Previously on "New Amsterdam"...
I'm his son, Your Honor.
I can take care of him.
He can come home with me.
_
Why don't you answer your phone?
I've called you, like, a million times.
- I have not had a second... - Mom kicked it.
_
Yeah. Like a date.
_
Hmm.
Ah, check you out!
What did you do to my sink?
Upgrading it.
Pop! Pop!
This is not an upgrade!
Your water pressure's terrible.
No, it wasn't!
Now I got to fix this.
What? Man, just look, I'm soaking wet.
And don't touch anything else.
You want me to fix it or not?
I want you to not trash my apartment.
I'm not the one who overpaid for this place.
That's your problem.
I'm over here doing you a favor.
A favor?
You know what?
I saw the building you manage.
No offense, but don't do me no favors, all right?
Just don't upgrade anything else
until I get off work, please.
You might wanna change first.
Synced & corrected by -robtor- www.addic7ed.com
Can't sleep.
Still in shock.
Instead of filling that glass,
can you help me clean a few?
Was that really necessary, Lauren?
Like, right now?
No.
Sorry.
I mean, are you even mourning Mom, or...?
What?
Of course I'm mourning her.
Okay, well, you might be able to completely shut down,
compartmentalize, and run off to your little job...
Oh, because I have a job,
you think I don't care that our mother is dead?
Whatever, Lauren, I'm just saying,
I need time to process this, all right?
This is, like... this is, like, a loss.
I mean, Jesus, I don't even know how this...
I don't even know how this happened.
Right, yeah, how could a 63-year-old
pill-popping, raging alcoholic just fall down and die?
Quite easily, as it turns out.
And the way you adjust, Ness,
is by letting this be a wake-up call.
Start taking responsibility for your life.
Oh, my God, you can't help yourself, can you?
You know, I thought you weren't supposed to take
people's inventory in whatever "A" you're in.
Can you just sober up before we have the meeting
with the lawyer tonight?
And there it is... that is what
this is really about, Lauren, isn't it?
Put on a united front so they can crown you
the executor of Mom's entire estate.
Right, well, one of us has to be
the responsible one, right?
And I tell you this much,
I'm not going to enable you the way Mom did.
No more allowance so you can spend it on drugs.
No more free rent
so you can turn your place into a crack den.
Nope, that all ends today.
So you can figure something else out.
_
Hmm.
Mm.
_
Please?
_
Oh, Max, looking for you.
Always nice to see you, Elizabeth.
You too.
So here.
The patient satisfaction survey results.
Great.
Clearly you haven't read them.
I have not, but these are gonna be a great distraction.
From what?
From myself.
Patient satisfaction surveys.
Wanna know your PSS scores?
- No. - 44%.
Okay, you wanna know why I get bad scores?
I've been compiling a list over the years.
Last week, a woman complained
because the person next to her was dying too loudly.
- Hmm. - Dying too loudly!
- It's a hospital. - Yeah, it is.
Keep up the great work.
- Floyd, just in time. - For what?
The, uh, patient satisfaction scores are in.
Your department received a... drumroll, please...
51%.
Ugh. Sorry, man.
Oh, don't be. It's great. Nailed it!
39%.
Your department officially has the lowest score.
All of my patients have cancer, Max.
Of course my department has the lowest score.
Yeah, of course, great work.
Thank you. I'll see you later, okay?
- Hmm. Oh, hey. - Oh!
Iggy, just the man I wanted to see.
Do you mind if I talk to you about your PSS scores?
Oh, oh, all right. Uh, what are we looking at?
Some high-60s, mid-70s? What?
Actually, it's, um...
It's 91%.
- It's 91%? - Mm.
- That-that's huge. - Mm.
That's a new record. Yes! Up top!
No, no, not up top. That number is terrible.
Uh, 91% satisfaction is terrible?
Correct.
Satisfaction is not really our goal, health is.
I think if we were selling smoothies or Slinkys,
then these patient satisfaction surveys
would be a great barometer of how we were doing that,
but our patients come to New Amsterdam
on arguably the worst day of their life,
where we tell them things they really don't wanna hear.
So I think if they are "satisfied,"
then that means we're doing something wrong,
or we're asking the wrong questions.
- Does it really now? - Mm-hmm.
"Were you greeted with a smile?"
Really?
"Did you enjoy the décor?" Honestly, who cares?
Since my entire department's grant funding
is directly tied to these scores...
which are stellar...
- I care. - Good!
I'm glad you do. I care too.
That's why I'm changing the survey.
What? No, no. What? No!
Just to be more accurate.
More honest questions means more honest answers.
- Max... Max! - Iggy.
If we're not improving, we're failing.
You'll thank me later.
Hiya Diallo, 12-year-old female.
Bike accident, head trauma. LOC on the scene.
Avi Diallo, 17-year-old male.
Elbow contusions, multiple skin abrasions.
Please help my sister!
A car swerved into our bike lane.
I tried to help her...
It's okay. It's okay. We got it.
Both pupils are sluggish.
She needs a head CT stat. Let's move.
Avi. How you feeling?
How's my sister?
Did she wake up?
She sustained a significant amount of trauma
to the right side of her brain.
She has what's called a subdural hematoma,
which means there's bleeding in her brain from the fall.
She also has paralysis of the left arm.
Look, she needs surgery right away
to avoid a brain herniation that could be fatal.
No, eh, I...
Now, are your parents at home?
Are they at work?
We need to notify them right away.
You can't... they're in, um, Cancun.
Vacationing.
Okay, can we get their number?
No, no.
- Ah, name of the hotel? - No.
They-they check in when they can.
But if they call when you do the surgery,
I'll update them.
Okay. Uh, thanks, Avi.
I'm gonna go check on Hiya. and be right back, okay?
Dr. Turan, can you call Child Protective Services for me?
Why? What's going on?
Nothing that kid is telling me is true.
Oh, you trying to win a sister over
- with sugar now, huh? - Hey, trying?
I thought I already had.
Uh, although I am sorry for all the back-and-forth lately.
Ever since my pops moved in, things have been out of whack.
But maybe, just maybe, we can make up for lost time.
Or maybe the time we had was enough.
I'm supposed to be leaving soon, anyway.
Yeah, you keep saying that.
Excuse me.
Uh, you looking for the OB department?
Yes, I need to give up my baby.
Oh, are you, uh, in labor?
Mm-mm.
Do you need to talk to a hospital social worker
about the adoption process?
No.
I need my baby to be delivered today.
Otherwise, I'm gonna kill it.
And for you.
- Here you go. - Thank you.
- Are these the new surveys? - Sure are. There you go.
And remember, complete candor is welcome.
And for you.
Hey, hey. Are you seeing this?
Are you doing the surveys over the phone?
Max told me to call.
Call who?
Every patient we have.
And there you go.
Hi, Maureen. I'm ready for you.
Sorry, Iggy, don't want to bias the results.
- Uh... - Here we go.
Gladys, you're better than that.
Fill that out. One through five.
Just fill whatever feels right.
Go ahead and mark that down.
Uh-huh.
Almost there, Dr. Frome.
Just need to finish this survey.
Turns out I got a lot to say.
Bob, Louise, thank you for coming.
Skip the preamble. Just tell me how long.
Whatever time I have left, I wanna spend
as little time as possible in this office.
She'd tell you if you stop talking.
Okay, so-so I actually, I have some good news.
I just got your numbers.
And they're what?
They are phenomenal.
Your cancer has shrunk dramatically.
Uh, now I get to tell you something
that I don't get to say often enough.
You're looking at a full remission.
I told you, Louise. I told you!
A miracle occurs, and the first thing you do
is yell at your wife.
Real nice, Bob. Real nice.
Sour grapes?
- Mm... - I'm relieved, okay?
What the hell's wrong with you?
Uh, a cancer diagnosis is stressful on everyone.
Even good news can be hard to accept
after months of chemotherapy.
But that's where you're wrong.
I haven't had months of chemo
because I've been throwing
your stupid pills in the garbage.
Straight into the trash.
Against his wife's wishes.
Okay, hold on, you have been throwing away your chemo pills?
They made me feel sick, so I stopped taking 'em.
And now? I'm not sick.
You doctors, acting so fancy.
You have no clue.
Just a bunch of puppets for Big Pharma.
Mr. Levin, Mr. Levin...
Yeah, save it for the next sucker.
Come on, Louise.
Mm-mm. Rise up!
- Take off the blinders! - Apologies. Again.
- Get out of the chair! - He gets crazy.
Bob!
_
Olivette, I know you don't want to harm your baby.
Um, you wouldn't be here if you did.
So you wanna tell us what's going on?
Olivette, when was your last prenatal visit?
Uh...
I haven't gone to any.
You're afraid you'd be judged?
Are you still using?
I stopped once I found out I was pregnant.
Okay, so you intended to keep the baby.
Yes.
The baby was gonna be my new chapter.
I'd be clean.
Like the best mom, you know?
But...
Then you went back out.
About a week ago.
First time in months.
Okay, so what changed?
Didn't need anything to change.
It's what I do.
Knew it was gonna happen eventually.
No family, friends?
Any support?
None out here.
Olivette, you slipped.
It happens. That's all.
Nah, that ain't the end of it.
I'm gonna keep using, I know it.
And when was the last time that you felt the baby kick?
Any movement?
I don't know, a few days ago.
Maybe.
I heard 26 weeks is safe for a baby to be born.
Is that true or not?
Technically, yes, uh,
the baby can survive at six months.
- But you're not in labor, and... - I don't care.
It's not safe with me.
I need it out.
Avi.
Hiya's stable.
They're gonna be taking her for surgery soon.
She is? Thank you.
While they're prepping her, I need you to come with me.
There's someone who I want you to talk to, okay?
You called them.
CPS.
Okay, as a doctor, I am mandated by the state
to report any suspicious behavior.
What suspicious behavior?
Are your parents really in Cancun?
Is Hiya even your sister?
Yes.
Okay.
That's a start.
Look, I wanna help you, okay?
But you need to come with me.
Sure.
All right.
Just let me get my bag?
Don't...
Avi. Avi, Avi, don't do this.
You said you'd help us! You lied!
Avi. Avi, come on.
- Open the door. - I can't.
Look, this isn't helping... Hiya or you!
We can't be in the system. They'll separate us!
Master key. You want me to call security?
No, no.
Look, Avi.
Avi, we're coming in.
Damn it, Avi!
- What's-what's happening? - Avi. Avi, she's crashing.
We have to get her up to the OR right now.
No. Turn off the alarm!
I can't do it from out here!
I know you're doing this! I know it's a trick!
No! This is real!
Look, if you don't let us in there right now,
then your sister is going to die!
Get her up to the OR stat!
Hot off the presses and straight
into a hermetically sealed envelope.
Are you ready for your new PSS scores?
It's no the Oscars, Max. Just open the damn thing.
And the Oscar goes to...
36%.
Th... oh, my God.
No. This can't be happening.
Now you have honest feedback to make real improvement.
Max, my funding will be cut.
Okay, listen to this.
"My new meds made me feel sick,
and I couldn't get a follow-up for a month."
"When I'm in crisis, I don't want to wait a week
for my next appointment."
"I had to wait three months to get my first appointment."
Now, if you're asking me,
seems like the unifying factor here is wait time.
Great... so are you gonna spring, for ten new therapists?
I don't know if it's a staffing issue.
Seems more like a scheduling issue.
Okay, sure, but you know that scheduling
will never be perfect because it's not like a patient
can predict a mental health crisis.
You know that, right?
I do, and I couldn't agree more.
- Good. Really? - Yeah.
You're saying that mental health
is inherently unschedule-able,
so why not toss the whole schedule out the window?
Right, no more appointments, first come, first serve.
I think that's really smart, buddy.
Uh, hi, can I have the room for a second, please?
Max.
No appointments will be wildly disruptive
- to my department, okay? - Yeah.
My patients rely heavily on structure.
Uh-huh.
The predictability and reliability
of scheduled appointments is everything...
routine is the cornerstone of their mental health.
Iggy, I hear you, but this isn't me, okay?
This is the survey.
This is what your patients want.
You know what?
I actually can't even discuss this with you right now.
Why? Why not?
Because you didn't make an appointment.
See what I did there?
Wouldn't it be nice if you could just
show up with your problems
and get help when you need it?
That's the beauty of open access,
and some of these patients need help today,
Iggy, not in three weeks on a Tuesday at 4:00 p.m.
So what do you say we give it a shot?
- What's the worst that could... - No, don't... don't.
Don't say it.
Okay. That's fair. Yeah.
If I may be candid,
there are parts of Bob
that have definitely gotten smaller with age.
But I didn't know cancer worked that way.
Spontaneous remission is extremely rare,
but yeah, his cancer's definitely shrunk.
I just gotta figure out how because either it's a fluke,
or Bob has inadvertently found a cure for his cancer.
Oh, please don't tell him that.
That will definitely go to his head.
Nothing is easy with that man. Ever.
But I love him, even in spite of his behavior.
Finding out you have cancer is never easy.
Oh, please, I know several people with cancer
who aren't going through the same
mortality-induced mania that Bob's going through.
Can you be more specific?
Trading in our Volvo for a cherry red Miata, fine.
I expect him to do that around this age.
And while the spray tans are unsettling,
I can literally look the other way.
But spending hundreds of dollars a month
on vitamins and elixirs
instead of taking the meds prescribed to him by a doctor
is ridiculous, even for him.
Hang-hang on, what kind of vitamins and elixirs?
Oh, they all have crazy names.
Are you ready for this, Ben?
"Horny goat weed."
Tell me that's not a scam.
Can you bring me everything that Bob has been taking?
Everything?
Yes. Everything.
I waited too long.
Opening the door.
Well, she's in good hands now.
It was working.
We were doing really good, you know?
Until today.
Are you gonna tell me what's going on?
Both our parents died of COVID.
Two years ago.
I'm really sorry.
We couldn't visit.
We couldn't say goodbye.
They just went to the hospital and never came home.
What about other family?
Grandparents?
Hiya and I decided to stay together.
Figured if we go to school,
stay under the radar, no one would split us up.
I turn 18 in a few months.
Old enough to be her guardian.
What about you?
What about me?
Who's taking care of you, Avi?
So since this is your first prenatal exam,
we're just gonna check the health of the baby
and make sure we can induce labor.
Is that the heart?
That is the heart.
- Nice and strong. - Mm.
Can I hear it?
Sure.
Would you like to know the sex?
Yes. And no.
So hey, how about this?
Write it down for you.
Whenever you're ready. Or not.
Is there any intrauterine growth restriction?
- None that I can tell, why? - What's going on?
The baby seems small.
How far along are you again?
26 weeks.
- Since your last cycle? - I guess.
Take a femur length measurement.
That's 23 weeks. It's off by 3.
So...
so what does that mean?
That would mean that your-your baby's
too premature for us to induce labor.
If we were to do it now, it probably wouldn't even survive.
You're gonna have to carry another three to four weeks.
No.
No, that's impossible. I can't. I know what I am.
- I'm an addict. - Yeah, I know.
Well, we can get you into rehab.
I've done more using in rehab than I do on the streets.
No, you're not listening to me. I can't do this!
- No, I can't do this! - Whoa, whoa, whoa!
- No, I can't do this! - Call security!
- Seriously? - Security? What for?
Floyd, don't do this.
Well, she's not giving us a choice.
Look, I'm gonna put you on a psych hold.
You're not gonna be able to leave the hospital.
No! Why?
Reckless endangerment of an unborn child.
Call security!
Hey, I have a scheduled appointment.
- But I was here first. - I know, I know.
Uh, everybody, that's... hey, that's enough!
That is enough!
Please form a line to the right of the hallway.
Yeah, but what am I supposed to do with this?
Are you the person to give the survey to?
Just asking. Thank you very much.
Have a good day.
Hey, hi, hi.
Do you have a scheduling nurse
that I can borrow just for a little bit?
I'm drowning up there.
How'd you get so buried?
Uh, Max. How else, you know?
He forced me to institute open access,
and now my department is just flipped upside-down,
all because of a stupid survey, you know?
Love the guy, but I just wanna...
wanna strangle him sometimes.
He's just over-asking and over-promising
and over-everything.
Tell me about it.
Oh, yeah? Why, what'd he do to you?
You can ask Nurse Colleen. She's available.
Yes, yes, thank you, thank you, thank you.
Somebody having a mid-life crisis down here?
All you're missing is the toupee.
Thank you. Thanks again.
_
So you're actually committing a pregnant woman
like she's a criminal.
I never said she's a criminal.
Though, by her own admission,
she's a threat to herself and her unborn child.
Is this Gilead? Give me a break.
Look, I'm giving the patient what she wants,
which is... stapler... a chance for her child.
Then tell me this:
could a woman in New York, if need be,
terminate her pregnancy at 23 weeks?
Yes.
And would she be detained for it?
Oh, come on, this isn't a life sentence.
Olivette will only be held until she reaches 26 weeks.
And what about the baby? Become a ward of the state?
Because good luck finding someone
to adopt a 26-week-old preemie.
Okay, I am not the bad guy here.
But you are stacking the odds against this baby from day one.
Okay, don't you think I know all the societal challenges
for babies like hers?
Detaining Olivette is not ideal,
- but I'm listening to the... - Are you?
- Are you fully listening? - Yes.
I'm trying to save a child.
But you're gonna fail if you can't save the mother first.
Avi.
So we're gonna keep Hiya for a few more days,
but we are expecting her to make a full recovery.
Thank you.
Avi...
look, this isn't gonna be easy for you to hear,
but once she's discharged,
Hiya is gonna become a ward of the state.
No! She can't.
I-I can do better. I can take care of her.
I know you can. I know.
That's not what this is about, okay?
Look, Hiya's injuries were physical.
We could fix those.
But you have injuries too.
You do, and people might not be able to see them.
But that doesn't mean they're not there.
What are you saying?
New Amsterdam Hospital has a mental health department
which specializes in child traumatic grief...
No. No. Mm-mm. No.
Wait, just listen to me. Just listen to me.
Okay?
They can give you the support that you need.
And eventually, you can move forward.
And in a couple of months, when you turn 18,
I really think you're gonna be better.
I do.
And ready... ready to take in Hiya.
And be her guardian.
In the truest sense of the word.
Come here.
Hey, Max.
I have the, uh, new test score right here.
5%.
- 5% increase? - No, no. No. Take a look.
That's a 5% total score.
- Ah. - Yeah.
That is the single lowest score in the history
of any department at this hospital... ever.
The last record-holder was Rikers.
I am losing out to jail.
But isn't open access better for the patients?
Better for the patients?
You saw the "last helicopter out of Saigon" scenario
in my waiting room, right?
You were there?
My staff spent the entire day just, uh,
careening from one upset patient to the next.
That's all they had time to do all day.
Well, isn't it better to inconvenience a few
- for the greater... - No. No! It's not, Max.
It's not better for anybody.
I have followed you around for years,
a cheerleader just watching you
casually knock everything down, but not anymore.
My department was working.
And it was working well!
And now your insistence on treating everybody
all at the same time is working for nobody.
My staff included.
So no, I am not gonna go along
with your little Quixotic experiment anymore.
All right, why can't you just leave well enough alone?
We have a good thing going, Max.
You ruined it.
Why?
You're right.
Do what you have to do.
Thank you.
All right, are you sure that this is everything
that you've been taking for your...
- Breakdown? - Holistic healing journey?
Yes.
What is this, some kind of shakedown?
Were you taking a drug known as antoderide?
What's it for?
- For hair loss. - Why would I take that?
Bob, we can all see the giant bald spot
on the back of your head.
Ben has a perfect view.
Then fine, I'm taking it. So what?
I wanted to feel young for however long I had left.
Sue me.
Dr. Wilder, is that drug the reason that his tumor shrank?
Not a lot of people know this,
but Viagra was first invented to treat hypertension.
For the record, I'm not on Viagra.
Yet.
- Louise. - What?
But when the company realized that they had a gold mine
for treating erectile dysfunction,
they rebranded it.
My point here is that sometimes,
discoveries are made on accident,
and you... you, Bob, you're living proof
that antoderide has this amazing side effect
of treating Gonsalves' tumors.
So my hair medication will get rebranded?
Will that make it more expensive?
- Bob! - What?
It's not all about you.
No. No, no, no, no, no.
Your cancer is so rare,
it just doesn't make a lot of financial sense,
but there is an organization that logs drugs
with unexpected and potentially lifesaving side effects.
So with your permission,
I would like to share your numbers with them.
Well, if it'll help humanity and whatnot, sure.
Glad to help.
- Hey. - Hey.
Uh...
Just wanted to officially apologize
for forcing open access on you.
It was, uh, clearly a bust,
and I-I don't blame you for switching back.
Well, I didn't switch back.
- No? - No. Kept it.
- You kept it? - Yeah, we kept it.
Exhibit A, you just waltzed right in
and started talking, didn't you?
Uh, yeah, I did, but you...
I thought it was a disaster.
Yeah, it was more like a train wreck,
but, uh, you know, once we sorted through
the rather sizable backlog of patients in our system,
um, open access actually integrated
pretty seamlessly into our existing scheduling model.
Appointments in the morning, walk-ins in the afternoon.
Wow, so it's-it's working.
Well, I had a patient today
that had all but given up
on scheduling appointments altogether.
You know, she works at a few different restaurants,
picks up shifts, doesn't know her schedule
till the night before, and when she found out
that she could just walk in when she was free,
we had a great session...
one that wouldn't have been possible yesterday,
so yeah, it's working.
- Thank you. - Knock knock.
Hot off the presses. New survey scores.
Oh, my God, you're killing me.
- Ready for this? - No.
Here we go.
Okay, buddy. Survey says...
Oof.
It's 53%.
Congratulations.
Thank you.
53%.
Well, Max, you were right.
Less satisfaction, but better health.
You know, I usually pride myself
in listening to my patients,
and what I, uh, heard from you
is that because of your addiction,
you believe that you lack the capacity
to safely bring your baby to term.
And I get it.
You know? That takes courage.
But for nearly six months,
you had it... courage.
Hey, it took courage just showing up here
and asking for help in the first place.
But you know what else I heard?
I heard from you that it's hard,
maintaining this on your own.
So my question for you, Olivette,
is if you were capable,
if you had the support that you needed,
would you continue with your pregnancy?
Oh, no, hey. No, I'm serious.
In your heart, would you want to carry your baby to term?
Yes.
Okay.
Okay, so instead of committing you
until you can safely deliver,
I'm gonna make a commitment to you
so that you can.
Now, you're gonna need prenatal care,
proper nutrition, birthing classes,
birthing coach,
and you're also gonna need to stay clean.
That's most important.
Now, I know none of this will be easy, Olivette,
so this time, you're gonna have something
you didn't have before.
A sisterhood.
Because if you need to go to a meeting or an appointment,
I'm gonna go with you.
And if Gabrielle can't, I'm there for you.
And if neither of these wonderful women are available,
we've got nine others in this hospital
who are pledging to step in.
And not just for you...
for any other pregnant woman
who might be struggling on their own.
And you still got that little piece of paper he gave you?
- A girl. - Ooh.
Looks like she's gonna be a part
of this sisterhood too.
Hi, I'm home. Hey.
Oh, hey, just in time.
I... oh, I was fading.
- Yeah? - Yeah.
Oh, there was a tiff this evening.
Um, Saleem accused Raffi of,
and I quote, "Being really extra."
Yeah, that is a lot coming from Saleem.
Right? Uh, yeah.
But on the plus side, it exhausted everyone,
and now they're peaceful, sleeping angels.
Okay.
Chicken quesadillas in the fridge.
Okay, I think we've covered all aspects of the amended trust,
and you are clear on your role as executor, Lauren?
- I am. - Good.
Then that just leaves the distribution of assets.
"As my eldest daughter, Lauren,
"worked tirelessly to help me in life,
"in death, I, Jean Marie Bloom,
"bequeath my entire estate, valued at over $7 million,
to my youngest daughter, Vanessa Pageant Bloom."
Uh...
well.
Don't know about you, Counselor, but, um,
I could use a drink.
Dad?
- Hey. - Hey.
Fixed everything up?
Yeah.
Was nothing I couldn't handle.
Guess I shouldn't have doubted you.
So what's in the bag?
- What, this bag? - Yeah.
Oh, just a little
New York Noodletown sumthin'-sumthin'.
Ooh. You got the kung pao shrimp?
Is water wet?
That reminds me.
I got a couple things I wanna do
in that bathroom of yours.
- Oh, don't tell me that. - Hush.
I just wanna re-caulk around the sink.
Put in a a new shower head.
Earn my keep around here.
Sounds good, Pop.
All right then.
All right.
All right, just gonna...
Can't we say grace?
Yeah.
_
Slow down.
_
I'm sorry.
I didn't get...
all of that. I didn't...
_
*CREDITS*