9:00 P.M.

Good morning, Jack.

- I must have had a reason at one time to keep coming back,

but I can't think of it right now.

- Dr. Robby? We need you.

How'd you choose the Pitt?

- I have a sister with special needs,

and she got into this really great facility

here in Pittsburgh.

Hi, Becca. - Mel!

I was just wondering

what the nurses do after their shifts.

Maybe we could grab a coffee together.

- I don't date people in the workplace.

I need security in here!

This guy stole a victim's hoodie

and faked an injury to get inside.

He's probably a fucking reporter.

- You're the kid? Grab him!

What are you doing?

- You called the cops on her son.

A decision was not made. - So I made it.

All we're asking is that you speak with a professional.

You think you might be open to that?

You are done!

What the fuck are you doing? - I'm saving lives.

You should not be here.

- None of these people should be here.

- Can you tell us your name? - Max.

- This definitely wasn't poppers.

He would have had to have sniffed, like, a gallon of it.

So what caused the overdose?

- Got to wait for him to wake up

so we can get more answers.

- Are you gonna get in trouble for that?

Probably.

- We were alerted about your ankle monitor

being tampered with. - Officers, look around.

She was saving lives.

- Put your hands behind your head.

- Whoa. - Whoa, whoa, whoa.

Hang on a second! - You gotta be kidding!

- Robby! - Whoa, whoa, whoa.

What's going on here?

- I disabled my ankle monitor because it was going off

and fucking with our ability to help patients

during the mass casualty.

Tell that to your judge.

- This is my resident. I need her.

Call Gloria. Can you at least wait a second

to speak to our chief medical officer?

- No, but they can call the Department

if they have any questions.

- We just came through the worst mass casualty incident

in this city's history, and you two are

fucking around with this? Are you serious?

You don't have anything better to do?

Officer Harrelson, can you--please.

Is there a problem here?

- She disabled her ankle monitor.

It was malfunctioning.

- She's in a custody battle with a restraining order

and is considered a flight risk.

That is bullshit.

- It was interfering with our ability to treat patients.

I'm not sure we could have saved Officer Stefano

if she hadn't disabled the damn thing.

Is that true?

They saved Stefano's life.

They saved a lot of lives.

- Take care of this first thing tomorrow morning?

I swear.

Take the cuffs off.

- Thank you.

- Thank you. - Thank you.

For everything you did here tonight.

- Do I even want to know? - Probably not.

Good.

What's your status down here?

- We have had 112 mass casualty patients

come through here in the last three hours.

Only six people that we couldn't save.

They are still in our makeshift morgue in Pedes.

71 people went upstairs.

Last I heard, surgery had stabilized

the 39 most critical red zone, 32 pink zone patients.

We also had 24 yellow zone patients,

many of whom are getting orthopedic surgery as we speak.

The police are still interviewing

everybody else that's still down here.

We discharged eight people,

and I don't know the status of the green zone patients

because I wasn't there.

You'll have to check with Family Medicine.

Impressive.

I need you and Abbot to turn your patients over

to the night shift now, and then--

Oh, sorry.

Hello?

What? No.

We need to be back up and running now.

Tell security to open the ER doors for walk-ins.

If you've got a triage nurse and registration clerks,

you should already be open.

- You ready to give this measles kid to Dr. Shen

and go home? - Oh, no. I'm--I'm OK.

- Are you sure? - Yeah.

It's just-- we've repeatedly tried

to explain the importance and low risk of the spinal tap,

and the parents are--

they're risking their son's life.

- Hopefully, they'll come around.

And if they don't?

We do the best that we can.

Some things are out of our control.

Dr. Shen, how are we progressing in here?

- No improvement-- in the patient or his family.

- Where is your wife and daughter, Mr. Edwards?

- My wife took Georgia to the bathroom.

OK.

Well, your son, Flynn, is critically ill,

and the longer that we wait, the worse this could get.

Without the spinal tap,

we don't know the best treatment to give him

to give him the best chance of recovery.

What's going on?

- We were discussing the options

for treating your son.

He already looks better.

He is not.

And by refusing the spinal tap, we don't know how to help him.

The steroids could kill him if it's just pneumonia.

The steroids could save him if it's ADEM,

and the longer that we wait,

the greater the risk of him dying.

- Flynn might die? - No, honey.

He's just got a worse version of what you had.

I'll keep him intubated, hydrated,

and pumping the antibiotics.

I'll let you know if anything changes.

- Mr. Edwards, may I speak with you outside please?

- Go. I've heard enough.

Tell me about your son.

- He's a great kid. He's kind.

He's very good to his little sister.

- You two close? - Yeah.

Not like my old man.

- Samira, finish up. - He was not around very much.

He didn't really care what we were doing.

Does Flynn play any sports?

Baseball, soccer, basketball.

David?

- My wife doesn't want him playing football,

or he'd be doing that too.

Do you get to many games?

I do my best.

Vic identification.

What the hell is this?

- These are the people from the PittFest shooting

that we couldn't save today.

We couldn't save them,

but we can still save your son.

You're an asshole.

Yeah.

I'm an asshole

who's trying to save your son's life.

- We still need charts for two patients

in North, three in South.

- All right, we're on it. Just give us a hot minute.

Hey, Lee Ann, can you check out the ones she's talking about?

- Code Tan, basement receiving.

Code Tan, basement receiving. - What's a Code Tan?

- Illness or injury in a public area of the hospital.

Usually a fainting or a fall.

Hey, Gloria wants day shift to get out of here,

sooner rather than later, so wrap it up.

Gotcha.

Repeat labs back on our blue man, Max.

Running through agents that cause methemoglobinemia,

mainly drugs and toxins.

- Yeah, drugs like topical anesthetics from the dentist,

antibiotics to treat malaria, leprosy.

- Yeah, I can see if he's taking any of those.

- Also ask about industrial toxins.

Aniline dyes, benzene.

There's also food additives, nitrates, nitrites.

- Some of those are available online as suicide kits.

- You think he may have tried to hurt himself?

- Maybe, or he was poisoned.

I had a guy today whose wife was spiking

his coffee with progesterone. - Jesus.

And I thought the crazies were for the night shift.

- She wasn't crazy, just desperate.

- Help. Police!

Officer.

I'm being held here against my will.

- What else do we know about him?

- Nothing, really.

He was too groggy to talk, but I can give it another shot.

- Go for it, Sherlock. - Will do.

- Last pink patient going upstairs.