Okay.
Hi. I'm Ignatius.
Nope. It's pretentious.
I, uh...
hey, my friends call me Iggs.
No, they don't. Dr. Igg... Dr. Iggs.
Okay. Hey, I'm Ignatius.
Dr. Iggs. I'm Iggy.
And would you please kill me?
Uh, hi, my name is Iggy,
and I am in hell.
Oh, my God, stop, stop, stop, stop.
Just... hey, hi.
Hey.
Hey, you know what I am?
I'm a psychiatrist.
Oh. Hey, there.
Some might call me a textbook Scorpio.
Watch out.
I would say a sense of humor is the most important thing.
Communication is the most important thing.
Patience is the most important thing?
No.
Hi, my name is Iggy,
I am going through a divorce, I have four amazing children,
and I'm on this app because...
well, because who wants to go through this awful,
confusing, joyous world alone?
Yeah.
All right.
Synced & corrected by -robtor- www.addic7ed.com
Good morning.
Morning.
Yeah, oh, yeah, I'll... bye.
I mean, I just... tell me honestly.
Am I too old to date on an app?
I'm not worried about you meeting somebody.
I am worried about you
marrying the first guy you date, all right?
So let's cross that bridge when we get there.
All right, don't... don't let me do that, by the way.
Well, listen.
It's just like my mom always said when I was with Edie.
There are plenty of fish in the... sea.
That was weird.
Iggy, this is my father, Horace.
- Oh. - Dad, this is Iggy.
Yeah, hi. Nice to meet you, finally.
I'm Iggy. Pleasure.
All right, then. Come on, we're going fishing.
Today? Wait. Now?
The bass will be sleeping by noon.
I... I can't. I'm at work.
I'm working.
I'm supervising a resident's fem-pop bypass this morning.
There's got to be other doctors in this hospital.
That is true.
I'm sorry, Dad, this is not how I run my department.
This is not about how you run your department.
It's about how you run your life.
I can't. I'm sorry.
Well, suit yourself.
But don't tell me I didn't try.
What are you doing? You wanted this, right?
No, not like that. Not out of the blue.
You can't control how love comes into your life.
All right? That's good advice for me, too.
Okay.
Hey, Pop, wait up. Hey.
Whoo-hoo. That's what I'm talking about.
Hey, good morning. New haircut?
Look, I know Casey is out of town,
so you need someone to gossip with,
but may I suggest, quite literally,
anyone else in our entire department?
Ooh, speaking of our department,
Layla's visa finally got approved,
which means, drum roll please.
No.
She's finally moving out of my apartment
and into her own place.
You know, maybe you can call Casey, FaceTime him?
I don't know.
All that's left to do now
is to pick up my clothes from storage,
which I am dreading, but I need them, you know?
I've been living in the same eight outfits for months
and my undies are practically translucent.
Why did you wait till things were see-through?
I mean, most storage places let you get things whenever you want.
Yeah, well, it's not that kind of storage.
Brunstetter, a word?
What are you doing?
She can't afford her blood pressure meds,
and it's only 40 bucks, so...
Okay, we don't pay patients out of pocket.
I know.
Even in situations like this.
For every Esther, there are a dozen more just like her.
I know, it's just...
it's hard not to do something when I can.
You can pick up your prescription at a pharmacy.
Thank you.
You really didn't need to do this.
It's okay. It's not a problem at all.
Oh, hang on. Just a little problem here.
Sorry, guys, I'm just a little short on cash.
Oh, Max, Max. Do you mind spotting me?
Oh, sure.
Happy to help.
Sorry. Thank you.
Mm-hmm.
Let me guess. Budget meeting?
Oh, this is my new and improved cost savings plan.
Worked all week on this bad boy.
All right, how much are you going to save?
$432.
Ooh, that's going to be good meeting.
Well hey, you just had to borrow 5 bucks from me.
You're not one to talk.
All right, do you know what?
You had to spot me because
my patient couldn't afford her blood pressure meds,
and since it took just 40 bucks to save her life,
- that is what I did. - Hmm.
And we see patients like her every single day, Max,
stuck in the Medicare donut hole,
unable to afford their meds.
I mean, some of them can't even afford a daily meal.
I mean, if they had just a little extra cash,
they wouldn't keep ending up in the ED.
All right, well, that was not the reaction I was expecting.
But that is a great savings plan, Lauren.
Oh, no.
This is Canaan Ochoa, thrown from vehicle.
Abrasions, hemothorax, and crush injury
to the right shoulder and rib cage.
Give me a rapid infuser and notify the blood bank.
Prepare for rapid sequence intubation.
Make sure we have a humeral head retractor in the kit.
It's extensive crush injury.
All spreaders and gougers on the tray.
On my count, one, two, three.
Work up that MAYSI score.
Blood bank's been notified.
It's probably gonna require a drain.
Problem looks too extensive for a transhumeral procedure.
Can you feel that?
No.
Anticipate a shoulder disarticulation.
All right, what about now?
Anything?
What's wrong with me?
The accident crushed your shoulder.
Your bones, muscles, nerves, blood vessels,
they're all badly damaged.
Oh, my God.
Determine if the patient is a candidate for...
All right, we can save your life, Canaan,
but the operation is going to require
the amputation of your right arm.
W-what?
No, you can't take my arm. Please, please.
The artery in your shoulder, it's been weakened.
It could rupture at any second.
If that happens, you will die within minutes.
We need to operate now.
No, no, there has to be some other way.
I wish that there were.
Well, don't I have kind of say in this?
Of course. We need your permission to operate.
Okay, well, you don't have it.
You can't take my arm. I'd rather die.
Wow, we made good time.
This is really something.
Never been out here before.
- Here, hold this. - All right.
- Want me to grab it? - Nope.
Wow.
This is beautiful, Pops.
It's just the two of us, father and son,
spending some good quality... whoa, whoa, whoa.
- Where are you going? - _
The best spot is just down here.
Yeah, but the sign.
Oh, they got to put that up.
Just making sure we not terrorists out here
trying to mess with the New York City drinking water.
It's nothing.
Yeah, but it clearly says no trespassing.
You always mind the rules, Floyd.
Good kid.
Never too late to fix that.
Oh, come on, now.
It ain't fishing if you ain't trespassing just a little.
Yo, Pops, wait up.
_
Hey, I got your page. How can I help?
My patient needs his right arm amputated at the shoulder
or he's going to be dead within a matter of hours.
However, he is refusing the life-saving surgery,
so I need you to declare him incompetent
so that I can move forward with the operation
and save his life.
Okay, do you know who that is?
- Who? - That's Canaan Ochoa.
He's the starting pitcher for the Brooklyn Cyclones.
Morning. Now, who's ready to have their world
completely rocked by my new plan?
Let's see, your last cost-saving plan
was equal to the price of a one-way flight to Rochester.
Well, then, buckle your seatbelt, Madam Chairwoman.
$5,000.
That is the average cost
when a patient comes through our doors
at this hospital, but I have found a way
to reduce this number to...
50.
- Any questions? - Yes, is this a joke?
Nope, there's nothing funny about savings like these.
There's no way this is legal.
Well, that's a great question, and I'm glad you asked.
We're going to accomplish this with targeted
monetary prescriptions specifically designed
to nip expensive and avoidable hospital stays
right in the bud.
This expression you see? Disbelief.
Oh, okay. Well, let me prove it to you.
Fund a one-day pilot program, and if it succeeds,
we make it permanent
and we sit back and we let the savings roll in.
It's hard to argue with those numbers.
Yeah, she's right, so let's not argue.
All right, fine. All in favor?
Your pilot program is hereby approved.
Thank you, Karen.
You mind showing me how you plan on implementing
this revolutionary, never-been-thought-of program
in just one day?
I thought you'd never ask.
This is going to change lives.
Oh, dear God.
Hi. Mr. Ochoa?
Hi, I'm Dr. Frome.
Can I ask you a few questions?
Do what you got to do.
Okay, thank you.
Can you tell me what year it is?
2022.
And where are we right now?
A hospital.
And if you found a stamped letter on the ground,
what would you do with it?
You think I'm crazy.
You have rejected life-saving medical care,
and it is my job to determine whether you're of sound mind
to sign your death warrant today.
That's not the kind of thing that we want to get wrong,
understand?
All right.
Do you have any family that would be impacted
by your choice to die?
No, my team was my family.
I already lost them.
You know, many successful people
have a brutally hard time separating the sense of self
from their career.
T-this isn't my career.
Okay, all right, it's not your career.
Got it.
So tell me, what is it?
This is my life.
This is... I don't even know the word.
You're calling?
You know the first game I ever pitched?
I left my body. For real.
I mean, I was up there
just thinking about all the things I had to do,
you know, move my ankle here, adjust my hips there.
And then suddenly, I was just...
watching it all happen, 10,000 tiny movements,
and then bam.
That ball soared right to where it was supposed to go,
and it may have been me doing the wind-up,
but God was throwing that ball.
And if I can't have that...
I don't want to live, man.
I know what I'm choosing, doctor.
So if I found a stamped envelope on the ground,
I'd mail it.
Cancel the surgery.
23-year-old jumper off the Hell's Gate Bridge,
now with multiple lower extremity fractures.
Heart rate, respirations normal. We got to him in the nick of time.
Stay with us, kid. We got you.
I messed up. I'm sorry.
Okay, let's get him to Bay 29.
You got nothing to be sorry about.
Just promise us once they fix you up,
you'll come by the station and say hi.
Patient ortho and psych, stat.
Mike?
Mike? Man down!
Any medical history I should know about?
No, nothing. Mike's in perfect health.
He's the one who saved the jumper.
- We need a stretcher! - I'm on it.
Wow, it really works.
What are you going to spend your prescription on?
Oh, my knees are terrible.
I'm a waiter, but I haven't been able to work,
so I'm getting orthotics.
Great.
There you go. Help yourself.
Who's next?
Hi, there. Pop that in, and there's your cash.
What are you going to spend your prescription on?
- Groceries. - Excellent.
It's working.
- A gym membership. - Nice.
A haircut.
Good.
Tickets to the Laugh Shack.
Mm.
Uh, I was prescribed cash for a bus pass.
Walking to work in this heat
was triggering my extreme asthma.
Yeah, that's... may I try? Hmm.
I think this well has run dry.
Sorry, this was only a pilot program.
So this prescription is no longer any good?
This time, jig it a little when you reel it back.
I never knew you liked fishing this much.
Ever since I was a kid.
Oh, don't watch me, watch the rod tip.
Rod tip. Right.
Oh, not like that.
You try to hook them, not tickle them.
Hey, man, you never taught me how to fish.
How am I supposed to know what I'm doing out here?
Yeah, I never taught you how to be a surgeon neither,
and that turned out just fine.
Oh, Pops, I got something.
Wait, what... what do I do?
Run!
What?
Oh, crap!
Son of a...
Lungs are clear.
- Regular heart rhythm. - EKG looks fine.
Pupils reactive, no signs of head trauma.
So it's not cardiac.
It's probably not subdural.
- No signs of concussion. - No signs of bleeding.
It doesn't make any sense.
Mike was fine before he went in the water.
He didn't even hesitate.
He dove right in and pulled the guy to shore.
He's dry drowning.
But there's no water in his lungs.
He must have inhaled
some small particles when he dove into the river.
His airway is blocked due to severe laryngeal spasm.
We can't oxygenate him.
There's no air that's getting in.
No, we need to intubate now. Come on.
If one of your patients told you
that they were going to go home and hang themselves,
- wouldn't you stop them? - That's not the same thing.
Mental health care professionals
intervene if someone demonstrates a plan.
If a patient is actively going to pursue self-harm,
yes, of course, I step in.
But Canaan isn't doing anything.
He's just refusing to let us do something, which is his right.
Don't hide behind semantics. Let's call this what it is.
We are letting him die.
No, we are not.
We are letting a patient tell the doctors
what they can and can't do to his body.
That's it. That's what New Amsterdam stands for.
That's why we're here.
Really?
I thought that we were here to save lives.
No, no, not against a patient's wishes, we're not.
Even if that was ethically okay, which it is not,
he would sue you for wrongful life and he would win.
Believe me.
If you force a surgery on that man,
you will lose your license.
You will never practice medicine again.
Is that what you want?
Prep Canaan Ochoa for surgery.
Why are you doing this?
The subclavian artery could rupture at any moment.
We don't have much time to save this man's life.
You can start.
Ah...
I don't want to live like this.
Out!
Everybody out. Clear the OR.
You offend me.
Would you tell a group of wounded vets
that their lives aren't worth living?
Or someone who is missing an eye or a leg?
I-i-it's not that.
Then what?
You're not special anymore, so you're just going to die?
I'm nothing else.
Before baseball, I was nothing.
And now, without it...
what's left?
If I had quit when I couldn't see a way forward,
I would not be here with you now.
You have spent your whole life defining yourself
in this one narrow way,
and you have convinced yourself that is poetry.
I got news for you, Canaan.
You would not be any less human if you woke up in post-op.
In fact, maybe,
I don't know, just maybe,
you would be more.
Boy, you should have seen the look on your face.
You got wheels, son, I'll give you that.
You think this is funny?
Come on, we made a rent-a-cop run a little.
Man needed exercise.
That was a Homeland Security officer, Dad.
Homeland Security, for God's sake.
Oh, you need to relax.
I'm a doctor at a public hospital.
If I get detained by Homeland Security,
I could lose my license.
Yeah, here we go with the doctor business again.
Every chance you get, you slip that in.
Spoons. They like spoons.
We're going to put spoons on the end of this.
What the hell are you doing?
What I came to do. Fish are still biting.
Come on, let's go.
Are you serious right now?
We could have gone to jail.
No, we're not going fishing. We're going home.
You're the one pestering me for months!
You're the one who wanted all this!
And now, you're blaming me
because it don't live up to your high expectations.
That's... that's not what this is.
Nobody force you to be here, Floyd.
And last I checked, nobody's keeping you here now.
I came to go fishing, and fishing is what I mean to do.
How many nibbles have we gotten?
What?
Likes, bites, hearts, swipes.
And how many hot dudes are buying what we are selling?
Oh, my gosh, Oh, the hot dudes.
I don't know, let's see.
All right.
Uh, zero.
Is that right?
You know, maybe it didn't post.
No, no. No, it posted.
- It's right there. - Oh, yeah.
Clear as day.
I guess everyone who saw it just swiped the other way.
Turns out nobody's buying what I'm selling today.
Okay. Hmm.
Oh.
Okay.
For what it's worth,
I would have swiped the right direction.
Big news, everybody.
Our humble, little pilot program
was an unmitigated success.
Today, we saved this hospital, conservatively speaking,
$100,000.
I know what you're thinking. That's maybe the first time
I've actually saved this hospital money.
That's why I wanted to get it in writing.
Now, here's what I'm thinking.
We redirect those savings right back into the ATM in the lobby
where there are still patients lined up
to fulfill their prescriptions
and we just keep that magic flowing.
Some people thought it couldn't be done.
This is where our money has been going?
Pedicures?
Prescribed by a podiatrist for an ingrown toenail.
The Laugh Shack?
For depression. Laughter is the best medicine.
Seeds?
Behavioral health uses gardening to help ease anxiety.
Lingerie?
Support bras, actually. It's a great story...
We're a hospital, Max, not a Target.
Right.
How do we know these patients are even using the money
for what it was prescribed for?
We don't.
So any of these people would just take our money
and go out and buy a PlayStation game?
Yeah, actually, that was prescribed
for a patient with autism.
Helps with social skills.
Our detractors already accuse socialized medicine
of being just handouts.
Now you're standing here saying
your big innovation is literally handouts?
No, no, no, no.
Our medical staff are assessing patients' needs
and then writing them specific prescriptions...
- For cash? - Yeah.
There's zero accountability here, Max.
Well, that line of thinking suggests that
you only see our patients as crooks and liars when actually,
they're just real people in need of real health care.
But none of these things are health care.
All of these things are health care.
A bus pass for a woman whose severe asthma is triggered
every time she's forced to walk to work, that is health care.
And when we spend money now, we save money later,
because all of this is preventative care.
If you don't believe me,
just follow these patients for six weeks, and you'll see that's true.
Here's what will be true today or in six weeks.
You want New Amsterdam to give away free money
and no matter how you spin it,
those are handouts and that's just wrong.
- No, Karen... - I'm sorry, Max, shut it down.
He's progressed to hemorrhagic pulmonary edema.
BP is dropping.
His heart's not getting enough damn oxygen.
- Hang another bag of saline. - And start a dobutamine drip.
- It looks like V-fib. - Damn it.
Confirming V-fib.
Clear.
Nothing.
Going again.
Clear.
Nothing.
Going again.
There's too much blunting.
I can't get any oxygen in.
Time of death, 4:22 p.m.
We did everything we could.
But I just...
I'm so sorry.
Oh, my God.
The fish won.
Can't control how love comes to you, huh?
Aren't you supposed to be a brilliant therapist,
master of human insight?
Oh, come on, it couldn't have been that bad, right?
Plus, you can't put a price on adventure.
Although to be fair,
I don't know how much those pants cost.
I should have known playing hooky with him was a mistake.
To think all this time, I got him to hang out with me,
what, three, maybe four times, max?
And it's always me trying to arrange it.
It's always me trying to pin him down.
And there he was this morning coming to me with a plan.
All right? And he was so excited.
But you know what?
He wasn't showing up for me.
'Cause when I got in trouble, he didn't care.
Yeah. You know what?
I almost got arrested today.
What?
Yeah, almost lost my whole career.
And all he can think about was getting back to the damn trout.
And when I called him out on it, he blew up.
Dude went from Norman Rockwell to screaming
to total indifference in one afternoon.
Oh, sorry to hear that.
Well, Mama was right. She was right.
She always said that horse was like a roller coaster.
Starts out fun, but before you know it,
your back's out and you want to throw up.
Hey, hey, hey, hey, what was the car ride home like?
I Ubered.
- You know why? - Uh, why?
'Cause he's still out there fishing.
So what can you say about a man like that?
Well.
No, go ahead, say it.
Um, okay, well...
I've known the man for exactly two seconds,
so this is worth a grain of salt.
But it sounds like a textbook example
of someone with bipolar disorder.
And it was working.
I didn't come here today to get a bus pass,
I came for my asthma.
Yeah, but all you needed was the bus pass.
Hang on, I can...
I gave all my money away this morning.
Sorry, I couldn't help but overhear.
Here. I got you, ma'am.
- Oh, that's... - Please.
Thank you, dear.
Happy to help.
What is it with this place?
You know, sometimes, even I don't know.
Excuse me.
That was very kind, but you didn't have to do that.
Oh, my pleasure.
I donate to charity all the time,
but nothing feels better
than knowing exactly who your money is helping.
Hmm.
Good work.
Everyone, thank you all. I know today was hard.
You did the hard lift, changing his mind.
All I did was start from a different perspective.
- Good night. - Hey, Karen, do me a favor.
Define handout. Humor me.
A gift you didn't earn.
Something for nothing.
So many people come here needing our help
and a lot of them can't pay,
but is stopping an unhoused man
from having a heart attack a handout?
Or giving an undocumented kid a polio vaccine?
It's not the same. That's medicine.
Everything I did today was medicine.
The board just can't see that.
But fortunately, I don't need the board
to see that medicine extends beyond these walls,
because the rest of the world already knows that.
Okay, I'll bite.
- "Sponsor a patient." - Mm-hmm.
Each of these patients only needs a small amount of cash
to make a huge impact on their overall health.
See?
See, top right. "Allison needs $40."
"I have asthma, and I need a bus pass."
"My eyes are failing, and I need them to read."
"I have back pain, and I would like to hold my baby."
Some of these prescriptions are as low as $5.
We can help tell their story.
These are not numbers or statistics or reckless policy,
they're just people.
And when you see a person in need, you help them.
That's not a handout. That's just humanity.
_
Hey.
Rough day?
Yeah, you know, work... work is hard, and I...
I, uh, just, uh...
nothing, never mind.
No, what?
Nothing. It's just...
you know, it's us.
It's... not us. It's me, it's me.
It's moving on stuff, and I'm...
we can't talk about that, right?
That's weird.
No, it's... it's not weird at all.
Come on. Spill it.
- Really? - Yeah, I'm a big boy.
Uh, yeah, I don't...
I don't know how to be a single man, Martin.
I don't know what I'm doing.
I'm...
It's pathetic.
I was terrible at it in my 20s. You know.
I'm terrible at it as a single, middle-aged father.
I'm... I'm just bad at it. I'm a failed partner.
- Come on. - Well, it's true.
Mm.
That is my dating profile.
Hard to tell, because nobody swiped left, right, or center.
Nobody.
Um, uh...
Iggy, your profile's set
to only matches over 90 years old.
- I'm sorry, what? - Yeah.
- What? - Buddy, yeah.
I think if you just toggle that and then switch that one.
- Oh, my gosh. - Boom.
- Oh, my gosh. - Wowza.
Oh.
Holy moly.
I'll see you in three days.
Yeah, yeah, three days. See you then.
Jesus, you going to stand out here all night?
I buzzed you up like ten minutes ago.
Oh yeah, don't mind them. They're not here.
Yeah, so there are all your clothes ready to go.
Should I charge you a storage fee?
You okay?
Yeah, like you care.
You know, there's been a change of plans.
I think I might have to crash here.
Why? What happened to your place?
The truth is you'd be doing me a favor,
Really helping me out.
If you let me stay here.
Uh, yeah.
Yeah, sure thing, sis.
Just... I don't know...
make yourself right at home.
_
No, no. I don't need Ben.
I got this.
_
"Was that a haiku?"
No, it wasn't supposed to be.
No.
No. Uh, no, no.
I don't want to use this. Let me...
Um...
you've been there for me when I needed you the most,
and the truth is,
I should have done this a long time ago.
So...
_
Hamburger?
Hamburgers? No, no.
Not hamburgers.
Uh...
no, not hamburgers.
Uh...
grateful we are, um...
Friends.
- Friends. - Friends.
Good.
I got it. Watch this.
- Same. - Thank you.
*CREDITS*