Saving Hope

- Hey. - You are so beautiful.

Don't distract me. This is hard work.

Wait, wait, wait, wait, wait, wait. Okay. Uh...

- Low side, high side. - How do I look?

Eh, we'll deal with it later.

This is already way better than my first wedding.

Oh, yeah?

You don't miss the horse-drawn carriage

and the puffy white dress?

- Oh, you saw those pictures. - I snooped.

- You look good. - You feel good.

Mm.

Let's drive around.

- We have guests. - They can wait.

- Yes, they can. - Come on.

They can.

Charlie?

Your head.

Oh, you're cut.

- Oh. I'm fine, I'm fine. - Yeah?

- You okay? - Yeah.

Check him. I'll be back.

Yeah.

Hi. I've been in an accident. York and Adelaide.

We need an ambulance.

Hey.

Are you okay? Can you talk?

Alex!

- Yeah? - I need your purse!

Yeah.

You're bleeding.

Okay.

- It's okay. You have a collapsed lung. - Here.

But you're gonna be fine, okay? I promise.

Just... lie still.

Uh... the, uh, plastic thingy.

The, uh, the tube thing from the, uh...

- The tampon. The tampon, yeah. - Yeah.

This can't wait.

Okay. Don't worry. In my other life, I'm a doctor.

Let's get a second vehicle rolling right away.

- Watch the glass over there. - Come on!

32-37. Doctors are on scene.

On the way.

- Collapsed lung. - Thanks, Doc. Thank you.

How you doing?

Hey. We're okay.

- What happened? - I don't know.

But I want to get married, okay?

Charlie? You okay?

What is it, baby?

What is it? Charlie, talk to me. Charlie, talk to me.

Charlie? Charlie!

Medic! Medic!

Good. Keep bagging him.

How many minutes out? Less than five away right now.

B.P.'s 90 over 65 and falling.

- He's nonresponsive to pain. - Okay.

Okay. His pupils are reactive.

Okay, that's good.

- Good. - Got it, got it. Go, go, go, go, go!

Get out of the way!

Okay, let's go faster.

I think I'm bleeding into my head.

I was lucid for a while, so it's probably an epidural bleed.

He was lucid right before it happened. It was probably an epidural bleed.

Start an I.V. We need a respiratory therapist.

Move him out now. Let's go.

Starting a 14 gauge, left A.C.

Screen for two units and get some baseline electrolyte value.

- Get me a gown! - Let's get him into CT.

Radiology's backed up. - He's the Chief of Surgery.

- He's not gonna wait. You tell her, Alex.

Where is my gown?

He's not withdrawing from pain.

He's been unconscious for 37 minutes.

Wait a second. Got it.

- Did you check for... - Type and screen for two units.

And get some baseline electrolyte value.

He's been under for 37 minutes.

Wait, where's my gown?

Come on, are his pupils reacting? Somebody check that.

This is how it happens.

You leave it all behind.

Alex, can you hear me?

Everything you love.

Everything you know.

Can anyone hear me?

You belong to the hospital now.

And all you can do... is hope.

He says to the third guy, "What'd you see?"

He says, "I saw the monkey trying to put the cork back in. "

Okay, let's just jump right in, then.

Uh, management of soft tissue sarcomas in the upper limbs...

amputation or limb-sparing surgery?

Now is the time when someone usually answers the question.

Dr. Lin.

- Um... - Dr. Reycraft?

Well, I would have to learn a little bit more about...

Dr. Reid.

I'm a general surgeon, not an orthopedic surgeon.

Yes, but you are a doctor, aren't you? You do have an opinion.

I would save the arm.

Why?

Because if the tumor doesn't metastasize,

the survival rate is 75%.

Yes, but if it does, if it goes systemic,

the patient's five-year survival rate is zero.

- You're just playing a numbers game. - That's because it is a numbers game.

- What else is there? - Dr. Harris is right.

Percentages are percentages.

See? Brain surgeon... smartest guy in the room.

How can you be so sure of yourself, Dr. Harris?

Because that's my job... Dr. Reid.

I have completely lost my place.

What the hell was that?

Foreplay.

? Mm... mm, mm?

# I want you in my bed in a minute flat... #

Okay.

You've got to be kidding me.

- You have rounds? - Yeah, I got to hustle, baby.

That's not hustle.

Hey, do you think we ordered enough beer?

Uh, they're a hotel. I'm pretty sure they're stocked.

Look, I just want everything to go right.

Hey, you don't think it's bad luck that you saw the dress, do you?

Wait. Don't answer that. I know you don't believe in luck.

It's just this is so not like me. I'm nervous.

I like the dress.

I don't believe in luck, but I do believe in love and you and this.

I'll see you at 8:00.

- That's great. We'll be there by 8:30? - Married by 9:00.

- Good morning. - Morning.

Now, I know you know this, Shawn, but I have to ask.

You didn't drink anything or eat anything?

- You said not to, so I didn't. - Okay.

We're gonna go through the consent one more time.

This is your arm.

Your tumor is right here, near the shoulder.

Stage III. It's pretty big.

It's also spread to the lymph nodes,

which is why we need to remove your arm.

- Understood? - As clear as a bell.

Let's do this bitch.

I like the positive attitude.

Now, this is gonna seem a little weird, Shawn, but, um...

I'd rather not amputate the wrong arm.

Sign where the stickies are.

Nurse is gonna prep you, and I want to see you in half an hour.

You nervous?

Don't be nervous.

Just, uh, solving a problem here.

Just like to hear what Dr. Reid has to say.

- Okay, what do we have? - This is Angela.

She came in with nonspecific abdominal pain.

Hi, Angela. I'm Dr. Reid, chief surgical resident.

Says here that you've been having some abdominal cramping.

- How long? - Since after breakfast.

She's been, like, crying and everything.

Okay, Dr. Lin, can you examine her again?

Press.

Ow.

Angela, does it hurt when she presses or lets go quickly?

- Um, when she lets go. - That's rebound tenderness.

Okay, we need to get some blood work done,

and then if that's okay, we're gonna get you a CT

and see if something's up with your appendix.

Easy.

Is there something else?

No.

Don't worry. The test will show us what's going on.

I'm sorry.

I was having trouble examining her because... she's so fat.

Maggie, that's the fifth time you've paged me.

I know. I just... I don't want to make a mistake.

Take it slow. Listen to the patients. Trust the facts. Okay?

- Okay. Um... - Yes?

I know this is my first week rotating in general surgery,

but I was hoping you could give me the weekend off.

- Family reunion. - Ask Dr. Harris. He's the boss.

I was hoping you might speak to him.

Hope isn't a plan. Ask him yourself.

Bus crash.

Ejected through the windshield approximately 10 feet.

I got a penetrating chest wound...

I need a room! Full trauma team.

- Get me to the O.R. Prep the O.R.

Oh, hey. Alex.

You look like a million bucks, by the way.

Page thoracics. Whoo!

Call for the O-negative stat.

I'm calling the blood bank to get the O-neg.

See? And I was all hopeful when you paged me.

Oh, yeah?

Yep. I thought that you needed more surgery.

No.

- What you got? - Bus crash victim.

He was talking to the bus driver, went through the windshield.

Blunt abdominal trauma. Tap was positive.