02x11 - Exodus

[bunniefuu]

[Classical music playing]

Renee, we're ready for you.

[Indistinct conversation]

What are you wearing?

It's called chartreuse.

Mama got a brand-new bag.

Espresso?

Really?

It's not just nose jobs.

He does a lot of good work here.

Oh.

Uh-huh.

And they have espresso.

Mm-hmm.

I want you to come back.

Campbell fired me. Remember?

You just gotta let me talk to him...

No, no, no, no, don't. I love Angels.

I gave my life to that place.

Why are you being so stubborn?

I tried calling Guthrie to apologize.

I know. He told me.

But it's gonna take time.

Parkinson's is not an easy transition.

He doesn't have to quit medicine.

Does he know that?

Does Campbell know that?

You convince Guthrie to come back, and I'll be right there behind him.

[Monitor beeping rapidly]

16.

Patients.

That's how many patients I've seen in two hours.

That's gotta be a record.

It's not.

I'm saying we're completely slammed.

How long are they keeping Malaya suspended?

Above my pay grade.

Don't worry. You're just experiencing a little first year panic.

[Man groans loudly]

What's that?

My hipster kidney stone.

Ooh.

Dilaudid should take the edge off.

I think I'd rather die than pass a stone.

[Strained voice] Oh, my... why don't you take the whole kidney?

Can't really do that.

But I can get you an organ donor pamphlet.

[Exhales deeply]

That is...

Yeah.

Very nice.

[Laughs]

I feel like...

Pancakes.

My O.B. said that it was an ovarian cyst, and I'm supposed to have surgery in a couple of weeks.

[Gasps, groans]

The pain is worse.

Okay. I'm gonna send you to get a pelvic ultrasound.

The cyst might've ruptured, or you could have ovarian torsion.

But don't worry.

We'll take care of you.

Okay.

♪ ♪

[Exhales]

Your blood pressure's a little high, Renee.

Oh, the machine's ratting me out.

I'm nervous, I guess.

Don't worry. Dr. Silverman is the king of breast reconstruction.

Oh, I know.

I've had to stare at more breasts than you can imagine.

I'm going with Uma circa "Dangerous Liaisons."

[Both laugh]

Cancer's taken pretty much everything from me.

I wanna take something back.

Hello, dollface.

Hi, Dr. Silverman.

All right. Let's get started.

Okay, here we go.

[Indistinct conversations]

Dr. Willis. Dr. Willis.

This is Blanche, 92 years young.

She fell down a flight of stairs.

Severe pain in her left hip. Her pressure's dropping.

Blanche, I'm Dr. Ethan Willis.

You're handsome, like my George.

Did you lose consciousness?

Oh, I don't think so.

All right, let's get some portable film and a central line kit.

[Monitor beeping rapidly]

Oh. A happy code black to you.

I didn't leave it this way.

What did Jesse say?

No go.

He's too damn proud.

♪ ♪

Dr. Silverman: Suction, please.

[Suction gurgling]

Her heart rate's 59 and falling.

She's bradycardic.

♪ ♪

Heart rate of 50s is fine.

Where's the crash cart?

Whoa, boss. You have PTSD from your old place?

No g*nsh*t wound here. She's good.

No, she's not good.

Her cap refill is sluggish and her pressure's falling.

Pressure's normal. She's just bradying down a bit from the...

[Monitor beeping rapidly]

Get the crash cart now!

Uh, it's in the other suite.

Get... get epi, atropine.

I'm on it. Okay.

1 of epi going in. Here we go.

You, call 911. Now!

Woman: Okay.

Let's move her on my count. One, two, three.

It's too early, right?

Richard, relax.

How far along are you?

36 weeks.

Contractions started this afternoon.

It's early, but not driving like-a-maniac early.

I'm sorry, Serena.

A front seat delivery isn't in the birth plan.

It isn't in the birth plan to sideswipe a city bus either.

It was just a fender bender.

Ooh. Ooh. [Exhales deeply]

Contraction?

[Groans]

Dr. Dixon?

Uh, we should do an ultrasound.

We should already be doing that.

Don't wait to be asked. Anticipate and act.

Blanche: Oh, easy. Easy, soldier.

Actually, he's the soldier.

Pelvis is unstable.

Let's get her some meds.

Yeah.

My pelvis is fractured.

How do you know that?

Oh, I was an er nurse before there was such a thing.

Plus, I heard it.

Well, then, Blanche, you can keep us honest.

Damn straight, George.

Uh, placenta's intact. Amniotic fluid looks sufficient.

But, uh, fetal heart rate's a little low.

Okay, page Labor and Delivery.

We'll monitor her until they get here.

Grab a cigar. She's in labor.

X-rays up.

Ethan: Well, Blanche, you were right.

Fractured acetabulum. S.I. joint disruptions.

I told ya.

Oh, well, this is the pits.

I'm in. Got it.

Blanche, is there anyone we can call for you?

My George was k*lled during the w*r.

It's just me.

Jesse?

Let's get her to Center Stage. Let's go.

Uh, what the hell are you wearing?

Jesse: Coming in. Look out.

52-year-old female, propofol-related bradycardia.

Jesse?

She crashed during surgery.

Heart rate 30, B.P. 60 over palp.

Atropine's working but not enough.

Ready? One, two, three.

Give it, give it, give it.

All right, let's get that crash cart in here, please.

Pacer pads.

Where's the overnight bag?

It's in the car.

We're gonna be here overnight.

Yes. Um, I-I'm going. Uh, just in case.

Wait! What floor'll she be on?

Sixth.

Seventh.

Elliot: Seventh floor.

Seriously, sugar bear?

I-I know where L&D is.

"Sugar bear"?

Go ahead. Charge it again, please.

[Electricity crackles]

Who forgot to pay the power bill?

[Clank]

[Gasps]

You gotta be kidding me.

What's happening?

[Clamoring]

Nurses! Flashlights!

Woman: Got it!

Her pulse is weak.

Leanne: Okay, everybody just stay calm.

Are you guys listening?!

Jesse: Hey!

Stay calm! Stay calm.

The backup generation should kick in any minute now.

♪ ♪

[Indistinct conversations]

Ethan: I need some light in here!

Leanne: Hey, did somebody try to get ahold of Campbell?

You should get back in bed.

I couldn't find my glasses.

You weren't wearing glasses.

Oh. So why can't I see?

Because the lights are off.

Out of the way! Comin' through. Comin' through.

Watch your back, watch your back.

Why are the backup generators not coming on?

No idea.

She's still bradycardic.

Turn up the amps on the pacer.

And get another defib, please, in here for backup.

Okay, nurses, check out the backup batteries on all your monitors.

They won't last forever.

Yes, mama.

Hey, pal, see what happens to this place without you?

Welcome back, mama.

I'm not back.

I need another dose of atropine, please.

Coming right in.

There you go.

Jesse: Come on, Renee. Hang in there.

There you go.

Thank you.

Okay, can someone please try Campbell again?

Woman: On it.

I can't see a thing. You can come closer.

Have you reached her?

Woman: Phone lines are jammed.

Keep trying.

Ventilator's down.

[Sighs] Disconnect it.

Manually ventilate at 14 resps per minute.

I can't tell if the anesthesia is delivering.

Switch off the machine.

What?

Switch off the machine to incremental I.V. boluses of propofol and fentanyl.

Completely blind here.

You're telling me the machine is down, I'm giving you a solution.

Switch to I.V. propofol. Understood?

And check all backup batteries. Come on, people. Let's go.

Woman: Yes, Doctor.

Woman: I got her.

Thank God. Emily?

No, Dr. Rorish on the radio.

I got through to your daughter's cell. Went to voicemail.

Keep trying the sitter.

Dr. Rorish?

Hey, I'm here. How are you?

Up to my elbows in surgery without power.

Status update?

I've got 35 acute, 10 of those critical.

3 on vents. 50 in beds.

At least 80 in waiting.

Engineering still hasn't gotten back to me.

What's going on with the generators?

Dr. Rorish... the radio is saying the substation is overloaded.

All of L.A. is out.

The backup generators are still in repair from the boiler expl*si*n.

Still? That was months ago.

Take over, please.

Got it.

We have to divert.

We're gonna have to do more than that.

We have no idea how long this power's gonna be out.

We're gonna have to evacuate all the patients, starting with the most critical.

Let's call Cedars, UCLA.

They'll be overrun.

Plus, we'd need about 300 ambulances.

I'm thinking Peterson.

An acute care center?

They're only eight blocks away.

We are a level one trauma center, Leanne.

Yes, but they have power, because every hospital has backup power, except us, apparently.

Are you blaming me?

I'm just talking to the man in charge.

Let's make it happen.

One more thing.

Yeah?

Jesse's here.

Excuse me?

It's a long story, but he'll be able to help us organize things from down here.

We're gonna need all the help we can get.

Leanne, he cannot be involved in the treatment of any patients.

What did you expect?

Do you hear me?

Copy that.

♪ ♪

Oh. Dr. Nolan.

Hey.

Let me guess. You've operated in complete darkness before.

Under fire.

Under fire, of course.

Fractured pelvis.

Mentally altered status. 92 years old.

Turn off your flashlight.

Turn 'em off. They'll see us.

It's just a power outrage.

I heard the air raid sirens.

Those were ambulances.

Hi, Blanche. I'm Dr. Nolan.

Doctor? You mean nurse.

Fascinating.

George, if they can see us, they'll know where to att*ck.

How's that feeling? Does it hurt?

We need to move these people...

No, no. Shh, shh. Listen, you can't move.

Your pelvic fracture is bad enough that you could cause more damage.

You understand?

My pelvis is fractured?

Blanche, do you know where you are?

Fort Stevens.

I'm a nurse. A.N.C.

Can you tell me the date?

Yeah, it's June '42.

I-I can't tell you the exact date because it's hard to keep track.

The 21st?

That could be it. That could be right.

George, how many injured?

Man: Dr. Willis! They need you in the waiting room.

Go. I'll stay with her.

Okay. Blanche, I'll be right back.

You sit still for Dr. Nolan.

George? Don't leave me, George.

Straight back that way. John, hold that door open, please.

Leanne?

We're evacuating everyone except for the most unstable to an acute care center nearby.

Okay, my pelvic fracture, Blanche, can't be moved.

Pale conjunctiva, a rigid abdomen.

Internal bleeding.

Campbell's on his way down.

There are more criticals that can't be moved either.

I'll stick with 'em.

Doctor?

It's my ship. I'll go down with it.

We're not sinking.

All right, I'm on my way to Peterson's.

Okay, look for Dr. Carrie, their director.

You're only gonna have a skeleton crew. Use Jesse.

And piss off Campbell? Now why would I do that?

♪ ♪

[Helicopter blades whirring]

[Radio chatter]

Mario: Not enough ambulances so we gotta help the low acuity patients get to Peterson on foot.

A lot of people.

Yeah, well, we've got a medical kit, radios, the world's best nurses.

What else do you need?

Hey. Wrong way.

Everyone, follow me!

To the promised land!

Her pressure's still low.

More fluids. Start I.V.

Whoa, whoa, whoa, you shouldn't have brought him in here.

Angels is diverted and closed to trauma.

Tell that to L.A. we in code blackout.

Risa, grab a dopamine drip.

Hey, whoa. Stop, stop, stop, stop.

You can't order meds.

Her blood pressure's falling. You wanna give me a hand?

Let me get that. This is a nurse's job.

You don't work here.

Risa! Where's the dopamine?

It won't open. Dispenser's down.

Where's the manual key to open it?

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

Excuse me.

What...

Jesse: Come on. Excuse me!

Let's hang that.

Hey. Hey, hey, hey. I can't find my wife.

She was taken up to L&D.

No. No. That's what I'm telling you. She's not there.

She's having our baby, the power is out, and I can't find her.

She's having our baby!

[Scoffs] Hello?

Still no signal on your phone?

[Groans] Isn't there usually backup power in hospitals?

[Liquid splatters]

Elliot, help me check her station.

Station?

Oh. Right. Station.

What's wrong?

Oh! Oh, crap.

Head. Uh, she's crowning. Great.

Okay, so this baby is coming.

Right now?

[Pounding]

Hey!

I-I can't have this baby here... without Richard...

Hey!

.. and my birthing playlist.

Elliot: Help!

What do we do?

You can help me by staying calm, okay?

The same goes for you, sugar bear.

♪ ♪

[Sirens blaring]

[Indistinct conversations]

25 patients have landed and are being retriaged.

The rest are still en route.

Good. Still no word about when we're going to get power back.

Dr. Rorish.

I'm Dr. Carrie, Director of Medicine here.

Thank you for accommodating us.

Oh, happy to help.

I have to admit we're not exactly equipped to handle this kind of influx of patients.

Would you, uh, get every mobile monitor we have down here?

I'd like to prioritize our patients for imaging.

Oh, we'll prioritize all patients based on acuity, whether they came from Angels or they came here. Okay?

Sounds good.

[Beep]

Emily: Hey, leave me a message.

[Cellphone beeps]

Your daughter all right?

How'd you know?

I've seen enough worried fathers.

Yeah, well, couldn't get ahold of her or the sitter.

Mm-hmm.

Renee: Hello? Hello?

Jesse.

You're at Angels Memorial, Renee.

There was complications with the procedure.

What?

And there's a power outage, but everything's gonna be just fine.

Did Dr. Silverman finish the surgery?

I'm sorry. No.

What's the significance of June 21st?

You seem to know.

The only att*ck on a mainland U.S. m*llitary base in World w*r II.

Happened in Fort Stevens. July 21, 1942. Japanese sub.

It sounds like she was there.

Still is.

Right now, she's an army nurse in World w*r II.

Her dementia is like a time machine.

You give him a tetanus booster and some ibuprofen.

I don't think it's dementia.

She could be delirious from blood loss.

Look next to the kidneys. That's blood.

Great.

Have you ever operated on someone?

[Drowsily] I assisted in a hernia operation once.

I... [Exhales sharply]

I'm a psychiatrist, not a surgeon.

Don't worry about me. Go.

Go help the others.

I can do the operation, but I need the equipment that's upstairs.

It's eight flights.

Obviously, we have to take the stairs.

Eight flights?

We can do that.

But slowly.

Even a bump, she could bleed out.

Oh, George, you always worry too much.

[Indistinct conversations]

[Radio chatter]

Is Mr. Rothbart one of yours?

Yeah.

The nurse gave me his C.T. by mistake.

Oh, he fell, hit his head. Came in before the power went out.

It's not good. It's a small epidural.

Yeah. Brain bleed. Page the neurosurgeon, please.

You don't have time for a neurosurgeon.

He needs a burr hole.

[Scoffs] We'll wait for the neurosurgeon.

He's probably out in Los Angeles somewhere in the same blackout we're in.

The patient's not posturing, he's awake, alert.

You said so yourself, it's a small bleed.

For now, but it could get bigger.

It's better to relieve it before he crashes.

Dr. Rorish, this is my house, and we'll do it my way.

With all due respect, you're not used to this. I am.

I'm going to give him mannitol, and start a nicardipine drip to lower his I.C.P, buy some time for the specialist to arrive.

If that doesn't work, then and only then will we take extreme measures.

Thank you.

Okay, can you check the water seal on the chest tube on bed 3?

Yes, Doctor.

Dr. Leighton, dislocated shoulder.

Okay. It's, uh... let's park him right here and, uh, give him 5 of morphine.

Okay.

You Angels doctors sure are making yourselves at home, huh?

Whoa. I feel super weird.

Right here. Here we go.

Behind you. There you go.

Kelly Pruitt.

Angus Leighton.

We're all out of monitors so manual workup it is.

I'll help you.

Okay.

[Sirens wailing]

Um, so did the dizziness just start?

Uh, no. It started three nights ago.

I've been feeling really off and sleeping a lot.

Lungs are good.

Pulse is a little weak.

Any chronic medical issues?

I eat all organic. I drink tea instead of coffee.

I do pilates every day.

Dr. Pruitt, you feel this?

What's wrong with me?

You have an irregular pulse.

Uh, we need to get you on a monitor.

Thanks.

[Groaning, grunts]

What's going on?

The baby's stuck.

Let me try.

What's happening?

[Knocking]

Richard: Hey. Hello?

We're in here!

Richard: Serena?

Richard! Yeah, I'm here!

Oh, thank God. I've been looking for you on every floor.

Are you okay?

The baby's coming!

In the elevator?

[Both grunts]

Is the baby okay?

Say yes. Say yes.

Look, you need to find a way to get us out, okay?

Everything that is important to me in the world is behind this door.

[Crying]

Richard: Okay, I'm going to get you out of there!

If I pull any harder, I'm gonna break the clavicle.

[Serena groaning]

Blanche: How did they get through the mine field?

We have to warn Astoria.

Ethan: You need to calm down, Blanche.

You know what? Let's put her down.

Okay.

They're still shelling us.

Nobody's shelling us.

They didn't att*ck any other cities.

How could you know that?

'Cause it happened over 70 years ago.

[Grunts]

She's out. It's the blood loss.

Try playing along with her.

What do you mean?

She... she's back in 1942 right now.

Yeah, under heavy fire, and it's agitating her.

I'm not so sure about that.

Have you ever been under heavy fire?

No, but you have, and I think you miss it.

That's why you go on all those ambulance ride-alongs, because you need that adrenaline rush.

The reason I go out there is to bring the golden hour to people who are dying otherwise.

It has nothing to do with wanting to be back in the w*r.

From the moment you got here, you've been talking about going back.

I left good people there.

Or you think you left yourself there.

Is that what you meant when you told me you... you've been dead once?

I'm not your patient, Doctor.

No, but you can talk to me about it.

We should get movin'.

George.

Okay.

Are we f*ring at them?

George?

Try, for her.

It'll comfort her.

I'm here, Blanche.

Mm.

We didn't return fire because we don't want their gunners to know our position.

The base is safe.

Oh, dear God.

If they can hit us here at home, what will we do now?

She's diaphoretic. She's going into shock.

For some, being without power is just an inconvenience, but for patients at Angels Memorial, it can be the difference between life and death.

All right, keep moving, people. You're almost there.

What you in for?

It's private.

Oh.

Well, I-I got a piranha eating me from the inside. [Chuckles]

Real slow.

I think I'm gonna...

[Vomits]

You... you okay?

[Groans]

H-hey. She got a piranha!

Over here!

Sir, could you please get up?

Mario: Possible ovarian torsion.

Power went out before I could get her an ultrasound.

Pulse is weak.

I feel a large pulsatile mass.

An aortic aneurysm?

Yeah.

Are you sure?

Yes. I think.

We have to get her to Peterson.

Could rupture any time.

Man: We should just sit down.

Keep moving! Let's go!

Noa: Keep going, guys.

Out of the way. Go, go, go!

[Radio chatter]

Woman: Pressure bags.

His brain is herniating.

I know. I found a drill.

You can't do that now.

We're gonna need some lido.

You gonna do that here?

You bet I am.

His pupils are fixed and dilated. Stop.

Come on. Come on, Mr. Rothbart. Come on.

We're too late.

♪ ♪

Time of death... 9:38 P.M.

♪ ♪

Noa: Okay, let's go. Let's go. Excuse me, excuse me.

Out of the way, out of the way.

Tina?

Mario, we can't stop.

She's losing her pulse. The aneurysm's ruptured.

We need to get her to Peterson. We're five minutes away.

We don't have five minutes. She's losing too much blood.

Give me the ambu-bag, forceps, and a scalpel.

What are you gonna do, open her up right here?

She's got a ruptured triple-a. We have to stop the bleed.

That's insane.

This is her only sh*t.

Hey!

Stop!

[Horn honks]

Medical emergency!

What?

We're doing it in the ambulance.

[Monitor beeping rapidly]

[Breathing heavily]

[Groans]

What's happening? The baby.

No, it's okay. It's okay. We just lost the monitor.

[Grunts]

Richard!

Serena. Are you okay?

The baby's stuck. What do you mean stuck?

What about a C-section?

In an elevator?

We don't have the equipment.

We have oxygen, lido, and a scalpel.

[Unzips bag]

[Groans]

A symphysiotomy.

Never heard of that.

That's because it's a medieval procedure that nobody does anymore.

Have you ever done it?

No.

Then we're not doing it.

Risa: I'm going for supplies. It's our only option.

We cut the cartilage of your pelvic joint so we can widen it and allow the baby to get out.

Inject the lidocaine.

Wait a second.

This is the only option?

Yes.

Do it. Just save our baby. Please.

♪ ♪

[Breathing heavily]

George?

I'm right here, Blanche.

How you doin'?

You have to stay awake.

Put her down. All right.

Okay.

Blanche. Blanche?

Need you to stay awake.

Huh?

[Sirens wailing in distance]

George...

Tell me about our first date again.

I don't remember our first date.

Men. [Laughs]

We... we went to Astoria for a movie.

What movie did we see?

"How Green Was My Valley."

It was a depressing picture. [Chuckles] Remember?

And... and then we went for a walk on the beach.

Who goes for a walk on a beach at night?

The beach at night is peaceful.

It was raining, and we were soaked, but we didn't care.

You kissed me.

The beach and the rain...

Can't get any more romantic than that.

[Whispers] Oh.

You asked me to close my eyes... and count backwards from five.

And you kissed me at three. [Chuckles]

He is very forward.

It was a perfect moment.

You don't get too many of those in life.

All right, we should get going.

One more floor.

Okay.

[Sirens wailing]

[Radio chatter]

[Indistinct conversation]

[Exhales sharply]

[Monitor beeping rapidly]

I need a crash cart over here!

All right, get me an amp of epi and charge at 360.

Wait. Hold it, hold it. Dr. Pruitt.

Do you see that U-wave?

Are you sure that's not just a bad baseline?

Yes. That's low potassium.

How the hell do you know that?

It explains the symptoms.

So does dehydration, virus, pregnancy.

Smell that? That's licorice root tea.

Licorice causes the excretion of potassium.

Which can affect the heart?

Yeah, she's practically mainlining it.

Come on, you pump her full of potassium and you're wrong, her heart will stop.

No, look, you are focused on the wrong things.

Think about the symptoms.

They are telling us exactly what this is.

You gotta look at the whole picture.

All right, hanging 20 wide open.

Here we go. All right.

Hey, this is gonna work, I promise.

[Sighs] Come on, come on, come on.

We are back in sinus.

How you feeling?

My chest hurts.

That was from being shocked.

And my pride.

[Sighs]

Dr. Silverman said I could be perfect.

[Chuckles]

You don't understand.

You can't.

I'm a 52-year-old divorcée, and now I'm a 52-year-old divorcée with a mastectomy.

I just wanna be...

Just wanna be you again.

And a little Uma.

Circa "Dangerous Liaisons."

[Chuckles]

[Monitor beeping rapidly]

[Beeping stops]

[Gasping]

Dr. Campbell!

What?

[Gasping]

Pulse is racing.

Try to stay calm.

Jesse, I can't breathe.

I don't know if I'm dealing with an S.V.T, a-fib, v-tach.

I'm literally sh**ting in the dark here.

Hold on. Hold on.

I need that monitor.

Hold on.

Let's go, people!

Dr. Campbell...

Before she goes into cardiac arrest.

Dr. Campbell, breathe.

I give her the wrong meds, we can push her pulse to 300.

[Monitor beeping rapidly]

Here we go. QRS waves are narrow and regular.

S.V.T. I need adenosine.

Okay. Coming up.

Listen, Renee, this is gonna stop your heart for a second.

It's just like a reboot. Don't worry.

Hold on.

Push 12 milligrams.

Hold on.

I'm not gonna let nothing happen to you, okay?

Hold on. Ready?

[Gasps]

[Monitor flatlining]

[Monitor beeping steadily]

[Exhales]

It worked.

We need to start her on P.O. metoprolol.

She's gonna be okay.

And check her chem-12 as soon as the power comes back on.

I was speaking about your daughter.

She's a smart kid.

Tough like her dad.

There. I have my hand on the aorta.

Why are we stopped?

Man: The traffic's jammed.

Noa, focus.

I need you to place the clamp.

Me?

Do it.

Run your hand along the back of the thorax.

That's it.

We need to get this thing moving! Now!

[Tires screech]

[Siren wailing]

♪ ♪

Noa: Dr. Rorish!

Ruptured triple-a. We cross-clamped in the field.

What... you opened her on the street?

No, in an ambulance.

What were your indications for doing a thoracotomy in the field?

She had a large pulsatile mass and she lost pulse.

It was the only chance she had.

Okay. She needs an O.R. Where to?

Whoa, we don't have an operating room.

We'll use an exam room.

We're not surgeons. You're not a surgeon.

I get that a lot.

But we can do this. We have to.

This is hardly a sterile field.

We left sterile a long time ago.

I wonder where they get it.

Dr. Rorish...

She needs a surgeon, not a cowboy.

A cowboy is exactly what she needs.

So either put on your spurs or get out of my way.

Richard: Serena?

What... what's happening? Is she okay?

Okay, I've dissected down to the cartilage.

You're gonna feel some pressure.

Get ready to pull out the baby.

I am.

Okay, Serena, whatever happens, just try to stay still.

[Whimpering]

[Tall Heights' by "Spirit Cold" playing]

Oh, baby! Our birthing playlist.

Cutting now.

[Screams]

♪ If only we knew the things we know ♪
♪ There's a question ages old ♪
♪ Let me down easy, let me down slow ♪
♪ If all good things ever come and go ♪

[Baby crying]

♪ Let me back down in a place I know ♪
♪ Hold the nail for the hammer stroke ♪
♪ Oh, oh, oh ♪
♪ Oh-oh, oh-oh, oh-oh ♪
♪ This my trash ♪
♪ This my tome ♪
♪ Oh, oh, oh ♪
♪ Oh-oh, oh-oh, oh-oh ♪
♪ This my blood ♪
♪ This my bone ♪
♪ How do I learn my dreams to mold? ♪
♪ To lay them bare in the morning cold? ♪
♪ If they're still out there then the chasm grows ♪
♪ For all you know, for all you've known ♪

You're all insane.

And you're very good at what you do.

Yes, we are.

But let's never do that again.

♪ ♪

There's a lot of blood.

She must have torn her hypogastric artery, venous plexus.

There's no way she survives this operation.

George...

I'm here, Blanche.

I know you're going to leave.

I know you're going to go to Europe, but I'd... I'd never admit it in front of the girls.

I... don't want you to go.

I'm right here, Blanche.

[Whispering] Promise me.

Promise me you'll come back.

[Breathing deeply]

I... I don't wanna... live without you. I...

[Voice breaks] George, I'm scared.

I'm scared. George...

[Crying]

Blanche...

It's all right, darling.

Look at me.

There.

♪ ♪

I want you to close your eyes.

Close your eyes... and count backward from five.

Five... four... three...

[Gasps]

♪ ♪

[Whispers] You're with George now.

[Indistinct conversations]

I'd avoid the licorice.

[Both laughs]

Your, uh, vending machine is way better than ours.

[Chuckles]

Hey, um, thank you for help in there.

You would've figured it out.

That's sweet. And a lie.

God, you were so far ahead of me on that diagnosis.

Hey, I was offered a position at Angels a few years back.

I turned it down.

Really?

Mm-hmm.

Why?

Being a great doctor is a 24-hour a day job.

Keeping up with all the journals, best practices, all that research, so...

I chose being a good doctor.

Seems like you're on the other path.

Doctor... Dr. Pruitt, um...

Uh, would you like to have a coffee with me?

Or tea Sure.

That sounds nice.

♪ ♪

Listen, about what we did today, I never would've put you in that situation if I didn't think it was necessary.

Okay.

It's just... last year, I forced Angus... into a-a dry thoracotomy.

It was the wrong call, and I think about that a lot.

Aw. You got scared.

I didn't say that.

Uh, just to be clear, still not flirting.

Nope.

[Man screams]

Uh, what the hell was that?

I think Ken just passed his kidney stone.

I'll go check on him.

Yeah.

Yeah.

She loved him her whole life. Never got over him.

No, she didn't.

The mind is cruel.

Yeah, sometimes.

But in the end, it brought her to the place she wanted to be, and the person who made her feel safe.

I suppose.

But it's living without that person that's the problem.

[Lights clank]

[Cheering, whistling]

All right. Let's get back downstairs.

[Elevator bell dings]

[Baby crying]

Meet your daughter.

She's perfect.

[Continues crying]

Nice work, Dr. Dixon.

Thank you.

You know, you looked a lot better when the lights were out.

Me?

Your hair look like it just mopped up Center Stage.

Are you leaving already?

I just thought that...

I miss you, too, but I don't work here.

Finally got ahold of Emily. She's safe.

That's good to hear.

Yeah.

Look, uh, Jesse, I know we had our differences...

And I should've spoken to Dr. Guthrie sooner.

I should've made him step back. That's on me.

Well, Rollie deserved the benefit of the doubt.

So do you.

Look, I acted out of anger.

And you, of all people, deserve better.

[Clears throat]

I'd like to offer you your job back.

So you want your mama back, huh?

I... I didn't... I didn't say that.

Say it. Come on. I wanna hear the words.

Jesse.

I... I'm not gonna say it.

Well, if he doesn't say it, I'm not coming back.

Well...

I'll see you tomorrow.

Come on now. Don't be shy. Say the words.

Let me hear it. Come on.

I want my mama back.

♪ ♪