New Amsterdam (2018) s04e18 Episode Script

No Ifs, Ands, or Buts

1 Previously on "New Amsterdam" My refugee status is being revoked, and if I don't fight it, I'll be sent back to Pakistan.
How much do you need? Roofies didn't put you in that situation.
You did that all on your own.
- How can you - And that's infidelity, Iggy.
Emotional infidelity.
What is it? Speak c-c-c c-c-can't.
You got this, babe.
You can do it.
Show those fine motor skills who's boss.
Wow, this looks incredible.
Look how far you've come.
Thank y Thank you, are you kidding me? I'm the lucky one.
This is And I'm hearing real improvement in your speech.
R-r-really? Yes, ma'am.
You know what? Before you know it, this is all gonna be behind us, and we're gonna be back in London.
No ifs, ands, or buts.
No if And buts.
You're getting there, you're doing it.
You're doing so great, babe.
So now tell me, "I have the apple.
" Apple.
I have the apple.
I, um Apple.
I I That's two hours.
Great work, Dr.
- - Well, we try not to quantify any stroke victim's recovery.
You're doing all your homework.
You're driven.
That's the focus.
Well, in terms of raw numbers, your scores are lower today.
It's just one day.
Hey, morning.
Oh, yeah, hey, check it out.
I used our French press for the first time ever, and I made some coffee.
To the sophisticated palate, one will note hints of chocolate and chicory.
- Pour toi.
- Oh, thank you.
Yeah, you got it.
Hey, babe, our marriage is the joy of my life - Yeah, I gotta get to work.
- Okay, yeah.
Just please, hang on.
I I have been looking for a couples counselor.
We know all the good ones in the city.
- It won't be a neutral space.
- Right.
That's why we could go to this amazing guy that I found up in Stamford.
- Stamford.
- Yeah.
It's a 40-minute drive.
I know.
So, you know, we we listen to podcasts and we figure out the commute and we figure out the childcare, and we figure out all of it, Martin, because we're worth it, aren't we? I just I need to fix this, Martin.
I need you to help me fix this.
You know what, put it on my iCal.
Yeah, okay.
Have a good day.
Hey, I know I'm behind.
Just go ahead and have them start the prep for Mr.
Azad and What do you mean he cancelled? No, no, I'll I'll handle it.
Azad, this surgery isn't optional.
You have pancreatic cancer.
You cut it out in the first surgery, remember? Right, right, we resected the tumor in the primary surgery, but now we need to go back in to clear the margins.
Otherwise, the cancer will just come back.
- Always upselling, huh? - Wait, excuse me? After my surgery, New Amsterdam sent me a bill for 28 grand after my insurance paid up.
What? Wait, what was the bill for? You.
It said you were a consulting surgeon in my case.
You told me you were in network.
I-I am.
Look, Mr.
Azad, I'll figure out a way to make this right, but we got to get you in for surgery now.
Well, I guess I can't afford to live.
Consult on that.
Thanks, but I brought my own lunch to school.
It's the first installment of my loan repayment.
- Leyla, you didn't have to - I did.
I'll keep paying you back whenever I have the money to.
My lawyer said a paper trail would kill my chances at a visa, so Cash, right.
Do you wanna count it? No, I don't.
I trust you.
I'll try to have more for you next week.
It's Leyla.
Do you know what would make the situation better? - Hm? - Ritalin, booze.
- Sex with a stranger.
- Mm.
Just so happens that all the things that actually work on stress are sobriety-wreckers.
What about meditation and exercise? Yeah, I said something that actually works.
I mean, there's got to be some crutch to help me deal before I completely lose it.
Oh, wait, here it is.
I found Kyle in the elevator struggling.
Diaphoretic, tachy, tachypneic.
And, madonne, the diarrhea.
All right, let's get you to a room.
Famous Kyle's.
Best calzones in the city.
Oh, that's me.
I'm famous Kyle.
- Oh, no way.
- Wait, no way.
That's my favorite spot in Midtown.
Famous Kyle's Calzones is Lower East Side.
Kyle's Original Calzones are in Midtown.
And the balls on those rip-off artist bastards for calling themselves "original" when - You ever had this pain before? - No.
Okay, any medical history I should know about? I've got MS.
I've had it for years.
It's been acting up, so I did an immune modulator trial three days ago.
Azathioprine? Methotrexate? It's fecal transplant.
For MS? Is that indicated? No.
Someone was way out of line.
I'm sorry, where did you get this done? Downstairs.
New Amsterdam.
A Dr.
Mia Castries.
- Dude! - Hey, hey, hey! Hey, hey, hey, hey, hey! - Ah! - Hey, no, okay.
- Oh, my gosh! - Close the door please.
- They started it! - Hey, hey! It doesn't matter who started it.
You can't physically hurt somebody because you don't like what they said.
It's not what they said.
It's what they did.
Isaac Isaac dumped me.
- It's his fault.
- Oh.
- He started it! - Okay, okay.
I didn't know that.
I'm sorry.
Heartbreak, that's rough, but you can talk to me about it, okay? No matter how awful it gets.
The only one who's gonna feel awful is him.
I'm coming for you, you freak! Okay, time out, time out, time out, come on.
Whoa, whoa, whoa, whoa, whoa.
Well, looky here.
What, is it Visitor's Day? Actually, I work here.
For Urgent Medicine.
Yeah, lovely little outfit on the sixth floor.
Nice people, great benefits.
And UMI is a subcontractor, so I can't fire you.
- Cute.
- Yeah, isn't it? You know, the cutest thing might actually be UMI's seat on New Amsterdam's board, which I believe meets this afternoon, right? Which is great for me because I got a lot to say.
Hey, I'll see you there.
Can't wait.
Hey, in my office.
"Office" is an ambitious word choice.
Well, underestimate me at your own risk.
I have a way to take out our target once and for all.
In 2004, there was a huge malpractice suit.
A patient died, they settled out of court, and that NDA just expired.
I can take that NDA to the board and blow the lid off this thing.
- We can't.
- I mean, I don't want to use it either, but what choice do we have? I mean, we can't because the board's already heard it.
Veronica told the story at her job interview.
Took full responsibility.
That's what great politicians do, turn weakness into strength.
What they don't do is show up at the OK Corral at High Noon with an empty gun.
We still have the element of surprise.
At least she doesn't know we're coming for her.
Yeah, well, about that, she kind of knows.
- Is this your office? - Rude.
Patient Oren Azad got handed an unjustified bill from New Amsterdam.
Not only is it unjustified, it is intentionally predatory.
Well, did he talk to billing? Sometimes they can help negotiate that down.
He did, and that's where he found out it was already referred to collections.
Yeah, where he can fight it in court with a bunch of money he doesn't have.
But since you are always the Mozart of helping people not pay, I thought maybe a little "Goodwin special sauce" might - Floyd.
- Oh, I like that face.
That's a classic "Max brings justice to the people" face right there.
This is it.
This is what's gonna finally bring Veronica down.
You know, when somebody breaks up with you, it is perfectly natural to feel a whole well of emotion Sadness, loss Revenge.
The desire to make his pathetic life an ever-living hell.
Sure, yeah, that's an emotion one could feel, yeah.
Why do you think you're feeling that? Because I-I liked him.
I spent my first kiss on him.
How was it? Good? But then I got confused, 'cause I know I don't feel things the way - other people feel things.
- Sure.
So I decided I should test it.
You decided to test it? How? I kissed every other boy on the inpatient floor to see how those kisses made me feel.
And none of them even came close to kissing Isaac.
His kiss was different.
I don't know.
He made me feel something.
- Hmm.
- But then he found out.
He should have been happy.
The test proved his kiss was the best one, but instead he dumped me in front of everyone.
And now he's gonna pay.
Did you ever consider that Isaac might feel another emotion other than happiness, after he learned about the kissing? If you hurt a person that you really like, even by accident, can you ever get them back? Well, all you can do is try.
Mmm, yeah.
And worth coming to the sixth floor for, huh? I love this place.
- Best calzones in Brooklyn.
- Oh, yeah.
No, no, no, Brooklyn is Classic Kyle's.
Midtown is Original Kyle's.
Famous Kyle's The only real Kyle's - Is Lower East Side.
- All right, thanks, Kyle.
How hard is this? Hey, I just heard that Kyle Vincenzi came back in.
- How's he doing? - Oh, yeah.
He's doing much better since I pushed broad-spectrum antibiotics to reverse your unindicated and dangerous FMT.
Oh, I think you'll see that it was indicated, just not by his MS.
His neuroimmune issues, his weight issues, his compulsive behaviors They all suggest a maladaptive gut biome.
Right, well, Kyle is my patient now, so I am gonna treat him with traditional medicine.
No, that's what I've been doing.
No, what you do is alternative medicine.
What I do is traditional medicine.
No, what you do is modern medicine.
Okay, um, I wanna say awful things to you right now I mean, like, way worse than I've already said But I know that it's not okay to rip someone's head off and jump down their throat just because you disagree on a diagnosis.
Unfortunately, I haven't found a better way to deal with my negative emotion, so I suggest you leave very, very quickly.
I like hot yoga and a week of a honey elixir and leafy greens.
- Thank you.
- Feel better.
- Mr.
- I got nothing to say to you.
Well, I just came for a detail.
- You came to me for a detail? - Yeah.
The, uh, gold package with the hand wax should do her right.
You left in the original V8, or you chrome it out? You know, I'm not much of a car nut.
With a car like this? Oh, yeah, this belonged to my dad.
You know, he, uh I don't have too many memories of him, but him showing me how to clean a car right That was one.
Look, doc, I appreciate the business, but I'm still not coming in for the surgery.
Look, Mr.
Azad, the surgery's on the house.
No, in fact, if you get charged one dime, you get the car.
No ifs, ands, or buts ♪ No ifs, ands, or buts ♪ With me.
No ifs ♪ If ♪ You're doing great.
N-n-not gr Helen, I have seen patients with your aphasia recover.
I-it can happen any moment.
This beautiful breakthrough where No ifs, ands, or buts ♪ slides right off the tongue, and your language skills come flooding back.
That moment could happen for you right now, or in a week, or in a year.
I hope it's soon, but, Helen, you have a mountain to climb.
You're not climbing badly.
You're just climbing.
I've also seen a lot of benefits from bringing a partner to the sessions.
This afternoon, why don't you bring Max? So Reynolds came to me with this egregious case of overcharging, and I looked into it.
It's everywhere.
Veronica is overcharging patients and then threatening them with court before their stitches are even out.
Oren Azad wasn't an accident.
He's the plan.
She'll claim she's doing what every hospital does.
Yeah, but how much? Right now, Veronica's an industry leader in greed.
The board likes money.
They won't care if it's dirty.
No, but the world will.
You want to go public, force the board's hand? You tell the world what you just told me, and the hospital's reputation will be in tatters.
We'll be synonymous with greed, poor care, and we may never recover.
So I need to be sure you understand you'd be taking down New Amsterdam.
It may be the only way to save it.
Big, fat scam right there.
New Amsterdam is robbing you, putting profits over patients.
Boycott New Amsterdam today.
Here you go.
New Amsterdam charges 60 bucks for a Band-Aid? Well, that's just for the little ones.
Imagine what the regular-sized ones cost.
Urgent Medicine, however, is different.
Sixth floor.
Come by anytime.
- Hi there.
- Hello.
- Would you like a flyer? - I'm good, actually.
You know, you can't project graphics onto the real estate of the people that you're slandering.
Well, it's only slander if it's not, uh, true.
What do you think I'm gonna do? I'm just gonna go cower in my office or resign in shame? This isn't going to accomplish anything, Max.
Have you checked your surgical cancellations lately? 'Cause I think we just picked up 11 of your patients, and thanks to them, the world is gonna hear all about what you've turned this place into, and so will the board.
There you go.
And that's that's why I'm so sorry, Isaac.
I'm the most sorry I've ever been in my entire life.
I know what you're doing.
- Isaac - No, she does this, Dr.
Juliet's disorder does make it harder for her to connect with other people.
She had no problem connecting with everybody else on the floor behind my back.
You said an apology would work.
No, I didn't.
I said that it was worth a try, and I never said it was a guarantee.
You really want the truth, Isaac? You really want honesty? I guess.
When we kissed, I felt like I was gonna throw up.
No, but like Like good throw up.
I-I don't I don't know how else to describe it, but I really liked that feeling.
And I don't want to lose it or you.
Okay, good, thank you.
Um, Isaac, Juliet has shared her truth with you, and I wonder if you might share yours with her, even if it's hard.
I don't wanna lose you either.
Kissing you felt well, not like throwing up exactly, but definitely a stomach thing.
Like like being on a roller coaster.
I kinda feel it right now.
Oh, my God, mind your business.
You're right.
I'm sorry, my bad.
As you were.
Hello, gorgeous.
How's therapy going? Come on.
I'm sure you're crushing it.
You're gonna be doing Shakespeare in the Park in no time.
You wanna say something.
J-just H-hi.
Love you.
You got this.
He's tachy and hypotensive.
It's anaphylactic shock.
- Hit him with EPI sub Q.
- On it.
He must be having an allergic reaction to the antibiotics we gave him.
Come on, Kyle.
Come on.
- Okay, BP's rising.
- Heart rate's slowing.
Okay, you had a bad reaction Kyle, but you're gonna be okay.
Look at his legs.
That's not an allergic reaction.
- 2 milligrams of Ativan IV.
- That's not gonna help his MS.
I don't think he's got MS at all.
Come on, Kyle, come on.
Spleen fully retracted.
And with that, the midline margins of the tumor are clear.
Let's investigate the posterior margins on the tail.
Throw us a little bit more light.
Wait, let me see here Damn it! More tumor remnants.
Right up against his superior mesenteric artery.
If we resect and the tumor's eroded in, he'll bleed out in seconds.
We need to get a vascular surgeon in here to attack that.
Call in one of New Amsterdam's.
His insurance only covers one consulting surgeon.
New Amsterdam is out of his network.
He's gonna get slapped with a huge bill.
Well, if we don't get a specialist in here fast, he won't be alive to see it.
Hey, Dr.
How are my fricatives? Exquisite.
You ready to go? - Ready for - For Helen's therapy.
I decided this morning that you should be there.
Oh, uh I'd love that, but she she didn't invite me.
Well, I'm sure she will when she sees you.
I heard you weren't in art class today.
She dumped me.
Oof, that's rough.
You know, God knows that affairs of the heart almost never go the way we planned.
This went exactly how she planned.
She tricked me back and then humiliated me on purpose.
I'm so stupid.
Well, Isaac, are we sure that This was an attack.
She waited till everybody on the floor was gathered for group, and then she stood up on a chair and yelled that she was dumping me.
Yeah, that's pretty terrible.
And she said she was dumping me because I was gross and that I kiss like I'm spitting into her mouth.
And that my breath smells like armpits.
She said she wanted to get back together.
Why would she do this? This is Dr.
Reynolds at New Amsterdam.
Yes, I'm in need of a vascular surgeon.
I know it's last-minute, but, uh Yeah, I see.
Um Do you know of anyone else I can call? You're the only one in Lower Manhattan.
Okay, no Gold PPO, but how about Silver? Bronze? Any other metal? No, yeah he's open on the table right now.
I'm looking at the man's liver.
You don't know me, but I know your boyfriend's sister's husband, and they told me that Wait, I'm desperate here.
And I know it's bullcrap that the only way to save a man's life without bankrupting him is me cold-calling strangers, but you're a doctor in America, so I know you've been standing where I am right now and I'm asking you doctor to doctor, human to human, to just drop everything and save this guy's life.
Yeah, yeah, sure, if something opens up.
Okay, Kyle, I just want you to take some deep breaths and try to relax as the toxins are leaving your body.
You can't steal from me.
I took a calzone.
My patient.
It is unacceptable.
I'm upstairs trying to figure out a diagnosis, and you're down here laying a tea party out on his back.
- It's called cupping.
- Yeah.
Well, what it is not called is medicine.
Give me one good reason why I shouldn't report you to the board.
'Cause I didn't steal your patient.
He requested to be transferred to me.
Why would he do that? Because his doctors keep trying to figure out if he has this kind of MS or that kind of infection, and all he wants is to feel better.
But I have some good news.
The tea party is working.
It's triggering some muscle relaxation, and he's actually feeling really good right now.
That is good news.
- Sorry.
- It's okay.
It's not like you ripped my head off and spat down my throat just because we disagreed.
Um I've had a really hard stretch.
And, uh the things that I used to rely on to get me through Well, they're, um turns out they're not so sustainable.
So I'm lashing out.
I guess I need a new crutch.
Not doing so hot with the old ones.
Do you know what a crutch is? I think so.
But you know what, I've embarrassed myself enough.
So I'm gonna let you tell me.
It's leaning on something instead of fixing what's really wrong.
And I only know that because that was me for a long time.
But, the big irony is, you think you're skipping the feelings, but you're just prolonging them.
They're still in there waiting to be let out.
I think the toxins came out.
What is that? That is the best calzone on the Lower East Side.
I think I know what's really wrong with him.
Ifs N no But buts.
- Hey.
- Hi.
W-why Oh, yeah, you weren't answering my texts, and Oh, yeah, sorry.
You're in the zone.
I get it.
But your doctor, I bumped into her in the hallway.
I think she wanted me to be here.
You, um Bus y.
No, no, I'm not too busy for you ever.
Come on, let's get in there.
Go? Why? Go.
Helen, I don't presume to understand what you're going through, but I am trying.
And your doctor wants me I wanna be here, okay? I wanna be here to support you.
You no mm.
- S port.
- How can you say that? You no S-s-see m I don't see you? What are you talking about? Of course I see you.
W-w-what you s-s-see? I see the most incredible person I've ever seen.
I see someone who's strong and amazing and brave.
- Fail.
- No, no, don't say that.
- B-broken.
- You're not broken, Helen.
That's ridiculous.
You're not broken.
You're not broken.
You see mm Perfect.
I love you.
I love you.
And I'm always gonna love you, even if N-not better E hm.
Ev ever? Mm-hmm.
- Say - I'm still gonna love you.
No matter what, doesn't matter.
Even if Even if.
But you will get better.
I'm not giving up on that.
Are you? You two ready? Lea ving.
And Mr.
Azad's margins are clear.
Loh, you are a literal lifesaver.
- Thank God Floyd got to you.
- It was a near miss.
I had a conflict, but he's covering for me, so it all worked out.
What was the conflict? "Flowers for Algernon.
" What a book.
Yes? What were the flowers supposed to symbolize? Right, uh Celiac disease? Yeah.
- Not MS? - No.
- But my famous calzones - Are making you sick.
But not because they're not delicious.
It's the gluten.
Your immune system is treating it as a threat.
The inflammation it's causing is what's triggering your numbness, weakness, the rashes Symptoms almost always associated with MS.
I'm so sorry, Kyle.
Why would you be sorry that he doesn't have MS? 'Cause it's hard to accept when something you love is hurting you.
Are you kidding? It's great.
I finally have a way to put daylight between me and those other Kyles.
Gluten-free calzones.
It sounds so classy I'll be able to charge whatever I want.
Hey, great job on that diagnosis.
Something I love is hurting me.
I'm just not really sure how to let it out.
How can I help? Juliet, come on.
I know you're in there.
We need to talk about what you did to Isaac.
Just get it over with.
Look, I know that he hurt you, and I know that that stings.
But that does not give you the right to hurt him back, no matter how bad you want to.
No, no, that's not gonna work on me.
I'm not trying to do it! They just keep coming.
They won't stop.
It's so annoying! What is happening? I think that it's because deep down, you still care a lot for Isaac.
Well, duh.
Of course I do.
Why do you think you hurt him then? I was really, really happy when we got back together.
And I thought everything was gonna be the same as it was before.
But he was different with me.
He was distant, and I knew it was only a matter of time before I got dumped.
So I wanted to win before I lost again.
Wow, that must have felt strange first time winning felt bad.
It's my own fault.
How so? I'm callous-unemotional.
I'm not supposed to be happy with someone else.
I'm clinically predisposed to be alone, and these feelings prove it.
Holy moly, did you ever get this one wrong.
- You making fun of me? - No.
Feeling like you're doomed to be alone? That you screwed things up so badly with the one person for you that you're never gonna be happy again? These are big emotions that everyone feels when they get broken up with.
Juliet, these are the most recognizable emotions you've ever shared with me.
Really? Yes, really.
But you know what I think these tears mean? I think they mean you're getting better.
I move to immediately dismiss Veronica Fuentes as Medical Director of New Amsterdam.
Can I get a second? Hi You started without me? - Hi, everybody.
- Veronica, welcome.
You are just in time to take a vote on your termination.
Mm, shame.
Well, I guess I could just make it easier on everybody and hand in my resignation.
Wow, that would be great.
But before I do that, I would like to make one final proposal.
I would like to acquire Urgent Medicine Inc.
You see, there's this little buyout option in the contract, and call me crazy, but Max's very weird and rather ugly grandstanding today actually created a beautiful opportunity for us.
But I want to be very clear This is not just a PR win.
This is a huge financial gain for us because once we bring back our former patients, plus UMI's, we will be netting approximately ooh, let's see, hmm, maybe about $3 million a month, give or take.
I'm sorry, I who still wants me to resign? What happened? How do you beat greed personified? You give her something to buy.
She took the bait? She bought UMI? Veronica just bought herself a Trojan horse.
We are in.
Ignatius Frome? Yes, hi.
Iggy, just call me Iggy.
Is your husband joining us? No, no, I told him not to.
You know, I was making this about us, and I think it's really me that has the work to do, so This way.
You know, I wouldn't have taken your car.
Why not? It was your father's.
Hi, I'm, uh, trying to track down an employee who worked there some time ago.
"I should have let you come to my session.
" "I was ashamed and embarrassed "and scared.
"But this is where I am.
This is my journey.
" W-w-will y-y-you cuh - Always.
- come? No ifs, ands, or buts.
Say it with me.
Come on.
- Now? - Yeah.
Now, come on.
We'll make it fun.
It'll be like a strip poker version.
Ready? Here we go.
No ifs, ands, or buts.
Your turn.
No ifs nan And, no, sorry.
That's a mistake.
So that's gonna cost you a shirt.
Let's go, shirt off.
I'm waiting.
I got all day.
Here we go.
No ifs, ands, or buts.
Easy, okay? You got it.
No ifs, ands, or mm buts.
So good.
So good.
No ifs ands or - Yeah.
- Buts.
Don't stop now.
No ifs ands or buts.
How good is that? That's amazing.
I knew you could do it.
I knew you could do it.
But your shirt is still on, and you made a very big mistake, so I'm gonna need that shirt off.

Previous EpisodeNext Episode