1
00:00:01,016 --> 00:00:04,577
Oh, so here we go.
What letter are we up to now?
2
00:00:04,602 --> 00:00:05,500
J's.
3
00:00:05,639 --> 00:00:08,031
So, Jeremiah if it's a boy,
4
00:00:08,265 --> 00:00:10,132
or Jacinta if it's a girl.
5
00:00:10,157 --> 00:00:13,158
Hmm... Jeremiah Sexton-Jenkins.
6
00:00:13,183 --> 00:00:15,469
- I like it.
- Oh, my God, it's a boy?
7
00:00:15,494 --> 00:00:18,862
Or Jacinta Sexton-Jenkins.
8
00:00:18,921 --> 00:00:20,843
You're having fun torturing me
9
00:00:20,868 --> 00:00:22,935
by not telling me the gender
of the baby, aren't you?
10
00:00:22,960 --> 00:00:23,734
A little, but hey,
11
00:00:23,759 --> 00:00:26,881
if I can wait 21 more weeks, so can you.
12
00:00:29,328 --> 00:00:31,242
Dr. Rhodes?
13
00:00:31,808 --> 00:00:33,341
Page me if you need me.
14
00:00:33,366 --> 00:00:34,565
Case coming your way.
15
00:00:34,590 --> 00:00:36,701
Window washer fell 33 stories.
16
00:00:36,726 --> 00:00:39,401
Should be DOA, but
still alive... barely.
17
00:00:39,426 --> 00:00:41,745
- 33?
- Press will be all over this.
18
00:00:41,770 --> 00:00:43,737
Hospital PR's gonna be involved.
19
00:00:43,762 --> 00:00:45,745
Get ready for your close-up.
20
00:00:49,021 --> 00:00:50,669
Okay, who's next?
21
00:00:50,694 --> 00:00:52,128
Damian Butler.
22
00:00:52,153 --> 00:00:54,567
- Damian Butler?
- That's me.
23
00:00:54,651 --> 00:00:56,732
Oh, God.
24
00:00:56,757 --> 00:00:58,294
Won't be much longer.
25
00:00:58,319 --> 00:00:59,918
It's just I have the flu.
26
00:00:59,943 --> 00:01:01,763
It's low priority. I get it.
27
00:01:03,175 --> 00:01:04,599
Sir?
28
00:01:04,624 --> 00:01:06,585
- Maggie, how many minutes out?
- They're here.
29
00:01:06,610 --> 00:01:08,326
- Baghdad's prepped.
- Thanks.
30
00:01:11,521 --> 00:01:15,496
Justin Pepper, 23,
long fall, axial load injury
31
00:01:15,521 --> 00:01:17,183
after his window washing
platform gave out.
32
00:01:17,208 --> 00:01:20,738
GCS, 3... BP, 70 over palp...
Heart rate, 135.
33
00:01:20,763 --> 00:01:22,230
All right, that long a fall,
we're looking at
34
00:01:22,255 --> 00:01:24,739
injuries to the brain,
spine, chest, and abdomen,
35
00:01:24,764 --> 00:01:26,169
let alone long bone fractures.
36
00:01:26,194 --> 00:01:28,192
Maggie,
I need extra hands and an O.R. on alert.
37
00:01:28,217 --> 00:01:29,317
Done.
38
00:01:29,577 --> 00:01:32,683
- What's he got for IV access?
- 16 gauge on both arms.
39
00:01:32,708 --> 00:01:34,052
All right, very gently, everybody.
40
00:01:34,077 --> 00:01:37,536
On my count, one, two, three.
41
00:01:38,807 --> 00:01:40,365
- Good luck.
- Thanks.
42
00:01:40,586 --> 00:01:42,708
All right, likely cavitary bleeding.
43
00:01:42,733 --> 00:01:45,263
Wheeler, get a groin
line. Start the MTP.
44
00:01:45,288 --> 00:01:47,981
Hang two units of O-neg
on the rapid transfuser
45
00:01:48,006 --> 00:01:49,630
until we type and cross. X-Rays...
46
00:01:49,655 --> 00:01:52,130
I need chest, pelvis, and C-spine.
47
00:01:52,155 --> 00:01:53,692
And let's get the ultrasound over here
48
00:01:53,717 --> 00:01:54,864
to fast his belly.
49
00:01:54,889 --> 00:01:55,826
- Lungs are clear.
- All right.
50
00:01:55,851 --> 00:01:56,583
I'm gonna start the groin line.
51
00:01:56,608 --> 00:01:58,131
Help me reduce this leg fracture.
52
00:01:58,156 --> 00:02:00,942
Come on, come on. One, two, three...
53
00:02:02,519 --> 00:02:04,356
- X-Ray.
- All right, step back.
54
00:02:10,007 --> 00:02:11,607
Pelvis down.
55
00:02:11,651 --> 00:02:13,990
- C-spine.
- On the box.
56
00:02:16,491 --> 00:02:18,891
- Chest X-Ray is up.
- Tension hemopneumothorax.
57
00:02:18,916 --> 00:02:20,895
Trachea shifted, venous return is down.
58
00:02:20,920 --> 00:02:22,005
Give me a chest tube.
59
00:02:22,030 --> 00:02:23,238
Show me the pelvis.
60
00:02:23,263 --> 00:02:24,520
Got it.
61
00:02:24,545 --> 00:02:26,545
Vertical shear of the left hemipelvis...
62
00:02:26,570 --> 00:02:27,794
It needs traction.
63
00:02:27,819 --> 00:02:29,452
Pull up the C-spine.
64
00:02:29,477 --> 00:02:30,656
Up.
65
00:02:30,681 --> 00:02:33,497
Multiple C-spine fractures.
66
00:02:34,254 --> 00:02:36,740
- Wheeler, how's that groin line?
- Done.
67
00:02:36,909 --> 00:02:38,433
All right, chest tube's in too.
68
00:02:38,458 --> 00:02:39,193
Let's move.
69
00:02:39,218 --> 00:02:41,771
Justin didn't survive a 330-foot fall
70
00:02:41,796 --> 00:02:43,429
just to die in my trauma bay.
71
00:02:43,454 --> 00:02:44,802
- Let's go, let's go!
- Go.
72
00:02:47,162 --> 00:02:52,411
- Synced and corrected by martythecrazy -
- www.addic7ed.com -
73
00:02:53,194 --> 00:02:55,655
- Witnesses report that
Mr. Pepper clung to
74
00:02:55,680 --> 00:02:58,247
the window washing platform as it fell,
75
00:02:58,272 --> 00:03:00,672
almost riding it like a surfboard.
76
00:03:00,697 --> 00:03:04,146
Physicists surmise this
likely created wind resistance
77
00:03:04,171 --> 00:03:06,028
that not only slowed his plummet,
78
00:03:06,053 --> 00:03:08,803
but also absorbed some
of the force from impact.
79
00:03:08,828 --> 00:03:11,167
That might explain how he survived
80
00:03:11,192 --> 00:03:12,740
such a horrific fall.
81
00:03:12,765 --> 00:03:14,737
I'm running the bowel.
82
00:03:14,762 --> 00:03:16,362
Feeling tears.
83
00:03:18,163 --> 00:03:20,178
Hemostat.
84
00:03:20,473 --> 00:03:23,021
Pelvic hematoma and mesenteric
bleeders are tied off.
85
00:03:23,046 --> 00:03:25,390
Let's resect the bowel
quickly and move on.
86
00:03:25,415 --> 00:03:27,835
GIA 80 stapler with a reload.
87
00:03:27,860 --> 00:03:30,779
50% of people who fall
four to five stories die.
88
00:03:30,804 --> 00:03:32,684
Ten or 11... it's almost 100%,
89
00:03:32,709 --> 00:03:35,124
so this is a first.
90
00:03:35,217 --> 00:03:37,217
There's an exception to every rule.
91
00:03:38,866 --> 00:03:40,866
All right, got some more spaces... next.
92
00:03:40,901 --> 00:03:42,366
Laura Pastino.
93
00:03:42,391 --> 00:03:44,124
Laura Pastino?
94
00:03:44,180 --> 00:03:47,163
No, Melody Sayers.
95
00:03:47,528 --> 00:03:50,053
Okay, uh, Treatment 3.
I'll be right there.
96
00:03:50,078 --> 00:03:52,612
- I'm sorry.
- No, this one's on me.
97
00:03:52,744 --> 00:03:54,280
I thought I could sneak
in and see a doctor
98
00:03:54,305 --> 00:03:55,738
on my lunch break.
99
00:03:55,842 --> 00:03:57,585
It's bad planning.
100
00:03:57,804 --> 00:04:00,537
Okay, I'm April. Can I get you anything?
101
00:04:00,562 --> 00:04:02,209
Water? Snack from the meal cart?
102
00:04:02,234 --> 00:04:05,585
No thanks. Not much of an appetite.
103
00:04:05,757 --> 00:04:08,666
If I need something, I'll just...
104
00:04:10,531 --> 00:04:12,545
Melody?
105
00:04:12,570 --> 00:04:14,338
Are you okay?
106
00:04:14,677 --> 00:04:17,111
Yeah, sorry.
107
00:04:17,136 --> 00:04:19,842
You just zoned out.
That ever happen before?
108
00:04:19,867 --> 00:04:21,400
Probably.
109
00:04:21,425 --> 00:04:24,959
I'm a first-year associate.
My law firm's specialty.
110
00:04:24,984 --> 00:04:26,516
60-hour weeks.
111
00:04:27,200 --> 00:04:28,647
Can I see your wrist?
112
00:04:28,672 --> 00:04:30,443
Yeah.
113
00:04:32,587 --> 00:04:34,453
Pulse is really weak.
114
00:04:34,478 --> 00:04:36,145
I'm just exhausted.
115
00:04:36,170 --> 00:04:39,045
I'm gonna go home and sleep.
116
00:04:39,070 --> 00:04:41,006
I'll come back tomorrow.
117
00:04:41,183 --> 00:04:42,733
Your feet hurt?
118
00:04:43,015 --> 00:04:45,326
Yeah, I've just been sitting for awhile.
119
00:04:45,351 --> 00:04:47,467
Do you mind if I take a look?
120
00:04:47,685 --> 00:04:49,420
Sure.
121
00:04:52,050 --> 00:04:54,151
Ankles are swollen.
122
00:04:55,785 --> 00:04:57,652
Pitting edema.
123
00:04:57,764 --> 00:04:58,897
Do me a favor.
124
00:04:58,922 --> 00:05:00,321
Stick around for a little longer.
125
00:05:00,346 --> 00:05:01,912
I'm gonna get you in.
126
00:05:01,937 --> 00:05:03,336
Okay.
127
00:05:07,906 --> 00:05:10,273
- Americano.
- Thank you.
128
00:05:10,298 --> 00:05:12,451
Wow, all this for Connor's trauma?
129
00:05:12,476 --> 00:05:14,899
If it bleeds, it leads.
130
00:05:15,190 --> 00:05:17,413
Help! I need help!
131
00:05:17,438 --> 00:05:19,100
My husband!
132
00:05:21,317 --> 00:05:23,192
- What happened?
- He called me at work.
133
00:05:23,217 --> 00:05:25,037
He said he wasn't
feeling well. But then...
134
00:05:25,062 --> 00:05:27,496
But when I came home for lunch,
I-I found him like this.
135
00:05:27,521 --> 00:05:29,254
Hey, hey, can you hear me?
136
00:05:29,279 --> 00:05:31,179
Thready pulse, diaphoretic.
He's burning up.
137
00:05:31,204 --> 00:05:32,553
He take any drugs?
Could it be an overdose?
138
00:05:32,578 --> 00:05:33,491
No, never.
139
00:05:33,516 --> 00:05:34,515
Septic shock?
140
00:05:34,540 --> 00:05:35,865
I think so. We gotta get him inside.
141
00:05:35,890 --> 00:05:37,037
All right, I'm gonna get
techs to bring out a gurney,
142
00:05:37,062 --> 00:05:38,995
and set up for central
access if we need one.
143
00:05:39,020 --> 00:05:40,987
I'm gonna help you out of the car, okay?
144
00:05:41,012 --> 00:05:42,658
No, get back. I can do it myself.
145
00:05:42,683 --> 00:05:45,017
No, Nick, let him help you.
Don't let him, please.
146
00:05:45,042 --> 00:05:47,108
- Easy.
- Nick, please, no...
147
00:05:47,133 --> 00:05:48,491
Julia... Julia...
148
00:05:48,516 --> 00:05:51,039
- I need your help.
- I know, baby, I-I...
149
00:05:51,064 --> 00:05:52,420
I'm sorry.
150
00:05:54,734 --> 00:05:56,767
Okay, okay.
151
00:05:56,792 --> 00:05:58,558
My legs don't work.
152
00:05:58,583 --> 00:06:00,650
It's okay, Nick. I got you.
153
00:06:00,878 --> 00:06:02,544
Here.
154
00:06:06,164 --> 00:06:07,563
All right.
155
00:06:07,664 --> 00:06:09,397
Let's go.
156
00:06:17,971 --> 00:06:19,553
Dr. Choi, you're going to Treatment 5.
157
00:06:19,578 --> 00:06:22,245
- Dr. Manning's already there.
- Thanks, Mags.
158
00:06:27,303 --> 00:06:29,236
Dr. Reese?
159
00:06:30,891 --> 00:06:33,686
- Oh, my...
- This woman needs aid.
160
00:06:33,794 --> 00:06:34,903
Dr. Wheeler!
161
00:06:34,928 --> 00:06:36,128
I saw her fall crossing the street.
162
00:06:36,153 --> 00:06:38,563
When I got to her, she
was unable to speak.
163
00:06:38,588 --> 00:06:40,955
- Think she's having a stroke.
- Treatment 2.
164
00:06:48,452 --> 00:06:51,353
Weak pulse...
right side of the face is droopy.
165
00:06:51,378 --> 00:06:53,052
- Right side body, limp.
- What do we got?
166
00:06:53,077 --> 00:06:54,968
Possible stroke.
167
00:06:55,067 --> 00:06:57,789
Okay. Thanks, Super-dude.
168
00:06:57,815 --> 00:06:59,444
You're safe now, ma'am.
169
00:07:05,310 --> 00:07:07,010
Oh, Lord.
170
00:07:07,035 --> 00:07:09,101
We need a stretcher!
171
00:07:15,094 --> 00:07:17,209
Right now, your son is in shock.
172
00:07:17,234 --> 00:07:19,607
There is massive blood loss
from extensive injuries
173
00:07:19,632 --> 00:07:21,866
to his liver, his
pelvis, his intestines.
174
00:07:21,891 --> 00:07:24,747
We've packed his abdomen
to control the bleeding
175
00:07:24,772 --> 00:07:26,460
and removed a portion of his bowel.
176
00:07:26,485 --> 00:07:28,343
He's still open.
177
00:07:28,368 --> 00:07:31,169
That's what we call a
negative pressure dressing.
178
00:07:31,194 --> 00:07:33,127
It helps to temporize the abdomen...
179
00:07:33,152 --> 00:07:35,335
Is Justin going to survive?
180
00:07:35,585 --> 00:07:38,586
When he arrived in the E.D.,
he was minute to minute.
181
00:07:38,745 --> 00:07:41,007
Right now, he is hour to hour,
182
00:07:41,032 --> 00:07:43,399
and that is a very good first step.
183
00:07:48,030 --> 00:07:50,220
This is Dr. Rhodes.
184
00:07:50,995 --> 00:07:53,639
Who is this and how did
you get this number?
185
00:07:53,951 --> 00:07:57,119
No, my patient is very much alive,
thank you.
186
00:07:57,582 --> 00:08:00,416
Sounds like the press
got to you before we did.
187
00:08:00,441 --> 00:08:03,022
Dr. Connor Rhodes, this is Evelyn Kumer,
188
00:08:03,047 --> 00:08:05,021
public affairs rep for the hospital.
189
00:08:05,046 --> 00:08:07,561
She'll be coordinating
all media platforms.
190
00:08:07,586 --> 00:08:09,192
So, reporters got your number?
191
00:08:09,217 --> 00:08:11,217
Yeah, they wanted to
know if Justin had died
192
00:08:11,242 --> 00:08:12,194
on the operating table.
193
00:08:12,219 --> 00:08:13,352
Where do they get this crap?
194
00:08:13,377 --> 00:08:15,897
Who knows? But the
rumor mill is grinding.
195
00:08:15,922 --> 00:08:17,555
And you're in the spotlight.
196
00:08:17,580 --> 00:08:20,347
A man falls 33 stories
and is still alive?
197
00:08:20,372 --> 00:08:21,638
People are gonna want to know,
198
00:08:21,663 --> 00:08:23,772
is this a miracle or
a setup for tragedy?
199
00:08:23,797 --> 00:08:25,528
Excuse me.
200
00:08:25,553 --> 00:08:28,412
Until we know for sure how
this is gonna turn out,
201
00:08:28,437 --> 00:08:31,220
let's stick with "no comment."
202
00:08:36,647 --> 00:08:39,693
102.7. BP, 80 over 55.
203
00:08:39,718 --> 00:08:41,445
Whoa, that's really low.
204
00:08:41,470 --> 00:08:44,338
Uh, Melody,
I hear a crackling in your chest.
205
00:08:44,363 --> 00:08:47,264
This means fluid is
building up in the lungs.
206
00:08:47,289 --> 00:08:49,086
A symptom of the flu?
207
00:08:49,176 --> 00:08:51,279
- I don't think so.
- The exhaustion,
208
00:08:51,304 --> 00:08:53,296
swelling in your legs,
low blood pressure
209
00:08:53,321 --> 00:08:55,780
are possible indicators
of a cardiac problem.
210
00:08:55,805 --> 00:08:58,205
My heart? Oh, my God.
211
00:08:58,230 --> 00:09:00,733
We're gonna take a look and
see what's going on, okay?
212
00:09:00,758 --> 00:09:02,324
Okay.
213
00:09:02,415 --> 00:09:04,548
That just... That
doesn't make any sense.
214
00:09:04,573 --> 00:09:06,741
I'm only 25 years old.
215
00:09:06,766 --> 00:09:09,178
I walk to work instead
of taking the train.
216
00:09:09,203 --> 00:09:12,600
Eat salads... take spin classes.
217
00:09:12,625 --> 00:09:14,725
Okay, dilated left ventricle,
poor wall motion.
218
00:09:14,750 --> 00:09:16,556
April, let's get her on the monitor.
219
00:09:17,032 --> 00:09:19,599
Your heart is pumping very poorly.
220
00:09:19,742 --> 00:09:21,442
Uh, I'll need an echo,
but if I had to say,
221
00:09:21,475 --> 00:09:24,042
I'd guess it's working at 20, 25%.
222
00:09:24,067 --> 00:09:25,667
My heart is failing?
223
00:09:25,692 --> 00:09:27,366
It's unusual for a young woman.
224
00:09:27,391 --> 00:09:30,389
Could be a thyroid imbalance,
a kidney issue, virus.
225
00:09:30,414 --> 00:09:31,827
We'll figure it out. Before you know it,
226
00:09:31,852 --> 00:09:33,702
you'll be back at spin class.
227
00:09:33,727 --> 00:09:35,793
I'm gonna hold you to that.
228
00:09:37,830 --> 00:09:39,608
Melody... Melody?
229
00:09:41,578 --> 00:09:44,624
No pulse or breathing.
V fib... get on her chest.
230
00:09:45,819 --> 00:09:47,318
Charge to 200.
231
00:09:47,343 --> 00:09:48,542
200.
232
00:09:50,828 --> 00:09:51,717
Charged.
233
00:09:51,742 --> 00:09:53,635
Hold CPR.
234
00:09:53,993 --> 00:09:55,386
Clear.
235
00:09:58,871 --> 00:10:00,390
200 again.
236
00:10:00,415 --> 00:10:01,715
200.
237
00:10:02,764 --> 00:10:04,321
Hold CPR.
238
00:10:04,416 --> 00:10:06,682
Clear.
239
00:10:07,110 --> 00:10:08,338
I got a pulse.
240
00:10:08,363 --> 00:10:09,963
It's weak but steady. She's breathing.
241
00:10:09,988 --> 00:10:11,765
Let's get her to the cath lab.
242
00:10:18,536 --> 00:10:20,835
Great catch, April. Had she gone home,
243
00:10:20,860 --> 00:10:23,248
no way help would've
gotten to her in time.
244
00:10:29,171 --> 00:10:31,874
- So it's an infection?
- Fever, elevated white cells,
245
00:10:31,899 --> 00:10:33,763
inflammatory markers, and lacate.
246
00:10:33,788 --> 00:10:36,001
- I'd say so.
- Most likely UTI.
247
00:10:36,026 --> 00:10:37,210
It's common in paraplegics.
248
00:10:37,235 --> 00:10:38,858
Been down that road a few times.
249
00:10:38,883 --> 00:10:40,210
Life with a catheter, right?
250
00:10:40,235 --> 00:10:43,310
We made to need to
replace it. Suprapubic?
251
00:10:43,952 --> 00:10:47,153
T-boned by a drunk driver who
didn't stop for a red light.
252
00:10:47,178 --> 00:10:48,765
He walked away with a few stitches.
253
00:10:48,790 --> 00:10:50,939
That was then. We're moving on.
254
00:10:50,964 --> 00:10:52,546
Brighter days ahead.
255
00:10:53,194 --> 00:10:55,094
Area around the catheter looks clean.
256
00:10:55,119 --> 00:10:56,955
No obvious abscess or skin infection.
257
00:10:56,980 --> 00:10:58,379
Answer's in the pee then.
258
00:10:58,404 --> 00:11:00,622
We'll get this and blood
cultures up to the lab,
259
00:11:00,647 --> 00:11:02,515
find out what we're dealing with.
260
00:11:02,594 --> 00:11:04,527
Sorry about lashing out earlier.
261
00:11:04,552 --> 00:11:06,118
I sometimes forget I'm half a man.
262
00:11:06,143 --> 00:11:07,834
No, you're not.
263
00:11:08,286 --> 00:11:09,655
I'm with her.
264
00:11:09,680 --> 00:11:11,139
Yeah, well, she's one of a kind.
265
00:11:11,164 --> 00:11:13,023
Not letting her get away.
266
00:11:13,430 --> 00:11:15,030
Good plan.
267
00:11:20,344 --> 00:11:22,677
Hey... K...
268
00:11:22,702 --> 00:11:24,700
If it's a boy, Kalani.
269
00:11:24,725 --> 00:11:26,653
If it's a girl, Kiersleigh.
270
00:11:26,678 --> 00:11:27,490
What do you think?
271
00:11:27,515 --> 00:11:29,115
- Pass.
- Ulch.
272
00:11:29,182 --> 00:11:31,348
Any word from the cath lab about Melody?
273
00:11:31,373 --> 00:11:32,973
No, but I should hear something soon.
274
00:11:32,998 --> 00:11:35,665
Okay, I have an OB appointment.
275
00:11:35,690 --> 00:11:37,456
Should be fast, though...
20 minutes, tops.
276
00:11:37,481 --> 00:11:38,326
I can push it.
277
00:11:38,351 --> 00:11:39,919
Or I can text you if I hear something.
278
00:11:40,010 --> 00:11:43,239
Because of the TB,
Dr. Lee likes to see me every two weeks.
279
00:11:43,264 --> 00:11:45,257
- You'll text me about Melody?
- Mm-hmm.
280
00:11:45,282 --> 00:11:46,888
Now go, don't be late
for your appointment.
281
00:11:53,387 --> 00:11:55,300
We haven't officially
met. I'm Dr. Reese.
282
00:11:55,325 --> 00:11:57,505
Hi. Edward Thompson.
283
00:11:57,530 --> 00:11:59,074
That was quite an entrance, Edward.
284
00:11:59,099 --> 00:12:01,343
Yeah, I could imagine.
285
00:12:01,368 --> 00:12:03,153
The suit, elderly woman in my arms.
286
00:12:03,178 --> 00:12:04,778
- Yeah.
- How is she?
287
00:12:04,803 --> 00:12:05,935
- Uh, doing well...
- Oh.
288
00:12:05,960 --> 00:12:07,208
Thanks to you getting
her here so quickly.
289
00:12:07,233 --> 00:12:08,666
Oh, that's great.
290
00:12:08,691 --> 00:12:10,237
How are you? How are you feeling?
291
00:12:10,262 --> 00:12:11,951
Okay, I think.
292
00:12:11,976 --> 00:12:14,610
But I never passed out before.
What... uh, what happened?
293
00:12:14,673 --> 00:12:17,374
Uh, your labs and EKG are normal,
294
00:12:17,424 --> 00:12:20,129
so I think you were just
so excited in the moment
295
00:12:20,154 --> 00:12:21,677
that when it was over, you fainted.
296
00:12:21,702 --> 00:12:23,235
And where are my clothes?
297
00:12:23,260 --> 00:12:26,037
A nurse said she'd get 'em,
but she never came back.
298
00:12:26,062 --> 00:12:28,203
Unfortunately,
we had to cut off the costume,
299
00:12:28,228 --> 00:12:29,653
so that we could examine you.
300
00:12:29,678 --> 00:12:31,444
Cut it off?
301
00:12:32,770 --> 00:12:35,338
You mean... it's destroyed?
302
00:12:35,363 --> 00:12:36,981
Uh, yes.
303
00:12:37,006 --> 00:12:39,216
Oh, God.
304
00:12:39,458 --> 00:12:42,220
You had no right. I...
305
00:12:42,245 --> 00:12:44,544
I need it.
306
00:12:44,569 --> 00:12:45,724
Edward, breathe.
307
00:12:45,749 --> 00:12:47,048
Breathe.
308
00:12:47,073 --> 00:12:48,563
All right, nice and s-all right, here.
309
00:12:48,588 --> 00:12:52,145
Hey, look at me, look at me.
310
00:12:52,170 --> 00:12:54,566
Just like this. Two seconds in.
311
00:12:54,591 --> 00:12:56,950
Four seconds out.
312
00:12:56,975 --> 00:12:58,537
Two seconds in.
313
00:12:58,562 --> 00:13:00,405
Four seconds out.
314
00:13:01,954 --> 00:13:03,743
I need it.
315
00:13:17,429 --> 00:13:20,197
33 stories. God.
316
00:13:20,222 --> 00:13:22,021
Massive subdural hemorrhage.
317
00:13:22,046 --> 00:13:23,426
Significant left shift.
318
00:13:23,451 --> 00:13:27,252
Big mass effect is crushing
his brain inside of his skull.
319
00:13:27,277 --> 00:13:29,144
Well, he did fall off a building.
320
00:13:29,241 --> 00:13:30,807
Craniotomy, right?
321
00:13:30,832 --> 00:13:32,966
To what end? He's coagulopathic.
322
00:13:32,991 --> 00:13:35,197
I go in and take out the clot,
it'll just re-accumulate.
323
00:13:35,222 --> 00:13:36,504
No, I don't think so.
324
00:13:36,588 --> 00:13:39,144
I'm actively giving him plasma,
platelets, and cryo.
325
00:13:39,169 --> 00:13:41,135
Which improve his overall
chances of survival
326
00:13:41,160 --> 00:13:43,488
from 1% to 2. I'm not
opening up his skull.
327
00:13:43,513 --> 00:13:45,566
I question whether he's even
strong enough for this CT,
328
00:13:45,591 --> 00:13:47,524
but that was your call.
329
00:13:47,549 --> 00:13:49,620
If the pressure in his
brain isn't relieved,
330
00:13:49,645 --> 00:13:52,363
it's over. That's 100%.
331
00:13:52,771 --> 00:13:55,471
I got him this far.
He'll get through surgery.
332
00:13:58,632 --> 00:14:01,253
All the king's horses
and all the king's men...
333
00:14:01,278 --> 00:14:03,343
guess they should've gone to you.
334
00:14:06,306 --> 00:14:08,985
- Full costume?
- Cape and all.
335
00:14:09,010 --> 00:14:10,709
When Edward learned
it had been destroyed,
336
00:14:10,734 --> 00:14:13,665
he was so distraught,
he could hardly even breathe.
337
00:14:13,690 --> 00:14:15,823
That's a pretty extreme reaction,
338
00:14:15,848 --> 00:14:19,116
but, you know, wardrobe and self-esteem
339
00:14:19,141 --> 00:14:20,774
can be deeply intertwined.
340
00:14:20,799 --> 00:14:23,333
The costume...
Ultimately, it's just a symbol
341
00:14:23,358 --> 00:14:26,700
that represent something
crucially important to Edward.
342
00:14:26,725 --> 00:14:28,692
Our job's to figure out what.
343
00:14:28,745 --> 00:14:32,190
The inciting incident
that made it necessary...
344
00:14:32,215 --> 00:14:33,957
The origin story.
345
00:14:34,748 --> 00:14:36,887
You know,
because we're talking about a superhero.
346
00:14:36,912 --> 00:14:38,228
- Uh-huh.
- Like...
347
00:14:38,253 --> 00:14:40,755
like when Tony Stark became Iron Man.
348
00:14:40,780 --> 00:14:42,880
Why did Billy Batson
become Captain Marvel?
349
00:14:42,905 --> 00:14:45,322
Nice. Pickle.
350
00:14:46,342 --> 00:14:47,907
Urinalysis is clean,
351
00:14:47,932 --> 00:14:49,798
so your infection isn't from a UTI.
352
00:14:49,823 --> 00:14:51,224
Clear.
353
00:14:57,968 --> 00:14:59,301
Not pneumonia.
354
00:14:59,326 --> 00:15:02,660
- Meds?
- Aspirin, midodrine, tramadol.
355
00:15:02,685 --> 00:15:06,084
No steroids, immunosuppressants.
No red flags.
356
00:15:06,109 --> 00:15:08,235
I'll check the D-dimer.
It could be a DVT.
357
00:15:08,260 --> 00:15:11,128
- Yeah.
- Deep vein thrombosis?
358
00:15:11,153 --> 00:15:13,045
D-dimer's negative. No clots.
359
00:15:13,070 --> 00:15:14,302
Abscess then.
360
00:15:14,327 --> 00:15:16,394
The hot spot would be the sacrum.
361
00:15:17,749 --> 00:15:19,983
- I-I can't...
- Yeah, I got you.
362
00:15:27,484 --> 00:15:29,717
Nothing dermal.
363
00:15:30,000 --> 00:15:32,457
It must be hiding deep down.
364
00:15:32,482 --> 00:15:35,483
The, uh, scar...
365
00:15:35,603 --> 00:15:38,441
I'm thinking of getting
a tattoo to cover it...
366
00:15:38,609 --> 00:15:41,148
He and she stick figures riding POPS.
367
00:15:41,173 --> 00:15:43,640
It's a surf spot in Waikiki.
368
00:15:43,665 --> 00:15:45,832
We took a lesson on our honeymoon.
369
00:15:45,857 --> 00:15:48,156
We stood up on our first wave.
370
00:15:54,435 --> 00:15:56,768
Did you feel something?
371
00:15:59,486 --> 00:16:01,618
Um, I don't know.
372
00:16:01,643 --> 00:16:03,643
Maybe.
373
00:16:05,925 --> 00:16:08,822
Let's get a CT chest,
pelvis and abdomen.
374
00:16:08,847 --> 00:16:11,752
Infection may be abdominal
or in a deep space.
375
00:16:11,777 --> 00:16:13,767
Yeah. Hang tight.
376
00:16:13,792 --> 00:16:16,860
- We're getting closer.
- We'll be back.
377
00:16:17,950 --> 00:16:21,523
You felt that?
378
00:16:25,980 --> 00:16:28,361
- Good hemostasis.
- No new bleeds.
379
00:16:28,386 --> 00:16:30,490
He tolerated the surgery well.
380
00:16:30,534 --> 00:16:33,493
Appears luck's on your side today.
381
00:16:34,279 --> 00:16:36,431
If that's how you wanna put it.
382
00:16:43,343 --> 00:16:44,342
There's no heartbeat.
383
00:16:44,367 --> 00:16:45,366
No.
384
00:16:45,391 --> 00:16:47,382
No, no, please, look again.
385
00:16:47,768 --> 00:16:49,247
I'm so sorry.
386
00:16:49,272 --> 00:16:50,838
No.
387
00:16:54,773 --> 00:16:57,322
- Wh...
- You'll need a D&C.
388
00:16:57,347 --> 00:17:00,145
If there's a room available,
I can do it now.
389
00:17:19,094 --> 00:17:21,879
Okay.
390
00:17:22,472 --> 00:17:24,786
I need to get back to work.
391
00:17:25,398 --> 00:17:27,198
April, no one would expect you to...
392
00:17:27,223 --> 00:17:28,757
I have to. I...
393
00:17:29,321 --> 00:17:32,761
There's a... a patient
I'm worried about.
394
00:17:33,351 --> 00:17:34,929
Are you sure?
395
00:17:38,375 --> 00:17:40,393
Okay.
396
00:17:41,747 --> 00:17:43,614
Well, you know the nurses up there.
397
00:17:43,639 --> 00:17:45,598
You just give them a
call when you're ready.
398
00:17:45,661 --> 00:17:47,609
The sooner the better though.
399
00:17:50,935 --> 00:17:52,879
End of the day.
400
00:17:53,680 --> 00:17:55,784
Tomorrow at the latest.
401
00:18:31,427 --> 00:18:33,393
Hey, April.
402
00:18:33,418 --> 00:18:35,819
Cardiology make a diagnosis?
403
00:18:35,844 --> 00:18:37,906
Viral myocarditis.
404
00:18:37,931 --> 00:18:41,273
She's only in the E.D. until
a bed opens up in the CCU.
405
00:18:41,541 --> 00:18:43,807
She needs cardiopulmonary support.
406
00:18:43,832 --> 00:18:45,421
Infection's that bad?
407
00:18:45,597 --> 00:18:47,608
Well, the hope is partial bypass
408
00:18:47,633 --> 00:18:48,921
will rest her heart enough
409
00:18:48,954 --> 00:18:51,828
to let the antiviral
meds get the upper hand.
410
00:18:59,321 --> 00:19:02,589
That's doing most of my heart's job now.
411
00:19:02,614 --> 00:19:04,147
I know.
412
00:19:04,298 --> 00:19:07,872
It's hard to keep your mind
from racing to that dark place.
413
00:19:09,080 --> 00:19:12,443
Is there anyone I can call? Uh, family?
414
00:19:12,826 --> 00:19:14,593
My parents are divorced.
415
00:19:14,618 --> 00:19:17,385
Mom's in Idaho. Dad's in New Hampshire.
416
00:19:17,410 --> 00:19:20,052
I'm not ready to deal with all that yet.
417
00:19:20,218 --> 00:19:23,621
But I don't want to be alone.
418
00:19:23,956 --> 00:19:25,998
Will you sit with me?
419
00:19:35,147 --> 00:19:37,635
As long as you need.
420
00:19:38,446 --> 00:19:40,613
Thank you.
421
00:19:52,353 --> 00:19:53,606
What was her name?
422
00:19:53,631 --> 00:19:56,709
Rachel. Way out of my league.
423
00:19:58,235 --> 00:19:59,797
I've always been the quite one.
424
00:19:59,822 --> 00:20:02,571
She was the opposite.
425
00:20:02,596 --> 00:20:04,385
Hm.
426
00:20:04,673 --> 00:20:06,748
I rode her coattails,
427
00:20:06,802 --> 00:20:08,502
yet she still loved me.
428
00:20:11,077 --> 00:20:13,931
And then it was over. My wife was gone.
429
00:20:14,038 --> 00:20:15,437
When did Rachel pass?
430
00:20:15,462 --> 00:20:17,800
Last year... Ovarian cancer.
431
00:20:18,534 --> 00:20:21,137
It took her so fast.
432
00:20:22,342 --> 00:20:24,375
I couldn't help her.
433
00:20:24,400 --> 00:20:26,788
I couldn't ease her pain.
434
00:20:27,059 --> 00:20:30,935
I could only watch.
435
00:20:30,960 --> 00:20:33,566
I was useless, weak.
436
00:20:34,378 --> 00:20:36,952
- And the suit?
- Stumbled across it online.
437
00:20:36,977 --> 00:20:38,988
I don't know why I ordered it.
438
00:20:39,509 --> 00:20:42,576
But when it came, I tried it on, and...
439
00:20:45,698 --> 00:20:48,254
I felt different, stronger.
440
00:20:48,735 --> 00:20:51,324
I just want to be useful.
441
00:20:51,989 --> 00:20:54,144
I just wanna be able to help.
442
00:20:54,373 --> 00:20:56,793
I understand. Uh...
443
00:20:57,008 --> 00:20:59,384
we'll come up with a plan.
444
00:20:59,820 --> 00:21:02,346
Let me talk to my supervisor.
445
00:21:06,716 --> 00:21:09,277
Hey, how was your ultrasound?
446
00:21:09,302 --> 00:21:10,668
It was fine.
447
00:21:10,693 --> 00:21:12,988
I was just thinking about Melody.
448
00:21:13,013 --> 00:21:15,121
She thought she only had the flu.
449
00:21:15,146 --> 00:21:17,485
Yeah. Okay.
450
00:21:20,302 --> 00:21:23,236
- Hey, walk with me.
- The CPS working?
451
00:21:23,261 --> 00:21:25,488
A-line pulsatility is decreasing.
452
00:21:25,513 --> 00:21:27,480
Heart's beating less
and less on its own.
453
00:21:27,505 --> 00:21:28,805
But it's only been a few hours.
454
00:21:28,830 --> 00:21:30,973
The meds need awhile
to build in her system.
455
00:21:30,998 --> 00:21:33,292
And we can't speed up the process?
456
00:21:33,710 --> 00:21:35,711
We can?
457
00:21:36,106 --> 00:21:38,816
IVIG and plasmapheresis.
458
00:21:38,957 --> 00:21:40,810
It's method to block
Melody's immune system
459
00:21:40,835 --> 00:21:41,949
from attacking heart muscle
460
00:21:41,974 --> 00:21:43,526
as it tries to clear the infection.
461
00:21:43,551 --> 00:21:46,426
- Well, why aren't we doing it?
- The science is unproven.
462
00:21:46,570 --> 00:21:48,246
The unknowns worry me.
463
00:21:48,271 --> 00:21:50,637
The risk of anaphylaxis,
additional infections,
464
00:21:50,662 --> 00:21:53,402
- inflammatory side effects.
- Well, she already coded.
465
00:21:53,427 --> 00:21:55,293
Another one could be
right around the corner.
466
00:21:55,318 --> 00:21:56,918
Isn't it worth trying anything?
467
00:21:56,943 --> 00:21:58,576
Not if it does more harm than good.
468
00:21:59,860 --> 00:22:01,360
Yes, and the suit
469
00:22:01,385 --> 00:22:03,707
was how Edward dealt
with his wife's death.
470
00:22:03,732 --> 00:22:05,765
See, I'm concerned that if he leaves,
471
00:22:05,790 --> 00:22:06,941
he's just gonna go get another one,
472
00:22:06,966 --> 00:22:09,533
and that will lead him right back here.
473
00:22:09,558 --> 00:22:12,220
Some knucklehead will
see him in that costume,
474
00:22:12,245 --> 00:22:13,231
and pick a fight.
475
00:22:13,256 --> 00:22:15,168
"Let's see how tough
you are, Super-guy."
476
00:22:15,193 --> 00:22:17,259
Hm, it's possible, but...
477
00:22:17,296 --> 00:22:18,839
is he having any suicidal thoughts?
478
00:22:18,864 --> 00:22:19,481
No.
479
00:22:19,506 --> 00:22:21,023
And he's certainly not
a danger to others.
480
00:22:21,048 --> 00:22:23,306
He literally presented
saving a woman's life.
481
00:22:23,331 --> 00:22:24,930
I mean, he just doesn't
meet the criteria
482
00:22:24,955 --> 00:22:26,554
for a psychiatric hold.
483
00:22:31,559 --> 00:22:33,078
Okay.
484
00:22:33,528 --> 00:22:34,855
- There you go.
- Thank you.
485
00:22:34,880 --> 00:22:36,941
Dr. Rhodes? Dr. Rhodes, wait.
486
00:22:36,966 --> 00:22:39,821
Can you tell us about the
miracle patient, Justin Pepper?
487
00:22:39,846 --> 00:22:41,312
- I...
- Please, anything.
488
00:22:41,337 --> 00:22:43,404
The people want to know.
489
00:22:44,884 --> 00:22:46,718
Well...
490
00:22:46,743 --> 00:22:49,223
the craniotomy we
performed was successful.
491
00:22:49,534 --> 00:22:50,989
His blood pressure is steady.
492
00:22:51,014 --> 00:22:53,104
The bleeding in his chest
and belly has slowed,
493
00:22:53,129 --> 00:22:54,394
so, fortunately,
494
00:22:54,419 --> 00:22:56,676
we've been able to back
off of the transfusions.
495
00:22:56,701 --> 00:22:58,034
Is he gonna pull through?
496
00:22:58,059 --> 00:23:00,411
Well, it is still too early to tell,
497
00:23:00,436 --> 00:23:02,293
but we are fighting the good fight.
498
00:23:02,318 --> 00:23:03,825
Now, if all continues to go well,
499
00:23:03,850 --> 00:23:07,230
Ortho will be able to start
treating his bone fractures
500
00:23:07,255 --> 00:23:08,411
tomorrow.
501
00:23:08,436 --> 00:23:09,764
Now, if you'll excuse me,
502
00:23:09,789 --> 00:23:11,789
I've got to get back to my patient.
503
00:23:13,879 --> 00:23:15,801
What the hell was that?
504
00:23:16,360 --> 00:23:17,999
My patient's doing well.
505
00:23:18,024 --> 00:23:19,606
I didn't see why the
press shouldn't know.
506
00:23:19,631 --> 00:23:22,333
Any interaction with the
media goes through me.
507
00:23:22,358 --> 00:23:25,168
I wouldn't have let you come out
here and grandstand like that.
508
00:23:25,193 --> 00:23:27,193
What if the patient dies?
509
00:23:27,218 --> 00:23:29,855
You gonna hold a press conference then?
510
00:23:34,934 --> 00:23:37,068
- Hey.
- Hey.
511
00:23:37,093 --> 00:23:39,016
Thoracic hardware's
stabilizing the spine
512
00:23:39,041 --> 00:23:40,145
on the T4 fracture.
513
00:23:40,170 --> 00:23:41,636
Otherwise, everything looks normal.
514
00:23:41,661 --> 00:23:42,693
Colon has descended.
515
00:23:42,718 --> 00:23:44,324
It could be a colonic
pseudo-obstruction.
516
00:23:44,349 --> 00:23:45,682
They are common in paraplegics.
517
00:23:45,707 --> 00:23:47,648
Yeah, but I don't see
any free air or fluid.
518
00:23:47,673 --> 00:23:49,861
Hm, the infection's gotta
be hiding somewhere.
519
00:23:49,886 --> 00:23:52,231
Let's try a white blood cell scan.
520
00:23:52,401 --> 00:23:54,246
Tag some of his own
infection-fighting cells
521
00:23:54,271 --> 00:23:55,904
with a tracer dye,
and see where they go.
522
00:23:55,929 --> 00:23:58,396
Let his immune system show
us where the hot spot is.
523
00:23:58,421 --> 00:23:59,621
Good idea. I'll get on it.
524
00:23:59,646 --> 00:24:01,433
- Hey, Nat.
- Yeah?
525
00:24:01,458 --> 00:24:04,159
Uh, when I pressed on Nick's abdomen,
526
00:24:04,184 --> 00:24:05,761
I was below a sensory loss level.
527
00:24:05,786 --> 00:24:07,386
He shouldn't have felt anything.
528
00:24:07,411 --> 00:24:09,168
His abdominal wall is inflamed.
529
00:24:09,193 --> 00:24:11,339
When you applied pressure,
it fired off a signal.
530
00:24:11,364 --> 00:24:14,097
If anything, Nick felt nausea,
but nothing tactile.
531
00:24:14,122 --> 00:24:15,588
He couldn't have.
532
00:24:15,613 --> 00:24:17,179
Yeah, I guess not.
533
00:24:22,595 --> 00:24:24,094
103.5
534
00:24:24,119 --> 00:24:26,344
It's gone up.
535
00:24:27,593 --> 00:24:29,688
What about my heart?
536
00:24:29,725 --> 00:24:31,291
Improvement?
537
00:24:31,415 --> 00:24:34,618
Unfortunately,
it's not responding the way I'd hoped.
538
00:24:37,484 --> 00:24:40,438
I Googled myocarditis.
539
00:24:40,689 --> 00:24:43,441
Severe cases,
people needed heart transplants.
540
00:24:44,185 --> 00:24:45,946
Am I one of them?
541
00:24:45,971 --> 00:24:47,304
Possibly.
542
00:24:51,113 --> 00:24:53,080
But we're not there yet.
543
00:24:53,105 --> 00:24:55,205
There is another procedure we can try...
544
00:24:55,230 --> 00:24:58,251
IVIG and plasmapheresis...
545
00:24:58,276 --> 00:25:01,032
But I have to warn you,
there are some risks.
546
00:25:02,604 --> 00:25:04,170
What do you think?
547
00:25:04,321 --> 00:25:06,532
If your heart stops beating again,
548
00:25:06,557 --> 00:25:08,382
it may never come back.
549
00:25:12,149 --> 00:25:14,407
This procedure...
550
00:25:14,882 --> 00:25:16,407
is it an operation?
551
00:25:16,432 --> 00:25:18,157
No, an infusion.
552
00:25:18,189 --> 00:25:20,055
It can be done right here
in the treatment room.
553
00:25:20,080 --> 00:25:21,563
I'll be with you the whole time.
554
00:25:25,282 --> 00:25:27,026
Okay.
555
00:25:27,614 --> 00:25:28,903
Okay.
556
00:25:36,280 --> 00:25:38,594
Gram-negative bacteria? What is that?
557
00:25:38,619 --> 00:25:41,299
It's a common germ found in water,
soil, plants,
558
00:25:41,324 --> 00:25:43,446
the digestive tract...
Sometimes the skin.
559
00:25:43,471 --> 00:25:45,004
They don't always lead to illness,
560
00:25:45,029 --> 00:25:47,329
but when they invade somewhere
they are not endemic to,
561
00:25:47,354 --> 00:25:48,501
you can get pretty sick.
562
00:25:48,526 --> 00:25:50,426
So what did these germs get into?
563
00:25:50,451 --> 00:25:51,954
The muscles surrounding your spine.
564
00:25:51,979 --> 00:25:54,095
There's an abscess at the T4 vertebrae.
565
00:25:54,120 --> 00:25:56,094
- Is it treatable?
- Yes.
566
00:25:56,119 --> 00:25:58,887
A surgeon will make an incision
in your back, and drain it.
567
00:25:58,912 --> 00:26:00,946
The hardware may need
to come out as well.
568
00:26:00,971 --> 00:26:02,203
Do it today,
569
00:26:02,228 --> 00:26:04,048
you'll likely feel better immediately.
570
00:26:04,073 --> 00:26:05,204
We're good, babe.
571
00:26:05,229 --> 00:26:06,626
We're all good.
572
00:26:06,774 --> 00:26:08,348
There is something else, though.
573
00:26:08,373 --> 00:26:10,819
In addition to the bacteria,
the biopsy showed
574
00:26:10,844 --> 00:26:12,891
a cluster of cells that are not native
575
00:26:12,916 --> 00:26:14,699
to the paraspinal muscles.
576
00:26:14,960 --> 00:26:16,624
The lab is still trying to figure out
577
00:26:16,649 --> 00:26:19,501
exactly what these cells are,
but they shouldn't be there,
578
00:26:19,526 --> 00:26:21,497
nor do they... They come from my body.
579
00:26:21,830 --> 00:26:24,884
So, what are you guys not telling us?
580
00:26:25,267 --> 00:26:27,167
They're stem cells.
581
00:26:27,295 --> 00:26:28,928
We've been going to
Mexico to get injections
582
00:26:28,953 --> 00:26:30,953
to reverse the paralysis.
583
00:26:30,978 --> 00:26:32,811
I'm gonna walk again.
584
00:26:35,781 --> 00:26:37,447
I know that look.
585
00:26:37,472 --> 00:26:39,239
You think we're crazy.
586
00:26:39,264 --> 00:26:40,953
Abandon a state-of-the-art hospital
587
00:26:40,978 --> 00:26:42,299
for a clinic in Veracruz,
588
00:26:42,324 --> 00:26:44,921
but what Nick needs, we can't find here.
589
00:26:44,946 --> 00:26:47,928
And between the FDA and
constantly changing politics
590
00:26:47,953 --> 00:26:50,428
- and social taboos, we just...
- But leaving the country?
591
00:26:50,453 --> 00:26:52,459
There is no oversight.
592
00:26:52,484 --> 00:26:54,717
The bacteria that caused your abscess
593
00:26:54,742 --> 00:26:56,350
likely came from a treatment.
594
00:26:56,375 --> 00:26:58,375
To ditch the wheelchair, it's worth it.
595
00:26:58,400 --> 00:27:00,725
You touched Nick's
abdomen, and he felt it.
596
00:27:00,919 --> 00:27:02,780
He felt it.
597
00:27:04,032 --> 00:27:06,366
I'm gonna walk again.
598
00:27:06,391 --> 00:27:08,182
And Julia and I are gonna
get back to the life
599
00:27:08,207 --> 00:27:11,213
that we dreamed of...
The one that she deserves.
600
00:27:11,923 --> 00:27:13,624
Okay.
601
00:27:14,221 --> 00:27:16,889
We'll set up the surgery to
have the abscess drained,
602
00:27:16,914 --> 00:27:18,804
then go from there.
603
00:27:20,854 --> 00:27:22,187
Okay.
604
00:27:33,288 --> 00:27:35,786
Sir, is everything okay?
605
00:27:37,372 --> 00:27:39,139
Nurse? Somebody?
606
00:27:39,243 --> 00:27:43,478
Oh, my God. Uh, breathe, sir, breathe.
607
00:27:43,503 --> 00:27:45,095
Breathe. Look at me, look at me.
608
00:27:45,120 --> 00:27:47,731
Two seconds in, four seconds out.
609
00:27:47,756 --> 00:27:49,533
Slowly. I need some help!
610
00:27:49,558 --> 00:27:50,958
Here, here, here. What happened?
611
00:27:50,983 --> 00:27:52,593
Uh, he... he suddenly grabbed his chest
612
00:27:52,618 --> 00:27:54,972
- and was short of breath.
- All right, possible MI.
613
00:27:54,997 --> 00:27:57,707
- Uh...
- We gotta move.
614
00:27:57,946 --> 00:27:59,613
Thank you.
615
00:28:02,837 --> 00:28:04,262
Edward, are you okay?
616
00:28:04,287 --> 00:28:06,871
Yeah, I think. Uh, he needed help.
617
00:28:06,896 --> 00:28:09,746
Okay, well, I saw. You saved him.
618
00:28:09,771 --> 00:28:12,238
And look, in a hospital gown, no less.
619
00:28:13,593 --> 00:28:15,960
Let me... let me help you back to bed.
620
00:28:29,221 --> 00:28:31,288
What's happening?
621
00:28:34,028 --> 00:28:36,129
Asystole. Crash cart and a chest tray.
622
00:28:36,154 --> 00:28:37,065
Got it.
623
00:28:38,782 --> 00:28:40,715
Take over compressions.
624
00:28:40,740 --> 00:28:43,220
Scalpels? You're operating here?
625
00:28:43,245 --> 00:28:45,096
There's no electrical
activity in the heart,
626
00:28:45,121 --> 00:28:46,854
so I can't shock it back.
627
00:28:46,879 --> 00:28:48,784
Internal CPR is my only option.
628
00:28:48,809 --> 00:28:50,424
Oh, my God.
629
00:28:59,084 --> 00:29:00,350
All right.
630
00:29:06,737 --> 00:29:09,671
Come on, beat.
631
00:29:09,768 --> 00:29:11,134
Amp of epi.
632
00:29:11,159 --> 00:29:12,358
One amp.
633
00:29:15,908 --> 00:29:17,307
Come on.
634
00:29:21,584 --> 00:29:23,484
Come on.
635
00:29:29,013 --> 00:29:31,748
All right, we've got a rhythm.
636
00:29:31,805 --> 00:29:35,106
He's back. He's back.
637
00:30:04,339 --> 00:30:05,839
Uh, quite a turnaround.
638
00:30:05,864 --> 00:30:07,604
I know, right?
639
00:30:07,799 --> 00:30:09,729
I was worried I wouldn't
be able to pull it off
640
00:30:09,754 --> 00:30:11,920
as smoothly as you, but it worked out.
641
00:30:11,945 --> 00:30:13,417
It's a new world for Edward.
642
00:30:13,442 --> 00:30:14,975
Is it?
643
00:30:15,055 --> 00:30:18,691
Deception breaks doctor-patient trust.
644
00:30:18,715 --> 00:30:22,484
We don't manipulate. We guide.
645
00:30:22,725 --> 00:30:26,860
Your ruse provided Edward
with a moment of revelation,
646
00:30:26,885 --> 00:30:30,587
not the framework to
build his future on.
647
00:30:30,612 --> 00:30:34,881
I mean, trust me, the costume
is not yet a thing of his past.
648
00:30:37,706 --> 00:30:40,874
Okay, discharge papers for Edward.
649
00:30:40,899 --> 00:30:42,918
I'm gonna need a little more time.
650
00:30:42,943 --> 00:30:45,210
Oh, okay.
651
00:30:52,366 --> 00:30:55,027
He feels cold.
652
00:30:55,798 --> 00:30:58,199
His blood pressure is very low.
653
00:30:58,286 --> 00:30:59,663
We're pushing meds,
654
00:30:59,688 --> 00:31:01,555
but his heart is really struggling
655
00:31:01,580 --> 00:31:03,480
to circulate blood through his body.
656
00:31:05,430 --> 00:31:07,605
Justin is a climber.
657
00:31:07,875 --> 00:31:09,342
He always has been.
658
00:31:09,367 --> 00:31:11,066
Wow.
659
00:31:11,210 --> 00:31:13,010
Uh, a few years ago,
660
00:31:13,035 --> 00:31:16,231
he realized that rock
faces weren't enough.
661
00:31:17,450 --> 00:31:20,262
Oh, he loved his life.
662
00:31:20,286 --> 00:31:22,488
It's not over.
663
00:31:24,309 --> 00:31:26,776
But his heart will fail again, won't it?
664
00:31:26,801 --> 00:31:28,183
If it does, I'll restart it.
665
00:31:28,208 --> 00:31:29,740
I'll keep restarting it.
666
00:31:29,765 --> 00:31:33,167
That last resuscitation was...
667
00:31:33,511 --> 00:31:35,144
so violent.
668
00:31:35,169 --> 00:31:38,324
Your son still has a chance.
669
00:31:38,356 --> 00:31:40,489
Does he?
670
00:31:40,514 --> 00:31:42,514
Please...
671
00:31:42,539 --> 00:31:44,903
no more heroics.
672
00:31:54,032 --> 00:31:56,299
Dr. Rhodes, I admit,
673
00:31:56,324 --> 00:31:58,840
I wanted you to be the hero today.
674
00:31:58,865 --> 00:32:00,865
And I know you did too.
675
00:32:00,890 --> 00:32:04,066
But maybe it's time to stop.
676
00:32:14,575 --> 00:32:16,603
- Hey.
- Hey.
677
00:32:19,265 --> 00:32:21,265
Got an update from the
neurosurgical floor.
678
00:32:21,290 --> 00:32:22,956
They just got started on Nick.
679
00:32:22,981 --> 00:32:24,233
These foreign clinics...
680
00:32:24,258 --> 00:32:26,592
$30,000 a treatment, sometimes more.
681
00:32:26,617 --> 00:32:29,413
The stem cells are shipped
in from all over the world.
682
00:32:29,438 --> 00:32:31,004
There's no way to prove
they're even authentic,
683
00:32:31,029 --> 00:32:32,829
and the success rates
on their websites...
684
00:32:32,844 --> 00:32:35,244
- Totally unverifiable.
- Scary, I know.
685
00:32:35,269 --> 00:32:37,980
But still,
stem cell research is making huge leaps.
686
00:32:38,005 --> 00:32:40,389
Yeah, maybe for
neurodegenerative diseases.
687
00:32:40,414 --> 00:32:42,748
But spinal cord injuries like Nick's?
688
00:32:42,773 --> 00:32:44,897
That tech is years away.
689
00:32:44,922 --> 00:32:46,121
Yeah.
690
00:32:50,426 --> 00:32:52,493
Just give me a second.
691
00:32:55,159 --> 00:32:57,926
Will... Will, I need you in here.
692
00:32:57,951 --> 00:33:00,403
All right, I gotta go.
693
00:33:00,428 --> 00:33:03,529
Melody's A-line
pulsatility is fluctuating.
694
00:33:03,638 --> 00:33:06,832
- This just start?
- A couple minutes ago.
695
00:33:15,131 --> 00:33:16,897
Is my heart getting worse?
696
00:33:16,922 --> 00:33:18,655
Uh, no, better.
697
00:33:18,680 --> 00:33:20,957
101. Your temp's gone down.
698
00:33:20,982 --> 00:33:23,590
It means your body's
starting to fight back.
699
00:33:23,615 --> 00:33:25,356
I'm gonna be okay?
700
00:33:25,381 --> 00:33:27,114
Well, we'll get another blood test,
701
00:33:27,139 --> 00:33:29,051
and if your white cell
count has improved as well,
702
00:33:29,076 --> 00:33:30,867
and your heart continues to strengthen,
703
00:33:30,892 --> 00:33:33,324
then I'll dial down the support.
704
00:33:33,349 --> 00:33:35,114
Oh, my God.
705
00:33:35,715 --> 00:33:38,116
Oh, God, I thought for sure...
706
00:33:39,724 --> 00:33:41,747
Thank you, April.
707
00:33:41,772 --> 00:33:44,524
You saved my life.
708
00:33:46,007 --> 00:33:47,540
Whew.
709
00:33:47,565 --> 00:33:49,631
Oh, God, I was so scared.
710
00:33:49,656 --> 00:33:51,659
You're good.
711
00:33:52,174 --> 00:33:54,174
I should call my parents.
712
00:33:54,199 --> 00:33:56,199
Of course.
713
00:34:03,453 --> 00:34:05,701
Yeah, I gotta say, I did not expect
714
00:34:05,726 --> 00:34:07,917
IVIG and plasmapheresis
to be so effective,
715
00:34:07,942 --> 00:34:09,979
let alone that quickly.
716
00:34:10,004 --> 00:34:12,581
You know, maybe coupling
it with the CPS...
717
00:34:12,829 --> 00:34:14,459
or perhaps, you know, maybe the meds
718
00:34:14,484 --> 00:34:15,565
just finally worked on their own.
719
00:34:15,590 --> 00:34:16,815
You know what? Who cares.
720
00:34:16,840 --> 00:34:18,085
- It worked.
- Yeah.
721
00:34:18,110 --> 00:34:20,346
- Yeah?
- We got the win.
722
00:34:20,371 --> 00:34:22,221
Yeah...
723
00:34:22,651 --> 00:34:25,552
- You don't seem excited.
- No, I am.
724
00:34:25,577 --> 00:34:27,577
It's just a long day.
725
00:34:27,602 --> 00:34:30,252
Yeah, but a good one.
726
00:34:30,302 --> 00:34:31,935
Nice job.
727
00:35:05,570 --> 00:35:07,638
Neurosurgeon said everything went well.
728
00:35:07,663 --> 00:35:09,315
I feel much better.
It's like night and day.
729
00:35:09,340 --> 00:35:11,207
Mind if I take a look?
730
00:35:15,335 --> 00:35:17,201
All good back there?
731
00:35:17,226 --> 00:35:18,977
Yeah.
732
00:35:19,261 --> 00:35:21,060
No surprises.
733
00:35:21,085 --> 00:35:23,617
Great. Ready to put today behind me...
734
00:35:23,642 --> 00:35:26,188
No pun intended.
735
00:35:30,769 --> 00:35:34,137
Nick, when I was examining your abdomen,
736
00:35:34,162 --> 00:35:36,203
you thought you felt something.
737
00:35:36,228 --> 00:35:38,110
You didn't, did you?
738
00:35:42,706 --> 00:35:46,269
Just my wife's eyes
desperately wishing I could.
739
00:35:46,868 --> 00:35:48,701
These treatments you're
getting in Mexico...
740
00:35:48,726 --> 00:35:50,326
They're not working.
741
00:35:50,351 --> 00:35:51,675
And given your injury,
742
00:35:51,700 --> 00:35:54,331
the chances of paralysis
being reversed is almost zero.
743
00:35:54,356 --> 00:35:55,622
I can't give up.
744
00:35:55,647 --> 00:35:58,147
Stem cells can turn into
any part of the body.
745
00:35:58,173 --> 00:35:59,354
Instead of curing you,
746
00:35:59,379 --> 00:36:01,713
they could form a mass or a tumor.
747
00:36:01,738 --> 00:36:03,738
Please, don't get anymore injections.
748
00:36:03,763 --> 00:36:05,582
I have to.
749
00:36:05,607 --> 00:36:07,621
I love Julia more than anything,
750
00:36:07,645 --> 00:36:09,581
but there are...
751
00:36:09,807 --> 00:36:12,589
intimacies that I can't provide.
752
00:36:13,671 --> 00:36:16,939
Our bond is built on hope.
It's what holds us together.
753
00:36:17,449 --> 00:36:18,664
So it doesn't matter if you believe
754
00:36:18,689 --> 00:36:21,128
the treatments won't work. Julia does.
755
00:36:21,153 --> 00:36:23,534
- That's enough for me.
- But you're risking your life.
756
00:36:23,559 --> 00:36:25,402
She is my life.
757
00:36:27,023 --> 00:36:29,691
I don't want you to share
your concerns with her.
758
00:36:32,431 --> 00:36:33,997
Okay.
759
00:36:34,022 --> 00:36:35,694
Good luck.
760
00:36:41,235 --> 00:36:42,567
Good luck?
761
00:36:42,592 --> 00:36:43,925
Ethan, are you kidding?
762
00:36:43,950 --> 00:36:47,112
Nat, I've met combat vets
who have been paralyzed.
763
00:36:47,137 --> 00:36:50,104
The feelings of inferiority
can be overwhelming.
764
00:36:50,129 --> 00:36:52,255
If you told them a bottle of snake oil
765
00:36:52,280 --> 00:36:53,972
might help them walk again,
766
00:36:53,997 --> 00:36:56,264
they'd drink it every time.
767
00:36:56,289 --> 00:36:58,477
So you agree with what Nick's doing?
768
00:36:59,438 --> 00:37:01,345
I understand it, Nat.
769
00:37:08,656 --> 00:37:10,489
It wasn't real.
770
00:37:10,766 --> 00:37:12,435
The situation was staged,
771
00:37:12,460 --> 00:37:15,494
but your response was absolutely real.
772
00:37:15,519 --> 00:37:17,995
But I shouldn't have tricked you.
773
00:37:18,020 --> 00:37:20,329
I thought building
you up from the inside
774
00:37:20,354 --> 00:37:22,488
would help you connect
to your true self,
775
00:37:22,513 --> 00:37:24,935
but I realize now...
776
00:37:24,960 --> 00:37:27,327
you've always known exactly who you are.
777
00:37:27,352 --> 00:37:31,732
The real goal is making
sure others can see that.
778
00:37:32,059 --> 00:37:35,216
- What's that?
- A hospital volunteer vest.
779
00:37:35,241 --> 00:37:37,208
I know it's not as flashy
as your other outfit,
780
00:37:37,233 --> 00:37:40,654
but around here,
there are a lot of people in need.
781
00:37:40,827 --> 00:37:42,326
Seeing you in this,
782
00:37:42,351 --> 00:37:45,317
they'll know you're someone
they can depend on...
783
00:37:45,342 --> 00:37:47,409
Someone who can help them.
784
00:37:52,318 --> 00:37:53,885
Think about it.
785
00:38:19,247 --> 00:38:20,839
Hey.
786
00:38:23,012 --> 00:38:24,720
Surgery?
787
00:38:25,122 --> 00:38:28,348
I have Procedure Room 3 open.
788
00:38:28,775 --> 00:38:31,543
I'll schedule you in. Come on up.
789
00:38:58,052 --> 00:39:00,088
April?
790
00:39:00,429 --> 00:39:02,163
April...
791
00:39:09,195 --> 00:39:12,801
I saw your name on the list for a D&C.
792
00:39:19,296 --> 00:39:21,797
It was my ultrasound.
793
00:39:21,822 --> 00:39:23,822
There wa... there wasn't...
794
00:39:27,874 --> 00:39:31,572
I-I don't... I don't know when.
795
00:39:31,597 --> 00:39:36,522
I-I don't... I don't know why...
796
00:39:39,907 --> 00:39:42,124
My baby's...
797
00:39:42,149 --> 00:39:43,799
heart...
798
00:39:45,070 --> 00:39:46,136
it stopped...
799
00:39:46,161 --> 00:39:47,984
It's okay.
800
00:39:51,875 --> 00:39:54,100
It stopped beating.
801
00:41:28,699 --> 00:41:30,865
Hey.
802
00:41:44,930 --> 00:41:46,930
- Synced and corrected by martythecrazy -
- www.addic7ed.com -