1 00:00:01,035 --> 00:00:02,570 Scrub in with The Resident. 2 00:00:02,603 --> 00:00:04,638 This is a business. It's not a charity. 3 00:00:04,672 --> 00:00:06,574 Catch all-new episodes Mondays, 4 00:00:06,607 --> 00:00:08,542 and check out our other Fox programs-- 5 00:00:08,576 --> 00:00:11,912 9-1-1, Lethal Weapon, and Empire. 6 00:00:11,945 --> 00:00:14,248 We lost Empire, but we are still here. 7 00:00:14,282 --> 00:00:15,749 Only on Fox. 8 00:00:17,051 --> 00:00:18,252 -Previously on The Resident... -You may not realize 9 00:00:18,286 --> 00:00:20,321 this yet, but we're a thing. 10 00:00:20,354 --> 00:00:22,590 DEVON: Where can I get an amazing present for Priya? 11 00:00:22,623 --> 00:00:24,925 I'll take that one. This will definitely work. 12 00:00:24,958 --> 00:00:26,994 You do whatever the hell I tell you, 13 00:00:27,027 --> 00:00:28,862 no questions asked. 14 00:00:28,896 --> 00:00:30,398 You came in here ready to save lives, 15 00:00:30,431 --> 00:00:32,766 but today, you saved a brain stem 16 00:00:32,800 --> 00:00:35,035 -'cause you didn't listen to me. -You look well. 17 00:00:35,069 --> 00:00:37,405 -Atlanta suits you. 18 00:00:37,438 --> 00:00:39,873 I'm looking for worthwhile investment opportunities. 19 00:00:39,907 --> 00:00:43,010 Making you CEO was the smartest thing we ever did. 20 00:00:43,043 --> 00:00:46,046 I want to introduce you to your new boss, Marshall Winthrop. 21 00:00:49,083 --> 00:00:51,419 * You feel like summertime... * 22 00:00:51,452 --> 00:00:54,622 MICAH: Thank you for busting me out of that hospital room. 23 00:00:54,655 --> 00:00:56,857 MINA: This is what you need. Fresh air. 24 00:00:56,890 --> 00:00:58,592 MICAH: No, no, no, don't. I got it. 25 00:00:58,626 --> 00:01:01,129 People will have to take care of you for a while, Micah. 26 00:01:01,162 --> 00:01:03,297 Relax and get used to it. 27 00:01:03,331 --> 00:01:05,399 Yeah, the invalid thing? Not my style. 28 00:01:05,433 --> 00:01:07,435 You're ten days out of major surgery. 29 00:01:07,468 --> 00:01:09,069 Yeah. I get that. 30 00:01:09,103 --> 00:01:10,771 But you know. 31 00:01:10,804 --> 00:01:12,440 What's wrong? 32 00:01:12,473 --> 00:01:16,377 No one wants to talk about what's ahead for me. 33 00:01:16,410 --> 00:01:18,379 Tell me the truth. 34 00:01:18,412 --> 00:01:19,413 What's the average life expectancy of someone 35 00:01:19,447 --> 00:01:21,382 after a heart transplant? 36 00:01:21,415 --> 00:01:24,452 You're not average. 37 00:01:24,485 --> 00:01:27,087 You're young and you're strong. 38 00:01:27,121 --> 00:01:29,923 Micah, we almost lost you. 39 00:01:29,957 --> 00:01:32,493 Let's just enjoy this moment. 40 00:01:32,526 --> 00:01:35,296 Right here, right now. 41 00:01:35,329 --> 00:01:39,167 Isn't life beautiful? 42 00:01:39,200 --> 00:01:42,503 You are what's beautiful. 43 00:01:42,536 --> 00:01:45,906 * Do love me, do love me, do, do love me, do love me, do... * 44 00:01:45,939 --> 00:01:48,409 PRIYA : Oh! 45 00:01:48,442 --> 00:01:50,344 DEVON: Priya, we have to discipline this dog. 46 00:01:50,378 --> 00:01:52,780 Bad doggy. 47 00:01:52,813 --> 00:01:57,285 Bad, naughty little baby puppy-wuppy. 48 00:01:57,318 --> 00:01:59,287 -That showed him. -Jellybean has got to be 49 00:01:59,320 --> 00:02:00,854 at the wedding. 50 00:02:00,888 --> 00:02:02,756 No, no, not the wedding. 51 00:02:02,790 --> 00:02:04,625 We were having such a nice night. 52 00:02:04,658 --> 00:02:06,794 Have you arranged for someone to teach you Bhangra? 53 00:02:06,827 --> 00:02:11,665 -A Bollywood dance would be so much fun. 54 00:02:11,699 --> 00:02:14,868 You can do it for me, can't you? 55 00:02:14,902 --> 00:02:16,904 All right. 56 00:02:18,739 --> 00:02:21,342 You have to make sure the fish isn't overcooked. 57 00:02:21,375 --> 00:02:23,944 Three minutes a side. 58 00:02:23,977 --> 00:02:27,715 And then... taste this. 59 00:02:31,319 --> 00:02:33,954 -Mmm. 60 00:02:33,987 --> 00:02:35,556 This new night nurse 61 00:02:35,589 --> 00:02:37,958 keeps texting me about her COPD patient. 62 00:02:37,991 --> 00:02:39,560 It's good, though, right? 63 00:02:39,593 --> 00:02:40,994 I hope so. 64 00:02:41,028 --> 00:02:42,630 Are we talking about the same thing? 65 00:02:42,663 --> 00:02:44,865 -Chastain. -Veggie kabob. 66 00:02:46,900 --> 00:02:49,303 Delicious. 67 00:02:49,337 --> 00:02:53,307 -Mullins is out of the ICU. 68 00:02:53,341 --> 00:02:54,742 -Hey. -Hey. 69 00:02:54,775 --> 00:02:55,909 -Give that back. -Hey, hey. 70 00:02:55,943 --> 00:02:57,311 -Give me my phone. -Date night, date night. 71 00:02:57,345 --> 00:02:58,712 We are off duty. 72 00:02:58,746 --> 00:03:01,148 Oh, says the guy who's never off duty. 73 00:03:01,181 --> 00:03:05,386 * All I wanna do is let you shine * 74 00:03:05,419 --> 00:03:07,355 * Do love me, do love me, do * 75 00:03:07,388 --> 00:03:10,424 * I love you, do love me, do love me, do * 76 00:03:10,458 --> 00:03:11,992 * Do love me, do love me, do * 77 00:03:12,025 --> 00:03:13,394 * Put no one else above you * 78 00:03:13,427 --> 00:03:15,563 * Do love me, do love me, do * 79 00:03:15,596 --> 00:03:16,697 * Do love me, do love me, do. * 80 00:03:32,646 --> 00:03:35,383 Who was she? 81 00:03:40,321 --> 00:03:42,323 Love of my life. 82 00:03:45,058 --> 00:03:46,860 Turned out to be a psychopathic doctor 83 00:03:46,894 --> 00:03:48,729 who poisoned her own patients. 84 00:03:51,665 --> 00:03:54,568 She's in jail for murder. 85 00:03:57,004 --> 00:03:59,039 You have a nice night. 86 00:03:59,072 --> 00:04:01,375 * Mm, mm, mm * 87 00:04:01,409 --> 00:04:04,044 * Mm, mm, mm, mm * 88 00:04:04,077 --> 00:04:07,247 * Oh, no, the vertigo's coming * 89 00:04:07,281 --> 00:04:09,817 * Can't keep me on my feet * 90 00:04:09,850 --> 00:04:12,453 * God knows I'm trying to be someone * 91 00:04:12,486 --> 00:04:15,756 * My vision's failing me * 92 00:04:15,789 --> 00:04:19,259 * I live like I'm dying tomorrow * 93 00:04:19,293 --> 00:04:21,462 * God gave me one last chance * 94 00:04:21,495 --> 00:04:24,665 * To take all the time that I've borrowed * 95 00:04:24,698 --> 00:04:28,302 * And make a new man * 96 00:04:28,336 --> 00:04:31,772 * Feels like I'm burning out * 97 00:04:31,805 --> 00:04:33,674 * Wondering why it changed * 98 00:04:33,707 --> 00:04:38,111 * Bring back this life of mine * 99 00:04:38,145 --> 00:04:40,013 * 'Cause it left with you * 100 00:04:40,047 --> 00:04:42,350 * Take it day to day * 101 00:04:42,383 --> 00:04:44,418 * I'm trying * 102 00:04:44,452 --> 00:04:48,689 * Trying to block the memories * 103 00:04:48,722 --> 00:04:50,624 * In my head * 104 00:04:50,658 --> 00:04:53,193 * They said pain, it comes in waves * 105 00:04:53,226 --> 00:04:56,530 * So dive in * 106 00:04:56,564 --> 00:04:59,600 * They weren't lying * 107 00:04:59,633 --> 00:05:03,804 * There's no denying it * 108 00:05:13,647 --> 00:05:16,149 Uh, you look a lot like her. 109 00:05:16,183 --> 00:05:19,286 -I can make you forget her. -Don't talk. 110 00:05:19,319 --> 00:05:21,221 Your voice, it's not the same. 111 00:05:29,997 --> 00:05:31,632 You're under arrest for solicitation. 112 00:05:34,602 --> 00:05:37,337 * I knew that it will come for me * 113 00:05:37,371 --> 00:05:40,408 * So why try to run? * 114 00:05:40,441 --> 00:05:43,511 * I knew it will come for me. * 115 00:05:45,913 --> 00:05:47,915 * 116 00:06:01,261 --> 00:06:04,765 Here you go. Should fit. 117 00:06:06,467 --> 00:06:09,036 Thanks for arranging bail. 118 00:06:09,069 --> 00:06:12,239 I just made CEO. Can we keep this quiet? 119 00:06:12,272 --> 00:06:14,708 We need a not guilty verdict. 120 00:06:14,742 --> 00:06:16,176 If you're convicted for solicitation, 121 00:06:16,209 --> 00:06:17,745 the law says you have to report the arrest 122 00:06:17,778 --> 00:06:18,979 to the state medical board. 123 00:06:23,083 --> 00:06:26,787 * 124 00:06:26,820 --> 00:06:31,825 * Yeah... * 125 00:06:34,562 --> 00:06:37,598 * Yeah, yeah * 126 00:06:37,631 --> 00:06:39,066 * You've got to show me love * 127 00:06:43,437 --> 00:06:45,305 * Heartbreaks and promises * 128 00:06:45,338 --> 00:06:50,277 * I've had more than my share * 129 00:06:50,310 --> 00:06:53,046 * I'm tired of giving my love * 130 00:06:53,080 --> 00:06:55,415 * And getting nowhere... * 131 00:06:55,449 --> 00:06:58,051 -Yeah. 132 00:06:58,085 --> 00:06:59,319 -Thank you. -You're welcome. 133 00:06:59,352 --> 00:07:00,754 Look out! 134 00:07:04,825 --> 00:07:07,595 BOY: Hey. You okay? 135 00:07:07,628 --> 00:07:09,797 Help, I... 136 00:07:09,830 --> 00:07:11,431 I-I can't breathe. 137 00:07:11,465 --> 00:07:13,266 Someone call 911. 138 00:07:13,300 --> 00:07:15,936 Teenage male, blunt abdominal trauma. 139 00:07:15,969 --> 00:07:17,337 Pullman Yard, the meadow. 140 00:07:17,370 --> 00:07:18,672 Roger that. 141 00:07:18,706 --> 00:07:21,975 Medivac Midtown, we have a call. 142 00:07:22,009 --> 00:07:23,577 MIDTOWN PARAMEDIC: Call received. 143 00:07:23,611 --> 00:07:25,245 En route to Pullman Yard. 144 00:07:25,278 --> 00:07:28,582 Medivac Midtown just got a call to Pullman Yard. 145 00:07:28,616 --> 00:07:30,150 See if you can beat them to the scene. 146 00:07:30,183 --> 00:07:32,285 AIRMED PARAMEDIC: Copy you. AirMed Atlanta 147 00:07:32,319 --> 00:07:34,855 turning around and heading to Pullman Yard. 148 00:07:34,888 --> 00:07:37,157 AirMed Atlanta just launched. 149 00:07:37,190 --> 00:07:38,526 They're trying to poach a call, but we can 150 00:07:38,559 --> 00:07:39,993 -get there first. -PARAMEDIC: On my way. 151 00:07:40,027 --> 00:07:41,461 You'll be fine. 152 00:07:41,495 --> 00:07:44,164 Where the hell is the ambulance? 153 00:07:50,904 --> 00:07:53,240 MIDTOWN PARAMEDIC: What the hell? 154 00:08:05,085 --> 00:08:06,554 Look, there's two of them. 155 00:08:06,587 --> 00:08:08,155 There's three of them. 156 00:08:14,061 --> 00:08:16,530 You're okay. Just hold on. 157 00:08:20,067 --> 00:08:22,002 MIDTOWN PARAMEDIC: AirMed Atlanta again? 158 00:08:41,955 --> 00:08:45,158 This is our call! -Pullman Yard is zone three. 159 00:08:45,192 --> 00:08:47,928 -AirMed Atlanta has zone three. -Oh, you poached off the police scanner. 160 00:08:47,961 --> 00:08:49,730 -That's the third time... -Yeah, after you took one of ours last week. 161 00:08:49,763 --> 00:08:51,899 Okay, we got you, buddy. You'll be in the ER in no time. 162 00:08:51,932 --> 00:08:53,934 -Jack. 163 00:08:53,967 --> 00:08:55,535 Jack? All right, where does it hurt 164 00:08:55,569 --> 00:08:57,037 Severe abdominal trauma. 165 00:08:57,070 --> 00:08:58,606 All right, Jack, I need you to keep still. 166 00:08:58,639 --> 00:08:59,873 We're gonna put a collar on you. 167 00:08:59,907 --> 00:09:01,041 MIDTOWN PARAMEDIC: Two weeks ago, Piedmont Park. 168 00:09:01,074 --> 00:09:03,276 -Tell me that wasn't you. -Okay, that was me, 169 00:09:03,310 --> 00:09:04,978 but that was because that patient needed help. 170 00:09:09,316 --> 00:09:12,119 Today I got here first! 171 00:09:12,152 --> 00:09:14,387 -Southeast Air Ambulance One... -Hey, hey, hey. Wait, wait! 172 00:09:14,421 --> 00:09:16,757 ...we have patient, inbound to Chastain Park. 173 00:09:27,668 --> 00:09:29,637 DEVON: All right, it's on, Mina. 174 00:09:29,670 --> 00:09:32,139 -Oh, no, no, no. 175 00:09:32,172 --> 00:09:34,407 -Oh, okay, all right. That's the best you got? -You won. 176 00:09:34,441 --> 00:09:36,576 -Serious question right now. -Oh, laugh while you still can, my friend. 177 00:09:36,610 --> 00:09:39,412 -Very serious question: is that all you got? 178 00:09:39,446 --> 00:09:42,549 -Good job. -Dr. Pravesh. Just the man we were looking for. 179 00:09:42,582 --> 00:09:44,584 Time to grow up and be a role model. 180 00:09:44,618 --> 00:09:45,986 First year med students. 181 00:09:46,019 --> 00:09:47,788 -Aw. -Green as new mown grass. 182 00:09:47,821 --> 00:09:49,489 CONRAD: They get to tour the hospital, 183 00:09:49,522 --> 00:09:51,959 and guess who has the honor of showing them the ropes? 184 00:09:51,992 --> 00:09:53,661 Oh, no. No, no, no, no, no. 185 00:09:53,694 --> 00:09:54,995 Please, I have, I have patients to see. 186 00:09:55,028 --> 00:09:56,463 CONRAD: Take them with. 187 00:09:56,496 --> 00:09:58,398 Impart your wisdom. 188 00:09:58,431 --> 00:10:01,234 -Be their Conrad. -Conrad 2.0. 189 00:10:01,268 --> 00:10:03,336 Uh, no. No. No. 190 00:10:03,370 --> 00:10:05,973 Hi. Aaron Holt. 191 00:10:06,006 --> 00:10:07,240 Hey. 192 00:10:07,274 --> 00:10:10,477 -Justin. -Okay, okay. 193 00:10:11,611 --> 00:10:13,613 Hi. All right. Uh... 194 00:10:13,647 --> 00:10:16,149 Yes, thank you. 195 00:10:20,888 --> 00:10:22,856 CONRAD: You wanted to see me? 196 00:10:22,890 --> 00:10:24,291 No. 197 00:10:24,324 --> 00:10:26,026 He did. 198 00:10:27,627 --> 00:10:29,596 In my opinion, it's wholly inappropriate 199 00:10:29,629 --> 00:10:31,999 for a third year resident to attend a meeting between the CEO 200 00:10:32,032 --> 00:10:33,533 and the chairman of the board. 201 00:10:33,566 --> 00:10:37,004 We're discussing recent unfortunate events at Chastain. 202 00:10:37,037 --> 00:10:39,840 Residents are on the frontline of patient care. 203 00:10:39,873 --> 00:10:41,775 I want my son's input. 204 00:10:41,809 --> 00:10:45,779 Conrad, if you had a magic wand, 205 00:10:45,813 --> 00:10:48,481 what would you do first to improve the hospital? 206 00:10:48,515 --> 00:10:50,150 Easy, weed out problematic staff. 207 00:10:50,183 --> 00:10:52,152 Starting with a resident who breaks the rules 208 00:10:52,185 --> 00:10:53,553 whenever he damn well pleases? 209 00:10:53,586 --> 00:10:54,888 Excellence comes from the top down. 210 00:10:54,922 --> 00:10:57,024 MARSHALL: What is your plan 211 00:10:57,057 --> 00:10:59,960 -to balance the budget, Dr. Bell? -Increase volume. 212 00:10:59,993 --> 00:11:02,029 Screen patients, cut those at risk for nonpayment. 213 00:11:02,062 --> 00:11:04,197 Every single one of those ideas threatens patient safety. 214 00:11:04,231 --> 00:11:06,066 This is a business, it's not a charity. 215 00:11:06,099 --> 00:11:07,801 No money, no mission. 216 00:11:07,835 --> 00:11:09,870 Okay, you want to go there? Yeah, let's go there. 217 00:11:09,903 --> 00:11:11,972 -A million five. 218 00:11:12,005 --> 00:11:14,674 A million five. Why does Dr. Bell make a million five 219 00:11:14,708 --> 00:11:17,177 when the average hospital CEO salary is $600,000? 220 00:11:17,210 --> 00:11:19,880 I'm not average. 221 00:11:19,913 --> 00:11:22,249 The CEO at Atlanta General makes $3 million. 222 00:11:22,282 --> 00:11:24,184 We both earn every penny. 223 00:11:24,217 --> 00:11:27,020 You have no idea what this job entails. 224 00:11:27,054 --> 00:11:29,222 All ten floors of this hospital rest on my back. 225 00:11:29,256 --> 00:11:32,926 There are 30 departments, 45 surgeons, 200 internists, 226 00:11:32,960 --> 00:11:34,928 ten CT scanners that do not 227 00:11:34,962 --> 00:11:37,731 and will never pay for themselves. 228 00:11:37,765 --> 00:11:40,700 And while you are feeling the pain and triumph 229 00:11:40,734 --> 00:11:42,402 of helping a relative few, 230 00:11:42,435 --> 00:11:45,939 I will be thinking of ways to raise or cut a dollar 231 00:11:45,973 --> 00:11:48,008 so that I can keep you working, 232 00:11:48,041 --> 00:11:50,210 nurses attending, janitors cleaning, 233 00:11:50,243 --> 00:11:51,611 those machines humming, 234 00:11:51,644 --> 00:11:53,046 so Chastain's patients keep breathing. 235 00:11:53,080 --> 00:11:55,715 -Exhibit A. 236 00:11:55,749 --> 00:11:58,418 A medevac helicopter coming here, 237 00:11:58,451 --> 00:12:01,621 and n Atlanta General. 238 00:12:01,654 --> 00:12:04,191 Why? Because I pushed Chastain 239 00:12:04,224 --> 00:12:06,593 to buy that air transport company so it brings patients 240 00:12:06,626 --> 00:12:08,962 to our top-of-the-line, level one trauma center. 241 00:12:08,996 --> 00:12:11,298 Perfect example of profits over patients. 242 00:12:11,331 --> 00:12:13,300 Air ambulances used to be run by the county. 243 00:12:13,333 --> 00:12:16,804 Now they're for-profit. You know how much we charge 244 00:12:16,837 --> 00:12:18,738 for that ten 40 grand. 245 00:12:18,772 --> 00:12:20,440 You could fly around the world ten times... 246 00:12:20,473 --> 00:12:22,375 Insurance pays. It's not our problem. 247 00:12:22,409 --> 00:12:24,111 News flash. Millions of people are uninsured. 248 00:12:24,144 --> 00:12:25,879 That flight could equal bankruptcy. 249 00:12:25,913 --> 00:12:28,048 -Well, that's the option-- 250 00:12:28,081 --> 00:12:30,283 -Gentlemen, enough. 251 00:12:30,317 --> 00:12:33,553 I set up this meeting to find solutions. 252 00:12:33,586 --> 00:12:36,289 Chastain needs revenue to make payroll. 253 00:12:36,323 --> 00:12:38,758 It also needs to be a beacon of excellence. 254 00:12:38,792 --> 00:12:40,560 You both have a point. 255 00:12:40,593 --> 00:12:43,330 You're gonna have to learn to work together. 256 00:12:56,043 --> 00:12:58,445 HUNDLEY: How long have you been diabetic? 257 00:12:58,478 --> 00:13:02,015 Since I was ten. Three years. 258 00:13:02,049 --> 00:13:05,118 Because you're a minor, we have to wait on your mom. 259 00:13:05,152 --> 00:13:07,187 Okay. 260 00:13:07,220 --> 00:13:10,523 Take a seat, and when she gets here, come back, okay? 261 00:13:12,159 --> 00:13:13,827 14-year-old male, 262 00:13:13,861 --> 00:13:16,463 skating accident, abdominal trauma, BP 80/40 263 00:13:16,496 --> 00:13:19,366 -and dropping. Pulse is 126. -All right, Trauma Ten. 264 00:13:19,399 --> 00:13:20,767 -Jack Alderwood. 265 00:13:20,800 --> 00:13:22,335 -Everywhere. 266 00:13:22,369 --> 00:13:24,671 -Jack! Ja-- T-That's our son! -All right, on a scale... 267 00:13:24,704 --> 00:13:26,806 Sir, we're gonna take care of him, I promise you. 268 00:13:26,840 --> 00:13:28,041 -We just need some space. -The doctors 269 00:13:28,075 --> 00:13:29,542 are taking good care of your son. 270 00:13:29,576 --> 00:13:31,845 On a scale of one to ten, ten being 271 00:13:31,879 --> 00:13:34,181 -the most severe... -Ten. Can't breathe. 272 00:13:34,214 --> 00:13:36,716 Okay, here's my credit card and insurance. 273 00:13:36,749 --> 00:13:38,551 -Let's get you to registration, okay? -Right now. One, two, three. 274 00:13:38,585 --> 00:13:40,653 We need another large-bore IV. 275 00:13:40,687 --> 00:13:44,124 Hang one liter normal saline, get blood ready. 276 00:13:44,157 --> 00:13:45,625 Trauma to the upper abdomen. 277 00:13:45,658 --> 00:13:47,594 He's distended, diffuse pain. 278 00:13:50,430 --> 00:13:52,966 Okay, hang in there, buddy. You're doing great. 279 00:13:53,000 --> 00:13:55,702 His FAST is positive. Free fluid everywhere. He's bleeding out. 280 00:13:55,735 --> 00:13:57,837 Hang two units O neg. Don't worry. 281 00:13:57,871 --> 00:14:00,908 We're gonna take care of you. He needs an OR. 282 00:14:00,941 --> 00:14:03,010 -Bowel surgery. Busy for another three hours. 283 00:14:03,043 --> 00:14:05,412 -CONRAD: Who's available from trauma? -AUSTIN: I am. 284 00:14:05,445 --> 00:14:07,380 -You're cardiothoracic. -Well, actually, 285 00:14:07,414 --> 00:14:09,749 I'm triple board certified-- cardiothoracic, 286 00:14:09,782 --> 00:14:12,685 general and trauma. I'm also IFR licensed on a twin engine plane, 287 00:14:12,719 --> 00:14:14,754 and I can scuba dive up to 150 feet. 288 00:14:14,787 --> 00:14:16,323 Kill me now. 289 00:14:18,391 --> 00:14:20,360 All right, he's out. 290 00:14:20,393 --> 00:14:22,295 CONRAD: Let's get him to OR One. 291 00:14:25,698 --> 00:14:29,669 Let's look in on your very first patient. And don't be nervous. 292 00:14:29,702 --> 00:14:31,471 There are no wrong answers. 293 00:14:33,440 --> 00:14:35,608 Mr. Warden, these are medical students 294 00:14:35,642 --> 00:14:37,577 rounding for the very first time. 295 00:14:37,610 --> 00:14:39,179 I'd like them to listen to your heart. 296 00:14:39,212 --> 00:14:40,580 Would that be all right with you? 297 00:14:40,613 --> 00:14:43,083 -Sure. Have at it, Doc. -All right. 298 00:14:49,589 --> 00:14:52,625 DEVON: Heart sounds are notoriously tricky, but they are 299 00:14:52,659 --> 00:14:55,462 a key diagnostic tool. So, what do you think...? 300 00:14:55,495 --> 00:14:57,730 I can clearly hear a diastolic rumble with an opening snap, 301 00:14:57,764 --> 00:14:59,632 which is indicative of mitral stenosis 302 00:14:59,666 --> 00:15:02,202 secondary to rheumatic heart disease. 303 00:15:02,235 --> 00:15:04,904 Actually, I hear a crescendo decrescendo systolic ejection 304 00:15:04,938 --> 00:15:06,639 murmur radiating to the carotids, 305 00:15:06,673 --> 00:15:08,541 with soft S2 and precordial thrill. 306 00:15:08,575 --> 00:15:13,146 You know, I kind of just think it sounds like Ken-tucky. 307 00:15:13,180 --> 00:15:14,647 And sometimes, it kind of sounds like 308 00:15:14,681 --> 00:15:16,783 Tennes-see, Tennes-see, 309 00:15:16,816 --> 00:15:18,351 -Tennes-see. 310 00:15:20,787 --> 00:15:24,791 Um... I didn't really hear anything abnormal. 311 00:15:24,824 --> 00:15:28,228 I thought I was in for gallbladder surgery? 312 00:15:28,261 --> 00:15:30,730 You are. You have a perfectly normal heart. 313 00:15:30,763 --> 00:15:34,367 Are you sure? I distinctly heard a diastolic... 314 00:15:36,769 --> 00:15:38,972 Thank you. Let's go. 315 00:16:16,743 --> 00:16:20,147 It's, uh, pretty quiet up here. Couldn't we go to the ER, OR? 316 00:16:20,180 --> 00:16:22,449 -See some trauma, you know, blood and gore? 317 00:16:22,482 --> 00:16:24,984 It's your first day. Just do what I tell you to do, 318 00:16:25,018 --> 00:16:26,653 -no questions asked. -NONI: Heads up. 319 00:16:26,686 --> 00:16:28,955 There's a device rep in the conference room, 320 00:16:28,988 --> 00:16:31,858 luring in doctors to hear her sales pitch. Free Thai food. 321 00:16:31,891 --> 00:16:33,193 -Oh. 322 00:16:40,867 --> 00:16:42,402 WOMAN: Come on in, guys. 323 00:16:42,435 --> 00:16:43,836 -Have some food. -Thank you. 324 00:16:43,870 --> 00:16:45,105 -Mm-hmm. You're welcome. -Thank you. 325 00:16:48,108 --> 00:16:49,809 Come on in, Doctor. 326 00:16:49,842 --> 00:16:52,245 I'm Julian Booth, device rep for Quovadis. 327 00:16:52,279 --> 00:16:54,347 Hi. Uh, Dr. Pravesh. 328 00:16:54,381 --> 00:16:56,683 Um... Devon. 329 00:16:56,716 --> 00:17:00,053 I have some cool gear to show you. 330 00:17:00,087 --> 00:17:02,155 Let's see what you might need. 331 00:17:02,189 --> 00:17:03,856 You're not a surgeon. 332 00:17:03,890 --> 00:17:05,558 How do you know that? 333 00:17:05,592 --> 00:17:06,993 It's my superpower. 334 00:17:07,026 --> 00:17:09,062 I can guess a doctor's specialty at a glance, 335 00:17:09,096 --> 00:17:10,597 even before they know it. 336 00:17:10,630 --> 00:17:12,565 Take your medical students. 337 00:17:12,599 --> 00:17:15,235 Born rad. Destined to spend his life 338 00:17:15,268 --> 00:17:17,237 inside windowless rooms with imaging machines. 339 00:17:17,270 --> 00:17:18,738 He does look like a submariner. 340 00:17:18,771 --> 00:17:20,107 Mm-hmm. 341 00:17:20,140 --> 00:17:22,675 Okay, what about that one over there? 342 00:17:22,709 --> 00:17:24,211 Peeds. 343 00:17:24,244 --> 00:17:25,945 No way. My money's on derm. 344 00:17:25,978 --> 00:17:27,980 No, I'm right. 345 00:17:33,286 --> 00:17:35,588 That is impressive. 346 00:17:35,622 --> 00:17:40,227 Good, right? And your shy one will probably cure cancer. 347 00:17:40,260 --> 00:17:42,229 All right, the one on the end here. 348 00:17:42,262 --> 00:17:44,764 Annoying gunner 349 00:17:44,797 --> 00:17:46,566 No. He'll get his MD, 350 00:17:46,599 --> 00:17:48,968 skip residency and head straight to Silicon Valley. 351 00:17:49,001 --> 00:17:50,603 That's what all the gunners do. 352 00:17:50,637 --> 00:17:52,772 They invent devices like these. 353 00:17:52,805 --> 00:17:54,874 Artificial sphincter. 354 00:17:54,907 --> 00:17:56,576 -You laugh, 355 00:17:56,609 --> 00:17:58,478 but the urologist who came up with this 356 00:17:58,511 --> 00:17:59,946 hauled down $40 million. 357 00:17:59,979 --> 00:18:02,949 -You're kidding. -Medical devices 358 00:18:02,982 --> 00:18:04,484 are even bigger than pharma. 359 00:18:04,517 --> 00:18:06,453 Pacemakers, cardiac caths, 360 00:18:06,486 --> 00:18:10,056 cochlear implants, artificial knees, skin, hips. 361 00:18:10,089 --> 00:18:13,726 I was a dancer until one day I was hit by a car. 362 00:18:13,760 --> 00:18:15,628 It shattered my pelvis. 363 00:18:15,662 --> 00:18:19,266 A total hip replacement gave me my life back 364 00:18:19,299 --> 00:18:20,867 and made me a true believer. 365 00:18:22,769 --> 00:18:24,637 You're interested in ER, right? 366 00:18:26,173 --> 00:18:27,440 Okay, now you're batting a thousand. 367 00:18:27,474 --> 00:18:29,742 You won't be just a doctor, though. 368 00:18:29,776 --> 00:18:31,110 You're too smart for that. 369 00:18:31,144 --> 00:18:34,681 All the best ones do more than one thing. 370 00:18:34,714 --> 00:18:36,616 Maybe you'll invent one of these. 371 00:18:39,152 --> 00:18:40,987 -No. I'm good. 372 00:18:41,020 --> 00:18:43,022 -Thank you. -You never know. 373 00:18:43,055 --> 00:18:45,792 -$40 million. 374 00:18:47,527 --> 00:18:50,096 Jack came through the splenectomy with flying colors. 375 00:18:50,129 --> 00:18:51,598 -Thank God. -Oh. 376 00:18:51,631 --> 00:18:53,600 I don't know what we would do if we lost him. 377 00:18:53,633 --> 00:18:55,702 He's the center of our world. Jack is 378 00:18:55,735 --> 00:18:57,870 the brightest, kindest... 379 00:18:57,904 --> 00:19:02,342 This boy is the only thing that pulled us through when... 380 00:19:02,375 --> 00:19:06,213 Amber, Jack's sister, passed two years ago from a brain tumor. 381 00:19:10,350 --> 00:19:12,485 Am I okay? 382 00:19:12,519 --> 00:19:14,354 Yes, darling. -Hey, buddy. 383 00:19:14,387 --> 00:19:16,189 You're gonna be fine. Isn't he, Dr. Hawkins? 384 00:19:16,223 --> 00:19:20,293 Yeah. Jack, we had to do a procedure to remove your spleen. 385 00:19:20,327 --> 00:19:23,029 Spleen filters blood, helps your body fight infections, 386 00:19:23,062 --> 00:19:24,664 so you'll need a regular schedule of vaccines, 387 00:19:24,697 --> 00:19:26,366 but other than that, you won't even know it's missing. 388 00:19:26,399 --> 00:19:29,001 Hear that, Mom? It's okay. 389 00:19:31,037 --> 00:19:33,039 She worries. 390 00:19:38,678 --> 00:19:42,014 Why don't you two get some food while I do a post 391 00:19:42,048 --> 00:19:43,550 Okay, okay. 392 00:19:43,583 --> 00:19:45,718 And thank you, Dr. Hawkins. 393 00:20:01,100 --> 00:20:03,102 Looks like you have a touch of jaundice. 394 00:20:03,135 --> 00:20:05,238 Is that serious? 395 00:20:05,272 --> 00:20:07,274 Not necessarily. 396 00:20:07,307 --> 00:20:09,909 Tell me about your weight. Any changes lately? 397 00:20:09,942 --> 00:20:11,611 You're a thin guy. 398 00:20:11,644 --> 00:20:13,680 I just dropped ten pounds. 399 00:20:13,713 --> 00:20:16,416 I wasn't even trying, but I like it. 400 00:20:16,449 --> 00:20:19,185 How were you feeling before the accident 401 00:20:19,218 --> 00:20:23,423 I have been having some back pain, but it's no big deal. 402 00:20:23,456 --> 00:20:25,425 Probably pulled a muscle roller dancing. 403 00:20:25,458 --> 00:20:27,093 Show me where it hurts. 404 00:20:42,141 --> 00:20:45,412 : Ow. Ah. -I'm sorry to hear about your sister. 405 00:20:45,445 --> 00:20:48,114 Any other history of cancer in the family? 406 00:20:51,951 --> 00:20:55,054 My grandfather died young. 407 00:20:55,087 --> 00:20:56,923 I never knew him. 408 00:20:56,956 --> 00:20:59,559 Colon cancer, I think. 409 00:20:59,592 --> 00:21:02,829 And Mom had breast cancer, but she's okay now. 410 00:21:06,165 --> 00:21:09,569 Have to run a few more tests before I can let you go. 411 00:21:09,602 --> 00:21:11,338 I'll go write up the orders. 412 00:21:29,722 --> 00:21:31,223 Can I help you? 413 00:21:36,228 --> 00:21:38,531 Hey, call security. We got a drug seeker. 414 00:21:39,632 --> 00:21:42,635 Hey! Hey! 415 00:21:48,741 --> 00:21:52,612 Okay, every doctor needs to know how to place an IV. 416 00:21:52,645 --> 00:21:54,481 I want you to practice on each other. 417 00:21:57,817 --> 00:21:59,619 Good work. 418 00:21:59,652 --> 00:22:01,354 This is child's play. 419 00:22:01,388 --> 00:22:04,323 Did all summer in my Dad's neurosurgery clinic. 420 00:22:08,327 --> 00:22:11,330 Steady. Steady. Steady. 421 00:22:15,868 --> 00:22:18,004 See, this is why you're going into radiology. 422 00:22:18,037 --> 00:22:20,006 DEVON: Steady. 423 00:22:20,039 --> 00:22:21,974 Just watch. 424 00:22:22,008 --> 00:22:24,677 -Feel it. Touch it. There you go, you feel that? -Uh-huh. 425 00:22:24,711 --> 00:22:26,746 -Uh-huh. -That's the vein. That's where you want to go. 426 00:22:26,779 --> 00:22:29,449 -The pulsing thing. -Mm-hmm. 427 00:22:32,184 --> 00:22:33,352 DEVON: Lower your hand. 428 00:22:33,386 --> 00:22:35,021 Can I get a new partner? 429 00:22:35,054 --> 00:22:36,389 He-he can't find the vein. 430 00:22:36,423 --> 00:22:38,190 Maybe I can help. 431 00:22:38,224 --> 00:22:39,526 Here. 432 00:22:39,559 --> 00:22:41,027 Try this. 433 00:22:41,060 --> 00:22:42,995 It uses infrared to find the vein. 434 00:22:43,029 --> 00:22:44,764 -Here you go. -Oh. 435 00:22:44,797 --> 00:22:45,998 -There you go, that's it right there. 436 00:22:46,032 --> 00:22:47,366 STUDENT: That right there? 437 00:22:47,400 --> 00:22:49,469 Yeah. 438 00:22:51,103 --> 00:22:52,304 STUDENT: Got it. 439 00:22:55,642 --> 00:22:59,011 I did it. 440 00:22:59,045 --> 00:23:00,246 T-This device rocks. 441 00:23:00,279 --> 00:23:01,914 -Whoa! -Oh! 442 00:23:01,948 --> 00:23:04,116 You have to remove the tourniquet first 443 00:23:04,150 --> 00:23:06,018 before you withdraw the needle. 444 00:23:06,052 --> 00:23:08,387 Apply pressure to slow the bleed. 445 00:23:08,421 --> 00:23:11,123 All right. 446 00:23:11,157 --> 00:23:12,692 There you go. 447 00:23:12,725 --> 00:23:14,894 Everything is gonna be perfectly fine now. 448 00:23:17,229 --> 00:23:19,532 Whoa! Whoa, whoa, whoa. Whoa, whoa. 449 00:23:19,566 --> 00:23:22,234 Okay. -Mm-hmm. 450 00:23:22,268 --> 00:23:24,303 Amazing catch, Conrad. 451 00:23:24,336 --> 00:23:26,038 Don't tell me I guessed right. 452 00:23:26,072 --> 00:23:29,275 You ordered a CT with a pancreas protocol on a 14-year-old. 453 00:23:29,308 --> 00:23:31,644 How in the world did you know? 454 00:23:31,678 --> 00:23:33,245 Uh, the family history was a red flag. 455 00:23:33,279 --> 00:23:35,948 It was a long shot, but I had to check. 456 00:23:37,283 --> 00:23:39,486 Jack has pancreatic cancer. 457 00:23:45,658 --> 00:23:48,160 OSDER: I know you may not feel lucky right now, 458 00:23:48,194 --> 00:23:50,296 but you are. 459 00:23:50,329 --> 00:23:53,432 The accident brought you into the hospital, 460 00:23:53,466 --> 00:23:56,302 and Dr. Hawkins caught it early. 461 00:23:56,335 --> 00:23:58,437 Am I gonna die? 462 00:23:58,471 --> 00:24:01,340 There is every reason to believe that surgery will be 463 00:24:01,373 --> 00:24:02,942 a total cure. 464 00:24:02,975 --> 00:24:04,176 If we get him to Houston tonight, 465 00:24:04,210 --> 00:24:05,778 will MD Anderson have a room for him? 466 00:24:05,812 --> 00:24:08,681 Okay, please let me know as soon as possible. 467 00:24:08,715 --> 00:24:12,118 -Thank you. -Mr. Alderwood. 468 00:24:12,151 --> 00:24:15,287 Randolph Bell, Chief of Surgery, CEO here at Chastain. 469 00:24:15,321 --> 00:24:18,090 I'm so sorry to hear about your son's diagnosis. 470 00:24:18,124 --> 00:24:20,026 Now, you should know that Chastain's cancer wing 471 00:24:20,059 --> 00:24:21,528 -is state of the art... -No, no. MD Anderson 472 00:24:21,561 --> 00:24:22,829 is a top five cancer center. 473 00:24:22,862 --> 00:24:24,096 Only the best for Jack. 474 00:24:24,130 --> 00:24:25,532 We need to get him there as soon as possible. 475 00:24:25,565 --> 00:24:28,367 I understand. You know, we do have a connection 476 00:24:28,400 --> 00:24:29,936 to a helicopter company 477 00:24:29,969 --> 00:24:31,804 that can handle the transfer to the airport. 478 00:24:31,838 --> 00:24:33,472 They're not cheap. You might want to check 479 00:24:33,506 --> 00:24:35,642 -with your insurance first. -No, money is no object. 480 00:24:37,677 --> 00:24:39,145 Well, I'm glad we could help. 481 00:24:39,178 --> 00:24:40,947 OSDER: The next step is to stage the cancer, 482 00:24:40,980 --> 00:24:43,983 check for metastasis, make sure Jack's lymph nodes are clear. 483 00:24:44,016 --> 00:24:45,985 Okay? 484 00:24:46,018 --> 00:24:48,988 Thank you. 485 00:24:51,357 --> 00:24:54,293 Baby... 486 00:24:54,326 --> 00:24:57,029 You're gonna be okay, okay? 487 00:25:14,446 --> 00:25:17,116 * 488 00:25:38,270 --> 00:25:40,539 -There's a young girl 489 00:25:40,573 --> 00:25:42,541 running around the hospital. About 12 or 13. 490 00:25:42,575 --> 00:25:44,010 I caught her stealing from the drug cart. 491 00:25:44,043 --> 00:25:45,745 I think she's in withdrawal. She's blonde, pale. 492 00:25:45,778 --> 00:25:47,780 -I'll check Five East. -Thanks. 493 00:25:54,654 --> 00:25:56,623 Hey. 494 00:25:56,656 --> 00:25:58,090 Check me out. 495 00:25:58,124 --> 00:25:59,425 I got it, I got it. 496 00:26:00,960 --> 00:26:02,729 No, Micah, don't! 497 00:26:06,132 --> 00:26:07,466 No, I'm fine, I'm fine, I'm fine. 498 00:26:07,499 --> 00:26:08,467 I just twisted it a little bit. 499 00:26:08,500 --> 00:26:09,969 -That's all. -There's someone in here! 500 00:26:10,002 --> 00:26:12,471 -Mina, hurry! -MICAH: Go. 501 00:26:12,504 --> 00:26:14,140 Go. I'm fine. 502 00:26:14,974 --> 00:26:16,643 I see legs. 503 00:26:16,676 --> 00:26:19,045 Okay. Careful, careful. 504 00:26:19,078 --> 00:26:21,147 Oh, my gosh. 505 00:26:24,450 --> 00:26:27,654 She's alive. Let's clear her from the door. 506 00:26:27,687 --> 00:26:29,622 -Call a rapid response team. -Yeah. 507 00:26:30,657 --> 00:26:31,758 Nic! 508 00:26:31,791 --> 00:26:34,193 She's in here. She's diabetic. 509 00:26:37,596 --> 00:26:39,732 NIC: Oh, my God. 510 00:26:39,766 --> 00:26:41,133 She was looking for insulin. 511 00:26:41,167 --> 00:26:43,469 -Probably. 512 00:26:43,502 --> 00:26:45,604 She tried injecting herself, but she was too late. 513 00:26:45,638 --> 00:26:47,406 All right, let's get her out of here and find a vein. 514 00:26:47,439 --> 00:26:48,507 If we don't get access, she's gonna code. 515 00:26:48,540 --> 00:26:49,776 Hey. Just got the call. What do you need? 516 00:26:49,809 --> 00:26:52,011 NIC: She's dry. 517 00:26:52,044 --> 00:26:54,280 -Yes, but not here. Not sterile. 518 00:26:54,313 --> 00:26:56,115 -Let's get her a room. -I discharged 5027 519 00:26:56,148 --> 00:26:57,349 earlier this morning. Should be clean now. 520 00:26:57,383 --> 00:26:58,584 Okay, go to the crash cart at the end 521 00:26:58,617 --> 00:26:59,618 of the hall. Get me a central line kit. 522 00:26:59,652 --> 00:27:01,520 And ask a nurse to help you. Go. 523 00:27:01,553 --> 00:27:04,023 -Okay. One, two, three. -Three. 524 00:27:06,125 --> 00:27:09,528 No, no, no. Here, here, here. Just take that. 525 00:27:09,561 --> 00:27:11,831 Got it. 526 00:27:11,864 --> 00:27:15,668 -But he said get a nurse. -I got it. 527 00:27:17,303 --> 00:27:18,671 Pulse is tachy at 130. 528 00:27:19,839 --> 00:27:21,640 Here. 529 00:27:21,674 --> 00:27:23,309 This is a Foley catheter kit. 530 00:27:23,342 --> 00:27:25,044 This is for urine. I told you to ask a nurse. 531 00:27:25,077 --> 00:27:26,679 NIC: No kit, no choice. We have to do an EJ. 532 00:27:26,713 --> 00:27:28,447 All right. I'm gonna crank the bed down so she's headfirst. 533 00:27:28,480 --> 00:27:30,983 Prepping for an IO in case you can't get access. 534 00:27:32,151 --> 00:27:33,853 NIC: Prepping for an EJ. 535 00:27:37,589 --> 00:27:38,657 Swab, please. 536 00:27:44,764 --> 00:27:46,465 We're in. 537 00:27:46,498 --> 00:27:48,034 All right, let's hang fluids. Two liters to start. 538 00:27:48,067 --> 00:27:51,370 -Wait. Let me get the blood first. -Okay. 539 00:27:59,946 --> 00:28:03,215 NIC: Glucose, 583. Bicarb, undetectable. 540 00:28:03,249 --> 00:28:04,650 PH, 6.8. She's DKA. 541 00:28:04,683 --> 00:28:05,885 A little longer in a coma, 542 00:28:05,918 --> 00:28:07,186 -she would have died. -Let's get her to the ICU. 543 00:28:07,219 --> 00:28:08,855 She still might. 544 00:28:15,694 --> 00:28:18,931 You're Dr. AJ Austin. I'd recognize you anywhere. 545 00:28:18,965 --> 00:28:20,767 I'm sure you have a job to do, 546 00:28:20,800 --> 00:28:23,702 but salespeople should not be roaming the halls of Chastain. 547 00:28:23,736 --> 00:28:26,839 The AJ Austin who did an ascending aortic reconstruction 548 00:28:26,873 --> 00:28:28,941 with a coronary artery reimplantation 549 00:28:28,975 --> 00:28:30,743 in two hours, skin to skin. 550 00:28:30,777 --> 00:28:32,344 I might be that guy. 551 00:28:32,378 --> 00:28:34,513 Okay, I am that guy, but I'm still not buying. 552 00:28:34,546 --> 00:28:37,183 No agenda, I swear. I'm just a fangirl. 553 00:28:37,216 --> 00:28:39,852 Dr. Benedict at Atlanta General told me all about you. 554 00:28:39,886 --> 00:28:41,720 Said you were the best student he ever had. 555 00:28:41,754 --> 00:28:43,055 You know Abe? 556 00:28:43,089 --> 00:28:44,556 Quovadis has a fantastic, 557 00:28:44,590 --> 00:28:46,859 new left atrial appendage occlusion device. 558 00:28:46,893 --> 00:28:49,461 Dr. Benedict has been putting it in for the past year. 559 00:28:49,495 --> 00:28:52,531 I can show it to you if you're interested. 560 00:28:52,564 --> 00:28:55,067 All right. You got about five minutes. 561 00:28:55,101 --> 00:28:56,803 -Lead the way. -Great. 562 00:29:01,340 --> 00:29:03,709 SECRETARY: I have your lawyer, Mr. McCrary, line two. 563 00:29:03,742 --> 00:29:05,778 All right. This is a private call. 564 00:29:05,812 --> 00:29:07,746 There's no need to take notes. 565 00:29:08,781 --> 00:29:10,549 Yeah? 566 00:29:10,582 --> 00:29:13,719 Turns out your hooker cop was wired. 567 00:29:13,752 --> 00:29:16,255 We aren't gonna get a not guilty verdict. 568 00:29:16,288 --> 00:29:18,157 The arraignment's first thing in the morning. 569 00:29:18,190 --> 00:29:20,459 We'll try to plea bargain. 570 00:29:20,492 --> 00:29:22,561 Look reasonable and contrite. 571 00:29:22,594 --> 00:29:24,931 Judges want to see a defendant who knows he's made a mistake 572 00:29:24,964 --> 00:29:26,632 and won't make another. 573 00:29:37,143 --> 00:29:38,644 MINA: Micah? 574 00:29:38,677 --> 00:29:41,347 Are you okay? I... 575 00:29:41,380 --> 00:29:43,615 I'm sorry I had to leave you like that. 576 00:29:43,649 --> 00:29:45,351 I'm fine. 577 00:29:45,384 --> 00:29:47,686 I don't want to be a distraction. 578 00:29:47,719 --> 00:29:49,121 You're a doctor. 579 00:29:49,155 --> 00:29:50,789 I understand you have important things to do. 580 00:29:50,823 --> 00:29:53,692 You are important. 581 00:29:55,727 --> 00:29:57,663 This isn't working. 582 00:29:57,696 --> 00:30:00,132 I see what's going on. 583 00:30:00,166 --> 00:30:01,968 So do you. 584 00:30:02,001 --> 00:30:04,971 We may be a thing, but we're a brand-new thing. 585 00:30:05,004 --> 00:30:08,107 And this is not what you signed up for. 586 00:30:08,140 --> 00:30:10,542 I can't be a burden. 587 00:30:11,543 --> 00:30:12,979 WOMAN : Dr. Okafor, 588 00:30:13,012 --> 00:30:14,380 please report to OR One. 589 00:30:14,413 --> 00:30:16,048 Dr. Okafor, please report to OR One. 590 00:30:16,082 --> 00:30:17,683 I must go now. 591 00:30:17,716 --> 00:30:20,719 But I am not agreeing with you. 592 00:30:20,752 --> 00:30:24,891 No big decisions until we make one together. 593 00:30:44,776 --> 00:30:47,646 Conrad. Jack's lymph nodes look clear. 594 00:30:47,679 --> 00:30:50,149 The cancer is most likely localized to the pancreas. 595 00:30:50,182 --> 00:30:52,084 -Okay, that's good news. -But the trauma. 596 00:30:52,118 --> 00:30:54,086 The accident, it looks like it started a bleed 597 00:30:54,120 --> 00:30:56,088 on the tumor itself. Right here. 598 00:30:56,122 --> 00:30:57,924 It was too small to pick up before, 599 00:30:57,957 --> 00:30:59,758 but there it is. 600 00:31:08,400 --> 00:31:09,868 Stop! 601 00:31:10,937 --> 00:31:12,004 He can't fly. 602 00:31:12,038 --> 00:31:13,105 The helicopter's waiting. 603 00:31:13,139 --> 00:31:14,873 His tumor is bleeding into his abdomen. 604 00:31:14,907 --> 00:31:17,243 He needs to have the surgery now. 605 00:31:17,276 --> 00:31:19,511 You put him on that helicopter, 606 00:31:19,545 --> 00:31:21,080 he dies before he gets to Houston. 607 00:31:24,216 --> 00:31:26,385 NOLAN: Okay, patient's name is Jack Alderwood. 608 00:31:26,418 --> 00:31:27,786 JESSICA: Confirmed. 609 00:31:27,819 --> 00:31:29,455 NOLAN: Procedure is partial pancreatectomy. 610 00:31:29,488 --> 00:31:31,390 Surgeon is Dr. Albert Nolan. 611 00:31:31,423 --> 00:31:33,859 -Signed and in the chart. 612 00:31:33,892 --> 00:31:35,761 All right. 613 00:31:35,794 --> 00:31:37,296 Partial pancreatectomy. 614 00:31:37,329 --> 00:31:39,398 Isn't that right up your alley? 615 00:31:39,431 --> 00:31:41,400 BELL: I've done over 500 of these in my career. 616 00:31:41,433 --> 00:31:42,701 More than anyone else in Atlanta. 617 00:31:42,734 --> 00:31:44,136 Maybe more than anyone in the country. 618 00:31:44,170 --> 00:31:46,939 Yeah, well, CEO is an important job, too. 619 00:31:46,973 --> 00:31:48,507 At least, I think it is. 620 00:31:49,575 --> 00:31:51,944 It is. 621 00:31:52,945 --> 00:31:55,247 I still miss the OR. 622 00:31:55,281 --> 00:31:57,283 Just keep me updated on how this goes. 623 00:31:57,316 --> 00:31:58,917 I'm here if they need me. 624 00:31:58,951 --> 00:32:00,953 Yeah, you got it, boss. 625 00:32:08,760 --> 00:32:12,231 Where are your med students? 626 00:32:12,264 --> 00:32:14,500 I sent them home. 627 00:32:14,533 --> 00:32:16,768 I'm done babysitting. 628 00:32:16,802 --> 00:32:18,370 Thank you, Carol. 629 00:32:20,439 --> 00:32:22,975 That's too bad, Conrad. Oops. 630 00:32:23,009 --> 00:32:25,511 -I mean, Devon. -I'm not Conrad. 631 00:32:25,544 --> 00:32:27,346 And they're sure not me. 632 00:32:27,379 --> 00:32:30,449 That gunner nearly killed Abby. 633 00:32:30,482 --> 00:32:32,818 Didn't your first patient end up brain 634 00:32:34,853 --> 00:32:36,788 The kid who screwed up is still here. 635 00:32:36,822 --> 00:32:39,458 He's in the ICU watching them work on Abby. 636 00:32:39,491 --> 00:32:41,460 Thought you should know. 637 00:32:47,633 --> 00:32:49,768 NIC: Hang in there, sweetie. 638 00:32:49,801 --> 00:32:51,670 NURSE: O2 sats dropping. 639 00:32:53,639 --> 00:32:55,541 She's in respiratory failure. 640 00:32:55,574 --> 00:32:57,009 DOCTOR: Uh, we need to intubate. 641 00:32:57,043 --> 00:32:58,110 Get the kit. 642 00:33:10,489 --> 00:33:12,991 They're putting her on a vent. She may never recover. 643 00:33:15,194 --> 00:33:18,097 We all make mistakes. 644 00:33:19,998 --> 00:33:22,868 I've made plenty. 645 00:33:22,901 --> 00:33:26,172 What matters is that you learn from them. 646 00:33:30,609 --> 00:33:32,244 Poor thing. We got her name, Abby Arlen, 647 00:33:32,278 --> 00:33:33,645 but we still can't find her parents. 648 00:33:33,679 --> 00:33:36,115 -I'll go find them. -Good. Go. 649 00:33:53,365 --> 00:33:54,833 NOLAN: Okay. 650 00:33:54,866 --> 00:33:56,535 Pancreas is fully exposed. 651 00:33:56,568 --> 00:33:59,271 Prepare a specimen cup 652 00:33:59,305 --> 00:34:01,940 for tissue sample. 653 00:34:01,973 --> 00:34:04,943 AUSTIN: They're doing a resection of the pancreas, 654 00:34:04,976 --> 00:34:06,712 which is a bitch. 655 00:34:06,745 --> 00:34:08,414 The organ is like Jell-O. 656 00:34:08,447 --> 00:34:11,083 Soft, warm Jell-O. 657 00:34:11,117 --> 00:34:14,953 You cut it wrong, the whole thing falls apart. 658 00:34:14,986 --> 00:34:18,857 You got to cut out that tumor, leave yourself margins, 659 00:34:18,890 --> 00:34:21,227 keep the tumor cold when you walk it-- 660 00:34:21,260 --> 00:34:24,863 speed walk it, double-time-- to pathology... 661 00:34:24,896 --> 00:34:28,567 where the pathologist runs a stain, 662 00:34:28,600 --> 00:34:30,902 puts the specimen under a microscope, 663 00:34:30,936 --> 00:34:35,107 and looks for those nasty little cancerous mites. 664 00:34:35,141 --> 00:34:38,110 But you got to do it fast; time is of the essence. 665 00:34:38,144 --> 00:34:40,078 Our boy is still on the table. 666 00:34:46,585 --> 00:34:48,120 Uh, margins not clear. 667 00:34:48,154 --> 00:34:49,621 Pathologist says to keep going. 668 00:34:49,655 --> 00:34:51,823 It means they didn't get all the cancer. 669 00:34:51,857 --> 00:34:53,759 They have to take another slice of the pancreas, 670 00:34:53,792 --> 00:34:55,761 and start the whole process all over again. 671 00:35:13,445 --> 00:35:15,481 Margins still not clear. 672 00:35:34,200 --> 00:35:36,335 Margins still not clear. 673 00:35:51,217 --> 00:35:53,151 Margins still not clear. 674 00:35:58,424 --> 00:35:59,891 What's going on? 675 00:35:59,925 --> 00:36:02,361 There's hardly any pancreas left. 676 00:36:02,394 --> 00:36:04,162 They'll have to remove the entire organ. 677 00:36:04,196 --> 00:36:06,064 AUSTIN: Worse still. They have to resect parts 678 00:36:06,097 --> 00:36:08,234 of the gallbladder, the small intestine and the bile duct. 679 00:36:08,267 --> 00:36:09,868 It's a Whipple procedure. 680 00:36:09,901 --> 00:36:12,804 Even I've only done a handful of Whipples in my life. 681 00:36:12,838 --> 00:36:14,506 Dr. Nolan cannot handle this. 682 00:36:14,540 --> 00:36:17,276 You know who has to do this, right? 683 00:36:21,513 --> 00:36:24,383 BELL: Oh, the prince walks into my office without even knocking. 684 00:36:24,416 --> 00:36:25,884 Let's not make this harder than it needs to be. 685 00:36:25,917 --> 00:36:28,019 I'll make it as hard as I want to every single time we meet. 686 00:36:28,053 --> 00:36:29,488 I don't care who your father is. 687 00:36:29,521 --> 00:36:31,990 We have an emergency in OR One. The Alderwood boy. 688 00:36:32,023 --> 00:36:34,025 Pancreatic margins keep coming back cancerous. 689 00:36:34,059 --> 00:36:35,527 He needs a Whipple procedure. 690 00:36:37,229 --> 00:36:39,030 Back in the day, 691 00:36:39,064 --> 00:36:42,334 you were the unsurpassed master of the Whipple, but we both know 692 00:36:42,368 --> 00:36:45,337 an appendectomy patient died in your OR. 693 00:36:45,371 --> 00:36:48,206 Your complication rates are through the roof. 694 00:36:48,240 --> 00:36:52,244 Can you do this procedure safely? 695 00:36:52,278 --> 00:36:55,747 I can do it flawlessly, and it's not your call. 696 00:37:24,276 --> 00:37:25,777 Right angle, Cooley scissors to me. 697 00:37:36,154 --> 00:37:38,490 Team HODAD. 698 00:37:49,034 --> 00:37:52,304 The surgery was more radical than we'd hoped, but... 699 00:37:52,338 --> 00:37:53,905 it went off beautifully. 700 00:37:53,939 --> 00:37:56,074 Thank you, Dr. Bell. And thank you, too, Dr. Hawkins. 701 00:37:56,107 --> 00:37:57,809 CONRAD: Ah. The most important thing 702 00:37:57,843 --> 00:37:59,277 is that Jack is likely cancer-free. 703 00:37:59,311 --> 00:38:01,813 And I'll roller dance again, right? 704 00:38:01,847 --> 00:38:03,281 Absolutely. 705 00:38:03,315 --> 00:38:05,517 Jack, unfortunately, 706 00:38:05,551 --> 00:38:07,118 due to the nature of your surgery, 707 00:38:07,152 --> 00:38:09,120 you will be a diabetic for the rest of your life, but... 708 00:38:09,154 --> 00:38:11,089 Maybe not the rest of your life. 709 00:38:11,122 --> 00:38:13,492 Scientists are working on growing organs in the lab. 710 00:38:13,525 --> 00:38:14,926 Some day, we may get you a new pancreas. 711 00:38:14,960 --> 00:38:16,995 Okay, and who are you? 712 00:38:17,028 --> 00:38:19,130 Ms. Booth works for Quovadis Labs. 713 00:38:19,164 --> 00:38:20,832 It's a cutting-edge medical device company. 714 00:38:20,866 --> 00:38:22,634 JULIAN: I'd like to show you our new insulin pump. 715 00:38:22,668 --> 00:38:26,037 The drug is delivered continuously over 24 hours, 716 00:38:26,071 --> 00:38:27,439 and that keeps your blood glucose levels in range, 717 00:38:27,473 --> 00:38:28,540 even overnight. 718 00:38:28,574 --> 00:38:29,808 How much is it? 719 00:38:29,841 --> 00:38:31,343 JULIAN: Around ten grand. 720 00:38:34,079 --> 00:38:35,514 We'll take it. 721 00:38:35,547 --> 00:38:37,383 Great. 722 00:38:57,703 --> 00:39:00,338 Is that our new uninsured patient? 723 00:39:00,372 --> 00:39:05,010 I hear she could end up costing Chastain a fortune. 724 00:39:07,579 --> 00:39:09,581 That's one way to look at it. 725 00:39:09,615 --> 00:39:13,385 Or you could see a 13-year-old girl, 726 00:39:13,419 --> 00:39:15,387 who's fighting for her life. 727 00:39:15,421 --> 00:39:17,889 Her name is Abby. 728 00:39:17,923 --> 00:39:19,324 According to her mom, 729 00:39:19,357 --> 00:39:24,229 she loves astronomy and Beyoncé. 730 00:39:24,262 --> 00:39:26,665 She's a straight A student, 731 00:39:26,698 --> 00:39:29,334 and got diabetes when she was ten. 732 00:39:29,367 --> 00:39:31,870 Her mom works two jobs 733 00:39:31,903 --> 00:39:35,173 but still can't afford the medicine. 734 00:39:35,206 --> 00:39:38,544 It's over $2,000 a month. 735 00:39:38,577 --> 00:39:41,847 So Abby didn't want her mom to know 736 00:39:41,880 --> 00:39:45,083 that she needed more insulin. 737 00:39:45,116 --> 00:39:48,787 Started rationing her doses and ended up here. 738 00:39:48,820 --> 00:39:51,022 She gonna make it? 739 00:39:51,056 --> 00:39:54,626 Maybe. 740 00:39:56,127 --> 00:39:59,330 Is there any way this could have been prevented? 741 00:40:02,400 --> 00:40:04,369 Technically, the hospital's a non-profit. 742 00:40:04,402 --> 00:40:06,204 In order to keep our tax-exempt status, 743 00:40:06,237 --> 00:40:08,106 we're supposed to have programs that benefit the community. 744 00:40:08,139 --> 00:40:09,708 -Nothing. 745 00:40:09,741 --> 00:40:11,477 Not true. We have health fairs and flu clinics. 746 00:40:11,510 --> 00:40:13,144 -All kinds of... -Window dressing. 747 00:40:13,178 --> 00:40:14,746 CONRAD: The price of insulin has gone 748 00:40:14,780 --> 00:40:17,483 from $21 a vial to $275, 749 00:40:17,516 --> 00:40:19,084 and the drug hasn't changed one bit. 750 00:40:19,117 --> 00:40:21,086 That's a 1,200% increase, 751 00:40:21,119 --> 00:40:22,821 and it's destroying people's lives. 752 00:40:22,854 --> 00:40:24,255 Mina and I have an idea. 753 00:40:24,289 --> 00:40:25,791 Let's hear it. 754 00:40:25,824 --> 00:40:27,659 What about an outpatient clinic for the uninsured, 755 00:40:27,693 --> 00:40:29,427 with community outreach. 756 00:40:29,461 --> 00:40:31,663 I used to volunteer for one run by Partners in Health in Boston. 757 00:40:31,697 --> 00:40:33,465 We'd love to start something like that here. 758 00:40:33,499 --> 00:40:35,166 It could have helped Abby; we missed that chance. 759 00:40:35,200 --> 00:40:36,768 We can't miss chances like that again. 760 00:40:36,802 --> 00:40:37,803 With what funding? 761 00:40:37,836 --> 00:40:39,838 How much would this cost, 762 00:40:39,871 --> 00:40:42,007 and how much would it save? 763 00:40:42,040 --> 00:40:44,142 I need to see data before making a commitment. 764 00:40:44,175 --> 00:40:47,178 Is that a polite way of saying no? 765 00:40:47,212 --> 00:40:48,580 I told you we need balance. 766 00:40:48,614 --> 00:40:53,018 Patient safety and financial stability. 767 00:40:53,051 --> 00:40:54,452 So get us numbers, we'll have a look at it, 768 00:40:54,486 --> 00:40:56,655 maybe bring it up at the next board meeting. 769 00:40:58,724 --> 00:41:00,792 Okay. 770 00:41:09,701 --> 00:41:11,336 I can't say that was a win. 771 00:41:11,369 --> 00:41:13,371 It wasn't a no, either. Your father left us an opening. 772 00:41:13,404 --> 00:41:15,607 Yeah, I'll start putting together the numbers. 773 00:41:15,641 --> 00:41:17,943 Okay. Hey. 774 00:41:17,976 --> 00:41:20,145 Hey. 775 00:41:20,178 --> 00:41:22,180 Maybe it's a good thing that he's here. 776 00:41:22,213 --> 00:41:24,983 Maybe things will be different. 777 00:41:37,328 --> 00:41:38,530 I'm still giving you an out. 778 00:41:38,564 --> 00:41:40,165 And I'm not taking it. 779 00:41:40,198 --> 00:41:43,068 You'll go to rehab, and you'll get better. 780 00:41:43,101 --> 00:41:45,503 No big decision until then. 781 00:41:45,537 --> 00:41:47,338 You sure you want to wait for me? 782 00:42:00,919 --> 00:42:02,921 * 783 00:42:33,051 --> 00:42:35,053 * 784 00:42:42,594 --> 00:42:46,431 You told me the judge would show mercy for a first offense. 785 00:42:46,464 --> 00:42:47,766 Luck of the draw. 786 00:42:47,799 --> 00:42:49,300 We caught a hard-ass. 787 00:42:49,334 --> 00:42:52,103 And this will be reported to the state medical board? 788 00:42:52,137 --> 00:42:53,571 Not exactly. 789 00:42:53,605 --> 00:42:55,974 By law, you now have to self-report 790 00:42:56,007 --> 00:42:58,109 your conviction for solicitation. 791 00:42:58,143 --> 00:43:00,245 Here are the forms. 792 00:43:00,278 --> 00:43:04,249 You're the one who must report this to the state medical board. 793 00:43:06,517 --> 00:43:08,319 You mean, if I don't file the forms, 794 00:43:08,353 --> 00:43:10,388 they'll never know I was arrested? 795 00:43:10,421 --> 00:43:12,457 The only way anyone would find out 796 00:43:12,490 --> 00:43:14,092 is if they went to the police department 797 00:43:14,125 --> 00:43:16,227 and requested a copy of your criminal record. 798 00:43:16,261 --> 00:43:18,964 Who is ever gonna think of that? 799 00:43:21,532 --> 00:43:23,201 I'm a doctor. 800 00:44:11,082 --> 00:44:13,051 Captioned by Media Access Group at WGBH 801 00:44:15,186 --> 00:44:16,955 You survived your shift with The Resident. 802 00:44:16,988 --> 00:44:19,524 Now here are a few more shows to check out from Fox. 803 00:44:22,093 --> 00:44:23,328 Buckle up, buttercup. 804 00:44:25,663 --> 00:44:27,999 It's real, and it pulls people together. 805 00:44:28,033 --> 00:44:31,569 -* We're breaking waves shooting star * 806 00:44:31,602 --> 00:44:35,173 * We live for glory not forever * 807 00:44:35,206 --> 00:44:36,207 MAN: Touchdown! 808 00:44:36,241 --> 00:44:39,811 * Reach out * 809 00:44:39,845 --> 00:44:43,414 * Make this right here right now * 810 00:44:43,448 --> 00:44:46,384 * Stand up * 811 00:44:47,252 --> 00:44:49,020 * Here right now * 812 00:44:49,054 --> 00:44:51,022 That sounds like fun.