- 18 hours ago
Doc - Season 2 (2025) - Episode 21: Stuck
Category
📺
TVTranscript
00:00:01Previously on Doc
00:00:03You've been different since you came back from Chicago
00:00:04You've changed since this whole thing with Rachel
00:00:07I am chief now of your department
00:00:09You lied on our first day working together
00:00:12I appreciate you finding a way to trust me
00:00:14I'm never going to trust you, Richard
00:00:15You lied for Dr. Miller
00:00:17That's the thing about your reputation
00:00:18You only have one
00:00:20And once you lose it, it's almost impossible to get it back
00:00:22What could I do at this point?
00:00:24Find your voice
00:00:25Are you all right?
00:00:26I told her if she wants to come forward to HR
00:00:29We would both have her back
00:00:36Morning
00:00:37Hey
00:00:39Oh, I'm sweaty
00:00:40It's okay, I like you when you're sweaty
00:00:43I can think of a better way to get you there
00:00:45Yeah, but your way means I can't focus on you
00:00:47And I need to brush up
00:00:49Because today is the first day shadowing my chief resident
00:00:52Well, I think you're going to do just fine
00:00:57Coffee?
00:00:58Yeah
00:00:59Hey, so Rachel's coming by the hospital later
00:01:03Her biopsy site's not healing well
00:01:05So I just want to, you know, play it safe
00:01:07That makes sense
00:01:09Thanks for telling me
00:01:13Michael
00:01:17I'll get the coffee
00:01:19Morning
00:01:20Just wanted to let you know
00:01:22Liz filed an HR complaint against Richard for coercing her to be part of last year's cover-up
00:01:28She should, but hasn't Dixon been pretty well litigated?
00:01:32She wasn't party to those agreements
00:01:34She's uncomfortable with his return, and I'm supporting her
00:01:36And how's he taking it?
00:01:38He doesn't know yet
00:01:39I'm giving you the heads up first
00:01:40Because adversity doesn't bring out the best in him
00:01:44It's an understatement
00:01:46I appreciate you, uh, looking out for me
00:01:48Oh, here he is now
00:01:50Gotta go
00:01:52Liz is going after Richard with HR
00:01:55Let her certainly be part of justice
00:01:58That guy has nine lives
00:01:59I'm not holding my breath
00:02:08Just have her call me back after she's out of the deposition
00:02:11And let her know that it's important
00:02:14Thank you
00:02:18Dr. Miller?
00:02:19I got your CBC back
00:02:21And
00:02:23Your counts are trending in the right direction
00:02:25So, I finally made bail
00:02:27Not quite
00:02:28Come on, it's been three days
00:02:30I'm fine
00:02:31That's because you've got EPO and half our blood bank in your system
00:02:37Oh, I have her platelets
00:02:40Just give it to me
00:02:41I'll hang it
00:02:41Thank you
00:02:45So, she came forward
00:02:51Amy put her up to it, I'm sure
00:02:55Nope
00:02:56That was me
00:02:57And I prefer to call it empowering her
00:03:01Was that before or after I saved your life?
00:03:05You did what you did
00:03:09Well
00:03:11It is great to have you back in fighting shape, Joe
00:03:14I'll check on you in a few hours
00:03:21Mr. Swag, I'm Dr. Larson, this is Dr. Heller
00:03:25It's a nice necklace you got there
00:03:27Big believer in life
00:03:29Aren't we all?
00:03:31Elevated blood sugar is blurring his vision
00:03:33And I got my driver's test coming up
00:03:35Drove himself to the hospital
00:03:36He's got a 90th birthday party he's trying to get to this afternoon
00:03:39Yeah, yeah, I know, I know, 90
00:03:41But don't even think about taking my keys
00:03:43I tried CGM and Slim Pump
00:03:45He's still hyperglycemic
00:03:46You should add a
00:03:49Um, have you thought about sugar input?
00:03:52Oh, his diet's pretty good
00:03:54Yeah, I cut loctus and babka over COVID
00:03:57Treated him in for a Peloton
00:03:59It's not just about what he eats
00:04:00It's how it gets into his system
00:04:03A glucose absorption blocker would limit the sugar entering his blood
00:04:06Mmm
00:04:07But it blocks the digoxin uptake as well
00:04:09Right, not for the heart
00:04:12We reduce glucose reabsorption in his kidney
00:04:17SGLT2 inhibitor
00:04:18Great, that sound good to you?
00:04:19Well, I don't question the plan
00:04:21That's how I got this far
00:04:24Ah, the pan-coast tumor
00:04:26It's gonna have to wait till I get back
00:04:27I don't trust Mullins to get clean margins
00:04:29And have Gorman cover the cath lab
00:04:32No, no
00:04:33He'll complain, but he'll do it
00:04:36I'll call you back for the rest
00:04:38Hi
00:04:39Hi
00:04:40Hey, morning, I'm Dr. Heller
00:04:41This is Dr. Amy
00:04:43Amy Larson
00:04:45Dr. Ben Grant
00:04:47I saw you speak at the osteomyelitis symposium
00:04:49Three years ago when we hosted in New York
00:04:51Sorry, I wouldn't remember that
00:04:53I know
00:04:55I heard about your accident
00:04:56You did?
00:04:57Yeah, you're pretty famous on the circuit
00:04:59So we didn't actually meet
00:05:01No, I wouldn't say that
00:05:02I challenged you on non-operative management of diabetic ulcers
00:05:05And you ripped me a new one
00:05:07In front of a hundred other surgeons
00:05:09Yeah, that sounds about right
00:05:11Thanks a lot
00:05:13Ah, so Renee
00:05:14Dr. Barrett said you had questions about a treatment of your neuropathic pain
00:05:18Not me
00:05:19My overbearing brother here
00:05:20I prefer overprotective
00:05:22Dr. Barrett prescribed 300 of gabapentin
00:05:25But Renee was on that when she first got diagnosed and made her too lethargic
00:05:28So I'd like to try naltrexone
00:05:29There can be significant GI upset with that
00:05:31Lovely
00:05:32Can you mitigate it?
00:05:33Um, we could add dichloroacetate
00:05:36Try split dosing
00:05:39Thank you
00:05:39Best to see you
00:05:40Me too
00:05:42Again
00:05:45What's going on?
00:05:47His O2's a little low
00:05:48Might have something to do with the fact that he missed his sessions last week
00:05:52George, you know dialysis isn't optional
00:05:55I know
00:05:56But Angie was out of town
00:05:58And if I leave the dog alone too long
00:06:00She poops on the carpet
00:06:02That's why I have cats
00:06:03Blood pressure is a little low too
00:06:05You feeling lightheaded at all?
00:06:07Tired, achy, slight fever too
00:06:10And why am I just hearing about it?
00:06:12Figure it was just the toxins building up in my system
00:06:15Should we run additional blood work?
00:06:17Obviously, yes
00:06:18Lucy, thank you
00:06:19Mr. Santiago
00:06:20Hey
00:06:20I hear you've got a migraine?
00:06:22Yeah, my head is killing me
00:06:26Excuse me one minute
00:06:28Tell me the terms of my agreement covers this
00:06:31Bit of a grey area, I'm afraid
00:06:33How could you not have negotiated that?
00:06:35You wanted back in fast
00:06:36And I did not want to raise a red flag that would have involved her union
00:06:40So now what?
00:06:41I suggest you try to make nice
00:06:44No, I can't
00:06:45Michael explicitly said that I need to stay away from her
00:06:48Then this is going to be a very long road
00:06:50Cold blue, cold blue
00:06:52We need help in here
00:06:53I gotta go
00:06:54Cold blue
00:06:56Cold blue
00:06:58Richard clearly made a mistake
00:07:00And we need an autopsy
00:07:01The patient was an end-stage renal failure
00:07:04Cardiac event is hardly a surprising twist
00:07:06Something is off my call
00:07:08I looked at his chart
00:07:09His anion gap is over 30
00:07:12Delayed dialysis is a perfectly reasonable explanation
00:07:16So what, Richard takes a call
00:07:18Just as his patient codes and dies?
00:07:20What does that remind you of?
00:07:22Gina said the code was handled correctly
00:07:23So did Liz
00:07:24I'm not talking about the code
00:07:26I'm talking about what led up to the code
00:07:27I can't be the only one who thinks that there's something to be concerned about here
00:07:32Jake?
00:07:35Personally, I don't think the death was suspicious
00:07:37But yes, Richard does have a history of making mistakes when he's distracted
00:07:42When the patient's wife returns my call
00:07:44I will ask about an autopsy
00:07:47But I don't make any promises
00:07:52You made your point
00:07:53He heard you
00:07:54Okay?
00:07:55Let's let Michael do his job
00:07:56We do ours
00:07:58Herman's ready to be discharged
00:07:59Can you handle that?
00:07:59Okay
00:08:07Sorry
00:08:10Onions
00:08:11So you just found him like this?
00:08:14Yes
00:08:14We got worried when he missed the house meeting
00:08:16Was that before or after you made him streak the commons?
00:08:19Our fraternity doesn't haste
00:08:21Spare me the BS
00:08:22He's a freshman with a blood alcohol of 0.18
00:08:25Hey, Dr. Mitra
00:08:27You got a sec?
00:08:29Excuse me
00:08:32Richard's not giving you a hard time, is he?
00:08:34It's not that
00:08:36Did you hear that code?
00:08:38I think he might have killed another patient
00:08:40What?
00:08:42I was told not to process the body
00:08:43Because there may be an autopsy
00:08:46It's just a minor infection
00:08:47But it's a good thing you caught it early
00:08:49My catastrophic thinking finally pays off
00:08:52Let's just call it vigilance
00:08:55Amy, okay that I'm here?
00:08:57I saw her in the hall
00:08:59Her wave was a little tentative
00:09:01Yeah, she wasn't thrilled that I kept your situation from her that whole week
00:09:05Guess I put you in a tough spot
00:09:07And now I'm back again
00:09:09It's fine
00:09:10We're fine
00:09:12Yeah?
00:09:14The doctor who gaslit her
00:09:16He's back and looks like he mishandled the patient
00:09:19Gaslit her?
00:09:19He took advantage of her memory loss
00:09:23And tried to pin a patient's death
00:09:24Always a bit of a rollercoaster
00:09:28Still
00:09:30You're allowed to have separate nervous systems
00:09:35Yeah
00:09:36This shouldn't take long
00:09:38And I will check back in on you when I'm free, okay?
00:09:44Have you ever seen a dialysis catheter cause cardiac tamponade?
00:09:49No, why?
00:09:50So you're saying it's not possible?
00:09:52Oh
00:09:52Theoretically, if the tip eroded the wall of the SVC
00:09:56Take a look
00:09:56Richard's patient?
00:09:57Mm-hmm
00:10:00It's not the catheter
00:10:02But something's causing bleeding
00:10:04His BUN is 95
00:10:06Maybe that caused platelet dysfunction
00:10:13Pathology
00:10:13Hey, Jeannie
00:10:14I'm calling about George Baker
00:10:15Do you still have any of his blood?
00:10:17Two vials
00:10:18Great
00:10:19Can you run a quick PFA?
00:10:20I'll hold
00:10:21Hey
00:10:21Hey
00:10:22Is there a problem with Herman Zweig?
00:10:24Uh
00:10:25He's still here
00:10:26Oh
00:10:28I forgot to discharge him
00:10:29Seems like you forgot him altogether
00:10:31Cause you're here chasing Richard
00:10:32Sorry
00:10:33Your world
00:10:34We just live in it
00:10:35Hey
00:10:38I'm sorry
00:10:38But you did see his tattoo, right?
00:10:40Yeah
00:10:40Okay
00:10:41I was just hoping that maybe he'd go above and beyond for someone like that
00:10:43It's fine
00:10:44I'll discharge him myself
00:10:45He's got family waiting to celebrate his 90th
00:10:49Okay
00:10:49Got your results
00:10:50Um
00:10:52Is his platelet function prolonged?
00:10:54Nope
00:10:54Normal
00:10:55His coax are through the roof though
00:10:58I mean bananas high
00:11:07Richard was right
00:11:08It wasn't his fault
00:11:09Oh, that's a relief?
00:11:10No
00:11:10Not really
00:11:12I think George Baker had a hemorrhagic fever
00:11:17Come on
00:11:20Flu-like symptoms
00:11:21Low BP
00:11:23Sky-high coax
00:11:24And D-dimmer AST
00:11:25Triple ALT
00:11:27That is a hemorrhagic viral picture
00:11:30Had he been traveling recently?
00:11:31No
00:11:32But Lucy said that his wife just got back from a safari in Tanzania
00:11:35Did you talk to her?
00:11:38I've been trying for hours
00:11:39She hasn't been answering
00:11:40Public health needs to get to her house with hazmats
00:11:42And you need to lock down this floor
00:11:44Amy
00:11:45I know
00:11:46You're going to want to test
00:11:47And do an autopsy
00:11:48But every minute that passes
00:11:50Somebody who may have been exposed
00:11:51Leaves this building
00:11:52And they spread it
00:11:54We can't blink, Michael
00:11:58They were both in a cold with Richard and Gina
00:12:02Go find them and isolate them
00:12:03Okay
00:12:12Attention
00:12:12Code 5
00:12:13Attention
00:12:14Code 5
00:12:15All individuals are asked to shelter in place
00:12:18I repeat
00:12:19All individuals shelter in place
00:12:30George Baker tested positive for a variant of Marburg
00:12:34Which, as you know, has a very high mortality rate
00:12:36And is extremely contagious
00:12:38It has characteristics of the 2005 Angola outbreak
00:12:43And the 2012 Uganda outbreak
00:12:45But it is unique
00:12:46Dr. Franco is doing an autopsy now
00:12:49And I have Dr. Larson sequencing the virus as we speak
00:12:53I'm liaising with the CDC
00:12:55And as of now, Baker is the only confirmed case in Minneapolis
00:13:00Though public health is checking on his wife
00:13:02In the meantime, containment is our priority
00:13:07Nobody in, nobody out
00:13:10Wait here
00:13:11Those with symptoms or high-risk exposures will be isolated and observed
00:13:15Dr. Walker, Dr. Miller, Liz and Lucy were exposed during the code
00:13:21And we're waiting on the results of their tests
00:13:23We will test ourselves and our patients every 12 hours
00:13:27Confirmed cases will be quarantined in the ICU
00:13:30Which, from here on out, you do not enter without hazmat gear
00:13:35Decontaminate upon exit
00:13:36Gloves and gowns will suffice for regular patient care
00:13:39But we need to minimize interaction
00:13:41If it can wait, it should wait
00:13:43What about emergent situations?
00:13:45Handled on a case-by-case basis
00:13:47My patient in 623 may need a graham patch
00:13:49This is Dr. Grant, chair of cardiothoracics at St. Mark's in New York
00:13:54Double-boarded in trauma
00:13:55He had the misfortune of being here today
00:13:58I'm happy to help in any way I can
00:13:59If surgery's needed, Dr. Coleman will assist
00:14:02And Dr. Douglas, you good with anesthesia?
00:14:04I can push drugs and keep a heart pumping
00:14:06Yeah, but where? We've got people in every patient room
00:14:09Waiting rooms are being sterilized
00:14:12I can work anywhere
00:14:13We're all gonna have to improvise today, but we can do this
00:14:15Oh, absolutely
00:14:16Joan, you can't be out of your room
00:14:18I am content to sit in here and contact Trace
00:14:21I suspect I'm the only one here who's actually done it
00:14:25I'll get you security cam footage
00:14:26The rest of you, I need you room to room
00:14:28To collect blood samples and answer questions
00:14:30So the whole floor's infected?
00:14:33No, no
00:14:34The lockdown is a precaution
00:14:35And it's not airborne
00:14:36It's spread through fluid droplets
00:14:38Person to person and on the surface
00:14:40Which is why you need to stay in your room
00:14:42For how long?
00:14:43Days?
00:14:44I can't be in here for days
00:14:45My mother depends on me for full-time care
00:14:47Is there someone else you can call?
00:14:49My father's a lawyer
00:14:50And just so you know
00:14:51He won't stand for you holding me here
00:14:56Fever, chills, chest pain, nausea, even a headache
00:15:00You let us know
00:15:00In the meantime, I'm gonna need blood samples to test you
00:15:05I suggest you cooperate
00:15:07I'm really sorry you're trapped in here today of all days
00:15:09You still serve food?
00:15:12Then I'm good
00:15:13You can't just lock this in here
00:15:14My wife is waiting downstairs
00:15:16The lockdown is for your protection
00:15:17Oh yeah, that's what the geniuses said last time
00:15:20And then it was two years of us hiding from a flu
00:15:22Hey
00:15:23Hey
00:15:25You'll go where they say
00:15:26Or you or me are gonna have a problem
00:15:31What a crock
00:15:34I already talked to Allie
00:15:35She said she can look after me until this is over
00:15:38You really don't know how long this is gonna be?
00:15:40I mean, once I'm negative, I can go home
00:15:42It doesn't work like that
00:15:43Negative could just mean not positive yet
00:15:46I want you to take your temperature every hour
00:15:48If it's over 99, you call me
00:15:51I'll have your test results on this in a bit
00:15:53Okay?
00:15:55Jake
00:15:58You seem scared
00:16:00I am
00:16:07Just tell the boys that I'm okay
00:16:08And I'll be home as soon as I can
00:16:12I'm testing negative right now
00:16:15But, um
00:16:16I don't think I'll be
00:16:18In the clear for a couple of days
00:16:20Welcome to the world's worst sleepover
00:16:24I saved you the top bunk
00:16:25Dad will be doing much sleeping?
00:16:27I don't have privacy right now
00:16:29So I can't talk about that
00:16:31Yeah, okay
00:16:33I love you too
00:16:38Kind of puts all of our other problems
00:16:40Into perspective
00:16:42Doesn't it?
00:16:44Okay
00:16:45Can someone catch me up?
00:16:50I filed an HR complaint
00:16:51Not that it matters now
00:16:54Where's Lucy?
00:16:55Maybe they're still waiting for her test results to come back
00:16:59She caught Mr. Baker's blood on her face during the code
00:17:03I know
00:17:05I know it's hard, ma'am
00:17:07But you do need to isolate from your kids
00:17:09No, if you try to get on a plane
00:17:10Police will intervene
00:17:11Well, I wish you had better news
00:17:13But I appreciate the update
00:17:14Yeah, I'll send over addresses for anyone else we can't find
00:17:17Thanks
00:17:19Public health just found Mrs. Baker
00:17:20Dead in her home
00:17:22I assume they'll get their own contact tracing unit up and running
00:17:25Yeah
00:17:26In the meantime, we've identified 27 of the 39 individuals who left the floor
00:17:30Make that 28
00:17:32And we've also mapped out George Baker's movements through the sixth floor
00:17:37Identifying any hot spots we can
00:17:39Restroom, sign-in tablet, anything he touched or coughed on
00:17:42We'll need a list of anyone who had high exposure to these areas
00:17:46We're scrubbing the footage to ID whomever we can
00:17:48Our code team's the real problem
00:17:50I thought they were already isolated in the on-call room
00:17:52Oh, but Lucy
00:17:54Who just tested positive?
00:17:59So the incubation period's hours, not days
00:18:02Even Ebola's not that fast
00:18:04And the code team was moving freely before the lockdown began
00:18:07You're saying Liz, Dr. Miller, and Dr. Walker are definitely carrying it?
00:18:11Not necessarily
00:18:12But to be safe, we need to isolate their patients
00:18:15All right, so we got 627 cleared, so let's go ahead and isolate Mr. Batal in there
00:18:20And Sammy, can you get Rachel in 619? We're going to need her room, too
00:18:23On it
00:18:26Dad, there's got to be something you can do
00:18:29Well, you're bringing someone else in here
00:18:30We need to create isolation spaces for people who have confirmed exposures
00:18:33Be grateful you're not one of them
00:18:35Is that safe?
00:18:36Stick to your side of the room, don't touch anything on his side
00:18:40If they give you any trouble, let me know, I will be back
00:18:42I can take care of myself, Doc
00:18:43I'm good here
00:18:49We're going to figure this out, Lucy, okay?
00:19:00Michael, can you hear me?
00:19:03Yeah, you have an update?
00:19:04We got the autopsy report
00:19:06You're going to want to see this
00:19:08Liver necrosis, splenic rupture, bleeding bowel, lungs, kidneys
00:19:12All liquefied
00:19:13Baker was a dead man walking
00:19:15Anything from the sequencing?
00:19:18This surface GP substitution accelerates transmission
00:19:22And the VP3 mutation and the high NPC1 affinity
00:19:26mean rapid cell entry
00:19:28So it's even more lethal than conventional marvel
00:19:34And twice as contagious as Ebola
00:19:50Any change?
00:19:52BP's dipping
00:19:53If fluid recess doesn't work, we need to escalate
00:19:56I'm so cold
00:19:59If it's a fever, I'll get IV acetaminophen and a warm blanket
00:20:04Are you hanging in there?
00:20:06My temp was 103
00:20:08And my sats are all over the place
00:20:10I've seen worse
00:20:11And your kidneys are still humming along
00:20:17Can I take a look?
00:20:21Let's see
00:20:23She has petechiae on the roof of her mouth
00:20:25She's lactate
00:20:27Full coax
00:20:29ABG
00:20:29I'll get the kit
00:20:30I'll type in cross four units of blood
00:20:37I'm so scared, Amy
00:20:41I know, Lucy
00:20:43I'm just glad it's you taking care of me
00:20:47I just want to hold his hand, please
00:20:53You got another one?
00:20:56Dr. Larson, we're running out of space
00:20:59Who's that?
00:21:00George Baker's roommate
00:21:01Jane's patient?
00:21:16Now what?
00:21:21Carl Santiago just tested positive
00:21:27Lucy worked on both of them
00:21:29So did I
00:21:30Don't think like that, Liz
00:21:34If I hadn't distracted you today
00:21:37Would you have caught this earlier?
00:21:39I didn't catch anything
00:21:41Amy did
00:21:43He couldn't be saved, Liz
00:21:45And he exposed everybody
00:21:47The second he stepped on this floor
00:21:50I just wanted things to go back to normal
00:22:02Liz
00:22:05For whatever it's worth
00:22:08You didn't deserve
00:22:10Everything I put you through
00:22:16And I am sorry
00:22:21How's Lucy?
00:22:23Lucy
00:22:23We're doing everything we can
00:22:24What about you two?
00:22:25Still no fever?
00:22:26We were all good in here
00:22:27As of an hour ago
00:22:29Go ahead and take your temperature again
00:22:31Jake
00:22:32Rach, just
00:22:32Take it again
00:22:34Take it again
00:22:44See?
00:22:46Nothing to worry about in here
00:22:47Except a low phone battery
00:22:49And maybe a mild case of PTSD
00:22:53How's that?
00:22:55Talking through our window
00:22:57It's like 2020 all over again
00:22:58Except I'm you
00:22:59Sleeping in the garage
00:23:01I've tried doing it for months
00:23:03Yeah, I'm not a horrible air mattress
00:23:07Anyway
00:23:09Let me see if I can go find you a phone charger
00:23:10A hero
00:23:24It's hard to be in here, huh?
00:23:26When the person you love is on the wrong side of the door
00:23:28Oh, we're not
00:23:31Jake smacks
00:23:33Still family
00:23:35Tell me if this is tender, okay?
00:23:40That's a yes
00:23:41Okay
00:23:47Sorry
00:23:48The ulcer acts up when I get stressed
00:23:50I'm sorry, but your pressure's dropping
00:23:52You're losing too much blood
00:23:53I'm worried about perforation
00:23:57Just a sec
00:23:58About time you called me back
00:24:00How's mom?
00:24:01Mom, did you get her dinner?
00:24:04Elle, I need you to put the phone down and listen to me
00:24:07We have to operate on your ulcer
00:24:10Now?
00:24:15Dr. Coleman
00:24:16We've got a job to do
00:24:18And we're going to do it well
00:24:19Are you ready?
00:24:20Yes, sir
00:24:21Inspiration, please
00:24:25Signing
00:24:26Scalbo
00:24:28Yesterday my life was filled with rain
00:24:31They really can't tell you how long
00:24:33Dude, just stop
00:24:34Bro, why should he get to bed?
00:24:35He's been sleeping all day
00:24:36Well, you know how these things are
00:24:38They're just being extra careful
00:24:39Hey, you think that's funny?
00:24:42What's going on there, Dad?
00:24:43Just a jackass born on third base
00:24:45Thinks he hit a triple
00:24:48Hey, whoa, whoa, whoa
00:24:49What the hell?
00:24:49What did you do?
00:24:50Oh
00:24:51Whoa
00:24:53He's having a seizure
00:24:54Turn him on his side
00:24:55I'm not going to touch him
00:24:55He could be infected
00:24:56Okay, how are you?
00:24:57He can even leave the room
00:24:57Oh, he's choking
00:24:58So one of us has it?
00:25:00Don't look at me
00:25:02He got you
00:25:03It's going to be okay
00:25:04Hey, Herman
00:25:05Herman, Herman, Herman
00:25:05Give me one gram of Kefra
00:25:07Two mgs of lorazepam
00:25:08On it
00:25:08Herman, hey, let's sit back
00:25:09Okay, let's sit back
00:25:13Why the hell was you the one helping your friend?
00:25:16Lorazepam
00:25:19O2 sets dropping pulmonary edema
00:25:23We max out high flow
00:25:24And then we tube her
00:25:31How are the others?
00:25:34Liz
00:25:36Everyone's dying
00:25:37I can't do this anymore
00:25:43They're okay
00:25:45Try to rest
00:25:49Okay, I got one
00:25:51Would you rather
00:25:52Work an overnight shift
00:25:54And it's just
00:25:55Enemas all night
00:25:57Or
00:25:58Go to a wedding
00:25:59As Peter's
00:26:00Plus one
00:26:01Uh, do I have to dance with him?
00:26:04Two songs
00:26:05Yeah, I'll take the enemas
00:26:06Too easy
00:26:08I mean, you've seen him
00:26:09Do the robot at the holiday party
00:26:10Would you dance with him?
00:26:12Fair point
00:26:16You all right?
00:26:17Stay away from me
00:26:20It's Dr. Miller
00:26:22I need to be tested
00:26:29She's third spacing everywhere
00:26:32Julie, hang two more units
00:26:34And an FFP
00:26:38Her blood's thinning out
00:26:48Gene is still negative
00:26:50So is Liz
00:26:52The ventilators aren't working
00:26:58You can let go now
00:26:59Oh, blue
00:27:01Healothorax
00:27:01Amy
00:27:02Yeah, I'll do a needle
00:27:04Thoracentesis
00:27:05DIC?
00:27:06Yeah
00:27:06Rapid infuser, now!
00:27:19She's in hypovolemic shock
00:27:22We're gonna get through this, Amy
00:27:25I want every unit we have on hand
00:27:26In that infuser
00:27:29Pushing amping
00:27:33I'll start compressions
00:27:46Charge to 120
00:27:47Amy, Amy
00:27:48It's no use
00:27:51She's gone
00:28:17Time of death 2247
00:28:43Still can't believe she's gone
00:28:46Mr. Santiago
00:28:47This thing goes south fast, TJ
00:28:54I'm taking your ICU shift, okay?
00:28:56You go deal with my patience
00:28:57I'm in a position of leadership now
00:28:59I'm not handing off my work
00:29:02Hey
00:29:02Part of being a leader
00:29:04Is admitting when you need help
00:29:05And trusting the people around you
00:29:06To share the load
00:29:08Don't shoot for a couple of hours
00:29:11We've got a long road here
00:29:37Step back from the door, okay?
00:29:40Uh, I'm not near it
00:29:41Why?
00:29:50I didn't want you to be alone
00:29:51I'm sure I'll see you in the ICU soon enough
00:29:54Don't say that
00:29:55Am I wrong?
00:30:01Have you talked to Wendy?
00:30:04She's taken it like a champ
00:30:05So far
00:30:08How's Katie?
00:30:09She's pretty Pollyanna, actually
00:30:13Which is good
00:30:14Given, you know, everything she's been through
00:30:17I just wish I could be out there helping you all
00:30:21I'm sure seeing Lucy like that was terrible
00:30:32Was that a memory seizure?
00:30:35Of COVID
00:30:36Seems like trauma brings back trauma
00:30:39There's always phenobarb
00:30:42No
00:30:42It has so many potential side effects
00:30:48Promise me you'll be careful
00:30:54I love you
00:30:58I can't chat
00:31:13I'm looking at the material you sent
00:31:15But this doesn't help me
00:31:16Our strain is way more aggressive
00:31:18Than whatever you're tracking in Tanzania
00:31:20I can't just hit it with remdesivir
00:31:22What about other antivirals?
00:31:27So you're telling me supportive care is your best advice?
00:31:31I mean, Eastside lost two more this morning
00:31:36Great, well, when you have a better idea, you know where to find me
00:31:40Guessing you slept almost as well as I did last night
00:31:45Thank you
00:31:49I was prepared to treat the patients
00:31:53Not our people
00:31:55I can't look anyone in the eye and tell them this is going to be okay
00:32:02I think George Baker went to the vending machines before treatment
00:32:05It's the only other place college kids went on the sixth floor
00:32:09And I missed it
00:32:11We don't even have cameras there
00:32:13No, but when he returned to his patient room at 9.23
00:32:16He had a soda in his hand
00:32:18If I'd isolated based on that criteria
00:32:21We'd be in much better shape
00:32:24We've been playing catch-up since the beginning, Joan
00:32:27Yeah
00:32:29Yeah
00:32:34Hey
00:32:39I'll be right back
00:32:40Okay?
00:32:48Why isn't any of this working?
00:32:49Sir, we are doing everything we can
00:32:51Well, it's not good enough
00:32:53No, don't touch me
00:32:55You just touched him
00:32:56I cannot give you something you already have
00:32:58Now, please, let me examine you
00:33:09Hey, Jules
00:33:09Yeah?
00:33:11You see this much lymphadenopathy in other patients?
00:33:13Uh, I'm not sure
00:33:14Hey, I have a lump, too
00:33:17It's replicating fast
00:33:19Why do you say that like it's a good thing?
00:33:21Its speed is its weakness
00:33:23Accelerated multiplication makes the virus prone to errors
00:33:26And open to attack by replication inhibiting antivirals
00:33:29Okay, yeah, but which one?
00:33:31I mean, cardiac failure in bed 2 points to protease inhibitors
00:33:34But respiratory failure in 7 suggests neuraminidase inhibitors might be more effective
00:33:38We could design our own
00:33:39You want to invent an antiviral?
00:33:42A cocktail
00:33:43Based on what we know about the virus' components from genetic sequencing
00:33:47Teramiphene destabilizes viral glycoprotein
00:33:50Interferon beta-1a inhibits VP3 expression
00:33:52Cathepsin B would definitely interfere with MPC1 binding
00:33:56It still doesn't address your replication rate
00:33:58It would if we added a nucleoside analog to slow it down
00:34:02There are going to be a lot of variables
00:34:04Yeah, we all have to step outside our comfort zones if we want to attack this
00:34:08She's right
00:34:09Mix and match
00:34:10Try finding a combination that gives us the most bang for our buck
00:34:14Or we could sit back, manage symptoms, and pray
00:34:18As you know, this infection can get very serious very quickly
00:34:23And we won't wait for that to happen
00:34:25And we have designed four drug cocktails we believe could help
00:34:29So you're improvising
00:34:31We ran a sophisticated analysis
00:34:33What if your analysis is wrong?
00:34:36All volunteers will be closely monitored
00:34:37Negative responses will be met with immediate intervention
00:34:41So if you screw up, then we have to trust you to fix it
00:34:46That is an oversimplification
00:34:48I mean, they have a test
00:34:50How can they not have a decent treatment?
00:34:53So which is it?
00:34:54You think we're incompetent or gods?
00:34:56Or just liars for some unknown reason?
00:34:59Not hoping
00:35:01You're under no obligation
00:35:03And yes, there are serious risks
00:35:07Nipper failure, heart attack, even death
00:35:11But you'll learn something either way, right?
00:35:17I'm in
00:35:18Thank you, Richard
00:35:20Anyone else?
00:35:26Come on
00:35:27You want to just lie around here hoping?
00:35:31Or you want to fight back?
00:35:44Good
00:35:45We'll get started shortly
00:35:50Hey
00:35:52You have any memories?
00:35:53I just need a minute
00:36:23Hi
00:36:25It'd be good if we can get a PCR up here for us
00:36:28They're worrying on that
00:36:31I heard you blew Dr. Coleman away
00:36:33With your surgical skills
00:36:35And playlist
00:36:36Yeah, it's nothing compared to what you're doing
00:36:38It's not exactly the best way to meet again
00:36:45We're going to get through this, Amy
00:36:46You all right?
00:36:50I just
00:36:51Yeah
00:36:52Yeah
00:36:53Yeah, I'm fine
00:36:53Well, I better go check on Ella
00:36:56Hold stop
00:36:57I'm fine
00:36:59Yeah
00:37:00I'm fine
00:37:25I'm fine
00:37:26I'm fine
00:37:42Liz, did the ondansetron help with the nausea?
00:37:46Not yet.
00:37:48All right, I'm going to try adding haloperidol.
00:37:51How are you feeling?
00:37:52Any shortness of breath?
00:37:54Only since Y2K.
00:37:55I remember the world was supposed to come to an end then.
00:37:58Yeah, it seems kind of quaint now, doesn't it?
00:38:01I'll be all right, Doc.
00:38:02Really.
00:38:03Will you let me know if that changes, okay?
00:38:05Yeah.
00:38:07How's he doing?
00:38:09His O2 sats are falling.
00:38:11He never should have been in the room with those asshats.
00:38:13We're in triage.
00:38:14We had no choice.
00:38:15How are your patients doing?
00:38:16I think Kenny needs a cardiac echo,
00:38:18and Layla's showing signs of systemic inflammation.
00:38:21Okay, I'll take a look.
00:38:22Look, in the meantime, can you get Audrey started on parenteral support?
00:38:25Got it.
00:38:28We're almost at capacity in here.
00:38:30Yeah, and the hits just keep coming.
00:38:32How's Gina?
00:38:33She's still negative and asymptomatic, somehow.
00:38:36Well, I'll take any good news I can get.
00:38:39Chase's cerebral edema didn't respond to mannitol, so I sedated him.
00:38:43Herman's putting on a brave face, but his O2 sats are drifting,
00:38:46and our resident conspiracy theorist's getting splenomegaly, but doesn't believe it.
00:38:52Dr. Hamda, Dr. Larson, Dr. Miller's fever broke.
00:38:55He was at 104 earlier, he's down to 101.7, and sats are improving.
00:39:00His cocktail's working.
00:39:01Does this mean what I think it means?
00:39:02We won't know until we try it on the others.
00:39:05Dr. Franco?
00:39:06Yes?
00:39:07How long to get me enough cocktail number four for everyone up here?
00:39:10An hour to reconstitute the vials, two to balance the infusion solutions,
00:39:14and another to prep the IV bags.
00:39:16Some of my patients may not have that long.
00:39:18We've got extra hands moving in now.
00:39:21That's such a relief, Mom.
00:39:22Oh, I know.
00:39:23Believe me.
00:39:24I gave blood again today.
00:39:26It's the only thing I can do to help.
00:39:28You sure you're okay?
00:39:30You seem exhausted.
00:39:32I'm...
00:39:33Well, I just need this coffee to kick in.
00:39:37Listen, I should get back, honey.
00:39:38Wait, Mom.
00:39:39Promise me if either of you get sick, I want to know.
00:39:43You will.
00:39:45I love you.
00:39:47Love you, too.
00:40:01Let's move, everyone!
00:40:03Just in time.
00:40:04Chase is unstable, and Herman's getting more tachycardic.
00:40:08Thanks.
00:40:09Oh!
00:40:10You okay?
00:40:11Yeah, I'm just running on empty.
00:40:13Going once, going twice?
00:40:15No thanks.
00:40:16Use it on your guinea pigs.
00:40:18Besides, your friend, he don't look so good.
00:40:24Julie, blood check on Richard.
00:40:32It feels like it.
00:40:36AST's 13,000.
00:40:38What?
00:40:39Michael?
00:40:40Hold on, and we've had a failure.
00:40:43It's PTs.
00:40:44It's hyperkalemia.
00:40:46He's got a code.
00:40:47Beat him.
00:40:53EpiZen.
00:40:54We're charging to 200.
00:40:55Clear.
00:41:04Okay.
00:41:08There's no bleeding.
00:41:10This isn't the hemorrhagic fever.
00:41:14It's a drug reaction.
00:41:17Everyone, stop the infusions!
00:41:19O2 sets are dropping.
00:41:20TJ, check his lungs.
00:41:22I'm drawing up the steroids.
00:41:25Starting high-flow oxygen.
00:41:26We're losing him again!
00:41:31Attention, Pneumo!
00:41:33We need to decompress.
00:41:41You're almost in.
00:41:48Sats are coming up.
00:41:50I've got the hub.
00:41:53Pull the needle.
00:41:57No, no, no.
00:42:03Needlestick protocol.
00:42:05What's going on?
00:42:05What's happened?
00:42:06She got stuck with an infected needle.
00:42:09Dr. Heller, get her out of here.
00:42:11Disinfect, test, and isolate.
00:42:12Stat!
00:42:13Ray!
00:42:13Step in!
00:42:18TJ, get on the chest tube.
00:42:20Yeah.
00:42:20Now.
00:42:21Now.
00:42:24Now.
00:42:24Now.
00:42:26Now.
00:42:27Now.
00:42:29Now.
00:42:29Now.
00:42:29Now.
00:42:30Now.
00:42:30Now.
00:42:31Now.
00:42:33Now.
00:42:59Now.
00:43:10mom you okay so you said you wanted to know if you're sick i tested positive but i feel
00:43:21okay and i don't have any pre-existing conditions so you think i didn't look this up i know how
00:43:28dangerous it is i love you katie did and i'm sorry for anything that i don't mom we've already done
00:43:42this you're forgiven please i can't bear the idea that you don't know that too please tell me you
00:43:52know that i know i do know that we're good hon you're good
00:44:17i'm not micromanaging sophie i'm trying to keep our mother alive
00:44:24little sister is it that obvious i've got one myself has she taken years off your life well
00:44:32it's too soon to tell she's been sick for a while i wish i lived closer so i could do
00:44:36more
00:44:45ella moran just tested positive she was infected prior to her surgery so dr grant peter tj and marcy
00:44:53may have been exposed as well we're waiting on all their results now as of now the rest of the
00:44:58staff
00:44:58are still negative but we should continue to test every 12 hours what's the latest on the
00:45:03antiviral cocktails three had minimal to no impact one seems to be very effective at killing the virus
00:45:09but it nearly killed richard right yeah it fired his liver can't rely on that one if he makes it
00:45:14to
00:45:14the other side we could use his blood to produce the convalescent plasma serum that's a big if can't
00:45:20just sit around and wait what if we use the cocktail that worked on richard but attempt to
00:45:24mitigate the liver damage with what nac would be my pick this could also just cause more harm i don't
00:45:30see how that's possible so what do you want to do just treat them like lab rats rats don't get
00:45:34consent
00:45:34and what else are we supposed to do continue supportive care let the immune system do its job
00:45:39you saw the autopsy images there is no supportive care
00:45:45i can't keep anything down i just gave you an ivy anti-emetic it'll kick in soon
00:45:55thank you for helping him
00:46:01you were scared and your leader this cowardice didn't help
00:46:08yeah well you should help with the chills you perform a surgery and did i give it to you no
00:46:15i got my test back 20 minutes ago and i'm still negative okay
00:46:20shouldn't you be in bed as long as i can keep working i will
00:46:25how are you feeling a lot worse than yesterday
00:46:29yes you know it's not because of the antivirals
00:46:38i heard you told katie
00:46:39yeah that's brutal do you want me to explain what happened no but thank you hold on a minute
00:46:49i need everyone's attention it seems only one antiviral cocktail combats the virus effectively
00:46:55but it comes with potentially lethal side effects so it's not effective we're working on a way to
00:47:02counteract the dangers so we can still use it to try and save you for those unable to weigh in
00:47:07we've spoken with their families for the rest of you the decision of whether to try this is your own
00:47:13without it what are our chances
00:47:16obviously everyone is starting with different individual risk factors
00:47:20but broadly marburg and angola had a 90 percent fatality rate
00:47:25here with such advanced medicine it can be as low as one in five
00:47:30still this is a very strong variant so the fatality rate will likely be higher
00:47:35well it sounds like you don't know a thing how do you not have any answers
00:47:38he has the decency to tell you the truth that's what you want right
00:47:45i'll try it
00:47:47no way
00:47:49like i said it's up to you but we recommend this course of treatment
00:47:55i'm game
00:47:57me too
00:48:06we'll get you started on it right away
00:48:11must be so scary out there
00:48:14like nothing i've ever seen
00:48:15those suits you wear they're keeping you safe
00:48:17yeah i'm negative
00:48:18Renee and i'm gonna stay that way
00:48:20sure you're having too much fun flirting with that pretty doctor
00:48:23what are you talking about
00:48:24i know you big bro there was something more at that conference than what you told her
00:48:29and i think your imagination is starting to run wild on you in there
00:48:35it looks like you just got saved by the bell
00:48:37Rooney's getting a call
00:48:39stay safe
00:48:40or i'll kill you
00:48:41i will
00:48:45hey you
00:48:45how you doing
00:48:46a little stir crazy but i'm fine
00:48:49any better out there
00:48:50three more positive cases
00:48:52one of them's amy
00:48:53oh no
00:48:54jake
00:48:55yeah she took some meds
00:48:56it distracted her
00:48:57didn't tell me till afterwards
00:48:58i'm so sorry
00:48:59that sounds horrible
00:49:02um anyway how's mia doing
00:49:05well when your aunt thinks cheese puffs are protein
00:49:07all's right with the world
00:49:08maybe we need to fly in your mom
00:49:09oh no
00:49:11don't even joke about that
00:49:14maybe i have innate cross reactivity in my t cells with the marburg virus
00:49:19and you think you were exposed to something similar
00:49:22years ago my ex-wife and i were in uganda for a heritage tour
00:49:25given your level of contact with these two patients
00:49:28and the fact that you're still asymptomatic
00:49:30it is possible you already have immunoglobulins
00:49:33and if i do could my cd8 t cells be clearing veremia
00:49:37we haven't given it enough time
00:49:39i don't like it
00:49:40okay her ast is 1100 we gotta pull her off this
00:49:42what's going on what are you doing
00:49:45she's not reacting well to the antiviral
00:49:47i knew it was a bad idea
00:49:48okay can you stop mine too
00:49:50everyone is different lance
00:49:52you and mr zwag are both showing some improvement
00:49:54that is only temporary
00:49:55herman is jaundice
00:49:56chase is peripheral
00:49:56herman's viral load is dropping
00:49:58and chase's swelling could just be the marbury
00:50:00i want to stop the meds too
00:50:01amy we pulled liz off because her liver enzymes are too high
00:50:05but yours are still in a safe range
00:50:06the data points are trending upward for everyone
00:50:09there's a tipping point
00:50:11we're all gonna get there
00:50:12and we're gonna wind up like richard
00:50:13hey wait what are you talking about over there
00:50:16what's happening barry have you been in medical school since our last conversation
00:50:19right this is doctors only
00:50:21well at the moment you're a patient
00:50:23you need to find another way
00:50:24i won't risk everyone else's chances because you're scared
00:50:27you want to pull yourself off do it discreetly
00:50:29but the course of treatment stands
00:50:44just tell me you're still okay
00:50:46i'm fine
00:50:47are the antivirals working
00:50:49uh it's a mixed bag at the moment
00:50:52then maybe you need my antibodies
00:50:53gina there are plenty of us who still don't have it
00:50:56who worked on the code and treated mr santiago
00:50:59i spoke to two immunologists in dc
00:51:01and a renowned virologist in colorado
00:51:04they believe it's possible
00:51:06dr walker was wrong
00:51:07she doesn't have antibodies
00:51:09well then why didn't she get it yet
00:51:11she's not gonna get it
00:51:12ever
00:51:13if she's not immune how can you know that
00:51:17no i don't want
00:51:19what's happening with us
00:51:20stop
00:51:22it's too much
00:51:23he's delirious
00:51:25you don't care about me
00:51:28he's talking about how we made him drink
00:51:31we wouldn't even be here if we hadn't done that
00:51:34you don't care about me
00:51:39everyone's saying that you're the one who figured this out
00:51:41the virus
00:51:43i could never have forgiven myself if i went home
00:51:46and spread this thing to my grandkids
00:51:49so thank you
00:51:51you're welcome
00:51:55gina
00:51:56no
00:51:56you have it too
00:51:58nope
00:51:58i'm resistant
00:51:59what
00:51:59how
00:52:00it turns out this strain hijacks the cholesterol pathway to get into your cells
00:52:03i have a genetic mutation that blocks that access point so the virus can't get in
00:52:08so you don't have antibodies but richard does
00:52:12which means now that they know where to look pathologists can access that antibody within hours instead of months
00:52:19if it works then we have a cure at least for this strain
00:52:25the problem is going to be getting his blood he's too sick
00:52:27i just i have to figure out how to make him better
00:52:32okay there's a lot of doctors working on this
00:52:35let's get you into bed
00:52:43close your eyes it's okay
00:52:47i can't get her temperature down
00:52:48won't be long now
00:52:51was it the cocktail
00:52:52he has t's 850
00:52:54she has the virus and ulcer
00:53:02take everyone off the antiviral
00:53:18hello
00:53:19hi sophie it's dr grant
00:53:21is she okay
00:53:22well
00:53:23we tried everything we could
00:53:24but unfortunately
00:53:26wait
00:53:27wait
00:53:30please
00:53:34she has a pain in the ass you know
00:53:38bossy patronizing
00:53:41but she's my big sister
00:53:43and there's no one i love more
00:53:46and no one who will ever love me the way she does
00:53:48so just give me another minute before you say it out loud
00:53:54sure
00:53:56sure
00:54:00i think
00:54:02maybe she pissed me off so much because she was right
00:54:06my mom needs better
00:54:07and i can't do this
00:54:10that's not what she said to me
00:54:12what
00:54:13what exactly did she say
00:54:17my sister
00:54:19she's got this
00:54:21tell her
00:54:29i'm sorry i've got to go
00:54:34that was kind
00:54:38i'm sorry
00:54:41i'm sure ella wasn't lucid at the end
00:55:01you threw everything at it
00:55:05first do no harm
00:55:07i'm sure hippocrates understood there was some room for nuance
00:55:11not sure amy does
00:55:12when things go wrong she has a tendency to assign blame
00:55:18richard's our only chance now
00:55:21but he is not getting better fast enough
00:55:23his o2 is at 94 and lfts are down to just over a hundred he is getting better
00:55:29l-carnitine with colostra humming could accelerate his recovery
00:55:33i did that already
00:55:34then add flumazanil
00:55:35that could trigger a seizure
00:55:37oh now you're getting cautious
00:55:48do it
00:55:58no no no no there's nothing you can do
00:56:05tell ma not to worry
00:56:08i'm gonna take my 30 now
00:56:11how are your folks
00:56:12a lot of unresolved stuff they'll have to deal with if i go down
00:56:17you're not going down
00:56:19you talked to your parents yet
00:56:23they've been through a lot with me already they have faith
00:56:36i'll check valproate trough levels
00:56:39okay let's repeat the eeg tomorrow
00:56:44how's tj he's worried he feels guilty about amy
00:56:48it's definitely not on him
00:56:49what does that mean
00:56:50hey i just spoke to my sister rachel has a fever
00:56:54yeah okay
00:57:08wait we can't even talk inside our own house i was exposed to someone yesterday there's no
00:57:12vaccine for mia yet there's nothing i can do well mia's going to eliana's this weekend and i am going
00:57:16to cabo with my girlfriends okay great you have fun that's it what do you want me to say
00:57:24how about no rage lets you and me go instead you know i can't do that right because the whole
00:57:30world will die if you leave work for three days i took an oath to my patience before that you
00:57:34made
00:57:34a vow to me come on rachel give me a break we don't even belong here we're supposed to be
00:57:39in
00:57:39maryland there's plenty of covid in maryland we are losing us jake and you don't even see it
00:58:05nora amy how are you feeling not great is there something you need i tried calling michael he
00:58:14didn't pick up katie called she she's scared so i'm gonna go to the house and be with her
00:58:23okay you should go be with her then good i i didn't want to overstep right well it never stopped
00:58:32you
00:58:32before excuse me i'm sorry i know that you were there for her when i couldn't be
00:58:47you helped her through a really dark time so i need to thank you for that
00:58:58um i'm gonna walk into your house and i'm gonna look after your daughter the best i can right now
00:59:03but when you get out of there if you and michael are meant to be together i really hope that
00:59:10happens
00:59:11for both of you give her a hug for me okay
00:59:20i will
00:59:26wow you must really think we're gonna die no i just wouldn't want to leave anything unsaid
00:59:33i know you think i'm one of these conspiracy kooks but i wasn't always like this what happened
00:59:40covid and i listen to the experts i i followed all the rules my son he he was 10 and
00:59:49the masks and
00:59:50isolation he's a shell of himself now i couldn't help him still can't that's a tough age to begin
01:00:02you remember you remember being 10 sure on my 10th birthday we won the war it was a good day
01:00:12but the world promises us nothing
01:00:17i lost both my parents and my sisters in the camps
01:00:22and later i lost both my wives to cancer and even
01:00:29even my son
01:00:33but all we can do is try to be grateful for what we have when we have it
01:00:38and treat everyone with dignity and generosity when they make mistakes
01:00:59dr heller we have rachel's test results
01:01:04just tell me
01:01:06you have the flu
01:01:10it's probably from our daughter the petri dish
01:01:13wait but mia doesn't even have it
01:01:15yeah i just got off the phone with ali
01:01:17i guess she's starting to get some symptoms she just didn't want to worry us
01:01:20well that might have been good to know
01:01:24you dodged another bullet
01:01:26i'm lucky
01:01:29more than i ever realized
01:01:46how am i doing
01:01:48you scared us there for a while
01:01:50but lungs are better abdomen soft i expect a full recovery
01:01:55now zami julie told me she got infected
01:01:59saving me
01:02:12can i do anything for you
01:02:15you can stop feeling responsible
01:02:19i was off my game
01:02:20you did everything right
01:02:24i need you to tell me that you hear me
01:02:39what you prescribed for richard is working
01:02:43just hold on
01:02:45okay
01:02:52so richard's viral load finally hit zero
01:02:55the only problem is we need a very high concentration of antibodies
01:02:59and he's too weak to give us more than a couple of units
01:03:01which is enough for how much serum
01:03:02three doses if we're lucky
01:03:05then who do we give it to
01:03:10if we knew it was a surefire cure
01:03:13it would go to the sickest
01:03:15yeah but we're not and we can't let it go to waste
01:03:17okay so what do you want we just forget about herman
01:03:18give it to the frat boys because they're younger
01:03:20i didn't say that jake
01:03:21but we know where this is going
01:03:22so you want to deny the frat boys because you don't like them
01:03:25does that mean mr conspiracy's out too
01:03:27what do we do about the fact that our own people are in there
01:03:30if we can't rule them out just because we're afraid of being accused of bias
01:03:32what nobody wants to say it
01:03:35amy needs to get one
01:03:37i don't care about philosophical debates
01:03:40she needs to get one
01:03:43where are you
01:03:44you think i don't want to give it to her
01:03:50i don't know gina
01:03:51but we took an oath so i don't know how to deal with this
01:03:54we can't play god
01:03:56how would we live with ourselves when some of them don't survive
01:03:59we need to take ourselves out of this
01:04:03we need a hat
01:04:18oh don't look at me like that
01:04:22i'm gonna be fine
01:04:30how are liz's sets
01:04:3286
01:04:33it's bad
01:04:35ast
01:04:36stuck at 600
01:04:39who's gonna get my serum
01:04:41i don't know
01:05:05these have the serum
01:05:07okay
01:05:16everyone
01:05:17there's something new we want to try
01:05:19since dr miller is recovering it involves using his blood
01:05:23unfortunately we only have enough for three patients
01:05:26each of you will get an iv bag
01:05:29three have dr miller serum
01:05:31the rest are placebos
01:05:33no it was chosen randomly
01:05:34none of you will know who's getting the actual treatment
01:05:38and once again
01:05:40we need your consent
01:05:53amy
01:06:07amy
01:06:15dr coleman i need your help
01:06:16what happened
01:06:17hypotensive loc
01:06:18poker shows thoracic aortic dissection from the marburg
01:06:21it grew a shower of clots
01:06:22so she also has a scheme of kidneys
01:06:24so you you got anticoagulated
01:06:25can now with the dissection
01:06:26need to fix the kidneys and the aorta at the same time
01:06:29a lap and a thoracotomy
01:06:30that's two surgeries at once
01:06:31which is why i need another surgeon
01:06:32scrub up
01:06:33suit up
01:06:33let's go
01:06:39while i work on her heart
01:06:40you'll clear the renal artery clots
01:06:42midline incision
01:06:43exactly
01:06:43now after you clear the clots
01:06:44you'll assess the kidney tissue viability
01:06:46and you'll probably need to do a wedge resection
01:06:48yeah i've only done one appendectomy
01:06:50and even then
01:06:51i can talk you through it
01:06:55scalpel
01:07:06i'm gonna take care of our girl
01:07:14you guys need an assist
01:07:18i'm told you're pretty good
01:07:19you were misinformed
01:07:22i'm spectacular
01:07:26i know you're scared honey
01:07:28but
01:07:29she's in good hands
01:07:30but she still has the virus
01:07:32which is like ebola
01:07:33i know
01:07:35but
01:07:39dad
01:07:40i'm sorry
01:07:41i am
01:07:45dad
01:07:49i'm okay
01:07:52it's okay
01:07:55tj
01:07:55dab above my forceps
01:07:57the suction is
01:07:59fully exposed
01:08:01what do you see
01:08:02distal to the left subclavian
01:08:04that's fortunate
01:08:05excellent candidate for replacement
01:08:07with the dacron graft
01:08:08vascular cross clamp
01:08:10cross clamping now
01:08:11no
01:08:12i need to stop the blood flow
01:08:14so i can remove the dissection
01:08:15you cut off the blood flow
01:08:16even for a minute
01:08:17you deprive the kidneys of oxygen
01:08:18that'll destroy them
01:08:20what about ecmo
01:08:21we only have one
01:08:22and it's connected to another patient
01:08:25we need to do our very own
01:08:27red river diversion
01:08:28what are you talking about
01:08:29come on tj
01:08:30fargo and moorhead
01:08:31divert the river
01:08:32to stop all the flooding
01:08:33you want me to reroute
01:08:34the blood flow
01:08:35from above the dissection
01:08:36to below
01:08:37i get the blood
01:08:38you get a dry field
01:08:39win-win
01:08:41i like it
01:08:42you done it before
01:08:43never
01:08:43give me a 404 lean
01:08:44on a needle driver
01:09:00how are we looking
01:09:01my field is nice
01:09:04and
01:09:06dry
01:09:07and i've got happy kidneys
01:09:10oh i spoke too soon
01:09:12maybe not
01:09:13what's wrong
01:09:14i've got multiple segments
01:09:15with necrotic tissue
01:09:16if we reconstruct the renal arteries
01:09:19we could do focus nephron
01:09:20sparing resections
01:09:21it'll save our kidneys
01:09:27i need 100 milligrams
01:09:28of hydrocortisone
01:09:30yes ma'am
01:09:33not for her
01:09:35for me
01:09:43i won't get through this
01:09:44without that
01:09:46do it peter
01:09:48now
01:10:11arterial reconstruct
01:10:12is good
01:10:13just have two more
01:10:14segments of non-viable
01:10:15kidneys to deal
01:10:16with co2's climbing
01:10:19up the rest rate
01:10:20blow off some of that acid
01:10:25that's her heart now
01:10:26potassium must be spiking too
01:10:28kitty's been down too long
01:10:29i am repairing as fast as i can
01:10:31push beta blockers peter
01:10:33we need time
01:10:33on it
01:10:34tj i need you to suture
01:10:36that small segment for me
01:10:38give me a 4-0
01:10:47spt runs now
01:10:48getting nervous here
01:10:50not helpful
01:11:00done
01:11:00how's that
01:11:03perfect
01:11:05aortic flow
01:11:06is restored
01:11:12it's impressive
01:11:14you're not the only one
01:11:15who's spectacular
01:11:21can you close for me please
01:11:40oh
01:11:41oh
01:11:42oh
01:11:43yeah
01:11:44oh everything hurts
01:11:47yeah yeah
01:11:47that's that's to be expected
01:11:50do i even want to know
01:11:52well uh
01:11:54let's just say
01:11:55you know
01:11:56you and i are closer
01:11:57than we used to be
01:12:00you
01:12:00you operated on me
01:12:03not just me
01:12:04secondary to the marbur
01:12:06you had
01:12:06an aortic aneurysm
01:12:08and ischemic kidneys
01:12:10so
01:12:10dr grant
01:12:11took the former
01:12:12and i did the latter
01:12:14and tj
01:12:15assisted brilliantly
01:12:17and
01:12:18all fixed up
01:12:19your marburg's getting
01:12:21better too
01:12:22oh
01:12:24i got the serum
01:12:25no
01:12:26you did not
01:12:27it must have been a
01:12:30hard decision
01:12:31no one decided
01:12:33had to make it random
01:12:34or it would have been
01:12:35unethical
01:12:36so my body
01:12:38is fighting it
01:12:39i would expect
01:12:40nothing less
01:12:40what about the others
01:12:43lance didn't make it
01:12:45but the other boy did
01:12:46and liz
01:12:47and perlin
01:12:48got the serum
01:12:49plus berry
01:12:50richards
01:12:51on the men too
01:12:52yes we gotta be glad
01:12:54that he
01:12:55came back to the hospital
01:12:56huh
01:12:57somebody works
01:12:58in mysterious ways
01:12:59and now here you are
01:13:01with another bite
01:13:03at the apple
01:13:06okay
01:13:06rest
01:13:10joan
01:13:11you all right
01:13:12it's hot
01:13:13in this helmet
01:13:14i've been wearing
01:13:15it a while
01:13:19joan
01:13:22what did you do
01:13:25i've given
01:13:28all i had
01:13:29now
01:13:33but you
01:13:34you
01:13:35amy
01:13:35you've got
01:13:36plenty
01:13:37more
01:13:37to give
01:13:40so good
01:13:47i will
01:13:53promise
01:13:54i will
01:14:06yeah
01:14:07i know
01:14:09i heard the same
01:14:10thing yeah
01:14:11i know
01:14:12i know
01:14:12same
01:14:19i got better
01:14:20so fast
01:14:22i think maybe
01:14:23i got the real
01:14:24thing
01:14:24could be
01:14:33you sure you want
01:14:33to go
01:14:34mr zwag
01:14:34are you kidding
01:14:35me
01:14:36you
01:14:37stay strong
01:14:38and be your
01:14:39own man
01:14:40i will
01:14:44hey herman
01:14:45i'm sorry
01:14:45you had to miss
01:14:46your birthday
01:14:46ah
01:14:47i missed the party
01:14:48technically i had
01:14:49my birthday
01:14:50thanks to that serum
01:14:51you know
01:14:52i might have a few
01:14:53more
01:14:54luck of the draw
01:14:55yeah
01:14:56well
01:14:57i'm old
01:14:58it was wasted on me
01:14:59ah come on
01:15:00you're really gonna start
01:15:01questioning the plan now
01:15:03the host of punk
01:15:04dr heller
01:15:05i can't say i know that one
01:15:06it's yiddish
01:15:08means touche
01:15:09more or less
01:15:10okay
01:15:10the host of punk
01:15:12now you keep wearing
01:15:13that necklace
01:15:14loud and proud
01:15:15yes sir
01:15:16i will
01:15:18goodbye
01:15:18ready
01:15:20yeah
01:15:26you summoned
01:15:27how's amy
01:15:29she's better
01:15:30yeah yeah
01:15:30she's gonna be okay now
01:15:31good
01:15:35rage
01:15:36what is it
01:15:37when i had the fever
01:15:39and we thought it was a virus
01:15:43you know how they say when a plane's going down
01:15:44your life flashes before your eyes
01:15:49all this time i thought you were being so selfish
01:15:53but it was me
01:15:56i did not understand what you were going through
01:15:59and i screwed up
01:16:00in the worst way
01:16:02i regret it
01:16:03every
01:16:04day
01:16:07and i am so
01:16:09sorry
01:16:15i've waited a long time
01:16:16to hear that
01:16:20but i realized that
01:16:21you tried telling me
01:16:23how alone you were
01:16:23all those months
01:16:24when i was here in the hospital
01:16:26you were fighting for us then
01:16:28and i just
01:16:28i didn't hear you
01:16:31so that's on me
01:16:46i did get his blood
01:16:48right
01:16:49i guess that makes you even
01:17:08sorry i gave you the virus
01:17:10it's not like it was intentional
01:17:14it wasn't
01:17:14was it
01:17:18sorry i thought you killed george baker
01:17:21well that was the reason that you
01:17:22found the virus as quickly as you did
01:17:25so
01:17:25a lot more people could have died
01:17:27if you didn't hate me so much
01:17:28i don't
01:17:29hate you
01:17:30well
01:17:31whatever you do feel
01:17:32i don't think you'll have to
01:17:34put up with me much longer
01:17:36what do you mean
01:17:37i think it's best
01:17:39if i just move on
01:17:41don't leave on my account
01:17:45everyone deserves a second chance
01:17:47richard
01:17:49i just got a third
01:17:57thank you ben
01:17:59for everything
01:18:00thank you
01:18:01my friend
01:18:01you were a rock
01:18:03i must put on a good show
01:18:04totally shared better than he side
01:18:07and the early contract tracing you did
01:18:09really prevented the spread
01:18:10well cdc says it's pretty well contained in the city now
01:18:14that's good
01:18:16renee's blood work looks good so i'm gonna take her home
01:18:18any chance you'd want to move here
01:18:20so you can be closer to her
01:18:22she'd pay you to ask that
01:18:23no it's just
01:18:24we have an opening in surgery
01:18:29you will
01:18:37i put you in a tough spot before
01:18:39about amy
01:18:42she's your sister
01:18:58you didn't tell me you were struggling with your memories
01:19:02i came to you
01:19:04and i saw something was wrong
01:19:06instead of bringing me in you just pushed me away
01:19:11a day and a half
01:19:11looking at me and telling me everything was fine
01:19:13and you were popping pills to deal with it
01:19:15i know
01:19:18it just kind of makes me wonder what we really are
01:19:23it's
01:19:23it's what i do
01:19:25when i'm scared
01:19:27why are you scared?
01:19:28it's me
01:19:28what are you scared of?
01:19:30at your dad's funeral
01:19:33ali told me that
01:19:35you and rachel would never shake each other
01:19:38that
01:19:39it was only a matter of time
01:19:41before you were back together
01:19:43well ali's got a big mouth
01:19:44she's not wrong is she?
01:19:50i don't think this is really about me and rachel
01:19:55what happened in chicago amy?
01:19:57nothing i would have to hide
01:19:59that's what you've been doing
01:20:00you've been hiding
01:20:01really?
01:20:03what have you and rachel been talking about
01:20:05all these days in here?
01:20:07i saw you jake
01:20:08i saw you in the hallway
01:20:10i saw how you looked at her through her window
01:20:12so just
01:20:13be honest
01:20:15she's mia's mother
01:20:16and he is katie's father
01:20:20but it's more than that
01:20:23for both of us
01:20:24even if we don't want to admit it
01:20:28you convinced us that we could deal with that
01:20:30but
01:20:36what if we can't
01:20:43yes
01:20:44of course
01:20:45thank you
01:20:47max
01:20:47i appreciate that
01:20:50okay
01:20:50bye bye
01:20:53that sounded almost chummy
01:20:56yeah he likes me better from a distance
01:21:01i'm sorry i turned on you
01:21:04when you didn't agree with me about the antivirals
01:21:07feels like five years ago
01:21:09but it wasn't it was five days ago
01:21:12and i can't believe i'm still doing that
01:21:15doing what?
01:21:18there's just this feeling inside me
01:21:20whenever someone i count on
01:21:23disappoints me
01:21:24this rage
01:21:27this betrayal
01:21:28and then the way i react
01:21:30it's out of whack
01:21:31and it's
01:21:32wrong
01:21:33and i
01:21:33i can't control it
01:21:35if i felt that way
01:21:37because you gave the wrong meds
01:21:39to some strangers
01:21:39i can't imagine
01:21:41how i was when danny died
01:21:45i've been trying to figure out
01:21:47since
01:21:47chicago
01:21:50and i think
01:21:51that the reason that i didn't say yes
01:21:54the first time you proposed
01:21:55was because
01:21:57deep down i knew
01:21:59that when
01:22:01you eventually disappointed me
01:22:03i wouldn't be able to handle it
01:22:06and i hate
01:22:07that i'm built that way
01:22:10you withdraw
01:22:13but you always come back
01:22:15but i didn't
01:22:16michael
01:22:18i had a 12 year old daughter
01:22:19and i did the same thing to her
01:22:24we lost a son
01:22:26but that can't be an excuse anymore
01:22:29we can work on this
01:22:32together
01:22:34i love you
01:22:36and i am sure
01:22:37that i always will
01:22:39but if we go back together now
01:22:40i would make the same mistake
01:22:41but that's what you're doing right now
01:22:46withdrawing
01:22:46to protect yourself
01:22:47that's the mistake
01:22:48i'm not
01:22:49i'm not withdrawing
01:22:50i'm not shutting down
01:22:51i'm not hiding
01:22:52michael
01:22:57i need to be of service
01:22:58and that
01:22:59that is something
01:23:00that we can do together
01:23:01in your department
01:23:05but i can't live in the past anymore
01:23:11i need to move forward
01:23:12that to your face
01:23:18i'll take my pride
01:23:21standing for you
01:23:24now i'm not blind
01:23:27just seeing it through
01:23:29you take my life
01:23:33just for the thrill
01:23:35i'll take it all
01:23:36i'll take tonight
01:23:38and die on this hill
01:23:41i always will
01:23:49i know that i love
01:23:51i just took a page out
01:23:54to be loved
01:23:57to be loved
01:23:59and nothing more
01:24:00and you kept your word
01:24:03that you wouldn't matter
01:24:34the way that someone
01:24:38okay
01:24:39i know we never text
01:24:41or put anything in writing
01:24:42but i am breaking the rule
01:24:45just this one time
01:24:46because
01:24:46it's your birthday
01:24:48but since we can't be in that great suite
01:24:52in the four seasons
01:24:54to celebrate properly
01:24:57i am making you this ridiculous video
01:24:59i don't know what this is
01:25:05or we are
01:25:06but i i do know that you make me smile
01:25:11and i haven't smiled in a very long time
01:25:14so happy birthday benjamin
01:25:16this video will not self-destruct
01:25:18after viewing
01:25:20so make sure you destroy it
01:25:22so it doesn't get into the wrong hands
01:25:24i know i'm mad
01:25:28but i'm trying to be good
01:25:31sort of
01:25:35this fall doc will return
01:25:37with an all new season
01:25:39and blair underwood joins the cast
01:25:41doc this fall on fox
01:25:46why are you shouting at me
01:25:48mommy i'm so excited
01:25:50this is masterchef global gauntlet
01:25:53we'll have four territories represented
01:25:57new rules new game
01:25:59this is my family history on a plate
01:26:01it's good
01:26:02i thought the world cup was competitive
01:26:05go go go go
01:26:06i'm a fireball
Comments