1 00:00:02,828 --> 00:00:04,568 [ NBC theme tones play ] 2 00:00:04,569 --> 00:00:06,353 - Previously on "Brilliant Minds"... 3 00:00:06,354 --> 00:00:08,311 - I reconnected with one of my old team doctors. 4 00:00:08,312 --> 00:00:10,009 - In Texas? - He offered me a spot 5 00:00:10,010 --> 00:00:11,401 in his residency program. 6 00:00:11,402 --> 00:00:13,055 This is, like, my dream job. 7 00:00:13,056 --> 00:00:14,796 - Then what's keeping you here? 8 00:00:14,797 --> 00:00:17,625 The hospital gala's tonight. - It's kind of last minute. 9 00:00:17,626 --> 00:00:19,540 - Why do I feel like you're trying to wreck this 10 00:00:19,541 --> 00:00:21,498 before it even starts? - I don't know 11 00:00:21,499 --> 00:00:23,065 if I could handle another heartbreak. 12 00:00:23,066 --> 00:00:25,633 - You're it for me. - When I was 10 years old, 13 00:00:25,634 --> 00:00:28,244 my mother was diagnosed with a malignant brain tumor. 14 00:00:28,245 --> 00:00:32,118 I remember her doctor not because he saved my mom, 15 00:00:32,119 --> 00:00:36,122 but because he dangled the possibility that he could. 16 00:00:36,123 --> 00:00:38,646 - What is this? - It's where your father is. 17 00:00:38,647 --> 00:00:41,911 - You got stood up? - I think so. 18 00:00:45,001 --> 00:00:47,047 [ Car alarm blaring ] [ Dog barking ] 19 00:00:47,221 --> 00:00:51,311 ♪ 20 00:00:51,312 --> 00:00:54,010 [ Siren wailing ] - [ Exhaling heavily ] 21 00:00:54,184 --> 00:01:01,060 ♪ 22 00:01:01,061 --> 00:01:03,150 Is anyone here? 23 00:01:03,367 --> 00:01:21,516 ♪ 24 00:01:21,733 --> 00:01:39,098 ♪ 25 00:01:39,099 --> 00:01:43,145 [ Siren wailing ] 26 00:01:43,146 --> 00:01:44,973 - ...over here. - We're getting in there now. 27 00:01:44,974 --> 00:01:46,801 We're getting the jaws out. 28 00:01:46,802 --> 00:01:48,411 - Make the hole! Coming through! 29 00:01:48,412 --> 00:01:49,630 - What are the injuries? 30 00:01:49,631 --> 00:01:51,110 - Two-car collision, no passenger. 31 00:01:51,111 --> 00:01:52,415 First driver seems a little shaken, 32 00:01:52,416 --> 00:01:54,113 but mostly just bumps and bruises. 33 00:01:54,114 --> 00:01:56,027 We're breaking out driver number two right now, 34 00:01:56,028 --> 00:01:58,029 but she's been unresponsive since we arrived on the scene. 35 00:01:58,030 --> 00:02:01,598 - Steady her neck. - Hold on! I got it! 36 00:02:01,599 --> 00:02:03,513 - All right, easy. Great. 37 00:02:03,514 --> 00:02:04,862 - Here we go. - Bring her out. 38 00:02:04,863 --> 00:02:07,648 Just a second. Let me get in here. 39 00:02:07,649 --> 00:02:09,258 I have a pulse, but it's thready. 40 00:02:09,259 --> 00:02:11,173 - We have an I.D.? - Negative. 41 00:02:11,174 --> 00:02:13,001 We haven't found a wallet yet. Cops are running the plates. 42 00:02:13,002 --> 00:02:15,264 - Andy, come with us. I need another medic back there. 43 00:02:15,265 --> 00:02:17,266 I'm losing her pulse. 44 00:02:17,267 --> 00:02:19,661 [ Siren wailing ] 45 00:02:21,445 --> 00:02:28,582 ♪ 46 00:02:28,583 --> 00:02:31,541 [ Siren wailing ] 47 00:02:31,542 --> 00:02:33,369 I don't hear breath sounds on this side. 48 00:02:33,370 --> 00:02:34,892 She's down a lung. 49 00:02:34,893 --> 00:02:36,634 - Looks like 14 gauges right in front of you. 50 00:02:36,852 --> 00:02:52,388 ♪ 51 00:02:52,389 --> 00:02:54,217 - We got it back. 52 00:02:55,871 --> 00:02:57,132 Attagirl. 53 00:02:57,133 --> 00:02:58,960 30-year-old female in an MVC, 54 00:02:58,961 --> 00:03:00,744 extricated with a thready pulse. - Coming through. 55 00:03:00,745 --> 00:03:03,747 - Got ROSC after I needled her tension pneumo. 56 00:03:03,748 --> 00:03:06,446 - Ready? - 3, 2, 1. 57 00:03:06,447 --> 00:03:08,317 [ Grunts ] All right. 58 00:03:08,318 --> 00:03:10,276 Airway intubated with normal end tidal. 59 00:03:10,277 --> 00:03:11,625 Breath sounds bilaterally. 60 00:03:11,626 --> 00:03:13,453 Look at her chest deformity. 61 00:03:13,454 --> 00:03:15,063 There we go. 62 00:03:15,064 --> 00:03:16,934 [ Monitor beeping rapidly ] 63 00:03:16,935 --> 00:03:19,154 There's blood around her heart. She's gonna lose her pulse. 64 00:03:19,155 --> 00:03:21,069 Give me a thoracotomy tray right now! 65 00:03:21,070 --> 00:03:23,202 - Yes, Doctor! - Neuro team, checking in. 66 00:03:23,203 --> 00:03:24,726 Standby until she's stabilized. 67 00:03:24,943 --> 00:03:33,168 ♪ 68 00:03:33,169 --> 00:03:35,389 - It's Michelle. 69 00:03:39,697 --> 00:03:41,655 [ Lines ringing ] 70 00:03:41,656 --> 00:03:44,353 Dr. Wolf, um, we need you back in the E.D. 71 00:03:44,354 --> 00:03:45,833 It's an emergency. - Come on, man. 72 00:03:45,834 --> 00:03:48,358 Pick up, man. Pick up. 73 00:03:49,359 --> 00:03:51,186 - What are her vitals? - I can't tell 74 00:03:51,187 --> 00:03:52,840 what's happening yet, but Ericka's trying 75 00:03:52,841 --> 00:03:54,494 to get a better look. - Where's our Uber? 76 00:03:54,495 --> 00:03:57,453 - Hey! Uh, it's four minutes out, but trying. 77 00:03:57,454 --> 00:03:59,890 - Hello? Why is there a pause? 78 00:03:59,891 --> 00:04:01,457 - There's E.D. no vitals recorded yet. 79 00:04:01,458 --> 00:04:03,894 - Hey! - She's not hooked up anymore. 80 00:04:03,895 --> 00:04:05,635 - Okay, what about her neuro exam? 81 00:04:05,636 --> 00:04:07,158 - We're not able to get one because there's too many 82 00:04:07,159 --> 00:04:08,508 trauma surgeons around. - It's a thoracotomy. 83 00:04:08,509 --> 00:04:10,249 - They doing an E.D. thoracotomy. 84 00:04:10,250 --> 00:04:12,294 - Get me an intracardiac epi! - Yes, Doctor. 85 00:04:12,295 --> 00:04:13,687 - Van... 86 00:04:13,688 --> 00:04:16,256 [ Tires screech ] - Bronx General. Now. 87 00:04:17,561 --> 00:04:19,258 - Thought you were off for the night. 88 00:04:19,259 --> 00:04:20,998 What's up with your hand? 89 00:04:20,999 --> 00:04:23,697 - Uh, no, it's just the art of motorcycle maintenance. 90 00:04:23,698 --> 00:04:25,612 Hey, Michelle Lambert got brought in. 91 00:04:25,613 --> 00:04:27,701 Terrible car accident. - What? 92 00:04:27,702 --> 00:04:29,442 Dr. Markus' Michelle? Is she okay? 93 00:04:29,443 --> 00:04:31,270 - Uh, we don't know for sure yet. They won't let neuro 94 00:04:31,271 --> 00:04:33,010 anywhere near her until she's out of surgery. 95 00:04:33,011 --> 00:04:36,057 - Okay, well, you can join me on my consult. 96 00:04:36,058 --> 00:04:39,147 Must be the other driver. Nic Bozic. 19 years old. 97 00:04:39,148 --> 00:04:41,062 The E.D. couldn't get any answers from him during intake. 98 00:04:41,063 --> 00:04:42,716 - I can't believe this is happening. 99 00:04:42,717 --> 00:04:44,457 It's not real. 100 00:04:44,458 --> 00:04:45,719 - Hi, Nic. 101 00:04:45,720 --> 00:04:47,590 I'm Dr. Pierce. This is Dr. Wolf. 102 00:04:47,591 --> 00:04:49,331 And we're here to help y-- 103 00:04:49,332 --> 00:04:52,465 - [ Gasping ] 104 00:04:52,466 --> 00:04:54,989 I'm sorry. [ Laughs ] 105 00:04:54,990 --> 00:04:58,122 I-I just can't stop laughing. 106 00:04:58,123 --> 00:05:00,124 [ Laughing ] 107 00:05:00,125 --> 00:05:02,257 - Let's go a UTOX and get him upstairs for an eval. 108 00:05:02,258 --> 00:05:05,566 - Yeah. [ Laughing continues ] 109 00:05:05,783 --> 00:05:09,743 ♪ 110 00:05:09,744 --> 00:05:11,484 - Where is she? - She's in the O.R. 111 00:05:11,485 --> 00:05:13,965 She just went in. - Take me to her. Take me to her. 112 00:05:16,185 --> 00:05:18,143 [ Air hissing, monitors beeping ] 113 00:05:18,318 --> 00:05:23,496 ♪ 114 00:05:23,497 --> 00:05:26,890 - If you haven't yet, it's time to call her family. 115 00:05:26,891 --> 00:05:29,372 - Her mom's busy watching Liam. 116 00:05:32,114 --> 00:05:33,898 - I need you to look at me, Van. 117 00:05:34,116 --> 00:05:39,468 ♪ 118 00:05:39,469 --> 00:05:42,906 Her family needs to know. 119 00:05:42,907 --> 00:05:44,996 The sooner, the better. 120 00:05:45,214 --> 00:05:52,700 ♪ 121 00:05:58,488 --> 00:06:00,097 - Hey, bud. 122 00:06:00,098 --> 00:06:01,969 What are you in Sharkie doing here? 123 00:06:01,970 --> 00:06:04,711 It's way past your bedtime. - What did you expect me to do? 124 00:06:04,712 --> 00:06:06,582 Leave Sharkie home alone? 125 00:06:06,583 --> 00:06:09,411 - Um, this actually isn't really a conversation 126 00:06:09,412 --> 00:06:12,588 to have around little ears. - Hey, you want to go play 127 00:06:12,589 --> 00:06:14,373 with Auntie Dana? I can show you 128 00:06:14,374 --> 00:06:16,113 how to draw on the walls without getting in trouble. 129 00:06:16,114 --> 00:06:18,072 - I wanna draw a pirate ship! 130 00:06:18,073 --> 00:06:20,291 [ Indistinct speaking over P.A. ] 131 00:06:20,292 --> 00:06:22,381 - Uh, Michelle's injuries required her 132 00:06:22,382 --> 00:06:24,861 to have immediate surgery, but the thoracotomy 133 00:06:24,862 --> 00:06:27,734 to repair her aortic injury should be wrapping up. 134 00:06:27,735 --> 00:06:29,736 Once she's out, we'll expedite scans 135 00:06:29,737 --> 00:06:31,041 to assess any other damage. 136 00:06:31,042 --> 00:06:32,695 - Is she gonna be okay? 137 00:06:32,696 --> 00:06:34,654 - Well, what I do know right now is that your daughter 138 00:06:34,655 --> 00:06:36,960 made it through the surgery without any complications. 139 00:06:36,961 --> 00:06:40,050 And she has a team of doctors who care about her deeply. 140 00:06:40,051 --> 00:06:42,096 After imaging, I'll have more to share. 141 00:06:42,097 --> 00:06:43,793 - What should I do until then? 142 00:06:43,794 --> 00:06:45,752 - The neuro waiting room is on the third floor. 143 00:06:45,753 --> 00:06:47,406 Dr. Markus can show you if you want to wait 144 00:06:47,407 --> 00:06:49,408 somewhere more quiet and comfortable. 145 00:06:49,409 --> 00:06:51,801 - I'm sure I can find it on my own. 146 00:06:51,802 --> 00:06:53,847 Thank you. 147 00:06:53,848 --> 00:06:56,806 [ Indistinct conversations ] 148 00:06:56,807 --> 00:06:58,242 - Did you see that? 149 00:06:58,243 --> 00:07:00,419 She hates me. I can feel her resentment. 150 00:07:00,420 --> 00:07:02,856 - Everyone wants the same thing right now, Van-- 151 00:07:02,857 --> 00:07:04,423 for Michelle to be okay. 152 00:07:04,424 --> 00:07:07,469 Just channel all of your energy into that. 153 00:07:07,470 --> 00:07:10,516 - Yeah. 154 00:07:10,517 --> 00:07:13,649 - Your UTOX and alcohol labs came back clean, 155 00:07:13,650 --> 00:07:16,217 which is good news. - I told the police I was sober, 156 00:07:16,218 --> 00:07:17,740 but they breathalysed me anyway. 157 00:07:17,741 --> 00:07:19,394 I never drink the night before a game. 158 00:07:19,395 --> 00:07:21,178 - What's your sport? - Hockey. 159 00:07:21,179 --> 00:07:24,399 I was driving upstate for a tournament. 160 00:07:24,400 --> 00:07:26,314 - Nic, have you called your parents? 161 00:07:26,315 --> 00:07:27,881 - No. 162 00:07:27,882 --> 00:07:30,144 No, I don't want to freak them out. 163 00:07:30,145 --> 00:07:32,320 I just want this to be over. Can I go? 164 00:07:32,321 --> 00:07:34,627 - Well, we aren't out of the woods yet. 165 00:07:34,628 --> 00:07:37,107 Your reaction-- it may have been shock, 166 00:07:37,108 --> 00:07:39,632 but it could point to something more serious. 167 00:07:39,633 --> 00:07:41,460 That accident could have caused some real harm. 168 00:07:41,461 --> 00:07:44,245 So let's eliminate all those options 169 00:07:44,246 --> 00:07:46,595 and not give your parents anything to worry about. 170 00:07:46,596 --> 00:07:49,250 - Deal. - Okay. 171 00:07:49,251 --> 00:07:51,470 - Can I ask-- 172 00:07:51,471 --> 00:07:53,646 how is she? 173 00:07:53,647 --> 00:07:55,256 The other driver? 174 00:07:55,257 --> 00:07:58,215 - Uh, she's in surgery, 175 00:07:58,216 --> 00:08:00,740 but there's room to hope. 176 00:08:00,741 --> 00:08:03,569 - [ Chuckles ] 177 00:08:03,570 --> 00:08:07,137 - Whatever happens to her [chuckles] it's-- 178 00:08:07,138 --> 00:08:09,009 [chuckles] it's my fault. 179 00:08:09,010 --> 00:08:13,143 [ Laughing ] I mean, this is gonna ruin my life. 180 00:08:13,144 --> 00:08:14,754 [ Laughs ] 181 00:08:14,755 --> 00:08:17,321 - Is that the guy? Who hit Michelle? 182 00:08:17,322 --> 00:08:19,019 - Van, let's not. Come on. 183 00:08:19,020 --> 00:08:21,500 - I'm so... 184 00:08:21,501 --> 00:08:24,067 [laughs] sorry. 185 00:08:24,068 --> 00:08:25,504 [ Laughing ] 186 00:08:25,505 --> 00:08:27,027 - Okay, come on. Come on. - You're laughing? 187 00:08:27,028 --> 00:08:28,463 - Come on, Van. Come on. Let's go. Let's go. 188 00:08:28,464 --> 00:08:30,030 Let's get out of here. 189 00:08:30,031 --> 00:08:32,772 [ Laughing continues ] 190 00:08:32,773 --> 00:08:35,165 - See? We're drawing on the walls, 191 00:08:35,166 --> 00:08:37,341 but without getting in trouble. 192 00:08:37,342 --> 00:08:40,519 My sister and I used to do this all the time growing up. 193 00:08:40,520 --> 00:08:43,478 It looks pretty cool, right? [ Chuckles ] 194 00:08:43,479 --> 00:08:45,436 - Hey. - Hey. 195 00:08:45,437 --> 00:08:47,264 Thanks for sticking around after your shift. 196 00:08:47,265 --> 00:08:49,789 - I can't believe that you knew her. 197 00:08:49,790 --> 00:08:51,791 I did everything that I could. 198 00:08:51,792 --> 00:08:53,357 - I just wish there was something we could do 199 00:08:53,358 --> 00:08:55,925 to make it better for V-A-N. 200 00:08:55,926 --> 00:08:57,448 - Van. That's my dad. 201 00:08:57,449 --> 00:08:59,625 - You can spell! 202 00:08:59,626 --> 00:09:01,365 Love that for me. 203 00:09:01,366 --> 00:09:03,324 - Are you the janitor? 204 00:09:03,325 --> 00:09:04,673 - Uh... 205 00:09:04,674 --> 00:09:07,676 Oh. [ Laughs ] Not quite. 206 00:09:07,677 --> 00:09:11,941 I'm a paramedic. And this is to my ambulance. 207 00:09:11,942 --> 00:09:13,377 - Cool. Can we go for a ride 208 00:09:13,378 --> 00:09:14,770 and go real fast through red lights? 209 00:09:14,771 --> 00:09:17,077 - Yeah. - I don't think so, Liam. 210 00:09:17,078 --> 00:09:20,515 - Oh. Okay, well, Auntie Dana 211 00:09:20,516 --> 00:09:21,908 is a rule follower. 212 00:09:21,909 --> 00:09:25,520 But I like to live a little dangerously. 213 00:09:25,521 --> 00:09:27,000 You want to go turn on the lights? 214 00:09:27,001 --> 00:09:29,176 - And the sirens. - You got it. 215 00:09:29,177 --> 00:09:30,873 - Auntie Dana just likes it 216 00:09:30,874 --> 00:09:33,310 when everyone she cares about is safe. 217 00:09:33,311 --> 00:09:36,793 - And Auntie Katie likes that about her. 218 00:09:39,448 --> 00:09:41,101 Oh, okay. Yeah. 219 00:09:41,102 --> 00:09:42,363 Wait a minute. 220 00:09:42,364 --> 00:09:44,408 We've never had a shark in there. 221 00:09:44,409 --> 00:09:46,803 - [ Breathes deeply ] 222 00:09:48,588 --> 00:09:50,458 [ Knock on door ] - Hey, Dr. Wolf. 223 00:09:50,459 --> 00:09:51,851 If this is about Van, don't worry about it. 224 00:09:51,852 --> 00:09:53,156 I calmed him down. 225 00:09:53,157 --> 00:09:54,593 He's just eager for her to wake up. 226 00:09:54,594 --> 00:09:56,246 - We all are. But this is not about Van. 227 00:09:56,247 --> 00:09:58,249 This is about you. 228 00:09:59,511 --> 00:10:01,861 - What's up? 229 00:10:01,862 --> 00:10:04,428 - The residency director of a Dallas medicine program 230 00:10:04,429 --> 00:10:06,300 reached out about a referral. 231 00:10:06,301 --> 00:10:08,390 For you. 232 00:10:10,479 --> 00:10:12,436 - I'm really sorry. 233 00:10:12,437 --> 00:10:14,264 I meant to talk to you about it today, but then-- 234 00:10:14,265 --> 00:10:17,529 - You're not actually leaving us, are you, Dr. Nash? 235 00:10:19,183 --> 00:10:20,619 - Being in the E.D. made me realize 236 00:10:20,620 --> 00:10:23,360 how much I missed the rush of the field. 237 00:10:23,361 --> 00:10:25,189 This job is my way back. 238 00:10:25,407 --> 00:10:30,716 ♪ 239 00:10:30,717 --> 00:10:34,197 - Do you know the thing I value most in my doctors? 240 00:10:34,198 --> 00:10:36,417 Strong bedside manner. 241 00:10:36,418 --> 00:10:40,640 It allows patients to feel safe, to open up to us. 242 00:10:41,945 --> 00:10:44,469 You're the best at it, Jacob. 243 00:10:46,384 --> 00:10:48,778 I would really hate to lose you. 244 00:10:49,779 --> 00:10:51,781 - Michelle's in the scanner. 245 00:10:51,999 --> 00:10:59,833 ♪ 246 00:11:09,016 --> 00:11:16,152 ♪ 247 00:11:16,153 --> 00:11:18,067 - There is a massive subdural. 248 00:11:18,068 --> 00:11:22,202 Diffuse severe contusions and evidence of herniation. 249 00:11:22,203 --> 00:11:24,683 - All consistent with our post-op exam. 250 00:11:24,684 --> 00:11:27,076 - Would you consider a decompressive hemicraniectomy? 251 00:11:27,077 --> 00:11:29,600 Like with Jorge Torres? - Van, she's already herniated. 252 00:11:29,601 --> 00:11:31,602 There's nothing surgical that can help her. 253 00:11:31,603 --> 00:11:33,169 - Respectfully, that is complete bull. 254 00:11:33,170 --> 00:11:34,562 She's young and she's healthy. 255 00:11:34,563 --> 00:11:35,911 There's always something to do. 256 00:11:35,912 --> 00:11:38,000 - Her pupils are already fixed and dilated. 257 00:11:38,001 --> 00:11:41,265 These injuries are not survivable. 258 00:11:42,136 --> 00:11:44,746 I am so sorry, Van. 259 00:11:44,747 --> 00:11:47,531 - I don't need an apology. 260 00:11:47,532 --> 00:11:50,447 I need you to do what only you can do, Dr. Wolf. 261 00:11:50,448 --> 00:11:52,232 Fight. 262 00:11:52,233 --> 00:11:55,062 Michelle only stands a chance because she's here with us. 263 00:11:58,065 --> 00:12:00,110 - Hey, Van... 264 00:12:00,328 --> 00:12:10,294 ♪ 265 00:12:15,735 --> 00:12:17,083 - Does Van have a case? 266 00:12:17,084 --> 00:12:18,998 Is there a reason to hold out hope? 267 00:12:18,999 --> 00:12:22,088 - You saw for yourself how catastrophic those scans were. 268 00:12:22,089 --> 00:12:25,091 False hope is dangerous at times like this. 269 00:12:25,092 --> 00:12:26,614 I'll update the family, and then I'll perform 270 00:12:26,615 --> 00:12:28,703 the brain death exam later today. 271 00:12:28,704 --> 00:12:30,574 - Cardiac death would have been way easier. 272 00:12:30,575 --> 00:12:33,099 That way, he could see it, but her heart's still beating. 273 00:12:33,100 --> 00:12:34,796 She looks alive. - But when doctors 274 00:12:34,797 --> 00:12:36,929 declare brain death, it allows for organ donation, 275 00:12:36,930 --> 00:12:39,018 which otherwise wouldn't have been possible. 276 00:12:39,019 --> 00:12:41,716 Saves countless lives. - Well, It certainly saved Sam's. 277 00:12:41,717 --> 00:12:44,763 We'll approach van the way we approach any resistant family. 278 00:12:44,764 --> 00:12:46,416 We'll tell the truth. 279 00:12:46,417 --> 00:12:48,288 We conducted a complete brain death exam 280 00:12:48,289 --> 00:12:51,770 and the person he loves is gone. 281 00:12:51,771 --> 00:12:54,424 It'll be difficult, but eventually he'll come around. 282 00:12:54,425 --> 00:12:55,774 - I get why he's in denial. 283 00:12:55,775 --> 00:12:57,253 We've all heard horror stories of people 284 00:12:57,254 --> 00:12:59,168 being declared brain dead prematurely. 285 00:12:59,169 --> 00:13:00,996 - When the test is done correctly, 286 00:13:00,997 --> 00:13:02,389 we can trust the diagnosis. 287 00:13:02,390 --> 00:13:04,565 Brain death is absolute and irreversible. 288 00:13:04,566 --> 00:13:06,045 You know that. 289 00:13:06,046 --> 00:13:08,003 I need one volunteer to assist with the exam. 290 00:13:08,004 --> 00:13:09,875 - I will. 291 00:13:09,876 --> 00:13:11,659 Like you said, Dr. Wolf, Sam is only here 292 00:13:11,660 --> 00:13:13,443 because a neurologist somewhere decided 293 00:13:13,444 --> 00:13:15,794 to have an honest conversation with a family. 294 00:13:15,795 --> 00:13:18,187 - How is shutting me out having an honest conversation 295 00:13:18,188 --> 00:13:19,798 with Michelle's family? 296 00:13:19,799 --> 00:13:21,756 You don't get to make decisions without me here. 297 00:13:21,757 --> 00:13:23,105 If you want to do something more, 298 00:13:23,106 --> 00:13:26,021 you can start by respecting my wishes. 299 00:13:26,022 --> 00:13:28,676 - Van wants to be present for Michelle's brain death exam. 300 00:13:28,677 --> 00:13:32,071 I often allow families in the room, but with Van, 301 00:13:32,072 --> 00:13:33,768 a big part of me wonders if it's the right call. 302 00:13:33,769 --> 00:13:36,162 - Maybe this will help him process the loss. 303 00:13:36,163 --> 00:13:37,250 Accept what happened. 304 00:13:37,251 --> 00:13:38,947 - Yeah. Why you hesitating? 305 00:13:38,948 --> 00:13:40,862 - Maybe more information isn't always better. 306 00:13:40,863 --> 00:13:43,083 Maybe there are things better left unseen. 307 00:13:44,519 --> 00:13:47,390 But if it helps him process, I can allow it. 308 00:13:47,391 --> 00:13:50,350 Are these Nic Bozic's scans? - Yes. The other driver. 309 00:13:50,351 --> 00:13:52,004 - His tox screen came back clean, 310 00:13:52,005 --> 00:13:53,832 so I'm wondering whether his symptoms are neurological. 311 00:13:53,833 --> 00:13:55,268 - What, you don't think this is Psych? 312 00:13:55,269 --> 00:13:56,443 - It's too hard to tell. 313 00:13:56,444 --> 00:13:58,010 Too lucid for psychosis, 314 00:13:58,011 --> 00:14:00,012 too upbeat for Major Depressive Disorder. 315 00:14:00,013 --> 00:14:01,840 And no life events point to complex trauma. 316 00:14:01,841 --> 00:14:03,972 - It's possible the accident caused some subtle damage 317 00:14:03,973 --> 00:14:05,539 that we aren't appreciating on CT, 318 00:14:05,540 --> 00:14:07,541 but with this clean of a scan and history, 319 00:14:07,542 --> 00:14:09,282 it would seem related to the accident. 320 00:14:09,283 --> 00:14:11,197 - Well, in his defense, laughing at distress makes sense, 321 00:14:11,198 --> 00:14:12,676 neurochemically speaking. 322 00:14:12,677 --> 00:14:14,722 It releases a dream cocktail of endorphins, 323 00:14:14,723 --> 00:14:16,202 dopamine, lowers cortisol. 324 00:14:16,203 --> 00:14:17,725 - Somehow I don't think low cortisol 325 00:14:17,726 --> 00:14:19,248 will do him any favors on the ice. 326 00:14:19,249 --> 00:14:21,250 - He plays hockey? - Yep. 327 00:14:21,251 --> 00:14:22,556 - Interesting. Maybe we should 328 00:14:22,557 --> 00:14:25,124 bring Dr. Nash in on this. - Hmm. 329 00:14:25,125 --> 00:14:28,562 Dr. Thorne told me he got a job offer. 330 00:14:28,563 --> 00:14:30,129 Is this your way of 331 00:14:30,130 --> 00:14:32,218 running through the airport, begging him to stay? 332 00:14:32,219 --> 00:14:34,785 - Begging people to stay isn't exactly my style, Carol. 333 00:14:34,786 --> 00:14:37,614 Just ask my dad. Or Josh. 334 00:14:37,615 --> 00:14:41,357 - Well, I'm, for one, I'm happy for Dr. Nash. 335 00:14:41,358 --> 00:14:43,055 - Yeah. 336 00:14:43,056 --> 00:14:45,797 Sometimes we gotta let our fledglings fly. 337 00:14:48,583 --> 00:14:50,366 - She's been off sedation long enough. 338 00:14:50,367 --> 00:14:51,585 Her hemodynamics are good. 339 00:14:51,586 --> 00:14:53,413 There's no fevers. 340 00:14:53,414 --> 00:14:55,894 Nothing that will affect the results of our exam. 341 00:14:55,895 --> 00:14:57,852 Do you have any questions before we start? 342 00:14:57,853 --> 00:15:00,116 [ Air hissing, monitors beeping ] 343 00:15:00,334 --> 00:15:06,948 ♪ 344 00:15:06,949 --> 00:15:09,821 No pupillary response to light. 345 00:15:12,912 --> 00:15:15,523 No corneal reflex. 346 00:15:17,568 --> 00:15:19,919 No oculocephalic reflex. 347 00:15:20,136 --> 00:15:25,184 ♪ 348 00:15:25,185 --> 00:15:27,317 No oculovestibular reflex. 349 00:15:27,535 --> 00:15:33,235 ♪ 350 00:15:33,236 --> 00:15:36,152 No gag. No cough. 351 00:15:39,242 --> 00:15:43,637 - I know you have to do the response to pain test. 352 00:15:43,638 --> 00:15:46,031 Go on. 353 00:15:46,032 --> 00:16:01,960 ♪ 354 00:16:01,961 --> 00:16:06,052 - There is no response to painful stimuli. 355 00:16:08,532 --> 00:16:10,533 Can you call in her family? 356 00:16:10,534 --> 00:16:12,405 They want to be here for the apnea test. 357 00:16:12,406 --> 00:16:14,494 - No. Dr. Wolf, she's not ready 358 00:16:14,495 --> 00:16:16,235 for the apnea test. If she fails that test, 359 00:16:16,236 --> 00:16:18,106 then she's proclaimed brain dead. 360 00:16:18,107 --> 00:16:20,630 Are we-- Are we sure the sedation's out of her system? 361 00:16:20,631 --> 00:16:22,502 - We are. - What if she's locked in or-- 362 00:16:22,503 --> 00:16:26,375 - You've seen her exam and her imaging, Van. 363 00:16:26,376 --> 00:16:27,637 This is not like Roman. 364 00:16:27,638 --> 00:16:29,509 - Okay, then we give her more time. 365 00:16:29,510 --> 00:16:31,250 We do the second brain death exam, 366 00:16:31,251 --> 00:16:33,295 and if she fails that, then you can do the apnea test. 367 00:16:33,296 --> 00:16:34,731 That used to be the recommendation anyway. 368 00:16:34,732 --> 00:16:36,517 - It's not anymore. 369 00:16:39,041 --> 00:16:42,001 You know nothing is gonna change over time, Van. 370 00:16:44,655 --> 00:16:46,961 - I need more time. 371 00:16:46,962 --> 00:16:49,398 Okay? 372 00:16:49,399 --> 00:16:51,619 Please. 373 00:16:53,055 --> 00:16:55,013 - [ Clears throat ] 374 00:16:55,014 --> 00:16:57,624 Okay. 375 00:16:57,625 --> 00:17:00,367 We can wait until later to do the second exam. 376 00:17:03,500 --> 00:17:05,371 - So, what happens next? 377 00:17:05,372 --> 00:17:08,243 - We will repeat the brain death test, 378 00:17:08,244 --> 00:17:10,898 and then we'll take Michelle off the ventilator 379 00:17:10,899 --> 00:17:13,466 to see that she doesn't breathe on her own. 380 00:17:13,467 --> 00:17:15,511 That's the apnea test we talked about. 381 00:17:15,512 --> 00:17:17,470 - I don't know if this is the right time to ask, 382 00:17:17,471 --> 00:17:18,819 but I trust your opinion. 383 00:17:18,820 --> 00:17:20,690 - Please ask any questions you have. 384 00:17:20,691 --> 00:17:25,478 - Michelle wrote out her advanced directives. 385 00:17:25,479 --> 00:17:30,788 She wanted to be sure that everything was set up for Liam. 386 00:17:33,574 --> 00:17:37,751 And she was very clear that she wanted to be an organ donor. 387 00:17:37,752 --> 00:17:39,492 It was important to her. 388 00:17:39,493 --> 00:17:42,625 - It's-- It's too early to be discussing donation, Shauna. 389 00:17:42,626 --> 00:17:44,714 Professionally, I'd advise we hold off until the second-- 390 00:17:44,715 --> 00:17:46,499 - Van. Van. 391 00:17:46,500 --> 00:17:48,675 Please. 392 00:17:48,676 --> 00:17:51,940 I need to hear what Michelle's doctor thinks. 393 00:17:52,114 --> 00:17:59,338 ♪ 394 00:17:59,339 --> 00:18:01,602 [ Indistinct conversations ] 395 00:18:03,734 --> 00:18:05,953 - An EEG, Van? 396 00:18:05,954 --> 00:18:08,608 - Well, I'm grasping at straws, but I have to try. 397 00:18:08,609 --> 00:18:10,305 If I don't, how else will Liam know 398 00:18:10,306 --> 00:18:13,395 that I did everything I could to try and save his mom? 399 00:18:13,396 --> 00:18:14,962 - You want company? 400 00:18:14,963 --> 00:18:16,834 - I'm good. Thanks, though. 401 00:18:17,052 --> 00:18:34,764 ♪ 402 00:18:34,765 --> 00:18:36,679 - We obviously have a lot to discuss, 403 00:18:36,680 --> 00:18:38,551 but today Van is our priority. 404 00:18:38,552 --> 00:18:39,943 Nothing else matters. 405 00:18:39,944 --> 00:18:41,858 Do you understand? - I completely agree. 406 00:18:41,859 --> 00:18:44,557 So, you are aware that he's putting EEGs on a dead person? 407 00:18:44,558 --> 00:18:47,081 - Yes, I am aware, Dr. Porter. 408 00:18:47,082 --> 00:18:48,952 And it won't change the outcome for Michelle, 409 00:18:48,953 --> 00:18:50,911 but it may change the outcome for Van, 410 00:18:50,912 --> 00:18:52,913 so let's let him have his process, okay? 411 00:18:52,914 --> 00:18:54,306 - I get it. 412 00:18:54,307 --> 00:18:57,004 Grief looks different for every person. 413 00:18:57,005 --> 00:18:59,963 I wouldn't wish that loss on my worst enemy. 414 00:18:59,964 --> 00:19:01,965 Have you asked him about his mirror touch? 415 00:19:01,966 --> 00:19:02,923 I mean, surely he would-- 416 00:19:02,924 --> 00:19:04,490 [ Groans ] - Hey! 417 00:19:04,491 --> 00:19:06,753 - Ask me about my mirror touch now, bitch. 418 00:19:06,754 --> 00:19:07,971 'Cause I know that hurt. 419 00:19:07,972 --> 00:19:09,757 - Hey. Hey. 420 00:19:09,974 --> 00:19:17,721 ♪ 421 00:19:22,161 --> 00:19:24,510 - Ah. Dr. Wolf, this is Rachel. 422 00:19:24,511 --> 00:19:26,599 She's a family friend. And a rabbi. 423 00:19:26,600 --> 00:19:29,906 - It's nice to meet you. Shauna filled me in. 424 00:19:29,907 --> 00:19:32,822 I'd like to offer spiritual guidance however I can. 425 00:19:32,823 --> 00:19:35,304 - Michelle isn't religious. 426 00:19:37,785 --> 00:19:39,264 - Can I ask who won? 427 00:19:39,265 --> 00:19:40,743 - Oh, no, Rabbi. 428 00:19:40,744 --> 00:19:42,789 When it comes to violence, nobody ever wins. 429 00:19:42,790 --> 00:19:44,138 It was a lapse in judgment, 430 00:19:44,139 --> 00:19:46,750 But Van knows he's better than that. 431 00:19:48,839 --> 00:19:51,319 - Can I interest anyone in a smoke, hmm? 432 00:19:51,320 --> 00:19:53,191 - This is a non-smoking hospital, Rabbi. 433 00:19:53,192 --> 00:19:55,062 Pretty sure most hospitals are. 434 00:19:55,063 --> 00:19:57,586 - Oh. [ Chuckles ] Figures. 435 00:19:57,587 --> 00:20:00,937 You can get away with so much more in Hoboken. 436 00:20:00,938 --> 00:20:03,113 Should we take this chat outside? 437 00:20:03,114 --> 00:20:04,898 In my experience, a smoke break 438 00:20:04,899 --> 00:20:06,421 makes hard talks a little easier. 439 00:20:06,422 --> 00:20:08,249 - Hoboken... 440 00:20:08,250 --> 00:20:12,645 New Jersey has religious exemption for brain death. 441 00:20:12,646 --> 00:20:14,386 Michelle can't be declared dead 442 00:20:14,387 --> 00:20:16,605 if we claim it goes against her religious views. 443 00:20:16,606 --> 00:20:18,433 - You just said Michelle isn't religious. 444 00:20:18,434 --> 00:20:20,696 - Religious exemption? Is this true? 445 00:20:20,697 --> 00:20:24,134 - That law was created out of respect for religious beliefs. 446 00:20:24,135 --> 00:20:27,050 It would be unethical and highly disrespectful 447 00:20:27,051 --> 00:20:28,313 to use it as a loophole. 448 00:20:28,314 --> 00:20:30,228 - I think the rabbi has a point, Van. 449 00:20:30,229 --> 00:20:33,796 - But what we can do in this moment is breathe 450 00:20:33,797 --> 00:20:36,712 and listen to each other and join together in prayer. 451 00:20:36,713 --> 00:20:38,627 It could be very powerful. 452 00:20:38,628 --> 00:20:40,150 [ Knock on door ] 453 00:20:40,151 --> 00:20:42,457 - Nic, there's somebody I'd like you to meet. 454 00:20:42,458 --> 00:20:44,024 This is Dr. Jacob Nash. 455 00:20:44,025 --> 00:20:46,244 - Before he was a neurologist, he competed D1-- 456 00:20:46,245 --> 00:20:48,768 - Dude, my dad went to Notre Dame. 457 00:20:48,769 --> 00:20:50,987 "Nash The Smash" is a legend in our household. 458 00:20:50,988 --> 00:20:53,163 - "Nash The Smash?" - God, man. 459 00:20:53,164 --> 00:20:56,254 That was the one nickname I was glad to retire. 460 00:20:56,255 --> 00:20:57,472 - If it makes you feel any better, 461 00:20:57,473 --> 00:20:59,039 my nickname is way worse. 462 00:20:59,040 --> 00:21:01,260 My teammates call me The Joker. 463 00:21:03,305 --> 00:21:05,219 Like the villain. 464 00:21:05,220 --> 00:21:06,655 I can't help but lose my mind 465 00:21:06,656 --> 00:21:09,615 anytime things get intense-- or violent. 466 00:21:09,616 --> 00:21:12,922 - If I ever went against somebody named Joker, I'd be shook. 467 00:21:12,923 --> 00:21:14,402 You ever got in one of your opponents' faces 468 00:21:14,403 --> 00:21:16,056 and was just like 469 00:21:16,057 --> 00:21:20,626 [imitating Joker] "Why so serious?" 470 00:21:20,627 --> 00:21:23,499 [ Laughter ] 471 00:21:25,196 --> 00:21:27,372 - [ Cries ] 472 00:21:27,373 --> 00:21:30,766 - Nic, what are you feeling right now? 473 00:21:30,767 --> 00:21:34,814 - I don't know. I-I meant to laugh. 474 00:21:34,815 --> 00:21:37,469 - Can you tell us how you feel about the car accident? 475 00:21:37,470 --> 00:21:40,167 - [ Chuckling ] I feel horrible. 476 00:21:40,168 --> 00:21:41,995 [ Laughing ] I-- I-- 477 00:21:41,996 --> 00:21:45,912 I hear the other driver isn't gonna make it. 478 00:21:45,913 --> 00:21:48,349 [ Laughing ] 479 00:21:48,350 --> 00:21:50,308 I tried to brake, 480 00:21:50,309 --> 00:21:52,832 but it was raining, 481 00:21:52,833 --> 00:21:54,660 and the roads were ice 482 00:21:54,661 --> 00:21:56,662 and I didn't see her. 483 00:21:56,663 --> 00:21:59,534 [ Laughs ] I can't go to jail. 484 00:21:59,535 --> 00:22:02,015 [ Laughs ] - It's okay. It's okay. 485 00:22:02,016 --> 00:22:03,059 No one's blaming you. 486 00:22:03,060 --> 00:22:04,974 Let's practice grounding. 487 00:22:04,975 --> 00:22:06,585 Just breathe. 488 00:22:06,586 --> 00:22:08,151 [ Laughter subsides ] 489 00:22:08,152 --> 00:22:10,023 Okay. 490 00:22:10,024 --> 00:22:12,112 - [ Breathing deeply ] 491 00:22:12,113 --> 00:22:13,766 - I think I know what it is. 492 00:22:13,767 --> 00:22:16,246 In the movie, Joaquin's Joker has Pseudobulbar Affect. 493 00:22:16,247 --> 00:22:19,162 His feelings were sound. His reactions are the thing 494 00:22:19,163 --> 00:22:20,816 that were out of sync, like Nic. 495 00:22:20,817 --> 00:22:22,383 - And how do you know that? 496 00:22:22,384 --> 00:22:23,993 - My incredible neuropsych mentors 497 00:22:23,994 --> 00:22:25,691 taught me how to think outside the box... 498 00:22:25,692 --> 00:22:26,996 and Reddit. 499 00:22:26,997 --> 00:22:29,129 - His nickname is The Joker. 500 00:22:29,130 --> 00:22:31,000 So the accident didn't cause this. 501 00:22:31,001 --> 00:22:32,524 - It's unlikely, 502 00:22:32,525 --> 00:22:34,308 especially since no damage showed up in the scan. 503 00:22:34,309 --> 00:22:35,483 The cause could be more insidious. 504 00:22:35,484 --> 00:22:37,180 - Mm-hmm. - ALS, MS, 505 00:22:37,181 --> 00:22:39,139 a traumatic brain injury. - Mm-hmm. Concussions. 506 00:22:39,140 --> 00:22:41,141 Too many head shots or hits from playing rough. 507 00:22:41,142 --> 00:22:44,057 So his emotional incontinence is from hockey, 508 00:22:44,058 --> 00:22:46,233 not the accident. - Bingo. 509 00:22:46,234 --> 00:22:49,149 It's rare, so we'll need an MRI and PBA exam, but-- 510 00:22:49,150 --> 00:22:50,759 - There is hope. 511 00:22:50,760 --> 00:22:53,371 Well done, Dr. Nash. 512 00:22:53,372 --> 00:22:55,809 [ Both chuckle ] 513 00:22:57,201 --> 00:22:59,638 [ Telephone ringing ] 514 00:22:59,639 --> 00:23:02,162 We are really losing a good one with Nash. 515 00:23:02,163 --> 00:23:03,946 - Mm. - [ Chuckles ] 516 00:23:03,947 --> 00:23:06,601 You think you can sway him? - Oh, one can only hope. 517 00:23:06,602 --> 00:23:08,690 I could use all the allies I can get around here. 518 00:23:08,691 --> 00:23:10,605 - [ Chuckles ] 519 00:23:10,606 --> 00:23:13,869 - Dr. Porter's speech was about me at the gala. 520 00:23:13,870 --> 00:23:15,393 I'm the doctor who treated his mother. 521 00:23:15,394 --> 00:23:17,395 - The woman you told me about at Halloween? 522 00:23:17,396 --> 00:23:19,701 The one who haunts you? - Elizabeth Asher. 523 00:23:19,702 --> 00:23:21,660 When I tried to apologize, he told me 524 00:23:21,661 --> 00:23:24,576 what I did caused his father to drink himself to death. 525 00:23:24,577 --> 00:23:26,142 He blames me for ruining his life, 526 00:23:26,143 --> 00:23:29,538 and he came here to return the favor. 527 00:23:30,887 --> 00:23:33,412 - You say you cared about his mom, right? 528 00:23:34,456 --> 00:23:36,326 Now, how do you think she would feel 529 00:23:36,327 --> 00:23:40,244 if she knew her son was hurting this bad 20 years later? 530 00:23:43,204 --> 00:23:45,771 - Okay, fine. 531 00:23:45,772 --> 00:23:48,514 I'll keep trying for her. 532 00:23:50,341 --> 00:23:53,039 - Anything else you want to talk about? 533 00:23:53,040 --> 00:23:56,999 - Well, I already told you I was fixing my bike. 534 00:23:57,000 --> 00:24:00,612 - On days like today, we're all hurting. 535 00:24:00,613 --> 00:24:02,396 Even Charlie. 536 00:24:02,397 --> 00:24:05,051 I have a good friend who's an even better therapist-- 537 00:24:05,052 --> 00:24:07,357 Dr. Rosenthal. 538 00:24:07,358 --> 00:24:09,011 - Mm. 539 00:24:09,012 --> 00:24:11,231 - Charlie doesn't really strike me as the therapy type, 540 00:24:11,232 --> 00:24:12,450 but be my guest. 541 00:24:12,451 --> 00:24:14,888 - I was talking about you, Wolf. 542 00:24:16,106 --> 00:24:17,411 The deeper you bury something, 543 00:24:17,412 --> 00:24:20,154 the harder it'll fight to come out. 544 00:24:22,156 --> 00:24:23,809 - There was a case study in med school 545 00:24:23,810 --> 00:24:25,854 about a woman who was misdiagnosed with depression 546 00:24:25,855 --> 00:24:28,988 for years till they figured out it was Pseudobulbar Affect. 547 00:24:28,989 --> 00:24:30,990 Nice catch. 548 00:24:30,991 --> 00:24:32,339 - Thanks. 549 00:24:32,340 --> 00:24:34,689 Nic's a good kid. I feel for him. 550 00:24:34,690 --> 00:24:36,952 Can't be easy having a condition like a Batman villain. 551 00:24:36,953 --> 00:24:38,824 - Well, I have the same disposition 552 00:24:38,825 --> 00:24:40,956 as another Batman villain, and yet Dana 553 00:24:40,957 --> 00:24:42,697 still won't let us get a cat. 554 00:24:42,698 --> 00:24:44,612 - But I fully support your right to wear a Lycra bodysuit. 555 00:24:44,613 --> 00:24:46,875 - Now, see, I can get behind that. 556 00:24:46,876 --> 00:24:48,877 Halle Berry, Hallelujah. 557 00:24:48,878 --> 00:24:50,488 - Oh, my God. - [ Chuckles ] 558 00:24:50,489 --> 00:24:52,926 - I'm taking Michelle to New Jersey. 559 00:24:54,449 --> 00:24:55,667 - Okay. 560 00:24:55,668 --> 00:24:58,191 Um, but why? And how? 561 00:24:58,192 --> 00:25:00,802 - New Jersey has a religious exemption for brain death. 562 00:25:00,803 --> 00:25:02,456 And I don't know the how yet. 563 00:25:02,457 --> 00:25:05,372 That's why I'm looping in the Fantastic Four. 564 00:25:05,373 --> 00:25:07,113 Can we borrow Katie's ambulance? 565 00:25:07,114 --> 00:25:11,509 - I don't think borrowing ambulances is a thing. 566 00:25:11,510 --> 00:25:12,858 But I can ask. 567 00:25:12,859 --> 00:25:14,642 - All right, Van, slow down. 568 00:25:14,643 --> 00:25:16,818 You're not thinking straight. This could get us all fired. 569 00:25:16,819 --> 00:25:18,908 - What do you care? You're leaving? 570 00:25:19,779 --> 00:25:21,823 Look, I'm getting Michelle out of here 571 00:25:21,824 --> 00:25:23,956 before Wolf can perform a second brain death test. 572 00:25:23,957 --> 00:25:26,132 If you want to help, this is your chance. 573 00:25:26,133 --> 00:25:31,354 ♪ 574 00:25:31,355 --> 00:25:33,182 - Is it just me, or does that uniform 575 00:25:33,183 --> 00:25:34,444 really bring out your eyes? 576 00:25:34,445 --> 00:25:36,272 - It's because I'm a deep autumn. 577 00:25:36,273 --> 00:25:37,926 - Mmm. - What do you want, babe? 578 00:25:37,927 --> 00:25:40,233 - What, a girl can't pay her girlfriend a compliment 579 00:25:40,234 --> 00:25:43,237 without an ulterior motive? - Not mine. 580 00:25:45,195 --> 00:25:47,153 - Van wants to take Michelle to New Jersey, 581 00:25:47,154 --> 00:25:50,286 and obviously an ambulance is the safest way. 582 00:25:50,287 --> 00:25:53,420 - That sounds just a tad illegal. 583 00:25:53,421 --> 00:25:55,727 - What happened to your rule-breaking spirit, Rodriguez? 584 00:25:55,728 --> 00:25:59,208 - There is no way that you would be this reckless. 585 00:25:59,209 --> 00:26:01,559 - Uh... 586 00:26:01,560 --> 00:26:04,474 - You're banking on me saying no, aren't you? 587 00:26:04,475 --> 00:26:07,260 So that you can tell Van that you tried? 588 00:26:07,261 --> 00:26:09,131 What would you do if I said yes? 589 00:26:09,132 --> 00:26:11,743 - I would say, "Thank you. 590 00:26:11,744 --> 00:26:13,396 Let's go to New Jersey." 591 00:26:13,397 --> 00:26:16,312 A sentence I rarely utter with such enthusiasm. 592 00:26:16,313 --> 00:26:19,533 But, honestly, Van is desperate. 593 00:26:19,534 --> 00:26:22,449 And maybe this is just a way of postponing the inevitable, 594 00:26:22,450 --> 00:26:24,887 but he needs to know that we are here for him. 595 00:26:26,454 --> 00:26:28,411 - I wish I could help, but I can't. 596 00:26:28,412 --> 00:26:31,502 Sorry, Dana. My hands are tied. 597 00:26:31,677 --> 00:26:40,947 ♪ 598 00:26:44,603 --> 00:26:47,213 - Thank you for coming in, Mr. and Mrs. Bozic. 599 00:26:47,214 --> 00:26:49,389 We've diagnosed your son with a neurological form 600 00:26:49,390 --> 00:26:50,999 of emotional incontinence 601 00:26:51,000 --> 00:26:53,088 which causes him to have a reaction 602 00:26:53,089 --> 00:26:55,308 contrary to what he's actually feeling. 603 00:26:55,309 --> 00:26:57,223 It's called Pseudobulbar Affect. 604 00:26:57,224 --> 00:26:58,616 - You remember when I was grounded 605 00:26:58,617 --> 00:27:00,182 for cracking up at Nana's funeral? 606 00:27:00,183 --> 00:27:01,923 - Well, we always thought you had a-- 607 00:27:01,924 --> 00:27:03,490 a strange sense of humor. 608 00:27:03,491 --> 00:27:06,362 - Undiagnosed concussions from playing hockey 609 00:27:06,363 --> 00:27:07,668 are the culprit. 610 00:27:07,669 --> 00:27:10,540 It'll take some time, but with SSRIs, 611 00:27:10,541 --> 00:27:13,108 mood stabilizers, coupled with therapy, 612 00:27:13,109 --> 00:27:15,545 he can regain control over his emotions. 613 00:27:15,546 --> 00:27:17,373 - Another silver lining is that we've ruled out 614 00:27:17,374 --> 00:27:19,245 negligence for driving under the influence. 615 00:27:19,246 --> 00:27:22,249 The accident was deemed no fault due to the weather. 616 00:27:23,076 --> 00:27:26,427 - Thank you for not writing me off. 617 00:27:27,994 --> 00:27:31,650 Could you give this letter to the other driver's family? 618 00:27:33,216 --> 00:27:35,087 [ Laughs ] 619 00:27:35,088 --> 00:27:36,566 I, uh... 620 00:27:36,567 --> 00:27:38,568 I wanted to tell them I was sorry in person, 621 00:27:38,569 --> 00:27:40,788 but any time I'd think about it, I'd laugh. 622 00:27:40,789 --> 00:27:42,703 By the time I'd written it down, it was too late. 623 00:27:42,704 --> 00:27:44,792 The doctors had already put her in the ambulance. 624 00:27:44,793 --> 00:27:46,926 - Ambulance? 625 00:27:47,970 --> 00:27:50,798 Nic, can you tell us exactly what you saw? 626 00:27:50,799 --> 00:27:56,499 ♪ 627 00:27:56,500 --> 00:27:58,676 - Okay, so, since we have 628 00:27:58,677 --> 00:28:00,634 no accepting hospital on the other side, 629 00:28:00,635 --> 00:28:03,681 I guess we'll just find the nearest E.D. 630 00:28:03,682 --> 00:28:05,247 when we cross state lines. 631 00:28:05,248 --> 00:28:08,207 - Unit 242, what's your location? 632 00:28:08,208 --> 00:28:10,209 Please respond. - Um... 633 00:28:10,210 --> 00:28:12,864 [ Radio turns off ] - Nice. 634 00:28:12,865 --> 00:28:15,257 - What a mess we're in. 635 00:28:15,258 --> 00:28:18,391 - Wolf taught us well. 636 00:28:18,392 --> 00:28:21,611 - So then what's this about you leaving? 637 00:28:21,612 --> 00:28:23,439 And when were you gonna tell me? 638 00:28:23,440 --> 00:28:26,355 Because it didn't seem to come up when we were kissing. 639 00:28:26,356 --> 00:28:29,707 - Look, I was gonna tell you, but then you kissed me, 640 00:28:29,708 --> 00:28:33,014 and I gotta be real with you, Kinney. 641 00:28:33,015 --> 00:28:35,364 I'd been waiting a long time for that to happen. 642 00:28:35,365 --> 00:28:38,803 But, uh... 643 00:28:38,804 --> 00:28:40,326 It's a sports clinic in Dallas. 644 00:28:40,327 --> 00:28:42,458 And, uh... 645 00:28:42,459 --> 00:28:44,634 - Your dream. 646 00:28:44,635 --> 00:28:46,985 I'm really, really happy for you. 647 00:28:46,986 --> 00:28:49,684 And really, really sad for us. 648 00:28:51,686 --> 00:28:54,557 - You know, Wolf tried to convince me to stay. 649 00:28:54,558 --> 00:28:56,951 A part of me was hoping he would. 650 00:28:56,952 --> 00:28:59,911 - Well, he can't do that. 651 00:28:59,912 --> 00:29:02,565 As much as he wants to. 652 00:29:02,566 --> 00:29:03,958 As much as he'll miss you. 653 00:29:03,959 --> 00:29:06,744 As much as he might wonder 654 00:29:06,745 --> 00:29:09,529 what would have happened if you'd stayed. 655 00:29:09,530 --> 00:29:11,313 We can't ask people to stay 656 00:29:11,314 --> 00:29:15,101 because then what if they resent us if they do? 657 00:29:15,318 --> 00:29:20,627 ♪ 658 00:29:20,628 --> 00:29:24,023 Neuro's really gonna miss you, Jacob. 659 00:29:25,154 --> 00:29:29,202 - And I'm really gonna miss Neuro. 660 00:29:29,419 --> 00:29:35,903 ♪ 661 00:29:35,904 --> 00:29:38,298 [ Cellphone vibrating ] 662 00:29:42,606 --> 00:29:46,131 [ Monitor beeping ] 663 00:29:46,132 --> 00:29:49,351 - Is it okay if I talk to her? 664 00:29:49,352 --> 00:29:51,659 You know, in case she can hear me? 665 00:29:57,970 --> 00:30:00,799 I keep thinking about the day Liam was born. 666 00:30:02,017 --> 00:30:04,671 You were so angry at me 'cause I could barely handle 667 00:30:04,672 --> 00:30:07,456 being in the delivery room. 668 00:30:07,457 --> 00:30:09,154 I just couldn't explain to you 669 00:30:09,155 --> 00:30:11,635 that I could literally feel your pain. 670 00:30:12,985 --> 00:30:16,204 It didn't help that you waited six hours to get the epidural. 671 00:30:16,205 --> 00:30:21,731 ♪ 672 00:30:21,732 --> 00:30:25,779 The whole time, I was holding your hand, 673 00:30:25,780 --> 00:30:28,783 blown away by how calm you were. 674 00:30:30,132 --> 00:30:33,831 You remember what you said to me when they put Liam in your arms? 675 00:30:33,832 --> 00:30:38,009 You said, "I wish I could live forever 676 00:30:38,010 --> 00:30:40,708 so I could see his whole life." 677 00:30:42,841 --> 00:30:45,844 He's still so little. 678 00:30:48,934 --> 00:30:51,240 He needs you. 679 00:30:53,416 --> 00:30:55,723 We need you. 680 00:30:57,551 --> 00:31:00,728 Please don't leave us, Michelle. 681 00:31:03,818 --> 00:31:06,907 - Oh, my God, Van. 682 00:31:06,908 --> 00:31:09,128 - [ Inhaling sharply ] 683 00:31:10,825 --> 00:31:12,913 - Jacob! Turn the ambulance around! 684 00:31:12,914 --> 00:31:16,613 She's alive! [ Both laugh ] 685 00:31:18,485 --> 00:31:21,356 Hey. Hey, Michelle. 686 00:31:21,357 --> 00:31:23,532 You're okay You're okay. You're okay. 687 00:31:23,533 --> 00:31:25,621 Oh! 688 00:31:25,622 --> 00:31:28,015 - ♪ You sleep ♪ 689 00:31:28,016 --> 00:31:30,496 ♪ But your soul ♪ 690 00:31:30,497 --> 00:31:34,240 ♪ Your soul ain't sound ♪ 691 00:31:36,720 --> 00:31:38,330 - She's awake. 692 00:31:38,331 --> 00:31:41,550 - You never gave up. - ♪ You scream ♪ 693 00:31:41,551 --> 00:31:46,904 ♪ 'Cause you know it's a long way down ♪ 694 00:31:46,905 --> 00:31:49,428 - Mommy! - Hi, honey! 695 00:31:49,429 --> 00:31:51,169 Ooh! 696 00:31:51,170 --> 00:31:52,953 Hi. 697 00:31:52,954 --> 00:31:55,303 Ah. Mommy was in an accident, 698 00:31:55,304 --> 00:31:58,219 but everything's okay now. 699 00:31:58,220 --> 00:32:00,526 - By the power vested in me, 700 00:32:00,527 --> 00:32:04,225 I now pronounce you husband and wife. 701 00:32:04,226 --> 00:32:07,446 Van, you may now kiss your bride. 702 00:32:07,447 --> 00:32:09,928 - [ Chuckles ] 703 00:32:11,494 --> 00:32:14,062 [ Cheers and applause ] 704 00:32:14,976 --> 00:32:18,937 - ♪ Please ♪ 705 00:32:19,154 --> 00:32:24,898 ♪ 706 00:32:24,899 --> 00:32:27,467 - [ Laughs ] 707 00:32:27,684 --> 00:32:35,343 ♪ 708 00:32:35,344 --> 00:32:39,087 - ♪ Tell somebody ♪ 709 00:32:39,305 --> 00:32:57,583 ♪ 710 00:32:57,584 --> 00:32:59,890 [ Monitor beeping ] 711 00:33:01,544 --> 00:33:03,807 - She's never coming back, is she? 712 00:33:03,982 --> 00:33:08,855 ♪ 713 00:33:08,856 --> 00:33:11,032 Tell Jacob to turn the car around. 714 00:33:11,250 --> 00:33:16,645 ♪ 715 00:33:16,646 --> 00:33:20,519 - Hey, Jacob, we can turn around. 716 00:33:20,520 --> 00:33:22,783 Let's head back to Bronx General. 717 00:33:23,001 --> 00:33:29,006 ♪ 718 00:33:29,007 --> 00:33:32,096 [ Air hisses ] 719 00:33:32,097 --> 00:33:34,490 [ Monitors beeping ] 720 00:33:37,580 --> 00:33:39,930 - And now we wait 10 minutes. 721 00:33:40,105 --> 00:33:55,293 ♪ 722 00:33:55,294 --> 00:33:57,296 Thank you. 723 00:33:57,513 --> 00:34:09,437 ♪ 724 00:34:09,438 --> 00:34:13,093 - Her carbon dioxide climbed above 70. 725 00:34:13,094 --> 00:34:15,488 There were no spontaneous breaths. 726 00:34:17,142 --> 00:34:19,231 Time of death-- 2:11 p.m. 727 00:34:19,448 --> 00:34:32,286 ♪ 728 00:34:32,287 --> 00:34:35,202 I love you. 729 00:34:35,203 --> 00:34:55,048 ♪ 730 00:34:55,049 --> 00:34:57,443 [ All crying ] 731 00:35:05,320 --> 00:35:07,757 [ Indistinct conversations ] - Is it that good? 732 00:35:10,195 --> 00:35:14,241 - I know I'm the last person you want to talk to right now. 733 00:35:14,242 --> 00:35:16,765 And I'm sorry for what I said earlier. 734 00:35:16,766 --> 00:35:19,551 It was, uh, thoughtless. 735 00:35:19,552 --> 00:35:21,901 But I do have to say something. 736 00:35:21,902 --> 00:35:23,642 I was Liam. 737 00:35:23,643 --> 00:35:27,734 When you lose a parent at a young age, it's confusing. 738 00:35:28,822 --> 00:35:32,738 Everyone showers you with attention and gifts. 739 00:35:32,739 --> 00:35:34,392 They're sad, 740 00:35:34,393 --> 00:35:37,046 and they're trying to be so happy around you. 741 00:35:37,047 --> 00:35:38,483 - [ Laughs ] 742 00:35:38,484 --> 00:35:40,746 - Honestly, I didn't really fully grasp 743 00:35:40,747 --> 00:35:43,836 the reality of it until my dad died, too. 744 00:35:43,837 --> 00:35:46,969 But the-- the point is, 745 00:35:46,970 --> 00:35:51,365 dying of a broken heart is not as romantic as it sounds. 746 00:35:51,366 --> 00:35:53,019 Don't give up. 747 00:35:53,020 --> 00:35:55,370 Liam needs you now more than ever. 748 00:35:56,763 --> 00:35:58,459 Don't let him lose you both. 749 00:35:58,460 --> 00:36:01,855 Unless you, uh, want Liam to turn out like me. 750 00:36:04,858 --> 00:36:08,600 - No, that's my bite, Sharkie. 751 00:36:08,601 --> 00:36:11,168 Come on. Sharkie, I want my bike. 752 00:36:11,169 --> 00:36:13,909 I don't want Sharkie to have it. 753 00:36:13,910 --> 00:36:16,042 - Hey, kiddo. 754 00:36:16,043 --> 00:36:17,697 [ Grunts ] 755 00:36:21,918 --> 00:36:24,137 - I know everything didn't happen 756 00:36:24,138 --> 00:36:26,183 the way you and Michelle wanted it to, 757 00:36:26,184 --> 00:36:29,143 or the way I wanted it to for that matter. 758 00:36:30,884 --> 00:36:34,713 But she always said what an amazing dad you are. 759 00:36:34,714 --> 00:36:36,497 - You don't have to say all that, Shauna. 760 00:36:36,498 --> 00:36:39,021 - She'd want you to know. 761 00:36:39,022 --> 00:36:42,808 She told me that every time Liam looked up at you, 762 00:36:42,809 --> 00:36:45,638 she'd fall for you all over again. 763 00:36:47,596 --> 00:36:51,904 I'm glad she had you. 764 00:36:51,905 --> 00:36:54,690 I'm glad Liam has you. 765 00:36:56,692 --> 00:36:57,693 - Thank you. 766 00:36:57,911 --> 00:37:02,349 ♪ 767 00:37:02,350 --> 00:37:03,786 - Wow. 768 00:37:05,875 --> 00:37:07,746 - It was Liam's idea. 769 00:37:07,747 --> 00:37:09,530 He wanted to do it for his mom. 770 00:37:09,531 --> 00:37:12,446 - Oh, that's beautiful, buddy. 771 00:37:12,447 --> 00:37:14,796 Yeah, she would have loved it. 772 00:37:14,797 --> 00:37:17,364 Hey. Can I tell you something? 773 00:37:17,365 --> 00:37:21,542 So [clears throat] before Mommy died, 774 00:37:21,543 --> 00:37:24,197 she said that if anything were to ever happen to her, 775 00:37:24,198 --> 00:37:27,113 she wanted to help people who were very sick. 776 00:37:27,114 --> 00:37:29,985 So we're going to do something called an honor walk. 777 00:37:29,986 --> 00:37:31,726 It's very special. 778 00:37:31,727 --> 00:37:33,250 It's for people like Mommy who are so brave 779 00:37:33,251 --> 00:37:35,077 and chose to help others. Okay? 780 00:37:35,078 --> 00:37:36,775 - Mm-hmm. - Yeah? 781 00:37:36,776 --> 00:37:38,733 All right. Yeah. 782 00:37:38,734 --> 00:37:41,258 This is great. Look at these jellyfish. 783 00:37:41,259 --> 00:37:43,564 Did you do this one? - Yeah. 784 00:37:43,565 --> 00:37:45,697 - You can tell because it's your favorite color. 785 00:37:45,698 --> 00:37:47,307 Great. 786 00:37:47,308 --> 00:37:48,917 Wow. 787 00:37:48,918 --> 00:37:51,443 [ Young Fathers' "Tell Somebody" playing ] 788 00:37:51,660 --> 00:38:01,060 ♪ 789 00:38:01,061 --> 00:38:04,238 - ♪ Tell somebody ♪ 790 00:38:04,412 --> 00:38:14,639 ♪ 791 00:38:14,640 --> 00:38:16,468 ♪ Tell somebody ♪ 792 00:38:17,556 --> 00:38:31,483 ♪ Tell somebody ♪ 793 00:38:31,700 --> 00:38:37,053 ♪ 794 00:38:38,838 --> 00:38:40,621 - The stolen ambulance wasn't reported, 795 00:38:40,622 --> 00:38:42,101 so it's not on your records. 796 00:38:42,102 --> 00:38:44,625 You have Katie to thank for that. 797 00:38:44,626 --> 00:38:47,280 Well, luckily, you only made it a few miles. 798 00:38:47,281 --> 00:38:50,152 - Dr. Wolf [clears throat] I've been thinking, 799 00:38:50,153 --> 00:38:53,505 and I need to step away from the department. 800 00:38:54,941 --> 00:38:57,334 - Of course. Take as much time as you need. 801 00:38:57,335 --> 00:38:58,770 Two weeks, a month? 802 00:38:58,771 --> 00:39:00,815 - I was thinking longer than that. 803 00:39:00,816 --> 00:39:03,078 I need to be there for Liam. 804 00:39:03,079 --> 00:39:05,472 I don't know when I'll be back. 805 00:39:05,473 --> 00:39:06,952 - Well, we need you. 806 00:39:06,953 --> 00:39:09,607 Dr. Markus, you have a gift. 807 00:39:09,608 --> 00:39:11,348 - I always thought my mirror touch 808 00:39:11,349 --> 00:39:13,350 would make me a better doctor, 809 00:39:13,351 --> 00:39:15,700 that it was my purpose. 810 00:39:15,701 --> 00:39:17,876 But I was wrong. 811 00:39:17,877 --> 00:39:19,443 I need it to be a better dad. 812 00:39:19,444 --> 00:39:22,446 - Well, if I were in your shoes, I would stay. 813 00:39:22,447 --> 00:39:24,709 Work can be a stabilizing force. 814 00:39:24,710 --> 00:39:26,406 Don't cut yourself off from that. 815 00:39:26,407 --> 00:39:28,365 - I'm not you, Dr. Wolf. 816 00:39:28,366 --> 00:39:31,369 I need time for myself and my family. 817 00:39:33,109 --> 00:39:35,067 - I understand. 818 00:39:35,068 --> 00:39:38,332 How about you, Nash? Can I convince you to stay? 819 00:39:39,289 --> 00:39:42,857 - When I got injured, doctors were in 820 00:39:42,858 --> 00:39:45,556 and out of the room telling me what was best for me. 821 00:39:45,557 --> 00:39:48,907 No one ever took the time to get to know me. 822 00:39:48,908 --> 00:39:53,041 Not the way you take the time to get to know your patients. 823 00:39:53,042 --> 00:39:54,695 I want to give athletes 824 00:39:54,696 --> 00:39:56,828 the kind of care you taught me every patient deserves, 825 00:39:56,829 --> 00:40:00,006 the kind of care I wish I got when I was a kid. 826 00:40:02,400 --> 00:40:04,010 I've gotta go. 827 00:40:06,578 --> 00:40:08,317 - Okay. 828 00:40:08,318 --> 00:40:10,102 - I don't start for a couple of months, 829 00:40:10,103 --> 00:40:13,976 so I'm gonna help Van and Liam for a while. 830 00:40:14,977 --> 00:40:18,764 - Well... Bronx General will miss you. 831 00:40:20,940 --> 00:40:23,898 I'll miss you. 832 00:40:23,899 --> 00:40:26,815 My door is always open. 833 00:40:28,513 --> 00:40:30,471 - Wolf pack forever? 834 00:40:31,254 --> 00:40:32,647 - [ Chuckles ] 835 00:40:32,865 --> 00:40:47,662 ♪ 836 00:40:47,880 --> 00:40:56,496 ♪ 837 00:40:56,497 --> 00:40:58,933 [ Running footsteps ] 838 00:40:58,934 --> 00:41:00,457 [ Keys jingling, lock turns ] 839 00:41:00,458 --> 00:41:04,374 [ Door opens ] 840 00:41:05,419 --> 00:41:08,770 [ Horn honks, dog barks outside ] 841 00:41:11,251 --> 00:41:13,427 - Don't be alarmed. I know Noah. 842 00:41:15,516 --> 00:41:16,822 - I know. 843 00:41:17,649 --> 00:41:20,433 I knew we'd meet sooner or later. 844 00:41:20,434 --> 00:41:22,000 - Who are you? 845 00:41:22,001 --> 00:41:25,307 - Sofia. 846 00:41:25,308 --> 00:41:27,659 You look just like him, Oliver. 847 00:41:29,443 --> 00:41:31,706 - Greg, move your head. 848 00:41:36,363 --> 00:41:46,242 ♪ 849 00:41:46,460 --> 00:42:06,524 ♪