Saving Hope (2012–…): Season 3, Episode 18 - All the Pretty Horses - full transcript
Joel and Zach help an army man in the field. Charlie and Dawn try to save a hand while Maggie and a really pregnant Alex take their board exams.
Previously on "Saving Hope"...
I'm in a coma, Charlie.
When I wake up, let's have a baby.
- Alex. You okay?
- Who are you?
There's this guy
that keeps coming to see me.
So, I hear you got your memory back.
Yeah, all at once. It was kind of intense.
Please let me understand.
I don't think I love you anymore.
She's been through a lot.
Studying for the surgical boards
is no joke, Maggie.
If we fail them,
we've wasted about 10 years of our life.
I hear you have
a-a surgical board study group,
I would love to be a part of it.
Study group has to start on time
and end on time for once today.
Someone's got a hot date.
I don't want to break your heart, Charlie.
Well, you can't.
Because you are my heart, Alex.
We could just go and give
ourselves to something amazing.
There are amazing things here.
- There certainly are.
- No, I need to stop this
because I know how it ends... we crash!
- No, we don't crash, Alex!
- You always crash!
We make this work!
So... who's the hmm-hmm?
An orthopedic surgeon.
I'm pregnant, Charlie.
We're all wondering who's the daddy.
I'm having a boy?
Well, she is right.
It is safer to wait
until after the baby's born
to do a paternity test, so...
It's the right thing to do.
Just need to show a little bit of patience.
What did you want to ask me?
It's nothing. It can wait.
Okay, Mr. Man, let's see
which end is up in there.
All right, his head's down,
so he's not in breech,
- which is excellent news.
- Good.
Is the head engaged yet?
No, but it doesn't mean much at all.
It'll engage when she goes into labor.
Which won't be for another week.
Most likely.
- Let's check your blood pressure.
- Okay.
Sydney, I got you... this.
"Team Sha-Lex."
It's a portmanteau,
like "smog" or "Brangelina."
Shahir plus Alex equals...
Sha-Lex. Nice.
That's right. Well,
I was hoping each one of us
could wear this during
the birth. That's for you.
Just tell me that
I'll be able to write my boards.
It'll be fine. Maybe Mr. Eight pounds here
will even answer a few questions for you.
- Eight pounds?
- Yeah.
My baby is eight pounds?
Go, Sha-Lex!
You look awful.
Thank you very much.
I haven't been sleeping much lately.
Have you seen Alex or talked to her?
About anything other than work? No.
She's writing her boards today.
Alex. That's what
you're talking about, right?
- Her boards.
- Writing her boards... is that even safe?
Safer than you two stressing her out.
I can see your knees.
Why am I remarking on that?
Gentlemen, perfect.
Just the guys I'm looking for.
Hammond military base just called.
They need an orthopod
and some emergency support.
Okay. Anything more specific?
Yeah, guy's got a mortar shell stuck in him.
I'm sorry. He has a...
Guy has a mortar shell
stuck inside of his body.
- How did it get there?
- I don't know.
Some type of training exercise. Who's in?
- I'm in.
- Definitely me.
Actually, th-this sounds
a little bit dangerous, Joel.
Why don't you let me, the more
senior surgeon, handle it?
I think it's really cute that people
of the older generation are
trying to become more active.
He's extremely fragile.
20-something male, hypothermia
and a busted arm. Half-hour out.
Oh, or there's that.
- I'm gonna go with the military base, yeah.
- You need the better surgeon.
That's my point exactly...
- you need the better surgeon.
- Well...
We're gonna flip for it. Works with my kids.
Heads.
Heads it is.
You're coming with me.
You get the coin and the frozen guy.
My lucky day.
- Need one of these?
- Yeah, mate.
And get me a field trauma kit
and an intubation pack.
I'm on it.
Saw Alex earlier today. She
looks like she's ready to pop.
I don't know if this has anything to do
with my father getting sick
recently or whatever.
But for some reason, I just feel ready.
Well, for what it's worth,
we got you winning the paternity pool.
Think we're good to go, right?
Dude, you cut off a leg
with a pair of bolt cutters.
I'm not too worried.
- All right.
- Hey. - Hey.
Wow!
I feel like a parade float.
A beautiful parade float.
Hey, good luck today with the,
uh, boards, okay?
Thanks. It's pretty nerve-racking.
Yeah, I remember mine. I threw
up in the car on the way there.
Yeah, I'm pretty much guaranteed to do that.
Pretty much.
Hey, Alex.
Yeah?
You're golden.
Oh, wow. I stick out like a sore thumb.
Hey. No, no, no, no, no.
The pregnancy looks great.
The dress looks great.
Well, it's the best I could get
at maternity barn.
- Nice suit, by the way.
- Thank you.
I spent the last of my line
of credit on this bad boy.
Me too. Maxed out.
I should have brought my saltines.
- Can I just lean on you for a second?
- Yeah, sure.
That's better.
How are you feeling?
Are you referring to this
or how I feel about my written exams?
Oh, man, I did not do well on those.
Guys, can we just not
talk about the writtens
and just take the last
five minutes before the orals
to talk about just anything else.
Okay.
Did you find yourself circling
a lot of C's on that test?
I had A's and D's going head-to-head.
Damn it. Oh, man.
Okay. They want us to pass.
That has to be our attitude going in.
It's gonna be great.
My water just broke.
Jackson, what do we got?
Well, Graeme here spent the night outside.
Driver found him laying
on the side of the road
up near Silent Lake.
Is he naked? Was he swimming?
Why is he naked?
- I don't know.
- These are his personal effects.
Graeme, why are you naked?
M-m-mystery.
Okay, let's get him some warming blankets
'cause buddy boy here
needs to get get tucked in.
Now, Graeme, try not to move your arm.
You've got what appears to be
a severely dislocated elbow,
and your arm is very cold,
so you probably can't feel that.
Let's get him 100 fentanyl.
What's his temperature?
Uh, so low I can't get one.
SAT monitor isn't registering.
Okay, well, he's got severe
frostbite in his nose and ears,
and these fingers
look pretty gnarly, so, uh,
let's keep an eye on those, okay.
Graeme, I'm going to pop your elbow back in.
So, do you want to tell me
how all this happened?
M-m-m-m-m-m-mystery.
Okay. Dawn!
Yo, Dawn!
- What?
- Little help here, please.
Ooh!
I hate the E.R. It reminds me of snakes.
Severe case of hypothermia.
You're worried about rewarming shock?
Yep.
His heartbeat is erratic.
Okay, microwave some saline.
I'm gonna run some warm fluids.
Let's book an O.R.
Returning blood flow's gonna overwhelm
that arm and cut off the circulation.
Predicting the future. I like it.
Okay, I'll meet you in the O.R.
I can monitor his heart
and warm him up there.
See? We're having some fun.
Yeah.
Was he naked? Why was he naked?
Mystery.
Okay. Get them to postpone the exam.
If it was the writtens, maybe,
but they won't redo the orals.
Not for anyone.
Okay, so do it next year.
I won't be a new mother and a resident.
I can't do it.
It's now or never.
I have to pass those exams.
Okay. You're not dilated.
That's good news.
- Are you having a contraction?
- Mm-hmm!
Okay, so who do you want me
to call? Joel or Charlie?
Both!
Okay. You need to time your contractions.
Each station is 15 minutes long
with 2 minutes in between,
so as long as it's a slow labor...
Thanks, Maggie.
You can sit your exam and
we can get you to the hospital.
- Here's my watch. Use it.
- Okay.
- How's she doing?
- She's in labor.
Labor? Like... like...
- Yes.
- Like she's getting... right?
- Yes.
- Welcome to part two
of the surgical boards.
There's one question per station.
Any talking in the hall, you fail.
How far apart do my contractions have to be
before we go to the hospital?
- Less than five minutes.
- You're two hours away
from your career as surgeons.
Whatever you do, don't kill any patients.
- Welcome to Hammond.
- Thank you.
I'm Captain Isaac.
Corporal Britt Delkus.
I'm the field medic here.
- I'm Joel Goran.
- Zach Miller.
Turn off your phones, please, gentlemen.
What for?
Safety. They can trigger an explosion.
- Yeah.
- So, here's what's going on...
we were doing some weapons familiarization.
And a mortar went astray.
We hope it doesn't detonate
before you guys can get it out of him.
This kind of accident happen often?
No. That's why you're here.
Put these on, please.
We got more people coming,
but you're here first.
- Okay.
- Corporal Delkus is gonna take you guys in.
- Get your bottom strap.
- Thank you.
So, what exactly
are we dealing with here, guys?
- Single casualty, male, 28.
- Okay, let's go.
He's in class 1 hypovolemic shock,
but I've managed to stabilize him for a bit.
I've given him two amps of morphine,
and we're doing
what we can to keep him warm.
- Okay.
- Whoa.
It's an unexploded
81-millimeter mortar round.
We're all just waiting
for this thing to go off.
45-year-old female
presents with painless jaundice.
She's lost 10 pounds
in the last three weeks.
- How do you proceed?
- I would take a good history,
and I would do a careful,
detailed physical exam.
I would take a good history,
and I would do a careful,
detailed physical exam.
I would take a good history
and do a careful,
detailed physical exam, sir.
I would check for indications
of abdominal pain.
I'd want to rule out
any hepatotoxicity effect.
I'd ask the patient if they had any itching.
- Gallstones.
- Damage to the liver.
Obstructive jaundice.
Everything all right?
Mm-hmm.
Temperature coming up any?
Nope.
Okay. I'm gonna run saline
and warm up this cold heart.
Any bets on how this happened?
Naked in the snow?
Two words... "insta. Gram."
That's one word.
It was probably paradoxical undressing.
Right before you freeze to death,
your blood vessels dilate
and you feel incredibly hot.
That would explain the nudity
but not the guitar.
It's true.
Okay. Fascia's open.
He's not gonna lose the arm.
Now let's check on his fingers.
Fingers are not pinking up.
Can you answer that? It's unbearable.
Hello?
Okay. Thank you.
Okay, let's give these fingers
a chance before we cut them off.
And someone page me a resident,
help me wrap this arm.
I can help you.
I have to stay to monitor his heart, anyway.
Thank you.
That was Dr. Lin.
Alex is... in labor.
Oh.
Hmm.
So, how exactly did this thing land on you?
Best guess?
Leg of the tube gave out and misfired
and the shoulder of the mortar
ricocheted off something.
Can you give us a second?
We're gonna figure this out.
So what's our move?
Hop him back in the chopper,
take him to the O.R.
That's not gonna happen.
He's gonna bleed out.
Well, we can't wait
- for the cavalry to arrive.
- No.
I mean, I can tie off
a few of those bleeders,
get a better idea of how that
mortar's positioned in there.
- Call the bomb guy.
- Exactly.
I'm the bomb guy.
- You're what?
- You're the...
I'm the platoon's combat engineer.
Explosives are my thing.
It's ironic, sir.
You know how to defuse this?
If it wasn't stuck in my gut.
The detonator's on the tip.
If you can pull it out,
I can unscrew it and pull out the fuse.
Excellent.
Um, well, this, uh
should be interesting.
Yeah. We're, uh... it's all good.
Okay.
- I need more gauze.
- Coming.
Want me to pack that?
Yeah. Nice and easy.
- Nice and easy.
- Yeah, yeah.
One thing the army has
is gauze... gauze for days.
We pray to gauze around here.
How did this thing hit you and not explode?
I guess these rock-hard abs
weren't enough to trigger it.
So, we're good... it won't go off
as long as we don't drop it
when it comes out, right?
No. It's armed. It's ready.
What do you mean it's armed?
What could trigger this?
It's a pressure detonator,
so a twig could trigger it.
Just hitting it with something
could trigger it.
Sparks.
It's designed to explode.
Mm-hmm.
If it hasn't, you're waiting.
Go slow quickly, if you know what I mean.
I'll be as gentle and as fast as I can.
A little dumb... luck.
You are pretty dumb.
I'm also lucky, mate.
Better lucky than smart, right?
Hey, Corporal, you always wanted
some operational experience.
You two have never been deployed, have you?
We were supposed to ship out tomorrow.
This is one way to get out of active duty.
Okay, I think we're ready to lift this out.
- You should let me do that.
- No, no, I... no, I got a good feel.
And, uh, I think it's tamponading
some arteries in there.
Be aware that this thing
is gonna bleed like crazy.
Uh, I'll go proximal.
All right, I'll stabilize the pelvis.
- Careful, okay?
- Yep.
- And on three... real three.
- Yeah.
Oh, Jesus.
Uh, one...
- Two...
- Two...
- Three.
- Three.
- Okay, stop. Stop.
- Okay.
Damn it. It's embedded in the pelvis.
Wait, what does that mean?
I-it's stuck in your bone, sarge.
The iliac wing, to be specific. That's the, uh,
bone that curves around your pelvis.
Can't pull it out?
No. I need to get in there with some tools.
Chip away the bone.
Can you do that here?
- No, no.
- I feel like I'm freezing to death.
No. We have to move him.
Steady. Don't shake him.
- Yeah.
- Yeah.
We get there, you do the B.P.
Zach, you hang blood ASAP.
He doesn't actually outrank me,
just so you know.
It's nice and sterile in here.
It's just like a Hope-Zee O.R.
Okay. Uh, let's get a rundown of the gear.
You need anything, you let me know.
Corporal Delkus, you're relieved.
What? I'm not leaving you, sir.
Go. That's an order.
Delkus, you showed good instincts out there.
You'll be fine.
You too, guys.
Last chance... go, no go.
- It's go.
- It's definite go.
I can't handle this level
of manly silence in my O.R.
I thought this was my O.R., Dawn.
Silence is a source of great strength.
It's also a source of great irritation.
It's... I feel like
I should be doing something, okay?
Like, I-I don't know, boiling
water or something like that.
Boiling water has no medical value.
That was just something they did
to get the father out of the room.
- Really?
- Yeah.
I bet on you, you know?
In the paternity pool.
Thank you.
I bet on you, too.
Really?
Yeah.
If you cared about anything
as much in our marriage,
I would weigh 300 pounds, have 14 kids.
That's a very sweet image
you've conjured into my brain.
Thank you very much, Dawn.
May I say this as a friend?
You need to do the thought experiment.
What if you're not the father?
I'll get a dog.
Okay. 15 minutes are up.
All right.
- Oh...Oh!
- Okay.
Those are fully necrotic.
They're not coming back.
So, can't wake him up to ask permission.
Dr. Bell...
Do you concur that I should
amputate these fingers?
I do.
- Dr. Sharpe, do you also concur?
- I do.
All right, I now declare
you amputated fingers.
And, Dawn...
been doing the thought experiment every day.
Charlie, I'm just...
Ah. Don... Moment of silence, please.
For the fingers.
Good enough. Scalpel.
She just won't quit.
Imagine if she was your surgeon.
Are you okay?
Mm-hmm. Yep.
Okay, Alex, we need to get you
to the hospital right away.
No. There's still two doors left.
Have you had your rest station yet?
There's a rest station?
Alex, if your contractions are
less than five minutes apart...
I know, hospital. I know. I know.
70-year-old male,
status post Hartmann for sepsis.
He's in the ICU, hypotensive.
His CVP is 10,
wedge pressure 14, and SVR 600.
Drugs to use?
Do you need me to repeat the question?
No.
How's that infusion coming?
This should take the edge off.
I'm so high. I keep seeing my son's face.
It's like he's saying,
"hang in there, daddy."
"Hang in there."
How old's your boy?
He's 3.
Yeah? I got two boys myself. 9 and 12.
I can't wait for that age.
Oh, it's the best, you know?
They're out of diapers, you
can get them to wash your car.
Crank his morphine.
I do want to keep him breathing.
Hey. I'd like that, too.
Marcel, I have to operate,
and we do not have anesthetic.
He's gonna be cutting into
your bone. It's going to hurt.
You so much as twitch, yeah?
Boom.
- Boom.
- Boom.
So what's the plan, Stan?
Gonna drill four holes,
chisel under the bone,
pull this bad boy out of your pelvis.
- That's a terrible plan.
- It's all I got.
Good luck.
Good afternoon.
The subject is male, early 20s,
experiencing weight loss...
Expelling
reddish sputum, fever.
I'm guessing he's got a... bit of a cough...
a few months, minimum.
Excuse me, are you in labor?
I'm fine. Okay.
So, the C.T. tells me
that there is a collarbone
abscess, subcutaneous.
Yes, there it is...
abscess in the lymph node
of the left mediastinum.
I am also noticing extensive
parenchymal abnormalities
in the left lobe.
Okay.
It's a tuberculous abscess.
A sputum smear
should show acid-fast bacteria,
and I would treat it
with 6 weeks of the standard
anti-tuberculous treatment.
If scarring is a concern,
I would suggest minor cosmetic
surgery, pending no relapse.
If you'll just excuse me,
I'm just gonna go and deliver my baby.
Thank you for your time.
Oh, my God.
Joel, it's Maggie.
Alex is having her baby,
so... so call me, okay?
He's not picking up.
- Okay, just breathe. Breathe.
- Yeah...
Yeah, I'm trying. Maggie, this is crazy.
You need to go back and finish your exam.
Well, you happen to need an
ob-gyn right now, and I am it.
Ohh, they don't tell you this
when you're trying to get pregnant.
- You tried?
- Well, I wasn't not trying!
Okay? I think I wanted to be a mother.
Oh, my God, Maggie.
Okay, don't think about that now.
This is a mess!
My family's a mess, Joel's family's a mess,
Charlie's an orphan.
I did not think this through.
Okay, don't think about anything
like that now, okay?
Ohh! Call Shahir!
Okay, I'm gonna call Shahir,
and I'm gonna call Charlie, too.
I want you to have someone there with you.
No, you're here with me.
My God, this is like
one long contraction.
- Hi, it's Maggie.
- Wow.
Can you page Dr. Katz?
We're incoming, on our way to maternity.
I am so glad that you're here.
Everything's gonna be great, okay?
Breathe. Breathe.
Breathe.
Damn it.
I can't get an angle
on this section of the pelvis.
Okay, what do you want me to do?
There's nothing we can do, man.
It's...
This whole setup is so... It's so awkward.
Do you want to... let's switch.
Okay.
Hey, man.
I think
I can handle this on my own.
What are you talking about?
- I'm in my element here.
- You have two kids.
Yeah, I don't want to die, but neither do you.
It's not worth the risk for you,
okay? You're a father.
So is he. I'm not leaving him.
- No. Don't take that off.
- I need to move.
- I have to take it off, Marcel.
- You can't...
Hey. I can't move in that thing, all right?
Okay, look.
Steady as a rock.
Steady as a rock.
Let's do this.
Lay still!
Buddy, you cannot move, okay?
One more time.
- We're almost there.
- Here we go.
I don't think he's gonna
be playing guitar anymore.
Remember when you used to
play guitar for me, Charlie?
He would shred away
like "Yengwee Malmsteen."
Yngwie Malmsteen. Yes, I remember.
I remember you making marbleized coasters.
Those were nice coasters.
They looked like real marble.
Mm. "Yingway"? So overrated.
Yngwie. Top-3, all-time.
- Ugh!
- Don't argue with me.
- Oh, my God.
- Yeah, I don't like that twiggly-wiggly stuff.
You give me a slow jam any day.
John Mayer, John Legend...
This is exactly why we got divorced, Dawn.
Go.
We can handle this. Go.
You got this. You got this.
- Okay, lady, you are fully dilated.
- Okay.
Too late for an epidural.
Ohh, of course it is.
Time to push.
- Now?!
- Yes, now.
Oh, my God. Baby's crowning.
- Okay.
- I can see the head.
Push.
Again. Again.
No, I just... I just need
a minute. I need a minute.
No, I need you to push for me now.
- Okay.
- Okay? Don't rest now.
I've got the head! I've got the head.
Okay.
Push!
- Aah!
- I need you to push harder.
I'm trying!
One more. Harder.
Wait a minute!
What? Is everything okay?
Stop pushing, Alex. Stop.
Okay. Okay.
This is exciting.
Labor, dilation, the "ring of fire"...
- Shahir?
- Mm-hmm?
Could you, um, relax
with the play-by-play, please?
She's, he's. Could've, should've.
Can't, won't.
What are you doing?
Just having some contractions.
That is very lame.
True, but that's enough to make you laugh.
And that endorphin release will
increase your pain threshold,
make what's bothering you bother you less.
Just... I have a bad feeling.
About the birth?
I don't know. I don't know.
It's about Alex? I don't...
I don't know.
Do you believe in omens?
Omens? No.
Yeah, I know. It sounds kind of...
S...
Something isn't right.
What are you doing?!
Just let me think a second, okay?
Is my baby okay?
Shoulder's stuck under your pubic bone.
We need to think of something else.
Okay, so plan "B"! Plan "B"!
Plan "B." "B" is for "baby."
- Eve, I need you over here.
- Okay?
Get her legs for me.
Okay, I want suprapubic pressure. Okay.
I'm gonna do the wood's screw
maneuver to turn his shoulders
and deliver the posterior arm.
- Ohh!
- Shoulder's stuck.
Okay. Shouldn't you call Dr. Katz?
No, it's too late.
Baby can't breathe this way.
So we need to get him out right away.
- Okay.
- Okay?
Oh, I am so scared, Maggie!
I know, honey. I know. I'm here, okay?
- We... we've got this. We've got this.
- Okay.
- Okay? Breathe. Breathe.
- Okay.
I trust you.
I trust you. I trust you. Okay, plan "B."
- Plan "B."
- Plan "B." Okay, breathe.
Breathe.
I'm gonna bend his collarbone, okay?
- What?! What?!
- You're gonna what?! Don't worry.
It's okay. Babies bend.
Do not break my baby, Maggie!
I will not break the baby. Come on. Come on.
One last push.
Okay!
Okay. It's okay.
You're okay. You're okay.
Hey, baby.
Ohh.
That's a good boy.
Oh, my God, Maggie.
Okay, hold on. How are you feeling, Alex?
I'm okay. Isn't he cute and smart-looking?
Yeah, once they're born,
I don't really care anymore.
- Did she deliver the placenta?
- Not yet, no.
Okay, guys, I'll meet you
in the birthing room.
- And you passed your exams. What a day.
- Order me 10 units of oxytocin I.M.
Maggie, freeze.
She was in active labor,
and the baby presented
with shoulder dystocia?
Yeah, there was no time
to call you. It was crazy.
Talk me through what you did.
Okay. I-I put her in McRoberts position.
I applied suprapubic pressure.
I did the Wood's screw maneuver.
I-I tried to deliver the posterior arm.
That didn't work,
so I bent the baby's clavicle.
And if that hadn't worked,
what would you have done?
Zavanelli's maneuver.
Okay. Thanks.
What was that?
Your final boards question. And you passed.
Congratulations, Dr. Lin.
Thank you! Thank you.
Oh, God.
Yes!
Hi, Graeme.
Hi.
I'm Dr. Bell.
I'm part of the team that unfroze you.
Oh, wow. Uh...
Hey, thank you.
I'm sorry about your fingers.
They were just too far gone.
Yeah, well...
I mean, they'll grow back, so...
I know that they're not gonna grow back.
But it's, uh... it's cool.
It is?
I-it's cool. I'm warm.
But it'll be cool.
When they brought you in,
you kept saying "mystery."
What's... what's the mystery?
Mystery?
I think I might have
been trying to say "Misti."
That's, um...
that's my ex-girlfriend's name.
I... I went down to the river
to throw her guitar in.
And then I felt bad, so I went in after it.
Then, I had a series of,
you know, dire misadventures.
I locked myself out of the car,
and I got lost.
But, uh, I'm here, you know?
I survived.
I feel reborn. I still have three fingers.
No, you only have two fingers.
Yeah.
Is that why you look so sad?
No, I j...
My ex-husband just became a father.
I think.
And I'm happy for him.
I am.
I've got burgers and fries, doctor's orders.
I believe
there's a pie in there, too.
Thank you.
Have you, uh...
thought of any names yet?
Yeah.
Luke.
His name's Luke.
That's a good name.
Yeah, it is.
Do you want to hold him?
Yeah.
Oh, my goodness.
Oh, my goodness, gracious. Look at you.
Oh, my.
Oh.
Is... is there
any other way to do this?
Not that I know.
Don't... touch... the detonator.
We won't.
We won't.
Okay.
The bone seems to be separated
all around the mortar there.
It's just... what about your side?
Yeah, it's all good.
Ah, damn it.
- What? What? What? What?
- No, I missed a spot on the end.
Give me...
- Whoa, whoa, whoa, whoa.
- Ah, yeah, we got a bleeder.
- Okay. Gauze, gauze, gauze.
- No, he's lost too much blood.
Um, get me 2 units of O-neg,
fresh plasma, hemoclips, please.
- This is all the blood we have.
- I'm also worried
about his stability for transport right now.
We pull this thing out,
he's gonna need vasopressors.
He's gonna need something
to maintain his coagulation.
- I'll be right back.
- Exactly. Thank you.
You faked that.
You're not gonna wait, are you?
No.
What, you got a death wish or something?
Not anymore, man.
I'm in love with someone.
I think I might be a father.
You ready?
These dog tags...
belonged to my buddy.
I keep it for good luck.
Not that I don't trust you, but...
You know, just in case, you
need to give it to his family.
I'll tell you what
an empty pocket's bad luck.
You take that.
We'll trade them back after.
When this is done, okay?
How much further?
We'll be there in two minutes.
Okay, I just need to raid
your medical inspection room
for all the supplies you got.
Yeah, we're not as fancy as you guys.
Joel.
Turn around.
- What?
- Turn the jeep around!
Moment of truth.
I'm ready.
Try to keep it still, Marcel.
Aah!
- I'm sorry. I'm sorry.
- Just...
Marcel, hold these...
hold these against your wound.
Tight, buddy. Tight.
God!
Doctor, stay where you
are. We're coming to you.
You four, bring out the containment chamber.
Joel.
Man down! Man down!
We've got three casualties,
one with minor cuts and burns...
who's gonna need secondary survey.
This the stat O.R.?
Yeah. He's had 2 hits of O-neg,
2 hits of plasma,
an object removed from his iliac,
and bleeding which is packed.
Joel saved his life.
Where is Joel?
Zach?
Where's Joel?
So, what do you remember?
Everything.
I remember everything, Charlie.
Do you remember...
being in a coma?
Yes.
I saw you in the hospital.
I told you I wanted to have your baby.
Yeah.
I love you, Charlie.
I love you.
Sergeant.
Looks like you've had quite a day.
Yeah.
Hey.
Did you...
know the doctor who died?
I'm sorry.
I'm sorry.
I'm sorry.
C-can you give this to his family?
So...
I went back down to get
my bike to ride it home, and...
and there was this other med student there,
trying to steal my bike.
It was Luke's old 10-speed.
And, you know, he couldn't
get the lock off, you know?
So I-I-I asked him, "why are you
trying to steal my bike?"
And he said, "Joel Goran paid me to do it."
I didn't know Joel Goran.
And so I looked him up, and he was cute.
And so I pretended...
that my bike was stolen so
that he'd give me a ride home.
So Joel.
Arrogant and obvious and so swee...
sweet.
So passionate.
That's how we met.
Take care of them.
I'm in a coma, Charlie.
When I wake up, let's have a baby.
- Alex. You okay?
- Who are you?
There's this guy
that keeps coming to see me.
So, I hear you got your memory back.
Yeah, all at once. It was kind of intense.
Please let me understand.
I don't think I love you anymore.
She's been through a lot.
Studying for the surgical boards
is no joke, Maggie.
If we fail them,
we've wasted about 10 years of our life.
I hear you have
a-a surgical board study group,
I would love to be a part of it.
Study group has to start on time
and end on time for once today.
Someone's got a hot date.
I don't want to break your heart, Charlie.
Well, you can't.
Because you are my heart, Alex.
We could just go and give
ourselves to something amazing.
There are amazing things here.
- There certainly are.
- No, I need to stop this
because I know how it ends... we crash!
- No, we don't crash, Alex!
- You always crash!
We make this work!
So... who's the hmm-hmm?
An orthopedic surgeon.
I'm pregnant, Charlie.
We're all wondering who's the daddy.
I'm having a boy?
Well, she is right.
It is safer to wait
until after the baby's born
to do a paternity test, so...
It's the right thing to do.
Just need to show a little bit of patience.
What did you want to ask me?
It's nothing. It can wait.
Okay, Mr. Man, let's see
which end is up in there.
All right, his head's down,
so he's not in breech,
- which is excellent news.
- Good.
Is the head engaged yet?
No, but it doesn't mean much at all.
It'll engage when she goes into labor.
Which won't be for another week.
Most likely.
- Let's check your blood pressure.
- Okay.
Sydney, I got you... this.
"Team Sha-Lex."
It's a portmanteau,
like "smog" or "Brangelina."
Shahir plus Alex equals...
Sha-Lex. Nice.
That's right. Well,
I was hoping each one of us
could wear this during
the birth. That's for you.
Just tell me that
I'll be able to write my boards.
It'll be fine. Maybe Mr. Eight pounds here
will even answer a few questions for you.
- Eight pounds?
- Yeah.
My baby is eight pounds?
Go, Sha-Lex!
You look awful.
Thank you very much.
I haven't been sleeping much lately.
Have you seen Alex or talked to her?
About anything other than work? No.
She's writing her boards today.
Alex. That's what
you're talking about, right?
- Her boards.
- Writing her boards... is that even safe?
Safer than you two stressing her out.
I can see your knees.
Why am I remarking on that?
Gentlemen, perfect.
Just the guys I'm looking for.
Hammond military base just called.
They need an orthopod
and some emergency support.
Okay. Anything more specific?
Yeah, guy's got a mortar shell stuck in him.
I'm sorry. He has a...
Guy has a mortar shell
stuck inside of his body.
- How did it get there?
- I don't know.
Some type of training exercise. Who's in?
- I'm in.
- Definitely me.
Actually, th-this sounds
a little bit dangerous, Joel.
Why don't you let me, the more
senior surgeon, handle it?
I think it's really cute that people
of the older generation are
trying to become more active.
He's extremely fragile.
20-something male, hypothermia
and a busted arm. Half-hour out.
Oh, or there's that.
- I'm gonna go with the military base, yeah.
- You need the better surgeon.
That's my point exactly...
- you need the better surgeon.
- Well...
We're gonna flip for it. Works with my kids.
Heads.
Heads it is.
You're coming with me.
You get the coin and the frozen guy.
My lucky day.
- Need one of these?
- Yeah, mate.
And get me a field trauma kit
and an intubation pack.
I'm on it.
Saw Alex earlier today. She
looks like she's ready to pop.
I don't know if this has anything to do
with my father getting sick
recently or whatever.
But for some reason, I just feel ready.
Well, for what it's worth,
we got you winning the paternity pool.
Think we're good to go, right?
Dude, you cut off a leg
with a pair of bolt cutters.
I'm not too worried.
- All right.
- Hey. - Hey.
Wow!
I feel like a parade float.
A beautiful parade float.
Hey, good luck today with the,
uh, boards, okay?
Thanks. It's pretty nerve-racking.
Yeah, I remember mine. I threw
up in the car on the way there.
Yeah, I'm pretty much guaranteed to do that.
Pretty much.
Hey, Alex.
Yeah?
You're golden.
Oh, wow. I stick out like a sore thumb.
Hey. No, no, no, no, no.
The pregnancy looks great.
The dress looks great.
Well, it's the best I could get
at maternity barn.
- Nice suit, by the way.
- Thank you.
I spent the last of my line
of credit on this bad boy.
Me too. Maxed out.
I should have brought my saltines.
- Can I just lean on you for a second?
- Yeah, sure.
That's better.
How are you feeling?
Are you referring to this
or how I feel about my written exams?
Oh, man, I did not do well on those.
Guys, can we just not
talk about the writtens
and just take the last
five minutes before the orals
to talk about just anything else.
Okay.
Did you find yourself circling
a lot of C's on that test?
I had A's and D's going head-to-head.
Damn it. Oh, man.
Okay. They want us to pass.
That has to be our attitude going in.
It's gonna be great.
My water just broke.
Jackson, what do we got?
Well, Graeme here spent the night outside.
Driver found him laying
on the side of the road
up near Silent Lake.
Is he naked? Was he swimming?
Why is he naked?
- I don't know.
- These are his personal effects.
Graeme, why are you naked?
M-m-mystery.
Okay, let's get him some warming blankets
'cause buddy boy here
needs to get get tucked in.
Now, Graeme, try not to move your arm.
You've got what appears to be
a severely dislocated elbow,
and your arm is very cold,
so you probably can't feel that.
Let's get him 100 fentanyl.
What's his temperature?
Uh, so low I can't get one.
SAT monitor isn't registering.
Okay, well, he's got severe
frostbite in his nose and ears,
and these fingers
look pretty gnarly, so, uh,
let's keep an eye on those, okay.
Graeme, I'm going to pop your elbow back in.
So, do you want to tell me
how all this happened?
M-m-m-m-m-m-mystery.
Okay. Dawn!
Yo, Dawn!
- What?
- Little help here, please.
Ooh!
I hate the E.R. It reminds me of snakes.
Severe case of hypothermia.
You're worried about rewarming shock?
Yep.
His heartbeat is erratic.
Okay, microwave some saline.
I'm gonna run some warm fluids.
Let's book an O.R.
Returning blood flow's gonna overwhelm
that arm and cut off the circulation.
Predicting the future. I like it.
Okay, I'll meet you in the O.R.
I can monitor his heart
and warm him up there.
See? We're having some fun.
Yeah.
Was he naked? Why was he naked?
Mystery.
Okay. Get them to postpone the exam.
If it was the writtens, maybe,
but they won't redo the orals.
Not for anyone.
Okay, so do it next year.
I won't be a new mother and a resident.
I can't do it.
It's now or never.
I have to pass those exams.
Okay. You're not dilated.
That's good news.
- Are you having a contraction?
- Mm-hmm!
Okay, so who do you want me
to call? Joel or Charlie?
Both!
Okay. You need to time your contractions.
Each station is 15 minutes long
with 2 minutes in between,
so as long as it's a slow labor...
Thanks, Maggie.
You can sit your exam and
we can get you to the hospital.
- Here's my watch. Use it.
- Okay.
- How's she doing?
- She's in labor.
Labor? Like... like...
- Yes.
- Like she's getting... right?
- Yes.
- Welcome to part two
of the surgical boards.
There's one question per station.
Any talking in the hall, you fail.
How far apart do my contractions have to be
before we go to the hospital?
- Less than five minutes.
- You're two hours away
from your career as surgeons.
Whatever you do, don't kill any patients.
- Welcome to Hammond.
- Thank you.
I'm Captain Isaac.
Corporal Britt Delkus.
I'm the field medic here.
- I'm Joel Goran.
- Zach Miller.
Turn off your phones, please, gentlemen.
What for?
Safety. They can trigger an explosion.
- Yeah.
- So, here's what's going on...
we were doing some weapons familiarization.
And a mortar went astray.
We hope it doesn't detonate
before you guys can get it out of him.
This kind of accident happen often?
No. That's why you're here.
Put these on, please.
We got more people coming,
but you're here first.
- Okay.
- Corporal Delkus is gonna take you guys in.
- Get your bottom strap.
- Thank you.
So, what exactly
are we dealing with here, guys?
- Single casualty, male, 28.
- Okay, let's go.
He's in class 1 hypovolemic shock,
but I've managed to stabilize him for a bit.
I've given him two amps of morphine,
and we're doing
what we can to keep him warm.
- Okay.
- Whoa.
It's an unexploded
81-millimeter mortar round.
We're all just waiting
for this thing to go off.
45-year-old female
presents with painless jaundice.
She's lost 10 pounds
in the last three weeks.
- How do you proceed?
- I would take a good history,
and I would do a careful,
detailed physical exam.
I would take a good history,
and I would do a careful,
detailed physical exam.
I would take a good history
and do a careful,
detailed physical exam, sir.
I would check for indications
of abdominal pain.
I'd want to rule out
any hepatotoxicity effect.
I'd ask the patient if they had any itching.
- Gallstones.
- Damage to the liver.
Obstructive jaundice.
Everything all right?
Mm-hmm.
Temperature coming up any?
Nope.
Okay. I'm gonna run saline
and warm up this cold heart.
Any bets on how this happened?
Naked in the snow?
Two words... "insta. Gram."
That's one word.
It was probably paradoxical undressing.
Right before you freeze to death,
your blood vessels dilate
and you feel incredibly hot.
That would explain the nudity
but not the guitar.
It's true.
Okay. Fascia's open.
He's not gonna lose the arm.
Now let's check on his fingers.
Fingers are not pinking up.
Can you answer that? It's unbearable.
Hello?
Okay. Thank you.
Okay, let's give these fingers
a chance before we cut them off.
And someone page me a resident,
help me wrap this arm.
I can help you.
I have to stay to monitor his heart, anyway.
Thank you.
That was Dr. Lin.
Alex is... in labor.
Oh.
Hmm.
So, how exactly did this thing land on you?
Best guess?
Leg of the tube gave out and misfired
and the shoulder of the mortar
ricocheted off something.
Can you give us a second?
We're gonna figure this out.
So what's our move?
Hop him back in the chopper,
take him to the O.R.
That's not gonna happen.
He's gonna bleed out.
Well, we can't wait
- for the cavalry to arrive.
- No.
I mean, I can tie off
a few of those bleeders,
get a better idea of how that
mortar's positioned in there.
- Call the bomb guy.
- Exactly.
I'm the bomb guy.
- You're what?
- You're the...
I'm the platoon's combat engineer.
Explosives are my thing.
It's ironic, sir.
You know how to defuse this?
If it wasn't stuck in my gut.
The detonator's on the tip.
If you can pull it out,
I can unscrew it and pull out the fuse.
Excellent.
Um, well, this, uh
should be interesting.
Yeah. We're, uh... it's all good.
Okay.
- I need more gauze.
- Coming.
Want me to pack that?
Yeah. Nice and easy.
- Nice and easy.
- Yeah, yeah.
One thing the army has
is gauze... gauze for days.
We pray to gauze around here.
How did this thing hit you and not explode?
I guess these rock-hard abs
weren't enough to trigger it.
So, we're good... it won't go off
as long as we don't drop it
when it comes out, right?
No. It's armed. It's ready.
What do you mean it's armed?
What could trigger this?
It's a pressure detonator,
so a twig could trigger it.
Just hitting it with something
could trigger it.
Sparks.
It's designed to explode.
Mm-hmm.
If it hasn't, you're waiting.
Go slow quickly, if you know what I mean.
I'll be as gentle and as fast as I can.
A little dumb... luck.
You are pretty dumb.
I'm also lucky, mate.
Better lucky than smart, right?
Hey, Corporal, you always wanted
some operational experience.
You two have never been deployed, have you?
We were supposed to ship out tomorrow.
This is one way to get out of active duty.
Okay, I think we're ready to lift this out.
- You should let me do that.
- No, no, I... no, I got a good feel.
And, uh, I think it's tamponading
some arteries in there.
Be aware that this thing
is gonna bleed like crazy.
Uh, I'll go proximal.
All right, I'll stabilize the pelvis.
- Careful, okay?
- Yep.
- And on three... real three.
- Yeah.
Oh, Jesus.
Uh, one...
- Two...
- Two...
- Three.
- Three.
- Okay, stop. Stop.
- Okay.
Damn it. It's embedded in the pelvis.
Wait, what does that mean?
I-it's stuck in your bone, sarge.
The iliac wing, to be specific. That's the, uh,
bone that curves around your pelvis.
Can't pull it out?
No. I need to get in there with some tools.
Chip away the bone.
Can you do that here?
- No, no.
- I feel like I'm freezing to death.
No. We have to move him.
Steady. Don't shake him.
- Yeah.
- Yeah.
We get there, you do the B.P.
Zach, you hang blood ASAP.
He doesn't actually outrank me,
just so you know.
It's nice and sterile in here.
It's just like a Hope-Zee O.R.
Okay. Uh, let's get a rundown of the gear.
You need anything, you let me know.
Corporal Delkus, you're relieved.
What? I'm not leaving you, sir.
Go. That's an order.
Delkus, you showed good instincts out there.
You'll be fine.
You too, guys.
Last chance... go, no go.
- It's go.
- It's definite go.
I can't handle this level
of manly silence in my O.R.
I thought this was my O.R., Dawn.
Silence is a source of great strength.
It's also a source of great irritation.
It's... I feel like
I should be doing something, okay?
Like, I-I don't know, boiling
water or something like that.
Boiling water has no medical value.
That was just something they did
to get the father out of the room.
- Really?
- Yeah.
I bet on you, you know?
In the paternity pool.
Thank you.
I bet on you, too.
Really?
Yeah.
If you cared about anything
as much in our marriage,
I would weigh 300 pounds, have 14 kids.
That's a very sweet image
you've conjured into my brain.
Thank you very much, Dawn.
May I say this as a friend?
You need to do the thought experiment.
What if you're not the father?
I'll get a dog.
Okay. 15 minutes are up.
All right.
- Oh...Oh!
- Okay.
Those are fully necrotic.
They're not coming back.
So, can't wake him up to ask permission.
Dr. Bell...
Do you concur that I should
amputate these fingers?
I do.
- Dr. Sharpe, do you also concur?
- I do.
All right, I now declare
you amputated fingers.
And, Dawn...
been doing the thought experiment every day.
Charlie, I'm just...
Ah. Don... Moment of silence, please.
For the fingers.
Good enough. Scalpel.
She just won't quit.
Imagine if she was your surgeon.
Are you okay?
Mm-hmm. Yep.
Okay, Alex, we need to get you
to the hospital right away.
No. There's still two doors left.
Have you had your rest station yet?
There's a rest station?
Alex, if your contractions are
less than five minutes apart...
I know, hospital. I know. I know.
70-year-old male,
status post Hartmann for sepsis.
He's in the ICU, hypotensive.
His CVP is 10,
wedge pressure 14, and SVR 600.
Drugs to use?
Do you need me to repeat the question?
No.
How's that infusion coming?
This should take the edge off.
I'm so high. I keep seeing my son's face.
It's like he's saying,
"hang in there, daddy."
"Hang in there."
How old's your boy?
He's 3.
Yeah? I got two boys myself. 9 and 12.
I can't wait for that age.
Oh, it's the best, you know?
They're out of diapers, you
can get them to wash your car.
Crank his morphine.
I do want to keep him breathing.
Hey. I'd like that, too.
Marcel, I have to operate,
and we do not have anesthetic.
He's gonna be cutting into
your bone. It's going to hurt.
You so much as twitch, yeah?
Boom.
- Boom.
- Boom.
So what's the plan, Stan?
Gonna drill four holes,
chisel under the bone,
pull this bad boy out of your pelvis.
- That's a terrible plan.
- It's all I got.
Good luck.
Good afternoon.
The subject is male, early 20s,
experiencing weight loss...
Expelling
reddish sputum, fever.
I'm guessing he's got a... bit of a cough...
a few months, minimum.
Excuse me, are you in labor?
I'm fine. Okay.
So, the C.T. tells me
that there is a collarbone
abscess, subcutaneous.
Yes, there it is...
abscess in the lymph node
of the left mediastinum.
I am also noticing extensive
parenchymal abnormalities
in the left lobe.
Okay.
It's a tuberculous abscess.
A sputum smear
should show acid-fast bacteria,
and I would treat it
with 6 weeks of the standard
anti-tuberculous treatment.
If scarring is a concern,
I would suggest minor cosmetic
surgery, pending no relapse.
If you'll just excuse me,
I'm just gonna go and deliver my baby.
Thank you for your time.
Oh, my God.
Joel, it's Maggie.
Alex is having her baby,
so... so call me, okay?
He's not picking up.
- Okay, just breathe. Breathe.
- Yeah...
Yeah, I'm trying. Maggie, this is crazy.
You need to go back and finish your exam.
Well, you happen to need an
ob-gyn right now, and I am it.
Ohh, they don't tell you this
when you're trying to get pregnant.
- You tried?
- Well, I wasn't not trying!
Okay? I think I wanted to be a mother.
Oh, my God, Maggie.
Okay, don't think about that now.
This is a mess!
My family's a mess, Joel's family's a mess,
Charlie's an orphan.
I did not think this through.
Okay, don't think about anything
like that now, okay?
Ohh! Call Shahir!
Okay, I'm gonna call Shahir,
and I'm gonna call Charlie, too.
I want you to have someone there with you.
No, you're here with me.
My God, this is like
one long contraction.
- Hi, it's Maggie.
- Wow.
Can you page Dr. Katz?
We're incoming, on our way to maternity.
I am so glad that you're here.
Everything's gonna be great, okay?
Breathe. Breathe.
Breathe.
Damn it.
I can't get an angle
on this section of the pelvis.
Okay, what do you want me to do?
There's nothing we can do, man.
It's...
This whole setup is so... It's so awkward.
Do you want to... let's switch.
Okay.
Hey, man.
I think
I can handle this on my own.
What are you talking about?
- I'm in my element here.
- You have two kids.
Yeah, I don't want to die, but neither do you.
It's not worth the risk for you,
okay? You're a father.
So is he. I'm not leaving him.
- No. Don't take that off.
- I need to move.
- I have to take it off, Marcel.
- You can't...
Hey. I can't move in that thing, all right?
Okay, look.
Steady as a rock.
Steady as a rock.
Let's do this.
Lay still!
Buddy, you cannot move, okay?
One more time.
- We're almost there.
- Here we go.
I don't think he's gonna
be playing guitar anymore.
Remember when you used to
play guitar for me, Charlie?
He would shred away
like "Yengwee Malmsteen."
Yngwie Malmsteen. Yes, I remember.
I remember you making marbleized coasters.
Those were nice coasters.
They looked like real marble.
Mm. "Yingway"? So overrated.
Yngwie. Top-3, all-time.
- Ugh!
- Don't argue with me.
- Oh, my God.
- Yeah, I don't like that twiggly-wiggly stuff.
You give me a slow jam any day.
John Mayer, John Legend...
This is exactly why we got divorced, Dawn.
Go.
We can handle this. Go.
You got this. You got this.
- Okay, lady, you are fully dilated.
- Okay.
Too late for an epidural.
Ohh, of course it is.
Time to push.
- Now?!
- Yes, now.
Oh, my God. Baby's crowning.
- Okay.
- I can see the head.
Push.
Again. Again.
No, I just... I just need
a minute. I need a minute.
No, I need you to push for me now.
- Okay.
- Okay? Don't rest now.
I've got the head! I've got the head.
Okay.
Push!
- Aah!
- I need you to push harder.
I'm trying!
One more. Harder.
Wait a minute!
What? Is everything okay?
Stop pushing, Alex. Stop.
Okay. Okay.
This is exciting.
Labor, dilation, the "ring of fire"...
- Shahir?
- Mm-hmm?
Could you, um, relax
with the play-by-play, please?
She's, he's. Could've, should've.
Can't, won't.
What are you doing?
Just having some contractions.
That is very lame.
True, but that's enough to make you laugh.
And that endorphin release will
increase your pain threshold,
make what's bothering you bother you less.
Just... I have a bad feeling.
About the birth?
I don't know. I don't know.
It's about Alex? I don't...
I don't know.
Do you believe in omens?
Omens? No.
Yeah, I know. It sounds kind of...
S...
Something isn't right.
What are you doing?!
Just let me think a second, okay?
Is my baby okay?
Shoulder's stuck under your pubic bone.
We need to think of something else.
Okay, so plan "B"! Plan "B"!
Plan "B." "B" is for "baby."
- Eve, I need you over here.
- Okay?
Get her legs for me.
Okay, I want suprapubic pressure. Okay.
I'm gonna do the wood's screw
maneuver to turn his shoulders
and deliver the posterior arm.
- Ohh!
- Shoulder's stuck.
Okay. Shouldn't you call Dr. Katz?
No, it's too late.
Baby can't breathe this way.
So we need to get him out right away.
- Okay.
- Okay?
Oh, I am so scared, Maggie!
I know, honey. I know. I'm here, okay?
- We... we've got this. We've got this.
- Okay.
- Okay? Breathe. Breathe.
- Okay.
I trust you.
I trust you. I trust you. Okay, plan "B."
- Plan "B."
- Plan "B." Okay, breathe.
Breathe.
I'm gonna bend his collarbone, okay?
- What?! What?!
- You're gonna what?! Don't worry.
It's okay. Babies bend.
Do not break my baby, Maggie!
I will not break the baby. Come on. Come on.
One last push.
Okay!
Okay. It's okay.
You're okay. You're okay.
Hey, baby.
Ohh.
That's a good boy.
Oh, my God, Maggie.
Okay, hold on. How are you feeling, Alex?
I'm okay. Isn't he cute and smart-looking?
Yeah, once they're born,
I don't really care anymore.
- Did she deliver the placenta?
- Not yet, no.
Okay, guys, I'll meet you
in the birthing room.
- And you passed your exams. What a day.
- Order me 10 units of oxytocin I.M.
Maggie, freeze.
She was in active labor,
and the baby presented
with shoulder dystocia?
Yeah, there was no time
to call you. It was crazy.
Talk me through what you did.
Okay. I-I put her in McRoberts position.
I applied suprapubic pressure.
I did the Wood's screw maneuver.
I-I tried to deliver the posterior arm.
That didn't work,
so I bent the baby's clavicle.
And if that hadn't worked,
what would you have done?
Zavanelli's maneuver.
Okay. Thanks.
What was that?
Your final boards question. And you passed.
Congratulations, Dr. Lin.
Thank you! Thank you.
Oh, God.
Yes!
Hi, Graeme.
Hi.
I'm Dr. Bell.
I'm part of the team that unfroze you.
Oh, wow. Uh...
Hey, thank you.
I'm sorry about your fingers.
They were just too far gone.
Yeah, well...
I mean, they'll grow back, so...
I know that they're not gonna grow back.
But it's, uh... it's cool.
It is?
I-it's cool. I'm warm.
But it'll be cool.
When they brought you in,
you kept saying "mystery."
What's... what's the mystery?
Mystery?
I think I might have
been trying to say "Misti."
That's, um...
that's my ex-girlfriend's name.
I... I went down to the river
to throw her guitar in.
And then I felt bad, so I went in after it.
Then, I had a series of,
you know, dire misadventures.
I locked myself out of the car,
and I got lost.
But, uh, I'm here, you know?
I survived.
I feel reborn. I still have three fingers.
No, you only have two fingers.
Yeah.
Is that why you look so sad?
No, I j...
My ex-husband just became a father.
I think.
And I'm happy for him.
I am.
I've got burgers and fries, doctor's orders.
I believe
there's a pie in there, too.
Thank you.
Have you, uh...
thought of any names yet?
Yeah.
Luke.
His name's Luke.
That's a good name.
Yeah, it is.
Do you want to hold him?
Yeah.
Oh, my goodness.
Oh, my goodness, gracious. Look at you.
Oh, my.
Oh.
Is... is there
any other way to do this?
Not that I know.
Don't... touch... the detonator.
We won't.
We won't.
Okay.
The bone seems to be separated
all around the mortar there.
It's just... what about your side?
Yeah, it's all good.
Ah, damn it.
- What? What? What? What?
- No, I missed a spot on the end.
Give me...
- Whoa, whoa, whoa, whoa.
- Ah, yeah, we got a bleeder.
- Okay. Gauze, gauze, gauze.
- No, he's lost too much blood.
Um, get me 2 units of O-neg,
fresh plasma, hemoclips, please.
- This is all the blood we have.
- I'm also worried
about his stability for transport right now.
We pull this thing out,
he's gonna need vasopressors.
He's gonna need something
to maintain his coagulation.
- I'll be right back.
- Exactly. Thank you.
You faked that.
You're not gonna wait, are you?
No.
What, you got a death wish or something?
Not anymore, man.
I'm in love with someone.
I think I might be a father.
You ready?
These dog tags...
belonged to my buddy.
I keep it for good luck.
Not that I don't trust you, but...
You know, just in case, you
need to give it to his family.
I'll tell you what
an empty pocket's bad luck.
You take that.
We'll trade them back after.
When this is done, okay?
How much further?
We'll be there in two minutes.
Okay, I just need to raid
your medical inspection room
for all the supplies you got.
Yeah, we're not as fancy as you guys.
Joel.
Turn around.
- What?
- Turn the jeep around!
Moment of truth.
I'm ready.
Try to keep it still, Marcel.
Aah!
- I'm sorry. I'm sorry.
- Just...
Marcel, hold these...
hold these against your wound.
Tight, buddy. Tight.
God!
Doctor, stay where you
are. We're coming to you.
You four, bring out the containment chamber.
Joel.
Man down! Man down!
We've got three casualties,
one with minor cuts and burns...
who's gonna need secondary survey.
This the stat O.R.?
Yeah. He's had 2 hits of O-neg,
2 hits of plasma,
an object removed from his iliac,
and bleeding which is packed.
Joel saved his life.
Where is Joel?
Zach?
Where's Joel?
So, what do you remember?
Everything.
I remember everything, Charlie.
Do you remember...
being in a coma?
Yes.
I saw you in the hospital.
I told you I wanted to have your baby.
Yeah.
I love you, Charlie.
I love you.
Sergeant.
Looks like you've had quite a day.
Yeah.
Hey.
Did you...
know the doctor who died?
I'm sorry.
I'm sorry.
I'm sorry.
C-can you give this to his family?
So...
I went back down to get
my bike to ride it home, and...
and there was this other med student there,
trying to steal my bike.
It was Luke's old 10-speed.
And, you know, he couldn't
get the lock off, you know?
So I-I-I asked him, "why are you
trying to steal my bike?"
And he said, "Joel Goran paid me to do it."
I didn't know Joel Goran.
And so I looked him up, and he was cute.
And so I pretended...
that my bike was stolen so
that he'd give me a ride home.
So Joel.
Arrogant and obvious and so swee...
sweet.
So passionate.
That's how we met.
Take care of them.