New Amsterdam (2018–…): Season 1, Episode 2 - Rituals - full transcript
Max focuses on making the hospital better and on his wife's condition while ignoring his own medical issues. Frome and Kapoor sue a school district over a young boy's psychiatric medication.
.
- Look, I know we haven't
talked in a while, but...
I have to tell you this, and...
I don't know,
you might not like it.
What do you get when you...
cross an elephant
with a rhino?
Elephino.
[chuckles]
Yeah.
That's my first dad joke.
Did you just kick?
Hi, Luna.
You know...
three months from now,
we get to do this in person.
It's pretty cool.
[whispering] Time for our song.
♪ Your love
♪ Is lifting me higher
♪ Than I've ever
♪ Been lifted before
♪ So keep it up
♪ Quenching my desire
♪ And I'll be at your side
forevermore ♪
Jackie Wilson:
♪ You know your love
- How can I help?
- Uh, well, there's
candy machines
in the pediatric ward.
You know what's not good
for kids before 9:00 a.m.?
- Does it start with C and end
with childhood obesity?
- Yes.
- Consider them gone.
[speaking Spanish]
I'm hiring six new therapists
with training in CBT and DBT.
And I'm starting
a patient advocacy division
because when I say things
like CBT and DBT,
patients have no idea
what I'm talking about.
Will this cost more money?
Yes, but...
who's with me?
[elevator bell dings]
- Ooh, uh, we need to talk
about my waiting room.
- Thought we got rid
of your waiting room.
- Well, the plan
was for nurses
to move patients
straight to beds.
- Okay, I'm not seeing
a problem.
- The plan requires nurses.
- Got it.
More nurses.
- ♪ And you know he never
showed his face again ♪
- [speaking Spanish]
- Health care
is the number one cause
of bankruptcy in America.
- Wow, you really know
how to bring things down,
don't you?
- Patients should know
that their...
hospital bills are negotiable.
[breathing heavily]
We should revise our
Patient Bill of Rights.
- Love that idea.
Way to bring things
back up again.
- Okay.
- We need to provide
better care
with fewer resources.
But I need your help.
I need your ideas.
Okay, I'm just gonna do this
until somebody speaks.
Is this jogging anybody's--
Anyone?
I'm gonna go ahead,
it's gonna become a robot now.
It's just gonna go
downhill from here.
I'll just keep on doing this.
Does anybody have anything,
just one idea?
- What about
group appointments?
- Thank God.
Yes. Please, share.
- You give people
with related issues
like diabetes
or high blood pressure
one shared appointment...
- ♪ And I'm so glad
♪ I finally found you
♪ Yes, my one
in a million girl ♪
♪ So I wrap
♪ My loving arms around you
♪ And I can stand up
♪ And face the world
[chuckles softly]
Time to go to work.
[sirens wailing]
- 32-year-old woman collapsed
with extreme
shortness of breath
and chest pain.
Heart rate 140,
respirations 34,
BP 90 over 60.
Took 100% O2 to keep
her sats over 90.
- Where's Reynolds?
Did anyone see what happened?
- I'm her father.
We were at a fund-raiser.
Jozette was
accepting an award.
Then she just shook and fell.
We didn't know what to do.
- What you got?
- Holosystolic blowing murmur
at the apex.
What took you so long?
- Well, I'm the department
chair now.
I've got stuff to do.
- Like what?
- As soon as I figure that out,
I'll let you know.
You're right.
Acute mitral regurgitation.
- Trauma One.
- Get a central line kit.
- Lisa, prepare me
a Levo drip.
- Titrate to systolic at 90.
- On the count of three.
both: One, two, three.
- Watch out.
- Yeah, oh, my gosh,
my girls tested
for their orange belts
last night in karate.
They're complete savages.
I had no idea.
I looked at--I took
a video of it.
Here. I'll show you.
Or wait, did I email it
to myself already?
- That's okay,
I can imagine it.
- Oh, okay.
Well, remind me
to show it to you later,
because it is
intensely cute.
[laughs]
Gosh, I'm always talking
about my kids.
What about you?
How come you never
talk about yours?
- I don't have any.
- Oh, I'm sorry,
I just assumed that you--
- Life had other plans for me,
and then it got too late.
- Okay, well...
speaking of which, based on
your extensive experience...
- You mean to say "old."
- Yes. Exactly.
How long do you think
this Max guy
can shake things up
before the dean steps in?
- Not long.
Dean of medicine does not like
things shaken up...
based on my
extensive experience.
- All right.
Leo. Hi.
How you doing?
I'm Dr. Frome.
But, uh,
you can call me Iggy,
all right?
No need to be so formal.
All right, so...
I had a chat with your mom,
and she told me that
you're having a hard time
staying awake
and that, uh, you've been
wetting the bed.
Is that right?
Okay.
No big deal,
you know?
We can get to the bottom
of this, easy-peasy.
Okay?
[soft music]
Let's see what
we're looking at here.
All right,
says here you've been on...
zotepine for the last
few years?
Is that right?
- Uh-huh.
- Did, uh, something
happen at school?
No? You sure about that?
'Cause zotepine, my friend,
that is...
that's big-time.
That is no joke.
Nothing happened that
you want to tell me about?
- No.
- Okay, cool.
Fair enough.
All right.
They've also got you on...
sertraline.
Huh.
Jeez.
And zolpidem.
Oh, my gosh, they have you
on atomoxetine as well.
Okay. I mean, uh...
who needs breakfast,
am I right?
Fistful of pills like that
every morning?
[gobbles]
♪
Yeah. And I see that, um...
[clears throat] You also...
you lost your dad
a few years back?
Yeah.
Yeah, that's really tough.
I'm sorry.
You know what, Leo?
I want to try
something different.
Instead of adding
more medication
to your already
impressive roster,
why don't we try this
for a plan?
Let's take you off
all of your medication.
- I just want to know how much
this is gonna cost me.
- I'm sorry, but I can't
tell you that.
- So I can compare prices
on my Subaru
and not on my wife's
double bypass?
- You know, it's funny,
Congress actually
made it illegal for hospitals
to disclose prices to you,
so it's the only industry
in America
with a noncompete
clause, but...
call your congressperson.
Resist!
- You're running late.
- For what?
- For everything.
- Dora, I'm educating patients.
- You're inciting riots.
Dean of medicine
called again.
- Pass.
- You can't keep
ignoring him, Max.
When you fire half the staff,
disembowel an entire hospital,
you have to expect your boss
is gonna be on you--
- To what?
Re-bowel it?
Sounds gross, doesn't it?
- Max!
- Dr. Sharpe,
back in the trenches.
How's reentry?
- I wouldn't know.
You didn't show up to your
appointment this morning.
- Well, I had
a department chair meeting.
Which you missed, I believe.
- Because we had
an appointment.
- What--how--did I forget
something?
- No, no, just, uh,
Dr. Sharpe and I
have a little thing.
Very, uh, informal.
- It's not informal.
It's quite serious.
- How serious?
- Not very.
I'm taking care of it.
- Are you?
- Mm-hmm.
- Have you eaten today?
- Does espresso count?
- Dora, would you mind
getting him an apple?
- An apple?
- Mm.
He'll be in my office.
- Uh, can't.
I got a full schedule.
- Your 2:00 p.m.
just canceled.
- Thank you, Dora.
Thought you were
getting me an apple.
- Max.
You have can--
- We have 1,500 patients.
I don't have time
to be one of them.
- You better find the time
before you run out of it.
.
- One of the valves
that controls the flow of blood
through Jozette's heart
is broken,
and blood is backing up
into her lungs,
which is why she can't breathe.
- But how could this happen?
Jozette is strong.
She's an aid worker
for the people of Haiti.
- I have to get to Jean-Rabel.
- This week, a mudslide
hit our village.
So many people have died.
- That might explain
what happened.
- You thinking
takotsubo syndrome?
- Yeah.
- Yeah.
- That sounds bad.
- Another name for it
is, uh, broken heart syndrome.
The mudslide may have caused
Jozette so much grief
that it actually made
her heart beat so hard that
it tore the muscles
that hold it together.
- I hate to feel helpless.
- I'm sorry.
[cell phone buzzes]
- Well, the good news is,
I can fix a broken heart.
Now, we're gonna get you
prepped for surgery
and get you home
as fast as we can.
- First may we perform
a Gad Ko?
- I'm sorry, a what?
- It's a protection ritual.
We make a cut in the skin,
rub in herbs.
- Oh, no, that's out
of the question.
Any cuts to the skin
can introduce infection, so...
- Gad Ko attaches
Lwa to me.
Protects me from accidents.
- Okay, look, Jozette,
there won't be any accidents,
all right?
Now, if you'll excuse me,
I have to prep for surgery.
- It's true.
He used to be energetic.
Silly.
- Yeah.
- But you--you can't just
take him off of all
of his medications.
Doesn't he need them?
- Honestly, I don't know.
I don't know what he needs.
He's on so many
counterintuitive drugs,
I can't see the real issue.
I want to try
behavioral therapy.
Talk therapy.
- He had, um...
outbursts at school--
physical.
And when the school
psychiatrist
started him on the zotepine,
they completely stopped.
- That drug may have succeeded
in curbing your son's behavior,
but it did nothing to address
the underlying issues.
- Zotepine also causes
lethargy, apathy.
So when he was
prescribed a stimulant,
that led to his sleep issues.
- And accelerated
his weight gain,
which developed into
Type 2 diabetes.
- That's why he's
wetting the bed.
He has diabetes...
because of the drugs
that he's on.
- My God, I didn't...
I didn't know.
I mean, they told me
that he needed them.
I was just--I was trying
to help him.
- Of course you were.
That's what we all
would have done.
- Yes, absolutely.
I'm sorry, I just...
[clears throat]
Let me pull him off the meds.
You know, let me talk to him.
I really just want
to talk to him.
When was the last time
you saw your son smile?
- Dora, are you stalking me?
- It's definitely beginning
to feel that way, isn't it?
Dr. Sharpe's office called.
- I got pulled into OB.
- Tell that to Dr. Sharpe.
I got you an apple.
- You know, I'm really more
of a Golden Russet kind of guy.
- Maybe keep that to yourself.
- What do you have against
Golden Russets?
- Nothing, my issue
is with people
who can identify
Golden Russets.
- Dr. Reynolds.
- What up?
- Now eat the apple.
- Got you an apple.
Uh, also, I got a call from
Jozette Pampil's family?
Apparently they're upset
that you won't let them
perform some kind of
protection ritual?
- That's correct.
- Even though they believe
it's gonna help keep
your patient safe from harm?
- You fired the entire
cardiac surgical department
because of the high
infection rates,
and now you want me to let
a family member
cut open my patient
and put dirt in her wound?
- Well, a superficial wound
with a sterile blade
under your supervision.
- Is this my call,
or are you overstepping me?
- It's your call.
- Good.
Then no one's cutting open
my patient but me, okay?
Hello.
- She's ready to go.
- All right. Wow.
Expeditions to the North Pole
traveled lighter, huh?
[alarms beeping]
- Looks like V-fib.
- There's no pulse.
- Defibrillator.
- 200 joules.
- All clear.
[machine jolts]
[alarms continue beeping]
[monitor beeping steadily]
Okay, got her back.
- I'll back off the Levophed.
That should stabilize her.
- You're good?
- Yeah.
Whew.
[alarms beeping]
- Back in V-fib!
- I don't have a pulse.
- Let's go 300.
[alarms continue beeping]
- All clear.
[machine jolts]
[alarms continue beeping]
Okay, I got her back.
What the hell?
[monitor beeping steadily]
- She's too unstable
for transport.
- Maybe you should
do the ritual.
- Because Leo is on
multiple medications,
we must devise a regimented
detox program.
- Mm-hmm.
- The stimulant should leave
his system overnight,
but the psychoactive
medication
will require
gradual tapering.
What, you don't agree?
- No, no, I do. I do.
Just, um, for whatever
it's worth,
I think you would have made
a really good dad.
- No, I wouldn't have.
- Why do you say
these crazy things?
- A word, you two?
- Let me ask you something.
Don't you think Kapoor
would have made,
like, a totally rad dad?
- Uh, Dr. Villarreal, this is--
- Look at this dad face.
- This--hey!
This is Dr. Kapoor,
head of our
neurology department,
and this is Dr. Frome,
head of our psych department.
Gentlemen, this is
Dr. Villarreal.
She's the psychiatrist for all
the public schools in Queens.
- Including Leo Chen's.
His mother alerted me
to the changes
you're making to his treatment.
- Yes, we were just discussing
his detox schedule.
- Well, you should know
that if Leo Chen
stops taking his medication,
he'll no longer be admitted
back into his school
or, for that matter,
any New York public school.
- I'm sorry,
how can you force a child
to take medication?
- Easy, it's the law.
- Prohibition on Mandatory
Medication Amendment.
It passed in 2004.
It is illegal
for public schools
to force a student to take
a controlled substance
to attend class.
- Unless the mother signed
an Individualized
Education Plan
agreeing to the medication.
- She did?
- It's right there.
- Not only are
these medications
causing Leo physical harm,
but nobody has studied
their long-term
side effects, also.
- Well, the school board
doesn't seem to agree with you.
- Max, I can get through
to this kid, just not
with all the drugs in the way.
- Okay, okay.
You really feel
that you can help this kid?
- I do.
- And you think you can
wean him off the drugs safely?
- He does.
What? You gotta talk faster.
- I do.
- Then present your evidence
to a judge.
If you believe this is
the best thing
for your patient,
prove it.
Take the New York
public school system to court.
- This pacing wire
should get her stable
long enough to get her
to the OR.
- Or you could do the ritual.
- If I believed in rituals,
I would have become a shaman,
not a surgeon.
- You're about to fix
her heart valve.
If I were you, I'd take
all the help I could get.
- You know,
if a patient feels like
they've got to chant
or knock on wood
or get their prayer warrior
to lay hands on them
before I operate,
then that means
they don't trust me,
you know?
They don't have faith
in my abilities.
[monitors beeping steadily]
- Normal paced rhythm
with capture.
- See? Pacing wire
is all the faith I need.
[alarms beeping]
- [gasps]
- O2 sats are falling!
- Jozette, I'm gonna sit you up
so you can breathe.
- [gasping]
I hear rales.
- Edema?
- Backing up in her lungs
because of that valve.
Here, toss me the furosemide.
- I'm already on it.
[alarms continue beeping]
You know, that's gonna take
a while to dry out her lungs.
- Well, I can't operate
until I get this under control.
- So then maybe you do
the ritual.
- Don't.
Don't even say it.
[monitor beeping steadily]
- Okay, look, uh,
the ritual isn't even
about you
or what you believe
or your abilities.
It's about her.
It's about what she believes,
what she needs.
I mean...
why can't you just
give her that?
- So, Millie,
I've read your file.
- [chuckles]
Not so good, huh?
- Well, your chemotherapy
hasn't been as effective
as everyone hoped.
Starting tomorrow,
I'd like to put you
on a different regimen.
- [sighs]
- I wish I could offer
better news.
- [sighing] No.
It's okay.
Well, at least
I got to meet you.
- Sorry?
- I've seen you on TV.
- Oh.
- If I had known
I was gonna meet
the real Dr. Helen today,
I would have done my nails.
[chuckles]
- Your nails look fine, Millie.
- No.
None of me looks fine.
[snorts]
I look like a cue ball.
Like a little, shrunken,
nubby-nailed cue ball.
Hell, I tried to wear a wig.
It just kept falling off.
That was...
embarrassing.
Even my kids made fun of me--
which I let them,
because it blows off
steam, and...
I figured if...
they were laughing,
they wouldn't be
thinking about me
keeling over dead.
I just wish
everything didn't
make me nauseous.
Food makes me nauseous.
[speech fading and echoing]
At first, I thought, "Well,
I just won't eat anything,
so what could I throw up?"
[heartbeat thumping]
I was wrong.
- I'm sorry.
Will you ex-excuse me?
I need a moment.
[somber music]
♪
- You okay, Dr. Helen?
- Yep, I just need, um--
I just need my diary.
[sighs]
.
[siren wailing]
- Please tell me
you're joking.
Green Jell-O?
- Well, yeah, but...
we make the food
this bad on purpose
so that nobody wants to stay.
- Well, it's working.
- Yeah.
Tell you what.
I have an apple.
- What about you?
- I'll be all right.
How are you?
- Don't you have
more important patients to see?
- Nope.
- Max. Go.
- Look, I just wanted
to tell you
that I'm not the same...
as that last job.
I can be here...
for you,
with you.
- Max.
It's not just...
Look, even when you
were there, you weren't.
[cell phone buzzes]
- I, um...
[cell phone buzzes]
Sorry, I have to--
- Go.
- [sighs]
- But when you come back,
let me in.
- Promise.
- Thank you for doing this.
I had no idea this was
even possible.
- Yeah, yeah.
You know what?
New Amsterdam was actually
the first hospital
to put a courtroom
in the building
so we could, um, advocate for
our patients in real time,
which is pretty neat.
Leo, come on through here.
You know, in the, uh, 1940s,
uh, New York was having a bit
of a mental health moment,
if you will, and, um,
this psych department
was completely overworked
and underfunded and...
uh, exactly like it is today,
come to think of it.
- [clears throat]
- Oh, right, sorry.
Time to shut up now.
- Mr. Bishop, as Dr. Frome
already knows,
I like to keep
my court informal,
so we're just going to jump in
unless you have any objections.
- None, Your Honor.
- Dr. Kapoor,
we'll start with you.
I've read the file.
You have a course of treatment
you want me to rule on.
I get that.
Tell me why
all this is necessary.
- Good morning, Your Honor.
Leo Chen is only ten years old,
and he's on four different
medications,
many with very damaging
side effects.
But none of the medications
are actually
treating his root problem.
- Which is what?
- Uh, we don't know.
I mean...
we won't until Dr. Frome
can provide the therapy
Leo needs.
- And you don't think
that's possible
while he's medicated?
- Overmedicated.
I don't envy
Dr. Villarreal's position.
She's responsible
for the mental health
of more than 3,000 students.
Prescribing medication
is faster
than painstakingly evaluating
each individual
student's needs.
- That's quite an indictment.
- It's not meant to be.
It's simply the reality
of the situation.
There are too many children
in the public school system
in need of psychological help
and not enough mental health
professionals to help them.
- But you think you
and Dr. Frome can.
- Yes.
In a way that won't
further endanger
Leo's physical health.
We shouldn't have
to choose between
the physical and mental
well-being of our children.
Thank you.
- [singing in Creole]
[shakers rattling,
bells ringing]
[monitors beeping steadily]
[women singing]
[solemn music]
♪
♪
[shakers rattling]
♪
[women chanting]
[shakers rattling]
- All right.
Let's get her to the OR.
[soft music]
♪
Let's go slow.
[monitors beeping steadily]
♪
[sighs]
♪
- The ritual worked.
- Just don't tell Bloom.
♪
- Hey, how's it going?
- Oh, my gosh, so good.
Kapoor nailed it, man.
He was like a slow, bald
ninja out there.
- Nice.
- Ready, Your Honor.
- Okay, let's start with...
the treatment plan
Dr. Kapoor lays out
in Leo's file
seems very reasonable.
What's wrong with it?
- I'm sure it sounds
reasonable, Your Honor,
on paper.
But I'm sorry,
if Leo Chen is taken off
his medications,
he poses a significant threat
to the rest
of the student population.
- That's an exaggeration.
- If I may, Your Honor,
this is video footage
of an incident
at school prior
to Dr. Villarreal
prescribing the medications
in question.
- [clears throat]
[indistinct chatter]
[solemn music]
♪
[blow lands,
students screaming]
[students yelling]
♪
[students shouting, jeering]
[students screaming]
♪
- You're right about
one thing, Dr. Kapoor.
I am responsible
for over 3,000 children,
and I have to protect
the physical well-being
of them all.
.
- Hey.
- They told me
there was a fight.
But I have
never seen
that video before,
and I just--I don't...
- I know.
It's okay.
I know this looks bad.
- I'm not sure "bad" is
the right word to describe it.
- But what we saw on that tape
was rage.
Okay, and there's usually
a reason for rage.
It's, uh--it's situational.
It's not chemical.
- How will you prove that?
- Well...
just give me a second, okay?
I'll be right back.
So listen, Leo.
Do you think maybe
you could tell the judge
what you felt that day?
You know what I mean?
You can tell her
why you did what you did...
in your own words.
Okay.
He can't.
Not on all these meds.
There's no way.
There's just--there's no way.
- There may be one.
- "Thank whatever gods may be
"for my unconquerable soul.
"In the fell clutch
of circumstance...
I have not winced,
nor cried aloud."
- I heard you did the ritual.
I'm glad it helped.
- I'm pretty sure
it was the Levophed,
the pacing wire,
and the furosemide that helped.
- How many times did you,
uh, scrub each finger?
- What?
- How many times?
- Ten.
- Hmm.
Why not 9 or, uh, 11?
Superstition?
- Routine.
- What was that thing
you were reciting earlier?
- "Invictus."
- Oh. Do you always
recite "Invictus"
while scrubbing in?
- I do.
- Kinda like a prayer.
- Mm. Habit.
- Ritual.
Loosen up, Dr. Reynolds.
Not everything's gonna go
according to your plan.
Or everyone.
[machine buzzes]
- Wanna tell me
what's going on?
- Rapid detox dialysis.
- I heard that.
I can see that.
And then I thought,
"Surely they can't be
crazy enough
"to do something like that
in the middle
of court proceedings."
- It's the fastest way
to get psychotropic drugs
out of Leo's system.
- Right, but if we
lose this case,
they are not gonna let Leo
back into school.
- You told us to put
the patient first.
That's what we are doing.
Off these medications,
Iggy will be able
to work with him.
- Yeah, if he can't,
do you have any idea
the kind of liability you are
opening this hospital up to?
- Oh, I see.
- What?
- It's about now
the new medical director
gets his first visit
from the dean of medicine.
Or did the dean already come?
- There you are.
They need you in Hematology,
and you owe Dr. Sharpe a call.
- So patient first
or job first?
- I think we broke him.
- [sighs]
- If you're looking
for a hideout,
this one's taken.
- Who are you running from?
- Patients.
You?
- Doctors.
One in particular.
- [chuckles]
- I shouldn't be here.
- Well, that makes two of us.
I really didn't expect to care
this much.
- That's exactly why
you should be here.
- What about you?
- I made a promise...
to my wife...
that I would slow down.
Before this,
I ran a clinic in Chinatown,
and it almost broke us.
I mean, Georgia...
Georgia couldn't go
through that again.
And I promised that...
she wouldn't have to.
I promised her
that I would be there...
So we could start a family.
So I asked Georgia if
she would slow down with me,
to stop dancing,
a career that she loved,
that she's really,
really good at.
She did...
for me...
to be a mom, you know.
So we got pregnant,
and then
I got the call
about New Amsterdam.
If Chinatown was K2,
then New Amsterdam was...
Everest.
And who can resist
climbing Everest?
- Lots of people.
- I wish I were one of them.
But I said yes...
without telling Georgia.
She didn't like that.
- You betrayed her.
But that doesn't mean
that you don't belong here.
I mean, the changes you've made
are gonna help
thousands of people.
- What about the one
I married?
- Oh, Max.
You haven't told her that you
have cancer, have you?
What are you waiting for?
- To not have cancer?
- You can't carry this load
by yourself--
not as a medical director,
not as a patient,
certainly not as a husband
or father.
You've been telling everyone,
"Put the patient first,"
so why don't you take
your own advice?
Consider this
your first appointment.
And your first order
of business
is to tell your wife
that you have cancer.
- [sighs]
.
- Hey, John,
how am I doing on my suction?
- Good.
- Okay.
Okay, can you give me a 2-0
polyester on a stick?
All right.
There we go.
Snip.
- That should hold nicely.
- That's the goal.
Okay, go ahead
and restore blood flow
from the bypass machine
through the heart.
- Unclamping the aorta...
now.
- Hmm.
Sutures holding.
Blood flow should...
stimulate the heart to start
beating on its own.
- I'm not seeing anything
on monitors.
- Okay, let's give it
a little help.
Okay, here we go.
Charge to 20.
Clear.
[machine jolts]
- No visible beat.
- Let's do it again.
Clear.
[machine jolts]
- Still no heartbeat.
- Gonna need
something stronger.
Intracardiac high-dose EPI.
Give me 10 mls and a syringe.
- Dr. Reynolds.
- I need it now, people.
[suspenseful music]
♪
- Leo, can you tell
Judge Hayashi what you told me?
It's okay.
She's a friend.
- It was my fault.
- What was your fault, Leo?
- My dad died.
My fault.
- Can you tell us the rest?
- We were going
to Sheep's Meadow...
in the park.
That's where we went
to build LEGOs.
- Then what happened?
- Forgot them...
the LEGOs.
So my dad went back
to get them.
And he didn't come back.
- And you live on
a fifth-floor walk-up, right?
Yeah, sometimes it was
hard for his dad
to walk all those stairs.
He had asthma and a...
heart condition.
And that day when he
reached the top,
he had a heart attack.
And Leo found him.
- And the video?
Can you tell me what happened?
- Ryder...
he always said
I should be dead
like my dad.
That day,
I finally...
I had to make it stop.
- [sighs]
What are you proposing,
Dr. Frome?
- Well...
[clears throat]
Leo needs to be able to process
all this displaced guilt.
And he can't do that
when he's buried
in a drug-induced haze.
He needs to be able to feel.
He needs to be able
to talk to somebody.
[clears throat]
Let him talk to me.
Let me help him.
- Charged to 20.
- Clear.
[machine jolts]
All right, paddles in place.
- How long do we keep this up?
- Paddles in place!
Nurse, loupes!
- Charged to 20.
- Clear!
[machine jolts]
- Still nothing.
- Dr. Reynolds.
Do we call it?
[tense music]
♪
What are you doing?
- Trying cardiac massage.
- That's not going to work.
- All I need is one beat.
Just one.
Come on.
- Dr. Reynolds.
Dr. Reynolds.
- Hold on, no.
I think I feel something.
I feel something.
- Are you sure?
[music swells]
[monitor beeping steadily]
[heartbeat thumping]
- She's back.
- You did it.
[heartbeat continues thumping]
[monitor continues beeping]
- So...
The Gad Ko worked.
[soft music]
- [sighs]
♪
[soft acoustic music]
♪
- ♪ Back down
♪
♪ Down to the downtown
♪ Down to the lockdown
♪ Boards, nails lie around
♪ I crouch like a crow
♪ Contrast in the snow
♪ For the agony
♪ I'd rather know
♪ 'Cause blinded
♪ I am
♪ Blindsided
♪
♪ Peek in
♪
♪ Into the peer in
[line rings]
- Please leave your message.
[beep]
- [speaking Hindi]
I know it's been a long time.
Too long.
Please call back.
I'm here.
- ♪ I am
♪ Blindsided
♪
♪ Would you really rush out?
♪ Would you really
rush out? ♪
- Max.
- Hi.
- How is she?
- Better, but I'm
still concerned.
She needs to be on bed rest
until she stops spotting.
- Okay.
- She can't be put
under any stress--
physical or emotional.
It could hurt her
and the baby.
Understand?
- Yeah.
- ♪ Would you really rush
for me now? ♪
- [sighs]
- ♪ Taut line
♪
♪ Down to the shoreline
♪
- Hey.
- ♪ The end of a bloodline
- What's wrong?
♪
- ♪ The moon is a cold light
♪
- I, um...
I...
[grunts, clears throat]
- Hey.
Remember?
You promised...
to let me in.
♪
- ♪ 'Cause blinded
- Just tell me one thing.
Just one true thing.
♪
- ♪ Blinded
- I love you.
- ♪ I was
♪ Blindsided
♪
♪ Blinded
♪ I was
♪ Blindsided
- Look, I know we haven't
talked in a while, but...
I have to tell you this, and...
I don't know,
you might not like it.
What do you get when you...
cross an elephant
with a rhino?
Elephino.
[chuckles]
Yeah.
That's my first dad joke.
Did you just kick?
Hi, Luna.
You know...
three months from now,
we get to do this in person.
It's pretty cool.
[whispering] Time for our song.
♪ Your love
♪ Is lifting me higher
♪ Than I've ever
♪ Been lifted before
♪ So keep it up
♪ Quenching my desire
♪ And I'll be at your side
forevermore ♪
Jackie Wilson:
♪ You know your love
- How can I help?
- Uh, well, there's
candy machines
in the pediatric ward.
You know what's not good
for kids before 9:00 a.m.?
- Does it start with C and end
with childhood obesity?
- Yes.
- Consider them gone.
[speaking Spanish]
I'm hiring six new therapists
with training in CBT and DBT.
And I'm starting
a patient advocacy division
because when I say things
like CBT and DBT,
patients have no idea
what I'm talking about.
Will this cost more money?
Yes, but...
who's with me?
[elevator bell dings]
- Ooh, uh, we need to talk
about my waiting room.
- Thought we got rid
of your waiting room.
- Well, the plan
was for nurses
to move patients
straight to beds.
- Okay, I'm not seeing
a problem.
- The plan requires nurses.
- Got it.
More nurses.
- ♪ And you know he never
showed his face again ♪
- [speaking Spanish]
- Health care
is the number one cause
of bankruptcy in America.
- Wow, you really know
how to bring things down,
don't you?
- Patients should know
that their...
hospital bills are negotiable.
[breathing heavily]
We should revise our
Patient Bill of Rights.
- Love that idea.
Way to bring things
back up again.
- Okay.
- We need to provide
better care
with fewer resources.
But I need your help.
I need your ideas.
Okay, I'm just gonna do this
until somebody speaks.
Is this jogging anybody's--
Anyone?
I'm gonna go ahead,
it's gonna become a robot now.
It's just gonna go
downhill from here.
I'll just keep on doing this.
Does anybody have anything,
just one idea?
- What about
group appointments?
- Thank God.
Yes. Please, share.
- You give people
with related issues
like diabetes
or high blood pressure
one shared appointment...
- ♪ And I'm so glad
♪ I finally found you
♪ Yes, my one
in a million girl ♪
♪ So I wrap
♪ My loving arms around you
♪ And I can stand up
♪ And face the world
[chuckles softly]
Time to go to work.
[sirens wailing]
- 32-year-old woman collapsed
with extreme
shortness of breath
and chest pain.
Heart rate 140,
respirations 34,
BP 90 over 60.
Took 100% O2 to keep
her sats over 90.
- Where's Reynolds?
Did anyone see what happened?
- I'm her father.
We were at a fund-raiser.
Jozette was
accepting an award.
Then she just shook and fell.
We didn't know what to do.
- What you got?
- Holosystolic blowing murmur
at the apex.
What took you so long?
- Well, I'm the department
chair now.
I've got stuff to do.
- Like what?
- As soon as I figure that out,
I'll let you know.
You're right.
Acute mitral regurgitation.
- Trauma One.
- Get a central line kit.
- Lisa, prepare me
a Levo drip.
- Titrate to systolic at 90.
- On the count of three.
both: One, two, three.
- Watch out.
- Yeah, oh, my gosh,
my girls tested
for their orange belts
last night in karate.
They're complete savages.
I had no idea.
I looked at--I took
a video of it.
Here. I'll show you.
Or wait, did I email it
to myself already?
- That's okay,
I can imagine it.
- Oh, okay.
Well, remind me
to show it to you later,
because it is
intensely cute.
[laughs]
Gosh, I'm always talking
about my kids.
What about you?
How come you never
talk about yours?
- I don't have any.
- Oh, I'm sorry,
I just assumed that you--
- Life had other plans for me,
and then it got too late.
- Okay, well...
speaking of which, based on
your extensive experience...
- You mean to say "old."
- Yes. Exactly.
How long do you think
this Max guy
can shake things up
before the dean steps in?
- Not long.
Dean of medicine does not like
things shaken up...
based on my
extensive experience.
- All right.
Leo. Hi.
How you doing?
I'm Dr. Frome.
But, uh,
you can call me Iggy,
all right?
No need to be so formal.
All right, so...
I had a chat with your mom,
and she told me that
you're having a hard time
staying awake
and that, uh, you've been
wetting the bed.
Is that right?
Okay.
No big deal,
you know?
We can get to the bottom
of this, easy-peasy.
Okay?
[soft music]
Let's see what
we're looking at here.
All right,
says here you've been on...
zotepine for the last
few years?
Is that right?
- Uh-huh.
- Did, uh, something
happen at school?
No? You sure about that?
'Cause zotepine, my friend,
that is...
that's big-time.
That is no joke.
Nothing happened that
you want to tell me about?
- No.
- Okay, cool.
Fair enough.
All right.
They've also got you on...
sertraline.
Huh.
Jeez.
And zolpidem.
Oh, my gosh, they have you
on atomoxetine as well.
Okay. I mean, uh...
who needs breakfast,
am I right?
Fistful of pills like that
every morning?
[gobbles]
♪
Yeah. And I see that, um...
[clears throat] You also...
you lost your dad
a few years back?
Yeah.
Yeah, that's really tough.
I'm sorry.
You know what, Leo?
I want to try
something different.
Instead of adding
more medication
to your already
impressive roster,
why don't we try this
for a plan?
Let's take you off
all of your medication.
- I just want to know how much
this is gonna cost me.
- I'm sorry, but I can't
tell you that.
- So I can compare prices
on my Subaru
and not on my wife's
double bypass?
- You know, it's funny,
Congress actually
made it illegal for hospitals
to disclose prices to you,
so it's the only industry
in America
with a noncompete
clause, but...
call your congressperson.
Resist!
- You're running late.
- For what?
- For everything.
- Dora, I'm educating patients.
- You're inciting riots.
Dean of medicine
called again.
- Pass.
- You can't keep
ignoring him, Max.
When you fire half the staff,
disembowel an entire hospital,
you have to expect your boss
is gonna be on you--
- To what?
Re-bowel it?
Sounds gross, doesn't it?
- Max!
- Dr. Sharpe,
back in the trenches.
How's reentry?
- I wouldn't know.
You didn't show up to your
appointment this morning.
- Well, I had
a department chair meeting.
Which you missed, I believe.
- Because we had
an appointment.
- What--how--did I forget
something?
- No, no, just, uh,
Dr. Sharpe and I
have a little thing.
Very, uh, informal.
- It's not informal.
It's quite serious.
- How serious?
- Not very.
I'm taking care of it.
- Are you?
- Mm-hmm.
- Have you eaten today?
- Does espresso count?
- Dora, would you mind
getting him an apple?
- An apple?
- Mm.
He'll be in my office.
- Uh, can't.
I got a full schedule.
- Your 2:00 p.m.
just canceled.
- Thank you, Dora.
Thought you were
getting me an apple.
- Max.
You have can--
- We have 1,500 patients.
I don't have time
to be one of them.
- You better find the time
before you run out of it.
.
- One of the valves
that controls the flow of blood
through Jozette's heart
is broken,
and blood is backing up
into her lungs,
which is why she can't breathe.
- But how could this happen?
Jozette is strong.
She's an aid worker
for the people of Haiti.
- I have to get to Jean-Rabel.
- This week, a mudslide
hit our village.
So many people have died.
- That might explain
what happened.
- You thinking
takotsubo syndrome?
- Yeah.
- Yeah.
- That sounds bad.
- Another name for it
is, uh, broken heart syndrome.
The mudslide may have caused
Jozette so much grief
that it actually made
her heart beat so hard that
it tore the muscles
that hold it together.
- I hate to feel helpless.
- I'm sorry.
[cell phone buzzes]
- Well, the good news is,
I can fix a broken heart.
Now, we're gonna get you
prepped for surgery
and get you home
as fast as we can.
- First may we perform
a Gad Ko?
- I'm sorry, a what?
- It's a protection ritual.
We make a cut in the skin,
rub in herbs.
- Oh, no, that's out
of the question.
Any cuts to the skin
can introduce infection, so...
- Gad Ko attaches
Lwa to me.
Protects me from accidents.
- Okay, look, Jozette,
there won't be any accidents,
all right?
Now, if you'll excuse me,
I have to prep for surgery.
- It's true.
He used to be energetic.
Silly.
- Yeah.
- But you--you can't just
take him off of all
of his medications.
Doesn't he need them?
- Honestly, I don't know.
I don't know what he needs.
He's on so many
counterintuitive drugs,
I can't see the real issue.
I want to try
behavioral therapy.
Talk therapy.
- He had, um...
outbursts at school--
physical.
And when the school
psychiatrist
started him on the zotepine,
they completely stopped.
- That drug may have succeeded
in curbing your son's behavior,
but it did nothing to address
the underlying issues.
- Zotepine also causes
lethargy, apathy.
So when he was
prescribed a stimulant,
that led to his sleep issues.
- And accelerated
his weight gain,
which developed into
Type 2 diabetes.
- That's why he's
wetting the bed.
He has diabetes...
because of the drugs
that he's on.
- My God, I didn't...
I didn't know.
I mean, they told me
that he needed them.
I was just--I was trying
to help him.
- Of course you were.
That's what we all
would have done.
- Yes, absolutely.
I'm sorry, I just...
[clears throat]
Let me pull him off the meds.
You know, let me talk to him.
I really just want
to talk to him.
When was the last time
you saw your son smile?
- Dora, are you stalking me?
- It's definitely beginning
to feel that way, isn't it?
Dr. Sharpe's office called.
- I got pulled into OB.
- Tell that to Dr. Sharpe.
I got you an apple.
- You know, I'm really more
of a Golden Russet kind of guy.
- Maybe keep that to yourself.
- What do you have against
Golden Russets?
- Nothing, my issue
is with people
who can identify
Golden Russets.
- Dr. Reynolds.
- What up?
- Now eat the apple.
- Got you an apple.
Uh, also, I got a call from
Jozette Pampil's family?
Apparently they're upset
that you won't let them
perform some kind of
protection ritual?
- That's correct.
- Even though they believe
it's gonna help keep
your patient safe from harm?
- You fired the entire
cardiac surgical department
because of the high
infection rates,
and now you want me to let
a family member
cut open my patient
and put dirt in her wound?
- Well, a superficial wound
with a sterile blade
under your supervision.
- Is this my call,
or are you overstepping me?
- It's your call.
- Good.
Then no one's cutting open
my patient but me, okay?
Hello.
- She's ready to go.
- All right. Wow.
Expeditions to the North Pole
traveled lighter, huh?
[alarms beeping]
- Looks like V-fib.
- There's no pulse.
- Defibrillator.
- 200 joules.
- All clear.
[machine jolts]
[alarms continue beeping]
[monitor beeping steadily]
Okay, got her back.
- I'll back off the Levophed.
That should stabilize her.
- You're good?
- Yeah.
Whew.
[alarms beeping]
- Back in V-fib!
- I don't have a pulse.
- Let's go 300.
[alarms continue beeping]
- All clear.
[machine jolts]
[alarms continue beeping]
Okay, I got her back.
What the hell?
[monitor beeping steadily]
- She's too unstable
for transport.
- Maybe you should
do the ritual.
- Because Leo is on
multiple medications,
we must devise a regimented
detox program.
- Mm-hmm.
- The stimulant should leave
his system overnight,
but the psychoactive
medication
will require
gradual tapering.
What, you don't agree?
- No, no, I do. I do.
Just, um, for whatever
it's worth,
I think you would have made
a really good dad.
- No, I wouldn't have.
- Why do you say
these crazy things?
- A word, you two?
- Let me ask you something.
Don't you think Kapoor
would have made,
like, a totally rad dad?
- Uh, Dr. Villarreal, this is--
- Look at this dad face.
- This--hey!
This is Dr. Kapoor,
head of our
neurology department,
and this is Dr. Frome,
head of our psych department.
Gentlemen, this is
Dr. Villarreal.
She's the psychiatrist for all
the public schools in Queens.
- Including Leo Chen's.
His mother alerted me
to the changes
you're making to his treatment.
- Yes, we were just discussing
his detox schedule.
- Well, you should know
that if Leo Chen
stops taking his medication,
he'll no longer be admitted
back into his school
or, for that matter,
any New York public school.
- I'm sorry,
how can you force a child
to take medication?
- Easy, it's the law.
- Prohibition on Mandatory
Medication Amendment.
It passed in 2004.
It is illegal
for public schools
to force a student to take
a controlled substance
to attend class.
- Unless the mother signed
an Individualized
Education Plan
agreeing to the medication.
- She did?
- It's right there.
- Not only are
these medications
causing Leo physical harm,
but nobody has studied
their long-term
side effects, also.
- Well, the school board
doesn't seem to agree with you.
- Max, I can get through
to this kid, just not
with all the drugs in the way.
- Okay, okay.
You really feel
that you can help this kid?
- I do.
- And you think you can
wean him off the drugs safely?
- He does.
What? You gotta talk faster.
- I do.
- Then present your evidence
to a judge.
If you believe this is
the best thing
for your patient,
prove it.
Take the New York
public school system to court.
- This pacing wire
should get her stable
long enough to get her
to the OR.
- Or you could do the ritual.
- If I believed in rituals,
I would have become a shaman,
not a surgeon.
- You're about to fix
her heart valve.
If I were you, I'd take
all the help I could get.
- You know,
if a patient feels like
they've got to chant
or knock on wood
or get their prayer warrior
to lay hands on them
before I operate,
then that means
they don't trust me,
you know?
They don't have faith
in my abilities.
[monitors beeping steadily]
- Normal paced rhythm
with capture.
- See? Pacing wire
is all the faith I need.
[alarms beeping]
- [gasps]
- O2 sats are falling!
- Jozette, I'm gonna sit you up
so you can breathe.
- [gasping]
I hear rales.
- Edema?
- Backing up in her lungs
because of that valve.
Here, toss me the furosemide.
- I'm already on it.
[alarms continue beeping]
You know, that's gonna take
a while to dry out her lungs.
- Well, I can't operate
until I get this under control.
- So then maybe you do
the ritual.
- Don't.
Don't even say it.
[monitor beeping steadily]
- Okay, look, uh,
the ritual isn't even
about you
or what you believe
or your abilities.
It's about her.
It's about what she believes,
what she needs.
I mean...
why can't you just
give her that?
- So, Millie,
I've read your file.
- [chuckles]
Not so good, huh?
- Well, your chemotherapy
hasn't been as effective
as everyone hoped.
Starting tomorrow,
I'd like to put you
on a different regimen.
- [sighs]
- I wish I could offer
better news.
- [sighing] No.
It's okay.
Well, at least
I got to meet you.
- Sorry?
- I've seen you on TV.
- Oh.
- If I had known
I was gonna meet
the real Dr. Helen today,
I would have done my nails.
[chuckles]
- Your nails look fine, Millie.
- No.
None of me looks fine.
[snorts]
I look like a cue ball.
Like a little, shrunken,
nubby-nailed cue ball.
Hell, I tried to wear a wig.
It just kept falling off.
That was...
embarrassing.
Even my kids made fun of me--
which I let them,
because it blows off
steam, and...
I figured if...
they were laughing,
they wouldn't be
thinking about me
keeling over dead.
I just wish
everything didn't
make me nauseous.
Food makes me nauseous.
[speech fading and echoing]
At first, I thought, "Well,
I just won't eat anything,
so what could I throw up?"
[heartbeat thumping]
I was wrong.
- I'm sorry.
Will you ex-excuse me?
I need a moment.
[somber music]
♪
- You okay, Dr. Helen?
- Yep, I just need, um--
I just need my diary.
[sighs]
.
[siren wailing]
- Please tell me
you're joking.
Green Jell-O?
- Well, yeah, but...
we make the food
this bad on purpose
so that nobody wants to stay.
- Well, it's working.
- Yeah.
Tell you what.
I have an apple.
- What about you?
- I'll be all right.
How are you?
- Don't you have
more important patients to see?
- Nope.
- Max. Go.
- Look, I just wanted
to tell you
that I'm not the same...
as that last job.
I can be here...
for you,
with you.
- Max.
It's not just...
Look, even when you
were there, you weren't.
[cell phone buzzes]
- I, um...
[cell phone buzzes]
Sorry, I have to--
- Go.
- [sighs]
- But when you come back,
let me in.
- Promise.
- Thank you for doing this.
I had no idea this was
even possible.
- Yeah, yeah.
You know what?
New Amsterdam was actually
the first hospital
to put a courtroom
in the building
so we could, um, advocate for
our patients in real time,
which is pretty neat.
Leo, come on through here.
You know, in the, uh, 1940s,
uh, New York was having a bit
of a mental health moment,
if you will, and, um,
this psych department
was completely overworked
and underfunded and...
uh, exactly like it is today,
come to think of it.
- [clears throat]
- Oh, right, sorry.
Time to shut up now.
- Mr. Bishop, as Dr. Frome
already knows,
I like to keep
my court informal,
so we're just going to jump in
unless you have any objections.
- None, Your Honor.
- Dr. Kapoor,
we'll start with you.
I've read the file.
You have a course of treatment
you want me to rule on.
I get that.
Tell me why
all this is necessary.
- Good morning, Your Honor.
Leo Chen is only ten years old,
and he's on four different
medications,
many with very damaging
side effects.
But none of the medications
are actually
treating his root problem.
- Which is what?
- Uh, we don't know.
I mean...
we won't until Dr. Frome
can provide the therapy
Leo needs.
- And you don't think
that's possible
while he's medicated?
- Overmedicated.
I don't envy
Dr. Villarreal's position.
She's responsible
for the mental health
of more than 3,000 students.
Prescribing medication
is faster
than painstakingly evaluating
each individual
student's needs.
- That's quite an indictment.
- It's not meant to be.
It's simply the reality
of the situation.
There are too many children
in the public school system
in need of psychological help
and not enough mental health
professionals to help them.
- But you think you
and Dr. Frome can.
- Yes.
In a way that won't
further endanger
Leo's physical health.
We shouldn't have
to choose between
the physical and mental
well-being of our children.
Thank you.
- [singing in Creole]
[shakers rattling,
bells ringing]
[monitors beeping steadily]
[women singing]
[solemn music]
♪
♪
[shakers rattling]
♪
[women chanting]
[shakers rattling]
- All right.
Let's get her to the OR.
[soft music]
♪
Let's go slow.
[monitors beeping steadily]
♪
[sighs]
♪
- The ritual worked.
- Just don't tell Bloom.
♪
- Hey, how's it going?
- Oh, my gosh, so good.
Kapoor nailed it, man.
He was like a slow, bald
ninja out there.
- Nice.
- Ready, Your Honor.
- Okay, let's start with...
the treatment plan
Dr. Kapoor lays out
in Leo's file
seems very reasonable.
What's wrong with it?
- I'm sure it sounds
reasonable, Your Honor,
on paper.
But I'm sorry,
if Leo Chen is taken off
his medications,
he poses a significant threat
to the rest
of the student population.
- That's an exaggeration.
- If I may, Your Honor,
this is video footage
of an incident
at school prior
to Dr. Villarreal
prescribing the medications
in question.
- [clears throat]
[indistinct chatter]
[solemn music]
♪
[blow lands,
students screaming]
[students yelling]
♪
[students shouting, jeering]
[students screaming]
♪
- You're right about
one thing, Dr. Kapoor.
I am responsible
for over 3,000 children,
and I have to protect
the physical well-being
of them all.
.
- Hey.
- They told me
there was a fight.
But I have
never seen
that video before,
and I just--I don't...
- I know.
It's okay.
I know this looks bad.
- I'm not sure "bad" is
the right word to describe it.
- But what we saw on that tape
was rage.
Okay, and there's usually
a reason for rage.
It's, uh--it's situational.
It's not chemical.
- How will you prove that?
- Well...
just give me a second, okay?
I'll be right back.
So listen, Leo.
Do you think maybe
you could tell the judge
what you felt that day?
You know what I mean?
You can tell her
why you did what you did...
in your own words.
Okay.
He can't.
Not on all these meds.
There's no way.
There's just--there's no way.
- There may be one.
- "Thank whatever gods may be
"for my unconquerable soul.
"In the fell clutch
of circumstance...
I have not winced,
nor cried aloud."
- I heard you did the ritual.
I'm glad it helped.
- I'm pretty sure
it was the Levophed,
the pacing wire,
and the furosemide that helped.
- How many times did you,
uh, scrub each finger?
- What?
- How many times?
- Ten.
- Hmm.
Why not 9 or, uh, 11?
Superstition?
- Routine.
- What was that thing
you were reciting earlier?
- "Invictus."
- Oh. Do you always
recite "Invictus"
while scrubbing in?
- I do.
- Kinda like a prayer.
- Mm. Habit.
- Ritual.
Loosen up, Dr. Reynolds.
Not everything's gonna go
according to your plan.
Or everyone.
[machine buzzes]
- Wanna tell me
what's going on?
- Rapid detox dialysis.
- I heard that.
I can see that.
And then I thought,
"Surely they can't be
crazy enough
"to do something like that
in the middle
of court proceedings."
- It's the fastest way
to get psychotropic drugs
out of Leo's system.
- Right, but if we
lose this case,
they are not gonna let Leo
back into school.
- You told us to put
the patient first.
That's what we are doing.
Off these medications,
Iggy will be able
to work with him.
- Yeah, if he can't,
do you have any idea
the kind of liability you are
opening this hospital up to?
- Oh, I see.
- What?
- It's about now
the new medical director
gets his first visit
from the dean of medicine.
Or did the dean already come?
- There you are.
They need you in Hematology,
and you owe Dr. Sharpe a call.
- So patient first
or job first?
- I think we broke him.
- [sighs]
- If you're looking
for a hideout,
this one's taken.
- Who are you running from?
- Patients.
You?
- Doctors.
One in particular.
- [chuckles]
- I shouldn't be here.
- Well, that makes two of us.
I really didn't expect to care
this much.
- That's exactly why
you should be here.
- What about you?
- I made a promise...
to my wife...
that I would slow down.
Before this,
I ran a clinic in Chinatown,
and it almost broke us.
I mean, Georgia...
Georgia couldn't go
through that again.
And I promised that...
she wouldn't have to.
I promised her
that I would be there...
So we could start a family.
So I asked Georgia if
she would slow down with me,
to stop dancing,
a career that she loved,
that she's really,
really good at.
She did...
for me...
to be a mom, you know.
So we got pregnant,
and then
I got the call
about New Amsterdam.
If Chinatown was K2,
then New Amsterdam was...
Everest.
And who can resist
climbing Everest?
- Lots of people.
- I wish I were one of them.
But I said yes...
without telling Georgia.
She didn't like that.
- You betrayed her.
But that doesn't mean
that you don't belong here.
I mean, the changes you've made
are gonna help
thousands of people.
- What about the one
I married?
- Oh, Max.
You haven't told her that you
have cancer, have you?
What are you waiting for?
- To not have cancer?
- You can't carry this load
by yourself--
not as a medical director,
not as a patient,
certainly not as a husband
or father.
You've been telling everyone,
"Put the patient first,"
so why don't you take
your own advice?
Consider this
your first appointment.
And your first order
of business
is to tell your wife
that you have cancer.
- [sighs]
.
- Hey, John,
how am I doing on my suction?
- Good.
- Okay.
Okay, can you give me a 2-0
polyester on a stick?
All right.
There we go.
Snip.
- That should hold nicely.
- That's the goal.
Okay, go ahead
and restore blood flow
from the bypass machine
through the heart.
- Unclamping the aorta...
now.
- Hmm.
Sutures holding.
Blood flow should...
stimulate the heart to start
beating on its own.
- I'm not seeing anything
on monitors.
- Okay, let's give it
a little help.
Okay, here we go.
Charge to 20.
Clear.
[machine jolts]
- No visible beat.
- Let's do it again.
Clear.
[machine jolts]
- Still no heartbeat.
- Gonna need
something stronger.
Intracardiac high-dose EPI.
Give me 10 mls and a syringe.
- Dr. Reynolds.
- I need it now, people.
[suspenseful music]
♪
- Leo, can you tell
Judge Hayashi what you told me?
It's okay.
She's a friend.
- It was my fault.
- What was your fault, Leo?
- My dad died.
My fault.
- Can you tell us the rest?
- We were going
to Sheep's Meadow...
in the park.
That's where we went
to build LEGOs.
- Then what happened?
- Forgot them...
the LEGOs.
So my dad went back
to get them.
And he didn't come back.
- And you live on
a fifth-floor walk-up, right?
Yeah, sometimes it was
hard for his dad
to walk all those stairs.
He had asthma and a...
heart condition.
And that day when he
reached the top,
he had a heart attack.
And Leo found him.
- And the video?
Can you tell me what happened?
- Ryder...
he always said
I should be dead
like my dad.
That day,
I finally...
I had to make it stop.
- [sighs]
What are you proposing,
Dr. Frome?
- Well...
[clears throat]
Leo needs to be able to process
all this displaced guilt.
And he can't do that
when he's buried
in a drug-induced haze.
He needs to be able to feel.
He needs to be able
to talk to somebody.
[clears throat]
Let him talk to me.
Let me help him.
- Charged to 20.
- Clear.
[machine jolts]
All right, paddles in place.
- How long do we keep this up?
- Paddles in place!
Nurse, loupes!
- Charged to 20.
- Clear!
[machine jolts]
- Still nothing.
- Dr. Reynolds.
Do we call it?
[tense music]
♪
What are you doing?
- Trying cardiac massage.
- That's not going to work.
- All I need is one beat.
Just one.
Come on.
- Dr. Reynolds.
Dr. Reynolds.
- Hold on, no.
I think I feel something.
I feel something.
- Are you sure?
[music swells]
[monitor beeping steadily]
[heartbeat thumping]
- She's back.
- You did it.
[heartbeat continues thumping]
[monitor continues beeping]
- So...
The Gad Ko worked.
[soft music]
- [sighs]
♪
[soft acoustic music]
♪
- ♪ Back down
♪
♪ Down to the downtown
♪ Down to the lockdown
♪ Boards, nails lie around
♪ I crouch like a crow
♪ Contrast in the snow
♪ For the agony
♪ I'd rather know
♪ 'Cause blinded
♪ I am
♪ Blindsided
♪
♪ Peek in
♪
♪ Into the peer in
[line rings]
- Please leave your message.
[beep]
- [speaking Hindi]
I know it's been a long time.
Too long.
Please call back.
I'm here.
- ♪ I am
♪ Blindsided
♪
♪ Would you really rush out?
♪ Would you really
rush out? ♪
- Max.
- Hi.
- How is she?
- Better, but I'm
still concerned.
She needs to be on bed rest
until she stops spotting.
- Okay.
- She can't be put
under any stress--
physical or emotional.
It could hurt her
and the baby.
Understand?
- Yeah.
- ♪ Would you really rush
for me now? ♪
- [sighs]
- ♪ Taut line
♪
♪ Down to the shoreline
♪
- Hey.
- ♪ The end of a bloodline
- What's wrong?
♪
- ♪ The moon is a cold light
♪
- I, um...
I...
[grunts, clears throat]
- Hey.
Remember?
You promised...
to let me in.
♪
- ♪ 'Cause blinded
- Just tell me one thing.
Just one true thing.
♪
- ♪ Blinded
- I love you.
- ♪ I was
♪ Blindsided
♪
♪ Blinded
♪ I was
♪ Blindsided