The Night Shift (2014–2017): Season 2, Episode 8 - Best Laid Plans - full transcript

All right, Mayweather. Where'd
you learn to punch like that?

Golden Gloves, from 8 to 18.

Y'all need to come
chew on some of this iron.

Get some grown-man muscles,
not those "Body by Jake"

Cardio-Kickboxing"
bodies y'all working with.

- Yeah, is that right?
- Yeah, that's right.

Oh, that's funny.

See, now, look, I don't mess with
none of that Zumba/pilates/spin B.S.

This is a grown-ass-man workout.

And for real, I'm gonna
start charging y'all for this.

People should have to pay to see this.



Yeah, I-I think you're right.

Smart move.

- Get him!
- Let's get him to the break room!

Did you tell T.C. you wanted to move?

Yeah, but you know T.C. I
mean, he's not a real planner.

He's more "go with the flow."

Yeah, I guess.

So... what is this?

I...

- Give me my shorts.
- Ladies, ladies, ladies.

Kenny says we got to pay to display,

- so this one's on me.
- Give me my shorts!

- Ooh-ah! Ooh-ah!
- What, do you mean these?

Give... give me ...I will kill you.



- Nice grown-ass-man muscles.
- I really...

Give me, give me my friggin' shorts!

Tee, strike a pose.

Ha ha ha.

If H.R. asks, I was not here.

Not a word.

So, uh, you want to get a better look?

- I'm good. Nothing I haven't seen.
- Give me my friggin' shorts...

Oh, you naughty girl.

- I didn't mean to. It just got heated,
- Uh-huh.

- And...
- Uh-huh.

I hadn't had any in like a year.

Okay.

Oh, I'm gonna get you!

I kind of wish I hadn't, though,

'cause I don't want him to see
me as just a hookup, you know?

No! Come on, you're just gonna...

Oh, hey, Krista.

Hey, Jordan. Gwen.

Hey, what's up, Krista?

- Hey!
- Not much.

Huh. Wow. Did she hear that?

I'm glad everybody's having a good time.

- Oh! That's right.
- Hey, guys?

Shift starts in five minutes.
We already have incoming.

Come on. Let's go.

Okay.

- Oh-oh-oh.
- Give-to-me, oh...

Oh! Mm-hm.

Hey. What's your name, sir?

Christian Boone. Call me Boone. I'm
just having a little trouble breathing.

All right. Well, we're
gonna take good care of you.

- Why don't you hop on over here?
- Yeah.

- You having any chest pain?
- Yeah, a little.

All right, we'll run a few tests
and see what's going on with you.

Mollie, can we get a blood
panel, CBC, and an EKG?

- Yes, ma'am.
- Thank you.

- You gonna post those?
- You know I am.

I love this phone...
takes amazing pictures.

I got my daughter the same one as a reward

for getting straight A's last semester.

Lucky you.

My son's favorite subjects
are lunch and recess.

I don't see a scholarship in our future.

Or a phone in his.

Topher?

You've got a call.

Michael, you need parenting advice,

you know where to find
me. Father of the year.

Thanks, Jocelyn.

Secret texts to a new girlfriend?

Oh, uh, no.

The... the father of my patient
that just passed... Oren.

Oh, I'm sorry.

That was the radiation guy, right?

Yeah.

He was so sweet.

Yeah.

Anyways, that's the, uh,
that's the job, right?

Have to move on.

Still doesn't make it easy.

So, you ready for your surgical rotation?

Yeah, yeah.

Been, uh, been studying hard.

Have to keep up the family
name, so my dad says.

Scott says your dad's already called
three times to find out what you're doing.

Yeah, it'll be 20 before the week's over.

Good luck following the last
surgical intern, 'cause I

hear she pretty much killed it.

Oh, oh, you mean the one that
made out with her attending, right?

- That... that one.
- Hmm.

Okay. Okay.

When's that gonna die?

Attention, everybody!

I just got off the phone with dispatch.

We have a building collapse downtown.

We are gonna be the major receiving.

- Estimated number of casualties?
- Up to 50.

They're requesting that
E.R. personnel get triage

up and running on-site.

I'm on it. Drew, you're with me.

Anyone wants a ride, train leaves now.

Okay, Boone. Uh...

Well, the good news is, it's
not an acute heart attack.

But here's the thing.

Oh. There's always a thing.

Yeah.

There could be some
underlying heart disease.

And I'm concerned about your symptoms.

You fainted, so we need to find out why.

Have you been under any stress lately?

Who isn't
under stress these days?

Right, right.

Look, I want to keep you here
overnight for observation.

Better to be safe than sorry.

Doctor, I'm sorry to interrupt,

but there's been an explosion in Southtown.

- It's a mass casualty.
- Southtown?

That's where my diner is.

- I have to go. My goddaughter works there.
- No, no you don't.

- No, no, no, no.
- You need to stay here and rest.

No, I have to find out if she's okay.

Sir, you couldn't get downtown if
you tried. It's been zoned off, okay?

- Well, th-then I have to call her.
- Just relax.

Of course. We understand. Okay, look.

If you start to feel funny,
you tell Nurse Mollie,

I'll come back and check on you, okay?

- You've got your phone?
- Yeah.

- Okay. Thank you, Mollie.
- Yeah.

Topher. Hey. Where are we?

I've talked to all departments.

We've activated disaster protocol.

Scott and Paul are prepping O.R.s.

I pulled the disaster kits.

All right. Triage everyone. Red
tag... critical, yellow... urgent,

- green... walking wounded, black... D.O.A.
- Got it.

- You know what? I'll help you prep.
- Yes, thank you!

Kenny! How's that waiting room looking?

Cleared and ready for the walking wounded.

Grabbed all the O-neg
I could get my hands on.

We're gonna need more than that.

Everybody, be on your
toes! It's gonna be messy.

Joce, did you get T.C.?

Yeah. He just arrived on-site.

Tee, tell me something good.

If I did, I'd be lying to you, brother.

- How bad are we talking?
- It's gonna be a long night.

Let's roll him on three.

One, two, three.

Rigid abdomen. BP 90 systolic, pulse 120.

I'm worried about a hot belly.

I saw him. He saved me.

Who saved you, sir?

My guardian angel. He's as big as an ox.

He saved me, pulled me from death.

I hear you. I hear you.
Let's get him out of here.

An intra-abdominal bleed.

Let's red-tag him for a
straight shot to the O.R.

Yeah.

All right. Gwennie, what do we got?

Male in his 20s.

14-centimeter full-thickness
laceration to his left forearm.

He's lost a lot of blood.

Somebody used a belt as a tourniquet.

- You didn't do that?
- No, it wasn't me.

It'll probably save his life.

Hey, take a look at his
forehead. What is that, a cross?

No, it's not a cross. It's a "t."

Writing a "t" in a patient's blood is
military shorthand for "tourniquet."

We got us a medic out here.

- Hey, Tee!
- Yeah?

- Go on. I got this.
- All right.

I got a closed mid-shaft tibia fracture.

I started two large-bore
I.V.s of LR wide open,

going to titrate morphine
for pain of three.

Nice splint, Drew.

It was on him when I got here.

Someone's getting to the injured
faster than we are.

Think I have a good idea who that might be.

Guy with the hat.

Got it!

All right. Let's get a dressing on it,

- okay?
- Okay.

How many suture packs have
you gone through tonight?

I stopped counting at 50.

At this pace, we're gonna run
out of those and blood.

I got Ragosa starting a blood bank.

I'll have him replenish
the other supplies, too.

8 red tags, 13 yellow. A dozen
green. We've had two D.O.A.s.

All surgery teams upstairs are working,
but every department's getting buried.

And lots of families for missing people.

Hey-hey, Kenny, we need you to run point

and get an accurate count of the missing.

Got it.

All right, I'm gonna
check on my heart patient.

Page me for the next trauma.

Keep digging in, people.

Oh hey, guys. I got this.

Did you hear about my guardian angel?

He carried me out.

I'm... I'm gonna have to
wait for the movie, sir.

Hey, Paul.

Your next surgery.

Paul!

Dad? What are you
what are you doing here?

Hello, Paul.

I told you not to come, Dad.

This is my first night of surgery.

Nonsense. That's exactly why I did come.

You think I'd miss your first night?

Dr. Cummings. Huge honor.

I'm Dr. Zia, Paul's attending
and night-shift chief.

Oh, of course.

I-I was in Austin giving a lecture.

Decided I'd swing by.

On any other night, we would
roll out the red carpet.

But as you can see...

I-I understand.

I'll just make myself busy down here.

Paul, I'll talk to you later.

Don't let me down.

He's good. I've already checked him.

Set another I.V. on the
way in. Come on, let's go.

Thanks, guys. I've got it from here.

What do we got there?

Just wrapping a broken wrist.

What's your name?

Bennett. James Bennett.

I was nearby.

I heard an explosion, came
over to see what happened.

So you pulled an old man out of the rubble?

Tourniquet on an arm?

Splint another man's leg.

Oh, man, I'm sorry if I overstepped.

I was just trying to help out.

Don't apologize. Army medic, right?

Yes, sir... two tours in Afghanistan.

Looks like it's our lucky night.

You're an off-duty paramedic?

I'm not a paramedic. I wish I was, though.

I just can't get on any of the crews.

How long you been trying?

More than a year.

They said I had to take an EMT course,

but, you know, that's 10 grand
for a cheap one. I don't have that.

They won't transfer
over your medic service?

Guy like you would be an asset to them.

You've done this stuff under fire.

Uh, yes, sir. They said
I had to start over.

I don't mind. I'll do whatever it
takes. I just don't have the cash.

Hey, Doc! We got another one!

Hey, look. Your service counts
with us, all right?

We're a little shorthanded tonight.

Do you mind sticking around, helping out?

Of course. Anything.

Yeah yeah, see all those green tags over
there? Start treating the walking wounded.

You're gonna be all right.
They're gonna take care of you.

Over here.

Look, there's a battle sign, anisocoria.
Left pupil bigger than the right...

Bring her to Gwen. Tell Gwen
to bring her straight to Jordan.

Possible TBI to the basilar skull fracture.

Got it.

You're still a bit tachycardic.

My goddaughter still
hasn't answered her phone.

I'm sure she's fine.

But you do need to try to
relax as much as possible.

I will be back soon to check on you.

Okay.

Oh. Excuse me.

So, if you're wondering,

"is that world-renowned
neurosurgeon Dr. Julian Cummings

working triage in my E.R.?"...

your eyes do not deceive you.

Come on... did he come here to watch
Paul on his first night of surgery?

Talk about putting pressure on the kid.

Night like this, I'll take
all the help we can get.

Yeah.

This gentleman kept
talking about his guardian angel

before we put him under.

I'm starting to think he
might just actually have one.

Okay.

Removing the perforated ischemic intestine.

Paul, tie off that blood vessel for me.

Yeah, of course.

One-handed?

I'll have to tell your dad about that...

assuming he's the one who taught you.

Yeah, well, some dads teach
their sons to play catch.

Others teach their sons
to tie surgical knots.

Guess which one I had.

Incoming!

Jordan?

Female, 20s. Red-tag head trauma.

T.C. said possible traumatic brain injury

and basilar skull fracture.

She's been in and out of
consciousness on the ride over.

What's your name, sweetie?

Alex.

Okay, Alex. You stay with me, okay?

That's her! That's my goddaughter!

- Oh, my God! Alex!
- Sir, you can't be in here.

- Alex! Alex! Alex!
- It's okay. He's my patient.

- He can talk to her from there.
- All right.

On three. One, two, three.

- Uncle Boone?
- Yeah.

Is that you?

It's me, sweetie.

I'm here for you.

BP's falling.

I need a chem panel and
a CBC. Cross and type.

I was so worried about you.

Oh, God.

Oh, God. Where are you? What's happening?

Alex?

- Talk to me. What's going on?
- I can't... I can't see anything.

- Talk to me. Talk to me.
- I can't see. I can't see!

Do something!

- Uncle, help me!
- Alex!

- Get him out!
- Let me help her!

- We're gonna take care of her, all right?
- Alex.

Okay, Alex. We're gonna
figure out what's going on.

Kenny here is gonna take
you to C.T., all right?

I'm right here, Alex.

Look, I'll be with you the whole way.

Just say my name if
you need anything, okay?

Okay.

Uncle Boone, are you there?

I'm right here, baby.

I'm scared.

You let them take you, okay?

They're gonna fix you up real good.

Priority to C.T. scan. There could
be bleeding in her occipital lobe.

Ah, front of the line we go.

I got no pulse!

He's got a pulse now.

Yeah, I saw he had a
pacemaker, so I went to do a...

- Precordial thump?
- Yeah. Good call.

All right, 50s, male.

Red tag to the E.R.

Forget paramedic.
You should be a doctor.

Thanks, but I'll stay with the action.

I like being the first guy to help people.

It's the one thing I'm really good at.

Well, if you got one skill,
that's a damn good one to have.

- Yellow Tag, Doc.
- All right. You got this?

Okay, yeah.

Adrenaline's tough to replace, huh?

I was a medic in Iraq.

Don't know what I'd be
doing if I wasn't a doctor.

Geez, how'd you go from
being a field medic to a doc?

Somewhere along the way, I
just caught a lucky break.

You're like an army commercial.

You know, they make it seem like
you serve and you're set for life.

I still wouldn't trade
it for anything, though.

Please tell me it's not like
this every night at this hospital.

Well, uh, no. Mass casualty's
actually pretty rare, Dad.

I'm talking about the
quality of facilities,

the protocol, the inefficiencies...

Look, can we... can we talk later? Okay?
I need to get this patient to surgery.

Paul, look. This is simple triage.

You want the most critical patient.
This is your patient.

Look, I'm just trying to
follow Dr. Clemmens' orders.

Then Dr. Clemmens is wrong.

Paul, what's the holdup? I
need my patient in surgery.

Right, um, my father and I
are having a minor difference

of opinion as to whom we
should bring up to surgery.

You got to be kidding me. Dr.
Cummings, I'm Dr. Clemmens.

This patient is your next surgery.

She was incorrectly yellow-tagged.

Her crush injury is now
presenting as a distended abdomen.

Consider ruptured viscus or hemoperitoneum.

He's right. Paul, let's prep
this patient for surgery.

Thank you for your input, Dr. Cummings.

I-I-I would like to observe.

How 'bout I sit in on this one?

You know what, it's Paul's first night
in surgery, so I don't think it's...

scrubs are right in there.

Fantastic.

You didn't have to say yes.

Yeah, I did. He's relentless.

He would have found his way
into that O.R. eventually.

Hey, you. Crazy night, huh?

One for the books.

- I-is Alex done with her scan?
- Uh, she'll be back in five.

Is this how it's gonna be between us now?

I've got work to do. I'm sure you do, too.

Michael. Walk with me.

How are we on blood?

Ah good... we just got a new shipment
in from the blood drive at Lackland.

Should take us through the night.

Great. I.C.U. just freed up some beds.
Let's get some patients up there ASAP.

You a fan of Grumpy Cat?

Makes me laugh every time.

No, it's, uh... when my daughter
and I got our new phones,

we somehow got stuck
sharing the same cloud,

so now I'm getting her
texts every five seconds.

I've just got to ask them to disconnect it.

Whoa, whoa, whoa. Hold on a second.

Sharing that cloud gives you
complete insight into her world.

Aw...

That's like a gift from the gods.

Make sure she's not doing
anything, you know...

Unsavory.

Anyway heading to the I.C.U.

Oh, Doc. Thank God. Her vision came back.

I thought it would be good
if he hung out with Alex.

- It keeps them both calmer.
- That was a great idea.

I'm just gonna get in
there and take a look.

You have any blurriness?

Just a little.

Thought my painting career
was over before it started.

I can imagine. Well, your C.T.
came back and there's no acute bleeding,

but we're still gonna have
ophthalmology and neurology take a look.

How are you feeling?

Aside from the bumps
and bruises, I feel okay.

That's good.

Have they figured out
why the building blew up?

Alex, please. You need to rest.
Let the doctor go do her job.

No it's okay. It's just early reports
are saying it's a gas-line leak.

Oh, no.

What's the matter?

I was working late at the diner,

and I can't remember if I
turned off the pilot light.

Alex, it's not your fault,
honey. It couldn't be.

Um... Somebody want to catch me up here?

My diner is on the ground level of
the same building that was damaged.

When we close up in the evenings, it's
Alex's job to turn off the pilot light

- for the stove and water heater.
- And I couldn't remember if I did,

so I got dressed and headed
back to the diner to check.

But just as I went inside...

Alex, I'm sure that your uncle is right.
I mean, have you ever forgotten before?

No. No, it's just I...

I just... I ca... I ca... can't remember.

Alex?

BP's 220 systolic.

What does that mean?
What does that... Alex!

- What does that mean? Alex?
- Weak on the right side.

All right, start a nitro
drip. She's having a stroke.

Boone, you're hyperventilating.

- Try to breathe like me.
- Oh, God!

Try to breathe like me.

Oh, God! Oh, God!

- Oh my God.
- There's no pulse.

All right. His heart's
failing. Grab a crash cart.

Come on. Come on.

The last of the red and yellow tags

have been moved to E.R.s.

We got a few green tags,

but I think everyone's been treated.

Okay, great. Let's pack it up.

Where's Gwen and Drew?

They were doing last looks with Bennett.

All right, everybody.

We are looking for that big army medic.

Drew, are you sure you and
Gwen saw him come in here?

A guy that size
is kind of hard to miss.

I saw him run into the building
after the second explosion.

That's not good.

I'm not leaving till I find him!

Bennett!

Bennett?!

Bennett! Can you hear us?

Over here! Over here!

Bennett! We're here!

Let's get this stuff off him.

Can you guys move him?

Watch that.

Be really careful.

Okay, I'll support his torso.

Pull on three.

Ready?

Tee, his arm's been severed.

Son of a bitch.

We got to move him now.

Okay. And now to reduce
the compartment pressure.

10 blade to our intern.

Seriously?

Never do it, never learn.

You're up, Paul.

You mean an 11
blade, right, Dr. Clemmens?

Well, I said 10. I meant 10.

We all have our preferences.

Well, it's not a preference.

There's a right way and a wrong way.

11 gives you a more precise
cut and less tissue trauma.

I know what an 11 blade does,

but we don't have time to be cute or fancy.

This is a fasciotomy to reduce
the compartment pressure.

This isn't neurosurgery.

That's for sure.

10 blade to our intern, please.

Paul, use the 11 blade.

Dr. Cummings, I understand that
you are used to running the show,

but you are in my O.R., and I
cannot have you compromising my team.

You will either have to let
us do our work or step out.

Fine. I'll step out.

Just drives me crazy to see
things done the wrong way.

You've had to put up with
that your whole life, huh?

I came out here to get
out from under his shadow.

I guess Texas wasn't far enough.

James Bennett, 23.

Building collapse caused transhumeral
amputation to the left arm.

Hypotensive and tachycardic.

Mollie, prep this arm for re-attachment.

My hand's burning. Just give me
something for it. I'll be okay.

Take it easy, there, Bennett.

Give me two migs of Ativan and
push another 10 of morphine.

And, uh, Jocelyn, get me two units of
O-neg and set up for a central line.

Whoa, whoa, whoa! Take it easy.

Oh! Get... hey!

I'm going back out there!

He can shoot me if he wants me to stay!

No one's gonna shoot you, okay?

We're gonna take care of you.

It's all going to be okay.

All right.

There we go.

Jocelyn, can you call up
to surgery and make sure

there's an O.R. free
for arm re-attachment?

- Do it now.
- Right away.

Okay. You okay? You took quite a shot.

I'm good. I've been hit
harder than that before.

On three. One, two, three.

He's in heart failure.
There's fluid in his lungs.

Did we miss a heart attack?

No, his second troponin is normal.

It's more complicated than that.

- He needs an echocardiogram.
- Yeah.

Alex's MRI is back.

Whoa. Look at this.

Things just got more complicated for Alex.

Yeah. It's not good.

Krista, stay here and watch Boone.

I'll be upstairs getting
a surgical consult.

- Okay.
- Excuse me.

Alex has a carotid dissection

that has sent blood clots to her brain.

Well, that would explain the loss of vision

- and then the stroke.
- Exactly.

In a few hours, the damage from
the stroke will be permanent,

and a large section of her brain will die.

But there is a Hail Mary.

- A-a mechanical embolectomy.
- Mm-hmm.

We retrieve the clots from
her brain using a catheter.

But we'll be hard-pressed
getting an interventionalist

to the hospital at this hour.

Yeah, well, the thing
is, we already have one.

- Paul's dad.
- Mm-hmm.

I've already called the
hospital for privileges,

and they're sending over
authorization for the procedure now.

I-I'd like you to ask him.

I figure he'd respect you more,
you know? Surgeon to surgeon.

Yeah.

- Awesome. Thank you. I appreciate it.
- Mm-hm.

Limb re-attachment in
the E.R.? I don't know.

What's the wait on surgery and vascular?

Backed up for hours.

Bennett doesn't have
hours, okay? He'll lose the arm.

I don't know his full story, but he's not
had it easy since post-deployment. So...

So you got to let us try. Okay,
he's a soldier. He's one of us.

He was out there saving
people and got hurt.

I-I get what's at stake.
I want you guys to do it.

But if we get swamped again,

I can't have you two siphoned off

for the rest of the night
while other people die.

- Mollie.
- Yes?

How we looking on mass casualty admits?

I haven't had one in a while.
They say the area's all clear.

- There you go.
- Okay, okay. Do it.

But we get busy, I'm gonna pull you off.

- We can't trade a life for an arm.
- Okay, thanks.

- It wasn't a heart attack.
- No.

How did his heart get so dilated?

He mentioned that he was
under a lot of pressure

earlier this evening.

It could be the severe stressor

that weakened his heart, causing dilation.

Takotsubo cardiomyopathy.

Broken-heart syndrome?

That's what it looks like.

He's gonna need a heart transplant...
or, at the very least, an LVAD.

We'll let him know what his
options are when he wakes up.

But for now, we should keep
an eye on Alex's surgery.

- He'll want to know how she's doing.
- Okay.

Okay. Thanks.

All right, bud.

And we've just received hospital
privileges for you to perform the surgery.

Of course you did.

So, um, Dr. Clemmens, you'll
allow me to use your O.R.?

And perhaps an 11 blade?

Look, I'm sorry if you felt that I was...

Tactless. Disrespectful. Rude...

Dad!

Dad.

You're the only one capable of the
procedure that will save her life.

Okay? So, please, just... just do it.

Fine. I'll perform the procedure.

Under two conditions.

One, Dr. Clemmens, you
stay out of my O.R.

And two, I need Paul to assist me.

It's his first night on surgery.

It's not mine.

Paul, scrub in.

We can finally have that
talk you've been avoiding.

And we are steering the catheter

up to the blood clot in her brain.

Opening the basket and grabbing the clot.

Watch this, Paul.

And just like that...

Adios, clot.

That's really cool.

Oh, finally.

You think your old man's cool.

I've always thought that, Dad.

Well, I find that hard to believe.

You could've gone to my
Alma Mater or my med school

or joined our practice
after your residency.

I said I admired you. I didn't
say I want to be you.

Can we do this later, please?

Well, it's the only time I get to see you.

Every time I call, you're
either too busy or too tired

or whatever else you make
up to get me off the phone.

So, let's talk about what
it's gonna take for you

to accept a surgical
residency to Johns Hopkins.

It's time for you to go big or go home.

So, what was your lucky break?

That's a long story.

We're re-attaching an arm. We got time.

Touché.

You ever drive a '64 GTO?

No. That the car you had growing up?

Oh, hell no. I was broke.

But Thad and I, we drove one one time.

Man, driving that car was
a real come-to-Jesus moment.

W-wait. So...

Wait, did you and your bro steal a car?

Oh, well, we were gonna return it.

We used to go down to Camden Yards

and "borrow" cars during games.

We got about five blocks
before we got busted.

Morning of the hearing, we're
on our way to the courthouse,

and the energy felt wrong.

So we look around,

and everyone's eyes are on the TVs.

And what was going on? What was on it?

Well, we got there just in time

to see the second plane

crash into the World Trade Center.

So we just sat there
and we watched, stunned.

And, you know, just, uh...

Made all the crap we were
doing just seem so childish.

So we went up to the judge and we said,

"Hey, if you let us off,"

we will go straight down
to the recruiting office,

sign up for the army,

"go kick some serious ass for the U.S.A."

- Some break.
- Yeah.

I told you... boosting that car

was a serious come-to-Jesus moment.

So the army put me through med school.

Without that, who knows where I'd be?

Probably in prison,

getting traded for a pack of cigarettes.

I'm worth at least a carton.

Whatever you say, Doc.

I can't... I can't give you a decision.

Well, you're gonna have to.

They're not gonna hold that
residency for you forever.

I didn't ask you to get me
one. And if I wanted one, Dad,

I would've gotten one myself, all right?

Maybe. It's very competitive.

People would kill for this
opportunity. But you didn't even try.

That tells me you were afraid.

I wa... no, I wasn't afraid, okay?

I didn't want to go there.

Well, sometimes a father can see

what's best for their child
even if they can't.

Hey.

Just checking in to see
how Alex's procedure went.

How do you think it went?

Paul, we'll talk about this later.

I need to make sure your, uh, staff

can properly take care of my patient.

Come on. Let's take a walk.

Please tell me we're done, Gwen.

We've been given the all-clear.

No more casualties headed this way.

Finally!

Yeah, it's been a hell of a night.

Oh, hey.

You were right with your advice
about my daughter's phone.

Check this out.

I mean, don't check it out.

Whoa.

That is a very skimpy bathing suit.

I didn't even know she had that.

I did not get her that phone to be sexting.

I thought she was a nerd.

I mean, I-I want her to be a nerd.

Kids
are what they are, you know?

Holy sh...

she just said, "my dad works all night."

He won't know if we hook up."

She... she is... she is grounded forever.

That text is going to be
her last on that phone.

Wait.

Hold on. Keep your cool.

Don't blow your cover.

Blow my cover? This isn't "The Departed".

This is my daughter we're talking about.

No, no. Look.

When the Brits cracked the
Nazi code in World War II,

they waited to get more information, right?

I don't care about that.

Some punk named sexyman916
is sexting with my daughter.

Okay. Blow your cover.

And you'll never know what
she's up to again, okay?

Now, you listen to me.

You have Janet make sure
she's in, and you track this.

You don't know what else she's up to.

I think I'm gonna be sick.

Yeah, well, get used to it.

I wish I had something like
that to know what Naomi's doing.

Trust me... they grow up really fast.

I hate technology.

Hey.

Hey, babe. Haven't seen you all night.

So, limb attachment in the E.R.

That's pretty exciting stuff.

Yeah. Just waiting for it
to pink up, see if it worked.

So, how you feeling, Mama?

You didn't get any sleep this afternoon.

I know... that's because
every time I close my eyes,

there's a million questions
just running through my brain.

You need to relax.

- Yeah?
- Mm-hmm.

Yeah, I'm trying, but...

Okay.

Which O.B. are we going with?

Where are we gonna live
once the baby gets here?

And who's gonna take care of the
baby when we're both working a shift?

Dr. Newton, my apartment,

Topher will schedule
us on different shifts.

I'm a genius. Problem solved.

Thank you.

Okay, well, I prefer Dr.
Zeuli over Dr. Newton,

uh, your apartment is way too small,

and we will never see each
other if we work separate shifts.

When you put it like that...

- Mm.
- Ahh.

Jordan, I need you to talk
to Boone. He's freaking out.

Okay. I'll be right there.

Thank God you're cute.

I have seen hundreds of surgical residents

and E.R. interns do their rotations,

and I can tell you, after one
day, you're in the top five.

- Really?
- Yes.

So I get why your father
pushes you as hard as he does.

I'm sure you are a really good E.R. doc,

but you could be an amazing surgeon.

It's like when Jordan left
the Bulls to go play baseball.

It just... it just felt like such a waste.

Yeah, but that was his first love.

He was just following his heart.

Okay.

So, what's in your heart?

E.R. medicine?

- No.
- Then what is?

Because if you are just
rebelling against your father,

then you're cutting your
nose off to spite your face.

If you want to be a surgeon, be one.

Boone, you do understand that if you refuse

the medical advice that I'm giving you,

your chance of survival is close to zero?

Yes, I understand.

Yes, I want to die.

Where is this coming from?

What about Alex?

She's gonna need you now more than ever.

Okay, look, I... I realize

that a heart transplant
is a scary proposal...

It's not that.

The heart should go to someone else.

Why would you s...

Because.

I caused that explosion

that made that building collapse.

Can't believe it.

Hey. What's wrong?

Our... our first patient
of the shift, Boone,

the whole mass casualty was his fault.

He just confessed to
me that he was bankrupt,

so he intentionally set fire to his diner

to collect the insurance money.

He thought it was contained.

And now he may have injured
or killed all of those people,

not to mention his goddaughter.

Has he been read his rights?

The police are on their way,

but for now, he's our patient,

and... We just have to keep him alive.

Except he's refusing medical treatment.

He just wants to die.

Yeah, I don't think he's
gonna get off that lucky.

He's devastated about what he did.

Especially how it's gonna affect
Alex. He can't even face her.

Oh, man.

I have to tell her before
the police get here.

Good luck.

- Mm.
- Yeah.

Good times.

So, they're taking this thing off?

I was just starting to like it.

It's kind of a cool look.

Well, listen, with some time and healing

and a good amount of physical therapy,

you're gonna be ready to work.

Work?

Yeah, that's... that's very funny, Doc.

Well, actually, we did
some digging in the V.A.

They got a new program that
credits army medic service

and gets guys like you jobs
in V.A. Emergency Centers.

It's called an Intermediate Care
Technician. You train as you get paid.

In 13 months, you're
gonna be fully certified

to work in any hospital in the country.

I had no idea. I thought the V.A. sucked.

Well, nah. They do some
good things there, too.

Don't paint them all bad.

So, there's a slot waiting for you.

You start class in a couple of weeks,
and then you earn while you learn.

I'm sorry.

I don't mean to be a big baby about this.

Um...

Just, nobody's ever, uh...

Why are you guys doing this for me?

I'm nobody.

You're not a nobody.

Everybody needs a break. This one's yours.

Yeah.

So don't screw it up.

- Of course not.
- Whoa, whoa, whoa, whoa.

- Sorry.
- Be careful.

Let's let the surgery team finish this up.

It's him. My guardian angel.

That's one nice-sized angel.

Glad you got your wing fixed.

He was my only family.

I can't believe he did this.

Was it to help pay for my school?

No.

It had nothing to do with you.

He got into money trouble
for a lot of reasons,

and a good man made a bad decision.

I think... I think it's best you try

and remember all the good he did for you.

I don't know if I'll be able to.

Could you if you were me?

I don't know.

My father did some pretty stupid things,

but lately, I find myself
remembering all the fun we had.

You know, hiking in the woods
and, uh, homemade ice cream.

I think it's important
to remember those things.

I already miss him so much.

I know you do, sweetie.

I know.

You were right.

Surgery is in my blood.

I'm good at it.

You're very good at it.

And... I think I might want to pursue it.

Finally.

You have no idea how happy that makes me.

I'll call Dr. Nelson at
Hopkins and secure your spot.

I didn't say "Hopkins."

I don't understand. You said
you want to go into surgery.

And I do... but on my own terms.

And not just surgery ...pediatric surgery.

- Pediatrics?
- Yeah.

The drunks, the GSWs ...I can do that.

But I like working with kids.

And, you know, I'm good at it.

Okay, that's a very tough discipline.

And Johns Hopkins only has one slot.

- I don't know if I can swing...
- You don't... you don't have to.

I've already secured a slot.

We're going to start a pediatric
surgical fellowship here next year.

Paul will finish up his
internship and then move into

a dual pediatric and
surgical E.R. residency.

W... that's an awfully big bite.

You risk being mediocre at both.

Or being the best.

Go big or go home, right?

It's a pleasure to meet you, Dr. Cummings.

Yeah.

Look, I only want the best for you.

I know you do, Dad.

Believe me, I-I know.

Ah, you know...

A patient of mine...
Oren, uh, same age as me...

he just, uh, passed away last night.

And the last thing that he
wanted to do before he died

was take a fishing trip with his father.

He, uh, he never got to make it.

That, uh, must have been
very tough on his father.

There's nothing worse
than the loss of a child.

Right.

Well, I'm taking that fishing trip

with his father this summer.

And, um...

And I know... I know it's not your thing...

uh, it's probably not my thing, either...

um...

But I would... I would very
much like it if you came with us?

Ah, sure. Sure.

I'll see if I can make it.

Busy schedule and all, you know.

Yeah, of course.

Paul.

I'd love to come, but my surgeries
are booked so far in advance,

there's nothing I can do.

But maybe one day we can make that trip.

Absolutely.

Be good.

Don't forget to call your mother.

I won't forget.

Great work, everyone.

I just want to thank you
all for stepping up tonight.

Even Ragosa.

Solid work, Michael.

Thank you.

So, what's the latest in
teenage-daughter world?

Anything juicy?

Uh... Yeah.

I got to say, your advice
was spot-on. Look at this.

She organized a party for tonight

while I'm working and Janet's
at her mom's with the twins.

I think it's time to
bring that hammer down.

- It's time, right?
- Absolutely.

- This is gonna be fun, actually.
- Mm.

Sometimes you got to
fire a shot across the bow

showing Dad is not a pushover.

Mm. And like you're always watching.

Got to scare them sometimes.

Yeah, Lynn. It's Dad. Do not even speak.

You're grounded till you're 30.

Yes, I can.

Why? Because I know about the party.

Put your mother on.

She was not happy.

Mm.

Janet. Yeah.

Did you know that our da...

What?

What?!

I-I-I was just t-trying to...

Okay. Okay.

Yeah, okay, okay, okay.

What was that?

Well, Michael, apparently, um,

my daughter knew that I
was spying the whole time.

What? How?

She's a nerd, like I said.

She could tell when I opened her texts.

And she told Janet.

They're teaching dad a lesson in trust.

Sexyman916 is a fake account.

Now my daughter and
my wife are unhappy with me.

It was a good plan.

It was a terrible plan.

Well, in hindsight.

In any sight!

Thanks a lot, Michael. Super advice.

Can't wait to go home
to my own mass casualty.

S-so put those over there for me. Thanks.

So, any plans for after the shift?

You asking?

I think I just did.

Hey, you don't have to. Just because we...

Yes. Yes, we did.

And I don't know about you,
but I'd like to do it again.

But first, I'd like to take you to dinner.

Goin' to a movie, maybe a Spurs game.

Like a real date.

Date or dates. Doesn't have to be just one.

Kenny Fournette...

- Hm?
- You are an interesting mix

of ego and sensitivity, you know that?

Hey, you know, I do what I can.

But for now, let's go grab some pancakes.

Oh, double stacks. I'm starving.

Oooh!

Oh. Just give me one minute. I got
one piece of business to finish.

So, I was thinking that...

with the kid and all, we
should get a bigger place.

That's a great idea.

Why didn't I think of that?

'Cause I'm smarter than you.

Shh. Don't speak.

That was a hell of a night.

So, are we all still
going out for breakfast,

or are we just gonna...

Yeah, getting up.

How 'bout we just sit here
for another five minutes?

Or 10 minutes.

Yeah. I mean, we just
need a bit of rest is all.

Maybe we just
call it an even half-hour.

That's good, half an hour

Ah, retribution.

It will be swift and brutal.

I just slammed my shin, in reaction.