The Good Doctor

This is Andrews' fault.

Agreed.

The bourbon may also bear some responsibility.

Agreed.

You said "fault."

You don't regret that we... No, not at all.

Seriously.

It was...

Pretty great.

Yeah.

And definitely shouldn't happen again.

No, it shouldn't.

It'd make things too complicated at work.

Let's chalk it up to, uh,

"Andrews screwed us, so we screwed each other" impulse.

I gotta get going.

I'm covering the E.R. today.

Ooh, right before Christmas?

Gonna be a madhouse.

Yeah.

What is that noise?

"Jingle Bells"?

Two ambulances coming in, back-to-back.

Hey. I need you on your game today, Murphy.

Okay.

Uh, male, mid-30s,

found unresponsive in Arrivals.

Restarted his heart on site. Low O2,

wheezing, significant airway resistance to the bag mask...

We need more hands on deck. STAT. I've been calling,

everyone's left town for the holidays.

Reznick's around.

Weird you know that, but glad you do.

Get Reznick in here. On it.

Take him to Bay 4. Murphy, I need you with me.

What do we got?

This is Marianne Southam, she collapsed in Baggage Claim.

Both patients came from the airport?

It's that time of year. Everyone's traveling.

Right leg is red and swollen.

She's complaining of chest pains, shortness of breath,

and she has a low-grade fever.

Did you just get off a long flight?

20 hours, from Malaysia.

Deep vein thrombosis formed while she was seated,

that explains the red leg and the fever.

Part of the clot broke off, traveled to her lung,

that explains the chest pain. Pulmonary embolism.

We lost his pulse again!

Take Marianne to Bay 5.

I'll talk you through managing a pulmonary embolism.

I'm gonna light him up.

Clear.

Got a rhythm. Barely.

He can't live on 30 beats a minute.

His lungs are too stiff to pre-oxygenate.

Fiberoptic blade and a 7.5 ET tube.

Murphy, anti-coagulate her with a 5,000-unit heparin bolus.

Set the ventilator to assist control.

Heparin bolus infused. Fever's spiking at 103.5.

Could be ARDS from a viral pneumonia.

Get a chest X-ray.

Lost him again.

O2 SAT is 92.

Your chest pain should be getting better.

It is. Thank you.

Peak airway pressure's 50.

Switch the ventilator to PRVC.

Pushing I.V. epinephrine.

Now you need to insert a central line in case we go to thrombolysis.

I need you, Murphy.

Still V. Fib.

Push 300 of amiodarone.

Asystole. He's still not responding.

That's over 30 minutes of brain and cardiac hypoxia.

Stop compressions.

Time of death, 10:07.

Have you had contact with this man?

He was on my flight from Malaysia.

They both have vesicular rashes on their necks.

Whatever infection killed him, she may have it, too.

This is a negative pressure room,

designed so no air flows out.

Keeps germs from spreading.

Because whatever I have is gonna kill me,

just like the man from the plane?

Your symptoms are not as severe as his.

Although, yours will probably get worse

as the virus progresses.

We don't know for sure whether you have the same thing.

We know nothing about him, his condition, or his history.

When did you start feeling sick?

On the plane.

I've never even been outside the U.S. before.

My ex-husband hated to travel and...

Was the man who died sitting near you?

No, he was six or seven rows in front of me.

Were you ever physically close to him?

Say, waiting for the restroom or in line to board?

No, I think he slept almost the entire flight.

That suggests the virus can be transmitted in the air.

Which means everyone in the plane

and this emergency room has been exposed.

We'll start conditioning tomorrow,

so we use chemo and total body irradiation to...

To wipe out my crappy leukemia-producing bone marrow

so you can replace it with some good stuff. Well said.

Looks like your dad's good to go on his marrow donation.

Please don't call him that.

Bob Cravens walked out on me and my mom when I was four.

His biological material gave me life,

and apparently he's gonna save me,

but he's not my dad.

Any unusual complaints or pain we should know about?

I've been tired.

And the last day, achy,

kind of stiff... Standard leukemia woes.

Anywhere in particular?

My neck, left arm.

Right, Chris, you're having a heart attack.

N-No. My chest feels fine.

We need to get you up to radiation right away.

Call and let them know we're coming.

Get his donor in here.

How is radiation gonna help a heart attack?

Your blockage is most likely excess blast white cells.

The best way to clear out your heart

is to treat your leukemia.

It's what we planned. Just a day early.

It might not be airborne.

Maybe both passengers were already infected

when they got on the plane.

Marianne said she felt fine before the flight.

But even if she did contract it on the plane,

it could've been through a shared water cup

or napkin...

Which would make a quarantine unnecessary.

I'll call the Public Health Department, the CDC,

they may want to track the passengers

and anyone they came into contact with.

Keep me up to date. Okay.

Hey. I'm done.

Jill, are you still on?

Get me the CDC and a change of clothes.

I'm coming in.

Thanks for getting me called in, Tyler.

You're welcome. That was sarcasm.

Oh, was it? If this turns into a crisis,

where else would you want to be?

I hear you're having some stomach pain?

It hurts a lot.

I figured it was probably the candy canes, but I took some Pepto.

Didn't help at all.

How many candy canes we talking?

Three or four... Dozen.

Of the little ones.

They pass them out at the mall where I work.

I like to munch on them. Keeps me in character.

Sounds like you might be overdoing it.

Take off your shirt.

How did you know I was still in town?

Because the holidays are "an obligatory performance

"where families buy each other gifts

and pretend everything is perfect."

Which is why you tell yours you have to work every year

even when you don't.

He's a good listener.

What's that scar from?

Rudolph is an ass.

It's a minor bowel resection

for diverticulitis eight months ago.

Oh, we need to do a contrast CT.

You need to come with me.

Dr. Lim, he has it, too.

There, on his neck. A rash.

It wasn't there earlier.

It hasn't fully developed, but it could be the same thing.

It can't be. I had on a mask, gloves...

Did you keep on the mask the whole time?

Not... With airborne diseases, that's important...

It's Marianne. Her O2 SATs are crashing.

Get another dose of I.V. methylprednisolone.

We need to move up the transplant.

No, it doesn't change anything.

You'll be anesthetized, you won't feel a thing

and when you wake up,

your son will be on his way to being healthy.

We'll see you soon.

Sorry I couldn't meet you at the airport.

That's a cool t-shirt.

It probably freaks you out, right?

Like, "is he gonna gender-transition or something?"

No, if that's your thing, I'm cool.

How long am I stuck here?

Just for the rest of this shift.

And then I'm out of here for three days.

There's a new rock-climbing gym we can check out,