New Amsterdam

She's rejecting her heart transplant.

So University stuffed her in a limo.

- Drove across town. - And dropped her

- at our doorstep. - Just makes you feel

all warm and fuzzy inside, doesn't it?

Ms Harris?

I'm Max Goodwin, the Medical Director.

Did your doctors tell you why

they were transferring you to New Amsterdam?

They said you'd be better equipped

to handle my needs.

Is something wrong?

They lied to you.

Your body is rejecting your new heart.

And once they realised there was nothing more they could do,

they transferred you here.

Why would they do that?

To keep their mortality rates low.

So,

they sent me here to die?

Karen Brantley, can I borrow you for a second?

Ah, Max, so glad you could join us.

- Mm-hmm. - We said 8:30 sharp.

I would've reminded your assistant,

but you still don't have one.

It's on my to-do list.

Ozzie, this is our hospital's very busy Medical Director,

- Hi. - Max Goodwin.

Pleasure.

Ozzie Cobb has pledged $5 million

- Five? - over the next quarter.

- Wow. - What can I say?

- I love to give. - Thank you.

Would you excuse us? This way, just come with me.

You do realise

I'm trying to fund your hospital here.

Yeah, well, University just dumped a patient

on our doorstep, days, if not hours,

before she's expected to die. All right?

You want to know why? Because they're cooking

their books, all right?

She's not going to die on their watch,

she's going to die on ours, and she is not the only one.

There have been others.

Of course there's been others, Max.

Every hospital dumps patients. Even New Amsterdam.

Hello! Sorry about that.

Yes, I'm listening, Gladys, obviously.

It's Saleem, he's on the piano. Just...

Dad, you're supposed to be listening to me.

You know what? Wait. Oh, OK, OK.

No, if he's already 51/50, then no, no can do.

That is a big no no.

- Dad! - Yes, honey,

you sound amazing. Keep going, all right?

No, that's what I'm saying.

Saleem, babe, hey!

Yeah, let's try a little sotto voce, all right?

It is a headache and it's a compliance issue.

- Namaste, Ella-ji. - Good morning.

I was wondering if you would ever wake up.

Oh.

This is a lot of stuff.

I just... I need just cornflakes.

No, no, no boxed cereal. Not in this house.

Only fresh, healthy food for you and the baby.

Stuffed parathas,

a little bit of curd.

A little more.

Yes.

Mmm.

You came home rather late last night.

It was 9:00.

9:07, give or take.

You don't have to wait up for me.

Or if you came home earlier, I wouldn't have to.

Now, about the dirty dishes.

- I have to go to work. - Already?

- Yeah, sorry. - OK.

Ella, wait a minute.

- Don't forget this. - What's in here?

Your lunch. Freshly made Indian food.

Wait until you try my special samosas.

Thank you.

Namaste, Ella-ji.

Dr Duarte.

I didn't expect to hear from you so soon.

How's San Francisco?

You'll be finding out soon enough, Floyd.

We'd like to officially offer you the position

as new Chair of Cardiothoracic Surgery

at Yerba Buena Hospital.

That's...

- Great news, I hope. - Yeah, I...

It is. But before I say yes,

I'd like to square some things up here.

- Can I have a few days? - Sure. A few days.

We'll talk soon.

- Max! - Did you know that

New Amsterdam has dumped over 30 patients

into the municipal hospice system in the last six months?

- Wow, that's a lot. - 30 within six months.

That's not just a lot. It's appalling.

Completely agree. That's absolutely horrific.

But I'm going to need you to switch gears for just a minute.

- Yeah, how can I help? - I need you to not approve

my brachytherapy device.

How can I not help?

- Exactly. - Why would I do that?

Because Castro didn't approve it.

The request never should've gotten up to you.

I seem to remember having very candid conversation

about me having your back.

You can have my back, but this just looks like

I went over Castro's head.

Is it going to help out patients?

- I mean, yes. - Is it within budget?

- Yes. - Will it make

- our hospital better? - Of course.

But in order to keep the peace

between Castro and myself, I can't have you

favouring me.

I do favour you.

All right, well, keep that to yourself.

Just tell Castro that I'm favouring our patients.

- Max, no. - And if she has a problem with that,

just tell her to come talk to me.

Where are you going?

Thank you for choosing Bell Gardens Hospice.

- Excuse me, hi. - Visiting's not for

- another 30 minutes. - No, I'm not visiting.

Oh, OK. Intake's down the hall.

I'm not here to drop off either.

I'm actually, excuse me, here to pick up.

I'm sorry, what?

Well, I'm sorry because

you've gotten some of New Amsterdam's patients by mistake

and I'm here to take them back.

Which patients?

All of them.

New Amsterdam has been failing our patients

at the end of their lives.

We care for them right up until their last days and then,

when curing them is no longer an option,

we pass the buck.

We turn them loose on overburdened systems,

hospice, nursing homes, unprepared families.

This is not what End-of-Life care should look like.

So we're going to change that today.

Welcome (excuse me)

to the New Amsterdam Palliative Care Unit.

In my hallway?

Working on that. Every doctor is going to get a patient

and they'll be with you till the end.

What about our actual patients?

Just rely on your residents and your attendings for now.

I want your full attention here today.

But if they're palliative, what medicine are we offering?

No medicine. This is about care, OK?

I want you to talk to them,

figure out what they need and make sure they get it.

What about cost? Who is covering this? Are we?

I don't know but I'm going to figure that out.

This is for you. Yup.

So we can do anything?

Anything. Just give them a good death.

All right?

Peter.

Peter, hi. Hi.

I'm Dr Frome.

I'm Ignatius, or Iggy.

Dr Iggy. Driggy.

Any combination of that will do.

I'm here to take care of you, OK?

I'm Dr Kapoor, and I'll be taking care of you today.

I see you have had Scleroderma for several years,

but two months ago it started causing organ failure.

Yes. I'll be dead in a few days.

Dr Meredith?

Zeke's fine.

I'm Dr Sharpe.

What can I do to make you more comfortable?

More comfortable? I'm dying.

Adele Eisenbaum?

I'm Max and I'm here to make you comfortable.

I'd lower your expectations.

OK.

I do have a wonderful idea.

We will give you a living wake.

A wake?

To allow your family and relatives

to gather and celebrate your life

while you're still there to celebrate it with them.

Nope.

"Nope"?

I'll have a living wake over my dead body.

My mother has been a patient at University for over a decade.

I was going to have my baby there.

And they just threw her out, like...

You have to do something.