Saving Hope (2012–…): Season 1, Episode 10 - A New Beginning - full transcript

Charlie's initial M.R.I. showed signs

of a diffuse axonal injury.

His latest M.R.I. shows...
complete resolution,

and all the swelling has resolved,

as have all of the contusions.

His brain is now slack.

No tearing, no inflammation,
no sign of D.A.I.

Why isn't he waking up?

That is the mystery, Alex.

There's something we're not seeing.

And the last time you checked,



did you find anything else
in his medical records?

Think. Come on.

Chicken pox when he was 9,

and he dislocated his shoulder
playing football in university.

I know. I know. I know any
history of concussions?

No. I mean,

none that would have brought
him to the hospital, anyway.

One step forward. Two steps back.

Come on, guys. What are we missing here?

- Alex.
- Yeah.

- Hey.
- Huh?

The fact that Charlie's
breathing on his own...

- that's monumental.
- That's great news.

I know. I'm just...
I'm impatient, you know?



I... I'm happy he's come this far.

No, don't do that.
Don't... don't do that, Alex.

Don't settle. Don't be
happy with just this.

Hey, Charlie.

You're looking more like
your old self, Charlie.

Every day is one step closer
to bringing you back to me.

I've got rounds.

I love you, handsome.

And I love you.

Yep.

Hope I'm not interrupting anything.

No, Bryan, come on in.

Please.

- Sit down.
- How's everything going?

Really well. I was just going
over the quarterly reports,

and it looks like
we've decreased wait times

between cases in the O.R.

Well, that's what we like to hear.

I assume you heard about Charlie.

What, breathing on his own?
Wonderful news.

Really, for him and for Dr. Reid.

Still, the chances of
Charlie resuming his role

of chief of surgery are slim,

and the board has decided
that Hope Zion doesn't need

an interim chief of surgery.
We need an actual replacement.

I see. Mm-hmm.

We're opening
the position up across the country,

and I'd like you to have
your name in the mix.

In the mix.

Can I ask, is that just a formality?

Ah. It's just a process.

Anyway, posting's going up later today,

and we look forward to
receiving your application.

I'll let you get back to it.
Dana, I know you're very busy.

Thank you.

Thank you.

Okay, hit me. What's next?

Uh, well, let's go in
order of stupidity, okay?

We have a teenage girl who
swallowed so much pool water,

she's vomiting blood,

A water skier who impaled
himself on a tree branch,

and last but not least, a 300-pound man

with impacted stool due to overconsumption

of watermelon seeds.

You made that last one up, right?

You're right. He's probably 350 pounds.

Hmm.

What do you got, Joe?

Kendra Watt, 35-year-old female.
She's been seizing.

Laceration to her forehead,
bleeding profusely.

She's hypotensive, about 90 over 60,

tachycardic, and jaundiced.

I think that's
Dr. Kendra from that TV show.

How'd she cut herself?

Sir, I found her like this

when I went to pick her up this morning.

I'm her assistant, Kate.

- How long ago was that?
- Uh, maybe half an hour.

Okay.

Whoa!

That wound is superficial
it shouldn't still be bleeding.

Any idea what happened?

Um... well...

You're not gonna
get in trouble. Just say it.

- You've seen the show, right?
- Yeah, once or twice.

Well, Kendra's a very spiritual person,

and last night she said
she wanted to expand her mind.

So she took mushrooms.

- Could be Amanita poisoning.
- What's that?

Amanita Phalloides is also
known as the death cap.

Easily mistaken for magic mushrooms.

Your boss is showing all the symptoms

for fulminant liver failure.

All right, let's add in acetylcysteine

and F.F.P.
for the bleeding and whole blood.

Did you go on this trip with her, Kate?

No. No, no. Mushrooms aren't my thing.

So you're not gonna tell
anybody about this, right?

Because Kendra will be majorly
pissed if this comes out.

Like, pissed at me.

- Do you have any mushrooms left?
- I brought some just in case.

Great. Thanks. Find a myocologist

so we can identify them. In the meantime,

let's do blood work, C.B.C., coags,

L.F.T.S, and ammonia levels,

and, um, oh, you know what?
Call the hepatologist

and get him to contact
the liver transplant team.

What? What, y-you have
to do a liver transplant?

It may be the only way to save her life.

1x10
- A New Beginning -

How is he?

He's good. I need to figure
out why he's still under,

- but, uh, he's-he's great.
- Good.

Uh... Look, Alex,
I-I know you're disappointed

about losing chief resident.

Well, I am. I can't lie.

But...

I hope you don't feel
like I'm punishing you.

I don't.

The truth is, I can't give
you what you need right now.

You made the hard call, and I accept it.

Okay. Well... Thank you
for being so professional.

You're welcome.

But when Charlie is out of the woods,

I'm gonna wanna revisit this.

And so you should, and...

I am really happy about Charlie.

Thank you.

Nothing's working, Dr. Miller.
Her vitals are down.

- She's hypotensive.
- No, no, no.

No, doctor, she cannot die.

She's seizing.

Hepatic encephalopathy.

I got no pulse. All right, start C.P.R.

Give me an amp of epi, stat. And bag her.

Get the intubation equipment ready.

Saline's running. I.V.'s wide open.

Pause for rhythm check.

No pulse.

Pulseless electrical activity.
All right, resuming C.P.R.

Give me an amp of atropine.

No one can see me.

None of you...

can... see me.

Oh, my god.

This is amazing.

Boo!

Oh! So... uh, you can see me.

- Yeah.
- But why?

Is... This is my trip, and...

why are you here,
and why are you wearing a tuxedo?

Your-your trip?

I'm expanding my mind.

Ohh.

Oh, I wish this was your trip.

Okay.

That is... actually quite profound.

What?

Okay, gonna make the first
incision longitudinally

over the F.C.U. in
the distal half of the forearm.

Then I'm going to to
transect the F.C.U. tendon

from the pisiform and detach it
as far distally as I can.

Knife.

Joel? Everything okay?

Uh...

Oh.

I can't do this.

Uh, my hand's cramping. I actually...

Uh, you're gonna have to find
yourself another orthopod.

This is your surgery.

I know. I'm sorry.

Victor, will you call Dr. Simons?

- Have him come to the O.R.
- I'm on it.

So how'd it go in there?

Surgery was successful.

Function fully restored
to the wrist and thumb.

You were missed.

Yeah, well, the last thing I wanted to do

was to operate on a patient
with a compromised hand.

You know, Dana, I know I said
I should come back to work,

but I really think that I need
to take a leave of absence.

Joel, it's okay.
You just need to clear your head,

take a little break.

What's your schedule like for the day?

Um, I had scheduled a knee arthroscopy

and a hip replacement.

Oh, Simons can cover those.
You're coming with me.

I'm coming with you where?

You ever heard
of a little town called Elsinore?

I've read "Hamlet."

Ha ha. Different Elsinore.
I grew up there.

I'm doing a C.M.E.

I don't know...

I do.

You need to clear your head,
and I can use your help.

You go get a toothbrush,

grab an extra shirt from your locker.

You meet me at my car in 30 minutes, okay?

Little road trip. It'll be fun.

So you're in a coma.

Yep, three months now,
but my neurosurgeon says

my brain is healing nicely,
and I could wake up any day now.

- What happened?
- Car accident.

Oh. Limo driver?

Surgeon. Publicist?

- I have two.
- Hmm?

I'm a therapist. Might have seen my show.

Dr. Kendra.

Dr. Phil. Dr. Oz. Dr. Kendra.

So when you say you're a doctor...

I'm a licensed psychiatrist.

You don't just play one on TV?

That's hilarious.

Uh, so... what now?

Oh, well, now I guess your brain readjusts

and you stop seeing me.

Oh, so you've done this before...

- interacted with people...
- Coma patients, dead people.

A psychic once. He was an ass.

- Dead people?
- Yeah.

Wow. Well... You don't think that I'm...

I don't know. Uh, what's
the last thing you remember?

I was... in my condo.

I'd just taken mushrooms.

Things got a bit unpleasant,
and then I wound up here.

Unpleasant how?

I threw up a couple of times.

Why am I here?

Tom, I just... uh,
I wanted to say congratulations

on becoming chief surgical resident.

Thank you.

Now I know this must be awkward for you

because it's incredibly
awkward for me, but I...

Why would it be awkward for me?

174. That makes it...

A full 120 pounds
gone forever. Buh-bye!

Congratulations, Doug. And I probably

shouldn't say this, but you look hot.

Oh, please, stop.

No, actually, don't stop.
Keep going. Tell me more.

Dr. Reid,
you have created a monster.

Yeah, well, I spent
the first 28 years of my life

sitting on my ass eating
fast food and watching TV.

You've given me a new
lease on life, Dr. Reid,

and I'm, uh, I'm running with it.

Dougie, turn it off, please. Half an hour.

It's okay if you need to talk.

Oh, talk. Is that what the boys are doing

on your little app? Are they talking?

It's like facebook for gays.

Except for

instead of friending people, you...

Oh, yeah, okay. I...

It's a harmless ego boost. That's all.

Because hello... mission accomplished.

That's the best way to fall in love...

with your best friend.

After he loses half
his body weight, of course.

So, Doug, let's go over
the rest of your test results.

Everything looks good.
B12 levels are fine.

Cholesterol's normal.

Iron's a bit low, so we should
work on getting that back up.

Mm-hmm.

But other than that,
if there's anything else...

Mm.

- Okay.
- Doug.

She's not my G.P.
She's my surgeon.

That's okay. What's up?

I was at the gym a couple weeks ago,

on the pec deck, when my hand slipped,

and the bar fell on my chest.

It doesn't hurt anymore,

but it feels a little
swollen on the left side.

Well, it's probably
just soft tissue damage.

But just hop up on the table there.

You can take your shirt off,
and I'll, uh, have a look.

Here we go.

It is a little swollen.

- Tender?
- Mm.

Yeah?

Hmm.

What's wrong?

I'm just gonna check something out,

and I will be right back. Hang tight.

I was doing a chest exam
on a patient just now.

- Kinky.
- Not really.

- He dropped a barbell on it a couple week.
- Kinkier.

When I got to his nipple and pressed,

there was red discharge.

- Steroids.
- Steroids?

Yep. Roids lead to gynecomastia,

which can lead to nipple discharge.

Your patient's probably juicing. Thanks.

Yeah, she didn't make it. Hey.

- Hey.
- Where are you going?

- Uh, field trip with Kinney.
- Field trip?

Mm-hmm. It's like a continuing
medical education thing.

I'll be back tomorrow.

Tomorrow. Lucky you.

What, is that a problem?

Have you seen the posting?

They're looking for
a new chief of surgery.

Yeah, we already have a chief of surgery.

We have an interim chief of surgery,

so is Kinney going on a field trip,

or is she looking for a new job?

Well, that would be gossip.

[ ♪ You Make Me Feel So Good ♪
by Clarence Nelson plays ]

♪ I feel so good all the time ♪

♪ I need you here by my side ♪

How long have you been doing this?

- What, the C.M.E.S?
- Yeah.

I don't know. About ten years?

You know, it just gives the surgeons

in these small towns a chance
to update their skill sets,

- and...
- That's cool.

Yeah.

Tell me something. Why is the hospital

looking for a new chief of surgery?

The posting's up already, yeah?

Yeah.

Well, they're not looking for
a new chief, necessarily.

- I mean, I'm in the mix.
- You're in the mix.

- Come on.
- And, yeah, well, it's a big job, Joel.

Right, which you've been
doing incredibly well at.

Now there's a process when
you hire the chief of surgery.

I understand that there's a process.

- It's called find
- the best person for the job.

How is that not you? I just...

Well...

I mean, with your experience
and track record and performance

it just feels, uh, it just feels wrong.

Well, it was never a done deal, all right?

So I apply, and hopefully I get it.

See, I never figured
you were so gallant, Joel.

I'm not.

Trust me, I'm not.

♪ I feel so cruel ♪

♪ I need you here by my side ♪

♪ oh, honey, you make me
feel so good ♪

♪ the love you feel ♪

♪ so good now ♪

♪ oh, if you... ♪

So this is where you grew up.

This is where I grew up.

Remind me to stock up on my quilts, fudge,

and maple sugar while I'm here.

Dana?

- Stephanie?
- I'm in shock.

- I did not expect to run into you today.
- Oh, my gosh!

- Wow.
- I thought you and John were out west.

Well, we were, but we moved back
two years ago with the girls.

- Oh, my god.
- This is home again.

And I'm just overnight working.
If I'd known you were here,

- I would have e-mailed.
- Don't worry about it.

Can you drop by for dinner,
see the new place?

Yeah, absolutely.

Listen, I'll tell you what.
As soon as I'm finished here,

- I'll give a call. We'll make a plan.
- Okay, but you don't have my number.

- Are you listed?
- Of course I'm listed.

- Fantastic.
- Dr. Kinney.

So wonderful to finally meet you.

Oh, wonderful to meet you, too.
I'm not Dr. Kinney.

- This is, uh, Dana Kinney right here.
- Better let you go.

Okay, bye. Bye-bye.

Uh, I am so sorry.

- I-I presumed that...
- That's fine.

It's one of those names...
can be either/or.

So you ready for us to talk your ears off?

Only if you teach us how
to sign them back on.

I've done drugs. I'm not gonna lie,

but I have never taken steroids.

And a year ago, you didn't
look like Chris Evans, either.

That's because I've been working out.

Dr. Reid, I swear I'm clean.

Okay, you need to respect
that a gastric bypass

isn't just a cosmetic procedure.

Steroids can cause cancer.

They can cause cardiovascular problems.

- And shrunken gonads.
- Yes.

Okay, I got it. Why are
you even asking me this?

Because nipple discharge is a sign,

and when I pressed on your chest,
that's what happened.

So, please, let me run some more tests.

I'll figure out what's going on.

Okay. Sure.

My diagnosis is that he's suffering injury

to his C5 and C6,

possibly a nerve root avulsion.

- That's a classic brachial plexus injury.
- So how do you fix it?

Normally, I'd send him down
to you in the big city.

Actually, he does have
an appointment with us

later this month.

Well, right now Craig is
your case study, so...

Okay, well, depending on the damage,

I'd graft the nerves.

- Mm-hmm.
- Why wouldn't you transfer?

It's been proven to be more effective

at restoring the strength.

- Transfers can lead to complications.
- Not if you do them right.

Actually, both methods work.
If you were going to...

What would you do, Dr. Kinney?

I would use the spinal accessory nerve

to graft the C5 and C6 nerve roots,

and then I'd perform a F.C.U.
to the E.C.R.B. transfer

to address the loss of wrist dorsiflexion.

As a matter of fact,
I've just published a paper on this

in the "journal of plastic
and reconstructive surgery"

if you'd like to read up on the procedure.

All right, Dr. Carson,

so let's talk about how
we do a nerve graft.

I'm dead.

Yeah.

Sorry.

You guys can take her down to the morgue.

I know I should be handling this better,

but... I'm not.

Yeah, so we're gonna have
to send out a press release.

Uh, "Dr. Kendra Watts,
expert in her field,"

"died at age..."

35. I'm 35.

I know.
She's not like a real doctor,

but it's a press release,
so she can't come off like a hack.

A hack?

- A hack?! I am not a hack!
- Whoa, calm down, calm down.

- I have a degree. I have two degrees.
- I-I know. I get that.

- That ungrateful little...
- I know.

She didn't even know how to use

- a fax machine.
- She can't hear you.

- So let it go.
- She didn't know what a latte was.

Let it go. Let it go.

Let it go.

Go.

Whoa.

When I wake up in, like,
12 hours from now,

and I'm done this trip...

You're not gonna wake up, Kendra.

Sorry.

So... what now?

Uh, now you move on to
whatever happens next,

but if you're sticking around,
and it kinda looks like you are,

it's usually for a reason.

What kind of reason?

Well, you took mushrooms.

Oh, god. Shrooms.

Oh! My god. What an idiot I am.

Who am I? Some undergrad who
just read William Burroughs

for the first time?

God, I could die of embarrassment

if I wasn't already dead.

Why'd you take them, Kendra?

Because we just shot the hundredth episode

of my TV show,
and you know what the topic was?

No.

Celebrity baby names.

Okay.

Celebrity baby names.
I am a serious therapist.

I got into this business
to help people, you know?

To help elicit real change,
and then suddenly,

I'm doing a show about
celebrity baby names.

So I just thought, you know,
I need to get out of myself

and gain perspective and
focus again on what's real

and then suddenly, I'm dead.

And now I'm a bigger joke
dead than I was alive.

So... why are you here?

Not sure I understand the question.

Well, you are stuck here
and not in your body. Why?

Uh... traumatic brain injury.

But you said you were healing.

I am, but there's something
the doctors are missing.

Perhaps there's something... unresolved?

You rotate the flap over

and suture the z-plasty into place.

- You wanna give that a try?
- Okay.

Do you want a coffee?

Yeah, thank you.

Dr. Kinney, thank you
for coming out today.

Oh, my pleasure. You've got
a fine group of surgeons.

Thank you.

- Can I ask you something, though?
- Of course.

Why do you only have one
woman on your staff?

I mean, women make up more
than half the medical students

- in this country...
- Look, Dana,

I would love to hire
more women if I could,

but the fact is, do you have
any idea how difficult it is

- for me to recruit to a rural hospital?
- Why?

And women doctors
eventually start families.

That's the reality, and then
they don't come back to work.

I have two children.

Well, then you're the exception,
aren't you?

Look, I'm not saying it's not fair...

It's more than unfair.
It's discrimination.

Well, interpret it however you want.

Fact is, when I hire a surgeon,
I wanna keep that surgeon.

You work in a very different
world, Dr. Kinney.

Actually, no, I don't.

Dr. McBride here.

Oh, hey, Christy. What's up?

No, I'm not at the hospital.

What?

Okay, I'll be right there.
Did you call 9-1-1?

Good. Okay. Bye-bye.

- What's up?
- Hey, is everything okay?

Uh, an accident downtown.
A truck hit a pedestrian.

- Do you want our help?
- Uh, yeah, come on.

Oh, thank god, Ronnie.
She's trapped under there.

Stephanie.

Stephanie. Stephanie, can you hear me?

Squeeze my hand if you can hear me.

Okay, good. Don't try and talk.

You're gonna lie still. It's okay.

We're gonna get you out of here.

Okay, multiple polytrauma
to her face, her legs.

No external bleeding.

Truck must be acting as a tourniquet,

Preventing her from bleeding out.

How much does this thing weigh?

10 tons, at least.
Too heavy to lift hydraulically.

And we can't drag it off her,
not with her underneath it.

We need a crane, something to lift it.

She's losing her airway.
We have to crike her.

Ambulance is at least 15 minutes
away over in Springmount.

15 minutes? We don't have 15 minutes.

Okay, I need a first aid
kit and an oxygen tank.

- I've got a first aid kit.
- Her face is fractured.

She'll have teeth and debris
in the back of her throat.

We're gonna have to go in below.

Needle crike? I've never done one.

Neither have I, not on a real patient.

Joel, I still need that first aid kit.

Do you have a first aid
kit in there, please?

It's okay. It's gonna be okay.

Okay.

All right. How's that leg?

Well, I can't see all of it.

It's a partial traumatic amputation,

open femur fracture.

She's degloved.

Here.

Okay, that's perfect.

We're gonna do this fast and dirty.

Cover and uncover.

Oxygen goes into her chest,

comes out here.

Syringe.

Steph? It's gonna help you breathe, okay?

There.

Okay. Hold steady.

Attach the tubing to the needle.

Open it to 15 liters per minute.

Okay, we just bought her 20 minutes.

Where is she? Mom!

- It's okay. Come here.
- No!

Mom!

You need to stay back.
You need to stay back.

- Okay.
- Emma, it's okay.

It's okay.

Doug, your ultrasound results
came back in from the imaging.

It looks like the pain and
swelling in your chest

may be a tumor... Breast cancer.

Breast cancer? I'm a guy.

Men can get breast cancer, too.

It's rare, but if you
have a family history,

or if you're overweight.

So this is god's way
of punishing me for being fat?

No, are-are you sure, Dr. Reid?
This couldn't be something else?

The only way to know for
sure is to do a biopsy.

It's simple. I stick a needle in,

get a sample, then I take it to the lab

and they test it for cancer cells.

- Okay?
- Okay.

Okay.

So, first things first.
I'm gonna numb the area.

- Ready?
- Mm-hmm.

Needle and ultrasound, please.

Got it. Great.

You might wanna look away.

Mm. You're gonna hear

a little pop as
the needle removes the sample.

There you go. All done.

Just put a rush on the sample, okay?

Why?

Breast cancer's found late in men
because nobody's looking for it.

So the faster we deal
with this, the better.

Okay.

It won't be long.

This is not some after
school job at McDonald's.

You cannot show up late
for your shift. Hey!

Not even five minutes. Understood?

Go.

Hey, Reycraft.

Listen, I know it's frustrating

when doctors are late for work,

but next time, just take
him to task in private.

- Alex.
- Yeah.

- You're no longer chief surgical resident.
- I know that.

Good, then I hope you won't feel the need

to tell me how to do my job.

Wouldn't dream of it.

Kendra, I appreciate that
you're trying to help,

but the whole unresolved thing

is usually reserved for the dead,
not the living.

Oh, yeah, 'cause you seem
really alive right now.

I'm guessing you haven't been
in therapy before.

No, I'm a surgeon,
and we tend to like to fix things

and not talk about them.

Well, I'm a therapist,

and we like to fix things by
talking about them.

- Don't be scared.
- I'm not scared.

Okay. So all we're gonna do
is talk and try to figure out

if there's anything keeping you here

other than your physical injuries.

- Is that right?
- Sure. Yeah.

- Okay. Ready?
- Yeah.

What is your biggest regret?

I don't believe in regrets.
I have made mistakes.

Okay. So what's your biggest mistake?

I... married the wrong woman.

- Mm.
- But I fixed that. I found the right one.

- And is she waiting for you?
- Yes, she is.

So you have everything
to live for in the physical plane.

Yes.

- But you're stuck here.
- Mm-hmm.

Why?

Traumatic brain injury.

Charlie, you have gotta stop
thinking like a surgeon.

Expand your mind.

Dig deeper.

I'm sorry. I just...
I'm not used to thinking that way.

I just... Not easy.

We're gonna try something
a little different.

Have you ever heard of bioenergetics?

No.

Well, lucky for you, I have.

It's a body-based therapy

designed to help connect
your mind to your body.

- Ready?
- Yeah.

Why are you stuck here?

- What are you doing?
- Why are you stuck here?

Uh, because I'm not a neurologist.

It's not my area of expertise.

That is not an answer.
If you don't wake up, what happens?

Uh, I guess I stay here
until my body dies.

Okay. And how does that make you feel?

- Uh, Kendra...
- Come on, Charlie.

Come on. Say it.

Like, this isn't a life.
Like I... like-like I...

Um, uh, I can't do anything.
I can't even... I can't, uh,

I can't even change these clothes.

Okay, then how does that make you feel?

Scared, okay?! Angry!

Terrified!

- Like I've been cheated.
- Okay.

Okay, like it's a big cosmic joke.

So why won't you wake up?

Because I have a traumatic brain injury.

That is not an answer!
Why won't you wake up?!

- Because.
- Because why?

- Because.
- Tell me why.

- Because...
- Come on. Just say it.

You're on the verge of saying it.

- Why won't you wake up?
- Because I don't wanna wake up!

Makes no sense.

It's okay. It's a feeling.
It doesn't have to make sense.

But, Charlie, some part of
you is keeping you here,

and we need to figure out why.

Is it easier to stay here? Charlie.

Charlie.

I don't know.

You do know. This is your feeling.

Charlie, come on.
Stay with me. Look at me.

Charlie, look at me.

I'm sorry.

This isn't getting me anywhere.

What about that new hockey arena

they're building over in Paisley?

They're using a crane for that?

I've got a woman pinned
under a damn tow truck.

Yes, it's important!

- Mom? Hello?
- It's okay.

- Hello?
- It's okay, sweetheart. It's okay.

She's losing consciousness.

- Shock?
- Heart's racing.

She wasn't before. Give me the tubes.

80 palpitations.

Ohh.

- She's bleeding out.
- From where? Not her leg.

Lungs are clear.
It's gotta be in the belly.

I mean, an S.G.A. bleed? Broken pelvis.

I'm not gonna know anything
till we get to the O.R.

She's dying.

Ronnie, talk to me.

Great. Thanks. We've got a crane,

but it's gonna take 45
minutes to an hour...

- Forty...
- That's too long.

I'm sorry. What can I tell you?
It's the best we've got.

We need to cut her out.

You wanna amputate in the field?

I don't want to, but unless
we get her out from under there,

in the next 15 minutes, she's gonna die.

You wanna amputate her leg with a scalpel,

and you expect me
to get behind that plan? No way.

What's your backup? What's your "B" plan?

I say we keep giving her ringers

until we get the crane set up!

We can't, 'cause she's bleeding out
too fast... We... why don't we try?!

For us to support her.

- Cut off her leg?
- Because, listen, Ron, it's basic medicine.

- She bleeds out, and she dies.
- Okay, she's not... she's not.

- Okay, listen.
- We save her leg!

What do you want her to do? What?

Listen to me.

Look, I'm not one to back
away from a challenge.

you know me. What you're
proposing is potentially fatal.

It's okay.

All right, then that's on me.

I am making this call.

We are doing this.

I've known Stephanie my entire life,

and I am not gonna let her
bleed out on the street.

We need to tourniquet that leg.

Get me some clean towels and disinfectant.

This is insane.

It's the plan.

It's gonna be a guillotine operation.

I'll dissect right down to the bone.

Joel, I need you to get
control of all the bleeders.

Ronnie, you need to get them out of here.

- No, I'm not leaving her.
- Okay, shh, shh, shh.

She's out. Airway's secured.

It's running wide open. Betadine.

Tourniquet applied.

Scalpel.

Two fingers from the patella.
Fishmouth incision.

Get those clips ready.
They're gonna be a lot of blood.

Doug.

Where's Richard?

I don't know.

Do you wanna wait for him?

It's not going to be good news, is it?

The biopsy results
came back positive

for ductal infiltrating carcinoma,

which is the most common
type of male breast cancer.

Lucky me.

You know, ductal means
that the cancer originated

in the ducts of the breast.

And your tumor is almost
5 centimeters, which is large.

There is also a chance

that it has infiltrated the muscle wall,

which means I'll have to
remove some lymph nodes

to see if the cancer is metastatic.

- And if it is?
- Chemo.

Radiation. But first,
we need to perform a mastectomy.

And then I'll get a breast implant.

You gotta take me from
an "A" cup to a "D"?

I realize that
this is a lot to take in right now...

No, this is ridiculous!

Richard and I were friends for ten years

before we hooked up.

It took 10 years and a 120 pounds.

Then he finally saw me in that way.

And now you want to mutilate me.

Doug, I really think that you...

He will leave me, Dr. Reid.

Maybe not right away, but he will.

Okay, we're down to the femur.

Joel, how do we get through that bone?

Saw's on its way from the hospital.

On its way?

Yeah. They say it's gonna
be here in ten minutes.

I am not losing my patient
because of a damn saw.

Joel, you're the orthopod.
Find something else.

Knife.

Those are bolt cutters.

Yeah.

Okay. Let's do this.

Okay, hit me with the betadine.

Now there's something
you don't see every day.

Okay, I'm holding 'em back.

Joel.

Yeah. Whatever's going
through your head right now,

you just let it go.

All right, you breathe in.
Breathe out. Make the cut.

Get her to the ambulance.

Don't worry about the stump, Ron.

Find the source of bleeding
and stop it, right?

Do you need us in the O.R.?

- I've got it. Dr. Kinney?
- Yeah.

Thank you.

- Yeah, just go.
- Will do.

That's great. Thank you, Ronnie.

Okay, I'll call back later. Okay.

- Good news?
- Great news. She's gonna be okay.

Oh, that's amazing.

Yeah. Ohh.

What? What are you laughing at?

You know, I was just thinking about
how I brought you here...

To relax and clear your head.

Yes, head cleared.

No kidding.

We cut off a woman's leg with
a scalpel and bolt cutters.

I need about nine more drinks.

It's the most insane thing I've ever done.

I don't believe that for a minute.

[ ♪ Feeling Good ♪
by The Sheepdogs plays ]

So today in the O.R.

What's going on there, huh?

Just went back
to surgery too soon.

Come on. It wasn't about your hand.
Your hand was fine.

You just couldn't make the cut.

And that's okay.

'Cause you just saw a guy shoot himself.

Sometimes it takes a while
to recover from that.

Yeah.

But when you needed to come through today,

boy, did you ever.

Oh, I wasn't the only one.

Man, you were large and
in charge out there.

I couldn't believe the way
you castrated that poor Ronnie guy.

You know what? That, what you just said...

That's the whole problem.

What?

I didn't castrate anyone. Right?

I did my job.

Yes, you did.

As soon as a woman exerts a little power,

she's a ball breaker.

What's that rumor around Hope Zee?

That I have a pee really?

- I've never said...
- Are you kidding?

I mean, so when men aren't ignoring us,

- they're demonizing us.
- Okay, I think you're being a little...

I've known Stephanie since I was 7.

Right? 7. And she's lying there,
bleeding to death on the street,

and no one's willing to
make a tough call except me.

And all I'm thinking about
when I'm cutting off her leg

is I said I'd call her today,
but I probably wouldn't have.

I'm not a good friend...

or a good mother.

I'm not even a good person half the time.

- You saved her life.
- I know.

I'm a good surgeon.

What I saw out there today...
it wasn't surgery.

It was inspired.

You don't have to say this, Joel.

No. It was insane, it was dangerous,

And it was monumentally sexy.

Shut up.

I think you're kind of amazing, Dana.

You're amazing.

You should probably acknowledge
it to yourself sometime.

No.

Give it to me.

- Hey, I wanna thank...
- Joel...

- Sorry.
- No, no.

- No, you go first.
- Go ahead.

- No, I was just gonna, you know...
- All right, all I...

I was just gonna say that, um...

well, that last night was...
was great, and...

- It was great.
- Yeah.

- Just...
- Yeah, really good.

- And, uh...
- but, you know,

it was last night.

It was last night, and... and today's...

- today.
- Yeah.

Yeah. Okay. So you're okay with that.

- I'm totally okay.
- Good.

I just didn't want you to feel...

I mean, embarrassed about it or...

What? No. No, not at all.
Not at all. No. You know?

Well, that's...

And thank you for everything...
this trip, everything.

No. Thank you.

For what?

Good morning.

Dr. Reid.

How are you feeling?

Groggy.

It'll pass.

Time for me to check the incision, okay?

- Just gonna move your arm out.
- Mm.

- Is that all right?
- Mm-hmm.

- No. I don't want him to see it.
- Okay.

Why? You think I'm gonna leave you?

I don't want you to pity me.

I don't.

I love you.

Here we go.

The incision looks good.

No sign of infection.

I'll be back to check on you. Just rest.

Thank you.

It's okay.

I love you.

Let me guess. Surgical lube?

In both my shoes.

Well, they hate me.

No, they just...

Do you want the truth?

Sure.

You're their boss.

And you're laying that on a little heavy.

Mm.

So I should be nicer.

Yes.

I mean, they're still gonna
hate you sometimes, but...

That's why you're so relaxed, huh?

Partly. It's lonely at the top.

But if you wanna buy me a coffee,

I might impart all of
my chief resident wisdom to you.

Does that mean you don't
want the job back?

I didn't say that.

Hey.

Hey.

How was your field trip?

I cut off a woman's leg
with a pair of bolt cutters.

Huh. Liar.

See ya.

Ah, there she is.

So where's that application?
Job posting's up.

- I'm not applying.
- Sorry?

I'm not
submitting an application

for a job I'm already doing...

and doing extremely well.

Uh, Dana, there's a process.

Right. And this is mine.
I've worked my ass off

for the past 15 years at this hospital,

the past three months as
interim chief of surgery.

That's my application.

That's my process.

And if that doesn't work for you,

good luck finding someone to replace me.

And that's that.

Yeah. I'm sorry, Kendra.

Wow.

This sucks.

I'm not even gonna try to
be philosophical about it.

So you ready to move on, or...

Actually, no, I have
some unresolved business

I need to attend to.

Charlie.

Come on.

Please?

Oh, god. You want me
to jump up on the slab?

If that makes you more comfortable.

- Charlie.
- Hmm?

Why don't you wanna wake up?

You know, that's the thing.

'Cause I want that more than anything.

So then what's stopping you?

What are you afraid of?

What's the source of all this pain?

I don't know what I'd do if I lost you.

You're not gonna lose me.

I'm not going anywhere.

You can't promise that.

Nobody can promise that.

Fine.

You're older than me.

You'll die before I do.

That make you feel better?

Yes, it does. Thank you.

I'll pine for you.

You know my parents died
when I was 6, right?

It was a car accident.

They, um...

they came into my room...

and they put me to bed...

and they kissed me good night.

And then my aunt came in the next morning

and... she told me that they were gone.

But after that, I shut down.

I didn't say one word to
anybody for a whole year.

Charlie, your heart is pounding.

I am not going anywhere.

Charlie, I am not a neurologist.

I don't know how comas work,

but I do know how the human mind works.

This is your mind's home turf.

If it doesn't want you to wake up,

then you need to fight it,
and you need to figure out why,

and once you get
the answer to that question,

you're gonna be one giant
step closer to going home.

How do I do that?

You gotta... open up.

Be brave.

Look at the parts of
you that you've hidden

in order to protect yourself.

You're no hack, Kendra.

- Really?
- Yeah.

Yeah. You helped me.

[ ♪ Bad Decisions ♪
by Carleton Stone plays ]

Thank you, Charlie.

You helped me, too.

♪ Babe, them arrows best be shot ♪

♪ 'Cause I'm back to
where you started from ♪

♪ And I thought nothing ever changes ♪