I love you.
You okay?
Synced & corrected by -robtor- www.addic7ed.com
Lauren! Hi.
Hi. Good morning.
Check this out.
It's a play on an egg-white Croque Madame
with farm fresh ingredients, and twenty seed ancient grain bread...
So it's a sandwich?
No. No, ma'am.
Because this has "Granny Smith agave compote"
spread all over it.
Applesauce.
Okay, yeah. Fine. You got me.
It's an applesauce sandwich, all right?
Maybe I spiraled during the sourdough-banana-bread phase
of the pandemic.
Are you gonna eat that in the meeting?
In what meeting?
Hospital-wide. Max just called it.
- He did? Yes. - Mm-hmm.
Today just keeps getting better, doesn't it?
You're incredibly upbeat
for someone who's living on seeds.
Oh, come on. Everyone loves a Goodwin townhall.
Max gets all hopped up and fires an entire department?
Boom! Max threatens doctors with jail time?
Boom! Let's get a good seat.
What the hell is wrong with you?
- Plantain truffle scone? - No.
Of all the gin joints in New York.
Uh, I owe you call or 12.
No worries. I got the hint.
- My silence wasn't a hint. - True.
After a few months, it definitely became
more of a statement.
My silence was me hunkering down,
battening the hatches, focusing on my patients.
Okay.
And now?
I've got no idea.
I haven't even thought about now.
Well, once you lift your stay-at-home order,
just, um, let me know.
How about tonight?
Wow. It wasn't even planned.
Good morning, everyone.
Max, what are the chances
you can just give me the highlights
and skip the razzle-dazzle and get back to work?
Yeah, it'll be quick. Promise.
- See ya, Dermatology. - No.
- No one is getting sacked today. - Aww.
Yeah, so... no, Iggy.
I just wanted to tell everyone how proud I am
of this whole hospital,
of everything that we survived together.
We've been through hell.
We're tired. We're hurting.
But our sacrifices are starting to turn the tide.
This doesn't sound quick.
So today, things are finally turning around.
Today, Dr. Kapoor gets off his ventilator.
Yes.
Yeah. It's great news.
And listen... I want everyone to know.
I am committed to fixing the cracks around here, okay?
The system abandoned us when we needed it most.
And I... I vow... uh...
I vow to fix the system
that left us overburdened
and unprotected that, uh...
The system that left our most vulnerable patients
behind, and then hopefully,
New Amsterdam can finally get back to nor...
- Prep the ED for triage. - On it.
We're gonna be overrun. Warn the blood bank.
Copy.
We're gonna need to call in...
The rest of the trauma team.
Yeah.
28-year-old flight attendant,
unrestrained, thrown against the wall.
- Any fatalities yet? - Ah, my chest!
- Not yet. - Let's keep it that way.
Ma'am, we're gonna take good care of you, okay?
Let's get her to Trauma One.
Hey, I need an EKG, a portable chest,
and full blood panel including coags.
Oh, my chest!
It's on me. Ready?
One, two, three.
Okay, deep breaths for me, Shenaz, okay?
Let's go. Monitor cardiac input.
- It hurts. - 90 over palp.
Neck veins distended with muffled heart sounds.
Tamponade from blunt force trauma.
Okay, Shenaz, there is fluid building up
in the sack around your heart.
It's squeezing your heart, making it hard to pump blood.
We're going to do our best to fix it.
Walsh, start a morphine drip.
Reyes, I need a Pericardiocentesis.
And grab me if you see blood.
- What you got? - Nothing.
A 747 goes down, and you got nothing?
What about this one?
Well, seeing as I'm a trauma surgeon
and he doesn't need surgery...
I encourage you to harken back to just a few months ago
when we all chipped in to save lives
no matter our job title.
I'd prefer not to harken back to a time
when thousands of people died every day,
but maybe that's just me.
Walsh?
Mariel Rabkin,
a 34-year-old hit by a flying iPhone.
Okay, let's get her over to...
Page me if she needs surgery.
Copilot with deep abdominal blood lac and blood loss.
Heart rate up to 118. BP down to 108/40.
See, good things come to those who wait.
Hawaii.
Ma'am, you're in New York at New Amsterdam Hospital.
Hawaii.
Oh.
Got a stat request from the ambulance.
- The copilot needs O-neg blood. - Okay, then you're with me.
- Let's get her into Trauma One. - Occupied.
- Trauma Two. - Occupied.
All right, we're going straight into the OR.
Grab a side.
Excuse me, Dr. Goodwin? Nelson Peņa.
I'm the lead investigator with the NTSB.
Welcome to our little bubble.
I assume everybody tested negative?
My Go Team is fully intact
and ready to begin the investigation.
Uh, well, that's good to hear,
but isn't the plane still floating in the East River?
Well, this Go Team deals
with the human element of these incidents.
Sounds like we're on the same side.
No doubt.
We'll do our best to stay out of your way.
We just need to interview every crew member and passenger
who may have pertinent information.
Well, roger that. Or... sorry.
As long as it doesn't interfere with patient care,
I will help in any way I can.
Understood.
We wanna start with the pilots. Captain Starks?
I'll find him for you.
Hey, have you seen the pilot?
Uh, yes, actually. Right here.
What am I looking at?
Captain Dane Starks.
He has been catatonic since he arrived.
There's no masses. There's no bleeds.
Ventricles look normal. This looks fine.
No, no, no. That's the problem.
It's not that he can't talk. It's that he won't.
- Dr. Mandle. - Morning, Dr. Goodwin.
Yeah, it was supposed to be.
Why is Dr. Kapoor still on a vent
when you told me he was getting off today?
I told you I was hoping to take him off today,
but we ran out of propofol
- and had to switch to fentanyl. - Sorry.
Which takes longer to wean the patient off.
I understand that, but it sounds like you said
we're out of propofol. How is that possible?
Because we've had patients on vents
for the last 12 months straight,
as has every hospital in the country.
Look, the stockpiles are empty,
and the factories can't meet demand.
If I get you propofol, can you get Kapoor
and the other patients off the vents?
- Yes, but... - That is all I needed to hear.
Dr. Goodwin.
You guys always walk together like that?
We have rehearsals at noon. You're welcome to join.
Any update on the pilot?
Right, the pilot. Sorry.
Some of the passengers reported seeing him
acting strangely before the flight.
If Captain Starks knew he was impaired before duty,
then this becomes a criminal case.
Right, well, Captain Starks
is currently with his physician,
but once we're done, I'll let you know.
We'd like to test his blood alcohol level...
Unfortunately, you can't interrupt
- a patient's evaluation... - Evaluation?
So then the pilot's not actually injured?
- Look, Agent... - Investigator.
See, that makes sense because it's your job to investigate,
and it's our job to heal.
- So once we're done... - Dr. Goodwin.
To clarify,
you're blocking access to a key witness.
I'm helping a patient.
You know, sometimes when people are having
a hard time talking,
it's not because they are scared.
It's because they're distracted.
You know, their brain keeps wandering off
into the most random pockets of life.
They try to focus, but they can't.
You ever feel like that?
Yeah. We all do.
But that's... that's only part of it.
The other part is that
right when your brain gets into a groove...
Bam!
It... it's right back there.
It's in Indiana. It's in the crash.
All over again.
But then those memories disappear.
And you... you try to go back to them,
but your brain wanders off again,
and you can't focus, and round and round you go.
And you start to wonder if this is what it's like
to go insane.
But it's not.
It's trauma.
And trauma is a beast.
It's invisible.
It's not gonna show up on your CT, but it's real.
It's as real as cancer.
And just like cancer, if it goes untreated,
it'll get worse.
That is a fact.
But you know, Dane, all of these things that you're feeling,
I can help them go away,
but you have to start talking to me.
That's where we start.
I don't...
I don't remember any of it.
Yeah, okay. Yeah.
That's perfectly normal, actually.
No, I was...
I was having a manic episode.
Nobody knows.
I'm bipolar.
BP's down to 90 systolic.
We've got to get this bleeding under control.
Lap pad.
Push an amp of calcium gluconate.
Let me see.
Do you smell that?
Is someone chewing gum? Mints, candy, anything?
It's the copilot.
- It smells like ethylene glycol. - Antifreeze.
When the plane crashed, maybe a hose snapped.
- Her open abdominal wound... - Absorbed it.
Which is why we can't get the blood...
- To clot. - So push Fomepizole.
It should act as an antidote.
HB level 8 pH 7.6.
It's clotting. Good save.
Not so fast. Emergent lab is back.
- Liver enzymes are elevated. - How high?
3 1/2 times normal.
- That's not the antifreeze. - We're missing something.
Now what?
- BP falling. - Temp's dropping.
She's septic. Start her on amp, gent, and Flagyl.
Hang a bag of dopamine at 2 mcg a minute.
Coding 15 mils.
Brad Winton.
Sent up to neuro for observation.
Because we couldn't do that here?
Brenda Nelson.
Admitted to OB for spotting.
- And? - OB took over.
- Eva Schafer. - Copilot's in surgery.
Prognosis.
Cassian doesn't exactly give updates.
Yeah, well then, go force one out of him.
You know what?
How does no one know what happened to our patients?
'Cause once we pass them on, they're no longer our patients.
Wrong.
This is an emergency room, not a waiting room.
You know what? I want a full report
by end of shift of everyone who came through here today.
Go.
What?
It's a perfectly reasonable request.
We've got a problem with Shenaz.
Dissecting aortic aneurysm.
Couldn't see it till I drained out the fluid.
Yeah, but look. See here?
The tear's causing the blood to pool
in between the layers of the arterial wall.
And what does that mean, Dr. Walsh?
The aorta could rupture.
Page cardio.
What are you doing?
We're not sending another patient
off into the great unknown
when I can help them right here, right now.
We just paged cardio.
She's not your patient anymore.
They're all my patients.
Iodine.
Bill, Max Goodwin here. How's everything at University?
Well, we're losing over $40 million a month,
and I'm laying off my janitors
just so I can find enough cash to pay
for the staff and supplies to restart the elective procedures
that will allow us to generate enough cash
to hire back those janitors.
- What do you want? - Propofol.
- Are you serious? - Do I sound like I'm kidding?
We're completely out, and we need it.
Everyone's out and needs it.
So even if we did have it,
there's no way I'd give any of it to you.
But you'd be helping patients.
Ugh, it wouldn't be helping my patients.
Look, we're in the middle of a massive drug shortage of our own.
Metronidazole, Avonex, Revlimid...
My 15-year-old son has more access to drugs than I do.
Welcome to the new normal.
I don't know what authority you have.
I am not telling you where any of our patients are.
Ma'am, we are authorized to speak to any individual
who may have information.
Hey... whoa. Whoa, whoa, whoa, enough.
You don't have the right to come into this hospital
and rip a patient away from their doctor,
violating HIPAA rules and...
As a matter of fact, we do.
- What is this? - A federal order.
Issued by the United States Department of Justice,
which supersedes HIPAA by 120 years.
So I'll ask one more time.
Where's the pilot?
So it's my understanding that
pilots with bipolar. Can still fly
as long as they're on the proper medication.
They can.
They can also end up with nothing but 3:00 a.m. flights,
no raises, and a nudge out the door.
Regulations exist to protect you against retaliation.
You have kids?
Um...
Do I have kids?
Yeah. I do.
Like, a lot.
All right, so your oldest
is taking her first solo flight.
You find out the pilot is bipolar.
How good are you feeling?
- I'd feel great about it. - Excuse me?
Well, you asked me how I'd feel if I found out
the pilot on my kid's first flight was bipolar.
I'd feel great about it.
Because I know that you're no more likely
to have an episode than the next pilot is
to have a heart attack.
So I'd feel great about it.
What's your current treatment plan?
I see someone once a month.
I take lithium. 300 milligrams daily.
25 milligrams of antidepressant antipsychotic every other day.
What about your flight record?
- Any safety incidents? - No.
Okay, so I'm gonna mirror that back for you.
Um, you're in treatment. It's working.
You know your dosage to the milligram
which indicates that you are a highly responsible individual.
And I don't know about you,
but that is something I tend to like in my pilot.
What about this morning? Did you take your medication?
Yeah.
All right, so what are we talking about?
Four years ago, this cop buddy of mine...
We were having a beer down at the airfield.
Talking shop, laughing.
I...
I realized that
I was controlling the planes with my mind.
Landings. Takeoffs.
And in fact,
I was controlling the whole world with my mind.
He took me to the hospital, and that's how I was diagnosed.
Right.
Well, I'm sorry. That sounds awful.
No, but that's not the point.
He didn't take me to the hospital
because I was having a delusion.
It was because my response to the delusion
was to grab his gun.
And to point it at my head.
What if...
What if that's what I was doing again?
Today?
You think that this plane crash
was you trying to kill yourself?
- Be right back. - Hey.
Hi, I need to... I need some more time.
Uh, I need you to listen.
It never fails to amaze me
how stigmatized mental health is in this country.
- Yeah, couldn't agree more... - It's unbelievable.
You know, at New Amsterdam, we have dozens of doctors
with a variety of mental health care issues.
And because this hospital's policy
is one of understanding and respect,
they manage their condition
without it ever affecting their work.
- Which is exactly why... - Right? Seems simple.
But no, everywhere else in the world, it's some flaw.
It's some deficiency. It's a detriment.
It's their fault somehow.
No wonder these people are hiding it from their employers.
You know... which compounds their shame,
increases the public's mistrust,
and contributes to inadequate medical intervention.
It's so simple. I'm tired of it, Max.
I want to bring mental health care out into the open.
No more shame. No hiding.
I'm sorry. What do you need?
We need to hide your patient.
Enzymes are six times normal.
Liver's not gonna last much longer.
I need to expose the entire organ.
You'd need to extend the surgical field
across the whole abdomen.
Scalpel.
Do you wanna call in Gastro?
No, there's no time.
You mind getting your hands dirty?
- Of course not. - Great.
But it's been a few years.
- You have a steady hand? - Well, yes.
- Clear field of vision? - Yes.
Still like that Thai food place on 17th?
Yes.
Then what are you waiting for?
Endo linear stapler coming in.
One centimeter to the left.
BP's dropping.
Retractors.
Assessing surgical margins.
There. Bile duct is scarred shut.
The antifreeze must have caused a chemical burn.
Now bile's backing up into the liver causing it to shut down.
Okay. Listen up.
We're gonna resect a large portion of this liver
and reconstruct the bile duct.
Otherwise, we're gonna lose Ms. Schafer.
I need a hemostat and lap pads.
Will you stick around?
Yeah. I'll stick around.
Advancing catheter.
Okay. I'm at the aorta.
And...
BP's dropping.
Dissection's extending.
Drainage greater than 200.
What the hell were you doing?
I was trying to stop the dissection.
Well, you didn't. You made it worse.
- I'm trying to fix it. - Not fast enough.
Thanks to you going rogue,
I've gotta crack her chest here.
Going rogue?
In case you haven't noticed, I'm also wearing a white coat.
Your job is to stabilize patients
and then get out of the way.
Out.
Thoracotomy kit coming in.
When we were knee deep in the pandemic,
you were thanking me for taking your patients.
Well, thank God we're not there anymore.
I need a rib spreader,
Richardson retractor, and some gauze.
On it.
Bloom, out.
Get me some O-negative blood on a rapid infuser!
Abduct and extend arms.
Hey. Sorry about the new digs.
I just thought maybe a change of scenery would...
NTSB is looking for me, aren't they?
Um, yeah. They are.
Yeah... okay, look. So you should just hand me over.
I mean, I put hundreds,
I mean, if not thousands of people at risk.
And I don't deserve special treatment or...
No, no, Dane. Whoa, whoa, whoa.
Slow down, Dane.
I just... I need you to help me with something.
Why do jets dump fuel?
What?
Well, the ED just admitted about a dozen or so patients
that were all doused in jet fuel.
So more people hurt?
Dane. Stay with me.
Why... why do planes dump fuel?
It... it's how you achieve ideal landing weight.
You can't land if you're too heavy.
Okay... okay, so if you were gonna land early... let's say...
Or unexpectedly, you would dump the fuel?
- You would, am I right? - Yeah, yeah.
So why would you dump that fuel
if you weren't trying to save the plane?
Not crash it.
You weren't trying to crash the plane.
You were trying to save the plane.
Or I was just out of my mind
and hitting random buttons like a lunatic.
I mean, I... look, it doesn't mean anything!
All we know is that my plane crashed!
No.
No. That's not true actually.
We know one other thing, Dane.
We know where you crashed. Right?
I bet that river looks pretty striking
when you're flying over Manhattan.
That little streak of blue right down the middle.
Yeah. Sure.
Right?
Kinda like a landing strip maybe?
Dane, you didn't... You didn't hit a building.
You didn't hit a street.
You went right into the middle of the river,
the one place, by the way,
with the lowest risk of injury for civilians for miles.
Miles.
And you're gonna tell me that that's an accident?
Leland, it is so nice to hear a friendly voice.
And yeah... I need a favor.
Yep, sounds like you reached out to Bill first.
Yeah, well, VJ is still on a vent
along with a dozen other patients,
and they are in desperate need of propofol.
I'm sorry, Max. We ran out of propofol over a month ago.
Wish we had some to share.
People thought toilet paper was hard to find.
Don't get me started on my theory about that.
Not sure I wanna know your theory about that.
Is there a chance you guys need Acyclovir?
That's one of the few things we're good on, thanks.
Well, let me know when you're not
because we have a crap-ton.
I understand why HCC sends us all the same resources,
but we serve a predominately geriatric population.
What the hell are we supposed to do with this much herpes medication?
Welcome to the new normal, my friend.
Dr. Goodwin.
Uh, so sorry, Leland. Gotta call you back.
Think I'm about to be arrested.
- Arrested? - Hi.
Before we do the cuffs thing, can I just say...
- We're not arresting you. - Okay.
We think you'll hand over Captain Starks
willingly and without incident.
Why would I do that?
We've recovered the black box.
Miriam, thanks for taking the call.
I know how crazy things are at Baptist,
and I know that the answer is probably no.
But is there any chance that your hospital
has a surplus of propofol?
Of course. How much do you need?
That's amazing. Thank you.
The only thing that is gonna help my friend is propofol.
You know Dr. Kapoor...
Oh. Max, I'm so sorry.
I thought you said prostodin.
We haven't had propofol for months.
I'd be surprised if anybody in the city has.
Uh, while I have you,
is there any chance you have any extra ventilator tubing?
We've been buying ours from Home Depot,
and they just ran out.
We've been buying ours from Home Depot too.
How are we gonna fix this?
I don't know.
Hey. I gotta call you back.
- Ready? - Yeah, I guess.
- No. Is it bad? - I don't know.
I don't think they'd be playing it for us if it was good.
How is she?
She's stable.
What's going on with you today?
I miss it.
Miss what?
I miss the pandemic.
I mean, the worst of it.
You know, I feel like a sociopath even saying this.
But when we were hit the hardest?
When the ED was above capacity?
I felt like I'd spent my whole life
training for a moment that finally came.
I helped people.
I saved them.
And even when I couldn't save them,
I was doing exactly what I was meant to do.
I held patients hands as they died.
I sang songs to them.
And now what? I'm just supposed to pass them off
as if they don't matter to me?
They matter.
Um...
I never told anyone this,
but when my deployment ended,
I missed it, you know?
I missed knowing what I had to do and doing it.
I missed the fight.
We were at war, Lauren.
It's okay to miss the fight.
Oh, and by the way,
you haven't stopped saving people.
The doctors, nurses...
Me.
You saved us too.
You're still saving us.
The way you sliced through that abdomen,
I'm gonna start calling you Zorro from now on.
Well, you're the one who made the call about the bile duct.
That pilot is in recovery because of you.
Very clutch.
Helen, I think they're clean.
Sorry.
Sorry, I just, um...
Sorry. I can't do this.
Dane, what the hell are you doing?
660.
You're gonna kill us all! Let go!
660.
What is that? 660?
Starks is incoherent.
660! Air speed!
There's nothing wrong with... it's...
The copilot is struggling with Captain Starks
for the throttle, but it's too late.
Starks has them in a nosedive.
- 660! - Stop! Let go!
For God sake!
The copilot desperately tried to save the plane,
and she almost did.
I... I don't understand.
What about the fuel dump?
Why would Starks have done that if he wasn't...
It wasn't Starks.
You think it was the copilot as well?
Flight data recorder tells us there was a last-ditch effort
to pull the nose up before they hit.
Schaefer's a hero.
She subverted what would've been a wholesale massacre,
while Starks was clearly out of his mind.
There's no fixing this.
I'm gonna walk him out.
Passengers who were admitted are either stable or discharged.
Copilot's 02 sats are finally good.
Heart rate holding steady.
Still some post-op delirium from the anesthesia.
What kind of delirium?
Hawaii. Six...
660.
We keep telling her she's in New York but...
660.
What's 660?
Hawaii.
660. Hawaii.
660.
Captain Starks!
Oh, boy.
What is Hawaii 660?
It's a flight number.
A plane that went down in the Pacific last year.
Why did it go down?
There was an equipment problem.
Faulty air speed indicator. It told the pilot...
What does this have to do with...
Dane, help me understand.
The indicator told the pilot
they were flying faster than they actually were.
So when they ran into some weather, and they slowed the plane down,
they actually slowed it to an unsafe speed.
And so the engine stalled,
and it went into the sea.
Okay, okay. All right.
So, on takeoff, if a pilot discovers
that his air speed indicator
is giving him an inaccurate reading,
and he is flying too slow, what would that pilot do?
Would there ever be any reason
to deliberately take your plane into a dive?
That would depend on a number of variables.
Yeah.
The plane is as heavy as it's gonna be at takeoff,
so the first thing you'd do is...
You'd dump your fuel.
Yeah.
And then you'd...
push the throttle forward.
You'd...
You'd get the nose down.
You'd go into the dive in order to gain speed.
And then you'd... You'd lift up at the very end.
Which is exactly what you did.
Right?
Which is what your copilot, I think,
was trying to say.
Copilot's conscious?
Yeah. And anxious to talk.
You think that Captain Starks jeopardized the lives of 150 people.
We think he saved the lives of 150 people.
Sorry. I'd love to relish in this moment, but I...
Florence, thank you for getting back to me.
Of course.
Except I had no idea you called.
I'm desperately looking for acyclovir.
Is there any chance you guys have some to spare?
No, we're in the middle of a serious drug shortage ourselves.
Yeah, that checks out. Well, thanks.
Yeah. Hey! Um, hang on a second.
- Max? - Hey, Leland.
You're on with Dr. Brighton from Brookhaven.
She's asking for acyclovir. Do you still have extra?
Sure. I can send it over now.
Seriously?
You're doing us a favor taking it off our hands.
Also, do either of you need metronidazole?
We're pretty stocked up on that too.
No. We're good on antibiotics.
Uh, Leland. Hang on a second.
What do you need now, Max?
Bill, you're on with Brookhaven and Memorial.
You were talking about metronidazole earlier...
Do you still need it?
Yeah, I need everything. Why?
Memorial has extra. We'll send it over right now.
Oh, my God.
If we can help with anything...
I mean, non-drug related...
Please let me know.
You don't still have extra vent tubing, do you?
Tons.
Yeah, I had my guys buy out Home Depot.
Yeah, great. One second.
- Hello? - Miriam, you're on with Brookhaven,
Memorial, and University.
Do you still need that vent tubing?
Desperately.
University will send over a bunch right now.
I don't know what to say.
Can I give you some pulse oximeters?
Memorial could really use those.
I'm sending you a shipment.
Well, this worked out great for everyone.
Well, except for you, Max.
Didn't wanna kill the vibe, but glad I could help.
Propofol's a tough one.
- Max, you need propofol? - Yeah.
- Apparently everyone does. - Not us.
We just found a ton of it in storage.
You'll have it by end of day.
Why weren't we all doing this before?
You're in my spot.
Safest place in New York.
How's our Miss Luna?
I wouldn't know.
She's still frolicking in suburban splendor
with Georgia's parents.
How often do you get to see her?
Not enough.
I miss her...
Like crazy.
I know.
It's just not safe enough to bring her home.
Nothing's safe anymore though, is it?
Everything that was normal...
Friends,
restaurants,
intimacy...
They all seem so strange now.
They feel...
They feel wrong.
I used to be scared of the virus,
but now I am scared of normal.
Normal.
I kept thinking,
once everything gets back to normal,
then I would finally fix this hospital,
that I could fix it.
But I don't want to fix this hospital anymore...
I mean, even if we could go back to normal.
I don't want to fix this system.
I want to tear it down.
You know, I wanna tear it all down
and build something better...
Something better for my daughter,
something better for you, better for all of us.
I mean, otherwise, what the hell was this for?
Sorry. Am I boring you?
No. Not at all.
In fact, I think there are a lot of people rooting for you.
It's 7:00.
Hi, is he...
He's awake. He's awake.
Oh, thank God.
Hey, buddy.
The damage to his heart was extensive.
He's going to need a new mitral valve.
The virus also ravaged the surrounding heart muscle.
How bad?
No way to sugarcoat it.
Even if you found
the best heart surgeon in the world,
I'm not sure it'd be enough.
How can I help?
_