Death is the Rule. Life is the Exception

## Episode Chronology

**"Death is the Rule. Life is the Exception"** is the tenth episode of the fourth season on NBC drama series *New Amsterdam*, and the sixty-fourth episode overall. It aired on November 23, 2021.

## Synopsis

As Max and Dr. Sharpe prepare to depart for London, a deadly superbug hits the hospital and draws them back in. Leyla confronts Bloom about the secret she has been hiding. Iggy digs deep to help two grieving parents confront the reality that their son is gone.

## Plot

Max gives everyone special, well thought out gifts. He waits for them to be thrilled but they aren’t. Floyd finally tells him why. They don’t want gifts they want him to stay.

Iggy interviews a new candidate. He hits on Iggy who is speechless. Meanwhile, Malvo tells Floyd it is too complicated for them now. Leyla has discovered Lauren donated thousands to secure her a residency.

Max meets up with Helen. Hey is sad about leaving, she is excited to head off to London to start their new life. Max realizes he needs to return his beeper. It starts beeping. They have 9 codes at the same time. Later, the team meets. Thee 9 patients have the same bacterial infection that is being transmitted through direct contact. Helen and Max show up. They want to help.

Iggy sits and tells two parents there son Kaelen is dead. He contracted the material infection. They think its all a joke. He assures him them it isn’t.

The CDC comes in. Its one guy who is young. He tells Max he is very competent. He reviews the bacteria and tries to kill it with heavy duty antibiotics but it grows.

Helen and Max and some of the team try to track down the movement of the infection through the hospital. Lauren learns Walsh has been diagnosed with it. Meanwhile, Iggy has to show Kaelen’s parents his body. His dad punches him.

Max thinks he has a solution but that doesn’t work. They are running out of supplies and solutions. Meanwhile, Kaelen’s parents fight and blame one another. Max wants to try antibiotics that are off the market. They have tried every else.

Some of the team talk about Walsh and his habits. He puts ice in his coffee. This gives Helen and idea, the ice machine. They test it and realize this is their source. Max wants to use a drug from the 1950s that damages kidneys. They can dialyze the patients. Walsh asks to be the first, their guinea pig. After the treatment he is unconscious but comes to a time later. Lauren is so happy.

Iggy sits with Kaelen’s parents. He thinks they can really understand one another because they both feel the loss. They need to turn to each other and embrace grief. They need to talk. That is how they will survive this.

Max doesn’t know how to tell Helen he doesn’t want to go. Iggy calls and hopes Trevor, the man who hit on him. Malvo tells Floyd she is pregnant. Leyla is still angry that Lauren tried to buy her. She leaves her standing outside the hospital.

Max leaves with Helen to the airport.

## Cast

* Janet Montgomery as Dr. Lauren Bloom
* Freema Agyeman as Dr. Helen Sharpe
* Jocko Sims as Dr. Floyd Reynolds
* Tyler Labine as Dr. Iggy Frome

Guest Starring* Mike Doyle as Martin McIntyre
* Shiva Kalaiselvan as Leyla Shinwari
* Frances Turner as Dr. Lyn Malvo
* Anna Suzuki as Sandra Fall
* Amaia Arana as ED Resident Roxana Zamaya
* Keren Lugo as Dr. Diana Flores
* Jennifer Betit Yen as OR Nurse Aimee Kamoe
* Olivia Khoshatefeh as Dr. Yasmin Turan
* Matthew Jeffers as Dr. Mark Walsh
* Stacey Raymond as Paramedic Kerry Whitaker
* Ryan Faucett as Trevor Vaughn
* Ehad Berisha as ED Resident Huxley
* Donnie Keshawarz as Dominic Mancini
* Paul Skye Lehrman as Dr. Simon Holgate
* Harry Bouvy as Dr. Jay Eliraz
* Jamie Ann Burke as Colie Maru
* Felice Choi as Patient #2
* Grace Gawthrop as Patient #3
* Joseph H. LaBrasca as Kaelen Mancini
* Marissa Matrone as Dr. Margaret Baker
* Tariq Aamir Malik as 30-Year-Old Patient
* John P. McGinty as Dr. Liam Sertic
* Sage Newman as Patient #1
* Brian Ray Norris as Colie's Husband
* Brandon Ocasio as Orderly Perez
* Cameron Silliman as Colie's Child
* Tina WongLu as Sydney

## Multimedia

### Videos

New Amsterdam 4x10 Promo "Death Is The Rule. Life Is The Exception" (HD)