-[weatherman on TV] A brutal heat wave… -Barely 7:00, and it's already…
-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.
[laughs]
You, uh, really went for it.
It's an investment in our future.
-We will need these many, many more times. -Mmm.
[weatherman] …keep pets indoors, make sure they have plenty of water.
If you need to
you can borrow my hoodie.
[weatherman] …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.
[sighs] 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?
[hesitates] You are a first-year resident.
I have much more surgical experience than you.
And I have much more physical disability experience than you.
[cell phones chiming, buzzing]
-It's the ER. -[cell phone chimes]
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.
[theme music playing]
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.
[chuckles]
You remind me of Jerry at the home.
Although, you're easier on the eyes.
Let's give Edna five of metoprolol.
[alarms blaring]
Lost her pulse. Need a defibrillator.
[defibrillator charging up]
[ribs cracking]
Got her pulse back.
[monitor beeps]
[sighs]
[Jerome] 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.
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.
[monitor beeping rapidly]
Her core temp's 106. She's critical.
Axilla's packed. Two cooling blankets. None of it's helping.
-[alarm blares] -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.
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.
Mmm.
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.
Nothing more depressing than a few laps around the dating pool.
Amor.
[sighs]
Arthur Abbott?
Art?
Well, he couldn't have gotten far. He's--
A hundred years old, as of today.
Oh, Art's one spry son of a bitch.
[footsteps approaching]
I hear you saved my life today.
And fractured some ribs in the process.
Mmm.
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.
[chuckles softly]
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. -[laughs]
I've got 68 employees, 7 of whom are annoying,
and of those seven, four are my best employees.
They consistently challenge me with opposing points of view.
Hmm.
[grunts, winces]
I can't breathe.
-[alarm blaring] -Ahhh!
Code Blue!
-[grunts] -Heart rate is 32!
I need a crash cart!
[Shaun] It's a structural issue causing cardiac ischemia.
Then we would've heard a murmur.
-What about a coronary vasospasm? -No.
Brooks's troponins are only mildly elevated.
Hi, Lea.
His electrolytes were off.
-Could've been a response to dehydration. -You're wrong.
And your opposing points of view are not useful.
It is structural.
We came here because it's 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 hunting the walking dead.
Andrews was looking at you, not me.
Should we talk about what's really bothering you?
You look over there for the old guy you lost,
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.
Mmm. You were with Powell.
I don't like her.
'Cause 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?
[servers powering down]
And there's the blackout.
-[servers powering up] -[Shaun] Oh.
That didn't last long.
That's just the backup generators kicking in.
And how long they will last, I have no idea.
We got your labs and imaging back.
Heat has caused damage to your heart and lungs.
It's permanent.
And, um…
You're dying, May.
Very soon.
A matter of hours.
But we'll make sure you're not in any pain and keep you comfortable.
Do you have any family we can call?
No.
My husband passed last year.
Didn't he?
Is there anyone you want to be here with you?
Marty was always the social one.
We talked about seeing the world.
Marty and I finally booked a…
a trip to celebrate our 60th wedding anniversary.
To Paris.
[sniffles] But he got cancer.
He still wanted to go, but I said no,
we needed to get him better first.
Hi, Edna. I'm Dr. Aaron Glassman.
I understand you wanted a second set of eyes.
Thank you for coming so quickly.
-Well, I was in the neighborhood. -[chuckles]
How you handling the heat?
Well, I brought you this.
In case you want to use it later.
Any shortness of breath?
I've had that for ages. It doesn't really bother me.
At the home, everything's right there.
Well, that's convenient.
It is.
I do like to go to the courtyard.
They have a beautiful eucalyptus tree there.
When my granddaughter visited from Eugene last summer,
we sat out there and just watched the leaves rustle.
Well, that sounds just lovely.
It was.
May I?
Does it hurt when I press here?
-[inhales sharply] -Okay, okay. I'll take that as a yes.
Any problems with memory, forgetfulness, confusion?
I am 90.
But I just won all three matches at last week's cribbage game.
So I guess it could be worse.
Card sharp, huh?
Mmm-hmm.
Edna, this tumor's a monster.
To take it out would be very risky.
You might not survive the procedure, or worse.
Ventilator, chronic pain, immobilization.
Dr. Park went through all of this with you?
Yes, he did.
I want the surgery.
And another butterscotch pudding.
When you have a moment.
I'll see what I can do.
We're doing the surgery.
You know Edna's heart stopped, right?
And restarted without a defibrillator.
This is a huge surgery for a 20-year-old.
And? Age isn't the only issue.
-She has no idea what she's getting into. -I think she does.
She's blindly optimistic.
Or is it blind faith? What's the difference?
She wants to have the surgery.
That faith could destroy what little quality of life she has left.
Her call.
We need to radically slash power consumption.
Your servers pull more energy than any other department.
For good reason.
If our servers go down, that'll take out the SmartEnergy Hub.
What's a SmartEnergy Hub?
It directs power to areas that need it and reduces it to areas that don't.
I can't guarantee the generators won't overload.
Our backup system needs a backup?
Without the Hub, we'd be in the dark already.
We need to act now.
Shut down top two floors, relocate patients.
And compromise the medical care of over 80 people?
I'll look after the patients, you look after that Hub.
We need to talk about why I don't like you.
Sounds fun.
Your hand lotion smells strongly of almonds.
Injecting contrast. You are stubborn and intractable,
demonstrated by refusing to transplant a pig's heart,
ignoring proper procedure for inserting an IV--
And I didn't back you up on Lim's surgery.
You were wrong about that too.
The feeling's mutual.
Very stubborn.
And almonds.
I've seen you get distracted when something irritates your sensibilities.
Never seen that make you a jackass.
The coronary artery is coming off the pulmonary, not the aorta.
This is very rare and will require a very complicated surgery.
He could drop dead at any minute.
Yes, he could.
Okay.
How about a coronary artery bypass?
[fan whirring loudly]
Oh.
Swamp cooler.
Okay, Brooks's anatomy is far too complex for a bypass.
We won't have all the necessary information until we open him up.
Why don't we do a cardiac MRI first?
That would be useless. His arteries are too tortuous and dilated.
It'd make interpretation of images impossible.
Okay, so your plan is to have no plan?
My plan is to open him up, observe, and improvise.
You can't improvise a complicated--
Stop contradicting me. I have more surgical experience than you.
Yes, and it's your job to teach me.
Then why do you act like you know as much as I do?
[scoffs]
Knowing why I don't like her
isn't going to help because she won't change.
You're off the case.
[server powering down]
[sighs] We just lost our first server.
How about ECMO and CRRT?
That could bridge May to multi-organ transplant and--
Danny, she won't even tolerate anticoagulation.
Right.
How you holding up, Chief?
My office is a sauna.
The Wi-Fi died, and I just lost my last two hours of work.
Well, Andrews just put the hospital and the ER on full divert status,
so we both have the next couple hours free.
The AC at the VA's still working.
Oh, I have physical therapy in 20.
You go to therapy to get better when you're injured.
I am injured.
You were. You're not anymore.
Living with a physical disability is not like living with, like, cancer.
You're not dying. You're not sick.
I see a healthy, fully capable woman sitting across from me.
At some point,
you need to start seeing yourself like that too.
You were right.
About the wander bracelets.
Andrews was looking at me.
Are you just saying that to make me feel better?
-Did it work? -No.
When I was a junior in high school, I made this vision board.
Two horses, Olympic medal in archery,
tour with NSYNC.
All goals that I'm okay with not accomplishing, but…
Being a surgeon, getting married,
having kids?
One of those is already off the table,
and the others feel like they're sliding out of reach.
I just… I feel like there's this huge hole in my life.
You had a vision board?
There he is.
[Asher] Mr. Abbott! Art! Hi.
We're doctors from the hospital.
Let's get you out of this heat, okay?
He's all yours, Starsky.
Mr. Abbott!
Art!
[sighs]
[whistle blows]
I was nervous my first time too.
Shouldn't they lower the hoops?
You've been pushing that chair around for months.
I'm sure your arms are up to it.
Today is about fun, remember?
-[scoffs] -Ooh, you're tall.
Good reach too.
Audrey, this is Clay.
He's captain of the losing team.
Mmm, love your optimism, Powell.
You're 0 for 6 against us.
Right, which is why I call dibs on the newb.
She who brings the long-armed newb plays the long-armed newb.
-Wh… -I think I'll just watch.
Oh, come on. You will love it.
[whistle blows]
You're gonna improvise?
Based on my visual assessment of your anomalous anatomy.
So you're going to have to make a lot of decisions in the moment?
Oh, at least six.
Where's Dr. Powell?
Off the case. But she will be replaced.
I want her back,
challenging every decision you make.
Her challenges have not been useful.
[Brooks sighs]
Israeli intelligence refuses to make any major decisions
until they are thoroughly challenged by the Tenth Man,
a person assigned to raise every possible pitfall before proceeding.
I have a successful business because of it.
If you can't work with a Tenth Man,
I'll find a surgeon who can.
We're gonna get you cooled down.
Jerome!
Jerome, we found Art!
No. I found him.
In the hospital laundry room.
So who did you kidnap?
[indie rock song playing]
-[whistle blows] -[song continues]
Hey! Whoa! You leave it out there, I'm picking your pocket, newb.
[Tory] Yeah, I'm open!
-Yeah! -Nice shot.
[Clay] All right, get back on D!
[Danica] Go to the low post.
Let's go! Come on!
Stay out of my lane.
Pass it!
Open!
No, don't leave her open.
-Whoo! -Yes!
[whistle blows]
[applause]
Nice shot, newb.
-[sighs wearily] -[chuckles]
Ow.
[monitor beeping steadily]
She doesn't have much longer.
We're taking May to Paris.
I kicked Powell off my case,
but the patient said I can't do surgery without a Tenth Man,
but I don't want Powell as a Tenth Man because I don't like her.
I work with people I don't like all the time.
Carol.
Focus on the good, forget the bad.
There is nothing good about Powell.
Really?
If there is, I don't know how to find it.
Common ground.
Find the… the… the common ground.
My father-in-law, for instance.
We were like frozen Popsicles in a… in a freezer.
-Popsicles? -Metaphor.
We were so uncomfortable around each other.
He didn't like me, I didn't like him.
And then, on Maddie's fifth birthday party,
my father-in-law pulled out a deck of cards
and performs, to perfection, this magic card trick.
I'd been fumbling over that same card trick for years.
I used to have a magic show.
Amazing Aaron's Magic Show.
And from that point on, we thawed out, you know?
And we were never close,
but we were okay around each other.
Common ground.
Simile.
[alarm blaring]
[servers powering down]
It was two months before I scored in a game.
Ugh, I won't be able to move my arms tomorrow.
Not good for a surgeon.
-0 for 7, Doc. -[Clay] Mmm-hmm.
-You're a doctor? -Pediatrician.
-I play much better against the kids. -[chuckles]
Just for the record, I did not love that.
No? Then why are you smiling?
-It's more of a grimace. -Oh, maybe.
Or maybe it's nice.
Being treated like a normal person again.
That patronizing politeness accorded to the helpless, vulnerable invalid?
That crap gets old fast.
[cell phone chimes]
Same time next week?
Not a chance in hell.
Okay.
[Danica] And I'm back on the case.
I didn't know you were off it.
Figure you can use these more now than I can.
Already lost one generator, and the other is on its last legs.
ICU and OR are the only places with working AC.
The whole hospital could go dark at any time.
You're gonna fire me, aren't you?
Not if the board fires me first.
I got to make some calls.
Number six.
[monitor beeping steadily]
[Dr. Glassman] Lung is clear. Moving on.
Give her a bump of Dilt.
We don't want her heart going haywire
while we're trying to pull this thing off of it.
Renal parenchyma isn't clear.
I can't resect this aspect of the tumor without sacrificing the kidney.
Take the kidney.
She'll need full-on dialysis.
Blood-pressure volatility, fainting spells, electrolyte imbalances--
She can live with it. Take the kidney.
When my grandfather got pancreatic cancer,
my grandmother pushed his doctors to operate.
Complications from surgery
cost him everything that made his life worth living.
Now, he could have spent his last few months
in palliative care with his family.
Instead, he got three years of pain and misery.
Now, we stop now, she'll have a few more good months.
Butterscotch pudding.
Life is hard.
Sometimes the pain of loss or whatever is so acute,
you don't know how you're gonna go on or why.
And then you find a reason or a reason finds you.
Someone needs you.
You find love, a purpose.
Dialysis isn't going to stop Edna
from the joy of seeing her granddaughter or the rustling of the leaves.
Or butterscotch pudding.
I'll take the kidney.
Brooks's unstable angina has worsened. The surgery can't wait.
Do you watch The Weather Channel?
This is San Jose. There is no weather.
Other than today. [scoffs]
Helsinki has a lot of weather.
You watch Finnish weather reports?
I find using science as a predictive tool very reassuring.
I've seen some good weather movies.
Twister, The Day After Tomorrow--
Those movies are very unrealistic.
-Sharknado. -Pancakes. Do you like pancakes?
Not much of a carb person.
I do love bánh xèo.
Vietnamese crepes, stuffed with pickled daikon radish--
No, those are not pancakes.
We have no common ground.
Dr. Glassman's advice is not useful, nor Lea's advice.
I still do not like you.
[groans softly]
That's every senior-care facility within a five-mile radius.
Alamitos?
Vista Park?
Edenvale?
Any of those places ring a bell?
Where's my Emma?
I'm gonna end up in Edenvale, aren't I?
With no one to report me missing.
No, you're not.
Edenvale's far too exclusive.
Come on. You know you're gonna get back together with Park.
Sam?
Someone just called our ER
looking for a 91-year-old Samuel McIntyre of 378 Meadow Drive.
[exhales] We really did kidnap him.
His grandson Kyle is coming to pick him up.
As in Kyle McIntyre, attorney at law.
Solar energy company's delivering a battery truck,
which would give us the power we need.
-That's fantastic. -Except, we can't access it.
It's DC power, and they don't have an inverter.
MRIs run on DC. They must have inverters.
I'm not sure they can integrate it into our grid.
We'll find out. Have Engineering take an inverter to electrical room.
Okay.
What's happening?
We're taking you on a little trip, May.
Just sit back and enjoy.
[headset turns on]
Welcome to Paris.
["Non, Je Ne Regrette Rien" playing]
[May] Oh.
Oh, my…
[song continues]
It's… It's Notre Dame.
And the Louvre.
[gasps]
And the Eiffel Tower.
We made it after all.
Isn't it beautiful, Marty?
[song continues]
Yes, it is, May.
[May sighs]
[Shaun] Oh. Brooks's coronary anatomy is very, very unusual.
[Danica] Yes, it is.
I was hoping to implant the coronary artery directly onto the aorta--
-It won't reach. -I know. I was about to say that.
Sorry.
We could do a bypass with a homograft, although--
The graft would clot.
I was getting to that.
I don't need your bad ideas.
I was hoping you'd hear it and make it a better idea.
-Stop talking. -No!
I'm fine with you not liking me,
but that doesn't mean you get to disregard my ideas.
I would've thought you'd understand what it's like to be treated as the other.
You want to find common ground? That's our common ground.
We can use a modified Takeuchi procedure to tunnel the RCA using TEE guidance.
Great plan. I'll cross clamp the aorta.
[power turning off]
[Danica] It was a great plan.
[Shaun] We need to do an off-pump modification of the trap door technique.
Number 15 scalpel.
Without electrocautery, there's a huge risk he'll bleed out.
We need to improvise.
What about adjustable ligature technique to cinch down bleeding vessels?
That is from the Civil War.
I'm a little bit of a surgical history geek.
55 over 32. He's critical.
That ligature technique could permanently damage the vasculature.
We will do the off-pump modification.
In the Civil War, they also used heat on metal.
[Danica] To cauterize.
I'm sure somebody has a lighter.
[tapping on glass]
I'll cut, you cauterize.
Is this gonna work?
It's not rated for this energy load.
[nurse] BP is 48 over palp.
We're losing him.
[Shaun] Okay.
[flesh cauterizing]
Anastomosis complete.
[Danica] Unclamping the aorta.
Heart is perfusing.
[nurse] 61 over 40. He's stabilizing.
[sighs]
[power turning on]
Wonder if Jerome will wait for me.
Till we get out of jail.
Grandpa Sam!
There's my Emma!
[laughs]
[Sam speaking indistinctly]
He just recently started to wander.
I don't know where you found him, but with the heat today…
you probably saved his life.
♪ I can't tell ♪
♪ If I'm crushed or cradled ♪
♪ Between the bars ♪
♪ In this hotel ♪
[Sam] Thank you.
♪ I wish there was something You could hold… ♪
We're heroes.
Who knew.
♪ What's it gonna take? ♪
♪ Oh, what's it gonna take For this place to feel like home? ♪
Thank you.
What?
You're, uh…
You're an amazing person.
♪ What's it gonna take? ♪
♪ Twenty-seven years on a rock in space ♪
♪ When is the fever gonna break? ♪
-How's our Edna doing? -Pretty good, actually. Considering.
Butterscotch pudding?
♪ Yeah, what's it gonna take For this place to feel like home? ♪
Mmm, this is good.
♪ Oh, what's it gonna take For this place to feel like home? ♪
[tango music playing on speakers]
We're back to 80% capacity.
Nice job.
Back at you.
[music continues]
Maybe you can meet a guy in a tango class.
That hole in my life…
It's not that I want a boyfriend.
I want a child.
Brooks's EKG is perfect.
[Shaun] Hmm.
The first brain surgery was performed in ancient Egypt.
The patient died.
I heard they found surgical tools in a pharaoh's tomb.
Hmm. They were made of bronze.
There's a great surgical museum in Chicago.
You should check it out sometime.
Well, what happened there?
She changed her hand lotion.
How do you feel about tennis?
I play every Saturday.
Unless you're too busy with PT.
I think I might be ready to graduate.
[music ends]
[closing theme music playing] aduate.