New Amsterdam

Sorry. I didn't mean to scare you.

I thought you left.

Not until you want me to.

OK, we got Sameera's tofu bacon,

Harper's regular bacon, and Raffi's turkey bacon.

Hey, if I pick up Harper and Sameera from karate,

will you grab Raffi from D&D?

Yes, that just leaves Saleem's piano at 4:00.

No more piano. I told you!

Well, it would save money,

but shouldn't we be teaching them to stick it out?

I will grab the troops.

OK. Thanks, babe.

- Hello? - Dr Frome? It's Roz.

Roz, hey. Hi.

Great news. I have a baby for you.

What? You have, like, a real...

now?

You and Martin have 24 hours to report

to Brownsville, Texas to start the custody paperwork.

That's not a lot of hours, Roz.

I...

Breakfast now because we're leaving in two minutes!

You know what? I'm going to have to call you back.

So what do you think about piano lessons?

Oh, you know, I support whatever you decide.

Hey, come on.

We decide this stuff together.

Right.

Righty.

Wait.

- Hey! - Let's go.

You've got a dump and run in the bay.

Pupil response is sluggish.

- Another OD? - It's never-ending.

She's one of ours.

Shayna Davis.

Shayna?

Shayna, you're at New Amsterdam.

- Oh, it hurts. Oh, God. - OK, where does it hurt?

It hurts everywhere. Please, just make it stop.

I'm going to need you to be more specific.

Ask Dr Sharpe. She knows.

We need more money, Helen.

- My clinical trial's coming up. - You mean our trial.

Yes, you know what I mean.

- But the startup costs are... - I hear you.

We're not selling the proton beam laser.

Cutting edge and cheap don't exactly mingle.

$40 million can go a long way...

We're the only hospital in the tristate area

offering proton beam therapy.

Where are all those patients going to get treatment?

All six of them?

We are trying to change cancer treatment for millions.

- We're not there yet. - We could be.

With that kind of money,

we can make the proton beam laser obsolete

in a couple of years.

That is the issue. It's not obsolete now.

I really think you should recon...

Shayna?

Look at me.

Heroin?

It's the only thing that works.

The pain is just...

What about the Percocet I prescribed?

It barely made a dent.

After my last round of chemo,

I could barely get through the day unless I tripled up.

When did you run out?

Two weeks before my next refill.

I tried to find some on the street, but

Heroin was cheaper.

I guess this is my life now,

getting high with a bunch of junkies at the Dalton.

Pain management is a part of cancer treatment.

There is no shame in that. Do you hear me?

I can make you comfortable while we treat your tumour.

Can I have something now? It just, it hurts so much.

We have to wait for your tox screen to come back

to make sure that the heroin wasn't laced with anything.

I'm not going to make it. I'm...

Yes, you will.

I'm going to make sure of it.

Has Tawan had any significant changes in his diet recently?

No.

And he's current on all his vaccinations?

Yeah. Absolutely.

And he's had no dramatic weight loss?

No, he's never had any health issues until now.

It's like everything changed overnight.

Yeah. His grades dropped off,

his teacher said he can't concentrate on anything

for very long.

And the shivers.

- The shivers? - Yeah,

he started having these weird muscle twitches.

We're going to figure out what's wrong, OK?

Well, what could be causing this?

Well, I think we should order an MRI

and get some blood tests.

You must have a theory or guess.

Well, it sounds like

it could be an early onset of MS.

MS?

We'll know more once the tests come back.

Your leg is late for a very important date.

You were supposed to be in pre-op 30 minutes ago.

OK, how do you know?

Because you didn't answer

any of your pre-op texts or calls,

so then they harassed me.

OK, well, I have a cardio pulling up any second,

so I'm going to have to reschedule my surgery.

Nope, I'm here. I can hold down the fort.

- No offence, but actually... - No buts, just legs,

that leg, up to surgery.

Gabriela Alvarez, 34, 28 weeks pregnant.

150/85, 130, diaphoretic.

Decreased respiration bilaterally with increased effort.

Doctor, doctor, please save my baby.

OK, let's get her to Trauma 1.

- Where's Reynolds? - He's on his way.

Max?

Max.

- Max. - What?

Maybe you let us handle this one.

What do we got?

Right heart strain.

Signs of tissue damage in the left lung.

Dr Duke, what does that indicate?

Pulmonary embolism?

Ms Alvarez? I'm Dr Reynolds.

You have a clot in your lung.

That's why you're having trouble breathing.

What about my baby?

Dr Goodwin? Dr Reynolds?

Why isn't anyone helping my baby?

- Ms Alvarez - Prep me some lidocaine.

is priority.

- The foetus died en route. - Gabriela, turn towards me.

How?

The left ventricle was hyper plastic,

and there was stenosis in the aortic valve.

Foetus wasn't viable.

We're not losing Gabriela too.

You're going to feel a slight pinch and then some burning.

I'll need a central line kit.

And prep an infusion of TPA.

The lidocaine is in.

Starting central line.

Pay attention, Duke.

About 250 CC there.

Central line is in.

in 20.

TPA is in.

O2 sats at 88% and rising.

Is my baby OK?

Gabriela.

Mm?

What I'm about to say

is going to be impossible to hear.

I'm not sure I understand it.

- I do something wrong? - No.

No, you didn't do anything wrong.

It's just that bad genetic luck.

The baby's heart never developed properly.

And there is nothing that anyone

could've done to save her.

Stillbirths happen

more than anyone ever wants to acknowledge.

What do you mean stillbirth? She wasn't...

Gabi,

we have to induce labour

to get the baby out.

No.

No!

You mean I have to go through all of that

with no baby at the end?

It's the safest way.

I'm sorry.

Is there anyone that you'd like me to call?

Family, friend, partner?

No. There's no one else.

It was just going to be the two of us.

Just me and S...

It's OK.

It's OK to say her name

if you want to.

Sofie.

Will you stay with me?

Are you following me?

Well, maybe.

Don't you have lives to save

or some surgery to perform?

I'm escorting you to yours.

- Why? - I don't know.

Thought maybe you could use a friend.

Mm, thank you.