03x12 - As Night Comes and I'm Breathing

Episode transcripts for the TV show "Code Black". Aired: September 2015 to July 2018.*
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"Code Black" takes place in an overcrowded and understaffed LA County Hospital emergency room, where the staff treat patients under difficult circumstances.
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03x12 - As Night Comes and I'm Breathing

Post by bunniefuu »

You think you're smarter than your Mama

because you have an M.D.?
Believe me, you're not.

[SIREN WAILING] MAN: Clear center stage.

WOMAN: Okay, we're on our way in. Clear.

WILLIS: Free fluid in the ultrasound.

Hold still in there. Scalpel.

- It's my patient. I'll do it.
- Okay, heart rate dropping.

- Not today.
- Get ready to defibrillate.

Sats are stabilizing.

It's okay. We're gonna take care of you.

I'm not going anywhere.



I like it.

I mean, for what it is.

Give us a minute, son.

[TELEPHONE RINGING IN DISTANCE]

My little girl is out there somewhere,

and all you can do is tell me to wait?

We are looking, Dr. Rorish,

but we find that runaways at her age

are usually with friends.

I told you, we already checked everyone.

All her friends?

Girls don't always tell
their moms about boyfriends.

Her boyfriend just d*ed.

Right. [SIGHS] Max.

But there are no texts
on her phone with him.

I told you. She deleted them all.

Her heart was broken.

I understand.
It must've been hard on her.

We'll let you know when we have more.

Wait, wait, wait. Wait. What... I...

I'm just supposed to pace around
my house until then?

She means, "Thank you."

[DOOR OPENS]

- I knew she was lost when Max d*ed.
- [DOOR CLOSES]

I should've handled it
differently. [SNIFFLES]

Oh. If anything happens to her...



[SIREN WAILING IN DISTANCE]

[INDISTINCT CONVERSATIONS]

[MONITOR BEEPING STEADILY]

[HELICOPTER BLADES WHIRRING]

[ENGINE REVS]

- Rox! Okay, okay.
- [WHIMPERING]

It was a hit and run. You're not my wife.

You're not my girlfriend.
You're not my shrink.

Ethan, she's gonna wake up, right?

- I need her to live. Hold on.
- Rox!

[SIREN WAILING IN DISTANCE]

WOMAN OVER PA: General Adams,
. General Adams, .

Excuse me? Do you have
the results of the scan?

The MRI? We did it over three hours ago.

- I-I don't know.
- But you know who to ask, right?

The General who performed the operation?

- Please. Please just go ask him.
- Okay.

[TELEPHONE RINGING IN DISTANCE]

[MONITOR BEEPING STEADILY]

Dad, you're k*lling me. Just
tell me what the board said.

We'll talk about it later.

Okay, fine, but you
could at least tell me

- what you thought about it.
- I love it...

if I want lawsuits against my hospital

and my son to waste his education.

I love it like something
I wish never happened.

[TELEPHONE RINGING IN DISTANCE]

"The Shining" got panned, too.
What do critics know?

He's never been short of confidence.

I recognize some of these faces
from the film.

Shouldn't you properly introduce me?

Everybody, this is my father,
Oscar Avila.

Dr. Savetti, third year,
Dr. Dixon, and Dr. Kean.

- She's the one I told you about.
- Told me what?

- You know, you made that call for her.
- Uh, what call?

- No idea.
- Doesn't matter.

Oh, wait. Is this the OB thing?

Yeah. My assistant did that,
but you'll get it.

Okay, people, let's gather.

Leanne hasn't gotten any news on Ariel,

and Willis is still with Rox.

We're down two excellent doctors,

which means... we're gonna
have to step it up.

Let's make 'em proud.

Should be easy. It's super slow today.

[GROANS]

- You never say that.
- What are you doing?

- [DOOR OPENS]
- We've got incoming.

JESSE: Okay, guys. Let's go. Come on.

[SIRENS WAILING]

- Hey, can we get some help over here?
- What happened?

Campus Spring Fling,
and the stage just blew over.

Not enough ambulances, so some of us

just started grabbing people
and bringing 'em in.

- This is Logan.
- Crowd was going crazy.

[COUGHS] I got trampled.

- Are you in any pain?
- In my chest.

How many people were hurt back there?

- No idea.
- What do you got?

-year-old male with
crush injury to the abdomen.

- Pulseless on arrival.
- How long's he been down?

Compressions for minutes.
Never regained pulses.

Let's go. What have you got?

-year-old female, weeks pregnant.

Pillar fell on right leg.
Obvious deformity.

- No distal pulses.
- Can you tell me your name?

Keri. Is my baby okay?

We're gonna find out. Let's go.

[INDISTINCT CONVERSATIONS]

MARIO: Somebody call an OB.

We need a portable fetal monitor.

- On my count. Ready? One, two...
- I can't deliver yet.

She needs at least four more weeks.

- Intubation kit.
- B-lines. Pleural effusion.

Get a chest x-ray now.

- I paged everybody to come in.
- Thanks, Risa.

Not Leanne, right?

She's on the list.
She was paged automatically.

- Pulse check.
- Nothing.

- minutes down.
- Cardiac standstill.

Any suggestions?

[MONITOR EMITTING CONTINUOUS TONE]

- Time of death... : A.M.
- [CLICK, BEEP]

[INDISTINCT CONVERSATIONS]

Where do you want this one?

We don't have room for that bed.

We have too many people out there.
What do you want me to do?

- Hey.
- This patient's...

[ALL SPEAKING OVER EACH OTHER]

- Can we get more doctors out there?
- Which bed are we swapping out?

- Everybody, stay focused!
- There's too many out there.

[SPEAKING OVER EACH OTHER]

Hey, hey, hey! Risa, move that bed out.

Elliot on the next one. Noa with Diego.

Jesse, give me a hand over here.

Last I heard, you weren't
an attending yet.

I'm senior to you. Move.

Okay. It's okay.



She's been here a week.
It's time to wake her up.

Have you slept at all
since you've been here?

Her CK levels are through the roof.
She's got pneumonia.

I'm not taking her out of the coma

until her swelling decreases
to my satisfaction.

- Her kidneys are failing.
- That's reversible. Death is not.

You're gonna k*ll her playing it safe.

Watch your tone, Colonel.

I'm your superior officer,
and not a patient one.

Now you're not allowed back in that room

until you've rested.
And put on a damn uniform.



[WOMAN SPEAKING INDISTINCTLY OVER PA]

What are you looking at?

- Will you take a look at this?
- I don't work here.

But you're a doctor, right?

Don't I look like a guy
who needs a doctor?

[MONITOR BEEPING STEADILY]

Whoa. Oh, hang on.



No.

This can't be happening.
This can't be happening.

No perfusion. Keri,
we need to reset your leg.

No, my baby is more important. Please.

And we're gonna save both.

But first, we have to get
blood flow back to your leg.

One, two...

[SCREAMS LOUDLY]

[SOBBING]

Pressure's dropping. Diego, I need
that scalp bleeder stopped now.

- Tie faster.
- [CRYING]

Tie faster.

You know what? Staples are
much faster. Watch.

Diego, focus. Staples aren't
enough to stop the bleed here.

Dr. Kean, suture the wound.

[WHIMPERS]

Good cardiac activity.
No placental abruption.

What does that mean?

It means your baby's doing great.

OB's on their way down
to make sure, okay?

- Dr. Campbell.
- Dr. Savetti, looks like you got this.

- [PANTING]
- JESSE: Okay.

Dr. Rorish.

I-I was paged.

- Leanne.
- No, no, no, no. I need to be helpful.

Uh, I'll get a gown.

Leanne, come on. Let's go.
Let's get you out of here.

Dr. Dixon, status update.

Negative FAST, drawing labs,
then we'll send up to CT.

- Good. What's going on here?
- Sutures are in. Bleeding has stopped.

So when were you gonna tell me
about this OB program?

When I had something to tell.

- It's just an interview.
- Diego, I got this.

But, uh, you wanna be an OB?

I don't know. Possibly.

Okay. Why don't you take
my pregnant patient?

Wait, what about this guy?

You can take him upstairs. Get him to CT.

[GLOVES SNAP]



You cut through three of
your flexor tendons.

- How'd this happen?
- Punched a window.

- Yeah? Why'd you do that?
- Ah, it was looking at me funny.

Well, you're gonna have to see
a hand surgeon sometime

- in the next two or three weeks.
- Ah, I'm fine.

I got another hand.

Besides, I'm trying to fly
under the radar.

Don't want this to screw up my next tour.

I'm supposed to ship out in a few weeks.

- How many tours?
- This will be three.

Two was enough for me.

Rather die a hero than a bum.

I'd rather not die at all.

Well, everybody dies.

[SIGHS] Come on. You gonna
keep this quiet or...

It's none of my business.

That's a cool tat. Whose idea was that?

My brother's.

I got the same one.

Well, thanks, buddy. I owe you one.

Sure.

No, seriously. If you need anything...

The only thing I need right now is a key

- to the radiology reading room.
- For what?

There's some scans I need to look at.

They probably got those
on the computer, though, right?

Yeah.

Well, this is your lucky day.



I'm sorry they paged you.

I thought a distraction would be helpful.

[EXHALES SHARPLY] I can't
seem to do anything, Will.

Are you sure that Emily
hasn't heard from her?

I asked her. She hasn't heard a word.

Well, maybe I should ask her
myself. Maybe she's covering.

- She doesn't know anything.
- You don't know that!

- [DOOR CLOSES]
- I should ask her myself.

- What?
- We're your friends.

Don't turn us into enemies.

I don't know if she's hurt.
I don't know if she's scared.

I don't know if she's alive.

She is. The police will find her.

I know it.

Your baby's heart rate
is strong and steady.

- Oh, thank God.
- How does your leg feel?

We can give you some meds for the pain.

No, I don't want anything
that'll affect my baby girl.

Well, she'll feel a little
sleepy, just like you.

But if you're in pain, that
causes stress on your body,

and she can feel that, too.
We'll do whatever you want.

[SIGHS] Okay. Um... just a little.

- Keri?
- Dad.

- Are you okay?
- I'm fine. Baby's fine.

You were all alone?

No, I was with
of my closest students.

But nobody with you.

See, you need someone
to take care of you.

Mom, you are going to make this
about me not being married?

Do you really think a husband
could've stopped a stage

- from falling on me?
- She didn't say that.

"Why couldn't you just marry a nice man

instead of starting a family
with a freezer pop?"

Don't be crass.

What's wrong with doing
things the old fashioned way?

I was tired of waiting for someone else

to make my best life.
I can make it myself.

- [SIGHS]
- We can make it ourselves.

[INHALES DEEPLY]

I just think it's...

You ready for surgery, Ms. Markwith?

I was, but my daughter Tabitha
has been doing some research.

I have. Actually, is the
neurosurgeon available to speak?

We could see if he has a minute to go...

I can answer some questions.

Okay, um, the awake surgery seems risky.

Yeah, um, all surgeries do
come with some risk.

- What about chemo?
- Chemo is effective,

but it won't repair
your mother's motor function.

And I can't play the piano
without my motor function.

This is about the piano?

You know how much it means to me.

This surgery is incredible.

Your mother will actually be conscious,

playing the piano so that
the neurosurgeon knows

exactly what areas of the brain to avoid.

All right, look, no offense, Doctor,

that sounds cool, but
that's not what I asked.

Tabitha.

- I'll be fine.
- I would rather you be able to

play with your grandkids

than play the piano.

- I'll be able to do both.
- You don't know that.

[EXHALES DEEPLY]

[MONITOR BEEPING STEADILY,
TELEPHONE RINGING IN DISTANCE]

Doctor, could you please let
the neurosurgeon know that

we need to consult with him again?

Sure.

[GROANING]

Okay. All right, all right, all right.
Okay, okay.

- Where does it hurt?
- It's my head. It's k*lling me.

All right, all right, let me take a look.

All right, you have a septal hematoma.

- Use a blade.
- Wait, what?

It's a mass of blood in the membrane

between your nostrils.

- We're gonna have to drain it.
- [DRAWER CLOSES]

Dr. Avila, I'm gonna need you
to insert the scalpel

in the nostril slowly.
Be careful of the pressure.

- Ah!
- Damn it.

Easy now, easy. That's too much pressure.

- You sure he knows what he's doing?
- Moving's gonna make it worse.

Are you seriously blaming me?

Bro, I've got a scalpel
in your face right now.

Just calm down.

All right, we're gonna have
to stop this bleeding.

Let's get some more
four by fours, please.

- [GRUNTS]
- Damn it.

[GRUNTS]

[INDISTINCT CONVERSATIONS]

What are you doing here?

We're in and out of meetings all day.

Looks like I picked the
wrong time for a tour.

Dr. Avila. Now.

[MONITOR BEEPING ERRATICALLY]

Join me for lunch when you're done.

[TELEPHONE RINGING IN DISTANCE]

[TYPING]

- Unbelievable.
- What? She's all better?

Well, the swelling has
gone down considerably.

It's time to get her out of that coma.

- But the other guy doesn't want to.
- He's wrong.

I'm gonna wake her up myself.

Cool. How can I help?

[KNOCK ON DOOR]

[DOOR CREAKS]

- Leanne. Hi.
- Owen. I'm sorry to bother you.

I'm sorry I didn't call you back.

Ariel's missing.

Missing?

She ran away, we think. I don't know.

I'm grasping at straws.

I was hoping maybe I could
look at Max's phone.

Maybe there'd be something
in his texts with Ariel,

something that would help me
figure out where she is.

I wanna help, Leanne. I do. But I... do.

I know this is a difficult time.

I haven't even been into
his room since he, uh...

I'm just not ready.

I understand.
But she's out there somewhere.

Well, she'll come back.

Of course.

I'm so sorry.

Leanne.

Wait.



I should offer you
some coffee or something.

- Do you want coffee?
- No.

[CHUCKLES]

- I-I just can't seem to...
- I know.

Why don't I get the phone?

Best hot dogs in the city.

I don't think a lot of
people share that opinion.

Your mom and I used to
sneak in here for these things.

My first gig, bucks an hour

driving around for that
slumlord, Jim Mead.

Any building on a decent block

with at least two broken
windows, he bought it.

Yeah, I know the story, Dad.

When the bubble burst, Jim Mead
was so far upside down,

he couldn't find the floor.

I bought him out pennies on the dollar.

You know, I showed the documentary

to a professor from one
of my old film classes.

He loved it. He's Oscar-nominated.

I'm not. I'm just trying to do
what's right for this hospital.

Your movie makes this place look risky.

But we save lives.

That's the whole point of the film.

I'm shutting it down.

- No, you can't do that.
- It's my money.

Why would you even let me
do it in the first place

- if you're just gonna do this?
- You asked.

I was hoping you'd surprise me,
but as usual,

you didn't have the follow-through.

Fries could be better.



[INDISTINCT CONVERSATIONS,
SIREN WAILING IN DISTANCE]

Another one from the stage collapse?

She was trapped for hours.
They just found her.

- BP's over .
- What happened to her?

Is she okay?!

Is she okay?

Hang another liter of NS
and give me the ultrasound.

Right away.

- Here you go.
- Gloves.

- All right, what do you see?
- Sternal fracture

with a fluid collection
compressing the heart.

Retrosternal hematoma.

She needs the OR, but right now,

it's causing tamponade physiology.

Jesse, give me an gauge
long needle and cc syringe.

- [MONITOR BEEPING ERRATICALLY]
- Pressure's dropping.

- Push epi.
- Coding, Dr. Savetti.

You want compressions?

No, she needs a needle decompression now.

- Okay, slow down, watch the monitor.
- [WHOOSHING]

We need to maneuver the needle right...

- I'm in.
- All right, then.

Okay, pressure's coming up.

Heart rate's improving.

Let's get her up to surgery.

Let's go.



What?

Just proud of you, that's all.



Logan. Logan, come on. Come on, relax.
Relax, okay.

[GASPING]

- That woman! Is she okay?
- Who?

- I don't know her name.
- Okay, heart rate is .

Dr. Avila, let's push of ativan.

You should start to feel better
right about...

now.

- Okay.
- [EXHALES DEEPLY]

Now you wanna tell us
what that was about?

Nothing.

People don't usually have
panic att*cks for no reason.

[MONITOR BEEPING STEADILY]

When the stage went down, I panicked.

I ran.

Well, it sounds like
that's what everybody did.

You don't get it. I ran. I... pushed.

I pushed her out of my way.

I'm an offensive lineman.

I'm on scholarship for one reason...

To protect people.

[SCOFFS]

But in real life,
when push came to shove...

- You pushed and you shoved.
- Dr. Avila.

That's literally what he did.

No one knows how any of us would react

in the same situation.
Point is, it's not your fault

- that that woman got hurt.
- Yes, it is.

That's enough, Dr. Avila.

[TELEPHONE RINGING IN DISTANCE]

Now, Logan, I want you
to get some rest, okay?

You've had a tough day.

Dr. Avila, a word, please.

[MONITOR BEEPING STEADILY,
TELEPHONE RINGING IN DISTANCE]

You wanna tell me what
you're doing in there?

I'm just telling the truth.

No. No, you're angry. That's the truth.

The board saw your movie,
and they didn't like it.

You think I care what they think?

You care what your father thinks.



[MONITOR BEEPING RAPIDLY,
CURTAIN RINGS SWOOSH]

Dr. Kean, what's going on?

You feel hot. I think
you have a fever. Any pain?

- Not really.
- Where are your parents?

They were driving me crazy.
I sent them for coffee. Why?

Is it bad?

Listen, Keri, I'm gonna figure this out,

but I need to check to see
if your water broke.

You're doing great. You're gonna
feel a little pressure.

- [GROANS]
- Hey.

- Possible infection.
- Did you increase fluids?

- She's on her third liter.
- Hey. Deep breaths.

Do you have a name picked out yet?

I do. But you're gonna laugh.

I'm a girl named Noa. Try me.

- Peregrine.
- Wow.

I know it's crazy,
but it's a family name,

and I sort of love it.

It's beautiful.

[MONITOR BEEPING STEADILY]

- Ferning.
- Mm-hmm.

That tells me that this is amniotic fluid

and your water did break.

So we need to start you
on antibiotics and fluids

and deliver this baby sooner
rather than later.

But is she okay?

She's fine. She's just...
ready to meet you.

I'll go find your parents
and let 'em know.

Good. It's just another reason
for my mom to say I told you so.

She's gonna be a grandma.
She'll be thrilled.

[INDISTINCT CONVERSATIONS]

So you consulted with the surgeon,

I hear you're still trying to decide.

My daughter thinks it's just too risky

- and chemo is less invasive.
- Well, she's right, actually.

You're scared, and I get it.

My brother was in a coma
last year, and I was alone,

fighting with everyone in the room

because they wanted to be safe.

But I chose the aggressive
course, and I was right.

You mean you were lucky.

Least with chemo, we know
exactly what we're getting.

There are minimal downsides to surgery.

We can repair your mother's brain.

She'll still be her, and her
gift will still be intact.

You can't say that for sure.

But with chemo, we can
only shrink the tumor.

We cannot give her back
her ability to play.

Honey, that's really important to me.

I feel lost without being able to play.

I don't care about that.

To me, you're not the great
and talented Vicky Markwith.

You're my mom.

This isn't about emotion.
This is science.

years ago, we couldn't cure
your mother, but now we can.

We can give her everything she wants.

With chemo, you are dooming
your mother's chance

to ever play the piano again.

But with this surgery,
she will have it all.

Sweetheart, I'm gonna try.

Oh. [SIGHS]

See you in there.

[INDISTINCT CONVERSATIONS]

I'm sorry, minimal downsides
to removing a brain tumor?

Chemotherapy isn't a cure.

What if someone took away
your ability to be a doctor?

I would rather spend time with my family

than take a risk like this.

Well, you're not me or her.
It's what she wants.

Because you convinced her.

I helped my patient
make the right choice.

Angus...



[DOG BARKING IN DISTANCE]

- Are you sure you're okay?
- Yeah, yeah.

Sort of.

Maybe it'd be better
if we just said it out loud.

I'll be Max, and you do Ariel.

That's better?

I don't know. I mean,
it can't be any worse.

Uh, there.

Okay, uh, "roflamayo." I have
no idea what that means.

R-O-F-L-M-A-O. Everybody
knows what that means.

Oh. Um, well, try again. Into character.

"How's it going over in Siberia?"

"Freezing. Duh." Icicle emoji.

- "How about Antarctica?"
- "Warm. Very warm."

"#globalwarmingisreal."
Crying face emoji.

Huh. [CHUCKLES]

He was funny.

He was. You okay?

Let's keep going.

Uh...

"T-B-H. Low-key nervous""

"It's a house party.

Everyone's super chill. Joy's the best."

"Joy's boyfriend is, like, ,

"and he carries a Kn*fe?

Joy's totes sketch.
Emily seems to think so, too ""

- What? Who's Joy?
- I have no idea.

Keep going. "Emily's going."
What... and then it stops.

That's it.



You're gonna be fine.

[MONITOR BEEPING STEADILY]

It's time to wake up.

So this surgeon is a one-star general

you flew halfway
across the state to see...

and now you're saying he's all wrong.

Just trying to save my friend.

Your friend?

What's that supposed to mean?

Do you love her?

I'm gonna take that as a yes.

When's she supposed to wake up?

Soon.

[MONITOR BEEPING ERRATICALLY]

What happened?

I don't know.

Well, you don't have much time.
Somebody had to have heard that.

She doesn't need much time.
Just a few more minutes,

and she's gonna be able

- to breathe on her own.
- [GASPS]

- Damn it.
- What?

- There's an obstruction.
- Sounds bad.

It's okay. It's just being on
the vent too long.

Her pneumonia's worse.
It's okay, it's okay.

- Just mucus in the tube.
- She doesn't look okay.

You know that nurse is gonna
call on the cavalry.

I don't care who she calls.

No breath sounds on the left.

- You gotta call for help.
- I don't need any help.

She popped a lung. That's what happens
when infections get out of hand.

[MONITOR BEEPING RAPIDLY]

Step away from my patient.

I would, General, but my
finger's keeping her lung open.

You wanna glove up and help me
put in this chest tube?

[MONITOR BEEPING RAPIDLY]

[SIGHS]



[MONITOR BEEPING RAPIDLY]

Hand me the tube, please.

Make sure you clamp the distal end.

This is my , th chest tube. I got it.

You're awfully cocky for a guy who
just caused a collapsed lung.

You caused this by keeping her
on the vent too long.

You don't know that.

I told you, this is
my , th chest tube.

I know what I'm doing,
and I know what happened.

And I know you better extubate
her when we're through here.

Don't put her back on sedation
just to spite me.

I don't treat patients out of spite.

[MONITOR BEEPING STEADILY]

Now step away from my patient.

Are you gonna extubate her?

I've given you an order,
Colonel. Now step off.



[GLOVES SNAP]



Enough with the opening act,
time for the headliner. Nurse.

[CLICK]

Okay, Vicky, Dr. Edlen's gonna
start to remove your tumor now.

Any requests?

- Debussy?
- Man after my own heart.

- "Reverie"?
- Deep cut. I love it.

[PLAYING "REVERIE"]

[CRACKLES]

- Have you ever heard her play before?
- Nope.




My husband had a box at
the Phil for five seasons.

Her Schumann "Concerto in A Minor"

is the only performance
we've ever agreed on.

[SIZZLE]



It's beautiful.

[SIZZLE]

- [PLAYS DISCORDANT NOTE]
- Freeze.

What happened?

Ah, we poked where we should've prodded.

Don't move out of the field.

Okay, Vicky, can you
pick it up from there?

[MONITOR BEEPING STEADILY]

[RESUMES PLAYING]

Thattagirl.

[SIZZLING]



Hmm. Steady hands.

So what year are you?

Third year.

Well, first year. I just
switched into surgery.

I'll be sure Dr. Campbell
knows he trained you well.



[SIZZLING]

Just like I told my dad,

I haven't heard from Ariel
in a week, and I don't know Joy.

According to Max, you do know Joy.

Emily.

I know you wanna protect Ariel,

but that's my job. I'm her mother.

No matter what else happens,
no matter how short a time

we've been in each other's lives,

I'm her mother.

I need her to be home with me.

I need her to be safe.

It's my job to help
with she's going through.

It's my job to hold her
and to tell her that

everything's gonna be okay.

And I really, really need
to tell her that.

And frankly, I need her
to tell me that, too.



She told me not to tell.

- Is she with Joy?
- Yes.

Where does Joy live?

Nowhere. She was
in foster care like Ariel,

but it didn't work out.

That's probably why Ariel
gravitated to her.

If she doesn't have a home,
where does she stay?

Joy and some other kids...

they crash in different places
around town.

I think I remember Ariel saying something

about the th Street Bridge.

That's near Angels.

Emily, you're a good friend.

You did the right thing by
telling us where she was.

But you're grounded... till college.

[SIGHS]

[WOMAN SPEAKS INDISTINCTLY OVER P.A.]

[TELEPHONE RINGING IN DISTANCE]

Dr. Kean, right?

Right. Are you looking for Diego?

- I can have him paged.
- Oh, that's all right.

If you see him, just tell him
I said goodbye.

Sure. And, uh, listen,

thanks for making that call.

Or having your assistant do it.

No trouble. Literally.

But how about I do you a real favor?

That's not necessary.

- What's not necessary?
- We're all having dinner.

We help Dr. Kean prepare
for her interview,

and I get to pick her brain

about how you're really doing here.

- I'm doing fine here.
- He is.

Well, I hope you'll consider it.

I know everybody at that hospital,

and most of them owe me one.
Diego, always a pleasure.

[DOOR OPENS]

[TELEPHONE RINGING IN DISTANCE]

- He's, uh...
- A douche?

Yeah. It's his best quality.



- Dr. Savetti.
- You're leaving?

I have a personal situation to deal with,

but the hospital's in good hands.

I watched you today. You were tested.

See, you could've shied
away from the challenge,

but you demanded the ball,

and you didn't let your team down.

Thanks, I, uh, appreciate that.

The job's yours if you want it.

- The attending spot?
- Dr. Savetti, catch up.

There's somewhere I need to be.
Accept it or don't.

- I want it.
- There you go.



[EXHALES, GRUNTS]

[GRUNTS]

- Hey, sorry.
- Yeah.

Yes!

[MONITOR BEEPING STEADILY]

- What's going on?
- There's something wrong.

- She's found some trees.
- I'm afraid your mother

is suffering from receptive aphasia.

It's a form of language
impairment that affects

- the production of speech.
- Well, how long's it last?

If she works with a speech therapist,

- it could improve.
- But there are no guarantees.

No. That is not what he said.

He said there was no downside!

With the paintings, they...
they... they thank us.

You made me believe!

We would've never agreed to the surgery

if we understood what we could lose.

Dr. Leighton, what exactly
did you tell her?



You put her at risk of worsening
brain hemorrhaging, swelling...

I saved her life and you'll know
it, too, when she wakes up.

If she wakes up.

Colonel Willis, I'm
placing you under arrest.

- What?
- You violated a direct order

and endangered a patient.

Get off me! You're making a big mistake.

- [HANDCUFFS CLINK]
- Get him outta here.



[GASPS]

- Dr. Guthrie!
- What happened?

I don't know. He just...
he couldn't catch his breath.

All right, relax.

[INHALES DEEPLY]

Decreased breath sounds on the left.

I repeated his ultrasound when
he started getting worse.

Okay, show me.

- Okay.
- [WHEEZING]

- [WHOOSHING]
- Left-sided pleural effusion.

He had a small one when he came in,

- but now, I mean, it's huge.
- Okay.

What's your next step?

You know.

[CLEARS THROAT] A ch-chest tube.

All right. Okay, Logan, listen to me.

Fluid has collected
around your left lung,

and we're gonna have to insert
a tube to drain it, all right?

- Give him milligrams morphine.
- Just relax. Just relax.

All right. Remember the anatomy.

Okay.

Mid-axillary line.

Fourth intercostal space.

- Okay. I think I got it.
- There we go.

- What the...
- Okay, step back, step back.

Okay. Hey, we need help over here!

Coming up.

Dr. Kean, something's wrong.

- [WHEEZING]
- Keri? What's going on?

- [STRAINED VOICE] I can't breathe.
- Mario!

What... what's happening?

[COUGHING]

[GASPING]

[WHOOSHING LOUDLY]

Lungs are clear.

[BREATHY VOICE] Mom.

[WHEEZES] The baby.

The doctors are taking care
of you, sweetheart.

- Everything will be fine.
- [COUGHS]

- Promise me.
- Oh, my God. Is she gonna be okay?

Severely dilated RV,
reduced systolic function.

- PE?
- Maybe or an amniotic fluid embolism,

- possibly a fat embolism.
- [COUGHS, GASPS]

- Acute heart failure.
- Heart failure?

- Oh, god. Keri.
- Mom.

[WHEEZING] Take... care of her.

You will take care of her.
You'll be fine.

- Promise her.
- [WHEEZES]

- I promise.
- Okay, start compressions.

Let's get her to center stage.

JESSE: Starting compressions.
Okay, let's move.

Give her some room, people.



This patients needs
a thoracotomy, Dr. Avila.

- You're up.
- No, I've never done one.

Don't worry. You're ready.

You're in the right atrium.

- Try pulling back on the syringe.
- I'm trying. There's still nothing.

- There's no more time.
- I know. We have to save the baby.

We need to do a crash C-section.

Okay, bleeding is from the left lung.

Dr. Avila.

[MONITOR BEEPING ERRATICALLY]

Listen to me, your problem
is nobody's told you

what you're good at.

Well, I'm telling you now, you're good.

You can do this.

I've seen your work, son.
Don't give up now.



- Heavy arterial bleed from the hilum.
- Mm-hmm.

- I can't tie it off.
- Yes. Yes, you can.

I-I don't know.
It's too proximal to clamp.

Shh, shh, shh, shh, shh.

Feel it.

[MONITOR BEEPING ERRATICALLY]

Yes.

In med school, I read about this thing.

Can we twist the lung on itself
to cut off the bleeding?

You bet we can.

- All right, Dr. Guthrie, hold the base.
- Yes.

[MONITOR BEEPING ERRATICALLY]

[EXHALES] The bleeding stopped.

Yeah. All right, let's get
this patient to the OR.

Good work, son.

[INDISTINCT CONVERSATIONS]

Still no pulse.

Do not stop compressions. She
needs to see her baby girl.

[POUNDING] Come on.

[INDISTINCT CONVERSATIONS]

- You got this.
- Here she comes.

- That's it.
- Got her.

[EXHALES DEEPLY]

That's it.

She's not breathing.

We need suction over here!

- Noa, you need help?
- Don't stop compressions.

[INDISTINCT CONVERSATIONS]

Come on. Come on.

Come on.

- Come on!
- Come on.

Come on.



Come on.

- Come on.
- Come on.

[BABY CRYING]

[EXHALES]

[BABY CONTINUES CRYING]

[EXHALES DEEPLY]

[CRYING CONTINUES]

[EXHALES DEEPLY]

[CRYING CONTINUES]

Time of death... : p.m.

[CRYING]

: p.m., same time as birth.

[CRYING]

All right.

[CONTINUES CRYING]



[CRYING CONTINUES]

[FUSSES]

RORISH: Excuse me. Have you
seen this person? No?

Have you seen this person?

I'm sorry to drag you into this.

It's okay. I'm glad I'm here.

Thank you for coming, Mama.

- Hey, guys.
- Have you seen this person?

JESSE AND RORISH: No?

Have you seen this person?
Her name is Ariel.

What about someone named Joy?

You know someone named Joy?
Does that ring a bell?

Okay, thanks.



Is that water from over there?

It's a piano, Mom.

- Will they be there?
- Well, it's from pediatrics.

It's not what you're used to,

but the sound quality will be
much better than the keyboard.

And I don't know. I figure that
it would be a good way for you

- to express yourself.
- Do you wanna play it.

- I pick the sky.
- Can she walk?

- I did.
- Yeah, of course, if she wants to.

Here. Let me help you, Ms. Markwith.

We'll play together, okay?

Oh. Water.

For the ocean.

[PLAYING SLOW-TEMPO MELODY]

[GASPS]

- Tabitha?
- [CRYING]

She, uh...



She wrote this song for me
when I was a baby.

She used to sing it to me all the time.

For the ocean.



I think your mother's asking
for you to sing it to her.



♪ As night comes, and I'm breathin' ♪



♪ As day breaks, and I'm dreamin' ♪

♪ Slow breeze dances in the grain ♪

♪ Of the answers on a passing train ♪

♪ So hold on ♪

♪ Hold on ♪



♪ Shafts of light through the window ♪



♪ A whisper of hair on your pillow ♪

- [EXHALES, CRYING]
- [DOOR CLOSES]

♪ A golden sand and a deep breath grin ♪

♪ Tiny hand and a flashbulb spin ♪

Her baby is fine, though.

We performed a C-section.

She's weeks, but totally healthy.

Where's Keri now?

I can take you to her.

- Okay, thank you.
- [SNIFFLES]

First, I need to see
her daughter, our granddaughter.

I promised her.

♪ Rest your tired eyes ♪

Hey, what's going on?

You just got put through
the freakin' ringer.

I probably deserved it, huh?

Yeah, for sure, but you're gonna make it.

- What about the girl?
- She's fine.

Post-op for a few days, but
there's nothing to worry about.



I owe you an apology.

Everyone gets scared. I know
I do, so I'm sorry, okay?

I was in no position to judge you.

What are you scared of?

It doesn't matter.

I'm so high right now.

I'll never remember anything you said.

All right, well, just try to
remember this, all right?

You're only human.

You're gonna disappoint yourself, man,

but you're also gonna surprise
the hell out of yourself,

do things you never thought
you could do...

as long as you don't give up.

♪ I'm burning down a candle flame ♪



♪ Been down by the pouring rain ♪

♪ Children's tunes soft and low ♪

[CRYING] ♪ From a far off radio ♪

♪ Hold on ♪

♪ Hold on ♪

She's beautiful.

What do we call her?

Her name is Peregrine.

Keri named her after me.

[CRYING] I had no idea.

[CRYING]

♪ Rest your tired eyes ♪

♪ Tonight ♪

Hey. Hold up.

Listen, I'm sorry about your patient.

You know there's nothing
you could've done.

I know.

I know.

You did great, though.

- You, too.
- Yeah.

I heard about the attending job.

- Yeah.
- Congratulations.

You don't seem happy.

I am. It's just, uh, the OB program

that Mr. Avila put me up for?

Yeah.

It's in Philadelphia.



Uh, you can't do a program here?

They have the best in the country.

I wanna be the best. You of
all people should get that.

You're so good at what you do here.

- No, I just...
- Mario.

Do you know how good you are
at what you do?

And you love it.

I want that for me.
Can you understand that?

Of course.

So, uh, well, are we supposed to
do this long-distance or...

Oh.

You wanna break up.

I don't want to, Mario, but...

But we can't hold each other back, right?

- I mean, that's what you said.
- We said it.

Might as well end it now.

We don't know anything yet.

- ♪ Soft and low ♪
- Sure we do.

♪ From a far-off radio ♪

I'm so happy for you, Noa.

♪ Hold on ♪

I really am.

♪ And after all ♪

♪ This crawling time ♪

♪ After all this highway sign ♪

Have you seen this person?

- Have you seen this person?
- No?

Ariel?

♪ I don't want to breathe alone ♪



♪ As night comes, and I'm breathin' ♪

Hey!

What the hell is wrong with these people?

They're wondering
the same thing about you.

I did the right thing. I'd do it again.

I don't have any doubts.

I know you always do the right thing.

How would you know?



♪ Sunlight dances in the rain ♪

♪ You're the blood in my veins ♪

What is going on here?

What do you mean?

♪ Hold on ♪

What is that on your arm?

Who are you?!

Who are you?!

You know who I am.

You've known all along, haven't you?

Guards!

Guards, I want him out of here!

I want him out!

Get him out!

This is why I called you.

How long has this been going on?

Not sure.

I have him on a -hour psych hold.

♪ Rest your tired eyes ♪

♪ Tonight ♪

[MONITOR BEEPING STEADILY]

Ethan?

♪ Tonight ♪
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