02x14 - 43 Minutes

[bunniefuu]

Time's running down.

Everything is on the line.

It all comes down to this, folks.

He crosses half-court... (computer beeps)

He's up, and it is...

(thuds) Ugly.

Good! That sh*t is good.

This game is over, folks.

(imitates crowd cheering) It wasn't even in.

Listen to this crowd. Listen to the city.

Touch 'em all, Jackson...

Running bases now, huh?

Touch them all!

Night, you guys.

Maggie: Night.

Wow. Look at you.

Tough shift?

Tough week.

You should treat yourself to something nice.

I intend to.

No, you don't.

How do you know? Maybe I have a whole evening planned.

Home, shower, glass of wine, studying notes, and if you're feeling really crazy, second glass of wine. Am I close?

Mm, not an attractive quality, you know...

The smugness?

I don't know.

I feel like it's a little bit of a turn-on.

(woman speaking indistinctly over P.A.)

(sighs) Hey.

Hmm?

Alex? Are you uh... Never mind.

There you are.

I thought we had a session this evening.

Was that today?

Y... ten minutes ago.

Oh. Sorry, Gavin, I...

I meant to cancel. It's no longer necessary.

Yeah, that stuff you got me on... the, uh... (pills rattle) whatever it is... it's, uh, working like a charm.

Olanzapine.

Yeah, if I'd known, I would have...

I would have gotten some of this ages ago.

Hallucinations are totally gone.

Well, I'm glad that you're seeing some progress.

Yeah. No spirits, no ghosts, not even so much as a chill down my spine.

So... thank you.

I think, uh... I think we're done.

(pats arm)

Okay, here's a thought.

How about just for a second you pretend like you're not four times smarter than me, and that I might actually know what I'm talking about.

What do you say?

You use that tone with all your patients?

Nope.

Those meds are part of your therapy, and talk is the other part.

And we have 40 minutes left.

We're gonna use 'em.

Fine, but I don't like your office.

Okay.

The couch smells, like onions... and shame.

Then we'll walk.

Fine.

(siren wailing in distance)

(door creaks)

(whispers indistinctly)

(gasps) Je...

Oh! I'm sorry.

I'm so sorry.

No problem.

Wow, you're gorgeous.

Thank you.

No, no, no. Hang on, hang on.

Sir, it's been a long day.

You work here? You're... you're a doctor?

A very tired one.

So if you'll just excuse me...

No, I-I've managed to creep you out in record time. I'm... (alarm chirps) not actually a creep. (hiccups)

Mm, you might not be the best judge of that.

(chuckles) No, no, see the thing is I could... sort of use some help. I'm a little lost.

I... (chuckles)

I can't find my car.

(sighs) What does it look like?

It's, uh, that awful car color... like a beige-y silver ch... champagne...

Is what they call it, if that... helps.

Have you tried using the remote... following the sound?

See, that's smart. That's... that's doctor smart.

You must be used to that.

Always having the right answers comes with the job.

(chuckles)

(clicks button)

Huh.

Wrong level?

Maybe.

But at least... I have a plan.

Thank you.

(footsteps retreating) Do you think you should be driving?

Are you offering me a ride?

Not even a little bit.

Have a good evening, doctor.

(sighs)

(sighs)

(clicking button)

Sir, I really don't think you should be driving.

Is-is there anyone you can call?

There's two types of people in this world, doctor...

(tires screech)

(thuds)

(gasps)

Oh, my god.

Alex: Sir?!

(woman gasps) Oh, my god!

Sir, you're gonna be fine. (speaks indistinctly)

I didn't see him. Oh, my...

No, no, no, no, no!

Sir!

Did you see that?

He just came out of nowhere.

I mean, he just came right behind that pillar.

(panting) you know what? Maybe you shouldn't touch him.

I don't think you're supposed to touch him.

There's a phone in my purse. Get it!

What?

Phone, purse, now!

Over there.

Okay.

Go in my contacts.

Shouldn't I call 9-1-1?

No! This is faster.

I really think I'm supposed to call 9-1-1.

You need to stop thinking and do exactly as I say, okay?

Okay. Password?

5-1-5-1. Go in my contacts. Zach Miller...

Call him. (panting)

Oh, my... you saw the whole thing, right?

I mean he just came out behind that pillar.

I mean, you witnessed it. There's no way I could have avoided him.

Yes, hello?

Put it to my ear! Put it to my ear!

Zach, I need a code team to the parkade... level P2, south side.

I've got a man hit by a car, no pulse, no pulse. Start the clock and hurry.

Okay, what's your name?

Denise.

Denise, my name is Alex Reid. I'm a doctor.

Do you know him?

No.

I've never seen him before. I'm here on business.

There's an orange plastic case in my purse.

I want you to take it out.

It's a breathing mask for mouth-to-mouth.

Have you ever used one?

No.

Okay, I'm gonna walk you through it.

You know, I-I really can't get involved. (clatters)

I hate to break it to you, Denise, but you're very involved.

No, I just mean that if-if this man's hurt, I can't... I have to protect myself legally.

He's not hurt. He's dead.

And you and I are going to do everything we can to cure him if that. Okay?

I can't.

I'm sorry, I can't. I can't do that. (panting)

I-I'm... I...

(rustles) I can't believe this is happening right now.

(voice breaks) I mean, you just... I mean, you saw it.

I didn't know that he was... he just came out behind there, and I didn't-I didn't... I-I mean, I could have been going slower. I...

Okay.

My dad's gonna k*ll me.

Denise! Denise! Try to remain calm.

Okay, Denise?

Now we need to find out who this man is.

Can you do that?

Mm-hmm.

Okay. Good.

Check his pockets.

(exhales deeply)

(whispers) Two, three, four.

(rustles)

(clatters)

There's no wallet.

Uh, business cards? Cell phone?

No, that's it. That's everything!

I mean, Jesus, where's the help? What's taking them so long?!

They're 3 minutes away.

How do you know that?

Because if they take any longer, we won't get him back.

(panting)

(Zach) Alex?

Here! Over here!

(wheels clacking, siren wailing in distance)

All right, Maggie... bag. Jackson... chest. Let's go.

(Alex continues panting)

(thud)

Change in three, two, one...

Now!

Now!

(breathing heavily) Direct hit.

Hit on the right side. He hit the ground.

He just came right in front of me.

Multiple rib fractures, bleeding from the head. (instruments clattering)

Zach: All right, let's get a line in him.

I think he's drunk.

Do you smell it?

No, I was talking to him earlier. He was disoriented.

Might be dr*gs.

Okay.

Here, give me some room. Give me some room.

Okay!

All right, let's get naloxone when you're in.

Got it.

Jackson: Okay, that's 30.

All right, let's pause.

Bag. Do a rhythm check here. (device beeps)

All right, he's in v-fib. Back on the chest.

Everyone else off. I'm charging to 160. (defibrillator whines)

(grinds)

(grunts)

And... (beeps)

Off the chest. Ready?

Ready!

(paddles thunk) Okay.

(monitor beeping rapidly, equipment clattering)

Counting 30.

Denise: Did it work?

All right, I got it.

You go grab the spine board.

Pushing 1 amp epi.

Denise: Did it work? What's happening?

Don't know yet.

What... what do you mean you don't know?

Just try to let us do our job, okay?

And pushing 1 amp naloxone and saline.

And... (click)

30. Everyone off. Slow breaths.

(air whooshes)

Let's get him on this board.

Okay.

You got the neck?

Maggie: I got the head, yeah.

Here we go.

Ready?

(strained voice) Okay. (board slides)

(grunts)

Okay, on my count, you guys ready?

Yeah.

Yeah.

On three. One, two, three...

(all grunt)

Zach: Let's package him and get moving. Let's go!

(grunts)

Jackson: There you go.

(rail clicks)

(rail clicks)

Okay, let's make room for this in here. (clatters)

Zach: Hop aboard, Lin.

Okay, good. Here we go.

Alex: Look out. Go, go, go!

What can I do?

Call the police! (wheels clacking)

I can see the chest rise.

Jackson: I'm on the airway. Ready to get the next breath.

Zach: All right, I got the door.

Careful around this corner.

Good work, Lin. Stay on him. Stay on him!

His ribs are starting to go.

That's all right. Keep going.

Break 'em all if you have to, Lin.

Cycle.

Okay, vent him.

(air whooshes)

(whispers) Come on. (elevator bell dings)

Why don't you tell me what you want me to say so I can stop guessing...

Out! Get back.

Out of the elevator!

We're going up!

Man: Come on, let's go. Here, here, here, here.

It's almost three cycles. (beeps)

Here, cycle her off, Jackson. Here we go.

Charging to 250. Changing in three...

Jackson and Maggie: Two... one...

(beeps) now!

(paddles thunk)

(beeps, defibrillator whines)

Zach: Charging to 200.

Maggie: Got it?

Come on, come on, come on.

I got it.

And...

(beeps) Off! Everybody off!

(paddles thunk)

Resuming.

(gurney rattling)

Okay, let's see what we got.

No, this Does not end in an elevator.

Okay, then you're up.

Okay.

Man: Here, here. Right here, buddy.

(bell dings)

(Alex) Ready.

Maggie: Stay back.

Zach: Here we go!

You all right? You okay?

Alex: Get out of the way!

Ohh. (whispers indistinctly)

(Alex breathing heavily)

Let's talk timelines.

In our last session, you said your visions appear a couple of times a week.

Am I right?

Uh, it varies, Or varied, but yep.

And the last one you saw was... what, ten days ago?

See, I knew you were gonna do this.

What?

You're gonna tell me that, uh, this could be just a lull, that maybe I'm not cured after all.

I'm not sure it's useful to think in terms of cured.

That's because you're not the sick one, Gavin.

Tell me about the last spirit that you saw.

(sighs deeply) Gavin.

They're gone, okay?

They were, uh, a trick of my mind, and you fixed it.

Can't we just be happy with it?

(doors bang) Coming through! Out of the way!

Whoa!

Zach: Look out!

You good?

Yeah, got it!

Jackson: Having trouble bagging.

Veins are distended.

Shifted trachea.

Jackson: Tension pneumothorax.

John Doe, 20s, Hit by a car, V.A.S., 1 amp of epi, 1 amp of naloxone.

Shocked him at 160 and 200, no R.O.S.C.

Let's intubate him. Let's go. On three.

(Zach and Maggie) One, two, three! (all grunt)

(thuds)

Okay?

Zach: Get a chest tube in him.

On it. Swab him!

Lin, let's run a F.A.S.T.

Maggie: Yeah.

How about sharp?

Sharp out.

Zach speaks indistinctly: (beeps)

(monitor beeping erratically)

Jackson: Back on.

Maggie: We in?

Get the tube ready.

Pleurovac.

(monitor continues beeping erratically)

(beeping)

F.A.S.T. is negative.

Zach: Great. Okay.

Matt, let's charge to 360. Let's go.

Almost there.

(beeps, defibrillator whines)

Here we go now. Clear.

Come on, Alex. Let's go. Let's go.

Okay, go, go, go!

Okay, clear!

(all) Clear! (paddles thunk)

(flatlining)

Counting 30.

All right, 1 amp of epi. Let's go.

Maggie: On it.

(flatlining continues)

Let's keep going. Again.

All right, all right. You take carotid, I'll take the femoral.

26, 27, 28, 29, 30!

Epi's in.

(ventilator whooshes, monitor beeps)

I think I've... I've got something.

Just-just wait.

(monitor beeping rhythmically)

I think that's a pulse ox waveform, folks.

Whew! (sighs)

Good work, team.

Guy got schmucked in the right parking lot.

(sighs) Welcome back.

Whoa, whoa, whoa! Hey, hey, hey!

No, no, no, no!

We're not out of the woods yet.

The clock stays on.

It's bad luck.

Sorry.

Hey, Zach.

This look a little oozy to you?

A little bit, yeah.

Anticoagulants.

The guy's barely 30.

Yeah, but he's got a big scar, he's got a bunch of miles on him.

We'll find out more when we put him through the scan.

All right.

Isn't your shift over?

Ugh. Half an hour ago.

Ugh! Such a keener.

Thanks for that.

All right, let's get a foley catheter in him and get him to C.T.

I'll catch up with you guys.

Hey.

Thank you.

Is he okay? Did he make it?

(sighs) He's hanging in there.

(sighs) Oh, thank god.

Um... What would you... what should I do with these?

Are these his keys?

Mm-hmm.

I got 'em.

Jackson.

Yeah.

Can you find his car?

Let's figure out who this guy is. (keys clatter)

You want me to let myself into a total stranger's car, go through his stuff?

Yes.

Cool.

Did you call the police?

Yeah.

Yeah, they're on their way.

Am I in trouble?

They're just gonna need a statement from you.

Okay, so what should I tell them?

(siren wailing in distance) The truth.

Right.

Um... I don't know how you do it... stay so calm.

It's just my job.

I'm in linens.

It's a family business, and my-my dad's my boss.

And actually he, um, he told me that whatever... whatever I do, I'm not...

I'm not supposed to talk to the police right now until he gets here with our lawyer. And...

Is he going to die?

I don't know.

Oh.

I think I'm gonna throw up.

Would you like to sit down?

It's just, you know, if he's not gonna make it...

Okay, wait. Just hold on, all right?

When I know something, I'll come and talk to you, okay?

(baby crying in distance)

(whispers) Okay.

(door closes)

(whirring)

(woman, filtered voice) All set.

Here we go. (machine beeps)

(whirring continues)

(clank)

(monitor beeping rapidly)

Zach. Tachycardic.

No.

No, no, no.

(flatlining) Come on.

Code. Call the code. Shut it down!

Get him out of there!

(receiver clatters)

We have a code blue... C.T. room 1.

(flatlining continues)

All right, ready? On three.

One... two... three!

Okay, get up on his chest, start compressions.

(woman on P.A.) Code blue, C.T. room 1.

Get outta my way.

(Alex panting)

Right on time, Reid.

Get another amp of epi in him.

Foley's dry. Zero output.

Well, put another line in and flood him.

How we doing?

Cuts only go down to his collarbone.

Alex: Come on, Zach. What do you got?

Just give us some good news.

We didn't get the scan.

Maggie: V-fib again.

Clear to move.

Belly's distended. It's a bleed.

He's hemorrhaging.

We need to do a thoracotomy now.

No, we need to get his volume up, do an ex-lap.

Zach: Put your knives away. We don't even have a tox screen.

You were looking at the monitor.

He's hypovolemic.

He has cardiac history.

Dry foley, distended belly.

What do you want, a big red arrow?

I'm looking at one right here.

Enough!

Alex: Whoa, whoa! Slow down! (clatters)

(screams) Whoa!

Everyone, stop!

(monitor beeping rapidly)

Not you.

Are you okay? (breathing heavily)

Now the rest of you, take a breath.

Now I'm running this code. You will take direction from me and me alone, understood?

Yep.

Alex: Yes.

Now let's go.

We restart the code sequence from the beginning.

ABCs. We find the problem, then we fix it.

Sorry.

Zach: We need a crash cart over here right now.

Charge to 360.

Lin, run a F.A.S.T.

Yep.

(machine beeps)

(beeps, defibrillator whines)

Okay, everyone off. Everyone off.

(beeps)

(paddles thunk, beeps)

Okay, back on him.

F.A.S.T. is... negative.

Mnh. No, no, no. It's, uh...

It's, um...

More words, Dr. Lin.

It's muddled.

It's fluid. I mean, isn't it?

(beeps)

Zach: Yes, it is.

Okay, everyone off. Pause for rhythm checks.

Slow breaths.

(beeps)

(monitor beeping steadily)

And we're back.

(sighs) Oh.

All right, let's get this guy in the O.R.

(monitor continues beeping steadily)

Scrub up, Reid.

Looks like you're gonna get your ex-lap after all.

Give me this.

Good call.

Someone page Dawn Bell.

This guy's really starting to piss me off.

Come on.

You're not here.

Come on.

Come on.

Come on. Come on.

Alex: Incising.

Kn*fe.

Maggie: Retractor.

Whoa. Scissors.

(machine beeps)

Whoa. Yeah. That is fluid.

Well, let's move it, Alex. Find that bleed.

Let's open another channel of saline. Full blast.

(suction gurgling)

(machine beeps) Talk to me.

Eviscerating the bowel and evacuating.

(sighs) I'm packing the four quadrants.

Let's go. Keep 'em coming.

(machine beeps)

(suction continues gurgling)

Oh, boy.

(sighs deeply)

Okay.

All right.

Liver is okay.

Pelvis okay.

Find something.

Uh...

Upper left quadrant.

Spleen?

Maybe.

(machine beeps)

No, no, no.

Give him more blood.

Oh, you gotta be kidding me.

We're at 20 minutes here.

(monitor beeping erratically)

You got somewhere you need to be, Zach?

(scoffs)

Right on his chest, Lin.

Let's count a cycle. Let's go.

Okay. Hey.

Ah, whoa, whoa, whoa.

Give him more blood. Keep it under pressure.

(machine beeping, flatlining) Give me more sponges!

(whispers) Ugh. Jesus.

(sighs deeply)

(flatlining continues)

(mutters) Did I miss it?

Dawn: What do we have?

John Doe versus car. He's all over the map.

Got R.O.S.C. after tension pneumo.

Took him to C.T., crashed halfway through.

Got him back, positive F.A.S.T., Started an ex-lap, he coded again.

Let's get this crash cart in there.

Is that clock accurate?

Yeah.

He had circulation.

For how long?

Alex: 4 minutes, maybe 5.

Out of 22?

He had good compressions the rest of the time.

I was there when he went down.

Okay, shocking to 360. Everyone off!

(machine beeps)

(Alex and Maggie) Clear!

(paddles thunk)

(monitor beeping steadily) Back on.

Dawn, I'm close. I can find it.

Okay, well, it's a good thing his heart stopped 'cause he probably would've bled out in the meantime.

So we cross-clamp the aorta, stop the bleed, and keep his brain perfused.

How many times you hit him?

Five.

What meds?

Epi, naloxone, vasopressin, an ocean of lidocaine.

Can someone say something that makes this not a lost cause?

If we can get his volume up, he'll go.

He's still here. He wants to go.

Can someone say something medical?

Zach: 70 B.P.M.

(whispers) What?

And holding.

Flair for the dramatic.

All right, I'm starting to see what you guys see in this guy.

Page Dr. Kendall.

Dr. Reid, put your toys away. We're gonna do a thoracotomy.

Maggie: Retractor.

(sighs deeply) Cutting it awfully close, my friend.

Okay. Well, this is where I tap out.

Hey, Reid, make me a promise?

What's that?

If my heart ever stops, be nearby.

(Alex sighs)

That sounded vaguely romantic.

I wasn't going for romantic. Just-just sayin'.

(siren wailing)

Excuse me.

Uh, doctor, can I talk to you for a sec?

We sorta met earlier. (lowered voice) In the elevator?

Oh.

Right. I'm, uh... sorry your family had to see that.

(sighs)

Is he, uh... is he gonna make it?

You know that guy?

No. W-we're here for my-my son.

Uh, bone marrow biopsy.

I'm sorry.

Yeah, they're, uh, talking about leukemia.

We're praying for the best.

Anyway, he's been asking about that guy, you know, and I... just...

I'm afraid I can't talk about other patients.

Right. No, of course not.

You know, it's just...

Yeah.

Woman: sweetheart?

Y... um...

We're going in.

I... okay, I'll be right there. Just give me...

(whispers) I'll be right there.

It's just... (sighs) when he saw the tattoo of the planets on the guy's arm, he decided that he must be an astronaut. So...

(indistinct conversations)

(sighs) This whole thing's been hell, you know?

Test after test.

Me and his mom at each other's throats. Right?

And seeing the guy laid out like that. It was just...

(inhales deeply) I don't know.

I was just really hoping that you could tell me so I could tell him that the guy's gonna live.

Wish I knew.

I can tell you he's in good hands.

Thanks.

Scalpel.

Scissors.

Dawn: Rib spreader.

(clicking)

Heads up. Sharp bone.

Chest cavity looks dry.

Locating inferior pulmonary ligament.

Why, Lin?

To free up the lung.

Exactly. To free up the lung.

And how do I know when I've found it?

Um... exactly. I don't.

It's a blind... cut.

(machine beeps)

But being really good helps.

(beeping)

Pericardial adhesions?

From his previous surgery?

Looks like it.

Scalpel.

Small starter cut, anterior to the phrenic nerve. (snips)

Okay, let's hope there's no blood in here.

What do you say, Reid?

Ugh. Knowing this guy, count on it.

Got a nice color.

Heart looks... pretty good.

All right, kids, now we're in the deep end.

Gavin: Let's switch gears for a minute.

Charlie: Okay, now.

I wonder if you can tell me about the positive side of this experience.

Of the hallucinations?

Would you describe them as helpful in any way?

Oh, yeah. Sure, they're... they're great for getting rid of unwanted self-esteem, alienating people, things like that.

Were they ever helpful to you?

(sighs)

This is where you tell me my neuroses are my tools, right?

You had a traumatic experience. You created strategies to cope.

I don't bite my nails, Gavin. I saw things that weren't there.

Still, sometimes people find it difficult to let go of those strategies.

Hence, why we're here.

What I mean is that sometimes you discover that you don't want to let them go.

Wrong.

Is it?

Try to stay with the tour here, doc.

I walked away from the woman I love because of this.

Best thing that ever happened to me, hands down.

I pushed her away.

Okay. Well, it's just that you told me that you see these spirits when people are near death.

Yeah.

Mostly in the O.R. or in emerg.

Yeah, where the dying happens. And?

And you've led me on two laps of this hospital, but carefully avoided those areas.

Which makes me think that maybe you're not sure that they're gone.

And maybe you don't want to test it 'cause you're not sure that you want them to be gone.

Vitals are stable.

Okay, good.

All right, I'm gonna need you to...

Hey, is this the parking lot John Doe?

You shouldn't be in here, officer.

Yeah, is he gonna make it?

As soon as we know, we'll come and tell you.

Yeah, how 'bout a hint?

Please, sir.

Look, if this guy dies, I'm here all night. Okay?

But if he lives, I get to eat breakfast with my kids.

Get out of the operating room! Now!

Uh, you seem busy. I'll check back later.

(scoffs)

(machine beeps)

What?

Nothing. Insert a gastric tube.

No, tell me.

Just an observation.

In here, you're bold and command the room.

Out there, not so much.

(beeps)

What's that supposed to mean?

There's Alex Reid the doctor, and then there's Alex Reid the person, and she's more the "wait patiently, hope for the best" type.

What do you know? We seem to be talking about Charlie.

Word gets around.

(sighs deeply)

He needs some space. We'll be fine.

I remember telling myself the same thing.

I wish I'd been around to get in your business.

Best tool for dissecting aortic pleura. Lin?

Man: The blood work's in.

What are the headlines?

Just one. There's an I.V. contamination.

Your sample's useless.

What? (groans)

You pulled from his I.V. side?

There was a lot going on. There were lines in everywhere.

Get a fresh sample, take it up yourself. Now.

Maggie: Yep.

Fingers, by the way.

Best way to dissect the aortic pleura.

Have the clamp standing by.

(clicking)

Okay, aorta is clamped. No blood going to the lower organs.

No time to waste, Reid. Find your bleed.

All right, retractors.

(clicking button)

Come on.

You're kiddin' me.

(car alarm chirps, doors unlock)

Gotcha.

There you are.

Wendy Simpson?

(sighs)

Come on.

There's gotta be something in here.

There's no label.

Dude, you're not making this easy. (pills rattle)

Ha! Got it! That's it... middle colic vein.

Suction.

Dawn: Complete tear?

(sighs) No, I can repair it.

Tie it off. Do a colectomy.

Dawn, I'm gonna fix it. Driver.

(suction gurgling)

Pull up.

(sighs deeply)

(beeps)

(sighs deeply) This guy is still oozing more than I'd like.

Where is the blood work? Page Dr. Lin.

How much heparin did you use?

10 mil.

Open another channel of saline. Come on, let's pick up the pace.

(beeps)

Maybe this isn't such a good idea.

You're okay. (exhales sharply)

No, maybe you're right. Maybe they're not gone.

Well, at least we'll know where we stand.

(machine beeps)

You seeing anything?

No.

It's all normal.

Angus, I need to know what this is.

Quickly.

Any chance you can put a hurry-up on that?

(scoffs) You're the one who gave me the bad sample.

I'm doing this for the second time today.

Yeah, you'd think you'd be better at it by now.

You know what the problem is with doctors?

Tell you what... how about we talk about it in greater detail later and work now?

You're up on a pedestal. That's the problem with doctors.

You're always running around like rock stars.

How do you run around on a pedestal?

Here's the thing... I'm gonna do this right, okay?

Please do.

There it is.

That should hold.

Will hold.

There's only one way to find out.

Turning the tap back on.

(beeps)

When this guy wakes up, tell him to buy a lottery ticket.

(beeps)

All right, you got any other bits you wanna cut open?

Nope.

All right, then I say we're done. Let's close him up.

(monitor beeps erratically) Sinoatrial arrest.

(beeps)

He'll even out.

There.

What is it? What do you see?

I can't hear you.

(speaking inaudibly)

I can't hear you.

(sighs deeply)

(beeps)

Down to 50.

Give him a hit of amiodarone.

(monitor continues beeping erratically)

Got it.

Tolvaptan.

What's it for?

Vasopressin receptor antagonist.

Moderates blood sodium.

He's got a kidney problem?

He's got a kidney problem.

Man: You're welcome.

Oh, god.

(telephone rings)

(ring)

Give him more epi.

(sighs deeply)

(telephone rings)

Woman: He's tanking. Down to 25. (ring)

What do you want to do? Any ideas?

I got nothing. (ring)

Anyone? Anyone?

Asystole. (flatlining)

(speaks indistinctly)

Okay, let's shock him.

(ring, defibrillator whines)

Alex: Is he acidotic?

There's no way. He was clamped for 10 minutes.

Clear! (ring)

(thunk)

(ring)

(flatlining continues)

(sighs deeply)

He's got chronic renal disorder.

I found a pill in his car... tolvaptan.

What?

Call for hemodialysis.

It's Dr. Lin. His potassium's through the roof.

(flatlining continues)

Hyperkalemia. (sighs)

No. Flood him with calcium chloride.

Okay, we're gonna have to flush him, so 20 units of insulin.

Change his I.V. to D5.

Let's go! Now!

(flatlining continues)

Now!

(click)

Dawn, no! Turn it back on!

Turn it on!

Get Zach.

Give me the defib now.

(defibrillator whines)

(breathing heavily)

Clear!

(thunk)

(Phoria's "Once again" playing)

(monitor beeping erratically)

♪
♪ in my ♪

(monitor continues beeping erratically)

♪

(continues breathing heavily)

♪

(flatlining)

♪

(continues breathing heavily)

Polycystic kidney disease.

It's a good bet.

Explains the sternal scar. Early cardiac damage.

So he skips a couple dialysis sessions, goes uremic.

I mean, that's why he seemed drunk.

That's why his blood went bad so fast.

You all right?

We could've corrected for it.

Maybe. Maybe not.

We could've flooded him with calcium, had a C.V.C standing by if we'd known.

If he hadn't crashed in the C.T. if, if, if.

Alex, we didn't even know the guy's name.

How were we supposed to know he's got a kidney disease?

I was looking at it the whole time.

At what?

You can feel it. It's right in the middle of his tattoo.

Port for his dialysis.

We were looking at it the whole time.

Yeah.

We were.

(sighs)

(door opens)

(door closes)

(indistinct conversations)

(exhales deeply)

I heard.

Listen, you should know, he was sick.

The accident was only part of it.

Oh, I just keep playing it over and over in my head.

You know what? I just need to...

Does that ever happen to you?

Yeah.

Well, how do you make it stop?

You can't.

I just think, if-if I had reacted faster, if I had seen him sooner, if I just... if I hadn't...

Denise, with something like this... (sighs deeply) you can tie yourself up on knots, second guessing, trying to make sense of it, and... that's not your job right now.

Then what is?

(woman speaking indistinctly over P.A.)

You just gotta let it happen.

Have the feelings, take your time, and push through.

(whispers) I don't know.

I do.

Trust me.

(man speaks indistinctly over P.A.)

Okay. Um...

So what am I gonna tell my dad right now?

Because he's gonna want to talk about this blow-by-blow, and I-I really can't do that right now.

Sure you can.

(exhales deeply)

There he is.

Thank you.

Mm-hmm.

(man speaks indistinctly over P.A.)

So what are you thinking about?

I'm thinking that, um...

I think this has been really productive, Gavin.

Really?

Yep. When you have a problem, it's good to... stare it down.

Well, we're gonna have to end this now.

So... same time next week?

(sighs deeply)

Um... next week's a little busy for me, though.

I'll let you know.

Thank you, Gav.

Man: Thanks.

Hey.

Hey.

They just finished the biopsy.

They say we should know within a couple hours.

Well, fingers crossed.

He, uh...

How's he holding up?

Oh, he's doing great.

I think he's more worried about that astronaut from the elevator than he is about himself.

Hey, uh...

Did that guy, uh... did he make it?

Yeah.

You can tell him the astronaut made it.

(exhales deeply)

I... Amazing. Thank you.

Yeah. Good luck to you and your family.

I appreciate it.

You all set?

Hey, bud, guess what.

♪

(speaking inaudibly)

She doesn't even know that guy's name.

Maggie: Sad.

I don't know.

A guy gets hit by a car, it impacts everybody around him.

Mm.

It's a... collision of souls, really.

That is beautiful, Jackson.

Yeah?

Yeah. I'm gonna write it down.

Collision of souls.

It's lovely.

Hey!

Booyah!

That's cold.

You can't guard against that, son.

Just gotta watch that happen.

You've got a seriously tiny little heart.

Oh! Oh, do you want a replay?

I hope you set your PVR, because I'm walking away.

Hey.

Hey.

You're still here.

Yeah.

Got pulled into something.

Hey.

You okay?

You know that thing when you're fighting to save a person's life you know, and you're... exhausted and you're just doing everything that you can.

And all of a sudden, Your thoughts sh**t forward, like... in a flash.

You know, to the-the first day, maybe the next week.

Some little chore that you have to get through or some little scene that reminds you that life will go on after they're gone.

I used to think of that as a weakness, like I was giving up.

And what do you think now?

It's survival.

Yeah.

It's the way we get through.

(sighs)

I can't imagine my life without Charlie.

I can see it.

(oh travioso) ♪ I have been waiting for ♪

(sighs)

(voice breaks) And it breaks my heart... but I'll survive.

Man: ♪ but all my waiting comes ♪

Of course you will.

♪ and goes and still I'm alone ♪

Night.

Good night.

♪ here you are ♪
♪ my guiding star ♪
♪ lead me home, lead me forward ♪
♪ the map that brought me here ♪
♪ was penned by men who don't know ♪
♪ the spot they're searching for ♪
♪ has no "x" but an "xo" ♪

(police radio chatter)

♪ oh, no, no ♪
♪ here you are ♪
♪ my guiding star ♪
♪ lead me home, lead me forward ♪

Hey, doc.

Hey, doc, hold up.

♪ closer ♪

We need to get a statement from you.

Right.

Yeah.

Of course.

Yeah. Hey, you got a little bit of, uh... uh... blood.

Right th... no. Right...

You got it.

Thanks.

You're welcome.

♪ head upwards ♪

You know what? I-I tell you what. Go home. (rips paper)

I'll just have someone come by tomorrow.

I really appreciate it.

No reason we all have to suffer, right?

(chuckles)

♪ lead me home ♪

Hey, doc?

Yeah?

You can't win 'em all. Right?

♪ here you are ♪

True.

♪ my guiding star ♪

(inhales deeply)

♪ lead me forward ♪

(exhales deeply)

♪ lead me home ♪

(laughs)

♪ lead me home, lead me forward ♪

(sighs deeply)

Mm.

♪
♪ I have been waiting for ♪
♪ an arrow pointing me home ♪

(grunts)