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Previously on The Resident...
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I have multiple sclerosis.
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Darling, I'm so sorry.
4
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We're-we're here for you.
5
00:00:23,703 --> 00:00:25,063
The doctors at the Mayo said
6
00:00:25,068 --> 00:00:26,468
you could return to surgery.
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I'm hopeful and I'm reassured.
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Promise me one thing...
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you won't give up on the OR just yet.
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00:00:31,077 --> 00:00:32,373
Do Billie and AJ know
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that you want to be
double board-certified
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in the hardest field of medicine,
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neuro and cardiothoracic surgery?
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I've mentioned that I want to do this.
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Bob Porter.
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University Hospital, Augusta.
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So you must be the other name
18
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on the governor's short list
for a seat on the medical board.
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So we are competitors.
20
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You mind if I ask you
why you want a seat?
21
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Just want to give back.
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No, I need a letter of recommendation
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for the Georgia State Medical Board.
24
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I'm competing with
another doctor for the spot.
25
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- Who is he?
- This is him.
26
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Robert Porter is angling
27
00:01:01,741 --> 00:01:02,941
for a seat on the board.
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He raped me when I was 13 years old.
29
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You want to go before
the board and tell them?
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I want to make a statement.
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Yes, a chronic back, elbow, knee issue
32
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might not be a terminal disease, but...
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it can feel like one
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due to the impact it has on your life.
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But...
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with 3D printing, soon,
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we will be able to create
patient-specific implants.
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Customized. Targeted. Personal.
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This will be revolutionary.
40
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"Advancements in medicine have inspired
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promising new treatments,
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empowering patients and giving
them more say in their care".
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Thank you. "And clinical research
44
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can advance it even further,
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resulting in progress
that can change..."
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Oh, my God. Could this
be any more boring?
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Doubtful.
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But never underestimate the draw
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of your geeky clinical trial sexiness.
50
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Mm?
51
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I wish you were coming with me.
52
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Me, too.
53
00:02:30,116 --> 00:02:32,847
But this conference
might be more enticing
54
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than gender reveal festivities.
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About you doing both
cardiothoracic and neurosurgery,
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obviously, it is entirely,
100% your decision.
57
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But, I mean, this is going to be...
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a massive,
59
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massive challenge, Leela.
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I know. I won't make a decision
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until I have a real conversation
with Billie about it.
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Okay?
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00:02:58,011 --> 00:02:59,511
Okay.
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00:03:00,280 --> 00:03:01,943
And that's Jessica.
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00:03:01,948 --> 00:03:04,279
Good luck with your presentation.
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* Ooh *
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* Baby love, my baby love *
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* I need you, oh, how I need you *
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* But all you do is treat me bad *
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This is the best macaron
I've ever tasted.
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Your sister is so elegant.
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She is. Beautiful and rich.
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We've always been so different.
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Just look at her.
Look how skinny she is,
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and she's three months' pregnant.
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It must be nice that you
and Padma are so similar.
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You get to avoid comparisons.
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Oh, no, there are comparisons.
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One of us is fun and spontaneous,
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the other serious, rigid. I'm sure
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00:03:42,355 --> 00:03:44,086
- you can guess who's who.
- No. - Oh!
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Way to stick to the pink
and blue theme, Jess.
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Oh. There's a theme?
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I-I didn't know.
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Oh, funny, lady.
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You look lovely,
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even if you're dressed for a funeral,
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not a gender reveal party.
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Considering that gender is
a social construct...
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00:04:00,206 --> 00:04:01,971
Uh, it's an amazing party.
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00:04:01,975 --> 00:04:03,371
Thank you so much for inviting me.
92
00:04:03,376 --> 00:04:05,007
And thank you for coming, Leela.
93
00:04:05,011 --> 00:04:07,175
And the real fun is about to begin.
94
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Have we got a surprise for you.
95
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She's so funny.
96
00:04:12,118 --> 00:04:14,015
- Oh, my gosh.
- Yeah.
97
00:04:14,020 --> 00:04:16,485
Oh, photo op.
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00:04:16,490 --> 00:04:18,887
And that photo will be online
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in three, two,
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one.
101
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They're so cute.
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How did they meet?
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Scarlett was bartending,
104
00:04:30,703 --> 00:04:32,267
doing some modeling on the side.
105
00:04:32,272 --> 00:04:35,537
Will came in for a drink and he
couldn't take his eyes off her.
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She went from being behind
in car payments
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00:04:37,744 --> 00:04:39,574
to flying on private jets.
108
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Wow.
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All right, boys and girls,
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let's gather round!
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Thank you all for being here.
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Let's find out if our firstborn
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is a lad or lassie.
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Our OB and the guys
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who built this are the
only ones who know.
116
00:05:07,207 --> 00:05:09,204
Is that a cannon?
117
00:05:09,209 --> 00:05:10,638
Wait, like a cannon-cannon?
118
00:05:10,643 --> 00:05:13,041
With these two,
it's go big or go gigantic.
119
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On the count of three.
120
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One!
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Two!
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Three!
123
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Is this thing broken?
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- Babe!
- Oh, my God.
125
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Someone call 911!
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See if he's okay.
127
00:05:50,654 --> 00:05:58,154
- Synced and corrected by Firefly -
- www.addic7ed.com -
128
00:06:01,794 --> 00:06:04,859
I'm thinking we'll pick
up pasta from Luigi's
129
00:06:04,864 --> 00:06:07,662
- or...
- Yes! I love their "carbon-ye-ara".
130
00:06:07,667 --> 00:06:10,031
Carbonara works.
131
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With ice cream on top?
132
00:06:11,204 --> 00:06:12,934
No, Daddy.
133
00:06:12,939 --> 00:06:14,169
Just parmesan.
134
00:06:14,174 --> 00:06:15,705
But I thought you liked
ice cream on top.
135
00:06:15,709 --> 00:06:16,772
Bye, Daddy!
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00:06:16,777 --> 00:06:20,480
Okay, well, I'm having ice cream.
137
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She's already reading? That's amazing.
138
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Yeah, way sooner than I ever did.
139
00:06:33,559 --> 00:06:36,061
She must've got that from her mom.
140
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- I'll be back in a sec.
- Thank you.
141
00:06:44,671 --> 00:06:45,967
You working in the ER today?
142
00:06:45,972 --> 00:06:47,635
Yeah, yeah, I'm covering for Devon.
143
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He's at that clinical trial conference.
144
00:06:49,275 --> 00:06:50,672
Ah, right. Yeah.
145
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For some, being an ER doc isn't enough.
146
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He's got to be a fancy scientist, too.
147
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Well, our patients are lucky
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to have you here, too, my friend.
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Help!
150
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My passenger is dying.
151
00:07:00,586 --> 00:07:01,683
What happened?
152
00:07:01,688 --> 00:07:03,086
I picked her up from her apartment,
153
00:07:03,090 --> 00:07:04,640
she got in all pale and shaky,
154
00:07:04,645 --> 00:07:07,676
asking for a hospital,
and slumped onto the seat.
155
00:07:07,681 --> 00:07:09,190
I'm Dr. Hawkins.
156
00:07:09,195 --> 00:07:11,192
You're at Chastain Memorial Hospital.
157
00:07:13,099 --> 00:07:15,263
Can you tell us what's going on?
158
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Okay, how about your name?
159
00:07:20,573 --> 00:07:22,937
Finger stick 104.
160
00:07:22,942 --> 00:07:24,672
Will get these to the lab stat.
161
00:07:24,677 --> 00:07:27,608
Blood pressure low. O2 sat 89.
162
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Her son, I'm guessing?
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00:07:31,584 --> 00:07:34,954
Hmm, she works at Only A Dollar.
164
00:07:37,657 --> 00:07:41,155
Oh, here we go. Uh,
Charli April Martinez.
165
00:07:41,160 --> 00:07:43,290
Born January 15, 1997.
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I see a subtle
167
00:07:44,564 --> 00:07:46,961
petechial rash to her neck and arms.
168
00:07:46,966 --> 00:07:49,063
We're calling her emergency contact.
169
00:07:49,068 --> 00:07:52,433
She's 25 years old,
ear infection in 2004,
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00:07:52,438 --> 00:07:53,968
vaccinations up to date.
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Mm. Charli's popular.
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Turn the ringer on
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in case someone calls
who can tell us something.
174
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Her emergency contact's not answering.
175
00:08:01,481 --> 00:08:02,510
I'll try again later.
176
00:08:02,515 --> 00:08:04,745
Looks like she had a laparoscope
placed there recently,
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00:08:04,750 --> 00:08:08,316
but abdominal surgery
needs more than one port.
178
00:08:08,321 --> 00:08:10,418
O2 sat's 98% on nasal cannula.
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BP's 104/60.
180
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Seems like she's protecting her airway.
181
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Let's use this opportunity
to get more info.
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00:08:16,295 --> 00:08:18,860
Trevor, page Raptor,
have him meet you at CT.
183
00:08:18,865 --> 00:08:21,400
I'm gonna make a quick stop.
I'll catch up with you there.
184
00:08:30,910 --> 00:08:33,410
_
185
00:08:40,853 --> 00:08:42,917
Hey.
186
00:08:42,922 --> 00:08:46,154
Thanks again for writing
that letter of recommendation.
187
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Well, I hope it helps.
188
00:08:51,330 --> 00:08:52,960
And Porter?
189
00:08:52,965 --> 00:08:54,833
Is he still in the running
for the same seat?
190
00:08:55,668 --> 00:08:57,365
Why wouldn't he be?
191
00:08:57,370 --> 00:08:58,734
Well, I've heard there are multiple
192
00:08:58,738 --> 00:09:00,134
ethics complaints against him.
193
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I thought that might
get him disqualified.
194
00:09:03,142 --> 00:09:05,644
Let me know if you hear
anything more about him.
195
00:09:13,286 --> 00:09:15,283
You're smiling.
196
00:09:15,288 --> 00:09:16,855
That's good news, right?
197
00:09:19,559 --> 00:09:22,490
- This my latest MRI?
- Yep.
198
00:09:22,495 --> 00:09:25,026
Your neuro exam is excellent.
199
00:09:25,031 --> 00:09:27,599
No new lesions.
200
00:09:28,468 --> 00:09:30,198
Since you started taking the meds,
201
00:09:30,203 --> 00:09:32,533
your MS is not progressing.
202
00:09:32,538 --> 00:09:35,203
How you feeling?
203
00:09:35,208 --> 00:09:38,777
Overall, good.
204
00:09:40,713 --> 00:09:42,748
Better now.
205
00:09:45,017 --> 00:09:48,086
It means you're cleared for surgery.
206
00:09:50,923 --> 00:09:54,426
- Are you sure?
- You passed all the necessary tests.
207
00:09:56,229 --> 00:09:58,526
I could have another
flare-up while I'm operating.
208
00:09:58,531 --> 00:10:02,196
True, but it's unlikely, and
you know what to expect now.
209
00:10:02,201 --> 00:10:04,365
Worse comes to worst,
you head off any symptoms
210
00:10:04,370 --> 00:10:06,467
- with a steroid pulse.
- What about my patients?
211
00:10:06,472 --> 00:10:08,335
Is this a risk they should take, too?
212
00:10:08,340 --> 00:10:11,072
There are surgeons with MS
safely operating
213
00:10:11,077 --> 00:10:14,012
thanks to good meds,
and you will have backup.
214
00:10:15,414 --> 00:10:18,012
The OR needs you.
215
00:10:18,017 --> 00:10:20,419
And you need the OR.
216
00:10:22,788 --> 00:10:24,418
I'm so sorry.
217
00:10:24,423 --> 00:10:27,254
This was a terrible idea.
They said it was safe.
218
00:10:27,259 --> 00:10:28,509
I can't hear her!
219
00:10:28,514 --> 00:10:30,591
The explosion ruptured
your eardrum, Will.
220
00:10:30,596 --> 00:10:32,827
- It'll get better soon.
- He's gonna be okay, right?
221
00:10:32,832 --> 00:10:34,463
Yep, Irving will make sure of it.
222
00:10:34,467 --> 00:10:37,031
Am I glad to see you, brother-in-law.
223
00:10:37,036 --> 00:10:39,767
You got any painkillers? Strong ones?
224
00:10:39,772 --> 00:10:41,502
Yeah, let's get you
off the stretcher first.
225
00:10:41,507 --> 00:10:45,476
On my count. One, two, three.
226
00:10:46,913 --> 00:10:49,143
He can't hear. His eardrum
might have ruptured.
227
00:10:49,148 --> 00:10:50,244
What happened?
228
00:10:50,249 --> 00:10:51,446
The cannon exploded.
229
00:10:51,451 --> 00:10:53,614
Right. Did you say "cannon"?
230
00:10:53,619 --> 00:10:56,050
I-It was supposed
to fire blue or pink smoke.
231
00:10:56,055 --> 00:10:57,685
I-I'm the one who talked him into it.
232
00:10:57,690 --> 00:10:59,990
Okay, easy. Let's just focus
on getting him better.
233
00:10:59,995 --> 00:11:01,923
Go get Will checked in, and
we'll take care of him, okay?
234
00:11:01,927 --> 00:11:03,424
Whoa, looks like
235
00:11:03,429 --> 00:11:05,259
it hurts.
236
00:11:05,264 --> 00:11:06,727
Let's get 75 mics of fentanyl.
237
00:11:06,732 --> 00:11:08,895
Okay. Try holding still, hon.
238
00:11:08,900 --> 00:11:10,665
You'll be feeling better
in a few seconds.
239
00:11:10,670 --> 00:11:12,634
Will, I'm gonna send you
for a scan to get
240
00:11:12,639 --> 00:11:14,368
a clear picture of what's going on.
241
00:11:14,373 --> 00:11:16,037
Okay?
242
00:11:19,145 --> 00:11:21,442
I don't hear any breath on the right.
243
00:11:21,447 --> 00:11:23,644
My chest, it hurts.
244
00:11:23,649 --> 00:11:26,314
His sats are starting to drop.
245
00:11:26,319 --> 00:11:27,348
No lung sliding.
246
00:11:27,353 --> 00:11:29,149
Looks like the shrapnel
collapsed the lung.
247
00:11:29,154 --> 00:11:31,156
We need a chest tube now.
248
00:11:40,700 --> 00:11:42,400
The doctor said his lung collapsed.
249
00:11:42,405 --> 00:11:44,302
and he could have internal injuries.
250
00:11:45,500 --> 00:11:47,463
Yeah, I can't believe it either.
251
00:11:47,468 --> 00:11:49,970
Oh, I'll call you
when I know more, okay?
252
00:11:51,405 --> 00:11:54,403
We got his lung re-expanded,
he's breathing much better,
253
00:11:54,408 --> 00:11:57,473
- and he's on the way to CT.
- Okay.
254
00:11:57,478 --> 00:11:59,326
- His parents?
- Yeah.
255
00:11:59,331 --> 00:12:02,095
They said I should have
talked him out of the cannon,
256
00:12:02,100 --> 00:12:05,603
but it was my stupid idea
in the first place.
257
00:12:06,454 --> 00:12:10,520
Oh, my God, I mean, what a disaster.
258
00:12:15,263 --> 00:12:18,361
One of his coworkers posted it.
259
00:12:18,366 --> 00:12:21,063
And it's already been reposted
260
00:12:21,068 --> 00:12:23,633
175 times.
261
00:12:23,638 --> 00:12:26,102
What? A-As if this wasn't awful enough.
262
00:12:26,107 --> 00:12:27,970
Maybe put your phone away?
263
00:12:27,975 --> 00:12:30,173
Uh, "Latest addition to the cesspool
264
00:12:30,178 --> 00:12:31,941
of gender reveal idiocy".
265
00:12:31,946 --> 00:12:34,977
"Stop blowing things up to tell
people your kid's got a penis".
266
00:12:34,982 --> 00:12:37,413
Scarlett, your friends love you.
267
00:12:37,418 --> 00:12:39,615
Who cares what a bunch
of strangers think?
268
00:12:39,620 --> 00:12:41,084
- Yeah.
- Yeah?
269
00:12:41,089 --> 00:12:42,652
Yeah.
270
00:12:42,657 --> 00:12:44,191
Thank you.
271
00:12:45,960 --> 00:12:49,926
Troponin and BNP are both elevated.
272
00:12:49,931 --> 00:12:52,227
She has leukocytosis but no fever.
273
00:12:52,232 --> 00:12:55,431
Nothing is adding up. We need answers.
274
00:12:55,436 --> 00:12:57,700
Her sats are drifting down.
275
00:12:57,705 --> 00:13:00,703
She's getting sicker by the minute.
276
00:13:00,708 --> 00:13:02,872
Considering all those
TikTok notifications,
277
00:13:02,877 --> 00:13:04,874
she must have an account.
278
00:13:04,879 --> 00:13:07,147
Let's see if it can tell us anything.
279
00:13:09,750 --> 00:13:11,514
* Don't buy me no ring *
280
00:13:11,519 --> 00:13:13,349
* See, I've got my own *
281
00:13:13,354 --> 00:13:15,722
* Ah, nah-nah-nah, nah-nah-nah-nah... *
282
00:13:16,557 --> 00:13:18,821
* Living in a haze *
283
00:13:18,826 --> 00:13:20,857
* Staying in the shade *
284
00:13:20,862 --> 00:13:23,993
* All I do is sit around
and wait for... *
285
00:13:23,998 --> 00:13:26,567
Wow. Scans taking that long, huh?
286
00:13:27,802 --> 00:13:29,432
She's our patient,
287
00:13:29,437 --> 00:13:30,601
we still don't know
what's wrong with her,
288
00:13:30,605 --> 00:13:32,601
so we're looking for clues
and Irving is trying
289
00:13:32,606 --> 00:13:33,703
to reach the family.
290
00:13:33,708 --> 00:13:37,039
180,000 followers.
Wow, that's impressive.
291
00:13:37,044 --> 00:13:39,045
Yeah, but it's not helping.
292
00:13:40,081 --> 00:13:41,748
Maybe this will.
293
00:13:42,650 --> 00:13:44,680
Trevor, take it from the top
294
00:13:44,685 --> 00:13:46,516
and walk us through it.
295
00:13:46,521 --> 00:13:48,918
Well...
296
00:13:48,923 --> 00:13:51,287
... the apices of the lungs look clear.
297
00:13:51,292 --> 00:13:54,094
There's some scattered
focal ground-glass.
298
00:13:54,729 --> 00:13:56,025
Hold on, is that a, uh...
299
00:13:56,030 --> 00:13:57,593
- A filling defect.
- Yeah.
300
00:13:57,598 --> 00:14:00,963
Consistent with a huge clot
in her right pulmonary artery.
301
00:14:00,968 --> 00:14:03,299
Yeah, and smaller clots
in the distal arteries, too.
302
00:14:03,304 --> 00:14:05,635
Maybe they aren't blood clots.
303
00:14:05,640 --> 00:14:07,336
Then what are they?
304
00:14:07,341 --> 00:14:09,204
This pattern plus the rash,
305
00:14:09,209 --> 00:14:11,140
I'm thinking fat embolism syndrome.
306
00:14:11,145 --> 00:14:14,810
Yeah, globules of fat
clogging up the vessels.
307
00:14:14,815 --> 00:14:17,413
That happens after fractures
or burns, right?
308
00:14:17,418 --> 00:14:19,716
But she didn't have those.
309
00:14:19,721 --> 00:14:20,884
Or pancreatitis.
310
00:14:20,889 --> 00:14:23,018
But liposuction would explain all of it.
311
00:14:23,023 --> 00:14:25,721
The fat embolism,
the surgical port we saw.
312
00:14:25,726 --> 00:14:28,258
O2's in the 80s.
313
00:14:28,263 --> 00:14:30,530
149 heart rate. She's tanking.
314
00:14:36,671 --> 00:14:39,168
Hemoptysis. We need to secure her airway
315
00:14:39,173 --> 00:14:40,336
before she aspirates.
316
00:14:40,341 --> 00:14:41,471
What the hell is going on?
317
00:14:41,475 --> 00:14:43,005
Let's intubate and find out.
318
00:14:43,010 --> 00:14:46,642
Gail, I need you to look
for two small injection sites
319
00:14:46,647 --> 00:14:48,215
on the patient's backside.
320
00:14:49,383 --> 00:14:51,285
Do you see them?
321
00:14:52,353 --> 00:14:53,649
Yes, I do.
322
00:14:53,654 --> 00:14:55,985
Prepare the intubation meds now.
323
00:14:55,990 --> 00:14:57,558
It's okay.
324
00:15:13,841 --> 00:15:16,172
All right, sats are coming back up.
325
00:15:16,177 --> 00:15:19,208
Looks like Charli here got
herself a Brazilian butt lift.
326
00:15:19,213 --> 00:15:22,111
Aren't BBLs the most dangerous
procedure there is?
327
00:15:22,116 --> 00:15:24,681
Yeah, but I doubt they advertise
the high fatality rates.
328
00:15:24,686 --> 00:15:26,779
Right. They sell you on the prospect
329
00:15:26,784 --> 00:15:28,284
of getting a curvier backside
330
00:15:28,289 --> 00:15:30,653
while losing inches in the middle.
331
00:15:30,658 --> 00:15:32,054
Let's get her to ICU.
332
00:15:32,059 --> 00:15:33,756
I need to ultrasound her heart to see
333
00:15:33,761 --> 00:15:36,830
where that runaway fat
is now calling home.
334
00:15:41,936 --> 00:15:43,833
That does not look pretty.
335
00:15:43,838 --> 00:15:46,602
The tiniest bowel perf and
he could end up in septic shock.
336
00:15:46,607 --> 00:15:48,304
Jessica's brother-in-law?
337
00:15:48,309 --> 00:15:49,772
Yeah.
338
00:15:49,777 --> 00:15:51,573
We've admitted him and I booked an OR,
339
00:15:51,578 --> 00:15:52,943
and as soon as it's ready,
we'll take him in.
340
00:15:52,947 --> 00:15:55,645
Uh-huh. And what happened?
341
00:15:55,650 --> 00:15:58,881
A gender reveal party gone very wrong.
342
00:15:58,886 --> 00:16:00,820
A cannon was involved.
343
00:16:03,290 --> 00:16:05,420
Probably best if I don't
know the details.
344
00:16:05,425 --> 00:16:08,089
So, this could go south really fast.
345
00:16:08,094 --> 00:16:10,659
He's gonna need exploratory laparotomy.
346
00:16:10,664 --> 00:16:13,061
Well, I'm glad you're on deck.
347
00:16:13,066 --> 00:16:16,498
Uh, you're on deck. I'm a maybe.
348
00:16:16,503 --> 00:16:18,504
We need to talk.
349
00:16:30,617 --> 00:16:33,052
What's going on?
350
00:16:36,055 --> 00:16:38,052
Remember the last time
we operated together?
351
00:16:38,057 --> 00:16:39,120
I had some issues.
352
00:16:39,125 --> 00:16:42,824
And I contacted Conrad,
we had some tests run.
353
00:16:42,829 --> 00:16:44,359
And?
354
00:16:44,364 --> 00:16:46,432
I have MS.
355
00:16:48,101 --> 00:16:49,869
Multiple sclerosis?
356
00:16:52,939 --> 00:16:55,637
- I am so sorry, Dr. Bell.
- Thank you.
357
00:16:55,642 --> 00:16:58,640
I'm-I'm adjusting to the new
reality, with Kit's help.
358
00:16:58,645 --> 00:17:02,610
And on-on meds, I have
no symptoms, at least for now,
359
00:17:02,615 --> 00:17:05,685
and Conrad has cleared me
for surgery. However...
360
00:17:07,087 --> 00:17:08,216
... if you would prefer
361
00:17:08,221 --> 00:17:10,223
to work with another doctor...
362
00:17:12,192 --> 00:17:13,993
Absolutely not.
363
00:17:15,028 --> 00:17:17,058
This is a physical challenge.
364
00:17:17,063 --> 00:17:19,328
That's it.
365
00:17:19,333 --> 00:17:21,229
I have one, too.
366
00:17:21,234 --> 00:17:23,998
If you hadn't told me,
I'd never, uh, guess
367
00:17:24,003 --> 00:17:26,334
- that you have dyslexia.
- Thank you.
368
00:17:26,339 --> 00:17:31,172
But when I chose surgery,
my family, friends, advisors,
369
00:17:31,177 --> 00:17:33,008
everyone thought it would
make me dangerous.
370
00:17:33,013 --> 00:17:36,579
But with my work-arounds,
I believe I've...
371
00:17:36,584 --> 00:17:39,915
- You are one of the best.
- I don't know about that.
372
00:17:39,920 --> 00:17:43,656
But I do not let dyslexia
stand in my way.
373
00:17:45,058 --> 00:17:48,056
This is just a new
challenge to overcome.
374
00:17:48,061 --> 00:17:50,725
Well, thank you, Dr. Devi.
375
00:17:50,730 --> 00:17:52,298
Was a good pep talk.
376
00:17:55,235 --> 00:17:57,000
I'll see you in the OR.
377
00:18:10,290 --> 00:18:12,305
Man, when I was in my 20s,
the worst things
378
00:18:12,310 --> 00:18:14,745
we did to ourselves were
tattoos and piercings.
379
00:18:14,750 --> 00:18:17,295
- Guilty of the former.
- Latter for me.
380
00:18:17,300 --> 00:18:21,036
I got a gnarly infection
from my eyebrow ring.
381
00:18:21,041 --> 00:18:22,704
Oh, trust me, it was dope.
382
00:18:23,206 --> 00:18:25,503
Until it wasn't.
383
00:18:25,508 --> 00:18:27,005
Ah...
384
00:18:27,010 --> 00:18:29,975
Oh, this is no good.
385
00:18:29,980 --> 00:18:31,943
Charli's in trouble.
386
00:18:31,948 --> 00:18:33,845
Is that fat sitting in her heart?
387
00:18:33,850 --> 00:18:35,313
Not just sitting, it's in transit,
388
00:18:35,318 --> 00:18:37,349
from her right atrium to her left.
389
00:18:37,354 --> 00:18:39,351
So she has a congenital hole
in her heart?
390
00:18:39,356 --> 00:18:41,186
Probably undetected before,
391
00:18:41,191 --> 00:18:43,054
but blew open when she had the P.E.s.
392
00:18:43,059 --> 00:18:44,887
Maybe even acted as a pop-off valve,
393
00:18:44,892 --> 00:18:47,292
- saving her life, but now...
- It's a bomb.
394
00:18:47,297 --> 00:18:50,195
- Primed and ready to go off at any moment.
- Yeah.
395
00:18:50,200 --> 00:18:52,730
If it makes its way
into her arterial circulation...
396
00:18:52,735 --> 00:18:55,466
- She'll stroke out.
- I'll text Dr. Sutton.
397
00:18:55,471 --> 00:18:57,435
If that fat embolizes to her brain,
398
00:18:57,440 --> 00:18:59,104
we'll have minutes to intervene.
399
00:19:04,681 --> 00:19:06,678
Hopefully, it's her family.
400
00:19:06,683 --> 00:19:09,314
Charli, hon, this is Cassie
401
00:19:09,319 --> 00:19:11,065
calling from Enhanced Dreams.
402
00:19:11,070 --> 00:19:12,633
How you feeling after your procedure?
403
00:19:12,638 --> 00:19:13,701
Actually, Cassie,
404
00:19:13,706 --> 00:19:14,971
you're speaking with three doctors
405
00:19:14,975 --> 00:19:16,272
at Chastain Memorial Hospital
406
00:19:16,277 --> 00:19:17,739
who are trying to save Charli's life.
407
00:19:17,743 --> 00:19:18,841
So if I had to guess, I'd say
408
00:19:18,845 --> 00:19:20,509
she's feeling pretty damn
miserable right now.
409
00:19:20,513 --> 00:19:22,944
Cassie, this is Dr. Hawkins.
410
00:19:22,949 --> 00:19:26,614
Did Charli get a Brazilian butt
lift at Enhanced Dreams?
411
00:19:26,619 --> 00:19:28,449
We're gonna take that as a yes.
412
00:19:28,454 --> 00:19:30,451
It's led to fat embolism syndrome.
413
00:19:30,456 --> 00:19:33,021
We need to talk to her surgeon.
414
00:19:34,928 --> 00:19:37,025
Uh... Did she seriously just hang up?
415
00:19:37,030 --> 00:19:38,728
She's not getting rid of us that easy.
416
00:19:38,733 --> 00:19:40,563
Trevor, google Enhanced Dreams.
417
00:19:40,568 --> 00:19:42,168
We're calling Cassie back.
418
00:19:43,270 --> 00:19:45,099
All right, here we go.
419
00:19:45,104 --> 00:19:48,174
"Enhanced Dreams Plastic Surgery".
420
00:19:57,417 --> 00:20:00,786
Great. Great, they're probably
busy hiding the evidence.
421
00:20:02,222 --> 00:20:03,919
I doubt they'll have time
to pack up and run
422
00:20:03,923 --> 00:20:06,554
- before my shift's over.
- Okay, that's not happening.
423
00:20:06,559 --> 00:20:08,560
But let's keep calling.
424
00:20:15,201 --> 00:20:17,975
Are you really calling me for
a stroke that hasn't happened?
425
00:20:17,980 --> 00:20:20,645
- Can't you just give her TPA?
- She's had a recent surgery.
426
00:20:20,650 --> 00:20:22,346
If we give her TPA, she could bleed out.
427
00:20:22,351 --> 00:20:25,349
If that fat goes to her brain,
you will only have minutes
428
00:20:25,354 --> 00:20:27,385
to perform an
interventional thrombectomy.
429
00:20:27,390 --> 00:20:29,587
Well, sucking clots out
of the brain through the groin
430
00:20:29,592 --> 00:20:30,888
is not my specialty.
431
00:20:30,893 --> 00:20:33,057
I haven't done that procedure
since residency.
432
00:20:33,062 --> 00:20:34,958
- Just page IR.
- Come on, Sutton,
433
00:20:34,963 --> 00:20:36,362
you know those guys don't
work over the weekend.
434
00:20:36,366 --> 00:20:38,297
And if we page them,
they would not get here in time.
435
00:20:38,301 --> 00:20:41,566
And our only endovascular
neurosurgeon's on vacation.
436
00:20:41,571 --> 00:20:43,601
Sutton, we wouldn't be asking you this
437
00:20:43,606 --> 00:20:45,140
if there was another option.
438
00:20:49,145 --> 00:20:50,675
Then I'll have to.
439
00:20:50,680 --> 00:20:54,749
I'd better go review
my head-neck vascular anatomy.
440
00:21:01,457 --> 00:21:03,187
They're here.
441
00:21:03,192 --> 00:21:06,925
Dr. Bell, this is Will
and my sister Scarlett.
442
00:21:06,930 --> 00:21:08,326
- Such a pleasure.
- Dr. Bell
443
00:21:08,331 --> 00:21:10,728
is a nationally-recognized
trauma surgeon.
444
00:21:10,733 --> 00:21:12,763
Jess has told me so much about you.
445
00:21:12,768 --> 00:21:15,066
- She's your biggest fan.
- Well, and I'm hers.
446
00:21:15,071 --> 00:21:18,569
We don't know what we would do
without her here at Chastain.
447
00:21:18,574 --> 00:21:23,240
So, the scans show that there
are multiple metal fragments
448
00:21:23,245 --> 00:21:25,142
peppered throughout your abdomen.
449
00:21:25,147 --> 00:21:28,446
And in surgery,
we'll remove every fragment
450
00:21:28,451 --> 00:21:30,214
and we'll ensure that the explosion
451
00:21:30,219 --> 00:21:32,983
didn't cause any other injuries
that we can't see on the scans.
452
00:21:32,988 --> 00:21:34,652
He's gonna be okay, right?
453
00:21:34,657 --> 00:21:37,321
He's in the right place,
but of course you should know
454
00:21:37,326 --> 00:21:39,724
surgery carries risks.
455
00:21:39,729 --> 00:21:41,792
And, Jessica, I know it's your day off,
456
00:21:41,797 --> 00:21:43,461
but I would like you
to scrub in with me.
457
00:21:43,466 --> 00:21:46,564
'Cause, after all,
you are my right hand.
458
00:21:46,569 --> 00:21:47,970
You couldn't keep me out.
459
00:21:49,172 --> 00:21:50,935
Great.
460
00:21:50,940 --> 00:21:52,737
Just gonna get this.
461
00:21:52,742 --> 00:21:54,442
- Okay.
- Yeah?
462
00:21:55,244 --> 00:21:56,678
Ready?
463
00:22:02,051 --> 00:22:04,048
Promise me he'll be okay, Jess.
464
00:22:04,053 --> 00:22:06,417
Try not to worry. We're gonna
take great care of him.
465
00:22:06,422 --> 00:22:08,056
Okay.
466
00:22:12,495 --> 00:22:16,160
I love you so much,
and I am so, so sorry
467
00:22:16,165 --> 00:22:18,162
I talked you into that cannon.
468
00:22:18,167 --> 00:22:19,834
I love you.
469
00:22:29,612 --> 00:22:31,646
It's okay.
470
00:22:35,017 --> 00:22:37,485
Are you sure you're up
for this, Dr. Bell?
471
00:22:39,454 --> 00:22:41,285
It's just, the last time
we worked together,
472
00:22:41,290 --> 00:22:43,854
you didn't feel well and
you abandoned the surgery.
473
00:22:43,859 --> 00:22:45,457
You haven't been in the OR since then.
474
00:22:45,462 --> 00:22:47,358
Yeah, no, I haven't been well.
475
00:22:47,363 --> 00:22:49,393
And I can explain all that to you later,
476
00:22:49,398 --> 00:22:52,329
but the important thing is,
we figured out the problem,
477
00:22:52,334 --> 00:22:54,231
and I've been cleared for surgery
478
00:22:54,236 --> 00:22:56,070
by both Kit and Conrad, so...
479
00:22:57,574 --> 00:22:59,470
... I think we're okay.
480
00:22:59,475 --> 00:23:01,343
Okay, yeah, mm-hmm.
481
00:23:11,687 --> 00:23:14,189
Okay, through the fascia.
482
00:23:16,626 --> 00:23:19,757
It looks like a little oozing
from the liver.
483
00:23:19,762 --> 00:23:22,627
I'll get better exposure now.
484
00:23:22,632 --> 00:23:24,899
How are you doing, Dr. Bell?
485
00:23:25,935 --> 00:23:27,435
All good.
486
00:23:32,208 --> 00:23:36,745
Okay, one piece of shrapnel: gone.
487
00:23:43,286 --> 00:23:45,483
And another.
488
00:23:45,488 --> 00:23:47,085
I'm having trouble getting it.
489
00:23:47,090 --> 00:23:49,024
I got it.
490
00:23:51,060 --> 00:23:53,328
It's such delicate work.
491
00:23:54,263 --> 00:23:56,331
Nice going.
492
00:23:57,733 --> 00:23:59,830
- Now, what is that?
- Oh, that
493
00:23:59,835 --> 00:24:02,300
looks like another piece of shrapnel.
494
00:24:02,305 --> 00:24:05,970
This time it's wedged into the liver.
495
00:24:05,975 --> 00:24:08,343
Removing the foreign body now.
496
00:24:09,312 --> 00:24:11,642
Suction.
497
00:24:11,647 --> 00:24:13,143
Lap pads.
498
00:24:13,148 --> 00:24:15,879
Looks like this went into
the liver and hit a vessel.
499
00:24:15,884 --> 00:24:17,182
You guys got into something big.
500
00:24:17,186 --> 00:24:18,249
I'm maxing my pressors.
501
00:24:18,254 --> 00:24:20,350
It's gonna be okay.
502
00:24:20,355 --> 00:24:23,353
Initiating massive transfusion protocol.
503
00:24:23,358 --> 00:24:26,357
Okay, Dr. Devi, I need you
to help me get down to the aorta
504
00:24:26,362 --> 00:24:27,863
to cross-clamp...
505
00:24:28,832 --> 00:24:30,528
... and get control of this.
506
00:24:30,533 --> 00:24:32,064
I'm transfusing the second unit
507
00:24:32,068 --> 00:24:33,564
of blood, four liters of crystalloid,
508
00:24:33,569 --> 00:24:35,166
two of albumin, and still losing.
509
00:24:35,171 --> 00:24:37,269
- Blood pressure isn't budging.
- Okay, we're gonna need
510
00:24:37,273 --> 00:24:38,636
supraceliac control.
511
00:24:38,641 --> 00:24:41,405
Page AJ stat for a thoracotomy.
512
00:24:41,410 --> 00:24:43,374
He's on deck in the OR suite.
513
00:24:43,379 --> 00:24:44,508
I'm calling him now.
514
00:24:44,513 --> 00:24:45,609
Good, thank you.
515
00:24:45,614 --> 00:24:47,011
No blood pressure detected,
516
00:24:47,016 --> 00:24:49,080
but HR reading 160.
517
00:24:49,085 --> 00:24:51,470
All right, somebody talk to me.
518
00:24:51,475 --> 00:24:53,205
Thank you for coming so fast.
519
00:24:53,210 --> 00:24:55,408
Unavoidable bleeding
after shrapnel removal.
520
00:24:55,413 --> 00:24:57,075
We need better control from above
521
00:24:57,080 --> 00:24:58,312
to be able to repair the defect.
522
00:24:58,316 --> 00:25:00,281
- That's why we called you.
- All right, let's get to it.
523
00:25:00,285 --> 00:25:01,552
Scalpel me.
524
00:25:07,157 --> 00:25:08,725
Spreaders.
525
00:25:18,202 --> 00:25:19,469
Clamp.
526
00:25:22,139 --> 00:25:26,371
All right. Voil?, that should do it.
527
00:25:27,845 --> 00:25:29,842
We've got a blood pressure back.
528
00:25:29,847 --> 00:25:31,381
All right.
529
00:25:33,551 --> 00:25:34,880
Glad you're in the house.
530
00:25:34,885 --> 00:25:37,520
Hey, man, glad to be here.
531
00:25:47,500 --> 00:25:49,765
Any available resident to ICU Three.
532
00:25:49,770 --> 00:25:51,800
Available resident to ICU Three.
533
00:25:51,805 --> 00:25:53,205
Hey, look, if you're gonna ask me
534
00:25:53,210 --> 00:25:55,273
to back off surgery again, that's okay,
535
00:25:55,278 --> 00:25:57,108
but I-I want to say I called in AJ
536
00:25:57,113 --> 00:25:58,877
because we needed him,
not because of the MS.
537
00:25:58,882 --> 00:26:02,414
I know, and Will is alive
because you made that call.
538
00:26:02,419 --> 00:26:05,117
I just wanted to say welcome back.
539
00:26:05,751 --> 00:26:07,748
Thanks.
540
00:26:07,753 --> 00:26:09,954
It's good to be back.
541
00:26:19,165 --> 00:26:20,561
Dr. Sutton?
542
00:26:20,566 --> 00:26:21,966
Do you have a moment?
543
00:26:23,936 --> 00:26:25,399
Sure.
544
00:26:25,404 --> 00:26:27,196
It's been a while since
I've approached the brain
545
00:26:27,200 --> 00:26:28,864
from this direction.
I could use a break.
546
00:26:28,869 --> 00:26:32,100
Just trying to get
my muscle memory to kick in.
547
00:26:32,105 --> 00:26:34,436
I wanted to chat with you
some more about the idea
548
00:26:34,441 --> 00:26:36,909
of double-boarding
with cardio and neuro.
549
00:26:37,711 --> 00:26:39,207
Go on.
550
00:26:39,212 --> 00:26:42,944
I know you think I'm crazy...
and so does Devon...
551
00:26:42,949 --> 00:26:45,047
but people said the same thing
to me when I decided
552
00:26:45,052 --> 00:26:46,548
to become a surgeon with dyslexia.
553
00:26:46,553 --> 00:26:48,917
Yes, but it's not the same thing.
554
00:26:48,922 --> 00:26:52,121
Maintaining excellence in both
specialties is impossible.
555
00:26:52,126 --> 00:26:55,924
Expertise comes from repetition,
which is why this IR procedure
556
00:26:55,929 --> 00:26:57,159
is so tough.
557
00:26:57,164 --> 00:26:59,060
And trying to maintain
competency in both,
558
00:26:59,065 --> 00:27:00,228
it isn't enough.
559
00:27:00,233 --> 00:27:01,330
Okay, but I...
560
00:27:01,335 --> 00:27:03,466
Listen, I have to get back to this.
561
00:27:03,471 --> 00:27:05,772
Let's talk about it later, okay?
562
00:27:07,107 --> 00:27:08,674
Okay.
563
00:27:16,983 --> 00:27:19,515
You're not gonna believe this.
564
00:27:19,520 --> 00:27:21,183
What am I looking at?
565
00:27:21,188 --> 00:27:23,352
The Enhanced Dreams Instagram page.
566
00:27:23,357 --> 00:27:25,620
This surgery was live this morning.
567
00:27:25,625 --> 00:27:27,823
And that might even be Charli.
568
00:27:27,828 --> 00:27:30,625
At Enhanced Dreams,
dreams really do come true,
569
00:27:30,630 --> 00:27:33,495
as we give you nothing
but the hottest transformation.
570
00:27:33,500 --> 00:27:34,563
Right, Doc?
571
00:27:34,568 --> 00:27:35,999
- Oh, yeah.
- Look at all that
572
00:27:36,003 --> 00:27:38,500
beautiful liquid gold
the doctor's harvesting.
573
00:27:38,505 --> 00:27:40,235
That's human fat, which will be used
574
00:27:40,240 --> 00:27:43,472
to sculpt a gorgeous new rear end.
575
00:27:43,477 --> 00:27:45,511
Let me hear you say "thicc".
576
00:27:46,913 --> 00:27:48,643
They need to be stopped.
577
00:27:48,648 --> 00:27:50,846
- Patient was awake?
- Mm-hmm.
578
00:27:50,851 --> 00:27:52,981
She likely gave permission to film it.
579
00:27:52,986 --> 00:27:56,685
Maybe, but Enhanced Dreams
is run by a dermatologist,
580
00:27:56,690 --> 00:27:57,853
not a plastic surgeon.
581
00:27:57,858 --> 00:27:59,388
It's got to be illegal.
582
00:27:59,393 --> 00:28:01,390
Eh, you would think, but it's not.
583
00:28:01,395 --> 00:28:03,692
Anyone with a medical
license can perform
584
00:28:03,697 --> 00:28:05,494
cosmetic surgery in Georgia.
585
00:28:05,499 --> 00:28:08,830
Chalk it up to ridiculous things
that are legal in medicine.
586
00:28:14,608 --> 00:28:16,938
We got you, Charli.
We got you, we got you.
587
00:28:16,943 --> 00:28:18,306
We got you.
588
00:28:18,311 --> 00:28:19,775
She's stroking out.
589
00:28:19,780 --> 00:28:21,211
- Page Billie!
- Shouldn't we get a CT
590
00:28:21,215 --> 00:28:22,480
with contrast to figure out where?
591
00:28:22,484 --> 00:28:24,081
No time. It's localized
592
00:28:24,086 --> 00:28:25,485
to the left middle cerebral artery.
593
00:28:25,489 --> 00:28:26,954
That's the best we can give
Billie right now.
594
00:28:26,958 --> 00:28:28,525
Let's get her to IR.
595
00:28:41,401 --> 00:28:43,699
Nice to hear from you.
596
00:28:43,704 --> 00:28:45,701
So, you have news about the board seats?
597
00:28:45,706 --> 00:28:47,436
I do.
598
00:28:47,441 --> 00:28:50,339
Dr. Bell, we received
an accusation from, uh,
599
00:28:50,344 --> 00:28:52,874
your hospital about one
of our top candidates.
600
00:28:52,879 --> 00:28:54,843
Well, if you're talking about Porter,
601
00:28:54,848 --> 00:28:57,079
I gather there were some
ethics complaints against him,
602
00:28:57,084 --> 00:28:58,413
but I...
603
00:28:58,418 --> 00:29:00,149
assumed you were aware.
604
00:29:00,154 --> 00:29:01,550
No, this is new.
605
00:29:01,555 --> 00:29:02,985
Uh...
606
00:29:02,990 --> 00:29:06,855
the credibility of the source
is the issue.
607
00:29:06,860 --> 00:29:09,725
It came from the same person
who wrote your recommendation
608
00:29:09,730 --> 00:29:11,231
at Chastain.
609
00:29:13,233 --> 00:29:14,496
Dr. Sutton?
610
00:29:14,501 --> 00:29:16,231
Conflict of interest here
611
00:29:16,236 --> 00:29:17,933
is, uh...
612
00:29:17,938 --> 00:29:19,968
obvious. And it's...
613
00:29:19,973 --> 00:29:23,005
not a stretch to imagine
you helped motivate this.
614
00:29:23,010 --> 00:29:25,874
Well, I-I assure you, I did not.
615
00:29:25,879 --> 00:29:27,609
Sadly, that's hard to believe.
616
00:29:27,614 --> 00:29:29,344
So we can no longer offer you a position
617
00:29:29,349 --> 00:29:31,246
on the state medical board.
618
00:29:31,251 --> 00:29:32,914
The optics...
619
00:29:32,919 --> 00:29:34,583
could not be worse.
620
00:29:36,590 --> 00:29:38,658
Uh, thanks for the call.
621
00:29:43,464 --> 00:29:44,793
I reached the mom.
622
00:29:44,798 --> 00:29:46,562
She took Charli's son to Disney World
623
00:29:46,566 --> 00:29:48,230
while she had surgery.
624
00:29:48,235 --> 00:29:50,866
Apparently, Charli's desperate
for more followers.
625
00:29:50,871 --> 00:29:52,134
If she hits 200K,
626
00:29:52,139 --> 00:29:53,869
she can make cash, quit her job,
627
00:29:53,874 --> 00:29:55,305
and get a place for her son and her.
628
00:29:55,309 --> 00:29:57,205
So she decided to get
a Brazilian butt lift?
629
00:29:57,210 --> 00:30:00,208
Her mom said she's always coming
up with ideas to look better.
630
00:30:00,213 --> 00:30:02,343
She thinks that's how
she'll get more followers.
631
00:30:02,348 --> 00:30:04,012
No one could talk her out of it.
632
00:30:04,017 --> 00:30:05,547
Do they know how sick she is?
633
00:30:05,552 --> 00:30:06,882
Her mom does.
634
00:30:06,887 --> 00:30:08,817
Hasn't told the kid.
635
00:30:08,822 --> 00:30:10,923
Hopefully she won't have to.
636
00:30:14,761 --> 00:30:16,224
Hey, Billie, can we talk?
637
00:30:16,229 --> 00:30:17,859
Can it wait? I'm due in IR.
638
00:30:17,864 --> 00:30:20,163
No, it can't. I got a call from
the lieutenant governor saying
639
00:30:20,167 --> 00:30:22,668
you filed a complaint
against Robert Porter.
640
00:30:23,604 --> 00:30:25,134
That was supposed to be anonymous.
641
00:30:25,139 --> 00:30:27,736
Well, what was?
What the hell's going on?
642
00:30:27,741 --> 00:30:29,738
I can't... I-I can't think
643
00:30:29,743 --> 00:30:30,807
- about this right now...
- Well, look, look,
644
00:30:30,811 --> 00:30:31,940
whatever this is,
645
00:30:31,945 --> 00:30:33,609
I mean, they think
that I put you up to it,
646
00:30:33,613 --> 00:30:35,244
because you signed
my letter of recommendation.
647
00:30:35,248 --> 00:30:36,612
And now the state medical board
648
00:30:36,617 --> 00:30:38,847
is siding with Porter and...
649
00:30:38,852 --> 00:30:40,215
cutting me.
650
00:30:40,220 --> 00:30:43,085
Billie, we have a patient
waiting. Let's go.
651
00:30:43,090 --> 00:30:44,353
So?
652
00:30:44,358 --> 00:30:46,359
I've got to go.
653
00:30:56,400 --> 00:30:58,200
How'd your IR practice go?
654
00:30:59,600 --> 00:31:01,100
We'll find out.
655
00:31:01,868 --> 00:31:03,732
Well, don't worry.
656
00:31:03,737 --> 00:31:05,838
I know this anatomy well.
657
00:31:17,351 --> 00:31:20,249
It's heartbreaking that this
young woman put her life at risk
658
00:31:20,254 --> 00:31:21,850
for more followers.
659
00:31:21,855 --> 00:31:23,518
It was also to give
her son a better life.
660
00:31:23,523 --> 00:31:26,292
It's sad she believed this was
her best option to do that.
661
00:31:30,730 --> 00:31:34,300
Just at the takeoff to
the left middle cerebral artery.
662
00:31:37,804 --> 00:31:39,768
Come on, Billie.
663
00:31:39,773 --> 00:31:41,903
Dr. Sutton, you're turned around.
664
00:31:41,908 --> 00:31:43,609
You're in the right-sided circulation.
665
00:31:44,778 --> 00:31:46,493
I know where I am.
666
00:31:46,498 --> 00:31:48,327
The patient has left-sided weakness.
667
00:31:48,332 --> 00:31:50,207
We need to get to the
right side of the brain.
668
00:31:50,212 --> 00:31:51,232
She's confusing
669
00:31:51,237 --> 00:31:53,436
- the patient's symptoms.
- All of the patient's deficits
670
00:31:53,440 --> 00:31:55,038
were on the right, which
means the embolism
671
00:31:55,042 --> 00:31:56,643
has to be on the left.
672
00:31:58,911 --> 00:32:01,376
Neuroanatomy 101.
673
00:32:02,682 --> 00:32:05,283
Damn it. Where am I?
674
00:32:06,419 --> 00:32:07,915
What's happening?
675
00:32:07,920 --> 00:32:09,650
Looks like she's freezing up.
676
00:32:09,655 --> 00:32:12,191
She never loses focus like this.
677
00:32:13,292 --> 00:32:14,589
It's all right.
678
00:32:14,594 --> 00:32:16,162
We're almost there.
679
00:32:18,231 --> 00:32:22,430
Right here is the left anterior
cerebral artery.
680
00:32:22,435 --> 00:32:26,638
And here is the takeoff
to the middle cerebral artery.
681
00:32:28,775 --> 00:32:31,010
There you go, Billie.
682
00:32:33,713 --> 00:32:35,342
She found the embolism.
683
00:32:35,347 --> 00:32:37,979
And now they pull it out?
684
00:32:37,984 --> 00:32:39,113
Yeah.
685
00:32:39,118 --> 00:32:41,048
It's safer than breaking it up.
686
00:32:41,053 --> 00:32:43,117
She's gonna be okay now, right?
687
00:32:43,122 --> 00:32:45,924
If they got there in time.
688
00:32:55,067 --> 00:32:57,131
Thanks for having my back.
689
00:32:57,136 --> 00:32:59,271
Anytime.
690
00:33:11,751 --> 00:33:13,518
You okay?
691
00:33:15,822 --> 00:33:17,151
No.
692
00:33:17,156 --> 00:33:19,391
I'm furious with myself.
693
00:33:22,195 --> 00:33:23,891
Do you want to talk about it?
694
00:33:23,896 --> 00:33:25,964
Not really.
695
00:33:28,434 --> 00:33:31,499
But this is a clear example
of why you can't double-board
696
00:33:31,504 --> 00:33:32,904
in these two fields.
697
00:33:33,973 --> 00:33:35,336
I don't understand.
698
00:33:35,341 --> 00:33:38,172
My mind was a million miles away.
699
00:33:38,177 --> 00:33:40,575
Dr. Austin juggles multiple specialties.
700
00:33:40,580 --> 00:33:41,676
He's triple-boarded.
701
00:33:41,681 --> 00:33:43,449
Not in neurosurgery.
702
00:33:44,617 --> 00:33:48,149
This is as high-risk and complex
as any surgery gets.
703
00:33:48,154 --> 00:33:50,117
If you try and do this
and anything else,
704
00:33:50,122 --> 00:33:51,752
the result will be catastrophic.
705
00:33:51,757 --> 00:33:54,021
I rise to challenges.
706
00:33:54,026 --> 00:33:55,490
Okay? It's who I am.
707
00:33:55,495 --> 00:33:57,024
A challenge is good.
708
00:33:57,029 --> 00:33:58,793
A suicide mission is not.
709
00:33:58,798 --> 00:34:00,628
And in this case, the person you'd kill
710
00:34:00,633 --> 00:34:01,896
would be the one on the table.
711
00:34:01,901 --> 00:34:03,764
- But you haven't even g...
- Leela,
712
00:34:03,769 --> 00:34:07,201
you may need to ask yourself
why you are putting up mountains
713
00:34:07,206 --> 00:34:09,275
too big for anyone to climb.
714
00:34:11,911 --> 00:34:13,479
Is that your final answer?
715
00:34:15,882 --> 00:34:18,417
Honestly, it would be anyone's.
716
00:34:28,861 --> 00:34:30,562
Thanks again for your help.
717
00:34:46,478 --> 00:34:50,678
I had to tell Randolph
after what Beaumont said.
718
00:34:50,683 --> 00:34:52,046
I'm so sorry, Billie.
719
00:34:52,051 --> 00:34:53,948
I should have realized
this could happen.
720
00:34:53,953 --> 00:34:55,349
But it shouldn't have.
721
00:34:55,354 --> 00:34:57,118
You were promised confidentiality.
722
00:34:57,123 --> 00:34:58,520
And the lieutenant governor broke
723
00:34:58,525 --> 00:35:01,027
that promise. It's just outrageous.
724
00:35:02,628 --> 00:35:04,196
So what do I do now?
725
00:35:05,097 --> 00:35:08,300
You said you could prove
your charges against Porter.
726
00:35:09,702 --> 00:35:11,870
I can.
727
00:35:12,837 --> 00:35:15,635
But it means devastating
emotional repercussions
728
00:35:15,640 --> 00:35:16,937
for the other person involved.
729
00:35:16,942 --> 00:35:19,674
Oh, Billie, I understand.
730
00:35:19,679 --> 00:35:21,375
But if you don't,
731
00:35:21,380 --> 00:35:24,445
I fear the repercussions for you
could be far worse.
732
00:35:24,450 --> 00:35:26,881
Accusers destroy
the person accusing them.
733
00:35:26,886 --> 00:35:28,921
That's how it works.
734
00:35:36,200 --> 00:35:37,402
Jess.
735
00:35:37,800 --> 00:35:38,863
Oh.
736
00:35:38,868 --> 00:35:40,631
- Thank you.
- Oh.
737
00:35:40,636 --> 00:35:42,095
Thank you so much.
738
00:35:42,100 --> 00:35:44,030
I am just so happy
739
00:35:44,035 --> 00:35:45,698
that he's okay.
740
00:35:45,703 --> 00:35:48,034
That was really stressful.
741
00:35:48,039 --> 00:35:49,869
Oh, God, you would not believe
742
00:35:49,874 --> 00:35:52,472
things that people are saying
about me and Will.
743
00:35:52,477 --> 00:35:54,508
"Let's just hope the husband
is shooting blanks now
744
00:35:54,513 --> 00:35:57,311
so these two nitwits can't bring
a second child into the world".
745
00:35:57,316 --> 00:35:59,881
Will is fine. You'll have
plenty more children,
746
00:35:59,886 --> 00:36:01,347
- if you want them.
- Mm.
747
00:36:01,352 --> 00:36:03,016
In a couple of days, these vultures
748
00:36:03,021 --> 00:36:04,618
will be attacking someone else.
749
00:36:04,623 --> 00:36:06,486
Mm, I'm thinking of making T-shirts
750
00:36:06,491 --> 00:36:08,855
with the worst comments printed on them.
751
00:36:08,860 --> 00:36:11,124
Truth is,
752
00:36:11,129 --> 00:36:13,226
I feel like I kinda deserve it.
753
00:36:13,231 --> 00:36:15,261
You don't.
754
00:36:15,266 --> 00:36:16,767
Well, it's just...
755
00:36:17,869 --> 00:36:22,235
The only opinion of me that
really matters, besides Will's,
756
00:36:22,240 --> 00:36:23,540
is yours.
757
00:36:24,308 --> 00:36:26,073
- And I just hope that you're not...
- Scarlett,
758
00:36:26,077 --> 00:36:27,741
you are my sister.
759
00:36:27,746 --> 00:36:30,314
I love you, no matter what.
760
00:36:31,883 --> 00:36:35,482
I feel like there's always
a "no matter what" with me.
761
00:36:35,487 --> 00:36:38,818
You were great at anything
you put your mind to.
762
00:36:38,823 --> 00:36:42,155
The only thing I put my mind to
were boys and parties.
763
00:36:42,160 --> 00:36:44,657
And you never needed
anyone's approval but your own.
764
00:36:44,662 --> 00:36:47,260
And Mom told me I wouldn't
need so much attention
765
00:36:47,265 --> 00:36:49,129
if I just took a page out of your book.
766
00:36:49,134 --> 00:36:50,931
Oh, Scarlett.
767
00:36:50,936 --> 00:36:52,866
You are a ray of sunshine.
768
00:36:52,871 --> 00:36:55,535
And you bring it to Will,
and he loves you for it.
769
00:36:55,540 --> 00:36:57,804
Aw. But?
770
00:36:57,809 --> 00:37:00,173
But maybe nix the T-shirt idea.
771
00:37:00,178 --> 00:37:02,776
- Mm.
- No sense in feeding the trolls.
772
00:37:02,781 --> 00:37:05,478
And definitely a hard no
on backyard explosives.
773
00:37:05,483 --> 00:37:07,947
That's sound advice.
774
00:37:07,952 --> 00:37:10,988
We still don't know
if it's a boy or a girl.
775
00:37:12,000 --> 00:37:14,263
Well, if you must know...
776
00:37:14,268 --> 00:37:16,332
he's a little boy.
777
00:37:16,337 --> 00:37:18,067
I saw the weenie on the ultrasound.
778
00:37:18,072 --> 00:37:19,268
- What?
- Mm-hmm.
779
00:37:19,273 --> 00:37:20,970
- Scarlett.
- What?
780
00:37:20,975 --> 00:37:23,039
So why the party?
781
00:37:23,044 --> 00:37:24,741
Is that a serious question?
782
00:37:24,746 --> 00:37:26,410
Do you not know your sister?
783
00:37:29,484 --> 00:37:31,451
Hiya, honey.
784
00:37:37,125 --> 00:37:38,759
Hey.
785
00:37:40,161 --> 00:37:42,396
Can you squeeze my hands?
786
00:37:43,898 --> 00:37:46,996
Squeeze, squeeze, squeeze.
787
00:37:47,001 --> 00:37:48,865
Good.
788
00:37:48,870 --> 00:37:50,367
All right.
789
00:37:50,772 --> 00:37:52,235
What happened?
790
00:37:52,240 --> 00:37:53,736
Well, in a nutshell, the fat
791
00:37:53,741 --> 00:37:56,472
from your Brazilian butt lift
swam to your brain
792
00:37:56,477 --> 00:37:58,241
and it almost paralyzed you.
793
00:37:58,246 --> 00:38:00,247
Oh, my God.
794
00:38:01,816 --> 00:38:03,146
Oh, God.
795
00:38:03,151 --> 00:38:04,213
I feel like such an idiot.
796
00:38:04,218 --> 00:38:05,281
I shouldn't have done it.
797
00:38:05,286 --> 00:38:07,250
I just... I saw this thing on Instagram
798
00:38:07,255 --> 00:38:08,519
- and...
- Oh, we know it.
799
00:38:08,523 --> 00:38:10,520
Frustratingly legal and yet...
800
00:38:10,525 --> 00:38:12,359
criminally unqualified.
801
00:38:13,561 --> 00:38:17,427
They had these glamour shots,
and I just thought that...
802
00:38:17,432 --> 00:38:19,295
damn, if I could look like that...
803
00:38:19,300 --> 00:38:22,165
You could get more followers?
804
00:38:22,170 --> 00:38:23,800
We spoke to your mom.
805
00:38:23,805 --> 00:38:24,901
She knows?
806
00:38:24,906 --> 00:38:26,335
Yep.
807
00:38:26,340 --> 00:38:28,738
But she also knows
that you're gonna be okay.
808
00:38:28,743 --> 00:38:31,340
And Daniel? My-my son.
809
00:38:31,345 --> 00:38:33,277
He's probably so scared right now.
810
00:38:33,282 --> 00:38:35,650
It's up to you what you tell him.
811
00:38:36,050 --> 00:38:37,918
Thank you.
812
00:38:40,254 --> 00:38:43,290
Whew. So, how does it look?
813
00:38:45,226 --> 00:38:47,594
Sorry, how does what look?
814
00:38:50,364 --> 00:38:53,400
I hope it looks dope,
like, after all that.
815
00:38:55,770 --> 00:38:58,634
Well, when you are up and around,
816
00:38:58,639 --> 00:39:01,041
you can decide for yourself.
817
00:39:02,410 --> 00:39:04,173
Oh, can I have my phone, please?
818
00:39:04,178 --> 00:39:06,275
Yeah.
819
00:39:06,280 --> 00:39:08,044
People need to know about this.
820
00:39:08,049 --> 00:39:10,684
Uh, I got to grab Gigi.
I'll catch you guys later.
821
00:39:11,452 --> 00:39:13,186
Thank you.
822
00:39:18,159 --> 00:39:21,224
People, I almost died, y'all.
823
00:39:21,229 --> 00:39:22,358
But I didn't. I didn't.
824
00:39:22,363 --> 00:39:23,860
Okay, so I'm here to tell you,
825
00:39:23,865 --> 00:39:26,029
if you are going to get a BBL
826
00:39:26,034 --> 00:39:27,830
or any other procedure,
827
00:39:27,835 --> 00:39:31,200
make sure your doc knows what
the hell they're doing. Okay?
828
00:39:31,205 --> 00:39:33,436
So, sit back, relax
829
00:39:33,441 --> 00:39:37,607
and let me tell you
my crazy story, okay?
830
00:39:37,612 --> 00:39:39,842
Now, I am an optimist by nature,
831
00:39:39,847 --> 00:39:42,545
but I'm beginning to think
we are screwed as a species.
832
00:39:42,550 --> 00:39:45,181
Social media is gonna be our meteor.
833
00:39:45,186 --> 00:39:46,616
Wow.
834
00:39:46,621 --> 00:39:47,946
You sound like an angry old man
835
00:39:47,951 --> 00:39:49,653
on the wrong side of the generation gap.
836
00:39:49,657 --> 00:39:51,187
Oh, wow.
837
00:39:51,192 --> 00:39:53,823
Angry, yes. Old, no.
838
00:39:53,828 --> 00:39:55,358
Mm, come on, Dr. Austin.
839
00:39:55,363 --> 00:39:56,892
Disco didn't destroy society.
840
00:39:56,897 --> 00:39:59,428
Without social media,
there would be no, uh,
841
00:39:59,433 --> 00:40:00,663
Arab Spring.
842
00:40:00,668 --> 00:40:02,832
Systemic racism might've
never been exposed.
843
00:40:02,837 --> 00:40:04,901
What about that girl that
saved herself by learning
844
00:40:04,906 --> 00:40:06,035
the "help me" gesture
845
00:40:06,040 --> 00:40:07,403
- on TikTok?
- Oh. Right.
846
00:40:07,408 --> 00:40:09,172
And all the swag you get
847
00:40:09,177 --> 00:40:11,440
when your followers leap up.
848
00:40:11,445 --> 00:40:13,643
Who follows you?
849
00:40:13,648 --> 00:40:14,881
And why?
850
00:40:18,819 --> 00:40:21,317
* That bitch, even
when I'm crying crazy *
851
00:40:21,322 --> 00:40:24,287
* Yeah, I got boy problems,
that's the human in me *
852
00:40:24,292 --> 00:40:26,822
* Bling, bling, then I solve
'em, that's the goddess *
853
00:40:26,827 --> 00:40:28,791
* In me, you could've had a bad bitch *
854
00:40:28,796 --> 00:40:31,128
- * Noncommittal, helped you with your career *
- Dr. Chu?
855
00:40:31,132 --> 00:40:33,296
- Man's got moves.
- * Just a little *
856
00:40:33,301 --> 00:40:35,265
- 50,000 views?
- * You're supposed to hold me down *
857
00:40:35,269 --> 00:40:36,599
* But you're holding me back *
858
00:40:36,604 --> 00:40:38,467
- Wow.
- Yeah,
859
00:40:38,472 --> 00:40:41,137
they just seem to be
climbing by the second.
860
00:40:41,142 --> 00:40:43,639
Have you no shame?
861
00:40:43,644 --> 00:40:46,008
* Don't text me,
tell it straight to my face *
862
00:40:46,013 --> 00:40:48,211
* Best friend sat me down in the... *
863
00:40:48,216 --> 00:40:49,345
Whatever you do, Nolan,
864
00:40:49,350 --> 00:40:51,418
just do not get a BBL.
865
00:40:58,760 --> 00:41:00,527
Why would I?
866
00:41:08,202 --> 00:41:09,699
Hey.
867
00:41:09,704 --> 00:41:11,567
- Thanks for collecting her.
- Oh,
868
00:41:11,572 --> 00:41:13,269
my pleasure.
869
00:41:13,274 --> 00:41:15,571
It's amazing how well she plays.
870
00:41:15,576 --> 00:41:17,873
I swear, most kids
are so hooked on devices,
871
00:41:17,878 --> 00:41:19,008
they never learn how.
872
00:41:19,013 --> 00:41:20,142
Well, she won't be using any
873
00:41:20,147 --> 00:41:21,378
until at least college.
874
00:41:21,382 --> 00:41:22,979
Good luck with that.
875
00:41:22,984 --> 00:41:24,380
Daddy, look.
876
00:41:24,385 --> 00:41:27,016
Oh, what's Mr. Giraffe doing now?
877
00:41:27,021 --> 00:41:28,517
Can't you tell?
878
00:41:28,522 --> 00:41:30,286
Mm...
879
00:41:30,291 --> 00:41:33,756
He didn't pick up his toys,
so you sent him to his room.
880
00:41:33,761 --> 00:41:34,824
Zoo.
881
00:41:34,829 --> 00:41:36,892
Mr. Giraffe lives in the zoo.
882
00:41:36,897 --> 00:41:38,361
Right.
883
00:41:38,366 --> 00:41:42,098
Let's spring him from his cage
and go get your "carbon-ye-ara".
884
00:41:42,103 --> 00:41:43,599
Yes.
885
00:41:46,107 --> 00:41:47,470
Bye.
886
00:41:47,475 --> 00:41:49,205
- Bye. - Bye, Gigi.
- Bye.
887
00:41:49,210 --> 00:41:50,873
Mwah!
888
00:42:08,162 --> 00:42:09,763
I won't hurt you.
889
00:42:11,733 --> 00:42:13,797
I'm here to warn you.
890
00:42:14,302 --> 00:42:16,799
Withdraw the complaint,
say you lied for Dr. Bell,
891
00:42:16,804 --> 00:42:18,472
and you'll never hear from me again.
892
00:42:20,908 --> 00:42:22,238
You're scared.
893
00:42:22,243 --> 00:42:24,473
Withdraw it
894
00:42:24,478 --> 00:42:26,547
or I will destroy you.
895
00:42:28,716 --> 00:42:30,717
You can't destroy me.
896
00:42:31,886 --> 00:42:35,284
You killed a part of me
I can never get back.
897
00:42:35,289 --> 00:42:37,219
You can never hurt me again.
898
00:42:37,224 --> 00:42:39,755
Don't count on it.
899
00:42:39,760 --> 00:42:41,624
I'm fully aware of your mistakes.
900
00:42:41,629 --> 00:42:43,392
I'll expose all of them.
901
00:42:43,397 --> 00:42:47,129
And I will take away the
very thing you love the most,
902
00:42:47,134 --> 00:42:48,468
your career.
903
00:43:36,400 --> 00:43:41,900
- Synced and corrected by Firefly -
- www.addic7ed.com -
64095
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