Saving Hope (2012–…): Season 1, Episode 5 - Out of Sight - full transcript
Ysidro Pineda. 33.
Migrant worker from Honduras working
in a chicken processing
plant in north bay.
Both hands amputated
5 centimeters proximal to the wrist
by a factory blade.
- Injury occurred at 6:47 this morning.
- Alex, look at me.
He lost a lot of blood
and was hypertensive when
the paramedics arrived.
You saw me the other day and you
said my name.
Every minute of ischemia
that his hands suffered...
Just turn your head and look at me.
Functional outcome.
Clean cut. Hands put on ice.
What's the timeline on this?
We've got 12 hours to replant,
from the time of amputation.
Or?
Pump all the blood you
want back into the hands.
It'll be too late.
Exactly, so minus travel
time from North Bay,
we have eight hours before
this man's hands die.
Dr. Goran, can you outline our approach?
Yes, uh, two teams, one per hand,
ortho, vascular, and plastics.
Uh, Dr. Kinney will lead one team.
I will lead another, but this is
Dr. Kinney's surgery.
Does anyone know
how many successful
double-hand replantations
have been done in this
city in the past decade?
Reid. Dr. Reid.
What? Sorry. What?
The answer is none, Dr. Reid.
Enjoying your nap?
So Dr. Kinney and I will pick teams.
How long till the patient gets here?
Medevac's schedule to land at 11:00.
Then he'll be brought
straight here by ambulance.
If you're chosen for a team,
you'll get a page.
This is big... for Hope-Zee, for all of us.
The clock's ticking.
Don't worry. You weren't snoring.
Thanks.
Uh, excuse me. Excuse me.
Dr. Kinney, I am so,
so sorry that I fell asleep.
It won't happen again.
Oh, no biggie. You know,
I fell asleep during a surgery once.
Go home. Get some rest.
Home.
Right.
Thank you.
That poor guy. He comes up here
to make money to send back to his family,
and it costs him both his hands.
That's rotten luck.
You're his only chance
at a normal life, Joel.
Oh, me and about nine other men and women.
I would do anything to
get in on that surgery.
Anything.
I don't know.
It kinda feels like you're using me here.
Mm. Yeah. I am.
For your body.
Seriously, Joel.
I'll do anything. I don't
care how menial the task is.
I will tag the neurovascular structures.
I will do the fasciotomies. Anything.
Just help me out here, please?
I'll see what I can do.
Really?
Mm-hmm.
You're the best.
Gotta get back to Kinney.
1x05
- Out of Sight -
"Consciousness is eternal."
"It is not vanquished"
"with the destruction of
the temporary body."
Went through a spiritual phase
back in my '20s.
Thought it was B.S.
I may have been wrong.
The nursing home gets a flu outbreak,
and it becomes our problem.
He's old. He can't breathe.
And he's taking a bed away from
someone I can actually help.
It's our only empty room. Sorry, Jackson.
That's okay.
You should hear
how my girlfriend barks at me.
"Jackson, do this. Jackson, do that."
The doctor's not wrong.
Electricity bills alone,
they should've pulled
the plug on me years ago,
don't you think?
That's you?
Yeah. Scott Cockburn.
How ya doin'?
Charlie Harris. You're... In a coma.
27 years, 8 months, 16 days,
but, eh, who's counting?
Sorry, guys.
Right hand is me.
Simons on ortho. Reycraft on vascular.
Strong team.
Left hand, I put Carpenter on plastics,
you on ortho, and for tying up,
I was thinking Perino.
Perino?
Yeah.
Yep. He's... okay.
Okay, if not Perino, then who?
- Alex.
- Can't. Gone home to rest.
- You sent her home?
- She fell asleep during grand rounds.
So bring her back in.
Joel, I know she's very talented...
She's more than that.
Alex is born to tie up veins.
Her hands are rock solid.
She's exhausted, and we both know it.
I mean, Charlie and her job,
taking extra shifts in the E.R.
Alex has done electives
in microvascular surgery
at Emory, Cleveland Clinic, Sunnybrook.
So has Reycraft.
He's not chief surgical resident.
Mm. Not yet.
What does that mean?
It means Perino's your guy.
Okay.
I need help.
I need help.
- You okay?
- Please help.
Why don't I take you down
to emergency?
Someone will be happy to help you
over there, all right? All right.
- Okay?
- Don't-don't touch me!
- Can I get some security here, please?
- Did I say you could touch me?
Huh? You think... you think you...
wh...
Aah! Aah!
Dr. Tolliver, what's up?
John Doe. Homeless.
Beaten up and left for dead
by a pack of teenagers.
You're kidding.
Your friend Gavin found him.
They patched him up in the E.R.,
but he came in with preexisting pneumonia.
Okay, uh, but Dr. Goran promised
- to bring me into this big surgery, so...
- I don't care
if he's taking you to Disneyland.
Right now, you're needed
for a surgical consult.
Oh, my god.
Some things you can't unsee.
Abscess. Needs draining. He's all yours.
How do you do this to another person?
Don't know. Never want to.
Can you get me a surgical
tray and a chlorhexidine prep?
Yeah, sure thing.
Joel, what...
Is Charlie okay?
I'm not here about Charlie.
She was nice to me.
Something was wrong.
This is all my fault.
What are you talking about?
Who falls asleep on the job?
So you screwed up.
Pick yourself up and do better.
Well, I can't exactly go
waltzing back in there.
You have to. What's your option?
Giving up?
- I'm not giving up.
- Yes, you are.
You're basically handing
Reycraft your job,
and he will take it.
Dana Kinney scares the hell out of me.
Good, so channel that,
and show her exactly why
Charlie made you chief
resident in the first place.
Oh, Dr. Reid. Feeling better?
Like a million bucks.
Yeah, I gave Perino the day off.
He was looking a little tired.
Thanks, Joe.
All right, so Simons and I will start
prepping the hands in the O.R.
- We're gonna trim bones, tag tendons...
- Mm-hmm.
Vessels, nerves, the usual drill.
Let's give this man back his hands.
What else are we looking
at besides the hands?
Crush injury to the right thigh.
Forklift ran into him, pinned his legs,
Pushed him right into the saw.
We're looking at gross
contamination of the wounds.
Give him a tetanus booster,
crossmatch 4 units of blood
and start 2 liters of
saline at 200 an hour
and hang 2 grams ancef,
5 milligrams per kilo of gent,
and some fentanyl.
How long is this gonna take?
As long as an I.V. takes.
- Doctor.
- Mm?
ÿHablas español?
Si, un poco.
Mi familia... I-I sent to
them money,
pero... pero mis manos...
Uh, I...
ÿComo puedo
trabajar sin mis manos?
Tenemos las manos. Vamos a...
They didn't teach me how
to say "sew them back on"
in high school. Uh...
ÿpuede trabajar de nuevo?
He's talking about work, I think,
if he'll ever work again.
Well, you know, function will be reduced.
I mean, he's never gonna
be a concert pianist,
but, yeah, if the hands take,
he'll work again.
Si, señor Pineda.
Esperamos.
- Gracias.
- Reid.
Yeah.
Joel wants you on this surgery,
- but I don't, because right now...
- Okay.
I think you're a liability.
Oh. Tell me how
you really feel, Dana.
Zach, we've got a problem.
Okay. Run a dipstick.
That doesn't make any sense.
I thought the trauma was to his leg.
Pissing blood. No way
that's coming from his leg.
I'm still not feeling anything.
Kidney and liver, all normal.
What the hell?
All right. Now his heart is starting
to show signs of arrhythmia.
Dipstick's positive for blood.
Yes, but that shouldn't affect his heart.
Gotta be a kidney or bladder injury. Reid?
Come on. What are we gonna do?
Do we need to open him up, take a look?
No, no. Just wait just a minute.
What if it's a false positive?
The forklift crushes his leg,
causing severe muscle damage,
dumping myoglobin into his system.
Myoglobin colors urine red.
It wreaks havoc with potassium levels.
And high potassium levels
causes heart problems.
Rhabdomyolysis.
I think so, and if we don't flush
this myoglobin out of
his system right now,
we're looking at total renal failure,
and his kidneys will be toast.
Let's not lose him.
Olivia, start saline at
500 milliliters an hour.
Let's get his urine output up to 200,
and bicarb... 3 amps in 1 liter d5w
at 100 milliliters an hour.
Let's get him on some mannitol.
We've got it from here.
Today's not your lucky day, bud.
Go grab a coffee.
I don't need a coffee. I'm good.
I do. Black. One sweetener. Go.
So we'll irrigate the hands,
expose the neurovascular structures
and tag 'em, and then I'm gonna trim
- about a centimeter of bone off each hand.
- All right. Yeah.
All scrubbed in and
ready to go, Dr. Goran.
Maggie.
Yeah.
I'm sorry. Uh...
I didn't get to ask Kinney about you.
I've been too busy fighting for Dr. Reid.
Dr. Reid?
Yes. She has the skills I need for this.
It's not just any old surgery.
I know. That's why
I wanted to be a part of it.
Right. Well, um, I said I would try,
and it didn't work out.
Thanks for your understanding.
Breaking hearts, huh, Dr. Goran?
It wasn't personal.
Mm-hmm.
That's the way it's gotta be.
Do you want to come
over and clean my place?
Everyone's worried
about salmonella, right?
There's a whole phylum
of contaminants in a
food environment, Alex.
There's, uh, campylobacter, listeria,
fungi like aspergillus niger.
That can lead to a
pretty nasty lung infection,
Alex, I'm telling you.
Aspergillosis? I think we're okay.
So, uh, Victor told me you were sent home?
I was. I'm back.
Everything okay? Would you like to talk?
About?
Anything. Charlie if you want.
Uh, you know, I'm, uh,
I'm a very good listener.
I've already talked
your ear off about Charlie.
Not medically. I mean...
How are you doing?
Me? Well...
I'm exhausted.
I'm seeing things. Don't ask.
And I'm fighting for my job,
and I'm starting to wonder,
what if this is it?
So? What if this is it?
Too blunt.
Kinda.
Charlie's been in a coma for a few weeks.
You know, comas last for years,
decades even.
Uh, I'm not saying to give up hope.
You better not be.
I'm just saying, what if this is it, Alex?
I mean, what are you gonna do a week,
a month, a year,
five years from now, hmm?
I think you owe it to
yourself to answer that.
Look at this.
So you've been in a coma for 27 years?
Yeah. Almost half my life, but no regrets.
You sound surprised.
No. I mean, I've heard of
comas lasting for decades,
but that's not the norm.
It isn't. I must be lucky.
How'd you bite it?
Oh, let me guess. Car crash, right?
Yep.
Yeah. This is, uh, week five for me.
Oh, well, you'll wake up any day now.
Hello, nurse.
See, the best thing
about being invisible is being invisible.
- Hey, wait, wait, wait, wait, wait...
- Hey.
Listen, uh, you're the first person I met
who-who knows more about this than I do.
Help me.
Well, first of all, don't touch the suit.
Secondly, I'm not a "person,"
and neither are you,
and thirdly, would it kill
you to have a bit of fun?
Come on.
I'm in a coma.
Oh, I get it.
You're feeling bunk and crunchy
when you wanna feel ace.
Hey, I got an idea. Let's...
let's book and get some air.
Aah!
Hey, easy, easy, easy.
It's cool, right?
Yeah.
So do you believe what you said
about me waking up any day?
No. Come on.
What do you want from me?
I see them come and go.
Mostly go, to be honest with you.
Yeah, walking into the light.
It's a very sweet moment
when a loved one passes on.
It's very deep. It's very meaningful.
So no tips on how to wake up?
What part of "being in a coma
for 27 years" didn't you get?
My fiancee saw me the other day.
- Oh, she looked at you?
- Yeah.
It's impossible.
You're going nuts, my friend.
It really sucks to be you.
Hey. Aah!
Whoo!
We've just stabilized him, Dana.
He can't go under the knife.
This surgery is a one-shot deal.
- I get it.
- Do you?
Because if we don't replant
the hands now, they die.
Well, it's better that than
he crashes during surgery.
It's not gonna happen.
Fine. Your patient. Your call.
Thank you. Guys. All right.
Take Mr. Pineda up to O.R. three, please.
You can go up with 'em.
I'm part of this surgery?
Don't make me regret it.
It's been four hours,
and ischemia is a concern,
so we need to get that blood flowing.
All right. We'll do ortho first.
Secure the bones, then arteries,
veins, tendons, nerves, in that order.
Okay, teams, let's go.
You looked freakin' terrified.
Come on.
You... you... you pushed me!
You totally
thought you were gonna die.
You're already dead. Come on.
Well, you're sorta dead.
You know what I mean.
Hey, do you wanna go do it again?
- No.
- Just for kicks. Come on.
I, uh, how can you be so
cavalier about all this?
Well, how can you be so depressed?
It's like you're happy being in a coma.
Well, uh, insanity... doing the same thing
over and over again and
expecting different results.
You're quoting Einstein now?
No, no, no. I'm making a point, okay?
I don't expect things to change,
but you do, so who's crazier here?
You've given up.
No. I've adapted.
That thing back there in the I.C.U.,
that old, wrinkled mummy?
This is me, and this is you now,
chuck, okay?
This is your new reality.
Your old life is just a dream,
so you just gotta, you know,
let it go and everything'll be fine.
I don't believe you.
Well, you should,
because I've been to hell and back.
You're-you're happy here?
As a clam.
How are you doing?
"John Doe." That's not a name.
What should I call you?
Mr. Darcy? You're mysterious, aloof.
First name...
Fitzwilliam.
Not common knowledge, but...
Am I seeing things,
or is his abdomen distended?
Yeah, a bit.
How's his urine output? Low?
Borderline?
It's low. And his bladder pressure?
Is it elevated?
Nope. 15. He's normal.
Huh.
Okay.
Thanks.
Our John Doe is struggling in there.
Antibiotics take a few days.
What if it's pneumonia?
I'm not questioning your judgment...
Glad to hear it.
But he's had a lot of
difficulty breathing.
He suffered trauma to his abdomen,
received a lot of fluids,
and now it's distended,
so what if it's A.C.S., abdominal...
Compartment syndrome?
Have you checked his bladder pressure?
And what was his latest I.A.P.?
15.
15? If it was a.C.S.,
it'd be more like 25 or higher.
Maggie.
Look, I get it.
You're trying to get noticed,
but I didn't call you down
here to diagnose my patient.
I called you down here
to drain an abscess.
Think horses, not zebras.
Okay.
Heparinized saline.
Ron, can you cut this here, please?
One more 8-0, Victor.
Rounding the finish line.
One more throw.
Here we go.
And... I'm done.
Good work. All right.
Time to test his pipes.
Deflate the tourniquet and
restore the blood flow.
Yes, Dr. Kinney. Macara?
One hand good. Two hands better.
It's a marathon, not a sprint.
Doctor, your hand isn't pinking up.
Is the tourniquet...
Completely deflated.
Blood should be getting in.
It's not. What's wrong?
Maybe there's a clot or arterial spasm.
Done. Reestablish blood flow, Victor.
You know, instead of trying to
go for some suturing record,
you might want to think
about your patient.
Excuse me?
Left hand pinking up nicely,
Dr. Reid. Patency confirmed.
Yes. Yeah. All right. All right!
The zone of
the injury must be too big.
That-that's why it's not perfusing.
Okay, we don't have enough time.
Alex, take a look at this, please.
I just told you it's...
Okay.
Let her in.
Just a fresh set of eyes.
You're up.
Okay.
Talk to me, Reid.
What do you see?
Looks like you picked up the back wall,
so the artery is constricted
and there's no blood flow.
So you hooked up the artery,
and you sewed it shut?
It happens, Joel. Back off.
You just need to get in, cut the sutures,
redo the anastomosis.
There's still time to save it.
You're not touching that hand.
Reid, patient's yours.
Dr. Kinney. Listen,
I don't care about feelings.
I care about saving those hands.
You hear me?
Loud and clear.
I have a patient
who is going to die,
but Dr. Tolliver won't listen to me,
because how could I,
a lowly surgical resident,
possibly know what I'm talking about?
Whoa, whoa. Maggie, slow down.
Okay. Here's the situation.
My patient looks like
he has textbook pneumonia.
But I think it's something way worse.
Way worse how?
Well, how much general
surgery do you remember?
Uh, none.
Those are Reycraft's.
He eats them raw, calls them
"nature's energy drink."
Reycraft is a weirdo.
So here's the dealio.
If my patient has what I think he has,
there's this crazy pressure
building up in his abdomen.
It's blocking off blood flow
to the bowel, to the kidneys.
We're having trouble ventilating him,
but it's not because of the pneumonia.
it's because, inside,
he's a pressure cooker,
and if the pressure
isn't released in time...
Whoa.
He'll explode?
No, but he'll suffer
multiorgan system failure
and then die.
Ask Dr. Reid.
She's in surgery.
Then go back to Dr. Tolliver again.
My patient is dying!
Are you sure about that?
Artery successfully detached.
Time to start all over again. 8-0, Victor.
Okay. That should do the trick.
Tourniquet down.
- Come on. Come on. Pink up.
- Come on.
- Come on. Pink up.
- Come on.
- What's happening?
Blood's still not flowing.
I told you, there has
to be something else.
Let's see if gravity will help us. Victor?
- Good?
- Yeah, and...
- Yes. Nice one, Reid.
- Yes!
- Thank you.
- Well done.
Okay. Let's reattach some veins
to establish venus return.
Then we'll do the radial arteries,
and then on to plastics.
All right. Reycraft, come on.
Let the real work begin!
It could've happened to anyone.
Don't be so hard on yourself.
- Yeah.
- Sure.
- Reid?
- Yeah?
Well done.
Thanks.
It can't eat on its own.
It can't breathe on its own.
There's nothing firing
in the old cabeza.
You still think that's you, huh?
That's been me for the last 40 years.
You gotta move on, man.
Thank you for coming.
Yes. Well, where is he?
You gotta be kidding me.
The nurse says he has pneumonia.
What the hell are you doing here?
What... no. Hey, you!
- No, you can't... you... don't let'em in there!
- Scott!
Hey! Hey!
- Stay out!
- It's bilateral, meaning in both lungs.
We've given him antibiotics,
but due to his age and condition,
the prognosis isn't very good.
And there's no one else
you could've called,
a member of his family?
Your wife was listed as
Mr. Cockburn's next of kin.
If he codes, we'll have to revive him,
but again, considering
his age and his condition...
Maybe we shouldn't.
Uh, I... it would be a blessing.
"It would be a blessing."
Who is she?
She's my...
wife. She's my ex-wife.
Don't.
Don't revive him.
Okay.
They forget about you, Charlie.
They always do.
Blood flow is reestablished,
bones plated, nerves,
tendons hooked back up.
It's in the hands of
the hand gods now, huh?
I think his chances are good.
Yeah. Can't ask for much better than that.
Good work, team.
- Thanks.
- Reycraft.
Suck it up.
You picked up the back wall.
It could've happened to anyone.
Didn't happen to you.
So, Alex, we'll all be over for 8:00?
What are you talking about?
The hero of the surgery
buys everyone dinner.
It's Dr. Kinney's new thing
since she became chief.
That's right. It's team-building.
You order some chinese.
I bring the beer and wine.
Sound good?
Sure.
Perfect. I'm going to accompany
Mr. Pineda up to I.C.U.
- Oh, and, Reid?
- Yeah?
Don't skimp on the general tsao chicken.
Yeah.
Did she just invite half
of Hope-Zee to my place?
She just did, yeah.
Guess I'll have to go home
and clean up.
So I guess I'll...
See you about 8:00.
Joel?
Thanks for the pep talk. I owe you one.
You wanna talk?
No.
Okay.
She's so old.
Melissa.
That happens, Scott.
I put her out of my mind for years,
and she shows up here,
and I'm looking at her now.
What do I see? I see someone
who's had a full life...
a full life!
Without me.
And that hurts.
I mean, what else?
What else did I miss?
Anniversaries, birthdays...
we could have had kids.
Wait-wait a minute.
When's the last time you saw her?
June 14th, 1987.
She came...
she spent ten minutes,
and then she left.
And then I kept waiting for her
to come back, and she never did.
And then...
two months later, we were divorced.
Yeah, my sister, god rest her...
she signed the papers for me.
That, uh... that totally sucks.
Sorry.
Well, "till death do us part"
and all that crap, huh?
I fell for that hook, line,
and sinker, I tell you.
But Melissa... ah, she never loved me.
You don't know that.
How was your day?
Disconcerting. How was yours?
'Cause mine was pretty weird.
I went home.
Our home?
I, uh, picked up our mail
and tried to sleep,
but I couldn't.
Came back in, fought for my job...
and I sewed a guy's hands back on.
That went pretty well.
Okay. Um... I gotta go,
but I will be back first
thing in the morning.
And she's gone.
Shahir, you're totally bogarting
the beef and broccoli, man.
Mm. I don't share.
What are you talking about? It's chinese.
That's like saying,
"I don't share ethiopian."
- I don't.
- It's true.
He orders his own loaf
of the spongy bread.
- It's called injera.
- Good to know, baby.
That's good. Yeah.
Excuse me.
Reid.
That was a serious power nap.
What do you mean?
Did you take a little something?
'Cause, wow.
Um... that's not my thing, Dana.
No, I know. I'm just...
I was just kidding, right?
Look...
I'm not so good at the part
where I have to be all, like,
nice and caring and, you know, supportive,
and so that is my way of doing it.
- Okay?
- Oh. O-okay.
Okay?
Where is the hot and sour soup?
Just gonna grab it.
So, Joel, tell me...
is there anyone special
in your life these days?
Uh, none of your business.
Pass the crispy chicken, please.
I'm just making conversation.
Crispy chicken, doctor.
Thank you.
Um, I'm not hurting for company right now.
Oh! Details, please.
Shahir, seriously. We're sharing here.
This is called sharing.
We share, he doesn't. Just let it go.
Guys.
Does this remind anyone of anything?
I mean, what? What? It's too soon?
Hmm? Hmm? Huh?
Please.
Anyone need anything? Alex?
Uh, no, I'm okay with my water.
Water? Come on. You're not on call.
Yeah, one beer's not gonna
kill you.
Mmm.
Fine. I-I'll have a beer.
Attagirl.
Team.
Mm-hmm. To us.
- Yeah, to us. Cheers.
- Fantastic.
What great work.
It's all right.
Can I?
Of course.
Time of death... 21:47.
I'm so sorry.
Well, I expected something
more exciting, like...
Stallone in "first blood."
That's a great flick.
I'm sorry, Scott.
I'm not.
I'm not.
Hey, Charlie, before I go, there's...
if you really want to get back to her,
you gotta try harder,
or you're gonna lose her.
So wake up.
I don't know how to, Scott.
I just couldn't let you go, Scotty.
I'm sorry.
I love you so much.
I never stopped loving you.
Never.
Hey.
Don't cry.
You don't have to cry anymore.
No.
♪ if I didn't know what I know ♪
So there I am, holding
this woman's forehead in my hands...
and I gotta sneeze.
And you know that feeling
where it's right there,
- right in the top of your nose, like
a lot of little needles...
- The worst.
- And everything?
- Oh. Yeah.
And I'm doing everything I can not to,
and I do exactly the wrong thing.
You looked right into the surgical light?
Straight into it!
- Oh, my god!
- So what? What?
It's photoptarmosis.
Overstimulation of the optic nerve
triggers the trigeminal nerve,
which leads to
the photic optic sneeze reflex. It...
Yes! Well played!
It was the mother of all sneezes,
and I had just enough time
to drop her forehead into place...
Oh, my god!
- Before I left it rip!
- Well, it's better than having
to peel her forehead off
the ceiling, right?
Agreed.
Photoptarmosis is very interesting.
It affects roughly about
a third of the population,
And the hereditary factors
still aren't understood, so...
Is he always like this?
- Always.
- Yes.
Five second rule.
- One, two...
- No. Victor.
Oh, dilemma time.
If I eat this last wonton...
and I really want to eat it...
Then Shahir won't let me kiss
him for like a month, right?
So what do I do?
- Wonton.
- Wonton.
- Dude, wonton.
- Wonton.
- Wonton!
- Wonton!
Wonton!
- Yes!
- Wonton!
I'm sorry. You're okay.
So mad.
You're okay.
♪ if I didn't know what I know ♪
♪ if I believe ♪
Alex.
What is it? Did someone say something?
I forgot about him, Joel.
About Charlie?
Ye...
for a minute...
When I was laughing just now...
I felt free.
Dr. Tolliver!
Some help in here, please!
Wh-where's Dr. Tolliver?
Patient just died. She's with next of kin.
- Do you want me to get her?
- Just go!
Don't die on me, Mr. Darcy.
It's easy. Just...
Okay. All right.
I got this covered. Okay. Okay.
I think you got this.
You can do this. This is what you do.
Okay.
Okay.
Fat. Okay.
Skin, fat...
fascia.
You slicing him open?
Oh, my god, oh, my god, oh, my god!
Hell no! Those are supposed
to be on the inside.
oh, my god.
He's stabilizing. I did it.
What's going on in here?
Okay. Jackson, grab a bogota bag.
- We need to cover this wound now.
- I'm on it.
It was just like one of
those scenes in "Star Trek."
- "Star Wars."
- Where Luke Skywalker...
- Han Solo.
- Cuts into one of those ice horses.
- Tauntaun.
- And all the guts just spilled out erywhere.
But I saved his life!
And that trumps a hand replantation
any day of the week if you ask me.
Your patient is stable.
Dr. Tolliver,
he never would have made it into the O.R.
I know.
I told you there was
something wrong with him,
and you didn't listen. He almost died.
His pressure told a different story
from the one you were hearing,
and you didn't listen to me.
Congratulations, Maggie.
You saved a life tonight all on your own,
and that's amazing.
But?
Graveyards are full of our mistakes.
All of us make them.
You okay?
Yeah.
You sure?
Yeah, I really am. I feel...
I feel like a doctor.
Ysidro, I'm going to check
the blood flow in your fingers.
Okay?
- Ay, doctor.
- Mm?
No sé cómo darle las gracias.
I don't... No hablo español.
But that's okay. I think I get it.
That sounds good.
It's, uh, bueno.
- Si.
- Sounds good.
♪ put your words into the fire ♪
♪ watch them burn your heart's desire ♪
Alex, what are you doing back here?
♪ rise up in the air ♪
♪ in a cloud of silk and smoke and dust ♪
I had a party at our place.
♪ fade into the night ♪
♪ it's a comforting feeling with you ♪
♪ at my side ♪
And I felt...
I felt like...
what it would feel like for life to go on.
My life.
And what terrified me...
was that it could.
♪ lean our heavy heads ♪
You know, I would have
made us cappuccinos,
but, um, someone...
and I'm not saying who...
Never buys any milk.
♪ don't worry about it now ♪
Ahh, just the way I like it.
Mmm.
I got you something.
Skim or 2%?
No. For real.
You got me jewelry.
I figured I could return the favor.
Sweetheart...
those aren't my initials.
I know. They were my dad's.
I-I didn't really keep
anything of his after he died.
Um, my mom didn't want
'em 'cause she was sad,
and my brothers would have
lost or sold them, so...
- I love them.
- You don't have to wear them.
- I can buy you something newer...
- Alex.
- That's nicer...
- Alex.
Yeah?
I love them.
I mean,
they're a part of you.
And I'll tell you what.
The very next time we get
dressed up for anything,
I'm gonna wear them.
But we better put them somewhere
where they won't get lost,
because, um, someone...
Not saying who.
Works about a hundred hours a week
and, uh, can barely find
her own bra in the morning.
Well, that's just because
you keep taking it off.
- I do.
- Mm-hmm.
I do that. Why is that?
I don't know, but I think
we should be getting you
a consult of some kind,
maybe like a sex doctor.
- Mm-hmm.
- Crazy.
♪ 'cause in the morning
they will all just be ♪
♪ ashes on the ground ♪
♪ so what's been on your mind ♪
But it won't.
I won't let it.
♪ eating you inside ♪
I will never...
forget about you, Charlie.
And I will never let you go.
You promise?
♪ on this warm summer night ♪
♪ put those words down in the fire ♪
Migrant worker from Honduras working
in a chicken processing
plant in north bay.
Both hands amputated
5 centimeters proximal to the wrist
by a factory blade.
- Injury occurred at 6:47 this morning.
- Alex, look at me.
He lost a lot of blood
and was hypertensive when
the paramedics arrived.
You saw me the other day and you
said my name.
Every minute of ischemia
that his hands suffered...
Just turn your head and look at me.
Functional outcome.
Clean cut. Hands put on ice.
What's the timeline on this?
We've got 12 hours to replant,
from the time of amputation.
Or?
Pump all the blood you
want back into the hands.
It'll be too late.
Exactly, so minus travel
time from North Bay,
we have eight hours before
this man's hands die.
Dr. Goran, can you outline our approach?
Yes, uh, two teams, one per hand,
ortho, vascular, and plastics.
Uh, Dr. Kinney will lead one team.
I will lead another, but this is
Dr. Kinney's surgery.
Does anyone know
how many successful
double-hand replantations
have been done in this
city in the past decade?
Reid. Dr. Reid.
What? Sorry. What?
The answer is none, Dr. Reid.
Enjoying your nap?
So Dr. Kinney and I will pick teams.
How long till the patient gets here?
Medevac's schedule to land at 11:00.
Then he'll be brought
straight here by ambulance.
If you're chosen for a team,
you'll get a page.
This is big... for Hope-Zee, for all of us.
The clock's ticking.
Don't worry. You weren't snoring.
Thanks.
Uh, excuse me. Excuse me.
Dr. Kinney, I am so,
so sorry that I fell asleep.
It won't happen again.
Oh, no biggie. You know,
I fell asleep during a surgery once.
Go home. Get some rest.
Home.
Right.
Thank you.
That poor guy. He comes up here
to make money to send back to his family,
and it costs him both his hands.
That's rotten luck.
You're his only chance
at a normal life, Joel.
Oh, me and about nine other men and women.
I would do anything to
get in on that surgery.
Anything.
I don't know.
It kinda feels like you're using me here.
Mm. Yeah. I am.
For your body.
Seriously, Joel.
I'll do anything. I don't
care how menial the task is.
I will tag the neurovascular structures.
I will do the fasciotomies. Anything.
Just help me out here, please?
I'll see what I can do.
Really?
Mm-hmm.
You're the best.
Gotta get back to Kinney.
1x05
- Out of Sight -
"Consciousness is eternal."
"It is not vanquished"
"with the destruction of
the temporary body."
Went through a spiritual phase
back in my '20s.
Thought it was B.S.
I may have been wrong.
The nursing home gets a flu outbreak,
and it becomes our problem.
He's old. He can't breathe.
And he's taking a bed away from
someone I can actually help.
It's our only empty room. Sorry, Jackson.
That's okay.
You should hear
how my girlfriend barks at me.
"Jackson, do this. Jackson, do that."
The doctor's not wrong.
Electricity bills alone,
they should've pulled
the plug on me years ago,
don't you think?
That's you?
Yeah. Scott Cockburn.
How ya doin'?
Charlie Harris. You're... In a coma.
27 years, 8 months, 16 days,
but, eh, who's counting?
Sorry, guys.
Right hand is me.
Simons on ortho. Reycraft on vascular.
Strong team.
Left hand, I put Carpenter on plastics,
you on ortho, and for tying up,
I was thinking Perino.
Perino?
Yeah.
Yep. He's... okay.
Okay, if not Perino, then who?
- Alex.
- Can't. Gone home to rest.
- You sent her home?
- She fell asleep during grand rounds.
So bring her back in.
Joel, I know she's very talented...
She's more than that.
Alex is born to tie up veins.
Her hands are rock solid.
She's exhausted, and we both know it.
I mean, Charlie and her job,
taking extra shifts in the E.R.
Alex has done electives
in microvascular surgery
at Emory, Cleveland Clinic, Sunnybrook.
So has Reycraft.
He's not chief surgical resident.
Mm. Not yet.
What does that mean?
It means Perino's your guy.
Okay.
I need help.
I need help.
- You okay?
- Please help.
Why don't I take you down
to emergency?
Someone will be happy to help you
over there, all right? All right.
- Okay?
- Don't-don't touch me!
- Can I get some security here, please?
- Did I say you could touch me?
Huh? You think... you think you...
wh...
Aah! Aah!
Dr. Tolliver, what's up?
John Doe. Homeless.
Beaten up and left for dead
by a pack of teenagers.
You're kidding.
Your friend Gavin found him.
They patched him up in the E.R.,
but he came in with preexisting pneumonia.
Okay, uh, but Dr. Goran promised
- to bring me into this big surgery, so...
- I don't care
if he's taking you to Disneyland.
Right now, you're needed
for a surgical consult.
Oh, my god.
Some things you can't unsee.
Abscess. Needs draining. He's all yours.
How do you do this to another person?
Don't know. Never want to.
Can you get me a surgical
tray and a chlorhexidine prep?
Yeah, sure thing.
Joel, what...
Is Charlie okay?
I'm not here about Charlie.
She was nice to me.
Something was wrong.
This is all my fault.
What are you talking about?
Who falls asleep on the job?
So you screwed up.
Pick yourself up and do better.
Well, I can't exactly go
waltzing back in there.
You have to. What's your option?
Giving up?
- I'm not giving up.
- Yes, you are.
You're basically handing
Reycraft your job,
and he will take it.
Dana Kinney scares the hell out of me.
Good, so channel that,
and show her exactly why
Charlie made you chief
resident in the first place.
Oh, Dr. Reid. Feeling better?
Like a million bucks.
Yeah, I gave Perino the day off.
He was looking a little tired.
Thanks, Joe.
All right, so Simons and I will start
prepping the hands in the O.R.
- We're gonna trim bones, tag tendons...
- Mm-hmm.
Vessels, nerves, the usual drill.
Let's give this man back his hands.
What else are we looking
at besides the hands?
Crush injury to the right thigh.
Forklift ran into him, pinned his legs,
Pushed him right into the saw.
We're looking at gross
contamination of the wounds.
Give him a tetanus booster,
crossmatch 4 units of blood
and start 2 liters of
saline at 200 an hour
and hang 2 grams ancef,
5 milligrams per kilo of gent,
and some fentanyl.
How long is this gonna take?
As long as an I.V. takes.
- Doctor.
- Mm?
ÿHablas español?
Si, un poco.
Mi familia... I-I sent to
them money,
pero... pero mis manos...
Uh, I...
ÿComo puedo
trabajar sin mis manos?
Tenemos las manos. Vamos a...
They didn't teach me how
to say "sew them back on"
in high school. Uh...
ÿpuede trabajar de nuevo?
He's talking about work, I think,
if he'll ever work again.
Well, you know, function will be reduced.
I mean, he's never gonna
be a concert pianist,
but, yeah, if the hands take,
he'll work again.
Si, señor Pineda.
Esperamos.
- Gracias.
- Reid.
Yeah.
Joel wants you on this surgery,
- but I don't, because right now...
- Okay.
I think you're a liability.
Oh. Tell me how
you really feel, Dana.
Zach, we've got a problem.
Okay. Run a dipstick.
That doesn't make any sense.
I thought the trauma was to his leg.
Pissing blood. No way
that's coming from his leg.
I'm still not feeling anything.
Kidney and liver, all normal.
What the hell?
All right. Now his heart is starting
to show signs of arrhythmia.
Dipstick's positive for blood.
Yes, but that shouldn't affect his heart.
Gotta be a kidney or bladder injury. Reid?
Come on. What are we gonna do?
Do we need to open him up, take a look?
No, no. Just wait just a minute.
What if it's a false positive?
The forklift crushes his leg,
causing severe muscle damage,
dumping myoglobin into his system.
Myoglobin colors urine red.
It wreaks havoc with potassium levels.
And high potassium levels
causes heart problems.
Rhabdomyolysis.
I think so, and if we don't flush
this myoglobin out of
his system right now,
we're looking at total renal failure,
and his kidneys will be toast.
Let's not lose him.
Olivia, start saline at
500 milliliters an hour.
Let's get his urine output up to 200,
and bicarb... 3 amps in 1 liter d5w
at 100 milliliters an hour.
Let's get him on some mannitol.
We've got it from here.
Today's not your lucky day, bud.
Go grab a coffee.
I don't need a coffee. I'm good.
I do. Black. One sweetener. Go.
So we'll irrigate the hands,
expose the neurovascular structures
and tag 'em, and then I'm gonna trim
- about a centimeter of bone off each hand.
- All right. Yeah.
All scrubbed in and
ready to go, Dr. Goran.
Maggie.
Yeah.
I'm sorry. Uh...
I didn't get to ask Kinney about you.
I've been too busy fighting for Dr. Reid.
Dr. Reid?
Yes. She has the skills I need for this.
It's not just any old surgery.
I know. That's why
I wanted to be a part of it.
Right. Well, um, I said I would try,
and it didn't work out.
Thanks for your understanding.
Breaking hearts, huh, Dr. Goran?
It wasn't personal.
Mm-hmm.
That's the way it's gotta be.
Do you want to come
over and clean my place?
Everyone's worried
about salmonella, right?
There's a whole phylum
of contaminants in a
food environment, Alex.
There's, uh, campylobacter, listeria,
fungi like aspergillus niger.
That can lead to a
pretty nasty lung infection,
Alex, I'm telling you.
Aspergillosis? I think we're okay.
So, uh, Victor told me you were sent home?
I was. I'm back.
Everything okay? Would you like to talk?
About?
Anything. Charlie if you want.
Uh, you know, I'm, uh,
I'm a very good listener.
I've already talked
your ear off about Charlie.
Not medically. I mean...
How are you doing?
Me? Well...
I'm exhausted.
I'm seeing things. Don't ask.
And I'm fighting for my job,
and I'm starting to wonder,
what if this is it?
So? What if this is it?
Too blunt.
Kinda.
Charlie's been in a coma for a few weeks.
You know, comas last for years,
decades even.
Uh, I'm not saying to give up hope.
You better not be.
I'm just saying, what if this is it, Alex?
I mean, what are you gonna do a week,
a month, a year,
five years from now, hmm?
I think you owe it to
yourself to answer that.
Look at this.
So you've been in a coma for 27 years?
Yeah. Almost half my life, but no regrets.
You sound surprised.
No. I mean, I've heard of
comas lasting for decades,
but that's not the norm.
It isn't. I must be lucky.
How'd you bite it?
Oh, let me guess. Car crash, right?
Yep.
Yeah. This is, uh, week five for me.
Oh, well, you'll wake up any day now.
Hello, nurse.
See, the best thing
about being invisible is being invisible.
- Hey, wait, wait, wait, wait, wait...
- Hey.
Listen, uh, you're the first person I met
who-who knows more about this than I do.
Help me.
Well, first of all, don't touch the suit.
Secondly, I'm not a "person,"
and neither are you,
and thirdly, would it kill
you to have a bit of fun?
Come on.
I'm in a coma.
Oh, I get it.
You're feeling bunk and crunchy
when you wanna feel ace.
Hey, I got an idea. Let's...
let's book and get some air.
Aah!
Hey, easy, easy, easy.
It's cool, right?
Yeah.
So do you believe what you said
about me waking up any day?
No. Come on.
What do you want from me?
I see them come and go.
Mostly go, to be honest with you.
Yeah, walking into the light.
It's a very sweet moment
when a loved one passes on.
It's very deep. It's very meaningful.
So no tips on how to wake up?
What part of "being in a coma
for 27 years" didn't you get?
My fiancee saw me the other day.
- Oh, she looked at you?
- Yeah.
It's impossible.
You're going nuts, my friend.
It really sucks to be you.
Hey. Aah!
Whoo!
We've just stabilized him, Dana.
He can't go under the knife.
This surgery is a one-shot deal.
- I get it.
- Do you?
Because if we don't replant
the hands now, they die.
Well, it's better that than
he crashes during surgery.
It's not gonna happen.
Fine. Your patient. Your call.
Thank you. Guys. All right.
Take Mr. Pineda up to O.R. three, please.
You can go up with 'em.
I'm part of this surgery?
Don't make me regret it.
It's been four hours,
and ischemia is a concern,
so we need to get that blood flowing.
All right. We'll do ortho first.
Secure the bones, then arteries,
veins, tendons, nerves, in that order.
Okay, teams, let's go.
You looked freakin' terrified.
Come on.
You... you... you pushed me!
You totally
thought you were gonna die.
You're already dead. Come on.
Well, you're sorta dead.
You know what I mean.
Hey, do you wanna go do it again?
- No.
- Just for kicks. Come on.
I, uh, how can you be so
cavalier about all this?
Well, how can you be so depressed?
It's like you're happy being in a coma.
Well, uh, insanity... doing the same thing
over and over again and
expecting different results.
You're quoting Einstein now?
No, no, no. I'm making a point, okay?
I don't expect things to change,
but you do, so who's crazier here?
You've given up.
No. I've adapted.
That thing back there in the I.C.U.,
that old, wrinkled mummy?
This is me, and this is you now,
chuck, okay?
This is your new reality.
Your old life is just a dream,
so you just gotta, you know,
let it go and everything'll be fine.
I don't believe you.
Well, you should,
because I've been to hell and back.
You're-you're happy here?
As a clam.
How are you doing?
"John Doe." That's not a name.
What should I call you?
Mr. Darcy? You're mysterious, aloof.
First name...
Fitzwilliam.
Not common knowledge, but...
Am I seeing things,
or is his abdomen distended?
Yeah, a bit.
How's his urine output? Low?
Borderline?
It's low. And his bladder pressure?
Is it elevated?
Nope. 15. He's normal.
Huh.
Okay.
Thanks.
Our John Doe is struggling in there.
Antibiotics take a few days.
What if it's pneumonia?
I'm not questioning your judgment...
Glad to hear it.
But he's had a lot of
difficulty breathing.
He suffered trauma to his abdomen,
received a lot of fluids,
and now it's distended,
so what if it's A.C.S., abdominal...
Compartment syndrome?
Have you checked his bladder pressure?
And what was his latest I.A.P.?
15.
15? If it was a.C.S.,
it'd be more like 25 or higher.
Maggie.
Look, I get it.
You're trying to get noticed,
but I didn't call you down
here to diagnose my patient.
I called you down here
to drain an abscess.
Think horses, not zebras.
Okay.
Heparinized saline.
Ron, can you cut this here, please?
One more 8-0, Victor.
Rounding the finish line.
One more throw.
Here we go.
And... I'm done.
Good work. All right.
Time to test his pipes.
Deflate the tourniquet and
restore the blood flow.
Yes, Dr. Kinney. Macara?
One hand good. Two hands better.
It's a marathon, not a sprint.
Doctor, your hand isn't pinking up.
Is the tourniquet...
Completely deflated.
Blood should be getting in.
It's not. What's wrong?
Maybe there's a clot or arterial spasm.
Done. Reestablish blood flow, Victor.
You know, instead of trying to
go for some suturing record,
you might want to think
about your patient.
Excuse me?
Left hand pinking up nicely,
Dr. Reid. Patency confirmed.
Yes. Yeah. All right. All right!
The zone of
the injury must be too big.
That-that's why it's not perfusing.
Okay, we don't have enough time.
Alex, take a look at this, please.
I just told you it's...
Okay.
Let her in.
Just a fresh set of eyes.
You're up.
Okay.
Talk to me, Reid.
What do you see?
Looks like you picked up the back wall,
so the artery is constricted
and there's no blood flow.
So you hooked up the artery,
and you sewed it shut?
It happens, Joel. Back off.
You just need to get in, cut the sutures,
redo the anastomosis.
There's still time to save it.
You're not touching that hand.
Reid, patient's yours.
Dr. Kinney. Listen,
I don't care about feelings.
I care about saving those hands.
You hear me?
Loud and clear.
I have a patient
who is going to die,
but Dr. Tolliver won't listen to me,
because how could I,
a lowly surgical resident,
possibly know what I'm talking about?
Whoa, whoa. Maggie, slow down.
Okay. Here's the situation.
My patient looks like
he has textbook pneumonia.
But I think it's something way worse.
Way worse how?
Well, how much general
surgery do you remember?
Uh, none.
Those are Reycraft's.
He eats them raw, calls them
"nature's energy drink."
Reycraft is a weirdo.
So here's the dealio.
If my patient has what I think he has,
there's this crazy pressure
building up in his abdomen.
It's blocking off blood flow
to the bowel, to the kidneys.
We're having trouble ventilating him,
but it's not because of the pneumonia.
it's because, inside,
he's a pressure cooker,
and if the pressure
isn't released in time...
Whoa.
He'll explode?
No, but he'll suffer
multiorgan system failure
and then die.
Ask Dr. Reid.
She's in surgery.
Then go back to Dr. Tolliver again.
My patient is dying!
Are you sure about that?
Artery successfully detached.
Time to start all over again. 8-0, Victor.
Okay. That should do the trick.
Tourniquet down.
- Come on. Come on. Pink up.
- Come on.
- Come on. Pink up.
- Come on.
- What's happening?
Blood's still not flowing.
I told you, there has
to be something else.
Let's see if gravity will help us. Victor?
- Good?
- Yeah, and...
- Yes. Nice one, Reid.
- Yes!
- Thank you.
- Well done.
Okay. Let's reattach some veins
to establish venus return.
Then we'll do the radial arteries,
and then on to plastics.
All right. Reycraft, come on.
Let the real work begin!
It could've happened to anyone.
Don't be so hard on yourself.
- Yeah.
- Sure.
- Reid?
- Yeah?
Well done.
Thanks.
It can't eat on its own.
It can't breathe on its own.
There's nothing firing
in the old cabeza.
You still think that's you, huh?
That's been me for the last 40 years.
You gotta move on, man.
Thank you for coming.
Yes. Well, where is he?
You gotta be kidding me.
The nurse says he has pneumonia.
What the hell are you doing here?
What... no. Hey, you!
- No, you can't... you... don't let'em in there!
- Scott!
Hey! Hey!
- Stay out!
- It's bilateral, meaning in both lungs.
We've given him antibiotics,
but due to his age and condition,
the prognosis isn't very good.
And there's no one else
you could've called,
a member of his family?
Your wife was listed as
Mr. Cockburn's next of kin.
If he codes, we'll have to revive him,
but again, considering
his age and his condition...
Maybe we shouldn't.
Uh, I... it would be a blessing.
"It would be a blessing."
Who is she?
She's my...
wife. She's my ex-wife.
Don't.
Don't revive him.
Okay.
They forget about you, Charlie.
They always do.
Blood flow is reestablished,
bones plated, nerves,
tendons hooked back up.
It's in the hands of
the hand gods now, huh?
I think his chances are good.
Yeah. Can't ask for much better than that.
Good work, team.
- Thanks.
- Reycraft.
Suck it up.
You picked up the back wall.
It could've happened to anyone.
Didn't happen to you.
So, Alex, we'll all be over for 8:00?
What are you talking about?
The hero of the surgery
buys everyone dinner.
It's Dr. Kinney's new thing
since she became chief.
That's right. It's team-building.
You order some chinese.
I bring the beer and wine.
Sound good?
Sure.
Perfect. I'm going to accompany
Mr. Pineda up to I.C.U.
- Oh, and, Reid?
- Yeah?
Don't skimp on the general tsao chicken.
Yeah.
Did she just invite half
of Hope-Zee to my place?
She just did, yeah.
Guess I'll have to go home
and clean up.
So I guess I'll...
See you about 8:00.
Joel?
Thanks for the pep talk. I owe you one.
You wanna talk?
No.
Okay.
She's so old.
Melissa.
That happens, Scott.
I put her out of my mind for years,
and she shows up here,
and I'm looking at her now.
What do I see? I see someone
who's had a full life...
a full life!
Without me.
And that hurts.
I mean, what else?
What else did I miss?
Anniversaries, birthdays...
we could have had kids.
Wait-wait a minute.
When's the last time you saw her?
June 14th, 1987.
She came...
she spent ten minutes,
and then she left.
And then I kept waiting for her
to come back, and she never did.
And then...
two months later, we were divorced.
Yeah, my sister, god rest her...
she signed the papers for me.
That, uh... that totally sucks.
Sorry.
Well, "till death do us part"
and all that crap, huh?
I fell for that hook, line,
and sinker, I tell you.
But Melissa... ah, she never loved me.
You don't know that.
How was your day?
Disconcerting. How was yours?
'Cause mine was pretty weird.
I went home.
Our home?
I, uh, picked up our mail
and tried to sleep,
but I couldn't.
Came back in, fought for my job...
and I sewed a guy's hands back on.
That went pretty well.
Okay. Um... I gotta go,
but I will be back first
thing in the morning.
And she's gone.
Shahir, you're totally bogarting
the beef and broccoli, man.
Mm. I don't share.
What are you talking about? It's chinese.
That's like saying,
"I don't share ethiopian."
- I don't.
- It's true.
He orders his own loaf
of the spongy bread.
- It's called injera.
- Good to know, baby.
That's good. Yeah.
Excuse me.
Reid.
That was a serious power nap.
What do you mean?
Did you take a little something?
'Cause, wow.
Um... that's not my thing, Dana.
No, I know. I'm just...
I was just kidding, right?
Look...
I'm not so good at the part
where I have to be all, like,
nice and caring and, you know, supportive,
and so that is my way of doing it.
- Okay?
- Oh. O-okay.
Okay?
Where is the hot and sour soup?
Just gonna grab it.
So, Joel, tell me...
is there anyone special
in your life these days?
Uh, none of your business.
Pass the crispy chicken, please.
I'm just making conversation.
Crispy chicken, doctor.
Thank you.
Um, I'm not hurting for company right now.
Oh! Details, please.
Shahir, seriously. We're sharing here.
This is called sharing.
We share, he doesn't. Just let it go.
Guys.
Does this remind anyone of anything?
I mean, what? What? It's too soon?
Hmm? Hmm? Huh?
Please.
Anyone need anything? Alex?
Uh, no, I'm okay with my water.
Water? Come on. You're not on call.
Yeah, one beer's not gonna
kill you.
Mmm.
Fine. I-I'll have a beer.
Attagirl.
Team.
Mm-hmm. To us.
- Yeah, to us. Cheers.
- Fantastic.
What great work.
It's all right.
Can I?
Of course.
Time of death... 21:47.
I'm so sorry.
Well, I expected something
more exciting, like...
Stallone in "first blood."
That's a great flick.
I'm sorry, Scott.
I'm not.
I'm not.
Hey, Charlie, before I go, there's...
if you really want to get back to her,
you gotta try harder,
or you're gonna lose her.
So wake up.
I don't know how to, Scott.
I just couldn't let you go, Scotty.
I'm sorry.
I love you so much.
I never stopped loving you.
Never.
Hey.
Don't cry.
You don't have to cry anymore.
No.
♪ if I didn't know what I know ♪
So there I am, holding
this woman's forehead in my hands...
and I gotta sneeze.
And you know that feeling
where it's right there,
- right in the top of your nose, like
a lot of little needles...
- The worst.
- And everything?
- Oh. Yeah.
And I'm doing everything I can not to,
and I do exactly the wrong thing.
You looked right into the surgical light?
Straight into it!
- Oh, my god!
- So what? What?
It's photoptarmosis.
Overstimulation of the optic nerve
triggers the trigeminal nerve,
which leads to
the photic optic sneeze reflex. It...
Yes! Well played!
It was the mother of all sneezes,
and I had just enough time
to drop her forehead into place...
Oh, my god!
- Before I left it rip!
- Well, it's better than having
to peel her forehead off
the ceiling, right?
Agreed.
Photoptarmosis is very interesting.
It affects roughly about
a third of the population,
And the hereditary factors
still aren't understood, so...
Is he always like this?
- Always.
- Yes.
Five second rule.
- One, two...
- No. Victor.
Oh, dilemma time.
If I eat this last wonton...
and I really want to eat it...
Then Shahir won't let me kiss
him for like a month, right?
So what do I do?
- Wonton.
- Wonton.
- Dude, wonton.
- Wonton.
- Wonton!
- Wonton!
Wonton!
- Yes!
- Wonton!
I'm sorry. You're okay.
So mad.
You're okay.
♪ if I didn't know what I know ♪
♪ if I believe ♪
Alex.
What is it? Did someone say something?
I forgot about him, Joel.
About Charlie?
Ye...
for a minute...
When I was laughing just now...
I felt free.
Dr. Tolliver!
Some help in here, please!
Wh-where's Dr. Tolliver?
Patient just died. She's with next of kin.
- Do you want me to get her?
- Just go!
Don't die on me, Mr. Darcy.
It's easy. Just...
Okay. All right.
I got this covered. Okay. Okay.
I think you got this.
You can do this. This is what you do.
Okay.
Okay.
Fat. Okay.
Skin, fat...
fascia.
You slicing him open?
Oh, my god, oh, my god, oh, my god!
Hell no! Those are supposed
to be on the inside.
oh, my god.
He's stabilizing. I did it.
What's going on in here?
Okay. Jackson, grab a bogota bag.
- We need to cover this wound now.
- I'm on it.
It was just like one of
those scenes in "Star Trek."
- "Star Wars."
- Where Luke Skywalker...
- Han Solo.
- Cuts into one of those ice horses.
- Tauntaun.
- And all the guts just spilled out erywhere.
But I saved his life!
And that trumps a hand replantation
any day of the week if you ask me.
Your patient is stable.
Dr. Tolliver,
he never would have made it into the O.R.
I know.
I told you there was
something wrong with him,
and you didn't listen. He almost died.
His pressure told a different story
from the one you were hearing,
and you didn't listen to me.
Congratulations, Maggie.
You saved a life tonight all on your own,
and that's amazing.
But?
Graveyards are full of our mistakes.
All of us make them.
You okay?
Yeah.
You sure?
Yeah, I really am. I feel...
I feel like a doctor.
Ysidro, I'm going to check
the blood flow in your fingers.
Okay?
- Ay, doctor.
- Mm?
No sé cómo darle las gracias.
I don't... No hablo español.
But that's okay. I think I get it.
That sounds good.
It's, uh, bueno.
- Si.
- Sounds good.
♪ put your words into the fire ♪
♪ watch them burn your heart's desire ♪
Alex, what are you doing back here?
♪ rise up in the air ♪
♪ in a cloud of silk and smoke and dust ♪
I had a party at our place.
♪ fade into the night ♪
♪ it's a comforting feeling with you ♪
♪ at my side ♪
And I felt...
I felt like...
what it would feel like for life to go on.
My life.
And what terrified me...
was that it could.
♪ lean our heavy heads ♪
You know, I would have
made us cappuccinos,
but, um, someone...
and I'm not saying who...
Never buys any milk.
♪ don't worry about it now ♪
Ahh, just the way I like it.
Mmm.
I got you something.
Skim or 2%?
No. For real.
You got me jewelry.
I figured I could return the favor.
Sweetheart...
those aren't my initials.
I know. They were my dad's.
I-I didn't really keep
anything of his after he died.
Um, my mom didn't want
'em 'cause she was sad,
and my brothers would have
lost or sold them, so...
- I love them.
- You don't have to wear them.
- I can buy you something newer...
- Alex.
- That's nicer...
- Alex.
Yeah?
I love them.
I mean,
they're a part of you.
And I'll tell you what.
The very next time we get
dressed up for anything,
I'm gonna wear them.
But we better put them somewhere
where they won't get lost,
because, um, someone...
Not saying who.
Works about a hundred hours a week
and, uh, can barely find
her own bra in the morning.
Well, that's just because
you keep taking it off.
- I do.
- Mm-hmm.
I do that. Why is that?
I don't know, but I think
we should be getting you
a consult of some kind,
maybe like a sex doctor.
- Mm-hmm.
- Crazy.
♪ 'cause in the morning
they will all just be ♪
♪ ashes on the ground ♪
♪ so what's been on your mind ♪
But it won't.
I won't let it.
♪ eating you inside ♪
I will never...
forget about you, Charlie.
And I will never let you go.
You promise?
♪ on this warm summer night ♪
♪ put those words down in the fire ♪