04x04 - Control

[bunniefuu]

[narrator] Previously on
The Night Shift...

[T.C.] His intestine is twisted
and his bowel is dying.

We need to open him up.
He needs to go to the OR now.

On the base? That's impossible.

-Duke, all we need is a ride.
-I've already said no.

As far as you're concerned
I'm your final say on transport.

It's a security risk.

You need to let this go, Callahan,
because it's not going to happen.

-So, you're just going to let him die?
-Sorry, Doc, it's out of my control.

Okay, Doc, lucky day.

Mama must have had something real.

[Amira] I can't believe
you told the mother to give false intel.

-[T.C.] So, what?
-[Amira] Because if she set up an ambush,

or if she's acting
on some old vendetta, that's on you.

Later, ladies.

-[g*nshots]
-[Duke] It's a set up.

[indistinct chatter]

-[soldier over radio] Duke's MIA.
-[static]

[sirens wailing]

Mid-30s, rock climber, no ID,
fell close to a 100 feet.

Cain, I need a hand here.
I got the ultrasound.

He's got multiple leg fractures
and a chest wall deformity

with progressive shortness of breath.

-How's the neuro?
-Intact. GCS 15.

Lucky and stupid.

He was wearing a helmet,
but he wasn't using any ropes.

On three. Okay. One, two, three.

[groans]

[nurse] We got a flail chest.

Sir, my name is Dr. Alexander,
and this is Dr. Diaz.

We're going to take care of you.

-Lets get an ultrasound.
-C spine is clear.

[Jordan] Okay, Martin, just keep breathing
and try to relax.

[machine beeping]

Flail chest with a pneumothorax.

-Get his chest tube started?
-Yeah.

Sir, you have multiple
fractured ribs and a collapsed lung.

Dr. Diaz is going to insert a tube
into your chest to reinflate your lung.

Why anyone would wanna climb
without ropes is beyond me.

Some people think
it's a form of meditation.

It's called free soloing.

-Don't tell me you do it.
-Whenever I get a chance.

Another adrenaline junkie
in the ER. Surprise, surprise.

Pulse ox is down to 80.

-Need help with the chest tube?
-No, I got it.

Flail chest is painful,
so I hit him with a nerve block...

And chest tube's in.

He's stabilizing.

All right, good job.

Let's find out what his name is
and get him upstairs for a CT and a X-ray.

This guy is in the m*llitary.

He's in the right place.

-Hello, Miss Mills.
-Hi.

I'm Dr. Rivera.

What brings you in today?

Isn't it obvious?

Let me examine it.

-How long have you had it?
-Ever since I can remember.

Everyone calls me "The Freak."

Any headaches? Blurred vision?

Any previous treatments?

Well, we don't have
many doctors in Faywick, Texas.

It's a desert town.

Every once in a while
we get a roaming clinic.

One of the nurses suggested I come to SAM.

I know Faywick.

It's a six-and-a-half hour drive
from here.

Eight hours by bus.

That's why I need you to help me now.
I can't get off of work again.

-And where do you work?
-A grocery store.

I do the restocking.

I could make more as a checker, but...

the manager says that the customers

don't want to have to look at me
while they're buying food.

What an ass.

-Sorry, but--
-No, he is.

Just, please help me get this thing off.

Let's get a surgical consult.

And then I'll put you in line for an MRI

but if it all checks out,
like I think it will,

you won't have to worry
about this anymore.

Thank you.

[slow music playing]

[machine beeps]

[indistinct chatter over PA system]

You and Rick out late?

Yeah, good one.

Barely slept in two weeks.

Brianna's homework?

It's like three hours a night,
plus dance lessons, plus physical therapy.

-It's like I'm not getting any sleep.
-[Kenny] Not good, man.

Don't get me wrong, I love being
a parent, but it is kicking my ass.

-Man needs his sleep.
-[Drew yawns] Uh-huh.

Tell you what,
I'll throw you the easiest cases tonight.

Maybe if it's slow,
you can grab some shut-eye.

I owe you.

And maybe some nights,
I can crash on your couch.

I'm sleep deprived too.
Listening to the headboard

slamming against the wall all night
and other high-pitched squeals.

-And I'm talking about Paul.
-[Drew chuckles]

Hey, Kenny. Enema, curtain four.
They're waiting on you.

Yeah, I'm on it.

[phone rings]

I freaking hate that guy
and his little kit.

Guy's always making
these wooden carvings for the nurses.

Good point. What a d*ck.

No, my point is it's all a show.

I mean who the hell wants these stupid
little animal carvings anyway?

I guess I shouldn't show you
the adorable dolphin he made for Brianna.

That wouldn't be good? It's really cute.

Look, you guys got off to a rough start.

All right? Just chill and everything
will work itself out.

Yeah, sure will.

Anyway, 44-year-old male in Trauma Four

with epigastric pain, normal EKG.
I think all he needs is a GI cocktail.

[suspenseful music playing]

[man over radio] Spartan 2,
we have located Duke.

Repeat we have located Duke.

Got it! Got it!

Area is being prepped now.
Saddle up, ladies.

[indistinct background chatter]

We got Duke's signal
and a location on him. Moving out now.

I'd like to be included on the extraction.
My name is--

I know who you are, Callahan.

You're the idiot who got Duke
jacked up with that bogus intel.

-That's not what--
-Save it. I don't have the time.

I have my best friend,
a man who's had my back for five years,

and he's out there alone.
You've done enough.

-Greggs.
-[Greggs] Sir.

You're taking Callahan.
He's a doc, he could be useful to us.

-We don't know his condition.
-Yes, Sir.

Some nerve going over my head.

You can thank me later.

Look, I'm not just some pouge doctor,
I was a Ranger--

Then you should know better!

You put another one
of my men in harm's way,

this w*r party
comes back a little smaller.

I will bury you out there.

We SP in nine minutes.

Have your candy ass on the truck
by then or it leaves without you.

I didn't ask you to do that.

That's a funny way of saying thank you.

Look, you wanted to go,
and now you're going.

And I can take care of myself.

You did that before and now Duke's MIA.

If it weren't for me, you'd be
at the business end of a b*ating.

Nothing I haven't worn before.

-Not at hands of men like these.
-Okay.

Yes, "Okay."

You better kit up,
you've only eight minutes left.

Oh, and you better hope they find Duke.

Hey, Dr. Alexander,
meet former Marine Martin Easton.

Hey there, Martin. How are you feeling?

Still in pain, but better.

So... where were you deployed?

To two tours, ma'am.

Last one in Fallujah in '04.

Oh, Fallujah was a hotspot.

-[Martin sighs] Not looking to go back.
-Yeah.

So, you were free soloing?
Is that something you do a lot?

All the time. I find it meditative.

That's exactly what I was telling
Dr. Alexander.

There's nothing like it, right?

You know, all things considered,
you're very lucky.

I had a friend
who took a seventy foot fall.

He hit the ground like an accordion.
Crushed every bone in his body.

It's a miracle that he lived.

You had your own little miracle today.

Sure doesn't feel like it.
This effin' hurts.

[Cain laughs]

-Sorry about the "effin'," ma'am.
-It's okay.

Hey, did your friend ever climb again?

No.

But you, I think...
You have a pretty good sh*t.

Take those to get sterilized, please.

-[nurse exclaims]
-[loud clattering]

[breathing rapidly]

-No! No!
-Martin, it's okay. Hey.

-It's okay.
-[Cain] Whoa, whoa.

Mollie, I need Ativan.

[Cain] Okay, we got you.
No, no, no, no, no.

-[Martin] Stop it! Stop!
-He pulled out his chest tube!

-[Cain] Calm down, calm down, come on.
-[Martin] Stop!

-Pushing one milligram of Ativan.
-[Martin] Stop it.

Hey, we got you.

-[Jordan] You're gonna be okay.
-[Martin breathes heavily]

[machine beeping]

I think it's clear there's more
than just broken bones here, huh.

Yeah.

Tina. This is Dr. Clemmens
and Dr. Cummings with surgery.

Hi, Tina. We want to let you know

we took a look at your MRI
and it's cleared,

which is really good news.

But before we move forward, I wanted
to take a look at your neurofibroma.

-Which is a fancy way of saying...
-This thing on my face.

Yeah, I'll go with that.

All right. Let's see.

Yeah.

Dr. Rivera, I believe
you're initial diagnosis is correct.

This does not look
like it extends beneath the surface layer.

Which means we can take it off for you.

-Which I was getting to, Paul. [chuckles]
-[Tina] Thank you!

Thank you. Thank you.

Excuse me, doctors.
This is Tina's grandfather, Carl Mills.

-You left without telling me.
-I knew you wouldn't let me.

-Whoa! What's going on here?
-This is my granddaughter.

And I want her discharged now.

-Come on, get up, we're leaving.
-No, I can't.

Mr. Mills, your granddaughter
is a grown adult.

-I think she can make her own decisions.
-[Mills] Grown?

Is that what she told you?

Tina is 16 years old.

Go on, tell them. Tell them
how old you are, Tina, tell these people.

I'm sorry I lied.
I just want this thing off of me.

Come on, let's go, baby.

-Come on, get your things.
-I can't, grandpa.

[Mills] We're gonna get out of here.

Sir, I understand that you're upset,

and I don't mean to interfere
with your personal life,

but Tina came here
because she's suffering.

You're only given what you can handle.

-We're leaving.
-[Tina crying] No!

If this has anything to do with money,
we can absolutely make arrangements.

It's nothing to do with money.

She knows that, we're Jehovah's.

We don't want any surgeries
that require blood transfusion.

[Shannon] It's not about you,
it's about her.

She wants to lead a normal life
and the only way she can do that--

Dr. Rivera--

If I need a transfusion, just do it.

-Tina?
-[Scott] There are things we can discuss.

There are ways to restrict
and limit blood loss during surgery.

Can you promise
she won't need a transfusion?

-Then I'm taking her home.
-And I said I'm not going!

Tina, what are you doing?

I want it off! I'm not...

Hold on, all right? Just calm down.

-[Mills] No!
-[Tina groans]

No, no!

-[Ramos] I'll go get a gurney.
-[Mills] Oh, my God.

[Mills exclaiming]

I got her.

We need help in here.

[theme music playing]

-[Mills] Tina! Oh, my God.
-[Shannon] Tina!

-[Scott] She's unresponsive.
-[Mills] Tina!

Crash cart, prepare for intubation.

What have you done, Tina?

-Mr. Mills, for everyones safety, I need--
-Help her, don't-- Help her!

-Tina! Tina!
-I need you to wait outside.

[Shannon] I'm in.

-Stats are going up.
-This bleeding is out of control.

The tumor is hyper-vascular.
We gotta get to the source.

BP is 68 over 35.

The OR is ready.

She'll never make it up to the OR.
We got to do this here.

Trauma Two, now, let's go.

[suspenseful music playing]

Good evening, Mr... Uh, Wilson.
I'm Dr. Alister.

Call me Arthur.

This cramping in my stomach
hurts really bad.

How long have you felt it?

Since I had some
Alamo Peppers two days ago.

-Did you take anything for it?
-[Arthur groans] No...

This hurts much worse than indigestion.
This could be gallstones or an ulcer.

Maybe even a heart att*ck.

All right,
let's not jump to extremes quite yet.

-Can you sit back for me, please.
-It's hard not to.

I have a long medical history,
dating back to 1993,

when I had my first surgery.

Which was for what?

[gasps] An undescended testicle.

I'm pretty sure
your current discomfort is unrelated.

Now who's jumping to extremes?

[Arthur groans]

I cannot believe
you free soloed El Sendero Luminoso.

Even I wouldn't touch that.

Hey, sorry to interrupt.
Martin, how are you feeling?

-A little sleepy, but less pain.
-Okay, good.

I'm glad that you're
feeling more comfortable. Okay, um...

So, your chest CT
shows signs of a bruised lung.

And your X-rays
found multiple leg fractures,

which Orthopedics
will re-splint after their consult.

But before we get to all of this,

I wanted to ask you about
the incident that happened earlier.

What incident?

After the surgical tray crashed
on the floor you started screaming.

I don't remember that.

You were yelling
and screaming at us to stop.

You got so agitated
that we had to sedate you.

[sighs] I told you, I don't remember.

Okay, how's your sleep?

Fine.

Any memories
or nightmares of your time in service?

-No.
-Lingering anger or irritability?

-Stop, please.
-Stop what?

You're asking me the same PTSD questions
those navy shrinks asked me years ago.

Let me guess what's next?
Any psychological numbing, too?

Right?

Look, I'm going to tell you
the same thing that I told them.

I don't have PTSD, and I'm really tired
of people telling me that I do.

-Well, I didn't say that you did.
-But you're thinking it.

Look, I like to climb alone. That's it.

Okay, we get it.

No, you don't get it. You don't get it.

So, just fix my broken bones.
And leave my head out of this, okay?

Any ideas?

Yeah.

I'm going to contact
someone who I think can help.

Okay.

[soldier] Let's go!

[Greggs] Duke's signal
is within a 100-meter perimeter.

Get ready to move.

[suspenseful music playing]

-Hey, where are we--
-You don't speak, Cinderella.

You stay shush in here
and wait for your glass slippers.

-All right.
-You come when we call you.

[soldier] Smoke out!

[hissing]

[indistinct chatter]

[loud expl*si*n]

[g*nshots]

[indistinct chatter]

Spartan 6, we are under heavy contact.
Contact! Move! Move!

[Greggs groans]

[man over radio] Greggs is hit.
Greggs is hit.

[g*nshots]

[Greggs] I told you to stay back.

[T.C.] Shut up and do what I say
if you want to live.

Spotted Duke, we need
more firepower, he's pinned down.

Good. Copy.

-You're hit in the femoral artery.
-Think I don't know?

Another inch
and my nards would have been ribbons.

You lose your balls, you'd still be alive.
This bleeding may k*ll you.

Okay. I gotta stop the bleeding.
This is going to hurt. Okay?

-Just do what you gotta do.
-You sure?

-[Greggs groans]
-You ready?

[Greggs groans and screams]

Don't move,
my knee is keeping you from bleeding out.

Keep your head down.
You're no good to me dead.

[Greggs pants and groans]

[g*nshots]

Even with clotting agent and clamping,
I can't control the bleeding.

If we can embolize the artery,
the bleeding will stop.

BP's down again.

Hemoglobin is down five points.

Draw up push dose epi,
get a level one infuser,

and start the massive
transfusion protocol.

Just throwing it out there,
she's Jehovah's.

No, she isn't, her grandfather is.

The law says parents may be able
to martyr themselves,

but not their children.

When Tina cut herself, she was trying
to take control of her life.

I intend to give it back to her.

She's bradying down, pulse is 56.

Paradoxical bradycardia.
Give her 0.5 milligrams of atropine.

Line secure.
Ready for embolization catheter.

-[machine beeps]
-Doctor, she lost her pulses.

[Shannon] Call a code blue.
She's in v-fib.

-Starting CPR.
-[machine flatlining]

Put the pads on, charge it to 200 joules,
and give one milligram of epi.

Let's go.

-Charged.
-Clear.

-Clear.
-Clear.

[machine flatlining]

Another milligram of epi,
start amiodarone, 300 milligrams,

and charge it to 200!

-Charged.
-Clear.

-Clear.
-Clear.

[panting]

She's been down for 15 minutes.

Don't watch the clock, Kenny.
Just keep pumping.

[machine continues to flatline]

All of our blood products
have been transfused.

We're on our last unit of RBCs.

[Scott] Switch up.

I can't embolize the bleeder,
she's moving too much during CPR.

We can't hold
the compression for that long.

We can and we will when she's on ECMO.
Where the hell is it, Jocelyn?

They said it's on the way.
The elevators are slow.

Are you kidding me?

Tell security to hold
all traffic on those damn elevators

until that ECMO's in this ER. Go. Go. Go.

Got it.

Kenny, I need you on the phone
with the blood bank.

Tell them what they sent over
won't be enough.

On it.

You really think
Tina's still got a chance?

She's with me, she's got a chance.

It's my understanding
that your granddaughter is still fighting.

That's all you gotta say?
What does that mean?

I know, it's not a lot to go on,
but I can promise you

that she has the best surgeon
in the state, and he will not give up.

I must also inform you that they are going
to need to perform transfusions--

-I clearly told the doctor--
-Mr. Mills...

I was told that she understood
the risks of a transfusion.

And there is no other way.

She will not survive without them.

It's grounds for disfellowship.
Do you know what that means?

Yes. I do.

My father, he was a Christian Scientist.

And I've learned that beliefs

can cause you to lose someone
who is very dear to you,

which is something that
I haven't stopped regretting,

since the day he d*ed.

I will never regret my beliefs, doctor.

-Do you have a chapel?
-Yes, I do.

It's down the hall and to the left.
And we will update you regularly.

-[Mills] Mm-hmm.
-[Cain] Hey.

See if Martin's VA records are up.
You might want to take a look.

Okay.

All right.

He was diagnosed with PTSD
and refused treatment.

Yeah.

When does he get out of CT?

They said they're going
to bring him down in a couple of minutes.

Hey.

-You guys see my wood?
-Excuse me?

[Cain] My wood, it's missing.

Vicki, have you seen this man's wood?

I certainly have not.

Doctor, you might
want to, you know, elaborate?

Oh! No, my iron carving wood.
I left it right here.

[Ramos] Oh. Hmm.

[Kenny] Hey, Jordan.

Hey, Kenny, did you take my carving wood?

I don't know what you're talking about.

It was right here. The wood's valuable
to me. It's not easy to find.

Then maybe you should keep
better track of it.

I'm busy saving lives,
not worried about your toys.

-Jordan, you have a minute?
-Yeah.

Cain, could you just
excuse me for a moment?

Where's my wood?

All right, look.

Tina's been down for 25 minutes
and Scott's starting ECMO.

And you're telling me this because?

Look, I know I'm not a doctor.
Just saying...

We have a whole room full of patients
and we're using all the blood in town.

And Scott... I don't know,
he just seems agitated.

Not himself.
I thought maybe with his past...

Okay, I'll check in on him
when I have a second.

-Okay, thank you.
-Thank you.

Great news, your test came back negative.

-There's nothing wrong with me?
-Mm-mmm.

Then why do I feel like this?

-Have you been under stress lately?
-Not more than usual.

I mean,
I am a very anxious and neurotic person.

But who isn't nowadays?

Yeah. I'm going to write you
a prescription for Xanax.

That should take care of it.

Then I want you to follow up with your
primary care doctor in a couple days.

Oh, gosh. My stomach.
It's twisting and turning.

[whimpering] Please don't quit on me.

Everyone always quits on me.

Okay. Okay.

-We'll run a scan.
-Okay.

Thank you. Thank you. [sighs]

Still working on that same patient?
Thought he was a simple GI.

So did I. Part of me thinks
he's just a hypochondriac,

but I'm so exhausted,
maybe I am missing something.

I'm going to run the tests again
just to be sure.

-H&H is still dropping.
-[machine flatlining]

Where the hell is our blood?

[nurse] Finally.

All right.

Once she's on bypass,
we can stop compressions

and block the artery.

Even if we get the ECMO working, it isn't
recommended for hemorrhagic shock.

Sometimes medicine
isn't black and white, Paul.

Sometimes you gotta find the gray.

So stop debating me and ready the art-line

-or I'll come do it myself.
-Of course.

You're in your
second year of surgical residency.

You should know by now that "impossible"
is for other people, not for surgeons.

-You almost done?
-[Paul] Securing the line.

Prime the circuit.

[Scott] Set the flow
to three liters per minute.

[flatlining continues]

She's on ECMO.

Okay. We can stop compressions now.

Okay. Let's embolize the artery.

And if it doesn't work?

Then we go to plan B.

Okay, listen up, hey,
everybody, listen up.

We are not giving up on Tina.
Do you understand me?

I don't want any more second guessing.

If you can't handle it, tap out
and send somebody in here who can.

Let's go.

[sirens wailing in the distance]

-Hey.
-Hey.

Thank you for coming in.
I hope I didn't wake you.

No, I was doing physical therapy.

You'd be proud of me,
I can jump a whole half inch now.

Baby steps, all right?
It's going to take a little time.

Enough with the pep talk,
I gotta sit down.

[grunts]

So, you said you needed
my help with a vet?

Yeah. A Marine. Fallujah '04.

He survives that hell, and he comes back,
and climbs mountains without ropes.

He takes a hundred foot fall like a boss.

But a metal tray gets knocked over
and he freaks out.

He says he doesn't remember anything.

What do you think?

I went through the PTSD checklist

and he doesn't present
any of the classic symptoms,

but he's been through the VA system,
and they say that he does. So...

-They tried to--
-Turn him into a zombie.

Yeah, he wouldn't take medication.

And he insists that he's okay,
but I know that he's not.

So, I was hoping

maybe you would talk to him.

Vet to vet.

Why me? Why not Drew?

Or any of the other vets you got here?

I thought that maybe...

I'd get as much out of it as he would.

Yeah.

[chuckles] You're not going to stop
trying to save me, huh, Jordan?

A girl can dream.

All right.

-I'll talk to him.
-Thank you.

Yeah. Beats sitting at home
and trying to touch my toes.

Which I wasn't doing before the tumor.

[indistinct chatter]

-Yo, Greggs, stay with me, buddy.
-[Greggs groaning]

[man over radio] Spartan 2,
we cleaned him up, we got Duke.

[soldier screams]

One, two, three...

[T.C. grunting]

[grunting]

-[Duke] Is he okay?
-[T.C.] He's lost a lot of blood.

I need every medication
you've got in your kits.

[Duke] If he dies, Callahan,
you're a dead man.

-[Paul] I'm in.
-[Scott] Good.

Okay, now release the GELFOAM
followed by the microcoil.

You did it Paul, the bleeding stopped.

We got it.

How long has she been down?

-Forty-one minutes.
-Does she have any brain activity?

Did you run an EEG?

Jordan, if you're here
to tell me to call it,

I'm not going to, so save your breath.

-Scott, a moment?
-[Scott] No.

This is my patient
and I've got my hands full.

So, please step out.

You're right. She's your patient.

[machine beeping rapidly]

She's in v-fib again.

Charge to 200, give one milligram of epi,

150 of amiodarone.

Yeah, we're charged.

Arthur, I misread one of your tests.

We gotta get you dialyzed immediately
or your kidneys will shut down.

-You said I was fine.
-Yeah, I was wrong.

Nurse Mollie has got to place
a large Foley catheter in your penis.

My penis?

It should only take a few tries,
but I'll get it in there.

Wait! Stop!

This shouldn't be happening.

See? The sweat is fake.
This whole thing is fake.

I'm just an actor, I'm pretending.

-Yeah, we know.
-I Googled you.

I love the Google,
tell him what we found, Drew.

Besides a lot of dinner theater,

and a steampunk musical
in '07 that flopped,

we learned you worked for a company
called Treatment Strategies, Inc.

Yeah, they get people to pose as patients,

so they can review
the customer service of a hospital.

My cousin down in Galveston said
people got fired at her hospital.

[stutters] Okay. Okay.

You got me. I'm sorry, it's a job.

You were just kidding
about the penis, right?

Yeah. Arthur, we were. You're healthy.

I spent all that extra time trying
to get to the bottom of your symptoms.

Trying to help you.

And meanwhile, we got
real patients here with real problems

who need real help!
Do you understand that?

Get the hell out of here.

-Is there a bathroom?
-Yeah, right down the hall.

So, you and Mac go way back?

Yeah, I mean,

when someone saves your life,
you tend to form a quick bond.

Hmm.

Plus he saved T.C. and Topher
in Afghanistan a year ago.

So, this is payback?

You can say that.

What's with you and free soloing?

-Seems a little crazy to me.
-Same as Martin, it, um...

gives me peace.

But you weren't in Fallujah.

No.

You know that friend
I told you about that took the fall?

That was my cousin.

Actually more like a brother to me.

He was this amazing musician.

Anyway, I found him
at the bottom of that cliff.

He was a mess.

They reconstructed his spine,
but his mind, they could not fix.

He just sits in a room now,
stares at a wall like a robot.

-That's terrible.
-You know what's terrible is that

he wasn't climbing, he was thrown off.

God.

So, who would do that?

He got in with the wrong people.

So while I feel
for your friend and Martin,

there are other types
of wars in this world

that make people
want to meditate and climb.

I'm sorry.

Yeah, I know. We all are. Excuse me.

-[suspenseful music playing]
-[machine flatlining]

She's still in v-fib.

We'll shock again at 200,
another round of epi.

Charging.

-Clear.
-Clear.

That was the fifth shock.
Still no cardiac activity.

Jocelyn, get me another defibrillator.

-And a second set of pads?
-Yes.

-Double dose of electricity?
-Seen it work before.

Charge both machines to 200.

Charged.

-Clear.
-Clear.

Three, two, one.

[flatlining continues]

Recharge.

Scott, the grandfather's getting antsy.
He wants a progress report.

[machine beeping]

Okay, both machines charged to 200.

Tell him,
she's still fighting and so are we.

Three, two, one.

Hey, I'm not bothering anybody
out here. I'm just waiting for a ride.

For what it's worth,
I'm really sorry I wasted your time.

Relax.

Arthur, I shouldn't have
yelled at you earlier.

Truth is, I just became a new dad.

You probably got the brunt
of my sleep deprivation.

Oh. I get the sleep thing.

I have two girls,
which is why I do this job.

Which I hate.

Yeah.

So, um... Your new kid is a boy or a girl?

Uh...

-Teenage girl.
-Oh.

Thirteen. My husband
adopted her a few months ago.

Just managing a time thing.

Two jobs, her stuff.

No grandparents helping?

My mom, she watches my kids after school,
it's a huge help to me and my wife.

That'd be nice,
but it's not going to happen.

Oh. Your folks aren't around to help?

It's a little more complicated than that.

[Arthur] Let me guess.
Your parents, probably your dad,

doesn't approve of you being gay,
so you have an estranged relationship.

And your mom, even though
she's old school, she sides with him

out of a sense of "wifely" duty
even though it hurts her

not to have a relationship
with her new grandchild.

Hell of a guess, Arthur.

You're freaking me out.

[scoffs] It's the actor in me.
We study the human condition.

Drew. Scott needs you, all hands on deck.

Coming.

And, Arthur, it's been interesting.
Good luck to you.

All right. Cool.

-Don't you dare go back in there.
-I wasn't. I was--

Oh...

[man over radio]
Reaper Base, this is Spartan 2,

we are eight mics out
with one emergent surgical.

Hang on, buddy,
we're going to get you there.

-Duke, I'll check you out--
-I'm fine.

You just save Greggs.

Put these on and give me your hand.

[T.C.] You're gonna put your finger
in the wound,

and put some pressure
right here on the artery

and don't move or he'll bleed out. Okay?

I'm putting Celox
on the wound to tamponade the bleeding.

-It will hold for a little while.
-[Greggs groaning]

[T.C.] Move your finger.

He's soaking through the Celox,
I've got to change it up. Okay.

Hold right there again
while I do that and start an IV.

[Duke] It's going to be okay, Greggsie.
You'll be back in Tampa in no time.

See Cindy and the boys, huh,
we'll go to a Bucs game,

watch them blow
a fourth quarter lead again.

Look, we're still six clicks
from Yuma, okay?

He loses anymore blood,
he won't make it another two.

Keep it tight.

[T.C.] Have Amira prep the OR,
we're coming in hot.

[machine beeping]

Three, two, one.

[flatlining continues]

How can I help?

Anything to get her heart b*ating.

What about esmolol?
I just read about it, it's stimulating.

Esmolol.

That's a good idea.
25 milligrams esmolol and hang a drip.

Okay, hey? How long has this been?

Fifty-three minutes.

At what point do we stop?

I think we passed that point a while ago.

Recharge.

[beeping]

[T.C.] Amira!

Amira!

Amira, glove up. It's Greggs.
He's bled out.

We had a bumpy ride.
His wound cavity is expanding.

GSW to left femoral artery. Thank you.

What happened out there?

It turns out Syria is not very friendly.
Can you prep while I intubate.

Transfuse four units of O neg,
and a 1000 milligrams of tranexamic acid.

[suspenseful music playing]

Okay, I'm in.

I'll place a ER-REBOA catheter while you
harvest the saphenous vein for a graft.

Okay, let's go.

After all this, I don't have to tell these
Navy SEALS their boss didn't make it.

[machine beeping]

[machine beeping]

-A moral injury?
-Yeah.

It's a new diagnosis.
It's different than PTSD.

It's when you do something
you wouldn't do in your regular life.

Maybe you were ordered to,
maybe you had no choice.

Isn't that a lot of what w*r is?

Yeah, pretty much.

But this is more personal.

Say you're driving
an M35 through a crowded market place.

An ambush comes outta nowhere.

b*llet's are pinging off the metal,

you put your foot on the gas to bolt.

Next thing you know,
you're rolling over a woman.

You see her face before you hit her,
the pleading, the fear in her eyes.

She knows
she's about to die in front of her kids.

But what are you going to do?
You gotta do it.

You gotta save your guys.

Is that Martin's story?

No, that's someone else's.

Anyways. [sighs]

Martin's going to join a support group.
And, uh...

Maybe some day he'll be
strong enough to tell you his story,

but that's his call.

Do you want a job?

[scoffs] Nice segue.

How about tight end for the Bears?

They could totally use one.
But actually I'm...

I was thinking about here, at SAM.

We can start an outreach program
for veterans.

Give them a place to go,
give them the care that they deserve.

I'll think about it.

Right.

Okay. Just, uh, let me know.

All right.

I thought about it, I'm in.

What else am I going to do with my time?

Ah...

There's that positive spirit I love.

[chuckles]

All right.

Do you want to get a coffee?

No, I'll be here till he wakes up.

-I can't be slacking on the job.
-All right.

Jordan?

Yeah?

Thanks.

We're square.

How is she?

I'll be honest with you, Sir,
it is not looking good.

But she's fighting hard.

I just don't get
why she would try to k*ll herself.

She didn't try to do that.

She was trying to get rid of the tumor.
Two very different things.

[Kenny] Kids don't think
these things through.

I gave her a home, clothing, food...

I was already retired when I took her in.

Her mother... Oh...

Her mother was a wild thing.

I just tried to give Tina
some structure in her life.

Maybe this is God's way of telling me...

I need to do more.

Or maybe it's God's way of telling you
that you can't control everything.

I know I can't.

Are you a Christian man?

I was certainly raised one.

Would you pray with me?

I could use all the help I can get.

Sure.

["How Do You Say Goodbye"
by Phillip LaRue playing]

Recharge.

[machine flatlining]

[machine beeps]

Oh, my God!

-She has normal sinus rhythm.
-[Jocelyn] Yes! Yes!

Good cardiac motion on ultrasound.

Welcome back, Tina.

[Shannon] Sixty-one minutes.

She was dead for 61 minutes
and you brought her back.

Everybody, stay focused,
we're not done yet.

Let's get her up
to the OR and finish this.

[slow music playing]

[Scott] Your granddaughter
is going to be okay.

It was a complicated surgery,
but she will regain all of her functions.

And we removed her tumor.

Thank you.

This was truly a miracle.

In a way it was, Mr. Mills.

I just knew if I prayed hard enough,

you and the good Lord
would come through for us.

Well, whatever you did worked.

So, thank you for your prayers.

Feeling sad knowing what she's given up.

Given up?

She has been saved.

But that transfusion

cost her eternal life in paradise.

[Tina coughs]

[Mills] There's my baby.

Grandpa?

Grandpa!

You take some time.

I'll be back in a moment.

Grandpa, I'm so sorry.

[soft music playing]

Hey.

We did it, you saved him.

Should've never been
in this situation in the first place.

You're right.
I almost cost Duke and Greggs their lives.

Well, perhaps
you've learned the lesson then.

Maybe.

Right now, I just want a drink, okay.

[T.C.] You buying or me this time?

[Amira] It's on me.

-[T.C.] Really? That's a change.
-Don't push it.

Oh.

I see my things are back.

-Somebody must have misplaced it.
-Yeah, somebody.

Glad you put them back.
Now that's the Kenny I know.

I don't know what you're talking about.

I'm talking about maintenance telling me

they saw you
digging through the garbage out back.

Mmm. Must have been some
other handsome man.

But I will say this,
after what I've seen tonight,

life's too short
to worry about the petty stuff.

Oh! That was a hell of a night, Molls.

What Scott did?
I may never see anything like that again.

I did my part.

Meanwhile, you left your cell phone
out in the bay.

Damn thing has been buzzing
for the past hour.

Hmm. Thanks.

Hi, Drew, it's mom.

I'm so excited to meet Rick and Brianna.
Thank you for inviting me.

Your text really moved me.

It was so beautifully written.
I had no idea you could write like that.

You're welcome.

You left your phone on the bench outside.
I took the liberty of texting your mother,

letting her know how hard it was for you
and Rick, and how much you need her.

You what?

Do you want her
in your life or do you not?

-Yeah, but--
-Again, you're welcome.

I stuck around to see your reaction,
so can you give me a ride home?

Sure, let's go.

Thank you
for letting me witness that, Scott.

-I'll never forget it.
-And you shouldn't.

Anything is possible.

[Jordan] Sixty-one minutes.

I don't-- I don't even know
what to say to you.

What made you keep going?

What did you see that made you think
that you could actually save her?

Was it an EEG, was it a test--

No, I didn't see anything.
I just knew that I could.

I felt a special power tonight,
Jordan, one that I haven't in a long time.

Which was what?

Which was me...

taking control of who I really am.

When Tina cut herself tonight,

she took control of her life.

And in that moment,
I realized that I haven't.

Ever since I moved here,
I've just been losing control,

taking steps backwards
and walking around here on eggshells.

Ragosa's rules.

The mess with you, and me, and T.C.

Everyone else here being a vet,

and me feeling inadequate about that
because I never served--

That doesn't make you inadequate.

No, I know that. But that is how I felt.

I gave away my confidence.

And then Malik, and falling off the wagon.

But tonight...

Tonight, that person that I always was,

who never takes no for an answer,
who's always in charge, tonight...

I'm him again.

I'm back.

Jordan, I can do things
that other people can't.

And I won't be walking around here
on eggshells anymore.

This is my OR.

This is my hospital
and we're going to be doing things my way.

Okay then.

[soft music playing]