Dr. Ripley, we've met before, haven't we?
County Juvenile. My psych care, remember?
I remember that you were violent.
Do not treat me like the boy you knew 20 years ago.
You've been working nonstop all day.
If I had a guy like Ben waiting for me...
Just stop.
My wonderful husband wants a divorce.
Sean is donating his kidney to you.
I don't deserve it.
I was a terrible father.
I want to do this.
No, look, I'm sorry, but I think it's only fair he stays with me.
If the cat was this important to you,
why did we save the question of his custody for last?
Maggie refers to him as "the cat."
- He's a cat. - She's making my point for me.
- His name is Jasper. - I know his name is Jasper.
I gave him the name.
Yeah, and I'm the one that found him.
I'm also the one that spends more time with him.
Because I work longer hours.
Exactly, because you're never home
long enough to look after him.
He's a cat.
He doesn't need 24-hour surveillance.
Maggie, Ben, please.
Remember what you agreed to at the outset of this mediation...
no blaming and no shaming.
Come on.
Let's not throw away all the progress that we've made.
Come on, Maggie.
You know he prefers being with me.
Let the record show that I'm disputing that.
There is no official record, Maggie.
It's just three people in a room
for a win-win compromise.
This is not working for me.
Come on. Maggie.
Look, we're almost at the finish line here.
No. Only you are.
Your chariot awaits.
Well, I appreciate the thought, but I can manage fine.
Mm, hospital protocol for all surgical patients,
which I believe you signed off on.
Don't make me call security.
Come on.
All right, all right, all right.
Let's make this quick, okay?
I don't wanna attract any undue attention.
Hold on tight.
Mm.
Whoa!
Oh, Dr. Archer, I was hoping I'd catch you.
Good luck on your transplant.
And please, give my best to your son.
I will. Thank you. Thank you, Ms. Goodwin.
Excuse me, Ms. Goodwin.
There's a Zola Ahmad here to see you?
I'll be right there.
Oh.
Is that the one Melvoin wants to fob off on us
to fill the vacant residency?
She comes highly recommended by our chief of medicine, yes.
Her CV is a little spotty, don't you think?
I could vet this one with you,
push my surgery back a few hours...
Hey, are you kidding me with this?
Listen to Dr. Asher.
And don't worry, I will make sure
she's up to snuff, Commander.
Oh, Ms. Goodwin.
Dr. Melvoin spoke very highly of the time
you worked together at the Mayo Clinic.
That's very generous of him.
Except Mayo itself was less enthusiastic.
Evidently, your residency was terminated
for your practicing what they deemed
"vigilante medicine."
Okay, I need to explain.
Please do.
Insurance wouldn't cover a patient's overnight care
I felt was necessary, so I put them up in a hotel
and monitored their care from there.
Uh-huh.
And that was it, the one incident?
Yes.
Hmm.
Except no.
You're referring to Trinity Ann Arbor.
That was more of a work culture thing.
I mean, great hospital,
but everything was so regimented.
And I... honestly, I just think
that I haven't found my perfect fit yet.
Well, Dr. Melvoin feels you got a raw deal
and deserve a second chance.
That's very nice of him.
Except, technically,
this would be your third chance.
Look, Ms. Goodwin, I know I've had a few false starts.
And as desperate as I am to get back to work...
because I love being a doctor, I really do...
I don't wanna feel like I'm being foisted on anyone.
You're not.
I make the personnel decisions here, not Dr. Melvoin.
That's why the first year of your residency here
will be on a probationary basis,
which means you could be dismissed at will,
if that's acceptable to you.
Yeah. Yes. Thank you.
Well, it might get extra chaotic here today
since the head of our ED is out of pocket.
So you will be reporting to Dr. Marcel here.
- Hi. - Hi.
No better place to start than covering trauma.
I hope this works out.
Thank you, Ms. Goodwin.
After you.
- So you're my attending. - I am.
Lucky me.
There's a change room through the doctor's lounge
over there, okay?
Incoming. High-speed crash.
You're going to Baghdad, Court.
Sheryl Martin, 45, struck a parked car
at 40 miles per hour.
GCS 8.
Expanding hematoma on right side of the neck,
unable to intubate in the field.
Guy crossed the street out of nowhere.
I would've killed him if I hadn't swerved out of the way.
This is the husband, Wade.
Wade, why don't you hang out here for me, okay?
We're gonna take good care of your wife, I promise.
All right, guys, here we go.
Ready, one, two, three.
Matt, what's the status of the pedestrian?
Second ambulance right behind us.
Okay. Laryngoscope.
Sheryl, can you hear me?
Jaw thrust and keep bagging.
Let's get this airway under control.
Sats 79 and falling.
No breath sounds.
Lots of resistance on the bag.
Okay, let me get in.
I can't see too clearly.
She's too far displaced on the left.
We need to release this hematoma
if we want a shot at the airway.
Not outside the OR.
If we open it, she could bleed to death
before we even get to her.
75.74.
I'm not sure we have any better choices.
We retrograde a wire into the airway.
Won't require too big an incision.
Get me a triple lumen kit and a Magill, please.
- You ever done one of these? - I'm a quick study.
Okay, you're gonna grab that needle,
push it through her cricothyroid membrane
and insert the wire up and out of her mouth.
Okay, got it.
Now what?
Feed the tube back over the wire, and we have a secure airway.
Sats at 72 now.
Come on, get through.
Oh, what do you think you're doing?
Opening up the hematoma to decompress.
No, no, no. Don't...
Tube passing through yet?
Yeah, I think I'm in.
All right, start bagging.
Breath sounds?
Check her pulse.
- Bilateral breath sounds. - All right, we got her airway.
Let's get her on a vent. Let me get a chest X-ray stat.
I thought we decided not to tackle the hematoma in here.
Sorry. I didn't feel like we had another choice.
All right. Go change into your scrubs now.
Go on.
Stethoscope.
Thanks.
- Synced and corrected by synk - - www.addic7ed.com -
- Oh. - Oh, excuse me.
- Didn't see you there. - Oh, I'm sorry.
You hit the gym already?
Nope, ran to work.
In this weather?
Four miles each way every day, rain or shine.
And snow and sleet, apparently.
Hey, Mitch, listen,
I know that I was your doctor a long time ago.
But as far as I'm concerned, you know, that was then.
And now we're colleagues, you know, period, okay?
I didn't want you to think I'd be looking
over your shoulder all the time.
Okay, good to know.
In terms of the conversation we were having on the balcony...
Yeah, I'm running late.
Still gotta shower and change.
Oh.
You stocked your fridge like we discussed, right?
You don't wanna be schlepping back and forth to the market.
I made a Costco run two days ago.
He's way ahead of you, Dean.
And what about calling your mother, like we talked about?
- I did. - And she's okay with this?
Yeah.
Good. That's good.
When's the last time you and she spoke?
Uh, it's been a little while.
Okay, guys, today's the day.
Latest labs are looking good.
Anyone wanna pull the rip cord, now would be the time.
Then we are a go.
Sean, we'll see you in the OR in five.
Sounds good.
I love you, son.
I know.
Mr. Martin, I know that might have looked scary,
but your wife's X-rays look good.
There's nothing life-threatening.
I'm gonna quickly take her into that OR over there
and patch up whatever it is that caused the bleed.
I don't anticipate any complications, all right?
Okay. And the guy I winged earlier,
do we know how he's doing?
- We're gonna check on him now. - Okay.
Again, about that hematoma...
You made a tough call in a tight spot.
Just don't make a habit of it.
- Who's this? - Hey, Zach.
Dr. Zola Ahmad.
Dr. Ahmad, Dr. Hudgins.
So what are we looking at?
Patient's name is Luis Obrador. Says he's from Caracas.
I thought I heard him say something about a coyote
that got them over the border.
Crazy story.
Good thing Doris speaks Spanish.
Got any injuries?
Minor lacerations on the right arm and leg,
could use a couple sutures.
Oh, and he said he was on his way to the drugstore
when he got hit, seems to be fighting off
some kind of infection.
I was just about to put in orders for labs.
I'll take care of it.
Was there anyone he wanted us to contact?
Yeah, the police.
Why? To file a report?
I don't know. I was kind of confused myself.
We euphemistically call this a twitch monitor.
We place two electrodes right here
on either side of the ulnar nerve,
then send a pulse.
And that's how you check for any neuromuscular blockade.
Dr. Ripley.
Carry on.
Allison Levine, 39, ambo'd in with respiratory distress.
Sats below 90. Blood gas show she's hypercapnic
but compensating.
Says here she's a survivor.
She beat lung cancer some 20 years ago,
been in remission since.
But five weeks ago, she was diagnosed again.
And it's progressed this fast?
Metastatic.
Okay. Thank you, Kai.
Yeah.
Hi, Allison. I'm Dr. Ripley.
I understand you collapsed in your greenhouse?
Just had it built.
One second, I'm saying good morning to the orchids,
and the next, I'm face-to-face with the turnips.
How about we take a listen?
Apologies if I'm a little funky.
I've been trying a new compost.
I don't smell a thing, Allison.
You're being nice.
Everyone's nice to you when they know you're dying.
What are you talking about? You can fight this off.
I heard you've already done it once before.
I'm not so sure.
You're just rusty from having been out of the saddle so long.
Really, I'm just hoping...
- Sats at 85. - Let's get her on a mask.
To live long enough to...
Okay, Allison, just save your strength.
See my first tomatoes.
Let's get a crash cart in here.
Hang with me, Allison.
We gotta intubate, but it's gonna be all right.
Tied off a couple small vessels.
- She should be fine. - Great.
I was wondering if you would take a look at the C-spine CT.
If you look over here on Sheryl's non-injured side,
in the SCM muscle...
Yeah, that looks like it could be
related to the trauma in some fashion,
- or incidentaloma. - Probably.
I still think it warrants an MRI.
- Dr. Marcel? - Yeah?
How's my wife?
She's stable and doing very well, Wade.
In fact, the damage was much less significant
than it might have appeared.
That's such a relief.
So how long till she wakes up?
Actually, while she's still sedated and intubated,
we wanna send Sheryl in for an MRI.
Is that necessary? I thought you said it looked good.
Well, a CAT scan showed a soft tissue mass
within the sternocleidomastoid muscle on Sheryl's neck.
It could be something related to the injury.
Could be pre-existing. The MRI will help us figure that out.
Well, is this something I need to worry about?
Let's not get ahead of ourselves.
How long is it gonna take?
We'll see to it that your wife gets top priority.
Officer, are you here to take my statement?
- Excuse me? - Yeah, I wanna press charges
on that guy right over there.
I overheard someone say that he might be here illegally.
I need to make sure that doesn't affect my insurance.
I'll have someone come speak to you, mister...?
- Martin, Wade Martin. - Okay.
- Give me a minute. - Thank you.
- Do you have a moment? - Yeah.
It seems I'm in a bit of a pickle.
How so?
I'm officially here as Mr. Obrador's emergency contact.
What?
He's being sheltered in the lobby of our district,
and he's not the only one. They set up camp about a week ago.
That's why he asked to call the police.
And it's not just us.
There are migrants in almost every district of the city,
and the buses keep coming up from the border
almost every day.
They're fleeing a pretty horrific situation
down in Venezuela.
I'm gonna go put those orders in for radiology.
Sorry.
- It's okay. I'm on hold. - Okay.
How did the first day of mediation go?
I got ambushed and gaslit.
Oh, I'm sorry.
Oh, it's just my fault for being so agreeable.
You were happy with your divorce lawyer, right?
Could you text me his number?
You really think that's necessary?
It worked for you.
All right, I'll send you his contact.
But promise me that you'll sleep on it
before calling him.
Ben is the one who pulled the plug on this marriage, Sharon.
I'm sorry, ma'am. Is there something you're looking for?
My son, he's supposed to go into surgery today.
- I need to find him. - Okay. Maybe I can help you.
- What's your son's name? - Sean. Sean Archer.
Your Dr. Archer's ex?
I would have been here sooner. Just... there were no flights.
Am I too late?
From what I understand, surgery went well,
and there were no complications.
Sean's kidney is gone already?
Wow, they crippled my son.
I can tell you from personal experience, ma'am,
that that's not the case.
I'm a donor myself, four years running,
and I'm doing fine.
I've even survived cancer.
Is that supposed to be comforting?
You know what? I'm sorry.
I appreciate the gesture. It's...
I only found out about this yesterday.
I understand.
Dean's right down this way. I told him you were coming.
- I'm not hungry. - You're gonna need food.
Well, don't you look like crap.
Leanne.
I heard your kidneys are shot.
So now what? What, you're gonna take one of Sean's?
I spoke with him last night, you know.
Yeah, I do know. I encouraged him to call you.
Oh, gee, thanks a lot. The night before the operation.
I told him I was not okay with this.
Well, that's not what Sean said.
He said you were.
Well, he lied to you, Dean.
Or I don't know, maybe... maybe you're lying to me,
which I wouldn't put past you.
You know what? I should have known,
when Sean told me you were back in his life,
that you had some kind of agenda.
- This is all you. - You need to calm down.
You know what? You ghosted your son
for over a decade, you son of a bitch.
Is this why you suddenly decided to reconnect with him?
Because, ooh, now you need a kidney, huh?
No, that's... that's not what happened at all.
Dean reached out to Sean well before he was injured.
Who is this, your new buddy?
This is Hannah, Dr. Asher.
I work with Dean.
Yeah, sure you do.
I can put a stop to this, you know?
I've already contacted a lawyer.
You should be ashamed of yourself.
So, Dean, ready to meet your new kidney?
Dr. Ripley? I'm Neva, Allison's sister.
I came as soon as I could.
Your sister is stable and resting comfortably.
Here, I'll show you.
This disease blindsided the both of us.
When you hear the word metastatic,
the floor just drops out from beneath you.
I know. I'm sorry.
Listen, Neva, I wanted to ask you some questions
about how they came to make that diagnosis.
It was five weeks ago, right?
No! I'm too late!
Allison's still with us, Neva. She's just been intubated.
But she didn't want to be intubated.
It's in her advance directive.
I'm sorry. We were unaware of one.
We literally just made it two days ago.
I have a copy on my phone.
See? DNI, DNR.
Naming me as her surrogate.
We had it notarized.
Okay, we'll get to that in a moment, Neva.
But first, your sister mentioned
she just built a greenhouse.
Do you know when she started working in it?
I don't know, maybe eight weeks ago.
What does it have to do with anything?
Well, there's a fungus that's prevalent in soil and compost,
especially in moist environments like a greenhouse.
People like Allison, whose lungs and immune system
have been compromised, they can be
more susceptible to infection.
- A fungal infection? - Yes. Aspergillosis.
It will look, for all intents and purposes,
exactly like a rapidly spreading metastatic cancer,
infecting the lungs, the kidneys, the brain.
The only way to rule it out for sure is to get a biopsy.
Didn't her oncologist do that already?
If they did, I'm not seeing it in her records.
But we can do it right here.
You don't understand.
This is her worst nightmare.
You want me to keep her like this because you have a hunch?
Do you know how many specialists we've seen this past month?
Countless, every day, all with the same diagnosis.
Did any of them ask about the greenhouse?
No offense, but you're an ED doctor.
Without a biopsy to confirm, there's a chance
one of your so-called specialists
just handed your sister a death sentence
based on incomplete information.
Maybe I need to speak to your supervisor.
Neva, please just stop and listen to me for a second.
Who can I speak to who's in charge here?
Hi. I'm Dr. Charles. How can I help you?
She can't really get an injunction
to stop the transplant, can she, Peter?
- Well, she can try. - On what grounds?
Sean's an adult. He signed his informed consent.
My guess is, she's gonna try and convince a judge
that as a recovering addict and a parolee,
Sean lacked the decisional capacity
to lend his full consent.
Okay, that's ridiculous.
I don't think she's gonna have any success.
And the onus is on her.
So as it stands now, I'm completely comfortable
moving forward with the transplant.
Yeah, well, I'm not.
If Leanne is not okay with Sean giving me this kidney,
then I'm not taking it.
Dean, don't do this.
Just give me some time. I just need to talk to him.
Dr. Cameron, if the intended recipient
did change his mind at this juncture,
what would our next steps be?
Well, it's unlikely we would find a match at this hour,
so the only ethical thing to do would be to place the kidney
back inside the donor.
But I'm only comfortable with keeping it on ice for so long.
- How long? - Two, three hours tops.
You got 90 minutes.
If this isn't resolved by then, the kidney goes back to Sean.
Understood.
Palliative said they'll transfer her up in about an hour or so.
Thanks, Doris.
You're really gonna let this happen?
I'm sorry.
Patient has a valid and enforceable DNI.
Even if it is, the woman is being irrational.
I'm trying to save her sister's life.
You realize how we got here, right?
Someone... in this case, probably a completely
out-of-their-depth GP... starts with a faulty assumption
of, "Hey, this must be Allison's cancer returning."
And then boom, you get this daisy chain
of error after error with a DNI
that was only consented to under a false premise.
Honestly, I'm having no problem at all seeing your logic.
But I'm not the one that you have to convince.
Yeah, well, I'm afraid she's tuned me out.
Look, she's carrying this enormous burden,
honoring the dying wishes of someone she loves very, very much.
Maybe focus more on that and less on how right you are.
Zach, have you taken a look at your patient's labs yet?
White count's in the 30s with a pretty aggressive shift.
Mostly neutrophils.
I don't know, escalating pretty quickly for just a flu.
He's been vomiting kind of relentlessly as well.
Hold on, Luis. It's gonna be okay.
When did he break out in this rash?
I don't know. It must have just happened.
Did you check for insect bites?
Why? He came in with an injured arm.
Ask him how many days he's been in the U.S.
Luis...
About a week and a half.
How many people was he traveling with?
Ten others, all being housed in the police station.
Have you seen Dr. Marcel?
He just got called into the OR.
What about Ms. Goodwin? Is she reachable?
You can leave a message with her assistant if you like.
- What district again? - The 23rd.
It's about a mile from here.
Tell Dr. Marcel that I'll be back as soon as I can.
This is just not about the kidney, Leanne, okay?
This is about Sean and all the changes that I've seen.
And if he wakes up and he finds out that his...
- You've already said this. - You're not listening to me.
- You know what? - You're not listening to me!
You know what? We're done here, Dean.
So?
Well...
You look resigned.
What am I supposed to do, hmm?
Please don't tell me this is you
just finding another way to not accept a gift from your son.
Oh, it's not that. I... I want this kidney.
Good.
You're finally saying it like you mean it.
Now go tell Dr. Cameron.
But Leanne...
Leanne is being petty and vindictive.
I am sorry to be so blunt,
but this is not about protecting Sean.
This is about hurting you.
Don't feed into it.
She's the mother of my child.
I go through with this against her wishes,
Sean might never be able to have a relationship
with his mom ever again.
Do you remember that Archer that I first met,
the self-serving, egocentric jerk
that only cared about himself?
Why can't you be more like him today?
- Dr. Marcel? - Yeah?
It's been over an hour, and my wife hasn't gotten an MRI yet.
I assure you, we have not forgotten.
Dr. Ahmad said she'd make it a priority,
but I haven't seen a trace of her.
As soon as an MRI frees up, Mr. Martin,
I promise, she's next in queue.
Excuse me.
Doris, where's Zola?
I'm gonna need rooms for all of these patients,
preferably isolated from the rest of ED.
What the hell's going on?
I brought in the rest of the migrants
that came in from Venezuela with Luis.
Two of them have similar symptoms.
I'm talking about you. Where were you?
Walking off the floor without notifying a supervisor.
I know. I'm sorry.
But you were in surgery, and I found a bug bite on his ankle.
You think it might be something infectious?
Typhus maybe, or malaria if we're lucky.
Or something contagious, if we're not.
Maggie?
What's going on?
Let's get these good folks into contact and droplet isolation.
And make sure they're comfortable.
Also, no one goes in and out without gowns, gloves,
and masks, and have phlebotomy run
IFA assays on everyone stat, okay?
- Yeah, I got it. - Hey.
There's not gonna be another warning.
Doris, you're with me.
Chewy, Tracy, Ben, let's go.
I really don't wanna have to adjudicate this all over, Dr. Ripley.
I understand.
I just wanted to apologize for my belligerence earlier.
I can't even fathom what you must be going through,
the pain, the burden of such an immense responsibility.
I'm sorry for not honoring that.
Thank you.
I have been accused of being bullheaded.
For good reason, it turns out.
You have that in common with Allison.
Listen, I realize I'm asking a lot
for you to follow me on what might seem like
nothing more than a whim.
But if I were able to lighten Allison's sedation
enough for you to ask what she wanted directly,
would you be open to that?
No.
No, I know we agreed to use a mediator.
We also agreed to stay together for the rest of our lives.
Look how long that lasted.
You know, I can't talk about this right now.
You're gonna have to call me later.
Yeah.
There you go.
- Maggie? - Yeah?
What's all this about?
The new resident.
She thinks that we have an outbreak on our hands.
My guess is that she's getting a little ahead of herself,
but we'll see.
Okay.
What's happening with Dean?
Has he made any headway with his ex?
No, neither of us have.
- You mean you talked to her? - I tried.
Figured we might be able to connect, one addict to another.
But I guess that that was not the right strategy.
I think Leanne is just trying to do what's best for her son
- and just... - Maggie. Maggie, Maggie.
You don't know all the facts.
Leanne was no great mother.
I think that her motivations here are pretty obvious.
If Dean gets the kidney,
it means that Sean loves him more than her.
I mean, she's still so resentful and angry
about the divorce, but getting her to see that,
I don't think it's gonna be possible.
Her eyes are still closed.
Her medication has an active metabolite,
so she's not fully awake.
She doesn't have full muscle control.
But she can hear us.
Allison, it's me, Neva.
I know I promised not to let you be intubated,
but, well, now that we're here,
Dr. Ripley wanted to run one more test.
A bronchoscopy, Allison,
so that we can biopsy a sample from your lung.
There's a chance what's ailing you is actually a fungal infection.
I only wanna do it if you do, Allison.
Do you understand?
If you agree to the procedure, Allison,
give me a thumbs up.
There.
I see it. She's saying yes.
We'll get started right away.
- She's asymptomatic. - For now.
A lot of these diseases have long incubation periods.
Wait, why are you moving my wife?
Sir, please, it's just temporary.
Hey, Mr. Martin. You okay? What's going on?
Did you two authorize this?
Mr. Martin, my apologies. It appears we're momentarily...
You think I don't see what's going on,
but you're giving all the rooms to them.
Hold on now.
Same thing happened at my kid's school.
They commandeered her gym for a shelter.
Look, Wade, I assure you we have enough resources
- to take care of everyone. - No, we don't.
People keep saying that, but we just don't, okay?
The whole volleyball season got canceled,
and my daughter needed that for her scholarship.
And now my wife,
she's obviously not receiving your full attention.
How come nobody's looking out for us?
I understand that this is an inconvenience,
but we do need to free up this room.
- Okay, go ahead. - No, get away from her!
- Wade, Wade, Wade. - Mr. Martin, please.
- Stop handling me! - Wait! Hey!
- No! - Hey, hey.
- Calm down! - No!
No! Get away from me!
- Get off of me! - Calm down, Mr. Martin!
- Let's go. - Get off of me!
Get off of me!
No! No!
- You all right? - Yeah, I'm fine.
I'll go get that blood draw started.
The biopsy came back positive?
In this case, that's a good thing.
Aspergillosis is at least something we can treat.
So she's not going to die?
Well, we're not out of the woods yet.
I've started Allison on some heavy antifungal medications.
We should know fairly quickly if she responds.
But I'm very hopeful.
We all just assumed.
I can't believe I almost stopped you from saving her life.
I don't know how to ever thank you.
Hey, man. Well done.
Excellent work, Dr. Ripley.
Nah, just a lucky hunch.
Oh, come on.
Take a little credit.
I was stuck in my head earlier today,
and you helped me get out of it.
Thank you.
Any updates?
I wish I could say this was an isolated incident.
But from what I'm hearing around town,
it seems like the welcome wagon's broken down.
Rosado's offering to take Mr. Martin into custody
if we feel the staff's safety is threatened.
Dr. Ahmad?
You're asking my opinion?
I am.
Can I just say that I feel responsible for Wade?
I should have spoken to him directly before we tried to move his wife.
I'm not asking you to defend
any of your interactions with Mr. Martin.
Thank you, Ms. Goodwin.
I am interested, however, in you defending
the thought process that convinced you
that leaving the ED in the middle of your shift
without notifying your supervisor
was a wise idea.
I know this is a bad look, this being probationary and all.
But my brain sometimes seizes on an idea,
and I feel this adrenaline shoot up.
And I keep telling myself, "Slow down, Zola.
Slow down," but...
I'm working on it.
I see.
I should go check on another patient.
Wanna hear my opinion of her now?
Won't be complimentary.
Let's double back on that at the end of the day.
I hear they're getting ready to put Sean's kidney back in him.
Shouldn't be too much longer now.
Things were rough between you and Dr. Archer, huh?
To put it mildly, yeah.
I get it.
My husband Ben and I are getting a divorce.
His decision, by the way.
- Oh. I'm sorry. - Yeah.
And as stupid as it may sound, we're fighting over a cat.
Ben wants it.
And even though I never really bonded with the thing,
there's no way I'm letting him have it.
No way.
I just feel so angry all the time.
I don't recognize myself.
I guess I wanna hurt him for leaving me.
For rejecting me.
How did you and Dr. Archer meet?
It was a 4th of July beach party.
- Mm. - Yeah.
How about you and Ben?
Chemo. We both had cancer.
- Oh. Oh, wow. - We're fine.
It's the marriage that's terminal.
I loved him.
God, I love him.
He could be so sweet and do these little things,
like making sure I took my vitamins every morning.
I remember, when I was pregnant with Sean,
Dean and I took a road trip out to the desert.
He was stationed at Coronado.
And I don't know how, but I stepped on a cactus.
- Oh. - Don't... don't ask.
Anyway, he... he spent the next five hours
getting the needles out of the sole of my foot
with tweezers and Elmer's Glue,
all while keeping me supplied with ice chips.
Uh-huh.
You know, Leanne, as angry as I am,
I wasn't exactly blameless.
I did some things.
Yeah, I did some things too.
How long before the surgery?
Excuse me, Dr. Charles?
I was wondering if you might like to meet my sister.
Oh. That'd be my pleasure.
We're gonna move you upstairs to an ICU bed,
so settle in.
I can't promise any fresh vegetables, but...
Orange Jell-O, though, seriously good.
Allison, this is Dr. Charles, who I was telling you about.
I just wanted to thank you.
I don't know how to repay you both.
Dr. Ripley was telling me that you had a green thumb.
I'm just... I myself have always been partial to stone fruits,
is all I'm gonna say.
Deal.
You're gonna have to wait till summer, though.
And you, Neva, if you hadn't ignored my DNI...
If you hadn't given the thumbs up,
I wouldn't have had the courage.
Thumbs up?
Well, it was more of a twitch,
but it was definitely a yes.
Not that it matters much,
but I don't really remember much of that.
Well, the midazolam we had you on
is probably why your memory's a bit fuzzy.
It may very well come back to you in a day or two.
In any event, we're just glad you're on the road to recovery.
Speaking of which, let me go check on that transfer.
I'm gonna let you rest.
But really nice to meet you.
So glad it worked out, and we are always here, okay?
- Thanks again, Dr. Charles. - You bet.
Hey, Ms. Goodwin.
Have you seen the IFA assay
that just came back on Luis Obrador
and the other migrants?
- Murine typhus? - Mm-hmm.
- From flea bites. - Yeah, probably contracted
while they were crossing the border.
Infested blankets, maybe.
Yeah, timing makes sense.
It could take up to 12 days to show symptoms.
Well, it's a good thing Dr. Ahmad caught it when she did.
She might have saved some lives.
- Dr. Marcel? - Yeah?
Have you seen this? Sheryl's MRI.
Inflamed lymph nodes in Sheryl's neck.
Frozen biopsy came back as a sarcoma.
Oh, dear.
It looks like it might already be spreading.
Someone's gonna need to break the news to her husband.
Yeah.
I'll go tell him.
It should be me.
Unless you prefer it to be anyone else.
Go ahead.
You know, I hesitate to say who she reminds me of.
You were forced to suspend him on more than one occasion.
I'll give you a hint.
He had red hair.
You, uh... you really want a sequel on your hands?
Above and beyond.
I can't say I wasn't warned.
Excuse me?
We're gonna have to teach this one how to pace herself.
We wouldn't want that fire to burn out too quickly.
Hey, Dad.
Hey, son.
How are you two?
- Good. - Yeah.
Well, well, well.
Should I go get Leanne and let her know that you're awake
and that the transplant was a success?
Mom's here?
Yeah, she gave us her blessing.
- She did? - Yeah.
Would you go find her so we can thank her?
Absolutely.
Leanne? Hold up!
They're asking for you.
Oh. Hey, man.
Really great grab on that diagnosis,
you know, once again.
- Yeah. Thanks. - I'm still stumped, though,
is how you got Allison's sign-off.
I mean, aren't you supposed to turn the midazolam down
when you get a patient's consent?
Excuse me?
What'd you do, like, hook her up
to a twitch monitor or something?
What are you accusing me of?
Nothing.
I'm not accusing you of anything.
I'm just saying that as somebody
who, after 40 years, is still regularly tempted
to mess with the rules for all the right reasons,
it's just... you know, it ain't worth it.
Almost lost my license that way.
This couldn't wait till tomorrow?
Not really.
You were right about what you said earlier.
He belongs with you.
I don't know what to say.
Thank you.
You wanna come in?
No, I really just wanna move on.
Let's try and wrap this up tomorrow, okay?
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