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These are the user uploaded subtitles that are being translated: 1 00:00:16,976 --> 00:00:18,324 Previously on The Resident... 2 00:00:18,348 --> 00:00:19,926 Palliative care doctors will 3 00:00:20,079 --> 00:00:21,245 treat your symptoms 4 00:00:21,338 --> 00:00:23,053 and make sure you live your best life. 5 00:00:23,078 --> 00:00:26,553 And this will give us more time to do the things that we love together. 6 00:00:26,578 --> 00:00:30,483 I've been short-listed for a seat at the state medical board. 7 00:00:30,508 --> 00:00:31,732 That's wonderful, Randolph. 8 00:00:31,757 --> 00:00:35,334 I want this baby to be 100% me. 9 00:00:35,359 --> 00:00:38,538 And since we're identical twins, I was wondering, 10 00:00:38,563 --> 00:00:40,488 would you give me one of your eggs? 11 00:00:40,513 --> 00:00:42,548 - Are you in trouble? - No. 12 00:00:42,567 --> 00:00:44,975 I'm fully in control of my past, present, 13 00:00:44,995 --> 00:00:47,161 and to some extent my future. 14 00:00:47,831 --> 00:00:49,646 First... 15 00:00:49,666 --> 00:00:51,891 we sterilize the tweezers. 16 00:00:52,062 --> 00:00:54,393 Don't burn yourself, Mr. Soriano. 17 00:00:54,412 --> 00:00:57,580 Ever inspired by your confidence, Jordan. 18 00:00:59,798 --> 00:01:03,903 Now we use our sterilized tweezer to place four 19 00:01:03,996 --> 00:01:07,348 different antibiotics. 20 00:01:07,500 --> 00:01:09,091 Bingo. 21 00:01:09,185 --> 00:01:12,094 It'll take at least 24 hours for us to see 22 00:01:12,247 --> 00:01:15,445 which antibiotics fights off the bacteria. 23 00:01:15,470 --> 00:01:18,079 And that is just like a real clinical trial. 24 00:01:18,469 --> 00:01:21,011 Progress is incremental. 25 00:01:21,031 --> 00:01:22,864 But that's the only way for us to figure out 26 00:01:23,015 --> 00:01:25,349 which treatments work to heal people. 27 00:01:25,368 --> 00:01:26,484 Like me. 28 00:01:26,509 --> 00:01:30,375 So you're the petri dish? 29 00:01:30,400 --> 00:01:32,069 - Ew. Gross. - No, no, 30 00:01:32,094 --> 00:01:35,420 Jordan is right, isn't he, Dr. Pravesh? 31 00:01:35,445 --> 00:01:39,686 Well, we have more scientific terms for it, 32 00:01:39,711 --> 00:01:43,622 but, yeah, your teacher is a straight-up petri dish. 33 00:01:44,901 --> 00:01:46,906 But a very brave one. 34 00:01:46,931 --> 00:01:48,811 The risks are high, 35 00:01:48,979 --> 00:01:50,720 but just think of the potential rewards. 36 00:01:50,815 --> 00:01:53,240 Scurvy, polio, diabetes. 37 00:01:53,392 --> 00:01:56,911 All of those are treatable, even curable 38 00:01:57,062 --> 00:01:59,453 because of clinical trials. 39 00:01:59,478 --> 00:02:03,891 So today, class, please listen to your sub, 40 00:02:03,916 --> 00:02:05,586 read chapter four 41 00:02:05,737 --> 00:02:09,423 while I will go to Chastain Memorial Hospital 42 00:02:09,650 --> 00:02:12,167 so Dr. Pravesh can give me 43 00:02:12,320 --> 00:02:15,245 my first infusion of a potentially 44 00:02:15,264 --> 00:02:18,599 life-saving drug for my lung cancer. 45 00:02:18,826 --> 00:02:23,178 It could be a cure or it could be something else. 46 00:02:23,331 --> 00:02:26,014 That is the beauty of experimentation. 47 00:02:26,109 --> 00:02:29,276 We only know once we've taken a chance. 48 00:02:33,432 --> 00:02:36,150 All right, let's chase that last dose of epi with another amp of bicarb. 49 00:02:36,175 --> 00:02:38,933 Pushing bicarb now. 50 00:02:39,180 --> 00:02:40,621 How long have we been coding him? 51 00:02:40,790 --> 00:02:42,197 30 minutes by my watch. 52 00:02:42,291 --> 00:02:44,266 But since EMS found him at the scene, 53 00:02:44,291 --> 00:02:45,960 it's probably closer to an hour. 54 00:02:46,111 --> 00:02:48,006 He's been asystolic the last three pulse checks, 55 00:02:48,031 --> 00:02:50,022 maxed out on meds. 56 00:02:50,040 --> 00:02:53,175 Fixed and dilated. 57 00:02:56,697 --> 00:03:00,141 All right, it's time. Stop compressions. 58 00:03:05,949 --> 00:03:07,782 Time of death 9:34 a.m. 59 00:03:11,805 --> 00:03:13,547 He's too young. 60 00:03:13,572 --> 00:03:14,905 And alone. 61 00:03:15,158 --> 00:03:17,716 EMS couldn't find a wallet or phone on him. 62 00:03:17,885 --> 00:03:20,906 Olanzapine. 63 00:03:20,931 --> 00:03:22,554 Aripiprazole. 64 00:03:22,573 --> 00:03:25,815 Antipsychotics? Unusual. 65 00:03:25,835 --> 00:03:27,150 Explains why the Narcan didn't work. 66 00:03:27,244 --> 00:03:29,611 If you take enough of this, you can still get high. 67 00:03:29,672 --> 00:03:32,339 These doses are... 68 00:03:34,035 --> 00:03:35,142 What? 69 00:03:37,847 --> 00:03:40,139 These doses are what? 70 00:03:44,630 --> 00:03:46,906 Then the unicorns have a party, 71 00:03:46,931 --> 00:03:48,482 but the kitty has disappeared. 72 00:03:48,507 --> 00:03:52,267 They have to save her, so they call in Happy the bloodhound, 73 00:03:52,420 --> 00:03:55,254 'cause he has a great nose and he's a famous detective. 74 00:03:55,256 --> 00:03:57,105 Whoa, whoa, whoa, don't tell me any more, 75 00:03:57,258 --> 00:03:58,866 you'll ruin it for me. Hi, Tisha. 76 00:03:58,891 --> 00:04:00,408 Can we read together, Daddy, 77 00:04:00,433 --> 00:04:03,406 and you do all the funny voices the way you do? 78 00:04:03,431 --> 00:04:07,172 Yes, of course. Right after work, okay? 79 00:04:07,211 --> 00:04:08,594 _ 80 00:04:08,619 --> 00:04:10,047 _ 81 00:04:10,696 --> 00:04:12,028 What is it, Daddy? 82 00:04:12,048 --> 00:04:13,749 Have a great day at school, Bubble. 83 00:04:13,774 --> 00:04:16,108 Love you. 84 00:04:16,126 --> 00:04:19,053 - Bye, Daddy. - Bye. 85 00:04:38,625 --> 00:04:42,945 - Synced and corrected by synk - - www.addic7ed.com - 86 00:04:43,429 --> 00:04:44,987 Where you going? 87 00:04:45,139 --> 00:04:48,140 To the pharmacy that filled these prescriptions. 88 00:04:48,158 --> 00:04:49,641 I've never heard of this patient 89 00:04:49,660 --> 00:04:50,734 and I didn't prescribe these. 90 00:04:50,753 --> 00:04:52,068 That's not what you do. 91 00:04:52,088 --> 00:04:53,504 You have to go straight to the FBI. 92 00:04:55,578 --> 00:04:58,294 Okay. And how do you know that? 93 00:04:58,319 --> 00:04:59,501 I just do. 94 00:04:59,526 --> 00:05:01,555 There's an office downtown. I can give you a name. 95 00:05:01,580 --> 00:05:03,322 Oh, perfect. You can give me the name 96 00:05:03,340 --> 00:05:04,765 of an FBI agent. That's-that's great. 97 00:05:04,916 --> 00:05:06,325 His name is Todd Barker. 98 00:05:06,418 --> 00:05:07,993 I'll call him and let him know that someone is using 99 00:05:08,086 --> 00:05:09,511 your name and NPI number to prescribe drugs, 100 00:05:09,605 --> 00:05:12,164 - and he'll take it from there. - Whoa, whoa, slow your roll. 101 00:05:12,257 --> 00:05:13,440 What?! 102 00:05:13,684 --> 00:05:17,336 Irving is paging me. I got to go. 103 00:05:17,354 --> 00:05:18,539 Hold on. 104 00:05:19,744 --> 00:05:21,171 Hey. 105 00:05:26,864 --> 00:05:29,197 Dr. Hawkins told me that Grace likes 106 00:05:29,292 --> 00:05:31,160 the comfy chairs from the fourth floor, 107 00:05:31,185 --> 00:05:34,369 so I got you one. And by "got" I mean stole. 108 00:05:34,522 --> 00:05:36,505 - Just don't tell. - Thank you. 109 00:05:36,615 --> 00:05:38,857 Where is Dr. Hawkins, by the way? 110 00:05:38,950 --> 00:05:40,283 He was with us through all the chemo. 111 00:05:40,377 --> 00:05:43,362 Yeah, he'll still check in on you, I promise. 112 00:05:43,380 --> 00:05:45,789 Dr. Pravesh is our doctor now. 113 00:05:45,808 --> 00:05:48,033 He's the clinical trial specialist. 114 00:05:48,052 --> 00:05:50,035 So, it doesn't look like much, 115 00:05:50,054 --> 00:05:51,127 - but... - My TILs. 116 00:05:51,147 --> 00:05:52,848 This is Albert's first dose 117 00:05:52,873 --> 00:05:54,756 of tumor-infiltrating lymphocytes. 118 00:05:54,781 --> 00:05:57,376 The cells that we harvested last month from your lung biopsy 119 00:05:57,394 --> 00:06:00,154 are now primed to target your specific cancer. 120 00:06:00,305 --> 00:06:03,215 - Pretty amazing, right? - It's awesome. 121 00:06:03,233 --> 00:06:06,160 As in the true meaning of the word, inspiring awe. 122 00:06:06,311 --> 00:06:08,512 Like the way I feel about black holes 123 00:06:08,572 --> 00:06:09,888 and atomic vibration. 124 00:06:09,907 --> 00:06:11,648 You two are such nerds. 125 00:06:11,673 --> 00:06:13,156 Damn right. 126 00:06:13,336 --> 00:06:15,394 So you will get one dose every few hours, 127 00:06:15,412 --> 00:06:16,728 six in total. 128 00:06:16,747 --> 00:06:19,915 It'll be some time before we know if you respond. 129 00:06:20,067 --> 00:06:22,734 But this is the first step. 130 00:06:22,736 --> 00:06:25,054 Science never sounded so easy. 131 00:06:25,923 --> 00:06:27,497 So I want you to be realistic. 132 00:06:27,516 --> 00:06:30,553 This will likely make you feel sicker before you get better. 133 00:06:30,578 --> 00:06:32,411 So expect flu-like symptoms, 134 00:06:32,436 --> 00:06:33,619 maybe worse. 135 00:06:33,644 --> 00:06:34,763 How much worse? 136 00:06:34,857 --> 00:06:36,598 Hey, don't worry. 137 00:06:36,750 --> 00:06:38,842 I could handle whatever comes. 138 00:06:38,861 --> 00:06:40,277 This is my lifeline. 139 00:06:41,012 --> 00:06:43,197 My last best chance. 140 00:06:46,035 --> 00:06:49,244 All right, then, here we go. 141 00:06:59,865 --> 00:07:01,123 Oh, Dr. Feldman, wait. 142 00:07:01,275 --> 00:07:02,751 Can you cover for me for a few hours? 143 00:07:02,776 --> 00:07:04,943 No. My shift is over. You're taking over for me 144 00:07:04,962 --> 00:07:06,128 so I can have a life outside these walls. 145 00:07:06,222 --> 00:07:07,963 Yeah, totally. So you can cover for me? 146 00:07:08,057 --> 00:07:10,057 - No. - Thank you. 147 00:07:10,208 --> 00:07:11,783 I suppose I can't ask you where you're going, 148 00:07:11,877 --> 00:07:13,952 but where are you going? 149 00:07:14,045 --> 00:07:15,454 12 hours on my feet, 150 00:07:15,547 --> 00:07:16,713 what's another 12 to 13? 151 00:07:16,807 --> 00:07:18,123 This is doctor abuse. 152 00:07:18,142 --> 00:07:21,022 Mariana, 36 years old, respiratory distress. 153 00:07:21,047 --> 00:07:22,218 No breath sounds on the right. 154 00:07:22,238 --> 00:07:23,962 Likely a collapsed lung. Where do you want us? 155 00:07:24,055 --> 00:07:26,225 Bay 11. Do you have a set of vitals? 156 00:07:26,250 --> 00:07:28,967 Heart rate 120. BP 80/palp. 90%, 92% on oxygen. 157 00:07:28,986 --> 00:07:30,226 All right. Page Dr. Austin. 158 00:07:30,246 --> 00:07:32,729 Dr. Austin is on his way out of here, 159 00:07:32,748 --> 00:07:34,139 but feel free to page Dr. Devi. 160 00:07:34,158 --> 00:07:36,191 - You're leaving, too? Unfair. - Yes, sir. 161 00:07:36,343 --> 00:07:37,975 If I have to stay, everyone else should stay! 162 00:07:38,000 --> 00:07:40,145 - I'm here. You leaving? - I have to visit my mother. 163 00:07:40,238 --> 00:07:42,787 And Irving is whining like a puppy dog in pain. 164 00:07:42,812 --> 00:07:44,332 - You go. I got this. - On my count. 165 00:07:44,427 --> 00:07:47,296 - One, two, three. - What do you need? 166 00:07:47,321 --> 00:07:48,820 How do you feel about a pneumothorax? 167 00:07:48,839 --> 00:07:50,839 - Psyched. - This is Mariana. 168 00:07:51,453 --> 00:07:53,361 You live in my ER now, Devi. 169 00:07:53,510 --> 00:07:55,661 Mariana, we're first gonna take a listen to your lungs, 170 00:07:55,679 --> 00:07:58,272 okay? Hundley, can I get a chest tube kit, please? 171 00:07:58,297 --> 00:07:59,305 Mm-hmm. 172 00:08:01,610 --> 00:08:04,928 Your right lung has collapsed. I need to do a decompression 173 00:08:04,947 --> 00:08:07,239 to help you breathe better, okay? 174 00:08:19,036 --> 00:08:21,295 We're gonna numb you first. 175 00:08:33,476 --> 00:08:35,100 This may hurt a bit. 176 00:08:42,467 --> 00:08:43,875 Chest tube to me. 177 00:08:43,894 --> 00:08:46,111 Mm-hmm. 178 00:08:47,116 --> 00:08:48,799 Take a deep breath in. 179 00:08:53,645 --> 00:08:55,996 All right, we're in place. 180 00:08:56,147 --> 00:08:57,889 Pleur-evac. 181 00:09:06,658 --> 00:09:09,417 I felt like I was about to die. 182 00:09:09,512 --> 00:09:10,660 Well, you were, dear. 183 00:09:10,679 --> 00:09:13,048 But Dr. Devi just saved you 184 00:09:13,073 --> 00:09:14,515 like the boss she is. 185 00:09:16,910 --> 00:09:19,269 Thank you. 186 00:09:21,357 --> 00:09:23,915 Here we go, milady. Back to its rightful owner. 187 00:09:23,934 --> 00:09:25,692 You were only CEO for a few days. 188 00:09:25,844 --> 00:09:27,334 Wait, did you move my plant? 189 00:09:27,359 --> 00:09:28,569 Yeah, it has better light over there. 190 00:09:28,594 --> 00:09:29,756 I have my first meeting 191 00:09:29,781 --> 00:09:31,923 as a member of the state medical board today, 192 00:09:31,925 --> 00:09:35,260 so I can start a chapter in my new life 193 00:09:35,279 --> 00:09:38,947 and I can hand you a smoothly running hospital. 194 00:09:39,041 --> 00:09:41,420 Huh. Looks like Trevor Daniels 195 00:09:41,445 --> 00:09:43,285 - didn't show up for work again today. - He's been 196 00:09:43,437 --> 00:09:45,183 AWOL since speaking out on Billie's behalf. 197 00:09:45,208 --> 00:09:46,582 She's trying to find him. 198 00:09:46,607 --> 00:09:50,700 And Dr. Hawkins called to say he's on his way to the FBI. 199 00:09:51,379 --> 00:09:52,545 The FBI? 200 00:09:52,570 --> 00:09:54,203 Oh. And our new ER doc 201 00:09:54,281 --> 00:09:56,039 just took off in the middle of her shift. 202 00:09:56,133 --> 00:09:59,059 What were you saying about a smoothly running hospital? 203 00:09:59,970 --> 00:10:02,412 That in your capable hands, it'll soon be silk. 204 00:10:02,437 --> 00:10:04,615 You look very sharp in that suit, by the way. 205 00:10:04,639 --> 00:10:05,695 I know. 206 00:10:09,630 --> 00:10:12,130 Okay, um, your own sister 207 00:10:12,149 --> 00:10:14,575 being the biological mother 208 00:10:14,600 --> 00:10:16,041 of your child is... 209 00:10:16,412 --> 00:10:19,209 It's a little weird, right? Am I allowed to say that? 210 00:10:19,234 --> 00:10:21,764 Lots of women donate their eggs to their sisters. 211 00:10:21,789 --> 00:10:24,585 True, but Devon has a point. Giving you 212 00:10:24,736 --> 00:10:26,351 one of my eggs is complicated. 213 00:10:26,376 --> 00:10:27,858 We have to be honest about this, right? 214 00:10:27,883 --> 00:10:30,397 You both would be the baby's mother, technically. 215 00:10:30,422 --> 00:10:32,701 No. I'd be the baby's mother. 216 00:10:33,273 --> 00:10:35,569 I will give birth and raise my child. 217 00:10:35,594 --> 00:10:38,247 Leela's responsibility ends with the donation of the egg. 218 00:10:38,342 --> 00:10:42,725 Yes, but you are identical twins with identical DNA. 219 00:10:42,750 --> 00:10:44,846 If I could have a child with my own egg 220 00:10:44,871 --> 00:10:46,538 that's identical to hers, 221 00:10:46,809 --> 00:10:48,234 you wouldn't think of my baby as Leela's, 222 00:10:48,259 --> 00:10:50,502 - would you? - But who will be the father? 223 00:10:50,671 --> 00:10:52,029 A sperm donor. 224 00:10:52,764 --> 00:10:54,356 Okay, but who? 225 00:10:54,450 --> 00:10:56,341 That's my call. 226 00:10:57,177 --> 00:10:59,411 Just give me some time to think about it. 227 00:11:01,198 --> 00:11:02,623 I know I don't really have a say here, 228 00:11:02,774 --> 00:11:04,625 - but I... - No, you don't, sweets. 229 00:11:05,336 --> 00:11:07,736 My body. My sister. 230 00:11:08,297 --> 00:11:10,422 My egg. 231 00:11:27,632 --> 00:11:29,799 Dr. Hawkins. We spoke on the phone. 232 00:11:29,818 --> 00:11:31,209 Agent Barker. 233 00:11:32,447 --> 00:11:34,113 Sorry for the delay. 234 00:11:34,138 --> 00:11:36,539 We were waiting on someone. Follow me. 235 00:11:42,556 --> 00:11:44,147 Dr. Sullivan. 236 00:11:44,166 --> 00:11:46,803 Agent Barker. Always a pleasure. 237 00:11:46,828 --> 00:11:49,017 Glad you could make it. Things go smoother 238 00:11:49,042 --> 00:11:51,042 when you're around. 239 00:11:51,269 --> 00:11:54,770 I realized I shouldn't leave you alone to navigate this. 240 00:11:54,864 --> 00:11:58,132 And what exactly are we navigating? 241 00:12:07,055 --> 00:12:10,561 - Mom? - In the kitchen! 242 00:12:10,713 --> 00:12:12,805 Ah. 243 00:12:12,899 --> 00:12:15,233 I know that smell. 244 00:12:15,258 --> 00:12:16,734 That brings me back 245 00:12:16,759 --> 00:12:18,834 to sixth grade, after school, 246 00:12:18,980 --> 00:12:21,555 racing home so I could get my hands 247 00:12:21,649 --> 00:12:25,743 on double banana nut muffins. Yes. 248 00:12:25,895 --> 00:12:27,303 With the streusel. 249 00:12:27,488 --> 00:12:31,565 Well, my store-bought scones are ashamed to be in your presence. 250 00:12:31,590 --> 00:12:34,924 Nonsense. We need something to feed the birds. 251 00:12:36,906 --> 00:12:40,666 Honestly, Mom, when was the last time you baked? 252 00:12:40,767 --> 00:12:44,661 - Chemo Carol is history. - Mm. 253 00:12:44,747 --> 00:12:47,823 Palliative care Carol is rocking 254 00:12:47,917 --> 00:12:50,101 - this kitchen. - Yeah, I can see that. 255 00:12:50,252 --> 00:12:54,062 I have the incentive now that I can enjoy food again. 256 00:12:54,087 --> 00:12:55,144 Mm. 257 00:12:55,516 --> 00:12:57,016 Doreen and I are visiting 258 00:12:57,110 --> 00:12:58,834 the botanical gardens this afternoon, 259 00:12:59,003 --> 00:13:02,429 so what can I do for you, baby boy? 260 00:13:02,523 --> 00:13:04,523 Nothing. 261 00:13:04,617 --> 00:13:07,693 Just seeing you like this is all I need. 262 00:13:07,845 --> 00:13:10,955 Thank you. 263 00:13:11,182 --> 00:13:12,790 AJ. 264 00:13:14,294 --> 00:13:17,369 I want you to know 265 00:13:17,464 --> 00:13:19,964 I understand my days are numbered, 266 00:13:20,115 --> 00:13:24,543 but I'm truly living them. 267 00:13:24,696 --> 00:13:26,787 I can see that, Mom. 268 00:13:26,806 --> 00:13:30,808 And that makes me so happy. 269 00:13:32,220 --> 00:13:34,228 Mmm. 270 00:13:38,376 --> 00:13:39,558 Albert. 271 00:13:39,652 --> 00:13:41,635 Talk to me, man. What's going on? 272 00:13:41,654 --> 00:13:44,396 It's just, um, some chills. 273 00:13:44,549 --> 00:13:47,550 He's complaining of nausea and muscle aches, as well. 274 00:13:47,568 --> 00:13:49,385 Yeah, it's just like the flu, right? 275 00:13:49,554 --> 00:13:52,221 Okay, you're spiking a fever. I'll order you some meds 276 00:13:52,314 --> 00:13:54,740 - and a cooling blanket, all right? - It's hard to... 277 00:13:54,834 --> 00:13:57,226 ... breathe. 278 00:13:57,319 --> 00:14:01,088 - What's happening? - Probably has some fluid in his lungs. 279 00:14:01,488 --> 00:14:02,729 I'll put him on oxygen. 280 00:14:03,084 --> 00:14:05,176 This isn't like the flu. 281 00:14:06,237 --> 00:14:09,405 It's getting harder really fast, Dr. Pravesh. 282 00:14:09,423 --> 00:14:11,224 It's quicker than I expected. 283 00:14:12,835 --> 00:14:15,911 This is the only hope to get you better, right? 284 00:14:16,005 --> 00:14:18,356 I'm here for you every step of the way. 285 00:14:18,507 --> 00:14:20,149 You still with me? 286 00:14:23,220 --> 00:14:24,779 Okay. 287 00:14:27,425 --> 00:14:28,908 Just breathe. 288 00:14:32,855 --> 00:14:37,099 163 antipsychotic prescriptions written in your name 289 00:14:37,192 --> 00:14:38,876 in the last two months at six different clinics 290 00:14:39,028 --> 00:14:40,694 in addition to high-priced asthma meds 291 00:14:40,788 --> 00:14:42,271 and antihypertensives. 292 00:14:42,290 --> 00:14:44,364 Well, I didn't do this. 293 00:14:44,384 --> 00:14:45,791 No one's breaking out the handcuffs, Dr. Hawkins. 294 00:14:45,943 --> 00:14:47,459 We think you're a small part 295 00:14:47,536 --> 00:14:50,221 of a much bigger case we've been tracking for a year. 296 00:14:50,448 --> 00:14:52,631 These are all brand-name drugs. 297 00:14:52,656 --> 00:14:54,562 Highly reimbursed medications. 298 00:14:54,587 --> 00:14:55,785 Medicare fraud. 299 00:14:55,895 --> 00:14:58,712 Yes. Kickbacks. Drug diversion. 300 00:14:58,932 --> 00:15:00,190 We think it's a pill mill. 301 00:15:00,215 --> 00:15:02,400 A big one. At least six clinics involved. 302 00:15:02,551 --> 00:15:04,460 Probably busing people in. 303 00:15:04,478 --> 00:15:05,552 You have a pole camera up yet? 304 00:15:05,646 --> 00:15:07,146 A warrant just came through. 305 00:15:07,240 --> 00:15:09,657 Classic mob operation. 306 00:15:11,742 --> 00:15:14,970 The Mafia is often involved in Medicare fraud. 307 00:15:14,989 --> 00:15:16,063 There's little oversight, 308 00:15:16,082 --> 00:15:17,807 scant punishment and big rewards. 309 00:15:17,825 --> 00:15:19,586 And we now have mob levels of violence. 310 00:15:19,611 --> 00:15:21,444 Federal investigators, informants, 311 00:15:21,469 --> 00:15:23,495 even doctors who assist in our investigations 312 00:15:23,520 --> 00:15:24,644 have been murdered. 313 00:15:24,849 --> 00:15:26,498 Which is why we're keeping an eye 314 00:15:26,523 --> 00:15:28,465 on Dr. Sullivan as best we can. 315 00:15:28,711 --> 00:15:31,929 Nice to know you've been working with the FBI. 316 00:15:32,156 --> 00:15:33,656 How did they get 317 00:15:33,674 --> 00:15:35,841 - Dr. Hawkins' name and numbers? - Few years ago, 318 00:15:35,935 --> 00:15:37,918 there was a ransomware attack on Chastain. 319 00:15:37,937 --> 00:15:39,604 They were just idiots in some basement. 320 00:15:39,831 --> 00:15:42,350 Yeah, well, typically these idiots 321 00:15:42,375 --> 00:15:45,109 sell your identities, DEA, NPI numbers 322 00:15:45,260 --> 00:15:47,427 to larger criminal organizations. 323 00:15:47,447 --> 00:15:49,780 So, what do I do about it? 324 00:15:49,805 --> 00:15:52,973 You go back to Chastain, leave this to us. 325 00:15:52,998 --> 00:15:56,407 If you don't, it could be your life in danger. 326 00:15:56,476 --> 00:15:58,751 I think we've heard enough to understand. 327 00:15:58,776 --> 00:16:00,101 Not nearly. 328 00:16:00,201 --> 00:16:01,700 That's all I can tell you right now. 329 00:16:01,853 --> 00:16:03,443 And we have to get back to work. 330 00:16:03,463 --> 00:16:06,088 Great seeing you again. Talk soon. 331 00:16:06,819 --> 00:16:08,017 Dr. Hawkins. 332 00:16:08,042 --> 00:16:11,427 You and I need to have a little chat. 333 00:16:16,309 --> 00:16:18,458 Mariana, how are you feeling? 334 00:16:18,552 --> 00:16:20,293 Better. Very well, actually. 335 00:16:20,388 --> 00:16:21,479 Oh, glad to hear it. 336 00:16:21,706 --> 00:16:23,389 I can't believe this happened again. 337 00:16:23,483 --> 00:16:25,391 Wait, your lung's collapsed before? 338 00:16:25,485 --> 00:16:27,726 Yes. My doctor wasn't too worried. 339 00:16:27,879 --> 00:16:29,712 He said I was young, healthy. 340 00:16:29,730 --> 00:16:32,472 Is it possible this is just a coincidence? 341 00:16:32,821 --> 00:16:34,320 It's unlikely. 342 00:16:34,345 --> 00:16:36,529 We're going to have to keep you here to figure this out. 343 00:16:36,554 --> 00:16:38,297 No, I have an important meeting with a client later. 344 00:16:38,322 --> 00:16:39,365 Cancel it. 345 00:16:39,390 --> 00:16:40,956 Can you elaborate? 346 00:16:41,726 --> 00:16:43,409 I'm sorry. 347 00:16:43,503 --> 00:16:45,503 I did not mean to sound so blunt. 348 00:16:45,730 --> 00:16:47,154 I'm a surgeon, 349 00:16:47,173 --> 00:16:49,656 so most of the patients I deal with are unconscious. 350 00:16:49,750 --> 00:16:51,583 My bedside manner gets a little rusty. 351 00:16:51,736 --> 00:16:53,402 But that's no excuse. 352 00:16:53,495 --> 00:16:55,829 I'd be more concerned if your scalpel was rusty. 353 00:16:55,848 --> 00:16:58,498 And you do not need to apologize. 354 00:16:58,518 --> 00:17:01,093 Would a male surgeon apologize? 355 00:17:01,245 --> 00:17:02,836 It's unlikely. 356 00:17:03,132 --> 00:17:05,558 I've told my team to shoot me 357 00:17:05,583 --> 00:17:07,433 if I ever apologize to a client. 358 00:17:07,585 --> 00:17:09,342 Makes them trust you less. 359 00:17:09,362 --> 00:17:11,253 What do you do? 360 00:17:11,272 --> 00:17:12,438 I'm an architect. 361 00:17:12,590 --> 00:17:14,532 My uncle's an architect. 362 00:17:14,759 --> 00:17:16,759 He's never apologized for anything. 363 00:17:16,852 --> 00:17:20,204 Frank Lloyd Wright said, "Early in life, I had to choose" 364 00:17:20,355 --> 00:17:24,266 "between honest arrogance and hypocritical humility. 365 00:17:24,285 --> 00:17:25,543 I chose honest arrogance." 366 00:17:25,770 --> 00:17:27,494 Well, 367 00:17:27,547 --> 00:17:30,840 I vote for honest humility. 368 00:17:31,551 --> 00:17:32,624 And on that note, 369 00:17:32,719 --> 00:17:34,868 your lung should not collapse twice. 370 00:17:34,962 --> 00:17:37,463 We'll have to consult a specialist, okay? 371 00:17:38,224 --> 00:17:40,933 I'll be back to check on you later. 372 00:17:44,897 --> 00:17:48,548 - Breathing better? - Mm-hmm. 373 00:17:48,717 --> 00:17:52,795 See? Everything's fine. 374 00:17:52,813 --> 00:17:55,297 If he's this bad after a first dose, 375 00:17:55,390 --> 00:17:56,465 what will happen next? 376 00:17:56,484 --> 00:17:58,433 He's got five more to go. 377 00:17:59,078 --> 00:18:01,579 Everybody reacts differently. 378 00:18:01,730 --> 00:18:03,472 We won't know until we proceed. 379 00:18:03,565 --> 00:18:05,040 That's just how it works. 380 00:18:05,918 --> 00:18:07,977 Grace, you haven't eaten all day. 381 00:18:08,070 --> 00:18:11,571 Why don't you go to the cafeteria for a bit? 382 00:18:11,591 --> 00:18:13,573 I'll be fine. 383 00:18:13,593 --> 00:18:16,218 Okay. 384 00:18:22,326 --> 00:18:25,770 I've tried to talk her through this, explain the science. 385 00:18:25,921 --> 00:18:28,105 I gave her a book on Marie Curie. 386 00:18:28,257 --> 00:18:31,776 Big mistake, since Curie died experimenting on herself. 387 00:18:32,406 --> 00:18:34,427 Yeah, still walking that one back. 388 00:18:37,766 --> 00:18:39,950 Albert, it's time for your second dose. 389 00:18:40,177 --> 00:18:41,693 I figured. 390 00:18:41,788 --> 00:18:44,163 That's why I asked her to step out. 391 00:18:47,109 --> 00:18:48,183 You sure? 392 00:18:48,202 --> 00:18:50,044 Yes. 393 00:18:51,446 --> 00:18:52,880 I'll be back. 394 00:18:59,864 --> 00:19:03,724 The Lord is my shepherd, I shall not want... 395 00:19:06,469 --> 00:19:09,707 Well, I don't think we've seen anything too concerning today. 396 00:19:09,732 --> 00:19:12,264 Certainly nothing requiring punitive action. 397 00:19:12,289 --> 00:19:13,680 Uh, actually, there is one case 398 00:19:13,698 --> 00:19:15,682 we haven't discussed that's alarming. 399 00:19:15,700 --> 00:19:17,441 Emily Benesch, 32 years old. 400 00:19:17,461 --> 00:19:21,296 Ms. Benesch had, uh, an anterior cervical discectomy and fusion. 401 00:19:21,447 --> 00:19:24,138 Dr. Elkins, you're a neurosurgeon. Did you see this complaint? 402 00:19:24,163 --> 00:19:25,329 I did. As I recall, 403 00:19:25,423 --> 00:19:27,073 the patient had complications post-op. 404 00:19:27,166 --> 00:19:29,017 The surgeon damaged her spinal cord. 405 00:19:29,042 --> 00:19:30,875 Now Ms. Benesch is a paraplegic. 406 00:19:31,095 --> 00:19:33,003 Spinal surgery always has risks. 407 00:19:33,224 --> 00:19:34,482 Well, uh, 408 00:19:34,507 --> 00:19:37,600 after the operation, she felt something was wrong, 409 00:19:37,752 --> 00:19:41,696 she asked her surgeon Dr. Keith Bosley for a follow-up, 410 00:19:41,923 --> 00:19:44,273 and he "brushed her off." 411 00:19:44,426 --> 00:19:47,702 I know Dr. Bosley personally. I-I doubt he brushed her off. 412 00:19:47,929 --> 00:19:49,779 Well, I found several other complaints against him. 413 00:19:49,931 --> 00:19:52,765 So wouldn't, uh, multiple complaints 414 00:19:52,784 --> 00:19:54,334 be a red flag? 415 00:19:56,527 --> 00:20:00,940 I think we should dig into Dr. Bosley's patient outcomes 416 00:20:01,033 --> 00:20:05,303 and... give Ms. Benesch a fair hearing. 417 00:20:10,802 --> 00:20:13,953 Stories like this flood our office. 418 00:20:14,046 --> 00:20:16,773 Patients get emotional when complications occur 419 00:20:16,882 --> 00:20:18,549 and look to place blame. 420 00:20:18,568 --> 00:20:21,477 This patient isn't emotional, she's a paraplegic. 421 00:20:21,629 --> 00:20:23,887 We can't fix every patient's problem 422 00:20:23,982 --> 00:20:25,907 or guarantee everyone a perfect outcome. 423 00:20:26,058 --> 00:20:27,817 No, I understand that. 424 00:20:27,969 --> 00:20:31,395 But isn't it the job of this board 425 00:20:31,414 --> 00:20:33,248 to hear our patients' problems, 426 00:20:33,324 --> 00:20:37,159 particularly when there are repeat complaints? 427 00:20:37,254 --> 00:20:38,828 Dr. Elkins, will you delve into this more deeply? 428 00:20:38,980 --> 00:20:40,313 Should a close friend 429 00:20:40,331 --> 00:20:44,259 of Dr. Bosley's be the one to lead his investigation? 430 00:20:44,486 --> 00:20:47,911 State medical boards are staffed by doctors 431 00:20:48,006 --> 00:20:50,265 precisely because we are the best people 432 00:20:50,433 --> 00:20:52,158 to judge our own colleagues. 433 00:20:52,176 --> 00:20:55,103 So let's just simmer down. 434 00:20:55,330 --> 00:20:58,255 Just watch, and learn how we operate. 435 00:20:58,424 --> 00:20:59,832 Oh, I-I think I'm getting a pretty good sense 436 00:20:59,925 --> 00:21:01,359 of how you operate. 437 00:21:14,532 --> 00:21:16,607 When you wouldn't answer questions about your past, 438 00:21:16,701 --> 00:21:18,942 I didn't push. 439 00:21:18,962 --> 00:21:23,652 I respected your privacy, but that's off the table now. 440 00:21:26,796 --> 00:21:28,521 Talk to me. 441 00:21:34,536 --> 00:21:38,371 It started with a phone call back when I was a resident. 442 00:21:38,464 --> 00:21:41,799 I was employed by a big hospital system in Chicago 443 00:21:41,893 --> 00:21:43,543 that took a lot of Medicare patients. 444 00:21:43,561 --> 00:21:47,897 They were overtreating, doing unnecessary surgeries, 445 00:21:47,991 --> 00:21:50,399 and ripping off Medicare for millions of dollars. 446 00:21:50,493 --> 00:21:52,810 That's almost standard operational procedure 447 00:21:52,829 --> 00:21:54,887 in some hospitals these days. 448 00:21:54,980 --> 00:21:57,557 I couldn't let it stand. 449 00:21:57,575 --> 00:22:01,819 I see a problem... I try to fix it. 450 00:22:01,913 --> 00:22:04,005 I get that. 451 00:22:06,918 --> 00:22:08,992 So I called a Medicare fraud tip line, 452 00:22:09,070 --> 00:22:12,162 and the DOJ got involved. 453 00:22:12,256 --> 00:22:14,256 Long story short, I ended up wearing a wire 454 00:22:14,425 --> 00:22:17,910 and collecting documents to help them get the proof they needed. 455 00:22:18,003 --> 00:22:19,437 You were hooked. 456 00:22:20,673 --> 00:22:22,431 Yeah. 457 00:22:22,584 --> 00:22:26,361 So when the FBI approached me to keep working with them... 458 00:22:26,699 --> 00:22:28,256 ... I was all in. 459 00:22:28,940 --> 00:22:30,365 They need doctors to understand medically 460 00:22:30,516 --> 00:22:34,202 what's fraud and what isn't, and to work undercover. 461 00:22:35,433 --> 00:22:38,764 Soon, we went after the biggest fish. 462 00:22:38,933 --> 00:22:40,449 The Mafia. 463 00:22:42,453 --> 00:22:45,546 It was a much tougher world. Lot of risk. 464 00:22:46,832 --> 00:22:51,427 Eventually, I was identified as an FBI operative, and... 465 00:22:53,205 --> 00:22:55,448 ... there was an attempt on my life. 466 00:22:55,466 --> 00:22:58,134 - Are you safe now? - It's been two years. 467 00:22:58,302 --> 00:23:02,063 But the Mafia makes a practice of punishing its enemies. 468 00:23:02,290 --> 00:23:05,975 I never know who I can trust, 469 00:23:06,127 --> 00:23:09,219 so I say as little as possible about my past, 470 00:23:09,239 --> 00:23:13,032 and I don't stay long in one place. 471 00:23:13,968 --> 00:23:15,785 You should have told me. 472 00:23:21,267 --> 00:23:24,293 I get that you're in a tough spot. 473 00:23:27,999 --> 00:23:30,258 Here's the thing. 474 00:23:32,595 --> 00:23:34,487 I like you. 475 00:23:34,580 --> 00:23:36,764 And I like you. 476 00:23:38,159 --> 00:23:40,159 But it ends there. 477 00:23:40,252 --> 00:23:43,012 I don't get involved with anyone, Conrad. 478 00:23:43,164 --> 00:23:45,665 And no one should get involved with me, 479 00:23:45,725 --> 00:23:46,999 for a number of reasons, 480 00:23:48,174 --> 00:23:52,354 but the main one is that I will disappear. 481 00:23:53,265 --> 00:23:56,192 Well, maybe you should stop running. 482 00:23:56,344 --> 00:23:59,454 Trust me on this. 483 00:24:01,124 --> 00:24:03,683 You take care of people. 484 00:24:03,701 --> 00:24:06,610 You want to take care of me. 485 00:24:06,704 --> 00:24:07,962 But you can't. 486 00:24:08,113 --> 00:24:11,174 I take care of myself. 487 00:24:14,971 --> 00:24:17,013 I'll see you at Chastain. 488 00:24:31,715 --> 00:24:34,011 _ 489 00:24:34,549 --> 00:24:37,325 Dr. Pravesh, what's going on? 490 00:24:37,476 --> 00:24:39,643 His pressure is plummeting and he's spiking a fever again. 491 00:24:39,737 --> 00:24:40,903 He still has three doses left. 492 00:24:40,997 --> 00:24:42,571 More fluids should bring up the pressure. 493 00:24:42,665 --> 00:24:44,890 I- I don't think he can handle the trial. 494 00:24:44,909 --> 00:24:46,167 I don't think I can, either. 495 00:24:46,318 --> 00:24:48,077 - I want it to stop. - When Albert is stable, 496 00:24:48,153 --> 00:24:49,653 we will discuss it, but right now 497 00:24:49,672 --> 00:24:51,413 we don't even know if the trial is to blame. 498 00:24:51,566 --> 00:24:53,991 It could be an infection, and I don't want to deprive him 499 00:24:54,010 --> 00:24:56,068 of a cure for the wrong reasons. 500 00:24:56,161 --> 00:24:57,661 How are you gonna figure it out? 501 00:24:57,680 --> 00:24:59,162 Grace. 502 00:24:59,257 --> 00:25:00,998 You have to trust me and this process. 503 00:25:01,017 --> 00:25:02,850 You two and your scientific method. 504 00:25:02,875 --> 00:25:04,450 I don't trust this "process." 505 00:25:04,595 --> 00:25:06,003 Look at him. 506 00:25:06,097 --> 00:25:07,838 Whatever you're doing is making him worse. 507 00:25:07,932 --> 00:25:10,266 If this protocol's gonna work, it's gonna take time. 508 00:25:10,562 --> 00:25:11,604 Let's get him to the ICU 509 00:25:11,629 --> 00:25:13,602 so we can stabilize him and monitor him, 510 00:25:13,696 --> 00:25:15,254 and I promise you 511 00:25:15,273 --> 00:25:17,439 that all options will be available to the both of you. 512 00:25:17,534 --> 00:25:19,900 Fine, and thank you, but I'd like to call in 513 00:25:20,053 --> 00:25:21,536 Dr. Hawkins for a second opinion. 514 00:25:21,763 --> 00:25:24,354 I've already paged him for a consult. He's on his way. 515 00:25:24,448 --> 00:25:25,517 Albert? 516 00:25:25,542 --> 00:25:27,266 I am right here. 517 00:25:27,285 --> 00:25:29,210 It's gonna be okay. 518 00:25:37,887 --> 00:25:42,651 I'm fine. Yes. Yes. 519 00:25:42,676 --> 00:25:46,178 Don't worry. Uh... The doctor's walking in. 520 00:25:46,330 --> 00:25:49,240 I love you, too. Bye. 521 00:25:49,333 --> 00:25:51,500 My husband. Also an architect. 522 00:25:51,520 --> 00:25:53,019 Which is why he isn't here. 523 00:25:53,246 --> 00:25:55,522 He's on-site of a new project in Memphis. 524 00:25:55,598 --> 00:25:58,858 Dual-career marriage. I know all about that. 525 00:25:59,027 --> 00:26:00,768 And the people who do it with children? 526 00:26:00,921 --> 00:26:02,103 Boggles the mind. 527 00:26:02,255 --> 00:26:03,271 Agreed. 528 00:26:03,423 --> 00:26:04,698 My career is all-consuming. 529 00:26:04,849 --> 00:26:08,927 And I'm a perfectionist. It's a compulsion. 530 00:26:11,873 --> 00:26:13,932 Cough sounds bad. 531 00:26:13,950 --> 00:26:16,167 Let me take a listen. 532 00:26:18,213 --> 00:26:19,546 Hey, what's going on? 533 00:26:19,697 --> 00:26:22,273 Hemoptysis in our pneumothorax patient. 534 00:26:22,366 --> 00:26:24,033 Her lungs sounded clear, but now... 535 00:26:24,127 --> 00:26:25,626 There's still an air leak. 536 00:26:25,721 --> 00:26:27,462 And there's no blood in the chest tube. 537 00:26:27,614 --> 00:26:30,557 Mariana, we're gonna confer for a minute, okay? 538 00:26:32,561 --> 00:26:34,227 Okay, so something more serious is going on. 539 00:26:34,378 --> 00:26:36,730 All right, well, give me the differential. 540 00:26:36,957 --> 00:26:40,400 It could be an abscess, bronchiectasis or even cancer. 541 00:26:40,551 --> 00:26:42,940 - A CT should help. - All right. 542 00:26:42,965 --> 00:26:44,696 Well, let's get her in the magic box right now. 543 00:26:47,484 --> 00:26:49,300 And then this Dr. Abernathy 544 00:26:49,393 --> 00:26:52,394 dismisses the case as though it was nothing. 545 00:26:52,414 --> 00:26:54,322 Do you think the neurosurgeon's really culpable? 546 00:26:54,416 --> 00:26:57,584 Well, I'm not gonna condemn him without solid consideration, 547 00:26:57,735 --> 00:27:00,670 but they refused to give it any air. 548 00:27:06,669 --> 00:27:07,761 What? 549 00:27:07,988 --> 00:27:10,412 - Does any of this really surprise you? - No. 550 00:27:11,582 --> 00:27:13,933 This is why I wanted the job in the first place. 551 00:27:14,102 --> 00:27:16,603 So what will you do? 552 00:27:24,020 --> 00:27:26,687 Hello? 553 00:27:26,782 --> 00:27:28,172 Hello, is this Ms. Benesch? 554 00:27:28,174 --> 00:27:29,841 Yes, who's calling? 555 00:27:29,934 --> 00:27:32,360 This is Dr. Randolph Bell from the state medical board. 556 00:27:32,454 --> 00:27:36,180 I'd like to talk with you about Dr. Bosley. 557 00:27:36,199 --> 00:27:39,584 Finally. I'd given up hope. 558 00:27:43,614 --> 00:27:44,798 Got your page. 559 00:27:45,025 --> 00:27:46,858 I came as quickly as I could. 560 00:27:46,876 --> 00:27:48,301 Is your emergency handled? 561 00:27:49,137 --> 00:27:51,712 Hard to tell. How's Albert doing? 562 00:27:51,865 --> 00:27:53,197 Well, we're four doses in. 563 00:27:53,291 --> 00:27:54,699 I've had to give him broad-spectrum antibiotics 564 00:27:54,717 --> 00:27:57,477 and three liters of fluids, and he's getting sicker. 565 00:27:57,628 --> 00:27:59,370 I had to start him on norepi. 566 00:27:59,389 --> 00:28:02,148 - You think it's the trial drug? - I do. 567 00:28:02,375 --> 00:28:03,891 His blood cultures came back negative, 568 00:28:04,044 --> 00:28:05,726 there's no sign of infection. 569 00:28:05,821 --> 00:28:07,211 And it's time for his next dose. 570 00:28:07,213 --> 00:28:09,252 Ah, that's a tough call. 571 00:28:09,277 --> 00:28:12,066 He's already on a non-rebreather with a borderline blood gas. 572 00:28:12,218 --> 00:28:14,085 With another dose, you may have to intubate. 573 00:28:14,087 --> 00:28:16,145 Which could be fatal for Albert. 574 00:28:16,164 --> 00:28:17,831 A ventilator-associated pneumonia, 575 00:28:17,949 --> 00:28:19,057 with his immune system? 576 00:28:19,075 --> 00:28:21,559 God, and his poor wife. 577 00:28:21,652 --> 00:28:23,336 And the trial? 578 00:28:23,487 --> 00:28:27,489 An intubation would be an unexpected adverse event, 579 00:28:27,584 --> 00:28:30,510 which could get the trial paused or stopped altogether. 580 00:28:30,661 --> 00:28:32,253 But if he doesn't finish the protocol, 581 00:28:32,278 --> 00:28:34,385 and his cancer only gets worse... 582 00:28:34,410 --> 00:28:37,244 So if I give him the dose, it could kill him. 583 00:28:37,337 --> 00:28:40,022 And if I hold it, then everything he's gone through 584 00:28:40,249 --> 00:28:41,714 up until this point would be completely useless. 585 00:28:41,739 --> 00:28:42,905 There's no good answer. 586 00:28:47,429 --> 00:28:52,098 And Albert's wife, she doesn't trust me, she trusts you. 587 00:28:52,250 --> 00:28:56,770 Yeah, I'll talk to her, but let's be clear: 588 00:28:56,795 --> 00:28:57,920 you make the call. 589 00:28:58,014 --> 00:29:00,482 No. Neither of us will. 590 00:29:02,168 --> 00:29:03,651 Albert should decide. 591 00:29:11,845 --> 00:29:13,344 So, your CT was clear. 592 00:29:13,346 --> 00:29:16,547 Which means it's not an abscess, inflammation or cancer. 593 00:29:16,572 --> 00:29:19,367 Okay, so what's next? 594 00:29:19,918 --> 00:29:21,251 It's good to rule things out. 595 00:29:21,276 --> 00:29:23,021 I am going to circle back with Dr. Austin, and I... 596 00:29:24,858 --> 00:29:27,510 Are you still in pain? 597 00:29:27,535 --> 00:29:28,635 Is it your chest? 598 00:29:28,786 --> 00:29:30,862 It's just, it's just cramps. 599 00:29:30,880 --> 00:29:32,196 The same every month. 600 00:29:32,215 --> 00:29:34,699 Ooh, they're excruciating sometimes. 601 00:29:34,792 --> 00:29:36,125 Have they always been this bad? 602 00:29:36,144 --> 00:29:38,703 As long as I can remember. 603 00:29:38,796 --> 00:29:40,814 Sometimes I even get a nosebleed. 604 00:29:40,965 --> 00:29:43,733 It's a real thrill, being a woman. 605 00:29:45,378 --> 00:29:46,878 The last time your lung collapsed, 606 00:29:46,896 --> 00:29:48,563 were you also on your period? 607 00:29:48,639 --> 00:29:51,658 Uh, a-as a matter of fact I was. 608 00:29:51,809 --> 00:29:53,401 I... Yeah. 609 00:29:53,553 --> 00:29:57,479 I-I remember I had to ask for pain meds while I was here. 610 00:29:57,499 --> 00:29:58,723 Why? 611 00:29:58,816 --> 00:30:00,649 Sit tight, I will be right back. 612 00:30:00,743 --> 00:30:02,243 I promise. 613 00:30:02,395 --> 00:30:04,744 Endometriosis? Really? 614 00:30:04,769 --> 00:30:06,541 Her pneumothorax coincides with her periods, 615 00:30:06,566 --> 00:30:08,066 which are abnormally painful. 616 00:30:08,159 --> 00:30:10,176 Isn't it possible that aberrant endometrial tissue 617 00:30:10,328 --> 00:30:12,938 from her pelvis traveled through tiny defects 618 00:30:12,963 --> 00:30:15,038 in her diaphragm up into her chest, where... 619 00:30:15,063 --> 00:30:17,080 Where it continues to respond to the hormones 620 00:30:17,231 --> 00:30:19,307 of her menstrual cycle, thus wreaking havoc. 621 00:30:19,326 --> 00:30:22,310 Yeah, it's definitely possible, but, Devi, that's... 622 00:30:22,403 --> 00:30:24,236 - extremely rare. - So is having repeated episodes 623 00:30:24,256 --> 00:30:26,590 of pneumothorax with no discernible cause on imaging. 624 00:30:26,817 --> 00:30:27,982 What if these aren't random? 625 00:30:28,076 --> 00:30:30,076 What if this is evidence of a problem 626 00:30:30,170 --> 00:30:32,153 her body's been trying to hide this entire time? 627 00:30:33,081 --> 00:30:35,581 Well, we could get an MRI for a better look, 628 00:30:35,675 --> 00:30:37,675 but ultimately the only way to confirm 629 00:30:37,828 --> 00:30:39,828 a catamenial pneumo is with surgery. 630 00:30:39,846 --> 00:30:41,830 That's thoracic and abdominal. 631 00:30:41,848 --> 00:30:43,422 And if we find what you think we will, 632 00:30:43,442 --> 00:30:46,943 - that could be a hell of a procedure. - That can cure her. 633 00:30:47,095 --> 00:30:48,670 I'm ready for this. 634 00:30:48,688 --> 00:30:50,296 Oh, I know you are. 635 00:30:50,298 --> 00:30:54,859 Devi, you just pulled off a Conrad Hawkins-level diagnosis. 636 00:30:55,862 --> 00:30:57,912 Let's get your patient ready and scrub in. 637 00:31:00,108 --> 00:31:02,274 Tell him we can stop, 638 00:31:02,294 --> 00:31:04,519 Dr. Hawkins, please. 639 00:31:04,537 --> 00:31:05,870 Of course we can. 640 00:31:06,022 --> 00:31:08,857 - I've always said that. - We can't quit 641 00:31:08,950 --> 00:31:11,693 an experiment halfway through. 642 00:31:11,862 --> 00:31:14,846 I tell my students all the time. 643 00:31:15,790 --> 00:31:17,790 This is your life. 644 00:31:17,884 --> 00:31:19,309 You get to be selfish. 645 00:31:19,460 --> 00:31:22,270 You don't have to think about the greater good. 646 00:31:23,707 --> 00:31:25,315 I am being selfish. 647 00:31:26,221 --> 00:31:28,318 Without the trial, I die. 648 00:31:30,822 --> 00:31:34,908 But you may die sooner with it. 649 00:31:34,933 --> 00:31:37,158 I can't lose you. 650 00:31:37,183 --> 00:31:39,651 Do you think I'm not scared? 651 00:31:42,268 --> 00:31:44,359 I am. 652 00:31:44,379 --> 00:31:47,529 But this is what I want to do. 653 00:31:47,623 --> 00:31:51,258 I'm willing to suffer for the science, 654 00:31:51,368 --> 00:31:54,870 just for a chance, however slim, to survive this cancer. 655 00:31:54,889 --> 00:31:57,890 I just need you to support me, please. 656 00:31:58,041 --> 00:32:00,810 - But, Albert... - Listen, listen. 657 00:32:02,622 --> 00:32:04,647 We're a team, right? 658 00:32:05,625 --> 00:32:07,382 Don't fight Dr. Pravesh. 659 00:32:07,476 --> 00:32:09,885 Just trust him. 660 00:32:09,904 --> 00:32:11,570 And trust me 661 00:32:11,722 --> 00:32:14,990 and honor what I want and believe. 662 00:32:16,059 --> 00:32:17,451 Okay. 663 00:32:19,488 --> 00:32:21,822 I've decided, Dr. Pravesh. 664 00:32:22,658 --> 00:32:26,043 Please give me the next dose. 665 00:33:00,112 --> 00:33:01,761 I hope this isn't an imposition. 666 00:33:01,781 --> 00:33:03,839 More like a surprise. 667 00:33:03,857 --> 00:33:05,959 I thought the state medical board 668 00:33:05,984 --> 00:33:07,595 had lost all interest in my case. 669 00:33:07,620 --> 00:33:09,322 My lawyer certainly has. 670 00:33:09,347 --> 00:33:11,689 Well, I'm sorry to hear that. 671 00:33:11,714 --> 00:33:13,231 Thank you. 672 00:33:13,458 --> 00:33:16,217 I don't blame her. She took me on pro bono. 673 00:33:16,311 --> 00:33:18,570 When we couldn't get any traction with the board, 674 00:33:18,721 --> 00:33:20,739 there wasn't any way forward. 675 00:33:21,433 --> 00:33:23,417 Are you looking for a financial settlement? 676 00:33:23,818 --> 00:33:25,577 No, I'm looking for accountability. 677 00:33:25,804 --> 00:33:27,637 He nicked the artery in my spine. 678 00:33:27,655 --> 00:33:28,805 There was massive bleeding. 679 00:33:28,807 --> 00:33:30,415 My spinal cord was damaged. 680 00:33:30,566 --> 00:33:32,492 I did not have to end up like this. 681 00:33:32,644 --> 00:33:35,661 I don't want future patients of Dr. Bosley to, either. 682 00:33:35,814 --> 00:33:37,997 Hey, your case file says that you received 683 00:33:38,149 --> 00:33:40,574 a second and third opinion about your outcome. 684 00:33:40,594 --> 00:33:43,319 And that a post-op MRI would have caught the damage, 685 00:33:43,412 --> 00:33:46,747 and then a second emergency surgery could have repaired it. 686 00:33:46,916 --> 00:33:48,825 Yes. I might still be walking today 687 00:33:48,843 --> 00:33:50,268 if Dr. Bosley had listened to me. 688 00:33:50,495 --> 00:33:52,771 He didn't. 689 00:33:56,017 --> 00:33:59,502 So he says you pushed hard for the surgery, 690 00:33:59,595 --> 00:34:02,005 That's not the point. 691 00:34:02,023 --> 00:34:03,782 The harm I suffered during the operation 692 00:34:03,858 --> 00:34:05,867 could have been prevented. 693 00:34:06,845 --> 00:34:10,363 I want the board to do something. 694 00:34:10,457 --> 00:34:12,040 Will they? 695 00:34:14,795 --> 00:34:17,212 Honestly? Probably not. 696 00:34:19,615 --> 00:34:21,925 But I will do something. 697 00:34:28,124 --> 00:34:30,475 I'm maxed out on norepi, adding vasopressin. 698 00:34:30,963 --> 00:34:32,512 I hear crackles halfway up, 699 00:34:32,537 --> 00:34:33,604 and he's losing consciousness. 700 00:34:33,629 --> 00:34:35,296 Albert. 701 00:34:35,315 --> 00:34:37,040 Can you hear me? 702 00:34:37,042 --> 00:34:39,892 - We're gonna need to intubate. - No, not intubation. 703 00:34:39,969 --> 00:34:41,727 He's struggling to breathe, Grace. 704 00:34:41,880 --> 00:34:43,062 It may be the only thing to help keep him alive. 705 00:34:43,087 --> 00:34:44,138 I'll grab an intubation tray. 706 00:34:44,157 --> 00:34:46,658 I knew we should have stopped. 707 00:34:47,494 --> 00:34:49,661 My husband, him I understand. 708 00:34:49,737 --> 00:34:51,139 He'll never quit. But you? 709 00:34:51,164 --> 00:34:52,722 You're doctors. You know. 710 00:34:52,740 --> 00:34:54,407 You're supposed to know better. 711 00:34:54,559 --> 00:34:56,075 Why couldn't you stop him? 712 00:34:56,227 --> 00:34:58,227 Grace, you know I respect you and your husband. 713 00:34:58,321 --> 00:35:00,897 He didn't want to stop, we have to honor that. 714 00:35:00,990 --> 00:35:03,249 And Dr. Pravesh has my total support. 715 00:35:03,343 --> 00:35:04,843 I'll be right back. 716 00:35:04,994 --> 00:35:08,721 Add a dialysis line. His kidneys are shutting down. 717 00:35:18,306 --> 00:35:20,657 Yeah. Just let me know, please. 718 00:35:22,754 --> 00:35:25,196 Albert's stable for now. 719 00:35:26,925 --> 00:35:28,366 Yeah, well, it doesn't change the fact 720 00:35:28,593 --> 00:35:33,446 that he walked in here in decent shape and... 721 00:35:33,598 --> 00:35:36,432 now he's on dialysis and he's being intubated. 722 00:35:36,451 --> 00:35:37,709 Did you call the study sponsors? 723 00:35:37,860 --> 00:35:39,936 I had to notify them of the toxicity of the drug, 724 00:35:39,954 --> 00:35:41,454 and now they're deciding if they're gonna put 725 00:35:41,530 --> 00:35:43,006 the trial on hold. 726 00:35:44,442 --> 00:35:46,367 Grace was right, 727 00:35:46,386 --> 00:35:47,835 I knew the dangers, 728 00:35:47,888 --> 00:35:49,629 I knew the odds for Albert were getting longer 729 00:35:49,723 --> 00:35:52,873 every single hour. 730 00:35:52,893 --> 00:35:54,041 I shouldn't have listened to him, 731 00:35:54,135 --> 00:35:55,929 except I know that I should have. 732 00:35:55,954 --> 00:35:57,470 You followed the patient's wishes. 733 00:35:57,622 --> 00:35:58,980 It was the right move. 734 00:36:00,108 --> 00:36:03,126 Albert knew exactly what he was doing. 735 00:36:04,070 --> 00:36:05,904 I feel like a general who's sending my soldiers 736 00:36:06,055 --> 00:36:08,281 out into the battlefield to face a line of machine guns 737 00:36:08,466 --> 00:36:10,316 while I stand in safety. 738 00:36:10,341 --> 00:36:11,907 All wars have casualties. 739 00:36:11,932 --> 00:36:13,912 And they also have triumphs. 740 00:36:14,139 --> 00:36:16,789 It's the same with clinical trials. 741 00:36:20,403 --> 00:36:22,736 I want Albert to survive. 742 00:36:22,756 --> 00:36:26,407 I want him to teach his kids for years to come. 743 00:36:26,501 --> 00:36:29,335 So they can visit him in his happy retirement. 744 00:36:29,412 --> 00:36:31,262 He deserves that. 745 00:36:32,340 --> 00:36:34,415 This isn't over. 746 00:36:34,434 --> 00:36:36,175 The intubation bought him time. 747 00:36:36,269 --> 00:36:39,771 So... next steps. 748 00:36:41,107 --> 00:36:43,666 All right, what we know now is that he's battling 749 00:36:43,685 --> 00:36:45,944 massive inflammation from the trial drug. 750 00:36:46,095 --> 00:36:47,670 So, if we treat the inflammation... 751 00:36:47,689 --> 00:36:48,780 I hesitated to give him steroids 752 00:36:48,931 --> 00:36:51,432 because I thought he was infected, but... 753 00:36:51,526 --> 00:36:52,766 We should go for it... plus toci. 754 00:36:52,860 --> 00:36:54,768 If all his cultures have been negative, yeah. 755 00:36:54,862 --> 00:36:56,913 It could help more than it could hurt him. 756 00:36:57,791 --> 00:36:59,165 Let's do it. 757 00:37:01,777 --> 00:37:03,352 Endometriosis fits your symptoms. 758 00:37:03,371 --> 00:37:04,704 You check all the boxes. 759 00:37:04,856 --> 00:37:06,780 You know, most doctors don't ask women 760 00:37:06,800 --> 00:37:08,967 the right question to make these connections. 761 00:37:09,118 --> 00:37:10,802 That's why it can take years to diagnose. 762 00:37:10,953 --> 00:37:13,287 But if we're right, we can fix this. 763 00:37:13,306 --> 00:37:15,974 But we do need to be clear about what this means for you. 764 00:37:16,125 --> 00:37:18,292 This condition can affect your fertility. 765 00:37:18,311 --> 00:37:20,703 Now, with surgery, you should end up pain-free, 766 00:37:20,796 --> 00:37:22,371 but if we find extensive damage, 767 00:37:22,465 --> 00:37:26,484 you are aware that you may not be able to have children, right? 768 00:37:26,635 --> 00:37:28,060 I discussed it with my husband. 769 00:37:28,213 --> 00:37:30,046 He's flying in to be with me. 770 00:37:30,215 --> 00:37:33,307 He's okay with never having children. 771 00:37:33,326 --> 00:37:34,641 And you? 772 00:37:34,661 --> 00:37:35,827 W-We're on the same page. 773 00:37:35,978 --> 00:37:38,721 We're focused on each other, and our careers. 774 00:37:38,740 --> 00:37:40,740 And there's nothing wrong with that. 775 00:37:40,834 --> 00:37:43,126 You're absolutely right. 776 00:37:45,413 --> 00:37:46,820 His MAPs are solid. 777 00:37:46,989 --> 00:37:49,232 I'm gonna titrate down the norepi. 778 00:37:50,010 --> 00:37:53,052 - That's an improvement. - Not enough. 779 00:37:53,755 --> 00:37:55,930 What do the labs say? 780 00:37:58,184 --> 00:37:59,408 Just tell me. 781 00:37:59,502 --> 00:38:01,936 Look for yourself. 782 00:38:05,496 --> 00:38:07,496 His blood gas looks good. 783 00:38:07,935 --> 00:38:10,177 We can turn down his oxygen to 40%. 784 00:38:11,105 --> 00:38:14,257 And his liver function is normalizing. 785 00:38:14,425 --> 00:38:15,700 He's turning around. 786 00:38:17,370 --> 00:38:18,911 He's gonna be okay. 787 00:38:20,868 --> 00:38:22,793 Yes. Yes. 788 00:38:23,376 --> 00:38:25,768 Albert will make it through this trial. 789 00:38:25,937 --> 00:38:28,287 You have given him a chance to survive. 790 00:38:28,439 --> 00:38:30,256 You did it. 791 00:38:41,331 --> 00:38:43,347 He's looking better, right? 792 00:38:43,500 --> 00:38:47,001 He already wants to send a video to his students. 793 00:38:47,094 --> 00:38:49,252 I tell them every day, 794 00:38:49,596 --> 00:38:54,196 record even the most incremental progress in your experiments. 795 00:38:54,221 --> 00:38:57,347 This is more than incremental. 796 00:38:58,616 --> 00:39:00,950 When you're ready, I'll set up a transfer 797 00:39:00,969 --> 00:39:03,228 back to the room with the comfy chair. 798 00:39:08,476 --> 00:39:12,219 Albert, I owe you an apology. Grace, you, too. 799 00:39:12,313 --> 00:39:15,481 I just had no idea it was gonna get this bad. 800 00:39:15,506 --> 00:39:17,782 You were doing your job. 801 00:39:18,136 --> 00:39:20,303 I'm sorry I got so angry. 802 00:39:20,396 --> 00:39:23,489 Oh, stop, both of you. I was a willing guinea pig, remember? 803 00:39:23,641 --> 00:39:25,975 A human petri dish. 804 00:39:25,994 --> 00:39:28,995 Besides, it worked. 805 00:39:29,147 --> 00:39:30,646 Well, we know you can get through the doses. 806 00:39:30,665 --> 00:39:33,316 But we don't actually know if it's gonna help your cancer yet. 807 00:39:33,409 --> 00:39:36,803 But I have a chance. More than I had before. 808 00:39:37,913 --> 00:39:41,824 See? I told you to trust Dr. Pravesh. 809 00:39:41,917 --> 00:39:43,175 - You were right. - Mm. 810 00:39:43,270 --> 00:39:46,420 Like two peas in a pod, you science nerds. 811 00:39:46,514 --> 00:39:48,273 That's right. 812 00:39:48,349 --> 00:39:49,923 Now, here's the real question. 813 00:39:49,943 --> 00:39:52,926 Who can recite the periodic table faster? 814 00:39:52,951 --> 00:39:54,525 - Did you just challenge me? - Yes, I did. 815 00:39:54,689 --> 00:39:56,781 No... Actually, no, y-you need to get some rest. 816 00:39:56,966 --> 00:39:59,675 Hydrogen, helium, lithium... 817 00:39:59,769 --> 00:40:01,452 Okay, okay, okay. You win. 818 00:40:01,604 --> 00:40:02,845 You win. 819 00:40:02,938 --> 00:40:04,013 Imaging, 820 00:40:04,032 --> 00:40:05,456 please dial 2732... 821 00:40:05,608 --> 00:40:09,685 Oh, well, well, well, if it isn't the queen of Chastain. 822 00:40:09,779 --> 00:40:11,963 Hey. 823 00:40:12,707 --> 00:40:13,965 Ah... 824 00:40:14,109 --> 00:40:16,443 - Oh. Nice. - You like that, right? 825 00:40:16,544 --> 00:40:18,636 Hey, man, I heard Devon's clinical trial 826 00:40:18,788 --> 00:40:20,120 passed the first test. 827 00:40:20,140 --> 00:40:21,364 Yeah, barely. 828 00:40:21,457 --> 00:40:24,216 The protocol was worse than anyone imagined. 829 00:40:24,369 --> 00:40:26,719 Your mom wouldn't have survived it, AJ. 830 00:40:26,813 --> 00:40:29,722 Well, we have no regrets. 831 00:40:29,874 --> 00:40:30,982 You know what she did today? 832 00:40:31,209 --> 00:40:32,708 She made three different kind of muffins 833 00:40:32,727 --> 00:40:35,636 and she took a walk through the botanical gardens. 834 00:40:35,730 --> 00:40:39,715 Telling you, brother, palliative care was a good call. 835 00:40:39,809 --> 00:40:40,883 So, uh... 836 00:40:40,976 --> 00:40:45,388 do we need to talk about the new ER doc? 837 00:40:45,406 --> 00:40:46,906 - Okay. - Yeah. 838 00:40:46,982 --> 00:40:49,408 Look, I'm just saying, I like her. 839 00:40:49,433 --> 00:40:51,649 No BS, no sugarcoating. 840 00:40:51,674 --> 00:40:53,885 Uh, she's definitely an interesting case. 841 00:40:53,910 --> 00:40:56,486 "Interesting." That sounds mysterious. 842 00:40:56,505 --> 00:40:58,603 Come on, man. Give up the backstory. 843 00:40:58,628 --> 00:41:00,127 No, do not go there. 844 00:41:00,296 --> 00:41:02,146 You know something I don't? 845 00:41:02,298 --> 00:41:04,073 I thought you two might have something going on. 846 00:41:04,300 --> 00:41:06,300 - Just colleagues. - Yeah, for now. 847 00:41:06,318 --> 00:41:10,579 No. I already have one lady in my life. 848 00:41:10,765 --> 00:41:12,230 Me. 849 00:41:12,250 --> 00:41:13,974 - I'll catch you tomorrow. - All right. 850 00:41:13,993 --> 00:41:15,492 See you later, cutie-pie. 851 00:41:15,645 --> 00:41:17,068 Bye. 852 00:41:17,088 --> 00:41:19,766 The unicorn book, you promised. 853 00:41:19,791 --> 00:41:20,814 What? 854 00:41:20,833 --> 00:41:23,259 Unicorn book? I don't know what you're talking about. 855 00:41:23,486 --> 00:41:27,004 - Daddy. - I didn't forget, sweetheart. 856 00:41:27,156 --> 00:41:31,058 Happy the Bloodhound is coming right up. 857 00:41:35,148 --> 00:41:36,997 I'm so proud of you. 858 00:41:37,016 --> 00:41:39,683 And I'm proud of you. 859 00:41:39,835 --> 00:41:44,004 You made a tough diagnosis most doctors would miss. 860 00:41:44,023 --> 00:41:46,507 And you got your patient 861 00:41:46,525 --> 00:41:49,065 through a very rough surgery, Leela. 862 00:41:50,029 --> 00:41:53,271 Well, I really admire Mariana. 863 00:41:53,291 --> 00:41:55,863 And I'm really glad I got to know her a bit. 864 00:41:55,888 --> 00:41:58,110 She's a successful businesswoman, 865 00:41:58,135 --> 00:42:01,446 and an unapologetic control freak, 866 00:42:01,471 --> 00:42:05,157 with a very successful husband in the same business. 867 00:42:05,384 --> 00:42:06,550 Sounds familiar. 868 00:42:06,569 --> 00:42:08,977 And she wasn't at all afraid of a condition 869 00:42:09,002 --> 00:42:10,197 that could make her infertile, 870 00:42:10,222 --> 00:42:11,497 because she doesn't want kids. 871 00:42:11,648 --> 00:42:14,058 I mean, there are people like that. 872 00:42:14,076 --> 00:42:15,668 I'm just not one of them. 873 00:42:17,913 --> 00:42:20,798 I want to have a family one day. 874 00:42:22,200 --> 00:42:23,366 With you. 875 00:42:24,731 --> 00:42:27,732 We need to talk about this. 876 00:42:28,349 --> 00:42:30,832 I don't know if I want kids. 877 00:42:30,852 --> 00:42:32,426 At least not right now. 878 00:42:32,520 --> 00:42:36,580 I could not manage surgical residency and a family. 879 00:42:36,582 --> 00:42:38,840 Yeah, I get that. 880 00:42:39,009 --> 00:42:40,227 And it can wait. We have plenty of time. 881 00:42:40,252 --> 00:42:42,736 Devon, it could be a long while. 882 00:42:44,256 --> 00:42:47,274 Leela, all kinds of doctors manage it. 883 00:42:47,426 --> 00:42:49,927 I mean, there are work-arounds. 884 00:42:50,020 --> 00:42:52,779 I believe that, I just... 885 00:42:52,932 --> 00:42:57,501 I don't know if it'll ever be the right thing for me. 886 00:42:59,271 --> 00:43:02,606 Which is why I-I realized 887 00:43:02,625 --> 00:43:05,292 that what Padma wants can help us both. 888 00:43:05,444 --> 00:43:07,461 I can give her the egg she so desperately wants, 889 00:43:07,555 --> 00:43:09,957 so she can have a baby, and at the same time, 890 00:43:09,982 --> 00:43:13,517 I can freeze some for me. For us. 891 00:43:14,847 --> 00:43:16,048 For the future. 892 00:43:16,288 --> 00:43:18,639 Yes. 893 00:43:18,791 --> 00:43:22,568 Just to give me time to think about it. 894 00:43:24,388 --> 00:43:27,314 But that's all I can promise right now. 895 00:43:27,466 --> 00:43:29,742 Can you live with that? 896 00:43:31,979 --> 00:43:35,979 - Synced and corrected by synk - - www.addic7ed.com - 65256

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