All language subtitles for Chicago.Med.S08E14.WEBRip.x264.Hi

I heard you and 2.0 are
a match made in heaven.

Well, it's a
remarkable advancement.

Need an OR.

2.0 is open.

Better imaging's available.

Emergent trauma is not the time

to play with your fancy toy.

[tense music]

Things haven't been
great between Ben and I.

I know it must be hard
not having him around.

Ben?

Sorry it took me so long.

♪ ♪

I probably shot up,

like, a half dozen times
during my first trimester.

Going cold turkey
is really hard.

I don't want anyone
taking my baby away.

[phone ringing]

Hello?

Hey. No, no, no, no.

Hey. What did I tell you?

Day or night. Doesn't matter.

What's going on?

You... you're having
an urge to use?

Uh-huh.

OK. Can you get
yourself to Med?

I can pick you up.

OK, great.

OK. I'll meet you in the ED.

Wow.

So Ben moved back home?

End of last week.

Wow. I'm so glad to hear that.

It was like this huge
cloud has just lifted.

I'll bet.

Thanks for being a shoulder
throughout all this, Sharon.

Always.

- The result of over
a decade's worth

of testing and research,

here at Gaffney
Chicago Medical Center.

They're doing
infomercials for 2.0 now?

Jack Dayton insisted.

But I have a budget
meeting to get to,

so enjoy the show.

I will.

- Predict complications
before they happen,

generate highly accurate
imaging in real time.

The OR 2.0 is to surgery
what GPS was to travel.

Nitrazine swab.

I've noticed more discharge.

And the baby doesn't seem
to be moving around as much.

She usually kicks up a storm.

I told Hannah that she's
gonna be a flamenco dancer.

So you two know each other?

Yeah, we go to the same gym.

OK.

- So your water broke, Liza.
- What?

But I'm not due for,
like, another week.

You see this?

When this touches amniotic
fluid, it turns blue.

That also explains why you
stopped feeling much movement.

After your water breaks,

the baby has less
room to wiggle around.

- Is she gonna be OK?
- Yes.

This just means we need
to get you upstairs

and give you medicine
to induce labor.

Can you let L&D know
Liza's coming up

and page Dr. Patchefsky?

- Sure thing.
- Thanks.

- Dr. Patchefsky?
- Mm-hmm.

No, no, no. I-I want you.

Well, Liza, I'm sorry,

but unfortunately, I
need to stay in the ED.

But hey, Dr. Patchefsky's
gonna take great care

of you and the baby.

You know me, Hannah.
You know my history.

I don't feel comfortable
with anybody else.

Please.

I can't do this without you.

OK.

Let me see what
I can figure out.

- Dr. Marcel?
- Yeah?

There's the movie star.

- Oh, come on now.
- Oh!

Can I get your autograph?

- Jack roped me into it.
- Sure he did.

Need some help over here!

Hey. What happened?

Rob here, he was working
a circular saw, and...

He was slicing some sheet metal.

- He cut himself.
- Follow me.

Number three's open.

- How long ago did this happen?
- Not exactly sure.

I found Rob by the machine
about 20 minutes ago.

He was just lying in a pool

- of his own blood.
- Let's get him up.

We were working at a job
site around the corner.

We just thought it'd be
fastest to bring him ourselves.

- OK. Mag?
- Yes. Gentlemen.

Why don't I show you where
the waiting room is at?

Dr. Marcel will update
you as soon as possible.

Wait, wait. What
do I do with this?

- Dr. Marcel?
- Yeah?

We do the right thing?

Thought you're supposed
to put it on ice.

Yes, you did the right thing.

Thank you.

Thank you, gentlemen.

It's OK. I got you, bud.

♪ ♪

but I've seen her in the
ED throughout her pregnancy

for various complaints.

Doris, room seven.

There's a hypochondriac
with a hangnail.

- So get an intern on it?
- Yeah, read my mind.

Dr. Hudgins, you're
needed in treatment seven.

I'm sorry. You were saying?

My patient, Liza Martin,
doesn't have a primary OB.

OK. Yeah, I heard all
this. What's the ask?

I'd like to follow her
upstairs and deliver her.

You're my only OB in the ED.

I can come back and forth
while she's in early labor.

And I'm also just an
elevator ride away

in case something
urgent comes up.

But I'm Liza's only
continuity, so...

You know, she's
comfortable with me.

We go back a ways.

Yeah. OK, go ahead.

- Really?
- Yeah, just don't dillydally.

Yes, sir.

As you know, we have a seat
opening up on the board.

Oh. Did you get a chance
to review my nominee?

I sent her CV around.

Sorry. Remind me
the candidate's...

Gloria Jeffers.

She's chaired the fundraising
committee for eight years.

She volunteers here regularly.

She brings a lot
of donors to Med.

Oh, well, sounds like
a strong candidate.

She is.

Now, are you familiar
with Dr. George Thomas?

Well, the name rings a bell,

but I'm not placing
it right offhand.

Well, George is a close friend,

a renowned urologist,

and a former Wisconsin
state legislator.

Now, he's mostly retired

but still lobbies for some
biotech companies part-time.

I think that his connections

could be very
advantageous for us.

While my nominee is just
simply a devoted volunteer?

Look, Sharon, I'm not gonna try

to make you into a turncoat,

but take a lunch with George?

Um, of course.

Just give his information
to my assistant,

and we'll get
something on the books.

Well, I hope you don't mind,
but I already took the liberty

of talking with your assistant,

and it turns out you're
free for lunch today.

What are you saying?

And as luck would
have it, so is George.

Is that right?

1:00 in the executive
dining room?

And I assume you'll
be joining us?

Oh, listen, I wish I could,

but I am slammed
with meetings today.

I'll be sure to check
in afterwards, though.

You know, Sharon,

I really think you two
are gonna hit it off.

You just hang in there.

And I'll get you
an update soon, OK?

All right.

[exhales sharply]

That was Rob's wife, Louisa.

Was getting her up to speed.

What are the odds that
he'll keep his hand?

Not good.

Immediate replantation
is impossible.

Too much contamination?

Yeah, well, the proximal stump's

gonna need at least a
week of daily debridement

just to get it cleaned up.

- Real shame too.
- What do you mean?

'Cause the hand's
actually in good shape,

all things considered.

I'll bet it's salvageable.

Maximum six hours without
blood flow, and...

Hand's gonna die.

Yeah.

But what about putting
it on a perfusion pump,

like you would with
a heart and lungs?

Well, it's a good
thought, but...

that won't buy us
more than a day.

If only we could find a way
to perfuse the hand long-term.

Well, but like you
said, it's a shame.

Jackie, going to treatment four.

Got it. This is Isaac Collins.

53-year-old male. Motor
vehicle collision.

Ambulatory at the scene,
refused board and collar.

- He was rear-ended.
- My fault, though.

Facial bruising's
from the airbag.

I switched lanes
without signaling,

then jammed on the
brakes to make a turn.

It was a bonehead move.

Luckily, the other
guy's all right.

Glad to hear it.

I'm Dr. Halstead,
by the way. Vitals?

Blood pressure's a
little high, 150/97.

I'm always hypertensive,

especially when I'm
due for dialysis.

I've got end-stage
renal disease.

I appreciate you
letting me know.

On my count, folks.
One, two, three.

Thanks, guys.

I see you've got a fistula.

Yeah, I've been
through a few of 'em.

Going on five years of dialysis.

- Dr. Cuevas.
- Isaac.

Dr. Jones told
me the good news.

I was hoping I would see you
today, but not in the ED.

What happened?

She's my shrink.

[chuckles] I'm
actually not, Isaac.

Do you mind if I
disclose to Dr. Halstead

how we know each other?

My wife, Samantha, and I

attend Dr. Cuevas's
support group.

For patients and families
living with chronic illness.

Which, by tomorrow,
won't be us anymore,

which leads me as to why I
was driving like a maniac.

I got the call.

I'm getting a new kidney.

Congratulations.

Anyways, you can
see I couldn't wait

to get to the
hospital fast enough.

- [chuckles]
- But I'm fine.

Like I told the paramedics,
nothing feels broken.

Now, when you say
nothing feels broken,

anything feel tender?

No, I'm good, really.

You know, Isaac, when
I spoke to Dr. Jones,

he said that the organ
wouldn't even be here

for several hours.

There's no rush.

Why don't you let Dr. Halstead
check you out properly?

Neck and back's a
little sore, I guess,

but it's really not that bad.

I just don't want anything
to mess up the surgery.

Well, even if you have a
sprain or a minor fracture,

it shouldn't postpone
the transplant.

But better Dr. Jones and
his surgical team know.

That way, they can avoid
aggravating any injury further.

All right. Yeah, makes sense.

[laughs]

Let's get a CT of
the CTLS spine.

- Sorry I keep you waiting.
- Mm.

- I was talking with my friend.
- No prob.

Chamomile tea, blueberry
muffin, chocolate croissant.

You're very sweet,
but I can't eat.

My stomach is in knots.

What's up?

My friend thinks we may
be out of work very soon.

What?

Is this about your
union's renegotiation

- with the hospital?
- Yeah.

Well, I knew they were
trying to iron out

a new contract, but
I mean, honestly,

I haven't been paying
that close attention.

She says talks
are breaking down,

that neither side will budge,

and the union may
ask for a vote.

A strike authorization vote?

If I miss work for
weeks, even for days,

this is not good.

I send money home to my parents.

But I mean, even
if a vote passes,

that doesn't mean
they're gonna strike.

It just gives them
more ammunition

when they go back to the table.

These things, you know,
tend to take time.

You've got to let it play out.

I'm guessing they're
gonna make a deal.

I think it's gonna be OK.

[groaning] [machinery beeping]

She just started having fetal
heart rate decelerations

with tetanic contractions.

I turned down the Pit.

Hannah, it hurts so much.

OK, stop the Pitocin.

Liza, we're gonna see if
it's time to push yet, OK?

Can you bend your knees for
me? I'm gonna check you out.

OK, you're only about
six centimeters dilated.

- What?
- We need to get you

onto your hands and
knees to let us help you

- turn you over, OK?
- What's going on?

What's wrong?

Your umbilical cord is
being squeezed somewhere.

That's what's causing the
baby's heart rate to drop.

Moving positions can help
relieve the compression.

[groaning]

I know. I know.

All right. I'm
gonna check you out.

Uterus is still rock hard.

Let's give her 0.25
of terbutaline, sub-q.

Liza, you can lie
back down now, OK?

- Gently.
- Gentle.

We're trying a uterine relaxant.

Now, if this doesn't work,

we're gonna need to deliver
your baby via C-section.

- Let's get an OR ready.
- No, I don't want that.

It's OK. Just one
step at a time.

Let's first see if this
medicine works, OK?

[groaning]

Baby's heart rate's coming up.

That's really good.

Give it about a half hour, and
restart the Pitocin slowly.

- Mm-hmm.
- But let's keep an OR ready.

If the baby's heart
rate drops like that,

I'm doing an
emergency C-section.

♪ ♪

So you want to surgically
attach Rob's hand

to the back of his leg?

It's called ectopic banking.

You see, what the hand
needs in order to survive

is adequate blood flow.

And his leg can provide that?

The posterior tibial
artery, to be exact.

The PTA, it runs along
the back of the lower leg.

So you'd bank my hand on
my leg for a week or so?

That's right.

And then you'll reattach
it to my arm, right?

More than just reattach it.

Using the OR 2.0, I
believe that we can restore

a remarkable amount of
function and feeling.

So I can keep
working construction?

Yeah.

I gotta be able to feel,

or I'm a liability on
a construction site.

Yeah, of course.

OK, so...

Well, 2.0's predictive
modeling estimated a...

85% likelihood of regaining some

or more sensation in the hand.

And that's after
many, many months

of physical therapy and rehab.

Right, Dr. Marcel?

Maggie's correct.

Yeah, it's gonna be a
long road ahead, for sure.

And that's if you decide
to go with the surgery.

There's other
options, of course.

There's been incredible
advancements in prosthetics.

And that's if this banking
thing doesn't work?

Then we can talk prosthetics.

But I want to give this a shot.

[groaning]

You've got this,
Liza. Keep going.

Why isn't she coming?

Just do the C-section.

- It's too late for that.
- Please.

I know you're exhausted,
but you've got this, Liza.

So when I count to
three, I need you

to give me everything
you've got, OK?

This is it. Look at me.

One, two, three.

[groaning]

Yes! Yes!

You did it, Liza!

[baby crying]

Is she OK?

Yes.

Oh, hi.

Isn't she beautiful?

She's perfect.

I think she needs something.

Can you check her again?

No, she's fine.

It's OK.

Crying helps the fluid
get out of her lungs.

- But she won't stop.
- It's OK.

The longer she's on your chest,
the more she'll calm down.

Please, just take her.

- It's a really good idea...
- Please just take her!

OK. [baby crying]

Here we go. OK.

[shushing]

I'm sorry.

I'm just... I'm so tired.

Of course. You just
ran a marathon.

OK. We'll get the
baby up to the nursery

and let you sleep a bit, OK?

It's OK, baby girl.

[baby crying]

Just rest, OK?

Got Isaac's CT back.

He's got a compression
fracture at L2.

Well, that's unfortunate.

But like you said, it won't
delay the transplant, right?

Well, take a look.

I could be wrong, but the bone

around the fracture has
a lytic appearance to me.

Do you think Isaac has cancer?

I think there's a possibility.

Lytic lesions are commonly
associated with metastases.

And if the bone was already
damaged from cancer,

well, even a minor trauma
could cause a fracture.

OK, but you're not sure
that it's lytic, right?

There's still a chance
it could just be

a traumatic
compression fracture?

Which is why I
want to get an MRI.

It'll show us if there
are other lesions

and just give us a better idea

if it's traumatic
or pathological.

And if it is pathological,
that means a biopsy.

And Isaac is definitely
not getting a kidney today.

No.

I wish Samantha
was here, his wife.

Where is she?

On a flight to Seattle

for their granddaughter's
first birthday.

Isaac got tired of both of
them missing out on milestones.

But one time she goes out
of town, he gets the call.

You mind delivering
the news with me?

In her absence, I
think a familiar face

might be comforting.

- Yeah, of course.
- All right.

- Hey.
- Hey.

You got a second?

Yep.

OK, um...

Is this operation
really worth the risk?

If anything compromises blood
flow to the hand or the foot,

Rob could develop an
infection and become septic.

The 2.0 will be
assessing blood flow

every step of the surgery
as well as predicting

if perfusion can be
maintained post-op.

OK, clearly, you know this
technology inside and out,

but it's also never been used
for this type of procedure.

[chuckles] So what
are you saying?

What, I oversold Rob?

No, but I think that you've
got a lot invested in 2.0,

and maybe you feel a
certain pressure to use it.

I'm not gonna gamble
with a patient's life

just so I can show off my
shiny, new toy, Maggie.

Of course not.

- I'm just saying that...
- Crockett!

Here's the man I'm looking for.

Anything else?

I didn't mean to chase
Nurse Lockwood away.

No, she had to get back
to the ED. What's up?

Dr. Song briefed me on
the ectopic banking case.

- Very impressive.
- Yeah.

And my videographer's
gonna film it.

We'll want to document it and
get as much press as possible.

Jack, I don't want anybody
in there taking pictures

while I'm in the middle
of a complex surgery.

You won't even know he's there.

I'll keep him out of
your way, I promise.

See you in the amphitheater?

- Yeah, right behind you.
- OK.

- Hey.
- [sighs]

Hey. Hope you're not
in any kind of hurry.

Elevators taking their
sweet time today.

I am fine.

I'm not exactly anxious
to get where I'm going.

Meeting with a friend of Jack's

whose seat on the board
is all but assured.

Oh, man, hospital politics.

- Yikes.
- Mm-hmm.

Speaking of which,
what are you hearing

about what's going on
with the negotiations

with the custodial
workers' union?

Liliana seems to think
they're getting all tense.

Between us, I don't
foresee a strike.

- That's what I told her.
- Yeah.

A strike would wreak havoc
on the hospital system.

I gotta say, though,
it does make me wonder

why we can't give our
lowest paid employees,

I mean, even a 6% raise.

Well, it would be
setting a precedent

that we can't afford to make
with the other unions, Daniel.

I mean, once we finish
with these negotiations,

we go into talks with
the nurses' union.

And then, it's the
plumbers' union.

I mean, you get
the picture, right?

[tense music]

♪ ♪

If I had just checked
my blind spot,

we wouldn't be talking
about an MRI right now.

I'd be upstairs getting prepped
for surgery tonight, right?

- And that still might happen.
- Yeah, I'm sorry, Isaac.

I could not have predicted
the CT would reveal this.

Dr. Halstead, I've
waited five hellish years

for a kidney.

I've blown out so many
veins, they're running out

of access sites to even
deliver my dialysis.

If the fracture looks like
it's just from the accident...

Well, that's still a
possibility, but...

Then that's good enough for me.

I'm not gonna fault you for
not running any more tests.

And no one else will either.

Please, I'm begging you.

Hey. I thought you
delivered your patient.

I did, yes.

Well, why are you still up here?

We need an OB consult in the ED.

OK, I can head back
down with you right now.

Just give me one sec
to let Liza know.

OK.

Oh, hey.

Where's Liza?

Yeah, she, uh... She
had to use the bathroom.

I'm Mike. I'm her boyfriend.

It's not safe for her to
use the restroom alone.

She seemed all right to me.

Hey, Liza, it's
Hannah. Are you OK?

- Give her a minute, will you?
- Get your hands off of me.

Get your hands off me!

Hey, you heard her!

Liza.

Help me get her back into bed.

OK. Watch your neck.

Support her head.
Yeah, we got her.

You have no idea how hard
Liza worked to stay sober.

- You have no idea.
- Well, I don't doubt that.

But we just found her
strung out on heroin.

She was overwhelmed
and exhausted

after a grueling labor and had
a serious lapse of judgment,

but I know that she
could get back on track.

Hold it. Wait, you're
not actually suggesting

that we send a baby
home with that woman?

No, of course not.

I want to find a sober
living situation for Liza,

a facility where she could
still receive treatment

while still caring for her baby.

You are swerving so
far out your lane,

not to mention that you are
mandated to report this...

- No, not until...
- To, yes,

- the appropriate department.
- Not until I figure out

a way to keep Liza
and her baby together.

Then you let DCFS
take care of it.

- They're far better equipped.
- What if they can't, huh?

Liza doesn't have
family in the area.

Who's gonna take the baby?

Obviously, you care a
great deal about her.

Because I am her.
I have been her.

And the only reason that
I'm standing here right now

is because people
didn't give up on me.

So I am not giving up on Liza.

You have till the
end of the day.

OK.

[machinery beeping]

Dr. Song, what's
the recommendation

for anastomosis?

Any deviations from the plan?

End to end ulnar

to posterior tibial
artery anastomosis.

OK. What's the
venous drainage?

Anastomose the main dorsal
vein to the saphenous vein.

OK, great.

[phone ringing]

Whoever that belongs to,
turn it off right now.

Sorry, that's me.
It's my next meeting.

This is Jack Dayton.
Great. Well...

Do you mind moving to
the right just a hair?

It'll give me a
much cleaner shot.

No, that's where
he needs to stand.

Let's keep noise
down to a minimum

from here on out, folks.

In terms of speed
and efficiency,

you're already performing above
and beyond 2.0's predictions.

We're on a good trajectory.

All right.

Let's say we forgo the MRI.
He gets the transplant.

If it turns out he
does have cancer,

the immunosuppressants
he'll be on

could interfere with
his cancer treatment.

And the treatment itself
could destroy his new kidney.

Valid concerns, yes.

But a malignancy of any kind

is a contraindication
for transplantation.

He'll be taken off
the transplant list.

Right, which is...

All the more reason
to look the other way?

I have an ethical
and legal obligation

to disclose this finding.

I fail to do that, it
could compromise our status

as a high volume
transplant center.

I know it's a risk,

but, Will,

this could be Isaac's
only shot at a kidney.

I hear you. I know.

But it'd be irresponsible

to let the transplant
proceed until we know more.

I'm sorry, Nellie.

What, did Jack steamroll you
into having lunch with me?

What? No. No, not at all.

Jack's a good friend, but
when he wants something,

he can be like a
dog after a bone.

Yeah, well, that has been
my impression as well.

Yeah, but in his defense,
he's trying to do me a solid

'cause he knows how eager

I want to be a part
of Med's board.

Well, I'm curious.

How did a former legislator
turned lobbyist become...

Girl, what did he do,

tell you about my
whole side hustle?

[laughs] Look.

That's what my
daughter calls it.

- Mm.
- Listen.

I'm not trying to be
a part of your board

so I can be a mouthpiece for
some special interest groups.

So why do you want
to be on the board?

To start with,

I was born in this hospital.

- Get out. You're kidding.
- No, ma'am.

I'ma be honest with you,
my very first broken arm

was fixed right
within these walls.

So this is a
homecoming of sorts?

Well, my ex-wife was a
professor at UW Milwaukee.

We raised the family there.

But Chicago's home.

And this hospital
has always held

a very special
place in my heart.

I'd love to be a
part of its future.

But I should warn you,

I'm not one of
those board members

that's only gonna show up
at special fancy parties,

cut a check, and is
never heard from again.

Yes, I know that type as well.

I got a lot of time on my hands.

And I also have a lot of ideas.

I'm all ears.

[elevator dings]

Oh, hey, Hannah. I'm
glad I caught you.

Would you mind pointing me
to one of your patients?

It's a Liza... sorry.

Um, I think that
there's been a mix-up.

I didn't make a call to DCFS.

Well, I actually wasn't
told who made the call,

just that an eval was requested.

Oh, well, that's
definitely an error.

Oh? OK.

I'm sorry you had to come down.

I'm the treating physician,

and that patient doesn't
need an evaluation.

Uh, OK.

Well, in that case,

I guess I'll just head
back up to my office.

Yeah.

What were the patient's
vitals on intake?

Let me check.

Well, you should have this
on the tip of your tongue.

Hey, I told you I
was working on it.

You had no right
to make that call.

Give us the room, please.

I'll check back later, yeah.

OK, you do not
dress me down ever,

and definitely not in
front of a resident.

I repeat, you had no
right to make that call.

The hell are you talking about?

You called DCFS on Liza.

No, I did not.

Hannah, I'm serious!

Well, then who did?

OK. I'm gonna
remove the clamp.

Nice and easy. OK.

[machinery beeping]

Clamp out.

Yeah, the ulnar side's
showing some good perfusion.

But yeah, there's not
enough circulation

through the palmar arch.

And the radial side's
looking dusky to me.

Could we hook in the
radial artery to something,

give it independent inflow?

I'll have 2.0 run
through the iterations.

It's assessing a
number of variables.

It probably just needs a minute.

- [machinery beeping]
- Not enough information.

Confidence interval is too low.

I think it just needs better
mapping of the radial artery

in the palmar arch.

Let me see if I can
recalibrate imaging.

[machinery beeping]

Not enough information.

Confidence interval is too low.

Unfortunately, the real-time
data is insufficient.

And the pre-op
imaging is inadequate.

What other artery am I gonna use

to plug into the radial?

Without adequate blood flow,

the hand's not gonna survive.

I'm afraid 2.0 doesn't
have enough data

to offer recommendation.

There's just not enough
published literature

to draw from.

So what am I
supposed to do here?

Use your best critical judgment.

Oh.

Of course.

I'm not getting the MRI,

not till after the transplant.

How about that? I refuse.

Dr. Jones won't proceed
with the surgery

until he sees the
results of an MRI.

You had no right to
tell him anything.

Isaac, I had an ethical duty

to notify your
transplant surgeon...

I should have just
stuck to my story

and told you I felt fine.

Never should have
mentioned any pain.

Isaac, I know this
is upsetting...

Just do the damn MRI already!

Get me Dr. Jones!

OK, he'll be here shortly.

I'll put in the order.

So you requested DCFS be called?

Liza, why?

When I held my little
girl for the first time,

I could feel her
depending on me,

needing me for everything.

I couldn't take it.

I broke.

Liza...

These last few months have
been the hardest of my life.

And it took everything
in me to stay sober,

but I did it for her.

And now, I just...

I can't muscle my
way through this.

OK, I've been there.

Every time I got sober
for someone else...

A family member, a partner...

It lasted a year at the most.

Every time, I'd relapse.

It finally stuck when
I got sober for myself.

[tense music]

♪ ♪

[laughter]

Care for dessert?

Coffee or espresso?

No, thanks.

None for me. Thank you.

Oh, my goodness.
It's almost 3:00.

I really hate to cut this
off, but unfortunately...

The place won't run itself.

Not yet, although
Jack is working on it.

Yeah, I imagine he would be.

Well, this has been quite
a productive conversation.

Well, you know, we can always
continue the conversation.

Should you join the
board? Thank you.

Is that your more subtle way

of asking if I'm gonna
support your nomination?

No, ma'am.

That's my very unsubtle
way of asking you

if you'll join me
for drinks tonight.

Oh. [chuckle]

Well, that's a
very tempting idea,

but, um, I'm gonna have to...

Politely decline.

Politely.

Well, I appreciate
you considering it.

I hope the rest of your
day goes easy on you.

And the same for
you, Dr. Thomas.

Ah, ah. George.

Sharon.

[chuckles]

[knocks at door]

- You're back.
- I am.

And I could use your expertise.

Tell me.

How do you calm your nerves

when your heart is
beating very fast?

Well, the first thing
you do is you sit down.

And, um, just take a
couple deep breaths,

and well, tell me
what's going on.

I'm nervous because
I'm going to speak

with a reporter from
"Tribune" tomorrow.

Our union boss, Mr. Wilson,
he's meeting me to prepare.

Wow. How did that come about?

You remember my friend
I was telling you about

- from this morning?
- Yeah.

She's, uh, told
Mr. Wilson about me.

And he asked me to go on record

for a story the
newspaper is writing

about the negotiations,
what's at stake for us.

I wonder if that's
really the best tactic

for the union to take right now,

to talk to the press while
negotiations are still ongoing.

I mean, it could be seen
as a bad faith move.

And honestly, Liliana,
I would be worried

about possible personal
repercussions for you.

Yeah, that's what I
thought first too,

that it would fan flames,

- cause more harm than good.
- Exactly.

But my friend, she tells me
Mr. Wilson tells her this:

the hospital is
flying in workers

from all over to replace us.

They're flying in scabs?

They're putting them in
hotels and everything.

That's why I said I
would go on record.

- Hey, Sharon.
- Yeah?

George has been
blowing up my phone.

He was eager before,
but now he's ready

to go to the mat
for this board seat.

Well, I will say he's a
very appealing candidate.

I still think Gloria Jeffers

would make an
exceptional board member,

but I'm glad you brought
Dr. Thomas to my attention.

So you'll support his candidacy?

- I won't challenge it.
- Mm.

You know, not to gloat, but,
um, I told you, didn't I?

Sounds like gloating to me.

[laughs]

Sharon, hospital's negotiating

with scare tactics now?

- They're flying in scabs?
- Yeah.

I don't like it either,

but it's also a
necessary precaution.

Did you know about this when
we were talking this morning?

I mean, I thought you told me

that the negotiation
was going well.

No, what I said was that
I didn't foresee a strike.

But look, we still
have to be prepared

for the possibility of
a work stoppage, Daniel.

I mean, anything
less is negligence.

What I'd say to the
board is I'd say,

look, isn't a 6%
bump for a custodian

a fraction of what it
would be for a nurses?

Daniel, I don't ever tell
you how to do your job.

And I'm not telling
you how to do yours.

I'm telling you
people are scared

'cause they can't afford
to miss a paycheck.

Yeah, and that's the
last thing I want.

That's why I'm trying to
do everything in my power

to avert a strike.

I can't give you
all of the details.

I expect you, of all
people, to trust that.

[tense music]

♪ ♪

Get the MRI back?

Yes, and it showed evidence
of a pathological fracture.

When are they doing the biopsy?

Tomorrow morning, but
Dr. Jones ordered an SPEP

and a UPEP after he saw the MRI,

and both blood tests
came back positive.

Multiple myeloma.

In all likelihood, yes.

Isaac hasn't been told yet.

Dr. Jones wanted to wait

until it was confirmed
by the biopsy.

Just this morning, Isaac
thought his luck was changing,

he was finally
getting a new kidney.

And now,

he's potentially facing
a terminal cancer.

Or maybe not.

Maybe, thanks to your
diligence, we caught it early.

Maybe that MRI just
saved his life.

- Hey.
- I spoke to Dr. Song.

She said the surgery went well

and Rob's hand has excellent
blood flow and venous return.

Yeah, things are
looking all right.

I had a moment in there.

It's like I didn't know how
to trust my own judgment,

mostly 'cause I haven't
needed to in some time.

I'd just ask 2.0.

That's the price we pay
for ease and convenience.

I suppose.

Marilyn has been
fostering newborns

for over five years,
ever since she retired.

So you have a lot
of experience then?

I do.

And, Liza, like we talked about,

the goal is
reunification, always,

so soon as you finish
the treatment program,

we'll reassess things.

[voice breaks] All right.

OK.

Do you have a name picked out?

Yeah, it's Hannah.

[tender music]

♪ ♪

Hey, Dr. Song.

Glad I caught you.

I wanted to let you know
you can sleep in tomorrow.

What happened to
the exploratory lab

we had scheduled for 8:00 a.m.?

Yeah, it's still on the docket.

I just moved it to a normal OR.

If this is about what
happened today...

It's not. I mean, it is,

but not because I lost
any confidence in 2.0.

OK.

You ever turn off the
GPS while you're driving

just to see if you
still know the roads?

No, never.

Fair enough.

Me, I need to do that
from time to time.

For my own confidence.

If you change your mind,

it takes a double shot
of espresso, and I am up.

Good to know.

- Good night.
- Good night.

Daniel, wait.

Oh, no. Oh, no.

No, I didn't want to interrupt.

No. No, no, no, it's OK.
Good you're here, actually.

How's the... How's
the prep going?

OK, I think.

Mr. Wilson was asking if I
know any doctors at hospital

who would be willing
to speak out.

How do you mean?

For newspaper article.

Talk to reporters, share why
you support us, our demands.

Because for me, that
would be a violation

of my employment contract.

I'm not allowed to...

To speak the media without
talking to the hospital first.

Mr. Wilson said you don't
have to go on record.

Um, you would just...

We'd just say your department.

No names.

Liliana, I would love to help,

but I mean, I just think
that people would...

You know, they'd connect
the dots pretty quickly.

Don't you think?

I understand. It's OK.

Really?

You know how much I support you.

You don't have to explain.

I'll, uh, call you later?

Sure. OK.

[tense music]

♪ ♪

[dramatic music]

♪ ♪

[wolf howls]