Saving Hope (2012–…): Season 1, Episode 9 - Bea, Again - full transcript

With Charlie removed from his ventilator, all he and Alex can do is wait and ask themselves: is this really it? But when a patient comes in for a routine follow-up, her new symptoms could lead Alex and Charlie to making a discovery about Charlie's coma. Meanwhile, Joel cannot operate after breaking his hand, and Maggie and Gavin deal with the aftermath of their kiss.

* The house, it shook
and left us both alone *

* And I would like to understand *

* I'm not hopeless *

* Yet *

* I'm not hopeless *

* Yet *

* I showed you all the worst I had
and more *

He may hang on for a while.

* But now I hold my hand outstretched *

* I'm not hopeless *

I'm sorry, Alex.



Just...

Go.

* I'm not hopeless *

* Yet *

* Ooh *

* I'm not asking *

* For the way to be clear *

* So you'll head over here *

* To my side *

I'm not ready to go.

* Of the story *

I won't go.

This can't be happening.
This can't be happening.

This can't be happening.
This can't be happening.



I'm not gonna let this happen, not yet.

I know that feeling.

Mack?

That's right.

You're dead.

No, I mean, really, really dead.

I went to your service months ago.

And I appreciated you being there.

Meant a lot.

You're one of the finest surgeons
I ever trained.

Whatcha doing here, Mack?

Body's been
in the morgue,

donated to science.

They brought me over today.

Oh, right. That new group
of med students.

There's this one--
26, great rack,

little horn-rimmed glasses.

She's up to her elbows
in my bowels right now.

You're down there, too?

Uh, no. No, I'm upstairs.

- Huh?
- I'm in a coma.

Oh.

Dawn pulled the plug this morning.

Took you off the ventilator?

I wouldn't have thought her the type.

Yep. She's full of surprises.

You're on your way out then?
You agonal?

Not yet.

So, what,
you've got an hour, two?

Don't worry.

I've done this before
down in the morgue,

and I have an impeccable
bedside manner.

Done what?

Help people to cross over.

Charlie...

I'm here to help you die.

Mel?

Mel, Charlie's breathing
still isn't agonal.

It seems fine.

He may breathe for some time.
You know this, Alex.

Right. I was just...

Maybe I wasn't expecting it
to keep sounding... okay.

It's good to see his face.

I've missed it.

Look at you.

You have a change of clothes?

What?

No.

I've got some stuff in my locker.

Thanks.

You know, if he's still breathing,
there's time to do something.

I could appeal.

Yeah, you could appeal to Dawn.

You know what I mean.
A legal appeal.

I know families of my patients
who have tried.

The odds are impossible, Alex.

Have any of the families ever won?

In all these years, just once.

Who's their lawyer?

Stupid, stupid, stupid.

I know.

A bar fight? A broken hand?

On the upside, they're insured.

That's not the point.
We pay you for those hands.

Dana, there's nothing
you can say to me

I haven't already said to myself.

Fifth metacarpal fracture?

That's right.

So what are we looking at?
A couple weeks?

Just until the splint comes off.

After that,
I will be back to work.

Yeah, you better be.

So I guess I see you
in a couple of weeks.

No, I can still work.

You can't do surgery.

I can diagnose.
I can still consult.

Joel, you just lost a patient.

It comes with the territory.

Suicide?

Dana, I am fine.

I've seen worse.

- You have?
- Mm-hmm.

How long will an appeal take?

To write? Oh, couple hours.

I'll just set up shop
right here in the hospital.

I gave up my office.

But, hey, it's
the age of the internet, right?

Nothing you can't do on the go.

Okay, so we'll know today?

We will know where we stand.

Alex...

These appeals are rarely granted.

Ah-ah-ah. "Rarely" ain't
the same as "never," my friend.

All it takes is one legal mistake
in your proceedings,

and we are golden.

What do I have to do?

I charge $500 an hour.

I like to get that part out of the way.

Then you leave it to me,
I roll up my sleeves,

and I file an appeal
with the court this afternoon.

Sorry. I have a page.

Oh, before you head off,

I need you to get me
transcripts from your hearing,

your lawyer's notes,
and Charlie's full medical file.

I'll--I'll get that for you.

It's fine. It's fine.

Thank you.

Hey.

This is one of Charlie's patients?

She was Dr. Macilreath's patient.

After he died,
Charlie did her last follow-up.

Oh.
This is Bea.

- You know her?
- Yeah. I-I did her surgery.

I can call someone else.

This is a special case.

I wanna take it.
And thank you for letting me know.

Bea?

I'm Dr. Reid.

You came in with flu-like symptoms?

If you could just--

Okay, you know what?
Uh, don't bother answering.

Nurse? Nurse!

My name is Victor.

She came in here with flu-like symptoms.
Now she's got stridor.

What's her respiratory rate?

40. And her 02 sats are dropping fast.

- You need to intubate.
- Right. Ketamine.

I'm on it.

Bea, you are gonna be just fine.

What I want you to do is try to breathe
with me if you can, okay?

Just try to relax.

And one...

Push ketamine, 12 milligrams.

Pushing ketamine.

Bea, try to focus on me
if you can, okay?

- Ketamine in.
- Good girl. Good job.

- Okay, let's lay her back.
- All right, here we go.

- Can I get some help in here, please?!
- She's out.

I need a flexible bronchoscope
and an O.P.A.

Okay.

Great.

- Get it in there?
- Yep.

Okay.

Difficult airway.

Do a self-maneuver for me.

All right.

You need to get it in.

The airway's obstructed.

She's going into laryngeal spasm.

- Have you done this before?
- My first day of residency.

- Dr. Harris!
- Yeah?

It's all right.
You've got it.

You've got it.

Just relax your wrist.

- Relax.
- Okay.

Now watch the monitor.

More importantly,
feel your way down the trachea.

- You got it.
- I'm in.

- Sats are coming back up.
- Okay. Thank you.

You just need practice.

You must be our new resident.
I'm Dr. Harris.

I googled you before l--

Put an N.G. tube in,
decompress her stomach,

and get a portable chest.

This is not the flu.

- He's always like that?
- Yep, pretty much.

Bea.

Dr. Reid? Hi.

- So good to see you.
- You, too.

I thought I was meeting
with Dr. Harris.

No. He had an accident.

He's actually...
in the hospital himself.

- Is he okay?
- He's just not meeting with patients.

So it's my lucky day.
I get to see you.

How's school going?

I'm taking a year off to travel...

with my boyfriend.

Wow.

We're going to Antarctica
and then South Asia.

We're gonna be on a boat
for half a year.

Well, I'm glad you're here.

It's good to get one last
appointment before you leave.

Yeah, that's what
my family doctor said.

Okay, well,
I will give you a physical,

but I'm gonna send you
for a chest C.T.

and some blood work first.

Mm, of course.
I know the drill.

Then you can have
a cup of coffee or something

while you wait
for the test results to come back.

Have they figured out how to brew
a decent cup of coffee downstairs yet?

No.

I mean, you could try the latte.
It's drinkable.

Barely.

I'm still breathing.

Barely.

And look...

Alex is trying to save my life.
It might not be my time to go, Mack.

Come on, Charlie.

You're so arrogant,
you think you get to choose?

I'm not ready.

Nobody's ready.
That's the point.

Charlie, you were never a renegade
but I always thought you were smart.

I'm...

I'm just saying that sometimes
it takes people a while to...

pass on, you know.

You've done this
for other people, right?

There's something
you need to figure out--

Before I die.

Now we're getting somewhere.

- What is this?
- Fuel.

You're studying for your boards.
I think you need fuel.

- Gav...
- Hmm?

This is not on.

The kiss, it was--
it was a mistake.

Not on my side.

It was, though.

I mean, look, how long
have we been friends for?

Five years or so.

And I love you,
and I know you love me.

But we're not in love.

I think there's a couple
of logical fallacies

in that argument.

I'm seeing someone else.

Yeah. I...

And I, uh, I need to study.

All right.

All right.

Did you want that croissant or...

No, I... You... Okay.

- Just k--
- You can--you can keep it.

Great, thanks. I'm gonna have to
get you to print that one off.

A signature for me?

And file this
and get this guy out of here.

- I got paged.
- Joel. Good, yes.

Nadia Bird. Paraplegic,
fell out of her wheelchair.

Colles' fracture to her right wrist.

- Chart, please?
- What happened to your hand?

- Nothing. It's fine.
- You break it?

Okay, this looks
pretty straightforward.

I'll take a look at it,

but you are gonna have to do
the reduction.

Really?
Why? 'Cause your hand?

Mrs. Bird, I'm Dr. Goran.

Are--are you the surgeon?
Am I gonna need surgery?

Well, hopefully not as long as
we can properly reset the bone.

Uh, let's do a hematoma block.
Uh, 20 mikes of lidocaine.

Let's do 25, just to be safe.

Whatever.

- Okay, so just try and relax.
- Okay.

There we go.

I feel ridiculous.

In front of the whole church,

and my choir's in the middle
of "Amazing Grace."

What do I do?
I get too close to the altar steps

and I tumble right down,
ass over teakettle.

- Oh! Oh! Oh! Oh! Oh!
- Oh, that's okay.

Let me do that, please.

Thank you, Dr. Miller.

It's okay, Nadia.
It's just a local anesthetic, yeah.

- Okay.
- And how about that?

- You feel any pain yet?
- Mnh-mnh.

Okay, I'm just gonna get you to relax.
This part is a little bit freaky, okay?

But you just keep breathing.

- Just be careful.
- Here we go.

Breathing.

Okay. Good. How's that?

- Yeah.
- Good.

Okay, go get an x-ray
and make sure it's right.

Should be just fine.

Nadia, I'm just gonna take
a quick look at your legs.

Okay.

Now, because of your spinal injury,

obviously you're not gonna
feel any pain here, but...

I just need to do a quick check
and make sure

that nothing else was broken
when you fell.

Yeah, can someone let my friends
know I'm okay?

They've been
in the waiting room a while.

- Is that the choir?
- Yeah.

Yep, um, we'll let 'em know
that you are just fine.

Okay, yeah.

Oh!

You can feel that?

Uh... Oh, no. I-I can't have.

Ow!

Nadia, you're feeling pain
in your foot.

Oh, that's impossible.

It's a huge mediastinal mass.

Given her age,
it could be lymphoma.

Then it's treatable.

If she survives long enough
to get radiation.

Tumor's the size of a grapefruit.
She's got massive pleural effusions.

There's pericardial effusion, too.

Well, if it's lymphoma,
we can't cut it out.

Some fluid, and both her lungs
are compromised.

And I thought you were
taking me to lunch.

Mm.

Well, there's compression on the S.V.C.
and most of the mediastinum.

- It's a tough call.
- Why don't we just drain the fluid?

Who are you?

- New resident. Thank you.
- Alex Reid.

We have this covered.

But...

That's what's putting the pressure
on her lungs, right?

I mean, the fluid is why
she can't breathe.

One liter of fluid isn't
gonna make any difference.

And she's still gonna have

a giant tumor blocking
her superior vena cava.

Right, but wouldn't it help?

She's right.

We can do a trach
and needle biopsy at the same time.

Okay, then, you don't need me.

Page me when you're done.
I'll take her over to oncology

and let you know
when I have a diagnosis.

Great.

- So you ready for surgery?
- What do you mean?

Time to step up.

- I'm not sure that I'm ready to do this.
- Hope Zion is a teaching hospital.

- I know that, but it's--
- But what?

Do you think just a pretty face
is gonna cut it here?

Okay.

Stop.

- What are you forgetting?
- Uh... Oh. Uh, right.

The patient's name is Bea Pateira.

We are doing a tube thoracostomy
on the left-hand side,

and we will leave a chest tube in.

That's right. Always pause like that,
even if it's an emergency.

You say it out loud
to everyone in the room.

- Okay?
- Okay.

Continue.

Okay.

Use your finger to dissect the fat.

I'm in the pleural cavity.

Whoa! Oh!

All right, it's more fluid
than we thought.

Don't lose your nerve.

Kelly in chest tube.

Remove the Kelly,
advance the chest tube.

Okay.

Feeding it in.

And we're good.

Sample.

- Okay.
- Good.

Attach the pleurovac, please.

How's your suturing?

Good.

Then, suture.

O-silk, please.

Okay.

B.P. is 90 over 60, satting at 92.

Heart rate's 80.

Fluid's completely drained. There
was more than two liters in there.

Wow.

Pressure?

B.P.'s over 100.

Vent pressure down.

She's stable.

Send the sample to cytology.

Nice job.

Yes!

Is there anything in your past

that's preventing you
from making your peace?

Ah, yes--the fact
that I don't want to die.

Charlie, listen.
You weren't always so open.

You could be really closed off, hard.

Were you like that in your marriage?
Is there something in that?

You think I need
to make peace with Dawn?

She did pull the plug on ya, after all.

Mack, could you not do that?

You used to drive me crazy
when you did that.

Okay, snap at me.
Take the focus off yourself.

If not resolving some "thing" in my life
is what's keeping me alive,

why would I wanna fix that?

- Hard case.
- Oh, save it.

Hi. Are those the sizes?

Um, can I get
a large telephone, please?

That's Bea.

Uh, there's a pay phone outside.

I don't want a pay phone.
I want a telephone.

With a shot of vanilla.

Oh, you want a latte?

Yeah.

She just said "telephone."

Maybe she just wants to make a call.

Mack, she's dysphasic.

- That could mean...
- That she has a brain tumor.

Okay, wait. Here it is.
M.R.I. of Nadia's spine.

There's no injury.
I thought she was paralyzed.

She is.
Car accident two years ago.

Her husband was killed, and
she was diagnosed with a burst T10,

paralyzed from the waist down.

Yeah, but her T10's fine.

So she's either delusional
or she's faking it.

- Really, that's what you jump to?
- The M.R.I. doesn't lie.

Well, neither do church ladies.

- Well, she's feeling pain in her legs.
- Then, it's...

Don't talk to me
about miracles, please.

A surprising turn of events.
That's what I was gonna say, Joel.

- Okay.
- * ...Circle *

* Be unbroken *

Yes! I love this song!

* By and by, Lord *

* By and by *

* There's a better *

* Home a-waiting *

* In the sky, Lord *

* In the sky *

* Oh, oh, oh, Lord *

This is awesome.
You can really feel the Holy Spirit.

I was boys soprano in church
when I was a kid.

Of course you were.

Uh, man, could you just
ask the Holy Spirit

to take it outside for a second?

We kind of have business to do here.

They're just trying to cheer me up.

Loosen up for five minutes, Joel.

We have to put a cast
on this woman's arm.

All right!

Thank you very much for the singing,

but unfortunately,
it's a little too disruptive,

so I'm gonna have to ask you
to please move out

into the waiting room.

I'm sorry.

Okay, Nadia, honey,
you know we're right here.

Okay. I'll see ya in a bit.

Mm.
All right, sweetheart.

- Thank you.
- That better?

- Mm-hmm.
- Yeah.

How could she have a brain tumor?

I mean, Hodgkin's lymphoma
doesn't spread to the brain.

No, the odds are unbelievably low.

Unless...
She doesn't have Hodgkin's.

We misdiagnosed her.

If we did, her follow-up
won't find it now.

They'll never do
a head C.T. for lymphoma.

It's no coincidence you're here,
is it, Mack?

That's what I've been saying.

He loved you so much.

It was so obvious.

Every time you two were
in a room together, he just lit up.

I think I lit up.

He was my best friend.
That's what I think about.

From the moment I met him...

He was the only person
I wanted to hang out with.

- That's rare.
- It is.

Respiratory rate's down.
Mel?

Cardiac monitors.
Can't trust 'em.

He's breathing shallow and irregular.

He's really struggling.

That's how it goes, Alex.

It'll be up and down for a while.

And then?

Hey.

Hi. I'm just--

I mean just feeding
my coffee addiction.

Cool.

Yeah.

So I, uh, heard about Charlie.
I'm so sorry.

Don't be. It's not over.

Yeah, I have my lawyer filing
an appeal.

- Well, that's good.
- Yeah.

- What happened to you?
- Uh... nothing. Just an accident.

Enough said.

Yeah.

- Okay. I'll see you around.
- So I'll see you later, yeah.

- So how the legs feeling?
- Um... kind of tingly.

Like... pins and needles,
and all the way down.

It's like I just met Jesus
at the pool of Bethesda.

Hey, your muscles have atrophied.

Yeah. I know I shouldn't complain,
but it's actually kind of painful.

Nadia, I just had your chart
sent over from St. Mike's.

Uh, this an image taken
two years ago after the accident.

So you had a spinal epidural
hematoma in the T10 vertebrae.

Yeah, well, I know I had something.
That sounds about right.

So the surgeons did a...
spinal decompression,

which, according to this image here,
went extremely well.

You see the cord's continuous.
No swelling, plenty of room,

and yet you remained paralyzed.

Yeah. M-my doctors,
they didn't have an explanation

except to say
it happens that way sometimes.

You didn't request a second opinion?

I put my faith in the Lord.

Ooh!

And now look.
He's healing me.

Mrs. Bird, I have a responsibility
to get your diagnosis right here.

And getting your legs back
after two years, it isn't... possible.

And yet, it is.

Okay.

Well, then, I will find you
something for the pain.

Mm-hmm.

In the meantime,
I'll review your files and...

see if I can recommend
a course of treatment.

Okay.

Your blood pressure's fine.

And I wanted you to see this.

Your chest x-ray came back.
You're free and clear.

That's four years in a row.

Congratulations.

So any other symptoms?
Swollen lymph glands?

- Night sweats? Itching?
- I've had some headaches.

Headaches, Alex, and dysphasia.
Come on, Bea, keep talking.

- Bad headaches?
- No, it's just stress.

No, it's not.

And with the research trip coming up,
I've been getting vaccinations.

Right. South Asia.
So you've been getting...

Hep "A" and "B," typhoid,
rabies, and Japanese encephalitis?

- Yep, that sounds right.
- That's a mean cocktail.

Any one of these
would give you a headache.

I know it's outside the realm
of lymphoma,

but send her for a brain scan, Alex.

So...

With your boyfriend Keith?
You sound happy.

- Really happy.
- Good.

Um, what kind of accident
did Dr. Harris have?

- He was in a car accident.
- Is he gonna be okay?

He'll be fine.
And that is all.

You're done.

- Thank you, Dr. Reid.
- You're welcome.

Charlie would be so happy for you.

She's gonna die
if you don't think of something.

I know. This is over my head.

This isn't liposarcoma with five
different kinds of approach.

No, it isn't.

Bea, don't go.
Don't walk out that door.

She's not hearing you.

Stop!

Turn around.

You feel me and you hear me.
I'm--I'm-- I'm your gut instinct.

I am the voice
in the back of your head,

and I am telling you, those words
you keep misusing and those--

those headaches you keep having,
they mean something.

Don't you go.

Turn around.

Did I just do that?

Hi.

I just wanted to check in,
see how he was doing.

Of course.
I'll give you a minute.

No. Stay. Stay.

No, really.
Take a minute with him.

- What happened?
- I'm sorry. The court--

They won't even hear the appeal,
the bastards.

What? I...
I don't understand.

There were no legal errors
in your proceeding,

but I was hoping to sell them
on unreasonable result.

- They didn't buy it.
- But...

He's breathing.

- Doesn't matter to the court.
- So...

That's it?

Look at it this way.
You've tried everything.

Now you can just...
be there for him.

I'm sorry.

Mm.

It's, um...

It's okay to be upset.

Is it? Really?

What can I do to help?

You can take the D.N.R.,
which Charlie never believed in,

off his chart.

No?

Then, go to hell!

Hey.

I am assuming that you've heard
about my patient.

De-paralysis.
Yes. Indeed I have.

So... traumatic event two years ago.
Car accident. Husband died.

I'm starting to believe
that she has conversion disorder.

Yeah. Could be.

Uh, it's often misdiagnosed
as malingering,

a patient making up symptoms
for attention.

- She's not making it up.
- No. No, to her, it's completely real.

Her mind is distracting
from her emotional trauma

by making it physical.

So then why are her legs
working now? Popcorn?

- No.
- Yes.

Uh, it could be her latest accident.
She relived her trauma.

So what do I do?

You celebrate. A paralyzed
woman may walk again. Hallelujah!

Are you 100% sure you have
a medical degree?

Look, all I'm saying is
that it's good news,

so why do you have to fix it?

Because she has
emotional problems so bad

she's convinced herself
she couldn't walk.

I think that she needs
an appropriate course of treatment,

so that she can get the full use
of her limbs again.

She definitely could use
some long-term therapy.

- Right.
- I'm happy to talk to her.

But we can't force her to deal
with trauma if she's not ready.

So what is it that you do here again?

That guy has
some serious issues.

Hate the word "issues."

Dr. Reid?

Bea.

I, uh...

I couldn't leave
without saying hi to him.

Of course.

Why didn't you tell me
how bad it was?

- I'm sorry. I couldn't.
- Well, I'm glad I came back.

Um, I brought him some shoes.

You brought him what?

I don't know if he can
have them in here, but...

- Have what, Bea?
- The shoes.

Those aren't shoes, hon.
They're flowers.

That's what I meant.
I just, um...

You know, my brain's
so scattered with packing,

and the vaccinations-- they do a number
on your system, right? So I...

Would you like to have
a minute alone with Charlie?

Okay.
I'll be right out there.

- Okay. Thank you.
- Yeah.

- Hey.
- Hey. Is everything okay?

Yes. No. Um...
Um, I need to find Shahir.

- Can you just keep her here?
- Yeah. No problem.

Great.

And that...

...is how you do that.

Tough surgery.

I don't know what you saw
from up in the gallery,

but that gall bladder--
it had several adhesions.

- Oh.
- It had fatty tissues. It had--

- You did good work.
- Uh-huh. Then, why are you here?

To offer you the job of chief resident.

Uh, last time I checked,
Reid had that job.

- She needs some time.
- Well, does she know?

Not yet.

Uh, it's what I wanted,
just not how I wanted to get it.

I know the feeling.
It's yours if you want it.

- I do.
- You're a terrific surgeon.

You'll do great.

She's dysphasic.
She called flowers "shoes."

Dysphasia indicates a brain tumor.

But Hodgkin's lymphoma
doesn't recur in the brain.

- Well, then she doesn't have Hodgkin's.
- But she does.

Dr. Macilreath diagnosed her with it.

Well, then, there's an error
in the pathology report on the biopsy.

What?

Alex, look at this.

This report shows features
that are compatible

with a-a high-grade
malignant glioma.

So she was misdiagnosed?

Sample size is too small.
I can't tell.

We need to get a brain C.T.
right now.

Time for a break?

I was thinking we could try
that hill down by the ravine,

bet the grass gets really slick.

A little tray sledding?

Thought we made a mistake.

We did, but I want to be your friend.

Maggie...
I'm sorry.

I can't do this.

I'm not gonna lie to you.
This is harder than it looks.

Well, you haven't moved your legs
in almost two years.

It's gonna be a process.

Yeah. I shouldn't push it.
Is that what you're saying?

- Uh-huh.
- Look, I can't help it.

God is working through me.

Nadia, I would like to talk to you
about what you're suffering--

What you're actually suffering.

Have you heard of something
called "conversion disorder"?

No.

Sometimes after a trauma,
we'll do anything to protect ourselves,

like if it it's something
we really don't want to deal with,

like the, uh, the loss of a loved one,

we might make up a story,

something to deflect our attention
from what's really going on.

You lost your husband Alfred, right?

Yes.

I know the grief from that
must have been enormous.

Did you ever talk to anybody about it?

I talked to God. Every day.

Did you ever talk to anybody
professional about it?

I... I had too much stuff
to deal with--

Uh, the loss of my legs,
my wheelchair.

I-I didn't have time to think...

Ab--

About, uh...

Getting your legs back isn't gonna
be easy physically or emotionally.

Now, listen to me.

We have a great counselor
here at Hope Zion,

a-and I'm gonna put you
in touch with him.

You've got a glioma, Bea.

A mass in the left parietal lobe
of your brain.

The cancer...
It's in my brain?

Yes.

But I was g--

I was gonna go around the world.
I was gonna see the Antarctic.

How could this happen?

We think, when you were diagnosed
four years ago, the pathology was wrong.

You see, you were treated
for Hodgkin's lymphoma,

when you should have been
treated for T-cell lymphoma,

but we get you
the right treatment now,

and--and you can beat this thing.

I'm scared.

Of course you are, Bea,
but it'll be okay.

I'll be with you
every step of the way, okay?

So I'll take you down to oncology.
I called your parents.

- They'll meet us down there.
- Okay.

Okay.

I was the girl's oncologist.
How did I miss it?

We all miss a few, Mack.

But I was arrogant, wasn't I?
I was so sure she had Hodgkin's.

All the signs were pointing to it.

I might have signed
that girl's death warrant

if it weren't for you today.

I guess it's time.

I'm not ready, Mack.

Don't worry.
It's not your time.

What?

You're still breathing up there.
You're still alive.

Push past the familiar thinking.

Just because the ventilator's been
turned off doesn't mean you have to die.

Then, what was all this for?

You were here to help me.

And look.

I wonder what happens now.

I'm not going anywhere, Alex,
believe me.

I'm staying right here.

Alex, I know you're upset with me.
I just... I don't want to argue.

Okay, listen,
just put your hand on his chest.

I heard how he's doing.

No, please, just come over here
and put your hand on his chest. Please.

Do you feel that?
Do you feel how strong it is?

His respiratory rate's
within normal parameters.

He's breathing normally, Dawn.

It's almost been 24 hours, and he's
breathing just like you and me.

How is that possible?

- Something's changed.
- It has.

Okay.

Yes.

Think you killed the patient.

You turned him into rubber.

I cut off his torso. He wouldn't
answer any of my questions.

How many times have you
run through that?

Oh, I don't know.
About 10,000.

You know, everyone has
a tough intubation.

Hell, when I started,
I had a tough couple dozen.

Then one day,
they just start to happen.

You know, it's like, you--
you believe you can do it,

and then one day, you just can.

So you're not angry?

No, I'm not angry.
You did a great job today.

You know, I did tell you
we had it covered, though.

- I knew you didn't mean it.
- Uh-huh.

- So you ready for dinner?
- Dawn. Yes.

- Hey.
- Hi.

I will see you around, Dr. Reid.

He shouldn't be D.N.R.

Will you do whatever needs
to be done legally?

Of course.

Not tomorrow, Dawn.
Right now.

Yeah.

- Take care of him.
- I promise.

The diagnosis is just the beginning.

Hey, Mom?

Yeah.
Hey, guess what?

You can take good news
and run with it.

Guess who just got promoted
to chief res?

Yeah. That's right.
Hey, is dad there?

Yeah, yeah, put him on.

Don't tell him.
Just put him on.

Or you can take bad news
and turn it around.

* These shadows
should have known *

* Well, I suppose, but I... *

How you react is everything.

Shahir, I was thinking,

since we found out
that Bea was misdiagnosed,

maybe we did
the same thing to Charlie.

He's still breathing.
Maybe he was always breathing,

we just didn't see it
because he was ventilated.

What if there's something else
going on in Charlie's brain?

* I done what I did *

You mean, what if it's not just
a diffuse axonal injury?

* ...Your face again? *

- You think we misdiagnosed Charlie?
- Maybe. Yes.

Because you can move
beyond the diagnosis.

* And sing a lovesick lullaby *

- You really think I can do this?
- I know you can. Give me your hand.

Give me your hand.

* 'Cause I am the man on fire *

When you open your mind,
you can surprise yourself,

and things change.