02x18 - Broken Hearts

[bunniefuu]

(Matt Mays' "madre padre" playing)

Hey! Ian!

Ian, what are you doing!

Ian! Hey! (horns honking)

Whoa, whoa, whoa, whoa, whoa.

Whoa!

(horns blaring)

Ian... stop.

Ian, what are you doing, man?

What are you... whoa, whoa, whoa, whoa.

What are you doing? Are you okay?

Let's go.

Hey, stop, please. Jeez. (tires screech)

(horn blares)

All right, you okay?

What are you thinking?

All right, let's, um... (exhales)

Let's get you off your feet.

Don't want anymore damage to that ankle, right?

Got that, buddy? Got that?

(groans)

♪

Hurts like heck.

Add 5 milligrams of morphine, Jackson.

Thank you. Thank you.

So you have no memory whatsoever wandering into traffic like that?

Mnh-mnh. I must've been groggy from the surgery.

I'm just amazed you weren't hit by a car out there.

0.3 percent of patients are injured while in hospital.

Yeah. Ian's an actuary, by the way.

Uh, you work in insurance?

Uh, I calculate odds for a living, mostly for insurance companies.

Oh, you mean like how long people live if they smoke?

Stuff like that?

(strained voice) Sure.

Being an actuary's kind of like being a cross between an undertaker and a bookie. (inhales sharply)

Ooh! Okay, you have really cracked this plate that I put in your ankle here.

This may hurt a little bit.

Thank you, Jackson.

Uh, go ahead.

Ask me anything. I'll tell you how likely it is it'll happen to you.

Getting bit by a snake.

More people are k*lled by lightning.

I wouldn't worry about it.

I like this guy.

He's good.

Ask me something else.

Odds of getting back together with your ex-girlfriend.

Why would you even ask...

How would you describe your sexual chemistry?

Why are you asking me the question?

It's his question.

How would you describe their sexual chemistry?

Eh, it's hot.

Jackson!

(Alex breathes heavily)

Hey...

Alex?

You okay?

Fine.

Are you having a panic att*ck?

No, I just... I need to, uh, I just need to sit here for a second.

Your pulse feels like a rat trapped in a wall.

A rat just needs a bagel.

No, you're in A-fib, Alex.

What?

You're in sinus rhythm.

It's normal.

Good, then we're done.

Not so fast.

It sounds to me Like you've had an episode of atrial fibrillation.

Which can be anything.

Or it can lead to a stroke, hypotension, or cardiac arrest.

I think I'd know if I had a heart arrhythmia, Dawn.

Clearly not. Coffee?

Two or three cups a day.

Alex...

Okay, four.

So eight?

Mm, you gotta double it. Everyone lies.

Alcohol?

Glass of wine after work. Maybe two.

Lately two.

Coffee could be a factor.

Undo your top two buttons.

I had a dream about this once.

Too soon.

Agreed.

Okay.

Okay, I'm going to fit you with a heart monitor.

Now it's wireless.

You need to wear it for 48 hours, and your E.C.G. is gonna be beamed directly to me.

And we're gonna figure out what this is, okay?

Oh, and Charlie, there's something that I need to talk to you about.

Can I work with this thing on?

I don't know. Can you?

Whoa.

Charlie did get the better of you, huh?

I wouldn't say got the better of me.

Where I come from it's called a sucker punch.

Yeah, we're all just a little surprised you didn't know self-defense.

I do know self-defense, as a matter of fact.

There's a little thing I like to call restraint, Dr. Miller.

Why? What are people saying about me?

Oh, nothing really. Just kind of, you know... can't believe that you lost the fight.

I didn't lose the fight.

That's not what happened.

Oh, well, well-well, what did happen?

If you must know, Alex walked in before I got a chance to take a sh*t at the guy.

See, that's exactly what I heard...

That Charlie caught you guys making out.

He did not catch us making out.

Mm, caught you guys in bed together.

He didn't catch us in bed together.

Where did you get that from?

That's new information.

Did you see how I just easily took that from you?

Zach, do you want me to hit you right now?

'Cause I'm feeling the temptation grow.

You seem upset.

I feel inconvenienced.

You wish you'd hit him back?

(lowered voice) I do wish I'd hit him back, yeah.

(whispers) I know.

Charlie: Conflict resolution?

Well, when one doctor hits another doctor, Charlie, that's what we do.

Uh, well, I hit him as a private citizen, so we don't have to do this.

But you hit him in the hospital, in the face.

I'm not going to anger management, Dawn.

Conflict resolution.

Whatever it's called, I'm not doing it.

Well, then, I'm not gonna let you operate.

What?

Till Gavin signs this form certifying that you have gone to conflict resolution, I'm not letting you work.

That is ridiculous.

I can't take the risk of the surgical department getting sued because you decide that you're gonna clock a patient.

I'm not gonna hit a patient, Dawn. You know that.

Don't make me do this.

You're doin' it.

(telephone rings)

(siren wailing in distance)

(paper rustles)

It's probably just a stress-induced arrhythmia.

Yowch. Who hooked you up to the homing device?

(sighs) Dawn.

Double yowch.

Well, at least she's not benching you.

No, I guess.

Not to add more stress to your day, but...

What?

Old friend is here to see you.

(spanish accent) Buenos días, Dr. Reid.

Randall, where have you been?

México.

(chuckles)

Oh! (groaning)

Para usted.

(normal voice) Do not eat the worm.

Give you visions.

Mescal. My favorite. Thank you.

You know, I had a premonition I'd see you here today.

I work here. That's not exactly a premonition.

So what can we do for you today?

Your favorite psychic appears to have a hernia.

Okay, let's get him into imaging.

Yeah, but he has pancreatic cancer and he's jaundiced.

It's mostly tan.

It's jaundice.

I'm worried the tumor's obstructing the bile duct, which we also have to deal with.

We need an M.R.I. for the bile duct.

Yeah, that's the problem.

(objects clatter)

What are you doin'?

You'll see.

Eh, not today.

She, uh, she has an arrhythmia.

What? That sounds bad.

It does but this is gonna put a smile on your face.

You're sure this is cool, right?

Yeah, yeah, yeah.

Okay, pull that up.

Ready?

Alex: What?

Whoa. Huh?

Magnets?

See?

Okay, you have magnets in your stomach.

Problem?

If we put you in an M.R.I., the magnetic forces are gonna collide and...

And basically rip him in two.

(singsongy) I'm back.

You wanna tell me who put these magnets inside you, Randall?

Sure.

(spanish accent) Doctors Rubio Cortestiza y Guzman.

(normal voice) I did some, uh, alternative therapy with them at their clinic in Tijuana.

See, the magnets interact with the nanoparticles, reducing the size of the cancer tumors.

That's unbelievable.

I know, but it sounds crazy.

That's because it is crazy.

Those border clinics are clip joints, Randall.

They just want your money.

(magnets clatter)

Last one.

You know, not everything could be explained away with reason, doctor.

Buddy of mine told me about this place.

I'm feeling good. I am feeling really good.

Maggie, why don't you try to reduce it now?

What? What do you mean reduce it?

We're gonna try and push the hernia back in.

Why? Is that a good idea?

You might feel some discomfort.

Maggie, press gently.

Okay.

(groaning)

Okay. I think he's pushing his stomach muscles out.

Okay, let me try.

Your hernia's incarcerated, which means your intestines are trapped outside the abdominal wall.

So, what-wh-what does that mean?

I need surgery?

You might, but given your cancer, I'd rather observe you and then try to reduce it again later.

We'll get you that M.R.I., and then we'll have to admit you.

Can you bring him up to imaging?

Mm-hmm.

Randall, is there someone we can call?

You know my situation, doc.

Okay.

Charlie: Gavin!

I need you to sign this ridiculous form for me, (paper thuds) so I can get back to work.

(paper rustles)

You haven't done conflict resolution.

No.

So I can't sign this form.

This is absurd.

Joel and I had a conflict, I punched him, the conflict is resolved.

It's not that simple.

Okay, I've got 15 minutes. Conflict resolve me, right now.

Charlie, I don't have time right now.

Okay, when?

You can meet me at 11: 00.

Great.

Great.

I'll see you in group.

Great. What?

Did you say group?

Hey.

Hi.

What's that?

I'm a robot, Joel. That's my big secret.

Are you wearing a holter monitor?

I have a stupid arrhythmia. I don't wanna talk about it.

(under breath) Okay.

What?

I have a busted face, you are wearing a heart monitor, and I kissed you.

You wanna talk about any of these things?

(bell dings)

Joel. (beeping)

Alex.

(whispers) Alex, Alex!

Yeah?

Your tracings are going... (singsongy) a little crazy.

Nice try. (beeping continues)

Oh, great. Graffiti.

Nerd graffiti.

(monitor beeping steadily)

Randall?

Hi.

Hi.

We got your M.R.I. back.

There's some sludge in your bile duct.

But, uh, the good news is, it's not completely obstructed.

However, there is some bad news.

(chuckles) Hi! Hi! That's so great.

Wow, the nurses gave you some pain meds, huh?

Pfft, yeah. I have a button.

Yes, you do.

This is so off... I am so off the wagon.

Oh, Randall.

It's okay, it's okay. Hey, do you know how to watusi?

No.

No? Okay.

You throw your arms back like there's a bee in your sleeve, and you watusi.

You know your grandma crane was a dance hall champion?

No.

No, you did not. Again with the no.

Mm-hmm.

See, these are the things I wanna pass down to you.

I came to see if you needed backup, but Randall you seem... fine.

He's pretty out of it.

I think he thinks I'm his daughter.

Great Randall has a daughter?

Yeah, they're estranged.

(monitor beeping steadily)

Hey.

Yeah.

I need your wallet.

Yes, sweetie.

I always have a fiver for ice cream.

Maggie: Are we going for ice cream?

No, he keeps her phone number on him.

I love you.

I love you.

That's nice.

Hey, Randall. I'm gonna call Leslie.

Yeah.

'Cause I'm dying...

♪ again ♪
♪ it looks like ♪
♪ I'm dying again ♪

(monitor beeping continuously)

Kat, have you seen my patient, Mr. Taft?

The gentleman with the bad ankle.

Nope, sorry.

What do you mean you haven't seen him?

He hasn't been here.

Hasn't been here.

Awesome. So someone just let him wander off.

Hey.

Ian?

He's not bothering you is he, Reycraft?

Nope.

Awesome, because he is a patient, sleepwalking on a badly broken ankle, writing on a doctor's lounge room wall.

Yep, I see that.

Sleepwalking.

Yeah, his eyes are open. Freaky.

Doesn't concern you at all?

No.

No.

My sister sleepwalks.

She drove a car to Hamilton. He does mathematics.

Oh, he's an actuary.

Ooh, that sucks.

Doing your job in your sleep?

He's putting way too much pressure on that ankle.

Yeah, you're right. Okay.

Should we wake him up?

No. Bad news to startle a sleepwalker.

Is it really bad news?

It's bad news.

I thought it was a myth. Come on.

Ian...

(whispers) Joel.

Ian.

What? Ian, hey, man.

(screaming) Whoa, whoa, whoa.

Hey, hey, hey!

Stop it!

Ian, Ian, Ian. It's okay, hey, it's okay.

It's okay. You're sleeping. You were sleeping.

You were sleeping. It's... Yeah, yeah, that's it.

Give me the chair.

Give me the chair. That's it.

Just turn around slowly. That's it.

(groaning)

Bad news.

Okay?

Joel: Cortical screw, please.

No, give me the 40.

40? What, are you planning on screwing him to the table?

If he continues to sleepwalk, we might just have to.

George: I'm sure the sleepwalking was just a reaction to the sedative I gave him post-op.

It's a known side effect of zolpidem.

Joel: So why'd we give it to him? Scalpel.

Because he's in a hospital, in a controlled environment, where patients are supposed to be monitored.

That's right. Blame the nurses.

Hand me a centrally threaded steinmann, on power.

Thank you.

(drill whirring)

I used to walk in my sleep when I was a kid. (whirring stops)

Used to do mathematic equations like Ian here?

No, but I did pee on my brother's bed once.

I sincerely hope he wasn't in it at the time.

(monitor beeping steadily)

I have more contact with the patients!

I... went to medical... school.

That... doesn't make you... a god!

It does... in the O... R.

Yes, great. Thank you. Good work, guys.

Uh, wow. This is a waste of time.

I should be out doing my job, like saving lives, for instance.

Shahir: Saving lives? You just save legs, Charlie.

You're an orthopod.

It's water off a duck's back, Shahir.

Because I do not have anger issues.

Charlie?

No, I'm-I'm taking the set off.

I've got this... tennis elbow thing.

Thanks, Gavin.

Point of this is getting you out of your comfort zone.

I'm very uncomfortable right now.

Everybody gets angry, Charlie.

This is a safe place for us to let it out, see if we can't get to the root cause of what is making us angry.

So let's review.

Um, what are the stages of anger?

Demanding.

I must have my way.

Mm-hmm. Second?

You, it, or they are in the way of me getting what I want.

Then blame.

You are not giving me what I want.

And then?

You deserve to be punished, and I'm gonna punish you.

(fist thuds)

(cell phone chimes)

O.R.

Okay.

Uh, wait a second. Wait. He gets to leave?

It's a medical emergency.

(door opens)

Okay. (door closes)

Gavin, I lost my temper.

And I will not deny that there are some things to get sorted out between myself... and Joel.

However, he's not here right now.

Okay. Then I'll be Joel.

You're not Joel.

(imitates new zealand accent) Yes, I am... mate.

I walked around the parking lot three times before coming in here.

You walked through the door.

Yeah, 'cause I'd look like a lunatic.

Your dad'll be happy you're here.

I don't really call him dad.

(man) ♪ drifting heart ♪
♪ there are many hearts like mine ♪

Hey, doc.

I don't know why I got this watusi stuck in...

♪ oh, why should I ♪
♪ feel so lonely ♪

Leslie.

Hi, Randall.

What are you doin' here?

How are you?

Fine.

(music stops)

H-how's Bobby and...

Leslie: No.

No.

Um... Yeah, yeah, yeah. Brian.

No, I'm-I'm single.

Oh.

I didn't remember.

(chuckles)

But you're okay? Single?

Yeah, it's fine.

Look exactly like you did last time I saw you.

Uh, that was 10 years ago.

I was wearing skater pants and a pound of eyeliner.

So I've-I've changed.

Randall, Leslie is here today because you need to talk with family about your options.

What options?

Your imaging showed new metastases.

Oh. More cancer. Alert the media.

(laughs)

You need to talk about pain management, palliative care.

And I know that you think you can take care of yourself, but I don't think you can.

Um, uh, okay, I'm sorry. I'm kinda new to this.

What exactly should we be talking about?

I'm not even...

(gasps)

(whispers) Stupid...

It's okay.

(groaning)

Pain is worse?

All right, it looks like you're losing blood supply to your bowel.

I'm worried that your hernia is strangulated, which means that it's cutting off blood supply to your intestines, and you could go septic.

So I need to do a surgery right now.

Wait, what, I-I-I didn't know he was having surgery.

How long is that gonna take?

Everything goes well, it shouldn't take more than an hour.

Be here when I come out?

(voice breaks) Well, I don't know. I don't know.

Stop it. (laughs)

It's the lizard.

(voice breaking) It's not funny.

I'm too old for the lizard, Randall.

You're not too old.

I'm... okay, I'll be here.

Stop.

I will be here.

(groans)

(continues imitating Joel) Charlie, mate, what is it about me that you find so threatening?

That doesn't sound anything like Joel.

Really? I-I think it's quite good.

Gavin, can you do me?

Not really the time. But, um...

(southeast asian accent) Gavin, I have anger issues.

I am really angry and I fix brains.

He's amazing.

Okay, um, anything I needed to say to Joel, I already said... with my fist.

v*olence denotes poor conflict resolution skills, Charlie.

No, no, actually, um, sports have taught me that the right amount of anger directed at the right person or thing for the right reason at the right time is actually quite constructive.

Besides, he brought it on himself.

That's blame.

He provoked me.

Listen to yourself. You're making it Joel's fault.

He insulted Alex.

So you punished him.

He deserved it.

What did he do?

What difference does it make?

Well, it really pissed you off.

Yeah, it did.

Is Joel an obstacle to what you want?

Like what?

Dr. Reid.

I didn't... say that!

(cell phone vibrates)

Hey, look at that. I got a page.

Oh, I gotta go. Good luck, Charlie.

(clears throat)

(door opens and closes)

He gets to leave, too?

He doesn't really have to be here.

He just likes it.

(racket clatters)

Hey, I forgot to ask you. How's Charlie?

Are you two splitsville?

He left.

He say why?

You're not gonna believe this.

Actually, you might be the only person that does believe this.

(sighs) He sees ghosts.

He told you?

He didn't have to.

What'd he say?

Oh, just that when he woke up from this coma he, uh, had this thing.

And what did you say?

(sighs) I said it would destroy his life.

(exhales) I just need a minute.

You okay, doc?

Yeah, it's nothing just a heart flutter.

Yeah?

Yeah.

How about a big black bird of anger is fluttering in your chest and you can't breathe.

How 'bout that one?

Did you open a full laparotomy tray?

Yep, and there's an omni-retractor in there just in case you need it.

Thanks.

You're welcome.

Hey.

Yes?

Give him another chance.

He left me.

I know.

But the first time I saw you, your chakras were clear. And now they're muddy.

It means your spirit's dying.

Randall...

Hey!

I'm just telling you what I see.

Can you take him in?

Sure.

You know I saw your stage show five times?

Really?

Mm-hmm.

How was I?

Hypnotic.

Randall: Good. (chuckles)

What's your favorite part?

(woman speaking indistinctly)

(cell phone buzzes)

(sighs) Come on. (buzz)

Yep? Did your heart stop?

No.

Hold on.

(beeping)

Why don't I see any tracings?

Because the freaking monitor keeps getting stuck underneath my bra, and I'm sick of you spying on me.

Put down the scalpel if you feel like you're gonna die.

(sighs deeply)

Alex: Midline incision, open approach, hernia repair.

Maggie: Easy.

He has a strangulated hernia, his bowel is probably necrotic, he has mets from pancreatic cancer, all over the abdomen. There's scar tissue galore.

Nothing about this is going to be easy.

I wasn't implying that it was actually gonna be easy.

I'm just... was just trying to lighten the mood, you seem tense.

Retractor.

There you are, you little bastard.

Okay... what is my approach, Dr. Lin?

Evaluate the bowel. If it's alive, dissect it from the fascia and reduce the hernia.

If it's dead, resect and put him back together.

But, I mean, regardless, it's stage four pancreatic cancer, metastatic.

He's got a couple weeks.

He'll die in two days if we don't free the bowel.

And he's in pain.

But you're right. There's not a lot of hope.

Well, I thought I was the gloomy one.

But you've gone all russian on me.

Can't always be the cheerleader.

Okay, I've released the bowel.

Run it for me, Maggie.

With pleasure.

That's weird. I feel something.

Describe it.

It's a mass... it's something.

Well, he has pancreatic cancer, Maggie, there are metastases everywhere.

This mass is big.

It's, uh, it's not metastatic.

Okay, let me feel it.

This thing is the size of a tangerine.

Should we scope him?

Yes, definitely.

Maggie: Hey, I'm coming to the end of the colon...

Wait a sec, freeze it right there.

(beep)

That's a big tumor.

It's the primary.

Does he not have pancreatic cancer?

No. No, it must've originated in the colon and spread to the pancreas.

But-but that means... that he could make it.

So last man standing in conflict resolution, huh?

What do you think that means?

(scoffs) God, you are relentless.

A year ago, would you have imagined yourself here?

Well, a year ago, I was in a coma, so... no.

Before that.

No.

Nope, I used to be with the woman I love.

And I used to be just a regular doctor who didn't see... dead people.

I thought you said that stopped.

It did.

Do you miss them?

Do you miss her?

Of course I miss her.

I'm afraid I've lost her for good.

And that makes you mad.

No, that makes me... (inhales sharply) sad. (exhales deeply)

(exhales)

(scribbles)

(paper rustles)

Now the causes of sleepwalking aren't well-established.

Please tell me this isn't a mysterious brain thing.

It is. It's very mysterious.

See, in your patient, the part of the brain that paralyzes the body during sleep? That isn't working.

So he's literally just acting out his dreams?

Yes.

What do I do about it?

There's nothing you can do, short of tying him down.

That's unethical.

Unethical.

You're right.

Now, once Ian has fully recovered from surgery, I can look for lesions, tumors, vascular malformations of the hypothalamus.

Then we can let him see a psychiatrist.

For a neurological problem?

Well, stress and trauma are other factors, you know, unless I "elm street" my way into his dreams... (laughs)

(clears throat) There's nothing I can do.

Okay. Well, thank you.

Joel?

Mm-hmm?

I, um... (clears throat)

I just got back from conflict resolution, and there's hurt on both sides.

(Alex clears throat)

Les?

Hi. How'd it go?

It went very well.

He should be up and around soon.

Okay.

You know, I'm waiting on some test results, and I can't really get into the details, but... your father may have more time than we thought.

Um...

Okay.

This is gonna sound really wrong, but, um...

(voice breaking) I came here to see my father before he... d*ed.

And I just... I thought I would regret it if I didn't.

Could be an opportunity.

For what?

He abandoned me and my mom, he's crazy...

It... Letting him back in my life would just be more trouble than it's worth.

It might be worth it.

You don't know him.

Be the bigger man?

(laughs)

Usually falls to the ladies.

Excuse me.

Charlie.

Hi.

How was conflict resolution?

Uh, think Oprah meets McEnroe, and I think you get the idea.

Well, that sounds fun.

It was horrible. I was... I was horrible.

Did you resolve your conflict?

Where's your heart monitor?

I don't wanna be monitored.

Alex...

And not by Dawn. So, Charlie, can you just...

Can you leave it?

You're a doctor.

Come on, this is your life we're talking about.

Where is it?

In my pocket.

Let me help.

Fine.

You wanna lie down?

No, I'm waiting on some test results for a patient.

You remember the great Randall?

Yeah. He still alive?

He is.

Thank you.

Are these nonsense?

I mean, are they real equations?

Yeah, they're real equations.

I don't know, Ian. I mean... (sighs)

Wow.

Maybe if you solved the equations, that'll stop the sleepwalking and... truthfully, I'm just... really very concerned about your leg.

What-what is this?

This... (sighs) this calculates the odds of having a baby over the age of 40.

These are the odds that he has red hair.

These are the odds of him reading before he's 6.

These are the odds of him making the t-ball rep team.

These are the odds that he'll believe in Santa till he's 8.

(voice breaking) These are the odds of him being... hit by a truck on his way to school.

The odds of your marriage surviving the death of your child...

Of you losing your job.

I'm so sorry.

(whispers) I'm so tired.

So this is definitive?

That's what pathology says.

It's mind-blowing.

Just don't call it a miracle.

Randall.

We got back your pathology report.

You were misdiagnosed. You have colon cancer.

It's good news.

What?

How is colon cancer good news?

It's a different cancer, one with a better prognosis.

It's one we can treat.

(exhales)

But... they-they just commuted my death sentence, I think.

We're not out of the woods yet, but this is very good news.

(sighs) So congratulations.

I don't know what-what I'm supposed to do.

You don't have to do anything.

Just stay, I'll do it all.

You shouldn't have to work to be my daughter.

(clicks tongue) Yeah, I will have to, 'cause you're not gonna be able to take care of yourself.

What? (laughs)

For the love of god, look at the hair.

Is this the hair of a man who can't take care of himself?

I have your hair.

Yes, you do.

And your eyebrows.

Yeah. Sorry about that.

(laughs) It's okay.

I forgot the good parts about you.

But this news, I'm really happy for you.

I feel so fantastic.

I feel fantastic.

I wanna do something celebratory, I...

That's 'cause your sedation hasn't worn off yet.

(laughs) No.

Hey!

Yeah?

Do you know the watusi?

Joel, I'm sorry for what I said about you never getting back together with your girlfriend.

You kind of have bigger fish to fry, man.

No, no, the numbers aren't favorable but...

I didn't factor in the implied odds.

It's a poker thing, isn't it?

Yeah, you have to consider the outcome if things go your way.

Um... (lever clicks)

How exactly does that relate to-to Alex?

It's an if/then proposition.

If you'd be substantially happier, you should go for it, even if the odds aren't there.

I should've factored that into the original equation, and I didn't.

So, okay, what-what are my odds now?

They're considerably improved.

Thank you.

Well, um, why don't you... close your eyes, get some rest?

I'm not going anywhere. I'm right here.

(knocks on door)

Oh, hey, doc.

Do you know how to work this TV thing?

Yeah, I do.

(clears throat)

You wanted to talk to me, Randall?

Or, uh, change your mind because you wanted to watch golf?

Yeah.

I'm, uh, lifting your curse.

I don't see them anymore.

It doesn't matter If you don't talk to dead people anymore, you still feel cursed inside, don't you?

Hmm?

And don't talk, just listen.

Things can still turn out okay for you.

Pfft.

You're free.

(footsteps approaching)

Hi.

Hi.

Hi. (chuckles)

(speaks indistinctly)

(monitor beeping steadily)

(telephone rings in distance)

(inhales deeply)

(telephone rings in distance)

(object clatters)

(sighs)

Excuse me?

Sir?

You know, you can't be in here.

Sir.

You can't be in here.

Let's get you back to your...

(groans)

(squish)

(gasping)

(door closes)

(groans)

(grunts)

H-help.

Help...

(groans)

Help me.

(cell phone beeping)

(indistinct conversation)

(beeping continues)

(clicks)

(cell phone buzzing)

(buzz)

(buzz)

(groans)

(buzz)

(buzz)

(buzz)

Dawn: Alex?

Yeah. Help.

Alex, where are you?

Where are you? Tell me where you are.

(coughing and wheezing)

Talk to me.

(whispers) Help.

(normal voice) Help.

Alex? Alex?

(phone clatters)

(breathing unevenly)

(groaning)

Maggie, have you seen Alex?

Yeah, a while ago on the ward, why?

Her heart rate is through the roof.

And it's different than the arrhythmia that I've been monitoring her for.

Different how?

She's tachying in the 170s, like she's in shock.

Well, could her monitor have fallen off, maybe?

No, it's definitely working.

And her tracings are clear. It's scary.

We gotta find her now.

(groans)

(groaning)

(whimpers)

(beep)

(woman over P.A.) Code blue, five east, 64.

Code blue, five east, 64.

Code blue, five east, 64.

(beep)

(monitor beeping steadily)

(labored breathing)

Alex?

Oh, my god.

Alex!

Oh, god. Stay with us. Open your...

Keep your eyes open.

Don't try to talk, don't try to talk.

We gotta get her to the O.R.

Oh, my god. Oh, dear. You're gonna...

You! I need a large bore I.V.s, O-neg blood, and I need a stretcher now. I need it now!

Stay with me. Look at me. You've lost a lot of blood.

We're gonna get you to the O.R.

You're gonna be just fine. Look at me.

Stay with me.

Keep her eyes open.

Stay, stay. Get me that stretcher!

Eyes open!

Alex.

You're gonna be fine.

(cell phone vibrates)

(bell dings, door opens)

Man: Out of the way. Get out of the way, please.

Maggie: Keep your eyes open, look at me.

Make a hole!

Hey, let's go, let's go!

Maggie: Stay with me.

I got it, I got it, I got it.

Maggie, you're with me. We're going to do a left thoracotomy and find the bleed.

It's in her heart!

I'm here, baby. I'm here.

We're not gonna know until we get in there.

On three! One, two, three.

(water running) Can you handle this?

Yeah.

I'm fine. She's gonna be fine.

Alex, I'm right here.

Stay with me, okay? Stay with me.

(monitor beeps)

Heart rate's 160. B.P.'s 85.

Okay, stay with me. Look at me. (gasping)

Stay awake.

Can you stay awake for me? Look at me.

Okay, we're gonna fix you, all right?

Sweetheart, look at me. Look at me. I love you.

I love you. We're gonna fix you.

I'm right here, okay?

Keep your eyes open, look at me, look at me.

(monitor beeping rapidly) Hurry!

Stay with me.

Stay right here, don't you give up.

Don't give up, baby.

(flatlining) No...

Dawn!

(squish)

(grunts)

What are you doing?

I can't do compressions with the scissors in.

Okay, get me iodine and a scalpel.

I'm opening her up.

I need to tube her.

Charlie, move.

Maggie: I've got compressions.

I need to cut her. Move over.

I've got it.

Charlie, I gotta cut her. Move!

I've got it, Charlie. I've got it.

Okay, bolus her.

I need a chest spreader.

Dawn: Bone saw.

(continues flatlining)

Stay with us, Alex. Come on.

Woman: ♪ and it all ♪
♪ falls down ♪

(whispers) Charlie...