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
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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
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Our funding was always from the
governor's discretionary fund,
13
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so we're completely
at his mercy.
14
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I believe you and I
joined the same club today.
15
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We were too good for 'em.
16
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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
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BILLIE:
I know. Me, too.
19
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("By Design (Evel Knievel)"
by Jacob Banks playing)
20
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♪ 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
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♪ Maybe it's more,
maybe it's not ♪
29
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And so are you.
30
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♪ Oh, I'll know
when we meet the wall... ♪
31
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And we should do it again.
32
00:01:26,926 --> 00:01:30,986
-And again. And again.
-(laughs)
33
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♪ ♪
34
00:01:33,841 --> 00:01:37,993
♪ All I got is love and time...
♪
35
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Feels weird to say it.
36
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But this...
37
00:01:46,837 --> 00:01:50,430
...us-- feels so...
38
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♪ ♪
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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
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♪ All I got is love and time ♪
48
00:02:21,205 --> 00:02:22,220
♪ I'm just living... ♪
49
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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
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-Whoa, tiger.
-Ooh.
54
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I know. I promise
I won't get clingy.
55
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Neither will I.
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♪ ♪
57
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♪ Ooh. ♪
58
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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.
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Not just the trauma center--
the entire hospital is at risk.
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There is a parachute somewhere.
68
00:03:18,612 --> 00:03:19,536
We'll find it.
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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.
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00:03:26,045 --> 00:03:28,270
We need you back in the OR.
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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?
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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.
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00:03:45,564 --> 00:03:47,880
I know when you're not
telling me something.
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BELL:
Oh, I just think I should, uh,
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00:03:49,384 --> 00:03:53,052
you know, I should
take a beat before...
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00:03:53,072 --> 00:03:54,387
jumping back into surgery.
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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...
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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...
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00:04:06,401 --> 00:04:07,417
Just need to make a new plan.
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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."
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NEWS ANCHOR: We currently
have field reporters
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00:04:18,246 --> 00:04:20,079
on scene in Midtown.
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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.
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00:04:24,770 --> 00:04:27,420
13th and Piedmont. That's
a couple blocks from Chastain.
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00:04:27,439 --> 00:04:29,606
Again, we are getting
unconfirmed reports
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00:04:29,833 --> 00:04:33,092
that one of the passengers
on board was Governor Mark Betz.
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00:04:33,112 --> 00:04:36,280
-The governor's condition...
-You can't be serious.
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00:04:37,674 --> 00:04:41,618
If it's that close,
he'll be taken to Chastain.
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♪ ♪
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.
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00:05:25,389 --> 00:05:27,146
Hey, glad you're here. We need
all the help we can get.
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00:05:27,166 --> 00:05:28,390
(siren wailing)
110
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Betz was in a helicopter crash.
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00:05:31,003 --> 00:05:33,503
-The governor?
-Yeah.
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It's like musical chairs
around here.
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How many so far?
114
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Three ambo, two walk-ins.
115
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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.
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00:05:50,189 --> 00:05:53,523
Prolonged extraction time.
Some lacerations.
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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
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874
00:43:12,503 --> 00:43:14,637
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875
00:43:19,510 --> 00:43:22,645
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