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02:13I'll be right back
02:14All right
02:17Why has this patient been in the ED over three hours for heartburn?
02:20Because heartburn in pregnancy can be a sign of more serious conditions
02:23All of which you've already tested for and ruled out
02:26I haven't ruled out an aortic dissection
02:28Her vitals are stable, her symptoms don't line up
02:30It could be an unusual presentation
02:32You're reaching Dr. Asher
02:37When was the last time you went home?
02:42Patient has reflux, give an H2 blocker and discharge
02:49What's up guys?
02:50I had nothing to do with it
02:52Me neither
02:53To be honest, I was a way bigger Nick fan
02:57I always found your character kind of annoying
02:59No offense
03:01None taken, Kai
03:08I think maybe people forget about this soon
03:11I think you gotta expect a solid month of ribbing
03:15Yeah, it's not every day you find out your colleague was a teen heartthrob
03:20Ah
03:21But hey, joke's on them, right?
03:24How do you figure?
03:26Well, according to Lauren
03:28Random women just throw themselves at you
03:31Guilty?
03:31Yeah
03:32And I bet you're the only resident here not drowning in med school debt
03:37Right
03:38See you out there, Hollywood
03:50Jackie!
03:51Hi
03:53What are you doing here?
03:54You don't know?
03:55I'm working here
03:56Wait, you're the new nurse?
03:58Yeah
03:59I realized I was onboarding a new transfer today
04:01But I didn't realize it was you
04:03But that's great
04:04Oh
04:05Okay
04:06Is this
04:07It's not lost on me that this could be weird for you?
04:10What do you mean?
04:11Well, working with me after you found me bleeding on the bathroom
04:13Stop it
04:14No, not at all
04:16Maggie?
04:16Where are we going?
04:18Okay
04:18I gotta go
04:19Yeah, of course, go
04:21Dr. Charles
04:23Jackie
04:23Hello
04:24Hi
04:25I owe you an apology
04:26Uh, for my, uh, colorful word choice the last time I saw you
04:32If memory serves, condescending prick was a highlight
04:36Well, in my defense, you were trying to commit me to a psych ward at the time
04:40Totally fair
04:41Uh, Daniel, I, uh, need an opinion
04:44I'm gonna go change into my scrubs
04:45Great to see you again
04:47What do you got?
04:49Headache
04:49I just hate this texting crap
04:53Texting crap?
04:54Yeah
04:54I mean, it's, uh, it's ruined the already fragile art of communication, right?
04:59And, uh, how can I help you with this one, Dino?
05:02All right, so this is a message from Margo
05:04All right
05:05Got time for an afternoon coffee? We should talk
05:09I mean, I don't know, is she asking to move in together, or is she about to break up with
05:15me?
05:15You know, considering that my girlfriend just transferred to another hospital to get away from me
05:19I'm not positive that I'm the guy you should be asking
05:22Maybe, you know, consult a member of the, uh, the female persuasion
05:27Oh, look, there's one right there
05:28She
05:30Do you
05:35Hey, Hannah, I, uh, I need an opinion
05:40Hannah, birth to Hannah
05:41All right, what? What's up?
05:44You getting any sleep?
05:47No
05:48It wasn't your fault, man
05:50Please don't
05:50I don't want
05:52Okay
05:56They're going to trauma one
05:5835-year-old female, Tessa Myers
06:00Appears to have experienced some kind of blunt force trauma to the eyes
06:03Neighbors are screaming from her apartment
06:04PD's investigating this impossible assault
06:06She was highly combative at the scene
06:08Tried sedation, but, uh, she wasn't responding, so we intubated her for safety
06:12She couldn't see
06:13I think she was afraid we were her attacker
06:15Okay, folks, on my count
06:16One, two, three
06:19Let's get her on a vent
06:21Thank you so much
06:22Thank you
06:23You need me to tap in?
06:24No, no, I got this one
06:25You sure?
06:26No, go ahead
06:27Um, why don't you take the ankle sprain in treatment three?
06:31Okay, yeah
06:31Great
06:34Her eyeballs are as hard as marbles
06:37She must have retrobulbar hemorrhages and orbital compartment syndrome
06:41I need to release the pressure
06:42Right, I'll pay you off
06:43I mean, I need to release the pressure now
06:45Get kind, grab a lat kit
06:46Yeah
06:46You're gonna slice open her eyelids?
06:48I'm gonna cut lateral to her eyelids, but, yes, basically
06:53You ever do a lateral kinsatum?
06:55One, you?
06:56This will be my second
06:57That's reassuring
07:00Scissors
07:00Scissors
07:03You ready, Kai?
07:04Ready
07:16That isn't from blood force trauma
07:18No
07:19These are chemical burns
07:23Some important acid in our eyes
07:36Well, good morning, Miss Administrator of the Year
07:40Bow when you speak to me
07:41Picking up my suit of the dry cleaners at lunch
07:44Well, thank you again for doing this for me, Daniel
07:47I'll be your arm candy any day of the week
07:50But, uh, where's, uh, where's Dennis?
07:53Keynote speaker at an oncology conference
07:55Oh
07:57What?
07:59Where's my...
08:00What?
08:01Oh
08:05Hmm
08:07I wonder what, uh, happened there
08:09I don't know
08:10Maybe it was housekeeping, but it's odd
08:14They didn't leave a note
08:15I mean, you just gotta swap out the glass, right?
08:19Yeah
08:20Yeah, no
08:22No, that's...
08:25That's not what concerns me
08:28Listen, Daniel
08:30A few days ago, something happened
08:32Okay
08:33I received a letter
08:35A death threat
08:36What?
08:38Sharon, you just telling me about this now?
08:40Well, HR asked me to keep it quiet while they investigate
08:44Well, did they find out who sent it?
08:46Not yet, but working theory is a disgruntled former employee
08:51So, like, maybe somebody who got let go during the Jackson Monroe bloodbath or something?
08:57Well, they've been interviewing everyone who was fired, but so far, they've just eliminated people
09:05Appears the sole intent was the blinder
09:07Any suspects?
09:08The crimes of this nature had solved an intimate partner violence
09:11There were no signs of forced entry at Tessa's apartment
09:13Does Tessa live with anyone?
09:15She did
09:15Neighbors reported hearing arguing between Tessa and her ex-boyfriend a month ago when he moved out
09:20We're tracking them down now to interview him
09:23She suffered significant second and third degree corneal burns
09:27And can her vision be restored?
09:29Once I surgically debride the necrotic tissue, I'll have a better idea of how much is viable
09:34But I'm optimistic
09:35Thanks, Dr. Baker
09:36Of course
09:38Let's finish our trauma workup with a pan scan
09:41Continue to irrigate our eyes
09:42Start topical and IV steroids
09:44And, uh, let's win her sedation
09:46Will do, Dr. Ripley
09:47Thanks, Maggie
09:49Ankle sprain is stable and ready for discharge
09:51So, where do you need me?
09:52You know, it'd be a huge help if you could restock the supply room
09:56You don't want me on the floor?
09:57No, we're covered for now
09:59You'd be shocked how fast we run out of supplies on a busy morning
10:07Asher
10:09Hey
10:09Hey
10:11Hi
10:14You ever gonna stop dodging my calls?
10:17Not dodging you, I've just been swamped with work
10:21Are you okay?
10:23I know your case last week was rough
10:25Can we not?
10:26Yeah, I just
10:27No, I know, but I'm just, I'm
10:30Fine
10:30Yeah
10:31Yeah
10:31Yeah
10:36Anna
10:38I need to apologize
10:40I never should have
10:41Blown up at you like that over Sully
10:43You were
10:45Just trying to stop me from imploding my life
10:50Sully, of all people, set me straight
10:51You believe that?
10:54Not really
10:58Can I take you out to dinner tonight?
11:01To catch up
11:04You know, I picked a short straw and gotta work the night shift
11:10But soon
11:12Soon?
11:19All right, just tell me how this feels, okay?
11:22Church
11:23All right
11:24When were you diagnosed for Crohn's, Laura?
11:27When she was pretty young, five, I think
11:31Anything before the age of six is considered to be very early onset
11:34You know, my timeline might be wrong
11:36You know, my timeline might be wrong
11:36She could have been a little older
11:38Her mom was always better at handling that kind of stuff
11:42I'm not great with details
11:43Well, it certainly looks and sounds like a Crohn's flare-up to me
11:46But I'd like to get a few labs and then just afterwards take a CT of Lauren's abdomen just to
11:51be sure
11:52Uh, not really necessary
11:54I mean, Laura already went through all the testing when she was first diagnosed
11:58Well, because Crohn's affects all the layers of the intestines
12:01It can lead to complications which present like flare-ups
12:04Things like fistulas, which, if infected, can lead to an abscess
12:08Yeah, I just gotta be honest, kinda sounds like a fishing expedition
12:14Like you're just trying to pad my bill here
12:17Well, that's not the case
12:18But how about this
12:20We'll start with just the labs
12:21And if Laura's white blood cell count comes back normal, we'll skip the CT, okay?
12:25That's just taking my blood, right?
12:27Right
12:30I can handle that
12:34Is that okay?
12:35Fine
12:36Doris, let's get a CBC, CMP, CRP, ESR, a lipase, and a UA, please
12:41You got it
12:41Thank you
12:45Sandra
12:45Hey
12:47How's Ruby Thompson?
12:49Oh, baby girl's doing great
12:51Maintaining her O2 sats off oxygen
12:54Just working on coordinated feeds with Dad
12:56And she shouldn't be able to go home tomorrow
12:59Dad, Elise's...
13:01Elise's husband's here
13:03Got in late last night from Turkey
13:05I'll let Mr. Thompson know you're here
13:07I know he's eager to speak
13:08You know, I gotta get back to the ED
13:09But I will check back later
13:11Oh
13:12Okay
13:14Okay
13:15You're okay, Tessa?
13:16You're okay, Tessa?
13:17We have you in restraints to prevent you from hurting yourself
13:21Tessa?
13:21Tessa?
13:22Okay
13:22I want to remove this tooth for you
13:24But I need you to calm down first
13:25Your heart rate and blood pressure are too high
13:27Can you try and relax for me?
13:29That's it
13:30Just take nice deep, slow breaths
13:32That's it
13:33Okay, Maggie, let's get her more upright
13:34Yeah
13:36Okay
13:37I'm gonna bring you up now, Tessa
13:39There you go
13:41Tessa, on the count of three
13:42I want you to cough out as hard as you can, okay?
13:45One, two, three
13:50I can't be here
13:51I can't be here
13:52You okay?
13:53You're safe, Tessa?
13:54What's that?
13:55What are you giving me?
13:55Just IV steroids to reduce the swelling in your eyes
13:58No, stop
13:58Remove it now
14:00Tessa likes to restore your vision
14:01I don't want my vision restored
14:03I don't understand
14:05I did this to myself
14:06I don't want to see
14:08Let me out
14:10Just stop, please
14:19Tessa, I'm Dr. Charles
14:20I was, uh, hoping I can get this girl
14:22Let me guess
14:24You're a shrink
14:26In fact, I am
14:27Oh
14:28Happy day
14:30Not your first conversation with a shrink?
14:32No
14:32Is what I'm getting?
14:33No
14:34My entire childhood
14:35I was dragged from one psychiatrist to another
14:39Medicated until I was a zombie
14:40Long stays in the psych ward
14:42It was torture
14:43Well
14:45I'm pretty sorry to hear that
14:46Well
14:47Save your pity
14:49All that to say
14:50I know my rights
14:51Okay
14:52You can't force treatment on me against my will
14:54Without a court order
14:57Correct
14:57And the most you can do
14:58Is put me on a 72-hour hold
15:00If you think I'm a danger to myself
15:02Well, I mean
15:04Do you think you're a danger to yourself?
15:06I didn't drink the stuff
15:07I put it in an eyedropper
15:09So do the math
15:10I don't want to die
15:12I just
15:13Don't want to see
15:14Why?
15:19I don't have a clue
15:20But if you're going to put me on a hold
15:22Please just do it now
15:24I really just want to talk
15:26Yeah, I'm done talking
15:31I learned so much
15:32Shadowing many of you last week
15:34It got me thinking
15:35You all should have the opportunity
15:36To learn from each other's cases
15:38So I'm instituting a weekly ED case review
15:42I will choose a recent case of note
15:44And we will discuss how we arrived
15:46At either a good or bad outcome
15:49What happened?
15:50What did we get right?
15:51What did we get wrong?
15:52Any questions?
15:54Are these mandatory?
15:56They are an excellent educational opportunity
15:58That I hope everyone will take advantage of
16:00But no, door is not mandatory
16:05I'd like us to look at Elise Thompson's case today
16:08Your maternal mortality from last week
16:10Be prepared to present the sequence of clinical events
16:14Okay?
16:15Mm-hmm
16:17I confirmed with Mirabelle
16:18That no one from housekeeping broke the frame
16:20As a precaution, we'll change your locks
16:23And install cameras inside and outside your office
16:26Okay, we're also going to need additional security
16:28For the donor gala tonight
16:29Unfortunately, it's going to be impossible
16:31To get people this close to the event
16:35Sharon
16:36Look, if you're concerned about the hospital's potential liability
16:39I'll sign a release, okay?
16:41I was more concerned about your safety
16:47I'm sorry
16:50Look, if the roles were reversed
16:52I would ask you to stay home
16:54I know
16:56Look, I'll
16:57I'll ask Daniel to accept the award on my behalf
17:03Okay
17:04Hey
17:06Laura Finley's lab's just posted
17:07Thank you
17:08Yep
17:11I'm not seeing anything concerning
17:13Did you get the info on her previous primary care doctor?
17:16I want to see what they had her on
17:17I asked her dad, but he couldn't remember the doctor's name
17:20Really?
17:20Mm-hmm
17:20Mr. Finley was able to tell me Laura's medications and doses
17:23So I made a note in the chart
17:25Off the top of his head?
17:27Mm-hmm
17:28It's pretty impressive for a guy who isn't good with details
17:31And I thought she hasn't had an appetite for days
17:34Do me a favor, Doris, and hold off on uploading Laura's labs to the patient portal
17:38If her dad asks
17:39Let him know that we're waiting on the results
17:41Yeah
17:43This ain't my first rodeo kid
17:46Noted
17:48So
17:50I didn't get much out of her
17:51At all
17:52But if I were to guess
17:53I would say that she was suffering from some form of
17:56Body integrity identity disorder
17:59Isn't that people who want to have a healthy limb amputated or be paralyzed?
18:04Those are the more common cases
18:05But there have been reports in the literature of people who, you know, want to be blind or
18:10Or visually impaired
18:11This condition is excruciating to live with
18:15Leading some sufferers, you know, to take drastic action as you can see
18:19If I don't operate soon, Tessa can lose more than just her eyesight
18:22If she develops orbital cellulitis and it travels to her brain via the optic nerve
18:27She can develop a cavernous sinus thrombosis or meningitis
18:31This could kill her
18:51This could kill her
19:01Hey
19:01You're not yourself
19:02So what?
19:03You let him go over a difference of opinion?
19:06Of course not
19:08Sean was becoming combative with patients
19:10Combative?
19:11How so?
19:13Uh, it was his way or the highway
19:14That's not how I operate
19:16You know, my patients, they don't need lectures
19:18They need understanding
19:20It'd be nice if you could afford some of that understanding to Sean
19:23But, uh
19:24Excuse me?
19:25Ugh, Margo, he's an ex-con
19:27You get it?
19:28It's not easy finding work
19:30This could be incredibly destabilizing to him
19:33And his sobriety
19:34I get that this is a very difficult situation
19:37And I know how much you care about Sean
19:40But that is
19:43Wildly unfair
19:44I care about Sean, too
19:45But I'm not going to be held responsible for his sobriety
19:47I'm not holding you responsible
19:48I'm just asking you to give him another chance
19:50Or
19:51Is this going to be a problem for us?
19:54Margo
19:55You, you
19:56You fired my kid
19:58Did you not think this would have an effect on me?
20:01Yeah, frankly
20:01I
20:02I wasn't thinking about you at all
20:04Dean
20:13You think she's faking her symptoms at her dad's behest?
20:16I doubt she's ever been diagnosed with Crohn's
20:18But since there's no definitive test, it's easy to fake
20:22Okay, but why?
20:23You're thinking Munchausen by proxy
20:25Dad's looking for attention
20:26I think it's the medication he's after
20:30All right, look
20:32These are the drugs Adam claims his daughter was prescribed
20:35This immunosuppressant alone
20:37$4,000 a month without insurance
20:39It was just in the news
20:40All right, after the price skyrocketed
20:42People started selling it on the black market
20:43This is, um
20:45This is a pretty bold accusation
20:47We're talking not only insurance fraud
20:49But faking a kid's illness
20:50That's, that's medical child abuse
20:53You know I got a loop in DCFS, right?
20:55That's why I came to you
20:57All right, I need an attending to sign off
20:59Look, I agree there are a lot of red flags here
21:02But once DCFS get involved
21:04It's out of our hands
21:05It becomes their investigation
21:07I wouldn't be ringing the alarm if I didn't smell smoke
21:11All right, I'll make the call
21:17Jackie, you did such a great job with the supply closet
21:21I wanted to see if you and mine
21:22Tackling the pig cyst necks
21:25The narcotics need to be verified
21:26Is me looking in the ED is going to be a problem for you?
21:28It's not
21:29Okay, then why am I being relegated to softball cases
21:31And restocking purgatory?
21:33Oh no, I'm just trying to ease you back in
21:35Let you get a lay of the land
21:36And I've worked plenty of shifts at the ED
21:38I know where things are
21:39But Jackie, it's your first day back
21:41I just
21:42I just need to make sure that you're
21:44Stable?
21:46No, acclimated
21:47You know, so much
21:49Of this job is
21:51Seeing people through the worst day of their life
21:54After what I just went through
21:56I have never been better equipped to do that
21:59But if you don't trust me with the patience
22:02Say so
22:14At that point, Dr. Lennox and I rushed Elise to the OR for an exam under anesthesia
22:18My initial assumption was bleeding due to uterine acne
22:21However, there was no blood found in the vaginal vault
22:24We opened the abdomen
22:26And discovered a ruptured subcapsular hematoma of the liver
22:30Elise quickly went into DIC and couldn't coagulate
22:33She exsanguinated and then coated
22:37Thank you, Dr. Asher
22:41So how did we get here?
22:42To a sentinel event
22:44Something we never want
22:46A maternal mortality
22:48Is there anything Dr. Asher could have done differently to affect the outcome?
22:56Obviously, hindsight is 20-20
22:58So this is absolutely not a judgment on Dr. Asher
23:00We can do without the sugarcoating
23:02We're all adults here
23:04If an abdominal ultrasound had been ordered prior to delivery
23:07The hematoma might have been discovered before it ruptured
23:10Sure, that's quite, um
23:14Possible
23:14But there was no indication to order an abdominal ultrasound prior to delivery
23:18Didn't Mrs. Thompson's liver function test come back elevated?
23:22Barely elevated
23:23Uh, but it was in line with what you'd expect to see in preeclampsia
23:27She also complained of abdominal pain when she was admitted
23:29Her abdominal pain was mild and her belly was soft and numb
23:32I realize it wouldn't be anyone's first suspicion
23:34Or their 50th suspicion
23:36Nobody thinks subcapsular hematoma
23:38From mildly elevated LFTs and abdominal pain in pregnancy
23:43I thought it
23:44Oh, give me a break
23:45You don't know what you're talking about
23:47Excuse me?
23:47Yeah, now you're just running your mouth
23:49Okay
23:50Wow, uh
23:51I thought this was an open discussion
23:53I didn't realize we'd be subject to personal attacks for merely expressing
23:56I'm not attacking you, believe me
23:57But if that's the case
23:58You'll know when I'm attacking you
23:59I can find better ways to occupy my time
24:01Why don't we, um, pick this up next week?
24:04Hopefully everyone can brush up on their discussion etiquette before then
24:14Hey, what is up with you?
24:16What are you talking about?
24:16I don't need you to fight my battles
24:17Okay, yeah, okay
24:19Dr. Lennox
24:20I understand, I'm sorry
24:21I want to respond to your question
24:24If I missed anything in regards to Elise Thompson's care
24:28Okay?
24:29I think Kai made a fair point
24:32You know, I've been thinking about this a lot
24:34Nonstop, actually
24:37Why didn't I order an abdominal ultrasound post-delivery?
24:41Because you're not a psychic
24:43Archer was right
24:43No doctor would have suspected a subcapsular hematoma
24:46She was cold after her C-section
24:48She was shivering
24:48Completely normal after childbirth
24:50Or it's a sign of shock
24:52I understand you are hellbent on finding something you did wrong here
24:55But if you want to assign blame
24:57It lands squarely on the doctor who examined Elise at her checkup two weeks prior
25:02If Elise had been correctly diagnosed with preeclampsia at that appointment
25:06She would have been induced immediately
25:08And the hematoma never would have developed
25:10I agree that Elise died because of negligence
25:13But it wasn't yours
25:14And I don't know why I'm explaining any of this to you
25:17You're too smart a doctor to actually think this is your fault
25:25Hey, Dr. Frost
25:27How much longer than those test results?
25:28I'd really like to get Laura home
25:30Let me go check out the lab, all right?
25:32Maybe you could just call us when the results come in
25:35Like I said, we know what this is
25:37And we know what medication she needs
25:39Right, see, but I can't write the prescription until I get the lab results
25:43So
25:44Okay, yeah, then I think we're gonna go
25:47Uh, Mr. Finley, hi
25:48I'm Dr. Ripley, I'm an attending here at Met
25:50How do you know my name?
25:52Dr. Frost asked me to consult on your daughter's case
25:54She's having a Crohn's flare-up that doesn't take two doctors to diagnose
26:00Laura, baby, it's time to go
26:01Come on
26:02You're actually not free to leave
26:04Get your stuff together, let's go, now
26:05Okay
26:08Hey, don't do this, okay?
26:10Please don't cause a scene in front of your daughter
26:12Not right
26:13Oh, hey, stop it, hey, stop it, stop him
26:16Let go of him, let go of him, stop
26:18Okay, I can explain, okay?
26:20It's not
26:23Seizing
26:23Caesar, I need backup over here
26:26Get a pillow for his head
26:27Grab an IV set up to a Vatavan and the glucometer
26:30Please, please help him, please
26:32We are, we are, okay?
26:34I promise, I'm all right
26:41He has something called Neurosarcoid
26:46Neurosarcoidosis?
26:48Hasn't been able to get his meds for months
26:53Do you know what he's on?
26:55Same ones he told the nurse
27:00They're his meds, not mine
27:04Neurosarcoidosis and Crohn's are treated with overlapping medications
27:08Why did your dad go off his meds?
27:10Couldn't afford them anymore
27:12He lost his health insurance
27:15Dr. Riftley, Dr. Frost, Madeline Gaston is here
27:18Who's that?
27:19Uh, is sure to the consultation room?
27:22Yeah
27:23Hang tight, we'll be right back, okay?
27:28Madeline's with DCFS
27:29Just, uh, follow my lead in there, okay?
27:32Can't we just tell her the truth?
27:35That Adam is using his kid to commit insurance fraud
27:38That he couldn't afford his medications and obviously was desperate
27:41Means won't necessarily justify the ends with DCFS
27:44The less we say, the better
27:50Nancy, have you seen Jackie?
27:52I think she said she was going to the bathroom, but it was a while ago
27:59I got so bad
28:00I was-I was causing a lot of blood loss
28:02And, you know, as a nurse I knew how dangerous that was
28:06I knew it could-I knew it could kill me
28:08But I couldn't stop, because it was the only time I felt any relief
28:12Living just felt unbearable
28:16Tessa, I don't-I don't presume to know how any of this feels for you
28:20It feels a lot like that
28:21Yeah
28:23Unbearable
28:24I can't focus my attention anywhere on anything
28:28It's just this
28:32Constant barrage
28:33It's all coming at me at once
28:34It's like a waking nightmare
28:36You know, when you experience a visual overload like that
28:39When your brain is taking in more information than it can handle
28:42It becomes overwhelmed
28:43And a very real, tangible, physiological response is triggered
28:49You know, there have been some really promising therapeutic breakthroughs
28:53The last few years
28:54Like, uh, using, you know, neurofeedback
28:57And brain-computer interfaces
28:59No, I-I can't give up the relief that I finally feel
29:02Just on the off chance that a therapy might help
29:07It took me a really long time to build up the courage to do this
29:11And I don't want to die, but
29:13You can't go back to living like that
29:16No
29:17Well, I'm not a doctor
29:19So I can't tell you what the odds are of these therapies working
29:22Or if you're gonna feel the relief you feel right now
29:25But what I can tell you is that
29:27About two and a half months ago
29:30Oh, I-I-I was ready to choose relief over everything else
29:34But I woke up this morning
29:36So grateful
29:38To the people in my life who intervened and
29:43And didn't let me do something I couldn't undo
29:45I-I know that living right now is so painful
29:53But I promise you it's worth fighting for
30:08So, what's up?
30:11I threw you under the bus
30:12I-I-
30:13What?
30:13I said you're a new resident, still learning the ropes
30:16And you confused DCFS with case management
30:21Did it work or like?
30:23Like a charm
30:24And it, uh, especially helped that, uh
30:28Well, yeah
30:31What's this?
30:33My daughter just loved your show growing up
30:36Uh, Dr. Ickley said you wouldn't mind taking a picture?
30:40Yeah, of course
30:42Let's-let's do it
30:43He'd love to
30:43Jenny is gonna freak
30:47Okay, on the count of three
30:50Say nick of time
30:52One, two, three
30:54Nick of time
31:05Can I help you?
31:10Ms. Goodwin, hi
31:11You know my name
31:13What's yours?
31:14My name is Fred Murray
31:16I work with the HVAC crew
31:17And what are you doing in my office?
31:19Well, I came through last night to clean the vents
31:22And, um
31:25Gosh, I'm real sorry
31:27I-I-I-I knocked over your picture with one of my tools
31:30Oh
31:31I spent all day trying to find the same frame
31:34I went to like ten different stores
31:35I know it's not exactly the same
31:39It's close enough
31:41Thank you, Mr. Murray
31:43Thank you
31:44Thank you, Mr. Murray
31:46Thank you
31:47Thank you
32:00Mr. Thompson?
32:02I'm Dr. Hannah Asher
32:03We spoke on the phone
32:06Oh, you're, uh
32:07You were, uh, Elise's doctor
32:09Again, I can't begin to express how sorry I am for your loss
32:13Thank you
32:15I wish with all my heart that I could have saved Elise
32:19I only knew her for a short time, but
32:22But she makes an impression, doesn't she?
32:25Yes
32:26And you
32:28You made an impression on her, too
32:30When she called me
32:32After Ruby here was born
32:34She said she wished you were her OB the whole pregnancy
32:38That you were the first doctor to really listen to her
32:43Oh, that's okay
32:44Okay
32:45I got you, I got you
32:47I got you, yeah
32:49I mean
32:52Do you want to hold her?
32:55Oh, yeah, I love that, yeah
32:57Okay
32:58Okay
32:59Here you go
33:00Hi, baby
33:01Say hi, baby
33:02Yeah, it's okay
33:04Hi, baby
33:05Oh, oh, oh
33:08Hi, baby
33:08Hi, baby
33:10Hi, baby
33:12Hi, baby
33:13Oh, boy, little boy
33:16She's so beautiful
33:19Just like her mama
33:30So, looks like, uh, Tessa's got letters of her ex-boyfriend
33:35That's a good sign, right?
33:37I think so
33:37Apparently, he broke up with her over her refusal to get help
33:41Like, she cut her family off years ago
33:43And I guess, ultimately, he just couldn't handle feeling like he was the only one responsible for her well-being
33:49If Tessa's willing to reach out to him, maybe it's a sign that she's ready to get help
33:55And it's my hope?
33:57Yeah
33:58Listen, Max, I just, I just can't help wondering, wouldn't Jackie be of more use if she was just back
34:05on the floor instead of stuck in some supply closet?
34:08It's not that I don't trust Jackie with patients, I think she's an excellent nurse
34:12It's just, I don't want anything to throw her off and trigger her
34:17Maybe I feel, I feel responsible for her
34:21Jackie had to be cleared by a whole team of psychiatrists to come back to work
34:25And they knew she would be returning to an environment where she was gonna encounter trauma, right?
34:30Emotional, physical, on a daily basis
34:34They clearly felt she was ready
34:36And I gotta tell you, based on my experience of, you know, Jackie back at work today, I have to
34:42agree
34:43So, uh, I don't know, think about it
34:57I asked someone from our case management department to come meet with you
35:02And they are going to go over your options and help you enroll in a local medication assistance program
35:09In the meantime, we'll send you home with a month's supply of everything that you need to help get through
35:14the gap
35:15On my house, so to speak
35:22I'm sorry, it's just, um, it's been so hard
35:26Trying to navigate this after I lost my job
35:29Probably spent over 50 hours on the phone
35:32And sent hundreds of emails
35:35And filled out one application after another
35:37Someone you tell me you're gonna help
35:47Oh, thank you
35:54Dr. Lennox, hey, hi
35:56Hi
35:56Uh, any chance you can spare Dr. Asher on the night shift?
35:59Does Dr. Asher want that?
36:01Well, who wants to work the night shift?
36:03Dr. Asher
36:05Wait, what?
36:06She requested it
36:10Okay, thanks
36:12Hey, man
36:15I, I really jumped the gun today
36:18Yeah, you're right
36:19There was something that fishy going on
36:21Yeah, but I could have saved everyone some grief had I dug a little deeper
36:25Not rush to judgment
36:27I have a hard time giving people the benefit of the doubt sometimes
36:30Parents especially
36:32Hmm
36:33Maybe, uh, maybe a little projection going on there
36:37Maybe
36:38I'm a card-carrying member of the Crappy Parents Club myself if it's any consolation
36:42Yeah
36:42Yeah
36:43What'd they do?
36:45Just your run-of-the-mill abandonment?
36:47Yours?
36:48They managed
36:51Mismanaged my career
36:53Stole a lot of money from me
36:55I worked basically my entire childhood
36:57And I have nothing to show for it
37:01In fact, I'm very much drowning in med school debt
37:04So
37:05Oh, man
37:06I'm
37:07I'm sorry
37:08Hey
37:09Not so hard up
37:10I can't buy you a beer for saving my ass today
37:16Another time
37:18Sure thing
37:22Hey
37:25Hey
37:28Hey
37:29Hey, why haven't you responded to any of my messages?
37:31What?
37:31I left like a hundred texts
37:35You're not exaggerating
37:36Sorry
37:37I've been listening to a book on tape while I pack
37:41Pack
37:51All right
37:52I think you're being, you know, a little premature here
37:56I think if you just sit down with Margo, you apologize, you can get your old job back
38:03I don't want my job back
38:04She was right to let me go
38:05All right, fine
38:05Then I'll meet with the head of valet at med
38:08And we'll see if your old job is available
38:10It's not necessary
38:11Come on
38:12Dad
38:14I'm gonna be okay
38:20Yeah, I just don't want to see anything derail you
38:23You have come so far
38:25This is not gonna derail me
38:28I'm actually
38:31I'm actually looking forward to a fresh start
38:35I'm gonna go down to Florida for a bit
38:37Stay with mom
38:41Sorry, no, no, this is this
38:44This is me trying not to have a knee-jerk response to you going to live with your mother
38:50How am I doing?
38:52Admirably
38:54Don't go, son
38:55I'm not leaving today
38:58And actually, if you could take the time off, I was hoping that maybe you'd want to drive down with
39:04me
39:07Little Archer father-son road trip
39:12I wouldn't miss it
39:20Oh, Daniel
39:21Daniel, wait up
39:22I can't run in these high heels
39:24I thought I was flying solo
39:26Ah, change of plans
39:27Everything okay?
39:28Better than okay
39:29I'll tell you in the car
39:30I'll ride with you
39:32Arm candy, chauffeur
39:34Damn, I'm a renaissance man
39:37Let's go
39:43Hospital food for dinner your first night back way too soon
39:47You gotta work your way back up to that
39:48I know
39:49I'm regretting it already
39:50But, you know
39:52The hubs and the kid, they're, uh, they're out of town
39:54They're visiting Carl's mom
39:55I don't wanna cook for one
39:58I am so beat
40:01I forgot how much it wears you out being on your feet all day like that
40:05Well, rest up
40:06You've got a big day tomorrow
40:08Check the board, you're on trauma service with Dr. Archer
40:11Good night
40:13Good night
40:18Hey, what are you still doing here? It's almost midnight
40:21I, uh, had a sudden urge to work the night shift
40:26Hope that's okay
40:29Company will be nice
40:32I was about to, uh, forge the vending machine for some sustenance
40:36You wanna join?
40:38Absolutely
40:43So you're just gonna work yourself into the ground?
40:46You run, I work
40:51So that's your coping mechanism?
40:54Got in daily N.A. meetings
40:57Been going every morning before work
41:01Did you?
41:03It's the first time in almost four years that I thought about it
41:09I thought about using
41:14But I didn't
41:24I know I haven't
41:27Proven myself to be very reliable, but
41:32I really wanna be someone you can lean on, Hannah
41:41Way to be literal
41:56You think that the whole time is cool?
42:05Yeah.
42:05Kinda
42:06Ellen
42:07You know how you got the right?
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