01x10 - I Thought I Lost You

[bunniefuu]

- Previously on Good Sam...
- [KNOCK ON DOOR]

That lock is gonna give out eventually.

The accident affected all of you.

I was drunk.

I intercepted the paramedic's

field report that said he was impaired.

- How can I make this right?
- I'm not sure you can, Mom.

Kevin Dunn, years old.
He was hit by a bus.

- SAM: Kevin's parents...
- GRIFF: Randy and Cathy Dunn.

Governor just declared
a state of emergency.

We have a bus crash
in the middle of a shift change.

- Will you stay with me?
- GRIFF: I may not have been there,

but your mother was always
there. Talk to her.

- I'm sorry about the rings.
- No, no, no, I'm sorry about the rings.

Kevin's parents are here.

They didn't come in the front door.

REPORTER: Ambulances
are standing by in the hopes

- of finding survivors.
- That's Mom's car.

[SIRENS WAILING]

Have they confirmed my mom's
license plate or not?

- They don't know.
- What do you mean, they don't know?

She's still not answering.

Okay, well,
Pyne says that she checked in

as soon as her flight
touched down in Detroit,

- so we know she landed.
- Where are we on the plate?

Debris is making the site
hard to access.

We just have to wait.

LEX: What do we got?

OPAL: Patricia Clark.

. Increasing shortness
of breath and hypoxic.

Lung cancer. On chemo.

Have you had shortness of breath before?

[WHEEZING]: No. Not like this.

Okay. Let me have you sit up.

- [GRUNTS]
- Okay.

This may be a little cold.

Should we intubate?

Not unless we have to.

Get RT down here,
start a breathing treatment,

and get imaging right away.

You're the first patient
we've had in a while who wasn't

in a car wreck because of the storm.

[CHUCKLES] Car wreck
sounds better than this.

Well, we're gonna take good care of you.

- Yeah.
- [PAGER BEEPING]

[SIREN WAILING]

Randy Dunn, .

Farm truck turned over
and dumped its cargo

while he was standing
outside of his vehicle.

Can I get a hand getting this crate off?

- [GRUNTS]
- Wait, wait. No, no.

You pull this crate off
without pre-treating him,

toxins from the damaged cells
will flood his bloodstream

- and k*ll him.
- It's crush syndrome.

I'll start aggressive fluid
resuscitation with sodium bicarbonate.

Check vitals and get him
to imaging. If a piece

of this crate broke off
inside of him, we need to know.

Do you know my son?

Kevin Dunn. He's .

He had surgery here.

Yeah, I know your son.
Look, he did great.

- Really? He's okay?
- Yup.

Your wife just went upstairs to see him.

[SIGHS] I want to see him.

We need to get you out from
under this crate first, okay?

Dr. Griffith.

That was the state trooper.
They confirmed

the plate of the car in the wreck.

It is your mother's,
but she's not in it.

- What?
- She's not in it?

Apparently, she's nowhere
in the vicinity.

Well, where the hell is she?

Hey, are you going back to
the crash site right now?

Do not leave without me.
I'm coming with you.

- Sam, Sam, Sam, let me go.
- No.

- Sam.
- Dad, the last thing

I said to Mom was that things
between us could not be fixed.

- You have to let me do this.
- Okay, hang on.

Whoa, whoa, it was your mom's car.

- Yeah, I got to go.
- Well, l-let me drive.

No.

We're short-staffed as it is,
and I don't know when

reinforcements are gonna get here.

Oh, they're here.

Sorry I'm late.

- [CHUCKLES]
- Plows took forever.

I hear your mother's out there.

- Do they know anything?
- GRIFF: Nothing useful.

Here, take that.

Thank you. I'm heading back
out there now.

If the rescue crews
can't find her, I will.

Good luck. Hey, and...

she's gonna be okay.

Hey, I need you, I need you
to take care of things

- while I'm gone, if you're up to it.
- Yeah.

Fine. Take the service road,

- don't take I- .
- Okay.

And call me the second you get there.

- Dad, I will.
- And be careful 'cause the roads are...

Dad, I love you.

I love you, too.
You go find your mother.

Yeah, okay.

[LINE RINGING]

[SIREN WAILING]

[CHIMES]

SADIE: No!

This sucks, this sucks,
this sucks, this sucks.

VIVIAN: I know, honey.

I'm just gonna take your pulse.

[RAPID BREATHING]

- [WINCES]
- Is this your first pregnancy?

- How many weeks?
- .

Any complications so far?

Besides going into labor
under a freeway?

It's gonna be okay.

It's not gonna be okay.

Nothing about this is okay.

[GRUNTING]

I'm having another contraction.

Yup, yup. You can do this.

Just breathe through it.

Just keep breathing through it.

SAM: Mom?

Mom?

Sam!

Mom?!

Sam!

Mom?!

- Hi.
- Oh.

Are you okay? Are you hurt?

- We've been calling...
- Yes, I lost my phone

in the crash, but I-I'm okay.

Okay. We've got to climb out.

- The rescuers can't get around...
- We can't.

What?

This is Sadie.

Oh, hello.

She's four weeks shy of full-term,

and her contractions are
less than a minute apart.

Oh, boy.

- [GROANING]
- Girl, actually.

- Okay. How dilated is she?
- I was just about

to check when her water broke.
I didn't want to risk infection,

but I'm thinking, uh,
she's got to be close

to ten centimeters and fully effaced.

- I need a doctor.
- You got one.

Yeah. Two, actually.

Well, it's been a while
since I practiced.

All right.

Baby's crowning.

Ah. Well, Sadie, how far did you
get in those birth classes?

Not as far as this.

[SCREAMS]

Okay, Sadie, I need you
to take a deep breath for me.

[STRAINING] Okay.

Sadie.

- Push.
- [SADIE SCREAMING]

Okay, CT shows a fragment
of the crate is impaled

next to the femoral artery.

And as long as we can
visualize the impalement,

we can remove it safely.

- Okay. Local anesthesia?
- Already gave it to him.

You ready, Mr. Dunn?

[SIGHS] Okay.

One, two, three.

[RANDY GRUNTING]

- LEX: Stop there.
- [COUGHS]

Tilt degrees towards me.

Okay, easy.

- LEX: Pull up two inches.
- [GROANING]

- You're clear.
- Okay. You got it?

Ah. [PANTING]

- Okay, I need more four-by-fours.
- On it.

Is that femoral artery still intact?

Yes, but it looks like
he has a grade two

- splenic laceration.
- Okay, that'll heal on its own,

but let's get him typed and crossed

for blood to be safe, yeah?

Already did.

You got a real knack
for trauma, don't you?

- That's what I've been saying.
- No.

You said, "It's time to stop
flirting and get serious."

KACE: Yeah, yeah, about trauma.

I stand by that.

Dr. Eric Kace, by the way.

Look, I know it's really nice

up there amongst the cloud people.

Espresso machines
in the lounge and comfy couches.

But this is where the action is.

Everyone needs to get a little action,

right, Doctor?

I'm gonna go back upstairs.

You.

[GRUNTS]

Hey.

Oh, my God. Sorry.

I didn't know you were still here.

Yeah, I was just about to head out.

I was thinking about yesterday.

You know, how...

we were arguing about
wedding stuff before you left.

- Mm-hmm.
- Since the engagement,

it feels like all we do
is argue about the wedding.

Mm. Yeah, you're right.

- So, let's stop arguing.
- Okay.

And just get married.

What? [CHUCKLES]

You were stuck in a blizzard
for hours.

What if you hadn't come back?

We don't know how much time we have,

so let's stop wasting it
planning a party

and just get married now.

- Right now?
- Right now.

Well, I have rounds right now,
but today.

Okay.

- Okay. Yes.
- [LAUGHS] Yeah, let's do it.

- I'll handle everything.
- Okay. [LAUGHS]

- Hey, sorry I'm late.
- [PHONE BUZZES, CHIMES]

Why am I apologizing to you guys?

"Hi, Isan. Good to see you.

So glad you didn't die in the storm."

- Where's Sam?
- Oh, she just texted.

She's at the crash site,
but her mom's okay.

- Oh. What does that mean for us?
- [EXHALES]

- That's your question?
- Yes. How do we do rounds?

- Who's in charge?
- Uh...

[PHONE BUZZES]

- DONNA: Any word on Dr. Katz?
- _

She's okay.

Oh, thank God.

Yeah.

So, we have a post-op checkup

on our pediatric patient.

Aortic valve replacement, triple CABG,

and a possible bronch
for persistent hemoptysis.

Shall we?

Guess we know who's in charge.

- [SIGHS]
- [DOOR OPENS]

Well, if it isn't Clara Barton.

Hey, Ma. [LAUGHS]

Look, what are you doing here?

Board called an emergency meeting

to deal with the impact of the storm,

including the blood shortage,

which my son successfully

mitigated with an in-house blood drive.

I am just doing what I can to help.

You stepped up in a big way,

and the board's very impressed.

And speaking of the board,
I understand your CMO

- is out of commission.
- Temporarily.

- So you're filling in?
- Where I can.

Look, what do you need?

Um... operative reports
for the last two weeks?

I can pull those up. What doctor?

Rob Griffith.

What? The vote for
Chief of Cardiothoracics

is in a couple of weeks. I want to know

if the scalpel he dropped
was an isolated event.

There aren't any reports.

What?

That bypass surgery was two weeks ago.

Surely, the man has been
primary in a surgery since?

Not according to this.

Then what has he been doing?

[CHUCKLES]

Ah.

That was...

- incredible.
- It is,

every time.

Bringing a life into the world.

No, I-I mean you.
You didn't skip a b*at.

It was like you never
stopped practicing.

It was just muscle memory.

It was awesome, Mom.

Sam, these last two weeks have
been the longest of my life.

I'm sorry that I've been
dodging your calls.

- I just...
- No, I'm sorry.

- I should have...
- Mom, after everything that's happened,

honestly, all I care about
is that you're okay.

- [GRUNTS]
- Mom!

Hey, I need some help over here!

Mom?

[FLASHLIGHT CLICKS]

Delayed pupillary light reflex.

- Hmm, but symmetrical.
- Hmm.

What happened?

You fainted and hit your
head, that's what happened.

Your brain CT was normal...

But you have a concussion.

I was about to say that.

Let's keep her in overnight
for observation.

IV maintenance fluids for hydration.

- Treat the headache.
- Mm-hmm.

I was about to say that, too.

How's Sadie and the baby?
I should go and check on them.

- No, no, Mom, Mom.
- Hey, hey, hey.

- [EXHALES]
- SAM: Take it easy.

You're lucky that a mild TBI
is all we have to treat.

I'll follow up with you in a few hours.

Thanks, Steph.

- Thank you.
- Thanks.

Oh, Asher must be worried sick.

Can one of you call him?
Tell him I lost my phone.

SAM: I spoke to him this morning.

He's in Denver. He's waiting
for the next flight back.

I'll check in with him while you rest.

VIVIAN: Thank you, Sam.

You've put up with a lot
from me over the years,

but this is a hell of a revenge scheme.

Our daughter is speaking to me again.

It's worth the concussion.

That is a crazy thing to say.

You should have your head examined.

[CHUCKLES WEAKLY]

[ELEVATOR BELL DINGS]

Oh.

- Hi.
- Hey.

How's your mom?

Uh, she's all right. Thanks.

Um, mild concussion,

not that a head injury ever stopped her.

Hmm.

Yeah, I should probably
go by and check on her.

She'd probably like that.

I actually have some
work questions for her.

[CHUCKLES] She would love that.

- [CHUCKLES]
- [ELEVATOR BELL DINGS]

My, uh, mom's looking for

your dad's latest surgical reports.

Now, I couldn't find them,

so I thought I'd ask to see if you

knew where they were, but

you know what I realized?

What?

I am so tired of talking
about our parents.

[BOTH CHUCKLE]

SAM: Me, too.

[SIGHS] It was better when
we just talked about our dads

and not also our moms.

Yeah, it was better when we
didn't talk about any of 'em.

Yeah, it was.

[ELEVATOR BELL DINGS]

- Have a good day.
- You, too.

[COUGHING]

Patricia Clark? Hello.

So, it says here you have

stage non-small cell lung cancer.

Post-induction therapy.

It says here that you
came in through the ER?

I couldn't breathe. Still can't.

CALEB: She's on % oxygen

with intermittent hemoptysis.

Okay. What are our options, Dr. Shah?

Well, if she continues to decompensate

with worsening hypoxia,
we should intubate.

- Hmm. What else?
- CALEB: A bronchoscopy

- might temporize the bleeding.
- True,

but I'd like to also prepare
for the possibility

of a pneumonectomy.

Patricia, the lung that is failing you

is so diseased

that it may actually
be simpler to remove it.

You're gonna remove my lung?
Don't I need it?

Not if the diseased tissue
does you more harm than good.

Exactly.

Where is the doctor
that took care of me in the ER?

Uh, Dr., uh, Trulie?

Uh...

She is not here right now,

but we have an excellent team of doctors

who will take great care of you

if we move forward with this procedure.

So, is Lex off the surgery?

I don't even know where Lex is.

Trauma. Crush syndrome. It was
a whole thing with a crate.

- Oh.
- Well, for the record,

I would love to be in the pneumonectomy.

So would I.

Okay. I haven't decided.

A full lung removal is a rare procedure.

It's very technically difficult,
so you should be studying.

All of you.

I've never been in a pneumonectomy.

- None of us have.
- Well, I spoke up first.

I offered an actual treatment.

- [YAWNS]
- Really?

You lost first assist
on our last two surgeries.

Why aren't you all over this?

I'm prioritizing my relationship.

Plus, I don't need brownie points in CT.

- I excel where it matters.
- Are you talking about plastics?

Doesn't Dr. Glass still call you Jerry?

[CHUCKLES]

Mom.

- What are you doing in here?
- I, um...

Yeah, I just wanted to make sure
her heart rate was coming down.

Okay. I can take care of her heart.

- You need to rest.
- Yeah. Okay.

Okay.

Seeing one patient isn't gonna k*ll me.

You are concussed.

I can't have you putting
yourself at any more risk.

I already thought I lost you once today.

You didn't lose me,

but I was afraid I lost you

when you wouldn't take my calls.

Now I...

I need you to understand this.

I know it seems like I put

- the hospital first...
- Let's not do this now.

Your father and I...

We had a plan

back then.

This dream.

I mean,

we were building something big together.

And when the accident happened,
I was just terrified.

I... Scandals like that sink hospitals.

They cost in money and donations
and endowments and...

Mom, it's not what you did.

It's what you didn't do.

For years, I have wondered

what was wrong with
my relationship with Dad.

I have tried so hard to understand

the wall that he put up between us.

And all this time,
you have had the answer,

and you didn't tell me.

Sam...

I don't want to talk
about this right now,

and you need to rest.

Please.

[SIGHS]

Why are you guys studying
for a pneumonectomy?

Because Sam hasn't assigned
first assist yet.

On who, Patricia Clark?

Wait, that's my patient.
I did her intake.

Missing rounds reflects
a lack of commitment.

Really? Did you sleep great
in your bed last night?

Because I am committed to my third

consecutive shift.

Dr. Shah is very rested.

Which is why

he will be first assist
on the pneumonectomy.

Thank you.

I won't let you down.

Whatever.

Lex, you know I can't
assign you to a surgery

if you weren't there
to round on a patient.

I know. I was treating patients
in the ER.

You've already fulfilled all of
your elective hours down there.

We need you up here.

Maybe I haven't told you lately
how much I depend on you.

I want you in that surgery.

[PAGER BEEPING]

It's the ER.

[SIGHS]

But that means you have to be here.

Okay.

Hi.

[SIGHS]

That was quite the decision.

Felt pretty straightforward to me.

I mean,

Lex was missing, and Joey was late...

I was on time.

Caleb, you haven't had more
than two consecutive

- hours of sleep.
- You didn't even consider me.

Where is this coming from?

Here, actually.

Oh. These bunks are
the only place we go.

You signed up for casual.

We were really clear about this.

I said I can't get serious right now...

I know, I, I know.

It would... still be nice
to be taken seriously.

And a few more steps.

- Is this a trust exercise?
- Make a left.

- Ready?
- Yeah.

Behold.

Our wedding chapel.

[GASPS]

JOEY: You hate it.

- No, no...
- I'm not done decorating.

It'll be more festive
when the cake arrives.

Chocolate and lemon... [SNIFFS]

which I hate,

- a lot.
- So you've said. [CHUCKLES]

But I ordered it because

I love you. [LAUGHS]

I just want to get married
and eat cake and stop bickering

- over wedding stuff.
- Yeah.

Ooh, did I tell you
that Donna's ordained?

Sorry, um...

This is, this... this is just a lot.

[SCOFFS] It's not a lot,

that's the point.
It's just an easy, simple way

to get married without fighting.

That's not why we've been fighting.

You stopped talking to me
for a day over place cards.

I slept with someone else.

What?

The week before you proposed.

But it... it didn't mean anything,

and it was, it was a one-time
thing, and I love you.

You love me, but then you cheated on me?

I-I-I do.

I do love you,

and I want to marry you,
but before we do,

I...

I just needed you to know.

Well...

now I know.

RANDY: Hey!

- SAM: Aw.
- There he is.

- Dad.
- SAM: Hey, kiddo.

- Oh.
- Oh.

GRIFF: Okay.

RANDY: Hey, buddy. Oh!

[KISSES]

Mmm.

KEVIN: What happened to your leg?

Aw, don't ask. [CHUCKLES]

What about you, huh?

How many kids in school
survive a bus crash

and have heart surgery

- in the same day, hmm?
- We're all in one piece,

and we're together. That's what matters.

So, we can go home?

Well, you will be ready
to discharge very soon, Kevin.

And I see here that your mom
finally let us examine her.

She's okay except for a couple bruises,

and she can go at any time.

- And my dad?
- GRIFF: Uh, well,

his leg is healing.

- SAM: Mm-hmm.
- It's gonna be fine.

But your blood levels are still falling.

SAM: The laceration
that we saw on your scan

is still bleeding.

You need a blood transfusion,

but our blood bank is depleted,

our supply has not arrived yet,

and you have a rare blood type.

- Can I donate to him?
- SAM: Uh,

no. You're B, and Randy is type AB.

I-I got some blood during my surgery.

You sure did.

- [CHUCKLES]
- Last we had.

O neg.

KEVIN: What's O neg?

- Uh, well, that's your blood type.
- Uh-huh.

GRIFF: It's very common.
It's, uh, it's known

- as the universal donor.
- KEVIN: So,

I can give some to my dad?

Uh, well, technically, yes.

You could donate
to either of your parents,

but neither of them can donate to you.

Can I borrow Kevin for an EKG?

- Uh-huh.
- Sure.

First take my blood.

- I'm a universal donor.
- GRIFF: Yeah,

but you just had heart surgery,
and you need it.

Plus, you can't donate

till you're .

Anyway, uh,
we would like to keep you here

- until...
- Wait a minute.

For him to be O,

doesn't one of us have to be O?

Uh... Genetically speaking, it is, um...

- Is he not my son?
- What?

What kind of a question is that?

If I'm AB and you're B,
Kevin can't be O.

It's genetically impossible.
Unless he's not my son.

Of course he's your son.

Then how do you explain the blood?

I don't know. I'm-I'm not a doctor.

Okay. Doctors,

i-is there another explanation?

I'm not Kevin's father.

- I took her vitals an hour ago.
- Did you notice

her pulse was all over the place?

Stop this, both of you. I am fine.

Her heart rate was normal.

GRIFF: You can't
depend on the instruments.

You have to do it manually.

- I did do it manually.
- Well,

her blood pressure's rising.

Gee, I wonder why that is.

RHONDA: Some people will do

anything for a day off.

[CHUCKLES]

You look good.

I'm glad to see it.

Well, back at you.

Your splenic lac patient.

What about him?

RHONDA: I need to do
an ultrasound of his leg,

make sure there isn't any nerve damage

that needs my attention.

Be my guest.

- Feel better.
- I will.

I'm not gonna make it that easy
for you to take my job.

I don't want it if you have
to die for me to get it.

That's more your family's style,
isn't it?

- Ooh. [EXHALES]
- I take issue with that statement.

- Me, too.
- GRIFF: I technically

did not die. I was in
a persistent vegetative state.

VIVIAN: Okay, thank you all for coming.

- Now get out.
- SAM: Okay.

- Vivi?
- Mom?

- You dizzy?
- VIVIAN: Yeah, no, I just...

- I sat up too quickly.
- GRIFF: Okay. Okay.

- Here. Hey, hey, hey.
- [EXHALES]

Follow my finger.

SAM: Delayed tracking.

Yeah. Let's get a CT angio

- of her neck.
- Yeah.

Why are you interested
in the blood vessels

of my neck?

Mom, how's your vision?

Yeah, I guess it's a bit blurry.

GRIFF: Okay, it could be

a little more than a concussion. Okay?

- I'm gonna go down to Neurology.
- Yeah.

- [MONITOR BEEPING LOUDLY]
- Just stop lying already!

Randy, I told you,

- it has to be a mistake.
- No, the mistake

was me trusting you.

I need two milligrams of IV lorazepam.

We just got our family back together,

and now you're blowing it apart.

What's gonna happen
when Kevin finds out?

There's nothing
for Kevin to find out, Randy.

RANDY: He deserves to know the truth!

SAM: All right, all
right. He's tachycardic.

Randy, I need you to calm down.

Then tell my wife to not cheat on me.

Okay.

What is that?

[ELEVATOR BELL DINGS]

Hey.

- Hey.
- [PAGER BEEPING]

So...

ER again.

Haven't you put out
enough fires down there?

They need the help.

They have their own residents,
and the storm is over.

Do you want me to tell them to back off?

Oh, or am I doing that thing

where I offer to handle something

that you're perfectly capable
of handling by yourself?

[GASPS] What...?

- You are learning.
- Mm-hmm.

I know you like trauma,

but you committed to CT, and...

And CT takes total commitment.

I know. We talked about this.

You're on track to be chief resident

of the most prestigious
department at this hospital.

Right now, nobody can compete with you.

But if you're not all in, then...

...I don't know how that'll be true.

SAM: Fever and a
rash with a rising lactate.

CALEB: Could be infection.

Yeah, but chest X-ray was clear,

and blood cultures were negative.

Rhonda was worried about complications

from a crush injury.

- Any chance they're related?
- [PAGER BEEPING]

- Lex?
- Hmm? Oh, um...

Mm, it's unlikely.

I mean, there's no signs
of rhabdomyolysis,

- and his urine output is normal, so...
- [PAGER BEEPING]

Sorry.

Okay.

Let's run
repeat blood and urine cultures

and broaden his antibiotics.

Could it be a stress response?

To his wife's affair?

I don't have a prescription for that.

Don't date a cheater.

What did you say?

[SCOFFS] That would be my advice

for someone who doesn't want
to be cheated on.

So it was his fault
that he didn't psychically know

that his partner was unfaithful?

No, not his fault.

But, like, you know, if she cheated,

she was probably unhappy.

He has some part in that.

Wow. Romance advice

from someone who's never heard
of a second date.

Thanks for the tip.

SAM: The wife swears that
she did not have an affair.

She's convinced
that it's something else.

Well, there's only one
I can think of. Chimerism.

He could have blood cells with distinct

and different genotypes.

Part of him is type AB.

The other part is type O.

SAM: And that part made Kevin.

I've never seen a genetic chimera.

It can't hurt to test him.

Okay, so I'll send some blood
to my geneticist friend

- in Boston.
- Okay.

See?

I do take you seriously.

Okay. Thank you.

And I don't.

Okay.

And it's a good thing.

Caleb, I need something in my life

that is not so serious.

And you have been that
for me for so long,

I don't know what I would do without it.

I don't know what I would do
without you, Caleb.

And that is seriously how I feel.

I hope it's enough for you.

[PAGER BEEPING]

[ALARM BEEPING] Mom.

What's happening?

LEE: Vertebral artery dissection.

Vessel must've sheared in the crash.

- How did we miss this?
- Delayed onset.

Contralateral vert is hypoplastic.

Not enough flow to her brain stem.

She could hemorrhage if we
don't get her into surgery.

Okay.

You are gonna be okay, Mom.

And I'm here.

Baum's doing your surgery.
You don't get better than him.

I know. Who do you think recruited him?

When you get out, you're gonna have

the best neurointensivists I know.

You are going to get through this.

What about us? Are we
gonna get through this?

Don't think about that right now, Mom.

I thought I was doing the right thing.

I thought I
was protecting the right baby.

- Vivi.
- Mom, I...

ISAN: Even if Randy has chimerism,

doesn't explain
any of these other symptoms.

Well, we've ruled out tissue infection.

The wound site was completely clean.

This seems like a respiratory infection.

It does, but when would he have inhaled
bacterial particulate?

He was trapped under that crate...

Wait a minute.

Tularemia.

- Isn't that bacterial?
- Mm.

It comes from, like, rabbits and...

- Rodents.
- Right.

If that farm truck
was transporting livestock...

The crate that landed on him
could've been contaminated

- with rabbit feces.
- CALEB: All right, I'm gonna order

- the labs.
- I'll call the farm

and see what livestock they breed.

I'll get the Scooby Snacks
and fire up the Mystery Machine.

Don't you have a surgery to prepare for?

I do.

Because I was chosen
for it and you weren't,

which obviously bothers you.

If it's not plastics,
I'm not interested.

You're the one who's always
saying this is a competition.

And you don't like losing.

Mm, but if the prize for winning
is rabbit poop,

- I'm fine with it.
- No, you're not.

And you shouldn't be.

It's a big surgery.
And it's not a good look

that you keep getting passed over.

If I wanted your surgery, I'd have it.

[CLICKS TONGUE]

How's he doing?

Strong blood flow
to his lower extremities

and no nerve damage.
My work here is done.

That's good news.

Uh, though, to be honest,

I was looking forward to a fem-pop.

Even if I did need to perform

a femoropopliteal procedure,

what makes you think
you'd be assisting me?

I plan to subspecialize in plastics.

I was sure you knew that.

I-I may have been a
little distracted lately.

I got engaged. It's complicated.

But, uh, Dr. Glass,
plastics is my passion,

- and I...
- You know what my passion is?

Undeniable surgeons.

When I was a resident,
everybody wanted me.

Every specialty,
every surgery, every day.

When's the last time
you were first assist?

Instead of presuming to know
what I think or whom I want,

you might want to acquaint
yourself with the OR.

Doctor.

LEX: Kace.

I got your page,
but I couldn't get away.

We got an emergent
cricothyrotomy on the way.

I figured you wouldn't want to miss it.

I don't.

But I have to ease up on my...
my trauma rotations.

CT is so demanding.

I already lost a surgery.

I can't be here and there
at the same time.

So stay here.

I can't just change my specialty track.

Uh, yeah. Sure, you can.

People do it all the time.

Right, but I've put years into CT.

If I switch,
I'd be starting over from scratch.

If you hadn't been here today,

that patient with the crush injury

would be dead, and we both know it.

You don't just have talent, Dr. Trulie.

You have passion,
which you're gonna need

where-wherever you specialize.

TIM: Gavin Larousse, .

Respiratory distress
with a worsening angioedema.

His tongue is obstructing his airway.

Orotracheal and nasotracheal
intubation is impossible.

Okay, let's go.

You sure you want to
leave Trauma behind?

- Hey.
- I know it's a competition.

This job.

I fight for my spot here
every day, which is hard.

I know. I know.

And whenever I needed to
remember why I was doing it,

what I was actually fighting for,

I looked at you.

And then you did what you did,

and now I don't know where to look.

Joey...

You know what, maybe

I've taken too much for granted.

Maybe...

Maybe I just haven't fought hard enough.

You don't have to fight for me,
I am right here.

I'm not talking about you.

Hello, Patricia.

Ready for your surgery?

[GASPS]

Is anybody ever ready to have
their lung taken out?

Has somebody walked you through
the procedure, what to expect?

- Yes.
- Yeah?

Dr. Shah was here.

Oh, good. He needs a second chance.

What do you mean?

Oh, I-I assumed you knew.

I mean, I think it's public record

that he lost a patient.

Lost?

Oh, it wasn't his fault.

At least, I don't think it was.

But he's struggled

- with confidence since then.
- Oh...

The patient he lost,
was it a lung removal?

Appendectomy, actually.
A much simpler procedure.

The OR was always her favorite place.

I just never imagined her on the table.

What did she mean,

- "protecting the right baby"?
- [CHUCKLES]

She used to say she had two babies:

you and the hospital.

She was in Orthopedics.

Long hours, a lot of pressure.

She did it all.

She loved being a doctor.

I felt it out there today.

But I also feel like she's been
running the hospital

for as long as I can remember.

Well, it was a long time ago.

When was it, exactly?

[SIGHS] Well...

after the accident, you had a hard time.

Night terrors,

panic att*cks.

You couldn't be alone.

I couldn't be with you, as we know.

So your mom decided that she would be.

She gave up being a doctor
after the accident?

She gave it up for me?

Admin gave her reliable hours.

Home for dinner every day.

She knew it was what you needed.

How did I never know this?

She didn't want you to know.
She would never tell you.

But I was there. I saw it.

She gave everything to you.

And then, when you didn't

- need her so much...
- [DOOR OPENS]

...she gave it to them.

♪

GRIFF: We're all in this together, Sam.

- How's the patient?
- Uh...

They repaired her dissection.

We're just waiting for her to wake up.

- I mean, she-she did great.
- How are you doing?

I'm okay.

I'm tired.

Is there anything I can do?

You could tell your mom to
stop looking into my dad.

He has been dealing
with something personal,

but it is nothing for your
mom to be concerned about.

He's okay.

Are you?

I am...

I don't know.

It's okay. Come here.

I know that your mom is
just doing her job.

Hey, don't-don't worry about her.

All right? I will talk to her. Okay?

All right? Come here.

All right? It's gonna be okay.

Okay, Patricia, it is time...

Where is my patient?

In surgery. They moved it up.

Why wasn't I told?

GRIFF: Hey.

Hey.

How's she doing?

- She's stable.
- Good.

Trauma still chasing you?

Actually, I talked to
the program director

about changing specialties.

What?

I just did an emergent cric.

This patient's tongue was so swollen

I had to hyperextend his neck to
cut the cricothyroid membrane.

- It was...
- Electrifying.

- Yeah.
- Yeah, I know the feeling.

But I get it from heart surgery.

Uh, yeah, I mean, I'll still
rotate through CT,

but the ER will be my home base.

Hmm.

I know you think
ER doctors are inferior.

I think some ER doctors are inferior.

You're an excellent surgeon, whatever...

color scrubs you wear.

- Trauma surgery's no joke.
- Mm-mm.

Dr. Trulie,

they'll be lucky to have you.

I'm lucky to have you.

- Mm-hmm.
- Mm-hmm.

GRIFF: Of course,
I think it's a big mistake.

I mean, who trades CT for sore
throats and sprained ankles?

I can't weigh in on such
a big decision for her.

That's all I need, some other woman

rearranging her life because of me.

You scared me, Viv.
I thought I lost you.

I started thinking about everything

we've been through together.

And, uh...

...you're the love of my life.

So get out of bed, will you?

Your husband has pneumatic tularemia,

so we've started him on
targeted antibiotics,

and he should be feeling better soon.

Oh, good. That's a relief.

And we also spoke to the genetics lab,

and Randy does not have chimerism,

or any other genetic anomaly
that would explain why

he has different DNA than Kevin.

It was just a fling.

Over before it began, practically.

And when I realized I was pregnant,

Randy assumed the baby was his.

I wanted it to be his.

And I also thought

what good would it do to
tell him about the affair?

Who would it help?

That's a long time to carry a secret.

But in my experience,

it's better to deal with the truth

than to hide from it.

- [PAGER BEEPING]
- [SIGHS]

Excuse me.

Mom, you're awake.

How do you feel?

Like I just had major surgery.

Mom, I-I remember when
you made the switch to Admin.

I didn't know that I was the reason.

Dad told me.

I never wanted you to feel like

I gave something up because of you.

But you did.

You gave up something that you love

as much as I do.

I cannot imagine giving this up.

I did love it.

But I was also so happy

to spend time with you

and watch you grow into

what you've become.

I'm so proud of you.

I'm so sorry I accused you of
putting the hospital first.

And I'm sorry

I kept the truth from you for so long.

What do you say we stop
apologizing to each other

and finally put this accident behind us?

Mm. I would love to.

- Oh...
- Oh, my girl.

Oh...

ISAN: This came for you.

Oh. How could I forget?

Yeah, I know what you did.

Stealing my surgery.

I didn't steal your surgery.

The patient changed her mind
after she knew the truth.

Looks like your wedding's off.

I don't know what happened,
and I don't really care,

but Tim dodged a b*llet.

See you on the next one.

Dr. Trulie.

- Reporting for duty.
- Not in those scrubs.

- They're the wrong color.
- Right.

- Follow me.
- Okay.

Here's your schedule.

All right. Whoa.

There's a lot of night shifts.

Yep. Goes by seniority.

Everybody starts at the bottom.

Here you go.

Now, there's a kid in Bay

with hand, foot, and mouth disease. Ugh.

Okay.

- Welcome to the jungle.
- Yeah.

CALEB: Ooh, the truth hurts.

- But it's better to know.
- Yeah.

She took my advice.

I guess I should, too.

About what?

Us. Um, look,

I know I signed up for casual,

and I agreed to it, and I'm good with it

as long as it's not about Malcolm.

Malcolm?

If you can't get serious with me because

you still have feelings for him,
I just need to know.

It's not about him.

Casual's just where I am right now.

Well, then, it's where I am, too.

Okay.

Do you want to go to my place

- and sleep in an actual bed?
- Yes, please.

Good.

A personal family matter, huh?

Sam's just asking for a little privacy.

Is it really your place to be
nosing around in his business?

I used to think that
Rob Griffith wasn't fit

to be department chief,

but he shouldn't be a part
of this hospital at all.

What are you talking about?

This.

There's the truth.

You decide whose place it is
to do something about it.

"Driving while intoxicated."