Saving Hope (2012–…): Season 4, Episode 8 - Waiting on a Friend - full transcript

Hey. I'm looking
for the call room.

Down that hall, hang a right.

Mozart.

29th symphony.

Who's conducting?

Dr. Hamza. It's brain surgery.

Huh.

In c minor. Impressive.

Still, give me Dean Martin every time.

Thank you for the directions.

So, everything that you'll need



to get you through
the next few hours...

A survival kit. Thank you.

Saltine crackers,
fruity lip balm.

Who are you calling
a fruity lip balm?

Sour candies
to absorb the toxicity.

Oh, Gatorade? Sudoku?

Our kids are almost identical.

See? Great minds
think alike, huh?

Guess you don't need me at all.

No, sweetheart.

You are exactly what I need.

Thank you for this.

Yeah.

Okay.



Onwards to chemo.

If you're looking for the call
room, you already passed it.

Well, Charlie Harris.

How'd you know?

Oh, same old Bishop.

Brilliant with a scalpel,
lousy with directions.

Well, some things never change,
like your handwriting.

Still chicken scratches.

That's what makes me so popular
with the staff.

So, I guess the rumors about
you joining us are true, then?

Yeah, after training in L.A.

Got tired of bleach-blond nurses
and gunshot wounds, huh?

- Never a dull moment.
- No, not with you around.

Buckle up...
Medics are coming in hot

with two cirque performers
who just fell 20 feet.

Illyana! Let's go.

Illyana!

Uh, Jeremy Bishop.
It's my first day.

Zach Miller. Welcome.

So, what happened?
He fell off a trapeze?

Kind of fitting
for your first day.

I'm more of a high wire myself.

Okay, on three. One, two, three.

All right, what's your name?

Kurt. But you have to help her.

His aerial partner's
a minute out.

Cirque de ciel, huh?

I used to date a girl
from the Yorrick Company.

She was a contortionist.

Yeah, you're right...
Some things don't change.

Illyana!

Illyana?

Relax, relax, relax.

- Please, I need to see her.
- Just relax.

Calm down for me, Kurt,
all right?

You guys got him?

Yeah!

Okay, 1 milligram of ketamine
for the pain.

Okay, Kurt. Hey, hey, Kurt,
Kurt, look at me.

Out of the way, please. Look at me.
I need you to focus, okay?

Can you wiggle your fingers
for me?

Now your toes.

That's very good.
Okay, I need to reduce this hip.

All right, I'll stabilize.

Hey, bear with me, buddy.

That should give you
enough torque.

Okay, relax. Relax your leg.

Relax your leg. Okay.

Kurt, I'm gonna be
putting your hip back in place.

You're gonna feel some pain,
followed by a pop, all right?

On three.

One, two, and three.

Okay.

And like a glove.

You should put on
some doctory clothes.

Greatest show on earth,
right, Charlie?

Yeah.

Spine's intact,
but... she's unresponsive.

I'll have her tested
for brain death.

Illyana?

Illyana?

S04E08
Waiting on a Friend

- It's half past already.
- I'm sorry!

We got back late
from the cottage.

Um, we were supposed to study
before rounds.

I know, but it was so hard
to leave.

It was beautiful there.

Except for the mosquitoes.
They were huge!

You should have seen
the size of them.

They were like vampire bats.

And for whatever reason,
they were only biting me.

You should see my back.
I'm covered in bites.

I can't stop scratching.

Except some of them,
I can't really reach

'cause they're
in the middle of my back.

Would you mind rubbing
this bite stuff on me?

Oh! Who are you?!

- I'm a doctor.
- So am I!

Good! So why are we yelling?!

I...

Ooh!

I want to be with her.

I'm... I'm sorry,
that's - that's not possible.

She's gone. I know.

[Inhales sharply

but I... I should be with her.

It's... it's not fair
that she's alone.

Right.

Well, I'm... I'm gonna make sure

you have a chance to say
a proper goodbye, all right?

Um...

I just need you to
lift up your arm for me.

Kurt, did you know
that Illyana had agreed

to be an organ donor?

Yeah, of course.
We signed our cards together.

Okay, well, of course,
we're gonna need a final consent

if there are any family members.

There aren't.

I'm her only family.

Well, Illyana is gonna be able
to help more people today

than she ever
could have imagined.

What do you mean?

Um...

Illyana is a match for a patient

waiting for a kidney transplant.

That patient's fiance
wanted to donate his,

but they weren't a match.

But Illyana is?

Yeah, it's... it's actually...
It's even better than that.

See, the, um...

The patient's fiance has agreed

to... to give his kidney
to someone else,

and that patient's donor partner
has also consented.

We call all of this
a domino transplant.

Basically...

Four people are gonna have
a second shot at life today,

and three people are willing to
put their lives on the line...

all because of Illyana.

Seriously, are you...
Are you hearing this?

Uh...

It's nothing. Um...

Okay, I'm... I'm gonna
be back in a bit to, uh...

to, um, put a proper cast on that.

So why don't you
get some rest, okay?

♪ I open wide my pigeon house ♪

♪ As I set all my pigeons free ♪

♪ They fly around
and flap their wings ♪

♪ And they sit on
the tallest tree ♪

♪ And when they return
from their merry, merry night ♪

- Shahir.
- Hm?

Second aerial performer...
Female, 26, brain death.

She's on life support.

That's awful, Alex.

She's an organ donor.

Okay.

Who's O-neg
with a 6 antigen match.

Shahir, she's the perfect donor
for Terry Brown.

You're talking about
the domino transplant?

When's the last time you saved
four lives in a single day?

We'll need to organize
our surgeries

so the wait time
for each recipient

is as soon as possible.

They'll need to be
off of dialysis

and ready to go
as soon as their organs arrive.

We'll also need
a team to confirm

that the recipients are prepped
and in the O.R.

By the time
their kidneys arrive.

This is Keith.
He's our last recipient.

But he's in severe renal failure
and can't travel to Hope Zion,

so we will coordinate with
St. Donald's

to deliver his kidney.

This is all hands on deck.

I'm gonna bring in
the junior residents.

Williams and Mirani
will keep things moving.

We'll get Sekara to be
our gopher for the day.

The most important thing
to remember is,

we've got one shot at this.

Seven surgeries.

Four harvest
and three transplants

in the next few hours
before the final kidney

goes to St. Donald's
children's hospital.

If something goes wrong
with one...

And the dominoes stop falling,
so no screw-ups.

Everyone, Dr. Jeremy Bishop,
our newest gen-surg on staff.

- I'm Alex.
- Reid.

Yeah.

You need no introduction.

Charlie's told me
a lot about you.

Thank you for diving in.

Some of our junior residents.

Check the board,
make sure you know where...

How are the bug bites?

We'll be the first in the city

to lead a multi-hospital
domino transplant.

Doogie. How's it going?

Okay, Maggie, take Dev
and start the first harvest.

Cassie and Asha,
I'll need you to coordinate.

I'll be handling
all of the transplants.

Dr. Bishop, want to do
something fun today?

Giddyup.

Wait a sec.

Everybody huddle in. Come on.

"Domino" on three.

Three, two, one...

Domino!

Whoo!

I've always wanted to do that.

Dr. Kowalski, phone call on line 1.

Dr. Kowalski, line 1.

What year is it?

Sorry?

The magazine.

Uh...

Uh, 2003.

Why would we want to read
articles from so many years ago?

You know, we're cancer patients,
not historians.

Josh Lewis, professor
of 18th-century poetry.

Or, well, I was until...

Has the, uh,
has the nurse been in yet?

No. It's hurry up and wait.

Well, they have to
test our blood first, so...

Yeah, make sure it's okay
to poison it.

Yeah, the irony's
not lost on me.

But, then, nothing about
this place makes any sense.

I mean...

I mean, I know...
let's get all the sick people,

we'll put them in one place,
and then have them treated

by some semi-socialized
beaker head with a God complex.

Sorry. Didn't catch your name.

Dana.

But most people around here
call me Dr. Kinney.

Dr. Kinney.

Look at that.

What's the news, Dawson?

You're good to go.

Let's get you started
on the docetaxel.

Yum, yum.

I'm a doctor, too.

Doctor of old poems.

You writing a book?

Trying to.

Thought I might have
at least one great novel in me.

Although, now it turns out
it might have to be a novella.

Or it might just be, you know,
a professional hazard.

Teaching
all that great literature,

making me think
I can do it, too.

Speaking of
professional hazards...

Doctor becomes a patient, huh?

Mm.

All done.

You're next up, Josh.

You guys need anything,
I'm your gal today.

Thank you, Dawson.

You know, it must be hard,
knowing all the facts,

to still believe
you can actually beat this.

I'm putting both of you under
at the same time.

No food, no drinks,
so finish up your beers, boys.

You ready to get off dialysis?

Hell yeah, he's ready.

We got a wedding to plan.

So, we got transport on standby

to take your kidney
to St. Donald's.

Dr. Reid will be with you
shortly.

You ready, Erin?

My twins turn 7 next week.

I've been on dialysis
since they were 4 years old.

So yeah. I'm ready.

It's been a long road.

Thank you.

We're just waiting
for your donor.

Larry's not big on cellphones.

All he's got is this old flip,
and the battery's always dead.

Well, time is
of the essence, Emma.

He can't just disappear
like this.

He'll be here, honey.

Larry doesn't have time
for a lot of people,

but his big sister's
one of them.

Nobody can help an old guy
with a chair, huh?

- Larry!
- Larry.

Must've passed a dozen orderlies
schlepping this damn thing.

You'd think one of them
would have lifted their finger

before Liz Taylor here.

Got your chair.

Larry...

They found a donor.

What?

I'm getting my kidney.

The right donor came in
to trigger the domino chain.

It is our lucky break.

Well, I...

I wasn't expecting this today.

Well, yes, I know.
This is all coming very fast.

But we need to move now.

We'll get you into surgery
shortly.

But, uh...

I was just reading
this thing online.

A guy gave his kidney,
and... and, um...

He developed an unexplainable
appetite for pumpkin pie.

Wouldn't eat anything else...

Just pumpkin pie, pumpkin pie,
day after day.

I hate pumpkin pie.

Are you seriously
talking about pie right now?

I...

I just need time
to process this, Emma.

Dr. Reid, Maggie sent me down.

Something wrong, Dr. Reid?

It's fine.

Just try to relax.

Excuse me.

What's going on?

It's the cadaveric donor.

We lost the right kidney.

How bad is it, Maggie?

Right kidney's
lost blood supply. It's a goner.

Left one is hypoplastic.

So, we are looking at
a small kidney

with a crazy arterial network.

Might be too many to anastomose.

Well, Terry's prepped.
They haven't opened him up yet.

What do you want to do?

I promised four patients they
were getting off dialysis today.

That is still the plan.

Okay, we will
cut a piece of her aorta,

use it to make an arterial cuff
around the renal arteries,

and then we'll have one
in anastomosis instead of three.

Okay.

Go get ready for
the next harvest, please.

Mm-hmm.

Somebody page Dr. Bishop.

All right, ureter is free.

Just the artery cuff to go.

So, the weather's great in L.A.
why'd you come back?

I tried
an emergency spinal corpectomy

on a 15-year-old
car crash victim.

Did they die?

No. No, I saved her life.

And I still got sued anyway.

Wow. That is rough.

Yeah.

They had more lawyers on staff
than doctors.

Suction.

I wasn't getting any better...
Just safer.

From everything
I've heard about you,

caution isn't really your thing.

The way you're working
those scissors,

I'd say it's not yours, either.

Okay.

Here we go.

Got it.

Start perfusion
and get it ready for transplant.

Kristine.

Oh, hey.

Have you, um, seen a, uh...

Uh, yeah. I've seen her.

I've been hearing her
all day, too.

Yeah. I've been trying
to talk to her.

No, she doesn't want to talk.

I don't think
she wants any help at all.

Okay, well, what does she want?

Uh, well,
what do you know about her?

Uh... She's a trapeze artist.

Her and her partner
took a bad fall.

He managed to pull through,
but she's having her...

harvested as we speak.

Ohhh. That's so sad.

I-I think
I actually know the song.

"My pigeon home," it's called.

It's a lullaby.

- Lullaby?
- Mm.

So she's trying
to put us to sleep.

Not working.

Well, it's a song
about reuniting.

I think she might be trying
to convince someone to join her.

When we met, I was the water boy

for my high school
basketball team,

and I got stuffed in a locker
after practice.

Did Dan save you?

No.

I was in the one next to him.

Sounds romantic.

Oh, it was.

Took three hours
till the janitor found us.

What were you screaming, again?

"My legs...
I can't feel my legs."

Sounds hilarious.

We knew if we could make it
through high school together,

we could make it
through anything.

So far, we have.

Time to go in.

Take good care of him.

Don't tell me you don't know
the story of Abelard and Heloise.

No, but I have a funny feeling
you're about to tell me.

12th century, Paris.

Heloise is
this whip-smart student

who wants the answer
to human existence.

Well, that was
her first mistake.

So she goes to study
with Pierre Abelard,

who's the greatest scholar
in France at the time...

About 20 years her senior.

Nothing wrong with that.

Well, it was
for her Uncle Fulbert.

He found out about their affair,

beat the living crap
out of Abelard.

The lovers were banished
to live apart forever.

They corresponded
by love letters

for the rest of their lives.

So? What do you think?

Do you ever stop talking?

Um... When I'm sleeping,
I guess.

Oh! Well, then,
night-night, professor.

Oh, I'm sorry. You want one?

Not unless there's weed in them.

No way.

Which part
of "I'm a poetry professor"

didn't you understand?

Well, then, what the Heloise
are you waiting for?

Pass me a pot cookie.

Mmm!

Mm-hmm.

Dr. Reid.

Pali. What's up?

I wanted to give this to her.

Or to him...
whoever's donating to Erin.

The donors are all anonymous.
I can't give you a name.

I-I know, but the girls
made me promise

that I would give it
to the person

that helped their mommy
get better.

Right.

I will see what I can do.

Thank you.

You don't know what it's like
sitting there helpless

while your best friend
just gets sicker and sicker.

Of course you know
what it's like. You're a doctor.

I...

So you get why
it's so important to me

that that gets to Erin's donor?

Uh, yeah, just...

I'm sorry. Excuse me.

Is everything okay?

Larry?

Oh!

Where are you going?

Home.

What? Why?

I'm not doing it.

I thought I was ready,
but I'm not.

I only came in today
to drop off my sister's chair.

Okay, I know that all of this
has been sprung on you,

and you're probably
incredibly overwhelmed, but...

All due respect, you have
no idea what I'm going through.

I made a decision.

I'm just asking you
to please respect that

and leave me the hell alone.

Don't let him
leave the building.

- Berger is still in the building.
- What?

That was Zach. He spotted him
pacing by the coffee kiosk.

Which means he's waffling.

Yes, which also means
we have until he gets to

the bottom of his latte
to get him back on board.

All right.

I got this.

Hey, Larry.

Hi.

How do you know my name?

My name's Dr. Bishop.
It's my first day here.

Congratulations.

I'm leaving.

Hey, wait, wait,
wait, wait, wait.

Just...

Just hear me out...
Just for a second.

I just moved back here from L.A.

I was there training
under this Dr. Pearlman.

Amazing surgeon. Genius.

Also... a very pious man.

And he taught me
a lot of things.

Including this Hebrew phrase...
"tikkun olam."

It's from the talmud.

It means "repairing the world."

Says all of humanity has
a shared responsibility

to heal and transform the world.

Why are you telling me this?

Dr. Pearlman, he'd remind us
about "tikkun olam"

before every surgery we did.

Larry, I think you have a chance
to heal the world today

in the simplest,
most pure kind of way.

And I know you're scared.

I get that.
I really do. I swear.

But I think it's something
worth considering.

And I don't think
you'd still be here

if you didn't think so, too.

My mind's made up.

The answer's no.

I'm sorry.

No.

So, there's these, um...

Hm?

Um, you know...

You know...

Double doors... the kind
that open in the center,

and, um... But one of the hinges
was broken,

so... they...
they kept that locked.

But he didn't know that.

So, anyway, you know,
he's finally ready,

and he's got, you know,
his tray of cheese,

you know, it's just right.

And he's carrying it
like it's, you know,

the most precious thing
in the entire world.

And then bam!

His nose goes into the glass,
tray goes everywhere.

There's, like,
honey all over his beard.

Oh!

Oh.

I've come unstuck.

Oh! Whoopsie.

Hang on.

Oh!

- What the...
- Here.

Let me.

Here.

Should you be doing this?

Why not? Because I'm a...

What'd you say? A beaker head
with a God complex?

No.

'Cause you're higher
than a lab monkey.

What is going on here?

Um...

Relax. Josh just popped his I.V.

I got it back in.

No, you can't do that.

I'm sorry, but this isn't
your charge, Dr. Kinney.

The hell it isn't.
I'm a surgeon.

Not in here, you're not.

Then what am I?

I'm sorry?

If I'm not a surgeon,
well, what am I?

A dead duck.

That's... That's what he said.

I didn't...

That's what you implied.

In here, you're just my patient.

Right.

So, what are my chances
of surviving this?

Dr. Kinney.

No, seriously.

I have a reoccurrence of stage 3
metastatic breast cancer,

so what are the odds
I'll be here...

By Christmas?

That's not fair.

You stay out of this.

As your patient, Dawson,
I am asking.

I do... I... I'm not...

I don't feel comfortable
answering that.

No. Of course you don't.

I'm sorry. I'm...

I didn't mean to be...

You're all good now, Josh.

Thank you.

Okay, then. Um...

I'll be back in a bit
to check on you both.

Great.

Where did you two meet?

Uh... At auditions for cirque.

Two total misfits.

Her parents, Russian immigrants,

kicked her out of the house
when she was 14.

Mine... hardly even noticed
I was gone.

She understood me.

Yeah, I guess when you meet
someone like that...

who gets you, quirks and all...

nothing else really matters, right?

Dr. Harris?

Time of death... 3:13 P.M.

Kurt?

Let's get him back to his room.

Okay.

I don't believe it.

It's my fault.
I pushed him too hard.

It's no one's fault.

He's never been very good
with surprises.

When we were kids, I used to
jump out behind corners,

and one time...

She popped out, and I hit her
square in the mouth.

15 stitches.

I told you he'd come 'round.

You were right.

I am scared.

I've been scared my whole life.

You've always been
this golden child...

Good grades...

Good friends.

We'll give you two some privacy.

I've always been
this neurotic mess.

That's not true.

It is.

Everyone thought it was a joke
when I said I would donate.

But you stood up for me.

We're in a good place, Emma.

I don't want it to stop.

It won't.

You're my brother.

That is never gonna change.

Ohhh, boy.

Uh, hey, Alex, I need you
to come take a look at this.

What do we have?

A frozen kidney.

Larry put us behind schedule.

It must have been too close
to the ice for too long.

Even if we thaw that, we've got little
chance of getting it to perfuse.

We've come too far
to turn back now.

So, what do you want to do?

Get me 10 bags of warm saline.

And a blowtorch.

Kidding! Hold the blowtorch.

All right, then.

That freezing
didn't do us any favors,

but the warm saline flush...
It looked good.

You think it'll live?

It has to.

Okay.

Suturing the renal vein.

Okay.

Renal vein and artery
are anastomose.

Okay.

Moment of truth.

Let's release those clamps
and pray that it takes.

Exactly.

Oh, come on.

Come on.

Let's go.

Okay. We got good perfusion.

Yes!

Yoooo!

Hey, do you mind doing
the ureter anastomosis?

I have to go check in on Larry,
make sure he's all right.

You got it.

Thanks, Bishop.

How did it go?

This is odd.

What?

He should be waking up now.

Heart rate's skyrocketing. Alex?

He could be having a stroke.

Page shahir.

Let's get him
up to imaging... now.

Okay.

Good catch, Alex.
It was a stroke.

He's coning.

The swelling
from the epidural bleed

is pressing on his brain stem.

There. That should relieve
the pressure.

Alex, it's okay.

You can go.
I've done plenty of these.

Turn up the music, please.

Thank you.

My daughter, Molly, is, um...
studying psychology at Queens.

She wants to be
a couples counselor,

of all things.

I haven't told her yet...

That it's back.

Toughest thing in the world...

Watching your kid
trying to be brave...

No matter how old they are.

Especially when you know
the real truth.

Yeah, I'd like to apologize
for that.

No. Why? It's the truth.

Okay.

Then I say
we - we double down on this...

"Stranger on a train" vibe
we got going here.

Let's tell each other one thing

that we've never told
another living soul.

Okay.

Yeah?

Who goes first?

I don't know.

You want to
rock, paper, scissors?

Oh, careful. You're gonna
pull out your I.V. again.

I'll go.

I don't want to do this again.

I don't want to sit here,
getting sicker and sicker.

I want to...

I want to get on a plane.
I want to fly away.

Your turn.

Well, I want to come with you.

If looks could kill,
I'd be the ghost right now.

Well, look at it this way.

What would you be capable of

if somebody tried
to keep Alex away from you?

So, how do we help her
if she won't talk to us?

I don't know.

You know,
maybe he doesn't see her,

maybe he doesn't hear her,
but if he feels her,

if he senses that she's here...

Then what?

He won't move on, either?
He won't get better?

That's a bit of a stretch,
don't you think?

Charlie.

I'm just saying,
it's not very scientific.

No, look.

Illyana, you need to talk to us.

He needs to be with me.

It was your time. It's not his.

You need to accept that.

He won't make it without me.

He's gonna have to try.

I won't go without him. I can't.

Something's wrong.

Illyana, what are you doing?

I love him too much.

His heart rate's
through the roof.

You need to go now!

I can't.

I won't.

He's got a petechial rash.

We need to get him to radiology
right now.

Could be a fat embolus
in his lungs.

Bone marrow may have seeped
out of the break and migrated.

- Can you fix him?
- I don't know.

Come on.

Illyana!

Stop!

Call the code.
We need a crash cart.

Look, Charlie.

Code blue, E.T. wing 203.

Code blue, E.T. wing 203.

Kurt never had a chance.

I'm really not in the mood
to see the bright side.

People who love each other
that much belong together,

even in death.

I'm not buying that. Sorry.

I had a daughter.

Maddie.

It was 4:00 in the afternoon.

Not even happy hour.

This guy's all over the road.

He's coming right at us.

I tried to get out of
the way, but there wasn't enough time.

We didn't...
we didn't have enough time.

My little girl.

Kris.

I wanted to die...

so I could be with her.

I'm sorry. I had no idea.

When I woke up
in the hospital...

She was gone.

But there were
all these other spirits

that only I could see.

There's still so much I'm trying
to figure out about this...

This thing we have.

Well, maybe we could
help each other, you know?

Figure this thing out together.

I'd like that, Charlie.

Last ones.

I'm glad to see you.

Yeah, model patients.

Transplants went off
without a hitch.

Pali, your kidney
is taking a little trip

to close out the domino.

It's going to somebody
who desperately needs it.

Thank you.

You're welcome.

You were badass, Alex.

Yeah, she's not wrong.

All right, girls.
On to recovery ice cream.

Ahh!

So?

So, he's gonna make
a full recovery.

Thank God.

One more transport to go, Alex,
and you've pulled it off.

Not me... all of us.

Hey. Nice ride.

Oh, yeah.

Thanks.

How'd it go?

Exhausting, but, um... eventful.

Alex.

I met a boy.

At chemo?

Yes.

And he's a poet.

And he asked
to come to Paris with me

because he wants to show me

where Abelard and Heloise
are buried.

Dana.

And I said "yes."

You just started chemo.

I know, but I'm...

I'm thinking that
I just have to fight this

in a different way for a while.

I'm sorry, but this is insane.

Actually, I think
this is the sanest thing

I have done in a long time.

You're flying off to Paris

with a poet
that you met a few hours ago.

Well, when you put it
like that...

Instead of
prolonging your life...

Alex.

I don't want to prolong my life.

I want to live it.

Hey.

How you feeling?

Like I just got run over.

You?

Same.

I wanted to, um...

Well...

I, um...

I wrote you something.

Oh, it's a...

- Limerick, yeah.
- Yeah.

Uh...

It was the only rhyme scheme
I could remember,

and I'm half-Irish, so...

"A terminal lass from Kilbride

was befuddled
by fear and by pride."

Hm.

"Till she heard a sweet man say
he'd come with her partway.

So she kissed him, she smiled,
and she cried."

Thank you, doctor.

So...

How does it end?

The story?

Oh.

- Heloise.
- Right.

Does she find
the real meaning of life?

Oh, she does.

Oh, yeah?

The love she found
with Abelard...

That was the meaning
of human existence.

Oh.

Love.

Hey. What's going on?

Nothing.

You ready?