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I had a car accident.
And I lost eight years of my memory.
You have memories?
They're just weird flashes and seizures.
I know my brain is trying to warn me about something. She keeps pushing
herself. She's on the road to losing her job.
What's happening to her?
I need my life back.
Chief resident is up soon. Consider throwing your hat in the ring. You want
more responsibility?
I run circles around her every day. I should at least be considered your chief
resident. You'll be doing it together.
Let me run internal medicine.
I'm going to miss you so much.
You've got plenty more to give.
So do I.
Want to give our date another shot?
Big smacks. And I screwed up in the worst way. I can't live in the past
anymore. I need to move forward.
Amy Larson.
Dr. Ben Grant. I saw you speak three years ago. I don't know what this is,
but you make me smile.
Sorry, I wouldn't remember that.
Okay, now.
Lights up!
What's here? A cup closed in my true love's hands.
Poison, I see, hath been his timeless end.
My lips are still warm.
Lead, boy.
Which way?
More feeling, Tori. Again.
Lead, boy. Which way?
Yay. Noise.
Then I'll be brief.
Oh, happy dagger.
This is my sheath. Their rust.
And let me die.
This is the place.
Paul, what are you doing? You're dead. Mr. Gallivan?
I think... Tori!
Tori! Mr. Gallivan? Tori! Is she shot? What if there were blanks in the gun?
It's a cat gun, Josh.
Oh, my God!
What the hell is happening to her?
I need an ambulance.
Tori! Tori!
Aberrant frontal lobe activity seems to have settled.
Signals are much more organized.
And looks to me like her old neural pathways have actually been recovering.
I think that's what caused the seizures to begin with. Wait, that doesn't track.
New blood flow, new wiring connections, unstable as they reorganize. Neurons
sending improper signals.
She overloaded. Yeah, look at this. This was taken two months ago, just before
the contagion. The blood flow was already increasing, but then look how it
compares to today's.
She's healing and healing fast.
She says no headaches, no nosebleeds. No headaches, no nosebleeds. I get an
occasional memory, but pretty uncontroversial.
Well, I'm assuming she'll want to pursue those then.
With TMS?
And TMS?
No. Past is just a distraction.
I won't get into it anymore.
And she's insisting she's ready to work.
You worried about her or your department?
Both. Especially when she thinks Joan sacrificed her life for her. I know this
is what Joan wanted for you.
Is this really what you want for yourself?
She knew what I needed to do.
It's time to put my needs aside.
No more figuring out my thing with Michael. No more worrying about what I
have with Jake. It's time to move forward, to teach, and to be of service.
And now she's got to honor that mission, no matter the cost.
Are you sure you're ready?
I have never been more ready.
I feel like this is what I was always meant to do.
Before my world got turned upside down.
Well, keep an eye on her. I want daily check-in, neurocogs three times a week,
and bi-weekly fMRIs.
You're on the hook for this as much as anyone.
I know that.
Am I cleared or what?
Dr.
Coleman, Dr. Coleman.
Bitch. I heard you were coming.
If you all will have me.
Ah, this is Dr. Costa.
That's fortuitous. Heard all good things.
Likewise. And Dr. Hamda certainly sings your praises. I hope I can live up to
that. I apologize. I'm going to have to push back our meeting a little bit.
We've got a lab call I've got to handle.
No problem. Actually, Dr. Gamora said they wanted to show me around, so I'll
just... I'll hit him up.
Sounds like they're bringing in the whole cavalry.
I've got to get past the chief first.
I'll let you know when I'm free.
Why don't you scrub up? I'll see you in there.
Good to have you back.
You got a lot of fans here.
Thanks.
They're a strong group.
I think we're in good shape.
I still remember my first day as an intern. I was so nervous.
I couldn't feel my feet.
Sure, I really helped buck you up.
Not so much.
Do you have any idea what Jake's doing in there with Dr. Matos?
Nope. No idea.
You know I love you, right?
Okay, well, let's do this, yeah?
Give him hell.
So you're having second thoughts about peds, and you figured, why not give
cardiology a shot? No, I've always been back and forth in between the two.
And I understand there's enough funding to add another fellow. I spoke to Dr.
Kamara. There is. Would have been nice if I was in the loop.
You're in the loop now.
That's why we're doing this. In your office.
Margaret.
I'll have to look at my roster and talk to Kamara.
Just lay low. Give her a minute to feel like it's her decision.
What's up with the scrubs?
General's got a lead from the front.
Like a Zelensky kind of thing?
I really hope you're not rushing this, Amy.
Gina walked me through the game plan.
I assure you, I can do this.
Nikki, right? Stanford undergrad, honors at Yale Med.
Do you know my social security number, too?
Uh, 1410069412.
That was 10 digits. Social's 9.
Yeah. You know what? You got me there on the gram.
We all know who you are.
Really? Give me a break.
Your parents gave, what, 20 mil to the hospital?
So, what do you think about this whole co-chief situation thing?
Major's a waltz card, but we all know Larson's a ball buster, huh? At least
Larson 1.0 was. Guess we'll have to wait and see about the TBI version.
Ouch.
Don't let anybody else hear you say that.
They both come from the Joan Ridley camp, so you know it's going to be doggy
dog.
Hi. Hi.
Dr. Matra. Ruth Chen. This is Cal Ferguson.
Very excited to be here.
Looking forward to training you.
I'm going to need more than him. You're already published in JAMA. And you're
23, already finished med school.
I was homeschooled, so didn't have the traditional trajectory.
I know. I heard last week was the first time you were on a plane.
Yeah. I just moved here.
Getting acclimated as quickly as I can.
Buckle up. It's all going to move a lot faster than you're ready for.
Okay. If everyone can settle in, we'll get started.
I'm Dr. Michael Hamda, Chief of Internal Medicine.
These are your co-chief residents, Drs. Sonia Mitra and Amy Larson.
I'll let them take it from here.
Okay. Welcome.
I'm sure you all have those butterflies, which is to be expected.
But you're here because you deserve to be.
And you should know that because Joan Ridley chose you.
It was one of the last things she did before she passed away.
So I don't say this lightly.
You are here to carry on her legacy.
This is a calling.
It was for Dr. Ridley. It is for me. And we are going to find out if it is for
you. And if it is, you can be damn sure we're going to help you fulfill it.
Okay, then.
Dr. De Silva and Dr. Ferguson, you'll trail me today. And Drs. Barker and
Chen, you'll be with Dr.
Larson. When someone is this blatantly negligent, it usually means that they
are trying to fail.
Until then, see Julie in the nurse's station. She'll get you your
assignments.
First up is Tori Harris, 16.
She had a grand mal seizure yesterday afternoon. No apparent underlying
conditions. She had CT and lab work done in the ER, and they brought her up here
this morning for a consult with Dr. Walker.
Tori will be shaken up, and assuming there's a parent in there with her, they
will be extremely anxious. So let's be mindful of our bedside manner, not just
the medicine. Yeah?
I don't understand how this can just come out of nowhere.
I've never had anything like this before.
hi i am the chief resident dr larson and this is dr chen and dr barker do we
really need all these doctors please don't be alarmed these are our interns
teaching is part of what we do here so what do you see on the ct scans um
ventricular volume symmetrical no masses or signs of ischemia
That means no stroke, which is a good thing. We've already been over this with
Dr. Walker and her blood tests are all normal. Why doesn't anyone have an
explanation? And what's happening with this thing on my head now?
It measures the electrical activity in your brain. Confirms you definitely had
a seizure.
And what are the signs of that?
Postictal state.
Meaning? Diffused delta-theta slowing.
Which means your brain's been overworked.
Yeah, I get that.
How are you going to fix me?
You into medical school?
No.
So maybe let us figure it out.
Right now, you are stabilized, and we are... Yeah.
No, they still don't know what the hell this is.
You're freaked out. I'm the one that spent the last 14 hours getting my
entire body scanned.
I'll just text you later. The doctors are here. I gotta go.
Sorry. My friends are kind of tweaking.
Understandable.
Now, what can you tell us about how you were feeling yesterday?
Headache? Dizziness?
Flashing lights?
No. I told him this in the ER. How about in those moments right before you
seized?
We were in tech rehearsal, doing the big scene where Juliet's going to kill
herself. To be honest, I was kind of nervous because I kept missing my cues.
And then I heard the fake gunshot, and I... Dr. Larson?
Is something happening?
She's going to seize again.
Tori?
Crash cart, IV lorazepam, intubation kit. Dr. Barker, stabilizer on the left.
Why is this happening again?
Mrs. Harris, please step back. We've got this. Dr. Barker, stabilizer.
That was the supply cart.
The crash cart will be in the hallway.
I've got it.
Oxygen, Ruth.
Yep. Now.
Come on, now.
Here.
I'm sure you're aware Felicia Turner and her husband launched a complaint against
Dr. Larson today.
I am.
They mentioned you were present during some of their interactions.
I was.
Though I'm not sure what the point of this is.
Just tell me what you observed, Dr.
Maitre.
The woman's pregnant, and somehow Amy couldn't imagine why she'd be anxious
about her baby's health.
How so?
Amy was Amy.
I don't know what else you want me to say, especially since we've been down
this road before, but her behavior doesn't change.
It can take some time to adjust the culture of any institution.
But you're not going to fire her, right?
No matter what she does?
Yeah.
I thought so.
Dr. Maitre, give it a few months, okay?
People who matter see your value here, and it won't be forgotten.
Next up, 38-year-old male reporting chest pains, shortness of breath, family
history of heart disease.
Fairly typical cardiac profile. You'll be seeing a lot of these, but we don't
always catch the exciting ones.
And any particular stress lately?
Stress? I mean, one of my students had a seizure yesterday during rehearsals. Ah,
she's here.
Tori, right? Our other doctors are treating her. That's a HIPAA violation,
Dr. Da Silva.
Right. Sorry. I've been texting her. She says that she's had a bunch of tests,
but you still don't know anything.
I know you're concerned, but we're not at liberty to discuss another patient
with you. Now, if you could tell us about your... Is your head hurting now,
too? Yeah, it feels like a migraine.
Have you had those before?
No, never.
Dr. Da Silva?
Feeling any sensitivity to light?
No. Does the pain radiate anywhere?
What does that mean?
Does it go down your back or arm?
I don't think so. I am feeling a bit dizzy, though.
Dr. Ferguson.
I'm trying to reconcile why you're having heart and head pain
simultaneously. Could be a stroke. What? Or carotid artery stenosis.
What is that now? Dr. De Silva, it's not your turn.
Dr. Ferguson, let's stick to more likely scenarios and try not to frighten the
patients.
Am I allowed to posit angina?
You are.
Given the family history of heart disease, would it be too aggressive to
suggest an NGO?
It would not.
Now explain to Mr. Galvin what that means.
I caught you having a memory when we were in the story.
Oh, I've got a highlight reel of the Wicked Witch of Westside coming at me.
It's like a running podcast of how not to be very instructive. Come on, Amy.
I'm on a limb here. So is Dr. Cheryl.
I'm dealing, Gina.
I can bat them away.
Get Tori settled in radiology and have Graham bring those test results as soon
as they're ready. Yep, on it.
TJ said you were here.
In the flesh.
Looks like you're healing well.
All good.
First day of my new gig.
Ah.
I was very sorry to hear about Joan.
She was one of a kind.
And Richard.
TJ said he moved on. He needed a fresh start.
He's just over at Eastside.
Well, it's great to see you.
Both of you.
And you, Dr. Grant. Give him whatever he asks for.
We'll see.
It's good to see you back, Amy.
I guess we've got Dr.
Grant's steady hands to thank for that.
Indeed we do.
Shall we?
Please.
Do I sense something there?
I'm close to business.
Just saying.
If I went the other way... I can still feel it.
Hello. Ben Grant's a cowboy, which I'm sure you know is a problem for a lot of
surgeons, especially the ones from New York.
I do, sir.
That's not me.
Stay centered on my instruments.
Horizon level, don't chase the action.
I know you were a medic in combat, so you've got a lot more experience than
most residents, but I want to make sure you walk before you run.
Yes, sir. Absolutely.
You're beating yourself up.
What? It's your first day. Anybody could have made that mistake with the crash
cart. The important thing now is how you rebound.
And consider that not everybody's meant to be a doctor.
Thanks.
I appreciate that.
Remember what I said this morning. You belong here.
So now that you're not working with Dr.
Larson, you're kind of lost.
Is that it?
Come on, Margaret.
I take what I do very seriously. I don't appreciate people in my department being
half-hearted.
Is that a pun?
Won't be charmed, Jake.
But we do have some money.
Only three months, but at that point we'll reassess.
Okay, that's not... You can't possibly feel you were promised something. No,
no. I'm happy to better myself.
Appreciate the confidence.
Now you can trail Dr.
Douglas this week.
She's tough.
But you've had tougher.
I can't believe I'm 38 years old and there is a catheter in my heart right
now. I know, but it sounds scarier than it is. Just try and breathe and think
about something else, okay?
Besides my favorite student flailing around on the floor of my theater, yeah.
Okay, I'm going to inject the dye now so we can map out your arteries.
It's not quite oriented.
It's like a maze.
Inject more and let's see what we see.
Hard left there.
I'm just feeding the catheter in a bit deeper. Just keep thinking about Juliet
on that balcony.
Not funny.
And we couldn't afford a balcony.
Come on, Mr. Galvin.
Deny thy father.
Refuse thy name. Now that's funny.
I played Juliet and Rosita. These arteries are totally clean.
Well, that's good, right?
Now we can't explain your symptoms.
Okay, Liz, come here. Let's stabilize him. I gotta get this catheter out.
What's going on?
What's going on?
Tori's cerebral parenchyma looks healthy.
No mass or bleed. No stroke.
Vascular malformation. Cortical lesion.
No signs of encephalitis.
I mean, there's no physical reason she should be having these seizures.
Her drama teacher just had a focal seizure.
Can't be a coincidence. They're both having a neurological response.
It has to be an acute environmental exposure.
From the theater.
Which means there are going to be others.
So, Michael sent me home for the night.
Apparently, Sonny ratted on me for being so hard on Felicia.
You've got to be kidding me.
It almost makes me think that maybe she has a thing for you.
What, and this is like payback?
A woman scorned.
No, no, no way. Plus, I mean, she doesn't know about us.
Speaking of which...
See you at my place in an hour.
Yeah, sounds great. And Jake, maybe bring something more than just a
toothbrush.
Wow. That almost sounds like a level of commitment.
I think it's time that I tell Katie about you.
And maybe introduce you.
Yeah, yeah. Same for me, yeah.
I'd love that.
And I love you.
Thank you. You stay here in that.
I'll see you there.
Well, you need public health in there to test the theater. And we need to know if
anyone else has reported any issues.
Have any other students called out? So, cardiology.
Long story.
It could be a lot of things.
How goes it with the interns?
Getting my footing.
Big shoes to fill.
That almost sounds like a level of commitment.
You just have a memory?
Yeah.
I know you can't reveal names to us, but you need to contact their parents and
have them brought here.
I appreciate it. Keep me posted.
Two more left school with dizziness, one other with numbness in their right hand.
All from the theater. He was cagey, wouldn't say.
Okay, well, that's helpful.
He's trying to cover his ass, but he will call public health. What about the
kids? Are they coming in? He's going to push. Once they land, we cross-reference
symptoms, see if we can find a pattern.
When did the dizziness start?
In math class.
Around 11 o'clock, maybe.
Any changes in your vision?
Not really. Is that part of it, with the dizziness? We're just gathering
information. You said the drama teacher's here, too? Yeah, and Tori. You
wouldn't believe what happened to her dad. We're not permitted to discuss
that.
Do we all have the same thing? Did you smell anything unusual at the school?
No, I don't think so. Is that what it is? A gas leak or something?
We're still evaluating, and public health is testing the school right now.
Dr. Ferguson, do you have any questions?
I do.
Absolutely, I believe in being aggressive. Now, if you're asking me if
I'm pathologically in love with cutting... No, my ego's aligned with
outcomes, not bravado.
And why Minneapolis?
I grew up here, and my sisters had some health problems, plus two teenage boys
you could use a role model around. Look, the thing is, I could just go to Mayo.
What I'd hoped to do here was build your department.
Well, that's the idea for bringing you in.
I guess what I'm saying is if I'm coming to Westside, it'll only be to run
surgery.
You want to replace Dr. Costa?
Now, don't get me wrong, he's solid.
I'd welcome him as part of my team. I'd even be willing to...
Reduce some of my own salary so he takes home the same as what he earns now. It's
not about money for me.
What is it you think you can bring that we don't already have now?
Internal medicine's been your bright and shiny here for a long time, but Dr.
Larson's not a draw in her current capacity.
In any case, you need surgery to be your guiding light. That's where the edge is.
That's where the grants are. That's where you get your superstar recruits.
And with my auspices in reach, I'll certainly be able to pull those people
in.
It'll be all the same test for Paul in 618.
Call pathology, tell them I want them all expedited.
Hi, my name is Betsy Fuller. This is my son, Josh.
He was in the theater. We were told everyone's checking in on this floor.
Okay, is he one of the students displaying symptoms?
Well, not yet, but we've heard it's up to six people.
Four, actually.
You said it was six. Well, I don't know. That's what I was told. Well, he still
needs to be seen by the doctors. I understand.
Fill out this form, please, and have a seat in the waiting area.
Tori? She went on responsive pressure 210 over 112, heart rate 48, and her
left pupil's fixed.
What the hell? What's wrong with her? That can't be from new onset. Someone
needs to tell us what this is. What's going on with her? Is this contagious?
Just try to be calm, please.
Nothing to say?
Matthew Reddy's stable?
Dr. Park's covering the ICU and Dr. Barrett's handling Kim Trent's angio.
Everything's in hand. I meant about the complaint.
Felicia Turner complained.
I was asked what happened and I wasn't going to lie.
Right. But the truth can be subjective.
And I'm wondering if you told Dr. Hamda that you missed splintering fingernails
and thus the diagnosis this morning.
Look, I wasn't going to tell you this until tomorrow, but so long as we're
here... I'll be offering my resignation.
Effective in two weeks.
You're quitting.
Because you don't like my leadership style. I'm sure you think it's a style,
but everyone besides Dr. Heller thinks it's abusive.
And I don't need it in my life.
Well, I'll expect to hear from you in a year or two.
Apologizing and thanking me for everything I've taught you.
They told me the MRI was finished?
Just about.
No lesions.
Ventricles look good so far.
How are you doing today?
Tricky case?
No, I mean, being chief resident with Amy.
Oh, yeah. She gave a pretty rah-rah speech to the interns this morning. Kind
of the polar opposite of how she used to be, so that was interesting.
Yeah, I'm sure she's trying a different type this time around.
What about you? Fear out of your approach yet?
Tough love without the snark might be kind of a role reversal with her getting
all touchy-feely How are things going with the two of you?
We split up Really yeah, just trying to figure out the equilibrium now,
you know working together Well, it's day one.
I'm sure you'll get there
The teacher's CBC, CMP, head imaging all looks normal.
Tori's in surgery.
She has to have some obstructive process in her brain. But we imaged the other
kids, none of them show clotting. And we cleared them all on recreational drug
use. Tox screen's all normal.
Okay, so what's our profiling indicate?
No respiratory symptoms, which rules out molds, formaldehyde, carbon monoxide, no
peripheral neuropathy.
No fever, so...
no cyanotoxins from the hvacs something doesn't make sense tori had her first
seizure yesterday afternoon but none of the others started showing symptoms
until today if it was acute exposure they all would have been swarming the er
last night we need to re-interview them all and scrutinize the timeline
something's got to shake out have you heard anything from the school we're
still waiting on the testing okay so how long will that take uh yeah um
Some of the potential toxins they can test in a matter of hours, others can
take a day or two.
Can you please help us?
My son needs to see someone. He wasn't exhibiting any symptoms when he arrived,
but he's starting to feel dizzy now.
And I've got, like, a numbness down my arm. I was just about to admit it.
This has gotten worse since you've been waiting?
Yes, it's been coming on strong.
And no one can tell us what the incubation period is.
Full workup. Room 619.
Oh, it's about time.
She said that Tori was going into surgery.
Are they going to be able to help her? Yes.
Please just go with Dr. Chin. We'll work it all out. Okay,
there
is a clot.
What are our options? Open the transverse sinus and drain it. Or?
Put in an extra ventricular drain and anticoagulate.
Exactly. But her recovery time could be two weeks.
You're not worried about the prolonged pressure to the brain?
Well, stop heparin will tackle that.
Sticking a scalpel in there carries plenty of risk.
Okay.
Prep the drain kit.
Before math, you were in English class, and you said you were worried about
Tori? Nobody knew what was happening to her. And we heard Mr. Galvin wasn't
coming in either.
How did you hear that? There was a group chat.
With a theater group?
Yeah. Do you mind if I have a look at that?
Yeah, sure.
Seems like everyone was getting pretty worked up.
I mean, yeah, of course.
Rapid response team to 619.
Rapid response to 619.
I'm sorry. Excuse me. I'll be back.
Excuse me. Excuse me. Do something!
This is the same thing that happened to Tori.
Stop.
Two milligrams of azepam and nasal product oxygen. For a brain herniation?
This isn't neurological.
What are you talking about? He's catatonic. This is all psychological.
It's mass hysteria.
I thought you went home an hour ago.
Just checking in on Ray Porter post-op.
I spoke to his daughter, clarified the prognosis.
Sorry, I tried to play it down to her before.
Don't be sorry.
You're the one person I can count on to take instruction without whining.
I heard about Sonya leaving.
Spoon-feeding approval is no way to make good doctors, any more than soldiers.
Funny thing is, she is pretty hard in her first years.
Well, she can take her thin skin and hypocrisy elsewhere now.
Yes, she can.
How are you doing?
Good.
Great. Did you follow up on what we talked about?
The nightmares?
Oh, um, yeah.
TJ, you can't white-knuckle your way through everything.
Isn't that what you do?
Something wrong?
No.
So he's okay? He's okay, but I don't understand.
it's called conversion disorder it's a contagious psychological response within
a community that is harboring acute stress the witches in salem or all those
girls in iran a few years ago when your son and the other students saw tori sees
in the theater that started a chain reaction then mr galvin called in sick
and they started to panic then the group chat just contributed to this
fomenting anxiety that accumulated and amplified into this so when josh saw
tori his mind just made him copycat that essentially yes you saw the longer
he was in the waiting room around all that fear and agitation the more he
started to manifest those symptoms we could run a dozen tests and nothing
would show up physically i saw that on the group chat everyone's test came up
negative I can assure you this is a psychological reaction to shared stress.
Shared stress?
They're teenagers, I'm a grown man. I know, but unfortunately that doesn't
make you immune.
Well, I have put on plenty of productions.
And believe me, this was not the most stressful.
So you can't tell me that I'm here and I put everyone else here because I'm some
sort of taskmaster.
Look, I'm not saying that it's the plane necessarily, but it must be something at
the school. And without knowing the source of that trauma, this could go on
for a long time.
Okay, for all of you. This is insane.
Think, Mr. Galvin. What could it be? I have no idea.
And how is this a delusion when Tori's in surgery?
There's the sagittal sinus.
See how it engorges those corticals.
Stalking your prey?
I can get a feel for how he's been running the department by watching how
he cuts.
And you really think he's that conservative?
He's putting a drain into a CVST patient and counting on the heparin to do his
work for him as we speak, so... But I think you already made your decision
before you came in here.
What's the status of your transplant bridge trial?
We understand you're about to enter the human phase now.
My intention is to keep an eye on it from here and travel to New York as
needed. But I assure you, it wouldn't be a distraction.
No, that's not the concern.
If you could get it moved here, the board's prepared to divert $3 million
from one of our research grants to your study.
Plus, everything else you asked for.
You know I have partners.
Yes, but you're the lead, and we just doubled your budget. So, get it done.
We've got a deal.
So we've relieved the pressure that was causing a seizure and put in a
microscopic drain to prevent it from coming back. You left something in my
brain. We'll remove it in a couple of weeks.
After another surgery?
No, no. We'll just pull it out slowly.
It's painless.
I've got to be here two weeks.
We've also got you on blood thinners, so we'll need to monitor you closely.
We appreciate it, Dr. Coleman. If we could have the room now?
Sure.
Yeah.
Now, we'd like to go back to what was happening with you yesterday, before the
rehearsal. I already told you.
Didn't have any symptoms.
Oh, we're not talking about physical symptoms.
Walk us through your day at school.
I had English, then math.
I had a test, but that wasn't a big deal.
Then a free, then lunch.
Then there was a lockdown drill.
Then history.
A lockdown drill?
Yeah. You know, like an active shooter or whatever.
You know?
Did something happen during the drill?
Happen? No, same as always.
Which is?
Lock the door, turn off the lights, move the desk to block the door in case
there's a shooter.
And do you find that stressful?
No, it's what we do. We're used to it. Just because something's been normalized
doesn't mean it isn't having an impact.
I suspect, on some level, those drills can be traumatizing.
Traumatizing. Sure.
For everyone, even the teachers who have to do them.
I mean, the last time we did one, there was this one girl who had a panic
attack. But we all just kind of thought she was being extra. When was that?
I don't know. A couple months ago, maybe.
We do them like six or seven times a year.
So when you heard about the girl who reacted like that, how were you
affected? I didn't hear about it.
I saw it.
There was a video that went viral.
We all saw it.
What was your reaction when you saw this?
We felt sorry for her.
I don't even understand why we have to do these drills all the time. It's like
we've been doing them since we were eight.
We get it already.
They stopped calling it an active shooter drill.
Like we'd be pushing desks against the door for a hurricane.
Tell the students to follow them. Like, why do we have to keep going through it
again and again?
If the schools don't train everybody, then they'll be liable if something
happens. And after that girl had her panic attack, did anybody go to the
school counselors or report having similar anxieties?
I don't even know if the kids realized it was bothering them. I mean, if they
did, would any of this be happening?
I certainly wouldn't have given Juliet the gun in that scene.
I just thought it would be cool and modern.
My thought is when you heard that gunshot on stage, that released all of
the anxieties you've been carrying since you saw Heidi have the panic attack in
that video. Not to mention the anxiety you probably have felt about those
drills and what they mean for a long time.
So if this was all in my head, why did I need surgery?
It turns out you have an underlying blood clotting disorder that was dormant
and the acute stress.
brought it out and tightened it. But only temporarily, right?
Unfortunately not.
Now that the condition is manifest, it'll be chronic.
For the rest of her life?
We can treat it with anti-seizure medication, but that does have side
effects. And yes, it will be for the rest of her life.
You're saying the lockdown drills did this to her? I'd say it's the stress of
being a teenager in a very complicated world.
Totally selling.
Cognitive behavioral therapy, but it's going to be a long road.
Parenting. And then some... You know, I was cramming for all this stuff
for pediatrics, and it just started making me look at me like a patient.
Didn't much care for that.
That's the change to cardiology.
Yeah.
I think it's time that I tell Katie about you.
Do you have another one?
Oh, no. It's nothing. It's just not a big deal.
Um, okay. Well, congrats on today.
You did great.
As expected.
You too?
Yeah.
I'll see you tomorrow.
Okay.
I wanted to catch you before the official postgame, see how you thought
today went.
Ah, yeah.
Wild day.
I mean your performance.
Oh, uh... Self-analysis will be crucial, but since you haven't engaged in that
yet, I can go.
You started the day with a HIPAA violation, then tossed out worst-case
scenarios to an anxious patient with stress-related cardiac issues, then
walked yourself into the lion's den of those terrified parents, completely
unprepared to answer their most obvious question.
You're right. I'm sorry.
You already know what you're supposed to do. What's going to change?
You're extremely smart, Nikki, and can be a great doctor, but I don't want to
hear you're sorry.
I want to know what you're going to do to turn things around.
Think about it tonight and come back to me tomorrow.
Great, thank you.
Not exactly in keeping with the speech we gave this morning.
Our job is to teach them. If they're snowflakes, they're not going to cut it.
I heard you had the trippies case today.
Trippies, one word for it.
You know, I never did a lockdown drill.
Do they really do it at all the schools?
Yeah, at mine they gave out rolls and had us all act it out.
One kid played the shooter, a bunch of us pretended to get shot.
Not possible. Then they told us to fight back, throw books at the shooter.
That just can't be true.
Six times a year, every year since second grade.
Oh my God, Matra just busted me for a couple of misdemeanors. Be well.
Ruth was about to shove a tube down a patient's throat when he didn't need it.
And Larson lets her off the hook.
I heard that they were both vying for the job. Now they gotta share it.
It's gotta be interesting, huh?
Hey, stranger.
Missed you at our department.
Sounds like you managed it all with style.
Gotta admit, felt pretty good.
Well, I guess you're glad you didn't quit last year.
Hey.
You are one of the only people who knows about that, and I don't need the interns
finding out Amy and I didn't get along. Or that the only reason I stayed is
because she got demoted after her accident.
Well, this guy is glad that you did.
This is Katie. Leave a message.
Hey, it's Dad. I texted you, too.
I just wanted to check on you. Ask you if, uh... Well, just call me.
I love you, sweetheart.
I called her, too.
I think she's at some fraternity party. We'll hear from her tomorrow. Yeah.
Did she ever mention anything to us about those lockdown drills?
Nope.
You always thought it was overkill, asking the kids to carry the burden
because the adults in the room can't get it together to do the right thing.
Wondering if you observed Sonia at all today.
Not much, no.
I think she's got some shades of old me.
You're who she learned from, even if she hated it.
Could be a problem.
You asking me to demote her? No, of course not.
Because Joan wanted you paired for a reason. I know that, and she's...
Arrogance and indifferent bedside manner won't be tolerated.
She's what?
Being a great physician isn't enough to protect you. Not anymore.
She's great.
We'll hush it out.
Go home and get some rest.
It was just a barrage today. I mean, so much more than ever before. And I don't
know how I'm going to get through a day without everyone noticing and wondering
if I can do this. You came back to the place that's going to trigger you more
than any place else and your brain's healing.
So this could be the new normal.
There's nothing normal about your brain.
And I hate to break it to you. You might be done with the past, but clearly the
past isn't done with you.
You've reached Dr. Amy Larson. Leave a message.
All right, it's my third time calling you. I get you don't want to talk to me,
but we've got big trouble with what we did.
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