New Amsterdam Hospital.
Massive carbon monoxide poisoning
from a faulty furnace.
There was a climate change conference, so we've got
dozens more ambassadors coming out.
Give him 100% high flow and get him to The Dam.
Hey!
_
There you are.
I knew you'd get lost.
All the new medical directors get lost.
_
I'll take those odds.
- Grab a sheet, will you? - EMS just dropped off.
- Wait. - What?
Do you hear that?
Hear what?
Doctor Bloom, she's dead.
No pulse, no BP, cyanotic, rigor mortis.
I need a defib ventilator, ALS,
and resuscitation team, now!
That's impossible, she's dead.
Well, at least you didn't kill her twice.
New Amsterdam has a public school,
prison ward, and facilities for the UN.
We performed the world's first C-section
in the world's first maternity ward.
New Amsterdam is America's first public hospital.
Patients don't need insurance, money...
- Dora, I know the history. - The dean makes me tell it
to every new medical director.
And how many of those have you worked with?
Five in five years.
Dr. Helen Sharpe.
- Max Goodwin, how can I help? - Oh, you're too kind.
Welcome to The Dam.
- Why are you in scrubs? - Because I'm a doctor.
- Going somewhere? - I have to tape segments
with "The Morning Show" and Megyn Kelly,
then give the keynote address at the oncology conference
- in Vail. - I'll take that for you.
- Thank you. - Wow, you're gonna do all that
on your lunch break.
You're funny. I'll be back next week.
We'll lunch at the Tavern... my treat.
Unlike the previous medical director,
I actually expect you to practice medicine
at this hospital because...
I don't know, it's your job.
You're funny.
You said that.
I'll tell you what. I'll continue giving speeches
all over the world, because you can't afford
the kind of publicity I give this hospital.
And I'll continue my on-air appearances
with Ellen, Oprah, and anyone else powerful enough
to go by one name, because someone has
to remind New York that even though New Amsterdam
is an under-funded public hospital,
we can still go toe-to-toe with the privates
from basic care to state-of-the-art procedures.
I will be back next week.
We'll lunch at the Tavern.
My treat.
I like her.
If she comes back, let's keep her.
Sorry.
Max.
Is everything okay?
Just calling to say hi.
Really?
- Isn't that what people do? - People, yeah.
You?
Not so much.
I'm trying.
- How's the, uh... - Can I, uh...
- Sorry, what? - No, you...
I was...
I was just going to ask about the apartment.
Oh, it's great. Yeah.
You should come by sometime. Sit on the floor,
eat some soy sauce packets.
Have you had any time...
- to think... - Max.
It's time.
Um...
- Georgia, I have to... - Save the world?
I know. Go.
But listen... listen, I know what I did was wrong.
I should have put you and the baby first,
but I am gonna change.
And I'm gonna win you back.
Well, you have 12 weeks.
- Hey, Reynolds. - One second.
- Hey. - I've been thinking about you.
You, uh, wanna grab a drink later?
- I can't. - You know when I say
"grab a drink" I don't really mean "grab a drink."
I do.
Sorry. I'm so sorry.
Sorry.
So sorry.
You guys okay?
There he is.
Uh...
my sister Luna and I
were, um, born here
in New Amsterdam.
And then eight years later,
uh...
Luna died here.
It was a hospital-acquired infection.
Entirely preventable.
So...
working here... being able to save
someone else's sister
or someone's daughter...
It's a dream come true...
for me.
Anyway, so...
How can I help?
Uh, sorry. That's not a trick question.
I'm... I'm really just asking.
I work for you so you can work for your patients.
How can I help?
Just shout it out.
Really? No one?
Wow.
Okay, why don't we try this: I'll go first.
Will everyone in the Cardiac Surgical Department
please raise your hands.
Don't be shy, just get them up there.
Great.
Great, thank you.
You're all fired.
Any department who places billing above care...
no matter how much money you make this hospital...
you will be terminated.
Oh, I am serious.
Bye-bye.
We're gonna be starting over, all right?
Without you.
Sorry.
Next, will all the department chairs
raise your hands, please.
I have no idea how you managed
to keep this hospital afloat with so little help,
so I'm gonna hire you 50 new attendings.
Because untrained residents
will no longer be running this hospital,
regardless of how much money
their university makes off their indentured servitude
or how much time it affords some of you
to play golf.
So...
let me ask again...
How can I help?
Yeah.
Person not calling their lawyer.
Lauren Bloom, emergency department.
Uh, I want to get rid of our waiting room.
Okay, what do you... where do you want to put it?
I want to get rid of it.
I want to move patients direct to bed...
no waiting room.
Done.
Really?
Sure, let's try it.
- Yeah. - Hi... Dr. Iggy Frome,
head of psych.
Can we do something about healthy food?
What do you want to do about it?
Uh, have some.
To eat in... in the hospital.
Okay.
Done.
Aces. Thank you.
Thank you.
You know, we all feel like the system...
is too big to change, but guess what?
We are the system.
And we need to change.
So just tell me what you need... what your patients need...
and I don't care if it's not covered,
I don't care if the board said no,
let's get into some trouble.
Let's be...
doctors again.
Okay, I appreciate it.
Go, and I'll see you out in the wards.
Thanks.
Uh, Bloom.
Sorry, could I, uh, borrow you for a minute?
Um, I need you to do a throat biopsy.
- It'll just take a second. - Sure.
Uh, for what patient?
Uh, me.
- Yeah, hey, how are you? - Hello?
My name is Alain. I wrote my name down.
Then we'll call you when we have a doctor available.
Okay, hun?
At New Amsterdam's department
of pediatric oncology, we strive to ensure
that the children feel that they are in a relaxed,
positive environment...
You know what, she is good.
- She is. - How long have you
- noticed irritation? - Do you think she's
- coming back early? - No.
- Max? - Yeah, four weeks.
Six. Maybe eight?
I don't know. You look tired.
- Do you need a nap? - I need you to stay still.
- Mm. - Good luck with that.
Who's calling?
Dean of medicine. Third time.
- Ignore. - Max.
- Please stop talking. - Yeah.
Wait, what's on my hot list after this?
- What's a hot list? - It's a to-do list,
but, you know, with a... with a cooler...
- cooler name. - Call the dean back.
- Uh, after that. - You know, I can
- come back later. - Well, you've got
the entire United Nations in the ICU,
and a cardiac patient being prepped for surgery.
Right... wait, why is a cardiac surgery
- on my hot list? - Because you fired
- all the cardiac surgeons. - Right, but I had all
the new patients rerouted to University.
Not the ones from Rikers.
Maybe you shouldn't have fired the entire department.
They were all corrupt and lazy.
- See? - Except for Dr. Reynolds.
How you know that?
Just read his file.
Ow.
Doctor...
- Frome? - Please sign in
and take a seat.
Dr. Frome.
Young lady, it is way too early in my day
- to call security, but I will. - Dr. Frome!
Dr. Frome! Dr. Frome!
Whoa, whoa, whoa! Hey!
- Hey, it's okay! - Dr. Frome!
I got it. Jemma, hi, hey.
I got this, thank you.
All right, come on, come with me.
Thank you.
It's okay, whatever it is.
It happened...
again.
Floyd Reynolds?
- Max Goodwin. - Yeah, I remember you
from an hour ago.
When you fired me.
Yale. Fancy.
What secret society were you? Skull and Bones?
- Scroll and Key? - The one that took
a poor black kid.
Which one was that?
School of medicine.
So, Floyd, why did you become
- a cardiovascular surgeon? - You know, all due respect,
I don't need a pat on the back on the way out.
That's good, because I don't intend
to pat you on the back given the appalling history
of patient care in your department.
If I were you and I had analyzed our performance
- I would have done the same. - Hmm.
By performance, do you mean the highest mortality
and infection rates in New York City?
'Cause that's like the Beyoncé of performances
if Beyoncé, you know, killed people.
Yeah, and don't forget our rampant culture
of inflating billable hours.
Except you didn't.
I read your files. You have the lowest billing rates in the department.
What's wrong? You don't like surgery?
- I love surgery. - Then why did you perform
half as many procedures as your colleagues?
Because my patients didn't need them.
Because there's other ways to help people
than my cutting them open.
That's a cute kid.
That's my nephew.
I'm unfiring you.
To do what?
To run the Cardiac Surgical Department.
There is no Cardiac Surgical Department.
Then build one.
A good one.
I mean, it's only people's heart's we're talking about.
You do know the whole system's rigged, don't you?
I mean, they're not gonna let you come in here
and just help people.
So let's help as many as we can before
they figure us out.
You can't say no.
You already unpacked.
Jemma first came to me eight years ago
after she was sexually abused by her foster father.
Just tell me how long before I can place her.
Two years after that, she came back
after she was found chained to a radiator being fed like a dog.
- How long, Iggy? - This girl has been abused
three times in the foster care system,
and you want to put her right back in?
What other options do we have?
- I'm keeping her. - What do you mean, "keeping her"?
I mean I'm not discharging her. I'm keeping her.
- Until when? - Until she's 18.
- But that's... - Two years.
So you are committing a patient just to keep them out of foster care?
Yeah.
Doctor, um...
Goodwin, but call me Max.
I was just taking an interest.
Surely you don't have the time to take an interest
- in every single case. - Well, that's why I wear
my running shoes.
I've been practicing here for 25 years,
The key to survival is to have more than one speed.
I can go faster.
That's not what I meant.
Just keep me in the loop on this, will you?
Hi.
Good afternoon, Mr. Martín.
I'm Dr. Vijay Kapoor, your wife's neurologist.
- What happened to her? - Let me first find my glasses
- so that I can read her chart. - Eh...
Oh.
There they are.
Thank you.
Presented cyanotic and rigor mortis.
Administered Diazepam and Valium.
So, Mr. Martín...
it appears Patricia's brain convinced her heart
that she was dead, even though she was very much alive.
We are going to perform a few tests
to find out why.
In the mean time,
- you and I are going to talk. - Talk?
Talk about your life together,
how you met, how you live.
What does that have to do with what happened to her?
Everything.
Get a resuscitation team.
- Give me a bio. - Respiration shallow.
Okay, give me a CBC, BMP,
chem 7, and a saline lock.
- Anybody know who this is? - I found a boarding pass
in his pocket.
Stop.
Everyone back away from the patient.
Masks on, now.
- This is Max. - We have a patient in the ED
from Liberia presenting with all the signs of malaria,
Lassa Fever, TB, or...
Ebola.
First thing we do is call the mayor's office
and the CDC if we even suspect ebola virus.
Now, the patient is in an isolation chamber
with negative pressure airflow.
That chamber is equipped with every available medicine
should the patient need to self medicate.
- What about us? - Ebola isn't airborne,
but if you develop symptoms you will join him.
Until then, you will help him.
Everyone interacting with the patient is required
to wear personal protective equipment
at all times.
No shortcuts, ever.
Good.
Once blood is drawn, the test results will come back
in 24 to 48 hours.
Commencing a Code Green blood draw
at 1:10 PM,
New Amsterdam Hospital.
Your husband said you are taking Haloperidol.
For two years.
For depression.
And last year you were diagnosed with Parkinson's.
Does any of it explain
- what is happening to me? - Not yet.
I'm going to run some more tests,
- and hopefully... - More tests?
But she's in pain, and...
and she's not getting any better.
Mr. Martín, I need some more information
before I can make a diagnosis.
How can you not do something for her?
Shh.
We are going to do something.
We are going to keep talking.
Where are my glasses?
Okay, thank you.
Whoa, whoa.
Whoa, whoa, whoa.
What's the problem?
- I demand doctor. - He wants to be discharged.
Dr. Chen needs him for observation.
Mister Ambassador, I'm Dr. Goodwin.
I am the new medical director here,
and I am officially discharging you.
Thank you.
Before you go, can you just translate
one thing for your security detail?
What?
Since you're being released early and against
the wishes of your doctor, they should look for any signs
of lethargy, brain damage, cardiac arrest,
sudden loss of consciousness, and, of course,
rectal bleeding.
Mister Ambassador?
Maybe I stay.
Can I have our menus back?
_
Claro.
Hey. Welcome back.
I heard you got promoted.
Right after I got fired.
- Lord works in mysterious ways. - Mm.
She does, doesn't she?
A patient from Rikers was admitted with 17 lacs.
Ruptured spleen, aortic tear.
We got him stable in the ED, but the tear is all you.
You, uh, wanna grab a drink tomorrow?
I can't.
You know when I say "grab a drink"
- I don't actually... - Yes, I do.
Okay.
Wait, you...
you're not trying to...
Look, Lauren...
- I think you're great. - Oh, wow.
- You are trying to. - Okay, I...
I guess I'd rather us just be...
friends again.
You know, colleagues.
But I thought we...
We did.
- And I thought you... - I do.
So then why not see where this goes?
I wish I could, I really do, but I can't.
Because?
Because...
Hey, I'm a big girl. I can take it.
What?
Because you're not black.
Gate!
Hands. Thank you.
Hands, hands. Thank you.
Hands, hands...
Jemma.
You know pens and pencils aren't allowed outside
- the classroom. - The pen's attached
- to my journal. - Okay.
You'll have to give me the journal, then.
No.
You'll get it backin the morning.
- It's mine. - Jemma, give me the journal.
Jemma, don't do this.
Jemma...
- please... - But it's mine!
Whoa, whoa, whoa.
Dr. Frome told me that he gave you that journal
when you were ten.
- It's mine. - Hmm.
- Can I ask why you pushed... - It's the only thing
that's mine.
Jemma...
what do you want to happen?
Jemma.
What do you want to happen?
Nobody's ever...
asked me that...
before.
Do you want to stay here, Jemma?
Do you want to stay at New Amsterdam?
Well, would you like me to get you placed
in a new home by Social Services?
Just decide for me.
I mean, you're gonna do it anyway.
That's... that's not true. That... no.
Hey, Jemma.
Keep it.
Like, what's the point?
Return them to baseline and put them through the system.
That's my job.
Look...
if you can't help Jemma as a doctor...
then just help her as a human being.
Am I allowed to do that?
You are now.
Dr. Goodwin?
- How can I help? - Dr. Kapoor's patient in 1208,
you wanted to be kept in the loop?
Yes, thank you. How's she doing?
I think Dr. Kapoor is going to kill her.
Max.
This is Detective Rose from NYPD
and Agent Bratton from the FBI.
The CDC alerted us to your patient with Ebola.
Uh, we're still waiting on the test results.
I'll be with you in five minutes.
The NSA just intercepted a video made by ISIS.
They claim they sent one of their followers from Liberia
to New York City...
infected with the Ebola virus.
Your patient is now a terror suspect.
A man came to my village.
What was his name?
Ayaan
Last name?
I don't know.
He was showing off money he made in America
from selling kufi hats and dashikis
In Times Square.
He offered to give me clothes to sell
and a plane ticket if I give him half of what I make.
And you believed him.
Yes...
He took me to doctor for traveler's vaccination.
Alain, where did Ayaan want you to go
when you got to America?
Youth hostel in Times Square.
Then why did you come here?
This is the only hospital in America I heard of.
He's not a terrorist.
We'll gather the evidence.
If he was a terrorist, he would have gone
to Times Square, where he could have infected the entire city,
but he didn't. He came here to get better.
He was clearly tricked into getting something
injected into his bloodstream. You see that, right?
- Dr. Goodwin... - Just please promise me
you will look into his story.
I'll look into it.
What does that even mean? "Because I'm not black."
Patient is stable, in case you were wondering.
Oh, good.
So, are you gonna answer my question?
I'm 35 years old. I want to get married,
I wanna have kids, and I want them to be black.
You know you can't just
- order that off a menu, right? - Well, yeah,
but I also know I'm not gonna meet anyone
- if you and I are... - Getting our swirl on?
Look, I don't expect you to understand.
I'm sorry, okay?
- I want to, I do. - I have this plan
for how I want my life to look, all right?
I have for a long time, and that plan's
- important to me. - So what part of the plan
was taking me back to your place and...
Whoa, whoa, hey. Look, okay.
It wasn't, all right?
But when I was with you I...
forgot I had a plan.
No, sorry. I still don't understand.
Well, I guess that's the point, right?
You can't. You can't understand
how confusing it was growing up watching
every black athlete have a white girl on his arm.
Or how betrayed black women felt...
my mom, my sisters... watching it happen
time and again.
I get it. You're just taking one for the team.
I love black women.
So do I.
But I don't see one asking you out for a drink.
I asked you to keep me in the loop on 1208.
I needed to conduct thorough patient...
I'm taking the patient out of your service.
- Because? - Because you should have made
a presumptive diagnosis. Because you should have
aggressively treated the Parkinson's.
Except she doesn't have Parkinson's.
PET scan.
Small black flecks over her heart.
Artifacts.
Look closer.
Two years ago, Patricia was misdiagnosed
with depression. She was prescribed Haloperidol,
- which caused stiffness... - Right.
As the result, she was misdiagnosed
with Parkinson and prescribed Levodopa,
which made it impossible for her to sleep.
So she was prescribed Hydroxyzine.
That toxic combination caused both cardiac arrest
and rigidity.
But this whole time, her true symptom
was her immune system fighting a tumor
that nobody could see.
Small black flecks.
- Malignant thymoma. - Yeah.
If I continued treated her for Parkinson's,
she would have another cardiac arrest and died.
By taking my time... by slowing down...
I bought her another year.
Maybe two.
How can I help?
When she wakes up,
you can help me tell her...
she's going to die.
Well, move Sugarman to Wednesday
and I'll do Hinkle via Skype from the hotel.
Just make sure I have his updated...
uh, Ron...
Ron, I said JFK.
Why are we back at New Amsterdam?
Hi. Remember me?
You told my driver to bring me back here?
No, I told our driver to bring you back here
because Ron works for New Amsterdam...
and so do you, remember?
- If I miss my flight... - You can keep your job.
Why do you care about me so much?
Because you're a good doctor.
Because you bring in patients who would otherwise never go
to a public hospital, which helps pay
for the patients who can't go anywhere else.
- So it's about money. - It's about care.
Which is why I can't figure out why'd you'd rather
give lectures to semi-retired physicians
than actually provide care to patients.
- I'll see you next week. - Come back in 48 hours
or don't come back at all.
Blanca? Hi.
- Dr. Frome from New Amsterdam. - Hi.
Thank you so much for meeting me.
I, um... I brought you donuts.
I ate one already. I'm sorry.
I actually ate two. I don't know why I said one,
that's...
I have to be at work soon, so I don't...
Yeah. No, of course.
Uh, I just... I wanted you to see this.
It's, uh... it's a journal from the patient
I was telling you about... Jemma?
Normally there'd be privacy issues but, uh,
you know, this is the one thing that Jemma kept
from foster home to foster home.
And, uh, one of those homes was actually...
your mother's.
Uh, C... Camilla, right? That... that was her name?
Camilla?
Well, Camilla was the first foster parent
to really make Jemma feel safe.
You know, safe to grow and safe to...
to be a kid, really.
And, uh, after Camilla died,
Jemma wrote pages and pages about her in here.
You can... you can read.
My mother and I were estranged...
when she died.
I didn't even know she took in foster kids.
- Oh. - I was a tough kid to raise.
Stubborn, wild.
Left when I was 16.
You know, that sounds a lot like Jemma.
Tough, but she's got a big heart.
I can't be her foster parent
if that's what this is about.
I... I'm sorry.
This was a long shot, I know that.
Thank you for meeting me. I... I really do appreciate it.
Can I just leave this with you?
You don't have to get it back to me...
I'll come back and pick it up later...
but can I just leave it with you?
- Why? - I think that you'll see
that your mother gave Jemma all the love
that she couldn't give to you.
That love didn't go to waste.
I don't understand...
I never had Parkinson's?
And... and the depression?
Hormones from your tumor.
They triggered your immune system
and set off a cascade of symptoms.
Patricia...
your mind is strong and resilient.
I'm sorry you were led to believe otherwise.
Mrs. Martín...
you could stay here...
but in this case the treatment is worse than the disease.
And with so little time...
maybe there's someplace else you'd rather be.
No, we stay here.
We fight. She get better.
No.
I want to go home.
To see my parents,
my girls.
I haven't seen them in 11 years.
That's a wonderful idea.
We can't go home.
Home is Chiapas.
We crossed the border without papers.
We cross back...
- we will be arrested. - I have to go home.
Mister Ambassador?
- Yes. - Can I ask a favor?
Of course. You need some Yankees tickets?
I need you to repatriate two of your citizens.
Hemoptysis! He's crashing!
Hey, can someone help me in my suit?
Alain! Alain, you need to grab
the oxygen mask!
Alain!
Alain, it is right above you.
Helmet, now!
Forget it.
I'm going in.
Dr. Bloom, wait.
Okay.
Bloom!
Get out of there, now!
It's too late! I'm already in!
There's too much blood, I can't see anything.
Heart rate is dropping. He needs adrenaline.
I can't stop bagging.
Adrenaline first, oxygen after, okay?
Go.
Okay, now push 10 ml's, open wide.
- But that's too much. - Not for this kind of virus.
Max, it'll send his heart rate too high.
Push 10 hard and fast, right now.
Lauren...
I know what you're gonna say. That was...
that was stupid. I violated the protocol.
Lauren...
Your glove.
Doctor.
Sorry, I can't talk right now.
There's something wrong with the baby.
Oh, my God.
- She's bleeding. - I need a trans-abdominal
ultrasound, mag sulfate... 4 grams.
- BP 160 over 110. - How we doing
- with that second... - Draw a chem 24
and coag panel. Let's get the fetal monitor on.
- How can I help? - By getting out of the way.
- This is my wife. - And she needs you.
- Oh, God. - Off the o2.
One, two, three.
Baby's in distress.
- No... - You're okay, I'm right here.
- I'm with you. - Push 4 mag sulfate.
- Max. - No, no, just focus on me.
I'm right here.
Ultrasound's up.
She's complete previa.
- What's that? - It means your placenta
is obstructing your cervix. There's nowhere
for the baby to go.
Corticosteroids and a unit of O-negative,
and type and cross.
- This is because of me. - You did nothing wrong.
- It's my fault. - Georgia, if we can't control
the bleeding, we're going to need to do
an emergency caesarean, understand?
The baby is not ready. She's not ready.
We're not gonna have a choice.
- Is she still bleeding? - Bleeding's slowed down.
I still want a transfusion,
and someone tell me baby's heart rate?
- I can't find it. - What?
I can't find the baby's heart beat.
Suzanne?
- Come on. - It's okay.
Suzanne...
Where are you?
There you are, baby girl.
Oh, God.
Looking good.
It's okay.
Does baby have a name yet?
Luna.
? When you try your best but you don't succeed ?
? When you get what you want
? But not what you need
? When you feel so tired
? But you can't sleep
? Stuck in reverse...
Dr. Frome?
? When the tears come streaming ?
? Down your face
? When you lose something
? You can't replace
? Lights will guide you home
? And ignite your bones
? And I will try
? To fix you
Oh...
Mommy.
? When the tears come streaming ?
? Down your face
? When you lose something
Mija...
? Lights will guide you home ?
? And ignite your bones
? And I will try
? To fix you
Alaim, that shot they gave you in Liberia...
they might have thought it was Ebola,
but it wasn't.
It was the Lassa virus, which is just as deadly...
except, as Dr. Bloom can tell you,
the Lassa virus can be treated
with antiviral medication,
which we gave you.
- ? Tears stream
? Down your face
? When you lose something
- Nice job, Dr. Bloom. - ? You cannot replace...
You wanna go and grab a drink?
Seriously? Now?
I'm talking about a nice glass of scotch.
What are you talking about?
Yeah. Yeah, I could use a drink.
? Lights will guide you home ?
? And I will try
- Dr. Sharpe. - ? To fix you
I hope I'm not interrupting.
No, no, I was just, um...
my sister was here...
in this room a long time ago and I was just, uh...
Introducing her to someone.
I, um...
I saw the Farmer's Market.
Oh, yeah? Did you buy anything?
Couldn't. They were sold out.
Made a few changes while you were gone.
I didn't think you were coming back.
Neither did I.
So much death here.
It got to you, didn't it?
No, actually. I became immune to it,
which is even worse.
So why did you come back?
Because of you.
People are excited, Max.
For the first time in a long time,
they are excited to be doctors again.
I wanna be excited too.
But you need to slow down.
Yeah.
I get that a lot.
You have cancer.
Squamous cell carcinoma.
But you knew that, didn't you?
How can I help?
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