Have... have you tried talking to him yet?
I did, but he played it off as nothing.
Wait, so when you say his hands were shaking, wh...
Shh!
I'm just trying to understand what happened.
I'm telling you, something is wrong with Dr. Guthrie.
His hands shake all the time. His charts are illegible and...
What's the deal, Breakfast Club?
Have you guys seen the news yet?
Once again, over 30 inmates injured in a riot
here at California State Prison at Arvin.
Those prisoners are being taken to hospitals all across the Southland.
Let's go, people. We have incoming.
Where's Willis?
He called in sick today. Let's go.
Nice to see you again, Ethan. Thanks for coming.
The two petty officers who woke me didn't give me much choice.
What's going on?
At 0600 this morning,
a B-586 Kronshtadt, the Varshavyanka,
surfaced 80 miles off the coast of Los Angeles.
Engine room explosion.
Did you say a Russian attack sub surfaced in U.S. waters?
Nearest Russian ship is three days away.
They won't let us tow them in,
and they won't let their injured be airlifted.
You're not about to suggest I make a house call
on a Russian sub illegally patrolling U.S. waters?
I got a better idea. Why don't you blow it up?
Someone made a trade,
and whatever it is must be important
or DOD wouldn't have agreed to do this.
Why me?
You were requested specifically.
- By the Pentagon? - By the Russians.
The Chief Medical Officer on board... Dr. Dmitri Volkov.
Dmitri.
We were in Afghanistan together.
What's he doing here?
The White House wants this to look like a civilian mission.
For that, we need an actual civilian.
He's the wrong guy for this.
Doesn't have the temperament for it.
I'm not surprised you don't like him.
I hear he's the boss.
Ethan, listen to me.
The importance of this was stressed repeatedly.
You have to keep Malinovsky alive,
and you won't have any support from us.
It's just you and your friend.
These are violent offenders. Keep your head about you.
Great day for Campbell to be out.
50-year-old male with penetrating injuries
to his flank and upper back. Shank still in place.
I got a V.I.P. for you here.
Can you run down his injuries for us, please?
I don't know. Bunch of stab wounds
and his hand is jacked.
Gonna cut you up, Jackie.
Third time this week he's promised to do that.
Charming. Let's get him into Center Stage.
Hey, watch it. Watch your back.
Okay, this is through the fascia.
Let's check a F.A.S.T. scan, please.
Yes, Doctor.
Aah! What the hell is that?
Sir, I need you to stay still.
"Sir"? This bitch a lot nicer than you, Jacks!
Don't count on it.
Ah! There is a drawer full of scalpels right there
that'll take your arm, or anything else, clean off.
Let go. Let go!
- Come on! - Aah!
- You want the Haldol? - Yeah, definitely. And Benadryl.
Okay, Jackie, let's handcuff both wrists to this side of the bed.
That way, he can't thrash around as much.
Get him over.
I'm gonna finish what I started. Black deaths matter, Sonny.
I'm gonna tear you up.
Oh, I'm shaking in my chains, Damien.
Whoa, careful. Those could be in an artery. Ultrasound.
A toothbrush?
Yeah, he got me with a spoon, too,
he always gets a little testy when I'm around.
I can't imagine why.
Hey, hey, hey!
Let's restrain him now! Coming in.
Hey, hey!
We need leg restraints!
Backing. Easy, easy, easy.
Whoa.
Pupils are 5 millimeters and sluggish.
This one's first for C.T.
Is that Hank?
Oh, man. He okay?
I tried to pull him out, but he fell.
Everybody was all over him, Doc.
He took a boot to the forehead. Aah!
He's posturing.
I'll grab the burr hole tray.
No, no, no, it's an open fracture.
We can pop out the bone directly through the skin.
It'll relieve the pressure off his brain.
Let me have a bone elevator, please.
Ohh, yeah.
This stuff's singin' my song.
That should shut you up for a while, buddy.
Hold on. It looks like there's something underneath the skin here.
Is that...
A tooth.
Yeah, I'm pretty sure that's... that's mine.
Someone page dental.
Is there a problem, Dr. Pineda?
No.
Good.
Uh, vessels are still intact.
Probably dropped a lung. Set up for a chest tube.
Uh, do we need another guard over here?
This is gonna hurt.
Don't worry about Sonny.
Yeah, don't worry about Sonny.
That didn't even penetrate the muscle.
- Just some soft tissue damage. - You're a lucky guy.
Yeah, I guess being fat finally pays off.
See? He's a teddy bear.
Jackie, is that your blood?
Okay. Let's get him to sides till an O.R. opens up.
One minute from target.
You're wondering how you got yourself
in the middle of a high-stakes international negotiation?
No, I'm wondering how you did.
Maybe it's because I'm the best.
Ah.
Who's this Dr. Volkov?
Combat surgeon. Worked with him in Afghanistan. Good doctor.
Then what do they need us for?
Been asking myself the same question.
Look, don't mess with these people.
Three years ago in the Bering straits,
the Russians let a submarine sink
rather than let an American rescue ship get close.
Anatoli Malinowski must be very important to Putin.
30 seconds to target.
There she is, the Varshavyanka.
Squeeze with your right hand to slow down.
Don't jump. Just lean back.
What happens if I jump?
You'll lose your head.
What?
Permission to come aboard, sir?
I'm Captain Vasilievsky.
Welcome to the Varshavyanka.
Synced and corrected by Aaronnmb www.addic7ed.com
Where's Volkov?
You will focus only on the agreed upon task.
You will stay within the designated area only.
There are consequences for failure to comply.
There was explosion in lower engine compartment.
Not nuclear.
Lieutenant Malinovsky was working in the galley above
and was injured.
Here he is.
Where is Dr. Volkov?
Thanks for coming, Ethan.
Dmitri. They didn't tell me you were injured.
Anything to get out of work.
Lieutenant Malinovsky is the priority.
I'm fine. Probably a Galeazzi fracture or broken rib or two.
Deal with him. We're in a hurry.
Sternoclavicular dislocation.
This guy's in bad shape.
Can I roll up your sleeve, please?
Yeah.
Just texting my daughter Molly.
She's watching the news. She's freaking out.
I can imagine.
You don't scare too easily, do you?
Well, I couldn't do the job if I did.
Why didn't you let us know you were hurt?
Showing weakness to those guys?
It's a death sentence.
Well... you just became my spirit animal.
Can you give your spirit animal a couple of stitches, please?
On it.
You gotta be tough around here, too, huh?
- Sometimes. - Mm.
Molly wants to make sure I'll be at her play tomorrow night.
She's playing Juliet at her middle school.
Aw. I was in a play once when I was a kid.
I was a tree. Didn't have any lines.
But my mom sat through every performance.
Aw. That's the stuff that matters.
Well, tell your daughter
that we'll make sure to get you there.
There's someone here named Linda. She says she knows you.
She's my dad's girlfriend.
Thanks.
- Mario... - Here's the check.
Thank you.
I really think you should come.
Look, you got what you came for. Now I'm done.
I'm gonna stay here until it's time to go,
in case you change your mind.
I got patients. You should go.
So why did he attack you?
Damien's skinheads have had it out for us since the beginning.
You should've seen Sonny, though.
He wanted to take 'em all on.
Definitely saved my ass.
- You could've taken 'em all on. - Yeah, right.
No pneumo on his chest film.
Finish stitching him up. Let's get him out.
What about his tooth?
The dental resident says he'll see him in the clinic tomorrow.
Thought it was one inmate per room.
Jackie said it was okay, Doc.
Arlo and me are real tight.
He can't get along without me. Right?
Oh. What's going on?
- No pulse. - V-fib.
Do something. Will you help him?
Huh?
- Charging. - Sonny!
Clear!
Hang in there!
Check him.
Sinus.
- What the hell just happened? - His heart stopped.
But you said the stab wounds weren't that bad.
They weren't.
His clavicle displaced backwards from the sternum.
It's pressing on his aorta. It's causing him to crash.
Okay, where's the lidocaine?
Top shelf, labeled...
Pressure's tanking. He's gonna code. We gotta do this now.
I need a towel clamp.
Try one of those drawers over there.
Maybe you and your men can step out.
Or not.
B.P.'s down, 34 systolic.
You are going to fix right away.
Shh, shh, shh.
Relax. We're here to help you.
This must've been a huge explosion. Where are the other injured?
No other injured. Fix him.
Come on, you can do it.
It's moving, but I just need more torque.
Can you get something in here? Just pull it laterally.
Hey, you, come here.
Hold him. Hold him. Down. Down.
Sailor, I'm very sorry about this.
Ready?
One, two, three.
Aah!
Dr. Rorish, Damien.
- Okay. - He's seizing.
Push 2 of Ativan now.
Can you take the cuffs off so we can lay him flat?
- No way. - We need to protect his airway.
He's gonna break his wrist.
One cuff.
Please.
Okay, okay.
Got it.
He's going now. He's gonna need a head C.T.
This seizing could be caused by a traumatic brain bleed.
Jesse, hang a gram of Dilantin, please.
On it.
I'm gonna need to call up to Radiology,
let 'em know we're on our way.
We should clear that area before he goes anywhere.
- Let's do it. - All right.
I need a unit available to do a sweep.
What's a guy gotta do around here
to get 5 of morphine I.V. push?
Easy. You got a bad skull fracture.
Better give me some Zofran before I puke.
Or Reglan. Dealer's choice.
You're a doctor?
You don't recognize me?
I'm not sure if I should be relieved or offended.
Malaya, this here is Hank Goldman,
"Doctor to the Stars."
Oh, yeah.
I remember reading about you a few years ago.
That's not how you know me, is it, Rollie?
Hank was my resident. It was a long time ago.
He was a great doctor...
who made a lucrative career out of overprescribing narcotics,
until somebody died.
And you're telling me
that you never gave someone with a bad cut an extra band-aid?
That's all I was trying to do.
I believe the courts referred to what you did
as involuntary manslaughter.
You're the same old Guthrie, always by the book.
I'm not surprised to see you here working at county.
What are you making, 12 bucks an hour?
I hear Denny's is paying $15.
Ah, you buried the lede, Rollie.
Multiple areas of intraparenchymal and intraventricular bleeding.
We're already paging neurosurgery for a consult.
Don't bother.
I know how to read a C.T.
I know I'm a goner.
Look, I'm really... I'm really sorry, Hank.
Is there anybody that you'd like for us to contact?
My wife.
But don't call collect. She won't accept.
How long your hands been shaking like that, Rollie?
Tell you what.
How about today, you just be the patient?
You let me be the doctor.
Why does it take so long?
It's a very big cut.
It shouldn't take too much longer.
I will be back soon.
Dr. Volkov is in charge. And they stay here.
I think your boss likes me.
Maybe we can all go golfing one day.
The last time we did that, I almost died.
And you should be careful, Comrade.
They don't court-martial people in my country.
They shoot them.
How many times has he been court-martialed anyway?
I think it was only the once.
I was joking.
You're the gift that keeps on giving, huh?
Yes, I was court-martialed,
but I was ultimately cleared.
You're going to need more suture for that wound.
I think we're okay with what we got.
No, it needs a multilayer closure.
Ethan, I have some extra suture in my cabin.
- Better safe than sorry, right? - Mm-hmm.
Sure is a long way to his quarters.
Just sayin'.
Jesse, Radiology's ready for Damien.
Got it.
He's gone.
Leanne!
Damien got Jackie!
Whoo-hoo-hoo!
Jackie?
Whoo! Damien got Jackie!
Whoo-hoo-hoo-hoo!
I need some 4x4s, please.
We gotta get her into Center Stage.
Some guards in here!
Okay, I got a prisoner on the loose!
- We need more gauze. - Gauze. Gauze.
Let's get her into O.R. we gotta take her upstairs.
Savetti, Pinkney, over here!
Oh, my God. Jackie. Damien did this, didn't he?
- Where is he? - Security's on it.
Right now, we need to stop this bleeding.
Whoa, whoa, whoa. Hey, we're in lockdown.
No one leaves this floor until we find Damien.
We have to. She needs an O.R. now.
That is not happening. No one goes up and no one comes down.
- There aren't any surgeons down here! - You're not leaving.
You are a surgeon. You're gonna have to treat her.
Let's get her into Center Stage.
Let's go, guys. Get moving.
You get a pulse? She's lost a lot of blood. Let's go.
Noa, open up intubation tray, please.
I need a hemostat and vessel loops.
- Flying in. - I need a 16 gauge.
Watch your back.
Can you open up the rapid infuser, please?
Got it. Blood's on its way.
- Leanne... - Hey, she's one of us.
Give us some room here. Back off.
Okay, careful, careful. Focus.
Everybody, just focus. We've still got a patient to treat.
Phone call from Molly.
Her daughter.
Sew that up.
So where is this cabin of yours anyway? Moscow?
He'll be back.
When all this... happened,
you specifically asked for Willis.
Why?
In all my years in Afghanistan,
I work with many American doctors.
Willis is the only one I like. You know why this is?
I can't imagine.
His respect for rules.
Willis has no respect for rules.
Exactly.
- Still alive. Thank God. - Barely.
Who the hell is this?
Petty Officer Sergei Ivanov. He was injured in the explosion.
He's got a shearing injury from the fragments, to his abdomen.
Profuse bleeding.
I asked you if there were any other injured.
Captain wants you only working on Malinovsky.
So he was willing to let anyone else die, huh?
Told ya.
All right, let's get him prepped and draped for an ex-lap.
- What are they saying? - I need a laryngoscope.
You're gonna have to shoot me.
You know, he's still holding the gun, right?
Yeah, I noticed that.
The right carotid is torn even worse than the left.
She's bleeding through her sutures.
- We're at 32 minutes. - I know.
- I need more vicyrl. - Here you go, Doctor.
Come on. Molly needs you at her play tomorrow, okay?
How many units?
That's the eighth.
- Still nothing. - Damn it. Mario, take over C.P.R.
Heather...
No. Okay, I promised her.
Dr. Pinkney.
Time of death... 2:45 P.M.
We'll have to notify the family.
I'll do it.
- I can... - I said I'll do it.
Dr. Pinkney...
... Commence room by room search on second floor.
- Hank. - Ruth.
You actually called her?
Ruth, you haven't changed a bit.
Don't look too close.
I'm surprised you came.
I didn't come to see you, Hank.
I came to ask you again to sign these.
Right. Of course.
She keeps sending me paperwork.
We're not officially divorced yet.
This is low, even for you.
Low?
We lost our home.
Our kids, they had to switch schools. We lost our friends.
We lost everything.
Now the least that you could do is sign these papers already.
I didn't mean for any of this to happen.
- How many times can I apologize? - Not enough.
I need you to do this for me.
Please.
Fine.
If it's that important to you, just give it to me.
I'll wait outside.
I thought seeing him would be good from me.
I thought it would bring me some closure,
but it's just brought back every bad feeling
that I've had for the last five years.
He's dying, Ruth.
He made his bed.
I don't believe you feel that way.
- You don't know me anymore, Rollie. - I know who you were.
I know who you both were.
Come on, Ruth. This is not you.
This is what he made me.
Could you say that again?
Dilated cardiomyopathy.
That's why your heart went crazy earlier.
That sounds serious.
Well...
it means you have a severely enlarged heart.
Always said you had a big heart.
Would you let him finish telling me I'm dying, Arlo?
No, that's not what I'm doing here. It's...
You need a heart transplant.
Jackie's dead.
She was one of the good ones.
Well, I'm one of the bad ones.
I'm a murderer.
I don't deserve to live.
That was 32 years ago, Sonny.
You are not the same person.
If I get a heart that could've gone to someone else,
someone good...
I'll be just taking a second life.
I can't live knowing I did that.
Mnh-mnh.
All right, time to move him.
All right, come on, come on, come on.
This fragment from the explosion was embedded
in his right inguinal artery.
We're gonna have to get both of 'em out.
Yeah. I got it.
We need suction.
Just a few cc's of blood.
Good. It's not surprising, given the injury.
He may have a pulmonary contusion.
- Keep an eye on it. - Look at this fragment.
It shredded his renal artery.
All right, we gotta remove the kidney before he bleeds out.
Wait.
What about autotransplantation?
Find another viable arterial source, preserve the kidney.
Move it to where?
I don't know, but it'll take the same amount of time
as it would to trash it, keep him off dialysis.
External iliac.
The vessel has the right caliber
and it's the appropriate distance to the bladder.
Okay, you mobilize the kidney, I'll prep the iliac.
Hey...
this could work.
Yeah.
We're making a secondary swift.
Not one word.
You're gonna get me out of this hospital, bitch,
or I'm gonna cut you up like I did Jackie.
Okay.
Hold on!
- Okay, now. Okay. - Shh.
How you getting me out of here?
How are you getting me out of here?
Your internal bleeding's getting worse, Damien.
I can tell by the pallor of your skin.
Let me help you.
- I'm fine. - Okay.
Just get me out of here.
You're not fine.
Your peripheral arteries are constricting,
shunting blood to your central circulation.
It's why you arm's getting weak.
Shut up.
That sweat means your heart is racing,
trying to keep up with the blood loss.
Your vision is blurry
and you're feeling dizzy right now.
You don't know what you're talking...
Get me a gurney in here, now!
Yes, Doctor. Need a gurney!
Oh, my God.
Dr. Pinkney!
Dr. Pinkney, I need your help. Now!
All right, get him in there. He's in cardiac arrest.
Let me get a crash cart, guys! Let's go!
If everyone can stand down, we've got Damien.
This is Unit 6. We've got Damien in Center Stage.
Pinkney, he's a patient. Get in here now.
Where'd they find him?
I found him in my office...
with a scalpel to my neck.
Oh, my God. Dr. Rorish...
- No, I'm fine. - Let me take a look at that.
I'm fine let just focus on the patient.
I am.
Okay, I'll intubate, you open.
You sure you wanna save this guy?
I'm not a cop and I'm not judge,
and neither are you. Now let's go.
I need a laparotomy tray, and someone call the blood bank.
On it!
- Got him? - Yep.
Okay. I filled out the paperwork
for Sonny's transplant.
Why? He's right. He doesn't deserve a transplant.
He's a murderer.
I think people are capable of changing.
Yeah, well, you're wrong.
Who... who is that woman? Do you know her?
No.
You know, I don't have a single, good memory of my father.
How are you feeling?
About as good as a man with a brain full of blood can feel.
She took the papers and left, huh?
I haven't seen her.
- I'll order you more pain meds. - Don't bother.
What's going on with Guthrie?
The tremors,
flattened affect, festinating gait...
I can't talk to you about this.
You guys thinking Parkinson's?
Listen to me.
Ruth was right.
We lost our friends, our family,
everything important to us.
I lost everything.
And Rollie...
he's your friend, right?
Be his friend,
even if it hurts.
I'll go order that morphine.
B.P.'s stable.
Are we done here?
Are you okay?
No, actually, I'm not okay.
I'm not even in the vicinity of okay.
Why did you save this guy?
Dr. Pinkney, you should take a walk.
- I don't need a walk. - I think you do.
I want an answer! Why?!
You wanna know why?
- You want an answer? - Yes!
Because a patient had a lacerated renal artery,
and a doctor was there. End of story.
A patient? He's a murderer.
Is that a medical distinction?
Because if it's not, it is completely irrelevant.
You think that's irrelevant?
This psychopath gets the best medical care on Earth
and goes back to eating tapioca pudding
and shanking people.
And Jackie? She goes to the morgue.
That's just the way this one went.
And that's just okay with you?
We do what we can to save people,
without adjudication, without prejudice.
That's the discipline. That's the job.
The only question is, can you do it?
No.
- Kidney's pinking up. - That's what happens when it works.
All right, let's go. We're not even halfway home.
Here's the last fragment. Okay, I'm gonna lift it.
You can tie off the artery proximally.
You do know I'm not your first-year resident, right?
Your haircut confused me.
What's going on in here?
Who gave you permission to do surgery on this man?
I don't seem to recall asking for permission. Do you?
Willis...
Just relax. Keep working.
What about now? You still relaxing?
- Step away now. - Get the gun off of him!
Do as I say.
- Willis. - Do as I say!
Shut up!
- He will die if we stop! - Shut up!
- Step away or I will shoot you! - Look at me!
You and I both know
you're not gonna shoot an American Officer in American water.
You are correct.
You son of a bitch.
No!
Stop it!
This ends now.
Detain him.
Detain me?
Who do you think you are?
Anatoli Sviataslov Malinovsky...
Putin,
and I am relieving you of your command.
Now!
Sats plummeting. Hurry.
If he dies, we lose our authority here.
You don't want to know what will happen to us then.
Pulse is thready. No breath sounds on the left.
Trachea's shifted. This is a tension.
Pulse is gone. Starting C.P.R.
I'm cutting.
Come on. Come on. Come on.
Come on, Ethan. Get in there.
Pulse is back.
Sats are coming back up.
You can tell his uncle he's gonna be fine,
and tell him to stay out of our e-mails.
That the transplant paperwork?
I told you, I'm not gonna do it.
They're going to discharge you soon, Sonny.
This might be your last chance.
Everyone deserves forgiveness.
Tell 'em about the letter.
No. No, no, no.
Then I will.
They said they couldn't live with the hate anymore.
Who did?
The parents of the guy he killed.
Yeah.
He read me the letter so many times,
we memorized the whole damn thing.
Come on. Tell 'em the last line.
"We have to forgive you.
"It is as much for us as it is for you.
"We cannot live...
"with hate in our hearts...
"anymore."
Hank, look who's here.
What-what are you doing here?
It's way past your bedtime.
I wanted the fancy lifestyle, too.
Maybe more than you did.
Ruth, you don't have to do...
Shh!
Why don't we give them some privacy?
You kept this.
We had nothing.
We had everything.
You know, I introduced them.
Man, they were just kids, starting their lives.
- Rollie. - Yeah?
It's time to talk.
About what?
Malaya.
Dr. Guthrie, we know.
Look, I don't know what Hank told you,
but it's been a long time
- since he was a doctor. - I didn't need Hank to tell me.
Young lady, you are a second-year resident,
- and I am a senior attending who... - ... Who has Parkinson's...
Or worse.
Oh, and you came to this conclusion on your own, did you?
No. I did.
Yeah, a nurse.
I'm... I'm sorry, Jesse.
- I-I didn't mean... - Yes, a nurse.
The best damn nurse you ever met.
You're right. You're right.
It's just that I don't think that this is that serious.
And I an entitled to my privacy.
Rollie, let us help you.
Come on.
If you'd, uh, given me a little more time,
I could've worn my own...
instead of, uh, hunting through the lost and found.
How do I look?
Like a homeless person.
Yeah.
Let me help you.
Yeah.
What did you do here?
How do I look?
Perfect.
Angus, Linda.
Linda, Angus.
Hi. Nice to meet you.
You're his, um...
- I'm his stepmother. - No, she's not.
She is...
was my father's girlfriend.
Same difference.
I'm glad that you decided to come to the funeral.
Yeah, well, might as well see what I'm paying for.
Should we take your car?
- It's in the shop. - Not that car.
The Impala.
I think your dad would like you to have it.
Does it still have that dashboard waitress?
Yeah, the one that shows her ass every time you hit a bump?
She's still there.
I used to love that thing.
He used to drive straight into a pothole just to make me laugh.
There you are.
We're going to make peace.
You're kidding me, right?
I was white-knuckle panicked today.
You didn't seem it.
We can be tough and scared at the same time, can't we?
That's the job.
To tough women.
To Jackie.
Oh, my God.
We're the reason that kid got shot today.
We're the reason that kid had any chance at all.
We'd have left him where he was, he would've been dead in a half-hour.
Still, doesn't sit well.
No...
it doesn't...
which is why we are going to drink this,
right here, right now.
You stole that?
It was a gift from Volkov.
To saving the world.
You punched the captain of a Russian submarine today.
He had it coming.
Yeah, he did.
Now you can understand why I was court-martialed.
Sometimes they have it coming.
Synced and corrected by Aaronnmb www.addic7ed.com