02x14 - 8:00 P.M.

[bunniefuu]

[indistinct chatter]

- What's up, Ghost Rider?
- You good?

- Never better.

- OK, kids, bye-bye time.

Thanks for the trip
down memory lane.

Um, where's Evans?

- Uh, I think
she's by the family room.

- She is.

- Hey, hey, hey,
where are you going?

I'm not gonna scan
all this by myself.

- Cruz has a question
on my cellulitis.

I'll be right back.
- You better.

- Two minutes tops.
- Where's Mel?

Where's Donnie?

They should be helping you.
- I don't know.

- OK, day shift, listen up.

We're doing really well,
but we still got a ways to go.

And nobody's going home
until all these paper charts

are digitized, including me.

- And then we're free
to celebrate our freedom?

- Exactly.

- Well, can you kick some a*s

and get the staff to hurry up

on the EHR home pages?

- Where are Larry and Antoine?

- Antoine's fighting
on the phone

with his girlfriend outside.

And Larry's on a cafeteria run.

- Yeah, that tracks.

- We've got five patients
in beds waiting to be seen.

How do you want to play this--
man to man or zone?

- The zone.

Have Cruz and Ellis split up
the new five.

You take North and Central.

I'll take South and Trauma.
- Cool.

Want to switch at 1:00 AM?

- Why?

- Variety is the spice of life.

- I thought that was garlic.

- Oh, sorry.

[sighs]
I told you I'd be fast.

OK, let's do this
and get out of here.

- What's the hurry?

Got some hay to pitch?

- Ha.

[bell chimes]

Oh, sh**t.
- What?

- Uh, my ID badge is missing.

- Oh, no.
The one you just got?

How'd you lose it?

- I don't know.
It must have come off.

- Classic.

Hope you remember
your login and password.

- OK. Retrace your steps.

Where'd you have it last?

- Uh, I was with Ogilvie
in the Ambulance Bay.

- Not with Colonel Mustard
in the library?

- Who's--what?

No.

- The boy has no clue.

[machine dinging]

- Please don't do that.

- Oh, ma'am, I gotta go.

I sit here any longer,
I'm gonna get bedsores.

I--I'm supposed to get
some CT results.

Any idea how much longer
that's gonna be?

- Shouldn't be much longer.

- Where's that Nurse Vivi?

- You don't want any of that.

- No?
- No, she's out of your league.

- What league do you think
I play in?

- Uh, old timer's night.
- [laughs]

Yeah, you're probably right.

But some teams still appreciate
a veteran presence.

- Well, don't say
I didn't warn you.

You are here for your heart,
after all.

- My heart's been
broken before.

What's one more time?

- Uh, she's engaged
to a jujitsu instructor.

- With a bang,
not a whimper, baby.

- [laughs]

- And it's a cool bath
a couple times a day

for two days, followed by
aloe vera to your skin.

- OK, that's it?

- And sunscreen in your future.

- No, I'm never going outside
ever again.

- I wouldn't swear off the sun
entirely, you know?

But like most things,
moderation.

- Hey, we're getting
kind of shorthanded

scanning charts out here.

When you finish,
can you come lend a hand?

- Yeah, happy to.

- Thank you.

- And by happy to,
I mean there is nothing

I would rather do less.

- They keep you pretty busy.

- Yeah, and today has brought
some new challenges.

This is really putting a crimp

in my 4th of July
evening plans.

- You're going to see
the fireworks?

- Uh, no, I was gonna maybe
meet up with this guy,

though that's sounding
less appealing

than the three Bs
at this point.

- The three Bs?

- Book, bath, and bed.

- College kid with mono
and hemorrhagic tonsils,

admit med-surge or observation?

- Uh, observation.

Bleeding stopped with TXA.

She's had steroids,
so should be

ready for discharge
in the morning.

- Cool.

How was your first shift back?

- Uh, slow start,
finding my rhythm.

- [chuckles]

You a little rusty,
Rusty James?

Now you won't have Motorcycle
Boy to big brother you.

- Is that a "Rumble Fish"
reference?

- Sure is.

- And Robby is my big brother
in this analogy?

- Bingo.

- Yeah, I wouldn't say
he's been

looking out for me exactly.

I think he'd probably prefer

not to see me at all
today, actually.

- And you think that's
because he's mad at you?

- I think he feels like
I let him down, because I did.

- Jesus, with all
the martyrs around here,

you'd think this was
a passion play.

- What's your take?

- I worked with that man
for 10 months

while you were gone.

He's not mad at you.

He's mad at himself
for failing you, Rusty James.

- Really?

- [sighs]

Just more
White Knight/White noise.

That's how it is.

- Share this video
with your friends if you can.

Thank you so much.

Be kind, be safe, be brave.

- What you doing?

- Dr. Robby, sorry.

I was just--

- One of your TikToks? Yeah.

About those, listen,
I'm not so sure that--

- No, no, I was just sharing--
- No, I get it.

I just--you know,
we do have HIPAA laws here.

We don't let anybody film--

- I would never violate
any HIPAA laws, Dr. Robby.

I swear it.
- I understand.

Even still,
we're getting behind

on scanning patient charts.

So how about no TikTok

on the company clock, Dr. J?

- Dr. Robby, I think you're--

- Out of touch? Probably.

You wouldn't be the first
to accuse me of it.

However, when I was
in medical school--

- You didn't have cell phones
or TikTok

or internet or ICE agents
coming in here

and taking away patients
and staff.

I get it.

- We did have cell phones,
maybe not in the beginning.

Where do you think
you're going?

- Uh, home.

- I kind of need you
to hang out a little longer

and help digitize some of these
analog patient records.

- Normally, I would, truly.

But I gotta get home--
wife, baby, bed.

- OK.
Go get some rest.

You sure you're OK
to drive home?

- Absolutely.

Just enough in the tank.

- Don't tell anybody
I let you go.

- Deal.

Safe travels.

Be sure to send some pictures
from the road.

- Fight over at
Zazu's Sports Bar.

The two combatants
are pulling up soon.

One's a stabbing.

- Ellis, double trauma
coming in.

Grab the easy one.

Bring the stabbing to Trauma 2.

We will get the room set up.

- All right. Roger.

- OK, darling, time for this
dinosaur to head to extinction.

- Got us through
a real jam today.

Can't thank you enough, Monica.

- Nice place to visit.

Wouldn't want to live here
anymore.

- Oh, me, neither some days.

- But hey, Virginia Slim,

you've come a long way.

Glad I was wrong about you.

Keep training 'em up right.

- I'll try.

- OK, that's enough mush.

Back to my life
of mahjong and margaritas.

Bye, Evans.
- Get home safe.

- I will. See ya.

- Bye.

[sighs] She's right.

You are the mama bear glue
that holds this place together.

Hey, you OK?

- No.

I'm sad or scared,

or some f*cking thing.

I'm worried.

- What's going on?

- Robby. I got a bad feeling.

He's...

it's like I'm never going
to see him again after tonight.

- Did he say something?

- Yeah,
he said a lot of things.

You should talk to him.
He listens to you.

- He's a grown-up.

He just needs to go
on a vacation.

- Can't you at least try

to get him to promise
to come back in one piece?

- He doesn't like to listen.

- So make him.

- [sighs]

- f*ck it. Check my DMs.

She hit me up.

Sure, baby.
I didn't even respond.

[siren wailing]
- Scavenger hunt?

- Yeah, something like that.

You need a hand?

- Nope. You do you.

What do we got?

- Barrett Dunkle, 34,
decent vitals

given he has Old Glory
jammed in his chest.

Satting 91 on 15 liters,
BP 132 over 87,

tachy at 112.

- Dr. Abbot's expecting you.

- Whoa, whoa, whoa,
whoa, whoa, man!

- What the f*ck?
- I'll call you back, baby.

- sh*t.

I thought I cleared it.

Was it sticking out?

- Sticking out, my a*s!

Man, this is on you.

You went wide,
and you clipped the sh*t.

- Bikes shouldn't be
parked there.

It was sticking out. Had to be.

- Ain't no f*cking way.

Oh, no, you paying for this.

Either you or the city,
but you paying for this!

- Seriously?
We don't need this hassle.

- I know. I know.

f*ck! How bad is it?

- Not really good.

- f*ck!

- Is that you,
you m*therf*cker?

- Yeah, you better believe it!

I'm gonna take this thing
out of my chest

and shove it up
your f*cking a*s!

- You hit me with a f*cking
Rolling Rock, man.

So you got Iwo Jima'd!

- You f*cking cheated, man.

Every detail must be--

- OK, say bye-bye, gentlemen!

You're on different
health journeys now.

- I'm going to go see Ahmad.

It's all gonna be
on the security video.

- Robby's gonna sh*t.

[grunting]

OK.
[panting]

Hey, a little help?

- All right, he's going
straight to Trauma 2.

What is his story?

- Bottle to the face,
strong vitals,



Yeah, where do you want us?

- North 4 just got cleaned.
- To the North.

- Abbot, single MVA en route.
Five away.

- Olive, can you find Robby
and Al-Hashimi?

We may need a couple more hands

until we get caught up
with these two.

Sir, we are gonna get you
more pain meds...

- It hurts.

- But you need to shut
your f*cking mouth.

- The acronym is SMART,

Single Maintenance
and Reliever Therapy.

It's one inhaler that combines
an inhaled corticosteroid

with a fast-acting,
long-lasting beta agonist.

That's fancy talk
for an anti-inflammatory

and a lung muscle relaxer
all rolled into one.

- But it's $400.
And without Medicaid--

- We can help you look
into coverage options.

- Thank you.
- Of course.

- Grady should feel worlds
better in a few hours.

- Thank you.

- So what are my chances
of getting off the table alive?

- Once you're cleared by
the heart and lung specialists

next week, chances of death
are low, like 1% or 2%.

- And how long would I
be in surgery for?

- Between three and five hours.

- Jeez.

- It's long...
[clears throat]

Because they have to stop
your heart.

You will be on a heart-lung
bypass machine,

which will be circulating
your blood while they repair

the aneurysm with the graft.

- Well, what's the graft
made out of?

- A synthetic fabric called
Dacron, super strong.

- OK.

New hoses, new gaskets.

Then what happens
after surgery?

- You will be in the hospital
for about a week.

No work for eight weeks
after that,

no strenuous activity,

no lifting anything
over 5 pounds.

- How am I supposed
to take a piss?

- Nice.

- [sighs]

And how long till
I'm back up to full speed?

- Three months, maybe more
like six, given your age.

- And if I don't
get the surgery?

- 50% chance of death
within 12 months

if the aneurysm ruptures.

- What would I feel
if it ruptured?

- Some chest pain,
maybe some shortness of breath

for about a minute before you
passed out from blood loss.

- And then?

The big fade out?

- Roll the credits.

- [breathes deeply]

Quite the coin flip.

- No coin flip.
This has to happen.

But I do worry that you are not
gonna make your appointments

or follow your aftercare
instructions if I'm not here.

- Sorry, Robby,
Abbot asked for me to grab you

for an MVA on route.

- Do what you gotta do, man.

I gotta sit with this
for a minute.

- You go ahead and get dressed.

I'll come back.

- [speaking Spanish]

- Monica got an ICU bed
upstairs

so we can take Orlando up now.

- We'll prep him for transfer.
- Thanks, hon.

We need this room again
in a minute.

- [crying]

- All good?

- Uh, totally.

- Uh, totally?

- Look, once more,
I feel compelled

to offer some unasked for
and probably unwanted advice.

Javadi wasn't making
a TikTok video.

She's been posting about Jesse,

trying to find someone
who knows where he is.

- Ah.

- And even if she were
making one of her videos,

you ever watched one?

- No.

No, my account was suspended

for erotically seditious
content.

- Well, they're not
what you think.

They're actually kind of cool.

It's like this badass
self-care.

- Huh.

- OK, that is it.

I'm going to bury myself
in charting

and try to dig my way out.

- Edith Lynch, 46,

right-sided chest pain
for an hour.

No cardiac history,

minimal relief
from sublingual nitro,

no STEMI on the 12-lead.
- Dana?

- South 15.

- Hi, Edith.
I'm Dr. Al-Hashimi.

We'll be taking care
of you today.

- Absent lung sliding
on the right.

- I could have told you that
from here.

God bless America.

- Hemodynamically stable.

I'll put in a 20 French,
and then right up to the OR.

- Whoa, whoa, whoa!
Hold on!

I need surgery?

- Sir, you have
a collapsed lung.

We need to put a tube
in your chest to see

how much internal bleeding
there is.

- Oh, come on, man,
just pull it out!

- Nuh-uh.
- No.

- OK, everyone knows
what to do here, right?

We're gonna take this at a nice
slow pace, moving together.

If anyone has an issue,
speak up.

There are a lot
of moving parts here.

- Are they going up
to ICU finally?

- Yes.
- Great.

How you doing?

- Is that a trick question,
or--

- Not intended to be, no.

- Then not great.

This one got past me.

- Well, listen, you tried
to find a viable payment plan.

You tried to keep him here.

You even tried to give him
a goodie bag, but he left.

I'm not sure what else
you could have done.

- Been more persuasive.

- This was the patient's call--
his life, his mistake.

- What mistake,
getting diabetes?

- Not picking a higher spot
to jump from.

- History of hyperlipidemia,

an hour of substernal
chest pain,

minimal relief with nitro
and 4 of MS.

EKG is negative for STEMI.

Heart score is 4, gave 324
milligrams of chewable aspirin,

admit for new onset angina.

- Don't mind me.
I'm just passing through.

- Seemed like you wanted
an update.

- Well, as long as you feel
like you got it covered.

- I do.

Go ahead and repeat
the 12-lead.

- Since I'm here, I did want
to ask you about something

I observed earlier.

Oh, you gotta be
f*cking kidding me.

- What?

- Look where these
anterior leads are placed.

They're way too low.
[sustained beep]

- Holy sh*t!
What's happening?

Mrs. Lynch?
V-tach!

- No pulse.

Charge to 200.
[machine whirs]

- Charged.

And clear.

[rhythmic beeping]
- OK. Normal sinus.

- Strong pulse. Cycle a BP.

- Let's repeat
that EKG, please.

Put the leads
in the right f*cking place.

Who were the medics on this?
- Bosco and Otero.

- Bosco and Otero.

OK, Bosco and Otero.

- See you on Monday.

May your night go smoother
than my day.

Happy 4th.

- Heard it's been crazy.
They shut down when ICE came.

- Separate events.
Get someone else to explain.

I'm going home.

Damn, what is that?
That smells good.

- Food from home.

I can't do the cafeteria.

- Oh, you gotta give me
that recipe.

I'm going home.
- Get home safe.

- Mm-hmm.

[indistinct chatter]

- Hey.
- Hey.

- I'm starving.
- Of course.

- I will give you $20
for whatever that smell is.

- [chuckles]
I'll give you some.

I made too much anyway.
- Thank you.

- Just give me a sec.
- Yeah.

- How can I help you?

- My granddad just about
cut his hand off

with a tug-of-w*r rope.

- Hi, I--I remember you
from earlier.

You're having
a family reunion, right?

- Yeah.

- Is your hand
actively bleeding?

- Oh, not so bad.
Here, take a look.

- Mateo, one to come
straight back!

- Oh, my God.
- Cover that up, please.

I'll need to get
a demographics from you.

- You got them already.

Hansens been in and out
of here all day long.

- How did this happen?

- He had the rope
wrapped around his hand,

cut through it like a machete.

- Have a seat, sir.
I'll take you right back.

- And how would you rate your
pain on a scale from 1 to 10?

- Oh, it's not too bad
on account of my sugars.

- With his diabetes,
his sensation's a little off.

- Yeah.

- After you.

- Thanks.

- Ow.
What the f*ck?

- Trigeminal nerve is good.

- sh*t!
You gonna fix me or t*rture me?

- Ooh, ouch!

- Yeah, I need
to call plastics.

- I called a "kiss off the two,
off the rail."

f*ck said I didn't call it.

Okay, yes, it was a bit noisy.
The fourth is Styx night.

But I called it.
I have witnesses.

- Styx, the band?

- Yeah.

- Ah, love Styx.

- I never heard of them.

- You never heard of Styx?

"Mr. Roboto"?

- My Spotify age isn't 62.
- [sighs]

"Come Sail Away"?
"Lady"? "Babe"?

[groaning]

- Yeah, maybe best
if you don't talk.

Looks like there's some sort
of foreign body in there.

- Mm-hmm.

Are you OK?

- Yeah, it's just
an awkward position.

- Go home.
Rest, heat, ice.

- Yeah, no, no, I know.

I'm just waiting
for things to slow down.

- You know, express trains
don't stop at your station.

You just gotta jump.

- What is that?

Heineken?

Moosehead?

- Oh.

From the glass-lined tanks
of Old Latrobe.

- Ah, Rolling Rock.

Nice.

- She's had four of morphine.

How's the pain?

- Down to an 8.

- There it is, lateral STEMI.

OK, call it in.

- The leads were too low
to catch it?

- Yeah, it's not the first time
it's happened.

You get a male medic
who's more concerned about

getting sued or a complaint
for undoing a bra.

You see these
anterior leads here?

- Code STEMI, South 15.

- Edith, you're having
a heart attack

from a blockage in the artery

that brings oxygen
to your heart muscle.

If we get you to the--
- Lateral STEMI, V-tach arrest.

Got her back after one shock.
She needs the cath lab.

- And serious heart damage.
- Oh, my God.

- You're going to be OK.
- Hello, I'm Dr. Cruz.

- And I'm Dr. Shen.
How are you feeling?

- I'm really scared.

- We've got you.
Anything else?

- Uh, like I got kicked
in the chest.

- Normal after
a shock to the heart.

Family?
- Yeah, husband's en route.

- Leave the defib pads on
and take her up in a minute.

I'm gonna chaperone
a nerve block real quick.

- Go.

- Where's Dr. Al-Hashimi?

- She was just here.

- Hello, everyone.
I'm Dr. Shen.

Heard a rumor someone
needed a nerve block.

I'm guessing that's you.

- Probably so, although,

you know,
I don't have much pain.

I guess it's my diabetes.

- We still need to numb you up
to do a proper deep clean.

- You guys do
whatever you gotta do.

- Three shots, median,
ulnar, and radial.




for gram-negative coverage.

How'd you do this?

- Oh, a family reunion
tug-of-w*r.

I wrapped the rope around
my hand for better grip.

And when we fell down, those
b*stards just kept pulling.

- Dirty.

- Nah, it's just--
just the way we play.

[laughs]

- Michael, you got a second?

- Uh, not really, no.

- Well, how about
showing me a little respect

and finding one?

- Sorry, Caleb.

Are you feeling disrespected?

- Given that you've been
actively blowing me off

all day, yeah,
maybe a little bit.

But I have a thick skin.

- What can I do for you?

- "Should have found
a higher place to jump from."

It's an interesting diagnosis,
Doctor.

No pithy retort?

Yeah, I didn't think so.

Uh, I just came to say goodbye.

I'm leaving soon.

I know you are too.

- Yes.

- Keep my number handy,
just in case, huh?

- Yes, I promise I will.

Thank you, Caleb.

- We're gonna give you one
Diflucan pill to take home.

Take it in three days
if your symptoms persist.

- How do I get there?

- Where's that?

- Home.

- Do you know where you live?

- Of course I do. It's not far.

But I don't have
a way to get there.

- How'd you get here?

- My--my neighbor Gwen
dropped me off,

but she can't drive at night.

- We could call you
an Uber or a taxi.

- I don't have any money.

- Excuse me.

Can I help?

- Mrs. Clymer has
been discharged,

but has no way home.

- I'm so sorry.

I don't mean to be a burden.

- No burden at all.

Why don't we call you a Lyft?

- What is that?

- It's like a taxi service.

If you put your address
in here,

a car will arrive in a few
minutes to bring you home.

- Oh.
- My treat.

- [laughs]

That's very kind of you, truly.

- Perfect.

OK, Olive, could you take
Mrs. Clymer out

to the ambulance bay,
where Florian will be

arriving in six minutes
in a white Toyota Camry?

- You bet.

- Thank you.

- I could use some good karma.

OK.

Oh, uh, hey.

- Relax, buddy.

It's Advil.

- No, I didn't think you were--

[sighs]

Headache?

- Uh, I tweaked my back
a little

lifting that overheated kid.

I guess I should get used to

playing through the pain
again, huh?

You look like you got into
shape since I saw you last.

Didn't peg you as a gym guy.

- Oh, no.

I'm maybe more of a barn guy.
[chuckles]

I'm helping out a friend
on the farm, so...

- Nice.

I'm picturing "Babe,"

except instead of
Farmer Hoggett, it's you.

And instead of a pig--

- Can you cut the sh*t?

- Excuse me?

- The sarcasm thing,
the--the--the--

the little buddy routine,
like--like--like,

you're what, you're
the Skipper, I'm Gilligan?

Dude, you're not the Skipper.

- I know I'm not the Skipper.
Robby is the Skipper.

- No, Robby is the Professor.
Dana's the Skipper.

- OK, somebody's watched
a lot of Nick at Nite.

So who am I?

- Play whatever part you like.

Just don't pick mine for me.

- OK.

OK, that's fair.

You got it.

- Thank you.

- You headed home?

- Uh, no, I'm waiting on Robby.

He asked me to house-sit
while he's gone.

So I'm waiting for the keys,
the alarm code.

- Nice. Nice.

Yeah, I've--
I've seen his place.

You're in for a sweet setup.

- Cool.

I'm sorry if I came across
a little strong.

- Don't apologize
for standing up for yourself.

It's a healthy habit.

- [sighs]

- You know, I really don't
need to see this again.

- No, this is my favorite part.

[laughs]

- My hand's starting to cramp.

We gotta be done soon.

- Oh, you can be done now.

But if you want to the hospital
to cover you, last one.

- Hey, Robby.
It was an accident, man.

- What are you talking about?

- Your bike.

[sirens wailing]

- Son of a b*tch.

Oh, m*therf*cker!

- Robby, GSW to the head.

- Somebody hit my bike.

- Dude, that sucks.

Is it still rideable?

[man singing
"My Country 'Tis of Thee"]

- It better be.

- Elbridge Gerry, 25,
stable with good vitals.

- ♪ Of thee I sing ♪

- Was sh**ting his
.22 caliber p*stol in the air

with an aluminum pot
on his head for protection.

Didn't work.

- He's had about a quart
of Seagrams 7

and will probably light up
a tox screen

like a Roman candle.

- ♪ We start f*cking ♪

- Real wordsmith.

- Entry wound
in the frontal scalp,

seems to have tracked down
the forehead.

As alert and oriented
as you can be

after multiple bong hits.

Got vital satting 98
on room air.

- Sorry, Robby.
- Don't you f*cking leave.

- I can explain.
- I will be right back.

- What's this?

- Trauma 2.

- Low velocity GSW to the head,

seems to have
remained extracranial.

- Lucky guy.

- ♪ Gloria, Gloria,
here's a dollar! ♪

- After a fireworks
expl*si*n resulting

in the loss of two fingers.

- Ooh, that sounds nasty.

- Yeah, that was a sad one.

Parents were deported.

Big sister works
a full-time job

and is the sole caregiver.

- Been there, done that.

- Your parents were deported?

- Oh, no.
I thought she said departed.

Did either of you guys work on

the Revolutionary w*r
reenactors earlier?

- Why, you didn't think you
could pull off a tricorn hat?

- [chuckles]
Maybe.

I've always loved history,

and Colonial Williamsburg
was my favorite school trip.

And, you know,
there's always the Ren Faire,

but that's just once a year.

How often do you think
the reenactors get together?

- I don't know. No.

- You should definitely
look into that.

- Yeah?
- Yeah.

- OK.

[engine revving]

- Deep-throated husky
with a touch of b*tch.

That's her tune.

- That's what I thought,
but you're the expert.

I just needed to make sure.

- I was going through
Billings once.

Cop saw my colors,
jacked me up,

kept me overnight.

They threw my sweetheart
in the impound yard.

They claimed
someone backed into it,

but you could see where they
took their hammer to it, man.

You gotta be careful out there.

- This is all pretty minor,
though, right?

- Yeah, sh*t,
this is just cosmetic.

Bring it in tomorrow,
and we'll get Bonnie right.

- Well, this will bend back.
This will tighten up.

I can do all that myself.
- Jesus, let me do it.

There's no charge.
- What?

You don't owe me anything,
except

take care of yourself
while I'm gone.

- Boy, this record
never stops, huh?

- Nah, it's dance
till you drop!

- Then what?

- Teach the kids the steps
before you do.

- And then what?

- Hope they make it
farther than you.

- Hey, Robby,
you're coming or going?

- I'm going, pretty soon.
What have you got here?

- Lyman Paine, 53, single MVC.

Drove into a telephone pole.

- Passenger space intrusion?

- No, head on.

- Intoxicated?

- No ETOH on his breath.

Either syncope, seizure,

or he just fell asleep
at the wheel.

Airbag deployed,
unconscious at the scene,

but he's waking up.

- BP 140 over 80,

pulse 120, pulse ox 98,

no obvious injuries.

- Why don't you guys
head on in?

I'll meet you in a minute.

Well, hey, buddy,
I guess this is it.

Make those appointments
next week, you know?

I'll call you from the road
to make sure you do.

- Don't do that, man.
- What?

- Don't shine me on.

- I'm not.

- Jesus.

I get it.

Hard place to leave,
a harder place to stay.

- Yeah.

- Look, I'm not ready
to say goodbye yet.

So go do what you gotta do,
and I'll get some tools

from the truck
and see if I can't make

Bonnie smile again for you.

- OK.

- OK, then.

- Robby, man, I'm so sorry.
We've been on for 14 straight.

I thought I cleared it.
- It's all right.

- Honestly, I feel terrible.

- No real harm done.

I was bound to nick it up
on the road anyway.

First blood drawn,
it's a good omen really.

- Thought he'd be more pissed.

- I thought you might
get punched.

- Chest and belly look good.

Let me drag Neurosurgery
down here to deal with

the C-spine before I go.

- You off?
- Yep, an hour ago.

Can't you tell?
- How you doing, sir?

- Actually, not too good.

The tingling is getting worse.

It's in both my arms now.

I feel like something's wrong.

- Hey, man.
What are we looking at?

- Ran into a telephone pole,
airbag deployed.

- Seizure? Stroke?

- Not sure.

Possible C-spine.

CT showed
uni-facet dislocation.

- I'm trying not to freak out.

I'm having trouble breathing.

- Squeeze my hand.

Real hard.

Three out of five strength.

- OK.



- Dexamethasone?
For spinal injury?

- It's compression
from a jumped facet

and maybe some ischemia
from a kinked vessel.

- What's--what's happening?

- Sir, you have
a partial dislocation

of two vertebrae in your neck.

It's putting pressure
on your spinal cord.

- How do you fix it?

- We need Neurosurgery
to screw a clamp

into both sides of your skull

and then use traction
under X-ray guidance

to get everything realigned.

- Like a chiropractic
adjustment?

- It's a bit more
complicated than that.

- I think I'm having
a panic attack,

because I can't even get
a shallow breath.

- Or he's losing C3, 4, and 5.

- Uh, page Neurosurgery.

- Garcia went to go get them.
- No. Page overhead.

Find Robby if he's still here.

- Any available neurosurgeon
to ED Trauma 1, stat!

Any available neurosurgeon
to ED Trauma 1, stat!

[liquid trickling]

[knocking on door]
- Dr. Robby?

- Uh, yeah?

[toilet flushes]
- You're needed in Trauma 1.

- OK.

What patient?
- Dr. Langdon's.

It's a neck injury.

- I got the fellow.

They could be down
in 15 minutes.

- He's progressing
too fast for that.

- What's going on?

- Uni-facet dislocation, C4/C5,

paresthesia
and decreased tidal volume.

- Sat's 85.

- We need to prepare
for intubation.

- Any delay in reduction
almost guarantees

complete spinal cord injury.

- What other options
do we have?

- Uh, I saw Neurosurgery do
a closed reduction once in ICU.

- Blind? That's crazy risky.

- We gotta do something.

What's that procedure,
Dr. Langdon?

- It's just--
it's traction on the neck,

we flex the dislocated side
and into slight extension.

- Quadriplegia, if done wrong.

- I'm sorry, what--
did you say quadriplegic?

- It is a possibility, sir.

It's also the same possibility
if we do nothing.

- You wanna try?

- I've never seen it done.
You have.

- I can't feel my feet.

- Sats 79. 100% non-rebreather?

- He's progressing,
Dr. Langdon.

What is your plan?

- Uh, Neuro--

- f*ck Neuro.
This is right here, right now.

This guy's gonna be
a living head if we do nothing.

- I could paralyze him.
- Doctor the f*ck up.

[machine beeping]

- [gasping]

- Sir, the partial dislocation
of the two vertebrae

in your neck is putting
pressure on your spinal cord.

I can try to move the neck
bones back into place.

That could help.
There's no guarantees.

If we do nothing,

the weakness is definitely
going to get worse.

But either way, there's still
a chance of paralysis.

- Do it.
Please. Please.

- 50 of fentanyl IV.

You need to let us know
if the weakness gets worse

or if there's any sudden pain,
and we'll stop immediately.

Dr. Cruz, Robby,

hold down his shoulders
for countertraction.

OK, I'm gonna pull
on your head.

Your job is to try to relax,

breathe so we can overcome
the muscle spasm.

[machine beeping]

Flexing to the right.

Any change?

- My legs are starting
to tingle.

- Last step.

[bones crack]
- Ah!

- I felt something click.
- Oh, f*ck! Oh, f*ck!

- I felt it too.
- Sir, talk to us.

What's going on?
- Oh.

[panting]
I think--

I think...
[laughs]

Yeah.
I'm starting to breathe easier.

- Any change
in your hand or feet?

- Oh.

Oh, this is maybe
a little less numb.

- Philadelphia collar is ready.

- Talk to me.

- Langdon just reduced

a uni-facet
cervical dislocation.

- What? Without neurosurgery?
Don't try this at home, kids.

- He was deteriorating quickly.

- Neuro exam is improving.

- Oh, my God,
it's definitely better.

Oh, my God.

- Nice job.

- All right, repeat CT,

then Neurosurgery
can take him up for a halo.

Brass ba*ls, buddy.

See? You haven't lost it.
- Um, excuse me.

I'm just gonna step outside
for a second.

- Langdon, honey, I just got
a call from upstairs.

Were you supposed to get
a urine screen

and turn it in by 8:00 tonight?
- f*ck!

Um...

Oh, no.
Uh, ye--yes.

Can you just--can you tell them
that I was in a trauma?

I'm going right now.

- Where's he off to?

- No idea.

Did you find your ID badge yet?

- No, I've looked everywhere.

Must have been thrown out
on accident.

- They'll issue you a new one.

You just have to fill out
a bunch of forms.

[notification chimes]
- Oh, great.

What?

- Cow in labor?

- No, I--

I ordered a patient a Lyft.

Now I have a $250 surcharge
and a complaint on my account.

- What?
- What'd they do?

- It was a sweet old lady.

- Who apparently had
some r*cist

and a*usive things to say

right before puking
in the back.

- You never know
with some people.

- There goes my first paycheck.

- St. Huckleberry.

No good deed.

- I can see why you liked
restoring this bike.

You're a fixer.

I fix bikes,
but you fix people.

That's pretty damn
impressive, man.

- Some people can't be fixed.

- Look, I'm--

I've done plenty of things
I'm not proud of.

- Yeah, me too.

- No, bad things--

hurt people on purpose,

hurt myself.

And I did my time, but that
doesn't wash away the regret.

I...

wish I'd done things
differently.

I think about it every day.

- You know, they say that
it's never too late to change.

- Some things can't be changed,
like death.

Death can't be changed.

- Hey, I know
the surgery is scary.

- I'm not talking about me.

- Yeah, I don't know if
I wanna be here anymore.

- I don't know how you stand


let alone 12 hours, 20 years.

- No.

That's the only place I can be.

I have purpose in there.
I can be distracted in there.

I don't know that I wanna be...

anywhere anymore.

[exhales]

- So what's the plan?

[distant sirens wailing]
- Ride.

- Toward what?
- I don't know.

- Away from what?

- Everything.

- Well, that's not riding.
That's running.

Is that your final lesson
for these kids?

- What's up, Robby?

- Well, if it isn't
Medics Bosco and Otero.

- You still on?

- Not for much longer.

I was looking for you two.

- Rita Wolcott, 22.

She was using a dumpster
to climb a fire escape

to get to a roof party.

Slipped about 6 feet
onto concrete.

Possible tib-fib fracture.

- Oh, can I please tell it?

You're making me sound
like an idiot.

My friends and I were just
trying to watch the fireworks

from the roof of our building.

But the roof access door
and the stairwells stuck,

so we decided to climb
the fire escape.

They were supposed to hold
the dumpster still while I...

But they didn't.

Then I fell.

- Like I said,


- Yeah, because they didn't
hold it still.

- Well, it's a good thing
she didn't need a 12-lead.

- Why's that?

- 'Cause you guys put one on
about a half hour ago wrong

and you missed the STEMI.

- Bullshit.

- 46-year-old woman.

A minute after you left,
V-tach.

Repeat EKG showed
a massive lateral STEMI.

- No way.

- Leads were so inferior,

you might as well
have not put them on at all.

What were you afraid of,
her bra?

- What have we got?

- We've got a 22-year-old
probable tib-fib fracture

from a 6-foot fall.

Why don't you take her
to Central 13?

- Got it. Right this way.

- As I was saying,
bad data is sh*t data.

- Maybe she was diaphoretic
and they slid down en route.

- Yeah, she was moving a lot.

- Diaphoretic, my a*s.
She had big breasts.

You didn't wanna move 'em
out of the way

to get under her bra line.
- Come on, Robby.

- Women are misdiagnosed
for heart attacks all the time.

This is a big reason why.

Shall we put it to a vote?

Hey, ladies in the room,
show of hands.

Death with modesty,
or life with brief nudity?

Death or life?

Look at that--
turns out women wanna live.

- Got it.

- EKG is an amazing tool
if you use it right.

- You could have told us
in private.

- I think this was
more instructive.

- Agreed.

- Hey, hell of a save
your boy made.

On-the-fly reduction

of a uni-facet
cervical dislocation--

that's some cowboy sh*t.

- Yeah, it was.
Where is he?

- Ran off for a drug test.

You got your wish.
You don't have to say goodbye.

- Hey, thank you
for saying all that.

I may have taken a slightly
different approach, but--

- I seem to have lost
my filter.

- I'm glad.

I could use an honest
second opinion on a case.

Do you have five minutes
to spare?

- Sure. Why not?

What's the case?

- I have the chart
pulled up in 8.

[beep]

I have some experience
with this,

but I'd appreciate
a fresh perspective.

- [chuckles]
After 14 hours,

I don't know how fresh
my perspective is,

but I will give you what I got.

- Well, after working with you,
Dr. Robinavitch,

I've come to respect
your opinion.

- Thank you, Dr. Al-Hashimi.

Likewise.

OK, patient is a 40-year-old
female with a history

of seizure disorder
for the past 35 years.

She had no perinatal
complications

and was in excellent health
until age five,

when she had
the onset seizure activity

following prolonged illness
with viral meningitis.

Her altered mental status
from the infec...

Baran, is this you?