Trauma s01e15 Episode Script

Scope of Practice

Nice work! Let's go! Let's go, Lions, let's go! What happened? Back up, back up, back up.
Jasmine? Jasmine? Excuse me.
Excuse me.
Jasmine? Can you hear me? Baby! Oh, I'm sorry.
Are you the mother? Yes! I'm sorry, but I don't think we should touch her.
She fell on her head.
Then call the paramedics! Call 911! Medic 114, respond to a fall victim at Waverly High School Gymnasium, 17-year-old female.
Okay, guys, coming through.
Can you make space? Thank you.
I think she broke her neck.
Okay, you just keep hold very tight.
Please help my daughter.
Listen, we're gonna do everything we can for your daughter.
Just give us some space to work with.
What's your daughter's name? Jasmine.
Jasmine, can you hear me? Jasmine.
Okay, I got her.
All right, Nance.
Pulse ox, 82%.
Respiration's at 12.
You want me to start bagging? No, her neck's not stable enough.
She needs air.
You need to get oxygen on her right away Yeah, I know, but we need to get her med line.
Oh, God! It's okay.
She's gonna be fine.
You got her? Got her.
Hold it still.
Hold on.
It's Nancy.
Nancy, what have you got? I've got a 17-year-old cheerleader with a probable neck fracture.
Airway's compromised.
I need to do a rapid sequence intubation.
This is a "Mother, may I?" call, Joe.
I can't officially say yes.
She's gonna die if I don't.
So, I'm just letting you know.
You're the medic on scene.
We're going to gently get her on a mask and pre-oxygenate.
I'm going to prep her meds.
BP's 80 over 50.
Respiration's at 8.
Copy that.
I need you to keep neck stabilization.
All right.
Got it.
Thank you.
I got it.
How do you remember all this? Seven Ps.
Preparation, preoxygenation, premedication, paralyze, pass the tube, proof of placement, post-intubation care.
All right, there we go.
Pulse ox is coming back up.
Tube is secure.
Thank you.
See? She's going to be okay.
Okay, it's a load and go, guys.
Bring in the board! It's okay, baby.
I'm right here.
I'm right here.
This is Jasmine.
She's a 17-year-old cheerleader with a probable neck fracture from a stunt gone wrong.
You did an RSI? I needed to quickly establish an airway.
Painting outside the lines again, huh? No.
Saving a patient's life.
She's alive.
Bay four.
What are her vitals, Glenn? BP's 80 over 50, pulse is 110, bagging at 12 per minute.
All right, let's change out the gurneys and get a quick X-ray.
This could be an atlanto-occipital dislocation.
Internal decapitation? Let's get a cross-table lateral C-spine right away, Gina.
Yes, Doctor.
On my count.
One, two, three.
All right, all right.
Coming, coming, coming.
Termites, man.
Are bugs that eat wood.
They're fumigating my house.
Sela and the kids are staying at her mom's.
Oh, that's terrible! Where are you gonna stay? Dude, I need a place to crash.
You do? Yes.
Maybe you should come in.
We'll call somebody that cares.
Maybe they'll let you stay at their house.
Long shot deflected What, what, what, what, what, what? Hey, man, I'm loving this hockey.
High-sticking! High-sticking! I got it right! That's it, man.
I've been thinking, man.
Oh, don't Don't do that.
You're gonna hurt yourself.
I think you should run calls tomorrow.
Huh? All right, look, you don't have to pay me back just 'cause I let you stay here.
Please, man, I'm not.
That's Yes, you are.
That's exactly what you're doing.
Dude, why are you always giving me an argument? I'm just trying to make you feel more at home, like your house.
Stop messing with my family, bro.
No, man.
All right, all right! Holla, holla.
What's up, man? Hey, bro.
Come on in.
What's going on, man? Oh, I didn't know you had company.
No, it's all good.
Hey, Cameron, Asher.
How's it going? Asher, Cameron.
Hey, what's up, man? Yeah, Cameron's my partner.
Oh, cool.
Partner, huh? Yeah.
Not like that, though.
No, he's my work partner.
Dude, chill.
Hey, what do you want, a beer? Yeah, yeah.
Yeah, yeah.
How's the game? Oh, it's a good one.
Let's go! Come on! Come on, where's the defense? Let's go.
God! Ah, there you go, sir.
Ah, thank you, man.
Appreciate it.
Cheers, big ears.
Oh, just misses, over the net, off the glass, behind the net Upon impact, Jasmine's skull separated from her spine.
The clinical term is internal decapitation.
Luckily, it appeared the spinal cord was intact.
So, we were able to reattach the skull to the top vertebra.
We also added a device called a halo for extra support.
How is she doing? The surgery went very well, so we have reason to be cautiously optimistic.
Which means? Layman's term, Doctor, please.
Jasmine's very lucky to be alive.
Spinal injuries are unpredictable.
Right now, she has slight movement in her legs and limited sensation.
This is a good sign, a very good sign.
We shouldn't get our hopes up too high.
This'll take some time to resolve.
And when it does? I need to know, what is the worst that can happen? With injuries of this type, the concern is always complete paralysis.
Oh, my God! But that's the worst-case scenario.
It's too early to tell, but like I said, things are going very well.
Right now, we should hold on tight to the good news.
Okay? Okay, okay.
Yeah, okay.
Thank you, Doctor.
Man, that was a good game.
It was awesome.
All right, party's over.
I'm beat.
Here you go, man.
Got some linens and whatnot.
I got it.
I'll take it.
If it stinks, it's 'cause I didn't wash it.
Got a boo-boo that needs to be kissed now, huh? Get out of here, man.
You good? All right.
Hey, man.
Good meeting you, man.
Hey, pleasure, dude.
Yeah, you too.
All right, man.
Huh? Good night, huh? Good night.
All right.
All right.
Good night, man.
Unbelievable, man.
Oh, yeah.
Oh, yes.
He's in 214.
This way, please.
Why can't I just stay back at the copter? 'Cause it's more fun when you're with me.
More fun? What are you, needy? No.
Come on, I'm working on my people skills.
Oh! Yeah, right.
Hey, you like me.
What? Stop.
Yeah, you missed me.
Come on, admit it.
Okay, you know what? Just stop talking right now.
Without me, your life is empty and alone.
Alone, alone, alone.
I brought him over his lunch, and I found him like this.
His name is Vaughn.
Hello, sir.
Hey, buddy.
Okay, skin is pale.
Cool to touch with tenting.
Eyes open, vacant stare.
Pupils midrange and sluggish.
So, what are you thinking, maybe pneumonia, congestive heart failure, possibly diabetes? Wow.
You're getting better, huh? I know.
You're showing off now.
Do you know if Vaughn's been sick recently? Oh, he was in the hospital a few weeks back with nasal polyps.
They check him into ER, or he stay overnight? He was in the hospital for a couple of days.
He got back, and everything was fine.
Okay, you got his discharge papers? Probably somewhere.
They might be in the drawer.
Oh! Here they are.
Oh, he has not filled his prescriptions.
Why is that? Aren't you supposed to do that for him? Yeah, but I mean, he has to tell us to You know.
Whoa, whoa.
I don't understand.
His son got laid off, and they can't pay for care anymore.
Ah, there it is.
All right, Marisa, QCP.
Gloves, mask, right away.
What's going on? This man may have an infection from his surgery because he didn't get his antibiotics.
That's what I'm guessing.
So, what does that mean? What are we looking at? Encephalitis, meningitis.
Get a mask on him right away.
I'm gonna run a line of NS and check his glucose.
Okay, glucose reading is 44.
Oh, well, I guess he is diabetic, huh? Uh-huh.
Did he get you? Yeah.
I think I got some in my eye.
Wipe yourself down.
Irrigate that eye.
Oh, crap.
Your administrator's probably gonna get a call from the hospital.
We're looking at a quarantine situation for infectious diseases.
Let's get him out of here now.
All right, let's get some fresh vitals on him.
Sounds like meningitis to me.
Yeah, that's what I thought.
All right.
Took all the precautions.
Let's get him to the flow room.
I need to put you two in isolation.
What? Oh, no, no, I'm good.
I was wearing my mask and gloves.
I'm okay.
Oh, yeah, you don't have to put us in quarantine.
Yeah, I do.
This is all standard procedure.
Sorry, guys.
All right.
Let's go.
How are you doing, Jasmine? I'm never gonna be able to walk again, am I? Oh, no.
You got to think positive thoughts, okay? I'll try.
You've been through a lot lately, and you're really brave.
Can you feel this? No.
Looks like you might be a little chilly.
Are you chilly? A little bit.
You know what? I'm gonna go get you a blanket, and I'll be right back, okay? Thanks, Doctor.
She's in spinal shock.
Prep for neurosurgery right now.
Right away.
Can you get her chart, please? No problem.
Page Dr.
You nervous? Nope.
I've been vaccinated eight ways till Sunday in the army.
Yeah, well, vaccinations last from, like, one to three years, and you've been out for a year and a half.
Yeah, well, you know what? If I got it, I got it.
Que sera sera.
You know, it's hard to be a tough chica once bacterial meningitis sets in.
Most people die within one to three days of contact.
Dude! You're acting like a total child.
Yeah, you know, and others lose their kidneys, limbs, and hearing.
Yeah? Yeah, I was reading about it on my phone until you rudely interrupted.
Symptoms start off with you get real fatigued Mmm-hmm.
and you get a backache.
Sounds like a typical day after working a shift with you.
Then, the bacteria sets into the membranes around the brain and the spinal cord.
That gives you a fever and a rash.
Then, the body, like, turns from red to purple in, like, a matter of hours.
It's like the pus, it starts coming out the eyes Dude, stop, okay? and out of the mouth, you start vomiting blood Okay.
Stop! What is wrong with you? I can't help it.
I'm bored.
Just stop talking.
Something's going on with that guy we brought in.
Really? We don't have what he has.
Don't even think about that.
I just spoke to the neurosurgeon.
West, I have some bad news.
It appears Jasmine will remain paralyzed from the neck down.
How is that possible? I'm sorry.
Sorry? My daughter is paralyzed from the neck down.
I can only imagine how you must feel.
But Jasmine suffered a serious injury in that fall.
As I said, spinal injuries are unpredictable.
No, no, no, no, somebody must have made a mistake in that damn emergency room.
West And what about the paramedics? When When they brought Jasmine in, the doctor said that the paramedic was painting outside the lines.
What does that mean? The San Francisco Fire Department and its paramedics are among the finest units in this country.
If they had not acted as swiftly and decisively as they did, your little girl might not be alive at the moment.
That's your opinion.
Somebody else might not think so.
A lawyer, for example.
It's natural to want to assign blame when something this traumatic happens.
But I must tell you that I stand by the quality of care provided by this hospital and its physicians.
I'm sure you do.
Last night was awesome.
I can't wait for tonight, man.
It'll be like Right? Come on.
Dude, what's going on? What do you mean? You've been acting weird toward me all morning.
What's What's happening? Look, I don't believe you don't know.
What? That thing with you and Asher.
You know, I mean, dude, I heard that.
Okay, okay.
Wait, wait, wait, wait, wait.
I mean, look, I'm a young man.
I have needs.
I mean All right, listen, if I'm gonna stay with you, don't Don't do that.
Just don't get any while you're staying with me.
So, you come to my house, uninvited, I might add, you eat my food, drink my juice, tell me to put my libido on hold.
I don't want to talk to you about you and your libido.
Yeah, but see, I want to talk about my libido, and I am the head of Medic 78 today.
I like this, by the way, you driving.
I'm sure you do.
All right.
The next dancer coming to the stage is the lovely Destiny.
Hey, you all right? Oh, my God.
Are you okay? Medic 78, respond Code Three to severe nosebleed at Centerfolds in North Beach.
I can't believe my first call as head medic is a nosebleed.
Can't choose the calls we get, bro.
Yeah, but at least it's such a classy joint.
Hey, hey, hey, sweetie.
Hey, what are you doing? What, I can't look at girls or get any at my house? Man, I'm just confused, that's all.
You got a lot of rules, Boone.
Sir, how you feeling? It's It's my nose.
The stripper, she kicked me in the face.
I'm having a hard time breathing right now.
Do you Do you mind if I Oh, go ahead, head medic.
That's okay? All right.
Watch this.
Go ahead and lean your head back, okay? Blood out of the way.
All right.
Ah! Okay, now, sir, I'm gonna touch your face very gently, okay? You tell me if it hurts, okay? Okay.
All right, ready? Huh? Yeah, that hurt, that's it.
All right, sir, looks like you have a broken nose with a possible septal hematoma.
That's a blood clot.
Now, I got to ask you, are you on any medication, or are you allergic to anything? No, not Not that I know of.
Look, sir, I have a really important meeting that I've got to be at.
Important? Very important? I really need to get going.
Well, you're not going today.
You're going to the hospital today, okay? Sir, is the address of this place, is it gonna show up on any of the paperwork? Address of this place? Yes.
Yes, the address will be on the form.
Look, fellas, I changed my mind, all right? I don't want to go anymore.
Look, if my wife finds out that you two picked me up at Centerfolds, I'm toast, all right? She's gonna divorce me.
Okay, listen.
Only street addresses show up on our run sheet, okay? You don't understand, okay? My wife, she's like a damn detective, all right? She's gonna bust my ass.
Look, fellas Wow.
Look, I got money, okay? Maybe we can work something out.
I mean, how much do I got to pay you guys just to get you to change that address? Dude, we cannot accept your money, bro.
Well, to hell with it.
I'm not going.
You're not going? Goodbye.
Oh, well, one second, sir.
If you're not going, well, you wouldn't mind signing this form that says you are going against our medical advice.
Oh, fine, yeah.
I'll sign it.
Yeah? Is that fine? There you go.
Okay, I'll take care of that for you.
Oh Look at that penmanship.
Have a nice day.
You, too.
How much do you think How much do you think he would have paid? I don't know.
Now, you see the suit.
It wasn't gonna be that much.
Well, looks like he got his change of address.
Don't go anywhere, sir.
We'll be right there.
You are a dirty old man.
That's all I have to say about that.
Hey, there they are.
Hey! What do you got? What do I got? Got a little bit of a strip club.
Will you stop saying that, please? All right, cool breeze.
What? Oh, it was a fight.
I got it.
No, actually Platform shoe.
Bingo! There's a smart one and a cute one in every group, I swear.
I think he just insulted all of us.
Your partner's in a very special place today, Boone.
No, his partner just has a lot of energy and doesn't know where to put it.
I don't want to hear this right now.
Can I get an amen, bro? That makes two of us.
Out of here.
See you, ladies.
Okay, put on the brakes.
Nancy Carnahan? Yeah.
Glenn Morris? Yeah, what's up? What the hell's this? It's a summons for an interview with officials from the city and the San Francisco Hospital.
Have a good day.
The cheerleader.
Thought she was doing okay.
Yeah, so did I.
Hey, hold on.
Hey, Joe.
Joe, what the hell is going on here? The hospital legal counsel advised me not to discuss the matter.
Joe, this is me you're talking to.
I know, Nancy.
I'm sorry.
You know what's going on with the cheerleader? Yeah, I got a summons, too.
At least we're all in this one together.
We? No, Glenn, we're not.
The hospital's getting sued because the medics made a mistake, and I am being dragged into this because of your egomaniacal partner.
What? Hey, she saved that little girl's life.
No, she made clinical choices and performed procedures outside of the scope of her practice, and now a little girl's paralyzed.
Listen, had she not done what she did, that little girl would be dead right now.
So, what are you trying to say? You guys are with these people 10, 15 minutes tops.
We're the ones that have to deal with them for the rest of their lives.
What the hell do you want from me? I want you to stop blindly aligning yourself with Nancy.
Blindly aligning myself? Yes.
You're talking about my damn partner! No, I am talking about someone who is trying to float between two worlds.
The boundaries between hospitals and medics exist for a reason.
Yeah, they exist for a reason.
Damn right they do.
You know, you eat with your mouth open.
Yeah, I do.
How else do you get the food in your mouth? Yeah, well, not everyone has to see it.
You have to open your mouth to get the food in your mouth.
No, I'm talking, now I eat.
You got food in it.
What? What are you talking about? Okay, but you don't have to talk.
I can see everything that's in there.
Joe, thank goodness.
Am I so glad to see you.
She's driving me crazy.
So, what's the good news? The patient you brought in here died.
We treated him with the most powerful broad-spectrum antibiotics available.
Hey, Marisa, don't go spinning out.
We haven't even got the test back yet.
Actually, we have.
Rabbit, you were negative.
Marisa, your test was inconclusive.
What does that mean? It means we have to do the test again.
I need more blood.
And you got to go.
Uh, no.
I'm not I'm not leaving.
Yes, you are.
I'm not going, man.
This is my partner.
I'm not leaving her here.
If she's carrying, you risk exposure.
I've already been exposed.
I mean, what's the point? We're testing for a second infection.
Rabbit, just I've already been exposed.
Just do what he says.
All right.
I'll be, um, just out in the hallway.
It's okay.
You okay? Glenn, this has been a really hellish day.
I know.
Okay, Rabbit's in quarantine.
I'm on the wrong end of a lawsuit.
I don't want to talk about it, okay? Look, I'm just trying to be here for you, same way you were for me.
Oh, Glenn, please! What is it? I'm sorry, but just Please just give me time to figure this out myself.
This isn't just on you, you know? We did the right thing.
You know I think you're one of the best I've got, but I don't have much wiggle room to cover for you on this one.
I'm not asking you to.
Is it true? You gave her an RSI before transport? Am I being deposed? Not yet.
I think I should contact my union rep before I answer that.
That's probably a good idea.
So, what happens now? The hospital is gonna settle, keep this from going to court.
But my gut is telling me that if you did anything outside of protocol, they're gonna try and use that to make you the scapegoat.
Your career is on the line here.
Playing doctor in the field has finally caught up with you.
Sorry, Nance.
Yo! Hey, you want to get a beer tonight, maybe hit up Centerfolds? "Remember to tip your waitresses.
Cinnamon's up next.
" No beer after work, man.
Why do you got your bag? You're still mad about Asher.
Look, dude Dude, listen, no, no, no, no, no, no.
I was saying I'm cool with you, okay? As a person and as a friend.
But I am not into what you do.
So, you don't like to watch.
Look, we can We can discuss this, man Look, that's not funny.
That's not funny, okay? You're a funny dude, but I am not laughing.
Thank you.
Boone, no, the whole thing.
Listen Dude, listen, the whole thing at the apartment, it wasn't No.
It's not what you think.
No, you listen to me, okay? It's always you, you know? I'm listening to you every day, all day.
You're always messing around and playing around! You do not respect me! It seems to me that it's more important to be what you are than my partner! Stop pacing.
You're driving me crazy.
You're driving me crazy.
You know what? My dad, he dropped me on my head when I was a baby.
If you look carefully, my whole face is lopsided.
It's like this.
See? I feel like I'm coming down with a fever or something.
Probably just the thermostat's up too high.
I'll get them to change it when they come back.
Will you stop? What? Just stop trying to sugarcoat this.
I'm not.
Yes, you are.
I'm probably coming down with symptoms of meningitis.
No, you're not.
You're being dramatic.
Want to call your mom or something? No.
I don't want to burden her until I know for sure.
That's probably a good idea.
But I tell you, this does kind of suck, man, being alone.
I'm standing right here in the hallway at, like, Yeah, but it's not the same.
You aren't the one locked up with a virus in your body that's gonna end your life.
Hey, look, we went through this together, and we're gonna get through it together, and, you know, it's what makes us a team.
Come on, partners.
Come on! No, I'm not fisting you.
Get off your butt.
Come here.
We're a team.
And then, yes, I carried out a procedure which is usually out of the scope of normal paramedic practice, but I am an MD, and I am trained to carry out that procedure correctly.
And this was a life-and-death situation.
Miss Carnahan, have you ever performed procedures outside the scope of practice before? Yes, I have.
How many times? Once? Twice? Whenever I deemed it necessary to save a patient's life.
It's not something that I went out of my way to do.
Miss Carnahan, I understand you worked with a flight medic named Reuben Palchuck.
Yes, I have.
Have you ever known him to go outside the scope of practice? Please answer the question.
I choose not to comment on that.
Let it be noted that Miss Carnahan has refused to comment on instances where Reuben Palchuck has performed procedures outside the scope of practice.
No further questions, Miss Carnahan.
You're excused.
Jim, you'll stay and sign off on this? Sure.
Marisa? Are you crying? No.
I'm scared.
I don't want to die.
You know Everything's gonna be fine.
You know that, right? You know, you're a terrible liar.
Yeah, I know.
Would you do something with me? Sure.
Sure, anything you want.
You think you can maybe pray with me? What do you mean, like, on my knees or something? No.
I mean, just stand with me.
You have to close your eyes.
But you're not saying anything.
I don't need to.
God knows what's in our hearts and minds.
Due to a conflict of interest concerning my daughter, I'm going to recuse myself from these proceedings.
Uh, but before I go, I'd like to say a few words about my friend and colleague, Dr.
Joseph Saviano.
Joe and I have known each other for more than 20 years, and during that time, I've come to know him as a gifted doctor, as an effective communicator.
He's managed our trauma department with a grace and a professionalism that's made it one of the finest in the State of California.
However, over the last three years, he's developed this This blind spot when it comes to our paramedics, in general, and my daughter in particular.
That's totally unfounded, Lynn.
Well, as a former chief of staff at this hospital, I know that leadership starts at the top, and under Dr.
Saviano's leadership, this hospital has agreed to make a multimillion-dollar offer to the aggrieved party.
I have nothing further to say.
Good day, gentlemen.
For the record, we have before us Dr.
Joseph Saviano to speak to the events of March 8, 2010, regarding the treatment of Jasmine West by Nancy Carnahan.
All right, the determination made on scene is that the girl would have died before she made it to the hospital.
A paralyzed young girl is always tragic, but, to draw a link in this case between cause and result is absolutely unsubstantiated.
Is it true that you allowed Reuben Palchuck, also known as Rabbit, to perform a tracheotomy while using the patient's mother as an assistant? All of this done, I might add, in a rescue helicopter.
What does this have to do with Reuben Palchuck? Please answer the question, Dr.
No, I never authorized him to perform that procedure.
Did you talk Nancy Carnahan through a vascular surgical procedure to clamp an artery? The guy was bleeding out.
A simple yes or no will suffice, Doctor.
This is nothing but a professional lynching, and I'm not going to sit here and put up with it while I have a job to do.
No, you don't, Dr.
As of now, you're under administrative leave.
Your privileges to practice at this hospital are suspended.
Don't come down here unless you got some good news to tell us.
So, now, you're threatening me? No.
Just stating the facts.
My partner and I cannot take any more bad news.
Do you see me wearing a mask? Hey.
Hey, wake up.
What are you doing here? Well We're clear.
No meningitis.
We repeated your test, and you're free to go.
Really? Yeah! Yeah! Whoa! Oh, my God! This is just so great! Yeah.
Yeah! Okay.
All right, partner.
Uh, you didn't see that.
It was No.
Yeah, right.
Well, I'm just gonna check on the copter, I guess, then.
Thanks, Doc.
Back to work.
Just across the line, a long shot right side, off the glove Oh, God! I'm from Louisiana.
Trust me, sooner or later, every team has its day.
Hey, guys.
Um Look, uh, I want to apologize.
I was out of line.
No, man, you had a point.
A big point.
I'm sorry.
I'm glad you're here, man.
I got the game on.
I know how you love hockey.
Put the bag down, man.
Juice, right? Yeah, juice, juice.
That was a check.
That was a hip check.
Hey, what's up, Asher? What's going on, man? What's happening? What's happening? There you go, sir.
Oh! Look at you! Hey, boys.
Tyler, what's up? What's up, Rebecca? Hey, baby.
How are you? Good.
How are you? You want a beer? No, I'm good.
You good? Okay.
So, who's winning? Uh, the Sharks.
Hey, Cameron, this is my wife, Rebecca.
Come on, come on, come on, come on.
Go, go, go, go, go, go, go, go! God, so close! Hey, I got to go, y'all.
What? Why? I'm saying, it's starting to get a little too weird in here.
Whoa, what Three of y'all.
Yo, whoa.
Whoa, whoa, whoa, hey.
Hey, what are you What? I'm saying, you guys got something going on.
I really don't want to be a part of it.
Dude, dude, this is what I've been trying to tell you, man.
The other night when you were here, I What? Asher's straight.
He's straight? That's my neighbor.
We were messing with you, man.
I'm sorry.
You Stop.
Just stop talking, man.
Just stop Man, you act like I'm a sex addict, like I can't stop myself.
You messed with me on purpose.
I should be offended that you thought I was actually in there doing that.
I can't believe you start messing with me because you know You encourage me.
You want to talk about Okay, so, honey, we're gonna go and leave the partners do their domestic thing.
We are not partners.
Thank you very much.
We are partners.
This man is in denial.
I am not in denial.
You are in denial.
Dude, why would you Why would you do that, man? I know it was a bad joke.
I know.
It was so bad, it was good.
I snapped a little.
Look, work is work, and here is here, and I don't want to talk about it anymore.
What I do want to talk about is the fact that you're spending way too much money on this meal.
Oh, I'm not paying for dinner.
You should be making up with me.
Really? Hmm.
I don't know what I think about that.
Seriously, the whole thing, the lawsuit, Dr.
Joe getting fired.
That's what I was talking about.
We're in a world of trouble with this.
We? May I pour, miss? Yeah.
You really didn't have to go this far.
Me? I didn't.
I didn't order that.
Compliments of the gentleman.
Hope I'm not intruding.
No, pull up a chair.
Um, I heard what happened, and I just I just wanted to say Please, please.
I'm free.
So, how long has this been going on? Um Never mind.
I'm kidding.
It's none of my business.
Shouldn't even be asking anyway.
Doctors and paramedics, you cannot intermarry the two.
Uh, you can't help who you fall for.
That's a very interesting choice of words, my friend.
"Fall for.
" We really do fall, don't we? Maybe our brain entices us to fall in love so we think we're choosing a partner, when, in fact, we're just the happy victims of nature's cruel, little, twisted, little joke.
That's pretty deep, Joe.
What do you mean by that? To tell you the truth, Glenn, I have no freaking idea.
Well, bored you long enough.
I'll be on my way.
Yeah, have a good night.
Thank you.
Thank you.
We really are in a world of trouble.
Who is it? I'm coming! Joe? Are you okay? Come on in.
Come on in.
Now, that is a very good question.
Can I get you a drink or anything? Sure.
I think I've only got beer, but That'll do.
Yeah? You look great.
Thank you.
You look like a million bucks.
Joe, I am so sorry.
How could you screw me like that, Nancy? What? Come on, I made a judgment call.
You, more than anyone, would understand that.
You knew you shouldn't do that procedure, but you just had to push it.
What else did you say to those guys in that room? You know me better than that, come on.
The recommendation, the faith I had in you, the belief Right.
It's nothing now.
It's gone.
It's nothing.
It's not nothing, Joe.
We're friends.
I thought we were friends.
So, you didn't know? You weren't playing? Gave me a little flirt, gave me a little cuddle.
I'm all yours.
I'll give you whatever you want.
Stop it now.
Joe! But you know what? That's all over.
I've got nothing.
I've got absolutely nothing now, Nancy! Joe, you can't Joe, you can't come in here I've got absolutely nothing left! You can't come here like this, trying to blame people for what's happened.
That's a hell of a way to talk to the man who put you back together, piece by piece.
Joe, what do you want? I want my job! Well, that's It's not gonna come back like this, man.
You okay? Yeah, I'm fine.
I think You better go.
Go home, Joe.
Go on.
What the hell have we done? What the hell have I done? It's okay.