04x08 - R3B0OT

[bunniefuu]

[crickets chirping]

[Rick] Hey, we miss you on the raids.

Thought you were never
coming back from Syria.

I had to come back here
and tie up a few things,

but I'm gonna go back
in a couple of weeks.

Man, I'm never going back there.
Iraq was enough for me.

[Rick] All right, we're almost there.

Hey, T.C.?

-Do the honors?
-Of course.

[Rick] Ford, call it.

Well, heads.

[inhales sharply]

Sorry, man. Looks like
you're first in the breach.

All right, everybody. It's go time.

[g*ns clicking]

[Kenny] You haven't told Rick
you applied to Ranger School?

You'd be gone, like, three to six months.

No, 'cause I'm not even sure I wanna go.

You've wanted to go since you were 18.

Look,

everybody in the Army
wants their Ranger tab.

So, you either got your tab,
or you got a story.

And right now,

my story is I'm not a Ranger
because I'm a doctor.

-Pretty good story.
-Yeah.

Truth is, if I go and fail,
I'm not sure I could live with that.

When do you have to decide by?

Next week.

Jordan says it's cool,

she'll have Cain cover as
Chief Resident for me when I'm gone.

Anyway, I got a patient up for CT.

-Meet me there in ten.
-Yep.

[Paul] Weren't you supposed to be in
Denver with Scott for the board meeting?

Change of plans. He asked me to stay,
keep an extra surgeon on hand.

And I don't mind,
I like being here anyway.

What's up, Cummings Medical Group?

Same old, same old.

Hey, Paul, do you mind signing
some of these patient release forms?

Yeah, not at all. Uh... Okay.

[Bella clears throat]

[Paul] Vanderpool.

"Vanderpool"? Isn't that
where you're staying, B?

-See, I dropped her off last week...
-Must have dropped it.

Oh, my God. Oh, my God.

-You two are...
-No.

-Yes.
-[Kenny and Bella stutter]

I'm sorry to rip off
the Band-Aid this way,

but now that you know...

-Look, I was gonna tell you, man.
-Yeah? You were gonna tell me?

So, last week
you weren't crashing with Drew,

-you were crashing with my sister?
-[Bella] Paul.

We are grown-ass adults.
We can do whatever we wanna do.

Uh... Don't even talk to me.

So, you're saying all staff
and resident evaluations?

I mean, why?
Who would leak that kind of stuff?

Not sure.
Maybe a disgruntled patient or employee.

Okay, so it's Cummings Medical Group-wide?

Yeah. It's already causing chaos
here in Denver.

So, get ready, you might have
some angry staffers on your hands.

Jordan!

Yeah. I'm sensing that.
I'll call you back.

"Dr. Rivera lacks focus and drive.

Projects personal issues onto patients,

makes inappropriate
and judgmental comments."

-Shannon, I was gonna...
-"She may continue

her residency program
under close supervision."

Really, Jordan?

I was going to schedule a meeting
with you, so that we could discuss this.

Yeah? What were you waiting for?

Fit me in between
banging sessions with Cain?

Hey, right there.
That's what I'm talking about.

Those are the kind of comments
that get you in trouble.

Jordan! I need a room. I got an
active GI bleeder on blood thinners.

[Jordan] Let's get her to Trauma Four.
I'll be right there.

I know this patient. It's Joan Fraley.

I treated her when she got
her pacemaker and stent put in.

-That was Cain's patient, right?
-[Shannon] Yeah.

I'm jumping in on this.
That is, if it's okay with you.

[sighs]

BP's 100 over 50, pulse is 85.

She had multiple episodes
of bloody emesis.

I put in an IV
and gave her four of Zofran.

Okay. Thanks, Sara, we got it from here.

Send a transfusion panel
and start a Protonix drip.

Miss Fraley? I'm Dr. Rivera.
I treated you before.

No. Not you. Where's Cain?

Sorry, but he's not here this week.

Uh, but my name is Dr. Alexander,
I'm the supervising attending.

I hope you call the sh*ts
'cause Little Miss Purple Hair here

nearly k*lled me last time.
I don't trust her.

Yeah, you're not the only one.

I can assure you that Dr. Rivera
is an outstanding doctor,

and she is going to
give you excellent care.

Just keep an eye on her.

Don't worry, she is.

Let me know if you need anything.

It's gonna be fine.

[dogs barking]

[suspenseful music playing]

Breacher ready.

[expl*si*n]

[grunting]

[Rick] Ford!

[g*nshots]

[grunts]

[police] Take cover!

Multiple officers down.
I need a helicopter medevac now!

Now!

[rapid beeping]

-Kenny, what's going on?
-It's the pacer.

Just keeps going faster and faster.
I can't stop it.

[Paul] Looks like he's about to--

[alarm beeping]

That put him in v-fib.

[Kenny] He's got a pulse.

[sighs in relief]
Back in sinus. Thanks, man.

What the hell happened, Kenny?

I don't know. You saw it.

Machine defibrillated on its own.
Almost shocked me, too.

Are you saying it made up its own mind?

It's a computer, Kenny.
It doesn't work like that.

Yeah, that's what I'm saying.

-Wait, what are you saying?
-I'm saying

maybe you should pay attention
to your job a little bit more, yeah?

I don't appreciate
what you're insinuating, so...

I don't appreciate having to
save your patients.

Look, I know you're mad
about me and Bella...

No, it's not even about that, man.

How about you just focus
on what's most important?

[machine beeping normally]

[Shannon] Jordan!

[alarms beeping]

-[Jordan] What's going on?
-She was fine one minute,

-then her blood pressure dropped.
-Is she still vomiting blood?

Not since she was medicated.
She's burning up though.

My back is k*lling me.

-How's her hemoglobin?
-Initially seven. The first unit's in.

What? She was given the wrong blood type!

Ow! What are you doing?

It says here that she's A positive.

No. She's an O negative.

I remember from before
when Cain saved her.

Hypotension, fever, back pain.
She's having a transfusion reaction.

[Jordan] You're right.
There's blood in her urine.

Okay, Jocelyn, IV normal solution.
Run an LDH and a Coombs panel.

You are the worst doctor I've ever had.

I'm suing all of you!

Mrs. Fraley, I am so sorry,

and I promise
I will do everything to make this right.

And I will personally
investigate this myself.

I did not give her the wrong blood type.

Her records were messed up somehow.

-You have to believe me, Jordan.
-[alarms beeping rapidly]

What the...

All right. I'll be right back.

[alarms beeping]

Ray, what is going on?

It went haywire. I can't make it stop.

Jordan. The Pyxis is freaking out.
The drawers won't stay closed.

Okay. Call Security,
have 'em guard the narcotics.

[suspenseful music plays]

We have a bigger problem.
The whole hospital's being hacked.

[evil laughter]

[theme music playing]

Jordan, Paul says
the CT computers are down too.

All samples have to be
hand-carried to the lab.

Okay. All right, everybody. Listen up.

We've now switched over
to our emergency protocol.

Also, very important.

All of the blood in our bank
has been mislabeled.

The Red Cross is sending over O negative.
Please use it sparingly.

Okay, go.
Take care of your patients. Thank you.

-Yeah.
-[Jordan] What do we have?

The Cummings Medical Group has been hacked

for a $10 million Bitcoin ransom.

My father called Homeland Security

and is sending in IT staff
to reset our system.

Okay. Ray, tell EMS that we're closed
due to internal disaster.

No more ambulance traffic.

My father says we're not closing.
That's caving to t*rrorists.

You're kidding. We don't have
any blood or diagnostic equipment.

We'll be back online soon.

Yeah, that's not good enough.

All right. Um, Paul,
I want you to call Presbyterian ER

and see if they can
take on anymore patients.

I'm going to go thin out the waiting room.

-All non-critical care should go!
-Jordan?

I don't give a rat's ass
about your dad's perception problem.

Neither do I. But this is his hospital.

And this is my ER,
until they tell me otherwise.

Ray, make the call.

[Paul] Yep. Thank you, guys.
We'll take all the help we can get.

All right.

She's right, but Dad's not gonna like it.

Yeah, there's a lot of things
Dad's not gonna like.

What's taking so long? When can I
get out of this lame-ass ER?

Diego. Watch your mouth.
Sorry about that, ma'am.

All right, Diego. We got good news.

Wrist is just sprained.
No fractures, no broken bones.

What about his head, Doc?
He took quite a spill at the skate park.

We're on that.
He's next in line for a head CT.

Have you reached his mom yet?

Not yet. She must be on the plane.

She's on her way to Cabo
for her bachelorette party.

So, Diego and I get a guys' weekend.

That's what you think this is?

Mollie? Can you show Andy
where the waiting room is?

I'll get Kenny to take Diego to CT.

Yes, Doctor.

I'll try Sharon again.
Be right back, buddy.

Can't wait.

Stepdad seems like a good guy.

You might be a little nicer to him.

He's not my stepdad, okay?

He's just... Andy.

[g*nshots]

T.C., Ford was hit. He can't breathe.

I'm under fire. I can't get to you.
I'm gonna throw you an LMA.

[g*nshots]

[Ford gasps]

Nine-nine-nine. Officer down.
Doc needs immediate escort to my 20.

There's blood
spraying out of his neck, T.C.

He's not getting any air.

All right. I need you to cover me, okay?

I got a critical over there.
This guy's stable for backup.

T.C., it's not working. He's dying.

Okay, Rick,
I need you to get a 7.0 tube ready.

I'm on my way now, okay?
Coming straight to you.

[g*nshots]

[T.C.] Switch.

Okay, the blast transected his airway.

I've located his trachea.

Hand me the tube.

-Is he gonna make it?
-I don't know.

Depends how fast we can get out of here.

[Rick] Chopper's here.
Where's my damn escort?

Hand me trauma shears.

The way you put that tube in,
I never could have done that.

Sure you could. All right?

It's just b*ttlefield medicine.
You're a Ranger.

Yeah, they never taught us that.
Or at S.W.A.T. training, either.

[T.C.] Okay, looks like a b*llet hole.

I think it just entered his chest
right below the vest.

We gotta get him out of here ASAP,
he's gonna bleed out.

Let's do it. On three.

Careful with his airway, yeah?
One, two, three.

Go! Go!

[grunting]

[g*nshots]

He started seizing in the CT tube.

Luckily, we got the scan
before the system went down,

but he's got blood building
between his brain and his skull.

So what do you do?

We gave him Valium to stop the seizure,

and we started him
on a new drug, Dilantin,

to prevent any more seizures
from happening during surgery.

-Have you got his mom on the phone?
-Her plane hasn't landed yet.

Is he gonna be okay?
Sharon's gonna wanna know.

The earlier we can evacuate
the blood, the better.

Good thing you brought him in so quickly.

I've stuck her a dozen times,
I cannot find a vein.

-No worries. I'll put in an EJ.
-What's that?

It's an IV in your jugular vein.

My neck? Not her. You do it.

Only doctors can do it.
It's hospital policy.

I know
we got off to a bad start last time.

I'd been working 20 hours straight.
I'm sorry, it's just a small poke.

Maybe this job's not for you.

How's it going in here?

Everything's okay. I've got this.

[Fraley gasps]

Okay, Mrs. Fraley, don't panic. All right?

Uh... Everything is under control.

[Shannon] Where are the backup lights?

[Jordan] They'll be on in a second.
Don't worry.

Jordan. Maintenance says
the backup gennies aren't kicking in,

and they don't know why.

I'll call the fire department
for generators,

and the IT guy is on the way.

Okay. Thank you, Bella.

I don't feel well.
Something's dripping down my neck.

[Jocelyn] She's bleeding from her IV site.

It's DIC.

The incompatible blood type has
caused her blood cells to rupture.

Her blood can't clot.

Okay, call the Red Cross,

ask for universal donor A2 platelets
and AB plasma.

-[Shannon] Jordan. Miss Fraley?
-Miss Fraley?

She's unconscious.

She has an insulin pump.
Check her blood sugar.

-Blood sugar is 28.
-[Shannon] Give her an amp of D50.

-Her pump has been hacked, too.
-[Shannon] What the hell?

All right. Switch her IV fluids to D5NS.

She just got a massive dose of insulin.

Okay.

All right. This is a good sign.

She's in your hands now.
If anything changes, you tell me.

Yeah.

[Fraley gasps]

-[Drew] Diego? Diego?
-[alarms blaring]

Emergency phone's dead.

[Drew] He's unresponsive.

His pupils are unequal.
His brain's herniating.

[Kenny] What do you wanna do?

I'm gonna hyperventilate him
to lower his intracranial pressure.

Hypertonic will help, too.

Got it.

And if we don't get him out?

Cross that bridge when we come to it.

[Kenny] Got it.

[sirens blaring]

[Paul] I got a text from Drew,
they're stuck on the elevator.

Kenny's there to help,
but Drew says the kid's in bad shape.

All right, get them whatever they need.

I want you to call Milorad in Maintenance.
He should have an idea of what to do.

Jocelyn.

I want you double and triple-checking
all of the patients' conditions.

-We are not gonna lose anyone tonight.
-Okay.

Bella, talk to me.

This is Pat Perillo,
head of our IT security.

He's working on the problem.

[Jordan] All right,
what are we dealing with?

[Pat] Well, I figured out
how they got into the system.

One of your nurses downloaded
a counterfeit copy of Candy Crush

from a Romanian website.

They used a screen scraper,
stole her passwords.

They can do that?

All right, how long
until we get the power back on?

A while. Okay,
I'm shutting down the servers,

but our backup... Also corrupted.

They tricked the backups
into thinking everything is normal.

That's why they haven't kicked in.

Level with me. How bad is this?

Think worst-case scenario,
then multiply that by a 1,000.

They said you're in charge here?

Sir, I will be with you
in just one moment.

My fiancee's son.

I took the stairs to the OR
to look for him, he wasn't there.

His name is Diego.

Now, tell me
what the hell's going on here?

-Sir, I am so sorry.
-Don't be sorry!

Just tell me where my kid is.

We're stuck between
the sixth and the seventh floor.

If I pull the emergency brake,
we freefall.

They'll wash us out of here with a hose.

Put it like that? I'm good.

[Drew] You're not the one
I'm worried about, though.

[Paul] Hey, you guys okay?

[Drew] Paul? Good.
You get everything in my text?

Uh, yeah, yeah, I have Maglites,
duct tape, and a portable vent.

[Drew] All right, send it down.

Is he down there? Diego!

Sir, this is an emergency.
Hospital employees only, okay?

That's my boy down there.

I'm not going anywhere.
I'm never gonna leave his side again.

Diego!

[Kenny] Bella, get us out of here, now.

I'm trying, Kenny.

The hack shut down
all of our backup systems.

We can't override the control panel.

Try harder, or this kid
is gonna die in this elevator.

Hey. Any progress?

Yeah, I fixed the whole thing,
I just forgot to tell you.

Pat, I will slap that attitude
of yours back into next week

if you talk to her like that again.

-[scoffs] Sorry, what?
-Just get back to work.

Our blood supply is getting low,

but we're slowly catching up
on all the patients.

Good. [sighs]

Because I don't think
we could take on even one more.

[whirring]

[T.C.] Okay, I found a b*llet hole,
but there's no exit wound.

Wait, the b*llet's still inside?

Look, I will find it, Rick, okay?
We'll be in SAM in no time.

Different coin flip,
this would've been me.

No. Actually, it wouldn't.

What are you talking about?

Look, I already lost
too many brothers, all right?

Topher, Thad, Mac.
I'm not gonna lose anymore.

You rigged the toss?
That's not your call, T.C.

You and Drew are parents, all right?

I've seen what happened
to Janet and the kids

after they lost Topher, okay?
I'm not gonna let that happen again.

Ford's wife is expecting, a son.

Drew and I are his godparents.

I didn't know that. I'm sorry.

Can you attach that
to Pleur-evac? Thank you.

-[medic] It's attached.
-[T.C.] Releasing the clamp.

-[Rick] That's a lot of blood.
-[T.C.] Yeah.

Hey! What's going on?
Are we turning around?

San Antonio ER is closed. So is Pres.
We're being diverted to HMH.

No. No, no, no.
Ford needs a thoracotomy now.

He won't make it that far.

Look, I can give an autotransfusion
just to replace the blood that he's lost,

but that's only temporary.
It won't last long, okay.

Rick, if he crashes, I don't know
if I'll be able to save him.

We don't have enough time.

Override the diversion on my authority.
We're going to SAM.

Great. It's your badge, Rick.

Oh... What's going on?

The hospital was hacked.

You were unconscious from low blood sugar.

How long have you been on an insulin pump?

Since my last hospitalization.

I should've told you.
I wasn't thinking clearly.

Yeah, well,

mixing booze and blood thinners
will do that to you.

I smelt your breath, ran an alcohol level.

I know I'm not the best communicator,
but I am one hell of a doctor.

I wanna do everything I can
to make this right.

You can't.

Well, let me try.

What's been going on?

I was sober for 20 years.

Been out of a job for a month.

The lawsuit shut down the amusement park.

I was already living paycheck to paycheck,

and now... I got nothing.

Money's tight,

and then the medical bills start
coming in from my surgery and...

So you started drinking again. Tonight?

I had a few beers.

Hmm... By "a few," you mean...

Eight or nine.

I don't feel very good.
I think I'm gonna...

[Fraley gags]

Hey, I need some help in here.

Mollie, get her a Zofran.
Jocelyn, did she get the Protonix?

Yes, but I think we should transfer her.

-I'll get Dr Alexander.
-[Shannon] No.

She's too unstable.

She has massive hematemesis and needs
a nasogastric lavage and an EGD.

How? They took power to Trauma One.
No electricity, no suction.

There is in the ambulance.

Grab some ketamine
and I'll meet you there.

All right, paramedic transfers
for the levels twos and threes.

Taxis for the less urgent.

[Pat] Hey, hey, hey. Check this out.

This dude is a God. I mean, he, or she...

Don't get all Ellen Jamesian on me.

They've been hiding
in our system for months,

just encrypting data. They...

[slurping]

They h*jacked our Bluetooth gear,

our drug pumps, defibrillators,
CT scanners, everything.

I mean, this crypto-ransomware is sick.

What's sick is holding
critically ill patients hostage.

This isn't a game, Pat.

You see all of these people?
Their lives are in your hands.

How's that? I mean, I'm not a doctor.

Now you know how it feels.

-Now get us back online.
-[phone vibrates]

Hey, did he pay it?

-Not yet.
-[Jordan] He has to.

Ten million dollars is a lot cheaper
than ten wrongful death lawsuits.

They're asking 10 million
for each hospital.

Chicago, Denver, Baltimore, Portland, us.

It's 3:00 a.m. He doesn't have
50 million lying around the house.

So this is gonna get a lot worse
before it gets better, huh?

Yeah. I gotta run.
I got pulled into surgery here.

Long night, Jordan. Hang in there.

[T.C.] Hey. What the hell happened?

Cummings Medical Group was hacked.
Why are you here? We closed the ER.

Yeah. We know. So was Pres.
This is my partner, Ford.

He took a booby trap to the neck
and a b*llet to the chest. He's unstable.

He needs an OR now. How much longer
before the power's back on?

I don't know.
We've been like this for hours.

Tee, our blood bank was hacked, too,
and we have gone through

all of the O negative that
the Red Cross has sent us.

We're waiting for more now.

What can we do?
He can't make another chopper trip.

No. No, okay. So we got no blood,
no OR, no electricity.

[exhales] Okay, we're gonna do
field medicine in the ER.

Okay, Rick. I need you to get
the ambulance lights

to shine on to Trauma One.
Okay, I need you to run the power

from the gennie,
so we can have a suction and a vent.

Ray, get all the metal carts
and all the metal trays

into Trauma One right now.
Jordan, find Paul.

I need help with a thoracotomy, now.

He's assisting Drew
with a surgery in an elevator.

I'll be in when I can,
but right now, it's all on you.

[Kenny] Let there be light.

[Paul] All right, it's coming down, guys.

[thuds]

[grunting]

-[Kenny] I got you.
-Decorticate posturing.

Herniation's worsening.
Intracranial pressure's rising.

[Kenny] You gotta be kidding me.

[Paul] Milorad says the drill's powerful.

The bits are brand-new. Still in package.

[Paul] You've got enough ChloraPrep
to sterilize everything, okay?

Got a maintenance man for a scrub nurse.

-This is insane.
-It'll work.

I sent you a bulb suction
and trach kit from Peds ICU.

You've got a scalpel, retractors,
everything you require.

-[Paul] Need anything else?
-Yeah. Maybe a prayer.

[whirring]

-NG's removed. Blood is cleared out.
-Okay. Time to fix the bleeder.

Okay.

[sirens blaring in the distance]

Okay, advancing. Entering the esophagus.

There's the source of the bleeding.
It's a Mallory-Weiss tear.

All her vomiting ripped the lining
between her stomach and esophagus.

[beeping]

She's bleeding again.

Shannon, hey. What's going on?

What's it look like?
I'm applying hemoclips.

What she said.

[beeping]

[Jordan] That was a nasty tear.

How did you get all of this equipment?

I ran up to the GI lab and got it.

And where did you learn how to do this?

Spent the summer volunteering at
a gastro clinic on the reservation.

We treated a lot of bleeds.

Your technique is solid.
You just saved this woman's life.

-Good job.
-Yup. And all unsupervised.

[Kenny] Kid's gonna love his new hairdo.

Yeah. Let's hope he gets the chance.

ChloraPrep.

-[Drew] Scalpel.
-[Kenny] Scalpel.

-[Drew] What's his end tidal?
-[Kenny] Steady at 35.

And a little blood. Good. Hold pressure.

All right, we're good.
We know what comes next.

Here we go. Slow and steady.

-[Diego gasping]
-[Kenny exclaims]

[Drew] Son of a bitch, that was close!

[Kenny] You're telling me. What happened?

He's progressing to decerebrate posturing.

-Kenny, we don't have a lot of time.
-Wait, wait, wait.

If he keeps posturing,
we could give him brain damage.

Then give him another dose
of paralytic, so I can do this.

-Drew, we're out. What now?
-[rapid beeping]

[sighs]

[Scott] Julian, you called for me?

[Julian] Yeah, they were shorthanded.
I stepped in, started this Triple-A,

but that portable gennie is worthless.

[Scott] Here, let me, let me see.
Not enough juice to power the C-arm.

It's damn near impossible not to
jail the gate with fluoroscopy.

But we've come this far, maybe we
can finish by palpation here. Yeah.

-The graft probably deployed too low.
-[Julian] Really?

I thought I had it.

Uh... Truth is, I'm not feeling too great.
I've been sick all week.

Yeah. Some nasty stuff going around.
You know what? I got this.

Why don't you go take a break?
It's been a long night.

Julian, go on.

Dr. Scott Clemmens, San Antonio Memorial.

Ellen Jones, first year surgical resident.

-Nice to meet you, Ellen.
-[doctor] Pressure dropping, Doctor.

[Scott] Okay. Buckle up,
we're flying blind.

The graft's not working.
He must have a large endoleak.

-I'm converting to an open repair.
-[doctor] You're opening him up?

I don't have a choice. Prep the abdomen.

But when you open him up,
won't he bleed out?

Our blood bank's still a disaster.

I have done a 1,000
open Triple-A's in my career.

And lucky for the good Reverend here,
I am good and I am fast.

[alarm beeping]

Okay, look.
The only outcome I can guarantee

is if I don't open him right now,
he's going to die.

I know I'm not part of your regular team,

but right now this is my OR,
which means you work for me.

So get your heads in the game
and let's go. Scalpel.

[Ellen] Yes, Doctor.

-[rapid beeping continues]
-[Scott sighs]

[Jordan] Did you find the b*llet?

No, not yet, and he's bleeding out
faster than I can put blood back in.

-[Jordan] How can I help?
-[T.C.] Okay, grab a vena cava clamp.

All right. The b*llet tore through
the lateral wall of the IVC.

-[Jordan] Pledgets and 5-0 silk.
-[T.C.] Thank you.

You find the b*llet,
I'll suture the wound.

Gotcha.

[T.C.] Okay.
Rest of the chest looks clear.

There's still no b*llet.
And there's no exit wound.

You think the b*llet
embolized to the heart?

Wait, you're opening his heart?

No. One step at a time.
Please tell me you have a plan.

We don't have enough blood.
You can't go hunting.

Yeah. Of course, I know.
Uh, Ray, go find Rob.

Tell him we need
his metal detector right now.

-That's one way to do it.
-Yeah, right.

[T.C.] Where is it? Where is it?

-I'm done. Removing the clamp.
-Okay, give it to Rick.

Rick, I need you to scan his belly.
Search for any metal.

[Jordan] Repair holding steady.

Yeah, I can't find any metal. Where is it?

-[alarms beeping]
-[Ford gasps]

-[T.C.] Pushing Valium.
-[Jordan] Pressure's dropping.

Oh, my God. Guys, please do something.

[rapid beeping continues]

[T.C.] We got this. We got this.

Pushing dose epi.

[Ford gasping]

He's lost pulses.
He's in torsades. Push mag.

-[nurse] Yes, Doctor. Pushing mags.
-We gotta do a clamshell.

-T.C., is this it?
-No. No, no, no.

We're gonna do everything we can.

[beeping continues]

[whirring]

[Drew] I just can't...
If he keeps moving like this,

I'm gonna drill right into his brain.

Do we have time
for Paul to bring more paralytics?

No. He's got high blood pressure,
bradycardia, Cushing's reflex.

This kid's gonna die any second.

No, he's not. I got him, Drew.
Do it. Just do it.

-All right, here we go.
-[beeping rapidly]

[whirring]

[Drew] Penetrating the inner table.

There's the give. I'm in.

There we go.

[beeping normalizes]

Heart rate's coming up.
Blood pressure's normalizing.

Ah!

He's not posturing anymore either.
You did it, man.

Paul, the kid's gonna make it.
Tell Neurosurg to get ready.

Will do.

[sighs in relief]

[Drew] This kid is never gonna know
how lucky he was today.

It wasn't luck.
And, yeah, he is gonna know,

'cause I'm gonna tell him.

You did it, man. You saved his life.

No. We did it. I wasn't alone in this.

[Drew pants]

[Jordan] Charging to 10 joules.
Shock delivered.

[alarms beeping]

Jordan, I can't find the b*llet.
I'm out of ideas.

What if the b*llet's not made of metal?

Give me some loupes.

What are you doing?

[Jordan] Trusting my gut.
How much blood was auto transfused?

A lot. Why?

We know that a projectile
from the blast perforated his IVC,

but we don't know where it traveled.
With magnification,

I can just make out
a small tear in his diaphragm.

And traumatic pancreatitis.
That, combined with the citrate

from the auto transfusion,
dropped his calcium levels.

That's what caused the seizure
and the cardiac activity.

-It was hypocalcaemia.
-I don't speak "doctor."

Could you translate?

-Whoa! What is that?
-This piece of wood is your b*llet.

It's a part of the stairs.

It must have blown up after the expl*si*n.

[T.C.] Oh! We got cardiac activity.

Sorry, had to be on call for Drew.
He was a total boss.

-What's going on here?
-Jordan and T.C.

just saved my partner's life.
You guys make a hell of a team.

-Yeah, we do.
-[Jordan and T.C. chuckle]

All right, guys. We're not done here.

There must be at least a dozen splinters.

Looks like I arrived right on time.

Yes, you did.

[knocking at door]

[knocking at door]

Oh!

[Julian clears throat]

[breathes deeply]

So, how's the pastor?

I had to open him up, but he's stable.

Think the worst is over for tonight.

Yeah.

Hmm.

I'm glad you were here, Scott.

[exhales]

I don't know what happened in there.

You're human. Sorry to break it to you.

[chuckles]

With all the stress you've been under,
you're lucky it wasn't something worse.

Yeah.

Backup generator's working?

Uh... No. I, um, paid the ransom.

-Fifty million?
-Yeah.

I thought you said you didn't have it.
How'd you swing that?

I, uh, called some people
I shouldn't have called.

There's always vultures out there
who'll loan you whatever you need,

as long as you're willing
to sacrifice your pound of flesh.

Oh...

That had to be very hard, but
you saved a lot of lives by doing it.

And yet, we'll lose more in the long run.

Meaning?

The, uh, loans I agreed to,

I'll never have the cash flow
to pay them back.

-[scoffs] I'll lose everything.
-No.

You spent more than a decade
fighting to provide healthcare

to under-served communities. You're
not just gonna watch that crumble.

Can't you just call banks now
in the light of day?

The, um, Cummings Medical Group
is a financial house of cards.

We're overextended.
Got a lot worse when I bought SAM.

Well, then why did you?

Because Paul wanted me
to save his hospital.

And you wanted to be his hero.

I don't feel much like a hero right now.

[Scott sighs]

Do Bella and Paul know?

[chuckles] God, no.

My kids think I'm some self-made genius.

[chuckles] The great and powerful Oz.

Now they're gonna see behind the curtain.

There's nothing you can do?

Maybe sell off a hospital or two? Uh--

Including SAM?

I don't know.

I'd appreciate it, Scott,
if you just kept this

between you and me for now.

I can handle losing my empire,
but, uh, I don't know if I can handle

losing the trust and respect
of my children at the same time.

Of course.

[Scott sighs]

You know, Julian,

I've hit rock bottom in my own life.

Hmm.

Disappointed all the people
who needed me most.

And if you're not a damn fool, you
learn what matters and what doesn't.

And sometimes...

Sometimes you get
to start all over from scratch.

You learn that in rehab? [chuckles]

[chuckles softly]

No. I learnt that from my father.

There are lots of other things
besides hospitals

that you could hand down to your children.

Let me know if I can do anything for you.

Thanks. Scott?

You already have.

-That was like a weird dream.
-[Shannon] More like a nightmare.

How are you feeling, Miss Fraley?

Like somebody kicked me in the throat.

Well, you're not rid of me yet.

We have some things we need
to talk about before you're admitted.

I know. Thanks for being
my doctor tonight. You saved my life.

-Just doing my job.
-When Dr. Diaz gets back...

-[Shannon] Yeah?
-I'm gonna tell him I want you.

-[Shannon chuckles]
-[all gasp]

[Shannon sighs in relief]

Think I'll be taking the stairs
for a while.

[both chuckle]

I hear that. But for the record, I...

Okay, look. Those dudes may be faster
and stronger in Ranger School...

Younger. Don't forget younger.

Okay, Drew, listen to me. Okay?

None can do what I just saw back there.

I'm not just talking about the surgery,
but the way you helped Andy.

You get people, man. Real leader has that.

Thanks. So, Paul's sister.
You got her on speed dial?

-You caught that, huh?
-Yeah. You like living on the edge.

Yeah, Paul's not too happy about it.

Well, can you blame him?
It's his sister. [chuckles]

It's a pretty big secret
to be holding back.

Probably should have told him.

Hmm. So, I'm supposed to tell Paul
about his sister,

but you don't have to tell Rick
about Ranger School?

Isn't that
the pot calling the kettle black?

-It was a hell of a night, huh?
-[all exclaiming]

Seriously, though. You guys, all of you.

You went above and beyond.
So, I just want to say thank you.

All right? You were great. Rest up.

This place is gonna be open for business

when you get back here tonight. Okay?
All right. Thank you.

Hey, Shannon.

I really want to put this behind us.

Okay, part of my job
is to give honest feedback.

I understand. Now can I give you
some honest feedback?

I know. All right?
I understand, as program director,

I should've discussed
your evaluation with you sooner.

No, as my friend.
Maybe try helping me fix my flaws

instead of poisoning my permanent record.

Scott and I are the only ones
who see those.

Correction. Everybody here has seen those.

Heavy is the head.

Yeah. Well, she's right.
I could have handled that better.

Yeah, well, you know, it's tough

being a friend and a boss
at the same time.

Yeah.

Speaking of which, uh,
what are your plans?

Are you going back to Syria any time soon?

-Yeah, I walked into that one.
-Yeah, kind of did.

I'm leaning that way.

So, you're leaning that way?
It's not 100%?

There's something
I wanted to talk to you about.

Can I walk you out?

[Bella] Don't worry about it.

I don't wanna be a pawn
in the Cummings family dysfunction.

Don't be so dramatic. He'll get over it.

Look, Bella. It's been 10 days.
And don't get me wrong,

it's been fun as hell,
but you go back to Philly in a week.

I live with Paul.

He's been there for me
when I lost my gym, my grandma.

You know, he's like the brother
I never had.

I know. I just... [inhales]

[Bella exhales]

Let's both talk to him.
Straighten it all out.

Thank you.

In the meantime, do you wanna
go back to my hotel?

-Maybe work on some ideas?
-Ideas, huh?

[Bella] Mm-hmm. I've got a few.

[Kenny] Can I order room service?
I'm hungry as hell.

[Bella] You can order anything you want.

[Kenny] Ooh...

Hey, don't be pissed at Kenny.
Your sister is really cool.

I'm not pissed at him, I'm pissed at her.

She's gonna hurt Kenny.
No matter what she says,

no matter how much they think
they're just having fun.

She will end up hurting him.

Anyways, heard you had a hell of a night.

Hey. Wait, you all right?

-Hey, no. Okay, okay, okay.
-[Shannon sniffles]

Hey. Come on. Let's sit down, okay?

[elevator bell dings]

Hey. Hey, man. You did it.
You never gave up.

I'm gonna bring Grace to your room
as soon as she gets here, okay?

Okay.

-Hey.
-Hey.

-How are you?
-[Rick] I'm good. I'm all right.

And Ford?

It's gonna be a long road,
but he's gonna be okay.

-Could have been you lying there.
-Yeah, well, if it ever is,

I sure as hell hope T.C. gets to me first.

Doctor. Standing right here.
Right in front of you.

Pretty good. Great.

I know. I know, but, honestly,
I wouldn't want you there.

I mean, you're brave, you're smart,
you're a great doctor,

but you're not reckless. T.C. was like...
He thought he was bulletproof.

He didn't even hesitate out there.

Yeah. That's... Yep. That's our boy.

Swear he's part cat.
Always lands on his feet,

and he's used up most of his nine lives.

Which is why I feel so lucky
to have you in my life.

You know what's important.
Me. Brianna. Your mother, I guess,

because it doesn't look like
she's leaving any time soon. [chuckles]

Yeah, no, she looks pretty settled.

Uh... Which brings me to something
I wanted to...

Yeah, me, too. Things have been going
so great with Brianna, I thought...

Well, I thought
maybe we add a baby to the mix.

Sorry, I didn't mean to
drop a b*mb on you like that.

I'm just really enjoying having a family.

So am I.

But it's gonna have to wait.
I'm going to Ranger School.

-Ranger School?
-Next month. There's an open spot.

-I'm gonna tell them I'm coming.
-Uh, doesn't really work like that, Drew.

-You gotta apply, get accepted--
-I was. Last month.

And I'm taking it.

-And you're just telling me this now?
-Yeah.

"Yeah"? That's all
you have to say about that?

Ford would have d*ed on that table
without you.

And that kid would have d*ed
in the elevator without Drew.

And the one thing the two of you
have in common

-is that you're both battle-tested.
-So are you, Jordan.

Yeah, look. I've paid my dues, sure,
but you guys have this...

This extra under-fire experience
that most doctors don't have.

-[T.C. sighs]
-You're badass veteran doctors.

Jordan, what are you talking about?

What if SAM became
a combat medical training center,

and not just for the m*llitary,
but for first responders as well?

With you and Syd and Drew
as the instructors.

You guys have seen and done
pretty much everything.

Yeah, I mean,
it certainly would have helped

-if Rick knew how to place a tube.
-Exactly.

Now, what would you have given
to have the knowledge

that you have today
back when you were first deployed?

Everything. Maybe then Thad
would still be alive.

This hospital was financially
unstable before paying the ransom,

and now it's in dire straits.

Unless, of course,
I can get the DoD to pay for it.

We can train the b*ttlefield doctors
of tomorrow and save this hospital.

But we can't do it without you.

You're the centerpiece,
everybody knows you.

[sighs] I don't know, Jordan.

Think about it.

-You can always go back to Syria.
-[phone ringing]

Yeah, well, we do good things
over in Syria.

-You do. You do great work.
-Yeah.

If that's what you want.

-I gotta take this.
-Sure.

-[T.C.] Okay. Yeah.
-I'll talk to you tomorrow, okay?

Hey. Is everything okay?

Brilliant in fact. We are so close
to getting the funding

for our medical center in Syria.
And I'm leaving him.

-You're leaving him?
-[Amira] My husband.

I mean, we've both been leading
separate lives.

Come join me, T.C. I wanna be with you.

T.C., you still there? T.C.?