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Brilliant Minds - Season 2 - Episode 14: The Invisible Man
Transcript
00:05Previously on Brilliant Minds
00:06I got a call from the medical board
00:08A complaint was filed
00:10That you breached an ethical code
00:12I'm the one who reported you
00:13I know
00:14You had your reasons
00:16I'd like us to move forward
00:17What did you mean by
00:18If Carol can be Dana's mentor?
00:20That Dr. Dan reported Dr. Pierce
00:22But they've clearly moved past it
00:24Dr. Dan did what?
00:25Why would you not tell me this?
00:27Because it wasn't about you, Wolf
00:28We tell each other everything
00:29Why not this?
00:30Don't be alarmed
00:31I know Noah
00:32I know
00:33But who are you?
00:35Sophia
00:35He was treating you
00:36I have these crazy dreams
00:38You need a doctor?
00:40Why don't I treat you
00:41And in exchange
00:42You can tell me what my father's been up to
00:44For the last 30 years
00:45Got yourself a deal
00:46Did Josh mention Dr. Bo Pedrosa?
00:49I've heard a lot about you, doctor
00:51Yeah, I've heard about you as well
00:53Dr. Pedrosa is Josh's boyfriend
00:57I met your colleague, Dr. Wolf
00:59Nice guy
00:59He seems to care a lot about his patients
01:02Don't really know him that well
01:05Do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do
01:12-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do
01:14-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do
01:18-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do
01:20-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do
01:22-do-do-do-do-do-do-do-do-do-do-do
01:30Okay, I will, uh, try to get home before the storm gets you.
01:34Okay.
01:36Bye.
01:44Oh.
01:46Come on.
01:47What's eating you now?
01:52Oh, come on. Don't give me a hard time.
01:54Oh.
02:00Oh, come on.
02:55I'll see you same time next week.
02:57All right, see you next week.
03:22Can I get the intake forms for Dr. Wolf for all of today's patients? I know he's going to ask
03:28me for that.
03:28Okay, let's go.
03:32Okay, let's go.
03:33Okay, let's go.
03:40I don't know.
04:10There's been a leak, Carol.
04:12They've been trying to keep me in the dark, but word is the board's about to vote whether
04:16to name me the next chief.
04:17No more interim, just chief.
04:19Hey, well, that tracks.
04:22You got us through January, our busiest time of the year, without any issues.
04:26Who was the leak?
04:28Silva.
04:29That also tracks.
04:30Oh, Carol.
04:31Carol, I really want this.
04:32It would mean greater security, flexible hours, everything I need if I'm going to settle
04:36down and start a family.
04:37With Bo?
04:39Yep.
04:41But look, I could use your help.
04:43New York mayors and chief medical officers are measured by one thing, how they handle
04:46a storm.
04:47City Hall just issued a travel advisory due to today's storm, so I'm suspending all
04:51elective procedures and outpatient appointments.
04:53That frees you up to use your MD however it's needed.
04:55I want today to go smoothly.
04:56Oh, okay, Josh, whatever you need, but you do realize I haven't practiced non-psych medicine
05:02since residency, right?
05:04Muscle memory is real.
05:05Besides, I don't actually anticipate there being any problems, except how's that other
05:11storm cloud?
05:13You mean Wolf?
05:14Yes.
05:15Well, like you said, muscle memory.
05:19I can handle them.
05:26Do you want me to get Dana and Charlie?
05:29Uh, no need.
05:30Okay.
05:32Well, this is a list of all the patients on our floor today.
05:34Two follow-ups.
05:35Mrs. Henry, pregnant with well-controlled epilepsy, and Ms. Graham, post-stroke needs rehab assessment,
05:41and then all the rest of our inpatients.
05:42Great.
05:43Well, it looks like there's nothing here you can't handle.
05:45Well, page me if anything comes up.
05:50You got it.
05:55Dr. Dang, congratulations.
05:57You have won the honor of updating 50 delinquent charts that Dr. Wolf can't seem to be bothered with.
06:02Oh, what did I do to get so lucky?
06:04You know, where have you been, Kenny?
06:06Just, uh, with Dr. Wolf going over today's game plan.
06:10Why wouldn't you page me?
06:12Looks like I have company on Dr. Wolf's blacklist.
06:15Welcome to the team.
06:17Why would Wolf be icing me out?
06:19I may have let it slip that you're the one who reported Dr. P.
06:22Wait, you did what?
06:23You told Dr. Wolf that I reported his ride or die?
06:26It was an accident.
06:27Sometimes I just get to talking and I can't stop.
06:29I'm a people person.
06:31No, you're an unrepentant gossip.
06:32Maybe, but you'll never guess which ICU doc is in a thruffle.
06:35Who?
06:38Wow.
06:38I miss when residency was fun.
06:40You know, before the toxic twins showed up.
06:43Everything's going to be okay.
06:45You're right.
06:4615 minus 6 hours.
06:48I will be home watching Hunting Wise with Katie.
06:51I can survive one shift with Wolf hating me.
06:53Actually, due to the storm,
06:55Admin just announced that we're all working a mandatory double shift.
06:58So get cozy.
07:11Hey, miss.
07:13What?
07:14Okay.
07:15Clear a blade.
07:16Now.
07:17The camera monitors abnormal body movement,
07:22sleep posture,
07:23even signs of night terrors.
07:25Just make sure it gets my best angles.
07:28Did you know that no living organism can stay sane without sleep?
07:32I read that while I had insomnia.
07:34I'm so on the brink.
07:35I grabbed this in the lobby.
07:37Hudson Oaks is giving resort vibes.
07:39Yeah, well, that's how they lure you in.
07:43Listen, Sophia, a lot of people struggle with sleep issues.
07:46It doesn't mean that they need inpatient psychiatric care.
07:49We will get to the bottom of this.
07:51Why are you being so nice to me?
07:54Well, we made a deal.
07:56I'm just keeping up my end of the bargain.
07:59And you have been good for my mental health.
08:04Want to make it a slumber party?
08:05I give great mani-pedis.
08:06Oh, that sounds incredibly tempting,
08:10but it looks like I'm needed in the ED.
08:12Fine.
08:13Friendly reminder,
08:15my last doctor up and left without any notice.
08:17Don't go AWOL on me like your dad.
08:20I'm not my father.
08:22I don't abandon my patients.
08:25I'll check in on you in a few hours.
08:27Get some rest.
08:41Your seizure med levels are perfect.
08:43You are all set to go.
08:46Sweet.
08:46I guess we'll see you in a few weeks.
08:48Uh, is someone coming to pick you up?
08:51Yeah, the four train.
08:53I'm sorry, Mrs. Henry,
08:55but with the high-risk pregnancy,
08:56I think it's best for you to wait out the storm here.
08:58Are you telling me that I have to stay
09:00in this surprisingly cozy bed
09:01instead of trekking through a blizzard
09:03to my helpless husband
09:04and our two home-from-school kids?
09:06Doctor's orders.
09:07Oh, thank you, Lord.
09:09I'll be in to check on you in a little bit.
09:11No rush.
09:13Door open and closed?
09:14Closed.
09:15Please.
09:15Yeah.
09:28Puncture wounds to the neck at point-blank range
09:30with a nail gun.
09:31But if that's going to happen,
09:32I guess you want it to happen
09:33in the boiler room of a hospital.
09:34Right, Amos?
09:35Yeah, just not this one.
09:40Our running theory is the nail hit the jaw
09:43and miraculously bounced out.
09:45CTA is pending, but so far,
09:47no evidence of any major vascular damage.
09:49Okay.
09:49Uh, how can I help?
09:50Amos started complaining about numbness
09:52in his right leg.
09:53No focal deficits that I can tell,
09:55and I doubt it's related to the trauma, but...
09:56Hey, Amos, uh, sounds like you've had
09:58quite an eventful morning.
09:59How are you feeling?
10:00I want to leave my wife.
10:02I am so sorry to hear that.
10:05I was talking about your leg as it started...
10:08...wisente.
10:09Oh, I hate the flu season.
10:11What is that?
10:15That's brain matter.
10:16Where did you say the nail went?
10:25Well, we found the nail.
10:28That's remarkable.
10:29I mean, his neuro exam was completely normal.
10:32It's fully conscious.
10:32No weakness.
10:33We even turned down the pain meds.
10:35We gave him a tetanus shot.
10:36That's it.
10:37Amos still needs surgery as soon as possible.
10:39The nail will cause the brain to swell.
10:40It could be rapidly fatal.
10:41I'll prep the OR.
10:42In the meantime, could you start, um...
10:45What's it called?
10:47Caprenseftraxin?
10:47Yes, thanks, Dr. Wolfe.
10:49Are you feeling okay, Dr. Nichols?
10:51Oh, I'm fine.
10:51I'm fine.
10:51I'm just, uh...
10:53...thinking about my surgical plan.
10:55This is truly a once-in-a-lifetime scan here.
10:57I'll see Amos in the OR in an hour.
11:04Dr. Wolfe, a quick update on Mrs. Henry,
11:08the pregnant woman who follows our epilepsy clinic.
11:10She was ready for discharge,
11:11but just developed a terrible headache.
11:13A normal neuro exam, no red flag symptoms,
11:16doesn't need a scan.
11:17What's your pressure?
11:17Normal.
11:18No proteinuria.
11:19So then the headache isn't a symptom of preeclampsia?
11:21No, but she's uncomfortable.
11:23I'll continue to monitor her.
11:25Very good.
11:27Dr. Wolfe.
11:31I did report Dr. Pierce.
11:32It wasn't an easy decision,
11:34and I have thought about it nearly every day since,
11:36but she and I,
11:37we cleared the air.
11:39And we're moving forward.
11:41And we're moving forward.
11:41Can we do the set?
11:43No.
11:54Okay, let's get this started, team.
11:58Amos,
11:59you're in good hands.
12:01Well, you know who had the best hands?
12:03Jerry Price.
12:05His old man was a bricklayer.
12:06He used to throw bricks.
12:08He's dead in football.
12:09I know.
12:10I know.
12:10I know.
12:11I know.
12:12I know.
12:12I know.
12:12I know.
12:13I know.
12:13I know.
12:14I know.
12:15I know.
12:15I know.
12:16I know.
12:20I know.
12:21I know.
12:22I know.
12:23I know.
12:24I know.
12:26I know.
12:30I know.
12:31Josh, are you feeling okay?
12:34I don't know what happened.
12:35It must be the bug that's going around.
12:38Well, if you need to go home...
12:39No, I may not be able to perform Amos' surgery,
12:42but I can still fulfill my duties as chief.
12:44I'll just quarantine here in my office,
12:45and luckily, Carol,
12:47we have you to be my eyes and ears out there.
12:54You feeling sick too, Wolf?
12:57Uh, no.
12:58Never mind.
12:59If Amos needs a new surgeon,
13:00are we thinking Mia?
13:01She's qualified.
13:02Mia just finished back-to-back-to-back,
13:03so legally she's out,
13:06and Rarick is in Florida.
13:10Well, then who's left?
13:11Amos needs this surgery today.
13:13What about Bo?
13:14He's in the Bronx?
13:15Yeah, that's true.
13:16He is, but the conditions are brutal out there.
13:18Well, that's a risk.
13:18We're going to need to take.
13:21For Amos, I mean.
13:23Look, this is a complex surgery.
13:24The clock is ticking.
13:25He's right.
13:26Bo is Amos' only shot.
13:28Okay.
13:29I'll make the call.
13:30Um, please, uh,
13:32shut the door on your way out.
13:33Thanks.
13:41Why am I still a human, Shishkebaba?
13:42Dr. Nichols was unable to perform your surgery.
13:45We've called in an outside doctor.
13:46They should be here very soon.
13:48Oh, let me guess.
13:49I go back down to the hellhole that is ED
13:51because neuropsych floor is full?
13:53You know it.
13:54Correct.
13:55Dr. Wolfe, if it took me as long to get through a repair job
13:59as it takes you to get through your patients,
14:01I would be out on my ass.
14:03I've never seen this side of you, Amos.
14:05I like it.
14:06I gave Dr. Wolfe a piece of my mind in a Kleenex.
14:09Let me give you a piece, Dr. Thorne.
14:10You taking Justine to the gala instead of Dr. Pierce
14:14was a betrayal.
14:15What is wrong with you?
14:18Hi, honey.
14:20What did you look in the closet?
14:22Well, let me tell you something.
14:23I don't care.
14:24You need to start being a self-sustaining adult.
14:29No, you have talked long enough.
14:31It is my turn.
14:32I know.
14:33I've known this guy for years
14:34and I've never heard him utter anything more than a friendly hello.
14:38Neurologically, he's stable,
14:39but this nail in his head
14:41really seems to have caused some personality changes.
14:45Maybe we do need to...
14:46Look, I see where this is going.
14:48Just bring in Dr. Pierce.
14:51You heard the man.
14:52Yeah.
14:57What is up with today?
14:59I'm exhausted.
15:00It's barely lunch.
15:01Hospitals in winter.
15:02F me.
15:03Flues.
15:04Myocardials.
15:05And emergencies.
15:06Yeah, but it's not new patients.
15:07It's our current patients
15:08and they're getting worse.
15:08There must be something going around.
15:10It's just a storm that makes people stir crazy.
15:14You sure about that?
15:18F me is right.
15:20Yeah, hey, this is Silva on three.
15:21We're going to need some help up here.
15:26Start it out normal enough.
15:28I was downstairs replacing some old vents.
15:30Thinking about the Roman aqueducts.
15:33Did Genghis Khan destroy those?
15:34Did you know he had a harem?
15:35Hundreds.
15:36I personally prefer a burnet.
15:38My mother, she was a blonde.
15:39And why?
15:39Why am I telling you this?
15:41I just asked you how your day was going before the accident.
15:43It appears that the nail in your brain is lodged in the prefrontal cortex responsible for executive functions like decision
15:52-making and self-control.
15:54Brain injuries affect everyone differently.
15:56But in your case, Amos, it seems to have removed some restraints.
16:00My restraints on what?
16:02Shutting up?
16:02From filtering yourself.
16:04You're speaking your unedited thoughts, whether you want to or not.
16:07Oh, my wife is going to love that.
16:10Am I going to go back to normal after the surgery?
16:12There's no way to know until after.
16:16Amos?
16:18Amos?
16:19Amos?
16:20Help!
16:21We need two-one milligrams of adamant and narrow-way kit now!
16:24Hello?
16:25Anybody?
16:27Muscle memory.
16:28Okay.
16:30Get over.
16:33Well, suction.
16:35Get in the airway.
16:37Let's come on.
16:39Here we go, here we go, here we go.
16:40Use BBM for blow-by oxygenation.
16:42Let's be ready to intubate.
16:43The med should hit in a second.
16:45Come on, Andy.
16:46You're breathing for me.
16:47Come on.
16:48Come on.
16:54All right.
16:59Damn, Sike.
17:01Didn't know you had those moves.
17:10Dr. Pedrosa, thank you for braving the storm.
17:12No such thing as a snow day medicine.
17:14How's Josh doing?
17:15Oh, you know, Dr. Nichols always trying to seem tougher than he is.
17:19Bo, your patient just seized despite being on anticonvulsants.
17:22He's stable now, but we're concerned about cerebral edema.
17:25Understood.
17:25Okay, take me to Josh.
17:26I'll reveal the keys with him, and let's get the old wire up and running.
17:29Okay, let's go.
17:35Apologies for the weight, Mrs. Henry.
17:36How can I help you?
17:37I'm sure it's nothing.
17:38Don't tell me.
17:39I feel like I'm having trouble breathing.
17:42The air is so dry up here, that's likely what's going on, but let's take a look.
17:48How is it?
17:49Your oxygen is great, 100%.
17:50Let me take a listen, okay?
17:52Can you sit up for me?
17:55Deep breath.
17:58Honey, you're wheezing bad.
17:59Do you have the asthma?
18:00Not that I know of.
18:01Is the baby okay?
18:03Your numbers look great, but better than I expected this wheeze.
18:07What does that mean?
18:09I'm not sure exactly, but we're going to find out.
18:12So you sit tight, okay?
18:20Josh!
18:21What's going on?
18:22What's wrong?
18:23I know, this sounds crazy.
18:24I think I'm having a heart attack.
18:26We've got to get him to the ED now.
18:28Let's go.
18:30Yes, I understand that, but I've been on hold already.
18:33Everyone, attention, please.
18:38Sure, yes, yes, I can.
18:39Yeah, I understand.
18:40Yes, I'm happy to...
18:41Yo!
18:43While y'all have been working in your own lanes, I am the only one who sees a little bit
18:48of every case up here.
18:49And Papi is concerned about what he is seeing.
18:52302 has chest pains.
18:54306, nausea.
18:55308, abdominal cramping.
18:57And then just now, my patient in 310 is hypoxic, despite having normal saturation of VBG levels.
19:02I don't know what is going on, but this does not sound like some flu outbreak to me.
19:06Silva's right.
19:07This isn't the flu.
19:09Put it all together, it sounds like it could be carbon monoxide poisoning.
19:13Silva, what was the carboxyhemoglobin read on Emma's VBG?
19:1615%.
19:16That's diagnostic for carbon monoxide exposure.
19:19We need to evacuate.
19:20Okay, everyone, let's move as quickly and safely as possible.
19:24Let's start with your patients.
19:26We have a code orange on floor 3.
19:29Code orange on floor 3.
19:31Code orange on floor 3.
19:33Code orange on floor 3.
19:40First round of beds are in ED.
19:42Emma Henry, the pregnant woman?
19:44Uh, we moved her first thing because she's particularly susceptible.
19:47Okay, good.
19:48That makes 35 patients everyone's accounted for.
19:50Jay, what'd you find?
19:51The average CO level up here is 800 ppm.
19:55It's a good thing you found it when you did.
19:56That kind of exposure could be fatal.
19:58Okay, all staff members from this floor need a few hours of oxygen treatment just to wash
20:02out even trace amounts of carbon monoxide, yourself included.
20:05Spread the word.
20:05Why do?
20:06Are the other floors of the hospital safe?
20:08Yeah, it appears isolated to this floor.
20:10My guess is over a century of renovations and a stitched together ventilation system was
20:15the cause.
20:15But, you know, our handyman Amos was working down there in the basement when the accident
20:19first happened.
20:20I'd look down there for the source of the leak.
20:22But why didn't our CO alarm detectors go off?
20:25Oh, those detectors are so sensitive.
20:26When it's winter and the ambulances are idling, the exhaust can set them off.
20:30Somebody probably turned the alarms off and we'll come and put them back.
20:32It was a perfect storm.
20:33Thanks, Jay.
20:37Dr. Pete, the life weapon's arrived.
20:42There you are.
20:44Okay.
20:45We know what's wrong.
20:46There was a carbon monoxide leak on the third floor.
20:49What?
20:49Did we evacuate?
20:50Yes, yes.
20:51Everyone is safe.
20:52FDNY is here investigating the leak.
20:53The real concern now is you.
20:56Based on the severity of your cardiac symptoms and the fact that you locked yourself in your
21:00office today, we suspect you've been exposed to the highest concentration of toxin.
21:04This makes sense.
21:05Carbon monoxide can mimic a heart attack of those doses.
21:08Which is why it's good you've already been getting oxygen.
21:10Beau, Josh is in good hands, but Amos still needs you.
21:13We've set up a trauma or down here out of an abundance of caution.
21:16Okay.
21:17I'll be back soon.
21:19Yeah.
21:19Yeah.
21:20Yeah.
21:21Yeah.
21:24Hey, don't let him out of your side.
21:33I'm so sorry, Carol.
21:35I have to see about another patient.
21:46Sophia, you're okay?
21:47Thank God.
21:48The maintenance man found me.
21:49Okay.
21:49Well, let's get you to the ED now.
21:51You said you wouldn't leave me in there, but you did.
21:53Where the hell were you?
21:54I'm so sorry.
21:56Dr. Nichols was sick.
21:57I thought he was in cardiac arrest.
21:58You left me in a sleep study during a carbon monoxide leak so you could play hero to your
22:02ex?
22:02Wow.
22:03No, we didn't know about the gas leak.
22:05I could have died.
22:07I thought you were supposed to be brilliant.
22:08I thought you were supposed to be the world's greatest doctor, the Messiah.
22:11But you're a total fraud, just like your dad.
22:24Still raspy, but getting bitter.
22:29Flo stopped.
22:32No oxygen coming out of the mask.
22:34The tubing must be kinked.
22:37Well, it looks fine.
22:40Our main oxygen source is empty?
22:42That can't be right.
22:45Too many patients requiring oxygen at once.
22:50Here's the move.
22:51Get a stat delivery from the medical gas supplier.
22:53They're always on call.
22:54I just spoke with the city O and me.
22:56The trucks aren't running in this weather.
22:58We've been told the hospital needs to be self-sufficient for at least 24 hours.
23:03We only have an important oxygen tank to last us a few hours max.
23:07Collect every oxygen tank.
23:09Ration and delegate to the sickest.
23:12You're in charge, Carol.
23:14I trust you.
23:20Turns out, Silva being in everyone's business kind of saved the day.
23:25This must be the CO talking, but nice job, Silva.
23:30However, cross me again and I will sew your gossipy lips shut.
23:35I'm sorry for getting you in trouble, Dr. Dang.
23:38I promise I will use my gossiping for good, not for evil.
23:42What if we didn't know we were being solely poisoned all day?
23:45I mean, like, we could have died.
23:47Well, if we had died today, what would be one thing that you regret most?
23:53I would regret caring so much about what others think.
23:57So what if Wolf is mad at me and I'd go scorch stars for my bestie, too?
24:01Hmm.
24:03I think I'd regret never getting the chance to meet my biological family.
24:10I didn't realize that you were adopted, Kenny.
24:13I think if you want to meet your family, you should go for it.
24:17And what's your regret, Porter?
24:19Not winning your club squash championship?
24:22I, uh, I think I'd regret not being kinder to myself.
24:27And, uh, maybe all of you.
24:35What about you, sir?
24:36Back up.
24:39Are you gaslighting us during a gas leak?
24:43If you think you can spin this life-or-death crisis into some weak apology
24:48that erases months of you being cold-hearted and a constant naysayer,
24:51you can think again.
24:52You are a toxic presence around here,
24:55threatening us with insubordination,
24:56and you laughed in my face when I told you we don't call our patients crazy.
25:00Don't forget he held your benzo use over your head, too.
25:03Yes, thank you.
25:04And that was before we find out that you're actually here
25:07for some petty revenge against Wolf,
25:09a man we all look up to.
25:11Yeah, nice try, but...
25:14Like I said, I have regrets.
25:18I was gonna say that my biggest regret
25:20would have been not hooking up with Porter.
25:22Well, so though, we still got time.
25:28Out of my way!
25:29She's critical!
25:32Oh, my chest.
25:34There's something wrong with my head.
25:36He's in V-TAC, and he pads on him in Amio at the ready.
25:39We have a new problem.
25:40Emma's loss of consciousness and Josh's V-TAC
25:42are signs of severe carbon monoxide.
25:43The amount of oxygen we've been treating him with isn't enough.
25:45We need more.
25:46But we're running out of oxygen.
25:47Not just more oxygen.
25:48They need more oxygen under pressure.
25:50How are we gonna do that?
25:53Get them to the basement.
26:01Dr. Wolfe, how did you know
26:03that Bronx General had a hyperbaric chamber?
26:05It's one of the perks of having two doctors as parents.
26:12I spent my childhood getting lost down here.
26:16It looks really old.
26:21This chamber was originally used to treat Hudson River tunnel diggers who contracted the bends.
26:26Today, these chambers are rarely used, but in cases of severe carbon monoxide poisoning,
26:30they can be a crucial, life-saving treatment.
26:33But how do we know this one works?
26:34We don't have any other options.
26:36We can't get Josh and Mrs. Henry to a hospital on time in this storm, so this has to work.
26:40There's not a lot of room in there.
26:42Yeah, which is why you'll be the ones to operate the controls outside of the chamber.
26:46There's only room for one nurse and one attending to supervise medical inside.
26:50This is the pressure control valve.
26:51This is the oxygen valve.
26:53You'll turn these dials up to get as much pressure and oxygen as possible in order to
26:56displace carbon monoxide from the body.
26:58CO binds to blood tighter than oxygen.
27:00That's why it's dangerous.
27:01So in extreme cases, we need the pressure to unbind it.
27:04So that's why we can't just take the patients outside for fresh air.
27:06The oxygen needs to be under pressure, and this creates that pressure.
27:09Exactly.
27:10Dr. Porter, attach this oxygen tank to the chamber.
27:12I think this is the last tank, so what happens when this runs out of oxygen?
27:16Then Josh and Mrs. Henry will die.
27:20This is our only hope.
27:24Wait.
27:26Dr. Petrosa?
27:27Amos is out of surgery and recovery.
27:29I want to accompany Josh inside.
27:30I insist.
27:31There's only room for one doctor.
27:38Josh, it's your call.
27:39Who do you want?
27:42I want Bo.
27:46Dr. Wolfe, you better get started.
27:54Wolfe, is it a bad time to mention I'm severely claustrophobic?
27:58Just breathe, Silva, but not too much.
28:00Save as much oxygen as you can for the patients.
28:06I'm flooding the chamber with oxygen now.
28:13I'm adding the first level of pressure.
28:24Every increase in pressure is going to feel like diving deeper underwater.
28:27Do your best to swallow, to clear the air from your middle ear.
28:32Both patients are becoming bradycardic.
28:33We don't have much time.
28:35Dial out the pressure again.
28:42Every increase in pressure drains the tank faster.
28:45I'm concerned we'll run out of oxygen sooner than we thought.
28:47Yes, increasing pressure decreases the volume.
28:49It's why an oxygen tank drains faster when you scuba dive.
28:51There's no way around the law of physics.
28:53It's just the needle we have to thread.
28:55Is this heat normal?
28:56I think it's making it harder for I'm going to breathe.
28:57Yeah, the compressed air is causing the temperature to rise.
29:00It's temporary, but be prepared to intubate if this is good.
29:08Dr. Wold, we have less than one minute of oxygen remaining.
29:11Well, we can't quit now.
29:12We'll know it's working when the heart rate and their breathing effort normalizes.
29:15Josh is going to go to cardiac arrest.
29:19Go up one more level of pressure.
29:22Go up one more level of pressure.
29:29Josh.
29:30The oxygen is zeroed out.
29:31This is it.
29:36Josh.
29:38Josh.
29:44Oh.
30:11Their vitals are normalizing.
30:13It's working.
30:14It's working.
30:14Decrease the pressure.
30:17We've managed to displace the carbon monoxide, everyone.
30:21You're going to be okay.
30:41So, we have done a full workup, and I can confidently say that you and your baby are healthy with
30:46no residual effects.
30:48Mrs. Henry, I'm so sorry that I was the one who told you to stay.
30:55But you saved my life.
30:57The chamber?
30:59That was intense.
31:00No, no.
31:01Earlier, the carbon monoxide triggered my wheezing.
31:05I googled it, and wheezing isn't a symptom of carbon monoxide poisoning unless you have asthma.
31:12I had been trying to tell my OB that I get these wheezing episodes, but everyone just keeps writing me
31:17off.
31:18Well, we may accidentally poison you, but we will never write you off.
31:23That's why I come to this place.
31:25All the way from Westchester.
31:27You guys care more.
31:29Even in chaos.
31:42How you feeling, eh, miss?
31:43Like I just got a nail taken out of my head.
31:46Turns out that guy with the accent's a decent surgeon.
31:49The chief snag do that one.
31:50It sounds like you're still speaking the unvarnished truth.
31:53Well, my mouth doesn't mind if it's open.
31:55Well, this might be your new normal.
31:58How do you feel about that?
31:59You know, I was always the kind of guy who kept to myself.
32:05You know, I could fly on the wall.
32:06Now people are going to hear me.
32:08It's going to take some time to get used to.
32:11Especially for my wife.
32:13Sometimes people have to put themselves through extraordinary circumstances before they can be honest with themselves.
32:20Or with others.
32:21You get to live your truth, Amos.
32:24Well, the good thing is, whenever I tell my wife I love her, she's going to know I'm telling the
32:28truth.
32:29You know, I hate her new haircut.
32:32Maybe, uh, we can see you for some couples therapy.
32:35Just own the house.
32:36Thanks, Dr. Pierce.
32:39Hey, don't worry so much.
32:41You're a classy broad with a nice ass.
32:44You're going to find love again.
32:51Hey.
32:52Hey.
32:54I brought you some tea.
32:56You don't have to wait on me.
32:59Look, I'm completely fine now.
33:02Wolf was right.
33:03You always try to seem tougher than you are.
33:10You, uh, you told me you barely knew Dr. Wolf.
33:16I'm not sure that's true.
33:22Wolf and I,
33:26we used to date briefly,
33:30but it was never going to work, so
33:34I didn't think it was worth mentioning.
33:37Hmm.
33:38So instead of being honest about it,
33:40do you lie to me?
33:43Hmm.
33:45Josh,
33:47is there anything else you've been holding back?
33:51No.
33:54I'm sorry.
33:57I should have told you.
34:02I like Wolf,
34:03but I don't want anything to come between us.
34:09Well,
34:10then we
34:14won't
34:15let anything
34:16come between us.
34:43Sounds like you saved Josh's life.
34:46I look forward to seeing how you hold that over him.
34:54Wolf,
34:57can we
34:57please
34:58agree to disagree about Dana?
35:01I hate fighting with you.
35:03I don't want to fight with you
35:05either.
35:10I'm too tired.
35:12Well, if there's something else going on,
35:14I really wish you would just talk to me.
35:18I really screwed up today, Carol.
35:23I almost lost a patient.
35:25Emma Henry?
35:27No, she's not going to be okay.
35:28No, not her.
35:29There's another patient I haven't told you about.
35:31Her name is Sophia,
35:33and she was struggling with insomnia,
35:35so I brought her in for a sleep study off the books,
35:37but then I got so wrapped up with Josh,
35:42I left her alone during the gas leak.
35:45Wait,
35:45she was in the sleep study room
35:46during the gas leak,
35:48and she's okay?
35:48Well, enough to run off.
35:50The reason Josh and Emma got so sick
35:52was because they were in closed rooms.
35:54Wolf,
35:54if you're saying she was confined,
35:56are you sure she's...
35:59Physically,
36:00it's emotionally I'm not so sure about.
36:01Would you like me to meet with her?
36:03It's a delicate situation.
36:06I met her outside of the hospital.
36:08She worked
36:10for my dad.
36:12Oh, okay.
36:14Um,
36:15I can see how that might come with triggers.
36:17I don't care about triggers, Carol.
36:19She could have died
36:20because of me.
36:25I've been, uh,
36:29trying to hide it
36:34for a while,
36:39but I have not.
36:43I have not been myself lately.
36:50Between my dad and Charlie
36:52and Josh and you...
36:53Hey, Wolf.
36:54We're good.
36:57I just want to help you.
37:02You just need to ask.
37:17Hey.
37:18Talk to me.
37:20Talk to me.
37:44Here's all the charts
37:46for the third floor
37:47patients from today.
37:49Thank you, Estelle.
37:50Let's wrap this messy day up
37:52with a bow.
37:52Mm-hmm.
37:53Yes, Dr. Pierce.
37:55Oh, uh,
37:55one last thing.
37:56Can you send over any data
37:58that was collected
37:58during a sleep study today?
38:00On it.
38:15I was hoping you were here.
38:17I was hoping you were here.
38:18I ordered Ty.
38:19I'm so sorry.
38:22About today,
38:24I-I betrayed your trust.
38:25Let yourself down
38:26off the cross.
38:26I overreacted.
38:28The experience
38:29triggered my abandonment issues.
38:32It goes back to childhood.
38:36I don't talk about this
38:38a lot,
38:39but growing up
38:41an only child
38:42with face blindness,
38:44uh,
38:45no friends.
38:47I became
38:49obsessed
38:50with the periodic table.
38:52I developed a
38:53strange kinship
38:55with the inert gases,
38:56argon,
38:57neon,
38:58helium.
38:58Makes total sense
38:59to me.
39:02I-I imagined
39:03that they were like me.
39:07Isolated,
39:07lonely,
39:08unable to connect.
39:10I couldn't see them,
39:11but I knew
39:12that they were there.
39:14I identified most
39:16with the noble gas xenon,
39:18because for so long,
39:20no one believed
39:21that it could connect
39:23with anything.
39:26But it turns out
39:27under extreme
39:28and specific conditions,
39:29xenon can bond
39:31with the electronegative
39:33element fluorine.
39:35I guess what I'm saying is...
39:38I'm the fluorine
39:39to your xenon.
39:42And the so-called
39:43extreme and specific
39:45condition that makes
39:46our bond work
39:47is your dad.
40:13if it makes you feel
40:14any better,
40:15your dad told me
40:15he was miserable
40:16without you.
40:22I guess I don't hate
40:23to hear that.
40:27But then I'll never
40:28understand why he came
40:29back just to leave
40:30again.
40:33Every time
40:35he goes,
40:36he leaves so much
40:37damage in his wake.
40:46maybe it's not too late
40:47for you to do
40:47some of your own
40:48damage.
41:18or maybe it's not too bad.
41:18I don't know it's good
41:26Where's Sophia?
41:30Greg, look her ahead.
42:03We'll see you next time.
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