Original subtitles

Previously, on Doc.

She's healing, and healing fast.

That would explain the influx of new memories.

Really hope you're not rushing this.

I assure you, I can do this.

Ruth Chen, this is Cal Ferguson.

These are your co-chief residents.

Ben! I heard you were coming.

You want to replace Dr. Costa.

If I'm coming to Westside, it'll only be to run surgery.

So, now that you're not working with Dr. Larsen,

you figured why not give cardiology a shot?

- I'm happy to better myself. - I saw you, Jake.

I saw how you looked at her through her window.

You just pushed me away.

Help!

Help!

Please, help! - What happened? Are you hurt?

Not me. My family's in there, you've gotta help them.

- Ibuprofen? - Mm-hmm.

I didn't realize you were a nurse.

Funny.

And fun.

That's a pretty sneaky martini you make, which is not fair.

You want the recipe?

Oh, God, no.

How about my number?

Oh, uh...

You're not gonna call me, are you?

I've got a lot on my plate right now.

Can't blame a girl for trying.

- It's your lucky day, pal. You're with me again.

- Great. - Call came from on high.

Clearly Dr. Matos sees some potential in you.

Ooh. What you working on?

Wait...

Is that like, Rachel, Rachel?

It's new, okay? So I just need you to keep it to yourself.

All right? - Dude. Cardio code. Of course.

Aw, you're nervous!

No, that's... that's not what I said to her.

- Right. Well, carpe diem. Let's go, grasshopper.

Wait...

Does this mean no more Amy?

I had a few more memories last night,

but nothing physical,

so, don't go running to Michael.

He is the head of your department,

and I'm out over my skis for you,

so I will report back to him as soon as I understand

what this is. So how is this different?

They're not painful or disorienting.

Just constant and intrusive, and the last thing I need

when I'm trying not to look back.

All the more reason to look ahead.

- Amy. - Hey, Ben.

So I guess you work here now? - Looks that way.

Double espresso, please.

I think Joan would be glad

that you're the one filling her position.

Actually, I'm taking over the department.

Does Dr. Costa know that?

Yeah, he's pretty burnt out on the admin stuff,

and he was happy to let that part go.

Works out for everyone.

You do background

on everyone at the conference? Or just me?

- Well, I'm glad you're here. I'm excited to work with you.

Same.

Department rolling out

the red carpet for Ben on his first day?

So, whose team are you on?

- It's not dodgeball. - No. It's not.

And I'm asking where you stand.

This is ridiculous.

'Cause I heard you and grant got pretty chummy

during the contagion.

Maybe you knew about the coup before it happened.

- Oh, wow. - Come on.

All I know is I've been a resident under Costa

for four years,

and he deserved better than this.

Dr. Fox could use a Xanax.

He may not be wrong.

Ben is brilliant, but Costa's the one who hired me.

Joan championed you.

Costa went along. And that happened

because you are really good.

Yeah, I just don't like the way things went down.

- I get that. But you said yourself,

Costa can be conservative.

I think Ben will be better for the department.

I guess I'll find out for myself soon enough.

Yeah.

- Morning. - Dr. Grant.

I figured you'd want to discuss what happened?

As the guy who recommended you for an opening in surgery,

I would've appreciated a heads up

that you were planning to take it over.

Sorry if that put you in an uncomfortable situation.

- It did. And it does. - I saw the potential

in the department, and this was the only move

that made sense for me. And apparently the board

saw an opportunity to upgrade.

I don't disagree with their decision

or the direction you want to take things.

But surgery and medicine have to work together.

And I'd be lying if I said you haven't lost some trust.

Well, I hope you'll give me a chance to earn it back.

Dr. Grant?

You're needed in surgery.

And they want you in the ICU. - Okay.

- Teenage son was driving. ER checked him out.

Scraps and a mild concussion. Mom's got rhabdo,

causing renal failure and a subdural hematoma.

12-year-old sister has a liver lac

from the seatbelt, a pelvic ring fracture, and DIC.

They're on their way up.

Uh, we should assign the interns to floor work.

They're just gonna get in the way today.

Well, opportunities don't come when you're ready,

they come when they come.

I think it's a mistake but fine.

You can have Kyle, I got Ruth.

Try not to break her on day two.

Anthony Evans, 48, MVA.

Deer versus auto. Riding shotgun.

FD came to extricate after he was found impaled

on the scene. Wife and daughter are in the ER.

All right, take him to OR 1.

Dr. Coleman, call Radiology. I need a bedside chest film.

You got it.

Can you tell me what happened?

Last night I, I was... I...

Dr. Ferguson, can you get

Mrs. Evans's latest files, please?

Yeah.

Uh, Dr. Larsen wants vitals.

Hey, I know how hard this must be,

but we are gonna do everything in our power

to help your family.

But in order to do that, I need you to tell me

what happened.

Um...

We went to Mestiizos

to celebrate Harper's middle school graduation.

- Mm-hmm. - My sister can never decide

between sushi and Mexican,

so she was excited, 'cause you know, it-it's both.

After dinner, we went back to our cabin.

I-I begged my parents to let me drive.

My, my mom, she said no way, 'cause I had just

gotten my license. But my dad...

He said I had to learn some time.

I-I didn't see the deer.

Before I knew what was happening,

it crashed through the windshield.

So your dad was in the passenger seat?

Mom and Harper in the back.

My airbag went off. We flipped into a ditch.

The deer was kicking like crazy,

it was freaking out, there was blood everywhere.

BP 110 over 73.

Heart rate's in the 90s and she's satting 97.

Oh, great.

Theo, your mom's vitals are all normal, okay?

Yeah. Th-Thank you.

During the accident, were you knocked out?

Not for long. It was still dark when I came to,

but there was no one else awake.

I tried to get help, but there was no cell service.

Seatbelt was jammed, the door was wedged shut.

It took so long before I got out

that when I finally got to the road,

there was no one there for hours.

After sunrise, a few people drove by,

but the... I-I know they saw me,

but they just kept going... - It's okay.

You're all here now. - My dad's not here.

I don't even know what's going on with him.

He's gonna be in surgery for a while longer.

We're waiting on his latest lab results.

Can you check on them?

Okay.

- Are you in? If you didn't get a flash,

then you're not in the vein. - Sorry.

I've only done IVs on chicken thighs.

Like, from the grocery store?

- What's wrong with her? - Her heart rate's rising.

It's okay, Theo. They'll take care of it.

Liz.

Okay.

Harper has a grade 4 liver lac.

Dr. Costa wanted to just monitor,

but now BP's getting soft.

She's hemodynamically unstable.

She needs to go to the OR.

Yeah. But DIC puts her at higher risk

for bleeding out mid-surgery.

Okay, so go with her and manage it

while they operate on her liver. It has to happen now.

Mm-hmm. Okay. All right.

Okay. Okay, I got this.

What's going on?

We have to operate on your sister.

What, her too?

Will she be okay?

- Did I miss something? Is it my fault.

No, you did nothing wrong.

This can't be happening!

Can you start it?

Hey, Theo.

I know this is scary.

- You have to save my family. Please.

So early wound management and antibiotics are everything.

Any wound that doesn't heal in a diabetic patient

is osteomyelitis until proven otherwise.

Try to remember, when we come across these patients,

we're not just treating an infection,

we're saving a limb.

Thank you.

Uh, I think it's time for Q and A. Any questions?

Yes?

Yeah, with all due respect,

I'd argue surgical intervention is more effective

than non-operative wound management of diabetic ulcers.

The well-worn dichotomy, surgery versus medicine.

It's not about cutting for the sake of cutting.

- Never is. - Studies have shown

that patients who undergo early surgical debridement

have a much higher rate of remission, so...

It was one study. I saw it.

And the rate of remission by patient

was anywhere from 28 to 81 percent,

that's hardly consistent enough to call evidence.

I guess Harvard didn't teach you to read the footnotes,

Dr. Grant?

I have never seen anything like this.

Neither have I. And I've got over 25 years on you.

And between the blood and the antlers,

I could barely make out much of the hilum or lungs.

- We'll have to go in blind. - It doesn't help

that no one stopped for the kid. Cost us hours.

No one stopped?

Dr. Fox. Ready to assist? - Born ready.

Good. We'll start by tying off any arterial injuries

that could be the source of the bleeding.

What about removing the antlers?

That's where Dr. Coleman comes in.

If I'm right, they're acting like a fish hook.

Wrapping around the pulmonary artery,

vein bronchi, which means...

If we just pull them out, could rip out the entire

vascular pedicle to his lung, make it impossible to repair.

Exactly. So, no removal without more data.

I need you to track down any case reports

of similar penetrating injures.

Every operative solution you can find.

Go. Fast.

Scrub in. - Yeah.

He has severe acidosis.

Well, given his massive pulmonary contusions,

makes sense his blood gas is abnormal.

- It's a mixed acidosis. The lung trauma alone

wouldn't explain it.

There's gotta be something else going on.

Guess you gotta figure it out then.

- Excuse me? - Medicine's your area.

Mine is to operate like hell before he bleeds out. Excuse me.

Who said I'm back out there?

Serena, repeat the trauma panel

and get a rhotem to the lab, stat.

We need to look for everything.

We're observing Mrs. Evans' hematoma for now.

Kidneys are responding to IV hydration,

but I think I saw PVCs on the monitor.

So, I want a second opinion.

Dr. Heller. What is a PVC?

Are you kidding me?

You're a beginner in cardiology,

so we start at the beginning.

It is a premature beat arising from the ventricle.

And how frequently does this occur?

Can we socratically skip to the solution, please?

Mmm.

We should check for any electrolyte abnormalities.

Get a 12-lead EKG and an echo.

- Correct, young Skywalker. - Okay, you don't cut that out,

I'm gonna break out my lightsaber,

send you on a visit to Obi-Wan.

Okay, got it, yeah, sorry sir.

- Jamie, sponge. There's a significant

amount of bleeding from the liver.

We're gonna need to administer cryo, fibrinogen,

and TXA to get this under control.

Then you operate on the fracture?

No. She can't handle that.

He didn't stabilize the pelvic fracture surgically?

- Just put a binder on. Said she's too

critically ill already.

Too conservative, right?

Even with borderline displacement,

he should've operated. - Mmm.

I'd keep an eye on her hematocrit.

Any luck on your end?

Turns out antlers through the chest

is a one-in-a-million kind of situation

and I am on the clock here.

- What is it... improvise, adapt...?

Overcome? That's the marines.

Whatever, ranger.

Think outside the box.

Ben trusts you. Maybe trust yourself.

I'm seeing some ventricular strain.

We're in here now. No turning back.

Keep scrolling, Carin. Show me the enzymes and lactate.

- What are you looking for? - I'll know when I see it.

Okay, this is unusual.

Oh, God.

Dr. Grant, Dr. Larsen's on the phone for you.

- Now? - She says it's urgent.

Put her on speaker.

What is it? His results came back.

Troponins BNP and lactate are off the charts.

You need to stop the surgery.

Wha... Where am I?

It's okay. It's okay.

You're at Westside Hospital in Minneapolis.

- My head is killing me. What happened?

- You were in an accident. Your car hit a deer.

Careful. Careful. - Am I okay?

This'll sound worse than it is,

but you have a bleed around your brain. Now...

Mom, you're okay!

- Ah, I'm sorry. I don't know who you are.

I'm your son.

Theo.

What is he talking about?

I-I don't have a son.

So, did I use up all my questions?

Depends. Can you handle more of my answers?

- Oh, I think so. - Okay, then.

You do background on everyone at the conference?

Or just me?

Did you really come up here to ask me that or eat crow?

Both.

But I prefer to atone over a drink.

What are you doing?

I told you to stop. - I heard you.

The transfusions we've given him

have caused fluid overload. He's in heart failure.

I've controlled all the bleeders I can visualize,

but there could be more hiding behind the antlers.

I'm pretty sure if I stop, he'll bleed out.

If you don't stop, he's gonna die on your table.

I have to fix the heart failure first.

- And how you gonna do that? - Goal-directed diuresis.

He can't handle single-lung ventilation.

Had to put him on VV ECMO. - I'm aware.

All right. I'll get him ready for you, but if he's not back

in my OR in four hours,

the circuit will clot, and he'll die in your ICU.

- Can you do that? In four hours?

We have no choice.

ICU?

Your sister should be waking up soon.

Dr. Costa was able to get her bleeding under control.

She looks so small.

She's... She's strong.

And stable for now. That's... That's good.

Why doesn't my mom know me?

It's not just you.

She doesn't remember anyone right...

Um...

We're not sure yet. Not yet.

She's getting... She's getting a repeat CT.

It's a scan of her brain so they can figure it out.

- What about my dad? Is he gonna be okay?

Um...

we... we're doing what...

What...

We're doing everything we can. For him.

Okay?

Sorry.

Stay here and monitor Harper's serial crits

and drain output. Any changes, let me know right away.

Come on, Harp. Wake up.

Can she hear me? - Probably.

The anesthesia just takes some time to wear off.

If you wake up now, I'll show you

how to code in python.

She's been bugging me to teach her.

Theo, she needs to rest.

I'm gonna take you to the waiting room, okay?

Why? What-What's going on?

I just, I need you to come with me.

- I-Is this about my mom? - No.

Well, they took her away and they won't tell me

why she doesn't remember! - Remember what?

Me! She doesn't know who I am.

Um, I'm sorry, I've been treating your father.

But I'll get you an update.

I need you to go to the waiting room. Okay?

Someone will be by soon.

- Why did he have to go? Did something happen?

We're bringing his father up here now.

Oh.

Oh, my God. The antler's still in him.

We more access. Get a second line going.

He needs Furosemide, Cefepime, and Vancomycin.

- I can get it. - Julie's got it. Stay back.

You paged Cardiology?

Yeah, I need a transesophageal echo

to monitor his cardiac function. - Yeah, no problem.

I just need to get some more dressings.

Yeah.

Mrs. Evans doesn't remember what happened.

Or recognize Theo or anyone in her family.

Brain bleed must be getting worse.

So we were wrong about it being stable enough to monitor?

No, you weren't wrong.

Her hematoma's getting smaller.

Oh, so what's causing her symptoms?

I'm sorry to interrupt.

Dr. Hamda, can I have a word, please?

EEG? MRI?

Yeah, and I'll want to do

some more advanced cognitive testing.

- What can I do for you? - Yeah, I just want to make sure

you've been apprised of the situation with my patient.

Your patient?

The guy with the antler in his chest.

Anthony Evans. What about him?

Dr. Larsen insisted that I stop mid-surgery

so she can find a medical solution to his heart failure.

- And? - And he was already at risk

of dying from impalement.

The longer we delay, she compounds that risk

with the likelihood of ECMO failure and infection.

Are you implying she's not up to the task?

Listen, I just checked on the Evans's status,

and they are no closer to an answer.

So maybe you wanna give her a hand.

How is he?

Still alive for the moment.

Julie, get me updated Is and Os,

and his latest ABG and trops. - On it.

I heard about Mrs. Evans.

Poor Theo's a mess.

He's actually handling it

pretty well, considering.

- Right. I guess you're an expert.

When I woke up from my accident, I wasn't much fun either.

Well, at least you remembered me.

What's your plan here? - It's a tightrope.

We gave him diuretics to get rid of the excess fluid

and then the ECMO started chugging.

Not enough blood flow to the pump. You drop the RPM?

Yeah, I did, but if that doesn't work,

we're gonna have to give him more fluids

and then we're back at square one.

And his clotting's gotten worse.

Just as Dr. Grant predicted.

- You talked to him? - I did.

He's wary about what you're attempting.

Well, that tracks.

Is there something I should know about you two?

What did you sign up for?

Did you just have another memory?

I'm managing. I'm fine.

We need to regain control of his fluid status.

Don't take it personally.

Thought I was doing pretty well,

but suddenly, she's acting like I'm in the way.

Yeah, it gets hard to predict which version you're gonna get.

And today especially.

Not sure what you know about her, but...

Oh, we all know. Everything.

'Kay, well then, this should make sense.

Car accident? Woman losing her memory?

Family hanging in the balance?

- Right. - But you can't control any

of that. All you can do is just manage you.

And try not to wake the beast.

Thanks for the consult.

Yeah.

Jen Evans, coming in.

- Her face is drooping. Speech is slurred.

She's getting worse.

No signs on the imaging, but it looks like a stroke.

I started a low-dose heparin drip.

Hopefully it reverses the effects and the memory loss.

- Theo really wants an update. - Yeah.

Okay.

Just, um... text me the number.

Thanks.

That was Albert. My dad's friend.

I'm glad you have someone to talk to.

He's trying to find me a lawyer.

- Why would you need a... - You think I don't know

what's going on? The way you're all acting?

My dad's not gonna make it.

And my mom... she doesn't even know who we are.

Look, we don't have anyone else.

They'll put us in foster care. They'll separate us!

Theo, you're getting ahead of yourself.

Look, don't lie to me.

You already sent your social worker

to come talk to me.

- I'm sorry. They shouldn't have done that.

I don't get it!

I'm old enough to drive. Old enough to kill my parents.

But I'm not old enough to take care of my sister?

I-I'm sorry, I just...

Hey. It's okay.

She didn't want me to drive,

but I really thought I was ready.

Uh, Dr. Maitra?

What's going on?

I know you said to watch her hematocrit,

but Harper's getting tachypneic.

I figured I should tell you.

- You paged me? - Respiratory distress.

I think it's a fat embolism from the pelvic fracture.

Need an echo to confirm. - Okay, I got it.

Decreasing RPM and giving volume isn't working.

BP's still too low. - I know that, Michael.

Well, d'you think there's bleeding?

- Sorry, I know you're busy. - Not now, Kyle.

Do you have any idea what you're doing?

But we got the labs back.

His hemoglobin's 19. That's high, right?

- Very high. - So he's not bleeding.

Doesn't make sense.

Stay, Kyle.

It's capillary leak syndrome.

The hemoglobin's falsely elevated

because his blood vessels are leaking fluid

into his tissues. It can happen after a trauma.

Explains the heart failure and why nothing we've been doing

has worked to raise his BP.

What about Hepastarch to pull the fluid back

into his blood vessels? - His kidneys still won't

get rid of the excess fluid in time.

What if we dialyze him via his ECMO

to fix the fluid overload in the OR?

What does that mean?

His ECMO is letting us bypass his lungs.

If we hooked up a dialysis machine to it,

we could bypass his kidneys,

taking the fluid off faster,

but still keeping it controlled.

Which would allow Dr. Grant to proceed with the surgery.

No journal articles, not one?

All traditional lit was a bust.

There's gotta be something out there.

Good for you if you can find it.

The fact that I couldn't, got me thinking.

Docs who have dealt with this

aren't the ones who write papers.

They're the ones with real-life, hands-on experience.

So, I called around to rural hospitals.

Found a similar case in Grand Marais.

Another one in Drummond.

Based on what those surgeons said,

I worked out a strategy for us.

Keep talking.

We need to treat it like a tumor, not a trauma.

Instead of trying to save the damaged blood vessels

by taking out the antler piece by piece,

we should remove the whole section of the antler,

and the penetrated vessels, and the airway.

And then what? Watch him die?

Then we take what's left over from the artery and bronchus,

put those two ends back together.

He'll bleed like a stuck pig.

Means we gotta move fast.

I like it.

But it's all moot if Dr. Larsen can't stabilize

the patient for surgery. She's got an hour. Tops.

- I already checked in. Not ready yet.

Argh.

We've got Harper, pelvic binder wasn't enough.

She needs ORIF.

Echo confirmed the fracture's causing fat emboli.

- Should I page Dr. Costa? - No, I got this.

Let's go, Dr. Fox.

Tell Dr. Larsen I'll be ready in 30,

so she won't be waiting on me. Prep OR 2 right now.

So, how long have you been separated?

- Mm. Three months. We were together 26 years.

Can't be easy getting back out there.

Who said I'm back out there?

Yeah, I'm sure it's going well for you.

Ask me again in an hour.

Really? Does that work on the other women?

There are no other women.

Um, as far as my ex knows, at least.

No, yeah, our divorce isn't exactly amicable.

So you did something wrong?

I did lots of things wrong.

But if you're asking was I unfaithful?

No. We just disconnected.

Kept it together for the kids, but once they were

out of the house... you know.

Well... okay. Your turn.

No.

No, I didn't sign up for that.

What did you sign up for?

Fluoro shows excellent

alignment and stabilization of Harper's pelvic ring.

- She gonna be okay? - She will now.

So, you would've operated on the pelvis this morning.

After the liver? Yeah.

You were wrong. I am waiting for you.

Mr. Evans is ready.

Dr. Fox, close up.

Dr. Coleman, suit up and scrub in.

- Really? - It's your plan. Let's go.

Pick-ups.

Dr. Larsen,

I'll need you to keep him stable

so I can finish the surgery this time.

Oh, I'll do my part.

Curious how you plan to do yours.

Ask Dr. Coleman.

We'll follow sleeve resection guidelines

for antler removal and anastomosis.

Pull the whole thing out, then put the damaged vessels

and the bronchi back together.

What's happening?

She's responding well to the heparin,

but now she's got 102-degree fever.

Well, maybe it wasn't the trauma.

Could the stroke have been caused by an infection?

I started her on broad-spectrum antibiotics

just in case.

Now she's tachycardic.

She needs more fluids.

Why is she getting worse?

Theo, you can't be here right now. Liz!

Please, help my mom.

- Yes. Yes, they will. Theo, they will. Okay?

But we gotta go now.

C'mon.

- Got a lot of bleeding here. What's the fluid status?

Ultrafiltration is working.

Dr. Coleman, I need you to ligate that bleeder

with an O silk.

I'm right here.

And you gotta learn sometime. Let's go.

You all right?

When I finished med school,

they gave me a piece of paper that said, you know,

I'm a doctor.

But I don't feel like a doctor.

I feel the exact same way I did a month ago.

You helped save his sister's life.

Yeah, but what about his mom?

His dad? What're we gonna tell that poor kid?

- It's not easy. But you're gonna need

to learn to compartmentalize.

Otherwise you're just gonna keep freezing like you did earlier.

- I'm gonna get better at this. I promise.

CBC is normal.

RVP and blood cultures all negative.

- Still, the fever's going up. It's at 104 now.

- This has to be an infection. - Yeah, but from what?

The antibiotics would've treated all the usual suspects.

The deer carcass.

It was bleeding everywhere, she had open wounds.

The fever, stroke, cognitive impairment.

- It's Brucellosis. From the infected deer's blood.

This is the point of no return.

All right, I got a proximal and distal control

with the clamps. As soon as this comes out,

every millisecond counts.

I'll reattach artery and bronchi as fast as I can.

The rest of you, do whatever you need to do

to control the blood and keep him stable.

Understood? Everybody copy? - Got it.

Yeah?

All right. We got this.

One...

Two...

Three.

Ah!

Serena, goggles.

TJ, suction.

Dr. Grant. Dr. Grant.

Ben! There's air in the circuit. - Get it out. Now.

Turn the ventilator to 100 percent FiO2.

Dr. Ferguson, get me a 60cc syringe.

- His oxygen is tanking! - 'Cause he's not getting any.

I just need a few more minutes to finish reconstructing

the pulmonary artery anastomosis.

Can you get the air out?

Amy?

You got this?

So...

How do we rate?

What do you mean?

My hospital hosted the conference.

Need to report back how we did.

Ask me again in an hour.

You still questioning my skills?

Hey, my focus was on the patient.

And you came through.

In the end.

That's not an apology.

- Now, listen. What we did in there today

was impossible on paper.

I needed a rockstar to get it done, and I,

I just wasn't sure you were the same doctor you used to be.

- Well, now you know. Just as good as I ever was.

With all due respect, you'd be chief of medicine

if that were true.

I gotta say, this is really starting

to feel personal.

How could it?

We barely know each other.

- I guess nobody told you. I get memories sometimes.

Especially when I'm, uh, triggered emotionally.

Um...

I started to text you the other day,

but I wasn't sure when was the right time to tell you

or... or how.

Tell me what, exactly?

We had, um...

a dalliance.

- A dalliance? - After your divorce.

It was about four years ago. On and off.

Long distance. And mostly, we'd meet at conferences.

Uh, so nothing serious?

No. And you did a preliminary review

of my clinical trials as a courtesy.

I guess you didn't read anything about that in your emails.

It doesn't ring a bell.

How did it end? Us?

Petered out with no hard feelings.

I should've called

after that last night in New York.

So, uh, we're good.

Absolutely.

And Dr. Heller is a great guy. I'm happy for you.

Yeah. Okay.

You were outstanding today.

Back at you.

Theo?

Harpo!

That's not my name.

It is if I say so.

Don't make me laugh. It hurts.

Mom, is she okay?

Doctors say she will be.

- What about Dad? - He's still in surgery.

Actually, he's out.

He's stable and resting in the recovery room.

Now, I'm not really supposed to do this, but...

you wanna go see him?

Yeah!

I just wanna warn you,

surgery can cause swelling, discoloration.

Your dad won't look like himself.

I understand.

Look what you did today.

You fought with everything you had to get out of that car.

To find help, to save your family.

And you did it. You saved them.

You said before you thought you were ready.

Nobody's ever ready for anything until they do it.

But after today, you can handle whatever's coming.

Are you the one who operated?

Thank you.

You're welcome, my friend.

- What am I thanking you for? - For accepting you

into the secret society of saviors.

Surgery loves to steal all the glory,

but we Cardio Kings, we had a big part

in saving that family today.

Uh, to be fair, I think Dr. Grant gets the MVP,

but, yeah, we can take some of the credit.

Yeah, we can.

People only notice us when things go wrong.

We're basically the FBI. - You see right there.

We almost had a moment, and you ruined it.

Great work today.

Yeah, you too.

Go home to your soon-to-be-non-ex-wife and kid,

my brave squire.

And my pursuit of domestic bliss shall continue as ever.

He wasn't supposed to know about that.

Well, it won't come from me,

but it's gonna get out eventually.

And it's not fair for Amy to be blindsided.

Yeah.

Dr. Costa.

Good work today.

When a patient of mine is in trouble,

I expect to be paged.

Noted.

You didn't mention the pelvic binder.

He understands what happened.

No reason to rub it in his face.

Heard you killed it today.

I don't know about that.

You caught the first sign of emboli.

Saved that little girl's life.

And you survived Dr. Maitra.

Barely.

How was Ruth today?

She's still intact and she learned some lessons.

So maybe you were right. - Good.

I know what my reputation is.

From when I was Chief of Medicine.

And I suspect some of my behavior today

may have reinforced it.

Yeah. I mean, you acted like I was in the way

when I'm here to learn and contribute.

Was that too honest?

- Uh... - My folks say

I can be that way.

No, honesty can be underrated.

Well, I saw a lot today, too.

I learned a lot. So, you know, thanks for that.

I'm sorry that I behaved badly.

I just want to do well.

Doesn't seem like it was really about me.

Well, I'm hearing she hasn't changed very much.

From who?

I'm sure you know that these walls have ears.

Apparently she went toe-to-toe

with our new Chief of Surgery today?

They managed to work it out and save the patient.

But, she's not exactly treading lightly.

Well, I don't think she ever will, Max.

Which is why you put some serious guard rails on her.

Around the management of her TVI, of course.

And what's your prognosis regarding that?

Her brain's a wild card.

You know, has been ever since the accident. What is this?

You asked to be Chief of Medicine knowing

it meant overseeing her.

- Yes. - And you understand

that your success or failure in that job will depend greatly

on how you navigate the situation.

You know, we've had this conversation a dozen times.

We've had this conversation when you were sitting

on this floor. Now you're running Internal Medicine.

And I know what it means to stake out

a new path for yourself.

So, if you're thinking of giving her the kind of leeway

you have in the past,

everyone knows the history there.

You just said it yourself, Max. It's history.

There's nothing between us anymore.

And everyone also knows,

my life would be easier if she wasn't here.

Well, if you want her gone, just fire her.

We'll back you.

I won't do that without cause.

But rest assured...

she does anything to earn my distrust

or to jeopardize this hospital's reputation,

I'll be the first one showing her the door.

Well, that's a helluva thing to say about the woman

you once loved.

If you mean it.

- Go get him. - Daddy!

Oh, what're you doing up this late?

She wouldn't go to sleep until she saw you.

Hi. - Hey.

Come on.

Let's go, Princess?

- Yeah. - Okay, go find it.