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02:36All right.
02:39As most of you have no doubt heard, the incomparable Amy Larson has once again passed her boards.
02:51Congratulations on being the oldest intern of all time.
02:55As of today, Dr. Larson's full privileges are restored, which means she can see patients on her own, prescribe meds,
03:04perform procedures unassisted.
03:06I can even walk and chew gum by myself.
03:09When did she get her office back?
03:13What are you even doing here? This isn't your department.
03:15I heard there'd be cake.
03:17No cake, but we do have a little something.
03:33Well done, Dr. Larson.
03:34I couldn't have done it without you.
03:38I mean, without all of you, really.
03:41Thank you all for your patience and your support.
03:45Yeah, especially those who had to be coerced.
03:49Uh, yeah.
03:51When I make a tending, there'll be cake.
03:52Meanwhile, don't all of you have work to do?
04:02How do I look?
04:04Incredible.
04:05Next time, maybe that's all you wear.
04:08Hey, TJ.
04:09Look who's back in uniform.
04:10I'll catch you later.
04:11Okay.
04:13Where's yours?
04:14I'm off today.
04:15Or, I was.
04:16Oh.
04:17But actually, can you come with me?
04:18There's a patient who wants to see you.
04:23Oh, no way!
04:25Mr. Colvin!
04:26Hey!
04:28It's so good to see you.
04:29So good to see you.
04:30How long's it been?
04:31Too long.
04:32You know you're supposed to call me Randy.
04:34Mr. Colvin makes me feel old.
04:36Well, it makes you feel any better.
04:37You look exactly the way that I remember,
04:40and that is saying something these days.
04:42Heard about your accident.
04:44Teresa and I have been praying for you.
04:45Well, somebody must have been listening,
04:47because I'm actually doing okay.
04:48So, how can I repay the favor?
04:50Uh, you can start by telling this son of mine
04:53he's overreacting.
04:54Oh, here we go.
04:55He fell on the job, hurt his knee.
04:58Mmm.
04:58Don't sell me short, son.
05:00Some punk snatched the purse on the Metro.
05:03Luckily, Officer Coleman here.
05:05Still got some wheels.
05:06Okay, Pops.
05:07More like a flat tire.
05:09I just want to make sure his knee's not something to worry about.
05:12He claims he has no pain, but I noticed some gait instability.
05:15Possible weakness.
05:17Randy, will you walk across the room for me?
05:27It's good to have you back.
05:29So, you okay?
05:32Well, I'm a little bummed the hospital didn't fall apart without me,
05:35but I'll get over it.
05:36That's not what I meant.
05:38Yeah, I know what you meant.
05:41Anything I can do?
05:44Yeah.
05:45Don't treat me differently.
05:47Okay.
05:48Well, in that case, quit standing around.
05:51Get back to work.
05:53Okay, Nikki, can you just give me a deep breath?
05:58Again.
06:05Diminished right side breath sounds worse at the base.
06:08How long have you had the cough?
06:09About three weeks.
06:10And the chest pain?
06:12I don't know.
06:13A couple of days.
06:14Look, Lila has to be at school or she'll miss breakfast and I'll miss my shift.
06:17So, it's probably bronchitis, right?
06:19Can't you just write me a prescription or something?
06:22Not before we know what to treat.
06:23And with your symptoms, you're going to need a chest CT, EKG, blood work.
06:27Great.
06:28How long is that going to take?
06:30Mommy, I'm hungry.
06:31I know, sweetie.
06:32I'm working on it, okay?
06:34Um, look, just forget it.
06:36We shouldn't have come.
06:37We can't discharge you with vitals like these.
06:40Is there someone you can call to take care of your daughter?
06:42Well, if there was, then she wouldn't be here now, would she?
06:45Okay.
06:45Let's do this.
06:46Nikki, you're going to stay here while we run some tests.
06:48And Lila, you want to come with me down to the cafeteria?
06:52My daughter Mia says that they make a mean French toast.
06:56Why is it so mean?
06:57Well, that's just code for delicious.
06:59You can get whipped cream, strawberries, chocolate chips.
07:03Can I, Mommy?
07:05Please?
07:07Fine.
07:08No.
07:09It was a real cheese.
07:10Somebody needs to give me a recipe.
07:11It was a real cheese.
07:11MRI is clean.
07:14No evidence of ligamentous injury or fracture or any trauma.
07:18See?
07:18I'm fine.
07:19But there is a small collection of fluid in the joint,
07:22and I would like to drain it just to be safe and send it for additional labs.
07:26What do you think?
07:28We're here.
07:29Might as well run one more test.
07:35Ah.
07:36What is it?
07:37I can't feel bad.
07:40No.
07:41No.
07:51Do you feel this?
07:53No.
07:55What about this?
07:57Nothing.
08:01Okay.
08:02You push your toes against my hand.
08:06I can't move my legs.
08:14Oh, that was pretty scary, huh?
08:16Why is this happening to me?
08:18I don't know yet.
08:19Do you hurt yourself in Hawaii?
08:20Any falls?
08:21Were you feeling sick today?
08:22A little nauseous, maybe?
08:24Kinda sore.
08:25All over.
08:26But like, mainly my legs.
08:28Knees and ankles.
08:33Oh, hold on.
08:35Sorry, DJ.
08:37Ooh.
08:42Is there any chance that you have been scuba diving in the last 24 hours?
08:46I just wanted one last dive.
08:49I only visit my grandparents once a year.
08:52Okay, I think you have decompression sickness.
08:55The bends.
08:56Happens when you ascend too quickly after diving and you get small nitrogen bubbles in your bloodstream.
09:03And you're not supposed to fly.
09:05I thought I did everything right.
09:07It's okay.
09:08It's nothing we can't handle.
09:10He needs a hyperbaric oxygen chamber as soon as possible.
09:13We're in the middle of the Pacific Ocean.
09:15The closest airport is LA.
09:16And even that's three hours out.
09:17Two and a half if we burn fuel.
09:19Do it.
09:20Were you able to reach his parents?
09:21Air traffic control was able to patch his father in.
09:24I know it's frightening.
09:26Try not to panic.
09:27There are plenty of reasons for weakness and loss of sensation in the legs.
09:31It could be a lumbar disc issue or peripheral neuropathy.
09:35It could be an autoimmune attack.
09:37He had a cold.
09:39What?
09:39A month ago?
09:40That sounds right.
09:41Why does it matter?
09:42Okay, well in that case, it's probably Guillain-Barre.
09:44It's an autoimmune disease that's often triggered by a GI or a respiratory infection.
09:48Is it treatable?
09:50With plasmapheresis and intravenous immunoglobulin, most patients make a complete recovery.
09:54Spinal tap to confirm.
09:55And I'll also schedule a lumbar MRI just to be safe.
09:58Okay.
10:02Almost done, Nikki.
10:04Is Lila behaving herself out there?
10:07It's all good.
10:08She's doing great.
10:09Dr. Jake?
10:11Mm-hmm?
10:11Why do you have crayons?
10:13Well, sometimes, if I'm lucky, my daughter comes to visit me here at work.
10:18I go to mom's work sometimes, but her boss never has any crayons.
10:24Which drawing?
10:24It's you guys.
10:26Fixing mommy.
10:28You are gonna fix her.
10:30Right?
10:32Pinky promise.
10:41Oh, hey, chief.
10:43You got a sec?
10:44Sure.
10:45What's going on?
10:45Uh, Dr. Larson had asked me to look into an old patient.
10:49Bill Dixon.
10:50What?
10:52She remembers him?
10:54Uh, no, but apparently she found something vague in her email and she was asking about
10:58it.
11:01Uh, so, what's the problem?
11:03Uh, well, his patient record said he died in our care, but when I tried to access the
11:07autopsy, it was restricted.
11:09Hmm.
11:10I don't know why.
11:12I'm happy to look into it and I'll circle back with Dr. Larson.
11:14Now, if you'll excuse me, I'm actually late for a meeting.
11:18You said you had your bases covered.
11:20And I thought that I did, but now Amy's asking questions.
11:24And Amy's questions are becoming Julie's questions.
11:26All right.
11:27Don't spiral.
11:28So?
11:28People are digging.
11:29So what?
11:29What exactly are they gonna find?
11:34That wasn't a rhetorical, Richard.
11:36What's your exposure?
11:37Is there a paper drill?
11:38No.
11:40I don't think so.
11:42Okay.
11:42I'm gonna say this with love because my fee buys a certain bedside manner, but you don't
11:46inspire confidence.
11:47Well, your fee better buy a whole lot more than that.
11:51We need to start preparing a defense in case this goes to trial.
11:54My negligence killed a man and then I lied about it.
11:59How do you defend that?
12:01Well, is there an alternate theory for what happened?
12:09Okay.
12:09So, my dad's losing feeling in his abdomen, which has him freaked.
12:13But I assured him that ascending paralysis just further confirms the Guillain-Bray theory.
12:19The lab sent through the results from the lumbar puncture.
12:26What's wrong?
12:27It's negative for GB.
12:32So it's a false negative.
12:33Early onset may not yield elevated protein levels or other diagnostic CSF findings.
12:37Maybe.
12:37But I think we need to consider the possibility that it is something else.
12:43Something worse, you mean?
12:44We need a cervical and a thoracic MRI.
12:47And if I were you, I'd get your mother to the hospital.
12:54So we got your chest scans back.
12:56They show a collection of fluid on your right side and multiple lung nodules.
13:02Nodules.
13:03You mean like, like cancer?
13:06They could just as easily be benign growths or it could be an infection.
13:11We won't know for sure until we biopsy, but we'll schedule the procedure for first thing in the morning and
13:16go from there.
13:17Liz Wilson.
13:18Hi.
13:19My name is Linda.
13:20I'm a social worker here at Westside and the hospital liaison to the Department of Child and Family Services.
13:28What's going on here?
13:29I think there's been a mistake. We didn't place a consult.
13:31No, but a nurse in the clinic did.
13:33This patient is the sole caregiver to a minor.
13:37Ms. Wilson, if you're staying overnight, we need to find a temporary placement for your daughter.
13:41No, no, no.
13:42Like hell you do. You're not taking my kid.
13:45Not again.
13:45What are my rights here? Because if this is my only option, then I will check myself out.
13:49You'd be doing that against medical advice.
13:51Does it look like I care?
13:53No, let's just take a beat here. Maybe we can figure something out.
13:55I'm afraid there is nothing to figure out. It's hospital policy.
13:58I mean it, Dr. Heller. I will leave right now unless you tell me there is another way.
14:08I know that this exposes the hospital to a certain amount of liability, but we have-
14:12This isn't about liability. This is about the safety of the child.
14:15I mean, where do you plan to put her? Every bed is taken.
14:17There's a couch in her mom's room.
14:19No. There will be staff in and out all night.
14:21Not to mention, it's not fair to Nikki's roommate.
14:23Okay, the on-call room then. It's private. It's quiet.
14:25Dr. Matra and I, we can take shifts watching her.
14:27As well-meaning as that is, Dr. Heller and Dr. Matra should be focused on their patient, not her daughter.
14:32Look, all due respect, you do not know this family. Nikki has a history with DCFS.
14:37During COVID, she lost her job. Then she lost her apartment. They were living in her car.
14:41When DCFS got involved, it took 18 months before Lila could come home.
14:45That's awful. But our primary responsibility has to be Nikki's care.
14:50Okay, if you try to separate them right now, Nikki will leave and she's too sick.
14:55God only knows what will happen to her or Lila if they walk out.
14:58Tell me, how is that in the best interest of this child?
15:00The on-call room is not a long-term solution. If Nikki has lung cancer...
15:05That is tomorrow's problem. Just give me some time to figure this out.
15:15You have 24 hours.
15:20I'm right here, Dad. I'm not going anywhere.
15:23About after all the years of confined spaces training, this would be a cakewalk.
15:27I know, but hey, one sequence down, only about ten more to go.
15:37I know.
15:37We got an image here?
15:39Loading as we speak.
15:51You see that, right?
15:52I do.
15:56That's cancer.
15:58No, right now. That is just a lesion.
16:01We don't know more than that without a CT scan or a biopsy.
16:04I know what I'm looking at.
16:08Okay.
16:10So, we call in the specialists.
16:13We get Dr. Flint, Dr. Reza, Dr. Walker.
16:16We get them all back to the hospital.
16:19First, we got to talk to your parents.
16:23I need a minute.
16:37Hi. Chief, you wanted to see me before I left?
16:40I did. Yeah.
16:41Come on in. Have a seat.
16:51We're alone.
16:52Lila. Lila.
16:53Mom!
16:54Lila, honey. Honey.
16:56Lila, wake up.
16:57Wake up.
16:58Hey.
16:59You're okay.
17:00It was just a bad dream.
17:02You want to talk about it?
17:04I want my mommy.
17:06Keep it down, would you?
17:10Okay.
17:12Come on.
17:16Let's go.
17:18So sorry to wake you.
17:20She had a nightmare.
17:21It's okay.
17:22It happens when she's not in your bed.
17:25Sorry when they took her.
17:26Yeah, I can imagine.
17:28You want a mullaby?
17:29Yeah.
17:31You are my sunshine.
17:35My only sunshine.
17:41Need some help in here!
17:43Mommy?
17:43Lila. Lila. Lila.
17:45Come with me. Come with me.
17:46No!
17:47Lila. Lila. Come. Come.
17:49Listen to me.
17:50I need you to wait outside so I can help your mommy, okay?
17:53Can you do that for me?
17:54Go.
18:02What happened?
18:03Silver O2 plummet on the telemetry monitor.
18:05Right side chest is completely filled with fluid, likely acute blood.
18:09She's suffocating.
18:09Okay, let's get her on her side.
18:15Okay, no pulse.
18:16Let's start CPR.
18:16Code blue.
18:17Get some suction.
18:27Okay, I can't see to intubate.
18:29There's too much blood.
18:29Bagger, get an airway if you can.
18:30I'll get CT surgery.
18:35This is Dr. Heller.
18:36I need an emergency thoracoscopy.
18:38Room 619.
18:39Mommy!
18:41Go.
18:42We've got this.
18:43Okay, just get someone here now.
18:45Lila.
18:45Lila, don't look.
18:46Come here.
18:46Come here, come here.
18:47Hey, hey, hey, hey, hey, hey, hey, hey.
18:49Hey, hey, it's okay.
18:52It'll be okay.
19:00We need to stop vomiting, but he is maxed out on IV Zofrin.
19:04And his blood pressure's high, which puts him at risk of a brain bleed.
19:08What can we do?
19:10I could place a nasogastric tube to decompress his stomach.
19:14can you get me more of that oxygen tubing
19:16sure but that sounds painful
19:19i don't suppose there's a morphine drip
19:21in that medical kit
19:22no but there are 187 passengers
19:25on this flight
19:26next best thing to a pharmacy
19:29go
19:29get everything you can but see if you can get pain patches
19:36pain on a scale of 1 to 10
19:407
19:42liar
19:43look this patch will help soon
19:46but in the meantime i need to put a tube
19:48up your nose and down your throat
19:50to try to help the vomiting
19:51okay i'm gonna numb you as best i can
19:54and i'll be quick
19:55do you trust me
19:58okay
20:00open your mouth wide ah
20:01say ah
20:05okay good okay
20:08hold the sound
20:09yeah
20:17okay hey look at me on the count of one two three
20:22i know it's painful to hear but it's our best course of action
20:26the patient has a c1 intermidulary lesion i do an occipital craniectomy and c12 laminectomy
20:34open dura and perform a midline myelotomy going through the spinal cord to access the lesion
20:39he'll numb him from the neck down for the rest of his life
20:41yes but he will regain the ability to move that's not nothing
20:45and cutting through the cord is the only way to biopsy and resect the lesion
20:49i know it's less than ideal
20:51less than ideal
20:52i say we're pretty well past less than ideal
20:54i'm not happy about it either
20:56but i think this is glioblastoma
20:58if you wait on surgery the tumor could grow
21:00become inoperable or the cancer could spread
21:03and these are the good scenarios
21:04if the edema reaches his brain stem
21:06he'll die i know
21:10what if it's primary spinal cord lymphoma
21:13patient doesn't fit the profile he's not immunocompromised
21:16which would make this unusual but not impossible
21:19think about it rapid onset cervical location
21:23homogenous enhancement
21:25if i am right chemo and corticosteroids can dissolve the tumor without surgery
21:31we could see initial effects within a day
21:34and if you're wrong that time could cost him everything
21:37if paralysis isn't reversed within the first 24 hours it's often permanent
21:41you don't know when we cross the point of no return amy
21:43no but that choice should be his
21:45what choice there's only one safe option
21:48and i'm the neurosurgeon here
21:50who saved your life by the way
21:52don't call me in at the crack of dawn if you're not going to take my advice
21:56i'm just asking questions
21:57no you're hearing hoofbeats and thinking zebras
22:00and you sound like an intern
22:01okay okay that is unnecessary
22:03we're all professionals here with differing opinions
22:08tj what do you think
22:11your heart's in the right place
22:13but there are fewer than 15 cases of pscl per year
22:17in the entire country
22:22and we don't give false hope
22:36i need an operative consent form for randy coleman uh room 617
22:47okay
22:50here
22:51need to eat
22:52no i'm not hungry
22:53i know but you've been up all night
22:55just
22:56eat
22:59i take it your console didn't go well
23:00i've been here all of a day and i am already well on my way to aliening every doctor here
23:06not every doctor
23:09how'd your babysitting gate go
23:11oh
23:12mom's in surgery but
23:14i might have to keep my day job
23:15dr larson
23:17did the chief talk to you about dixon
23:19no
23:20was he supposed to
23:21well i looked into it like you asked and bill dixon was a patient who died
23:25who's patient
23:27dr miller's
23:27so what happened how did he die
23:30well that's just it i tried to access the autopsy report and it was restricted
23:35thank you
23:36um
23:38lawsuit maybe
23:39no idea
23:39but he said he'd circle back with you
23:42okay
23:42i'll talk to him today
23:44thanks julie
23:46you know i knew that name sounded familiar
23:48dixon
23:49yeah
23:50i mean it might be nothing but
23:52a while ago richard and i were treating a patient when a nurse interrupted to say that
23:56dixon autopsy was ready and
23:58i didn't think much of it at the time but
24:00why the urgency
24:02i mean most autopsy reports just come in an ehr alert
24:05right so
24:08what do you think he was going to find
24:15uh dr franco
24:16dr larson
24:18brings you into my neck of the woods
24:20please tell me those aren't your exam gloves
24:23not anymore
24:24kidding
24:26i just don't like the cheese dust
24:27what's up
24:28i wanted to ask you about a patient autopsy from a while ago
24:33um something wrong
24:35dr miller sent me an email a while back
24:38instructing me not to discuss patient results with you without his approval
24:43what
24:43well until you were back on staff
24:46you know um
24:48but as of yesterday
24:49i guess it's kosher
24:52congrats by the way
24:53thanks
24:54um
24:55what autopsy you interested in
24:57bill dixon
25:01oh that guy
25:02pretty popular for an 83 year old who choked on a ham sandwich
25:06dr miller asked about him too a few months ago said the family requested the autopsy
25:11why was there some reason to suggest that something went wrong
25:14uh some people are just in denial when the end comes you know
25:17huh okay well uh did you find something
25:19uh not really i mean i was surprised to find metoprolol in his system since it wasn't on his
25:25administered meds but dr miller said it was a mistake he just had to update the chart
25:31he changed the medical record after dixon's death
25:34i know i know it's against protocol but you know people are moving fast making life or death decisions
25:40detailed and accurate charting can be an afterthought
25:53finally got her back to sleep
25:55she won't stop asking about her mom and she refuses to leave her room
26:00any idea when nikki's out of surgery
26:02not for a few hours but we got another problem
26:04what's wrong
26:06our time's up
26:07dcfs is here
26:08oh god
26:15all told the procedure should last five hours
26:18i won't lie it's a long road to recovery but if you commit to pt ot and inpatient rehab
26:25we'll get you back on your feet
26:26i don't understand the only way to prevent permanent paralysis is to numb him for the rest of his life
26:33that's not a choice
26:35with the numbness he'll still have movement
26:38it's like when your leg falls asleep if you're looking at your foot you can still move it
26:42you can relearn how to walk
26:45this doesn't have to stop you from living your life
26:48how can this be happening
26:50i was absolutely fine yesterday morning
26:52pop we will figure this out
26:55whatever we need to do it'll be hard
26:57but we're gonna figure
26:58i don't need a pep talk son
27:02i need another answer
27:05one that doesn't turn my wife
27:07into my nurse
27:09randy no
27:10i won't ask that of you
27:13isn't there any other way
27:18actually there is another possible diagnosis
27:34so
27:36how am i
27:38as good as i look
27:41well i've given you all of the fluids and meds that i can
27:45and
27:45yeah
27:47your organs are still not getting enough oxygen
27:49and that's why i'm so tired
27:51mm-hmm
27:52but
27:52it just means we have to work a little harder
27:54to keep you alert
27:55here
27:56you want to tell me about this book you're reading
27:57oh
27:58or is that going to put you to sleep
28:00you don't like homer
28:01uh simpson
28:02yes
28:03but
28:04greek poet
28:05not so much
28:07i want to have adventures like those someday
28:10that's what i'm gonna do like my parents did
28:12join the army
28:13and
28:14then become a cop
28:15so you are smart and brave
28:19i guess that shouldn't surprise me
28:20seeing how well you've handled all this
28:23i hope this little guy grows up to be half the young man
28:26just tell my parents
28:27no no no
28:28hey
28:29none of that
28:30we are landing in 45 minutes
28:33there's an ambulance there to take you to the nearest hospital
28:35and your parents are on their way
28:37all you have to do is hold on
28:39that's easier said than done
28:41here
28:43i want you to listen to something
28:51you are not going anywhere
28:56i'm just asking you to reconsider
28:58my mind's made up son
29:00dr flint
29:01is the best neurosurgeon in the state
29:04and if this is a gbm the surgery is your only shot
29:07shot at what
29:09i don't want the life he's offering
29:11for me or your mother
29:12dad i know you're scared
29:14you don't know jack about how i feel
29:15fine
29:16but i do no medicine
29:18look my whole life
29:21you've been the one who knew better
29:22i came to you for advice
29:24or i didn't
29:25and i found out the hard way
29:26but this time dad
29:27i know better
29:31so
29:32please dad
29:33please
29:34listen to me
29:37son i love you
29:40but it's my life
29:43and i'm going to live it on my terms
29:50and you're okay with this
29:52you're alive because of dr larson
29:56we gotta trust her now
30:00mr coleman
30:01you ready for your first round of treatment
30:06please
30:09goodies i'll ever be
30:21tj won't talk to me
30:22but
30:23it's only been a few hours of treatment
30:25i wouldn't
30:26expect to see any improvements yet
30:29not exactly the triumphant return you were hoping for
30:32he's just too close to it
30:34there are
30:35good reasons
30:36to think
30:36that this could be lymphoma
30:38and more importantly
30:39it is what randy wants
30:41what he wants
30:42or what you want
30:43what's that supposed to mean
30:48you know what it's like
30:49to lose everything
30:50and you jump
30:52at any chance
30:53however small
30:54to get it back
30:57are you sure that's not what this is about
31:01i empathize
31:02with the man
31:03sure
31:04but no
31:05that is not what this decision
31:07is based on
31:13i have to trust my gut
31:15gina
31:17it's the only piece of me i've left
31:28hey
31:30welcome back
31:32what happened
32:02you had acute severe bleeding
32:03lila fell off the monkey bars
32:05a few months ago
32:05she broke her arm
32:06and between the hospital visits
32:08and the cast
32:08i couldn't pay my bills
32:10and they turned off my electricity
32:12and i'm skipping meals
32:14so that i can pay it
32:15at the end of the month
32:16but if dcfs goes to my place
32:18and gets lila's things
32:19and sees that my electricity
32:20doesn't work
32:20then they will take her
32:22from me
32:22again
32:23there must be something
32:24we can do
32:24there is not
32:25there is nothing you can do
32:27so please
32:28just leave me alone
32:31i said please
32:32just leave
32:34go
32:44hey here we go
32:46great night
32:47hey
32:48hey
32:48you headed home
32:50yeah i am
32:51but did you need something
32:52i talked over mr
32:53coleman's care
32:54with the night
32:55or she's on it
32:56but i wanted to talk
32:57about bill dixon
32:58you were there
32:59three months ago
33:00when he coded
33:01right
33:02yeah
33:03i was
33:04tough night
33:05he was a nice guy
33:06funny
33:09i have to ask you
33:10was there something
33:11unusual
33:12about the code
33:14um
33:15not really
33:16i mean it was chaotic
33:17they always are
33:20we did cpr
33:21pushed epi
33:21every three to five minutes
33:22when shocking didn't work
33:23dr miller pushed amiodarone
33:25you mean you pushed it
33:26at his direction
33:27right
33:28no i wasn't working fast enough
33:29so he had to step in
33:31so you're saying
33:32dr miller reached into the cart himself
33:34don't
33:35dr larson
33:36look
33:37this is your second day back
33:38do you really want to go down this road
33:41even if there was a mistake made
33:43there's nothing to be done about it now
33:45he's gone
33:46he's gone
33:47goodnight dr larson
33:55i don't think we could ever repay you for what you did today
33:57i was just in the right place at the right time
33:59no you should have seen her up there she was a superwoman
34:02i want daddy i want to call home i want daddy
34:05i know katie did
34:08we're gonna go
34:12oh
34:15okay
34:16tj
34:20thank you
34:21we won't forget this doctor
34:24thank you
34:27um wait
34:28isn't this yours
34:31you know what
34:33you keep it
34:33i got my hands full
34:35and you were pretty good with it up there
34:38thanks doc
35:04i know you're upset about the course of treatment that i recommended
35:08he's now lost all arm movement and sensation
35:11breathing's labored too
35:12we're gonna have to intubate him if he gets any worse
35:15you know
35:17you haven't changed as much as people think
35:19you've always been a maverick
35:21unafraid to take chances
35:22i used to like that about you
35:24but now i'm starting to think you just want to play the hero
35:27you came to me
35:28hey tj
35:41how you feeling
35:43you look better
35:47still giving us a silent treatment i see
35:49well hopefully you can muster up a little more enthusiasm for your next visitor
35:53mommy
35:55your mommy's still recovering
35:58but we got her all fixed up just like we promised
36:03are you okay sweetheart
36:04they had magma tiles
36:06we found a placement for lila
36:09just for a few days
36:11and that's it
36:12yeah
36:14i know you've had some hard years miss wilson but you've done a tremendous job getting back on your feet
36:20and we'll have lila back home as soon as you're discharged
36:25i appreciate that
36:28i'll be outside
36:35what just happened
36:37somebody must have paid your electric bill before dcfs went by
36:48it's possible i owe you an apology
36:51just take care of yourself okay
36:57lila
37:16can i come in
37:18sure
37:22i just
37:24i wanted to thank you for helping out with lila and nikki
37:28i know i got dicey there for a minute but it all worked out
37:31yeah well
37:34i'm not always the bad guy
37:36and now i know that
37:39i'll leave you to it
37:44hey um
37:45just for the record
37:48all i ever wanted was for amy to be happy
37:54and i guess she could do worse
38:13there you are
38:15i feel like i haven't seen you all day
38:21any more on mr coleman
38:23when i know you'll know
38:28hey
38:31you okay
38:34not really
38:34but thanks for asking
38:38you wanna come over to my place
38:40see if i can't turn your day around
38:44sounds nice
38:46but i can't leave yet
38:47i'm waiting to talk to richard
38:52okay
38:55well
38:56good luck then
39:19you're done for the day
39:21i am
39:25you want to walk with me
39:27i know what happened to dixon
39:32we all do
39:34it's right there in his medical record
39:35a record you had
39:37restricted
39:38for some reason
39:41i'll tell you what happened
39:42he aspirated
39:44you called the code
39:45and then you mistakenly picked up metoprolol
39:47instead of amiodarone
39:48and if you inject metoprolol
39:50into a patient who's already coding
39:52i would stop right there
39:53if i were you
39:54i figured it out
39:56didn't i
39:57before the accident
39:58and that is why you were so keen
40:02to get rid of me
40:04answer the question richard
40:06i didn't kill bill dixon
40:08you did
40:12what are you talking about
40:14you gave him
40:14that metoprolol
40:16amy
40:21a few weeks before
40:23dixon died
40:24i was treating him
40:26for complications
40:27from pneumonia
40:27he had
40:29mild pulmonary edema
40:30his bp was high
40:31i wanted to treat
40:33with diuretics
40:34you didn't feel
40:36like that was enough
40:37you felt like beta blockers were called for
40:39we argued
40:41ultimately
40:42you
40:43wrote him a script
40:44from metoprolol
40:45without my knowledge
40:46and you failed to put it in his chart
40:48why would i do that
40:50because that's what you were like
40:51as chief
40:53micromanaging
40:54marching around here
40:55like you and you alone
40:56could do the job
40:57and you were spread so thin
40:59that you made mistakes
41:02i haven't been covering
41:04my ass
41:05amy
41:07i've been covering yours
41:12i don't believe you
41:15ask liz
41:17she was there when you wrote the prescription
41:26you never understood
41:28why i didn't want you coming back
41:30but then
41:31then
41:32you were different
41:36your better self
41:39please
41:39for both of our sakes
41:43just
41:44forget about all of this
41:45okay
41:46it would be best for everyone
42:12oh no
42:15i did it again
42:16it's all
42:34what's wrong
42:36come here
42:38come here
42:45it's okay
42:46it's okay
42:49it's okay
42:50what happened
42:52what is it
42:55hey
42:57you're okay
42:57you're okay
42:58i'm here
43:01it's okay
43:01i'm here
43:02i'm here
43:07next day
43:07i'm here
43:09here
43:11Musique
43:44Musique
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