1 00:00:05,697 --> 00:00:07,374 - Please tell me 2 00:00:07,474 --> 00:00:09,475 you did not leak Theo's files to save my job. 3 00:00:09,476 --> 00:00:11,570 - Taking this deal means you can pursue employment 4 00:00:11,670 --> 00:00:13,379 elsewhere from Gaffney. 5 00:00:13,380 --> 00:00:16,616 - You want me gone. I still can't figure out why. 6 00:00:16,617 --> 00:00:18,584 - Please don't take Miranda's deal. 7 00:00:18,585 --> 00:00:21,187 I leaked the medical file. 8 00:00:21,188 --> 00:00:22,688 - I see how it is easy for you 9 00:00:22,689 --> 00:00:24,924 to cast me as the enemy in your internal drama. 10 00:00:24,925 --> 00:00:29,096 - Sloan, you cut multiple shifts just to save pennies. 11 00:00:29,196 --> 00:00:32,131 - Everyone resists change. You miss Sharon Goodwin. 12 00:00:32,132 --> 00:00:35,035 - Oh, Sharon Goodwin's coming back. 13 00:00:40,874 --> 00:00:42,366 - [chuckles] 14 00:00:42,367 --> 00:00:43,944 - I thought sharing a shower was about saving time. 15 00:00:44,044 --> 00:00:46,679 You said, and I quote, "all business." 16 00:00:46,680 --> 00:00:49,549 - Well, business has a lot of meaning. 17 00:00:49,550 --> 00:00:53,153 [soft playful music] 18 00:00:53,287 --> 00:00:56,656 [knock at door] 19 00:00:56,657 --> 00:00:58,016 - Just one second. 20 00:00:59,710 --> 00:01:00,794 Yeah? 21 00:01:00,894 --> 00:01:02,228 - Can I get in there to brush my teeth? 22 00:01:02,229 --> 00:01:05,831 - [groans] Can't it wait? I need a minute. 23 00:01:05,832 --> 00:01:08,268 - What? [knock at door] 24 00:01:08,368 --> 00:01:10,570 - All right, all right, I'm coming. 25 00:01:12,339 --> 00:01:13,606 Hey, man. 26 00:01:13,607 --> 00:01:16,542 Hi. Here you go. 27 00:01:16,543 --> 00:01:18,044 - Do you have a girl in there? 28 00:01:18,045 --> 00:01:19,804 - [sighs] Well, what's with all the questions? 29 00:01:19,805 --> 00:01:22,081 - Look--[chuckles] 30 00:01:22,082 --> 00:01:24,951 When Naomi got that fellowship in Portland and dumped you-- 31 00:01:24,952 --> 00:01:26,152 - Easy, easy. 32 00:01:26,153 --> 00:01:27,753 Yeah, mutual breakup, but sure, go ahead. 33 00:01:27,754 --> 00:01:29,288 - I was there for you. 34 00:01:29,289 --> 00:01:30,906 And I have been nothing but supportive as you've, you know, 35 00:01:30,907 --> 00:01:34,076 gotten back on the horse, or the whole herd, 36 00:01:34,077 --> 00:01:35,428 the past couple of months. 37 00:01:35,429 --> 00:01:38,264 - It feels like there's a but coming. 38 00:01:38,265 --> 00:01:41,268 - You're taking some liberties with the, uh, roommate code. 39 00:01:41,368 --> 00:01:44,136 - [sighs] 40 00:01:44,137 --> 00:01:46,331 Okay. Yeah. - Yeah. 41 00:01:46,431 --> 00:01:48,274 - No, that's--that's fair and I understand. 42 00:01:48,275 --> 00:01:50,811 And I--I will do better. 43 00:01:50,911 --> 00:01:53,739 After this morning? 44 00:01:55,949 --> 00:01:59,452 - See you at the hospital. - Okay. See you there. 45 00:01:59,453 --> 00:02:02,848 {\an8}- Yeah, okay, so she's got a change of clothes in the bag. 46 00:02:02,948 --> 00:02:04,490 {\an8}And I pumped this morning, which is in the cooler. 47 00:02:04,491 --> 00:02:05,625 {\an8}You brought-- - I showed him. 48 00:02:05,626 --> 00:02:07,026 {\an8}- Okay. - [fusses] 49 00:02:07,027 --> 00:02:09,062 {\an8}- Oh, also, she likes to be burped on her left side. 50 00:02:09,196 --> 00:02:10,630 {\an8}Sometimes it takes a little bit. 51 00:02:10,631 --> 00:02:11,931 {\an8}- I promise I got her. 52 00:02:11,932 --> 00:02:13,333 {\an8}And daycare is great for little tykes. 53 00:02:13,433 --> 00:02:15,067 {\an8}It gets them used to new faces, experiences-- 54 00:02:15,068 --> 00:02:16,361 {\an8}- Yeah. 55 00:02:16,461 --> 00:02:19,030 {\an8}No, I've read the--I've read the literature, Trident. 56 00:02:19,031 --> 00:02:21,273 {\an8}It's just I'm handing my heart to a stranger 57 00:02:21,274 --> 00:02:23,210 {\an8}and I don't want Mabel to feel abandoned, so-- 58 00:02:23,310 --> 00:02:24,577 {\an8}- All right, baby, it's gonna be fine. 59 00:02:24,578 --> 00:02:26,705 {\an8}A little independence is gonna be good for her. 60 00:02:26,805 --> 00:02:27,873 {\an8}- Right, yeah. 61 00:02:27,973 --> 00:02:28,948 {\an8}[baby crying] 62 00:02:28,949 --> 00:02:30,950 {\an8}- It's okay. - Oh, my gosh. 63 00:02:30,951 --> 00:02:33,086 {\an8}- It's okay. - I got you. I got you. 64 00:02:33,220 --> 00:02:34,987 {\an8}It's okay, yes. 65 00:02:34,988 --> 00:02:37,240 {\an8}Shh, shh, shh. [baby crying] 66 00:02:40,460 --> 00:02:42,553 {\an8}- [sighs] How are you so calm? 67 00:02:42,554 --> 00:02:44,822 {\an8}- I'm not. I'm pretending for you. 68 00:02:44,823 --> 00:02:47,033 {\an8}- [sighs] - [chuckles] 69 00:02:47,034 --> 00:02:48,317 {\an8}- Dr. Archer. 70 00:02:48,318 --> 00:02:50,170 {\an8}- Oh, good luck with that. 71 00:02:50,270 --> 00:02:51,404 {\an8}- Thanks. 72 00:02:51,405 --> 00:02:53,472 {\an8}- Bye. - Bye. 73 00:02:53,473 --> 00:02:56,067 {\an8}- Hi. So glad I ran into you. 74 00:02:56,068 --> 00:02:57,376 {\an8}- Okay. What's up? 75 00:02:57,377 --> 00:02:59,003 {\an8}- Well, I wanted to let you know 76 00:02:59,004 --> 00:03:00,347 {\an8}that I'm shifting some resources 77 00:03:00,447 --> 00:03:01,906 {\an8}to create a dozen new beds. 78 00:03:01,907 --> 00:03:03,517 {\an8}More people will be admitted faster, 79 00:03:03,617 --> 00:03:05,918 {\an8}which should clear up some space in the ED. 80 00:03:05,919 --> 00:03:09,989 {\an8}- Oh, okay. Uh, that sounds really great. 81 00:03:09,990 --> 00:03:11,258 {\an8}Thank you. 82 00:03:11,358 --> 00:03:13,293 {\an8}- We're a team, right? 83 00:03:13,427 --> 00:03:14,694 {\an8}- Right. 84 00:03:21,268 --> 00:03:24,454 {\an8}- I knew what Miranda was trying to do to Dr. Charles. 85 00:03:26,331 --> 00:03:27,332 {\an8}We all did. 86 00:03:29,009 --> 00:03:32,103 {\an8}And I felt angry and helpless. 87 00:03:32,104 --> 00:03:34,780 {\an8}- Yeah, I know that feeling. 88 00:03:34,781 --> 00:03:37,984 {\an8}- Then I went to your office to drop off the staffing report. 89 00:03:38,085 --> 00:03:40,870 {\an8}You weren't there, but I happened to see 90 00:03:40,871 --> 00:03:44,682 {\an8}Dr. Rabari's name on your computer. 91 00:03:44,683 --> 00:03:46,893 {\an8}- His medical records. 92 00:03:49,596 --> 00:03:52,289 {\an8}- I made a snap decision. 93 00:03:52,290 --> 00:03:53,300 {\an8}I printed them out 94 00:03:53,400 --> 00:03:55,068 {\an8}and I anonymously sent them to Miranda. 95 00:03:56,862 --> 00:03:58,204 {\an8}- Sent how? 96 00:03:58,205 --> 00:04:00,965 {\an8}- An envelope I left in the boardroom. 97 00:04:00,966 --> 00:04:03,300 {\an8}Look, I thought that I was saving Dr. Charles. 98 00:04:03,301 --> 00:04:05,644 {\an8}I had no idea that they would come after you like this. 99 00:04:05,645 --> 00:04:07,780 {\an8}And now they're trying to offer you a deal, 100 00:04:07,781 --> 00:04:10,382 {\an8}wanting to push you out over something that I did? 101 00:04:10,383 --> 00:04:11,650 {\an8}I can't just let that happen. 102 00:04:11,651 --> 00:04:15,646 {\an8}- Doris, Doris, I was the one who asked for the files. 103 00:04:15,647 --> 00:04:17,156 {\an8}This is on me too. 104 00:04:17,157 --> 00:04:19,259 {\an8}- But you didn't make me send them. 105 00:04:23,730 --> 00:04:25,932 {\an8}- I'm gonna tell Miranda the truth. 106 00:04:27,601 --> 00:04:30,035 {\an8}I leaked those files. 107 00:04:30,036 --> 00:04:32,254 {\an8}- I understand how you're feeling. 108 00:04:32,255 --> 00:04:36,041 {\an8}Uh, Miranda makes a lot of threats. 109 00:04:36,042 --> 00:04:39,145 {\an8}It doesn't mean that she can prove anything. 110 00:04:39,146 --> 00:04:44,034 {\an8}But the second you confess, there's no going back. 111 00:04:48,788 --> 00:04:51,015 {\an8}- Welcome back. How we feeling, Mama? 112 00:04:51,016 --> 00:04:53,659 {\an8}- Oh, a little anxious, if I'm being honest. 113 00:04:53,660 --> 00:04:54,861 {\an8}But you know, 114 00:04:54,961 --> 00:04:56,428 {\an8}it was nice to actually get dressed this morning. 115 00:04:56,429 --> 00:04:58,764 {\an8}- Ugh, strong disagree. Pants are for suckers. 116 00:04:58,765 --> 00:04:59,732 {\an8}- [chuckles] Well, either way, 117 00:04:59,733 --> 00:05:02,026 {\an8}it is nice to see my people again. 118 00:05:02,027 --> 00:05:04,537 {\an8}Speaking of, have you seen Doris yet? 119 00:05:04,538 --> 00:05:06,530 {\an8}- Late. She said car trouble or something. 120 00:05:06,531 --> 00:05:08,642 - Multiple traumas incoming. 121 00:05:08,742 --> 00:05:10,476 A group of teens were subway surfing. 122 00:05:10,477 --> 00:05:12,678 Three were thrown off. - Subway surfing? 123 00:05:12,679 --> 00:05:14,471 - Kids are jumping on top of subway cars, 124 00:05:14,472 --> 00:05:15,549 filming each other riding through the city. 125 00:05:15,649 --> 00:05:17,808 - Are you kidding me? - Mm-mm. 126 00:05:17,809 --> 00:05:21,120 - Samara West, 19. BP's 110/73. 127 00:05:21,121 --> 00:05:22,788 Found her unconscious, but she came to on the ride over. 128 00:05:22,789 --> 00:05:24,757 - Was complaining of severe neck pain 129 00:05:24,758 --> 00:05:26,425 and lower extremity paresthesias. 130 00:05:26,426 --> 00:05:28,452 Gave 50 milligrams of fentanyl for the pain 131 00:05:28,453 --> 00:05:30,329 and also possible wrist fracture. 132 00:05:30,330 --> 00:05:31,297 - Okay, we're gonna check you out now. 133 00:05:31,298 --> 00:05:32,557 On my count. Gentle. 134 00:05:32,657 --> 00:05:35,568 One, two, three. 135 00:05:35,569 --> 00:05:37,069 - Feels like needles in my legs. 136 00:05:37,070 --> 00:05:39,071 - Okay, Samara, I'm gonna feel the back of your neck. 137 00:05:39,072 --> 00:05:40,806 Keep still, okay? 138 00:05:40,807 --> 00:05:43,275 Okay, if you feel any pain as I'm pressing, let me know. 139 00:05:43,276 --> 00:05:44,243 - Ow! Right there. 140 00:05:44,244 --> 00:05:46,278 - Okay, I feel a step off at C67. 141 00:05:46,279 --> 00:05:49,315 Let's get a CTC spine, CTA neck trauma labs, 142 00:05:49,316 --> 00:05:50,482 and page Dr. Abrams. 143 00:05:50,483 --> 00:05:53,252 - Nolan Goodland, 14, fell off the train car. 144 00:05:53,253 --> 00:05:54,745 Made contact with the third rail. 145 00:05:54,746 --> 00:05:56,790 Sustained severe electrical burns to the chest. 146 00:05:56,923 --> 00:05:58,991 Was unconscious at the scene. - Poor kid. 147 00:05:58,992 --> 00:06:00,560 Make sure his parents are notified. 148 00:06:00,660 --> 00:06:03,028 - Let's get a crash cart set up and get a Foley in him. 149 00:06:03,029 --> 00:06:07,233 - Send trauma labs, CK, and I need an ultrasound. 150 00:06:07,234 --> 00:06:09,702 Ready? One, two, three. 151 00:06:09,703 --> 00:06:11,738 Nolan? - Abdomen's distended. 152 00:06:11,838 --> 00:06:14,907 - Nolan, can you hear me, son? Nolan. 153 00:06:14,908 --> 00:06:16,309 - Okay, blood pressure's dropping. 154 00:06:16,409 --> 00:06:20,112 - Start a second IV. Hang a liter of LR. 155 00:06:20,113 --> 00:06:21,447 And where's that ultrasound, Nancy? 156 00:06:21,448 --> 00:06:22,606 Come on. - Yep. 157 00:06:22,607 --> 00:06:23,716 - Christian, I'm Dr. Frost. 158 00:06:23,717 --> 00:06:25,117 We're gonna take a look at you, all right? 159 00:06:25,118 --> 00:06:26,685 [tense music] 160 00:06:26,686 --> 00:06:29,355 - Okay, he has a pretty big flail segment on the right. 161 00:06:29,356 --> 00:06:30,539 - Still tachy and hypotensive. 162 00:06:30,540 --> 00:06:31,782 - Hang 1 and 1. 163 00:06:31,783 --> 00:06:34,451 - Nolan! Where is he, Nolan? 164 00:06:34,452 --> 00:06:35,561 - It's his younger brother. 165 00:06:35,562 --> 00:06:37,062 Hey, Christian, look at me, all right? 166 00:06:37,063 --> 00:06:38,297 You're gonna have to sit still. 167 00:06:38,298 --> 00:06:39,498 We're just trying to help. It's all right. 168 00:06:39,499 --> 00:06:41,734 - [coughing] - Oh, towel. 169 00:06:41,735 --> 00:06:43,937 - [coughing] 170 00:06:44,037 --> 00:06:46,338 - Hemopneumothorax on the right with the flail segment. 171 00:06:46,339 --> 00:06:47,840 The mediastinum is widened. 172 00:06:47,841 --> 00:06:49,375 We're gonna have to rule out an aortic injury. 173 00:06:49,376 --> 00:06:50,609 - Yeah, let's get 2 of Versed 174 00:06:50,610 --> 00:06:52,478 and prep for chest tube before CT scan. 175 00:06:52,479 --> 00:06:54,614 - Need another set of hands here! 176 00:06:54,714 --> 00:06:56,640 - Go. Go. I got it. Go. - [groaning] 177 00:06:56,641 --> 00:06:57,784 - It's okay, Christian. I got you. 178 00:06:57,884 --> 00:07:01,020 It's all right, okay? - All right, take over. 179 00:07:01,021 --> 00:07:03,481 Need a gram of calcium and bicarb. 180 00:07:03,581 --> 00:07:04,990 Charge to 200. 181 00:07:04,991 --> 00:07:06,192 [defibrillator whirring] - Charged. 182 00:07:06,326 --> 00:07:08,427 - Clear. 183 00:07:08,428 --> 00:07:10,421 [defibrillator thumps] 184 00:07:10,422 --> 00:07:12,222 300! 185 00:07:12,223 --> 00:07:13,767 [defibrillator thumps] 186 00:07:13,867 --> 00:07:18,104 ♪ ♪ 187 00:07:24,044 --> 00:07:25,811 - So Christian, we contacted your dad. 188 00:07:25,812 --> 00:07:27,438 He's on the way. 189 00:07:27,439 --> 00:07:30,575 But you have what is called an aortic dissection. 190 00:07:30,675 --> 00:07:33,944 It's a tear in the main blood vessel from your heart. 191 00:07:33,945 --> 00:07:35,220 - Sounds bad. 192 00:07:35,221 --> 00:07:37,749 - It's a small tear, which is good. 193 00:07:37,849 --> 00:07:41,794 But sometimes those do get bigger and require surgery. 194 00:07:41,795 --> 00:07:43,721 - S-so what do we do? 195 00:07:43,722 --> 00:07:45,297 - Well, we admit you 196 00:07:45,298 --> 00:07:47,634 and monitor you for the next 48 hours. 197 00:07:47,734 --> 00:07:49,886 And then we let Vascular take point. 198 00:07:52,789 --> 00:07:55,274 - Where's my brother? How is he? 199 00:07:55,275 --> 00:07:57,109 - We were able to restart his heart, 200 00:07:57,110 --> 00:07:59,646 but he is also suffering lacerations 201 00:07:59,746 --> 00:08:03,807 to his spleen and his liver. 202 00:08:03,808 --> 00:08:05,484 - He'll be okay? 203 00:08:05,485 --> 00:08:08,405 - We are doing everything that we possibly can, Christian. 204 00:08:10,715 --> 00:08:13,460 - Please. 205 00:08:13,560 --> 00:08:15,295 [sobbing] Just tell me the truth. 206 00:08:15,395 --> 00:08:18,497 - If he makes it through the next few hours, 207 00:08:18,498 --> 00:08:20,899 he will have a chance. 208 00:08:20,900 --> 00:08:22,460 - It was my idea. 209 00:08:26,606 --> 00:08:28,207 Saw some other kids doing it online. 210 00:08:28,208 --> 00:08:32,669 I mean, the train didn't seem like it was moving that fast. 211 00:08:32,670 --> 00:08:34,139 Then he slipped. 212 00:08:38,385 --> 00:08:42,020 He hit the rail and his body just, like-- 213 00:08:42,021 --> 00:08:44,857 just, like, seized up. 214 00:08:44,858 --> 00:08:46,184 - Christian. - [sobs] 215 00:08:46,284 --> 00:08:49,361 - Stop. Hey, hey, look at me. 216 00:08:49,362 --> 00:08:50,613 Look at me, Christian. 217 00:08:52,899 --> 00:08:54,516 I know it's hard, okay? 218 00:08:54,517 --> 00:09:00,006 Nolan is fighting and that is a great thing. 219 00:09:00,106 --> 00:09:01,673 But for right now, let's just focus 220 00:09:01,674 --> 00:09:04,836 on getting you fixed up, okay? 221 00:09:06,913 --> 00:09:08,673 Can you do that for me? 222 00:09:10,483 --> 00:09:12,352 - Okay. 223 00:09:12,452 --> 00:09:15,120 - Where's he going? - Ellen, I'm Dr. Ripley. 224 00:09:15,121 --> 00:09:16,890 I, uh, I saw that you vomited blood 225 00:09:16,990 --> 00:09:18,490 and passed out this morning? 226 00:09:18,491 --> 00:09:20,384 {\an8}- Uh, I was at the table one minute, 227 00:09:20,385 --> 00:09:21,994 {\an8}next, I was on the floor. 228 00:09:21,995 --> 00:09:24,563 {\an8}But Jaxson called 911, thankfully. 229 00:09:24,564 --> 00:09:26,365 {\an8}- Oh, nice work, Jaxson. 230 00:09:26,366 --> 00:09:28,200 {\an8}Uh, you mind if I examine you? 231 00:09:28,201 --> 00:09:30,202 {\an8}- Yeah. - Okay. 232 00:09:30,203 --> 00:09:31,395 {\an8}And who's that guy? 233 00:09:31,396 --> 00:09:33,172 {\an8}- Captain Super Broccoli. 234 00:09:33,173 --> 00:09:35,232 {\an8}- Captain Super Broccoli? Never heard of him. 235 00:09:35,233 --> 00:09:37,043 {\an8}- I made him up. 236 00:09:37,143 --> 00:09:38,902 {\an8}And told stories about him 237 00:09:38,903 --> 00:09:41,371 hoping Jaxson might eat something green. 238 00:09:41,372 --> 00:09:43,232 He loved the stories. 239 00:09:43,233 --> 00:09:45,250 No luck on the vegetables. 240 00:09:45,251 --> 00:09:47,453 - Very cool. 241 00:09:47,454 --> 00:09:49,404 Say "ah" for me. 242 00:09:49,405 --> 00:09:51,248 - Ah. 243 00:09:51,249 --> 00:09:54,493 - Okay, uh, we'll need to wait for a CT to confirm, 244 00:09:54,494 --> 00:09:57,421 but your chest X-ray shows pneumomediastinum. 245 00:09:57,422 --> 00:10:00,100 I suspect you have a small tear in your esophagus. 246 00:10:00,200 --> 00:10:01,133 It would explain the blood. 247 00:10:01,134 --> 00:10:02,301 - Is that bad? 248 00:10:02,302 --> 00:10:04,428 - It's not ideal, something we can repair 249 00:10:04,429 --> 00:10:05,587 with a minor procedure. 250 00:10:05,588 --> 00:10:09,708 My bigger concern is what caused the tear. 251 00:10:09,709 --> 00:10:11,076 Have you been vomiting frequently? 252 00:10:11,077 --> 00:10:12,427 Any recent illness? 253 00:10:12,428 --> 00:10:14,439 - I've been going through a custody battle with my ex. 254 00:10:14,539 --> 00:10:16,774 That gives me plenty of indigestion. 255 00:10:16,875 --> 00:10:21,253 [chuckles] But I was fine today until, you know. 256 00:10:21,254 --> 00:10:23,772 - Sorry, uh, it says 257 00:10:23,773 --> 00:10:25,249 you went for your physical three months ago, 258 00:10:25,250 --> 00:10:28,026 and your weight was 145. 259 00:10:28,027 --> 00:10:31,280 Today, your weight is 185. 260 00:10:31,281 --> 00:10:33,298 Is that accurate? 261 00:10:33,299 --> 00:10:36,603 - Unfortunately, yes. 262 00:10:36,703 --> 00:10:38,287 You think that has something to do with this? 263 00:10:38,288 --> 00:10:41,456 - It's hard to tell just yet, but it is concerning. 264 00:10:41,457 --> 00:10:43,700 - I was chalking it up to stress. 265 00:10:43,701 --> 00:10:45,411 - Stress can certainly wreak havoc. 266 00:10:45,512 --> 00:10:46,971 Uh, why don't we run some tests, 267 00:10:47,071 --> 00:10:48,213 get some more info, 268 00:10:48,214 --> 00:10:49,641 and, uh, try to get to the bottom of this? 269 00:10:49,741 --> 00:10:52,068 - Okay. - Okay. 270 00:10:55,021 --> 00:10:57,123 - Looks like your pain level's gone down. 271 00:10:57,223 --> 00:10:59,325 - Yeah, those meds did the trick. 272 00:10:59,425 --> 00:11:01,093 - Good. 273 00:11:01,094 --> 00:11:03,587 - How are those two boys that came in with me? 274 00:11:03,588 --> 00:11:06,331 - They're being worked on now. 275 00:11:06,332 --> 00:11:08,592 Samara, I'd like to introduce you to Dr. Abrams. 276 00:11:08,593 --> 00:11:10,661 He's a neurosurgeon. 277 00:11:10,662 --> 00:11:12,938 - So your CT shows that 278 00:11:12,939 --> 00:11:15,466 you injured both vertebral arteries, 279 00:11:15,567 --> 00:11:17,167 which provide blood to your brain. 280 00:11:17,168 --> 00:11:18,777 - And if we don't get them open, 281 00:11:18,778 --> 00:11:20,345 there's very high risk for stroke. 282 00:11:20,346 --> 00:11:22,164 - But the arteries were injured 283 00:11:22,165 --> 00:11:23,849 because your spine was dislocated 284 00:11:23,850 --> 00:11:26,818 along with fractures to the C6 and C7 vertebrae, 285 00:11:26,819 --> 00:11:28,813 which are currently pinching your spinal cord. 286 00:11:28,913 --> 00:11:30,347 - That's why my legs are tingling? 287 00:11:30,348 --> 00:11:32,391 - Most likely. 288 00:11:32,392 --> 00:11:35,085 - So can we fix that too? 289 00:11:35,086 --> 00:11:37,696 - Yes, but it's complicated. 290 00:11:37,697 --> 00:11:40,833 So repairing the arteries is of course, our first priority, 291 00:11:40,934 --> 00:11:43,002 but it would require realigning your spine. 292 00:11:43,102 --> 00:11:44,570 - It'll restore blood flow 293 00:11:44,571 --> 00:11:46,172 and it will limit the risk of the stroke, 294 00:11:46,272 --> 00:11:49,174 but it will put increased pressure on your spinal cord 295 00:11:49,175 --> 00:11:51,376 and it could result 296 00:11:51,377 --> 00:11:54,580 in permanent paralysis of your lower extremities. 297 00:11:54,581 --> 00:11:57,174 - So you're saying I won't be able to walk? 298 00:11:57,175 --> 00:11:59,544 - Nothing is guaranteed. 299 00:11:59,644 --> 00:12:02,454 - You know, I'm not even on TikTok. 300 00:12:02,455 --> 00:12:07,092 I don't subway surf to create content or to get views. 301 00:12:07,093 --> 00:12:10,153 I do it because that feeling when you're up there, 302 00:12:10,154 --> 00:12:14,466 it's just like, total escape. 303 00:12:14,467 --> 00:12:16,551 [pensive music] 304 00:12:16,552 --> 00:12:19,129 I need to be able to move. 305 00:12:19,130 --> 00:12:22,575 To get away, to get out of my head. 306 00:12:22,675 --> 00:12:26,612 I'm not doing anything that's gonna make me paralyzed. 307 00:12:26,613 --> 00:12:28,413 - Wait, are you saying no to the surgery? 308 00:12:28,414 --> 00:12:31,316 - Samara, I want you to understand that 309 00:12:31,317 --> 00:12:33,745 if you don't do the surgery, you could die. 310 00:12:33,845 --> 00:12:36,522 - Could isn't certain, though. 311 00:12:36,623 --> 00:12:39,842 You said it yourself. Nothing's guaranteed, right? 312 00:12:42,929 --> 00:12:45,656 - Mom, you asked me to come here today 313 00:12:45,657 --> 00:12:47,433 to help advise you as an attorney. 314 00:12:47,533 --> 00:12:48,525 - I did. - Mm-hmm. 315 00:12:48,526 --> 00:12:50,102 Then I think I should tell you 316 00:12:50,103 --> 00:12:54,239 if Doris stays quiet and you turn down this deal, 317 00:12:54,240 --> 00:12:56,109 it is going to turn into a legal matter 318 00:12:56,209 --> 00:13:00,045 and their attorneys will start deposing everyone. 319 00:13:00,046 --> 00:13:01,446 - Including Doris. 320 00:13:01,447 --> 00:13:03,415 - You think she's gonna stay quiet through that? 321 00:13:03,416 --> 00:13:05,776 No matter what your intentions were initially, 322 00:13:05,777 --> 00:13:06,935 the fact of the matter is 323 00:13:06,936 --> 00:13:09,321 you did not do what they're accusing you of. 324 00:13:09,322 --> 00:13:10,956 - Because I'm a coward. 325 00:13:10,957 --> 00:13:12,950 - Because you're a good person. 326 00:13:13,051 --> 00:13:14,693 - What are you saying, David? 327 00:13:14,694 --> 00:13:16,429 - What I'm saying is there's no magic bullet. 328 00:13:16,529 --> 00:13:18,790 The only real choices are taking the deal, 329 00:13:18,890 --> 00:13:21,233 making this all go away, or letting Doris confess. 330 00:13:21,234 --> 00:13:24,036 - If Doris confesses, they'll fire her, David. 331 00:13:24,037 --> 00:13:25,962 And it'll be damn near impossible 332 00:13:25,963 --> 00:13:29,232 for her to find another job with this on her record. 333 00:13:29,233 --> 00:13:31,143 - Look, I'd love nothing more 334 00:13:31,144 --> 00:13:33,103 than for you to walk off into the sunset 335 00:13:33,104 --> 00:13:35,314 and spend days with your new grandchild. 336 00:13:35,315 --> 00:13:37,616 But you keep telling me how hard it is to watch 337 00:13:37,617 --> 00:13:40,319 from the outside while Miranda tears down what you built. 338 00:13:40,320 --> 00:13:42,312 [apprehensive music] 339 00:13:42,313 --> 00:13:45,742 You take this deal, you're on the outside forever. 340 00:13:47,385 --> 00:13:50,228 - 40-pound weight gain in three months. Wow. 341 00:13:50,229 --> 00:13:52,064 - Yeah, plus an esophageal perf. 342 00:13:52,065 --> 00:13:54,291 She's headed to surgery in a few hours to stent it. 343 00:13:54,292 --> 00:13:55,960 - Testing's all looking pretty normal. 344 00:13:56,060 --> 00:13:59,071 - Yeah, I ran labs, a full metabolic panel. 345 00:13:59,072 --> 00:14:01,440 Uh, other than, um, an electrolyte imbalance 346 00:14:01,441 --> 00:14:04,076 and a slightly elevated A1C, nothing. 347 00:14:04,077 --> 00:14:06,845 - But now you're thinking it might be a psych issue. 348 00:14:06,846 --> 00:14:08,506 - Uh, maybe. 349 00:14:08,606 --> 00:14:11,583 Binge eating brought on by stress or depression. 350 00:14:11,584 --> 00:14:14,336 Apparently, she's going through a pretty nasty custody battle. 351 00:14:14,337 --> 00:14:15,670 - Huh. 352 00:14:15,671 --> 00:14:17,848 Let me have a, uh, quick chat, see what I can suss out. 353 00:14:17,849 --> 00:14:20,517 Give me, like, ten minutes? - Yeah. Thanks, buddy. 354 00:14:20,518 --> 00:14:23,020 - Yes. From Gaffney Chicago Med. 355 00:14:23,121 --> 00:14:24,162 I'll hold. 356 00:14:24,163 --> 00:14:25,198 Thank you. 357 00:14:25,298 --> 00:14:27,166 - Thanks. 358 00:14:27,266 --> 00:14:28,467 - Hey. 359 00:14:28,468 --> 00:14:30,569 - Heard your patient is, uh, refusing surgery. 360 00:14:30,570 --> 00:14:33,472 - Yeah, I'm trying to track down her family. [sighs] 361 00:14:33,473 --> 00:14:35,675 Find support, see if they can change her mind. 362 00:14:35,775 --> 00:14:37,535 The file says that her mom lives in Decatur, 363 00:14:37,635 --> 00:14:39,077 but I have not been able to reach her. 364 00:14:39,078 --> 00:14:41,363 - I feel for her and these kids, 365 00:14:41,364 --> 00:14:44,850 but this whole thing just feels pointless. 366 00:14:44,851 --> 00:14:46,510 Do we really need to tell young people 367 00:14:46,511 --> 00:14:48,545 not to ride on top of subway cars now? 368 00:14:48,546 --> 00:14:51,389 - Don't you remember what it was like being young? 369 00:14:51,390 --> 00:14:52,816 How invincible you feel? 370 00:14:52,817 --> 00:14:54,827 I mean, God knows I did stupid things. 371 00:14:54,927 --> 00:14:58,054 - I will be right back. 372 00:14:58,055 --> 00:15:02,300 [soft suspenseful music] 373 00:15:02,301 --> 00:15:04,136 Hey. How's Nolan? 374 00:15:04,137 --> 00:15:06,239 - There was too much bleeding from behind the liver. 375 00:15:06,339 --> 00:15:07,831 He kept going into cardiac arrest. 376 00:15:07,832 --> 00:15:11,376 - We tried to revive him. Tried for 30 minutes. 377 00:15:11,377 --> 00:15:12,879 He's gone. 378 00:15:12,979 --> 00:15:15,915 [somber music] 379 00:15:16,015 --> 00:15:23,047 ♪ ♪ 380 00:15:29,195 --> 00:15:30,396 [knock at door] 381 00:15:30,496 --> 00:15:31,863 - Ellen, uh, this is Dr. Charles. 382 00:15:31,864 --> 00:15:33,423 - Hey, Ellen. - Nice to meet you. 383 00:15:33,424 --> 00:15:36,001 - Jaxson, uh, one of our nurses 384 00:15:36,002 --> 00:15:37,769 was cleaning out our lost and found 385 00:15:37,770 --> 00:15:39,572 and stumbled across a few toys. 386 00:15:39,672 --> 00:15:41,006 Thought you'd might like to check 'em out 387 00:15:41,007 --> 00:15:42,774 while your mom chats with Dr. Charles here. 388 00:15:42,775 --> 00:15:45,077 Yeah? Okay. 389 00:15:45,178 --> 00:15:46,445 - Bye. 390 00:15:48,047 --> 00:15:50,515 Must be bad news if you had to clear the room. 391 00:15:50,516 --> 00:15:53,418 - Nothing too scary. I'm just a psychiatrist. 392 00:15:53,419 --> 00:15:55,612 - That sounds a little scary. 393 00:15:55,613 --> 00:15:57,756 - Trust me, I'm harmless. 394 00:15:57,757 --> 00:15:59,524 Um, I just thought, you know, 395 00:15:59,525 --> 00:16:00,692 it'd be easier if we talked alone 396 00:16:00,693 --> 00:16:02,752 'cause Dr. Ripley shared with me you've been 397 00:16:02,753 --> 00:16:04,297 really going through it with your ex. 398 00:16:04,397 --> 00:16:05,631 - [sighs] 399 00:16:05,731 --> 00:16:08,134 Jaxson's dad was nonexistent 400 00:16:08,234 --> 00:16:09,969 for the first four years of his life 401 00:16:10,069 --> 00:16:13,471 until a year ago when he moved back to Chicago 402 00:16:13,472 --> 00:16:16,608 with his new wife asking for full custody. 403 00:16:16,609 --> 00:16:17,543 - Oh, man. 404 00:16:17,643 --> 00:16:20,470 - And now I can't stop stuffing my face. 405 00:16:20,471 --> 00:16:23,915 - Well, I, for one, certainly understand the stress eating. 406 00:16:23,916 --> 00:16:25,885 But you know what? I'm just curious. 407 00:16:25,985 --> 00:16:29,088 Is this a new coping mechanism for you? 408 00:16:29,188 --> 00:16:30,622 Because your medical records are showing 409 00:16:30,623 --> 00:16:33,258 that your weight's always been pretty 410 00:16:33,259 --> 00:16:36,620 steady, you know, until-- until just recently. 411 00:16:36,621 --> 00:16:42,100 - I was thinking about trying to get on a GLP-1, actually. 412 00:16:42,101 --> 00:16:44,736 Is that something you can prescribe? 413 00:16:44,737 --> 00:16:46,330 - We can certainly talk about that. 414 00:16:46,430 --> 00:16:48,406 But first, I really wanna make sure 415 00:16:48,407 --> 00:16:50,775 there's nothing else going on here, you know? 416 00:16:50,776 --> 00:16:52,569 Because right now, 417 00:16:52,570 --> 00:16:56,515 we really need you at 100% for Jaxson, right? 418 00:16:56,516 --> 00:16:58,650 - Of course. 419 00:16:58,651 --> 00:17:01,344 I can't lose my son. 420 00:17:01,345 --> 00:17:06,859 He is the only thing that matters to me. 421 00:17:08,160 --> 00:17:10,161 - Hey, there she is. 422 00:17:10,162 --> 00:17:12,198 - Hey, you made it. 423 00:17:12,298 --> 00:17:13,632 - Yeah. 424 00:17:13,633 --> 00:17:16,201 Thanks. 425 00:17:16,202 --> 00:17:17,636 - I'm gonna give this to her. 426 00:17:17,637 --> 00:17:19,638 - Yeah. 427 00:17:19,639 --> 00:17:21,339 Hey, any updates on Samara? 428 00:17:21,340 --> 00:17:23,199 - Checking now. Any luck reaching her family? 429 00:17:23,200 --> 00:17:25,110 - No. I've left, like, a thousand messages, 430 00:17:25,111 --> 00:17:27,212 but nothing back from Mom. 431 00:17:27,213 --> 00:17:28,848 - Well, we got another problem. 432 00:17:28,948 --> 00:17:30,215 The trauma Samara suffered 433 00:17:30,216 --> 00:17:31,984 sheared the soft tissue from her muscle, 434 00:17:32,084 --> 00:17:34,444 causing the blood to pool beneath her skin. 435 00:17:34,445 --> 00:17:36,155 Won't be long before that tissue dies 436 00:17:36,255 --> 00:17:37,857 and an infection sets in. 437 00:17:37,957 --> 00:17:40,726 - And makes the surgery she needs impossible to do. 438 00:17:40,826 --> 00:17:42,828 Is there any way to fix it? 439 00:17:42,929 --> 00:17:44,663 - Yeah, there might be. 440 00:17:44,664 --> 00:17:45,898 - Okay, well, that's great. 441 00:17:47,500 --> 00:17:50,336 But why do you look like you just ate bad yogurt? 442 00:17:50,436 --> 00:17:53,839 - The treatment that might help Samara is 443 00:17:53,940 --> 00:17:55,241 really gross. 444 00:17:56,576 --> 00:18:00,078 - It's really gro-- you're a--you're a surgeon. 445 00:18:00,079 --> 00:18:02,547 - Yeah, but--[groans] 446 00:18:02,548 --> 00:18:05,017 I gotta think about creatures. 447 00:18:05,117 --> 00:18:07,719 - Okay, I'm gonna place this one 448 00:18:07,720 --> 00:18:11,047 on the right side right here. - Mm. 449 00:18:11,048 --> 00:18:12,924 Crazy Abrams can cut open a human brain, 450 00:18:12,925 --> 00:18:14,559 but this creeps him out. 451 00:18:14,560 --> 00:18:18,063 - Yeah, well, everybody's got their things that get them. 452 00:18:18,064 --> 00:18:21,067 Mine's clowns. What about you? 453 00:18:21,167 --> 00:18:22,768 - Cargo shorts. 454 00:18:22,868 --> 00:18:23,669 - Fair. 455 00:18:23,769 --> 00:18:28,331 Hey, can you feel that, Samara? 456 00:18:28,332 --> 00:18:30,610 Samara? 457 00:18:30,710 --> 00:18:31,877 - What? 458 00:18:31,978 --> 00:18:34,546 - I asked if you could feel the one I just placed. 459 00:18:34,547 --> 00:18:37,883 - A little, maybe. 460 00:18:37,984 --> 00:18:39,784 Why do we have to do this again? 461 00:18:39,785 --> 00:18:41,779 - Because modern medicine has made strides 462 00:18:41,879 --> 00:18:43,556 in arterial revascularization, 463 00:18:43,656 --> 00:18:45,857 but we have not been able to beat evolution 464 00:18:45,858 --> 00:18:50,453 when it comes to wound care, so medieval leeches are the best. 465 00:18:50,454 --> 00:18:52,031 - God, don't say leeches. 466 00:18:52,131 --> 00:18:54,266 - You know, we wouldn't have to try this 467 00:18:54,367 --> 00:18:58,270 if you did the surgery to repair your blood vessels. 468 00:18:58,371 --> 00:18:59,804 - No, I'm good. 469 00:18:59,805 --> 00:19:01,531 Keep going. 470 00:19:01,532 --> 00:19:03,533 - Okay, well, we need to immobilize her neck 471 00:19:03,534 --> 00:19:04,644 without killing the leeches, 472 00:19:04,744 --> 00:19:06,445 so jimmy up a dressing to keep them in place? 473 00:19:06,545 --> 00:19:08,246 - Yep. 474 00:19:08,247 --> 00:19:09,607 - [sighs] 475 00:19:10,816 --> 00:19:13,877 - Why isn't this going through? 476 00:19:13,878 --> 00:19:17,222 Why isn't it going through? 477 00:19:17,223 --> 00:19:19,891 - Your phone's on the Escape key. 478 00:19:19,892 --> 00:19:22,094 Don't worry. I won't tell anyone. 479 00:19:22,194 --> 00:19:23,654 You know what? 480 00:19:23,754 --> 00:19:25,263 While I have you, can I get your signature on something? 481 00:19:25,264 --> 00:19:27,832 - Yeah. 482 00:19:27,833 --> 00:19:28,834 - Thank you. 483 00:19:28,934 --> 00:19:30,794 - Uh, wait. What did I just sign? 484 00:19:30,795 --> 00:19:32,395 - We're going halfsies on a timeshare. 485 00:19:32,396 --> 00:19:35,565 - Uh, sorry, Dr. Archer. You're being paged to room 132. 486 00:19:35,566 --> 00:19:37,275 - Room 132? I never heard of that. 487 00:19:37,276 --> 00:19:39,011 What is it? - Beats me. 488 00:19:55,027 --> 00:19:56,520 - Uh, I'm Dr. Archer, 489 00:19:56,620 --> 00:19:59,464 and I was paged to this room for some reason. 490 00:19:59,465 --> 00:20:01,033 - We just checked Christian Goodland 491 00:20:01,133 --> 00:20:02,835 and noticed a pulse discrepancy in his leg. 492 00:20:02,935 --> 00:20:08,006 - Okay. [sighs] 493 00:20:08,007 --> 00:20:11,876 Hi, Christian. Um-- 494 00:20:11,877 --> 00:20:13,646 what are you doing here? 495 00:20:13,746 --> 00:20:16,381 - Looking for him. He's supposed to be in the ICU. 496 00:20:16,382 --> 00:20:17,616 - I'm aware. 497 00:20:17,717 --> 00:20:19,852 - How we doing, Christian? - Leg's kinda throbbing. 498 00:20:19,952 --> 00:20:22,154 - Yeah. Cold leg. 499 00:20:22,254 --> 00:20:23,780 - His dissection is getting worse. 500 00:20:23,781 --> 00:20:25,825 - Bolson, 2,500 units of heparin. 501 00:20:25,925 --> 00:20:27,292 Start a drip. 502 00:20:27,293 --> 00:20:28,661 We need to fix this dissection before it gets worse. 503 00:20:28,761 --> 00:20:30,295 - Wait, wait, wait. Am I losing my leg? 504 00:20:30,296 --> 00:20:31,722 - Uh, Dr. Archer? 505 00:20:31,822 --> 00:20:33,790 - And where's the vascular surgeon that's following him? 506 00:20:33,791 --> 00:20:36,134 - We paged her, but she's in clinics and you're closer. 507 00:20:36,135 --> 00:20:37,869 - Dr. Archer. - What? 508 00:20:37,870 --> 00:20:39,062 - I'm just trying to make sure 509 00:20:39,063 --> 00:20:41,373 Christian isn't getting too upset here. 510 00:20:41,474 --> 00:20:43,875 Okay. 511 00:20:43,876 --> 00:20:45,177 It's gonna be okay. All right? 512 00:20:45,277 --> 00:20:47,412 Not gonna lose the leg. We're gonna sort this out. 513 00:20:47,413 --> 00:20:48,880 Just give me big, deep breaths. 514 00:20:48,881 --> 00:20:50,716 Try to slow your heart rate down, okay? 515 00:20:50,816 --> 00:20:52,884 [somber music] 516 00:20:52,885 --> 00:20:55,520 - [breathing deeply] 517 00:20:55,521 --> 00:20:57,247 - He has monophasic signals. 518 00:20:57,248 --> 00:20:59,024 - All right, let's alert IR and have them get a room ready. 519 00:20:59,125 --> 00:21:00,817 - Whoa, what--what--what-- what does that-- 520 00:21:00,818 --> 00:21:01,826 what does that-- what does that mean? 521 00:21:01,827 --> 00:21:04,430 - It's gonna be okay. All right? 522 00:21:06,532 --> 00:21:09,200 What the hell is this place? 523 00:21:09,201 --> 00:21:11,604 ♪ ♪ 524 00:21:17,209 --> 00:21:19,244 - Could you please explain why I was paged to a room 525 00:21:19,245 --> 00:21:21,429 I never heard of to deal with a patient 526 00:21:21,430 --> 00:21:24,415 who had already technically been admitted to the ICU? 527 00:21:24,416 --> 00:21:26,267 - Is that room 132? - Yes. 528 00:21:26,268 --> 00:21:28,611 - Yeah, that's the overflow room. 529 00:21:28,612 --> 00:21:29,779 - The what room? 530 00:21:29,780 --> 00:21:31,090 - Well, that's how we solved your problem 531 00:21:31,223 --> 00:21:33,091 with patients stacking up in the ED. 532 00:21:33,092 --> 00:21:35,426 I created an overflow room so that we can start 533 00:21:35,427 --> 00:21:38,121 servicing in-patient needs while awaiting a bed upstairs. 534 00:21:38,122 --> 00:21:39,789 Just felt more practical. 535 00:21:39,790 --> 00:21:43,402 - Yeah, except practically, that's not how it works. 536 00:21:43,502 --> 00:21:45,136 Doctors from other floors 537 00:21:45,137 --> 00:21:47,472 can't get to that room with any urgency. 538 00:21:47,473 --> 00:21:49,908 And then, practically, what happens next 539 00:21:49,909 --> 00:21:52,777 is that the ED attending gets paged, 540 00:21:52,778 --> 00:21:55,813 which, as a refresher, is me. 541 00:21:55,814 --> 00:21:57,816 - Mm-hmm. I'm aware. - Yeah? 542 00:21:57,817 --> 00:22:00,753 So what you've effectively done is given the ED-- 543 00:22:00,853 --> 00:22:02,887 again, specifically, me-- 544 00:22:02,888 --> 00:22:05,316 more work to deal with, not less. 545 00:22:05,416 --> 00:22:07,725 - I hear you. I do. 546 00:22:07,726 --> 00:22:10,061 But maybe--maybe there's some way that we can 547 00:22:10,062 --> 00:22:12,489 tweak this setup rather than just scrap it completely. 548 00:22:12,623 --> 00:22:14,098 - Oh, tweak. 549 00:22:14,099 --> 00:22:17,268 You've--you've got a tech and a floor nurse overseeing 14 beds. 550 00:22:17,269 --> 00:22:19,637 - So what I could probably do is hire you another tech, 551 00:22:19,638 --> 00:22:21,005 maybe even a telemetry nurse? 552 00:22:21,006 --> 00:22:24,143 - I'm not trying to add to staff, you understand? 553 00:22:24,276 --> 00:22:26,477 I just want this damn thing gone. 554 00:22:26,478 --> 00:22:29,315 - Okay, Dr. Archer. 555 00:22:29,415 --> 00:22:31,517 I'm trying to work with you here. 556 00:22:31,650 --> 00:22:33,184 You said you had patients stacking up. 557 00:22:33,185 --> 00:22:34,520 I provided a solution 558 00:22:34,653 --> 00:22:36,355 and I don't think it's very productive 559 00:22:36,455 --> 00:22:38,457 of you to come in here and just whine about it. 560 00:22:38,557 --> 00:22:39,891 - Wh--I'm--what? 561 00:22:39,892 --> 00:22:41,492 - So what I'm saying is 562 00:22:41,493 --> 00:22:43,362 you need to stop looking to place blame 563 00:22:43,462 --> 00:22:44,997 and get a little bit more creative 564 00:22:45,130 --> 00:22:48,700 about trying to find a solution like I was. 565 00:22:48,701 --> 00:22:50,870 You know? You gotta think outside the box. 566 00:22:54,573 --> 00:22:58,210 - Did he suffer? Nolan? 567 00:23:02,047 --> 00:23:05,175 - Not in the end. No. 568 00:23:08,354 --> 00:23:11,706 Dr. Tanaka-Reed, this is Stan Goodland, 569 00:23:11,707 --> 00:23:13,491 Christian and Nolan's dad. 570 00:23:13,492 --> 00:23:16,995 - Mr. Goodland, I'm so sorry for your loss. 571 00:23:16,996 --> 00:23:19,898 - How's Christian? 572 00:23:20,032 --> 00:23:23,051 Dr. Frost said you were taking him into surgery. 573 00:23:23,052 --> 00:23:24,820 - They're prepping the room now. 574 00:23:27,072 --> 00:23:29,073 - Is he gonna make it? 575 00:23:29,074 --> 00:23:32,911 - We're gonna place a stent in the aorta to fix the tear. 576 00:23:32,912 --> 00:23:37,407 - But there is no reason to think Christian won't do well. 577 00:23:37,408 --> 00:23:39,742 Though when the injury is that close to the heart, 578 00:23:39,743 --> 00:23:42,755 there are always risks. 579 00:23:44,590 --> 00:23:46,091 - I--I wanna see him. 580 00:23:47,760 --> 00:23:49,093 - Of course. 581 00:23:49,094 --> 00:23:52,097 But that is a little complicated. 582 00:23:54,358 --> 00:23:55,967 - It's complicated? 583 00:23:55,968 --> 00:23:58,594 - His dissection has gotten worse. 584 00:23:58,595 --> 00:24:02,607 So it is imperative that we keep his heart rate low, 585 00:24:02,608 --> 00:24:05,768 below 60, until we get him into surgery. 586 00:24:05,769 --> 00:24:08,938 - So we're doing everything we can to keep him calm. 587 00:24:08,939 --> 00:24:12,775 - Which is why we have not told him yet about Nolan. 588 00:24:12,776 --> 00:24:16,587 And if you go in there and tell him what happened, 589 00:24:16,588 --> 00:24:19,708 the emotion could cause his heart rate to spike. 590 00:24:21,827 --> 00:24:23,778 - It's just that, um... 591 00:24:23,779 --> 00:24:26,632 [somber music] 592 00:24:26,765 --> 00:24:30,401 I already lost one son today. 593 00:24:30,402 --> 00:24:31,462 You know? 594 00:24:31,562 --> 00:24:35,406 If I were to lose another one 595 00:24:35,407 --> 00:24:38,802 without at least seeing him? 596 00:24:38,902 --> 00:24:42,581 And look, I won't say anything 597 00:24:42,681 --> 00:24:44,400 except that I... 598 00:24:46,485 --> 00:24:47,569 I love you. 599 00:24:49,555 --> 00:24:51,782 And then I'll go. 600 00:24:54,426 --> 00:24:55,994 But I have to see his face. 601 00:24:57,796 --> 00:24:59,313 - I know it's scary, Jaxson, 602 00:24:59,314 --> 00:25:03,534 but, um, the procedure is only a minor one. 603 00:25:03,535 --> 00:25:05,087 Your mom's gonna be okay. 604 00:25:07,656 --> 00:25:09,633 - But she tries very hard. 605 00:25:11,510 --> 00:25:14,779 - Well, she's-- she's lucky to have you. 606 00:25:14,780 --> 00:25:16,848 Pretty amazing you called for help. 607 00:25:16,849 --> 00:25:22,120 Not a lot of five-year-olds would know to do that so fast. 608 00:25:22,121 --> 00:25:24,273 - I did what she taught me. 609 00:25:26,458 --> 00:25:28,444 - What do you mean she taught you? 610 00:25:32,189 --> 00:25:35,159 [heart monitor beeping] 611 00:25:37,503 --> 00:25:41,022 - How you feeling, Christian? 612 00:25:41,023 --> 00:25:42,039 - Tired. 613 00:25:42,040 --> 00:25:44,692 - Well, we're gonna fix you up. 614 00:25:44,693 --> 00:25:46,861 But before we head up to surgery, 615 00:25:46,862 --> 00:25:49,339 there is someone who would like to see you. 616 00:25:54,620 --> 00:25:56,754 - Dad. 617 00:25:56,755 --> 00:25:58,857 - Hey, kiddo. 618 00:25:58,991 --> 00:26:03,719 I, uh, only came here for a minute. 619 00:26:03,720 --> 00:26:07,565 I know they need to get you to surgery, 620 00:26:07,566 --> 00:26:10,893 but I, uh-- 621 00:26:10,894 --> 00:26:11,904 I-- 622 00:26:15,007 --> 00:26:18,876 I just wanted to say that... 623 00:26:18,877 --> 00:26:23,373 I love you so much. 624 00:26:25,050 --> 00:26:27,552 And, uh, I'll, uh-- 625 00:26:27,553 --> 00:26:29,588 I'll be here when you get out. 626 00:26:32,407 --> 00:26:33,592 - Uh, hey, Dad? 627 00:26:37,262 --> 00:26:38,514 How's Nolan? 628 00:26:39,965 --> 00:26:42,201 - Nolan is fine. 629 00:26:42,301 --> 00:26:44,535 He's resting in the PICU. 630 00:26:44,536 --> 00:26:46,438 - Okay, um, well-- 631 00:26:48,774 --> 00:26:50,091 Well, when you see him, can you just-- 632 00:26:50,092 --> 00:26:51,902 can you tell him I'm-- I'm sorry? 633 00:26:53,712 --> 00:26:54,780 - What? 634 00:26:57,349 --> 00:26:59,450 - Just--just tell him I'm sorry. 635 00:26:59,451 --> 00:27:01,453 I didn't mean to get him into this mess. 636 00:27:01,553 --> 00:27:04,055 ♪ ♪ 637 00:27:04,056 --> 00:27:05,924 - Okay. 638 00:27:06,058 --> 00:27:08,619 - And tell him I'll drive him wherever he wants to go 639 00:27:08,752 --> 00:27:10,561 when we get out of here. 640 00:27:10,562 --> 00:27:16,834 ♪ ♪ 641 00:27:16,835 --> 00:27:17,970 You okay, Dad? 642 00:27:21,290 --> 00:27:23,958 - Uh-huh. [monitor beeping rapidly] 643 00:27:23,959 --> 00:27:25,110 - We should get him to IR. 644 00:27:25,244 --> 00:27:26,310 - Yeah. - Nurse? 645 00:27:26,311 --> 00:27:27,746 - Nolan's okay, right? 646 00:27:27,846 --> 00:27:29,940 - Nolan is, um-- 647 00:27:31,975 --> 00:27:33,184 He's--he's fine. 648 00:27:33,185 --> 00:27:35,145 - What is it? 649 00:27:35,279 --> 00:27:36,420 - He's, um-- 650 00:27:36,421 --> 00:27:37,655 - Dad, what is it? 651 00:27:37,656 --> 00:27:38,956 - Run ahead and have some labetalol ready, okay? 652 00:27:38,957 --> 00:27:39,924 - No. - When we get there. 653 00:27:39,925 --> 00:27:41,425 - Dad, what is it? 654 00:27:41,426 --> 00:27:42,527 - Okay. 655 00:27:42,528 --> 00:27:43,828 - [sobs] Dad, what is it? 656 00:27:43,829 --> 00:27:44,795 - Slow, deep breaths for me, Christian. 657 00:27:44,796 --> 00:27:45,813 It's okay. 658 00:27:45,814 --> 00:27:47,666 [tense music] 659 00:27:54,273 --> 00:27:56,240 - Hey, uh, 660 00:27:56,241 --> 00:27:58,976 just had an interesting talk with Ellen's son, Jaxson. 661 00:27:58,977 --> 00:28:00,903 - Yeah? - Yeah. 662 00:28:00,904 --> 00:28:03,981 It turns out he's not just a precocious kid. 663 00:28:03,982 --> 00:28:06,017 Ellen prepped him on how to call 911. 664 00:28:06,018 --> 00:28:10,488 Like really prepped him as if she knew this might happen. 665 00:28:10,489 --> 00:28:12,582 - Well, that's interesting. - Yeah. 666 00:28:12,583 --> 00:28:14,325 Look, I-- 667 00:28:14,326 --> 00:28:16,260 I don't wanna jump to any conclusion, but it-- 668 00:28:16,261 --> 00:28:18,629 it kind of reminds me of my mom. 669 00:28:18,630 --> 00:28:19,830 - How so? 670 00:28:19,831 --> 00:28:22,133 - Well, with her drug problem, 671 00:28:22,134 --> 00:28:24,001 she knew she might not always keep it together, 672 00:28:24,002 --> 00:28:26,504 so she taught me to do things at a young age. 673 00:28:26,505 --> 00:28:29,707 You know, make dinner when I was 6, drive when I was 13. 674 00:28:29,708 --> 00:28:32,410 She also taught me to call 911. 675 00:28:32,411 --> 00:28:35,947 She said it was in case of an accident, but really-- 676 00:28:35,948 --> 00:28:37,716 - It was in case she OD'd. 677 00:28:40,035 --> 00:28:42,520 Well, do you think that's what we're looking at here? 678 00:28:42,521 --> 00:28:43,721 - [sighs] - Substance abuse? 679 00:28:43,722 --> 00:28:45,389 - Well, like I said, I-- 680 00:28:45,390 --> 00:28:46,791 I don't wanna jump to any conclusions. 681 00:28:46,792 --> 00:28:50,194 - Excessive drinking could cause the esophageal tear, 682 00:28:50,195 --> 00:28:51,462 but--but not the weight gain. 683 00:28:51,463 --> 00:28:53,130 Not on-- not on that scale, anyway. 684 00:28:53,131 --> 00:28:55,466 - Well, maybe she's substituting 685 00:28:55,467 --> 00:28:57,401 one addiction for another? 686 00:28:57,402 --> 00:29:00,171 - Oh, man. The GLP-1. 687 00:29:00,172 --> 00:29:01,464 - What? 688 00:29:01,465 --> 00:29:04,775 - I think I might know what's going on here. 689 00:29:04,776 --> 00:29:06,344 - Hey, what's up with you today? 690 00:29:06,345 --> 00:29:08,638 You seem distracted or something. 691 00:29:08,639 --> 00:29:10,906 Is everything okay at home? 692 00:29:10,907 --> 00:29:12,783 - Yeah. Yeah. 693 00:29:12,784 --> 00:29:16,153 I just never realized how much I love all of this. 694 00:29:16,154 --> 00:29:18,422 - Okay, you are really freaking me out now. 695 00:29:18,423 --> 00:29:20,891 What? - Sorry, I-- 696 00:29:20,892 --> 00:29:23,653 I'm just feeling a little sentimental, that's all. 697 00:29:23,654 --> 00:29:24,629 - Okay. 698 00:29:24,630 --> 00:29:25,730 - Dr. Asher. - Yeah? 699 00:29:25,731 --> 00:29:27,231 - This is Samara's mom, Rhonda West. 700 00:29:27,232 --> 00:29:29,267 - Mrs. West, I am so glad you're here. 701 00:29:29,268 --> 00:29:31,469 Samara's stable now, though she sustained damage 702 00:29:31,470 --> 00:29:33,262 to her spine and the blood vessels in her 703 00:29:33,263 --> 00:29:37,808 neck-- - Wait. So she's alive? 704 00:29:37,809 --> 00:29:39,510 - Yes, I am-- 705 00:29:39,511 --> 00:29:41,429 I am so sorry if my messages weren't clear. 706 00:29:41,430 --> 00:29:42,948 Samara is alive and she is awake. 707 00:29:43,048 --> 00:29:46,951 - When you said she was in an accident, I-- 708 00:29:46,952 --> 00:29:48,552 I was sure you were calling to tell me 709 00:29:48,553 --> 00:29:51,422 she finally managed to kill herself. 710 00:29:51,423 --> 00:29:53,458 - Thankfully, that is not the case, 711 00:29:53,558 --> 00:29:56,427 though she does need surgery to prevent stroke 712 00:29:56,428 --> 00:29:59,597 and currently, Samara is refusing it. 713 00:29:59,598 --> 00:30:00,732 I thought that you could talk to her. 714 00:30:00,832 --> 00:30:03,934 - I can't help with that. 715 00:30:03,935 --> 00:30:06,437 - I'm sorry? What do you mean? 716 00:30:06,438 --> 00:30:08,639 - I tried for years to help Samara. 717 00:30:08,640 --> 00:30:10,775 When she OD'd, when she broke the law, 718 00:30:10,776 --> 00:30:15,946 when she hurt us in every imaginable way. 719 00:30:15,947 --> 00:30:21,185 I love my daughter and I always will. 720 00:30:21,186 --> 00:30:25,556 But her decisions are her own now. 721 00:30:25,557 --> 00:30:29,727 [somber music] 722 00:30:29,728 --> 00:30:34,482 - So sounds like everything went off without a hitch. 723 00:30:34,483 --> 00:30:36,967 - Thank goodness. 724 00:30:36,968 --> 00:30:38,904 - Now we just gotta figure out 725 00:30:39,004 --> 00:30:41,339 what to do about your alcohol consumption. 726 00:30:42,874 --> 00:30:44,508 - I'm not an alcoholic. - No. 727 00:30:44,509 --> 00:30:48,180 I'm not here to judge you or shame you. 728 00:30:48,280 --> 00:30:51,816 I'm wondering if you are eating to gain weight 729 00:30:51,817 --> 00:30:55,219 so that you can qualify for a GLP-1. 730 00:30:55,220 --> 00:30:58,222 - [scoffs softly] That doesn't even make any sense. 731 00:30:58,223 --> 00:30:59,982 - Look, everybody knows that these drugs, 732 00:30:59,983 --> 00:31:02,017 they help with diabetes, right? 733 00:31:02,018 --> 00:31:03,352 They promote weight loss. 734 00:31:03,353 --> 00:31:06,497 But also, you can't hit your news feed these days 735 00:31:06,498 --> 00:31:07,698 without reading another story 736 00:31:07,699 --> 00:31:10,434 about some exciting new off-label use, 737 00:31:10,435 --> 00:31:13,838 like for instance, how they curb compulsive behavior, 738 00:31:13,839 --> 00:31:16,173 alcohol, drug abuse, 739 00:31:16,174 --> 00:31:19,502 addictions that could cause somebody 740 00:31:19,503 --> 00:31:21,296 to lose custody of their child. 741 00:31:26,943 --> 00:31:30,721 - I always kept it a secret. 742 00:31:30,722 --> 00:31:34,216 But I've struggled with drinking since I was 16. 743 00:31:34,217 --> 00:31:40,022 Over time, it got worse and I couldn't control it. 744 00:31:40,023 --> 00:31:44,668 But then I got pregnant. 745 00:31:44,669 --> 00:31:49,974 So I started going to meetings, taking care of myself. 746 00:31:49,975 --> 00:31:53,544 Stupidly, I thought I'd beat it for good. 747 00:31:53,545 --> 00:31:56,380 - Then your husband came back to town 748 00:31:56,381 --> 00:31:59,785 and filed for full custody of Jaxson? 749 00:31:59,885 --> 00:32:04,855 - And then Jaxson went with his dad one weekend. 750 00:32:04,856 --> 00:32:08,058 I went on a 48-hour bender. 751 00:32:08,059 --> 00:32:10,761 And I realized that 752 00:32:10,762 --> 00:32:14,165 unless I--I changed something, I was gonna lose the battle, 753 00:32:14,166 --> 00:32:16,000 so I-- 754 00:32:16,001 --> 00:32:19,938 I went online for any remedy I could find. 755 00:32:22,340 --> 00:32:25,810 I saw GLP-1s helped some people, 756 00:32:25,811 --> 00:32:28,345 but all my money was going to my lawyer. 757 00:32:28,346 --> 00:32:31,582 - Right, so you thought if you gained enough weight 758 00:32:31,583 --> 00:32:32,917 that your insurance would cover it. 759 00:32:32,918 --> 00:32:36,153 - [sighs] I know it's insane. 760 00:32:36,154 --> 00:32:37,621 - Oh, come on. 761 00:32:37,622 --> 00:32:41,559 When it comes to our kids, we will do absolutely anything. 762 00:32:41,560 --> 00:32:43,994 - [sighs] 763 00:32:43,995 --> 00:32:46,964 So--so what now? 764 00:32:46,965 --> 00:32:51,193 - Well, I'm actually gonna prescribe you a GLP-1 765 00:32:51,194 --> 00:32:54,939 because your A1C is dangerously high. 766 00:32:54,940 --> 00:32:56,640 And it's very important that we bring it down 767 00:32:56,641 --> 00:32:58,959 so you don't become a diabetic. 768 00:32:58,960 --> 00:33:00,778 Okay? 769 00:33:00,779 --> 00:33:03,314 Now, if it happens to help you in other ways-- 770 00:33:03,315 --> 00:33:04,849 - Oh, my God. Thank--thank you. 771 00:33:04,850 --> 00:33:08,135 - Ellen, listen to me. This is not a magic bullet. 772 00:33:08,136 --> 00:33:09,303 - No, it--what? What do you mean? 773 00:33:09,304 --> 00:33:12,656 - Your five-year-old terrified son called 911 774 00:33:12,657 --> 00:33:14,191 'cause he walked in the kitchen 775 00:33:14,192 --> 00:33:16,560 and found his mom under the kitchen table 776 00:33:16,561 --> 00:33:19,129 next to a pool of her own vomit and blood. 777 00:33:19,130 --> 00:33:20,464 - [crying] 778 00:33:20,465 --> 00:33:24,635 - Something like that happens again, he's gone. 779 00:33:24,636 --> 00:33:25,870 You gotta face this. 780 00:33:25,871 --> 00:33:28,706 It's the only chance you have of keeping your son. 781 00:33:28,707 --> 00:33:31,276 [soft dramatic music] 782 00:33:31,376 --> 00:33:34,679 - Okay. Okay. 783 00:33:38,817 --> 00:33:40,284 - Miranda? 784 00:33:40,285 --> 00:33:41,577 - Sharon. 785 00:33:41,578 --> 00:33:43,420 I thought our meeting wasn't for another hour. 786 00:33:43,421 --> 00:33:44,955 - Well, I finally made a decision 787 00:33:44,956 --> 00:33:47,491 and didn't wanna wait any longer. 788 00:33:47,492 --> 00:33:52,680 - Fair enough. Well? 789 00:33:52,681 --> 00:33:54,331 - Per your offer, 790 00:33:54,332 --> 00:33:58,327 I'm resigning my position as executive director 791 00:33:58,328 --> 00:34:00,538 effective immediately. 792 00:34:04,175 --> 00:34:05,935 I'm taking the deal. 793 00:34:05,936 --> 00:34:12,968 ♪ ♪ 794 00:34:19,741 --> 00:34:21,425 - Looks like the leeches did the trick. 795 00:34:21,426 --> 00:34:24,520 - Hell, yeah. 796 00:34:24,521 --> 00:34:25,996 So now what? 797 00:34:25,997 --> 00:34:29,701 - Well, you still have limited blood flow to your brain, 798 00:34:29,801 --> 00:34:32,336 which means that we'll be pushing your blood pressure 799 00:34:32,337 --> 00:34:33,871 to make up for it. 800 00:34:33,872 --> 00:34:35,889 Hopefully if you keep your collar on, 801 00:34:35,890 --> 00:34:37,541 some of your fractures will heal, 802 00:34:37,542 --> 00:34:39,569 but they may also deteriorate 803 00:34:39,669 --> 00:34:43,206 and you will be at constant risk for a stroke, 804 00:34:43,306 --> 00:34:46,742 either of which could prove fatal. 805 00:34:46,743 --> 00:34:48,578 - But I'll walk. 806 00:34:48,678 --> 00:34:53,315 - After some physical therapy and rehab, yes. 807 00:34:53,316 --> 00:34:55,793 But you will be a time bomb. 808 00:34:55,794 --> 00:34:59,180 [heart monitor beeping] 809 00:35:01,499 --> 00:35:04,519 I was finally able to connect with your mom. 810 00:35:06,304 --> 00:35:08,273 - Let me guess. She doesn't wanna see me? 811 00:35:10,033 --> 00:35:11,568 - Look, Samara, when I was younger, 812 00:35:11,668 --> 00:35:15,145 I did a lot of things that pushed people away, 813 00:35:15,146 --> 00:35:18,549 things I am not proud of. 814 00:35:18,550 --> 00:35:19,743 [sighs] 815 00:35:21,386 --> 00:35:23,053 I know what it's like to live for the moment 816 00:35:23,054 --> 00:35:27,249 because you believe that you don't have a future. 817 00:35:27,250 --> 00:35:29,394 The thing is 818 00:35:29,494 --> 00:35:31,996 the future doesn't care what you believe. 819 00:35:31,997 --> 00:35:33,256 It comes anyway. 820 00:35:35,867 --> 00:35:37,969 Now, I'm not asking you to 821 00:35:38,069 --> 00:35:41,672 suddenly believe that things will improve in your life. 822 00:35:41,673 --> 00:35:43,457 [soft dramatic music] 823 00:35:43,458 --> 00:35:46,343 I'm just asking for you to allow for the possibility 824 00:35:46,344 --> 00:35:48,512 that they might. 825 00:35:48,513 --> 00:35:51,649 You know, to consider the idea that maybe someday, 826 00:35:51,650 --> 00:35:54,919 you won't feel this way. 827 00:35:55,020 --> 00:36:00,524 It takes a lot of courage to ride on top of a train. 828 00:36:00,525 --> 00:36:04,913 A lot of courage to turn down a surgery like this. 829 00:36:06,731 --> 00:36:10,501 Sometimes the bravest thing that we can do 830 00:36:10,502 --> 00:36:13,004 is choose to survive. 831 00:36:15,373 --> 00:36:19,101 You are making the choice to die right now. 832 00:36:19,102 --> 00:36:22,013 Is that really what you want? 833 00:36:24,140 --> 00:36:29,920 - If I die, no one will notice. 834 00:36:29,921 --> 00:36:32,457 No one will care. 835 00:36:32,557 --> 00:36:34,984 Not even my mom. 836 00:36:37,253 --> 00:36:38,988 - That's not true. 837 00:36:41,132 --> 00:36:42,700 I care. 838 00:36:44,602 --> 00:36:48,138 I care if you live or die. 839 00:36:48,139 --> 00:36:53,977 ♪ ♪ 840 00:36:53,978 --> 00:36:55,046 - Okay. 841 00:36:57,716 --> 00:36:59,676 I'll get the surgery. 842 00:37:05,790 --> 00:37:08,826 [somber music] 843 00:37:08,827 --> 00:37:12,329 ♪ ♪ 844 00:37:12,330 --> 00:37:14,665 - How's Christian? - He's just fine. 845 00:37:14,666 --> 00:37:16,550 The surgery went off without a hitch. 846 00:37:16,551 --> 00:37:18,869 - We placed the stent and restored flow to his leg. 847 00:37:18,870 --> 00:37:21,231 He'll need physical therapy for a couple days, 848 00:37:21,331 --> 00:37:23,908 but he should make a full recovery. 849 00:37:25,477 --> 00:37:28,579 - I was so scared that what I said with-- 850 00:37:28,580 --> 00:37:29,563 with his heart that-- 851 00:37:29,564 --> 00:37:31,882 - He's okay. It didn't hurt him. 852 00:37:31,883 --> 00:37:33,884 And you can see him in a couple hours 853 00:37:33,885 --> 00:37:35,619 when he gets out of recovery. 854 00:37:35,620 --> 00:37:36,987 - Oh, my God. 855 00:37:36,988 --> 00:37:39,423 Thank you, thank you. [sniffles] 856 00:37:39,424 --> 00:37:40,791 - Of course. 857 00:37:40,792 --> 00:37:43,794 - And I--I have to let the rest of the family know. 858 00:37:43,795 --> 00:37:46,364 [sniffles] Thank you. 859 00:37:46,464 --> 00:37:49,434 [soft music] 860 00:37:49,534 --> 00:37:52,036 ♪ ♪ 861 00:37:52,137 --> 00:37:55,774 - I don't know why anyone becomes a parent. 862 00:37:59,277 --> 00:38:02,572 - [babbling] 863 00:38:06,684 --> 00:38:08,844 - Hi. 864 00:38:08,845 --> 00:38:11,722 Oh, my God. - She did great, Mom. 865 00:38:11,723 --> 00:38:14,441 We did some tummy time. We sang some songs. 866 00:38:14,442 --> 00:38:16,560 Mabel's an independent girl now. 867 00:38:16,561 --> 00:38:17,962 I'll go get her bag for you. 868 00:38:21,966 --> 00:38:24,193 - There's nothing that you could ever do 869 00:38:24,194 --> 00:38:26,796 that would make me give up on you. 870 00:38:26,896 --> 00:38:29,107 - [fusses] 871 00:38:29,207 --> 00:38:30,207 - Hi. 872 00:38:30,208 --> 00:38:33,043 [knock at door] 873 00:38:33,044 --> 00:38:36,872 [somber music] 874 00:38:36,873 --> 00:38:39,475 ♪ ♪ 875 00:38:39,576 --> 00:38:41,151 - How could you take the deal? 876 00:38:41,152 --> 00:38:42,987 - Come in. - [sighs] 877 00:38:47,025 --> 00:38:48,818 - Dr. Archer. 878 00:38:48,918 --> 00:38:49,993 - Mallory. 879 00:38:49,994 --> 00:38:51,795 Uh, I'm actually glad I ran into you. 880 00:38:51,796 --> 00:38:55,458 I, uh--I guess I owe you an apology for earlier. 881 00:38:55,558 --> 00:38:57,660 - Oh, really? - Yeah. I was a bit of an ass. 882 00:38:57,760 --> 00:38:59,127 And, uh... - Oh. 883 00:38:59,128 --> 00:39:00,504 - Had time to reflect, 884 00:39:00,505 --> 00:39:03,808 and I--I think I could make this new system work. 885 00:39:03,908 --> 00:39:05,843 - I told you I didn't want this. 886 00:39:05,844 --> 00:39:07,069 I wasn't gonna let you 887 00:39:07,070 --> 00:39:08,513 just throw away everything you've ever done. 888 00:39:08,613 --> 00:39:11,081 - I know that, Doris, but you're too good of a nurse. 889 00:39:11,082 --> 00:39:12,317 - [groans softly] 890 00:39:12,417 --> 00:39:14,051 You're too good of a person to let this define you, 891 00:39:14,052 --> 00:39:17,321 to let my drama derail your whole life. 892 00:39:17,322 --> 00:39:20,824 Plus this isn't what it looks like. 893 00:39:20,825 --> 00:39:21,984 - What do you mean? 894 00:39:21,985 --> 00:39:24,661 - Well, how did you solve your issues? 895 00:39:24,662 --> 00:39:28,131 - Just did what you said. Thought outside the box. 896 00:39:28,132 --> 00:39:32,936 - There's no non-compete in the deal I agreed to, 897 00:39:32,937 --> 00:39:35,973 so I won't be executive director anymore, 898 00:39:35,974 --> 00:39:39,910 but that doesn't mean I'm done with Gaffney. 899 00:39:39,911 --> 00:39:42,838 - I was speaking with a charge nurse who I used to work with 900 00:39:42,839 --> 00:39:44,364 who was nearing the end of her career, 901 00:39:44,365 --> 00:39:48,952 and, uh, she said she'd be willing to take this job 902 00:39:48,953 --> 00:39:52,256 at the salary of a telemetry nurse. 903 00:39:52,257 --> 00:39:55,325 - I don't think the changes that Miranda's making 904 00:39:55,326 --> 00:39:57,220 are just about budget cuts. 905 00:39:57,320 --> 00:40:00,530 I think there's a bigger plan here, 906 00:40:00,531 --> 00:40:03,600 but I can't fight it from the outside. 907 00:40:03,601 --> 00:40:06,737 I need access. 908 00:40:06,738 --> 00:40:10,474 - Well, I look forward to meeting her. 909 00:40:10,475 --> 00:40:14,712 - I promise you this is not over. 910 00:40:14,812 --> 00:40:18,750 [dramatic music] 911 00:40:21,986 --> 00:40:24,922 [dramatic music] 912 00:40:25,023 --> 00:40:32,055 ♪ ♪ 913 00:40:52,116 --> 00:40:55,119 [wolf howls]