Cancer is a heavy lift, but there's strength in community.
Once I let them in, it was a real comfort.
Truth is, she trusts Phillip.
That night in my car, she was coming to show me her ring.
I don't know what she was gonna say to you, but I do know she wasn't gonna show you any ring.
He slipped the ring on your finger when you were unconscious.
He's lying to you.
It doesn't matter because it's over.
I'm sorry, I just I should've done something, - said something - No!
Get out of my life.
I know we said someday, but you'd make the best mom ever.
Mm, smells so good.
Frittata with chicken sausage, Swiss Chard, and GruyÃ¨re.
Too bad I have to go Early shift.
I know, I remembered.
I'm prepping yours to go.
You are too good to me.
Protein, iron, vitamin B from the dark leafy greens.
A Mediterranean diet breakfast.
Been shown to - Help ovarian health?
Is this what I think it is?
Uh, fertility chart.
Tracking your ovulation schedule, like we talked about.
And good news we are in your fertile window.
Oh, my God, Ethan I just I thought we'd take a little more of a laissez faire approach.
If our goal is having a baby, then we should definitely be having s*x.
Especially when you're ovulating.
- Thank you for breakfast.
I also put some folic acid in there, you know, to prevent Birth defects?
I know you know.
Are you ever gonna tell me where we're going to dinner tonight?
- I'm not telling.
- Come on, spill the beans please.
I'm not telling you.
Oh, come on.
I like this.
I got us a reservation at Alinea.
It takes three months to get a table there.
How'd you swing that?
I might've told them that I'm dying.
Are you serious?
No, come on, I didn't do that.
Come on, you know your wife's a rock star.
That I knew already.
Matter of fact, I have all your albums.
Hey, you going to Crockett's crawfish boil tonight?
Maybe, I don't know.
Well, you should.
You know with Crockett, the food and booze will be great.
Tom Lyons, 25, collapsed in the stairwell of his building.
GCS 15, BP's low at 88/55 even after a liter of NS.
Heart rate's 97 and sats 100%.
Hi, Tom, I'm Dr.
What's going on?
- I fell.
- Oh, yeah?
Isn't this all a bit much?
We're just gonna check you out, make sure you're okay.
One, two, three.
Lungs are clear.
CBC, CMP, trops, and an EKG.
Also, a chest x-ray and stick him for glucose.
- On it.
- Really, I'm good.
Not sure why his pressure is so soft.
Let's fast his belly.
- It's okay.
Get it out.
Tom, you with me?
Get it out.
Give him two units of blood now and get GI down here to scope him.
What's up with his fangs?
Can't be natural, can they?
I don't think so.
Let me know as soon as his labs and EKG come back.
Takes a while to mend a broken heart.
Yes, I'm familiar.
Okay, Maggie, 100 pounds of crawfish delivered to my place.
I'm fixin' to boil.
Tell me you're still good for the jambalaya.
Crockett, I've set aside this afternoon to cook, cleared my schedule.
You're gonna get your jambalaya.
Okay, how are we on the guest list?
Everybody, huddle up.
- Get over here.
As you know, Dr.
Marcel and I are hosting a crawfish boil tonight and you're all coming, no excuses.
Uh, some of us have shelf exams coming up.
Attendance is mandatory, Elsa.
- Mandatory party?
I'm sorry, you guys, I'm not gonna be able to make it.
The move back into my house has been really hard on Owen and I'm still unpacking.
- Okay, you get a pass.
But everybody else, you're coming.
If I can swing it after a day of chemo, you can, too.
Natalie, I have an MVC coming in.
You're going to Trauma 1.
Elsa, with me.
Danson, what do we got?
Kayla Patten, seven-year-old unrestrained passenger, head injury with scalp lacs, GCS 13.
Mom's in the ambo behind.
All right, let's transfer on my count.
One, two, three.
Breath sounds bilaterally.
All right, let's get a chest and pelvis x-ray.
Uh, sats 92%.
Pupils are equal, round, and reactive to light.
All right, let's take down that dressing and see where all that blood's coming from.
I'm not seeing any other major external traumas.
Uh, not sure if there's active bleeding or not.
Well, grab some saline and flush it out.
What size syringe should I use?
Forget that, give it to me.
Okay, I can visualize the full wound.
It's a deep lac.
Galea muscle's intact.
Still a little bit of bleeding from the skin edge.
All right, well, put some pressure back on it, let's get her x-ray and then send her up to C for a panscan.
We'll stitch her up later.
Isn't it a bad sign that she's so groggy?
Hopefully it's just a concussion.
Mom is here.
Hi, June, I'm Dr.
This is Ms.
She's a fourth year medical student.
- Where's Kayla?
- She's stable.
She's up getting some x-rays to make sure there's no internal injuries.
I swear her seatbelt was on when I started the car.
- Uh, can I look at her arm?
- Yeah, go ahead.
There's a deformity at the elbow, but neuro vascular intact.
Let's get some x-rays.
I would've pulled over if I'd known she'd taken it off.
I need to see Kayla.
No June, please.
We need to get these x-rays, okay?
You can see Kayla as soon as she's back from radiology.
Looks like a simple posterior elbow dislocation.
We need to reduce it to preserve blood supply.
50 mics of fentanyl, one of versed.
- All right, Elsa?
Supinate while applying traction.
All right, you almost got it.
A little further.
Okay, okay, I felt it go in.
All right, let's do a repeat x-ray to confirm and get her an immobilizer.
You'll be able to see Kayla as soon as she's back.
It still hurts.
Some soreness is to be expected, but if you need anything, you let them know and they'll page me directly.
- Hey, CeCe.
There you go.
How you doing, girl?
Ready to get off my feet for a few hours.
Well, come on.
Pull up a chair and stay a while.
- Piper's got you.
I'll never get used to this.
Kind of feels like you volunteered to get your ass kicked, doesn't it?
- Sounds about right.
- It gets better.
They juice yours up with steroids yet?
Today's my first day.
You're gonna love it.
It's like getting a jolt of rocket fuel right when you need it.
I could use that.
You look pretty good to me.
Nice to meet you, Maggie.
And I'll be right here in case you need any more silver linings.
Glad I know where to find you, Ben.
Hi, I'm Dr.
I recognize that jacket.
- That's right.
- He's in the Navy.
- It's kind of his thing.
- I get it.
Wear it loud and proud.
So what's going on, Gina?
Um, I have this infection in my arm where my prosthesis is connected.
Getting treatment at Walter Reed, but, uh, this is killing me.
I've never seen a prosthetic device like this.
Most move at just one joint, but this looks so much more complex.
One of a kind, I think.
Tons of R&D went into this thing.
Looks like something from the future.
Yeah, check this out.
How are you able to do that?
Three years of interfacing the arm with my nerves.
So it's wired to your nervous system?
You're controlling that with your brain?
Let's take a look at this infection, all right?
I'm feeling much better.
- I think I'm ready to go home.
Is this necessary?
We haven't met.
- And, uh, you are - She's my girlfriend.
So, Tom [INDISTINCT WHISPERING]
Unfortunately, your test results show you're in acute liver failure, which is causing bleeding in your stomach.
- Can we go now?
Tom needs to be treated.
If not, he could wind up in end-stage liver failure.
- Be quiet.
What exactly does that entail?
Well, for starters, I need to run some more tests to find out what's causing the liver failure.
No, unhook him from all of this.
Oh, wait a minute.
Tom, what do you want?
I wanna leave.
Well, I strongly advise you not to.
Let's go, Tom.
Hold on, before you can leave, you have to sign an AMA form.
Then get it.
It took me three months just to tap my finger.
It's a frustrating process.
For a while there, it felt like I'd signed up for a billion-dollar backscratcher.
You seem pretty well-acclimated now.
Sucks getting trapped under an exploded Humvee, but it's pretty cool I get to be the bionic woman.
Let's start you on IV clindamycin, 600 milligrams.
My doc had me on Augmentin.
Let's try something a little different.
Let's get a CT scan too, see if the infection has spread into any deep spaces.
- What if it has?
Could require surgery to clean it out.
Who's your doctor at Walter Reed?
I need to loop them in.
Uh but the thing is, I flew in this weekend for my sister's wedding.
I wasn't really supposed to travel.
The Army doesn't like their toys taken out of the box.
So they don't even know you're here.
I know how it sounds, but it's my little sister's wedding and I'm her maid of honor.
I'll be back in Bethesda first thing Monday.
I'd really appreciate if we could keep the military out of this if possible.
We'll respect your privacy.
It's like I tell all my students at the start of each year.
It won't always be easy, but it will be worth it in the end.
And does that work on them?
- Not really.
Ten-year-olds have a hard time seeing past recess.
But I say it anyway, just to remind myself as the school year rolls on.
Excuse me, I'm sorry.
Can I get either of you anything?
I'm good, CeCe.
Okay, we have some really good cookies.
We have chocolate chip, we have macadamia I think I'll take one of those.
Okay, right over there.
Yeah, maybe I'll stretch my legs.
- All right.
I cannot believe you're not breaking a sweat.
I'm having a hot flash just watching y'all two.
Did you ask him out yet?
I'm not gonna hit on some guy getting chemotherapy next to me.
Technically you've been hitting on him the entire time.
CeCe, this is not the place to meet somebody.
Okay, so if you met him in a Starbucks, would you ask him out then?
Oh, CeCe, please.
Look, I'm not telling you your business, but that man is fine as hell.
Ask him out.
What are you waiting for?
I couldn't decide on which one to get, so I thought maybe if you'd be willing to share, we could both live like kings.
- What do you say?
You know, I should probably eat an actual lunch after this.
But problem is What's the problem?
I don't like to eat alone.
What are you up to?
Someone please get in here.
- Sats are down to 84.
Her GCS is worse.
She's not protecting her airway.
All right, bag her while I get an intubation kit.
What does that mean?
She's not breathing on her own and she needs help.
Patten, why don't you come with me?
I'm not leaving her.
Please, let's give the doctors some room.
Sats are going back up.
All right, good.
Why don't you intubate?
Etomidate and sux.
- Are you ready?
Pressing and lifting.
Okay, you see the cords?
No Get the tube.
I'll hold down.
All right, go nice and slow, okay?
We've got time.
Push a little.
Over there, yeah.
- Okay, I'm in.
- All right bag her.
Why are her sats dropping?
Probably in the stomach.
I'll do it.
Take off the bag.
Yep, I'm in.
88 92, we're good.
All right, get her on a vent and get Mom back in here.
Look, it was your first time intubating a child.
Don't beat yourself up.
I am a medical student.
This is supposed to be a learning experience.
Doc, could I curbside you for a minute?
So I've got this guy with liver failure and hematemesis.
Then his girlfriend shows up and insists he leave without getting treatment.
Well, that's his choice, not hers, right?
Well, but he's going along with it.
She's very controlling, is I think the word you'd use.
Okay, well, I mean, if he wants to leave, there's not really a whole lot we can do about it, right?
No, you're right, but there's something odd going on with these two.
They have these pointy teeth, like really sharp.
Implants or something.
Okay, well, now I'm interested.
Gina's CT scans.
It's an abscess where the tissue meets the prosthetic.
It'll require surgical drainage.
Yeah, but let's hold off before scheduling anything.
I called her doctor at Walter Reed.
He's coming out to take a look.
She asked us to keep the military out of this.
- It's not about that.
- She's AWOL.
Look, April, I didn't wanna make the call.
But Gina's health has to take priority.
Her prosthetic is such a specialized piece, I need her doctor's input before having it operated on.
But you violated her HIPAA rights.
Actually, HIPAA makes an allowance for situations just like this.
We would contact the manufacturer of a prosthetic in any other scenario.
But in this case, the manufacturer just so happens to be the military.
What's that supposed to mean?
Maybe you can get a little overzealous when it comes to the military.
I'm just trying to keep Gina from losing her arm a second time.
What's the worst that could happen?
Well, if you leave, it's a very real possibility.
Look, shut up, Tom.
Get up, we're going.
If your liver fails, your brain will deteriorate.
Your entire body will swell up and you will most likely bleed into your stomach again.
- And that will kill you.
- But I'm already dead.
- I'm a vampire.
- Okay, hold on.
- Get out of our way.
- I can't do that.
I gotta keep you at the hospital.
I'm putting you on an involuntary psychiatric Hey!
Let me see it.
Go get them.
Security, stop them!
Hey, hey, come back here!
Whoa, stay right there.
Whoa, get him out of the sun.
- I'd treat it with silvadene.
This is why I wear a hood.
Vampires can't be out in the sun.
Tom, there are medical explanations for why this is happening to you and I can figure this out if you just let me take another blood sample.
So you can experiment on me?
This is exactly what Kirsten said you'd do.
What did she tell you, Tom?
That you'd parade me out in the news, claiming to be the doctors who discovered and cured a vampire.
No, no, we're not gonna do that.
We just want you to get better.
As a vampire, I get to live like a god.
Long after you become worm food, Kirsten and I will just be starting our next chapter together.
- Look, Tom - Will, could I get a minute?
What is with this kid?
Look, he's submissive.
She's essentially brainwashed him.
As far as he's concerned, he's a vampire.
Trying to reason with him it's a waste of time.
Could even be counterproductive.
Fine, but he's on a psych hold.
Can't you medicate him?
Not unless he becomes acutely dangerous or we got a court order.
He vomited a pint of blood this morning.
He's going to bleed again and it will kill him.
I never thought I would ever eat at the Rainforest CafÃ©.
Since I got diagnosed, I've been trying to live more like my fourth graders.
Not a care in the world.
- All they wanna do is have fun.
But I should quit taking restaurant tips from them, huh?
Well, this is me.
I had a lot of fun today, Maggie.
Listen, um I'm throwing a party with a friend from the hospital tonight.
A crawfish boil.
You should come.
If you're feeling up to it.
Are you kidding me?
With this rocket fuel in my veins.
It does feel pretty good.
You know, I appreciate the offer, Maggie, but I really don't wanna impose.
I want you to come.
I'd like that.
Actually, I'm supposed to make some jambalaya for the party.
I could use an extra set of hands.
- I got hands.
Come on in.
I called about Sergeant Gina Todd.
Choi, I'm Captain Sims.
This is Officer Miller and Officer Campo, Military Police.
I thought you said you called a doctor.
I was expecting Dr.
I don't know anything about that.
We just came straight from Fort McCoy.
Our orders are to transport Sergeant Todd back to Walter Reed.
As Gina's doctor, I need to know the plan for her treatment.
Any decisions pertaining to Todd's care are classified.
Choi, Treatment 5 needs you.
And her fever is spiking.
She's in septic shock.
Bolus a liter of saline.
Not getting a good flow.
Her IV's blown.
Do you want to put a central line in?
No, I'm gonna drill an IO in her leg.
- It'll be faster.
- Okay, open up the fluids.
- Mm-hmm okay, much better.
All right, she's stable, but she's septic.
Give her a second liter and hang levophed.
I'm transferring Gina up to one of our operating rooms.
Her abscess needs to be drained immediately.
Choi, but Sergeant Todd is headed back to Walter Reed with us.
Helicopter's already on the way.
And how long will it take to get there?
It's too risky.
Gina has an infection in her blood.
She needs surgery now.
We'll let the doctors at Walter Reed decide that.
I assure you they would agree.
This patient is not going anywhere.
I have orders.
I intend to follow them.
I'm getting Ms.
So, after hitting the front and back of her head, she has what we call a coup contrecoup injury.
The foci are small but they're cumulative.
I don't understand.
Kayla has multiple small bruises in her brain, but none of them are big enough for me to drill and evacuate.
So what can be done?
Hopefully with time they'll resolve on their own.
I'm sorry I don't have anything else to offer.
You know, there are some things we can try to stop the bleeding from causing problems.
We can raise the head of Kayla's bed and give her mannitol to decrease intracranial pressure.
Do you think it will work?
Statistically, it has maybe a 25% chance of changing her outcome.
Hey, I have seen this treatment work before.
Why would you say that to her?
Because it's the truth.
No, what she was asking for is hope, not grim statistics.
How do you know that?
Trust me, that's what she was asking for.
Our job is to look out for the best interests of our patients.
I'm sorry you had to come all the way down here.
You shouldn't even be here.
Look, Sergeant Todd isn't just another one of your hospital patients.
She's part of a special DARPA project.
They've invested a lot of time and taxpayer dollars into Gina and her arm.
Unfortunately, Captain, this isn't a military base.
You don't have jurisdiction here.
And if you want to move this patient, you'll need a judge's court order and the local police to do it.
We'll have all our ducks in a row by the time our chopper arrives.
Until then, out of consideration of our other patients, do you mind stepping into the waiting room?
Ms. Goodwin, we cannot let them take her.
Well, what can be done right now?
If we can drain her abscess, we can remove the source of her infection.
But I will need a surgeon to do it.
I can take her up to the surgical floor in the meantime.
Well, move fast, because if they get that court order, there's nothing that any of us can do to stop them.
Hey, I'm worried about this.
I'm gonna be fine.
Took a bunch of antibiotics, you know, a fistful of ibuprofen.
I can't feel a thing.
I get the feeling it's gonna be a late night.
Maybe we should cancel our reservation.
Alinea, are you kidding me?
We could get another dinner reservation, but who knows when you're gonna get another vampire in the ED?
If only I could figure out how to talk to this guy, how to get through to him.
You can talk to anybody.
That's why I love you so much.
- Keep the reservation.
First of all, Tom, I would like to apologize.
Clearly, you are a vampire.
It's just that we've never treated one before, and so it's our mistake.
And I'm sorry.
You must be getting hungry.
Would you like me to contact the blood bank or You're messing with me.
It's just like Kirsten said.
Doctors can't be trusted.
Oh, yeah, Kirsten.
Where where's Kirsten?
Is she out in the waiting room?
- She left.
Tom, do you mind me asking how long have you two been together?
Eight, nine months.
I'm I'm just curious because, well I mean, if you'll forgive me, it seems like she kind of abandoned you.
She had to.
But to the very people who she said were so dangerous?
You chased her away.
She'll come back for me.
Well, hopefully, but I mean, even if she does, doesn't it kind of bother you a bit that, I don't know, that she put herself first?
I think you deserve someone who who puts you first.
I mean, someone who loves you.
Because if Kirsten did I mean, I don't know.
Why isn't she here?
Give us a chance to help you.
Let me run some tests.
I just pulled a 14-hour shift.
Can't someone from ortho do it?
Already tried but they say it's a soft tissue general surgery case.
We are one court order away from losing this patient to the Military Police.
We have minutes, not hours.
Us versus them, huh?
Will you assist?
All right, then.
Now what's happening?
Blood pressure's 200/70, heart rate's 40s.
She's going to arrest.
Call a code.
- Code Blue!
- Please, do something.
- Help her!
Patten - No, I won't I won't go!
- It's okay.
Swelling must be causing increased intracranial pressure.
Take her off the vent and bag her.
- Cushing reflex?
- Do something!
- We're doing everything we can.
I can't find a pulse.
She's asystole on the monitor.
I'm starting compressions.
Milligram of epi.
Oh, I can't believe this is happening.
Please, Kayla, please.
Come on, baby.
Come on, baby, please.
- Hold compressions.
- Come on, baby.
- Still no pulse.
Another milligram of epi.
Come on [GASPING]
Kayla, please, please.
No Please Pupils are blown.
Why are you stopping?
She's still asystole.
Her brain has herniated.
I am so sorry, June.
Time of death, 16:08.
I'm I'm so sorry.
No, no, no!
I've received word Captain Sims got her court order.
A military helicopter is touching down on the helipad now.
- Thanks for the heads up.
- All right.
MPs are moments away from pulling the plug.
How far off are you?
I gotta finish scrubbing, gown, and glove up.
I'd say five minutes.
I'll try to buy you some time.
Here's a court order, Dr.
Sorry, you and your crew will have to wait.
Sergeant Todd is already in surgery.
Then we'll get her out.
The procedure won't take long.
You'll be on your way in a little over an hour, tops.
Your role in this is over.
You interrupt that surgery and you'll be putting Gina's life at risk.
I have my orders to bring her back ASAP.
Are your orders to bring her back dead?
Because that's exactly what you'll be doing.
We'll see what DOD says.
Thank you for sticking around to do this.
I can refuse you nothing, Nurse Sexton.
You're not really here because of me.
Well I do love a good race.
You ever had a Sazerac, Sexton?
What is that?
Oh, my favorite cocktail.
New Orleans special.
I'll make you one tonight.
What can I do for you?
I'm not feeling good.
Yes, you are.
And I can help, but only if you'll let me.
I've been texting Kirsten.
She's not answering.
When I call, it goes straight to voicemail.
I think she blocked me.
[SOFT DRAMATIC MUSIC]
She's not coming back, is she?
I never felt more alive than when I was with her.
Imagine the most exciting woman you ever met choosing you to go with her on an extraordinary trip that lasts forever.
Must have felt pretty special.
She could've picked anyone, but she picked me.
And now This is probably hard for you to understand.
Actually, Tom, I know exactly where you're coming from.
Was it all a lie?
I-I feel so stupid.
How about we focus on getting you feeling better?
So the abscess was drained.
No damage to the prosthetic and hopefully not the patient's implanted nerve endings.
Thank you, Dr.
Captain Sims and her team will be transporting Sergeant Todd to Walter Reed via helicopter immediately.
Okay, just make sure the patient receives the proper post-op fluids and meds in transit, okay?
That poor woman.
She's gonna pull through.
Yeah, but we have no idea what the Army will do to her.
It didn't have to go down like this, Ethan.
If you had just listened.
People make assumptions about me.
Okay, but they're wrong.
I'm not some kind of a robot.
I have I have feelings.
Okay, well, that's a good thing.
No, you don't understand.
They're they're so they're so powerful, I feel like if I didn't hold them all in, I have no idea what would happen.
You're afraid of being overwhelmed?
I couldn't stand watching that mother lose her daughter today.
I do understand, Elsa.
But those feelings that seem so frightening, ultimately they will become one of your greatest assets as a doctor.
I don't know.
What have you got going on tonight?
CeCe got reservations at Alinea.
I think I might just make it, too.
- Any luck?
- Tom has hepatitis C.
You got him to take the test?
He needed a little more time to think about what you said.
Is this your vampire?
Does that explain why he blistered in the sun?
Liver failure combined with hepatitis can cause porphyria cutanea tarda.
Makes it so sun exposure causes painful skin lesions.
And since hepatitis is transmitted through bodily fluids, probably got it from having s*x with his girlfriend.
Or from sucking her blood.
Wait, didn't that woman bite you?
Charles, you need to get tested.
First thing in the morning.
Given the risk of transmission, you should have your blood drawn ASAP.
- You mean like right now?
You're kidding me.
Dr. Halstead, anything else?
No, I'm gonna get Tom started on antivirals.
[UPBEAT ZYDECO MUSIC]
Come and get 'em!
Don't be afraid to get your hands dirty now.
April, this is Ben, my date.
Nice to meet you.
Nice to meet you.
Whoa, Maggie, where's the jambalaya?
Sorry, there isn't any, but I brought rotisserie chicken already cooked.
You realize that supermarket chicken is not generally served at a crawfish boil?
All right, well, glad I made extra red beans and rice.
Put 'em in the kitchen.
- I got them.
- Thank you.
After all the grief you gave us this morning, you show up late?
Mmm got a little busy this afternoon.
Oh Not that busy.
Maybe that busy.
- Oh, come on.
I think you can call me Will.
So how you doing?
You don't have to be nice to me.
So I've never been to a crawfish boil before.
I'm a little out of my element.
Um I can I can show you how to do it.
Okay, so, as far as I understand it, you pull off the head and then you squeeze the tail to get the meat out.
Wow, I take it you've been to a few of these.
- It's all on YouTube.
- Good to know.
I knew crawfish was spicy, but my mouth is on fire.
Well, this Sazerac should help.
Absinthe rinse, rye, bitters, sugar.
Ain't nothing to it.
So how is it?
Doesn't taste strong.
I assure you it is.
Okay, my lips are still tingling.
[SOFT DRAMATIC MUSIC]
Can I talk to you?
Look, April, I'm sorry about today.
You know I can be kind of a hardass sometimes.
And when I think I know what should be done, I have trouble stepping back.
Okay What I'm saying is I love you.
And I need to respect your wishes.
So no more ovulation chart or schedules.
Let's just see what happens.