The Night Shift (2014–2017): Season 1, Episode 4 - Grace Under Fire - full transcript

Injuries at an Alamo reenactment test the staff. Meanwhile, a disorientated patient suffering from amnesia receives care; Drew helps a severely wounded soldier; Topher schedules a vasectomy operation; and Jordan's boyfriend arrives.

Listen up, Alamo people,
everybody into the waiting room.

If you are not sick,
then please go home.

The night shift hasn't
even started yet...

and you're giving everybody
a headache.

Night shift, report to duty
in one minute.

- How long does this go on?
- All night.

They just keep trickling in.

Every year these Alamo re-enactors
drink too much homemade beer...

and eat too much rabbit stew.

Mop up on aisle three.

No, no, no. Look, if you can't
get here, then you can't get here.



No, it's fine, It's just...

I was hoping that since
it's my birthday tomorrow, but...

No, I understand, really. Yeah.
We'll celebrate next week.

Scott, I gotta go.

Male, 30s. Single GSW
to proximal thigh. BP stable.

- We found him at the Alamo.
- Where am I?

You've been shot, okay?
But we're gonna take care of you.

- Can you tell me your name?
- I don't know! I don't know!

No ID. Guy's on another planet.

We could barely get him
in the ambulance.

There's another problem.
He's a Christian Scientist.

He says not to treat him.
We didn't see it until we were en route.

We can't treat him, right?
We need consent or we'll get sued.

Don't worry about it.



He looks like he was shot
with a cannon.

Musket. I bought it online.

- Hey, hey! Put that thing down!
- Okay.

I didn't know it was loaded, I swear.
The dude lost it on me.

He attacked me like we were
in a real fight and it went off.

You cannot be back here.

Okay, but can someone check
on my arm?

- Where are you taking me?
- What do we got?

It's a musket wound,
1830s Alamo special.

- Stop it! Stop it!
- And worse, agitated patient.

- Three.
- Don't touch me!

- No! No, no, no!
- Calm down! We're trying to help you!

- Calm down!
- Stop it!

We're trying to help!

Get me two of Ativan and
somebody page Dr. De la Cruz.

- We're trying to help you!
- Get off me!

- Jordan, ready with the Ativan.
- Got it.

You're trying to kill me!

Somebody grab the hard restraints,
huh?

Hell of a night for Drew to be off
on manoeuvres.

- We could use the muscle.
- Yeah.

- Be good to have him back tomorrow.
- I gotta be honest.

I got no love
for night infiltration exercise.

This is a cakewalk, Javy.

Army Reserves is nothing compared
to the 61 days of hell...

in training school for Rangers.

- You still thinking of signing up, Drew?
- I don't know.

I got a buddy at the hospital
I work with who's ex-Ranger.

He says he can put in a good word
for me...

but right now I'm more focused
on medicine.

Bet you're more focused on the nurses.

No lack of hotties in the ER.
So, Javy, what's the deal, huh?

That 15 K march at the end
too tough on the old bones?

That might have
something to do...

with sitting on your lazy ass
in a patrol car all day.

Hey, my wife loves my lazy ass,
so it's all good.

You know why?
That matches her fat ass.

That's the mother of my children.
And I like them curvy.

- Don't you, Drew?
- Oh, yeah.

No, me, I love me the motorboat.
Just... right in there.

Let's get moving. We only have 8 hours
to the rendezvous point.

And then Drew can get back
to those nurses of his.

Let's try moving a little faster
so we can get you a robe.

Do you have paperwork
on those involuntary hold patients...

- from last week?
- It's in a folder on my desk.

Dr. Cahill, extension 3528.
Dr. Cahill, extension 3528.

Mr. Ragosa to the nurses' station.

Mr. Ragosa, please report
to the nurses' station.

Let's see what's going on
now that he's out.

- There must be 20 fragments in here.
- Distal blood flow is good.

We need to get every one
of those out.

Blood pressure and pulse ox
are dropping.

Massive right heart strain.

A piece of the bullet must
have embolised.

BP's down to 40.

We need to get that bullet out
of the lung now.

Jordan.

I just talked to one
of the paramedics.

And he said this guy came in with
a "Do No Treat" bracelet on his wrist...

- and that you ignored it.
- I need lido with epi one percent.

- Open a chest tray.
- If you did that...

then you have opened yourself and
this hospital up to a major lawsuit.

So please, please,
tell me you didn't do that.

The guy's lying.
There's no bracelet.

Jordan.

He had one. I cut it off.

- Jordan.
- And even if she didn't, I would've.

He was dying
and he needed to be treated.

I agree with you.

But we get him declared
incompetent first, contact Legal.

We don't just cut things off.
I'm sorry...

but I need you to step back
and let TC finish this patient.

You are officially suspended.

You know, I wish one of you fools
was a hot chick.

A little eye candy would be nice
right about now.

What do you mean, man?
This is the best looking...

- Combat Support Team in Texas.
- That's right.

Yeah, right.

Did you guys hear about
that gay dude in C Company?

- I heard a rumour. But who cares?
- I do.

I thought your generation was
supposed to be more open-minded.

All right, look.

I'm getting shot at by some sniper
in Syria or Iraq or wherever, all right?

I don't need a guy who's supposed
to be covering my ass...

checking it out instead.

Yeah, because I'm sure
that's what he's thinking.

"I could die out here right now,
but, man, look at that scrawny...

pimply ass on Charlie."
- Oh, yeah!

Just my opinion, man. And now,
I'm gonna go shoot something.

- This kid.
- Hey!

Charlie, come on!

You don't have to be straight to be
in the Army...

you just have to shoot straight.
That's all I care about, man.

Javy! Watch out!

So she saves a life
and she gets canned?

Nobody is firing her.

God, why is it so hot in here?

Like I said, nobody's firing her.
She's on administrative duty.

I'm taking this precaution
to protect her from any further action.

We'll get him declared incompetent
and go from there.

So I just sit around all night?

You need to stay away
from this patient.

And you need to talk to Legal and hope
to hell Landry finds him incompetent.

After that, whatever you do
with any other patients...

I don't wanna know about it.

Now, if you'll excuse me,
I really need a glass of water.

- It'll be okay.
- You don't know that.

I don't have your friends
in high places.

Sorry I put you guys in this position.

Hey. What's going on?

I've never seen Jordan act
like that before.

It's a long story.
Let's get the rest of this shrapnel.

- Javy. Come on.
- Yeah.

- My shoulder! I can barely pull him out!
- Yeah, just sack up, okay?

I gotta sit!

Hey. Okay,
I'm gonna go check on Javy.

- What do we got? What do we got?
- My shoulder.

Okay.

- That really hurts!
- You got a separation of an AC joint.

Drew, Drew, I need you!

I'm coming.
I'm gonna be right there, Mikey.

- Come on, Drew. Come on, Drew.
- I'm going as fast as I can.

- My ankle's screwed up. I'm in pain.
- Hang in there, Mikey, hang in there.

Okay, there we go.

You're good.
I'm gonna get Mikey.

- Wait, wait, wait, where's Charlie?
- Charlie!

Charlie! Charlie!

Javy, I know you're hurting,
but we gotta find Charlie.

- Okay.
- Go.

- Okay, Mikey, I'm here. I'm right here.
- Charlie!

- Is that crazy dude gonna die?
- Just hold still, Sir.

- And I don't know.
- I can't go to jail.

I'd never make it there.
I saw every episode of Oz.

- They eat guys like me alive.
- Yeah, they would.

But I think you're safe. That guy is...
It's pretty clear he's unstable.

General Santa Anna, right?
Sweet costume.

- Any news on the guy I shot?
- They've got him sedated...

- in Trauma One.
- The waiting room is filling up again...

with re-enactors, and we hooked up
some more drunks to the saline packs.

And sent three food poisoned
guys home too.

That rabbit stew is nasty.
That's why I fight on the Mexican side.

We have a food truck.

You guys only have
a couple dozen more patients to go.

I'll join you as soon as I'm finished.

And I'll let you watch me
do one of the EJs.

I've been waiting two hours
to see a doctor.

I know, ma'am. I'm so sorry.

The Alamo re-enactors have us
slammed with patients.

My stomach's killing me.

I'll get you a doctor as soon as I can.

Hey, hey.

You ordered a GI panel on Exam Two,
but haven't seen the patient yet.

- She's pissed.
- Yeah, I know. I read the chart.

It sounds like the stomach flu
or something.

Oh, but Topher's gonna do
an external jugular...

and I really want to watch,
I've never seen one, so...

- But her results are already back.
- Great. I will see her after the EJ.

Just start some fluids, okay? Thanks.

Dispatch? Yeah, this is Dr. Callahan.

There was a Paramedic Gonzalez,
he came in...

with a GSW from the Alamo
at 7:30 tonight.

Can you tell him to come by the ER?

I have some info that he may need.

- Drew. Is it broken?
- And dislocated.

Okay, I'm gonna try
and get your boot off, okay?

Mikey, I just gotta get in there, okay?

I got you... That's right.
Let me get my finger...

Mikey, I can't feel a pulse.

That means the dislocation is
cutting off the blood flow to your foot...

- so I gotta reduce the fracture.
- What the hell does that mean?

It means it's gonna hurt
like a son of a bitch.

Okay, deep breath. Okay?
Count of three?

You with me? One, two...

- Damn you, Drew!
- It's better than dying, all right?

Come on, Javy, where are you?

There's blood dripping down
the back of your neck.

What?

That sucks. Okay.

We're about to get even, Mikey.
Skin stapler, all right?

Self-explanatory.

Push the edges of the wound
together...

apply pressure,
squeeze the trigger.

Oh, yeah, yeah, yeah.

Drew! Drew! I found Charlie.
He's in really bad shape.

We're gonna get Charlie.
Mike, I'll be right back.

You hold on, okay?

You were at the Alamo.
You've been shot.

I can't find her in the computer.
Let me try again.

Can you speak up, sir?

He's incompetent, right?

He's still too out of it from the
anaesthesia for me to make a diagnosis.

I thought I'd check since Jordan
had paged me three times.

- What's going on?
- He's a Christian Scientist.

He came in with a "Do Not Treat"
bracelet. Jordan cut it off.

- What?
- Yeah.

So you declaring him incompetent
would go a long way...

towards getting her off the hook.

Well, first of all,
I can't believe she did that.

But I'm not just gonna label him
without talking.

He was screaming, he was yelling...

That could be for any number
of a hundred things.

Look, I like Jordan,
but I'm not gonna risk my license...

or a malpractice suit by giving
an unwarranted diagnosis.

Especially when she does something
that stupid.

- I would have done the same thing.
- What do you want me to say here, TC?

I don't agree with you on this,
so let's just not talk about it.

He wakes up, I'll make the diagnosis.
But don't tell me how to do my job.

You're right. I'm sorry.

Dr. Jay, call extension 4835.
Dr. Jay, call extension 4835.

Dr. Alexander,
report to the Legal Department.

Dr. Alexander, please report
to the Legal Department.

- Everything's gonna be okay.
- That doesn't look good.

He needs an OR.
Call the TOC, get a Medevac.

The antennae tore off when we rolled.

Radio's shot
and there's no cell signal out here.

- We're on our own.
- I'll try to tamponade the bleeding...

but this packing's just
a temporary fix. Get the litter.

We gotta get up
to the extraction point.

- It's at least five miles.
- Well, then we better get going.

Hang in there, buddy.

Dr. Chandler to MICU.

Mollie says he's been standing
there for the past five minutes.

I figure he's trying to find a way
to save money on electricity.

Custodial services to the ER.

Michael?

I took a couple of pills
from your aspirin bottle...

but I'm pretty sure they
weren't aspirin.

You wanna tell me what it was?

- From the bottle on my desk?
- Yes.

They were MDMA.

MDMA? As in Ecstasy?

- Why do you have?
- I'm so sorry.

I swear there is
a legitimate explanation.

What's happening to me?

Well, your senses are heightening
and you will be more open...

and physical with people
and objects.

No. No, no, no.
This is not happening.

- I can fight this.
- You don't really have control over it.

You should just sit
in your office until it passes.

I am so angry with you right now.

You women are really
messing up my night.

- We're gonna deal with this later.
- Okay. Drink a lot of water.

Water.

- Ragosa's on Ecstasy? No, how...
- Okay.

So I was involved in an experimental
study on the effects of MDMA...

on soldiers with PTSD, and the drug,
it just, it releases serotonin...

and oxytocin so the soldiers can
relive their trauma without feeling pain.

- Oh. Okay.
- Please keep this on the DL.

Gotcha, yeah, gotcha.

Mike's gonna be fine back there.

I know your shoulder's killing you,
but you gotta keep up.

- Charlie is in bad shape.
- I'm trying, man.

- You think he's gonna make it?
- I don't know.

He can't die, man, he's just a kid.

I've seen a lot of kids die.
Age has got nothing to do with it.

I gotta tell you, Drew.
I wanna quit this whole Army thing.

I just joined the Reserves to get some
extra cash for my wife and kids.

I don't want to get killed.
Aren't you afraid of getting killed?

No one wants to die, Javy,
but if I think about that out there...

I'm not gonna be able to do my job
as a medic.

Why are we stopping?

Javy, we're on the range.
The firing range.

Go, go, go, go, go!
Move, move, move!

Let's get the hell out of here!

Mollie, I need to see if anyone filled out
a missing person report on John Doe.

- Can you call S.A.P. D?
- I'm on it.

- Maybe we shouldn't call S.A.P.D.
- We always do that with John Does.

We have no idea what his medical
or psychiatric history is.

His family could be looking for him.

His family, more likely than not,
are the ones that will let him die.

- You don't know that.
- They're Christian Scientists...

which means they are gonna wanna
stop any treatment...

that you or I want to do and
that man will needlessly suffer.

Just let me do my job, okay?
Don't get all pissy at me...

because you screwed up
and cut off his bracelet.

- He was dying.
- Yeah, that's what he wanted.

That's why he wore the bracelet.
That's his choice.

To die when he can easily be saved?
You're backing that?

I'm backing personal freedom.

I'm backing nobody telling anybody
what they can do with their body.

Would I ever do that? No.
But I believe in his right to believe it.

He may not know what he believes.

You didn't know that
when you cut it off.

You saw his religion
and you made a choice.

Maybe that guy is incompetent,
but what if he wasn't?

What if he was just a lawyer who had
a different belief than yours?

Would you still do it?

Every single time
they're brought in here.

Well, then I guess
we just see things differently.

On a lot of things.

- What does that mean?
- Forget it.

No, say it.

Okay.

It means that I know
you're sleeping with TC.

And that's fine, it's not my business.

But I can't believe after some
of the conversations...

that you and I have had about me,
him, and our past...

that you never once thought
that maybe you should mention it.

I need a doctor in here.

- My chest. I can't breathe.
- Okay.

- Heart rate's in the 30s.
- All right. Okay, okay.

I'm gonna listen to your heart.

There are ST elevations.
This woman is having a heart attack.

- Why hasn't she been seen?
- I thought she had.

Page Cardiology.
Give me 325 milligrams of aspirin...

and grab the pacer pads.
We need a formal EKG, now.

- She already had one.
- Well, who ordered it?

- What happened?
- Is this your patient?

- Yeah, she had the stomach flu.
- And did you order an EKG on her?

- I did, as part of a GI workup.
- And did you look at it?

You have an African-American woman
in her late 40s with diabetes...

complaining about stomach pains,
and you didn't look at her EKG?

She should have been in a Cath lab
two hours ago.

She wasn't complaining
of chest pains.

It doesn't matter. If you order a test,
you're responsible for the results.

And if that test is an EKG,
you look at it, immediately.

- Inferior MI.
- Paul, you're an ER doctor.

Your job is to think of things
that will kill your patient first...

and label it as benign later.
It isn't all about the flashy procedures.

- I'm sorry.
- Don't apologise to me.

Learn. Do better.

I told you to look at the tests, man.

I wanna give you the heads up.
Jordan knows about us.

- How?
- I don't know.

We were arguing about John Doe,
big deal, we see it differently.

- And then it just came out.
- All right.

- You want me to talk to her?
- No, I can fight my own battles.

Aside from tonight,
she has every right to be pissed at me.

We were becoming friends.
You're her ex. I should've told her.

TC, Paramedic Gonzalez is here
to see you.

- John Doe ready?
- Yeah, he's coherent now.

Hey, buddy, thanks for coming by.

My union rep said
I shouldn't talk to you.

Your union rep is a douche.

Is he on the front lines
like you and me? No.

Let's talk about what you really saw.

I have to determine
your competency...

so I need you to focus
and think really hard.

What's your name?

I don't know. I don't know who I am.
Please help me. Please.

It's all right, I'm gonna help you.

I'm gonna show you some pictures.
It's a test to help you remember.

Let me know if anything
seems familiar.

It doesn't matter
if it's the smallest thing.

- Anything?
- No.

Wait, wait, go back.

What does this make you think of?

- A diner.
- Good.

You like diners?

Yeah, I think I ate there, at a diner.

Anything else?

Chris... Christine.

You remember someone
named Christine?

Yeah, Christine.

But I don't remember
what she looks like or who she is.

I don't remember anything else.

Why is this happening to me?

Who am I?

I know it's scary,
but we're gonna figure this out.

And we'll find whoever's looking
for you. I promise.

- All right, all clear, let's move.
- Charlie's bleeding again.

- Damn it.
- What's happened?

Part of the bowel has ruptured.
I gotta suture that bleeder.

This is why you're not going
for Ranger, right? It's not worth it.

We could be killed and for what?
Protecting some damn dictator?

Or this stupid kid? He's an idiot.

He wouldn't be hurt so bad
if he wasn't firing that stupid gun.

Javy, he can hear you, shut up.
Now is not the time.

Is Christine an Alamo re-enactor
like you?

Doctor?

S.A.P.D. Doesn't have a missing person
fitting John Doe's description...

and I left messages
at the Christian Science churches.

Good. He just mentioned a diner
and a girl named Christine.

Either he took her on a date
there once or she works there.

I'm hoping it's the latter. Can you?

Call all the 24-hour
diners in the area?

I'll help. How many can there be?

Get TC.

TC!

- What happened?
- He was fine and then...

his vitals started going crazy.

Maybe it's another embolus
to the lung.

We got rid of all the shrapnel.
It must be something else.

- Push 150 mgs. Amiodarone.
- On it.

Wait, wait, wait. Too late.
Look at his blood pressure.

Clear.

Back in a sinus rhythm.

- Pressure's up to 105.
- What the hell was that?

I have no idea.

She's probably not going to wake up
for another hour or so, doctor.

That's all right.
I'll just sit with her until she does.

Okay, so we need a stat chest CT
and add on a tox panel.

Right away.

That was close. So, what did you learn
before he started to code?

It looks like a mania-induced
fugue state.

Based on the retrograde amnesia,
his aggressive behaviour...

- towards the re-enactors...
- This case is even more complicated.

For now. It's a tricky condition.

It could be caused
by any number of things.

It could last for hours
or even months.

We need to find out who he is.

And I know that doesn't help Jordan
if he does have family that could sue...

No, trust me, Jordan cares more
about this guy living...

than any trouble she's in. But if
they try to can her for it, I'll quit.

That'll get the board's attention.

You'd really quit?
That's very loyal.

I'm gonna go check on the labs,
see if there's anything I missed.

- Yo, yo, what up, Tony?
- Hey, Dr. Topher.

We got a great special tonight.
Check it out.

I see what you did there.

You want my advice
on your vasectomy?

Yeah, I was just too shy to ask.
Just a burger and fries, Tony, let's go.

- Hey, Topher. Hey.
- Hey.

Your crappy night still going crappy?

You sure do know what to say
to a girl to cheer her up.

- It's a gift.
- Yeah. Okay.

Now you know, when the lawyers
ask you if you'd do it again...

- the answer is no. Right?
- Yeah.

I probably could've handled
that better.

Dr. Topher.

- Hey, can I get a coffee?
- You got it.

I thought you might wanna know,
I declared John Doe incompetent.

- It wasn't rocket science.
- I needed to examine him, Jordan.

- Yeah, okay.
- You wouldn't rubber stamp...

any diagnosis I gave
without checking.

Look, I know I didn't handle
this whole thing with TC very well.

- I should've said something to you.
- Yeah, you probably should have.

Considering that you had at least
72 chances...

to tell me that you were sleeping
with my ex.

But you could have told me before
I set you up on that blind date...

which, in retrospect,
is totally bizarre that you went.

I wanted to get to know you better.
That's why I went.

Anyway, TC and I aren't that serious.

Landry, what you and TC do
or don't do is really not my concern.

- Now you're being dishonest.
- Excuse me?

You work in a hospital
with your ex-boyfriend.

You actively pursued to manage
his shift...

all while your current boyfriend
lives in Dallas.

- Yeah. That's where Scott works.
- Jordan, this is psych 101.

You have no interest in really
committing to Scott...

because you still have feelings
for ex-boyfriend, TC.

TC isn't just an ex-boyfriend, okay?

He isn't some guy that I dated for a
little while and it just didn't work out.

- I understand you have history.
- You have no idea what we have.

TC was a wreck when he came home.

He wasn't the man that you see today.

I left my job, my friends, everything...

so that I could come here
and help him out.

I stood by him through hell.
So, yeah, we have a history.

And, yes, I have feelings for him.

- Fries?
- No.

Mollie, you found John Doe's
Christine?

Topher! This is my jam!
This is my jam!

- Doc?
- I'm here, Charlie.

I can't go anymore.

- Hurts too much. Put me down.
- Hey, Javy, put him down.

Count of three. One, two, three.

Let me take a look.

Hey, you're looking great, man.

- I'm telling you, you look spectacular.
- I'm serious. I give up.

I need you to keep fighting,
you understand me?

Keep fighting.
You can do it, Charlie.

Okay. Up on the count of three.

One, two, three.

- Charlie, you all right? Javy?
- Yeah. I'm right.

- Hold on. My shoulder.
- Here, here.

Yeah, yeah, yeah.

We don't get him there in the next hour
he's not gonna make it.

You gotta keep him talking,
distract him.

Copy that.

Okay, up on three.
One, two, three.

Hey.

You know I'm not supposed
to be treating him.

Yeah, well, I need your brain.

His vitals went wonky.
I can't figure it out.

Chest CT came back with nothing,
all right?

Now he's spiking a fever
and he isn't responding to antibiotics.

- I think the leg must be getting septic.
- Okay.

But he's already
on two antibiotics.

I've added a third,
I've resent his blood cultures...

- His fever's climbing.
- Cooling measures, now.

And now he's twitching.
What the hell is going on?

Okay, okay, it could be meningitis
or tetanus from the bullet. Right?

- Maybe. Dystonic reaction?
- Yes.

I just got off the phone
with a woman who knows him.

She said he was fine
three weeks ago.

His fugue state has to be
connected to his worsening condition.

- In what way?
- I'm not sure.

When you have something that
could really help us, let us know.

- Thanks. Okay.
- Jordan.

Jordan. Push 150 milligrams
amiodarone.

Aggies over UT? What, are you crazy?
What else you got, Javy?

Hey, Charlie, if you could snap
your fingers and be anywhere...

- where would you be, buddy?
- I don't know.

Yeah, you do, man.
Where do you wanna go?

I'm thinking Vegas with all
the chickies, little bit of booze, huh?

- In the Gulf, catching marlins.
- Love it.

- How about you, Javy?
- Oh, Miami Beach, baby.

Drinking margaritas
with my wife by the pool.

Have my parents
take the kids for the week.

That'd be a vacation.
How about you?

Oh, man, I love the old cities.

You got Paris, Rome.

Just the history of them,
learning about them.

Me and Rick, we usually
end up in Hawaii, though.

My brother, Rick.
I vacation a lot with my brother.

We're close.

- Hawaii's cool.
- Yeah.

Hang on, Charlie. Hang on.

Mr. Ragosa, please report to Records.
Mr. Ragosa, please report to Records.

It's positivity.

Oh, man, this is where it's at.

I just feel really, really, really good.

Kenny told me that Ragosa
accidentally took some E...

and he's just been rolling all night.

You should... You should really
go back to work.

Yeah. Right.

I really see you, I see you!
Remember the Alamo!

John Doe's lumbar puncture
and tetanus titer are negative.

But his fever keeps going up.

And he keeps spasming.

- What are we missing?
- Been asking myself for hours.

Maybe you shouldn't
have jumped all over Landry.

Is now really the time to talk about that?

I'm talking about saving John Doe.

Look, we have no idea
what's wrong with him.

- She was just trying to help.
- By throwing out theories?

Well, that is what we're doing.

I know this has been
a rough night for you.

If you want to talk,
I know you're with Scott and all...

but you can come to me any time.

- You know that, right?
- I'm fine.

But you're right.

It's just been a really tough night.

I'm gonna re-check his labs.

How many times
did you stick this guy?

Five. And a half.

His vein keeps moving.

It's literally like trying to stick
Jabba the Hutt.

Maybe after two tries
you come find me next time.

Especially after the night
you've had, Paul.

Let's hope he doesn't
have a heart attack too.

Hello, sir. I'm Dr. Zia.
Let me see if I can help you.

These kids don't know
what they're doing.

Well, your veins do present
a challenge.

Look over to the left
and hold your breath, please.

Are you the doctor getting
his huevos snipped?

I didn't say anything, I swear.

He didn't. He blushes whenever
anyone mentions balls.

Never get a vasectomy.
I got snipped.

Damn doctor said it would
only hurt for a couple of days. Liar!

Felt like somebody put a blowtorch
on my man meat.

I could barely walk.

And things were never the same again
in the bedroom.

You know what I mean?

That could've been caused
by any number of conditions.

Nope. I used to wake up every morning
with a flagpole until I got the Big V.

Now I'm taking ED pills
by the truckload...

just to get a little movement.

Sorry.

Over here! We need some help,
there was an accident!

He needs a Medevac,
get the chopper here, now! Down.

Hey, Charlie! You made it!
You'll be in the hospital in no time.

- I'll come by and check on you.
- Thanks, doc.

You should go for Rangers, man.

They'd be lucky to have a guy
like you.

All right, get him out of here.

- Bring him in here.
- Okay.

I spoke to Operations about Mike.
They already got him.

- He had it easy.
- Yeah. No doubt.

Get that shoulder looked at,
you might need surgery.

Sure.

You know...

Charlie can be an idiot.

I bet he's around gay guys all the time
and doesn't even know it.

He's right about one thing, though.
You'd make one hell of a Ranger.

It's a pleasure serving with you,
lieutenant.

Dr. Alexander, this is Christine.

She was John Doe's-,
George's girlfriend.

- He has bipolar disorder.
- Yeah, that's actually why we broke up.

- It just got really hard to deal with.
- I'm sorry, you said bipolar?

Christine, was he on
any kind of medication?

Well, he was, but he hated
the side effects of it.

So that's why he came to our church,
to try a more holistic approach.

Okay, do you remember
what kind if was?

- It was...
- Lithium.

- When did he go off it?
- Maybe like a month ago.

I think I know
what's going on with George.

Excuse me.

Get the pharmacy, now.

He's having a seizure.
A gram of Dilantin, now.

- He's going into V-tach again.
- Pulse ox is dropping.

Hand me the ambu bag.

Bolus 25 migs of dantrolene
and start him on a versed drip.

Hang a bag of D five half
with three amps bicarb. He's bipolar.

He stopped taking lithium abruptly
two weeks ago.

When you don't slowly
wean yourself off mood stabilisers...

It causes
neuroleptic malignant syndrome.

- Nice catch.
- It wasn't all me.

So his fugue state was connected
to his condition, huh?

I guess you did need
a psychiatrist after all.

I missed something juicy, didn't I?

Yeah.

Christine, look, I know that you don't
believe in medical treatment, but...

Actually, I do believe in it.
I go to doctors if I need them.

I just prefer to try prayer first.
Thanks for saving George.

Landry, hey, hold on a second.

I'm sorry for jumping on you earlier.
It was uncalled for.

You helped save George
and I couldn't have done it without you.

Anything else?

Look...

This case really pushed my buttons.

When I was 15, my father contracted
severe pneumonia.

He needed antibiotics
and eventually surgery.

And it was very treatable
but he wouldn't do it.

He just wanted to pray.
And my mother agreed.

- So I watched him die.
- I had no idea.

And then you decided to be a doctor.

Something like that.

I am really, truly sorry for being
such a bitch to you.

And this isn't an excuse for my
behaviour, it's just an explanation.

Well, it's a damn good one.

You should have just told me that,
it would've helped.

But look, I'm sorry too.
About everything.

I don't know
that we'll ever be best friends...

but I'd like to try
to at least be work friends.

Okay.
I can live with that.

- Okay.
- All right.

You look so handsome.
How was drill?

Uneventful.

Have you seen TC? I want to talk to him
about that Ranger recommendation.

I thought you were leaning
on not going for Ranger.

I was.

I just think I might need them
as much as they probably need me.

Hold up.

Oh, uneventful, huh?

Hey, I want to hear every detail,
Lieutenant Bad Ass.

That's nasty.

Yeah, I figured I'd let Krista and Paul
stitch it up, get some practise in.

- Nice and neat.
- Yes, sir.

- Speaking of, where is he? Paul?
- He's probably sulking.

He got spanked by Jordan tonight.

That's how you know-it-alls learn.

Come on.
There's something we have to do.

Yeah.

- Hey, Jordan, better hurry up.
- Why?

Well, it might involve cake,
is all I'm saying.

You guys, I can't believe you...

- Soccer balls?
- Yeah, they're for Topher.

- It's symbolic of his operation.
- Yum.

Hey, he's coming, he's coming.

Surprise!

It's like a nightmare come true.

- Thank you, I think.
- Those are actual size, right?

- Topher, Urology's ready for you.
- All right.

You sure you want to do this, buddy?

Yeah, yeah, yeah.

- Dead man walking!
- Right. That's funny.

That's, that's nice.
Thank you.

Everybody's here.
And nobody is with the patients.

Fantastic.
Back to work, everyone.

Jordan, I just got a call from Legal.

They wanted me to tell you the
paramedic has changed his story.

He says he can't swear that
it was a "Do Not Treat" bracelet...

and it could have been a FuelBand
or something like that.

- Why would he do that?
- I could make a guess.

- How are you feeling?
- Actually, I'm fine.

- It was enlightening.
- It can be.

You know, I never told anybody this...

but I have some degenerative issues
with my left eye.

You do know how to keep a secret.

- How bad is it?
- Partial blindness.

And now the headaches are getting
worse because of the blurred vision.

I've been delaying
corrective surgery.

- Why?
- Fear.

Now I think it's time I take care of it.
I'm getting a divorce.

I worked it out with my ex
so I can see my kids.

It's a new chapter.
I'm starting over.

Well, that's a healthy attitude.
You're making progress.

You care to talk
about it over breakfast?

I'm not asking you out.

Considerate it punishment for not
labelling your meds properly.

All right. Let's do it.

It's so good to hear your voice.

I just had the worst night ever and...

Yeah, well this guy came in
and it was...

What? What do you mean
you want me to hang up?

Because the world's best boyfriend
is standing right over here.

You planned this whole thing,
didn't you?

Yes, I did.

I missed you.

- Happy birthday, baby.
- Thank you.

Make a wish.

I knew someone
would remember my birthday.