Original subtitles

You know, I started to volunteer at the suicide hotline.

- I want to die. - Gio.

You did everything you can.

You can't save everybody.

When we met at that juvenile facility,

you thought that I gave up on you.

I'd do almost anything to turn back the clock.

I'm trying to protect you.

This from the man who spent years preaching non-judgment...

I almost lost you, okay?

You cut me some slack!

Sage has filed a complaint against you.

Sharon, nothing happened.

I have to go through the motions of processing this.

- This is unbelievable. - Okay.

What are you not telling me?

What's that supposed to mean, not tell...

you don't believe me. No, no.

You don't believe me. - Daniel, wait a minute.

Stay with me.

Just focus on me.

That's it.

We're gonna help you.

Your daughter's on her way.

How long was he down?

An hour, maybe two.

Trauma 3 is open.

250 CCs of 3% saline

to reduce intracranial pressure,

1 gram of Keppra for seizure prophylaxis.

I'm on it.

Dr. Lenox, he's losing consciousness.

Oh, whoa, whoa! Hey, stay with me.

I need you so stay with me.

- Let's start a trauma workup. - Yeah.

What do we got?

42-year-old male fell headfirst

off his roof taking down Christmas lights.

Smacked his head on the concrete.

I'm thinking he's got a bleed.

Yeah, so am I. His pupils are blown.

No gag reflex, no cough.

No brain stem reflexes.

He's brain dead.

Yeah, let's do a CT to confirm.

And keep him on the vent until his daughter gets here.

- God. I mean, it's already April.

He should have kept the lights up till next year.

Sharon, have you seen Daniel?

He's not answering his phone.

I got a 20-year-old who just confessed to shooting JFK.

On the bright side, he knows his American history, at least.

I think Daniel's probably somewhere cooling off.

I'd give him his space.

- Really? What happened? - We had a pretty bad argument.

Oh. What about?

He accused me of not having his back.

Well, that doesn't sound like Daniel.

Exactly.

That's why I'm worried.

Mom.

What's going on?

What are we doing here?

Oh, come on.

If you're asking the question, you already know the answer.

Mom, I'm not dead, like you.

Mm, maybe not yet.

And I'm not dying either.

For God's sake, I'm having a dream.

And I just...

I just don't know why we're...

we're here.

Listen, I know you think

this is all about that poor kid you killed.

What was his name?

Gio, who finally got up the courage to reach out

for help and then had the terrible luck

to have you answer the phone.

When did you become so cruel?

Did somebody do something to you so terrible

that it made you feel so small that for the rest of your life,

the only way you could feel good about yourself

is if you were making somebody else feel miserable,

especially your kids?

Oh, Danny, you poor thing.

There you are, huffing and puffing,

and you still don't get it, do you?

- Get what? - Why we're here!

The answer, my darling, is,

this is where it all started, isn't it?

This is where it happened, right over there.

Daniel.

Daniel? Daniel, can you hear me?

Sharon?

Daniel.

Daniel.

Daniel, are you okay?

Dean, I just found Daniel unconscious

on the floor in his office. I think he may be having a stroke.

Can you please come up here?

Daniel.

Daniel, can you hear me?

It's Sharon, Daniel.

- Synced and corrected by synk - - www.addic7ed.com -

How is he?

There's no movement on his right side,

in and out of consciousness. Heart rate 110. BP 160/90.

I've already activated code stroke.

How long has he been down?

Sharon spoke to him about three hours ago.

You're thinking TPA?

His timeline does fall within the 4 1/2-hour treatment window.

If we're lucky, the TPA could break down

the clot before it does permanent damage to Daniel's brain.

Same page, Dr. Ripley.

All right, let's confirm with the CTs,

and we'll take it from there.

Anna.

Hey.

Is Dad alive?

Yes, but we think he's having a stroke.

Is he gonna die?

I won't lie to you, Anna.

It's very serious.

But Dr. Archer took him for imaging

so we can know exactly the extent

of what we're dealing with.

We had a big fight today.

What if that was our last conversation?

Shh, mm-mm.

We're gonna take this one step at a time, okay?

Can I see him?

Soon, I promise.

Come.

And we are at the clot.

All right, you're up, Dr. Ripley.

Applying negative pressure.

No, his clot's too firm. Damn it.

Aspiration technique isn't working.

What if we pivot?

Advance the microcatheter past the clot

and deploy a stent retriever across it.

It's a smart idea, almost as if I'd thought of it.

I said I never wanted to see you again.

I know you did. I know you did.

But I don't... I have no idea what's going on here.

But this was not my idea. I promise you that.

Okay, well, say what you're gonna say.

Get out with it.

Make it quick and get the hell out.

After all, it's what you're best at, isn't it?

Look, I feel terrible about that.

I do.

I think about it all the time.

But, look, I have some really good news.

In about 20 years, we meet again,

and we... we work together.

Yeah. Get this.

You become a doctor, Mitch.

- What? - Yeah.

Had nothing to do with me.

And don't worry.

You really ripped me a new one.

But, you know, we...

we hash it out. - Wait, wait.

Wait, wait, wait.

Do I actually forgive you?

Yeah. Oh, we become friends.

I don't believe you.

Believe it, man.

Yeah, it happened.

You look at your stuff.

You deal with it. You get it together.

It's actually one of the proudest moments of my life.

It still is.

My stuff.

Do you even hear yourself?

You're so full of it.

What did I say?

What, you say that it's no thanks to you

out of one side of your mouth, and then you go

and tell me that you're proud of me out of the other?

You always find some way to take credit,

like I'm your kid or something. You did it just today.

How do you know that?

Wait, do you actually think that I'm me?

I'm you, pal.

This is just a conversation with yourself.

It's all just a nostalgia tour,

and you're playing the hits...

in this case,

forcing me to confront my abandonment issues

only to abandon me here yourself.

Okay, look, I didn't abandon you.

My rotation ended.

I couldn't handle it differently.

There it is. Denial.

What, you... you need another hug?

You are such a fraud.

We performed a mechanical thrombectomy.

It's where a microcatheter is threaded

into his middle cerebral artery to manually remove the clot.

Did it work?

It was an especially large clot.

We got some of it, but not enough

to reestablish adequate blood flow

to the ischemic area of his brain.

So what are our options, Dr. Abrams?

Well, we have two.

We could raise his blood pressure

and just wait and see.

Best case scenario is he wakes up completely fine.

Worst case, he has permanent, irreversible deficits

that mean a feeding tube and possibly a ventilator

for the rest of his life.

So then what's the other option?

A direct bypass craniotomy.

I make an incision in his head

and connect the cortical intracranial artery

directly to his superficial temporal artery,

completely bypassing the blockage.

So we're talking about brain surgery?

Yes. Not as scary as it sounds.

It would definitively restore blood flow.

I sense a "but" coming.

The TPA Dr. Archer and I administered to break down

the clot also puts your father at a much higher risk

of hemorrhagic complications during surgery.

- This all sounds like a lot. - Yeah.

I'm still here because Dr. Archer took a risk

while I was on that table, but unfortunately,

there are no guarantees.

Well, I'll call Robin and see what she thinks.

Uh, this is awkward.

I'm afraid it isn't up to you.

That decision lies with Daniel's

medical power of attorney.

Isn't that me and Robin?

That privilege belongs to Ms. Goodwin.

Me?

Doris, have you seen Dean? He's got his phone turned off.

- You don't know. - Know what?

Dr. Charles had a stroke.

Dr. Archer, Abrams, and Ripley are taking care of him now.

Wha... uh... well, how bad is it?

It's pretty bad.

Dr. Asher, you ready?

Ready for what?

To onboard your substitute

before you go on maternity leave.

Wait, um...

- You... you hired someone? - I did.

But I was planning to work close to my due date,

which is still weeks away. So what's the rush?

You, of all people, should know

babies don't always abide by due dates.

Dr. Lovell's references were glowing.

- I'm sorry, Dr. Lovell? - Yeah.

She's waiting for you.

The cat with Eugene Levy eyebrows?

You two already know each other?

Yeah, I guess you could say that.

Oh.

You know, I'm just as surprised

as you are that your father gave me

medical power of attorney.

I know. It's totally fine.

I would have said no if he'd asked me.

Why?

Because that should be a family decision.

Yeah, but you are family.

I mean, you've always been Auntie Sharon to me and Robin.

And then you and Dad have been friends

since before I was even born.

I mean, Dad loves people, but there's only a few

that he really, truly trusts.

But I know that he trusts you.

That's nice of you to say,

but I'm not so sure he would...

What? What's wrong?

You know, let's just focus on deciding

what's best for your father together.

Dad's mind is everything to him.

If he doesn't have that, he's not Dad.

I think we do the surgery.

Me too.

So call your sister.

See if she agrees before we let Dr. Abrams know.

Is there something you're not telling me?

Well.

I guess the apple didn't fall far from the tree.

I also had an argument with your father.

It was bad.

Dad went full Grandma on you, didn't he?

Yeah.

He has a little of her in him.

She pops out when he gets really angry.

Well, it left me unsettled.

So I went to his office so we could talk it out,

and that's when I found him.

You know, he's gonna apologize,

like, 20 times when he wakes up.

I know.

But either way, when he does,

we're gonna have a very serious discussion

about his anger issues.

You're damn right we will.

Bruh, that was sick!

If you mean a pregnant woman with a gangrenous

diabetic foot, then yes, that was sick.

Yeah, I mean, she had max aura.

Not gonna lie.

Kacy, can you call Podiatry, get them down here

- to do a consult on Treatment 4? - Yeah, sure can.

Also, Dr. Archer wanted you to know

he's joining Dr. Abrams in surgery.

- For Dr. Charles? - Yeah.

I remember Dr. Archer. How is baby zaddy?

- You two low-key nesting? - They don't live together.

Oh, it's giving situationship.

Okay, not... not together.

There's no ship at all.

- So messy, I love it. - Okay, uh, Kacy.

Oh, we got a woman in 6 complaining about painful sex.

Not the good kind. Sorry.

Okay, Summer, so you are having abdominal discomfort

and painful intercourse?

I've narrowed it down to really bad gas

or ovarian cancer.

Based on what?

A TikTok rabbit hole.

I feel like I just went to medical school.

I would stay off the internet when it comes to health.

- It is full of disinformation. - Right.

All right, I would like to start an exam.

Is that okay with you?

Okay, just lean back a little bit.

Okay.

My algorithm's all medicine too.

Really? Do you follow Dr. Oscar?

You know, he's the neurosurgeon whose background is...

Always inexplicably a rainforest.

- Yes! Yeah. - Oh.

- He has the coolest stories. - Yeah, he does.

I saw in your chart that you had a pap smear

about two weeks ago.

Yeah, I had my annual with my regular OB/GYN

when she inserted my IUD.

Okay, well, we'll follow up on that.

In the meantime, I will start your pelvic exam.

Okay, just scooch down a little bit.

Actually, can she do it?

Of course. Yeah.

Thank you.

Awesome sauce.

- How are we doing, Marty? - All systems go.

Patient is under deep propofol sedation.

BP 120/69.

Heart rate 71.

What are we waiting for?

All right.

Making an incision along the lateral branch of the SGA.

Huh.

Oh.

Hi, honey.

You're in big trouble, Daddy.

I am? What'd I do?

Oh, look who arrived just in time

to be absolutely no help at all.

Told you!

You promised to be home in time to get Robin up

and off to school, but instead,

surprise, surprise, you decided to hang around

at work and, surprise, surprise,

didn't bother to call.

You never, ever did.

- Not even once. - I got this.

I'm taking you to school, honey.

I will take her to school, and you will go back to sleep.

- And I'm sorry. - Sleep? Is that a joke?

Come on, baby.

I'm an hour late for work.

There you are.

- Sue. - Anna's in the car.

I don't want her to hear what I'm about to say, so I'll...

I'll cut right to the point.

Oh, crap, I remember this.

Yeah, well, I'm not surprised.

This was the time I meant it.

Because nothing can compete with your fancy job

where you get to be oh, so important

and everyone adores you.

After all, all we are is your family.

Look, nothing was ever more important to me

than you and Anna, and you know that.

I have to cut my hours.

I have for the thousandth time...

Yeah, but it never made a difference.

What happens with the next clinical emergency?

The next nervous breakdown?

The next suicide attempt?

You will never let anyone else handle it

because that is not who you are.

Stop fighting!

Oh, honey, honey.

It's okay, honey. Don't be sad.

Don't be sad.

Anna banana, you are gonna see Daddy

all the time, all the time.

And we're gonna have so much fun, aren't we?

Mm-hmm.

Lucia.

Spanish was never my strong suit.

Honey, come on, you know that.

You have learned nothing.

You said it would be different with us.

You said it a thousand times.

I really, really wanted it to be.

You don't need me, Danny.

- That's not true. - It is.

It's not true.

It is.

You don't need anyone.

So I just wanted to make sure we're cool.

Why wouldn't we be?

You were totally pissed at me earlier about Summer.

We shouldn't be encouraging our patients

to seek medical advice on social media.

Influencers are destigmatizing

the sharing of health diagnoses,

and they're teaching patients to advocate for themselves.

Why seek treatment from an actual doctor

when you could just misdiagnose yourself from home?

That is an oversimplification.

- Really? - Yes.

I mean, cancer screenings tripled last year

after Kate Middleton posted a video about her own diagnosis.

I think you sent Summer mixed messages.

I was trying to connect after you dismissed her

with your buzzkill energy.

Buzzkill energy? Really?

- Dr. Asher. - Yep.

The lab called. Summer's test results were just posted.

Thank you.

Well, I guess we better tell her.

Mind if I take the lead?

You're the boss, until I take over.

So your labs revealed elevated

white blood cell count, CRP, and procalcitonin.

You have PID.

Sorry, I don't know what that stands for.

It's Pelvic Inflammatory Disease.

It's an infection of your reproductive organs.

I guess they didn't cover that on TikTok.

But, wait, isn't that what Dr. Lovell

suspected when she examined me?

- That's correct. - Is it serious?

It can be, if untreated. But we caught this in plenty of time.

Broad spectrum antibiotics should clear this right up.

I'm just really glad that you came in.

Of course I did.

I'm not gonna self-diagnose based on what I read online.

It's just a research tool.

I hear you. No judgment.

You sure?

How did I catch this?

The most common causes are bacteria

- from chlamydia or gonorrhea. - What?

You tested negative for both of those.

Your PID may have come from your IUD insertion.

In some cases, bodies can become

more vulnerable to infection.

Oh, that's a relief.

I thought you were telling me I had an STD.

What's wrong?

Well, completely unrelated to the PID,

your pap smear did reveal that you are positive

for human papillomavirus.

HPV? So I do have an STD?

Like, get me off this roller coaster. Am I right?

It is a completely asymptomatic STI,

which your body will likely clear in a year or two.

Oh, my God.

Girl, HPV is nothing to be ashamed of, okay?

At least 80% of the population will get it in their lifetime,

and one out of every three people currently has it.

I'll be real with you, I have it.

Dr. Lovell.

It's okay. I'm going.

Hey, man.

You doing okay?

I know you and Dr. Charles are pretty tight.

Yeah.

Yeah, uh, just... just feeling a bit useless, you know?

Yeah.

No fun on the bench, huh?

Yeah, not really what I meant.

You know, um...

there's been a few times

I've been in a really bad place,

and that man in there definitely bailed me out.

I know this is just the kind of thing

people say in these situations, but...

it always made me think to myself...

I don't know.

I mean, why couldn't my dad have been like that?

What can I say?

I guess we can't all be that lucky.

Yeah.

Not a lot of veins around the M4 vessel.

Makes it a perfect landing zone.

How's the donor vessel?

Skeletonized and ready.

All right, let's relax the brain.

I'm not talking about yours, Marty.

Optimizing CO2 and pushing mannitol.

It's anastomosis time.

Gio?

It's me, Danny.

Suzer?

Good to know you haven't forgotten my voice.

Never.

Where are you calling from?

Right behind you.

So you think Gio is dead?

Suze, okay.

He had a gun in his hand when he called me.

Mm-hmm.

So I got him talking, and all of a sudden,

I realized, wait, this kid is

completely and utterly alone.

And so I asked him if he thought

it might help to talk about her.

It very quickly went sideways.

Daniel, I would have done the same thing.

Great.

Holly would have done the same thing.

Any shrink worth their salt would have done the same thing.

Look...

Gio's call clearly set you off,

and you are clearly invested in beating yourself up

about all the people you think you've let down.

But are you sure you're not burying the lede here?

Aren't you leaving somebody out?

Oh, no.

That stuff's been handled.

It's me, remember?

Every time I try to get you to talk about this,

when we were together in med school,

you were never comfortable going there.

And every time since, you've changed the subject.

Ever occur to you that maybe I just didn't want

to talk about it with you?

Oh, that is beneath you.

- Okay, well... - Don't be a jerk.

Look, you know what?

I love you dearly, but you're starting

to piss me off, okay?

I'm a psychiatrist.

I have sweat decades of blood

in therapy on this topic.

You have been running from this your entire life,

and I get it.

Anyone would be terrified at the prospect

of confronting this.

But you and I both know if you don't,

it'll run you over.

Maybe it already has.

- There you are. - Here I am.

Any word on Dr. Charles?

He's holding his own so far.

That's something.

It's a risky procedure.

Yeah.

Yeah.

You know, I met him when I was 16.

When you were in juvie.

Kacy filled me in.

How the hell does Kacy know?

Because Kacy knows all, yet knows nothing.

Yeah, well, uh...

Sully and I were about to cross over from

petty crime to the real deal. We stole a car.

He got away.

I didn't, and I ended up in juvie,

sitting across from Dr. Charles,

not caring what happened next.

Where did you just go?

What are you doing?

I'm trying to help.

Sex isn't a cure-all, Caitlin.

I've found that it is.

Really?

Because it kind of feels like a distraction

from a real conversation.

I don't do death, Mitch.

What does that even mean?

It means I'm trying to meet you halfway here.

Well, it's not enough.

I really think you should reconsider

Dr. Lovell as my replacement.

She's your substitute.

She is not a good fit.

Is there any particular reason?

She's borderline unprofessional.

She... she relies too much on social media.

She called a patient "bruh" and another patient "chat."

She talks non-stop, and honestly,

her manner is driving me insane.

Well, as you know, Dr. Asher,

not everyone is a fan of my manner,

but I don't think this is about Dr. Lovell.

- I think it's about you. - What? What do you mean?

You have avoided any discussion

of your maternity leave for months.

You clearly have personal issues at play here.

But know this.

You will go on leave next month,

and Dr. Lovell will be covering your position

until you return. Thank you.

I'm... I'm sorry you heard all that.

It's all good, chat.

Look, Dr. Lenox was right.

This... this wasn't about you.

Oh, I know it wasn't.

I do think that you try too hard to sound

young and hip with your patients.

What do you want me to do? I am young and hip.

You shared a personal medical fact with Summer.

That's universally pretty frowned upon.

But it put her at ease, didn't it?

As opposed to your clinical approach,

which sent her anxiety through the roof.

I do not need a lecture, Vera.

I have been doing this a long time.

Yes, and though this may shock you,

I respect the hell out of you.

I hope to be as accomplished as you someday.

But, girl, you gotta pivot sometimes.

My life is going to irreversibly change

in a few weeks.

I know that.

My body's not my own.

My hormones are not.

I cried yesterday because

I couldn't open a string cheese.

I just don't think that it's fair that my career,

the one thing that shouldn't have to change,

is also being ripped out of my hands.

Preach.

You know, I have a feeling that you're gonna

figure it all out...

while on leave.

Hanging in there, Dr. Ripley?

Oh, you know,

my mind's doing what minds do when you're worried

you won't see someone again.

I believe it's called guilt.

Yeah.

Whatever it is, Dr. Charles has only

ever held you in the highest regard.

I know. I know.

It's just...

sometimes I worry he...

he thinks that I'm still holding on

- to some ancient history. - Ah.

But I'm not.

He's had a profoundly positive effect on my life.

And you know something?

I think that would mean a lot to him.

Hmm?

Okay, that was Robin.

Her connecting flight from LAX got canceled,

so we got her another one from Burbank,

but she only has two hours to cab it over.

- Oh, okay. - So.

Is there any news on Dad?

Well, he's the same, holding his own.

- Good. - Dr. Lenox.

May I join?

Please do.

What?

- I really appreciate it. - Don't ruin it.

I'm having a hard time seeing the proximal anastomosis.

Can we have saline flush, please?

Well, that's worrisome.

We're running a bit hypotensive.

What the hell are you guys doing up there?

Our job, Marty.

So do yours and just fix it, okay?

He's not responding to fluids or pressors.

Well, load him up, damn it. Something's going on.

I can't see.

Our own party.

We can invite anybody we want!

Yeah.

Mom.

If there were not planks scattered around,

she'd be able to run and play like the rest of us.

Aren't we having fun?

Can we have saline flush?

Do you remember the last conversation

we had the day I died?

The one where you accused me of driving your father

and brother to early graves?

Sure do.

And I bet you do, because I died an hour later.

Do you know what I've been curious about?

What's that?

Do you ever miss me?

Actually, yeah.

Sometimes I do.

You're a liar. You were relieved.

How can you say that?

I felt terrible about the things that I said to you.

If you must know, I mean, I've actually

been kind of haunted by it.

You've always been too hard on yourself.

You do know that, don't you?

What do you mean? How so?

Well, you always seemed to think that

it was your job to make everything and everybody okay.

Is that really such a terrible thing?

Pretty tall order, don't you think?

I don't know, Danny.

I've just always regretted that you were here that day,

that you had to go through that alone.

Because I truly believe

that that's where all this comes from.

Danny.

You do know I always loved you, don't you?

Dad!

Dad!

Dad!

- He's flatlined! - Damn it.

Push 1 milligram of epi.

Starting chest compressions.

Come on. Come on!

He's in V-fib. Give me the paddles, please.

Charge to 200.

Clear.

I got you, Dad!

Dad! Dad, I'm right here!

Dad! Dad!

Wake up! Wake up.

Dad, can you hear me? Dad!

Wake up, Dad!

Danny?

All right. Charge again.

Clear.

I didn't know you got home from school.

All I can tell you is that I'm really,

really glad that I did.

Me too.

Thank you, buddy.

That was close.

Dad, look, I know how Mom makes you feel, okay?

It wasn't your mother's fault, pal.

I know you and Tommy always blamed her for my dark moods,

but the truth is, I struggled with them

long before I met her.

She never tried to understand.

How could she?

I don't understand.

You, Dad, are depressed.

- I'm what? - Blue, melancholy.

They had all kinds of silly names for it back then.

And psychiatry wasn't equipped to deal with it yet,

but now we are.

What do you mean, now?

Your math ain't mathin', pal.

I'm so sorry, Danny.

What are you talking about? Dad, listen.

And this is important, okay?

You have nothing to apologize for,

because it's not your fault.

All we gotta do is get you the right kind of help,

and there's a lot of help out there.

Why is the garage door closing again?

Danny, it's for the best.

It's genetic, right?

Let's just let sleeping dogs lie.

What, Dad?

What's happening?

Danny, you can't stop this.

And it's really important for you to know three things.

You never could have,

it's not your fault,

and I love you, always will.

No. No, Dad. No. No.

Come with me, Danny. Trust me.

It's peaceful where we're going.

And we can be together.

No, Dad.

We are not going anywhere.

Dad, we're not.

You can't do this again, Dad.

You can't. I'm gonna miss you too much.

I'm gonna miss you too much.

We're losing him.

- Charge again. - Clear.

- Still no pulse. - Again. Clear.

All right. I got a good carotid pulse.

Nice job, Dr. Archer.

Do you mind if we get back to our little brain surgery now?

Feel free.

Let's hope the code didn't cause

any permanent neurological deficits.

Well, I'd cross my fingers,

but they're covered in cerebrospinal fluid.

But I share that hope.

Oh, no, no. Daniel. No, no.

Don't... don't move your head, okay?

I got it.

Want some water?

Yeah.

Anna?

Anna.

I sent her home.

She'd been awake for almost 48 hours.

But... but she's fine.

Anna, Ripley, thank you.

I'm sorry, Daniel, I don't know what you mean.

Extinguisher, extinguisher.

Thank you, extinguisher.

Oh, please, no. Please.

I'm at Gaffney Chicago Medical Center.

Best damn hospital in the Midwest,

and I wake up, and all I get is a sippy cup?

And you?

Where's my damn Jell-O?

Where's all my balloons?

I tell you what, I'm calling Howie

first thing in the morning.

I'm done with this dump.

Well, this dump ain't done with you.

Oh, yeah?

Then get me some balloons.

Get me some Jell-O.

I'm on it.

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