The Night Shift

Okay, people, shift is starting in five minutes.

Enjoy your night off, Dr. Cummings.

Keep your phone close by.

Paul: Will do.

Guess you and Scott still aren't talking?

Yeah, he's made it abundantly clear

that he did not appreciate my opinion of he and Annie dating.

You just said what everybody else is thinking.

That's what friends do.

It's more complicated.

Complicated? It's Freudian.

A hot, successful surgeon who can have his choice of women,

yet he picks the ex-addict sister-in-law

of a guy who he doesn't really like

and who his last girlfriend hates.

I don't hate her.

You ain't friends.

I'm just saying, it's no coincidence...

On both their parts.

Okay, are you done with this little psychoanalysis of yours?

I've said my piece. Okay.

Hey, uh, what was that top-secret nurses' meeting today?

I don't know. I skipped it.

I think it was just some, uh, union stuff,

bunch of contract negotiations or something like that.

Okay.

So, you, uh, you off tonight?

Well, I'm just on call,

so I'm actually sneaking out for a dinner date.

Dinner date? That's nice.

Is it in 1965?

Wait a minute. On the first date?

Dude, no. No, d-don't get stuck into dinner.

Dude, the crazy comes out over dinner.

Look, I actually like to show a woman a good time, okay?

Now, if you'll excuse me, I need to go change.

31-year-old male.

Pain in the lower-right quadrant since this morning.

Hi. I'm Dr. Alexander.

I'm Dylan. Ever heard of F.O.P.?

Uh, yeah. The connective-tissue disorder?

That's me.

Okay.

All right, let's carefully move him to trauma 2.

Any injury, even from a bump,

can cause spontaneous bone growth.

Am I right, Dylan? You got it.

Hey, Jocelyn, could you get us more pillows, please? Sure.

Duty calls. Ohh!

All right, I'll see you in the morning.

Don't keep me waiting. I won't.

Good to see you back in action, Topher. How's your head feeling?

All good.

Counting the days till that Hawaiian conference.

Janet! Ma!

What happened?

I don't know. She's acting weird.

I thought you could take a look at her.

Ma, how are you feeling?

I was just telling your father I'm perfectly capable

of crossing the street without him.

Ma, dad's been dead for years.

What's going on?

I'm fine, Christophe...

Whoa! Whoa! Whoa!

Whoa. Okay, we got you.

Let's get her into trauma 1.

Okay.

Kenny: Yo, tee. Yeah?

Nasty accident out on highway 281.

They need a doc to move the patient.

Chopper's waiting. You want it or...?

Drew, will you take it? I got to...

Yeah, stick with mama Topher. Okay, yeah, I'm on it.

Uh, Shannon, you're with me. Let's go.

All right, man, catch you later.

Yo, Paul. I'm sorry, man. MVA coming in. Back to scrubs.

Fantastic.

She was a little out of it but fine.

And then, on the way home, this.

Ma. Mollie: B.P.'S 86 over 40.

Well, what does that mean?

It's a little low. It's really low.

Could be heart failure, sepsis, adrenal insufficiency.

O-or just dehydration.

We're gonna run a panel of tests,

and then we'll get it all sorted out.

Mollie: B.P.'S down to 64.

She's crashing. Hang another liter!

Central line.

She needs pressors now. Ma? Ma?!

Ma? Ma, can you hear me?

Can you hear me? Ma?

What do we got?

Rollover MVA.

Driver saw a deer, swerved, flipped the car into the ravine.

How many victims? Two.

Driver's a 38-year-old female

with blunt abdominal trauma and laceration.

Still trapped in the car.

Her daughter's out, but she's got a wrist injury. Name's Brianna.

Please, if you just let me go, I can get her! Please! Hey, Brianna. Brianna!

I'm Dr. Alister. This is Dr. Rivera.

How are you doing?

My wrist hurts, but she's still in there! Okay. Hey.

Please, you have to go get her!

Okay, listen to me.

I'm gonna check on your mom right away.

She's not my mom. She's my foster mom.

Please don't let her die.

I'm gonna do everything I can, okay?

No! Please! Whoa, whoa, whoa, whoa! Brianna!

Shannon, let's keep her warm and get her checked out.

Hey. Hey, hey, hey.

Let's... let's take a look at your wrist, okay?

It hurts?

Somebody help me!

Avery?

Help me! I'm Dr. Alister.

We're gonna get you out of here as soon as we can.

Stay calm.

Okay. Slow your breathing. Okay.

This is Dr. Rivera.

Where's Brianna?! I checked her, ma'am.

I'm gonna go right back to be with her.

All right, Avery? Uh-huh?

Okay, I've got to stop this bleeding.

Okay. Okay, so you're gonna feel a little pressure.

Okay, just keep breathing deep. You're doing great.

Got it. Good.

Okay, here. Let's pack around it.

Okay, now, we stopped the bleeding,

but we got to cut you out of here, okay?

Okay.

We're gonna be right here.

Okay. Okay.

You're doing great. Okay.

Let's go!

All right, I'll go stay with Brianna.

Brianna, it's gonna be okay.

Christopher.

Ma, you're okay.

You just passed out for a bit.

B.P.'S only up to 87.

She's barely responding to pressors.

What are we forgetting?

Any recent fevers?

No.

What do you think? Brain-stem stroke?

A stroke? Really?

I-it's unlikely, Toph.

She's altered, but...

I'm gonna clear the C.T. queue.

Ma, we're gonna take you to have your brain scanned, okay?

I'm so tired.

Mm.

All right, Mollie. You on it? Yeah.

Do you really think it's a stroke?

It could be, but we're just not gonna take any chances.

We're gonna run every test, all right?

So we're not panicking?

No, we're not.

I'll let you know if we get there.

Thanks, T.C.

He's... he's not ready to lose her.

You never are.

Okay.

Your pain could be from appendicitis,

so I've called for a surgical consult.

What about, uh, kidney stones?

I get them all the time from the F.O.P.

I'm gonna check for that, too,

but we really don't want to miss an appy.

Um, actually, can we place a pulse ox instead?

Okay. Even pressure from a b.P. Cuff

can cause bone growth.

Scott. This is Dylan.

He has F.O.P., which causes spontaneous...

I'm familiar with F.O.P.

Hey, Dylan. I'm Dr. Dlemmens. Hey.

Dylan presents with a few hours of lower-right-quadrant pain.

So I wanted a consult for appendicitis.

Okay.

All right, Dylan.

Does this hurt here?

More like here and all the way to my back.

What do you think? C.T.?

I think you should have checked an ultrasound

and called a urologist.

It sounds more like kidney stones.

Looks like you called it, Dylan.

He's spiking a fever... 102.5.

Okay, if it is kidney stones, they could be infected,

so let's get a U.A. And send off a urine culture.

Yes, doctor.

If it is the kidney stones that are causing his fever...

Yeah, I know... surgery.

And with F.O.P., that could kill him.

Thank you, Dr. Dlemmens.

Okay, these sutures should hold till we get to the hospital.