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1
00:00:02,045 --> 00:00:04,395
Don't miss the new
season of "The Resident."
2
00:00:04,482 --> 00:00:06,615
This is life or
death right now.
3
00:00:06,702 --> 00:00:09,096
See all new episodes
Tuesdays, and check out
4
00:00:09,183 --> 00:00:11,489
our other Fox shows,
"Our Kind of People,"
5
00:00:11,663 --> 00:00:14,188
"The Big Leap," and "9-1-1."
6
00:00:19,149 --> 00:00:22,109
-Previously on The Resident...
- Dr. Bell? Here's the clamp.
7
00:00:22,196 --> 00:00:23,762
Something's wrong with me,
and I'm not quite sure what,
8
00:00:23,936 --> 00:00:25,547
- but I think it may be serious.
- Want me to examine you?
9
00:00:25,677 --> 00:00:27,114
The results all under the radar.
10
00:00:27,244 --> 00:00:29,420
We're gonna need
to set some rules.
11
00:00:29,551 --> 00:00:31,335
No one here needs to know
that we're related,
12
00:00:31,509 --> 00:00:33,120
or that
you're my biological son.
13
00:00:33,207 --> 00:00:34,904
- Agreed. It's none
of their business.
- Mm-hmm.
14
00:00:34,991 --> 00:00:36,427
I talked to your boy.
15
00:00:36,558 --> 00:00:38,995
He thinks I recommended him
to Chastain.
16
00:00:39,126 --> 00:00:42,216
- I did no such thing.
- I did.
17
00:00:42,346 --> 00:00:43,521
You didn't just break protocol.
18
00:00:43,652 --> 00:00:45,349
You broke every rule
of medicine.
19
00:00:45,436 --> 00:00:47,699
Are your patients just pawns
to prove how smart you are?
20
00:00:47,786 --> 00:00:49,440
Now that
you're spending more time
21
00:00:49,571 --> 00:00:52,574
on research and clinical trials,
we need a new ER doctor.
22
00:00:52,661 --> 00:00:54,967
All I know is that Nic wouldn't
want you to be alone forever.
23
00:00:55,098 --> 00:00:57,579
For your sake and for Gigi's,
you deserve to be happy.
24
00:00:57,709 --> 00:00:59,494
Hey, Marion!
25
00:00:59,581 --> 00:01:01,148
We are gonna go get
some ice cream
26
00:01:01,235 --> 00:01:03,889
- if you would like to join us.
- I would love to.
27
00:01:06,892 --> 00:01:10,070
Marion, I just want
to say it again.
28
00:01:10,157 --> 00:01:11,897
I know.
29
00:01:12,028 --> 00:01:13,899
Boundaries clear.
30
00:01:14,030 --> 00:01:16,076
- We both had fun.
- Yes, we did.
31
00:01:18,165 --> 00:01:22,560
Conrad, it's okay. Truth?
32
00:01:22,691 --> 00:01:25,259
You're not my type.
33
00:01:25,389 --> 00:01:28,784
Well, okay.
34
00:01:28,914 --> 00:01:33,180
Besides, I've got a mad crush
on someone else.
35
00:01:33,267 --> 00:01:36,531
- Someone much younger.
Oh, ouch.
36
00:01:36,661 --> 00:01:38,968
And...
37
00:01:39,099 --> 00:01:40,752
shorter.
38
00:01:40,883 --> 00:01:42,798
Like your daughter.
39
00:01:42,928 --> 00:01:44,800
Daddy?
- And there she is.
40
00:01:44,930 --> 00:01:46,628
She never gets up this early.
41
00:01:46,802 --> 00:01:49,413
I'll be quiet. See you later.
42
00:01:52,503 --> 00:01:54,679
Daddy, you need a shirt.
43
00:01:54,766 --> 00:01:56,638
Yes, I do.
44
00:01:56,768 --> 00:01:58,640
You're up so early.
45
00:01:58,770 --> 00:02:01,208
I wanted to pick out
the perfect outfit for my trip
46
00:02:01,338 --> 00:02:03,645
to the aquarium.
47
00:02:03,775 --> 00:02:05,647
Oh, look at that.
48
00:02:05,777 --> 00:02:08,389
- Yeah?
- Yeah. Yeah,
definitely thumbs up.
49
00:02:08,519 --> 00:02:10,826
Get this sucker on you, okay?
50
00:02:10,956 --> 00:02:13,045
What are you gonna color
over here?
51
00:02:13,176 --> 00:02:15,178
- I don't know.
- Huh? You don't know?
52
00:02:15,309 --> 00:02:17,398
Hmm. Let me think.
53
00:02:17,528 --> 00:02:19,182
What is that?
What if I color that in there
54
00:02:19,313 --> 00:02:20,879
- like that, with that blue?
55
00:02:21,010 --> 00:02:22,446
Oh, my gosh, who is that?
56
00:02:22,577 --> 00:02:25,232
My favorite babysitter!
57
00:02:32,500 --> 00:02:34,763
Hey, my love. Are you ready
to go see the fish?
58
00:02:34,893 --> 00:02:36,895
Yes!
59
00:02:37,896 --> 00:02:40,551
I will bring her back
tonight, Dr. Hawkins.
60
00:02:40,682 --> 00:02:43,511
Thanks for this.
Your purse, sweetheart.
61
00:02:49,647 --> 00:02:53,216
There's some mad money in there
for both of your tickets
62
00:02:53,347 --> 00:02:55,392
and a nice lunch.
63
00:02:55,479 --> 00:02:58,221
Make sure you pick up the check.
64
00:02:58,352 --> 00:03:00,702
Mwah.
65
00:03:01,964 --> 00:03:03,226
Have fun.
66
00:03:03,357 --> 00:03:05,054
Thanks.
67
00:03:05,228 --> 00:03:07,056
- Come on.
Bye-bye.
68
00:03:07,230 --> 00:03:09,493
Bye.
69
00:03:24,160 --> 00:03:25,509
Your heart and lungs
70
00:03:25,683 --> 00:03:27,076
sound good, your blood pressure
71
00:03:27,207 --> 00:03:29,252
and cholesterol are both low.
72
00:03:29,383 --> 00:03:31,515
You're in good shape.
73
00:03:32,516 --> 00:03:34,388
But?
74
00:03:34,518 --> 00:03:36,390
I'll see you later,
and we'll talk.
75
00:03:36,520 --> 00:03:38,914
- No. Talk here. Let's go.
76
00:03:39,044 --> 00:03:41,438
Lots of the tests aren't in
yet. I'm not gonna speculate.
77
00:03:41,525 --> 00:03:44,615
You have a differential.
I know you do.
78
00:03:44,746 --> 00:03:47,401
Cancer? Stroke?
79
00:03:47,531 --> 00:03:49,838
ALS? I thought of that one, too.
I just...
80
00:03:50,012 --> 00:03:52,101
And I'm reassured because the
lack of muscle fasciculations,
81
00:03:52,232 --> 00:03:54,538
- but just perhaps?
- No.
82
00:03:54,712 --> 00:03:56,540
Your exam isn't consistent
with ALS.
83
00:03:56,714 --> 00:03:58,716
This could be something simple
and treatable.
84
00:03:58,847 --> 00:04:01,632
- You know it's not.
- I don't know anything yet.
85
00:04:01,806 --> 00:04:03,852
I'll have more information
at the end of the day.
86
00:04:06,202 --> 00:04:08,291
- But in the meantime...
- Yeah. No, I know. I know.
87
00:04:08,422 --> 00:04:10,250
Don't operate. Trust me,
I don't want a repeat
88
00:04:10,337 --> 00:04:12,382
of what happened in the OR.
89
00:04:12,513 --> 00:04:16,430
Bolting mid-surgery,
leaving Dr. Devi,
90
00:04:16,560 --> 00:04:18,823
who I'm supposed to be teaching,
for God's sake.
91
00:04:22,305 --> 00:04:25,221
I got to go.
Kit's new Flight Go Team
92
00:04:25,395 --> 00:04:27,745
just got activated
for the first time.
93
00:04:27,876 --> 00:04:30,008
Yeah, that's a big step forward
94
00:04:30,139 --> 00:04:32,446
for any hospital
with a level-1 trauma center.
95
00:04:32,576 --> 00:04:36,363
Doctors flying to emergencies
EMTs can't handle.
96
00:04:36,537 --> 00:04:38,930
Okay, go. We're finished here.
97
00:04:39,017 --> 00:04:40,192
- Till later today, all right?
- Yup. Yup. Yup.
98
00:04:40,323 --> 00:04:42,499
- I'll see you then.
- Yup, yup.
99
00:04:47,025 --> 00:04:50,681
♪ All systems go
any moment now♪
100
00:04:50,855 --> 00:04:54,685
♪ High stakes, tightrope,
never looking down♪
101
00:04:54,816 --> 00:04:58,254
♪ All grind, all shine,
all day, all night♪
102
00:04:58,385 --> 00:05:02,040
♪ All together now,
all together now♪
103
00:05:02,214 --> 00:05:06,044
♪ Take, oh, take it over♪
104
00:05:06,175 --> 00:05:10,701
♪ Time ain't over till
we cross that line♪
105
00:05:10,832 --> 00:05:12,964
♪ Say you'll never...♪
106
00:05:13,051 --> 00:05:15,837
There's been an accident
on I-20 involving a bus.
107
00:05:15,967 --> 00:05:17,839
Multiple victims are
being transported here,
108
00:05:17,969 --> 00:05:19,928
but one is trapped,
can't be moved,
109
00:05:20,058 --> 00:05:22,496
and is in need of the highest
level of critical care.
110
00:05:22,626 --> 00:05:24,280
This is why you created
the Flight Go Team, right?
111
00:05:24,411 --> 00:05:26,935
Listen to me.
The situation is dangerous
112
00:05:27,065 --> 00:05:29,154
for the victims
and the rescuers.
113
00:05:29,285 --> 00:05:33,202
- Save lives,
but stay safe out there.
- Copy you.
114
00:05:33,289 --> 00:05:36,597
♪ Break on through to
the other side♪
115
00:05:36,727 --> 00:05:38,599
♪ Hey♪
116
00:05:38,729 --> 00:05:40,862
♪ All together now♪
117
00:05:41,036 --> 00:05:42,385
♪ Hey♪
118
00:05:42,516 --> 00:05:44,779
♪ All together now♪
119
00:05:44,866 --> 00:05:47,695
♪ Hey, all together now♪
120
00:05:47,782 --> 00:05:49,740
♪ Hey♪
121
00:05:51,829 --> 00:05:53,135
♪ Hey♪
122
00:05:55,659 --> 00:05:56,791
♪ Hey.♪
123
00:06:30,128 --> 00:06:33,001
Bus carrying
a college women's softball team
124
00:06:33,131 --> 00:06:34,872
flipped over the guard rail,
landed on that car.
125
00:06:35,003 --> 00:06:36,700
The passengers
in the car died instantly.
126
00:06:36,831 --> 00:06:38,746
We got everyone out
of the bus except one.
127
00:06:38,876 --> 00:06:40,791
She's critical, and if we tried
to move her, she won't make it.
128
00:06:40,965 --> 00:06:43,098
She's pinned down with
a penetrating abdominal injury.
129
00:06:43,228 --> 00:06:45,013
The firefighters are trying
to cut her out, but
130
00:06:45,143 --> 00:06:46,928
- they're running out of time.
- Top windows the only access?
131
00:06:47,102 --> 00:06:49,017
Yeah, it's the front of the bus.
The door's jammed shut.
132
00:06:49,147 --> 00:06:50,410
We're working
on opening something else up,
133
00:06:50,497 --> 00:06:52,542
but no luck yet.
134
00:07:00,942 --> 00:07:03,988
Ah, so it's like that, huh?
135
00:07:06,730 --> 00:07:08,297
Pass me the stuff.
136
00:07:24,879 --> 00:07:26,794
It's a good thing they
called in the Go Team,
137
00:07:26,924 --> 00:07:28,709
'cause this is definitely
something EMTs couldn't handle.
138
00:07:28,839 --> 00:07:30,188
I know what you're thinking,
but the first rule
139
00:07:30,319 --> 00:07:32,582
of penetrating trauma--
never pull it out.
140
00:07:32,713 --> 00:07:34,105
If we pulled that out of her,
and it lacerated
141
00:07:34,192 --> 00:07:35,324
any vessels,
she could bleed out in seconds.
142
00:07:35,498 --> 00:07:37,065
I'm well aware.
143
00:07:37,195 --> 00:07:40,590
Pulling it out is a risk,
but we can manage that risk.
144
00:07:42,374 --> 00:07:43,767
Okay, what's your plan? Go on.
145
00:07:43,854 --> 00:07:46,988
You get the meds,
I'll get ready to intubate.
146
00:07:47,162 --> 00:07:50,731
Let's push 100 of ketamine
and 150 of roc.
147
00:07:50,861 --> 00:07:52,776
Keep her paralyzed and sedated
so she doesn't move an inch.
148
00:07:52,950 --> 00:07:56,214
Then we get her unpinned.
Okay, we got a good plan.
149
00:07:56,345 --> 00:07:59,479
Help me.
150
00:07:59,566 --> 00:08:01,089
We got you.
151
00:08:05,920 --> 00:08:07,922
Push the meds now.
152
00:08:19,499 --> 00:08:21,631
Now for the tough part.
153
00:08:27,202 --> 00:08:29,117
Let's pack that with wet gauze.
154
00:08:29,247 --> 00:08:30,379
And tape it. I'm on it.
155
00:08:43,305 --> 00:08:44,480
I'm here.
156
00:08:45,786 --> 00:08:47,918
Give me the bag.
157
00:08:50,225 --> 00:08:52,183
On my count. Three...
158
00:08:52,357 --> 00:08:54,403
Two, one.
159
00:08:54,577 --> 00:08:56,927
Okay.
160
00:08:59,626 --> 00:09:01,932
Perfect timing.
161
00:09:03,934 --> 00:09:06,241
Wait.
162
00:09:06,371 --> 00:09:08,417
There's someone else in here.
163
00:09:08,504 --> 00:09:09,940
There's a gas leak
under this thing.
164
00:09:10,071 --> 00:09:12,290
Smoke means there's fire, too.
It's gonna blow.
165
00:09:12,421 --> 00:09:14,423
Keep going. We'll catch up.
166
00:09:14,554 --> 00:09:16,077
Come on, guys.
167
00:09:16,207 --> 00:09:17,905
What's your name?
- Jill.
168
00:09:18,035 --> 00:09:19,646
Jill, you're gonna
be okay, all right?
169
00:09:19,820 --> 00:09:22,387
Oh, God. Oh, God.
170
00:09:29,090 --> 00:09:31,614
Posterior elbow dislocation,
171
00:09:31,745 --> 00:09:33,660
possible fracture, with
brachial artery compromise.
172
00:09:33,834 --> 00:09:35,096
This is gonna hurt.
173
00:09:35,226 --> 00:09:37,359
Take a deep breath.
174
00:09:37,446 --> 00:09:39,361
Got it.
175
00:10:02,689 --> 00:10:05,126
Hey, you,
get out of the bus, now.
176
00:10:05,256 --> 00:10:06,693
- I thought I heard a noise.
177
00:10:06,780 --> 00:10:09,478
It's a cat.
It must be the team mascot.
178
00:10:09,565 --> 00:10:11,349
- Not exactly a bobcat.
- Run!
179
00:10:22,883 --> 00:10:25,276
At least you saved the cat.
180
00:10:26,800 --> 00:10:29,106
Okay, that was kick-ass.
181
00:10:29,237 --> 00:10:31,892
Yeah, it was all right.
182
00:10:39,726 --> 00:10:41,466
Uh, Dr. Pravesh. Hey.
183
00:10:41,597 --> 00:10:42,467
Look, I know I gave you
some trouble
184
00:10:42,598 --> 00:10:43,947
the last time I worked with you,
185
00:10:44,078 --> 00:10:45,383
and I just want
to let you know that...
186
00:10:45,514 --> 00:10:46,820
Apology accepted,
but you have one strike
187
00:10:46,994 --> 00:10:48,343
and a lot to prove,
so don't forget it.
188
00:10:48,473 --> 00:10:49,779
Now, I hope you have
your big boy pants on
189
00:10:49,910 --> 00:10:52,173
because we have
a very difficult case.
190
00:10:52,347 --> 00:10:53,957
- Hi, there. How we doing?
191
00:10:54,131 --> 00:10:56,830
Temp 102. BP 170/100.
192
00:10:56,960 --> 00:10:58,483
We gave Mr. Parker
193
00:10:58,614 --> 00:11:01,138
meds 40 minutes ago,
and his fever hasn't budged.
194
00:11:01,269 --> 00:11:03,532
Mr. Parker is my dad.
195
00:11:03,706 --> 00:11:05,055
Call me Jerome.
196
00:11:05,186 --> 00:11:07,405
Uh, I've had the fever
for ten days.
197
00:11:10,408 --> 00:11:11,845
Oh, um...
198
00:11:12,019 --> 00:11:14,325
That's the, that's the
call bell. We're here.
199
00:11:16,719 --> 00:11:19,243
I wanted to make sure it works.
200
00:11:20,636 --> 00:11:23,204
Um, preliminary test results
201
00:11:23,334 --> 00:11:24,727
came back inconclusive.
202
00:11:24,858 --> 00:11:27,338
Your chest X-ray and urine tests
203
00:11:27,425 --> 00:11:29,514
did not show
any sign of infection.
204
00:11:29,645 --> 00:11:31,168
No headache, diarrhea,
205
00:11:31,299 --> 00:11:33,954
stiff neck, nausea, sore throat.
206
00:11:34,084 --> 00:11:36,783
Which means we can consider this
a fever of unknown origin.
207
00:11:36,957 --> 00:11:39,394
Unknown origin?
208
00:11:39,524 --> 00:11:41,178
Wait, so you have no idea
what's wrong with me?
209
00:11:41,309 --> 00:11:44,007
Well, it's a mystery
for now, but you have
210
00:11:44,138 --> 00:11:46,444
two motivated detectives
on the case.
211
00:11:46,575 --> 00:11:48,751
What we need is more
information, so we're gonna
212
00:11:48,882 --> 00:11:50,361
run some more tests
and a thorough history,
213
00:11:50,535 --> 00:11:51,841
and that should be
214
00:11:51,972 --> 00:11:54,017
the key to figuring
this out, okay?
215
00:11:54,148 --> 00:11:55,715
Oh, God.
216
00:11:55,802 --> 00:11:58,674
Where's BooBooBear?
217
00:11:58,848 --> 00:12:01,111
- That's his service dog.
I have panic attacks.
218
00:12:01,242 --> 00:12:03,810
Boo is the only thread that, um,
219
00:12:03,940 --> 00:12:06,377
keeps me from unraveling.
220
00:12:06,464 --> 00:12:08,336
Your dog is tied up outside.
We don't allow
221
00:12:08,466 --> 00:12:10,120
animals in the ER.
222
00:12:10,251 --> 00:12:12,601
No, no, wait, no. Um, please,
you don't understand.
223
00:12:12,775 --> 00:12:15,038
I-I need her.
224
00:12:15,212 --> 00:12:17,345
- I'm beginning to freak out.
O-Okay.
225
00:12:17,475 --> 00:12:19,042
Okay. Okay, um,
226
00:12:19,129 --> 00:12:21,479
I might be able to clear
the dog through social work.
227
00:12:21,653 --> 00:12:24,134
- I'll call Winston.
228
00:12:27,050 --> 00:12:28,399
Three, two,
229
00:12:28,573 --> 00:12:30,488
one, mark.
230
00:12:38,061 --> 00:12:39,802
Two patients. That's the limit.
231
00:12:39,933 --> 00:12:41,761
We'll hitch a ride
on an ambulance.
232
00:12:47,418 --> 00:12:49,681
You okay? You got pretty cut up.
233
00:12:49,812 --> 00:12:52,728
- Let me take a look.
- I'm fine.
234
00:12:55,818 --> 00:12:57,298
That needs to be cleaned up.
235
00:12:57,428 --> 00:12:59,909
Might need a stitch or two.
236
00:13:01,171 --> 00:13:03,086
Are you two headed back
to Chastain?
237
00:13:03,217 --> 00:13:05,654
I got space
in the back of my rig.
238
00:13:11,486 --> 00:13:13,096
Thank you for getting me
off that bus.
239
00:13:13,270 --> 00:13:14,968
I almost went up in flames.
240
00:13:15,098 --> 00:13:16,230
I was worried about the cat.
241
00:13:17,971 --> 00:13:20,451
That you didn't know existed.
242
00:13:20,582 --> 00:13:22,323
Good point.
243
00:13:22,497 --> 00:13:24,412
Truth is,
I'm more of a dog person.
244
00:13:24,542 --> 00:13:26,675
I'm a chicken guy.
245
00:13:26,849 --> 00:13:28,764
- No way.
- Oh, yeah.
246
00:13:28,938 --> 00:13:30,244
I'll have to hit you up
for some eggs.
247
00:13:45,781 --> 00:13:47,478
Oh, man.
248
00:13:47,565 --> 00:13:50,003
Is that little fluff nugget here
to comfort stressed out doctors?
249
00:13:50,133 --> 00:13:51,743
Because I am in need.
250
00:13:51,874 --> 00:13:54,790
That little fluff nugget
is an infection risk.
251
00:13:54,921 --> 00:13:57,010
Service dogs are allowed
in hospitals, Nurse Hundley.
252
00:13:57,140 --> 00:13:59,186
Some areas are off-limits,
but this isn't one.
253
00:13:59,273 --> 00:14:01,057
Hmm.
254
00:14:04,365 --> 00:14:06,802
- BooBooBear.
Hey, hold on.
255
00:14:06,976 --> 00:14:09,805
Lyme disease is on
the differential.
256
00:14:09,936 --> 00:14:12,373
Uh, Boo has no parasites, ever.
257
00:14:12,503 --> 00:14:14,027
She's groomed,
258
00:14:14,201 --> 00:14:15,289
gets a monthly topical
tick repellant, and her paws
259
00:14:15,376 --> 00:14:16,681
barely touch the ground. See?
260
00:14:16,812 --> 00:14:18,945
I-I carry her in this pup pack.
261
00:14:19,119 --> 00:14:21,512
We'll run a Lyme test anyway.
262
00:14:27,692 --> 00:14:29,781
Preliminary history
is unremarkable.
263
00:14:29,912 --> 00:14:31,392
No contact with anyone else
who was sick.
264
00:14:31,566 --> 00:14:34,525
No recent travel
or relevant medical issues.
265
00:14:34,612 --> 00:14:37,615
Jerome is a computer programmer
266
00:14:37,746 --> 00:14:40,531
who works from home.
267
00:14:40,618 --> 00:14:43,273
- Okay. What next?
- You build the differential
268
00:14:43,404 --> 00:14:45,928
using the latest test results,
but be patient.
269
00:14:46,059 --> 00:14:47,625
Fever of unknown origin
270
00:14:47,799 --> 00:14:50,324
can stump the most
experienced doctors.
271
00:15:05,121 --> 00:15:07,645
- What do we got?
- Two adult females.
272
00:15:07,819 --> 00:15:10,039
Young 20s. Traumatic
penetrating abdominal injury,
273
00:15:10,170 --> 00:15:11,954
evisceration.
Intubated at the scene.
274
00:15:12,085 --> 00:15:13,651
And the other one?
275
00:15:13,782 --> 00:15:15,218
Posterior elbow dislocation
with vascular compromise.
276
00:15:15,349 --> 00:15:17,220
Dr. Hawkins
reduced in the field.
277
00:15:17,394 --> 00:15:19,179
She's C.S. 13.
278
00:15:19,309 --> 00:15:20,441
Repetitive questioning,
possible head injury.
279
00:15:20,615 --> 00:15:23,009
Is Mindy going to be okay?
280
00:15:23,139 --> 00:15:24,401
Easy. We'll take care of her.
281
00:15:24,532 --> 00:15:26,708
We need to page
Sutton and Voss now.
282
00:15:37,762 --> 00:15:39,808
Okay...
283
00:15:39,939 --> 00:15:41,375
Hey.
284
00:15:43,725 --> 00:15:45,683
Good work.
285
00:15:45,814 --> 00:15:47,294
I only have a few minutes.
286
00:15:47,424 --> 00:15:49,165
We have traumas
from the crash site coming in.
287
00:15:49,252 --> 00:15:51,515
What can we rule out?
288
00:15:51,646 --> 00:15:53,822
Jerome took an HIV test a week
ago. That came back negative.
289
00:15:53,909 --> 00:15:56,216
Plus, he has an elevated
white blood count.
290
00:15:57,391 --> 00:15:59,045
So?
291
00:15:59,132 --> 00:16:00,437
That means we cross off
all AIDS-defining illnesses,
292
00:16:00,568 --> 00:16:03,353
fungal infections like, uh, PJP.
293
00:16:08,054 --> 00:16:09,838
What else?
294
00:16:09,969 --> 00:16:12,188
Lupus, R.A., probably out.
295
00:16:16,497 --> 00:16:18,281
I mean, the list
is brutally long.
296
00:16:18,412 --> 00:16:19,500
He could have almost anything.
297
00:16:19,674 --> 00:16:22,590
- Go talk to him again.
- Okay.
298
00:16:22,720 --> 00:16:24,157
- About what?
- Anything.
299
00:16:24,287 --> 00:16:26,376
What did he have for breakfast
two days ago?
300
00:16:26,507 --> 00:16:27,943
Do his parents
have heart trouble?
301
00:16:28,074 --> 00:16:29,075
Does he kiss his pet salamander?
302
00:16:29,249 --> 00:16:30,641
Wait.
303
00:16:30,728 --> 00:16:31,860
What does a salamander
have to do with it?
304
00:16:31,947 --> 00:16:33,470
Well, salamanders
carry salmonella,
305
00:16:33,601 --> 00:16:35,037
specifically osteomyelitis,
306
00:16:35,168 --> 00:16:36,821
which can cause a fever.
307
00:16:36,952 --> 00:16:39,215
My point is,
the answer is almost always
308
00:16:39,302 --> 00:16:41,783
in the patient history.
309
00:16:41,870 --> 00:16:43,959
I'll tag in when I can.
310
00:16:52,750 --> 00:16:54,448
You aren't on the Go Team.
311
00:16:54,535 --> 00:16:57,407
Where'd the chopper pick you up?
Atlanta General?
312
00:16:57,538 --> 00:16:59,670
Yeah.
313
00:16:59,757 --> 00:17:02,543
They're not level-1 trauma.
314
00:17:02,717 --> 00:17:04,588
Where'd you learn
your field medicine?
315
00:17:07,243 --> 00:17:09,115
A lot of places.
316
00:17:09,289 --> 00:17:11,073
How about you?
317
00:17:11,204 --> 00:17:15,338
Afghanistan.
Yeah, Navy corpsman. Two tours.
318
00:17:15,469 --> 00:17:17,645
Back to you.
319
00:17:17,775 --> 00:17:20,561
Are you an ER doc?
320
00:17:20,691 --> 00:17:22,215
Trauma surgeon?
321
00:17:22,345 --> 00:17:24,782
I'm double board certified.
Emergency med and...
322
00:17:24,956 --> 00:17:26,262
We're picking up
a patient en route.
323
00:17:26,349 --> 00:17:27,350
Female, 35,
324
00:17:27,481 --> 00:17:29,135
pregnant and in active labor.
325
00:17:32,312 --> 00:17:33,791
Who doesn't love babies?
326
00:17:33,965 --> 00:17:36,707
Looks like we're in
for more fun.
327
00:17:38,883 --> 00:17:41,060
We're stacked up
and more are incoming.
328
00:17:41,147 --> 00:17:43,323
Medivac just landed.
329
00:17:43,453 --> 00:17:45,281
We need a bay.
Severe abdominal lac.
330
00:17:45,368 --> 00:17:47,544
She needs to be top of the list.
331
00:17:47,675 --> 00:17:50,156
I saved you a trauma bay.
Follow me.
332
00:17:53,115 --> 00:17:56,814
Looks like Conrad
repacked the bowel on-site.
333
00:17:56,945 --> 00:17:58,816
- Team did a good job.
- Free fluid in the abdomen.
334
00:17:58,990 --> 00:18:01,428
Her intestines may have been
lacerated by the impalement.
335
00:18:03,386 --> 00:18:05,736
Mindy.
336
00:18:05,867 --> 00:18:07,782
Mindy. My name
337
00:18:07,912 --> 00:18:09,566
is Dr. Devi.
You've been in an accident,
338
00:18:09,697 --> 00:18:10,785
but we're gonna
take care of you, okay?
339
00:18:10,915 --> 00:18:12,569
Hundley, start her
340
00:18:12,700 --> 00:18:14,615
on her propofol drip.
I'll get someone to book an OR.
341
00:18:16,834 --> 00:18:18,967
Gonna get you down to X-ray.
342
00:18:20,969 --> 00:18:22,579
Ortho and neuro page?
343
00:18:22,710 --> 00:18:24,364
Uh, Bay Two. Jill Rhinehart.
Dislocated elbow
344
00:18:24,494 --> 00:18:25,800
and an epidural hematoma.
345
00:18:25,930 --> 00:18:26,496
I thought you could use
an extra hand.
346
00:18:26,627 --> 00:18:27,715
Nolan.
347
00:18:31,980 --> 00:18:34,156
Hi, Jill. I'm Dr. Voss.
348
00:18:34,287 --> 00:18:35,549
And I'm Dr. Sutton.
349
00:18:36,941 --> 00:18:38,813
I'm just gonna do a quick exam.
350
00:18:38,943 --> 00:18:40,206
How's the arm feel?
351
00:18:40,380 --> 00:18:42,947
It hurts bad, really bad.
352
00:18:43,078 --> 00:18:44,645
We'll get you something
for the pain.
353
00:18:44,775 --> 00:18:46,516
Let's get her 25 mikes
of fentanyl.
354
00:18:49,084 --> 00:18:50,999
Can you follow my finger?
355
00:18:54,655 --> 00:18:56,439
She needs an OR.
356
00:18:56,613 --> 00:18:59,094
I'll join you.
Compartment syndrome.
357
00:18:59,268 --> 00:19:01,227
We'll likely need to take that
down with a fasciotomy.
358
00:19:01,401 --> 00:19:03,620
- I'll prep her.
- Thanks.
359
00:19:03,751 --> 00:19:07,581
Jill, I'm gonna need
your consent for surgery.
360
00:19:10,105 --> 00:19:13,804
You're in good hands
with Dr. Nolan.
361
00:19:13,891 --> 00:19:15,893
- What a mess.
- And more coming.
362
00:19:17,808 --> 00:19:20,376
- Who are you operating on?
- I'm not.
363
00:19:21,464 --> 00:19:22,900
It's-it's better if I stay here.
364
00:19:23,031 --> 00:19:24,293
If they need a trauma surgeon,
they'll page me.
365
00:19:25,468 --> 00:19:26,643
All right.
366
00:19:26,774 --> 00:19:29,124
- I'll see you in a bit.
- Mm-hmm.
367
00:19:42,006 --> 00:19:43,921
Ten times out of ten,
368
00:19:44,095 --> 00:19:45,184
a person with injuries like this
dies in the field.
369
00:19:45,271 --> 00:19:46,881
Genius work by the Go Team.
370
00:19:47,011 --> 00:19:47,882
Well, she has gross
contamination of her abdomen,
371
00:19:48,012 --> 00:19:49,362
and she's in septic shock.
372
00:19:49,536 --> 00:19:50,885
Okay, so we get in and out fast.
What's first?
373
00:19:51,015 --> 00:19:52,713
Identify the ligament of Treitz,
run the bowel,
374
00:19:52,887 --> 00:19:54,149
look for vascular injuries,
375
00:19:54,323 --> 00:19:55,411
and cut out anything
that's not viable.
376
00:19:55,498 --> 00:19:57,065
Very good.
We cannot miss anything.
377
00:19:57,152 --> 00:19:59,154
- If we leave contaminants...
- She dies.
378
00:19:59,328 --> 00:20:01,765
So, we're fast,
but we're meticulous.
379
00:20:03,941 --> 00:20:05,943
We need to avoid
ICP elevating meds
380
00:20:06,117 --> 00:20:08,294
and prep her for a right-sided
decompressive craniotomy.
381
00:20:08,468 --> 00:20:10,296
The arm looks terrible.
382
00:20:10,426 --> 00:20:12,298
Life and limb, literally.
383
00:20:21,307 --> 00:20:23,613
- Thank you.
384
00:20:23,744 --> 00:20:25,093
Thank you.
385
00:20:27,269 --> 00:20:29,271
Ma'am, how far apart
are your contractions?
386
00:20:47,768 --> 00:20:50,423
Creole. She's Haitian.
387
00:20:50,553 --> 00:20:52,555
Guess I know where you learned
your field medicine.
388
00:20:54,078 --> 00:20:55,558
It's her third child.
389
00:20:55,689 --> 00:20:58,213
Which means it can come
very quickly.
390
00:21:04,132 --> 00:21:05,916
Uh, no exotic foods?
391
00:21:06,003 --> 00:21:08,745
Raw fish? Wild mushrooms?
392
00:21:08,876 --> 00:21:10,225
I have a...
393
00:21:10,356 --> 00:21:12,575
a delicate stomach.
394
00:21:12,706 --> 00:21:15,535
Okay. Um...
395
00:21:17,188 --> 00:21:19,234
Any sexual encounters recently?
396
00:21:19,365 --> 00:21:21,584
I need my dog
397
00:21:21,758 --> 00:21:23,151
just to leave the apartment.
398
00:21:23,282 --> 00:21:24,979
Definitely not
399
00:21:25,109 --> 00:21:27,721
hooking up with some rando.
400
00:21:33,161 --> 00:21:35,468
- Jerome?
401
00:21:37,731 --> 00:21:39,994
Uh... Uh...
402
00:21:40,124 --> 00:21:41,909
Hey, I-I need help in here.
403
00:21:45,739 --> 00:21:47,088
Here.
404
00:21:50,396 --> 00:21:52,876
He's burning up.
405
00:21:52,963 --> 00:21:55,575
Fever 104.2.
406
00:21:55,705 --> 00:21:57,968
We're heading into the red zone.
Orders, doctor?
407
00:22:00,188 --> 00:22:01,624
Dr. Daniels.
408
00:22:03,409 --> 00:22:05,019
Uh, let's push 30 ketorolac,
409
00:22:05,149 --> 00:22:06,281
get a cooling blanket on him.
410
00:22:06,412 --> 00:22:08,544
- Okay.
- I'll call Dr. Pravesh.
411
00:22:34,309 --> 00:22:36,790
Significant hemorrhage
and ecchymosis,
412
00:22:36,877 --> 00:22:38,357
but the compression on the brain
should be much less.
413
00:22:40,010 --> 00:22:41,403
Now, I have to find the source.
414
00:22:41,534 --> 00:22:44,624
100% compartment syndrome.
415
00:22:44,754 --> 00:22:46,365
Thank goodness Conrad
reduced it on-site.
416
00:22:49,803 --> 00:22:52,371
Found the bleeders.
417
00:22:52,458 --> 00:22:54,460
Middle meningeal artery.
418
00:22:54,634 --> 00:22:57,114
Cauterizing now.
419
00:22:57,288 --> 00:23:00,204
Good job, Dr. Sutton.
Now, if I
420
00:23:00,335 --> 00:23:03,686
can just try
not to nick an artery.
421
00:23:03,817 --> 00:23:05,558
Won't be pretty,
422
00:23:05,688 --> 00:23:08,474
but when the swelling goes down,
she'll have a functional arm.
423
00:23:08,604 --> 00:23:10,389
Banner day for the Go Team.
424
00:23:12,303 --> 00:23:15,263
Quick question. Is Bell okay?
425
00:23:17,265 --> 00:23:18,484
What do you mean?
426
00:23:18,614 --> 00:23:21,225
He's a surgeon, not emergency.
427
00:23:21,356 --> 00:23:25,012
Pulled himself from
the board for the entire day.
428
00:23:25,142 --> 00:23:27,275
Austin's taking a case
for him in OR One.
429
00:23:27,406 --> 00:23:30,365
I did not know that.
430
00:23:30,496 --> 00:23:33,412
I'm not one to tattle.
431
00:23:33,499 --> 00:23:35,588
Something's up.
432
00:23:56,478 --> 00:23:58,828
Uh, pink bowel is healthy.
433
00:23:58,959 --> 00:24:01,265
Gray we resect.
434
00:24:01,396 --> 00:24:02,963
BP's dropping to the 70s.
Heart rate's 130.
435
00:24:03,137 --> 00:24:06,967
Cranking pressors. She's already
had four liters of fluid.
436
00:24:07,141 --> 00:24:09,317
We got a bit of luck here.
Looks like the blood vessels
437
00:24:09,491 --> 00:24:11,406
escaped getting torn apart.
438
00:24:11,537 --> 00:24:13,626
I've got eyes on the duodenum.
439
00:24:13,756 --> 00:24:15,628
First part of jejunum
looks good.
440
00:24:15,758 --> 00:24:18,326
- Oh, no.
441
00:24:18,413 --> 00:24:21,198
Bowels are leaking
into the abdomen.
442
00:24:21,329 --> 00:24:22,417
All right,
find the healthy margins
443
00:24:22,548 --> 00:24:24,985
and staple them, both sides.
444
00:24:25,115 --> 00:24:27,944
We're at 100 centimeters.
445
00:24:28,075 --> 00:24:30,207
Now 125. 150's the limit.
446
00:24:30,338 --> 00:24:31,861
She's gonna be at risk
for short gut syndrome.
447
00:24:31,992 --> 00:24:33,994
I'm about to
clip the next segment.
448
00:24:35,691 --> 00:24:37,737
Uh, s-slow down.
449
00:24:37,867 --> 00:24:39,608
You can adjust to make the
450
00:24:39,739 --> 00:24:41,392
viable tissue a little more
visible in the field.
451
00:24:41,523 --> 00:24:45,005
Clip, and then you can staple,
and... toss.
452
00:24:45,179 --> 00:24:47,181
This is my OR,
thank you very much.
453
00:24:47,311 --> 00:24:51,446
However,
good advice is good advice.
454
00:24:51,577 --> 00:24:54,493
Adjusting to get a better view.
455
00:24:56,451 --> 00:24:59,019
Just under
150 centimeters total.
456
00:24:59,149 --> 00:25:00,150
BP's coming up.
457
00:25:00,324 --> 00:25:01,456
Backing off pressors.
458
00:25:01,587 --> 00:25:03,240
Right.
459
00:25:03,371 --> 00:25:05,155
Good call, Bell.
460
00:25:30,137 --> 00:25:31,399
How far are we from Chastain?
461
00:25:31,530 --> 00:25:33,836
20 minutes.
462
00:25:34,010 --> 00:25:35,403
Ever delivered a baby before?
463
00:25:35,534 --> 00:25:37,057
A few.
464
00:25:37,187 --> 00:25:38,841
Ever delivered one
in a moving ambulance?
465
00:25:38,928 --> 00:25:41,017
This day just keeps getting
more and more interesting.
466
00:25:41,148 --> 00:25:42,497
It's one for the record books.
467
00:25:55,205 --> 00:25:57,077
Hey. That was
good work with your
468
00:25:57,207 --> 00:25:59,035
hematoma and compartment
syndrome patient.
469
00:25:59,166 --> 00:26:01,603
It'll be a tough recovery,
but she should make it.
470
00:26:01,734 --> 00:26:03,736
You checked in on us
during surgery?
471
00:26:03,866 --> 00:26:07,391
N-No. I-I got the report
from Jessica.
472
00:26:07,522 --> 00:26:10,220
Oh, by the way,
is Conrad back yet?
473
00:26:10,394 --> 00:26:12,048
No.
474
00:26:12,179 --> 00:26:14,790
- What do you want with Conrad?
- He wanted to see me.
475
00:26:16,879 --> 00:26:18,446
AJ mentioned that you were
476
00:26:18,533 --> 00:26:20,970
in his bowel trauma in OR Two.
477
00:26:23,320 --> 00:26:24,844
It is my area of expertise.
478
00:26:24,974 --> 00:26:27,324
Thought I could be there
if they ran into the weeds.
479
00:26:27,455 --> 00:26:29,413
He said you made a good call.
480
00:26:29,544 --> 00:26:32,199
Uh, it was nothing.
481
00:26:32,329 --> 00:26:35,028
Really. I was superfluous.
482
00:26:36,986 --> 00:26:39,554
No other procedures that need
your experienced hands?
483
00:26:41,208 --> 00:26:43,602
I understand you've canceled
your surgeries.
484
00:26:46,517 --> 00:26:48,694
Yeah, I felt
some flu-like symptoms,
485
00:26:48,781 --> 00:26:52,262
just a touch--
it's an abundance of caution.
486
00:26:52,436 --> 00:26:53,829
Of course.
487
00:27:00,096 --> 00:27:01,968
No fever.
488
00:27:06,363 --> 00:27:08,844
Perhaps, when you feel up to it,
489
00:27:08,931 --> 00:27:11,194
you'll tell me
what's really going on.
490
00:27:27,297 --> 00:27:29,909
How's it going?
491
00:27:30,039 --> 00:27:32,259
Fever spiked to 105,
and he's hypotensive.
492
00:27:32,389 --> 00:27:33,956
We broadened his antibiotics,
493
00:27:34,043 --> 00:27:35,610
got cool saline, ice packs,
acetaminophen, ketorolac.
494
00:27:35,741 --> 00:27:37,743
We finally found a
cooling blanket, but he's so...
495
00:27:37,830 --> 00:27:40,093
- It's not doing a thing.
Give me
the service dog.
496
00:27:40,180 --> 00:27:41,529
I'll take care of her.
497
00:27:41,616 --> 00:27:44,053
- Come on.
I think this is beyond
498
00:27:44,184 --> 00:27:46,186
- BooBooBear's expertise.
499
00:27:46,316 --> 00:27:50,407
Okay. Okay. Good girl.
500
00:27:50,538 --> 00:27:52,366
How'd he get this bad
this quickly?
501
00:27:52,496 --> 00:27:53,976
Whatever it is has been
building in his system for days.
502
00:27:54,107 --> 00:27:56,022
I don't like where it's going.
503
00:27:56,152 --> 00:27:57,632
He was just talking to me
a bit ago, but he's so...
504
00:27:57,763 --> 00:27:58,981
altered. I...
505
00:27:59,112 --> 00:28:01,157
Well, he might need
to be intubated.
506
00:28:01,288 --> 00:28:02,202
Let's get an ABG.
507
00:28:02,332 --> 00:28:03,333
Yeah.
508
00:28:14,954 --> 00:28:16,869
- Hold on, hold on.
- Here.
509
00:28:17,913 --> 00:28:20,742
Your patient. You do it.
510
00:28:20,873 --> 00:28:22,135
Okay.
511
00:28:33,102 --> 00:28:34,582
Okay.
512
00:28:39,456 --> 00:28:40,762
Oh, come on. He-he won't settle.
This is awful.
513
00:28:40,893 --> 00:28:42,024
- I can't do this.
- I'll hold him.
514
00:28:42,198 --> 00:28:43,330
Got it.
515
00:28:46,376 --> 00:28:47,508
Okay.
516
00:28:51,120 --> 00:28:52,165
I'm in.
517
00:29:06,353 --> 00:29:09,051
Oh! Uh...
518
00:29:09,138 --> 00:29:10,749
- Hold pressure, quick. Come on.
- Yeah, yeah, yeah.
519
00:29:10,836 --> 00:29:11,924
Hold pressure.
520
00:29:13,839 --> 00:29:16,667
- Did you check
his platelets and INR?
- Of course.
521
00:29:16,798 --> 00:29:19,235
160 and 1.8. Not normal,
but not catastrophic.
522
00:29:19,366 --> 00:29:22,282
Well, they must be getting
worse. He's not clotting.
523
00:29:22,456 --> 00:29:24,893
Possibly in DIC or liver
failure. He's decompensating.
524
00:29:25,024 --> 00:29:26,852
I don't understand
what's happening. Explain.
525
00:29:27,026 --> 00:29:29,071
I can't.
526
00:29:29,158 --> 00:29:30,725
We can't fix him if we
don't know what's wrong,
527
00:29:30,856 --> 00:29:33,380
and we're running out of time.
528
00:29:33,510 --> 00:29:34,816
Wait.
You mean he could die?
529
00:29:34,947 --> 00:29:36,296
- I...
- Hundley.
530
00:29:36,470 --> 00:29:38,646
35-year-old woman,
531
00:29:38,777 --> 00:29:40,474
BP steady, pulse in the 70s,
532
00:29:40,604 --> 00:29:41,867
but also we have a newborn male,
533
00:29:42,041 --> 00:29:43,694
healthy, Apgar off the charts.
534
00:29:43,825 --> 00:29:46,045
Who could use labor and delivery
and an OB-GYN.
535
00:29:46,175 --> 00:29:47,655
She gave birth in the ambulance.
536
00:29:47,786 --> 00:29:49,091
Peachtree and Seventh.
537
00:29:49,222 --> 00:29:50,484
Perfect corner
to come into the world.
538
00:29:50,614 --> 00:29:52,442
- Great deli there, too.
539
00:29:53,792 --> 00:29:56,969
- Mèsi.
540
00:29:57,099 --> 00:29:58,840
Hey, Conrad, listen.
541
00:29:58,971 --> 00:30:01,669
We've got a 30-year-old male who
came in with a week of fever.
542
00:30:01,756 --> 00:30:03,540
No clear source,
and he's going downhill
543
00:30:03,671 --> 00:30:05,238
fast, and we're
nowhere closer to a diagnosis
544
00:30:05,325 --> 00:30:06,543
than when he first came in.
545
00:30:06,674 --> 00:30:08,328
We need all the help we can get.
546
00:30:08,502 --> 00:30:10,156
The antipyretics,
cooling blankets,
547
00:30:10,286 --> 00:30:11,331
antibiotics,
none of it's making him better.
548
00:30:11,505 --> 00:30:12,898
He's going into shock.
549
00:30:12,985 --> 00:30:14,464
We're gonna get started
on norepinephrine.
550
00:30:14,638 --> 00:30:16,858
Let's get him to the ICU.
551
00:30:16,989 --> 00:30:18,512
Still waiting on a bed.
ICU is short-handed today.
552
00:30:18,642 --> 00:30:21,515
Well, we can't keep him
down here indefinitely.
553
00:30:21,645 --> 00:30:22,951
I'm double board certified.
554
00:30:23,082 --> 00:30:25,345
Emergency med
and intensive care.
555
00:30:25,519 --> 00:30:26,563
If there's anything
I can do to help.
556
00:30:26,694 --> 00:30:27,564
This is my patient.
557
00:30:27,738 --> 00:30:28,652
I'm sorry, I don't know you.
558
00:30:28,783 --> 00:30:30,002
Do you have privileges here?
559
00:30:30,132 --> 00:30:32,918
He has a point.
560
00:30:33,048 --> 00:30:35,007
I'm vouching for her.
561
00:30:35,137 --> 00:30:37,139
I'll get Kit
to meet us in the ICU.
562
00:30:37,313 --> 00:30:38,532
Sounds good.
563
00:30:38,662 --> 00:30:39,925
Let's grab you some scrubs.
564
00:31:02,948 --> 00:31:04,906
Hi. I'm Chastain's CEO,
Kit Voss.
565
00:31:05,037 --> 00:31:08,170
Thanks for pitching in.
I know we're desperately
566
00:31:08,257 --> 00:31:10,303
short-staffed here in the unit,
but I have to clear you.
567
00:31:10,390 --> 00:31:12,958
Understood.
My name is Kincaid Sullivan.
568
00:31:13,132 --> 00:31:14,481
I'm an ER doctor,
569
00:31:14,611 --> 00:31:16,048
and I also cover the ICU
at Atlanta General.
570
00:31:16,178 --> 00:31:17,745
You can call them
for recommendations.
571
00:31:17,832 --> 00:31:19,703
- And the state board, of course.
Hey, Go Team.
572
00:31:19,834 --> 00:31:21,705
You with us?
573
00:31:23,272 --> 00:31:26,058
I'm issuing you privileges
on an emergency basis.
574
00:31:26,188 --> 00:31:27,711
Come to my office
when you have a moment,
575
00:31:27,842 --> 00:31:29,278
and we'll do the paperwork.
576
00:31:31,411 --> 00:31:34,066
Ejection fraction's at 15%.
577
00:31:34,196 --> 00:31:36,982
His heart is failing, too.
Damn it.
578
00:31:37,069 --> 00:31:39,419
She's the ICU doctor.
She should run the room.
579
00:31:39,549 --> 00:31:42,204
Go.
580
00:31:43,597 --> 00:31:45,294
Okay, as far as I can tell,
581
00:31:45,425 --> 00:31:47,122
we've got a 30-year-old man,
otherwise healthy,
582
00:31:47,209 --> 00:31:48,994
febrile,
583
00:31:49,124 --> 00:31:50,299
now in multisystem
organ failure,
584
00:31:50,430 --> 00:31:51,648
with undifferentiated shock,
585
00:31:51,779 --> 00:31:54,129
respiratory failure,
liver failure,
586
00:31:54,216 --> 00:31:55,870
all complicated by disseminated
587
00:31:56,001 --> 00:31:58,568
intravascular coagulopathy?
588
00:31:58,699 --> 00:32:00,005
That cover it?
589
00:32:00,092 --> 00:32:02,007
No urine output
in the last three hours.
590
00:32:02,181 --> 00:32:04,835
Add renal failure to the list.
591
00:32:04,966 --> 00:32:07,664
He's nearly maxed out
on norepi and vaso.
592
00:32:07,838 --> 00:32:09,449
I think we should start
epi next.
593
00:32:09,623 --> 00:32:12,452
Agreed, but he needs
more access.
594
00:32:12,582 --> 00:32:15,411
We'll need to place four lines,
minimum, a central,
595
00:32:15,542 --> 00:32:18,197
- a dialysis catheter.
- An arterial, and a PA-line.
596
00:32:21,243 --> 00:32:23,680
All right, team.
Let's keep this man alive
597
00:32:23,854 --> 00:32:26,466
long enough to find out
what's wrong with him.
598
00:32:27,771 --> 00:32:29,208
What should I do?
599
00:32:29,338 --> 00:32:30,905
Go back to the white board
600
00:32:31,036 --> 00:32:32,820
and go over
every detail we know.
601
00:32:32,994 --> 00:32:33,952
Find answers,
602
00:32:34,039 --> 00:32:37,085
and be ready to report back.
603
00:32:45,050 --> 00:32:48,140
My sixth surgery of the day
starts in ten minutes.
604
00:32:48,270 --> 00:32:50,011
Please tell me
this coffee is hot.
605
00:32:50,142 --> 00:32:51,665
That's why God made microwaves.
606
00:32:51,795 --> 00:32:53,232
- Oh, bless you.
607
00:32:55,277 --> 00:32:58,063
Ooh. I smell panic.
608
00:32:58,193 --> 00:32:59,586
I'd rather smell a warm muffin.
609
00:32:59,716 --> 00:33:01,501
What's going on?
610
00:33:01,631 --> 00:33:02,719
We have a patient
who started out
611
00:33:02,850 --> 00:33:04,156
with a fever of unknown origin,
612
00:33:04,286 --> 00:33:05,896
and is now
the sickest guy in the unit,
613
00:33:06,027 --> 00:33:09,291
and if we don't get a diagnosis
soon, he's gonna die.
614
00:33:09,422 --> 00:33:12,251
- And this is the differential?
- Uh-huh.
615
00:33:12,381 --> 00:33:13,861
Good luck.
616
00:33:16,820 --> 00:33:19,127
I mean, how do they expect me
to figure this out?
617
00:33:19,258 --> 00:33:20,955
I'm supposed to see what
Hawkins and Pravesh don't?
618
00:33:21,086 --> 00:33:23,044
Wild guess,
they're teaching you to look.
619
00:33:23,175 --> 00:33:25,655
And you may never get an answer.
620
00:33:25,742 --> 00:33:27,092
You know, by some estimates,
621
00:33:27,179 --> 00:33:29,659
one in four patients
who die in the ICU
622
00:33:29,746 --> 00:33:31,531
never get properly diagnosed.
623
00:33:31,705 --> 00:33:33,750
Despite our best efforts,
the human body is a mystery
624
00:33:33,881 --> 00:33:36,318
that keeps its secrets
more than a quarter of the time.
625
00:33:36,492 --> 00:33:38,016
- Okay, that's-that's so...
- Imperfect.
626
00:33:38,103 --> 00:33:39,321
Remarkable.
627
00:33:39,495 --> 00:33:41,541
Human.
628
00:33:41,671 --> 00:33:42,672
What have you got?
629
00:33:42,846 --> 00:33:44,674
Well...
630
00:33:44,805 --> 00:33:46,546
everything on that board
631
00:33:46,676 --> 00:33:49,418
and nothing at all.
632
00:33:49,549 --> 00:33:51,594
It's okay.
633
00:33:51,681 --> 00:33:53,074
It happens.
634
00:33:53,205 --> 00:33:55,424
We'll keep looking.
635
00:33:55,598 --> 00:33:57,470
But there is something
you can do for your patient.
636
00:33:59,689 --> 00:34:01,300
What?
637
00:34:08,785 --> 00:34:10,265
What's going on?
638
00:34:10,352 --> 00:34:12,572
A kid came in, drowning victim.
639
00:34:12,702 --> 00:34:15,096
They couldn't save her.
They tried over an hour.
640
00:34:15,227 --> 00:34:17,533
Okay.
I need BooBooBear.
641
00:34:17,664 --> 00:34:19,274
For Jerome.
642
00:34:19,361 --> 00:34:22,538
Aw. I was wrong
about this little pup.
643
00:34:22,669 --> 00:34:24,627
She's really good at her job.
644
00:34:24,714 --> 00:34:26,455
Wait.
645
00:34:26,586 --> 00:34:29,502
- Don't forget this.
- Thanks.
646
00:34:46,475 --> 00:34:49,217
His bacterial cultures
all came back negative.
647
00:34:49,348 --> 00:34:51,306
We have him on
broad-spectrum antibiotics
648
00:34:51,393 --> 00:34:53,178
and added antifungals.
649
00:34:53,265 --> 00:34:55,789
Looks like the labs are negative
for vasculitis and autoimmune.
650
00:34:55,919 --> 00:34:58,531
What if it's something
more insidious?
651
00:34:58,618 --> 00:35:01,577
Like an underlying
malignancy leading to HLH?
652
00:35:01,708 --> 00:35:03,405
It's a good thought, but
the ferritin isn't consistent.
653
00:35:03,536 --> 00:35:04,885
- Ingestions?
Tox screen, negative.
654
00:35:04,972 --> 00:35:06,408
Extended panel, negative.
655
00:35:06,539 --> 00:35:07,757
This was in the dog's backpack.
656
00:35:08,802 --> 00:35:10,325
- A map?
- Uh-huh.
657
00:35:10,412 --> 00:35:12,414
A trail map to a state park.
658
00:35:12,588 --> 00:35:14,503
We've already established
the dog's feet
659
00:35:14,634 --> 00:35:16,201
never touch the ground,
and we've already
660
00:35:16,375 --> 00:35:17,637
- tested for Lyme.
- No, no, no.
661
00:35:17,811 --> 00:35:19,421
Boo's feet
didn't touch the ground,
662
00:35:19,552 --> 00:35:21,858
but Jerome's have.
663
00:35:21,989 --> 00:35:24,296
In a Georgia state park,
where there are other
664
00:35:24,426 --> 00:35:25,775
tick-borne diseases,
not just Lyme.
665
00:35:25,949 --> 00:35:27,168
I looked it up.
666
00:35:27,299 --> 00:35:29,344
It could be babesiosis.
667
00:35:32,434 --> 00:35:35,045
Babesiosis is rare.
668
00:35:35,176 --> 00:35:37,831
So rare we never considered it.
669
00:35:37,961 --> 00:35:38,875
But the symptoms fit.
670
00:35:39,049 --> 00:35:40,355
It's an incredible long shot.
671
00:35:40,442 --> 00:35:42,749
But possible.
672
00:35:42,879 --> 00:35:44,403
So we start him on clindamycin
673
00:35:44,533 --> 00:35:47,232
and quinine, stat,
and if the smear is positive,
674
00:35:47,362 --> 00:35:49,495
we start pheresis.
675
00:35:51,888 --> 00:35:54,935
No matter if this is wrong
or right, good work, Trevor.
676
00:36:11,212 --> 00:36:12,344
Hello.
677
00:36:12,474 --> 00:36:14,346
Hi.
678
00:36:14,476 --> 00:36:15,825
How's Jerome?
679
00:36:15,912 --> 00:36:19,264
Blood test confirmed babesiosis.
680
00:36:20,656 --> 00:36:23,485
- Wow.
- Yeah, he's responding
to the meds.
681
00:36:23,616 --> 00:36:26,009
His fever is still high,
but it's coming down.
682
00:36:26,140 --> 00:36:28,621
Incredible save.
683
00:36:28,708 --> 00:36:30,840
Who was that kid? An intern?
684
00:36:30,927 --> 00:36:33,234
He's gonna be one of our best.
685
00:36:33,365 --> 00:36:35,062
All credit to him.
686
00:36:35,236 --> 00:36:36,629
And to the team. You...
687
00:36:38,065 --> 00:36:40,110
You ran the room.
688
00:36:40,241 --> 00:36:43,070
Does every day on the job
with you go like this one?
689
00:36:43,244 --> 00:36:44,811
Just one surprise
690
00:36:44,941 --> 00:36:47,117
- after another?
- No, thank God.
691
00:36:47,248 --> 00:36:49,381
Today was particularly intense.
692
00:36:49,511 --> 00:36:52,166
And I still don't know
your name.
693
00:36:53,602 --> 00:36:54,995
I don't know yours, either.
694
00:36:55,082 --> 00:36:56,518
Although, "Hey, you"
695
00:36:56,649 --> 00:36:59,086
- worked surprisingly well.
- Conrad Hawkins.
696
00:36:59,217 --> 00:37:01,610
Kincaid Sullivan.
697
00:37:01,741 --> 00:37:03,395
Cade to friend and foe alike.
698
00:37:03,525 --> 00:37:05,962
I'd like to have a word
with your foes.
699
00:37:07,442 --> 00:37:09,879
No, you wouldn't. Believe me.
700
00:37:15,015 --> 00:37:18,323
I'm gonna guess you were in
Haiti doing earthquake relief.
701
00:37:18,453 --> 00:37:20,455
Twice.
702
00:37:20,542 --> 00:37:21,978
How long you been
at Atlanta General?
703
00:37:24,242 --> 00:37:25,852
Not long.
704
00:37:25,982 --> 00:37:27,375
What's with the third degree?
705
00:37:28,942 --> 00:37:31,640
Dr. Pravesh, Jerome's doctor,
706
00:37:31,771 --> 00:37:34,164
is gonna be spending more time
doing clinical trials,
707
00:37:34,295 --> 00:37:37,124
and we need somebody to fill
his slot in the ER, so...
708
00:37:37,211 --> 00:37:39,779
He's having a hard time
finding good people.
709
00:37:39,909 --> 00:37:41,259
You seem
like good people.
710
00:37:42,477 --> 00:37:44,566
- Is that a job offer?
- No.
711
00:37:44,697 --> 00:37:47,395
That's up to Dr. Voss, our CEO.
712
00:37:47,526 --> 00:37:50,442
But Pravesh
already talked to her.
713
00:37:52,139 --> 00:37:54,141
She's making a few calls.
She'd like to talk to you.
714
00:37:59,668 --> 00:38:01,148
Thanks.
715
00:38:07,459 --> 00:38:09,156
I don't remember much.
716
00:38:10,766 --> 00:38:12,464
I guess it got bad.
717
00:38:12,594 --> 00:38:14,727
It did.
718
00:38:14,814 --> 00:38:16,337
Don't go hiking
in the woods again
719
00:38:16,468 --> 00:38:18,818
without buttoning up your shirt,
tucking your pants
720
00:38:18,948 --> 00:38:20,472
into your socks,
and wearing a hat, okay?
721
00:38:20,602 --> 00:38:22,038
Trust me, I won't.
722
00:38:22,212 --> 00:38:24,345
I might not ever leave
my apartment again.
723
00:38:30,482 --> 00:38:33,267
I'll be back to check
on you later, okay?
724
00:38:38,272 --> 00:38:40,274
How does it feel?
725
00:38:40,448 --> 00:38:42,537
Making a diagnosis
no one else could make?
726
00:38:44,409 --> 00:38:46,367
Feels good.
727
00:38:46,498 --> 00:38:49,152
It was one of the good days.
We live for these.
728
00:38:49,283 --> 00:38:51,851
You were the hero.
729
00:38:54,201 --> 00:38:56,595
And I'm proud of what you did.
730
00:38:58,988 --> 00:39:00,729
Thanks.
731
00:39:03,210 --> 00:39:04,864
We have to care
about our patients, Trevor,
732
00:39:04,994 --> 00:39:06,996
but this could've gone
the other way.
733
00:39:07,170 --> 00:39:09,303
If it had,
734
00:39:09,434 --> 00:39:11,087
it would not have been
your fault.
735
00:39:21,010 --> 00:39:22,882
That was odd.
736
00:39:23,012 --> 00:39:24,231
What's that?
737
00:39:24,405 --> 00:39:27,365
She keeps on being nice to me.
738
00:39:29,845 --> 00:39:32,674
Possible she has a heart?
739
00:39:35,111 --> 00:39:38,114
She does have a heart, Trevor.
740
00:39:38,245 --> 00:39:40,029
Bigger than you know.
741
00:39:42,118 --> 00:39:43,598
Fever's still high, but he's
starting to feel better.
742
00:39:43,685 --> 00:39:45,426
Hey, guys.
743
00:39:45,557 --> 00:39:47,123
Dr. Sullivan checks out.
744
00:39:47,254 --> 00:39:49,648
The folks at Atlanta General
sang her praises.
745
00:39:49,778 --> 00:39:51,911
Though, she's only
been there a few months.
746
00:39:52,041 --> 00:39:53,478
Well, where was she before that?
747
00:39:53,608 --> 00:39:56,655
An ER in Chicago, also briefly.
748
00:39:56,785 --> 00:39:59,571
Before that, there's
a two-year gap in her record.
749
00:39:59,745 --> 00:40:01,790
Yeah, she said she spent
some time in Haiti
750
00:40:01,964 --> 00:40:03,705
- doing earthquake relief.
- She told me that as well.
751
00:40:03,879 --> 00:40:05,707
Well, how'd she do
on her interview?
752
00:40:05,881 --> 00:40:07,143
We didn't talk for long,
753
00:40:07,317 --> 00:40:09,711
but she's obviously
smart and capable.
754
00:40:09,885 --> 00:40:13,149
I could see her ICU
leadership was top notch.
755
00:40:13,280 --> 00:40:14,324
But?
756
00:40:14,455 --> 00:40:17,284
She was a bit evasive, frankly.
757
00:40:17,415 --> 00:40:18,938
Like she was hiding something.
758
00:40:19,112 --> 00:40:21,462
Did you hire her temporarily?
We need someone now.
759
00:40:21,593 --> 00:40:23,029
Yes,
760
00:40:23,159 --> 00:40:25,248
but if we're going to make her
a permanent hire,
761
00:40:25,379 --> 00:40:27,163
I'll need more information,
762
00:40:27,294 --> 00:40:29,165
considerably more.
763
00:40:32,952 --> 00:40:34,301
That's odd.
764
00:40:34,388 --> 00:40:35,824
Eh, she wasn't real talkative
765
00:40:35,955 --> 00:40:37,565
about her past with me, either,
766
00:40:37,696 --> 00:40:40,307
but she's a hell of a doctor.
I'd hate to lose her.
767
00:40:40,394 --> 00:40:42,527
Well, you'd be amazed at what
a five-minute Internet search
768
00:40:42,657 --> 00:40:44,267
can dig up on a person.
769
00:40:44,398 --> 00:40:46,966
That's worth a look.
770
00:40:47,096 --> 00:40:49,621
So, one in two people
771
00:40:49,795 --> 00:40:52,624
leave their social media
open to the public.
772
00:40:52,754 --> 00:40:54,147
Pay attention
773
00:40:54,277 --> 00:40:55,496
and you can find out
somebody's favorite color
774
00:40:55,627 --> 00:40:56,715
and who they dated
in high school.
775
00:40:56,845 --> 00:40:58,891
- All right.
776
00:40:59,021 --> 00:41:00,327
Kincaid.
777
00:41:00,458 --> 00:41:01,937
Sullivan.
778
00:41:02,068 --> 00:41:04,897
M.D. Atlanta, Georgia.
779
00:41:05,071 --> 00:41:06,551
Huh.
780
00:41:06,681 --> 00:41:10,337
No Facebook. No Insta.
781
00:41:10,424 --> 00:41:13,645
Okay, um, I'll try
broadening the search.
782
00:41:13,775 --> 00:41:17,126
I'll add her work history
and education.
783
00:41:20,565 --> 00:41:22,610
No results.
784
00:41:22,741 --> 00:41:26,222
Try changing the spelling
of her name.
785
00:41:27,441 --> 00:41:29,269
Add that she's an ER doc.
786
00:41:32,664 --> 00:41:34,796
Nothing.
787
00:41:34,927 --> 00:41:37,451
Not a single hit.
788
00:41:40,933 --> 00:41:43,239
That's weird.
789
00:41:43,413 --> 00:41:44,937
Given that she's not
an 80-year-old
790
00:41:45,024 --> 00:41:46,852
with a flip phone, yeah.
791
00:41:46,982 --> 00:41:49,594
It's like someone scrubbed
her entire Internet presence.
792
00:41:54,816 --> 00:41:57,340
Test results.
793
00:41:57,471 --> 00:41:59,386
Patient's been waiting
for them all day.
794
00:41:59,560 --> 00:42:01,257
Go.
795
00:42:01,388 --> 00:42:03,346
I'll keep digging.
796
00:42:03,477 --> 00:42:05,958
- Yeah, thanks.
797
00:42:06,088 --> 00:42:07,829
Yeah.
798
00:42:21,626 --> 00:42:24,324
I've got what we need now.
799
00:42:26,369 --> 00:42:28,371
I think I know what's going on.
800
00:42:32,637 --> 00:42:34,639
Let's sit down.
801
00:42:47,434 --> 00:42:50,611
Captioning sponsored by
20th CENTURY FOX TELEVISION
802
00:42:50,742 --> 00:42:53,919
and TOYOTA.
803
00:42:54,049 --> 00:42:57,009
Captioned by
Media Access Group at WGBH
access.wgbh.org
804
00:43:39,529 --> 00:43:41,923
Don't miss the
new season of "The Resident."
805
00:43:42,054 --> 00:43:44,230
Tuesdays on Fox.
54168
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