New Amsterdam (2018) s05e11 Episode Script
Falling
Previously on "New Amsterdam"
Dr. Helen Sharpe
is here in New York City
representing the NHS'
fight against cancer.
Did you know she was in New York?
No, not until I saw her on TV.
I wish I could have seen your face.
It's not funny, all right?
Elizabeth did see my face.
- Did she take a video?
- No, she didn't.
Let's just say it wasn't the
best way to start a relationship.
Wait, you and Elizabeth?
Almost, until I saw Helen and basically
frickin' short circuited, which I'm sure
is what every woman wants
in a prospective boyfriend.
Did you think that we'd still
be boyfriends at this age?
No, I did not.
Yeah. So you gonna see Helen?
I don't know. Yes. No. Maybe.
I she hasn't even reached out, OK?
I don't even know if it's on the table.
You're not even a little bit curious?
Of cour which part?
I mean, if she still
has feelings for you.
If some part of her wishes
she could take it all back.
I mean, what if she came back
to New York for a reason?
I know, I know, but I can't.
I can't be curious, OK?
Not about any of it, because
I can't open that door.
I can't fall back into something
that I worked so hard to get over.
I just need to find
Elizabeth, apologise,
make this right, OK?
Hey.
Hi.
Hi.
Hi.
And I have a coffee 911.
Um, you know what, would
you mind interpreting for me,
because I'm just a
little more clear when
I'm not using the wrong words, or, uh,
unintentionally swearing.
Max, please do not include Ben
in our private conversations.
Oh, thank God.
Thank you.
Hmm.
So, this is my emergency, huh?
Oh, it's urgent, Dr. Reynolds.
- Come here.
- Mm.
Mmm.
I can't believe it.
One more week before you have to go.
That is the beauty
of dating a travelling nurse.
Mm-hmm.
What is that?
Less time, and more heat.
I might have a meeting.
Do you have a meeting?
I can't remember right now.
OK.
Manny?
There's the guy that sliced into
the phrenic nerve in anatomy lab.
No, no, that's only
'cause the cadaver shook
when you dropped that slice
of pizza in the abdominal cavity.
- What's up, man?
- It's been a minute.
Yeah, too many. Too many.
How you doing? You look good.
What are you doing here?
It's my son.
He's in the ICU.
It's a fusiform aneurysm
in the vertebral basilar artery,
very close to the Circle of Willis.
That's deep in the base
of the brain, yes?
Yes. Yes, where the blood travels.
But the aneurysm can blow any minute.
Manny, we need to operate immediately.
I've called Dr. Emilio Nieves.
He is the best neurosurgeon
on the East Coast.
You know how delicate cutting
into that part of the brain is.
Slightest vibration,
my boy's own heartbeat
could throw Nieves off by a millimetre
- and he could never wake up.
- Right. Right.
But that's not going to happen, OK?
I'm going to stop Manny Jr.'s heart
before Nieves starts.
We're going to get his body
temp down to 45 degrees,
put him in cold plegia.
All right, suspended animation.
All right?
That way there's no pulse
to throw Nieves off
as he makes the incision to reconstruct
the basilar artery using
an internal mammary artery.
And when he's done,
I'll rewarm your son's body,
restart his heart,
and everyone goes home.
Hearing it as a doctor, it makes sense.
- But when it's your child
- Hey.
I still owe you for totalling
that '66 Dodge Dart.
Don't I?
Let me make it up to you.
Dr. Dyson, exactly how long
do you and your team need for this?
A quarter of New Amsterdam's
thallium allotment
is unaccounted for, Dr. Bloom.
Right, and I'm not trying to diminish
the severity of a missing
radioactive element.
But my ED is clean, and my mood is bad,
so I would appreciate
a real measure of time.
Uh, as long as it takes.
50-year-old male, hypotensive,
experiencing shortness of
breath due to multiple bee stings.
- Oh, damn it, Dave.
- You know him?
Yeah, only because this is
his third time here this week.
He's in anaphylactic shock.
Yeah, I was transferring a beehive,
and the cover ripped for some reason.
Maybe because you're an accountant.
That's what I do.
Who I am is an urban outdoorsman.
OK, let's get him on 250 milligrams
of hydrocortisone
and 50 milligrams of Benadryl.
My eye feels like it's on fire.
Ahh! Ahh!
There's a stinger in
the inner canthal region.
Dave, I need you to stay still.
I don't like things in my eye.
Then you should stop
leaving your office, hey?
Hold him still. Max, Max, uh
- Yeah, I got it. I got it.
- Hold him still.
- Got it.
- That was fast.
OK, let's take him to Bay 24,
and let's monitor him
for the rest of the day.
Got it.
No, wait! No, stop!
- I can't be here all day.
- Why not?
I'm taking my employees
on a Great Escape.
Sure, as long as it's
in Bay 24, that's fine.
Sorry, Great Escape? What is that?
Day-long team-building trips
that take New Yorkers
off the grid and up a mountain
for an eye-opening escape
from city life and city problems.
The tickets are also expensive
and non-refundable.
Yeah, I'll take them.
I'll take all of them.
Fine, but I only do Zelle.
You won't even do patio seating
at a four-star restaurant
and now you want
to venture off into the wild?
I just think it'd be nice to spend a day
outdoors with my friends
and my coworkers, right?
Hm, this is because Helen's
back in New York, isn't it?
No, no, no, I just want
to spend more time
with the people
who are actually in my life.
And after everything that
you have been going through,
wouldn't that be nice?
Brunstetter, page Candelario.
That's what I'm talking about.
Great idea, two words.
- Cape Cod.
- Nope.
Corporate retreat.
That is very different.
It is very different, but everything
is packed and prepared and ready to go
so that we can have some food, some fun,
and maybe a little adventure.
Max, I have appointments.
That's why I've got
substitute doctors who
can step in at a moment's notice
so that we can take a day
to remember what truly matters.
Plus, we'll probably
spend some time in a, uh,
Tent, so maybe we could, uh, you know,
do important doctor stuff.
- I'll go.
- Sorry.
So what do you think?
Yes! Thank you.
Value of shared assets.
Division of property.
Child custody rights.
I guess divorce comes down
to these little sticky notes.
Hey, buddy, you want
to climb a mountain?
Yes.
Thank you. Thank you.
That was easy.
Throw on a backpack, amigo,
because I am taking you
to climb a mountain.
I guess Helen texted you.
She did.
I don't know if I want
to see her, though.
I don't even know if I want
to be in the same city as her.
'Cause you don't want to be tempted?
It's like this.
I just found out Luna
has a peanut allergy,
so naturally I purge the whole
house of all peanuts, all peanut butter,
because even though she knows
that it could make her stop breathing,
she still loves it,
and she probably always will.
So the only thing to do is
to remove it completely
so it doesn't, you know, kill her.
Yeah, yeah.
Max, look, I got a big surgery
so I'm going to have to pass,
but I understand and fully support you
getting the hell out of here.
Thanks, buddy.
You going to get that?
Max.
Get out of those scrubs.
Get ready for the Great Escape, right?
Are we almost there?
'Cause this is a lot of steps.
Welcome to the top of the world.
- Wow.
- Oh, it's amazing.
- Wow.
- Whoa.
This is unreal.
Where are we?
Tennessee, this is amazing.
It's incredible.
- Nope. Nope. No.
- Oh.
Whoa.
Wow.
How high up do you think we are?
I 100, maybe, 150 feet.
It's 288 feet.
OK, well, that's, uh, high.
Maybe Iggy had
the right idea hanging back.
Wait, Max, is Iggy OK?
Why didn't he come?
He, uh, he just wanted
to be alone for a minute.
I think he's going through some stuff.
Yeah, well, he's missing out on a lot.
Yeah.
All right, so now what?
We're going over the edge.
We're go how's that?
One by one, we're going to harness up,
use this belay line to rappel
down the face of the cliff.
Any questions?
Uh, I'll go first.
Are you crazy?
All I heard is "I'll go first."
Cardiopulmonary bypass initiated.
Time to stop the heart.
Core temp is down to 45 degrees.
All right. Here we go.
ACT 466.
Wait for it.
OK, patient is in suspended animation.
Dr. Nieves, you're up.
Time for you to show off.
You got one hour.
We'll need every second.
Three-hole punch.
I always thought he
was throwing away his career,
with starting a family so young.
Now I realise how wrong I was.
And if I can't have it,
least I can do is make sure
he doesn't lose it.
Radiation safety team.
Hey, hey, hey, get the hell out of here!
We are tracking a radiation spill.
Get the hell out!
We are doing a surgery.
We discovered our
thallium supply had a leak.
Probably spilled in here.
Do not come into the surgical field.
Found it! It's in here.
We need everybody
to evacuate immediately.
My patient has a blade in his brain.
If we try to move him, he's dead.
He also is being exposed to potentially
lethal amounts of radiation.
Not just the boy,
everybody is being exposed.
- OK.
- Come on.
All right, people, here's the deal.
These excursions aren't just about
physically getting out of the city.
It's about getting away
from the thoughts
that cloud what really matters.
If I stood in the middle of Fifth Avenue
and I asked people what
their deepest desires were,
I'd probably hear a lot of people saying
they want to be rich.
That is not what they really want.
So what do they really want?
Can we speed this up, please?
It's different for everyone.
And in my experience, this
is the best way to find out.
Because when you take a
backwards leap off an almost
300-foot-high cliff, well,
what you really want tends
to become very clear.
Yeah, are we good to go?
Oh, sounds like someone's excited,
for their first rappel.
- As you're in freefall
- Yeah.
Just think about what
you really want in life.
That's it? We're just going to
OK, uh
OK.
Oh.
Whoo.
Ahh!
OK, last but not least.
- Yeah.
- Any questions?
Uh, think I'm ready as I'll ever be.
All right, you know what to do.
Yeah.
OK.
OK. Wait.
What if I don't know what I want?
Step back and find out.
I'm a little bit jealous.
- Oh, my God.
- I got to be honest.
It's unbelievable.
Max.
Max, incredible, right?
Yeah, it's incredible.
Hey. Hey.
Oh, my God.
Let's get her on her side.
Easy, easy, easy.
How's her pulse? Anything?
Starting chest compressions.
Non-responsive.
A broken femur, shattered wrist,
possible pelvic fracture.
Max!
We need an evac. Call an evac.
Yeah. Yeah, yeah.
- Who's got the SAV pump?
- Check around her body.
It might have fallen out of the bag.
I know she has one.
- OK.
- Oh.
- Got it, got it.
- You got it?
Oh, yeah.
Damn it.
All right, try this cell phone.
Yeah, yeah. Give me a sec.
OK, OK.
No, we got a problem here, guys.
All right, if we don't get
a rescue helicopter here,
she's got no chance.
Wait, when was the last time
any of us had service?
Back where we parked, right?
I'll go back.
I'll go back.
I'll follow the trail.
I'll get I'll hit service
before then, probably, right?
What other option do we have?
I'm going. I'm going.
These protective lead shields were
designed for X-rays and should offer you
some protection in here.
Closing sutures.
You need to put this on, Dr. Reynolds.
Not going to happen.
I'm not going to compromise my mobility.
You're risking further exposure.
I don't care. The patient comes first.
This particular patient
is too important, all right?
Is it really necessary
to clear the observation deck?
Thallium is an airborne
radioactive substance.
We clear the area. That's protocol.
This is the last operating
room running on this floor,
so I would strongly advise you
and your team to find a way
There isn't one!
All done here.
Surgical reconstruction complete.
You and your team need to exit the zone.
- This way, please.
- Show-off.
Good luck, Floyd.
All right, begin reperfusion
and rewarming.
Reperfusion started.
Dr. Reynolds, these
dosimeters measure exposure.
The second any of them starts beeping,
we need to pull you out, no argument.
Fine, let me work.
Gonna have you back in no time.
OK.
Hello?
Hello?
Hey.
Hi.
Uh, I'm Iggy.
Are you OK?
Just lost.
Are you OK?
Yeah. Yeah, I'm OK.
I just I fell. It's nothing.
My family is out here camping.
I just got separated from them.
OK, but they're nearby?
I don't know.
You lost too?
No, I'm not lost, I'm, uh
no, I'm looking for cell
service, but I got to
I got to keep going, so
Can I come with you?
Then you can call my parents too.
Can you run?
OK, come on.
- What is that?
- Smart AED.
It uses the phone's battery as a charge.
I got it the last time Vanessa OD'd.
OK.
This one goes here.
OK, clear.
- Nothing.
- Nothing.
Going again.
Slow but steady. She's alive.
This rock face is unstable.
We got to get her out of here.
Let's move these.
There's no way. They're too heavy.
It's bedrock, it's not going to move.
She's wedged in.
Her rhythm is unstable.
Her body is going in and out of shock.
What if Iggy doesn't make it in time?
We need to build a fire.
The smoke could draw attention.
I'll help you.
Come on.
Oh, God.
You move fast.
Yeah, I'm, uh, I'm worried
about it getting dark.
Work out a lot?
I try.
Good for you.
My family loves exercise.
I just really never gotten into it.
Worried you're going the wrong way?
My sense of direction is awful.
My brother says if I have two choices,
I should choose one
and go the other way,
but he's also kind of douche.
Hey, uh, is your family anywhere nearby?
You think, like does any
of this look familiar to you?
I actually need to tell you something.
I didn't get separated.
I ran away.
Why would you do that?
Don't get snippy.
It's not like you didn't run
away when you were my age.
What are you talking about?
You ran away after your dad found you
sneaking a candy bar for
your new secret hiding place
under the porch.
So he slapped you in the head, hard.
And then you ran away.
A couple of hours later, you wussed out,
and you went right back.
Who are you?
I'm you.
This is all my fault.
It's your fault that our guide's
anchor broke free from the mountain?
We're only here because I
was trying to avoid Helen.
Tennessee would be here either way.
Only with a bunch of tax accountants.
Look, she'd be dead if we weren't here,
and so would they.
So, thank God you're avoiding Helen.
Clearly, the right move.
- Give me that.
- OK.
Done this before?
Jewish summer camp,
when I wasn't sneaking off
- to smoke with the boys.
- Mm.
You know, for months after she left
for months, I would have done
anything to see her, anything.
Just to ask her why.
I used dream of this moment.
You're doing the right thing, Max.
Look, you going to see Helen,
it would be like me going to see
a hundred milligrams of Adderall.
Whatever she has to say,
it's not gonna help.
Just keep looking forward, not behind.
Think I'll take that as a sign.
What was that?
Rock slide.
I've got Ben.
Yeah, I got Tennessee.
Stop, stop.
This whole side is going to fall.
Don't!
Just go.
I need you to listen to me.
We got to get you out of here.
I got to get you out of here.
There's only one way to do that.
My foot.
No. Please, no.
The rockslide will kill you.
It's the only way.
Tennessee, look at me.
It's the only way.
OK.
- OK.
- My bag.
In here.
Bite down on this.
Hold her steady.
OK.
Look at me.
It's OK.
Here.
OK.
Are you ready?
- Did I hit my head?
- You wish.
That would mean you don't
have huge emotional issues.
You're not real, and I don't
have huge emotional issues.
Yeah, right.
You can't even tell your
friends how sad you are.
I don't have time for this.
Oh, like you don't have time
to sign your divorce papers?
I'm not going to.
I'm gonna ask Martin for another chance.
Come on, we both know
that's not going to happen.
Plus, you dumped him,
which frankly blows my mind,
because he's super hot.
Like, I'm psyched to meet him.
You'll understand when you're older.
True love is worth fighting for.
I had to leave because I
had to figure out who I was.
I did that.
Now I can go back.
Classic us.
Running away and going back.
Why did you go back?
I mean, you ran away, hung
out in a park for four hours,
and then you went right back,
even though nothing had changed.
Like, what's the point?
Uh
I don't know.
It wasn't all bad.
It wasn't.
I missed my mom.
I, uh, I missed my brother when
he wasn't being a jerk to me.
I didn't want to say goodbye
to those things forever.
Eventually, you did leave.
Never came back.
Yeah.
I realised that was the price
of a better life.
Sometimes it's scary to walk
away from the good things,
but you have to.
It's what you have to do
to move forward.
That's the funny thing about being lost.
Clearly it's not about
knowing your way forward.
It's knowing that the
answer isn't looking back.
Got it.
All right, let's get her up.
Easy. Watch her head.
Got her?
OK, you're doing great.
You're doing great, Tennessee.
Keep moving! Keep moving!
Max, there's too much blood.
All right, all right,
set her down, set her down.
Easy, easy. How's she doing?
Fast and weak.
All right, she's going
to go into hypovolemic shock
unless we tighten the tourniquet.
It's soaked through.
Uh
Yeah, she's right.
We need to cauterise her leg.
We have the fire.
We don't have
Metal. We need metal.
A carabiner?
It's going to have to do.
All right, we got to get him off bypass.
What's the core temp?
You need to step out of the OR.
Now!
Core temp is 98.6.
OK. Come on.
Let's go. Follow me.
Ready, Dr. Reynolds.
OK.
We're going to take him off bypass.
Suture?
Good. All right.
Get those paddles ready.
All right, restarting the heart.
Charging.
Clear.
OK, going again. Charging, clear.
Going again.
Charging, clear.
Dr. Reynolds, you need
to step out of the OR.
Going again. Charge.
Dr. Reynolds, you need to leave.
Come on.
You shocked the heart four times.
Three times is protocol.
- You need to come with me.
- Come on. Come on.
The patient is unresponsive!
Not going to lose you.
Not going to lose you.
You've been exposed
to high levels of radiation.
You need to come with us right now.
Come on. Damn it!
OK.
All right, hold her.
Hold her tight.
He's not going to die today.
Intracardiac epi.
On it.
Inject just above my fingers.
One milligram epi in.
Dr. Reynolds, call it.
Come on, come on, come on.
There's nothing more you can do.
Get yourself to safety.
Wait a minute, wait.
Dr. Reynolds, call it!
Wait a second.
I got something.
Yeah, I got something.
Oh, my God.
All right, get him to a new OR, now.
Lauren.
Over here!
Hey!
Hey!
Over here!
Hey!
Hey!
Iggy did it!
Hey, Floyd.
Thank you. Thank you.
Floyd, my oldest friend.
Thank you for saving my family.
Consider the car debt repaid.
Thank you.
Um, I'm
I'm sorry, the radiation
has got me all, uh
I just
It's just between, uh,
you know, this and you leaving.
Why do you act like everything
is over and done with?
It's 'cause you're leaving in six days.
Yes.
Only 'cause you never asked me to stay.
Iggy, hey.
You OK?
Hey.
Yeah, yeah, fine.
I'm just embarrassed, mostly.
What were you doing up on a mountain?
Um, I was gaining clarity.
I, uh I signed the divorce papers.
We don't need to worry
about that right now.
Yes. Yes, we do. Yes, we do.
Because I have been, um
I've been having a really
hard time accepting
that what we had is over.
But sometimes to move forward,
you have to leave something behind.
Our marriage is over.
I am certain of that now.
You seem pretty OK with it.
Yeah.
Because I finally know the direction
that I want to be headed in.
Martin, will you go on a date with me?
Vanessa, Vanessa.
I'm really sorry.
I thought you were someone else.
Wait, um, I'm Lauren.
I'm three years sober.
And there's a seat right
next to me if you want it.
Why do you care what happens to me?
Because today I asked the universe
to let me help someone
who used to be just like me.
Dr. Helen Sharpe
is here in New York City
representing the NHS'
fight against cancer.
Did you know she was in New York?
No, not until I saw her on TV.
I wish I could have seen your face.
It's not funny, all right?
Elizabeth did see my face.
- Did she take a video?
- No, she didn't.
Let's just say it wasn't the
best way to start a relationship.
Wait, you and Elizabeth?
Almost, until I saw Helen and basically
frickin' short circuited, which I'm sure
is what every woman wants
in a prospective boyfriend.
Did you think that we'd still
be boyfriends at this age?
No, I did not.
Yeah. So you gonna see Helen?
I don't know. Yes. No. Maybe.
I she hasn't even reached out, OK?
I don't even know if it's on the table.
You're not even a little bit curious?
Of cour which part?
I mean, if she still
has feelings for you.
If some part of her wishes
she could take it all back.
I mean, what if she came back
to New York for a reason?
I know, I know, but I can't.
I can't be curious, OK?
Not about any of it, because
I can't open that door.
I can't fall back into something
that I worked so hard to get over.
I just need to find
Elizabeth, apologise,
make this right, OK?
Hey.
Hi.
Hi.
Hi.
And I have a coffee 911.
Um, you know what, would
you mind interpreting for me,
because I'm just a
little more clear when
I'm not using the wrong words, or, uh,
unintentionally swearing.
Max, please do not include Ben
in our private conversations.
Oh, thank God.
Thank you.
Hmm.
So, this is my emergency, huh?
Oh, it's urgent, Dr. Reynolds.
- Come here.
- Mm.
Mmm.
I can't believe it.
One more week before you have to go.
That is the beauty
of dating a travelling nurse.
Mm-hmm.
What is that?
Less time, and more heat.
I might have a meeting.
Do you have a meeting?
I can't remember right now.
OK.
Manny?
There's the guy that sliced into
the phrenic nerve in anatomy lab.
No, no, that's only
'cause the cadaver shook
when you dropped that slice
of pizza in the abdominal cavity.
- What's up, man?
- It's been a minute.
Yeah, too many. Too many.
How you doing? You look good.
What are you doing here?
It's my son.
He's in the ICU.
It's a fusiform aneurysm
in the vertebral basilar artery,
very close to the Circle of Willis.
That's deep in the base
of the brain, yes?
Yes. Yes, where the blood travels.
But the aneurysm can blow any minute.
Manny, we need to operate immediately.
I've called Dr. Emilio Nieves.
He is the best neurosurgeon
on the East Coast.
You know how delicate cutting
into that part of the brain is.
Slightest vibration,
my boy's own heartbeat
could throw Nieves off by a millimetre
- and he could never wake up.
- Right. Right.
But that's not going to happen, OK?
I'm going to stop Manny Jr.'s heart
before Nieves starts.
We're going to get his body
temp down to 45 degrees,
put him in cold plegia.
All right, suspended animation.
All right?
That way there's no pulse
to throw Nieves off
as he makes the incision to reconstruct
the basilar artery using
an internal mammary artery.
And when he's done,
I'll rewarm your son's body,
restart his heart,
and everyone goes home.
Hearing it as a doctor, it makes sense.
- But when it's your child
- Hey.
I still owe you for totalling
that '66 Dodge Dart.
Don't I?
Let me make it up to you.
Dr. Dyson, exactly how long
do you and your team need for this?
A quarter of New Amsterdam's
thallium allotment
is unaccounted for, Dr. Bloom.
Right, and I'm not trying to diminish
the severity of a missing
radioactive element.
But my ED is clean, and my mood is bad,
so I would appreciate
a real measure of time.
Uh, as long as it takes.
50-year-old male, hypotensive,
experiencing shortness of
breath due to multiple bee stings.
- Oh, damn it, Dave.
- You know him?
Yeah, only because this is
his third time here this week.
He's in anaphylactic shock.
Yeah, I was transferring a beehive,
and the cover ripped for some reason.
Maybe because you're an accountant.
That's what I do.
Who I am is an urban outdoorsman.
OK, let's get him on 250 milligrams
of hydrocortisone
and 50 milligrams of Benadryl.
My eye feels like it's on fire.
Ahh! Ahh!
There's a stinger in
the inner canthal region.
Dave, I need you to stay still.
I don't like things in my eye.
Then you should stop
leaving your office, hey?
Hold him still. Max, Max, uh
- Yeah, I got it. I got it.
- Hold him still.
- Got it.
- That was fast.
OK, let's take him to Bay 24,
and let's monitor him
for the rest of the day.
Got it.
No, wait! No, stop!
- I can't be here all day.
- Why not?
I'm taking my employees
on a Great Escape.
Sure, as long as it's
in Bay 24, that's fine.
Sorry, Great Escape? What is that?
Day-long team-building trips
that take New Yorkers
off the grid and up a mountain
for an eye-opening escape
from city life and city problems.
The tickets are also expensive
and non-refundable.
Yeah, I'll take them.
I'll take all of them.
Fine, but I only do Zelle.
You won't even do patio seating
at a four-star restaurant
and now you want
to venture off into the wild?
I just think it'd be nice to spend a day
outdoors with my friends
and my coworkers, right?
Hm, this is because Helen's
back in New York, isn't it?
No, no, no, I just want
to spend more time
with the people
who are actually in my life.
And after everything that
you have been going through,
wouldn't that be nice?
Brunstetter, page Candelario.
That's what I'm talking about.
Great idea, two words.
- Cape Cod.
- Nope.
Corporate retreat.
That is very different.
It is very different, but everything
is packed and prepared and ready to go
so that we can have some food, some fun,
and maybe a little adventure.
Max, I have appointments.
That's why I've got
substitute doctors who
can step in at a moment's notice
so that we can take a day
to remember what truly matters.
Plus, we'll probably
spend some time in a, uh,
Tent, so maybe we could, uh, you know,
do important doctor stuff.
- I'll go.
- Sorry.
So what do you think?
Yes! Thank you.
Value of shared assets.
Division of property.
Child custody rights.
I guess divorce comes down
to these little sticky notes.
Hey, buddy, you want
to climb a mountain?
Yes.
Thank you. Thank you.
That was easy.
Throw on a backpack, amigo,
because I am taking you
to climb a mountain.
I guess Helen texted you.
She did.
I don't know if I want
to see her, though.
I don't even know if I want
to be in the same city as her.
'Cause you don't want to be tempted?
It's like this.
I just found out Luna
has a peanut allergy,
so naturally I purge the whole
house of all peanuts, all peanut butter,
because even though she knows
that it could make her stop breathing,
she still loves it,
and she probably always will.
So the only thing to do is
to remove it completely
so it doesn't, you know, kill her.
Yeah, yeah.
Max, look, I got a big surgery
so I'm going to have to pass,
but I understand and fully support you
getting the hell out of here.
Thanks, buddy.
You going to get that?
Max.
Get out of those scrubs.
Get ready for the Great Escape, right?
Are we almost there?
'Cause this is a lot of steps.
Welcome to the top of the world.
- Wow.
- Oh, it's amazing.
- Wow.
- Whoa.
This is unreal.
Where are we?
Tennessee, this is amazing.
It's incredible.
- Nope. Nope. No.
- Oh.
Whoa.
Wow.
How high up do you think we are?
I 100, maybe, 150 feet.
It's 288 feet.
OK, well, that's, uh, high.
Maybe Iggy had
the right idea hanging back.
Wait, Max, is Iggy OK?
Why didn't he come?
He, uh, he just wanted
to be alone for a minute.
I think he's going through some stuff.
Yeah, well, he's missing out on a lot.
Yeah.
All right, so now what?
We're going over the edge.
We're go how's that?
One by one, we're going to harness up,
use this belay line to rappel
down the face of the cliff.
Any questions?
Uh, I'll go first.
Are you crazy?
All I heard is "I'll go first."
Cardiopulmonary bypass initiated.
Time to stop the heart.
Core temp is down to 45 degrees.
All right. Here we go.
ACT 466.
Wait for it.
OK, patient is in suspended animation.
Dr. Nieves, you're up.
Time for you to show off.
You got one hour.
We'll need every second.
Three-hole punch.
I always thought he
was throwing away his career,
with starting a family so young.
Now I realise how wrong I was.
And if I can't have it,
least I can do is make sure
he doesn't lose it.
Radiation safety team.
Hey, hey, hey, get the hell out of here!
We are tracking a radiation spill.
Get the hell out!
We are doing a surgery.
We discovered our
thallium supply had a leak.
Probably spilled in here.
Do not come into the surgical field.
Found it! It's in here.
We need everybody
to evacuate immediately.
My patient has a blade in his brain.
If we try to move him, he's dead.
He also is being exposed to potentially
lethal amounts of radiation.
Not just the boy,
everybody is being exposed.
- OK.
- Come on.
All right, people, here's the deal.
These excursions aren't just about
physically getting out of the city.
It's about getting away
from the thoughts
that cloud what really matters.
If I stood in the middle of Fifth Avenue
and I asked people what
their deepest desires were,
I'd probably hear a lot of people saying
they want to be rich.
That is not what they really want.
So what do they really want?
Can we speed this up, please?
It's different for everyone.
And in my experience, this
is the best way to find out.
Because when you take a
backwards leap off an almost
300-foot-high cliff, well,
what you really want tends
to become very clear.
Yeah, are we good to go?
Oh, sounds like someone's excited,
for their first rappel.
- As you're in freefall
- Yeah.
Just think about what
you really want in life.
That's it? We're just going to
OK, uh
OK.
Oh.
Whoo.
Ahh!
OK, last but not least.
- Yeah.
- Any questions?
Uh, think I'm ready as I'll ever be.
All right, you know what to do.
Yeah.
OK.
OK. Wait.
What if I don't know what I want?
Step back and find out.
I'm a little bit jealous.
- Oh, my God.
- I got to be honest.
It's unbelievable.
Max.
Max, incredible, right?
Yeah, it's incredible.
Hey. Hey.
Oh, my God.
Let's get her on her side.
Easy, easy, easy.
How's her pulse? Anything?
Starting chest compressions.
Non-responsive.
A broken femur, shattered wrist,
possible pelvic fracture.
Max!
We need an evac. Call an evac.
Yeah. Yeah, yeah.
- Who's got the SAV pump?
- Check around her body.
It might have fallen out of the bag.
I know she has one.
- OK.
- Oh.
- Got it, got it.
- You got it?
Oh, yeah.
Damn it.
All right, try this cell phone.
Yeah, yeah. Give me a sec.
OK, OK.
No, we got a problem here, guys.
All right, if we don't get
a rescue helicopter here,
she's got no chance.
Wait, when was the last time
any of us had service?
Back where we parked, right?
I'll go back.
I'll go back.
I'll follow the trail.
I'll get I'll hit service
before then, probably, right?
What other option do we have?
I'm going. I'm going.
These protective lead shields were
designed for X-rays and should offer you
some protection in here.
Closing sutures.
You need to put this on, Dr. Reynolds.
Not going to happen.
I'm not going to compromise my mobility.
You're risking further exposure.
I don't care. The patient comes first.
This particular patient
is too important, all right?
Is it really necessary
to clear the observation deck?
Thallium is an airborne
radioactive substance.
We clear the area. That's protocol.
This is the last operating
room running on this floor,
so I would strongly advise you
and your team to find a way
There isn't one!
All done here.
Surgical reconstruction complete.
You and your team need to exit the zone.
- This way, please.
- Show-off.
Good luck, Floyd.
All right, begin reperfusion
and rewarming.
Reperfusion started.
Dr. Reynolds, these
dosimeters measure exposure.
The second any of them starts beeping,
we need to pull you out, no argument.
Fine, let me work.
Gonna have you back in no time.
OK.
Hello?
Hello?
Hey.
Hi.
Uh, I'm Iggy.
Are you OK?
Just lost.
Are you OK?
Yeah. Yeah, I'm OK.
I just I fell. It's nothing.
My family is out here camping.
I just got separated from them.
OK, but they're nearby?
I don't know.
You lost too?
No, I'm not lost, I'm, uh
no, I'm looking for cell
service, but I got to
I got to keep going, so
Can I come with you?
Then you can call my parents too.
Can you run?
OK, come on.
- What is that?
- Smart AED.
It uses the phone's battery as a charge.
I got it the last time Vanessa OD'd.
OK.
This one goes here.
OK, clear.
- Nothing.
- Nothing.
Going again.
Slow but steady. She's alive.
This rock face is unstable.
We got to get her out of here.
Let's move these.
There's no way. They're too heavy.
It's bedrock, it's not going to move.
She's wedged in.
Her rhythm is unstable.
Her body is going in and out of shock.
What if Iggy doesn't make it in time?
We need to build a fire.
The smoke could draw attention.
I'll help you.
Come on.
Oh, God.
You move fast.
Yeah, I'm, uh, I'm worried
about it getting dark.
Work out a lot?
I try.
Good for you.
My family loves exercise.
I just really never gotten into it.
Worried you're going the wrong way?
My sense of direction is awful.
My brother says if I have two choices,
I should choose one
and go the other way,
but he's also kind of douche.
Hey, uh, is your family anywhere nearby?
You think, like does any
of this look familiar to you?
I actually need to tell you something.
I didn't get separated.
I ran away.
Why would you do that?
Don't get snippy.
It's not like you didn't run
away when you were my age.
What are you talking about?
You ran away after your dad found you
sneaking a candy bar for
your new secret hiding place
under the porch.
So he slapped you in the head, hard.
And then you ran away.
A couple of hours later, you wussed out,
and you went right back.
Who are you?
I'm you.
This is all my fault.
It's your fault that our guide's
anchor broke free from the mountain?
We're only here because I
was trying to avoid Helen.
Tennessee would be here either way.
Only with a bunch of tax accountants.
Look, she'd be dead if we weren't here,
and so would they.
So, thank God you're avoiding Helen.
Clearly, the right move.
- Give me that.
- OK.
Done this before?
Jewish summer camp,
when I wasn't sneaking off
- to smoke with the boys.
- Mm.
You know, for months after she left
for months, I would have done
anything to see her, anything.
Just to ask her why.
I used dream of this moment.
You're doing the right thing, Max.
Look, you going to see Helen,
it would be like me going to see
a hundred milligrams of Adderall.
Whatever she has to say,
it's not gonna help.
Just keep looking forward, not behind.
Think I'll take that as a sign.
What was that?
Rock slide.
I've got Ben.
Yeah, I got Tennessee.
Stop, stop.
This whole side is going to fall.
Don't!
Just go.
I need you to listen to me.
We got to get you out of here.
I got to get you out of here.
There's only one way to do that.
My foot.
No. Please, no.
The rockslide will kill you.
It's the only way.
Tennessee, look at me.
It's the only way.
OK.
- OK.
- My bag.
In here.
Bite down on this.
Hold her steady.
OK.
Look at me.
It's OK.
Here.
OK.
Are you ready?
- Did I hit my head?
- You wish.
That would mean you don't
have huge emotional issues.
You're not real, and I don't
have huge emotional issues.
Yeah, right.
You can't even tell your
friends how sad you are.
I don't have time for this.
Oh, like you don't have time
to sign your divorce papers?
I'm not going to.
I'm gonna ask Martin for another chance.
Come on, we both know
that's not going to happen.
Plus, you dumped him,
which frankly blows my mind,
because he's super hot.
Like, I'm psyched to meet him.
You'll understand when you're older.
True love is worth fighting for.
I had to leave because I
had to figure out who I was.
I did that.
Now I can go back.
Classic us.
Running away and going back.
Why did you go back?
I mean, you ran away, hung
out in a park for four hours,
and then you went right back,
even though nothing had changed.
Like, what's the point?
Uh
I don't know.
It wasn't all bad.
It wasn't.
I missed my mom.
I, uh, I missed my brother when
he wasn't being a jerk to me.
I didn't want to say goodbye
to those things forever.
Eventually, you did leave.
Never came back.
Yeah.
I realised that was the price
of a better life.
Sometimes it's scary to walk
away from the good things,
but you have to.
It's what you have to do
to move forward.
That's the funny thing about being lost.
Clearly it's not about
knowing your way forward.
It's knowing that the
answer isn't looking back.
Got it.
All right, let's get her up.
Easy. Watch her head.
Got her?
OK, you're doing great.
You're doing great, Tennessee.
Keep moving! Keep moving!
Max, there's too much blood.
All right, all right,
set her down, set her down.
Easy, easy. How's she doing?
Fast and weak.
All right, she's going
to go into hypovolemic shock
unless we tighten the tourniquet.
It's soaked through.
Uh
Yeah, she's right.
We need to cauterise her leg.
We have the fire.
We don't have
Metal. We need metal.
A carabiner?
It's going to have to do.
All right, we got to get him off bypass.
What's the core temp?
You need to step out of the OR.
Now!
Core temp is 98.6.
OK. Come on.
Let's go. Follow me.
Ready, Dr. Reynolds.
OK.
We're going to take him off bypass.
Suture?
Good. All right.
Get those paddles ready.
All right, restarting the heart.
Charging.
Clear.
OK, going again. Charging, clear.
Going again.
Charging, clear.
Dr. Reynolds, you need
to step out of the OR.
Going again. Charge.
Dr. Reynolds, you need to leave.
Come on.
You shocked the heart four times.
Three times is protocol.
- You need to come with me.
- Come on. Come on.
The patient is unresponsive!
Not going to lose you.
Not going to lose you.
You've been exposed
to high levels of radiation.
You need to come with us right now.
Come on. Damn it!
OK.
All right, hold her.
Hold her tight.
He's not going to die today.
Intracardiac epi.
On it.
Inject just above my fingers.
One milligram epi in.
Dr. Reynolds, call it.
Come on, come on, come on.
There's nothing more you can do.
Get yourself to safety.
Wait a minute, wait.
Dr. Reynolds, call it!
Wait a second.
I got something.
Yeah, I got something.
Oh, my God.
All right, get him to a new OR, now.
Lauren.
Over here!
Hey!
Hey!
Over here!
Hey!
Hey!
Iggy did it!
Hey, Floyd.
Thank you. Thank you.
Floyd, my oldest friend.
Thank you for saving my family.
Consider the car debt repaid.
Thank you.
Um, I'm
I'm sorry, the radiation
has got me all, uh
I just
It's just between, uh,
you know, this and you leaving.
Why do you act like everything
is over and done with?
It's 'cause you're leaving in six days.
Yes.
Only 'cause you never asked me to stay.
Iggy, hey.
You OK?
Hey.
Yeah, yeah, fine.
I'm just embarrassed, mostly.
What were you doing up on a mountain?
Um, I was gaining clarity.
I, uh I signed the divorce papers.
We don't need to worry
about that right now.
Yes. Yes, we do. Yes, we do.
Because I have been, um
I've been having a really
hard time accepting
that what we had is over.
But sometimes to move forward,
you have to leave something behind.
Our marriage is over.
I am certain of that now.
You seem pretty OK with it.
Yeah.
Because I finally know the direction
that I want to be headed in.
Martin, will you go on a date with me?
Vanessa, Vanessa.
I'm really sorry.
I thought you were someone else.
Wait, um, I'm Lauren.
I'm three years sober.
And there's a seat right
next to me if you want it.
Why do you care what happens to me?
Because today I asked the universe
to let me help someone
who used to be just like me.