New Amsterdam (2018) s04e21 Episode Script

Castles Made of Sand

♪ Head under ♪ Oh, whoa.
God, sorry.
No, no, no.
I was just gonna brush my teeth.
- Yeah, me too.
- No, it's okay.
You can go ahead.
No, really, go.
Okay, just wait here.
I try to breath but it comes slow ♪ - It's all yours.
- Are you sure 'cause Yeah, yeah, no, I insist.
So I make do with what I know ♪ [SIGHS.]
I lament in the pouring rain ♪ I'd rather wash away my pain ♪ Can't spare the time to entertain ♪ Afraid of loss, afraid of change ♪ So I keep lying, lying to myself ♪ ♪ Tell myself I don't need help ♪ Excuse me.
I'm looking for the owner.
Lie myself right into hell ♪ Oh, I keep lying, lying to myself ♪ The moon is laughing at me now ♪ - Hello.
Um - Oh.
Are you the guy with the Jeep? No, yeah, sorry.
I'm looking for Horace Reynolds.
And you are? I'm Floyd.
♪ My brother told me ♪ Okay, this is where he sent the last check, but it's old.
I bought this place from your pops, like, ten years ago.
Thank you.
No, this is great.
Hey, look, I heard he got really sick.
Don't know if he ever recovered.
I'm sorry.
♪ I'm afraid I'm too late for this ♪ So I keep lying, lying ♪ - You like it? - Oh, my Martin Eugene McIntyre, I love it.
Great, I was walking down 8th Avenue, I saw it in a window, and it reminded me of the one you had on the night we met.
Oh, the one that I spilled beer all over, you mean? - Uh, tequila.
- Right.
God, I was so neurotic.
What are you still doing here? I see all the work you're putting in.
All the little things.
The coffee you make me, your work with Dr.
- Mm.
- You're trying to fix it.
- Us.
- Yeah.
I think we're getting back to where we started.
♪ - Thank you.
- Yeah.
♪ I am but hours away from catching that magical red-eye to Heathrow.
Magical is not quite the word I would use, but I'll take it.
Had a few hours, thought I'd call and help out with the wedding planning.
Oh, you do know what to say to a lady.
You know, our romance has just been so fly by the seat of our pants.
I thought the our wedding should be the opposite, you know? Thought out, considerate.
I completely agree.
How do you feel about castles? Castles.
I love castles.
- Is this a random question? - No.
My parents got married in a registrar's office in Leicestershire.
No dress, no ring.
It was like they bumped into each other just queuing for driver's permits and thought, "Well, we're here.
We might as well.
" Yeah, so what are you thinking? I'm thinking the Hereford Court Estate and Gardens.
It is this beautiful 15th century castle nestled in 500 acres of Herefordshire countryside.
Mina and I are going to go see it today.
Sold, sounds so over the top, it might just match how much I love you.
I love you too.
Can't wait to grow old and gray with you.
I can't wait to grow old with you.
Gray? Mm-mm, not so much.
That's a lot of gray.
Max? Babe? Hey, sorry.
I'm just doing math.
I'm gonna call you right back.
Hey, what's happening? The elder care facility on Roosevelt Island shut down, and we're absorbing all their residents.
All? Can we handle that many intakes? Every other city and medical director said no.
And New Amsterdam said yes? We don't have a medical director.
Keys, phone.
Oh, no, Mina.
♪ Mm-mm.
Don't do it.
Stop that.
Don't, Helen.
Just put the phone away.
♪ No, put it okay, well, you're just gonna disappoint yourself, then you're gonna ruin it and Mom, hi.
What are you doing today? ♪ - We should go on diversion.
- No.
- We're out of beds.
- I've got a plan.
Just found three more wandering the halls.
I said I've got a plan, okay? This is an ED.
They don't all need to be here.
- I'm going to Hawaii.
- We treat and we transfer.
So how many did they dump on us? Us? Aren't you supposed to be on a plane right now? Unless you want to be the new medical director.
I'm just a concerned citizen who's offering to help.
Okay, well, in that case, welcome to "The Best Exotic Marigold Hotel" in my ED.
- Yo, you paged? - Yes, yes, I did.
Okay, so you see these five elderly patients over here? They are all candidates for surgical procedures, and last time I checked, you were still the chair of surgery.
- So get to cutting, bub.
- Well, now, hang on.
Put me in, coach.
I'm ready to play.
- Nice sweater.
- Thank you, yeah.
I don't care.
I don't care.
So I need you to take these people up to your floor.
- They're all depressed.
- And you know that how? - They live in a nursing home.
- I'm going to Hawaii.
Just find them a new home.
Can't you just be the interim medical director? I already told Karen no, but the search committee's gonna find you someone amazing.
It just won't be me.
Well, as long as we're all pitching in.
- Mr.
- Hmm.
Wallace, meet Dr.
- How can I help? - How the hell should I know? You're the doctor.
You tell me.
The patients in these files were all denied surgery at other hospitals solely because of their age.
Guess what? That's ageism.
Plain and simple.
Now, that might fly at other hospitals, but not mine.
These patients want these surgeries, they need these surgeries, and we're gonna make it happen.
Now, I will be performing Mr.
Lewis' osteotomy.
Wait, all these surgeries are happening today? After being placed on hold for months and, in some cases, years just imagine that this is your father or your grandmother.
Hell, I have to fight tooth and nail to get my mother the care she needs, and I know the system.
These patients have waited long enough.
Any questions or concerns? You are the boss.
I just wedged Mr.
Jackson into bay 27.
I thought Lottie Carlson was 27.
She was surprisingly fine with it.
Okay, so come on.
What are we at? - What are the numbers? - We've placed 17 patients.
- Well, that's pretty good.
- We have 46 to go.
God, I take that back.
Excuse me.
I asked for hot tea with lemon.
Yes, we're gonna get right on that.
If you could just get back to your Does this feel hot to you? - Uh - I would call it tepid.
- Yes.
- Mrs.
Lew, please.
I'm just an old lady with a sore throat.
- I'm begging for help.
- All right, okay.
I'm gonna take a look.
Come on.
Open your mouth.
♪ It's strep throat, right? Oh, God.
Lottie and Patricia got it last week, and Reuben's got it now.
Rhonda, Sheila, it's really going around.
♪ - Mrs.
Lew has gonorrhea.
- Didn't see that coming.
Okay, shut the doors and divert all level one traumas.
Well, your wish came true.
We have a gonorrhea outbreak.
To be clear, that wasn't my wish.
And there is that.
After a month or so, Mr.
Lewis will be back with his bridge club.
No pain, no pills.
I'm sure he'll appreciate that.
I would at 87.
Listen, it's why we do what we do, right? And to think, some surgeon said that he's too old.
- Sorry, Dr.
- Yes.
If we're done, OR 4 needs three units of O-pos.
All right, no problem.
They can have it.
We're good.
- Dr.
- Yeah, over here.
OR 3 needs a spare set of hands.
Aren't there any available scrub nurses? There were, but there seems to be some sort of problem.
Any available surgeon to OR 2.
Any available surgeon to OR 2.
Excuse me while I check on it.
♪ - Watch it.
- Sorry.
Any available surgeon to OR 2, 3, and 6.
Repeat, we need a surgeon in OR 2, 3, and 6.
Any available surgeon, stat.
♪ As you can see, our attention to detail at Hereford Court is unparalleled.
Of course, you and your wedding party would have full use of the grounds.
A lovely chamber quartet, five-course tasting menu, livery service for arrivals.
What's a livery service? For those arriving on horseback.
Oh, dear God.
Mum, this is important to me, which is why I invited you, but What? So I can't ask questions? We've left the castle exquisitely unchanged.
Some things really do stand the test of time.
You ask me, people getting married in castles are over-compensating for something.
Fiona, tell me.
Does the estate have a dungeon? Yes, it does, but unfortunately it's off-limits to guests.
Oh, that is unfortunate.
♪ Yo, fill me in.
I resected a pancreatic tumor with an extension into the liver.
And what's the problem? I can't close the liver because I can't get the bleeding under control.
And every stitch is pulling through because the tissue is too friable, which is probably the reason Ms.
James' surgery was denied in the first place.
We'll see about that.
All right, I'm tagging in.
Okay, Vic, you want to tell me what medications you're taking lately? Hand me my bag.
- Thank you.
- No problem.
Now, let me see here.
Lockhard prescribes amlodipine besylate for my hypertension.
Lee gives me levothyroxine for my hypothyroidism.
Wheeler gives me omeprazole for my reflux.
And Dr.
Brennan gives me some simvastatin for my high cholesterol.
You got a whole pharmacy in there.
Listen, here's what I'm thinking.
I'm also taking prednisone on Mondays, azathioprine every other Tuesday, diclofenac sodium as needed, and tramadol.
- Am I pronouncing that right? - Yeah.
- Oh, I'm so sorry.
- Oh, that's okay.
- That's okay.
- Oh.
Okay, it's all right.
And you have rheumatoid arthritis.
Yeah, it's miserable.
Nothing makes my hands stop swelling.
Oh, and there's adalimumab on Fridays.
Let me see what else.
Hi, I'll be right back.
Yes, hi.
Nurse Gene from South Point Nursing Center.
Oh, am I glad to see you.
Oh, my God.
We are bursting at the seams here.
We got the transport outside.
I'll get them all resettled and get the paperwork sent back, okay? Please, thank you to your team from me, okay? You just did.
Did I tell you I'm flying to Hawaii tomorrow for a long vacation? Oh, now, are you going to the Big Island, Mrs.
Boulton? - Yes, I am.
- Yes, she is.
It's supposed to be beautiful this time of year.
Oh, good with this population, huh? Oh, now, hey, these are my guys.
Got Big Wally here.
Big Walt.
- Hey, now.
- Yeah.
Hold on a second.
You got him? You okay? You all right? Need a sec? - Just my asthma.
- Your asthma.
No, no, no.
Asthma doesn't look like this.
You know, Gene, I think you're having a panic attack.
Come, now, come in my office.
It's okay.
Take a second.
Take a second.
Come on.
All right, well, the good news is, is that gonorrhea can be treated with one shot.
So we just have to talk to them and figure out who needs it, okay? [KNOCK ON DOOR.]
♪ Ms.
Forsheim, we need to talk to you about your sexual activity.
Where do you get off asking a question like that? And are you sexually active? I wouldn't call it active.
I mostly just lay there, and I'm happy with a little kissing and touching.
If it happens, it happens.
I haven't had sex in 30 years, unless you count oral.
How about sexual partners? I had only been with one other man before my Jerry passed, but life goes on, yeah? And why should I tell you what goes on when the lights go out? - And do you use protection? - From who? Condom? Where would I get a condom? Oh, I don't do condoms.
At my age, I got enough problems getting this boat in the water.
Well, maybe you'd be more comfortable if we all just played shuffleboard till we died.
We're just trying to help.
- By embarrassing people? - No, that's not I haven't had sex in years.
You should be ashamed of yourselves.
♪ This interview is over.
Wilder, BP 78 over 42, dropping.
Drop to 3-0 vicryl.
No, no, no.
I already tried that.
Well, what if I do a purse string suture? Another unit of blood coming in.
Yeah, what I'm thinking is I take this tissue here, and I pull it together with that suture.
And then you can come in and cauterize the edges.
- Yeah? - Let's do it.
- Dr.
- Yes.
So sorry.
You're needed in OR 3.
I'm kind of busy right now.
I know, but it's Dr.
Nottingham's patient, Mrs.
- She's in trouble.
- What kind of trouble? I think you better see for yourself.
Go, I've got it.
Oh, God.
I mean, all these patients.
I mean, they all needed these surgeries, right? Dr.
♪ I'll let you and your mother take in the bridal suite, and I'll pop right back with contracts and champagne.
She's gonna pop back with champagne, Mum.
You really ought to cheer up.
You'll need it, what this is gonna cost you.
Do you know what, I am curious, if you were just gonna be miserable the whole time, then why did you want to come? I didn't want to.
You asked me.
Because I thought, mistakenly, that for once, you just might want to see me happy.
Happy? Where do you think the money that built this place came from? The backs of your ancestors, that's where.
Sugar plantations.
Colonial slavery.
When that woman tells the story of the lord and lady who built this place I'm sorry, but I don't hear timeless love.
I hear something very different, and of all people, why couldn't you? I thought that You thought you deserved a fairy tale in a castle with that man and his daughter.
If it's a fairy tale you want, it's a fairy tale you'll get.
♪ Okay, Vic, I think I have got some great news.
I think I got a way to cut that suitcase of pills in half.
- Really? - Yeah.
Thing is, you've been seen by a whole host of doctors, each one treating you for a different ailment, and nobody is communicating with each other.
But now, unfortunately for you, you're stuck with me, and I think I've got a way to streamline that regiment.
That means no more bags of pills, no more dozens of doctors.
And will my hands finally stop swelling up? Well, no, that will still unfortunately be a side effect.
We have you got one of those smartphones? Sure.
Look up Carnegie Hall December 12, 1973.
♪ - This is you? - It was.
I haven't played for over a decade, ever since the arthritis got bad.
Vic, you're amazing.
You ever been in love? [CHUCKLES.]
I'm about to get married.
Playing was the love of my life.
I still dream about it every night.
My fingertips touching the ivory, teasing out the melody.
And every doctor I go to, they just see me as some old guy with symptoms that need to be treated.
And I always ask them, can they help my hands stop swelling? Every time, and nobody ever listens.
Not even you, Dr.
♪ I got to get back out there.
I got my residents.
No, no, no, no, they're with a nurse, and, my friend, they're not the ones dealing with a pressing medical issue.
Oh, come on.
Let's not get melodramatic.
Talking to the wrong guy, I'm afraid.
All right, sit.
What happens if you have one of these panic attacks when you're physically supporting one of them, huh? Or while you're driving? So what, this is some kind of a stress thing? I don't know.
Is it? So now I'm in a therapy session.
No, Gene, I'm not your therapist.
Genuinely, I'm just a concerned medical professional chatting with another one.
That's it, I promise.
Okay, you're good.
You got me.
My wife and I have been fighting.
Okay, what about? Chores, kids, money, you name it.
We run the whole jukebox.
She says I'm not showing up like I should.
All right, well, do you think you are? All right, never mind.
What do you do to feel good? You know, how do you find relief from these feelings? Well, that one's easy.
My job.
Tell me.
I mean, I love it.
A lot of nurses won't work elder care.
Too depressing, underpaid, but I went to geriatrics straight out of nursing school.
Some of the folks I work with, their families don't visit.
They're totally alone, but they got me.
I get to help them smile.
I keep them fed, bathed, and clean.
I yeah, yeah, the hours suck, but every day I see how much it means to them.
And whether they know it or not, it means even more to me.
That's nice.
No, that's good.
I just I think I know what you need to do to get rid of these panic attacks.
What's that? [SOFT MUSIC.]
You need to quit your job.
♪ That was mortifying.
In Pakistan, we don't ask elders such things.
Right, and that's the problem.
I mean, no one's talking about it, no one's asking about it, and everyone's got VD.
It's like I'm back in high school.
What high school did you go to? I need back up! I need back up! - Okay, what do we got? - She's crashing.
Unresponsive, respiratory rate 40.
All right, she's gasping for air.
- Lungs clear? - Yes.
- Allergic reaction? - No and no pneumonia.
All right.
All right, there's an abscess, and it's blocking off her airway.
We need to get her into surgery.
No time.
♪ - [GROANS.]
- What? It's gonorrhea.
She said she hadn't had sex in years.
Well, she lied.
- What do we got? - Carotid endarterectomy.
Can you sew in the distal anastomosis? Okay, clamp this, needle.
How much time? Two and half minutes to finish or risking permanent brain damage.
You're just now telling me? Suction.
Come on, come on.
CTA shows stenosis in the Circle of Willis.
That explains why there's no retrograde filling.
You see why the small window.
I do.
- Why didn't you push back? - Excuse me? If this surgery was a mistake, why didn't you tell me? You're chair.
You're the boss.
♪ Time.
1 minute, 45 left.
Come on.
Almost there.
Okay, there.
Got blood flow.
- What now? Dr.
Flores' patient is crashing.
- You got this? - Do I have a choice? ♪ [SIGHS.]
♪ All right, Vic, now I've really got great news.
Where have I heard that before? That's fair, but I found you a steroid injection.
It's gonna increase mobility in your fingers.
So the swelling will stop? Yes, but at a cost.
The steroid's gonna interact with other medications that you're on, creating more side effects, which may not be entirely pleasant.
But will I be able to play again? Yes.
♪ Oh.
♪ We need to talk about your sexual activity, Ms.
There's nothing to talk about.
Just give me the medicine.
Right, so it doesn't bother you that you nearly died because you refused to admit that you were having sex.
This is how venereal diseases kill people.
Look, it's all very well and good for young people like you to talk about your sex lives to anyone who'll listen, but where I come from, women who had sex out of wedlock were called all sorts of nasty things.
And now we get laughed at even at the care home.
They knew you were having sex at the care home? Of course they knew.
They think it's a hoot.
♪ I don't need to be anybody's punchline.
Not at my age.
Sandy, look, no one is asking you to go public with your sex life.
But if you are having sex, then you do need to face up to the medical realities.
You mean well, I can tell, but I'd rather just not be intimate again than talk about it with strangers.
♪ I can't quit my job.
No, you can.
You don't want to.
- Were you listening? - Yeah.
My job is my calling.
I work long hours because people need me.
No, people need a nurse.
They need a nurse who gives a crap.
Doctors like you think every nurse is the same.
- You have no idea.
- All right, answer me this.
How many residents do you see on a shift? Just ballpark it.
Give me a number.
What was that number five years ago? Eight.
Look, man, everyone is dealing with this.
We're in the middle of a national nursing shortage.
No, we're not.
There are more trained nurses in this country right now than ever before.
Institutions aren't hiring them because they know that short-staffing nurses is a great way to make more money.
That's it.
I've been trying to hire for months.
HCC is blocking me left, right, and center because they know, you screw over a doctor, they leave.
Screw over a patient, they die.
You screw over nurses, they're gonna stay on the job because for them, it's not a job, it's a calling.
This profession that you love does not love you back.
That doesn't change the fact that right now there are five patients downstairs waiting for my help.
- I've gotta go.
- You're doing it again.
You're denying what you know to be true because you think someone needs your help.
What about you? When does somebody help you? When does Gene get help? ♪ Gene, Gene, wait, hey, hey.
You're not wearing scrubs today.
Why is that? [CHUCKLES.]
Today was my day off.
♪ - Come on, let's go home.
- Helen, listen.
And I mean this.
I'm sorry if I got in the way.
When you were a girl, your cousins would play princess.
The big fairy tale wedding, you know? - Imagining castles and princes.
- I remember.
Remember what you were doing? You'd be off in the corner dissecting your poor dolls.
They needed those surgeries.
Well, I knew you felt left out.
I know you wanted those things.
At least you wanted to want those things.
If you want to have your wedding here, then have your wedding here.
♪ Okay? Because you deserve everything.
♪ I don't want to have my wedding here.
♪ I don't know if I want a wedding at all.
♪ Coming through.
Increase the joules.
Going again.
- Clear.
- What happened? Still pulses v-tach.
I got nothing.
I got nothing, Dr.
Time of death, 1:52.
I was just with him.
- He was fine.
- Max.
- I changed his meds.
- He had a brain aneurysm.
No change in meds could've done this.
It was just his time.
- Hold, hold.
We got to hurry.
Almost done with the first suture.
Okay, resuming compressions.
Okay, suture's holding.
Going again.
One, two, hold.
I'm sorry I put you through this.
Don't apologize to me, apologize to Ms.
Keller if she makes it through this.
- Dr.
- Not now.
- But OR - You heard me.
Whose ever patient is crashing, I can't help them.
It's yours.
You close to bypass? Tell me you got it.
- Come on, come on.
- Handle your business.
I've got this, go.
♪ Watch out.
Heads up.
♪ Bleeding's under control.
Plate is in place.
If you're ready to close, Dr.
Reynolds, we'd be happy to assist.
- What about your patients? - They're stable.
"I recently had a hip replacement.
Can I still have safe sex?" The answer is, yes, you can.
Some positions are gonna be better and feel better than others, but that's gonna be different for everyone, so Tough crowd.
"Is there any reason to still use condoms?" Look, growing up, I always used condoms because public messaging drilled it into me that if I didn't, I was gonna get pregnant.
Now, if today has taught us nothing else, it has taught us that safe sex does not mean just not getting pregnant.
And it's definitely not just for kids.
Okay, any questions that are not about how weird that just sounded? ♪ Come on, guys.
I would've thought with the wealth of - Excuse me.
- Oh, yeah.
If we run out of lube, is olive oil safe to use? [LAUGHTER.]
Medically speaking and in moderation, yes.
But if you like your sheets, I don't recommend it.
How do you ask your partner to put on a condom without killing the mood? Don't ask.
Do it for him.
And it does not have to be with your hands.
♪ What do you say if if you like foreplay best? I would say get in line behind Dr.
♪ When I got the new residents through the door, my supervisor said I'd have to pull doubles all weekend to set them up.
But I don't have the energy.
I'm trying, but I know you are.
I'm just out of gas.
I haven't seen my kids in weeks, man.
They're asleep by the time I get home, and I'm out the door before they're up.
I just someone's got to do this work.
You know that somebody will.
There will always be work, and when you're spent, it's on to the next, and on to the next, and on to the next.
What am I supposed to do? It will never stop unless you make it stop.
- This is what I love.
- I know.
♪ It's what I ♪ I know.
I'm so sorry.
♪ - How are the others? - Just came to.
James is looking forward to her weekly Zumba class.
Listen, I need to apologize to all of you.
Today I made the wrong call, and I forced you to go along with it.
Oh, come on.
We'd follow you into fire.
- You know that.
- Mm.
But I don't want you to follow me into the fire.
I don't want to be the kind of boss where folks are afraid to speak their mind.
You sure about that? Hey, if you see risks that I don't, tell me.
Disagree with me.
It helps me to know when I'm walking down the wrong path.
In fact, it helps me to know when I'm right.
- Yeah.
- Mm.
Today you were right.
No, listen, you don't have to.
None of us, I mean, literally none of us wanted to do these surgeries because the outcomes were not in our favor.
But you know whose favor they were in? Them, our patients.
You knew that.
You fought for that.
That is why you are the boss.
♪ Well, look at this gorgeous man.
I didn't hear you come home.
The sweater looks great.
Yeah, I'm not gonna wear this anymore.
Okay, what's going on? You were right.
I have been trying to fix everything.
I've been feverishly trying to make up for all of my shortcomings in this marriage.
And I realized today, wearing this sweater, that I had been doing that since the night that we met, been wounding myself so that you can save me, Martin.
Because that is how you love me.
No, no, no.
I am not the problem.
You are.
♪ Excuse me, are you the super? [CHUCKLES.]
Only when nothing needs fixing.
Hey, maybe maybe you can help me? I'm looking for someone who lived here years ago.
Horace Reynolds.
I don't give out information on tenants.
Building policy.
Well, this is a family matter.
Nobody by that name has lived here since I been around.
Good luck.
Thank you.
♪ Hey, Courtney.
I found Dad.
♪ No, never in my life have I been asked so many questions about flavored lube.
I just wish I'm having that much sex when I'm 80.
I just hope I'm having that much sex when I'm 40.
Thank you for calling me out, by the way.
Yeah, sorry.
I did get a little carried away, but it is true though.
Not always.
♪ Leyla, this is a bad idea.
I know.
- It is.
- You're right.
♪ - So - So ♪ [PHONE RINGING.]
Hey, how was the castle? Max, I don't know how to tell you this.
Tell me what? I don't want to get married in a castle.
♪ I don't know if I want any of it.
♪ Kind of thinking the same thing.
♪ You are? ♪ I don't think I'm getting on that plane.
♪ And I know this is unexpected, and unplanned, and everything we said we weren't gonna do, but I've been waiting my whole life for you.
♪ And if this is it, if this is our time, then then I don't want to wait another minute 'cause in a minute, it could be gone.
♪ I'm not coming back to London.
♪ 'Cause you're coming home.
I am? Let's get married tomorrow in New York.
Wait, wait, wait.
Just think about it.
Okay, what do you need for a wedding? You need two people in love.
You need a couple people, a couple friends to witness it, and a super cute flower girl who just happens to be my daughter.
- Our daughter.
- Max.
Is that a yes? [LAUGHS.]
Can you say that again please? Yes.
Yes, yes, yes, yes, yes.
♪ [SIGHS.]

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