- 4 hours ago
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Short filmTranscript
00:00Oh, my God!
00:02Oh, my God!
00:04Oh, my God!
00:06Oh, my God!
00:08Oh, my God!
00:10Oh, my God!
00:12Oh, my God!
00:14Oh, my God!
00:16Oh, my God!
00:18Oh, my God!
00:20Oh, my God!
00:22Ladies and gentlemen, we're beginning our descent into LaGuardia Airport.
00:26Please stow your tray tables in their upright and locked...
00:28You got any plans during the layover?
00:32Catching up with sleep.
00:34In the city that never sleeps.
00:36Are you single?
00:40I am.
00:41Come on, young, beautiful, single girl like you should be out hitting the town.
00:45That's not really my style.
00:47That glitter on your cheeks says otherwise.
00:51I was at a concert last night, and I'm fine. I promise.
00:53It's all good. I like to party, too.
00:56Maybe we should party together.
01:01Flight AM 208.
01:03Runways are backed up.
01:04Stacking all inbounds.
01:05Descend to 5,000 and maintain.
01:06Descend, maintain 5,000.
01:08Eastern hold.
01:09Take her off autopilot.
01:11Your plane.
01:12My plane.
01:13I gotta use the head.
01:14Is everything all right?
01:15If we're stuck circling, I'm not gonna be able to hold it.
01:17It'll just be a minute, unless you can't handle it.
01:19I can.
01:20It'll be our little secret.
01:21It's like that glitter on your cheek, tiger.
01:23What the heck?
01:24You know their butt is moving.
01:25I don't see the chance.
01:26Can you see guys on the front line?
01:27I can.
01:28I can.
01:29I can.
01:30I can.
01:31You can.
01:32I can.
01:33I can.
01:34I can.
01:35I can.
01:39I can.
01:40I can.
01:41I can.
01:42I can.
01:43I can.
01:44Occupy!
02:14Center, AM-208, we've lost Engine Master 1.
02:21AM-208, state your altitude.
02:23Leaving 2,000 for 3,000.
02:26AM-208, your transponder indicates you are descending.
02:29Center, we are experiencing significant visual disturbance.
02:32Roger, AM-208, do you wish to declare an emergency?
02:34What's happening?
02:35Where's Captain Clark? I need him now.
02:37The turbulence knocked him unconscious, but I was able to get him trapped in.
02:40Get everyone belted and embrace positions.
02:41Okay.
02:44Flight AM-208, do you copy?
02:48Flight AM-208, come in please.
02:53Flight AM-208, you need to respond.
02:57Center, this is AM-208, I'm attempting an emergency landing.
03:14Flight AM-208, your dedication is admirable, Ana.
03:27Sensory and motor stimulation are crucial at this stage and exactly what Jorge needs.
03:33SÃ, pero, three weeks. Nothing. When will my son wake up?
03:37son wake up every case is different there is no precise timeline but jorge is stable will continue
03:43with the aggressive rehabilitation monitor him and wait dr wolf jorge hasn't shown meaningful
03:54neurologic recovery in weeks i'm worried about maintaining this level of hope given the current
03:58circumstances trust the process dr porter does the process always include bach and ferns yes
04:02actually excuse me hey where are you off to so early oh i got a call from the family of a former
04:08patient he was supposed to be discharged from hudson oaks a week ago but they can't get a
04:12straight answer as to why he's still there and you're going there now if you let me carol hudson
04:17oaks that's where that succubus with the brochures is from she's always lurking around our hallways
04:21poaching our sight patients i'm afraid if you go there i may never see you again don't get my hopes up
04:26was there something you actually wanted to talk to me about hmm just checking in day seems pretty
04:32quiet
04:41what's up checking my credit card statement the credit card you gave sam your own house patient
04:46with schizophrenia how much should he spend it's fine he he needs it erica can he cancel it right now
04:53good morning ladies happy mandatory drug test day what's happening now bronx general's policy
04:59mandates a drug test every six months it's been two years since neuro had one hope you're all hydrated
05:09i'm getting fired we don't know that i don't have a prescription for my benzos
05:13when was the last time you took one last week when i went down to the ed okay here's the plan
05:19no more benzos while we flush your system today avoid elevators the ed anything that would trigger
05:24your anxiety and then we need to get a serious handle on this okay guys there was a plane crash the
05:30patients are coming here we need it down the ed all available personnel so scratch that plan plane crash
05:36multiple injuries 40 patients on route every time one of these boneheads loses their mode i gotta risk my
05:42life change the channel continue to bring you updates on this developing story as more information
05:47comes in regarding injuries and any possible causalities right now you're looking at pictures
05:52of atlantic murray and jetliner that went down into the hudson river you're lucky you didn't go
05:56swimming this morning dr wolf okay people let's divide and conquer and to my neuro colleagues not
06:03the day to get all nerdy treat and street what he means is you'll be taking patients regardless of
06:08whether they're neuro or not and because it's an mci you'll be working unsupervised there's no time
06:12for attending presentations yeah i've got your back if you need me buckle up it's gonna be a bumpy ride
06:25oh no not the walking wounded bus why does belvie always get the big traumas get worn blankets
06:30screen for hypothermia there are lacerating kits in the cart upgrade trauma as necessary right over here
06:38she insisted on being the last to be rescued said she can't open her eyes possible jet fuel
06:46exposure captain i'm dr wolf these passengers are lucky to have you no i failed them my vision
06:51failed me something's seriously wrong i'm living in a nightmare okay you okay yeah
07:08can i examine your eyes hey look at me
07:19what do you see everything's upside down it happened during the flight your eyes look normal
07:24but what you're describing is an incredibly rare phenomenon called reverse visual metamorphopsia
07:28you need to run some tests right away yeah this should help keep you warm
07:36i can't move my right side i can't move my right side
07:39visual disturbance and unilateral weakness call a code stroke now hey listen i'm afraid you might
07:44be having a life-threatening stroke i need you to lie back for me right now okay
07:47let's go she's declining fast we need to get her to a scanner stat everybody move move
08:01excuse me l your scans are inconclusive for a stroke so we need to do more tests to know for sure in the
08:07meantime if it is a stroke i'm obliged to tell you that there is a drug called tpa which may restore
08:13your vision and your strength but we'd have to give it now it's less effective the longer we wait
08:17let's do it it's more complicated than that if we're wrong if you're not having a stroke then tpa
08:22could cause life-threatening bleeding especially after trauma if i may i've seen tpa work miracles
08:27there are some very impressive studies to back this up thank you dr porter thorne and i are writing the
08:31stroke code you're here to document that means you write not speak what's the call in the room my instinct
08:36is not to give the tpa l there are too many unknowns i think we should get an mri so we have a clearer
08:40sense of this situation if you're good is wrong could i be permanently impaired
08:54i'm asking you to trust me here
08:59um no no what why is this so difficult
09:05huh you've got to be kidding me you good kenny no thorne sent me to find 6-0 sutures and i can't
09:15find them anywhere he means 6-0 as in six zero oh thank you no problem hey you're a former athlete
09:26former silva is giving a drug test today and i'm not accusing you but you must have had teammates who
09:31passed 30. damn kenny you still on the benzos i've seen it all donated urine synthetic urine adulterants
09:39none of it works don't even go there
09:45this is too much i am spinning out i got you 6-0 come on
09:52something's wrong down there let us take a look okay
10:13so your testicle got twisted up from the impact now we'll have to untwist it otherwise its blood supply
10:17will be cut off and you can lose it this is what i get for letting that stupid
10:21bitch fly unsupervised oh i won't twist on my count actually on my count by the look of this
10:28this will only hurt a little tiny bit ready one oh two let's breathe
10:35dr pierce carol please dr amelia frederick director of psychiatric care we met before at box general
10:55i remember it's nice to see you again amelia what a pleasant surprise i only wish i'd known you were
11:00coming i'd love to give you a tour oh i wouldn't want to take up your time i wanted to ask about
11:04hector martinez he's a patient of mine oh yes i know hector he's a lovely man and he's making good
11:11progress uh well his family's been getting mixed messages about the timeline of his discharge
11:16that's why i'm here they wanted a second opinion well that's strange because we always include the
11:21family and discussing discharge plans in any case i'm happy to take you to see hector great he's right
11:27this way
11:39it's all over the news 162 souls on the plane all accounted for
11:45thank you thank you for telling me
11:53how did you safely land a plane with everything upside down you trusted my instruments as what
12:00pilots are taught interesting because i got more breaking news for you and my ride just came back
12:07it's normal now we got to run some more tests to figure out these symptoms but you definitely
12:12do not have a stroke your co-pilot was right about the dpa co-pilot they you mean dr wolf one thing
12:22about wolf he's an odd bird but the guy knows his stuff he's a walking medical instrument you can trust him i do
12:43is this it is he leaving he spiked a fever 102 and now he's hypotensive he's infected again let's bolus
12:49him a leader get him a full set of cultures and start with bank and zosin
13:02i know this is scary but infections are common for people as sick as jorge especially since he's been in
13:08the hospital for this long we can treat this where is dr wolf he's dealing with patients in the emergency
13:14department i am very familiar with your son's case you can trust me
13:28what the hell did you do you could have killed us all i could have lost a knife hey back off i am
13:40gonna make sure that you lose your license hey what's happening here just trying to get some answers
13:45no you're getting strapped down if you don't take it easy she at least owes all of you an explanation
13:49come on right you don't have to say anything okay
14:06i dare i dare tomato cheese magneto gem
14:20i'll look at me where's you shoot the overture you see she's unstable she's unreliable let's get
14:30point of care glucose here okay el can you tell me what today's date is hold out your arms toward
14:37me and resist the pressure okay no focal deficit it's drugs guaranteed tell them where you were last
14:43night testing you for drugs right next flight that you're gonna be on is one taking you to prison
14:52agents bellum and cortez with the national transportation safety board we need to speak with el parker
15:05are you taking any medication prescribed or otherwise
15:07i mean i'm on this let's hope pearl for for diet hypertension and melatonin for sleeping all faa
15:19approved and neither which caused any impairment how long is this going to take you can see she's not
15:24well did you note any mechanical malfunctions before takeoff no when did you first communicate
15:30distress at approximately 7 14 a.m and just just before landing did first officer parker appear
15:42intoxicated upon arrival no how do you explain the speech aphasia can be multifactorial but she urgently
15:48needs additional workup you need to let us get back to treating her we want a copy of the toxicology
15:52report as soon as it's available sure you can go now oh she stays here we have more questions you
16:00too can leave
16:08she was speaking complete gibberish two hours ago which would make more sense if her stroke imaging
16:12wasn't normal there's no mass no dissection her speech resolved and she's not presenting like any
16:17typical toxidrome i know of i know drug users she's not that we got to figure this out before they draw
16:22their own conclusion
16:34mrs torres
16:39jorge's blood pressure is better after the fluids i'll tell you as soon as we have any more news
16:45is my ego going to live
16:49the fact that he hasn't woken up yet is not good there is a real possibility that he won't return
16:54to anything like he was before i think it's time we start asking ourselves how much would jorge
16:59be willing to go through i don't want him to suffer
17:03there comes a time when doctors stop doing things for a patient and start doing things to them
17:15he would not want to live this way as someone who has some personal experience with this
17:28may i make a recommendation we're treating jorge as infection and we hope he'll continue to get better
17:34but if he worsens we won't recommend any more invasive procedures
17:42we allow jorge to pass
17:47with peace and with dignity
18:04it's great to see you actor it's been what about a month since you got here
18:12it's been that long yeah you were supposed to be discharged a week ago what happened
18:21i'm not ready to leave as long as i'm here i'm not the only crazy one
18:25uh-uh we don't use that we don't use that word i know but other people still do
18:33people on my job the ones that saw me lose it they all use that word
18:39how am i supposed to go back to them my family and act like everything's normal
18:44it's gonna be hard but you can do it part of your commitment to treatment is to develop the
18:53tools to handle adversity mindfulness hobbies passions yes hector even the strongest people if
19:01they lose those tools they lose the ability to navigate obstacles and the key is to develop a
19:07diverse toolbox so you're always prepared and you have one of the best tools of all
19:14a family that loves you they reached out to me yeah they want you home
19:20uh how's it going with mrs torres we're treating the infection but she agreed if jorge continues
19:39to worsen we won't intervene with invasive measures that doesn't sound a little sanctioned i'll talk to
19:44you on but mrs torres deserves to know what comes next he'll most likely exist in a painful
19:50torturous loop until he dies and she's bankrupt wow good luck convincing wolf of that he never gives
19:57up on a patient but a patient that the chief has also investigated so you agree he's lost professional
20:02distance wolf gets overly attached yes but he also always tries to give hope to the hopeless
20:10give them a fighting chance the only thing worse than no hope is false hope and the opposite of
20:15fighting isn't giving up by the way it's peace sorry but i i gotta um back trouble
20:31uh no i'm trying to understand how else sees the world
20:35what is this a video surfaced it's been making the rounds on socials i give it an hour before it's
20:42on the news this is what our co-pirate is doing 12 hours before she crash landed into the hudson
20:47are her toxicology results back yet pretty negative but they don't catch all the new rave drugs
20:51are you okay dr wolf
21:06get thorne and ellen here right away i have an idea
21:09you know for a long time inpatient mental health care facilities meant
21:19soulless state-run institutions with them all those shut down and for decades only the wealthiest
21:26patients have been able to stay in betty ford or what have you for tens of thousands a month we are
21:33trying to make long-term inpatient care accessible to all
21:40i grew up without money and i was forced to watch my mother suffer because affordable care was out of
21:46reach i have made it my mission that no one should ever have to endure that kind of helplessness
21:53well clearly what you're doing here is working it's been very good for hector i'm so pleased to
22:01hear you say that patient satisfaction is our top performance metric
22:08my only concern is if he stays here then he won't be able to keep up his relationships with the outside
22:15world which is why i think he's ready to be discharged i agree i will start the discharge
22:22process right away oh carol thank you so much for coming by i really hope that we'll be able to
22:27work together more can i hug you okay bye
22:41i swear i'm not on drugs i've been sober for years dancing is just how i reset
22:47i can disconnect from the world like when i'm up in the air the problem is this accident has
22:54opened your entire life to scrutiny tell me something before your vision flipped did you see
22:58anything else unusual the manhattan skyline started having black dots all over the buildings
23:06i want you to write something for me what anything just uh a complete sentence
23:23what are we doing those investigators will say that video is all the proof they need
23:37there are drugs that are indetectable and can cause patients to claim they're seeing upside
23:41down when in fact they're just high so i need l to provide undeniable proof that her brain is actually
23:49wired upside down
24:03the flip vision the coma states the disturbances in speech the weakness they're all symptoms of one
24:31thing a rare complex basilar migraine a migraine i've never even had a headache well typically
24:40complex migraines don't come with a headache but rather neurological disturbances called aura
24:45and those black dots you saw were an aura a warning sign of a migraine it's one of the most
24:51mysterious phenomena of the human brain can't migraines just come on at any time i i'm never
24:57going to trust myself to fly again let's just start you on meds all right before you ground yourself
25:02medication can successfully stop migraine symptoms but to prevent them from happening
25:07altogether we need to get underneath what's triggering your migraines and we have the perfect doctor here
25:13to help you with that yes she is wonderful
25:17while you were with the pilot jorge was febrile and hypotensive i started him on antibiotics and
25:26his pressure improved fluids good work and i talked to mrs torres together we came up with a new plan for
25:31jorge's treatment we're not going to escalate any further no pressers no lines dr wolf mrs torres is
25:39worried about her son's suffering and i understand she's not unreasonable
25:51i am sorry i couldn't come by earlier but i understand you're making some big decisions today
25:56i'd be happy to talk about them with you paul hay's not waking up i know but as we keep saying he can
26:04still get better i believe he will to stop now after everything dr charlie is wrong
26:14he's not wrong he's young young doctors haven't seen as much they may not have seen a patient as
26:22sick as jorge who ultimately gets better goes home you say one thing dr charlie says another
26:29poor problem leave me with my whole head
26:45has the medication kicked in thankfully good i still don't understand i've never had a migraine before
26:53why now you probably have you just didn't recognize the symptoms let's start with this morning did you
27:03notice anything unusual it's a routine flight i just feeling fine till the approach flying into new
27:11york city's airspace that can be stressful no it's actually the opposite flying over the city gives me
27:18perspective from up there everything down here is maize mall the people buildings problems free from
27:27all of that and as the pilot i'm in control did you feel in control this morning i did
27:35only if she was my captain he was acting kind of inappropriate inappropriate how so asking me about
27:41my personal life it's not a big deal but i ideally don't want to be trapped in a cockpit with someone
27:47who's hitting on me well has that ever happened before never no well we do know that emotional
27:54triggers can cause migraines could this event with your captain connect back to something else in your
28:02life i mean even if there was i don't see how one small interaction like this could be such a trigger
28:07the dancing the flying that's where you feel free was there a time where you feel trapped
28:13like you couldn't escape
28:23growing up it was just my mom and me in hartford
28:27we didn't have a lot
28:30just well i think she decided to marry him she thought she was giving me a better life but i don't
28:37think she realized he'd always be in it too
28:44or whether he would decide to drink that night and take it out on my mom or me
28:53that sounds terrible is that why you became a pilot to escape that situation did you know that on a
29:03white body seven six seven there are 463 pre-flight checkpoints and five distinct and critical phases of
29:09acceleration and two pride of whitney engines to thrust up all the while we monitor no less than
29:15one thousand data points in real time all this every time just to take off
29:19that sounds difficult it's not it's the easy part
29:28when i had to walk out one single door when i left home and my mom forgot that was the most difficult
29:35thing i've ever had to do
29:36my mom reached out a few years ago to tell me he died but i still can't go back and i haven't forgiven her
29:51well
29:54a wound like this it needs to heal
30:00even at 30 000 feet our bodies remember
30:07it keeps score
30:10but with therapy and an understanding of the mechanics of your migraines we can treat the more
30:16debilitating symptoms now we already know that you are an incredibly strong person not because you're
30:22a pilot but because you are a fighter and a survivor and that's not ever going to change
30:36it's pretty incredible still waiting on that urine kidding
30:46i'm not sure if you heard but there was a plane crash today silva i'm aware
30:49what are you looking for yeah no nothing really just um do you remember when my apartment
31:01put me collapsed yeah afterwards i snuck a bunch of benzos from dana to deal with the debilitating
31:07anxiety attacks and i have been taking them ever since and i have managed to keep it a secret until
31:13today's drug test what's that for if i stick myself with this needle and i check myself into
31:17occupational health i can buy myself some time i know i know i know but fan all my life all i have
31:23ever wanted to do is be a doctor and if i take this test i will fail and i will get fired and my life
31:29will be ruined no no no no way you're not doing this there were moments where i felt you were scared
31:36or anxious but i thought i must be wrong i'm so sorry for never checking in to see if you were okay
31:41erica you and i both know the risks of taking benzos without supervision so instead of continuing to
31:46hide maybe just have a conversation with silva we've diagnosed l with a treatable form of complex
31:55migraine as her neurologist i can certify that with proper management she will be fit to fly again
32:01with some time and as her psychiatrist i can assure you there was no history of substance abuse
32:08l fully cooperated and passed every drug test she was not at fault and we'd like to know if miss
32:15parker has any final remarks um you always wonder how you'll act in a crisis
32:29not only do i take full responsibility for my actions but i'm proud of them
32:35i landed a plane while my vision was inverted was zero severe injuries if this is my last flight i can
32:42hold my head high miss parker while the investigation will take several more weeks
32:49we are inclined to agree with you preliminary reports are your plane hit a recreational drone
32:55in restricted airspace additionally captain paul clark's unprofessional photos led us to a
33:02concerning discovery he should have never left the cockpit while autopilot was disengaged
33:07while he's suspended you are not
33:30silva
33:30i can't take the test today can't say i was expecting this from you but few things surprise me
33:42anymore hey i've seen it all so out with it coke molly ketamine benzos it's not a big deal i don't have
33:51a prescription okay that's a big deal hey i trust you to handle this as a doctor you know the
34:00harms of self-treatment you're jeopardizing your health not to mention breaking the law
34:06just never let it happen again hear me
34:11come see me in two weeks
34:21you paged dr wolf sit down
34:37why didn't you call me before you changed jorge's goals of care i knew you were busy
34:41i'm a second year it's my responsibility to talk to families more take meetings stop
34:46you made plans to move my patient toward hospice without consulting or attending there is no defense
34:51for that we're a team we need to come across as a team which means we give one unified message
34:59if that message gets fractured we lose the trust of our patients and their families maybe mrs torres
35:04didn't want the team this time maybe she wanted another perspective you don't speak to another family
35:09member without me present dr wolf with all due respect this reaction is irrational i offered a
35:14reasonable recommendation to mrs torres based on the information she gave me about her son
35:19and if you don't think that's true maybe you should look into why you're so hell-bent
35:23on treating a comatose man could it be because he's also the chief's patient
35:29doctor porter let me remind you that you came to this hospital to work for me do not confuse me
35:41allowing you into this department as an actual seat at the table your privileges here are by
35:47definition provisional you are a trainee you are a journeyman this is not your home
35:54do not for one minute confuse it as such get out of my office
36:03you want to talk about it
36:23there's not much to say charlie clearly went a step too far
36:28but so did i
36:29you didn't go far enough in my opinion charlie is an overstepper like the way he was pushing for
36:38el's tpa you can't help the team if you're too busy trying to put it on your back i agree
36:43in what we do it's vital the team works together
36:49like you two yes yeah exactly
36:51seriously though wolf i get that you were frustrated but yelling at residents come on that
37:02doesn't sound like you and you've been sleeping at your office your desk is a mess yeah i've been
37:10working really hard when was the last time you went for a swim in the hudson
37:17probably not since my dad left
37:28you paying for these sessions wolf yes in friendship
37:37sometimes courage means relinquishing control letting someone else guide the way
37:42dr pierce dr kenny
37:51can you recommend a good therapist of course there's a therapist for you or for someone else
38:02i need help other times it means seizing the wheel and charting your own course
38:17this is the first step to you gaining your confidence back and believing in your migraine treatment
38:22it's an honor to be your co-pilot
38:26thank you
38:29how long is this flight to harford it's just under an hour hope you like soft shell crab
38:37it's my mom's specialty
38:38ultimately it takes courage to trust
38:55it sounded thin upon this envy and that frankly will not flood
39:03you know
39:03you'll hear those shrillest highs and the lowest lows with the windows down
39:08you
39:09if you did a proposito a al outra vez
39:17oh
39:17my
39:18my
39:19my
39:20my
39:20my
39:20my
39:20my
39:21it's my
39:21my
39:22my
39:22my
39:22my
39:22my
39:23my
39:23my
39:24my
39:25my
39:25my
39:25my
39:25my
39:25my
39:27my
39:28my
39:29my
39:29my
39:29my
39:30Just wanted to let you know we started the discharge paperwork on Hector Martinez.
39:45Thank you, Amelia.
39:48You know, it wasn't my choice to put Hector in Hudson Oaks.
39:51His family saw one of your ads.
39:53But now that I've been there in person, I see that your priorities are in the right place.
39:58That's so good to hear, Carol.
40:01And I hope you'll think of us if you ever have someone in need.
40:03Okay.
40:05Have a good night.
40:06Okay, you too. Bye-bye.
40:10Sometimes it just takes seeing the world upside down for everything to make sense.
40:20Nobody wants to help you more than I do.
40:22I am your doctor, and you're a very sick man.
40:26But how can I help you if you won't trust me?
40:30Everything you say is a lie.
40:37It's your word against mine.
40:40But I have witnesses to corroborate what I say.
40:43Isn't that right, Hector?
40:45We have a lot more work to do, Oliver.
41:01So, get comfortable.
41:03You're going to be with us for a while.
41:26Greg, move your head.
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