Apologies if this week’s recaps feels a little rushed. I ended last week a bit ahead of things and then real life kicked in high gear this week and all of a sudden I found myself behind. Isn’t that the way it always works? O.o
Episode 4 Code Green
Donor: Blair Hubble, 17 yr old High School Quarterback
Recipient: Brandon, 36 yr old father and husband with a family history of early heart failure
Type of transplant: Heart transplant for Brandon, Blair will donate heart and other organs to multiple patients. None of which are are at Three Rivers.
We open under the Friday night lights of High School Football, a team has just made a great comeback win. Blair’s father though isn’t happy with his son’s performance and is loudly and publicly telling him about it. No matter that they ended up winning. When his Dad says lets go, Blair decides he’s going to ride on the bus with the guys. (I don’t blame him)
At Three Rivers, Andy comes in and asks, “How you doing buuuuudy?” (anyone else get a little ‘happy’ about the way he says ‘buuuudy’?” just me??) Dr. Andy is checking on a patient that he is very familiar with and has obviously known a while. Brandon says he feels great and Dr. Andy explains it’s the ECMO (heart/lung machine) they put in his chest that’s reoxygenating his blood and making him feel better…but sadly it’s a short term solution. They need to get him a new heart and fast.
This worries Brandon as his dad dropped dead at 37 and he’s now 36. He feels like he’s dodging a bullet. Dr. Andy tells him his heart could show up today and he’ll dodge that bullet. Dr. Andy, ever the optimist. I like that. In walks, Brandon‘s wife Deb, pregnant and bearing a card for daddy from one of his children. (sidebar: who thinks the O’Loughlin-Jones household’s fridge is covered with Spike’s drawings? Awwww. Do you think he draws baby Lions??)
Dr. Andy finds Ryan and asks if he’s updated UNOS with Brandon’s latest info. Even though he’s Status 1A, being on the ECMO gives him a few points for the bonus round.
Back on the school bus the young man with glasses is trying to be cool with team. Hmmm…one of these things is not like the others. He gets into a verbal one uppance with Antonio, the game saving player who is busy tooting his horn. Blair tells Antonio to back off him and switches seats with Bobby. A few minutes later -Bobby wakes up in a deserted field with the bus on it’s side, bodies strung everywhere. He walks around surveying the damage and finds Antonio and then Blair who are both alive and conscious. He calls 911. FINALLY!!
At Three Rivers they call a Code Green (mass casualty event) to the ER and all available clinical hands run in to be informed by Dr. Reed that a bus carrying a football team blew a tire and since they were the nearest trauma hospital the worst injuries would be sent to them in the first wave . Dr. Reed grabs Bobby, who refused to be transported on a backboard and treated like a patient, only concerned with the status of Blair. Dr. Reed tells him he still needs to be evaluated. Blair Hubble is the next to arrive and Dr. Foster throws a little humor at him and asks him the appropriate questions to evaluate his current mental status, which is fine. The next patient is Dr. Andy’s and he immediately thanks Dr. Andy (I would too…but for a completely different reason…I digress), he thanks Dr. Andy for getting rid of his leg pain (RED FLAG), Dr. Andy asks him to wiggle his toes and tests his plantar reflex. Nothing. He sends him urgently up for a CT suspicious of a spinal cord injury. Back with Blair, Dr. Foster calls Dr. Jordan in as he’s stopped responding and they suspect an intracranial hemorrhage. Dr. Lee is getting a workout doing the chest compressions for Rose, the bus driver. (Is it wrong to make a joke about wanting him to do chest compressions on me? Too soon??? Ok..) Pam starts working on Bobby who is still rattling on about Blair. He confirms how many people were on the bus since he’s the equipment manager, it’s his job to know all the details. He asks Pam how he just walked away and she responded he was just incredibly lucky. Man. Can you imagine? Wow. Again, he asks about Blair. Blair starts to seize and Miranda runs off to get his films.
Dr Andy is now up on the helo platform accepting care of the next arrival, Chad, a young man with open fractures of the lower leg, they’ve given Chad 10 units of morphine and he declares he could use 10 more (I Hear ya dude, morphine didn’t do shit for me after my surgery. Call me and I’ll tell you what to ask for. You’re welcome.) Dr. Lee looks like he’s about to pass out from the exertion (hnnnnnggg) of pumping on Rose’s chest when her monitor comes to life…she has a heartbeat and she breathes on her own. At his command, she squeezes his hand. (I may or may not have just fought back a tear) From the elation of Rose’s recovery we move to the heartbreak of watching Blair go into decerebate reflex, which nearly always a sign of terminal brain death and very rarely does one recover afterward. Will we have another against all odds recovery like Rose? Sadly, no.
As Brandon finds out his mom cant make the next flight home, pam comes in to tell him Blair didn’t survive. Brandon experiences survivors guilt…. “it should have been me”. Dr. Foster brings Blair’s parents in to spend a few minutes with their son. Mom asks what his last words were, obviously hoping for something profound, something emotional, meaningful she can keep with her…but Miranda has nothing to offer her but his responses to the standard questions. (sidebar: I felt this scene was a really nice touch and one rarely seen in medical dramas)
Chad is also asking about Blair, but Dr. Andy urges him to concentrate on him right now. Ok, I am…oh wait, you mean on Chad! Ok, gotcha. Concentrating on Chad , they discuss the extent of his injury to his leg and the consulting physician thinks he may be better off with a BKA. When Chad asks what a BKA is, Dr. Bedside Manner matter of factly tells him it’s a below the knee amputation. Chad freaks out and exclaims he can’t play football with a fake leg, they can’t take his leg! He explains he’s 18, only has his sister and it’s his choice. Yes, it is. We’ve discussed this so I’m not sure why Dr Andy states he still has to discuss it with Chad’s sister. (?).
Dr. Lee is watching over his recovering patient, Rose. He asks Dr. Jordan how she knew. She didn’t. They just had the time to devote to her. Lucky Rose. Today a miracle happened and instead of being able to savor the moment, a new critical patient comes in… lucky for Rose the patient didn’t arrive 30 minutes sooner.
Dr. Andy speaks to Chads sister who explains her brother’s one big chance is playing football. He’s beat all odds and she’s convinced that they should honor his wishes. Uh, yeah. He leaves her and runs into Melissa who works with procurement and immediately warns Andy about not blurring the line between the two sides, McG, I mean Andy pushes forward anyway…asking if she knew if Blair was a donor or not because he’s a good fit for his 1A patient. UNOS looks at the proximity of donor and recipient when matching organs. Andy is hoping for a hail mary for Brandon. Melissa says she’ll let him know when she finds out if he’s a donor. She still has to talk to the family.
Melissa finds Dr. Andy and tells him that Blair IS a donor but his heart was matched with a recipient in DC. Huh. So much for logistical relevance. I truly don’t understand how this makes sense and I get very sad. Dr. Andy puts on his emo face and I get even sadder. Stop it Andy. No don’t.
Where the hell is Dr. Reed? Oh, she’s at the desk checking the status of all the patients…she realizes something isn’t right. She’s figured out that one of the 42 kids on that bus is missing. Brandon is able to help them figure out it’s Anthony and they send a team out to find him at the scene. Miranda heads up the team to find Anthony.
Dr. Lee is treating a patient with a dislocated shoulder. He doesn’t want to be put under but is urged, “You DON’T want to be awake for this!” and by the sound of it, I agree! Eek! But his numbers afterward start looking a little wonky. Just from a simple dislocation?
Ryan runs to find Dr. Yablonsky that a heart has been offered for Brandon and runs into his wife in the hallway. She asks if a heart has come in for her husband and Ryan reluctantly tells her that it did. Oh. Ryan. O.O He runs into the treatment area to tell Dr. Andy a heart’s been offered for Brandon but the donor is unstable and they have to get the hear t within 90 minutes and they’re 200 miles away. As Dr. Andy says we’ll take it, Dr. Jordan stops him and says they can’t afford to let one of their procurement surgeons leave in the middle of the Code Green. Dr. Andy explains this is his patients last chance so Dr. Jordan says he has to find out another way to get that heart. He tells Ryan to accept the heart and be creative in finding a way to get that heart. Ryan has to admit Deb already knows about the heart. “She figured it out…” Andy asks, “How? How did she figure it out…is she psychic or did you tell her?” (Dr. Andy 1 Ryan 0) OH, OH, OH… Angry Andy!! Almost as hot as Angry Steve. Almost….but not quite. (McG 1 Dr Andy 0) what was I talking about? Plot! Oh yeah, plot…Andy yells at Ryan a little and tells him to ‘fix it’!
At the scene of the accident Miranda and the troopers are searching for Anthony. They figure he’s wandered off which is bad as there is wilderness in each direction.
Brandon walks up on Blair’s dad and he expresses his sadness. It’s a touching scene. Blair’s dad blames himself for his son’s death but Brandon blames himself. This is why he’s been so interested in Blair’s condition. Blair switched seats with him on the bus. Blair is dead. He’s alive. He basically is alive because Blair stood up for him and protected him. Sweetly, his dad tells him, ‘That’s Blair. That’s my son.” Blair’s family didn’t get any words of importance but now they have one of his last actions and boy is it a good one. From here he’ll save 8 lives with his organ donations. Taylors Gift often uses the quote “outlive yourself” when speaking of organ donations. Seems Blair will do just that. A short time on earth but will live on in others.
Oh snap, there’s Deb and she catches Andy when he gets off the elevator. He has to explain to her that there is a heart available but they don’t have anyone to go get it. She knows that if they don’t accept it they have to pass on it and who knows when they’ll rematch him.
Andy and Dr. Bedsidemanner go into surgery to work on Chad’s shattered lower leg, discussing their feelings that this is really a long shot surgery. The video monitor lights up and Dr. Gonalez (the REAL LIFE doctor Andy Yablonsky was modeled after and who worked with Alex on the set) comes on line and they discuss Andy’s bad memory when it comes to favors (huh, maybe Andy is more like McG than we give him credit for….) . Dr. Andy convinces Dr. Gonzo to procure the heart and when he tells Ryan they still need someone to get it from the airport, Ryan really wants to go and make things right.
As Ryan takes off to get the heart, we begin our final montage, which I personally find very touching, Andy goes to Brandon’s room and flashes Deb a smile that says he got the heart, Chad wiggles his toes, Dr. Jordan explains to Blair’s family and friends about the Donor Wall, Dr. Lee gets hugged by the very happy and grateful daughter (?) of Rose and Anthony has a moment to make up with Bobby, the kid he tormented on the bus but eventually saved his life.
This is life at Three Rivers and to quote Kuol, “it’s a good place to be.”
No gifs this week, sorry!! I just put a few screencaps up that require no words for you to enjoy this week. Quite honestly, there were no caps that spurred any wit. This was a pretty serious episode and I think some weeks may just be like that. We’ll still give you some pretty to enjoy even if we can’t give you anything to giggle at. Please feel free to leave your own giggles or comments as you feel inspired. ❤