Original subtitles

We had a deal. You are no longer employed here. Did you really think I

was going to sit home while you undermine the mission of this hospital?

I can't stop Sharon working here. But I can control who runs the ED, and that's

no longer going to be you.

I'm assuming that Miranda's not playing on the level. I know she's not.

The problem is proving it.

Why would you like a little help?

Why did you want to meet here?

Because I can't risk anyone seeing us together, okay? If Miranda finds out,

I'm feeding you information.

You'll also be looking for a new line of work. Yes, and unlike you, I don't look

good in scrubs. You have information.

Okay, here's the headline.

Miranda had a three-hour closed-door meeting last Wednesday, okay? It didn't

appear on her official calendar. There's no minutes, no memos.

Well, who was she meeting with?

No one seems to know. Well, someone has to know.

Ask Felicia and security for a list of all the temporary badges that were

issued on Wednesday.

Look, if I start pulling security records, Miranda's gonna find out.

Peter, you're the hospital's counsel. Come up with something attorney-like.

You know, the things I do for you... And do me one more favor. The next time,

just walk up to me like a normal person. You almost gave me a heart attack.

Okay, then Mario and Luigi.

Absolutely not. Come on, I bet you look great in a pair of overalls. I do, but

it's still hard enough.

Dr. Frost, just the person I've been trying to reach.

Dr. Hart, hey, I'm sorry. I have been meaning to email you back.

Well, attending positions are opening very soon, so we need to discuss your

CV, your references, your interview strategy.

Absolutely. I'm all over it. Just make sure we get something on the calendar. I

want to make sure you're set up for success.

Great. All right. Good morning, Dr. Ripley. Morning.

You really should meet with Hart.

Job market's supposed to be brutal this year.

I am not too worried about it.

Kind of things typically have a way of working out for you. Are you forgetting

the fact that Naomi kind of just dumped me?

I thought that was mutual.

Look, if you want to stay at Gaffney, you're going to have competition.

There's only so many attending spots to go around. What should I be doing that I

am not already doing?

Taking initiative.

People aren't just going to hand you opportunities.

That's great advice. See, I do better with specifics, so maybe give me

something actionable, Dr. Yoda.

Take on a leadership role. You're in your final year of residency.

Put yourself up for chief resident.

Won't those applications do like today?

Then you still have time.

So there's family ideas, but I wanted to focus on her, and I have a few saved, I

think.

Oh, baby Elton John, no contest.

No, I say go classic, like Peapod or pumpkin or something cute. Okay, I'll

bite. What are we... Baby Mabel's first Halloween costume.

Mabel, our four-month-old, who'll have absolutely no memory of what she wore.

It's not for her, Dr.

Archer. It's so you have a picture of your adorable baby as a tiny pop icon.

It's the whole point of having kids.

Side benefit down the line, Black men material for the teen years. It's

perfect. Excuse me.

If I could have your attention.

Everybody listen up.

Thank you.

Good morning. I just have a brief staffing announcement.

First, I would like to thank Dr. Archer for his excellent work as interim ED

chief. He'll remain in the position throughout the end of the week, after

which he will be stepping away to focus on several key departmental initiatives.

Can't wait to hear what those are.

So if everyone could please thank Dr. Archer for his service.

Go deep!

And please, if you could welcome Dr.

Ripley, who will assume the position of interim ED chief, effective Monday.

I will.

Congratulations, Dr. Ripley.

My office will be in touch regarding the transition.

Thank you.

Well, guess sometimes you do get handed opportunities, huh?

Got the big dog E.D. chief, chief resident. We're going to be running this

place. God help us.

Dr. Archer, we need you in treatment three.

We've got Cynthia Peterson, 55, advanced multiple sclerosis, presenting with

fever, tachycardia, and intermittent vomiting. Her daughter, Lucy, called

911. Lucy Abrams.

Sam's daughter?

Yep. And is that his ex-wife?

Mm-hmm.

Are they on good terms?

Well, let's put it this way. She tried bribing the ambulance driver to take her

to any other hospital.

We're going to trauma one. Jessa Huntington, 36-year-old female, 37 weeks

pregnant, fell down a flight of stairs. I was right behind her. She missed a

step. I couldn't catch her. Fuck her head against a metal railing before

landing on her abdomen. Had a witness seizure after the fall and was post

-tictal. GCS 13, heart rate's 115.

Initial pressure 80 over 40, improved to 95 over 53 with fluids. Last fetal heart

rate was 113.

We're going to need a chest x-ray, a FAST exam, and a head CT.

Let's prepare to travel. Hold on, hold on, hold on.

Baby's heart rate's in the 80s. We need to deliver now. Change of plans.

Everybody, we're heading upstairs.

Let's go.

Is your baby going to be okay?

Casey, call the O.R. emergency C-section.

Tell them to activate the neonatal team. On it.

I want to go with my wife. I'm sorry. She's too unstable.

You can't be in the O.R.

Doris will stay with you. We'll update you as soon as we can.

Please. You have to stay.

Your liver transplant is scheduled for next week.

Thursday. My brother's the donor.

Which is why we came straight in when she woke up with abdominal pain. We

didn't want to take any chances.

Tumor is right where the bile duct leaves my liver. They can't resect it,

so transplant's my only option.

And really, it's a Hail Mary. Hey, I thought we were staying positive.

We are. It's just, this cancer has a very high recurrence rate, so it's...

But we're staying positive.

I'm not gonna let a little stomachache keep us from Italy.

Oh, you have a trip planned.

Yeah, a cruise for our 10-year anniversary.

As soon as I'm cleared to travel.

Let's get a full set of labs. And a CT.

Nora, let the doctor. We both know that's where this is headed.

We can skip ahead to the CT. Given the upcoming transplant, your surgeon's

going to want imaging.

With contrast.

If your kidney function allows it. It does.

Nora.

Okay. Okay, I'll back off. Be at the doctor.

Okay, we'll loop in your oncologist at Midwest Advocate and get going on these

labs. Thank you, Dr. Ripley. Yeah, you're welcome.

I'll take care of notifying Nora's oncologist.

Dr. Ripley, you're about to take over as chief. You've got enough on your plate.

You don't need to lighten my load. Just treat me like any other nurse in the ED.

Uh, no, it's not that.

Nora's oncologist is, uh, Dennis Washington.

Oh.

I didn't see that.

I heard he was at Midwest Advocate.

Actually, if you don't mind making that call.

Consider it done.

Thank you.

All right, buddy, just follow my finger for me, okay? Just with your eyes.

Yeah, we got back from Miami last night.

Caleb spent most of his time in the pool or in the ocean.

Well, his skin's pretty red. Was he wearing sunscreen?

Uh, yeah.

Yeah, but, um, you know, we were chasing around his two-year-old brother a lot.

We probably didn't reapply enough.

And plus, Caleb refused to wear his rash guard.

Mom said I didn't have to if I wore the floppy hat.

You should hear him negotiate bedtimes.

All right, well, a severe burn can blister, and combined with dehydration,

that would explain the fainting.

It could, but this blistering's a bit more impressive than we'd expect from a

sunburn, so we'll get some labs going and start them on fluids.

Oh, great. Uh, thanks. Yeah.

The neonatal team is still responding to another code. Backup's on the way, but

we may deliver before they get here. And we're the neonatal team until they

arrive.

Cutting.

Okay, I got the head.

Chimor fundal pressure.

Hi,

baby girl.

Hi there.

Okay, clam.

Here, there.

All right.

Here we go.

Okay.

Here we go.

Dr. Asher, baby's in distress.

Okay, I'll be right there.

Deliver the placenta, then start closing the uterus. Got it.

Heart rate's 80. Starting positive pressure ventilation.

Mom's pressure's 60 over 30 and falling.

Comfort blood.

Mom's hemorrhaging.

Heart rate's down to 50.

Okay, keep ventilating. I'm starting compressions.

Kai, check her uterine tone.

Yeah.

It's firm. It's not acne.

We've got her.

Back.

More or less.

Oh, my God. Is that Dan Charles?

How the heck are you?

Well, better now.

Oh.

You know, your father and I used to double date with Dan and his wife Susan.

How is Susan?

Oh, no. God.

You're divorced.

Yeah.

Sorry. It's okay.

MS brain.

How's the new wife, Linda?

Lucia? You know what? She took off, too.

Quite a while ago now. I know, it's a pretty damning pattern, isn't it?

At least I'm still, you know, startlingly attractive.

Indeed you are. Well, thank you.

You know our daughter, Lucy. Of course.

You probably don't remember me, Lucy, but I remember your dad carrying you

through these very holes on his shoulders when you were just a tot,

often wearing a sparkly tutu, if memory serves, right?

Uh, yeah.

Yeah, I think I, um, I... Uh, Mom?

Okay, don't get mad, but I called Dad.

He was gonna find out you're here.

Yeah, it's true. You know, VIP shows up, word travels fast in these parts.

Hey, Dad.

Get it over with, I look like crap.

You look thin, that's all.

You look puffy and tired.

Toddler keeping you up?

How high was her fever?

I just got here.

102, Dad.

They've seen urine in blood cultures?

No, gosh, without you here, Sam, the doctors have just been sitting around

guessing. Uh, any drop in urine output?

Yeah. My urine is none of your business.

I assure you this isn't personal curiosity.

No, it's just an opportunity to remind everyone you're the smartest person in

the room.

What, you above taking the bait?

Ever consider maybe I'm just a better person than you? No, and I don't need

your pity.

Hey, Lucy, are you enjoying this as much as I am?

Hey, Cynthia.

Got your results?

Oh, for you. No, no. You stay.

I like you.

You, I've seen enough of. Bye now.

I'm afraid you've got a kidney infection.

Long-term catheters are a common source.

Who handles yours?

Uh, I do.

Well, we'll have to have a nurse review Foley care with you, so... I clean it

exactly the way I was taught. I'm very thorough.

Okay, we're going to start IV antibiotics, but because of the vomiting

and fever, I'd like to admit you under observation until the culture

sensitivities come back.

I'm still hypertensive.

More, more.

Okay.

Looks like the blood is welling up from behind the uterus. I need more exposure.

There, she's got a posterior uterine rupture extending to her cervix. Alice,

ovico.

All right, get ready.

Scissors.

Pressure's coming up.

20 minutes, still no cardiac activity.

Time of death, 10.04.

Sharon? Dennis.

Hello. I had heard you stepped out as executive director, but... Sharon

Goodwin back in nursing scrubs wasn't on your bingo card?

Not even close.

Well, I missed nursing. After all those years behind a desk, I missed being at

the bedside.

Dr. Washington, thanks for coming over so fast.

Of course.

You getting no RCT back yet? Yeah.

Any indication what's causing the pain?

A gallstone.

Well, that's a relief.

We can address that during the transplant.

Well, unfortunately, there's something else you need to see on the scan.

So, transplant's off the table?

Completely?

I'm sorry, Nora.

Your latest CT shows the tumor has grown past the three-centimeter cutoff. That

puts you outside of the transplant protocol.

The only reason you know that is because I came in today.

I should have muscled through the pain.

They would have discovered it during the preoperative workup. There's no version

where this stayed hidden.

Guess Italy's off.

Hope the tickets are refundable.

Hey, we don't know that. Yes, we do.

If the transplant's no longer an option, could we biopsy the tumor?

The doctor who diagnosed Nora said that was too risky, that the needle could

spread cancer cells?

Oh, she was right. A core needle biopsy could have seeded the tumor in the

needle track, and that would have disqualified Nora from... from

transplant now i'm disqualified anyway so but a biopsy will give us tissue for

genetic testing and if the tumor has an actual mutation we may be able to treat

it with a targeted drug wait treat it how like cure it well no but we may be

able to slow down the progression for how long it's hard to know months

possibly a year if we find a mutation we can target

do the biopsy

Hey, honey.

Hi.

Oh, um... You're probably a little sore from the breathing, too.

Um... You fell, Jessa.

You hit your head.

Um... Scans don't show any bleeding, so... You'll be okay.

Baby?

Jessa, we had to deliver her.

You didn't survive.

I am so sorry. We did everything.

Everything that we could.

I'm so sorry.

You saw her.

How did she look like?

She was beautiful.

Would you like to hold your daughter?

We can bring her to you.

I know. I understand.

You know what? I will figure something out.

Is everything okay?

Oh, yeah.

I'm just falling behind on my dissertation and my advisor is starting

to lose patience.

Wow. You're chasing a PhD and caring for your mom?

You've got to be tricky.

I can manage. As long as my mom's okay, I'm okay.

That's all I care about.

Well, if there's anything that I could do.

Actually...

That is why I'm so confused about the infection.

I'm meticulous with my mom's catheter. I clean it constantly.

I disconnect it from its drainage tubing several times a day so I can clean the

connection points. And then I sanitize everything thoroughly before I put it

back together.

Lucy, do you mind if I ask you something?

Oh.

It's just a nervous habit.

I didn't mean to put you on the spot. No, I should get back to my mom.

Hey, honey.

Lucy, you okay?

Yeah, all good.

What's that about?

Sam, look, I hope I'm not overstepping, but I'm worried that maybe Lucy might

need a little more support in looking after Cynthia. You know, that maybe this

current setup, it's, I don't know, it's just not optimal for either of them.

I've tried. I've offered to cover the cost, but Cynthia's too damn stubborn to

accept my help.

Wait, what do you mean not optimal?

Are you saying that Lucy hasn't been taking proper care of her mother? No,

quite the opposite. She's so vigilant about keeping the catheter clean, she's

breaking the closed drainage system several times a day to disinfect it. I'm

pretty sure that's where disinfection's coming from.

I'm just curious, have you ever noticed, I don't know, other behaviors like this

before? You know, sort of repetitive cleaning, checking, needing to do things

in a certain sequence? Lucy's always been a perfectionist.

She sets high standards for herself. Okay.

Look, aren't there rules in your profession about, you know, diagnosing

people in hallways?

Sam, I haven't diagnosed anyone.

I'm just, I'm just concerned.

Well, maybe with everything that happened with Anna last year, you're

projecting. You know, seeing warning signs where there aren't any. Lucy has

enough on her plate as it is. She's got a sick mother. She's got a PhD program.

She doesn't need you giving her one more thing to worry about.

Caleb's labs are encouraging.

His electrolytes and kidney function are normal.

All right.

Hemoglobin's a little low.

Yeah, mildly. It's likely nutritional.

We'll have his pediatrician follow up. All right.

He's just a sunburned, dehydrated little kid after this bolus. I think he's good

to go.

Well, all right.

What you working on?

Application for chief resident.

Oh, cool.

Yeah. Had a little run-in with our residency director this morning, and

then... Ripley kind of got into my head that I need to take more initiative, so.

But I mean, chief residents basically just all scheduling, right?

Yeah. Yeah, that's part of it.

Well, what else is there?

I've heard it's a ton of admin meetings and committee work and managing the call

schedule. And then, of course, you're the one fielding complaints from

residents and mediating disputes between residents and attendings.

I've just heard it's a lot, but maybe that's your jam.

Hey, Nora's biopsy's complete.

Pathology's expediting the results.

Thank you. And if you need to go, I can text you when they come in. No, I'll

stay. All right.

Sharon. Yeah?

I'll keep this short.

Because after the way I behave, I wouldn't blame you for not giving me the

time of day.

I owe you an apology.

I demand you let me into your life while shutting you out of mine.

And then after you did everything you could to save my job, I blame you for

not doing enough.

I was wrong.

I'm sorry.

Thank you, Dennis.

I appreciate that.

I really do wish I could have done more to protect you from Miranda, but you

were unfortunately collateral damage in her campaign against me.

Well, leaving me, it wasn't easy.

But I like it over at Midwest Africa.

I landed on my feet.

I'm glad.

The part I haven't gotten over is losing you.

Ms. Goodwin, incoming level one, trauma one.

I'm sorry. I've got to go.

Of course. Of course.

Go.

Feel free to take one for the road.

Hey, Dr.

Frost said one. If your mom knew you were having sugar.

Caleb's not been very good about brushing his teeth lately, and they're

getting brown, so we are trying to limit his sweets. I brush my teeth.

Well, you are not doing a very good job. Come on.

Hey, something wrong?

My chest feels kind of funny.

Funny how?

Like there's a bird flapping its wings inside of it.

Okay, let's lay you back down, all right?

Yeah, he's tachycardic. Let's put him on the monitor.

Okay, sinus tach rate's 133. That's pretty high, right?

It's higher than it should be. He's probably still volume depleted.

We'll put him on some fluids, repeat the labs, make sure nothing's changed, all

right? Yeah, whatever you need to do.

Hey.

Heard about the baby.

Yeah.

So a few months after Sean was born, I lost a little boy in the OR.

I mean, we kept the code going for almost an hour, long

after I knew that he wasn't coming back.

All I kept thinking was, what if that was Sean on the table?

Because before I was a parent, you know, I can compartmentalize everything.

But afterwards, every kid was Sean.

Every kid.

Does that ever go away?

No, it doesn't. Just get better at handling it, that's all.

I was not very good at handling it today.

When I told Jess that that bird...

that her baby was gone. I couldn't hold it in. It was so unprofessional.

She needed someone to be strong for her, and I made her pain about me.

But there's a difference between making a patient's tragedy about yourself and

letting them see that it's affecting you, too.

In the worst moment of her life, maybe that's exactly what Jessa needed,

somebody to feel the pain with her.

Wait. Sorry.

What gloves are you using?

The ones in the kit. Shouldn't you change them, though?

Oh, that's not necessary.

But you touched the swab.

Lucy, that's a sterile Foley kit. Everything in that package is sterile.

I'd be happy to change them if it would make you more comfortable. That would be

great. Trina, you don't need to change your gloves.

The swab was in the basin on the bed. You picked it up, you put it back, you

touched the flush, and the flush touched the basin, so you need to start over.

New basin, new flush, new gloves. Lucy, you're being irrational.

Honey, you have to calm down. Can't calm down, Mom.

What if bacteria gets into your catheter again, and this time gets into your

bloodstream, and the antibiotics don't work, and your fever dies? None of

that's happening. Okay, but it could happen, and she could get septic, and

she could die, and I will have just stood here and let it happen. I can't

let that happen. I cannot let that happen. Lucy, nothing's happening. Your

mother's going to be fine.

You don't know.

Hey, hey, hey, you're catastrophizing. You just need to calm down.

I can't breathe. I can't breathe. I can't breathe.

Lucy, look at me.

Lucy, Lucy.

You're having a panic attack, okay? It feels really dangerous. It's not.

Something's wrong. Something's wrong.

It's not dangerous, and it's going to pass.

It's going to pass. You know what helps? I want you to breathe with me. I can't.

Breathe in through your nose. I can't. Look at me.

Look at me. Okay, that's okay. Don't fight it. Don't fight it.

Okay, look at mine.

What color is mom's blanket?

It's blue.

That's right. It's blue. How about Dad? What's Dad wearing?

His gray coat.

That's right, his gray coat. So, look, Dad's right there, and he's okay.

And Mom's okay. They're okay.

And you're okay, too.

You're okay. You're safe, Lucy, all right?

Okay, come on. Come sit down here with me.

There you go.

You're doing great.

I need to keep her safe.

I'm sorry.

What?

You can't be serious.

Pathology triple-checked the results.

Your biopsy shows you don't have cholangiocarcinoma. You have primary

biliary lymphoma.

It grows much faster than most bowel duct cancers.

Which explains how the mass grew so dramatically in such a short time.

So, I still have cancer?

Yes, but this changes everything.

It's an aggressive lymphoma, but also is highly responsive to chemotherapy.

In the majority of cases, it can be cured.

Well,

Dr. Pitzer, the doctor who diagnosed me, was she wrong not to do a biopsy?

Because if we'd known sooner, maybe we could have... No, she wasn't.

The location and the appearance of the tumor were classic for wild dog cancer.

Lymphoma presenting this way is extraordinarily rare. There was no

reason to suspect it. Before you came in, I was planning my funeral.

Making mental notes of everything Eden would need to know.

Bank accounts, passwords.

Instead, we get to plan a future.

All I wanted was for you to be okay.

How's Lucy?

Dan gave her a small dose of Ativan.

She's resting in my office.

He thinks this is likely obsessive-compulsive disorder.

And given how severe the symptoms have become, he's recommending a 30-day

residential treatment program at Northwestern.

How do we get her in?

Getting her in isn't the issue. Dan just makes a phone call. It's getting her to

go. Lucy won't leave you alone.

Well... I'll move to a nursing facility.

I mean, whatever it takes. Lucy's not going to agree to that. She's not going

to put you in a home.

No, you need to do something very hard, Cynthia.

You need to let me help you.

All right.

What was that?

I said okay, Sam.

Well, 30 years and you finally do what I ask. Are they sure you're not dying?

Was the first good idea you've had in 30 years? No, remember the divorce was my

idea. I assume your child bride is more agreeable.

Michelle's nearly 40, you know.

How near?

35.

Hey, check out Caleb's hemoglobin.

It's dropped a point since he got here.

Well, that could be dilution from the fluids.

Well, except his bilirubin and LDH are climbing.

He's hemolyzing it.

I knew those blisters were something worse than just a bad sunburn. Okay, so

what could cause hemolysis and make his skin react that violently to sunlight?

His brown teeth.

Porphyrins. If excess porphyrins are building up in his teeth, his skin, his

blood cells... Exactly. It explains everything.

The discoloration, the anemia, the blistering. Okay, we're going to need a

quantitative urine and plasma porphyrins to start narrowing down the list of

possible blood disorders.

No, it's okay. I have a faster way to see if we're on the right track.

Just got to visit my friend in dermatology.

You're sleeping with someone in derm?

I don't think you can ask me that.

It was a statement, not a question.

Well, your statement is inaccurate.

She's just giving me a few chemical pills.

Uh-huh.

Was quite a day.

Oh, well, those don't look like happy tears.

I'm so incredibly happy that Nora's going to be okay. I am. I just, I don't

know what's going to happen now.

Can I sit?

Yeah. So, what do you mean?

Before Nora got sick, I was thinking of leaving her.

More than thinking about it, I started looking at apartments. I consulted a

divorce attorney.

Does Nora know that?

She knew I was unhappy. I don't think she understood how unhappy.

You got a small taste of it today. The questions, the second guessing.

Telling everyone how to do their jobs.

Nora has to be in control.

Before she got sick, it extended to everything.

Our home, our marriage.

But things changed after she got sick.

For the first time in years, Nora was faced with something that she couldn't

control.

It made her vulnerable.

She had to lean on me, let me take care of her.

We started to feel like partners again.

I want her to be better, that's all that I want. But what if getting better

means... Things go back to the way they were.

You know, what Nora's gone through changes people.

Sometimes for a period, but sometimes forever.

You don't know yet who either of you are going to be on the other side of this.

But... you don't have to decide today.

How's she been?

Asleep, mostly.

Between the fall, the anesthesia, all the pain medication, the body's been

through a lot.

Hey, Jessa.

Where am I?

We moved you to the ICU.

I'm sorry, who are you?

Um, honey, this is Dr. Asher.

Remember? She's the doctor who operated.

What happened?

Where did I have the baby?

Please tell me where my baby is.

Neurology will speak with you, but they believe that Jessa has interior-grade

amnesia, which is affecting her ability to create new memories post-accident.

Well, will she get better?

Yes. This is temporary.

Her memory should improve over the next few days.

And... Until then... She'll continue to forget what we've told her.

Jessa suffered two miscarriages before this pregnancy.

She wanted this baby so badly.

We both did.

She's asking for you.

I'll help you tell her.

What's that?

This is called a woods lamp.

Dermatologists use it to look for things on your skin you can't see in normal

light.

You ready?

Give me a big smile, Caleb.

Why do his teeth look like that?

Erythrodontia. It happens when porphyrins accumulate in the teeth.

I wanna see.

His blisters, the anemia, his teeth, they all point to a rare metabolic

disorder called Gunder disease.

What do you think?

Whoa.

This is so cool.

How do you treat it?

with rigorous protection from sunlight and blood transfusions to control the

anemia.

Is this something he's going to have for the rest of his life?

It's genetic, so yes.

But now that we know what we're dealing with, we can prevent him from further

damage.

We'll have hematology down shortly to talk you guys through everything.

Thank you so much. Of course.

I'm seeing a big head.

A woods lamp, huh?

You don't see these every day in the ED.

Just use it to diagnose a kid with congenital erythropoietic porphyria.

Oh, it's quite the catch.

Well, his worsening anemia didn't fit dehydration, and then we noticed the

staining on his teeth, and I remembered that erythrodontia for us is red under a

wood slant.

Yeah, I expect so little from residents.

Nicely done.

Uh, what was that?

You kind of just made it sound like it was all your idea.

Oh, um, God, I'm sorry. I didn't even think about that. I don't really pay

attention to who gets the credit, but, um, my bad.

No, it's, uh, forget it. You sure?

I'm sorry.

Again. Totally. It's fine.

Okay.

So, Northwestern can take Lucy whenever she's ready?

Thanks. She's agreed to go once we have full-time care in place for her mother.

Great. I contacted an agency, and they're going to send some caregivers

over to me with Cynthia on Monday.

I'm sure she'll reject the first six on principle, but we'll get there.

Don't doubt it for a second.

Dan, thank you for stepping in with Lucy earlier.

Sam, come on. My attempt to calm her down had roughly the opposite effect.

Look, this situation is a classic parental minefield, right?

You're damned if you open your mouth, and you're damned if you don't.

They're moving her upstairs shortly. Got her the VIP suite.

Thanks, Dad.

Now drop the ball, Lucy.

The signs have been there for years, but I was too busy fighting with your

mother, which I'm sure only exacerbated... Can we just skip this

part? What part?

The part where you blame yourself.

You have far less influence over me than you think.

Dad, I...

I need you to promise me that you'll take care of mom.

Let's see.

You have my word.

Your mother's going to be taken care of.

Your only job is to take care of yourself.

Congratulations are in order, Dr. Wu.

Or should I say Gaffney's next emergency medicine chief resident?

Even running unopposed, I'm grateful for the opportunity.

Taking on a role this demanding while finishing your residency is quite

admirable. I know. It'll be a lot of extra work, but some opportunities are

worth it.

You got this. Dr. Hart.

I hope I'm not too late.

Deadline said end of day. Oh, and the day is not over.

Frankly, I'm just pleased to see you putting yourself forward for a

leadership position, Dr.

Frost.

And just so you know, Dr. Wu has also declared her interest.

So since there are two candidates now, the ED attendings will be making the

final decision.

Looks like we've got ourselves a race.

That was a hell of a catch.

Yeah, we got lucky.

I guess I probably should head out.

Be well, Dennis.

You too, Sharon.

We found Miranda's mystery visitors in the security locks.

Miranda met with the executive search firm the board retained after Quinley

announced his retirement.

Whoa. That's hardly a secret. I mean, everyone knows that Daphne is looking

for a new CEO.

Why would she need to hide the fact that she was advising them on the search?

Because she wasn't advising them.

At least that's not what it looks like.

Look, in preparation for this meeting, Miranda had her office pull five years

of departmental financials, charting the hospital's margins from before and after

her arrival.

A nice summary of every cost-cutting initiative she's implemented.

Her... five-year strategic plan for Gaffney. So Miranda isn't helping them

choose the next CEO.

She wants to be the next CEO.

Bingo.

No one's more surprised than I am, believe me.

Well, thanks.

Well, I'm going to tell you. So I figured that, you know, at least one of

these would work.

But you know what the hell with it? Let's just put all of them on her and

have a photo shoot and take Doris's advice.

You know, collect blackmail from when she's 16 and hates us.

You want to run you a bath?

You can just stay in there as long as you want.

Take the first shift.

I'd rather stay right here.