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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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