Original subtitles

You're both scared as hell.

- Yes. - Very, very, very, very, very scared.

That just means everything's happening

the way it's supposed to.

Remember, by the end of today,

you two are going to be heroes to parents everywhere.

It took me two partners

and eight years to have three kids.

When I'm on a plane

and there's turbulence,

I always watch the flight attendants,

and if they seem fine, I figure I'm fine.

And you seem... fine?

Oh, Dr. Malena's better than fine.

She's an ob-gyn

who's about to deliver triplets by C-section.

This is what she's trained for.

This is her day to summit Everest.

Came to say good luck.

You're both brilliant, so I trust

you've been mindful of the names?

My parents left it to the last minute,

and now I'm named after a breed of cats.

Oh, I'm sorry, that's...

actually me.

Listen, well, I have to go.

Adam, Lauren and Tabby.

Good luck, and I will see you all on the other side.

I know this is the tenth time I've asked.

Are you okay?

Since the whole thing?

Since I killed Beck?

I'm not trying to wave it off,

but I've given three statements to the police.

That was, like, ten hours in total.

He attacked me, I defended myself.

Gotcha.

Well, hopefully, you can get it out somewhere else.

Therapy?

I'm actually not allowed back in group yet.

The investigation is "winding its way down,"

but it's still active.

I'm here if you need me.

Adam and Lauren

have just headed into the OR,

so it's gonna take a couple hours.

So, I'm gonna... you know.

Good idea.

She's waiting.

Your schedule is clear.

We're driving to Baltimore.

Uh, excuse me, you're in my clinic.

You may run the hospital, but you don't run my calendar.

It's not an order.

I am trying to do you a favor, John. You're sick.

- I feel fine. - You have a glioblastoma.

That's in charge now.

You feel fine today? In the very near future,

you will not feel fine at all.

You won't pick a neurosurgeon. That has to stop.

Look, you've built your whole life

so there aren't people who can say this to you

so it comes down to me.

You have to pick a neurosurgeon today.

I'm weighing my options.

I got us some time with Isaac Niles.

- Niles? - Mm-hmm.

Niles was just in Johnstown last year.

Until you plucked him from obscurity.

Until you recognized his talent and turned him into a superstar.

We are going to drive down to Baltimore today

and you are going to make an appeal to the man.

You are going to ask to get on his surgical calendar.

Isaac Niles was your discovery.

You can't possibly tell me he's not good enough.

He's a'ight.

All right, all right, it's a good idea.

I'll give the man a hearing.

You're going to make an appeal.

You're going to ask Dr. Niles, very respectfully,

for space on his calendar.

I'll give the man a hearing.

Patient's unruly.

I got to break out of time.

Administering the haloperidol.

I got to break out of time.

Hey, big ugly!

Beg your pardon. Name's Shinwell Johnson.

Get over here and make yourself useful.

I got to break out of time!

Hey, it's okay.

Ow!

- All right, mate, all right. - Carlin!

It was this. He had it in his pocket.

I got to break out of time!

I got to break out of time!

Hey.

You doing okay out here?

Yeah. It's not my first needle stick.

Get the labs drawn, write up the report.

All right.

Do you think I should kiss it?

I really think I can make it better.

Gonna need you to get out of my sight.

Carlin.

I just reviewed the patient's chart.

He's HIV positive.

Viral load unknown.

We can do this?

Three kids at once?

We can.

How? How can we?

How-how can anyone?

They already got you.

What more could they ask for?

Okay, Mom and Dad.

Dr. Malena, you okay?

Completely fine. We are ready to begin.

There's a flood warning.

Ah, there's always a flood warning.

It's not even raining.

So I saw the news yesterday.

Josh Gibson is the new defensive coordinator of the L.A. Rams.

Your boyfriend's going pro.

- Hmm. - Impressive.

Boyfriend? What are we, eighth graders?

Hey, look, you can call him what you want. I'm just saying,

it's incredible news.

Big congrats to you.

Thank you. We're very happy.

I don't know how soon he's moving.

I don't know any of those details,

- if that's what you're asking. - I wasn't asking anything.

I was just saying congratulations.

Thanks.

I'm through the initial layer of skin.

Can we increase the cautery level?

Do you need help?

- Adam? - I'm fine.

I asked for more cautery.

Dr. Croft?

You have a phone call. It's Dr. Watson.

Watson?

Adam, you need to see if there's another OB available.

Dr. Malena has café au lait macules,

at least one neurofibroma.

If something goes wrong...

Something's already wrong.

- She's not doing well. - I'm concerned

she has neurofibromatosis type 1.

You need to find another OB.

Turn up the cautery.

- Doctor. Dr. Malena. - Adam?

Adam?

Adam? What's happening?

Adam?

You were right.

Something's wrong with Dr. Malena.

Watson, I can't hear you.

I got a little lightheaded,

but I'll just re-scrub.

Respectfully, there is no way

that you are operating on my fiancée.

- You need a doctor. - Who's gonna deliver the babies?

Dr. Tichenor, how many C-sections have you done?

Well, I mean, I've assisted on several, but I'm only an intern.

No. We're having triplets.

He's barely out of training wheels.

Is there another attending available?

Dr. Fiore is in another delivery.

- He should be wrapping up soon. - Tell Labor and Delivery

to send him over as soon as he's done.

Until then, you are in charge of these babies.

Monitor fetal heart rate.

This is just a delay.

Fiore is excellent.

We are lucky it's him.

Lauren, I'm not gonna let anything bad happen.

Not to you, not to our babies.

Okay?

Cell towers must be down.

We can turn back around

and try to catch a turnpike ramp so we can get back.

Yeah, but who knows when cell service will be back up again?

You know, I think I saw a diner a few miles back.

They have to have a land line.

You-you bought me out

of all the shoofly.

If it really needs to be four dozen,

I can throw in some coconut clusters.

Excuse me, sir. Can we use your phone?

Listen, I'm sorry. My name is Dr. John Watson.

Hold on, buddy. I'm-I'm taking an order.

Please. We're both doctors.

There is a situation at our hospital back in Pittsburgh.

A woman is having premature triplets,

and her doctor collapsed. We need to call UHOP,

and the... the cell towers are down.

I got to call you back.

Scariest six weeks of my life was

when my little girl was in the NICU.

Take all the time you need.

You must

- feel like crap. - Maybe it's getting better?

I can't tell.

Oh, that's not what I mean.

Missing a triplet birth. That's once every five years?

- Oh, try seven. - Oh, yup.

It's like getting injured right before your gold medal routine.

Don't mind Dr. Derian.

She's got the bedside manner of a neurologist.

Hey.

We've got Dr. Malena.

We'll take care of her.

What do you need from me?

I don't know. How about, invent a time machine,

go to the end of this day, and let me know

everything turns out okay?

- Care to guess who's calling? - Bedford.

On the way to Baltimore.

Are you, by chance, eating pie?

We found a land line.

Fill me in.

Lauren and the triplets are waiting on Fiore.

It's just an intern in there for now.

Dr. Malena is having a hypertensive emergency.

- Her blood pressure's 220/117. - No wonder she passed out.

That would take out a man twice her size.

Neurofibromatosis alone wouldn't cause such a high reading.

We need to evaluate her for all possible causes.

First priority is ruling out a stroke. She needs a neuro exam.

If there's anything concerning, she should get head imaging.

All right, agreed. Anything else?

Could be poorly controlled

essential hypertension. I'd take a look at her chart.

See if she's been previously diagnosed.

Maybe she's not taking her medication,

or this could just be a bad hypertensive episode.

Okay. Very good. Sasha and Stephens,

dive into Dr. Malena's medical records.

Ingrid, do an exam and check for any signs of a stroke.

If it's negative, give her labetalol.

Get her blood pressure down.

And you can use this number if you need to reach us.

Make sure Adam has it, too.

Those pills.

They stop you from getting it, don't they?

They're supposed to.

I want to say something,

and feel free to take it

as... a promise or a curse.

Whatever happens, whatever this test says,

it ain't gonna change anything on my end.

And if you are...

fool enough to want me at your side...

if I'm lucky enough...

well, that's where I'll be.

But if it's care that you need, with this,

with-with... oh, with anything,

I'd be honored to do me part

there, as well.

Thank you.

Go.

You should be, um, shadowing oncology.

Nah.

I think I'm gonna wait right here.

- Thank you. - Mm-hmm.

Dr. Fiore's delivery...

it's not routine anymore.

He's still coming.

It's just, um... it's gonna be a little bit.

You said nothing bad was going to happen.

So far, it all seems really bad.

I'm holding this picture in my head.

It's the end of today, or tonight,

however long this takes...

...but it's of you.

You're sitting up,

holding one of our babies.

Everything's quiet.

The other two are sleeping in bassinets.

They can sleep, because they know they're safe.

- I like that. - Mm.

Adam, you want this, right?

Of course I do.

I sleep next to you every night.

I know when you're worried about your sponsee,

but you can't say anything.

I know when you're worried about something at work,

and you won't say anything.

I know your face.

It's like a book I get to read every single day.

I'm terrified.

I don't mean, here, today.

I mean...

everything.

I had a...

not amazing father.

He never said anything, but I knew,

I just... knew,

that I was in the way sometimes.

A lot of the time.

What if that's me?

You're smiling?

I am.

You just described the one thing I'm not worried about.

Adam Croft.

I know you.

I know who you are.

You won't be that.

You couldn't be that.

That's a decel.

Kelly's Pies. This is Kelly.

How can I make your rainy day sweeter?

My baby's in trouble. Please, I need John Watson.

It's for you.

Ingrid, what's going on?

It's Adam.

One of my babies keeps having decels.

- How low is the heart rate? - It started at 90,

but the most recent one went down to 60

and lasted for a full two minutes.

Where's the new OB?

Dr. Fiore is stuck in a vacuum delivery. Nurse says

it'll be another ten minutes, at least.

Adam, it's Mary.

You have to go ahead with the C-section.

How? I don't have an attending.

Use the intern.

You can't delay any longer

so you have to use the hands you've got.

I'll guide him through the fascia.

Hopefully, by the time he gets to the uterus,

Fiore's there to take over.

Hold on.

The babies need to come out?

Remember the picture.

Everything's quiet.

Everyone's safe.

Dr. Morstan wants to talk to you.

The medical director of UHOP?

- Andrew Tichenor. - Dr. Tichenor,

you need to start the C-section.

I'll be with you every step of the way.

Dr. Tichenor? Andrew?

Andy?

She can't hear you nodding, man.

Yeah, I'm here. Uh, An-Andy.

Okay, relax, Andy. Breathe.

You're not delivering.

You're just getting us most of the way there.

Now, what do you see?

I'm looking at a layer of fatty tissue with fascia underneath.

Kelly, do you have a second landline?

Good. That's Camper's fascia.

Now cut through until you see

the membranous layer underneath it.

Once you get through Scarpa's fascia,

you'll be at the anterior rectus sheath.

Okay. Yes. I know this.

Okay.

I got it from Miss Mimi's.

It's a nail salon.

Pie? A manicure?

Man's gone soft on us.

We're into it here with Dr. Malena.

These findings... we need a sounding board.

- Okay, tell me. - Her history shows

no evidence of hypertension,

she's never been prescribed blood pressure medication.

The screening labs are normal,

and her exam was negative for signs of a stroke.

I administered labetalol.

All right, then what's the issue?

Her blood pressure is still high.

221/185 when I left the room.

Well, she's not responding to the meds.

- What about her tachycardia? - Better. Down to...

Watson? You there?

Yeah, no. No, I'm-I'm good.

Um, so, if her blood pressure's not responding

to the beta-blockers, then,

it could be a tumor.

Do a CT on her abdomen and her pelvis,

and tell me what you see.

All right.

Oh, the, uh, the OR?

Dr. Tichenor's working his way to the uterus.

He'll call when he needs me. What just happened, John?

I'm good. Nothing.

- Oh. Come on. - I'm...

I got it.

If you're going to stick around, make yourself useful.

Distract me.

The trip you took.

Uh, you flew to London, what,

four times the last couple months?

You never said much.

I knew it had to do with him.

Sherlock Holmes.

The man that saved me.

That's right.

Not much to tell.

All sounds like high drama.

I checked the dead drops

that Holmes had set up all over London.

I left letters

in case Holmes was checking those same dead drops.

I went and saw various...

associates of ours.

Holmes always used to call them The Irregulars.

Dead drops?

- The Irregulars? - Yeah.

Sounds like a great adventure, innit?

But, uh, in the doing of it...

...uh, just me maundering around.

It was a folly.

Why? Because Sherlock Holmes is dead.

The version of the man that I was chasing...

the only place you're gonna find that Sherlock Holmes

is in the head of Dr. Watson.

Yeah. I'm terribly worried about John.

And as for Holmes...

Oh, I miss him.

I always will.

I did my duty. I'm glad of it.

And I'd do it again if called upon.

But if you want to know the truth,

my life...

...is here now.

My heart...

never left this city.

What are you thinking?

Wouldn't you like to know.

Tabby, I've been texting with your husband.

Your kids should be waiting for you on four

by the time we're done.

And the babies? The triplets?

We're waiting on news.

He'll call.

If Adam has an update, if he needs anything,

you'll be the first to hear.

Are you okay?

It's been a week.

So far, um,

I don't really feel much of anything.

I mean, Beck pretended to be my birth mom.

It was weird.

It was sick.

But in the end, I'm just back to where I started.

I'm just...

...numb.

I think that's...

normal... maybe?

Hmm.

Whoa.

A paraganglioma.

Right there in the bladder wall.

The pressure when her bladder filled up caused the tumor

to release stress hormones.

Watson was right.

Tabby is lucky we found this.

She could have died from a catecholamine crisis.

We'll start her on phentolamine before her biopsy.

Her blood pressure should respond right away.

I do believe that we have cracked the case

of the collapsing gynecologist.

Stephens. He'll call.

Yeah.

Do you remember Paul Fentress?

From med school? Of course.

Oh, God, he was brilliant.

I loved Paul.

When I didn't hate Paul, I loved him.

- He was my yardstick. - He was everybody's yardstick.

Seen him lately?

No.

I mean, the accident, obviously.

Mowed down in a crosswalk on Forbes.

You know, when Paul woke up,

he wasn't so brilliant anymore.

John, that is not going to be you.

You can come through this.

Okay? You can be fine.

I don't know. With this tumor,

I mean, the numbers aren't on my side.

What are you worried about?

Paul.

Paul never stopped trying to figure out the world.

He was exhausting to be around.

Yet, he was exhilarating to be around.

That's me.

That's who I am.

And when you look at Paul now,

he's just trying to find his way home.

You know, people think that I'm stubborn

because I won't pick a surgeon.

But the real reason is this question.

Do I want to live Paul's life...

...or no life?

Look, I have cancer.

Okay? And it's in my brain, and I feel like

maybe just the one bit of power I have left is

to keep myself from becoming Paul.

I hate to break it to you, John,

but you don't even have that much power.

Look, you can't just opt out because you're scared.

Okay, I get it. Of course I get it.

But people love you,

and you owe it to them to take this risk.

You owe it to Shinwell, you owe it to the Fellows.

You owe it to me.

- Hello? - Hi. I think it's safe to say

that we are in a very quiet,

very palpable kind of panic here.

- Tell me. - Tell me.

Still no sign of Dr. Fiore. Still no ETA.

Dr. Tichenor has cut down to the uterus.

Do we wait?

You're going to have to go with Dr. Tichenor.

Forgive me, one and all.

Things got a little complicated with my previous delivery.

I'm Michael Fiore,

and we are about to begin

an extremely unique relationship.

Uh, we'll skip introductions for now

and just call you Mom and Dad, okay?

Yeah, sure. You hear that? This is it.

Okay? Everything's gonna be just fine.

Adam, um, I feel weird.

Something isn't right.

Oxygen is in the high 80s.

She's getting tachy, and her blood pressure's dropped.

Mom's losing volume. Probably from internal bleeding.

But we can't help her until these babies are delivered.

Don't think about what they're saying, okay?

Just think about that picture.

Me sitting up.

- Our babies are sleeping. - Mm-hmm.

- Everyone's safe. - Okay, team.

These babies are coming out right now.

- Moving placenta to the side. - I see it.

There's Baby A,

a beautiful girl.

That's our baby.

I can hear our baby.

That's Baby A. So far, so good with her.

And there's Baby B, another girl.

You are doing so great.

We're almost there.

Something's wrong. I don't feel good.

No, no. We're gonna take care of you so soon, okay?

Just one more. You've got this.

If something happens, you'll take care of the babies.

Oh, don't talk like that.

We checked in together, we are leaving together.

- You hear me? - All right.

Grab baby by the feet.

Now, pull gently, and I'll support the body.

- How's Mom? - Blood pressures are holding

- for now. Hanging second bolus. - Okay, good.

And... Here we go. It's Baby C,

a beautiful boy.

Very nice work, everyone.

- Oh, my God. - Look at him.

He looks just like you. Look at his face.

Lauren?

Lauren? Lauren? Lauren? Lauren?

She's crashing.

Systolics are in the 90s and dropping.

Wait, what... what's happening?

- What's going on? - Could be uterine atony.

Both placentas delivered, performing fundal massage.

Prep that third bolus.

I'm very sorry, Dad, but right now,

I need to focus on Mom's safety,

and for me to do that,

I'm gonna have to ask you to leave.

Please?

- Just take care of the babies. - Yeah.

You take care of the babies.

I will.

What are their names?

Olivia, Isabella

and Hamish.

Olivia, Isabella and Hamish.

They are so beautiful.

Lauren hasn't even met them yet.

She will. Soon.

Yeah.

Look at you.

You thought you didn't want this.

Adam.

Lauren just got out of the OR. She's in the PACU now.

How is she? Is she better?

They transfused her and stopped the bleeding.

You should see her. Now.

I'll be here. I'll stay with them.

Adam, are you okay?

I heard the triplets are here.

Adam, okay, tell me about Lauren.

She lost a lot of blood.

They gave her methylergonovine, carboprost and misoprostol.

It didn't work.

They finally had to put in an intrauterine balloon.

She's stable right now, kind of.

But nobody knows what's causing the bleeding.

If Lauren's blood pressure tanks,

she might have to go back to the OR.

Watson, I can't do this alone.

I can't lose her.

No, you are not gonna lose Lauren.

We're going to figure out what's wrong with her.

Tell me what you see.

Tune everything else out.

Tell me what you see when you look at Lauren.

I see Lauren. I see my fiancée,

and she looks really bad.

Okay. No. Look closer.

Go deeper, Adam. This is it.

This is what I've been training you to do.

Look.

She's pale.

Paler than she was when I got here.

Her BP ticks down every 90 seconds or so.

There's blood at her IV site. That's weird, right?

Yeah. No, that shouldn't be happening.

Postdelivery bleeding wouldn't affect the IV site.

Go see Dr. Malena. Keep me on the phone

and move as fast as you can.

- They told me the babies are safe? - Yeah.

- What are their names? - Olivia, Isabella

and Hamish. You're on with John Watson.

Dr. Malena, we have to talk to you about Lauren's C-section.

At the start of the operation,

right before your symptoms got bad,

did you notice anything unusual?

Nothing I was worried about.

But Lauren was on the oozier side.

- More than normal? - Yes. Again, nothing dramatic,

but I had to cauterize more than I usually do.

Did I miss something?

Lauren's in DIC.

She probably had a placental abruption right before the OR.

Her body has used up all of the clotting factors,

and now, she can't stop bleeding.

You need to get off the phone right away.

Lauren's in DIC. She needs FFP and cryo.

Get me back on with the blood bank.

Send a PACU nurse there right now!

Lauren's getting treatment.

Okay? We'll know more soon.

I think it's your turn.

I told you everything that I was leaving out.

Everything that I was not willing to say.

Now I think it's your turn.

Who says I'm leaving something out?

You did. I mean, you didn't use words,

but it was the way you reacted

when I talked about Josh's new job.

And some other stuff that happened.

You really are an exhausting ride.

You don't have to say anything at all if you don't want to,

of course, but, uh...

I've been waiting for the right time.

I guess there's never really gonna be one.

Josh... has a few job offers.

He wasn't sure if he wanted to take that gig with the Rams.

He slow-rolled it for as long he could.

What made him change his mind?

I got approached.

A few months ago, a headhunter reached out to me.

I blew them off at first, but they kept coming back.

They're looking for a new chief medical officer at UCLA Health.

Someone to head up the whole system.

I don't want to leave Pittsburgh.

I don't want to leave home.

But I took the job.

I couldn't not take the job.

I said yes, and then Josh said yes.

I'm leaving UHOP.

I'm moving to California next month.

Who died?

Nobody.

Nobody.

And our babies?

They're here.

They're here, and they're all waiting for you.

Lauren responded to the treatment.

The triplets are stable in the NICU.

Hey, Kelly, you can have your phone back.

- Thank you so much. - Hey,

you can thank me by taking a dozen pies back to your friends,

handing 'em out, telling 'em we ship.

Oh, we would be honored. We're gonna do that.

All right, hey, let's get rolling.

I will upload the directions back to UHOP.

John Watson.

John Hamish Watson,

I know you've been busy, but come on now.

Hamish?

That man named his son after you.

He loves you. They all love you.

We are not driving back to Pittsburgh.

We started this day headed to Baltimore,

and that's exactly how we're going to end it.

- Okay, but Niles... - But Niles, nothing.

Dr. Niles will make time for us in the morning.

Isn't that what you always do when somebody needs your help?

Let's go to Baltimore.

Hmm.

Chief medical officer of UCLA.

They say they're going to put me on billboards.

You're going to be incredible.

You're going to amaze them all,

every single day.

Hi, Olivia.

Hi, my sweetie.

I'm your mom.

I'm so excited to meet you.

You are so perfect.

I love you so much.

Is this how you imagined it?

It's exactly right.

It's perfect.

- We did it. - We did it.

Hi.

Hi, my love.

Hi, sweetheart.

I love you.

They're ready for me now.

I can officially go meet the triplets.

Stephens, they're infants. They don't care how you look.

But...

you look great. You're gonna be great.

Right. Thank you.

I have to go wash my hands.

Don't forget their names.

Olivia, Isabella and Hamish.

Hamish.

I can't believe Adam pulled that.

Kiss ass.

I can feel you lingering.

You don't want to talk about what happened with Beck.

I get it. I respect that.

But there's something I got to say to you.

You never should have let Beck in your life in the first place.

You never should have let him in my life.

But once you knew, once you saw Beck for what he really was,

you went over to his place anyway.

You exposed yourself to him,

and you put yourself in danger.

And I appreciate that.

I haven't seen you smile in a while.

That's what Beck wanted, you know.

He couldn't stand to see someone like you,

strong and kind, and just leave that alone.

Kind of just feels like I'm leading with my chin.

That might be the saddest thing I've ever heard.

Welp, let's see how I feel tomorrow.

Now if you'll excuse me, I'm gonna go meet those babies,

and then I'm gonna have sex until my head explodes.

Sounds fun. Let me know if you need a clean-up crew.

Detective Lestrade. To what do we owe the pleasure?

I was hoping to have a quick word with Dr. Derian.

I was looking at our file on Beck Wythe.

I have a couple questions.

I gave my statement already.

Just want to review a few details.

Now a good time?

After you, Detective.

Oh, hey, hey, hey, hey.

- Your phone. - Hmm?

A message just came through.

- Is it the results? - Yeah.

You want me to look?

No.

Yeah. No. Um, I'll do it.

Hey.

It's okay?

It's all going to be all right?

I'm negative.

Negative?

I don't have HIV.

I got to get follow-up labs drawn,

but, uh, yeah, I'm negative.

You've got some paid time off, coming up, right?

- I do. - Yeah, three days,

the rest of the week.

You're gonna claim three days off,

and you're gonna let me spoil you.

All right?

Okay, then.

That's settled.

Negative.

Hey, I have this idea.

We should get married.

You're serious?

Shinwell.

- I've been trying to call you. - My phone's on "do not disturb."

We need you in the ER. There's some guy down there,

and he's in bad shape. We don't know who he is,

we don't know why he's here.

But he's holding a piece of paper,

and it's got your name on it, and your phone number.

Go.

Go.

I'll take those days.

We can finish this later.

Please don't come to your senses

while I'm down there.

My God.

Sherlock?

Guv?

Are you all right?

Do I know you?

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