Code Black (2015–2018): Season 2, Episode 12 - One in a Million - full transcript

Yeah, Metro, be advised,

Rescue 4 was also on scene.

We've got an airship down.

We're gonna get a water supply...

Get a light on him.

Is anybody in there?

- The medic!
- Head up for me, all right?

Okay, hold on.

- What do you got?
- 35-year-old male.

Was being transported
with a ruptured appy.

Early sepsis. Blunt trauma
to head, chest, and abdomen.



Get him moving, ASAP.

Who's this?

- This is the pilot.
- How is she?

Severe facial trauma, bleeding neck lac.

Couldn't intubate, too
much blood in her mouth.

This thing is gonna blow!

- All right, open up that nozzle!
- Move!

As the basketball team's physician,

I deal with all injuries...

everything from
blisters to broken bones.

- I also manage physical therapy...
- Yay, sports.

Are you not impressed
with the skill involved?

Basketball's not really my thing.

- ... as well as nutrition...
- Tony Hawk landing the 900?



I'm there.

Man, you really want this gig, huh?

Are you kidding me? It's
huge on the résumé.

Plus there's the extra cash.

If you're so interested,
you might want to listen.

And if you're among
the group of residents

chosen to assist me, you will be, too.

Plus, you'll also get one
of these super cool jackets.

With "Assistant Team
Doctor" right there.

Who's he talkin' to?

The Waverly athletic director.

Is Angus giving him a tour?

How do they know each other?

It's gotta be his dad. Unbelievable.

Does anyone have any more questions

- about the program?
- Excuse me.

- Rorish here.
- It's Willis.

Look, you're gonna have to cut it short.

I was out on a ride-along...

Another ride-along? You need a hobby.

Pot, kettle. Look,
I'm sending you a mess.

What kind of mess?

Medevac was transporting a
patient off a cruise ship.

Chopper went down. I've
already sent you two by bus.

We'll be ready.

Doc, you're good to go.

He's conscious.

Oh!

What's your name?

Brad. Brad Souza. I'm the flight medic.

Is my patient alive?

He's on his way back to Angels.

What about my... my pilot... Debbie?

I don't know how she did
it, but she... she saved us.

You're the one I'm worried
about right now, okay?

He's wedged in here real good.

We got another flare-up!

What kind of offensive
strategy you into?

Motion, triple post?

The one where my team scores.

You really don't know anything
about basketball, do you?

We're not gonna be playing
for the team if we get the job.

We're doctors.

Pretty sure I can handle that.

Leighton, Savetti, talk
sports later, please.

Yep, we need your heads in this game.

These are the first two
victims of the medevac crash.

35-year-old male with ruptured appy.

Blunt injury to head,
chest, and abdomen.

He's hypotensive and
hypoxic. BP's 74 over 46.

Could I have my phone?
I have to call my wife.

I left her and my 8-year-old
on the cruise ship.

Sir, you can call her as soon
as you're stabilized. I promise.

40-year-old female. BP's 90 over 52.

- Her name's Debbie.
- Severe facial trauma.

Status post-nasal
intubation in the field.

I can see that.

Stats are dropping.
She's in the mid-80s.

- Let's get her into Center Stage.
- Hold on, Debbie, we got you.

- Where's Dr. Willis?
- Still on scene.

Okay. Here we go.

Ow! Man!

He's melted to the seat.

Okay, we're gonna cut this seat out.

We're gonna take the
whole thing with us.

- All right?
- All right.

Let's do it.

What's happening? What are you gonna do?

We're gonna get you out of here.

I'm gonna give you some morphine.

This'll help.

What about Rowan? The patient.

His family. I told...

I promised him I'd...
they'd see him again.

You're gonna keep your promise.

There's fuel leaking out of this thing.

Let's go.

Almost there.

Let's go, let's go, let's go!

Whoa, whoa!

Okay, lung sounds are clear.

She's getting tough
to bag. Stats are down.

Maybe her intratracheal
tube's dislodged.

Her jaw is dislocated.

- It's compressing her breathing tube.
- Whoa, whoa, whoa, whoa.

Put these on, so she
don't bite your thumbs off.

Come on, Debbie. Come on.

Sats are down 72%.

Come on, girl.

Ah!

Okay. We got you, Debbie.

Male, 40s, second and third
degree burns on his back.

He's fused to the seat.
He's the flight medic.

Alert the burn unit?

We weren't able to separate
him from the chair on the scene.

We have to do it surgically.
Slowly and very carefully.

Let's stabilize him here.

How does trouble always find you?

That's a good question. How is she?

She's stable enough to move to OR.

- I'll take her up on my own.
- Got it.

Diffuse tenderness and guarding.

Belly's full of blood.

Let's get him to the OR. Let's go.

Arms are burnt. Can't get access.

Do an EJ.

We're gonna take care of you, Brad.

- You know him?
- Yeah.

These two have been flying
people in here for years.

He's having trouble breathing.

Burns are full thickness
to his back and right chest,

constricting his breathing.

He can't expand his lungs.

- Fasciotomy.
- Yes.

Dr. Kean, we need to cut
the chair off of his back

and then cut through the burns.

Let's bring him to the OR for that.

Risa, can you page burn unit, please?

- Already on their way.
- Watch your back.

Behind you.

- Sats are down to 74.
- Intubate him?

That is not gonna fix this problem.

All right, we gotta get this chair
off him now or he's gonna suffocate.

So much for slow and careful.

- What do we got?
- It's Debbie, the medevac pilot.

She coded in the elevator.

Hamman's crunch. She's leaking air.

- We got to open her up now.
- Let's go, guys.

Pulse ox is down to 64%.

You guys finish freeing the chair,

I'll incise the chest.

- I need Betadine.
- I can barely bag him.

Guys, we gotta work faster.

He's crashing.

Come on, Brad. Stay
with us. Stay with us.

- We're almost there.
- It's coming free.

Sarah, scalpel.

My side, too. Let's pull.

One, two, three.

I'm through the subcu tissue.

Sats are coming up.

Pulse is strong.

He's not out of the woods yet.

Okay, let's dress him and
get him up to the burn unit.

Your daughter threw a stapler at my son.

- Is she crazy or something?
- No. She's not crazy.

Do you know that your son was
making fun of my daughter's clothes?

He was being a bully.

Okay. Who wound up in the hospital, huh?

Your daughter should be in jail.

You need to relax, sir, seriously.

Okay, you need to mind your own business

- and just take care of the cut.
- Dad.

- It's all right, son, I got this.
- No.

I mean, my head's pounding,

and my eye's gone totally fuzzy.

What's... what do you mean?
What's going on? What...

Let me take a closer look.

- Does it hurt?
- Yeah. It kills.

Okay, what's... what's
wrong? Talk to me right now.

It could be nothing, but we
need to get a CT. All right?

A C...

- You're gonna pay for that.
- Mom, can we go?

- April.
- Back off. Seriously.

No, no. No. That's expensive.

Medical bills are expensive.

And I'm gonna sue you for everything.

Dr. Dixon.

- You have this under control?
- I'm trying.

Okay, okay. Who the hell are you?

I'm the head of this ER
and the chief of surgery.

Hey, buddy.

What does the patient need, Dr. Dixon?

Uh, CT of his brain and orbits.

Make that happen.

- Dr. Rorish.
- Thanks.

Debbie didn't make it.

- I'm sorry.
- Yeah.

Was the first female
chopper pilot I ever met.

I have to go call her parents.

How do you wanna handle Brad?

I'd like to tell him, if you don't mind.

They're like family.

All right Swing it around.

This should help with the pain.

We talked to the surgeons.

The good news is they
got your appendix out.

And the bad news?

You had a significant
abdominal injury from the crash.

We had to remove several
feet of your intestines.

Oh, my God.

We'll monitor you closely,
but you should know...

there could be other complications.

I can't tell my wife that.

She worries too much.

Rowan. Oh, thank God.

Are... are you okay?

Yes, honey. I'm fine.

I got my appendix taken
out, but I am fine.

Is Jason with you?

Dad, when are you coming back?

Not right now, bud, but...

they are taking such good care of me.

Hey, you know how you
want to be a doctor?

How 'bout I get one of those
fancy stethoscopes for you?

You can do that?

Hey, put Mommy back on.

Hey, how much did you give him?
He should be in a lot more pain.

A milligram of Dilaudid.

IV push? What? Are you
trying to drop his pressure?

- He's just out of surgery.
- What is your problem?

His pressure is fine.

- Yeah, for now.
- Hey...

But he could still have
anesthetic in his system.

His D-dimer is elevated.
He could have a PE.

And you could have disseminated herpes,

but I'm guessing that you don't.

What is wrong with you?

How do you know the
athletic director at Waverly?

Oh, my God.

It's your dad, right?

I cannot believe this. Is
that what this is about?

I have as much a right
to that job as you do.

Everything I have
ever gotten in my life,

I've had to fight for.

- You never fought for anything.
- What are you talking about?

Your dad. You've always
had an in on life.

And all I've ever had is an out.

Hey. Is there a problem?

- No.
- Nope.

Then stop arguing in front of patients.

Actually, stop arguing. Period.

You think I could get
one of those stethoscopes?

I'll see what I can do.

One, two, three.

8 to 10-year-old female
found alone in a mall.

Severely agitated.

Diffuse wheezing and mild hypoxia.

Her oxygen keeps dropping.

All right, all right, I'll back off.

Uh, any head trauma or fevers?

No. Police are looking
for her parents now.

We should put four
point restraints on her.

What the hell's going on?

We're not using four point
restraints on a child.

Oxygen's at 86%.

She had anything to
eat? Anything to drink?

- Any drugs on her?
- No.

Hey. Hey, hey.

Where are your parents?

There's nothing to be afraid of.

Okay.

We need to put this oxygen
mask on you so you can...

I gotta put this mask
on you so you can...

She can hear us. She's
just not responding.

Zoe? Zoe. Mommy's here, baby.

Is she okay? I lost
her. She... she ran away.

I can calm her down. Hey. Here you go.

She needs a breathing treatment.

- Maybe you wanna put it on her.
- Thank you.

She's autistic. She doesn't
do great with strangers.

You just slip it on the back.

I... Don't worry. I've done it before.

Okay, okay. It's okay.

She's probably got pneumonia.

It'd be the fourth time this year.

She has chronic asthma.

Has she been checked for sickle cell?

Of course. She doesn't have it.

What's the distance between

Los Angeles and Dallas, Texas?

The distance between

Los Angeles, California,
and Dallas, Texas, is...

She talks to the phone.

She also repeats what she hears on TV

and sometimes talks
to her stuffed animals.

But she never talks to me.

She's 9, and she's never
said one word to me.

Not even "Mommy."

1, 2, 3...

Oh, God, no. She counts
when she's in pain.

Where's the pain?

I don't know. She points lots of places.

But if it's radiating
or coming in waves or...

I-I don't know. She just counts.

- ... 10, 11...
- Okay.

- Okay. Okay.
- ... 12, 13...

Hey, Brad.

How is she doing?

I saw that they got her breathing again.

She's so tough.

- Brad.
- I know her.

She... she wants to get
back to work as bad as I do.

Brad.

I'm sorry.

Debbie died in surgery.

In...

in my head, everybody lives.

What do you mean?

I mean, I drop them off on your roof,

I fly away, and I don't look back,

and in my head...

they all live.

What about the patient,
the, uh, the appy?

He's stable.

We're doing everything we can.

Can you keep me in the loop?

I promised him he'd
see his family again.

I know.

We shouldn't make promises.

No.

But we all do.

Dad, you have to come back.
You're missing everything.

I know, buddy, but... look what I found.

I'll be able to listen to
your heart when I get there.

You sure can.

I promise.

The CT found some bleeding
behind his right eye,

which is compressing his optic nerve.

And why are you telling me this?

It's not my eye.

Right. No, I, um, I just thought
that I could use a little help.

The guy's tough.

Maybe you should be
the one to talk to him.

Dr. Dixon, I'm going to
pretend I didn't hear that.

See, handling patients
is part of being a doctor.

So you either do the whole
job or you don't do any of it.

Okay.

I'll take that as a no.

Now once the neuro
stimulator's implanted,

it delivers electrical impulses,

targets different areas of the brain

to alleviate the
symptoms of Parkinson's.

It's called Deep Brain
Stimulation surgery.

It's like a pacemaker for your brain.

Yeah, I've heard of it.

And you've done it before?

Handful of times.

Each with varying degrees of success.

So there's no guarantee it'll work.

Or that I'll even survive the surgery.

There are risks. Yes.

You know that.

But you're also a very good
candidate, and that's rare.

Not everybody qualifies.

To start with, there's
some pre-op lab tests, okay?

We can get those done tonight.

No.

Rollie, it's a short window.

You're a good candidate now,
but I can't guarantee that...

- I'm not ready.
- Rollie...

No. No. I...

Thank you.

I appreciate your time.

- An operation?
- Yes.

- Are you kidding me?!
- No. No.

Am I going to be all right?

Quiet. So if he gets this operation,

he's gonna get better, right?

Well, there is a chance that
the damage could be permanent.

What does that mean?

He could lose vision in that eye.

What?

Look, look, we just have
to see how he responds.

We have an OR scheduled in two hours.

Okay, two hours is too long.
You're gonna take him now.

Hey, listen to me. Hey, listen.

Take him... right... now.

Sir, we will take him in two hours.

Now if you don't settle yourself down,

you won't be here in two hours

because I will call security
and have you escorted out.

- Talk to me.
- She's unresponsive.

Looks like V-tach.

It's not V-tach. It's torsades.

She needs magnesium.

Slam it. Now.

Okay.

Is she okay now?

Her heart rate became irregular.

So she has a heart problem, too?

How does she eat?

What does that have to do with anything?

Poor nutrition could make her

more susceptible to heart arrhythmia.

- And she's really thin.
- She eats fine.

I want a CAT scan of her abdomen.

No, no, no. People
have tried to do that.

She won't sit still.

We could try conscious
sedation, but there are risks,

particularly with the
irregular heartbeat.

You're just like everyone else.

You're full of crap.

You don't know anything either.

Why couldn't you just
do your job and fix her?

1, 2...

3, 4...

5, 6...

I wish you could just
tell us where it hurts.

What the temperature in Dallas, Texas?

The temperature in Dallas,
Texas, is 38 degrees.

Are you wearing a jacket?

I don't wear jackets.

You... you'll be cold.

She can be pretty chatty
when she wants to be.

Are you any good with technology?

I was born in '92. I'm
practically an astronaut.

Good. I have an idea.

It's not slowing down.

Hang two units of
cross-matched PRBCs now.

- Yes, Doctor.
- What's going on?

He's hemorrhaging everywhere.

Start him on FFP. Send
off a new coag panel.

He can't clot anymore.

The accident must've sent him into DIC.

Isn't that usually fatal?

Usually, not always.

I told Angus his D-dimer was elevated.

That's a classic finding
in a DIC case, right?

What's the status on his wife?

The boat is supposed to dock tomorrow.

He doesn't have until tomorrow.

Someone needs to get up to the helipad.

- See if we have a chopper available.
- For what?

So that this father can see
his family before he dies.

Go.

He probably won't make it for
more than a couple of hours.

He should see his family one last time.

And they are on a cruise ship?

200 miles out.

I'd like to send one of
our medevac helicopters.

Well, that's an expensive
Uber ride, Leanne.

What happens if we need
that chopper for patients

while it's picking up fares?

Well, I've already thought about that.

There's one on the roof ready to go.

- Oh.
- Fully gassed.

And you want me to pick up the tab?

For one last goodbye? Yes.

It's cheap at twice the price.

Sorry, Leanne. I...

What would you do to see
your daughter one last time?

What would that be worth?

My responsibility is this hospital.

The answer is no.

It's good to see you awake.

What's happening to me?

You have a condition known as DIC...

disseminated intravascular coagulopathy.

That doesn't sound good.

It means we can't stop your bleeding.

Your body is chewing up
all the clotting factors...

faster than we give them to you.

Are... are you saying...

I'm dying?

We're doing everything we can,

but at this stage,
it's rarely reversible.

Well, uh...

how... how much... how
much time do I have?

Because my wife is gonna come.

She's a day away, and...

You just have to hold on.

Yeah.

Almost done.

Sorry. Internet's slow here.

What are you doing again?

I'm installing a voice simulator app

on Dr. Willis's phone.

When he talks into it,

it'll sound like that
English woman you chose.

- Here. Try it.
- Call her number.

Well, she still has to answer the phone.

That part's gonna be up to her.

Your call has been forwarded
to an automated voice...

Just keep calling till she answers.

Just like the girls in high school.

Hopefully this will have better results.

Hello.

Hello.

How are you? How are you feeling?

Are you okay?

Are you okay?

No.

- What's the matter?
- What's the matter?

She's actually talking to you.
I can't... I can't believe it.

I feel bad.

Where does it hurt?

What's the weather in Tokyo, Japan?

I'm gonna need the
weather in Tokyo, Japan.

Tell her you're searching the web.

Searching the web.

Searching the web.

The weather in Tokyo,
Japan, is 32 degrees.

You should put on a jacket.

- I will.
- I will.

This could take a while.

Rorish has got a line on a chopper,

but Campbell said no.

- What the hell was that?
- What?

- "His D-dimer was elevated"?
- It was.

There are a million reasons why
his D-dimer could've been elevated.

A cold could've elevated his D-dimer.

And so could a DIC.

Yeah, but you didn't say that then.

Neither one of us was thinking that.

We were thinking it was elevated
maybe because of an appendicitis.

You have no idea what I was thinking.

You said that to Rorish
to make you look right

and me look wrong.

You're acting crazy.

God, why are you so threatened by me?

There's nothing about you that
threatens me, Angus. Nothing.

Okay, knock it off. Now.

Let's go. Both of you.
Follow me. This way.

Are you kidding me?

Come on.

What happened?

You were getting along
so well for so long.

- He just...
- Cállate.

This is my house.

I won't have this type of behavior.

You're acting like those chickens.

What chickens?

They separated out the
superhero egg-layers

from the ones that
pinched out one or two.

You know what happened?

No.

When they came back,

the average group was all good.

And the superheroes?

They pecked each other to death.

Look, your job around
here is hard enough.

You don't have to outshine
each other. Work together.

Or you're gonna end up a
couple of dead chickens.

The neuro-ophthalmologist is
very good. You shouldn't worry.

I'll be right outside.

He's all set.

Thank you.

Dad, why are you such a jerk?

I'll see you after.

Am I a jerk?

N... you're, uh... you're loud.

I walk a lot.

A mile.

Every day.

That's a lot of walking.

That's a lot of walking.

Yes.

Except when I don't feel good.

- Like right now.
- Like right now.

Yes.

Where does it hurt?

1, 2, 3...

... 4...

Can you tell us where it hurts?

Can you point to it?

Can you tell us where it hurts?

Can you point to it?

She's pointing to her upper abdomen,

just left of midline.

It could be her pancreas
or spleen or stomach.

Angels, base. Angels, base.

This is Life Bird One
on humanitarian mission.

ETA... six minutes.

His pressure's dropping.

Pulse is down to 55.

He can't control the bleeding anymore.

Damn it.

They better hurry.

Pressure's still dropping.
Fever's spiked 103.4.

Set another line and bolus some fluids.

Please save my baby. Please!

Could be acute pancreatitis.
We need those tests back.

I got a crazy idea.

She's in the zero percentile
in weight from malabsorption.

Likely pancreatic inflammation
and resistant pneumonia.

- What does that add up to?
- Cystic fibrosis.

Exactly.

Except CF's practically
nonexistent in African-Americans.

1 in 15,000.

And that's why she's never been tested.

How bad is cystic fibrosis?

Not as bad as not knowing.

It's a simple sweat test. We
should know in a few hours.

Start her on the standard CF protocol...

chest PT and mucolytics.

No matter what the odds are,
somebody's gotta be the one.

Dr. Rorish, his family's here.

Oh, God. Rowan.

Dad!

Mrs. Davis...

What's happening?

Dr. Leighton,

can you take Jason to the
vending machine, please?

No. I wanna stay.

- Dr. Leighton.
- Oh, uh, honey, um,

Daddy's still resting, so
you go get a snack, okay?

- Okay.
- Come on.

Thank you.

When will he wake up?

We don't know.

Will he wake up?

We don't know.

All we can do right now is...

hope and wait.

What do I tell Jason?

He can't live without his dad.

Neither of us can.

Now that's one thing I
don't miss about being here.

We could bring people back
from the blink of death.

Nobody can make a decent cup of coffee.

How are you, my friend?

I'm better.

Jesse, I-I need to apologize

for the position that I put you in.

No, come on. We...

No, no. Please, please. Let me do this.

I'm not a doctor anymore, Jesse.

You tried to get me to face it,

tried to get me to talk to Campbell.

I just wasn't listening.

Well, I should've tried harder.

I can be very persuasive
when I wanna be,

and for the record, you're
always gonna be a doctor.

No, no. That would take a miracle.

From what I hear, there's
a miracle waiting for you.

The surgery?

Who told you?

Big Brother ain't got
nothing on Big Mama.

I got my network of spy nurses all over.

Have you scheduled for it yet?

No, we haven't.

Why not?

Not ready yet.

What do you mean you're not ready?

Rollie, you hit the lottery.

I'm not ready, Jesse.

Why not?

I have some unfinished business.

Don't hit me.

What do you want?

I-I don't know. I...

I just...

I know.

My dad wanted me to do it.

He's been calling me
every day to talk about it.

I guess I just sort
of liked the attention.

Mm-hmm.

Probably not gonna last, though.

He's, uh, got that short attention span.

You're the new supply.

When a drug addict loses his dealer,

he needs a new supply.

You know, Mike's out of
town, now your dad's got you.

Thank you, Mario. I'm feeling
so much better about this.

Not saying he doesn't love you.

I'm saying he is who he is.

I don't think you should let
him hook you up with anything.

You deserve all the credit
for your accomplishments.

Your dad didn't make
you a good doctor, Angus.

You did.

Wait. Did you just
call me a great doctor?

- No, I said "good."
- No, I think you said "great."

- I'm really touched you...
- You know what? I take it back.

It's too late. I am the
greatest doctor you know.

- Would you shut up?
- Mm-hmm.

What are you doing here?

I invited them here.

Are you okay?

What? You mean my eye?

Yeah, it's fixed.

Um, I'm sorry

for screaming at you guys.

It's a bad habit of mine,

and I need to be a
better father than that.

You could've ducked.

You threw it like a
million miles an hour.

Can I see your eye?

Sure.

She's killing it.

It's a good sign.
She's definitely calmer.

Okay.

We have some answers.

She had bad pancreatic inflammation,

but the fluids are doing their thing.

And, um...

we were right.

She has CF.

I just can't believe with
everything else she deals with,

she has this, too.

Why is she so unlucky?

There's a cutting-edge medicine.

A CFTR channel potentiator.

It stops the mucus.

It's effective only in people
with a certain mutation,

maybe 5% to 6%,

but for them it is a game changer.

That doesn't sound like very good odds.

It's not.

But your daughter had a
1 in 68 chance of autism

and 1 in 17,000 chance of CF.

Her marker came back positive.

She can take the medicine.

She's one in a million.

Yes, she is.

You know, she scored another jackpot.

She got you as a mom.

What's this for?

Call her.

But I'm gonna sound like
the British voice thing?

No, no. No apps. Just you.

See what happens.

Hello?

Zoe?

How are you?

You don't sound like the phone.

You sound like...

my mommy.

I am.

I am your mommy.

I am. I am your mommy.

Sasha.

Come with me.

Dad!

Are you...

He's okay.

All of a sudden, his
inflammatory reaction slowed down.

It's rare. It's really rare.

Rowan is the luckiest
unlucky guy we've ever met.

I just had too much to live for.

Oh, buddy.

Check this out, huh?

Just like I promised.

- How do I sound?
- Super loud.

You bet he does.

What the hell did you do?

I went over your very tall head.

No, you wasted our resources.

I don't think it was a waste.

I think it made the difference.

What?

There is no medical
reason that man is alive.

But there he is.

You are a better doctor than you know.

Oh, I know exactly how good I am.

But it is a myth that
what we do is all science.

That man was about to die.

And then his son...

came and touched his
hand, and he came back.

Is that your apology?

I'm not sorry.

You'll have to fire me.

Oh, well, maybe I will.

Tomorrow.

I will fire you.

I can't believe you
hijacked a helicopter today.

Please. I've seen you hijack
an ambulance for a taco.

You came with me, remember?

No. I don't remember that at all.

Don't look now,

but you have nervous
residents at 2 o'clock.

I guess you two wanna know who I chose

for the Waverly University job.

- No. We're cool.
- Either way.

Good.

'Cause I already made my decision.

_