All language subtitles for Chicago.Med.S09E02.1080p.WEB.h264-ETHEL.Sdh

[dramatic music]

- Dr. Ripley, we've
met before, haven't we?

- County Juvenile.

My psych care, remember?

- I remember that
you were violent.

- Do not treat me like the
boy you knew 20 years ago.

- You've been working
nonstop all day.

If I had a guy like
Ben waiting for me...

- Just stop.

My wonderful husband
wants a divorce.

- Sean is donating
his kidney to you.

- I don't deserve it.

I was a terrible father.

- I want to do this.

- No, look, I'm sorry,

but I think it's only
fair he stays with me.

- If the cat was this
important to you,

why did we save the question
of his custody for last?

- Maggie refers to
him as "the cat."

- He's a cat.
- She's making my point for me.

His name is Jasper.
- I know his name is Jasper.

I gave him the name.

- Yeah, and I'm the
one that found him.

I'm also the one that
spends more time with him.

- Because I work longer hours.

- Exactly, because
you're never home

long enough to look after him.

- He's a cat.

He doesn't need
24-hour surveillance.

- Maggie, Ben, please.

Remember what you agreed to

at the outset of
this mediation...

no blaming and no shaming.

Come on.

Let's not throw away all the
progress that we've made.

- Come on, Maggie.

You know he prefers
being with me.

- Let the record show
that I'm disputing that.

- There is no official
record, Maggie.

It's just three people in a room

for a win-win compromise.

[somber music]

- This is not working for me.

- Come on. Maggie.

Look, we're almost at
the finish line here.

- No. Only you are.

♪ ♪

- Your chariot awaits.

- Well, I appreciate
the thought,

but I can manage fine.

- Mm, hospital protocol
for all surgical patients,

which I believe
you signed off on.

Don't make me call security.

Come on.

- All right, all
right, all right.

Let's make this quick, okay?

I don't wanna attract
any undue attention.

- Hold on tight.

[laughs]
- Mm.

[elevator dings] Whoa!

- Oh, Dr. Archer, I was
hoping I'd catch you.

Good luck on your transplant.

And please, give my
best to your son.

- I will. Thank you.
Thank you, Ms. Goodwin.

- Excuse me, Ms. Goodwin.

There's a Zola Ahmad
here to see you?

- I'll be right there.

- Oh.

Is that the one Melvoin
wants to fob off on us

to fill the vacant residency?

- She comes highly recommended
by our chief of medicine, yes.

- Her CV is a little
spotty, don't you think?

I could vet this one with you,

push my surgery
back a few hours...

- Hey, are you
kidding me with this?

- Listen to Dr. Asher.

And don't worry,
I will make sure

she's up to snuff, Commander.

- Oh, Ms. Goodwin.

- Dr. Melvoin spoke
very highly of the time

you worked together
at the Mayo Clinic.

- That's very generous of him.

- Except Mayo itself
was less enthusiastic.

Evidently, your
residency was terminated

for your practicing
what they deemed

"vigilante medicine."

- Okay, I need to explain.

- Please do.

- Insurance wouldn't cover
a patient's overnight care

I felt was necessary, so
I put them up in a hotel

and monitored their
care from there.

- Uh-huh.

And that was it,
the one incident?

- Yes.

- Hmm.

- Except no.

You're referring to
Trinity Ann Arbor.

That was more of a
work culture thing.

I mean, great hospital,

but everything
was so regimented.

And I... honestly, I just think

that I haven't found
my perfect fit yet.

- Well, Dr. Melvoin
feels you got a raw deal

and deserve a second chance.

- That's very nice of him.

- Except, technically,

this would be your third chance.

- Look, Ms. Goodwin, I know
I've had a few false starts.

And as desperate as I am
to get back to work...

because I love being a
doctor, I really do...

I don't wanna feel like I'm
being foisted on anyone.

- You're not.

I make the personnel
decisions here,

not Dr. Melvoin.

That's why the first year
of your residency here

will be on a probationary basis,

which means you could
be dismissed at will,

if that's acceptable to you.

- Yeah. Yes. Thank you.

- Well, it might get
extra chaotic here today

since the head of our
ED is out of pocket.

So you will be reporting
to Dr. Marcel here.

- Hi.
- Hi.

- No better place to start
than covering trauma.

I hope this works out.

- Thank you, Ms. Goodwin.

- After you.

- So you're my attending.
- I am.

- Lucky me.

- There's a change room
through the doctor's lounge

over there, okay?
[alarm blares]

- Incoming. High-speed crash.

You're going to Baghdad, Court.

- Sheryl Martin, 45,
struck a parked car

at 40 miles per hour.

GCS 8.

- Expanding hematoma on
right side of the neck,

unable to intubate in the field.

- Guy crossed the
street out of nowhere.

I would've killed him if I
hadn't swerved out of the way.

- This is the husband, Wade.

- Wade, why don't you hang
out here for me, okay?

We're gonna take good care
of your wife, I promise.

All right, guys, here we go.

Ready, one, two, three.

Matt, what's the status
of the pedestrian?

- Second ambulance
right behind us.

- Okay. Laryngoscope.

- Sheryl, can you hear me?

- Jaw thrust and keep bagging.

Let's get this
airway under control.

- Sats 79 and falling.

- No breath sounds.

- Lots of resistance on the bag.

- Okay, let me get in.

[tense music]

I can't see too clearly.

She's too far
displaced on the left.

- We need to release
this hematoma

if we want a shot at the airway.

- Not outside the OR.

If we open it, she
could bleed to death

before we even get to her.

[monitor beeping]
- 75.74.

- I'm not sure we have
any better choices.

- We retrograde a
wire into the airway.

Won't require too
big an incision.

Get me a triple lumen
kit and a Magill, please.

You ever done one of these?
- I'm a quick study.

- Okay, you're gonna
grab that needle,

push it through her
cricothyroid membrane

and insert the wire up
and out of her mouth.

[monitors beeping]

♪ ♪

Okay, got it.

- Now what?

- Feed the tube
back over the wire,

and we have a secure airway.

- Sats at 72 now.

- Come on, get through.

Oh, what do you
think you're doing?

- Opening up the
hematoma to decompress.

- No, no, no. Don't...

♪ ♪

- Tube passing through yet?

- Yeah, I think I'm in.

All right, start bagging.

Breath sounds?

Check her pulse.

- Bilateral breath sounds.
- All right, we got her airway.

Let's get her on a vent. Let
me get a chest X-ray stat.

I thought we decided not to
tackle the hematoma in here.

- Sorry. I didn't feel
like we had another choice.

- All right. Go change
into your scrubs now.

Go on.

Stethoscope.

- Thanks.

♪ ♪

- Oh.
- Oh, excuse me.

- Didn't see you there.
- Oh, I'm sorry.

You hit the gym already?

- Nope, ran to work.

- In this weather?

- Four miles each way
every day, rain or shine.

- And snow and
sleet, apparently.

Hey, Mitch, listen,

I know that I was your
doctor a long time ago.

But as far as I'm concerned,
you know, that was then.

And now we're colleagues,
you know, period, okay?

I didn't want you to
think I'd be looking

over your shoulder all the time.

- Okay, good to know.

- In terms of the conversation
we were having on the balcony...

- Yeah, I'm running late.

Still gotta shower and change.

- Oh.

- You stocked your fridge
like we discussed, right?

You don't wanna be schlepping
back and forth to the market.

- I made a Costco
run two days ago.

- He's way ahead of you, Dean.

- And what about calling your
mother, like we talked about?

- I did.
- And she's okay with this?

- Yeah.

- Good. That's good.

- When's the last time
you and she spoke?

- Uh, it's been a little while.

- Okay, guys, today's the day.

Latest labs are looking good.

Anyone wanna pull the rip cord,

now would be the time.

[soft music]

Then we are a go.

Sean, we'll see you
in the OR in five.

- Sounds good.

- I love you, son.

- I know.

♪ ♪

- Mr. Martin, I know that
might have looked scary,

but your wife's
X-rays look good.

There's nothing
life-threatening.

I'm gonna quickly take her
into that OR over there

and patch up whatever it
is that caused the bleed.

I don't anticipate any
complications, all right?

- Okay. And the guy
I winged earlier,

do we know how he's doing?

- We're gonna check on him now.
- Okay.

- Again, about that hematoma...

- You made a tough
call in a tight spot.

Just don't make a habit of it.

- Who's this?
- Hey, Zach.

Dr. Zola Ahmad.

Dr. Ahmad, Dr. Hudgins.

So what are we looking at?

- Patient's name
is Luis Obrador.

Says he's from Caracas.

I thought I heard him say
something about a coyote

that got them over the border.

Crazy story.

Good thing Doris speaks Spanish.

- Got any injuries?

- Minor lacerations on
the right arm and leg,

could use a couple sutures.

Oh, and he said he was on
his way to the drugstore

when he got hit, seems
to be fighting off

some kind of infection.

I was just about to
put in orders for labs.

- I'll take care of it.

- Was there anyone he
wanted us to contact?

- Yeah, the police.

- Why? To file a report?

- I don't know. I was
kind of confused myself.

[pensive music]

- We euphemistically call
this a twitch monitor.

We place two
electrodes right here

on either side of
the ulnar nerve,

then send a pulse.

And that's how you check for
any neuromuscular blockade.

- Dr. Ripley.

- Carry on.

- Allison Levine, 39, ambo'd
in with respiratory distress.

Sats below 90.

Blood gas show she's hypercapnic

but compensating.

- Says here she's a survivor.

- She beat lung cancer
some 20 years ago,

been in remission since.

But five weeks ago, she
was diagnosed again.

- And it's progressed this fast?

- Metastatic.

- Okay. Thank you, Kai.

- Yeah.

- Hi, Allison. I'm Dr. Ripley.

I understand you collapsed
in your greenhouse?

- Just had it built.

One second, I'm saying good
morning to the orchids,

and the next, I'm
face-to-face with the turnips.

- How about we take a listen?

- Apologies if I'm
a little funky.

I've been trying a new compost.

- I don't smell
a thing, Allison.

- [laughs] You're being nice.

Everyone's nice to you when
they know you're dying.

- What are you talking about?
You can fight this off.

I heard you've already
done it once before.

- I'm not so sure.

- You're just rusty
from having been

out of the saddle so long.

- Really, I'm just hoping...
[monitor beeping]

- Sats at 85.
- Let's get her on a mask.

- To live long enough to...

- Okay, Allison, just
save your strength.

- See my first tomatoes.

- Let's get a
crash cart in here.

[tense music]

Hang with me, Allison.

We gotta intubate, but
it's gonna be all right.

♪ ♪

- Tied off a couple
small vessels.

She should be fine.
- Great.

I was wondering if you would
take a look at the C-spine CT.

If you look over here on
Sheryl's non-injured side,

in the SCM muscle...

- Yeah, that looks
like it could be

related to the trauma
in some fashion,

or incidentaloma.
- Probably.

I still think it
warrants an MRI.

- Dr. Marcel?
- Yeah?

- How's my wife?

- She's stable and
doing very well, Wade.

In fact, the damage was
much less significant

than it might have appeared.

- [sighs] That's such a relief.

So how long till she wakes up?

- Actually, while she's
still sedated and intubated,

we wanna send Sheryl
in for an MRI.

- Is that necessary?

I thought you said
it looked good.

- Well, a CAT scan
showed a soft tissue mass

within the sternocleidomastoid
muscle on Sheryl's neck.

It could be something
related to the injury.

Could be pre-existing.

The MRI will help
us figure that out.

- Well, is this something
I need to worry about?

- Let's not get
ahead of ourselves.

- How long is it gonna take?

- We'll see to it that your
wife gets top priority.

- Officer, are you here
to take my statement?

- Excuse me?
- Yeah, I wanna press charges

on that guy right over there.

I overheard someone say that
he might be here illegally.

I need to make sure that
doesn't affect my insurance.

- I'll have someone come
speak to you, mister...?

- Martin, Wade Martin.
- Okay.

Give me a minute.
- Thank you.

- Do you have a moment?
- Yeah.

- It seems I'm in
a bit of a pickle.

- How so?

- I'm officially here

as Mr. Obrador's
emergency contact.

- What?

- He's being sheltered in
the lobby of our district,

and he's not the only one.

They set up camp
about a week ago.

- That's why he asked
to call the police.

- And it's not just us.

There are migrants in almost
every district of the city,

and the buses keep
coming up from the border

almost every day.

They're fleeing a pretty
horrific situation

down in Venezuela.

- I'm gonna go put those
orders in for radiology.

♪ ♪

- [gasps] Sorry.

- It's okay. I'm on hold.
- Okay.

- How did the first
day of mediation go?

- I got ambushed and gaslit.

- Oh, I'm sorry.

- Oh, it's just my fault
for being so agreeable.

You were happy with your
divorce lawyer, right?

Could you text me his number?

- You really think
that's necessary?

- It worked for you.

- All right, I'll
send you his contact.

But promise me that
you'll sleep on it

before calling him.

- Ben is the one
who pulled the plug

on this marriage, Sharon.

♪ ♪

I'm sorry, ma'am.

Is there something
you're looking for?

- My son, he's supposed
to go into surgery today.

I need to find him.
- Okay. Maybe I can help you.

What's your son's name?
- Sean. Sean Archer.

- Your Dr. Archer's ex?

- I would have been here sooner.

Just... there were no flights.

Am I too late?

- From what I understand,
surgery went well,

and there were no complications.

- Sean's kidney is gone already?

Wow, they crippled
my son. [scoffs]

- I can tell you from
personal experience, ma'am,

that that's not the case.

I'm a donor myself,
four years running,

and I'm doing fine.

I've even survived cancer.

- Is that supposed
to be comforting?

You know what? I'm sorry.

I appreciate the gesture.

It's... [sighs]

I only found out
about this yesterday.

- I understand.

Dean's right down this way.

I told him you were coming.

- I'm not hungry.
- You're gonna need food.

- Well, don't you
look like crap.

- Leanne.

- I heard your kidneys are shot.

So now what?

What, you're gonna
take one of Sean's?

I spoke with him
last night, you know.

- Yeah, I do know.

I encouraged him to call you.

- Oh, gee, thanks a lot.

The night before the operation.

I told him I was
not okay with this.

- Well, that's not
what Sean said.

He said you were.

- Well, he lied to you, Dean.

Or I don't know, maybe...
maybe you're lying to me,

which I wouldn't put past you.

You know what? I
should have known,

when Sean told me you
were back in his life,

that you had some
kind of agenda.

This is all you.
- You need to calm down.

- You know what?
You ghosted your son

for over a decade,
you son of a bitch.

Is this why you suddenly
decided to reconnect with him?

Because, ooh, now you
need a kidney, huh?

- No, that's... that's
not what happened at all.

Dean reached out to Sean
well before he was injured.

- Who is this, your new buddy?

- This is Hannah, Dr. Asher.

- I work with Dean.

- Yeah, sure you do.

I can put a stop
to this, you know?

I've already contacted a lawyer.

You should be
ashamed of yourself.

- So, Dean, ready to
meet your new kidney?

[tense music]

- Dr. Ripley? I'm
Neva, Allison's sister.

I came as soon as I could.

- Your sister is stable
and resting comfortably.

Here, I'll show you.

- This disease blindsided
the both of us.

When you hear the
word metastatic,

the floor just drops
out from beneath you.

- I know. I'm sorry.

Listen, Neva, I wanted
to ask you some questions

about how they came to
make that diagnosis.

It was five weeks ago, right?

- No! I'm too late!

- Allison's still with us, Neva.

She's just been intubated.

- But she didn't
want to be intubated.

It's in her advance directive.

- I'm sorry. We
were unaware of one.

- We literally just
made it two days ago.

I have a copy on my phone.

See? DNI, DNR.

Naming me as her surrogate.

We had it notarized.

- Okay, we'll get to
that in a moment, Neva.

But first, your sister mentioned

she just built a greenhouse.

Do you know when she
started working in it?

- I don't know, maybe
eight weeks ago.

What does it have
to do with anything?

- Well, there's a fungus that's
prevalent in soil and compost,

especially in moist environments

like a greenhouse.

People like Allison, whose
lungs and immune system

have been compromised,
they can be

more susceptible to infection.

- A fungal infection?
- Yes. Aspergillosis.

It will look, for all
intents and purposes,

exactly like a rapidly
spreading metastatic cancer,

infecting the lungs,
the kidneys, the brain.

The only way to rule it out
for sure is to get a biopsy.

- Didn't her oncologist
do that already?

- If they did, I'm not
seeing it in her records.

But we can do it right here.

- You don't understand.

This is her worst nightmare.

You want me to keep her like
this because you have a hunch?

Do you know how many specialists

we've seen this past month?

Countless, every day, all
with the same diagnosis.

- Did any of them ask
about the greenhouse?

- No offense, but
you're an ED doctor.

- Without a biopsy to
confirm, there's a chance

one of your
so-called specialists

just handed your
sister a death sentence

based on incomplete information.

- Maybe I need to speak
to your supervisor.

- Neva, please just stop and
listen to me for a second.

- Who can I speak to
who's in charge here?

♪ ♪

- Hi. I'm Dr. Charles.
How can I help you?

♪ ♪

- She can't really
get an injunction

to stop the transplant,
can she, Peter?

- Well, she can try.
- On what grounds?

Sean's an adult. He signed
his informed consent.

- My guess is, she's gonna
try and convince a judge

that as a recovering
addict and a parolee,

Sean lacked the
decisional capacity

to lend his full consent.

- Okay, that's ridiculous.

- I don't think she's
gonna have any success.

And the onus is on her.

So as it stands now, I'm
completely comfortable

moving forward with
the transplant.

- Yeah, well, I'm not.

If Leanne is not okay with
Sean giving me this kidney,

then I'm not taking it.

- Dean, don't do this.

Just give me some time.

I just need to talk to him.

- Dr. Cameron, if the
intended recipient

did change his mind
at this juncture,

what would our next steps be?

- Well, it's unlikely we would
find a match at this hour,

so the only ethical thing to
do would be to place the kidney

back inside the donor.

But I'm only comfortable with
keeping it on ice for so long.

- How long?
- Two, three hours tops.

- You got 90 minutes.

If this isn't resolved by then,
the kidney goes back to Sean.

- Understood.

[apprehensive music]

- Palliative said
they'll transfer her up

in about an hour or so.

- Thanks, Doris.

- You're really gonna
let this happen?

- I'm sorry.

Patient has a valid
and enforceable DNI.

- Even if it is, the
woman is being irrational.

I'm trying to save
her sister's life.

You realize how we
got here, right?

Someone... in this case,
probably a completely

out-of-their-depth GP...
starts with a faulty assumption

of, "Hey, this must be
Allison's cancer returning."

And then boom, you
get this daisy chain

of error after error with a DNI

that was only consented
to under a false premise.

- Honestly, I'm
having no problem

at all seeing your logic.

But I'm not the one that
you have to convince.

- Yeah, well, I'm afraid
she's tuned me out.

- Look, she's carrying
this enormous burden,

honoring the dying
wishes of someone

she loves very, very much.

Maybe focus more on that and
less on how right you are.

- Zach, have you taken a look
at your patient's labs yet?

White count's in the 30s with
a pretty aggressive shift.

Mostly neutrophils.

I don't know, escalating
pretty quickly for just a flu.

- He's been vomiting kind
of relentlessly as well.

[tense music]

♪ ♪

- Hold on, Luis.

It's gonna be okay.

[monitors beeping]

When did he break
out in this rash?

- I don't know. It must
have just happened.

- Did you check
for insect bites?

- Why? He came in
with an injured arm.

♪ ♪

- Ask him how many days
he's been in the U.S.

- Luis...
[speaking Spanish]

- [speaking Spanish]

- About a week and a half.

- How many people was
he traveling with?

[both speaking Spanish]

- Ten others, all being
housed in the police station.

♪ ♪

- Have you seen Dr. Marcel?

- He just got
called into the OR.

- What about Ms. Goodwin?
Is she reachable?

- You can leave a message with
her assistant if you like.

- What district again?
- The 23rd.

It's about a mile from here.

- Tell Dr. Marcel that I'll
be back as soon as I can.

- This is just not about
the kidney, Leanne, okay?

This is about Sean and all
the changes that I've seen.

And if he wakes up and
he finds out that his...

- You've already said this.
- You're not listening to me.

- You know what?
- You're not listening to me!

- You know what?
We're done here, Dean.

- [groans]
- So?

- Well...

- You look resigned.

- What am I supposed to do, hmm?

- Please don't
tell me this is you

just finding another way to not
accept a gift from your son.

- Oh, it's not that.
I... I want this kidney.

- Good.

You're finally saying
it like you mean it.

Now go tell Dr. Cameron.

- But Leanne...

- Leanne is being
petty and vindictive.

I am sorry to be so blunt,

but this is not about
protecting Sean.

This is about hurting you.

Don't feed into it.

- She's the mother of my child.

I go through with this
against her wishes,

Sean might never be able
to have a relationship

with his mom ever again.

[somber music]

- Do you remember that
Archer that I first met,

the self-serving,
egocentric jerk

that only cared about himself?

Why can't you be
more like him today?

♪ ♪

- Dr. Marcel?
- Yeah?

- It's been over an
hour, and my wife

hasn't gotten an MRI yet.

- I assure you, we
have not forgotten.

- Dr. Ahmad said she'd
make it a priority,

but I haven't seen
a trace of her.

- As soon as an MRI
frees up, Mr. Martin,

I promise, she's next in queue.

Excuse me.

Doris, where's Zola?

- I'm gonna need rooms
for all of these patients,

preferably isolated
from the rest of ED.

- What the hell's going on?

- I brought in the
rest of the migrants

that came in from
Venezuela with Luis.

Two of them have
similar symptoms.

- I'm talking about
you. Where were you?

Walking off the floor without
notifying a supervisor.

- I know. I'm sorry.

But you were in surgery,

and I found a bug
bite on his ankle.

- You think it might be
something infectious?

- Typhus maybe, or
malaria if we're lucky.

- Or something
contagious, if we're not.

Maggie?

- What's going on?

- Let's get these good folks

into contact and
droplet isolation.

And make sure
they're comfortable.

Also, no one goes in and
out without gowns, gloves,

and masks, and
have phlebotomy run

IFA assays on
everyone stat, okay?

- Yeah, I got it.
- Hey.

There's not gonna
be another warning.

- Doris, you're with me.

Chewy, Tracy, Ben, let's go.

- I really don't wanna have

to adjudicate this
all over, Dr. Ripley.

- I understand.

I just wanted to apologize
for my belligerence earlier.

I can't even fathom what
you must be going through,

the pain, the burden of such
an immense responsibility.

I'm sorry for not honoring that.

- Thank you.

- I have been accused
of being bullheaded.

For good reason, it turns out.

- You have that in
common with Allison.

- Listen, I realize
I'm asking a lot

for you to follow me
on what might seem like

nothing more than a whim.

But if I were able to
lighten Allison's sedation

enough for you to ask
what she wanted directly,

would you be open to that?

- No.

No, I know we agreed
to use a mediator.

We also agreed to stay together
for the rest of our lives.

Look how long that lasted.

You know, I can't talk
about this right now.

You're gonna have
to call me later.

Yeah.

There you go.

- Maggie?
- Yeah?

- What's all this about?

- The new resident.

She thinks that we have
an outbreak on our hands.

My guess is that she's getting
a little ahead of herself,

but we'll see.

- Okay.

- What's happening with Dean?

Has he made any
headway with his ex?

- No, neither of us have.

- You mean you talked to her?
- I tried.

Figured we might
be able to connect,

one addict to another.

But I guess that that was
not the right strategy.

- I think Leanne is just trying
to do what's best for her son

and just...
- Maggie. Maggie, Maggie.

You don't know all the facts.

Leanne was no great mother.

I think that her motivations
here are pretty obvious.

If Dean gets the kidney,

it means that Sean
loves him more than her.

I mean, she's still
so resentful and angry

about the divorce, but
getting her to see that,

I don't think it's
gonna be possible.

[sighs]

[pensive music]

♪ ♪

- Her eyes are still closed.

- Her medication has
an active metabolite,

so she's not fully awake.

She doesn't have
full muscle control.

But she can hear us.

- Allison, it's me, Neva.

I know I promised not
to let you be intubated,

but, well, now that we're here,

Dr. Ripley wanted to
run one more test.

- A bronchoscopy, Allison,

so that we can biopsy a
sample from your lung.

There's a chance
what's ailing you

is actually a fungal infection.

- I only wanna do it
if you do, Allison.

Do you understand?

- If you agree to the
procedure, Allison,

give me a thumbs up.

[soft dramatic music]

♪ ♪

- There.

I see it. She's saying yes.

- We'll get started right away.

- She's asymptomatic.
- For now.

A lot of these diseases have
long incubation periods.

- Wait, why are
you moving my wife?

- Sir, please, it's
just temporary.

- Hey, Mr. Martin. You
okay? What's going on?

- Did you two authorize this?

- Mr. Martin, my apologies. It
appears we're momentarily...

- You think I don't
see what's going on,

but you're giving all
the rooms to them.

- Hold on now.

- Same thing happened
at my kid's school.

They commandeered her
gym for a shelter.

- Look, Wade, I assure you
we have enough resources

to take care of everyone.
- No, we don't.

People keep saying that,
but we just don't, okay?

The whole volleyball
season got canceled,

and my daughter needed
that for her scholarship.

And now my wife,

she's obviously not receiving
your full attention.

How come nobody's
looking out for us?

- I understand that this
is an inconvenience,

but we do need to
free up this room.

Okay, go ahead.
- No, get away from her!

- Wade, Wade, Wade.
- Mr. Martin, please.

- Stop handling me!
- Wait! Hey!

- No!
- Hey, hey.

Calm down!
- No!

No! Get away from me!

Get off of me!
- Calm down, Mr. Martin!

- Let's go.
- Get off of me!

Get off of me!

No! No!

- You all right?
- Yeah, I'm fine.

I'll go get that
blood draw started.

- The biopsy came back positive?

- In this case,
that's a good thing.

Aspergillosis is at least
something we can treat.

- So she's not going to die?

- Well, we're not
out of the woods yet.

I've started Allison on some
heavy antifungal medications.

We should know fairly
quickly if she responds.

But I'm very hopeful.

- [crying]

We all just assumed.

[soft music]

♪ ♪

I can't believe I
almost stopped you

from saving her life.

I don't know how
to ever thank you.

- Hey, man. Well done.

Excellent work, Dr. Ripley.

- Nah, just a lucky hunch.

- Oh, come on.

Take a little credit.

- I was stuck in my
head earlier today,

and you helped me get out of it.

Thank you.

- Any updates?

- I wish I could say this
was an isolated incident.

But from what I'm
hearing around town,

it seems like the welcome
wagon's broken down.

Rosado's offering to take
Mr. Martin into custody

if we feel the staff's
safety is threatened.

Dr. Ahmad?

- You're asking my opinion?

- I am.

- Can I just say that I
feel responsible for Wade?

I should have spoken
to him directly

before we tried
to move his wife.

- I'm not asking you to defend

any of your interactions
with Mr. Martin.

- Thank you, Ms. Goodwin.

- I am interested,
however, in you defending

the thought process
that convinced you

that leaving the ED in
the middle of your shift

without notifying
your supervisor

was a wise idea.

- I know this is a bad look,

this being probationary and all.

But my brain sometimes
seizes on an idea,

and I feel this
adrenaline shoot up.

And I keep telling
myself, "Slow down, Zola.

Slow down," but...

I'm working on it.

- I see.

- I should go check
on another patient.

- Wanna hear my
opinion of her now?

Won't be complimentary.

- Let's double back on
that at the end of the day.

♪ ♪

- I hear they're getting ready

to put Sean's
kidney back in him.

Shouldn't be too
much longer now.

Things were rough between
you and Dr. Archer, huh?

- To put it mildly, yeah.

- I get it.

My husband Ben and I
are getting a divorce.

His decision, by the way.

- Oh. I'm sorry.
- Yeah.

And as stupid as it may sound,
we're fighting over a cat.

Ben wants it.

And even though I never
really bonded with the thing,

there's no way I'm
letting him have it.

No way.

I just feel so
angry all the time.

I don't recognize myself.

I guess I wanna hurt
him for leaving me.

For rejecting me.

How did you and
Dr. Archer meet?

- It was a 4th of
July beach party.

- Mm.
- Yeah.

How about you and Ben?

- Chemo. We both had cancer.

- Oh. Oh, wow.
- We're fine.

It's the marriage
that's terminal.

I loved him.

God, I love him.

He could be so sweet and
do these little things,

like making sure I took
my vitamins every morning.

- I remember, when I
was pregnant with Sean,

Dean and I took a road
trip out to the desert.

He was stationed at Coronado.

And I don't know how, but
I stepped on a cactus.

- Oh.
- Don't... don't ask.

Anyway, he... he spent
the next five hours

getting the needles out
of the sole of my foot

with tweezers and Elmer's Glue,

all while keeping me
supplied with ice chips.

- [laughs]
- Uh-huh.

- You know, Leanne,
as angry as I am,

I wasn't exactly blameless.

I did some things.

- [sighs]

Yeah, I did some things too.

♪ ♪

How long before the surgery?

- Excuse me, Dr. Charles?

I was wondering if you might
like to meet my sister.

- Oh. That'd be my pleasure.

- We're gonna move you
upstairs to an ICU bed,

so settle in.

I can't promise any
fresh vegetables, but...

- Orange Jell-O,
though, seriously good.

- Allison, this is Dr. Charles,
who I was telling you about.

- I just wanted to thank you.

I don't know how
to repay you both.

- Dr. Ripley was telling me
that you had a green thumb.

I'm just... I myself have always
been partial to stone fruits,

is all I'm gonna say.

- [laughs] Deal.

You're gonna have to
wait till summer, though.

And you, Neva, if you
hadn't ignored my DNI...

- If you hadn't
given the thumbs up,

I wouldn't have had the courage.

- Thumbs up?

- Well, it was more of a twitch,

but it was definitely a yes.

- Not that it matters much,

but I don't really
remember much of that.

- Well, the midazolam
we had you on

is probably why your
memory's a bit fuzzy.

It may very well come back
to you in a day or two.

In any event, we're just glad
you're on the road to recovery.

Speaking of which, let me
go check on that transfer.

[tense music]

- I'm gonna let you rest.

But really nice to meet you.

So glad it worked out, and
we are always here, okay?

- Thanks again, Dr. Charles.
- You bet.

♪ ♪

- Hey, Ms. Goodwin.

- Have you seen the IFA assay

that just came back
on Luis Obrador

and the other migrants?

- Murine typhus?
- Mm-hmm.

- From flea bites.
- Yeah, probably contracted

while they were
crossing the border.

Infested blankets, maybe.

- Yeah, timing makes sense.

It could take up to 12
days to show symptoms.

- Well, it's a good thing

Dr. Ahmad caught
it when she did.

She might have saved some lives.

- Dr. Marcel?
- Yeah?

- Have you seen
this? Sheryl's MRI.

- Inflamed lymph nodes
in Sheryl's neck.

Frozen biopsy came
back as a sarcoma.

- Oh, dear.

- It looks like it might
already be spreading.

- Someone's gonna need to
break the news to her husband.

- Yeah.

I'll go tell him.

- It should be me.

Unless you prefer it
to be anyone else.

- Go ahead.

[pensive music]

♪ ♪

- You know, I hesitate to
say who she reminds me of.

You were forced to suspend
him on more than one occasion.

I'll give you a hint.

He had red hair.

You, uh... you really want
a sequel on your hands?

- Above and beyond.

I can't say I wasn't warned.

- Excuse me?

- We're gonna have to teach
this one how to pace herself.

We wouldn't want that fire
to burn out too quickly.

♪ ♪

- Hey, Dad.

- Hey, son.

- How are you two?

- Good.
- Yeah.

- Well, well, well.

Should I go get Leanne

and let her know
that you're awake

and that the transplant
was a success?

- Mom's here?

- Yeah, she gave
us her blessing.

- She did?
- Yeah.

Would you go find her
so we can thank her?

- Absolutely.

♪ ♪

[elevator dings]
Leanne? Hold up!

They're asking for you.

♪ ♪

- Oh. Hey, man.

Really great grab
on that diagnosis,

you know, once again.

- Yeah. Thanks.
- I'm still stumped, though,

is how you got
Allison's sign-off.

I mean, aren't you supposed
to turn the midazolam down

when you get a
patient's consent?

- Excuse me?

- What'd you do,
like, hook her up

to a twitch monitor
or something?

- What are you accusing me of?

- Nothing.

I'm not accusing
you of anything.

I'm just saying that as somebody

who, after 40 years, is
still regularly tempted

to mess with the rules
for all the right reasons,

it's just... you know,
it ain't worth it.

Almost lost my license that way.

♪ ♪

- This couldn't
wait till tomorrow?

- Not really.

You were right about
what you said earlier.

[cat meowing]

He belongs with you.

- I don't know what to say.

Thank you.

You wanna come in?

- No, I really
just wanna move on.

Let's try and wrap
this up tomorrow, okay?

♪ ♪

[dramatic music]

♪ ♪

[wolf howls]