Original subtitles

- Previously on The Resident... - Why isn't she returning my calls?

This is your sister we're talking about.

AJ, I'm really getting worried, okay?

She really loves her babies.

My goal is to make amends to you

for all the harm that I have done.

You can get sober or don't.

But I'm not lying for you anymore.

Nic would've been proud of you today.

I want you to be proud of me.

♪ ♪

♪ ♪

Resync By M_I_S www.opensubtitles.org

♪ ♪

Paddie!

Where were you?

I need help.

Wh-What's going on, Padma? Please talk to me.

I can't.

You can't what?

They deserve better than me.

I can't be their mother.

Okay. Okay.

Hey.

We're gonna get you the help you need, okay?

Okay.

It's gonna be fine.

Hey.

Oh, my God.

What happened to you?

Oh.

Yeah, there was a scuffle at the hospital last night.

Looks worse than it is.

What do you mean, a scuffle?

Oh. It was actually pretty crazy.

This woman who should've never been operated on

to begin with died after surgery.

Her two sons, who pushed for it, went ballistic.

What, and they attacked you?

They were after Billie.

I just got in the way.

Ah.

Can we talk?

Yeah. I have something I want to tell you

and I didn't want to do it at work.

Okay. Want to sit down?

No, no, no, that's okay.

I wasn't at a vineyard with friends this weekend.

I was...

visiting my dad

at an addiction treatment program.

Uh-huh.

It was family day and he asked me not to tell anyone and...

I stupidly agreed.

Okay.

First reaction:

- this is great news. - You're not angry?

No. I'm happy for you. And for your dad.

- That's huge. - Thank you.

It-it-it was.

But...

lying to you

is something I never want to do again.

Cade, don't beat yourself up. I understand.

I just thought I was protecting him, you know?

The way I always have. And...

that's actually something we talked about at the program...

All the lying and how...

it doesn't help anything. It just makes everything worse.

You know? For him, for me and...

now maybe for us.

I'm glad you told me. Thank you.

There's something I have to tell you.

I haven't been honest with myself.

Or you.

About my feelings for Billie.

Did something happen?

I kissed her.

Hmm.

Okay.

Hang on. Let's talk about this.

There's nothing to say.

I just wish you'd been honest with me

- a long time ago. - I was.

I wanted things to work out with us.

I didn't know how I felt about Billie.

Well, everybody else did. I mean, literally everyone.

You know, maybe this is why

I could never fully be open with you.

You've been half in from the start.

Oh, come on. That's not true.

I tried to make things work with us.

- You know that. - You tried?

I know I've hurt you, and I'm sorry.

You should put some arnica on those bruises.

♪ ♪

Excuse me.

Sir, have you been registered?

I'm sorry. There's no time.

Who took this electrocardiogram?

- I did. - Phil, give me that chair

and let's get him into Bay Three.

This man's having a heart attack.

Uh, inferior myocardial infarction,

to be precise.

Uh, Dr. Feldman.

I need your help here with...

I'm sorry, sir, what's your name?

Dr. Leonard Perry.

You're the Leonard Perry,

the cardiothoracic surgeon?

Yes, I am.

I learned about you in med school.

This man's research gave us the defibrillator.

Which you should probably hook me up to,

- as a precaution. - Absolutely.

I'm also gonna need nitroglycerin

- and a heparin drip. - Yes.

Anything else we can get you to make you comfortable?

Yes.

Dr. James Yamada.

- Absolutely. - That's who I'm here to see.

- Let's page Dr. Yamada. - Okay.

♪ ♪

I thought you'd at least take today off.

How are you?

I'm okay.

I'm still processing it all.

It's unacceptable, what happened.

I want you to know we're increasing security.

I appreciate that.

Especially since the budget is so tight right now.

That's an understatement.

I heard we might have to start shutting down departments?

I was hoping for some kind of reprieve,

but the governor didn't budge.

So, yes, we will be closing the ER to trauma

- at midnight tonight. - That's awful. I mean,

can't we make an emergency appeal to the state assembly?

Our funding was always from the governor's discretionary fund.

So we're completely at his mercy.

Cade.

Just the person I wanted to see.

I'm gonna need you to take a look

at all our current ICU patients.

Any who are stable enough to move, find them

- a new location. - Okay.

If you have any questions, I'm here to help.

Or Billie.

I'm sure I can manage.

Today is not going to be a fun day.

It's great to see you, Leonard.

I wish it was under different circumstances.

Well, once you get a stent into my heart,

we'll catch up properly.

I didn't know you were in Atlanta.

Mm. On my way to Switzerland for a lecture.

- Mm. - Connecting flight was canceled.

Trouble started at the airport.

Well, we are honored to have you here, Leonard.

People are very impressed you asked for me.

I wouldn't have anyone else.

Is there anyone we should call once we get you on the table?

My wife died last year.

- Sylvia? - Yeah.

Aw, I'm so sorry.

We'd been married since we were in college.

Outlived all my closest friends, so...

no, no, uh, I'm alone.

Well, for now, you got me.

Thank you, James.

Dr. Perry, AJ Austin, Chastain's CT surgeon.

Dr. Perry here was my greatest mentor.

He taught me everything I know.

I know Dr. Austin.

From reputation, of course.

It's an honor.

Oh, the honor is all mine, Dr. Perry.

The surgical techniques you pioneered,

the work you did with electrophysiology

- of the heart... - Not to mention

accepting the Nobel Peace Prize for the International Physicians

for the Prevention of Nuclear Weapons...

If we could save this for another time,

if you don't mind.

Of course, of course.

Uh, likely RCA occlusion. Radial approach.

Should be in and out with a stent

and a new lease on life in no time.

James, cancel the cath lab.

Stop the heparin.

Get me to CT stat.

Your EKG

shows inferior ST elevations.

Your troponin's elevated. You're having a heart attack...

Apparently I am also having an aortic dissection.

Dr. Austin, I hope you're ready for surgery.

Well, if you're right, I'm more than ready.

How long do they want to keep her here?

They'll talk to us once they check her in.

So what happens next?

Medication?

- Therapy? - All of that.

God, the anxiety,

the sense of inadequacy...

I thought it was the stress of being a new mother.

How did I not see it was postpartum depression?

What's important is

now Padma's gonna be able to get the help that she needs.

We have to tell AJ.

He has an incredibly important patient today.

Leonard Perry.

The Leonard Perry?

God, I don't want to distract him

when he can't do anything for Padma right now.

I'll talk to him later today.

You have to go to work. I know.

- I love you. - I love you.

I just don't see how he can have an aortic dissection.

He's too functional. His pain is manageable.

It doesn't make sense.

Yeah, it was probably a slow one.

Atypical presentation.

I know I said he's always right, but...

I want him to be wrong this one time.

Man, what was he like as a teacher?

A saint.

Medicine is like a...

spiritual vocation for him.

He believes in the power of the human touch.

Hmm.

Well, I'll be damned.

Right there. Ascending aortic dissection.

His right coronary artery takes off anomalously

from his ascending aorta.

Which means when he had the dissection,

he also had an inferior MI.

That is... that is a one-in-a-million diagnosis.

How the hell did he figure that out?

Observation

and experience.

Sir, you should be back in your bed.

- You're not well. - A type 1A dissection.

A Perry-1A, to be exact.

Named after you because you're the one who categorized it.

Well, are you ready to repair

a Perry-1A dissection on Perry?

Let's... take a moment to figure out the best course of action.

Yeah?

Sure.

Sure, he's right, Dr. Perry.

Let's get you back to an ICU bed.

Okay?

You get called to the execution?

- Sorry, what? - You didn't see the email?

We're all supposed to meet with Voss.

Chastain's level 1 trauma center is closing. Tonight.

Whoa. That is a huge loss.

No more helicopters on the roof,

no more trauma team activations.

Fewer doctors, nurses, surgeons.

It makes you think what's next?

Cath lab? Transplant?

We're gonna be a nine-to-five urgent care clinic

before you know it.

Prepare for a thrilling future

of nonspecific abdominal pain

and tingly arms and legs.

What do we got?

Unidentified woman.

Witnesses say she got into a violent altercation

with a purse thief.

Closed head injury and thrown to the ground.

- Femur looks broken. - All right, let's take her

- to Trauma 12. - Hello, ma'am,

I'm Dr. Pravesh, and you are at

Chastain Hospital.

Do you remember what happened?

My purse.

She wandered out of the dementia unit?

It's possible. I have no clue.

She's pretty banged up, but protecting her airway,

and her vitals are stable.

Let's get a full set of labs and get her to CT

as soon as we can.

At her age and degree of trauma,

she could have injured just about anything.

He needs emergent surgery.

His mortality's increasing one percent

- every hour we wait. - But at his age,

and with the extent of involvement

of his aorta, and the hit his heart's already taken,

the mortality for that surgery's over 50%.

- So what's the alternative, conservative management? - Yes.

But we keep strict tabs

on his heart rate and blood pressure.

And hope the tear in his aorta clots off.

It's a long shot and still risky.

He said it himself. It's a Type-1A Gray Zone.

Medical management and surgery have similar outcomes.

All right, so we have to convince the man

who created the surgery not to have the surgery,

and hope the world's most famous heart surgeon

doesn't die in Chastain today.

Right.

Hey.

Hey.

Heard Leonard Perry's here. How is he?

Well, he's hanging in there, but it's not great.

Um, so Kit wants me to move out all the ICU patients that I can.

What? Why?

Budget issues, I'm assuming.

I found a good candidate. Amir Sheridan.

The kid with the fentanyl poisoning?

- I thought he was improving. - He's not.

But he's alive.

Neuro says wait a year before they give up on him,

but he can't stay here.

So we have to find a skilled nursing facility

- that will take him. - Yes.

Which will not be an easy task,

and it's all yours.

Someone needs to talk to his family,

and it should probably be his surgeon.

- Billie. - Can you give that to her, please?

Hey, you got some time for a trauma patient?

Go for it. Distract me.

- What was that? - A mess.

I get it. If you ever want to talk, I'm here.

I got to say, though, we all knew it was coming.

Kit and Bell's wedding? Everybody saw it.

Everybody but me, I guess.

Hi. Can you tell us your name, ma'am?

You first.

This is Lillian, and she's a real fighter.

She took on a guy who tried to snatch her purse.

Lillian... something.

I can't remember the rest of it.

- Bizarre. - Lillian,

- I'm Dr. Hawkins. - What time is it?

I need to make sure that I let the dog out.

No. I need you to stay right here, okay?

Stay here.

Can you keep an eye on her for me?

She's been this disoriented the whole time?

She's clearing up a bit, but not much.

Any explanation for her confusion on her workup?

Possible Alzheimer's, but her urine is clearly infected.

She's dehydrated, sodium at 150.

She's in pain from a broken femur, but listen.

What's really concerning me is this.

Mm.

Acute on-chronic subdural. That's pretty big.

This could be what is causing her to be so confused.

If you're asking my advice,

fix her sodium, treat her UTI,

- see if she clears. - I think she needs to get to the OR stat.

Taking a woman at her age to the OR is risky.

And if it is dementia, putting her through surgery...

That-that could just make things far worse.

We have to get her to the OR anyway for her broken leg.

I say we try and treat the bleed at the same time.

Okay, so both Billie and Kit.

Yes.

Now, as confidant as I am in using your surgical techniques,

my recommendation would be to carefully monitor you

and hope the dissection stabilizes.

Honesty first, among colleagues?

Well, neither option is good.

We believe odds slightly favor wait and see.

Slightly favor?

So it's not clear.

No, it's not.

Given the choice between hope and action,

I've always tended towards action.

But now that I'm here, I'm frightened.

Dr. Perry,

if you choose to have the surgery,

I promise you that these hands will do everything they can

to save your life.

So you have it?

The healing touch?

Well, I don't know about that,

but I do have experience, talent,

and a very big ego.

That and the healing touch.

That is where I place my trust.

Okay. No watching and waiting.

- We move forward. - Yes.

Together.

You sure?

You don't have to make this decision right this moment.

James, I have never let fear guide me in the OR.

I won't let it steer me away now.

No more half measures.

I want bold action.

All right. You heard the man, James.

Dr. Leonard has decided

to come out the bunker guns blazing.

That's the idea.

- Okay? - Okay.

How's it going?

Good.

Good. Me too.

Ah, so, I spoke to Cade.

Been avoiding texts from James all day.

Could have done this in a cleaner way, but...

it happened.

And we are gonna do this right from now on.

I'll talk to James.

I heard you're looking to relocate Amir Sheridan.

- I'm so sad he hasn't woken up. - Yeah.

We're still looking for a facility,

but I thought I'd get the conversation started

with the family. They're coming in this afternoon.

Did you want to talk to them?

Well, I should.

- I mean, of course I will. - No. No, no, no.

- Not after yesterday. - I'll talk to them.

Would you?

Of course.

I don't love how we got here,

but I am so happy that we are here.

I know.

Me too.

- AJ. - Yo.

I brought you this for good luck.

It's from when I was on Perry's team in Boston.

Thanks, man.

Yeah.

So, listen. Obviously, Perry is consenting for himself,

but is there somebody we should call?

He's a widower, no kids.

He always said his interns were his children.

Oh, wow. So I guess you're his family now.

Yeah, I guess so.

Acute on-chronic subdural,

broken femur and some bruised ribs.

Lillian's 84.

What's she doing, playing rugby?

She tried to fight off a purse thief

who then battered her within an inch of her life.

Human beings are capable of greatness.

Bravery, charity, love, decency.

And yet the very same species

has monsters who do things like this.

It's gonna be a scheduling challenge.

I'm trying to ramp down the OR

now that we're closing Trauma.

So there's less on-call anesthesia.

Maybe if you guys double-team it

you can share anesthesia?

Well, the surgery's pretty risky already.

Are we sure we want to do it at all?

I see she has a possible diagnosis of dementia.

We could table the subdural for now,

get her another CT scan in a few hours,

- put her on frequent neuro checks. - Mm-hmm.

Conrad had a similar impulse,

but we have no proof that the problem is dementia.

I mean, for all we know she could finish

the Sunday New York Times crossword puzzle

when she doesn't have 200cc's of blood

pushing on her parietal lobe.

Book the OR.

Okay.

I don't want to lose another patient.

I understand being risk-averse

after what happened yesterday,

but the patient you lost had metastatic cancer

and an unhinged family.

This woman has no one but us

and at least a chance of recovery.

You're right. I'm in.

What's his temp?

Cooled temperature is down to 20 degrees Celsius.

Ah, the tear could have extended since.

All right, we're gonna have to stop his heart

to get a good look.

And the bypass machine.

We'll have no circulation at all. For how long?

Thirty minutes until anoxic brain injury sets in.

Maybe sooner at his age.

I know this sucks,

but the man said he was all in,

which means we are all in.

Bold action.

He's at 18 degrees.

Cooling goal reached.

He's going into hypothermia-induced V fib.

Cardioplegic medication to me.

And here we go.

- Arrest time starting now. - Good. Let's move.

You got 25 minutes.

I'm almost done. Hopefully.

The dissection took out his whole aortic arch.

Left carotid, left subclavian and the innominate.

He certainly did not make this easy for me.

Not to mention the single-vessel bypass for his RCA.

The good news is we're almost there.

Damn it! 4-0 suture to me.

- You are running out of time. - My OR requires everyone

to be cool, calm and collected.

And that includes the observation room.

All right, we are good.

I'm unclamping.

Yes.

- Whew. - Yes.

All right.

Oh...

All right, put him back on pump.

How's Dr. Perry?

He made it through the surgery,

but that's all we know for now.

Cade, if you have a minute, I think we should talk.

I'm not sure what there is to say.

Well, we're gonna be working together,

I hope for a long time.

So I want to give you the chance to get whatever it is

you're feeling off your chest.

Okay.

I know Conrad talked to you.

I just wanted to say that

- neither of us saw this coming. - Oh, come on.

You've been in love with Conrad the entire time I've known you.

I never had any intention of taking him away from you.

The dance at Kit and Bell's wedding?

Unplanned.

But you're right.

And I don't want you to think that I'm the kind of person

- that would swoop in... - Look, I like you.

Right now I wish I didn't, but I do.

So for what it's worth,

in these types of situations, no one does the swooping.

It's kind of a two-handed game.

Well, I'm not sure Conrad's responsible

for feelings he couldn't fight or even face.

Okay. I didn't need that.

I... I'm sorry, I'm not finding the right words.

It's fine. I will survive.

Because I know what I deserve.

I deserve someone who loves me,

not someone who's working overtime

to deny they love you.

I really am sorry.

Don't be. It's pointless.

Just so you know,

Hawkins never said "I love you."

Not once.

Neither of us did.

Extubating now.

Subdural drain complete.

Perfect timing. Just closing skin.

Well, I think we actually managed to pull this off

in record time.

If we're good here,

I was due in my next OR ten minutes ago.

I appreciate you working with our staff cuts.

Thank you, Paul.

Let OR 7 know I'm on my way.

I'm pretty much wrapped up here,

and I should check on some post-op patients, too.

You good?

Yes. Thank you, Billie.

She's in SVT.

Blood pressure's tanking. Get Paul back here.

No time. I know what to do.

- I am not losing this patient today. - Do it.

Pushing adenosine now.

She's back in sinus rhythm.

Pressure's coming back up.

We've got this. Thanks, Paul.

Love being irrelevant.

Nice job.

Looks like someone's made a full recovery.

And I'm not talking about our lovely patient Lillian.

Turns out I survive, too.

Ah. Well, you certainly put me to the test, Dr. P.

Oh, he was masterful. Full aortic arch repair.

Truly, Dr. Austin.

And you're already weaned off the pressors.

Your BP's looking good.

When did you do the first arch repair...

- 1970? - '69.

Wow. And they didn't have all the fancy OR tools

- we have now. Can you... - Aah!

Oh!

What's going on?

I'm dissecting again.

The aorta's torn through.

And we knew this could happen.

- It's not your fault. - Okay.

Continue the nicardipine

- and the esmolol. - We'll do that.

The man is crashing and he's still in control.

You won't be able to operate again. This is worse.

We'll control your blood pressure.

And your heart rate and pain, okay?

- You're gonna make it through. - It was a long shot.

We got you, all right?

And your job is to stay calm.

Once your blood pressure spikes...

I die instantly. I'm aware. And calm.

- So calm. So calm. - So calm. So calm.

- Hi. - I'm Dr. Devi.

She's Padma's sister. Is she awake?

Yes.

Hey, um, I think she'd rather see you alone.

Hey, Paddie.

You okay?

They think I'm crazy.

Tomorrow you'll see a psychiatrist,

and we'll move you to a better place.

One that specializes in postpartum depression.

What would I ever do without you?

You'll never be without me.

And I can't be without you.

The boys.

They're with Serena.

AJ's gonna go home to them soon.

The worst is over.

This is the beginning of recovery.

The first day of a new life.

Hello, Ms. Lillian Cortland.

How you feeling, my dear?

I'd like some applesauce.

And a clicker that gets me PBS.

Because cable news will rot your brain

faster than a moldy grape on the bottom of a fruit bowl.

- Can you tell me who our president is? - Can you tell me

who all the presidents are in order,

including Millard Fillmore? Because I can.

Yeah, I get your game.

I'm old, so you think I got mush in my noggin.

Hey, you were right, I was wrong.

Look at that, a man who admits he's wrong.

Now that is a rare quality.

My late husband, may he rot in hell,

he never apologized for a thing in his life.

Lillian, do you remember how you were injured?

Yes, I'm fully aware.

I was beaten up by a mugger because I would not

let him steal my purse.

And where is it, anyway?

You know what, Lillian, we're gonna find out.

We're gonna see about that applesauce, too.

And PBS.

Hey.

What's the latest on Dr. Perry?

Well, the godfather of cardiothoracic surgery

did not die in my OR.

But his outcome is uncertain.

How are you?

There's something we should probably discuss,

but, you know, we can also talk later.

No, no, no, no, don't do that to me.

Sit. Talk.

I could use the company.

It's about Padma.

Did she make it home?

I certainly hope so, because this absent mom thing

is getting real old.

Padma is struggling with acute postpartum depression,

and she was suicidal.

Suicidal?

She almost threw herself off a bridge.

She came to me and Devon for help, and now she's here

- on a temporary psychiatric hold. - Can I see her?

No, no. Not yet.

She doesn't want to face you. She's ashamed.

Wow, I knew it was bad. I-I didn't know it was that bad.

Devon said no one saw it because Padma didn't want us to.

What about the boys?

Once she's better, she'll be there for them.

Uh, no, we don't know that.

Lots of mothers go through this.

Now at least she's getting help.

What if they're not safe with her?

She loves those little boys. She does.

She's just feeling inadequate right now, like she...

she doesn't deserve to be their mother,

or she's overwhelmed, I don't know.

Right. Right.

It's, um, it's-it's biochemical.

It's hormonal.

There are a lot of things that factor into this.

And it can be treated.

Look, she really needs our support right now. Okay?

So please, please don't turn on her.

I won't.

I can't.

- Hey. - Hey.

I hear you're having a rough day.

I am.

How's Dr. Perry?

We don't know.

He dissected again. He could still pull through.

His tear could stabilize, but it's out of our hands now.

I'm so sorry.

Hey, before you say whatever you're about to say,

I think I already know.

Hawkins?

You're an amazing guy, James, 100%.

If there was no Conrad...

Hey, hey, hey. Don't, don't.

It's okay.

You knew him long before you knew me,

there was already a history. I'm aware.

I don't know what to say.

It was fun while it lasted.

However brief.

My heart's intact, okay?

This is him. I... I should go.

Of course. I hope he's all right.

What's going on?

He wanted you to be here.

Unfortunately, the patient

has entered the dying process.

You see?

Acute aortic valve insufficiency.

Widening of pulse pressure,

a harbinger of doom following a repair.

It means the aorta has torn again through the valve.

Even as we speak,

the patient's heart is being surrounded by blood.

Tamponade will ensue.

There's nothing more we can do for him

but stay with him.

Make sure he is in no pain.

Do not give his care over to nurses.

Walk with him on the final journey.

Hold his hand.

You see what James...

is doing?

This... is how it's done.

Can't we place a pericardial drain, return to the OR?

His blood pressure is too low to travel.

We can open his chest at bedside.

No.

I can't... tolerate that.

Goodbye...

my children.

♪ ♪

I am so sorry.

Thanks.

I think you and I joined the same club today.

Yeah. We were too good for 'em.

Listen, if you don't want to be alone tonight,

we could grab stiff margaritas

at Waylon's.

You could tell me all about Dr. Perry.

Yeah.

I'd like that.

He was a truly great man.

I know it's not the outcome you needed this week...

One of the most famous living doctors dies at Chastain.

We were honored to treat him.

If he could have been saved, you'd have done it.

Is it true we're no longer

a level 1 trauma hospital after today?

I never thought I'd say it, but yes.

The money is gone, the fight is over.

You know what, Kit? Whatever happens,

even if this whole place shut down tonight,

we created something great here together.

And that will live on in everyone

- who was a part of it. - Thank you, AJ.

Hey. EMT said I needed to get this

to you right away. They went back to where

they picked up your patient. It was in a dumpster.

- Thank you. - Mm-hmm.

There's someone I want you to say hello to.

Miss Lillian, I want you to meet someone.

Hello. I'm Kit Voss, CEO of Chastain.

It's wonderful to see you on the mend.

We have something that belongs to you.

My purse.

Oh, that's wonderful.

Oh, thank heavens.

Yeah. No more wallet, obviously.

But tissues and...

and my bus pass and-and my lipstick.

And-and Werther's!

Here. Have-have some.

- Okay. - Oh.

Gosh, I... I'm just so happy,

I can't tell you. I...

To think I almost died over some worn-out old

- crossbody bag. - It's the principle of the thing.

That's right.

You can't let some jerk just take what belongs to you.

I'm old, but I fought like a tiger.

When I know what's right, I'm all in.

I'm sorry. You're gonna have to reroute the patient.

Our trauma center is closing down in five minutes.

- Stroke of midnight, finished. - What was that?

- GSW. - Oh, good luck getting that rerouted.

Nobody else takes gunshot wounds.

- I know. - This is so wrong.

May I have everyone's attention, please.

I have two announcements.

One, I have meat and veggie,

and for anyone who's vegan,

there's salad because I cannot condone vegan cheese.

Hear, hear.

Two, I have determined

that Chastain Trauma will not be closing tonight.

What?

I repeat, we will not be closing our doors.

Hey, just kidding. We'll take that GSW.

- What changed? - I did.

I've decided we will not let a bully destroy us

piece by piece.

He cannot win. We are going to

spend every dime to deliver top care until the money's gone.

We're not gonna limp along as a hollowed-out shell.

We are going all in.

Yes! Yes!- -

Come on, before this gets cold.

Grab a slice.