01x09 - The Last Shift

[bunniefuu]

[light percussive music playing]

How's Ms. Peterson doing?

Not good.

Her kidney function
is getting worse.

Mmm… You look tense.

Let me help you loosen
up those deltoids.

[chime dings]

[chiming]

[Cole] Is that the
first one you got right?

I'm literally waiting for
you to show up in this video.

Yeah, they couldn't make
a deal with my agent, so…

[light chuckle]

- I see you got your Chief badge back.
- Yeah.

What about Danny?

She decided not to
pursue the case.

["This Isn't Helping" by The National
[feat. Phoebe Bridgers] plays]

You're an idiot.

I'm not going to
apologize for helping you.

What did Cruz say?

[scoffs]

So, what happens now?

Uh, nothing really
changes as far as I know.

Still offering me attending.

Danny, what did Cruz say?

There's a chance I might get
dropped from the program.

- It's not 'cause of the fight, though.
- What is it for?

The HR claim.

Xander's parents want me gone,

and… now Cruz has cause.

- [Elijah] Why'd she change her mind?
- Um…

I don't really want to speak
for her, but… we met with HR,

and… yeah, it's over.

Sorry, I… I don't understand.

Why did you drop your complaint?

It's…

For the last year, it's like I've
had this huge weight on my chest.

And after the
residents' retreat,

I really just needed somebody
unbiased to tell me that

what was going on wasn't right.

And… I'm glad I went,

because it felt so good

to hear that I wasn't overreacting,
that I wasn't crazy, that this…

this weight… wasn't something
that I had made up in my head,

because that's how he made me feel
every time I talked to him about it.

But I didn't drop it
because it wasn't true.

I dropped it because
I realized that…

what they can offer me
isn't what I need anymore.

What I need is…

acknowledgement, from him.

What I need is…

is for him to apologize.

You still get to be her boss,

and everybody's happy?

Well… [grunts]

[Harper] And if he doesn't apologize,
you're okay working with him?

Yeah. In spite of
everything, I loved him.

I… I still do love him.

And I know that that might be hard to
understand… [inhales] …but it is true.

I never wanted him
to lose his job.

[Harper] Yeah.

Well, now he might be the
reason that you lose your job.

♪ This isn't helping ♪

♪ This isn't helping ♪

[Cole] Yeah, of
course he's happy.

Gets to work one last shift as chief
before the end of year party tomorrow,

then come Monday, he gets a
promotion. It's brilliant.

♪ This isn't helping ♪

[emotional song ends]

Hey, you're gonna
want to see this.

This just happened.

[newsman] …remnants of an ill*gal
after-hours club this morning.

Apparently, about 5:00 a.m., a
pyrotechnics misfire on stage

engulfed the building in flames
and caused a stampede for the exit.

We hear there are no fatalities,
but a lot of injuries.

- Oh sh*t.
- [Luis] Mm-hmm.

- [Elijah] Where is that?
- Fifteen minutes away.

- They're all coming here?
- Oh yeah.

Welcome back, my friend.

Let's go.

- [heartbeat thumping]
- [breathy oscillating tones]

- [sharp breath]
- [heartbeat stops]

[slow exhalation]

[in Spanish] How are
things with you, Natalie?

Ruben, how are you?

You know. You know.
Another year done.

- They go fast.
- Yes, yes, yes. [chuckles]

[in English] If Vero's morning
labs and her chest X-ray look okay,

I can get her out by
the end of the day.

[exclaims]

She's counting the minutes.
Actually, the seconds.

[in Spanish] Why? She doesn't love you
checking in on her ten times a day?

I don't think so.

[in English] Hey, so I, uh…

I heard what happened
with Danny Simms.

Shoving a family member?

- Not her best moment.
- Okay. Can I be direct?

Aren't you always?

Get rid of her.

She's a good doctor with
potential to be great.

[in Spanish] Natalie. Listen.

[in English] You know it's
finally happening, right?

They're splitting the departments,
taking the ER away from you.

And who's the board
tapping to take over my ER?

They're discussing
various names.

But there is still a card you can
play. Okay. You're almost out of time.

Libby Phillips. She
wants Danny gone.

And now you have cause.

[scoffs] That's not
why they want her gone.

[in Spanish] Wait.

[in English] Get rid of Danny
and she'll k*ll the split.

Getting fired from residency
would torpedo her career.

You know that. You
don't recover from that.

And they put somebody
else in charge of the ER.

And the people that
they're talking about,

it's going to cascade for
you in a very negative way.

And it's not gonna be
good for the ER either.

But you gotta take
care of it today.

- Good morning.
- Hey.

I like your hair today.

[chuckles] Okay.
Someone's in a good mood.

[sighs] Yes, ma'am. I am.

In exactly seven hours and 14 minutes,
my intern year, AKA hell on earth,

is over.

- How you gonna celebrate?
- Mm, I don't know.

I'll just probably have a
drink at the party tomorrow

and surgery with Soriano today.

- Are you joking?
- No.

- He asked me to scrub in on Nia's surgery.
- And what about Cole?

[chuckles wryly]

He is so pissed
at him right now.

And honestly, it is making
my day so much better.

- Soriano's pissed at Cole?
- Yeah.

Why? What happened?

[sighs] He went
to some boat party

with Dr. Hoffman and a bunch
of his plastic surgery bros.

What, he didn't like that, or…

No. No, very bad
move politically.

Also, hey, um…

I'm pretty sure he's
involved with Nia.

Involved?

With a patient?

- Does Soriano know about this?
- Oh! No, that would be…

Yeesh!

Damn.

Hey, um…

[chuckles] What's going
on with you today?

- What do you mean?
- I don't know. You just seem kind of down.

Yeah, I know. Um…

No, nothing. I just…

I lost an earring. They
were really special to me.

I had them this morning, but I
must have dropped one, I guess, so…

Dang. I'm sorry.

Yeah.

Fire and estampida at a club
downtown. Bunch of trauma coming in.

[in Spanish] Camila,
come with me.

[in English] Thank you, Chan.

- Hey, good luck finding your earring!
- Oh yeah. Thanks!

[edgy music builds]

- Morning.
- Hey.

You okay? I heard about you getting
into it with that guy in the lobby.

Yeah, fine.

[wailing sirens approaching]

Where do you want me, Chief?

Uh, you and I will
take the first one.

Elijah, you and Harper take the
next. Camila, stick with me.

[music intensifies]

- How'd things go with Cruz?
- She wasn't thrilled.

Sounded like that guy was being
a d*ck. I'm sure she understands.

[EMT] Coming through!

- [Phillips] What we got?
- 22-year-old trying to leave the club.

Broke a glass window, leapt
from the second story.

Has difficulty breathing with large glass
lacerations along his arms and his legs.

- Vitals are stable with a GCS of 14.
- All right. Trauma one's open.

[Danny] Okay, on
three. One, two, three.

- What's your name, sir?
- Garrett Donnelly.

All right, man. We're gonna
take good care of you, okay?

Whoa. Deep laceration
to the upper right arm.

- Can I get a stapler?
- [Luis] Yes.

- [Garrett] That was nuts, man.
- [Phillips] Was it?

All right. This is just gonna
feel like a few pinches, okay?

[Garrett] Okay.

[stapler clicking]

- How are you feeling, Mr. Donnelly?
- Oh, I feel fine.

Yeah? Are you on
anything right now?

- [chuckling] You mean like drugs?
- Yeah, like drugs.

Yeah, I'm on G and some Tusi.

[Phillips] Hmm?

Tusi is a mix of
a lot of things.

MDMA, ketamine,
psychedelics, cocaine…

[music recedes]

I've… heard.

- Fun.
- [music resumes]

It's your last day of your
year of rotation, isn't it?

- Mm-hmm.
- Alright. Gown up.

Let's see what you learned
about running a trauma.

Oh, okay, yeah.

Thanks.

What would you do first?

Well, I would start with
the primary survey, ABCs.

He's talking, so
airway's intact.

- And breathing...
- Lungs clear bilaterally.

Circulation, two plus
DPs, good strong pulses.

- What next?
- Next, I would do a FAST.

Go.

- Kidney and liver good.
- Yeah, make sure you check the...

- [Camila] Spleen's good.
- Nicely done.

And heart.

Wow, impressive.

Danny's a great teacher.

[nurses chatting indistinctly]

And then bladder.

- Yep, bladder's clear. Negative FAST.
- [Phillips] Okay, good.

Mr. Donnelly, my name is
Dr. Phillips. This is Dr. Simms.

- Can you tell us what happened?
- Yeah, bro.

People were stampeding
everywhere, so I went upstairs,

and then there was so much
smoke and nowhere to go.

I jumped out the window.

Feels like a closed femur fracture on
the right, and also maybe the left.

We should get him to CT.

I was falling, and, you
know, it was so far,

and then I was like, "Oh,
sh*t, that's gonna hurt."

- And it did.
- Yeah, I bet it did.

Camila, anything else we need
to do before sending him to CT?

Um…

Any suggestions for
our student here?

No, she's doing great.

Exposure. Make sure you check
everything on the patient.

Yeah, I did. We did.

[Phillips] You sure?

Oh! I forgot to roll him.

[Phillips] Mr. Donnelly,
we need to cross your arms.

[Luis] One, two, three.

[Phillips] There we go.

Oh, sh*t.

And that is why we
always roll the patient.

It's superficial. It's
in there sideways.

You can pull it out.

- [monitor beeping]
- [edgy music continues]

[squelching]

Nicely done.

All right, ready?
Three, two, one, down.

You doing okay, Mr. Donnelly?

- Yeah, bro.
- [chuckles] All right.

You guys got it from here, right? I'm
gonna go see about the other traumas.

[male staff] Can someone call
CT and tell them we're coming.

[EMT] Multiple crush injuries, first and
second-degree burns. Vitals are stable.

[Harper] Hey, can you
tell us your name?

Penny Navarro, are
my friends here?

- Do you guys need help?
- Uh, sure. Let's see what's going on.

Hey, Penny. How are you feeling?

What hurts?

My skin. It burns. My
legs. It's hard to breathe.

Lungs clear bilaterally.

I lost my friends, Charlie
Ramirez and Fiona Arnez.

- Are they here?
- You're one of the first patients.

Abdomen's soft.

[Penny] We were having one last night
out before summer and college, and…

then the fire started,
and the crowd went crazy.

I got knocked down,
and I… I lost them.

That sounds really scary.

Yeah, it was.

They're my best friends.
You have to find them.

Um… here are their IDs.

[Danny exclaims]

Uruguayan driver's licenses?

They're fake, but the
names and photos are real.

Clever. Looks better than the
European student union cards we had.

Those were great.

Do these work?

Most of the time, except when
the bouncers are Uruguayan.

[chuckling lightly]

- How old are you guys, really?
- Uh, we're all 18.

- FAST is negative.
- Okay. I'm gonna let you keep yours.

And I'm gonna go try and
find your friends. Okay?

- Thank you.
- You're okay.

[music ends]

[indistinct PA announcement]

[door opens]

Dr. Soriano.

- What can I do for you, Dr. Cole?
- Um…

I just wanted to let you know before
you scrub in on Nia Washington

that I had GI radiology
go back over her CT scans

to check the intra-abdominal
abscess wasn't a problem

given its proximity to the IVC.

[Soriano] Mm-hmm…

With the surrounding
inflammation,

they said they can't say for sure that
it's not eroded into the outer wall.

[Soriano] Mm-hmm…

Is that all?

Well, actually, I just
wanted to say, sir,

it's an honor to work with
you and learn from you,

and I don't want to do
anything to jeopardize that.

I'm sorry that I
wasn't here yesterday.

But Nia's my patient, and I'd appreciate
the opportunity to scrub in today.

I mean, everyone's
entitled to a day off.

Yeah, uh, you can scrub in.

Let's see if your
homework paid off.

Thank you, sir, I
appreciate that.

[overlapping
indistinct chattering]

Yo, Elijah, can we talk?

Sure.

Are we, uh… are we okay?

You and me?

Sure.

Come on, man. I'm not buying it.

- It doesn't matter, man.
- Yes, it does. It matters to me.

You matter to me.

All right, look.

I don't like how
Danny handled this.

I don't like that she didn't
talk to me. Or… trust me.

But you're our chief, and you
knew a relationship with her

would complicate everything.

We fell in love, man.

[low pensive music plays]

I didn't know what was gonna happen
or how it was all gonna play out.

It wasn't some…
some calculation.

But there was fallout.

And it affected everyone.

It'd just be nice to see you
take some accountability.

[music fades out]

Hey.

Where have you been?

I'm sorry that I wasn't here.

- How are you doing?
- [softly] Okay.

Not too excited about this.

Clearly.

Complications happen
all the time, okay?

You should try not to worry.

Is it bad?

It's bad, isn't it? You
don't have to sugarcoat it.

You're going to be fine.

You're going to pull
through this, okay?

[gentle music plays]

See you on the other side, okay?

[softly] Okay.

Okay.

[music fades out]

You're scrubbing in?

Yeah, Dr. Soriano invited me
to. You got a problem with that?

[Chan] Uh…

No.

Maybe.

[Cole] And why
exactly might that be?

Uh, well, because of your
relationship with the patient.

My relationship?

I'm not gonna tell Soriano, but if you're
emotionally involved with the patient...

I'm not emotionally
involved with my patient.

I'm not sure what you're
implying here, but,

if this fiction in your head
is making you uncomfortable,

then maybe you shouldn't
be scrubbing in.

[low tense music playing]

Dr. Cole, Dr. Chan, what's going
on? Who's not scrubbing in?

[Cole] Uh…

We were just discussing
the nightclub fire.

There are a lot of
traumas coming in.

Dr. Chan thought she might be
more useful down in the ER.

Is that right?

Well, that's… that's very generous of you,
to give up a surgery for the greater good.

Good for you.

[scoffs lightly]
Uh, thank you, sir.

[Soriano] No. No,
thank you, Dr. Chan.

[music fades out]

Hey, uh, come look at this.

Yep.

So he's got small pneumothorax
from some busted ribs.

It's only about 15%
of his lung volume.

He's an otherwise healthy guy,

so I don't think he needs a chest tube,
but I just wanted to get your opinion.

Do I think you should do a
painful invasive procedure

on a pneumo that'll
likely heal on its own?

No.

- Is that all?
- Yeah.

Yeah, thanks.

Hey, if… you know, you're not comfortable
working with me, you should just say it.

I'm fine.

Okay, look, I… I would
understand if you weren't,

but I'll be one of
your attendings,

so no matter what happens with
chief, I'll be supervising you.

I get that.

- I don't have a problem with that.
- Okay.

Do you?

No, not at all.

I'd understand if
you wanted me gone.

- What are you talking about?
- Just…

Be honest.

No, I don't want you gone.
Where's this coming from?

- Danny, why would you think that?
- I don't.

Just checking.

Uh, Dr. Simms?

Those IDs you gave me, one of
those girls just showed up.

Okay. Thanks, Luis.

Okay.

[edgy music builds]

- [EMT] On your right. Coming through.
- Trauma one's open. Dr. Simms.

[EMT] Patient is Fiona Arnez.
Was trampled at the club fire.

She had no LOC.

Patient has facial trauma,
she has some contusions,

she also has sporadic burning as
well as a dislocated shoulder.

Let's get her moved, folks,
get her clear. On my count.

One, two, three.

[all grunt]

Our patient's been speaking
with slurred words,

is also asking
questions repeatedly.

From suspected substance use.

All right, let's go.

Hey, Fiona. My name is Dr. Sam
Elijah. How are you doing?

[slurring] Just great. Peachy.

What'd you take tonight?

[sighs]

It's okay, you're not
gonna get in trouble.

We all took some MDMA.
Me and my girlfriends.

Do you have any other medical
problems? Are you on any medications?

Just myocycline for acne.

[Elijah] Let's send out trauma
labs, get her a liter of NS.

Fiona, I'm Dr. Simms, and I wanted
to let you know that Penny is here.

Oh, my God, thank
you. Is she okay?

She is. She has a few injuries,
but she's going to be just fine.

What about my other friend,
Charlie? Charlie Ramirez?

We're looking for her.
We haven't seen her yet.

Did people die? Is Charlie dead?

We're looking for her, and we're
gonna focus on you right now.

I promise when we find her,
we'll let you know, okay?

- [crying] I can't lose her.
- I know.

We're going to find her.
It's going to be okay.

[solemn music plays]

- [music fades]
- How are you doing, sir?

Uh, fine. Just, you know,
a few burns from the fire.

Mm. And how's your pain?

Eh, not too bad.

I'm gonna grab some
disinfectant and clean those up.

Hey, you should really
use soap and water.

Disinfectants cause
delayed wound healing.

Hey, what happened
to Nia's surgery?

Cole thought I would be
more useful down here.

Wasn't it Soriano who
asked you to scrub in?

Yeah, and Cole asked
me to scrub out.

Are you kidding?

No. Get this.

I saw him holding hands with Nia, and
I said something, and he was like,

"Maybe you shouldn't scrub
in," because I'm an idiot.

[sighs] I shouldn't
have said anything.

No. No, you definitely
should have said something.

Whatever. It's fine.

Let's just do some world-class
triaging, shall we?

Hi, I'm Dr. Chan.

[light music playing]

When she's out of CT, we should
put her in the same room as Penny.

Keep them together while
we look for Charlie.

That's a good idea. It's not like
we've got the extra bed space anyways.

Yeah, how far over
capacity are we?

[Elijah] Uh, I
don't know exactly.

A lot?

Crazy day for our last shift.

I heard Dr. Cruz is gonna announce
Chief Resident tomorrow at the party.

Yeah.

Look, I just wanted to say, if
it'll help, I'll talk to Dr. Cruz.

I mean, I was there
for the fight.

You shouldn't lose Chief
over a one-time thing

with some crazy
out-of-control parent.

I just think it might
be bigger than that.

What do you mean?

[solemn music plays]

I just don't think you
can fix this one for me.

[elevator dings]

But I love you for trying, Sam.

- [music fades out]
- [monitor beeping]

[Soriano] Wow, look at that. Right
there. Sitting right on top of the IVC.

Oh, sh*t.

Ah, why don't you give me the 15 blade?
Cole, we've got to be careful here.

[woman] Here you go.

All right, Tom. Make an incision
right there, and we'll drain the pus.

- [suction hissing]
- [classical music playing]

[Soriano] That's good.

Wow, that's a lot of pus.

Oh sh*t, it eroded right through the
IVC. Suction, we've got to get control.

Clamps? Here, put your
finger in right there.

[Cole] Looks like there's a small
hole that the abscess adhered to.

- [Soriano] Need to control venous inflow.
- [Cole] Vascular clamps.

[Soriano] No, the IVC's extremely friable.
That's going to tear it open even more.

Give me a sponge stick.
Thank you. Keep it there.

Now move your
finger. One, two, go.

- Suction.
- [Cole] Mm-hmm.

[equipment beeping and chiming]

Come on.

[music peaks and fades]

- [Cole] Okay.
- [Soriano] All right, we have control.

[Cole] Yeah.

- [Soriano] It's a small linear tear.
- [Cole] Okay.

[Soriano] Don't make it bigger. I
don't want to have to do a graft.

A running suture
should do the trick,

[fading out] Why don't you grab some 6.0
Prolene, Cole, and get started. Okay?

- [breath echoing]
- [heartbeat thumping]

[Soriano] Hey. Is
everything all right?

- [Cole] Uh…
- [high-pitched tones playing]

Yeah, this portion…
uh, it's just tricky.

[Soriano] It's okay. No, I'll
talk you through it. You okay?

[Cole] Um… I'd love
to see how you do it.

You sure?

Yeah.

All right. Yeah, just take over
holding pressure here for me.

Okay?

I'll show you how it's done.

[high-pitched tones continue]

[music fades out]

Look who I found.

Fiona? Oh, my God, Fiona.

- I wish I could hug you. Are you okay?
- Yeah, are you okay?

What happened? Where did you go?

I got knocked down, and then all
these people were trampling over me.

- What happened to Charlie?
- I don't know.

I saw her, then she went
down. I couldn't see her.

What? You were supposed to watch her.
You know how she likes to disappear.

You're not blaming me.
You're the one who left.

- You said you'd stay with her.
- I always stay with her.

It's not my job and it's
my fault if she dies.

Hey!

Hey.

Hey. It's okay.

It's okay.

Ugh, I know. It's hard
being the purse girl.

You know, the one that
carries everyone's IDs?

That was me in college.

Yeah.

It makes sense, right?
Plenty of storage.

[groans softly] My
eye. It really hurts.

All right. Let's
see what's going on.

[unsettling music plays]

[Danny] Um…

- How's your vision out of that eye?
- I can't see anything.

- Nothing?
- [Fiona] No.

- Fiona, what's going on?
- [Danny] Turn away from me for one second.

Okay.

[Fiona] What?

What?

[music fades]

["Autotuneame" by
Pantera Blue playing]

Why can't we go now?

I'm waiting for the results
of your chest X-ray.

Oh my God.

I know. We're monsters.

What's the first thing you're
gonna do when you get home?

Go out?

Very funny.

[both laughing]

I told Ria she can come
over and see me later.

She can.

Is there anything else, Mom?

No.

No.

I have paperwork to do.

[in Spanish] I love you, Mommy.

And I love you, my love.

[in English] What's
happening? Why can't I see?

It's called orbital
compartment syndrome.

The pressure in your eye is
preventing the flow of blood

to your optic nerve and retina, and
we have to relieve the pressure.

How are you gonna do that?

She's gonna do something
called a lateral canthotomy.

It'll relieve the pressure behind
the eye and save your vision.

- Penny.
- I'm here. I'm right here.

[Fiona] Thank you.

Okay.

Let's get you fixed up.

That was dope. I've never
seen one of those done before.

Thank you, Harper.

So, uh, did you
talk to Phillips?

Yeah.

I did. His, uh…

He has no idea his parents
are trying to fire me.

Did you tell him?

No.

I didn't.

Why not?

If his parents want me gone, he's
not gonna be able to stop them.

- Maybe that's what he wants you to think.
- Harper.

I know him. I know his parents.

They’re doing all this
sh*t on some higher level,

and he would be devastated
if he found out.

So, you're just giving up? You
don't care if you lose your job?

Of course I care.

- Then what are you gonna do?
- I don't know.

I don't… I don't know
what I'm gonna do.

I don't know if I can fix this.

[light music plays]

[Harper sighs]

[music fades out]

[dispenser whirring]

- More serious than we thought.
- Yeah.

Why don’t you come with me?
We'll go talk to the family.

[unsettled music playing]

- [Soriano] Mr. and Mrs. Washington?
- [woman] Yeah.

[music fades]

How is she, Doctor?

Well, she's out of surgery.

Yeah, she's in critical condition,
but she's stable at the moment.

She had a deep infection
in her abdomen.

She had some issues with bleeding
that we were able to control.

Is she going to be okay?

[Soriano] We're hopeful
that she will be.

We're doing everything
we can for her.

How soon will you know
if she's gonna be okay?

We're keeping her
closely monitored.

We really should know a lot more
in the next day or two. Okay?

In the meantime... I'm sorry.

This is Dr. Cole. He's
my surgical resident.

And Dr. Cole is gonna be running
point on Nia's post-surgical care.

- Tom Cole?
- [Soriano] Yes.

Oh, you've already met.

Nia's told us a lot about you.

Yeah, well, um… I'm her doctor.

I like to think that
we've become friends.

You're a lot more than friends.

Can we call you, Doctor?

Yes, absolutely. Of
course. I'm here for you.

And like I said, we should know
a lot more very soon, okay?

- Thank you so much.
- You're very welcome. Okay.

[tense music builds]

- Dr. Soriano. I...
- Shh… Shut up.

You're gonna tell me exactly
what the hell that was.

Honestly, I don't know.

Was she implying you're
romantically involved

with a patient you
just operated on?

No. Well, um, what she said
was not completely accurate.

You're parsing this. Which means
it's at least partially true.

Look, I'm very committed
to Nia as a patient.

And because of that care, maybe she
got the wrong impression about...

- Did you sleep with her?
- God, no!

I've never even seen her
outside of this hospital.

- How do you explain what just happened?
- Maybe she got the wrong impression.

No. People don't just get the
wrong impression about that.

I'm not an idiot.
You do know that?

- Of course I do.
- You never, ever…

[footsteps receding]

Never, ever get involved
with a patient, okay?

It compromises your objectivity,
and it puts their life in danger.

I know. I know.

That… That's why you had me do the
primary closure on her IVC, isn't it?

No.

No, I swear. I wasn't
compromised in any way.

Tom. There's only one way
this gets worse for you,

and that's if I find
out that you lied to me.

[tense notes swelling]

No.

[sighs quietly]

- [heartbeat thumping]
- [unsettling music builds]

[music rises to crescendo]

- [edgy music playing]
- [overlapping chatter]

Hey.

[Luis] Hey.

Any new surgical patients?

One of the traumas has
a small pneumothorax.

I didn't hear about that.

- It's Phillips' case.
- Which room?

Uh… two.

[edgy music intensifies]

Yo, what's up?

- Hello, sir. How are we doing?
- Just gave him 8 of morphine. He's out.

- Why doesn't he have a chest tube?
- Because I don't think he needs one.

You're a surgeon now, huh?

It's less than 20%
of his lung volume.

No need to do an invasive procedure.
It'll likely resolve on its own.

Likely? Completely disagree.

It's a traumatic pneumothorax. Set
the chest tube when it's controlled,

so we're not scrambling
if something goes wrong.

- They're not gonna go wrong.
- That's a stupid assumption.

Excuse me?

- Can you set me up for a chest tube?
- Do not set him up.

Set me up. Now.

Don't talk to her like that. What
the hell is going on with you?

- I'm trying to save your patient from you.
- I'm asking you to slow down for a minute.

So now you're back, you want
to throw your weight around?

This is a surgical procedure.

- I make the call.
- Wanna force the issue?

I'm the Chief. You don't have authority
in this ER unless I give it to you.

Come on, you're barely Chief.

Hey, critical trauma just unloaded.
Coming into trauma one. Come on.

[edgy music continues]

No, you're not going in there. I'm
calling for a different surgical resident.

You're so out of line, I
don't know what to say.

You can't say anything.
I don't work for you.

No. But we both work for Dr. Cruz. You
want me to call her? I'd be happy to.

Nah, there's no need.

We know whose side she's on.

How it works for you
versus the rest of us.

Probably the only reason
Danny took it back, right?

[edgy music continues]

[EMT] Patient's female, 18,
found buried under rubble.

Altered. She's hypertensive
and tachycardic.

What's her name?

- Charlie Ramirez.
- It's the third girl.

All right, guys, on my
count. Three, two, one.

[grunting]

Charlie? I'm Dr. Simms. Can
you tell me your last name?

Can you hear me?

[frenetic music playing]

- Pupils are dilated.
- Any obvious head trauma?

[Danny] Uh, I'm not seeing any.

Why so hypertensive and tachy?

- Does she feel warm to you?
- Yeah, and really diaphoretic.

- Hey, Luis, can we place a Foley catheter?
- On it.

[tense music playing]

Hm. FAST is negative.

This girl and her friends,
were they on drugs?

[Danny] Her friends
said they all took MDMA.

- Anyone have a reflex hammer?
- A reflex hammer?

Yeah. It's right there
next to the piano tuner.

Ha-ha-ha. Very funny.
That would actually work.

Wait, I got it.

Oh, she's hyperreflexic.

[Phillips] Mm-hmm.

And she has clonus.

Foley catheter's in.

[dull tone beeping]

[Gabe] 40.6 Celsius.

Whoa. That's over 105
degrees Fahrenheit.

Altered mental
status, tachycardia,

hypertension, hyperreflexia,
and hyperthermia.

I think… I think she's
got serotonin syndrome.

- Whoa. That's pretty rare.
- Yeah. It makes sense, though.

Still need a CT to rule out other
traumas, but she meets all the criteria.

Let's get some ice packs under
her arms, a cooling blanket,

and cold IV saline now.
You wanna intubate?

- Yeah.
- [Danny] We gotta sedate her.

- Let's get her 20 of etomidate, 60 of roc.
- [Gabe] On it.

- [Gabe] Administering sedation.
- Count of three. One, two, three, up.

[grunting]

All right, give me a Mac blade.

I see the cords. Give me
a 7.0 ET tube, please.

[female staff] Got it.

[monitor chiming]

[Gabe] Vitals are
not good, guys.

Okay, I'm in. Let's bag her.

[female staff] Okay.

[air hissing]

[Gabe] Vitals are stabilizing.

Look at that. Good chest rise.

- Clear breath sounds bilaterally.
- Good catch.

Thanks, man.

When she's out of CT, we should put
her in the same room as her friends.

Yeah, good idea.

Let's get her on a portable
monitor and ready to go.

- Good job, everyone.
- [Luis] Thank you, man.

[indistinct chattering]

[music fades out]

Okay, that is the last of them.

Every last patient in
the hallway is triaged.

All right. Good for you.

Yeah, Camila's
actually learned a lot.

- Fast.
- Yeah.

It's too bad she's leaving.

What?

Oh, uh… sh*t. I'm sorry.

I… I thought you knew.

You guys are so close.

Hey. I got these for us.

It's like a reward.

You're petitioning to work at
another hospital next year?

Gabe told me. Apparently, everyone
around here knows except for me.

Look. I'm sorry.

I love working with you,
but this place is toxic.

- Like, the way Cole treats you...
- No, you can't leave.

This place has the best
surgical program in Florida.

- You have your surgical rotation next.
- I don't wanna do it with Cole.

It's not gonna be any different
at any other hospital.

This is how teaching
hospitals work.

Put your head down, learn what you can,
and you just deal with whatever comes up.

No.

No, I'm sorry. You put your
head down way too much.

Yeah, I'm an intern.
That's the job.

No, I don't think that's actually why
you put up with the way he treats you.

I… I think you like it.

[solemn music plays]

[scoffs] Okay, you
know, maybe, uh…

[inhales] Maybe I see that he's hard on me
because that's the way I'm going to grow.

Maybe I appreciate toughness
because it's gonna make me tough.

Like, maybe you just
need a thicker skin.

Okay, Sophie.

[music fades out]

[in Spanish] Natalie,
I've been looking for you.

They say Vero is
getting out today.

How can I help you, Patrick?

[in English] I was hoping we can catch
up. I don't know, maybe grab lunch.

[in Spanish] No. Thank you.

[in English] Come on.

Look, I know Isabel
got you in the divorce.

She got everyone in the divorce
because you cheated on her.

Okay, well, that's
oversimplifying it.

A lot of time has passed.

We were friends.

I don't know, maybe you can
give me a second chance here?

Patrick, you are an
ER attending in my ER.

That is the extent of our
relationship right now.

So I'm not interested in
continuing this conversation

unless it's work-related.

Well, it is.

Bed two… [indistinct]

Patrick Sanchez?

[in Spanish] No sh*t…

[in English] Thank you.

Wow. No…

God, he was the dark
horse candidate.

- Why in God's name would they choose him?
- He must have really worked it.

Which, knowing Patrick,
is not exactly a shocker.

- He's a good ER attending.
- Really?

[in Spanish] But a
tremendous a*s-kisser!

[in English] I mean, as an
administrator? The head of a department?

Well, then stop complaining
and do something about it.

Just fire Danny Simms before
they make it official.

[pensive music playing]

[music fades out]

Right here.

It doesn't hurt too
bad. It's just a burn.

[Phillips] All right,
ladies. Here's Charlie.

- [Sofia] Look. Hi.
- [Penny] Charlie!

- She okay?
- [Elijah] But she's doing great.

[Penny] Yeah, we
were so worried.

["Syncing" by Miss Grit plays]

Those girls are gonna
be forever bonded.

[indistinct chattering]

Yeah.

If they don't k*ll
each other first.

[chuckles quietly]
Sounds familiar.

- Harper.
- No, I'm sorry.

[tearfully] It's just…

Your shift is almost over. And…

I'd really hate to be part of the
reason why you never come back again.

[inhales sharply]

I know you didn't like me
defending you from that dad.

[sniffs] But I need you to
know that no matter where I am,

no matter what I'm doing…

I'm always gonna
worry about you.

And fight for you.

And take care of you.

I'm always gonna
be your purse girl.

♪ When we sync up ♪

♪ When we sync up ♪

Because you've loved me more
than anybody else ever has.

And I love you back.

I don't want you to leave.

♪ When we… ♪

[singer vocalizing softly]

Yeah, I don't
wanna leave either.

[indistinct chattering]

Xander?

Yeah?

What's wrong?

[song ends]

I think I'm getting fired.

What?

- Because of the argument in the lobby?
- No.

No.

Because of your parents.

- Because of the HR claim.
- [sighs]

I know you didn't know, and I
know you probably can't stop them.

["Dreamers" by
Welshly Arms playing]

But my sister is here.

My friends are here.
My entire life is here.

And if I lose this job, I
don't have anything left.

I've put everything into this,
everything I've ever had,

more money than I'll ever be able to
pay, especially if I lose this residency.

[inhales deeply]

And I know

you don't owe me anything.

I do. I really know that.

And I hate… that
I am begging you,

but I am begging you, please
just talk to your mom.

I know. It's an impossible
thing to ask you to do.

But please, try to call her off.

I've dropped the
claim. I took it back.

I'm nothing.

I don't matter.

[inhales sharply]

Can you just tell her that?

[Luis] Hey, guys. Um…

Look, I know your shift is over, but
there's a huge accident downtown,

the new team's not in yet, and I have a
car crash coming in by helicopter in 5.

Yeah, got it.

Thanks.

I'm coming with you.

♪ The cold of the water ♪

Okay.

♪ Can't hold on any longer ♪

♪ To these memories ♪

♪ They curse and they haunt me ♪

♪ But I won't let
'em pull me down ♪

♪ My heartbeat is steady ♪

♪ It's telling me,
it's telling me… ♪

I told her not to get involved.

Obviously, she didn't listen
to me. She didn't care.

I know.

I know you can't stop it.

No, I can't.

But you can.

Because I'm gonna give you
the ammunition to do it.

♪ Even if the world's on fire ♪

♪ Even if my soul's on trial ♪

♪ It won't stop mе,
I still believe ♪

♪ In keeping thеse
dreams alive ♪

♪ Even when it's hard to see… ♪

Something bad did happen at Kennedy.
I should've been held accountable.

But instead, my parents
covered the whole thing up.

I signed an NDA.
I got transferred.

I want you to go to my parents.

I want you to tell them you
know the whole story, okay?

Tell them you'll go to the press,
or put it all up on social media.

Tell them you could destroy
me if you wanted to.

What happened?

I k*lled someone.

♪ Even when it brings
me to my knees ♪

♪ It won't stop me,
I still believe ♪

♪ A dreamer never dies ♪

♪ A dreamer never dies ♪

[moody indie song ends]

[edgy music playing]

[music fades out]