Unfinished Business

"Unfinished Business"

Season 4

Episode 17

Information

Airdate

April 26, 2022

Viewers

3.29 million

Written by

David Foster

Directed by

Andy Voegeli

Episode Chronology

Preceded by	Followed by
All Night Long	No Ifs, Ands or Buts

"Unfinished Business" is the seventeenth episode of the fourth season on NBC drama series New Amsterdam, and the seventieth episode overall. It aired on April 26, 2022.

Synopsis[]

The New Amsterdam team continues to deal with the consequences of their big night out. Max and Helen discuss options for their future. Martin finally learns Iggy's secret. Bloom helps Leyla avoid a life-changing situation. Reynolds and Dr. Malvo define their relationship going forward.

Plot[]

Max runs home to find Helen unconscious on the floor of his apartment and rushes her to the ED. Iggy tries to find Trevor. Floyd looks for Mia, he finds her bike and eventually Mia, hypothermic.

Lauren rings the VA for Ronnie's number. Ronnie answers the phone but doesn’t know where Casey went or even where he is. He tells her they fought and Casey left. Lauren bumps into Leyla while on the phone. Leyla asks what is wrong and Lauren tells her Casey is missing and she's going to look for him to which Leyla replies she is going with her.

Karen and Ben are let into Elizabeth's apartment by the building super, Elizabeth is found on the floor of her apartment with a head wound.

Helen comes to. She says she is in pain. Max tells her they found Thanatophol in her system and says a number of their drinks were spiked at the karaoke bar. She complains about pain in her leg. Walsh comes in with her obs and Helen realises she has the potential of DIC, She needs a scan. Max sees multiple clots. She is going to require a number of surgeries, including a hysterectomy.

Iggy speaks with Trevor. He is in the hospital. He tells Iggy that some good Samaritans helped him on the subway. Unable to remember himself, Iggy asks if anything happened between them. Trevor tells him nothing happened. Iggy is relieved. When he turns around he sees his husband in the doorway. Martin doesn’t say anything other than about their daughters parent-teacher conference later that day and then turns around and leaves.

Floyd has Mia in the OR. Her core temperature is extremely low. With warming blankets in place, Floyd instructs Walsh to give her several meds. Walsh states her chart says she is allergic to Dranova, Floyd says to give her Vancomicin instead.

Helen tells Max she wants to forgo a hysterectomy and try a drug called Platazel which would be less invasive. Max doesn't agree with her decision but Helen asks him to be her partner, not her doctor.

Elizabeth gets checked out and is told about the Thanatophol, they question who would do this and a look comes across Elizabeth's face. Whilst Karen is phoning the police and Ben is updating her brother, she takes off.

Lauren and Leyla walk the streets yelling for Casey. Leyla tells her about her Visa being revoked and says that she will be deported back to Pakistan unless she fights it. She needs money for a lawyer but is afraid to ask. Just then, they find Casey unconscious with a screwdriver in his neck. When Lauren tries to rouse him he pushes her hand away and accidently brushes his neck knocking the screwdriver out. Lauren compresses it while Leyla looks for something to seal the wound. She uses caulk Leyla finds in a dumpster to stem the bleeding.

Iggy tries to talk to Martin while they head with their daughter to the parent-teacher conference. Martin doesn’t want to talk.

Meanwhile, Floyd talks to Lyn, who just told him the baby is his. He wants her to stay and not move to Colorado with Claude so that they can raise the baby together. She tells Floyd that she plans to stay with her husband. Asking if there is anyway for the three of them to raise the baby together, Floyd dismisses the idea. She suggests her and Claude raise the baby which upsets Floyd. Her final, yet reluctant, solution is to terminate the pregnancy.

Helen is telling Max why she doesn’t want a hysterectomy, as she is about to say she wants his baby, he cuts her off by saying he wants a baby with her. He confesses he was going to propose and then decides now is a good time. She says yes. He heads to get the ring.

Iggy and Martin argue at home. Their children are sat on the other side of the door able to hear it all. Iggy says it's harmless but Martin doesn’t think it is. Martin says he and the children can see Iggy has been happy. Martin thought it was because of him and their life, but now realises it was the thrill of flirting with Trevor.

Casey is in the back of the ambulance. His BP is low. He tells Lauren that he knows he is not doing well but he needs to keep talking so Lauren tells him about Leyla's situation.

Mia is coding on the table. Her body temperature is too low to shock her heart into rhythm so Floyd decides to push the Dranova hoping her allergic reaction will raise her core temperature.

Meanwhile, Elizabeth goes back to the karaoke bar and confronts the bartender. He admits he did it. He says doctors made them all scared of COVID. They forced the country to shut down for nothing. Doctors kept their jobs but he was out of work for 18 months. As Karen and the police arrive to arrest him, Elizabeth passes out.

Max returns to the hospital with the ring but Helen is being rushed into theatre after a clot breaks lose and gets lodged in her lung.

Across the hospital, Mia is in full anaphylaxis, but her temperature is rising and Floyd is eventually able to shock her heart into rhythm, just in time to administer an epi-pen.

Overlooking Casey in surgery, Lauren and Leyla talk about their love and the money. Lauren says she will help her but looks heartbroken while Leyla hugs her with joy.

Lyn performs an embolectomy on Helen with Max assisting. Max instructs Lyn to thread the catheter through her heart despite the risk of causing cardiac arrest. It works, however, as the catheter is being removed, Helen crashes. Max shocks her heart back into rhythm. Lyn states she is stable.

Elizabeth wakes up the hospital with Karen and Ben by her bedside. She is upset. She says healthcare workers were once seen as heroes and now they are seen as the enemy. She used to be able to walk home in scrubs but now changes into street clothes out of fear of being attacked. She feels hopeless

Floyd tells Lyn that his lack of a father made him determined to be a good dad and he could never abandon his child. But he goes on to say that he wouldn't be abandoning the child if Lyn and Claude are the ones raising them. He knows the child would be raised in a loving home. He just asks that one day he can tell the child who he is and tell them that their parents were united in love.

Later, Elizabeth wears her scrubs home with pride.

Casey wakes with Lauren at his bedside.

Iggy sits solemnly with his family having dinner.

Helen wakes up to Max at her bedside. He tells her they removed all the clots. He shows her the ring, saying it was made just for her. She cries and mumbles, realising she cannot speak. Max calls for help.