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Can I get some help in here?
Code Blue, section 12.
Code Blue…
I need some help, please!
What's going on?
Came in, he was seizing, then he started coding.
-I'll get the bag. -What's going on, Charlie?
I came in, he was seizing, he went into V-tach, and then he coded.
-Let's swap compressions. -Okay.
In three, two, one…
-Good swap. -Section 12…
Breath, two, three, four…
Okay, what's going on in here?
I heard the alarm from the hall. I came in and saw he was seizing,
silenced the vent, noticed he was in V-tach,
and then he went asystolic.
-Compressions. -Watch out.
No epi yet. He's about a minute into compressions.
Okay. Let's get the epi started, please,
and let's pause in a minute for a pulse check.
Copy that.
Breath.
Quick compressions.
-12, 13, 14, 15. -Breath.
-Breath, two. -Two, three.
-Breath. -Six, seven, eight, nine, ten…
Let's pause for a pulse check.
14, 15. No pulse.
-Is that a shockable rhythm? -Yeah, it's shockable.
-Uh, let's charge 150 joules. -Charging.
-Breath. -Ten, 11, 12, 13, 14, 15.
-Quick compressions. -Come on.
Five, six…
-Keeping compressions.
-Clear for the shock. -You all clear?
-Clear.
Back on the chest. Let's get another round of epi, please.
-A little deeper with our compressions. -Breath.
Breath. Hold.
-Keep your compressions. -Talk to me.
-Good compressions. -Breath, two, three, four.
-Breath. -13, 14, 15.
-Breath. -Can I get an epi standing by?
Four, five, six, seven…
-And charge. -Ten, 11, 12, 13.
-All right, let's pull back. -All clear. All is clear.
-All clear.
-Back on.
-Three, two, one… -Breath.
-Faster compressions, please.
Breath.
14, 15…
200 joules. Let's hit him.
Breath.
-Breath.
-Hit him again.
Back on.
Breath.
-I'm not getting anything. -Breath.
Ten, 11, 12, 13, 14, 15.
-Fuck. -Three, four, five…
-Easing compressions. -Eight, nine, ten, 11, 12, 13…
-All right. -14, 15.
He's had enough.
Mark the time of death.
And let's call his wife.
-Almost there.
Oh.
-How long have you two been married? -Three years.
Wow. Couple o' newlyweds.
You know, baby, I love you so much.
All right. I have got it.
-All right. -Oh.
Can we get her some water, please?
Sorry, she can't have any until tomorrow. She still might choke.
But here.
This is gonna make her feel better.
-I have to go, but I'll be back. -No. No, you can't go.
You know the rules. I'm not allowed to stay.
Hey, Sam, this chair reclines.
You want a blanket and pillow?
Yeah. Thanks. Yeah.
Okay. I won't tell if you don't.
-I'll be right back. -Thanks.
You've pushed a liter. I don't understand why his pressure's low.
They don't know, but they want another set of labs at midnight.
Okay, what about Holly?
Holly is stable, but they still need to get--
Amy.
I'd like to have a word with you about 310.
Jeez.
You let a relative sleep over?
An old man, yeah. He was exhausted, and it was 1:00 a.m.
We don't have the staff to run a hotel for relatives.
Management has got me rationing coffee filters.
Every penny is like a freaking prisoner.
I had to beg Linda Garran for extra staff.
Right.
But I got nights some help, okay?
A new guy, tons of experience, great recommendations.
-Oh.
Great.
-You're welcome.
-It's Viv.
Hey, Holly, it's Amy.
All right, I'm just gonna turn you a little bit.
Just put this arm down.
Hey, I ran into your sister when I started my shift.
She's so nice. Did you guys have a good time together?
I can't believe she's got twins.
I don't know how…
she does that.
Okay.
One, two, three.
Okay, one…
Ah…
How was the fried chicken? Did you do the paper bag shake?
Yeah, I did the whole thing. Whatever Julia Child said, I did.
-Amazing. -Um…
Uh, I think… you still owe me for last Friday.
But… But it can wait, really.
Oh no! I'm sorry.
No, really, it's okay.
I'm such an idiot.
-Okay, 20, 40… -Listen, you really don't have to do this.
-I don't need it all. -Six, seven… No, no, no. Eight, nine…
Come on. Here, take it. There's 50. Sorry about that.
-Thank you. I'm sorry too. -It's yours.
Come on, Mr. Teddy. We're going to school!
I think we talked about Mr. Teddy not going to school before.
-Thanks, Mom. -Come here, Mr. Bag.
I'm ready.
-Bye. -Have the best day.
-Bye! -Love you!
-You need some milk, by the way. -Okay. I'll get it.
-See you later. -Thanks.
Off to class, girls.
Hmm.
So it's not the news we were hoping for.
Hmm.
How bad we talkin'?
If you continue like this,
you're looking at a serious coronary incident within months,
which could be fatal.
At the last appointment, you said that there were options.
I know, but that was before we got these results.
This is now about keeping your heart going long enough.
For what?
To get you on the transplant list.
And you'll have to stop working, take medical leave.
I can't. I need health insurance,
and I don't get paid leave until I've been there a year.
You have kids, right?
Mm-hmm.
Well, you're at high risk for a stroke.
You should make them aware of the symptoms.
The early warning signs of an episode are breathlessness, pressure in the chest,
feeling weak or faint.
You need to tell them in case something should happen at home. Okay?
-Hi. Loughren. -Mm-hmm.
I'm checking out.
Sure.
-So I see you're not covered? -Nope.
With the test and consultation, it'll be $980.
Um…
Can I split it in two?
Sure thing.
Maria, can you turn me up? Watch TV.
…vitamin D. Thank you.
-Hey. Oh.
-You the new guy? Ah, yeah, Charlie.
Hi, Charlie. Amy.
-Oh, hey, Amy. -Nice to meet you.
-Welcome. -Thank you.
-Did anyone give you the tour yet? -Uh, no, not yet.
-I got my patients, but, um… -Okay, come on, let me show you around.
The computer's free for all.
There's a code to access the bathroom, very importantly,
the highly original code 4321.
Uncrackable.
Ha!
Uh, you ever work with PYXIS?
Yeah, but I think we had the '97 model. The, um…
Huh, okay, come on. Let me show you.
Put in your nurse ID.
And then your code.
You put in what you need.
And the amount.
Take it out. One, two, three, four, five. Close the drawer.
-Got it? -Yeah.
Uh, they said you had a lot of experience. Where'd you work at before?
I've been all over, really.
-Florians, Vance, Shawlands, St. Aloysius. -Shawlands.
A girl I trained with works at Shawlands.
-Oh, yeah? -Lori.
-Lucas? -Yes.
Yeah, we worked together a lot. She's great. She's an amazing nurse.
I haven't talked to her forever.
Do they still call her "Pocket Rocket"?
No. Oh my God. That's hilarious.
I should… I'll call her up and ask her about that.
Oh God. Please don't. Don't tell her I told you that.
Who'd they give you tonight?
Uh… Who did they give me?
I have 311, uh, Stevens. 310, Martinez.
Do you know their first names? You guys, you don't put 'em on the doors here.
You're like me. First names are always better.
-Ana. Let's start with her. -Ana.
She presented to the ED with an adverse reaction to amoxicillin.
Kicker is the prescription was her husband's,
so insurance is gonna try to screw them over
if we give 'em a chance.
-So how's the skin? -Sloughing off at this point.
And what, so clears only?
Yeah. First sip tonight. Come on. I'll introduce you.
Water later.
Well, hey there, lovebirds.
-Look what I brought. -Hey.
Here you go.
Mm!
Is that the best thing you have ever tasted?
-Yeah. -Mm-hmm?
-There you go.
You know what? Let's start slow, all right?
-I wanna introduce you to Charlie. -Hey.
He's gonna be your nurse this evening, but, you know, I'm around if you need me.
Okay?
-So… -How you doing, Sam? Good?
You let me know when you've had enough.
Mm.
-Okay, is it burning? It burns? Okay. -I'll check in in a bit.
Well, let's take a pause, okay?
So, um… tell me, I heard you had a rough couple of days. Yeah?
Well, you guys just push on the button if you need anything.
Anytime, I'm here. I'm your Amy for tonight.
-Hey.
Hey.
Uh, so mine are all settled,
so I was just gonna go to the cafeteria, grab some food.
-You want something? -Sorry. Cafeteria closes at 11:00.
-I should've told you that. -Oh shit. No problem. I'm not that hungry.
-Sorry. -No. I'll hit up the vending machines.
-Hey, you know what? You like eggs? -Uh…
I have a large questionable… …egg salad that I'd prefer to share.
-You know, safety in numbers. -I'm fine, thank you.
No, no. I'll bring it to the desk when I'm finished with Holly here.
-You sure? -Yeah.
'Kay, thanks.
I like the croutons.
-Mm, you mean the soggy crackers? -That's what they are?
That's the real delicacy of the salad.
Yeah. My eldest daughter made it.
She comes from a long line of women who can't cook.
What, so your husband cooks?
No, it's just me and my girls.
Oh. I have two girls.
Uh… Four and seven.
Mine are five and nine.
-Oh, yeah? -Mm-hmm.
I don't live with mine anymore though. Their mom moved, like, six hours away, so…
That's kinda why I'm here.
-Well, I think this is great.
-Okay.
-Oh, he's-- 307.
Yep. Steven. I have about one minute before he pees.
I got it.
You sure? Thanks.
Hey, Steven. I'm Charlie. I'm afraid Amy's busy right now, so…
Can I help? A little problem?
Yes, you can!
-Look. -So what? You don't even like her.
-I do! She's my friend, Jackie! -Nobody's gonna notice that.
Everybody's gonna notice!
No, they're not. Come on. Really.
Yes, they are! I don't know why I have to keep using these.
Hey.
It's such crap!
-Stop it! What's going on here? -You ruined my shoes!
I did not! I tried to help you.
-Would you mind sitting with Maya? -No, you obviously didn't, Jackie!
-She's in the-- -That's okay.
Why the hell are you yelling at Jackie?
-She glued the bottom back on. -It's not a big deal, Alex.
-I can scrape it off. -You told her to.
Look, it comes right off.
-But it's on both shoes. -See? I can take it off.
-I'll just-- -No, you can't.
Calm down. It's not the end of the world.
No.
-Wait. Hey, hey, hey, hey! Listen. I know. -Stop--
I'm trying, okay? I know you don't have as much as your friends, but I'm try--
I don't get anything!
-I don't even get to have you. -I'm sorr…
Oh fuck.
Amy?
What's going on? You okay?
I'm fine.
Okay, well, I'll just sit here until you feel better, okay?
Now breathe with me.
Keep breathing.
It's okay.
Cardiomyopathy.
Blood blisters on… on my heart.
Okay. So why are you working?
I don't have health insurance.
What about here?
-Did you speak to a cardiologist? -No, please.
Okay.
Don't tell them.
-I'll get fired. -Okay.
I'm not gonna tell anyone.
-Okay. -Yeah.
How much longer do you need to work here before you get your insurance?
Four months.
Okay.
I can help you.
Come on.
You can do four months.
You're gonna be okay.
Yeah?
-Are you cold? -Mm-hmm.
Here.
-Something's wrong with the door. -Oh, it's this.
Ah. Thanks.
-It's gonna be a long night. -Speaking of energy, how was the park?
-She canceled. -No!
-Yeah. Moved it to next week. -Oh, that's hard.
Called just as I was about to pick up the girls.
Yeah.
Kind of expected it, to be honest.
Uh, one sec.
Hey, what's up? Where's Sonya?
What have we got?
She had a family thing, so I said I'd do her handover.
-Uh, 310… -Yeah.
…expired right at shift change.
-Ana? -Yes. Mrs. Martinez.
Don't ask. I don't know what happened.
The husband was called. He's on his way.
309, he went sideways at around noon…
Ana died.
Should be up around eight. Respiratory came up. They tubed him…
How could they just leave her like this?
My mom died in a hospital when I was a kid.
When I got there to see her, it was…
Well, first of all, they lost the body.
-No. -Yeah. Insane. Just for a couple of hours.
But, you know, and then when they did find her, it was this.
She was, like, you know, half uncovered, naked… Total mess.
For the longest time, that was the memory. That was how I thought of her.
Oh, Charlie.
So, for me, this is the important part.
Yeah.
Find some dignity.
Mr. Martinez is out there.
He would really like to speak with you, Amy.
Go.
-You good? -Yeah, I got this.
22
All right, so give me the story again.
All right, let me see. Suspicious death of Mrs. Martinez, Ana.
Presented to the emergency room with adverse reaction to amoxicillin.
All right, so? Reacts to some antibiotic. What else?
They're not sure.
-They don't know what killed her? -No.
How old was she?
Seventy-seven.
So why are we here?
The conference room's right this way.
Detectives, Braun, Baldwin, welcome.
I'm Linda Garran, risk manager.
This is Duncan Beattie, attorney.
Our board.
You two might know Malcolm Burrel from the City Council.
I am a huge supporter of the local force and the district attorney.
Ah, well, nice to meet you all.
Okay, well, we don't know much.
Just that there's been a death.
An unexplainable incident in which the patient expired.
Okay. Unexplainable how?
Well, it's the opinion of the medical experts
that this was an unusual adverse reaction to medications.
But we found absolutely nothing to suggest this was intentional.
Then why call us?
We didn't think this was a police matter,
but the Department of Health dictates when we should reach out,
and here we are.
What are the medications?
Um… Well, all are listed.
Thanks.
It's quite a complicated document.
I'll take my chances.
Well, if you… if you turn to the third page,
you can see the window in which patient 1 had abnormal laboratory results
and life-threatening symptoms.
Where's Mrs. Martinez's body?
Uh, released to the family.
They put a lawsuit together?
We don't believe that the family are aware
of the unusual circumstances around patient 1's expiration.
Isn't that something you should've disclosed to them?
It was an evolving situation.
Parkfield rightly sought legal counsel
to make sure everything was done correctly.
Okay, but Mrs. Martinez's body is where? How do we get it?
It's our understanding the family have cremated her.
When did she die?
Seven weeks ago.
We were conducting an internal investigation.
Hence the lag.
Okay.
Well, of course we'll need to interview all the staff that works in the ICU.
Make way, make way. I am an important person of the town.
In fact, I am the most important person of the town,
if not the most important person west of the Pecos.
"Wherever that is!"
I am the mayor of Humdrum Falls.
"So, what do you do?"
"Do"? I don't do anything. I'm the mayor.
Okay.
"Well, you have to do something now."
"This may be just a one-horse town without the horse,
but it's been invaded by aliens."
I'll have to look it up in my book of How to be Mayor.
One. You get to wear a fancy chain.
Two. You get driven around in a big car by your very own chauffeur.
Three…
Om nom!
You eat. It's…
"Three. You eat and drink for fr--"
-I'm never gonna get this part! -Don't get frustrated, honey.
Are you kidding? This is great, Alex.
No, and the teacher said that I should wear a suit and have a mustache.
Dress like a man because I'm the mayor. He said a girl mayor would be weird.
Women can be mayors.
I told him that, but--
It's a play about an alien invasion, and the female mayor's the weird part?
-Screw that guy.
-I'm here! -Hey!
-Jackie! -No! You can't go yet.
-Oh, sorry, kiddo. -Come on, sweetheart.
-Come here. -Guess what I brought you.
Okay, take my hands.
Repeat after me.
I am the mayor of Humdrum Falls.
-I am the mayor of Humdrum Falls. -I am the mayor of Humdrum Falls.
I am the mayor of Humdrum Falls.
You got this.
Cream and two sugars.
They send over that internal investigation yet?
Oh, not yet. They say they need more time to compile all the relevant files.
Seven weeks wasn't enough of a head start?
You'd think.
You want me to
go through the staff?
Already did.
One of the nurses had a criminal trespass charge
over in Pennsylvania.
Oh yeah? A nurse?
Yeah, a male nurse. Charles Cullen. C-U-L-L-E-N.
Huh. When?
Uh, eight years ago.
-What district was it in Pennsylvania? -Palmer.
-Palmer Police Department. Hello, ma'am.
I'm Detective Braun with Homicide in the Prosecutor's Office in New Jersey.
I need some background on a guy you picked up there in '95.
Could you pull the case jacket for me?
-Do you have a name for me? -It's Charles Cullen.
-Oh, there's a Post-it note on the file. There's a Post-it note on the file.
She's not sure if it's supposed to be there. Can you spell that?
It says "digoxin."
Digoxin? What is that? A medicine or something?
Uh, you got anything else on him?
Picked up for trespassing and…
Okay. Picked up for trespassing and harassment in '95.
Says he slashed a coworker's tires after they broke up.
The charges were dropped.
-What's that? -Yep, all charges.
Charges were dropped?
-Yeah. -Oh.
Okay, thanks so much.
-Yep. -Bye-bye.
Something's not right.
Parkfield waited almost two months to report it.
Internal investigation you don't wanna share.
Expensive lawyers.
Okay.
Well…
What possible reason could they have for covering up a death?
Right? What are the motives?
It's a business. There's never a better motivation than money
when it comes to that shit, right?
Hello? You can keep eating.
We won't take up too much of your time.
We just wanna make you aware of an event the hospital is looking into.
We wanted to assure you all that the board and I
are dealing with the incident and everything connected to it.
But we thought it best to bring you all together,
make everyone universally aware that the police are also involved.
-And that-- -What is this about?
Uh, there's been an issue with a patient's death in the ICU.
Was the death suspicious? I mean, if the police are investigating…
I wanna be clear. We are investigating with the assistance of the local police.
-Do you know which patient? -No.
But due to the fact that outside investigation is involved,
uh, Mr. Beattie, our attorney, is here,
and he would like to say something as well.
Thanks.
Yes, uh, I just wanna say
that I'll be discussing with each of you individually,
but as a blanket statement to all,
I just wanna say that in times like this,
patient confidentiality has to be an absolute priority.
Your individual contracts are very precise when it comes to this.
Anyone speaking to the police
without a representative of the hospital present
would be in breach of their contract.
So at the end of the day, Mr. Beattie and I are here for you.
Uh, we wanna be present for any interviews,
because we have your best interests at heart.
You have full access, but she's gotta be in the room.
No. Absolutely not. She can't be in there.
That lady's the risk manager. It's her job to be in there.
Who's gonna talk if their boss is in the interview?
We don't even know what happened. We don't even have a body.
The only condition that they asked for is that she be in the room
and that you don't talk specific about medications.
I understand them asking for it, but why did you give it to them?
You're supposed to be the prosecutor.
As far as I can see,
they're cooperating fully with your investigation.
This is all we have. Is this cooperation?
They told me about that.
They're getting the documents together. It's done. They're sending it first thing.
Let me ask.
Why would Parkfield conduct an internal investigation,
a seven-week internal investigation,
then call us in and put her in the room if it was nothing?
Due diligence.
I'm shutting it down. She's in the room.
Done.
Hi, Amy.
Hi.
Nurse Loughren.
-This is Officer Braun, Baldwin. -How you doin'?
-What is this about? -Just some informal questions.
The officers are speaking to a number of staff in the ICU.
Okay.
Do you remember Ana Martinez?
Yeah, Ana was my patient.
Do you recall anything odd about what happened to her?
Odd?
Well, she died.
Yeah, and it was very sad. It was sudden.
Sudden?
Well, patients die in the ICU, but…
we didn't expect it.
I don't mean to interrupt. Can I see you for a minute?
Excuse me. I'll be right back.
This better be important. I wanted no interruptions.
You see any deviations there?
Mm-mm.
Wait, yeah. Her glucose.
It's, uh…
Yeah, the blood sugars, it's wrong.
Uh, there's no C-peps.
-That's weird. -What does that mean?
Uh, it means that the insulin in her system wasn't made in her body.
Someone gave it to her.
So you can tell from that that she was given insulin?
Well, it's not on the list, and, you know, she's, uh… not diabetic,
so the insulin would've been a double medication error,
which is really rare, so…
A double medication error? It's rare?
Yeah.
-Would that have killed her? -Sure.
Sorry.
-Where were we?
Uh, let's see. Oh.
Can you tell us anything about your coworkers?
You don't mind if she answers a question about a colleague, do you, Ms. Garran?
-Of course not. -Good
We understand that you work with a Charlie Cullen.
-Yeah. -Could he be involved in this?
I think you're jumping to conclusions there, Officer.
Charlie wasn't there.
I mean, Ana died on the day shift. Charlie and I both work nights.
We have no reasons to suspect it was anything other than an accident.
Thank you, Amy.
I know Charlie really well.
We work every shift together, and he's a very good nurse.
He wouldn't have made a mistake like that.
Thank you, Amy.
-So where's that internal investigation? -We're still reviewing everything.
Well, we don't need you to review it. We'll just take it as it is.
I'll instruct the team to send you the boxes tomorrow.
But I hope you can deduce that, um… it's been a tough seven weeks.
Eight.
It's been eight weeks.
- Jack Ivins. July 19, '88.
Recovering from gallbladder surgery on Thursday. There was no complications.
Line in.
Gonna need you to get ready to do another shock, 150 joules.
-Everybody clear. -Clear.
Deliver the shock. Shock.
Resume compressions.
One and two and three and four and five and six…
-Compressions. -Nine, ten, 11, 12, 13…
Hold compressions. Let's check for a rhythm.
-I got nothing. -Persistent V-fib.
Resume compressions.
Let's get one milligram of epinephrine IV started.
Six, seven, eight, nine, ten…
Let's get prepared to give it another shock, 200 joules.
Epi ready. In line.
Continue your breathing.
-Twenty. -Keep your compressions.
Talk to me.
-Is that epi ready?
Swap in, five, four, three, two…
-You're all clear.
-Oxygen's clear.
I'm moving in. Low pulse, low pulse.
-Shit, no pressure, still.
Four and five and six and seven
and eight and nine, ten, 11, 12, 13, 14, 15.
Shit.
Twenty-five. Now! Now!
Let's go!
Take these.
You'll get fired.
So there's a fault in the PYXIS.
So if you cancel a request late enough, it opens anyway.
That's stealing meds, Charlie.
Amy, stop. Now, please don't worry. I'm gonna help you get through this.
Okay, thank you.
Hey, what did he say?
I think he's right. I think you probably do need to tell Alex,
just in case something happens and I'm not there.
They don't have anyone but me. I can't leave them.
No, you're not leaving them, Amy.
That's not happening. It's… What is it? Two months?
Okay, so I'm gonna help you do this.
Get your surgery, be with your girls. That's what's happening.
Okay?
But I think you should tell Alex.
I know it sounds scary, but… it really isn't.
Everybody's hearts have these ventricles.
-They're just these spaces. -Yeah.
They're two little spaces like balloons that fill with blood.
-They move the blood around the body. -Mm-hmm.
And um… mine, they just, you know,
they're too big, and they just got a little thin.
But I am gonna be okay. I've got medication.
I have doctors taking care of me, and I'm gonna feel normal soon.
But your mom's gonna need our help, Alex.
If she were to fall or, um, you know, start speaking funny,
or you struggle to wake her or something,
then you just… you put Maya in front of the TV,
you call 911, and then you call me.
Yeah, but that's not gonna happen. It's not gonna happen.
Everything's gonna be fine. I'm gonna be okay.
Can I just go watch some TV?
Okay.
But I'll be here if you wanna…
Charles Cullen with a C.
C-U-L-L-E-N.
Sure. Give me a second while I pull up his records.
Great, thanks.
Okay, I just need to check something with my boss.
Okay. Sure.
Hello?
Hello. Detective Braun here. Uh, who am I talking to?
Mark Rossi. Attorney for St. Aloysius Hospital Group.
Mr. Rossi, hi. I'm hoping you can help me out.
I'm looking for some information on one of your former employees
from back in '96, Charles Cullen.
Our employee data is treated with strict confidentiality.
I'm just looking to confirm his dates of employment, not much more than that.
We'd be happy to release any relevant information
as soon as we see your subpoena.
Okay, yep, thank you so much.
Thank you.
This is a fucking joke.
Whenever they hear his name, no one wants to say anything.
Detective Baldwin?
-Yeah. -It's from Parkfield Memorial Hospital.
It's the internal investigation.
-Just need you to sign here. -All right.
-Need a hand with the boxes? -No, it's just this.
Have a great day.
-Ms. Garran. -Detective Baldwin.
Oh, thank you for seeing me.
Anything to help wrap this up.
So, I just have a couple of questions.
The "Pixie" report. You have all the drug withdrawals--
Uh, PYXIS.
That's right.
Uh, so you've got all of the, um, drug withdrawals
for all of the nurses on this?
That's correct.
Well, I was hoping I could get the full report,
because this one only has a short window around Ana's expiration.
I'm told it only stores the information for four weeks.
Well, you must have gotten a copy during the internal investigation, right?
I don't believe we did, no.
I mean, I can check, but, uh… everything we had was sent to you.
You see, this is page nine,
so pages one to eight gotta be around here somewhere.
Hmm.
-Uh, I'll be sure to look into it.
Nurse Garran, it's looking a lot like you're withholding some evidence here.
-I'm not sure I follow-- -Six pages. Where's the rest of it?
I'm sorry. I… I have another meeting, and I can't shift it--
Oh, I'm not done.
I'm gonna reschedule with your office.
Sit down.
-Excuse me-- -Sit the fuck down!
You know exactly what you're doing.
-Hey, guys. -Hey.
Um, I know you're not supposed to have babies in here,
but I really didn't have anyone else who could take her.
-It's okay. -Thank you.
-What's her name? -Vanessa.
Messy Nessie.
-Messy Nessie? -Uh-huh.
Well, I have two girls, so I hear that.
-Mm. -How old is she?
Six months.
Oh. She sleeping through the night yet?
-No! -She must be teething.
-Oh, yeah. -Uh-huh.
Nurse Loughren? It's not urgent. There's a Code Purple in 300.
Oh, okay.
What's a Code Purple?
It means pizza's arrived. Do you want a slice?
Oh.
Well, I can't say no to pizza.
You can't.
Unfortunately, though, you're gonna have to say no to pizza.
Okay.
But you are healing nicely, and will be holding Vanessa in no time.
She told me to go fuck myself 15 times on the phone.
Oh my God.
That's not nice.
I haven't even told you the best part.
So now, to try and stop me from seeing the girls,
she has made up a story about me being mean to her dog.
I'm not kidding. It gets better and better.
Honestly, the whole thing would be hilarious if it wasn't true.
I'm sorry.
No. Are you kidding? It's my own fault.
I picked a crazy.
Oh, you know, it works for me.
I mean, it's not, like… quickly.
-Right. -What did you say?
Nothing. Nothing, bro.
-You said a… word. I didn't.
Two minutes, girls.
Okay. Do you wanna get your backpack and coat?
-You want a ponytail for school? -Sure.
Beautiful hair.
I wish we could stay home.
I wish that too.
-Wanna get your jacket? -Yeah.
-Love you. -Love you.
What else is in that? Anything new?
Um…
Yeah, there was a list of all the medications
that were in Ana Martinez's system.
-Insulin? -Yeah, and another one.
Get this. Digoxin.
-Digoxin?
Baldwin!
-Are you serious? -Shit.
Screaming at her.
Malcolm Burrel from City Council just called.
Danny will be happy to apologize to Mrs. Garran.
Well, too late. You've both been banned from the hospital property.
What?
Can't ban us from the scene of a crime that we're investigating.
-What crime? -Homicide.
What do you have to back this up?
The files and an interview with a nurse
who was certain that the victim was given insulin.
Victim, what victim?
Ana Martinez.
You have no body.
No body, no autopsy. You know how this works.
Banned from the fuckin' hospital?
Hey, Kelly. Tom called to check on you.
I cannot get over how cute that little Vanessa is.
Who's Vanessa?
Kelly, do you know where you are right now?
I need you to answer me, hon.
I'm at the hospital.
Which hospital?
Uh…
All right.
Squeeze my hands.
Come on. Squeeze my hands.
A little light.
Has Tom come by?
He called to check on you.
-Hey, Tom, it's Amy from the hospital. -Hi, Amy. What's going on?
I really think that you should come in. There's been a change overnight.
I think you should come in sooner rather than later.
Okay, see you soon.
I checked in with Beth. She's still sleeping.
-Jack's been pushing on his call button-- -Oh my God.
What?
There's insulin in her system.
Code Blue. Wing West.
Oh my God! Oh God!
-No!
Mm-hmm. Yeah.
Oh God!
Oh my God!
-It's okay.
Shit.
Hello. Sorry to bother you like this.
Yeah, no.
We need your help, Amy.
Look, I'm sorry, guys. I… Really, I don't know what happened to her.
To who?
Kelly Anderson. I… I mean…
Who's Kelly Anderson?
Is there another victim?
Another double-medication error?
Was Cullen with Kelly Anderson?
This has nothing to do with Charlie.
-How well do you know him? -Really well.
Do you?
He's been at nine hospitals.
And none of 'em will talk to us.
What do you mean? I'm…
No. If something had happened, he wouldn't have been able to get a job.
-The hospital would have done something. -You'd think so.
Yeah.
They're stonewalling us.
You have to help us.
Mom, are you coming?
Hey, honey. Yeah, I'll be in in a second. Just wait inside, okay?
Okay.
Guys, I can't talk right now. My kid's here. Like…
Okay. Here's my card.
Give me a call. Maybe he's not who you think.
Have a nice day.
Thanks.
Hey.
-Do you need anything? -Mm-mm.
-No? -I'm fine.
Okay. You let me know if you feel tired.
I'm not. I will. I feel good.
-Yeah? -Yeah.
-Okay. -Mm.
Amy fucking Loughren!
-Pocket Rocket! -Mm!
-It is so good to see you! -I know. You look so good.
-Really? -Yes! You look great.
-Thank you. -You're welcome.
-I feel exhausted. -Hi there! You ready to order?
-Oh, I'll have a cheese omelet. -Okay.
-And what pairs best with that? -Chardonnay.
Oh. A large cold glass of dry chardonnay.
-Okay. -I'll have the same.
-Thanks. -Coming right up.
When was the last time we were in this dive?
A long time ago. Like, at least a decade.
-What? -Twelve years?
-Ugh, Jesus.
-I'm getting old. -Here we go.
Thank you.
How's Paul?
Uh, we split up.
-Oh shit. -I mean, it's not a big deal.
It was a long time ago, and we share custody of the dogs.
We worked hard to come to that agreement. I'm so glad that you called.
Mm! Me too.
Just, you know, I wanted to… I wanted to ask you…
It's… It's a little weird.
I love weird.
But, um… do you remember working with someone named Charlie Cullen?
-Yeah. -Yeah?
Why?
Well, I'm working with him right now at Parkfield.
There was a rumor about him.
That he was responsible for a death.
That he OD'd someone.
Oh.
Uh, with what?
They found insulin in the dead guy's saline bag.
They found it in a few.
Pinpricks in the ones in the store.
Somebody had dosed them before they went out.
Why did they think it was Charlie?
They didn't.
But we used to get codes every night. Sometimes two or three.
And then after he left,
we got, like, only one a month.
You get a lot of codes?
Okay.
Oh God.
Oh!
Hmm.
Hey.
Easy, easy.
You're okay. You're okay. It's okay.
-Amy, it's okay.
You're in the ED. You're doing great.
I checked on the girls. Jackie's with them.
I can go get 'em, bring 'em here.
- No. -No? Okay.
You want some water?
No?
Don't you ever scare me like that again please.
-I wanna leave. -I know, I know.
I get it.
We're not gonna let them find out.
Where… Where's the nurse?
Uh, don't worry. Your last pressure looked pretty good.
Your heart rate's been below 80 for the last hour.
I saw the labs, and your troponin's high, but it's trending down.
So you're good. You're okay.
You're lucky. Could've been a lot worse.
-I wanna go home. -I know.
-Okay. -Hey. Saw her heart rate blip up.
-You awake? -Yeah--
Bring me a discharge form.
Hey. I don't think that's a good idea. She should stay overnight.
-Yeah, we got this. -I wanna leave AMA.
-You sure?
I'll drive her home. Make sure she's looked after. Thank you.
-We're good. Thank you.
Hey.
-Please, stop.
Okay.
Give me your arm.
So you sure you don't want me to come in?
I'm happy to sleep on the couch. I can…
-I can take the girls to school. -I don't wanna scare them.
Nothing's gonna happen. I just… I just need to sleep.
-You're right.
-Thanks, Charlie. -Yeah.
But if you need anything…
I'll call you.
Yeah?
It's a month, Amy.
We got this.
You're freezing. Go.
Call me.
It has to be a secret.
Oh God.
No one can know.
I'll get fired.
Understood.
He does it in the storage room…
before it even goes out.
He injects the insulin into the bags,
and because it enters the bloodstream slowly,
it could take hours or even, you know, a day to kill someone.
So he's killing 'em without ever touching 'em.
Could he put something other than insulin inside those bags?
Yeah, any clear liquid wouldn't be detected.
Is digoxin a clear liquid?
Yeah.
Could it kill someone?
Okay, and the nurse you met with, you think she'll talk to us?
No.
No, she'll lose her job.
Do you mind taking a look at what we got here from Parkfield?
Where's the rest of it?
That's it. That's all we have. That's all they gave us.
The PYXIS report's just two pages.
They said it only keeps the file for four weeks.
No, it's a computer.
It keeps the information for as long as it was installed. It's…
I'll pull Charlie's PYXIS report from the machine in my ward,
and we'll use that to prove that he withdrew insulin
and digoxin when Ana died.
Yeah, see, the problem is that Ana Martinez was cremated,
so we don't have an autopsy.
What we need is an actual body.
As you know, we got permission from Kelly Anderson's husband
to dig up her body for examination.
From the autopsy, we know that a combination of insulin and digoxin
were in Kelly's system and led to her death
in the early hours of the 15th.
Right, and then on the 14th at 20:47,
you see that Charlie took out insulin and digoxin from the PYXIS.
And if you see Kelly's report,
her blood sugar just drops at 21:56,
so that is the insulin taking effect.
And there's slow arrhythmia at 22:15,
and that's digoxin.
So he was holding two murder weapons. 3:57 is the time of death.
Everything's there.
Wait a second. Hold on.
With this PYXIS, it says cancellations, not withdrawals.
Well, it's a fault in the system.
So when you cancel at the last minute, the drawer opens,
but it reports it as a cancellation.
And Cullen knows about that?
Yeah, and I saw him do it.
Insulin, digoxin. There's hundreds of orders here.
Okay, but not according to this. This makes it look like he never got 'em.
But he did.
Did you actually see him do this?
Guys, this is the smoking gun right here.
Yeah, but this isn't.
It's just cancellations. There's nothing nefarious.
There's no proof of guilt. There's--
Okay, he's been doing this since he started at Parkfield, so look.
Look at all of these repeated cancellations, right?
Look. They're not followed up with a correct order.
He's had repeated orders of vec and digoxin.
I mean, it's really-- It just screams wrong. It's…
Maybe. Maybe Parkfield just didn't understand.
Come on, guys. Linda Garran used to be a nurse.
She understood.
Oh yeah, she knows, and she's not doing anything.
Nurse Cullen, thank you for coming in on your day off.
Hi, you can call me Charlie.
Uh… We've come across something troubling.
What hospital were you employed at before you took the position here?
St. Elizabeth's.
And what were your dates of employment there?
Uh…
I'm not sure. Is there an issue from St. Elizabeth's?
'Cause I was targeted by some coworkers. I don't know. Maybe they're at it again.
What we're concerned with are the dates you listed on your application.
Do you remember what they were?
Um…
June '01 to August '03, maybe.
-Yes, that's what you wrote. -Right.
Those dates are incorrect, Mr. Cullen.
Oh.
St. Elizabeth's confirmed with us that you were employed from May,
so these discrepancies on your application form
leave us with no option but to let you go
with immediate effect.
Wait, so you're firing me for writing the wrong dates on my application?
It… It is in the contract.
Well, I believe I need to sign something.
Is that all?
That's all.
Thank you, Mr. Cullen.
I just got news from Parkfield. They've dealt with the Cullen issue.
-What does that mean? -He's been fired.
-What? -So they're just gonna let him go?
Well, what did they say?
That they fired him because they found some discrepancy in his paperwork.
Well, what was his state of mind? Was he stable?
Wait, you don't think that this could make him more dangerous, do you?
At least he can't be anywhere near patients.
He can't hurt anyone.
He's been at nine hospitals. Nine.
What don't you understand?
They all say the same thing. They cover up their own liabilities.
It happens again and again and again.
He's gonna get a new job at another hospital,
and it's all gonna continue.
You allowed this.
Don't look at me.
You did.
-Jackie, I'm back. -Maya.
-Oh my God! -Maya! Can you just say your line?
Hey, girls.
I forgot it.
Wow.
What?
Don't you have the script?
-I don't have the script. -Oh my God.
Okay, I lost it.
Maya, you've done this so many times!
Okay, Alex, be nice to your sister.
Maya's speaking over Charlie's part again.
What are you doing here?
Rehearsing.
Where's Jackie?
I told her she could go home. It was just gonna be us tonight.
We cooked!
-We did. -Charlie cooked.
-I helped. -No, you didn't.
-Yes, I did! -No, you didn't.
-Yes, I did! -Alex, we all cooked.
Why are you being weird, Mom?
I'm not.
-We're making something special. -It's his mom's recipe.
-Come. -Yummy!
Sit, relax. Enjoy the "Mayor of Humdrum Falls."
Should we get your mom to play Mop Hopsley?
-Yeah. -Yeah?
Alex…
Maya, please come here.
-Why? -'Cause I'm asking you to. Come here.
I don't want to.
Hey, go to your mom.
Get over here.
Get over here right now!
But why? I'm having fun.
Go to your room. Go.
Why is she so angry?
I don't know.
So I'm guessing you heard.
Yeah.
She say why?
Mm-mm.
They fired me because I wrote the wrong dates on my application form apparently.
Oh.
-Yeah. -Yeah.
It's been a wacko day.
It's been a wacko couple of months. Actually it's… Ugh.
You know, I wasn't even meant to be working here.
I took this job because I wanted to be close to my kids.
Then when I get here, she won't even let me see them,
and then she starts making up this insane stuff about poisoning the dog,
and then this, you know…
I think the universe hates me, Amy.
-Really. -Charlie--
-At this point. -You know that's not true.
I'm really sorry this happened to you.
No, please. I'm sorry, 'cause I know you've still got three more weeks,
and I'm not gonna be there to help.
But I can… I can help here.
I can, like, look after them, I can make sure you eat.
Anything you need.
Really. Anything.
That's all right.
Did I tell you Alex blew up the other day?
-No. -Yeah.
She just lost it.
She was crying and screaming, and, like…
She's really struggling.
I'm working so much, so…
I'm so sorry. I mean, you know, it's a lot, you know?
But what I think would be really helpful to me is, um…
if I could spend some time alone with them, you know?
Just me and the girls.
And I feel really bad saying this to you,
because I know that this has been a day from hell for you.
I mean, Charlie, honestly, you've had the year from hell.
No.
And, um…
God, I wish I could be there for you.
-I just feel like shit. I'm so sorry. -No.
Amy, stop. I get it. Please.
It's… It's your kids. They need this.
Yeah.
And you're a good mom.
-No, look at me.
You're a good mom.
Mm.
-Okay. -I'm glad I can help.
Promise me you'll eat.
-It smells good.
It's my mom's recipe, you know.
-Okay. -You know what?
Just, actually, just, like, sitting here, talking to you,
being with you…
it made me realize everything's gonna be okay.
I've got you.
I got Maya and Alex. I got my girls.
It's a job. I can get a job.
You can.
Yeah.
Night.
Charlie? Hey.
Oh, hey.
-I was, um-- -You okay?
Yes! I…
You know, I wanna apologize for being so weird yesterday.
Like, last night, it was just…
-No. Stop. Sorry.
Did you and Alex get some time after I left?
We did. Yeah, thank you.
Yeah? Oh, good.
I think… You know, I think that you… Like, both of you needed that.
Mm!
I'm glad I could help.
You… You know, I'm about to go to work, and…
Charlie, it bothers me so much that you're not gonna be there.
I know. I know. I miss you too.
You wanna go to the park or something? With the girls?
Um…
Amy?
Uh, maybe lunch?
-Uh, yeah. Okay.
Lunch. Uh… Lunch works. When's good?
Uh, let me think
for a moment.
Um…
Saturday?
Uh… Yeah. Saturday works.
But I have to go to work now, so I'll find a place.
-Just text me -I'll… I'll… I'll send you the details.
-Okay. -Okay, bye.
-Say hi to Sandra for me. -Oh, I will.
-Okay. Bye. -Bye.
See you later. Bye-bye.
Great job.
So you remember what we talked about?
The only way we can stop him is if he admits to doing it,
so we gotta get him to confess.
Oh fuck. Um…
Man, her pulse is racing.
Okay, well, I hope you guys can hear me.
Right.
Oh fuck.
Fuck, fuck, fuck, fuck.
He's walking in right now.
Hey!
Hey.
Hello.
Hi. How's it going?
Well, you know.
-You okay? -Yeah.
-Yeah? -Yeah.
I like this place.
What's going on?
Whew.
So can I get you guys something to drink?
-Uh, I'll get an iced tea, please. -Iced tea.
I will just have water. Thanks.
What do you think?
I'm starting a new job tonight. Hoping these will make a good impression.
-Where? -Elmsworth.
-You're starting at Elmsworth tonight? -Yeah. Tonight, yeah.
Got all my stuff in the car, ready for a new start.
That's… Wow, Charlie.
You ready to order?
Oh. Uh… You know, I'll get a… I'll get a cheeseburger.
-Me too. -All right.
-So… -Two cheeseburgers, please!
How are the girls?
-Thank you. -They're really good.
How's the mayor?
Yeah, she's great.
Feeling better?
Yeah.
Work's been pretty awful without you there.
We were like partners.
I know.
And, like, the worst part is
that everyone is just, you know,
talking shit about you all the time.
I guessed they would. Yeah.
It makes me mad 'cause you're not there to defend yourself, and so…
You know, I'm going to town on everyone, and Sandra, she--
Oh God!
-Oh, she got an earful.
Now they'll be talking shit about me.
I don't wanna talk about Parkfield. It's…
Why not?
Is it because
what they're saying's true?
'Cause, you know, um…
I wouldn't care if you did those things.
I mean, I could understand.
-You could explain it--
I didn't tell you. I got permission to see my girls.
Two days every second week.
I was thinking… I don't know, I was thinking
that maybe you and Maya and Alex and then me and my girls,
we could go on a day trip or something.
I wanna talk about Parkfield.
I wanna talk about what you did.
♪ That love will sometimes bring
I gotta go.
I'm starting a new job. Can't be late, so…
But I'll call soon.
He's leaving. You guys, he's leaving. He's walking out right now.
What…
Are you okay?
Where's Elmsworth? Amy, where's Elmsworth Hospital?
Thirty miles away in Pennsylvania.
I'm gonna call Ellis.
I pushed him too hard.
You did great, Amy.
We're good. They're gonna pick him up.
-All right. -Bring him in.
We can only hold him for 48 hours.
-And talk to the people.
And I'm gonna make sure there's something in my mind that…
Show me your hands.
Open the door.
Slowly. Open the door.
You're under arrest. Get out of the vehicle. Slowly.
Get down on the ground.
Put this hand behind your back.
Put this other hand behind your back. Stay right there. Do not move.
My name is Detective Sergeant Tim Braun. With me is Detective Dan Baldwin.
Today is Saturday, December 13, 2003.
The time is approximately 8:14 p.m.
We're in the Major Crimes interview room with Mr. Charles Cullen.
Mr. Cullen, for the record, could you please state your full name?
Uh, Charles Cullen.
Could you spell that, please?
Uh, C-H-A-R-L-E-S
C-U-L-L-E-N.
Is it okay if we call you Charlie, then?
Yeah.
Okay.
Okay, Charlie.
Is there anything you wanna tell us, Charlie?
Um…
I mean, uh… I don't think so, no.
How many IV bags have you polluted at Parkfield Memorial Hospital?
We know you killed Kelly Anderson.
We know you killed Ana Martinez. We know there's others.
We just wanna talk about it with you, Charlie.
I can't. I'm not meant to talk about patients
without the hospital lawyers.
You don't work there anymore. You can say whatever you want.
You're free to talk here.
I can't, so…
Why'd you kill 'em?
Was it just women, Charlie?
They remind you of your ex-wife maybe?
You know, that I could understand.
Or your mother?
I can't.
You know, the… the saline-bag stuff,
that was… was pretty smart.
That was very smart, Charlie.
You know, I never seen anything like that.
How'd you come up with that?
How many have you killed, Charlie?
Ten, 11?
Hey, Charlie, stick with me here, okay?
Come on back, Charlie.
Just gotta have this conversation, okay? I know you can do it.
I can't…
Charlie, can you look at me, please?
Mm… I can't.
-Come on, Charlie. -I can't.
You can. You gotta do this. I know you can.
-Hey--
I can't. I can't.
-Charlie.
-I can't.
-Charlie, you can.
I can't, I can't, I can't.
I can't, I can't.
Charlie!
All right.
We've seen your Cerner, we've seen your PYXIS,
we've seen your orders, we've seen the cancellations.
We know all about it.
We know how you poisoned the bags in the storeroom,
had the other nurses hang 'em up.
You know what? I don't think you picked Kelly, did you?
Did you?
You know what I've been wondering?
Now, I got no judgment. Charlie. Listen.
-I can't. -Hey.
I can't.
-You can, Charlie. Yes, you can. -I can't.
I can't.
-Hey. -I can't.
Hey, enough of this shit! Enough of this shit, Charlie!
I can't! I can't! I can't!
I can't! I can't! I can't! I can't!
I can't! I can't! I can't!
I can't!
-Hey. -Hi.
What happened?
We're not gonna get it.
He's not gonna break. He's not gonna confess.
We have to release him tomorrow morning.
I'm sorry.
What's something a pet hamster spends a lot of time doing?
A pet hamster spends a lot of time in the cage.
-In the cage? -Yes!
In the cage!
Oh no!
You sure you're up for this?
Yeah.
Remember, you can't touch him.
You can't even get close to him.
He was my friend.
I just need to see him.
Hi, Charlie.
Can you take his handcuffs off please?
Please?
Are you okay?
Um…
Go away, Amy.
You cold?
Look, you're freezing. Here.
I'm just gonna put this over your shoulders.
There you go.
I really needed you these few months, you know?
And then all this.
It made me…
forget who you were to me.
Forget what you did for me, and…
I forgot about your goodness.
I'll never understand.
Not how you,
who is so kind and generous…
how you could hurt people.
And I'm so sorry
that I lied to you and went behind your back.
That must make you feel even more alone.
Hey. Hey.
All… You know, I never had…
You know, I always just wanted to help you.
I know.
I know that.
And I still need you.
What do you need me to do?
Tell the truth.
I just did it.
I'm sorry. I'm gonna need more than that.
What do you want me to tell you?
Names.
I can't remember all the names.
Just tell me what you can remember.
Douglas Stevenson.
Ana Martinez.
Kelly Anderson.
And there… there was…
Uh…
I can't remember his name. He was younger. Um…
-Jack Ivins? -Yeah. Jack.
Jack. Yep.
And then there… there was a…
There was a… a man at my last hospital,
uh, he had a German name. I can't…
Why?
They didn't stop me.
Mm.
We have to get up. It's a school day.
Not today.
Today we stay in bed.