Previously on Doc...
I wanted to give you another chance
- to answer my question. - About what?
- Bill Dixon. - He aspirated on lunch
and he could not be resuscitated.
If you're lying, you're done here.
Dr. Larsen has no recollection of the last eight years.
Are you married? I hope she appreciates what she has.
Maybe all that matters is how you feel about him now.
Promise me you will get counselling.
I will. And I'm gonna take some time off.
TJ? What are you doing here?
You know you're the reason.
You're the reason I became a doctor.
- Hi, what can I get for you? - (girl giggling)
I want snack!
Oh, shh. Could we possibly get seconds on pretzels?
Somebody's already eaten everything I packed.
I'll be right back.
I want Daddy.
Remember I told you that he had to go on the plane a day early?
But he's gonna be there when we land.
But right now, I think your brother wants to play.
- You wanna listen? - Yeah.
Okay.
Here. I'll listen too.
- We'll listen together. Here. - Like this.
Yeah, put it here. Put it here. What's he doing?
What's he saying, Katy did?
- (overlapping chatter) - Oh my God!
- He can't breathe! - Is there a doctor on board?
- (overlapping chatter) - Could you...
- watch her for a second? - Yes.
Mama's gonna be right back, okay?
- We need a doctor! - It's okay, I'm a doctor.
Let's give him some space.
Hey, I'm gonna need the emergency kit now.
- Yeah. - Okay. Okay, it's okay.
I'm gonna have a listen.
(gasping)
Okay. Your left lung has collapsed.
But I can fix that. I need scissors.
Okay. I'm gonna need alcohol wipes, gloves,
a syringe, and the largest IV catheter you have.
Yes.
(gasping)
Here we go. Okay, listen.
This is gonna pinch a little bit
but it's gonna work, I promise. Here we go.
(groaning)
Okay. Here we go, here we go, here we go.
Breathe, just breathe.
- (breathes deeply) - Okay...
Relax.
Let's start over.
I'm Doctor Amy, what's your name?
Uh, Theo, but my friends call me TJ.
All right, as most of you have no doubt heard,
the incomparable Amy Larsen
has once again passed her Boards.
(cheering, applause)
Congratulations.
On being the oldest intern of all time?
As of today, Dr. Larsen's full privileges are restored.
Which means she can see patients on her own,
prescribe meds, perform procedures unassisted.
- I can even walk and chew gum by myself. - (laughter)
When does she get her office back?
(chuckles weakly)
What are you even doing here? This isn't your department.
I heard there'd be cake. No cake, but
we do have a little something...
(cheering, applause)
Well done, Dr. Larsen.
Couldn't have done it without you.
I mean, without all of you, really.
Thank you all for your patience and your support.
Yeah, especially those who had to be coerced.
(chuckling)
Uh, yeah, and when I make Attending, there'll be cake.
Meanwhile, don't all of you have work to do?
Thank you.
- How do I look? - Incredible.
Next time, maybe that's all you'll wear?
(laughs)
- Hey! - Hey, TJ!
- Look who's back in uniform. - I'll catch you later.
Okay. Where's yours?
I'm off today. Or I was.
- Oh! - But, actually,
can you come with me?
There's a patient who wants to see you.
Hm!
(gasps) No way! Mr. Coleman!
Hey! It's so good to see you.
- So good to see you too. - How long's it been?
Too long. And you know you're supposed to call me Randy.
"Mr. Coleman" makes me feel old.
Well, if it makes you feel any better, you look exactly
the way that I remember.
And that is saying something these days.
Heard about your accident.
Theresa and I have been praying for you.
Well, somebody must've been listening,
because I'm actually doing okay. So, how can I repay the favor?
Uh, you can start by telling this son of mine
- he's overreacting. - Oh, here we go.
He fell on the job, hurt his knee.
- Mm. - Yeah, don't sell me short,
son, some punk snatched a purse on the Metro.
Luckily, Officer Coleman here
- still got some wheels. - Okay, Pops.
More like a flat tire.
(laugh)
I just wanna make sure the knee's not something to worry about.
He claims he has no pain,
but I noticed some gait instability. Possible weakness.
Randy, will you walk across the room for me?
(soft music)
It's good to have you back.
So, you're okay?
Well, I'm a little bummed the hospital didn't fall apart
without me, but I'll get over it.
That's not what I meant.
Yeah, I know what you meant.
Anything I can do?
Yeah. Don't treat me differently.
Okay. Well, in that case, quit standing around.
- Get back to work. - (chuckles)
Okay, Nikki. Can you just gimme a deep breath?
Again.
(coughs)
Okay, diminished right-side breath sounds,
worse at the base. How long have you had the cough?
- About three weeks. - And the chest pain?
I dunno, a couple of days?
Look, Lyla has to be at school or she'll miss breakfast,
and I'll miss my shift, so... It's probably bronchitis, right?
Can't you just write me a prescription or something?
Not before we know what to treat,
and with your symptoms, you're gonna need a chest CT,
EKG, bloodwork. Great.
How long's that gonna take? Mommy, I'm hungry.
I know, sweetie. I'm working on it, okay?
Um, look, just forget it. We shouldn't have come.
We can't discharge you with vitals like these.
Is there someone you can call to take care of your daughter?
Well, if there was, then she wouldn't be here now, would she?
- (coughing) - Okay, let's do this.
Nikki, you're gonna stay here while we run some tests.
And, Lyla, you wanna come with me down to the cafeteria?
My daughter Mia says that they make a mean French toast.
Why is it so mean?
Well, that's just code for delicious.
You can get whipped cream, strawberries, chocolate chips...
Can I, Mommy? Please?
Fine.
It wasn't real cheese.
- Somebody needs to give you the recipe - Okay.
- It wasn't real cheese. - MRI is clean.
No evidence of ligamentous injury or fracture,
- or any trauma. - See? I'm fine.
But there is a small collection of fluid
in the joint, and I would like to drain it just to be safe
and send it for additional labs. What do you think?
We're here, might as well run one more test.
(tense music)
Pop, what is it?
I can't feel that.
No.
- Do you feel this? - No.
What about this?
Nothing.
Okay, you push your toes against my hand.
I can't move my legs.
Well, that was pretty scary, huh?
Why is this happening to me? I don't know yet.
Did you hurt yourself in Hawaii? Any falls?
Were you feeling sick today?
A little nauseous, maybe?
Kinda sore, all over? But like, mainly my legs.
- Oh. - Knees and ankles.
- (gasps) - Oh! Sorry, TJ.
(TJ moans)
Is there any chance that you have been scuba diving
in the last 24 hours?
I just wanted one last dive.
I only visit my grandparents once a year.
Okay. I think you have decompression sickness.
The bends.
It happens when you ascend too quickly after diving
and you get small nitrogen bubbles in your bloodstream.
And you're not supposed to fly.
I thought I did everything right.
It's okay. It's nothing we can't handle.
He needs a hyperbaric oxygen chamber as soon as possible.
We're in the middle of the Pacific Ocean.
Closest airport is LA, and even that is three hours out.
Two and a half, if we burn fuel.
Do it. Were you able to reach his parents?
Air Traffic Control was able to patch his father in.
I know it's frightening.
Try not to panic. There are plenty of reasons
for weakness and loss of sensation in the legs.
It could be a lumbar disc issue or peripheral neuropathy.
It could be an autoimmune attack.
He had a cold, what, a month ago?
That sounds right. But why does it matter?
Okay, well, in that case, it's probably Guillain-Barre.
It's an autoimmune disease that's often triggered by a GI
or a respiratory infection. Is it treatable?
- Mm-hmm. - With plasmapheresis
and intravenous immunoglobulin, most patients make
a complete recovery. A spinal tap to confirm.
And I'll also schedule a lumbar MRI, just to be safe.
Okay. (sighs)
- (machines beeping) - Almost done, Nikki.
Is Lyla behaving herself out there?
It's all good. She's doing great.
- Dr. Jake? - Mm-hmm?
Why do you have crayons? Well, sometimes, if I'm lucky,
my daughter comes to visit me here at work.
I go to Mom's work sometimes,
but her boss never has any crayons.
What are you drawing? It's you guys, fixing Mommy.
You are gonna fix her, right?
Pinky promise.
Oh, hey, Chief, you got a sec?
Sure, what's going on?
Dr. Larsen had asked me to look into an old patient,
Bill Dixon? (tense music)
What? She remembers him?
Uh, no, but apparently she found something vague
in her email and she was asking about it.
Uh, so what's the problem?
Well, his patient record said he died in our care,
but when I tried to access the autopsy, it was restricted.
Hmm. I don't know why.
I'm happy to look into it and I'll circle back
with Dr. Larsen. Now, if you'll excuse me,
I'm actually late for a meeting.
You said you had your bases covered.
And I thought that I did.
But now Amy's asking questions.
And Amy's questions are becoming Julie's questions.
All right, don't spiral! So, people are digging. So what?
What exactly are they gonna find?
That wasn't rhetorical, Richard.
What's your exposure? Is there a paper trail?
No, I don't think so.
(sighs) Okay, I'm gonna say this
with love 'cause my fee buys a certain bedside manner,
but you don't inspire confidence.
Well, your fee better buy a whole lot more than that.
We need to start preparing a defense in case this goes to trial.
My negligence killed a man,
and then I lied about it. How do you defend that?
Well, is there an alternate theory for what happened?
Okay, so, my dad's losing feeling in his abdomen,
which has him freaked.
But I assured him that ascending paralysis just further confirms
the Guillain-Barre theory. (computer chimes)
The lab sent through the results from the lumbar puncture.
What's wrong? It's negative for GB.
S-So it's a false negative.
Early onset may not yield elevated protein levels
or other diagnostic CSF findings.
Maybe. But I think we need to consider
the possibility that it is something else.
Something worse, you mean?
We need a cervical and a thoracic MRI.
And, if I were you, I'd get your mother to the hospital.
So, we got your chest scans back,
they show a collection of fluid on your right side
and multiple lung nodules.
Nodules? You mean, like, like cancer?
They could just as easily be benign growths,
or it could be an infection. We won't know for sure
until we biopsy. But we'll schedule the procedure
for first thing in the morning and go from there.
(knocking) Ms. Wilson? Hi.
My name is Linda. I'm a social worker
here at Westside and the hospital liaison
to the Department of Child and Family Services.
Wait, what's going on here?
I think there's been a mistake.
- We didn't place a consult. - No,
but a nurse in the clinic did.
This patient is the sole caregiver to a minor.
Ms. Wilson, if you're staying overnight,
we need to find a temporary placement for your daughter.
Oh no. Like hell you do. You're not taking my kid.
(coughing) Not again.
What are my rights here? Because if this is my only option,
then I will check myself out.
You'd be doing that against medical advice.
- Does it look like I care?! - Whoa, whoa! Let's just take
a beat here. Maybe we can figure something out.
I'm afraid there is nothing to figure out.
It's hospital policy. I mean it, Dr. Heller.
I will leave right now unless you tell me there is another way.
I know that this exposes the hospital
to a certain amount of liability, but we have--
This isn't about liability, this is about the safety of the child.
I mean, where do you plan to put her?
Every bed is taken.
There's a couch in her mom's room.
No, there will be staff in and out all night,
not to mention it's not fair to Nikki's roommate.
Okay. The on-call room, then.
It's private, it's quiet, Dr. Maitra and I,
we can take shifts watching her.
As well-meaning as that is,
Dr. Heller and Dr. Maitra should be focused
on their patient, not her daughter.
Look, all due respect, you do not know this family.
Nikki has a history with DCFS.
During COVID, she lost her job, then she lost her apartment.
They were living in her car. When DCFS got involved,
it took 18 months before Lyla could come home.
That's awful.
But our primary responsibility has to be Nikki's care.
Okay, if you try to separate them right now,
Nikki will leave. And she is too sick.
God only knows what will happen to her, or Lyla,
if they walk out so, tell me,
how is that in the best interests of this child?
The on-call room is not a long-term solution.
- If Nikki has lung cancer-- - That is tomorrow's problem.
Just give me some time to figure this out.
(soft music)
You have 24 hours.
I'm right here, Dad. Not going anywhere.
Thought after all the years of Confined Spaces Training,
this'd be a cakewalk.
I know. But hey,
one sequence down, only about ten more to go.
Have we got an image yet?
(machine beeping) Loading as we speak.
(tense music)
You see that, right?
I do.
Th-That's cancer.
No, right now that is just a lesion.
We don't know more than that without a CT scan or a biopsy.
I know what I'm looking at.
(sighs)
Okay.
So we call in the specialists.
We get Dr. Flint, Dr. Reza, Dr. Walker...
We get them all back to the hospital.
First, we've gotta talk to your parents.
I need a minute.
(knocking)
Hi, Chief. You wanted to see me before I left?
I did, yeah. Come on in. Have a seat.
(ominous music)
- Leave her alone! - Lyla. Lyla. - Mom!
Lyla. Honey, honey.
Lyla, wake up. Wake up.
Hey.
You're okay. It was just a bad dream.
You wanna talk about it?
I want my mommy.
Keep it down, would you?
(scoffs)
Okay, come on.
Let's go.
So sorry to wake you. She had a nightmare.
It's okay. It happens when she's not in her bed.
- It started when they took her. - Yeah. I can imagine.
- Okay, you want a lullaby? - Yeah.
"You are my sunshine"
"My only"
(coughing)
(machines beeping rapidly)
- Need some help in here! - Mommy?
Lyla! Lyla! Lyla. Come with me. Come with me!
- No, no! - Lyla! Lyla! Come, come!
Listen to me! I need you to wait outside,
so I can help your mommy, okay? Can you do that for me? Go!
(coughing)
What happened? I saw her O2 plummet
on the telemetry monitor.
Right-side chest is completely filled with fluid.
Likely acute blood. She's suffocating.
Okay, let's get her on her side.
(machines beeping rapidly)
Okay, no pulse. Let's start CPR!
Code blue! Get some suction.
Okay, I can't see to intubate. There's too much blood.
Bag her, get an airway if you can. I'll get CT surgery.
This is Dr. Heller, I need an emergency thoracoscopy.
- Room 619. - Mommy!
Go, we've got this!
Okay, just get someone here now!
- Mommy? - Lyla, don't look. Come here,
come here, come here. Hey, hey, hey, hey, hey.
Hey, hey, it's okay.
It's gonna be okay.
We need to stop the vomiting. But he is maxed on IV Zofran,
and his blood pressure's high, which puts him at risk
of a brain bleed.
What can we do?
I could place a nasogastric tube to decompress his stomach.
Can you get any more of that oxygen tubing?
Sure, but that sounds painful.
I don't suppose there's a morphine drip
- in that medical kit? - No, but there are
187 passengers on this flight.
Next best thing to a pharmacy.
- Go. - Yeah.
Get everything you can, but see if you get pain patches.
Okay.
Pain on a scale of 1 to 10?
Seven?
Liar.
Look, this patch will help soon,
but in the meantime, I need to put a tube
up your nose and down your throat
to try to help the vomiting.
Okay, I'm gonna numb you as best I can,
and I'll be quick. Do you trust me?
Okay.
Open your mouth wide. Ah. Say, "Ah."
Ah...
Okay. Good. Okay.
- Hold his hand? - Yeah.
(clears throat)
Okay. Hey, look at me. On the count of one, two, three.
I know it's painful to hear,
but it's our best course of action.
The patient has a C1 intramedullary lesion.
I'd do an occipital craniectomy and C1-2 laminectomy,
open dura, and perform a midline myelotomy,
going through the spinal cord to access the lesion.
You'll numb him from the neck down
for the rest of his life.
Yes, but he will regain the ability to move.
That's not nothing.
And cutting through the cord is the only way to biopsy
and resect the lesion. I know it's less than ideal.
Less than ideal? I'd say we're pretty well past
- less than ideal. - I'm not happy about it either.
But I think this is glioblastoma.
If you wait on surgery, the tumor could grow,
become inoperable, or the cancer could spread,
and these are the good scenarios.
If the edema reaches his brainstem--
He'll die, I know.
What if it's Primary Spinal Cord Lymphoma?
Patient doesn't fit the profile,
- he's not immunocompromised. - Which would make this unusual
but not impossible.
Think about it. Rapid onset, cervical location,
homogenous enhancement. If I am right,
chemo and corticosteroids can dissolve the tumor
without surgery. We could see initial effects within a day.
And if you're wrong, that time could cost him everything.
If paralysis isn't reversed within the first 24 hours,
it's often permanent. You don't know when we cross
the point of no return, Amy.
No. But that choice should be his.
What choice? There's only one safe option.
And I'm the neurosurgeon here who saved your life, by the way!
Don't call me in at the crack of dawn
if you're not gonna take my advice!
- I'm just asking questions. - No, you're hearing hoof beats
and thinking zebras. And you sound like an intern!
Okay, okay. That is unnecessary.
We're all professionals here, with differing opinions.
TJ, what do you think?
Your heart's in the right place.
But there are fewer than 15 cases of PSCL per year
in the entire country.
And we don't give false hope.
You taught me that.
Okay.
Okay. I will get the paperwork.
I need an operative consent form for Randy Coleman,
- uh, Room 617. - Okay.
- Here. You need to eat. - No, I'm not hungry.
I know. But you've been up all night.
Just eat.
I take it your consult didn't go well? (Amy scoffs)
I've been here all of a day and I am already well
on my way to alienating every doctor here.
Not every doctor.
How'd your babysitting gig go?
Oh. Mom's in surgery,
but I might have to keep my day job.
Dr. Larsen.
Did the chief talk to you about Dixon?
No, was he supposed to?
Well, I looked into it, like you asked,
and Bill Dixon was a patient who died.
Whose patient? Dr. Miller's.
So, what happened, how did he die?
Well, that's just it. I tried to access
the autopsy report, and it was restricted.
Hm. Thank you. Um, lawsuit, maybe?
No idea. But he said he'd circle back with you.
Okay. I'll talk to him today. Thanks, Julie.
Mm-hmm.
You know, I knew that name sounded familiar.
- Dixon? - Yeah.
I mean, it might be nothing, but ...
a while ago, Richard and I were treating a patient
when a nurse interrupted to say the Dixon autopsy was ready.
And I didn't think much of it at the time,
but why the urgency?
I mean, most autopsy reports
just come in an EHR alert, right?
So, what did he think he was gonna find?
Ah, Dr. Franco!
Dr. Larsen, what brings you into my neck of the woods?
Please tell me those aren't your exam gloves.
Not anymore. Kidding. (chuckles)
I just don't like the cheese dust. What's up?
I wanted to ask you about a patient autopsy
- from a while ago. - Um ...
- Something wrong? - Dr. Miller sent me an email
awhile back instructing me
not to discuss patient results with you without his approval
- What? - Well, until you were back
on staff, you know? Um,
but as of yesterday, I guess it's kosher.
- Congrats, by the way. - Thanks.
Um, what autopsy are you interested in?
Bill Dixon.
Oh, that guy.
Pretty popular for an 83-year-old
who choked on a ham sandwich.
Dr. Miller asked about him, too, a few months ago.
Said the family requested the autopsy.
Why? Was there some reason
to suggest that something went wrong?
Ah, some people are just in denial
when the end comes, you know?
Huh. Okay, well, did you find something?
Uh, not really. I mean,
I was surprised to find Metoprolol in his system
since it wasn't on his administered meds.
But Dr. Miller said it was a mistake,
he just had to update the chart.
He changed the medical record after Dixon's death?
I know, I know. It's against protocol,
but, you know, people are moving fast,
making life-or-death decisions.
Detailed and accurate charting can be an after thought.
Finally got her back to sleep.
She won't stop asking about her mom,
and she refuses to leave her room.
Any idea when Nikki's out of surgery?
Not for a few hours. But we've got another problem.
- What's wrong? - Our time's up.
- DCFS is here. - Oh my God.
All told, the procedure should last five hours.
I won't lie, it's a long road to recovery.
But if you commit to PT, OT,
and inpatient rehab, we'll get you back on your feet.
I don't understand.
The only way to prevent permanent paralysis
is to numb him for the rest of his life?
That's not a choice.
With the numbness, he'll still have movement.
It's like when your leg falls asleep.
If you're looking at your foot, you can still move it.
You can relearn how to walk.
This doesn't have to stop you from living your life.
How can this be happening?
I was absolutely fine yesterday morning.
Pop, we will figure this out.
Whatever we need to do, it'll be hard,
- but we're gonna figure it-- - I don't need a pep talk, son.
I need another answer.
One that doesn't turn my wife into my nurse.
- Randy, no. - No, I won't ask that of you.
Isn't there any other way?
Actually, there is another possible diagnosis.
(tense music)
So. How am I?
As good as I look?
(chuckles)
Well, I've given you all of the fluids and meds
that I can, and, yeah.
Your organs are still not getting enough oxygen.
- And that's why I'm so tired? - Mm-hmm.
But it just means we have to work a little harder
to keep you alert.
Here, you wanna tell me about this book you're reading?
Oh... Or is that gonna put you to sleep?
- You don't like Homer? - Uh, Simpson, yes.
But Greek poet, not so much.
I want to have adventures like those someday.
That's why I'm gonna do like my parents did.
Join the Army, then become a cop.
So you are smart and brave.
I guess that shouldn't surprise me,
seeing how well you've handled all this.
I hope this little guy grows up to be half the young man
that you are.
Hey, if I don't make it,
can you please just tell my parents--
No, no, no. Hey, none of that.
We are landing in 45 minutes.
There's an ambulance there to take you to the nearest hospital,
and your parents are on their way.
All you have to do is hold on.
That's easier said than done.
Here.
I want you to listen to something.
You hear that?
(heartbeat thumping)
You are not going anywhere.
I'm just asking you to reconsider.
My mind's made up, son.
Dr. Flint is the best neurosurgeon in the state.
And if this is a GBM, the surgery is your only shot.
Shot at what?!
I don't want the life he's offering.
For me or your mother. Dad, I know you're scared.
No, you don't know jack about how I feel.
Fine. But I do know medicine.
Look, my whole life,
you've been the one who knew better.
I came to you for advice, or I didn't,
and I found out the hard way.
But this time, Dad, I know better.
So, please, Dad, please, listen to me.
Son, I love you.
But it's my life,
and I'm gonna live it on my terms.
And you're okay with this?
You're alive because of Dr. Larsen.
We gotta trust her now.
Mr. Coleman, you ready for your first round of treatment?
Please.
Ready as I'll ever be.
TJ won't talk to me. But it's only been a few hours of treatment.
I wouldn't expect to see any improvements yet.
Not exactly the triumphant return you were hoping for.
He's just too close to it.
There are good reasons to think that this could be lymphoma.
And, more importantly, it is what Randy wants.
What he wants or what you want?
What's that supposed to mean?
You know what it's like to lose everything.
And you'd jump at any chance,
however small, to get it back.
Are you sure that's not what this is about?
I empathize with the man, sure,
but, no, that is not what this decision is based on.
(exhales)
I have to trust my gut, Gina.
It's the only piece of me I have left.
(dramatic music)
(indistinct chatter)
Hey, welcome back.
What happened? You had acute,
severe bleeding from thoracic endometriosis lesions
in and around your lung.
That means you had uterine tissue where it shouldn't be.
The good news is, it wasn't cancer.
But the surgeons did need to remove a portion
of your right lower lobe, so you'll be here for--
Where's Lyla?
DCFS picked her up this morning.
- No. - After what happened last night,
we had no choice.
It will just be while you recover.
It won't!
Lyla fell off the monkey bars a few months ago,
she broke her arm. And between the hospital visits
and the cast, I-I couldn't pay my bills.
And they turned off my electricity,
and I'm skipping meals so that I can pay it
at the end of the month! But if DCFS goes to my place
and gets Lyla's things and sees
that my electricity doesn't work,
then they will take her from me again!
There must be something we can do.
There's not. There's nothing you can do,
so please, just leave me alone.
I said please, just leave! Go!
(breathing unsteadily)
Okay, here you go.
- Great. - Night.
Hey.
You headed home?
Yeah. I am, but did you need something?
I talked over Mr. Coleman's care with the night nurse, she's on it.
But I wanted to talk about Bill Dixon.
You were there three months ago when he coded, right?
Uh, yeah, I was.
Tough night. He was a nice guy. Funny.
I have to ask you, was there something
unusual about the code?
Um, not really.
I-I mean, it was chaotic, they always are.
We did CPR, pushed epi every three to five minutes.
When shocking didn't work, Dr. Miller pushed Amiodarone--
You mean you pushed it, at his direction, right?
No, I wasn't working fast enough,
so he had to step in.
So, you're saying Dr. Miller
reached into the cart himself to--
Don't, Dr. Larsen.
Look, this is your second day back.
Do you really want to go down this road?
Even if there was a mistake made,
there's nothing to be done about it now. He's gone.
Good night, Dr. Larsen.
I don't think we could ever repay you for what you did today.
I was just in the right place at the right time.
Nah, you should've seen her up there. She was Super woman.
I want Daddy. I wanna go home. I want Daddy.
I know, Katy did, we're gonna go.
(grunts)
(giggles)
Okay. TJ.
Thank you.
We won't forget this, Doctor.
Thank you.
Uh, wait! Isn't this yours?
You know what? You keep it.
I got my hands full.
And you were pretty good with it up there.
Thanks, Doc.
(soft music)
I know you're upset about the course of treatment
that I recommended.
He's now lost all arm movement and sensation.
Breathing's labored too. We're gonna have to intubate him
if he gets any worse.
You know,
you haven't changed as much as people think.
You've always been a maverick. Unafraid to take chances.
I used to like that about you.
But now I'm starting to think you just wanna play the hero.
You came to me, TJ.
(Into Dust by Mazzy Star plays)
How're you feeling? You look better.
Still giving us the silent treatment, I see?
Well, hopefully you can muster up a little more enthusiasm
- for your next visitor. - Mommy! Mommy!
Oh hey, hey! Your Mommy's still recovering.
But we got her all fixed up, just like we promised.
Are you okay, sweetheart?
- They have Magma Tiles! - Mm.
We've found a placement for Lyla, just for a few days.
- And that's it? - Yeah.
I know you've had some hard years, Ms. Wilson,
but you've done a tremendous job getting back on your feet.
We'll have Lyla back home as soon as you're discharged.
I appreciate that.
I'll be outside.
What just happened?
Somebody must've paid your electric bill before DCFS swung by.
It's possible I owe you an apology.
Just take care of yourself, okay?
Lyla.
"'Till you eyes shed"
"Into dust"
"Like two strangers..."
(knocking)
Can I come in?
Sure.
I just...
I wanted to thank you
for helping out with Lyla and Nikki.
I know it got dicey there for a minute,
but it all worked out.
Yeah, well...
I'm not always the bad guy.
And now I know that.
I'll leave you to it.
Hey, um, just for the record,
all I ever wanted was for Amy to be happy.
And I guess she could do worse.
"I could possibly be fading..."
There you are.
I feel like I haven't seen you all day.
(exhales deeply)
Any word on Mr. Coleman?
When I know, you'll know.
Hey.
You okay?
Not really. But thanks for asking.
You wanna come over to my place,
see if I can't turn your day around?
Sounds nice.
But I can't leave yet. I'm waiting to talk to Richard.
Okay.
Well, good luck then.
"It was you"
"Breathless and tall"
You done for the day?
I am.
You want to walk with me?
I know what happened to Dixon.
We all do. It's right there in his medical record.
A record you had restricted for some reason.
(sighs)
I'll tell you what happened.
He aspirated. You called the code,
and then you mistakenly picked up Metoprolol
instead of Amiodarone. And if you inject Metoprolol
into a patient who's already coding--
I would stop right there if I were you.
I figured it out, didn't I?
Before the accident, and that is why you were so keen
to get rid of me.
(sighs)
Answer the question, Richard.
I didn't kill Bill Dixon, you did!
What are you talking about?
You gave him that Metoprolol, Amy.
(sighs)
A few weeks before Dixon died,
I was treating him for complications
from pneumonia. He had mild pulmonary edema,
his BP was high.
I wanted to treat with diuretics.
You didn't feel like that was enough,
you felt like beta blockers were called for.
We argued. Ultimately,
you wrote him a script for Metoprolol without my knowledge,
and you failed to put it in his chart.
Why would I do that?
Because that's what you were like as chief!
Micromanaging, marching around here
like you and you alone could do the job.
And you were spread so thin that you made mistakes.
I haven't been covering my ass, Amy.
I've been covering yours.
(scoffs) I don't believe you.
Ask Liz.
She was there when you wrote the prescription.
You never understood
why I didn't want you coming back. But then...
then you were different.
Your better self.
Please, for both of our sakes,
just forget about all of this.
Okay? It would be best for everyone.
(Oh No by Biig Piig plays)
"Oh no, I did it again"
"I tell the world I'm fine, never near the edge"
"And now I'm falling"
"Too late to tell the truth"
"Oh no, I did it again"
"I heard them all too loud, voices in my head..."
(sobbing)
(elevator dings)
"'Cause I'm caving out"
"And I just sit back..."
Hey, what's wrong?
Come here. Come here.
(sobbing)
I, I...
It's okay.
What happened? What is it?
I...
Hey, you're okay. I'm here.
It's okay.
"So I'm safe and sound"
"While I'm in this room Slipping and thinking of you"
(gentle music)