New Amsterdam (2018) s04e07 Episode Script

Previously on "New Amsterdam.
" You want Dr.
Shinwari in your ED.
Are you talking about a bribe? I could lose my medical license.
I could go to jail! I gave Chance everything.
I just want him to get better.
You know, all I've tried to do is create a place where people can heal.
I think I've been successful with that.
I have never replaced a successful medical director.
As you know, I've been seeing someone.
Ah.
So we're adults.
The fact that we can come together like this is a testament to that.
Claude and I have talked, and this thing has happened, and we agree the only way to move forward is to face this situation head-on.
I'll admit, I was a bit thrown when I learned you were sleeping with my wife.
But I I've processed.
And I believe that we can push through this if we have no more secrets.
No more secrets.
The weird thing is, I get what she sees in you.
You know, not not like that way, but, - you know? - Yeah, I do.
I do.
Of course, and I feel the same way about you, Claude.
But it's It's complicated.
I I'm sorry we didn't we weren't more clear when we were setting our relationship ground rules.
We agreed that we didn't want to know who the other person was seeing, but we we didn't really lock down the part about, um, getting involved with colleagues.
You want to say something, Floyd? No.
Well, I actually, uh, I just hope that we can maintain this level of honesty, uh, and harmony.
Harmony.
Yes.
Harmony's a good word.
Excuse me, I'm so sorry, but there's only one quiche left.
They're super big.
Anyone want to share? Okay, which thalamic nucleus is primarily responsible for processing input associated with the activation of Pacinian corpuscles in your left hand? Right VPL nucleus of the thalamus.
Yes.
And where would we most commonly find the Morgagni hernia? - Left side or - Right.
But you're not playing fair.
Welcome to American medicine, baby.
Do you know which part of the vertebral column will show secondary curves with concavity backwards? Hmm? Hmm? Cervical and lumbar.
And no more questions.
I want my breakfast.
You're gonna nail this review.
What? Nothing.
I'm just grateful for these days, this moment.
None of it possible without you.
You have to put all the donuts right here, huh? Just, like, staring at me.
Thank you.
- Oh, Dr.
Frome.
- Hi.
Hi, Dr.
Fuentes, how are you? - Uh, Veronica.
- Oh.
I, um, I was gonna call you because I wanted to discuss this whole not seeing patients business.
Oh.
Okay, yeah.
Because if you're going to remain at New Amsterdam Oh, um, I'm sorry.
Hold on, back up.
You have to see patients.
Otherwise, I don't really see a way forward for us.
Okay, um, Veronica Could I get, um, a coffee, black.
I'm I'm the chair of the department.
And as the chair, I I have residents that I'm overseeing 24-7.
I'm I'm training them, I'm shaping them, you know? I don't I don't have time for patients.
Every other behavioral health chair in the city still practices.
I don't know that that's true.
Thank you so much.
Thank you, thank you.
By abdicating, you are not only hurting our bottom line, you're damaging the reputation of the hospital.
You're in a position of prestige, and prestige is what we must lead with.
So let's get some patients on the books, yeah? - But, um - First thing after lunch? Look, I'm not saying it's a bad thing.
Well, it doesn't sound good if it kept you up all night.
I'm just saying that there's a lot of things we never discussed.
There's a lot of boring, traditional relationship stuff that we kinda skipped over.
- You mean like dating.
- Yeah, I mean, in less than 24 hours we went from being friends and coworkers to To mad lovers moving to London.
Yeah, which is pretty awesome.
I know, but it does leave some unanswered questions - It does.
- Like, um, will I ever get to meet your parents? I mean, do you even have parents? Exactly like that.
I do have parents, who divorced, thankfully, when I was in med school.
Dad is, let's just say, not a nice guy.
Drove my mom pretty much all the way to Arizona, where she married a guy who is also a nice fella.
Uh, anyways, we won't be visiting my dad or Arizona any time soon.
- Oh, wow.
- Yeah, enough of that.
Can I ask you something? - Always.
- Um what do you want Luna to call you? Oh, um, I don't what would you like her to call me? I don't know.
Last night, as I was tucking her in, she asked me if you were her new mommy.
Georgia is her mommy.
She never even knew Georgia.
And if you're gonna be living with us You okay? Help me! Rob, are you good? Hey.
Whitaker! Unlock it.
Whitaker! - Whitaker's in back.
- You okay? - I'm fine.
- You sure? Whitaker! I can't ah! - My God.
- Whoa.
Help! We need a stretcher over here! - I'll take Kerry.
- Go, go, we got the patient! Whitaker's down! Just keep breathing, Kerry, come on.
- Whitaker, you with us? - Yeah, I'm good.
Where are we? Respirations rapid and shallow.
Okay, let's set her up for a full trauma eval.
We're gonna take good care of you, okay? - I'm okay.
- No, you're not.
You need a head C and you need that lac sewn up.
I want to stay with Ker Go.
Pedestrian struck by ambulance.
Lower body injury.
Vital signs stable.
Okay, let's get her to Bay 23.
Okay.
Kerry, what happened? We were driving crazy fast.
Another car was coming out.
Transport patient from the ambulance crash.
Severe laceration.
Get him to Trauma One.
What the hell happened out there? Another car cut them off.
Kerry, Ker, we're gonna take care of you, okay? - Hey, STAT page? - Trauma One.
- Can you - Yeah.
Okay.
Rob! Rob, go get your head CT.
Go.
Forceps.
- You good? - Give us a little room.
- Yeah.
- Can you see? Yeah, there we go.
We're clear, stanch the laceration.
Tachy at 144, 96 over 51.
Floyd, look at this.
Oh.
Bleeder's not our only problem.
Suture.
This puncture happened in the crash, but we need to know what put him in the ambulance in the first place.
Whatever it was must have been bad.
Moreland was tearing down that road.
Respiratory rate's 13.
Can you ask him? No, Moreland's in C and Whitaker's in surgery.
- Dispatch report.
- On it.
Promise me that you'll save her first.
Hey, how are you? Luna, say hi to your mom.
Give me a clue.
Anything.
The report's missing.
Somebody tore it out.
Look, I know this isn't where your head's at right now, but you need to call your union rep.
Police are gonna have questions and you need to be protected.
When I was carrying Whitaker in, people were looking at me like I'd killed - Don't.
Don't.
- I need to be fired, Lauren.
The police should put me in jail.
Robert, you drive an ambulance.
There's not a single human being who's needed one who wished the driver had gone slower.
Tell that to the man's family.
I met his wife, his grandson.
Okay, listen to me.
Two of the best doctors at this hospital are doing everything they can for him right now.
And Whitaker is gonna pull through.
Because that's our job.
And your job is to stop blaming yourself, okay? Another car cut you off.
This is not your fault.
Wasn't a car, Lauren.
I got around the car.
- It was me, I - Okay.
I was going too fast.
This was all me.
We did all we could.
He's gone.
Hey, it's okay.
Oh, Max, hey! Listen, I, um, I know things are a little crazy - around here right now.
- Yeah, beyond.
I have this thing I need you to submit me for.
It's a little time-sensitive, so I put stickies everywhere you need to sign.
For the NAPA Prize? Why is this time-sensitive? They've been trying to give it to me for years.
Yeah, and you've been making fun of it for years.
Yeah, which was incredibly immature of me.
I believe you called it a spiky, ugly little award that was ironic in its Freudian obliviousness.
Yesterday it was oblivious, today it's prestigious.
- What changed? - Uh, our new medical director.
Veronica wants this? Yeah, she says that I'm, uh, bringing down the department by not practicing, and that I'm lowering the prestige of the hospital.
I thought I would throw her a little bone You know what this is? This is retaliation for me hiring Wilder without her sign off, and now she's putting the squeeze on you.
I'm sorry.
I'm trying to think of a way to neutralize her, - but I can't - Yeah, okay, but Max, I, um, I can't go back to seeing patients.
I'm nowhere near ready.
Yeah, it's okay.
Take your time.
Okay, thank you.
All right.
- Thank you.
- Welcome.
Mr.
Newbounde.
Hi, you must be Alijah.
I'm Dr.
Sharpe.
This is my colleague Dr.
Kao.
They say she had a small stroke, that maybe it was because of her sickle cell.
This stroke may have been small, but the next one may not be.
We are very sorry to have to tell you this, but we found a blockage in your basilar artery, which supplies blood to the cerebellum.
This is the area of the brain that controls your motor skills and cognitive functions.
Uh, what does that mean? Alijah's sickle cell anemia is restricting the blood flow to her brain.
But with proper testing, we can prevent another stroke.
Tell me, Mr.
Newbounde, has Alijah ever had trans-cranial doppler screenings? Of course, we relied on them.
I was taking her to get 'em once a year until last March.
Why did you stop? The program was discontinued.
It was? Where? Here.
Hey.
Hey.
Where you heading? - OR, to plate a broken bone.
- I'll take her.
No, it's okay, I got it.
Uh didn't you just lose someone? I need you prepping for the M&M.
M&M? There's nothing to review.
The guy was basically gone when we got him.
Just let me take care of her.
Prep for the M&M.
Last time I checked, Dr.
Reynolds, you were still my deputy and I was still your chair.
Harmony, right? Dr.
Reynolds, do you mind if I walk with you? Be my guest.
Um, I need your take on something.
Every department has its strengths, and weaknesses, right? But yours seems a bit top-heavy.
I beg your pardon? Well, you and Dr.
Baptiste, both excellent surgeons, and two of our highest-paid, and yet, you often share patients.
Can you explain that? I mean, is that really efficient? It is, if you're trying to save a patient's life.
Oh, okay.
Well, Dr.
Baptiste had some thoughts on this.
I just wanted to check in with you.
Oh, you spoke to Baptiste? I did, yes, this morning.
Well, what did he say? Oh, I mean, I can't divulge the contents of a private conversation with you.
But I will tell you that he had some pretty bold ideas on how to rebalance your department.
- Did he? - Mm-hmm.
And I'm sure you'll have ideas as well, so let's set up a time to chat, yeah? I know we can cut the suit to fit.
Right.
I understand, thank you.
Where's Moreland? Uh, he's waiting to talk to the police.
Well, he's gonna talk to me first.
Max, you understand this isn't his fault, right? He's one of us.
Max Where's the dispatch report, Rob? It should be in the ambulance.
Yeah, should be, but it isn't, because someone tore it out.
Okay, look, anything you want from the report, you can get from 911 dispatch.
I just called 911 dispatch, and the patient that he picked up, Mr.
Santangelo, who is now dead, didn't call 911, he called the non-emergency line, 'cause he had a fever, and his wife was concerned.
The man didn't even need an ambulance.
That's why you took this report, isn't it? You were driving like a madman with a non-emergent patient, whom you knew had no business being in your vehicle! Keep it.
Or give it to the cops.
I'm sure they'll want to read it.
Even if he was driving recklessly, there's no way they're gonna hang him.
When a cop goes down, who's the first on the scene? Paramedics.
The blue line covers them too.
No, he shouldn't need cover.
He's never done anything like this before.
Well, that may be true, but he killed a dude with a runny nose, Laur.
And he almost killed his partner.
Who's side are you on? There are no sides.
It's just what happened.
Well, I want to know why it happened.
Uh, Lauren.
Did you get my message? Uh, I didn't know you left me one.
I did.
I wanted to thank you.
- Mm, for what? - For your donation.
The donation you made to the Dean's discretionary fund a few months back? I came across it in the financials.
That was very, very generous of you.
Are are you not comfortable discussing this? No, no, um, I just money stuff, I like to keep things confidential.
Oh, yeah, no, no, of course, of course.
Yeah, it's a it's a family trust, so you know, we make donations like this all the time.
It's nothing special.
Oh.
Well, if that's the case, you might consider a second gift to the hospital's endowment.
A second, um uh, I don't know, uh, I'd have to talk to my mother and my sister and - Mm-hmm.
- And the lawyer.
Uh, I don't make these decisions alone, so.
Is is Dr.
Shinwari involved? If so, I'd like to extend my gratitude to her as well.
No.
I mean, she doesn't know that we do this.
Mm.
And I'd like to keep it that way.
Gotcha.
Okay, well, have a think about the endowment.
Your money would go much further there.
And it wouldn't have to be a lump sum gift.
We could work out a quarterly situation.
And Leyla doesn't have to know about that either.
- Dr.
Ketner.
- Helen.
Good morning.
I understand that we're no longer offering doppler screenings.
Can you tell me why? No funding.
Since then? Since you reallocated the money.
Since I reallocated it? In the early days of the pandemic.
No, no, no.
Listen, it's not possible.
There's no way that I would cut a vital test.
No one was coming in for any tests then, so you asked if we could move some money around to treat the effects of long-term COVID.
But I I didn't mean I didn't realize that it, um, that it never came back.
A lot of tests never came back.
Whole departments never came back.
But this test saves lives and Yeah.
Hey, come in.
Congratulations, Dr.
Frome.
I think.
Dr.
Fuentes just called.
She wanted us to know that you are being awarded this year's NAPA Prize.
Yes! Oh, what? So it happened.
I got it.
I got the award? And she knows.
- Yes.
- Oh! Why do you look so excited? I thought you didn't want anything to do with the NAPA people? I mean, you said their hearts were Black and rotten.
Yeah, I know what I said.
But she sounded happy about it? About the she was happy about the prestige of it all? She did.
In fact, I mean, she suggested that you make a point of mentioning the award to all of your new patients.
Which surprised me, because I didn't know you were seeing new patients.
She still wants me seeing patients? She wanted me to confirm that they were on your schedule for today.
No.
Oh oh, God, no.
No.
No! No! - That's - Iggy.
I my my oh, I can feel my throat closing up, literally.
Okay, okay.
- Now, just just breathe.
- Oh, God.
You are so good with people.
- You are so empathetic.
- No, no, no, not right now.
I would be damaging to them, Gladys.
I'm I'm I watching your shrink pass out from lack of oxygen, that's not That's not helpful, mm-mm.
Is Is this still about Chance? Yeah.
Yes, it's about Chance.
It's about Chance.
It's about everybody.
It's about everyone who's ever sat on that couch and made their nightmares mine.
I took them all on and made them mine.
I took them all on, and I I just was starting to feel like I just was starting to have dreams of my own again, you know, and I and not confuse everything.
Okay.
Yep, Iggy, just breathe.
- Yeah.
- It's okay.
Mmkay, okay, all right.
- Yeah, it's just okay.
- Mm.
So, what do you think you want to do? - I don't know, I don't know.
- Okay.
I don't know.
Um, I, uh I think, uh Resign.
- Floyd, you need something? - I'm here to see my patient.
Did you do the work for your M&M? Yes, I did.
What have you done for Ms.
Perez? Nothing, because she's stable.
For now.
Which, last time I checked, that was a good thing.
I need to put that plate in.
And I told you not to.
Oh.
She can't breathe.
Collapsed lung and internal bleeding.
All right, she needs an OR now.
Dr.
Baptiste, Ms.
Garcia's heart rate's plummeting.
Better tend to your patient, Doctor.
It's okay, it's okay.
So what's the emergency? Mr.
Santangelo lived on the Upper East Side.
What were you doing 40 blocks outside the hospital jurisdiction? Is that why you were driving so fast, just to make up the miles? This is me now, Rob, not the police.
And you need to tell me why this happened.
We were ordered to make the pickup.
What? Ordered by who? Our battalion chief.
Why? Why were you driving 1,000 miles an hour for a man with a fever? Hey, look we were told to ignore jurisdiction.
Grab any patient we could anywhere in the city, then drive bat out of hell to make the drop so we can get back out onto the street - as soon as possible.
- That's insane.
Why would he tell you to do that? Private ambulance companies are killing us, Lauren.
This is how you compete.
Your chief, he's done.
It wasn't his idea.
Oh, yeah? Then whose was it? Dr.
Fuentes, your new medical director.
You're coming to me for money.
Uh, yes, I realize that we started off on the wrong foot, and I am sorry about that, but You thought I was a superfan trolling the halls.
Yes, well, obviously, I've been making tons of mistakes lately, but I'm here to own them.
I, um I cut funding off the doppler screenings for our sickle cell patients.
It was the peak of COVID and we were moving fast obviously too fast and I um okay, look, I take every part of my job incredibly seriously, but the part that I view as more than a job, as, um, as a higher duty, is taking care of children.
And I have let one down.
In the ICU right now, I have a patient who may never walk again, and she is 14.
She had a stroke, a stroke that may have been avoided had I have not ended the program.
So I have come here to ask you To beg you for the money, so that I can reinstate the program, so this can never happen again.
You know how bad the financials are, right? And that's why the board brought me in.
Yeah.
But I hear you, and I appreciate you taking responsibility.
I don't think every program is worth keeping.
But this one sounds like it might be.
So I will find a way to get you that money.
Um thank you.
Thank you.
I don't have a lot of friends around here, and even though you're leaving, I I hope that I can count you as one until you're out the door.
Absolutely.
- Thank you.
- Yeah, of course.
So the source of the blood in her lungs was her leg.
She had a fractured rib.
I fixed that.
- Now I'm onto the leg.
- She has osteoporotic bones.
That's why there are two fractures, and that's why the screws will never hold, and why I didn't want you taking her to the OR.
Which is why I'm trying something new, expandible pedicle screws.
They'll never hold without cement.
Hey, nurse, could you bring me the cement? I'm sure your novel surgical technique will impress our new medical director.
As opposed to you trying to impress her by sending me to do a completely unnecessary M&M.
Hope that helps your rebalancing.
Who don't we do this together, Dr.
Reynolds, since we're so good at sharing, and save the rest of this discussion for later? Nurse, scalpel, please.
- You're not resining.
- I am.
I mean, I think I am.
I guess.
I don't know, what other what other options do I have? Iggy, we just blew through all our savings driving across country, living in an RV for months.
I know, I know, and the odds of me actually getting a job at any other hospital where I don't have to see patients, is slim to none, at best.
And I'm I don't I mean, I don't know what to do.
Martin, I'm asking you to tell me what to do.
I don't know what to do.
Trust your own words, all right? All you ever say is how much you love this place.
I do.
I do love it.
But I can't I can't I can't see patients anymore.
I can't.
Can't now or forever? I don't know.
I don't know, I don't know.
I don't know the answer to that question.
I and I just Seeing a patient, I just I my heart begins to race, and my my palms get sweaty, and I I can't do it.
I can't.
I just envision all of the people that I'm gonna hurt because I'm not ready.
And I'm not willing to do that.
Okay.
Resign.
Are are you sure? I mean, if you're not completely on board, I'll you know, say the word, I'll figure it out.
We'll figure it out.
That's what we do.
Hand this in.
What about the money? Babe, you're going through something really big.
The money isn't as important.
If we need to move, we'll move.
If the kids need to start new schools, they'll adapt.
We'll all adapt, 'cause that's what families do for each other.
I love you.
Yes.
I told them to drive faster.
Someone died! What kind of insane, reckless Dr.
Bloom, are you aware that the majority of paramedics in this city work for private ambulance companies? So what? I mean, we have a contract with the fire department.
Which I told them we'd terminate unless they got competitive.
So you blackmailed them.
Great.
Max, the private ambulance companies all have backroom deals with the private hospitals.
They are strongly encouraged to only pick up insured patients, the big ticket procedures, the money makers, which leaves the uninsured, the homeless, and the poor for us.
We are a public hospital! That desperately needs money to survive, Max.
So I incentivized the chief by making him realize that a win for us is also a win for him.
Mm, well, killing our patients isn't exactly a win.
I am truly sorry about what happened this morning.
But accidents can happen at any speed.
So what exactly did you say to the fire chief? I mean, how far are they supposed to just drive around, just scooping up people who don't even need them? They have a daily quota, and they're incentivized to meet or exceed it.
You know, the NYPD tried a quota system and, uh, it led to the mass incarceration of Black and brown people and nearly tore this city apart.
And I believe you are out of here in two weeks, so none of this is really your problem anymore.
- No, listen, hey! - Your issue In the scrub room.
Sorry, young brother, but it's my job - to make the hard decisions! - Guys My issue is that because you're threatened by me and Lyn, you're trying to edge me out of my job.
Guys, stop this, now.
And because you're the woman's new flavor, you think you can talk down to me in front of my team? Floyd is not anybody's new flavor.
I was making a medical decision Stop it! Both of you! If you think yelling our business all over this hospital is going to help anything, - you're wrong! - Oh, and now you want to help.
'Cause falling in love with another man, this man, was not part of our agreement.
You opened the door, Claude.
You're the one who wanted this! You're the one who wanted more.
More of you.
I just wanted to make you happy, 'cause you sure as hell weren't happy with just me! That's not true.
That's how it felt.
I'm sorry.
I'm sorry for all of this.
As soon as you saw she was my wife, you should have declined the deputy chair.
I broke it off, Claude.
I thought that was the solve.
But I love her.
And I know you do too.
How did we think that we could just have breakfast and everything would be cool? Sure, we could pretend that it's cool, but it's not.
Not for me.
Me either.
Same.
I'm sorry I wasn't upfront day one.
I'm sorry I started something I couldn't handle.
And I'm sorry for caring so much about both of you.
The clients are nervous.
How much are they getting for their return? Are they overpaying? You know? My wife, she doesn't think about this.
All she cares about is getting to the theater on time.
And the crazy part is we've already seen "Hamilton.
" I don't get what the big deal is.
So we're a few minutes late.
So what? If I don't take care of the clients, then I'll be out of a job and I won't have any money to buy any damn "Hamilton" tickets anyway.
Right? Right? Right.
Hey, uh, Louis.
It's Lauren Bloom.
I'm wondering, um, if we were to make another donation to New Amsterdam, a different fund, how complicated would that be? Just, uh, give me a call when you get this, okay? Thanks.
How you doing, baby? Weird, but okay.
Along with her physical therapy, I want you to resume the regular doppler screenings.
- Where? - Here.
We're bringing back the program.
Um, will you excuse me one moment? There she is.
Dr.
Sharpe, they shut down the makeup place.
I had an appointment for the wig room.
I came all the way across town for this.
Hang on, everyone, please.
Please, what's happened? The aesthetics clinic's been shut down.
- Yeah.
- Shut down? The entire wig and makeup program? - Since when? - Since just now.
They told us to close up and another clinic was taking over.
- What clinic? - Doppler screenings for sickle cell patients.
Mm, you're right.
I am out of here in two weeks.
But in that time, I'm not just gonna lay down.
I'm not gonna stop trying to make things better for our patients.
I'm stunned.
Trying to compete with private ambulance companies is stupid.
It's a losing battle, and it's a dangerous one.
So I'm starting our own.
I'm sorry, you're what? I've ordered a fleet of new ambulances, which is gonna save a ton of money in transport fees, expand our jurisdiction, and help control the influx of patients in our hospital.
I did it.
It's done.
Good.
I like it.
I'm just pissed I didn't think of it myself.
It's almost mercenary.
I think I'm starting to rub off on you.
Not gonna touch that one.
But I'm glad you like the idea.
Goodnight.
Max.
I heard about what happened to Georgia, and I just wanted to say that I'm so sorry.
That would destroy many people.
And I I just wanted to say that I think it's beautiful that you found a path forward.
For both yourself and your daughter.
You brush? Now, we're gonna rinse.
Good rinse.
Whose cup is that? Luna pup.
Yeah, that's Luna's cup.
Whose cup is that? Dada pup.
Daddy's cup.
And whose cup is that? - Helen pup.
- Yeah, Helen's cup.
- Hey, can I ask you something? - Yeah.
I was thinking, because we're gonna be a family, maybe we could give Helen a new name.
You know, a special one.
What do you think? Because 'cause it can't be "Mommy.
" Why? Because Mommy's in heaven.
And Helen Helen's right here.
Do you know what they call mommies - in England, where Helen's from? - Yeah.
- You do? - Yeah.
"Mum.
" You like that name? Yeah.
Mum.
Mum.