Original subtitles

-Previously on The Resident... -Why the QuoVadis valve?

It would have to take a great product to get me

- to change my ways. - The VNS went perfectly.

- His seizures have already stopped. Bradley's coming in

-for a heart valve. -Cheers.

The website said QuoVadis is the new protocol

here at Chastain.

You don't get to make surprise

unilateral decisions that affect our patients.

When you grab the valve, it helps to...

This damn valve is too big.

You're holding it upside down,

which is what Julian was trying to tell you.

I'll help you get your line down if you give me some pointers

on how to run our clinic. Dr. Shaw,

-you start tomorrow. -I start now.

Coming.

This'll get you through tomorrow.

It's a good thing Chastain's right across the street.

I can't believe our shipment was delayed.

- I can. How's your dad? - Crabby.

Which I am embracing, because it means he's feeling better,

so... look at this place.

I barely recognize it. Very impressive.

Sheer force of will.

Are we forgetting anything?

Actually, we are. Where did I put the...

There it is.

Yes, the ribbon-cutting ceremony.

We're here live at the grand opening

for Chastain Park Memorial's new community clinic,

where low-income or uninsured residents can get

-the medical care they greatly need. -Guess we're open.

- Yeah! This grand opening marks a new beginning

for those in need in Atlanta, Georgia.

Lane Hunter was allegedly giving chemotherapy

to people who didn't have cancer.

In a dramatic turn of events, Hunter was found dead

inside her Atlanta hotel room, where she had been shot.

This morning, investigators

have identified the assailant

as Roger Stanley, the brother of a former...

Thank you so much for coming to the rescue, man,

I promise I am not one of those guys that only calls

-when he needs something. Yeah. -This is your big presentation,

okay? You land QuoVadis as a client for your firm

and you will be the hottest medical marketing consultant

-in Atlanta. -You are right.

I have worked super hard to get this meeting ever since

my surgery and I can't blow it now.

Even though the idea of pitching to Bell gives me the sweats.

Listen, just be yourself, okay?

You are a natural salesman.

But I got to have my props, man. So please tell me

you can fix this, okay? No slideshow, no bueno.

It's just a bad cable.

-You got a spare? -Why would anyone have two of those?

As it happens, I do.

-Hold on. -Seriously?

You rock. I suck.

All right, so, tonight, we hang, okay?

Get some pizza, couple of brews, we'll play some Call of Honor.

I let you win because we all know

that's where I rock and you suck.

Not taking no for an answer, man.

No pineapple on the pizza, ever.

-That's a deal-breaker. -Selfish, okay?

But I agree to your terms because I value this friendship.

But, for now, yeah, I got to go.

So you just come over whenever. I should be back

around 5:00 and I'll see you then, man.

-Thank you. -Bradley.

Yeah..

I want that suit.

Five grand and my London tailor will make it happen.

I'm in.

Back-to-back marketing contenders.

This should be interesting.

By the end of the day we'll have a winning campaign

to make QuoVadis a household name.

-All we need now is... -An offshore bank account to hide all our money.

The new QuoVadis website isn't just advertising,

it's an interactive world built to engage

those people who need medical devices.

Providing a hybrid of technical information

and moving testimonials from real QuoVadis patients,

one visit to the company website,

and future clients will be able to ask

for a QuoVadis device by name.

Using search engine marketing,

our ads and educational materials will dominate...

...with a big push in social media.

My only question: how fast

can we get it up and running?

I'm sorry. I...

I, I don't feel so well.

Call 911.

No pulse.

Yes, we have an emergency.

Come on.

The QuoVadis building.

-Dr. Bell, what are you doing here? -It's Bradley.

- Go. - 32-year-old male.

Witnessed cardiac arrest.

Recent mitral valve replacement with a history

of ventricular hypertrophy.

ROSC achieved en route, lost the pulse again.

Last epi two minutes ago.

Okay. Another large bore IV.

Okay. One, two, three.

Come on.

Still in asystole.

20 minutes since he's had a pulse.

More bicarb.

Come on.

Pulse and rhythm check.

Another amp of bicarb.

It's Bradley!

My God.

Another round of epi.

Come on! Come on!

Hurry!

Come on.

Okay, okay.

Pulse and rhythm check.

Come on...

How long has he been down?

30 minutes.

I need a portable ultrasound.

Let's go!

Come on. Come on!

Hold compressions.

There is no cardiac activity.

Preliminary autopsy results.

I just need to fill out the death certificate.

Um, don't do anything yet.

I just want to make sure this conclusion's warranted.

Okay.

The valves didn't fail.

Not a chance.

It's been implanted hundreds of times

over the last year with zero complications.

You're telling me not one single patient...

I'm telling you people with bad hearts have issues.

None of them were caused by the valve.

Yeah, look. This is...

I mean, just, it's irrefutable proof.

The strut in the valve just...

it shattered.

You have to ask yourself why it shattered.

You're just assuming that it was a manufacturing error

when it was clearly damaged during surgery

by Dr. Austin.

You're saying my surgeon broke the valve in the OR?

Exactly.

The cause...

of Bradley Jenkins' death...

...is operator error.

Doesn't feel real.

Just... Bradley seemed to be doing so well after his surgery.

He was... happy.

Early mortality from valve replacement

has many possible causes.

Embolism, congestive heart failure.

A defective heart valve.

You think the valve that the Raptor implanted

-could have killed Bradley? -Maybe.

His autopsy is being presented at this morning's M&M.

We will have answers after.

Mr. Greenspan's case

is an unfortunate example

of the importance of transparent labeling.

Mr. Greenspan was given 25 milligrams

-of Olanzapine instead of 2.5... -How are you doing?

A little nervous.

You and everyone else.

...presented to prevent...

How's the clinic?

We've seen over 60 patients,

and it's only our third day.

...we can end labeling errors.

Up next, we have...

the Jenkins case.

The Jenkins case

will not be presented today.

Apologies for the misunderstanding.

Thank you.

He is up to something.

Clearly.

Okay, um...

moving right along.

Are you keeping tabs on me?

Nope. When my dad was touch and go,

you gave me a great case I could fix.

I'm returning the favor.

I'm fine. I don't need anything...

You can thank me later.

Good morning, Marisol. I'm Dr. Pravesh.

Glad someone's having a good morning.

To tell you the truth,

this pain has ruined mine.

And my life.

Right, and my marriage.

Well, that's what I would call bad pain.

You and me both, Dr. Pravesh.

You and me both.

When did this life-ruining pain start?

About six hours ago.

It took six whole hours to ruin a marriage?

Amateur.

-I didn't even make it down the aisle. -Let's see--

kicked my husband to the curb about a year ago,

two years of trying to make it work before that.

Um, I had an ectopic pregnancy, so my right ovary is...

Dud.

When I eventually did get pregnant again,

I had a crash C-section.

They saved me, but we lost our son.

I'm sorry for your loss.

The pain started shortly after that.

And so did the marital problems.

Did you see a doctor about this?

Many.

And none of them would listen to me.

I need a doctor who will believe me.

I believe you.

And I'm gonna figure out what's going on.

Floyd, how you doing?

The sun is shining, it's a beautiful day.

I'm feeling fine.

That doesn't sound fine.

Dr. Shaw, meet Floyd Washington.

Retired mailman, Vietnam vet

-and awesome grandfather. -How you doing, doc?

Nice to meet you, Floyd. What's your name, kid?

Aw, don't mind Aubrey. She hates attention.

Although the hair and the piercings might say otherwise.

I'm gonna have you breathe for me, Floyd.

Deep breath.

Yeah, if it's not anime

or tattoos or AP Biology,

this girl's quiet as a mouse.

-Floyd, do you have any pain in your leg? -No, no,

just-just the, cough.

Why don't you change into this for me, would you, Floyd?

I'm gonna perform a full exam.

Menthol, regular, filtered, unfiltered?

None of the above. Quit cold turkey

when Aubrey moved in with me.

Secondhand smoke kills.

Unlike firsthand smoke.

Nurse Nic, call The Atlanta Journal,

my granddaughter speaks.

All right, but after your chest X-ray.

We'll be back.

Thanks, Floyd.

Dr. Bell. Fred Harris, new general counsel for Chastain.

Good to meet you.

The Jenkins family is pursuing legal action

for the death of their son.

-I spoke to the pathologist... -The official cause of death

-hasn't been determined. -No.

Not official, but... Y... She believes

-the heart valve shattered. -There's a question as to why.

The board won't like that narrative.

Puts our surgeon at fault, makes Chastain vulnerable. No.

We have to avoid surgical error at all costs,

and your job is to make sure that happens.

Quickly.

Do whatever you have to do.

Of course.

What were the results of the autopsy?

Bradley was our friend.

-We need to know what happened. -I'm aware of the how important

Bradley was to you and I'm doing my best...

-What was the cause of death? -We're conducting

a closed investigation to determine that.

I was there when he died.

I should be a part of that investigation.

And I assisted Dr. Austin on his heart valve surgery.

The investigation should be transparent.

Done at an open M&M.

I'm trying to protect Dr. Austin.

So, you're saying

that Bradley died because Dr. Austin

made a mistake during surgery?

I'm saying that if you don't want to ruin his career,

you'll stand down and let me do my job.

I mean, is it possible that The Raptor...

-No. -No.

-Anyone can make a mistake. -Not this.

We need to warn Austin so he can prepare a defense.

-He won't be thrilled. -All right,

I'll see you guys later. I have a GI consult with Marisol.

I don't trust Bell.

Whatever he says, he's protecting Chastain,

- not Austin. - Yeah.

My guess, the problem was the QuoVadis valve

and they're blaming him.

You're telling me...

Bell thinks these hands killed Bradley Jenkins?

You know what I think?

That went exactly as I expected.

Dr. Bell.

Just the man I want to see.

I hear you're looking for a scapegoat.

So I obtained the copy of the autopsy report

which clearly states that your valve--

the one Chastain forced into my OR

due to your little sweetheart deal-- failed.

Because you made an error inserting it.

Au contraire, Satan.

You must be Dr. Austin.

-Your arrogance proceeds you. -This isn't about me, dawg.

This is about your defective product, which does not

belong on Chastain's shelves.

Your mentor, Abe Benedict, loves our valves

and all his patients are alive and well.

Yeah? Well, prove it. Show me your stats.

Right. I'm guessing no one

tracks long-term outcomes.

My devices-- each one-- are little works of art.

Perfectly designed to make a failing body better.

But they must be understood.

They must be treated with respect.

Did you respect my valve when you implanted it, Dr. Austin?

I reviewed my surgical notes.

Bradley Jenkins' surgery went without incident.

I think your surgical notes

are missing some very important details.

Impossible. I'm an advocate for transparency in everything,

especially my reports.

Our rep, Julian Booth, was in that surgery

and she documented it.

Her notes tell a very different story.

That you tried to implant the device backwards.

I'm sorry, AJ, that's what it says.

I picked it up wrong,

realized my mistake

and I picked it up the right way.

- It was a nothingburger. - Stop talking.

So you're admitting error.

I am not.

This isn't over.

I've spoken to some of the nurses.

Apparently, he's a terror.

This is gonna be easy.

AJ Austin is practically a magician

in the OR. If I needed surgery,

he would be the doctor that I ask for. So before

you go and smear a man's name, have a look...

at the long list of people whose lives he's saved.

Sounds like you're rooting for the wrong team.

I am your partner.

I am also the CEO of this hospital

and my board doesn't want the finger

pointing at one of their own any more than you do.

You have the power to sway the board.

All you need is proof.

I want the truth.

And the word of one of your employees...

is not gonna be enough.

Well, partner, Julian and Austin

weren't the only people in that room.

Let's be thorough.

Great. So, good news, Floyd.

Your lungs are clear, but now Nurse Nevin and I

are gonna take a look at that leg.

W-wait a minute. I just came in here for my cough.

Don't pass up the chance to show us some ankle.

Pop.

All right, let's see what we have here.

What's wrong with Pops?

We're gonna have to run some tests,

but I suspect after years of smoking,

he has what's called peripheral vascular disease.

What-what does... what-does that mean?

It means you did the right thing bringing him in here today.

What do you think's up with Aubrey?

She's what-- 17, 18?

She's probably stoned.

No, I don't think so.

Well, clearly you don't know what a high teenager looks like.

Actually, I do.

I've been a solo act for a while,

but I'm starting to like this double-team thing.

Good.

Then I'll keep teaching you new tricks.

Hopefully you're a fast learner.

Conrad, he has a surprise for you.

So we thought we'd come on by. Well, go on, Henry.

Dr. Conrad, I got to show you.

Show me what?

MVP?

That is a big trophy.

It's a big deal.

It's a keeper.

Coach gave it to me after the game.

Called me to home plate in front of everybody.

- - I thought Daniel Pressley was gonna get it.

Daniel is good, but most valuable player--

that is all you.

Congrats, my man.

You okay, Bud?

Honey, look at me.

Why are you doing that?

Doing what?

What you just did

with your head-- why are you doing that?

I don't know. But it wasn't a seizure.

I never felt far away.

You want to grab some more napkins?

Have you ever seen him do that before?

Once.

While we were camping in Stone Mountain.

I thought he was nervous, but-but...

Okay, well, you look worried.

Let's just take a trip up to neurology,

make sure everything's okay.

Okay. Better safe than sorry.

How's Marisol doing?

This poor woman has been ignored and dismissed by her doctors.

She's been trying to advocate for herself.

All alone.

But now she's your patient

and you're helping her.

She's not alone anymore.

And you're not alone either.

There.

On her left ovary-- that a cyst?

No.

It's a thick-walled, fluid-dense mass in her adnexa.

That's probably a tubo-ovarian abscess.

I'll get her on IV antibiotics and order an aspiration.

Yeah, minimally invasive

and it'll tell us exactly what we're dealing with.

I'd say let me know if you need anything, but you won't.

No, all we want to know is did Dr. Austin

insert the device upside down?

Dr. Bell put him in an impossible position.

He had no experience with the new heart valve

and yet he had to insert it.

And that's why

Ms. Booth was in the OR-- to give him guidance,

to prevent a mistake.

We need to understand

exactly what happened,

Dr. Okafor. No judgment.

The facts. I know it's hard,

because you work closely together.

Dr. Austin almost inserted the valve upside down.

He quickly course corrected. It was a non-event.

I don't understand.

While Ms. Booth was there, didn't she try to instruct him

-on how to properly insert that valve? -Yes.

-So he didn't listen. -That is not unusual for him.

It is his way.

I'm sorry, it's not unusual

for Dr. Austin to ignore expert instruction

on a new device?

Surgical errors drop drastically

when staff is encouraged to speak up

-if they see a problem. -I agree with that principle,

but Dr. Austin knows what he's doing.

-He is a rare exception. -So, over the course

of Bradley's surgery,

Dr. Austin did every little thing correctly?

No.

Because he refused

to listen to instruction...

...and he may have made a mistake

that cost Bradley Jenkins his life.

Yes.

In a minute, sedation will kick in. You'll feel sleepy.

-We'll aspirate the fluid and go from there, okay? -Okay.

That crash C-section and losing our son

was the worst thing that has ever happened to me,

and I stayed because

I desperately wanted to try again,

to be a mother.

Please make sure they don't take the good ovary.

Okay, it's the last chance I have left.

I'm gonna be here the whole time.

I will make sure that they listen to you, okay?

-Okay. -Trust me.

She's under. We're all set. Needle for aspiration.

Have a percutaneous drain on standby.

More sedation!

I can't. Her blood pressure's too low. It's 80/50.

All right, let's do an ultrasound.

Go, come on.

Hurry.

There's no blood flow to the left ovary.

The ovary is twisted on itself.

If we don't get her to surgery, she'll lose it.

Page GYN, tell them to meet us up there now.

All right.

I've just drained the abscess.

And now, if you want, Aubrey,

I could teach you how to pack it.

M-me?

No, that won't be necessary.

Just teach me, I can get by.

Yeah, Floyd's right. This is

a lot of responsibility for a teenager.

I mean, it has to be done right, but I have no doubt

-that Aubrey can do it. -But it's a staph infection

and if we don't properly treat it,

it can spread to the bone, and if that happens,

he could lose the leg.

But if Aubrey can help him manage the infection,

we can prevent that

and keep him out of the hospital.

She'll need to be very thorough.

Do you want to try?

All right, come on. Let's get you some gloves.

There you go.

You see, now, how when I pull on the gauze, it doesn't move?

You try.

Maybe go from the other side.

Nice and tight.

You know what, um...

let's take a break.

Here, come on.

That was a good try.

Untouched pie.

That's not like you.

Thank you for meeting me on such short notice, Abe.

I'm always up for the best pie in town.

Besides, it sounded urgent.

What do you know about Gordon Page?

Ambitious, dynamic,

smart as hell.

Thank you.

That's a lot of high praise coming from you.

What's this about?

A young patient of mine died not long after

putting the QuoVadis valve in--

-the one that you recommended. -I'm sorry.

And now Gordon Page is pointing a finger at me.

He says I damaged it because I handled it incorrectly.

And, personally, I think that's absurd.

But have you ever experienced anything like that?

No, but I suppose I could have,

if I hadn't had a device rep in the OR with me

to walk me through the procedure.

As did I.

I just didn't listen to her.

I don't know what to say, Austin. I...

This was bound to happen sooner or later.

You are great.

But you're not invincible. No one is.

Your God complex has always been your Achilles heel.

You want my advice?

Always.

Learn humility.

If you make a mistake, own it.

It'll make you a better doctor.

The blood flow's cut off.

In order to remove the mass, we're going to have to

-take the ovary. -You can't untangle the adnexa?

It's adherent to the posterior cul-de-sac and side wall.

I'm trying to dissect it, but there's something blocking

my visualization.

-Could you save it if you converted to open? -Maybe.

Maybe not.

There's still a chance.

We have to try.

I can't put her through major abdominal surgery for no reason.

We have a reason.

She wants children.

As her doctors, we have to honor that.

You can tell me with absolute certainty

that she wants this at any cost?

Yes.

Convert to open.

There-- the ovary's untangled. Let's remove the mass.

Metz.

Wait. What is this?

It's... blue.

What kind of tumor is blue?

It's not a tumor.

My God.

It's a surgical sponge.

Aubrey, I think I kind of put you on the spot back there.

I'm really sorry about that.

I just...

get the sense that this is something that you could do.

And if I'm being honest,

if you can tend to his wounds at home,

it would be better for your grandfather

not to be in the hospital.

My mom was a nurse.

No way.

She taught me some stuff bef...

She taught me some stuff before she died.

She made people better.

But what if I'm not like her?

What if I make Pops worse?

Aubrey...

I'm sure you're more like your mother than you even know.

Sometimes I wonder

if I could be a nurse like she was.

Maybe you could start with your grandfather.

Our CABG surgery is in an hour and we need to prep.

Dr. Hoffstead is filling in for me.

-You can scrub in with her. -Are you ill?

No. I'm pondering.

Okay, so you can ponder

during our case.

Don't you want to operate?

Yeah.

I do.

I need it.

Like I need the sun...

or peanut butter chocolate cups.

But the sun hurts my eyes and chocolate makes me bloat,

so I won't be doing any of it, not for a while.

I'm benching myself from surgery until further notice.

Okay, well, even for you,

that's dramatic.

You made a mistake. We all do.

And Bradley paid for my mistake with his life.

You know, you were right all along.

My ego...

Well, of course I was right.

And it seems like you already learned your lesson.

So be better, come back,

take your place inside the OR.

The OR is a sacred place and I blasphemed it.

I don't have a place there. Not now.

And I will not put another life at jeopardy

until I learn humility.

"Blessed are the meek."

It's been an hour.

When can I take this stupid hat off?

Not until you do the motion again,

so we can see if your brainwaves are normal or abnormal

while you're doing the movement.

Okay.

What if he doesn't do it while he's on the machine?

We'll just try again. It's the only way to know

if it's a manifestation of a seizure.

Do I look like a mad scientist?

Exactly like a mad scientist.

How's Nic? I haven't seen her around the hospital.

Yeah, she started a free clinic that opened a few days ago.

-She's doing great. -You must be so proud.

I am. Yeah, she's... she's amazing.

Can I go see Nurse Nic?

I want to show her my trophy...

Okay. He's doing it again.

Please, God.

That's normal.

All right,

no abnormal brain activity.

If it's not a seizure,

then why is he doing that motion?

It's a tic. Very common in kids Henry's age.

He just makes a movement, usually a reaction to something,

and kind of gets stuck in a loop.

But it's definitely not...

Definitely not a seizure.

Told you.

What are you doing?

Writing a Chastain admission form for Floyd.

He needs heavy observation and wound care.

There's too great a risk for amputation to send him home.

PVD's chronic.

Even if we cure this ulcer, there will be others.

He needs ongoing care. Hospitals can't do that,

-Aubrey can. -Her hands shake.

She can't look anyone in the eye.

She's a teenager who may be a drug user

and you want to put her in charge of Floyd's care-- why?

Look, you and I both know that hospitals

can be dangerous for people Floyd's age.

I mean, they get poked and prodded all night long

and exposed to hospital-based infections.

Sometimes home care is just the better option.

Yeah, that's right. And you're preaching

to the choir here, but in this instance...

Okay, let me just show you something.

All right? She can do this.

Not bad.

Not bad at all.

Well, no need for a nurse.

You're a natural, just like your mom.

Well, it looks like you're headed home, Floyd.

Got yourself a great nurse here.

They left a sponge in me?

How... how could this happen?

I wish I could give you a decent answer.

But the truth is the mistake is inexcusable and it never

-should have happened. -They must have forgotten to remove it

during your C-section. It's rare, but it happens.

It's been the cause of all your pain

for all these years.

And you've suffered for so long and it was avoidable.

That day I lost my baby

and they left me with...

the pain.

And then the guilt, as if it were my own fault,

as if it were in my head.

And all of it...

...it's gone.

The pain that ruined my life,

it's gone.

I still have an ovary

and I'm gonna have a child someday.

You fixed everything, Dr. Pravesh.

Thank you.

All in a day's work for this guy.

Excuse me.

Is he okay?

He will be.

Just lost his best friend.

You are exactly what he needed.

Thanks, for everything.

Of course.

-Thanks, Doc. -Of course. Always.

-I'll see you soon, yeah? -Thank you.

-See you later. -All right. Thank you.

We had a scared, shy teenager and I thought "drug addiction."

Got that wrong.

So...

who is it?

Earlier, you got a little snippy when I claimed

you didn't know what a drug addict looked like.

Snippy?

Yeah, definitely snippy.

My sister.

I have recently come to terms

with the fact that I am a classic codependent.

Well, as a former codependent,

I guess there are some things I can teach you.

You want to get dinner?

Good to see you.

Nurse Nic!

Henry, what's going on? What are you doing here?

He wanted to show you something.

Yeah? What do you got?

- A trophy. - No way.

Are you serious?

That is so awesome. High five.

Looks like your son is a star baseball player.

No. We're-we're not, um...

Conrad is-- was-- our doctor.

And now we're...

We're friends.

And they're together.

I guess that's my cue to say good night, all.

Good night.

-I'll just be a second. -Okay.

Bye, Dr. Conrad.

- Bye. - Ready?

- Bye. - Bye.

You have something to say?

You, of all people--

a surgeon who has made many mistakes--

did not protect Dr. Austin.

I will protect him. Even if he's named in a lawsuit.

He won't lose his job and he'll be back in the OR.

No one can protect The Raptor from The Raptor.

He's benched himself.

He won't operate.

We are surgeons.

Gordon Page is not.

He doesn't know what it takes to cut into the heart

of a living human being and end up curing them,

not killing them.

But you're his lapdog. Why?

If you won't tell me, I will find out another way.

You have my word.

Yeah, maybe we don't send this one to his mom.

It's not really memorial material.

What about this?

Dust Bunny.

Now, that's Bradley.

Our intern class photo.

Man, you hate that white coat.

-Yup. -You could've at least worn a tie.

Yeah, well I wore one last week for Devon's wedding,

so there's that.

What do you got?

Pizza. Someone grab plates.

Hi.

I didn't know Henry had a checkup today.

He looked good.

So did Zoey.

Yeah, after Bradley, I just wanted to lay eyes on him.

- - How are things at the clinic, with Alec?

He seems to really care about what we're doing.

Well, that's good.

Come on, let's eat.

Yes.

Why is there pineapple on this pizza?

It's a Hawaiian pie.

Bradley always said it tastes like vacation.

To Bradley.

The patient died because his heart valve failed

after, allegedly, being mishandled by his surgeon.

Did you want me to write "defective valve"

or "operator error" on the death certificate?

Neither. The patient died of heart failure

due to underlying disease.

* Your... *

Captioned by Media Access Group at WGBH

You survived your shift with The Resident.

Now here are a few more shows to check out from Fox.

Welcome to the galaxy.

Should be fun. I'll lead.

We're gonna make a run for it.

-Go! -* Reach out *