A Gifted Man (2011–2012): Season 1, Episode 16 - In Case of Heart Failure - full transcript

Michael learns that a patient at the clinic has a special connection to Anna. (Frances Fisher guest stars)

Look at you!

Autumn. I knew
you'd come around.

Not you. Him.

Come on, this guy makes more

in an hour than I do all week.
Now he's gonna out-dress me?

Not my choice. Awards ceremony
tonight at the Roosevelt Hotel.

- Ah, giving or getting?
- What do you think?

- "Achievements In Neurosurgical Research."
- So, who's your plus one?

- I mean, I'd be happy to go, but I got to wash my hair.
- No. I'm going solo.

You should bring Kate.
She cleans up nice.

- Come on. No. Zeke.
- Hey, Kate, come here! Michael's got this soirée



tonight, and he needs some arm candy.

Why don't you go along with him,
I'll hold down the fort?

- It's really just a dumb thing.
- I have a lot of work to do

- after we close, so I don't think...
- I mean, you'd be bored.

- She's got a little work. Yeah.
- So...

Okay.

Forget I mentioned it.

Anyhoo... I don't want my
rubber chicken to get cold.

Good night, guys.

Michael?

Can we talk?

Uh, you know,
now's not really a good time.

Every time I've gotten
near you for the last week,

you found some reason to be busy.



You kissed me, Michael,
and I kissed you back.

I know.

What do you think

that I'm supposed to...?

I'm married.

I'm sorry.

But I got this thing tonight.

- So you're running again.
- No. Only thing I'm running is late.

We'll talk. Later.

Hey, waiter, how about a refill?

Gene! They will give
this award to anyone.

Michael, you son of a bitch.

- How the hell are you, Mr. Tipton?
- Good, man.

- Hey, congrats on the award.
- Thank you.

Yes, well, you know, I'm not the one

- braving natural disasters for art.
- Believe me,

I was thinking,
"Why am I not back in New York,

"in some nightclub, losing some woman

to the effortless charm
of Michael Holt?"

Oh, I've lost plenty to you.

Name one.

That's a good point.

Just keep your mitts off my date.

She's the love of my life.

Really?

I met her two weeks ago, in India.

We just flew in.

She's Indian?

Even more exotic.
Brooklyn.

Michael Holt, meet Trish Sulloway.

Oh, hi.

I took photos of Michael
for a Time magazine article

about neurosurgeons.

- I remember it.
- So, what were you doing in India?

Depositions for a corporate law case.

Trish is a junior partner
at Hunter & McFadden.

Beautiful and smart. Wow.

Your mom's gonna have a tough
time finding something wrong

- with her.
- Ladies and gentlemen,

could you take your seats for dinner?

And if our honorees

will join me on the dais.

Shall we?

Wish me luck, hon.

Good luck to you both.

Awarding Gene Tipton
with a Pathfinder honor

was a remarkably easy decision.

Gene's fearlessness has put him...

- You okay?
- Yeah.

You'd think a guy who jumps
on ice floes with polar bears

wouldn't be scared
to give a dumb speech.

Just remember to breathe
and... don't lock your knees,

and if all else fails,
picture the audience naked.

Ladies and gentlemen,

please welcome to the podium,
our first honoree, Gene Tipton!

Good evening, everyone,

and, uh, thank you.

It's a great pathfinder
when you're honored...

Sorry. That came out wrong.

Uh... it's a great honor

to be counted...

...among...

Gene!

Gene, can you hear me? Oh, no.

Gene?

Somebody call an ambulance!

Here.

Gene.

I don't need to stay here.

You passed out and hit your head.

And scared me to death.

Just nerves and jet lag.

Believe me, part my hair
on the other side,

you won't even see the bump.

I have seen plenty of bumps

that turn into something serious.

You did a CT, right?
What did it show?

Well, nothing.
No skull fracture,

no bleeding in the brain.

- See? I'm fine.
- Well, I said you didn't have

an injury to your brain, but
you still got a fever of 101.

Yeah, you do feel warm, Gene.

I always catch something when I fly.

You want me to call your mommy?

No. I have a shoot with the
Secretary General of the UN,

first thing tomorrow morning.

You are gonna stay here

until Michael says you're
100% ready to leave.

Please? Do it for me?

What did I say?

She's beautiful and smart.

He's lucky to have you, Michael.

Oh, there were probably a dozen
docs in that audience tonight.

I was just the closest.

- I meant as a friend.
- Ah.

Well, you were the one who
convinced him to stay.

Should I call Gene's mom?

That's a... terrible idea.

She's a handful.

Put it this way.
That time I went

to Gene's studio
for the Time magazine shoot,

we weren't there half an hour

before she showed up
with milk and cookies.

That's nice.

Then she started vacuuming.

She has OMD...

Overbearing Mother Disease.

I have dealt with it before.

Then you'll have no problem
with Blanche.

- Good night, Michael.
- Good night.

You have been

sleeping here for a week.

You ever gonna come home?

Home? You're still
calling it that?

You live there.

We live there.

Harrison, I caught you

secretly meeting with
a divorce attorney.

The only reason
that I was talking to her was

because I don't know
what's in your head.

Well, actions speak
louder than words.

And yours have told me
everything I need to know.

Okay.

So, I, uh, I guess
there's nothing left to say.

I guess not.

Yeah.

I'm sorry you had to hear that.

I didn't realize
there was trouble in paradise.

Still, I'm sorry.
What's the prognosis?

On life support.
May be time to pull the plug.

Patient, patient,
who wants a patient?

Uh, keep filing. I
need the distraction.

I'll take them, Autumn.

I'm Dr. Sykora.
How can I help you?

Louise and I went ice skating

at Rockefeller Center yesterday.

Dumb school kid was showing off,

knocked her down,
her foot slammed into a wall.

It didn't hurt at the time.
But I woke up this morning,

and my big toe is all
swollen and blue.

Somebody needs an X-ray.
Come on.

Yup, you fractured your big toe.

Does it need surgery?

Nah. The bone will heal itself.

But you do get to wear
one of these for about a month,

just until the break mends itself.

I don't suppose those come
in a low-heeled pump?

Not exactly fashionable footwear, huh?

She can't go

hiking with that, can she?

We were planning a trip
upstate next month

to celebrate Louise's
heart transplant.

You had a transplant?

Six months ago yesterday.

I had cardiomyopathy.

We were worried

that they wouldn't be able to
find a heart for me in time, but

out of the blue, the hospital
called and said they found one.

- So...
- Now we celebrate by doing something

fun like ice skating.

To remind us that every day is a gift.

All right, well, no hiking until
this has healed completely.

- Mind if I give your heart a listen?
- Okay.

- Just to make sure you're doing all right?
- All right.

Ah... No murmur.

No rubs.

You feeling all right otherwise,
other than your throbbing toe?

I've been really tired
the past couple days, but..

- I didn't think it was anything.
- Okay.

Well, I don't want to alarm you,

but some transplanted organs
can carry infection.

So, I'd like to do a blood panel,

and I'm gonna call the donor
organization and make sure

they screened your heart
for everything.

Morning. Drink this.

Read that.

Gene Tipton's lab work?

CBC and blood cultures normal.

No bacterial infections.

So, why are you frowning?

His fever's up to 102.

You want me to book him a bed
at Manhattan Memorial?

Nah. Keep him here.
He's a friend.

Uh, let's see if you
still feel friendly

when you see what he's
been doing all morning.

- Put it away.
- Come on.

This stuff is amazing.

It's like the bridge
of the starship Enterprise.

Yeah, a lot of this stuff is
experimental and proprietary.

How are you feeling?

Weak, sick to my stomach,
and now I got a headache.

I told you to have a nurse page
me if you started feeling worse.

Trish was at my bedside
the entire night.

I barely even noticed
how crappy I felt.

The moment I met her,
everything in my life,

every piece of the puzzle
just clicked into place.

And you've known her how long?

Maybe you'll feel this way
about someone, someday.

Let's get you better
before you walk down the aisle. Come on.

The spinal tap showed nothing?

Negative for meningitis.

As was your smear for malaria and

your typhoid and dengue titers.

Are there other tests you can do?

Yeah, dozens, but, uh,

I need to ask Gene
a few personal questions,

- so...
- Honey, I can leave if you want...

No, there's no secrets.
Ask away.

Recent sexual history.

Yeah, what about it?

- Gene, come on.
- I travel 50 weeks out of the year.

It's not exactly easy to have
meaningful relationships.

But...

I've always used protection.

I'd like to do an HIV test

just to make sure.

Is it okay if I test you, too?

Sure, but for the record,

Gene and I actually haven't
slept together yet.

- No one's making a judgment.
- No, she's serious, Michael.

When you know you're gonna spend
the rest of your life

with someone, you can take your time.

- You all right?
- Baby,

you okay?

I can't catch my breath.

Let's get you back into bed.

Okay, easy.

What do you hear?

Decreased

breath sounds at the bases.

I'm gonna put you on oxygen.

Just need you to
take slow, deep breaths.

- Okay?
- Michael,

what's wrong with him?

I'll tell you as soon as I find out.

Thanks.

What'd I do now?

That was the organ donation
administrator.

About your patient with
the secondhand ticker.

Did they screen it for everything?

Yeah, no, heart's clean as a whistle.

You seem spooked.

What's up?

So the administrator wouldn't
identify the donor by name,

but he did say
that Louise's heart came

from a hit-and-run
in Alphabet City

this past September
and that the donor was

a physician in her late 30s.

Even in death, she was saving lives.

So do I tell him?

Wouldn't you want to know?

Kate, I know you want to talk to me.

N-N-No, it's not that.

Um, I have a patient
that I'd like you to see,

but you might want to sit down first.

Nothing a patient
has can shock me.

This woman has Anna's heart.

Louise, Joel,
this is Dr. Holt.

I've asked him to join us.

- Hi.
- Hey, did you come

to listen to my new heart?

It's funny, doctors find out

and they all want to hear it,
just like strangers

coming up to pregnant women,

wanting to touch their bellies.

Actually, I'd like to see it.

Did you talk
to the organ donation people?

Louise's heart is totally healthy.

And... this is
kind of strange,

but based on my discussion with them,

I think that your heart
came from the woman

who used to run this clinic.

Anna Paul.

You knew her?

Only from the plaque under her picture

out in the waiting room.

Oh, my God, what are
the chances of that?

Pretty small world, huh?

So you knew her, right?

Uh, no, Anna and I never met.

I was actually hired
as her replacement,

but from everything that I've heard,

you could not have gotten
a more loving heart.

She's got my heart?

What about you, Dr. Holt?

Did you know her?

Uh,

I...

I started after Anna had left.

Why don't you tell them?

Whether or not I knew her,

you're still gonna get
great care here.

Michael, you all right?

So how does it look, Dr. Holt?

Looks beautiful.

I'm guessing the fatigue

is not from an infection

but rather a, uh, anemic reaction

to your antirejection meds
you're taking.

Dr. Kate will check
your blood count.

It's nice to meet you both.

I'm curious, why did you lie?

That woman didn't need to know

that her heart belonged
to my ex-wife.

- That's a good point.
- It's,

it's not every day that your heart

comes waltzing through the front door.

It's amazing, isn't it?

I mean, for a minute,
looking at the monitor,

it almost felt as if I was

still... alive.

And in a way, you are.

You okay?

I'm fine, yeah.

Well, I'm sure it must
have been weird in there,

seeing Anna's old heart.

Old heart?

I thought it looked pretty good

considering all it's been through.

Uh, yeah.

Um...

listen, if your patient's
blood count goes down,

you'll need to start her...

- On iron supplements.
- That's right.

Yeah, I know how to treat anemia.

Just being thorough.

Kate.

About what happened last week...

Oh, Michael, we can really
talk about this later.

- Talk about what?
- No, I, I...

I wasn't thinking straight that day.

I, uh, I had just lost a patient

who was a very, uh, dear friend,

and, uh,

well, you were right.

I, uh,

I shouldn't have done it.

We shouldn't have done it.

So you think it was a mistake?

- Did you sleep together?
- No.

So not a mistake?

We kissed.

I know.

You kissed?
About time.

And like you said,

you're married and we crossed a line.

- Okay, so we're agreed.
- Yes.

We'll just keep it professional.

Yeah, that's exactly what
I wanted to say, sorry.

Okay.

Big day for you, Brother Mike.

Heard Anna made another
appearance in your life.

Saw a patient who had
a transplant, Anton,

you can snuff out the incense.

Universe taps you on the shoulder,

you ought to pay attention.

To what?

Woman who got Anna's heart lives
two blocks away

and happened to be at the top
of the recipient list.

That is how organ donation works.

So you still believe in coincidences.

And you still got
your head up your ass.

You know, it's no accident
it was her heart that showed up.

You ought to try using yours.

Initial at the bottom.

Verify dosage, then sign.

You're using your angry signature.

I don't even know what that means.

Something at the Clinica
that's troubling you?

Nothing I want to talk about.

Oh, damn it,
I just wrote "talk about."

Oh, thank God nothing's troubling you.

Gene's new labs come back yet?

All negative, but his
fever is up to 103.

What's going on with this guy?

He's been here 24 hours and
I'm no closer to a diagnosis.

I'm here to see Gene Tipton.

I'm his mother, I'm not waiting.

Dr. Holt.

Uh, hey, Mrs. Tipton,
I didn't know you were coming.

I got a message from a woman.

I didn't even know Gene was in town.

And yet you came prepared.

Well, I had a few things in
the fridge... you know me.

Can I see my son?
Where is he?

Uh, follow me.

Right in here.

Gene, honey.

Mom, what are you doing here?

I called her.

I got her number out of your phone.

You've gotten sicker.

Mrs. Tipton, I'm Trish.

I'm the one who left you that message.

Well, that's very sweet of you.

Honey, what's the matter with you?

Why do you have a tube in your nose?

- Mom, I'm fine.
- You should have called me

as soon as you landed.

Why did I have to hear
it from a stranger?

I'm his girlfriend.

Oh, well, I'm here now,
so you can just relax,

and I brought you some food.

- And Doctor...
- Yes.

since my son isn't telling me

what's going on,
will you please tell me?

Uh, Gene lost consciousness
last night.

He's still here 'cause his
temperature is elevated

and he's been having
trouble breathing.

- Well, you'll fix him.
- Believe me, I'm trying.

Gene, what's happening?

Back up.

What's wrong with my son?

He stopped breathing.

I need a nurse in here
and an ambu bag!

Bag him.

Need to get him to the O.R.

- What's wrong with him?
- Rita!

- Yeah, come on, ladies, let's go.
- My son.

I'm sorry.

Call Victor Lantz, tell him we
need an emergency intubation.

Okay.

Okay, on my count,
one, two, three, go.

All right, I need
his repeat labs stat.

Pulse ox is down to 78.

I got him paralyzed.

Blade and ET tube.

I'm in.

Whoa, what's happening?

Why is he bleeding?
Did you nick his trachea?

No, no, it was an easy intubation.

Ah, damn it,
he's got diffuse rhonchi now.

Need to scope him and
see why he's bleeding.

Okay.

Suction.

What's going on with those labs?

Just got them.

Couple of abnormals.

ALT is 2,800,

creatinine is seven,
and INR is up to 11.

He's in liver failure, and
that's why he's not clotting.

His kidneys are shutting down, too.

Yeah, I see a bleeding vessel.

Give me the coagulation electrode

so we can cauterize it.

If we don't reverse liver failure,

he's going to keep bleeding.

Any idea what's going on?

Not yet.

There's only so many holes you
can patch before the dam bursts.

You must be awfully tired, Trish,

after all that flying and now this.

If you want to go home...

I'm fine.

Actually, we got in last night.

And no one called me?

It was late, and Gene thought
it was just jet lag.

Obviously it's more than that.

- How is my son?
- How is Gene?

Uh...

he had blood in his lungs,

but Dr. Holt
stabilized him.

Oh, my God.
I'm staying here with him.

Of course, we have a
room ready for you.

Do you have one for me?
Because I'm staying, too.

Excuse me,

but he barely knows you.

My boy tells me all
about his girlfriends,

and he never mentioned you.

When my husband and I were dating,

he took me to meet his mother.

I spilled a glass of Burgundy

on her clean white carpet.

She put a rag in my hand

and didn't speak to
me for over a month.

That was 35 years ago

and now we're as close
as heat to a fire.

Oh, that's a lovely story.

Whew!

Trish, I'll set up a room for you.

Let's go see Gene.

He has a breathing tube,
so he can't speak.

Dr. Holt gave
him something

to sleep through the night.

Please don't try to wake him up.

Well...

- looks like you've met your match.
- Yeah.

Some icicles

take longer to melt.

You headed home now?

No, I got a patient at the
clinic I need to check on first.

Oh, you mean the
thing that wasn't troubling you earlier?

I mean that patient that showed up
with Anna's transplanted heart.

Oh, my God.

- Are they okay?
- Oh, they're fine.

It's a minor injury; nothing
to do with the transplant.

Well, that must've

stirred up a lot of memories.

Some days it's like Anna never died.

Dr. Holt was right.

Your labs came back,
and you are anemic.

That's why you've been so tired.

I want you to take an iron
pill twice a day with prunes.

Prunes? I hate prunes.

Learn to like them, 'cause
they're gonna help with

- the constipation from the iron pills.
- Oh, God.

Before I got sick, I
didn't even take vitamins.

Now I'm taking pills to keep
from rejecting my heart,

pills to fight the
anemia from those pills,

- and now prunes.
- She'll eat her prunes, Doc.

Good man.

This is a referral for an orthopedist.

- He'll make sure your toe is healing properly.
- Thank you.

- Dr. Holt.
- Hi.

What are you doing back here?

Just wanted to make
sure Louise was okay.

You mind if I, uh,

- have one last listen?
- Go ahead.

Okay.

Sounds great.

Just wanted to make sure it was okay.

Wow.

I've been in a lot
of hospitals in my life,

but you guys care more
than all of them.

We try.

Any problems, don't
hesitate to give us a call.

Thank you, Doctor.

Michael.

Hey, Harrison.
You here to pick up Kate?

Uh, sort of, yeah.

You two aren't in the middle
of something, are you?

What, you mean Kate? No.

I just had a patient leaving and...

- Harrison.
- Hi.

I am leaving, too.

Good night.

Why'd you come back?

I thought we agreed there
was nothing more to say.

Uh, there is.

I want to start a family.

What?

I-I've been doing
a lot of thinking, and...

I am married to this amazing woman...

who makes me happier
than I've ever been.

So why am I screwing it up?

Now I don't know what to say.

Just listen.

We have a chance to start over.

I just got an offer to be the CEO

of a new med start-up
in Houston.

It is the job

- of a lifetime.
- I'm not leaving

the clinic, Harrison...
this is all

I've ever wanted to do.

And that is why I told them

that I wouldn't take the job...

unless there was something
there for you, too.

And there is.

A free clinic is opening...

and they want you to run it.

Double the staff,

triple the resources.

You told them about me?

Yeah.

Yeah, I sent them
your-your resume.

And I-I know
that was presumptuous.

But these jobs...

they would just give us
more time for each other.

Harrison, I don't know.

You can... you could meet them.

Can see if you like it.

But just come home.

Be my wife again.

And you really want to start a family?

Yeah.

So, what do you say?

Can we start over?

Morning.

Feeling any better?

Yeah, if better means going
through a meat grinder.

Hey, where's Trish?
Did she leave?

She went to the ladies' room.

And your mom went
to get a cup of coffee.

- Did you see the way she treated her last night?
- Yeah.

Maybe it's time you remind her
that you're a grown man.

How's my boy?

Oh, your little boy is
not in the greatest shape,

but we're doing everything
we can for him.

Are you sure this isn't
something he picked up

- in India?
- Yeah, I tested for all the viruses

endemic to that region...
all came back negative.

And Trish was in Mumbai, too,
and she seems to be okay.

I hope so.

I was just

brushing my teeth.

Maybe I haven't been flossing enough?

Why? Have your gums
bled before?

Not like this.

You know, I'd like
to examine your mouth.

Yeah, you have a small
herpetic lesion on your gum

- below your lower lip.
- You have herpes?

- Mom.
- Did I

get Gene sick when I kissed him?

Unfortunately, it
looks like you gave him a virus

that combined with a strain
he already had in his body.

It's extremely rare, but it can lead

to a kind of superinfection
that can spread in your blood

and cause liver failure.

But you can treat it.

Absolutely...
with I.V. acyclovir,

and the same drug
in pill form for you, Trish.

Oh, my God, this is all because of me.

- Well, it's entirely treatable.
- Sweetheart, you didn't know.

I... thought I had
a canker sore.

Oh, my God, if I hadn't

just gone to brush my teeth...

You might have died.

But I didn't, Mom.

For once in your life, butt out!

I'm... sorry, Gene,

for causing you so much pain.

- Trish...
- Where are you going? Trish?

She made her decision.

Trish!

- Busy already?
- We see more patients before 9:00 a. m.

than your place sees all day.

Yeah, but you ever had a guy
almost die from kissing someone?

No, I... I mean,

it's just a shame when something nice

can s-screw up the...

I'm just gonna stop talking

right now.

Good, because Louise is back.

What's wrong?

Okay. Let's get
her back there.

It's all right.

It started an hour ago.

I tried to call Joel,
but he went to San Francisco

for a meeting.

These look like petechiae.

It's a rash caused by the
hemorrhaging of small blood vessels.

Did you have a headache,
fever or stiff neck?

No, it's just

hard to breathe.

She broke her toe.

I'm thinking FES.

I'll call an ambulance.

- What's FES?
- Fat Embolism Syndrome.

It's a condition caused
by the release of fatty acids

into your blood

after you break a bone.

But why didn't you know?

It can take several days to manifest.

- Will I be okay?
- Once you get to the hospital.

You'll need to be on steroids,

and then we'll put a filter in
to make sure no clots

block oxygen to your
brain and your heart.

Could someone call my
husband when he lands?

Absolutely. I'll have
the social worker

make sure he knows what's happening.

Be right back.

I hear Gene's on the road to recovery.

That Dr. Holt

is a miracle worker.

Oh, yes.

I see it every day.

- One of the joys of working here.
- Mm-hmm.

But...

not everyone's happy...
I saw Trish leave in tears.

Oh, guilt, I guess.

You know, she gave
that infection to my son.

Good riddance.

Right?

- Mm.
- I mean, I'd be furious

if someone did that to me.

Can you imagine?

Getting someone you love sick?

How could you live with yourself?

Actually...

Actually what?

Actually, when Gene was 15,

I got chicken pox.

I don't know how
I avoided it for so long,

but... I did everything I could
so he wouldn't catch it,

but he got it anyway.

And then he ended up
in the hospital with pneumonia.

I felt so terrible.

- He didn't hate you for that?
- Well, no,

of course not.

Why not?

Well, it was a germ.

It wasn't my fault.

Enjoy your coffee.

I left word with your husband, but a water
main broke on 3rd and traffic is stacked.

- Ambulance is gonna take a while.
- Well, we don't have a while.

You know what? I'll drive you
to the hospital myself.

- Where are you going?
- Ambulance is delayed. I'm taking my car.

I was just out there...
there's three cars blocking the way.

Fantastic.

Then we'll catch a cab.

Hey, Rita. Tell Manhattan
Memorial we're on our way.

And have them prep

the O.R. for
an IVC filter.

You know, Dr. Holt,
you're a bad liar.

What are you talking about?

I always heard surgeons
were all business.

My transplant surgeon certainly was.

"Don't do this.
Don't do that."

Until one night

in the ICU when he
thought I was asleep.

I saw him watching the heart monitor,

and I knew that it
was all just an act.

He was just acting tough
because he was afraid.

It was his way of dealing

with the fact that I might die.

I saw the same look
of fear on your face

when you were watching my heart,

but there was something more.

Anna Paul was my ex-wife.

Why would you lie about that?

Look out!

Sorry.

Everyone okay?

I'm fine.

Just take us to Holt Neuro...

Send an ambulance.

Eighth street and Avenue D.

You all right?

Yeah, I think so.

Louise, you okay?

I can't... I can't move my leg.

- Okay, stay calm.
- My leg...

I can't feel my arm.

Stay here;
I'll be right back.

I'm sorry, my boss called.

I only took my eyes
off the road for a second.

We've got to get her out of here.

- You got a tire iron?
- Yeah.

Anyone smell that?

Come on!

Gas tank's leaking bad.

Everybody stand back.

This cab could blow any second.

Buddy, you gotta get out of here.

I'm not going without her;
You gotta

get her out of here;
you gotta help me.

Here, her feet are pinned.

We gotta get her out of here.

I can't get it open.

The door's stuck, too;
we got to get her out

through the back.
Go around to the front.

All right, you work on the door.

Got it.

Try to stay calm, Louise.

We're gonna pull you out, okay?

All right, on my go, ready?

One...

two, three.

Come on.

Come on.

Come on, you grab her legs.

Easy, easy.

Okay...

Let's go, come on.

Everybody okay?

You okay?

Thank you.

Louise?

Louise?

Is she okay?

Okay...

- Oh, no, no, no.
- What's wrong?

Her collar bone's pushed in,

cutting off the blood
flow to her heart.

Uh, you got any pliers in there?

What do you got here?

Come around, hold her arms down.

Keep them straight,
hold her by the shoulders.

All right, keep them down.

Come on.

Come on.

Okay.

Clavicle is back in place.

Ah, damn it, still no pulse.

Michael, can you save her?

I'm trying.

What?

The injury blocked the blood flow

to her heart for too long.

Please don't let her die.

She's gone.

♪ One of these days,
the sky's gonna break ♪

♪ And everything will escape ♪

♪ And I'll know ♪

♪ One of these days
the mountains are gonna fall ♪

♪ Into the sea ♪

♪ And they'll know... ♪

Trish, please come back.

I'm fine now, but, um,

I'm not gonna be happy without you.

How are you feeling?

Physically better.

Everything else...

Anything I can get you?

My problems now can't
be cured by you or Michael.

Are visiting hours over?

I'm so sorry I left.

I will never leave you again.

I'm gonna give you two some privacy.

Me, too.

Mom.

Thanks.

Hey.

We're gonna head over to Miguel's.
You want to join us?

That place is a dump.

That's why they can afford
dollar beer night.

And that's why we can afford Miguel's.

I got to close up.

You sure?

Yeah.

Get plastered for me.

See you tomorrow.

- Mike.
- Hey.

- You want to get a beer?
- Uh, it's all right.

- Hi.
- You okay?

I don't know.

You seem different, Michael.

Michael?

What happened to your head?

Uh...

Our cab got hit by a truck.

What?!

Louise died at the scene.

Michael.

So, how was the rest of your day?

Harrison got his dream job.

Oh, great.

In Houston.

You're moving to Houston?

No.

I love this place too much to leave.

I'm glad.

So, is Harrison going without you?

He's gonna stay.

He wants to work on our marriage.

Ah.

Is that what you want?

You still open?

I've got a bad pain in my belly.

Come with me.

We'll take care of you.

Dr. Holt?

Give me a hand?