All language subtitles for Doc s01e09 What Goes Up.eng

- Previously on Doc...
- I wanted to give you another chance

to answer my question.
- About what?

- Bill Dixon.
- He aspirated on lunch

and he could not
be resuscitated.

- If you're lying,
you're done here.

- Dr. Larsen has no recollection
of the last eight years.

- Are you married? I hope
she appreciates what she has.

- Maybe all that matters
is how you feel about him now.

- Promise me you will
get counselling.

- I will. And I'm gonna
take some time off.

- TJ? What are you doing here?

- You know you're the reason.

You're the reason
I became a doctor.

- Hi, what can I get for you?

[girl giggling]
- I want snack!

- Oh, shh. Could we possibly
get seconds on pretzels?

Somebody's already eaten
everything I packed.

- I'll be right back.

- I want Daddy.

- Remember I told you
that he had to go on the plane

a day early? But he's gonna be
there when we land.

But right now, I think
your brother wants to play.

You wanna listen?
- Yeah.

- Okay.

Here. I'll listen too.

We'll listen together. Here.
- Like this.

- Yeah, put it here.
Put it here. What's he doing?

What's he saying, Katydid?

[overlapping chatter]
[woman 1]: Oh my God!

[man]: He can't breathe!
[woman 2]: Is there a doctor on board?

[overlapping chatter]
- Could you...

watch her for a second?
- Yes.

- Mama's gonna be
right back, okay?

[woman 2]: We need a doctor!
- It's okay, I'm a doctor.

Let's give him some space.

Hey, I'm gonna need
the emergency kit now.

- Yeah.

- Okay. Okay, it's okay.

I'm gonna have a listen.

[gasping]

Okay. Your left lung
has collapsed.

But I can fix that.
I need scissors.

Okay. I'm gonna need
alcohol wipes, gloves,

a syringe, and the largest
IV catheter you have.

- Yes.

[gasping]

Here we go.
- Okay, listen.

This is gonna pinch a little bit

but it's gonna work, I promise.
Here we go.

[groaning]

Okay. Here we go,
here we go, here we go.

Breathe, just breathe.

[breathes deeply]
Okay...

Relax.

Let's start over.

I'm Doctor Amy,
what's your name?

- Uh, Theo, but my friends
call me TJ.

- All right, as most of you
have no doubt heard,

the incomparable Amy Larsen

has once again
passed her Boards.

[cheering, applause]

- Congratulations.

- On being the oldest
intern of all time?

- As of today, Dr. Larsen's
full privileges are restored.

Which means she can see patients
on her own,

prescribe meds,
perform procedures unassisted.

- I can even walk
and chew gum by myself. [laughter]

- When does she get
her office back?

[chuckles weakly]

- What are you even doing here?
This isn't your department.

- I heard there'd be cake.
- No cake, but

we do have a little
something...

[cheering, applause]

Well done, Dr. Larsen.

- Couldn't have done it
without you.

I mean, without
all of you, really.

Thank you all for your patience
and your support.

Yeah, especially those
who had to be coerced.

[chuckling]
Uh, yeah,

and when I make Attending,
there'll be cake.

Meanwhile, don't all of you
have work to do?

Thank you.

How do I look?
- Incredible.

Next time,
maybe that's all you'll wear?

[laughs]

- Hey!
- Hey, TJ!

- Look who's back in uniform.
- I'll catch you later.

- Okay. Where's yours?

- I'm off today. Or I was.

- Oh!
- But, actually,

can you come with me?
There's a patient

who wants to see you.

- Hm!

[gasps]
No way! Mr. Coleman!

Hey! It's so good to see you.

- So good to see you too.
- How long's it been?

- Too long. And you know you're
supposed to call me Randy.

"Mr. Coleman"
makes me feel old.

- Well, if it makes you feel
any better, you look exactly

the way that I remember.

And that is saying
something these days.

- Heard about your accident.

Theresa and I have been
praying for you.

- Well, somebody
must've been listening,

because I'm actually doing okay.
So, how can I repay the favor?

- Uh, you can start
by telling this son of mine

he's overreacting.
- Oh, here we go.

He fell on the job,
hurt his knee.

- Mm.
- Yeah, don't sell me short,

son, some punk snatched
a purse on the Metro.

Luckily, Officer Coleman here

still got some wheels.
- Okay, Pops.

More like a flat tire.
[laugh]

- I just wanna make sure
the knee's not something

to worry about.
He claims he has no pain,

but I noticed some gait
instability. Possible weakness.

- Randy, will you walk across
the room for me?

[soft music]

- It's good to have you back.

So, you're okay?

- Well, I'm a little bummed
the hospital didn't fall apart

without me,
but I'll get over it.

- That's not what I meant.

- Yeah, I know what you meant.

- Anything I can do?

- Yeah. Don't treat me
differently.

- Okay. Well, in that case,
quit standing around.

Get back to work.
[chuckles]

Okay, Nikki. Can you
just gimme a deep breath?

Again.

[coughs]

Okay ,diminished right-side
breath sounds,

worse at the base. How long
have you had the cough?

- About three weeks.
- And the chest pain?

- I dunno, a couple of days?

Look, Lyla has to be at school
or she'll miss breakfast,

and I'll miss my shift, so...
It's probably bronchitis, right?

Can't you just write me
a prescription or something?

- Not before we know
what to treat,

and with your symptoms,
you're gonna need a chest CT,

EKG, bloodwork.
- Great.

How long's that gonna take?
- Mommy, I'm hungry.

- I know, sweetie.
I'm working on it, okay?

Um, look, just forget it.
We shouldn't have come.

- We can't discharge you
with vitals like these.

Is there someone you can call
to take care of your daughter?

- Well, if there was, then she
wouldn't be here now, would she?

[coughing]
- Okay, let's do this.

Nikki, you're gonna stay here
while we run some tests.

And, Lyla, you wanna come
with me down to the cafeteria?

My daughter Mia says that they
make a mean French toast.

- Why is it so mean?

- Well, that's just code
for delicious.

You can get whipped cream,
strawberries, chocolate chips...

- Can I, Mommy? Please?

- Fine.

- It wasn't real cheese.

- Somebody needs to give
you the recipe

- It wasn't real cheese.
- MRI is clean.

No evidence of ligamentous
injury or fracture,

or any trauma.
- See? I'm fine.

- But there is a small
collection of fluid

in the joint, and I would like
to drain it just to be safe

and send it for additional labs.
- What do you think?

We're here,
might as well run one more test.

[tense music]

Pop, what is it?

- I can't feel that.

No.

[Amy]: Do you feel this?
- No.

- What about this?

- Nothing.

- Okay, you push your toes
against my hand.

- I can't move my legs.

- Well, that was pretty
scary, huh?

- Why is this happening to me?
- I don't know yet.

Did you hurt yourself in Hawaii?
Any falls?

Were you feeling sick today?

- A little nauseous, maybe?

Kinda sore, all over?
But like, mainly my legs.

- Oh.
- Knees and ankles.

[gasps]
- Oh! Sorry, TJ.

[TJ moans]

Is there any chance that
you have been scuba diving

in the last 24 hours?

- I just wanted one last dive.

I only visit my grandparents
once a year.

- Okay. I think you have
decompression sickness.

The bends.

It happens when you
ascend too quickly after diving

and you get small nitrogen
bubbles in your bloodstream.

And you're not
supposed to fly.

- I thought I did
everything right.

- It's okay.
It's nothing we can't handle.

He needs a hyperbaric oxygen
chamber as soon as possible.

- We're in the middle
of the Pacific Ocean.

Closest airport is LA, and even
that is three hours out.

Two and a half,
if we burn fuel.

- Do it. Were you able
to reach his parents?

- Air Traffic Control was able
to patch his father in.

- I know it's frightening.

Try not to panic.
There are plenty of reasons

for weakness and loss
of sensation in the legs.

It could be a lumbar disc issue
or peripheral neuropathy.

It could be
an autoimmune attack.

- He had a cold,
what, a month ago?

- That sounds right.
But why does it matter?

- Okay, well, in that case,
it's probably Guillain-Barr�.

It's an autoimmune disease
that's often triggered by a GI

or a respiratory infection.
- Is it treatable?

- Mm-hmm.
- With plasmapheresis

and intravenous immunoglobulin,
most patients make

a complete recovery.
- A spinal tap to confirm.

And I'll also schedule
a lumbar MRI, just to be safe.

- Okay.
[sighs]

[machines beeping]
- Almost done, Nikki.

- Is Lyla behaving herself
out there?

- It's all good.
She's doing great.

- Dr. Jake?
- Mm-hmm?

- Why do you have crayons?
- Well, sometimes, if I'm lucky,

my daughter comes to visit me
here at work.

- I go to Mom's work sometimes,

but her boss never
has any crayons.

- What are you drawing?
- It's you guys, fixing Mommy.

You are gonna fix her, right?

- Pinky promise.

- Oh, hey, Chief, you got a sec?

- Sure, what's going on?

- Dr. Larsen had asked me
to look into an old patient,

Bill Dixon?
[tense music]

- What? She remembers him?

- Uh, no, but apparently
she found something vague

in her email
and she was asking about it.

- Uh, so what's the problem?

- Well, his patient record
said he died in our care,

but when I tried to access
the autopsy, it was restricted.

- Hmm. I don't know why.

I'm happy to look into it
and I'll circle back

with Dr. Larsen.
Now, if you'll excuse me,

I'm actually late for a meeting.

- You said you had
your bases covered.

- And I thought that I did.

But now Amy's asking questions.

And Amy's questions are becoming
Julie's questions.

- All right, don't spiral!

So, people are digging. So what?

What exactly
are they gonna find?

That wasn't rhetorical, Richard.

What's your exposure?
Is there a paper trail?

- No, I don't think so.

[sighs]
- Okay, I'm gonna say this

with love 'cause my fee buys
a certain bedside manner,

but you don't
inspire confidence.

- Well, your fee better buy
a whole lot more than that.

- We need to start preparing
a defense in case

this goes to trial.
- My negligence killed a man,

and then I lied about it.
How do you defend that?

- Well, is there an alternate
theory for what happened?

- Okay, so, my dad's losing
feeling in his abdomen,

which has him freaked.
But I assured him

that ascending paralysis
just further confirms

the Guillain-Barr� theory.

[computer chimes]

- The lab sent through
the results

from the lumbar puncture.

- What's wrong?
- It's negative for GB.

- S...

S-So it's a false negative.

Early onset may not yield
elevated protein levels

or other diagnostic
CSF findings.

- Maybe. But I think
we need to consider

the possibility
that it is something else.

- Something worse, you mean?
- We need a cervical

and a thoracic MRI.

And, if I were you, I'd get
your mother to the hospital.

- So, we got
your chest scans back,

they show a collection of fluid
on your right side

and multiple lung nodules.

- Nodules?
You mean, like, like cancer?

- They could just as easily be
benign growths,

or it could be an infection.
- We won't know for sure

until we biopsy.
But we'll schedule the procedure

for first thing in the morning
and go from there.

[knocking]
- Ms. Wilson? Hi.

My name is Linda.
I'm a social worker

here at Westside
and the hospital liaison

to the Department of Child
and Family Services.

- Wait, what's going on here?

- I think there's been
a mistake.

We didn't place a consult.
- No,

but a nurse in the clinic did.

This patient is the sole
caregiver to a minor.

Ms. Wilson,
if you're staying overnight,

we need to find a temporary
placement for your daughter.

- Oh no. Like hell you do.
You're not taking my kid.

[coughing]
Not again.

What are my rights here?

Because if this
is my only option,

then I will check myself out.

- You'd be doing that
against medical advice.

- Does it look like I care?!
- Whoa, whoa! Let's just take

a beat here. Maybe we can
figure something out.

- I'm afraid there is nothing
to figure out.

It's hospital policy.
- I mean it, Dr. Heller.

I will leave right now

unless you tell me
there is another way.

- I know that this exposes
the hospital

to a certain amount
of liability, but we have-

- This isn't about liability,
this is about the safety

of the child. I mean,
where do you plan to put her?

Every bed is taken.
- There's a couch

in her mom's room.
- No, there will be staff

in and out all night,
not to mention it's not fair

to Nikki's roommate.
- Okay. The on-call room, then.

It's private, it's quiet,
Dr. Maitra and I,

we can take shifts watching her.
- As well-meaning as that is,

Dr. Heller and Dr. Maitra
should be focused

on their patient,
not her daughter.

- Look, all due respect,
you do not know this family.

Nikki has a history with DCFS.

During COVID, she lost her job,
then she lost her apartment.

They were living in her car.
When DCFS got involved,

it took 18 months before
Lyla could come home.

- That's awful.

But our primary responsibility
has to be Nikki's care.

- Okay, if you try
to separate them right now,

Nikki will leave.
And she is too sick.

God only knows what will happen
to her, or Lyla,

if they walk out so, tell me,

how is that in the best
interests of this child?

- The on-call room
is not a long-term solution.

If Nikki has lung cancer-
- That is tomorrow's problem.

Just give me some time
to figure this out.

[soft music]

- You have 24 hours.

- I'm right here, Dad.
Not going anywhere.

- Thought after all the years
of Confined Spaces Training,

this'd be a cakewalk.

- I know. But hey,
one sequence down,

only about ten more to go.

Have we got an image yet?

[machine beeping]
- Loading as we speak.

[tense music]

- You see that, right?

- I do.

- Th-That's cancer.

- No, right now
that is just a lesion.

We don't know more than that
without a CT scan or a biopsy.

- I know what I'm looking at.

[sighs]

- Okay.

So we call in the specialists.

We get Dr. Flint,
Dr. Reza, Dr. Walker...

We get them all back
to the hospital.

First, we've gotta talk
to your parents.

- I need a minute.

[knocking]

- Hi, Chief. You wanted
to see me before I left?

- I did, yeah.
Come on in. Have a seat.

[ominous music]

[Lyla]: Leave her alone!
- Lyla. Lyla.

- Mom!
- Lyla. Honey, honey.

Lyla, wake up. Wake up.

Hey.

You're okay.
It was just a bad dream.

You wanna talk about it?

- I want my mommy.

- Keep it down, would you?

[scoffs]

- Okay, come on.

Let's go.

So sorry to wake you.

She had a nightmare.

- It's okay. It happens
when she's not in her bed.

It started when they took her.
- Yeah. I can imagine.

- Okay, you want a lullaby?
[Lyla]: Yeah.

? You are my sunshine ?

? My only ?

[coughing]

[machines beeping rapidly]

- Need some help in here!
- Mommy?

- Lyla! Lyla! Lyla.
Come with me. Come with me!

- No, no!
- Lyla! Lyla! Come, come!

Listen to me!
I need you to wait outside,

so I can help your mommy, okay?
Can you do that for me? Go!

[coughing]

- What happened?
I saw her O2 plummet

on the telemetry monitor.

- Right-side chest
is completely filled with fluid.

Likely acute blood.
She's suffocating.

- Okay, let's get her
on her side.

[machines beeping rapidly]

Okay, no pulse.
Let's start CPR!

Code blue! Get some suction.

Okay, I can't see to intubate.
There's too much blood.

Bag her, get an airway
if you can. I'll get CT surgery.

This is Dr. Heller, I need
an emergency thoracoscopy.

Room 619.
- Mommy!

- Go, we've got this!

- Okay,
just get someone here now!

- Mommy?
- Lyla, don't look. Come here,

come here, come here.
Hey, hey, hey, hey, hey.

Hey, hey, it's okay.

It's gonna be okay.

- We need to stop the vomiting.
But he is maxed on IV Zofran,

and his blood pressure's high,
which puts him at risk

of a brain bleed.

- What can we do?

- I could place a nasogastric
tube to decompress his stomach.

Can you get any more
of that oxygen tubing?

- Sure, but that sounds painful.

- I don't suppose
there's a morphine drip

in that medical kit?
- No, but there are

187 passengers
on this flight.

Next best thing to a pharmacy.

- Go.
- Yeah.

- Get everything you can,
but see if you get pain patches.

- Okay.

- Pain on a scale of 1 to 10?

- Seven?

- Liar.

Look, this patch will help soon,

but in the meantime,
I need to put a tube

up your nose
and down your throat

to try to help the vomiting.

Okay, I'm gonna numb you
as best I can,

and I'll be quick.
Do you trust me?

Okay.

Open your mouth wide.
Ah. Say, "Ah."

- Ah...

- Okay. Good. Okay.

Hold his hand?
- Yeah.

[clears throat]

- Okay. Hey, look at me.
On the count of one, two, three.

- I know it's painful to hear,

but it's our best
course of action.

The patient has a C1
intramedullary lesion.

I'd do an occipital craniectomy
and C1-2 laminectomy,

open dura, and perform
a midline myelotomy,

going through the spinal cord
to access the lesion.

- You'll numb him
from the neck down

for the rest of his life.
- Yes, but he will regain

the ability to move.
That's not nothing.

- And cutting through the cord
is the only way to biopsy

and resect the lesion.
I know it's less than ideal.

- Less than ideal?
I'd say we're pretty well past

less than ideal.
- I'm not happy about it either.

But I think
this is glioblastoma.

- If you wait on surgery,
the tumor could grow,

become inoperable,
or the cancer could spread,

and these
are the good scenarios.

If the edema
reaches his brainstem-

- He'll die, I know.

- What if it's Primary
Spinal Cord Lymphoma?

- Patient doesn't fit
the profile,

he's not immunocompromised.
- Which would make this unusual

but not impossible.
Think about it.

Rapid onset, cervical location,

homogenous enhancement.
If I am right,

chemo and corticosteroids
can dissolve the tumor

without surgery. We could see
initial effects within a day.

- And if you're wrong, that time
could cost him everything.

- If paralysis isn't reversed
within the first 24 hours,

it's often permanent.
You don't know when we cross

the point of no return, Amy.

- No. But that choice
should be his.

- What choice?
There's only one safe option.

And I'm the neurosurgeon here
who saved your life, by the way!

Don't call me in
at the crack of dawn

if you're not gonna
take my advice!

- I'm just asking questions.
- No, you're hearing hoofbeats

and thinking zebras.
And you sound like an intern!

- Okay, okay.
That is unnecessary.

We're all professionals here,
with differing opinions.

- TJ, what do you think?

- Your heart's
in the right place.

But there are fewer than
15 cases of PSCL per year

in the entire country.

And we don't give false hope.

You taught me that.

- Okay.

Okay. I will get the paperwork.

I need an operative consent
form for Randy Coleman,

uh, Room 617.
[nurse]: Okay.

- Here. You need to eat.
- No, I'm not hungry.

- I know. But you've been
up all night.

Just eat.

I take it your consult
didn't go well? [Amy scoffs]

- I've been here all of a day
and I am already well

on my way to alienating
every doctor here.

- Not every doctor.

- How'd your babysitting gig go?

- Oh. Mom's in surgery,

but I might have
to keep my day job.

- Dr. Larsen.

Did the chief
talk to you about Dixon?

- No, was he supposed to?

- Well, I looked into it,
like you asked,

and Bill Dixon
was a patient who died.

- Whose patient?
- Dr. Miller's.

- So, what happened,
how did he die?

- Well, that's just it.
I tried to access

the autopsy report,
and it was restricted.

- Hm. Thank you.
Um, lawsuit, maybe?

- No idea. But he said
he'd circle back with you.

- Okay. I'll talk to him today.
Thanks, Julie.

- Mm-hmm.
- You know,

I knew that name
sounded familiar.

- Dixon?
- Yeah. I mean,

it might be nothing, but ...

a while ago, Richard and I
were treating a patient

when a nurse interrupted to say
the Dixon autopsy was ready.

And I didn't think much of it
at the time,

but why the urgency?

I mean, most autopsy reports

just come in an EHR alert, right?

So, what did he think
he was gonna find?

- Ah, Dr. Franco!

- Dr. Larsen, what brings you
into my neck of the woods?

- Please tell me those
aren't your exam gloves.

- Not anymore. Kidding.
[chuckles]

I just don't like
the cheese dust. What's up?

- I wanted to ask you
about a patient autopsy

from a while ago.
- Um ...

- Something wrong?
- Dr. Miller sent me an email

awhile back instructing me

not to discuss patient results
with you without his approval

- What?
- Well, until you were back

on staff, you know? Um,

but as of yesterday,
I guess it's kosher.

Congrats, by the way.
- Thanks.

- Um, what autopsy
are you interested in?

- Bill Dixon.

- Oh, that guy.

Pretty popular
for an 83-year-old

who choked on a ham sandwich.

Dr. Miller asked about him, too,
a few months ago.

Said the family requested
the autopsy.

- Why? Was there some reason

to suggest that something
went wrong?

- Ah, some people are just
in denial

when the end comes, you know?

- Huh. Okay, well,
did you find something?

- Uh, not really. I mean,

I was surprised
to find Metoprolol in his system

since it wasn't on
his administered meds.

But Dr. Miller
said it was a mistake,

he just had to update the chart.

- He changed the medical record
after Dixon's death?

- I know, I know.
It's against protocol,

but, you know,
people are moving fast,

making life-or-death decisions.

Detailed and accurate charting
can be an afterthought.

- Finally got her back to sleep.

She won't stop asking
about her mom,

and she refuses
to leave her room.

Any idea when
Nikki's out of surgery?

- Not for a few hours.
But we've got another problem.

- What's wrong?
- Our time's up.

DCFS is here.
- Oh my God.

- All told, the procedure
should last five hours.

I won't lie, it's a long
road to recovery.

But if you commit to PT, OT,

and inpatient rehab,
we'll get you back on your feet.

- I don't understand.

The only way to prevent
permanent paralysis

is to numb him
for the rest of his life?

That's not a choice.

- With the numbness,
he'll still have movement.

It's like when your leg
falls asleep.

If you're looking at your foot,
you can still move it.

You can relearn how to walk.

This doesn't have to stop you
from living your life.

- How can this be happening?

I was absolutely fine
yesterday morning.

- Pop, we will figure this out.

Whatever we need to do,
it'll be hard,

but we're gonna figure it-
- I don't need a pep talk, son.

I need another answer.

One that doesn't turn
my wife into my nurse.

- Randy, no.
- No, I won't ask that of you.

Isn't there any other way?

- Actually, there is another
possible diagnosis.

[tense music]

[weakly]: So. How am I?

As good as I look?

[chuckles]

- Well, I've given you
all of the fluids and meds

that I can, and, yeah.

Your organs are still
not getting enough oxygen.

- And that's why I'm so tired?
- Mm-hmm.

But it just means
we have to work a little harder

to keep you alert.

Here, you wanna tell me
about this book you're reading?

Oh... Or is that gonna
put you to sleep?

- You don't like Homer?
- Uh, Simpson, yes.

But Greek poet, not so much.

- I want to have adventures
like those someday.

That's why I'm gonna do
like my parents did.

Join the Army,
then become a cop.

- So you are smart and brave.

I guess that shouldn't
surprise me,

seeing how well
you've handled all this.

I hope this little guy grows up
to be half the young man

that you are.

- Hey, if I don't make it,

can you please
just tell my parents-

- No, no, no. Hey, none of that.

We are landing in 45 minutes.
There's an ambulance there

to take you
to the nearest hospital,

and your parents
are on their way.

All you have to do is hold on.

- That's easier said than done.

- Here.

I want you to listen
to something.

You hear that?

[heartbeat thumping]

You are not going anywhere.

- I'm just asking you
to reconsider.

- My mind's made up, son.

- Dr. Flint is the best
neurosurgeon in the state.

And if this is a GBM,
the surgery is your only shot.

- Shot at what?!

I don't want
the life he's offering.

For me or your mother.
- Dad, I know you're scared.

- No, you don't know jack
about how I feel.

- Fine. But I do know medicine.

Look, my whole life,

you've been the one
who knew better.

I came to you for advice,
or I didn't,

and I found out the hard way.

But this time, Dad,
I know better.

So, please, Dad,
please, listen to me.

- Son, I love you.

But it's my life,

and I'm gonna live it
on my terms.

- And you're okay with this?

- You're alive
because of Dr. Larsen.

We gotta trust her now.

- Mr. Coleman, you ready for
your first round of treatment?

- Please.

- Ready as I'll ever be.

- TJ won't talk to me.
But it's only been a few hours

of treatment. I wouldn't expect
to see any improvements yet.

- Not exactly the triumphant
return you were hoping for.

- He's just too close to it.

There are good reasons to think
that this could be lymphoma.

And, more importantly,
it is what Randy wants.

- What he wants
or what you want?

- What's that supposed to mean?

- You know what it's like
to lose everything.

And you'd jump at any chance,

however small, to get it back.

Are you sure that's not
what this is about?

- I empathize with the man,
sure,

but, no, that is not what
this decision is based on.

[exhales]

I have to trust my gut, Gina.

It's the only piece of me
I have left.

[dramatic music]

[indistinct chatter]

- Hey, welcome back.

- What happened?
- You had acute,

severe bleeding from
thoracic endometriosis lesions

in and around your lung.

- That means you had uterine
tissue where it shouldn't be.

The good news is,
it wasn't cancer.

But the surgeons did need
to remove a portion

of your right lower lobe,
so you'll be here for-

- Where's Lyla?

- DCFS picked her up
this morning.

- No.

- After what happened last
night, we had no choice.

- It will just be
while you recover.

[panting]
- It won't!

Lyla fell off the monkey bars
a few months ago,

she broke her arm.
And between the hospital visits

and the cast,
I-I couldn't pay my bills.

And they turned off
my electricity,

and I'm skipping meals
so that I can pay it

at the end of the month!
But if DCFS goes to my place

and gets Lyla's things and sees

that my electricity
doesn't work,

then they will take her
from me again!

- There must be
something we can do.

- There's not.
There's nothing you can do,

so please, just leave me alone.

I said please, just leave! Go!

[breathing unsteadily]

- Okay, here you go.

- Great.
- Night.

- Hey.
- You headed home?

- Yeah. I am,
but did you need something?

I talked over Mr. Coleman's care
with the night nurse,

she's on it.
- But I wanted to talk

about Bill Dixon.

You were there three months ago

when he coded, right?

- Uh, yeah, I was.

Tough night.
He was a nice guy. Funny.

- I have to ask you,
was there something

unusual about the code?
- Um, not really.

I-I mean, it was chaotic,
they always are.

We did CPR, pushed epi
every three to five minutes.

When shocking didn't work,
Dr. Miller pushed Amiodarone-

- You mean you pushed it,
at his direction, right?

- No, I wasn't working
fast enough,

so he had to step in.

- So, you're saying Dr. Miller

reached into
the cart himself to-

- Don't, Dr. Larsen.

Look, this is your
second day back.

Do you really want
to go down this road?

Even if there was
a mistake made,

there's nothing to be done
about it now. He's gone.

Good night, Dr. Larsen.

- I don't think we could
ever repay you

for what you did today.

- I was just in the right
place at the right time.

- Nah, you should've seen her
up there. She was Superwoman.

- I want Daddy.
I wanna go home. I want Daddy.

- I know, Katydid,
we're gonna go.

[grunts]

[giggles]

Okay. TJ.

- Thank you.

- We won't forget this, Doctor.

- Thank you.

- Uh, wait! Isn't this yours?

- You know what? You keep it.

I got my hands full.

And you were pretty good
with it up there.

- Thanks, Doc.

[soft music]

- I know you're upset about
the course of treatment

that I recommended.

- He's now lost all arm movement
and sensation.

Breathing's labored too.
We're gonna have to intubate him

if he gets any worse.

You know,

you haven't changed
as much as people think.

You've always been a maverick.
Unafraid to take chances.

I used to like that about you.

But now I'm starting to think
you just wanna play the hero.

- You came to me, TJ.

[? Into Dust ?
by Mazzy Star plays]

- How're you feeling?
You look better.

- Still giving us
the silent treatment, I see?

Well, hopefully you can muster
up a little more enthusiasm

for your next visitor.
- Mommy! Mommy!

- Oh hey, hey!
Your Mommy's still recovering.

But we got her all fixed up,
just like we promised.

- Are you okay, sweetheart?

- They have Magma Tiles!
- Mm.

- We've found a placement
for Lyla, just for a few days.

- And that's it?
- Yeah.

I know you've had some
hard years, Ms. Wilson,

but you've done a tremendous job
getting back on your feet.

We'll have Lyla back home
as soon as you're discharged.

- I appreciate that.

- I'll be outside.

- What just happened?

- Somebody must've paid
your electric bill

before DCFS swung by.

? Beside me, today... ?

- It's possible
I owe you an apology.

- Just take care
of yourself, okay?

Lyla.

? 'Till you eyes shed ?

? Into dust ?

? Like two strangers... ?

[knocking]
- Can I come in?

- Sure.

- I just...

I wanted to thank you

for helping out
with Lyla and Nikki.

I know it got dicey there
for a minute,

but it all worked out.

- Yeah, well...

I'm not always the bad guy.

- And now I know that.

I'll leave you to it.

- Hey, um, just for the record,

all I ever wanted
was for Amy to be happy.

And I guess she could do worse.

? I could possibly
be fading... ?

- There you are.

I feel like I haven't
seen you all day.

[exhales deeply]

Any word on Mr. Coleman?

- When I know, you'll know.

- Hey.

You okay?

- Not really.
But thanks for asking.

- You wanna come over
to my place,

see if I can't turn
your day around?

- Sounds nice.

But I can't leave yet.
I'm waiting to talk to Richard.

- Okay.

Well, good luck then.

? It was you ?

? Breathless and tall ?

- You done for the day?

- I am.

You want to walk with me?

- I know what happened to Dixon.

- We all do. It's right there
in his medical record.

- A record you had restricted
for some reason.

[sighs]

I'll tell you what happened.

He aspirated.
You called the code,

and then you mistakenly
picked up Metoprolol

instead of Amiodarone.
And if you inject Metoprolol

into a patient
who's already coding-

- I would stop right there
if I were you.

- I figured it out, didn't I?

Before the accident,
and that is why you were so keen

to get rid of me.
[sighs]

Answer the question, Richard.

- I didn't kill
Bill Dixon, you did!

- What are you talking about?

- You gave him
that Metoprolol, Amy.

[sighs]

A few weeks before Dixon died,

I was treating him
for complications

from pneumonia.
He had mild pulmonary edema,

his BP was high.

I wanted to treat
with diuretics.

You didn't feel
like that was enough,

you felt like beta blockers
were called for.

We argued. Ultimately,

you wrote him a script
for Metoprolol

without my knowledge,

and you failed to put it
in his chart.

- Why would I do that?
- Because that's what

you were like as chief!

Micromanaging,
marching around here

like you and you alone
could do the job.

And you were spread so thin
that you made mistakes.

I haven't been covering
my ass, Amy.

I've been covering yours.

[scoffs]
- I don't believe you.

- Ask Liz.

She was there when
you wrote the prescription.

You never understood

why I didn't want
you coming back. But then...

then you were different.

Your better self.

Please, for both of our sakes,

just forget about all of this.

Okay? It would be
best for everyone.

[? Oh No ? by Biig Piig plays]

? Oh no, I did it again ?

? I tell the world I'm fine,
never near the edge ?

? And now I'm falling ?

? Too late to tell the truth ?

? Oh no, I did it again ?

? I heard them all too loud,
voices in my head... ?

[sobbing]

[elevator dings]

? 'Cause I'm caving out ?

? And I just sit back... ?

- Hey, what's wrong?

Come here. Come here.

[sobbing]

- I, I...
- It's okay.

What happened? What is it?

- I...

- Hey, you're okay.
I'm here.

It's okay.

? So I'm safe and sound ?

? While I'm in this room
Slipping and thinking of you ?

[gentle music]

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