1 00:00:00,501 --> 00:00:01,920 Previously on "The Resident"... 2 00:00:01,921 --> 00:00:04,321 You may not realize this yet, but we're a thing. 3 00:00:04,354 --> 00:00:06,590 DEVON: Where can I get an amazing present for Priya? 4 00:00:06,623 --> 00:00:08,925 I'll take that one. This will definitely work. 5 00:00:08,958 --> 00:00:10,994 You do whatever the hell I tell you, 6 00:00:11,027 --> 00:00:12,862 no questions asked. 7 00:00:12,896 --> 00:00:14,398 You came in here ready to save lives, 8 00:00:14,431 --> 00:00:16,766 but today, you saved a brain stem 9 00:00:16,800 --> 00:00:19,035 - 'cause you didn't listen to me. - You look well. 10 00:00:19,069 --> 00:00:21,405 - Atlanta suits you. - Why are you here, Dad? 11 00:00:21,438 --> 00:00:23,873 I'm looking for worthwhile investment opportunities. 12 00:00:23,907 --> 00:00:27,010 Making you CEO was the smartest thing we ever did. 13 00:00:27,043 --> 00:00:30,046 I want to introduce you to your new boss, Marshall Winthrop. 14 00:00:33,083 --> 00:00:35,419 ♪ You feel like summertime... ♪ 15 00:00:35,452 --> 00:00:38,622 MICAH: Thank you for busting me out of that hospital room. 16 00:00:38,655 --> 00:00:40,857 MINA: This is what you need. Fresh air. 17 00:00:40,890 --> 00:00:42,592 MICAH: No, no, no, don't. I got it. 18 00:00:42,626 --> 00:00:45,129 People will have to take care of you for a while, Micah. 19 00:00:45,162 --> 00:00:47,297 Relax and get used to it. 20 00:00:47,331 --> 00:00:49,399 Yeah, the invalid thing? Not my style. 21 00:00:49,433 --> 00:00:51,435 You're ten days out of major surgery. 22 00:00:51,468 --> 00:00:53,069 Yeah. I get that. 23 00:00:53,103 --> 00:00:54,771 But you know. 24 00:00:54,804 --> 00:00:56,440 What's wrong? 25 00:00:56,473 --> 00:01:00,377 No one wants to talk about what's ahead for me. 26 00:01:00,410 --> 00:01:02,379 Tell me the truth. 27 00:01:02,412 --> 00:01:03,413 What's the average life expectancy of someone 28 00:01:03,447 --> 00:01:05,382 after a heart transplant? 29 00:01:05,415 --> 00:01:08,452 You're not average. 30 00:01:08,485 --> 00:01:11,087 You're young and you're strong. 31 00:01:11,121 --> 00:01:13,923 Micah, we almost lost you. 32 00:01:13,957 --> 00:01:16,493 Let's just enjoy this moment. 33 00:01:16,526 --> 00:01:19,296 Right here, right now. 34 00:01:19,329 --> 00:01:23,167 Isn't life beautiful? 35 00:01:23,200 --> 00:01:26,503 You are what's beautiful. 36 00:01:26,536 --> 00:01:29,906 ♪ Do love me, do love me, do, do love me, do love me, do... ♪ 37 00:01:29,939 --> 00:01:32,409 PRIYA (laughing): Oh! 38 00:01:32,442 --> 00:01:34,344 DEVON: Priya, we have to discipline this dog. 39 00:01:34,378 --> 00:01:36,780 Bad doggy. 40 00:01:36,813 --> 00:01:41,285 Bad, naughty little baby puppy-wuppy. 41 00:01:41,318 --> 00:01:43,287 - That showed him. - Jellybean has got to be 42 00:01:43,320 --> 00:01:44,854 at the wedding. 43 00:01:44,888 --> 00:01:46,756 No, no, not the wedding. 44 00:01:46,790 --> 00:01:48,625 We were having such a nice night. 45 00:01:48,658 --> 00:01:50,794 Have you arranged for someone to teach you Bhangra? 46 00:01:50,827 --> 00:01:55,665 - (laughs) - A Bollywood dance would be so much fun. 47 00:01:55,699 --> 00:01:58,868 You can do it for me, can't you? 48 00:01:58,902 --> 00:02:00,904 All right. 49 00:02:02,739 --> 00:02:05,342 You have to make sure the fish isn't overcooked. 50 00:02:05,375 --> 00:02:07,944 Three minutes a side. 51 00:02:07,977 --> 00:02:11,715 And then... taste this. 52 00:02:12,982 --> 00:02:15,285 (laughs) 53 00:02:15,319 --> 00:02:17,954 - Mmm. - (phone chimes) 54 00:02:17,987 --> 00:02:19,556 This new night nurse 55 00:02:19,589 --> 00:02:21,958 keeps texting me about her COPD patient. 56 00:02:21,991 --> 00:02:23,560 It's good, though, right? 57 00:02:23,593 --> 00:02:24,994 I hope so. 58 00:02:25,028 --> 00:02:26,630 Are we talking about the same thing? 59 00:02:26,663 --> 00:02:28,865 - Chastain. - Veggie kabob. 60 00:02:28,898 --> 00:02:30,867 (both chuckle) 61 00:02:30,900 --> 00:02:33,303 Delicious. 62 00:02:33,337 --> 00:02:37,307 - (phone chimes) - Mullins is out of the ICU. 63 00:02:37,341 --> 00:02:38,742 - Hey. - Hey. 64 00:02:38,775 --> 00:02:39,909 - Give that back. - Hey, hey. 65 00:02:39,943 --> 00:02:41,311 - Give me my phone. - Date night, date night. 66 00:02:41,345 --> 00:02:42,712 We are off duty. 67 00:02:42,746 --> 00:02:45,148 Oh, says the guy who's never off duty. 68 00:02:45,181 --> 00:02:49,386 ♪ All I wanna do is let you shine ♪ 69 00:02:49,419 --> 00:02:51,355 ♪ Do love me, do love me, do ♪ 70 00:02:51,388 --> 00:02:54,424 ♪ I love you, do love me, do love me, do ♪ 71 00:02:54,458 --> 00:02:55,992 ♪ Do love me, do love me, do ♪ 72 00:02:56,025 --> 00:02:57,394 ♪ Put no one else above you ♪ 73 00:02:57,427 --> 00:02:59,563 ♪ Do love me, do love me, do ♪ 74 00:02:59,596 --> 00:03:00,697 ♪ Do love me, do love me, do. ♪ 75 00:03:16,646 --> 00:03:19,383 Who was she? 76 00:03:24,321 --> 00:03:26,323 Love of my life. 77 00:03:29,058 --> 00:03:30,860 Turned out to be a psychopathic doctor 78 00:03:30,894 --> 00:03:32,729 who poisoned her own patients. 79 00:03:35,665 --> 00:03:38,568 She's in jail for murder. 80 00:03:41,004 --> 00:03:43,039 You have a nice night. 81 00:03:43,072 --> 00:03:45,375 ♪ Mm, mm, mm ♪ 82 00:03:45,409 --> 00:03:48,044 ♪ Mm, mm, mm, mm ♪ 83 00:03:48,077 --> 00:03:51,247 ♪ Oh, no, the vertigo's coming ♪ 84 00:03:51,281 --> 00:03:53,817 ♪ Can't keep me on my feet ♪ 85 00:03:53,850 --> 00:03:56,453 ♪ God knows I'm trying to be someone ♪ 86 00:03:56,486 --> 00:03:59,756 ♪ My vision's failing me ♪ 87 00:03:59,789 --> 00:04:03,259 ♪ I live like I'm dying tomorrow ♪ 88 00:04:03,293 --> 00:04:05,462 ♪ God gave me one last chance ♪ 89 00:04:05,495 --> 00:04:08,665 ♪ To take all the time that I've borrowed ♪ 90 00:04:08,698 --> 00:04:12,302 ♪ And make a new man ♪ 91 00:04:12,336 --> 00:04:15,772 ♪ Feels like I'm burning out ♪ 92 00:04:15,805 --> 00:04:17,674 ♪ Wondering why it changed ♪ 93 00:04:17,707 --> 00:04:22,111 ♪ Bring back this life of mine ♪ 94 00:04:22,145 --> 00:04:24,013 ♪ 'Cause it left with you ♪ 95 00:04:24,047 --> 00:04:26,350 ♪ Take it day to day ♪ 96 00:04:26,383 --> 00:04:28,418 ♪ I'm trying ♪ 97 00:04:28,452 --> 00:04:32,689 ♪ Trying to block the memories ♪ 98 00:04:32,722 --> 00:04:34,624 ♪ In my head ♪ 99 00:04:34,658 --> 00:04:37,193 ♪ They said pain, it comes in waves ♪ 100 00:04:37,226 --> 00:04:40,530 ♪ So dive in ♪ 101 00:04:40,564 --> 00:04:43,600 ♪ They weren't lying ♪ 102 00:04:43,633 --> 00:04:47,804 ♪ There's no denying it ♪ 103 00:04:56,212 --> 00:04:57,614 (exhales) 104 00:04:57,647 --> 00:05:00,149 Uh, you look a lot like her. 105 00:05:00,183 --> 00:05:03,286 - I can make you forget her. - Don't talk. 106 00:05:03,319 --> 00:05:05,221 Your voice, it's not the same. 107 00:05:13,997 --> 00:05:15,632 You're under arrest for solicitation. 108 00:05:15,665 --> 00:05:18,568 (siren wailing) 109 00:05:18,602 --> 00:05:21,337 ♪ I knew that it will come for me ♪ 110 00:05:21,371 --> 00:05:24,408 ♪ So why try to run? ♪ 111 00:05:24,441 --> 00:05:27,511 ♪ I knew it will come for me. ♪ 112 00:05:29,913 --> 00:05:31,915 ♪ ♪ 113 00:05:39,020 --> 00:05:41,030 Synced & corrected by MaxPayne == https://subscene.com == 114 00:05:41,391 --> 00:05:43,026 (exhales) 115 00:05:45,261 --> 00:05:48,765 Here you go. Should fit. 116 00:05:50,467 --> 00:05:53,036 Thanks for arranging bail. 117 00:05:53,069 --> 00:05:56,239 I just made CEO. Can we keep this quiet? 118 00:05:56,272 --> 00:05:58,708 We need a not guilty verdict. 119 00:05:58,742 --> 00:06:00,176 If you're convicted for solicitation, 120 00:06:00,209 --> 00:06:01,745 the law says you have to report the arrest 121 00:06:01,778 --> 00:06:02,979 to the state medical board. 122 00:06:07,083 --> 00:06:10,787 ♪ ♪ 123 00:06:10,820 --> 00:06:15,825 ♪ Yeah... ♪ 124 00:06:18,562 --> 00:06:21,598 ♪ Yeah, yeah ♪ 125 00:06:21,631 --> 00:06:23,066 ♪ You've got to show me love ♪ 126 00:06:27,437 --> 00:06:29,305 ♪ Heartbreaks and promises ♪ 127 00:06:29,338 --> 00:06:34,277 ♪ I've had more than my share ♪ 128 00:06:34,310 --> 00:06:37,046 ♪ I'm tired of giving my love ♪ 129 00:06:37,080 --> 00:06:39,415 ♪ And getting nowhere... ♪ 130 00:06:39,449 --> 00:06:42,051 - Are you okay? - Yeah. 131 00:06:42,085 --> 00:06:43,319 - Thank you. - You're welcome. 132 00:06:43,352 --> 00:06:44,754 Look out! 133 00:06:48,825 --> 00:06:51,595 BOY: Hey. You okay? 134 00:06:51,628 --> 00:06:53,797 Help, I... 135 00:06:53,830 --> 00:06:55,431 I-I can't breathe. 136 00:06:55,465 --> 00:06:57,266 Someone call 911. 137 00:06:57,300 --> 00:06:59,936 Teenage male, blunt abdominal trauma. 138 00:06:59,969 --> 00:07:01,337 Pullman Yard, the meadow. 139 00:07:01,370 --> 00:07:02,672 Roger that. 140 00:07:02,706 --> 00:07:05,975 Medivac Midtown, we have a call. 141 00:07:06,009 --> 00:07:07,577 MIDTOWN PARAMEDIC: Call received. 142 00:07:07,611 --> 00:07:09,245 En route to Pullman Yard. 143 00:07:09,278 --> 00:07:12,582 Medivac Midtown just got a call to Pullman Yard. 144 00:07:12,616 --> 00:07:14,150 See if you can beat them to the scene. 145 00:07:14,183 --> 00:07:16,285 AIRMED PARAMEDIC: Copy you. AirMed Atlanta 146 00:07:16,319 --> 00:07:18,855 turning around and heading to Pullman Yard. 147 00:07:18,888 --> 00:07:21,157 AirMed Atlanta just launched. 148 00:07:21,190 --> 00:07:22,526 They're trying to poach a call, but we can 149 00:07:22,559 --> 00:07:23,993 - get there first. - PARAMEDIC: On my way. 150 00:07:24,027 --> 00:07:25,461 You'll be fine. 151 00:07:25,495 --> 00:07:28,164 Where the hell is the ambulance? 152 00:07:34,904 --> 00:07:37,240 MIDTOWN PARAMEDIC: What the hell? 153 00:07:49,085 --> 00:07:50,554 Look, there's two of them. 154 00:07:50,587 --> 00:07:52,155 There's three of them. 155 00:07:58,061 --> 00:08:00,530 You're okay. Just hold on. 156 00:08:04,067 --> 00:08:06,002 MIDTOWN PARAMEDIC: AirMed Atlanta again? 157 00:08:25,955 --> 00:08:29,158 - What are you doing here? This is our call! - Pullman Yard is zone three. 158 00:08:29,192 --> 00:08:31,928 - AirMed Atlanta has zone three. - Oh, you poached off the police scanner. 159 00:08:31,961 --> 00:08:33,730 - That's the third time... - Yeah, after you took one of ours last week. 160 00:08:33,763 --> 00:08:35,899 Okay, we got you, buddy. You'll be in the ER in no time. 161 00:08:35,932 --> 00:08:37,934 - What's your name? - Jack. 162 00:08:37,967 --> 00:08:39,535 Jack? All right, where does it hurt? Right here? 163 00:08:39,569 --> 00:08:41,037 Severe abdominal trauma. 164 00:08:41,070 --> 00:08:42,606 All right, Jack, I need you to keep still. 165 00:08:42,639 --> 00:08:43,873 We're gonna put a collar on you. 166 00:08:43,907 --> 00:08:45,041 MIDTOWN PARAMEDIC: Two weeks ago, Piedmont Park. 167 00:08:45,074 --> 00:08:47,276 - Tell me that wasn't you. - Okay, that was me, 168 00:08:47,310 --> 00:08:48,978 but that was because that patient needed help. 169 00:08:51,047 --> 00:08:53,282 (overlapping arguing continues) 170 00:08:53,316 --> 00:08:56,119 Today I got here first! 171 00:08:56,152 --> 00:08:58,387 - Southeast Air Ambulance One... - Hey, hey, hey. Wait, wait! 172 00:08:58,421 --> 00:09:00,757 We have patient, inbound to Chastain Park. 173 00:09:11,668 --> 00:09:13,637 DEVON: All right, it's on, Mina. 174 00:09:13,670 --> 00:09:16,139 - Oh, no, no, no. - (both laugh) 175 00:09:16,172 --> 00:09:18,407 - Oh, okay, all right. That's the best you got? - You won. 176 00:09:18,441 --> 00:09:20,576 - Serious question right now. - Oh, laugh while you still can, my friend. 177 00:09:20,610 --> 00:09:23,412 - Very serious question: Is that all you got? - (Both laugh) 178 00:09:23,446 --> 00:09:26,549 - Good job. - Dr. Pravesh. Just the man we were looking for. 179 00:09:26,582 --> 00:09:28,584 Time to grow up and be a role model. 180 00:09:28,618 --> 00:09:29,986 First year med students. 181 00:09:30,019 --> 00:09:31,788 - Aw. - Green as new mown grass. 182 00:09:31,821 --> 00:09:33,489 CONRAD: They get to tour the hospital, 183 00:09:33,522 --> 00:09:35,959 and guess who has the honor of showing them the ropes? 184 00:09:35,992 --> 00:09:37,661 Oh, no. No, no, no, no, no. 185 00:09:37,694 --> 00:09:38,995 Please, I have, I have patients to see. 186 00:09:39,028 --> 00:09:40,463 CONRAD: Take them with. 187 00:09:40,496 --> 00:09:42,398 Impart your wisdom. 188 00:09:42,431 --> 00:09:45,234 - Be their Conrad. - Conrad 2.0. 189 00:09:45,268 --> 00:09:47,336 Uh, no. No. No. 190 00:09:47,370 --> 00:09:49,973 Hi. Aaron Holt. 191 00:09:50,006 --> 00:09:51,240 Hey. 192 00:09:51,274 --> 00:09:54,477 - Justin. - Okay, okay. 193 00:09:55,611 --> 00:09:57,613 Hi. All right. Uh... 194 00:09:57,647 --> 00:10:00,149 (clicks tongue) Yes, thank you. 195 00:10:04,888 --> 00:10:06,856 CONRAD: You wanted to see me? 196 00:10:06,890 --> 00:10:08,291 No. 197 00:10:08,324 --> 00:10:10,026 He did. 198 00:10:11,627 --> 00:10:13,596 In my opinion, it's wholly inappropriate 199 00:10:13,629 --> 00:10:15,999 for a third year resident to attend a meeting between the CEO 200 00:10:16,032 --> 00:10:17,533 and the chairman of the board. 201 00:10:17,566 --> 00:10:21,004 We're discussing recent unfortunate events at Chastain. 202 00:10:21,037 --> 00:10:23,840 Residents are on the frontline of patient care. 203 00:10:23,873 --> 00:10:25,775 I want my son's input. 204 00:10:25,809 --> 00:10:29,779 Conrad, if you had a magic wand, 205 00:10:29,813 --> 00:10:32,481 what would you do first to improve the hospital? 206 00:10:32,515 --> 00:10:34,150 Easy, weed out problematic staff. 207 00:10:34,183 --> 00:10:36,152 Starting with a resident who breaks the rules 208 00:10:36,185 --> 00:10:37,553 whenever he damn well pleases? 209 00:10:37,586 --> 00:10:38,888 Excellence comes from the top down. 210 00:10:38,922 --> 00:10:41,024 MARSHALL: What is your plan 211 00:10:41,057 --> 00:10:43,960 - to balance the budget, Dr. Bell? - Increase volume. 212 00:10:43,993 --> 00:10:46,029 Screen patients, cut those at risk for nonpayment. 213 00:10:46,062 --> 00:10:48,197 Every single one of those ideas threatens patient safety. 214 00:10:48,231 --> 00:10:50,066 This is a business, it's not a charity. 215 00:10:50,099 --> 00:10:51,801 No money, no mission. 216 00:10:51,835 --> 00:10:53,870 Okay, you want to go there? Yeah, let's go there. 217 00:10:53,903 --> 00:10:55,972 - How much does he make? - A million five. 218 00:10:56,005 --> 00:10:58,674 A million five. Why does Dr. Bell make a million five 219 00:10:58,708 --> 00:11:01,177 when the average hospital CEO salary is $600,000? 220 00:11:01,210 --> 00:11:03,880 (sighs) I'm not average. 221 00:11:03,913 --> 00:11:06,249 The CEO at Atlanta General makes $3 million. 222 00:11:06,282 --> 00:11:08,184 We both earn every penny. 223 00:11:08,217 --> 00:11:11,020 You have no idea what this job entails. 224 00:11:11,054 --> 00:11:13,222 All ten floors of this hospital rest on my back. 225 00:11:13,256 --> 00:11:16,926 There are 30 departments, 45 surgeons, 200 internists, 226 00:11:16,960 --> 00:11:18,928 ten CT scanners that do not 227 00:11:18,962 --> 00:11:21,731 and will never pay for themselves. 228 00:11:21,765 --> 00:11:24,700 And while you are feeling the pain and triumph 229 00:11:24,734 --> 00:11:26,402 of helping a relative few, 230 00:11:26,435 --> 00:11:29,939 I will be thinking of ways to raise or cut a dollar 231 00:11:29,973 --> 00:11:32,008 so that I can keep you working, 232 00:11:32,041 --> 00:11:34,210 nurses attending, janitors cleaning, 233 00:11:34,243 --> 00:11:35,611 those machines humming, 234 00:11:35,644 --> 00:11:37,046 so Chastain's patients keep breathing. 235 00:11:37,080 --> 00:11:39,715 - Exhibit A. - (helicopter whirring) 236 00:11:39,749 --> 00:11:42,418 A medevac helicopter coming here, 237 00:11:42,451 --> 00:11:45,621 and n Atlanta General. 238 00:11:45,654 --> 00:11:48,191 Why? Because I pushed Chastain 239 00:11:48,224 --> 00:11:50,593 to buy that air transport company so it brings patients 240 00:11:50,626 --> 00:11:52,962 to our top-of-the-line, level one trauma center. 241 00:11:52,996 --> 00:11:55,298 Perfect example of profits over patients. 242 00:11:55,331 --> 00:11:57,300 Air ambulances used to be run by the county. 243 00:11:57,333 --> 00:12:00,804 Now they're for-profit. You know how much we charge 244 00:12:00,837 --> 00:12:02,738 for that ten-minute flight? 40 grand. 245 00:12:02,772 --> 00:12:04,440 You could fly around the world ten times... 246 00:12:04,473 --> 00:12:06,375 Insurance pays. It's not our problem. 247 00:12:06,409 --> 00:12:08,111 News flash. Millions of people are uninsured. 248 00:12:08,144 --> 00:12:09,879 That flight could equal bankruptcy. 249 00:12:09,913 --> 00:12:12,048 - Would they rather be dead? - Well, that's the option... 250 00:12:12,081 --> 00:12:14,283 - Your money or your life? - Gentlemen, enough. 251 00:12:14,317 --> 00:12:17,553 I set up this meeting to find solutions. 252 00:12:17,586 --> 00:12:20,289 Chastain needs revenue to make payroll. 253 00:12:20,323 --> 00:12:22,758 It also needs to be a beacon of excellence. 254 00:12:22,792 --> 00:12:24,560 You both have a point. 255 00:12:24,593 --> 00:12:27,330 You're gonna have to learn to work together. 256 00:12:27,363 --> 00:12:28,965 (laughs) 257 00:12:28,998 --> 00:12:30,499 (Bell scoffs) 258 00:12:40,043 --> 00:12:42,445 HUNDLEY: How long have you been diabetic? 259 00:12:42,478 --> 00:12:46,015 Since I was ten. Three years. 260 00:12:46,049 --> 00:12:49,118 Because you're a minor, we have to wait on your mom. 261 00:12:49,152 --> 00:12:51,187 Okay. 262 00:12:51,220 --> 00:12:54,523 Take a seat, and when she gets here, come back, okay? 263 00:12:56,159 --> 00:12:57,827 14-year-old male, 264 00:12:57,861 --> 00:13:00,463 skating accident, abdominal trauma, BP 80/40 265 00:13:00,496 --> 00:13:03,366 - and dropping. Pulse is 126. - All right, Trauma Ten. 266 00:13:03,399 --> 00:13:04,767 - What's his name? - Jack Alderwood. 267 00:13:04,800 --> 00:13:06,335 - Jack, where's the pain? - Everywhere. 268 00:13:06,369 --> 00:13:08,671 - Jack! Ja... T-That's our son! - All right, on a scale... 269 00:13:08,704 --> 00:13:10,806 Sir, we're gonna take care of him, I promise you. 270 00:13:10,840 --> 00:13:12,041 - We just need some space. - The doctors 271 00:13:12,075 --> 00:13:13,542 are taking good care of your son. 272 00:13:13,576 --> 00:13:15,845 On a scale of one to ten, ten being 273 00:13:15,879 --> 00:13:18,181 - the most severe... - Ten. Can't breathe. 274 00:13:18,214 --> 00:13:20,716 Okay, here's my credit card and insurance. 275 00:13:20,749 --> 00:13:22,551 - Let's get you to registration, okay? - Right now. One, two, three. 276 00:13:22,585 --> 00:13:24,653 We need another large-bore IV. 277 00:13:24,687 --> 00:13:28,124 Hang one liter normal saline, get blood ready. 278 00:13:28,157 --> 00:13:29,625 Trauma to the upper abdomen. 279 00:13:29,658 --> 00:13:31,594 He's distended, diffuse pain. 280 00:13:34,430 --> 00:13:36,966 Okay, hang in there, buddy. You're doing great. 281 00:13:37,000 --> 00:13:39,702 His FAST is positive. Free fluid everywhere. He's bleeding out. 282 00:13:39,735 --> 00:13:41,837 Hang two units O neg. Don't worry. 283 00:13:41,871 --> 00:13:44,908 We're gonna take care of you. He needs an OR. 284 00:13:44,941 --> 00:13:47,010 - Where's Nolan? - Bowel surgery. Busy for another three hours. 285 00:13:47,043 --> 00:13:49,412 - CONRAD: Who's available from trauma? - AUSTIN: I am. 286 00:13:49,445 --> 00:13:51,380 - You're cardiothoracic. - Well, actually, 287 00:13:51,414 --> 00:13:53,749 I'm triple board certified... Cardiothoracic, 288 00:13:53,782 --> 00:13:56,685 general and trauma. I'm also IFR licensed on a twin engine plane, 289 00:13:56,719 --> 00:13:58,754 and I can scuba dive up to 150 feet. 290 00:13:58,787 --> 00:14:00,323 Kill me now. 291 00:14:00,356 --> 00:14:02,358 - (monitor beeping rapidly) - (Jack groaning) 292 00:14:02,391 --> 00:14:04,360 All right, he's out. 293 00:14:04,393 --> 00:14:06,295 CONRAD: Let's get him to OR One. 294 00:14:09,573 --> 00:14:13,544 Let's look in on your very first patient. And don't be nervous. 295 00:14:13,577 --> 00:14:15,346 There are no wrong answers. 296 00:14:17,315 --> 00:14:19,483 Mr. Warden, these are medical students 297 00:14:19,517 --> 00:14:21,452 rounding for the very first time. 298 00:14:21,485 --> 00:14:23,054 I'd like them to listen to your heart. 299 00:14:23,087 --> 00:14:24,455 Would that be all right with you? 300 00:14:24,488 --> 00:14:26,958 - Sure. Have at it, Doc. - All right. 301 00:14:33,464 --> 00:14:36,500 DEVON: Heart sounds are notoriously tricky, but they are 302 00:14:36,534 --> 00:14:39,337 a key diagnostic tool. So, what do you think...? 303 00:14:39,370 --> 00:14:41,605 I can clearly hear a diastolic rumble with an opening snap, 304 00:14:41,639 --> 00:14:43,507 which is indicative of mitral stenosis 305 00:14:43,541 --> 00:14:46,077 secondary to rheumatic heart disease. 306 00:14:46,110 --> 00:14:48,779 Actually, I hear a crescendo decrescendo systolic ejection 307 00:14:48,813 --> 00:14:50,514 murmur radiating to the carotids, 308 00:14:50,548 --> 00:14:52,416 with soft S2 and precordial thrill. 309 00:14:52,450 --> 00:14:57,021 You know, I kind of just think it sounds like Ken-tucky. 310 00:14:57,055 --> 00:14:58,522 And sometimes, it kind of sounds like 311 00:14:58,556 --> 00:15:00,658 Tennes-see, Tennes-see, 312 00:15:00,691 --> 00:15:02,226 - Tennes-see. - What do you think? 313 00:15:04,662 --> 00:15:08,666 Um... I didn't really hear anything abnormal. 314 00:15:08,699 --> 00:15:12,103 I thought I was in for gallbladder surgery? 315 00:15:12,136 --> 00:15:14,605 You are. You have a perfectly normal heart. 316 00:15:14,638 --> 00:15:18,242 Are you sure? I distinctly heard a diastolic... 317 00:15:20,644 --> 00:15:22,847 Thank you. Let's go. 318 00:15:25,716 --> 00:15:27,718 (monitor beeping steadily) 319 00:16:00,618 --> 00:16:04,022 It's, uh, pretty quiet up here. Couldn't we go to the ER, OR? 320 00:16:04,055 --> 00:16:06,324 - See some trauma, you know, blood and gore? - (Devon sighs) 321 00:16:06,357 --> 00:16:08,859 It's your first day. Just do what I tell you to do, 322 00:16:08,893 --> 00:16:10,528 - no questions asked. - NONI: Heads up. 323 00:16:10,561 --> 00:16:12,830 There's a device rep in the conference room, 324 00:16:12,863 --> 00:16:15,733 luring in doctors to hear her sales pitch. Free Thai food. 325 00:16:15,766 --> 00:16:17,068 - Oh. - (gasps) 326 00:16:20,038 --> 00:16:21,705 (clicks tongue) 327 00:16:24,742 --> 00:16:26,277 WOMAN: Come on in, guys. 328 00:16:26,310 --> 00:16:27,711 - Have some food. - Thank you. 329 00:16:27,745 --> 00:16:28,980 - Mm-hmm. You're welcome. - Thank you. 330 00:16:31,983 --> 00:16:33,684 Come on in, Doctor. 331 00:16:33,717 --> 00:16:36,120 I'm Julian Booth, device rep for Quovadis. 332 00:16:36,154 --> 00:16:38,222 Hi. Uh, Dr. Pravesh. 333 00:16:38,256 --> 00:16:40,558 Um... Devon. 334 00:16:40,591 --> 00:16:43,928 I have some cool gear to show you. 335 00:16:43,962 --> 00:16:46,030 Let's see what you might need. 336 00:16:46,064 --> 00:16:47,731 You're not a surgeon. 337 00:16:47,765 --> 00:16:49,433 How do you know that? 338 00:16:49,467 --> 00:16:50,868 It's my superpower. 339 00:16:50,901 --> 00:16:52,937 I can guess a doctor's specialty at a glance, 340 00:16:52,971 --> 00:16:54,472 even before they know it. 341 00:16:54,505 --> 00:16:56,440 Take your medical students. 342 00:16:56,474 --> 00:16:59,110 Born rad. Destined to spend his life 343 00:16:59,143 --> 00:17:01,112 inside windowless rooms with imaging machines. 344 00:17:01,145 --> 00:17:02,613 (chuckles) He does look like a submariner. 345 00:17:02,646 --> 00:17:03,982 Mm-hmm. 346 00:17:04,015 --> 00:17:06,550 Okay, what about that one over there? 347 00:17:06,584 --> 00:17:08,086 Peeds. 348 00:17:08,119 --> 00:17:09,820 No way. My money's on derm. 349 00:17:09,853 --> 00:17:11,855 No, I'm right. 350 00:17:17,161 --> 00:17:19,463 That is impressive. 351 00:17:19,497 --> 00:17:24,102 Good, right? And your shy one will probably cure cancer. 352 00:17:24,135 --> 00:17:26,104 All right, the one on the end here. 353 00:17:26,137 --> 00:17:28,639 Annoying gunner... neurosurgeon? 354 00:17:28,672 --> 00:17:30,441 No. He'll get his MD, 355 00:17:30,474 --> 00:17:32,843 skip residency and head straight to Silicon Valley. 356 00:17:32,876 --> 00:17:34,478 That's what all the gunners do. 357 00:17:34,512 --> 00:17:36,647 They invent devices like these. 358 00:17:36,680 --> 00:17:38,749 Artificial sphincter. 359 00:17:38,782 --> 00:17:40,451 - (laughs) - You laugh, 360 00:17:40,484 --> 00:17:42,353 but the urologist who came up with this 361 00:17:42,386 --> 00:17:43,821 hauled down $40 million. 362 00:17:43,854 --> 00:17:46,824 - You're kidding. - Medical devices 363 00:17:46,857 --> 00:17:48,359 are even bigger than pharma. 364 00:17:48,392 --> 00:17:50,328 Pacemakers, cardiac caths, 365 00:17:50,361 --> 00:17:53,931 cochlear implants, artificial knees, skin, hips. 366 00:17:53,964 --> 00:17:57,601 I was a dancer until one day I was hit by a car. 367 00:17:57,635 --> 00:17:59,503 It shattered my pelvis. 368 00:17:59,537 --> 00:18:03,141 A total hip replacement gave me my life back 369 00:18:03,174 --> 00:18:04,742 and made me a true believer. 370 00:18:06,644 --> 00:18:08,512 You're interested in ER, right? 371 00:18:08,546 --> 00:18:10,014 (chuckles) 372 00:18:10,048 --> 00:18:11,315 Okay, now you're batting a thousand. 373 00:18:11,349 --> 00:18:13,617 You won't be just a doctor, though. 374 00:18:13,651 --> 00:18:14,985 You're too smart for that. 375 00:18:15,019 --> 00:18:18,556 All the best ones do more than one thing. 376 00:18:18,589 --> 00:18:20,491 Maybe you'll invent one of these. 377 00:18:20,524 --> 00:18:22,993 (chuckles) 378 00:18:23,027 --> 00:18:24,862 - No. I'm good. - (laughs) 379 00:18:24,895 --> 00:18:26,897 - Thank you. - You never know. 380 00:18:26,930 --> 00:18:29,667 - (laughs) - $40 million. 381 00:18:31,402 --> 00:18:33,971 Jack came through the splenectomy with flying colors. 382 00:18:34,004 --> 00:18:35,473 - Thank God. - Oh. 383 00:18:35,506 --> 00:18:37,475 I don't know what we would do if we lost him. 384 00:18:37,508 --> 00:18:39,577 He's the center of our world. Jack is 385 00:18:39,610 --> 00:18:41,745 the brightest, kindest... 386 00:18:41,779 --> 00:18:46,217 This boy is the only thing that pulled us through when... 387 00:18:46,250 --> 00:18:50,088 Amber, Jack's sister, passed two years ago from a brain tumor. 388 00:18:52,056 --> 00:18:54,192 (monitor beeping steadily) 389 00:18:54,225 --> 00:18:56,360 Am I okay? 390 00:18:56,394 --> 00:18:58,229 - (gasps) Yes, darling. - Hey, buddy. 391 00:18:58,262 --> 00:19:00,064 You're gonna be fine. Isn't he, Dr. Hawkins? 392 00:19:00,098 --> 00:19:04,168 Yeah. Jack, we had to do a procedure to remove your spleen. 393 00:19:04,202 --> 00:19:06,904 Spleen filters blood, helps your body fight infections, 394 00:19:06,937 --> 00:19:08,539 so you'll need a regular schedule of vaccines, 395 00:19:08,572 --> 00:19:10,241 but other than that, you won't even know it's missing. 396 00:19:10,274 --> 00:19:12,876 Hear that, Mom? It's okay. 397 00:19:12,910 --> 00:19:14,878 (inhales sharply) 398 00:19:14,912 --> 00:19:16,914 She worries. 399 00:19:22,553 --> 00:19:25,889 Why don't you two get some food while I do a post-op on Jack? 400 00:19:25,923 --> 00:19:27,425 Okay, okay. 401 00:19:27,458 --> 00:19:29,593 And thank you, Dr. Hawkins. 402 00:19:43,507 --> 00:19:44,942 (Conrad sighs) 403 00:19:44,975 --> 00:19:46,977 Looks like you have a touch of jaundice. 404 00:19:47,010 --> 00:19:49,113 Is that serious? 405 00:19:49,147 --> 00:19:51,149 Not necessarily. 406 00:19:51,182 --> 00:19:53,784 Tell me about your weight. Any changes lately? 407 00:19:53,817 --> 00:19:55,486 You're a thin guy. 408 00:19:55,519 --> 00:19:57,555 I just dropped ten pounds. 409 00:19:57,588 --> 00:20:00,291 I wasn't even trying, but I like it. 410 00:20:00,324 --> 00:20:03,060 How were you feeling before the accident? Everything okay? 411 00:20:03,093 --> 00:20:07,298 I have been having some back pain, but it's no big deal. 412 00:20:07,331 --> 00:20:09,300 Probably pulled a muscle roller dancing. 413 00:20:09,333 --> 00:20:10,968 Show me where it hurts. 414 00:20:14,638 --> 00:20:16,039 (grunts softly) 415 00:20:26,016 --> 00:20:29,287 - (quietly): Ow. Ah. - I'm sorry to hear about your sister. 416 00:20:29,320 --> 00:20:31,989 Any other history of cancer in the family? 417 00:20:35,826 --> 00:20:38,929 My grandfather died young. 418 00:20:38,962 --> 00:20:40,798 I never knew him. 419 00:20:40,831 --> 00:20:43,434 Colon cancer, I think. 420 00:20:43,467 --> 00:20:46,704 And Mom had breast cancer, but she's okay now. 421 00:20:50,040 --> 00:20:53,444 Have to run a few more tests before I can let you go. 422 00:20:53,477 --> 00:20:55,213 I'll go write up the orders. 423 00:21:13,597 --> 00:21:15,098 Can I help you? 424 00:21:20,103 --> 00:21:22,406 Hey, call security. We got a drug seeker. 425 00:21:23,507 --> 00:21:26,510 Hey! Hey! 426 00:21:32,866 --> 00:21:36,737 Okay, every doctor needs to know how to place an IV. 427 00:21:36,770 --> 00:21:38,606 I want you to practice on each other. 428 00:21:41,942 --> 00:21:43,744 Good work. 429 00:21:43,777 --> 00:21:45,479 (scoffs) This is child's play. 430 00:21:45,513 --> 00:21:48,448 Did all summer in my Dad's neurosurgery clinic. 431 00:21:52,452 --> 00:21:55,455 Steady. Steady. Steady. 432 00:21:58,291 --> 00:21:59,960 (grunts) 433 00:21:59,993 --> 00:22:02,129 See, this is why you're going into radiology. 434 00:22:02,162 --> 00:22:04,131 DEVON: Steady. 435 00:22:04,164 --> 00:22:06,099 Just watch. 436 00:22:06,133 --> 00:22:08,802 - Feel it. Touch it. There you go, you feel that? - Uh-huh. 437 00:22:08,836 --> 00:22:10,871 - Uh-huh. - That's the vein. That's where you want to go. 438 00:22:10,904 --> 00:22:13,574 - The pulsing thing. - Mm-hmm. 439 00:22:14,842 --> 00:22:16,276 (grunts, laughs) 440 00:22:16,309 --> 00:22:17,477 DEVON: Lower your hand. 441 00:22:17,511 --> 00:22:19,146 Can I get a new partner? 442 00:22:19,179 --> 00:22:20,514 He-he can't find the vein. 443 00:22:20,548 --> 00:22:22,315 Maybe I can help. 444 00:22:22,349 --> 00:22:23,651 Here. 445 00:22:23,684 --> 00:22:25,152 Try this. 446 00:22:25,185 --> 00:22:27,120 It uses infrared to find the vein. 447 00:22:27,154 --> 00:22:28,889 - Here you go. - Oh. 448 00:22:28,922 --> 00:22:30,123 - There you go, that's it right there. - JULIAN: See it? 449 00:22:30,157 --> 00:22:31,491 STUDENT: That right there? 450 00:22:31,525 --> 00:22:33,594 Yeah. 451 00:22:35,228 --> 00:22:36,429 STUDENT: Got it. 452 00:22:39,767 --> 00:22:43,136 (gasps) I did it. 453 00:22:43,170 --> 00:22:44,371 T-This device rocks. 454 00:22:44,404 --> 00:22:46,039 - Whoa! - Oh! 455 00:22:46,073 --> 00:22:48,241 You have to remove the tourniquet first 456 00:22:48,275 --> 00:22:50,143 before you withdraw the needle. 457 00:22:50,177 --> 00:22:52,512 Apply pressure to slow the bleed. 458 00:22:52,546 --> 00:22:55,248 All right. 459 00:22:55,282 --> 00:22:56,817 There you go. 460 00:22:56,850 --> 00:22:59,019 Everything is gonna be perfectly fine now. 461 00:23:01,354 --> 00:23:03,657 Whoa! Whoa, whoa, whoa. Whoa, whoa. 462 00:23:03,691 --> 00:23:06,359 - You all right? Okay. - Mm-hmm. 463 00:23:06,393 --> 00:23:08,428 Amazing catch, Conrad. 464 00:23:08,461 --> 00:23:10,163 Don't tell me I guessed right. 465 00:23:10,197 --> 00:23:13,400 You ordered a CT with a pancreas protocol on a 14-year-old. 466 00:23:13,433 --> 00:23:15,769 How in the world did you know? 467 00:23:15,803 --> 00:23:17,370 Uh, the family history was a red flag. 468 00:23:17,404 --> 00:23:20,073 It was a long shot, but I had to check. 469 00:23:21,408 --> 00:23:23,611 Jack has pancreatic cancer. 470 00:23:29,783 --> 00:23:32,285 OSDER: I know you may not feel lucky right now, 471 00:23:32,319 --> 00:23:34,421 but you are. 472 00:23:34,454 --> 00:23:37,557 The accident brought you into the hospital, 473 00:23:37,591 --> 00:23:40,427 and Dr. Hawkins caught it early. 474 00:23:40,460 --> 00:23:42,562 Am I gonna die? 475 00:23:42,596 --> 00:23:45,465 There is every reason to believe that surgery will be 476 00:23:45,498 --> 00:23:47,067 a total cure. 477 00:23:47,100 --> 00:23:48,301 If we get him to Houston tonight, 478 00:23:48,335 --> 00:23:49,903 will MD Anderson have a room for him? 479 00:23:49,937 --> 00:23:52,806 Okay, please let me know as soon as possible. 480 00:23:52,840 --> 00:23:56,243 - Thank you. - Mr. Alderwood. 481 00:23:56,276 --> 00:23:59,412 Randolph Bell, Chief of Surgery, CEO here at Chastain. 482 00:23:59,446 --> 00:24:02,215 I'm so sorry to hear about your son's diagnosis. 483 00:24:02,249 --> 00:24:04,151 Now, you should know that Chastain's cancer wing 484 00:24:04,184 --> 00:24:05,653 - is state of the art... - No, no. MD Anderson 485 00:24:05,686 --> 00:24:06,954 is a top five cancer center. 486 00:24:06,987 --> 00:24:08,221 Only the best for Jack. 487 00:24:08,255 --> 00:24:09,657 We need to get him there as soon as possible. 488 00:24:09,690 --> 00:24:12,492 I understand. You know, we do have a connection 489 00:24:12,525 --> 00:24:14,061 to a helicopter company 490 00:24:14,094 --> 00:24:15,929 that can handle the transfer to the airport. 491 00:24:15,963 --> 00:24:17,597 They're not cheap. You might want to check 492 00:24:17,631 --> 00:24:19,767 - with your insurance first. - No, money is no object. 493 00:24:21,802 --> 00:24:23,270 Well, I'm glad we could help. 494 00:24:23,303 --> 00:24:25,072 OSDER: The next step is to stage the cancer, 495 00:24:25,105 --> 00:24:28,108 check for metastasis, make sure Jack's lymph nodes are clear. 496 00:24:28,141 --> 00:24:30,110 Okay? 497 00:24:30,143 --> 00:24:33,113 Thank you. 498 00:24:35,482 --> 00:24:38,418 (sighs) Baby... 499 00:24:38,451 --> 00:24:41,154 You're gonna be okay, okay? 500 00:24:58,571 --> 00:25:01,241 ♪ ♪ 501 00:25:22,395 --> 00:25:24,664 - What's up? - There's a young girl 502 00:25:24,698 --> 00:25:26,666 running around the hospital. About 12 or 13. 503 00:25:26,700 --> 00:25:28,135 I caught her stealing from the drug cart. 504 00:25:28,168 --> 00:25:29,870 I think she's in withdrawal. She's blonde, pale. 505 00:25:29,903 --> 00:25:31,905 - I'll check Five East. - Thanks. 506 00:25:38,779 --> 00:25:40,748 Hey. 507 00:25:40,781 --> 00:25:42,215 Check me out. 508 00:25:42,249 --> 00:25:43,550 I got it, I got it. 509 00:25:45,085 --> 00:25:46,854 No, Micah, don't! 510 00:25:46,887 --> 00:25:48,722 (grunting) 511 00:25:50,257 --> 00:25:51,591 No, I'm fine, I'm fine, I'm fine. 512 00:25:51,624 --> 00:25:52,592 I just twisted it a little bit. 513 00:25:52,625 --> 00:25:54,094 - That's all. - There's someone in here! 514 00:25:54,127 --> 00:25:56,596 - Mina, hurry! - MICAH: Go. 515 00:25:56,629 --> 00:25:58,265 Go. I'm fine. 516 00:25:59,099 --> 00:26:00,768 I see legs. 517 00:26:00,801 --> 00:26:03,170 Okay. Careful, careful. 518 00:26:03,203 --> 00:26:05,272 (gasps) Oh, my gosh. 519 00:26:08,575 --> 00:26:11,779 She's alive. Let's clear her from the door. 520 00:26:11,812 --> 00:26:13,747 - Call a rapid response team. - Yeah. 521 00:26:14,782 --> 00:26:15,883 Nic! 522 00:26:15,916 --> 00:26:18,318 She's in here. She's diabetic. 523 00:26:21,721 --> 00:26:23,857 NIC: Oh, my God. 524 00:26:23,891 --> 00:26:25,258 She was looking for insulin. 525 00:26:25,292 --> 00:26:27,594 - Is she in DKA? - Probably. 526 00:26:27,627 --> 00:26:29,729 She tried injecting herself, but she was too late. 527 00:26:29,763 --> 00:26:31,531 All right, let's get her out of here and find a vein. 528 00:26:31,564 --> 00:26:32,632 If we don't get access, she's gonna code. 529 00:26:32,665 --> 00:26:33,901 Hey. Just got the call. What do you need? 530 00:26:33,934 --> 00:26:36,136 NIC: She's dry. 531 00:26:36,169 --> 00:26:38,405 - Want me to do a central line? - Yes, but not here. Not sterile. 532 00:26:38,438 --> 00:26:40,240 - Let's get her a room. - I discharged 5027 533 00:26:40,273 --> 00:26:41,474 earlier this morning. Should be clean now. 534 00:26:41,508 --> 00:26:42,709 Okay, go to the crash cart at the end 535 00:26:42,742 --> 00:26:43,743 of the hall. Get me a central line kit. 536 00:26:43,777 --> 00:26:45,645 And ask a nurse to help you. Go. 537 00:26:45,678 --> 00:26:48,148 - Okay. One, two, three. - Three. 538 00:26:50,250 --> 00:26:53,653 No, no, no. Here, here, here. Just take that. 539 00:26:53,686 --> 00:26:55,956 Got it. 540 00:26:55,989 --> 00:26:59,793 - But he said get a nurse. - I got it. 541 00:26:59,827 --> 00:27:01,394 (monitor beeping rapidly) 542 00:27:01,428 --> 00:27:02,796 Pulse is tachy at 130. 543 00:27:03,964 --> 00:27:05,765 Here. 544 00:27:05,799 --> 00:27:07,434 This is a Foley catheter kit. 545 00:27:07,467 --> 00:27:09,169 This is for urine. I told you to ask a nurse. 546 00:27:09,202 --> 00:27:10,804 NIC: No kit, no choice. We have to do an EJ. 547 00:27:10,838 --> 00:27:12,572 All right. I'm gonna crank the bed down so she's headfirst. 548 00:27:12,605 --> 00:27:15,108 Prepping for an IO in case you can't get access. 549 00:27:16,276 --> 00:27:17,978 NIC: Prepping for an EJ. 550 00:27:21,714 --> 00:27:22,782 Swab, please. 551 00:27:28,889 --> 00:27:30,590 We're in. 552 00:27:30,623 --> 00:27:32,159 All right, let's hang fluids. Two liters to start. 553 00:27:32,192 --> 00:27:35,495 - Wait. Let me get the blood first. - Okay. 554 00:27:44,071 --> 00:27:47,340 NIC: Glucose, 583. Bicarb, undetectable. 555 00:27:47,374 --> 00:27:48,775 PH, 6.8. She's DKA. 556 00:27:48,808 --> 00:27:50,010 A little longer in a coma, 557 00:27:50,043 --> 00:27:51,311 - she would have died. - Let's get her to the ICU. 558 00:27:51,344 --> 00:27:52,980 She still might. 559 00:27:59,569 --> 00:28:02,806 You're Dr. AJ Austin. I'd recognize you anywhere. 560 00:28:02,840 --> 00:28:04,642 I'm sure you have a job to do, 561 00:28:04,675 --> 00:28:07,577 but salespeople should not be roaming the halls of Chastain. 562 00:28:07,611 --> 00:28:10,714 The AJ Austin who did an ascending aortic reconstruction 563 00:28:10,748 --> 00:28:12,816 with a coronary artery reimplantation 564 00:28:12,850 --> 00:28:14,618 in two hours, skin to skin. 565 00:28:14,652 --> 00:28:16,219 I might be that guy. 566 00:28:16,253 --> 00:28:18,388 Okay, I am that guy, but I'm still not buying. 567 00:28:18,421 --> 00:28:21,058 No agenda, I swear. I'm just a fangirl. 568 00:28:21,091 --> 00:28:23,727 Dr. Benedict at Atlanta General told me all about you. 569 00:28:23,761 --> 00:28:25,595 Said you were the best student he ever had. 570 00:28:25,629 --> 00:28:26,930 You know Abe? 571 00:28:26,964 --> 00:28:28,431 Quovadis has a fantastic, 572 00:28:28,465 --> 00:28:30,734 new left atrial appendage occlusion device. 573 00:28:30,768 --> 00:28:33,336 Dr. Benedict has been putting it in for the past year. 574 00:28:33,370 --> 00:28:36,406 I can show it to you if you're interested. 575 00:28:36,439 --> 00:28:38,942 All right. You got about five minutes. 576 00:28:38,976 --> 00:28:40,678 - Lead the way. - Great. 577 00:28:42,980 --> 00:28:45,182 (intercom beeps) 578 00:28:45,215 --> 00:28:47,584 SECRETARY: I have your lawyer, Mr. McCrary, line two. 579 00:28:47,617 --> 00:28:49,653 All right. This is a private call. 580 00:28:49,687 --> 00:28:51,621 There's no need to take notes. 581 00:28:52,656 --> 00:28:54,424 Yeah? 582 00:28:54,457 --> 00:28:57,594 Turns out your hooker cop was wired. 583 00:28:57,627 --> 00:29:00,130 We aren't gonna get a not guilty verdict. 584 00:29:00,163 --> 00:29:02,032 The arraignment's first thing in the morning. 585 00:29:02,065 --> 00:29:04,334 We'll try to plea bargain. 586 00:29:04,367 --> 00:29:06,436 Look reasonable and contrite. 587 00:29:06,469 --> 00:29:08,806 Judges want to see a defendant who knows he's made a mistake 588 00:29:08,839 --> 00:29:10,507 and won't make another. 589 00:29:19,016 --> 00:29:20,984 (knock at door) 590 00:29:21,018 --> 00:29:22,519 MINA: Micah? 591 00:29:22,552 --> 00:29:25,222 Are you okay? I... 592 00:29:25,255 --> 00:29:27,490 I'm sorry I had to leave you like that. 593 00:29:27,524 --> 00:29:29,226 I'm fine. 594 00:29:29,259 --> 00:29:31,561 I don't want to be a distraction. 595 00:29:31,594 --> 00:29:32,996 You're a doctor. 596 00:29:33,030 --> 00:29:34,664 I understand you have important things to do. 597 00:29:34,698 --> 00:29:37,567 You are important. 598 00:29:39,602 --> 00:29:41,538 This isn't working. 599 00:29:41,571 --> 00:29:44,007 I see what's going on. 600 00:29:44,041 --> 00:29:45,843 So do you. 601 00:29:45,876 --> 00:29:48,846 We may be a thing, but we're a brand-new thing. 602 00:29:48,879 --> 00:29:51,982 And this is not what you signed up for. 603 00:29:52,015 --> 00:29:54,417 I can't be a burden. 604 00:29:55,418 --> 00:29:56,854 WOMAN (over P.A.): Dr. Okafor, 605 00:29:56,887 --> 00:29:58,255 please report to OR One. 606 00:29:58,288 --> 00:29:59,923 Dr. Okafor, please report to OR One. 607 00:29:59,957 --> 00:30:01,558 I must go now. 608 00:30:01,591 --> 00:30:04,594 But I am not agreeing with you. 609 00:30:04,627 --> 00:30:08,766 No big decisions until we make one together. 610 00:30:28,651 --> 00:30:31,521 Conrad. Jack's lymph nodes look clear. 611 00:30:31,554 --> 00:30:34,024 The cancer is most likely localized to the pancreas. 612 00:30:34,057 --> 00:30:35,959 - Okay, that's good news. - But the trauma. 613 00:30:35,993 --> 00:30:37,961 The accident, it looks like it started a bleed 614 00:30:37,995 --> 00:30:39,963 on the tumor itself. Right here. 615 00:30:39,997 --> 00:30:41,799 It was too small to pick up before, 616 00:30:41,832 --> 00:30:43,633 but there it is. 617 00:30:52,275 --> 00:30:53,743 Stop! 618 00:30:54,812 --> 00:30:55,879 He can't fly. 619 00:30:55,913 --> 00:30:56,980 The helicopter's waiting. 620 00:30:57,014 --> 00:30:58,748 His tumor is bleeding into his abdomen. 621 00:30:58,782 --> 00:31:01,118 He needs to have the surgery now. 622 00:31:01,151 --> 00:31:03,386 You put him on that helicopter, 623 00:31:03,420 --> 00:31:04,955 he dies before he gets to Houston. 624 00:31:08,091 --> 00:31:10,260 NOLAN: Okay, patient's name is Jack Alderwood. 625 00:31:10,293 --> 00:31:11,661 JESSICA: Confirmed. 626 00:31:11,694 --> 00:31:13,330 NOLAN: Procedure is partial pancreatectomy. 627 00:31:13,363 --> 00:31:15,265 Surgeon is Dr. Albert Nolan. 628 00:31:15,298 --> 00:31:17,734 - Consent form signed? - Signed and in the chart. 629 00:31:17,767 --> 00:31:19,636 All right. 630 00:31:19,669 --> 00:31:21,171 Partial pancreatectomy. 631 00:31:21,204 --> 00:31:23,273 Isn't that right up your alley? 632 00:31:23,306 --> 00:31:25,275 BELL: I've done over 500 of these in my career. 633 00:31:25,308 --> 00:31:26,576 More than anyone else in Atlanta. 634 00:31:26,609 --> 00:31:28,011 Maybe more than anyone in the country. 635 00:31:28,045 --> 00:31:30,814 Yeah, well, CEO is an important job, too. 636 00:31:30,848 --> 00:31:32,382 At least, I think it is. 637 00:31:33,450 --> 00:31:35,819 It is. 638 00:31:36,820 --> 00:31:39,122 I still miss the OR. 639 00:31:39,156 --> 00:31:41,158 Just keep me updated on how this goes. 640 00:31:41,191 --> 00:31:42,792 I'm here if they need me. 641 00:31:42,826 --> 00:31:44,828 Yeah, you got it, boss. 642 00:31:52,635 --> 00:31:56,106 Where are your med students? 643 00:31:56,139 --> 00:31:58,375 I sent them home. 644 00:31:58,408 --> 00:32:00,643 I'm done babysitting. 645 00:32:00,677 --> 00:32:02,245 Thank you, Carol. 646 00:32:04,314 --> 00:32:06,850 That's too bad, Conrad. Oops. 647 00:32:06,884 --> 00:32:09,386 - I mean, Devon. - I'm not Conrad. 648 00:32:09,419 --> 00:32:11,221 And they're sure not me. 649 00:32:11,254 --> 00:32:14,324 That gunner nearly killed Abby. 650 00:32:14,357 --> 00:32:16,693 Didn't your first patient end up brain-dead? 651 00:32:18,728 --> 00:32:20,663 The kid who screwed up is still here. 652 00:32:20,697 --> 00:32:23,333 He's in the ICU watching them work on Abby. 653 00:32:23,366 --> 00:32:25,335 Thought you should know. 654 00:32:31,508 --> 00:32:33,643 NIC: Hang in there, sweetie. 655 00:32:33,676 --> 00:32:35,545 NURSE: O2 sats dropping. 656 00:32:37,514 --> 00:32:39,416 She's in respiratory failure. 657 00:32:39,449 --> 00:32:40,884 DOCTOR: Uh, we need to intubate. 658 00:32:40,918 --> 00:32:41,985 Get the kit. 659 00:32:42,019 --> 00:32:44,221 (monitor beeping rapidly) 660 00:32:54,364 --> 00:32:56,866 They're putting her on a vent. She may never recover. 661 00:32:59,069 --> 00:33:01,972 We all make mistakes. 662 00:33:03,873 --> 00:33:06,743 I've made plenty. 663 00:33:06,776 --> 00:33:10,047 What matters is that you learn from them. 664 00:33:14,484 --> 00:33:16,119 Poor thing. We got her name, Abby Arlen, 665 00:33:16,153 --> 00:33:17,520 but we still can't find her parents. 666 00:33:17,554 --> 00:33:19,990 - I'll go find them. - Good. Go. 667 00:33:34,111 --> 00:33:37,582 (monitor beeping steadily) 668 00:33:37,615 --> 00:33:39,083 NOLAN: Okay. 669 00:33:39,116 --> 00:33:40,785 Pancreas is fully exposed. 670 00:33:40,818 --> 00:33:43,521 Prepare a specimen cup 671 00:33:43,555 --> 00:33:46,190 for tissue sample. 672 00:33:46,223 --> 00:33:49,193 AUSTIN: They're doing a resection of the pancreas, 673 00:33:49,226 --> 00:33:50,962 which is a bitch. 674 00:33:50,995 --> 00:33:52,664 The organ is like Jell-O. 675 00:33:52,697 --> 00:33:55,333 Soft, warm Jell-O. 676 00:33:55,367 --> 00:33:59,203 You cut it wrong, the whole thing falls apart. 677 00:33:59,236 --> 00:34:03,107 You got to cut out that tumor, leave yourself margins, 678 00:34:03,140 --> 00:34:05,477 keep the tumor cold when you walk it... 679 00:34:05,510 --> 00:34:09,113 Speed walk it, double-time... To pathology... 680 00:34:09,146 --> 00:34:12,817 where the pathologist runs a stain, 681 00:34:12,850 --> 00:34:15,152 puts the specimen under a microscope, 682 00:34:15,186 --> 00:34:19,357 and looks for those nasty little cancerous mites. 683 00:34:19,391 --> 00:34:22,360 But you got to do it fast; Time is of the essence. 684 00:34:22,394 --> 00:34:24,328 Our boy is still on the table. 685 00:34:25,863 --> 00:34:28,366 (phone ringing) 686 00:34:30,835 --> 00:34:32,370 Uh, margins not clear. 687 00:34:32,404 --> 00:34:33,871 Pathologist says to keep going. 688 00:34:33,905 --> 00:34:36,073 It means they didn't get all the cancer. 689 00:34:36,107 --> 00:34:38,009 They have to take another slice of the pancreas, 690 00:34:38,042 --> 00:34:40,011 and start the whole process all over again. 691 00:34:52,256 --> 00:34:53,691 (phone ringing) 692 00:34:57,695 --> 00:34:59,731 Margins still not clear. 693 00:35:15,079 --> 00:35:17,048 (phone ringing) 694 00:35:18,450 --> 00:35:20,585 Margins still not clear. 695 00:35:22,787 --> 00:35:25,890 (phone ringing) 696 00:35:30,828 --> 00:35:32,630 (phone ringing) 697 00:35:35,467 --> 00:35:37,401 Margins still not clear. 698 00:35:42,674 --> 00:35:44,141 What's going on? 699 00:35:44,175 --> 00:35:46,611 There's hardly any pancreas left. 700 00:35:46,644 --> 00:35:48,412 They'll have to remove the entire organ. 701 00:35:48,446 --> 00:35:50,314 AUSTIN: Worse still. They have to resect parts 702 00:35:50,347 --> 00:35:52,484 of the gallbladder, the small intestine and the bile duct. 703 00:35:52,517 --> 00:35:54,118 It's a Whipple procedure. 704 00:35:54,151 --> 00:35:57,054 Even I've only done a handful of Whipples in my life. 705 00:35:57,088 --> 00:35:58,756 Dr. Nolan cannot handle this. 706 00:35:58,790 --> 00:36:01,526 You know who has to do this, right? 707 00:36:05,763 --> 00:36:08,633 BELL: Oh, the prince walks into my office without even knocking. 708 00:36:08,666 --> 00:36:10,134 Let's not make this harder than it needs to be. 709 00:36:10,167 --> 00:36:12,269 I'll make it as hard as I want to every single time we meet. 710 00:36:12,303 --> 00:36:13,738 I don't care who your father is. 711 00:36:13,771 --> 00:36:16,240 We have an emergency in OR One. The Alderwood boy. 712 00:36:16,273 --> 00:36:18,275 Pancreatic margins keep coming back cancerous. 713 00:36:18,309 --> 00:36:19,777 He needs a Whipple procedure. 714 00:36:21,479 --> 00:36:23,280 Back in the day, 715 00:36:23,314 --> 00:36:26,584 you were the unsurpassed master of the Whipple, but we both know 716 00:36:26,618 --> 00:36:29,587 an appendectomy patient died in your OR. 717 00:36:29,621 --> 00:36:32,456 Your complication rates are through the roof. 718 00:36:32,490 --> 00:36:36,494 Can you do this procedure safely? 719 00:36:36,528 --> 00:36:39,997 I can do it flawlessly, and it's not your call. 720 00:37:08,526 --> 00:37:10,027 Right angle, Cooley scissors to me. 721 00:37:20,404 --> 00:37:22,740 Team HODAD. 722 00:37:32,909 --> 00:37:36,179 The surgery was more radical than we'd hoped, but... 723 00:37:36,213 --> 00:37:37,780 it went off beautifully. 724 00:37:37,814 --> 00:37:39,949 Thank you, Dr. Bell. And thank you, too, Dr. Hawkins. 725 00:37:39,982 --> 00:37:41,684 CONRAD: Ah. The most important thing 726 00:37:41,718 --> 00:37:43,152 is that Jack is likely cancer-free. 727 00:37:43,186 --> 00:37:45,688 And I'll roller dance again, right? 728 00:37:45,722 --> 00:37:47,156 Absolutely. 729 00:37:47,190 --> 00:37:49,392 Jack, unfortunately, 730 00:37:49,426 --> 00:37:50,993 due to the nature of your surgery, 731 00:37:51,027 --> 00:37:52,995 you will be a diabetic for the rest of your life, but... 732 00:37:53,029 --> 00:37:54,964 Maybe not the rest of your life. 733 00:37:54,997 --> 00:37:57,367 Scientists are working on growing organs in the lab. 734 00:37:57,400 --> 00:37:58,801 Some day, we may get you a new pancreas. 735 00:37:58,835 --> 00:38:00,870 Okay, and who are you? 736 00:38:00,903 --> 00:38:03,005 Ms. Booth works for Quovadis Labs. 737 00:38:03,039 --> 00:38:04,707 It's a cutting-edge medical device company. 738 00:38:04,741 --> 00:38:06,509 JULIAN: I'd like to show you our new insulin pump. 739 00:38:06,543 --> 00:38:09,912 The drug is delivered continuously over 24 hours, 740 00:38:09,946 --> 00:38:11,314 and that keeps your blood glucose levels in range, 741 00:38:11,348 --> 00:38:12,415 even overnight. 742 00:38:12,449 --> 00:38:13,683 How much is it? 743 00:38:13,716 --> 00:38:15,218 JULIAN: Around ten grand. 744 00:38:17,954 --> 00:38:19,389 We'll take it. 745 00:38:19,422 --> 00:38:21,258 Great. 746 00:38:29,532 --> 00:38:32,369 (monitor beeping steadily) 747 00:38:41,578 --> 00:38:44,213 Is that our new uninsured patient? 748 00:38:44,247 --> 00:38:48,885 I hear she could end up costing Chastain a fortune. 749 00:38:51,454 --> 00:38:53,456 That's one way to look at it. 750 00:38:53,490 --> 00:38:57,260 Or you could see a 13-year-old girl, 751 00:38:57,294 --> 00:38:59,262 who's fighting for her life. 752 00:38:59,296 --> 00:39:01,764 Her name is Abby. 753 00:39:01,798 --> 00:39:03,199 According to her mom, 754 00:39:03,232 --> 00:39:08,104 she loves astronomy and Beyoncé. 755 00:39:08,137 --> 00:39:10,540 She's a straight A student, 756 00:39:10,573 --> 00:39:13,209 and got diabetes when she was ten. 757 00:39:13,242 --> 00:39:15,745 Her mom works two jobs 758 00:39:15,778 --> 00:39:19,048 but still can't afford the medicine. 759 00:39:19,081 --> 00:39:22,419 It's over $2,000 a month. 760 00:39:22,452 --> 00:39:25,722 So Abby didn't want her mom to know 761 00:39:25,755 --> 00:39:28,958 that she needed more insulin. 762 00:39:28,991 --> 00:39:32,662 Started rationing her doses and ended up here. 763 00:39:32,695 --> 00:39:34,897 She gonna make it? 764 00:39:34,931 --> 00:39:38,501 Maybe. 765 00:39:40,002 --> 00:39:43,205 Is there any way this could have been prevented? 766 00:39:46,275 --> 00:39:48,244 Technically, the hospital's a non-profit. 767 00:39:48,277 --> 00:39:50,079 In order to keep our tax-exempt status, 768 00:39:50,112 --> 00:39:51,981 we're supposed to have programs that benefit the community. 769 00:39:52,014 --> 00:39:53,583 - What are we doing now? - Nothing. 770 00:39:53,616 --> 00:39:55,352 Not true. We have health fairs and flu clinics. 771 00:39:55,385 --> 00:39:57,019 - All kinds of... - Window dressing. 772 00:39:57,053 --> 00:39:58,621 CONRAD: The price of insulin has gone 773 00:39:58,655 --> 00:40:01,358 from $21 a vial to $275, 774 00:40:01,391 --> 00:40:02,959 and the drug hasn't changed one bit. 775 00:40:02,992 --> 00:40:04,961 That's a 1,200% increase, 776 00:40:04,994 --> 00:40:06,696 and it's destroying people's lives. 777 00:40:06,729 --> 00:40:08,130 Mina and I have an idea. 778 00:40:08,164 --> 00:40:09,666 Let's hear it. 779 00:40:09,699 --> 00:40:11,534 What about an outpatient clinic for the uninsured, 780 00:40:11,568 --> 00:40:13,302 with community outreach. 781 00:40:13,336 --> 00:40:15,538 I used to volunteer for one run by Partners in Health in Boston. 782 00:40:15,572 --> 00:40:17,340 We'd love to start something like that here. 783 00:40:17,374 --> 00:40:19,041 It could have helped Abby; We missed that chance. 784 00:40:19,075 --> 00:40:20,643 We can't miss chances like that again. 785 00:40:20,677 --> 00:40:21,678 With what funding? 786 00:40:21,711 --> 00:40:23,713 How much would this cost, 787 00:40:23,746 --> 00:40:25,882 and how much would it save? 788 00:40:25,915 --> 00:40:28,017 I need to see data before making a commitment. 789 00:40:28,050 --> 00:40:31,053 Is that a polite way of saying no? 790 00:40:31,087 --> 00:40:32,455 I told you we need balance. 791 00:40:32,489 --> 00:40:36,893 Patient safety and financial stability. 792 00:40:36,926 --> 00:40:38,327 So get us numbers, we'll have a look at it, 793 00:40:38,361 --> 00:40:40,530 maybe bring it up at the next board meeting. 794 00:40:42,599 --> 00:40:44,667 Okay. 795 00:40:53,576 --> 00:40:55,211 I can't say that was a win. 796 00:40:55,244 --> 00:40:57,246 It wasn't a no, either. Your father left us an opening. 797 00:40:57,279 --> 00:40:59,482 Yeah, I'll start putting together the numbers. 798 00:40:59,516 --> 00:41:01,818 Okay. Hey. 799 00:41:01,851 --> 00:41:04,020 Hey. 800 00:41:04,053 --> 00:41:06,055 Maybe it's a good thing that he's here. 801 00:41:06,088 --> 00:41:08,858 Maybe things will be different. 802 00:41:21,203 --> 00:41:22,405 I'm still giving you an out. 803 00:41:22,439 --> 00:41:24,040 And I'm not taking it. 804 00:41:24,073 --> 00:41:26,943 You'll go to rehab, and you'll get better. 805 00:41:26,976 --> 00:41:29,378 No big decision until then. 806 00:41:29,412 --> 00:41:31,213 You sure you want to wait for me? 807 00:41:32,482 --> 00:41:35,251 (both laugh) 808 00:41:44,794 --> 00:41:46,796 ♪ ♪ 809 00:42:04,947 --> 00:42:07,149 (engine starts) 810 00:42:16,926 --> 00:42:18,928 ♪ ♪ 811 00:42:26,469 --> 00:42:30,306 You told me the judge would show mercy for a first offense. 812 00:42:30,339 --> 00:42:31,641 Luck of the draw. 813 00:42:31,674 --> 00:42:33,175 We caught a hard-ass. 814 00:42:33,209 --> 00:42:35,978 And this will be reported to the state medical board? 815 00:42:36,012 --> 00:42:37,446 Not exactly. 816 00:42:37,480 --> 00:42:39,849 By law, you now have to self-report 817 00:42:39,882 --> 00:42:41,984 your conviction for solicitation. 818 00:42:42,018 --> 00:42:44,120 Here are the forms. 819 00:42:44,153 --> 00:42:48,124 You're the one who must report this to the state medical board. 820 00:42:50,392 --> 00:42:52,194 You mean, if I don't file the forms, 821 00:42:52,228 --> 00:42:54,263 they'll never know I was arrested? 822 00:42:54,296 --> 00:42:56,332 The only way anyone would find out 823 00:42:56,365 --> 00:42:57,967 is if they went to the police department 824 00:42:58,000 --> 00:43:00,102 and requested a copy of your criminal record. 825 00:43:00,136 --> 00:43:02,839 Who is ever gonna think of that? 826 00:43:05,407 --> 00:43:07,076 I'm a doctor.