Original subtitles

Nice work, Dr. Wu. Why does she know me? She's the new Ms. Goodwin. And who is

Ms. Goodwin?

You said you had patients stacking up. You know, you gotta think outside the

box. Find a solution.

I'm worried about you. You can't fix this. Just leave it alone.

I'm resigning as executive director.

Effective. Immediately.

How could you take the deal?

This isn't what it looks like.

I was speaking with a charge nurse. She'd be willing to take this job. I

look forward to meeting her.

Why did you step down?

Is this a permanent thing? Is it true Miranda demoted you?

Listen, I know you're all eager for answers.

Unfortunately, for legal reasons, I can't speak of the events that led me to

resigning. But coming back to nursing was my decision.

So...

Let's just get to work.

Welcome back. Welcome back. Thank you.

Looking particularly fly today, Miss G.

Well, thank you, Dr. Frost. So, uh, they took this photograph out of your file.

Want to take a new pic? Yeah, this'll do.

Thank you, Dean.

Welcome home.

Thanks.

We need to have a word.

Did you really think I wouldn't notice you on the floor? Those are scrubs

you're wearing, Sharon, not camouflage.

The greys would blend in better. We had a deal. You are no longer employed here.

The exit agreement I signed stipulated that I can no longer work here in an

administrative capacity.

It didn't say anything about nursing.

She's right, Miranda.

You really need to read the fine print.

I don't need a board vote to dismiss an RN.

No, but you might want to consult legal first.

Firing someone without cause might be frowned upon by the courts, especially

someone whose gender, racial identity, and age are legally protected.

Do you know how silly you look, Sharon?

Scrubs and sneakers, it's beneath you. Come on, Miranda. Did you really think I

was going to sit home and make quilts while you undermine the mission of this

hospital?

We'll enjoy your little trip down memory lane.

I will have your walking papers in hand by the end of the day.

What seems to be the problem?

Mr. Lam's G-tube is clogged for some unknown reason.

Yeah, normally we would just replace it. Because it's brand new, Dr. Archer said

it was unsafe to pull just yet.

How are you feeling, Mr. Lam?

He doesn't speak English.

My Google Translate was able to identify it as Cantonese, but it froze up after

that. Yeah, and Nancy's at lunch, and my Chinese is a little rusty, so... I

should call in Dr. Archer. Yeah, and maybe an interpreter?

Yeah, that'll take too long.

We can solve this. Either of you have any quarters?

The acid and carbonation work to break down the food that's clogging it up.

That's working.

Imagine the effect on an empty stomach, but I'll drink it anyway.

Cool trick.

That's super old school, right?

I like to call it tried and true.

So you're the infamous Sharon Goodwin.

I'm Dr. Annabelle Wu, EM resident fourth year. Feel free to call me Annie, but in

front of the patients, I'd prefer to call me doctor. That works for me, Dr.

Wu. I heard you basically ran this place for 20 years, so what's with the

downshift? Some kind of late-life crisis?

Something like that.

Ambo's incoming with multiple Vicks from an MVC. Seems like a big rig did a

little damage.

Looks like they're playing our song.

Guy must have been thrown a good 10 feet when he was hit. Looks like his head

took the bulk of the blow. GCS on the floor, no motor response.

Pupils. Fixed and dilated. Mr.

Driscoll, you can hear me. Open your eyes, please, sir. Stephanie, please,

open your eyes to the doctor, Jeff. I'm sorry, ma'am, are you his wife?

I'm sorry, I just need some room, please, okay?

Push a gram of Keppra and shove him at 3%, then get him to scan.

Dale Herrick, 61, complaining of left chest pain. She might have a broken rib

or two.

Go ahead, I got it.

You, come with me.

On my count, one, two, three.

Hey, Gail, I'm Dr. Wu. I'm going to take a listen to those lungs, okay?

Okay.

Okay, breath sounds bilateral, but it's a few squeezes. Let's get her an

amputal, Ned.

Ms. Carrick, I'm Officer Cobb, Chicago PD, remember?

Yeah. When we spoke in the AMBO, you said an oncoming car crossed the

dividing line, and that's why you swerved? To avoid a headhunt.

And that's when you struck Mr. Driscoll? I'm sorry, I didn't see him.

Please, please tell me he's going to be okay.

The doctors are working with him now.

We're going to need to get a blood draw just to check for any possible

intoxication. Wait, was she drinking?

Were you drinking?

No, I wasn't drinking.

I don't drink, at least not when I'm driving.

I wish I could take your word, but I still got to get that blood draw. Not

before we've completed a workup.

Time is a factor.

I'm good whenever.

You see, she's giving you her consent. Okay, if you're not capable of

controlling yourself, Ms. Driscoll, I'm going to have to ask you to step out of

the room. My husband is in the other room fighting for his life because his

blue hair couldn't control her vehicle, and I am the problem. Why don't we take

Ms. Garrett to grab some x-rays so that Mr. and Mrs. Driscoll could have some

privacy? You want to stay with your husband, right?

Okay.

Okay, let's get this one to imaging.

Thanks for the assist. Not that I had a choice.

So your CT scans show some pulmonary contusions and a couple of broken ribs.

It's probably pretty painful, huh?

Only when I breathe.

Well, we'll get pain service in to place the serratus block.

My bigger concern, however, is the pulmonary fibrosis I'm seeing.

There's some severe scarring that we typically see in patients with chemical

or asbestos exposure.

Was this something you were aware of?

Uh-huh.

I used to roughneck in the Gulf once upon a time.

Okay, that might explain it. Has anyone ever spoken to you about a lung

transplant?

I haven't had access to anything but urgent care for a while now.

They got me puffing on an inhaler, but...

I can't say it helps.

Any word on that man I hit? I'll update you as soon as I can.

Oh. Okay.

You were pretty quick to diffuse that situation in the trauma bay.

Well, it just required a little diplomacy.

Moving forward, don't suggest a course of treatment without consulting me

first. It sows confusion as to who's in charge.

So did I hear right that you two were in your car when the truck hit it?

Yeah, we were just parked on the side of the road.

That is bad timing. Were you parking or about to pull away?

We were just pulling away.

You're right. It was horrible timing.

Okay, well, Harper, it looks like your blood pressure is a bit elevated. That's

something that you'll need to monitor very closely over these last few weeks.

Okay.

Okay, why don't we grab an ultrasound, get a better look at that baby, okay?

Blue towel, please.

You okay, Matthew?

Looks like you're favoring that shoulder.

Yeah, I probably just tweaked it in the crash.

Okay, well, let's get that looked at, too.

Harper, that is a pretty crazy rash you've got here.

I know.

I've heard that it's pretty common during pregnancy, though, right?

Uh-huh.

What did your OB say about it?

Um, we haven't had a chance to ask yet.

The next appointment is soon, though.

Okay.

Sorry, guys, but I just had it confirmed your car was towed to the impound lot.

What? No.

No, no, no, no.

There are some things that we really need to get out of there.

Yeah. Write up a list.

I'll talk to my guy. See what we can do, okay? Thank you, Doris. Also, um, can

you check with Dr. Ripley to see if he can maybe take a look at Matthew's

shoulder? Yeah, no problem. Okay, thank you.

Well, I have got some good news.

While it looks like mom has been jostled a bit, your baby appears just fine.

Oh, is that her there?

Mm-hmm. See, I told you everything was going to be okay.

Did you not hear what the nurse just said, Matthew? The car is gone.

So neurology's performing a clinical brain death exam now, and nuke med's on

deck. Wow.

He wasn't even 40.

I guess it's a reminder to look both ways before you cross, I suppose.

Hey, Dean.

What do you think about Dr. Wu?

I mean, she's competent, I suppose, am I asking?

Well, it looks like our patient needs an expedited placement on the transplant

list. Truck driver? Yeah, Gail Garrett. I don't want Dr.

Wu to feel like I'm stepping on her toes, but I just don't want this to fall

through the cracks.

I've got a contact over at OTA.

Perhaps you can reach out to him, directly emphasize the need. Yeah,

submit a deed, and I'll call over there right now.

Thanks, Dean. Yep.

Out of sight, out of mind. I know, but also the linens need restocking in the

overflow room. Okay, I'm on it. We'll do it, Miss Goodwin. We were headed there

anyway. Thanks, ladies, but I think I'm capable of changing some bedding.

Oh, buddy, that must really hurt, huh?

Alex's teacher was concerned when he showed up to school like that. Our nurse

figured better safe than sorry.

No, that's attention-worthy for sure.

Yeah, really.

Alex, can you tell me how this happened? I was making oatmeal for breakfast.

Let me guess. Was it apple cinnamon?

No. Maple brown sugar.

That was my second guess.

So what? You just put the water into the microwave and then... I guess it

spilled. It didn't hurt.

Really. I swear.

Well, that is because you are so brave.

How did your parents react when they saw this?

Alex lives with his grandmother, Joanne. We already called her, so she's on her

way.

Okay.

Well, Alex, we're gonna get you bandaged up, okay?

Some silvadine, four-by-fours, and a tub of soapy water, Trini. Thank you.

I just want to check how far up this splash got on your arm, all right, Alex?

Would you mind undoing your shirt?

I'm gonna help you.

Alex, can you tell me what happened here?

Sorry.

I came as soon as I could.

Oh, my God.

Poor thing.

Oh, baby.

Of course, but in the meantime, is there a particular flavor of yogurt you

prefer? Anything but strawberry, okay?

Okay.

Are you sure you thought this through?

How do you mean?

I mean, are you sure you're ready to change catheters and run yogurts all

day? You sure you're ready to pay all that deference again? Deference.

Deference. Taking orders from some clueless teenage resident keeping your

mouth shut?

Last I checked, you were kind of fond of having the last word. I don't know.

Okay. What's the point you're trying to make that people can't evolve people

evolve all the time But they rarely devolve unless they don't have a choice

not not at our age anyway And what's that supposed to mean what that's

supposed to mean is are you sure Miranda didn't have a little something to do

with this?

You told me you didn't do the thing she accused you of that at least you clued

me in on Daniel It's more complicated than that. Okay, how how's it more

complicated? I can't get into you have got to be kidding me Keep your voice

down. No, I won't. Because I've had it up to here with you stonewalling me like

this whole situation is none of my business.

I have really tried to be so patient and respectful of this bizarre boundary you

keep laying down. All right, but then today, without so much as even a cursory

heads up, you show up in scrubs.

What conclusion am I supposed to draw except for you lost your job protecting

mine? Well, guess what?

I'm not okay with that.

All right? I did not make that deal, which makes this the very definition of

my business.

So when you were finally ready to tell me what the hell is going on here, I'll

be all ears.

But until then, I got better things to do. Daniel.

Daniel.

Dr. Wu wants to increase your flow of oxygen, so we're fitting you with this

BiPAP mask.

Okay?

I'm presuming the man I hit has passed, given no one's told me anything to the

contrary. Mr. Driscoll was pronounced brain dead, yes.

I'm sorry, Gail.

I'd ask you to send my condolences, but I'm afraid it might

be... Not welcome just yet.

Can I help you?

Uh, no.

I'm just trying to get up to speed on the truck... crash.

Um, you're... I'm sorry, we haven't met. I am Mallory Sloan. I'm the new... Me?

Right. Yeah. Yeah.

Um, this is awkward.

Spoke to a guy at ODA.

Definitely helped.

Gail's placement's been expedited. Thank you, Dean. It's wonderful news.

I'm sorry, the ODA?

Yeah, Organ Donors of America.

Gail Gehrig's in need of a new pair of lungs, and she's on the transplant list.

So this is the truck driver we're talking about? Yeah, that's right.

Oh.

Ms. Goodwin?

So the blood draw came back negative for alcohol, as she predicted.

Great news.

The traffic hams pretty much confirmed her story, and Driscoll was actually

jaywalking at the time, so chalk it up to bad voodoo.

I'd still like to ask her a few questions if it's all right with you.

Well, actually, Officer Cobb, the person you should be speaking to is right here.

Mallory Sloan, she's the new executive director of patient and medical

services. Oh, my apologies.

Forced to happen.

That's fine.

Dr. Archer, would you like to lead the way?

X-ray reveals an old fracture in the clavicle with malalignment and callus

formation. Like it was never set right.

Yeah, never set at all.

And of course, the kid insists he never felt it.

But it just feels like... Maybe saying that to protect his grandma?

Yeah. She claims she has no idea how Alex broke his collarbone or burned his

hand, that he never complained about it. Huh.

We know what happened with parents?

Dad's gone. No one knows where.

Mom's behind bars on drug charges.

You know, my first instinct was to contact DCFS to investigate, given the

possibility that what we're seeing here might be abuse.

But you called me instead.

I guess with all this kid's been through, I don't want to believe the

worst.

Sorry. How much longer am I expected to wait here? I've got three kids that need

feeding. Sorry, we're just waiting for someone from orthopedics to come down

and look at Alex's collarbone.

Okay. And who's this thing?

Hi, Joanne. I'm Dr. Charles.

Hello.

Dr. Charles is an extremely qualified psychiatrist with a lot of experience in

emergency pediatrics.

Emergency?

What's the emergency? He had a hand that needed bandaging.

Ms. Bai, I hope you can understand that, you know...

From our perspective, when a child comes in with an array of injuries like

Alex's, it's standard procedure for somebody like me to come down and say

hello, check out the family dynamic, make sure everybody is healthy and safe.

Am I being suspected of abuse?

We are just trying to figure out why Alex has been such a magnet for

injuries. He's a six-year-old boy, that's why.

You two better bring an army if you intend to separate me from my

grandchildren. You know what? How about we, um...

Go someplace quiet to wait for the orthopedist. You know, maybe give the

kids a snack.

There's even a play area.

I'd say all in all, you guys got very lucky, given how your vehicle was

struck. You're both ready for discharge, but... What's this?

Some kind of intervention?

We know that you're unhoused, and we just need to make sure that you have a

safe place to sleep tonight.

I knew I shouldn't have said anything.

We're only asking because you're so close to delivery.

I don't want you to feel like we're judging you.

But aren't you?

You can't possibly imagine how hard it is to find a place to rent.

Do either of you have any friends that you might be able to stay with? Any

family that you could go home to?

Home is wherever this one is.

We're gonna figure it out. Don't worry about us. Yeah.

Well, uh...

Matthew, you're showing signs of edema in your lower legs and malnutrition, and

you both have those infected bed bug rashes.

And most importantly, Harper, you're possibly developing preeclampsia.

These next few weeks are very critical.

You need as much bed rest and observation as possible.

What do you expect us to do?

Aren't you kicking us out now? I do know of a women's shelter that's not too far

from here.

A woman's shelter? What about Matthew?

Matthew can come visit you, but he would need to find a different place to sleep

and bathe.

No. No, I'm not going there alone. I don't feel safe in the shelters.

The shelter is safe and clean. I can promise you that.

It'll only be temporary, just until you can deliver safely.

Maybe we should consider it, Harper.

No.

We can't be separated right now, Matthew. I need you too much.

You get that, right?

Of course, babe.

I'm not letting you out of my sight.

Okay?

Excuse me. A little help in here.

Ah, she's decompensating.

How you holding up, Gail?

That's an 88 and dropping. We need to intubate.

Get the airway kit and run you 50 of etaminate and 100 of sex.

If we do that, there's no guarantee we'll ever be able to wean her off. Hip,

please. I don't want to have to ask twice.

She'll lose her spot on the transplant list if we intubate Dean. Okay, we're

down to 79. We've got to make a call now.

Let's just bag her for the time being. Put her on ECMO instead. DV, just call

in a perfusionist and we'll do the cannulation and the hybrid OR.

You don't think ECMO's overkill would be risking a whole host of companies? Hey,

I'll do the procedure myself unless you've got an objection.

No, we're good.

Guess ECMO it is.

Hey, um, hey, where's Harper?

What do you mean?

I was up in radiology getting a scan, and when I got back, she was gone.

I can't find her anywhere. Did you send her away to get more tests? No.

Okay, this isn't good. Um, we really need to find her.

Okay, Matthew, I'm sure she's okay. She's probably just using the restroom

or something. No, okay, you don't understand.

She can't be alone out there, okay? She really needs looking after.

Okay.

Hey, Doris, so let's get the word out. We've got a near-term pregnant woman

missing and in distress.

Yeah. Hey, it's okay. We're going to find her. Please.

It's not every day you find a nurse so fluent in respiratory intervention.

Well, I've seen so many over the years. I've got a pretty good handle on the

pros and cons.

Oh, well, it's obvious Dr. Archer thinks so.

It's hard to get a word in edgewise when your attending only has one ear open.

Well, perhaps you'd benefit by keeping both ears open as well.

I guess we made the right call, putting Gail on ECMO.

You found a new pair of lungs for her? Jeff Driscoll's, yeah.

The man that she ran over?

That's right.

How did she get priority? She just got put on the list.

Oh. Lungs don't travel well. I guess they prioritize geolocation, given that

they matched.

But now is the time for somebody to break the good news, and I feel at this

point that should be you. Oh, no, no.

You and Dr. Wu should do that. I've got some restocking to do anyway.

Don't get too comfortable.

I am needed back in the ED, so I'll just text her to be scheduled.

Okay? Thanks.

Hey. Hey, hey. You alright?

I'm Dr. Frost.

Friends call me Jonathan.

Would you mind if I took a look at your wristband just so I know who I'm talking

to?

Yeah? Okay.

You're okay. It's alright.

It's okay.

You're okay.

Harper.

Well, listen.

Harper, sometimes when I'm struggling to catch my breath, I like to just slow

things down a little bit.

Get rid of that tightness that you're probably feeling right now in your

chest. Am I right?

Okay. I find it's helpful to use the diaphragm.

Breathe into your belly.

I've obviously not done this while pregnant.

But I think theory still holds would you like to try with me?

Yeah, all right. Hey man You okay? You're off the same thing, right?

We're gonna inhale through the nose for four long beats. All right One two

three four great now hold it two seconds one two now release

Slow controlled okay even longer

Doing so great. I'm just going to do it one more time, all right?

Some days like today, I just... I just want my life back.

Alex? Sounds like a bit of a handful all by himself.

Oh, no.

Alex is an angel.

I wish his sisters were more like him.

He basically just takes care of himself.

He dresses himself. He cleans up after himself.

Makes his own breakfast?

How could I not have noticed that he burned his arm so bad?

Or that he broke his collarbone?

I mean, that must have been so painful.

But that's Alex. I mean, he never complains.

He's so brave.

He wants so badly to be the man of the house.

Huh.

When you say he never complains, I mean, how do you mean?

I don't know.

I mean, when he was a baby, even when his mom would take him to get shots, I

mean, he never cried.

Not a peep. Got it.

So also physically brave.

Yes, absolutely.

Is something wrong, Dr. Charles? No, not at all.

But, um, you know, with your permission... I'd like to run a test on

Alex.

For most people, submerging your hand like this pretty quickly brings on

intense pain. You know, as the severe cold constricts our blood vessels and

triggers these dense nerve endings we have under our skin called nociceptors.

Yeah, I'm done with that.

You like that?

You really can't feel anything, Alex?

No. I don't understand.

What are you trying to prove?

We think Alex has a condition known as CIP, congenital insensitivity to pain.

It's a rare disorder that has prevented his pain receptors from developing

correctly. Pain, as much as we love to banish it from our lives, it actually

serves as this, you know, crucial biological alarm system. You know, like

telling us to pull our hand out of a pot of boiling water.

Or letting you know that you've broken a bone.

I mean, we have to confirm this via genetic sequencing, but...

I don't know, man. You know, we caught it pretty early, so I'm optimistic that

Alec's gonna live a normal, healthy life.

So, what happens now?

Well, for starters, you might want to pull your hand out of there before you

get frostbite, bud.

Yeah, we don't need to do that anymore.

Good job, baby.

You good?

Yep. All right.

She has a hard time sometimes moving through the world.

She's a little bit anxious and OCD, I think.

confrontational she's like also super superstitious she hangs this uh saint

joseph medallion wherever we find ourselves for protection you know

familiar yeah we had it hanging from a rearview mirror a lot of good that did

well you didn't walk away in one piece you have a point anyways thank you for

everything and uh don't worry about us we'll figure something out

I am terrified of what might happen to that poor girl on the streets.

Yeah.

Hopefully she delivers before the weather turns too bad.

Okay, don't tell Dean, but I am half considering exaggerating the risk of her

preeclampsia to get her admitted.

But at least she would get the care that she needs.

Still only solves half the problem.

Well, any chance that Ortho might authorize an overnight for a separated

shoulder?

What are we, running a...

Hotel now?

Believe me, Miss Goodwin, I would never try and game the system. This is just

purely frustration talking.

We've got these kids, and they just lost whatever home they had in that car

crash. It's like they can't catch a break.

Pull up their charts.

I might have a solution.

Do you want to thank the doctors for taking such good care of you today,

Alex?

Thank you.

You're very welcome, buddy.

Thank you, guys. Come here, bubba.

Oh, let's go. We've been here forever. Excuse me, Ms. Bly? Yeah.

Hi, I'm Madeline Gaston with the Department of Children and Family

Services. Can I talk to you for a minute? I've got my hands full right

now. That's okay. You can leave the kids with Ms. Quinn here.

Madeline, what's going on?

Sorry. Did Alex's school contact you? Because this is all been straightened

out. I'm sorry, but I regret to inform you that due to the nature of Alex's

injuries, DCFS will be removing him from custody until a formal investigation can

be conducted.

Madeline, what are you doing right now? There's no abuse. The kid's got CIP.

Everything's been straightened out. Hey, hey, hey.

I'm sorry, Dan. There's new protocols in place. I'm just trying to follow them.

What protocols are you talking about? Madeline.

What are you doing?

Ms. Sloan.

I don't understand.

I get why you want to keep an eye on Harper, but why am I being admitted?

Well, technically, you're both being boarded, and it's because of those

insect bites you guys suffered.

I don't know if you've seen on the news, but there's been a couple cases of

typhus identified recently in the Great Lakes region, spread via flea bites,

actually. Now, it's unlikely that you have typhus, but it can't be ruled out

completely without two negative blood tests seven days apart.

So as a precaution to the public at large.

We're going to need to hold you both here until we can safely rule it out.

How long would that take?

Depends on how busy the lab is. Could take a few days. Well, maybe even a few

weeks. They've been running behind lately.

It's the only way to know for sure.

I'm sorry for any inconvenience.

No, no, no. We totally get it.

I guess we'll just have to grit our teeth and grind it out.

Hey, guys.

PD brought this in.

What they could salvage from your car.

Thanks, Doris.

My medallion.

Is it okay if I hang this up here?

Absolutely.

I was afraid of what things might look like if you were gone for good.

I guess we don't need to worry anymore.

I'm just not understanding the problem.

Tell DCFS to stay in town. And once they open a file, they have their own

internal process to follow. How'd a file get opened in the first place?

DCFS isn't supposed to get involved unless we notify them.

And neither of us did.

Did you?

No. Well, then who did?

The system did.

What system?

Well, staying in compliance with reporting guidelines has been a

challenge, as I'm sure you're both aware, so now we have an algorithm to

address that.

An algorithm?

How is an algorithm supposed to address that? By taking the decision out of our

hands by removing as much subjectivity as possible from the process.

And Dr. Charles, do I need to remind you about the tens of millions of dollars

this hospital pays per year in malpractice insurance?

Okay, well, you better get ready to pay a whole lot more because that lady's

coming for you.

Ms. Sloan, only human beings can investigate these questions because

subjectivity... It's so critical to the entire process. It's why Dr.

Frost and I, two human beings, declined to notify DCFS this morning until we

could be absolutely certain that there wasn't another explanation.

And what do you know? There was!

Well, what do you mean? The kid has CIP.

That's why he had so many unreported injuries.

I understand your frustration, but I still think having DCFS manage this is

the most prudent path. Prudent how?

If you're right...

and nothing worrisome is going on in that household, then Alex and his

siblings will be returned to his grandmother's custody in ten days.

Miss Sloan, you rip this child away from his grandmother like this, he'll have

emotional scars that could last him a lifetime. Dr. Frost, I think you're

somewhat underestimating the resiliency of a six-year-old. All due respect, I

think Dr. Frost and I might know a tiny bit more about the resiliency of a six

-year-old than you do. It's just a hunch.

Well, like I said, it is out of our hands.

I am sorry. Out of your hands? I'm sorry. Do you want to try to do the

right thing?

Miss Sloan!

Miss Goodwin, they're ready for Gail.

So how long before I'll be able to drive my truck again?

Your recovery will be about two to three weeks between the hospital and rehab.

Soon after that, you'll hopefully be able to do a lot more than just drive.

I had to stop swimming in the ocean because I couldn't catch my breath.

Will I be able to do that again?

I can't see any reason why not.

No, that's what I'm saying. We're just one floor down. So it would expedite

things if you would just come straight down after Mr. Driscoll's procurement.

Wait a minute. My husband's lungs are going to the truck driver?

There must be some kind of mistake, right? I mean, this can't be allowable,

can it?

She's the one who killed my husband!

We all appreciate the gravity of your loss.

The organ donation process can feel arbitrary.

But trust me, the system is designed... Trust you? Who the hell are you? Why is

this nurse all up in my face? Security, a little help?

He's gone.

My husband's gone, and now you're going to benefit from it. Does that seem fair

to you?

No one's giving my husband a second chance.

Gail, I'm so sorry.

This was supposed to be anonymous and discreet.

The donor's family is not supposed to know any details about who's receiving

the organs.

She's right.

I can't do this.

I can't accept those lungs.

I know you went above and beyond to give me those lungs.

I'm sorry I let you down. I'm not the one you owe an apology to.

You are awfully hard on yourself.

And that accident today was just that.

An accident. It wasn't your fault.

You have earned a second chance at life.

You need to forgive yourself.

Come sunrise this morning,

I could feel myself drowsing off.

But the only way I get that load to Gatlinburg by the end of the day is to

put Chicago Rush Hour in my rear view.

So I leaned on a cup of joe, maybe two.

That was just a pill substitute.

The truth is I should have pulled off the road and caught some Zs.

So no, you can't really say it wasn't my fault.

For a second, I thought I just might be able to turn back time.

Who was I fooling?

There is a real chance that those lungs won't find a new home before they become

unviable, for starters.

And now we have a patient on ECMO indefinitely with no roadmap of how or

when to come off.

Yeah, is this about me overruling you earlier?

Hey, you are my boss. I can accept you wanting to go in a different direction.

But when it is a nurse who is pointing the way... A nurse?

Sharon, yes.

All I'm saying is I'm not sure you make that call if she's not chirping in your

ear. Okay, that...

Nurse has earned enough respect to say whatever the hell she wants, you

understand? In fact, she's earned enough respect so that going forward, you will

cease referring to her as Sharon. It's Ms. Goodwin to you. No, no.

Dean, she's right.

I was out of line. No, you are not. Can we have a moment, please?

Look, Dean, all day, you, Doris, pretty much...

Everyone except Dr.

Wu has been treating me with kid gloves and an overabundance of

regard. And I will admit, I allowed it because I felt it was my due.

Because it is your due.

It might have been. But the only way this is going to work moving forward, me

wearing scrubs as if I'm treated like any other nurse, I can't. I can't be Ms.

Goodwin on that floor.

I can only be Sharon.

So you were right.

I can't stop Sharon working here as a nurse.

But I can control who runs the ED moving forward, and that's no longer going to

be you.

You mean I get to spend more time with my baby girl?

How dare you?

You're making the wrong enemies, Dean.

It's a temp gig anyway.

Besides, Lennox will be back in a few weeks, right?

Last I heard.

You were right.

He did not last a month.

Keep it. You'll need it to pay for that tablet you assassinated.

If there's anything I could have done to save my job, to protect this hospital,

don't you think I would have done it?

Well, I wouldn't really know, would I?

You know, yours wasn't the only job I was trying to save.

I made a mistake, Daniel. I left my computer open in my office, and Doris

came across it.

She was the one that leaked the information about Dr. Rabari, but she

was only trying to protect you.

And you only fell on your sword to protect her?

Well, like I said, I had no choice. I have a code, and it doesn't allow me to

turn my back on someone who did what I should have done.

Huh. Well, at this point, there's really only one thing left for me to say.

And what's that?

Thank you.

From the bottom of my heart.

How'd I get so lucky to have a pal like you?

And Doris?

How?

Will you allow me to show my appreciation with a wee dram of middling

whiskey, Nurse Goodwin?

You know, I really stepped in it today, Daniel.

Turns out I don't like not having the last word.

Yeah.

Me neither. It's amazing we're still friends.

I'm telling you, I don't know how much longer I'm going to last with, you know,

Miranda's little stormtrooper stomping around.

Oh, Mallory? Yeah, you saw it happen.

It's not tenable.

I'm going to have to scram before she turns me into a freaking algorithm.

I'm assuming that Miranda's not playing on the level, right?

Oh, no, no. I know she's not.

The problem is proving it.

Why do you like a little help?