All language subtitles for The.Resident.S03E07.Woman.Down.1080p.AMZN.WEB-DL.DDP5.1.H.264-KiNGS

ANNOUNCER:
Scrub in with The Resident.

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the ER down now!

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-Previously on The Resident...
-Hey, Cindy.

-You're exhausted.
-Red Rock can

schedule more operations
and make more money.

I'm pulling rank. Go home.
There's got to be someone

-who can swap with you.
-Me. I got you covered.

NIC: You just finished
back-to-back surgeries, too.

JESSICA: Well, then I'll be in
back-to-back-to-back surgeries.

-(screams)
-(crashes)

They are still working

on my request
for Hemopleatin data.

The more time,
the more patients could die.

We need help with something.
We're doing a little research

-on a drug.
-An exclusive with
DiaCure renal services

would help us all out.

CONRAD:
Chastain uses the drug

Hemopleatin to treat anemia.

-(car chirps)
-Nic's sister, Jessie--
she was on it.

She died of a massive
pulmonary embolism,

just like five more
of our patients on Hemopleatin.

I think this drug is causing
these fatal blood clots.

Get to the point.
I have a busy day.

Well, you're familiar
with the company DiaCure?

The biggest dialysis provider
in the country. Yeah.

Yeah. I-I met their CEO
at their annual

shareholders' meeting
last night.

He agreed to give us access
to all their patient records...

in exchange for
an exclusive deal with Chastain.

Since when did you start doing
business deals?

I didn't agree to anything,
obviously.

-Well...
-Yeah, it's your call.

But bottom line, if Hemopleatin
is killing people,

and Chastain can prove it,
we're saving lives.

I'm, uh... I'm not gonna go
into business with anyone

on the basis
of your wild hunches.

-Take my wild hunch out
of the equation.
-(pager beeps)

DiaCure is still an excellent
partner for Chastain,

regardless.

(sirens wailing)

DEVON:
It's Jessica.

PARAMEDIC:
Car versus tree.
GCS 7 on arrival.

Head trauma
with positive seat belt sign.

-BP 60 over palp.
-Okay. How long
was she out there?

Took an hour to extricate her.
Not sure how long

Jessica was waiting
before she was found.

Oh, my God. Jess. Jess!

-Oh, my God.
-You're home now, sweetie.

Jess!

-How is she?
-We don't know yet,

but we got her.

Unhook her.
Let's move her.

And on my count, let's go.

One, two, three.

-What happened?
-Don't know. Nobody around,
no skid marks.

Might have fallen asleep
at the wheel.

-Oh, my God.
-(monitor beeping rapidly)

What's her access?
She needs volume now.

One 22-gauge in her thumb.
We're trying

to get a bigger peripheral,
but her veins are all collapsed.

She was tired. She was
coming off a double shift.

You need to leave, Dr. Feldman.

Give me an introducer.
I will get access.

Nurse, hold her C-spine.

Abdomen's soft.
I got the FAST.

I'll do it.
I have to do something.

You need to let us
take care of her.

-What?
-You need to let us

take care of her.
We got this.

-We got it.
-(monitor flatlining)

IRVING:
No.

-AUSTIN: Pravesh,
Pravesh. Pravesh!
-No!

-Whoa, whoa.
-Pravesh, get him out of here!

-Get him out of here now!
-No! Get off of me!

-Go.
-No! Get your hands off of me!

-Wait. Wait.
-Let me stay!
I want to stay in the room.

I've got to stay in the room.

CONRAD:
Now anything?

(Conrad panting rapidly)

*

-(monitor flatlining)
-(Conrad panting rapidly)

-Wait. Wait, wait, wait.
-She's been down too long.

-How much more time?!
-Another 20 seconds.

-CONRAD: Where's
that introducer?
-Happening as fast

-as superhumanly possible.
-CONRAD: Ah.

Come on.

All right, and we... are... in.

Get that blood in her now
and add an amp of bicarb.

(monitor flatlining)

Two minutes. Pulse check.

-(beeping)
-I got a pulse. We got a pulse.
-All right. All right.

(chuckling):
All right. All right.

-HUNDLEY: It's thready,
but it's there. Jess?
-Okay. All right.

-It's thready, but it's there.
-Here we go.

Jess. Jess, welcome back.

Now stay with me. Stay with me!

Okay, come on. All right.

Abdomen's not so soft now.

(panting)

Come on.

(sighs) It's full of blood.
It's full of blood.

AUSTIN:
We got to find the bleeding
and stop it now.

Hundley, call the OR.

Hundley!

-Page Neuro.
-How are the pupils?

They're reactive, but...

We need Neuro.
Let's go. Come on.

Come on, come on,
come on, come on.

Let's go, let's go, let's go.

How is she?

Massive intra-abdominal
hemorrhage.

-She's in good hands now.
-CAIN: I got the page.

What's with the audience?

(sighs) She's one of your
scrub nurses-- Jessica Moore.

She's been in nearly half
of your surgeries.

-She needs a head CT.
-No time. She'll bleed out

on the CT table.
We do this now.

I'll just put in
an extraventricular drain

to measure pressure
and control the swelling.

I can do that blind.

Well, that's quite reassuring.

My job isn't to reassure you.

BELL: So, that's where we are.
Thanks for checking in.

-I'll keep you posted.
-Dr. Bell?

-Yeah?
-How is she?

They're taking her
for an emergency ex-lap.

(sighs)

This is on Red Rock.

-I...
-They cut staff,

overscheduled the OR,
and now Jessica's paying for it.

-We need more nurses.
-Can we just talk
about this later?

No!

We lost some of our best
due to the hours

and salary cuts
that Red Rock instituted.

-Uh...
-I have people working
a double shift right now.

-Do you want more Jessicas?
-No, of course not.

I'm devastated by this. I...
You have... you have any idea

how many hours I've spent
in an OR with Jessica?

How many times she's had my back
in a tough surgery?

Don't suggest that I don't care
what's happening to her.

She's not just a member
of my team.

She's like...
She's family to me.

(sighs)

Look...

I have one nurse today,
and she's a student.

Even if she was fully trained,
that's not nearly enough.

We can't keep doing this.
We need help.

I'll see what I can do
about getting more nurses.

Okay.

Hey.

Hey, how is she?

Cain and Raptor
are just getting started.

Did you get ahold
of her parents?

They're on their way.

From Europe.

They go twice a year--
Bordeaux and Tuscany.

This is their,
uh, Bordeaux trip.

Apparently,
they're really into wine.

She was going to introduce me
to them at Thanksgiving.

Um... they're getting on a plane
right now.

No contact for several hours.

Have they designated a health
care proxy until they get here?

Yes. Me.

Good. Good choice.
You're a doctor.

Let me help you start
that paperwork, okay?

No. No, no, no, no.

I'm not leaving her.

Irving, I know
that you are scared.

Scared?

Scared does not cover it.

This is all my fault.

How is this your fault?

She's been pulling doubles
for days.

And then,
we had that game night.

I knew she was exhausted.

And... yesterday,

she was heading out, and I...

Okay. Five seconds of action,
and then I'm on the road.

Oh. Mmm.

(Jessica giggles)

Usually, it's at least

-ten seconds.
-Well...

-You look tired.
-Thank you.

It's totally
what a girl wants to hear

from a guy whose scrubs
she wants to get into.

No, no, no. You know I always
think you're beautiful.

-Mm-hmm.
-I'm just wondering
if you need a ride home.

Okay, least sexy
supply closet time ever.

-I'm sorry.
-(laughs)

-Okay. Much better?
-Mm-hmm.

I let her go.

No. No.

You did not
let her do anything.

This is not on you or her.

If you want to blame someone,
blame Red Rock.

Assigning blame
doesn't help Jessica.

Focus on what you can do now.

Okay?

I will stay on the OR floor.

I will be right here
to get updates.

I will let you know
as soon as I hear anything.

I will meet up with you
in the ICU.

Go.

(monitor beeping)

Before we begin,
a quick gut check.

One of our own is on the table.

Anyone too tired-- physically

or emotionally--
should step out now.

Should I step out?

I worked two 30-hour shifts
this week.

Oh, wait. I'm the brain surgeon.
I should probably stay.

It's important that we are all
in tip-top shape for Jessica.

So again, are we good?

-(crying)
-Nurse,

how many shifts have you had
this week?

Not as many as Jessica.

She, um...

She covered for me yesterday.

Then I'm going to have
to ask you to step out.

For Jessica.

Okay.

(crying)

That's a nice plan.
Now we're down a scrub nurse

without enough time
to replace her.

-I'll do it.
-Aren't you a resident?

I'm a surgeon. Surely I can
handle scrub nurse duties.

AUSTIN:
Well, then it's settled.

Nurse/Doctor Mina Okafor is
on the case. Let's go.

How long have you been
in nursing school?

Uh, two years.
I'm so excited

to finally be here
in a real hospital.

Can't wait to get
into the trenches, you know.

Really start
practicing medicine.

Good, 'cause you're about
to hit the ground running.

We're working general medicine
and the ICU today.

Wow. (chuckles)
Is that, is that normal?

No. It's a disaster.

We're shorthanded, and we're
down one very important woman.

I heard about the scrub nurse

while I was filling out
my paperwork.

-I'm sorry. I hope she's okay.
-Me, too.

I'll be going between
our patients and checking

on Jessica today, so...
I need you to keep up with me.

Oh, yeah. I'll try.

-Oh, my God.
-Dad.

Ah. Oh, I heard
there was an accident,

a Chastain nurse.
I was terrified.

Well, I'm fine.

Okay, you can let go now.

All right.

I'm okay. Uh, this is,

uh, Clara.
She's our student nurse.

-Hi.
-That's my dad, Kyle Nevin.

I will update you
on Jessica later,

but right now I got to go.

Hey, hey, hey. I can help.

Uh...

-(Nic sighs)
-Isn't it pretty great?

First day on the job
as a volunteer.

Well, I guess I will be training
you both simultaneously.

Go Team Nevin.

(monitor beeping steadily)

Thank you. Thank you.

Hi.

How is she?

Um...

she had massive internal
injuries from the accident.

But Austin and Mina
were able to repair everything

-in her abdomen.
-It's her brain
that's the issue.

CONRAD:
She was showing signs
of increased

intracranial pressure, so...

Cain put a drain in.

Have they done a post-op CT?

Yeah, and there was no bleed.

That's good news.

IRVING:
But there are signs of swelling.

(Irving sighs)

Keeping an eye on her.

And being positive.

Here, let me do that.

I'm her health care proxy
and a doctor, so...

I'm responsible.

We're all here for you.

So we're all responsible.

No matter how busy it gets,
Jessica is the priority.

(Nic sighs)

Right. Good.
(sniffles)

The post-op labs.

-I got to check
to see if they're back.
-CONRAD: Yep.

I'm on them.

You stay here with Jessica.

We'll all be here
as much as we can.

You're gonna be sick
of seeing our faces.

Thank you.

Both of you.

Can I help you?

You must be Dr. Bell.

Yeah, that's the name
on the door.

You are?

Logan Kim. Exec VP of Red Rock.

You left a message
with my office.

I left a message
with Emma O'Neil.

Emma is head
of Red Rock's transition team.

Transition's over.

I'll be overseeing
the day-to-day operations

of the hospital now.

I oversee the day-to-day.

It's a partnership.

No.

We have distinct duties.

You make payroll. I'm CEO.

(chuckles) Let-Let's avoid
a-a pissing contest, shall we?

Sorry. Yeah.

Um... we've had a rough morning.

One of our best nurses
fell asleep at the wheel,

and her life is hanging
by a thread. She's...

she's working double shifts
due to our nursing shortage.

Let's-let's walk that back,
uh, immediately.

A single car accident
doesn't mean that she was asleep

at the wheel. Could have been
a suicide attempt.

Maybe she was texting.

Well, when she wakes up,
we'll...

Well, if she wakes up.
If she doesn't,

we may never know for sure.

Did PR feed you that?

I know exactly what happened.

She was overworked.
She was exhausted.

She had a long drive home,

and she fell asleep
at the wheel.

You could spin it that way,
which might lead the press

to investigate
other overworked employees,

like a resident who fell through
a skylight on your watch.

I-I'm not pointing any fingers,
and I hope no one else will,

but one CEO could easily be made
a scapegoat for both incidents.

Are you threatening me?

Absolutely not.

But I'm trying to make you see

how much smoother
things will run

if we're both playing
for the same team:

the shareholders
of Red Rock Mountain Medical.

Anything?

Post-op blood tests
aren't back yet.

(sighs)
Yeah. Come on.

I take it all that optimism
was for Irving's sake.

I'm scared to death.

For both of them.

-(Nic sighs)
-If something happens to her...

Don't even say it.

If it had been you,
I would be...

-I have no idea what I'd be.
-Hey.

I'm fine. Okay?

But we have to do something.

This is on Red Rock.

Jessica was overworked.

We're all overworked.

It's this system.
It's not right.

What do you want to do?

(Nic sighs)

Today,

we focus on Jessica.

We make sure she's okay.

We make sure Irving's okay.
But tomorrow?

Tomorrow we keep fighting.

(door opens)

-Oh, sorry.
-(pager beeping)

I was just looking
for an extra pillow.

Jessica.

(sighs)
Top shelf, Dad.

Yeah. Sorry.

MAN:
Why don't you

-figure this out. Look at the...
-I-I'm sorry, sir.

-I don't know anything
about the TV.
-I'm gonna take this to 921.

Hey.

Hey! Hey, how do you...
how do you change the channel?

Because the-the TV's
just showing birds.

Well, that's a nature channel.
I think

-it's meant to keep you calm.
-Yeah, well-well,

I hate birds,
and it's driving me crazy.

(remote shatters)

Uh, see, I'll just, uh...

I'll just...

I'll get a new one.

Thank you.

CAIN:
Her ICP

has been increasing
over the last few hours.

We need to get her back into
surgery to control the swelling.

Well, she's still recovering
from the last surgery.

I'd advise we go forward
with nonsurgical care

-while she's still fragile.
-We've already been doing that.

Medical management
is not cutting it.

We need to move on to surgical
options. Now, you want her

-to have
irreversible brain damage?
-DEVON: Hey.

-A little sensitivity.
-CAIN: The next step is

a decompressive hemicraniectomy.

Temporarily pop off
a piece of her skull

and allow her brain
room to expand.

She's febrile.

In renal failure.

And have you seen
her post-op CBC?

Her platelets
are critically low,

which makes a craniectomy
far riskier.

I think we still have time left
to optimize her the best we can

before going back in
for another surgery.

All right, so, everyone listen
to the third-year resident

and follow him anywhere.

-I'm the attending.
-I'm also the attending,

and Irving asked Conrad
to coordinate care.

All right, so why don't we just
go find the nursing student

who's been bumbling
around the floor somewhere?

Maybe she would like a say,
as well.

Conrad has the last word.

Right, Irving?
He's making the call.

Let's get this straight.

I'm a neurosurgeon.

This woman is in need
of neurosurgery.

If her brain continues to swell,
she's gonna herniate.

She's either gonna die
or have zero chances

of waking up tomorrow
as anything more than--

why don't we all
say this one together--

a vegetable.

We can place her
in a barbiturate coma.

That'll give us a chance

to control the swelling
while she recovers

from the trauma of the surgery
she just went through.

Look, we've all been here before
in medicine

where there is
no clear-cut answer.

-We need to work together...
-Now an intern speaks. Really?

Why don't we just poll
all of Atlanta.

Maybe everyone should have
a voice at Chastain.

Jessica's only in this situation
because you

-overworked her for weeks.
-CAIN: Oh, right.

So now I'm responsible
for a nurse

who didn't know enough
to call an Uber.

No. But you will be responsible

if she arrests on the table
because her body can't handle

another invasive surgery.

Conrad makes this call.

Some medical proxy you are.

When she dies,

it's gonna be on you.

Look, I didn't want to
contradict you in front of Cain,

but I'm not 100%
about waiting to address

Jessica's intracranial pressure.

I know. I feel the same way.

But it is a judgment call,
and I don't want to send her

back to the OR
with a dropping platelet count

that we can't explain when
there are other medical options.

AUSTIN:
Are you sure that continuing

with conservative management
is gonna help her ICP?

It's worth a try,
particularly in this case.

If she doesn't clot in surgery,
she dies.

Okay, I'm on board.

But a word of caution.

You know Cain has the juice
with Red Rock, right?

You know he is
their cash register, Hawkins.

I am well aware.
Since he came here,

invasive brain
and spine surgeries are up 49%.

Now, you ask yourself,
how many of those are necessary?

Cain cuts
when no one else would.

So, you think he might be
doing it again with Jessica?

(sighs)
I think he's a cowboy.

I love surgeons with attitude

-and even a healthy ego.
-Hmm.

If they put patients first,
like you do.

Well, I don't mind residents
with cojones.

But you tread lightly.

You just made a dangerous enemy.

KYLE:
How-how about bald

but still banging
with the best of them.

-(laughter)
-Hey, Nic.

Hi. Uh, this is my daughter.

She's a nurse practitioner here.
Nic, this is Jackie,

a 70-year-old woman
with congestive heart failure

here for IV diuretics,

which requires monitoring
throughout the day.

Well done, Dad, but I know.
Jackie's my patient.

Did you know that Jackie

and her daughter Leslie here
have a business together?

They cross-stitch pillows
with risqué phrases on them.

-NIC: Mm, I did not.
-KYLE: Did you know that?

-I did not. I need one of those.
-Oh.

-Um, did you get Jackie's lunch?
-Uh...

I came to take her order.
We got to talking.

(chuckles):
I'm-I'm on it.

(laughter)

Uh, does he like older women?

-(Nic chuckles)
-Mom.

JACKIE (laughs):
What? He's adorable.

-Okay, this isn't the bar.
-(laughs)

This is Clara. She'll
be starting your IV today.

Have you ever done this before?

On a, uh, mannequin.

But I always won
when we did IV races in class.

-Clara's in training.
-JACKIE: Ow.

Nic, she's gonna kill me.

NIC:
She's not gonna kill you.

Listen to your patient.

The band's too tight.

(Jackie groans)

Got it.

Oh, pro tip, girlie.

Real people feel more pain

than mannequins.

DEVON:
She's stable.

She's resting.

Buddy,
you need to eat something.

-I'm not leaving her.
-You need
to take care of yourself

-in order
to take care of Jessica.
-Come to the cafeteria.

We're gonna get you some food.

Conrad ordered more labs. I'm
waiting until they come back.

They're not gonna be back
for another hour.

Come on.
It's tri-tip sandwich day.

You love tri-tip sandwich day.

I'm not hungry.

MINA:
You need to eat anyway.

Don't make us drag you.

Dr. Feldman.

I'd like to spend a few minutes
with Jessica,

if that's all right.

See?

She's not gonna be alone.

Everyone loves her.

I think she'd be honored,
Dr. Bell.

I know how much
she respects you.

All right.

Hey.

(exhales)

What can I get you, Dr. Feldman?

Uh, his usual.

Tri-tip sandwich coming up.

You don't look so good.

Go sit.

Grab that free table, okay?

We may need to get a social
worker to come talk to him.

Get him something
for his anxiety.

He needs to keep a clear head.

Let's get some food in him.

We're out of tri-tip.

Tuna salad?

It's tri-tip day.

The man needs
a tri-tip sandwich.

He doesn't like tuna salad.

Do you understand?

So go back there
and get some tri-tip!

We're all having a bad day.

That was uncalled for.

I'm sorry.

WORKER:
It's okay.

I heard about Jessica.

I understand.

We're all in it together.

What's going on?

Got more labs back.

Platelets are still falling,

and now she's anemic,
so I paged Austin.

DEVON:
That doesn't make any sense.

She's gotten
over 20 units PRBCs,

15 FFPs,
ten units of platelets...

Yeah, well,
you better keep 'em coming.

You think she's still bleeding?

I don't see anything
in her chest.

Her belly's nice and soft.

Well, where's all the blood
going?

We're working on that.

You're sure you didn't miss
a bleed somewhere?

Maybe the retroperitoneum
or pleural cavities?

No, I didn't miss anything.

You can't know that.
Maybe, this time,

you missed something and that's
why Jessica's still too sick

for surgery. And now
she's running out of time.

Hey. Remember,
we are on the same side.

I'll take her for another CT,

just to make sure
we're not missing anything.

I didn't miss anything.

But let's get another CT,
so we can be certain.

I'm sorry I left you, babe.

I'm sorry.

(whirring, trilling)

(beeping)

What's going on?

She's still anemic

and thrombocytopenic
despite multiple transfusions.

Why?

I'm working on it.

(Bell sighs)

Honestly, I don't know.

There's nothing on the CT?

No.

(sighs)

I called the CEO of DiaCure.

We made a deal.

We're gonna use their dialysis
equipment exclusively.

You can get the data you need.

I-I just, uh...

just felt like I had to do
something positive.

J-Jessica's...

She's my favorite
of the OR nurses.

You know, she's a--
she's a pistol.

You know. And...

(clicks tongue)
sweet.

And a lady.

So this one's for her.

Wish it were more.

It's all I got.

Thank you.

(door opens)

Your dressing needs
to be changed.

Get me a real nurse.

He's been picking
at his cellulitis.

Yeah, bec-- I can't help it,
because it itches.

All right? So why don't--
why don't you give me something

in-instead of getting
in my face?

That sounds like drug seeking
to me, and...

-Sir, you can't-can't do that.
-Steve.
-(monitor beeping)

-Sir. Sir... (gasps)
-You need to get back in bed.
Hey, hey.

-Steve, come on.
You got to get back in bed.
-(Clara yelps)

-(grunting)
-(screams) Nic!

The meth head is trying
to kill your father!

The meth head
is trying to kill your father!

Help! Hey, hey, hey!

(grunting)

Code gray!

(choking)

(grunts)

-GUARD: Hey, hey.
-Hey, hey, hey.

-(shouts) Ow! Oh!
-Hey! Hey!

Ow! Ow! Ow, ow! Ow, ow, ow!

Hold him down!

Let go of me!

(panting)

-Dad, are you okay?
-Yeah. He bit me.

Is that bad?

He didn't break the skin,
but we'll take a look at it,

-just in case.
-(panting)

-It's okay.
-Oh, it's a good--
it was a good thing I was here.

Right place at the right time.

He could've hurt... uh, Clara.

Clara, I'm sorry.

I shouldn't have left you alone.

-Are you okay?
-Yeah.

Yeah, I'm fine.

KYLE:
Ooh, ooh.

He s-spit on me.

-Oh, God.
-(grunts)

(sniffles)

(crying)

You okay?

Yeah, it's fine. I'm fine.

(sighs)
It's okay not to be fine.

Nursing school doesn't
prepare you for a day like this.

I quit.

(breathing heavily)

You can't.

I'm sorry.

I'm short of nurses, and
I need everybody that I can get.

(exhales, shudders)

Plus...

you can do this.

I don't want to.

I mean...
(sobbing)

it was one thing when it was
on paper. (shudders)

What are the warning signs
of heart failure?

How many milliliters?

I liked studying medicine.

But when it comes to this...

Look, you've had
a seriously difficult first day.

But, hey, at least
no one threw up on you.

No one pulled a chunk of hair
out of your head.

That happened to you?

First day.

God, why do you do this?

Look, we don't have to like
all of our patients.

But we do have to
take care of them.

Because, whoever they are,

they're sick and in pain.

And it's our job
to deal with it.

And sometimes, yes,
it is so hard.

But...
(sighs)

not many people get a chance
to make a difference.

A good nurse can.

(sniffles, sighs)

You've invested...

two years in this?

Student debt, I imagine?

You can always quit
on your second day.

(chuckles)

-Come on.
-(sighs)

You got this. Let's go.

You figure out what's going on
with her blood counts?

No.

Her ICP keeps going up.

We don't have any more time.

You delayed this surgery
for no good reason.

You failed.

Self-important neophyte,

you don't even know
how much you don't know.

I'm gonna remove the pressure
from her brain

and hope it's not too late.
So, congratulations.

Your narcissism
almost killed your patient.

Saw to me.

(buzzing)

Are you sure
you're okay to be here?

This is the last place on earth
I want to be,

and I won't be anywhere else.

Scalpel.

(alarm beeping)

Lap pads. Cautery.

-There's too much blood.
-Get suction in, damn it.

Suction.

Oh, my God. No.

This is exactly what Conrad said
would happen.

Why isn't she clotting?

AUSTIN:
Hey, man,

we didn't have a choice anymore.

When you wait too long,
her brain swells

and she dies.
You go back in there

without correcting her
coagulopathy, she bleeds out.

It was my job to figure it out.

Maybe we still can.

Let's work on the differential.

Together.

AUSTIN:
Okay.

All right, she's bleeding.
It won't stop.

Why?

-And where does the blood go?
-Into the body

-or onto the floor.
-In this case, neither.

Jessica's not losing platelets.

Her body is destroying them.

Hemolysis, low platelets,

renal dysfunction, fever.

-It's got to be TTP.
-DEVON: Oh, God.

If she has TTP, her platelet
count will just keep dropping.

She'll never clot.

This surgery
is going to kill her,

and I gave the okay
to go ahead with it.

Now that we know what it is,

we can treat it.

So you're gonna start
plasmapheresis

while she's in surgery?

Hell yeah, he is.

Move faster.
Get that bleeder.

I'm moving as fast as I can.
It's oozing everywhere.

Keep hanging those platelets.

Get out of my OR! Now!

(alarm continues beeping)

I'm chief of surgery.

Every OR in Chastain is my OR.

Hawkins stays.

-What's happening?
-CONRAD: Jessica has TTP.

-Giving her more platelets
won't help.
-Scrub nurse, ignore him.

-I need you with me
on this cautery.
-All you.

-Conrad, I'll get access.
-Thank you.

You can do that plasmapheresis
when I'm done.

You have no idea
even if you're right,

let alone if it's gonna help.

Okay, now we can cauterize.

Now she has a chance.

(exhales)

Dr. Bell, just wanted
to congratulate you.

What for?

Heard you made
a very lucrative deal today.

-DiaCure Dialysis Centers.
-Yeah.

They gave us a great price
for exclusivity.

That deserves an "attaboy"
from the new veep.

What kind of kickback did they
offer us for the contract?

Some data we required
for patient safety,

and they committed to help us
with the money we need

-to fill out our nursing staff.
-Whoa.

(chuckles) Punching above
your weight there.

I'll make the call
on where the money goes.

I'm thinking Neuro.

Barrett's got a laundry list
of line items.

Barrett?

You on a first-name basis
with Dr. Cain?

We go way back. He's the one
who got me this job.

Lured me away from a hedge fund
on the West Coast.

You have no background
in health care.

I have a background...
in profits.

Well, this profit goes
for more nurses.

It's... it's part
of the agreement.

It can't be undone.

No more deals like this again
without my input.

NIC:
Hey. I'm just gonna change
the dressing.

All right,
let's see what we have.

There isn't very much blood
around the incision.

It's starting to clot.

We'll get another CBC.

Yeah, well, we can send it in,
but this is good news.

The plasmapheresis is working.

IRVING:
She still might not wake up.

And if she does,

we have no idea what kind
of shape she'll be in.

We'll know more in 24 hours.

-Hey, Dad, wait.
-Oh, Nic.

I just finished my shift.

-You need something?
-Look, um...

(sighs)
Thanks for being here today.

(exhales)

I love volunteering.
(chuckles)

I know you were scared
that it was me when you heard

about the accident this morning.

I brushed you off.

I'm sorry I did that.

You're all I got, kid.

(Kyle sniffles)

We're Team Nevin now.

(sniffles)

(sighs)
Still no change in Jessica.

What's this?

DiaCure records.

You got them.

Yeah.

It's worse than we thought.

20% higher complication rate
with Hemopleatin.

NIC:
Look at all these PEs.

This drug is probably
what killed Jessie.

I think so.

(exhales)

What do you think
the next step is?

Tomorrow I go in
to see Bell and Red Rock,

and get this drug
pulled off the shelves.

Permanently.

You know how dangerous that is,
Conrad?

Big Pharma is ruthless.

They could go after you.

They always like to discredit
the messenger.

The numbers don't lie.

We'll make sure
what happened to Jessie

doesn't happen to anyone else.

Her death could save lives.

(Nic sighs)

(monitor beeping steadily)

As awful as this is,
I learned something today.

I really love her.

I don't think
I realized how much

until I thought
I might lose her.

If she comes back to me,
I'll tell her.

Please come back to me.

We all see how much
you guys love each other.

You know, I beat myself up

about leaving Priya
at the altar.

But now I know it was right.

Because what we had...
it wasn't this.

(scoffs) Don't make this
about you, Pravesh.

(both laughing)

Hey.

Thank you.

Oh!

-Um, okay.
-It's happening.

Give into it.

-Oh, that's tight. But...
-Yeah.

-Come on. There you go.
-(laughs)

Oh, buddy.

Hmm, you're certain you have
enough patient information

to prove that Hemopleatin
is causing sudden death

in a significant number
of patients?

Yes.

We need to pull it immediately
and warn the FDA.

No, I've looked over the data;
Dr. Hawkins is right.

The complication rate
is off the charts.

I'll-I'll have my people
go over the figures,

and if this checks out,

we'll use it
to make a PR splash.

Chastain catches a deadly drug

-and saves patients.
-BELL: And in the meantime,

we can go back to using an older
drug that we know to be safe.

And, more good news,
it's actually cheaper.

(chuckles) Well, that's
a huge win on all fronts.

-Really nice work.
-All right.

Thank you.

That info...

was part of the DiaCure deal.

So you helped him?

Yeah. Yeah.

But I'm happy to let the
hospital take the credit.

(chuckles) Okay.

(monitor beeping steadily)

Wake up.

Me or her?

Both, I think.

-JESSICA: Mm.
-Jess? Honey?

-Jess?
-Mm.

Can you hear me?

-Mm.
-Can you hear me?
-NIC: Hey. Hey.

-Hey. Hey, hey.
Whoa, whoa, whoa.
-Careful, careful.

Shh, shh.
No, don't do that.

-You're okay. Hey.
-Hey, Jess.

Honey.

Hey. You're okay.

You're fine. You're fine.

It's a long story, but
everything's gonna be just fine.

Okay. Here we go.
Here we go.

You could use some vittles
in ya.

All right.
I'll eat now.

-This is a mess.
-Do the honors.

-This looks good.
-Yeah, this is not
from the cafeteria.

HUNDLEY:
Okay, I want
the little baby one over here.

I heard the good news.

-Dr. Hawkins, a word?
-Yeah, sure thing.

I just want to say, I, uh,
appreciate what you did,

and I actually regret
that we had words.

It-it was an emotional day
for all of us.

No doubt. No doubt.

But don't ever question
my decision again.

Well, when I'm wrong,

I've learned to listen
to my colleagues.

You're not a colleague.

You're a subordinate
and I don't give a damn

what your process is.

You're not invincible, you know.

No one is.

You sure about that?

We on the same page?

You tell me.

Hawkins is a whistleblower.

My concern is him deciding
in his self-righteous way

that Red Rock is doing something
he doesn't like.

That's not something
I can live with.

Then there's our answer.

He's a threat to the hospital.

I'll handle it.

Captioned by
Media Access Group at WGBH

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