Original subtitles

[tone chimes]

- [gasps]

- 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.

[Koko Taylor's "Wang Dang Doodle"]

♪ ♪

- ♪ Tell Automatic Slim ♪

♪ To tell Razor-totin' Jim ♪

♪ To Tell Butcher-knife-totin' Annie ♪

♪ To tell Fast-talking Fanny ♪

♪ We gonna pitch a ball ♪

♪ Down to that Union Hall ♪

♪ We gonna romp and tromp till midnight ♪

- 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.

[laughter] - We missed you.

- Welcome back. - Welcome back.

- Thank you.

- You're looking particularly fly today, Ms. G.

- Well, thank you, Dr. Frost.

- So, uh, they took this photograph out of your file.

Didn't know if you 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 grays would blend in better.

- We had a deal.

You are no longer employed here.

- The exit agreement I signed stipulated

that I could 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 gonna sit home

and make quilts while you undermine

the mission of this hospital?

- Well, enjoy your little trip down memory lane.

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

- [speaking Cantonese]

- 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 Dr. Archer.

- Yeah, and maybe an interpreter.

- 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 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 if you 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. - Oh.

- Ambo's incoming with multiple vics from an MVC.

Seems like a big rig did a little damage.

- OK, looks like they're playing our song.

[machine beeping]

- Guy must've 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, if you can hear me, open your eyes,

please, sir. - Geoff, honey,

please open your eyes for the doctor.

- Sorry, ma'am, are you his wife?

- Mm-hmm. - I'm sorry,

I just need some room, please, OK?

Push a gram of Keppra and start him at 3%.

And then get him to the scan. - Gail Gehrig, 61,

complaining of left chest pain.

- She might have a broken rib or two.

- Go ahead. I got it.

- You, come with me.

[tense music]

♪ ♪

On my count.

1, 2, 3.

- [grunts]

[panting]

Hey, Gail, I'm Dr. Wu.

I'm gonna take a listen to those lungs, OK?

- OK.

- OK, breath sounds bilateral, but diffuse wheezes.

Let's get her an albuterol neb.

- Ms. Gehrig, 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-- [panting]

Head-on collision.

- And that's when you struck Mr. Driscoll?

- I'm sorry, I-I did-- I didn't see him.

Please--please tell me he's gonna be OK.

- The doctors are working with him now.

- We're gonna 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--

when I'm driving.

- I wish I could take your word,

but I still gotta 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.

- OK, if you're not capable of controlling yourself,

Ms. Driscoll, I'm gonna have to ask you

to step out of the room.

- My husband is in the other room fighting for his life

because this blue hair couldn't control her vehicle,

and I am the problem?

- Uh, why don't we take Ms. Gehrig to grab some X-rays

so that Mr. And Mrs. Driscoll

can have some privacy?

You want to stay with your husband, right?

OK.

- OK, 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 a serratus block.

And 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.

- OK, 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. - OK?

You were pretty quick to defuse 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's 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.

- Ooh, that is bad timing.

Were you parking or about to pull away?

- We just found a spot-- - We were just pulling away--

- Yep, you're right.

It was-- it was horrible timing.

- OK, 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.

- OK.

- OK, why don't we grab an ultrasound,

get a better look at that baby, OK?

Blue towel, please.

- Ah!

- You OK, Matthew?

Looks like you're favoring that shoulder.

- Uh, yeah.

I probably just tweaked it in the crash.

- OK, well, we'll have to get that looked at too.

Harper, that is, um--

that is a pretty crazy rash you've got there.

- 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.

- Mm.

- OK. [light knocking]

- Sorry, guys, but I just had it confirmed.

Your car was towed to the impound lot.

- What? No.

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, OK?

- 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.

- OK, 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 gonna be OK.

- Did you not hear what the nurse just said, Matthew?

The car is gone.

- Neurology is performing a clinical brain death exam now

and nuc 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.

Why are you asking?

- Well, it looks like our patient

needs an expedited placement on the transplant list.

- The truck driver? - Yeah, Gail Gehrig.

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 ODA.

Perhaps you can reach out to him directly,

emphasize the need?

- Yeah, send me the deets, and I'll call over there right now.

- Thanks, Dean. - Yeah.

- Out of sight, out of mind, I know,

but I still was told the linens need restocking

in the overflow room.

- OK, I'm on it.

- We'll do it, Ms. Goodwin.

- We were headed there anyway. - Thanks, ladies,

but I think I'm capable of changing some bedding.

[both chuckle]

- OK.

- Oof.

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.

- [grunts]

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.

- OK.

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

Some Silvadene, 4 by 4s, and a tub of soapy water, Trini.

Thank you.

I just wanna check how far up this splash got on your arm,

all right, Alex?

Would you mind undoing your shirt?

- OK, let me help you.

[tense music]

♪ ♪

- Alex, can you tell me what happened here?

- Sorry.

I came as soon as I could.

Oh, my God.

♪ ♪

You poor thing.

Oh, baby.

♪ ♪

- Of course, but in the meantime,

is there a particular flavor of yogurt you prefer?

- Anything but strawberry, OK?

- OK.

- Hey, you sure you thought this through?

- Well, how do you mean? [chuckles]

- I mean, 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.

Like 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. - OK.

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's that supposed to mean is are you sure

Miranda didn't have a little something to do with this?

Hey, you told me you didn't do the things she accused you of.

That, at least, you clued me in on.

- Daniel, it's more complicated than that.

- OK, how? How's it more complicated?

- I can't get into it.

- You have got to be kidding me!

- Will you 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 OK with that, all right?

I did not make that deal, which makes this the very definition

of my business.

So when you're finally ready to tell me

what the hell is going on here, look, 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, OK?

- Mm-hmm.

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--I'd ask you to send my condolences,

but...

I'm afraid it might be not welcomed 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. [chuckles]

- Yeah.

Um, this is awkward.

- I spoke to your guy at ODA. Definitely helped.

Gail's placement's been expedited.

- Thank you, Dean. - Sure.

- That's wonderful news. - Yeah.

- I'm--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 cams 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.

- [clears throat]

- Uh, 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, force of habit.

- That's fine.

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

- Sure.

- X-ray reveals an old fracture in the clavicle

with malalignment and callus formation,

like it was never set right.

- Yeah, or 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 is behind bars on drug charges.

- [sighs]

- 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.

- OK. And who's this, then?

- Hi, Joanne. I'm--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. Bly, 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 get the kids a snack?

There's even a play area.

- I would say, all in all, you guys, uh--

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.

- Well, 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--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-- you're showing signs of edema

in your lower legs and malnutrition,

and you both have those infected bedbug 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.

- This shelter is safe and clean.

I can promise you that.

- It'd only be temporary,

just until you can deliver safely.

- Hmm.

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, OK?

[machine beeping]

Excuse me, a little help in here.

[tense music]

- Ah, she's decompensating.

- How you holding up, Gail?

Sat's at 88 and dropping.

We need to intubate.

Get the airway kit and ready 50 of etomidate

and 100 of succ.

- We do that, there's no guarantee

we'll ever be able to wean her off.

- Kit, please. I don't wanna have to ask twice.

- She'll lose her spot on the transplant list

if we intubate, Dean.

- OK, we're down to 79.

We gotta make a call now.

♪ ♪

- All right, let's just bag her for the time being,

put her on ECMO instead, V-V.

Just call in a perfusionist, and we'll do the cannulation

in the hybrid OR.

- You don't think ECMO's overkill?

We'd be risking a whole host of complications.

- Hey, I'll do the procedure myself, unless you've

got an objection.

- No, we're good.

I guess ECMO it is.

♪ ♪

- Hey, um, hey, where's Harper?

- What do you mean?

- Well, 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.

- OK, this isn't good.

Um, we really need to find her.

- OK, Matthew, I'm sure she's OK.

She's probably just using the restroom or something.

- No. OK, you don't understand.

She can't be alone out there, OK?

She really needs looking after.

- OK. Um...

hey, Doris, let's get the word out.

We got a near-term pregnant woman missing and in distress.

- Yeah. - Hey, it's OK.

We're gonna 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.

- Ah, 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, hmm?

- Oh, you found a new pair of lungs for her?

- Geoff Driscoll's, yeah.

- The man that she ran over? - That's right.

- How did she get priority?

She just got put on the list.

- Well, lungs don't travel well.

I guess they prioritized 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.

- But I am needed back in the ED,

so I'll just text her to reschedule.

OK? Thanks.

- [breathing heavily]

- Hey. Hey, hey.

You all right?

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? OK.

You're OK.

It's all right.

It's OK.

You're OK.

Harper.

Well, listen, Harper,

sometimes when I am struggling to catch my breath,

I like to just slow things down a little bit, all right?

It'll get rid of that tightness that you're probably feeling

right now on your chest.

Am I right?

OK.

I find it helpful to use the diaphragm.

Breathe into your belly.

I've obviously not done this while pregnant,

but I think the theory still holds.

Would you like to try it with me?

Yeah?

All right. Take my hand.

You're OK.

You don't have to say anything, all right?

We're gonna inhale through the nose for four long beats,

all right?

1, 2, 3, 4.

Great. Now hold it two seconds.

One, two.

Now release.

[exhales]

Slow, controlled.

OK, even longer.

You're doing so great.

All right, let's do it one more time, all right?

- [inhales]

- 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. He's--

- 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. - Right.

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,

it 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?

- Whew.

You really can't feel anything, Alex?

- Nope.

- 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'd love to banish it from our lives,

it actually serves as this 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.

- 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 Alex is 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.

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

Confrontational.

She's, like, also super superstitious.

She hangs this, uh, St. Joseph medallion

wherever we find ourselves, for protection, you know.

- Yeah, I'm familiar.

- Yeah.

We had it hanging from a rear-view mirror.

A lot of good that did.

- Well, you did 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.

- OK, 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, Ms. Goodwin, I would never try

and game the system.

This is just purely frustration talking.

- We--we 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 Gastern 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 OK.

You can leave the kids with Ms. Quinn here.

- Madeline, what's going on?

[tense music]

- Sorry, did Alex's school contact you?

Because this has 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 your custody...

- Whoa. Whoa, whoa, whoa. - Until a formal investigation

can be conducted.

- Madeline, what are you doing here right now?

- You don't understand. - 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, uh--it's because of those insect bites

you guys suffered.

- And 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,

uh, 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?

- [trills lips]

Depends on, uh, how busy the lab is.

- Yeah. - 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, no, no.

We--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. - Yeah.

[gentle music]

- My medallion.

♪ ♪

Is it OK 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 stand down.

- And once they open a file,

they have their own internal process to follow.

- Well, how'd the 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? - Come on.

- 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--

- What are you talking about? - And, Dr. Charles,

do I need to remind you

about the tens of millions of dollars

this hospital pays per year in malpractice insurance?

- OK, well, you better get ready

to pay a whole lot more, 'cause that lady is coming for you.

Ms. Sloan, only human beings can investigate these questions

because subjectivity is 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.

- Ms. Sloan-- - Oh, my God.

- 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?

Ms. Sloan!

[tense music]

♪ ♪

- Ms. 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.

And soon after that, you'll hopefully be able

to do a lot more than just drive.

- I had to stop swimming in the ocean

'cause 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 to be as impartial--

- 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 gonna 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--I can't do this.

♪ ♪

I can't accept those lungs.

[pensive music]

♪ ♪

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

I'm sorry I let you down.

- Well, 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.

[pensive music]

♪ ♪

- 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 pale 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.

♪ ♪

But 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.

- OK, that nurse has earned enough respect

to say whatever the hell she wants.

Do 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?

- Mm-hmm.

Look, Dean,

all day, you, Doris,

pretty much everyone except Dr. Wu

has been treating me with kid gloves

and an overabundance of-- 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,

is if I'm treated like any other nurse.

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.

- Oh, you mean I get to spend more time with my baby girl?

How dare you?

- You're making the wrong enemies, Dean.

- Yeah, well,

it's a temp gig anyway.

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

- Last I heard.

- You're right.

He did not last the 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 did 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 whisky, Nurse Goodwin?

[Sharon chuckles]

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

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

- Yeah. [chuckles] Me neither.

It's amazing we're still friends.

- [chuckles]

- I'm telling you, I don't know how much longer

I'm gonna last with, you know, Miranda's little

Stormtrooper stomping around.

- Oh, Mallory? - Yeah. You saw what happened.

I-it's not tenable.

I'm gonna have to scram before she turns me

into a frickin' algorithm.

I'm assuming that Miranda is not playing

on the level, right?

- No. I know she's not.

The problem is proving it.

♪ ♪

- Well, how'd you like a little help?

♪ ♪

[dramatic music]

♪ ♪

[wolf howls]