All language subtitles for the.resident.s04e07.1080p.web.h264-cakes_Subtitles01.ENG

- Previously on The Resident...
- Dr. Voss, the CEO job

- is yours if you want it.
- You're damn right I do.

No one has the skill set for
a double hand replacement.

I might have someone.

Dr. Jake Wong,

my former stepson.

Chastain wants you
here permanently.

What do you say?

I'll be looking forward

to working with
you again, Dr. Voss.

My O-1 visa is expiring,

and so I applied way in advance.

Yesterday, I found
out it was denied.

Cain may be down, but
he's definitely not out.

Can't stay here. Where
is he being taken?

There's only one option.

Hey, you're up.

Shh.

You hear that?

I don't hear anything.

Exactly.

Silence.

Once our baby comes,
you can kiss that goodbye.

I think we can handle
whatever she throws at us.

Yeah, sure. But you know

feedings, crying, diapers...

That's just the beginning.

I did two rotations in Peds.

Did you have to
deal with nightmares?

"Mom, Dad, can I come
sleep in the bed with you?"

Then, suddenly, she's
a teenager and she's out

with her friends till
1:00 in the morning

and you can't sleep

because your heart's
pounding so hard.

I didn't think about that.

All I'm saying is let's just

enjoy the peace while it lasts.

Technically, you are
a recovering patient.

Maybe I should stay
home with you today.

Go.

Mwah.

- Hello?
- Hawkins.

Man, I'm glad you picked up.

Hey, Captain, we still
on for drinks on Friday?

Well, that depends.

You still work with
Search and Rescue, right?

Yeah. What's wrong?

Decided to do
some free-climbing.

Let's just say it
didn't go my way.

Okay, what are we looking
at in terms of injuries?

Remember the shrapnel
injury that Rodriguez took

during the live

live fire exercise?

- That bad?
- -It's worse.

I figured that you
could, get SAR moving

'cause you know 'em personally.

Well, I called
Search and Rescue.

They're trying to track his cell
signal before his battery dies.

Helped him stem the
bleeding, but it sounds like

- he's gonna need an OR.
- And who is this guy?

This is Captain Hill,

my commanding
officer in Afghanistan.

Of all of the stories
you've ever told me,

you never mentioned a Hill.

I know. I haven't spoken to him

in years. A few weeks
ago, he calls me,

says he wants to talk.

What aren't you telling me?

I promise I'll tell
you more later.

Just trust me, please?

Okay.

I love you.

He's in respiratory distress!

All right, this may
be uncomfortable.

Let me breathe!

He's-he's breathing.

Hill's cell signal puts
him within 100 meters

from this point here.

It's hilly terrain,
so we split up,

each cover a different sector.

Get Hill out before
the storm hits.

Next few hours are critical.

Hey. Here you go.

Four shots, extra dry cap.

No sweetener.

Not the reaction
I was expecting.

Because you're still thinking
about your immigration status.

My lawyer hasn't called yet.

She will. All right?
Just... just be patient.

Patience is for
kindergarten teachers.

They already denied
my visa renewal,

so this self-petition
is my last shot.

You know, if only there were a

a once-in-a-lifetime
surgery happening today

to take your mind off things.

Maybe something
like, I don't know

a quadruple heart
valve replacement?

One only done by 20 surgeons

in the entire world and now us.

I have been dreaming of
those 40 sutures for weeks.

I know.

Last night you muttered
the valves in your sleep

Aortic, pulmonary, tricuspid

I did not.

Did I?

Ms. Williams, I'm Dr. Pravesh.

I see that you're experiencing

- some hip pain from sickle cell.
- Like I told your nurse,

I need Dilaudid.
Two milligrams IV.

It's the only thing that helps.

I see that you've been

to five different ERs
in the past few months.

IV opiates each time.

I'm not drug seeking.

Do you know what a
sickle cell crisis is, Doctor?

Your red blood cells
become misshapen,

like a sickle, not a sphere,

and it blocks blood flow
to your organs and bones.

Yes, you know the science.

But do you know how it feels?

Sharp, stabbing pain in my back,

my shoulders, even
my cheekbones.

And when they come on,
they're more excruciating

than you can understand.

Ms. Williams, that
is not why I'm not

I don't want to be here.

And if you're not
going to help me, then

maybe I should leave.

Did that little
movement hurt you?

Tell me more about your pain.

My hip feels like it's on fire,

even when I'm still.

It's not like my
usual crisis pain.

And when I move

it tears through me,

like shards of
glass in my veins.

Here.

Stop.

Stop, stop, stop.

Okay. Tell you what.

I will give you what you need

if you let me take
an X-ray of that hip.

And figure out what's going on.

Deal?

Captain Hill!

Captain Hill!

Found him.

We're a hundred meters
northwest of Many Point Creek.

Roger that.

Hang in there, Captain.

Let's have a look, shall we?

Deep gash through the abdomen.

Looks like it's gone
through the peritoneum.

How far out are you?

Ten mikes.

That's not soon enough, is it?

You're bleeding internally,

into your abdomen and
likely into your chest.

I'm gonna die out here.

Well, not on my watch, Cap.

We need to buy
you some more time.

No idea what
you're making there,

but am I correct in guessing

- that it's really gonna hurt?
- Yeah,

afraid so.

This is an old trick I
learned back in training.

- You can handle it.
- Yeah.

I'll make a slight incision.

All right. You ready?

Do your worst.

Here we go. One, two, three.

That's better.

Hey, everything all right?

Found him. We're going
to airlift back to Chastain.

Okay, I'll meet you there.

Page Austin for me.

I want him to meet us in the ER.

Keep pushing. As
hard as you can.

Well, Barrett,

you're doing quite
well for someone

who just came off
the vent this morning.

What about the
damage in surgery?

The medial cord was
completely severed.

Partial laceration
of the lateral.

Both primarily repaired.

I'm sorry,

but the chances of you
regaining full function of your hand

are 50% at best.

Will I ever operate again?

I expect your strength
and mobility to return,

but it will take weeks,
maybe months of PT

before you can even
think about operating again.

It will be painful
and strenuous.

I can deal with the pain.

More than pain tolerance,

what this process
requires is patience.

We're done here.

I should get back to Chastain.

Tell the new CEO I
want to talk to him.

You just did.

So, I overheard
some nurses saying

you stole the show
at Waylan's last night.

It was an ambush.

They didn't tell me
it was karaoke night

and I ended up singing
"I Want It That Way"

with half of Radiology.

Well, I'm glad to see
you're making friends.

Thank you, but it's not like

I'm 12 years old,
starting a new school.

Well... this seems
like the perfect day

for a ten-hour
valve replacement.

Ready for bypass.

So every time you have a
crisis, the sickled blood cells

block blood flow to
the hip bone right here.

Over time, that
bone starts to die.

We call it avascular necrosis.
It's why you're in so much pain.

Okay, so we treat the pain,

get me back on my
feet, I go back to PT.

Well, I'm afraid pain management
and PT aren't gonna cut it,

and that's why I
brought in Dr. Voss

- to see you.
- I'm sorry, Rose,

but you're gonna
need a hip replacement.

Sorry, I have to get this.

Let me know what you decide.

I'm not doing the surgery.
The risks are too high.

I know it's scary,
but a hip replacement

- is your best option, Rose.
- Doctors never get it.

You're the ones with
the medical degrees,

but I have to school
you on my disease.

- It's exhausting.
- I know from personal experience

that many patients
of color aren't heard.

Chastain is
different. I'm different.

Help me understand.

Surgery for sickle cell
patients is even riskier.

You could fix my hip but
leave me with other issues.

Tell me I won't have
an anemia crisis

or a cardiac crisis or worse.

I can't imagine the pain you've
endured, and I understand

why you are reluctant to
think more time in a hospital

- would help you. I get it.
- It's more than just that.

It's about how I
want to live my life.

I'm a dancer.

Was a dancer.

When the pain got to be
so bad that I had to stop,

I put all of my
savings into a studio.

Now I teach dance
to high-risk kids.

Tonight they have a recital to
showcase all their hard work.

Those girls, they're my life.

And I want to be there tonight.

I'd rather limp and be
alive than die sooner

because of a surgery.

Your hip is about shot.

I want to do it today because
it's best that we take advantage

of this window while
you're relatively well.

Because during
a sickle cell crisis,

there would be
such a high possibility

of a fatal blood vessel blockage

that a surgery would
be even more dangerous.

So, Rose, let me help you.

We will do everything
we can to keep you safe.

That's a promise.

All right, first
suture's in place.

Threading through
the suture ring.

Slight drop in pressure.

- Blood volume decreasing.
- Keep transfusing.

Some blood loss is not atypical.

The call was for Dr. Austin.

Incoming abdominal
trauma with hemothorax.

Dr. Hawkins is
requesting you personally.

Conrad seldom does this.

Whoever the patient
is must be special.

Which is why I have to go.

But we're fine here.
I'll step out for a minute,

take care of this trauma and
be back the moment I'm done.

Anything goes wrong,
they'll blame the attending.

Mina, you got this.

38-year-old male with
penetrating injuries

to the chest and abdomen.

Initially hypotensive.

O2 sat falling despite
chest tube placed in the field.

It's been a long time
since I felt pain like that.

You're talking,
so airway's intact.

We need to get two
units of O-neg running.

We need a portable
chest X-ray ASAP!

On my count. One, two, three.

- Hemothorax?
- Drained about 750cc's in the left chest.

It was likely a rupture
to his diaphragm.

That's more blood
than we'd like.

I need to get him to the OR.

His vitals are stable.
Stop by CT first?

Yeah. We'll get X-ray
then we'll pack him.

- I'll let OR know we're coming.
- Thank you.

- Hey. You made it.
- Hey.

What's going on?

He's stable at the moment.

I'm just waiting
on the chest X-ray.

Okay.

I want to see the
tube placement.

- This can't be right.
- Apart from the chest tube

and a few broken
ribs, looks clear to me.

Hey. Talk to me. What's wrong?

Nate's chest, it
shouldn't be clear.

- Why?
- There should be

a bullet next to his spine and

there isn't.

Okay, so, the bullet
that you're talking about,

you think it migrated to
another place in his body?

Yeah, and I need
to help them find it

'cause Nate got
shot saving my life.

Nate and I were
approaching a target

in the Sangin Valley.

We got ambushed.

Take cover!

They got us surrounded!

Nate ordered us to pull back.

Flank up!

But

I thought one of our
Marines who got shot up

on the road ahead
was still alive, so

Hawkins, stay put!
That's an order!

Fall back! Fall back!

I made my way up the road,

I get there,

and he's dead.

I start to head back, to
regroup with my company.

But I get blindsided by an RPG.

I had a dislocated
shoulder, broken knee,

shrapnel in my neck.

Figured this was it.

And then Nate showed up.

Saved my life.

That's when he, that's when
he caught three in his chest.

But he kept going, made
sure we both got to cover.

Doctors got two
of the bullets out,

but the third was
lodged near his spine

and it was too
dangerous to remove.

It wasn't giving him any
trouble, so they left it there.

And now it's gone.

I can't believe you kept this
to yourself all these years.

It wasn't my proudest moment.

I disobeyed an order and it
nearly cost my commander

and friend his life.

I was

ashamed.

You were just doing your job,

and so was Nate when
he came back for you.

When I was a kid, my mom used
to make me practice needlepoint.

And I would get so
annoyed and I would tell her

that nobody uses that
skill in the real world.

I'm gonna call her tonight

and I'm gonna beg
for her forgiveness.

Well, this is needlepoint
times a thousand.

If all 40 sutures
aren't perfectly placed,

the valve won't fit

or the heart muscle will
rip, and we start over.

Okay.

Perfect fit.

Now, by the time I'm ready
to insert the next valve,

Austin should be here.

Actually, he won't.

That was Dr. Austin
on the phone.

He took care of
Dr. Hawkins' patient,

but an aortic
rupture just came in.

He wants me to keep going.

- Alone.
- He says to tell you

that you know this
heart just as well,

if not better than him.

You got this.

Then we keep going.

Okay.

Suction.

What's going on?

Get me a liter of normal saline.

Dr. Voss?

She's tachycardic,
hypotensive and hypoxic.

Could she be bleeding?

She was earlier,
but it was minimal

and I gave her a unit of blood.

Let's get her on 100% FIO2
and start norepinephrine.

Come on, Rose. Come
on, come on, come on.

- Good, good. She's settling out.
- Hopefully long enough

for me to finish and for you
to figure out what's going on.

Hey.

Your former CO pulled through.

No complications.

And the bullet I told you about?

It wasn't in the surgical field.

- So, when is the head and neck CT?
- To be determined.

There were no symptoms
indicating that the bullet

- is migrating in Nate's body.
- But there is one.

I specifically remember
hearing the doctors say

there was a bullet
they couldn't remove.

Well, did Nate tell you
the bullet's still there?

No. I haven't spoken
to him in, like, ten years.

I can't justify a CT
on a postop patient

just to look for a bullet
that might not be there.

Since when does my word
not carry weight with you?

Your word always
carries weight, Hawkins.

But the event in question
was a decade ago

and the patient is personal.

My emotions are in check

- and my memory's just fine.
- Hey.

- Austin's just doing his job.
- No.

He's ignoring
important information

that could save
his patient's life.

Nate is unconscious,
it's my call.

We will wait for
the medical records

to confirm what you're saying.

If he codes while
you're dotting your I's

and crossing your t's...

Look, Nate was badly
injured saving Conrad.

- He's carrying a lot of guilt right now.
- I get it.

He gets a pass.

Thanks.

I know what you're gonna say.

Really? Try me.

That guilt can
play with our mind,

but that's not
what's going on here.

Then why don't you
tell me what is going on?

I was there when
the doctors told Nate

they couldn't
remove the last bullet.

I heard them tell a
fifth-generation Marine

that his military
career was over.

He had to retire because of me.

- All right.
- I'll see you at home.

- Okay. Bye.
- Okay?

Hi.

This, this might... may
seem a little strange. Um

I'm Randolph Bell.

Yeah... I-I know who you are.

- Yeah.
- You must be Jake's husband.

- Gregg, yes.
- Yeah.

I just wanted to
introduce myself, and, um,

you know, if you or Jake need
anything, I'm-I'm here, so...

You want advice on
how to open the door

so you can find a way
back into Jake's life.

Yeah, I... You know, I
certainly wouldn't turn it down.

But I have to stay out of it.
This is between you and Jake.

Okay, yeah. No, I understand.

It was nice to meet you.

For what it's worth,
I'm rooting for you.

How's my new hip?

Ceramic on
polyethylene perfection.

I traded hip pain for
something else, didn't I?

Your body had a
dangerous reaction

to the blood that you
received during surgery.

Because of all the transfusions
I've had throughout my life?

You've developed antibodies
that our labs can't easily test for.

When we gave
you blood in the OR,

your body attacked it

and started to break
down your own blood.

You're severely anemic.

We don't have compatible
blood to give you.

We're working
with the Red Cross.

We'll find blood
your body will accept.

And until then?

Your heart is working
very hard to keep up.

We're giving you
supplemental oxygen.

And if the extra
oxygen isn't enough,

my organs will fail
and I'll die, right?

Please leave.

Glad you're feeling better,
but your career is still

in jeopardy.

As your lawyer, I
have to reiterate that

even if you manage
to recover physically,

you falsified a patient's file.

That's a criminal offense.

You could lose everything.

Because someone at
Chastain told Mullins I lied to him

to get him to the OR,
putting him at risk for COVID.

Exactly. And now that
whistle blower’s gonna testify

against you at trial.

Find out who they are.

I want to know
everything about them.

Hey. Just to be clear,
blindsiding my husband?

Totally out of line.

Well, that... look, that was,
that was never my intention.

- I just wanted him to feel welcome.
- My God.

Do you remember when
you said if I came to Chastain,

it'd be up to me if we
had a relationship?

You told me you'd
follow my lead.

- You said that.
- Y-Yeah.

Of course. I ju... I'm...

Look, I'm here if you need me.

Please. This isn't
about me, it's about you.

It's always about you.

I guess I was hoping
we could turn the page.

The last thing I want
to do is drive you away.

But I... y-yeah.

I overstepped, and I'm sorry.

Okay, um

I have a family.

And you are not in it.

Yeah, okay.

- That's your contract.
- I know.

- It's unsigned.
- I know that, too.

- Well, do you need a pen?
- No, I need a do-over.

It was a mistake
to take this job.

I can't work under
the same roof as Bell.

- Can I ask why?
- He's trying to erase the past

and I won't let him, and now
he's basically stalking me.

You may not know this,

but Randolph used
to have my job.

How did he lose it?

Did his boss figure out
what a colossal jerk he is?

Quite the opposite.

They asked him to
turn on a fellow doctor.

He refused and
resigned on his own.

Randolph stood up for a good
man because he is also a good man.

And now I'm standing up for him.

I don't know what
happened between you

but I do know people can change.

Maybe you should give
him a second chance.

Who knows, it could be
the right thing for both of you.

At least share your
reservations with him.

He might surprise you.

Great. Thank you.

The Red Cross has a
blood match for Rose.

They're gonna put a rush on it.

You know that's
good news, right?

It wouldn't be necessary

if I hadn't pushed
her to do the surgery.

No. Hey, Pravesh,
this isn't your fault.

She didn't want the surgery.

Okay? She knew there would
be an unexpected complication

and now it's happening.

Dude, if she doesn't make it...

It's Rose. She's unstable.

I'll run the blood up
when it arrives. Hey.

You listened to her
and took her seriously.

Another doctor might not have.

Whatever happens,
you did right by Rose.

Unstable tachycardia.

I need an amio
150 and a code cart.

- I don't feel right.
- Your heart is working overtime

to bring blood to your body,
and it's working too fast.

Hang on, Rose.

Your blood just got to
Chastain. It's on the way up.

My chest. Help me.

Hold on, hold on.

I need to cardiovert.

120 joules.

Rose, this is gonna hurt.

Clear.

I'm so sorry, Rose.

Your heart rate's rising.

- I might need to shock again.
- No. No, not again.

- Please.
- There may not be enough time.

Here it is.

- Lifesaver. I'll hang it.
- It's the closest match

they could find, but,
Devon, it isn't perfect.

She could hemolyze this, too?

I'll take the risk.

Hey.

Hey, Captain.

Surgery went well.

Though hold off on
hiking for a while?

Yeah, I can do that.

I have to ask you,
that bullet in your chest,

did they ever get it out?

No. They never did.

I'm gonna call Dr. Austin.
I'll be right back.

Nic, can you fill him in?

We think the bullet
may have migrated

to another part of your body.

- Well, that doesn't sound great.
- Don't worry.

We're all over your
case and we'll find it.

Look, I know what
you did for Conrad.

It's a debt he'll never
be able to repay,

but I know he's trying.

You know, I have some regrets

about the way
I've treated Conrad.

He's reached out to
me, over the years, but,

I've just been like a
blockade, you know?

Feel... feel real bad about it.

But I think I'm.

I think I'm ready
to clear the air now.

Sorry, could

could you turn up the lights?

It's a little dark

Nate, are you feeling okay?

- Little light-headed.
- Hey, can you squeeze

- my hand?
- My face

I can't feel the
side of my face.

I got to call you
right back, okay?

He's showing signs of a stroke.

We need to get him to CT.

All right.

I don't see any foreign
bodies in his neck or brain.

- Just dental cavities.
- Yeah, but-but you see that?

The streak artifact
from Nate's dental work

is distorting the images.

Look outside the distorted area.

You can barely see it.

There's a sharp
outline of something.

It could be the bullet.

Could be.

It's at the carotid bifurcation;
Explains the mini-stroke.

If it shifts position even
just a few millimeters,

it could travel up to his brain.

Blocking the blood supply,
giving him a massive stroke.

Austin needs to get it
out as soon as possible.

Ooh. Yes.

Blood volume in the
circuit is dropping again fast.

There's no blood
loss in the field.

And there's no
blood on the floor.

He must be bleeding somewhere

we can't see.

- Why is he waking up?
- He's been dosed appropriately.

I don't know why he's not
responding to the meds.

Blood volume
approaching critical levels.

Brain perfusion is at risk.

And what are we
looking for, Dr. Okafor?

- You fixed it.
- -We fixed it.

The blood must be
emptying into the lung cavity.

Need to make an incision

into the left pleura.

The vena cava has been
punctured by the central line.

Not only has he been bleeding
out into the pleural cavity,

but all of the anesthesia
medication has been

lost there, too.

Okay, on my mark, slowly

pull back your
central line catheter.

I need a Prolene suture.

Pull back your central line now.

And stop.

Okay. Push meds now.

Volumes are stable.

How are you feeling?

Well, for a guy who just got
a bullet taken out of his neck,

not half bad.

All right, I'll let you rest.
Let's catch up tomorrow.

No.

You should sit.

I need this to sink in, okay?

I'm good.

I asked Dr. Austin
to save it for me.

This thing has been my

constant companion.

But I realized I wasn't the
only one carrying it around

for all these years.

That's why I called you.

What happened...

The choice that I made

is what we do for each other.

You made the exact same choice.

So.

Do me a favor.

Throw this away.

'Cause when you toss it,

I want you to toss
away the guilt,

and the shame

and anything else that
you've been holding onto.

Hey, you have got some
friends in high places.

The CEO put in a
good word for you.

Okay.

And you deserve an explanation.

The reason that I can't
give you a second chance

is because my husband and I are

adopting.

Wow. Well

- that's, that's great.
- Yeah.

I'm gonna be a parent,
one that will never bail

- the way that you did.
- Jake, I...

It...

It's fine.

I'm a grown man.

But the last thing
I'm gonna let happen

is for you to become
some beloved grandpa,

only to pull the same
vanishing act on my kid.

Well, I get that.

I really do.

But I'm not going anywhere.

Thank you, Miguel. I'm so
glad you came. Let's talk again

next week.

- What's this?
- This is what happens

when you listen to the people.

They're ideas from our staff

on how to turn
this place around.

For example, we'll be starting

an insulin-by-mail service

to decrease wait
times at the pharmacy.

I'll be assembling a
task force to address

post-surgical admission times,

which are far
longer than average.

And most importantly,
tri-tip sandwich day

will be more often
than once a month.

Well, sounds like
you had a great day.

And do I get the feeling
I'm not the only one?

I-I scored a coffee date
with my former stepson.

Here, tomorrow. And I

I hear that you might've
had something to do with it.

I may have.

Well... thank you.

You don't have to thank me,

but you do have
to buy me a drink.

I'll make it a double.

Where did you get this blood
from, the fountain of youth?

I haven't felt this
good in a year.

Yeah, that's
what I like to hear.

So... where are we going?

Well, Rose, like I told you,

it's a surprise.

I hate surprises.

Wasn't that in my patient file?

Well, I think you're gonna
like this one, though.

'Cause I looked you up online,

I made some phone calls.

And

bam.

No, you didn't.

You couldn't make the recital,

so we brought
the recital to you.

You don't know how
much this means to me.

Thank you.

Basking in your
own surgical glory.

- A little bit.
- I don't think

you need to fear being deported

before becoming a
world-class surgeon.

Because today you have
proven that you already are one.

Not only does today mark

your accession to the
upper echelon of surgeons,

but it also marks my
last day as your mentor.

You really think so?

Yeah, you don't need a copilot.

You are more than
capable of flying solo.

So.

Tonight I am preparing

a very special dinner,

among other things.

Does this meal include

a chocolate soufflé?

How'd you guess?

Indeed it does.

Okay, okay, okay.

And the other things?

Ooh, well

those you will just have to wait

and see.

How was your talk with Nate?

It was good.

It was really good.

I'm glad I got to meet him.

Me, too.

You know, as parents,

we're gonna need
to lean on each other

in all kinds of different ways.

I do.

I wish I would've told you

about what happened
with Nate sooner.

I just

I couldn't and I'm sorry.

It's okay.

I get it.

- You coming up?
- Yeah, I'll be right there.

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