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1
Previously on "The Night Shift"
I'm a doctor.
We're gonna take
this branch out and do a DPL.
- Where'd you learn that?
- Afghanistan.
Jordan: Medically speaking,
TC is irreplaceable.
Ragosa: Everybody can be replaced.
So you either get in line
or you are out of here!
Now we're even.
TC drives me nuts, but
there's no shock there.
Sounds like an interesting story.
And it's a long one.
I know we're not together anymore,
but it doesn't mean that
I stopped caring about you.
- I loved hearing from my new boss
that I'm banging her ex.
- Mm.
Thanks for the heads-up on that one.
[Grace Potter and the Nocturnals' "***"]
Listen up, everybody!
The night shift starts in five minutes.
You got five minutes, and then you're mine.
So let's bet a hundo each
on the ducks, minus the 28.
Uh, ASU minus 4,
LSU minus 12,
uh, K-state plus 5 1/2,
and the aggies minus 6.
Uh-huh.
If you lose, I'm not
loaning you any more money.
I'm serious.
I've got twins on the way.
My wife's gonna kill me.
I paid you back the $400.
You owed me $800!
I said, lord, take me down
- Hey, Topher.
- Dr.
Alexander.
- TC.
- Hey.
Do you just look for opportunities
to take your shirt off?
I remember when you used
to look for opportunities
for me to take my shirt off.
I remember walking in on
one of those opportunities.
You think maybe you could
show me a modicum of respect
- as your boss?
- Only when we're on duty.
Ah, ha!
I don't know, T.
I think she likes you.
Take me back
Kenny: [Grunts] 1, 2, 3!
Come on, Drew, 1, 2, 3!
Defensive roll!
Kenny and Drew: [Grunting]
You got a fight next week!
You can't let the army down!
Finish hard! Finish hard!
Defensive roll!
[Laughs]
That's what I'm talking about, D.
What's up, Ms.
Krista?
- Not much.
- Come on, show me what you got.
- Really?
- Yeah, yeah, yeah.
Show me what you got.
Come on.
2, 3, 2.
Krista and Kenny: [Grunting]
Okay.
Not bad for a girl.
Uhh! [Coughs]
How was that for a girl?
[Strained voice] That was pretty good.
Good one, Krista.
Did I
not mention that she trains?
- Sorry about that.
- [Speaks indistinctly]
Yo, Paul.
Water.
Oh.
Uh, yeah.
Take me downtown
I'm just looking for some ***
Incoming!
Paul: You you want another one?
- Whoo!
- [Splat]
Ma'am?
I will leave when I am good and ready.
You are ready.
You just
have a sprained ankle.
A severely sprained
ankle.
Now let me finish.
Oh, and you need to get me a wheelchair.
I can't possibly bear any weight.
- [Cell phone rings]
- The pain's a 10 out of 10.
- Oh!
- [Ring]
[Beep]
Get her the wheelchair.
[Chuckles] Hey, sweetie.
- [Tires screech in distance]
- How are you, hon?
How was school?
- She
- [Horn honks]
[Tires screech]
bilateral forearm fractures,
open on the left.
Send a trauma panel and
type and cross for six.
And someone notify ortho.
Kenny, Paul, you're with me.
Man: We got a stab wound to the neck.
Topher: Guess we know
why he crashed, right?
Penetrating neck trauma,
zone two! GCS 1-1-1!
Place two large bore IVs,
set up for intubation.
Guarding in the left lower quadrant.
Tell CAT scan we're coming
as soon as he's tubed.
TC, we have an officer-involved shooting.
GSW to the chest.
They said to tell you it's Deputy Woods.
Nick? Nick Woods? Call the chopper.
They're bringing him
straight here in the cruiser.
All right, set up a thoracotomy tray
and prep the rapid infuser.
Let's get out there!
Can I go with him?
Don't look at me.
Go, go, go!
So you fell off your bike?
Yes.
He fell.
How fast were you going, bud?
Not that fast.
He just fell awkwardly.
Ow.
[Inhales sharply]
Okay.
Well, let's get some X-rays.
[Gloves snap]
I'll be right back.
How is she?
She has an open, comminuted
Galeazzi fracture.
She's headed to the OR for a washout
and internal fixation.
I'm guessing the ankle sprain
is no longer our biggest concern.
Ragosa: I just checked with our lawyers.
Because she refused to
get out of the ambulance
before it was hit,
she technically was not
on hospital property.
So the hospital and I have zero liability.
She has to sue the city.
I'm off the hook.
How great is that?
We should throw a party.
Lidocaine.
All right, let's see
what we have under here.
[Whispers] Oh, man.
You still with us, Paul?
Yes, ma'am.
Good.
[Telephone rings in distance]
Turns out our friend here
tried to rob a gas station,
and the attendant wasn't having it.
So we get him to the OR, and tell the cops
they can question him in a few hours.
Mollie: Topher, your wife just called.
She wants you to bring
home some hemorrhoid meds.
[Singsongy] The magic is still alive!
So there's no way the kid fractured his arm
falling off a bike.
The mom won't even let him answer.
But it's like he doesn't
want to answer or he can't.
I don't know.
Normally, I'd
just call a social worker,
but I can't put my finger on it.
The boy just seems off.
Okay.
Let's get a nurse to
pull the mom out for paperwork,
and we'll talk to him alone.
[Siren wailing]
TC: This is Nick.
Let's move!
[Tires screech, siren stops]
EMS said the ambulance was 30 minutes out,
so I brought him in.
Armor piercing.
It went
right through his vest.
I haven't been able to stop the bleeding.
He passed out about three minutes ago.
I'm losing his pulse.
We gotta crack the chest.
Okay, come on.
[Grunts]
I want 4 units running on the rapid infuser
five minutes ago!
Send off a CBC, a chem-20,
and grab all the O-neg you can find!
Hang on there, Nick.
And somebody call
Dr.
Flannery Mills at
the cardiac institute,
and tell her to get her
*** over here now! Now!
Insert the rib spreader and start cranking.
[Clatters]
How much do I open the ribs?
Till you hear 'em crack.
[Bone cracks]
Whoa.
That's a huge heart.
[Cracks]
Not his original one.
- He's been shot before.
- [Gunfire]
We were in the same platoon in the war.
I had to find him a new one.
It was a transplant?
Yeah.
From my brother.
Okay.
Suction, please.
[Suction gurgling]
- Hey, what's up?
- It's Nick.
Oh, my God.
What what's the story?
- [Flatlining]
- GSW to the left ventricle.
I got my finger in the hole,
but I need you to crossclamp the aorta.
Clamp.
[Flatlining continues]
Put your finger where mine is.
- Yeah.
- I'm through the cords.
Retractor.
[Panting] Damn it.
I can't get the angle.
[Grunts]
T, if this is too hard, we can do this.
Suction, please.
[Woman speaking indistinctly over PA]
So we need you to cover these cases
to free up the attendings for the
uh, the real emergencies.
Hmm?
Uh, fantastic.
I'm 100% ready.
A-and listen, I, um,
I'm more into diagnosis
than surgery anyway, so, like
Well, then this is perfect.
Does this hurt?
Anthony, does this hurt when I touch it?
A little.
Where am I?
You're in a hospital.
Do you remember your
mother bringing you in?
No, not really.
Can you remember anything
about how you got hurt?
Did somebody hit you?
Did you fall?
I don't know.
You can tell us.
It'll be our secret.
I don't know.
Where am I again?
Okay.
Hey, you wanna
play a game on my phone?
Okay.
Multiple rib fractures,
various stages of healing.
He's been treated somewhere.
Time to call child services?
Not yet.
They're too overwhelmed.
They'll
just bury him in the system.
He's definitely been traumatized,
physically and emotionally.
- By the mother?
- Possibly.
Or a relative.
But
something's clearly off.
To find out what's going on,
I need time to run an MMSE and APS tests.
But I can't hold him
with only a fractured arm.
Unless, of course, there
was another diagnosis.
What if I were to admit
him for concussion syndrome?
I'll say he's complaining
of nausea and headaches.
We'll say it's from the bike fall.
That'll buy you a little bit of time.
That's great.
Thank you.
All right, I'll start a
background check on the mom
and then run the tests on the boy.
Perfect.
Uh, Mrs.
Franklin.
Hi.
[Curtain rings swoosh]
I am Dr.
Cummings.
Okay.
Uh, well, what can I
help you with this evening?
It burns.
Uh, what what burns?
Down here.
I think that a-hole Charlie
Knight gave me an STD.
S-STD.
Okay.
Uh
You sure that [Chuckles]
Wait a minute.
This is, uh, this is a joke.
I know what this is, okay.
Uh, Kenny? Kenny?
Nice try, buddy! Nice
Uh, Kenny put you up to this, obviously.
Do these sores look like a joke to you?
Oh, my
[Exhales deeply]
[Chuckles]
[Flatlining continues]
Come on.
Come on.
Let's go again.
- TC: Clear.
- All: Clear.
Still V-fib.
T, it's been 20 minutes.
Bolus lidocaine.
Let's go.
Krista, increase the joules.
[Machine beeps]
- Clear! Clear!
- All: Clear!
[Monitor beeping steadily]
- Woman: I got a pulse!
- TC: Yes!
You are not gonna die,
Nick.
Do you hear me?
You are not gonna die.
- T?
- [Panting] What?
Listen, you did great, but
He's gonna need a real
heart surgeon to fix this
or he's gonna code again.
Yeah.
That's why I had them call Flannery.
[Woman speaking indistinctly over PA]
Hi.
Hi.
Uh, listen.
Is there any way somebody
could take my patient
- or or I could
- No.
TC.
We're gonna figure this out, Debbie.
We, uh, we stabilized Nick,
but he has damage to his heart.
Oh, God.
We fixed the hole in his ventricle,
and we're gonna get him on some medications
to help his heart beat.
Then I'm gonna fix whatever
these butchers just screwed up.
[Chuckles] Hey.
- Hi.
- Hey.
[Chuckles]
Dr.
Flannery Mills, this
is Dr.
Jordan Alexander.
Jor as in Jordan Jordan?
- Uh, yeah.
- Ragosa: Whoa!
Whoa, whoa, whoa! Hold on a second here.
Uh we already have a
cardiac surgeon on call.
Who's not as good as Flannery.
I am aware of your work
with doctors without borders, Dr.
Mills.
But you don't have surgical
privileges at this hospital.
I'm sorry.
If it were up to me, I
- I swear I'm gonna
- Get your hands off me!
- Jordan: Hey! Hey!
- Stop it! Chill.
Chill.
[Lowered voice] Just take
Debbie and Flannery in
to see Nick.
[Speaks indistinctly]
Hey, what are we all standing around for?
Let's get back to work.
I can't just make it happen
because the patient is his friend.
She would have to be
approved by the committee.
- It's not my call.
- I know.
But it's not just a friend.
TC's brother, Thad
was killed in action four
years ago in Afghanistan.
He donated his brother's heart to Nick.
Flannery performed the transplant
when we were over there.
I didn't know that.
It would have been nice to know that.
[Whispers] You know how good she is.
She's better than any
cardiac surgeon we have.
Just get the board to grant
her the surgical privileges.
You can do that.
Don't let your issues with TC
screw up Nick's best chance.
Sir, you're gonna have to wait.
We have several critical
patients right now, okay?
Well, I'm critical.
I'm in pain.
Come on, man.
Not again.
You have to go.
Yeah, yeah, sure.
But I'm
having a severe migraine.
And I came in once before for the same,
and I got, like, a
some kind of headache shot.
- Once?
- Yeah, it started with a "D.
"
Dude, stop it.
I have seen you
here at least twice this week.
And I bet the day shift has, too.
Now I told you last time,
I'm not giving you anymore drugs.
No one here is giving you drugs, all right?
In fact, I'm calling
every hospital in the area
and making sure they know who you are.
So get out and get into a program.
Molly, can you?
Can't we be done? I've
been talking forever.
I'm so tired.
I know you are, Anthony, but
just a few more questions.
I need you to tell me
about your mom and dad now.
I told you, I don't want to talk about it.
I wanna go to sleep.
Is your dad still around?
Was he mean?
What about your mom?
Is she mean?
You are so pretty.
I love your hair.
Uh
thank you.
Do you have a boyfriend?
- No.
- Me neither.
I don't like boys.
Well, I like Anthony.
He's nice.
But I don't like him like him.
[Chuckles] Oh, my gosh.
I'm sorry.
My brain is just so tired.
I completely forgot your name.
Who are you again?
I'm Gracie, Anthony's friend.
[Chuckles] So they get
every American they can find
to attend Rumsfeld's speech
at the Kandahar base, right?
And Rumsfeld's taking questions
- God, I love this story.
- all scripted, of course.
And this one here jumps up on stage
and starts challenging him
about the lack of armor for the humvees.
He throws a bag of boots on the stage
that used to belong to soldiers
who had their legs amputated.
What? No way.
When you've done your hundredth amputation,
you see a pattern.
Right?
And Rumsfeld's limo in
DC had more armor plating
- than anything in the war zone.
- Yep.
[Laughs] Take it easy,
Irish.
I'm on your side.
So they literally have
to physically drag TC
off the stage while he's
yelling for more armor.
So Nick and I jump in, trying to help him,
and I get punched in the head by an MP guy.
- [Laughter]
- Flannery: The place went nuts!
Every soldier was on his
feet, cheering for TC.
But then the next thing I know,
he's being shipped back home,
- discharged from the army.
- It was political BS.
If it had been your first
incident, sweetie, yes.
But you kinda went through
your nine lives over there.
Topher: Yeah, I'm surprised
you didn't end up in the brig.
Hey, Debbie, we're gonna
try and fix Nick's heart,
but there's nothing we
can do about his ugly mug.
Flannery: Oh!
That's okay.
I've gotten used to it.
[Grunts]
[Coughing]
All right, everybody,
let's give Nick some rest
and me space to examine him.
Clear out.
Come on, guys.
[Continues coughing]
[Labored breathing]
No matter what happens to me,
you take good care of Debbie.
[Whispering] That's a
strong heart you got there.
You're not going anywhere.
[Coughing]
And, uh, so, Mrs.
Franklin,
you say that you have had
multiple *** partners
in the past six months?
I'd say at least eight.
[Clears throat]
There's a group of us that
all sleep around together.
You can only play so
much mah-jongg, right?
Yeah.
Right, right.
Okay.
Well, uh, they should all
come in to be examined.
Oh, you'd love that, wouldn't you?
Uh, no.
No, I-I would not.
Um, listen, I need to
take a-a blood sample,
as well as a swab of your, uh,
your sores and also your ***.
You better not take a picture
and put it on the Internet.
Oh.
Uh, no.
No, your, uh, *** is safe with me.
Yeah, so TC and I met over
there, and been bros ever since.
Did you know his brother?
Oh, yeah.
Yeah, yeah.
I mean,
actually, that's how we met.
Um
yeah, Thad and I were
in a platoon together.
- You know, we we should
let the nurses sit - Oh.
- 'Cause they're on their feet more.
- Yeah, of course.
[Laughter and applause]
Krista: Okay.
No, no.
It's very funny.
You glued a chair to my ***.
[Laughing] We're gonna need
that chair back, Krista.
[Laughs]
Oh, oh.
Oh, you oh,
you want your chair back?
- That's okay.
It's okay.
- [Whistling and cat calls]
Everybody, take a good look
- [Cheering]
- 'Cause I worked hard for this.
Mm! Mm!
All right.
Enjoy this.
[Loud crash]
- Oh!
- Man: Ohh!
Oh, my God!
Man: Whoa! What happened?
Oh, it's it's Topher's junkie.
Son of a ***.
It's not bipolar or schizophrenia.
It's definitely some form
of multiple personality.
Gracie is an
She comes out to protect
Anthony when he feels pushed
about something he
doesn't wanna talk about.
This is, uh
A picture
she drew of herself.
That's brought on by abuse?
Definitely trauma related to
something in early childhood.
Could be physical, emotional, or both.
But if he's showing symptoms
at this age, it had to be bad.
So what's the next step?
I wanna try to bring out
more of the personalities.
If there's two, there's probably more,
and one of them usually knows the truth
about what's happening.
But Anthony's sleeping
now, so I have to wait.
In the meantime, we're still waiting
on the mother's background check.
Okay, get Ragosa to expedite that.
He is really good at
cutting through the crap.
Mollie: Jordan!
We got a jumper at the
food trucks, from our roof.
What? Who?
Topher's junkie.
He made his way up there and took a flyer.
Topher's on it.
We also have
four MVAs three minutes out.
Okay.
Let's go.
100 grams of
manitol.
And hyperventilate him.
Where the hell is neurosurgery?!
- [Flatlining]
- I lost his pulse.
- There's no perfusion.
- I heard you!
Krista, start compressions.
Heather, push an amp of epi right now.
- Yes, Doctor.
- Come on, let's go!
People, we're gonna do
our best to keep him alive!
Because God knows we didn't
do very much when he needed it.
[Heartbeat whooshing]
Hey.
You wanted to see me?
Yeah.
[Machine beeps]
I can't fix Nick's heart.
The bullet shredded the semilunar plane,
the valves, the conduction system.
It's amazing the heart's beating at all.
So he needs a new one,
which he will probably never get
because this one was already a donor.
I can put him on ECMO,
try to repair the valve.
Maybe that'll buy him a month or two.
We'll get him on a list,
maybe get lucky.
But
I'm not optimistic.
Have you told TC?
No.
I'm not sure how he's gonna take it.
I've seen him spiral pretty bad.
I mean, nothing like what you've
seen or lived through with him.
But
I thought that you should
be here when I tell him.
You know we're not together anymore, right?
Does it really matter?
Hey.
What's going on?
Debbie, there's a bit of a problem.
Yes, we're seeing if you
have any unclaimed DOAs.
We're looking for a heart for a transplant.
We're on every list.
I need you to check by the border
- for any recent deaths.
- TC, I don't understand.
He looked like he was doing better.
Yeah.
He he's stable for
now, but he needs a new heart.
There was there was
it was just too much.
- Oh.
[Sighs]
- Not again, TC.
He's not strong enough.
- Debbie
- Why is this happening?!
[Sobbing] He's a good man!
He goes to church.
He helps everybody.
I don't know, Debbie.
What am I gonna do without him? [Sniffles]
[Whispers] What are our kids
gonna do without their father?
I'm begging you, TC.
You have to save him.
Please.
Okay.
Please?
[Whispers indistinctly]
Well, Sergeant, then
get me your supervisor.
Who called child services?
Had to be a nosy patient.
Everybody here knew what we were doing.
Are you the supervisor?
You know what's going on?
Good.
Good.
Here's what you're gonna do.
You're gonna get me that
background on the mother
in the next five minutes,
or I'm gonna wake up
every one of your bosses
and I'm gonna tell them
you can't handle your job.
Okay? Then we'll see what
Good.
Very good.
Great.
Thank you.
It's on its way.
Good, because so is child services.
[Alarm blaring in distance]
[Sighs deeply]
- Hey.
- Hey.
[Pats leg]
How's that kid doing?
Mom's abusing him, right?
I don't know.
Not sure yet.
He's too exhausted to talk.
I wanted to tell you I
spoke with Nick's wife.
She's pretty much in shock.
Yeah.
Yeah.
This this is pretty tough on her.
Oh, I would imagine it's
pretty tough on you, too.
She told me how close you and Nick are.
Yeah.
From the army, right?
Yeah.
[Whispers] Yeah.
Look, TC,
I get that
we keep things pretty casual between us,
relationship-wise, but
that doesn't mean we can't talk
- if you need to
- Hey, hey, Hey.
I don't need to.
- [Siren wailing in distance]
- Okay?
Maybe you don't need to.
Maybe you just want to.
[Laughs]
[Sighs deeply]
Nick Nick got shot
in a in an attack on our base,
just before my brother thad died.
That must have been a terrible day.
Yeah.
Yeah.
You know what's crazy?
[Breathes deeply]
We were getting back
at at Nick's shooters,
and, uh, and that's what got Thad killed.
He was pissed off about Nick.
Well
and then Nick ends up with Thad's heart.
So it felt like a part of
Thad was still with you.
Yeah.
[Inhales deeply] Yeah, I
guess so, until tonight.
I should go check up on Nick.
[Siren wailing]
Man: Make way! Coming through!
We got a multiple casualty MVA.
A car ran a red light and
plowed into the wedding party.
- [Speaks indistinctly]
- Bride's BP is 70 and falling
head lac and an L-sided
pneumo.
The limo driver
Move her to trauma 2.
Trauma 2 right in there.
Man and woman: [Speak indistinctly]
Okay, Drew, you're on the groom.
TC, you take the maid of honor.
I'll take the bride.
Mollie: Limo driver
curtain 1, right over there.
Get the maid of honor to
trauma 4, down the hallway.
I need you right down here.
Okay, let's go.
Come on, let's go.
I want a 214 gauge antecubital lines,
and set me up for a chest tube.
How's the bride, Jordan?
FAST is positive.
Looks like a grade 3 splenic laceration.
- [Ultrasound whooshing]
- Call the OR.
- Drew?
- Multiple palpable fractures but no flail.
Doing an intercostal nerve block now.
[Woman speaking indistinctly over PA]
Ah.
So
I put a call into the state police
to try to cut through the red tape
to get information on that boy's mother.
Thanks.
I hate that part of the job.
Let me know if you hear anything.
Sure.
Uh, listen.
Uh, while I have you,
I'd like to get your professional opinion
of Dr.
Callahan.
He's an excellent doctor.
Uh, no, no.
I mean his state of mind.
Any signs of PTSD?
Well, everybody who was
over there has some signs.
Topher, Drew
I'm more focused on TC.
The fighting, the gambling, the drinking,
the sudden bursts of anger.
Man, you really don't like him, do you?
What is the deal with you guys?
What do you mean?
I mean, I've been working here a month,
and every time you and
TC are in a room together,
you wanna tear each other's heads off.
What is that about?
You're doing that shrink thing.
Somebody asks you a question,
you turn it around on them
to try to get information.
Actually, I was just genuinely curious.
But if you don't wanna answer, I get it.
Nice try!
I'll let you know if I hear
anything from the state police
about the boy's mom.
Your daughter did have
some internal bleeding
due to a spleen injury,
but she's gonna be fine.
Man: What about Darrell?
As is everyone else in your party.
[Cheering and laughter]
Jordan: Okay, all right.
[Door opens]
Kenny: Ah! [Laughs]
Hey there, Paul.
How'd it go?
You knew she had an STD, didn't you?
Of course I knew.
Mrs.
Franklin comes in a couple
times a year with those sores.
Gross.
STDs are all over retirement
centers these days.
It's like a *** shoot over there.
Oh, and, uh, Paul,
there's more coming in
who need the same exam.
Oh, come on!
- [Laughs]
- Oh, and, Doctor,
make sure you give 'em a
real thorough pelvic exam.
You wouldn't wanna miss
anything, now would you?
[Laughs]
[Laughs]
That's good.
Oh, God.
So what's the story, Skeezix?
That *** Wendy Franklin
give me the clap or not?
Uh, d-definitely
definitely, you got it.
Got Excuse me.
Excuse me.
Men: [Laughing]
Kenny: Hey.
What the hell are you doing?
Shaving his beard.
As a practical joke.
He
effin' loves this thing
we've been trying for, like, three years
to get him to shave it, but he won't.
We even offered him what was it?
Like, 3,600 bucks to get
him to shave it one time,
and he still wouldn't.
Come on.
It'll be a great joke.
My sister practically
married him for this beard.
It'll make everybody laugh.
I mean, we all need it.
It's pretty good.
Okay then.
Start start shaving.
- Yes! Yeah!
- Man: All right!
[Laughter]
Man: Do it!
[Lowered voice] All
right.
So what's the deal?
Are you gonna break up with
your girlfriend or what?
I don't know.
I-I don't wanna do it over the phone.
So you know, maybe when
she gets back into town?
- Is that good for you?
- Seriously?
Dude, I have it all set
- Man: Whoa.
Hey look.
- Man: What?
What the What?
Jordan: He's only 12 years old.
I didn't do anything.
I would never hurt him.
We have records from
hospitals in Galveston,
Lubbock, Oklahoma City.
You're taking him to
different ERs, so nobody knows.
You need to tell us the truth now.
[Voice breaking] I swear,
I didn't do anything.
His multiple personalities started
because he is trying to survive something.
Why didn't you mention
them when you came in?
- What are you hiding?
- I'm getting out of here.
- I swear to God, if you are hurting this boy
- Ow!
Jordan: Who's doing this to you?
Tell me what's going on or
I'm gonna have you arrested.
Temp's already down to 94 degrees.
Turn down the cooling blanket.
We wanna get it down to around 90.
It's the best chance of
preserving brain function.
TC: Topher, you're still
working on this jumper
while Nick needs a heart?
You gonna call this or what?
No, not yet.
It's been hours.
His pupils are fixed and dilated.
His EEG is flat.
No response to painful stimuli.
- Just stop stop doing that, or the
hypothermia - No, you stop doing that!
There is no medical reason to
keep working on this junkie!
His name is William.
I just I wanna keep him hooked up
until his parents get here, okay?
Nick is not gonna get a heart,
and you've got this guy who is brain-dead.
This is not the battlefield, T.
[Mutters] We don't have
we don't have to keep making
these instant choices anymore.
Nick needs a heart right now.
And I know it kills you to quit, but
[Whispers] no matter what you do,
you're not gonna save this kid.
His brain was dead when he hit that truck.
There is a waiting list, right?
I mean, you can't just jump it, can you?
There's a way around it.
It's called direct donation.
The family can decide
who to give the organs to
if he's not a donor.
It's what I did with my brother for Nick.
So I have to talk them
into doing it for him now.
Kenny: [Voice echoes] Heil, Hitler.
[Normal voice] Hey.
Hey, look who's waking up.
I just wanted you to see the faces
of the people who saved your ***.
[Groans]
[Breathing heavily]
You shaved me?!
Oh, God.
I'm gonna sue you.
I'm gonna sue all of your ***!
Well, make sure you hire a Jew,
because I hear they're really smart.
Kenny: Mm.
Yeah.
Aah!
Your wife's here to see you.
[Sighs deeply]
Guess she didn't know either.
T, you cannot move a man to pre-op
and start prepping him for a transplant
without asking me.
He he has no donor card,
and you haven't even
consulted with the family.
Okay, I'm not cutting him
open.
I'm just being prepared.
Look, if Nick goes south,
and his family says "Yes,"
then we can prep him faster.
I just I just wanna
be a few steps ahead.
You are way more than a few steps ahead.
Look, even if the family gives consent,
they might wanna wait
weeks.
Okay, months even.
- We don't know how long he's gonna
be in this state.
- Okay, I know!
I know.
I just can't
[Sighs] I just can't not do anything.
[Sighs deeply]
I'm gonna go talk to his family.
I-I've been in their shoes.
I had to make the same
decision with my brother.
Maybe I can get them to say "Yes.
"
What am I supposed to do? Huh?
Jordan, I
I can't just let Nick die.
I owe him.
I know how indebted you feel to Nick.
[Sighs deeply]
All right, he saved your life.
Yeah, if I had stepped on that land mine
I know.
I owe him, too, okay?
If
if you had died over there, I just
You saved his life once.
You gave him your brother's heart,
and you gave him four more
years that he never would've had.
And I wanna give him a few more.
- I know.
- This whole situation,
I just
I feel like I'm reliving
thad dying all over again.
I, uh
I don't like how that
makes me feel.
I just
I thought I put it in
here.
I need to put it away.
I don't think that
You could just bury something like that.
Whatever you need, I
will be there to help you.
Mollie: Excuse me, Doctors.
The jumper's parents are
downstairs in the lobby.
Okay.
I'll be right there.
Okay.
Okay.
Let me talk to them?
All right, let me just
explain your situation,
and then you can sit down with them
and tell them your story.
But, T, we have to do this in steps.
Yeah.
Okay.
- You all right?
- Yeah.
[Sniffles]
[Exhales deeply]
Anthony, wake up.
Wake up.
We're arresting your mother.
We know she's been hurting you.
No.
We are taking her away, and
she will never hurt you again.
No!
Stop it! I said no!
Landry: Anthony!
[Objects clatter]
- [Shouts indistinctly]
- Anthony!
Back away!
Take it easy!
- Aah!
- Drew: Anthony!
- Aah!
- Anthony, take it easy!
I'm not Anthony! Anthony's a sissy! Aah!
- Woman: [Sobbing]
- Anthony: [Screaming]
Tell them, you ***!
Let go of me or I'll kill you! [Sobs]
[Continues sobbing]
I'm so sorry.
You believe me now?
- [Handcuffs click]
- Child services are on the way.
We had to force the change in personality.
Now that we know the problem,
we can get him the help he needs.
[Woman speaking indistinctly over PA]
[Speaking indistinctly]
Dr.
Alexander.
You knew about this?
You were in on this
transplant without permission?
My shift.
My responsibility.
But it's my *** on the line, too, Jordan.
When you took this job, you
said you could keep him in line.
It's only been two weeks.
Change doesn't happen overnight.
And I know that TC can
be a huge pain in the ***.
Trust me.
I've been dealing
with him a hell of a lot longer
than anyone else.
But if it were your family,
wouldn't you want us to cut you some slack?
Excuse me.
[Woman speaking indistinctly over PA]
Thank you.
Let's go.
Well, congratulations, ma'am.
You're actually the only
patient I saw tonight
that did not have an STD, so [Chuckles]
Well, I should think not.
I
haven't had sex in ten years.
But what does this have
to do with my stomach?
I'm sorry.
Your your what?
I came in because my stomach hurts.
Right.
Uh well, it's all connected.
[Clears throat] So
That was wild.
- I've never seen anything like that.
- [Elevator bell dings]
[Door opens]
Stuff with kids is always the worst.
I feel horrible putting
them through anything, but
You didn't have a choice.
The mother could've
been lying about the kid
- to protect herself.
- Mm-hmm.
I mean, people lie to us all the time.
Ah! So [Claps hands]
I just went over everything with
the woman from child services,
explained that the mom was moving around
because she thought someone
would take her kid away
if they knew about his problem.
Yada, yada, yada.
And that we had it under control.
All right.
Well, chalk
one up for the good guys.
Anybody for coffee? My treat.
I'll catch up to you later.
All right.
[Whispers] Okay.
So, listen.
Um
I just, uh, I want you to know
that any time you wanna
talk, I'm available.
Talk?
Yeah.
Bounce things off me,
sort things out.
I know Latino men traditionally
don't go in to therapy.
Therapy?
There's nothing wrong with me.
Who said anything about wrong?
I just see someone who
looks like they're in pain
and needs someone to talk to.
[Loud clatter in distance]
What the hell is going on now?
Heather: It's a miracle, Doctor.
We pulled the patient off
the ventilator for the family,
but he just started breathing on his own.
Topher: Pupils are reactive.
Start the rewarming
protocol and order an MRI.
He's responding to pain.
One saline! Now!
I've never seen this before.
Woman: Please save him.
Don't take him from me again!
Please, God, give him a second chance.
[Monitor beeping steadily]
Topher: Let's get him to the OR!
I swear to God, Toph,
I thought he was gone.
We all did.
That's why we don't rush
these kinds of decisions.
Guys, the neurosurg
attending is an hour out.
- Come on!
- We can't wait that long.
We gotta get him into the
OR and do the craniectomy.
He's right.
I'll tell
Ragosa and the family.
Okay.
Can you get somebody
to give me an update
on Nick's surgery with Flannery?
- Got it.
- [Bell dings]
I'll take the lead, okay?
[Bell dings]
You sure you're up for this?
It's been a pretty rough night.
You've never done one of these.
I'm the kid's best chance.
- We got him.
- Yeah.
Topher, I promise.
I won't let you or that kid down.
[Drill whirring]
TC: I'm through the inner table.
Suction that bleeder and
increase power to the drill.
[Whirring continues]
Jordan: Ragosa and the
family are all caught up.
- How's it going?
- Almost through the skull.
How's Nick doing?
Flannery just started repairing his valve.
- [Pager beeps] - T, I'm gonna help
you beat down every door
- to get Nick another heart.
- I know you are.
- Call me if you need me.
- Okay, will do.
- Removing the bone flap now.
- [Whirring stops]
Hopefully, by reducing
the intercranial pressure,
we can jump-start his blood flow.
Nice work, buddy.
I did way too many of these
from humvees driving over IEDs.
I just hope it works, and
this kid gets a second chance.
Just do your best, T.
- You got this.
- Okay.
Let's go.
- You're the one who should've known.
- He's your best friend.
You should've known he was Hitler.
She's your sister! You
should've checked him out!
Oh, whoa, whoa, whoa.
Whoa, whoa, whoa.
Might I remind you, we are in a hospital.
- [Whispers] Please.
Just keep it down.
- Sorry.
But she's still in there with him.
Can you go see what's going on?
Woman: [Shouting indistinctly]
[Exhales deeply]
Woman: [Voice breaks] It's insane.
Hey, hey, hey.
Uh, is everything okay in here?
No, it's not okay.
Look at his stupid face.
But while you're here go ahead, Darrell.
Tell the doctor what you told me.
I got these things when
I was into that crap
when I was in high school.
I'm not anymore.
Not for like ten years.
I didn't wanna get my face
all scarred from removing them,
so I just grew a beard.
I swear that's the truth.
I love you, honey bunny.
Please forgive me.
Do you believe him?
Huh? Uh
I-I think what's important
is if you believe him.
You both should believe
me.
I've changed, I swear!
Shut up, Darrell! And cover up your face.
- I'm just, uh
- What else haven't you told me, Darrell?
Are you in the Taliban, too?
That doesn't even make sense!
Oh, yeah! Like I'd believe a Nazi!
So? How's it going in there?
[Door closes]
They're working it out.
[Woman speaking indistinctly over PA]
[Band of Horses' "The Funeral" playing]
[Knock on door]
You wanted to see me?
Yes.
[Sighs]
I'm coming up only
to hold you under
My wife left me.
Uh
three months ago.
I'm coming up only
She took my kids, too.
You wrong
They have to sneak in calls to me.
And I don't know what the
hell I'm gonna do without them.
Is hard, we wonder
[Speaking inaudibly]
To know you all wrong, we were
Ooh, ooh
Ooh
Ooh
Ooh, ooh
Ooh
Really too late to call
So we wait for
Morning to wake you
That's all we got
R-river walk? We're
not going to river walk.
That place is a tourist trap.
But I'm a tourist.
I'm I'm new here.
No, we're gonna show you
the real San Antonio
smoke shack or [Speaks indistinctly].
Krista: Oh, that sounds
good.
Wait, so who's buying?
- Paul.
- Paul.
- Wait.
What? Why me?
- New guy always buys.
Oh, come on!
- [Laughs]
- Way to go.
Drew: Shh.
Shh, guys.
At every occasion
I'll be ready for the funeral
At every occasion, once more
Is called the funeral
Every occasion
Know I'm ready for the funeral
Ready, buddy?
Come on.
Let's go watch some games.
At every occasion
Oh, one billion day funeral
I'm coming up only
to show you down for
I'm coming up only
to show you wrong