1 00:00:01,656 --> 00:00:04,916 -Previously on The Resident... -I think I need to get back 2 00:00:05,069 --> 00:00:06,493 to Minnesota 'cause my MS could be progressing. 3 00:00:06,512 --> 00:00:08,495 Whatever you need, you just say the word. 4 00:00:08,514 --> 00:00:11,256 -They think I'm crazy. -You'll see a psychiatrist. 5 00:00:11,350 --> 00:00:13,500 And we'll move you to a better place, 6 00:00:13,519 --> 00:00:15,244 one that specializes in postpartum depression. 7 00:00:15,337 --> 00:00:16,836 I was hoping for some kind of reprieve, 8 00:00:16,930 --> 00:00:18,689 but the governor didn't budge, so, yes, 9 00:00:18,858 --> 00:00:20,524 we will be closing the ER to trauma. 10 00:00:20,634 --> 00:00:22,342 That's awful. I mean, can't we make 11 00:00:22,361 --> 00:00:23,935 an emergency appeal to the state assembly? 12 00:00:24,012 --> 00:00:26,547 Our funding was always from the governor's discretionary fund, 13 00:00:26,549 --> 00:00:28,348 so we're completely at his mercy. 14 00:00:28,367 --> 00:00:31,443 I believe you and I joined the same club today. 15 00:00:31,612 --> 00:00:33,929 We were too good for 'em. 16 00:00:33,947 --> 00:00:36,114 I don't love how we got here, but I am 17 00:00:36,267 --> 00:00:37,949 so happy that we are here. 18 00:00:38,102 --> 00:00:40,026 BILLIE: I know. Me, too. 19 00:00:40,788 --> 00:00:44,548 ("By Design (Evel Knievel)" by Jacob Banks playing) 20 00:00:53,542 --> 00:00:56,018 ♪ Well, well ♪ 21 00:00:59,732 --> 00:01:02,066 ♪ If this is love ♪ 22 00:01:02,293 --> 00:01:04,476 ♪ I'm back on board ♪ 23 00:01:04,645 --> 00:01:08,388 ♪ Though I've ridden this bus before ♪ 24 00:01:08,407 --> 00:01:10,315 ♪ ♪ 25 00:01:10,409 --> 00:01:11,891 Hey. 26 00:01:11,985 --> 00:01:15,895 Last night was amazing. 27 00:01:15,915 --> 00:01:17,247 It was. 28 00:01:17,474 --> 00:01:19,566 ♪ Maybe it's more, maybe it's not ♪ 29 00:01:19,585 --> 00:01:21,310 And so are you. 30 00:01:21,328 --> 00:01:24,571 ♪ Oh, I'll know when we meet the wall... ♪ 31 00:01:24,590 --> 00:01:26,906 And we should do it again. 32 00:01:26,926 --> 00:01:30,986 -And again. And again. -(laughs) 33 00:01:31,004 --> 00:01:33,822 ♪ ♪ 34 00:01:33,841 --> 00:01:37,993 ♪ All I got is love and time... ♪ 35 00:01:38,011 --> 00:01:39,686 Feels weird to say it. 36 00:01:41,999 --> 00:01:43,649 But this... 37 00:01:46,837 --> 00:01:50,430 ...us-- feels so... 38 00:01:50,449 --> 00:01:52,783 ♪ ♪ 39 00:01:52,934 --> 00:01:54,509 Feels right. 40 00:01:54,528 --> 00:01:56,678 ♪ ♪ 41 00:01:56,697 --> 00:02:00,682 ♪ But I'm hoping, rooting for you... ♪ 42 00:02:00,684 --> 00:02:02,684 -(thunder rumbling) -JAMES: That was fun. 43 00:02:02,703 --> 00:02:07,965 Who knew there were pros to getting dumped at work? 44 00:02:08,134 --> 00:02:09,374 It was lovely. 45 00:02:09,468 --> 00:02:11,451 You are lovely. 46 00:02:11,545 --> 00:02:15,806 But I have a shift in the ER, so... 47 00:02:16,033 --> 00:02:20,978 ♪ All I got is love and time ♪ 48 00:02:21,205 --> 00:02:22,220 ♪ I'm just living... ♪ 49 00:02:22,314 --> 00:02:26,316 Hey, uh, why don't I ride in with you? 50 00:02:26,485 --> 00:02:28,301 -Uh, your car's right outside. -Yeah, well, 51 00:02:28,395 --> 00:02:30,487 it gives me a perfect excuse 52 00:02:30,639 --> 00:02:34,399 to have to ride back here with you after work then. 53 00:02:34,568 --> 00:02:36,643 -Whoa, tiger. -Ooh. 54 00:02:36,662 --> 00:02:39,663 I know. I promise I won't get clingy. 55 00:02:40,499 --> 00:02:42,315 Neither will I. 56 00:02:42,484 --> 00:02:43,742 ♪ ♪ 57 00:02:43,894 --> 00:02:50,132 ♪ Ooh. ♪ 58 00:02:51,251 --> 00:02:52,659 I wish you'd been there. 59 00:02:52,678 --> 00:02:53,902 (sighs) 60 00:02:54,071 --> 00:02:56,346 I'm so proud of you for protecting this place. 61 00:02:57,832 --> 00:03:00,409 You know, taking Chastain apart piece by piece, it just, 62 00:03:00,427 --> 00:03:04,003 you know, it felt like the beginning of the end. 63 00:03:04,023 --> 00:03:05,522 And victory for Betz. 64 00:03:05,632 --> 00:03:08,025 Still, at this rate we're on the fast track 65 00:03:08,176 --> 00:03:09,918 to a total shutdown by spring. 66 00:03:09,937 --> 00:03:14,756 Not just the trauma center-- the entire hospital is at risk. 67 00:03:14,775 --> 00:03:18,035 There is a parachute somewhere. 68 00:03:18,612 --> 00:03:19,536 We'll find it. 69 00:03:19,705 --> 00:03:22,372 God knows we need all the help we can get. 70 00:03:22,599 --> 00:03:25,951 Which is another reason I'm glad you're home. 71 00:03:26,045 --> 00:03:28,270 We need you back in the OR. 72 00:03:28,956 --> 00:03:32,365 You haven't said much about the clinic. 73 00:03:32,443 --> 00:03:33,959 How was your new treatment? 74 00:03:34,111 --> 00:03:37,721 Oh, the muscle weakening has lessened, so that's a win. 75 00:03:37,872 --> 00:03:41,433 And, um, no tremors lately. 76 00:03:44,137 --> 00:03:45,470 I'm your wife, Randolph. 77 00:03:45,564 --> 00:03:47,880 I know when you're not telling me something. 78 00:03:47,900 --> 00:03:49,291 BELL: Oh, I just think I should, uh, 79 00:03:49,384 --> 00:03:53,052 you know, I should take a beat before... 80 00:03:53,072 --> 00:03:54,387 jumping back into surgery. 81 00:03:54,406 --> 00:03:56,907 The treatment. It didn't work. 82 00:03:57,134 --> 00:03:58,316 No, it did, it just... 83 00:03:58,469 --> 00:04:01,303 Just a little less than before. 84 00:04:01,396 --> 00:04:02,654 But we knew from the start 85 00:04:02,806 --> 00:04:05,499 there'd be diminishing returns, so... 86 00:04:06,401 --> 00:04:07,417 Just need to make a new plan. 87 00:04:07,644 --> 00:04:09,002 (phones chime) 88 00:04:12,483 --> 00:04:16,485 It's Dr. Feldman. "Turn on the TV." 89 00:04:16,503 --> 00:04:18,095 NEWS ANCHOR: We currently have field reporters 90 00:04:18,246 --> 00:04:20,079 on scene in Midtown. 91 00:04:20,099 --> 00:04:22,081 Heavy rain and winds are said to be the cause 92 00:04:22,101 --> 00:04:23,249 of a devastating helicopter crash 93 00:04:23,343 --> 00:04:24,751 at 13th and Piedmont. 94 00:04:24,770 --> 00:04:27,420 13th and Piedmont. That's a couple blocks from Chastain. 95 00:04:27,439 --> 00:04:29,606 Again, we are getting unconfirmed reports 96 00:04:29,833 --> 00:04:33,092 that one of the passengers on board was Governor Mark Betz. 97 00:04:33,112 --> 00:04:36,280 -The governor's condition... -You can't be serious. 98 00:04:37,674 --> 00:04:41,618 If it's that close, he'll be taken to Chastain. 99 00:04:44,348 --> 00:04:46,498 ♪ ♪ 100 00:05:08,129 --> 00:05:09,813 (siren chirps) 101 00:05:10,040 --> 00:05:11,573 (thunder rumbling) 102 00:05:11,575 --> 00:05:15,377 Copter crashed into the café where she was working. 103 00:05:15,437 --> 00:05:16,320 Her vitals? 104 00:05:16,471 --> 00:05:19,214 Stable, GCS 14. 105 00:05:19,307 --> 00:05:21,550 Okay. Mass casualty protocol. 106 00:05:21,568 --> 00:05:23,885 Looks like a concussion and second-degree burns. 107 00:05:23,904 --> 00:05:25,220 Let's get her to Bay Two. 108 00:05:25,389 --> 00:05:27,146 Hey, glad you're here. We need all the help we can get. 109 00:05:27,166 --> 00:05:28,390 (siren wailing) 110 00:05:28,408 --> 00:05:30,909 Betz was in a helicopter crash. 111 00:05:31,003 --> 00:05:33,503 -The governor? -Yeah. 112 00:05:36,583 --> 00:05:38,467 It's like musical chairs around here. 113 00:05:40,571 --> 00:05:41,511 How many so far? 114 00:05:41,738 --> 00:05:43,421 Three ambo, two walk-ins. 115 00:05:43,515 --> 00:05:45,265 Let's get the next one. 116 00:05:46,835 --> 00:05:50,169 Thea Dwyer-- the pilot. Blunt trauma to chest and abdomen. 117 00:05:50,189 --> 00:05:53,523 Prolonged extraction time. Some lacerations. 118 00:05:53,750 --> 00:05:56,360 Okay. Trauma Room 11. 119 00:05:57,421 --> 00:05:59,863 Is he okay? Is the governor okay? 120 00:06:00,014 --> 00:06:03,867 All right, I'll go with her, you get the next? 121 00:06:04,018 --> 00:06:05,369 All right. 122 00:06:05,596 --> 00:06:07,929 She put that bird down in zero visibility. 123 00:06:07,948 --> 00:06:09,447 Somehow avoided a school. 124 00:06:09,600 --> 00:06:12,525 And the governor? Do we know about his condition? 125 00:06:12,619 --> 00:06:14,269 Not sure. He's in the next ambulance. 126 00:06:14,287 --> 00:06:16,463 Should be here any second. 127 00:06:18,275 --> 00:06:20,550 (thunder crashes) 128 00:06:24,131 --> 00:06:27,449 DEVON: Obvious tenderness and bruising on her abdomen. 129 00:06:28,209 --> 00:06:29,634 -Put me to work. -Another 18-gauge IV. 130 00:06:29,728 --> 00:06:30,727 One of hers just blew. 131 00:06:30,879 --> 00:06:33,021 One immaculate IV, coming right up. 132 00:06:35,049 --> 00:06:36,975 How you feeling, Thea? 133 00:06:37,069 --> 00:06:39,385 Like... I should've done more. 134 00:06:39,405 --> 00:06:42,054 -(sirens wailing) -(anxious chatter) 135 00:06:42,074 --> 00:06:43,573 That's Betz, for sure. 136 00:06:44,635 --> 00:06:45,600 Hey. You guys got this? 137 00:06:45,602 --> 00:06:46,726 -Yeah. -Go. 138 00:06:47,579 --> 00:06:50,972 Listen. You did the best you could in terrible weather. 139 00:06:51,141 --> 00:06:54,668 And you know what? You saved lives in the process. 140 00:06:56,146 --> 00:06:57,421 (elevator bell dings) 141 00:07:02,261 --> 00:07:04,152 BETZ: Wait, wait, that... 142 00:07:04,245 --> 00:07:06,171 This isn't Atlanta General! 143 00:07:06,323 --> 00:07:08,080 Get me out of this place! 144 00:07:08,100 --> 00:07:10,100 We're gonna take good care of you. 145 00:07:10,285 --> 00:07:11,751 Let's get a burn cart. 146 00:07:11,845 --> 00:07:12,994 Governor, you shouldn't be alone. 147 00:07:13,013 --> 00:07:14,162 Is there anyone we can call? 148 00:07:14,222 --> 00:07:16,014 Uh, just my office. 149 00:07:16,166 --> 00:07:17,348 My daughter's at college. 150 00:07:17,501 --> 00:07:21,111 My wife... my ex-wife is in New Zealand. 151 00:07:22,022 --> 00:07:23,004 One, two, three. 152 00:07:23,023 --> 00:07:24,990 (Betz groans) 153 00:07:27,177 --> 00:07:28,343 Oh, I bet you're loving this. 154 00:07:28,436 --> 00:07:29,527 I most certainly am not. 155 00:07:29,680 --> 00:07:31,621 Well, the sooner I'm out of here, the better. 156 00:07:31,773 --> 00:07:35,183 Rest assured my doctors will give you the very best care. 157 00:07:35,202 --> 00:07:36,851 Oh, come on. Who are you kidding? 158 00:07:37,020 --> 00:07:40,297 It's no secret how you all feel about me. 159 00:07:40,448 --> 00:07:42,023 I'm not about to give you the chance to kill me 160 00:07:42,116 --> 00:07:44,693 and call it complications. 161 00:07:45,304 --> 00:07:47,286 We are professionals with one goal: 162 00:07:47,380 --> 00:07:49,214 caring for all our patients. 163 00:07:49,308 --> 00:07:51,958 But we will do our best to get you transferred 164 00:07:51,977 --> 00:07:53,393 as soon as possible. 165 00:07:56,206 --> 00:07:58,873 We'll try to get him stable enough to move. 166 00:07:58,875 --> 00:08:00,567 Can't happen fast enough. 167 00:08:02,971 --> 00:08:06,138 Look, I don't want any tests-- Ow! Ow! 168 00:08:06,158 --> 00:08:08,566 Possible broken clavicle. 169 00:08:08,719 --> 00:08:10,643 EMTs say that he was briefly unconscious at the scene. 170 00:08:10,737 --> 00:08:13,145 CONRAD: Well, we'll have to scan him when we can. 171 00:08:13,165 --> 00:08:14,556 Chastain. It's some kind of a joke. 172 00:08:14,649 --> 00:08:16,666 Look, I-I told them not to bring me here. 173 00:08:16,893 --> 00:08:21,004 Somebody call my office! Or-or bring me a phone! 174 00:08:21,155 --> 00:08:22,488 Hey, hey, hey. 175 00:08:22,657 --> 00:08:25,157 Can we finish assessing your injuries first? 176 00:08:25,177 --> 00:08:27,585 DEVON: We're gonna get you stable, give you some pain meds. 177 00:08:27,738 --> 00:08:30,430 And then we will talk about that transfer. 178 00:08:34,353 --> 00:08:35,410 Any chest pain? 179 00:08:35,428 --> 00:08:38,004 Just when I breathe in deep. 180 00:08:38,098 --> 00:08:40,265 Sounds like pleuritic pain from the rib fracture. 181 00:08:40,359 --> 00:08:42,584 -Maybe this was an overcall. -No, definitely not. 182 00:08:42,602 --> 00:08:44,510 Needs to be checked out. 183 00:08:44,530 --> 00:08:46,178 Oh, thank God! Thea! 184 00:08:46,273 --> 00:08:48,698 Mom. Dad. I-I'm okay. I'm okay. 185 00:08:48,850 --> 00:08:50,850 What the hell were you doing flying in this weather? 186 00:08:50,944 --> 00:08:52,427 Why would the governor risk your life? 187 00:08:52,445 --> 00:08:55,021 I'm her dad Quentin Dwyer, this is my wife Jane. 188 00:08:55,115 --> 00:08:56,281 What do you know? 189 00:08:56,433 --> 00:08:58,950 Well, actually, Dr. Sullivan is the ER doctor, 190 00:08:59,102 --> 00:09:00,210 and can explain. 191 00:09:00,437 --> 00:09:02,120 Your daughter has sustained some injuries, 192 00:09:02,272 --> 00:09:04,122 but we're still assessing the extent. 193 00:09:04,274 --> 00:09:07,776 I couldn't climb. Must've been that crosswind. 194 00:09:07,794 --> 00:09:10,554 Her heart sounds good, but I'd like a few more tests before... 195 00:09:10,781 --> 00:09:14,132 -What kind of tests? -This laceration's gonna need stitches at some point. 196 00:09:14,284 --> 00:09:15,541 What's wrong with her heart? 197 00:09:15,635 --> 00:09:17,710 Likely nothing. We just want to be thorough. 198 00:09:17,788 --> 00:09:18,711 I don't believe this. 199 00:09:18,880 --> 00:09:20,230 You should have never taken that job. 200 00:09:20,457 --> 00:09:23,400 There was a crosswind. I couldn't climb. 201 00:09:23,627 --> 00:09:24,809 She just said that. 202 00:09:24,961 --> 00:09:26,552 Thea, you just said that. 203 00:09:26,572 --> 00:09:27,887 Is he here? The governor? 204 00:09:27,906 --> 00:09:30,298 Because I'd like to give him a piece of my mind. 205 00:09:30,391 --> 00:09:31,741 I just don't like how he treats you. 206 00:09:31,893 --> 00:09:33,468 I-I couldn't climb... 207 00:09:33,528 --> 00:09:34,411 (monitor beeping) 208 00:09:34,562 --> 00:09:35,486 What's happening? 209 00:09:36,248 --> 00:09:38,415 -Thea? -Grabbing an intubation kit. 210 00:09:38,566 --> 00:09:41,543 Page Dr. Sutton and clear the CT! 211 00:09:43,255 --> 00:09:44,479 (elevator bell dings) 212 00:09:44,572 --> 00:09:45,964 Hold the elevator. 213 00:09:47,575 --> 00:09:48,758 I've got this. 214 00:09:48,910 --> 00:09:52,053 Okay, uh, page if you need me, okay? 215 00:09:53,265 --> 00:09:55,915 AUSTIN: Hey, is she from the heli crash? 216 00:09:55,934 --> 00:09:57,100 Yeah, she's the pilot. 217 00:09:57,251 --> 00:09:59,160 Her EKG was intermittently arrhythmic. 218 00:09:59,179 --> 00:10:00,511 I think it's related to the head trauma. 219 00:10:00,664 --> 00:10:02,606 She was oriented but repeating herself, 220 00:10:02,757 --> 00:10:05,108 then became unconscious. We needed to intubate. 221 00:10:05,335 --> 00:10:06,610 CT should give answers. 222 00:10:06,761 --> 00:10:09,428 Hey, uh, you believe Governor Betz is here? 223 00:10:09,448 --> 00:10:12,190 Oh, my guess is, he's not too happy about it. 224 00:10:12,342 --> 00:10:14,451 So, I hear, uh, you and Billie called it quits. 225 00:10:14,602 --> 00:10:17,011 Well, she called it. 226 00:10:17,030 --> 00:10:17,954 You okay? 227 00:10:18,064 --> 00:10:21,015 Uh, yeah, I-I'm good. 228 00:10:21,034 --> 00:10:23,126 (pager beeping) 229 00:10:23,277 --> 00:10:25,912 You know, I-I think, uh... 230 00:10:27,281 --> 00:10:30,508 ...everybody ended up right where they ought to be. 231 00:10:33,639 --> 00:10:36,306 You're gonna need an X-ray on that clavicle, 232 00:10:36,457 --> 00:10:38,624 but of course you can get that done at another facility 233 00:10:38,718 --> 00:10:39,868 if you feel more comfortable. 234 00:10:39,886 --> 00:10:40,885 Oh, so I can go? 235 00:10:41,037 --> 00:10:42,220 No. 236 00:10:42,314 --> 00:10:44,222 We need a CT so we can rule out anything serious 237 00:10:44,316 --> 00:10:46,224 -from your head trauma. -(Betz sighs) 238 00:10:46,376 --> 00:10:48,543 You were unconscious at the scene. 239 00:10:48,636 --> 00:10:51,379 Well, sooner the better. 240 00:10:51,381 --> 00:10:53,973 Well, unfortunately, CT is all backed up. 241 00:10:53,992 --> 00:10:56,050 Due to budget cuts, we're a bit short-staffed. 242 00:10:56,069 --> 00:10:57,235 Do you think I'm stupid? 243 00:10:57,387 --> 00:10:58,720 I know what's happening here! 244 00:10:58,738 --> 00:11:00,738 You're-you're trying to teach me a lesson! 245 00:11:00,832 --> 00:11:03,583 Well, I don't have to put up with it! 246 00:11:04,336 --> 00:11:05,818 Now get me out of here now! 247 00:11:05,837 --> 00:11:07,854 Get me my... 248 00:11:07,856 --> 00:11:09,381 (ragged breathing) 249 00:11:11,401 --> 00:11:12,750 -(monitor beeping) -Ow. 250 00:11:12,903 --> 00:11:15,069 ST elevation. He's having a heart attack. 251 00:11:15,088 --> 00:11:16,513 (pained groaning) 252 00:11:16,740 --> 00:11:18,014 All right, let's go. 253 00:11:18,166 --> 00:11:20,016 Activate the cath lab. 254 00:11:30,195 --> 00:11:32,587 It's hard to believe anyone walked away from it. 255 00:11:32,605 --> 00:11:34,513 She landed that helicopter at the intersection 256 00:11:34,533 --> 00:11:36,424 of 13th and Piedmont. 257 00:11:36,517 --> 00:11:37,992 Can you imagine? 258 00:11:39,429 --> 00:11:40,870 (sighs) 259 00:11:41,097 --> 00:11:42,539 Oh, no. 260 00:11:45,544 --> 00:11:47,043 Multiple contusions. 261 00:11:47,195 --> 00:11:48,861 Sulcal and cisternal effacement. 262 00:11:48,880 --> 00:11:52,716 Swelling is severe already. I'll book an OR. And you... 263 00:11:52,867 --> 00:11:56,386 I know. Slam her with diuretics, hyperosmolar therapy. 264 00:11:56,613 --> 00:11:59,764 I'll bring her up. Thanks, Billie. 265 00:12:00,967 --> 00:12:02,600 Of course. 266 00:12:07,899 --> 00:12:09,882 (sirens wailing) 267 00:12:09,901 --> 00:12:12,152 (indistinct chatter) 268 00:12:13,964 --> 00:12:16,114 (phone buzzing) 269 00:12:20,579 --> 00:12:21,652 Hey, Marko. 270 00:12:21,805 --> 00:12:24,914 Whoa, you actually answered this time. 271 00:12:25,066 --> 00:12:26,398 I was not expecting that. 272 00:12:26,567 --> 00:12:28,643 DEVON: I'm sorry, work has been nuts, 273 00:12:28,812 --> 00:12:30,569 -and I've had some personal stuff to deal with. -Pravesh, please. 274 00:12:30,663 --> 00:12:32,905 I've been around long enough to know when I'm being ghosted. 275 00:12:32,924 --> 00:12:33,906 All right? 276 00:12:33,925 --> 00:12:35,650 Just be straight with me. 277 00:12:35,668 --> 00:12:38,577 You've lost interest in my longevity aspirations, right? 278 00:12:38,597 --> 00:12:40,430 Listen, I've reviewed the materials. 279 00:12:40,581 --> 00:12:43,249 And I just don't feel like it aligns with my interests. 280 00:12:43,268 --> 00:12:46,418 Y-You think it's bogus crap and you're not a bogus doctor? 281 00:12:46,438 --> 00:12:47,586 I'm not the right guy. 282 00:12:47,606 --> 00:12:49,105 And you deserve someone who's passionate, 283 00:12:49,332 --> 00:12:50,681 -and that isn't me. -(pager beeping) 284 00:12:50,834 --> 00:12:53,592 Look, sorry I have to go. 285 00:12:53,612 --> 00:12:55,336 But listen, good luck. 286 00:12:55,338 --> 00:12:56,446 I am positive that you're gonna 287 00:12:56,597 --> 00:12:59,491 find the right collaborator, okay? 288 00:13:00,786 --> 00:13:02,118 Check it out. 289 00:13:03,179 --> 00:13:05,179 -You made those? -Mm-hmm. 290 00:13:05,231 --> 00:13:06,347 Oh, they're adorable. 291 00:13:06,366 --> 00:13:09,017 When did you get so good at knitting? 292 00:13:09,035 --> 00:13:10,685 They have a class here. As therapy. 293 00:13:10,703 --> 00:13:13,046 It's really, really relaxing. 294 00:13:16,635 --> 00:13:18,359 Hey, will you give those to AJ? 295 00:13:18,452 --> 00:13:20,637 To give to the boys from me? 296 00:13:20,788 --> 00:13:22,472 Of course. 297 00:13:24,476 --> 00:13:26,643 I really miss them. 298 00:13:27,479 --> 00:13:29,395 Of course you do. 299 00:13:30,131 --> 00:13:31,314 You'll see them soon. 300 00:13:31,541 --> 00:13:36,377 AJ must regret this so much, having babies with me. 301 00:13:36,396 --> 00:13:38,488 Look, it has not been easy, okay? 302 00:13:38,639 --> 00:13:40,731 For either of you. 303 00:13:40,900 --> 00:13:42,050 But if there's one thing I know, it's that 304 00:13:42,068 --> 00:13:43,067 AJ doesn't regret a thing. 305 00:13:44,054 --> 00:13:47,539 Arjun and Elijah are the two gifts he never even saw coming. 306 00:13:53,154 --> 00:13:54,653 I hope when the boys are older, 307 00:13:54,673 --> 00:13:57,006 they are for each other what you are for me. 308 00:13:58,009 --> 00:14:00,051 Everything. 309 00:14:04,165 --> 00:14:05,882 (beeping steadily) 310 00:14:07,168 --> 00:14:09,352 His blood pressure is still soft, despite the pressor. 311 00:14:09,579 --> 00:14:12,171 I'm worried he's going into cardiogenic shock. 312 00:14:12,265 --> 00:14:14,582 AUSTIN: Once we find the lesion and open it up, 313 00:14:14,601 --> 00:14:16,067 he should rebound. 314 00:14:17,103 --> 00:14:19,195 Oh, wow, look at that. 315 00:14:19,272 --> 00:14:20,363 Two prior stents. 316 00:14:20,590 --> 00:14:23,091 Yeah, this isn't his first heart attack. 317 00:14:23,109 --> 00:14:25,276 None of this was on his medical record. 318 00:14:25,370 --> 00:14:28,112 I can't believe our governor is not smart enough 319 00:14:28,206 --> 00:14:30,689 to give us an honest medical history. 320 00:14:30,709 --> 00:14:33,618 AUSTIN: Well, fake tough guys like Betz are always afraid 321 00:14:33,770 --> 00:14:35,545 that health problems will make them look weak. 322 00:14:35,772 --> 00:14:37,121 His pressure's still dropping. Are we close? 323 00:14:37,290 --> 00:14:40,108 I think I found it. The culprit lesion. 324 00:14:40,126 --> 00:14:44,128 Bingo. Obtuse marginal branch in the circumflex. 325 00:14:44,280 --> 00:14:45,963 CONRAD: That's a tiny vessel. 326 00:14:46,132 --> 00:14:47,539 Opening something that small 327 00:14:47,559 --> 00:14:48,707 won't improve his cardiac function that much. 328 00:14:48,801 --> 00:14:50,635 He'll still be dependent on pressors. 329 00:14:50,803 --> 00:14:52,954 AUSTIN: Agreed. This man's heart was in bad shape before the accident. 330 00:14:52,972 --> 00:14:56,548 JAMES: Yeah, he's lucky he didn't arrest during the crash. 331 00:14:56,717 --> 00:14:58,067 All right, well, let's open the vessel up 332 00:14:58,219 --> 00:15:00,403 and see what else we can do. 333 00:15:01,798 --> 00:15:04,056 JOURNALIST: We will have an official statement 334 00:15:04,150 --> 00:15:05,074 a little bit later in the day, but for now 335 00:15:05,226 --> 00:15:07,059 the cause of the accident 336 00:15:07,078 --> 00:15:10,154 -is still under investigation, but we will be releasing... -Dr. Sullivan. 337 00:15:10,306 --> 00:15:12,248 -Hey. -You're back. 338 00:15:12,400 --> 00:15:13,399 Yeah. 339 00:15:13,418 --> 00:15:15,234 How was, uh, your trek across España? 340 00:15:15,328 --> 00:15:16,978 Great, yeah, really something. 341 00:15:16,996 --> 00:15:19,255 I've always wanted to do that. I'd love to pick your brain 342 00:15:19,482 --> 00:15:21,341 when you've recovered from the jet lag. 343 00:15:22,093 --> 00:15:23,909 -Sure, a-anytime. -Yeah. 344 00:15:24,003 --> 00:15:26,763 -Good to see you, Dr. Feldman. -Likewise. 345 00:15:26,914 --> 00:15:28,489 LIV: Considering what he went through, 346 00:15:28,582 --> 00:15:30,675 it's nothing less than a miracle. 347 00:15:30,769 --> 00:15:34,253 But the doctors expect him to make a full recovery. 348 00:15:34,272 --> 00:15:36,180 However, he will be transferred 349 00:15:36,332 --> 00:15:39,183 to a top-tier hospital for the remainder of his care. 350 00:15:39,335 --> 00:15:40,443 -I can... -(remote clicks) 351 00:15:40,594 --> 00:15:41,945 She's selling scrapes and bruises 352 00:15:42,096 --> 00:15:43,688 when I just heard from Raptor that the man 353 00:15:43,840 --> 00:15:45,856 was a cardiac time bomb even before the accident. 354 00:15:46,009 --> 00:15:48,434 BELL: And if they're not honest about his prior heart issues, 355 00:15:48,453 --> 00:15:49,844 they may spin it 356 00:15:49,862 --> 00:15:52,104 to make it look like we withheld appropriate care. 357 00:15:52,123 --> 00:15:53,957 We have got to get him transferred. 358 00:15:54,184 --> 00:15:56,000 But so far everyone is full. 359 00:15:58,021 --> 00:16:00,112 AUSTIN: And what we discovered is that you've had two stents 360 00:16:00,281 --> 00:16:01,631 and two prior heart attacks. 361 00:16:01,782 --> 00:16:03,874 None of which appears in your medical records. 362 00:16:03,969 --> 00:16:05,593 Look, let me... 363 00:16:06,787 --> 00:16:08,212 (gasps) 364 00:16:08,364 --> 00:16:10,473 Let me make something clear. 365 00:16:10,624 --> 00:16:13,292 Neither you nor anyone else in this hospital 366 00:16:13,386 --> 00:16:17,313 are authorized to speak publicly about my medical condition, 367 00:16:17,465 --> 00:16:19,131 past or present. 368 00:16:19,150 --> 00:16:24,879 Now, can you please check with Dr. Voss about my transfer? 369 00:16:24,897 --> 00:16:27,215 AUSTIN: Yeah, that's not going to be so easy, Governor. 370 00:16:27,233 --> 00:16:29,492 We opened what we could in the cath lab, 371 00:16:29,643 --> 00:16:32,144 but your cardiac function must've been bad from the start. 372 00:16:32,238 --> 00:16:35,814 And right now your heart is working only at ten percent. 373 00:16:35,834 --> 00:16:41,612 Governor, your only hope for survival is a heart transplant. 374 00:16:41,764 --> 00:16:44,248 CONRAD: Your heart was weak to begin with. 375 00:16:44,400 --> 00:16:46,509 And now you're in heart failure. 376 00:16:46,660 --> 00:16:49,086 The meds you're getting from that big IV in your chest 377 00:16:49,239 --> 00:16:50,571 are the only reason your heart 378 00:16:50,573 --> 00:16:52,573 is beating strong enough to keep you alive. 379 00:16:52,592 --> 00:16:54,333 The only way you get on the other side of this 380 00:16:54,352 --> 00:16:56,077 is with a new heart. 381 00:16:56,095 --> 00:16:57,245 We'll get you listed with UNOS, 382 00:16:57,263 --> 00:16:58,521 the organ-sharing network, 383 00:16:58,748 --> 00:17:00,189 but that's just the start of the process. 384 00:17:00,416 --> 00:17:01,749 Unfortunately you're sick enough to need a new heart 385 00:17:01,842 --> 00:17:03,934 but not sick enough to be at the top of the list. 386 00:17:04,087 --> 00:17:05,086 You're gonna have to wait. 387 00:17:05,104 --> 00:17:06,195 How long? 388 00:17:06,347 --> 00:17:09,198 Months, maybe longer. 389 00:17:09,425 --> 00:17:11,016 What do I do all that time? Wither away? 390 00:17:11,110 --> 00:17:12,201 AUSTIN: Well, there are options. 391 00:17:12,370 --> 00:17:14,929 We can get you out of here with a VAD. 392 00:17:15,022 --> 00:17:17,948 -Now, a VAD is... -Yeah, yeah, I know what a VAD is. 393 00:17:18,043 --> 00:17:19,525 My dad had one. 394 00:17:19,544 --> 00:17:22,545 Plugging it into a wall socket at night. 395 00:17:22,696 --> 00:17:23,621 Barely able to shower. 396 00:17:23,773 --> 00:17:24,605 It is an adjustment. 397 00:17:24,716 --> 00:17:26,957 Yeah, but-but it is not happening. 398 00:17:28,035 --> 00:17:32,280 I am getting a new heart and I'm not waiting. 399 00:17:32,298 --> 00:17:34,373 I'm the governor, for God's sake! 400 00:17:34,392 --> 00:17:38,043 If you won't get me to the top of the transplant list, 401 00:17:38,137 --> 00:17:39,604 another hospital will. 402 00:17:47,647 --> 00:17:48,646 -Hey. -Hey. 403 00:17:48,798 --> 00:17:50,073 Welcome back. We missed you. 404 00:17:50,300 --> 00:17:51,649 Yeah, thanks, good to be missed. 405 00:17:51,801 --> 00:17:54,118 -You got a minute? -Yeah. 406 00:17:55,321 --> 00:17:56,579 How's your immunotherapy work progressing? 407 00:17:56,806 --> 00:17:57,747 If you mean the MS trial... 408 00:17:57,898 --> 00:17:59,565 -Yeah. -the phase one results 409 00:17:59,584 --> 00:18:01,918 weren't conclusive but promising enough where I'm still 410 00:18:02,145 --> 00:18:05,646 a believer that targeting the EBV-infected cells 411 00:18:05,665 --> 00:18:07,423 is gonna have good results. 412 00:18:07,650 --> 00:18:09,074 But how about phase two? 413 00:18:09,168 --> 00:18:11,485 Clinically, we're ready to launch, but as you know, 414 00:18:11,504 --> 00:18:15,098 we don't have the money yet. We're barely 50% funded. 415 00:18:15,249 --> 00:18:16,841 You know, I'm working on it. 416 00:18:16,935 --> 00:18:19,060 (sighs) Okay, then. 417 00:18:20,496 --> 00:18:22,063 Well, how are you holding up? 418 00:18:23,166 --> 00:18:26,016 Uh, yesterday wasn't bad. 419 00:18:26,169 --> 00:18:27,593 Today's good. 420 00:18:27,687 --> 00:18:29,837 Tomorrow, I don't... 421 00:18:29,930 --> 00:18:31,005 I'm... 422 00:18:31,007 --> 00:18:32,523 (sighs) 423 00:18:32,675 --> 00:18:35,176 I'm just trying to make some smart choices about 424 00:18:35,194 --> 00:18:37,511 my treatment moving forward. 425 00:18:37,605 --> 00:18:41,106 But-but I feel... I-I feel good today. 426 00:18:41,275 --> 00:18:44,710 So... And I'm glad to be back. 427 00:18:49,467 --> 00:18:52,468 ♪ ♪ 428 00:19:21,724 --> 00:19:22,740 Thanks for the assist. 429 00:19:22,816 --> 00:19:24,149 No problem. 430 00:19:24,169 --> 00:19:26,560 Those parents seem wrecked. 431 00:19:26,654 --> 00:19:28,963 Can't imagine. 432 00:19:31,567 --> 00:19:33,158 The primary issue is doing the craniotomy 433 00:19:33,252 --> 00:19:34,735 and trying to reduce the swelling. 434 00:19:34,754 --> 00:19:36,328 But after the kind of accident she had, 435 00:19:36,406 --> 00:19:37,796 there could be surprises. 436 00:19:37,924 --> 00:19:39,098 Of course. 437 00:19:41,168 --> 00:19:42,743 To be honest, based on the CT, 438 00:19:42,912 --> 00:19:47,915 this surgery is a Hail Mary. But we have to try. 439 00:19:47,934 --> 00:19:50,109 (scrubbing) 440 00:19:51,011 --> 00:19:53,345 (saw screeching) 441 00:19:53,439 --> 00:19:55,364 BILLIE: Okay. 442 00:19:57,109 --> 00:19:59,184 LEELA: Removing the skull cap. 443 00:19:59,278 --> 00:20:02,330 BILLIE: This should relieve the pressure. 444 00:20:03,374 --> 00:20:05,857 All right, brain looks good. Pulsatile. 445 00:20:05,952 --> 00:20:08,285 Wouldn't it be cool to fly a helicopter? 446 00:20:08,438 --> 00:20:09,712 Choppers terrify me. 447 00:20:09,939 --> 00:20:12,215 But if this goes well, maybe Thea will give you a lesson. 448 00:20:12,366 --> 00:20:14,467 -(Leela chuckles) -(monitors beeping) 449 00:20:15,611 --> 00:20:17,202 She's hypertensive and bradycardic. 450 00:20:17,222 --> 00:20:19,613 Pressure must be building again. 451 00:20:19,632 --> 00:20:21,131 Her brain is herniating out of her skull. 452 00:20:21,284 --> 00:20:22,950 BILLIE: Could be a seizure. 453 00:20:22,969 --> 00:20:24,060 Or fluid overload. 454 00:20:24,211 --> 00:20:25,803 Let's give her more mannitol, stat. 455 00:20:25,955 --> 00:20:28,305 Re-dose furosemide and get the head of the bed up higher. 456 00:20:28,458 --> 00:20:30,474 (beeping) 457 00:20:30,568 --> 00:20:32,401 Oh, she's getting worse. 458 00:20:35,965 --> 00:20:37,740 What am I not seeing? 459 00:20:41,137 --> 00:20:42,820 It's something we can't see. 460 00:20:42,972 --> 00:20:44,413 -A bleed? -On the other side of the brain. 461 00:20:44,565 --> 00:20:46,082 I couldn't see it in CT because of the swelling. 462 00:20:46,309 --> 00:20:47,308 LEELA: When the brain was decompressed, 463 00:20:47,326 --> 00:20:48,918 the bleed had room to expand. 464 00:20:49,087 --> 00:20:51,462 We have to open up the skull on the other side. 465 00:20:52,239 --> 00:20:53,965 Let's get her turned over. 466 00:20:57,503 --> 00:21:00,337 Hey. You're here. 467 00:21:00,414 --> 00:21:01,764 Yeah. 468 00:21:01,915 --> 00:21:04,392 -It's good to have you back. -Thanks. 469 00:21:05,328 --> 00:21:07,103 It's a little weird. 470 00:21:08,088 --> 00:21:09,438 I'm sure. 471 00:21:09,665 --> 00:21:11,607 Just take it slow. 472 00:21:13,169 --> 00:21:15,152 Have you, um... 473 00:21:17,189 --> 00:21:19,097 Have you seen Dr. Voss yet? 474 00:21:19,266 --> 00:21:23,010 No. I may be stalling. 475 00:21:23,103 --> 00:21:25,529 I have some explaining to do. 476 00:21:25,681 --> 00:21:26,847 Got to come clean. 477 00:21:26,866 --> 00:21:29,107 Well, that's brave. 478 00:21:29,127 --> 00:21:31,352 And hard, I'm sure. 479 00:21:31,370 --> 00:21:34,355 A part of me would just like to resign. 480 00:21:34,373 --> 00:21:37,708 Keep everything a secret, go work somewhere else. 481 00:21:37,860 --> 00:21:40,377 The minute I tell Voss, the... 482 00:21:40,471 --> 00:21:44,640 stigma of addiction is on me forever. 483 00:21:45,718 --> 00:21:47,476 Could end my career. 484 00:21:48,796 --> 00:21:51,296 I'm sure people will understand. 485 00:21:51,316 --> 00:21:53,024 Hmm. 486 00:21:55,486 --> 00:21:57,445 I did. 487 00:21:58,881 --> 00:22:02,033 And that means so much to me. 488 00:22:03,736 --> 00:22:05,143 So...? 489 00:22:05,237 --> 00:22:06,554 Will you tell her? 490 00:22:06,647 --> 00:22:10,333 I will. I need to. 491 00:22:11,243 --> 00:22:13,002 Okay. 492 00:22:15,565 --> 00:22:17,631 ♪ ♪ 493 00:22:18,568 --> 00:22:20,134 (door closes) 494 00:22:26,075 --> 00:22:28,075 -Hey. -Hey. 495 00:22:28,094 --> 00:22:30,260 How was Padma? 496 00:22:30,413 --> 00:22:32,188 It's hard to say. 497 00:22:32,339 --> 00:22:33,581 She's doing better, for sure, I'm just worried 498 00:22:33,599 --> 00:22:36,675 about how it'll be when she returns. 499 00:22:37,603 --> 00:22:41,438 Right, well, we'll just take it one day at a time. 500 00:22:41,591 --> 00:22:43,407 (sighs) 501 00:22:44,369 --> 00:22:47,611 I assisted Billie with the pilot. 502 00:22:47,688 --> 00:22:48,854 It's not looking good. 503 00:22:48,873 --> 00:22:52,116 If she dies and the governor lives... 504 00:22:52,268 --> 00:22:54,635 When he made her fly in bad weather. 505 00:22:54,637 --> 00:22:56,120 That is so unfair. 506 00:22:56,214 --> 00:22:58,196 It's just a rough day. 507 00:22:58,216 --> 00:23:01,458 You know, we've just had so many of those lately. 508 00:23:01,552 --> 00:23:03,627 Why? What happened? 509 00:23:03,721 --> 00:23:05,279 (sighs) 510 00:23:05,372 --> 00:23:08,707 So, I was talking to Bell about his MS. 511 00:23:08,801 --> 00:23:13,287 And I think that he was hoping I was gonna get him a spot 512 00:23:13,456 --> 00:23:15,289 in the second phase of the MS trial. 513 00:23:15,382 --> 00:23:17,883 But there is no phase two yet. 514 00:23:17,902 --> 00:23:18,976 Right. 515 00:23:19,795 --> 00:23:21,795 Hey, what about that gazillionaire 516 00:23:21,797 --> 00:23:23,572 who wanted to live forever? 517 00:23:23,649 --> 00:23:25,074 I thought he was willing to underwrite it, right? 518 00:23:25,225 --> 00:23:26,650 Yeah, but I became a doctor to help sick people, 519 00:23:26,802 --> 00:23:29,412 not rich people who can't accept that they're mortal. 520 00:23:29,563 --> 00:23:32,581 If you help Marko, you might help Bell 521 00:23:32,733 --> 00:23:34,992 and thousands of other people suffering from MS. 522 00:23:35,144 --> 00:23:37,086 And pretend to be passionate about something 523 00:23:37,237 --> 00:23:38,479 that I don't even care about? 524 00:23:38,481 --> 00:23:40,147 Sure, why not? 525 00:23:40,166 --> 00:23:42,758 If it's for the greater good. 526 00:23:45,096 --> 00:23:48,431 You always make complicated things seem simple. 527 00:23:48,582 --> 00:23:51,842 You always make simple things complicated. 528 00:23:51,994 --> 00:23:53,177 (laughs) 529 00:23:53,329 --> 00:23:56,063 That's why we're a perfect fit. 530 00:23:58,276 --> 00:23:59,733 Thank you. 531 00:24:06,951 --> 00:24:08,117 How is she? 532 00:24:08,344 --> 00:24:09,452 Was the surgery successful? 533 00:24:09,603 --> 00:24:11,454 Mr. and Mrs. Dwyer, this is Dr. Sutton. 534 00:24:11,605 --> 00:24:13,605 She's the neurosurgeon who's been operating on Thea. 535 00:24:13,624 --> 00:24:15,708 She's one of our best. 536 00:24:19,371 --> 00:24:22,465 Your daughter had a significant injury to her brain. 537 00:24:22,633 --> 00:24:25,876 We were able to repair a bleed and relieve the pressure. 538 00:24:25,953 --> 00:24:29,513 The swelling has gone down and she's out of immediate danger. 539 00:24:30,700 --> 00:24:32,216 My poor baby. 540 00:24:32,384 --> 00:24:35,719 She'll recover, though, right? 541 00:24:35,813 --> 00:24:38,706 We won't really know that for some time. 542 00:24:38,724 --> 00:24:42,893 Of course we will do absolutely everything we can. 543 00:24:43,045 --> 00:24:44,695 You mean she could die? 544 00:24:45,990 --> 00:24:48,032 I'm afraid it's possible. 545 00:24:54,390 --> 00:24:55,889 (crying) 546 00:24:55,908 --> 00:24:58,075 QUENTIN: She's our only child. 547 00:24:58,227 --> 00:25:01,061 Our everything. 548 00:25:01,080 --> 00:25:04,340 She flew Apaches in Afghanistan. 549 00:25:07,069 --> 00:25:09,845 Two tours without a scratch. 550 00:25:10,072 --> 00:25:13,999 We'd almost stopped worrying about her. 551 00:25:14,018 --> 00:25:19,079 All she ever wanted was to serve, you know? 552 00:25:19,172 --> 00:25:23,675 To fly and serve. 553 00:25:24,529 --> 00:25:27,571 CADE: She seems like an amazing young woman. 554 00:25:28,699 --> 00:25:29,923 She is. 555 00:25:30,092 --> 00:25:31,367 (sniffles) 556 00:25:34,705 --> 00:25:37,164 BILLIE: Don't give up hope. 557 00:25:38,601 --> 00:25:40,042 We won't either. 558 00:25:41,771 --> 00:25:42,786 (crying) 559 00:25:42,938 --> 00:25:44,129 Come here. 560 00:25:53,724 --> 00:25:55,057 So, I hear they were unable to transfer you 561 00:25:55,284 --> 00:25:56,466 due to lack of beds. 562 00:25:56,619 --> 00:25:59,620 You know, all the ICUs around town are full 563 00:25:59,622 --> 00:26:02,064 because of the patients we have to transfer 564 00:26:02,291 --> 00:26:04,382 due to budget cuts? 565 00:26:04,476 --> 00:26:06,718 That's correct. 566 00:26:06,737 --> 00:26:11,148 But I have... a solution... 567 00:26:11,242 --> 00:26:13,984 that solves both our problems 568 00:26:14,136 --> 00:26:15,661 and keeps me here. 569 00:26:17,081 --> 00:26:18,581 Okay, let's hear it. 570 00:26:20,309 --> 00:26:23,994 I am willing to save this hospital. 571 00:26:24,088 --> 00:26:26,922 Restore the money that's been cut. 572 00:26:27,074 --> 00:26:29,049 From my discretionary fund. 573 00:26:30,243 --> 00:26:32,052 Out of gratitude. 574 00:26:34,006 --> 00:26:35,431 Gratitude. 575 00:26:39,770 --> 00:26:43,513 My personal physician says... 576 00:26:43,666 --> 00:26:46,591 that there are things that you can do... 577 00:26:46,611 --> 00:26:49,570 to move me to the top of the UNOS list. 578 00:26:55,361 --> 00:26:59,997 But in exchange you are offering to save Chastain? 579 00:27:01,367 --> 00:27:02,683 Correct. 580 00:27:02,776 --> 00:27:05,853 So what'll it take... 581 00:27:05,871 --> 00:27:09,673 to lift me higher? 582 00:27:13,804 --> 00:27:16,880 An intra-aortic balloon pump. 583 00:27:17,867 --> 00:27:21,718 We take a catheter and we insert a small balloon in your aorta. 584 00:27:21,812 --> 00:27:24,688 And it helps your heart function. 585 00:27:25,724 --> 00:27:27,399 Okay. 586 00:27:28,802 --> 00:27:29,710 Are there risks? 587 00:27:29,728 --> 00:27:31,228 Of course there are risks. 588 00:27:31,322 --> 00:27:35,658 The balloon could rupture, causing damage to your aorta. 589 00:27:35,809 --> 00:27:38,494 Your platelet count might fall, which means you could bleed out. 590 00:27:38,645 --> 00:27:40,404 But you've done this? 591 00:27:40,498 --> 00:27:44,375 Plenty of times when it was called for medically. 592 00:27:45,152 --> 00:27:46,076 And afterwards? 593 00:27:46,153 --> 00:27:48,545 I'll be high on the list? 594 00:27:50,249 --> 00:27:52,132 And could get a heart soon? 595 00:27:54,327 --> 00:27:56,995 CONRAD: I can't believe you're entertaining this. 596 00:27:57,831 --> 00:27:59,682 Is he the person you want to compromise your ethics for? 597 00:27:59,833 --> 00:28:02,017 No, it's not about him, Hawkins. 598 00:28:02,244 --> 00:28:05,095 But I-I think about all the lives 599 00:28:05,247 --> 00:28:08,415 we can save if we save Chastain. 600 00:28:08,508 --> 00:28:10,842 Think about it. Every hospital in Atlanta 601 00:28:10,936 --> 00:28:13,587 will be strained to the point of overwhelm 602 00:28:13,605 --> 00:28:16,423 if Chastain cannot provide the care that we do. 603 00:28:16,516 --> 00:28:19,259 You do realize bumping Betz up the list 604 00:28:19,278 --> 00:28:21,352 -knocks somebody else down. -Yeah. 605 00:28:21,372 --> 00:28:24,665 Yet I'm willing to live with that. 606 00:28:25,617 --> 00:28:26,950 You think it's worth it. 607 00:28:27,102 --> 00:28:28,452 For the greater good? Yes. 608 00:28:28,546 --> 00:28:30,270 And what happens when he doesn't keep his end of the bargain? 609 00:28:30,289 --> 00:28:31,714 We have leverage. 610 00:28:31,865 --> 00:28:35,442 The secrets he's been keeping. The multiple heart attacks. 611 00:28:35,461 --> 00:28:37,277 The stents he's had implanted out of state, 612 00:28:37,296 --> 00:28:38,703 hidden from his own doctors. 613 00:28:38,781 --> 00:28:40,630 Oh, so you just want to throw blackmail into the mix? 614 00:28:40,725 --> 00:28:42,057 Pretend we break HIPAA. 615 00:28:42,209 --> 00:28:45,477 He goes back on his word, there will be no pretending. 616 00:28:47,139 --> 00:28:49,306 Look, I don't like any of it. 617 00:28:49,458 --> 00:28:52,383 But we have a chance to do a whole lot of good 618 00:28:52,403 --> 00:28:55,887 by doing just a little bit of bad, right? 619 00:28:56,723 --> 00:29:00,909 Come on, think about the Hawkins who used to break all the rules. 620 00:29:01,061 --> 00:29:03,370 Tell me what that guy would say. 621 00:29:08,068 --> 00:29:10,377 He'd say go for it. 622 00:29:11,422 --> 00:29:13,630 ♪ ♪ 623 00:29:20,656 --> 00:29:23,006 Um, thanks for agreeing to meet me, Marko. 624 00:29:23,100 --> 00:29:27,436 Well, I was a little surprised after the way you blew me off. 625 00:29:27,587 --> 00:29:28,662 Yeah. (chuckles) 626 00:29:28,664 --> 00:29:30,497 Well, after we spoke, um, 627 00:29:30,590 --> 00:29:32,590 I wondered if I was being inflexible. 628 00:29:32,610 --> 00:29:35,927 So I took another look at the data that you gave me, 629 00:29:36,021 --> 00:29:37,262 see if I missed anything. 630 00:29:37,339 --> 00:29:38,614 -And did you? -Yes. 631 00:29:38,765 --> 00:29:42,509 Um, I came across a paper that sort of blew my mind. 632 00:29:42,602 --> 00:29:46,196 It's from the Academy of Health and Lifespan Research. 633 00:29:46,348 --> 00:29:48,106 -Excellent resource. -Yes. 634 00:29:48,125 --> 00:29:52,795 And their work on gene therapy made me wonder if aging... 635 00:29:52,946 --> 00:29:54,797 could actually be a reversible disease. 636 00:29:54,965 --> 00:29:57,448 (laughs) And wouldn't that be something? 637 00:29:57,543 --> 00:29:58,950 I mean, I would love to be around 638 00:29:59,086 --> 00:30:01,804 to meet my great-great- grandchildren someday. 639 00:30:01,955 --> 00:30:02,954 Who wouldn't? 640 00:30:02,973 --> 00:30:04,455 -Right? -(chuckles) 641 00:30:04,475 --> 00:30:09,386 So, if you are still willing to fund the second phase 642 00:30:09,480 --> 00:30:11,872 of my clinical trial, studying the relationship 643 00:30:11,890 --> 00:30:13,298 between Epstein-Barr and MS... 644 00:30:13,375 --> 00:30:15,208 Yeah, yeah, yeah. Pravesh, I already told you 645 00:30:15,227 --> 00:30:17,468 I'm completely on board. 646 00:30:17,488 --> 00:30:18,562 You're the one who, uh, 647 00:30:18,656 --> 00:30:20,155 couldn't stomach a little bit of compromise 648 00:30:20,265 --> 00:30:22,049 to make this happen. 649 00:30:22,067 --> 00:30:24,401 But I like this new side of you. 650 00:30:25,404 --> 00:30:29,665 I know you're still on the fence, okay? 651 00:30:29,816 --> 00:30:32,817 But I need you and you need me. 652 00:30:32,837 --> 00:30:35,587 And there is nothing wrong with that. 653 00:30:41,737 --> 00:30:42,660 Dr. Sullivan. Ian. 654 00:30:42,847 --> 00:30:44,996 Oh, I'm so sorry to have kept you waiting. 655 00:30:45,015 --> 00:30:46,515 -Yeah. -It's been quite a day here. 656 00:30:46,666 --> 00:30:51,353 Our three-ring circus has added a few extra rings. 657 00:30:51,504 --> 00:30:52,929 (Kit sighs) 658 00:30:53,082 --> 00:30:56,249 We squeaked by without you, but I am so glad you're back. 659 00:30:56,268 --> 00:30:58,343 Not quite back yet. 660 00:30:58,362 --> 00:31:03,106 I hope Texas Children's hasn't made a play for you. 661 00:31:03,200 --> 00:31:05,492 (chuckles) No, no, nothing like that. 662 00:31:08,280 --> 00:31:13,208 But I do feel an obligation to tell you... 663 00:31:13,360 --> 00:31:16,861 um... I have a... 664 00:31:16,881 --> 00:31:18,772 (sighs) 665 00:31:18,790 --> 00:31:22,217 I have a personal issue... 666 00:31:22,369 --> 00:31:25,220 that I-I need to take care of. 667 00:31:25,389 --> 00:31:27,114 And I... 668 00:31:27,132 --> 00:31:31,059 can't do that working the way that... I used to work. 669 00:31:31,211 --> 00:31:34,287 Oh, it's nothing serious, I hope. 670 00:31:34,306 --> 00:31:35,789 Do you want to work part-time? 671 00:31:35,882 --> 00:31:37,065 No. 672 00:31:43,966 --> 00:31:44,981 I think I... 673 00:31:45,134 --> 00:31:46,700 It's best I resign. 674 00:31:48,561 --> 00:31:52,472 Is this because we can't fund the intrauterine surgery center? 675 00:31:52,565 --> 00:31:54,141 No, it's not, n-nothing to do with that. 676 00:31:54,234 --> 00:31:57,068 I-I, I love it here. I-I love being near my daughter. 677 00:31:57,087 --> 00:31:59,904 The culture you've created, it-it can't be beat. 678 00:31:59,998 --> 00:32:04,242 But this private issue, I-I don't... 679 00:32:04,261 --> 00:32:08,347 I just don't see any other way around it. 680 00:32:10,008 --> 00:32:11,174 -I'm sorry. -Oh. 681 00:32:11,268 --> 00:32:13,101 Well, is there anything I can do to help? 682 00:32:13,328 --> 00:32:17,013 I wish that there was. I do. 683 00:32:17,166 --> 00:32:19,849 We've loved having you here, Dr. Sullivan. 684 00:32:20,002 --> 00:32:22,260 Thank you. 685 00:32:22,354 --> 00:32:24,071 Likewise. 686 00:32:27,509 --> 00:32:30,727 AUSTIN: Advancing the balloon catheter over the guide wire. 687 00:32:30,788 --> 00:32:35,365 JAMES: And there we are, in the descending thoracic aorta. 688 00:32:35,534 --> 00:32:37,017 AUSTIN: Just distal to the subclavian. 689 00:32:37,035 --> 00:32:38,368 JAMES: Great positioning. 690 00:32:38,520 --> 00:32:41,279 As high as possible above the femoral bifurcation 691 00:32:41,373 --> 00:32:44,449 and renal arteries, without compromising blood flow. 692 00:32:44,468 --> 00:32:46,635 AUSTIN: Removing the guide wire. 693 00:32:46,786 --> 00:32:48,470 JAMES: Uh, just a question. 694 00:32:48,621 --> 00:32:51,364 Uh, from the numbers, I would have thought 695 00:32:51,383 --> 00:32:54,142 he'd be a VAD candidate, no? 696 00:32:58,148 --> 00:33:01,132 CONRAD: Well, you're not wrong, but a VAD... 697 00:33:01,151 --> 00:33:04,653 AUSTIN: Was not the best option in this case. 698 00:33:05,714 --> 00:33:07,805 Well, because it wasn't the right thing to do medically? 699 00:33:07,825 --> 00:33:09,049 Or 'cause it wouldn't have 700 00:33:09,051 --> 00:33:12,619 boosted him up on the transplant list? 701 00:33:14,239 --> 00:33:17,582 Believe me, we are conflicted. 702 00:33:18,651 --> 00:33:20,151 This wasn't just about Betz. 703 00:33:20,170 --> 00:33:21,244 JAMES: Actually, you know what? 704 00:33:21,396 --> 00:33:24,064 Uh, I don't want to know. 705 00:33:24,157 --> 00:33:26,008 Attaching the pump console. 706 00:33:27,569 --> 00:33:28,719 Initiate pumping. 707 00:33:33,091 --> 00:33:35,684 AUSTIN: All good. For now. 708 00:33:35,835 --> 00:33:39,354 I'll notify UNOS where Betz stands. 709 00:33:40,173 --> 00:33:42,507 Conrad, I need your help. 710 00:33:42,601 --> 00:33:44,192 It's Thea, the pilot. 711 00:33:51,109 --> 00:33:54,110 I thought the surgery went well, but I'm having trouble 712 00:33:54,204 --> 00:33:55,612 keeping her O2 sats up. 713 00:33:55,764 --> 00:33:57,781 If she dies of hypoxia, 714 00:33:57,933 --> 00:33:59,783 then nothing I did in surgery is gonna matter. 715 00:33:59,935 --> 00:34:02,527 All right, well, we'll figure this out. 716 00:34:02,621 --> 00:34:05,130 (pager beeping) 717 00:34:06,124 --> 00:34:07,591 It's the ICU. 718 00:34:11,780 --> 00:34:14,765 (monitor alert beeping) 719 00:34:17,469 --> 00:34:19,469 I can't get her sats above 85 720 00:34:19,621 --> 00:34:21,096 and her peak pressures are rising. 721 00:34:21,290 --> 00:34:23,065 Bilateral breath sounds? She did have the rib fractures. 722 00:34:23,292 --> 00:34:24,457 Pneumothorax was my first thought too, 723 00:34:24,626 --> 00:34:26,309 but she has lung sliding on her ultrasound. 724 00:34:26,461 --> 00:34:28,478 Okay, so no pneumo. Let's get a portable chest X-ray. 725 00:34:28,630 --> 00:34:30,221 I called them twice, they're short-staffed. 726 00:34:30,240 --> 00:34:32,223 But her chest imaging post-intubation was clear. 727 00:34:32,242 --> 00:34:34,225 -She has no history of asthma. -And her resistance isn't high. 728 00:34:34,244 --> 00:34:36,661 But her plateau is. 729 00:34:39,065 --> 00:34:40,140 This is ARDS. 730 00:34:40,309 --> 00:34:41,641 Damn, you're right. 731 00:34:41,660 --> 00:34:43,734 Maybe she had an aspiration event on her way to CT? 732 00:34:43,829 --> 00:34:45,312 Leading to inflammation and ARDS. 733 00:34:45,330 --> 00:34:47,664 So we start low tidal volume ventilation. 734 00:34:47,816 --> 00:34:49,091 And we go up on the PEEP now. 735 00:34:49,242 --> 00:34:50,500 But, Billie, this means... 736 00:34:50,652 --> 00:34:52,001 I know. Deep sedation and paralytics. 737 00:34:52,154 --> 00:34:55,305 We will not be able to monitor her neuro status. 738 00:34:56,100 --> 00:34:57,265 If we can't get her sats up, 739 00:34:57,417 --> 00:34:59,917 there'll be no neuro status to monitor. 740 00:35:00,011 --> 00:35:02,104 Let's do it. 741 00:35:13,266 --> 00:35:15,692 KIT: I just got off the phone with UNOS. 742 00:35:15,844 --> 00:35:17,935 Governor Betz has been moved to the top of the list 743 00:35:18,029 --> 00:35:19,204 for a heart transplant. 744 00:35:22,609 --> 00:35:24,793 I'd like an explanation. 745 00:35:24,944 --> 00:35:28,037 Well, we performed a balloon pump procedure on the governor 746 00:35:28,206 --> 00:35:30,448 to assist with his cardiac functioning. 747 00:35:30,467 --> 00:35:33,360 A procedure he did not actually need 748 00:35:33,453 --> 00:35:35,211 but conveniently moved him up the list. 749 00:35:35,364 --> 00:35:37,556 Yeah, well, we don't make the rules. 750 00:35:39,843 --> 00:35:41,292 I agree with the decision. 751 00:35:41,311 --> 00:35:44,729 And the procedure was successful. 752 00:35:45,724 --> 00:35:47,891 Do you know what this means? 753 00:35:47,985 --> 00:35:50,043 The pilot who may be about to die 754 00:35:50,061 --> 00:35:52,487 because Betz made her fly in unsafe conditions, 755 00:35:52,639 --> 00:35:54,472 could end up giving him her heart. 756 00:35:54,566 --> 00:35:56,232 Thea is still hanging on in the ICU. 757 00:35:56,401 --> 00:35:57,400 We're not giving up on her. 758 00:35:57,552 --> 00:35:59,386 And the procedure on the governor 759 00:35:59,404 --> 00:36:01,979 was part of a compromise that will benefit us all. 760 00:36:01,999 --> 00:36:03,556 And how would that be? 761 00:36:03,575 --> 00:36:06,910 Betz agreed to unlock the money we need to save Chastain. 762 00:36:07,062 --> 00:36:08,670 (Bell scoffs) 763 00:36:09,915 --> 00:36:13,842 He's going to restore the money from his discretionary fund? 764 00:36:14,069 --> 00:36:15,159 If he gets a heart. 765 00:36:15,179 --> 00:36:17,137 And survives the transplant. 766 00:36:21,259 --> 00:36:25,145 You'd better move heaven and earth to keep Thea alive. 767 00:36:34,756 --> 00:36:36,606 You're still here? 768 00:36:36,758 --> 00:36:41,277 Yeah. Didn't want to leave yet. 769 00:36:41,446 --> 00:36:43,763 Me, too. 770 00:36:43,782 --> 00:36:44,931 Any sign? 771 00:36:44,950 --> 00:36:47,083 No. 772 00:36:48,603 --> 00:36:50,503 How are they doing? 773 00:36:51,773 --> 00:36:54,549 What you'd expect. (sighs) 774 00:36:54,701 --> 00:36:56,134 They're strong. 775 00:37:01,207 --> 00:37:03,475 You were good today. 776 00:37:06,396 --> 00:37:07,979 Thanks. 777 00:37:10,567 --> 00:37:14,319 Lost a lot of patients the last few... 778 00:37:15,888 --> 00:37:19,532 I was starting to feel like I couldn't help anyone anymore. 779 00:37:23,488 --> 00:37:26,397 Not sure why I pinned my hopes on Thea. 780 00:37:27,809 --> 00:37:31,086 It's hard to predict which patients we'll get attached to. 781 00:37:34,316 --> 00:37:39,261 But, you know, a lady chopper pilot is pretty badass. 782 00:37:40,338 --> 00:37:42,430 Says the resident badass. 783 00:37:46,753 --> 00:37:50,438 Dr. Sullivan, Dr. Sutton. Her eyes opened. Come quick! 784 00:38:07,457 --> 00:38:09,582 ♪ ♪ 785 00:38:14,131 --> 00:38:16,006 You didn't have to wait for me. 786 00:38:17,526 --> 00:38:19,092 I wanted to. 787 00:38:21,120 --> 00:38:24,264 (Leela sighs) 788 00:38:26,551 --> 00:38:28,217 What's wrong? 789 00:38:28,370 --> 00:38:30,887 I met with Marko. 790 00:38:31,039 --> 00:38:32,963 And I signed on to participate in his research. 791 00:38:33,041 --> 00:38:35,817 And secured funding for phase two of my trial. 792 00:38:36,010 --> 00:38:39,379 What? That's incredible. 793 00:38:39,472 --> 00:38:41,197 Congratulations. 794 00:38:43,643 --> 00:38:45,035 But you're not happy? 795 00:38:46,237 --> 00:38:48,738 I just, you know... 796 00:38:48,832 --> 00:38:50,406 I feel like a con man. 797 00:38:50,483 --> 00:38:54,410 Faking enthusiasm for something I really don't even care about. 798 00:38:54,563 --> 00:38:57,154 -Did you make promises you can't deliver? -No. 799 00:38:57,174 --> 00:38:59,415 Then you're not a con man. 800 00:38:59,568 --> 00:39:01,176 Did you tell Bell? 801 00:39:01,403 --> 00:39:03,636 -Yeah. -Was he happy? 802 00:39:04,997 --> 00:39:06,222 Thrilled. 803 00:39:08,518 --> 00:39:11,102 Well, I call that a win. 804 00:39:15,934 --> 00:39:17,734 You know... 805 00:39:19,087 --> 00:39:21,196 I don't know how I ever managed without you. 806 00:39:21,365 --> 00:39:23,089 (chuckles) 807 00:39:23,182 --> 00:39:25,533 I'm serious. 808 00:39:26,536 --> 00:39:30,246 You came here all those years ago, and... 809 00:39:32,042 --> 00:39:33,625 ...you changed my life. 810 00:39:38,790 --> 00:39:41,966 I love you, Leela Devi. 811 00:39:44,704 --> 00:39:48,556 I love you, too, Devon Pravesh. 812 00:39:55,899 --> 00:39:58,883 Hey. What happened? 813 00:39:58,902 --> 00:40:01,218 You're leaving? 814 00:40:01,238 --> 00:40:03,630 I couldn't tell Kit the truth. 815 00:40:03,723 --> 00:40:06,098 I'm sorry, Cade, but it would mean giving up my career. 816 00:40:06,151 --> 00:40:09,485 And I can only take so much at one time. 817 00:40:09,638 --> 00:40:12,138 I understand. I'm sorry. 818 00:40:12,231 --> 00:40:13,748 I'm heartbroken. 819 00:40:13,900 --> 00:40:17,252 I've loved being here with you. 820 00:40:17,403 --> 00:40:21,381 And I hope that w-we can... 821 00:40:23,168 --> 00:40:25,075 Anyhow, for what it's worth, 822 00:40:25,170 --> 00:40:28,763 I think some time off may be what I need anyway. 823 00:40:28,915 --> 00:40:31,099 But I'm gonna make it up to you. 824 00:40:31,326 --> 00:40:34,102 Everything I've done, every way I've hurt you. 825 00:40:34,253 --> 00:40:36,420 Look, that's in the past. 826 00:40:36,589 --> 00:40:38,982 I'm proud of you. 827 00:40:42,261 --> 00:40:45,196 Not near as proud as I am of you. 828 00:40:51,145 --> 00:40:52,937 I'll call you tomorrow. 829 00:40:53,031 --> 00:40:55,707 Yes, and the day after. 830 00:41:06,953 --> 00:41:08,361 Hey. 831 00:41:08,379 --> 00:41:10,597 ♪ ♪ 832 00:41:15,537 --> 00:41:19,205 It's so exciting. For Devon and for you. 833 00:41:19,298 --> 00:41:21,983 When will phase two start? Is he sure you qualify? 834 00:41:22,134 --> 00:41:24,486 He says I meet all the criteria for the trial 835 00:41:24,637 --> 00:41:25,820 and says he's ready to go. 836 00:41:25,972 --> 00:41:28,531 -It's incredible news. -(phone chimes, buzzes) 837 00:41:31,736 --> 00:41:33,069 Wow, that was fast. 838 00:41:33,163 --> 00:41:34,478 What's that? 839 00:41:34,572 --> 00:41:38,315 There's been a motorcycle accident outside of Macon. 840 00:41:38,409 --> 00:41:41,169 UNOS may have a heart for the governor. 841 00:41:45,400 --> 00:41:46,899 I just can't believe, after everything that jerk 842 00:41:46,993 --> 00:41:48,492 put us through, we're gonna save his life. 843 00:41:48,586 --> 00:41:52,663 Well, he still has to survive the surgery. 844 00:41:52,757 --> 00:41:58,019 But, yes, it's what we do. And I'm proud of that. 845 00:41:58,170 --> 00:42:03,525 Well, I just hope we don't come to regret this deal we've made. 846 00:42:03,752 --> 00:42:06,069 You and me both, Randolph. 847 00:42:07,864 --> 00:42:10,180 -So Thea's going to make it? -Yeah. 848 00:42:10,200 --> 00:42:11,348 That's incredible. 849 00:42:11,442 --> 00:42:15,019 I know. I can't quite believe it. 850 00:42:15,038 --> 00:42:17,597 Bye, Ms. Jordan! Bye, Max! 851 00:42:17,615 --> 00:42:19,098 Ah! Come here, you. 852 00:42:19,117 --> 00:42:22,192 -(growls) -Daddy, are we going to start decorating 853 00:42:22,212 --> 00:42:23,953 for my birthday when we get home? 854 00:42:24,047 --> 00:42:26,289 Yup. Right after dinner. 855 00:42:26,441 --> 00:42:27,940 You know, now that you're going to be such a big girl, 856 00:42:27,959 --> 00:42:30,034 pretty soon you're gonna have to leave the kindergarten here 857 00:42:30,053 --> 00:42:31,702 and go to first grade. 858 00:42:31,721 --> 00:42:33,112 I want to go to first grade. 859 00:42:33,205 --> 00:42:34,889 But first my birthday party. 860 00:42:35,116 --> 00:42:36,373 Okay, birthday girl. 861 00:42:36,393 --> 00:42:38,375 And Sammie. When does she get here? 862 00:42:38,395 --> 00:42:41,621 Hmm. Sammie and her dads, hey, 863 00:42:41,639 --> 00:42:43,639 they're on a plane right this minute. 864 00:42:43,792 --> 00:42:45,692 I'm so excited! 865 00:42:56,821 --> 00:42:57,970 (pained gasping) 866 00:42:57,989 --> 00:42:58,971 Honey, you okay? 867 00:42:58,990 --> 00:43:00,498 (groaning) 868 00:43:01,643 --> 00:43:05,402 My tummy. It's hurting. 869 00:43:05,422 --> 00:43:06,495 A lot. 870 00:43:06,648 --> 00:43:07,980 She has a fever. 871 00:43:08,074 --> 00:43:08,998 (Sammie groaning) 872 00:43:09,075 --> 00:43:10,499 Maybe the flu, right? 873 00:43:10,594 --> 00:43:12,409 Captioning sponsored by 20th CENTURY FOX TELEVISION 874 00:43:12,503 --> 00:43:14,637 and TOYOTA. 875 00:43:19,510 --> 00:43:22,645 Captioned by Media Access Group at WGBH access.wgbh.org