Previously, on "New Amsterdam"...
You have cancer. Squamous cell carcinoma.
I want to try precision targeted therapy.
Chemo's gonna take the life out of me and I... I want
- to keep running this hospital. - It's too big a risk.
Doctor Bloom asked me to consult
on the hematology patient.
Her file says that she received her heart
from a Luna Goodwin.
Your sister... she gave me a beautiful life.
She had me arrange this.
Max?
Baby!
Oh, my... help!
Help!
We've got Marina Latimer, mid 60s.
Been down for three minutes.
It's her third time here this week.
She went back into V-fib right after I shocked her.
Charge to 200.
Clear.
Okay, I've got a pulse.
Her heart's a ticking time bomb.
Let's put V-fib pads on her and find Reynolds.
He needs to put in an ICD, today.
Synced & corrected by -robtor- www.addic7ed.com
Yo, Dora. Where's Max?
Out of pocket for a few hours.
Oh, okay. Well, I have a patient
who needs an ICD surgery.
Her insurance won't cover it so I'm just gonna charge it
to the Community Care Fund.
Max is the only one who can approve surgeries
from the Community Care Fund.
He's out of pocket for a few hours.
Can this wait until it doesn't get me fired?
Um, look, whenever there's a surgery that needs to be done
I just give Max a heads-up and I do it, all right?
He dots the "I's" and crosses the "T's" later.
We... we got a whole system.
He's been here for like three weeks.
Yeah, that's how efficient we are.
Dora, hi.
Just on my way to Max's office right now.
Yeah, he was out of pocket for a few hours.
He's what? Oh, shoot.
No, really?
Uh, as the nurses' union liaison,
I need to tell him that the hospital-wide walkout
was authorized just now for today.
"Walkout"?
No, no, no. It's a good... it's a good thing.
Max gave them the idea.
- Of course he did. - Yeah, I probably should have
led with that.
Did you know that insurance has covered over-the-counter
emergency contraception since 1996,
and now all of a sudden, out of the blue, they're like,
"No, uh-uh. Not without a prescription"?
That's not fair, right?
There's... there's no way we're gonna let that slide.
And yes, for the record, "Norma Rae"
is my favorite movie.
Go, girl.
Dora, uh, I've been texting Max,
but he's not responding.
He's out of pocket for a few hours.
But I need to talk to him.
I've basically authorized
a surgery that's not covered by insurance, and I'm about
to endure a walkout from the nurses,
so whatever you need right now, I'm sure I can handle.
- It's private. - Dora.
Dora, I've been looking for Max.
Okay, I'm only gonna say this once more:
Max is out of pocket for a few hours.
Please, save your news, questions,
mysterious personal requests, or whatever it is
that you need, for his return.
Thank you.
Dr. Panthaki. Thank you
for picking up Max's samples in person.
But to be clear, this cooler is full of Miller Lites, right?
Yes.
Yes, because I'm the type who drinks domestic.
So tell me, will this be your first time
seeing Lauryn Hill in concert?
Actually, no. I've seen her several times.
But never on a date.
So in your head, this is a date, huh?
That's interesting.
Just... just give me my ticket.
Actually, let's do this properly.
Get dressed up.
Dinner.
Okay.
Great.
Well, I... I should go now.
Me, too.
Oh, and we're going Dutch on dinner,
so make sure you bring some cash.
Max, are you on your way back?
Helen!
Helen, can you hear me?
Georgia? What's wrong?
It's Max. He... he collapsed.
He's not moving.
- Does he have a pulse? - Okay.
- Yes. - Did you call 911?
They're coming but, um, the call dropped
and I just didn't know what to do.
Put your cheek over his mouth.
Do you feel air moving?
There is, uh,
like, a whistling... a raspy sound.
Put the phone next to his throat.
- Georgia? - Yes?
Georgia, Max's throat is blocked.
- What? - You need to make
a new path so that he can breathe.
- Okay. - You're gonna cut a small hole
- in his throat... - What?
No. No, I can't.
Yes, yes. Yes, you can.
You can, because I'm gonna help you.
Find something that can cut a hole in his throat
and a tube to slide through it.
Find something.
Okay.
Uh...
Oh, uh, I have a...
I have a pocket knife.
Oh, God.
And a... and a plastic straw.
Use the knife to cut, um, three inches.
It doesn't have to be exact.
- Here we go, Georgia. - Okay.
Use your index finger.
Find Max's Adam's apple.
Okay, I found it.
Feel down from there until you come
to a little indentation.
Make a half-inch, horizontal cut
through that indentation.
What if it's... what if it's not clean?
What if I give him an infection?
Georgia... Georgia, Max can't breathe.
You need to help him breathe.
You can do this.
Okay.
Oh, God.
I did it. I did it.
- Good job. - Oh...
Now, pinch the far edges together.
Use your finger to keep the hole open
and slide the tube halfway in.
Oh, God. Okay.
Air should be coming out
of that tube.
It's... it's not...
it's not working.
God, it's not working!
It didn't work! It didn't work!
You... you might just need to help his lungs expand.
Blow into the tube.
Come on, come on.
Oh, come on, come on.
Come on. Come on.
Come on, come on, come on.
Oh! Oh, he...
He's breathing. He's breathing.
Oh, my God.
Oh, good.
How long was his airway obstructed?
How long was he not breathing, ma'am?
Uh, six or seven minutes, maybe.
We got a possible cerebral hypoxia!
Let's pick up speed!
What does that mean?
Means there's a big difference
between six and seven minutes.
- Mr. Mokrani? - Yes.
- How are you? - Not great.
Yeah, let's have a look.
- Does that hurt, right there? - Yes.
Yeah. Fell during a show?
No.
- At the after-party. - Ah.
I challenged another dancer to a fouetté competition.
- Mm-hmm. - I can fouetté in my sleep,
but in my sleep, I'm neither wasted
- nor on a pool table. - Oh, please.
I was just as drunk and on-a-pool-table as you were.
Know that you did not out-dance me.
Basem, I out-danced you so bad,
- you're in a hospital. - Yeah, well, I don't know
if it counts as out-dancing
if he fell off a pool table.
Yeah, but I didn't.
So, I out-danced him.
Dancing is the art of not falling?
I'm sorry, who are you?
Uh, yeah, I'm...
Just a guy challenging you to a, uh...
fouetté rematch.
Don't worry, I took dance all through...
uh, never.
- Hello? - Yeah.
Don't you have some medicine to practice?
Mm-hmm. Uh, so, uh,
you have a dislocated elbow. Go ahead
and take this pen with your left hand.
Now, grab it tight. Hang on.
- Ow! Oh! - Okay?
- Oof. - Better?
Yeah.
Yeah, good. Okay, he's okay.
I was thinking loser buys dinner.
Really?
I mean, yeah. I'm not scared
if you're not scared.
Looks good.
- Looks pretty... pretty good. - Okay, you go.
- My turn? - Yep.
This is embarrassing, 'cause I actually thought
"fouetté" was a French dessert,
so I didn't know that it was that spin-y thing.
That was way better than what I thought it was.
But, uh...
excuse me.
Uh, you're gonna go ahead and ice that elbow
and you're gonna be fine.
Are you coming?
Um...
it's 2:00 in the morning.
Yeah, but I gotta be back here
in three hours anyway... and full disclosure,
I can't afford a real restaurant,
so we were just headed to the cafeteria regardless,
but the Jell-O is phenomenal.
You in?
Hey.
What's with the T-shirts?
You said you were gonna take time off
to take care of yourself.
I am, and I will.
I tried to talk to Max this morning,
but he's not here.
He's always here.
Well, right now he's not, and I can't just
stop running the ED, can I?
I feel so bad, all the work you do on me.
I've become this burden to everyone.
No, no, you're not a burden.
It's just that you have mediocre insurance,
and I think you should be treated like you have
Cadillac insurance, so we're gonna cover you
for an ICD implant.
- Today. - For the whole surgery?
What about the anesthesiologist?
Sometimes they get you with the anesthesiologist.
For the whole surgery.
So glad Gertie is doing better.
Bye.
- Hello. - Oh, nice T-shirt.
Thank you. Power to the people, Vijay.
Ella was telling me that I helped her save
her crazy Chihuahua.
Oh. All right, Ka-pooch.
I didn't know you did work on canines.
- That's cool. - I don't.
I gave her a little money for the vet.
- How much? - $2,000.
American?
Oh, I gotta go, but I'll see you in prep.
Sharpe! What's the code?
- It's Max. - I'm sorry, what?
What happened?
I don't have all the details, but he's collapsed.
He's in a medevac on his way here now.
- Is it serious? - I should get the trauma team.
They'll be here in two minutes.
There's something else,
something that you all need to know in order
to treat him properly when he arrives.
All right, Sharpe, what's... what's going on?
Max has squamous cell carcinoma.
Advanced stages.
The trauma team's gonna meet us here.
No... whoa, hold on a second.
How long have you known about this?
Since his first day.
- Since his first day? - Look, I... I know
that this is shocking, but whatever we're feeling,
we're gonna have to put it aside
because we need to focus.
Hey, clear a path!
- O2 stat's dropping. - Okay, let's up oxygen
- to 100%. - Push more fluid.
Does anybody know how long he was out for?
Okay, everybody out of my ED, now!
- Should I page Dr. Candelario? - No.
Yes, yeah. Page her, please.
On three. One, two, three.
Monitor for ischemic cascade.
Why hasn't he started chemo?
In two weeks he starts, uh,
- an immunotherapy trial. - What?
- Huh? - Well, that's...
that's what he wanted.
- That's what he wanted? - Yes, Floyd.
- He's the patient. - Yeah, but he's also
the medical director of this entire hospital.
Am I the only one who's wondering what happens next?
What... what are you doing out here?
Candelario is working on him.
Why?
Because I just got off of back-to-back doubles,
and Candelario is an excellent doctor.
You pull doubles all the time.
Max deserves to have a doctor with fresh eyes.
Do you disagree?
How is he?
We don't know yet.
Might be hypoxia.
So, like most of you, Doctor Sharpe told me
about Max's condition, and needless to say,
I was a bit shocked,
but we don't have time to be shocked,
or angry, or upset.
We all have a hospital to run,
and while Max is in there, we need a leader out here,
and that's gonna be me.
Until further notice, I am the new Medical Director
of New Amsterdam.
I need surgery schedules, staff rotation.
I need the minutes from the last
department chair meeting.
That... that's gonna take a little while
- to put together. - Okay, then let's start
with what Max was overseeing today.
- His hot list. - Yeah.
- What's the hot list? - It's his to-do list,
but with a cooler name.
Ah.
- I'll call it something else. - Thank you.
Don't worry, I'm only temporary.
I have several calls out for more permanent replacements.
Dean Fulton, all this is incredibly premature.
- When Max wakes up... - If Max wakes up,
he will still have cancer.
He certainly didn't expect to continue this job
while undergoing chemo.
Ah-hah.
Of course he did.
So all you care about is business.
Let me tell you something...
every single day, 10,000 patients walk
into this hospital and its clinics.
Our annual budget is $1.5 billion,
and the governor is demanding that we cut it by 10%,
which is really tough, because our expenses come in
well over $1.8 billion.
Our infrastructure report after Hurricane Sandy
told us that we were sinking into the East River,
and will need $100 million
infused within the next two years so we don't end up
like Bangladesh after a monsoon!
And the one guy who's in charge of this whole show
is lying in Trauma One with a tube down his throat.
And what about a succession plan?
He knew he was sick.
You knew he was sick.
Someone should have had a plan in place.
Right?
What?
I just made us the greatest...
Max has had a set-back.
His throat closed up.
Where is he?
In the trauma unit.
- Well, uh, is he responsive? - Still unconscious,
but at least he's breathing again.
How long was he down?
Six or seven minutes.
I need to ask a favor.
- Anything. - I need you to move up
Max's start date.
To when?
To tomorrow.
Helen, I just got the cells.
I know, I know I'm asking a lot, but if Max is gonna
keep running this hospital, then he needs to be
in your trial.
Let me see what I can do.
Monitoring.
Decompression.
Dr. Candelario is suctioning Max's lungs.
He's really lucky you were there.
Stand by.
Hey, you want to step outside?
Get some fresh air?
What's the difference between six and seven minutes?
"Six and seven minutes"?
EMT said he might have hypoxia.
I don't know how to pray.
I'm not religious, but I wish
I knew how to pray.
We've got blood.
What's happening? What's happening?
Could be ARDS.
Oh, God!
Hey.
Ooh, you're seriously taking me to the theater
- in your scrubs. - I'm on call,
but when I put this jacket on, like so...
You're looking at me like you can't quite believe
you're dating somebody so stylish.
Just like looking at you.
Hmm.
So, are you excited to see Pina Bausch's company?
My God, I can't stop saying it.
Pina Bausch. Pina Bausch.
Pina Bausch.
Hey, you wanna know an interesting thing
- about Pina Bausch? - Pina Bausch.
It's super rare for her company to be
- performing on a Monday. - Oh, is it?
- Mm-hmm. - Weir-sch.
- Theaters are dark on Monday. - Did not know that.
- You wanna know another thing? - I sure do.
Her company performed just last night
at the Kansallisooppera.
And that's even more fun to say.
- It's also in Finland. - Really?
Mm-hmm.
Now, it sounds like you don't think we're going
to see Pina Bausch.
What is this?
What's that... what?
Oh.
Uh...
Yeah, you got me. There's no show.
Just a guy who can't quite believe his luck.
Really?
Really.
Will you marry me?
Not even gonna check that.
I'm not even gonna look until you say something.
No rush.
Someone could be dying...
Right now.
Yes, I'll marry you.
- Yes? - Yes.
Oh, my God, it's beautiful.
So beautiful.
Hey, I gotta go. I gotta go.
- Go, go, go. Jacket. - Yeah, but I... yeah.
I'll make it quick, I promise.
She said yes!
You know... hey, hey, I've been thinking about this.
This kind of explains a lot, don't you think?
- What? - The... all the crazy changes
he made around here. That explains a lot of it.
Yeah, I mean, like, who... who forms a cardio unit
that doesn't care about money,
or who... who puts fruits and vegetables
in vending machines?
Who encourages their own staff to stage a walkout?
Do you know what I mean? It's a... it's a dying man
saying "screw you" to the system, that's who.
What do you want me to say?
I don't... anything.
Just join the conversation, man.
Or are you just gonna stand there staring at me
like the old Kapoor?
I was not aware there was a new Kapoor.
Oh, yes. No, there are two
very distinct Kapoors. The old Kapoor was this
solemn fellow who rarely spoke to people,
and then Max comes on the scene and bam,
all of a sudden you're smiley-face guy
who randomly lends $2,000 to the coffee girl
for her quote-unquote "dog."
You have no right to talk about Ella's character.
Except I do, because she took $2,000 from you.
I gave it to her,
and for the records, there is no old or new Kapoor.
There is only Kapoor.
Doctor...
So I see that your patient, Marina Latimer,
is scheduled for an ICD.
Yes.
Why is it being charged to the Community Care Fund?
Because her insurance is garbage.
Oh.
I don't see Max's signature anywhere on the document.
Right, yeah, he would have approved that
- had he not collapsed. - Right.
Is she stable?
Yes.
This is not a necessary surgery.
Okay, Mrs. Latimer has been in and out
of this hospital more than her own home.
This ICD will completely change her life.
Doctor, a public hospital's job
is not to change people's lives.
It's to save people's lives.
We will not be paying for this surgery.
Oh, Dean. Hey, Dean, hi.
- You wanted to see me? - Yeah.
Hi. What's up?
How you holding up, kiddo?
Uh... uh, you know.
Terribly.
We go way back, don't we?
Mm-hmm. Am I fired?
Ignatius, come on.
Well, usually when people say "we go way back,"
it's because you're not going way forward.
This is about the nurses and the walkout.
Oh, good, right. Yes.
Um, HCC needs to come back to the table
so we can make some progress.
They're not coming back to the table.
Well, if the nurses stand together, we have a shot.
They're not coming back to the table.
HCC wouldn't tell Max, but they told me.
If the nurses walk, then I have no choice.
- I just have to replace them. - You can't.
You can't replace 1,600 nurses.
So I'll have to close the wards that we can't staff.
I'm gonna have to send the doctors home,
send custodial home.
People are gonna lose their jobs, and for what?
We work in healthcare, and we can't provide
our own people with comprehensive healthcare.
I want you to listen to me now.
With Max down, this is not the right time.
Convince the nurses to stand down,
or else everyone... patients included...
everyone is gonna pay the price.
Fine.
All right, fine.
Hey, uh, can I get an update?
For, uh, Georgia?
He's still unresponsive.
We're having a hard time getting his heart rate up.
Well, maybe I can help.
He's not your patient.
He's my friend.
Can I talk to you, please?
Then why did you pass him off?
Max...
Max needed fresh eyes.
I've known you six years
and I have never once heard you refer to your eyes
as not fresh.
My shift was over.
Lauren.
Why did you pass Max off?
I- I've been working at Bronx General a lot...
and working here a lot.
I don't know, the last...
last few weeks it was...
it was too much.
I hit a wall.
Okay.
And, um...
I've been taking a little bit more...
Adderall than prescribed.
- How much more? - I don't know.
Just more.
But I'm handling it, okay?
I'm gonna... I'm gonna take some time off,
I'm gonna figure it out.
I was gonna talk to Max this morning, but...
Anyway...
that's why I passed him off.
So, do you really think
Ella doesn't have a dog?
Are you serious right now?
Is that... is that a serious question?
New Amsterdam is upside-down right now.
Max is in the ICU, the dean wants me to tank
the walkout, and you're focused on some woman's Chihuahua?
- Come on, man. - So you do think
- she has a dog. - I don't care.
Dog, no dog, it doesn't matter.
It matters to me.
Why?
Why does it matter?
Because...
there is a new Kapoor.
I think there's a new Iggy, too.
So what do you think this...
new Iggy and new Kapoor should do?
Are you Dr. Goodwin's wife?
Yes.
I... I just want to say that your husband
is the first man in his position...
To care about the janitors.
We wait for good news.
Hey, hey, hey! I come bearing
the sweetest cantaloupe you have ever had.
I know your, uh, cravings haven't started yet,
but when they do, I feel like they're gonna be
really melon-heavy.
I don't know why, I just get that vibe.
You okay?
What's wrong? Is it the baby?
When I came home there was a FedEx waiting...
with contracts from New Amsterdam Medical Center.
Good news.
You got the job...
that I didn't know you'd even applied for.
I didn't... I didn't apply, it just happened.
When was the interview?
- A week ago... - A week ago.
But, uh, look, the dean of medicine called me
out of nowhere and he said, "I need an answer right away."
- And I figure why tell you... - "Why tell me"?
- If I don't know... - We made a promise, Max.
Remember?
We were going to raise this child together.
We were going to put our careers second.
I gave up everything.
This job is the opposite of that.
I'm gonna make it work.
Really?
It is the largest public hospital in the country.
And I'm gonna figure out how to squeeze everything in.
Oh, great. Will you, Max?
Will you figure out how you can squeeze me in and...
and your child?
That's not what I meant.
Well, that's what's gonna happen.
By the time this baby gets here, I'm gonna have
this place running smoothly.
I can come home early.
I can take weekends.
You won't.
Not unless I'm sick, not unless the baby's sick.
That is the only way you will stop,
and just...
be.
And just be what, Georgia?
This is... this is the life of a doctor.
This is my life.
No, it's not.
It's not.
We know doctors... we know dozens of doctors...
and this is not their life.
You're obsessed, Max. You are.
It's not healthy.
It's like an addiction.
I know you love me.
But when the hospital calls...
it always wins.
I can't let my daughter grow up
feeling like she's not the most important thing
in her father's life.
I can't do this anymore, Max.
Georgia...
with your permission, I would like to provide Max
with a small prayer.
What is that?
Did I hurt him?
No.
I think you might have just saved his life.
It's called a paraneoplastic syndrome.
The way his skin got red and swollen
where you kissed him?
That's happening everywhere in his body.
Everything's becoming red and swollen,
and shutting down.
From the cancer?
Yes.
But now that we know what it is, we can treat it.
And he'll be okay, right?
Uh, we'll have to wait and see.
Let's let the HCC know what we want!
We'll march all day!
We'll march all night!
'Cause birth control is our right!
We'll march all day!
We'll march all night!
Louder!
All right, come on! This one's for the one and only
TRUE MEDICAL DIRECTOR OF NEW AMSTERDAM:
Max Goodwin! Let's make it bigger!
March all day! March all night!
You know, I just... I think Max would have hated
to see a bunch of clever homemade protest signs
go to waste, you know?
You look like you're a small. Right, sir?
There. For you.
March all night! 'Cause birth control...
Forceps.
Suture.
Reynolds?
Is that Marina Latimer?
It is.
So you're willing to risk your job
for one surgery.
I'm willing to risk my job for one patient.
Now, the ICD is implanted, and I'm using
a 4-0 nylon suture for closure.
When I am done she'll spend 24 hours in recovery.
Then I am sending her home without a bill.
If the hospital won't pay,
bill me.
I'll give you a moment.
So that's my wife.
What do you think?
Not bad, right? I did okay.
She would have loved you.
Thing is, I...
I almost blew it with Georgia a few months ago.
She, uh, saw right through me.
She figured out that everything I do
is because of you.
I just keep trying to save you.
Over and over, that's all I do.
And I never...
never will.
So now I got a wife...
and a daughter on the way, and...
I'm always gonna love you.
Always...
But I need to start living for them, too.
Georgia.
Oh, my God...
It's okay.
Dr. Reynolds.
Is the dean looking for me?
I'm sorry, I can't seem to stop.
Max is awake.
I should have told...
Everybody from the beginning.
Um...
but I've been wrong before.
Sharpe.
I want to start chemo.
No clinical trials, no risk.
I don't want to risk...
losing you again. I can't
That's my priority.
- Which means... - No.
No, you're not resigning.
I have no choice.
You will if we help you.
I mean, if you're willing to delegate,
we'll all have your back.
Like you had ours.
Yeah. Yeah, yeah, count me in.
Me, too.
I don't mind putting in the extra time
if it means keeping you around.
Guys...
you're not hearing me.
I think they're hearing you just fine, Max.
These are your people.
This is your hospital.
For better or worse, there's no going back, Max.
Georgia, help me out.
Max is about to start the most intense fight
of his life.
And above everything...
He has to take care of himself.
Which is why he's not quitting.
This job...
this job is who you are.
In some ways...
it's who you've always been.
I honestly believe...
that by staying here...
working, helping...
Will keep you alive.