Previously on "Dallas"...
I loved her because she wasn't you.
I'm going to freeze all your bank accounts.
I need that money. I have commitments to people.
I am also removing you as the head of Ryland Transport.
You're not going anywhere.
Stop it! Oh!
Help me take down the Ewings
and I will give you enough money to buy Ryland Transport
right out from underneath your mother's control.
Harris: She was out with Ramos on a date?
He was in the military, wasn't he?
Demolitions, I believe?
Yes, sir.
Put Ramos on the rig job.
I want him fully compromised.
No.
Your sister seems like a sweet girl.
She has nothing to do with this.
Which is why her death would be so tragic.
I convinced my colleagues
that they needed to see your rig in action this week.
I'm gonna need more than a week to get things up to speed.
You want to know how I feel?
I'm pissed!
Isolated.
Insignificant.
You two working together...
Never thought I'd see the day.
Your daughter's on the rig.
Just do it.
Sir, she's pregnant.
[ Dialing ]
[ Explosion ]
[ Static crackles ]
Bobby: What happened?
Man over P.A.: Emergency crew to deck 1.
[ Coughs ] Christopher, you okay, son?
[ Alarm blaring ]
[ Groans ]
Annie?
Elena!
You okay?
Annie!
Level Red confirmed, deck 1.
- What happened? - Oh, my God.
Level Red confirmed, deck 1.
Christopher! It's Pamela!
[ Blaring continues ]
Help me get this off of her!
[ Grunting ]
[ Grunts ]
[ Blaring continues ]
♪ Theme music plays ♪
DALLAS S02 Ep10 - Guilt and innocence
Sync and corrected by dr.jackson for www.addic7ed.com
Any pain? [ Speaks indistinctly ]
How is she?
You the husband?
No.
I am.
I-is she gonna be okay?
Your wife sustained
a severe trauma in the explosion.
She's tachycardic, hypertensive.
I need to get her stabilized so I can do more tests.
Figure out what's really going on.
What about the babies?
I'm doing everything I can.
Woman: Doctor?
I want two large bore IVS
and bolus her with some normal saline.
[ Breathes deeply ]
[ Sighs ]
They're all alive.
John Ross!
Mom. Oh, thank God!
I'm okay. Where's, uh, where's everyone else?
They're still bringing people in.
And from what I've heard, everybody on the rig's alive.
Mostly smoke inhalation, some broken bones, burns.
Pamela's the worst.
Something fell on her.
The doctors are gonna fix her up.
[ Sighs ]
Why don't you go check on Elena?
I'll come get you when there's news.
Okay, thanks.
Oh, John Ross.
Ann Ewing. Ann Ewing. Where is she?
Ann Ewing. Where is Ann Ewing?
Ann: Bobby?
- Annie? - Bobby!
- I'm in here. - Annie!
Annie!
Oh! Thank God.
Oh.
Nobody would tell me where you were. I couldn't find you.
I was down below when the explosion went off.
I got evacuated first.
- Are you... are you okay? - I'm okay. Just a concussion.
Are you okay?
I am now.
[ Sighs ]
You have to forgive me, Bobby.
If something had happened and we were still...
I should have told you about Emma. I know.
But I was so ashamed.
I thought she was taken because of what I had done.
I hated myself for it.
And I feared you'd hate me, too.
Oh, Annie.
I forgave you.
I love you.
I always have.
Even when I couldn't stand to be in the same room with you.
[ Chuckles ]
[ Sighs ]
Excuse me. Excuse me.
Mi... Elena Ramos.
Where is she?
Gracias.
I'm gonna go look for my mother.
Harris: Emma.
Sorry. I didn't mean to startle you, honey.
What are you doing here?
I was upstairs in the surgical waiting area.
Your grandmother had a fall, broke her leg.
She's in surgery, but she's gonna be okay.
I heard about the explosion on the Ewing rig,
and I came down.
I figured you'd be here with your mother.
And I didn't want to risk either one of the Ewings
bumping into me and accusing me of stalking you, so I...
I'm just trying to give you the space you want, honey.
I appreciate that, daddy.
Will you let me know that grandmother is okay
when she comes out of surgery?
Of course I will.
I miss you, Emma.
I know.
Carmen: Mi niña.
Elena: Mommy, it looks worse than it is. I promise.
When we heard, we were so worried.
Do they know what happened?
No.
No, it was horrible.
We were standing there one minute celebrating.
The next thing we knew, the entire rig shook.
It... it felt like we were gonna be torn apart.
There was fire. People were screaming.
- But you're safe now, eh? - Yeah.
You all are.
I need some air.
Ay.
[ Tires screeching ]
[ Grunts ]
No one was supposed to be on that rig,
and people are wounded.
My sister was on that rig.
You're telling me it already went off?
What the hell did you do, Drew?
I was gonna set it off tonight.
No, you set it off. You set it off!
I thought you knew what you were doing.
I did.
Then why the hell did it already get set off?!
[ Panting ]
It was your fault. You blew it.
I set it right, Roy. I set it right.
I think you need a vacation.
Get away indefinitely.
Be good for all concerned.
I can't just leave.
- I just got my father's land... - You're not thinking straight!
Maybe that's been your problem all along.
'Cause when you don't think straight, accidents happen!
Like they just did!
Then you start saying things, make people suspicious.
Then you end up going to prison. Or worse.
So let me do the thinking for you.
[ Sighs ]
You leave in the morning.
[ Dialing ]
She's stabilized and out of the woods for right now.
Oh, thank God.
Can we see her? Just her husband.
There are things I need to discuss with him and Mrs. Ewing.
She said you're doing better.
And the babies, too.
I keep looking over at the monitor,
and their heartbeats make me feel better.
Well, they're fighters.
Just like their mother.
So, w-what happens now?
Your condition is still very serious, Mrs. Ewing,
for both you and for the babies.
Now that we've done all our tests,
we know the trauma from the explosion
caused an abdominal aortic aneurysm.
It's a ballooning of the blood vessel
where the trauma occurred.
We've stabilized you,
but we need to bring your blood pressure down
before we can do the surgery.
And we need to do that before the aneurysm ruptures,
or you will die.
So... so then, you're gonna do that, right?
The problem is, because of the pregnancy,
where the fetuses sit,
it's very difficult to make the repair we need to.
But... but it can be done. I mean, y-you can save them.
The trauma your wife sustained also resulted in
a partial placental abruption.
That's when the placenta separates from the uterine wall,
preventing blood flow to a portion of the placenta.
Yes, but the babies are okay. Right?
I mean, I can see them.
At 20 weeks, there's only a 15% chance
of carrying them to viability.
[ Groans ]
And because the babies aren't viable yet,
my recommendation is that we terminate the pregnancy.
- No! No! - Let me safely operate,
repair the aneurysm before it bursts and we lose all of you.
No, you're sacrificing my babies to save me!
Tell her she's not killing my babies!
Your wife is in shock.
She's on drugs and sedatives for the pain.
You're her husband.
I need your permission
if she were to become incapacitated.
No, no, no. You... you promise me.
You promise me you won't let them kill my babies.
Promise me! No matter what!
Christopher.
Dr. Chang has consulted with the head of surgery.
She said that if we can get Pamela strong enough,
she can do the repair by going in through a vein
like they did with me... No harm to the babies.
I also got the name of the best neonatologist in the state.
She's on her way in from Austin.
[ Voice breaking ] It's my fault.
No, Christopher. This was an accident.
But I wanted the presentation to happen.
I wanted to get that contract.
I-I wanted to win so badly that I rushed it.
But I screwed up.
You don't know that.
And there was a CO2 buildup
that put the methane under too much pressure,
and it ignited.
I've gone over it in my head a thousand times.
- There's no other explanation. - It was an old rig.
There could be a thousand explanations for this.
It's the only one that makes sense.
It's the only one
that makes sense to you right now.
I know my son.
And I know that if you felt
there was anything wrong with that rig,
you wouldn't have gone ahead with that presentation.
As much as you wanted that contract,
you wouldn't put lives at risk in order to make it happen.
That's not who you are, son.
TESHA has investigators on the rig
figuring out what happened.
You'll see this was not your fault.
[ Sniffles ]
Doctors put a metal plate in your leg,
and you're better than ever.
You know what it is they've given me for the pain?
- Feels like morphine. - Oxycodone.
Make sure they give it to me
every three hours on the dot.
I don't want to feel any discomfort.
Yes, ma'am.
So, mother, I'm...[Sighs]
I'm so sorry for everything that I said...
For leading us down that path with Emma and Ann,
for bringing her to Dallas.
It was hubris.
Mm.
Pure and simple.
And when you called me on it,
I got defensive... And angry.
You always told me that I was stubborn.
Well... you were right.
I should have apologized.
I gave you ample opportunity, Harris.
Give me one more.
I'm sorry, mother.
Why did you fall for Ann, Harris?
Because I was weak like my father.
I let her into my bed and then into our lives
because I was weak.
At least she gave us Emma.
That girl is a real blessing.
Happiest days of my life were raising her...
Watching her blossom
into the fine young woman she is.
Repair the rift you've caused between me and Emma,
and I'll give you full pardon.
Woman over P.A.: Home health-care coordinator,
please see Ms. Jordan, third-floor reception.
You look uptight, John Ross.
Want me to give you something?
No, I'm good.
I wasn't asking if you were good.
[ Footsteps approaching ]
Oncology paging Kelly to services.
It's okay. I can handle him.
Is everything okay with grandmother?
Yeah, her surgery went off without a hitch.
She's already putting the nurses on a schedule.
[ Chuckles ]
She's asking for you.
Now, I'm not telling you this time,
but... Would you go see her?
She's lost without you.
Of course I'll go see her, daddy.
All right.
[ Sighs ]
Mr. Ewing, the doctor said her blood pressure's
come down enough that she can see visitors now.
Thanks.
[ Monitor beeping ]
You think this is karma, John Ross?
For all the bad that I've done?
Darling, if there were karma,
I'd have been run over, shot, struck by lightning.
[ Chuckles ]
Bad things just happen sometimes.
We got to figure out a way to get through it.
And we do.
Doctors are gonna figure
a way out of this for you.
You got nine lives, Pamela Barnes.
Mom.
Oh, my baby girl.
What are you doing here?
John Ross called me. [ Scoffs ]
He certainly couldn't have called your father.
I heard what he did at J.R.'s memorial.
He's a mean drunk, that man.
You know, you're even more handsome than your father.
And I'm guessing smarter.
Nicer, too.
Still a touch of the devil.
Daddy always said
that's the part that makes him more interesting.
Hm.
Well, you take that part and the rest of you out of here.
I need some time alone with my daughter.
Thank you for the call.
[ Doors open, close ]
Oh, Pammy.
All the bad choices you've made
trying to forge a relationship with your father.
He brings people down, honey.
He's like an anchor, that man.
[ Sighs ]
Dr. Chang had mentioned a concern with her blood pressure.
So, what's the likelihood of Pamela and the babies
surviving the procedure?
I just bumped into Afton.
I can't believe you called that social climber.
- She's her mother. - She's drama, John Ross.
Now that just sounds like you got a grudge
'cause she had an affair with J.R.
Man: I'm needed in the ICU.
Christopher: Thank you, doctor.
Mr. Ewing?
Well, there's three of us. Which one are you looking for?
Christopher Ewing.
I'm Zack McGuire
from the Texas Environmental Safety and Hazards Administration.
TESHA. You guys are already investigating the explosion.
That's great.
Now is not really a good time.
We're dealing with some medical issues here.
I understand what you're going through,
but if I could just ask a couple of questions.
[ Recorder clicks ] We've already started taking
a lot of evidence from the rig down to our lab in Houston.
We've begun interviewing your staff, your rig workers.
Our preliminary investigation shows
that methane was ignited in the flow pipe
because it was over-pressurized.
There could be other explanations.
It's okay, Elena.
I can tell you what's going on.
No, Christopher.
I think you should go.
My son will speak to you another time, another place
with our lawyer present.
I will have to make note of your reluctance in the investigation,
and that could come across to the TESHA board
like you're trying to cover something up,
which will bump up any fines.
We are praying that my son's babies don't die,
and you threaten us?
You stick that in your report
and get the hell out of here.
I can't believe this.
That explosion could have killed Pamela
and could have killed your babies.
Don't you think I know that?
Elena: John Ross, stop it! I invited Pamela to the damn rig!
Now is not the time to turn on each other!
We will figure this out together.
[ Indistinct talking over P.A. ]
[ Sighs ]
Bobby is right, John Ross.
Ewing Energies is our shared liability.
If Christopher is responsible,
then we all have to be responsible.
We have to stick together.
This is just not the way it's supposed to be happening.
J.R. predicted...
[ Sighs ]
J.R. predicted what?
[ Sighs ] Nothing.
Well...
I have an old friend, Ken Richards.
You wouldn't know him. He's from a long time ago.
He's one of the chairs of TESHA,
and he was very supportive to my campaign.
Let me give him a call,
see if I can get us
an inside source on the investigation
so we can get ahead of it and start managing it.
I'm sorry you got hurt, grandmother.
Even though I need to be on my own right now,
you should know that I...
[ Sighs ]
I still love you.
I know, darling.
But I actually understand
why you feel you need to be away from me right now.
[ Monitor beeping ]
- You do? - Of course.
But you need to know.
I'm afraid of your father, too.
[ Inhales sharply ]
That's why I said
all those hateful things about your mother.
He told me what to say.
He threatened to keep me away from you
if I didn't say all those horrible things.
Please, stop. [ Breathing raggedly ]
- I know what you're doing. - You know his temper, Emma.
He has never laid a hand on either one of us.
But you know what he's done to other people,
the businesses he's in.
Don't blame this on daddy.
You're family has been in that business for years.
Not like now.
And when I told him I was going to take the business back,
he pushed me down the stairs.
[ Scoffs ] He tried to kill me.
He did, and I need you to help me.
I need you to take me back to England.
I'll give you the company.
What the hell are you saying, mother?
She's having a reaction to the medication they gave her.
Doctor said this could happen.
Don't you try to silence me, Harris.
I know exactly what I'm saying.
Nurse! I told her, Harris.
You need to calm down, mother. Nurse!
I told her.
Emma, find somebody before she hurts herself, please.
Don't! Aah!
Mother, listen to me. Listen to me. Listen to me.
Aah! Listen!
- Listen! - No! [ Crying ]
Now listen to me. You're in the hospital, okay?
You've been injured.
Nobody's trying to hurt you. I love you.
And I just care about what's best for you, okay?
But you need to calm down. [ Grunting ]
Thank God. The doctor said this could happen.
Tranquilize her before she hurts herself, please?
[ Crying ] No! No! No, no! Please!
- Quickly, please?! Please! - No, no, no, no!
[ Grunts ]
[ Sighs ] Thank you.
I'm gonna go call the doctor.
She's out to get you.
I know.
[ Cellphone ringing ]
[ Sighs ]
Oh, hell.
Uh, Cliff, let me start by saying
I'm sorry your daughter got caught in the...
Well, it's good to know you're as practical a man as I am.
Sounds like everything's on track, then.
And TESHA's already on the case.
Yeah, well, I...
Let me call you right back.
I'm not sure my mother's up for visitors,
but I'm sure she'll appreciate you stopping by, Annie.
I'm done being baited by you, Harris.
I just came up to see if Emma was here.
She's come and gone. Of her own free will.
She's a grown woman.
That's the way it's supposed to be.
Well, if we're being civil...
I'm sorry about the explosion on your husband's rig.
Emma told me you were there. I'm glad you're okay.
Thank you, Harris.
♪ Music plays ♪
[ Sighs ]
Well, aren't you a sight for sore eyes?
[ Chuckles ]
Ken, that line is older than you are.
Yeah, but it's still true.
In fact, you look even more beautiful
than when I first laid eyes on you
back in your "Miss Texas" days.
Uh, scotch. Your best single malt. Water back.
You need a refresher?
Uh, just a cola with a twist.
I had a lapse at J.R.'s funeral,
and... I don't want to have another one.
Well, maybe that's why you look so stunning.
You finally got rid of that Thorn in your side for good.
You don't have to hate him anymore.
He stole you from me.
Then, he treated you unkindly for all those years.
Of course I've got to hate him.
Well, I am, uh, 110% single at the moment.
You know, when I mentioned you
to one of the other TESHA chairs,
this whiny Ivy leaguer our new Governor appointed,
he suggested you were only calling me
because of our investigation into what happened at your rig.
But I'm glad to see that... I was right about this being
just a social call between old friends.
I won't lie to you.
I believe my nephew's sensor had nothing to do
with the explosion on that rig.
Any information you can get me
on TESHA's actual findings, their theories,
would be invaluable to me and to Ewing Energies.
[ Sighs ]
That being said, I-I find it serendipitous
that the one man that could help me is someone
I had been hoping to "bump into" for a social call
for quite some time.
Current circumstances
just gave me the courage to pick up the phone.
Well, serendipitous or kismet?
I'm hoping both.
[ Laughs ]
Because she never was a good patient.
I was so, mom.
She does have quite a temper.
But there was one thing that always helped you calm down.
Oh, no, no, no, no. Don't.
[ Laughs ] Oh, please, don't.
♪ Hush, little baby, don't say a word ♪ [ Laughs ]
♪ Mama's gonna buy you a mockingbird ♪
♪ and if that mockingbird don't sing... ♪
[ Sighs ] Just spoke to your doctor.
She says you're improving.
Your blood pressure's almost low enough to do the surgery.
Yes, we know.
Can I speak to you outside for a moment?
Sure.
I'll be right back to finish that song, Pammy.
What's going on?
I know what you did, Christopher.
I know the explosion was your fault.
Did John Ross...
I overheard that man that was here.
Just stay away.
[ Groaning ]
[ Monitor beeping discordantly ] [ Shouting ]
Her blood pressure's tanking! Aneurysm's dissecting.
Tell the O.R. we're coming! [ Crying ]
I need to take the babies now.
You do what you have to! You just save her!
No. No, no, no. You have to save the babies.
It's what she wanted. Try to save them all.
It's too risky, Mr. Ewing.
Hey. I promised her.
Aah! We're talking about her life!
I'm her mother! You just save her!
I am still her husband,
and it is still my decision... And hers!
With the babies still inside of her,
is there a chance you can save them, that they'll all survive?
An extremely small one.
Then make that happen.
[ Pamela groaning ]
Get them the releases and get them to the O.R.
[ Crying ]
If she dies...
It's on you, Christopher.
[ Indistinct chatter ]
Do you want some coffee?
No, thanks.
Okay.
[ Sighs ]
Come with me to get a coffee?
No.
I want to make sure that Pamela's all right.
[ Sighs ]
Hey, Emma. Want a coffee?
No, thanks.
I know my brother had fun
hanging out with you the other day.
Yeah.
From what I heard, I thought he'd be...
Dangerous.
But he's not.
He's the type of guy
any girl would be lucky to be with.
[ Chuckles ]
Afton, you'll see this wasn't his fault.
Look, I know what it's like
to feel you have to defend your man, Elena,
so don't waste your words with me.
Pull in your claws, Afton.
You caused enough trouble in the past.
[ Sighs ]
How is she?
They all made it.
[ All sigh ]
I was able to repair the aneurysm and stabilize her.
The babies went through a lot of stress,
which worsened the abruption a bit,
but they're all stable.
- Pamela's in recovery now. - I want to see her.
- Alone. - Okay.
Drew, it's Emma.
[ Clattering ]
Are you leaving?
[ Sighs ]
I thought you all were at the hospital.
Yeah, Pamela went into surgery.
She's gonna be okay.
I just dropped my mother and Bobby off at home.
[ Sighs ]
Pamela and the babies are okay.
That's... good news.
But you still haven't answered my question.
Are you leaving?
I just have to... Go up to midland
to pick up some drilling equipment for my father's land.
It's only for a couple of days.
[ Scoffs ]
Then, why are you packing everything?
Dime con quién andas y te diré quién eres.
"Tell me who you're friends with,
and I'll tell you who you are."
You deserve someone better than me.
[ Sighs ]
I like you, Drew.
You've always been nice to me.
[ Sighs ]
I know who you are.
No one's perfect...
Even though they put a lot of pressure on us to be.
So, why are you leaving, huh?
Are you afraid you're gonna screw up again?
Something like that.
You told me... you can't live life in your head,
that you have to get in the dirt with it
and kick its ass before it kicks yours.
And I believed you.
Tell me who you're friends with,
and I'll tell you who you are.
[ Sighs ]
Let me go get you another pillow.
This one's kind of crummy.
Thanks, mom.
I'll be right back.
[ Monitor beeping ]
I was waiting for her to leave.
I didn't want to start another fight.
I'm so glad you're okay.
Is it true, Chris?
Was the methane over-pressurized?
Was it your fault?
[ Sighs ]
Pamela, I... [ Crying ]
[ Sighs ]
Good. You're here. [ Door closes ]
Trust me.
You're gonna love Burlington.
I'm not leaving.
You don't have a choice.
Well, you hired me to blow up that rig.
You gave me money to buy explosives.
I know where you work.
I know where you live.
You tell anyone what I've done, and I bring you down with me.
Just forget you ever knew me.
[ Indistinct talking over P.A. ]
I hoped you'd come.
I waited for you.
Where is she?
Safe.
Healing someplace where she can't hurt herself.
[ Sighs ]
Listen, I-I know you still need your space.
But I want you to know how much it meant to me, you...
Defending me to your grandmother yesterday.
I think we're both finally safe from her now.
[ Exhales raggedly ]
Where are you taking me?
To the rehab facility, Mrs. Ryland. Remember?
Your doctor made arrangements.
[ Doorbell rings ]
From DERN investigations.
Thank you. You bet.
Ann: Bobby?
[ Footsteps approaching ]
Who was at the door?
It was a messenger.
Everything okay?
Yeah, it's, uh...
No. You don't have to tell me, Bobby.
No, Annie. Annie.
It's all right. Come in.
It, uh... It's about Pam...
Christopher's mother.
You've been looking for her?
No, J.R. was to help us with Cliff.
She's a one-third owner in Barnes Global.
Where is she?
Uh...
1989 with an unnamed man,
presumably her husband, entered Abu Dhabi.
Passport's expired.
No record of future travel.
Maybe Ellis from the U.S. attorney's office
can help me with this.
He owes me one after everything that happened with Vicente Cano.
I thought you were done with her, Bobby.
So did I, Annie.
So did I.
I thought you were over him.
I am.
I was just contemplating what J.R. would do
in a situation like this.
[ Chuckles ] Nothing good, I promise you.
Now, it'll be months before anything official comes out,
but some recording equipment
picked up the sound of two explosions at the rig...
A small one,
before the one that did all the damage.
What are you saying?
That it looks like your nephew's technology
isn't to blame.
They think they're gonna find explosives.
Explosives?
Sabotage?
Cliff Barnes did this.
He had to have. It's what J.R. predicted.
But it doesn't fit. I mean, Cliff wanted the DCT contract.
And he didn't get it, so he blew up the rig.
It's too big of a move, John Ross.
I mean, with Pamela on board?
[ Sighs ]
Maybe he wanted to discredit your technology.
All he's ever wanted is my technology.
He must know not having methane
is just gonna damage the company.
He wants to devalue the company.
Make Ewing Energies worthless.
That's how it fits.
We got to tell Uncle Bobby.
Woman over P.A.: Dr. Chang to neonatal.
Code Blue.
Dr. Chang to neonatal. Code Blue.
No! Nurses, I need you now.
[ Monitors beeping rapidly ] I need vital signs on her and on the two fetuses.
Woman: Blood pressure's dropping on baby "A." [ Flatline ]
Ma'am, I need you to calm down. Help them!
Afton: Can you, please, give her something? I can't, ma'am.
Woman: Blood pressure's dropping on baby "B."
I need you right now.
I need you in here right now.
[ Pamela's cries echoing ]
[ Silence ]
Sync and corrected by dr.jackson for www.addic7ed.com
[ Indistinct conversations ]
Hey.
Tina: Hey.
Listen, uh, I got sued.
What? Why?
Well, not malpractice.
Please don't tell me.
Yeah, interference with marital relations.
And, uh, how's this?
Your husband hired Mitch tompkins.
Excuse me?
Right, let's get started, shall we?
Dr. Delany.
Perhaps you'd like to tell us what you've done.
Allison cabrera, 17 years old,
admitted Monday for a otoplasty and tympanoplasty.
Oh, I don't fancy
these procedures with the longer names.
Was it dangerous, doctor?
No, it was fairly routine.
We were just removing some scar tissue
from in and behind the left ear.
Excellent. And did it go routinely?
No.
No? I don't think I like the sound of that.
The patient was given an injection of Lidocaine
with 1 in 100,000 epinephrine.
Her heart rate and blood pressure spiked.
We brought it down, and she stabilized.
And... [ Water pouring ]
Oh, I'm so sorry. Please, continue.
10 minutes after stabilizing,
the patient went into cardiac arrest.
Full cpr was initiated.
Resuscitation attempts... Failed.
She died.
Yes. Young woman comes in for a routine surgery.
What was the cause of her scar tissue, by the way?
A dog bite.
She was bitten by a dog. Yes.
What kind of a dog? I-I believe it was a bichon frise.
Oh, a little dog.
So she comes to us with scar tissue
from a little nip on her ear from a bichon frise,
and now she's dead.
At first,
we thought the patient had reacted to the Lidocaine.
It turns out she was given
3 milligrams of epinephrine 1 in 1,000
instead of... Lidocaine with epinephrine 1 in 100,000.
[ Crowd murmuring ]
She was injected with a lethal dose of adrenaline.
Yes.
Could you tell us how that could possibly occur?
Well, the medications are typically poured
into sterile cups, then drawn into syringes.
Somehow pure epinephrine was mistakenly poured
into a cup labeled "Lidocaine with epinephrine."
Who made that mistake?
My circulating nurse.
And who delivered the kill shot into the child's ear?
My resident.
Dr. Delany, are you familiar
with the "Captain of the ship" doctrine?
Yes. Please, tell us what that is.
It basically means that the surgeon is responsible
for any negligence that occurs in the O.R.
And that would be you. That would be me.
And what steps, doctor, have you taken
as a result of this monumental...
Not to mention despicable... Gaffe?
Well, I'm... I'm still investigating the incident.
This only happened yesterday.
I've, uh, met with the scrub nurse,
the circulating nurse,
the anesthesiologist, the resident,
retracing every single step to...
So you're playing it backwards. Yes, all the way back to the trash,
where the vials were found, and the mix-up was clear.
And what have you ascertained thus far?
Once the medications were transferred to the cups,
it falls to the circulating nurse and the scrub nurse
to visually and audibly verify
that the drug vials match the labels on the cup.
The scrub nurse draws the injectable into the syringe.
Now, this was done,
but the syringe was possibly not labeled, and...
Well, this sounds like a rather protracted process.
I'll tell you what... why don't we reverse things and play it forward?
So we go from the circulating nurse to the scrub nurse
to the resident, and then to who, doctor?