(car crashing)
We've got a 1052 on the corner of Whittier and Corcoran.
Car vs. truck. Female unresponsive. Roll an ambo to that location.
(sirens blaring)
Dr. Patel, give me more suction.
Where's it coming from?
I can't tell yet. Turn the wall suction up to maximum
and get me a large-bore sucker now.
What is your name?
Amy Larsen.
- Where do you work? - Westside Hospital.
What is your occupation?
I'm an attending physician in internal medicine.
Where were you born?
Tampa.
- Where do you live now? - Minneapolis.
- Do you have children? - Katie and Danny.
How old are they?
Nine and seven.
And who is the president?
Ah, that's an easy one. FDR.
Is that your real answer?
Barack Obama.
- What year is it? - This is getting ridiculous.
What do you think is wrong with me?
("L.O.V.E "By Extreme Music)
(phone ringing)
You've reached Westside Hospital, Department of Pathology,
Autopsy Division. Please leave a message.
This is Dr. Larsen calling about the Dixon autopsy.
I don't see the results in my inbox yet.
Have Dr. Franco call me as soon as she gets in.
(exhales)
(curious music)
(indistinct chatter)
Okay, Sweetie. Hey, hey, listen, we can talk about this later.
I promise. Hold on, honey. Can I get a coffee regular.
And an iced coffee with oat milk.
Yes, honey. Okay. I love you, too.
Hey, hand the phone back over to Mommy.
Yeah, yeah, okay.
Sorry. Still sorting out the big Halloween costume debate with Mia.
And you settled on ...?
Anna and Elsa from "Frozen."
So you would be ...
I would be Anna, obviously.
I mean, I pushed hard for Olaf but she was not having it.
Well, she's 5, so it makes total sense that she's in charge.
And every-other-week Dad's gotta be cool Dad.
Besides, being annoying and strict comes natural to Rachel anyway.
And, sadly, to someone else we know.
Wait, tell me that coffee's not for her.
Nah, this coffee's not for Dr. Larsen.
Oh my God. You're such a kiss-ass.
Has anyone seen Dr. Miller yet?
He's gonna be late. Dr. Park is covering.
- Did he say why? - No.
And I didn't feel it was my place to interrogate him.
Morning, Boss.
Thank you.
We have a new patient, came in last night.
Sonya's having trouble with the diagnosis.
Would you like to tag along?
Love to.
- Good morning. - Whoa.
Bringing the whole team, huh?
Yeah. I'm Dr. Heller, this is Dr. Larsen,
she's Chief of Internal Medicine.
- Jimmy. My wife, Felicia. - It's great to meet you both.
Dr. Maitra, tell us about the patient.
Felicia Turner, 31, 22 weeks pregnant.
Presented with back and side pains, intermittent fever,
chills, frequent urination.
I am sure that this is a UTI.
I get them all the time. And it's worse with the pregnancy.
And I, usually, they just give me Keflex.
You went to medical school?
No?
So maybe let us figure it out.
Did you order labs?
Mm-hm. CBC, Chem 7, UA, blood and urine cultures.
White blood cells are a little high, but not alarmingly so.
Cultures are negative so far, and same with the UA.
Breathe.
Normally.
(coughs)
- Excuse me. - You didn't mention the cough.
Uh, I didn't think that it--
Mattered? Everything matters.
Some bedside manner you got there.
Shortness of breath?
- Yes. Some. - Fatigue?
A bit. But I am pregnant so...
Did you know you have a heart murmur?
- What? - It,
it could just be related to the pregnancy.
Most of the time these things are benign,
but it's something we'll check it out.
My baby's okay, right?
She seems fine, but we'll have OB stop by and make sure.
These are splinter hemorrhages. You didn't notice her fingernails?
- No, I-- - Okay.
Keep her on antibiotics.
Let's monitor the blood cultures and order a chest X-ray and a TTE.
(tense music)
Do you want a great doctor or do you want a warm and fuzzy one?
(phone ringing)
Richard. Two hours late?
Oh, a family situation.
Is there a problem?
I wanted to give you another chance to answer my question.
- About what? - About Bill Dixon.
Like I told you yesterday; after he coded,
I did multiple rounds of CPR, defibrillation and epi,
and then I gave him Amiodarone.
That's it.
I checked the crash cart before it was cleared.
A vial of Metoprolol was unsealed and looked a little light.
- If you accidentally mixed those up, you-- - You ...
This is low,
Amy. Even for you.
Let's not make this personal--
Right, except your behaviour is under review
so why not create a distraction
by taking on the guy who could replace you?
We have malpractice insurance for a reason
so why don't you just tell me the truth?
He was 83 years old.
He aspirated on lunch and, despite all measures,
he could not be resuscitated.
Well, I ordered an autopsy.
If you're lying, you're done here.
(indistinct chatter)
So I get there--
- Uh-huh. - Okay.
I'm all amped up.
She walks in and I swear to God,
I thought she sent her mother to fill in for her.
- (laughing) - Oh, come on--
I'm serious!
She was 20 years older than the picture in her profile.
Yeah, well, I told you to use Hinge.
Oh, incoming. Liz, go check 617.
Dr. Coleman. I was just in 628
and the patient can't tolerate POs--
Yes. Ray Porter. Severe gastritis.
And you told his daughter that he was gonna be fine.
I'm doing this 20 years, I don't know that.
- I was just trying to make her-- - We don't give false hope.
You're a physician, not a priest.
I'll take care of it.
Good.
Well, we've been married for two years
but we've known each other since high school.
- You're 31? - Hm-mm.
What took you so long?
You absolutely don't have to answer that.
I mean, wasn't 'cause I didn't ask.
I needed to be sure it would work.
Well, if we could know that, we wouldn't need prenups.
Wow. That's bleak.
It's also why he's single.
(giggle)
Oh, I am just so relieved that she's okay.
OB was very happy with her vitals.
And they'll keep monitoring her.
Thank you.
(eerie music)
Hon?
Hey, hey, hey, hey! Hey!
(monitor beeping) She's seizing!
We need help in here!
- What's going on? - It's okay, Felicia.
- Is she okay? - You're okay. We need oxygen!
- Felicia? - You're all right, you're all right.
Breathe for me.
Take a deep breath in.
Come on, Felicia.
Hi. It's Katie. Leave a message.
Hi. It's Mom. Remember me?
I've been texting you.
Maybe give me a call some time?
Before I'm in a nursing home?
So, Felicia Turner just had a seizure.
She's stable now, but she is freaked out,
and her husband's apoplectic.
Could it be eclampsia?
I don't think so, and we did a CT and an LP.
Both came back negative. Sent CSF for cultures.
- TTE show anything? - Nothing abnormal.
Lab said it should be about an hour
before they have an update on her blood cultures.
An hour?
("3 Nights "By Dominic Fike)
(panting)
The on-call room's looking pretty good right about now, isn't it?
- Are you complaining? - No. Absolutely not.
(lips smacking)
(phone dinging)
(exhales)
Lab just sent an update.
I thought you said an hour.
Felicia's cultures are still negative.
This isn't adding up.
We need a TEE.
She's not gonna like that.
I'll take the hit.
All right.
Guess we better go then.
Hey...
you know I love you, right?
You've picked an interesting...
time and place to tell me that.
Oh, well, no, you picked the place. I wanted the on-call room, remember?
(chuckles)
(gentle music)
I love you, too.
(rain pouring)
What's wrong with me?
I'm not sure yet.
I don't understand. How is that possible?
You've run every test there is on her.
I need a TEE to confirm my suspicions.
- I've had that one already! - No, you had a TTE.
A transthoracic echocardiogram. I need one that's transesophageal.
Since, um,
we've established that I did not go to medical school, do you think...
you could translate that for me?
A TTE shows us your heart through your chest.
Now we need to see it from a different angle
so we put a probe down your esophagus--
For God's sake, it's 2024!
Can't you diagnose her without torturing her?
Until we determine what is wrong with her and treat it,
her pain will get worse.
- I'm worried about our baby-- - Right now, your baby's fine.
- It's you who's sick-- - Still, this has got to affect her--
If we don't figure this out, you could be dead in a month.
What is your problem?
Why are you like this?
Well, as soon as I save your life, you never have to see me again.
I need Felicia Turner's TEE scheduled as soon as possible.
Cardiology fellow's gone home for the night
and my shift ended at 7:00. I'll do it tomorrow.
I just said, "As soon as possible."
Does that really mean tomorrow to you?
Tone.
I booked a court for Saturday.
- Your racket's fixed? - Yup.
And Wendy's going on a reiki retreat.
I'd rather have dysentery. Is that my sweater?
You were supposed to return that to me.
I decided it would be happier with me. I'm nicer than you are.
(indistinct muttering)
I asked you to come see me.
I've been busy treating patients.
Harshly and with condescension from what I hear.
- Come on, this again? - The complaints are adding up.
Gimme a break. Patients log onto Web MD,
and they think they can diagnose themselves.
Patient satisfaction surveys indicate something.
Well, not to me.
A staff member confirmed your patient's complaint.
Let me guess. Dr. Maitra?
I'm not gonna debate this with you.
I was brought in to change the culture here.
Which means arrogance
and indifferent bedside manner won't be tolerated.
Being a great physician isn't enough to protect you,
not anymore.
So, what are you gonna do? Fire me?
Go home and get some rest.
- I have a very sick patient. - It wasn't a suggestion.
You haven't had a day off in over 2 weeks.
You know, there are other qualified doctors.
Qualified. But not nearly as good.
Go home!
("Once In a Lifetime "By Talking Heads)
You may ask yourself, what is that beautiful house?
And you may ask yourself, where does that highway go to?
And you may ask yourself, am I right or am I wrong?
And you may say to yourself, my God, what have I done?
And the days go by-(phone dinging)
let the water hold you down,
"Letting the days go by" "Water flowing underground"
"Into the blue again" "Into the silent water"
(screaming) (crashing)
(glass shattering)
(machines whirring)
Dr. Patel, give me more suction.
- Where's it coming from? - I can't tell yet.
Turn the wall suction up to maximum and get me a large-bore sucker now.
I need it now!
I packed my bag--
and in it is a football,
a diamond bracelet, um,
Katie's BFF Michele,
a T-rex, BTS, and, um ...
(giggling)
Don't laugh at me, I'll get it.
When are you planning on doing that, exactly?
Hey, you can't help her, Danny!
Moo cow.
Mom, did you just cheat?
I would never... I would never do that!
- (laughing) - Yeah, you would!
(gentle music on radio)
(monitor slowly beeping)
She's been coming out of sedation.
Amy, can you hear me?
- It's Dr. Flint. - Hello, Sunshine.
How you feeling?
You remember that tequila night, second year of med school?
That bad?
Worse.
What happened?
You were in a bad car accident.
You needed surgery but it went well.
Wait, where's my family?
Are they okay?
They weren't with you.
(gasping)
They were with me.
You were alone.
It was night, it was raining--
No, that's not what happened, they were--
(breathing rapidly)
- She's hyperventilating. - They were--
Her BP's going up.
Nurse! Point five Midazolam.
We were coming back from the cabin--
Wait, the cabin?
Danny ... was ...
(breathing rapidly)
And who is the president?
Ah, that's an easy one. FDR.
Is that your real answer?
Barack Obama.
What year is it?
This is getting ridiculous.
What do you think is wrong with me?
(indistinct chatter)
(tense music)
(exhales)
(indistinct chatter)
How is she?
Um, just tell everyone we'll meet
in the department office in 30 minutes.
Gina! Gina!
(knocking on door)
Come in.
Hey, Richard, have a seat.
(exhales)
How is Amy doing?
We're still figuring that out.
Obviously, this is very complicated, but...
I've decided to name you Interim Chief.
Effective immediately.
I know we haven't worked together long,
but you're putting the department in very good hands.
I can promise you that.
Well, given your seniority and experience,
you were the logical choice.
Thank you for the opportunity.
It's a tragedy.
Not an opportunity.
I misspoke.
It's a difficult situation for everyone. I'm sorry.
Where is my family, Gina?
I wanna see 'em already.
Absolutely, I'll bring them in soon.
I just wanna talk you through what's going on with your brain.
- Okay. - Okay.
The accident caused a subdural hematoma.
They fixed that, but you've got bilateral frontal lobe injuries
and a fragment of skull lodged in your left hippocampus.
Still?
Dr. Flint feels it's too dangerous to remove.
And the damage is already done,
which is the reason you have partial retrograde amnesia.
Which is why I have no memories of the last 8 years of my life.
(exhales)
And the odds I get 'em back?
It's the brain. Nobody knows.
Can I see them now? Please?
(dramatic music)
(chuckles)
The gray looks handsome.
Babe, what's wrong?
Amy...
we're not together anymore.
- What?! - We got divorced 4 years ago.
Katie really wants to see you.
Oh.
Oh, you are so beautiful.
Wow. Come here. Gimme a hug.
(sniffling)
Where's your brother? Isn't he here?
Michael, what's going on?
We lost Danny.
Seven years ago.
No!
- It was his heart. - No! No.
I'm so sorry, Amy.
No! No! (sobbing)
No!
(sobbing and heavy breating)
As I'm sure you've heard, Dr. Larsen was in a car accident last night.
Fortunately, she is awake now and recovering from craniotomy.
However, she suffered a brain injury.
She has no recollection of the last 8 years.
(concerned whispering)
I don't, um ...
What exactly are you saying?
Uh, everything between mid-2016 and yesterday is gone.
And will any of it come back?
There's no way to know, but, uh, prior to 2016 is crystal clear.
And she will form new memories going forward.
Feels weird to ask this but who do we report to now?
Dr. Miller will take over as Interim Chief.
Since familiar surroundings can potentially help with recollection,
we've decided to have her recover on this floor.
But she has a lot to process, so it's best to just stay away
from her for a while.
Don't rush it.
I know this is hard.
Full recovery is a long shot,
but if anyone can defy the odds, it's Dr. Larsen.
Thank you all.
(indistinct chatter)
Most people in my shoes
would want to do everything they could to get their memories back,
but I lost my son and husband,
so maybe it's better that I forget.
You also saved hundreds of lives.
And you became Chief.
I never even wanted that.
Your goals changed after Danny.
What happened to him?
His arrhythmia was less benign than everyone thought.
He was on a school trip,
and his heart gave out.
And we couldn't handle the grief? Is that why we got a divorce?
That's a big part of it.
But Michael can give you more details.
We have a patient room ready for you.
You're done with the ICU.
Are you all right?
We were together. Amy and me.
What?
For how long?
Five months.
(exhales)
How could you not tell me?
She was Chief.
Couldn't tell anyone.
(dramatic music)
(indistinct chatter)
She looked at me like she used to, you know?
Before everything happened.
Yeah.
Me too.
I feel so guilty. I mean,
how am I supposed to tell her that I don't even live with her?
Honey, honey. One thing at a time.
Right now, your mom just needs our support as she heals.
Whatever issues you two have had,
you always loved her.
She knows that.
In her heart.
I heard that she thought they were still together.
Can you imagine?
Yeah, karma's a ***.
Oh my God, how can you even say that?
Yeah, even I think that was harsh.
Oh, please, it's not like you can stand the woman either.
You got me there. You know, come to think of it,
maybe now's the time to get my 3 grand back.
Wait, you lent Dr. Larsen money?
No. But she doesn't know that.
(laughing)
What the hell is wrong with you?
You think this is high school?
Word to the wise,
lowly intern doesn't get to school a fellow.
Well, I shouldn't have to.
(indistinct chatter)
(sad music)
(heavy inhale)
(monitor beeping)
Gotcha!
You didn't get me!
What? Yes, I did!
No! No, no! No!
- Got ya! - No!
- Dad! - Ah!
(laughing)
Got you! You're frozen!
- Ha, ha! - I'm gonna get you!
(playfully shouting)
I got you! I gotcha, I gotcha, I gotcha! Woo!
Again! Again!
I'm so dizzy!
- Oh! Okay, you wanna go get some caramels at the cabin? - Yeah!
- Chocolate, too? - Yes!
- What about me? - Oh, are you frozen?
Yes!
- Do you need help? - Please.
Just a tap. Just a touch.
- Can I unfreeze you with my lips? - Oh, even better.
(laughing)
(mock shivers)
(screams laughing)
Don't! Don't you dare! Don't you tickle me!
(sobbing)
(dramatic music)
Hi.
Hey, I'm still here.
How's she doing?
She's got a long road ahead.
It's so terrible.
They made me Chief, Vicky.
Oh my God!
- Yeah. - When?
This morning.
And you're just telling me now?
Sorry, I got caught up.
I know it must feel weird getting it this way,
but you deserve it.
I'm so proud of you, sweetheart.
(sobbing)
Hey.
(gasping)
(gentle music)
Let's get you back into bed. 'Kay?
Can I get you anything?
No. Thank you.
I was reading that anesthesia's no good for the baby--
It's not ideal but we went over the risks and benefits,
and Felicia agreed to this test.
Yeah, 'cause your boss scared the crap out of her.
Jimmy, this is what we need to do.
And Dr. Larsen is the best.
Someone will come and get you when we're done, okay?
Felicia, can you hear me?
Dr. Douglas is gonna put the tube down your throat now. Okay.
(murmurs indistinctly) Okay...
Okay.
(murmurs indistinctly)
It's okay. Won't be much longer.
'Kay, I'm not seeing anything.
And her BP is dropping. Maybe we should pause--
No, we need to keep going.
- Still doing Larsen's bidding. Wow. - Hey! Just do it!
(muffled gasping)
Heart rate's increasing!
It's okay, it's okay.
You can let go. You can let go, Felicia.
Dammit, she's in v-fib! I told you we should stop!
(monitor beeping)
Felicia. Listen to me. We need you to hold on.
Come on, Sonya, the paddles!
Clear!
(defibrillator thumps)
'Kay, again! (defibrillator thumps)
(tense music)
There we go.
(monitor lightly beeping)
She's back.
Hey.
Well done.
I'll call OB to check out the baby.
(indistinct chatter)
Hey.
I heard you were up and about this morning.
- Guess you're feeling better? - Don't tell me that's for me.
The nurses kind of insisted.
Said you wouldn't let anyone help you?
I let them give me a couple of coins.
Apparently, there's something called Apple Pay now,
but unfortunately I lost my phone in my Nascar moment.
Well, I do think you should be resting.
So now you care?
Of course I do.
Really?
Because it seems like you've just moved on.
No. Just, um...
forward. You did, too.
I moved "forward"?
You threw yourself into work.
But, so, I became a workaholic,
and I wasn't around? Is that it?
It's not as simple as that.
Whatever it is that I did, it was all wrong.
I mean, I lost you,
didn't I?
Amy,
- I can't do this here. - What happened?
Come on. I need to know.
You built up walls.
You shut everyone out.
And that's why you left me?
I didn't leave.
You did.
Excuse me, Dr. Hamda.
We're having an issue with one of the patients.
(indistinct complaining)
I'm sorry. Uh, I have to go.
Please take Dr. Larsen back to her room.
(gentle music)
So she coded?
Yeah, but she's stable, and OB's here, the baby's fine.
- But the TEE caused the code? - Yes, it did.
Is it true the patient didn't want it?
That Dr. Larsen insisted, and then you convinced the husband?
Without this test, we couldn't completely rule out endocarditis.
What did the test show?
Nothing obvious,
then she went into cardiac arrest so we didn't finish.
So we put her through that for nothing.
Okay, the Chief of Internal Medicine
made a call, what do you want us to do?
Let patients start dictating their own care?
You said Dr. Larsen was particularly harsh with this patient?
She does what she does.
This patient just had the nerve to say something about it.
What, what, what's going on here?
You building some kinda case against her?
(door opening)
My attending reviewed the TEE images on the big screen.
I didn't catch it earlier,
but he found a mitral valve ring abscess.
There you go. Dr. Larsen was right.
It's infective endocarditis.
And it requires surgery, but now the patient's refusing.
- I'll go talk to her. - Thank you, Dr. Miller.
I think I better handle this one. Dr. Douglas, come with me.
I'm sorry her behaviour put you in that position.
Obviously,
you won't have to deal with that anymore.
(indistinct chatter)
(tense music)
How's it going in there?
Too soon to tell,
but it's a good thing you listened to Amy...
Dr. Larsen.
I know what happened must be really hard on you.
I'm sorry.
She trained you the last 4 years.
I'm sure it's not easy on you either.
(gentle music)
(monitor beeping)
TJ? What are you doing here?
Wait, are you a doctor?
I'm an intern.
You helped me match here.
This is the only part of this "Twilight Zone"
that I'm enjoying.
Oh, wait, I hope I wasn't too hard on you.
No.
Liar.
Anyway,
I got a few days off coming up,
but I wanted to make sure I saw you before you went home.
I'm glad.
It's so nice to see a familiar face.
You know, you're the reason.
You're the reason I became a doctor.
I hope you come back.
(Gina clears throat)
Michael said that I...
I put up walls.
That I just threw myself into work.
I guess I must have if I became Chief.
Some ways of coping you don't need to do again.
Hm.
What happened to you and the family was beyond tragic.
And having to grieve all over again, it's unimaginable.
But the accident has given you something the rest of us never get.
What's that?
A chance to do things differently.
("Another Love "By Tom Odell)
I didn't know you were on call.
And still you found me.
I was asked questions, and I answered them honestly.
Yeah, that's one way to look at it.
Peter was right.
Your allegiance to her was colouring your judgment.
Wow.
Body's not even cold yet, Sonya.
Dr. Larsen?
Hi.
What happened?
Uh, car accident.
- Oh man, that's awful. - I'm so sorry.
Thanks.
Actually, we should thank you.
Why?
Well, you saved my life.
Our lives.
Dr. Heller said you were the best.
We never should have doubted you.
Well, I'm just glad you're feeling better.
Okay, let's get you back to bed, Sweetie.
- Take care. - Thanks.
(phone ringing)
This is Dr. Hamda.
Um, hi. I...
I wasn't sure if this was still your number.
Yeah, haven't changed it.
I hope I'm not bothering you.
No.
- Um ... - Amy,
whatever it is, I'm here for you.
Are you?
Even at our worst, I was always your friend.
It's just, uh...
I don't know what I did or who I am now,
but
I've wanted to be a doctor my entire life,
and I don't think I can give that up.
Not now when I've lost almost everything.
And I know that people will fight you on it, but...
will you help me do that, Michael?
I can try.
'Cause I think I'm really gonna need it.
I don't think I'm going to get through this without that.
I know, Amy.
I promise.
We'll try.
Okay.
I'll see you tomorrow, I guess.
Try to get some rest.
(sad music)
We're getting hungry.
Five minutes.