.
- OR 2.0 is the fruit of years of development.
- Dean won't be swayed by Dayton's new shiny toys.
- I don't know if we're on a path to getting
back together or divorce.
- I'm here if you ever need to talk.
- I know.
- Liliana? I've been out to her house
twice for dinner now.
Third one's on the books.
- That's wonderful.
I'm so happy for you.
- In the OR, you were in pain.
- I'm fine, Dr. Asher.
- But you have to let somebody check you out.
[dramatic music]
- Any nausea, vomiting?
- Nope.
- Trouble sleeping, headaches?
- I mean, you've met my interns, right?
Come on, Mark.
I see the pulmonary edema in my X-ray.
What's going on?
- BUN, creatin, potassium all elevated.
Heart rate and BP are up, too.
- Fluid retention. Crap.
- You been staying off the NSAIDs?
- Of course. - Sticking to the renal diet?
- Man, I think I've maxed out on the amount of cabbage
I can eat in one day.
So what now?
Diuretics?
- We'll start you on low-dose Lasix,
see if that reduces the swelling.
- It's gonna be hard to run an ED
when I'm in the john every half hour.
- You could always let your kidneys fail and kill you
if your interns don't get you first.
- Sweet release.
All right, Mark. Thanks.
- Sure.
- It's open mic night, so there'll be
more people there than before.
- I'm gonna get there very early.
Gonna be seat right down front right there.
- You don't have to come to every silly time I sing.
- Of course I don't have to come.
I enjoy it. I enjoy watching you sing.
- Morning, Dan. - Peter, how you doing?
Hey, Peter, have you--
have you met my friend Liliana?
- No, I mean, that is yes.
I seen you around. Uh, housekeeping, right?
- Yes.
- We met actually at a--at a nightclub
where Liliana was performing.
She is a sensational opera singer.
- I just sing for fun, for myself.
- Well, it's very nice to meet you,
and thank you for excellent work around here.
- Mm-hmm.
- Dave.
- You know, I can't believe this has never occurred to me
before, but--
but my--I have a really good friend who was on the board
of the Lyric Opera.
- Oh, no, no.
They're very nice, Daniel.
- Oh, no, I was just thinking maybe
I could find out when the next round of auditions are
or something.
- Oh, no, I don't think so, but thank you.
♪
I should get to work.
- Okay.
Oh, I will--
I'll see you later.
[quiet dramatic music]
♪
- Okay, thank you. Thank you.
[car door slams] - Maggie.
- Sharon.
You're a lifesaver. - What happened?
- Said it was the fan belt. I don't know.
- Oh, man.
- You know Ben normally takes care of these things,
but, you know, I'm trying to give him a little bit of space.
- It's not easy, is it?
- Yeah. Oh, thank you.
Thank you.
No.
Thank you.
No, I just--I don't know how we come back from this
if we don't talk.
- Well, you know time is a great healer.
- I hope so.
Sorry I made you late for work.
- Oh, please.
With Jack Dayton in charge,
no one's watching me clock in.
[engine roaring]
[tires screech, object thuds]
- Help! - Did you hear that?
- Yeah, over here.
- Help! Help.
She's been hit. That car hit her!
- We're nurses.
Let us help you.
- That maniac hit her straight on.
- What is her name?
- Rose Howard.
- Rose. - Rose?
- Are you okay?
- I'm fine. I'm more worried about her.
Please, please. - Okay.
- Rose, nod if you can hear me.
- Let me call an ambo.
- Please, you have to help her.
- I'm gonna look into your eyes, Rose.
There you go.
Yes.
Okay. - Ambo's on its way.
- Great.
- I'm right here. - Gonna keep you warm, girl.
There you go.
[dramatic music]
♪
[siren blaring]
- Here's the ambo.
- Eyes open. You're good.
- Ms. Goodwin, Maggie, what do we got?
- Peds versus auto.
No loss of consciousness, but she's shocky.
- Her name is Rose Howard.
- All right, we gotta move her.
Okay. A little help.
On my count, one, two, three.
- Rolling.
Okay, it's okay.
It's okay. There we go.
- I'll switch places with you.
- On my count, one, two, three.
- All right. There we go.
♪
Yeah, we got an ambo coming in. We're trailing.
- I'm sorry. You can't ride along.
Rose is too unstable.
We'll send another ambo to come check you out.
- No, I'm fine. Go on.
Get her to the hospital please.
She needs to be examined. - Go.
We got her.
I have a first aid kit in my car.
Listen, listen, we work at the hospital
where they're taking Rose. - Okay.
- Maybe you can ride with us and so you can stay close,
and then we could get you checked out, okay?
- Okay. - It's all good, okay.
- Okay.
- Yeah, let's go.
Let's go.
All right, let's go.
- Hey, Jack. Thank you.
You have a moment?
- Yeah. For you, always.
Oh, actually, you two ought to meet.
Now this is Dr. Grace Song.
She's an incredible surgeon in her own right,
and I managed to lure her away to Dayton Corp.
- Crockett Marcel.
Pleasure to meet you.
- I heard you and 2.0
are a match made in heaven.
- Well, it's a remarkable advancement
and exactly what I'd like to talk about.
- Yeah. - So I--
I'd like to train other surgeons on it.
Right now, it's just me, but it would help
if more could familiarize themselves with the suite.
- Well, 2.0 was always intended to be
an adaptive platform, so more users,
more data, better outcome.
Yeah, bring in who you want. - Great.
I'll see you around.
- Mr. Dayton-- - Yeah.
- Did you get a chance to read my email?
- I saw it. I just haven't opened it yet.
- Okay, I'd really like to set up a time--
- You know, just hold that thought.
This may address your concern.
Good morning, everyone.
Promise not to take up too much of your time.
Now, it's become clear to me over the past few weeks
that, well, I have a lot to learn about medicine.
And when I don't know something,
I like to turn to the experts, and that's you,
which is why I asked Dr. Grace Song here
to spend a little bit more time in the ED.
Now she is one of my top minds, and I've tasked her
with finding ways to make your jobs easier,
more efficient,
so that you can keep doing your incredible work.
So please feel free to discuss with her any areas
that you feel can be better optimized.
Thank you so much. I hope that helps.
- Actually, no, that doesn't help.
- So is that your plan, replace us with robots?
- Dr. Archer.
Yeah, you'd get more jokes in if you were actually on time.
- Or we can program the robots to be funny.
No one likes change, and I tech can feel overwhelming, but I--
- I'm not some Luddite.
I--I just don't think we need to invent high-tech solutions
for problems that don't exist.
- Totally.
That's part of what's exciting right now.
We're deciding how to use tech
so that it's empowering without it making us
want to pull our hair out.
It works for us, not the other way around.
- Couldn't have said it better myself.
See you in a bit.
- That's a fine sentiment, Dr. Song.
I'm curious to see how you put it into action.
- Okay, well, take Ginger Spice over there.
You could be verbally charting directly
into our new EMR instead of wasting time typing
or copy-and-pasting.
- Typing after I see a patient is how I've always done it.
- You're creating more work for yourself.
You still have to manually input your notes
and, in the interim, hope that there's no gap
in communication with nursing.
- Hasn't been a problem before.
Besides, it allows me to have time
to wrap my head around patient history, lab results,
before handoff.
- Or you could be spending that time
with more patients.
- With my nose buried in a screen.
- This little debate is stimulating,
but I'm sure you'll find it's also very inefficient.
Case waiting for you in 4, Ginger Spice.
- Thanks anyway for the suggestion.
- Here to help.
- Mr. and Mrs. Rouse.
- Please, Connie. - David.
Our son Jason.
- Hey, Jason.
Hey, heard you're not feeling well.
- What?
Where am I?
- We're at the hospital, honey.
- I'm gonna listen to your chest, all right?
- Leave me alone.
- Sorry, buddy. Almost done.
- He's been irritable, confused.
- We thought he was just tired.
He recently joined the soccer team.
He's crazy about it. Wouldn't stop playing.
But then he stopped eating as much
and didn't have the energy to play.
Please, you gotta understand...
[soft music]
♪
12 years ago, we lost our son Axel
before his first birthday.
First, he wouldn't stop crying, then he got weak,
and then finally seizures.
- We had to watch our son disappear
right in front of our eyes.
The doctors poked and prodded him with thousands of tests.
They even came up to our house to check for lead and mold.
- Yeah, all that and they never figured out how to help.
- I'm so sorry.
- We've been vigilant, probably paranoid, ever since.
Every sniffle, every scrape, he goes to the doctor,
but now this.
- Well, without a diagnosis, I don't want to speculate
about a possible connection.
I think Jason is likely dealing with an infection,
but I'll make sure we're casting a wide net.
Okay? - Yes, please, anything.
- Hang tight.
We'll figure this out.
- Dr. Asher, incoming postpartum and bleeding.
- Got it. - Jackie, going to 3.
- Laurel Wilson, 26 years old, G1P1 postpartum day 9.
Found unresponsive. - There was so much blood.
- GCS 11, BP initially 90 over palp with heart rate of 120.
Liter of saline improved her to 110 over 60, rate 110.
- Okay, how much does she been bleeding?
- I don't know. How--how could we?
That's the problem.
- Okay, on my count.
Ready. One, two, three.
Has she passed any clots? - Yes.
- What size? Golf ball, apple?
- Golf ball, I think.
I--I told her to call 911,
but she was passed out when I got home.
- CBC type and cross-match, CMP coags,
and hang two units of O neg.
- On it.
- What's wrong with my wife?
- I believe she has a piece of retained placenta,
which is why she hasn't been able to stop bleeding.
♪
Okay.
Yeah, there it is.
I can bring her through this, but I need
to perform a procedure to remove the tissue, okay?
- Yeah.
- All right, open the hybrid OR for an emergency D&C.
- You got it.
♪
.
- We're going to Baghdad. What do we got?
- Rose Howard, 32-year-old female, MVC.
I gave her 500 normal salines on the ride,
but her BP's still hovering at 88 over 56.
Rate's 140s.
- Okay, two units of whole blood please.
- Pelvic fracture? - Yeah, Ms. Goodwin and Maggie
thought they felt instability,
so they wrapped in the field.
- All right, we need X-ray in here.
- All right, let's get her transferred.
Nice and easy on my count.
Here we go, one, two, three.
- [moans sharply]
- All right, thanks, Caesar, Tanya.
- All right, X-ray chest and pelvis,
and let's get her on the rapid transfusion,
please.
- Hey, Rose. I'm Dr. Marcel.
We got you, okay?
- It still hurts.
- Okay, well, let's have a look.
Fast scan.
Yeah, good amount of fluid in her belly.
- Yeah, she'll need a lap.
All right, let's see what the X-ray shows.
- Okay.
Thank you, Kaley.
- X-ray up.
- Comminuted pelvic fracture to the iliac wing.
Mediastinum's high.
- Right, we'll deal with those later.
The abdominal bleeding's our priority.
All right, Rose, we're gonna take you up to surgery now.
Kizzy, yeah, call upstairs. We need an OR.
- 2.0 is open.
Better imaging's available, and we still don't know
the full extent of her injuries.
- And emergent trauma is not the time
to play with your fancy toy.
No, we're gonna treat this abdominal case
like all the others, all right?
Let's go.
[uneasy music]
♪
- It's all my fault. We were arguing.
She started to walk away.
I ran after her and tried to grab her,
and that's when the car came out of nowhere.
If I just let her go, maybe she would have--
- No, no.
It was the driver's fault.
Paola, you okay?
Talk to me.
- I can't breathe.
I don't know--
- Maggie, there's a stethoscope
in the first aid kit in the back.
Paola, listen to me.
Focus on your breathing.
Take long, slow breaths.
Okay?
- [hyperventilating]
- Diminished breath sounds on the left.
Distended neck veins.
- Tension pneumothorax.
- What's that mean?
- Paola, did the car hit you, too?
- Didn't think it was bad.
- You probably have a broken rib
that's punctured your lung.
That's why you're having problems breathing.
We can't wait.
We have to relieve this pressure on her chest.
- Okay.
There's an IV catheter in the inner pocket.
- Paola, we're gonna help you.
I'm gonna pull down your shirt, and in count of three,
you're gonna feel a pinch.
Okay.
one, two, three.
- Unfortunately, I can't offer any solutions yet.
Jason has no signs of electrolyte imbalance,
no markers for infection, or any other abnormalities.
By the numbers, there's nothing to explain his symptoms.
- You're kidding me. Look at him.
- I know this is frustrating, which is why I'd like
to order a few more tests.
- There's always more tests.
Can you at least tell us what you're looking for?
- Of course.
Jason symptoms still strike me as an infection,
but it could be hiding,
okay, in his spinal cord or his brain,
which would explain the lethargy, his confusion,
and the kind of infection that wouldn't show up
on standard tests.
So I'd like to do a CT of his head
and a lumbar puncture.
Basically, I'd insert a needle--
[alarm blaring]
He's seizing.
- Jason!
- Nancy, need a hand in here.
[dramatic music]
1.5 of Ativan.
♪
- Okay, Ativan's in.
- Hey, buddy.
Jason, can you hear me?
Okay, can you look at me?
Look at my finger.
That's good.
Good.
- Mom, Dad?
- It's happening again, isn't it?
It's just like Axel.
♪
- Dr. Charles, can I get your help?
- What's up?
- Patient in treatment 7, Richard Wyatt.
- Oh, the guy that's--
that's running for city council.
- Yeah.
He was supposed to do some interview this morning,
but his campaign manager found him disoriented
and slurring his speech with a small bruise
on his head.
Brought him in.
- Anything interesting in his chart?
- Yeah. Workup was negative.
He's fine.
Except for the combo of alcohol and benzos.
Don't know if it was an accident or intentional.
- Oh.
I will--I'll go chat with him.
- Yeah. Thank you.
[knock at door]
- How you doing? I'm Dr. Charles.
- I hope you come bearing discharge papers.
- Not sure that those are quite ready yet.
- Any chance we could expedite them?
The sooner we leave, the sooner I can reschedule
the interview with Mathews.
- He doesn't know why we're rescheduling, right?
You handled it?
- Of course.
- Do you mind if I just get a quick moment with Mr. Wyatt?
- Fine. Okay.
Be in the waiting room.
- Thank you.
- [laughs] Feels like I'm in the principal's office.
Is something wrong? - No.
Not at all.
I just wanted to have a quick chat.
- You know, I really need to get going, all right?
Lots to do.
- Completely understand.
You did have a mixture of alcohol and benzodiazepines
in your system, though.
- I know what you're thinking what this might look like,
but it was just a stupid accident.
- Well, look, that's good to hear.
I just want to make sure your prescribing doctor
did make it clear that it's
a potentially lethal combination.
- I mean, I know you shouldn't mix medication and alcohol,
but, you know, I defy anyone to get through a fundraiser
without at least one scotch.
I mean, if I'd known it was that dangerous--
- Wow.
Your fundraisers sound pretty stressful to me.
You think that might be why you took the medication?
- What? No.
No, look, I just needed to take the edge off
for the Mathews interview, all right?
He's tough.
- Do you just-- do you mind me asking
why you were prescribed benzodiazepines
in the first place?
- Look, this was a one-off mistake,
and I'd appreciate it if you'd just check
on my discharge papers.
- Got it.
I will get with Dr. Jacquerie and see
if we can move that along.
Nice to meet you.
- So what's his deal?
- I don't think this has ever happened before,
but, you know, he's definitely self-medicating.
- Depression?
- I think it's some kind of anxiety disorder,
but anyway, he just wants to get out of here.
- I don't have a reason to keep him,
but if he's got an issue-- - Not enough to hold him.
I'll just, you know, make sure he has the proper referrals
before he leaves.
- Yeah. This is why I like surgery.
Patients don't talk.
- Hmm.
- Saw you ordered DNA sequencing
on your patient Jason Rose.
- You reading my charts?
- It's a pretty unusual test to order in the ED.
Caught my eye.
Apparently no one has anything they wanna optimize
around here, so I'm just twiddling my thumbs.
- Jason's brother Axel died 12 years ago
from uncontrolled seizures, no diagnosis.
And now that Jason's had a seizure--
- You think they're connected, so you ordered the sequence.
- And these.
- Epileptic encephalopathy.
- I ruled out infection, environmental factors,
and most autoimmune diseases.
Genetic mutation's
the only thing that makes sense.
- Trouble is, epileptic encephalopathy
has link to hundreds of different mutations.
- More like 1,500.
And every disease path has
a different course of treatment.
So it's gonna take forever to narrow down
this differential.
- I think I might be able to do that for you.
I could construct a neural network
using existing DNA databases.
Basically bundle them all together and put Jason's DNA
and compare it against tens of thousands
of known mutations.
This neural network would take a few hours to code,
but it could give you a highly probable diagnosis.
- Assuming the mutation's already
in one of these databases.
- We work with what we have.
[soft music]
- Uh, I appreciate the offer, Dr. Song,
but these parents are terrified and need
a human they can turn to.
So I have to figure this out the best way I know how.
- You know where to find me.
- Yeah.
- You know, my mom said Nathan's looking all around.
- Sweet boy. - [laughs]
- So, Laurel, the piece of retained placenta
has been removed, which should resolve the bleeding.
- Thank God.
- I'll still be able to get pregnant, right?
A big family has always been the dream.
- Infertility is an extremely rare complication
from a D&C, so yes.
- Then I can go home soon?
- I'd like to continue monitoring you for a while.
You did have heavy bleeding for nine days.
- You know, we called the doctor's office
to try to get checked out earlier,
and they said it was fine.
- Yeah, I--
I felt like something was off, had no appetite,
and the bleeding seemed heavy,
but I didn't know if heavy to me was normal
to the doctors, you know.
- Bleeding can be difficult to gauge and is subjective.
- And even harder to evaluate over the phone.
- Uh. Oh, uh...
Should I still be bleeding?
- Doris, give her a gram of TXA,
0.2 milligrams methergin,
and also need 1,000 micrograms of Cytotec.
- Yep.
- Don't worry. We can handle this.
[dramatic music]
- It's okay.
.
- So this is those referrals that I was telling you about.
Top two guys on the list are excellent.
I know them personally--
- Dr. Charles, you know, you've been very thorough,
but I'm all set.
- Hey, just in case, you know.
And, look, good luck with the election.
- We can't go out this way.
Mathews must have followed my car here.
[reporters clamoring]
- Oh God, this can't happen.
They can't see me. I have to get out of here.
- Is there another exit we could use?
- You know, we might be able to get you out
through the waiting room. Yeah.
- No, there could be more press out there.
Damn it.
How could you let this happen, Carla?
- Hey. - What am I supposed to do?
- It's okay. It's okay.
- This could ruin me.
- Look, you'll be all right, all right.
Keep-- - Oh, God,
- Okay, breathe in and out. - The insinuation.
- In through the nose. - The rumors.
Oh, God.
- Richard, you're all right. Come here.
Come sit over here. - No, I can't!
- No, no. Get over here.
Sit down. You need to sit down.
Okay, look at me. Look at me.
Breathe in through the nose
and out through your mouth.
With me.
In through the nose.
There you go. There you go.
You're fine.
- Okay. - Out through the mouth.
- Zach, Paola Rivera, the other half of the MVC,
delayed tension pneumothorax.
- Needle decompressed her in the car.
- Oh, geez. Got it.
Going to 2.
- Maggie, she's okay.
You need a breather.
- Yeah.
- Good job.
- Thank you.
- Spleen's out.
Rose's bleeding is under control.
I'll just close and move to the ICU.
- You better chest X-ray.
Widened mediastinum could mean an aortic injury.
- Yeah.
Once she's warm, we'll get her over to CT, clearer imaging.
In the meantime, we can control her blood pressure
and heart rate.
- But if we find anything, we gotta move her again
to IR in order to stent. - Yep.
That's protocol. Come on, let's go.
- Look, Dean, if it's a contained pseudoaneurysm,
we're playing musical chairs with a ticking time bomb.
I really think that we should take her 2.0.
- All right, listen, she's still being resuscitated.
I mean, who knows if she'll even be able to undergo
another procedure?
- We have to warm her either way.
Might as well do so where we can knock out
all our birds with one stone.
Listen, 2.0 has advanced imaging sensors.
If the aortagram finds anything,
we can stent right there.
If Rose takes a turn, we can easily convert to open.
No waiting, no scrambling.
Come on.
I mean, don't risk our patient
where there's another way.
- All right, after we close, we'll get her over to 2.0,
but it's still my case.
- Yeah, of course.
[tense music]
♪
- Hey, by any chance, did you build that neural whatever?
- Neural network? Yeah.
I fooled around with it. Why?
- Jason had another seizure.
I got him out of it, but two seizures this close together,
risk of anoxia is increasing.
I'm on the edge of intubating him.
I'm running out of ideas.
I thought it might be Tay-Sachs or Batten disease
or Wernicke's, but I'm basically guessing.
Can I send you Jason's DNA to run through your system?
- Absolutely.
I pulled from every public genetic database,
but they're so new, there isn't a ton of data.
I think I'll need to borrow from a few private companies
to expand the pool.
- Okay.
How long do you think it'll take to get the diagnosis?
- An hour, maybe a little longer.
- I don't know if Jason has an hour.
- Is there any way you can buy me more time?
- So you wanna put my son in a coma?
- Temporarily, yes.
The barbiturates would reduce the likelihood
of another seizure, and he would be
on a ventilator, which would protect his airway.
- So you can what, Google search his diagnosis?
You can't be serious.
- The neural network is scanning
nearly half a million patient profiles.
If Jason's genetic mutation has been documented even once,
we'll find it.
- And if it hasn't been documented?
- Hey, I know we're asking a lot,
but this is Jason's best chance for a swift diagnosis.
- Okay.
Do what you have to to save him.
- Thank you.
- All right, I'll page anesthesia.
♪
- Dr. Asher, we need you.
- Shouldn't the drugs have stopped this?
- Laurel, I'm afraid you have what we call uterine atony.
- What's that mean?
- Your uterus can't contract enough to compress
the blood vessels,
so you will keep bleeding.
- Until what, I die?
- Unless we act quickly.
- Okay, what--what can we do?
- Well, only have one option left:
a total hysterectomy.
- No.
No, no, no, wait.
Wait, please. There must be something else.
- I'm so sorry, but there's not.
You are decompensating too quickly.
- Come on. She's just 26.
We just-- we just started our family.
- I know, and I wish that there was another way.
But in my opinion, a hysterectomy
is the only way I can guarantee
saving your life.
♪
- Just... just do it.
Get me home to my baby.
- I promise.
.
- Archer.
- Yeah.
I feel like I'm operating at a freaking sports bar.
All right, let's get the stent measurement.
- 2.0 can calculate that for you.
- Yeah? You think it can give me
the over-under on the Blackhawks?
All right, we've got a 31-millimeter diameter.
- Calculating.
- Wait, wait, wait. Come on.
Just keep that up there, will you?
- Recommend stent size,
32 millimeters with proximal neck
of 18 millimeters.
Suggest placing 1 millimeter distal
to the left subclavian artery.
- Looks good to me.
- Get the stent please.
Don't you be smirking under that mask.
- Oh, I wouldn't dream of it.
- Yeah.
Thank you. All right.
All right, nice and easy.
- User's heart rate is elevated.
Fine motor coordination may be compromised.
Risk assessment increased 7%.
- That thing talking about me?
- Yeah, it says your rate's up to 110.
You okay?
- Steady as a rock.
- User's heart rate is elevated.
Risk of surgical error increased by 11%.
- Come on. Would you shut that thing up?
- Listen, I could step in, deploy the stent.
- Dr. Marcel, do you think I'm incapable
of completing this procedure? - I didn't say that.
- Okay, then stop trying to make friends with a machine
and assist me.
- Heart rate is now 115.
- Ahh, for Christ's sake, stop--
- Stop it already. What the hell?
Dean. - Error.
System malfunction. - Relax.
We'll deal with that later. We have a patient on the table.
- That was unnecessary.
- System malfunction.
Error. System malfunction.
- It's over.
My campaign, everything I've worked towards for years,
gone.
- You know, I'm just not so sure that that's
actually the case.
That kind of thinking, by the way,
we call it catastrophizing
'cause, you know, anxiety will do that.
- This is a catastrophe. - Well--
- Did you miss my meltdown out there?
You know, that wasn't my first.
They keep coming.
They keep getting worse.
What about if I have one in public?
You think the electorate wants to see that
or hear how sometimes I get so panicked
that I can't think or function?
Half the time, I have no clue why I'm even anxious.
Oh, yeah, you know, that sounds like a real winner.
- I don't think you realize how many people
actually go through precisely the experience
you're describing.
You know, did you know that fully 20% of American adults
struggle with anxiety disorders of some kind?
- You just confirmed it.
I'm crazy.
No one will elect me, the mentally ill guy.
Would you?
- Do you mind if I tell you something
personal about myself?
A long time ago, I was actually diagnosed with depression,
and I vividly recall what a blow that was,
how ashamed I felt, like I was defective.
And then really smart person asked me
if I would feel embarrassed
if I'd been diagnosed with diabetes,
if I had a heart condition.
Of course not.
Really helped me reframe my diagnosis,
because that's what it was, Richard.
It was a diagnosis.
All of a sudden, I had a name for how I felt.
Right? I had a path towards help.
You are not crazy, my friend.
I think you're making assumptions
about what other people think
and letting it influence your decisions.
[heart monitor blares] - What is that?
- He's having a seizure. - Another one.
- Give him another 1.5 of Ativan.
- You said the coma would stop them,
that this would help him.
- This is much less traumatic
than if he were awake.
- Baby, it's okay.
Stay with us.
We love you.
- Now we're just watching him die.
I'm not doing this again.
Do something more.
- Autosomal recessive thiamine metabolism
dysfunction, syndrome 2.
- What? What does that all mean?
- It's what's wrong with Jason, and it's treatable.
- It's a really rare disorder
where Jason can't transmit thiamine
from his blood to his brain.
- Yeah, thiamine helps the body
produce energy from food.
So we'll hit him with a heavy dose.
After that, over-the-counter supplements
should resolve the problem.
Jason's gonna be okay.
- Are you sure this time?
- Yes.
Absolutely.
[warm music]
♪
- So I'm very interested to get your input on all this.
- I can see you're busy,
so I'll just paraphrase my email.
- Dr. Asher, you can't just burst into our meeting.
- The Department of Public Health has a new program
partnering with hospitals for in-home postpartum wellness
checks on mom and baby.
We need to join.
- Yes, I'm familiar with it.
However, it requires too much in terms
of cost and resources.
- It's pennies to you.
- We can revisit it
once the initiative proves its worth.
- Mr. Dayton, it has already proven its worth.
I just did a full hysterectomy on a 26 year old.
For nine days, she was bleeding so badly,
she almost died, and no one knew because no one saw her.
If my patient would have had that program,
a nurse trained in postpartum care
could have seen that that bleeding wasn't normal
and gotten her help before she hemorrhaged.
Instead, she has given up the chance at more children.
This never had to happen.
So put your money to good use and sign us up.
[tense music]
- Okay.
Get us enrolled.
- Okay. [phone buzzes]
♪
- Would you excuse me, please?
- Hey, hold on.
- How's Rose?
- Should be able to extubate her soon.
- I'll connect with ortho, schedule her pelvic fixation
for tomorrow.
We'll leave her wrapped up in the meantime.
- Paola's stable, and she's really anxious about her.
- She'll be able to visit with Rose shortly.
- Great.
- Thank you, doctors.
- Yeah.
Hey, Dean, I know you didn't mean to--
- Here we go. - No, listen.
2.0 adds a lot of value to what we do.
It did in seconds what usually takes us half an hour.
- Yeah, it's a backseat driver, man.
- It's a tool, just like any other instrument in the ER.
- Except I don't need a scalpel to tell me
my heart rate is up.
I know it's up, and I make the adjustment.
- 2.0 just takes some time to get used to.
- Yeah, maybe that's the difference between us
all right, 'cause I trust my hands and my instincts,
and you've abdicated your judgment to a machine.
- Come on, Dean. I mean...
- You broke it deliberately, didn't you?
- Oh, whoa, hold on.
No, it was an accident.
- You're fired, Dr. Archer.
- Oh, that's not necessary. - I'm not talking to you.
I want you off campus in 30 minutes.
[dramatic music]
- I'll get my things.
.
- I can come back. - No.
No, no, I was actually--
I was looking for you.
I... want to talk to you about--about this morning.
I just felt a little--
I don't know-- felt a little weird
the way we... left it. - Okay.
- Yeah.
Yeah.
I couldn't help noticing that people were--
I don't know-- looking at us a little funny.
- Yes, I saw it, too.
- So I don't know.
I'm just--I'm sorry if it made you uncomfortable.
- I think you were, too.
- Oh, sure.
Absolutely.
- Is that's why you told that man I was a singer?
- I--I think I wanted him to know how--
how wonderful you are.
- So he wouldn't just think that I was a housekeeper?
- What?
No. No.
- Are you sure?
- Ye--yeah, I think I'm sure.
I mean, I don't-- I don't-- I don't--
I don't know. - Daniel,
I will never be a true opera singer.
I know my voice, and I'm happy.
But I am wondering if that can be enough for you.
♪
- I suddenly hear my old med school professor
reminding me adherence to orthodoxy
is the physician's curse.
I wonder if you might train me on that new EMR program
you were talking about.
- No, you're gonna have to wait.
I wanna modify the dictation microphone
so doctors don't have their noses in iPads
when talking to patients.
- Excellent idea.
- We need to talk.
- Look, I don't have time to discuss my decision.
- You fired the chief of my ED.
You need to make time.
- Your ED?
- Personnel decisions fall under my authority.
- Feel free to weigh in on his replacement.
- Dr. Archer is a vital part of our hospital.
His knowledge, his experience,
his leadership--
- Dr. Archer is a liability.
He destroyed expensive equipment.
He's antagonistic towards my staff
and a general pain in my ass.
Now, look, I'm happy to consult with you over matters
concerning the operation of this hospital,
but this decision is final.
- If Dr. Archer goes, then I go.
- Are you serious?
Over Dean Archer?
- I am.
- He steps out of line again, it's on you.
- Hello.
Brought you a visitor.
- Hey.
How are you feeling?
- Like I got hit by a bus.
Or a souped-up sports car, I guess.
- Sense of humor's intact.
That's a good sign.
- Yeah.
Maybe we should let you get some rest.
- No.
Stay.
Please stay.
- I'm sorry.
[tender music]
♪
[knock at door]
- Come on in.
- Hey.
You're working late.
- Yeah.
Well...
- Look, Ben, the longer we don't talk,
it's like the bigger the divide between us becomes,
and I can't stand it.
- You can't?
Maggie, you lied to me.
- I'm sorry.
And I know that I need to earn back your trust,
but I can't let this stupid mistake ruin
the best thing that's ever happened to me.
[dramatic music]
I'm not gonna give up on us.
Our marriage, our-- our love is stronger than this.
♪
.
[dramatic music]
♪
[wolf howling]