you discover this basement that you didn't even know was there.
On one hand, you know, it's exciting.
But on the other hand, why didn't the real estate guy tell me about this? What's down there? You know, if you ever look up Guillaume's art, you'll see it's pretty far out there.
And Helen was always telling us stories about how she helped him do crazy things.
Crazy things like what? Like slapping a mural on the side of the Tri-State bridge.
- That mural? - Mm-hmm? The one that's over the 50-foot drop to nothing? Yeah, like someone painted a cliff.
The resection is done.
We're coming in.
- Wilder is scrubbing.
- Thank you.
Are you telling me that while Guillaume was dangling over a river and painting in the face of death, Helen was holding the rope? I'm telling you that Guillaume held the rope.
Bob? Still here.
Just relaxing in an electric bed in a germ-free room, taking in the comforting hum of machines that won't let me die.
I just wanted to make sure you're okay.
A smile.
I knew Casey was wrong.
He said you didn't laugh.
Honestly, I think humor is overrated.
I much rather have a good meal or great sex than have someone try to make me giggle.
Well, with a good laugh, if it's done well and with the right person, it changes everything.
But you didn't come here to discuss laughter.
No, I didn't.
Look, I know you're not gonna want to hear this, but you need 24 hour care from an assisted living facility.
Look, come on.
You can yell at me all you want.
It is time, okay? You think I don't know that? I slept like a baby last night.
I'd love nothing more than to live somewhere where they made it easy for you.
- Okay.
- But it's not gonna happen.
What? Why not? When I got sick, Kit stuck by my side, even though he was handsome and moody and could've had a date any evening, but it gave him purpose.
And thank God it did because when he had the stroke, that purpose became drive.
Yeah, I I don't see how that's a reason.
I'm his reason for living.
I can't take that away from him.
Don't, don't, no, no, no, no.
Please, don't Don't do this.
You don't Don't sign that because if you if you take your daughter out of our care, you will subvert all of the progress we've made.
Progress? Were you in the conference room yesterday? They have too many problems to be in a relationship.
Yeah, but they have been.
Successfully for quite some time now.
So it won't matter.
It won't matter if you transfer hospitals, if you break them up temporarily.
They will find each other because they're in love.
They will find each other out there.
Do you understand? I know you guys do.
So if if you let them stay on here, continue on with me, we can help them.
We can work with them to help understand their feelings more productively.
And that way when they do end up in the real world, which they will, they will be prepared.
Why are you so invested in keeping them together? Because I don't believe that anyone should intentionally keep people who love each other apart.
Dad, Felicity's not in her room.
What do you mean? Shane was in the ED getting his hand rebandaged and she asked if she could go say goodbye.
Oh, not this again.
Uh, uh, folks, hang on.
Guys Well, how can we find them? They could be anywhere.
No, no, not anywhere.
Ready to remove the clamps.
Good distal flow.
Yeah, confirmed.
Organs are looking great.
Is that "hang loose?" Does that mean we're clear? Yeah, we're clear.
Well done.
Well done, everybody.
Amazing work, people.
Let's close him up, people.
Hey, everyone, look up.
How crazy is this, huh? - Helen? - No, no.
- No! - Blood pressure's dropping.
- Is it a clot? - Check the heart.
We're checking blood pressure.
Where's all the blood coming from? His aorta just burst.
We gotta move.
He'll be dead in minutes.
Need four by fours.
Get a PTT.
- What's going on? - Shane! What the hell you think you're doing? They're two consenting adults in a place of worship.
And there's a time for objection; it's not now.
I know this won't be easy.
And I know a lot of people have their doubts about us.
Oh, my God.
But you make me whole, Felicity.
Before I met you, I wanted to shut out the world.
To get close to someone meant to risk hurting them.
But with the love the fearless love that you gave me I feel whole and healed.
On the day we met, I got another heart, but it didn't make me more vulnerable.
It made me stronger.
I have lived in so many hospitals.
I was never able to picture living outside of one.
And now I can.
I can see my whole life with you, Shane, and it's beautiful.
I think there's even a cat.
Should anyone present know of any reason why this couple should not be joined in holy matrimony, speak now or forever hold your peace.
Then by the power vested in me by the state of New York, I now pronounce you man and wife.
- This feels ominous.
- It really does.
Like the day we got fired from that casino.
Hated that day.
Hated that whole show.
Are we done here? Great, great.
So, uh, here's the deal.
You are two single, mature-aged men who both have severe neurological medical conditions, also living in a brownstone where literally nothing is accessible, and in terms of caregiving, the inmates are basically running the asylum.
So here is what you're going to do.
You are going to hire a licensed caregiver to move in and take care of both of you.
I don't want a stranger living in my house.
Do you really not see what's going on? They will move into the office on the middle floor.
- Oh, now I see it.
- Look, whoever it is, Bob, they're gonna help you with the day-to-day things that will probably get harder to do.
And, Kit, they will make sure that you do your PT exercises on the daily.
But more importantly, they will make sure that you can still take care of each other.
'Cause that's its own kind of healing.
Our lack of response means we're in.
- Good.
- Shall we? If we must.
Oh, we must.
For the record, Doc, you make me laugh.
Thanks, Bob.
Can we have Chinese? We had Chinese last night.
What about Thai food? I don't like Thai food, how about somewhere Croatian? Latvian! I want Latvian.
Casey? What do you need? You know all those times you talk about jet-skis, and laser tag, Russian spies? Yeah, I know, I know.
I'll stop.
Actually, don't.
In fact, the more the better.
- Really? - Yeah.
'Cause now you can rent jet-skis over by Little Island.
And since I'm gonna try to get, like, super close to see if I can rock the island with my wake, but I think I'm gonna need more jet-skis to make some kind of impact, so if you want to come, yo, let me know, we can do it.
Floyd, come in.
We should've told you sooner.
And Lyn wanted to, but I didn't.
And now I regret it.
You should've never told me.
At all.
The surgery was It was dangerous and it was unpredictable and ultimately thrilling.
So basically, it was the you of surgeries.
You know, I thought I was going to No.
You are not done yet, mister.
Are we? Max.
Two questions.
Did you only say yes because it was your day of yes? When it comes to a patient, I always say yes.
Do you like chicken fried rice? Has she even sat down in the past 24 hours? No.
And now she wants us all to go to Benihana.
Where dinner is the show! Yeah, I see that.
Yeah, no, I would love that, but I can't tonight.
But I'll tell you what, the next time you perform a brilliant, once in a lifetime surgery, then Then I'll catch some shrimp.
Hey, uh, Max.
Did you ever find that replacement for Dr.
Sharpe? No.
Do you want to fill the position right now? What are you saying? I've decided today is my day of yes.
Welcome to the team.
Hey, Veronica just called to see if she missed - anything important today.
- Mm, did she? And what did you tell the beast? I told her it was just another typical day at New Amsterdam.
What are we doing here? I can't hear you.
There's cars.
Okay, I love surprises as much as the next girl, but you need to tell me why we're on this bridge or you're gonna go off it.
Could you Could you move? 'Cause I'm actually trying to see the art right here.
- Get up.
- Ow, ow, ow.
Reynolds told you about the mural.
How'd you feel about it? I've been asking myself all day.
And, um, I feel I feel like it's incredible.
I heard what you said.
To Veronica.
That maybe you weren't gonna leave.
There was just a hollow threat.
I didn't know what else to throw at her.
I Sorry you heard it.
Yeah, well, it definitely hurt.
And then failing at Luna's lunch.
I don't know, I'm feeling I'm feeling just really insecure at the moment.
And then I saw that text from Guillaume and it reminded me of a version of myself that was confident and fearless.
But I am sorry that I never told you who he was to me.
No, don't be.
I mean, you're allowed to have a life.
No, the only thing I care about now is us.
Moving forward.
I I just hope I make you happy.
Happy? How can you even ask that? I mean, you have this whole wild and carefree life that I never really knew about that you clearly loved.
And where I'm at, being a dad, I I can't give that to you.
When I was young, I had a really simple philosophy.
Follow the butterflies.
Whatever made you excited, or nervous.
Or feel alive, go there.
So I went to Guillaume.
He was butterflies.
Yeah, he was butterflies.
But so are you.
I have hung from bridges.
What I've never done is be your partner.
I've never I've never built a shared life with someone.
And I've certainly never been I've never been a little girl's, um Parent.
There they are now.

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