All language subtitles for The Resident 5x19 - All We Have Is Now (English)

Previously on The Resident...

So that means we're going

- to have to talk about hospice.
- Don't. Not yet.

Oh, you can have hospice for months.

It's a great service that most people

wait too long to use.

I wouldn't mind a kid a lot like you.

You want me to be your sperm donor?

Thank you, Emily.

We'll pass this up
to the complaint division

and discuss the status
of the investigation.

How is she?

Well, I'll let her tell you herself.

- Hey, Carol.
- Conrad.

Come and meet my hospice nurse.
This is Janaya.

Hello, Dr. Hawkins. We met years ago,

when my father was
a patient before he passed.

Darius Purcell.

Yeah, I remember him.
You were in nursing school then.

Now she takes care

of dying folk like me.

Mom.

AJ gets prickly when I use the "D" word.

Dr. Austin, I need you

to help me review some med dosages

and update Carol's charts

before I go.

Hey, I'll be right back, Mom.

Mm.

Anything I can do for you?

Oh, I have everything I need.

It's AJ I'm worried about.

He wanted me in hospice,
but now he can't seem

to face what we both know is ahead.

This is very hard for him, Conrad.

Well, of course it is. He loves you.

And he has been in the business
of saving people

for a long time.

I'm a realist.

I have one clear goal.

I want all the time I have left
to spend with him.

And no pain. That's all.

But he can't seem to stop trying to fix

what can't be fixed.

I'll talk to him.

Good news, Dr. Devi.

Your body's responding well
to the hormones.

Your follicles are maturing well.

We should be able to retrieve
the eggs within the week.

I can't believe this is all happening.

We hope. But a first-time course of IVF

- only has a 33% success rate.
- Dr. Devi is correct.

It's important to manage
your expectations, Padma.

The path to motherhood
is not always an easy one.

I know, I know. I just...

- I want this baby so badly.
- It's all I want for you, too.

Once we have the eggs from Dr. Devi,

we can fertilize them and choose

the viable embryo
to be implanted into you.

Uh, one last question:
will your donor sperm arrive

- in a test tube or...
- Oh, no, no, my donor's here, in the hospital.

- He's a, he's a doctor.
- Great.

And he is available to come in
during the egg retrieval

so we can create embryos
as quickly as possible?

I hope. He has a personal situation

which makes it a bit complicated.

Yeah, if he's, um, unavailable
due to a family emergency,

can we... can we wait?

I'm afraid not. In that instance,

we would have to freeze the eggs.

What's wrong?

I haven't been able to reach
AJ yet to finalize details.

- What details?
- Just little things.

You're blinking.

Too many blinks.

Come on, that's your tell. Talk.

AJ hasn't fully committed
to be the sperm donor yet.

We just lied to Dr. Johnson?

Okay, calm down.
She's a doctor, not a pujari.

Have a little faith. The universe...

- has a way of working things out.
- No.

You need to work this out.

The universe is not paying attention.

Talk to Dr. Austin today.

Okay? If he's not all in,
you need to know.

You're so bossy.

Okay.

Okay.

Hey.

My mother is taking
escalating doses of morphine,

and we don't even know
her kidney function.

You think maybe I should
switch to hydromorphone?

Uh, that depends.

Are you worried about
long-term complications

or focused on keeping her
comfortable for now?

I-I don't think there's
any harm in running labs

to check her kidney function.

Well, there's no harm,
but I think the key

is to ask yourself,
is there any benefit?

Will this bring her
more comfort or less?

Look, I-I know there's no fix.

I-I know where this is going,

I just want to spend as much
time with my mother as I can.

There's nothing wrong with that, man.

Of course not, but your mom
is worried about you.

More than anything else.

She's worried about
how you're taking this.

She told you that?

What was that? Mom!

Oh, she's seizing.

Let's get her on her side.

- Hospice left you lorazepam, right?
- Yeah, yeah, yeah.

It's in the, uh,
it's in the medicine cabinet.

Okay.

Hey, Mom, you're gonna be all right.

So, tell me what happened
on your camping trip.

I was heading to the river
for a morning dip

when I caught my big toe on a root.

I felt a pop in my ankle
and I went down.

- And you were barefoot?
- Bare everything.

- Oh.
- We're not nudists.

We were earthing.

Reconnecting to Earth's
electromagnetic field

through bare skin.

Sounds silly, but it works.

101.2.

Patient is spiking a fever.

That can't be from his ankle.

BP is 83/50.

- Um, okay, uh...
- And dropping.

- Uh, it's...
- Dr. Pravesh?

What's the problem?

BP is dropping rapidly.

Dr. Pravesh is here
to take a closer look.

Do you hear that ringing?

- He's going down.
- One liter of LR

and get that norepi pump
next to his bedside.

Let's go.

Sync and corrections by btsix
www.addic7ed.com

I think it's best
to call the hospice nurse.

Have her come back and take over.

Yeah, but what if it's a brain bleed?

We know the cancer has spread
to her brain,

so then that wouldn't be unexpected.

She could be hyponatremic.

She hasn't been taking in
enough electrolytes.

- AJ...
- No, if there's any chance

I can get her a few extra weeks,
a few extra days,

even a few extra hours...

Any intervention now could cause harm.

Well, I got to try.

As an investigator
for the state medical board,

my job is to weigh
the merits of the case.

And this case is clear.

Emily Benesch was irreparably
injured by Dr. Bosley.

When I reviewed common outcomes
for the surgery in question...

Spinal, neurological, high risk...

It appears Miss Benesch's outcome is...

is not at all unusual.

Paralysis is not unusual?

I mean, surely you know
how ludicrous that sounds.

Did you even speak with Emily?

The goal of my investigation
is to remain impartial

and unbiased.

Right, well, you only took
statements from experts

provided by the defendant.

You've become emotionally
involved in this case, Dr. Bell.

It's blinding you to the reality

that what happened
to this patient, while tragic,

is not the fault of her surgeon.

This case is closed.

Bryce came in here with
a pulled tendon in his ankle,

and has developed fevers,
hypotension requiring pressors

and increasing agitation.

The broad-spectrum antibiotics

haven't really helped
with what's going on.

This muscle spasm happened
in the past hour,

so I checked his electrolytes,
and they're all in normal range.

His-his thyroid is normal, too.

Have you been doing

any intense exercising lately?

I meditate, go for walks.

We've been working
through the Kama Sutra.

Sounds like quite a regimen.

Percussive myoedema.

Touch your chin to your chest for me?

The stiff neck is new.

Bryce, we're gonna run some tests

to check for an infection
in your central nervous system.

And we're gonna start
with a lumbar puncture, okay?

There you go. Breathe.

Good, good.

Just breathe.

There you go.

- I almost got it.
- Breathe.

I brought kale and apple.

Oh, my God. What are you doing to him?

I'm needle-phobic. I can't watch.

- Here.
- No, get that away from...

I feel sick.

He really doesn't like that drink.

It's triggering a physical reaction.

He's afraid of it.

Hydrophobia.

Bryce, we have to test you for rabies.

Just one second, love.

I got you.

I got you, I got you.

I know, I know. I got you.

Just a little bit. Just a little bit.

- Mm.
- It's okay.

She's not getting enough calories.

I've tried five other flavors
and she wouldn't touch them.

But this one, chocolate raspberry chia,

I think this is the one.

Uh, you might want
to stick it in the freezer.

She just fell asleep.

She could be tired from the pain meds.

And I know that also affects appetite.

Or her body is requiring less energy.

Less input, less output

as she begins to enter
a hibernation state.

Dr. Austin, I'm not just here
for your mother.

I'm here for you, too.

So, if you have any questions...

How much longer does she have?

Could be a week, or a few days.

Her metabolic functions will be telling.

But she'll also give us signs as well.

She may want to open up and start

to talk about things
she's never discussed before.

She may get a burst of energy.

We call that "planes,
trains and automobiles."

If your mom starts
making plans for a trip,

that usually means she's ready to go.

I don't know how you do it.

You know, your job
seems incredibly hard.

And being a surgeon is easy?

I can solve problems with a scalpel.

You know, I can find a cure.
There's always an answer.

But waiting for death to come

a-and not trying to do
anything to stop it, I don't...

I don't know how to do that.

All you have to do
is follow your mother's lead.

He's positive.

- Bryce has rabies.
- Rabies?

But that's so impossibly rare.

The odds of a doctor seeing
a rabies patient over the course

of their career is one in 325 million.

O-Okay, we know the rabies virus spreads

to the brain through the nerve cells,

- and once it's there...
- It multiplies rapidly,

causing severe inflammation
in the brain and the spine.

It's 99.9% fatal if it's not
treated almost immediately.

Only 11 patients have survived.

Clearly the odds
aren't in Bryce's favor,

but people have been saved before.

So, now it's all about
when Bryce contracted the virus.

Uh...

- What?
- During intake,

he told me that he went camping.

Naked. No tent, no sleeping bag.

It's some kind of an Earth-love thing.

He could've been bitten
by a bat and never noticed.

I wish you told us this sooner.

I didn't think...

I'm sorry, I screwed up.

Let's find the bite.

The further away
from the central nervous system,

the longer it takes the virus
to reach the brain, okay?

Every second counts.

Why is he being tied up?

Bryce never hurt anyone.

You're making him feel claustrophobic.

I know it's hard to see him like this,

but rabies can cause aggression.

It's safer for everyone,
including Bryce.

We're gonna give him lorazepam

- to relax him, okay?
- Bryce, we're looking for a bite.

It may be so small, like a scratch,

something you wouldn't
have even noticed.

I don't know. I don't know, I...

Bryce, tell me, how do you sleep?

What do you mean? With my eyes closed.

He means back, side,

- stomach?
- Side.

- Okay.
- Let's go.

All right, here.

There's some puncture marks.

We need to get as much HRIG as possible

into this infected area
beneath the bite.

Bryce, we're gonna give you
a series of injections.

A vaccine and some immunoglobulins.

We're gonna repeat them every 12 hours.

You're gonna get pretty sore.

Those needles are huge.

And if he's already sick,

- then why are you giving him a vaccine?
- Janice.

We're trying to stop the virus

from spreading to his nervous system.

If we can slow
the progress of the virus,

then we have a chance at treating him.

That'll work? You'll cure him?

If he got here in time.

Oh, God.

No, I-I... I can't...

I can't handle this. I...

I can't watch him get worse and worse.

Oh, my God.

The board lied.

Promised the patient
a fair investigation.

Instead, case closed, no further review.

Unbelievable.

So I did more investigating myself.

And the names of the same
five doctors, including Bosley,

come up again and again.

These are career bad apples
with multiple complaints

of the worst kind.

You remember that surgeon
they called Dr. Death?

Of course. He maimed
and killed patients in Texas.

His colleagues knew it.
They took it to the state board

and the state board did nothing.

But he got caught.

When someone leaked
the story to the press.

There you are.

I've been texting you nonstop.

I know. I got your 5,000 messages.

Don't worry, I didn't call AJ.

I heard about his mom and
I'm respecting their privacy.

Good.

Okay, so... next steps?

We call Dr. Johnson and we tell
her we're freezing the eggs.

I'm not willing to give up
on this cycle of IVF just yet.

It's not giving up.

A lot of people freeze their eggs.

They do it because the timing

of making a baby is just not right.

Last week, I went to the farmers' market

and I got bagels.

Okay? They were fresh
out of the oven, perfect.

But I didn't think I'd be able
to eat them all in time

before they went stale, so I froze them.

And guess what happened the next day?

You microwaved one and ate it?

It wasn't the same.

Padma,

that is a ridiculous metaphor,

and you cannot expect a donor
to just fall into your lap.

It is really hard for me to talk
to you when you get like this.

- Get like what?
- Overly Logical Leela.

Trust the universe. No freezing.

He snapped the restraint.

Push two of lorazepam
and five of haloperidol.

On it.

We're treating him too late, aren't we?

I hope not.

This virus is a terrible way to die.

Hey. What are you doing on your feet?

Dust inflames my sinuses.

I thought I told you last night.

You need a haircut.

Well, you also called me Dad,

so I figured I would let it ride.

And come on, you really should
get back in bed, Mom, come on.

Okay? Come on.

Janaya said your peach tree
was blooming.

I'd like to see it.

Okay.

We'll get you in the wheelchair

and we'll move you to the window.

No, son.

Hear my words. I feel good.

I want to go outside.

Okay.

We'll make it a field trip.

All right, let's do it.

So far, I've identified

two major hurdles in rabies protocols.

We have antiviral effectiveness
and neuroprotection.

So once the virus enters

his spinal cord or the brain,
the antivirals are ineffective.

The meds can't pass through
the blood-brain barrier.

- Patient dies.
- So, what if we made

- the barrier more porous?
- How?

Something I learned in clinical trials.

Some brain cancer studies
show that mannitol

can actually poke holes in the barrier

- so that the chemo can get in.
- Yeah, poke enough holes

in the blood-brain barrier and
the antivirals can seep through.

That's an incredible long shot.

And it doesn't explain how we preserve

the nervous system
long enough for it to work.

So we need to figure out
a way to cool him down

without heavy sedation.

What if we lower his temperature
from the inside out?

We place an IV cooling probe
in a blood vessel.

Warm him from the outside

with blankets and meds for shivering.

So we take the existing rabies protocol

and tweak it just a bit.
I mean, it could work.

I mean,

it has never been done before.

This is completely hypothetical.

And the minute Bryce was bitten,

hypothetical became his only chance.

- Thanks for coming.
- Flattered you remembered me.

You wrote that "Dr. Reality Star" piece.

I framed it.

That's kind of you, since it was, uh,

shall we say, a balanced profile?

Well, I appreciated your honesty.

- That's why I called you.
- Look, we've sniffed around

the medical board's incompetence
many times before,

but without any proof,
we never get anywhere.

I have case files.

And patients that all
are willing to talk.

And I thought if you published
their stories...

The board is appointed by the governor,

approved by the state senate.

You understand that, by doing this,

you'll be rocking a very big boat.

Oh, yeah, it's an ocean liner.

You know, all doctors
benefit from the shield

the white coat provides.

And I have, too.

Malpractice breaks
our oath to do no harm,

but it also destroys the public
trust in even the best doctors.

And the-the bad ones are few.

But they need to be weeded out.

And the guard dogs need to be reminded

of who they're meant to protect.

You mind if I record this?

I'm counting on it.

Heavenly.

You have a green thumb.

Well, I have a well-paid landscaper.

You've got your career,
your beautiful home,

your well-paid landscaper.

Is that all you need?

Well, if-if you're inquiring
about my dating life,

I-I assure you, it's-it's quite robust.

Dating is fine.

But you have to open
yourself up to love.

What about a family?

Bah.

Don't you worry about me, Mom.

- Mm.
- I'm gonna be okay.

I want you to be more than okay.

You know what we need?

A trip to Butter Bean Beach in Savannah.

We haven't been in so long.

Yeah, I don't think
we can manage that, Mom.

I've turned a corner, AJ.

We'll bring home a pile of shells.

Come on, baby. Let's go.

Mom, you... You okay? Need some water?

Can you get me back inside?

Yes, yes, yes, yes.

Rabies.

Crazy, huh?

I heard you did the intake.

More like blew the intake.

I'm trying to convince myself

that it wasn't what will
kill him because no matter what,

too many days had passed since the bite,

and he came in too late.

All right.

Temperature probe is set.

We're gonna start
cooling you down now, okay?

In order to protect your airway

we're gonna intubate you
with a breathing tube.

And you'll enter
a light hibernation state.

You'll feel drowsy

and your breathing
and heart rates will fall.

Like a bear. Love bears.

Yeah, like a bear.

But we need to keep you awake
as long as possible. So,

Dr. Bonner is gonna sit with you,

and she's gonna perform
serial neurochecks.

Basically, that just means
she's gonna talk to you

and keep you awake. All right?

Listen, we-we were just outside, right?

- She-she was lucid, she was happy...
- Remember what I said.

At the very end, patients can rally

and have their best day in a long time.

Your mother is dying. Maybe today,

maybe tomorrow or the next day.
We don't know when.

She is accepting, no longer fighting.

That is a huge win.

Now, Dr. Austin, it's your turn.

What-what should I do?

Don't burden her with your grief.

Honor all that she is and has been.

Say any words left unsaid.

The last thing they lose
is their hearing,

so talk to her, if you wish.

Hey, Ma.

You know, I don't know...

if I've ever said thank you enough.

Everything that I have become...

is because of you.

I think all this time

I've been afraid of losing you.

But these last couple of days,

you have shown me that

I can never lose you.

And...

you will not lose me.

'Cause I will be here by your side.

I'm not gonna leave you.

We've done all this...

and it looks like
Bryce is gonna die anyway.

Should we have already quit?

You're tired.

You haven't slept in days.

Come here.

How's Padma?

Depressed about AJ.

Feeling the loss of this chance.

But she'll understand
the story is just beginning.

She'll come around to freezing the eggs.

Hmm.

What if I offered to be the sperm donor?

You can't be serious.

Why not?

Doesn't it solve everyone's problems?

Wouldn't it help us, too,

in the end?

No, Devon.

My egg and your sperm
would make our baby.

We couldn't give that baby away.

Well, I agree it would be
complicated, but hear me out.

We would be the-the fun
uncle and auntie.

Everybody wins, especially the kid.

You're tired.

I'm going to have to
believe that because this is

- a truly awful idea.
- Why?

Because I couldn't handle that.

And I'm utterly astonished that you can.

It puts my sister between us
in a bizarre way.

It affects my relationship
with her profoundly,

and with the kid, and with you and me.

Can't you just discuss it with her?

No.

I don't want to talk about
any of this at all.

You like music?
You have a favorite band?

Whoa, whoa, whoa, whoa.

Stay with me. Uh, how about
I try to guess what it is?

Grateful Dead?

Okay, um, how about Phish?

You seem like a Phish guy.

Oxygen is dropping.

The vent's starting to take over.

Page Pravesh and Hawkins.

Let them know he's got signs
of papilledema.

Increased pressure in the brain.

I think we need neuro right away.

Good call. Not very many doctors

would have caught it off of
such a subtle finding.

Can you give him
the extraventricular drain?

We can, but there's a limit to
how much CSF fluid he can lose.

If the pressure shoots up
too high, too fast...

I'm not sure I'll be able to stop it.

This patient is young,
otherwise healthy.

He's got good brain plasticity.
No signs of herniation.

So you're saying we risk the EVD.

I am.

We push ten milligrams of ketamine

and midazolam to drop his
temperature by two more degrees.

Okay, let's do it.

Mom?

Devon.

What?

He's getting better.

His antibody titers are rising.

His body's fighting this infection.

His intracranial pressure
is in normal range.

This is amazing.

We won't know what deficits
he'll have until we

bring him out of the
hypothermic state, but...

these are really good signs.

Okay, uh, we start slow.

We raise his core body temperature up

half a degree at a time until
he regains consciousness.

Frank, how's the morning treating you?

How dare you go to the press?

You've had it in for other doctors

from the moment you set foot
on our board.

Not true. I love doctors. Good doctors.

You think I can't get a story out

to counter the one you leaked?

You want to start a media war,
be my guest.

And we'll be asking
the governor to relieve you

of your position.

Enjoy your little victory
while it lasts.

No, it's our little victory, Frank.

Bad doctors will now be
brought to justice.

That's what we all wanted, right?

That's the job.

Leela.

What's this?

An apology.

I've had time to think.
Freezing is the right option.

It's also the only option.

Apology accepted.

I would have loved to find
another donor.

A doctor or a nurse,

or just a nice guy hanging around.

You're so lucky to have found Devon.

You have no idea, Leela.

I know he's not perfect, but...

but he's gonna make
a great father one day.

And you'll never have to wonder
about who's gonna be

part of your baby.

If you ever decide
to have a family, that is.

You'll find a new donor. Someone great.

When the time is right.

And he's back.

Welcome back, buddy.

Welcome back. I'm Kimberly Gund...

- Shh!
- Joined now by Dr. Randolph Bell,

Chastain Memorial surgeon
and now former member

- of Georgia's State Medical Board.
- Thank you for having me.

There's quite a scandal unfolding.

Lack of oversight.

Doctors who should lose their licenses

are still practicing.

The Board doing nothing
to protect the patients

- they are tasked to protect.
- Oh, it doesn't end there.

The governor and politicians
all over Georgia,

who are supposed to make sure
that the Board does its work,

are bought and paid for
by every single entity

that stands to lose
in a malpractice suit.

And there are many.

Hospitals, doctors, insurance
companies; the list is long.

- And it is full of deep pockets.
- Finally!

The medical industrial complex
gives more money

than any other single donor,
including the NRA.

It just has to stop.

I understand only 2%
of all malpractice cases

are ever reviewed
by the State Medical Board.

Break down for us, if you will,

how everyday citizens are
supposed to get the attention

- of the Board.
- Well, that's at the very - heart of this, isn't it?

Because most people don't know
that the State Medical Board

is there to protect patients.

Who knew?

He just called out
the whole Medical Board.

He just called out
the freaking governor.

That's my man.

You're tracking much better, Bryce.

And you have some intentional movement

in all four of your limbs.

And it may not seem like it yet,

but that is monumental.

The virus did a number
on your nervous system,

but you just beat one of
the most fatal diseases

- on the planet, man.
- Yes, you did.

And you're a young guy
with a young brain

with the ability to rewire itself.

I spoke to the rehab facility.

They're gonna roll out
the red carpet for you, Bryce.

You're a medical celebrity.

You know, people are saying
you ought to have

a whole wing dedicated
to this success story.

The Hawkins-Pravesh Rabies
Treatment Facility.

You mean the Pravesh-Hawkins Facility.

Ha-ha, I like hers better.

But honestly, if I never see
another rabies patient again

it'll be too soon.

Excuse me a sec, guys.

Congratulations. I'm so proud of you.

It was a team effort.

So, uh...

- are things weird between us?
- Not weird.

And we don't even have to discuss it

because Padma agreed
to freezing the eggs.

Oh.

I thought you said
her biological clock was ticking.

What can I say?

She hit snooze.

You know my sister.

Hmm.

Devon, did you really want
to father my sister's child?

No, I-I...

I don't know, I just...

I don't know, I just want
to help in any way I can.

I have to get to surgery.

Congrats again on your patient.

Hey.

- Look at that.
- Italian. Gigi's favorite.

And she insisted
it was your favorite, too.

Of course. Come on in.

- Hey.
- This is for you, Dr. Austin.

I'm sorry about your mommy.

Oh, thank you, Double-G.

Oh, I really appreciate it.

All right, you guys come on in.

Oh, these flowers are
so nice. Thank you.

Everyone at Chastain misses you.

I feel that.

I'm not ready to come back yet.

You know, I...

I'm used to checking on her.

You know, listening for her voice,

for her every move.

Now it's just silent.

And I'm all alone.

I could lend you Gigi.

Daddy!

Daddy needs a break. I'll pick you up in

say, what, about a week?

What do you say, Uncle AJ? Yeah?

- Are you nervous?
- Why would I be nervous?

Because it's hatch day.

Time to find out
if you're a good chicken.

Dr. Austin.

I didn't expect to see you here.

I'm so sorry about your mother.

Me, too. How are you?

Grieving.

It's gonna take some time, right?

But it's time that a woman...

women going through IVF

cannot afford to waste.

So, Padma, if it's not too late,

I would like to be your sperm donor.

And you didn't think
the universe would come through.

Yes. Yes. Yes!

But there is a condition.

Now that I'm alone in the world,

I realize I-I don't like being alone.

So if we're going to do this,

I don't want to just be a donor.

I've got to help you raise this kid.

I want to be a father.

Sync and corrections by btsix
www.addic7ed.com