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1
00:00:02,728 --> 00:00:05,088
- Previously on The Resident...
- I have multiple sclerosis.
2
00:00:05,231 --> 00:00:06,063
Darling, I'm so sorry.
3
00:00:06,232 --> 00:00:07,232
We're here for you.
4
00:00:07,324 --> 00:00:08,674
The doctors at the Mayo said
5
00:00:08,751 --> 00:00:09,991
you could return to surgery.
6
00:00:10,085 --> 00:00:11,488
I'm hopeful and I'm reassured.
7
00:00:11,512 --> 00:00:12,586
Promise me one thing...
8
00:00:12,738 --> 00:00:14,513
You won't give up on the OR
just yet.
9
00:00:14,664 --> 00:00:15,906
Do Billie and AJ know
10
00:00:16,075 --> 00:00:17,552
that you want to be
double board-certified
11
00:00:17,576 --> 00:00:19,334
in the hardest field
of medicine,
12
00:00:19,428 --> 00:00:21,428
neuro and cardiothoracic surgery?
13
00:00:21,580 --> 00:00:23,764
I've mentioned
that I want to do this.
14
00:00:23,858 --> 00:00:25,340
Bob Porter.
15
00:00:25,434 --> 00:00:26,594
University Hospital, Augusta.
16
00:00:26,752 --> 00:00:28,171
So you must be the other name
17
00:00:28,195 --> 00:00:30,248
on the governor's short list
for a seat on the medical board.
18
00:00:30,272 --> 00:00:31,530
So we are competitors.
19
00:00:31,757 --> 00:00:34,091
You mind if I ask you
why you want a seat?
20
00:00:34,184 --> 00:00:35,587
Just want to give back.
21
00:00:35,611 --> 00:00:37,703
No, I need a letter of recommendation
22
00:00:37,930 --> 00:00:39,330
for the Georgia State
Medical Board.
23
00:00:39,373 --> 00:00:41,356
I'm competing with
another doctor for the spot.
24
00:00:41,450 --> 00:00:42,357
Who is he?
25
00:00:42,451 --> 00:00:43,451
This is him.
26
00:00:43,527 --> 00:00:44,746
Robert Porter is angling
27
00:00:44,770 --> 00:00:46,211
for a seat on the board.
28
00:00:46,363 --> 00:00:48,433
He raped me
when I was 13 years old.
29
00:00:48,457 --> 00:00:50,624
You want to go before the board
and tell them?
30
00:00:50,700 --> 00:00:52,509
I want to make a statement.
31
00:01:10,738 --> 00:01:13,847
Yes, a chronic back,
elbow, knee issue
32
00:01:13,908 --> 00:01:16,887
might not be a terminal disease,
but
33
00:01:16,911 --> 00:01:18,635
it can feel like one
34
00:01:18,728 --> 00:01:20,746
due to the impact it has
on your life.
35
00:01:20,897 --> 00:01:22,392
But
36
00:01:22,416 --> 00:01:24,491
with 3D printing, soon,
37
00:01:24,568 --> 00:01:29,329
we will be able to create
patient-specific implants.
38
00:01:29,423 --> 00:01:32,310
Customized. Targeted. Personal.
39
00:01:32,334 --> 00:01:34,818
This will be revolutionary.
40
00:01:44,179 --> 00:01:46,605
"Advancements in medicine have inspired
41
00:01:46,774 --> 00:01:48,440
"promising new treatments,
42
00:01:48,667 --> 00:01:51,777
empowering patients and giving
them more say in their care."
43
00:01:51,928 --> 00:01:54,354
Thank you.
"And clinical research
44
00:01:54,506 --> 00:01:55,930
"can advance it even further,
45
00:01:56,024 --> 00:01:58,002
resulting in progress
that can change..."
46
00:01:58,026 --> 00:02:01,269
Oh, my God.
Could this be any more boring?
47
00:02:01,363 --> 00:02:03,104
Doubtful.
48
00:02:03,273 --> 00:02:04,865
But never underestimate the draw
49
00:02:04,959 --> 00:02:06,792
of your geeky
clinical trial sexiness.
50
00:02:10,189 --> 00:02:12,183
I wish you were coming with me.
51
00:02:12,207 --> 00:02:13,298
Me, too.
52
00:02:13,450 --> 00:02:16,187
But this conference
might be more enticing
53
00:02:16,211 --> 00:02:18,211
than gender reveal festivities.
54
00:02:19,122 --> 00:02:24,125
About you doing both
cardiothoracic and neurosurgery,
55
00:02:24,219 --> 00:02:27,512
obviously, it is entirely,
100% your decision.
56
00:02:27,665 --> 00:02:31,294
But, I mean, this is going to be
57
00:02:31,318 --> 00:02:33,226
a massive,
58
00:02:33,379 --> 00:02:34,987
massive challenge, Leela.
59
00:02:35,214 --> 00:02:37,381
I know. I won't make a decision
60
00:02:37,474 --> 00:02:40,159
until I have a real conversation
with Billie about it.
61
00:02:40,310 --> 00:02:41,142
Okay?
62
00:02:41,311 --> 00:02:42,995
Okay.
63
00:02:43,664 --> 00:02:45,142
And that's Jessica.
64
00:02:45,166 --> 00:02:47,574
Good luck
with your presentation.
65
00:02:59,496 --> 00:03:02,431
This is the best macaron
I've ever tasted.
66
00:03:03,667 --> 00:03:06,167
Your sister is so elegant.
67
00:03:06,261 --> 00:03:08,670
She is. Beautiful and rich.
68
00:03:08,838 --> 00:03:10,263
We've always been so different.
69
00:03:10,432 --> 00:03:12,098
Just look at her.
Look how skinny she is,
70
00:03:12,251 --> 00:03:14,579
and she's
three months' pregnant.
71
00:03:14,603 --> 00:03:17,174
It must be nice that you
and Padma are so similar.
72
00:03:17,198 --> 00:03:19,009
You get to avoid comparisons.
73
00:03:19,033 --> 00:03:21,200
Oh, no, there are comparisons.
74
00:03:21,368 --> 00:03:23,017
One of us is fun
and spontaneous,
75
00:03:23,111 --> 00:03:25,612
the other serious, rigid.
I'm sure
76
00:03:25,764 --> 00:03:27,166
- you can guess who's who.
- No.
77
00:03:27,190 --> 00:03:30,542
Way to stick to
the pink and blue theme, Jess.
78
00:03:30,769 --> 00:03:32,856
There's a theme?
79
00:03:32,880 --> 00:03:34,098
I didn't know.
80
00:03:34,122 --> 00:03:36,440
Funny, lady.
81
00:03:36,533 --> 00:03:37,602
You look lovely,
82
00:03:37,626 --> 00:03:39,196
even if you're dressed
for a funeral,
83
00:03:39,220 --> 00:03:40,702
not a gender reveal party.
84
00:03:40,796 --> 00:03:43,366
Considering that gender is
a social construct...
85
00:03:43,390 --> 00:03:45,109
It's an amazing party.
86
00:03:45,133 --> 00:03:46,892
Thank you so much
for inviting me.
87
00:03:47,119 --> 00:03:48,187
And thank you for coming, Leela.
88
00:03:48,211 --> 00:03:50,281
And the real fun
is about to begin.
89
00:03:50,305 --> 00:03:53,357
Have we got a surprise for you.
90
00:03:54,050 --> 00:03:55,141
She's so funny.
91
00:03:55,236 --> 00:03:57,069
- Oh, my gosh.
- Yeah.
92
00:03:57,220 --> 00:04:00,124
Oh, photo op.
93
00:04:00,148 --> 00:04:02,074
And that photo will be online
94
00:04:02,225 --> 00:04:04,221
in three, two,
95
00:04:04,245 --> 00:04:05,661
one.
96
00:04:08,064 --> 00:04:10,490
They're so cute.
97
00:04:10,584 --> 00:04:12,251
How did they meet?
98
00:04:12,402 --> 00:04:13,682
Scarlett was bartending,
99
00:04:13,812 --> 00:04:15,473
doing some modeling on the side.
100
00:04:15,497 --> 00:04:18,643
Will came in for a drink and he
couldn't take his eyes off her.
101
00:04:18,667 --> 00:04:20,737
She went from being behind
in car payments
102
00:04:20,761 --> 00:04:22,744
to flying on private jets.
103
00:04:23,913 --> 00:04:25,133
All right, boys and girls,
104
00:04:25,157 --> 00:04:26,673
let's gather round!
105
00:04:31,939 --> 00:04:34,606
Thank you all for being here.
106
00:04:34,758 --> 00:04:37,200
Let's find out if our firstborn
107
00:04:37,260 --> 00:04:39,089
is a lad or lassie.
108
00:04:39,113 --> 00:04:41,596
Our OB and the guys
109
00:04:41,690 --> 00:04:45,033
who built this
are the only ones who know.
110
00:04:50,532 --> 00:04:52,269
Is that a cannon?
111
00:04:52,293 --> 00:04:53,533
Wait, like a cannon-cannon?
112
00:04:53,627 --> 00:04:56,036
With these two,
it's go big or go gigantic.
113
00:04:56,188 --> 00:04:58,108
On the count of three.
114
00:04:58,132 --> 00:05:00,373
One!
115
00:05:00,450 --> 00:05:02,208
Two!
116
00:05:02,303 --> 00:05:03,521
Three!
117
00:05:12,980 --> 00:05:15,792
Is this thing broken?
118
00:05:18,727 --> 00:05:20,635
- Babe!
- Oh, my God.
119
00:05:20,729 --> 00:05:23,137
Someone call 911!
120
00:05:23,231 --> 00:05:24,231
See if he's okay.
121
00:05:44,678 --> 00:05:47,846
I'm thinking we'll pick up pasta
from Luigi's or...
122
00:05:48,073 --> 00:05:50,757
Yes! I love their "carbon-ye-ara."
123
00:05:50,909 --> 00:05:53,000
Carbonara works.
124
00:05:53,095 --> 00:05:54,335
With ice cream on top?
125
00:05:54,429 --> 00:05:55,929
No, Daddy.
126
00:05:56,081 --> 00:05:57,414
Just parmesan.
127
00:05:57,507 --> 00:05:58,910
But I thought you liked
ice cream on top.
128
00:05:58,934 --> 00:05:59,934
Bye, Daddy!
129
00:06:00,009 --> 00:06:03,695
Okay, well,
I'm having ice cream.
130
00:06:11,096 --> 00:06:13,372
She's already reading?
That's amazing.
131
00:06:13,523 --> 00:06:16,375
Way sooner than I ever did.
132
00:06:16,602 --> 00:06:19,461
She must've got that
from her mom.
133
00:06:26,035 --> 00:06:27,772
- I'll be back in a sec.
- Thank you.
134
00:06:27,796 --> 00:06:28,962
You working in the ER today?
135
00:06:29,114 --> 00:06:30,533
Yeah, yeah,
I'm covering for Devon.
136
00:06:30,557 --> 00:06:32,077
He's at that clinical
trial conference.
137
00:06:32,208 --> 00:06:33,558
Ah, right. Yeah.
138
00:06:33,710 --> 00:06:35,446
For some, being
an ER doc isn't enough.
139
00:06:35,470 --> 00:06:37,787
He's got to be
a fancy scientist, too.
140
00:06:37,881 --> 00:06:38,950
Well, our patients are lucky
141
00:06:38,974 --> 00:06:41,048
to have you here, too,
my friend.
142
00:06:41,143 --> 00:06:42,120
Help!
143
00:06:42,144 --> 00:06:43,621
My passenger is dying.
144
00:06:43,645 --> 00:06:44,736
What happened?
145
00:06:44,963 --> 00:06:46,323
I picked her up
from her apartment,
146
00:06:46,389 --> 00:06:47,589
she got in all pale and shaky,
147
00:06:47,724 --> 00:06:50,795
asking for a hospital,
and slumped onto the seat.
148
00:06:50,819 --> 00:06:51,888
I'm Dr. Hawkins.
149
00:06:51,912 --> 00:06:54,304
You're at Chastain
Memorial Hospital.
150
00:06:56,158 --> 00:06:58,302
Can you tell us what's going on?
151
00:06:58,326 --> 00:07:00,460
Okay, how about your name?
152
00:07:03,907 --> 00:07:06,144
Finger stick 104.
153
00:07:06,168 --> 00:07:07,737
Will get these to the lab stat.
154
00:07:07,761 --> 00:07:10,595
Blood pressure low. O2 sat 89.
155
00:07:10,822 --> 00:07:13,932
Her son, I'm guessing?
156
00:07:14,768 --> 00:07:18,562
Hmm, she works at Only A Dollar.
157
00:07:20,666 --> 00:07:24,017
Oh, here we go. Uh,
Charli April Martinez.
158
00:07:24,186 --> 00:07:25,610
Born January 15, 1997.
159
00:07:25,762 --> 00:07:27,424
I see a subtle
160
00:07:27,448 --> 00:07:29,522
petechial rash
to her neck and arms.
161
00:07:29,675 --> 00:07:31,950
We're calling her emergency contact.
162
00:07:32,101 --> 00:07:35,028
She's 25 years old,
ear infection in 2004,
163
00:07:35,180 --> 00:07:36,955
vaccinations up to date.
164
00:07:37,106 --> 00:07:39,440
Charli's popular.
165
00:07:39,534 --> 00:07:40,959
Turn the ringer on
166
00:07:41,110 --> 00:07:43,036
in case someone calls
who can tell us something.
167
00:07:43,188 --> 00:07:44,423
Her emergency contact's
not answering.
168
00:07:44,447 --> 00:07:45,705
I'll try again later.
169
00:07:45,799 --> 00:07:47,610
Looks like she had a laparoscope
placed there recently,
170
00:07:47,634 --> 00:07:51,281
but abdominal surgery
needs more than one port.
171
00:07:51,305 --> 00:07:53,213
O2 sat's 98% on nasal cannula.
172
00:07:53,365 --> 00:07:55,974
- BP's 104/60.
- Seems like
173
00:07:56,125 --> 00:07:57,367
she's protecting her airway.
174
00:07:57,460 --> 00:07:58,680
Let's use this opportunity
to get more info.
175
00:07:58,704 --> 00:08:01,554
Trevor, page Raptor,
have him meet you at CT.
176
00:08:01,648 --> 00:08:04,483
I'm gonna make a quick stop.
I'll catch up with you there.
177
00:08:23,729 --> 00:08:25,578
Hey.
178
00:08:25,731 --> 00:08:29,043
Thanks again for writing
that letter of recommendation.
179
00:08:29,067 --> 00:08:31,468
Well, I hope it helps.
180
00:08:34,348 --> 00:08:35,663
And Porter?
181
00:08:35,741 --> 00:08:37,974
Is he still in the running
for the same seat?
182
00:08:38,744 --> 00:08:40,093
Why wouldn't he be?
183
00:08:40,262 --> 00:08:41,669
Well, I've heard
there are multiple
184
00:08:41,763 --> 00:08:42,963
ethics complaints against him.
185
00:08:43,081 --> 00:08:44,167
I thought that might
get him disqualified.
186
00:08:46,084 --> 00:08:48,568
Let me know if you hear
anything more about him.
187
00:08:56,185 --> 00:08:58,036
You're smiling.
188
00:08:58,187 --> 00:08:59,996
That's good news, right?
189
00:09:02,434 --> 00:09:05,285
- This my latest MRI?
- Yep.
190
00:09:05,437 --> 00:09:07,932
Your neuro exam is excellent.
191
00:09:07,956 --> 00:09:10,456
No new lesions.
192
00:09:11,218 --> 00:09:13,001
Since you started taking
the meds,
193
00:09:13,111 --> 00:09:15,387
your MS is not progressing.
194
00:09:15,614 --> 00:09:17,964
How you feeling?
195
00:09:18,116 --> 00:09:21,726
Overall, good.
196
00:09:23,955 --> 00:09:26,064
Better now.
197
00:09:27,959 --> 00:09:31,111
It means you're cleared
for surgery.
198
00:09:33,574 --> 00:09:37,409
- Are you sure?
- You passed all the necessary tests.
199
00:09:39,137 --> 00:09:40,873
I could have another
flare-up while I'm operating.
200
00:09:40,897 --> 00:09:44,583
True, but it's unlikely,
and you know what to expect now.
201
00:09:44,734 --> 00:09:46,971
Worse comes to worst,
you head off any symptoms
202
00:09:46,995 --> 00:09:48,881
- with a steroid pulse.
- What about my patients?
203
00:09:48,905 --> 00:09:50,738
Is this a risk
they should take, too?
204
00:09:50,832 --> 00:09:53,499
There are surgeons with MS
safely operating
205
00:09:53,652 --> 00:09:56,720
thanks to good meds,
and you will have backup.
206
00:09:58,247 --> 00:10:01,007
The OR needs you.
207
00:10:01,101 --> 00:10:03,602
And you need the OR.
208
00:10:05,330 --> 00:10:06,583
I'm so sorry.
209
00:10:06,607 --> 00:10:09,423
This was a terrible idea.
They said it was safe.
210
00:10:09,501 --> 00:10:13,164
- I can't hear her!
- The explosion ruptured your eardrum, Will.
211
00:10:13,188 --> 00:10:15,614
- It'll get better soon.
- He's gonna be okay, right?
212
00:10:15,765 --> 00:10:17,242
Yep, Irving will make sure of it.
213
00:10:17,266 --> 00:10:19,837
Am I glad to see you,
brother-in-law.
214
00:10:19,861 --> 00:10:22,362
You got any painkillers?
Strong ones?
215
00:10:22,514 --> 00:10:24,605
Yeah, let's get you
off the stretcher first.
216
00:10:24,699 --> 00:10:28,001
On my count. One, two, three.
217
00:10:29,612 --> 00:10:31,849
He can't hear.
His eardrum might have ruptured.
218
00:10:31,873 --> 00:10:32,850
What happened?
219
00:10:32,874 --> 00:10:34,777
The cannon exploded.
220
00:10:34,801 --> 00:10:36,209
Right. Did you say "cannon"?
221
00:10:36,303 --> 00:10:38,544
It was supposed
to fire blue or pink smoke.
222
00:10:38,697 --> 00:10:40,363
I'm the one
who talked him into it.
223
00:10:40,456 --> 00:10:42,715
Okay, easy. Let's just focus
on getting him better.
224
00:10:42,868 --> 00:10:44,454
Go get Will checked in, and
we'll take care of him, okay?
225
00:10:44,478 --> 00:10:46,364
Whoa, looks like
226
00:10:46,388 --> 00:10:47,957
it hurts.
227
00:10:47,981 --> 00:10:49,205
Let's get 75 mics of fentanyl.
228
00:10:49,298 --> 00:10:50,609
Okay. Try holding still, hon.
229
00:10:50,633 --> 00:10:53,296
You'll be feeling better
in a few seconds.
230
00:10:53,320 --> 00:10:55,539
Will, I'm gonna send you
for a scan to get
231
00:10:55,563 --> 00:10:56,988
a clear picture
of what's going on.
232
00:10:57,215 --> 00:10:58,731
Okay?
233
00:11:01,569 --> 00:11:03,995
I don't hear any breath
on the right.
234
00:11:04,147 --> 00:11:06,239
My chest, it hurts.
235
00:11:06,391 --> 00:11:09,036
His sats are starting to drop.
236
00:11:09,060 --> 00:11:10,317
No lung sliding.
237
00:11:10,412 --> 00:11:11,630
Looks like the shrapnel
collapsed the lung.
238
00:11:11,654 --> 00:11:14,589
We need a chest tube now.
239
00:11:24,851 --> 00:11:26,759
The doctor said
his lung collapsed
240
00:11:26,912 --> 00:11:28,239
and he could have
internal injuries.
241
00:11:28,263 --> 00:11:30,188
Yeah, I can't believe it either.
242
00:11:30,415 --> 00:11:32,691
Oh, I'll call you
when I know more, okay?
243
00:11:34,010 --> 00:11:37,006
We got his lung re-expanded,
he's breathing much better,
244
00:11:37,030 --> 00:11:40,176
- and he's on the way to CT.
- Okay.
245
00:11:40,200 --> 00:11:41,752
- His parents?
- Yeah.
246
00:11:41,776 --> 00:11:44,369
They said I should have
talked him out of the cannon,
247
00:11:44,596 --> 00:11:48,164
but it was my stupid idea
in the first place.
248
00:11:49,267 --> 00:11:53,431
Oh, my God, I mean,
what a disaster.
249
00:11:58,051 --> 00:12:01,439
One of his coworkers posted it.
250
00:12:01,463 --> 00:12:03,704
And it's already been reposted
251
00:12:03,782 --> 00:12:06,299
175 times.
252
00:12:06,393 --> 00:12:08,871
What? A-As if this
wasn't awful enough.
253
00:12:08,895 --> 00:12:10,562
Maybe put your phone away?
254
00:12:10,789 --> 00:12:12,880
"Latest addition
to the cesspool
255
00:12:13,049 --> 00:12:14,618
of gender reveal idiocy."
256
00:12:14,642 --> 00:12:17,271
"Stop blowing things up to tell
people your kid's got a penis."
257
00:12:17,295 --> 00:12:19,904
Scarlett, your friends love you.
258
00:12:20,056 --> 00:12:22,465
Who cares what a bunch
of strangers think?
259
00:12:22,525 --> 00:12:23,816
- Yeah.
- Yeah?
260
00:12:23,969 --> 00:12:25,468
Yeah.
261
00:12:25,561 --> 00:12:27,370
Thank you.
262
00:12:28,582 --> 00:12:32,492
Troponin and BNP are both elevated.
263
00:12:32,644 --> 00:12:34,327
She has leukocytosis
but no fever.
264
00:12:34,479 --> 00:12:38,142
Nothing is adding up.
We need answers.
265
00:12:38,166 --> 00:12:40,461
Her sats are drifting down.
266
00:12:40,485 --> 00:12:43,410
She's getting sicker
by the minute.
267
00:12:43,505 --> 00:12:45,575
Considering all those
TikTok notifications,
268
00:12:45,599 --> 00:12:47,577
she must have an account.
269
00:12:47,601 --> 00:12:50,351
Let's see if it can
tell us anything.
270
00:13:06,361 --> 00:13:09,603
Scans taking that long?
271
00:13:10,365 --> 00:13:12,101
She's our patient,
272
00:13:12,125 --> 00:13:13,661
we still don't know
what's wrong with her,
273
00:13:13,685 --> 00:13:14,937
so we're looking for clues
and Irving is trying
274
00:13:14,961 --> 00:13:16,369
to reach the family.
275
00:13:16,538 --> 00:13:19,609
180,000 followers.
Wow, that's impressive.
276
00:13:19,633 --> 00:13:21,966
Yeah, but it's not helping.
277
00:13:22,803 --> 00:13:24,469
Maybe this will.
278
00:13:25,363 --> 00:13:26,805
Trevor, take it from the top
279
00:13:26,956 --> 00:13:29,193
and walk us through it.
280
00:13:29,217 --> 00:13:31,384
Well...
281
00:13:31,478 --> 00:13:33,478
The apices of the lungs
look clear.
282
00:13:33,705 --> 00:13:36,564
There's some scattered
focal ground-glass.
283
00:13:37,317 --> 00:13:38,317
Hold on, is that a, uh...
284
00:13:38,467 --> 00:13:40,204
- A filling defect.
- Yeah.
285
00:13:40,228 --> 00:13:43,470
Consistent with a huge clot
in her right pulmonary artery.
286
00:13:43,565 --> 00:13:45,605
Yeah, and smaller clots
in the distal arteries, too.
287
00:13:45,733 --> 00:13:48,212
Maybe they aren't blood clots.
288
00:13:48,236 --> 00:13:50,031
Then what are they?
289
00:13:50,055 --> 00:13:51,145
This pattern plus the rash,
290
00:13:51,239 --> 00:13:53,384
I'm thinking
fat embolism syndrome.
291
00:13:53,408 --> 00:13:57,555
Yeah, globules of fat
clogging up the vessels.
292
00:13:57,579 --> 00:13:59,987
That happens after fractures
or burns, right?
293
00:14:00,081 --> 00:14:02,489
But she didn't have those.
294
00:14:02,567 --> 00:14:03,583
Or pancreatitis.
295
00:14:03,735 --> 00:14:05,396
But liposuction would
explain all of it.
296
00:14:05,420 --> 00:14:08,399
The fat embolism,
the surgical port we saw.
297
00:14:08,423 --> 00:14:11,257
O2's in the 80s.
298
00:14:11,409 --> 00:14:12,976
149 heart rate. She's tanking.
299
00:14:19,601 --> 00:14:21,601
Hemoptysis.
We need to secure her airway
300
00:14:21,753 --> 00:14:23,010
before she aspirates.
301
00:14:23,104 --> 00:14:24,081
What the hell is going on?
302
00:14:24,105 --> 00:14:25,438
Let's intubate and find out.
303
00:14:25,532 --> 00:14:29,200
Gail, I need you to look
for two small injection sites
304
00:14:29,352 --> 00:14:31,369
on the patient's backside.
305
00:14:32,097 --> 00:14:34,330
Do you see them?
306
00:14:35,024 --> 00:14:36,352
Yes, I do.
307
00:14:36,376 --> 00:14:38,784
Prepare the intubation meds now.
308
00:14:38,861 --> 00:14:41,296
It's okay.
309
00:14:56,229 --> 00:14:58,396
All right, sats are coming back up.
310
00:14:58,623 --> 00:15:01,457
Looks like Charli here got
herself a Brazilian butt lift.
311
00:15:01,550 --> 00:15:04,644
Aren't BBLs the most dangerous
procedure there is?
312
00:15:04,738 --> 00:15:07,739
Yeah, but I doubt they advertise
the high fatality rates.
313
00:15:07,966 --> 00:15:09,276
Right. They sell you
on the prospect
314
00:15:09,300 --> 00:15:10,569
of getting a curvier backside
315
00:15:10,593 --> 00:15:13,136
while losing inches
in the middle.
316
00:15:13,229 --> 00:15:14,412
Let's get her to ICU.
317
00:15:14,563 --> 00:15:16,003
I need to ultrasound
her heart to see
318
00:15:16,065 --> 00:15:19,542
where that runaway fat
is now calling home.
319
00:15:24,424 --> 00:15:26,644
That does not look pretty.
320
00:15:26,668 --> 00:15:29,146
The tiniest bowel perf and
he could end up in septic shock.
321
00:15:29,170 --> 00:15:30,836
Jessica's brother-in-law?
322
00:15:30,989 --> 00:15:32,241
Yeah.
323
00:15:32,265 --> 00:15:33,651
We've admitted him
and I booked an OR,
324
00:15:33,675 --> 00:15:35,302
and as soon as it's ready,
we'll take him in.
325
00:15:35,326 --> 00:15:38,102
And what happened?
326
00:15:38,254 --> 00:15:41,439
A gender reveal party
gone very wrong.
327
00:15:41,666 --> 00:15:43,483
A cannon was involved.
328
00:15:45,594 --> 00:15:47,998
Probably best if I don't know
the details.
329
00:15:48,022 --> 00:15:49,839
So, this could go south
really fast.
330
00:15:49,932 --> 00:15:53,025
He's gonna need
exploratory laparotomy.
331
00:15:53,178 --> 00:15:55,689
Well, I'm glad you're on deck.
332
00:15:55,713 --> 00:15:58,935
Uh, you're on deck. I'm a maybe.
333
00:15:58,959 --> 00:16:01,459
We need to talk.
334
00:16:13,364 --> 00:16:16,015
What's going on?
335
00:16:18,203 --> 00:16:19,960
Remember the last time
we operated together?
336
00:16:20,021 --> 00:16:21,365
I had some issues.
337
00:16:21,389 --> 00:16:25,294
And I contacted Conrad,
we had some tests run.
338
00:16:25,318 --> 00:16:26,726
And?
339
00:16:26,878 --> 00:16:29,404
I have MS.
340
00:16:30,639 --> 00:16:32,365
Multiple sclerosis?
341
00:16:35,236 --> 00:16:37,737
- I am so sorry, Dr. Bell.
- Thank you.
342
00:16:37,831 --> 00:16:40,734
I'm adjusting to the new
reality, with Kit's help.
343
00:16:40,758 --> 00:16:44,485
And on-on meds, I have
no symptoms, at least for now,
344
00:16:44,562 --> 00:16:48,464
and Conrad has cleared me
for surgery. However
345
00:16:49,584 --> 00:16:50,341
if you would prefer
346
00:16:50,493 --> 00:16:53,428
to work with another doctor...
347
00:16:54,663 --> 00:16:56,431
Absolutely not.
348
00:16:57,408 --> 00:16:59,425
This is a physical challenge.
349
00:16:59,577 --> 00:17:02,072
That's it.
350
00:17:02,096 --> 00:17:03,407
I have one, too.
351
00:17:03,431 --> 00:17:06,006
If you hadn't told me,
I'd never, uh, guess
352
00:17:06,059 --> 00:17:08,504
- that you have dyslexia.
- Thank you.
353
00:17:08,528 --> 00:17:13,417
But when I chose surgery,
my family, friends, advisors,
354
00:17:13,441 --> 00:17:15,177
everyone thought it would
make me dangerous.
355
00:17:15,201 --> 00:17:19,515
But with my work-arounds,
I believe I've...
356
00:17:19,539 --> 00:17:22,206
- You are one of the best.
- I don't know about that.
357
00:17:22,433 --> 00:17:26,127
But I do not let dyslexia
stand in my way.
358
00:17:27,363 --> 00:17:30,359
This is just
a new challenge to overcome.
359
00:17:30,383 --> 00:17:32,958
Well, thank you, Dr. Devi.
360
00:17:33,111 --> 00:17:34,635
Was a good pep talk.
361
00:17:37,632 --> 00:17:39,432
I'll see you in the OR.
362
00:17:53,965 --> 00:17:56,126
Man, when I was in my 20s,
the worst things
363
00:17:56,150 --> 00:17:57,611
we did to ourselves were
tattoos and piercings.
364
00:17:57,635 --> 00:17:59,037
- Guilty of the former.
- Latter for me.
365
00:17:59,061 --> 00:18:02,997
I got a gnarly infection
from my eyebrow ring.
366
00:18:04,066 --> 00:18:05,394
Oh, trust me, it was dope.
367
00:18:05,418 --> 00:18:07,805
Until it wasn't.
368
00:18:09,255 --> 00:18:12,164
Oh, this is no good.
369
00:18:12,258 --> 00:18:14,092
Charli's in trouble.
370
00:18:14,319 --> 00:18:16,168
Is that fat
sitting in her heart?
371
00:18:16,321 --> 00:18:17,481
Not just sitting,
it's in transit,
372
00:18:17,505 --> 00:18:19,483
from her right atrium
to her left.
373
00:18:19,507 --> 00:18:21,485
So she has a congenital hole
in her heart?
374
00:18:21,509 --> 00:18:23,267
Probably undetected before,
375
00:18:23,419 --> 00:18:25,177
but blew open
when she had the P.E.s.
376
00:18:25,330 --> 00:18:27,012
Maybe even acted
as a pop-off valve,
377
00:18:27,089 --> 00:18:29,273
- saving her life, but now...
- It's a bomb.
378
00:18:29,425 --> 00:18:32,351
- Primed and ready to go off at any moment.
- Yeah.
379
00:18:32,445 --> 00:18:34,612
If it makes its way
into her arterial circulation...
380
00:18:34,763 --> 00:18:37,340
- She'll stroke out.
- AUSTIN: I'll text Dr. Sutton.
381
00:18:37,433 --> 00:18:39,300
If that fat embolizes
to her brain,
382
00:18:39,360 --> 00:18:41,505
we'll have minutes to intervene.
383
00:18:46,960 --> 00:18:48,775
Hopefully, it's her family.
384
00:18:48,870 --> 00:18:51,537
Charli, hon, this is Cassie
385
00:18:51,631 --> 00:18:52,964
calling from Enhanced Dreams.
386
00:18:53,191 --> 00:18:54,259
How you feeling
after your procedure?
387
00:18:54,283 --> 00:18:55,466
Actually, Cassie,
388
00:18:55,618 --> 00:18:57,042
you're speaking
with three doctors
389
00:18:57,195 --> 00:18:58,263
at Chastain Memorial Hospital
390
00:18:58,287 --> 00:18:59,506
who are trying
to save Charli's life.
391
00:18:59,530 --> 00:19:01,030
So if I had to guess, I'd say
392
00:19:01,123 --> 00:19:02,176
she's feeling pretty damn
miserable right now.
393
00:19:02,200 --> 00:19:04,884
Cassie, this is Dr. Hawkins.
394
00:19:04,960 --> 00:19:08,371
Did Charli get a Brazilian butt
lift at Enhanced Dreams?
395
00:19:08,464 --> 00:19:10,389
We're gonna take that as a yes.
396
00:19:10,541 --> 00:19:11,983
It's led to fat
embolism syndrome.
397
00:19:12,134 --> 00:19:15,319
We need to talk to her surgeon.
398
00:19:17,157 --> 00:19:19,882
Did she seriously just hang up?
399
00:19:19,975 --> 00:19:21,244
She's not getting rid of us
that easy.
400
00:19:21,268 --> 00:19:22,713
Trevor, Google Enhanced Dreams.
401
00:19:22,737 --> 00:19:24,412
We're calling Cassie back.
402
00:19:25,999 --> 00:19:27,143
All right, here we go.
403
00:19:27,167 --> 00:19:30,960
"Enhanced Dreams
Plastic Surgery."
404
00:19:39,737 --> 00:19:43,181
Great. Great, they're probably
busy hiding the evidence.
405
00:19:44,500 --> 00:19:46,144
I doubt they'll have time
to pack up and run
406
00:19:46,168 --> 00:19:48,911
- before my shift's over.
- Okay, that's not happening.
407
00:19:49,004 --> 00:19:51,063
But let's keep calling.
408
00:19:57,346 --> 00:19:59,750
Are you really calling me for
a stroke that hasn't happened?
409
00:19:59,774 --> 00:20:02,533
- Can't you just give her TPA?
- She's had a recent surgery.
410
00:20:02,685 --> 00:20:04,368
If we give her TPA,
she could bleed out.
411
00:20:04,520 --> 00:20:07,371
If that fat goes to her
brain, you will only have minutes
412
00:20:07,448 --> 00:20:09,765
to perform
an interventional thrombectomy.
413
00:20:09,858 --> 00:20:11,670
Well, sucking clots out
of the brain through the groin
414
00:20:11,694 --> 00:20:13,026
is not my specialty.
415
00:20:13,120 --> 00:20:15,195
I haven't done that procedure
since residency.
416
00:20:15,289 --> 00:20:17,026
- Just page IR.
- Come on, Sutton,
417
00:20:17,050 --> 00:20:18,677
you know those guys
don't work over the weekend.
418
00:20:18,701 --> 00:20:20,421
And if we page them,
they would not get here in time.
419
00:20:20,445 --> 00:20:23,721
And our only endovascular
neurosurgeon's on vacation.
420
00:20:23,948 --> 00:20:25,275
Sutton, we wouldn't be asking you this
421
00:20:25,299 --> 00:20:27,725
if there was another option.
422
00:20:31,380 --> 00:20:32,638
Then I'll have to.
423
00:20:32,790 --> 00:20:37,109
I'd better go review
my head-neck vascular anatomy.
424
00:20:43,985 --> 00:20:45,462
They're here.
425
00:20:45,486 --> 00:20:49,154
Dr. Bell, this is Will
and my sister Scarlett.
426
00:20:49,249 --> 00:20:50,414
- Such a pleasure.
- Dr. Bell
427
00:20:50,566 --> 00:20:52,825
is a nationally-recognized
trauma surgeon.
428
00:20:52,977 --> 00:20:54,493
Jess has told me
so much about you.
429
00:20:54,645 --> 00:20:56,754
- She's your biggest fan.
- Well, and I'm hers.
430
00:20:56,905 --> 00:21:00,816
We don't know what we would do
without her here at Chastain.
431
00:21:00,909 --> 00:21:04,428
So, the scans show that there
are multiple metal fragments
432
00:21:04,655 --> 00:21:06,984
peppered throughout
your abdomen.
433
00:21:07,008 --> 00:21:10,417
And in surgery,
we'll remove every fragment
434
00:21:10,511 --> 00:21:12,270
and we'll ensure
that the explosion
435
00:21:12,421 --> 00:21:14,901
didn't cause any other injuries
that we can't see on the scans.
436
00:21:14,999 --> 00:21:17,016
He's gonna be okay, right?
437
00:21:17,110 --> 00:21:19,255
He's in the right place,
but of course you should know
438
00:21:19,279 --> 00:21:21,665
surgery carries risks.
439
00:21:21,689 --> 00:21:23,781
And, Jessica,
I know it's your day off,
440
00:21:24,008 --> 00:21:25,410
but I would like you
to scrub in with me.
441
00:21:25,434 --> 00:21:28,786
'Cause, after all,
you are my right hand.
442
00:21:28,937 --> 00:21:30,454
You couldn't keep me out.
443
00:21:31,457 --> 00:21:32,957
Great.
444
00:21:33,108 --> 00:21:34,850
Just gonna get this.
445
00:21:34,943 --> 00:21:36,627
- Okay.
- Yeah?
446
00:21:37,463 --> 00:21:39,046
Ready?
447
00:21:44,195 --> 00:21:45,786
Promise me he'll be okay, Jess.
448
00:21:45,880 --> 00:21:48,139
Try not to worry. We're gonna
take great care of him.
449
00:21:48,290 --> 00:21:50,141
Okay.
450
00:21:54,480 --> 00:21:57,723
I love you so much,
and I am so, so sorry
451
00:21:57,817 --> 00:22:00,300
I talked you into that cannon.
452
00:22:00,469 --> 00:22:02,111
I love you.
453
00:22:11,739 --> 00:22:13,748
It's okay.
454
00:22:17,152 --> 00:22:19,628
Are you sure you're up
for this, Dr. Bell?
455
00:22:21,507 --> 00:22:23,134
It's just, the last time
we worked together,
456
00:22:23,158 --> 00:22:25,992
you didn't feel well
and you abandoned the surgery.
457
00:22:26,087 --> 00:22:28,012
You haven't been in the OR
since then.
458
00:22:28,163 --> 00:22:29,363
Yeah, no, I haven't been well.
459
00:22:29,407 --> 00:22:30,967
And I can explain
all that to you later,
460
00:22:31,075 --> 00:22:34,163
but the important thing is,
we figured out the problem,
461
00:22:34,187 --> 00:22:36,002
and I've been cleared
for surgery
462
00:22:36,097 --> 00:22:38,105
by both Kit and Conrad, so.
463
00:22:40,084 --> 00:22:41,842
I think we're okay.
464
00:22:53,781 --> 00:22:57,041
Okay, through the fascia.
465
00:22:58,544 --> 00:23:01,212
It looks like a little oozing
from the liver.
466
00:23:01,363 --> 00:23:04,623
I'll get better exposure now.
467
00:23:04,717 --> 00:23:07,134
How are you doing, Dr. Bell?
468
00:23:08,036 --> 00:23:09,553
All good.
469
00:23:14,209 --> 00:23:18,979
Okay, one piece of shrapnel: Gone.
470
00:23:25,479 --> 00:23:27,813
And another.
471
00:23:27,907 --> 00:23:29,481
I'm having trouble getting it.
472
00:23:29,634 --> 00:23:31,450
I got it.
473
00:23:33,137 --> 00:23:35,454
It's such delicate work.
474
00:23:36,307 --> 00:23:38,416
Nice going.
475
00:23:40,068 --> 00:23:41,902
- Now, what is that?
- Oh, that
476
00:23:41,996 --> 00:23:44,307
looks like another
piece of shrapnel.
477
00:23:44,331 --> 00:23:48,092
This time it's wedged
into the liver.
478
00:23:48,169 --> 00:23:50,594
Removing the foreign body now.
479
00:23:51,489 --> 00:23:53,338
Suction.
480
00:23:53,433 --> 00:23:54,598
Lap pads.
481
00:23:54,842 --> 00:23:57,268
Looks like this went
into the liver and hit a vessel.
482
00:23:57,495 --> 00:23:58,936
You guys got into something big.
483
00:23:59,087 --> 00:24:00,253
I'm maxing my pressors.
484
00:24:00,347 --> 00:24:01,583
It's gonna be okay.
485
00:24:01,607 --> 00:24:04,828
Initiating massive
transfusion protocol.
486
00:24:04,852 --> 00:24:08,187
Okay, Dr. Devi, I need you
to help me get down to the aorta
487
00:24:08,339 --> 00:24:10,364
to cross-clamp,
488
00:24:11,358 --> 00:24:12,594
and get control of this.
489
00:24:12,618 --> 00:24:14,004
I'm transfusing the second unit
490
00:24:14,028 --> 00:24:15,338
of blood, four liters
of crystalloid,
491
00:24:15,362 --> 00:24:17,029
two of albumin,
and still losing.
492
00:24:17,123 --> 00:24:19,176
- Blood pressure isn't budging.
- Okay, we're gonna need
493
00:24:19,200 --> 00:24:20,624
supraceliac control.
494
00:24:20,851 --> 00:24:23,202
Page AJ stat for a thoracotomy.
495
00:24:23,354 --> 00:24:25,015
He's on deck in the OR suite.
496
00:24:25,039 --> 00:24:26,112
I'm calling him now.
497
00:24:26,190 --> 00:24:27,372
Good, thank you.
498
00:24:27,467 --> 00:24:28,874
No blood pressure detected,
499
00:24:28,968 --> 00:24:31,004
but HR reading 160.
500
00:24:31,028 --> 00:24:32,948
All right, somebody talk to me.
501
00:24:32,972 --> 00:24:34,546
Thank you for coming so fast.
502
00:24:34,640 --> 00:24:37,366
Unavoidable bleeding
after shrapnel removal.
503
00:24:37,535 --> 00:24:38,367
We need better control
from above
504
00:24:38,460 --> 00:24:40,126
to be able to repair the defect.
505
00:24:40,295 --> 00:24:42,273
- That's why we called you.
- All right, let's get to it.
506
00:24:42,297 --> 00:24:44,023
Scalpel me.
507
00:24:48,821 --> 00:24:51,030
Spreaders.
508
00:24:59,832 --> 00:25:01,332
Clamp.
509
00:25:04,228 --> 00:25:07,838
All right.
VoilĂ , that should do it.
510
00:25:09,366 --> 00:25:11,175
We've got a blood pressure back.
511
00:25:11,326 --> 00:25:13,719
All right.
512
00:25:15,256 --> 00:25:16,492
Glad you're in the house.
513
00:25:16,516 --> 00:25:19,391
Hey, man, glad to be here.
514
00:25:30,512 --> 00:25:32,512
Any available resident to ICU Three.
515
00:25:32,606 --> 00:25:33,842
Available resident to ICU Three.
516
00:25:33,866 --> 00:25:35,274
Hey, look,
if you're gonna ask me
517
00:25:35,350 --> 00:25:37,034
to back off surgery again,
that's okay,
518
00:25:37,261 --> 00:25:38,594
but I want
to say I called in AJ
519
00:25:38,763 --> 00:25:40,757
because we needed him,
not because of the MS.
520
00:25:40,781 --> 00:25:44,208
I know, and Will is alive
because you made that call.
521
00:25:44,359 --> 00:25:47,523
I just wanted to say
welcome back.
522
00:25:47,547 --> 00:25:49,525
Thanks.
523
00:25:49,549 --> 00:25:51,757
It's good to be back.
524
00:26:00,893 --> 00:26:02,134
Dr. Sutton?
525
00:26:02,228 --> 00:26:03,727
Do you have a moment?
526
00:26:05,790 --> 00:26:06,972
Sure.
527
00:26:07,141 --> 00:26:08,618
It's been a while since
I've approached the brain
528
00:26:08,642 --> 00:26:10,309
from this direction.
I could use a break.
529
00:26:10,461 --> 00:26:13,623
Just trying to get
my muscle memory to kick in.
530
00:26:13,647 --> 00:26:15,981
I wanted to chat with you
some more about the idea
531
00:26:16,133 --> 00:26:18,534
of double-boarding
with cardio and neuro.
532
00:26:19,394 --> 00:26:20,560
Go on.
533
00:26:20,729 --> 00:26:24,323
I know you think I'm crazy...
And so does Devon...
534
00:26:24,475 --> 00:26:26,900
But people said the same thing
to me when I decided
535
00:26:26,994 --> 00:26:28,288
to become a surgeon
with dyslexia.
536
00:26:28,312 --> 00:26:30,807
Yes, but it's not
the same thing.
537
00:26:30,831 --> 00:26:33,665
Maintaining excellence in both
specialties is impossible.
538
00:26:33,742 --> 00:26:37,739
Expertise comes from repetition,
which is why this IR procedure
539
00:26:37,763 --> 00:26:38,912
is so tough.
540
00:26:39,006 --> 00:26:40,634
And trying to maintain
competency in both,
541
00:26:40,658 --> 00:26:41,765
it isn't enough.
542
00:26:41,951 --> 00:26:43,342
Okay, but I...
543
00:26:43,494 --> 00:26:45,603
Listen, I have
to get back to this.
544
00:26:45,754 --> 00:26:48,105
Let's talk about it later, okay?
545
00:26:48,941 --> 00:26:50,566
Okay.
546
00:26:58,509 --> 00:27:01,193
You're not gonna believe this.
547
00:27:01,345 --> 00:27:02,602
What am I looking at?
548
00:27:02,696 --> 00:27:04,863
The Enhanced Dreams
Instagram page.
549
00:27:05,015 --> 00:27:07,102
This surgery was live
this morning.
550
00:27:07,126 --> 00:27:08,959
And that might even be Charli.
551
00:27:09,111 --> 00:27:11,795
At Enhanced Dreams,
dreams really do come true,
552
00:27:11,947 --> 00:27:14,873
as we give you nothing
but the hottest transformation.
553
00:27:15,025 --> 00:27:16,041
Right, Doc?
554
00:27:16,135 --> 00:27:17,655
- Oh, yeah.
- Look at all that
555
00:27:17,695 --> 00:27:19,970
beautiful liquid gold
the doctor's harvesting.
556
00:27:20,197 --> 00:27:21,675
That's human fat,
which will be used
557
00:27:21,699 --> 00:27:25,120
to sculpt a gorgeous
new rear end.
558
00:27:25,144 --> 00:27:27,394
Let me hear you say "thicc."
559
00:27:28,630 --> 00:27:30,055
They need to be stopped.
560
00:27:30,207 --> 00:27:32,224
Patient was awake?
561
00:27:32,376 --> 00:27:34,371
She likely gave permission
to film it.
562
00:27:34,395 --> 00:27:38,133
Maybe, but Enhanced Dreams
is run by a dermatologist,
563
00:27:38,157 --> 00:27:39,157
not a plastic surgeon.
564
00:27:39,307 --> 00:27:40,824
It's got to be illegal.
565
00:27:40,976 --> 00:27:42,826
Eh, you would think,
but it's not.
566
00:27:42,978 --> 00:27:45,237
Anyone with a medical license
can perform
567
00:27:45,389 --> 00:27:46,830
cosmetic surgery in Georgia.
568
00:27:46,982 --> 00:27:50,501
Chalk it up to ridiculous things
that are legal in medicine.
569
00:27:56,175 --> 00:27:58,250
We got you, Charli.
We got you, we got you.
570
00:27:58,344 --> 00:27:59,655
We got you.
571
00:27:59,679 --> 00:28:01,178
She's stroking out.
572
00:28:01,329 --> 00:28:02,883
- Page Billie!
- Shouldn't we get a CT
573
00:28:02,907 --> 00:28:04,142
with contrast
to figure out where?
574
00:28:04,166 --> 00:28:06,074
No time. It's localized
575
00:28:06,168 --> 00:28:07,404
to the left middle
cerebral artery.
576
00:28:07,428 --> 00:28:08,997
That's the best we can give
Billie right now.
577
00:28:09,021 --> 00:28:10,729
Let's get her to IR.
578
00:28:23,035 --> 00:28:25,255
Nice to hear from you.
579
00:28:25,279 --> 00:28:27,257
So, you have news
about the board seats?
580
00:28:27,281 --> 00:28:29,259
I do.
581
00:28:29,283 --> 00:28:31,950
Dr. Bell, we received
an accusation from, uh,
582
00:28:32,027 --> 00:28:34,431
your hospital about one
of our top candidates.
583
00:28:34,455 --> 00:28:36,288
Well, if you're talking
about Porter,
584
00:28:36,440 --> 00:28:38,790
I gather there were some
ethics complaints against him,
585
00:28:38,867 --> 00:28:40,103
but I
586
00:28:40,127 --> 00:28:41,863
assumed you were aware.
587
00:28:41,887 --> 00:28:43,278
No, this is new.
588
00:28:44,557 --> 00:28:48,445
The credibility of the source
is the issue.
589
00:28:48,469 --> 00:28:51,540
It came from the same person
who wrote your recommendation
590
00:28:51,564 --> 00:28:53,480
at Chastain.
591
00:28:55,050 --> 00:28:56,141
Dr. Sutton?
592
00:28:56,293 --> 00:28:57,960
Conflict of interest here is
593
00:28:59,646 --> 00:29:01,480
obvious. And it's
594
00:29:01,574 --> 00:29:04,633
not a stretch to imagine
you helped motivate this.
595
00:29:04,802 --> 00:29:07,244
Well, I assure you, I did not.
596
00:29:07,395 --> 00:29:09,154
Sadly, that's hard to believe.
597
00:29:09,306 --> 00:29:10,914
So we can no longer offer you
a position
598
00:29:11,066 --> 00:29:12,824
on the state medical board.
599
00:29:12,977 --> 00:29:14,637
The optics
600
00:29:14,661 --> 00:29:16,306
could not be worse.
601
00:29:18,165 --> 00:29:20,716
Thanks for the call.
602
00:29:25,506 --> 00:29:26,575
I reached the mom.
603
00:29:26,599 --> 00:29:28,076
She took Charli's son
to Disney World
604
00:29:28,100 --> 00:29:29,578
while she had surgery.
605
00:29:29,602 --> 00:29:32,511
Apparently, Charli's desperate
for more followers.
606
00:29:32,663 --> 00:29:33,663
If she hits 200K,
607
00:29:33,755 --> 00:29:35,330
she can make cash, quit her job,
608
00:29:35,423 --> 00:29:36,810
and get a place
for her son and her.
609
00:29:36,834 --> 00:29:38,683
So she decided to get
a Brazilian butt lift?
610
00:29:38,852 --> 00:29:41,594
Her mom said she's always coming
up with ideas to look better.
611
00:29:41,688 --> 00:29:43,407
She thinks that's how
she'll get more followers.
612
00:29:43,431 --> 00:29:45,598
No one could talk her out of it.
613
00:29:45,767 --> 00:29:47,025
Do they know how sick she is?
614
00:29:47,177 --> 00:29:48,510
Her mom does.
615
00:29:48,603 --> 00:29:50,265
Hasn't told the kid.
616
00:29:50,289 --> 00:29:52,581
Hopefully she won't have to.
617
00:29:56,128 --> 00:29:57,702
Hey, Billie, can we talk?
618
00:29:57,855 --> 00:29:59,521
Can it wait? I'm due in IR.
619
00:29:59,614 --> 00:30:01,592
No, it can't. I got a call from
the lieutenant governor saying
620
00:30:01,616 --> 00:30:04,384
you filed a complaint
against Robert Porter.
621
00:30:05,453 --> 00:30:06,970
That was supposed
to be anonymous.
622
00:30:07,122 --> 00:30:09,139
Well, what was?
What the hell's going on?
623
00:30:09,366 --> 00:30:11,366
I can't think
624
00:30:11,459 --> 00:30:12,362
- about this right now...
- Well, look, look,
625
00:30:12,386 --> 00:30:13,530
whatever this is,
626
00:30:13,554 --> 00:30:15,198
I mean, they think
that I put you up to it,
627
00:30:15,222 --> 00:30:16,866
because you signed
my letter of recommendation.
628
00:30:16,890 --> 00:30:18,148
And now the state medical board
629
00:30:18,300 --> 00:30:20,370
is siding with Porter and...
630
00:30:20,394 --> 00:30:21,543
Cutting me.
631
00:30:21,712 --> 00:30:24,822
Billie, we have a patient
waiting. Let's go.
632
00:30:25,049 --> 00:30:25,823
So?
633
00:30:25,974 --> 00:30:28,325
I've got to go.
634
00:30:38,228 --> 00:30:39,628
How'd your IR practice go?
635
00:30:41,415 --> 00:30:42,756
We'll find out.
636
00:30:43,676 --> 00:30:45,175
Well, don't worry.
637
00:30:45,327 --> 00:30:47,594
I know this anatomy well.
638
00:30:58,840 --> 00:31:01,837
It's heartbreaking that this
young woman put her life at risk
639
00:31:01,861 --> 00:31:03,268
for more followers.
640
00:31:03,362 --> 00:31:05,103
It was also to give her son
a better life.
641
00:31:05,255 --> 00:31:08,115
It's sad she believed this was
her best option to do that.
642
00:31:12,187 --> 00:31:15,747
Just at the takeoff to
the left middle cerebral artery.
643
00:31:19,603 --> 00:31:21,211
Come on, Billie.
644
00:31:21,363 --> 00:31:23,358
Dr. Sutton,
you're turned around.
645
00:31:23,382 --> 00:31:25,340
You're in
the right-sided circulation.
646
00:31:26,534 --> 00:31:27,792
I know where I am.
647
00:31:27,945 --> 00:31:29,345
The patient has
left-sided weakness.
648
00:31:29,371 --> 00:31:30,532
We need to get to the right side
649
00:31:30,556 --> 00:31:32,625
- of the brain.
- She's confusing
650
00:31:32,649 --> 00:31:34,536
- the patient's symptoms.
- All of the patient's deficits
651
00:31:34,560 --> 00:31:36,613
were on the right,
which means the embolism
652
00:31:36,637 --> 00:31:38,395
has to be on the left.
653
00:31:40,307 --> 00:31:42,878
Neuroanatomy 101.
654
00:31:44,128 --> 00:31:47,029
Damn it. Where am I?
655
00:31:47,907 --> 00:31:49,314
What's happening?
656
00:31:49,466 --> 00:31:50,982
Looks like she's freezing up.
657
00:31:51,076 --> 00:31:54,077
She never loses focus like this.
658
00:31:54,896 --> 00:31:55,913
It's all right.
659
00:31:56,064 --> 00:31:58,290
We're almost there.
660
00:31:59,643 --> 00:32:03,587
Right here is the left anterior
cerebral artery.
661
00:32:03,738 --> 00:32:08,592
And here is the takeoff
to the middle cerebral artery.
662
00:32:10,245 --> 00:32:13,430
There you go, Billie.
663
00:32:15,100 --> 00:32:16,266
She found the embolism.
664
00:32:16,418 --> 00:32:19,419
And now they pull it out?
665
00:32:19,513 --> 00:32:20,345
Yeah.
666
00:32:20,439 --> 00:32:22,439
It's safer than breaking it up.
667
00:32:22,590 --> 00:32:24,586
She's gonna be okay now, right?
668
00:32:24,610 --> 00:32:27,653
If they got there in time.
669
00:32:36,680 --> 00:32:38,675
Thanks for having my back.
670
00:32:38,699 --> 00:32:40,749
Anytime.
671
00:32:53,305 --> 00:32:55,138
You okay?
672
00:32:57,459 --> 00:32:58,620
No.
673
00:32:58,644 --> 00:33:01,061
I'm furious with myself.
674
00:33:03,649 --> 00:33:05,373
Do you want to talk about it?
675
00:33:05,467 --> 00:33:07,442
Not really.
676
00:33:09,655 --> 00:33:12,823
But this is a clear example
of why you can't double-board
677
00:33:12,974 --> 00:33:14,408
in these two fields.
678
00:33:15,494 --> 00:33:16,735
I don't understand.
679
00:33:16,887 --> 00:33:19,496
My mind was
a million miles away.
680
00:33:19,647 --> 00:33:21,832
Dr. Austin juggles
multiple specialties.
681
00:33:22,059 --> 00:33:23,558
He's triple-boarded.
682
00:33:23,651 --> 00:33:25,076
Not in neurosurgery.
683
00:33:25,820 --> 00:33:29,339
This is as high-risk and complex
as any surgery gets.
684
00:33:29,416 --> 00:33:31,341
If you try and do this
and anything else,
685
00:33:31,418 --> 00:33:33,068
the result will be catastrophic.
686
00:33:33,161 --> 00:33:35,512
I rise to challenges.
687
00:33:35,589 --> 00:33:36,829
Okay? It's who I am.
688
00:33:36,923 --> 00:33:38,181
A challenge is good.
689
00:33:38,333 --> 00:33:39,995
A suicide mission is not.
690
00:33:40,019 --> 00:33:41,667
And in this case,
the person you'd kill
691
00:33:41,762 --> 00:33:42,962
would be the one on the table.
692
00:33:43,080 --> 00:33:44,907
- But you haven't even g...
- Leela,
693
00:33:44,931 --> 00:33:48,525
you may need to ask yourself
why you are putting up mountains
694
00:33:48,752 --> 00:33:51,361
too big for anyone to climb.
695
00:33:53,198 --> 00:33:55,532
Is that your final answer?
696
00:33:57,261 --> 00:34:00,412
Honestly, it would be anyone's.
697
00:34:10,198 --> 00:34:12,132
Thanks again for your help.
698
00:34:27,307 --> 00:34:31,902
I had to tell Randolph
after what Beaumont said.
699
00:34:31,978 --> 00:34:33,381
I'm so sorry, Billie.
700
00:34:33,405 --> 00:34:35,072
I should have realized
this could happen.
701
00:34:35,299 --> 00:34:36,481
But it shouldn't have.
702
00:34:36,633 --> 00:34:38,241
You were promised
confidentiality.
703
00:34:38,468 --> 00:34:39,612
And the lieutenant governor
broke
704
00:34:39,636 --> 00:34:42,704
that promise.
It's just outrageous.
705
00:34:43,916 --> 00:34:45,640
So what do I do now?
706
00:34:46,476 --> 00:34:49,711
You said you could prove
your charges against Porter.
707
00:34:50,997 --> 00:34:53,197
I can.
708
00:34:53,926 --> 00:34:56,738
But it means devastating
emotional repercussions
709
00:34:56,762 --> 00:34:57,906
for the other person involved.
710
00:34:57,930 --> 00:35:00,913
Oh, Billie, I understand.
711
00:35:01,007 --> 00:35:02,507
But if you don't,
712
00:35:02,659 --> 00:35:05,580
I fear the repercussions for you
could be far worse.
713
00:35:05,604 --> 00:35:08,163
Accusers destroy
the person accusing them.
714
00:35:08,256 --> 00:35:11,024
That's how it works.
715
00:35:17,616 --> 00:35:18,616
Jess.
716
00:35:20,527 --> 00:35:21,952
Thank you.
717
00:35:22,179 --> 00:35:23,027
Thank you so much.
718
00:35:23,122 --> 00:35:25,433
I am just so happy
719
00:35:25,457 --> 00:35:26,531
that he's okay.
720
00:35:26,625 --> 00:35:29,033
That was really stressful.
721
00:35:29,128 --> 00:35:30,627
Oh, God, you would not believe
722
00:35:30,796 --> 00:35:33,463
things that people are saying
about me and Will.
723
00:35:33,690 --> 00:35:35,518
"Let's just hope the husband
is shooting blanks now
724
00:35:35,542 --> 00:35:38,354
so these two nitwits can't bring
a second child into the world."
725
00:35:38,378 --> 00:35:41,045
Will is fine. You'll have
plenty more children,
726
00:35:41,198 --> 00:35:42,213
if you want them.
727
00:35:42,307 --> 00:35:44,048
In a couple of days,
these vultures
728
00:35:44,143 --> 00:35:45,809
will be attacking someone else.
729
00:35:45,960 --> 00:35:47,477
I'm thinking of making T-shirts
730
00:35:47,704 --> 00:35:49,813
with the worst comments
printed on them.
731
00:35:50,040 --> 00:35:52,127
Truth is,
732
00:35:52,151 --> 00:35:54,376
I feel like I kinda deserve it.
733
00:35:54,469 --> 00:35:56,394
You don't.
734
00:35:56,563 --> 00:35:57,970
Well, it's just...
735
00:35:58,732 --> 00:36:03,326
The only opinion of me that
really matters, besides Will's,
736
00:36:03,553 --> 00:36:04,553
is yours.
737
00:36:05,405 --> 00:36:07,200
- And I just hope that you're not...
- Scarlett,
738
00:36:07,224 --> 00:36:09,051
you are my sister.
739
00:36:09,075 --> 00:36:11,501
I love you, no matter what.
740
00:36:12,838 --> 00:36:16,392
I feel like there's always
a "no matter what" with me.
741
00:36:16,416 --> 00:36:19,654
You were great at anything
you put your mind to.
742
00:36:19,678 --> 00:36:23,087
The only thing I put my mind to
were boys and parties.
743
00:36:23,164 --> 00:36:25,401
And you never needed
anyone's approval but your own.
744
00:36:25,425 --> 00:36:28,329
And Mom told me I wouldn't need
so much attention
745
00:36:28,353 --> 00:36:30,072
if I just took a page out
of your book.
746
00:36:30,096 --> 00:36:32,074
Oh, Scarlett.
747
00:36:32,098 --> 00:36:33,857
You are a ray of sunshine.
748
00:36:33,934 --> 00:36:36,918
And you bring it to Will,
and he loves you for it.
749
00:36:37,011 --> 00:36:39,103
But?
750
00:36:39,256 --> 00:36:41,214
But maybe nix the T-shirt idea.
751
00:36:41,349 --> 00:36:43,678
No sense in feeding the trolls.
752
00:36:43,702 --> 00:36:46,347
And definitely a hard no
on backyard explosives.
753
00:36:46,371 --> 00:36:48,930
That's sound advice.
754
00:36:49,023 --> 00:36:52,375
We still don't know
if it's a boy or a girl.
755
00:36:53,194 --> 00:36:55,212
Well, if you must know
756
00:36:55,363 --> 00:36:57,288
he's a little boy.
757
00:36:57,441 --> 00:36:59,123
I saw the weenie
on the ultrasound.
758
00:36:59,276 --> 00:37:00,383
What?
759
00:37:00,610 --> 00:37:02,034
- Scarlett.
- What?
760
00:37:02,128 --> 00:37:04,054
So why the party?
761
00:37:04,130 --> 00:37:05,964
Is that a serious question?
762
00:37:06,116 --> 00:37:07,443
Do you not know your sister?
763
00:37:10,954 --> 00:37:13,063
Hiya, honey.
764
00:37:18,403 --> 00:37:20,070
Hey.
765
00:37:21,240 --> 00:37:23,615
Can you squeeze my hands?
766
00:37:25,059 --> 00:37:28,227
Squeeze, squeeze, squeeze.
767
00:37:28,396 --> 00:37:30,558
Good.
768
00:37:30,582 --> 00:37:31,823
All right.
769
00:37:31,975 --> 00:37:33,302
What happened?
770
00:37:33,326 --> 00:37:34,659
Well, in a nutshell, the fat
771
00:37:34,753 --> 00:37:37,570
from your Brazilian butt lift
swam to your brain
772
00:37:37,664 --> 00:37:39,475
and it almost paralyzed you.
773
00:37:39,499 --> 00:37:42,008
Oh, my God.
774
00:37:42,928 --> 00:37:44,152
Oh, God.
775
00:37:44,245 --> 00:37:45,285
I feel like such an idiot.
776
00:37:45,322 --> 00:37:46,337
I shouldn't have done it.
777
00:37:46,506 --> 00:37:48,243
I just... I saw this thing
on Instagram
778
00:37:48,267 --> 00:37:49,599
- and...
- Oh, we know it.
779
00:37:49,826 --> 00:37:51,601
Frustratingly legal and yet
780
00:37:51,828 --> 00:37:53,436
criminally unqualified.
781
00:37:54,589 --> 00:37:58,349
They had these glamour shots,
and I just thought that
782
00:37:58,502 --> 00:38:00,329
damn, if I could look like that
783
00:38:00,353 --> 00:38:03,113
You could get more followers?
784
00:38:03,340 --> 00:38:04,781
We spoke to your mom.
785
00:38:04,932 --> 00:38:05,927
She knows?
786
00:38:05,951 --> 00:38:07,284
Yep.
787
00:38:07,511 --> 00:38:10,172
But she also knows
that you're gonna be okay.
788
00:38:10,196 --> 00:38:12,341
And Daniel? My-my son.
789
00:38:12,365 --> 00:38:14,102
He's probably so scared right now.
790
00:38:14,126 --> 00:38:16,584
It's up to you what you tell him.
791
00:38:17,521 --> 00:38:19,337
Thank you.
792
00:38:21,282 --> 00:38:24,426
So, how does it look?
793
00:38:26,287 --> 00:38:28,722
Sorry, how does what look?
794
00:38:31,384 --> 00:38:34,728
I hope it looks dope,
like, after all that.
795
00:38:36,815 --> 00:38:39,632
Well, when you are up
and around,
796
00:38:39,726 --> 00:38:42,360
you can decide for yourself.
797
00:38:43,396 --> 00:38:45,374
Oh, can I have my phone, please?
798
00:38:45,398 --> 00:38:47,157
Yeah.
799
00:38:47,308 --> 00:38:49,159
People need to know about this.
800
00:38:49,328 --> 00:38:51,745
I got to grab Gigi.
I'll catch you guys later.
801
00:38:52,739 --> 00:38:54,497
Thank you.
802
00:38:59,229 --> 00:39:02,150
People, I almost died, y'all.
803
00:39:02,174 --> 00:39:03,247
But I didn't. I didn't.
804
00:39:03,400 --> 00:39:05,008
Okay, so I'm here to tell you,
805
00:39:05,159 --> 00:39:07,010
if you are going to get a BBL
806
00:39:07,161 --> 00:39:08,747
or any other procedure,
807
00:39:08,771 --> 00:39:12,090
make sure your doc knows what
the hell they're doing. Okay?
808
00:39:12,242 --> 00:39:14,258
So, sit back, relax
809
00:39:14,427 --> 00:39:18,407
and let me tell you
my crazy story, okay?
810
00:39:18,431 --> 00:39:20,576
Now, I am an optimist by nature,
811
00:39:20,600 --> 00:39:23,360
but I'm beginning to think
we are screwed as a species.
812
00:39:23,511 --> 00:39:26,341
Social media
is gonna be our meteor.
813
00:39:26,365 --> 00:39:27,939
Wow.
814
00:39:28,091 --> 00:39:29,331
You sound like an angry old man
815
00:39:29,426 --> 00:39:30,736
on the wrong side
of the generation gap.
816
00:39:32,262 --> 00:39:34,779
Angry, yes. Old, no.
817
00:39:34,931 --> 00:39:36,206
Mm, come on, Dr. Austin.
818
00:39:36,282 --> 00:39:37,615
Disco didn't destroy society.
819
00:39:37,784 --> 00:39:40,377
Without social media,
there would be no, uh,
820
00:39:40,604 --> 00:39:41,764
Arab Spring.
821
00:39:41,788 --> 00:39:43,508
Systemic racism
might've never been exposed.
822
00:39:43,607 --> 00:39:45,957
What about that girl
that saved herself by learning
823
00:39:46,109 --> 00:39:46,958
the "help me" gesture
824
00:39:47,110 --> 00:39:48,270
- on TikTok?
- Oh. Right.
825
00:39:48,294 --> 00:39:50,198
And all the swag you get
826
00:39:50,222 --> 00:39:52,389
when your followers leap up.
827
00:39:52,557 --> 00:39:54,632
Who follows you?
828
00:39:54,726 --> 00:39:56,059
And why?
829
00:40:12,077 --> 00:40:13,968
Man's got moves.
830
00:40:14,103 --> 00:40:16,183
50,000 views?
831
00:40:19,400 --> 00:40:21,993
They just seem to be climbing
by the second.
832
00:40:22,087 --> 00:40:24,403
Have you no shame?
833
00:40:29,094 --> 00:40:30,094
Whatever you do, Nolan,
834
00:40:30,320 --> 00:40:32,720
just do not get a BBL.
835
00:40:39,996 --> 00:40:41,729
Why would I?
836
00:40:49,355 --> 00:40:50,429
Hey.
837
00:40:50,523 --> 00:40:52,356
Thanks for collecting her.
838
00:40:52,433 --> 00:40:54,170
my pleasure.
839
00:40:54,194 --> 00:40:56,338
It's amazing how well she plays.
840
00:40:56,362 --> 00:40:58,604
I swear, most kids
are so hooked on devices,
841
00:40:58,698 --> 00:40:59,772
they never learn how.
842
00:40:59,866 --> 00:41:00,986
Well, she won't be using any
843
00:41:01,108 --> 00:41:02,252
until at least college.
844
00:41:02,276 --> 00:41:03,868
Good luck with that.
845
00:41:04,020 --> 00:41:05,186
Daddy, look.
846
00:41:05,279 --> 00:41:08,039
Oh, what's Mr. Giraffe
doing now?
847
00:41:08,191 --> 00:41:09,351
Can't you tell?
848
00:41:11,027 --> 00:41:14,523
He didn't pick up his toys,
so you sent him to his room.
849
00:41:14,547 --> 00:41:15,305
Zoo.
850
00:41:15,456 --> 00:41:17,526
Mr. Giraffe lives in the zoo.
851
00:41:17,550 --> 00:41:18,883
Right.
852
00:41:19,202 --> 00:41:22,887
Let's spring him from his cage
and go get your "carbon-ye-ara."
853
00:41:23,039 --> 00:41:24,481
Yes.
854
00:41:27,043 --> 00:41:28,318
Bye.
855
00:41:28,469 --> 00:41:30,044
- Bye, Gigi.
- Bye.
856
00:41:49,065 --> 00:41:50,715
I won't hurt you.
857
00:41:53,086 --> 00:41:55,011
I'm here to warn you.
858
00:41:55,162 --> 00:41:57,347
Withdraw the complaint,
say you lied for Dr. Bell,
859
00:41:57,498 --> 00:41:59,724
and you'll never hear
from me again.
860
00:42:01,836 --> 00:42:03,002
You're scared.
861
00:42:03,096 --> 00:42:05,188
Withdraw it
862
00:42:05,339 --> 00:42:08,066
or I will destroy you.
863
00:42:09,861 --> 00:42:11,919
You can't destroy me.
864
00:42:12,531 --> 00:42:16,090
You killed a part of me
I can never get back.
865
00:42:16,183 --> 00:42:18,012
You can never hurt me again.
866
00:42:18,036 --> 00:42:20,428
Don't count on it.
867
00:42:20,521 --> 00:42:22,446
I'm fully aware
of your mistakes.
868
00:42:22,541 --> 00:42:24,115
I'll expose all of them.
869
00:42:24,267 --> 00:42:27,935
And I will take away the
very thing you love the most,
870
00:42:28,029 --> 00:42:29,420
your career.
57819
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