04x04 - Backed Against the Wall

[bunniefuu]

♪

Bring on the day.

Me too.

Peanut butter-banana-bacon sandwich.

Delicious.

Elvis was on to something.

I get it, you crave calories.

But I told you, healthy ones are best for the baby.

I know... that's why I doubled up on the bananas.

Anyway, just came in to say, I give up.

You've been nagging me to meet Bernie.

He's been all over me to meet you, so let's just get it over with.

I can meet tonight after work.

Molly's?

Maybe in, like, an hour?

Hospital café?

Bernie's got a tight schedule.

I want to meet Bernie more than I want to argue with you.

So fine. I'll be there.

Thank you.

He's a really good guy, Ethan.

I love him.

You will, too.

Linda Harper, 28-year-old female, GCS 12, diaphoretic, and very confused.

BP 100 over 76. Heart rate 120.

Normal sinus rhythm EKG.

Dad said Mom's been fighting a cold the last few weeks.

Today she was holding the baby and passed out.

Landed on him. - Okay.

It's okay, little man. Dad's right here.

Everything's gonna be all right.

Evan Harper, 18-month-old male, gross deformity of the right arm, splinted in the field, no other apparent injuries, .10 morphine en route.

Okay, his arm needs to be reduced and casted.

Let's do it in special procedures.

We need to set his fracture.

He's only a toddler. It's safer to do it upstairs.

But my wife's staying here. Go be with your son.

We'll take really good care of your wife.

Linda, I'm right here.

I'm right here. I've gotta go be with Evan.

I'll be back as soon as I can.

Will you call her brother Manny?

I don't want her to be alone. Yeah.

I'll get the number, get him down here. - Thank you.

All right, let's get a CBC, CMP, COAGS, cardiac labs, and let's start a 12 Lead EKG.

Whoa, Dr. Manning.

Oh, my God.

♪

Your patient's brother is here, Manny Calderon.

Ah, thank you, Leah.

Mr. Calderon?

Hi, I'm Dr. Manning.

I've been treating your sister, Linda.

The nurse said she fell.

She passed out. We're trying to figure out why.

He has a broken arm, but he's going to be okay.

James is with him, and until he comes back, Linda said I can share with you what I've learned so far.

Come on, I'll take you back to her.

So, Linda's upper body is covered in bruises.

There's also petechiae... the small capillaries of her skin are inflamed and bleeding.

I think it's all a result of something happening inside her body.

She has more than a cold then.

Until I know more, I don't want to speculate.

Here, she's in here.

Manny.

Okay?

Great. Emily asked you to be the buffer for the Bernie introduction, didn't she?

She's nervous. She wants you to like him.

Or at least not scare him.

Right, because I'm the problem in this.

Just try to have an open mind.

Hey, Emily.

Ethan, this is my boyfriend Bernard Kim.

Call me Bernie.

Nice to meet you.

Honey, this is April.

Oh, April, it's lovely to meet you.

Oh, okay, we're hugging.

Emily and I are just... We're just so touched by how supportive you've been and... thank you.

It's my pleasure.

So, why don't we grab a table?

Keep things moving? Babe?

Yeah.

Greetings are done. Nobody ran.

You don't need me anymore.

♪ Look, I am not bragging when I say that this hybrid O.R. could revolutionize trauma surgery's interaction with emergency medicine.

It's set up for interventional and open procedures.

We've got surgical lights, we've got a C-arm, case carts.

There is a scrub room right outside.

Okay, maybe I'm bragging just a little bit.

Doctor, can I get a sh*t of you in front of the operating table?

Yeah, sure.

All right, thank you, everybody.

The hospital's PR department will forward you complete press kits.

Thank you.

So, I'm going to bring the "Trib" through in five and then the local NBC affiliate after that.

I'll be ready.

I really appreciate your putting on the charm.

Mrs. Goodwin, you built me Xanadu.

I would sing and dance for you if you wanted.

Oh, I'm gonna hold you to that.

Oh, my God, it's Doctor Connor Rhodes.

Can I have your autograph?

You're gonna have to get in line.

I'm kind of a big deal around here.

I've gotta admit, this is an impressive space.

Yeah. Feels right.

Look, um... now that I am officially open for business, it's pretty easy to see how jumping the g*n last week was a mistake.

I'm sorry.

Are we good? - We're good.

It's Latham. I've gotta go.

Congratulations, Connor.

Thank you.

Hey, you could have told me Bernie's old enough to be my dad.

First, that's an exaggeration.

Second, I didn't know.

It's just a number, right? Does it really matter?

No, not if Emily acted like an adult instead of a 12-year-old.

You mean like how you're acting right now?

April, every boyfriend my sister's had has been a train wreck.

You really think Bernie, who she met in AA, who's 20 years older, is gonna be different?

Well, I mean, she does, so you have to give him a chance.

I wanted to, but then I walked into the cafeteria and I saw the same red flags.

April, I know how this ends.

He splits, she folds, and I'm left to pick up the pieces.

Let's just hope this time you're wrong, okay?

Look, I've gotta get on transport right now.

Let's pick this up later.

The OTCs did nothing.

Urgent care prescribed Zofran and Immodium.

Been taking them for over a week, but...

Oh, it's so embarrassing.

It's okay, I get it. Both ends?

I haven't eaten in days. Where is it all coming from?

Likely viral gastroenteritis.

Urgent care said the same thing, but I've been like this almost a month, and it's not even flu season.

Unfortunately, there's often an exception to the rule, and this time it's you.

Tests? CBC, CMP, quantitative HCG.

Oh, that hurts.

CT abdomen and pelvis, got it.

Techs will be by soon to take you for your scan.

The sooner the better. I really feel like crap.

Ms. Blake, I'm Dr. Choi.

Oh, thank God. Finally, a real doctor.

44-year-old female, complaints of lumbago.

Pain 10 out of 10.

HPI symptoms... The important info...

I was getting dressed for work, bent down to put on my shoes, and my back locked up.

Well, why don't we take a look?

Is it okay if student doctor McNeal examines you?

Oh, wonderful. - I'll be gentle.

Guess you can't make the pain any worse.

Ow. Ah.

Laid on the floor for an hour hoping the pain would ease up.

Nothing.

Oh... mm...

I see a surgical scar.

L4. Two years ago.

Felt pretty good right after, but these days it feels like a bad sneeze could paralyze me.

Unfortunately, as common as back pain is, there's not a perfect fix.

Slow, slow.

Press against my hand like a gas pedal.

It hurts.

Stabbing pain.

We have to do the other leg?

It's gonna hurt, too.

So will flexion, extension, the femoral stretch, FABER test.

Been down this road a few times?

Today's the worst it's ever been, though.

Five of Valium for the spasm?

Oh, bless you.

Ohh...

She got on you a bit.

Patients are going to do that. Don't take it personally.

It's all good. When I was playing ball, I had an OC could rip me a new one like no other.

Compared to him, Nora's a peach.

Hey, Doc. - Hey.

Not here.

♪ Here's the deal.

Your voice on Ray Burke's wire is a problem.

Yeah, Jay told me. I'm sorry.

I didn't know PD had something going on with him.

Well, it's not just PD. Feds are in on this too.

It's a joint task force. Listen.

I just came to give you the heads-up.

They're looking your way now.

Mm-hmm.

Taking kickbacks.

What the hell are you talking about?

You ran Ray's blood for free and off the books, then accepted a sweetheart deal on his wedding venue.

It's a bad move.

I was treating a patient from the neighborhood.

E.D. docs, they make house calls all the time.

They've never been an issue with the hospital.

Well, they are with the Feds.

Unbelievable. Yeah, I... look.

You can still get ahead of this, okay?

You can make it go away.

'Cause from now on, whatever happens between you and Ray, pass it on.

Become a CI for the taskforce. An informant.

That's crazy. No way.

Doc, this is a big case. High priority, understand?

You don't have a lot of options.

Maybe, but I'm... I'm still not doing it.

Will, listen to me.

You get jammed up with the Feds, it could cost you your medical license.

I said no.

It's the wrong answer.

I'll be in touch.

Doctor.

BP's dropping, down to 90 over 70.

Heart rate's jumped, 130.

Spleen's abnormal. Ultrasound.

Spleen is grossly enlarged.

Also, free fluid in the abdomen.

Wasn't there on intake.

Grab two units and then let's move.

I need some help!

She's bleeding internally. We need to get her up to surgery now to control it.

She'll be okay though, right?

Doctor Manning. - Hi.

Linda, your labs came back.

The cold you can't shake, the bruising and petechiae, and now your spleen...

They're from Primary Myelofibrosis.

It's a type of leukemia.

Oh, my God.

Leukemia.

That's cancer.

It is. There are some medications that treat the disease, but the side effects can be extreme and the results are unproven.

There is one treatment that can offer a cure.

It's a stem cell transplant.

There's a list, right?

I'll be at the bottom.

No, no.

There are lists for organs like hearts and lungs.

Because they come from deceased donors, there's a limited supply.

But stem cells come from living donors.

So anyone able to give blood can likely also give stem cells.

There are a lot of options.

See, baby, we're gonna b*at this.

Thank you, Doctor Manning.

Of course.

I'll call hematology to get things started, okay?

Gracias.

BP's still low, temp's ticked up, 102.

And three trips to the bathroom.

I couldn't even keep down ice chips.

I'm sorry. I wish I had an answer.

All your blood work was within normal limits.

And the CT did show a cyst in your ovaries, but that's not uncommon.

Yeah, my sister has the same thing.

Stiff.

Off and on.

Set up for a lumbar puncture?

For the flu?

It's possible that it's evolved into encephalitis or meningitis.

I will never skip another flu sh*t, I swear.

Is there someone we can call for you?

No, my girlfriends, they'll bring drama I don't need right now.

Mm-hmm.

What about your sister?

She and my parents live out of state.

It's okay, I've got my podcasts, and they can actually go with me into the bathroom.

They might make better company, then.

I see the Valium's helping.

I'm trying to move around a little, loosen things up.

Those my CT results?

Yes, scans show spinal degeneration and scar tissue at L3 through L5.

We suspect it's chronic and not the cause of today's pain.

That's likely structural, so... You want an MRI.

Compare it to the scan taken when I had surgery two years ago to see if anything's different.

Forgot. You know the drill.

Yeah, so I know an MRI won't show anything more than the CT.

You'll give me some low grade muscle relaxer, recommend physical therapy, but those meds won't do anything more than a baby aspirin.

And I'm a lawyer, a partner at Astor, Caldwell and Davis.

I don't have time to lie on the floor doing pelvic bridges with some glorified trainer.

So how about you just write me a script for what will work?

Norco 10-325s, then we can all get on with our lives.

I'll talk to the pharmacy.

I take it back.

I think Nora's got the edge over my old coach.

What are you doing? Running Nora's name through the Illinois prescription database.

See if she's flagged as a frequent flyer.

You think she's just trying to score pills?

Faking her pain? - Maybe.

Dodging an MRI and then immediately pressing for meds reeks of a con job.

She's not on file.

Still doesn't mean we're getting the whole story.

Nora had her back surgery at East Mercy.

Call over there. See if she's only coming to us because they cut her off.

Cesar. - Ricky Glendon, 19.

Hit by a bus. GCS 5, intubated on scene.

Hypotensive, but no obvious long bone deformities.

Belly's hard as a rock. Maggie?

I got you. Baghdad's ready.

All right, let's get him in.

All right. On my count.

One, two, three.

Give me the ultrasound.

Fast scan's positive.

There's free fluid in the belly.

I need to get in there.

We'll do it in the hybrid O.R. Maggie, decision time.

You on my team or no?

I'm in. - Good.

Page anesthesia, assemble the others, and prep the hybrid O.R. for surgery.

Copy that. April.

Take over the AD?

As long as you need. All right.

Call me back.

Better yet, stop by the hospital.

Uh, yeah, just... you know Jay and I, still arguing over Dad's stuff.

I thought Pat didn't hold on to anything.

Yeah, he didn't. These are old baseball cards.

Oh.

So what was all that with Voight this morning?

So secretive.

Nothing, uh... he wanted a curbside diagnosis because he doesn't trust his own doctor.

He's a pain in the ass.

He should get a second opinion for that.

Get it? Pain... in the ass.

Oh, yeah. That's funny.

Ha. No, it wasn't.

But that's why I love you.

Oh, it's Goodwin. I gotta go.

I'll see you.

We get a stem cell donor for Linda?

Come in and close the door.

There's a problem.

Linda Harper isn't a U.S. citizen.

That complicates her ability to access a transplant network.

Patients can't be denied based on immigration status.

No, but they can if they're unable to prove they have stable insurance to cover the procedure and the follow-up cost.

But she has insurance.

James, her husband, is a citizen and covered by Medicaid. Doesn't that include Linda?

The marriage allows Linda to apply for a green card, but until she has official legal status, James' Medicaid does not extend to her.

This is ridiculous.

So despite the abundance of stem cell donors out there, Linda can't get to any of them because of red tape?

Ms. Goodwin, a transplant is the only treatment that can save her life.

I know.

That's why I think the family should bypass the network altogether with a direct donation from her brother, Manny.

It's expensive, I know.

But there's not a better option.

I'll speak with James.

All right.

Thank you. - Mm-hmm.

When this is tied, the mesentery will be hemostatic.

Marty, talk to me. Massive ST elevations.

Kid's 19 and he's having a heart att*ck?

Apparently. We need an angiogram.

Let's get the C-arm in place. Maggie?

Introducer kit, wire and lead.

Read my mind. Let's go.

So, your LP revealed a high presence of white cells in your cerebral spinal fluid.

So it is encephalitis or meningitis.

Yes and no. The search for the infecting bacteria or virus was inconclusive.

You have the symptoms, but not the cause.

That's strange, isn't it?

Tara, you're slurring.

My face feels weird. Tingly.

Ptosis of the left eyelid. It's really droopy.

Left corner of the mouth is lagging.

Seventh cranial nerve issue?

Mm-hmm.

Does your mouth feel dry?

Tastes like metal.

These new signs... whatever is going on, it is definitely affecting her brain.

Let's get an MRI and push her to the front of the list.

Squeeze my fingers.

We're gonna find out.

Order a transvaginal ultrasound as well.

Why?

We already saw them on the CT.

Yeah, well, I want a better look.

Okay.

I understand it's an enormous amount of money.

I don't care.

We'll take out loans, sell the car.

It's Linda's life.

And in all honesty, this is the hardest part.

The medicine itself is straightforward.

Manny, as Linda's brother, you are the ideal candidate to donate your stem cells.

It's a series of infusions to boost your bone marrow production.

Today.

By the end of next week, it's likely you'll be able to donate to Linda.

Manny, you all right?

I don't know.

Mr. Calderon, it's a simple procedure.

I don't think I can.

Donate.

Manny, what the hell are you talking about?

I'm sorry, James. I just... I can't.

Manny, you have to.

Mr. Calderon, I don't know if you understand.

If we don't do this transplant, your sister...

I know. But I can't.

What the hell's wrong with you?

You're her brother.

Then leave. - Mr. Harper...

If you're not gonna help, just get the hell out of here.

I said out!

♪

I'm sorry, James.

Without you, she'll die.

♪

Your sister needs you, Mr. Calderon.

Please, help us understand your decision.

Donating stem cells means my name goes into your system.

They monitor them. That's how they get you.

Ah.

You're undocumented as well, aren't you?

Yes.

And so is my wife.

She's pregnant.

I love my sister.

I risked our lives to get us here from El Salvador, but... if I get deported...

The hospital is prohibited from sharing personal data to law enforcement.

That includes immigration officials.

No one will know you're here.

Government will find out.

They'll come for me and then for my wife.

Mr. Calderon, I realize that these are uncertain times for immigrants but you'd be donating stem cells to your sister.

You'd be saving her life. They won't care.

You don't understand. How could you?

But it's real.

They take people from work, from home.

They separate families.

I might never see my wife again.

Meet our child.

I'm sorry.

No.

Damn it, the tear is too close to the takeoff of the LAD.

I can't deploy the stent without occluding the left main.

We're gonna have to cr*ck him open and revascularize.

I'll call upstairs and get us a bypass machine and perfusionist. And Dr. Bardovi, too.

I'm going to need an extra set of hands to assist.

Okay, let's prep and drape.

On it.

Tara's MRI results.

Clean... no tumors, lesions, or clots.

And the transvaginal ultrasound.

Scan only shows simple ovarian cysts.

Nothing abnormal. Are you going to fill me in on why you doubled back to look at the cysts?

I thought one might have been a teratoma.

A clump of cells that shouldn't be there.

Well, it would explain the sharpness she feels in her abdomen, and if the teratoma contains primitive brain cells... could have tricked her immune system into attacking her actual brain cells.

Causing the neurologic symptoms.

Okay, yeah, I see the connections, but the kind of teratoma that you're describing is super rare. - Yes.

But a teratoma is the only thing that connects all her symptoms.

Then why didn't it show up on the ultrasound?

I don't know.

But just because a radiologist couldn't see it does not mean it's not there.

Dr. Halstead, there are cysts in each ovary.

Even if there is a teratoma hiding, you don't know which one it's in.

Yeah.

Our only move would be to push for surgery.

Take them both out.

An oophorectomy.

You want me to call gyne?

She's only 30.

I do this, she won't be able to have kids.

No. Start over. Take a new history.

Draw all new labs and test for zebras.

Start with an ANA, SSA, SSB, and antithyroglobulin antibodies.

Okay.

♪ Connor.

Oh, wow.

I asked for the CT fellow and I get the Attending.

My new title really carries some weight.

Easy there, tiger.

You only got me because the elective CABG I was starting is now on hold because your trauma needs a bypass machine.

Also maybe because you miss operating with me.

Scrub in.

Bypass machine should be down here any minute.

Actually, I put a hold on that order.

Machine's already prepped and ready for use up in the O.R.

Simpler to bring your patient up than the equipment down.

You're right. Let's do it.

Guess I do miss operating with you.

Love hearing you say I'm right.

Just heard back from East Mercy.

Nora's not on file as a frequent flier.

Never been a patient there.

Well, she definitely had a surgery.

Scar on her back is clear proof.

Well, I'll start calling other hospitals, see if she's on file somewhere else.

If Nora is playing us, it stands to reason she'd also lie about where she had her operation.

Maybe it's simpler than that.

If I were trying to game the system, I certainly wouldn't use my real name.

So, if she's not Nora Blake, who is she?

Good question.

Dr. Charles, can I ask you something?

I've got a strong feeling my patient gave a fake name to get a prescription. - Huh.

You think we're dealing with addiction?

Likely, but I can't help her with it if I can't separate fact from fiction.

You know, often when people lie, they tend to describe things in generalities.

But when they use specifics, it's more likely they're telling the truth.

Your patient give you any details?

The type of meds she wanted.

Oh, and her job.

That she's a partner at a law firm.

Astor, Caldwell, and Davis.

Hmm. Start there.

Thanks.

There.

Nora Blake is actually Brenna McDouglas.

Gotcha.

No, I'm sorry.

You don't have enough HLA markers in common with Linda.

He's the only other blood relation.

It's possible, but the injections needed to boost stem cells increase the chance that the donors themselves develop leukemia in the future.

Evan's family history and his young age...

His risk would be significantly higher.

Stem cells can also be extracted directly from Evan's bone marrow, but it's an invasive process, and given Evan's weight, it would take multiple procedures to harvest the amount of cells needed.

It would be painful for him, and I can't guarantee it would be successful for you.

♪ So the only way to save my wife is to give my son the disease that's k*lling her or put him through hell and hope for the best?

I'll donate my stem cells.

I came to the United States for a better life.

Linda has one with James and Evan.

I can't take that from her.

Fine, you got me.

My name's Brenna McDouglas, not Nora Blake.

Can I have my prescription now?

It may feel like you need them, but more pills aren't the answer.

I'm in pain. Don't you even care?

Yes, we care.

And we want to help.

Let us set you up with an addiction therapist who can devise a pain management strategy that doesn't involve opioids.

Here's some referrals that I think you should take a look at.

No! I don't need a therapist or a new plan.

I need my refill.

What is the big deal? My God.

I'm a lawyer with great insurance, not some junkie off the street.

Or worse, some hombre that probably can't even speak the language.

That guy in the next room... Mexican or whatever...

He att*cked a man.

He fought him right in the emergency room.

But nobody gave him a hard time or prevented his care.

No. The doctor, the administrator...

They're bending over backwards for him.

There is no way he comes before me.

So give me my prescription or, so help me, I will sue you and this entire emergency room.

No.

Then get out, and send me your boss.

♪ Dr. Lanik, my patient would like a word.

♪

Routine LIMA procedure should do it.

Mammary artery's a perfect size match.

But, if for any reason it feels off, we'll use the saphenous vein instead.

What, you disagree?

No, approach is spot on, just wondering why you're in the lead surgeon position.

Because this is my patient.

He was when he was downstairs, but now he's upstairs.

I've been with Ricky since he entered the E.D.

I'm gonna see him through to the end.

And I have no problem with that, as long as it's as my number two.

Scalpel please, Beth.

Stop.

Beth, scalpel. Hand him that instrument, and you're off my team. This is my O.R., Dr. Rhodes...

You can assist or you can leave.

What will it be?

♪

I already told you, the CT cases on the CT floor belong to the CT Attending.

This shouldn't have even been an issue.

No, because I wouldn't even be up here if I had a bypass machine downstairs.

Well, you don't. Scalpel.

♪

It's about time.

I've been trying to reach you for hours.

Voight says the Feds want to come after me.

Yeah, I know.

You couldn't let me know I was about to get sucker punched?

The Feds kept it from me. They know you're my brother.

That I'd run interference.

Deaf ears.

PD, the Feds, they've been looking for a way into Ray Burke's circle for years.

Now they got one, they're not letting go.

I'm calling Ray, I'm giving the venue back.

This is not worth it to save a few bucks.

Will, you can't do that.

Judges are expediting warrants and your clearance in the CI program. This is happening.

Look, I'm not happy about making you a CI.

But Ray Burke is a bad guy.

Have I told you about all the felonies?

Will, they want him for m*rder. He's gotta go away.

So if I was running the task force, yeah, I'd wanna use you too.

Ray's that dangerous a criminal and your best plan to nab him is me.

He hardly ever lets anyone but family past the front door.

You're perfect. You're a squeaky clean kid from the neighborhood who's now an attending at a big-time hospital.

For Christ's sakes, he invited you in.

This is insane.

Sometimes you've gotta do things you don't want to do.

That's life. - No.

Screw the task force, screw Voight, and screw you.

She's seizing. - 5 of Ativan.

SATs have plummeted. 70.

Face and lips are turning blue; she's cyanotic.

Can't protect her airway either.

I'm intubating.

Don't need meds. She's out.

♪ I'm in. Bag her.

Cancel the new labs, transfer to gyne for the oophorectomy.

Both ovaries have to come out. But, Dr. Halstead...

I don't have a choice anymore.

If I don't act now, she'll be dead.

Prep her to move.

It'll take five infusions to boost your stem cells to donation level.

So come back tomorrow and I'll meet you at the outpatient clinic for number two.

I know helping Linda is the right thing to do, but...

I'm scared.

Manny...

What's going on right now in this country... I'm sorry.

I hope it's not always like this.

See you tomorrow.

Stop! - Hey!

Stop right there.

Immigration and Customs Enforcement.

You're under arrest.

No, no, no, you need to stop.

This man is donating stem cells.

Ma'am, please step back.

I need you to stop. He is saving a life.

Get your hands off of me! Ma'am.

♪

That's your position?

A patient made a complaint against Mr. Calderon regarding an altercation with Mr. Harper.

I looked into it and discovered the immigration issue.

Unsure what hospital policy was, I brought the matter to Ms. Garrett.

I reached out to legal for clarification.

They reached out to immigration officials for further explanation of federal protocols.

You're passing around Manny's information like it's a game of Telephone.

Agents took him down at the hospital!

The hospital is protected as a sensitive location.

ICE had no right to make an arrest here.

I was informed that there was an active Immigration and Customs Enforcement warrant on file for Mr. Calderon.

So when authorities asked for permission to come on the property, I gave it.

They took Manny for a misdemeanor theft charge from 2010.

Stolen items valued at $8.62.

You gave permission for this.

Manny's wife is also undocumented and she's pregnant.

We just put a target on her back.

I am not happy with the way this turned out.

But my duty is to protect this hospital, not to pick fights with the Feds.

I am sorry.

♪

You all right?

She used an alias, lied to score dr*gs.

She should be the one in cuffs, not that poor guy just trying to help his sister.

I'm with you.

But, look, I mean, she's an addict, right?

And putting her behind bars wouldn't work anyway.

I'm gonna have a lot of cases that break the wrong way, aren't I?

Mm-hmm.

But you know what?

You're also gonna have a whole lot that won't.

Pathology report.

One of the ovarian cysts was a teratoma.

Oh, thank God.

What if I'd been wrong?

Are you supposed to say stuff like that to a third year medical student?

Probably not, but that was the toughest call I've ever had to make.

Yeah, but you said you didn't have a choice, so how tough could it have been?

I'm sorry. I am so sorry.

Did the hospital change their position?

Are they gonna help?

What is this?

I compiled a list of immigration attorneys.

Perhaps they can get Manny released quickly or expedite Linda's citizenship so she has easier access to the transplant network.

That family came to us for medical help, and the best we could do is give them a list of lawyers?

There are millions of people out there like Manny.

What happens if they get sick?

This is telling them, "Be afraid to go to the doctor."

♪

Hey. - Hey.

About earlier... sorry I had to get rough.

Don't be.

You were just protecting your territory.

So am I.

About 3 1/2 square feet.

Ah. Space for a bypass machine.

Of course.

Big ticket item. Good luck.

Good night.

Ethan.

Hey, you got a minute?

Bernie, it's been a long day.

I just want to go home and not think about anything.

Please.

Hey, uh...

I'm really sorry I put you in this position.

Look, I'm a... I'm a middle-aged guy, and I meet your sister in AA.

We start dating, we shouldn't, and I get her pregnant.

And I'd be furious, too, if I were you.

But I'm committed to my sobriety.

And...

Look, all I can say is I love Emily.

And I'm gonna take care of her.

And our baby.

Okay, Bernie.

Okay.

Look, man, it's been a pretty long day so I don't want to get into it with you, okay?

Yeah.

Okay then.

♪

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