Transplant

I'm taking a hormone therapy

- to stimulate ovulation. - You're trying for a baby?

- Thinking about it. - I guess that's on me.

Actually, about how I've managed

to screw up most of my relationships.

I hear that you proposed a reshuffle

in which you report to her instead of me.

You're the one who told me to build a relationship

- with her, earn capital. - I heard Novak's gone AWOL.

I think we should use this as a reason to move him out of Trauma OR.

- He's, like, unpredictable. - He is toxic chaos.

Theo, it's okay that you wanted this life.

This is part where you tell me you and Mom are...

you're praying for me?

Every patient I see,

I think, "Is this the person who stabbed me?"

We're going to make an accountability plan for the painkillers.

I just matched with a heart.

It sounds like you got walloped with some pretty

- intense news yesterday. - I want to be here for you now,

however you need me to be.

You ready, Mags?

It's time.

Your heart is in the building.

Prepped and ready.

All systems go, Dr. Leblanc.

At the behest of our anesthesiologist

whose eyes are on the monitor,

I'm gonna ask you to count backwards from 10.

Okay.

10, 9,

8, 7...

Hi, Amira.

No, it's 1963.

Yeah.

Okay, just put it back when you're done.

Okay. Yalla. Bye.

It's the spare key security code.

I mean, how difficult is it to just know the things

that you need to take with you and to take them with you.

I sound exactly like my father.

Was he strict?

He was more of a spiritual philosopher.

- My mother was strict. - My father would have called.

Mags' surgery a second chance.

Do you miss that kind of outlook?

I wonder if Mags' heart is in the hospital yet...

I know I should focus, but...

Thank you.

Do you feel comfortable

about your strategy for managing today?

- As best I can. - Why, do you?

Well, I was thinking about what you said last month

about that ordeal in the sinkhole.

The trapped man. You told me that jumping in blindly

is what you know how to do, even when you shouldn't.

Mags' family is making all the decisions today.

Talking to the doctors, I'm just waiting for news above ground.

It's, uh...

It's my father's birthday today.

- 1963, the year he was born. - Seriously?

How weird is that, right?

Do you do, uh, do you do anything to mark it?

This is, uh...

- Okay, he loved Snickers. - Hmm.

And it's one of the few candies

that you can get both here and there.

And usually, Amira and I, but...

nobody's brought it up this year.

My brother died when I was 20.

Car accident, he was 17.

- Oh, Karim. - I'm so sorry.

The ways we grief and adapt as we... move on.

Thanks, brother.

I'll see you soon.

Mark?

Dr. Novak, where have you been?

I woke up, made coffee, ran 10k, came here.

You know full well I mean "Where have you been for the last two days?"

You've been on the schedule but decidedly not here!

My mother died.

Oh, I'm so sorry to hear that.

If you'd let us know, we would have been able to...

- She didn't actually die. - I just wanted to see

if you'd still give me a hard time after hearing that news, and...

apparently, you would.

You gonna let Pops go on the rides at Centreville too?

I mean, he did come a long way to take you.

- She's going to make him do it. - She always gets scared.

Nothing wrong with being afraid, Gracie.

Theo, I can do the sunscreen on the ferry.

Why is everything you say a lesson?

Welcome to my childhood, kid.

Dr. Hunter, your patient in six is back from imaging.

I can relay results if you need a minute.

Ah, no, thank you, Dr. Bergeron. I'm good.

Okay, girls, take it easy on Pops, alright?

Thanks, Dad.

Have a seat for one second, okay?

Uh, Theo...

- Forget something? - No, just, uh...

- Was that... - Was that lady your friend?

You know, it just seemed like there was, uh, you know, like, she knows you.

No, Dad.

I don't know, why would you even think something like that?

Alright, I was just asking.

- Okay. - Okay.

Alright, girls, we're ready.

So sweet of your dad to help out.

- Liz, what the hell? - I wanted to meet your family.

- Even undercover. - My head is killing me.

You know, he pulled me aside

and basically asked if you were my girlfriend.

Wow, impressive dad insight.

Okay, so fine. I accidentally forced the issue.

No, you didn't because I denied it.

You lied?

Why, because me being sort of still married

makes you a bad pastor's son?

Another sick dog?

This is Esther Danbury. She has a seriously compromised airway.

- Whoa. - Try to stay still, Esther.

- Where's Judah? Where's Bertie? - I can't see them.

- They're right here, Esther. - They're okay.

- Are you breathing okay? - We were in the ravine,

the coyote leaped out of the bushes.

Esther, I need you to save your breath, alright?

- Two units of O-neg. - Yeah.

Heart Rate's 105, RESP rate 24, BP's 88 over 58.

Yeah, two grams TXA, start ceftriaxone.

- Bertie, is our dog okay? - Might hurt a little.

Alright, I'm gonna need to secure her airway before I can handle the bleeding.

Bertie was on leash when the coyote lunged at us.

Esther threw herself in front.

Okay, our nurse is gonna take you to your room, okay, Judas?

- Here, Esther needs him. - Okay.

Oh...

Theo, get that dog out of here, this is an operating room.

She needs her dog, June.

Can you tell me what you feel, Esther?

How's church, Jim?

Where have you been?

It's... hard to breathe.

Being able to talk is impressive. But, uh...

These kinds of trauma usually create what we call

a "difficult airway". Options, June?

First, intubation, but...

You think we're dealing with a tracheal injury?

I'm having a hard time getting a good look.

It seems like it's mostly facial,

but then she has intra-oral bleeding,

some loose teeth tissue, swelling.

Blind nasotracheal intubation?

Nobody does that anymore, okay?

If this is a last resort,

then it's gonna be an emergency cric.

Theo, why is the dog still here?

- June, Bertie stays. - Are you saying you

that you can't get me breathing because the parts of my face aren't where they should be?

Esther, Esther, listen to me!

Look, I know you're scared, okay?

But I promise you everything is gonna be alright.

Can you just stay back from her open wounds?

- O2 SAT's 86 now guys... - Actually, I forgot.

- I got us this. - What is that?

A video laryngoscope with a stylet.

Means we can see what we're doing, and...

- muscle through the debris. - What?

Nah, keep the emergency cric, just in case.

- Call that a double-double. - When did you get this?

50 mg of etomidate and 70 of sux...

I don't know, couple of months ago.

- Am I supposed to... - ask permission?

Well, at least tell someone you did it.

Hi, kiddo, we're going to sedate you, okay?

And now we're going to use that very good tool

to put a tube in, and then when you wake up,

you'll be able to breathe way more easily, okay?

You know these things need special approval, right?

Devi doesn't need any more reasons to...

- To what? - You know, you could've

at least answered my texts the last few days.

Okay then, let's get this kid breathing.

Alright.

Okay, on your side.

Thank you.

Alright.

Sorry, tender there?

- Uh-huh. - Appendix, bet ya anything.

I lost that one as a kid.

This pain's definitely my pancreas.

What makes you say that?

Uh, a few years ago, my immune system declared war on it.

I've had chronic pancreatitis since.

My uncle had that. Man was in constant discomfort.

Of course, he was also a weasel who drank a 40 a day.

Except, I wasn't much of a drinker before this came on and barely at all after either.

Your loss!

Hey, hey, hey, hey!

Time to wake up, nurse lady.