The Good Doctor

A brutal heat wave...

Barely 7:00, and it's already..

...breaking all records. The extreme temperatures...

What are you wearing?

A rechargeable cooling vest.

Kevin says it's going to be 109 degrees today,

and this will maintain my core temperature for up to eight hours.

I also have a neck fan,

personal hydration pack, and...

...cooling hoodie.

You, uh, really went for it.

It's an investment in our future.

We will need these many, many more times.

Mm.

...to keep all pets indoors,

and make sure they have plenty of water.

If you need to...

you can borrow my hoodie.

...stay hydrated,

especially if you're elderly or have special needs.

During this high heat advisory, please, please stay inside.

Out of the frying pan, into the fire.

Seriously.

Is the AC even on?

It's working fine at the VA gym.

My wheelchair basketball team's taking refuge over there later today.

We could use a shooting guard.

Not sure I'm quite ready to drain threes in this thing.

An iced cap, though.

You're with me today, Dr. Powell.

Sweet.

Do I get matching gear?

Like a Team Murphy uniform?

No.

Spinal cord injuries disrupt autonomic homeostasis,

so patients are more susceptible to the heat.

If she'd had the surgery I proposed,

Dr. Lim would be better able to regulate that temperature.

It was too early for her to make that decision. No.

The longer she waits, the higher her risk of irreversible edema.

There's many factors to consider.

That's why I told her not to rush into it.

Excuse me.

Y.. You are a first-year resident.

I have much more surgical experience than you.

And I have much more physical disability experience than you.

It's the ER.

Blackout hit a senior residence.

Their entire population has been evacuated to us.

That makes 32 new patients.

And one cake.

Blackout shmackout.

We gotta celebrate Art's 100th.

Evaluate them all for heat stroke.

Also, any pre-existing condition could be exacerbated.

The rest are yours. All of them non-surgical.

Some will need IVs and cooling blankets.

And wander bracelets.

You want Fred and Ginger or Stanley Kowalski?

Your heart's running fast, Mrs. Hamilton.

The heat's made your V-tach worse.

My heart's kept me going 90 years,

so don't be too hard on it.

And call me Edna.

Ninety? Come on. I don't buy it.

You remind me of Jerry at the home

although you're easier on the eyes.

Let's give Edna five of metoprolol.

Lost her pulse. Need a defibrillator.

Got her pulse back.

Nice work, Doc.

Other than cracking her ribs.

We better get a chest CT, see how bad the damage is.

You're not old.

This is Brooks Mosey, 41.

He collapsed during his daily 60-mile bike ride.

Yeah, the heat caught me off-guard.

I'm just dehydrated.

You should watch the Weather Channel.

Start an IV.

Oh. We need to start an IO line.

I can't find a good vein.

That's because you didn't tap the vein to make it dilate.

He's dehydrated. He needs an IO line.

No, he needs a doctor with more experience.

Please change that patient's catheter bag.

Her core temp's 106. She's critical.

Axilla's packed. Two cooling blankets. None of it's helping.

BP's tanking.

This heat's frying her organs.

That's the smoke detector.

You leave the stove on, Marty?

She needs cold nasogastric lavage.

I'm scared, Marty.

May, my name is Dr. Perez.

You're at a hospital.

We're gonna take good care of you.

We've got you.

Ah.

Gracias, senorita.

Oh, it's, uh, Tango Tuesday.

We do all things Argentinian.

That explains...

That guy takes three dance lessons,

and she's all over him.

Mm.

Fred and Ginger?

Every bit as adorable as they look.

Like two dancing prunes.

A couple in their twilight years

displaying affection makes you pissy?

It's Tinder, isn't it?

I saw your profile.

What are you doing on Tinder?

Spying on my coworkers.

I don't blame you for being cranky.

There's nothing more depressing

than a few laps around the dating pool.

Amor.

Arthur Abbott?

Art?

Okay, well, he couldn't have gotten far. He's..

Hundred years old, as of today.

Oh, Art's one spry son of a bitch.

I hear you saved my life today.

And fractured some ribs in the process.

Mm.

Which led to us doing a CT that showed a tumor

running from your right lung to your belly.

Can you remove it?

Yes, but at your age,

I'm not sure your body could handle such a big surgery.

I'd recommend you leave it.

You'd have several good months.

Months?

Six, maybe seven.

You saved my life once today.

I'm sure you can do it again.

Edna, I'm just not comfortable doing the surgery.

Then I want another opinion.

And another butterscotch pudding.

Hmm? If it's not too much trouble.

Hmm.

Dr. Powell's not your favorite employee?

We are not allowed to have favorites,

but if we were,

she would not be mine.

She is very annoying.

I've got 68 employees, seven of whom are annoying,

and of those seven, four are my best employees.

They consistently challenge me with opposing points of view.

Hmm.

I can't br.. breathe.

Aah!

Code Blue!

Oh! Heart rate is 32!

I need a crash cart!

It's a structural issue causing cardiac ischemia.

Then we would've heard a murmur.

What about a coronary vasospasm? N.. No.

Brooks' troponins are only mildly elevated.

Hi, Lea.

His electrolytes were off.

Could've been a vasovagal response to dehydration.

You're wrong.

And your opposing points of view are not useful.

It is structural.

We came here because it's 10 degrees cooler than everywhere else.

Dr. Powell did not come to work prepared for the heat.

Go set up a coronary angio.

It's 108 out here. Why would Art leave the hospital?

It's called dementia.

Spry or not, he couldn't have hobbled this far.

Put a wander bracelet on him like Andrews told you to,

we wouldn't be on this hunt for the Walking Dead.

Andrews was looking at you, not me.

Should we talk about what's really bothering you?

You look on over there for the old guy you lost, and I'll look over here.

It's up to 77 degrees in here.

Anything over 82 will compromise the servers.

What's with Mr. Grumpy?

I'm not Mr. Grumpy.

Mm. You were with Powell.

I don't like her.

'cos she's a bad resident?

She... makes a lot of mistakes,

but no more than the others.

So it's her personality?

She's annoying.

How is she annoying? She's...

contrary.

Oh. Kind of sounds like someone we know?

Yes. But I like Morgan.

The first step to getting past your issues with her is identifying them.

And why do I need to get past my issues?

And there's the blackout.

Oh.

That didn't last long.

That's just the backup generators kicking in.

And how long they will last, I have no idea.