00:00:00,000 --> 00:00:04,162
Translated By The Community Of WWW.MY-SUBS.COM
1
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Is Owen asleep?
2
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Yep, coast is clear.
3
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See you in the morning.
4
00:00:17,534 --> 00:00:19,669
See you in the morning.
5
00:00:34,227 --> 00:00:35,627
So I bought a ticket for Minneapolis.
6
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I'm heading out tonight.
7
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Really?
8
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We'll see what she has to say
face-to-face.
9
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Connor, you sure that you
don't want to...
10
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I don't know, just, uh,
11
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think about let... letting it go?
12
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I'm sorry, Dr. Charles.
13
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I love your daughter.
I'm not going to lose her.
14
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Get it away from me!
15
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Dr. Choi, Dr. Manning!
You're going to 3.
16
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I got LeAnn Crawford, 22,
17
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found attached to her newborn
on the sidewalk
18
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in a pool of blood.
19
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Combative in the field.
I couldn't cut the cord.
20
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- Drugs?
- Wouldn't surprise me.
21
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- Get it away from me!
- Ma'am, this is your baby.
22
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Oh, no, it's a... it's a monster.
23
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She may be in withdrawal.
I need 4 milligrams of Versed, IV.
24
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- On it.
- Not until we cut the cord.
25
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Please get this thing away from me!
26
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Let's get her in restraints!
Ma'am, I need you to listen to me.
27
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Get it away!
28
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Whoa, she tore the cord!
29
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All right, let's transfer on my count.
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Ready? One, two, three.
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Give her the Versed. She's bleeding out.
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We've got to deliver this placenta now.
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No, it's a... it's a monster!
34
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Kill... kill it.
35
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Baby's temp is 94. I need more blankets!
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- Versed's in!
- Let's start an IV.
37
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Get two units of O neg on the rapid
transfuser and start the MTP.
38
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Vitals at 86.
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Turn the O2 up to ten liters.
40
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I got the placenta.
41
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Heart rate's down. Pressure's stable.
42
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Baby's starting to pink up.
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Hey. Hey, listen to me.
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You just had a baby.
45
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That's your baby.
46
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Baby?
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Call Child and Family Services.
48
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No way she's taking this baby home.
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Baby? Baby?
50
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Synced & corrected by kinglouisxx
www.MY-SUBS.com
51
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Okay.
52
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Temperature's back to 98.
53
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I'll be back to check on him
in a little bit.
54
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Poor thing.
55
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Let me know if anything changes.
56
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Hey, how's the mom?
57
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Better, apparently,
after a little methadone.
58
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I'm gonna talk to her about detox.
59
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Tox screen showed heroin.
60
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Great. Odds are the baby's
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going to have the same result.
62
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Eh, never know.
Might be a high-stress user.
63
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Baby could be fine.
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Maybe.
65
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Ms. Crawford?
66
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I'm Dr. Charles. Uh...
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glad to see you're doing
a little better.
68
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Anything we can get you?
Something to drink?
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I just want to go.
70
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I don't blame you,
but we do need to make sure
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that you're stable first.
72
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So, you do understand that
the DCFS is on the way
73
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to arrange a custodian for your child?
74
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Yeah.
75
00:03:22,813 --> 00:03:24,179
Okay.
76
00:03:24,204 --> 00:03:26,685
I was looking at your tox
screen and I'm just curious.
77
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How long have you been using for?
78
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Roughly?
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The reason I ask is that we do
have a number of programs here
80
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at the hospital that are...
that are available to you.
81
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One particular, um...
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I-I said I-I just want to go.
83
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I understand that, but this
would be an opportunity...
84
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Dr. Charles,
can I talk to you for a second?
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Yeah.
86
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Uh, get some rest. I'll, uh,
check in with you later.
87
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You're wasting your time.
88
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You do understand
that we have an obligation
89
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to try to get addicts into a program
90
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- before they leave the hospital?
- Yeah, but clearly,
91
00:04:04,355 --> 00:04:05,822
- she doesn't want our help.
- We don't know that.
92
00:04:05,856 --> 00:04:07,591
We almost never get through
on the first shot.
93
00:04:07,625 --> 00:04:09,292
She won't even talk to you, Dr. Charles.
94
00:04:09,327 --> 00:04:10,927
Ethan, somebody puts up
a wall like that...
95
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they're usually trying
to protect something.
96
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That's often worth chipping away at.
97
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Barry.
98
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Can you not see that I'm working?
99
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I'm just trying to get a closer look.
100
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Observing the charge nurse
in her natural habitat.
101
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Aren't the paramedics supposed to
102
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drop off their patients and leave?
103
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Not paramedics with an agenda.
104
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Mm.
105
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Have dinner with me tonight.
106
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My answer's the same
as it was last time:
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no.
108
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Why not?
109
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We went out for drinks.
110
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Right, drinks.
111
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That's not a date.
112
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Having dinner is dating,
113
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and we are not having dinner.
114
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Well, not yet.
115
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It's not even lunchtime.
116
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Hey, Miss Dempsey. Mr. Goodwin.
117
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- Dr. Halstead.
- Haven't seen you in a while.
118
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- What's going on?
- Still no cure
119
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for supranuclear palsy, as you can see.
120
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But we do therapy three times a week
121
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and try to get around the block
every night after dinner.
122
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That's good.
123
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Let's get you onto the bed here.
124
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Oh.
125
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I see they keep making these things
126
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higher and higher.
127
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Yeah, it's completely unacceptable.
128
00:05:30,541 --> 00:05:32,208
I'll look into it immediately.
129
00:05:34,912 --> 00:05:36,913
How long have you had that cough?
130
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A few days now.
131
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Temp's 103.
132
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Has the palsy been making it
harder to swallow?
133
00:05:43,721 --> 00:05:46,690
Uh, yeah, in the last couple of months.
134
00:05:46,724 --> 00:05:48,692
Bert keeps making me smoothies,
135
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but I sneak in a granola bar
every now and then.
136
00:05:52,163 --> 00:05:53,763
Lean forward for me, would you?
137
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Sure.
138
00:06:02,173 --> 00:06:03,473
Yeah, you're pretty clogged up.
139
00:06:03,507 --> 00:06:04,774
Wouldn't surprise me if
140
00:06:04,809 --> 00:06:06,042
something went down the wrong tube
141
00:06:06,077 --> 00:06:07,138
and turned into a pneumonia.
142
00:06:07,163 --> 00:06:08,855
Well, you can treat that, can't you?
143
00:06:08,880 --> 00:06:11,314
Yes. I'm gonna start
you on some antibiotics
144
00:06:11,349 --> 00:06:12,382
while we wait for the culture results,
145
00:06:12,416 --> 00:06:13,783
but for right now,
146
00:06:13,818 --> 00:06:14,818
you do nothing,
147
00:06:14,852 --> 00:06:15,819
and I'll be back soon.
148
00:06:15,853 --> 00:06:17,053
I can do that.
149
00:06:17,088 --> 00:06:18,855
Good.
150
00:06:22,927 --> 00:06:24,828
Dr. Halstead?
151
00:06:24,862 --> 00:06:27,564
I know she has a degenerative disease,
152
00:06:27,598 --> 00:06:30,066
and that I won't have her
forever, but, uh,
153
00:06:30,101 --> 00:06:32,569
her mind's all there.
154
00:06:32,603 --> 00:06:35,338
I want to be able to take her home.
155
00:06:35,373 --> 00:06:38,808
I promise I'm gonna do everything I can.
156
00:06:38,843 --> 00:06:40,810
Thank you.
157
00:06:42,446 --> 00:06:45,483
- Hey, dinner tonight?
- Can't.
158
00:06:45,516 --> 00:06:47,951
Going to watch Noah's hockey game.
159
00:06:47,985 --> 00:06:50,153
I know that stuff's
not a big deal to you,
160
00:06:50,187 --> 00:06:51,321
but it's important to me.
161
00:06:51,355 --> 00:06:52,589
"That stuff"? You mean
162
00:06:52,623 --> 00:06:54,090
adult rec league sports?
163
00:06:54,125 --> 00:06:55,658
I mean family.
164
00:06:55,693 --> 00:06:57,627
Why do you think family's
not a big deal to me?
165
00:06:57,661 --> 00:07:00,296
I don't know. You never talk about them.
166
00:07:00,331 --> 00:07:02,799
There's nothing to talk about.
167
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Okay.
168
00:07:04,869 --> 00:07:06,269
Hey, Ava.
169
00:07:06,303 --> 00:07:08,338
Can you cover for me tomorrow?
170
00:07:08,372 --> 00:07:09,706
Sure. Are you getting sick?
171
00:07:09,740 --> 00:07:11,341
No, I'm headed to Minneapolis.
172
00:07:11,375 --> 00:07:14,778
That sounds even worse.
Why are you going there?
173
00:07:14,812 --> 00:07:17,280
Oh, is that where Robin moved to?
174
00:07:17,314 --> 00:07:18,448
Yeah, it is.
175
00:07:18,482 --> 00:07:19,649
So, this is what,
176
00:07:19,683 --> 00:07:21,451
a misguided attempt to win her back?
177
00:07:21,485 --> 00:07:23,453
- Forget I asked.
- No, I'm happy to do it,
178
00:07:23,487 --> 00:07:24,788
mostly because I find your gift
179
00:07:24,822 --> 00:07:26,790
for self-flagellation fascinating.
180
00:07:26,824 --> 00:07:28,391
What is that supposed to mean?
181
00:07:28,426 --> 00:07:29,793
Just that, from what
I gather, this sounds like
182
00:07:29,827 --> 00:07:30,794
a fool's errand.
183
00:07:30,828 --> 00:07:33,396
CT's own Dr. Phil? Thank you.
184
00:07:33,431 --> 00:07:34,631
Dr. who?
185
00:07:34,665 --> 00:07:36,733
Dr. Rhodes, CFD just called.
186
00:07:36,767 --> 00:07:38,668
They've got a man trapped
in a collapsed building
187
00:07:38,702 --> 00:07:40,303
and need a surgeon.
You're on trauma today?
188
00:07:40,337 --> 00:07:41,638
- I am.
- Good.
189
00:07:41,672 --> 00:07:43,173
Ambo's waiting
to take you there right now,
190
00:07:43,207 --> 00:07:44,541
and take Dr. Bekker, too.
191
00:07:44,575 --> 00:07:46,142
You could use a second pair of hands.
192
00:07:46,177 --> 00:07:47,377
She is CT. How about
193
00:07:47,411 --> 00:07:48,578
one of the other trauma surgeons?
194
00:07:48,612 --> 00:07:49,813
I'm already losing you.
195
00:07:49,847 --> 00:07:51,381
I can't afford to lose another.
196
00:07:51,415 --> 00:07:53,483
I'll let Dr. Latham know where you are.
197
00:07:53,517 --> 00:07:55,653
Let's move it.
198
00:07:56,411 --> 00:07:58,655
You wanted to see me?
199
00:07:58,689 --> 00:08:01,224
Yeah, uh, what's the status
200
00:08:01,258 --> 00:08:03,393
on Dr. Reese's probation?
201
00:08:03,427 --> 00:08:05,094
Well, she's been doing
202
00:08:05,129 --> 00:08:06,763
daily individualized therapy
203
00:08:06,797 --> 00:08:08,498
and a course in hospital safety,
204
00:08:08,532 --> 00:08:10,667
so she should be in good shape
to start back up.
205
00:08:10,701 --> 00:08:12,735
Uh, good. I'd like you to give me
206
00:08:12,770 --> 00:08:15,872
a detailed progress report
once she returns to work.
207
00:08:15,906 --> 00:08:18,074
Well, actually, I'm not going
to be supervising her anymore.
208
00:08:18,108 --> 00:08:20,343
She's going to be working
under Dr. Chapman.
209
00:08:20,377 --> 00:08:21,611
Why?
210
00:08:21,645 --> 00:08:23,012
Under my supervision, Dr. Reese
211
00:08:23,047 --> 00:08:25,181
assaulted a patient with pepper spray.
212
00:08:25,216 --> 00:08:27,684
You know, and... I don't know.
My clinical approach
213
00:08:27,718 --> 00:08:29,619
might have had something
to do with it, so...
214
00:08:29,653 --> 00:08:31,254
I just think for now,
215
00:08:31,288 --> 00:08:33,356
Dr. Chapman might be a better fit.
216
00:08:33,390 --> 00:08:35,959
Okay. Whatever you think is best.
217
00:08:35,993 --> 00:08:37,527
Okay.
218
00:08:37,561 --> 00:08:39,028
Uh, Sharon, I heard that...
219
00:08:39,063 --> 00:08:40,530
that Bert's back in the hospital today.
220
00:08:40,564 --> 00:08:44,200
Yeah, I heard that, too.
221
00:08:50,574 --> 00:08:52,575
Dr. Manning.
222
00:08:52,610 --> 00:08:54,077
- What's going on?
- He's inconsolable.
223
00:08:54,111 --> 00:08:56,279
I've tried rocking him, swaddling him,
224
00:08:56,313 --> 00:08:57,714
singing. Nothing I do calms him down.
225
00:08:57,748 --> 00:08:59,282
Oh, hi.
226
00:08:59,316 --> 00:09:00,717
Heart rate's in the 190s.
227
00:09:00,751 --> 00:09:02,452
O2 sats have been dropping.
228
00:09:02,486 --> 00:09:03,953
Has he been feeding?
229
00:09:03,988 --> 00:09:05,054
No, nothing.
230
00:09:05,089 --> 00:09:07,724
Is it possible he's still
in shock from the cold?
231
00:09:07,758 --> 00:09:09,993
I don't think so.
232
00:09:10,027 --> 00:09:11,394
I'll go see if his labs are back.
233
00:09:11,428 --> 00:09:13,229
That won't be necessary.
234
00:09:13,264 --> 00:09:14,898
He's addicted to heroin.
235
00:09:15,833 --> 00:09:17,400
He's going through withdrawal.
236
00:09:19,901 --> 00:09:21,789
Shh.
237
00:09:25,182 --> 00:09:26,681
I heard about the baby.
238
00:09:26,716 --> 00:09:28,548
Neonatal abstinence syndrome.
239
00:09:28,573 --> 00:09:30,369
That's a... that's a rough road.
240
00:09:30,393 --> 00:09:32,160
Yeah, I'm giving him fluids, Ativan,
241
00:09:32,194 --> 00:09:33,892
and aspiration precautions,
242
00:09:33,917 --> 00:09:36,097
but his numbers aren't
getting any better.
243
00:09:36,132 --> 00:09:37,599
How's the mom?
244
00:09:37,633 --> 00:09:39,601
Just wants to get out
and get her next fix.
245
00:09:39,635 --> 00:09:40,635
Why?
246
00:09:40,669 --> 00:09:42,871
Studies show that babies
who are not thriving
247
00:09:42,905 --> 00:09:44,472
actually do significantly better
248
00:09:44,507 --> 00:09:45,640
when they have physical contact
249
00:09:45,674 --> 00:09:46,841
with their biological mothers.
250
00:09:46,892 --> 00:09:48,781
- So?
- So I think we should
251
00:09:48,806 --> 00:09:50,478
have LeAnn hold him for a little bit.
252
00:09:50,513 --> 00:09:51,859
You can't be serious.
She tried to kill him.
253
00:09:51,884 --> 00:09:53,782
She would be supervised.
254
00:09:53,816 --> 00:09:55,483
Even hearing the mother's heartbeat
255
00:09:55,518 --> 00:09:57,318
can lower cortisol levels and stress.
256
00:09:57,353 --> 00:09:58,476
LeAnn had nine months
257
00:09:58,501 --> 00:10:00,221
to do right by her baby.
She lost that chance.
258
00:10:00,256 --> 00:10:02,342
- Dr. Charles...
- Well, I appreciate
259
00:10:02,367 --> 00:10:03,958
your concern for your...
for your patient,
260
00:10:03,993 --> 00:10:06,127
Dr. Manning, but I'm also
concerned for mine,
261
00:10:06,162 --> 00:10:07,529
and here's the problem.
262
00:10:07,563 --> 00:10:09,798
That baby's going home
with somebody else.
263
00:10:09,832 --> 00:10:13,234
We let LeAnn bond with him,
and then just rip him away?
264
00:10:13,269 --> 00:10:16,922
Any chance we have of helping
her... pretty much gone for good.
265
00:10:16,969 --> 00:10:19,671
Dr. Charles, we're talking
about an infant's life.
266
00:10:19,705 --> 00:10:21,606
I'm aware of that, but I just think that
267
00:10:21,641 --> 00:10:23,608
we should take a beat
and look at all sides of this.
268
00:10:23,643 --> 00:10:25,243
Excuse me, Dr. Manning.
269
00:10:25,278 --> 00:10:26,912
DCFS is on their way.
270
00:10:26,946 --> 00:10:28,346
They've got some foster parents
271
00:10:28,381 --> 00:10:29,581
that might be interested
272
00:10:29,615 --> 00:10:31,416
in caring for your patient.
273
00:10:31,450 --> 00:10:32,584
Good. Um, just have them
274
00:10:32,618 --> 00:10:33,818
give me a little bit of time.
275
00:10:33,853 --> 00:10:35,687
Okay? Um, the baby's not stable yet.
276
00:10:35,721 --> 00:10:39,090
- I'll do my best.
- Thank you.
277
00:10:39,125 --> 00:10:41,526
Oh, hey, Sharon.
278
00:10:41,561 --> 00:10:43,495
Hello, Bert.
279
00:10:43,529 --> 00:10:45,664
Uh, how's Miss Dempsey doing?
280
00:10:45,698 --> 00:10:47,766
Well, hopefully,
we'll be out of here soon.
281
00:10:47,800 --> 00:10:49,534
Dr. Halstead's on top of it.
282
00:10:49,569 --> 00:10:51,269
Well, that's good.
283
00:10:51,304 --> 00:10:52,804
And how are you doing?
284
00:10:52,838 --> 00:10:54,272
Me? I'm, you know, the same:
285
00:10:54,307 --> 00:10:57,275
hanging in there,
trying to help as best I can.
286
00:10:57,310 --> 00:10:59,644
Well, I'm sure it isn't easy.
287
00:10:59,679 --> 00:11:01,446
No, it isn't.
288
00:11:01,480 --> 00:11:04,182
Watching her get
a little worse every day
289
00:11:04,217 --> 00:11:05,784
and struggling with the things
290
00:11:05,818 --> 00:11:10,055
that were easy
just a few weeks ago and...
291
00:11:10,089 --> 00:11:11,356
Ah.
292
00:11:11,390 --> 00:11:14,192
Anyhow, I... I should get back.
293
00:11:14,227 --> 00:11:16,494
Yeah.
294
00:11:18,764 --> 00:11:20,332
Once you return to work,
295
00:11:20,366 --> 00:11:21,733
we'll round twice a day,
296
00:11:21,767 --> 00:11:23,301
do a chart review every morning,
297
00:11:23,336 --> 00:11:26,238
and you'll observe
group therapy every afternoon.
298
00:11:26,272 --> 00:11:28,340
By "observe," do you mean
I will be sitting in?
299
00:11:28,374 --> 00:11:30,642
No, we have a one-way mirror.
300
00:11:30,676 --> 00:11:33,979
I don't believe in using
house staff as cheap labor.
301
00:11:34,013 --> 00:11:35,413
You first.
302
00:11:35,448 --> 00:11:37,916
Residency is a time to watch
303
00:11:37,950 --> 00:11:40,051
and absorb.
304
00:11:40,086 --> 00:11:41,987
Um, okay.
305
00:11:42,021 --> 00:11:43,655
Uh, though, speaking about therapy,
306
00:11:43,689 --> 00:11:45,991
I've been reading up on
Erikson's theories
307
00:11:46,025 --> 00:11:48,994
uh, for strategic interaction,
and it's an interesting take,
308
00:11:49,028 --> 00:11:50,996
focusing on a patient's, uh,
personal strengths,
309
00:11:51,030 --> 00:11:52,597
rather than their pathologies.
310
00:11:52,632 --> 00:11:54,499
Yes, interactional therapy
is interesting, but
311
00:11:54,533 --> 00:11:56,534
you should spend the rest
of your suspension
312
00:11:56,569 --> 00:11:58,670
learning these.
313
00:11:58,704 --> 00:12:00,171
What are they?
314
00:12:00,206 --> 00:12:01,606
Treatment algorithms
315
00:12:01,641 --> 00:12:03,908
for the seven most common
conditions we see.
316
00:12:03,943 --> 00:12:05,777
But these are flow charts.
317
00:12:05,811 --> 00:12:07,612
How do you individualize the therapy?
318
00:12:07,647 --> 00:12:09,080
Step three.
319
00:12:09,115 --> 00:12:11,283
Is the patient responding to medication?
320
00:12:11,317 --> 00:12:14,052
Yes, no.
321
00:12:14,086 --> 00:12:16,354
Thursday afternoons, we do journal club.
322
00:12:16,389 --> 00:12:19,157
You're welcome to listen in.
323
00:12:20,826 --> 00:12:22,894
- What happened?
- Building's condemned.
324
00:12:22,928 --> 00:12:24,229
Supposed to be empty,
325
00:12:24,263 --> 00:12:25,964
but we thought we heard somebody inside.
326
00:12:25,998 --> 00:12:27,532
Turned out to be a squatter.
Guy's name is Gary.
327
00:12:27,566 --> 00:12:28,767
He's got a big chunk of concrete
328
00:12:28,801 --> 00:12:30,368
compressing his left leg
329
00:12:30,403 --> 00:12:32,203
and a piece of rebar
straight up through his groin.
330
00:12:32,238 --> 00:12:33,872
We got pressure on it,
but he's bleeding pretty bad.
331
00:12:33,906 --> 00:12:35,106
If we stop the bleed,
can we get him out?
332
00:12:35,141 --> 00:12:37,208
- Hard to say.
- Hey, Lieutenant!
333
00:12:37,243 --> 00:12:39,711
- Yeah?
- Uh, the concrete's a bear.
334
00:12:39,745 --> 00:12:41,579
We can't use the bags on it,
335
00:12:41,614 --> 00:12:42,881
but we might be able to
336
00:12:42,915 --> 00:12:45,717
break it up with the air chisel.
337
00:12:45,751 --> 00:12:47,319
Be careful. We haven't been able to
338
00:12:47,353 --> 00:12:50,655
clear a path yet, so we're
gonna have to sneak through.
339
00:12:50,690 --> 00:12:53,391
- Watch your heads.
- Yeah.
340
00:12:53,426 --> 00:12:55,126
Ah, here we go, Gary.
341
00:12:55,161 --> 00:12:56,728
We got Dr. Rhodes
342
00:12:56,762 --> 00:12:59,230
and Dr. Bekker.
343
00:12:59,265 --> 00:13:00,632
Now, Gary,
344
00:13:00,666 --> 00:13:03,835
we're gonna take
good care of you, all right?
345
00:13:03,869 --> 00:13:07,939
All right. Hey, you're okay.
346
00:13:07,973 --> 00:13:09,140
All right, draw up
another round of labs,
347
00:13:09,175 --> 00:13:11,242
- and hang a gram of vanco.
- Yep.
348
00:13:11,277 --> 00:13:13,144
Hey, Ms. Dempsey.
349
00:13:13,179 --> 00:13:16,648
The antibiotics aren't
working, are they?
350
00:13:16,682 --> 00:13:18,450
No, they're not,
351
00:13:18,484 --> 00:13:20,185
and it's possible the bacteria
352
00:13:20,219 --> 00:13:23,321
has spread from your lungs
into your blood.
353
00:13:23,356 --> 00:13:25,657
Sepsis.
354
00:13:25,691 --> 00:13:27,659
I've been reading.
355
00:13:27,693 --> 00:13:29,260
Yes.
356
00:13:29,295 --> 00:13:31,863
Now, I'm hoping this
new antibiotic we're starting
357
00:13:31,897 --> 00:13:33,932
will turn things around,
358
00:13:33,966 --> 00:13:36,267
but, as you know, the supranuclear palsy
359
00:13:36,302 --> 00:13:37,936
makes your immune system less effective,
360
00:13:37,970 --> 00:13:39,871
so there's also a chance
before we get there
361
00:13:39,905 --> 00:13:42,607
your lungs will start to give out.
362
00:13:42,641 --> 00:13:44,509
Now, if it comes to that,
363
00:13:44,543 --> 00:13:47,112
I am gonna have to intubate you.
364
00:13:47,146 --> 00:13:49,214
And put me on a ventilator?
365
00:13:49,248 --> 00:13:50,648
Yes.
366
00:13:50,683 --> 00:13:51,950
But hopefully, it's only temporary,
367
00:13:51,984 --> 00:13:53,618
until we can clear the infection.
368
00:13:55,688 --> 00:13:57,455
Okay?
369
00:13:59,358 --> 00:14:00,792
Hang in there.
370
00:14:00,826 --> 00:14:03,628
I'll be back to check on you
in a few minutes.
371
00:14:03,662 --> 00:14:05,296
Dr. Halstead?
372
00:14:07,833 --> 00:14:11,169
I don't want that ventilator.
373
00:14:11,203 --> 00:14:13,538
I understand this sounds daunting,
374
00:14:13,572 --> 00:14:15,173
but like I said, if it comes to that,
375
00:14:15,207 --> 00:14:17,642
we may very well be able
to get you off it again soon.
376
00:14:17,676 --> 00:14:19,878
Or you may not.
377
00:14:19,912 --> 00:14:22,247
I know how this all ends.
378
00:14:22,281 --> 00:14:24,182
Lyla,
379
00:14:24,216 --> 00:14:26,718
if your lungs fail and I don't intubate,
380
00:14:26,752 --> 00:14:28,553
you'll die.
381
00:14:30,256 --> 00:14:32,724
I know.
382
00:14:35,861 --> 00:14:37,662
Okay.
383
00:14:42,768 --> 00:14:44,669
Ms. Crawford?
384
00:14:44,703 --> 00:14:46,371
I told you, I don't want to talk.
385
00:14:46,405 --> 00:14:48,373
Uh, I'm not here to discuss detox.
386
00:14:48,407 --> 00:14:51,363
I want to talk to you about your baby.
387
00:14:51,388 --> 00:14:52,544
What about it?
388
00:14:52,578 --> 00:14:54,777
He's a boy,
389
00:14:54,947 --> 00:14:57,137
and he's withdrawing from heroin.
390
00:14:57,283 --> 00:15:00,098
He's, um, not eating, not sleeping.
391
00:15:00,270 --> 00:15:04,722
Breathing and heartbeat aren't
quite as regular as we'd like.
392
00:15:04,757 --> 00:15:06,858
So give him some medicine.
393
00:15:06,892 --> 00:15:08,693
Well, we have been, but...
394
00:15:08,727 --> 00:15:11,262
it is not quite that simple.
395
00:15:11,297 --> 00:15:13,631
Okay.
396
00:15:13,666 --> 00:15:15,900
Um...
397
00:15:18,337 --> 00:15:19,804
So?
398
00:15:19,839 --> 00:15:21,606
LeAnn, adults have years
399
00:15:21,640 --> 00:15:23,475
to develop the coping mechanisms
400
00:15:23,509 --> 00:15:27,078
that helps us get through
life's trouble spots.
401
00:15:27,112 --> 00:15:29,047
Uh, a newborn doesn't have any.
402
00:15:29,081 --> 00:15:31,149
You know, for him, his mother
403
00:15:31,183 --> 00:15:32,817
is the only thing in the world
404
00:15:32,852 --> 00:15:34,652
that makes him feel safe.
405
00:15:34,687 --> 00:15:36,054
Being held by her,
406
00:15:36,088 --> 00:15:39,057
you know, feeling her skin...
407
00:15:39,091 --> 00:15:41,759
You want me to hold him?
408
00:15:41,794 --> 00:15:43,428
Well, it might be
409
00:15:43,462 --> 00:15:44,896
the best medicine we've got.
410
00:15:49,368 --> 00:15:50,969
I-I-I don't...
411
00:15:51,003 --> 00:15:53,071
I don't know how to hold a baby.
412
00:15:53,105 --> 00:15:54,239
Well, we can show you.
413
00:15:54,273 --> 00:15:57,141
We can teach you how to do that.
414
00:15:57,176 --> 00:15:58,226
But...
415
00:15:58,251 --> 00:16:01,876
this baby's sick 'cause of me, right?
416
00:16:02,481 --> 00:16:04,949
There's... there's no way
that more of me
417
00:16:04,984 --> 00:16:07,318
is gonna help it.
418
00:16:07,353 --> 00:16:09,187
Well...
419
00:16:09,221 --> 00:16:11,256
I said no.
420
00:16:13,158 --> 00:16:15,693
Please leave me alone.
421
00:16:27,973 --> 00:16:30,775
Ms. Dempsey?
422
00:16:30,809 --> 00:16:33,111
You wanted to see me?
423
00:16:33,145 --> 00:16:35,613
What can I do for you?
424
00:16:35,648 --> 00:16:39,317
I'm sure I'm the last person
you want to talk to.
425
00:16:39,351 --> 00:16:40,652
I know Bert
426
00:16:40,686 --> 00:16:42,787
didn't do right by you,
427
00:16:42,821 --> 00:16:44,722
but he's a good man.
428
00:16:44,757 --> 00:16:46,724
He shouldn't be alone.
429
00:16:46,759 --> 00:16:51,462
Well, he was fortunate
to have found you.
430
00:16:51,497 --> 00:16:53,965
Thank you.
431
00:16:53,999 --> 00:16:58,236
But he won't have me for long.
432
00:16:58,270 --> 00:17:02,473
I signed a do-not-resuscitate order.
433
00:17:02,508 --> 00:17:06,477
I see.
434
00:17:06,512 --> 00:17:09,981
So when my time does come,
435
00:17:10,015 --> 00:17:12,383
would you look after him?
436
00:17:12,418 --> 00:17:14,819
You don't have to answer now. Just...
437
00:17:14,853 --> 00:17:17,989
please think about it.
438
00:17:28,534 --> 00:17:31,102
Let's see what we got here, all right?
439
00:17:33,205 --> 00:17:36,507
Wait, hold pressure, hold pressure.
440
00:17:36,542 --> 00:17:39,377
- All right.
- There.
441
00:17:39,411 --> 00:17:43,348
- Yep.
- Move your hands.
442
00:17:43,382 --> 00:17:45,016
Just a bit.
443
00:17:45,050 --> 00:17:46,517
Can you see it?
444
00:17:48,053 --> 00:17:49,854
No, can't clamp the artery.
445
00:17:49,888 --> 00:17:51,522
Rebar's in the way.
446
00:17:51,557 --> 00:17:54,092
Herrmann, any chance
of getting him out of here?
447
00:17:54,126 --> 00:17:55,627
We're gonna try the air chisels,
448
00:17:55,661 --> 00:17:57,895
but it don't look good.
449
00:18:00,933 --> 00:18:02,700
All right, we're gonna
have to do a REBOA.
450
00:18:02,735 --> 00:18:03,801
What?
451
00:18:03,836 --> 00:18:05,036
Gary?
452
00:18:05,070 --> 00:18:06,771
An ER-REBOA is a catheter
453
00:18:06,805 --> 00:18:09,207
with a balloon at the tip that
I can thread into your aorta.
454
00:18:09,241 --> 00:18:11,943
Once I inflate the balloon,
455
00:18:11,977 --> 00:18:13,578
it'll keep you from bleeding.
456
00:18:13,612 --> 00:18:15,480
Okay.
457
00:18:15,514 --> 00:18:16,748
One moment.
458
00:18:16,782 --> 00:18:18,249
- Ready.
- Keep pressure there.
459
00:18:18,283 --> 00:18:20,752
Got it. Yep, hang on.
460
00:18:20,786 --> 00:18:22,787
Watch it. Hang on, bud.
461
00:18:22,821 --> 00:18:25,056
Connor, we can't do that.
462
00:18:25,090 --> 00:18:26,591
Once you inflate the balloon,
463
00:18:26,625 --> 00:18:28,059
we'll only have 30 minutes
to get him out of here.
464
00:18:28,093 --> 00:18:29,927
He's lost too much blood already.
465
00:18:29,954 --> 00:18:32,397
It's gonna take a lot of
movement to get him out of here,
466
00:18:32,431 --> 00:18:34,098
and we won't be able
to maintain pressure.
467
00:18:34,133 --> 00:18:35,466
So you're going to risk
468
00:18:35,501 --> 00:18:37,001
prolonged loss of circulation instead?
469
00:18:37,036 --> 00:18:38,936
I realize it can necessitate amputation,
470
00:18:38,971 --> 00:18:40,738
but I promise you,
471
00:18:40,773 --> 00:18:42,106
if we don't place a REBOA,
472
00:18:42,141 --> 00:18:43,808
he's going to bleed out
right in front of us.
473
00:18:43,842 --> 00:18:45,076
Hey.
474
00:18:45,110 --> 00:18:46,844
- Yeah?
- Hey, what's going on?
475
00:18:46,879 --> 00:18:48,613
Nothing, Gary.
476
00:18:48,647 --> 00:18:52,293
We're gonna get you out of here
as fast as we can.
477
00:18:52,484 --> 00:18:53,751
Okay.
478
00:18:53,894 --> 00:18:55,586
Okay.
479
00:18:58,624 --> 00:19:00,925
Easy.
480
00:19:03,295 --> 00:19:06,369
Easy. Just breathe, buddy.
481
00:19:07,066 --> 00:19:08,939
Hang in there.
482
00:19:09,369 --> 00:19:11,637
All right, here we go.
483
00:19:20,836 --> 00:19:22,597
Come in.
484
00:19:24,783 --> 00:19:26,483
Dr. Reese.
485
00:19:26,651 --> 00:19:29,611
How'd it go with Dr. Chapman?
486
00:19:29,921 --> 00:19:31,588
Uh, it was fine.
487
00:19:31,623 --> 00:19:32,823
She's fine.
488
00:19:32,962 --> 00:19:34,501
Good.
489
00:19:35,095 --> 00:19:37,681
Is there an issue?
490
00:19:39,560 --> 00:19:42,275
I prefer to come back to your service.
491
00:19:42,634 --> 00:19:45,502
I understand, really, I do,
492
00:19:45,537 --> 00:19:48,135
but I-I think it's very
important that you explore
493
00:19:48,323 --> 00:19:50,941
a different clinical approach.
494
00:19:50,975 --> 00:19:53,677
Yeah, well, Dr. Charles,
I'm not an idiot.
495
00:19:53,712 --> 00:19:58,115
Um, I know you think my anxiety,
496
00:19:58,281 --> 00:19:59,849
my PTSD, if you will,
497
00:19:59,882 --> 00:20:02,397
stems directly from your being shot,
498
00:20:02,421 --> 00:20:03,788
that our working together is
499
00:20:03,823 --> 00:20:05,896
negatively affecting my mental health...
500
00:20:07,927 --> 00:20:09,394
But...
501
00:20:09,428 --> 00:20:11,462
first of all, um,
502
00:20:11,552 --> 00:20:15,676
these are my issues,
and I'm working on them,
503
00:20:16,168 --> 00:20:18,168
and second of all,
504
00:20:18,370 --> 00:20:21,906
you chose to bring me into psychiatry...
505
00:20:23,609 --> 00:20:25,977
So I'm not about to let you pawn me off
506
00:20:26,011 --> 00:20:27,745
onto that Dr. Chapman...
507
00:20:29,114 --> 00:20:32,217
When you're the psychiatrist
I want to be.
508
00:20:36,622 --> 00:20:39,724
Um... I mean, I-I almost lost you once.
509
00:20:39,758 --> 00:20:42,894
I-I don't want to lose you again.
510
00:20:44,530 --> 00:20:47,398
Oh. I...
511
00:20:47,433 --> 00:20:49,500
I very much appreciate
512
00:20:49,535 --> 00:20:50,902
what you're saying,
513
00:20:50,936 --> 00:20:52,503
but as a... as a clinician,
514
00:20:52,538 --> 00:20:53,938
- and as a...
- Dr. Charles...
515
00:20:53,973 --> 00:20:57,842
And as a teacher,
I just think that this is
516
00:20:57,877 --> 00:21:01,279
the best course of action
that we stick with Dr. Chapman.
517
00:21:09,421 --> 00:21:10,722
Bert, stop.
518
00:21:10,756 --> 00:21:12,757
Sweetheart, this isn't right. No.
519
00:21:12,791 --> 00:21:14,959
Mr. Goodwin, it's not up to me.
520
00:21:14,994 --> 00:21:16,628
Bert, please...
521
00:21:16,662 --> 00:21:20,398
How can you not do anything?
522
00:21:21,300 --> 00:21:23,034
I explained all her options.
523
00:21:23,068 --> 00:21:24,435
But you're her doctor.
524
00:21:24,470 --> 00:21:25,703
Tell her what's best.
525
00:21:25,738 --> 00:21:26,771
She made her wishes very clear.
526
00:21:26,805 --> 00:21:28,573
There's nothing else I can do.
527
00:21:28,607 --> 00:21:30,742
So you're just going to
stand around and let her die?
528
00:21:30,776 --> 00:21:32,143
What the hell kind of hospital is this?
529
00:21:32,177 --> 00:21:34,412
- Bert, Bert...
- Bert.
530
00:21:34,446 --> 00:21:37,315
Bert.
531
00:21:37,349 --> 00:21:38,816
She needs another doctor,
532
00:21:38,851 --> 00:21:40,652
one who will do something
if she gets worse.
533
00:21:40,686 --> 00:21:42,387
Bert, this is her choice.
534
00:21:42,421 --> 00:21:43,755
She's got a fever.
535
00:21:43,789 --> 00:21:45,323
She doesn't know what she wants.
536
00:21:45,357 --> 00:21:46,991
This is hard, I know,
537
00:21:47,026 --> 00:21:48,459
but Dr. Halstead
538
00:21:48,494 --> 00:21:50,495
is doing everything he can
539
00:21:50,529 --> 00:21:52,830
within the scope of Lyla's wishes.
540
00:21:52,865 --> 00:21:55,433
The best thing you can do right now
541
00:21:55,467 --> 00:21:57,335
is go back in that room
542
00:21:57,369 --> 00:22:00,405
and be with her.
543
00:22:07,479 --> 00:22:10,415
How are you feeling?
544
00:22:10,449 --> 00:22:12,083
Fine.
545
00:22:17,723 --> 00:22:21,359
You don't think I should
go see my baby, do you?
546
00:22:21,393 --> 00:22:24,128
That's up to you.
547
00:22:25,564 --> 00:22:28,800
They say he's sick.
548
00:22:31,570 --> 00:22:34,706
Yeah, he is.
549
00:22:34,740 --> 00:22:37,875
I never planned on getting pregnant.
550
00:22:37,910 --> 00:22:40,511
You know?
551
00:22:43,248 --> 00:22:45,984
Whatever.
552
00:22:47,419 --> 00:22:50,688
You think I'm terrible.
553
00:22:50,723 --> 00:22:52,056
I just wish things had
554
00:22:52,091 --> 00:22:55,593
worked out differently
for you and your baby.
555
00:22:58,897 --> 00:23:01,799
Yeah.
556
00:23:01,834 --> 00:23:03,401
But I guess where you're from,
557
00:23:03,435 --> 00:23:06,738
things work out great for everybody.
558
00:23:06,772 --> 00:23:10,241
Why would you understand?
559
00:23:10,275 --> 00:23:13,711
Actually, I understand
a lot better than you think.
560
00:23:18,117 --> 00:23:19,417
Oh.
561
00:23:19,451 --> 00:23:21,252
Getting hungry yet?
562
00:23:21,286 --> 00:23:25,056
I know you think
this is charming, but it's not.
563
00:23:25,090 --> 00:23:27,425
Hey, you remember our first date?
564
00:23:27,459 --> 00:23:29,594
Mm-hmm. Mexican food...
565
00:23:29,628 --> 00:23:31,896
- at the mall.
- No, I mean afterwards.
566
00:23:31,930 --> 00:23:34,499
We were throwing pennies into the pond
567
00:23:34,533 --> 00:23:36,167
where people made wishes.
568
00:23:36,201 --> 00:23:37,835
You know what mine was?
569
00:23:37,870 --> 00:23:39,704
A second date with the pretty woman
570
00:23:39,738 --> 00:23:40,772
sitting next to me.
571
00:23:40,806 --> 00:23:43,408
Hm. That's a sweet story.
572
00:23:43,442 --> 00:23:45,676
Too bad it ends
with you cheating on her.
573
00:23:45,711 --> 00:23:49,047
- I've changed, Maggie.
- So you say.
574
00:23:49,081 --> 00:23:52,984
But this time, I'm smart enough
to draw the line.
575
00:23:53,986 --> 00:23:57,188
- Maggie, just...
- Barry...
576
00:23:58,924 --> 00:24:01,092
Okay.
577
00:24:22,681 --> 00:24:24,248
We're good. Keep going.
578
00:24:24,283 --> 00:24:26,451
This place is unstable.
Another shift like that,
579
00:24:26,485 --> 00:24:28,719
and the whole thing's
going to come down, Rhodes.
580
00:24:28,754 --> 00:24:30,154
Guys, you gotta do something.
581
00:24:30,189 --> 00:24:31,823
We could try coming from another angle,
582
00:24:31,857 --> 00:24:33,558
but it'll take 20 minutes.
583
00:24:35,961 --> 00:24:37,728
His leg's already cold.
584
00:24:37,763 --> 00:24:38,996
All it's doing now is preventing us
585
00:24:39,031 --> 00:24:40,431
from getting him to hospital.
586
00:24:41,867 --> 00:24:43,601
Yeah.
587
00:24:46,605 --> 00:24:48,439
Gary...
588
00:24:48,474 --> 00:24:50,441
listen to me.
589
00:24:50,476 --> 00:24:52,009
Your leg is trapped
590
00:24:52,044 --> 00:24:53,845
and we need to get you out of here.
591
00:24:53,879 --> 00:24:55,513
I'm afraid that the only way to do that
592
00:24:55,547 --> 00:24:57,648
is to amputate.
593
00:24:57,683 --> 00:25:00,118
What? No.
594
00:25:00,152 --> 00:25:01,152
Gary, I'm very sorry,
595
00:25:01,186 --> 00:25:03,855
but your leg has gone
without blood for too long.
596
00:25:03,889 --> 00:25:05,523
Is that 'cause of that thing
you put in me?
597
00:25:05,557 --> 00:25:06,757
That balloon?
598
00:25:06,792 --> 00:25:08,192
We had to do that so you wouldn't
599
00:25:08,227 --> 00:25:09,961
lose even more blood,
but now that it's in,
600
00:25:09,995 --> 00:25:11,362
every minute puts you in more danger.
601
00:25:11,396 --> 00:25:12,530
- No.
- Gary...
602
00:25:12,564 --> 00:25:14,165
- Dr. Rhodes...
- Get away!
603
00:25:14,199 --> 00:25:17,535
Gary, listen to me.
604
00:25:17,569 --> 00:25:19,537
I do not want you to die.
605
00:25:19,571 --> 00:25:21,038
We have to get you to hospital.
606
00:25:21,073 --> 00:25:22,140
Do you understand?
607
00:25:22,174 --> 00:25:25,676
You are not taking my leg.
608
00:25:25,711 --> 00:25:27,845
I wish we didn't have to,
609
00:25:27,880 --> 00:25:29,514
but you've lost a lot of blood
610
00:25:29,548 --> 00:25:31,849
and you are in grave danger.
611
00:25:31,884 --> 00:25:34,485
You can't.
612
00:25:34,520 --> 00:25:35,786
Please.
613
00:25:35,821 --> 00:25:37,388
There's gotta be another way.
614
00:25:37,422 --> 00:25:38,689
I'm sorry,
615
00:25:38,724 --> 00:25:40,625
there isn't.
616
00:25:40,659 --> 00:25:43,027
And I know how terrible this seems,
617
00:25:43,061 --> 00:25:45,029
but you have a lot of years to live
618
00:25:45,063 --> 00:25:47,131
and a lot of life to experience,
619
00:25:47,166 --> 00:25:49,446
and I don't want you
to miss out on that,
620
00:25:49,535 --> 00:25:50,735
but you will
621
00:25:50,798 --> 00:25:52,403
unless you let us help you
622
00:25:52,509 --> 00:25:53,759
right now.
623
00:25:53,872 --> 00:25:56,712
But it's my leg.
624
00:25:57,442 --> 00:25:58,676
I can't...
625
00:26:01,246 --> 00:26:02,747
You can.
626
00:26:05,350 --> 00:26:07,318
Good.
627
00:26:13,125 --> 00:26:15,593
Now, Dr. Rhodes is going to numb you up.
628
00:26:15,627 --> 00:26:18,036
After that, you won't feel anything.
629
00:26:19,531 --> 00:26:21,693
Just keep looking at me, Gary.
630
00:26:21,800 --> 00:26:23,267
I've got you.
631
00:26:42,221 --> 00:26:43,254
Gah!
632
00:26:46,797 --> 00:26:48,496
Dr. Manning.
633
00:26:50,046 --> 00:26:52,054
- What's happening?
- He's having a seizure.
634
00:26:52,234 --> 00:26:54,002
Give him a bolus of Ativan.
635
00:26:54,101 --> 00:26:56,075
O2 sats are down to 72.
636
00:26:56,106 --> 00:26:57,207
He can't get any air.
637
00:26:57,232 --> 00:26:59,005
Bolus is in.
638
00:26:59,401 --> 00:27:01,369
He could suffer an anoxic brain injury.
639
00:27:01,505 --> 00:27:04,238
Give him 0.1 milligrams of morphine.
640
00:27:12,506 --> 00:27:13,973
Stats down to 67.
641
00:27:14,008 --> 00:27:17,410
He can't go much longer.
Give him another 0.1.
642
00:27:29,356 --> 00:27:31,558
Sats back to 77.
643
00:27:31,592 --> 00:27:33,359
81.
644
00:27:33,394 --> 00:27:34,661
He's breathing.
645
00:27:34,695 --> 00:27:36,380
Get a pediatric intubation kit.
646
00:27:36,419 --> 00:27:37,397
Is this happens again, we're going to
647
00:27:37,431 --> 00:27:39,499
have to put him on a vent.
648
00:27:46,440 --> 00:27:48,007
Right.
649
00:27:48,042 --> 00:27:51,578
You have a very expressive face.
650
00:27:51,612 --> 00:27:53,079
Easy to read.
651
00:27:53,113 --> 00:27:57,083
I'm not sure that's a good thing.
652
00:27:57,117 --> 00:28:00,755
When I told Bert
that I was terminally ill,
653
00:28:01,185 --> 00:28:04,614
my greatest fear was
that he would leave me.
654
00:28:05,392 --> 00:28:08,194
We had only been dating
a couple of months.
655
00:28:15,069 --> 00:28:18,204
But he didn't. He stuck with me
656
00:28:18,239 --> 00:28:20,139
through thick and thin.
657
00:28:20,174 --> 00:28:23,476
He doesn't deserve
to have me leave him now.
658
00:28:23,510 --> 00:28:26,045
So if you need to take extreme measures
659
00:28:26,080 --> 00:28:28,081
to keep me alive,
660
00:28:28,115 --> 00:28:32,552
do it.
661
00:28:32,586 --> 00:28:35,255
Are you sure?
662
00:28:35,289 --> 00:28:36,923
Yes.
663
00:28:36,957 --> 00:28:38,491
And you understand that means
664
00:28:38,525 --> 00:28:41,461
I may need to intubate you very soon?
665
00:28:41,495 --> 00:28:43,129
I promise,
666
00:28:43,163 --> 00:28:46,299
this is my decision...
667
00:28:46,333 --> 00:28:48,134
Not his.
668
00:28:50,170 --> 00:28:52,739
Okay.
669
00:28:52,773 --> 00:28:55,775
I'll go change the order.
670
00:29:01,282 --> 00:29:03,416
And he's gonna die.
671
00:29:03,450 --> 00:29:06,286
He could, yeah.
672
00:29:06,320 --> 00:29:07,654
And you... you really think
673
00:29:07,688 --> 00:29:09,589
that having me hold him is gonna help?
674
00:29:09,623 --> 00:29:11,090
I know it's a lot to ask,
675
00:29:11,125 --> 00:29:12,759
and I-I just wouldn't be doing it
676
00:29:12,793 --> 00:29:15,828
if the situation wasn't so dire,
677
00:29:15,863 --> 00:29:18,264
but you're his mother,
and... and the baby needs you,
678
00:29:18,299 --> 00:29:19,966
and I... if there's any chance at all
679
00:29:20,000 --> 00:29:23,436
that your holding him might
help him get better,
680
00:29:23,470 --> 00:29:26,706
I think we should try.
681
00:29:29,343 --> 00:29:31,611
This was my... my fault.
682
00:29:35,149 --> 00:29:37,450
I did this to him.
683
00:29:46,160 --> 00:29:49,062
Okay.
684
00:29:49,096 --> 00:29:51,164
Okay.
685
00:30:09,550 --> 00:30:11,651
He's so small.
686
00:30:11,685 --> 00:30:13,419
Go ahead.
687
00:30:23,697 --> 00:30:25,732
Hold him close, now.
688
00:30:25,766 --> 00:30:27,834
Against your skin.
689
00:30:29,937 --> 00:30:32,705
Hi. Don't cry.
690
00:30:47,755 --> 00:30:51,858
Hi. Hi, yeah?
691
00:30:51,892 --> 00:30:53,559
Dr. Halstead?
692
00:30:57,765 --> 00:30:59,365
She's in SVT. 20 of etomidate,
693
00:30:59,400 --> 00:31:01,034
50 of cisatracurium.
694
00:31:01,068 --> 00:31:02,702
Grab the intubation kit
and charge the paddles to 25.
695
00:31:02,736 --> 00:31:04,137
What's happening?
696
00:31:04,171 --> 00:31:05,805
The infection's overwhelming her system.
697
00:31:05,839 --> 00:31:07,373
She rescinded her DNR, so I have to
698
00:31:07,408 --> 00:31:09,542
shock her heart back
into rhythm and intubate.
699
00:31:09,576 --> 00:31:11,411
Mr. Goodwin, I need you to step back.
700
00:31:11,445 --> 00:31:14,981
She's doing this for me, isn't she?
701
00:31:15,015 --> 00:31:17,450
She... she doesn't want this. Stop.
702
00:31:17,484 --> 00:31:19,552
Stop.
703
00:31:19,586 --> 00:31:20,820
Lyla.
704
00:31:20,854 --> 00:31:22,588
Lyla, this is a shockable rhythm.
705
00:31:22,623 --> 00:31:24,924
I can try to resuscitate you.
Do you want me to do that?
706
00:31:29,163 --> 00:31:30,129
No.
707
00:31:30,164 --> 00:31:31,664
You heard her. You heard her.
708
00:31:31,698 --> 00:31:32,899
Don't do this.
709
00:31:32,933 --> 00:31:34,834
Don't...
710
00:31:44,945 --> 00:31:46,312
I love you.
711
00:31:48,449 --> 00:31:50,450
I love you.
712
00:32:31,492 --> 00:32:32,658
Baghdad.
713
00:32:32,693 --> 00:32:33,793
All right, Karen,
714
00:32:33,827 --> 00:32:34,894
tell the OR we're on our way up
715
00:32:34,928 --> 00:32:36,229
as soon as this rebar's out.
716
00:32:36,263 --> 00:32:37,797
100 milligrams of ketamine.
717
00:32:37,831 --> 00:32:39,398
Get me a cut-down kit.
718
00:32:39,433 --> 00:32:42,335
And hang two units of
O neg on the rapid transfuser.
719
00:32:45,372 --> 00:32:46,706
On my count.
720
00:32:46,740 --> 00:32:49,809
One, two, three.
721
00:32:49,843 --> 00:32:51,577
All right. Thanks, guys.
722
00:32:57,885 --> 00:32:59,485
Is that a REBOA?
723
00:32:59,520 --> 00:33:01,154
Couldn't get it down in the ambo.
724
00:33:01,188 --> 00:33:03,055
Pressure tanked every time I tried.
725
00:33:03,090 --> 00:33:04,724
Of course it does. A REBOA in the field
726
00:33:04,758 --> 00:33:05,992
is a problem waiting to happen.
727
00:33:06,026 --> 00:33:08,327
- Whose idea was this?
- Mine.
728
00:33:08,362 --> 00:33:10,329
- Dr. Rhodes, do you realize...
- It was the right call.
729
00:33:10,364 --> 00:33:12,899
There was no other way
to get him out of there alive.
730
00:33:15,269 --> 00:33:16,836
All right, wound looks good.
731
00:33:16,870 --> 00:33:17,837
Taking down the REBOA.
732
00:33:17,871 --> 00:33:21,073
Watch the pressure.
733
00:33:21,108 --> 00:33:23,109
Pressure's holding.
734
00:33:23,143 --> 00:33:24,744
Vitals are stable.
735
00:33:24,778 --> 00:33:25,778
All right, let's get this thing out
736
00:33:25,812 --> 00:33:27,380
and get him up to the OR.
737
00:33:27,414 --> 00:33:29,015
Ready?
738
00:33:29,049 --> 00:33:31,951
- Yep.
- One, two, three.
739
00:33:39,793 --> 00:33:43,529
No bleeding. Let's go.
740
00:33:43,564 --> 00:33:44,697
Nice job, Dr. Rhodes.
741
00:34:04,785 --> 00:34:07,920
- Yes, that's it.
- Right there.
742
00:34:08,989 --> 00:34:11,924
Oh, excuse me.
743
00:34:11,959 --> 00:34:13,159
Can I just have a quick word
744
00:34:13,193 --> 00:34:14,627
with... with Ms. Crawford first?
745
00:34:14,661 --> 00:34:16,929
Okay.
746
00:34:18,865 --> 00:34:21,100
Hey.
747
00:34:22,336 --> 00:34:24,237
Oh, wow, he looks great.
748
00:34:24,271 --> 00:34:26,505
A lot better, huh?
749
00:34:26,540 --> 00:34:27,907
He is great.
750
00:34:27,941 --> 00:34:29,275
So, um,
751
00:34:29,309 --> 00:34:31,077
we have finally made some room for him
752
00:34:31,111 --> 00:34:32,778
in the intensive care unit,
753
00:34:32,813 --> 00:34:35,414
so we're gonna... we're gonna
take him up there now.
754
00:34:35,449 --> 00:34:36,816
Okay.
755
00:34:36,850 --> 00:34:38,317
Oh, do I carry him up,
756
00:34:38,352 --> 00:34:42,488
or do we take him up in the warmer?
757
00:34:42,522 --> 00:34:44,257
Well, um...
758
00:34:44,291 --> 00:34:45,691
Actually, LeAnn, there is a...
759
00:34:45,726 --> 00:34:48,761
there's a... there's
a foster couple up there
760
00:34:48,795 --> 00:34:52,498
who is gonna be looking
after him from here on out.
761
00:34:57,371 --> 00:34:59,105
But he likes me so much.
762
00:34:59,139 --> 00:35:00,139
I know.
763
00:35:00,173 --> 00:35:03,609
And he is doing so well.
764
00:35:03,644 --> 00:35:05,044
So... so I should
765
00:35:05,078 --> 00:35:06,612
just keep holding him.
766
00:35:06,647 --> 00:35:08,447
I really wish you could.
767
00:35:08,482 --> 00:35:09,715
Really, I do.
768
00:35:09,750 --> 00:35:11,651
But you said that he needs me.
769
00:35:11,685 --> 00:35:14,353
I know. I know I did.
770
00:35:14,388 --> 00:35:17,690
I know how difficult this is.
I really do.
771
00:35:17,724 --> 00:35:20,793
I'm sorry, but
we need to take the baby now.
772
00:35:20,819 --> 00:35:23,018
No!
773
00:35:24,097 --> 00:35:26,032
I'm his mother!
774
00:35:26,066 --> 00:35:28,167
I'm... I'm his mother.
775
00:35:28,201 --> 00:35:30,136
Doctor... Dr. Charles, please...
776
00:35:30,170 --> 00:35:31,671
- I'm sorry.
- You know.
777
00:35:31,705 --> 00:35:32,872
You know. Dr. Charles,
778
00:35:32,906 --> 00:35:34,240
please, can you help me? Please!
779
00:35:34,274 --> 00:35:35,474
- I'm sorry.
- Please, can you help me?
780
00:35:35,509 --> 00:35:37,576
Please explain. That is my baby.
781
00:35:37,611 --> 00:35:39,312
Dr. Charles, please.
782
00:35:39,346 --> 00:35:42,581
Please, can you just...
Dr. Charles, can you please...
783
00:35:46,875 --> 00:35:48,906
I saw Bert.
784
00:35:49,176 --> 00:35:50,682
He's taking it pretty hard.
785
00:35:50,729 --> 00:35:54,533
Yeah, I'm gonna send the kids
over to check on him.
786
00:35:54,580 --> 00:35:56,010
Mm.
787
00:35:56,750 --> 00:35:58,384
What?
788
00:35:58,419 --> 00:36:01,448
Sharon, do you think people can change?
789
00:36:05,683 --> 00:36:07,956
Maggie, I don't know.
790
00:36:09,363 --> 00:36:11,532
Go call my kids.
791
00:36:18,372 --> 00:36:19,869
LeAnn...
792
00:36:19,986 --> 00:36:23,016
you lost a lot of blood today.
I'd really rather you stay.
793
00:36:23,066 --> 00:36:25,267
Listen, it may not feel like it,
794
00:36:25,326 --> 00:36:26,593
but you did the right thing today.
795
00:36:26,636 --> 00:36:28,237
You were there for your baby.
796
00:36:28,271 --> 00:36:30,906
It's unfortunate
that you can't take him home,
797
00:36:30,940 --> 00:36:33,142
but there's a methadone clinic
right upstairs.
798
00:36:33,176 --> 00:36:34,476
We can help you get cleaned up,
799
00:36:34,511 --> 00:36:35,778
and if you can get back on your feet,
800
00:36:35,812 --> 00:36:37,579
that's the crucial first step
801
00:36:37,614 --> 00:36:38,914
in getting him back.
802
00:36:38,948 --> 00:36:41,517
I'm tired.
803
00:36:41,551 --> 00:36:42,951
You know, I'm...
804
00:36:43,288 --> 00:36:46,046
I'm just gonna go.
805
00:36:46,556 --> 00:36:47,944
LeAnn...
806
00:36:48,124 --> 00:36:49,591
LeAnn.
807
00:36:52,629 --> 00:36:54,163
We had no choice. We had to do
808
00:36:54,197 --> 00:36:56,833
- what's right for the baby.
- Oh, yeah, of course.
809
00:36:57,066 --> 00:36:58,834
It's just, you know...
810
00:36:58,868 --> 00:37:01,804
It's sad.
It's unlikely either of them...
811
00:37:01,838 --> 00:37:04,606
ever really be whole again.
812
00:37:11,581 --> 00:37:15,617
Ah, the old Chapman flow charts.
813
00:37:15,652 --> 00:37:17,286
Oh, yeah.
814
00:37:17,320 --> 00:37:19,822
Number seven. That there's a doozy.
815
00:37:19,856 --> 00:37:22,457
Step seven?
816
00:37:24,861 --> 00:37:27,729
Dr. Reese, the truth is,
817
00:37:27,764 --> 00:37:31,033
I feel responsible
for letting your situation get
818
00:37:31,067 --> 00:37:33,068
out of hand the way it did.
819
00:37:33,102 --> 00:37:36,305
It was my job to, well, guide you
820
00:37:36,339 --> 00:37:39,727
and teach you and make you
a better doctor, and I...
821
00:37:39,909 --> 00:37:40,976
I let you down.
822
00:37:41,010 --> 00:37:43,178
- Dr. Charles...
- But ultimately,
823
00:37:43,213 --> 00:37:46,511
some relationships are just better...
824
00:37:47,654 --> 00:37:49,155
kept intact,
825
00:37:49,252 --> 00:37:51,486
which is why, if you'd still like to,
826
00:37:51,521 --> 00:37:52,988
when you return,
827
00:37:53,022 --> 00:37:55,858
I would very much
welcome back on my service.
828
00:37:57,694 --> 00:38:00,329
Really?
829
00:38:00,363 --> 00:38:02,030
Really.
830
00:38:09,639 --> 00:38:11,874
Hey, Gary.
831
00:38:14,410 --> 00:38:17,880
How you doing?
832
00:38:17,914 --> 00:38:20,382
It's weird.
833
00:38:20,416 --> 00:38:22,017
I can feel it,
834
00:38:22,051 --> 00:38:23,518
like it's still there.
835
00:38:23,553 --> 00:38:26,455
Yeah, it's called phantom limb pain.
836
00:38:26,489 --> 00:38:27,856
Uh...
837
00:38:27,891 --> 00:38:31,326
takes some time, but it will fade.
838
00:38:34,564 --> 00:38:37,099
Listen, Gary, I am...
839
00:38:37,133 --> 00:38:40,469
I am very sorry about your leg.
840
00:38:42,772 --> 00:38:45,908
At least I'm still alive.
841
00:38:48,578 --> 00:38:50,879
I'll find a way to move on.
842
00:38:54,117 --> 00:38:55,817
All right, bud.
843
00:38:55,852 --> 00:38:58,553
I'll check on you soon.
844
00:39:07,697 --> 00:39:10,599
Dr. Charles.
845
00:39:10,633 --> 00:39:13,602
I didn't want to believe
that it was over,
846
00:39:13,636 --> 00:39:16,805
but you were right.
I need to let Robin go.
847
00:39:33,790 --> 00:39:35,257
April?
848
00:39:35,291 --> 00:39:37,526
Hmm?
849
00:39:37,560 --> 00:39:39,094
Who's that?
850
00:39:41,564 --> 00:39:42,831
It's my sister.
851
00:39:42,865 --> 00:39:44,766
What?
852
00:39:44,801 --> 00:39:47,002
Emily.
853
00:39:47,036 --> 00:39:49,304
I should've told you.
854
00:39:49,339 --> 00:39:52,975
I never talk about her. It's painful.
855
00:39:53,009 --> 00:39:56,778
My parents adopted Emily
when she was four.
856
00:39:56,813 --> 00:39:59,982
She had a hard life
before she even came to us.
857
00:40:00,016 --> 00:40:01,283
Still does.
858
00:40:01,317 --> 00:40:04,119
She makes bad decisions, acts out,
859
00:40:04,153 --> 00:40:05,620
then blows up when I try to help her,
860
00:40:05,655 --> 00:40:07,055
and I swore the last time
that I wouldn't
861
00:40:07,090 --> 00:40:08,957
let myself get involved again.
862
00:40:08,992 --> 00:40:11,960
When was that?
863
00:40:11,995 --> 00:40:14,463
It was four years ago.
864
00:40:19,836 --> 00:40:22,037
Maybe I should give her a call.
865
00:40:26,709 --> 00:40:28,210
Hey.
866
00:40:28,244 --> 00:40:31,713
Thank you for today. Uh, you were great.
867
00:40:31,748 --> 00:40:35,684
I did feel a bit like
Bonnie Henna out there.
868
00:40:35,718 --> 00:40:36,985
Who?
869
00:40:37,020 --> 00:40:39,821
South African action hero.
870
00:40:39,856 --> 00:40:41,089
Have a good night.
871
00:40:41,124 --> 00:40:42,924
Oh, and no need to cover for me
tomorrow.
872
00:40:42,959 --> 00:40:44,326
I'll be here.
873
00:40:44,360 --> 00:40:45,861
You're not going to Minneapolis?
874
00:40:45,895 --> 00:40:47,696
Nope.
875
00:40:57,540 --> 00:41:00,208
Good evening, sir. Can I help you?
876
00:41:00,243 --> 00:41:02,711
I'm looking for a change.
877
00:41:02,745 --> 00:41:04,513
What model is this?
878
00:41:04,547 --> 00:41:05,847
The 911 4S.
879
00:41:05,882 --> 00:41:07,904
Beautiful car.
880
00:41:09,552 --> 00:41:11,520
Yes, it is.
881
00:41:11,821 --> 00:41:12,954
You got the keys?
882
00:41:12,989 --> 00:41:14,289
I'm sorry, but we're actually
883
00:41:14,323 --> 00:41:17,177
done doing test drives for the night.
884
00:41:17,293 --> 00:41:20,794
I don't want to test drive.
I want to buy it.
885
00:41:20,856 --> 00:41:24,395
Oh, of course. Just give me a moment.
886
00:41:30,640 --> 00:41:32,941
Mm.
887
00:41:36,913 --> 00:41:39,629
- I'll see you in the morning.
- Mm.
888
00:41:40,083 --> 00:41:41,483
No.
889
00:41:41,508 --> 00:41:43,987
You should stay.
890
00:41:44,754 --> 00:41:46,955
- Yeah?
- Mm-hmm.
891
00:41:46,989 --> 00:41:48,557
What about Owen?
892
00:41:48,591 --> 00:41:50,058
Mm.
893
00:41:50,093 --> 00:41:52,594
He's got to find out sometime.
894
00:41:52,628 --> 00:41:53,895
Are you sure?
895
00:41:53,930 --> 00:41:56,403
Mm-hmm. I'm sure.
896
00:41:56,660 --> 00:42:00,262
This is so much better than
scraping ice off my windshield.
897
00:42:08,300 --> 00:42:11,400
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