04x06 - Rock and a Hard Place

[bunniefuu]

Well, we were students last year. We're teachers this year.

♪ if I had anyone to hold onto ♪

It just feels like a bit of a leap.

Why do I get the feeling you aren't totally excited about mentoring?

♪ if I had anyone for a day ♪

Well, between Katz and Kalfis, I've had complicated mentor relationships.

♪ we could be out of here ♪

I'm just... I'm confused about how to behave.

♪ out of town and back around ♪

No kissing.

Copy that. [elevator dings]

Okay, I wonder who I get today... Blondie, Brainy...

♪ cha cha in my room to the a-side ♪

.. or other guy.

Sekara really needs a new nickname.

Well, you can't rush a good nickname.

♪ Dancing slow thinking of you ♪

It'll come to you.

Trauma team! Yes!

♪ Lie down, I have to know ♪

Did you just win something?

♪ If I should let you go ♪

You see a little of everything in trauma.

It's value-added experience.

Hmm. Two appendectomies with Dr. Reid, and one large lemon stinger.

♪ step close to me ♪

Suck-up.

I'm just playing the game.

If you think we're not in competition with each other...

♪ see where the pieces lay ♪

.. you're kidding yourself.

♪ glide on endlessly ♪

Well, I've got Dr. Lin, And she's only on the board with assists.

♪ I know it to death ♪

Zero lead surgeries.

♪ I've made up my mind ♪

If it's a competition, I lose.

♪ show me how to move ♪

Who's the loser?

♪ show me how to move ♪

Have a wonderful day.

Oh, this is for you, Dr. Reid.

♪ it's spinning me 'round ♪

Oh.

♪ can't tell up from down ♪

So, appendectomies. I can't wait.

♪ show me how to move ♪

Yeah. Good times. Oh.

[cellphone vibrating] Oh, are we up?

♪ I'll cry out a tune ♪

No, I'm needed on a consult.

I'll let you know when I'm done.

♪ middle of the floor ♪

Thanks for the tea.

♪ I had it all ♪

Where's my tea?

Uh... you can have this.

♪ just enough time to breathe ♪

It's been in my family for as long as I can remember.

♪ what was in my head ♪

I'm gonna mentor the daylights out of you...

♪ shaking, dance to death ♪

Other guy.

♪ let reason take a rest ♪
♪ I know it to death ♪
♪ I've made up my mind ♪
♪ show me how to move ♪
♪ I'm cryin' a tune ♪

Hey! Oh.

You paged me for a consult, Dr. Harris?

Well, anything to spend some time alone with my girl.

[laughs] Very sneaky.

Mmm!

Dr. Harris.

Oh. Yeah.

[chuckles]

I wish I wasn't, but yeah.

Another fax just came in for you from the lawyers.

About the Crenshaw appeal.

Ah, thank you.

Crenshaw... my patient who went back to jail?

Yep, he's appealing his case, and I want to make sure he doesn't win.

[cellphones vibrating]

What?

Seriously, did Zach just page you for a consult, too?

Hmm, that's karma.

Keep up, Dr. Harris.

Wow.

[siren wailing]

Zach, what do you got?

This is Nick. Open fracture with a crush injury.

Okay, ready? Let's take a look at what we got here.

Ohh!

Ohh!

Geez!

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

Partial transection of the femoral artery.

Let's get a tourniquet.

And book this guy in for an urgent O.R.

Aah!

What did you give him?

5 milligrams morphine... I.V.

Okay, coming underneath you there.

How the hell did this happen?

Fell off a ladder climbing out of a storm drain.

Broken manhole cover came down on him.

I'm gonna need some gauze. Got a lot of dirt in here.

Can we call anybody for you, Nick?

No, I'm on my own.

No family?

Gonna need some, uh, cefazolin, gentamicin, pen "G," some tetanus prophylaxis, and let's get some ringers.

His foot is as cold as ice. Nick, can you wiggle your toes for me?

No.

No free fluid in the abdomen.

Does this hurt when I press down?

No. Am I gonna lose my leg?

Not if we can help it.

Hang in there.

Femoral nerve looks intact.

Uh, Jackson, let's get him 5 milligrams of morphine and check his B.P. for me.

Dropping fast.

Yeah, he's fading. And he's out. Nick! Gone.

Okay, his leg is a mess.

I need to clean him up before I even know what I'm looking at. Let's, um... let's get him to the O.R.

Mrs. Crace, good morning.

Aren't you meeting with the board today?

I'm a little early.

I was hoping to find you.

Is everything okay with the endowment?

Nearly.

The money's all in place, but my lawyers are still nervous.

They want to be sure that the board has support of the surgical team, or they won't release the funds.

Everyone wants the pediatric cancer wing to be a reality.

Ever since my grandson was treated here...

I know how important this is to you.

[knock on door]

These came for you, Dr. Bell.

Thanks.

Flowers. How lovely.

Lucky you.

If you were at the meeting, Dr. Bell, it would be a show of solidarity.

It could make all the difference.

Well, then, absolutely. Yes, I will be there.

Oh, thank you.

Thank you.

♪

Edward Barrett? I'm Dr. Williams.

Yeah. Eddie.

Um, you're here to let me go?

Not just yet.

Why don't you tell me what happened?

Uh, I-I already talked to a nurse about this.

Yeah. Okay, fine.

Um, a bunch of kids rolled me for my watch.

Did you call the police?

You know what, I'm not gonna bother them with this.

You were assaulted.

Uh, it was a misunderstanding, and now I understand.

You know what I mean?

Pretty scary kids, huh?

It's nothing you have to worry about.

I can handle it, so...

Please sit down.

I need to take a look.

Yeah. Fine.

You're, uh, probably also gonna want to take a look at this.

I don't know if you...

Yeah.

[siren wailing]

Someone page plastics?

Yeah, Dr. Kinney, that was me.

So, Dr. Williams, what do we have?

What exactly is hospital policy on reporting assaults?

Oh, I don't know. It depends on the situation.

And that's a hell of a situation.

Yeah, I'm not really buying his story about what happened, either.

Oh, this ear.

Cartilage is crushed, vessels are destroyed.

He said he was mugged by a bunch of kids.

For his ear.

Exactly.

I'm thinking it's some kind of unpaid debt.

dr*gs, I don't know.

Maybe gambling.

You've been watching too many mafia movies.

Maybe.

He wants us to just stitch him up and let him get back out there.

That's not gonna happen.

Right. I'll call the cops.

First things first, this guy needs an ear.

I didn't think it was salvageable.

It's... it's not. This is garbage.

But I have a plan "B."

Where's he parked?

Bed 4.

Williams, this is gonna be the most interesting surgery you have ever done, guaranteed.

[chuckles]

Dana: Mr. Barrett, how you doing?

[monitor beeping]

What's this guy doing in the sewer?

City workers don't dress like that.

My thoughts are not your thoughts.

I don't know. Exploring?

That's right.

You know those guys who, uh, post pictures of abandoned buildings and construction sites.

I think they call themselves, um...

Urban explorers....

Urban explorers.

Well, how do we keep our kid from doing that?

That's what I want to know.

Oh, just don't stop him from being who he is.

That'll be way more dangerous.

Hmm, those toes are still profused, and that is a good thing.

What's with people these days?

Whatever happened to a good, old-fashioned roller coaster?

That's where it starts.

Then you'll want more and more.

Next thing you know, you're climbing up 20 stories just to feel that same rush.

I don't know. Death wish?

Just the opposite.

I do it to feel alive.

Okay. I think I'm done with the debridement.

Let's scrub up.

Okay, guys, we've got 45 minutes to save this leg.

So let's go. [sighs] Let's go.

Don't you worry. We'll make sure that that happens.

[chuckles]

Good morning, Mr. Berkley.

Good morning. Lovely to see you again.

I love Freesia. You remembered.

Well, anything to see that smile.

[chuckles]

Excuse me.

Her lawyers aren't sure that they can trust the board.

Okay, well, if that money falls through, then so does the project.

So let's make sure that doesn't happen.

Dawn.

Are we, uh... do we need to talk, or are we all good?

Why wouldn't we be?

Then after you, Dr. Bell.

Hi.

Am I gonna lose this baby?

You're not having a miscarriage.

See, baby looks perfectly happy.

Little trooper.

[groans]

It hurts so much.

Are you here on your own, Anne Marie?

Yes. Marco's in Nepal.

He's the baby's father?

And want to know the kicker?

It's my fault. I sent him there.

Anne Marie is a General in the forces.

My husband's a Captain, but the disaster response team deployed after the earthquake...

Okay, you have a mass on your ovary, and it's putting pressure on the ureter.

I can see why you're in so much pain.

You can sit up.

Tell me there's something you can do.

I'm gonna give you something to manage the pain, and look forward to meeting that wonderful baby.

Mass is nothing to worry about.

They're... they're usually benign.

We can test for malignancy after we remove it.

Are you saying this could be cancer?

Very unlikely.

The mass shows no worrisome features.

We see them all the time during pregnancy.

So let's just take it out.

We're gonna remove it about six weeks after delivery.

Can't we find out if it's cancer now? What about an MRI?

It's not advisable during pregnancy.

My aunt d*ed of ovarian cancer. It's in my family.

What about that test?

The CA-125?

It's not a good test for pregnant women.

I'm sorry.

If I have cancer, I want to know about it now.

I want that test.

We're gonna get your pain under control and maybe something to help you feel calmer.

I-I thought she had a right to know.

The woman is pregnant, in pain, and alone.

We're trying to minimize stress here.

I believe that the doctors and patients need to be partners in their care.

So do I.

I also believe we're responsible for the patient's welfare, both physically and emotionally.

Shouldn't it be her decision, anyway?

If she wants the CA-125, why not just give it to her?

Because the test is unreliable.

Her levels are probably elevated because she's pregnant.

How do you think she would deal with a false positive?

Okay, so, what do we do now?

I'm gonna go discuss her pain management with the pharmacy, and you are gonna go discuss with her why we're not gonna do the test.

Yeah, right.

Me, on my own, with an army General?

You made the mess. You clean it up.

But... no, no, no.

B-b-but wait, wait.

[water running, stops]

So, what's your interest in Tom Crenshaw?

Well, he came to me as a...

A ghost. You can say it.

[sighs]

He, uh, said he was innocent, set up by a lousy medical examiner.

And?

And turns out he was playing me the whole time.

Why?

To get out of jail.

Nothing about the guy was normal.

He even followed me home.

Um, wait a minute.

He was in our house?

Why didn't you tell me?

I didn't want to freak you out.

Well, I'm freaked out now.

I'm sorry, okay?

Listen, I'll tell you anything you want to know, just...

Not here.

What about a code?

Like, instead of saying, "seeing a ghost," we'll...

I don't know, "you were doing your taxes."

Okay.

Great.

[monitor beeping]

My aunt d*ed within a year of being diagnosed.

Left two kids behind.

It's very common to develop these during pregnancy, all right?

The... the incidence level of malignancy is incredibly low.

I didn't get where I am by waiting.

Six weeks?

Seems like an eternity.

Unless you had a C-section.

What? What are you talking about?

I-I just mean, uh, if you were to deliver naturally, we'll wait before operating, but if you should happen to require a caesarian section, we'll take the mass out in the same operation.

Ohh!

General Walsh, are you okay?

No. I am not.

All right, I'm gonna get you some more pain meds.

My water broke.

It just seems like you do a lot to please them... your taxes.

Uh, yeah, sometimes.

Other times, it's a snap, but that's just the nature of doing... my taxes.

If you guys are gonna talk about sex, I'm gonna put on my headphones.

I'm telling you, it's a lousy code.

Charlie.

Hmm?

No pulse here.

What?

No pulse.

Blockage must be in the femoral artery.

Fogarty catheter.

Okay. Clamp.

We've got the artery exposed.

I'm gonna put a bulldog on the distal while you thread the catheter proximally.

♪

[monitor beeps]

Okay, almost there.

There it is.

Nice.

Give me the clamp.

[suction sucking]

Okay.

All right, let's tack the enema down 'cause, uh, we don't want that happening again, now, do we?

No, we do not.

Mm-hmm.

Headphones it is.

So, the, um... the curve of your rib is very similar in shape to the curve of your ear.

So we're gonna harvest three small pieces of cartilage, and we shape them and we wire them together and we make this framework.

And then... and this is the cool part.

We take that framework, and we bury it under the skin of your forearm right about here.

And with a little suction, that skin adheres to the cartilage, and in three weeks, do you know what we have?

A shiny, new pinna.

Uh...

Sorry, that's the outer ear.

Okay. Hold on.

Let me get this straight.

You're going to grow me a new ear...

In my arm?

[chuckles]

I know, right?

That sounds pretty radical.

Well, so is Dr. Kinney.

I don't understand.

I mean, you have a room full of really sick people here.

Why are you even bothering with me?

Because it's our job.

In three weeks, I cut that ear out of your arm, and I put it back onto your head.

And, voilà... beautiful symmetry restored.

Back to your handsome self.

Mm, no.

This is what I deserve.

I lost a lot of money that I couldn't... can't make good on.

Eddie, none of that matters here.

Okay, bottom line, you need a new ear.

This is how we're gonna give you one.

Listen, I, um...

I know what it's like to live without a part of yourself.

And believe me, you don't want to do that.

This is all wrong.

Marco was supposed to be here.

I'm a month early.

I thought first babies were never early.

Ah, well, apparently your baby didn't get the memo.

[sighs]

G-give me a C-section, then.

Take out the cyst now, like he said.

Uh, I-I just said i-i-if we were having a section, we would, um [clears throat]...

The baby's head is down in a great position.

C-section won't be necessary.

Ohh!

Okay, your contractions are getting closer.

That is one motivated little dude.

I'm not gonna do it.

Not gonna do what?

[sighs]

If I have to have this baby now, I want a caesarian.

Get the cyst out.

Anne Marie, it's not an option.

It's what I want.

You know what, maybe a walk's a good idea.

Dr. Sekara, can you...?

Dr. Sekara?

Did I miss a text from you?

No.

Oh, just 'cause... were you just in the O.R.?

Assisting Dr. Harris. Why?

I know I'm with you on those appendectomies.

Um, but a transected femoral artery...

I would love to have seen how you dealt with that.

You know what, you're right.

I should have brought you in.

No, I understand.

It's just there's so much to learn.

I want to maximize every opportunity.

And I've really been looking forward to shadowing you.

Tell you what, from now on today, whatever happens, I'll let you know.

We're a team.

[chuckles]

Oh, this will make a beautiful helix.

God, everyone's ears are so remarkably different.

Consider Michelangelo's "David"... those lobes... God.

You just want to pop them into your mouth.

Maybe Eddie was right.

What?

What happens when he goes back out there, keeps gambling, and gets his other ear cut off?

Oh, then we'll fix that one, too.

[tool whirring]

Seems like a lot of man power to pour into an active addict.

You okay, Williams?

You don't seem your usual chipper self.

I'm just saying even he doesn't think he's worth it.

[monitor beeping]

Uh, you, uh... you dated an addict.

A gambler.

Ugh!

So, this is a little bit of a...

Trigger. Yeah.

We met at university.

He was...

My first love.

Ouch.

I tried saving him from himself, but I was unsuccessful.

[sighs]

We are giving this guy a second chance that he will most definitely throw away.

That I would bet on.

[sighs]

Got his chart?

Thank you.

You're still here.

I'm having a bona fide out-of-body experience.

I'm not going anywhere.

Great.

Yeah.

Do you know how long I've waited for this?

I've tried hypnosis, ayahuasca, and now, finally...

You were critically injured.

Most people aren't... happy about that.

It's totally uncharted territory.

I'm loving it.

Uh, most people also find it a little disconcerting seeing themselves lying there like that.

Yeah, I'm used to it. I got a twin.

I grew up looking in the mirror.

You're identical?

Only on the outside.

Wait a minute.

I thought, uh...

I thought you said you didn't have any family.

I said I'm on my own, which I am.

I don't speak to them.

I don't have time for anyone telling me how to live.

Ohh! Ohh!

You okay?

Ohh, my side is k*lling me.

Aah!

Hey.

Hey.

What's going on?

He's in pain. It's his side.

[monitor beeps]

I'm not seeing any elevations.

Dude, you got to make this pain go away.

Alex, Nick's here... the, uh, one who does my taxes.

[monitor beeping]

Oh. Okay.

Uh, Dr. Reid's gonna help you.

Is the pain only on that side?

Yeah, right here.

Yeah, it's a sharp pain, right flank.

When he fell, did he land on something?

No, nothing. It was like four feet.

He says no.

Medical history?

Uh, I was in the hospital as a kid, but, ohh!

Now it's down here.

Okay, now the pain is in his groin.

Why were you in the hospital?

Uh, some operation. My mother never said.

He says operation when he was a kid.

He doesn't know what nature.

Well, he had a scar.

Looked like from an appendectomy.

Aah! Now it's in my leg... the other leg.

Now the pain is in his thigh... his other thigh.

Radiating from groin to thigh.

It must be his kidney or ureter.

I'll get him on some antibiotics.

[alarm beeping]

He's going into shock.

Are you thinking kidney failure?

There's blood in the catheter.

This isn't an infection.

I need to get him back in there and open him up.

How's that pocket coming?

It's developing nicely.

Make sure you protect my perforators.

His Darwin's tubercle is very subtle.

And that is not a bad match, if I do say so myself.

It's beautiful.

I just hope you get to finish the job.

Drain is in.

We re-attach in three weeks.

He just needs to stay out of trouble until then.

Yeah, good luck with that.

He can do it. I have faith.

Okay, lift the skin.

I am going to place the strut on the level of the fascia.

And then you can stitch it up.

You go to the mat for all your patients?

Even the rich kids with their nose jobs?

Of course I do.

The heart of plastics is the possibility of transformation, of real change.

I will always go to the mat for that.

Well, it's too bad you can't give him a face transplant while you're at it because until he gets out of dodge... that's one thing my ex had figured out... never stop moving.

Yes, because you can't hit a moving target.

Exactly.

Okay.

Shall we finish this masterpiece?

Yes.

Are you ready?

[both chuckle]

[suction sucking]

That is so cool!

[laughs]

[laughing] Oh, my god!

I told you.

[both laugh]

[moaning]

No!

Anne Marie, you have to let me examine you.

Your contractions are very close.

How many times do I have to tell you I'm not doing this?

Where the hell were you?

Sorry to interrupt here.

Ohh!

Marco: Anne Marie, are you all right?

Can you hear me?

We can hear you.

Marco?

So, the doctor says you're in labor.

Okay, here's what you need to do.

I want you to get General Adams on the phone.

I want an ambulance to the base, and then get them to set up an operating room for me, okay?

There's no time for that.

Stand down. You have no authority here.

These doctors are your superiors.

You need to do what they say.

[crying] I'm scared.

I don't want to go through this without you.

I'm here. I'm with you.

Anne Marie, you need to trust me.

You're about to become a mother. Let me help you.

Dr. Sekara, prep a birthing room.

Okay.

You can do this. I'm right here.

The appendectomies aren't emergencies, so this surgery takes precedence.

Oh, that's totally fine, Dr. Reid.

I haven't operated on kidneys before.

Well, if you're gonna specialize in gen surg, you're gonna be seeing a lot of them.

So, is it a cr*ck in the kidney itself or damage to the ureter?

It could be a tear in the renal artery.

Wait, so, we're going in there without knowing exactly what's wrong with him?

He has a problem with his kidney.

But what problem specifically?

That's what we're going to find out.

[water runs, stops]

How can he have a creatinine of 400?

His kidneys look normal.

Yes, they do.

So, where's the blood coming from?

[alarm beeping]

Better figure it out, guys.

Pressure's 80 systolic. We're losing him.

Page Charlie. I need him in here.

Uh, why? This isn't a bone issue.

Now.

Thank you, Mrs. Crace.

That was extremely generous of you.

Well done, Dr. Bell.

I may just see this unit up and running in my lifetime.

Well, it would be because of your contribution.

Oh, no, it's down to the two of you.

You're quite a team.

I can't argue with that.

[chuckles]

Get your hands off me!

You don't touch me... ever.

And you sure as hell don't send me flowers after what you did.

Which is what?

What is it I did, Dawn?

And why the big shift from this morning?

The only reason why I have let you within 100 feet of me is because the hospital needs this money, and I am not gonna jeopardize that.

Dawn, I think you need to slow down.

Don't you tell me... what to do.

♪

Yeah?

I'm looking at the kidneys, and they're fine.

Not crushed from his fall?

No urine output.

And B.P. can't get much lower.

They are completely intact.

What else?

Uh, I don't know. He's taken a few dr*gs in his time.

Maybe a reaction?

No, tox screen was clear.

He has an identical twin.

Maybe we should contact him.

Identical twin... the scar.

He must have had a kidney transplant.

Wait, what?

Yeah, there it is. Way down. Clamp.

A ruptured renal artery?

Yes. More suction.

So, his twin gave him one of his kidneys?

Why wouldn't his parents have told him he had a transplant?

To protect their standing in the community.

The soul of every sort of flesh is in its blood.

[sighs] 5.0 polypropylene. Loops.

B.P. rising.

I think you got it.

Okay.

Dr. Reid, how the hell did you put all that together?

Let's just focus.

Ohh. [winces]

This rush...

I've just never felt anything like it before.

Now I just want it to go away.

Hang in there, Nick.

Just a little while longer, okay?

If I die...

You're in good hands.

That is not gonna happen, okay?

Dude, if I die, let my mother know I know what she did, please.

What, with the transplant?

What did she do?

She's a Jehovah's witness.

She risked her whole world for me.

Well, she loved you.

I'm betting she still does.

If I die, just... just tell her I miss them.

Why don't you just hang in there, and you can tell her yourself?

If the transplanted kidney is buried in the false pelvis, how did you know to find it?

Well, I realized that the scar I thought was from an appendectomy was actually a pediatric transplant.

But there was no mention of any anti-rejection medication on his chart.

That's because a kidney from an identical twin is an identical kidney.

Right, so he didn't need to take any immunosuppressant medication afterwards.

Exactly.

I would have never have been able to make that diagnosis.

Well, you didn't have all of the information.

We're done.

Why don't you close?

Uh, interrupted vertical mattress or subcuticular?

Surprise me.

[chuckles]

Wow. [chuckles]

That really looks like an ear.

It's gonna look even more ear-ish when it's back on the side of your head.

Yeah, um, when will that be exactly?

We need about three weeks to do the re-attachment.

Ah. I'm gonna have to lay low for a while.

So, uh, what about getting some real help?

Mm, I have.

I went to a treatment center in Sudbury.

Didn't gamble for almost three years after that.

Well, maybe it's time to go back.

[groans]

Through treatment?

All over again?

Whoever did this, you still owe them money?

Yeah.

At 100% interest weekly, I know I'm not gonna pay it off.

They're going to keep coming after you.

Eddie, I could find a doctor in Northern Ontario to do the re-attachment surgery.

No.

What?

I have a kid, 7 years old, and he thinks that I'm a giant.

[chuckles]

I'm not gonna walk out on him.

I've done a lot of crappy things in my life.

I'm not gonna do that.

When you finish your treatment, you can send for him.

Look, you want to make a change, do it.

What if I can't?

What if I get up there, and I just can't stop?

What's the point?

The point is you have a chance.

I have cancer and a snowball's chance in hell of b*ating it, but I'm sure gonna try, right?

Are you gonna tell me there's no point?

Come on, Eddie.

Are you a gambler or what?

All right. I'll do it for my boy.

I'll give it a sh*t.

Now all I need is a ride.

[telephone rings]

[sighs]

Hi, there.

I don't know what I'm supposed to write on his chart.

As little as possible.

That's what I try and do.

Right.

Sorry I told you?

No. I asked.

And we did save his life.

But I've got to talk to Asha.

I'm supposed to be her mentor.

But you don't want to lie.

I don't have a choice, do I?

♪

[grunting]

Good, Anne Marie!

Okay, the baby's crowning.

Just give me one more push.

Go for it.

[breathing heavily]

Make it big. Ready?

[grunting]

There you go.

Aloha, baby! There she is!

[laughs] [baby crying]

She's beautiful.

You did it. [laughs]

[laughs]

Way to go.

There's your daughter.

Ohh.

My girl, look at you!

[laughs] I just can't believe you're here.

I just can't believe it.

How did you find him?

I just made some calls, threw your name around.

Ohh.

General Walsh, you have a lot of clout.

They caught me just as we were leaving camp.

Pulled me right off the jeep.

The upside of being married to the boss.

[laughs]

Don't even think about it.

I'm so proud of you.

[sniffles]

Okay, Dr. Sekara, why don't you come down here, help me deliver the placenta, and let these parents meet their daughter?

[laughs]

We'll get back up north pretty late tonight.

I'll sh**t you a text when we get there.

Thanks.

Good luck, Eddie.

[siren wailing]

[ambulance departs]

[indistinct conversations]

Dawn Bell, what are you doing in my E.R.?

Ham and cheese sandwich is not worth the effort, unless, of course, you're truly starving and... even then, as your doctor...

I should eat.

That's true.

There's no air in here, right?

I need some air.

Hey, hey, you're getting... you're getting air, Dawn.

Okay.

My chest is just... I'm just...

I'm not having a heart att*ck, just, uh...

No, you're not. You're having a panic att*ck.

Come here.

[breathing heavily]

[exhales heavily]

Everything just stopped working.

Well, just give that lorazepam a minute or so, and in the meantime, just breathe.

[exhales]

Do you want me to call what's-his-name?

Lane, is it?

'Cause usually, for panic att*cks, I prescribe a healthy dose of mindless television and cuddling up with a warm body.

Okay, you know what? I got... I really should go.

I got to go.

Hey. No, no, Dawn. Dawn.

Zach, just don't be nice to me right now, okay? I can't, um...

I don't know.

Okay.

But, hey, are we getting these gloves from somewhere new?

What?

Yeah, 'cause they're, um... they ball up like this.

They're super-flimsy.

[laughs]

And they don't quite fit right.

I see what you're doing.

Do you want me to stop?

Listen, I've got a bunch of complaints, if you've got the time.

I know you're busy.

♪

Keep going.

Okay.

These pressure cuffs are a whole other issue.

Velcro doesn't work.

It's super-weak velcro.

It's no good.

Hi. Nick's awake, by the way.

Oh, that's excellent news.

Kidney transplants.

Are you checking up on me?

I can't help but think about how you made that diagnosis today.

Instincts.

You have your whole career to hone them, Asha.

There is one thing in particular that's been bothering me.

Okay. Fire away.

How did Dr. Harris know the patient had an identical twin?

He must have told Charlie while he was still conscious.

Look [sighs] what happened today was flukey, but sometimes that's the difference between saving a life and losing one.

We like to think that what we do is an exact science, but it's not.

No, I don't think I believe that, Dr. Reid.

I believe there is an explanation for everything if you dig deep enough.

Then prepare yourself for disappointment.

♪

I've been looking for a new nickname for you.

[chuckles]

I'm thinking about going with talky baby.

Open mouth, insert foot.

That's me.

That was incredibly smart what you did.

Arranging for her husband to be there really turned things around.

I'm impressed.

I just did what you told me.

You told me to clean up my mess, so that's what I did.

Good job, talky.

You, too, Lin... doc... Dr. Lin.

So, uh, in six weeks, General Walsh should be back to have that cyst removed, right?

That's right. So?

So, do you think you might be on the surgical board when she does?

If so, I think I'd really like to assist.

I'll see what I can do.

Ohh!

Ohh.

[knock on door]

Come on in.

Hey.

Hey.

Um, an ambulance came in from northern Ontario.

It seems silly to send it back empty, so do you know a good doctor up there?

I can find one.

Not as good as me, of course, but...

[cellphone vibrating]

So, I guess you do believe in second chances after all, huh?

I guess I do.

Wait, do you know about this?

Oh, apparently, Dr. Curtis has accepted a staff position in Dublin effective immediately.

Hmm. Well, that's too bad.

[scoffs lightly]

Didn't even say goodbye this time.

Hmm?

Dr. Curtis and I were engaged while we were at Oxford.

He blew through my final year's tuition, and I had to come back home.

[voice breaking] I almost didn't become a doctor because of him.

There is no job in Dublin, by the way.

This is just what he does.

I'm sorry.

You okay?

Yeah. I'll be fine.

I don't really want everyone to know about Patrick and I.

I can keep my mouth shut.

Dr. Kinney...

What kind of cancer do you have?

The kind that comes back with a vengeance.

And I don't want everyone knowing.

So, if you don't mind...

Yeah.

Mouth shut.

♪

Damn, damn, damn.

[inhales sharply]

Charlie: I guess that's what they mean by "identical."

I told you about him?

Um... yeah.

I must have been really out of it.

Did you also know that your brother gave you one of his kidneys when you were kids?

That's not possible.

My mother never would have agreed to an operation that risked a blood transfusion.

You sure about that?

Not even to save her son's life?

She's Jehovah's witness.

Devout.

My brother, too.

Well, we were pretty surprised when we found three kidneys in there.

I'm guessing that she found it easier to lie than to watch her own child suffer.

She was always so worried about what everyone else would think.

Oh, uh, also, when you were out of it, you kind of asked me to call her.

I did?

Yeah, you said that she'd want to know if you d*ed.

I'm... guessing that she'd rather know that you're alive.

[Ash Gale's "sweet release devour" plays]

♪ I wish you would ♪
♪ I wish you could ♪
♪ believe me ♪
♪ hear me ♪
♪ misunderstood ♪
♪ what you see as to what I see ♪

Dr. Bell.

Dr. Lin, what can I do for you?

I was looking at the board for tomorrow, and I noticed that I'm assisting Dr. Bala on a major liver resection.

You have a problem with that?

Well, yeah, actually.

Uh, of the two of us, I'm the more experienced surgeon, and I'd like to see that reflected in the assignment.

Fine. Swap with him.

Actually, I'm not just talking about tomorrow.

I'm talking about all of my assignments going forward.

I'm going to be taking a few days off.

Dr. Hamza will be in charge.

I will let him know.

Happy?

Very. Thank you.

♪ sweet release devour, every moment ♪
♪ hold your head up high ♪

Ohh, there you are.

Get dressed. Come on. Let's go.

Are you okay?

Yeah, I'm fine.

I'll... it's nothing.

You know, I don't have anything in my fridge at home.

So we should probably...

Cass, are you crying?

Go to the store.

I'm... I'll be fine.

I can't really talk about it.

Is it about Dr. Curtis leaving?

No.

Dev, I thought that we talked about that.

Just... it's-it's okay if it is.

I know he was a big part of your life.

If you want to talk...

I don't want to talk about it because it's not about him.

Can we just drop it, please?

Yeah, okay. It's dropped.

Okay.

I'll see you tomorrow.

Dev.

If I tell you why I'm upset, then I'm breaking a promise that I made to someone, and I...

Look, if you don't understand that, then maybe you should go.

I really don't want you to.

[sighs]

You know, uh...

I delivered a baby today.

It was amazing.

♪ oceans and rivers do ♪

You want to go meet her?

♪ follow your own heart ♪
♪ I'll promise that I'll meet you there ♪

Alex: [sighs]

[sighing]

How you doing?

Hmm, I can't do that again... making up things for the chart, misleading my resident.

I...

Yeah, I guess I kind of put you in a tough spot.

I don't know how you do it.

I feel like a...

Fraud?

Yeah.

I feel like a lunatic...

But, uh, I can't really ignore them, so I...

I need what's real, what's right in front of me.

Ghosts in my O.R., Charlie.

Okay.

I guess I'll be doing my own taxes from now on, huh?

♪ so let go ♪

I want to be supportive. I do.

I know.

You are.

♪ so let go ♪

Okay?

And I love you.

♪ So let go ♪

I love you.

♪ so let go ♪
♪ so let go ♪

Want to get some sleep?

♪ so let go ♪