- 12 hours ago
Doc - Season 2 (2025) - Episode 21: Stuck
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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 gone
00:36:58Take care of her
00:37:05I'm fine
00:37:16Do you want to start with her?
00:37:18Wait, what's her?
00:37:18I don't want to jump around here
00:37:19I don't know
00:37:19I'm fine
00:37:19Yeah
00:37:21I don't want to get in there
00:37:22I don't want to get her
00:37:22I don't want to get her
00:37:25I don't want to go see her
00:37:25I don't want to get in there
00:37:26I don't want to go see her
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.
00:43:34And I'm sorry for anything that I...
00:43:38No, don't, Mom.
00:43:41We've already done this.
00:43:42You're forgiven.
00:43:45Please.
00:43:46I can't bear the idea that you don't know that, too.
00:43:50Please tell me you know that.
00:43:56I know.
00:44:00I do know that.
00:44:03We're good, Mom.
00:44:06You're good.
00:44:17I'm not micromanaging, Sophie.
00:44:20I'm trying to keep our mother alive.
00:44:24Little sister?
00:44:26Is it that obvious?
00:44:28I've got one myself.
00:44:30Has she taken years off your life?
00:44:32Well, it's too soon to tell.
00:44:33She's been sick for a while.
00:44:35I wish I lived closer so I could do more.
00:44:45Ella Moran just tested positive.
00:44:47She was infected prior to her surgery,
00:44:49so Dr. Grant, Peter, TJ, and Marcy may have been exposed as well.
00:44:54We're waiting on all their results.
00:44:56Now, as of now, the rest of the staff are still negative,
00:44:59but we should continue to test every 12 hours.
00:45:02What's the latest on the antiviral cocktails?
00:45:04Three had minimal to no impact.
00:45:07One seems to be very effective at killing the virus.
00:45:10But it nearly killed Richard, right?
00:45:11Yeah, it fired his liver.
00:45:12Can't rely on that one.
00:45:13If he makes it to the other side,
00:45:15we could use his blood to produce the convalescent plasma serum.
00:45:18That's a big if.
00:45:19Can't just sit around and wait.
00:45:21What if we use the cocktail that worked on Richard,
00:45:24but attempt to mitigate the liver damage?
00:45:26With what?
00:45:27NAC would be my pick.
00:45:28This could also just cause more harm.
00:45:30I don't see how that's possible.
00:45:31So what do you want to do?
00:45:32Just treat them like lab rats?
00:45:33Rats don't get consent.
00:45:35And what else are we supposed to do?
00:45:37Continue supportive care.
00:45:38Let the immune system do its job.
00:45:40You saw the autopsy images.
00:45:41There is no supportive care.
00:45:45I can't keep anything down.
00:45:48I just gave you an IV antiemetic.
00:45:50It'll kick in soon.
00:45:56Thank you for helping him.
00:46:01You were scared.
00:46:03You were scared.
00:46:03And your leader, this cowardice, didn't help.
00:46:08Hey, Ella.
00:46:09You should help with the chills.
00:46:12You performed a surgery.
00:46:14Did I give it to you?
00:46:15No.
00:46:16I got my test back 20 minutes ago, and I'm still negative.
00:46:18Okay?
00:46:20Shouldn't you be in bed?
00:46:22As long as I can keep working, I will.
00:46:25How are you feeling?
00:46:27A lot worse than yesterday.
00:46:29Yes, you know it's not because of the antivirals.
00:46:37I heard you told Katie.
00:46:39Yeah.
00:46:40It was brutal.
00:46:41Do you want me to explain what happened?
00:46:43No.
00:46:45But thank you.
00:46:46Hold on a minute.
00:46:49I need everyone's attention.
00:46:51It seems only one antiviral cocktail combats the virus effectively.
00:46:56But it comes with potentially lethal side effects.
00:46:59So it's not effective.
00:47:00We're working on a way to counteract the dangers so we can still use it to try and save you.
00:47:06For those unable to weigh in, we've spoken with their families.
00:47:09For the rest of you, the decision of whether to try this is your own.
00:47:14Without it, what are our chances?
00:47:16Well, obviously, everyone is starting with different individual risk factors.
00:47:20But broadly, Marburg and Angola had a 90% fatality rate.
00:47:26Here, with such advanced medicine, it can be as low as one in five.
00:47:30Still, this is a very strong variant.
00:47:32So the fatality rate will likely be higher.
00:47:35Well, it sounds like you don't know a thing.
00:47:37How do you not have any answers?
00:47:39He has the decency to tell you the truth.
00:47:41That'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.
00:47:51But 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.
00:48:19Renee, and I'm going to stay that way.
00:48:20Sure.
00:48:20You're having too much fun flirting with that pretty doctor.
00:48:23What are you talking about?
00:48:25I know you, big bro.
00:48:26There 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 or I'll kill you.
00:48:42I will.
00:48:45Hey, you.
00:48:46How you doing?
00:48:47A 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 that distracted her.
00:48:57Didn't tell me until afterwards.
00:48:59I'm so sorry.
00:49:00That sounds horrible.
00:49:02Um, anyway, how's Mia doing?
00:49:05Well, when your aunt thinks cheese puffs are protein, all's right with the world.
00:49:08Maybe we need to fly in your mom.
00:49:10Oh, 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 and 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's 1100.
00:49:41We gotta pull her off this.
00:49:43What's going on?
00:49:43What are you doing?
00:49:45She's not reacting well to the antiviral.
00:49:47I knew it was a bad idea.
00:49:49Okay, can you stop mine too?
00:49:50Everyone is different, Lance.
00:49:52You and Mr. Zweig are both showing some improvement.
00:49:54That is only temporary.
00:49:55Herman is jaundice.
00:49:56Chase is peripheral edema.
00:49:57Herman's viral load is dropping, and Chase's swelling could just be the Marbury.
00:50:00I want to stop the meds too.
00:50:02Amy, 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, and we're gonna wind up like Richard.
00:50:14Hey, wait, what are you talking about over there?
00:50:16What's happening?
00:50:16Barry, have you been to 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.
00:50:30But 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.
00:50:54Gina, 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 D.C.
00:51:02and a renowned virologist in Colorado.
00:51:04They believe it's possible.
00:51:06Dr. Walker was wrong.
00:51:08She doesn't have antibodies.
00:51:10Well, then why didn't she get it yet?
00:51:11She's not gonna get it.
00:51:13Ever.
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 her?
00:51:21Stop.
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.
00:51:32We 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.
00:51:57You 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
00:52:03to get into your cells.
00:52:04I have a genetic mutation that blocks that access point
00:52:06so 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,
00:52:15pathologists can access that antibody within hours
00:52:18instead of months.
00:52:20If it works, then we have a cure,
00:52:22at least for this strain.
00:52:25The problem is going to be getting his blood.
00:52:27He's too sick.
00:52:28I just have to figure out how to make him better.
00:52:33Okay.
00:52:34There's a lot of doctors working on this.
00:52:36Let's get you into bed.
00:52:43Close your eyes.
00:52:44It's okay.
00:52:47I can't get her temperature down.
00:52:49It won't be long now.
00:52:51Was it the cocktail?
00:52:53He has T's 850.
00:52:54She has the virus, an ulcer.
00:53:02Take everyone off the antiviral.
00:53:18Hello?
00:53:19Hi, Sophie.
00:53:20It's Dr. Grant.
00:53:21Is she okay?
00:53:22Well, we tried everything we could,
00:53:25but unfortunately, Ellen...
00:53:27Wait.
00:53:28Wait.
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
00:53:46than no one who will ever love me the way she does.
00:53:49So just...
00:53:51Give me another minute before you say it out loud.
00:53:55Sure.
00:53:56Sure.
00:54:00I think...
00:54:02Maybe she pissed me off so much
00:54:04because she was right.
00:54:06My mom needs better,
00:54:08and I can't do this.
00:54:10That's not what she said to me.
00:54:13What...
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.
00:54:31I've got to go.
00:54:34That was kind.
00:54:38Sorry?
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.
00:55:08I'm sure Hippocrates understood there was some room for nuance.
00:55:11I'm not sure Amy does.
00:55:13When things go wrong, she has a tendency to assign blame.
00:55:18Richard's our only chance now.
00:55:20But he is not getting better fast enough.
00:55:23His O2's at 94% and LFTs are down to just over 100.
00:55:27He is getting better.
00:55:29L-carnitine with colostrumine 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.
00:55:59There's nothing you can do.
00:56:01I'm here.
00:56:02Tell her not to worry.
00:56:08I'm going to 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 talk to your parents yet?
00:56:23They've been through a lot with me already.
00:56:24They have faith.
00:56:29I'm going to get through this.
00:56:37I'll check Valproate trough levels.
00:56:39Okay, let's make it be EG tomorrow.
00:56:44How's TJ?
00:56:45He's worried.
00:56:46Feels guilty about Amy.
00:56:48It's definitely not on him.
00:56:49What does that mean?
00:56:51Hey, I just spoke to my sister.
00:56:53Rachel has a fever.
00:56:56Yeah, okay.
00:57:08Wait, we can't even talk inside our own house?
00:57:10I was exposed to someone yesterday.
00:57:11There's no vaccine for Mia yet.
00:57:13There's nothing I can do.
00:57:14Well, Mia's going to Eliana's this weekend, and I am going to Cabo with my girlfriends.
00:57:18Okay, great.
00:57:19You have fun.
00:57:20That's it.
00:57:21What do you want me to say?
00:57:24How about no, Rach?
00:57:27Let's you and me go instead.
00:57:28You know I can't do that.
00:57:30Right, because the whole world will die if you leave work for three days.
00:57:32I took an oath to my patients.
00:57:34Before that, you made a vow to me.
00:57:35Come on, Rachel.
00:57:36Give me a break.
00:57:37We don't even belong here.
00:57:38We're supposed to be in Maryland.
00:57:40There's plenty of COVID in Maryland.
00:57:43We are losing us, Jake.
00:57:45And you don't even see it.
00:58:04Nora?
00:58:05Amy, how are you feeling?
00:58:08Not great.
00:58:09Wait, is there something you need?
00:58:12I tried calling Michael.
00:58:14He didn't pick up.
00:58:17Katie called.
00:58:18She's scared, so I'm going to go to the house and be with her.
00:58:22Okay.
00:58:24You should go be with her, then.
00:58:28Good.
00:58:28I didn't want to overstep.
00:58:31Right.
00:58:31Well, it never stopped you before.
00:58:33Excuse me?
00:58:36I'm sorry.
00:58:37I...
00:58:40Look, I know that you were there for her when I couldn't be.
00:58:47You helped her through a really dark time.
00:58:51And so I need to thank you for that.
00:58:57Um...
00:58:59I'm going to walk into your house, and I'm going to look after your daughter the best I can right
00:59:03now.
00:59:04But when you get out of there...
00:59:07If you and Michael are meant to be together, I really hope that happens.
00:59:12For both of you.
00:59:14Give her a hug for me, okay?
00:59:20I will.
00:59:25Wow.
00:59:26You must really think we're going to die.
00:59:29No, I just wouldn't want to leave anything unsaid.
00:59:33I know you think I'm one of these conspiracy kooks.
00:59:37But I wasn't always like this.
00:59:39What happened?
00:59:40COVID.
00:59:41And I listened to the experts.
00:59:43I followed all the rules.
00:59:46My son, he was 10.
00:59:49And the masks and isolation.
00:59:52He's a shell of himself now.
00:59:54And I couldn't help him.
00:59:57Still can't.
00:59:59But that's a tough age to begin with.
01:00:03You remember being 10?
01:00:04Sure.
01:00:06On my 10th birthday, we won the war.
01:00:09It was a good day.
01:00:12But the world promises us nothing.
01:00:16I lost both my parents and my sisters in the camps.
01:00:22And later, I lost both my wives to cancer.
01:00:24And even, even 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.
01:01:00Dr. Heller?
01:01:01We have Rachel's test results.
01:01:04Just help 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 Allie.
01:01:17I guess she's starting to get some symptoms.
01:01:19She just didn't want to worry us.
01:01:20Well, that might have been good to know.
01:01:22Yeah.
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.
01:01:51Abdomen soft.
01:01:52I expect a full recovery.
01:01:56Now's Amy.
01:01:57Julie 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.
01:02:21You did everything right.
01:02:23I 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?
01:02:46Yeah.
01:02:52So, Richard's viral load finally hit zero.
01:02:55The only problem is, we need a very high concentration of antibodies, and he's too weak to give us more
01:03:00than a couple of units.
01:03:01Which is enough for how much serum?
01:03:03Three doses, if we're lucky.
01:03:05Then who do we give it to?
01:03:10If we knew it was a surefire cure, it 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?
01:03:17We just forget about Herman, give 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.
01:03:33What? 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 going to be fine.
01:04:30How are Liz's sats?
01:04:3386.
01:04:34That's bad.
01:04:36AST?
01:04:37Stuck at 600.
01:04:39Who's going to get my serum?
01:04:42I don't know.
01:04:44I don't know.
01:05:05These have the serum.
01:05:07Okay.
01:05:17Everyone, there'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's 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, we need your consent.
01:05:45Uh-huh.
01:05:47Uh-huh.
01:06:08Amy!
01:06:15Dr. Coleman, I need your help.
01:06:17What happened?
01:06:17Hypotensive LOC.
01:06:18Poker shows thoracic aortic dissection from the Marburg.
01:06:21It grew a shower of clots, so she also has a scheme of kidneys.
01:06:24So, you got anticoagulate?
01:06:25Can.
01:06:26Now with the dissection.
01:06:27Need to fix the kidneys and the aorta at the same time.
01:06:29A lap and a thoracotomy, that's two surgeries at once.
01:06:31Which is why I need another surgeon.
01:06:33Scrub up.
01:06:33Suit up.
01:06:34Let's go.
01:06:36Let's go.
01:06:38Let's go.
01:06:39While I work on her heart, you'll clear the renal artery clots.
01:06:42Midline incision.
01:06:43Exactly.
01:06:44Now, after you clear the clots, you'll assess the kidney tissue viability, and you'll probably
01:06:47need to do a wedge resection.
01:06:48Yeah, I've only done one appendectomy, and even then, I'm-
01:06:51I can talk you through it.
01:06:55Scalpel.
01:07:06I'm going to take care of our girl.
01:07:14You guys need an assist?
01:07:18I'm told you're pretty good.
01:07:20You were misinformed.
01:07:22I'm spectacular.
01:07:25I'm spectacular.
01:07:27I know you're scared, honey, but she's in good hands.
01:07:31But she still has the virus, which is like Ebola.
01:07:34I know, but-
01:07:39Dad.
01:07:40I'm sorry.
01:07:42I, uh-
01:07:45Dad.
01:07:49I'm okay.
01:07:52It's okay.
01:07:55TJ, dab above my forceps.
01:07:58Dissection is fully exposed.
01:08:01What do you see?
01:08:02Distal to the left subclavian.
01:08:04That's fortunate.
01:08:06Excellent candidate for replacement with the Dacron graft.
01:08:08Vascular cross clamp.
01:08:10Cross clamping now.
01:08:11No!
01:08:13I need to stop the blood flow so I can remove the dissection.
01:08:15You cut off the blood flow even for a minute, you deprive the kidneys of oxygen, that'll destroy them.
01:08:20What about ECMO?
01:08:21We only have one, and it's connected to another patient.
01:08:25We need to do our very own Red River diversion.
01:08:28What are you talking about?
01:08:29Come on, TJ.
01:08:30Fargo and Moorhead divert the river to stop all the flooding.
01:08:33You want me to reroute the blood flow from above the dissection to below?
01:08:37I get the blood.
01:08:38You get a dry field.
01:08:40Win-win.
01:08:41I like it.
01:08:42You done it before?
01:08:43Never.
01:08:44Give me a 4-0 pulling on a needle driver.
01:09:00How are we looking?
01:09:02My field is nice and dry.
01:09:07And I've got happy kidneys.
01:09:10Oh, I spoke too soon, maybe not.
01:09:13What's wrong?
01:09:14I've got multiple segments with necrotic tissue.
01:09:17If we reconstruct the renal arteries, we could do focused nephron-sparing resections.
01:09:21It'll save her kidneys.
01:09:27I need 100 milligrams of hydrocortisone.
01:09:30Yes, ma'am.
01:09:33Not for her.
01:09:35For me.
01:09:43I won't get through this without that.
01:09:46Do it, Peter.
01:09:48Now.
01:10:11Arterial reconstruct is good.
01:10:13Just have two more segments of non-viable kidneys to deal with.
01:10:18CO2 is climbing.
01:10:19Up the respiratory.
01:10:20Blow off some of that acid.
01:10:25That's her heart now.
01:10:26The casket must be spiking too.
01:10:28Kidney's been down too long.
01:10:29I am repairing as fast as I can.
01:10:32Push beta blockers, Peter.
01:10:33We need time.
01:10:33On it.
01:10:35TJ, I need you to suture that small segment for me.
01:10:38Give me a 4-0.
01:10:47SVT runs now.
01:10:49Getting nervous here.
01:10:50Not helpful.
01:11:00Done.
01:11:01How's that?
01:11:03Perfect.
01:11:05Aortic flow is restored.
01:11:13It's impressive.
01:11:14You're not the only one who's spectacular.
01:11:22Can you close for me, please?
01:11:24Yes.
01:11:26Yes.
01:11:29Yes.
01:11:33Yes.
01:11:35Yes.
01:11:37Yes.
01:11:38Yes.
01:11:44Yes.
01:11:45Yes.
01:11:45Oh, everything hurts.
01:11:47Yes.
01:11:47Yes.
01:11:47Yes.
01:11:47That's to be expected.
01:11:50Do I want to know?
01:11:52Yes.
01:11:52Well, uh, let's just say, you know, you and I are closer than we used to be.
01:12:00You, you operated on me?
01:12:03Not just me.
01:12:04Secondary to the Marburg, you had an aortic aneurysm and ischemic kidneys.
01:12:10So Dr. Grant took the former and I did the latter and TJ assisted brilliantly.
01:12:17And?
01:12:18All fixed up.
01:12:20Your Marburg's getting better too.
01:12:22Oh, I got the serum.
01:12:25No, you did not.
01:12:28It must have been a hard decision.
01:12:32No one decided.
01:12:34Had to make it random or it would have been unethical.
01:12:36So my body is fighting it.
01:12:39I would expect nothing less.
01:12:41What about the others?
01:12:43Lance didn't make it, but the other boy did.
01:12:46And Liz.
01:12:47And her one?
01:12:48He's got the serum plus Barry Richards on the men too.
01:12:53Yes, we gotta be glad that he came back to the hospital, huh?
01:12:57Somebody works in mysterious ways.
01:13:00And now here you are with another bite at the apple.
01:13:06Okay, rest.
01:13:10Joan, you all right?
01:13:12It's hot in this helmet and I've been wearing it a while.
01:13:18Joan.
01:13:22What did you do?
01:13:25I've given all I had now.
01:13:33But you, you, Amy, you've got plenty more to give.
01:13:40So good.
01:13:49I will.
01:13:54Promise, I will.
01:14:06Yeah, I know.
01:14:09I heard the same thing, yeah.
01:14:11I know, I know.
01:14:12Same.
01:14:19I got better so fast.
01:14:22I think maybe I got the real thing.
01:14:25Could be.
01:14:33You sure you want to go, Mr. Zweig?
01:14:35You're kidding me.
01:14:37You stay strong and be your own man.
01:14:40I will.
01:14:44Hey, Herman.
01:14:45I'm sorry you had to miss your birthday.
01:14:46Ah, I missed the party.
01:14:49Technically, I had my birthday.
01:14:50Thanks to that serum, you know.
01:14:52I might have a few more.
01:14:54Luck of the draw.
01:14:55Yeah, well, I'm old.
01:14:58It was wasted on me.
01:15:00Ah, come on.
01:15:00You really going to start questioning the plan now?
01:15:03The host of punk, Dr. Heller.
01:15:05I can't say I know that one.
01:15:06It's Yiddish.
01:15:08Means touche, more or less.
01:15:10Okay.
01:15:10The host of punk.
01:15:12Now you keep wearing that necklace, loud and proud.
01:15:15Yes, sir.
01:15:16I will.
01:15:18Goodbye.
01:15:19Ready?
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 going to be okay now.
01:15:32Good.
01:15:35Rach, what is it?
01:15:37When I had the fever and we thought it was the virus.
01:15:43You know how they say when a plane's going down, your life flashes before your eyes?
01:15:49All this time, I thought you were being so selfish, but it was me.
01:15:56I did not understand what you were going through, and I screwed up in the worst way.
01:16:02I regret it every day.
01:16:07And I am so sorry.
01:16:14I've waited a long time to hear that.
01:16:20But I realized that you tried telling me how alone you were all those months when I was
01:16:24here in the hospital.
01:16:26You were fighting for us then, and I just, I didn't hear you.
01:16:31So that's on me.
01:16:46I did get his blood, right?
01:16:49I guess that makes you even.
01:16:51I'm sorry I gave you the virus.
01:17:10It's not like it was intentional.
01:17:13It wasn't, was it?
01:17:18Sorry, I thought you killed George Baker.
01:17:21Well, that was the reason that you found the virus as quickly as you did, so a lot more
01:17:26people could have died if you didn't hate me so much.
01:17:29I don't hate you.
01:17:30Well, whatever you do feel, I don't think you'll have to put up with me much longer.
01:17:36What do you mean?
01:17:37I think it's best if I just move on.
01:17:41Don't leave on my account.
01:17:45Everyone deserves a second chance, Richard.
01:17:49I just got a third.
01:17:56Yeah.
01:17:58Thank you, Ben, for everything.
01:18:00Thank you, my friend.
01:18:02You were a rock.
01:18:03I must put on a good show.
01:18:05Totally shared better than Eastside.
01:18:07An early contract tracing you did really 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 going to take her home.
01:18:18Any chance you'd want to move here so you can be closer to her?
01:18:22She'd pay you to ask that?
01:18:23No, it's just we have an opening in surgery.
01:18:29You will.
01:18:37I put you in a tough spot before about Amy.
01:18:42She's your sister.
01:18:58You didn't tell me you were struggling with your memories.
01:19:03I came to you, and I saw something was wrong.
01:19:06Instead of bringing me in, you just pushed me away.
01:19:11A day and a half, looking at me and telling me everything was fine, and you were popping pills to
01:19:14deal with it.
01:19:15I know.
01:19:18It just kind of makes me wonder what we really are.
01:19:22It's what I do when 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, Ali told me that you and Rachel would never shake each other.
01:19:38That it was only a matter of time before 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?
01:19:57I'm not saying 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 all these days in here?
01:20:07I saw you, Jake.
01:20:09I saw you in the hallway.
01:20:10I saw how you looked at her through her window.
01:20:12So just be 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, even if we don't want to admit it.
01:20:28You convinced us that we could deal with that, but...
01:20:37What if we can't?
01:20:44Yes, of course.
01:20:46Well, thank you, Max.
01:20:48I appreciate that.
01:20:50Okay, bye-bye.
01:20:54That sounded almost chummy.
01:20:56Yeah, he likes me better from a distance.
01:21:01I'm sorry I turned on you when you didn't agree with me about the antivirals.
01:21:07Well, it feels like five years ago.
01:21:09But it wasn't.
01:21:10It 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 disappoints me.
01:21:24This rage, this betrayal.
01:21:29And then the way I react, it's out of whack.
01:21:31And it's wrong.
01:21:33And I can't control it.
01:21:36If I felt that way because you gave the wrong meds to some strangers, I can't imagine how I was
01:21:42when Danny died.
01:21:45I've been trying to figure out since Chicago.
01:21:50And I think that the reason that I didn't say yes the first time you proposed was because deep down
01:21:58I knew that when you eventually disappointed me, I wouldn't be able to handle it.
01:22:06And I hate that I'm built that way.
01:22:10You withdraw.
01:22:13But you always come back.
01:22:15But I didn't, Michael.
01:22:18I had a 12-year-old daughter and 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.
01:22:33Together.
01:22:34I love you.
01:22:36And I am sure that I always will.
01:22:39But if we go back together now, I would make the same mistake.
01:22:42But that's what you're doing right now.
01:22:46Withdrawing to 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.
01:22:52I'm not hiding, Michael.
01:22:57I need to be of service.
01:22:58And that is something that we can do together in your department.
01:23:06But I can't live in the past anymore.
01:23:10I need to move forward.
01:23:12I need to move forward.
01:23:18I'll take my pride.
01:23:21I'll take my pride.
01:23:24No, I'm not blind, just seeing it through
01:23:29You take my life, just for the thrill
01:23:35I'll take tonight, and die on this hill
01:23:41I always will
01:23:49And all that I love, I just take a page out
01:23:54To be loved, to be loved and nothing more
01:24:00And you kept your word, that you wouldn't matter
01:24:05The way that someone leaves this world
01:24:09So just level, it's to me now
01:24:14Oh, to me now
01:24:20Well, I'll take tonight, and die on this hill
01:24:27I always will
01:24:39Okay, I know we never text or put anything in writing
01:24:42But I am breaking the rule, just this one time
01:24:46Because it's your birthday
01:24:48But since we can't be in that great suite
01:24:52In the four seasons to celebrate properly
01:24:57I am making you this ridiculous video
01:25:02I don't know what this is, or we are
01:25:06But 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, so make sure you destroy it
01:25:22So it doesn't get into the wrong hands
01:25:25I 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
01:25:53Let's go
01:25:54We'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
01:26:07I'm a rival
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