Hello fellow Fangirls & welcome to the final Three Rivers Fangirl Sunday from yours truly. Can you believe this summer has flown by so quickly! After this, only two eps left! I can’t wait to see what Ess & Kim have in store for us. I’m very happy to say I enjoy this episode very much and think it’s very well done (a little “glossy” in that way tv can be, but for the most part, very very good). In addition, all the actors took their pretty pills, so let’s get to it!
Donors: Gwen Richards & Tommy Frisk, firefighters in Pittsburgh
Recipient: Lance Carlyle, their Captain
Transplant Type: lobe of a lung
Medical/Dramatic Dilemma: When you are presented with the choice to be a living donor for another person, how do you make your decision, especially if you have a complicated, and perhaps resentful, relationship with the person who needs your help?
Previouslys! Have there been previouslys before??? Alex voices it, so of course, it reminds me of Moonlight! The previouslys include: Andy & Rena not making up, Andy & Michael making bad deals and Andy & Lisa making out.
Then in a scene that is TOTALLY a Moonlight opening, it’s some mad warehouse rave that goes ON AND ON – drugs are being done, no one seems to care that the big dude in the football jersey is wheezing up a storm. The place catches on fire & it’s not certain if Wheezy is with it enough to get out when everyone else is making a run for it.
Cut to 3R where Lisa is trying to work, be her professional adult self and do a good job for her patients, who, you know, are DYING OF HEART DISEASE, and Andy is acting A FOOL. Lisa has him totally discombobulated. She’s all, “do we need to talk?” And he’s all “over drinks?” and she’s like…. “yeah I’ll think about it.” For like three seconds & then totally lets him off the hook with a date for that night. Good thing too because who knows who many patients Andy would have accidentally killed if he’d been wondering if Lisa liked him or not OMG!!! But they are cute together, so cute, so: Pass.
Ryan (literally) waltzes across the screen to tell Andy that Michael is in his office. Oh crap, Michael has blood all over his side. Andy doesn’t even look surprised.
Now it’s nighttime again (???) and we’re back at the scene of the fire, the firemen (yes, just the fire MEN) are running to and fro enacting plans to save anyone inside the building and put out the fire — plans which do not include a youthful, freshfaced fire WOMAN who looks like she wants to help and is getting tired of being passed over for assignments. Inside, the men rescue a party-goer, but a beam falls on one of them, a guy named Jimmy.
The captain calls for help and FireWoman is there immediately, she must have followed them inside. She proves her strength by helping dislodge the beam. Outside, she calls out her Captain for not giving her priority assignments when she has seniority over others on the team. He dismisses her concerns saying firefighters have to trust each other – and she almost couldn’t lift that beam. Jerk! She points out she DID lift it. Meanwhile, Wheezy, aka, Patrick, has called into 911, he’s in the bathrom, where we last saw him, but the floor has collapsed! He’s in a deep hole, and time is running out, as the whole building is in danger of falling down. Captain and FireWoman do their best — Patrick is pulled to safety – but the Captain gave Patrick his breathing mask! They pull Captain to safety, but he’s not breathing…
Michael gets his stab wound stitched up by an irate Andy. Michael doesn’t want Andy to report it because they might send him back to jail if they investigate him and find he’s been violating his parole. Andy, reasonably, is concerned with losing his medical license if he doesn’t report it. Rena walks in, and, well, she’s family AND the police, so Michael tells her he was stabbed from behind, in a mugging, no idea who did it…. riiiiiiiight.
Jimmy, Patrick and the Captain have all arrived at 3R and are taken inside for treatment. Miranda and David are treating Patrick who is… really in a bad way, poor guy. Burned everwhere, his clothes melted to him, still having trouble breathing. Andy is treating the Captain, who still is unconscious and on pure oxygen. Jimmy is being treated by Lisa. Busy busy busy!
Can someone who is medically inclined tell me, is this a common thing, for a doctor to listen to a patient’s breathing with the stethoscope only in one ear?
Patrick’s mom shows up, and Patrick really starts showing signs of just how out of it he is – Patrick says he didn’t take any drugs but David and Miranda can’t take the chance that he did and give him pain medicine. They see track marks on his arms so give him some Narcan. His mom is beyond devastated.
The rest of the fire crew arrive and a tall, intimidating man, Tommy, starts blaming FireWoman (Gwen) for Jimmy and the Captain’s injuries, which were so not her fault, but she is like five feet tall and 90 pounds and such a convenient little scapegoat. Theo, one of the older firefighters, tells Tommy to calm down.
Up on the surgical floor, Andy and Miranda, treating the Captain, aren’t liking how his lungs are looking. The firefighters show up & tell Andy that Captain (his name is Lance) doesn’t have any family in the area, just the fire crew. Andy asks Ryan to find Lance a pair of lungs IMMEDIATELY, like in hours. This is obviously a tall order, but Ryan gets to work.
Back in the ER, David and Lisa are still working on Patrick. Patrick’s mom is trying to get Patrick to admit which drugs he’d taken that night, but Patrick, still frantically struggling for each breath, denies taking any drugs. Mom tells David she can’t get her son to admit to anything, but she discloses that he has taken cocaine in the past.
Rena and Andy reconvene to talk about Uncle Mikey. The detectives think he was stabbed by a mobster that Michael used to work with before he went to prison. Andy doesn’t know anything but Rena presses him, and Andy’s kind of insulted that she thinks he would lie to her about this, but she’s just doing her job.
Ryan’s not having any luck finding Lance a pair of lungs, and the specialist Andy has called in to consult isn’t optimistic UNOS will even give a pair of lungs to Lance, sick as he is. Andy, who is looking ponderous and beautiful (and still wearing his wedding ring, are you kidding me?), wants to put Lance on an ECMO, but there are risks associated with that course of treatment. But by now we all know that Dr. Andy’s not going to give up hope for the best possible outcome.
David and Lisa, still working on Patrick’s mysterious case, get his tox screen back, which shows no drugs. They ask the EMT about Patrick’s track marks and she admits she had some trouble getting the IV in him because of all his thrashing about. He didn’t do any drugs!! They tell his mom and she is relieved!! But why can’t Patrick breathe?? It appears Lisa and David have a mystery on their hands.
Andy, who is curiously wearing a camo-patterned surgical scrub cap (another hat-themed H50 shout-out??), implants the ECMO in Lance. Ryan appears with the bad news – no lungs for Lance. Not now, not ever. Andy breaks the bad news to the fire crew. No transplanted lungs for Lance, but if they can find enough living donors to give Lance portions of their lungs, called lobes, they can put together enough parts to give Lance the lungs he needs. All the firefighters, starting with Theo and Tommy, volunteer to be tested to see if they will be a match.
The firefighters go to visit Jimmy. Miranda does a valiant job of holding on to her temper as Tommy mistakes her for a nurse and isn’t even really sorry about it when one of the other men on the team correct him. Gwen and Miranda share a moment over sexism in their respective fields. It’s pretty awesome.
Jimmy hears about the testing being done on Captain Lance’s behalf and wants in, even though he’s just gone through major trauma and is probably the last person who should be undergoing major lung surgery. Miranda reluctantly allows him to be tested. Andy gets the results back — Theo is a match. However, he declines to donate because he can’t miss two month’s work with a family to support. Tommy is also a match. He’s ready to donate. Jimmy is also a match, but Andy and Miranda don’t tell him yet because… Lance sure is a lucky guy! Gwen is ALSO a match… but she further discloses to Miranda that when one of the firefighters in their house attempted to rape her, Tommy rescued her, and Lance covered it up by transferring the guy to a different fire house. She strongly declines to donate to Lance. That means Jimmy and Tommy will be Lance’s two donors. When Gwen learns Tommy is risking his own long term health for Lance she’s filled with guilt.
Patrick is crashing again big time! Poor Lisa really has her hands full and she and David do their best to relieve his breathing problems, but they still don’t know what’s causing them. Mom is highly concerned. Everything they try is not working, and they’re about to do a scan on Patrick when he begins complaining of joint pain. This symptom, matched with some of the others they knew about, and others they didn’t — they needed to examine his hands, which had been covered in burn treatments this whole time — they, in a rapid patter, diagnose him with Löfgren syndrome, a rare type of sarcoidosis and whisk him off for treatment!
Gwen decides she can’t let Jimmy risk it. Since he’s injured and she’s healthy, that makes her the best choice to go through with the donation. Theo looks a little guilty, but he keeps quiet. Gwen says she pulled Lance out of the fire earlier, she could save his life again now, given the chance. Going in to surgery, Gwen and Tommy talk, he apologizes for how he’s treated her, but she’s not really having it. He admits he’s scared as Andy arrives to take them in to surgery, and Gwen extends a comforting hand to Tommy.
For those interested, the song playing over the transplant montage is “Take Me Back In Time” by Idlewild.
David gets a hug from Patrick’s mom and Gwen has earned the respect of her peers and Captain. Happy ending?
Walking to get that drink, Andy and Lisa are met by Rena. Kind of awkward for them, but Rena is exceptionally cool about it, she’s so over Andy she doesn’t even look concerned that he’s with another woman. She tells Andy that Michael’s now a murder suspect: the guy who stabbed him has been shot in the face (!!!). The organized crime detectives know Michael’s been laundering money, and the money donated to Kuol is suspect, and may be seized. Andy needs to come clean to the police about what he knows, but he doesn’t want to betray Michael or risk Kuol’s transplant fund. Rena, who is really doing Andy a huge favor by letting him know all about this, can’t do anything more to help. She and Andy are great friends though, you can tell she really cares about him as a person, and she leaves him to let him get back to his date with Lisa.
Pretty good episode, I think! No deaths, happy ending for the patients, it was missing Kuol & Dr. Jordan, but didn’t necessarily suffer because they weren’t there. Andy also randomly changes his shirt from a dark grey-green number to a light blue pinstripe (and then back) during this episode, amongst many changes in and out of scrubs, so it’s a good one for costume variety, if that’s your thing. 😆
Blood donation One alternative to help those with blood loss is blood donation. One pint of blood, which takes about fifteen minutes to donate, can save three lives. And then you get a cookie! Visit America’s Blood Centers to find a donation center near you.
Bone Marrow From the website for the National Bone Marrow Donor Program. “For people with life-threatening blood cancers like leukemia and lymphoma or other diseases, a cure exists. Be The Matchconnects patients with their donor match for a life-saving marrow or umbilical cord blood transplant.” Imagine if your bone marrow could cure a child with leukemia! I encourage you to visit this website and register as a donor. This is a donation you make while still living and in the words of Rebecca from episode 5, “Alone Together,” “if you save one life, you save the world.”
This episode had it all: twists & turns, surprise reveals, and Andy’s Perfect Hair! Winner winner chicken dinner!! Thanks for reading & here is a beautiful picspam for you to enjoy.
and a special one, just for the last scene!