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These are the user uploaded subtitles that are being translated: 1 00:00:02,770 --> 00:00:05,211 - Previously on The Resident... - I have multiple sclerosis. 2 00:00:05,274 --> 00:00:06,206 Darling, I'm so sorry. 3 00:00:06,275 --> 00:00:07,343 We're-we're here for you. 4 00:00:07,367 --> 00:00:08,717 The doctors at the Mayo said 5 00:00:08,794 --> 00:00:10,034 you could return to surgery. 6 00:00:10,128 --> 00:00:11,531 I'm hopeful and I'm reassured. 7 00:00:11,554 --> 00:00:12,634 Promise me one thing... 8 00:00:12,781 --> 00:00:14,682 You won't give up on the OR just yet. 9 00:00:14,707 --> 00:00:15,948 Do Billie and AJ know 10 00:00:16,117 --> 00:00:17,594 that you want to be double board-certified 11 00:00:17,618 --> 00:00:19,446 in the hardest field of medicine, 12 00:00:19,471 --> 00:00:21,471 neuro and cardiothoracic surgery? 13 00:00:21,623 --> 00:00:23,806 I've mentioned that I want to do this. 14 00:00:23,900 --> 00:00:25,382 Bob Porter. 15 00:00:25,477 --> 00:00:26,676 University Hospital, Augusta. 16 00:00:26,795 --> 00:00:28,213 So you must be the other name 17 00:00:28,237 --> 00:00:30,291 on the governor's short list for a seat on the medical board. 18 00:00:30,315 --> 00:00:31,573 So we are competitors. 19 00:00:31,800 --> 00:00:34,134 You mind if I ask you why you want a seat? 20 00:00:34,226 --> 00:00:35,630 Just want to give back. 21 00:00:35,654 --> 00:00:37,746 No, I need a letter of recommendation 22 00:00:37,972 --> 00:00:39,392 for the Georgia State Medical Board. 23 00:00:39,415 --> 00:00:41,469 I'm competing with another doctor for the spot. 24 00:00:41,493 --> 00:00:42,399 Who is he? 25 00:00:42,493 --> 00:00:43,493 This is him. 26 00:00:43,570 --> 00:00:44,789 Robert Porter is angling 27 00:00:44,813 --> 00:00:46,253 for a seat on the board. 28 00:00:46,405 --> 00:00:48,475 He raped me when I was 13 years old. 29 00:00:48,500 --> 00:00:50,667 You want to go before the board and tell them? 30 00:00:50,743 --> 00:00:52,551 I want to make a statement. 31 00:01:10,781 --> 00:01:13,890 Yes, a chronic back, elbow, knee issue 32 00:01:13,950 --> 00:01:16,930 might not be a terminal disease, but... 33 00:01:16,954 --> 00:01:18,677 it can feel like one 34 00:01:18,771 --> 00:01:20,811 due to the impact it has on your life. 35 00:01:20,939 --> 00:01:22,435 But... 36 00:01:22,459 --> 00:01:24,533 with 3D printing, soon, 37 00:01:24,611 --> 00:01:29,371 we will be able to create patient-specific implants. 38 00:01:29,466 --> 00:01:32,353 Customized. Targeted. Personal. 39 00:01:32,377 --> 00:01:34,860 This will be revolutionary. 40 00:01:44,222 --> 00:01:46,647 "Advancements in medicine have inspired 41 00:01:46,817 --> 00:01:48,483 "promising new treatments, 42 00:01:48,710 --> 00:01:51,819 empowering patients and giving them more say in their care." 43 00:01:51,971 --> 00:01:54,396 Thank you. "And clinical research 44 00:01:54,549 --> 00:01:55,972 "can advance it even further, 45 00:01:56,067 --> 00:01:58,045 resulting in progress that can change..." 46 00:01:58,069 --> 00:02:01,311 Oh, my God. Could this be any more boring? 47 00:02:01,406 --> 00:02:03,147 Doubtful. 48 00:02:03,316 --> 00:02:04,908 But never underestimate the draw 49 00:02:05,001 --> 00:02:07,037 of your geeky clinical trial sexiness. 50 00:02:07,061 --> 00:02:08,652 Mm? 51 00:02:10,231 --> 00:02:12,225 I wish you were coming with me. 52 00:02:12,250 --> 00:02:13,341 Me, too. 53 00:02:13,492 --> 00:02:16,229 But this conference might be more enticing 54 00:02:16,253 --> 00:02:18,253 than gender reveal festivities. 55 00:02:19,164 --> 00:02:24,168 About you doing both cardiothoracic and neurosurgery, 56 00:02:24,262 --> 00:02:27,555 obviously, it is entirely, 100% your decision. 57 00:02:27,707 --> 00:02:31,336 But, I mean, this is going to be... 58 00:02:31,360 --> 00:02:33,269 a massive, 59 00:02:33,421 --> 00:02:35,030 massive challenge, Leela. 60 00:02:35,257 --> 00:02:37,424 I know. I won't make a decision 61 00:02:37,516 --> 00:02:40,201 until I have a real conversation with Billie about it. 62 00:02:40,353 --> 00:02:41,185 Okay? 63 00:02:41,353 --> 00:02:43,038 Okay. 64 00:02:43,706 --> 00:02:45,185 And that's Jessica. 65 00:02:45,209 --> 00:02:47,616 Good luck with your presentation. 66 00:02:59,538 --> 00:03:02,473 This is the best macaron I've ever tasted. 67 00:03:03,710 --> 00:03:06,210 Your sister is so elegant. 68 00:03:06,304 --> 00:03:08,712 She is. Beautiful and rich. 69 00:03:08,881 --> 00:03:10,306 We've always been so different. 70 00:03:10,474 --> 00:03:12,270 Just look at her. Look how skinny she is, 71 00:03:12,294 --> 00:03:14,622 and she's three months' pregnant. 72 00:03:14,646 --> 00:03:17,216 It must be nice that you and Padma are so similar. 73 00:03:17,240 --> 00:03:19,051 You get to avoid comparisons. 74 00:03:19,075 --> 00:03:21,242 Oh, no, there are comparisons. 75 00:03:21,411 --> 00:03:23,129 One of us is fun and spontaneous, 76 00:03:23,153 --> 00:03:25,655 the other serious, rigid. I'm sure 77 00:03:25,806 --> 00:03:27,209 - you can guess who's who. - No. - Oh! 78 00:03:27,233 --> 00:03:30,585 Way to stick to the pink and blue theme, Jess. 79 00:03:30,812 --> 00:03:32,899 Oh. There's a theme? 80 00:03:32,923 --> 00:03:34,140 I-I didn't know. 81 00:03:34,164 --> 00:03:36,483 Oh, funny, lady. 82 00:03:36,575 --> 00:03:37,645 You look lovely, 83 00:03:37,668 --> 00:03:39,239 even if you're dressed for a funeral, 84 00:03:39,263 --> 00:03:40,745 not a gender reveal party. 85 00:03:40,838 --> 00:03:43,408 Considering that gender is a social construct... 86 00:03:43,432 --> 00:03:45,099 Uh, it's an amazing party. 87 00:03:45,175 --> 00:03:47,055 Thank you so much for inviting me. 88 00:03:47,162 --> 00:03:48,229 And thank you for coming, Leela. 89 00:03:48,253 --> 00:03:50,324 And the real fun is about to begin. 90 00:03:50,348 --> 00:03:53,400 Have we got a surprise for you. 91 00:03:54,093 --> 00:03:55,183 She's so funny. 92 00:03:55,278 --> 00:03:57,111 - Oh, my gosh. - Yeah. 93 00:03:57,263 --> 00:04:00,167 Oh, photo op. 94 00:04:00,191 --> 00:04:02,116 And that photo will be online 95 00:04:02,268 --> 00:04:04,264 in three, two, 96 00:04:04,288 --> 00:04:05,704 one. 97 00:04:08,106 --> 00:04:10,532 They're so cute. 98 00:04:10,627 --> 00:04:12,294 How did they meet? 99 00:04:12,444 --> 00:04:13,703 Scarlett was bartending, 100 00:04:13,854 --> 00:04:15,515 doing some modeling on the side. 101 00:04:15,539 --> 00:04:18,685 Will came in for a drink and he couldn't take his eyes off her. 102 00:04:18,709 --> 00:04:20,779 She went from being behind in car payments 103 00:04:20,803 --> 00:04:22,786 to flying on private jets. 104 00:04:22,880 --> 00:04:23,880 Wow. 105 00:04:23,956 --> 00:04:25,048 All right, boys and girls, 106 00:04:25,199 --> 00:04:26,716 let's gather round! 107 00:04:31,981 --> 00:04:34,649 Thank you all for being here. 108 00:04:34,800 --> 00:04:37,242 Let's find out if our firstborn 109 00:04:37,302 --> 00:04:39,132 is a lad or lassie. 110 00:04:39,156 --> 00:04:41,639 Our OB and the guys 111 00:04:41,733 --> 00:04:45,076 who built this are the only ones who know. 112 00:04:50,574 --> 00:04:52,312 Is that a cannon? 113 00:04:52,336 --> 00:04:53,576 Wait, like a cannon-cannon? 114 00:04:53,670 --> 00:04:56,079 With these two, it's go big or go gigantic. 115 00:04:56,230 --> 00:04:58,151 On the count of three. 116 00:04:58,175 --> 00:05:00,415 One! 117 00:05:00,492 --> 00:05:02,250 Two! 118 00:05:02,346 --> 00:05:03,569 Three! 119 00:05:13,023 --> 00:05:15,839 Is this thing broken? 120 00:05:18,769 --> 00:05:20,677 - Babe! - Oh, my God. 121 00:05:20,771 --> 00:05:23,180 Someone call 911! 122 00:05:23,274 --> 00:05:24,274 See if he's okay. 123 00:05:44,721 --> 00:05:47,889 I'm thinking we'll pick up pasta from Luigi's 124 00:05:48,115 --> 00:05:50,836 - or... - Yes! I love their "carbon-ye-ara." 125 00:05:50,951 --> 00:05:53,043 Carbonara works. 126 00:05:53,137 --> 00:05:54,377 With ice cream on top? 127 00:05:54,471 --> 00:05:55,971 No, Daddy. 128 00:05:56,124 --> 00:05:57,456 Just parmesan. 129 00:05:57,550 --> 00:05:58,952 But I thought you liked ice cream on top. 130 00:05:58,976 --> 00:05:59,976 Bye, Daddy! 131 00:06:00,052 --> 00:06:03,737 Okay, well, I'm having ice cream. 132 00:06:11,139 --> 00:06:13,415 She's already reading? That's amazing. 133 00:06:13,565 --> 00:06:16,418 Yeah, way sooner than I ever did. 134 00:06:16,644 --> 00:06:19,504 She must've got that from her mom. 135 00:06:26,077 --> 00:06:27,814 - I'll be back in a sec. - Thank you. 136 00:06:27,838 --> 00:06:29,038 You working in the ER today? 137 00:06:29,156 --> 00:06:30,576 Yeah, yeah, I'm covering for Devon. 138 00:06:30,600 --> 00:06:32,226 He's at that clinical trial conference. 139 00:06:32,250 --> 00:06:33,600 Ah, right. Yeah. 140 00:06:33,752 --> 00:06:35,488 For some, being an ER doc isn't enough. 141 00:06:35,512 --> 00:06:37,829 He's got to be a fancy scientist, too. 142 00:06:37,923 --> 00:06:38,992 Well, our patients are lucky 143 00:06:39,016 --> 00:06:41,091 to have you here, too, my friend. 144 00:06:41,185 --> 00:06:42,163 Help! 145 00:06:42,187 --> 00:06:43,663 My passenger is dying. 146 00:06:43,687 --> 00:06:44,778 What happened? 147 00:06:45,005 --> 00:06:46,408 I picked her up from her apartment, 148 00:06:46,432 --> 00:06:47,672 she got in all pale and shaky, 149 00:06:47,766 --> 00:06:50,838 asking for a hospital, and slumped onto the seat. 150 00:06:50,862 --> 00:06:51,930 I'm Dr. Hawkins. 151 00:06:51,954 --> 00:06:54,346 You're at Chastain Memorial Hospital. 152 00:06:56,201 --> 00:06:58,345 Can you tell us what's going on? 153 00:06:58,369 --> 00:07:00,502 Okay, how about your name? 154 00:07:03,949 --> 00:07:06,187 Finger stick 104. 155 00:07:06,211 --> 00:07:07,779 Will get these to the lab stat. 156 00:07:07,803 --> 00:07:10,637 Blood pressure low. O2 sat 89. 157 00:07:10,865 --> 00:07:13,975 Her son, I'm guessing? 158 00:07:14,810 --> 00:07:18,605 Hmm, she works at Only A Dollar. 159 00:07:20,709 --> 00:07:24,060 Oh, here we go. Uh, Charli April Martinez. 160 00:07:24,228 --> 00:07:25,653 Born January 15, 1997. 161 00:07:25,805 --> 00:07:27,466 I see a subtle 162 00:07:27,490 --> 00:07:29,564 petechial rash to her neck and arms. 163 00:07:29,718 --> 00:07:31,992 We're calling her emergency contact. 164 00:07:32,144 --> 00:07:35,071 She's 25 years old, ear infection in 2004, 165 00:07:35,223 --> 00:07:36,997 vaccinations up to date. 166 00:07:37,149 --> 00:07:39,483 Mm. Charli's popular. 167 00:07:39,576 --> 00:07:41,002 Turn the ringer on 168 00:07:41,153 --> 00:07:43,206 in case someone calls who can tell us something. 169 00:07:43,230 --> 00:07:44,466 Her emergency contact's not answering. 170 00:07:44,490 --> 00:07:45,747 I'll try again later. 171 00:07:45,841 --> 00:07:47,653 Looks like she had a laparoscope placed there recently, 172 00:07:47,677 --> 00:07:51,324 but abdominal surgery needs more than one port. 173 00:07:51,348 --> 00:07:53,255 O2 sat's 98% on nasal cannula. 174 00:07:53,408 --> 00:07:56,016 - BP's 104/60. - Seems like 175 00:07:56,168 --> 00:07:57,409 she's protecting her airway. 176 00:07:57,502 --> 00:07:58,723 Let's use this opportunity to get more info. 177 00:07:58,747 --> 00:08:01,596 Trevor, page Raptor, have him meet you at CT. 178 00:08:01,690 --> 00:08:04,526 I'm gonna make a quick stop. I'll catch up with you there. 179 00:08:23,771 --> 00:08:25,620 Hey. 180 00:08:25,774 --> 00:08:29,086 Thanks again for writing that letter of recommendation. 181 00:08:29,110 --> 00:08:31,511 Well, I hope it helps. 182 00:08:34,390 --> 00:08:35,706 And Porter? 183 00:08:35,783 --> 00:08:38,017 Is he still in the running for the same seat? 184 00:08:38,787 --> 00:08:40,135 Why wouldn't he be? 185 00:08:40,304 --> 00:08:41,782 Well, I've heard there are multiple 186 00:08:41,806 --> 00:08:43,046 ethics complaints against him. 187 00:08:43,124 --> 00:08:45,163 I thought that might get him disqualified. 188 00:08:46,126 --> 00:08:48,610 Let me know if you hear anything more about him. 189 00:08:56,227 --> 00:08:58,078 You're smiling. 190 00:08:58,230 --> 00:09:00,038 That's good news, right? 191 00:09:02,476 --> 00:09:05,327 - This my latest MRI? - Yep. 192 00:09:05,480 --> 00:09:07,975 Your neuro exam is excellent. 193 00:09:07,999 --> 00:09:10,499 No new lesions. 194 00:09:11,260 --> 00:09:13,129 Since you started taking the meds, 195 00:09:13,153 --> 00:09:15,429 your MS is not progressing. 196 00:09:15,657 --> 00:09:18,006 How you feeling? 197 00:09:18,158 --> 00:09:21,769 Overall, good. 198 00:09:23,998 --> 00:09:26,106 Better now. 199 00:09:28,001 --> 00:09:31,153 It means you're cleared for surgery. 200 00:09:33,616 --> 00:09:37,451 - Are you sure? - You passed all the necessary tests. 201 00:09:39,179 --> 00:09:40,915 I could have another flare-up while I'm operating. 202 00:09:40,940 --> 00:09:44,625 True, but it's unlikely, and you know what to expect now. 203 00:09:44,777 --> 00:09:47,014 Worse comes to worst, you head off any symptoms 204 00:09:47,038 --> 00:09:48,923 - with a steroid pulse. - What about my patients? 205 00:09:48,947 --> 00:09:50,850 Is this a risk they should take, too? 206 00:09:50,875 --> 00:09:53,542 There are surgeons with MS safely operating 207 00:09:53,695 --> 00:09:56,763 thanks to good meds, and you will have backup. 208 00:09:58,289 --> 00:10:01,049 The OR needs you. 209 00:10:01,144 --> 00:10:03,644 And you need the OR. 210 00:10:05,373 --> 00:10:06,625 I'm so sorry. 211 00:10:06,649 --> 00:10:09,466 This was a terrible idea. They said it was safe. 212 00:10:09,543 --> 00:10:13,206 - I can't hear her! - The explosion ruptured your eardrum, Will. 213 00:10:13,230 --> 00:10:15,657 - It'll get better soon. - He's gonna be okay, right? 214 00:10:15,807 --> 00:10:17,216 Yep, Irving will make sure of it. 215 00:10:17,308 --> 00:10:19,879 Am I glad to see you, brother-in-law. 216 00:10:19,903 --> 00:10:22,404 You got any painkillers? Strong ones? 217 00:10:22,557 --> 00:10:24,716 Yeah, let's get you off the stretcher first. 218 00:10:24,741 --> 00:10:28,043 On my count. One, two, three. 219 00:10:29,654 --> 00:10:31,892 He can't hear. His eardrum might have ruptured. 220 00:10:31,916 --> 00:10:32,893 What happened? 221 00:10:32,917 --> 00:10:34,820 The cannon exploded. 222 00:10:34,844 --> 00:10:36,251 Right. Did you say "cannon"? 223 00:10:36,346 --> 00:10:38,586 I-It was supposed to fire blue or pink smoke. 224 00:10:38,740 --> 00:10:40,475 I-I'm the one who talked him into it. 225 00:10:40,499 --> 00:10:42,779 Okay, easy. Let's just focus on getting him better. 226 00:10:42,911 --> 00:10:44,496 Go get Will checked in, and we'll take care of him, okay? 227 00:10:44,520 --> 00:10:46,407 Whoa, looks like 228 00:10:46,431 --> 00:10:48,000 it hurts. 229 00:10:48,024 --> 00:10:49,264 Let's get 75 mics of fentanyl. 230 00:10:49,341 --> 00:10:50,582 Okay. Try holding still, hon. 231 00:10:50,676 --> 00:10:53,338 You'll be feeling better in a few seconds. 232 00:10:53,363 --> 00:10:55,581 Will, I'm gonna send you for a scan to get 233 00:10:55,605 --> 00:10:57,234 a clear picture of what's going on. 234 00:10:57,258 --> 00:10:58,774 Okay? 235 00:11:01,611 --> 00:11:04,038 I don't hear any breath on the right. 236 00:11:04,190 --> 00:11:06,282 My chest, it hurts. 237 00:11:06,433 --> 00:11:09,078 His sats are starting to drop. 238 00:11:09,102 --> 00:11:10,360 No lung sliding. 239 00:11:10,455 --> 00:11:11,673 Looks like the shrapnel collapsed the lung. 240 00:11:11,697 --> 00:11:14,631 We need a chest tube now. 241 00:11:24,894 --> 00:11:26,854 The doctor said his lung collapsed 242 00:11:26,955 --> 00:11:28,282 and he could have internal injuries. 243 00:11:28,306 --> 00:11:30,230 Yeah, I can't believe it either. 244 00:11:30,457 --> 00:11:32,734 Oh, I'll call you when I know more, okay? 245 00:11:34,052 --> 00:11:37,048 We got his lung re-expanded, he's breathing much better, 246 00:11:37,072 --> 00:11:40,219 - and he's on the way to CT. - Okay. 247 00:11:40,243 --> 00:11:41,794 - His parents? - Yeah. 248 00:11:41,818 --> 00:11:44,412 They said I should have talked him out of the cannon, 249 00:11:44,639 --> 00:11:48,206 but it was my stupid idea in the first place. 250 00:11:49,309 --> 00:11:53,479 Oh, my God, I mean, what a disaster. 251 00:11:58,094 --> 00:12:01,481 One of his coworkers posted it. 252 00:12:01,505 --> 00:12:03,746 And it's already been reposted 253 00:12:03,825 --> 00:12:06,341 175 times. 254 00:12:06,436 --> 00:12:08,913 What? A-As if this wasn't awful enough. 255 00:12:08,937 --> 00:12:10,605 Maybe put your phone away? 256 00:12:10,831 --> 00:12:12,923 Uh, "Latest addition to the cesspool 257 00:12:13,091 --> 00:12:14,660 of gender reveal idiocy." 258 00:12:14,684 --> 00:12:17,313 "Stop blowing things up to tell people your kid's got a penis." 259 00:12:17,337 --> 00:12:19,947 Scarlett, your friends love you. 260 00:12:20,099 --> 00:12:22,508 Who cares what a bunch of strangers think? 261 00:12:22,567 --> 00:12:23,988 - Yeah. - Yeah? 262 00:12:24,011 --> 00:12:25,510 Yeah. 263 00:12:25,604 --> 00:12:27,413 Thank you. 264 00:12:28,625 --> 00:12:32,534 Troponin and BNP are both elevated. 265 00:12:32,687 --> 00:12:34,498 She has leukocytosis but no fever. 266 00:12:34,522 --> 00:12:38,184 Nothing is adding up. We need answers. 267 00:12:38,209 --> 00:12:40,504 Her sats are drifting down. 268 00:12:40,528 --> 00:12:43,452 She's getting sicker by the minute. 269 00:12:43,548 --> 00:12:45,618 Considering all those TikTok notifications, 270 00:12:45,642 --> 00:12:47,620 she must have an account. 271 00:12:47,644 --> 00:12:50,394 Let's see if it can tell us anything. 272 00:13:06,403 --> 00:13:09,645 Wow. Scans taking that long, huh? 273 00:13:10,408 --> 00:13:12,144 She's our patient, 274 00:13:12,168 --> 00:13:13,703 we still don't know what's wrong with her, 275 00:13:13,727 --> 00:13:14,980 so we're looking for clues and Irving is trying 276 00:13:15,004 --> 00:13:16,412 to reach the family. 277 00:13:16,581 --> 00:13:19,652 180,000 followers. Wow, that's impressive. 278 00:13:19,676 --> 00:13:22,009 Yeah, but it's not helping. 279 00:13:22,846 --> 00:13:24,511 Maybe this will. 280 00:13:25,405 --> 00:13:26,847 Trevor, take it from the top 281 00:13:26,999 --> 00:13:29,235 and walk us through it. 282 00:13:29,259 --> 00:13:31,427 Well... 283 00:13:31,520 --> 00:13:33,561 the apices of the lungs look clear. 284 00:13:33,748 --> 00:13:36,606 There's some scattered focal ground-glass. 285 00:13:37,360 --> 00:13:38,480 Hold on, is that a, uh... 286 00:13:38,509 --> 00:13:40,246 - A filling defect. - Yeah. 287 00:13:40,270 --> 00:13:43,513 Consistent with a huge clot in her right pulmonary artery. 288 00:13:43,607 --> 00:13:45,751 Yeah, and smaller clots in the distal arteries, too. 289 00:13:45,775 --> 00:13:48,254 Maybe they aren't blood clots. 290 00:13:48,278 --> 00:13:50,073 Then what are they? 291 00:13:50,097 --> 00:13:51,258 This pattern plus the rash, 292 00:13:51,282 --> 00:13:53,427 I'm thinking fat embolism syndrome. 293 00:13:53,451 --> 00:13:57,597 Yeah, globules of fat clogging up the vessels. 294 00:13:57,621 --> 00:14:00,029 That happens after fractures or burns, right? 295 00:14:00,124 --> 00:14:02,532 But she didn't have those. 296 00:14:02,610 --> 00:14:03,625 Or pancreatitis. 297 00:14:03,778 --> 00:14:05,438 But liposuction would explain all of it. 298 00:14:05,462 --> 00:14:08,442 The fat embolism, the surgical port we saw. 299 00:14:08,466 --> 00:14:11,299 O2's in the 80s. 300 00:14:11,451 --> 00:14:13,019 149 heart rate. She's tanking. 301 00:14:19,644 --> 00:14:21,644 Hemoptysis. We need to secure her airway 302 00:14:21,796 --> 00:14:23,052 before she aspirates. 303 00:14:23,147 --> 00:14:24,124 What the hell is going on? 304 00:14:24,148 --> 00:14:25,480 Let's intubate and find out. 305 00:14:25,575 --> 00:14:29,243 Gail, I need you to look for two small injection sites 306 00:14:29,394 --> 00:14:31,412 on the patient's backside. 307 00:14:32,139 --> 00:14:34,373 Do you see them? 308 00:14:35,067 --> 00:14:36,394 Yes, I do. 309 00:14:36,418 --> 00:14:38,826 Prepare the intubation meds now. 310 00:14:38,903 --> 00:14:41,338 It's okay. 311 00:14:56,272 --> 00:14:58,438 All right, sats are coming back up. 312 00:14:58,665 --> 00:15:01,500 Looks like Charli here got herself a Brazilian butt lift. 313 00:15:01,592 --> 00:15:04,687 Aren't BBLs the most dangerous procedure there is? 314 00:15:04,780 --> 00:15:07,782 Yeah, but I doubt they advertise the high fatality rates. 315 00:15:08,009 --> 00:15:09,318 Right. They sell you on the prospect 316 00:15:09,342 --> 00:15:10,611 of getting a curvier backside 317 00:15:10,635 --> 00:15:13,178 while losing inches in the middle. 318 00:15:13,272 --> 00:15:14,455 Let's get her to ICU. 319 00:15:14,605 --> 00:15:16,083 I need to ultrasound her heart to see 320 00:15:16,107 --> 00:15:19,585 where that runaway fat is now calling home. 321 00:15:24,466 --> 00:15:26,687 That does not look pretty. 322 00:15:26,711 --> 00:15:29,188 The tiniest bowel perf and he could end up in septic shock. 323 00:15:29,212 --> 00:15:30,879 Jessica's brother-in-law? 324 00:15:31,032 --> 00:15:32,283 Yeah. 325 00:15:32,307 --> 00:15:33,693 We've admitted him and I booked an OR, 326 00:15:33,717 --> 00:15:35,345 and as soon as it's ready, we'll take him in. 327 00:15:35,369 --> 00:15:38,144 Uh-huh. And what happened? 328 00:15:38,297 --> 00:15:41,481 A gender reveal party gone very wrong. 329 00:15:41,709 --> 00:15:43,525 A cannon was involved. 330 00:15:45,636 --> 00:15:48,040 Probably best if I don't know the details. 331 00:15:48,065 --> 00:15:49,951 So, this could go south really fast. 332 00:15:49,975 --> 00:15:53,067 He's gonna need exploratory laparotomy. 333 00:15:53,221 --> 00:15:55,731 Well, I'm glad you're on deck. 334 00:15:55,755 --> 00:15:58,977 Uh, you're on deck. I'm a maybe. 335 00:15:59,001 --> 00:16:01,501 We need to talk. 336 00:16:13,407 --> 00:16:16,057 What's going on? 337 00:16:18,245 --> 00:16:20,039 Remember the last time we operated together? 338 00:16:20,063 --> 00:16:21,408 I had some issues. 339 00:16:21,432 --> 00:16:25,336 And I contacted Conrad, we had some tests run. 340 00:16:25,360 --> 00:16:26,769 And? 341 00:16:26,921 --> 00:16:29,447 I have MS. 342 00:16:30,682 --> 00:16:32,408 Multiple sclerosis? 343 00:16:35,278 --> 00:16:37,779 - I am so sorry, Dr. Bell. - Thank you. 344 00:16:37,874 --> 00:16:40,777 I'm-I'm adjusting to the new reality, with Kit's help. 345 00:16:40,801 --> 00:16:44,528 And on-on meds, I have no symptoms, at least for now, 346 00:16:44,605 --> 00:16:48,506 and Conrad has cleared me for surgery. However... 347 00:16:49,626 --> 00:16:50,384 if you would prefer 348 00:16:50,536 --> 00:16:53,471 to work with another doctor... 349 00:16:54,706 --> 00:16:56,474 Absolutely not. 350 00:16:57,451 --> 00:16:59,467 This is a physical challenge. 351 00:16:59,620 --> 00:17:02,115 That's it. 352 00:17:02,139 --> 00:17:03,450 I have one, too. 353 00:17:03,474 --> 00:17:06,048 If you hadn't told me, I'd never, uh, guess 354 00:17:06,102 --> 00:17:08,547 - that you have dyslexia. - Thank you. 355 00:17:08,570 --> 00:17:13,460 But when I chose surgery, my family, friends, advisors, 356 00:17:13,483 --> 00:17:15,220 everyone thought it would make me dangerous. 357 00:17:15,243 --> 00:17:19,557 But with my work-arounds, I believe I've... 358 00:17:19,582 --> 00:17:22,249 - You are one of the best. - I don't know about that. 359 00:17:22,476 --> 00:17:26,170 But I do not let dyslexia stand in my way. 360 00:17:27,405 --> 00:17:30,402 This is just a new challenge to overcome. 361 00:17:30,425 --> 00:17:33,000 Well, thank you, Dr. Devi. 362 00:17:33,153 --> 00:17:34,677 Was a good pep talk. 363 00:17:37,674 --> 00:17:39,474 I'll see you in the OR. 364 00:17:54,008 --> 00:17:56,169 Man, when I was in my 20s, the worst things 365 00:17:56,192 --> 00:17:57,653 we did to ourselves were tattoos and piercings. 366 00:17:57,677 --> 00:17:59,079 - Guilty of the former. - Latter for me. 367 00:17:59,104 --> 00:18:03,039 I got a gnarly infection from my eyebrow ring. 368 00:18:04,108 --> 00:18:05,436 Oh, trust me, it was dope. 369 00:18:05,461 --> 00:18:07,847 Until it wasn't. 370 00:18:07,872 --> 00:18:09,273 Ah... 371 00:18:09,298 --> 00:18:12,207 Oh, this is no good. 372 00:18:12,300 --> 00:18:14,134 Charli's in trouble. 373 00:18:14,362 --> 00:18:16,241 Is that fat sitting in her heart? 374 00:18:16,364 --> 00:18:17,523 Not just sitting, it's in transit, 375 00:18:17,548 --> 00:18:19,526 from her right atrium to her left. 376 00:18:19,549 --> 00:18:21,528 So she has a congenital hole in her heart? 377 00:18:21,551 --> 00:18:23,309 Probably undetected before, 378 00:18:23,461 --> 00:18:25,348 but blew open when she had the P.E.s. 379 00:18:25,373 --> 00:18:27,107 Maybe even acted as a pop-off valve, 380 00:18:27,132 --> 00:18:29,316 - saving her life, but now... - It's a bomb. 381 00:18:29,468 --> 00:18:32,394 - Primed and ready to go off at any moment. - Yeah. 382 00:18:32,488 --> 00:18:34,781 If it makes its way into her arterial circulation... 383 00:18:34,806 --> 00:18:37,383 - She'll stroke out. - I'll text Dr. Sutton. 384 00:18:37,476 --> 00:18:39,378 If that fat embolizes to her brain, 385 00:18:39,403 --> 00:18:41,552 we'll have minutes to intervene. 386 00:18:47,002 --> 00:18:48,817 Hopefully, it's her family. 387 00:18:48,913 --> 00:18:51,579 Charli, hon, this is Cassie 388 00:18:51,673 --> 00:18:53,007 calling from Enhanced Dreams. 389 00:18:53,233 --> 00:18:54,301 How you feeling after your procedure? 390 00:18:54,326 --> 00:18:55,509 Actually, Cassie, 391 00:18:55,661 --> 00:18:57,213 you're speaking with three doctors 392 00:18:57,238 --> 00:18:58,306 at Chastain Memorial Hospital 393 00:18:58,329 --> 00:18:59,548 who are trying to save Charli's life. 394 00:18:59,573 --> 00:19:01,073 So if I had to guess, I'd say 395 00:19:01,165 --> 00:19:02,219 she's feeling pretty damn miserable right now. 396 00:19:02,242 --> 00:19:04,926 Cassie, this is Dr. Hawkins. 397 00:19:05,002 --> 00:19:08,413 Did Charli get a Brazilian butt lift at Enhanced Dreams? 398 00:19:08,507 --> 00:19:10,432 We're gonna take that as a yes. 399 00:19:10,584 --> 00:19:12,153 It's led to fat embolism syndrome. 400 00:19:12,176 --> 00:19:15,362 We need to talk to her surgeon. 401 00:19:17,200 --> 00:19:19,924 Uh... Did she seriously just hang up? 402 00:19:20,018 --> 00:19:21,287 She's not getting rid of us that easy. 403 00:19:21,310 --> 00:19:22,756 Trevor, google Enhanced Dreams. 404 00:19:22,779 --> 00:19:24,454 We're calling Cassie back. 405 00:19:26,041 --> 00:19:27,185 All right, here we go. 406 00:19:27,210 --> 00:19:31,002 "Enhanced Dreams Plastic Surgery." 407 00:19:39,779 --> 00:19:43,223 Great. Great, they're probably busy hiding the evidence. 408 00:19:44,542 --> 00:19:46,186 I doubt they'll have time to pack up and run 409 00:19:46,211 --> 00:19:48,953 - before my shift's over. - Okay, that's not happening. 410 00:19:49,047 --> 00:19:51,105 But let's keep calling. 411 00:19:57,388 --> 00:19:59,792 Are you really calling me for a stroke that hasn't happened? 412 00:19:59,817 --> 00:20:02,576 - Can't you just give her TPA? - She's had a recent surgery. 413 00:20:02,728 --> 00:20:04,538 If we give her TPA, she could bleed out. 414 00:20:04,563 --> 00:20:07,413 If that fat goes to her brain, you will only have minutes 415 00:20:07,490 --> 00:20:09,807 to perform an interventional thrombectomy. 416 00:20:09,901 --> 00:20:11,712 Well, sucking clots out of the brain through the groin 417 00:20:11,737 --> 00:20:13,068 is not my specialty. 418 00:20:13,163 --> 00:20:15,282 I haven't done that procedure since residency. 419 00:20:15,332 --> 00:20:17,068 - Just page IR. - Come on, Sutton, 420 00:20:17,093 --> 00:20:18,720 you know those guys don't work over the weekend. 421 00:20:18,743 --> 00:20:20,463 And if we page them, they would not get here in time. 422 00:20:20,488 --> 00:20:23,763 And our only endovascular neurosurgeon's on vacation. 423 00:20:23,990 --> 00:20:25,317 Sutton, we wouldn't be asking you this 424 00:20:25,342 --> 00:20:27,768 if there was another option. 425 00:20:31,423 --> 00:20:32,681 Then I'll have to. 426 00:20:32,833 --> 00:20:37,152 I'd better go review my head-neck vascular anatomy. 427 00:20:44,028 --> 00:20:45,505 They're here. 428 00:20:45,528 --> 00:20:49,197 Dr. Bell, this is Will and my sister Scarlett. 429 00:20:49,291 --> 00:20:50,585 - Such a pleasure. - Dr. Bell 430 00:20:50,608 --> 00:20:52,867 is a nationally-recognized trauma surgeon. 431 00:20:53,019 --> 00:20:54,663 Jess has told me so much about you. 432 00:20:54,688 --> 00:20:56,847 - She's your biggest fan. - Well, and I'm hers. 433 00:20:56,948 --> 00:21:00,858 We don't know what we would do without her here at Chastain. 434 00:21:00,951 --> 00:21:04,471 So, the scans show that there are multiple metal fragments 435 00:21:04,698 --> 00:21:07,027 peppered throughout your abdomen. 436 00:21:07,050 --> 00:21:10,460 And in surgery, we'll remove every fragment 437 00:21:10,554 --> 00:21:12,440 and we'll ensure that the explosion 438 00:21:12,463 --> 00:21:14,943 didn't cause any other injuries that we can't see on the scans. 439 00:21:15,041 --> 00:21:17,058 He's gonna be okay, right? 440 00:21:17,153 --> 00:21:19,298 He's in the right place, but of course you should know 441 00:21:19,321 --> 00:21:21,708 surgery carries risks. 442 00:21:21,731 --> 00:21:23,824 And, Jessica, I know it's your day off, 443 00:21:24,050 --> 00:21:25,452 but I would like you to scrub in with me. 444 00:21:25,477 --> 00:21:28,828 'Cause, after all, you are my right hand. 445 00:21:28,980 --> 00:21:30,497 You couldn't keep me out. 446 00:21:31,500 --> 00:21:33,000 Great. 447 00:21:33,151 --> 00:21:34,893 Just gonna get this. 448 00:21:34,986 --> 00:21:36,670 - Okay. - Yeah? 449 00:21:37,506 --> 00:21:39,088 Ready? 450 00:21:44,238 --> 00:21:45,828 Promise me he'll be okay, Jess. 451 00:21:45,923 --> 00:21:48,203 Try not to worry. We're gonna take great care of him. 452 00:21:48,333 --> 00:21:50,183 Okay. 453 00:21:54,522 --> 00:21:57,766 I love you so much, and I am so, so sorry 454 00:21:57,859 --> 00:22:00,343 I talked you into that cannon. 455 00:22:00,511 --> 00:22:02,153 I love you. 456 00:22:11,781 --> 00:22:13,790 It's okay. 457 00:22:17,194 --> 00:22:19,671 Are you sure you're up for this, Dr. Bell? 458 00:22:21,549 --> 00:22:23,176 It's just, the last time we worked together, 459 00:22:23,201 --> 00:22:26,035 you didn't feel well and you abandoned the surgery. 460 00:22:26,130 --> 00:22:28,170 You haven't been in the OR since then. 461 00:22:28,205 --> 00:22:29,425 Yeah, no, I haven't been well. 462 00:22:29,450 --> 00:22:31,094 And I can explain all that to you later, 463 00:22:31,117 --> 00:22:34,205 but the important thing is, we figured out the problem, 464 00:22:34,230 --> 00:22:36,109 and I've been cleared for surgery 465 00:22:36,140 --> 00:22:38,147 by both Kit and Conrad, so... 466 00:22:40,126 --> 00:22:41,884 I think we're okay. 467 00:22:42,011 --> 00:22:44,070 Okay, yeah, mm-hmm. 468 00:22:53,824 --> 00:22:57,084 Okay, through the fascia. 469 00:22:58,586 --> 00:23:01,255 It looks like a little oozing from the liver. 470 00:23:01,405 --> 00:23:04,665 I'll get better exposure now. 471 00:23:04,759 --> 00:23:07,176 How are you doing, Dr. Bell? 472 00:23:08,078 --> 00:23:09,596 All good. 473 00:23:14,251 --> 00:23:19,021 - Okay, one piece - Gone. 474 00:23:25,521 --> 00:23:27,855 And another. 475 00:23:27,950 --> 00:23:29,523 I'm having trouble getting it. 476 00:23:29,676 --> 00:23:31,492 I got it. 477 00:23:33,180 --> 00:23:35,497 It's such delicate work. 478 00:23:36,349 --> 00:23:38,459 Nice going. 479 00:23:40,111 --> 00:23:41,944 - Now, what is that? - Oh, that 480 00:23:42,038 --> 00:23:44,349 looks like another piece of shrapnel. 481 00:23:44,374 --> 00:23:48,134 This time it's wedged into the liver. 482 00:23:48,211 --> 00:23:50,636 Removing the foreign body now. 483 00:23:51,531 --> 00:23:53,381 Suction. 484 00:23:53,476 --> 00:23:54,641 Lap pads. 485 00:23:54,884 --> 00:23:57,310 Looks like this went into the liver and hit a vessel. 486 00:23:57,538 --> 00:23:58,979 You guys got into something big. 487 00:23:59,130 --> 00:24:00,296 I'm maxing my pressors. 488 00:24:00,390 --> 00:24:01,625 It's gonna be okay. 489 00:24:01,650 --> 00:24:04,871 Initiating massive transfusion protocol. 490 00:24:04,894 --> 00:24:08,230 Okay, Dr. Devi, I need you to help me get down to the aorta 491 00:24:08,382 --> 00:24:10,406 to cross-clamp... 492 00:24:11,401 --> 00:24:12,636 and get control of this. 493 00:24:12,661 --> 00:24:14,047 I'm transfusing the second unit 494 00:24:14,070 --> 00:24:15,381 of blood, four liters of crystalloid, 495 00:24:15,404 --> 00:24:17,142 two of albumin, and still losing. 496 00:24:17,165 --> 00:24:19,219 - Blood pressure isn't budging. - Okay, we're gonna need 497 00:24:19,242 --> 00:24:20,666 supraceliac control. 498 00:24:20,894 --> 00:24:23,244 Page AJ stat for a thoracotomy. 499 00:24:23,396 --> 00:24:25,057 He's on deck in the OR suite. 500 00:24:25,082 --> 00:24:26,154 I'm calling him now. 501 00:24:26,232 --> 00:24:27,414 Good, thank you. 502 00:24:27,509 --> 00:24:28,916 No blood pressure detected, 503 00:24:29,010 --> 00:24:31,047 but HR reading 160. 504 00:24:31,070 --> 00:24:32,990 All right, somebody talk to me. 505 00:24:33,015 --> 00:24:34,588 Thank you for coming so fast. 506 00:24:34,682 --> 00:24:37,409 Unavoidable bleeding after shrapnel removal. 507 00:24:37,577 --> 00:24:38,410 We need better control from above 508 00:24:38,502 --> 00:24:40,169 to be able to repair the defect. 509 00:24:40,337 --> 00:24:42,316 - That's why we called you. - All right, let's get to it. 510 00:24:42,339 --> 00:24:44,066 Scalpel me. 511 00:24:48,864 --> 00:24:51,073 Spreaders. 512 00:24:59,875 --> 00:25:01,375 Clamp. 513 00:25:04,270 --> 00:25:07,881 All right. VoilĂ , that should do it. 514 00:25:09,409 --> 00:25:11,218 We've got a blood pressure back. 515 00:25:11,368 --> 00:25:13,761 All right. 516 00:25:15,298 --> 00:25:16,463 Glad you're in the house. 517 00:25:16,558 --> 00:25:19,433 Hey, man, glad to be here. 518 00:25:30,555 --> 00:25:32,555 Any available resident to ICU Three. 519 00:25:32,648 --> 00:25:33,884 Available resident to ICU Three. 520 00:25:33,909 --> 00:25:35,368 Hey, look, if you're gonna ask me 521 00:25:35,393 --> 00:25:37,279 to back off surgery again, that's okay, 522 00:25:37,304 --> 00:25:38,781 but I-I want to say I called in AJ 523 00:25:38,806 --> 00:25:40,799 because we needed him, not because of the MS. 524 00:25:40,824 --> 00:25:44,250 I know, and Will is alive because you made that call. 525 00:25:44,402 --> 00:25:47,566 I just wanted to say welcome back. 526 00:25:47,589 --> 00:25:49,567 Thanks. 527 00:25:49,592 --> 00:25:51,799 It's good to be back. 528 00:26:00,935 --> 00:26:02,176 Dr. Sutton? 529 00:26:02,270 --> 00:26:03,769 Do you have a moment? 530 00:26:05,833 --> 00:26:07,015 Sure. 531 00:26:07,183 --> 00:26:08,661 It's been a while since I've approached the brain 532 00:26:08,684 --> 00:26:10,480 from this direction. I could use a break. 533 00:26:10,503 --> 00:26:13,665 Just trying to get my muscle memory to kick in. 534 00:26:13,690 --> 00:26:16,023 I wanted to chat with you some more about the idea 535 00:26:16,175 --> 00:26:18,576 of double-boarding with cardio and neuro. 536 00:26:19,436 --> 00:26:20,603 Go on. 537 00:26:20,771 --> 00:26:24,365 I know you think I'm crazy... And so does Devon... 538 00:26:24,518 --> 00:26:26,942 But people said the same thing to me when I decided 539 00:26:27,037 --> 00:26:28,330 to become a surgeon with dyslexia. 540 00:26:28,355 --> 00:26:30,849 Yes, but it's not the same thing. 541 00:26:30,874 --> 00:26:33,708 Maintaining excellence in both specialties is impossible. 542 00:26:33,785 --> 00:26:37,781 Expertise comes from repetition, which is why this IR procedure 543 00:26:37,806 --> 00:26:38,954 is so tough. 544 00:26:39,048 --> 00:26:40,676 And trying to maintain competency in both, 545 00:26:40,701 --> 00:26:41,807 it isn't enough. 546 00:26:41,993 --> 00:26:43,384 Okay, but I... 547 00:26:43,537 --> 00:26:45,645 Listen, I have to get back to this. 548 00:26:45,797 --> 00:26:48,147 Let's talk about it later, okay? 549 00:26:48,983 --> 00:26:50,608 Okay. 550 00:26:58,551 --> 00:27:01,236 You're not gonna believe this. 551 00:27:01,387 --> 00:27:02,644 What am I looking at? 552 00:27:02,739 --> 00:27:04,905 The Enhanced Dreams Instagram page. 553 00:27:05,057 --> 00:27:07,144 This surgery was live this morning. 554 00:27:07,169 --> 00:27:09,001 And that might even be Charli. 555 00:27:09,153 --> 00:27:11,837 At Enhanced Dreams, dreams really do come true, 556 00:27:11,990 --> 00:27:14,915 as we give you nothing but the hottest transformation. 557 00:27:15,067 --> 00:27:16,084 Right, Doc? 558 00:27:16,178 --> 00:27:17,660 - Oh, yeah. - Look at all that 559 00:27:17,738 --> 00:27:20,012 beautiful liquid gold the doctor's harvesting. 560 00:27:20,240 --> 00:27:21,718 That's human fat, which will be used 561 00:27:21,741 --> 00:27:25,163 to sculpt a gorgeous new rear end. 562 00:27:25,186 --> 00:27:27,436 Let me hear you say "thicc." 563 00:27:28,673 --> 00:27:30,097 They need to be stopped. 564 00:27:30,250 --> 00:27:32,267 - Patient was awake? - Mm-hmm. 565 00:27:32,419 --> 00:27:34,413 She likely gave permission to film it. 566 00:27:34,438 --> 00:27:38,175 Maybe, but Enhanced Dreams is run by a dermatologist, 567 00:27:38,200 --> 00:27:39,279 not a plastic surgeon. 568 00:27:39,349 --> 00:27:40,866 It's got to be illegal. 569 00:27:41,019 --> 00:27:42,979 Eh, you would think, but it's not. 570 00:27:43,020 --> 00:27:45,279 Anyone with a medical license can perform 571 00:27:45,432 --> 00:27:46,873 cosmetic surgery in Georgia. 572 00:27:47,025 --> 00:27:50,544 Chalk it up to ridiculous things that are legal in medicine. 573 00:27:56,218 --> 00:27:58,298 We got you, Charli. We got you, we got you. 574 00:27:58,386 --> 00:27:59,626 We got you. 575 00:27:59,721 --> 00:28:01,221 She's stroking out. 576 00:28:01,372 --> 00:28:02,852 - Page Billie! - Shouldn't we get a CT 577 00:28:02,950 --> 00:28:04,184 with contrast to figure out where? 578 00:28:04,209 --> 00:28:06,116 No time. It's localized 579 00:28:06,211 --> 00:28:07,446 to the left middle cerebral artery. 580 00:28:07,471 --> 00:28:09,039 That's the best we can give Billie right now. 581 00:28:09,064 --> 00:28:10,771 Let's get her to IR. 582 00:28:23,077 --> 00:28:25,298 Nice to hear from you. 583 00:28:25,321 --> 00:28:27,299 So, you have news about the board seats? 584 00:28:27,324 --> 00:28:29,301 I do. 585 00:28:29,326 --> 00:28:31,992 Dr. Bell, we received an accusation from, uh, 586 00:28:32,069 --> 00:28:34,473 your hospital about one of our top candidates. 587 00:28:34,498 --> 00:28:36,458 Well, if you're talking about Porter, 588 00:28:36,482 --> 00:28:38,843 I gather there were some ethics complaints against him, 589 00:28:38,910 --> 00:28:40,145 but I... 590 00:28:40,170 --> 00:28:41,905 assumed you were aware. 591 00:28:41,930 --> 00:28:43,320 No, this is new. 592 00:28:43,413 --> 00:28:44,576 Uh... 593 00:28:44,599 --> 00:28:48,488 the credibility of the source is the issue. 594 00:28:48,511 --> 00:28:51,583 It came from the same person who wrote your recommendation 595 00:28:51,606 --> 00:28:53,522 at Chastain. 596 00:28:55,093 --> 00:28:56,183 Dr. Sutton? 597 00:28:56,336 --> 00:28:58,002 Conflict of interest here 598 00:28:58,096 --> 00:28:59,664 is, uh... 599 00:28:59,689 --> 00:29:01,522 obvious. And it's... 600 00:29:01,616 --> 00:29:04,675 not a stretch to imagine you helped motivate this. 601 00:29:04,845 --> 00:29:07,287 Well, I-I assure you, I did not. 602 00:29:07,438 --> 00:29:09,196 Sadly, that's hard to believe. 603 00:29:09,348 --> 00:29:11,085 So we can no longer offer you a position 604 00:29:11,108 --> 00:29:12,866 on the state medical board. 605 00:29:13,019 --> 00:29:14,680 The optics... 606 00:29:14,703 --> 00:29:16,354 could not be worse. 607 00:29:18,208 --> 00:29:20,759 Uh, thanks for the call. 608 00:29:25,548 --> 00:29:26,617 I reached the mom. 609 00:29:26,642 --> 00:29:28,118 She took Charli's son to Disney World 610 00:29:28,143 --> 00:29:29,621 while she had surgery. 611 00:29:29,644 --> 00:29:32,554 Apparently, Charli's desperate for more followers. 612 00:29:32,705 --> 00:29:33,705 If she hits 200K, 613 00:29:33,798 --> 00:29:35,373 she can make cash, quit her job, 614 00:29:35,465 --> 00:29:36,853 and get a place for her son and her. 615 00:29:36,876 --> 00:29:38,871 So she decided to get a Brazilian butt lift? 616 00:29:38,894 --> 00:29:41,636 Her mom said she's always coming up with ideas to look better. 617 00:29:41,730 --> 00:29:43,450 She thinks that's how she'll get more followers. 618 00:29:43,473 --> 00:29:45,641 No one could talk her out of it. 619 00:29:45,809 --> 00:29:47,067 Do they know how sick she is? 620 00:29:47,220 --> 00:29:48,552 Her mom does. 621 00:29:48,645 --> 00:29:50,307 Hasn't told the kid. 622 00:29:50,332 --> 00:29:52,624 Hopefully she won't have to. 623 00:29:56,171 --> 00:29:57,744 Hey, Billie, can we talk? 624 00:29:57,897 --> 00:29:59,564 Can it wait? I'm due in IR. 625 00:29:59,656 --> 00:30:01,634 No, it can't. I got a call from the lieutenant governor saying 626 00:30:01,659 --> 00:30:04,426 you filed a complaint against Robert Porter. 627 00:30:05,496 --> 00:30:07,141 That was supposed to be anonymous. 628 00:30:07,164 --> 00:30:09,204 Well, what was? What the hell's going on? 629 00:30:09,409 --> 00:30:11,409 I can't... I-I can't think 630 00:30:11,501 --> 00:30:12,404 - about this right now... - Well, look, look, 631 00:30:12,429 --> 00:30:13,573 whatever this is, 632 00:30:13,596 --> 00:30:15,240 I mean, they think that I put you up to it, 633 00:30:15,265 --> 00:30:16,909 because you signed my letter of recommendation. 634 00:30:16,932 --> 00:30:18,191 And now the state medical board 635 00:30:18,343 --> 00:30:20,413 is siding with Porter and... 636 00:30:20,436 --> 00:30:21,586 cutting me. 637 00:30:21,755 --> 00:30:24,865 Billie, we have a patient waiting. Let's go. 638 00:30:25,092 --> 00:30:25,865 So? 639 00:30:26,017 --> 00:30:28,367 I've got to go. 640 00:30:38,270 --> 00:30:39,671 How'd your IR practice go? 641 00:30:41,458 --> 00:30:42,798 We'll find out. 642 00:30:43,719 --> 00:30:45,218 Well, don't worry. 643 00:30:45,369 --> 00:30:47,636 I know this anatomy well. 644 00:30:58,883 --> 00:31:01,880 It's heartbreaking that this young woman put her life at risk 645 00:31:01,903 --> 00:31:03,310 for more followers. 646 00:31:03,404 --> 00:31:05,273 It was also to give her son a better life. 647 00:31:05,298 --> 00:31:08,157 It's sad she believed this was her best option to do that. 648 00:31:12,230 --> 00:31:15,789 Just at the takeoff to the left middle cerebral artery. 649 00:31:19,645 --> 00:31:21,253 Come on, Billie. 650 00:31:21,405 --> 00:31:23,401 Dr. Sutton, you're turned around. 651 00:31:23,424 --> 00:31:25,464 You're in the right-sided circulation. 652 00:31:26,576 --> 00:31:27,835 I know where I am. 653 00:31:27,988 --> 00:31:29,390 The patient has left-sided weakness. 654 00:31:29,413 --> 00:31:30,575 We need to get to the right side 655 00:31:30,598 --> 00:31:32,667 - of the brain. - She's confusing 656 00:31:32,692 --> 00:31:34,578 - the patient's symptoms. - All of the patient's deficits 657 00:31:34,603 --> 00:31:36,655 were on the right, which means the embolism 658 00:31:36,680 --> 00:31:38,438 has to be on the left. 659 00:31:40,349 --> 00:31:42,924 Neuroanatomy 101. 660 00:31:44,171 --> 00:31:47,072 Damn it. Where am I? 661 00:31:47,950 --> 00:31:49,356 What's happening? 662 00:31:49,509 --> 00:31:51,025 Looks like she's freezing up. 663 00:31:51,118 --> 00:31:54,119 She never loses focus like this. 664 00:31:54,939 --> 00:31:55,955 It's all right. 665 00:31:56,106 --> 00:31:58,333 We're almost there. 666 00:31:59,685 --> 00:32:03,630 Right here is the left anterior cerebral artery. 667 00:32:03,780 --> 00:32:08,634 And here is the takeoff to the middle cerebral artery. 668 00:32:10,288 --> 00:32:13,472 There you go, Billie. 669 00:32:15,143 --> 00:32:16,308 She found the embolism. 670 00:32:16,461 --> 00:32:19,461 And now they pull it out? 671 00:32:19,556 --> 00:32:20,387 Yeah. 672 00:32:20,481 --> 00:32:22,481 It's safer than breaking it up. 673 00:32:22,633 --> 00:32:24,628 She's gonna be okay now, right? 674 00:32:24,653 --> 00:32:27,695 If they got there in time. 675 00:32:36,722 --> 00:32:38,718 Thanks for having my back. 676 00:32:38,741 --> 00:32:40,791 Anytime. 677 00:32:53,347 --> 00:32:55,181 You okay? 678 00:32:57,501 --> 00:32:58,663 No. 679 00:32:58,686 --> 00:33:01,104 I'm furious with myself. 680 00:33:03,692 --> 00:33:05,415 Do you want to talk about it? 681 00:33:05,509 --> 00:33:07,484 Not really. 682 00:33:09,698 --> 00:33:12,865 But this is a clear example of why you can't double-board 683 00:33:13,017 --> 00:33:14,451 in these two fields. 684 00:33:15,537 --> 00:33:16,778 I don't understand. 685 00:33:16,930 --> 00:33:19,538 My mind was a million miles away. 686 00:33:19,690 --> 00:33:21,875 Dr. Austin juggles multiple specialties. 687 00:33:22,102 --> 00:33:23,601 He's triple-boarded. 688 00:33:23,693 --> 00:33:25,118 Not in neurosurgery. 689 00:33:25,863 --> 00:33:29,382 This is as high-risk and complex as any surgery gets. 690 00:33:29,459 --> 00:33:31,436 If you try and do this and anything else, 691 00:33:31,461 --> 00:33:33,111 the result will be catastrophic. 692 00:33:33,203 --> 00:33:35,555 I rise to challenges. 693 00:33:35,632 --> 00:33:36,872 Okay? It's who I am. 694 00:33:36,965 --> 00:33:38,223 A challenge is good. 695 00:33:38,375 --> 00:33:40,038 A suicide mission is not. 696 00:33:40,061 --> 00:33:41,780 And in this case, the person you'd kill 697 00:33:41,805 --> 00:33:43,045 would be the one on the table. 698 00:33:43,123 --> 00:33:44,950 - But you haven't even g... - Leela, 699 00:33:44,973 --> 00:33:48,567 you may need to ask yourself why you are putting up mountains 700 00:33:48,795 --> 00:33:51,403 too big for anyone to climb. 701 00:33:53,240 --> 00:33:55,575 Is that your final answer? 702 00:33:57,304 --> 00:34:00,454 Honestly, it would be anyone's. 703 00:34:10,240 --> 00:34:12,175 Thanks again for your help. 704 00:34:27,349 --> 00:34:31,945 I had to tell Randolph after what Beaumont said. 705 00:34:32,021 --> 00:34:33,423 I'm so sorry, Billie. 706 00:34:33,447 --> 00:34:35,318 I should have realized this could happen. 707 00:34:35,342 --> 00:34:36,523 But it shouldn't have. 708 00:34:36,675 --> 00:34:38,487 You were promised confidentiality. 709 00:34:38,510 --> 00:34:39,655 And the lieutenant governor broke 710 00:34:39,679 --> 00:34:42,746 that promise. It's just outrageous. 711 00:34:43,958 --> 00:34:45,682 So what do I do now? 712 00:34:46,518 --> 00:34:49,753 You said you could prove your charges against Porter. 713 00:34:51,039 --> 00:34:53,239 I can. 714 00:34:53,969 --> 00:34:56,780 But it means devastating emotional repercussions 715 00:34:56,804 --> 00:34:57,949 for the other person involved. 716 00:34:57,972 --> 00:35:00,956 Oh, Billie, I understand. 717 00:35:01,050 --> 00:35:02,550 But if you don't, 718 00:35:02,702 --> 00:35:05,623 I fear the repercussions for you could be far worse. 719 00:35:05,646 --> 00:35:08,206 Accusers destroy the person accusing them. 720 00:35:08,298 --> 00:35:11,067 That's how it works. 721 00:35:17,659 --> 00:35:18,659 Jess. 722 00:35:19,494 --> 00:35:20,545 Oh. 723 00:35:20,570 --> 00:35:22,090 - Thank you. - Oh. 724 00:35:22,222 --> 00:35:23,070 Thank you so much. 725 00:35:23,164 --> 00:35:25,476 I am just so happy 726 00:35:25,500 --> 00:35:26,574 that he's okay. 727 00:35:26,668 --> 00:35:29,076 That was really stressful. 728 00:35:29,170 --> 00:35:30,670 Oh, God, you would not believe 729 00:35:30,838 --> 00:35:33,505 things that people are saying about me and Will. 730 00:35:33,733 --> 00:35:35,561 "Let's just hope the husband is shooting blanks now 731 00:35:35,585 --> 00:35:38,396 so these two nitwits can't bring a second child into the world." 732 00:35:38,420 --> 00:35:41,088 Will is fine. You'll have plenty more children, 733 00:35:41,240 --> 00:35:42,326 - if you want them. - Mm. 734 00:35:42,349 --> 00:35:44,161 In a couple of days, these vultures 735 00:35:44,186 --> 00:35:45,851 will be attacking someone else. 736 00:35:46,003 --> 00:35:47,722 Mm, I'm thinking of making T-shirts 737 00:35:47,746 --> 00:35:49,856 with the worst comments printed on them. 738 00:35:50,083 --> 00:35:52,170 Truth is, 739 00:35:52,193 --> 00:35:54,418 I feel like I kinda deserve it. 740 00:35:54,512 --> 00:35:56,436 You don't. 741 00:35:56,606 --> 00:35:58,012 Well, it's just... 742 00:35:58,775 --> 00:36:03,369 The only opinion of me that really matters, besides Will's, 743 00:36:03,596 --> 00:36:04,596 is yours. 744 00:36:05,447 --> 00:36:07,242 - And I just hope that you're not... - Scarlett, 745 00:36:07,266 --> 00:36:09,094 you are my sister. 746 00:36:09,117 --> 00:36:11,543 I love you, no matter what. 747 00:36:12,880 --> 00:36:16,434 I feel like there's always a "no matter what" with me. 748 00:36:16,458 --> 00:36:19,697 You were great at anything you put your mind to. 749 00:36:19,721 --> 00:36:23,130 The only thing I put my mind to were boys and parties. 750 00:36:23,206 --> 00:36:25,443 And you never needed anyone's approval but your own. 751 00:36:25,467 --> 00:36:28,371 And Mom told me I wouldn't need so much attention 752 00:36:28,396 --> 00:36:30,114 if I just took a page out of your book. 753 00:36:30,139 --> 00:36:32,117 Oh, Scarlett. 754 00:36:32,141 --> 00:36:33,900 You are a ray of sunshine. 755 00:36:33,976 --> 00:36:36,960 And you bring it to Will, and he loves you for it. 756 00:36:37,054 --> 00:36:39,146 Aw. But? 757 00:36:39,298 --> 00:36:41,257 But maybe nix the T-shirt idea. 758 00:36:41,391 --> 00:36:43,721 - Mm. - No sense in feeding the trolls. 759 00:36:43,744 --> 00:36:46,389 And definitely a hard no on backyard explosives. 760 00:36:46,414 --> 00:36:48,972 That's sound advice. 761 00:36:49,065 --> 00:36:52,418 We still don't know if it's a boy or a girl. 762 00:36:53,237 --> 00:36:55,255 Well, if you must know... 763 00:36:55,405 --> 00:36:57,331 he's a little boy. 764 00:36:57,483 --> 00:36:59,295 I saw the weenie on the ultrasound. 765 00:36:59,318 --> 00:37:00,628 - What? - Mm-hmm. 766 00:37:00,652 --> 00:37:02,146 - Scarlett. - What? 767 00:37:02,170 --> 00:37:04,097 So why the party? 768 00:37:04,172 --> 00:37:06,007 Is that a serious question? 769 00:37:06,159 --> 00:37:07,492 Do you not know your sister? 770 00:37:10,996 --> 00:37:13,106 Hiya, honey. 771 00:37:18,445 --> 00:37:20,112 Hey. 772 00:37:21,282 --> 00:37:23,657 Can you squeeze my hands? 773 00:37:25,101 --> 00:37:28,269 Squeeze, squeeze, squeeze. 774 00:37:28,438 --> 00:37:30,601 Good. 775 00:37:30,625 --> 00:37:31,865 All right. 776 00:37:32,018 --> 00:37:33,344 What happened? 777 00:37:33,369 --> 00:37:34,702 Well, in a nutshell, the fat 778 00:37:34,795 --> 00:37:37,612 from your Brazilian butt lift swam to your brain 779 00:37:37,706 --> 00:37:39,518 and it almost paralyzed you. 780 00:37:39,541 --> 00:37:42,050 Oh, my God. 781 00:37:42,971 --> 00:37:44,195 Oh, God. 782 00:37:44,288 --> 00:37:45,340 I feel like such an idiot. 783 00:37:45,364 --> 00:37:46,485 I shouldn't have done it. 784 00:37:46,548 --> 00:37:48,286 I just... I saw this thing on Instagram 785 00:37:48,309 --> 00:37:49,641 - and... - Oh, we know it. 786 00:37:49,869 --> 00:37:51,643 Frustratingly legal and yet... 787 00:37:51,871 --> 00:37:53,478 criminally unqualified. 788 00:37:54,632 --> 00:37:58,391 They had these glamour shots, and I just thought that... 789 00:37:58,545 --> 00:38:00,371 damn, if I could look like that... 790 00:38:00,396 --> 00:38:03,155 You could get more followers? 791 00:38:03,382 --> 00:38:04,824 We spoke to your mom. 792 00:38:04,974 --> 00:38:05,969 She knows? 793 00:38:05,994 --> 00:38:07,327 Yep. 794 00:38:07,554 --> 00:38:10,215 But she also knows that you're gonna be okay. 795 00:38:10,239 --> 00:38:12,384 And Daniel? My-my son. 796 00:38:12,407 --> 00:38:14,144 He's probably so scared right now. 797 00:38:14,168 --> 00:38:16,626 It's up to you what you tell him. 798 00:38:17,563 --> 00:38:19,380 Thank you. 799 00:38:21,324 --> 00:38:24,469 Whew. So, how does it look? 800 00:38:26,329 --> 00:38:28,764 Sorry, how does what look? 801 00:38:31,427 --> 00:38:34,771 I hope it looks dope, like, after all that. 802 00:38:36,858 --> 00:38:39,675 Well, when you are up and around, 803 00:38:39,768 --> 00:38:42,402 you can decide for yourself. 804 00:38:43,438 --> 00:38:45,416 Oh, can I have my phone, please? 805 00:38:45,440 --> 00:38:47,199 Yeah. 806 00:38:47,351 --> 00:38:49,202 People need to know about this. 807 00:38:49,371 --> 00:38:51,788 Uh, I got to grab Gigi. I'll catch you guys later. 808 00:38:52,782 --> 00:38:54,539 Thank you. 809 00:38:59,271 --> 00:39:02,193 People, I almost died, y'all. 810 00:39:02,217 --> 00:39:03,297 But I didn't. I didn't. 811 00:39:03,443 --> 00:39:05,050 Okay, so I'm here to tell you, 812 00:39:05,202 --> 00:39:07,052 if you are going to get a BBL 813 00:39:07,204 --> 00:39:08,789 or any other procedure, 814 00:39:08,813 --> 00:39:12,132 make sure your doc knows what the hell they're doing. Okay? 815 00:39:12,284 --> 00:39:14,300 So, sit back, relax 816 00:39:14,469 --> 00:39:18,449 and let me tell you my crazy story, okay? 817 00:39:18,474 --> 00:39:20,619 Now, I am an optimist by nature, 818 00:39:20,643 --> 00:39:23,402 but I'm beginning to think we are screwed as a species. 819 00:39:23,554 --> 00:39:26,384 Social media is gonna be our meteor. 820 00:39:26,407 --> 00:39:27,981 Wow. 821 00:39:28,134 --> 00:39:29,373 You sound like an angry old man 822 00:39:29,469 --> 00:39:30,778 on the wrong side of the generation gap. 823 00:39:30,802 --> 00:39:32,152 Oh, wow. 824 00:39:32,304 --> 00:39:34,822 Angry, yes. Old, no. 825 00:39:34,974 --> 00:39:36,248 Mm, come on, Dr. Austin. 826 00:39:36,324 --> 00:39:37,657 Disco didn't destroy society. 827 00:39:37,827 --> 00:39:40,420 Without social media, there would be no, uh, 828 00:39:40,646 --> 00:39:41,806 Arab Spring. 829 00:39:41,831 --> 00:39:43,626 Systemic racism might've never been exposed. 830 00:39:43,650 --> 00:39:46,000 What about that girl that saved herself by learning 831 00:39:46,152 --> 00:39:47,001 the "help me" gesture 832 00:39:47,152 --> 00:39:48,313 - on TikTok? - Oh. Right. 833 00:39:48,336 --> 00:39:50,240 And all the swag you get 834 00:39:50,264 --> 00:39:52,431 when your followers leap up. 835 00:39:52,599 --> 00:39:54,675 Who follows you? 836 00:39:54,768 --> 00:39:56,101 And why? 837 00:40:17,699 --> 00:40:19,349 - Wow. - Yeah, 838 00:40:19,443 --> 00:40:22,036 they just seem to be climbing by the second. 839 00:40:22,130 --> 00:40:24,445 Have you no shame? 840 00:40:29,137 --> 00:40:30,217 Whatever you do, Nolan, 841 00:40:30,362 --> 00:40:32,762 just do not get a BBL. 842 00:40:40,039 --> 00:40:41,771 Why would I? 843 00:40:49,398 --> 00:40:50,472 Hey. 844 00:40:50,565 --> 00:40:52,405 - Thanks for collecting her. - Oh, 845 00:40:52,476 --> 00:40:54,213 my pleasure. 846 00:40:54,237 --> 00:40:56,380 It's amazing how well she plays. 847 00:40:56,405 --> 00:40:58,646 I swear, most kids are so hooked on devices, 848 00:40:58,740 --> 00:40:59,815 they never learn how. 849 00:40:59,909 --> 00:41:01,108 Well, she won't be using any 850 00:41:01,150 --> 00:41:02,226 until at least college. 851 00:41:02,318 --> 00:41:03,911 Good luck with that. 852 00:41:04,063 --> 00:41:05,228 Daddy, look. 853 00:41:05,322 --> 00:41:08,081 Oh, what's Mr. Giraffe doing now? 854 00:41:08,233 --> 00:41:09,393 Can't you tell? 855 00:41:09,418 --> 00:41:10,918 Mm... 856 00:41:11,070 --> 00:41:14,565 He didn't pick up his toys, so you sent him to his room. 857 00:41:14,590 --> 00:41:15,347 Zoo. 858 00:41:15,498 --> 00:41:17,568 Mr. Giraffe lives in the zoo. 859 00:41:17,592 --> 00:41:18,925 Right. 860 00:41:19,244 --> 00:41:22,929 Let's spring him from his cage and go get your "carbon-ye-ara." 861 00:41:23,081 --> 00:41:24,523 Yes. 862 00:41:27,085 --> 00:41:28,360 Bye. 863 00:41:28,512 --> 00:41:30,155 - Bye. - Bye, Gigi. - Bye. 864 00:41:30,179 --> 00:41:31,697 Mwah! 865 00:41:49,108 --> 00:41:50,757 I won't hurt you. 866 00:41:53,128 --> 00:41:55,054 I'm here to warn you. 867 00:41:55,204 --> 00:41:57,485 Withdraw the complaint, say you lied for Dr. Bell, 868 00:41:57,541 --> 00:41:59,766 and you'll never hear from me again. 869 00:42:01,878 --> 00:42:03,045 You're scared. 870 00:42:03,139 --> 00:42:05,231 Withdraw it 871 00:42:05,382 --> 00:42:08,108 or I will destroy you. 872 00:42:09,903 --> 00:42:11,961 You can't destroy me. 873 00:42:12,574 --> 00:42:16,132 You killed a part of me I can never get back. 874 00:42:16,226 --> 00:42:18,054 You can never hurt me again. 875 00:42:18,079 --> 00:42:20,471 Don't count on it. 876 00:42:20,563 --> 00:42:22,489 I'm fully aware of your mistakes. 877 00:42:22,583 --> 00:42:24,157 I'll expose all of them. 878 00:42:24,309 --> 00:42:27,978 And I will take away the very thing you love the most, 879 00:42:28,072 --> 00:42:29,463 your career. 62314

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